bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tuberculosis infection control measures at health facilities providing tuberculosis services in Nepal
Authors: Adhikari N. , Bhattarai R. , Basnet R. , Joshi L.R. 
Published: March 2019

Introduction: Globally there were an estimated 10.6 million new tuberculosis patients and 1.7 million deaths from TB in 2016. There is an evidence of tuberculosis transmission at health care settings where health care workers and patients come in contact with people having tuberculosis. This study aims to explore infection control measures at health facilities in terms of administrative, environmental and personal protective measures needed for infection control.
Methods: This is a cross-sectional study carried out at 79 health facilities across the country. The study continued for three months starting from January 2018 to March 2018. Trained enumerators from health sciences background collected the information using semi-structured questionnaire. Written consent was obtained prior interview.
Results: All the selected health facilities participated in the study. Around 44% of health facilities have infection prevention plan, but very few of them have budgeted for tuberculosis infection control activities. Less than one third of health facilities (24 out of 79 HFs) have provision to separate presumptive tuberculosis patients, however, only 50% (12 HFs) have turned such provision into action. Only 15 HFs (38%) out of 40 HFs having N95 or FPP2 mask for health workers. Around half of the HFs (44%, 35 out of 79) was found to have cross ventilation.
Conclusion: Tuberculosis infection plan needs to be developed and implemented by all the health facilities to strengthen administrative, managerial, and environmental and person protective measures of inaction control to minimize the risk of TB transmission at health facilities.
Erfolgsprognose für Produktivitätsmethoden
Authors: Grabner Constantin , Klein Peter , Lödding Hermann 
Published: March 2019

Kurzfassung
Spätestens mit Bekanntwerden des Toyota Produktionssystems ist ein methodisches Verbesserungsvorgehen zum Industriestandard geworden. Unternehmen bewerten das Aufwand-Nutzen-Verhältnis der Methoden jedoch teilweise kritisch. Angesichts dieser Beurteilung stellt sich die Frage, wie sich der Erfolg von Produktivitätsmethoden vorhersagen lässt. Dieser Beitrag beschreibt ein Vorgehen, um die Auswirkung von Verbesserungsmethoden auf die Arbeitsproduktivität vorherzusagen.
STUDI KELAYAKAN TEKNIS DAN EKONOMI SIMPANG TAK SEBIDANG KOTA PEKANBARU (Studi Kasus : Persimpangan Jl. Soekarno Hatta – Jl. Riau)
Authors: Islah Mhd 
Published: March 2019

Semakin padat dan ramainya kendaraan di Kota Pekanbaru semakin tak sebanding dengan pelebaran jalan yang dilakukan pemerintah. Alhasil, kemacetan di setiap persimpangan, terus mengancam. Di beberapa ruas jalan seperti Jalan Soekarno-Hatta dan Jalan Riau, hampir setiap pagi dan sore hari selalu terjadi kemacetan panjang. Hal ini tidak dapat dihindari karena kondisi jalan tidak bisa menampung jumlah kendaraan.
Untuk itu persimpangan Jalan Soekarno Hatta – Jalan Riau dijadikan suatu daerah kajian dampak kemacetan terhadap aktifitas kendaraan, karena jalan tersebut saat ini sudah terjadi kemacetan, kecelakaan, antrian, tundaan dan lain sebagainya. Hipotesa awal adalah perencanaan persimpangan Jalan Soekarno Hatta – Jalan Riau yang semula persimpangannya sebidang menjadi persimpangan tidak sebidang dengan membangun fly over dan juga adanya rencana pemerintah Kota Pekanbaru untuk membangun fly over di beberapa titik persimpangan, salah satunya Jalan Soekarno Hatta – Jalan Riau.
Metodologi penelitian yang dipakai dalam penelitian ini adalah studi pendahuluan, survey pendahuluan, survey manual dan kompilasi data. Studi pendahuluan adalah menentukan parameter data yang akan disurvey dan juga menentukan metode yang diperlukan untuk mengumpulkan data dimaksud. Survey pendahuluan adalah survey pada skala kecil yang dilakukan sebelum survey besar. Survey manual adalah untuk mendapatkan gambaran mengenai kondisi lalu lintas di persimpangan jalan Soekarno Hatta – jalan Riau dilakukan perhitungan lalu lintas. Kompilasi data adalah suatu proses pengumpulan data dan pengolahan data untuk mendapatkan hasil akhir berupa data setengah matang yang siap untuk diolah pada tahap analisis
A Ouvidoria Como Mecanismo de Participação na Administração Pública
Authors: Gonçalves Pinho Maria Nazaré , Magalhães Junior Antonio Germano 
Published: March 2019

