bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Asuhan Keperawatan melalui Intervensi Mengajarkan Pasien Berinteraksi Bertahap pada Ny.H dan Ny.A dengan Diagnosa Medis Skizofrenia di Panti Sosial Bina Laras Harapan 2
Authors: Jahja Fauziah Fidya , Sukamti Nita 
Published: March 2023

ABSTRAK Gangguan jiwa merupakan suatu keadaan individu yang dirinya merasa terganggu dari aspek mentalnya dan tidak dapat mengendalikan pikiran dengan sebagaimana mestinya. Isolasi sosial merupakan suatu keadaan dimana seorang tidak dapat bersosialisasi terhadap orang yang ada disekitarnya. Analisis Asuhan Keperawatan Melalui Intervensi Mengajarkan Pasien Berinteraksi Bertahap Pada Ny.H dan Ny. A Dengan Diagnosa Medis Skizofrenia Di Panti Sosial Bina Laras Harapan 2. Tindakan keperawatan dilakukan selama tiga hari. Intervensi utama yang diberikan kepada klien Ny.H dan Ny.A dengan masalah keperawatan utama isolasi sosial yaitu dengan menganjurkan berinteraksi bertahap. Evaluasi keperawatan pada klien Ny.H dan Ny.A dengan masalah keperawatan utama isolasi sosial berdasarkan catatan perkembangan, setelah melakukan interaksi bertahap selama tiga hari pertemuan pada klien didapatkan hasil bahwa klien mampu berinteraksi dengan lingkungan sekitar. Mengajarkan berinteraksi bertahap pada pasien isolasi sosial dapat meningkatkan kemampuan sosialisasi dengan orang lain. Kata Kunci: Skizofrenia, Isolasi Sosial, Berinteraksi Bertahap ABSTRACT Mental disorder is a condition of an individual who feels disturbed from his mental aspect and cannot control his mind properly. Social isolation is a condition where a person cannot socialize with the people around. Analysis of Nursing Care Through Intervention Teaching Patients to Interact Gradually in Ny.H and Ny.A With a Medical Diagnosis of Schizophrenia at the Bina Laras Harapan Social Institution 2. Nursing actions carried out for three days. The main intervention given to Ny.H and Ny.A clients with the main nursing problem of social isolation is to encourage gradual interaction. Nursing evaluation of Ny.H and Ny.A clients with the main nursing problem of social isolation based on progress notes, after conducting gradual interactions over three days of meetings with clients, the results show that clients are able to interact with the surrounding environment. Teaching social isolation patients to interact gradually can improve their ability to socialize with others. Keywords: Schizophrenia, Social Isolation, Interact Gradually
Analisis Intervensi Keperawatan Penggunaan Polyurethane Foam sebagai Secondary Dressing dan Terapi Ozone Bagging pada Fase Proliferasi Pasien Ny. E dan Tn. D Dengan Diagnosa Medis Diabetic Foot Ulcer Diklinik Wocare Kota Bogor
Authors: Maulidha Dithya Ema , Naziyah Naziyah 
Published: March 2023

