15 research outputs found
Management of parturient with triplet pregnancy and placenta percreta: Importance of multi-disciplinary approach
No full textObstetric conditions like placenta percreta and multiple pregnancies can be extremely challenging as they pose a high risk for both the mother and infants. In placenta percreta, placental villi penetrate through the wall of uterus into the surrounding organs including the bladder and carry a risk of massive maternal bleeding. Multiple pregnancies have greater complication rate than that in singleton pregnancy. Successful management of such challenges are best done by a multidisciplinary teamwork, where all members of a perinatal team are involved in decision making and management. We report the successful management of a triplet gestation associated with placenta percreta
PENGARUH PERILAKU BELAJAR PESERTA DIDIK TERHADAP PEMANFAATAN PERPUSTAKAAN SEKOLAH SEBAGAI SUMBER BELAJAR :Studi Deskriptif pada SMPN 5 BANDUNG:
No full textPengaruh Perilaku Belajar Peserta Didik terhadap Pemanfaatan Perpusakaan Sekolah sebagai Sumber Belajar pada SMPN 5 Bandung. Program Studi Perpustakaan dan Informasi Jurusan Kurikulum dan Teknologi Pendidikan, Fakultas Ilmu Pendidikan, Universitas Pendidikan Indonesia, Bandung 2014.
Penelitian ini dilatarbelakangi dengan masuknya era informasi dan teknologi informasi dimana perpustakaan merupakan tempat untuk memperoleh informasi khususnya di sekolah. Masalah yang menjadi kajian dalam penelitian ini difokuskan pada sikap, kebiasaan, dan minat belajar peserta didik terhadap pemanfaatan perpustakaan sekolah sebagai sumber belajar. Penelitian ini terdiri dari perilaku belajar peserta didik (X) dan pemanfaatan perpustakaan sekolah sebagai sumber belajar (Y). Perilaku belajar peserta didik diukur melalui sub variabel sikap yang terdiri dari tiga indikator yaitu kognitif, afektif, dan konatif, dan kebiasaan terdiri dari dua indikator yaitu kebiasaan belajar dan kebiasaan membaca, sedangkan minat belajar terdiri dari perbuatan, perhatian, dan perasaan.
Populasi pada penelitian ini adalah perpustakaan SMPN 5 Bandung yang berjumlah 599 orang. Sampel yang diambil berjumlah 86 orang berdasarkan rumus Yamane dengan metode penarikan sampel yaitu sampling insidental. Metode penelitian yang digunakan adalah studi deskriptif dengan pendekatan kuantitatif. Teknik pengumpulan data menggunakan kuesioner tertutup dengan menggunakan Skala Likert dan menggunakan analisis data korelasi, serta untuk melihat besar pengaruhnya menggunakan regresi linier sederhana. Berdasarkan hasil analisis data, diketahui bahwa perilaku belajar peserta didik mempunyai tingkat hubungan dan berpengaruh signifikan terhadap pemanfaatan perpustakaan sekolah sebagai sumber belajar, dengan signifikansi pengaruh sebesar 0,841. Rekomendasi pada penelitian ini perpustakaan sekolah diharapkan dapat mengembangkan bahan perpustakaan sehingga meningkatkan keberagaman sikap, kebiasaan, dan minat belajar peserta didik untuk memanfaatkan perpustakaan sekolah sebagai sumber belajar.
The Influence of Student Behavior on the Utilization of School Library (as a Learning Resource Center in SMPN 5 Bandung). Library and Information Program – Curriculum and Educational Technology, Faculty of Educational Sciences, Indonesia University of Education, Bandung 2014.
This research is motivated by the emergence of the information technology era in which library turns as the place for acquiring information, notably in school. Based on that background, this research is focused on the student’s attitude and behavior, and student’s learning interest towards school library utilization as a learning resource. The student’s behavior was observed across the x-axis and the utilization of library as a learning resource in y-axis. Student’s attitude was measured by means of attitude sub-variable which consists of three indicators: cognitive, affective, and conative. Student’s behavior was measured by two indicators, namely learning behavior and reading behavior. Furthermore, student’s learning interest consists of behave, attention and feeling.
