bluuebunny/crossref_metadata_2025_split huggingface dataset:
EFEKTIVITAS PENGGUNAAN ALAT NEBULIZER JET AEROSOL DAN ULTRASONIC TERHADAP PERUBAHAN SATURASI O2 PADA PASIEN ASMA DI IGD RSUD Dr.H. MOCH. ANSARI SALEH BANJARMASIN DAN RSUD RATU ZALECHA MARTAPURA
Authors: Mariana Evi Risa , Fitriani Ayu , Ramie Agustine 
Published: January 2024

Pemberian terapi inhalasi dengan menggunakan nebulizer umumnya akan dilakukan pada pasien yang mengalami serangan asma. Terapi ini dapat membuat perubahan terhadap nilai saturasi oksigen. Di rumah sakit terutama IGD, pemberian terapi nebulizer umumnya dengan nebulizer jet-aerosol dan ultrasonik. Penelitian ini bertujuan untuk melihat keefektifan penggunaan alat Nebulizer Jet-Aerosol dan Ultrasonik terhadap perubahan Saturasi O2 pada pasien Asma di IGD RSUD Dr. H. Moch. Ansari Saleh Banjarmasin dan IGD RSUD Ratu Zalecha Martapura.
Penelitian ini menggunakan pendekatan Quasy Experiment. Pengambilan sampel menggunakan teknik purposive sampling sebanyak 20 responden pasien asma yang masuk di IGD RSUD Dr. H. Moch. Ansari Saleh Banjarmasin dan IGD RSUD Ratu Zalecha Martapura bulan April - Juni 2018. Instrumen berupa lembar observasi terstruktur dan pengukuran saturasi oksigen menggunakan pulse oximetry.
Hasil penelitian menunjukkan adanya perubahan nilai saturasi oksigen. Uji Paired Sample T-Test pada data pasien terapi jet-aerosol menunjukkan nilai signifikansi p= 0,003 dengan selisih rata-rata -2,40. Nilai p value < 0,05 sehingga ada pengaruh penggunaan alat Nebulizer Jet-Aerosol terhadap perubahan saturasi oksigen pada pasien Asma di IGD RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Uji Paired Sample T Test pada data pasien ultrasonik menunjukkan nilai signifikansi p= 0,000 dengan selisih rata-rata -5,10. Nilai p value < 0,05 sehingga ada pengaruh penggunaan alat Nebulizer Ultrasonik terhadap perubahan saturasi oksigen pada pasien Asma di IGD RSUD Ratu Zalecha Martapura.
Peningkatan saturasi oksigen dapat menjadi salah satu indikator untuk melihat keefektifan terapi nebulizer, apabila dilihat peningkatan saturasinya nebulizer ultrasonik lebih efektif untuk digunakan.
PERANCANGAN MEDIA PROMOSI DALAM KEPATUHAN MENGKONSUMSI GERTELLA TERHADAP PENURUNAN TEKANAN DARAH PADA PRA LANSIA DI KOTA BENGKULU
Authors: Linda Linda , Triana Winda , Anggraini Desi Veti 
Published: January 2024

Penyakit tidak menular (PTM) merupakan faktor utama yang dapat menyebabkan kematian di dunia. Penggunaan bahan alami seperti tanaman tanaman rosella (Hibicus Sabdarifa Fam), merupakan salah satu cara yang dapat dilakukan untuk menurunkan tekanan darah. Tanaman rosella ini dapat berpengaruh dalam penurunan kadar serum kreatinin, kolestrol, dan glukosa karena mengandung senyawa kimia. Aplikasi gertella dapat memudahkan dalam membantu kepatuhan kepatuhan mengkonsumsi gertella. Tujuan penelitian ini untuk mengetahui pengaruh media promosi dalam kepatuhan mengkonsumsi gertella sebagai upaya penurunan tekanan darah. Penelitian ini menggunakan metode quasi eksperimen two group pretest dan posttest design. Responden mengkonsumsi teh rosella 1-2 kelopak sempurna (2 gram) per hari selama tujuh hari. Sampel berjumlah 30 kelompok aplikasi gertella dan 30 kelompok whatsapp group. Hasil penelitian pada kelompok aplikasi gertella terdapat perbedaan rerata tekanan darah sistolik sebelum dan sesudah intervensi dengan ? = 0,000 < 0,05. Terdapat perbedaan rerata tekanan darah diastolik sebelum dan sesudah intervensi dengan ? = 0,003 <0,05. Pada kelompok whatsapp group terdapat perbedaan rerata tekanan darah sistolik sebelum dan sesudah intervensi dengan ? = 0,019 < 0,05. Terdapat perbedaan rerata tekanan darah diastolik sebelum dan sesudah intervensi dengan ? =0.009. Kesimpulan terdapat pengaruh aplikasih gertella terhadap kepatuhan dalam penurunan tekanan darah pada lansia.
Genotypes and Phenotypes of Arab Patients with Familial Mediterranean Fever in North Jordan
Authors: Alawneh Khaldoon M , Jaradat Saied A , Obeidat Marya , Kewan Tariq , Zahran Deeb , Alawneh Diala , Sweiss Nadera J 
Published: January 2024