ABSTRAK Saat ini ada >500 jenis modern wound dressing salah satunya Polyurethane foam, Polyurethane foam adalah Balutan berfungsi untuk menyerap cairan yang dapat digunakan sebagai balutan primer dan sekunder. Saat ini sudah banyak terapi komplementer untuk pengobatan ulkus diabetik yang dapat dipadukan dengan perawatan luka modern. Salah satu terapi yang dianjurkan adalah terapi kantong ozon karena relatif murah. Analisis keperawatan intervensi dengan terapi polyurethane foam secondary dressing dan ozone bagging pada pasien proliferatif Ny .E dan Tn. D, didiagnosis ulkus kaki diabetik di Klinik Wocare Center di Kota Bogor. Metode penelitian yang digunakan dalam studi kasus ini adalah metode deskriptif. Setelah dilakukkan penggunaan polyurethane foam pada Ny. E dan Tn. D sebagai secondary dressing pada fase proliferasi, dapat dibuktikan dengan perubahan ukuran luka pada pasien Tn. D saat kunjungan ke-4, dan Jumlah eksudat pada luka Ny. E saat kunjungan ke-6, dengan jaringan granulasi mencapai 100%. Pada intervensi penggunaan polyurethane foam dan terapi ozone bagging pada jaringan dengan luka diabetic foot ulcer saat fase proliferasi sangat efektif untuk menangani diabetic foot ulcer dibuktikan dengan perubahan dalam ukuran luka dan jumlah eksudat dengan menggunakan winner scale score. Kata Kunci: Diabetic Foot Ulcer, Polyurethane Foam, Ozzone Bagging ABSTRACT Currently there are > 500 types of modern wound dressings, one of which is Polyurethane foam, Polyurethane foam is a dressing that functions to absorb fluids that can be used as primary and secondary dressings. Currently, there are many complementary therapies for diabetic ulcer management that can be combined with modern wound care. One of the recommended therapies is ozone bagging therapy, because ozone bagging therapy is relatively inexpensive. To analyze nursing care through interventions using polyurethane foam as secondary dressing and ozone bagging therapy in the proliferative phase of patient Ny. E and Mr. D with a medical diagnosis of diabetic foot ulcer at the Wocare Center clinic, Bogor City. The research method used in this case study is a descriptive method. After using polyurethane foam on Mrs. E and Mr. D as a secondary dressing in the proliferative phase, as evidenced by changes in wound size in Tn's patients. D at the fourth visit, and the amount of exudate on Mrs. E at the sixth visit, with granulation tissue reaching 100%. the intervention using polyurethane foam and ozone bagging therapy on tissues with diabetic foot ulcer wounds during the proliferative phase is very effective for treating diabetic foot ulcers as evidenced by changes in wound size and amount of exudate using the winner scale score. Keywords: Diabetic Foot Ulcer, Polyurethane Foam, Ozzone Bagging
Gambaran Faktor Resiko Stunting Balita di Desa Siwalanpanji Kabupaten Sidoarjo Jawa Timur
Authors: Purnama Ni Luh Agustini 
Published: March 2023

ABSTRACT Stunting is influenced by various factors that cause children's nutritional intake. The purpose of the study was to identify the risk factors for stunting in children under five in Siwalanpanji Village, Sidoarjo Regency, East Java. This research was a descriptive observational study. The population is all children under five who experience stunting at the Orchid Posyandu, Siwalanpanji Village, Sidoarjo Regency, East Java. The sampling technique used is a total sampling with a total of 30 respondents. Collecting data using a questionnaire. The results showed that 60% of stunting children got exclusive breastfeeding. All families (100%) who have stunted children with socio-economic income below the UMK (Regency Minimum Wage) Sidoarjo, which is Rp. 4,300,000. As many as 60% of stunting children tend to eat a food approach or eating behavior with the highest tendency to eat behavior indicators, namely in the category of desire to drink or the child's desire to always drink. As many as 67% of mothers who have stunted children with feeding behavior are in the poor category with the lowest aspect being providing a pleasant environment during eating Keywords: Risk Factors, Stunting, Children ABSTRAK Stunting dipengaruhi oleh berbagai faktor yang menyebabkan asupan gizi anak tidak seimbang. Tujuan penelitian mengidentifikasi gambaran faktor risiko kejadian stunting pada Balita di di Desa Siwalanpanji, Kabupaten Sidoarjo, Jawa Timur. Penelitiani ini adalah penelitian deskriptif observasi. Populasi semua anak usia balita yang mengalami stunting di Posyandu Anggrek, Desa Siwalanpanji, Kabupaten Sidoarjo, Jawa Timur. Tehnik sampling yang digunakan adalah total sampling dengan jumlah 30 responden. Pengumpulan data mengunakan kuesioner. Hasil penelitian menunjukkan 60% anak stunting mendapatkan ASI ekslusif. Semua keluarga (100%) yang memiliki anak stunting dengan sosial ekonomi berpenghasilan dibawah UMK (Upah Minimun Kabupaten) Sidoarjo, yaitu sebesar Rp. 4.300.000. Sebanyak 60 % anak stunting memiliki kecenderungan perilaku makan food approach atau perilaku suka makan dengan kecenderungan indikator perilaku makan tertinggi yaitu pada kategori desire to drink atau keinginan anak untuk selalu minum. Sebanyak 67% ibu yang memiliki anak stunting dengan perilaku pemberian makan dalam kategori kurang baik dengan aspek terendah pada memberikan lingkungan yang menyenangkan selama makan. Kata Kunci: Faktor resiko, Stunting, Anak
Pendidikan Kesehatan Pertolongan Pertama dengan Metode Demonstrasi dan Media Booklet dapat Meningkatkan Pengetahuan dan Ketrampilan Guru tentang Pertolongan Pertama
Authors: Ratnaningsih Ani , Itsna Ita Nur , Oktiawati Anisa 
Published: March 2023

