bluuebunny/crossref_metadata_2025_split huggingface dataset:
Histopathological audit of appendectomy specimen in a Tertiary Care Center.
Authors: Yousfani Sikandar-e-Azam , Zardari Inayat Ali , Khoja Mashoque Ali 
Published: October 2019

Objectives: To evaluate the histopathological findings in appendectomy specimens and observe the negative appendectomy rate (NAR). Study Design: Observational study. Setting: Department of Surgery Unit III, Peoples University of Medical & Health Sciences, Nawabshah. Period: January to December 2018. Material and Methods: 117 consecutive cases of appendectomy. All the demographic data and the clinicopathological details were recorded on a proforma designed for the study. The histopathological assessment was carried out in all cases. The ultrasound examination and CT scan was carried out in selected cases. The data collected was statistically analyzed and the results were tabulated. Results: During study period 117 appendectomies were performed. The mean age of patient was 27+9.4 years, majority of patients (53.8%) were females with female to male ratio of 1.2:1. The histopathological diagnosis was made in all cases and the results indicates that 105 cases having positive appendectomy and in 12 (10.3%) cases the appendix was found histologically normal. Among 105 positive cases, 97 (83%) were diagnosed as acute appendicitis, 2 (1.7%) cases show fibrous obliteration and 6 (5.1%) cases were having unusual pathologies. The cases having histological diagnosis of acute appendicitis includs acute mucosal appendicitis, acute suppurative appendicitis with or without periappendicitis and peritonitis, acute necrotizing appendicitis and perforated gangrenous appendicitis. The 6 cases of unusual pathologies includes 3 cases of granulomatous lesions and one case each of carcinoid tumor, mucinous cystadenoma and worm infestation. The ultrasound was performed in 48 (41%) patients out of them 30 cases had positive findings on ultrasound examination were confirmed on histological examination and all 5 positive cases that were reported on CT scan were confirmed on histopathological examination. Conclusion: High rates of negative appendectomy in the female sex were observed, that can be reduced by the use of diagnostic imaging modalities specially ultrasound. The findings of abnormal pathologies on histopathological examination of the appendix suggest that histopathological analysis is necessary in all of the resected specimens.
Gloves puncture in general dentistry.
Authors: - Priya , Banglani Munir Ahmed , Punjabi Suneel Kumar , Parveen Shazia 
Published: October 2019

Objectives: The purpose of current study was to identify particular procedures which are associated with a high risk of glove puncture and thereby assist in limiting the risk of infection, especially those in high risk group. Study Design: Observational study. Setting: Outpatient department of dentistry at Liaquat University hospital, Hyderabad. Period: August 2017 to January 2018. Materials and Methods: In present study gloves perforation were assessed after performing various dental treatments by using Latex Biogel gloves. Total 400 gloves were collected from department of oral and maxillofacial surgery, orthodontics, operative dentistry and prosthodontics, 100 from each department. Simple Water Infla­tion technique was used to test punctures in gloves to determine the number and position of punctures in used gloves. Data collection was done using SPSS version 22.0. Descriptive statistics were computed and differences between groups were assessed through T- test. P-value ≤ 0.05 was taken as statistically significant. Results: Total 400 gloves were examined 100 from each department. Out of 100, 94 (94%) were found perforated from oral & maxillofacial surgery, 90 (90%) from orthodontics, 73 (73%) from prosthodontics & 80 (80%) from operative dentistry. Gloves puncture of left hand were more 292 (73%) than that of right hand 108 (27%) out of 400 gloves. Conclusion: Perforation of Gloves while several dental procedures have been evaluated and resulted that gloves on left hand were at greater risk unambiguously in the procedures in which wires were used, additional precautions like wearing double gloves during these procedures may therefore be indicated.
Fundoscopic findings in patients presenting with primary headache disorders.
Authors: Khan Bilal , Khanzada Khalid , Usman Khan Muhammad , Ullah Sajjad , Haqqani Usman 
Published: October 2019

