bluuebunny/crossref_metadata_2025_split huggingface dataset:
METODE HIPNOTERAPI UNTUK PENANGANAN KLIEN DENGAN KEBIASAAN MEROKOK
Authors: Purwanto Agung , Taftazani Budi Muhammad , Hidayat Eva Nuriyah 
Published: February 2022

ABSTRAKKebiasaan merokok memiliki dampak negatif yaitu mulai dari menimbulkan berbagai macam penyakit berat hingga kematian dan bagi kelompok masyarakat dengan tingkat ekonomi rendah dapat menyebabkan berkurangnya biaya untuk memenuhi kebutuhan dasar. Salah satu bentuk intervensi yang dapat dilakukan bagi perokok untuk menghilangkan kebiasaan merokoknya yaitu dengan menerapkan metode hipnoterapi. Metode hipnoterapi lazim digunakan dalam praktik pekerjaan sosial khususnya dalam arena pekerjaan sosial klinis atau pekerjaan sosial medis. Metode ini sejalan dengan perspektif berbasis kekuatan dan keterhubungan antaran fikiran dan tubuh. Tulisan ini bertujuan untuk menggambarkan bagaimana proses hipnoterapi kepada individu dengan kebiasaan merokok. Penelitian ini menggunakan metode kualitatif deskriptif dengan informan dua subjek klien yang menjalankan terapi dan seorang hypnotherapist.. Teknik pengumpulan data menggunakan wawancara dan observasi. Hasil penelitian menunjukkan metode hipnoterapi pada klien dengan kebiasaan merokok terbagi menjadi tujuh tahapan yaitu pra induksi, induksi, deepening, depth level test, suggestion therapy, hypnotherapeutic technique dan terminasi. Terdapat perbedaan pada bagian suggestion therapy dan hypnotherapeutic technique yang disesuaikan dengan tujuan masing-masing klien. Perbedaan terletak pada teknik manipulasi dan substitusi. ABSTRACTSmoking habits have negative impacts ranging from causing various serious diseases to death and for people with low economic income it can lead to reduced costs to meet their basic needs. One form of intervention that can be done to individual smokers can be done by applying hypnotherapy methods. Hypnotherapy methods are commonly used in social work practices especially in the arena of clinical social work or medical social work. This method is in line with the strength perspective and connection between mind and body approach. This paper aims to describe the process of hypnotherapy to individuals with smoking habits.This study operates descriptive qualitative method with three informants, that is two clients who accept therapy and a hypnotherapist. Interviews and observation use as data collection techniques. The results showed that the hypnotherapy method for clients with smoking habits was divided into seven stages, namely pre-induction, induction, deepening, depth level test, suggestion therapy, hypnotherapeutic technique and termination. However, because there are differences in each client's goals, namely reducing and stopping, the suggestion therapy and hypnotherapeutic technique sections are adjusted to these goals. The difference lies in the technique of manipulation and substitution. However, there are similarities in the purpose of the technique given to both, which is to eliminate comfort in smoking activities.
PENGETAHUAN MENGENAI GARAM BERIODIUM PADA IBU RUMAH TANGGA DI WILAYAH KERJA PUSKESMAS TAMPAKSIRING I
Authors: Wulandari Kadek Nuansa Putri , Sutiari Ni Ketut 
Published: February 2022

ABSTRAK
Universal Salt Iozation merupakan strategi untuk mengurangi defisiensi iodium dengan menambahkan iodium kedalam garam. Dalam evaluasi kinerja gizi tahun 2020 Bali termasuk dalam Provinsi yang masih rendah pada konsumsi garam beriodium yaitu sebesar 80,6% dari target 82%. Cakupan penggunaan garam beriodium akan dipengaruhi oleh tingkat pengetahuan masyarakat mengenai garam beriodium. Tujuan penelitian ini untuk mengetahui pengetahuan Ibu Rumah Tangga mengenai garam beriodium di wilayah kerja Puskesmas Tampaksiring I. Jenis penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross-sectional. Populasi penelitian yaitu ibu rumah tangga yang berada di wilayah kerja Puskesmas Tampaksiring I dengan sampel sebanyak 111. Pengambilan sampel dilakukan dengan accidental sampling. Teknik pengumpulan data menggunakan wawancara dan observasi. Instrumen penelitian menggunakan kuesioner dan checklist. Dilaksanakan pada April - Juni 2021 dan dianalisis menggunakan Analisis Univariat. Hasil penelitian ini memperoleh mayoritas tamat SMP (25,2%) dan 75,7% sebagai Ibu Rumah Tangga (IRT). Sebesar 55,9% responden sudah menggunakan garam beriodium dan 59,5% responden memiliki pengetahuan baik mengenai garam beriodium.Kata Kunci: Pengetahuan, Garam Beriodium, Ibu Rumah Tangga
Ekstraksi Minyak Kelapa Menggunakan Enzim Bromelin dari Buah Nanas
Authors: Febrianto A N  
Published: February 2022

