bluuebunny/crossref_metadata_2025_split huggingface dataset:
Left Main Coronary Artery Bifurcation Lesions: Two Stents vs One Stent Strategy-Comparison of Major Adverse Cardiac Events (MACE) at 2 years
Authors: Shafique Hafiz Muhammad , Nasir Mubarra , Samore Naseer Ahmad , Farahe Ali , Tariq Muhammad Naeem , Abbasi Muhammad Amad , Shabbir Sadaf , Kamran Javeria , Khan Aleena , Azad Naseem 
Published: December 2022

Objective: To evaluate the long-term clinical results for a one-stent (1S) strategy compared to a two-stent (2S) strategy in distal unprotected left main coronary artery (ULMCA) bifurcation disease.
Study Design: Comparative Cross-sectional study.
Place and Duration of Study: Armed Forces Institute of Cardiology, Rawalpindi Pakistan, from Jan 2019 to Apr 2020.
Methodology: 1-S approach was defined as stenting of the main vessel only and 2-S approach as stenting side branch and main vessel. Individual undergoing LMCA intervention were included via consecutive sampling in the study. Stent Crossover approach was used in 1-S technique; whereas, DK crush, culotte, and T-stenting approaches were employed in individuals who were treated with a 2-S approach. A composite of major adverse cardiovascular event (MACE) i.e., myocardial infarction, stroke or death and target lesion revascularization (TLR) were considered as primary end-point.
Results: A sum of 110 individuals were inducted, 74 of them had stenting of left main bifurcation using a 1-S approach; and 36 patients underwent a 2-S PCI. Average age of the patients included in the study was 63.9±10.8 years. In 1 stent subset, the success rate of procedure was 99% whereas 100% success rate was seen in 2-S group. During the 2-year duration of follow up,frequency of MACE in single stent subset was (5.4%) whereas it was (13.8%, p=0.253) in the 2-S subset.
Conclusion: When compared to 2-S approach of distal left main stenting, a 1-S strategy appears to demonstrate optimal clinical results and 2-year survival free of MACE. Choosing appropriate interventional strategy has proven prognostically significant; so, it demands mindful approach selection.
Frequency of Respiratory Complications in Post COVID-19 Patients After Coronary Artery Bypass Grafting
Authors: Shah Syed Ali Raza Ali , Hasan Kirmani Syed Muzaffar , Hussain Syed Aqeel , Naqvi Syeda Sarah , Khalil Hafsa , Kirmani Syed Ali Hadi , Javaid Rehana 
Published: December 2022

Objective: To determine the frequency of post-operative pulmonary complications after (coronary artery bypass grafting)CABG surgery and to compare the respiratory complications of post COVID and comparison group
Study Design: Analytical Cross- sectional study
Study Place and Duration: Study was conducted in Adult Intensive Care Unit, Armed Forces Institute of Cardiology,Rawalpindi Pakistan, from Sep 2021 to Mar 2022.
Methodology: 40 patients were selected, and divided into two groups using Non-Probability consecutive sampling. Group-A had history of COVID-19 infection and Group-B was a comparison group and had no history of COVID-19 infection. Patients presenting for elective On-Pump (coronary artery bypass grafting) CABG surgery and known history of COVID-19 were included in our study. Patients of age ranging 30 to 70 years irrespective of gender were included in the study. Any patient who had cardiopulmonary bypass time of more than 120 min, respiratory illness like asthma or Chronic Obstructive Pulmonary Disease (COPD), history of smoking, or requiring post-operative re-ventilation due to cardiac or neurological complication, were excluded from the study. After patients were received from Operation theatre, they were monitored for the respiratory complications and both groups were compared.
Results: A total of 40 patients were included in this study having mean age 57.9±7.62 years. Most of the patient population was male 31(77.5%) and only 09(22.5%) were female patients. Study population was equally divided into two groups i.e.20(50%) in comparison group and 20(50%) in post COVID-19 group. There was no significant difference in age (p=0.714), ventilation time (p=0.068), gender (p=1.000), and re-ventilation (p=0.451) of both groups. While Intensive Care Unit stay(p=<0.0001) and non-invasive ventilation (NIV) were found to be significant (p=0.007).
Association of CHA2DS2-VASc Score with Post Cardiac Surgery Atrial Fibrillation: A Single Centre Study
Authors: Alam Waqas , Hussain Syed Aqeel , Masroor Rehan , Hasan Kirmani Syed Muzaffar , Ali Muhammad , Rehman Fahd Ur , Javaid Rehana , Khalil Hafsa 
Published: December 2022