Children are prone to injury and are at higher risk. Children have the potential for injury because they have not learned to be aware of various environmental hazards. Immediate first aid is essential in managing injuries outside the hospital. Injuries that may be experienced by children require immediate and appropriate first aid treatment before health workers arrive at the location or during the transportation process to health services. The teacher is the closest person when the child is at school. When a child is injured at school, the teacher should be able to respond properly in performing first aid. This study aims to determine the knowledge of preschool teachers before and after being given health education. This research is a pre-experimental quantitative research with one group pretest posttest design. The subject of the study was a teacher at Siti Khodijah IT Kindergarten with a sampling technique of random sampling with saturated samples. Data were obtained through interviews, observation and physical examination, documentation studies, and SCAS research instruments. The data is presented in the form of narrative text. This study shows the effect of first aid health education with demonstration methods and booklet media to increase teachers' knowledge and skills about first aid. Keywords: Booklet, Demonstration, Knowledge, Skill, First Aid ABSTRAK Anak-anak rentan terhadap cedera dan berisiko lebih tinggi. Anak-anak memiliki potensi terhadap kejadian cidera karena mereka belum belajar untuk menyadari berbagai bahaya lingkungan. Pertolongan pertama dengan segera sangat penting dalam mengelola cidera di luar rumah sakit. Cidera yang mungkin dialami anak membutuhkan perawatan pertolongan pertama yang segera dan tepat sebelum tenaga kesehatan sampai ke lokasi atau selama proses transpotasi ke pelayanan kesehatan.Guru merupakan orang terdekat saat anak di sekolah. Ketika ada anak yang cidera di sekolah, guru sebaiknya bisa berespon dengan benar dalam melakukan pertolongan pertama. Penelitian ini bertujuan untuk mengetahui pengetahuan guru prasekolah sebelum dan setelah diberikan pendidikan kesehatan. Penelitian ini merupakan penelitian kuantitatif pre eksperimental dengan rancangan one group pretest posttest. Subjek penelitian adalah guru di TK IT Siti Khodijah dengan tehnik pengambilan sampel adalah random sampling sampel jenuh. Data diperoleh melalui wawancara, observasi dan pemeriksaan fisik, studi dokumentasi, serta instrument penelitian SSFAKT. Data disajikan dalam bentuk teks naratif. Penelitian ini menunjukkan adanya pengaruh pendidikan kesehatan pertolongan pertama dengan metode demonstrasi dan media booklet untuk meningkatkan pengetahuan dan ketrampilam guru tentang pertolongan pertama. Kata Kunci: Booklet, Demonstrasi, Pengetahuan, Ketrampilan, Pertolongan Pertama
Analysis of Cumulative Antibiotic Sensitivity Testing Data (Antibiogram) of Anwer Khan Modern Medical College Hospital
Authors: Sharmin Sadia , Mostofa Elma , Khan Md Roknuzzaman , Kamal SM Mostofa 
Published: March 2023

Background: Monitoring of antimicrobial resistance at local level is a very crucial aspect for clinical decision making, infection control interventions and antimicrobial-resistance containment strategies in this era of rising superbugs. The hospital antibiogram constructed by standardized method is a summary of antimicrobial susceptibilities of local bacterial isolates, with periodic review.
Methods: This is a prospective observational study conducted in Microbiology Laboratory of Anwer Khan Modern Medical College Hospital (AKMMCH) over a period of three months from January to March 2021. All the samples which were received in the microbiology laboratory for aerobic bacterial culture and antibiotic sensitivity testing were considered in this study. The bacterial isolates from diagnostic clinical samples were subjected to culture in appropriate media for isolation of pathogens by standard methods and antibiotic sensitivity test (AST) was performed according to CLSI guidelines by modified Kirby Bauer disk diffusion techniques.
Results: A total of 2917 samples were analysed in the microbiology department of AKMMCH for a period of three months of which 513(17.59%) were culture positive.Among the cultured samples of urine, respiratory sample, blood and pus, wound swabs, the rate of bacterial isolation was 266 (51.85%) ,161 (31.38%), 31 (6.04%) and 33 (6.4%) respectively. Most of the clinical isolates were Gram-negative bacilli404 (78.75%). The predominant isolate was Escherichia coli 186(36.26%) followed by Pseudomonas spp 102 (19.88%), Klebsiellaspp 79 (15.4%) and S. aureus 66 (12.87%). Antibiotic sensitivity in case of Gram-negative bacteria ranges from 30%-61% to amoxicillin-clavulanic acid, 18%-94% to third generation cephalosporin, 47%-75% to aminoglycosides, 27% -70% to ciprofloxacin, 26-70% to cotrimoxazole, 33-73% to nitrofurantoin, 27-69% to piperacillin- tazobactam and 100% to colistin. However, 53% of Escherichia coli and 58% of Klebsiella spp. were resistant to 3rd generation cephalosporins due to extended-spectrum beta-lactamase (ESBL) production. The carbapenem resistance in Escherichia coli was found 12%, Klebsiella spp 26%, Pseudomonas spp 29% and highest in Acinetobacter 46%. No superbug was detected in this study period.
Conclusions: Antimicrobial susceptibility of various pathogen for different antibiotic is variable. Prompt antimicrobial therapy in an infection makes a lot of difference between recovery and death and most of the time prevents long term disability. Hence, antibiotic policy is one of the mandatory requirements and making an antibiogram is the first step before framing antibiotic policy.
AKMMC J 2021; 12(2): 70-75
A Case of Medullary Carcinoma of Thyroid
Authors: Chowdhury M Alamgir , Mazumder Afroza Suraiya , Hossen Iqbal , Chowdhury Farid Hossain , Alam Mazumder SM Khorshed 
Published: March 2023

