bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pulmonary TB in Pregnancy
Authors: Naldi Efriza , Dewi Nurmala Sari 
Published: July 2024

Objective : To report a case of pulmonary TB in pregnancyMethod : A case reportCase : Presented a case of cpulmonar TB in pregnancy on 33-year-old patient. This is fifth pregnancy with twice history of abortion, malnutrition and pulmonary TB (in treatment). The result of chest x-rays was pulmonary TB. The patient was on treatment for anti-tuberculosis drugs for second month. Patient had BMI was 16,88 kg/m2 which is underweight category. There were bronchovesicular and ronchi from both side of lung from auscultation examination. From laboratory findings there was decrease of albumin serum levels to 2,1 gr%. From ultrasound got impression 16-17 weeks of pregnancy. Patient got anti tuberculosis drugs treatment category I incentive phase (2HRZE). During hospitalization treatment, patient was given some nutrition consultation and high calories and high protein diet and also extra 3 egg whites per day. Total calories are 2250 kcal. Patient also got 1 infuse bottle of albumin and albumin supplementation.Discussion : . The incidence of TB in pregnancy was 1/10,000 pregnancies. .. Provision of an appropriate and adequate chemotherapy regimen will improve the quality of life of the mother, reduce the side effects of anti-tuberculosis drugs (OAT) on the fetus and prevent infection in newborns. Patient got anti tuberculosis drugs treatment category I incentive phase (2HRZE) which is no difference theraphy with no-pregnant patient. Patient was not given pyridoxine as adjuvant drugs along with the anti- tuberculosis drugs. Pyridoxine supplementation must be given with the doseÂ of 50 mg/day and is suggested for every pregnant woman who consumes isoniazid because the deficiency often happens in pregnancy than general population.Conclusion The diagnosis of this patient was correct based on anamnesis, physical examination, and supporting test . Active TB treatment in pregnancy doesnâ€™t have any difference with non-pregnant. The management of this patient is not correct because the patient didnâ€™t get pyridoxine supplementation, didnâ€™t undergo sputum test in second month, and wasnâ€™t done culture M. Tuberculosis as a gold standard.Â
OMPHE-VIA (Obedient Male Partner in Health-Education and Engagement for Visual Inspection with Acetic Acid Examination) Model Was Solution to Save Cervical Cancer
Authors: Ferry Ferdinal , Machmud RIzanda , Soetrisno Soetrisno , Bachtiar Adang 
Published: July 2024

Background: VIAÂ screening is very suitable for developing countries such as Indonesia, because the technique is easy, simple, low cost/cheap, high sensitivity, fast and accurate for early detection of cervical cancer. The coverage of early detection in Indonesia is <5% so that many cases of cervical cancer are found to be at an advanced stage and often cause death in women.Methods: This study uses a mix-method study approach with a sequential exploratory approach. The research was carried out sequentially with qualitative methods first (interviews and FGDs), then continued with quantitative methods. In this study, the sampling technique used was multi-stage random sampling in 7 selected sub-districts.Results: The variable perception of vulnerability with a good perception of vulnerability have a 2.64 times greater risk of carrying out an VIA examination. In multivariate modeling, knowledge is the most dominant variable because it has the largest POR of 6.3, which means the N-Gain value is in the medium category with a fairly effective interpretation of the effectiveness of the module, namely an increase in knowledge of 63.86% after being given education using the OMPHE-VIA module.Â Conclusion: Based on the implementation of the OMPHE-VIA module, it was found that there was an increase in the average value of knowledge, before and after the education was given. It was also found that there was a significant difference in knowledge, andÂ husband's support,Â construct between before and after the education was given using the OMPHE-VIA module.
Correlation between Estradiol and Progesterone Hormone Levels and Endometrial Thickness, Pattern, and Vascularization in Patients Undergoing In Vitro Fertilization
Authors: Afrilia Inayah , Hendry Dedy 
Published: July 2024

