bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Text Neck Epidemic: Unveiling the Hidden Burden of Neck Pain among Medical Students
Authors: Yasir Shahzad  , Fraz Mehmood  , Soban Sarwar  , Kashif Ramooz  , Nadeem Akhtar  , Arslan Akram  , Eesha Yaqoob  , Saad Javed  
Published: May 2024

Objective: Text neck syndrome, caused by prolonged mobile device use, is increasingly common, especially among teenagers. Neck pain is a significant public health issue, affecting 40% of the population. Little research has focused on musculoskeletal pain in children and adolescents, including medical students. A cross-sectional study is needed to investigate text neck syndrome among medical students and provide effective prevention and treatment strategies.
Materials & Methods: This cross-sectional study (n=508) utilized an online self-designed questionnaire incorporating the Neck Disability Index and the Nordic Musculoskeletal questionnaire. Descriptive and inferential statistics, including chi-square tests and p-value calculations using SPSS version 25, were employed. The study aimed to examine neck pain prevalence and consequences to inform interventions for improved health outcomes.
Results: Among the 508 participants, 69.4% reported past neck pain. Females, those with higher stress levels, individuals using laptops/tablets for four or more hours, and medical students studying for 4 to 6 hours daily had higher neck pain prevalence (52.0%, 88.2%, 61.9%, and 57.5% respectively). Prevalence remained consistent between pre-clinical and clinical-year medical students. Multivariate analysis revealed a significant association between neck pain and longer mobile phone use, extended study hours, and lack of exercise. Only 16% sought treatment from a chiropractor/physiotherapist for their neck pain.Conclusion: The study emphasizes the importance of better education on neck pain prevention and seeking professional help. Adding exercise to daily routines can also be extremely helpful in preventing neck pain. To fully understand the effect on medical students and develop effective interventions
Frequency of Ventilator-Associated Pneumonia among ICU Admitted Patients with Early Versus Delayed Tracheostomy
Authors: Sidrah Batool  , Muhammad Hassan Raza  , Wajiha Haq  , , Vandana Kafle  , Anjana Kafle  , Anjana Kafle  
Published: May 2024

Objective: Patients on mechanical ventilation in the intensive care unit (ICU) frequently develop ventilator-associated pneumonia (VAP), an acquired lung infection. The incidence of VAP varies highly in different setups. This study aimed to determine the incidence of VAP in the surgical ICU and the associated costs.
Materials & Methods: An observational cross-sectional study was conducted and included 116 patients who had a tracheostomy in the surgical ICU of Lahore General Hospital. They were observed for the occurrence of VAP, mortality, ICU stay in days, and cost of the ICU stay. Tracheostomies done before 7 days from mechanical ventilation with the expectation of needing extended ventilatory support were classified as early tracheostomies (Group E), whereas those performed after 7 days owing to failure to wean were classified as late tracheostomies (Group L).
Results: Patients in the early tracheostomy group had a mean age of 45.16 years, while those in the late tracheostomy group had a mean age of 50.00 years. Compared to the early tracheostomy group, the late tracheostomy group had a greater incidence of VAP, 8(25.8%) and 24(53.33%), and mortality, 8(25.8%) and 22(48.88%), respectively. Mean values like pre-tracheostomy ventilation were 4.70 & 12.17 days, ICU stay was 9.54 & 16.64 days and total cost in PKR was 796774.19 & 1438888, respectively among early tracheostomy & late tracheostomy groups.
Conclusion: The occurrence of VAP and mortality is significantly lower in patients who have undergone early tracheostomy.
Text Neck Syndrome among Undergraduate Students in Lahore, Pakistan
Authors: Syed Ali Zunair  , Babar Butt  , Farhan Fateh Jang  , Amna Malik  , Nasir Raza Awan  
Published: May 2024

