bluuebunny/crossref_metadata_2025_split huggingface dataset:
Diagnostic Accuracy of Ultrasound to Differentiate Neoplastic and Non-Neoplastic causes of Cervical Lymphadenopathy taking Histopathology as the Gold Standard
Authors: Shafi Aqeel , Zameer Shahla , Malik Muhammad Nauman , Liaqat Rabia , Liaqat Bushra , Liaqat Asiya 
Published: October 2023

Objective: To evaluate the efficacy of high-resolution ultrasound and colour Doppler in differentiating neoplastic and nonneoplastic causes of cervical lymphadenopathy compared to histopathological diagnosis.
Study Design: Cross-Sectional study.
Place and Duration of Study: Pakistan Institute of Medical Sciences, Islamabad Pakistan, from Jan to Jun 2019.
Methodology: The study included 110 patients with palpable cervical lymph nodes undergoing neck ultrasound and Fine needle aspiration cytology/Biopsy. Certain important sonological features were considered to categorize them into nonneoplastic and neoplastic groups. Colour Doppler imaging was employed along with grey-scale imaging. The histopathology results were compared with sonographic findings to determine the diagnostic accuracy of ultrasound in differentiating neoplastic from non-neoplastic causes of enlarged cervical lymph nodes.
Results: Our study revealed that High-resolution sonography has 94.4% sensitivity and 88.8% specificity, differentiating between neoplastic and non-neoplastic causes of cervical lymphadenopathy. At the same time, the overall accuracy of ultrasound is 90.9%. The most consistent grey-scale feature in the non-neoplastic nodal group was preserved central fatty hilum, while its loss was significantly associated with neoplastic etiologies.Conclusion: Due to high sensitivity and negative predictive value, high-resolution sonography can be deployed as a first-line investigating tool for enlarged lymph nodes, and invasive procedures like Fine needle aspiration cytology (FNAC) can be abandoned in non-neoplastic lymphadenopathies.
Clinical Manifestations of COVID-19 Infection in Persons with Disabilities (PWDs) at Inpatient Rehabilitation Center –A Hospital-Based Study
Authors: Khalil Muhammad Tawab , Akhlaque Uzma , Ahmad Khalil , Yasmin Rehana , Younas Umer , Irshad Imran 
Published: October 2023

Objective: To describe clinical manifestations of COVID-19 infection in Persons with disability (PWD) in Pakistan.
Study Design: Cross-sectional study.
Place and Duration of Study: Inpatient Rehabilitation Facility (IRF) of Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, from Feb to Oct 2021
Methodology: All PWDs admitted in IRF of AFIRM who tested positive for COVID-19 infection were included by convenience sampling. Patients who tested negative for COVID-19 by PCR were excluded. Data of patients and laboratory and radiological investigations, were recorded. Follow-up after one month was done via phone call.
Results: Twenty patients tested positive for COVID-19, of which 20(95%) were males. The mean age of patients was 38.6 ± 2.5 years. Most patients had Spinal Cord Injuries followed by amputations, and five had co-existing disorders. 11(52.4%) of patients were asymptomatic. Fever, myalgias and cough were common among symptomatic patients. Those who were symptomatic had only one symptom at the time of presentation. All patients had mild disease and recovered gradually without complications at one month of follow-up.
Conclusion: A high index of suspicion of SARs CoV-2 infection should be kept when PWDs present with myalgias or fever inthe current scenario and post-COVID-19 era since PWDs have fewer symptoms of COVID-19 as compared to their peers.Keyswords: Amputations, COVID-19, Pakistan, Persons with disability, Spinal cord injury.
Efficacy of Perineural versus Systemic Dexmedetomidine as an Adjuvant to Bupivacaine for Surgical Anesthesia in Axillary Block
Authors: Majeed Kaukab , Hafiz Amran , Malik Usman Eijaz , Hussain Fayyaz , Saqib Najm Us , Gulraz Amna 
Published: October 2023