Objectives: To know about the findings on fundoscopic examination in patients complaining of primary headache presenting to the Neurosurgical Outpatient Department (OPD). Study Design: Cross sectional study. Setting: Neurosurgery unit of Govt. Naseer Ullah Babar Memorial Hospital, Kohat Road, Peshawar. Period: December 2016 to December 2017. Materials and Methods: All patients presenting to the Neurosurgical OPD with complaints of headache on whom a fundoscopy was done, were included in the study. The age, gender, duration of symptoms, findings on the fundoscopy, and the need for further studies i.e. CT brain, were noted on a proforma. Any positive findings on fundoscopy were further referred to and evaluated by an ophthalmologist under the slit lamp. All patients with history of recent trauma, focal neurological deficit, and those who had undergone brain imaging were excluded from the study. Consent was taken from all the patients. The data was analyzed by SPSS version 19, and was expressed in the form of tables and charts. Results: A total of 19,000 patients were evaluated in the Neuro-OPD during study period, and 1086 patients were having headache. Majority of the patients were females with a number of 619 (56.99%), while 447(43.01%) were males. The male to female ratio was approaching 1.38:1. Age range was from 9 to 62 years and the mean age was 37 years. Duration of symptoms was from 20 days to 12 years with a mean duration of 9 months. Positive findings were noted in a minority of patients, 2.5% (n=28); including pappiledema, diabetic and hypertensive changes. Subsequent Brain imaging was done in 93(8.5%) patients, majority of them were on patients' request, and only 7 patients were having an intracranial lesion. Conclusion: A minority of patients with headache without any neurology had intracranial lesion. However, the importance of fundoscopy cannot be overruled, and should be performed in every patient with headache.
Frequency and morphological study of testicular germ cell tumor.
Authors: Iqbal Jawed , Imdad Kehar Shahnaz , Jaffer Nazish , Asad Farah 
Published: October 2019

Objectives: To assess the frequency of various histopathological types of testicular germ cell tumor in our study population. The prime identification of testicular germ cell tumor is important to prevent the advance stage of cancers. The present study was design to assess the frequency of different morphological types of testicular germ cell tumor which have a mirror effect on the treatment and prognosis of tumor. Study Design: Cross sectional study. Setting: Department of pathology, Basic Medical Sciences Institute, Jinnah Postgraduate Medical Centre Karachi. Period: 10 years period from 1st January 2006 to 31st December 2015. Material and Methods: A 34 cases of testicular germ cell tumor were studied for morphological features using all properly formalin fixed, paraffin embedded surgical pathological testicular specimens received during the above period. All relevant clinical information was recorded on designed proformas. Section were taken and stained with hematoxylin and eosin. Data entered and analysed through computer software SPSS version 21. Results: The result of study showed that the frequency of testicular germ cell tumor was 0.80% among all malignancy in male. Out of 36 cases of testicular tumor, 34 (94.5%) were germ cell tumors and remaining 02 (5.5%) cases were sex cord stromal tumor. Among 34 cases of germ cell tumor 12 (35.2%) cases of mixed germ cell tumor found which was the most common between them, followed by seminoma 10 (29.4%) cases. However 05(14.7%) of yolk sac tumor, 04 (11.6%) of teratoma and 03(8.8%) of embryonal tumor were found. Conclusion: Results revealed that frequency of different types of testicular germ cell tumor in this study were in accordance to national and international studies. However the incidence of tumor varies noticeably in different geographical areas. Different pattern of seminomas and non – seminomas also may be emerging.
ANALISIS KUALITAS KIMIA AIR SUNGAI RIUAPA DAN DAMPAKNYA TERHADAP LINGKUNGAN
Authors: Soukotta Elna , Ozsaer Robert , Latuamury Bokiraya 
Published: October 2019

Riuapa river is an integrated part of Waeriuapa Watershed that usefull for people around the area as agriculture irrigation, livestock, fresh water fish pond, and other domestic use for people activities. As an open watershed ecosystem, that flow into the sea, the river of Watershed was received various input from outside, either from upland to the estuary. Those input were domestic household waste, farming activities waste, and input from land erosion and land slide. The study was conducted to identify water quality through polutant level measurement, in the river and in the flood plain, especially for Chemical polutant element. Red waste, farming activities waste, and input from land erosion and land slide. The study was conducted to identify water quality through polutant level measurement, in the river and in the flood plain, especially for Chemical polutant element. Result of analisys using Statistical Analisys, namely, Factorial Design in Randomized Completly Design (3x2x3), as follows: Location of station in the river and Season factor was significant influence the chemical variable of BOD, COD, Nitrite, and Chlor in the river, and shallow well as well, at the level of beyond National Water Quality Standard, and affected environmental around the area. Changging of upper land cover of Waeriuapa Watershed was significant effected to water debit, fluctuation of rainfall and effected to liquidity process of water quality, that increase of BOD from 2.9 mg/l in dry season to 4.6 mg/l in rainy season; COD from 2.9 in dry season to 21.3 mg/l in rainy season; Nitrite content of 0.0001 mg/l in dry season to 0.0022 mg/l in rainy season.
Metode Tasawuf Meningkatkan Status Kesehatan Reproduksi Remaja melalui Peer Educator Siswa SMP
Authors: Aisyaroh Noveri , Sarjuni Sarjuni , Wahyuni Sri 
Published: October 2019

