bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of 27 G Quincke and 25 G Quincke Needles for Post Dural Puncture Headache in Caesarean Section
Authors: Islam Md Anisul , Begum Amena , Shahida SM 
Published: January 2019

Introduction: Although modern anaesthesiology has made great progress in the last decades and spinal anaesthesia is popular for its effectiveness, Post Dural Puncture Headache (PDPH) is a significant and well known complication of spinal anaesthesia that may be incapacitating for patients. A few decades ago less refined and thicker spinal needles were being used and the incidence of PDPH was high. But within the last 15 years more refined and thinner needles have been used and the incidence of PDPH is grossly reduced.
Objective: To compare the incidence and severity of post dural puncture headache using 25 G Quincke and 27 G Quincke needle during spinal anaesthesia in case of caesarean section.
Materials and Methods: This randomized prospective study was carried out in the Border Guard Hospital, Dhaka, during the period of January to July, 2015. Patients were selected randomly from the age group of 20-35 years having a pregnancy of at least 34 weeks gestation with a single uncompromised fetus and uncomplicated pregnancy. Patients with a history of migraine, convulsion, cerebrovascular accident, Pre-eclampsia, eclampsia, spinal deformity, coagulopathy or previous neurological disease were excluded. They were randomly allocated into two groups. Each group consisting of 50 patients. Data was collected by interviewing and observation results. Data were processed and analyzed by using statistical test.
Results: There was no statistically significant difference found in age, height, weight and ASA status between two groups. 27G Quincke needle had significantly higher failure rate of successful lumber puncture in first attempt than the 25G Quincke needle (20% vs 6%, P<0.05). There was no difference difference regarding the incidence of intraoperative complications between two groups. The overall incidence of PDPH was 2(4%) in group A and 12 (24%) in group B (P<0.05). Decreased severity of headache was noted in the 27G group Quincke needle. There was no difference regarding the duration of headache in between two groups.
Conclusion: This study suggests that the risk of PDPH was much lower in 27G Quincke needle as compared to 25G Quincke needle though it had a higher failure rate of successful lumber puncture in first attempt. For spinal anaesthesia 27G Quincke needle should be used.
Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 17-21
Variations of Lung Function Status in Hypertension and Antihypertensive Medication
Authors: Nahar Mst Nasrin , Begum Shelina , Ferdousi Sultana , Sultana Sharmeen , Parveen Zinia , Akhter Tunergina , Habib Tamanna 
Published: January 2019

Introduction: Essential hypertension is associated with altered pulmonary function. Antihypertensive medication and lung function are also associated. Amlodipine (calcium channel blocker) and Atenolol (beta blocker) are commonly used antihypertensive drugs.
Objective: To evaluate the effects of antihypertensive drugs on lung function status in patients with essential hypertension.
Materials and Methods: This prospective observational study was carried out in the Department of Physiology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka, from July 2012 to June 2013 on 100 newly diagnosed essential hypertensive patients. Based on prescribed treatment, these study subjects were divided into two groups - B1 and B2. B1 included 50 patients who received amlodipine 5mg daily and B2 included 50 patients who received atenolol 50mg daily. Lung function tests were done in both B1 and B2 groups before taking medication, after 3 months of medication and after 6 months of medication. For assessing lung function status, Forced Vital Capacity (FVC), Forced Expiratory Volume in 1st second (FEV1) and Peak Expiratory Flow Rate (PEFR) were measured with a computer based Spirometer. Age, sex and BMI matched 50 apparently healthy normotensive subjects were also studied as control (group A). Data were compared among subjects of different groups. For statistical analysis independent sample‘t’ test and paired sample‘t’ test were performed.
Results: Mean FVC, FEV1 and PEFR were significantly lower in newly diagnosed hypertensive patients in comparison with that of healthy normotensive subjects. Mean FVC, FEV1 and PEFR were found significantly higher in the group taking amlodipine for 6 months when compared to newly diagnosed hypertensive patients but lower than those of controls. In addition mean FVC and FEV1 were found significantly lower in the group taking atenolol for 6 months when compared to newly diagnosed hypertensive patients and those of controls.
Conclusion: Reduced lung function occurs in newly diagnosed essential hypertensive patients which improve by treatment with amlodipine but decreases after treatment with atenolol.
Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 28-32
Stress Fractures in Female Cadets in Bangladesh Naval Academy during Training
Authors: Uddin Md Borhan , Rahman Md Anisur 
Published: January 2019

