bluuebunny/crossref_metadata_2025_split huggingface dataset:
TEACHING READING COMPREHENSIN OF SPOOF TEXT BY USING JIGSAW LEARNING MODEL TO THE ELEVENTH GRADE STUDENTS AT SMA NEGERI 13 PALEMBANG
Authors: Yuliani Sri 
Published: July 2019

The objective of the study is to find out whether it is effective or not using jigsaw learning model in teaching reading comprehension of spoof text to the eleventh grade students at SMA Negeri 13 Palembang. In this study, the researcher used experimental method. The population of this study is all the eleventh grade students at SMA Negeri 13 Palembang with the total numbers of students was 392. Therefore, the sample of the study is 72 students consist two classes,namely: 36 students for control group and 36 students for experimental group. The sample was taken by using non purposisve random sampling method. The data collected by using written test consist of 30 questions and the type of questions is multiple choice. The result of the test was analyzed by using t-test which were pair sample t-test and independent sample t-test was known as: mean of post test in expermental group was 72.22 higher than past test mean score of control group was 58.64. Furthermore, the result of t-obtained was 6.132 and t-table was 2.030, it shows that t-obtained was higher than t-table. From the explanation above, there were significant difference between the experimental group that have been taught by using jigsaw learning model and control group that was not taught using treatment. It means that, Ho was rejected and Ha was accepted. It was concluded that it was effective of using jigsaw learning model to teach reading comprehension of spoof text to the eleventh grade students at SMA Negeri 13 Palembang.
RADIOLOGICAL ANALYSIS AND FUNCTIONAL OUTCOME OF LONG BONE FRACTURE
Authors: Ansari Dr. Mohd. Raziq , Shukla Dr. Anurag , Shamim Dr. Sharib 
Published: July 2019

AIM & Objective: The main purpose of this study was to assess the results of Homoeopathic treatment in the management of chronic low back pain and to provide evidence of impact on the patients in terms of health status and health related quality of life.
Methods: It was a single-centred, prospective, interventional study conducted at MNR UHC Homeopathic OPD in Sangareddy, from Dec 2018 to Feb 2019. At 0 day (Baseline) and 90 days standardized measuring scale were used like, Oswestry Disability Index, SF-12 questionnaire. Homoeopathic treatment was given to patients suffering from chronic low back pain.
Results: Estimation of the Oswestry Disability Index showed that: severity of pain, personal care, sitting, standing, social life and travelling score were significantly improved (P<0.05).Significant differences were also found in the Quality of Life (QOL)‑SF 12 in physical domain [difference -19 (95% CI: -6.47, -0.43)], and psychological domain [difference -19 (95% CI: -6.31, -0.29](p ≤ 0.05).
Conclusion: Homoeopathic treatment has made significant improvement in the patients suffering from chronic low back pain pertaining to the symptom’s severity. Further Randomised control trail can be conducted for validation of the results.
Key words: Chronic Low Back pain, Homoeopathic, Oswestry disability.
HUBUNGAN ANTARA PENGETAHUAN, MOTIVASI, DAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PADA PENDERITA HIPERTENSI DI PUSKESMAS PEUKAN BADA KABUPATEN ACEH BESAR
Authors: Hanum Sari , Puetri Nona Rahmaida , Marlinda Marlinda , Yasir Yasir 
Published: July 2019

Hypertension is a disease that is known as the silent killer disease or quietly because in general people do not know he suffered from hypertension before they check their blood pressure. The purpose of this study was to look at factors related to adherence to taking anti-hypertension medication. Using descriptive analytic design through Cross Sectional approach. The data were collected by interview using questionnaire. Population in this research in Peukan Bada Public Health Center are 56 people. This study used Chi-Square statistic test. The result of the research showed that hypertension patient mostly good (55,4%), hypertension motivation mostly high (64,3%) and hypertension family support mostly good (60,7%). The result of the statistical test shows that there is correlation between knowledge (p value = 0,001), motivation (p value = 0,002) with adherence to taking anti hypertension medication in hypertension patient and no relation with family support (p value = 0,728) with adherence to taking anti hypertensive drugs in hypertensive patients.
Keywords: Hypertension, knowledge, motivation, patient family support
HUBUNGAN FAKTOR KELUARGA DENGAN KEKAMBUHAN PADA KLIEN SKIZOFRENIA DI POLIKLINIK RUMAH SAKIT JIWA PROF. DR. HB. SA’ANIN PADANG
Authors: Afconneri Yudistira , Lim Khatijah , Erwina Ira 
Published: July 2019