This research involved 599 students as the samples, which contributed to utilize school library of SMPN 5 Bandung. A total number of 87 samples are taken based on Yamane’s formula by using accidental techniques. This research employs a descriptive design with some quantification to enhance the analysis. Furthermore, the data are collected by using closed questionnaire and Likert Scale. Then the data are analyzed by using correlation analysis and simple linear regression. The results revealed that student’s learning behavior has a significant connection and influence (0.841) towardsthe utilization of school library as a learning resource. Based on this result, it can be recommended that school libraries are expected to develop its materials to increase the level of student’s attitude, behavior and interest regarding to utilize library as a learning resource
The Influence of Students'learning behaviour on The Utilization of School Library as Learning Resources
No full textAbstract. This research is motivated by the emergence of the information technology era in which library turns as the place for acquiring information, notably in school. Based on that background, this research is focused on the student's attitude and behavior, and student's learning interest towards school library utilization as a learning resource. The student's behavior was observed across the x-axis and the utilization of library as a learning resource in y-axis. Student's attitude was measured by means of attitude sub-variable which consists of three indicators: cognitive, affective, and conative. Student's behavior was measured by two indicators, namely learning behavior and reading behavior. Furthermore, student's learning interest consists of behave, attention and feeling. This research employs a descriptive design with some quantification to enhance the analysis. Furthermore, the data are collected by using closed questionnaire and Likert Scale. Then the data are analyzed by using correlation analysis and simple linear regression. The results revealed that student's learning behavior has a significant connection and influence (0.841) towards the utilization of school library as a learning resource. Based on this result, it can be recommended that school libraries are expected to develop its materials to increase the level of student's attitude, behavior and interest regarding to utilize library as a learning resource.
Keywords: learning attitude, library materials utilization, learning resources, students.
Abstrak. Masalah yang menjadi kajian dalam penelitian ini difokuskan pada sikap, kebiasaan, dan minat belajar peserta didik terhadap pemanfaatan perpustakaan sekolah sebagai sumber belajar. Penelitian ini terdiri dari perilaku belajar peserta didik (X) dan pemanfaatan perpustakaan sekolah sebagai sumber belajar (Y). Perilaku belajar peserta didik diukur melalui sub variabel sikap yang terdiri dari tiga indikator yaitu kognitif, afektif, dan konatif, dan kebiasaan terdiri dari dua indikator yaitu kebiasaan belajar dan kebiasaan membaca, sedangkan minat belajar terdiri dari perbuatan, perhatian, dan perasaan. Metode penelitian yang digunakan adalah studi deskriptif dengan pendekatan kuantitatif. Teknik pengumpulan data menggunakan kuesioner tertutup dengan menggunakan Skala Likert dan menggunakan analisis data korelasi, serta untuk melihat besar pengaruhnya menggunakan koefisien determinasi dan regresi linier sederhana. Berdasarkan hasil analisis data, diketahui bahwa perilaku belajar peserta didik mempunyai tingkat hubungan dan berpengaruh signifikan terhadap pemanfaatan perpustakaan
sekolah sebagai sumber belajar, dengan signifikansi pengaruh sebesar 0,841. Rekomendasi pada penelitian ini perpustakaan sekolah diharapkan dapat mengembangkan bahan perpustakaan sehingga meningkatkan keberagaman sikap, kebiasaan, dan minat belajar peserta didik untuk memanfaatkan perpustakaan sekolah sebagai sumber belajar.