A 50-year-old diabetic female attended in September, 2021 with a huge swelling in front of her neck, respiratory distress, hoarseness of voice, & generalized weakness for 1 month. All the biochemical tests were inconclusive but S. calcitonin was high(>0.08ng/ml), Fiber optic laryngoscopy revealed left vocal cord paralysis, X-ray chest revealed right sided tracheal deviation, CT-scan of Neck revealed large solid mass in thyroid with mediastinal extension & cervical lymphadenopathy. Patient undergone total thyroidectomy. The specimen sent for histopathology and revealed medullary carcinoma of thyroid gland.
AKMMC J 2021; 12(2): 104-106
Dyslipidaemia in Schizophrenia
Authors: Hasan Syeda Marufa , Sultana Nasima , Awual SM Abdul , Ferdous Shamim Are , Amiruzzaman Molla 
Published: March 2023

Background: Lipid neurochemistry is an important focus in schizophrenia research. Disorder of fatty acid metabolism within the brain tissue play an important role in the pathophysiology of schizophrenia.
Material & Methods: To evaluate the association of dyslipidaemia with Schizophrenia and compare the serum lipid profile with healthy individuals, a cross sectional analytical study was conducted between July 2011 and June 2012 in the Department of Biochemistry, Dhaka Medical College, following approval of a protocol. As per criteria, total 100 cases were included in this study and divided into two groups: Group-I (Diagnosed cases of schizophrenia) and Group-II (Healthy individuals). Written informed consent was taken from all cases. Serum lipid profile (Total Cholesterol, Triglycerides, HDL and LDL) was estimated from both groups by enzymatic determination.
Result: Fasting serum triglyceride (p<0.03), HDL cholesterol (p<0.001) and LDL cholesterol (p<0.001) between the groups are significantly related. In group-I mean serum HDL cholesterol is reduced, but LDL cholesterol and Triglyceride were elevated in comparison with group-II. No significant relationship was observed in fasting serum total cholesterol in between groups (p>0.05). Result indicates strong association between schizophrenia and dyslipidaemia. That association would increase the risk of developing coronary heart disease in those patients with schizophrenia compared with healthy individual.
AKMMC J 2022; 13(1) : 8-13
Early Metastasis in Different Types of Breast Carcinoma - A Personal Experience
Authors: Rahman ATM Mostafizur 
Published: March 2023

Background: Carcinoma breast is one of the leading causes of death in woman today and is the most common cancer among women. More than 2.3 million of women are diagnosed breast cancer each year world-wide. Carcinoma breast may present from an extent of non-palpable lump to a fixed mass with distal metastasis. As presentation is highly variable, management strategy varies even in same stage of disease.
Objective: To identify early metastasis of different types of breast carcinoma and its management.
Materials and methods: This is a prospective type of observational study in 100 cases done in the different surgical units of Dhaka Medical College Hospital (DMCH), Bangabandhu Sheikh Mujib Medical University (BSMMU) and Bashundhara Ad-din Medical College Hospital (BAMCH).Patients were selected clinically and by some standard investigation (FNAC and core biopsy) from January 2006 to December 2018.
Result: Patients at different age groups had suffered from different types of breast carcinoma. Early diagnosis by triple assessments and proper surgical and post-surgical managements reduced both loco- regional and distant metastasis and also reduced both morbidity as well as mortality. Results of treatment and histopathological reports were recorded. It was found that FNAC is cheap and minimally invasive diagnostic procedure with high sensitivity (100%) and specificity (95%).Core needle biopsy is more accurate tissue diagnostic in breast cancer. Down staging has profound symptomatic and cosmetic benefit. In renders inoperable tumors become operable and reduce morbidities.
Conclusion: Early diagnosis and treatment is the mainstay to achieve satisfactory outcome. Screening program especially Self-Breast Examination (SBE) is very much helpful in early diagnosis of disease in our social setting. Screening mammography has had the most substantial impact on the early diagnosis of, and subsequent decrease in mortality from breast carcinoma. Women of 20-40 years of age should have a breast examination every 2-3 yearly. Women of more than 40 years of age should have a breast examination every yearly.
AKMMC J 2022; 13(1) : 14-21
Lung Cancer Scenario of NICRH: A Cross Sectional View
Authors: Rahman Md Saydur , Hassanuzzman Md 
Published: March 2023

