bluuebunny/crossref_metadata_2025 huggingface dataset:
Problem Solving: Finding an Information Support Tool
Authors: Polyaeva Natal'ya
Published: March 2023

The aim of the study is to find and select an information support tool for decision-making by enterprises’ actors-employees when applying an intersubjective approach to managing the problematic situation solution. To achieve this goal, it is necessary to search for modern information support tools, highlight the characteristics that they must have to resolve problematic situations, analyse the identified information tools considering the possibility of using an intersubjective approach to manage the problematic situation resolution. The scientific novelty of the study is the author’s approach based on applying R.N. Anthony’s principles to describing the types of information systems used in the organisation, to choosing decision support tools for enterprises’ actors-employees. The main feature of the proposed approach is using the tool by all cooperating actors, regardless of their skill level, to solve not only the production difficulties, but also personal problematic situations.
Cohesive Devices Realization in The Jakarta Post News Editorials: A Discourse Analysis
Authors: Sitio Ihsan Tanama , Nasution Mutia Nursyafitri , Nurlela Nurlela
Published: March 2023

Organizing ideas and opinions into sentences and paragraphs through editorials within news articles must be paid careful attention. To achieve that, each and every paragraph needs to be cohesive and meaningfully linked to each other. Hence, this study attempts to analyze and investigate the English cohesive devices and their realization within three The Jakarta Post news editorials entitled Respecting Boundaries, Freedom of Religion at Risk, and Honesty the Best Policy in constructing cohesive sentences so as to convey argumentative and persuasive opinions to readers. Krippendorff’s (2018) content analysis was applied as an analytical method to elucidate the cohesive devices and describe their discursive realization within the news editorials. Moreover, Halliday & Hasan’s (1976) framework of cohesion was also applied as an analytical tool to elucidate the cohesive devices in the selected editorials. Based on the findings, it was figured out that there are only three types of cohesive devices found from the three news editorials; reference (71%), conjunction (15%), and lexical cohesion (14%). The discursive realization of the cohesive devices has revealed that the writers of the three selected news editorials adequately utilized almost all of the cohesive devices in order to constitute cohesive textures that lead to persuasive and comprehensive opinions and points of view.
Game Based Learning Matematika dengan Metode Squid game dan Among us
Authors: Yustina Ajeng Fani , Yahfizham Yahfizham
Published: March 2023

Karena banyaknya rumus dan perhitungan yang sulit dipahami, matematika dikenal sebagai mata pelajaran yang kurang diminati siswa. Guru hanya menggunakan buku, LKS, dan sesekali slide dan power point. Siswa akan mengalami kebosanan dan kepasifan akibat pembelajaran matematika yang monoton. Oleh karena itu, diperlukan suatu strategi atau alat yang bisa membangkitkan minat dan keterlibatan siswa, salah satunya adalah Games based learning (GBL). Tujuan dari penelitian ini adalah untuk mempelajari lebih lanjut tentang bagaimana pembelajaran berbasis permainan (GBL) mempengaruhi kegiatan belajar bagi siswa. Metode literature review yang merupakan metode penelitian dengan tujuan mengumpulkan dan memperoleh intisari dari penelitian terdahulu sebelum dianalisis digunakan dalam jenis penelitian ini yang mengambil pendekatan kualitatif. Hasil kajian atau review pembelajaran matematika berbasis games dengan metode Squid game and among us untuk siswa SD, SMP, dan SMA memenuhi kriteria inklusi penelitian ini. Dokumentasi digunakan untuk pengumpulan data, dan sifat penelitian ini adalah analisis deskriptif dan jenis data sekunder. Permainan cumi-cumi dan metode pembelajaran matematika berbasis permainan lainnya memiliki dampak positif terhadap pembelajaran siswa, menurut temuan kajian literatur yang dilakukan. Semangat belajar siswa yang meningkat dibuktikan dengan perilakunya yang menunjukkan bahwa kegiatan belajar menjadi lebih menyenangkan.
Differential expression of ABCA8 in colorectal cancer.
Authors: Mamoor Shahan
Published: March 2023

Cancer is a leading cause of death and colorectal cancer is among the most lethal cancers (1, 2). We mined public and published microarray datasets (3, 4) to determine in an unbiased fashion and at the level of the transcriptome genes most differentially expressed in the primary tumors of patients with colorectal cancer (CRC). We found significant differential expression of the gene encoding ATP-binding cassette, sub-family A (ABC1), member 8, ABCA8, when comparing colorectal tumors to the tissue of origin, the colon. ABCA8 mRNA was present at significantly lower quantities in tumors of the colon as compared to normal colorectal tissue. ABCA8 expression changes may be important for the initiation or progression of human CRC.
The reason of hydrogen atom producing ionization energy
Authors: Shan Huang
Published: March 2023