Ekstraksi merupakan salah satu metoda yang digunakan untuk mendapatkan minyak dari bahan yang diduga mengandung minyak. Enzim bromelin yang terkandung dalam tanaman nanas dapat digunakan sebagai bahan pengekstrak minyak. Dalam hal ini penggunaan tanaman nanas sebagai penghasil enzim pengekstrak didukung juga oleh cukup banyaknya tanaman nanas diwilayah Indonesia. Nanas yang digunakan dalam penelitian ini berasal dari Subang.
Komposisi nanas yang digunakan dalam penelitian adalah 10%, 20% dan 30% dari berat campuran kelapa. Campuran kemudian diperam selama 6 jam, dikeringkan selama 6 jam pada suhu 65oC, lalu dilakukan pengepresan dan penyaringan.
Hasil penelitian menunjukan rendemen minyak tertinggi (209,19 g) diperoleh pada daging nanas tua dengan komposisi nanas 30%. Berdasarkan uji yang dilakukan, kualitas minyak yang dihasilkan memenuhi standar baku yang telah ditetapkan (SNI).
Fungal Infection Exacerbate Nasal Polyposis: A study conducted at KGN Teaching Hospital Bannu-KPK.
Authors: Muhammad Iqbal  , Khan Sahibzada Fawad , Khan Sohail , Ahmad Wasim 
Published: February 2022

Background: Nasal polyps were believed to be small tumours of nasal or sinus mucosa. With progressing research, they are associated with enlargement or swelling of nasal or sinus mucosa, allergy, asthma, any infection, sensitivity to aspirin, and/or cystic fibrosis unclear etiology. The present study aims to evaluate the prevalence of fungal infections that can result in the onset of nasal polyposis in the residents of district Bannu, Pakistan.
Methodology: A cross-sectional study was conducted at the ENT Department of Khalifa Gul Nawaz (KGN) teaching hospital in Bannu from March 2018 to February 2020, including 180 polyposis patients with the presence or absence of any fungal infestation. The subjects possessing mass other than nasal polyp based on clinical diagnosis were excluded from the study. The fungal infestation was observed with nasal endoscopy, and the patients were hospitalized for functional endoscopic sinus surgery (FESS). The staging of the nasal polyposis was based on the CT scan findings. The condition was classified into three grades, i.e., grade I, II and III. The data was statistically analysed on SPSS version 20.0.
Results: Out of 180 patients diagnosed clinically for nasal polyposis, 97(53.88%) were males. The fungal infestation was positive in 73(41%) specimens. Around 52.72% of patients were found with bilateral involvement. Of which, 31.57% were diagnosed with an allergic event. The fungus Aspergillus was observed in 40.55% of specimens. The one-year follow-up displayed an overall recurrence rate of 40%, i.e., 38(52.05%) patients from the fungal group and 34(47.22%) from the non-fungal group.
Conclusion: It is concluded from the study outcomes that the incidence of nasal polyposis with or without fungal infection is associated with the environment and the discrete host response. Moreover, individuals living with lower socioeconomic conditions in crowded and humid areas tend to suffer more.
Frequency of carrier state of thalassemia and various hemoglobinopathies in tertiary care hospital of Pakistan.
Authors: Kamil Saba , Shaheen Kausar , Rafique Sara , Qadri Hira , Farooqui Waqas , Tauheed Mozzam , Kamil Noor , Liaqat Anum 
Published: February 2022

