bluuebunny/crossref_metadata_2025_split huggingface dataset:
LOWER SEGMENT CESARIAN SECTION SURGICAL SITE INFECTION: RISK FACTOR AND MICROBIAL ETIOLOGY
Authors: Bhatt Dr. Manish , Bhatt Dr. Ela 
Published: July 2019

INTRODUCTION: Lower Segment Cesarean Section (LSCS) delivery is a major obstetrical surgical procedure to save the lives of mothers and fetus. Various risk factors in SSI following LSCS has been identified which includes subcutaneous hematoma, subcutaneous hematoma, tobacco use in pregnancy, incision length > 16.6 cm , body mass index >30 or 35 kg/m2, prolonged second stage (compared with first stage) , no antibiotic prophylaxis, duration of labor >12 h , premature rupture of membranes , gestational diabetes, previous cesarean delivery and emergency delivery. Diagnosis of surgical site infection requires evidence of clinical signs and symptoms of infection which may be further supported by microbiological evidence.
MATERIAL AND METHODS: A total of 646 patients were included in the study of which 27 were diagnosed as SSI. Risk factor for SSI was divided into three categories: 1) host-related factors, 2) pregnancy and intrapartum-related factors, and 3) procedure-related factors.
RESULTS: Among 646 cesarean sections, surgical site infection was observed in 27(4.1%) cases while he remaining cases had no surgical site infection. Mean age of cases with surgical site infection was observed to be 14.8 years with sd of 3.9 years where as it was 22.1 years in cases with no surgical site infections and sd of 3.2 years. Average number of stay in hospital is found to be 14.1 and 7.3 days respectively in cases with and without surgical site infections. Antibiotics were given on 17.3 days on average in cases with SSI whereas patients without surgical site infections were on antibiotics for 3.1 days on average. Out of total 27 surgical site infection E-coli was isolated in 11(40.8%) cases followed by 7(25.9%) isolations of staphylococcus aureus. Klebsiella pneumonia and pseudomonas aeruginosa were isolated in 3(11.1%) cases each. Acitenobacter was found in only 1(3.7%) case. 2(7.4%) isolates were not identified in our study.
CONCLUSION: To reduce the SSI rates post LSCS, proper assessment of risk factors and their modification is required. Frequent antibiotic susceptibility testing for resistance is required.
EFFECT OF HEPATITIS-B VIRUS CO-INFECTION ON CD4 CELL COUNT AND LIVER FUNCTION OF HIV INFECTED PATIENTS
Authors: Ahamed Dr. Shakeel , Parihar Dr. Geeta 
Published: July 2019

Background: Liver disease caused by chronic hepatitis B virus (HBV) is emerging as a significant cause of morbidity and mortality among human immunodeficiency virus (HIV)-infected individuals.
Methods: This study is conducted in J. L. N. Medical College & Associated groups of Hospitals patients attending from ICTC (G). 500 samples are taken randomly from January 2018 to June 2018
Results: In the co-infected patients, ALT, AST and ALP were higher than normal. The mean serum level of ALT, AST and ALP were significantly higher in the co infected patients than in the HIV mono infected patients. The mean level of CD4+ count was significantly lower in the co infected patients than in the HIV mono infected patients.
Conclusion: Hepatitis B virus co-infected HIV positive patients are more likely to have abnormal liver function test than the mono-infected patients.
Keywords: HIV, Hepatitis B, CD4 count, co-infection
PRIMARY LYMPHOMA OF TESTIS: A CASE REPORT
Authors: Gaur Dushyant Singh , Shukla Sushil Kumar , Chandra Smita , Kusum Anuradha 
Published: July 2019

Primary Non-Hodgkin’s Lymphoma of Testis is a rare and unique tumor. It is more common than primary testicular tumors in males above 50 years. It often shows bilaterality and systemic spread, particularly to central nervous system. Due to its rarity and aggressive nature, opinion regarding its treatment regime is rather divided and its prognosis is poor. Here we present a case of 60 year old male with rapid enlargement of right testis with no extra-testicular manifestation of lymphoma at the time of presentation.
Keywords: Primary non-Hodgkin’s Lymphoma of Testis; Primary Testicular Lymphoma; Diffuse Large-cell Lymphoma of Testis.
Etkin Devlet Perspektifinden KOSGEB Markalaşma ve Kurumsallaşma Programının İncelenmesi
Authors: AYCI Ali , DEMİRBAŞ Dilek , DEMİRBAŞ Safa 
Published: July 2019

