bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pemberian Izin Perceraian Untuk PNS Menggunakan Teori Maslahat
Authors: Fauzi Salim Rahmad 
Published: October 2022

Abstrak
Penelitian ini dilakukan untuk mengetahui fungsi akta cerai pegawai negeri sipil, mengetahui dasar hukum perceraian dengan teori kepentingan, untuk mengetahui sikap hakim dalam menyelesaikan perkara perceraian yang menguntungkan pejabat public. Teori penelitian ini menggunakan penelitian hukum. Pendekatan dalam penelitian ini adalah yuridis, sifat penelitiannya adalah deskriptif analisis, dan sumber data primer penelitian ini adalah Alquran, Hadis dan sumber sekunder terutama terapi hukum seperti konstitusi, hukum dan syariah serta Peraturan Pemerintah. Dokumen hukum sekunder adalah buku atau bacaan kepustakaan, pekerjaan umum, karya tulis. Dokumen hukum tersier, kamus hukum, ensiklopedia, kamus bahasa Indonesia, surat kabar, internet, dan lain-lain.
Abstract
This study was conducted to determine the function of the divorce consent of civil servants, to know the legal basis of divorce with the theory of interest, to determine the attitude of judges in resolving divorce cases that benefit public officials. theory. This research uses legal research. The approach in this research is juridical, the nature of this research is descriptive analysis, the primary data source of this research is the Qur'an and Hadith, and the secondary sources are mainly legal therapy such as constitution, law and sharia. Government regulations. Secondary legal documents are books or literature readings, public works, written works. Tertiary legal documents, legal dictionaries, encyclopedias, Indonesian dictionaries, newspapers, internet, and others
Antidiabetic Effectiveness Test of Andaliman Fruit (Zanthoxylum acanthopodium) Extract on Histopathological Changes in Peripheral Nerves: An In Vivo Study
Authors: Larisma Simanullang  , Sionia Delaroza Doloksaribu  , Riyani Susan Bt. Hasan  , Simbolon Boyke Marthin 
Published: October 2022

Background: Diabetes mellitus (DM) is a chronic metabolic disease characterized by elevated blood sugar levels, and the increase in sugar levels is triggered by low insulin production or the ineffective use of insulin by the body (relatively). Diabetic neuropathy is a complication that often attacks DM patients and is the highest complication of diabetes. This study aims to test the effectiveness of Andaliman fruit (Zanthoxylum acanthopodium) extract on the improved histopathology of Peripheral nerve in alloxan-induced Wistar rats (Rattus norvegicus).
Methods: This study is an experimental study using 24 Wistar rats, which were grouped into 6 groups (1: normal, 2: negative control, 3: positive control, 4-6: DM + andaliman extract 150mg/kgBW, 250 mg/kgBW, 350 mg /kgBB). Data analysis used SPSS to determine differences in the histological conditions of peripheral nerves.
Results: The administration of andaliman fruit extract at a dose of 350 mg/kgBW was most effective in inhibiting the proliferation of Schwann cells, which showed the potential of andaliman fruit extract in preventing the progression of diabetic neuropathy. The administration of andaliman fruit extract at a dose of 350 mg/kgBW also showed the most effective potential in inhibiting the inflammatory process in the peripheral nerves, which is believed to be responsible for peripheral nerve cell damage.
Conclusion: Andaliman fruit (Zanthoxylum acanthopodium) extract is effective against improving the histopathology of peripheral nerves in alloxane-induced Wistar rats (Rattus norvegicus).
Stellate Ganglion Block as Pain Management in Post Herpetic Neuralgia: A Case Report
Authors: Amin Abd. Samad 
Published: October 2022

Introduction: Stellate ganglion block (SGB) has been used in various conditions. Medical conditions include complex regional pain syndrome and peripheral vascular disease. This study aims to describe the use of stellate ganglion block for pain management in post-herpetic neuralgia.
Case presentation: A 68-year-old man came with a complaint of severe headache. Complaints of severe headache since 1 month ago, pain until tears come out. This complaint is accompanied by red blisters, pain on the left side of the face, weakness, and decreased appetite. Physical examination showed compos mentis consciousness, appeared moderately ill, blood pressure 160/90 mmHg, heart rate 112x/minute, respiratory rate 20x/minute, temperature 37.2oC, numeric rating scale 7/10. In the head region, there was cicatricial, paresis of N VII, positive hypersensibility, positive allodynia, spasm neck muscles, right joint shoulder stiffness, and stiffness in the m. right rotator cuff. The patient was given intervention in the form of a stellate ganglion block (SGB). Follow-up 1 day after the GBS procedure showed that the headache and left facial pain were greatly reduced.
Conclusion: Ultrasonographic-guided stellate ganglion block can reduce post-herpetic neuralgia symptoms with minimal complications.
MAFLD progression in a group of patients after a previous intervention 10 years ago
Authors: Arroyo Argüelles JM , Castillo Molina L , Segarra Balao A , Romero Moreno S , Padilla Ávila F , de Vicente Ortega A , Baeyens Cabrera E 
Published: October 2022

Resumen

La enfermedad metabólica asociada al hígado graso (MAFLD) es la disfunción hepática más frecuente en la actualidad.