The national prevalence of severe mental disorders in Indonesia is 1.7 per mile and 70% of them are schizophrenia. The inability to control symptoms can cause recurrence in schizophrenic clients. The purpose of this study was to determine the relationship of family factors with the relapse of schizophrenic clients at Prof. Dr. HB. Sa’anin Padang. This type of research was descriptive correlative with a cross sectional approach with the number of respondents 173 people schizophrenia clients and families at Prof. RS Polyclinic. HB. Sa’anin Padang. The sampling technique is convinience sampling. The study was conducted from April to June 2016. Data collection was carried out using a questionnaire. The results showed that there was a significant relationship between family support and caregiver burden with relapse of schizophrenic clients (p <0,05). The results of this study are expected to be an input for nurses and related agencies to prevent the relapse of schizophrenia clients by providing an understanding of the importance of family support and forming a supportive group of schizophrenic client families.
Keywords : Family, relapse, schizophrenia
PENGARUH TERAPI DO’A TERHADAP KADAR LIMFOSIT PASIEN AIDS DI RUMAH SAKIT UMUM DAERAH DR. M. HAULUSSY AMBON
Authors: Aziza Wahyuni 
Published: July 2019

National prevalence of AIDS in Inonesia at 2011 were 10,62/100.000 peoples, in Maluku until June2012 there was 782 HIV and 245 AIDS with 108 peoples mortality rate. Since 2012 has beendeveloped Comprehensive Continues Services in the public health services level. The services startedfrom preventif, early HIV’s test until treatment activities from various field including complementarymedicine thus increasing the quality of life of patients AIDS. The complementary therapy has been developed including spiritual therapy. Pray therapy is one of complementary therapy which can increase level of lymphocite. The aims of This research to determine effect of pray therapy tolymphocyte level. Methode of this study used quacy experiment with non randomized control groupdesign with pre test and post test. Samples in the study were 20 peoples. Data were analyzed by usingindependent T-Test with result showed pray therapy for 30 minutes twice day has a significant effect oflymphocyte level (CD4). This result an be used as a nursing therapy to give spirituality of patient.Nursing maneger can formulate a policy to provide nursing care holistically, provide a format forspiritual assessment and create programs to conduct spiritual nursing to clients.
Keywords: HIV/AIDS, pray therapy, lymphocyte level (CD4)
DUKUNGAN SOSIAL DAN KUALITAS HIDUP FISIK PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGA
Authors: Hitijahubessy Christy N M , Affiyanti Yati , Budiati Tri 
Published: July 2019

Violence against women is generally a social phenomenon that is very worrying throughout the world,so WHO has established it as a global epidemic. Violence against women in the household, both inurban and rural areas, always places women in a vulnerable position which results in a lack ofconfidence and inhibits women from empowering themselves. The importance of social support greatlyhelps women victims of domestic violence to improve their quality of life. This study aims to identifysocial support to improve the physical quality of life of women victims of domestic violence. Thedesign of this study is cross-sectional. The study sample consisted of 243 women victims of domesticviolence, aged 19-49 years. Assessment of social support using the Multidimensional Scale ofPerseived Social (MSPSS) questionnaire, while an assessment of physical quality of life usingquestionnaire The World Health Organization Quality of Life (WHOQOL) Bref the Indonesianversion. The results of the analysis show that there is a very strong relationship, the direction of thepositive relationship between social support with the quality of physical life is affected (R = 0.994, p =0.000). Social support can be used as an intervention to improve the physical quality of life of womenvictims of domestic violence through mentoring and counseling programs.
Keywords: Social support, quality of physical life, women victims of domestic
HUBUNGAN MASA KERJA DAN USIA DENGAN TINGKAT HIDRASI PEKERJA PERAJIN MANIK-MANIK DI KABUPATEN JOMBANG
Authors: Nilamsari Neffrety , Damayanti Ratih , Nawawinetu Erwin Dyah 
Published: July 2019

