bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH PENDIDIKAN KESEHATAN DENGAN MEDIA VIDEO TERHADAP PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG TABLET FE
Authors: Munayarokh Munayarokh , Herawati Tati , Idhayanti Ribkha Itha , Nikmawati Nuril 
Published: October 2022

Pendidikan kesehatan sangat penting terutama pada ibu hamil di masa kehamilan persalinan dan nifas. Pemahaman tentang pentingnya tablet fe sangat diperlukan, dampak kejadian karena kurangnya tablet Fe ialah anemi, menurunnya daya tahan tubuh, infeksi dan perdarahan. Pengetahuan merupakan faktor yang sangat penting bagaimana seharusnya tablet fe diminum sesuai anjuran yang benar. Promosi kesehatan yang dilakukan puskesmas dengan cara penyuluhan langsung tanpa menggunakan media audio visual (video).Tujuan penelitian ini adalah mengetahui pengaruh pendidikan kesehatan dengan media video terhadap peningkatan pengetahuan ibu hamil mengenai tablet fe di Puskesmas Puring Kabupaten KebumenPenelitian ini menggunakan penelitian pra eksperiment dengan rancangan penelitian yang digunakan adalah one group pretest-postest design. Populasi dalam penelitian ini adalah ibu hamil di Puskesmas Puring sejumlah 767 ibu hamil. Teknik sampling yang digunakan adalah proportionate stratified random sampling. Sampel pada penelitian ini sejumlah 88 ibu hamil. Hasil penelitian menunjukkan ada pengaruh pendidikan kesehatan melalui media video terhadap peningkatan pengetahuan ibu hamil mengenai tablet Fe di Puskesmas Puring Kabupaten Kebumen tahun 2020 (p value 0,0001).Diharapkan kegiatan promosi kesehatan/penyuluhan kesehatan yang dilakukan kepada masyaraakat digunakan media video. Puskesmas meningkatkan kegiatan promosi kesehatan bekerja sama dengan linta sektoral yang lain (pihak kecamatan, dinas yang ada di kecamatan) TP PKK maupun lembaga masyarakat (UKBM) yang lain. Kata Kunci: video, pengetahuan ,ibu hamil, tablet Fe
HUBUNGAN DUKUNGAN SUAMI DAN PARITAS TERHADAP TINGKAT KECEMASAN IBU POSTPARTUM
Authors: Nadiroh Siti Ulfatul , Masini Masini , Tungga Dewi Christin Hiyana 
Published: October 2022

Ibu nifas rentan mengalami masa-masa kecemasan akibat perubahan kondisi barunya. Hal ini ditandai dengan kecemasan, mengkhawatirkan kondisi ibu dan bayi, mengalami gangguan tidur, gangguan konsentrasi, merasa takut sendirian. Faktor-faktor yang menyebabkan kecemasan pada masa nifas adalah konstitusional (paritas), fisik, psikologis, dan sosial (dukungan). Cara mengatasi kecemasan selama periode ini adalah dengan menggunakan pendekatan komunikasi terapeutik dengan melihat paritas dan meningkatkan dukungan mental berupa dukungan dari pasangan.Tujuan penelitian ini adalah untuk mengetahui hubungan antara dukungan suami dan paritas terhadap tingkat kecemasan postpartum di Puskesmas Jumo Temanggung pada hari 1-10 di Wilayah Kerja pada bulan April-Mei 2020 sebanyak 40 ibu. Hasil penelitian menggunakan Spiearman Rankmaternal tingkat kecemasan ibu nifas dengan p-value 0,00 dan hubungan erat kedua variabel dikategorikan kuat dengan nilai 0,756, terdapat hubungan paritas dengan postpartum dengan p-value sebesar 0,00 dan hubungan erat antara kedua variabel tersebut dikategorikan kuat dengan nilai 0,756. Kecemasan pascapersalinan dipengaruhi oleh status paritas dan dukungan suami, sehingga diharapkan ibu mendapatkan dukungan penuh dari pasangannya agar ibu lebih terbuka untuk menceritakan kesulitan yang dialaminya terkait dengan status paritasnya. Kata kunci: Dukungan suami, paritas, tingkat kecemasan
School (Dis)Connectedness During Comprehensive Distance Learning
Authors: Swartz Nazia , Benz Chris 
Published: October 2022

