bluuebunny/crossref_metadata_2025_split huggingface dataset:
Maternidad invisible. Un acercamiento a la maternidad ante la muerte súbita inesperada en la infancia
Authors: Medina Macias Rosa del Carmen , Navarro Becerra Ana Araceli 
Published: July 2024

Este escrito analiza la manera en que la maternidad es vivida por una madre que ha perdido una/un hija/o por muerte súbita inesperada en la infancia. Se parte de perspectivas socioculturales y algunos aspectos biológicos del cuerpo de la madre para comprender la manera en que vive y asume la maternidad. Mediante una metodología cualitativa y del método de estudio de caso único se aplicó entrevista en profundidad a una madre en el Área Metropolitana de Guadalajara, Jalisco, México. Entre los resultados destaca que la maternidad está relacionada con el hecho de que el o la bebé esté vivo; mientras que su muerte ocasiona sentimientos de culpa y sensación de fracaso en la madre provocando que la maternidad tienda a ser ocultada, negada e invisibilizada. Al mismo tiempo, algunos procesos del cuerpo continúan funcionando para alimentar a una/un bebé que ya no existe, dificultando la recuperación física y emocional de la madre. Entre las limitaciones de este estudio destaca el tamaño de la muestra. El aporte al campo de conocimiento reside en considerar la estrecha relación entre lo biológico y lo sociocultural para comprender la maternidad.
PENINGKATAN PENGETAHUAN DAN SELF EFFICACY REMAJA PADA SITUASI KESIAPSIAGAAN BENCANA SOSIAL MELALUI EDUKASI KESEHATAN REPRODUKSI DENGAN METODE TEACH BACK
Authors: Kholifah Siti , Utami Resti 
Published: July 2024

Pendahuluan: Tiga Masalah Kesehatan terbesar remaja (TRIAD KRR), yakni seksualitas, HIV dan AIDS, serta Napza. masalah tersebut dapat dipicu oleh perilaku beberapa seksual berisiko yang dilakukan oleh remaja, antara lain berpacaran, berpegangan tangan, berciuman, berpelukan, mencium bibir hingga melakukan senggama dan pergaulan bebas. Remaja secara pertumbuhan dan perkembangan fisik dan psikologisnya memang rentan terjerumus ke dalam TRIAD KRR. meningkatnya kejadian masalah reproduksi remaja bisa memicu terjadinya bencana sosial pada masyarakat. Perlu upaya edukasi untuk peningkatan pengetahuan dan self efficacy dengan menggunakan metode tech back tentang kesehatan reproduksi remaja pada situasi kesiapsiagaan bencana sosial. Tujuan: Menganalisis efektifitas edukasi kesehatan reproduksi dengan metode teach back dalam peningkatan pengetahuan dan self efficacy remaha pada situasi kesiapsiagaan bencana sosial. Metode: Quasy Eksperimental dengan rancangan Pretest and Post test. Penelitian ini dilakukan pada bulan Januari 2023 di SMK 3 Muhammadiyah Ambulu Jember. Penelitian ini melibatkan 91 responden yang diperoleh secara purposive sampling. Kriteria inklusi adalah siswa SMK yang berada di X dan XII serta belum pernah mendapatkan edukasi tentang Kesehatan reproduksi. Data penelitian diperoleh melalui kuesioner elektronik. Pengolahan data dilakukan melalui proses pembersihan data, pemberian skor, penentuan kategori, tabulasi, dan entry data. Selanjutnya menganalisis uji statistik yaitu Wilcoxon. Data penelitian diperoleh melalui kuesioner elektronik. Uji statistik menggunakan Wilcoxon. Hasil: Hasil perhitungan uji Wilcoxon didapatkan nilai p value (Asymp.Sig 2 tailed) sebesar 0.000 dimana kurang dari 0.05 sehingga keputusan hipotesis H1 diterima yang berarti terdapat pengaruh edukasi kesehatan reproduksi dengan menggunakan metode teach back terhadap pengetahuan dan self efficacy remaja pada situasi kesiapsiagaan bencana social. Kesimpulan: Hendaknya edukasi tentang kesehatan reproduksi terhadap remaja dapat dilakukan secara berkala dengan melibatkan lintas sektoral terutama orang tua
HUBUNGAN PERILAKU CERDIK DENGAN TEKANAN DARAH PENDERITA HIPERTENSI DI DESA PUTON KECAMATAN DIWEK KABUPATEN JOMBANG
Authors: Maryati Heni , Praningsih Supriliyah , Nurmalisyah Fitri Firranda , Siswati  
Published: July 2024