Why does hydrogen atom produce ionization energy? Here we can find an answer that looks very simple or very pleasing.
Differential expression of BMP3 in colorectal cancer.
Authors: Mamoor Shahan
Published: March 2023

Cancer is a leading cause of death and colorectal cancer is among the most lethal cancers (1, 2). We mined public and published microarray datasets (3, 4) to determine in an unbiased fashion and at the level of the transcriptome genes most differentially expressed in the primary tumors of patients with colorectal cancer (CRC). We found significant differential expression of the gene encoding bone morphogenetic protein 3, BMP3, when comparing colorectal tumors to the tissue of origin, the colon. BMP3 mRNA was present at significantly lower quantities in tumors of the colon as compared to normal colorectal tissue. Analysis of human survival data revealed that expression of BMP3 in rectal tumors was correlated with overall survival in patients with rectal cancer whose tumors displayed enrichment of CD4+ T-lymphocytes. BMP3 expression changes may be important for the initiation or progression of human CRC.
Hubungan antara Digitalisasi dan Model Bisnis
Authors: Elim Zefanya Steven Gregorious
Published: March 2023

Digitalisasi adalah peralihan interaksi sosial manusia dari teknologi analog keteknologi digital. Dengan adanya digitalisasi, memungkinkan bisnis yang dulunyaanalog dan konvensional beralih ke digital business dengan memanfaatkan teknologi.Selain itu digitalisasi membuat aktivitas manusia menjadi lebih efisien karena bagianutama dari Digitalisasi adalah otomasi (Bloomberg, 2018).
EntonicGlama: Omniscient, Introspective, Constant-Time Theory
Authors: Alessio Federico
Published: March 2023

The producer-consumer problem and web browsers, while practical in theory, have not until recently been considered theoretical. given the current status of ``fuzzy'' methodologies, cyberneticists daringly desire the development of scatter/gather I/O, which embodies the significant principles of complexity theory. In order to realize this ambition, we describe a signed tool for deploying public-private key pairs ({{\em EntonicGlama}}), proving that 802.11 mesh networks and write-back caches can synchronize to answer this quandary.
Strategi 3R dalam Perspektif Model Bisnis
Authors: Davine Michelle
Published: March 2023

Rantai pasok sejauh ini digambarkan sebagai garis lurus dari ekstraksi bahan mentahhingga pasokannya ke produsen, yang mengirimkan produknya ke konsumen akhir melaluidistributor. Kelanjutan dari model ini berarti menipisnya sumber daya planet selama beberapadekade mendatang. Untungnya, kesadaran akan pentingnya menciptakan ekonomi sirkularsemakin meningkat. Banyak industri bereaksi terhadap urgensi iklim. Namun, mengalihkan bisniske model yang berkelanjutan tidaklah mudah dan implementasinya membutuhkan pemikirankepemimpinan dan inovasi. Ekonomi sirkular didasarkan pada tiga prinsip: kurangi, gunakankembali, dan daur ulang (Miebach, 2023).
Ortygan: A Methodology for the Study of Smalltalk
Authors: Aaij Roel
Published: March 2023

Futurists agree that relational information are an interesting new topic in the field of machine learning, and physicists concur. In fact, few mathematicians would disagree with the understanding of congestion control, which embodies the intuitive principles of machine learning. In this paper, we disprove not only that consistent hashing and the lookaside buffer can collude to address this issue, but that the same is true for online algorithms.
Differential expression of LGI1 in colorectal cancer.
Authors: Mamoor Shahan
Published: March 2023

Cancer is a leading cause of death and colorectal cancer is among the most lethal cancers (1, 2). We mined public and published microarray datasets (3, 4) to determine in an unbiased fashion and at the level of the transcriptome genes most differentially expressed in the primary tumors of patients with colorectal cancer (CRC). We found significant differential expression of the gene encoding leucine-rich, glioma inactivated 1, LGI1, when comparing colorectal tumors to the tissue of origin, the colon. LGI1 mRNA was present at significantly lower quantities in tumors of the colon as compared to normal colorectal tissue. Analysis of human survival data revealed that expression of LGI1 in rectal tumors was correlated with recurrence-free survival in patients with rectal cancer. LGI1 expression changes may be important for the initiation or progression of human CRC.
Turnover in Large US Police Agencies Following the George Floyd Protests
Authors: Adams Ian T. , Mourtgos Scott , Nix Justin
Published: March 2023

We examine whether police resignations and retirements significantly changed in the two years following public backlash related to the police murder of George Floyd. We employ Bayesian Structural Time Series to compare observed trends in each agency to synthetic counterfactuals using monthly staffing data from fourteen large municipal policing and sheriffs’ agencies in the US. In the two years since the Floyd protests began, large metropolitan agencies have experienced significant increases in resignations, retirements, or both. One agency was unaffected, two saw small improvements, and eleven saw between 2.2% and 16% excess loss of sworn full-time personnel when compared to the synthetic counterfactual. These results reaffirm the importance of understanding how agency operational and personnel patterns have shifted since the summer of 2020.
Project 1: Urban residents’ biodiversity connections and belief in biodiversity loss reasoning paper 8
Authors: Jin Ruining
Published: March 2023