Introduction: Stress fractures occur due to repetitive cumulative micro trauma on the bone over a period of time. These are common overuse injuries in military cadets and sports personnel during training. Stress fracture in female cadets is a rising cause of concern for its high prevalence. It increases morbidity, long term absence from training and significant economic loss.
Objective: To find out the prevalence, time of occurrence and sites involved among the fresh female cadets during their basic training.
Materials and Methods: A descriptive cross-sectional study was conducted during January 2011 to April 2017 in female cadets undergoing basic training at Bangladesh Naval Academy, Chittagong. A detailed history and physical assessment was performed of those presenting with pain, swelling or limping. Radiographic imagings were done to evaluate the symptoms. All cases of stress fractures were finally diagnosed on the basis of findings and were appropriately managed and followed up every two weeks till the time of union.
Results: Eighteen cases out of 82 had clinical and radiological signs of stress fractures with an overall prevalence of 21.95%. Average age was 19 years (range 18-20). Highest prevalence was around 12 weeks of training. Common sites were tibia (40.90%), pelvis (40.90%) and fibula (9.09%). There was one metatarsal and one femoral neck fracture. All the fractures were treated conservatively and were healed in an average period of 7 weeks. All cadets returned to their full activity in an average period of ten weeks.
Conclusion: Prevalence among the female naval cadets is high and probably underrated in this setting. For prevention, modifiable causes and risks factors must be evaluated and identified. A protractive approach for early detection and immediate management is indispensible to reduce the morbidity and early return to full activity.
Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 48-52
SINERGI MOTIF BATIK ECO-PRINT DAN ASESORIS SOSPESO UNTUK PENINGKATAN PRODUKTIFITAS UKM BATIK DAN UKM ASESORIS
Authors: , Lindiawati , Purnama Sari Linda , Ayu Wulandari Dewi 
Published: January 2019

Perkembangan trend batik tidak lepas dari perkembangan trend asesoris, karena tampilan batik menjadi lebih elegan dengan didukung asesoris. Motif batik dan desain asesoris terus berkembang seiring dengan kreatifitas pikiran manusia serta perubahan selera pasar. Batik Jumputan Lukis yang dikembangkan UKM Ujung Galuh Surabaya juga mengalami fenomena ini. Selama lima tahun UKM mengembangkan motif batik jumputan dengan teknik lukis dengan hasil batik dengan warna yang kuat. Pada awalnya minat cukup bagus, namun setelah lima tahun penjualan tidak berkembang. Hal yang sama dialami oleh UKM Vitrie yang membuat asesoris bros dan kalung dengan materi utama batu dan borci. Banyaknya pesaing yang mengunakan jenis batu lain, tulang, kayu, perca, logam dan mutiara membuat UKM ini kalah bersaing. Program pengabdian masyarakat ini dilakukan untuk mensinergikan teknik eco-print untuk mengembangkan kreasi motif batik jumputan lukis dengan paduan asesori dengan teknik sospeso dari perca kain eco-print. Eco-print dibuat dengan mengaplikasikan langsung sayuran dan bunga segar pada kain kemudian diproses dengan penguat warna. Sedangkan asesoris sospeso dibuat dari perca batik eco-print dengan mengambil motif sayuran dan bunganya yang dirangkai dengan bantuan plastik atau pemanasan. Sinergi motif ini memberikan kreasi batik dan asesoris yang elegan dan menarik minat pasar. Produk kedua UKM ini dalam empat bulan terakhir telah mengikuti pameran produk tingkat nasional dan mulai diminati pasar menengah-atas dengan kenaikan penjualan 10% dibandingkan rata-rata empat tahun sebelumnya. Kenaikan Mensinergikan batik dengan warna alam yang lembut dengan aksen asesoris sospeso yang menguatkan tampilan batik menjadi energy untuk meningkatkan produktifitas UKM batik dan asesoris. Kata Kunci: Penurunan penjualan, sinergi, pewarnaan alam, eco print, asesoris, sospeso
ANALISA STRATEGI PERANAN WANITA UMKM DALAM PENINGKATAN PEREKONOMIAN DI KEC. NGANTANG, KAB. MALANG (PENDEKATAN ANALISA SWOT)
Authors: Sayekti RR Nugraheni Suci , Sari Nila Kartika 
Published: January 2019