Introduction:Â Currently there is a shift in trends in in vitro fertilization programs related to embryo transfer. Embryo transfer is largely determined by the window of implantation related to endometrial receptivity. Endometrial pattern, thickness and vascularity are biomarkers of endometrial receptivity. Estrogen and progesterone are known to have a role in the development of this biomarker.Methods:Â This study used a cross-sectional design. The study was conducted from January to December 2022 at the Morula IVF Fertility Clinic Padang, RSU Bunda Medical Center (BMC) Padang.Results:Â At the end of the study, there were 100 respondents with an average age of 25-29 years, most of them were overweight, and almost all of them had primary infertility, and the average duration of infertility was 6.75 Â± 3.98 years. At the time of ovulation trigger, the mean estradiol levels were 3070.32 Â± 1186.985 pg/ml, progesterone 1.10 Â± 0.57 ng/ml, and E2/P4 ratio 3.64 Â± 3.10. Most of the respondents had type A endometrial pattern, type I vascularity, and the mean endometrial thickness was 11.58 Â± 2.94 mm. There is a statistically significant relationship between estradiol and endometrial thickness and vascularity. In addition, a relationship was also found between progesterone and E2/P4 with endometrial vascularization. However, there is no significant relationship between progesterone and the E2/P4 ratio with the endometrial pattern.Conclusion:Â Estrogen, progesterone and E2/P4 are related to endometrial vascularization and estrogen is related to thickness. None of these hormones are associated with endometrial pattern.
Choriocarcinoma with Pulmonary and Spinal Metastases : A Case Report
Authors: Syafar Fardani Putra , Muhammad Syammel , Antonius Puja Agung 
Published: July 2024

Background : Choriocarcinoma is extremely malignant tumor contains of anaplastic trophoblast and prominent hemorrhage, necrosis, and vascular invasion.Â Choriocarcinoma is a rare, aggressive neoplastic type of trophoblastic disease. This condition grow rapidly and can metastasize to the lung and liver. There are few cases of choriocarcinoma metastases to the spine that have been reported.
Case Report : A 28-year-old woman with complaints of haemoptoe and shortness of breath. Previously the patient complained of not feeling the sensation for defecation and micturition. The patient had been diagnosed with choriocarcinoma since 3 years ago, refused to have a hysterectomy and had received chemotherapy 12 times in the first year with choriocarcinoma, but dropped out of chemotherapy in the second year, then came with a worsening condition a year later. The results of the chest x-ray and lumbar MRI showed suspicion of metastases to the lungs and spine. The patient was continued with chemotherapy with paclitaxel and carboplatin and was monitored with periodic beta HCG evaluation.Â Choriocarcinoma a have different prognoses depending on stage and onset. In these patients, based on FIGO staging, she has reached stage IV and also suspected chemotherapy-resistantÂ Gestational Trophoblastic Neoplasia (GTN), worsened by disobedience to previous treatment. ManyÂ patients with GTN require multiple regimens with or without surgery to achieve complete remission.
THE RELATIONSHIP OF THE INCIDENT OF METABOLIC SYNDROME AND OVERACTIVE BLADDER IN FEMALE PATIENTS AT DR. M. DJAMIL PADANG IN 2023
Authors: Putra Anggra Permana , Utama Bobby Indra , Yetti Husna 
Published: July 2024