Tüm dünyada KOBİ’ler ülke ekonomilerinin bel kemiği olarak kabul
edilmiştir. 1990’lı yıllardan sonra yaygınlaşan etkin devlet anlayışında da
KOBİ’lere özel bir yer verilmekte ve KOBİ’ler hükümetlerce çeşitli yollarla
desteklenmektedir. Türkiye’de KOBİ politikalarının uygulanmasında öncü kurum Küçük
ve Orta Ölçekli İşletmeleri Geliştirme ve Destekleme İdaresi Başkanlığı’dır (KOSGEB).
Bu çalışmada 2015 yılından kurumsallaşma ve markalaşma konulu proje destek
programlarına başvuruda bulunan 4930 KOBİ’nin demografik özelliklerinin araştırılması ile hukuki statü, işletme yaşı
ve ölçeği ile markalaşma/kurumsallaşma arasındaki ilişkileri etkin devlet
anlayışı çerçevesinde değerlendirilmiş, literatüre daha önce hiç yapılmamış bir
çalışma ile teorik bağlamda etkin devlet çalışılırken, bunun uygulama alanında
KOSGEB destekleri seçilmiştir. Çalışmanın
bulgularına göre işletmelerin personel sayısı arttıkça kurumsallaşma
desteklerine olan taleplerinin arttığı, yine işletmelerin ortalama yaşları
arttıkça personel sayılarının ve ölçeklerinin arttığı görülmekte olup,
başvurular ağırlıklı olarak imalat sanayiine yoğunlaşmak la birlikte sektör ve
bölgelere göre başvurular değişkenlik göstermektedir.
Örgütsel Desteğin, Çalışanların İşe Gömülmüşlüğü Üzerindeki Etkisinde İşgören Avukatlığının Aracılık Rolü: Kayseri Lojistik Sektörü Çalışanlarında Bir Uygulama
Authors: AYKAN Ebru , AKGÜL Hanife 
Published: July 2019

İşletmelerin; küreselleşmeye
dayalı rekabetin artışı ve teknolojideki önüne geçilemeyen değişime dayanan
günümüz iş koşullarında, verimliliklerini sürdürebilmesi için stratejik bir
kaynak olan mevcut insan kaynağını etkili, verimli kullanması ve çalışanların
örgütte kalmasını sağlaması gerekmektedir. Bu amaçla işletmeler mevcut kalifiye
çalışanlarını elinde tutabilmek için onların çıkarları doğrultusunda kararlar
alan, haklarını gözeten ve koruyan bir yapıya sahip olmalıdır. Çalışanların
işgören avukatlığı ve örgütsel destek algısının yükseltilmesi de, işletmelerin
büyük yatırımlar yaptıkları nitelikli insan gücünü işe bağlayan, işten
ayrılmasını engelleyen ve örgütüne bağlayan işe gömülmüşlük düzeylerini
etkilemek için çalışanlarına değer verdiklerini ve onların çıkarlarına uygun
kararlar aldıklarını göstermeleri açısından önemlidir. Bu noktada çalışanların haklarının
korunacağını bildiği bir yönetim yapısının varlığını hissetmeleri çalışanların
işe gömülmüşlüklerini etkileyecek ve işletmeye verimlilik olarak dönüş
sağlayacaktır.İlgili alan yazın incelendiğinde,
genelde işe gömülmüşlüğün ardılları (işgören katılımı, devamı, performansı) ile
olan ilişkisinin çalışıldığı, ancak söz konusu kavramın öncülleri ile olan
ilişkisinin çok fazla ele alınmadığı görülmektedir. İşgören avukatlığı algısı
ve örgütsel destek algısı ile işe gömülmüşlük ilişkisine yönelik olarak ilgili
alan yazındaki eksikleri gidermesi açısından anlamlı olduğu değerlendirilen, bu
çalışmada örgütsel desteğin çalışanların işe gömülmüşlüğü üzerindeki etkisinde işgören
avukatlığının aracılık rolünü tespit etmek amaçlanmaktadır.Araştırma
betimsel araştırma olup araştırmada genel tarama modeli kullanılmıştır.
Araştırmanın örneklemini Kayseri ilinde lojistik sektöründe faaliyet gösteren
işletmelerin çalışanları oluşturmaktadır.