El objetivo principal del estudio fue la determinación de la progresión de esteatosis hepática a fibrosis en un grupo de pacientes.

Los objetivos secundarios fueron el análisis del impacto de factores de riesgo del síndrome metabólico en la progresión de MAFLD, así como el estudio de la correlación existente entre la elastografía de transición y FIB4 para medir fibrosis.

En 2011 se realizó una intervención sobre 182 pacientes, los cuales fueron diagnosticados de esteatosis y se les recomendó hábitos de vida saludables.

Nuestro estudio actual (año 2021) consistió en evaluar la progresión de la enfermedad hepática de dichos pacientes diagnosticados hace 10 años de esteatosis y analizar los factores de riesgo implicados en el empeoramiento del cuadro clínico.

Para ello se diseñó un estudio de cohortes, observacional, prospectivo y unicéntrico.

De los resultados obtenidos, se puede concluir que existe mayor prevalencia de fibrosis hepática a mayor grado de esteatosis, siendo esta asociación estadísticamente significativa con una p_valor=0,004.

Se encontró relación entre el aumento del índice de masa corporal y una progresión en el grado de fibrosis hepática, siendo esta asociación estadísticamente significativa con una p_valor = 0,007.

La concordancia entre FIB4 y Fibroscan para la medición del grado de fibrosis hepática demostró ser débil de forma global. Sin embargo, si se evidenció una buena concordancia entre ambos métodos en los pacientes que presentaron un grado de fibrosis F0-F1.
Gallstone ileus as an infrequent cause of small bowel obstruction and its surgical treatment.
Authors: Vergara Morante T , Cabello Calle G , Gallart Aragón T , Mirón Pozo B 
Published: October 2022

Resumen

La litiasis biliar es una causa infrecuente de obstrucción intestinal mecánica, con una prevalencia del 4% en la población general, que aumenta hasta el 25% en pacientes mayores de 65 años, afectando en mayor proporción a mujeres. Presentamos cinco casos de pacientes con íleo biliar tratados en nuestro centro en los últimos cinco años, realizándose o bien enterotomía sobre la zona afectada con posterior sutura primaria de la misma para la extracción del cálculo, o bien resección segmentaria del fragmento de intestino delgado donde se alojaba la litiasis por presentar signos de complicación (perforación, isquemia, ...).
Patent urachus`s infection as an uncommon cause of abdominal pain
Authors: Bernal Torres Á , Cárdenas Cárdenas JF , Moreno García A , Viejo Almanzo A 
Published: October 2022

Resumen

Desde el punto de vista embriológico el uraco es una estructura tubular que proviene de la involución del alantoides y comunica la cara anterosuperior de la vejiga con el ombligo. Durante el desarrollo normal, éste debe de obliterarse progresivamente hasta conformar el ligamento umbilical medio. La falta de obliteración puede resultar en varios tipos de malformaciones como son la persistencia del uraco permeable (malformación más frecuente), el seno umbilical-uracal, el quiste uracal y el divertículo vesico-uracal.

La incidencia de patología uracal es de un 0,07% y se diagnostican de forma incidental en el estudio de pacientes con patología genitourinaria o por masas abdominales, como en el caso que presentamos.

El tratamiento de elección de estas malformaciones es quirúrgico con exéresis completa del remanente uracal para evitar complicaciones como la degeneración neoplásica . En caso de infección del remanente uracal, el manejo habitual consiste en instaurar tratamiento antibiótico, asociado o no a drenaje del quiste, para en un segundo tiempo realizar la exéresis de la lesión.
Border gnoseology: Akwaeke Emezi and the Decolonial Other-than-Human
Authors: López Marta Sofía 
Published: October 2022