Objective: To compare the analgesic effect of different routes of Dexmedetomidine when given as an adjuvant to Bupivacaine in the axillary block for surgical correction of radius fracture.
Study Design: Quasi-experimental study.
Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi Pakistan, from Sep 2021 to Feb 2022.
Methodology: The patients were divided into two equal groups. Group-A (Perineural Dexmedetomidine) and Group B (Intravenous Dexmedetomidine). Group-A received 1ug/kg Perineural Dexmedetomidine along with 30ml of racemic Bupivacaine (0.5%), and Group-B participants received 1ug per kg intravenous Dexmedetomidine after axillary block with 30ml of 0.5% perineural racemic Bupivacaine. The mean duration of analgesia was the primary outcome, and adverse outcomes and sedation were the secondary outcomes.
Results: The duration of analgesia was greater in the perineural Dexmedetomidine Group, with a mean duration of 610.20±29.92 minutes in comparison to the systemic Dexmedetomidine Group, which was 449±39.010 minutes, with pvalue<0.001. Numerical rating scores were higher, and sedation scores were lower in the perineural Dexmedetomidine Group, making it a safer choice.
Conclusion: Perineural Dexmedetomidine is superior to intravenous Dexmedetomidine when used as an adjuvant to Bupivacaine in axillary brachial plexus block. It prolongs analgesia and is a safer alternative to intravenous Dexmedetomidine as an adjuvant.
Comparison of Post-operative analgesia with Bupivacaine versus Ropivacaine for Caudal block in pediatric patients
Authors: Leghari Khursheed Hassan , Ahmed Altaf , Ahmed Usman , Ranjha Ahsan Javed , Tiwana Zaheer Ud Din , Hussain Aftab 
Published: October 2023

Objectives: To compare the post-operative pain relief with Bupivacaine and Ropivacaine for caudal block in children in terms of mean duration of analgesia.
Study design: Prospective comparative study.
Place and duration: Department of Anesthesia, Combined Military Hospital Rawlakot from July 2021 till June 2022.
Methodology: A total of 100 patients undergoing infra-umbilical Surgery as circumcision, herniotomy, orchidopexy and of age 1 to 10 years were included. After induction of general anesthesia, caudal block was given. Group B patients were given 1 ml/kg of 0.25% bupivacaine whereas group R patients were given 1 ml/kg of 0.25% ropivacaine. Modified Hnnallah Pain Score was used to observe the post-operative analgesic effects of the block. Score was noted every 30 minutes. Pain free duration was considered from time of caudal block till the modified Hannallah pain score of 4 or more. Injectable paracetamol 10 mg/kg was given as rescue analgesia as required.
Results: Demographic data was comparable in both groups with no statistical significance. In our study, we have found duration of analgesia as 219.78 ± 35.42 minutes in the bupivacaine group compared with 198.24 ± 34.5 minutes in patients with ropivacaine group with p-value of 0.54 which is statistically significant.
Conclusion: In this study, we concluded that the ropivacaine is as effective as bupivacaine in terms of post-operative pain relief for caudal block in children.
Do Hematocrit Levels Differentiate between Complicated and Uncomplicated Dengue Fever?
Authors: Furrukh Muhammad , Ayaz Saeed Bin , Ayaz Fatima , Rahman Fawad , Ambreen Saima , Rahman Fazal Ur 
Published: October 2023

Objective: To compare mean hematocrit levels in patients with uncomplicated and complicated Dengue Fever and evaluate the role of hematocrit in differentiating uncomplicated and complicated Dengue Fever.
Study Designs: Prospective longitudinal study.
Place and Duration of Study: Department of Infectious Diseases, Holy Family Hospital, Rawalpindi Pakistan, from Oct 2019 to Sep 2020.
Methodology: Around 240 dengue patients were enrolled. Hematocrit level at presentation was measured using an automated haematology analyzer. The patients were then followed for the development of complications (Dengue hemorrhagic fever and Dengue shock syndrome).
Results: Of 240 patients, 183(76.2%) were male, and 57(23.8%) were female. Dengue Fever was present in 96(40%) patients, whereas 144(60%) patients developed complications (Dengue Hemorrhagic Fever and Dengue Shock Syndrome). The mean hematocrit level at presentation significantly differed among the groups (p=0.012). Following the ROC curve analysis, for the cut-off value of 42.6% of hematocrit Group II had a sensitivity of 56.25% and a specificity of 62.5% at an Area under the curve of 0.589.
Conclusion: The mean hematocrit levels were significantly higher in patients with complicated versus uncomplicated Dengue Fever. Hematocrit could not be projected as a predictor of Dengue Fever severity.
Relationship of Peripheral Vestibular Deficits with Metabolic SyndromesAn Experience at CMH Q
Authors: Ayub Zeeshan , Ahmed Azeema , Saeed Irfan , Bashir Saima , Malik Usman Afzal , Iqbal Hamid 
Published: October 2023