Partisipasi wanita belum seimbang dalam perannya meningkatkan
kesejahteraan keluarganya yang secara tidak langsung dalam pembangunan secara umum, sehingga perlu adanya upaya upaya pemberdayaan agar bisa berfungsi sebagai subyek dan obyek pembangunan, baik secara peran individu, Anggota Keluarga, dan
Warga. Tujuan penelitian ini dilakukan untuk mendiskripsikan, menganalisis dan menginterpretasikan aspek-aspek yang berhubungan dengan: (1) Latar belakang kehidupan sosial Wanita Pelaku UMKM di Desa Ngantang Kab. Malang, (2) Adanya usaha usaha yang telah dilakukan untuk meningkatkan kesejahteraan keluarganya, (3) Penciptaan program program yang bisa meningkatkan peran kewirausahaan wanita pelaku UMKM di Desa Kec. Ngantang, Kab. Malang Penelitian ini menggunakan metode kualitatif dengan pendekatan analisis SWOT. Hasil penelitian ini adalah merumuskan strategi yang tepat untuk pelaku Wanita Petani UMKM di Desa Ngantang yaitu mendorong wanita untuk membuka usaha di bidang perdagangan sayuran dan produksi makanan dari bahan sayuran atau hasil pertanian.
PENGARUH KUALITAS LAYANAN TERHADAP LOYALITAS PELANGGAN MELALUI CITRA PERUSAHAAN DAN KEPUASAN PELANGGAN ( Studi Pada Nasabah PT. BRI ( Persero ) Tbk Unit Bantur )
Authors: Darmawan Galih Septian 
Published: January 2019

Penelitian ini bertujuan untuk menguji pengaruh hubungan kualitas layanan terhadap loyalitas pelanggan, dimana dimediasi melalui citra perusahaan dan kepuasan pelanggan pada nasabah PT. Bank Rakyat Indonesia ( Persero ) Tbk di wilayah khususnya Unit Bantur Malang. Sampel pada penelitian ini menggunakan random sampling sebanyak 98 responden di kantor PT. Bank Rakyat Indonesia ( Persero ) Tbk Unit Bantur. Hasil analisis Partial Least Square (PLS) menunjukkan bahwa ada dua hipotesis yang berpengaruh positif namun tidak signifikan yaitu kualitas pelayanan terhadap loyalitas pelanggan dan kualitas pelayanan terhadap loyalitas pelanggan di mediasi oleh citra perusahaan. Kualitas pelayanan berpengaruh positif dan signifikan terhadap citra perusahaan, kualitas pelayanan berpengaruh positif dan signifikan terhadap citra perusahaan, citra perusahaan berpengaruh positif dan signifikan terhadap loyalitas pelanggan, kepuasan pelanggan berpengaruh positif dan signifikan terhadap loyalitas pelanggan, kualitas pelayanan berpengaruh positif dan
signifikan terhadap loyalitas pelanggan di mediasi kepuasan pelanggan di PT. Bank Rakyat Indonesia (Persero ) Tbk Unit Bantur.
IbM Kelompok Masyarakat Majelis Ta’lim (Pemberdayaan Majelis Ta’lim Melalui Pengembangan Agroindustri Bawang Merah)
Authors: Hindarti Sri , Sudjoni Mohammad Nurhadi , Khoiriyah Nikmatul 
Published: January 2019

