International Journal of Scientific and Research Publications (IJSRP)最新文献

{"title":"Comparison Of Post Operative Length Of Stay And Mortality On-Pump And Off-Pump Coronary-Artery Bypass Grafting In The Cardiac Icu Of Haji Adam Malik Hospital Medan","authors":"Mhd Abduh Rifai, A. Lubis, Tasrif Hamdi","doi":"10.29322/ijsrp.13.01.2023.p13339","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13339","url":null,"abstract":"Introduction: Coronary-Artery Bypass Grafting (CABG) is currently a heart bypass surgery procedure that is often performed and with developing technology. The most common CABG techniques are on-pump and off-pump. This difference in surgical technique affects the final postoperative outcome, namely the length of stay and mortality of patients in the cardiac ICU. On-pump CABG performed at cardiopulmonary bypass is one of the most commonly performed procedures and an excellent treatment for ischemic heart disease. However, the results of a recent retrospective study found that length of stay and postoperative mortality can be reduced when coronary artery bypass surgery is performed using the off-pump technique. Purpose: This study aims to compare the length of stay and mortality of postoperative on-pump and off-pump CABG patients in the cardiac ICU of Haji Adam Malik General Hospital, Medan. Methods: This study is an analytic study with a retrospective research method with secondary data sources obtained from cardiac ICU medical records for the period January 2016 – December 2021. Samples were on-pump and off-pump CABG postoperative patients undergoing treatment in the cardiac ICU who met the inclusion and exclusion criteria were collected by total sampling method. Results: It was found that the ICU stay after on-pump surgery was significantly longer than off-pump, with the median value for ICU stay in the on-pump surgical technique was 2 days while in the off-pump it was 1 day (Mean = 2.335; SE = 0.103 vs. Mean = 1.709; SE = 0.140) with p<0.05. There was no significant difference between on-pump and off-pump CABG postoperative mortality with p>0.05. Conclusion: The length of stay in the ICU after on-pump surgery is longer than off-pump. There was no difference in postoperative mortality between on-pump and off-pump CABG.","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87566700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Self-Assessment: Stress and Teaching Health","authors":"Reynaldo DC. del Rosario","doi":"10.29322/ijsrp.13.01.2023.p13314","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13314","url":null,"abstract":"- This study sought to assess if stress in teaching is present among Secondary Health Teachers in the Schools Division of the City of Meycauayan and determine its causes and consequences. It used a self-made survey questionnaire with interview questions to describe how teachers assess their stress levels and analyze how it affects their teaching performance as Health Teachers. The data gathered were analyzed through quantitative and qualitative methods. The percentage was used to describe the level of stress in teaching among Secondary Health Teachers, self-assessment of Health Teachers as to how stress is affecting their teaching performance and student achievement, and the facilitating and hindering factors that may influence their stay in the Department of Education or for them to leave DepEd due to stress. Word Statistics through the NVivo application was used to describe the qualitative data gathered from the interview of teachers. The quantitative and qualitative data gathered from this study both revealed that the Top 2 sources of stress in teaching among Health Teachers and the top 2 most valid reasons for them to leave the Department of Education were ‘Extra Paperwork or so much paper works’ and ‘Time Constraints for extra work’.","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81125697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Effect Administration Ketamine-Propofol (Ketofol) With Ketamin Single On The Quality Score Of Recovery In Patients Post Intravenous General Anesthesia As Measured By Qor-40 In Patients Undergoing Gastrointestinal Endoscopic Procedure","authors":"Samawi Husein Ramud, D. W. Wijaya, Yutu Solihat","doi":"10.29322/ijsrp.13.01.2023.p13336","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13336","url":null,"abstract":"Introduction: Gastrointestinal endoscopy procedures cause discomfort to patients. Administration of sedation to relieve anxiety and discomfort, improve the results of the examination, and reduce the patient's memory of the event. Effective sedation can be judged by how well the drug achieves rapid onset of sedation, hemodynamic stability and fast recovery time. Ketamine maintains hemodynamic stability and sufficient depth of sedation during EGI procedures. Administering ketamine prevents bradycardia, hypotension and achieves sufficient and prolonged sedation.. Objective : This study aims to compare the effect of giving ketamine-propofol (ketofol) with ketamine alone on the recovery quality score of patients after intravenous general anesthesia as measured by QoR-40 in patients undergoing gastrointestinal endoscopy