Objective: To evaluate the frequency, severity, and prevalence of Text Neck Syndrome among undergraduate students using mobiles, tablets, or laptops.
Material and Methods: The descriptive study was conducted in two private colleges in Lahore after approval from the institutional review board of Sharif Medical and Dental College, Lahore, Pakistan. Students with ages greater than 16 years who used mobile phones daily for more than 1 hour were enrolled. Baseline demographic information was collected and questions regarding the duration of phone usage and neck pain were asked. Calculated a sample size of 266 with the help of the WINPEPI statistical program with a confidence of 95% and acceptance difference of 0.06 with an assumed proportion of 0.46.
Results: The age range was 18 – 23 years. Out of 266 undergraduate students, 122 (46%) were male and 144 (54%) were female. 157 (59%) students reported having neck pain: Mild in 88 (56.1%), Moderate in 55 (35%), and Severe in 14 (8.9%) students according to self-perception. 97 (61.8%) students were intermittent, 35 (22.3%) had continuous, and 25 (15.9%) had debilitating neck pain.
Conclusion: According to this study, Text Neck Syndrome was common in undergraduate students using smartphones, tablets, or laptops.
Prevalence and Impact of Hyponatremia on Hospital Stay in Subarachnoid Hemorrhage Patients
Authors: Zeeshan Ullah  , Ihtisham Ullah  , Imad Majeed  , Muhammad Fawad Khan  , Saad Ali  , Hina Nawaz  , Asim Ali Shah  
Published: May 2024

Introduction: This research study was designed to ascertain the prevalence of hyponatremia and its impact on the duration of hospital stay in patients with subarachnoid hemorrhage (SAH) in our local population.
Materials & Methods: We carried out this study at the Department of Neurology, Lady Reading Hospital Peshawar for 1 year, which started in March 2022. The total sample size was 90 and a consecutive sampling method was used for sampling the study population. Patients aged between 20 to 70 years and who had a diagnosis of SAH were involved in included in the study, while those with confounding conditions were put in the exclusion criteria.
Results: Our study showed a high prevalence of hyponatremia (42%) in patients with SAH, and it was associated with a prolonged duration of hospital stays of 8.2 days (SD±3.5). There was a statistical difference in the mean hospital stay between the patients with hyponatremia and those without hyponatremia (t=3.2, p<0.002).
Conclusion: Our study reported a high prevalence of hyponatremia in SAH patients and has established an association with longer hospital stays. Thus, identifying and managing patients of hyponatremia with SAH promptly should be emphasized for better results and to lessen the financial burden on families and the hospital.
Demographic Profiling of Patients on Drug Dependence Admitted in Punjab Institute of Mental Health, Addiction Treatment Centre, Lahore
Authors: Farakh Abdullah  , Aqila Unbrin  , Muhammad Ahmad Faisal  , Tahira Arshad  
Published: May 2024

Objective: Drug dependence is a global public health concern, affecting millions and contributing to widespread negative consequences. This research delves into the demographic characteristics of drug abuse patients at the Punjab Institute of Mental Health (PIMH) Addiction Treatment Center in Lahore, Pakistan.
Materials and Methods: Utilizing a cross-sectional research-based descriptive design, the study employs purposive sampling and a comprehensive questionnaire to collect data from 100 drug abusers. The analysis considered age, gender, socioeconomic status, residential area, occupation, education, marital status, and family system, shedding light on the diverse factors contributing to the drug dependence of the patients.
Results: The results revealed a diverse age range (18-80 years) among participants (M=33,4, SD=10.3), most of them belonging to lower (34%) and middle class (39%); 67 respondents residing in the urban region and 32 from the rural areas. Heroin (32.3%) was reported to be the most consumed substance while cannabis (25.8%) and crystal methamphetamine (16.4%) were the second and third respectively taken mostly through sniffing. Among the reasons for using drugs, peer pressure came out to be the most reported cause.
Conclusion: The findings underscored the complexity of drug dependence, necessitating targeted interventions that consider demographic variations that are crucial for effective treatment and prevention strategies. The study contributed valuable knowledge to the existing scientific understanding of drug dependence, paving the way for more informed public health initiatives.
Outcome of Dual Stability and Decompression through Single Posterior Approach in Tuberculosis of Dorsolumbar Spine
Authors: Waqar Ahmed  , Khizer Ghalib  , Adeel Hamid  , Muhammad Shakeel  , Muhammad Qasim  , Muhammad Khalid Syed et al.  
Published: May 2024