Phillipou et al. [1] challenged the traditional idea that owning a pet is associated with greater life satisfaction. The study found out that during the COVID-19 lockdown, pet owners are more likely to face greater hardship and decreased life quality. One possible explanation is that enforcement of lockdown policies could have changed the regular routines of both pets’ and pet owners’ regular routines (not being able to go outdoors for dog-walking) and social interaction patterns
Differential expression of C17orf96 in colorectal cancer.
Authors: Mamoor Shahan
Published: March 2023

Cancer is a leading cause of death and colorectal cancer is among the most lethal cancers (1, 2). We mined public microarray datasets (3, 4) to determine in an unbiased fashion and at the level of the transcriptome genes most differentially expressed in the primary tumors of patients with colorectal cancer (CRC). We found significant differential expression of the gene encoding chromosome 17 open reading frame 96, C17orf96, when comparing colorectal tumors to the tissue of origin, the colon. C17orf96 mRNA was present at significantly lower quantities in tumors of the colon as compared to normal colorectal tissue. Analysis of human survival data revealed that expression of C17orf96 in rectal tumors was correlated with recurrence-free survival in patients with rectal cancer. C17orf96 expression changes may be important for the initiation or progression of human CRC.
Innovative Strategies for Increasing Sample Size and Diversity in Family Science Research
Authors: Williamson Hannah Camille
Published: March 2023

To build a robust, replicable, and generalizable family science we must ensure that our research includes samples that are large enough that we can test effects reliably and are diverse enough to speak broadly to families’ experiences. This can be challenging for family science researchers who focus on family processes because many of the features of high-quality family process research make the experience quite onerous for participants; often multiple family members must participate, and data is typically collected through intensive methods, such as video observation or daily diaries. These methodologies allow us to capture rich and detailed data about family processes, but can make it difficult to achieve a large and diverse sample. Fortunately, there are a number of promising methods already in use in family science, or currently being deployed in other related fields, that offer good prospects for family science researchers seeking to improve the samples used in their research by increasing sample size and/or diversity. This article highlights innovative methods that will be useful in overcoming some of the sampling challenges facing family science researchers, focusing on creative ways to use existing datasets, including secondary data analysis and integrative data analysis, and methods that can be deployed when collecting new data, including accessing alternative data sources such as digital trace data, collecting observational data remotely, methods for reaching underrepresented groups, and big-team science.
Free distortion task as a new paradigm for exploring implicit processes
Authors: GRECO Alberto Ettore
Published: March 2023

A novel paradigm using the Free Distortion Task devised by linguists as a psychological tool for investigating implicit processes
Disseminating online parenting resources through community-academic partnerships
Authors: Schickler Ross , Park Alayna L , Benfica Daniellee , Rodriguez Abigail , Eaton Emma , Bunge Eduardo
Published: March 2023

Aims: This community-engaged study aimed to understand effective strategies for disseminating online parenting resources (OPRs) in schools. Method: OPRs were disseminated through seven E-Parenting tips and eight Facebook posts. Results: Facebook posts were viewed a total of 12,404 times, and each post reached an average of 505 people each month. Average engagement rate was 2.41% per post. E-Parenting tips yielded 1514 total clicks, and the average clicks per message was 216.29. E-Parenting tips related to internalizing problems (e.g., anxiety, depression) had a higher click rate than E-Parenting tips related to externalizing problems (e.g., oppositional behavior). Conclusions: OPRs disseminated through Facebook posts, and E-Parenting tips resulted in wide reach and engagement. Different media channels should be utilized to disseminate different OPRs to as many parents as possible.
Advancing the actionability of mental health information: Identifying online, evidence-based mental health resources
Authors: Herman Alyssa , Park Alayna L , Lee Cameron , Paul Hannah , Choplin Emma Grace , Deitcher Lily , Ghuman Sabrin , Hartsock Jeremiah , Youngstrom Eric Arden
Published: March 2023

To improve the dissemination and actionability of mental health research, many mental health professionals have developed online informational resources to increase the general public’s awareness of mental health difficulties and available treatments. Yet, limited information exists on the quality and scope of these resources. This study aimed to explore the scope and quantity of online, free, evidence-based mental health resources. Fifty-two mental health professionals nominated 178 resources, which predominantly consisted of homepages and links to more information. When reviewing the original nominations, our team identified an additional 290 resources (e.g., fact sheets linked from a nominated homepage). Of the 468 total nominated resources, 72 were screened out due to not meeting the inclusion criteria of being free (inter-screener reliability = 95%), evidence-based (inter-screener reliability = 94%), and online (inter-screener reliability = 96%). Nominated resources most commonly covered anxiety and obsessive-compulsive disorder (n = 67) and suicide (n = 60). Resources providing information about the mental health problem were most common (n = 210) and resources providing information about immediate help (e.g., hotline) were least common (n = 57). Our findings indicate many free, online, evidence-based resources are available and raise questions of whether efforts to disseminate mental health research are recreating the issue of information overload. Other considerations and future directions for improving the utilization and synthesizing of available resources are discussed.
LASERS in Urology
Authors: Thakur Dipak K.
Published: March 2023