Objective: To find out the association of CHA2DS2-VASc score with postoperative atrial fibrillation in cardiac surgery patients.
Study Design: Analytical Cross-Sectional study.
Place and Duration of Study: Cardiothoracic Anaesthesia and Adult Cardiac Critical Care department, Armed Forces Institute of Cardiology and National Institute of Heart Diseases (AFIC/NIHD), Rawalpindi Pakistan, from Feb 2022 to Apr 2022.
Methodology: After IERB approval, 186 adult patients of POAF with the prevalence of 9.7%undergoing CABG surgery were included in the study. Their demographic data and CHA2DS2-VASc score, originally used to find the risk of stroke in patients with atrial fibrillation, was calculated pre-operatively. They were followed for 48 hours postoperatively for any episode of post op atrial fibrillation (POAF). Data including pre op drugs, type of surgery, number of grafts, inotropic support and POAF timing after surgery was recorded and analysed by SPSS v 21.0.
Results: Incidence of POAF in our study patients was 17.2 %( n=32). Mean time of onset of POAF was 24.75±16.05 hours.Patients who developed POAF had higher CHA2DS2-VASc score 3.06±1.21 compared with those who did not develop POAF 2.61±0.97. This association was statistically significant (p-value=0.023). Among the variables of CHA2DS2-VASc score, age had significant association with POAF (p-value= 0.001). No difference was found between on pump vs off pump surgery in terms of POAF (p-value=0.539).
Conclusion: This study found that CHA2DS2-VASc score has significant association with POAF after CABG surgery. It is a simple and easy scoring system which can be calculated in preoperative period. Patients at increased risk of POAF can be identified and given prophylactic treatment to reduce morbidity and mortality.
Variations in Electrolytes Level After Del-Nido Cardioplegia Administration in Patients Undergoing Congenital Heart Defects Surgery
Authors: Noor Mah , Asghar Muhammad Imran , Umer Muhammad Shoaib , Azad Naseem , Khalil Hafsa , Chachar Zara 
Published: December 2022

Objective: To evaluate the variation (increase or decrease) in Electrolytes level after del-nido cardioplegia administration in patients undergoing on pump congenital heart defect surgery.
Study Design: The design used in this study was descriptive cross-sectional.
Place and Duration of Study: The study was carried out at Pediatric Cardiac Surgery Department of Armed Forces Institute of Cardiology in Rawalpindi, Pakistan from Oct 2021 to Dec 2021.
Methodology: Patients undergoing congenital heart surgery were the subject of interest in this study. The sample size was 147.Non-probability consecutive sampling technique was used. Patients undergoing on pump Congenital Heart Surgery, patients with age < 30 years, patients of both gender were included in our study. Patients with surgery of multiple stages (abdominal surgery, palliative surgery), Emergency patients, Chronic renal failure patients, Re-do operations were excluded from our study.
Results: Sample size was 147 with anticipated percentage 10.7% having 78(53.1%) males and 69(46.9%) females who underwent congenital cardiac surgery. Statistical test was applied and results are significant. There was significant difference in the means of electrolyte levels after administration of Del-Nido Cardioplegia (p-value <0.05).
Conclusion: Our study concluded that after Del-Nido Cardioplegia administration, imbalance in electrolytes levels (Sodium,Potassium, and Calcium) occur which causes hyperkalemia, hypernatremia and hypercalcemia. Prolonged cardiopulmonary bypass time and cross clamp time are risk factors for increased del-nido cardioplegia administration.
Assessment of Clinical and Echocardiographic Findings of Pregnant Women with Dyspnea
Authors: Muzaffar Tabassum , Fatima Sadia , Akbar Hajira , Shafique Nighat , Riaz Tahira , Shahid Rozina 
Published: December 2022