Objective: To observe the association between metabolic syndromes and vestibular disturbances.
Study Design: Cross sectional study.
Place and Duration of Study: Departments of ENT & Pathology, Combined Military Hospital, Quetta Pakistan, from Apr 2020 to Jul 2022.
Methodology: The presence of diabetes mellitus and hyperlipidemias was studied in three hundred and twenty-seven cases of peripheral vestibular diseases. Vestibular disorders comprise benign paroxysmal positional vertigo, vestibular neuritis and Meniere’s disease.
Results: In three hundred twenty-seven cases evaluated, glycosylated haemoglobin was raised in 201(61.4%) cases (p-value of0.001), and serum lipid levels were elevated in 180(55%) cases (p-value=of 0.068).
Conclusion: Patients with diabetes mellitus have a significant chance of developing peripheral vestibular disorders.Keywords: Diabetes mellitus, Hyperlipidemias, Peripheral vestibular diseases.
Prevalence of uropathogen producing extended spectrum beta lactamase (ESBL) at urinary tract infection in chronic kidney disease patients
Authors: Wijaya Carolin , Eriata Anselmus Helbert , Rustawan I Nengah Tony , Candra I Kadek Bayu Adhi , Budayanti Ni Nyoman Sri 
Published: October 2023

Background: Urinary tract infection (UTI) is one of the most common bacterial infections encountered by clinicians in developing countries. UTI in patients with Chronic Kidney Disease (CKD) caused by ESBL-producing gram-negative bacteria has been increased in different countries. The common uropathogenic Gram negative bacteria are Escherichia coli and Klebsiella pneumoniae. The aim of this study was to identify prevalence of the common uropathogen producing ESBL E. coli and K. pneumonia among the patients with urinary tract infection (UTI) in chronic kidney disease as well as the susceptibility of antibiotic therapy.
Methods: This was a cross-sectional retrospective study to evaluate clinical urine isolates collected from Prof. Dr. I.G.N.G. Ngoerah Hospital within July 2019 until July 2020. Identification and susceptibility tests in urine isolate were performed by Vitex-2 System (Biomerieux) and interpreted with CLSI 2020 standard.
Results: From 1291 urine specimens, 210 urine specimens were collected (29.43%) from patients with UTI in CKD during 12 months. Prevalence of uropathogen in chronic kidney disease from urine specimens were E.coli (41.57%), K.pneumoniae (13.15%), and Pseudomonas aeruginosa (7.36%). It was found that ESBL produced E. coli (56.32%) and also K. pneumoniae (54%). Susceptibility antibiotic E. coli and K. pneumonia of UTI patient with CKD with ESBL producers were meropenem (99,10%), amikacin (98,07%), tigecycline (92,30%), gentamicin (80%), and fosfomycin (79,47%).
Conclusion: ESBL producers in patient UTI in CKD patients were E. coli 56,32%, K. pneumoniae 54% that were sensitive to meropenem, amikacin, tigecycline gentamicin, fosfomycin.
STRESS MANAGEMENT SURVEY OF NURSING STUDENTS IN FACE TO FACE LEARNING POST ONLINE LEARNING: A CROSS-SECTIONAL STUDY
Authors: Puspitaningsih Dwiharini , Kusuma Yudha Laga Hadi 
Published: October 2023