Background: It has been estimated that 5% of the global population are carriers of Hemoglobin (Hb) disorders. These disorders may cause hemolytic anemia leading to the critical condition of the patients. The current research was designed to identify spectrums of thalassemia minor and carriers of other hemoglobinopathies patients presenting at the tertiary care center to evaluate anemia.
Methodology: A total of 3289 patients’ data with low Hb values and suspicion of hemoglobinopathies were included in this cross-sectional retrospective study. Complete blood count (CBC), High-performance liquid chromatography (HPLC), and sickling test were utilized in this study. At the same time, Patients with normal Hb as per HPLC analysis were excluded from this study.
Results: Of the total, 708 (21.5%) patients had hemoglobin disorder and the mean age of patients with thalassemia minor was 24.0 ± 14.7 years. Out of 708 carriers, 646 (19.6%) cases showed traits of thalassemia minor, 12 (0.36%) showed Hb S trait, 43 (1.30%) showed Hb D trait, 07 (0.21%) showed Hb E trait, whereas there were no cases of Hb C recorded in this study.
Conclusion: Thalassemia trait was the highest among other variants in our study population. It is recommended that to decrease the frequency of hemoglobinopathies, pre-marriage screening should be conducted, and family marriages should be restricted.
Evaluation of antimicrobial potential of partially purified proteins/peptide of Yellow Scorpion Buthus sindicus against Carbapenem-Resistant Acinetobactor baumannii and Pseudomonas aeruginosa.
Authors: Urooj Sehrish , Amin Rafat , Haque Zeba 
Published: February 2022

Background: Increasing antimicrobial resistance of microbes is one of the leading challenges faced by the medical community and human health. This study focused on a local scorpion species (Buthus sindicus) of Pakistan known for its potent antibiotic properties against Carbapenem-resistant Acinetobacter baumannii and Pseudomonas aeruginosa.
Methodology: Venom extracted from Buthus sindicus tested against Carbapenem-resistant A. baumannii and P. aeruginosa in both crude and partially purified forms. The antibacterial Screening was performed by the Agar-disc diffusion method, using different concentrations of venom while using commercially available antibiotics as positive controls.
Results: Among both two species P. aeruginosa and A. baumannii, were tested, there is no zone of inhibition found in any form of Buthus sindicus in the Disc Diffusion Method. Scorpion venom was processed with deionized water, PBS, and Tris-HCl and observed no difference in antibacterial activity.
Conclusion: Our study concluded that no antimicrobial activity was found against any selected drug-resistant pathogens in the venom of Buthus sindicus, probably because of the lack of disulphide bonds.
Effects of Sphinx Pose (Salamba Bhujangasana) Yoga on chronic low back pain
Authors: Saleem Yusra , Noushad Shamoon , Ahmed Sadaf , Ansari Basit 
Published: February 2022

Background: Chronic Low back pain (LBP) is among the most prevalent conditions distressing the adult population worldwide. The use of complementary and alternative medicinal (CAM) therapies for the management of LBP have rapidly gained popularity, where Yoga is being widely used as mind-body CAM therapy for relieving back pain. The aim is to assess the effectiveness of Sphinx Yoga Pose (Salamba Bhujangasana), in managing CLBP and to measure the variations in the disability index, quality of life, and stress scores.
Methodology: A randomized controlled clinical trial will be conducted including the Nurses and midwives. Numerical Pain Rating (NPR) Scale, Roland Morris Disability Questionnaire, Fear Avoidance Beliefs Questionnaire (FABQ) will be used for initial screening. Subjects meeting inclusion criteria will be randomly assigned to either of the study group i.e. Group A (Experimental) and Group B (Control). The Group A subjects will be assigned with Sphinx Yoga therapy for 12 weeks while group B subjects will be assigned to usual care. Pre and post samples will be collected for Substance P (SP), Beta Endorphins (β-Endorphin), and Cortisol. Moreover, Oswestry Low Back Pain Disability index, World Health Organization Quality of Life (WHOQOL) and Sadaf Stress Scale (SSS), will be used at baseline and after 12 weeks follow-up (post-intervention).
Discussion: Offering a 12-week Yoga therapy to the subjects with CLBP might give an insight into its application and efficacy. To be precise, the findings of this research will support the wider implementation of Sphinx Yoga as a lifestyle intervention.
Trial registration: The trial was registered with ClinicalTrials.gov (NCT04721639).
Effectiveness of Ventral Dartos Flap as the second layer in Distal and Mid-Penile Hypospadias Repair.
Authors: Khan Shariq Anis , Farhan Muhammad , Effendi Fouzia Naeem , Khalid Salman El , Sharief Imran , Awan Adnan Siddiq , Haseeb Shakeel 
Published: February 2022