Objective: To measure the frequency of dyspnea in pregnant patients and to evaluate the clinical and echocardiographic findings of pregnant women had dyspnea.
Study Design: Analytical descriptive cross-sectional.
Place and duration of study: Gynae and Obstetric Department of Tertiary Care Facility from Feb 2022 to Apr 2022.
Methodology: It was an analytical cross sectional study conducted during three months. Consecutive pregnant females through non-probability consecutive sampling were included in the study. Patients who had diagnosed history of cardiac disease, respiratory illness, anemic and had covid-19 infection history of 3 months were excluded. The calculated sample size was 323. The pregnant females were assessed for dyspnea (shortness of breath) during pregnancy. Those patients who had dyspnea were referred to cardiac facility for 2D-ECHO (Echocardiography) to determine the cause of dyspnea. Frequency & percentage and mean ± SD were calculated for qualitative and quantitative data respectively. Chi square test was applied to find association between categorical variables. Student t-test was applied for continuous data.
Results:A total of 323 pregnant females of age more than 18 years were included in the study. Out of 87(26.9%) pregnant females who had dyspnea during their pregnancy, 2(2.1%) females were from 1st trimester, 26(23.2%) of 2nd trimester and 59(50.8%) of 3rd trimester. ECHO showed that mean left ventricle end-diastolic diameter (LVEDd) was 46±8mm, LVEF 58.8±7%, sPAP 25.40±3.5mmHg and LVESd 29.33±8.8mm. As compared to the normal range sPAP, LVESd were in lower range, while LVEDd value was higher than the normal range (27.2 mm). Study population who had dyspnea and hypertension (HTN) were (n=13)15.4% (p=1.000) and (n=7)7.7% were had Diabetes (DM) (p=1.000). Cardiac disease was found to be higher in females who had dyspnea i.e.(n=67) 76.9% (p=<0.0001)
Conclusion: The left ventricular end-diastolic diameter (LVEDd), left ventricle end-systolic diameter (LVESd), and systolic pulmonary artery pressure (sPAP) of pregnant women with dyspnea were all outside of the normal range. So that the cardiac causes of dyspnea can be clinically identified, we advise ladies with dyspnea to visit a cardiologist and have an echocardiography test.
In Vitro Efficacy of Tetracyclines Against Multi Drug Resistant Acinetobacter Baumannii Amongst Intensive Care Patients
Authors: Fayyaz Muhammad , Khalil Hafsa , Mirza Irfan Ali , Meral Uzma , Zafar Humaira , Hussain Wajid 
Published: December 2022