Araştırmada
Kayseri lojistik sektörü işletme çalışanlarının algıladıkları destek ve işgören
avukatlığının çalışanların işe gömülmüşlüğü üzerinde pozitif yönlü etkisi
bulunduğu ve çalışanların örgütsel destek algısının işe gömülmüşlükleri üzerindeki
etkisinde işyeri avukatlığının kısmi aracılık rolü bulunduğu tespit edilmiştir.
Ziyaretçilerin Park Kullanım Özelliklerinin Genel Park Kullanım Memnuniyeti Üzerine Etkisi
Authors: ÇETİNKAYA Güney , SÖYLER Seden , ÖMÜRİŞ Ece 
Published: July 2019

Kent parkları, kentin
kültürel ve doğal özelliklerini yansıtan ve kentte yaşayan her birey için aktif
ve/veya pasif rekreasyon olanağı sunan alanlardır. Park alanlarının ziyareti
ile bu alanların kullanımından kaynaklı memnuniyet arasında pozitif yönlü bir
ilişki vardır. Bu kapsamda, park ve açık alan yöneticilerinin park
düzenlemelerine yönelik temel uğraşılarından biri de ziyaretçileri memnun
edecek olanaklar sunmaktır. Yapılan bu çalışmanın amacı da Antalya kent merkezinde bulunan ve önemli bir
rekreasyon merkezi olan Atatürk Kültür Parkı ziyaretçilerinin genel memnuniyet
düzeylerini ve bu memnuniyet düzeyine etki eden demografik faktörleri ve park
kullanım özelliklerini belirmektir. Çalışmaya, kolayda örneklem yöntemi ile
seçilmiş 331 gönüllü kişi katılmıştır. Araştırma sonuçlarına göre, yaş, meslek,
çocuk sahibi olma ve park ziyaret biçimi bireylerin park kullanımı
memnuniyetini etkilemektedir. İleri yaş grubundaki, emekli ve çocuk sahibi olan
bireyler ile, park ziyaretini aileleriyle birlikte yapan bireylerin park
kullanımına yönelik memnuniyet düzeyleri diğer kullanıcılara oranla yüksektir. Yapılacak
olan planlama çalışmalarında bu sonuçların değerlendirilmesi ve bu sonuçları
ortaya çıkaran durumların derinlemesine araştırılması önerilmektedir.
Study on Insulin Like Growth Factor-1 As a Marker of Severity of Liver Dysfunction in Patients with Liver Cirrhosis
Authors: Raha Aloke Kumar , Hoque Mohammad Izazul , Mahtab Mamun Al , Ahmad Nooruddin , Rahman Salimar , Khan Mobin 
Published: July 2019

Background: Insulin Like Growth Factor-1 (IGF-1) is a polypeptide hormone predominantly synthesized in liver. It has been reported that serum IGF-1 concentrations low in hypopitutuitarism, malnutrition and various diseases particularly in patients with chronic liver disease. The aim of the study was to see the level of IGF-1 in patients with cirrhosis and its relation with severity of liver dysfunction.
Materials and Methods : This study was carried out in the Department of Hepatology, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka, Bangladesh. 40 persons (30 patients of cirrhosis of liver and 10 healthy individuals) were selected and grouped as Group-1 : 10 Child grade A patient, Group - 2 : 10 Child grade B patient, Group - 3 : 10 Child grade C cirrhotic patients and Group - 4 : 10 healthy subjects. Patients with recent antiviral therapy, acute illness, hepatocellular carcinoma and spontaneous bacterial peritonitis were excluded from the study. IGF-1 was measured using IMMULITE, DPC, USA which employs automated chemiluminescent immunoassays.
Results : Among 30 cirrhotic patients 26 were male and 4 were female. Mean age was 38.83 ± 14.08 years. Etiology of cirrhosis was hepatitis B virus in 23 patient, hepatitis C virus in 1 patient, Cryptogenic in 6 patients. Healthy subjects were hepatitis B and C virus negative with normal liver function test and mean age was 36.40 ± 7.76 years, Mean serum IGF-1 was 82 ± 10.85 ng/ml in Child grade A, 50.77 ± 7.47 ng/ml in Child grade B, 29.69 ± 3.17 ng/ml in Child grade C patients and 130.96 ± 2.43 ng/ml in healthy individuals.
Conclusion : Serum level of IGF -1 is low in patients with cirrhosis of liver than healthy individuals and reflects the severity of liver dysfunction in different clinical stage.
Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 3-7
Assessment of Self Regulated Learning Strategy Using Motivated Strategies for Learning Questionnaire in Anatomy Course Among Undergraduate Medical Students in Bangladesh
Authors: Mostafa Asma 
Published: July 2019