Objective: To evaluate the outcome of dual stability and decompression through a single posterior approach in patients with tuberculosis of the dorsolumbar spine in terms of Oswestry Disability Index and Frankel Neurological Grading.
Material and Methods: It was a prospective cohort study involving 34 patients with tuberculosis of the dorsolumbar spine who underwent dual stability and decompression through a single posterior approach. Follow-ups were done at 2nd, 6th, 12th and 16th weeks. The outcome was assessed using the Oswestry Disability Index and Frankel Neurological Grading.
Results: In 34 patients, the mean age was 36.59±13.51 years. There were 20 (58.8%) males and 14 (41.2%) females. There were 9 (26.5%) patients who had dorsal spine tuberculosis, while lumbar spine TB and dorso-lumbar spine TB were diagnosed in 13 (38.2%) and 12 (35.3%) patients respectively. The mean surgery time was 4.20±0.66 hours. According to the Oswestry Disability Index, before surgery, 2 (5.9%) patients had minimal disability while after 16 weeks of follow-ups, these numbers increased to 23 (67.7%) showing statistically significant improvements. According to Frankel Neurological Grading, before surgery, 3 (8.8%) patients had normal function while after 20 weeks of follow-up following surgery, 20 (58.9%) had normal functions.
Conclusion: Dual stability and decompression through a single posterior approach were found to have good functional and fusion outcomes according to the Oswestry Disability Index and Frankel Neurological grading.
Perfil sociodemográfico da Tuberculose nos municípios do Rio Grande Do Sul no período de 2018 a 2022
Authors: Carraro Caroline , Cavalcanti de Morais Juliana , Lima de Castro Maria Luiza , Lira Milhomem Emanuela 
Published: May 2024

Introdução: A tuberculose é uma doença infectocontagiosa crônica grave que afeta principalmente os pulmões. Objetivo: Descrever o perfil sociodemográfico da tuberculose nos municípios do Rio Grande do Sul em um período de cinco anos. Metodologia: Foram coletados dados do Sistema de Informação de Agravos de Notificação (SINAN), na plataforma do Banco de Dados Digitais do SUS (DATASUS) entre 2018 e 2022. Resultados: Perfil predominantemente masculino, jovem, de pele branca, com baixa escolaridade, apresentando uma predominância de casos novos no tipo de entrada, a forma pulmonar da doença, desfecho favorável, na maioria dos casos o tratamento diretamente observado não foi realizado e houve uma dominância de casos negativos para coinfecção tuberculose/HIV. Conclusão: Percebe-se a importância deste estudo para compreender de modo mais eficaz o perfil da tuberculose nestes municípios, a fim de contribuir para iniciativas de prevenção e melhores prognósticos.
UJI EFEKTIVITAS SALEP EKSTRAK ETANOL DAUN SIRIH CINA (Peperomia pellucida) TERHADAP PENYEMBUHAN LUKA EKSISI PADA TIKUS PUTIH (Rattus norvegicus)
Authors: Sari Rika Puspita 
Published: May 2024

ABSTRAK
Wahyuni. Test the effectiveness of Chinese betel leaf ethanol extract ointment on excision wound healing in white rats (Supervised by: apt.Rika Puspita Sari, S.farm.,M.Si )

Wounds are physical injuries that can cause tears and damage to skin tissue. One type of the wound is an excision wound. An excision of wound caused by the cutting of tissue by a sharp object. The main goal in wound management is to achieve rapid healing with optimal fuction and good result. That can be achieved by preventing infection and trauma by providing an environtment that optimizes wound healing. One of the plants that have the potential to heal wounds is the Chinese betel plant that have the potential to heal wounds is the Chinese betel plant the purpose of the research to determine the effectiveness of giving Chinese betel leaf extract on excision wound healing in white rats(rattus norvegicus). The research was conducted in the laboratory of health the husada deli tua.
The method of the research conducted out experimentally, the sample was extracted by the maceration method. And then the extract was formulated into ointment availability with concentrations of 2%,4%, and 8% furthermore, on evaluation of the availability of the ointment was carried out, by organoleptic test, homogeneity test, pH test and spreadability test.
The result of the research for each group gave the best treatment experienced a decrease in the diameter of the cut wound was the positive control group (povidone iodine) and 8% concentration. Conclusions: the ethanol extract of chial betel leaf has the effectiveness of healing excision wounds at a concentration of 8%
Keywords: Chinese betel leaf extract, excision wound
ANALISIS NILAI SPF PADA PRODUK TABIR SURYA MENGGUNAKAN METODE SPEKTROFOTOMETRI UV-VIS
Authors: Yuliati Ninis , Agustini Silvia Putri , Pujiono Fery Eko , Mulyati Tri Ana 
Published: May 2024