Objective: To determine the anti-microbial susceptibility and frequency of A.baumannii, especially focusing the efficacy of Doxycycline and Minocycline against multi drug resistant (MDR) and extremely drug resist ant (XDR) A.baumannii in atertiary care hospital.
Study Design: It was a descriptive cross sectional study.
Place and Duration of Study: Study conducted at the department of Pathology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD), Rawalpindi Pakistan from Jan 2020 to Dec 2021.
Methodology: It was a descriptive cross sectional study conducted at the department of Pathology Armed Forces Institute of Cardiology (AFIC) and National Institute of Heart Diseases, Rawalpindi (NIHD) from Jan 2020 to Dec 2021. Data was collected by non-probability consecutive sampling. Antimicrobial susceptibility was assessed for A.baumanni isolated from hospital setting.
Results: 6239 culture specimens were received from different wards of AFIC. Out of these 1439 (23 %) yielded growth of different pathogens. Amongst 1439 positive cultures, 167 (11.6 %) were A.baumannii. Multi drug resistant (MDR) A.baumannii were 9(5.4%), extremely drug resistant (XDR) 152(91%) and pan drug resistant (PDR) were 6(3.6%). Antibiotic susceptibility of A. baumannii revealed highest resistance for cephalosporins and carbapenems about 162(97%), ampicillin and beta lactamase inhibitor combinations about 157(94%), quinolones 152(91%), aminoglycosides 134(80%) and Trimethoprim+sulfamethoxazole 131(78%). The least resistance observed from tetracyclines group of antibiotics which was 34(20%) from Minocycline and 54(32%) from Doxycycline.
Conclusion: A high resistant pattern was observed for A.baumanni against cephalosporins, carbapenems, ampicillin, beta lactamase inhibitor combinations, quinolones, aminoglycosides and Trimethoprim+sulfamethoxazole. Comparatively tetracycline antimicrobials i.e. minocycline and doxycycline were found to be less resistant than others to manage MDR and XDR cases.
In Vitro Susceptibility of Colistin Against Multidrug Resistant Klebsiella Pneumoniae Clinical Isolates
Authors: Fayyaz Muhammad , Zafar Humaira , Mirza Irfan Ali , Meral Uzma , Hussain Aamir , Khalil Hafsa 
Published: December 2022

Objectives: To determine in-vitro efficacy of colistin against resistant Klebsiella Pneumoniae clinical isolates.
Study Design: Cross-sectional study.
Place and Duration of Study: Microbiology Department of Pathology Lab, Armed Forces Institute of Cardiology & National Institute of Heart Diseases, Rawalpindi, Pakistan, from Jan 2021 to Dec 2021.
Methodology: This cross-sectional study was carried out at the microbiology department of pathology lab, Armed Forces institute of Cardiology & National Institute of Heart Diseases, Rawalpindi through Jan 2021 to Dec 2021. Sampling was done by nonprobability consecutive technique. Antimicrobial susceptibility testing was done for all clinical isolates of KP.
Results: A total of 3066 culture and sensitivity requests were received, out of these 663(21.6%) specimens revealed growth of different microorganisms. Amongst 663 culture positive isolates, 150(22.6 %) were identified as KP. Antibiotic susceptibility of KP showed >90% isolates resistant to 3rd & 4th generation cephalosporins, cotrimoxazole, ampicillin+salbactum and coamoxiclav. Aminoglycosides, quinolones, meropenem, aztreonam and tazobactum+pipracillin were found resistant in >80% isolates and doxycycline and imipenem in >70% isolates. Resistance to minocycline was 58%, chloramphenicol 40.7% and Tigecycline 38.7%. The least resistance was noted in Colistin 16%.
Conclusion: A very high antimicrobial resistance was observed in KP isolates against penicillins, cephalosporins, ampicillin beta lactamase inhibitor combinations, quinolones, aminoglycosides, carbapenems and cotrimoxazole. Comparatively tigecyclines and chloramphenicol were found to be less resistant than other antimicrobials to manage MDR and XDR cases. Colistin has excellent efficacy against MDR and XDR KP isolates.
An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP)
Authors: Khan Aleena , Javaid Rehana , Pervaiz Farrah , Asad Muhammad , Chaudhry Imtiaz Ahmed , Muzaffar Tabassum , Sana Ayesha , Rehman Fahd Ur 
Published: December 2022

