bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kejadian Anemia Pada Remaja Putri di SMP Budi Mulia Kabupaten Karawang Tahun 2018
Authors: Handayani Ida Farida , Sugiarsih Ugi 
Published: February 2022

Latar Belakang: Prevalensi anemia pada remaja putri saat ini masih tinggi berkisar 40-88% , dan di Indonesia 21,7%. Kehilangan darah saat menstruasi menyebabkan remaja putri rentan mengalami anemia, yang berisiko mengalami anemia saat hamil. Anemia dalam kehamilan mempunyai dampak negatif terhadap pertumbuhan dan perkembangan janin dalam kandungan serta berpotensi menimbulkan komplikasi kehamilan dan persalinan, bahkan menyebabkan kematian ibu dan anak. Tujuan: tujuan penelitian ingin mengetahui hubungan faktor determinan kejadian anemia pada remaja putri SMP Budi Mulia Karawang tahun 2018. Metode: desain penelitian yang digunakan yaitu cross sectional. Populasi pada penelitian adalah seluruh siswi SMP Budi Mulia, total sampel sebanyak 67 responden. Teknik pengambilan sampel secara simple random sampling, data dianalisa dengan uji statistik chi square. Hasil: hasil penelitian menunjukkan kejadian anemia pada siswi SMP Budi Mulia sebanyak 38,8 %, status gizi, pola makan, konsumsi Fe, dan pengetahuan tidak memiliki hubungan yang bermakna dengan kejadian anemia pada remaja putri dengan nilai p ≥ 0,005 yaitu status gizi (p=0,281), pola makan (p=0,728), konsumsi fe (p=0,730) dan pengetahuan (p=0,728). Simpulan: faktor determinan tidak memiliki hubungan yang bermakna dengan kejadian anemia pada remaja putri.
The Effects of Personal Resources in the Job Demands and Resources Model: A Systematic Literature Review
Authors: Alaydi Bader , Siew-Imm NG , Mahomed Anuar , Cheah Jun-Hwa 
Published: February 2022

This study presents a systematic review about the various roles and consequences of personal resources that were introduced in the job demands-resources model by ascertaining, synthesizing and evaluating theoretical, methodological and empirical dimensions used in cross-sectional and questionnaire-based studies from different fields.
Design/methodology/approach: applying systematic review methodology to identify the various personal resources employed in various fields and highlight their impacts.
Findings: after reviewing 99 studies, 59 personal resources were found studied cross-sectionally in various context where most of them impacted the dual process of the JDR in a consistent manner; inversely associated with job demands and positively associated with job resources.
Limitations/ implications: this systematic review is designed only to present a conceptual synthesis of existing works. A meta-analysis of empirical studies to obtain a more detailed understanding of these personal resources’ relative importance in work outcomes, is encouraged.
Originality/value: this research participates to the organizational behavior literature by identifying the various types of personal resources, presenting their effects in relation to work outcomes, and highlighting the gaps for future researches.
Key words: job demands and resources model, personal resources, SLR, organization behavior
Penjadwalan Pemetikan Teh dengan Model Programa Dinamis yang Mempertimbangkan Kualitas Pucuk
Authors: Cucu Wahyudin  , Yudhi Sodikin Ma'ruf  
Published: February 2022

Penerapan aturan gilir petik di PPTK Gambung berlaku untuk semua blok yaitu berkisar antara 9-10 hari sekali. Hal ini menjadi salah satu sebab sering tidak terpenuhinya rencana produksi baik dari aspek kuantitas maupun kualitas teh, karena perbedaan ketinggian tempat dan umur pangkas diantara blok-blok kebun tersebut, menyebabkan kecepatan pertumbuhan pucuk teh juga berbeda-beda. Oleh karenanya diperlukan aturan gilir petik yang sesuai dengan pertumbuhan pucuk teh.
Untuk itu penelitian ini dilakukan dengan tujuan untuk menyusun jadwal pemetikan yang dapat meminimalkan biaya pemetikan teh. Optimasi penjadwalan ini dilakukan dengan cara pemilihan blok pemetikan secara tepat, sesuai pola penurunan kualitas pucuk.
Dua tahap pemecahan masalah diperlukan untuk memecahkan masalah di atas. Tahap pertama adalah pencarian pola penurunan kualitas pucuk yang sesuai ketinggian tempat dan umur pangkas masing-masing kelompok blok kebun. Selanjutnya pola penurunan kualitas pucuk tersebut digunakan untuk menentukan biaya penurunan kualitas pucuk teh, dan biaya akibat tersisanya pucuk teh di kebun, yang merupakan komponen dari total biaya pemetikan selain biaya langsung pemetikan. Tahap yang kedua adalah menyusun model penjadwalan pemetikan yang dapat meminimalkan total biaya pemetikan dan penurunan kualitas pucuk teh. Formulasi matematik yang dipakai adalah programa dinamis, model ini merupakan modifikasi dari model persediaan produksi dinamis.
Uji Pengoperasian Fixed Bed Gasifier Batubara Kapasitas 100 kg/jam
Authors: Suhartono  , Suwito Gunadarma  , Dwiwahju Sasongko  , Herri Susanto  
Published: February 2022