Introduction: Lung cancer alone and in coalition can deactivate life-wheel. But a very little attention had been paid to address the riddle. This effort is to candle the light on the lung cancer disease.
Objective: This study was conducted to delineate the sociodemographic factors and clinical conditions of lung cancer patients. To determine some associations of SD variables and clinical conditions.
Methods & Materials: This cross-sectional study was conducted in NICRH from July 2017 to June 2018 among 167 LC patients. Data were collected by interview using semi-structured questionnaire and reviewing of check list. Data were checked thoroughly, edited, coded, categorized, cleaned and analyzed using software (SPSS version 23).
Results: This study revealed that mean age of the patients was 56.16 ± SD 9.88. Among which 80.2% were male and 19.8% female. Majority had primary 51.1% education Secondary were 26.4%. Regarding occupation, farmer were 37.1%, businessmen were 20.4% and homemaker were 15.6. The mean income was Tk. 17163 ± SD Tk. 10587. Most had nuclear family 89.2%. Rural inhabitants were 61.1%. In describing cancer type, 81.5% had NSCC and 16.8% had SCC. Regarding clinical condition, 70% had poor, 7.8% had average and 22.2% had severe clinical condition. The residential areas are significantly (χ2, p < .05) associated with clinical conditions. Staging of lung cancer is significantly (χ2, p < .05) associated with clinical conditions.
Conclusion: Socioeconomic factors like age, family income, education, residential condition may affect clinical condition.
AKMMC J 2022; 13(1) : 37-41
Residual astigmatism following cataract surgery
Authors: Luna Mahfuja Khanam , Ahmed S Faisal , Ul Kadir Syeed Mehbub , Ray Arup Ratan , Hossain Somir 
Published: March 2023

Objective: To determine the amount of residual astigmatism following cataract surgery.
Materials and methods: A hospital based observational study was conducted in a tertiary eye hospital, Bangladesh during the period of July, 2013 to June, 2014. Patients was selected for the study who diagnosed as ARC with variable amount of astigmatism (1.5 to 3.5D), and excluded any other ocular pathology or history of previous ocular surgery. Phacoemulsification with PC Toric IOL implantation in all cases. Auto refracto-keratometer was done Preoperative and postoperatively for assessing the astigmatism. Main outcome measured were included preoperative uncorrected visual acuity, postoperative uncorrected visual acuity on 1stPOD, after 1 week and 1month, Preoperative keratometry, Preoperative astigmatism, Postoperative uncorrected keratometry on 1st POD, after 1 week and 1month, Postoperative uncorrected astigmatism on 1stPOD, after 1 week and 1month
Results: 30 eyes of 28 patients were assessed in this study. Due to clear corneal incision during phacoemulsification, the steep meridian became flat significantly from pre-operative keratometry 44.329±1.473D (mean±SD) to 30thpost operative keratometry 43.971±1.431D (mean±SD) having p<0.001. On the other-hand the flat meridian became steeper from pre-operative keratometry 42.225±1.471D (mean±SD) to 30thpost operative keratometry 42.421±1.501D (mean±SD) having p<0.001. Preoperative mean astigmatism [Mean±SD] was 2.104±0.319D, after the first postoperative day, mean astigmatism decreased to 0.954±0.494D with p<0.01, and finally after 1 Month there was significant reduction of pre-operative astigmatism to 0.583±0.413D with p<0.0001. So, the mean pre-operative astigmatism decreased significantly in the successive post-operative days.
Conclusion: Toric Intraocular lens implantation in phacoemulsification surgery can correct pre-existing corneal astigmatism significantly after one month of surgery.
AKMMC J 2022; 13(1) : 42-46