Objectives: Familial Mediterranean Fever (FMF) is an autosomal-recessive disorder caused by mutations in MEFV gene. Hundreds of mutations have been described in patients with FMF. The aim of this study was to analyze the common genotypes of Arab patients with FMF from Jordan and to establish genotypephenotype correlation patterns.
Methods: This cross-sectional retrospective study was performed in a tertiary hospital in the north of Jordan. A total of 123 patients with FMF were recruited from the rheumatology outpatient clinic at King Abdullah University Hospital. Patients were diagnosed according to Tel-Hashomer criteria and a carrier of at least one previously identified MEFV gene mutation. Demographics and clinical manifestations were recorded.
Results: Mean age at diagnosis was 17.49 years and M:F ratio was 1.05:1. The following mutations were common among our patients: R202Q (41.4%), M694V (22.1%), E148Q (10.3%), V726A (11.3%), M680I (5.3%), and M694I (3.7%). Among them 26% were homozygous, 11% were compound homozygous, 26% heterozygous, 42% were compound heterozygous, and 18% were other complex genotype including homozygosity and heterozygosity of more than one mutation. As for genotype-phenotype correlation, 65% of the patients with skin rash had R202Q mutation, while M694V mutation was associated with abdominal and chest pain. Amyloidosis correlated most with the M694I mutation (66.7%).
Conclusion: The results confirm the frequency of the previously and commonly identified mutations and highlight the association of R202Q polymorphism with skin rash phenotype among adult Jordanian FMF patients. Additionally, both M694V and M694I mutations were associated with different clinical presentations.
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 54-62
Clinical profile, dietary zinc content, and lifestyle habits of adult male and female hbss and hbsc patients
Authors: Alaka Anuoluwapo Abisola , Alaka Olubunmi Olayemi , Iyanda Ayobola Abolape 
Published: January 2024

Objective: Males and females have been reported to show significant variation with respect to clinical profile of sickle cell disease (SCD) (e.g. cardiovascular, musculoskeletal and chronic end-organ complications). Clinical features of SCD are also influenced by lifestyle and dietary habits. Thus, the study was conducted to examine whether the distributions of other manifestations (e.g. priapism, pain frequency, leg ulcers rates) and habits (lifestyle, dietary) of SCD patients in Osun state, Nigeria are influenced by gender or genotype.
Material and methods: Questionnaires were administered to obtain information on age, gender, concoction/herbal preparations, and fruit/vegetable consumption, as well as zinc contents of 24-hour meal recall, physical exercise, lifestyle parameters and clinical profile of SCD. Descriptive (relative frequency) and inferential (Chi-square (χ2) test of independence) statistics were employed. Statistical significant was set at p<0.05.
Results and discussion: HbSS rather than HbSC showed higher distributions of pain frequency and more frequent hospitalization rates at p= .001 and p=.001 respectively. There was no significant relationship between hemoglobin genotype and the following variables: leg ulcers, priapism, fruit intake, herb/concoction consumption, 24-hour dietary zinc content. Moreover, all the variables were not influenced by gender not only among HbSS but also HbSC patients.
Conclusion: There are indications from data obtained that clinical profile of SCD such as priapism, leg ulcers, high hospitalization rates and pain episodes are present among HbSS and HbSC SCD patients in Osun state Nigeria. Although only pain episodes and hospitalization rates were significantly higher among HbSS than HbSC, for either variable though there was no gender bias in its distribution. Similarly the distributions of other variables (such as exercise, dietary, etc) for each of SCD (HbSS, HbSC) categories were not influenced by gender.
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 74-82
Sociodemographic Association of Caregivers Burden with Schizophrenia Disorder
Authors: Ishaque Farhan , Emad Farkhanda , Masooma Shaiaza , Hasan Syed Mustafa , Zaidi Syed Muhammad Zaeem , Azmat Syeda Fatima 
Published: January 2024