No abstract available.
Public or Private/Home: Where and Why are Ill Neonates Sought out for Health Care?
Authors: Budha Kamal Bahadur , Adhikari Chiranjivi
Published: March 2023

Introduction: Care seeking behavior is a process of taking actions in the pursuit of health gain and obtaining treatment. Various factors influence mothers to choose public or private health care facilities for neonatal health and illness, which may help policy makers to achieve the Universal Health Coverage (UHC).

Objective: The study aimed to find out the factors associated with maternal care-seeking behaviors of their neonates’ health and illness.

Methodology: A cross-sectional study was carried out among 248 mothers having neonates up to six months with the history of illness during their neonatal period, selected by applying 30 cluster sampling strategy. We entered data and then analyzed in SPSS with chi-square test and logistic regression methods.

Results: Majority of ill neonates (68%) were sought out in public health facilities in Jumla. A few (6%) were taken to private facilities whereas more than one-fourth (28%) were either sought out nowhere or treated at home traditionally. Proportion of fever and acute respiratory infections (ARI) among neonates was almost half (46.4%) and one-fifth (19%), respectively. Multivariate logistics regression showed that mothers with primary education and above had an odds of 25 (95% CI, 1.44-333.0) , with a self-decision had an odds of 11.29 (95% CI, 2.26-56.00), and walking distance of ≤30 minutes to health facility had an odds of 104.2 (95% CI, 3.80-2821.4), for seeking out the remedy in public health facilities for their neonates.

Conclusions: The study concluded that more than half neonates were ill from different diseases and more than two-thirds of them were taken to public health facilities to seek out for remedy. Maternal education having at least primary level, with a self-decision, and less distance to health facilities were the probable factors of choosing public health facilities for seeking out the remedy for a neonatal illness. Nonetheless, further studies with larger sample size and stronger designs are warranted for a firmer conclusion.
Relation of Antral Follicular Count and Follicular Stimulating Hormone with Anti-Mullerian Hormone in Determining Ovarian Reserve in Infertile Women Presenting in a Tertiary Health Centre of Nepal
Authors: Ojha Bhuwan Prasad , Ghimire Asmita , Panta Padam Raj , Ojha Neebha
Published: March 2023

Introduction: Infertility is a disorder of the reproductive system defined by failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. Globally, about 10-15% married couples are sub-fertile. 20-40% of female factors for infertility include ovarian cause. Ovarian reserve refers to the size of resting primordial follicle in the ovaries which determines the capacity of the ovary to provide egg cells for fertilization resulting in a successful pregnancy. Ovarian reserve is one of the most reliable investigations to determine ovarian regression, which regresses with age. Follicular Stimulating Hormone (FSH), Estradiol (E2), Antral Follicular Count (AFC) and Anti-Mullerian Hormone (AMH) are investigations to determine ovarian reserve.

Objective: To determine the correlation of antral follicular count and follicular stimulating hormone with anti-mullerian hormone in determining ovarian reserve among infertile women attending infertility clinic of Tribhuvan University Teaching Hospital (TUTH).

Methodology: This was a prospective, hospital based study conducted among 78 patients attending infertility clinic in the Department of Obstetrics and Gynecology at TUTH, Kathmandu from 14th April 2017 to 13th April 2018. After taking history and examination, routine infertility investigation was sent. On the Day 2 or Day 3 of the cycle, serum FSH and AMH were sent. On the 3-5 day of the cycle, trans-vaginal scan was done for antral follicular count. Follicular monitoring was done every alternate day from day 9 of natural cycle till the follicle became 18 to 22 mm. If no follicle developed even after day 20 of menstruation, monitoring was stopped and development of follicle or failure was noted. This monitoring was done in single cycle. Early follicular phase serum FSH, AMH and AFC were correlated in relation to follicular development.

Result: Among 78 patients included, mean age was 27.6 ± 3.14 years. The mean FSH, AMH and total AFC were 6.46 ± 1.90 IU/ml, 5.01 ± 3.46 ng/ml and 15.88 ± 5.21 respectively. A strong positive linear correlation between AFC and AMH (p<0.001, r=0.811) and weakly negative correlation between FSH and AMH (p=0.182, r= -0.153) was found.