Objective: To assess door to consultation time in cardiac OPD of a tertiary care hospital and to recommend strategies to reduce patients waiting time.
Study Design: Cross sectional study
Place and Duration of Study: Surgical Out-Patient Department, Armed Force Institute of Cardiology, National Institute AFIC/NIHD, Rawalpindi Pakistan, from Aug 2020 to Sep 2020.
Methodology: This quality improvement project (QIP) was conducted for a period of 4 weeks from 15th, Aug-15th, Sep 2020 in the surgical out-patient department of Armed Force Institute of Cardiology, National Institute/National Institute of Heart Disease (AFIC/NIHD). Time for registration, waiting time pre-consultation and consultation times were recorded on a patient survey proforma. A non-probability consecutive sampling technique was used to recruit study participants.
Results: Data was collected from a total of 278 respondents. The results showed that 142(51%) participants had the total door to consultation time of 30 minutes and 86(31%) participants had the door to consultation time of 30-60 minutes 86(31%), respondents reported the actual consultation time to be 11-20 minutes and an equal percentage of participants 86(31%) responded that it was 6-10 minutes. Sixty-six percent 183(66%) participants reported that the doctors were aware of theirmedical history which helped in shorter consultation time.
Conclusion: In this QIP we concluded that patients who had shorter waiting time lead to a significantly shorter door to consultation time. A few areas of concern identified in the QIP of note were; less number of registration counters and patients presenting on same day without appointments. Recommendations were made to reduce waiting times in outpatient department (OPD) which would in turn increase patient satisfaction.
EFEKTIVITAS PROGRAM DISABILITY AWARENESS DALAM MENINGKATKAN PENGETAHUAN GURU SD REGULER TENTANG SISWA BERKEBUTUHAN KHUSUS
Authors: Murti Rindya Ayu , Malay Elok Dianike 
Published: December 2022

ABSTRAKPengetahuan yang memadai tentang disabilitas merupakan hal penting bagi guru terutama ketika mereka menghadapi siswa berkebutuhan khusus. Salah satu cara untuk membekali pengetahuan tersebut ialah melalui disability awareness. Penelitian ini bertujuan untuk melihat efektivitas program disability awareness dalam meningkatkan pengetahuan guru SD reguler mengenai siswa berkebutuhan khusus. Dua belas orang guru diuji dengan tes pengetahuan tentang siswa berkebutuhan khusus sebelum dan sesudah program disability awareness. Dengan analisis statistik paired-sample t-test, diketahui bahwa terjadi peningkatan pengetahuan guru tentang siswa berkebutuhan khusus yang signifikan setelah diberikan program disability awareness (t=4,244; df=11; p=0,001). Penerapan dari program ini dapat diberikan kepada guru-guru di SD reguler yang mengajar siswa berkebutuhan khusus.Kata kunci : siswa berkebutuhan khusus, anak berkebutuhan khusus, disability awareness, sekolah dasar, guru ABSTRACTTeacher’s knowledge about disability is crucial to handle special needs student. Disability awareness program can be applied to equip that knowledge among teachers. The primary aim of this study was to evaluate the effectiveness of disability awareness program to increase knowledge about special needs students among teachers in regular elementary school. Twelve teachers completed test about special needs students before and after the program is delivered. Based on statistical analysis using paired-sample t-test, it revealed a significant increase about special needs students among teachers after disability awareness program is given (t=4,244; df=11 p=0,001). This program can be applied to regular school teachers who teach special needs student.Keywords: special needs students, special needs children, disability awareness, elementary school, teacher
PENERAPAN ART THERAPY UNTUK MENGURANGI PERILAKU MENYAKITI DIRI SENDIRI (SELF-INJURIOUS BEHAVIOR) PADA DEWASA MUDA YANG MENGALAMI DISTRESS PSIKOLOGIS
Authors: Saputra Dinar 
Published: December 2022