Objective: The aim of this study is to find out a relationship between life satisfaction and caregiver burden among patients who are suffering from psychiatric illness.
Materials and methods: The sample size of this study was 170 psychiatric patients. Primarily consent was received from the higher authorities of the psychiatric hospitals and rehabilitation centers in Karachi. Zarit Burden Interview Scale (ZBIS) and Satisfaction with Life Scale (SWLS) were used. Psychiatric patients were divided into schizophrenia disorder (n = 85) and bipolar disorder (n = 85). Data were analyzed by statistics software (SPSS, version, 20.0). The sample was constituted with male 75 (44.1%) and females were 95 (55.9%). The average age range of caregivers was between 19 and 60 years with M = 44.74 and SD = 12.05 years.
Results : The results indicated that caregiver burden was a significant predictor of satisfaction with life in patients with schizophrenia disorder [R2, .554; F (1.84) = 36.711, p<.000]. A significant difference was also observed between male and females caregivers of psychiatric patients on the variable of caregiver burden and satisfaction with life scale (i.e. t=-3.129; p=.<002; t=3.528; p=.<.001).
Conclusion: It is concluded that caregiver burden significantly affects the level of mental health of the caregivers of patients with psychiatric disorders.
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 89-94
The Effect on Clinical Stress Levels of the Readiness and Acceptance Nursing Students Regarding the Online Learning Method Used in Professional Skills Practice
Authors: Fethiye Yelkin ALP , Arsalan Gülşah G , ÖZDEN Dilek , Yilmaz İlkin , ERTUĞRUL Büşra , Duztepeliler Seda 
Published: January 2024

Objective: The study was conducted with the aim of determining the readiness and acceptance levels and the clinical stress levels of students of a faculty of nursing for online learning in before, during and after clinical practice.
Material and method: The descriptive research was executed with 233 students enrolled in the Faculty of Nursing in Izmir, in the western part of Turkey. The data was collected by means of Student Descriptive Characteristics Form,the Online Learning Readiness Scale (OLRS), the Online Learning Acceptance Scale (OLAS) and the Clinical Stress Questionnairre (CSQ). Number-percentage distribution, test/Mann Whitney-U/Kruskal Wallis analysis, Friedman variance analysis were used in the evaluation of the relevant data.
Results: The difference between the three different measurements of the OLRS and OLAS were examined, and a statistically significant difference was found between them (X2=14.52, p<0.05; X2=35.02; p<0.05). The difference between the three different CSQ measurements was examined, and a statistically significant difference was found between them (X2=37.68; p<0.05).
Conclusion: In conclusion, it was determined and identified that the readiness of the students for online learning and their acceptance levels show increase in the recurrent measurements and their stress levels with clinical practice reduces.
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 95-101
Differences in the Effectiveness of Infrared Therapy for Reducing Musculoskeletal Pain in the Elderly
Authors: Untari Ida , Prasojo Ipin , Sarifah Siti 
Published: January 2024

Objective: A health problem that is a priority for medical care and treatment for the elderly is pain in the musculoskeletal system. Non-pharmacological management in the form of treating musculoskelatal pain in the elderly, one of which is infrared therapy. Infrared therapy is able to reduce pain in the elderly and requires close supervision because the elderly experience a decrease in skin sensitivity to heat. The effectiveness of reducing pain varies in the elderly. One of the influencing factors is age. This study’s objective is to determine differences in the effectiveness of infrared therapy to reduce musculoskeletal pain in the elderly group.
Materials and methods: This study used an experimental research method with a nonrandomized pretestposttest control group design. The research location was conducted at the Posbindu Institut Teknologi Sains dan kesehatan PKU Muhammadiyah Surakarta, in September - October 2022. A sample of 50 elderly people was divided into elderly (> 60 years: 30) and pre-elderly (45-60 years: 20) selected using a purposive technique sampling. The dependent variable is musculoskeletal pain. The independent variable is infrared therapy. Data were analyzed by Wilcoxon and Mann-Whitney test.
Results and Discussion: The Wilcoxon test showed that there was an effect of infrared therapy in reducing musculoskeletal pain in the elderly and preelderly groups (p value <0.001 and <0.001). The average reduction in pain in the elderly group = 3.1; SD = 1.3 and pre-elderly = 2.95; SD = 1.2. The Mann-Whitney test showed no difference in reducing musculoskeletal pain using infrared therapy in the elderly and pre-elderly (p = 0.712).
Conclusion: Infrared therapy is effective in reducing musculoskeletal pain and reducing musculoskeletal pain for the two elderly groups are similar
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 108-114
Hypomethylation of Sonic hedgehog in colorectal cancer
Authors: Teli Maheera , Niyaz Madiha , Rashid Gowhar , Parveiz Ishrat , Wani Rauf A , Mudassar Syed 
Published: January 2024