procedures. Methods : This study is a randomized blinded clinical trial. This research was conducted from July to September 2022. A total of 30 research subjects who underwent gastrointestinal endoscopy were divided into 2 groups. Group A (n=15) was given intravenous sedation Ketamine 0.5 mg/KgBW + Propofol 0.5 mg/KgBW, group B (n=15) was given Ketamine 1 mg/KgBW. The patient's recovery score was measured using the QoR-40 questionnaire 60 minutes after the endoscopy procedure was completed. Data were analyzed by univariate and bivariate. Bivariate data were analyzed by Chi-Square test, Independent T-Test and Mann-Whitney.. Results : The assessment of the safety score and the total score in this study found significant differences between the two groups with a p value <0.05. No significant difference was found in the assessment of feelings, support for patients, physical independence and pain scores with a p>0.05. Conclusion : The Ketamine-Propofol group on the comfort score and total score had higher scores than the single ketamine group, whereas on feelings, patient support, physical independence and pain scores there was no difference between the two groups.","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78790741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison Of P/F Ratio In Ventilated ARDS Patients Using Driving Pressure Strategy And Conventional Lung-Protective Strategy Method In ICU H. Adam Malik Hospital Medan","authors":"Jul Hendri, B. Lubis, M. Ihsan","doi":"10.29322/ijsrp.13.01.2023.p13334","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13334","url":null,"abstract":"Backgrounds: The progression of ARDS causes significant patient morbidity and mortality, with hypoxia being the basic mechanism of organ failure. Therefore, it is necessary to measure the P/F ratio to identify hypoxia as early as possible. Objectives: To compare the P/F ratio values in ventilated ARDS patients using driving pressure strategy method versus conventional lung-protective strategy in ICU of H. Adam Malik General Hospital Medan. Methods: This study was a randomized controlled trial conducted at ICUH. Haji Adam Malik General Hospital Medan of ventilated ARDS patients who were treated in ICU who met inclusion and exclusion criteria and were selected by consecutive sampling method. The value of the P/F ratio is determined by the driving pressure strategy method and the conventional lung protective strategy method. To analyze the difference in the P/F ratio between two intervention groups, the Mann-Whitney test was used. A confidence interval with an ap value of 0.05 is considered to be significantly significant. Results: The mean value of the P/F ratio in the lung protective group on the first day was 178.18 ± 46.5 and in the Driving pressure group was 164.81 ± 44.5 (p=0.608). On the second day, the mean P/F ratio in the lung protective group was 166.1 ± 30.8 and in the driving pressure group was 169.5 ± 12.8 (p=0.815). On the third day, the mean P/F ratio in the lung protective group was 177.2 ± 27.4 and in the driving pressure group was 175 ± 35 (p=0.726). Conclusion: There was no significant difference found in the P/F ratio value as measured by the lung protective strategy method and the driving pressure strategy method either from the first, second or third day.","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"12 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88045703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Centered Care to Reduce Surgical Site Infection in Geriatric Patients : A Scooping Review Protocol","authors":"Y. D. Indriani, E. M. Rosa","doi":"10.29322/ijsrp.13.01.2023.p13330","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13330","url":null,"abstract":"- Objective: The objectives of this scooping review are to analysis of Patient Centered Care (PCC) implementation on Surgical Site Infection (SSI) reduction in geriatric patients. The results of this scooping review are expected to provide information related to the implementation of PCC to reduce the incidence of SSI in geriatric patients. Introduction: There are at least 234 million operations every year, with the frequency of occurrence of SSI reaching more than 20% in the world. During the last decade, the incidence of SSI has increased very rapidly each year, about 500,000 patients experiencing SSI. Age has been confirmed as a risk factor for SSI after surgery. Currently the geriatric population is increasing rapidly throughout the world. The advancement of health care is an important factor in efforts to prolong life. This phenomenon in turn becomes a challenge for the health service system. Health workers who are in charge of caring for patients required to provide good health services. Currently PCC is emerging as the main approach in patient care. Inclusion criteria: The review will include published papers that discuss changes in the incidence of SSI in geriatrics by applying PCC. Methods: Search will be carried out to identify literature published between 2012 and 2021. The databases that will be used to search for related journals are: PubMed, Scopus, and EBSCO. The PRISMA protocol will be used in this study. Literature