Unit gasifikasi batubara jenis down draught kapasitas 100 kg/jam untuk mensubtitusi minyak bakar 70 liter/jam melalui proses gasifikasi, menggunakan udara-air sebagai medium penggasifikasi telah terinstalasi pada unit pengering di pabrik teh. Unit gasifiakasi terdiri dari reaktor gasifier, siklon, pendingin, kock out drum, blower dan burner.
Gas produser stabil terbakar di burner, tetapi hanya mampu membuat udara panasdi unit pengering teh hingga 92oC (suhu target 100oC 120oC). Diperkirakan tidak tercapainya suhu target disebabkan kapasitas gasifier kurang besar, sehingga gas produser yang disuplai kurang dan pembakaran di burner selalu dalam ekses udara yang tinggi.
Beberapa faktor gasifikasi yang diperkirakan mempengaruhi proses, antara lain:

a. batubara pecah menjadi partikel lembut, menyebabkan penurunan tekanan yangmenghambataliran,
hambatan aliran di ruang reduksi terjadi akibat pelelehan abu, menyebabkan penyumbatan

aliran maupun penutupan arang, sehingga sulit bereaksi,
c.kandungan tar masih banyak, karena tidak adanya scrubber yang dipasang di depan pendingin.
Untuk menurunkan temperatur proses gasifikasi yang masih tinggi dan pelelehan abu diatasi dengan air yang disemburkan dalam bentuk kabut (spray) dalam daerah oksidasi melalui pemasangan pocker, penguapan air menyebabkan produksi hidrogen tinggi. Modifikasi lanjut difokuskan pada reaktor gasifikasi berupa perombakan throat (zona reduksi) untuk menurunkan temperatur proses dan meningkatkan pasokan gas hasil.
Diagnostic accuracy of computed tomography scoring index in predicting mortality among suspected patients of acute pancreatitis
Authors: Omair Uzma , Azmat Uzma , Rakhshani Abdul Q 
Published: February 2022

Background: Acute pancreatitis (AP) is challenging, varying from subtle edema to parenchymal necrosis in severity. Several clinical and radiological scoring criteria have been formulated over the years to predict the disease intensity of AP to guide monitoring and intervention. This study aimed to establish the diagnostic accuracy of high Balthazar’s computed tomography scoring index (CTSI) in predicting outcomes in terms of mortality and morbidity among suspected cases of the acutely inflamed pancreas.
Methodology: A cross-sectional study was carried out at the Radiology Department of Jinnah Postgraduate Medical Center (JPMC), Karachi. A total of 1434 clinically suspected AP patients were included in this study. The initial diagnosis was made through contrast-enhanced computed tomography (CECT) of the abdomen. Balthazar's CTSI ascertained the disease severity, and outcomes were recorded in terms of survival and death.
Results: The gender distribution showed a male majority, i.e. 789(55%), and most patients were in the 45-55 year age group comprising 650 patients (45.3%). Moreover, out of 1434 patients, 397(28%) died while the rest survived. This study showed that high CTSI is a prognostic indicator of mortality in suspected cases of AP. It has a sensitivity of 91.9%, specificity of 88.72%, a positive predictive value (PPV) of 94.5% and a negative predictive value (NPV) of 83.98%. Overall diagnostic accuracy (DA) was found to be 90.9%.
Conclusion: It is concluded from the study results that Balthazar’s CT severity index is reliable in establishing severity and disease outcome in AP. Thus, its routine application should be encouraged for timely detection and appropriate management of AP.
Prevalence of Anosmia & Ageusia in confirmed COVID-19 patients at teaching hospitals of District Bannu and Swat, Pakistan.
Authors: Muhammad Iqbal  , Fawad Khan Shahibzada , Khan Sohail , Ahmad Wasim 
Published: February 2022