Background: Various methods have been used to reconstruct mid-penile hypospadias; still, massive failure rates and leading complications have been indicated. The present study observes the effectiveness of a technique using a well-vascularized dartos flap as a second layer in distal and mid- penile hypospadias repair.
Methodology: This is a cross-sectional study conducted between 2017-2019. A total of 110 male children with hypospadias were operated on. The children with mid-penile or slightly more proximal hypospadias, with or without ventral chordae and with the intact prepuce, were included in the study. Outcome measures comprised of surgical results with the absence of any serious side effects, decent flow, meat stenosis, fistula and dehiscence of glans.
Results: The median follow-up duration was 12 months. There were 72 cases of mid penile hypospadias (66.7%), and in 36 cases (33.3%), the meatus was slightly more dorsal. The age of the patients ranged from 1.1 to 11 years, with a mean age of 3.52 ± 2.74 years. Surgery was successful in 105 (95.5%) cases. Four patients presented with meatal stenosis and one with meatal stenosis plus fistula, more than 2 months after surgery. Meatal stenosis was managed by meatoplasty, and in the case of a urethral fistula, the patient was re-operated after at least 6 months.
Conclusion: Ventral dartos flap is a safe, effective method with less adverse effect and less time-consuming in patients with distal and mid-penile hypospadias.
Association of maternal Serum Selenium Binding protein and its effect on fetal outcomes in Pregnancy Induced Hypertensive Disorders: A case-control study.
Authors: Arshad Sonya , Ahmed Sadaf , Shershah Syed  
Published: February 2022

Background: Pregnancy-induced hypertensive (PIH) disorder represented the primary cause of maternal and fetal morbidity and mortality. The cause of pre-eclampsia is unknown, but ischemic blood supply to the placenta stimulates the inflammatory process which leads to endothelial dysfunction and oxidative stress. Antioxidants like Selenium altered concentration involve in its pathogenesis. This study was proposed to find out the significance of Selenium as a biomarker in the pathophysiology of PIH disorders and its association with fetal outcomes.
Methodology: This case-control study was conducted on 240 pregnant women, 20-40 weeks of gestation, divided into four groups equally. Normotensive control, investigational group 1 PIH, 2 Pre-eclamptic, and 3 Eclamptic. A structured questionnaire was administered and arterial blood pressure was measured and the blood sample was done for serum Selenium assessment through ELISA. A urine sample was collected and the level of proteinuria was assessed. Fetal wellbeing and signs of growth restriction were observed using ultrasound reports.
Results: The mean age of the studied participants was 27.6 ± 5.3 years with the gestational age of 32.11 ± 4.56 weeks. The mean Serum Selenium levels (ng/ml) were significantly lower in investigational groups 67.93 ± 10.54 in PIH, 44.6 ± 13.19 in PE, and 36.38 ± 10.3 in Ec than 78.5 ± 8.2 control (p<0.05). The mean systolic, diastolic blood pressure and proteinuria were significantly high in case groups (p<0.05). Furthermore, we observed a significant inverse correlation of serum selenium with gestational age, systolic, diastolic blood pressure, proteinuria, fetal weight, and femur length in all four groups, whereas mainly positive significant correlation was elucidated with serum glutathione, PIH (r= 0.797, p<0.001), PE (r = 0.617, p>0.00), Ec (r=0.559, p=0.019) than control (r = 0.817, p<0.001).
Conclusion: It is concluded that serum selenium level is significantly reduced in Pregnancy-induced hypertensive disorders and it has markedly affected maternal and fetal outcomes.
To determine the diagnostic accuracy of magnetic resonance imaging in detecting rectal cancer, keeping histopathology as a gold standard.
Authors: Naz Nasreen , Azmatullah Uzma , Ali Afaque , Majid  , Ahmed Adeel 
Published: February 2022