is selected in accordance with the inclusion criteria and then will be critical appraisal and analyzed. Result: From several studies it was found that there was a decrease in the Surgical Site Infection rate in the intervention group that applied a multidisciplinary team approach or used bundle care in the implementation of Patient Centered Care. The application of PCC is even more significant to reduce SSI in patients who have higher ASA (The American Society of Anesthesiologists) levels, including patients with old age. Conclusion: Geriatric population has unique physiological and social demands. Collaborative care models lead to better outcomes and care for patients and also offer cost savings in healthcare systems.","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89636246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of consonant development following cleft palate surgery: Comparison of Isolated Cleft Palate Versus Pierre Robin sequence","authors":"Malka Jayathilake, D. Silva, R. Gunasekera","doi":"10.29322/ijsrp.13.01.2023.p13326","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13326","url":null,"abstract":": The optimal management of Cleft palate patient from birth to completion of the treatment continue to present a formidable challenge the professionals of the multidisciplinary cleft clinic (MDCC) specially children with Pierre Robin Sequence (PRS) than the children with Isolated cleft palate (ICP). The children with PRS have more challenge to develop normal articulation of consonants (Speech sounds except vowels) than ICP due to they are associated with congenital sequence of multiple anomalies, which cause to occur delayed surgery procedures.","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88617822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of International Humanitarian Organizations on Food Security Among Rural Communities in Malakal County, South Sudan","authors":"Akol Abiong Bol, P. K. Mutundu","doi":"10.29322/ijsrp.13.01.2023.p13347","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13347","url":null,"abstract":"Since the outbreak of the civil war in South Sudan in 2013, just 2 years after gaining independence from the larger Sudan, agricultural production and normal livelihood was disrupted for the locals in most affected region. In 2017 the UN declared that there was famine in South Sudan affecting more than 5.5 million people in the country. For a while now, a number of international organizations have been selling the message of hope to locals and to the international platforms appealing for more funds to aid in the situation of food security in South Sudan, they include the Oxfam, World Vision, CARE, Norwegian Refugee Council, UNICEF, Action Against Hunger, Sudan Relief Fund among other, some have been in the country since 2011. This study seeks to investigate the influence of international humanitarian organizations, on food security among rural communities in Malakal County, South Sudan.The study objectives will be (i) The influence of international humanitarian organizations on food availability among rural communities in Malakal County, South Sudan. (ii) The influence of international humanitarian organizations on access to food among rural communities in Malakal County, South Sudan. (iii) The influence of international humanitarian organizations on food utilization among rural communities in Malakal County, South Sudan. The study adopted a descriptive research design. It will have a sample of 307 respondents composed of 185 local beneficiaries and 107 locals non beneficiaries on food aid humanitarian assistance and 15 focus group discussion participants. The data will be collected through a blend of both quantitative and qualitative methods. Semi structured questionnaires will be used to collect field (primary) data on 185 aid assistance respondents using systematic sampling. Interviews will be carried out on surrounding with 10 Focus Group Discussions will be held with beneficiaries and 5 with non-beneficiaries’ members. The respondents will be sampled through purposive sampling. Secondary data will be gathered from published sources. The outcome of this research will give real understandings to legislators, developers, aid agencies and policymakers by what means towards reduction of poverty design programs which include securing food through agricultural means and fishing methods to boost the living condition of vulnerable households in Malakal County. Key TermsFood security, humanitarian organizations, county governments, Influence of international organizations Introduction According to Barrett & Lentz (2010), food security is both fundamentally and instrumentally significant, but it is inherently unobservable and difficult to describe. Food provides nutrients that humans require physiologically. As a result, food is an essential component of performance and well-being. Consequently, food security is a goal in many development programs, projects, and policies. Apart from its physiological requirement, food is also a source of enjoyment. It'","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87282903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of 