Overactive Bladder (OAB) is a chronic medical condition that has a negative impact on an individual's health and quality of life. Cardiovascular problems are considered to be one of the risks associated with OAB where one of the higher cardiovascular parameters is metabolik syndrome.Â Aim to determine the relationship between Â metabolik syndrome and Overactive Bladder in female patients at Dr. M. Djamil Hospital Padang.Â Quantitative research with a case control design using a questionnaire according to the Overactive Bladder Symptom Score (OABSS) and examination based on metabolik syndrome symptoms. The research was conducted at Dr. M. Djamil Hospital Padang in November 2022 to September 2023.Â There were 60 respondents who were divided into the OAB (28/60) and no-OAB group (32/60). Most respondents were aged 50-59 years (45,0%), graduated from high school (53.3%), worked as housewives (76.7%) and had diabetes mellitus (78,3%). In this study it was also found that 48,3% of respondents suffered from hypertension and 45.0% suffered from obesity. A total of 46.7% of respondents experienced OAB symptoms with a higher percentage of OAB found in the metabolik syndrome group (76,7%) than no-metabolik syndrome group (16.7%). Bivariate analysis found a relationship between metabolik syndrome and overactive bladder symptoms (p = 0.000) with metabolik syndrome affected the incidence of overactive bladder by 16.4 times (OR 16.42, (CI 95% 4.56-59.07).Â There is a relationship between metabolik syndrome and the incidence of OAB.
Characteristics of Advanced Epithelial Ovarian Cancer Patients in Dr. M. Jamil Padang Hospital
Authors: Azwan Reyhan Julio , Muhammad Syammel , Karmia Hudila Rifa 
Published: July 2024

Background:Â Ovarian cancer is a major global health concern, often diagnosed at advanced stages, impacting five-year survival rates. This study examines the demographic and clinical characteristics of 64 patients with advanced epithelial ovarian cancer, shedding light on the disease complexity.Methods:Â Conducted at General Hospital Dr. M.Â DjamilÂ Padang, this cross-sectional study analyzed patient data using SPSS. The research, approved by the Health Research Ethics Committee ofÂ AndalasÂ University, included detailed demographic and clinical assessments.Results:Â Predominantly, patients were aged 40-64, exhibited normal BMI, and a significant portion had not given birth. Evaluation of clinical factors, including Peritoneal Cancer Index (PCI) and residual tumor size, provided insights into the cohort's characteristics. Optimal cytoreduction (<1 cm residual tumor) was prevalent, emphasizing the role of surgery in enhancing survival.Conclusion:Â The study underscores the multifaceted nature of advanced epithelial ovarian cancer and advocates personalized treatment approaches tailored to individual patient profiles. The findings contribute valuable insights to the existing knowledge, emphasizing the importance of age, BMI, and surgical interventions in influencing outcomes.
MODEL PROJECT BASED LEARNING (PJBL) DENGAN METODE MIND-MAPPING DI SEKOLAH DASAR
Authors: Chaerunisa  , Lee Putri amalia , Muti’ah Zahra , Septiadevana Riski 
Published: July 2024

Pembelajaran berbasis proyek Project Based Learning (PjBL) merupakan model pembelajaran yang disarankan dalam kurikulum merdeka, namun para guru masih menemui kendala dalam mengaplikasikan model ini dalam pembelajaran di kelas. Project Based Learning (PjBL) yang diintegrasikan dengan metode mind mapping berpotensi dapat mengembangkan keterampilan berpikir tingkat tinggi diantara nya adalah, berpikir kritis, kreatif dan problem solving, dan komunikasi matematis siswa . selain itu juga Project Based Learning (PjBL) yang diintegrasikan dengan metode mind mapping dapat meningkatkan keefektifitasan dalam pembelajaran baik guru maupun siswa, dimana model Project Based Learning (PJBL) dan Mind Mapping digunakan sebagai alat bantu serta media yang dapat meningkatkan aktivitas serta kegiatan belajar siswa. Selain itu dengan mind-mapping pula anak dapat meningkatkan keterampilan menulis ringkas Penelitian ini bertujuan untuk mendeskripsikan langkah-langkah Project Based Learning (PjBL) melalui metode mind mapping di Sekolah Dasar, prinsip-prinsip Project Based Learning (PjBL), Kelebihan dan Kekurangan Project Based Learning (PjBL) dan ciri-ciri mind-mapping. Dengan mengumpulkan data melalui studi literature, penelitian ini termasuk dalam penelitian deskriptif
Kata kunci: pembelajaran berbasis proyek, mind mapping, pembelajaran sekolah dasar
Analisa Slope Wilayah Kebakaran Hutan menggunakan Metode Naive Bayes
Authors: Lisda  , Isnaeni Nenen , Firmansyah Muhammad Raafi'u 
Published: July 2024