Background: Magnetic Resonance Imaging (MRI) has a premier role in detecting rectal cancer and is considered superior for diagnosing tumour recurrences. It is the modality of choice by which patients with total abdominal perineal (AP) resection can be fully evaluated. This study aimed to evaluate the diagnostic accuracy of MRI in the detection of rectal carcinoma in suspected cases, keeping histopathology as a gold standard.
Methodology: A descriptive cross-sectional study was conducted in the radiology department of Dow University of Health Sciences, Civil Hospital, Karachi, from 19th May to 18th November 2018. A total of 181 patients with a history of bleeding per rectum, altered bowel habits and abdominal pain were included. High-resolution 2D T2-weighted fast spin-echo sequences in the sagittal, axial and coronal planes were taken. Patients were followed for histopathology reports. The diagnostic accuracy of MRI for rectal carcinoma was calculated in terms of diagnostic accuracy, sensitivity, specificity, using histopathology as a gold standard.
Results: There were 63% male and 37% female patients. The mean symptoms duration was 60.61 ± 7.18 weeks. 64.1% were presented with bleeding per rectum, 52.5% with altered bowel habits and 31.5% with abdominal pain. 35.4% of cases were diagnosed positive by MRI, and 43.6% cases through histopathology. Sensitivity, Specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy were 85.9%, 79.5%, 69.6%, 91.2%, and 81.76% respectively.
Conclusion: It was concluded that MRI has 85.9% sensitivity, 79.5% specificity, and 81.76% diagnostic accuracy in detecting rectal cancers proving its reliability in detecting both early and recurrent rectal cancers.
Dose dependent effect of ginseng on high fat diet induced hyperlipidemia in rats: A preventive clue for coronary artery diseases in experimental rats.
Authors: Rehan Rabia , Mubeen Sahar , Imtiaz Fauzia , Kamran Mahrukh , Mohammad Sarfaraz  
Published: February 2022

Background: Coronary artery diseases are among the most challenging diseases in this era. Improper dietary habits and sedentary lifestyles are considered as foundation stones for metabolic disorders, including hyperlipidemia, the leading cause of coronary artery diseases and hypertension. This experiment was designed to study the dose-dependent effect of ginseng on high fat diet induced hyperlipidemia in animal models.
Methodology: This experimental study was conducted at Dow University of Health Sciences, including 50 male Albino Wistar rats. The rats were randomly divided into 5 groups of 10 animals each. Group 1 was on a normal balanced diet; group 2 was on a high fat diet (HFD), group 3 was on HFD plus ginsenoside 100 mg/kg body wt, group 4 was on HFD plus ginsenoside 200 mg/kg body wt, group 5 was on HFD plus ginsenoside 400 mg/kg body wt. Animals were sacrificed after 12 weeks; blood was drawn then sent to DDRRL for lipid profile.
Results: The results revealed that HFD increases body fats, weight increases from initial weight to 27.53% in obese control group 2 while after treating with ginsenoside weight reduced to 11.6%. Lipids levels in the blood; in the obese control group, mean triglyceride level increases from 45 mg/dl to 128.50 mg/dl, mean cholesterol level from 56.3 mg/dl to 106.2 mg/dl and low-density lipoprotein (LDL) is increased from 6 to 11.9 mg/dl. While concurrent administration of ginseng root extract (ginsenoside) reduces the Lipid levels in blood according to the dosage of ginseng root extract, the mean triglyceride level in group 4 is reduced to 46.10 mg/dl from 128.50 mg/dl. The mean cholesterol level in group 4 is reduced to 400 mg/dl from 106.2 mg/dl. LDL is reduced in group 4 to 7.5 mg/dl from 11.9 mg/dl.
Conclusion: This study provides evidence that Ginsenoside has an anti-hyperlipidemic effect, so it might be helpful in preventing coronary artery disease.
Comparison of SAPS III and SOFA score for the prediction of mortality among ICU patients.
Authors: Ahmed Farhan  , Ali Syed Mubeen , Mansoor Valeed Bin , Chaudhary Rabail , Hassan ur Rehman  
Published: February 2022

Background: The present study was designed to assess the comparative performance of the Simplified Acute Physiology Score III (SAPS III) and sequential organ failure assessment (SOFA) score in predicting mortality among critically ill ICU patients.
Methodology: A cross-sectional study was conducted from January 2019 to December 2019, including 162 patients admitted to the medical intensive care unit (ICU) of PIMS, Islamabad. The SOFA and SAPS III scores were calculated for all patients on admission. Outcome parameters included death or discharge from the hospital and disability. The receiver operating characteristic (ROC) curve was constructed for the studied models, and the scores were correlated with mortality.
Results: The overall mortality rate in the studied population was 46.9%. The mean SAPS III and SOFA scores were 55.26±18.46 and 14.41±5.67, respectively. The area under the ROC curve (aROC) for the SAPS III was 0.71 at a cut-off value of 43.5, whereas the aROC for SOFA was 0.64 at a cut-off score of 12.5. The ROC curve for predicting hospital mortality exhibited that both SAPS III and SOFA scores were sensitive predictors of mortality, given SAPS III had relatively better prediction (85%) compared to SOFA (76%).
Conclusion: It is concluded that SAPS III and SOFA scores are sensitive predictors of mortality; however, SAPs score is better at predicting mortality than SOFA score.