Kata kunci : Perilaku belajar, Pemanfatan bahan perpustakaan, Sumber belajar
dan Peserta didi
Case report on peri-operative surgical and anaesthetic management of ruptured humongous lung abscess
No full textIntroduction: Early thoracic empyema is usually treated through video-assisted thoracoscopic (VATS) decortication. Patient selection is important for decortication if an effective surgical outcome is required. Lung isolation techniques are required to provide anesthesia for these patients to facilitate the surgeon while operating on the affected lung. The ultimate target is to protect the non-diseased contra-lateral lung from contamination.Presentation of case: We are presenting a unique case of 20-year-old female, resident of Karachi, who was brought to the emergency room (ER) with signs of sepsis, hypotension, and multi-organ failure. She was brought to the operating room to undergo video-assisted thoracoscopy (VATS) for lung abscess decortication when her medical therapy had failed. On table decision of right upper lobe resection was made and ventilation strategy had to be modified accordingly.Discussion: The main anaesthetic aim was to protect the healthy parts of the lung from the abscess. Regular suctioning of secretions during surgery via the double lumen tube (DLT) lumen on the diseased side is recommended. While performing VATS, the lung abscess got ruptured and immediate measures to isolate the lung was taken to assist with surgical resection of the affected lobe. Lobectomy can only be done once the lung was completely isolated and maintaining perfusion and ventilation of the relatively healthy lung help in managing hypoxia.Conclusion: Peri-operative management of ruptured lung abscesses required thorough pre-op evaluation, intraoperative lung isolation and ventilation, and postoperative analgesia with combined team effort both surgical and anaesthetic, are vital fundamentals to consider in guaranteeing the best outcome
Das Gendergefälle in der Forschung: Eine bibliometrische Analyse der 100 meist zitierten Artikel über die Untersuchung lebensmittelbedingter Krankheitsausbrüchen im Zeitraum 1990-2020
No full textIntroduction: Despite a recent increase in the representation of female authors in scientific literature, a significant gap persists concerning the inclusion of women in research. This necessitates the analysis of published literature from a gender perspective. This study aimed to provide gender distribution in authorship in the 100 most-cited articles on food-borne pathogen outbreaks from 1990 to 2020.Methods: Bibliometric analysis was conducted using the Scopus database. Two reviewers were selected to search the database. We included the 100 most-cited articles on foodborne outbreak investigations. The analysis was conducted using Statistical Package for Social Sciences (SPSS) version 26 and Microsoft Excel version 2016. The citation data, including total citations, citations per year, and representation of women as first and senior authors, was analyzed in terms of frequencies, mean, median, and interquartile range. The correlation between journal impact factor and the representation of women in high-impact factor journals was determined. A p-value of <0.05 was considered significant.Results: Most of the top-cited articles were published between 2001 and 2010 (n=47). The top 3 most-cited articles were from the USA. Of the total 100 articles, women were the first and last authors in 46% and 28% of the articles, respectively, reflecting a significant gender gap. However, the proportion of females as principal investigators gradually increased from 25% (n=10/30) to 52% (n=24/47) during the period 2001-2010 and to 92% (n=12/13) during 2011-2020. The USA had the highest number of included articles (n=48), and women were principal authors in 56% (n=27) of them. The lowest representation of women was observed in Austria, Denmark, Japan, Netherlands, New Zealand, Nigeria, Portugal, and the United Kingdom.Conclusion: Women are under-represented in published literature on food-borne pathogen outbreaks. Although the representation of women as principal authors has recently increased, disparities still exist at the senior-author level, calling for women's advancement in academic science.Einleitung: Obwohl der Anteil von Frauen in der wissenschaftlichen Literatur in letzter Zeit zugenommen hat, besteht nach wie vor eine erhebliche Lücke bei der Einbeziehung von Frauen in die Forschung. Das macht eine Analyse der Literatur aus der Geschlechterperspektive erforderlich. Ziel dieser Studie war es, die geschlechtsspezifische Verteilung der Autorenschaft in den 100 meist zitierten Artikeln zu lebensmittelbedingten Ausbrüchen im Zeitraum 1990-2020 zu ermitteln.Methode: Die bibliometrische Analyse wurde mit Hilfe der Datenbank Scopus durchgeführt. Zwei Reviewer wurden mit der Suche in der Datenbank beauftragt. Es wurden die 100 am häufigsten zitierten Artikel zur Untersuchung lebensmittelbedingter Krankheitsausbrüche berücksichtigt. Die Analyse wurde mit SPSS, Version 26, und Microsoft Excel, Version 2016, durchgeführt. Die Zitationsdaten einschließlich der Gesamtzahl der Zitate, der Zitate pro Jahr und des Anteils von Frauen als Erst- und Seniorautorin, wurden in Form von Häufigkeiten, Mittelwert, Median und Interquartilsbereich analysiert. Die Korrelation zwischen dem Impact-Faktor der Zeitschrift und dem Anteil von Frauen in Zeitschriften mit hohem Impact-Faktor wurde ermittelt. Ein p-Wert von <0,05 wurde als signifikant angesehen.Ergebnisse: Die meisten der am häufigsten zitierten Artikel wurden im Zeitraum 2001-2010 veröffentlicht (n=47). Die 3 am häufigsten zitierten Artikel stammten aus den USA. Von den 100 Artikeln waren Frauen in 46% der Artikel Erstautorin und in 28% der Artikel Letztautorin, was ein erhebliches Geschlechtergefälle widerspiegelt. Der Anteil von Frauen als Hauptautorin stieg jedoch allmählich von 25% (n=10/30) auf 52% (n=24/47) im Zeitraum 2001-2010 und auf 92% (n=12/13) im Zeitraum 2011-2020. Da die USA die höchste Anzahl an eingeschlossenen Artikeln (n=48) aufwiesen, waren Frauen in 56% (n=27) der Artikel Hauptautorin. Der geringste Frauenanteil wurde in Österreich, Dänemark, Japan, den Niederlanden, Neuseeland, Nigeria, Portugal und UK beobachtet.Schlussfolgerung: Frauen sind in der veröffentlichten Literatur über die Untersuchung von lebensmittelbedingten Krankheitsausbrüchen unterrepräsentiert. Obwohl der Anteil von Frauen als Hauptautorin in letzter Zeit zugenommen hat, gibt es immer noch Ungleichheiten auf der Ebene der leitenden Autoren und Autorinnen, die eine Förderung von Frauen in der akademischen Wissenschaft erfordern
Variants associated with Bedaquiline (BDQ) resistance identified in Rv0678 and efflux pump genes in Mycobacterium tuberculosis isolates from BDQ naïve TB patients in Pakistan
No full textAbstract Background Mutations in the Rv0678, pepQ and atpE genes of Mycobacterium tuberculosis (MTB) have been reported to be associated with reduced antimycobacterial susceptibility to bedaquiline (BDQ). Resistance conferring mutations in treatment naïve MTB strains is likely to have implications for BDQ based new drug regimen that aim to shorten treatment duration. We therefore investigated the genetic basis of resistance to BDQ in MTB clinical isolates from BDQ naïve TB patients from Pakistan. In addition, mutations in genes associated with efflux pumps were investigated as an alternate mechanism of resistance. Methods Based on convenience sampling, we studied 48 MTB clinical isolates from BDQ naïve TB patients. These isolates (from our strain bank) included 38 MDR/pre-XDR/XDR (10 BDQ resistant, 8 BDQ intermediate and 20 BDQ susceptible) and 10 pan drug susceptible MTB isolates. All strains were subjected to whole genome sequencing and genomes were analysed to identify variants in Rv0678, pepQ, atpE, Rv1979c, mmpLS and mmpL5 and drug resistance associated efflux pump genes. Results Of the BDQ resistant and intermediate strains 44% (8/18) had variants in Rv0678 including; two reported mutations S63R/G, six previously unreported variants; L40F, R50Q and R107C and three frameshift mutations; G25fs, D64fs and D109fs. Variants in efflux pumps; Rv1273c (G462K), Rv0507c (R426H) and Rv1634c (E198R) were found to be present in drug resistant isolates including BDQ resistant and intermediate isolates. E198R in efflux pump gene Rv1634c was the most frequently occurring variant in BDQ resistant and intermediate isolates (n = 10). Conclusion We found RAVs in Rv0678 to be commonly associated with BDQ resistance. Further confirmation of the role of variants in efflux pump genes in resistance is required so that they may be incorporated in genome-based diagnostics for drug resistant MTB
Additional file 3 of Variants associated with Bedaquiline (BDQ) resistance identified in Rv0678 and efflux pump genes in Mycobacterium tuberculosis isolates from BDQ naïve TB patients in Pakistan
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Additional file 4 of Variants associated with Bedaquiline (BDQ) resistance identified in Rv0678 and efflux pump genes in Mycobacterium tuberculosis isolates from BDQ naïve TB patients in Pakistan
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Additional file 2 of Variants associated with Bedaquiline (BDQ) resistance identified in Rv0678 and efflux pump genes in Mycobacterium tuberculosis isolates from BDQ naïve TB patients in Pakistan
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