Every workplace always has potential hazards. The potential hazards most often found inmanufacturing industries are potential physical hazards that can affect labor productivity. The purposeof this study was to analyze the relationship between working period and age of bead craftsmen withhydration levels. Respondents in this study were 19 workers in PT X Jombang Regency. This researchis an observational study with a cross sectional design. Data collection was conducted from April toJuly 2018. Statistical tests used correlation test in testing urin color indications to determinedehydration levels. The results showed a relationship between the variable work period and the level oflabor hydration with p-value 0.000, age variable with hydration level did not have a relationship withp-value 0.087 where the temperature in the workspace averages 34.1°C. There is a relationship betweenthe length of work and the level of hydration of bead craftsmen and there is no relationship betweenage and level of hydration of bead craftsmen. To reduce the level of hydration status, it isrecommended that every bead craftsman every 2 hours drink as much as 0.5 liters of water, so that theneed for fluids is approximately 2 liter in 8 hours of work can be fulfilled. Companies are advised toadd the amount of ventilation in the workspace to reduce exposure to hot temperatures in theworkspace.
Keywords: Hydration level, working period, age
STUDI PENGETAHUAN, DIET, AKTIFITAS FISIK, MINUM OBAT DAN KADAR GLUKOSA DARAH PASIEN DIABETES MELITUS TIPE 2 SEBELUM DAN SETELAH PENDAMPINGAN GIZI DI PUSKESMAS RIJALI KOTA AMBON TAHUN 2012
Authors: Kaluku Khartini , Jafar Nurhaedar , Citrakesumasari Citrakesumasari 
Published: July 2019

Diabetes mellitus has become the world's health problems. The prevalence and incidence of these diseases has increased drastically in the newly industrialized countries and developing countries, including Indonesia's. This research is an experimental research by approach nonrandomized one group pre and posttest design which is to see the difference knowledge, diet, physical activity, medication and the patient's blood glucose levels diabetes mellitus before and after accompaniment nutrition in Puskesmas Rijali Ambon. The population of this research is all patients diabetes mellitus, sampling is done by using the technique of purposive sampling with the total sample as many as 26 people. The result showed that after the accompaniment of nutrition increase knowledge 42,3%, compliance intake of energy 23,1%, compliance intake of proteins 23.1%, compliance fat intake 38.5%, compliance intake of carbohydrates 3.9%, compliance physical activity 30,8%, compliance medication 30,8% and blood glucose levels are 42,3%. Attesting four main pillars handling DM use the model of nutritional accompaniment give a flanking control blood sugar of 70%. Of the results obtained, can be concluded that the educational model counselling of nutrition is very influential to increase knowledge and compliance respondents against the diet, physical activity, medication and blood glucose levels.
Keywords: Blood glucose levels, diet, knowledge, diet, medication, physical activity
PENGATURAN HUKUM PERBATASAN NEGARA KESATUAN REPUBLIK INDONESIA BERDASARKAN UNDANG-UNDANG WILAYAH NEGARA
Authors: Manik Jeanne Darc Noviayanti 
Published: July 2019

The arrangements area of the country is done to provide legal certainty and clarity to
citizens on the territory of the country. Area of the country as outlined in the Constitution
of the Republic of Indonesia Year 1945 has an arrangement the Government of Indonesia
that protects the Nations Indonesia, the utilization of earth, water, and air as well as the
natural resources contained therein for the most of people's prosperity, decentralization of
Government to the areas large and small that are autonomous in the frame of the unitary
State of the Republic of Indonesia; and social welfare for all the people of Indonesia.
IMPLEMENTASI TANGGUNGJAWAB REKLAMASI PERTAMBANGAN TIMAH DI PULAU BELITUNG
Authors: Haryadi Dwi , Darwance Darwance , Salfutra Reko Dwi 
Published: July 2019

Mining is one of the sectors that becomes an economic country’s support until now.
Environmental issues is kind of difficult things and can’t even be separated from mining
activities. Belitung island is as part of the largest tin-producing province in Indonesia that
has been exploited since the 18
century. It also has experienced the environmental crisis
as well as other mining areas has in Indonesia. This research is conducted as an effort to
discover and unravel the problematic implementation of reclamation on the ex-tin mine’s
land in Belitung Island by using a conceptual approach and legislative approach. Based
on the observation’s result, it shows that the reclamation’s result in Belitung Island has
not been successful. Data from PT Timah (Persero) Tbk about the reclamation in Belitung
Island also shows that the realization is far from the plan. There is no target that achieved
successfully every year, also there is no reclamation that reaches 50 percent, the maximum
is only 25 percent in 2016.
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Characteristics of Disease Profile of Hospitalized Patients Referred to the Department of Cardiology in a Tertiary Care Hospital
Authors: Alam MZ , Hossain MS , Basit MA , Hoque SJ , Mohibullah AKM 
Published: July 2019