Pendahuluan : Hipertensi mengakibatkan kematian sekitar 8 juta orang setiap tahun 1,5 juta kematian terjadi di Asia Tenggara, yang sepertiga populasinya menderita hipertensi. Peningkatan pemahaman perilaku cerdik (Cek kesehatan secara berkala, Enyahkan asap rokok, Rajin aktivitas fisik, Diet seimbang, Istirahat cukup, Kelola stres) merupakan upaya promotif dan preventif pengendalian tekanan darah. Tujuan: Penelitian ini menganalisis hubungan perilaku cerdik dengan tekanan darah. Metode : Penelitian korelasional dengan rancangan cross-sectional ,pengambilan data purpusive sampling. Subyek penelitian adalah lansia di Desa Puton Kecamatan Diwek Kabupaten Jombang sejumlah 30 orang. Instrumen yang digunakan adalah kuesioner perilaku cerdik dan pengukuran tekanan darah. Hasil : Sebagian besar (53,4%) responden mempunyai tekanan darah tergolong hipertensi derajat 1, hampir setengahnya (30%) hipertensi derajat 2. Sebagian besar (53,3%) responden mempunyai perilaku cerdik yang buruk dan hampir setengahnya (46,7%) perilaku cerdik baik.Seluruhnya (100%) responden yang perilaku baik tekanan darah optimal, seluruhnya (100%) responden perilaku baik tekanan darah normal tinggi, sebagian besar (65%) responden perilaku buruk tekanan darah tergolong hipertensi derajat 1, setengahnya (50%) responden perilaku buruk tekanan darah tergolong hipertensi derajat 2. Kesimpulan: Berdasarkan uji Kendall’s Tau di dapatkan p value 0,001 yang berarti ada hubungan perilaku cerdik dengan tekanan darah. Di perlukan upaya promotif dan preventif dalam rangka pengendalian tekanan darah pada penderita hipertensi dan keluarga melalui perilaku CERDIK supaya tekanan darah terkontrol guna mencegah terjadinya komplikasi serta menurunkan angka kematian akibat hipertensi
How we do Multiorgan Integrated Critical Care Ultrasonology (MICCUS): An Approach for Patient Evaluation
Authors: Karim Habib Md Reazaul , Panda Chinmaya Kumar , Yunus Mohd 
Published: July 2024

The point-of-care ultrasonography (POCUS) has become integral for physicians working in critical care set-ups. It has been used for acute and crisis management, ongoing care of the patient, real-time guidance for performing procedures, diagnostic and screening aids, etc. Interestingly, the use of POCUS is increasing daily, and intensivists and critical care physicians are routinely scanning the lung, heart, vascular structure, abdomen, optic nerves, etc. Presently, literature for the routine and emergency use of ultrasound for protocolized assessment for differentiating and diagnosing acute respiratory failure, acute shock, and undifferentiated shock is available. Although there is some overlap, most of the protocolized approach primarily aims at respiratory or circulatory failure. On the other hand, the respiratory and cardiovascular system is well integrated. Moreover, critically ill patients also suffer other organ insufficiencies because of cardiorespiratory insufficiencies or vice versa. Nevertheless, POCUS is now considered the visual stethoscope of critical care physicians. Therefore, a multiorgan integrated approach is justified for assessing the patient right from the first clinical evaluation on admission. This article is intended to provide brief information related to the use and current practice of ultrasonology for critical care patient management by the residents and provide a technical framework for multiorgan integrated critical care ultrasonology (MICCUS) approach for evaluating patients having a new or ongoing acute cardiorespiratory insufficiencies with particular emphasize on the respiratory, cardiac, and vascular systems and integrating the evaluation of the abdomen and urological system. Nevertheless, the MICCUS is just an approach (how critical care ultrasonology can be integrated), not a protocol. It is developed by using existing and validated protocols on topics.
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 610-616
Prevalence of liver cancer in Kazakhstan: a systematic review
Authors: Malayev Niyaz , Saparbayev Samat , Kubekova Saule , Donayeva Ainur , Zagorulya Natalya , Kuanyshbayeva Gaukhar , Zhampeissov Nurlan , Biktashev Damir 
Published: July 2024