Background: Past research has demonstrated that a changed Sonic Hedgehog (SHH) pattern contributes to the development of colorectal cancer. This study’s objective was to determine whether the SHH gene’s promoter hypomethylation might be used to predict the likelihood of developing colorectal cancer.
Methods: For the current investigation, 50 newly diagnosed and untreated colorectal cancer patients’ tumor samples and surrounding non-tumor tissues were gathered. SHH methylation was determined by methylation-specific PCR (MSP) and results correlated with several studied clinicopathological parameters.
Results: Our results showed that SHH methylation levels are significantly present in normal tissues as compared to tumor tissues.
Conclusion: We conclude SHH promoter is hypomethylated in colorectal cancers which may have an effect driving normal colon and rectum cells to cancer.
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 200-206
Sectional Fixed Orthodontic Appliance for Management of a Pseudo Class III Malocclusion. Case Report
Authors: Alfawzan Ahmed Ali 
Published: January 2024

Background: Proper diagnosis and treatment planning are the first steps in the management of pseudo-Class III malocclusion.
Case Presentation: An 11 years old male patient with pseudo- class III malocclusion.
Conclusion: A class I molar with average overjet and overbite was achieved with a sectional fixed orthodontic appliance.
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 262-265
Management of a Failed Hybrid Implant Full-arch Prosthesis- A Case Report
Authors: Koshy Eldo , Annamma Lovely M , Idrissi Hafsa Al , Abutayyem Huda 
Published: January 2024

Background: Biological and technical hardware complications in implant-retained prostheses are well documented in the literature. The most frequently reported failures are on the immediate or delayed factors after implant placement. Even when the implant has successfully osseointegrated, there is a chance that the prosthesis can fail if the treatment planning and occlusal aspects are not well studied. Management of failed cases is rarely reported. In this case report, the authors present a failed implant prosthesis and how it was managed well with a more permanent solution.
Case presentation: A 55-year-old, male retired bank manager, reported with the chief complaint of frequent fracture of the maxillary acrylic hybrid implant prosthesis that was delivered 6 months ago. He wanted a replacement for the fractured upper maxillary acrylic hybrid prosthesis. On clinical evaluation, the upper maxillary implant prosthesis was opposing the natural tooth, an anterior bridge, and two posterior implants in the lower right and left of the first and second molar region. The patient was happy with the lower restorations.
Conclusion: The design of the final restoration based on biological, mechanical, technological, and patient factors should be ideally planned during the initial treatment planning stage itself. In case a prosthesis fails the underlying cause should be analyzed and retreatment planning is to be done.
Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 266-271
IgA Vasculitis in an Adult Man- a Case Report
Authors: Mahin Tasnova , Faria Labeeba , Mottaleb AKM Abu , Shumy Farzana , Oader Md Abdul 
Published: January 2024

IgA vasculitis is rare in adult. A significant portion of adult cases may present with renal involvement. Although most of these cases can be managed symptomatically, some cases may require immunosuppressive treatment. Unless diagnosis and appropriate treatment is initiated early IgA nephropathy in adult may result in chronic kidney disease. Immunoglobulin A vasculitis (IgAV) is an acute disorder causing generalized vasculitis principally involving skin, gastrointestinal (GI) tract, kidneys and joints. Here, a 28 year old man was presented with purpuric rash with leg ulcer, inflammatory arthritis involving multiple joints, abdominal pain and vomiting. He had mild pedal edema and normal blood pressure. Investigations showed raised inflammatory markers, haematuria, and nephrotic range proteinuria with normal liver and renal function. Biochemical and immunological evaluation of lupus nephritis, ANCA associated vasculitis and other causes of glomerulonephritis were negative. Renal biopsy with direct immunofluorescence showed features of IgA nephropathy. Patient was treated with steroid and mycophenolate mofetil with a good response.
Bangladesh Med J. 2022 Sept; 51(3): 47-50
Pemanfaatan Simulasi Monte Carlo Untuk Perhitungan Kinerja Gangguan Tenaga Listrik Pada PT PLN (Persero) UIW Suluttenggo
Authors: Ahsan Mohammad , Zulfadli Yondri , Diksi Erfani Umar Diksi Erfani 
Published: January 2024