Background: Recent evidence suggests olfactory and gustatory sensory deficits among Coronavirus Disease 2019 (COVID-19) patients. It is important to assess the occurrence of anosmia and ageusia among infected individuals as it may be the potential symptom and assist in controlling the viral load. The objective of the present study was to determine the prevalence of ageusia and anosmia among COVID-19 patients admitted to the teaching hospitals of District Bannu and Swat-Pakistan.
Methodology: This retrospective cohort study was conducted between April to November 2020. A total of 100 confirmed COVID-19 cases, tested through polymerase chain reaction (PCR), were included in the study. Data including gender, age, smoking status, recent travelling history, nasal and paranasal disorder (NPND) history and COVID-19 severity were obtained from the patients’ records. The symptomatology, including frequency of anosmia and ageusia was recorded.
Results: Out of 100 patients, 43.75% of patients had anosmia and 31.25% had ageusia, while 68% of patients were presented without olfactory and gustatory dysfunction. Most of the enrolled patients had no recent travel history (91.46%) and none of them were asymptomatic. Moreover, 88% of patients with a previous history of NPND did not have olfactory and gustatory dysfunction. Various characteristics features, including recent travel history, smoking, gender and disease severity, were significantly associated with anosmia and ageusia.
Conclusion: The COVID-19 patients were exclusively suffering from ageusia and anosmia. It can be concluded that amongst asymptomatic-to-mild disease severity patients, the existence of smell and taste might be an important differential demonstration for the apprehension and analysis of COVID-19.
Can simulation-based education replace the hands-on experience learning during the COVID-19 pandemic?
Authors: Sohail Fadieleh A , Iqbal Marium , Perwaiz Khan Saima , Izhar Safia 
Published: February 2022

Background: Although simulation-based learning is expensive but cost-effective and advantageous as well if utilized appropriately. It is known to enhance clinical competence among medical students. There is a dire need to enhance the utilization of simulation-based clinical teaching skills to replace hands-on experience involving patients. The objective of this article was to highlight the importance of simulation-based education (SBE) in medical training.
Methodology: For the study purpose, literature focusing on the use of SBE in medical training was reviewed. The databases including Google Scholar, PubMed, Research gate, Scopus, The Nation news, BBC news were searched using the keywords Simulation-Based Education, Clinical Skills, Vygotsky’s Zone of Proximal Development, Objectively Structured Clinical Examination and COVID-19. We also designed a pilot study to demonstrate the effect of simulator-based training among medical students.
Results: Efforts are being made to support SBE as an alternative method for clinical skill training in medical and dental undergraduate students during this pandemic. As it is cost-effective, ensures patient safety, and reduces the risk of health hazards by refining the medical provider's abilities.
Conclusion: Due to the pandemic, skill training sessions on simulators via zoom can play a significant role in improving skills among medical students with the least exposure to COVID-19 infection.
The effect of reduced tidal volume on Post Percutaneous Nephrolithotomy Pulmonary complications- A Retrospective Case Control Study.
Authors: Yousuf Fakhir , Khalid Salman El , Mahmood Abdul Wasay , Zafar Iqbal  , Kazmi Zehra , Hassan Waqar , Siddique Shakeel Haseeb uddin , Khan Mujeeb Ahmed 
Published: February 2022