O controle social é o direito que qualquer cidadão tem de participar do planejamento das demandas sociais, de acompanhar as políticas públicas e as ações do governo. É também, a forma mais legítima de garantir que o recurso público seja de fato aplicado no atendimento das necessidades do cidadão. O objeto desta pesquisa é a criação de ouvidorias públicas no Brasil, que se constitui na mais nova forma de controle social, considerando-se que as ouvidorias têm comoobjetivo fundamental a interlocução entre a sociedade e os entes públicos. A ouvidoria é vista como mecanismo que possibilita a inversão de uma relação histórica conservadora entre Estado e cidadão, iniciando a transformação cultural na administração e na prestação dos serviços públicos. O objetivo da pesquisa foi compreender o processo de criação, implantação e desenvolvimento da Ouvidoria Geral no Estado do Ceará, tendo como referência a Ouvidoria Geral da União, no período de 2007/2014. Constatou-se que a Ouvidoria Geral do Estado atua de maneira semelhante ao modelo de atuação da Ouvidoria Geral da União, sob os pontos de vista normativos, tecnológicos e formativos. Sua função de atuar como órgão central de um sistema de ouvidorias é desempenhada também em similaridade com a União.
PEMBELAJARAN PERSPEKTIF AL GHAZALI DAN IBNU MISKAWAIH
Authors: Halim Abdul 
Published: March 2019

Human as educational beings (homo educandum) has never been separated from the process of education. Therefore, they can be an object or subject of education. the educational process carried out by humans will coincide with the learning process. learning is the process of interaction between individuals (students) and other individuals (teachers) or with their environment that is intended to change a person's behavior permanently both intellectual, emotional or spiritual aspect through experience. Generally, theories of learning are behaviorist, cognitive and humanistic theory that lead to self's change through their learning experience based on purpose. According to Ghazali and Ibn Miskawaih's perspective, the purpose of learning is a positive moral change towards what is done by a teacher. al Ghazali points that parent is a first educator in the individual life. According to Ibnu Miskawaih, materials for the learning is developed by using Islam epistemology. and the other hand, al Ghazali declare a material of learning is developed by sufistic values approach.Manusia mempunyai julukan sebagai homo educanum. Hal ini nampak pada proses kehidupan manusia dimana ia tidak akan pernah lepas dari proses pendidikan. Disatu sisi ia dapat menjadi obyek sekaligus subyek pendidikan. Pembelajaran adalah proses interaksi yang dilakukan oleh peserta didik dan guru atau lingkungannya yang ditujukan untuk merubah perilaku seseorang secara permanen baik aspek intelektual, emosi atau spiritual melalui pengalaman. Pada umumnya teori belajar behaviorisme, kognitif dan humanistik menginginkan adanya perubahan pada diri seseorang sesuai dengan yang ditujukan melalui pengalaman belajarnya. Dalam perspektif tasawuf sebagaimana diungkapkan oleh al Ghazali dan Ibnu Miskawaih bahwa tujuan pembelajaran adalah perubahan akhlak (perilaku) seseorang kepada yang baik yang dilakukan oleh seorang guru dimana menurut pandangan tasawuf bahwa pendidik pertama tersebut adalah orang tua sedangkan materi yang digunakan adalah materi-materi yang secara epistimologis dibangun secara islami sedangkan menurut al Ghazali materi tersebut juga perlu dibangun dengan pendekatan nilai sufistik.
Motivation is the Strongest Influence in Choosing Delivery Place
Authors: Astuti Indria 
Published: March 2019

Objective: To analyze the factors that correlated with decision to choose the most appropriate delivery place of mothers’ delivery attended by health personnel, in West Bandung District.

Method: This was a case-control study with consecutive sampling method on the mothers who gave birth at two health centers: Cikalong Wetan and Cipongkor, West Bandung District. There were two groups of mothers. First, the case group consisted of 52 mothers at non-healthcare facilities. Second, control group consisted of 52 mothers at healthcare facilities. There were sociodemographic (culture,
educational), contextual (income, transportation, distance,
availability health facilities) and characteristics of needs (counseling, prenatal care, motivation) factors and dependent variable was decision in choosing the place of delivery. The data was analyzed using chi square test to determine the correlation factors, whereas multiple
logistic regression was used to determine the strongest correlating factors.