The underlying assumption when speaking about the postcolonial nonhuman is that the other-than-human refers to what could be called, broadly speaking, the “natural world,” as opposed to “the human-as-Man,” but still usually understood in (Western) secular terms. Nevertheless, from the perspective of African onto-epistemologies, the nonhuman can also refer to the spiritual world, or to the diverse assemblages between the “natural,” the human and the sacred. Freshwater (2018) and Dear Senthuran. A Black Spirit Memoir (2021), by Akwaeke Emezi, open up a space of “border gnoseology,” where contemporary Anglo-American discourses on transsexuality intersect with African ontologies and epistemologies, specifically with the well-known figure of the ogbanje and the sacred python as an avatar of Ala, the Earth goddess in Igbo culture, to produce a radically subversive embodied subjectivity. The ideas of movement, transing, tranimalcy and (transatlantic) crossing conspire to dismantle conventional Eurocentric humanist views on selfhood and identity. Reading Emeke on their own terms also requires revisiting alternative notions of temporality beyond secular, cisheteronormative, modern time, as well as an understanding that the sacred and the spiritual are indeed essential to the worldview and the processes of subjectivation of millions of people across the globe.
Estrategias de inclusión en la deserción estudiantil en la carrera de economía – modalidad en línea
Authors: Giler-Medina Patricio 
Published: October 2022

El objetivo fue analizar las estrategias de inclusión en estudiantes de Economía respecto a la deserción estudiantil en la modalidad en línea, de la Universidad Estatal de Milagro del Ecuador en el período semestral 2021 – 2022. La problemática de la aplicación integral de estrategias de inclusión en la educación virtual presenta diversas incidencias que conducen a la deserción estudiantil en el primer semestre en la carrera de Economía. La investigación tiene un enfoque mixto, apoyado en la investigación descriptiva y bibliográfica, y de los métodos inductivo y analítico-sintético. Se desarrollo la investigación mediante una encuesta de preguntas estructuradas, como medio de sistematización de la realidad académica de las políticas de inclusión educativa en la permanencia de estudiantes en la educación superior. Se obtuvo como principal resultado que la aplicación adecuada de una estrategia de inclusión, que use como herramientas a las TICs y que garantice la permanencia estudiantil, debe considerar una visión exhaustiva, holística, heterogénea y funcional, y se observó la necesidad de mejorar los procesos de orientación vocacional y profesional en los estudiantes de nuevo ingreso en la Educación Superior.
Factores desencadenantes de ingresos hospitalarios de pacientes por insuficiencia cardíaca
Authors: Andrade Jordan Juan Pablo , Paredes Polanco Jessenia , Corrales Estrada Monica 
Published: October 2022

Introducción: La insuficiencia cardíaca es un grave problema de salud pública provoca altas tasas de ingresos y reingresos hospitalarios en especial en pacientes mayores de 60 años. Generalmente los ingresos pueden evitarse si se identifican los factores que los provocan. Objetivo: Identificar los factores asociados que influyen en los ingresos hospitalarios de pacientes con insuficiencia cardíaca. Metodología: es un estudio cualitativo descriptivo mediante una revisión sistemática de artículos científicos que abordan la relación entre las causas y los pacientes ingresados con diagnóstico de insuficiencia cardíaca en los centros hospitalarios, para lo cual se realizó una revisión e interpretación exhaustiva y coherente de las publicaciones científicas y los metaanálisis. Resultados: De esta revisión, se seleccionaron 10 estudios relevantes que cumplían el objetivo de la investigación. Las comorbilidades más frecuentes fueron la diabetes mellitus (40% a 50% de pacientes), la hipertensión (60%-80% de pacientes) , la dislipidemia (30% a 50% de pacientes) y la fibrilación auricular (40% a 50% de pacientes), y en menor medida la obesidad, la anemia y el tabaquismo. Conclusiones: los ingresos y reingresos de pacientes con insuficiencia se vinculan principalmente a comorbilidades y a factores derivados, lo cual implica un mayor riesgo de reingreso, por lo cual es necesario la identificación y registro para plantear estrategias de prevención.
ANALISIS BIAYA RIIL PENGOBATAN PASIEN HIPERTENSI RAWAT INAP TERHADAP TARIF INA-CBG’s DI RSNU JOMBANG
Authors: Istiqomah  , Ika Purwidyaningrum  , Titik Sunarni  
Published: October 2022