The aim of this research is to identify the decline of Self-Injurious Behavior of young adults who experience psychological distress after participating in art therapy intervention. Self-injurious behaviour (SIB) is a problem that often occurs to some individuals who because they are unable to manage their stress and express it in positive ways. SIB is a direct and intentional behavior to create destructive conduct to themselves without having any intention to commit suicide, but usually it is used as a negative coping of individual’s emotional problem (Walsh, 2007). The pressure can be influence by the their psychological distress. To avoid and address any posibility of the negative impacts that will occur to SIB patient, an appropriate psychological intervention is necessary being implemented. In this research art therapy is being used as one of thesecured media for emotional catharsis. The design of the research is single subject experiment using the combination of qualitative and quantitative methods on three participants. Data collection was conducted by, interviews and observations. Subjective Unit Distress (SUDS) was utilized to obtain quantitative measurement. Result based on The Self-Injury Questionnaire-Treatment Related (SIQ-TR) and Self-Injury Behavior Scale (SIB) indicate that the SIB of the three participants were reduced after participating in art therapy.
INTERVENSI FEEDBACK PESAN NORMA SOSIAL UNTUK MENINGKATKAN AKTIVITAS FISIK REMAJA
Authors: Hamid Muflih Wahid , Takwin Bagus 
Published: December 2022

Penelitian ini berupaya untuk meningkatkan perilaku aktivitas fisik pada remaja di Kabupaten Pangkajene dan Kepulauan. Penelitian ini dilakukan melalui dua tahap. Pada tahap awal peneliti melakukan studi baseline dan dilanjutkan dengan tahapan intervensi. Focus theory of normative conduct, yang menyatakan ada dua jenis norma yakni norma deskriptif dan norma injungtif, digunakan sebagai kerangka teoretik. Aktivitas fisik dalam penelitian ini didefinisikan sebagai jumlah langkah kaki individu menggunakan aplikasi dalam ponsel pintar. Partisipan adalah remaja yang berusia 15-18 tahun (N = 64) yang tinggal di Pangkajene dan Kepulauan. Dalam 14 hari, setiap partisipan diminta untuk melaporkan jumlah langkah kakinya setiap hari, kemudian akan mendapatkan umpan-balik berupa pesan norma sosial. Penelitian ini dianalisis dengan One-way repeated measures ANOVA untuk melihat efektivitas pemberian umpan balik norma sosial yang diberikan setiap hari sesuai dengan kelompok mereka. Hasil penelitian ini mengindikasikan bahwa kelompok yang mendapatkan intervensi umpan balik berisi pesan norma deskriptif dan norma injungtif tercatat memiliki jumlah langkah kaki yang lebih banyak dibandingkan dengan kelompok yang hanya mendapatkan umpan balik berisi pesan norma deskriptif dan kelompok kontrol (p < .05).
POTENSI MENJADI PELAKU KEJAHATAN SEKSUAL KAITANNYA DENGAN HARGA DIRI REMAJA LAKI-LAKI
Authors: Erica Stefanni Lucky , Nuqul Fathul Lubabin , Priyanggasari Al Thuba Septa 
Published: December 2022

Penelitian ini bertujuan untuk mengetahui pengaruh harga diri terhadap potensi menjadi pelaku kejahatan seksual pada remaja laki-laki di Kota Malang. Penelitian ini menggunakan pendekatan kuantitatif dengan dua variabel yang menggunakan skala harga diri dan skala potensi menjadi pelaku kejahatan seksual. Sampel dari penelitian ini adalah sebanyak 384 remaja laki-laki yang tersebar di Kota Malang yang berusia 16-20 Tahun.Teknikpengambilan sampel yang digunakanpenelitiadalahaccidental sampling. Instrumen penelitian yang digunakan adalah Skala harga diri dan skala tentang asesmen resiko menjadi pelaku kejahatan seksual. Hasil perhitungan dan analisis data diperoleh koefisien determinan (R-Square) yang diperoleh dari harga diri terhadap potensi menjadi pelaku kejahatan seksual pada remaja laki-laki sebesar 0,284. Kesimpulannya adalah adanya pengaruh negatif variabel harga diri terhadap variabel potensi menjadi pelaku kejahatan seksual dengan sumbangan efektif sebesar 28,4%.