Objective: This study aims to determine the optimum number of electrical disturbances at PLN UIW Suluttenggo both in terms of frequency and duration of disruption to determine the level of quality of electric power reliability service on the customer side. Quality reliability or "reliability" is related to the ability of a system to deliver electricity to all points of its user in the appropriate standards and quantities. There are two things related to the reliability of electric power (1) Adequacy (adequacy) and (2) System security (security).
Method: Monte Carlo simulation is a simulation model that includes a series of random sampling with a probability distribution that can be known and determined, so this simulation can be used. In this study, data was taken from the number of electrical disturbances that occurred at PLN UIW Suluttenggo in 7 service unit branches using SAIDI and SAIFI data in 2021 and 2022.
Findings: The finding of this study is that the use of Monte Carlo simulations can be used to analyze ganggaun data where the calculation results compared to the calculation of the excell formula produce almost the same results.
Results: The results of the interference performance calculation showed the best performance were UP3 Manado (1.65), UP3 Kotamobagu (1.55) and UP3 Gorontalo (1.05). As for each interruption performance for the shortest duration of outage is UP3 Kotamobagu (0.75) and the smallest interference frequency is UP3 Manado (1.0).
Análisis de las habilidades directivas, elemento clave para el fortalecimiento de las mipymes del municipio de Balancán, Tabasco
Authors: Landero-Valenzuela Kenia , Huicab-García Yhadira , Coop-Abreu Raziel , Méndez-Jiménez Luis 
Published: January 2024

La situación actual para las mipymes es compleja porque a diario se enfrentan a una serie de desafíos y retos, donde el personal juega un papel muy importante para el posicionamiento y crecimiento de la misma, una organización no puede aspirar a ser competente si no cuenta con un personal capacitado, implicado y comprometido, por lo que las habilidades y competencias son necesarias para enfrentarse a los cambios, poner en marcha nuevas y mejores soluciones, proyectos, dirigirla con eficiencia y eficacia, por esto y más han sido elemento clave para liderar y gestionar con éxito a la misma; por ello los directivos deben desarrollar capacidades, estilos, estrategias y herramientas que permitan generar rendimiento y aumentar la productividad de las empresas; la presente disertación tiene como objetivo, el análisis de las habilidades directivas en las mipymes del municipio de Balancán, Tabasco, a través de una metodología con enfoque cuantitativo, alcance descriptivo de tipo no experimental, transversal; donde se analizaron las habilidades directivas esenciales (personales, interpersonales y grupales) de 495 mipymes de los diversos sectores a través del cuestionario con un muestreo probabilístico aleatorio simple a fin de visualizar áreas de oportunidad para estás y establecer estrategias que coadyuven a su fortalecimiento; como hallazgos estás demandan habilidades y competencias con nuevas prácticas en la dirección, gestión y control en sus directivos; por lo que requieren de capacitaciones, establecimiento de políticas que coadyuven a lograrlo a fin de ser competitivas.
Gobernanza Institucional en las Empresas Públicas. Una Oportunidad para la Transparencia en los Procesos de Contratación Pública
Authors: Pazmiño-Moreira Gabriela , Mantuano-Zambrano Yandry 
Published: January 2024

La investigación tiene como objetivo principal: Contextualizar la transparencia administrativa en las empresas públicas desde los principios de la gobernanza institucional, con los siguientes objetivos específicos: 1.- Identificar los principios de la gobernanza institucional desde una visión de las empresas públicas, 2.- Interpretar la postura de expertos sobre la transparencia en los procesos de contratación pública desde una estrategia de gobernanza. La unidad de estudio es la E. P. Manabí Produce. El paradigma investigativo es el fenomenológico, siendo de perspectiva cualitativa con la aplicación del método hermenéutico-descriptivo. La ruta de la investigación parte de la observación directa dentro de la unidad de estudio, en la que el investigador hace uso de sus anotaciones para posteriormente proporcionar una narrativa basada en el método descriptivo, además de contar con la participación de expertos en los temas de gobernanza institucional, empresas públicas, transparencia y contratación pública; esta participación ha sido a través de una entrevista en profundidad con la cual pudieron exponer sus visiones desde una perspectiva académica e investigativa. Como estrategia de análisis se ha utilizado la propuesta por la Teoría Fundamentada, la cual se fundamenta, en parte, en la comparación constante y la construcción de una matriz axial que facilita el proceso de categorización, generando como resultado final (categoría central) una propuesta que enfoca un Modelo de Empresa Pública basado en principios de gobernanza institucional.