0.2% Chlorhexidine Mouthwash with 1% Povidone Iodine in Preventing the Incidence of Early Ventilator Acquired Pneumonia in the Intensive Care Unit of RSUP Haji Adam Malik Medan","authors":"F. Chandra, A. Hanafie, Tasrif Hamdi","doi":"10.29322/ijsrp.13.01.2023.p13337","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13337","url":null,"abstract":"Background: Intensive Care Unit (ICU) is a ward that is prone to nosocomial infections. Mechanical ventilation (MV) support is often required by 10-20% of patients admitted to the ICU, where there is always a risk of developed Ventilator-Acquired Pneumonia (VAP). Poor oral hygiene can lead to bacterial colonization of the oropharynx and aspiration of oropharyngeal secretions into the lower respiratory tract is a major factor in the occurrence of VAP. In addition, VAP is an important cause of morbidity, increased use of health resources, increased length of ICU stay and costs. Therefore, since 2003, various efforts have been made to reduce the incidence of VAP in the ICU, one of which is the use of antiseptic mouthwash which is expected to reduce the incidence of VAP. Objective: Obtain the results of chlorhexidine 0,2% mouthwash compared to povidone iodine 1% mouthwash in preventing the incidence of Early VAP in RSUP Haji Adam Malik Medan. Methods: The research design is randomized clinical trial with a single blind method. After obtaining approval from the Ethics Committee of the Faculty of Medicine, Universitas Sumatera Utara, Medan, 40 research samples were collected which, after fulfilling the inclusion criteria, were randomly divided into 2 groups. Group A received chlorhexidine 0,2% and group B received povidone iodine 1%. The research data obtained were tested using SPSS. Results: CPIS value < 6 at 48 hours was higher in the 0.2% chlorhexidine group than the 1% povidone iodine group, but not statistically significant (p = 0.170). The most common distribution of germs found were Acinetobacter baumanii and Pseudomonas aeruginosa. Conclusion: The incidence of Early VAP appeared to be less in the group receiving 0.2% chlorhexidine mouthwash compared to the 1% povidone iodine group but not statistically significant. In the 0.2% chlorhexidine group, the incidence of Early VAP was 22.5%. In the 1% povidone iodine group, the incidence of Early VAP was 32.5%. The distribution of germs obtained from the culture results shows that Acinetobacter baumanii and Pseudomonas aeruginosa are still the main causes of VAP in the ICU of Haji Adam","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84842723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Main and Basic Differences between the Google Search and ChatGPT Application","authors":"Ibrahim Ramadan","doi":"10.29322/ijsrp.13.01.2023.p13354","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13354","url":null,"abstract":"- This study aims to focus on two tools used by millions of user, Google Search and ChatGPT (Chat Generative Pre-trained Transformer), Google Search is a web search engine that allows users to search the internet for information, while ChatGPT is a natural language processing tool that allows users to communicate with a Chabot using natural language. Both tools use machine learning algorithms and natural language processing to understand and respond to user inputs, but they serve different purposes and are used in different ways.","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86055147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Implementation of Nine Values of Character Education in English Language Teaching at Bumi Cendekia Junior High School Yogyakarta","authors":"Rizki Nurma Sari, Mursid Saleh, Fahrur Rozi","doi":"10.29322/ijsrp.13.01.2023.p13333","DOIUrl":"https://doi.org/10.29322/ijsrp.13.01.2023.p13333","url":null,"abstract":"This study proposes to explain the students' and teachers' implementation and problems and solves character education, especially for the nine values of Bumi Cendekia. This study employed qualitative research in a descriptive case study design. One English teacher and three mornings English corner teachers from Bumi Cendekia Junior High School of Yogyakarta were observed and interviewed. The data were gathered through classroom observation, semi-structured interviews, and document analysis. This study revealed that all teachers had a good knowledge of character education, especially for the concept and implementation of Bumi Cendekia's nine values. They implemented those nine values of Bumi Cendekia using appropriate strategies and methods in English language lessons' teaching and learning process. All the results aligned with the teachers' perceptions of the interview and the data from classroom observation and document analysis. The most frequent is the mindful character, the second one is respectful, the third one is resilient, and the other characters from fourth to nine are compassionate, trustworthy, responsible, sincere global citizens","PeriodicalId":14290,"journal":{"name":"International Journal of Scientific and Research Publications (IJSRP)","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82889335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}