Objectives: Cardiology consultation for hospitalized patients is a common and sometimes mandatory practice in every country. This is because of increased morbidity and mortality of cardiac cases that also has other co-morbidities. We conducted this study to know the pattern of disease profile and the idea of requesting doctors about the cardiac diseases from the cases they referred to the department of Cardiology.
Methods: This prospective observational study was carried out in BIRDEM General Hospital, Shahbag, Dhaka from July to December 2017. We followed every case till the final and confirmed diagnoses were made. All the relevant collected data were compiled on a master data sheet. All findings were expressed as frequency with percentage and analysis were done using SPSS for windows version 22.0.
Results: This study revealed that majority of the referred cases to the department of cardiology was routine (84.4%) and non-cardiac (57%). Non-cardiac cases were referred mainly for the fitness of general anesthesia (GA) (18.4%). But among the critical cases (14.0%), mostly were cardiac (9.1%). Among all the cardiac cases, Hypertension (8.8%) got the highest referral followed by Acute Myocardial Infarction (AMI) (3.8%) and Dilated Cardiomyopathy (DCM) (3.8%).
Conclusions: Hospitalized patients were referred to the department of Cardiology differs according to the requesting unit. The surgical units referred their cases to get the cardiac clearance for a major surgery and the medical units referred for typical cardiac emergencies like AMI.
Bangladesh Heart Journal 2019; 34(1) : 1-4
Performance of EuroSCORE II in Predicting Early Mortality after Mitral, Aortic or Mitral & Aortic Valve Surgery Patients in National Heart Foundation Hospital and Research Institute
Authors: Mahmud Ahsan Uddin , Sazzad Md Faizus , Wadud Mohammed Armane , Chowdhury Iftakher Raja , Rahman Mohammad Hafizur , Chowdhury Haroon Rasheed , Gomes Noel Cipriyan , Choudhury Sohel Reza , Talukdar Quamrul Islam , Chanda Prasanta Kumar , Ahmed Farooque 
Published: July 2019

Background: Preoperative risk assessment before cardiac surgery to predict mortality become literally important and practicing worldwide, whereas EuroSCORE II is most updated and popular. So we examined the hypothesis that Performance of EuroSCORE II in predicting early mortality after Mitral, Aortic or mitral & aortic valve surgery patients in National Heart Foundation Hospital and Research Institute.
Objectives: To compare Euro SCORE II predicted early mortality and observed early mortality in a sample of patients of National Heart Foundation Hospital who underwent for Mitral, Aortic or Mitral & Aortic valve surgery. Methods: An observational prospective study was done in Department of cardiac surgery, National Heart Foundation Hospital and Research Institute who underwent for Mitral, Aortic or Mitral & Aortic valve surgery in the period of July 2016 to March 2018. Sample size was 356 and all inclusion criteria full filled. Patients were divided into 3 group (low, medium & high) depending on the score. Model discrimination and calibration were assessed additive and logistic EuroSCORE and EuroSCORE II.
Results: The in hospital mortality of this series was 2.8% (10 out of 356) and the predicted mortality was 2.73% (95% CI 1.02-4.38) by the EuroSCORE II, 2.15% (95% CI 0.68- 3.72) by the additive method and 2.25% (95% CI 0.74-3.86) by the logistic EuroSCORE. The model’s discriminatory power also good and useful as indicated by an area under ROC curve of 0.779 in EuroSCORE II model, 0.675 in additive method and 0.696 in logistic method that means EuroSCORE II method can predict the outcome with 77% accuracy, additive method with 67% accuracy and the logistic method does that with 69% accuracy.
Conclusion: EuroSCORE II was validated and performed well on National Heart Foundation patients and could be recommended as a simple risk stratification system to estimate the probability of early mortality in patients scheduled for valve surgery in Bangladesh.
Bangladesh Heart Journal 2019; 34(1) : 11-24
Evaluation of Blood Lactate Level as Predictor of Early Adverse Outcome after Cardiac Surgery under Cardiopulmonary Bypass
Authors: Azad MAK , Islam KS , Quasem MA 
Published: July 2019