Background: 'Self-Regulated Learning (SRL)' means one’s ability to organize and control their learning environment. Self regulated learners develop a deep understanding of subject matter which positively influences academic performance. On this basis, the present study is aimed to assess student’s anatomical 'SRL' strategies and to investigate whether anatomical 'SRL' can predict academic performance in Anatomy course.
Methods: This was a cross-sectional study. The study group consisted of a convenient sample of 105 first year undergraduate medical students of Bangladesh who were learning Anatomy for last 6 months. The 'Motivated Strategies for Learning Questionnaire' was used. Information regarding age, gender, medium they were studying prior entering into M.B.B.S course and their anatomy result was collected. Data were analyzed using SPSS version 19.
Results: The present data suggests that the study group was sufficiently motivated for learning in Anatomy as measured by intrinsic goal orientation, task value and self-efficacy of learning and performance. It also demonstrates that students who were more likely to use learning strategies such as rehearsal, elaboration, organization, peer learning and help seeking had higher levels of academic performance. Female students and those from Bangla medium reported more effective study habits. Conclusion: These results indicate that adopting SRL strategics are likely linked to Anatomy performance.
Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 10-13
Disease Pattern at Medicine Outpatient Department of A Tertiary Care Hospital
Authors: Akter Raushan , Uddin M Jalal , Biswas Rajat Sankar Roy 
Published: July 2019

Background : Bangladesh, like many transitional nations, is straddling with the demographic and epidemiological transition. There is a critical need to improve public health in this region. But number of studies & representative data on the prevalence of diseases is inadequate. The objective of this study is to detect type & frequency of diseases among patients attending in medicine outpatient department (OPD) to improve the quality of healthcare.
Materials and methods: This observational study was conducted at the outpatient department (OPD) of Chattogram Maa-O-Shishu Hospital Medical College from February to April 2018. Purposive sampling was used. Total 500 patients were included. Details were recorded in a data form and diagnosis was made on the basis of history, physical examination and necessary laboratory investigations. Data were collected and analyzed using the SPSS Version 20.
Results : Total 500 patients were evaluated. Majority were female (61.2%). Highest number of patients i.e. 299 (59.4%) belonged to the age group of 16–35 years. Majority 405 (81%) of the patients in our study were from surrounding locality (Urban). The most common diseases was DM affecting 55(11%). HTN was 2nd common disease 51(10.2%). During this study we found gastrointestinal system was the most common affected organ system.
Conclusion: Disease pattern study is very important to focus top problems, so that we can prepare ourselves to fight against them.
Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 27-30
Disease Profile Among Children Admitted in a Tertiary Care Hospital
Authors: Alam Didarul , Islam Shanjana , Roy Bidhan , Md Shahid - , Roy Tarun Kumar , Rahman Sheikh Mujibur 
Published: July 2019