Background The study aimed to study the relative and absolute indicators of liver cancer (C22) in Kazakhstan over 10 years in the prism of a trend indicator (moving average), coefficient of variation (Cv), accounting reliability index (Idi).In 2022, in Kazakhstan, the incidence of liver cancer (C22) was 5.1 per 100 thousand people, mortality was 2.9, respectively, the index of reliability of accounting was 0.2.The unified risk of morbidity of the population of Kazakhstan with liver cancer for the period 2013-2022 amounted to 28.6%, mortality - 33.5%, respectively.
Result Over the period 2013-2022, newly diagnosed liver cancer in Kazakhstan increased by 31%, the rate of decrease in the number of newly diagnosed liver cancers varied unevenly over the years, which demonstrates a high rate and amplitude of change from 105 to -140, which significantly complicates the prediction of this pathology.
Conclusion: For the period 2013-2022, posthumously registered liver cancer consistently occupied the first place in the structure of specific gravity among all malignant neoplasms in Kazakhstan.
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 643-654
Drug delivery behavior of magnetic composite: In vitro study
Authors: Akkaya Birnur , Yerliyurt Beyza Nur 
Published: July 2024

Background One method for delivering the medication to the intended location and achieving the desired therapeutic effect is controlled drug release. Compared to typical release systems, controlled medication release systems offer fewer potential adverse effects and can increase patient comfort by prolonging the time intervals between drug intakes. Expanded perlite modified composite were used as drug carrier materials in the current investigation because of its excellent adsorption capability.
Aim: Using magnetic poly(hydroxyethylmethacrylate-expanded perlite) (m-p(hema-ep)) composite material, doxorubicin release was examined in this work.
Methodolgy First, a magnetic p(hema-ep) composite was created for this purpose and examined using SEM, FTIR, and swelling tests. The medication doxorubicin served as a model. Tests for reusability were conducted. The synthesized magnetic p(hema-ep) composite was shown to be capable of being recycled ten times without losing effectiveness. On the C6 cell line, the material and the material that had been loaded with doxorubicin were subjected to cytotoxicity tests under magnetic field.
Results The impacts of variables like pH, time, temperature, on drug release were examined as a consequence of the characterisation procedure. The ideal release parameters were found to be 80% release at pH 4.5, 70% release is seen at 7.4, and temperature 22 °C, under magnetic field.
Conclusion: The anti-cancer medication doxorubicin (Dox) was used as a model drug because it is widely used in cancer treatment and is simple to quantify using methods like UV-visible spectroscopy. There are enhanced doxorubicin release under magnetic field.
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 666-675
Microbiological profile of causes of corneal ulcers at sultan agung islamic teaching hospital semarang
Authors: Masfiyah Masfiyah , Rahayu Rahayu , Bellarinatasari Nika 
Published: July 2024

Background: Corneal ulcer is a medical condition that is the most significant cause of morbidity and blindness worldwide, caused most often by bacteria and fungi. This study aimed to determine the microbiological profile of the causes of corneal ulcers at Sultan Agung Islamic Teaching Hospital, Semarang.
Methods: This research is a descriptive study with a cross-sectional design. Samples were all patients with corneal ulcers at Sultan Agung Islamic Teaching Hospital Semarang from July 1, 2018 – July 31, 2023; the sampling method used consecutive sampling, and the sample size was the total population. Samples were taken using a scraping on the cornea, then implanted directly in Blood Agar Plate and Saboroud Dextrose Agar. Bacterial colonies are identified using API®, and a susceptibility test was performed on Muller Hinton Agar using the Kirby Bauer method. Fungal colonies are identified using Lacto Phenol Cotton Blue, Gram, and Germ Tube.
Results: There were 85 samples, with no growth as many as 41 samples (48%). Fungi cause more infections than bacteria. The fungus that causes the most extensive corneal ulcers is Aspergillus sp as much as 13, while the group of bacteria is Staphylococcus coagulase negative as much as 4 (50%)
Conclusion: Most of the microorganisms that cause corneal ulcers are fungi compared to bacteria. No Multi-Drug Resistant Organisms were found in the causative bacteria, and no azole resistance was found in fungi.
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 676-681
The development of motor abilities of students aged 8-9 years in physical education lessons
Authors: Polevoy Georgiy Georgievich 
Published: July 2024