Background: Almost two years of online learning, finally in early 2022 the Indonesian government began to implement a face-to-face learning model. This can trigger stress for students who will return to carrying out offline learning. Purpose: This study aims to determine stress management in terms of gender, education level, and place of residence for undergraduate nursing students in the Mojokerto district. Methods: Correlation analytic research design with a cross sectional approach of 85 nursing students. The instrument used in the study was a modified questionnaire by researchers who had been tested on the instrument. Results: Showed that almost half of the respondents carried out stress management by listening to music by 18 students (21,2%), surfing the internet by 16 students (18,8%) and praying/listening to prayers by 14 students (16,5%). Conclusion: Stress management that is done to deal with stress on each student has relatively the same characteristics. This is possible because students live in the same area and the characteristics of students in relatively the same year are almost the same. Universities, especially the College of Health Sciences, can provide more facilities for students in reducing stress in order to improve the results and quality of education.
Abstrak
Latar Belakang: Setalah dua tahun pembelajaran daring dilaksanakan, pada awal tahun 2022 pemerintah Indonesia mulai memberlakukan model pembelajaran tatap muka. Hal tersebut dapat memicu stress bagi mahasiswa yang akan kembali melaksanakan pembelajaran luring. Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui manajemen stres ditinjau dari jenis kelamin, tingkat pendidikan, dan tempat tinggal pada mahasiswa S1 Keperawatan di wilayah Kabupaten Mojokerto. Metode: Desain penelitian analitik korelasi dengan pendekatan cross sectional pada 85 mahasiswa keperawatan. Instrumen yang digunakan dalam penelitian adalah kuisioner modifikasi peneliti yang telah dilakukan uji coba instrumen. Hasil: Menunjukkan hampir setengah responden melakukan manajemen stres dengan mendengarkan musik sebanyak 18 mahasiswa (21,2%), berselancar internet sebanyak 16 mahasiswa (18,8%) dan berdoa/ mendengarkan doa sebanyak 14 mahasiswa (16,5%). Kesimpulan: Manajemen stress yang di lakukan untuk mengatasi stress pada masing-masing mahasiswa memiliki karakteristik relatif sama. Hal tersebut dimungkinkan karena mahasiswa berdomisili di wilayah yang sama serta karakteristik mahasiswa pada tahun yang relatif sama juga hampir sama. Perguruan tinggi khususnya Sekolah Tinggi Ilmu Kesehatan dapat lebih memberikan fasilitas mahasiswa dalam menurunkan stres agar dapat meningkatkan hasil dan kualitas pendidikan.
Suatu Kajian Tentang Kepuasan Masyarakat Terhadap Pelayanan Publik Berdasarkan UU No. 25 Tahun 2009
Authors: Degodona Prima , Gulo Briska Julianti , Simanjorang Lasmina Kajol 
Published: October 2023

Penelitian ini bersifat deskriptif kuantitatif dengan tujuan untuk mengukur signifikan pengaruh pelayanan publik terhadap kepuasan masyarakat. Penelitian ini merupakan penelitian survei dengan analisa regresi linear berganda dengan masalah yang dirumuskan adalah hipotesa.
Berdasarkan hasil penelitian yang telah dilakukan menunjukkan bahwa variabel prosedur pelayanan, persyaratan, kejelasan petugas, kedisplinan, kemampuan petugas, kecepatan pelayanan, Kesopanan dan keramahan petugas, dan kenyamanan pelayanan secara bersama-sama mempunyai hubungan yang kuat terhadap pelayanan publik. Hasil uji hipotesa menunjukkan bahwa H1 diterima artinya adanya pengaruh secara parsial dari variabel kepuasan masyarakat yaitu prosedur pelayanan, persyaratan, kejelasan petugas, kedisplinan, kemampuan petugas, kecepatan pelayanan, Kesopanan dan keramahan petugas, dan kenyamanan pelayanan terhadap pelayanan publik. Hasil uji F menunjukkan bahwa H1 diterima artinya bahwa variabel kepuasan masyarakat dipengaruhi dan signifikan terhadap pelayanan publik dan variabel prosedur pelayanan, persyaratan, kejelasan petugas, kedisplinan, kemampuan petugas, kecepatan pelayanan, Kesopanan dan keramahan petugas, dan kenyamanan pelayanan berpengaruh secara serentak terhadap pelayanan publik.
Pengaruh Pemberdayaan Profesionalisme Pegawai Terhadap Kualitas Pelayanan Publik, Studi Kasus Kantor Kecamatan Medan Tuntungan
Authors: Pasaribu Vera A , Sinaga Sadrakh Valencius 
Published: October 2023