Background: An understanding of epidemiological trend in hospital admissions, including diseases and death pattern, is critical for health care planning, appropriate resource allocation & improving existing services facilities. To evaluate the disease and death pattern of children admitted in the Department of Child Health, Bangubandhu Memorial Hospital. Chattogram.
Materials and methods: This was a retrospective study. The case records of all patients admitted in the Department of Child Health from Jan 1, 2015 to Dec 31, 2016 were analyzed.
Results: Total 3560 children were admitted during this study period. All the patients were distributed into three age groups. Infant, under five and more than five age groups constitute 35%, 33% and 32% respectively. Acute watery diarrhea (33%) bronchiolitis (21%) Bronchopneumonia (10.5%) hereditary hemolytic anemia (9%) and Enteric fever (4.3%) were the five top disease in two years of admission. Among them total 12 (0.34%) patient died. Highest case fatality rate was found in bronchopneumonia (75%). Other common causes of death include meningitis (17%) and heart failure (8.5%). Patient came from urban area was 63% and 37% came from rural area.
Conclusion: Admission related findings of this study will help to evaluate the disease pattern of a hospital and planning for more effective case-management strategies.
Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 31-35
Detection of Human Papilloma Virus in Colorectal Cancer by Polymerase Chain Reaction Technique in A Tertiary Care Hospital of Bangladesh
Authors: Das Narayan Chandra , Hossain Mohammad Ismail , Nasreen Saida , Nasreen Mehnaz , Bhattacharjee Pradip , Rahman Zillur 
Published: July 2019

Background: Human Papilloma Virus (HPV) infection is associated with the development of several cancers, including oral, esophageal, skin, lung, and uterine cervix. Association of HPV and colorectal cancers remains controversial. The aim of this study was to evaluate the association between HPV infection and colorectal cancer in Chattogram of Bangladesh.
Materials and methods: The study was carried out in the Department of Pathology, Chattogram Medical College, Bangladesh over a period of one year from July, 2013 to June, 2014. A total of 60 cases were included in the study during the time period. Histopathological type and grading was done. HPV type 16 and 18 DNA was examined from all samples by means of Real Time PCR using type specific primer named E7 protein. Finally association between HPV types 16/18 with colorectal carcinoma was assessed by Chi-square (c2) test.
Results: The mean age of 60 patients was 45.35 years (Range 17-75 years). Rectum was the common site of tumour 26 (43.3%). HPV type 16 and 18 was detected in 25 (41.7%) cases, out of whom 24 (96%) were associated with HPV16, and only one case was both HPV type 16 and 18. As regarding histological type, out of 25 cases 21 (84%) cases of adenocarcinoma, 3 (12%) case of signet ring carcinoma and only 1 (1.6%) case of mucinous carcinoma were positive for HPV.
Conclusion: HPV specially subtype 16, may play a role in the oncogenesis of Colorectal Carcinoma.
Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 44-48
PENGARUH SERTIFIKASI TERHADAP KINERJA GURU DI KECAMATAN ARJASA KEPULAUAN KANGEAN
Authors: Sugianto Ach. 
Published: July 2019

Tujuan dari penelitian ini 1.Untuk mengetahui kinerja guru sebelum menerima sertifikasi di kecamatan arjasa kepulauan kangean. 2. Untuk mengetahui kinerja guru sesudah menerima sertifikasi di kecamatan arjasa kepulauan kangean. 3. Untuk mengetahui apakah terdapat pengaruh penerimaan sertifikasi guru terhadap kinerja guru di kecamatan arjasa kepulauan kangean. Penelitian ini menggunakan metode penelitian deskriptif dengan pendekatan kuantitatif yang berfukus pada perbandingan antar variable yaitu variable X dan variable Y. Populasi penelitian ini adalah guru di kecamatan arjasa. Sedangkan sampel gugu-guru yang memiliki sertifikasi. Teknik pengumpulan data dengan cara wawancara dan dokumentasi. Teknik pengolahan data yaitu dengan tahap editing, tahap analisis data dengan rumus regresi sedehana menggunanakan spss, dan terakhir dengan tahap interpretasi. Pada penghitungan hipotesis diperoleh nilai pada t table = signifikan 5% df = N-1 (30-1) yaitu 29 dengan nilai t hitung = 10.800 dan t table sebesar = 2.045 dengan nilai signifikan (10.800>2.045). hal ini berarti hipotesis yang diajukan peneliti diterima yaitu terdapat pengaruh yang positif dan signifikan dalam penelitian yang berjudul “Pengaruh Sertifikasi Terhadap Kinerja Guru di Kecamatan Arjasa Kepulauan Kangean” dapat teruji kebenarannya. Dengan demikian dapat disimpulkan bahwa sertifikasi sangat berpengaruh dan signifikan terhadap kinerja guru. Dalam artian bahwa penelitian ini mampu menjawab kebenaran hipotesis yang diajukan.
ANALISIS POTENSI MINAT WIRAUSAHA MAHASISWA AKHIR PRODI PENDIDIKAN EKONOMI DI STKIP PGRI LUMAJANG
Authors: Jayatri Fidyah 
Published: July 2019