Background The problem of insufficient development of motor abilities of primary school children can be solved in physical education lessons at school by introducing Classical exercises.
Aims and objectives To develop the responsiveness of younger students in physical education classes at school.
Materials and methods The study took place in an ordinary school in Russia. All students studied 2 times a week, each physical education lesson lasted 40 minutes. The children from the control group performed the usual physical education program, and the children from the experimental group performed Classical exercises during the lesson. During the pedagogical experiment, 72 lessons were conducted in each group. The study used a test to determine the responsiveness of “Touch the ball.” The student’s T-test was used to determine the reliability of the results.
Results After the study, the children from the control group improved their responsiveness by 3.1% (p>0.05), which is explained by the natural development of coordination abilities at primary school age. The data in children from the experimental group became 9.3% higher (p<0.05), which proves the effectiveness of introducing Classical exercises to physical education lessons at school.
Conclusion In order to effectively develop the motor abilities of schoolchildren, including responsiveness, it is necessary to additionally perform a Classical exercise at each physical education lesson at school.
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 682-689
A study on correlation between estimation of bilirubin by transcutaneous bilirubinometry and laboratory method
Authors: Saha Suman , Biswas Koushik , Datta Asok Kumar 
Published: July 2024

Background: Presently, transcutaneous determination of bilirubin has become a valuable method for the early detection of neonatal hyperbilirubinemia. This study aims to determine the correlation of transcutaneous bilirubin with serum bilirubin levels and assess the factors affecting transcutaneous bilirubin measurement in term and late preterm neonates.
Materials and Methods: The study included 100 newborns born at a gestational age of 35 to 41 weeks, with a birth weight of 2100 to 3500 g. Simultaneous measurement of bilirubin by traditional (invasive) and transcutaneous (non-invasive) methods was carried out within 15 minutes of admission in the neonatal intensive care unit. Parallel transcutaneous measurements were taken in the forehead and sternum. Statistical analysis was done to determine the correlation of transcutaneous (forehead and sternal) bilirubin with serum bilirubin levels and assess the factors affecting transcutaneous bilirubin measurement.
Results: In the range of serum bilirubin concentrations till 15 mg/ dl, a close correlation was observed between serum bilirubin (TSB) estimated by direct spectrophotometric method and transcutaneous bilirubin (TcB) estimated by “Bilitest 2000”. TcB estimation on the sternum was better correlated than that on the forehead (r-value: 0.962 vs. 0.935). TcB had a good correlation with TSB across the range of 12.5 - 20.5 mg/dl. Neonatal hypothermia significantly decreased TcB estimation (p =0.021, F=4.227). Respiratory distress, convulsion, sclerema and shock in neonates did not affect TcB estimation.
Conclusion: TcB has a good correlation with TSB in term and late preterm neonates. Thus TcB readings can be used to screen and manage neonatal hyperbilirubinemia cases.
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 690-697
Pediatric pneumonia patients in Jashore city, Bangladesh: screening of drug resistance pattern and molecular identification
Authors: Meghla Nigar Sultana , Kobir Md Mohsin , Rashid Mamun Or , Sakib Najmuj , Hasan Md Shazid , Islam Md Tanvir , Islam Ovinu Kibria 
Published: July 2024

Background: The most common cause of death among children is pediatric pneumonia. The increase of antibiotic abuse to treat pediatric pneumonia patients in Bangladesh is alarming for the rise of multidrug-resistant (MDR) bacteria. However, there is a dearth of research available regarding this. Hence, the current study was conducted on a pilot scale to identify the MDR bacteria from pediatric pneumonia patients by molecular approaches.
Methods: Saliva and nasal swab samples were collected for 3 months (July- September 2019) from 3children with suspected pneumonia at two different hospitals in Jashore city, Bangladesh. Routine biochemical tests were performed to identify the isolates presumptively. All isolates were tested for antimicrobial resistance according to CLSI guidelines using 17 antibiotics. Finally, amplified ribosomal DNA restriction analysis (ARDRA) and 16S rRNA sequencing with phylogeny were performed to confirm the bacteria at the species level.
Results: From the samples collected from the patients, 47 isolates were obtained. The biochemical tests presumptively identified Acinetobacter spp., as the most prevalent type, which was followed by Staphylococcus spp., and Enterobacter spp. Surprisingly, every isolate was MDR, resistant to at least four antibiotics. Cefepime and Cefotaxime showed the highest (i.e., 100% and 87%, respectively) resistance pattern. In addition, the isolates showed elevated resistance towards Amoxicillin, Vancomycin, Streptomycin, Azithromycin, Erythromycin, Norfloxacin, and Tetracycline. On the contrary, they were susceptible to Imipenem and Meropenem. Subsequently, the isolates were typed into three different groups by ARDRA; the strains Acinetobacter baumannii, Enterobacter hormaechei, and Staphylococcus pasteuri were confirmed.
Conclusion: The rapid revolution of multidrug resistant organisms has an impact on morbidity, mortality and healthcare associated cost. Unrestricted use of antibiotics should be stopped and surveillance is necessary for controlling the emergence of resistant bacteria
Bangladesh Journal of Medical Science Vol. 23 No. 03 July’24 Page : 729-738
Feasibility and Effectivity of Video-assisted Thoracoscopic Surgery (VATS) in the Management of Acute Empyema Thoracis – A Prospective Study
Authors: Hoque Mohammad Anamul , Mia Md Mofizur Rahman , Sarkar Nirmal Kanti , Rasha Sheikh Md Zakirullah 
Published: July 2024