Di Indonesia jumlah penduduk yang menderita hipertensi sekitar 260 juta jiwa. Penelitian ini bertujuan untuk mengetahui pola pengobatan pada penyakit hipertensi, biaya rerata pengobatan, faktor yang mempengaruhi biaya pengobatan pasien hipertensi rawat inap, serta kesesuaian biaya riil dengan biaya paket INA-CBGs pada pasien JKN. Penelitian ini termasuk dalam cross sectional, data diambil secara retrosfektif dengan subyek penelitian adalah pasien hipertensi rawat inap tanpa komorbid dan pasien hipertensi dengan komorbid gagal ginjal dan diabetes melitus, data yang diperoleh diolah dan dianalisis menggunakan software SPSS dengan one sampel t test. Hasil penelitian ini menunjukkan pola pengobatan hipertensi di RSNU Jombang paling banyak adalah Candesartan untuk terapi tunggal, jika kombinasi umumnya menggunakan obat golongan CCB dan ARB. Faktor yang mempengaruhi biaya riil pasien hipertensi rawat inap pada tahun 2017 adalah komorbid, LOS, dan tingkat keparahan. Sedangkan pada tahun 2018 tidak ada faktor yang mempengaruhi biaya riil. Perbedaan biaya riil dengan tarif biaya INA-CBGs pada tahun 2017 dan 2018 menunjukkan perbedaan signifikan yang positif, hal ini berarti rumah sakit mampu melakukan efisiensi biaya pengobatan pasien hipertensi rawat inap. Penelitian lebih lanjut diharapkan dapat dilakukan dengan mengambil subyek penelitian yang lebih banyak sehingga dapat dilihat outcome terapi yang diperoleh pasien.
“Early detection of breast cancer in tertiary care hospital in Pakistan: Impact of a dedicated breast unit”
Authors: Tehniyat Wajiha 
Published: October 2022

Introduction: Pakistan is second in Asia, harbouring people with breast cancer. Over the last 20 years, it has been on an alarming rise. Despite this fact, breast cancer hasn't been addressed the way it demands. There is no proper nationwide screening programme that might prove fruitful in early detection and treatment. In the last decade, few steps have been undertaken to lead to an increase in the early detection of breast cancer. Hence, this study has been designed to assess the impact of a dedicated breast service in the early detection of breast cancer.
Materials and Methods: This study was done in Holy Family Hospital, Rawalpindi, which is a 300 bedded public hospital in Pakistan. The establishment of an active and dedicated breast unit at the Hospital took place in 2010. The total number of patients registered with breast outpatient clinics, diagnosed with breast cancer, and the stage they presented in a year have been compared over the last 10 years in the tertiary care hospital.
Results: According to the data, a total of over 6000 patients were seen in the breast unit of Holy Family Hospital, between 2008-2017. Of the total, about 88.7% of patients have been diagnosed as having benign issues, while about 12.3% of the patients were diagnosed with malignant breast problems. In comparison, between 2008- 2012, 36.44% presented early while, between 2013-2017, 65.54% presented with early disease.
Conclusion: In conclusion, a specialized breast unit has been deeply impacted by changing trends, so steps should be taken to enhance efforts, and collaboration with international breast centres to get standardized guidelines for screening can be helpful for the cause.
Assessment of Knowledge among Dental Patients regarding Second wave of Corona virus Disease
Authors: Zulfiqar Kanwal , Zia Syed Hamza , Rizwan Ghina , Rizwan Zarnab , Iqbal Naeema , Zulfiqar Mobina Fatima 
Published: October 2022

Objective The objective of this study was to assess the dental patients' knowledge and perspectives with respect to the second wave of COVID-19.
Materials and methods A self-designed questionnaire was sent as a google forms link via WhatsApp and a few patients who had no access to WhatsApp, were asked to fill out a hand printed form. The completed questionnaires were then analyzed using the statistical package for social sciences (IBM version 22).
Results: A total of 350 participants were included in the study, out of which 38% were male and 62% were female. Result was calculated using binary logistic regression analysis for different variables to predict the confidence level based on their knowledge, attitude and practice regarding second wave of COVID-19.
Conclusion: Our study concluded that there is more than satisfactory level of knowledge regarding COVID-19 and People are aware of the basic protocols which help in protection against the virus owing to easy access of information.
A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
Authors: Zafar Anam , Sarosh Nadia , Saeed Tariq , Bashir Saba 
Published: October 2022

Background: To audit the practices involved in blood component transfusion in the management of patients in paediatric intensive care unit of our hospital and to determine the appropriateness of transfusion after comparing them with clinical practice guidelines recommended by Royal Children Hospital (RCH).
Methods: All patients admitted in pediatric intensive care which were managed with blood component transfusions were retrospectively audited for 8 weeks. Management details including indications of transfusion and its appropriateness were recorded. Clinical practice guidelines recommended by Royal Children Hospital (RCH) were used as standards.
Results: One hundred and ninety-two transfusions were done during the study period out of which 58 percent were done to males and 41 percent to females. Majority of transfusions were done in infants (44%) and O Positive blood group was found rampant among blood groups of all recipients (33.3%). Red cell concentrates were predominantly (55.7%) and appropriately (72%) transfusion among all blood components. Platelet concentrates were most inappropriately transfused (57%) followed by fresh frozen plasma (54%) and red cell concentrates (27%). There was significant percentage of inappropriate transfusion of all blood components (p=0.00).
Conclusion: All blood components were significantly found inappropriately transfused, commonest component being platelet concentrates.
Outcome of Subtrochanteric Femur Fractures Treated by Proximal Femoral Nail in a Tertiary Care Hospital
Authors: Rahman Rasool Akhtar, Riaz Ahmed, Omair Ashraf Rahman Rasool Akhtar, Riaz Ahmed, Omair Ashraf 
Published: October 2022