Kebakaran hutan dan lahan menjadi masalah ekonomi dan lingkungan yang dapat menyebabkan kerusakan serius. Kita dapat memprediksi apa saja faktor yang mengakibatkan kebakaran hutan. Tidak dipungkiri bahwa keadaan topografi berpengaruh pada pemicuan dan penjalaran kobaran api. Kondisi topografi itu sendiri berbentuk kemiringan lereng (slope), dimana penjalaran api akan lebih cepat bila menaiki lereng daripada menuruni lereng. Penelitian ini bertujuan untuk mencocokkan apakah kemiringan lereng (slope) dan menampilkan lokasi yang rawan penyebaran api tertentu dengan intensitas kebakaran tinggi benar-benar memiliki potensi kebakaran yang tinggi dan melaporkan besarnya pengaruh slope didalam prediksi potensi kebakaran. Salah satu pendekatan yang umum dilakukan untuk mengklasifikasikan data adalah dengan menggunakan data mining. Sehingga pada penelitian ini peneliti menggunakan Naive Bayes Classifier sebagai metode klasifikasi dengan mendapatkan nilai akurasi tertinggi sebesar 0.99%.
Analisis Swot Perencanaan Sistem Informasi Sekolah Musik (Studi Kasus: Majestic Symphony Music School)
Authors: Andrijana Kusuma Kanggep , Naufal Alman , Ratna Juwita Sari Deassy , Dwicahya Supriatman Rian , Agung Suburdjati Bacilius , Maulani Shanti 
Published: July 2024

Sistem Informasi didalam suatu usaha sekolah musik akan sangat menentukan didalam mendorong keberhasilan serta kemajuan perusahaan. Dimana kepuasan pelanggan dapat tercapai ketika strategi yang tepat dapat direalisasikan didalam pencapaian tujuan organisasi. Maka dipandang perlu suatu sistem informasi untuk meningkatkan daya saing bisnis bagi suatu sekolah musik. Didalam perencanaan sistem informasi sangat perlu untuk menggunakan analisis swot untuk mendapatkan pandangan pada perusahaan mengenai strengths, weaknesses, opportunities, dan threats. Yang digunakan untuk dapat melihat dengan lebih komprehensif untuk keperluan pengambilan keputusan.
Penelitian yang dilakukan bertujuan untuk melakukan analisa faktor eksternal dan internal. Faktor eksternal berpengaruh terhadap opportunities dan threats. Faktor yang terjadi di luar perusahaan yang akan mempengaruhi saat pembuatan keputusan di perusahaan dan faktor internal yang meliputi tentang strengths dan weaknesses.
Pada penelitian ini penulis melakukan observasi pada salah satu sekolah musik untuk mendapatkan data, dokumen, serta melakukan wawancara kepada pelaku bisnis sebagai bahan sumber informasi yang dibutuhkan oleh penulis.
Hasil akhir dari penelitian ini adalah Strategi SO(strengths opportunities), Strategi ST(strengths threats ), Strategi WO(weaknesses opportunities) dan Strategi WT(weaknesses threats).
Analisis SWOT didalam suatu perancangan suatu sistem Informasi akan sangat membantu didalam pengambilan keputusan pada perancangan Sistem Informasi serta Teknologi Informasi di masa yang akan datang bagi sekolah musik.
Saran dari penelitian ini adalah bahwa hasil dari analisis swot itu baru langkah awal dari perancangan sebuah strategi bisnis. Dan yang akan sangat mempengaruhi keberhasilan pencapaian tujuan perusahaan adalah langkah selanjutnya didalam menentukan keputusan perusahaan mengenai Sistem Informasi dan Teknologi Informasi.
Psalm Jonasza
Authors: Jurczak Damian 
Published: July 2024