Result: The results showed that there were correlation between various factors with the decision selection of delivery place of the mothers by health care in: cultural factor (OR = 23; p < 0.001; CI 95% : 7.99-66.20), educational factor (OR = 4.86; p < 0.001; CI 95% : 1.35-
19.09), income factor (OR = 2.36; p = 0.031; CI 95%: 6.51-57.49), transportation factor (OR = 19.35; p < 0.001; CI 95%: 6.51 to 57.49), distance factor (OR = 3.19, p = 0.007; 95% CI: 1.67-37.69), availability health facilities factor (OR = 7.94, p = 0.007; CI 95% 1.67-37.69 and OR = 3.97; CI 95% : 0.40-39.75), counseling factor (OR = 23, p < 0.001; CI 95%: 7.99-66.20), prenatal care factor (OR = 5.21, p < 0.001; 95%: 2.24-12.12), motivational factor (OR = 196, p < 0.001; CI 95 % : 41.64-922.48). The strongest factor was the motivational factor (OR = 103.33; p < 0.001; CI 95%: 10.00-1065.72).

Conclusion: This study concluded that there was correlation between sociodemographic, contextual, and characteristics of needs with the decision in choosing place of delivery that attended by health personnel. Motivation was the strongest factor correlated to
the mothers’ decision to deliver at public health center.

[Indones J Obstet Gynecol 2013; 1-4:173-8]

Keywords: characteristics of demand, contextual, delivery place, socio-demographic
Contraceptive User’s Profile
Authors: Gunardi Eka R 
Published: March 2019

Objective: To obtain informations regarding the profile of contraceptive users in Raden Saleh Clinic, Jakarta.

Method: A cross-sectional study was conducted in June 2012, at Raden Saleh Clinic, Jakarta. The study population was the patient who came to Raden Saleh Clinic from 2008 until 2011.

Results: The mean age of the contraception users was 34.06 and the mean of their husband’s age was 38.91 years old. Most of the patients were graduated from senior high school (43.2%) and university (37.9%). More than half of the patients (55.2%) were not working
and more than a half of their husband (53.2%) were private employee. Almost all (92.6%) of the patient were married. Most of the patient (38.8%) came with no prior contraception. After consultation, all patients had chosen their preferred contraceptive methods, namely IUD (61.4%), injectable contraception (20.9%), pill (13.7%),
sterilization (3.4%), and implant (0.6%).

Conclusion: Family planning reduces maternal mortality and the best method is different for each patient because of the difference in their own condition and the consideration of the cost and benefit.

[Indones J Obstet Gynecol 2013; 1-4:179-82]

Keywords: contraception, contraceptive users profile
Probiotic Supplements do not Increase the Effectiveness of Antibiotics in the Treatment of Bacterial Vaginosis
Authors: Hamid Ratnah 
Published: March 2019

Objective : This study aims to assess the effect of the addition of probiotic supplement to the standard therapy on the recovery of Bacterial vaginosis infection.

Methods: The research was conducted by taking samples from Obstetrics and Gynecology Department in several teaching hospitals of Faculty of Medicine, Hasanuddin University. This study was an experimental study. Consecutive sampling was conducted on 50 samples,
which were then divided into two groups. Group 1 received
Metronidazol therapy 2 times a day for 7 days, while group 2 received Metronidazol therapy 2 times a day supplemented with oral Probiotic of once a day for 7 days. The data were analysed by using the chi-square test.
Results: There is no significant difference in the recovery of bacterial vaginosis infection between the group that received the probiotic supplementation and the group that did not.

Conclusion: The addition of probiotic supplement to the standard therapy of BV infection does not show any signifcant effect.

[Indones J Obstet Gynecol 2013; 1-4: 194-8]

Keyword: bacterial vaginosis, probiotic supplement, recovery, standard therapy
Expression of Tenascin in the Uterosacral Ligament is Stronger in Women with Pelvic Organ Prolapse
Authors: Lusiadewi Eny 
Published: March 2019

Objective: This study aimed to compare the expression of tenascin uterosacral ligament in women with and without pelvic organ prolapsen (POP).

Methods: The research was carried out in Dr. Wahidin Sudirohusodo Hospital and other educational hospitals of obstetrics and gynecology division UNHAS Faculty of Medicine, which began on January 1st, 2011 until April 2012. This study assessed the expression of tenascin in 35 women with POP levels III and IV, and the controls
were 35 women without POP. Tenascin expression was assessed by immunohistochemical examination using tenascin antibody staining (mouse monoclonal antibody Novacastra tenascin C, code NCL-Tenas C). The research was carried out cross sectional. Sampling was done by consecutive sampling. Data processed by the chi-square. The significance level used was 0.05.