Indonesia is a country with high sun exposure and the potential for high sun exposure. These rays are UVA (290-320) and UVB (320-400) rays which have both good and bad effects on humans. The formation of Vitamin D and provitamin D is a benefit, but with severe ozone depletion the UV rays produced can be harmful to human health and can cause cancer. Sunscreen which is used to protect the health of human skin from the negative effects of solar radiation and can absorb light exposure is often used in daily life as a cosmetic whose effectiveness in light absorption is based on the value of the sun protection factor (SPF), hereby to determine the value and category SPF value on sunscreen products with UV-Vis Spectrophotometry method to find out its effectiveness. By using the sampling method of Non Probability Sampling. In the determination, mixing 3 samples of sunscreen, the determination of this SPF value is a measure of the protection of sunscreen cream preparations against Ultraviolet rays. The higher the SPF value, the greater the protective effect against sunburn. The results obtained deviation of 1.04 with an average SPF in this study was 4.1 which was included in the SPF category with minimal protection.
SYSTEMATIC REVIEW : UJI AKTIVITAS ANTI BAKTERI EKSTRAK BUAH ANDALIMAN (ZANTHOXYLUM sp)
Authors: Batubara Amirah Nahdiah , Batubara Saiful , Simanjuntak Afrilius 
Published: May 2024

One type of spice whose utilization is still very limited is andaliman (Zanthoxylum sp), the Rutaceae tribe which is a typical Batak cooking spice. This study uses a systematic review method. The data used in this study are from research results that have been published in national and international journals. The results of a search for journal publications related to Andaliman Antibacterial Activity (Zanthoxylum sp) for the first phase of the 2012-2022 publication period obtained 34 domestic and foreign journal publications. After conducting a review based on the criteria, 14 journals were selected, 6 Indonesian language journals and 8 English language journals. 24 journals were excluded because they did not meet the criteria. The disc diffusion method is the most widely used method. S aureus and E.coli most dominant of data on Minimum Inhibitory Concentration (MIC) related to the antibacterial effect of andaliman (Zanthoxylum sp).
FORMULASI DAN EVALUASI SEDIAAN SERUM WAJAH EKSTRAK ETANOL KOMBINASI DARI EKSTRAK KULIT JERUK NIPIS (Citrus aurantiifolia) DAN EKSTRAK KULIT BUAH NAGA MERAH (Hylocereus polyrhizus)
Authors: Simorangkir Delisma , Irmayanti Nina 
Published: May 2024

Background: The skin of the key orange (Citrus aurantiifolia) contains kuersetin, miristin, routinely, tangerine, naringin and hesperine, while the skin of the red dragon fruit (Hylocereus polyrhizus) contains betaalanin, anthocyanin, vitamin a, vitamin a, vitamin e, turnioid, flavonoid, tiamin, niacin, piridoine, kobalamin, carotene, and fitoalbumin. The research was intended to formulate it in a availability of facial serum and then evaluate its quality formula for a better facial serum from 16-4954-1998. Methods : This method of research is experimental in the laboratory by making 4 formulas consisting of F1 as serum bases, F2 ratio EKJN and EKBNM (1:1), F3 ratio EKJN and EKBNM (1:2) ,F4 ratio EKJN and EKBNM (2:1).Results : The results of all the formulas for existing existing face-serum EKJN ethanol and EKBNM viscers show a clear, clear, yellowish color, a gel-based, characteristic and homogenous odor. pH and viscosity scores on each condensed formula. No irritation test on the formula showed irritation to the skin.Conclusion : Based on this, it can be concluded that the combined ethanol extract of lime peel extract and red dragon fruit peel extract can be formulated into a facial serum cosmetic preparation and meets the quality requirements according to SNI.
Penyuluhan Dan KIE Mengenai Dismenorea Serta Upaya Penurunan Nyeri Desminore Di SMA N 1 Delitua
Authors: Yanti Mutiara Dwi , Purba Tetty Junita , Siregar GF. Gustina , Siagian Nurul Aini 
Published: May 2024