Previous studies suggest that students who attend school consistently are more likely to perceive a connection to their school, teacher, and peers. This mixed-methods study was set in a public middle school in the Pacific Northwest. Extant attendance data and responses to a researcher-generated survey of students who met the state’s definition for chronic absenteeism were analyzed to explore changes in students’ self-reported feelings of being connected to school, teacher relationships, peer relationships, and school climate before the COVID 19 pandemic and during Comprehensive Distance Learning (CDL). Survey responses from 105 middle school students, all identified as chronically absent in the current school year based on attendance data, suggest a decrease in the way in which positive school relationships are formed, peer relationships are nurtured and maintained, and school climate is cultivated during Comprehensive Distance Learning (CDL). These changes have had a significant impact on the degree to which students feel connected to school in a virtual environment. Implications for practice are discussed.
Which came first, spacetime or clocks?
Authors: Ord Garnet 
Published: October 2022

<p>Emergent quantum mechanics seeks a deeper level theory, anticipating that such a theory will provide a clearer picture of the relation between the quantum and classical worlds. In this work we show that the quantum-classical divide is a manifestation of the transition from Newton’s absolute time to relativity’s path-dependent time. The prior theory in this case is that particles are intrinsic clocks. The emergence of separate classical and quantum behaviour is seen by considering different continuum limits in a single digital clock model. A continuum limit that constructs a continuous worldline provides a simple basis for Minkowski spacetime. An alternative limit in which the clock itself contains boost information leads to the Dirac equation. </p>
How Does Spacetime “Tell an Electron How to Move”?
Authors: Ord Garnet 
Published: October 2022

<p> </p>
<p>Minkowski spacetime provides a background framework for the kinematics and dynamics of classical particles. How the framework <em>implements </em>the motion of matter is not specified within special relativity. In this paper we specify how Minkowski space can implement motion in such a way that ’quantum’ propagation occurs on appropriate scales. This is done by starting in a discrete space and explicitly taking a continuum limit. The argument is direct and illuminates the special tension between ’rest’ and ’uniform motion’ found in Minkowski space, showing how the formal analytic continuations involved in Minkowski space and quantum propagation arise from the same source. </p>
Displacement-related stressors in a Sri Lankan war-affected community: Identifying the impact of war exposure and ongoing stressors on trauma symptom severity
Authors: Thomas Fiona , Coulombe Simon , Girard Todd , Hart Tae , Doherty Shannon , Dass Giselle , Wickramage Kolitha , Siriwardhana Chesmal , Surenthirakumaran Rajendra , McShane Kelly 
Published: October 2022

<p>In recent years, there has been a shift in the literature towards identifying how ongoing stress adversely affects mental health beyond the effect of direct exposure to war-related violence. The goal of the current study was to investigate the relationship between displacement-related stressors and trauma symptom severity. Participants (N 1⁄4 1015) were recruited from primary healthcare clinics (PHCs) in Northern Sri Lanka and completed a demographic and displacement history questionnaire, the Stressful Life Events Checklist, and the Harvard Trauma Questionnaire. Four latent stressor constructs were identified through exploratory and confirmatory factor ana- lyses: 1) personal safety concerns; 2) war-related loss; 3) material loss, and 4) personal hardships. Structural equation modeling was used to examine the relationship between stressors and trauma symptom severity. In the final structural equation model, war-related loss and material loss were positively related to symptom severity whereas psychosocial hardship was found to be negatively related to symptom severity. Results highlight how an integrated model of mental health can more fully inform the needs stemming from displacement-related stressors. </p>
Peripheral Arterial Disease in Chronic Kidney Disease Patient
Authors: Hamid Md Abdul , Paul Sujat , Dutta Pradip Kumar 
Published: October 2022

Among the different complications of chronic kidney diseases, Peripheral Arterial Disease (PAD) is not uncommon which is an indicator of wide spread atherosclerosis in other vascular territories, such as the cerebral and coronary circulations. Traditional cardiovascular risk factors, such as black race, male gender, age,tobacco use, diabetes, hyperlipidemia, and hypertension are also associated with PAD. But in kidney patients this disease is sometimes neglected. This present review tends to describe epidemiology, risk factors and necessities for screening of PAD in chronic kidney disease patients.
JCMCTA 2017 ; 28 (2) : 3-11
Prevalence of Risk Factors of Cerebrovascular Diseases in Hospitalized Patients
Authors: Rahman Mohammed Habibur , Hassan Md Mahtab Uddin , Khanom Mehrunnissa , Das Kajal Kanti , Lohani Md Kamrul Hasan , Chowdhury Forhad Uddin Hasan 
Published: October 2022