Pelayanan publik merupakan salah satu produk aparatur pemerintah yang diberikan kepada masyarakat luas. Penyelenggaraan pelayanan publik merupakan salah satu fungsi utama dalam penyelenggaraan pemerintah yang menjadi kewajiban aparatur pemerintah. Profesionalisme merupakan faktor yang mempengaruhi kualitas pelayanan publik sehingga pegawai sebagai aparatur pemerintah harus bekerja secara profesional untuk memberikan pelayanan publik yang berkualitas
Penelitian ini adalah penelitian survey dengan pendekatan explanatory survey atau descriptive survey. yang bertujuan untuk menganalisi pengaruh profesionalisme terhadap kualitas pelayanan pada Kantor Kecamatan Medan Tuntungan. Dalam penelitian ini yang menjadi populasi adalah seluruh pegawai Kantor Kecamatan Medan Tuntungan yang berjumlah 47 orang. Mengingat jumlah populasi yang relative sedikit maka penentuan sampel dalam penelitian ini menggunakan metode total sampling, yakni mengambil seluruh populasi menjadi objek penelitian sebanyak 47 orang. Instrumen penelitian menggunakan kuesioner yang terdiri dari 30 item pertanyaan. Uji Hipotesis dalam penelitian ini dilakukan dengan analisis regresi linier sederhana dengan uji-t
Hasil penelitian memperlihatkan bahwa pemberdayaan profesionalisme pegawai memberi pengaruh signifikan terhadap kualitas pelayanan publik. Hal ini diindikasikan oleh nilai t-hitung X (10.126) > t-tabel (1.98) dan sig-p (0.001) < sig-a (0.05), Besarnya pengaruh pemberdayaan profesionalisme pegawai terhadap kualitas pelayanan publik adalah sebesar 69.5%
COMPARISON OF FUNCTIONAL OUTCOME BETWEEN TITANIUM ELASTIC NAILING AND HIP SPICA CAST IN TREATMENT OF FEMORAL SHAFT FRACTURES IN CHILDREN
Authors: Khan Kashif Raza , Asim Rasool  , Muhammad Umair  , Majid Rashid  , Tallal Ahmad Lodhi  , Shahid Iqbal  
Published: October 2023

Background: The femur, also known as the thigh bone, holds several notable distinctions within the human body. It is the longest bone, exhibiting considerable strength and durability. Ongoing debate exists regarding the optimal management approach for femoral shaft fractures in children.
Objectives: To compare the frequency of functional outcome between titanium elastic nailing versus hip spica cast in treatment of femoral shaft fractures in children.
Methods: This randomized control trial was conducted at Sahiwal Teaching Hospital Sahiwal. Total 140(70 in each group) patients were enrolled after fulfilling the predetermined selection criteria. Patients were randomly assigned to two separate groups. Group A patients were managed with Titanium elastic nail (TEN) method and group B patients were managed with hip spica cast method. After 3rd month, functional outcome was noted in both groups.
Results: The mean age of the patients was 5.92±2.03 years, 65% patients were male. After 3rd month, in TEN group excellent outcome was seen in 59(84.3%) patients and in Spica Cast group it was seen in 7(10%) patients (p-value=<0.05).
Conclusion: This study concluded that titanium elastic nailing offers higher percentage of excellent functional outcomes compared to hip spica cast in treatment of femoral shaft fractures in children
Keywords: Femoral Shaft Fractures, Hip Spica Cast, Titanium Elastic Nailing, Functional Outcome
RANCANG BANGUN SISTEM AKUISISI DATA UNTUK MENGELOMPOKAN MUSIK PADA PLATFORM MEDIA SOSIAL TIKTOK BERDASARKAN SUASANA HATI
Authors: Hikmah Fratiwi Tria , Putu Suniantara I Ketut , Chandrarani Tifany 
Published: October 2023