Masa remaja merupakan masa perkembangan pada diri remaja yang sangat penting, yang di tandai dengan matangnya organ-organ fisik (seksual) sehingga nantinya sudah mampu untuk bereproduksi. Masa remaja merupakan salah satu periode dari perkembangan manusia yang sangat penting, Salah satu tanda keremajaan yang muncul secara biologis yang di alami pada wanita adalah menstruasi. Menstruasi di mulai saat pubertas dan kemampuan seorang wanita untuk mengandung anak atau masa reproduksi. Menstruasi biasanya di mulai antara usia 10 sampai 16 tahun, tergantung pada berbagai faktor, termasuk kesehatan wanita, status nutrisi. Banyak gangguan menstruasi yang biasa di hadapi wanita ketika sedang menstruasi, gangguan ini biasanya menyebabkan ketidaknyamanan fisik bagi seorang wanita karena dapat menganggu aktivitas mereka. Salah satu ketidaknyamanan fisik yang di alami yaitu nyeri haid. Nyeri haid (dismenorea) adalah nyeri atau kram pada perut bagian bawah, yang muncul sebelum atau sewaktu menstruasi. ini merupakan keluhan ginekologis yang di sebabkan oleh ketidak seimbangan hormone progesterone dalam darah sehingga menimbulkan nyeri saat haid. Rasa nyeri ini merupakan hal umum yang dialami oleh wanita sesaat atau seblum menstruasi. Banyak wanita yang mengalami ketidak nyamanan fisik akibat nyeri haid ini, setengah dari seluruh wanita menderita akibat dismenorea ini, nyeri ini dapat di gambarkan dengan nyeri ringan, sedang, dan berat. Tujuan penyuluhan ini Untuk memberikan panduan dalam KIE mengenai dismenorea kepada siswi SMA N 1 Delitua, serta mengidentifikasi berbagai upaya yang dapat dilakukan untuk mengurangi nyeri dismenore pada tahun 2023. Dari hasil di atas terlihat bahwa seluruh siswa putri di SMAN 1 Deli Tua yang hadir mengikuti kegiatan PKM sebanyak 40 orang yang terdiri dari seluruh perwakilah siswi putri dari setiap kelas mulai dari kelas X-XII. Dan dari 40 siswi tersebut masih sebagian kecil yang paham bagaimana upaya penurunan nyeri dismenorea ketika menstruasi. Hal ini perlu mendapat perhatian khusus di karenakan nyeri dismneorea ini sangat menggangu aktifitas sehari-hari, salah satunya ketika sedang sekolah dan sedang dalam proses belajar. Para siswi akan menjadi tidak fokus belajar ketika merasakan yeri dismenorea ini.
Sosialisasi Instrumen Kualitas Hidup Lansia Dengan Hipertensi Pada Kader Posyandu Lansia di Masyarakat
Authors: Febriana Annisa , Lestari Devi Hairina , Pefbrianti Diana , Ifansyah M. Noor 
Published: May 2024