Background: Stroke is one of the foremost causes of morbidity and mortality in Bangladesh. It has diverse risk factors. The present study is aimed to observe the common risk factors of stoke in our perspective. Materials and methods: This observational study was conducted for a 1 year period (April 2010 to March 2011) on 100 patients of stroke admitted in different medicine units of Chittagong Medical College Hospital. Different risk factors were identified along with clinical features after diagnosis of stroke of 100 patents. After collection, data were analyzed and presented to find out demographic pattern, clinical presentation and association with different irreversible and modifiable risk factors. Results: Among the 100 patients of stroke age distribution revealed most of the stroke patients were age group 51-60 years (58%) next to which was 61-70 years (22%). Male was 68 (68%) and female 32 (32%). Male to female ratio was 2.1:1. Among the all study patients most were doing business (22%) and engaged in service (20%). Majority of women were housewife (28%). Regarding type of stroke, 82 (82%) cases were ischemic and 18 (18%) were hemorrhagic type of stoke. Regarding analysis of risk factor of stroke hypertension (62%) was found to be the most common risk factor. Next to which was smoking (54%) followed by DM (28%) and heart disease (24%). Conclusion: From the above findings we can conclude that Hypertension, Cigarette smoking, Diabetes mellitus and Ischemic heart disease are the major risk factor of stroke in our setting.
JCMCTA 2017 ; 28 (2) : 12-15
Association of Anti Phospholipid Antibodies in The Patients With Ischemic Stroke Under 45 Years of Age In Tertiary Level Hospital: A Case Control Study
Authors: Islam Md Rafiqul , Paul Sujat , Barua Anupam , Rahman Mohammed Habibur , Biswas Rajat Sanker Roy , Chowdhury ANM Manzurul Kader 
Published: October 2022

Background: Antiphospholipid antibodies have been associated with a clinical syndrome consisting of thrombosis and recurrent, unexplained fetal loss. Stroke may be caused by Antiphospholipid Antibodies (APLA) especially in young persons without other conventional risk factors like Diabetes mellitus, Hypertension, Dyslipidemia, Smoking etc. The aim of this study was to evaluate the association of antiphospholipid antibodies (Anticardiolipin antibody and lupus anticoagulant) in young ischemic stroke patients presenting with sudden neurological deficit. Materials and methods: This was a case-control study performed in Medicine and Neurology department of Chittagong Medical College Hospital, Chittagong, a tertiary care government hospital. A total no. of 195 respondents consisting of 95 consecutive young patients (Age less than 45 years) diagnosed as ischemic stroke and 100 age and sex matched healthy controls were included in this study. The clinical details and related investigations of the respondents were reviewed. Anticardiolipin antibodies (IgM, IgG isotypes) were evaluated by an Enzyme-Linked Immunosorbent Assay (ELISA) and lupus anticoagulant by phospholipid dependent coagulation test Activated Partial Thromboplastin Time (APTT). When APTT was found more than 5 sec prolonged than control value, mixing studies using a 50:50 mixture of patient and normal plasma were performed and the result was considered positive if prolongation of APTT was not corrected which were needed to be confirmed after 12 weeks. The tests of Anticardiolipin antibodies (aCL) were repeated after 12 weeks when prior results were abnormal and the tests were considered positive when both results of aCL were found above normal value (IgM > 7.2 MPL/ml, IgG>14.4 GPL/ml). Results: Anticardiolipin antibodies Anticardiolipin antibodies (aCL) were present in 10.5% of the patients (IgM in 3 cases, IgG in 6 cases, IgM/IgG both in 1 case) and in 1% (IgG type) of control, but none of the study subjects were found LA positive. The odds ratio of aCL was 11.647 (95% Confidence interval= 1.461 – 92.852). Overall, the risk factors profile in cases were, Hypertension (32.6%) Diabetes mellitus (10.5%) Cigarette smoking (26.3%) and Dyslipidaemia (25.3%). Among the 10 aCL positive cases, 3 were Hypertensive, 1 was Diabetic, 2 were Smoker and 2 were Dyslipidemic but anticardiolipin antibody positive group did not differ significantly with respect to distribution of major risk factor frequency from anticardiolipin antibody negative group. Conclusion: Anticardiolipin antibodies are associated significantly with ischemic stroke in young patients less than 45 years of age (p= 0.004). Hence screening for anti-cardiolipin antibodies in young patients with stroke is recommended.
JCMCTA 2017 ; 28 (2) : 27-33
Outcome of Anterior Cervical Discectomy and Fusion In Degenerative Compressive Myelorediculopathy With Stand-Alone Titanium Cage
Authors: Karim Md Rabiul , Islam Md Manzoorul , Khan Md Anisul Islam , Chowdhury Dhiman , Sanaullah Mohammad , Kibria Anwarul , Hossain Md Ismail 
Published: October 2022