Conclusion: Serum AFC level showed a strong positive correlation with AMH and could be used as an alternative to AMH to assess ovarian reserve.
A Descriptive Cross-Sectional Study on Clinical Profile and Outcome of Delirium in Trauma Patients in the Semi-Closed Intensive Care Unit of a Medical College
Authors: Singh Alok Kumar , Keyal Niraj Kumar , Chaudhary Pankaj , Izahar Mosarrat , Alam Md Shahid
Published: March 2023

Introduction: Delirium in trauma patients is common and underdiagnosed.

Objectives: This study aimed to identify the risk factors and outcome of delirium in trauma patients in a mixed semi-closed intensive care unit.

Methodology: This  descriptive cross-sectional study was done on 77 patients of age 18 years or more admitted for more than 24 hours with the history of road traffic accidents, falls, drowning, physical assaults, and self- inflicted violence  in a level three intensive care unit of the National Medical College for six months. The whole sampling method was used in our study and all cases during a given time were included in the study. The Confusion Assessment Method-ICU and Richmond Agitation Sedation Scale were used to diagnose delirium and level of arousal respectively. All data was transferred to the excel sheet and transferred to a statistical package for the social sciences-16. The Chi-square test and Fisher’s exact probability test were used to detect the difference between groups in the univariate analysis, as appropriate. The variables were analyzed using binary logistic regression. Any variables which had P<0.2 after the univariable risk regression and all other potential variables associated with the delirium were included for the multivariable risk regression. The level of significance was P<0.05.

Result: Of the 77 ICU admissions 17(22.1%) developed delirium. Hyperactive delirium was the most common motor subtype 9(52.9%). The mean duration of delirium was 3.69±4.06 days. Age,  hypertension, blood transfusion, and orthopedic trauma were identified as risk factors for delirium. Delirious patients had a longer length of stay in the ICU (7.0 ±4.6 vs 4.5±4.1 days) with no impact on the duration of mechanical ventilation, mortality, reintubation, and unplanned extubation.

Conclusion: Age, hypertension, blood transfusion and orthopaedic trauma were identified as the risk factor for delirium in trauma patients that should be identified early to prevent complications such as longer length of stay in the ICU, longer duration of mechanical ventilation, mortality, reintubation and unplanned extubation.
Effect of Oral Clonidine Premedication on Hemodynamic Stress Response to Laryngoscopy and Tracheal Intubation
Authors: Prasad Jagat Narayan , Singh Satendra Narayan , Sah Suresh Prasad , Guddy KM , Sarraf Deependra Prasad
Published: March 2023

Introduction: Different techniques have been tried to blunt undesirable hemodynamic effects like tachycardia, hypertension and dysarrhythmias during and after laryngoscopy and tracheal intubation.

Objective: To find out the effect of oral clonidine premedication on hemodynamic stress response to laryngoscopy and tracheal intubation.

Methodology: It was a prospective, randomized, double-blind comparative study conducted in patients undergoing laparoscopic cholecystectomy. Either oral clonidine 300 mcg (n=30) or placebo (n=30) was given one hour before the surgery. Depth of anesthesia was monitored and maintained at 40-60 level using bispectral index (BIS) monitor. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MABP) and oxygen saturation (SpO2) at baseline, one hour after premedication, on operation theatre (OT) table, just before and after one, two and five minutes after laryngoscopy and intubation were compared in Clonidine and placebo group using Paired t test and Chi-square test. SPSS was used for statistical analysis at P-value<0.05

Results: Hemodynamic variables like HR, SBP, DBP and MBP were significantly lower in the clonidine group compared to placebo just before and after the first five minutes of laryngoscopy and tracheal intubation (P<0.05). Propofol requirement for induction of anesthesia was less in the clonidine group (95±31.8 mg vs 75.3±28.5 mg, p=0.014) compared to the placebo group. Adverse effects like hypotension and bradycardia were comparable in the groups. Time taken for extubation, time to follow verbal commands and time to orientation after surgery were similar in the both groups (P>0.05).

Conclusion: Oral clonidine premedication was effective in blunting undesirable hemodynamic stress response to laryngoscopy and tracheal intubation compared to the placebo.
Knowledge and Participation of Male Partners in Antenatal Care attending Antenatal Clinics in Birat Medical College Teaching Hospital
Authors: Pradhan Tarun , Dahal Prerana , Dhamala Jiba Nath , Yadav Siddartha Kumar , Rathi Nikita , Rauniyar Zenith
Published: March 2023

Introduction: Male partner participation and being prepared of complications and delivery during pregnancy is extremely important for successful pregnancy outcome.

Objective: Objective of this study was to assess Knowledge and participation of male partners in antenatal care attending antenatal clinics at Birat Medical College Teaching Hospital.

Methodology: A cross-sectional prospective study was done in Department of Obstetrics and Gynecology, BMCTH. Male partners accompanying primigravid pregnant lady were included. 150 male partners were included for the study. Knowledge of male partners were assessed using pre-tested questionnaire and the knowledge was scored for poor, average and good. Frequency and percentage were calculated for sociodemographic variables and male partner knowledge questionnaire.