Kegiatan Ibm ini bertujuan melakukan pemberdayaan masyarakat melalui pengembangan agroindustri bawang merah goreng. Metode yang digunakan adalah melakukan pendidikan , pelatihan dan pendampingan pengolahan bawang merah segar menjadi bawang merah goreng. Hasil pelaksanaan Ibm dapat disimpulkan bahwa kegiatan diikuti sebanyak 21 orang peserta dengan respon sangat mendukung. Sebagian peserta berumur usia 31-40 tahun (38,09%), pekerjaan ibu rumah tangga ((52,384%), rata-rata pendapatan Rp 300.000,-Perbedaan latar belakang peserta Ibm, menyebabkan perkembangan kemandirian peserta dalam keikutsertaan dalam program Ibm tidak seragam. Dari kegiatan telah terbentuk kelompok pengolah bawang merah goreng dengan nama UD. Khairul Ummah, nama produk bawang merah goreng merk “BagorKu” dan ijin Depkes no P-IRT : P-IRT : 211351801012019. Dari aspek pasar telah terbentuk jaringan pasar baik secara langsung maupun model konsinyasi dengan beberapa Koperasi/ Toko di beberapa kota. Dampak kegiatan adalah kenaikan pendapatan peserta Ibm rata-rata 88,2%. Usaha pengolahan bawang merah goreng layak dikembangkan ditunjukkan nilai R/C ratio sebesar 1,4, BEP tercapai saat harga sebesar Rp 134.403,-/ kg atau 15,18 kilogram. Harga pokok penjualan sebesar Rp. 22.500,-/botol @ 100 gram, nilai tambah sebesar 26,6% dan imbalan kepada tenaga kerja sebesar 40,4%, sehingga dapat membantu membuka lapangan kerja bagi masyarakat sekitarnya.
Penerapan Pendekatan Montessori untuk Menanamkan Pemahaman Konsep Bilangan Cacah pada Siswa TK Putera Zaman Malang
Authors: Cipta Dyah Ayu Sulistyaning 
Published: January 2019

Abstract
Teaching counting lessons to kindergarten students is often considered taboo. Some people assume that should not teach counting lessons to children who have not even reached the age of seven years. A long debate arose due to an elementary school admission test that contained numerical questions. Is it true that kindergarten students are not allowed to learn numeracy lesson? The purpose of this study is to introduce a montessori approach, a feasible approach used to teach the concept of counting in kindergarten students.
This research is a qualitative descriptive research conducted on TK A Putera Zaman students. The research begins with the conduct of obeservasi and interview, then proceed with applying montessori approach in learning done with teacher in class.
The results of the research with the stand on the opinion of Maria Montessori that the early age to the age of six years is the phase Absorbent Minds, the child's brain will continue to change, grow rapidly, and open to new stimuli, so kindergarten A students have learned to count. Some steps to embed the concept of counting to the students of Kindergarten A Putera Zaman can be done with the following delivery steps: (1) Introduction to quantity 1 - 10, (2) What is zero, (3) Matching numbers with quantity 0 - 10, (4) Relation of 1 – 10, (5) Basic sum operation, and (8) Basic reduction operation. The result of cultivating the concept of chopping with montessori approach is that students can use mathematics based on reasoning, not just counting without logic.