Background : Anterior Cervical Discectomy and Fusion (ACDF) is widely performed for cervical degenerative disease with autograft or allograft with long term satisfactory outcome. But the complications of autogenous bone grafting cause the spinal surgeons to seek alternative method. This prospective study was conducted to observe the outcome of using stand-alone titanium cage in ACDF. Materials and methods : Total 50 patients (68 levels) with degenerative compressive cervical myelorediculopathy were operated using stand-alone titanium cage from July 2013 to June 2015 in the Department of Neurosurgery, Chittagong Medical College Hospital. All patients were examined and evaluated preoperatively by plain X-ray and MRI and postoperatively by plain X-ray at one, three and 12 months. Clinical and neurological outcome was assessed by Japanese Orthopedic Association (JOA) score. Results: The mean age was 42.04±7.94 years ranged from 30 to 66 years. Maximum patients were in 41-50 years age group. Quadriparesis was found most common symptom (60%) followed by brachialgia (20%). Out of 50 patients, 32 (64%) suffered from single level compression while 18 (36%) patients suffered from two level compression. Among all operated levels, C5-6 (n-30, 44.2%) was most common level followed by C6-7 (n- 20,29.4%) and C4-5 (n-12, 17.6%) level. All patients improved in terms of their neck pain, redicular arm pain, clumsy hand movement and quadriparesis after surgery. Subsidence was observed in 15 (30%) patients and kyphosis was observed in 10 (20%) patients. All patients with subsidence and kyphosis were neurologically stable and no revision was required. Mean preoperative JOA score was 8.38±3.71 and mean post operative JOA score was 12.92±3.39. Among all patients in post operative follow up, 22 (44%) patients showed excellent recovery and 15 (30%) patients showed good recovery. Conclusion: Anterior cervical fusion using a stand-alone titanium cage is a safe and effective procedure allowing excellent to good functional recovery and avoiding donor site morbidity. Titanium cage can be an effective alternative to iliac bone autograft.
JCMCTA 2017 ; 28 (2) : 34-38
Improvement of Medical Education in Developing Countries Through Best Practices
Authors: Khan Mohammad Asif , Afrin Nahida , Khatun Munira , Das Sandipan , Hossen Md Abul , Dutta Mukesh Kumar 
Published: October 2022

Background: Improvement of quantitative and qualitative dimensions of medical education is essential to provide quality health care. Research showed that medical students are facing challenges and barriers in building capacity in patient-centered health care. The study was conducted to assess opinion on factors influencing the optimum performance of medical students and collect their opinion on challenges and suggestions to overcome barriers of their learning. Materials and methods: This study was conducted at the Faculty of Medicine, University of Science & Technology Chittagong Bangladesh, in February 2014. Purposive sampling was done. Open ended questionnaire developed through modified Delphi technique was used to collect their responses. Students’ satisfaction status on quality of education and related factors was assessed and graded using Likert scale. Data analysis was conducted by excel. Results: Response rate was 87.71 % and gender difference was observed (M: F Ratio 1:2). Most of the students (39 out of 50) showed concern for further intervention to improve the existing learning environment in medical colleges. Sixty percent (60%) of respondents expressed their interest to join in any initiatives for capacity building. Conclusion: The findings of this study can be used to design cost effective strategies involving students to prepare rationally for a career in a field as challenging as medicine.
JCMCTA 2017 ; 28 (2) : 39-45
Status of Anaemia in Different Stages Of Chronic Kidney Disease Patients
Authors: Khatun Monira , Chowdhury Mohammed Nasim Uddin , Rawnak Nihad , Akhter Shahin , Khanam Shaheda , Akhter Nayeema 
Published: October 2022