Results: The results showed that the characteristics of research subjects based on age, education, parity, labor history, history of big babies, not statistically significant. This indicates that the variable does not affect the calculation of the research data. While the characteristics
of menopausal status and body mass index (BMI), from the
analysis of risk factors for POP is associated significantly with a higher intensity of tenascin in post-menopausal status and BMI> 25 (overweight) (p
Elastin Expression is the Strongest Risk Factor for Developing Pelvic Organ Prolapse
Authors: Cessaria Djusiana 
Published: March 2019

Objective: To compare elastin expression in the anterior vaginal wall of women with and with no pelvic prolapse.

Methods: The research was conducted in RS Dr. Wahidin Sudirohusodo and other network hospitals of Obstetrics and Gynecology Department of Hasanuddin University, Makassar. Full-thickness specimens were obtained from the anterior vaginal wall of women having a large prolapse repaired (stage III or IV; prolapse group, 34) and the same location in patients with no prolapse having abdominal and vaginal hysterectomy (control group, 35). The expression of elastin was measured by immunohistochemistry on tissue sectioned. The examiner was unaware of sample identity and the patients’ clinical history. The result then analyzed with p 4000 gr weight (p=0.572); age, parity, menopausal status, and body mass index were significantly different between the groups (0.001; 0.035; 0.011; 0.002; respectively). Immunohistochemical staining indicated that elastin expression in the prolapse group was lower (p=0.009). Elastin expression appeared to be stable with increasing of age, parity, menopausal status, history of bearing baby 4000 gr. weight and Body mass Index in the prolapse
group. But multiple logistic regression revealed that elastin have the highest influence to prolapse among the risk factors mentioned (Exp.B =6.252).

Conclusion: In this case-control study, the elastin expression were significantly lower in the vaginal wall of patients with a large prolapse. Instead of influence by other risk factors, elastin is the strongest risk factor for developing prolapse among other risk factors. This
result is expected to be able to give explanation for the development of prolapse in women without risk factors such is young women and nullipara.

[Indones J Obstet Gynecol 2013; 1-4: 204-8]

Keywords: elastin, prolapse, women
HE4 has a High Diagnostic Value to Detect Epithelial Ovarian Cancer
Authors: Laihad Bismarck J. 
Published: March 2019

Objective: To find out the diagnostic value of CA125 and HE4 as a tumor marker, and also RMI and ROMA as a malignancy predictor in patients with ovarian tumors.

Methods: This study was a diagnostic study using cross-sectional design.This study was performed in Jakarta from November 2010 to May 2011. One hundred and twenty eight serum samples of patients diagnosed with ovarian tumors were collected before undergoing surgery in Dr. Cipto Mangunkusumo General Hospital. The CA125 and HE4 levels were then examined. The histopathological examination of tissue specimens were performed in Department of Pathology Anatomy in RSCM. For statistical analysis, we used a 2x2 table to produce ROC-AUC curve.
Results: The median value of HE4 and CA125 serum concentrations was higher and more significant on patients with ovarian malignancy than patients with benign ovarian tumor (p
Managing Gallstone during Pregnancy
Authors: Lalisang Toar JM 
Published: March 2019

Transient physiological changes in the biliary system during pregnancy increased the risk of gallbladder diseases. Nonoperative management of symptomatic cholelithiasis increases the risk of complications of biliary lithiasis, such as cholecystitis and empyema, while obstruction common bile duct stones with or without cholangitisb and biliary pancreatitis raise maternal mortality. Delay in definitive surgical treatment of biliary diseases during pregnancy increases the likelihood acute biliary pancreatitis which impact on preterm delivery until fetal lost. Laparoscopic cholesystectomy during pregnancy
has advantages for the mother in that it speeds up her recovery, giving her less pain and facilitated natural birth without a cesarean section. On the fetus side, laparoscopic cholecystectomy is safe since it does not induce preterm delivery or abortion. Identification of gallbladder stone during pregnancy warrant a preventive laparoscopic cholesystectomy or endoscopic CBD exploration, both of which promise good outcomes.