Introduction: Empyema thoracis is a condition in which pus and fluid from infected tissue collects in the pleural cavity. The optimal treatment of empyema thoracis, especially in the acute condition remains controversial, whether to go for a non-operative approach (antibiotics and chest tube drainage) or an early operative regimen, VATS (Video-assisted thoracoscopic surgery). The study is conducted to determine the effectiveness of VATS in the treatment of acute empyema thoracis.
Methods: We conducted a prospective comparative study between two methods of treatment i.e., chest tube insertion and VATS as primary intervention in the acute empyema thoracis. Each group consisted of 40 patients who were diagnosed as acute empyema thoracis during the period of January 2021 and June 2022. The duration of chest tube in-situ, hospital stay, cost, complications, success and outcomes were compared between the two groups.
Results: It was found that VATS was better than the conventional chest tube insertion in terms of the mean duration of hospital stay (16.05 ± 3.58 vs 25.78 ± 4.04 days), mean duration of the chest tube in-situ (8.23 ± 2.09 vs 17.18 ± 3.30 days), mean cost of the treatment (Taka 12962.50 ± 1469.29 vs 19175.00 ± 1443.60), complications (42.5% vs 77.5%) and success rate (80% vs 45%). There was no death in any group.
Conclusion: Video-assisted thoracoscopic surgery (VATS) is feasible and effective in the management of acute empyema thoracis.
J Bangladesh Coll Phys Surg 2024; 42: 223-229
Red cell distribution width (RDW) and neutrophil-to-lymphocyte ratio (NLR) as predictors of outcome in acute pancreatitis
Authors: Saha Dipanwita , Sutradhar Probir Kumar , Alam Md Shafiul , Islam Fahmida , Saha Anita , Fatema Kaniz , Hassan Md Shariful , Karim ASM Bazlul 
Published: July 2024

BACKGROUND
Acute pancreatitis is a commonly encountered emergency in children. It has always been tough to predict accurately among the patients who will become systemically unwell. Simple prognostic markers, such as red cell distribution width (RDW) and neutrophil-to-lymphocyte ratio (NLR), could identify such patients. This study was done to assess the usefulness of those markers.
METHODS
This cross-sectional study was conducted from July 2018 to June 2020 at department of Pediatric Gastroenterology and Nutrition, BSMMU, Dhaka. Thirty-one children with abdominal pain diagnosed as acute pancreatitis were included by purposive sampling in the study.
RESULTS
The mean age of the pediatric patients was 11.19 (±3.45) years. The mean red cell distribution width was 14.99 (±2.96) and mean neutrophil-to-lymphocyte ratio was 4.49 (±3.99). Total thirty patients (97%) were recovered and one patient (3%) died in hospital stay. Thirteen patients (41.9%) developed complications among which ascites was more common (12, 38.7%). NLR> 5 was observed in higher proportion in the study subjects with complications (46.2%) than without complications (16.7%) without any statistically significant difference. RDW ≥14 was found in 53.8% study subjects with complications and 50% without complications. However, no statistically significant difference was found. Length of hospital stay was longer in patients with NLR >5 than with NLR ≤5. RDW <14 was associated with longer hospital stay than RDW ≥14. There was no statistically significant difference.
CONCLUSION
It was found that elevated RDW and NLR on admission had unfavorable clinical outcomes for pediatric patients with acute pancreatitis although statistical significance could not be established. Further multicenter studies with larger sample size are required for making some clinically applicable inference.
J Bangladesh Coll Phys Surg 2024; 42: 259-264