Kontekstem badań było to, że od czasów Marcina Lutra wzrosło zainteresowanie badaniami naukowymi nad księgami biblijnymi. Szczególnie na przełomie XIX i XX w. przeprowadzane badania wykazały, że ich struktura literacka nie jest jednolita. Stwierdzono, że księgi w Biblii przeszły przez kolejne etapy redakcji, zanim uzyskały współczesną postać. Dotyczy Modlitwy Jonasza (Jon 2,3-10). Należało postawić pytania badawcze: Dlaczego w czasie zagrożenia życia Jonasz śpiewa pieśń dziękczynną? Czy Modlitwa jest wcześniejsza od opowiadania, czy późniejsza?Celem badań jest studium egzegetyczno-teologiczne tekstu Jon 2,3-10.Zastosowano metodę analityczno-syntetyczną. Dokonano analizy literackiej badanego tekstu. Określono też strukturę Psalmu oraz zbadano gatunek literacki. Przeprowadzono egzegezę treści, by prawidłowo określić przekaz teologiczny Modlitwy Jonasza zarówno jako jednostki samodzielnej, jak i w kontekście całej Księgi. Ostatecznie zbadano wpływ treści religijnej Psalmu Jonasza na księgi Nowego Testamentu.W wyniku przeprowadzonych badań stwierdzono, że: a) Psalm Jonasza w tekście Jon 2,3-10 nie jest integralną częścią Księgi Jonasza; b) potwierdzono wspólną dla psalmów dziękczynnych terminologię z Psalmem Jonasza; c) jako samodzielna jednostka literacka przesłanie Psalmu Jonasza także ma sens.Wnioski, jakie wyłaniają się z przeprowadzonych badań, są następujące: a) psalmista modlący się w Psalmie Jonasza to nie tylko przykład, aktualny w czasach po wygnaniu, ale jest także aktualny dzisiaj; b) badany tekst przedstawia człowieka, który mimo słabości do końca zawierzył i zaufał Bogu. Człowiek, który jest otwarty na działanie łaski Bożej, wyraża Bogu radość i dziękczynienie.
Monitoria acadêmica na disciplina de semiologia e semiotécnica em uma universidade no interior do Amazonas
Authors: Cunha Keliane Venancio da , Cordovil Aline Santos , Wanderley Liliane Fernandes da Costa , Santos Martha Suzan Lima dos , Nascimento Albergson Ferreira , Pereira Messias Zaguri , Carvalho Alessandra da Silva , Barbosa Anizelma Dantas , Silva Uenderson Alivad Oliveira da , Portugal Jéssica Karoline Alves 
Published: July 2024

Objetivo: Relatar a experiência vivenciada por acadêmicos do Curso de Enfermagem da Universidade Federal do Amazonas (UFAM) durante o exercício da monitoria na disciplina de Semiologia e Semiotécnica de Enfermagem. Relato de experiência: Trata-se de um estudo descritivo, do tipo relato de experiência, vivenciado por acadêmicos do sétimo período do Curso de Bacharel em Enfermagem do Instituto de Saúde e Biotecnologia (ISB), da Universidade Federal do Amazonas (UFAM), a partir do desenvolvimento de monitoria na disciplina de Semiologia e Semiotécnica de Enfermagem. Este será apresentado em três etapas: Descrição da disciplina, Descrição da monitoria e Experiência vivenciada. Considerações finais: Todas as metas e expectativas estabelecidas para a monitoria foram não apenas atingidas, mas também superadas. Dessa forma, é crucial promover cada vez mais a monitoria, pois é um meio de cultivar indivíduos autônomos e críticos que priorizam o cuidado com os outros, alinhando-se com os princípios do Sistema Único de Saúde (SUS).
Enhancing the cytological features and diagnostic significance of cerebrospinal fluid in bacterial meningitis
Authors: Long Yong , Peng Yufen , Huang Zhaojun , Zhu Min , Wan Chenyi 
Published: July 2024

Objective:
The objective of this study was to investigate the cytological features and diagnostic significance of cerebrospinal fluid (CSF) in bacterial meningitis (BM).