Adolescence is a transmission period to adulthood involving a physical, physic and social changes. Adolescents seeking for identity tend to be reckless in dealing with problem including sexuality and reproductive health problem. Unhealthy behavior can be seen from the two perspectives (environment and growth). According to Islam the healthy social interaction should do no harms to oneself and others. Islam has a rule the adolescent social interaction. SMP Islam Nudia and SMP Kesatian 2 Semarang are our partness in PKM, both have a similar problem related to juvenile delinquency in which the information related to reproductive health are commonly obtained from internet and lack of understanding on the proper social interaction based on Islam. The method applied was an education on the reproductive health for the students grade 7 and 8 using tasawuf, physical examination of female students, the role of school health unit (UKS) and training for UKS personnel as peer educator. The education can improve the knowledge and awareness and behavior. The Hb evaluation showed a case of moderate and severe anemia. There was a standardized UKS and UKS as peer educators in the schools.
Retinopatía diabética
Authors: Oviedo Nelson , Moya Ramírez Rodrigo Emilio 
Published: October 2019

Introducción: La retinopatía diabética es una enfermedad ocular y es la complicación microvascular más común en los pacientes con diabetes. La retinopatía diabética aparece por los altos niveles de azúcar en la sangre, es una microangiopatía progresiva que se caracteriza por lesiones y oclusión de pequeños vasos retinales.
Objetivo: Realizar una revisión sistemática de la literatura para actualizar a los profesionales de la salud sobre la Retinopatía Diabética, basado en la mejor evidencia científica disponible.
Material y Métodos: Revisión sistemática de artículos publicados en revistas indexadas, obtenidos de bases de datos Pubmed, Scielo, Clinical Key y Scopus de los últimos 5 años, con los términos de búsqueda: retinopatía diabética, fisiopatología, tamizaje, diagnóstico y tratamiento.
Resultados: Se analizaron 35 artículos que cumplieron con los criterios de inclusión. La Retinopatía Diabética (RD) presentó una prevalencia del 13% en pacientes entre 35 – 74 años, con la particularidad de un diagnóstico reciente de diabetes. La prevalencia fue mayor en países asiáticos (53,3%) y una menor prevalencia en países europeos (7,2%). El factor predictivo más importante para el desarrollo y la progresión de la RD es la hiperglucemia, seguido de la duración de la enfermedad. El tamizaje de la RD es uno de los procedimientos médicos de mejor costo-efectividad, siendo el estándar de oro para diagnóstico de retinopatía diabética, el fondo de ojo indirecto con pupila dilatada. Los dos métodos más sensibles para detectar la RD son la fotografía de la retina y la biomicroscopía con lámpara de hendidura en pupilas dilatadas. Se demostró, menor incidencia y una progresión más lenta de la RD, en pacientes con un control estricto de la glucosa en sangre, también existió disminución en la progresión de la retinopatía diabética proliferativa (PDR) y del edema macular diabético. El tratamiento de elección en la PDR es la fotocoagulación con láser panretinal (PRP). La fotocoagulación con láser multispot (MSL) mostró menor daño y dolor en la retina y mayor comodidad para el paciente, en comparación con láser convencional (CL). El tratamiento anti-VEGF ha superado al láser macular y se considera de primera línea para Edema macular diabético (DME) que involucra a la mácula central. La inyección invítrea aflibercept, reduce sustancialmente el número de consultas médicas.
Conclusiones: El tamizaje y manejo adecuado de la retinopatía diabética, contribuye a mejorar la calidad de vida, al disminuir el riesgo de ceguera y reduce los costos en salud pública. Los intervalos entre la consulta oftalmológica y las pruebas de tamizaje serán adaptados según los factores de riesgo identificados en el paciente.
Terapi Non Farmakologi dalam Pengendalian Tekanan Darah Pada Pasien Hipertensi: Systematic Review
Authors: Ainurrafiq Ainurrafiq , Risnah Risnah , Ulfa Azhar Maria 
Published: October 2019