Result: Majority of male partners accompanying wife were educated (96%) and skilled (81.3%). 89.3% were between 20-35 years. Both couples involved in decision making were 48.7% and 85.3% had planned pregnancy. 89.3% had good knowledge about importance of antenatal care, pregnancy complications and delivery preparedness. Knowledge of pregnancy related complication among male partners were significantly related to level of education, age of partner, employed and skilled partner and couple with planned pregnancy. Knowledge of delivery preparedness was significantly related to male partner education, occupation and if couple are making decision in family. Knowledge score of male partners showed significant relation with level of education, involvement in skilled occupations, involvement of couple in decision making.

Conclusion: Knowledge of male partners involved in antenatal care with pregnant lady showed good knowledge of antenatal care events, pregnancy related complication and also showed positive importance of hospital delivery.
Effectiveness of Use of Single Dose Preoperative Antibiotic versus both Pre and Post Operative Antibiotics in Patients Undergoing Laparoscopic Uncomplicated Appendectomy in Birat Medical College Teaching Hospital (BMCTH)
Authors: Shrestha Bhupendra Charan , Sharma Shivraj , Yadav Rohit Prasad , Agrawal Chandra Shekar , Pandit Narendra
Published: March 2023

Introduction: Acute appendicitis is one of the most common surgical emergency. Rationalized use of antibiotics prevents the risk of post operative complications. There is no conclusive recommendation on the duration of antibiotic usage and role of postoperative use of antibiotics in preventing complications in uncomplicated cases remains controversial till date.

Objectives: To compare the effectiveness of single dose preoperative antibiotic with preoperative and postoperative antibiotics for patients undergoing laparoscopic uncomplicated appendectomy.

Methodology: A total number of 113 patients who fulfilled the selection criteria underwent laparoscopic appendectomy for uncomplicated appendicitis and were randomly divided into two groups. Group A patients received only pre operative antibiotics whereas Group B patients received both preoperative and postoperative antibiotics. Patients of both the groups were followed up postoperatively till discharge from the hospital

Results: In this study, patients who received only pre-operative antibiotic were 57 (50.4%) and patients who received both preoperative and postoperative antibiotics were 56(49.6%). SSI was detected in total of 2 patients (1.8%) one from each group and postoperative lump noted in right iliac fossa (RIF) in 2 patients (1.8%) one in each group intraoperatively in which further antibiotic was continued postoperatively. Hematoma, seroma and peritonitis were absent in both the groups. The difference between the two groups for incidence of SSI and postoperative RIF lump was statistically insignificant with P value of 0.748.

Conclusion: Single dose preoperative antibiotic is sufficient in preventing postoperative complications in patients undergoing laparoscopic appendectomy for uncomplicated appendicitis. This can be recommended for implementation as standard operating protocol in such cases.
Delivery site preferences and associated factors among married women of Panauti Municipality, Kavrepalanchok district, Nepal
Authors: Pathak Pratiksha , Manandhar Naresh , Joshi Sunil Kumar
Published: March 2023

Introduction: Maternal mortality is a top global developmental agenda. The main cause of being underutilization of available delivery services especially in a developing country like Nepal. Various socio-demographic, socio-cultural and health service-related factors affect the utilization of these services. Thus, the study aims to identify the delivery site preferences and its associated factors among the married women of Panauti municipality of Kavrepalanchok district.

Method: A cross-sectional study was conducted among the married women between the ages of 15-49 y residing in Panauti municipality. The face-to-face interviews were conducted using semi-structured questionnaires. The statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 21.

Result: A total of 106 women of 15-49 y were included in the study. The proportion of institutional delivery among the participants was 68%. 90.6% of total participants would prefer health facility for their future deliveries; 7.5% were not sure about their preferences and very few (1.9%) preferred to deliver at home. The factors like knowledge regarding safe-motherhood program and age at marriage were found to be significantly associated with their delivery site preference (p<0.05).

Conclusion: In a country like Nepal, home delivery is still in practice and pregnancy and childbirth are regarded as normal life events. Thus, efforts should be made to change that perception, increasing utilization of available services and improving maternal and child health. This in turn will help to achieve the Sustainable Development Goal target in reducing the Maternal Mortality Rate.
Prevalence of long COVID-19 syndrome among health care workers of Patan Academy of Health Sciences
Authors: Pandey Bimal , Gautam Sanjeev , Karki Sanjit , Lama Mipsang , Sigdel Keshav Raj , Hirachan Niroj
Published: March 2023

Introduction: Any symptoms acquired after COVID-19 infection that persists beyond 12 weeks period and not explained by any other disease either already present or acquired after COVID-19 infection is termed as long COVID 19 by World Health Organisation. We tried to find out the prevalence of long COVID 19 in healthcare workers.