Material and Methods:
Patients diagnosed with BM at the First Affiliated Hospital of Nanchang University Hospital between August 2021 and April 2022 were enrolled. Clinical, cranial imaging, CSF-next-generation sequencing, CSF examination, and CSF cytology data were retrospectively analyzed. CSF cytology samples were prepared using a CSF cell pelletizer (precipitation method) and stained using the May–Grunwald–Glemsa (MGG) method. The χ2 test was employed to compare the positive rate of routine CSF count and CSF cytology.

Results:
Eight patients (four males and four females), aged 41–67 years, were included. Among them, two patients had undergone brain surgery within the past 4 months, one patient had an 8-year history of otitis media, and two patients had a history of sudden toothache. Clinical manifestations included fever, headache, sudden disturbance of consciousness, and neck stiffness. CSF cytology revealed abnormal inflammatory changes dominated by neutrophils in seven patients. Routine CSF cell counts exceeded 100/uL in only four cases, indicating a higher positive rate of CSF cytology for detecting CSF inflammatory reactions compared to routine cell count.

Conclusion:
Comparative detection of bacteria through the observation of CSF cytology inflammatory status in BM patients are more useful for diagnosing BM than routine CSF counts.
A clinical study of the neodymium-doped yttrium–aluminium–garnet laser posterior capsulotomy: Visual outcome and early complications
Authors: Waghu Shifa Shafi , Wade Bansi Nandkumar , Ghorpade Prashant Sarjerao 
Published: July 2024

Objectives:
The objectives of this study were as follows: To study the efficacy of neodymium-doped yttrium–aluminium–garnet (Nd:YAG) laser capsulotomy in posterior capsular opacification (PCO) by analysing the visual outcome. To study any other early complications seen following Nd:YAG laser capsulotomy.

Materials and Methods:
A prospective interventional study was done in the Department of Ophthalmology of a tertiary care hospital in the Marathwada region of Maharashtra. A total of 55 eyes developing PCO after cataract surgery were included in the study from November 2022 to October 2023. Routine pre-laser evaluation using slit-lamp biomicroscopy, intraocular pressure (IOP) measurements and dilated fundus examination was done. Thirty-eight patients had undergone manual small incision cataract surgery with polymethyl methacrylate intraocular lens (IOL) implantation and 17 patients had undergone phacoemulsification surgery with acrylic foldable IOL implantation. The patient was then followed up on Days 2, 7, 30, and 3 months to look for any early post-laser complications.

Results:
A total of 55 eyes were included in the study. The age group of patients included in the study is from 50 to 75 years. Most of the patients 21 were in the age group of 56–60 years. Twenty (36%) were male and 35(63%) females; thus, female preponderance is seen. On retro-illumination of the slit lamp, 9 (16.3%) patients had severe PCO having vision ≤3/60, 24 (43.6%) patients had moderate PCO with vision 3/60–6/60 and 22 (40%) patients had mild PCO with vision 6/60–6/18. Forty-seven patients (85%) had visual acuity of more than 6/12 at the end of 3 months. In most patients, an appropriate central capsulotomy was achieved within the total energy of 60 mJ but in three cases more than 100 mJ energy was used due to the thick posterior capsule. About 6% of subjects showed increased IOP of more than 21 mm Hg but returned to normal level within 1 week. Mild uveal reaction in the form of anterior chamber flare and cells was seen in 2% of cases. IOL pitting was seen in 5 (8%) cases. One (2%) patient had a vision of 3/60 and a significant increase in macular thickness at day 7 post-laser which decreased at 1 month follow-up by appropriate treatment. No evidence of any retinal tears or retinal detachment seen.

Conclusion:
PCO is a common delayed complication seen after cataract surgery. This opacification decreases the vision of the patient to affect day-to-day activities. It can be easily managed on an outdoor basis by a non-invasive and effective Nd:YAG laser posterior capsulotomy procedure. This procedure has been shown to increase the visual outcome and has fewer complications which can be managed easily.