Background: Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large or complex renal stones. The upper pole (supra-costal access) is associated with pulmonary and cardiac complications post-operatively, owing to its proximity to the diaphragm. The prone position also causes restricted chest expansion and decreased pulmonary compliance. In this study, we aim to evaluate pulmonary complications after percutaneous nephrolithotomy by reducing the tidal volume intra-operatively and to assess the appropriate tidal volume for patients undergoing PCNL.
Methodology: A retrospective chart review was performed over a period of one year (2019-2020). All patients who underwent PCNL and fulfilled the inclusion criteria were included in the study. They were divided into two groups: low tidal volume (Cases), and normal tidal volume (Controls). The records were evaluated for any pulmonary complications post-operatively, and this was compared between the two groups.
Results: A total of 114 patients were included in the study. When patients with low tidal volume were compared to patients with normal tidal volume, no significant difference in pulmonary complications was observed (p-value < 0.05).
Conclusion: There was no significant difference between the two groups, in terms of post-PCNL pulmonary complications, with respect to the tidal volume. Further multicenter studies can better elucidate these findings.
Effect of education on perception of patients regarding dental treatment and oral hygiene practices during Ramadan.
Authors: Tariq Khaloud , Arooj ul Hassan  , Muhammad Hassan  , Iqbal Zunaira , Malik Ahmad Azam , Tariq Amina , Baig Moghees A 
Published: February 2022

Background: Fasting places prohibitions on eating and drinking for a certain period. Although many dental treatments have been said to be safe and can be performed while fasting, others may break the fast. The study aims to evaluate the perception of dental patients regarding the effect of such treatments and hygiene measures during fasting.
Methodology: A cross-sectional survey was carried out in two dental teaching hospitals of Lahore, Pakistan. A self-administered structured questionnaire was developed to assess the knowledge and perception of patients regarding dental treatments and hygiene practices while fasting. The chi-squared test was used to observe differences between knowledge amongst gender, occupation and education status. Moreover, multinomial regression analysis was performed to assess the relationship between these variables.
Results: Among 374 responses, about 76.2% of respondents believed that undergoing extraction broke fast. Scaling thought to nullify the fast by 45.5%. 52.9% perceived root canal treatment (RCT) to break the fast, along with 67.6%, who believed anesthesia administration broke fast. Brushing was reported to break the fast by 57.5%, with mouthwash invalidating fast by 63.4%.
Conclusion: Most respondents thought most oral hygiene measures broke the fast, whereas responses were split regarding procedures where few were perceived to break the fast, and the rest did not.
Association Association of genetic variant of OXTR (rs53576) and MTNR-1B (rs10830963 and rs1387153) with symptoms of stress in Pakistani women with Gestational Diabetes.
Authors: Abid Fatima , Ahmed Sadaf , Fatima Syeda Sadia , Noushad Shamoon 
Published: February 2022

Background: Pregnancy continues to be an event full of risks, complications and adverse outcomes for women despite advanced clinical and diagnostic methods and treatment options available in medicine. Diabetes, as a multifactorial and complex disease, is a possible outcome of a blend of numerous genetic variants of differing scarcities. The exact etiology of gestational diabetes mellitus (GDM) is unclear; however, the interaction of genetic and environmental factors, especially the genetic variants identified as the genetic loci for type 2 diabetes as candidate genes for GDM.
Methodology: It will be a case-control study with a genetic analysis of single nucleotide polymorphisms (SNPs) of candidate genes expressed using real-time PCR with sequencing. The study will also evaluate the primer sequence of SNPs.
Discussion: We will be able to share the findings after the completion of our research. The results of this study will able helpful in addressing the psycho-physiological needs of women with GDM, which may also be used to devise strategies to benefit the sustainable long-term behavioural change following the affected pregnancy.
COVID-19 immunization phase; Acceptance & understandings about the vaccine.
Authors: Nesar Shagufta , Rafiq Kiran , Parveen Shaheen , Mumtaz Tayyaba 
Published: February 2022

Background: In the current scenario of global immunization against Coronavirus, people do have an uncertain thought regarding the efficacy and effects of the vaccine. The purpose of this study was to assess the knowledge, awareness, and acceptability of vaccines among the general population of Karachi.
Methodology: For the purpose of the study, literature focusing on the knowledge, awareness, and acceptance regarding COVID-19 immunization was reviewed. Google Scholar, PubMed, Research Gate, and Scopus were searched using the keywords COVID-19, non-pharmaceutical Interventions, immunization-related knowledge, awareness, and acceptance. A pilot study was designed to demonstrate the COVID-19 immunization understanding and acceptability.
Results: Low rate of acceptability for getting vaccinated is observed in the local population. Most perceptions indicated vaccines to be not healthy, harmful, and life-threatening.
Conclusion: The current situation of fast-spreading of the virus and the non-acceptance of vaccines is highly alarming for community and health authorities and demands strong health care measures and campaigns to control the disaster.
Assessing the nurse’s knowledge regarding occupational hazards, its pre-disposing and preventive factors.
Authors: Joseph Sonia , Nasir Alia , Sayani Amber 
Published: February 2022