Background: We examined the hypothesis that high blood lactate level in intensive care unit patient after adult cardiac surgery under cardiopulmonary bypass is associated with early adverse outcome. The objective of this study was to evaluate whether high blood lactate level after cardiac surgery is a predictor of the early outcome after adult cardiac surgery under cardiopulmonary bypass.
Methods: This prospective observational study was carried out in the department of Cardiac Surgery at National Institute of Cardiovascular Disease (NICVD), Dhaka from July, 2013 to April 2014. A total number of 100 patients who underwent cardiac operation with cardiopulmonary bypass were enrolled in this study as per inclusion and exclusion criteria. Patients were divided into two groups according to their blood lactate level 6 hours after transferintensive care unit. Peroperative variables and postoperative variables were observed and recorded during the hospital course of patient. Categorical variables were analyzed by Chi- Square test and Fisher’s exact test and continuous variables were analyzed by ‘t’ test. Multiple Binary Logistic Regression Analysis of predictors for each of the outcome variables was done.
Results: Blood lactate levels ≥3mmol/L 6 hours after transfer to intensive care unit were present in 57(57%) patients. Multiple logistic regression analysis showed higher blood lactate level was an independent predictor for early postoperative low output syndrome (OR 9.073, 95% CI 2.819 – 29.207, p = < .0001), pulmonary complication (OR 5.734, 95% CI 1.814 – 18.122, p = .003), neurological deficits (OR 9.725, 95% CI 1.111 - 85.147, p = .040), renal dysfunction (OR 7.393, 95% CI 1.855-29.469, p = .005), arrhythmia (OR 10.512, 95% CI 1.902 – 58.108, p = .007) and wound infection (OR 7.742, 95% CI 1.418 - 42.259, p = .018).
Conclusions: High blood lactate level 6 hours after transfer to intensive care unit is an independent predictor for worse outcomes in adult patients after cardiac surgery under cardiopulmonary bypass.
Bangladesh Heart Journal 2019; 34(1) : 25-30
Pattern and Prevalence of Dyslipidemia among Patients with Acute Coronary Syndrome Admitted in a Tertiary Level Hospital
Authors: Parvin Dilshad , Baul Sunil Krishna , Hossain SM Rahat , Munshi Swati , Hadiuzzaman Md , Fatema Kaniz 
Published: July 2019

Background: The leading cause of mortality in men and women worldwide is coronary artery disease (CAD). For hospitalization in our country, acute coronary syndrome (ACS) is a major reason. Dyslipidemia is found one of the most important modifiable risk factors for CAD.
Aim: The aim of the study was to determine the pattern and prevalence of dyslipidemia among patients with ACS admitted in National Institute of Cardiovascular Diseases (NICVD), Dhaka.
Subjects and methods: One thousand (1000) patients with ACS were included and classified according to clinical presentation, the findings on the admission electrocardiogram (ECG) and the results of serial cardiac troponin levels, into myocardial infarction(MI), either STelevation or non ST- elevation MI, and unstable angina(UA) subgroups. In the other group 500 healthy subjects were included as controls. All subjects were subjected determination lipid profile. ECG and Troponin- I were done for diagnosis and follow up of the patients.
Results: In patients with ACS, high levels of TC (>200 mg/dl) were found in 60.67%,high levels of LDL (> 130 mg/dl) were found in 58%, high levels of TG (>150 mg/ dl) were found in 63.33%, however, low levels of HDL (< 40 mg/dl) were found in 66%. There was a statistically significant elevation in TC, LDL, TG serum levels in patients with ACS compared to control subjects (p<0.05) while the HDL was significantly low in ACS patient compared to control subjects (p <0.05). TC/HDL > 5 and TG/HDL> 4 were significantly higher in patients with ACS than controls. There was no significant difference between MI and UA patients regarding all lipid profile parameters. TC, LDL, TG were significantly higher in males than in females while HDL was significantly higher in females compared to males. Also TC/HDL and TG/HDL ratios were significantly higher in males compared to females. All lipid components were significantly more prevalent in males than in females except TG where there was no significant difference between males and females. Stepwise regression analysis of lipid parameters revealed that TC/HDL and TG/HDL ratios were independent risk factors for ACS.
Conclusion: Dyslipidemia is one the major risk factors which is widely prevalent in patients with ACS and is more prevalent in males than in females. We recommend paying more attention to serum lipids and other modifiable risk factors for prevention of ACS and more studies about them as risk factors of atherosclerosis and its impact on other systems is advised.
Bangladesh Heart Journal 2019; 34(1) : 31-36