<p align="center"><strong>Abstrak</strong></p><p><em>Instrumen kualitas hidup pada lansia hipertensi merupakan instrumen yang telah dikembangkan berdasarkan hasil penelitian. Sosialisasi instrumen kepada kader posyandu lansia perlu dilakukan agar kualitas hidup lansia dapat dinilai lebih dini, sehingga dapat membantu Petugas Puskesmas dalam melakukan pencegahan sekunder pada lansia hipertensi untuk mengurangi resiko komplikasi hipertensi. Tujuan pengabdian kepada masyarakat ini untuk mensosialisasikan instrumen kualitas hidup lansia dengan hipertensi yang telah dikembangkan kepada kader posyandu lansia di masyarakat. Media yang digunakan dalam sosialisasi adalah booklet instrumen kualitas hidup lansia hipertensi. Pengabdian masyarakat dilakukan di Desa Tambak Ilir Baru dengan peserta 7 orang kader posyandu lansia. Kegiatan dilakukan selama 40 menit berupa pemberian booklet instrumen dan penjelasan mengenai pentingnya melakukan pengkajian kualitas hidup serta mengenai cara pengisian instrumen kualitas hidup lansia hipertensi beserta interpretasi dari hasil pengkajian. Sosialisasi yang dilakukan diterima dan mendapat respon antusias oleh kader posyandu lansia. Setelah sosialisasi dilakukan, diharapkan kader posyandu dapat menerapkan pengkajian kualitas hidup kepada lansia yang menderita hipertensi agar kedepannya dalam pemberian intervensi menjadi lebih optimal sehingga kualitas hidup lansia yang rendah dapat ditingkatkan.</em> </p><p><strong>Kata kunci<em>: </em></strong><strong><em>Kader Posyandu Lansia, Lansia, Kualitas Hidup, Hipertensi.</em></strong></p>
FUNGSI SISTEM PENGELOLAAN KEARSIPAN DALAM MENUNJANG EFISIENSI KINERJA DI DINAS PEKERJAAN UMUM DAN PENATAAN RUANG KABUPATEN SITUBONDO
Authors: Hasanah Usrotul 
Published: May 2024

Kearsipan merupakan bagian pekerjaan kantor yang sangat penting. Arsip berisi informasi-informasi yang tertulis mengenai keputusan-keputusan maupun pikiran-pikiran yang harus tersedia apabila sewaktu-waktu dibutuhkan, sehingga dapat ditemukan dengan cepat dan mudah. Efisiensi pengelolaan kearsipan pada suatu kantor dipengaruhi pula oleh pegawai yang bekerja pada unit kearsipan, sarana atau fasilitas yang dipergunakan dalam membantu pengelolaan arsip dan dana yang tersedia untuk pemeliharaan arsip tersebut. Pengelolaan arsip di Dinas Pekerjaan Umum Dan Penataan Ruang Kabupaten Situbondo terdapat beberapa masalah yang perlu mendapat perhatian untuk meningkatkan kinerja pengelolaan kearsipan antara lain sebagai berikut: a. Belum optimalnya pengelolaan keearsipan, b. Belum teraturnya pengelolaam data dan arsip, c. Kurangnya efisiensi dalam pengelolaan kearsipan, d. Disisi lain kondisi sumber daya manusia (SDM) belum mempunyai kemampuan yang memadai di bidang kearsipan, rendahnya motivasi kerja karena bagian pekerjaan ini merupakan jenis pekerjaan yang tidak banyak diminati bagi banyak pegawai.
Tujuan penelitian ini adalah : 1) Untuk mengetahui gambaran tentang penyimpanan arsip yang dilaksanakan di Dinas Pekerjaan Umum Dan Penataan Ruang Kabupaten Situbondo, 2) Untuk mengetahui faktor-faktor yang dapat mempengaruhi efisiensi pangelolaan kearsipan dalam menunjang kinerja pegawai pada suatu kantor, 3) Untuk mengetahui tentang penilaian dari pemeliharaan arsip dapat melestarikan informasi yang terkandung dalam arsip agar terhindar dari kerusakan dan kehilangan, 4) Untuk mengetahui masalah-masalah yang dihadapi dalam pengelolaan arsip di Dinas Pekerjaan Umum Dan Penataan Ruang Kabupaten Situbondo.Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian deskriptif dengan pendekatan kualitatif.
Hasil penelitian ini sebagai berikut: 1) penyimpanan arsip tidak mencukupi untuk menampung. 2) Penyusutan arsip pada Dinas Pekerjaan Umum Dan Penataan Ruang Kabupaten Situbondo tidak berjalan dengan baik. 3) Peminjaman arsip pada Dinas Pekerjaan Umum Dan Penataan Ruang Kabupaten Situbondo belumlah dapat dikatakan baik. Hal ini karena, prosedur peminjaman arsip sangatlah mudah karena dengan pelaporan saja setiap orang dapat meminjam arsip