[Indones J Obstet Gynecol 2013; 1-4: 219-21]

Keywords: adult choledochal cyst, biliary cyst, biliary dilatation, mixed type
Prevalence and Clinical Profile of Chiari network in Bangladeshi subjects: Analysis of 1832 subjects by Echocardiography
Authors: Islam AKM Monwarul , Gupta Rakesh , Majumder Abdullah AS , Rahman Mohammad Arifur , Rahman Md Toufiqur , Ullah Mohammad , Ahmed Mohsin 
Published: March 2019

Background: The Chiari network is mobile, serpentine, filament-like structures occasionally seen in right atrium near the opening of inferior vena cava and coronary sinus. Sometimes it may cause diagnostic confusion with right atrial pathologies.
Methods: This was a cross sectional study conducted from September 2017 to August 2018 in a private consultation center in Dhaka. All patients who underwent transthoracic echocardiography were included. Chiari network was diagnosed and any relevant clinical condition was recorded.
Results: Out of 1832 echo studies, Chiari network was found in 90 subjects giving a prevalence of 4.91%. More than half (55.6%) had otherwise normal heart, 20% had ischaemic heart disease, 7.8% had cardiomyopathy, 6.7% congenital heart disease, while 3.3% had valvular heart disease.
Conclusion: The Chiari network is often an incidental diagnosis, though it may not be so rare. Clinicians should be aware of it to avoid diagnostic dilemma and to overcome difficulties while performing cardiovascular interventions.
Cardiovasc. j. 2019; 11(2): 93-97
Comparison of In-Hospital Outcomes of ST Elevation Myocardial Infarction in Patients Undergoing Transradial and Transfemoral Primary Percutaneous Coronary Intervention
Authors: Afroz Fahdia , Uddin Mir Jamal , Khalquzzaman Md , Ullah Mohammad , Siddiqui Mohammad Khalilur Rahman , Ahmed Shakur , Khair Abul , Islam Md Rezawanul , Arefin Md Minhaj , Cader Fathima Aaysha , Rahman Mohammad Arifur 
Published: March 2019

Background: Primary percutaneous coronary intervention (PPCI) has been performed traditionally by using femoral approach. Transradial approach has become increasingly popular as it is likely to be less complicating, more comfortable and relatively cost effective having mortality and morbidity benefits. The aim of the study was to compare the in-hospital outcomes of transradial PPCI with that of transfemoral route.
Methods: A total of 80 patients with ST elevation myocardial infarction (STEMI) who underwent PPCI were enrolled in the study. Patients were divided in two groups. Group-I: transradial PPCI; and Group-II: transfemoral PPCI. All patients were followed up during the period of hospital stay and adverse outcomes were observed and compared between the groups.
Results: The result showed that bleeding took place in 2.5% patient of Group-I and 15% patients of Group- II. Vascular complications occurred in 2.5% and 12.5% patients of Group-I and Group-II, respectively. In Group-II, 7.5% patients died with none in Group-I. In Group-II, 37.5% patients experienced some sort of adverse outcomes whereas only 15% of the patients of Group-I did have such experiences (p<0.05). Bleeding and vascular complications were significantly more in Group-II (p<0.05). The mean hospital stay time was significantly lower in Group-I (p<0.001).
Conclusions: Transradial PPCI is safer than transfemoral approach in respect of procedural and post procedural complications including bleeding, vascular complications and mortality. So, transradial approach may be an attractive alternative to conventional transfemoral approach and can be practiced routinely for PPCI.
Cardiovasc. j. 2019; 11(2): 98-104
Nonadherence to Drugs among the Hypertensive Patients in Outpatient Department of a Secondary Hospital of Bangladesh
Authors: Ullah Mohammad , Saha Suman Kumar , Rahman Md Toufiqur , Karim Md Abdul , Ahmed Rashid 
Published: March 2019

Background: One fifth Bangladeshi adults are hypertensive. Forty percent of them know that they are hypertensive. 53% to 75% hypertensive people have got uncontrolled hypertension. One of the most important causes of uncontrolled hypertension is nonadherence to drugs. We tried to find the causes of non adherence of drugs among the patients with HTN in a secondary care hospital of Bangladesh.
Methods: The study was conducted from March 2018 to June 2018. Total 144 patients with HTN were included in the study. Taking drugs in less than 80% of the days of previous six months was defined as nonadherence. We used Hill Bone compliance scale to find out the causes of nonadherence to drugs.
Results: Out of 144 patients 79 patients (55%) were non adherent to drugs. 36.8% patients forget to take their drugs, 34.02% patients run out of drugs, 29.86% patients miss taking drugs when they feel better, 15.27% patients skip their drugs before going to the doctor and 14.58% patients decide not to take drugs anymore without any specific reason. In most of the patients there are more than one causes of nonadherence. 85.9% patients with nonadherence had uncontrolled hypertension and 66.6 % of the nonadherent patients had target organ damage. Nonadherence is more in elderly patients and with increased duration of hypertension.
Conclusion: Fifty five percent of the diagnosed hypertensive population is nonadherent to their drugs. We must take measures to diagnose HTN among our population and find the ways to make them adherent to their treatment.
Cardiovasc. j. 2019; 11(2): 105-113