Background: Nurses are an essential part of the healthcare team and require sound knowledge, safety, and protection from occupational health hazards they encounter at work. Therefore, this study aimed to assess the nurse's knowledge regarding occupational hazards, their pre-disposing, and preventive factors.
Methodology: A descriptive cross-sectional study was conducted among nurses working in surgical, general, ENT, ICU, and gyne ward of the Ziauddin and Civil hospital located in Karachi, Pakistan. A total of 157 registered nurses with a minimum of 6 months of work experience with a valid PNC license were included in the study. Systematic random sampling was used to select participants for the research. The knowledge regarding occupational hazards, pre-disposing factors, and preventive measures were recorded using a structured questionnaire.
Results: Among 157 participants, the highest occurring occupational hazard was neck and back pain, 52.9%. The assessment of pre-disposing factors to occupational hazards revealed that 70.1% of nurses distinguished lack of adequate protective aids and equipment as one of the most common reasons for the occupational hazards. However, it is revealed by 77.7% of participants that proper training and retraining on safety measures, provision of protective aids and equipment could be possible ways of preventing occupational hazards.
Conclusion: It is concluded that occupational health hazards are prevalent among nursing professionals, which can be reduced through owing responsibility, gaining appropriate knowledge and skills, warrant precautionary actions for avoidance to ensure their own and others' health and well-being.
PRISM score as a predictor of mortality among pediatric intensive care units.
Authors: Akhtar Hina , Ehsan Shaista , Muhammad Imran  , Kunwar Muhammad Aqeel  
Published: February 2022

Background: The pediatric risk of mortality (PRISM) score predicts mortality in the pediatric intensive care unit (PICU). This study aimed to evaluate the application of PRISM score as a predictor of mortality in intensive care units of a tertiary hospital.
Methodology: A descriptive cross-sectional study of one year was conducted within the Department of Pediatrics at Ziauddin University and Hospital, located in Karachi, Pakistan. The total number of 263 admitted neonates and children up to the age of 12 years were included. Patients more than 12 years of age admitted in wards and plane for any surgery were excluded from the study; the PRISM score tool was used to collect the data of the neonates and children.
Results: The mean PRISM score was high among non-survivors (15.3 ± 7.2) as compared to survivors (12.7 ± 9.2) (p=0.023). The predictability of the PRISM score regarding pediatric mortality was shown by the area under the curve (AUC) i.e., 0.636.
Conclusion: The PRISM score found a significant difference between survival and death groups. Therefore the implication of the PRISM score can be needed in PICU to reduce the mortality rate.
Uterine arteriovenous malformation: A rare yet perilous entity.
Authors: Mannan Gul-e-Rana Abdul , Niaz Rabiya , Hayat Dur-e-Shahwar , Buch Vyomesh , Ansari Sarwat 
Published: February 2022

Background: Uterine Arteriovenous Malformation (AVM) is a rare diagnosis. Although rare, it can cause massive and life-threatening hemorrhage, eventually leading to considerable morbidity and mortality. Healthcare professionals need to have a high index of suspicion in order to avoid the morbidity associated with Uterine Arteriovenous Malformation. We shed light on this relatively under-researched gynecologic diagnosis.
Case Presentation: We describe the presentation, workup, including radiological studies, and subsequent management of Uterine Arteriovenous Malformation in two reproductive-age females who presented to our hospital with abnormal vaginal bleeding. Both patients had a history of primary hemorrhage after abortion, requiring blood transfusion. Both patients underwent Magnetic resonance imaging (MRI) and showed a tortuous serpentine tangle of mixed signals extending from the deep myometrium into the endometrium.
Management & Results: Diagnosis of Uterine AVM was established months later when they presented with continuous abnormal vaginal bleeding. The diagnosis was established based on clinical examination and imaging studies. Patients were managed with hormonal treatment and responded well; one of them eventually got a successful pregnancy.
Conclusion: Uterine arteriovenous malformation, causing significant vaginal bleeding, can be managed timely with accurate diagnosis and prompt management, with an array of modalities including conservative, medical or surgical methods. The modality of treatment depends upon the patient’s clinical condition and fertility wishes.