Keywords:	montessori, concept, whole number, counting atkindergarten
Fluid Tonicity Affects Peritoneal Characteristics Derived by 3-PORE Model
Authors: Stachowska-Pietka Joanna , Poleszczuk Jan , Teixido-Planas Josep , Bonet-Sol Josep , Troya-Saborido Maria I. , Waniewski Jacek 
Published: January 2019

Background It is typically assumed that within short time-frames, patient-specific peritoneal membrane characteristics are constant and do not depend on the initial fluid tonicity and dwell duration. The aim of this study was to check whether this assumption holds when membrane properties are estimated using the 3-pore model (3PM). Methods Thirty-two stable peritoneal dialysis (PD) patients underwent 3 8-hour peritoneal equilibration tests (PETs) with different glucose-based solutions (1.36%, 2.27%, and 3.86%). Temporary drainage was performed at 1 and 4 hours. Glucose, urea, creatinine, sodium, and phosphate concentrations were measured in dialysate and blood samples. Three-pore model parameters were estimated for each patient and each 8-hour PET separately. In addition, model parameters were estimated using data truncated to the initial 4 hours of peritoneal dwell. Results In all cases, model-estimated parameter values were within previously reported ranges. The peritoneal absorption (PA) and diffusive permeability for all solutes except sodium increased with fluid tonicity, with about 18% increase when switching from glucose 2.27% to 3.86%. Glucose peritoneal reflection coefficient and osmotic conductance (OsmCond), and fraction of hydraulic conductance for ultrasmall pores decreased with fluid tonicity (over 40% when switching from glucose 1.36%). Model fitting to the truncated 4-hour data resulted in little change in the parameters, except for PA, peritoneal hydraulic conductance, and OsmCond, for which higher values for the 4-hour dwell were found. Conclusion Initial fluid tonicity has a substantial impact on the 3PM-estimated characteristics of the peritoneal membrane, whereas the impact of dwell duration was relatively small and possibly influenced by the change in the patient's activity.
B-Type Natriuretic Peptide Levels and Cardiac Dysfunction in Children on Peritoneal Dialysis
Authors: Park Young Seo , Baek Jae Suk , Yu Jeong Jin , Kim Young-Hwue , Ko Jae-Kon , Lee Joo Hoon 
Published: January 2019

Background Abnormalities in left ventricular (LV) structure and function are prevalent in patients on peritoneal dialysis (PD). The risk of cardiovascular mortality is also 10 – 20 times higher in PD patients than in age- and gender-matched healthy control subjects. Methods Echocardiography was performed annually or every 6 months for children on PD; the frequency was increased if the patient had hypertension or any heart problem. We retrospectively reviewed echocardiographic findings of these children (since February 2005) by chart review. The linear regression analysis of log(B-type natriuretic peptide, BNP) was performed to evaluate the association between serum BNP and cardiac parameters on echocardiography. Results We enrolled 52 patients and evaluated 169 echocardiographic findings in association with serum BNP levels. Systolic blood pressure (adjusted R2 = 0.321), diastolic blood pressure (adjusted R2 = 0.292), LV posterior wall thickness at diastole (0.058), LV posterior wall thickness at systole (0.038), LV internal diameter at diastole (0.177), LV internal diameter at systole (0.132), LV mass index (0.122), thickness of interventricular septum at diastole (0.035), the left atrial (LA) diameter (0.201), LA/aorta diameter ratio (0.113), lateral E/E’ (0.229), and lateral A'/E’ (0.149) showed positive correlation with log(BNP); conversely, LV fractional shortening (FS) (0.065), LV ejection fraction (0.082), right ventricular internal diameter at diastole (0.184), right ventricular fractional shortening (0.754), lateral S’ (0.179), and lateral E’ (0.161) showed negative correlation with log(BNP). Conclusions Routine measurement of serum BNP is recommended in children on PD to evaluate the risk of morphological and functional cardiac problems.
Carbapenems Resistance among Gram Negative Bacteria Isolated from Poultry Samples in Gaza - Palestine
Authors: Elmanama Abdelraouf A , Al-Reefi Mariam R. , Shamali Madleen A. , Hemaid Haya I 
Published: January 2019