Background: Subtrochanteric femoral fractures are challenging for surgeons, as it has strong collapsing forces at fracture site.The management of sub-trochanteric fractures, especially nonunion is challenging.Proximal Femoral Nail can be helpful in achieving high success rate. But there was a lack of local evidence.
Objective: To determine the Outcome of Subtrochanteric Femur Fractures Treated by Proximal Femoral Nail in a Tertiary Care Hospital.
Material and methods: This prospective study was conducted from 1stJuly 2017 to 30th June 2019. The inclusion criteria were all the patients of both genders above 16 years of age presented to emergency department with subtrochanteric fractures of the femur. Exclusion criteria included pathological fractures, fractures in children, old neglected fractures and multiple fractures. Radiographs were taken and all the patients were classified according to Seinshemers classification. All the patients underwent internal fixation with Proximal Femoral Nail. The outcome of all patients were assessed by using Modified Harris Hip Score.
Results: A total of 110 patients were included in the study. Mean age of patients was 30.05±8.59 years. 81 (73.63 %) patients were males and 29 (26.36%) were females. According to Seinshemers classification, we had 54 patients with Type II fracture, 35 patients with Type III fracture, 19 patients with Type IV fracture and 02 patients with Type V fracture. Mean duration of hospital stay was 06 days and mean time of full weight bearing was 12 weeks. In our study, excellent results were found in 71 patients (64.5%), good results in 28 patients (25.4%), fair results in 06 patients (5.4%) and poor results in 03 patients (2.7%).02 patients were lost in follow up. The mean Harris Hip score was 93.5± 5.42. 14 patients (12.7%) had minor complications including 06 patients with Superficial wound infections, 03 patients with Deep infection, 01 patient with Deep vein thrombosis and 04 patients had Fracture from distal tip of nail. All the fractures unite within 6 months period and no implant failure was observed.
Conclusion: Proximal Femoral Nail is a good choice implant for the fixation of subtrochanteric femur fractures leading to high rate of union, fewer implant related complications and excellent functional outcome.
Key words: Subtrochanteric, Femur fracture, Proximal Femoral Nail, Modified Harris Hip Score, Seinshemers classification, Complications
Comparison of Efficacy of Halstead and Vazirani Akinosi Block Technique in Achieving Mandibular Anesthesia
Authors: Shuja Eruj , Daaniyal Sadia , Mushtaq Osama , Ahmed Naseer , Afreen Ammarah , Afreen Zarah 
Published: October 2022

OBJECTIVE: To compare the efficacy of Halstead and Vasirani Akinosi block techniques in achieving mandibular anesthesia during exodontia among subjects reporting to Watim Teaching Hospital.
STUDY DESIGN: Randomized controlled trial.
PLACE AND DURATION OF STUDY: This study was conducted in the department of Maxillofacial Surgery, Watim Dental Hospital, Rawalpindi from July 2019 to January2020.
MATERIALS AND METHODS: This is a randomized control trail of 60 patients. Duration of onset of anesthesia, pain during injection, incidence of aspiration, success and failure of Halstead and Vasirani Akinosi techniques and their mean doses were analyzed and compared by using SPSS version 17.Comparison of categorical variables was done by Chi-square test. Comparison of non-categorical variables was done by independent sample t-test. p value of less than 0.05 was considered significant.
RESULTS: 28(93.3%) experienced moderate while 2(6.7%) experienced severe pain in Halstead group, while 30(100%) experienced mild pain in Vasirani Akinosi group. Halstead technique was successful in 22(73.3%) while unsuccessful in 8(26.7%) patients. Vasirani Akinosi technique was successful in 29(96.7%) and unsuccessful in 1(3.3%) patients.
CONCLUSION: It may be concluded from analysis in the present study that Vasirani Akinosi technique was statistically superior in all parameters such as duration of onset, pain during injection, aspiration and success rate as compared to the conventional Halstead block technique.
KEY WORDS: Extraction tooth, local anesthesia, Vasirani-Akinosi technique, nerve block.