Diketahuinya penerapan terapi non farmakologik pengendalian tekanan darah pada pasien hipertensi dari berbagai perbandingan. Sumber perncarian jurnal pada penelitian ini adalah Google Schoolar, DOAJ dan Portal Garuda artikel yang diterbitkan dari tahun 2015-2018, jurnal intervensi untuk mengatasi tekanan darah pada pasien hipertensi, merupakan intervensi non farmakologi, merupakan intervensi yang efisien berdasarkan hasil penelitian dan intervensi yang mudah dilakukan. Berdasarkan pada sepuluh artikel sesuai dengan kriteria inklusi. Berdasarkan sepuluh artikel tentang terapi non farmakologik dalam pengendalian tekanan darah pada pasien hipertensi membuktikan bahwa 100% terapi non farmakologik efektif dalam menurunkan tekanan darah pada pasien hipertensi. Teknik non farmakologik yang digunakan dalam jurnal yang terpilih yaitu, pemberian juice campuran tomat dan mentimun, pemberian juice belimbing dan buah naga, pemberian jus papaya mengkal dalam, pemberian madu, relaksasi menggenggam jari dan nafas dalam, terapi bekam, pemberian air rebusan daun salam, pemberian terapi music suara alam, terapi Healing Touch, dan terapi Slow Deep Breating Berdasarkan 10 jurnal yang terpilih sesuai dengan kriteria inklusi, terapi non farmakologik yang efektif dalam mengendalikan tekanan darah pada pasien hipertensi adalah pemberian juice campuran tomat dan mentimun, pemberian madu, terapi relaksasi genggam jari dan nafas dalam, terapi music suara alam dan slow deep breating
Evaluasi Program Tablet Tambah Darah pada Remaja Putri
Authors: Fitriana Fitriana , Dwi Pramardika Dhito 
Published: October 2019

Data Riskesdas 2018 menunjukkan bahwa anemia remaja putri adalah 48,9%, hal Ini akan berdampak buruk pada penurunan imunitas, konsentrasi, prestasi belajar, kebugaran remaja dan produktivitas jika tidak ditangani dengan benar. Puskesmas Bengkuring telah mengimplementasikan program pemberian Tablet Tambah Darah untuk remaja putri selama satu tahun dengan keberhasilan program pada 2018 yaitu 97,1%. Penelitian ini bertujuan mengevaluasi program tablet tambah darah untuk remaja putri di wilayah kerja Puskesmas Bengkuring. Penelitian ini merupakan penelitian evaluasi dengan metode penelitian kualitatif yang dilakukan pada bulan April hingga Mei 2019 di wilayah kerja Puskesmas Bengkuring. Data kualitatif dianalisis dengan analisis isi. Pada tahap input ada perbedaan dalam fasilitas dan infrastruktur. Pada tahap proses, ketidaksesuaian terjadi dalam distribusi, pemantauan dan pencatatan dan pelaporan. Pada tahap output, ketidakcocokan terjadi dalam penargetan dan ketepatan waktu dan distribusi. Pada tahap hasil ada perubahan dalam pengetahuan. Prevalensi anemia terjadi pada 3 dari 10 gadis remaja. Kesimpulan dari kegiatan ini adalah bahwa pada tahap input, proses, output masih ada ketidaksesuaian dalam implementasinya, sementara hasilnya masih perlu ditingkatkan, dan masih ada gadis remaja yang mengalami anemia.
Efficiency Analysis of Inorganic Rice Production in Rakit Kulim Subdistrict Indragiri Hulu Regency
Authors: Safal Fris , Hadi Syaiful , Yusri Jumatri 
Published: October 2019

Rice is an important commodity because it is a staple food source for almost all Indonesian people. One way to increase rice production is by using available resources more efficiently. The use of production factors such as land, seeds, fertilizers, pesticides and labor will affect the total production of rice produced. This study aims to determine the technicality of inorganic rice cultivation, calculate production costs and analyze the efficiency of inorganic rice farming production in the District of Rakit Kulim. The analytical method used is descriptive analysis, farming cost analysis and DEA (Data Envelopment Analysis) analysis. The number of samples is 40 inorganic rice farmers. The results showed that the inorganic rice cultivation technique in the District of Rakit Kulim was not in accordance with the recommendations. Incompatibility is caused by the unavailability of technical books for inorganic rice cultivation from the localita specific crop study center. The total cost of producing inorganic rice farming in the District of Rakit Kulim is Rp. 23,622,481, - / Ha. While the average income is Rp. 24,230,168, - / Ha with a net income of 607,687, - / Ha with an RCR value of 1.07. The results of the analysis of production efficiency using DEA show that the proportion of technically efficient farmers is 50% with an average value of 0.946. The proportion of efficient farmers is allocatively relatively small at 32.5% with an average value of 0.975. Economic efficiency is relatively small at 32.5% with an average value of 0.927.
HUBUNGAN KECEPATAN, VOLUME DAN KEPADATAN PADA JALAN RAYA PAJAJARAN KM 5 ARAH SUKASARI-BARANANGSIANG DENGAN MENGGUNAKAN MODEL GREENBERG
Authors: Hakim Lukmanul 
Published: October 2019