Method: Questionnaire was made in google form based on COVID-19 Yorkshire Rehabilitation Screening Tool (COVID YRS Tool). Ethical approval was taken from IRC-PAHS. Data collected from all health care workers of PAHS from 2022/05/20 to 2022/07/20. Difference in Precovid and Postcovid status in different domains were compared by statistical tests.

Result: The median age of our participants was 29 years. Prevalence of Long COVID 19 was 68.1%. 19 55.3% ha mild, 10.4% had moderate, 2.4% had severe symptoms. The most common symptom was fatigue (44%), anxiety (41%) and shortness of breath (36%). The COVID YRS Tool overall score was statically significant with p value <0.001. Pre COVID 19 and Post COVID 19, patients had statically significant in breathlessness, fatigue, nutrition, anxiety, usual activity, pain, anxiety and depression. Only 6% of our patients had severe COVID 19.

Conclusion: People are still experiencing various symptoms after COVID 19 infection. Long COVID 19 has now been a health care problem.  Long COVID 19 patients have multisystem involvement and multi-speciality team is needed for their management and rehabilitation.
Problematika Residivis Kekerasan Seksual Terhadap Anak Setelah Eksekusi Pidana Tambahan Kebiri Kimia
Authors: Hanif Ghatfhan , Agustanti Rosalia Dika
Published: March 2023

This paper aims to analyze the construction of criminal law that is relevant to human rights (HAM) and establish progressive legal reinforcement in responding to current legal issues so that the problems of this paper can be focused on elements of recidivism, chemical castration, and progressive law. The research method uses normative research methods with a literature study approach and is then analyzed qualitatively. The results of the study conclude that progressive legal dialectic orients towards human welfare and happiness. Criminal law regulates violations and crimes that exist in acts of human behavior, indeed the concept of law in Indonesia adheres to civil law, which means that the substance and explanation are codified and recorded, so in the context of crimes of sexual violence that have been regulated in the Criminal Code (KUHP) , laws on child protection, and government regulations on chemical castration that are textually formulated (books). The legal principle views legal certainty, justice and usefulness, but in the context of the use of chemical castration on recidivists it seems paradoxical, on the one hand it wants to deter, on the other hand it wants to treat or recover.
Implementasi Asas No Work No Pay Dalam Pemenuhan Hak Pekerja/Buruh Perempuan Berdasarkan Pasal 82 Ayat (2) Undang-Undang Nomor 13 Tahun 2003
Authors: Kusumawati Mustika Prabaningrum
Published: March 2023

Female workers/laborers are in a vulnerable condition compared to male workers/laborers. Naturally, female workers/laborers experience pregnancy and even in the worst condition, miscarriage. No woman wants this miscarriage condition and if this condition is experienced by female workers/laborers it will have an impact on the performance and production process of the company. This is because it is certain that female workers/laborers cannot work because of these conditions. This study aims to find out the essence of implementing the no work no pay principle in fulfilling the rights of female workers/laborers who experience miscarriages based on Article 82 paragraph (2) of Law Number 13 of 2003 concerning Manpower. This research is a normative legal research with a descriptive analytical nature using a literary approach and a field approach. The analysis of the data obtained in this study was carried out qualitatively. The results of the research show that the no work no pay principle does not apply absolutely. This is because there are several exceptions in Law Number 13 of 2003 concerning Manpower which requires employers to continue to pay their workers/laborers wages even if they are not working when workers/laborers use their right to rest, one of which is for female workers/laborers who experience miscarriages
Optimalisasi Penerapan Penyanderaan (Gijzeling) sebagai Upaya Penegakan Hukum (Law Enforcement) dalam Penerimaan Pajak (Studi Kasus Pelaksanaan Penyanderaan Di Kantor Wilayah Direktorat Jenderal Pajak Sumatera Utara I)
Authors: Dalimunthe Angreni Fajrin , Ginting Budiman , Sunarmi  , Barus Utary Maharany
Published: March 2023

This research focuses on Optimizing the Implementation of Hostage Taking (Gijzeling) as an Effort to Enforce Law in Tax Revenue (Case Study of Taxpayer Hostage Taking in Regional Office I of the Directorate General of Taxes, North Sumatra Province). The research method used in this study is normative legal research or doctrinal legal research. This research is descriptive with qualitative data analysis methods. The results of the study indicate that the hostage taking (Gijzeling) at the Regional Office I of the Directorate General of Taxes of North Sumatra Province has been carried out in accordance with statutory regulations, namely the Provision of Compensation in terms of Tax Collection by Warrant juncto Regulation of the Directorate General of Taxes Number PER-03/PJ/ 2018 concerning Amendment to the Decree of the Directorate General of Taxes Number KEP-218/PJ/2003 concerning Guidelines for Hostage Taking and Rehabilitation of the Reputation of Taxpayers Hostage. Tax bearers who have been taken as hostages have fully paid their tax debts which have resulted in increased tax revenues and coordination with related agencies so that hostage-taking (gijzeling) is an effort to enforce the law. in optimizing tax revenue can be implemented properly
Formulation of Sweet Potato, Tofu, and Dried Anchovy as Supplementary Feeding for Stunting Toddlers Aged 1 – 3 Years Old
Authors: Putri Atika Setyowati , Fajar Ibnu , I Dewa Nyoman Supariasa
Published: March 2023