TikTok sebagai platform media sosial dengan jumlah pengguna aktif sebesar 800 juta, memungkinkan organisasi atau perusahaan untuk melakukan kegiatan pemasaran digital melalui konten video ringan dan menghibur dengan memanfaatkan berbagai fitur editing video, salah satunya backsound atau musik latar. Pemilihan musik latar yang sesuai dengan suasana hati yang ingin dicapai adalah poin penting dalam rangka memaksimalkan kekuatan persuasif sebuah konten dalam strategi pemasaran digital. Penelitian mengenai sistem akuisisi data untuk mengelompokkan musik pada aplikasi TikTok berdasarkan suasana hati adalah tahap awal dari perancangan sistem kecerdasan buatan yang mampu menangkap kecenderungan representatif suasana hati dari data musik. Melalui penelitian ini diharapkan dapat membantu masyarakat khususnya pelaku usaha dalam menentukan musik latar yang tepat atau sesuai dengan suasana hati yang ingin dicapai dalam rangka menarik serta meningkatkan keterikatan hubungan antara produk atau jasa dengan konsumen atau calon konsumen. Sehingga strategi brand awareness melalui pemasaran digital menggunakan aplikasi TikTok dapat memberikan hasil maksimal.
IMPLEMENTASI METODE ACTIVITY BASED COSTING PADA SISTEM INFORMASI LAUNDRY MENGGUNAKAN METODE WATERFALL BERBASIS WEB (STUDI KASUS : MACAN LAUNDRY PURWAKARTA)
Authors: Meylisa Dina Fajarwati  , Sunandar M. Agus , Husni Tamyiz Uus Muhammad 
Published: October 2023

Perubahan gaya hidup dan tuntutan ekonomi pada zaman modern seperti sekarang ini, macan Laundry adalah salah satu perusahaan yang menyediakan jasa laundry. Dan setiap tahun nya bahan pokok laundry seperti sabun, pewangi, pelicin, dan lain-lain harganya semakin meningkat.
Implementasi sistem informasi laundry, penulis menggunakan metode Waterfall dalam proses pengerjaannya menggunakan Unfiled Model Language (UML) meliputi Use Case Diagram, Activity Diagram, Sequence Diagram dan Class Diagram. Sedangkan untuk bahasa pemrogramman memakai PHP dan databasenya menggunakkan MYSQL.
Hasil implementasi sistem informasi laundry di Macan Laundry Purwakarta ini, admin dapat menolah data mengguakan metode activity based costing, melihat data pelanggan dan melihat pemesanan yang masuk. Dilengkapi fitur login, master data, transaksi, metode ABC, dan laporan. Semua fitur telah diuji fungsionalitasnya menggunakan pengujian Black Box dan dapat berjalan dengan baik.

Kata kunci : Laundry, Metode ABC, Pendataan pemesanan, UML, MySQL.
PERENCANAAN DESAIN JEMBATAN PELANGI UNTUK MENINGKATKAN PARIWISATA DI DESA CIKELAT KECAMATAN CISOLOK
Authors: Yusuf Iskandar  , Rohmat Hidayatulloh  , Luthfil Qolbi N  
Published: October 2023

Desa Cikelat, Kecamatan Cisolok, Kabupaten Sukabumi tepatnya di kampung cikupa terdapat salah satu jembatan yang di namai jembatan pelangi merupakan akses penghubung bagi pejalan kaki dan kendaraan roda dua. Jembatan ini di bangun pada tahun 2019, jembatan ini terbuat dari material kayu. Kondisi struktur dan desain jembatan ini sudah mulai rusak dan harus di lakukan perbaikan kembali. Jembatan yang panjang nya 20 meter dan lebar 1.5 meter ini juga dijadikan warga setempat sebagai tempat pariwisata