Background: Food is fundamental for everyone’s life. Therefore, the safety of food we consume is a priority. Gram-negative bacteria are important and common cause of human infections and could be transmitted through food handling and consumption. Carbapenemase-producing Gram-negative (CRGN) bacteria are becoming a global threat. Infections caused by CRGN are hard to cure because the carbapenems are last resort drugs for treatment. The main objective of this research is to determine the occurrence of Carbapenem-resistance among Gram-negative bacteria from poultry samples.
Results: Two hundred twenty samples (chicken litters, water, chicken feed, and intestinal content) were collected from slaughterhouses, farms, and homes from different locations in Gaza strip. Samples were cultured onto MacConkey and Blood agar plates. Gram negative isolates were identified using conventional techniques. Disk diffusion method (based on CLSI recommendations) was used to determine the antimicrobial susceptibility against 14 antimicrobials including two carbapenems (Meropenem and imipenem). Carbapenemase production was detected by the Modified Hodge Test (MHT). The Multiple Antibiotic Resistance (MAR) index for each isolate was calculated.
Escherichia species were the most frequent isolates (39.5%), followed by non-lactose fermenting Enterobacteriaceae (29.5%), other lactose fermenting Enterobacteriaceae (29%). The lowest frequency was for non-fermenting Gram-negative bacilli (4.8%). Most isolates were resistant to most antimicrobial agents tested. A prominent exception was observed with meropenem, and amikacin with only 4% resistance. 41 isolates (34.7%) were resistance to imipenem. High level of intermediate results was detected for imipenem (45.2%). Among 124 isolates, 44 carbapenem-resistant (35.5%) were detected. None of the five meropenem resistant isolates and only five out of the 43 imipenem resistance isolates tested positive for carbapenemase production. Most isolates showed resistance to three or more antibiotics and are regarded as multidrug resistant strains. MDR isolates were present in 117 isolates (94.3%) with MARI index (higher than 0.3).
Conclusion: Resistance to carbapenems as well as to other antimicrobials was high among GNB isolates as indicated by the MAR index. Concerned authorities should consider these alarming finding and implement an immediate monitoring program for poultry. Cross contamination, prevention measures should also be promoted and implemented.
Reassessing the “casus pendens”: a case study of Old Babylonian omen protases and apodoses
Authors: Ait Said-Ghanem Nadia 
Published: January 2019

Dans les textes divinatoires de la collection YOS X, près de 10% des présages, protases et apodoses confondues, contiennent deux nominatifs indépendants. Le premier est situé en tête de phrase, et est suivi d’un second nominatif auquel est attaché un pronom suffixé qui coréfère le premier constituant. Dans cette construction, que j’abrègerai nom + nom-suff + x , l’unité x est soit composée d’un verbe seul, d’un accusatif et verbe, d’un groupe prépositionnel et verbe, soit d’un groupe prépositionnel seul. Les grammaires d’Akkadien traditionnelles identifient cette construction comme un “casus pendens”. Le premier nominatif est analysé comme un élément placé à l’extérieur d’une phrase, elle-même structurée autour d’un sujet et prédicat. Le présent article a pour but de proposer une autre interprétation de cette construction. Le premier nominatif peut être analysé comme un élément intra-sentenciel qui gouverne un prédicat complexe. Cette interprétation se fonde sur les trois types de phrases identifiés en grammaire arabe traditionnelle, et trouve soutien dans l’étude d’Edit Doron sur le prédicat en langue arabe (Doron 1996). Dans mon étude, cette structure fait partie du groupe des phrases de type mubtadaʾ-xabar, nommées phrases nominales . Dans mon modèle, la construction nom + nom-suff + x est identifiée comme une phrase nominale prolongée (the extended nominal sentence ). Ma réévaluation du “casus pendens” se penchera sur les jeux de syntaxe qui affectent la construction des protases et apodoses des textes divinatoires paléobabyloniens de la collection YOS X pour séparer les phénomènes comme la dislocation ou l’extraction. Les conclusions de cet article font partie de ma thèse doctorale, qui utilise sept principes de grammaire et linguistique arabe pour décrire la construction des protases et apodoses des textes divinatoires paléo-babyloniens.