<p>Arus lalu lintas berkenaan dengan teori lalu lintas menyebutkan bahwa pada saat sekarang ini di konsentrasikan pada variabel-variabel volume (V/Flow), Kepadatan Kendaraan (Density/D/Konsentrasi) dan Kecepatan (Speed/US).Ketiga variabel lalu lintas semakin hari semakin<br />mendapat perhatian khusus dimana kesemuanya ini disebabkan arus/kondisi yang ada sekarang menggambarkan beberapa kendaraan yang bergerak pada saat bersamaan, dan semenjak hubungan<br />dari ketiga variabel tersebut menggambarkan kualitas dan kapasitas dan tingkat pelayanan yang dialami oleh pengemudi masing-masing kendaraan.Dari uraian tersebut dicari bagaimana hubungan dari ketiga variabel tersebut dengan media penelitian jalan, yaitu pada jalan pajajaran, sukasari menuju baranang siang. Tujuan studi ini adalah menganalisa arus lalu lintas yang terdiri dari variabel<br />volume (V), kecepatan (U) dan kepadatan (D).kemudian menuangkan kedalam suatu model turunan matematis Greenberg, sehingga dapat diketahui variasi hubungan antara ketiga variabel dan nilai<br />maksimumnya. Data yang di peroleh dalam studi ini langsung dicatat dari lokasi penelitian, yaitu volume lalu lintas dan kecepatan ruang kendaraan. Adapun waktu penelitian dilaksanakan pada hari<br />senin, sabtu dan minggu, data yang dihasilkan dalam penelitian ini ialah Hasil persamaan hubungan matematis antara kecepatan-kepadatan, volume- kecepatan, dan volume- kepadatan, yang memiliki<br />hubungan matematis yang cukup kuat sampai dengan sangat kuat, dilihat dari nilai korelasi yang berkisar antara -0,849- -0,96,dari grafik juga dapat dilihat data tersebar atau tidak mengumpul disuatu tempat, dan pada model greenbergkepadatannya pada kondisi macet terjadi pada hari minggu<br />berkisar 881- 942 smp/km</p>
Book Review
Authors: Al Serhan Omar 
Published: October 2019

Gábor REKETTYE (2019). Value Creation 4.0- Marketing Products in the 21st Century. London: Transnational Press London, 251 pp, ISBN: 978-1-912997-21-3. Value Creation 4.0 is a marketing guide designed to address the needs of the age of the fourth industrial revolution. It takes a practical oriented approach via drawing the reader’s attention to situations and challenges. The title focuses on customer-oriented management of products and it also dissects many key value creation topics in 4 parts through 14 chapters. The book is primarily targeting practitioners and those in higher education as well as those interested advance marketing.
Clinicopathological Profile of 66 Patients with Carcinoma Stomach in North-East Part of Bangladesh
Authors: Tania Farhana Afroze , Ahmed Istiaq , Saha Madhusudan , Das Mrinal Kanti 
Published: October 2019

Background: There is wide variation in the prevalence of carcinoma stomach throughout the world. In some parts of the world it is decreasing whereas in the other parts it is increasing. Also there are variations in the risk factors of the disease.
Objective: To see clinicopathological profile of patients of carcinoma stomach in North-East part of Bangladesh.
Materials and Methods: Consecutive new patient diagnosed as carcinoma of stomach were interviewed and data was recorded in a data sheet.
Results: Total 66 cases, age varying from 26−77 (mean 52) years, male 45 (68.2%) and female 21 (31.8%) were enrolled. Out of them 44 (66.7%) were above 45 years. People from lower economic group (51, 78.8%) and rural area (39, 59.1%) were predominantly affected. Commonest presenting symptoms were weight loss, abdominal pain and vomiting. Common site of lesion was antrum and common histopathological type was adenocarcinoma (64, 97%).
Conclusion: Carcinoma stomach is a disease of older age group and male are predominantly affected. Smoking, tobacco and betel nut chewing are risk factors. Lower income group and rural people are more affected.
J Enam Med Col 2019; 9(3): 166-169