Karakter wirausaha merupakan salah satu komponen penting untuk dikembangkan saat ini. Para alumni perguruan tinggi perlu untuk mengembangkan jiwa wirausaha mereka di lingkungan kampus sebagai salah satu keterampilan yang diperlukan saat lulus nantinya. Lulusan kelompok terdidik inilah yang diharapkan mampu menyerap tenaga kerja di lingkungan sekitar mereka melalui penciptaan usaha baru. Penelitian ini bertujuan untuk mengetahui secara mendalam potensi minat mahasiswa untuk bisa berwirausaha. Penelitian ini termasuk dalam kategori penelitian kualitatif pendekatan fenomenologi. Hasil penelitian menunjukkan bahwa terdapat adanya tingkat literasi ekonomi yang baik dapat memberikan kematangan berpikir utamanya dalam membuat keputusan, memecahkan masalah- masalah dalam kegiatan ekonomi. Mahasiswa yang memiliki tingkat literasi baik umumnya memiliki arah berpikir yang rasional dalam bentuk pemilihan sumber daya di dalam melakukan kegiatan ekonomi. Literasi ekonomi yang baik juga memacu mahasiswa untuk memiliki daya kreativitas dan inovasi
PENGEMBANGAN BUKU AJAR MANAJEMEN UKM BERBASIS EKONOMI KERAKYATAN BAGI MAHASISWA PENDIDIKAN EKONOMI
Authors: FandyanSari Melisa Wahyu 
Published: July 2019

Penelitian merupakan penelitian R&D dengan menggunakan model ADDIE yang terdiri dari 5 tahap yang terdiri dari 5 tahap yaitu analisa, desain, mengembangkan, implementasi dan evaluasi. Tujuan dari penelitian ini adalah: 1) menyusun buku ajar Matakuliah Manajemen UKM Berbasis Ekonomi Kerakyatan bagi mahasiswa Pendidikan Ekonomi, 2) menjadikan buku ajar Matakuliah Manajemen UKM Berbasis Ekonomi Kerakyatan menjadi buku ajar yang membantu pemahaman mahasiswa tentang materi Manajemen UKM, dan 3) menjadikan buku ajar Manajemen UKM Berbasis Ekonomi Kerakyatan menjadi buku ajar yang inovatif, kreatif, efektif, menyenangkan. Buku ajar ini terdiri dari 6 pembahasan dan memuat tentang ekonomi kerakyatan. Uji skala kecil dilakukan pada 40 mahasiswa dan uji skala besar buku ajar ini diujicobakan pada 70 mahasiswa dan mendapat nilai 87,78% dengan kriteria “Sangat Baik”. Hasil penilaian dari ahli materi mendapat nilai 3,95 dengan kategori Layak dan hasil penilaian ahli media mendapatkan nilai 3,9 dengan kategori Layak.
PENERAPAN METODE 360 DERAJAT DAN ANALYTICAL HIERARCHY PROCESS (AHP) DALAM SISTEM PENILAIAN KINERJA PEGAWAI (STUDI KASUS : RUMAH SAKIT FADILAH PRABUMULIH)
Authors: Kunang Suzi Oktavia , Samsil Agus Bayu 
Published: July 2019

Decision support System software is very useful in the assessment process of employee performance. This study implements a method known as method name 360 degrees. This method conducts feedback evaluation by combining various feedback obtained from coworkers, employees, subordinates, officers and company customers, results of the feedback assessment process will continue with the process Assessment by using the Analytic Hierarchy Process (AHP) method which results in the decision by comparing the priority criteria so that the weight value of each criterion has been obtained by the decision. Are sorted from the largest value to the smallest. The results of the study obtained the performance value of employees in the company derived from the assessments given to all employees involved in the assessment.