Background: Anemia is the universal complication of Chronic Kidney Disease (CKD) and reflects problem either in abnormally low production of RBC by the bone marrow or excessive haemolysis or blood loss. This study has been designed to observe the status of anaemia in different stages of chronic kidney disease patients. Materials and methods: It is a hospital based cross sectional comparative study. 100 patients of diagnosed case of chronic kidney disease admitted in the Department of Nephrology, Chittagong Medical College Hospital were selected as cases and 100 apparently healthy persons, age and sex matched were selected as controls. According to stages of CKD, cases were subdivided into three groups stage III, IV and V. Haemoglobin estimation was done manually by traditional method (Sahli’s acidhaematin method) in the Department of Physiology, Chittagong Medical College, Chittagong. Peripheral Blood Film (PBF) study also was performed in the department of Physiology, Chittagong Medical College, Chittagong. Data were analyzed by different statistical methods. Results: In our study, among the case group (100 patiens), we found that 5.5% are on CKD stage III, 21% on stage IV, 23.5% on stage V. And 50% (100 apparently healthy subjects) were taken as control. Here the mean (±SD) hemoglobin concentrations were 8.75(± 1.45) and 12.07(±1.77) gm/ dl of blood in case and control group respectively. Peripheral blood film study among the study groups showed that RBCs were found microcytic hypocromic in 69% of case and 20% control group. On the other hand RBCs were normocytic normocromic in 31% of case and 80% of control group. Again among the case group it was found that 54.5%, 71.4% and 70.2% of RBCs were found microcytic hypocromic in CKD patients with stage III, IV and V respectively. On the other hand RBCs were normocytic normocromic in 05%, 12% and 14% of CKD patients with stage III, IV and V respectively. Conclusion: The results of this study revealed that all the patients (100%) of the study were found anaemic and 69% CKD patients had microcytic hypochromic anaemia.
JCMCTA 2017 ; 28 (2) : 59-63
Role of Gardnerella Vaginalis Among Symptomatic Bacterial Vaginosis Patients Attending at Chittagong Medical College Hospital
Authors: Ara Nura Nasrin Rowshan , Husain Md Anwar , Rahman Md Mostafizur , Karim Chowdhury Abu Hena Md Saiful 
Published: October 2022

Background : Now a day’s bacterial vaginosis is an extremely common health problem for women in the world which causes many complications both in the pregnancy and non-pregnancy states. G. vaginalis is most important cause of bacterial vaginosis. Materials and methods : A cross sectional study was conducted to assess the role of Gardnerella vaginalis as an etiological agent of bacterial vaginosis. This study was undertaken to assess the patients attending at the outpatient department of Gynaecology and Obstetrics of Chittagong Medical College Hospital, Chittagong. A total of 170 sexually active female in the age group of 15-45 years, with abnormal vaginal discharge were selected for the study. A detailed history and a thorough clinical examination of all the cases were done. pH of the vaginal discharge was measured and three high vaginal swabs were collected. Bacterial vaginosis was diagnosed using Amsel’s criteria and Nugent’s method. Gardnerella vaginalis was isolated and identified with their drug sensitivity test by standard methods. Results : In this study 38(22.35%) Gardnerella vaginalis were isolated by culture and bacterial vaginosis was detected by Amsel clinical criteria (Clinical method) 43(25.30%), Gram stain Nugent criteria (Gold Standard) 45(26.47%).Our study showed a relatively high prevalence of bacterial vaginosis and high isolation rate of Gardnerella vaginalis within the positive bacterial vaginosis patients. Conclusion : This result helps proper management and treatment.
JCMCTA 2017 ; 28 (2) : 81-87
Syringo-Peritoneal Shunt for Late Syringomyelia In a Patient of Post Tubercular Meningitis: A Case Report With Literature Review
Authors: Chowdhury Dhiman , Rahman Asifur , Karim Rabiul , Bkakta Ananta Kumar , Chaurasiya Ranjit kumar , Barua Kanak Kanti 
Published: October 2022

Background: Tuberculosis (TB) is one of the commonest infectious diseases in the developing countries like Bangladesh. Tubercular Meningitis (TBM) is a common sequel of TB involving the Central Nervous System (CNS) and is one of the leading causes of mortality and morbidity. Syringomyelia following TBM as late or early complication of TB is very rare. Case Description: We report a case of syrigomyelia in a 32 years old lady as a sequel, following treatment for tubercular meningitis after 8 years of successful treatment of tubercular meningitis with a full course of Anti tubercular drugs. She developed gradual weakness of her both lower limbs along with tingling and numbness and bladder incontinence for 5 months before presentation. MRI of Brain and Spine revealed syringomyelia from upper cervical region down to lower dorsal region. Syringostomy at D7 level was done initially but with not much significant improvement. Rather over a period of time she deteriorated and became bed ridden. We put a syringoperitoneal shunt. One month after surgery her lower limb power improved to MRC Grade 4 which enabled her to walk with support. She also had significant improvement of bladder function with full control. Conclusion: High index of suspicion with new neurological signs in patients of TBM, despite proper treatment, is worthwhile considering syringomyelia as a possible cause. Timely diagnosis and appropriate treatment thereby can reduce the morbidity with better neurological outcome.
JCMCTA 2017 ; 28 (2) : 116-121