The proportion of malnutrition, undernutrition, and stunted in children under five is still a challenge for the government and the people of Indonesia. Deficit in energy consumption, macro and micro nutrients is said to be one of the causes of disrupted growth and development. A balanced intake of carbohydrates, proteins and fats is needed in the formation of body tissues, brain development and body resistance. Minerals Calcium (Ca), Phosphorus (P), and Potassium (K) are needed for growth, health and bone density. Sweet potatoes, tofu and dried anchovies are food ingredients that are rich in K, P and Ca minerals and can be developed into a supplementary feeding for toddlers that are rich with energy and nutrient sources. The purpose of this study was to determine the effect of the formulation of sweet potato, tofu, and dried anchovies on the quality of energy, nutrients, protein quality and organoleptic quality as supplementary feeding for toddlers. This type of research is a laboratory experimental study using 3 levels of treatments with different proportions of sweet potato, tofu and dried anchovies. The results of statistical analysis showed that there was no significant effect on the organoleptic quality of color, aroma and texture (p = 0.13; p = 0.74; p = 0.29), and there was a significant effect on the organoleptic quality of taste (p = 0.04). The best treatment level was P3 with an energy value of 144.2 Kcal, protein 5.1 grams, fat 7.8 grams, carbohydrates 13.9 grams, fiber 1.3 grams, calcium 58.6 milligrams, phosphorus 68.6 milligrams, potassium 135.2 milligrams
Effect of Giving Snakehead Fish Extract (Channa striata) on Albumin, Neutrophil, and Lymphocyte Levels in Hypoalbuminemia Patients
Authors: Mustafa Annasari , Khoirunnisa Ailsa Amelia , Rahman Nur
Published: March 2023

Hypoalbuminemia is a condition where the albumin level in the blood falls below normal. Hypoalbuminemia is known as a marker of protein energy malnutrition, inflammation, infection, liver disease, kidney disease and postoperative stress. In Indonesia, malnutrition hospital data shows 40-50% of patients have hypoalbuminemia or are at risk of hypoalbuminemia, 12% of them are severe hypoalbuminemia, and the hospitalization period for patients with hospital malnutrition shows 90% longer than patients with good nutrition. Decreased albumin levels can be associated with a decrease in the immune system and slow healing of tissues/wounds due to infection. Neutrophils and lymphocytes whose numbers increase when inflammation occurs. Oral administration of high protein with snakehead fish extract (Channa striata ) is an alternative treatment for hypoalbuminemia. Objective: The purpose of this study was to determine the effect of snakehead fish extract (Channa striata) on albumin, neutrophil, and lymphocyte levels in hypoalbuminemic patients. Method: Articles are compiled using a systematic method literature review , involving national and international journals by taking journals through Google scholar, Pubmed, Research Gate, Scient direct. Results: There was an effect of giving snakehead fish extract on albumin levels, neutrophil values, and lymphocyte values in hypoalbuinemic patients and experimental animals. Conclusion: The content of amino acids, albumin, Zn, Fe, Cu and unsaturated fatty acids in snakehead fish ( Ophiocephalus striatus) is quite effective as an effort to increase albumin levels, decrease neutrophil and lymphocyte values when inflammation occurs in hypoalbuminemic patients
PENGARUH EDUKASI MENGGUNAKAN VIDEO TENTANG HIV/AIDS TERHADAP PENGETAHUAN DAN SIKAP REMAJA DI KECAMATAN SANANWETAN
Authors: Sabhita Dewanty , Winarni Sri , Djuwadi Ganif
Published: March 2023

Edukasi Kesehatan mengenai HIV AIDS bagi remaja sangat penting diberikan lantaran  angka kejadian HIV AIDS setiap tahunnya semakin tinggi. Privinsi Jawa Timur provinsi nomer 2 tertinggi dengan jumlah kasus 62.392, yang tersebar dibeberapa kota salah satu nya yaitu Kota Blitar. Di Kota Blitar terdapat 49 Orang Dengan HIV AIDS dengan rentan umur 21 sampai 30 tahun yang mungkin telah terpapar sejak remaja. Penelitian ini adalah penelitian kuantitatif memakai metode quasi-experimental menggunakan rancangan pretest-posttest terhadap pengetahuan dan sikap remaja  yang ada pada LPKA Lembaga Pembinaan Khusus Anak Kelas 1. Dengan populasi 30 remaja. Dan pengambilan sampel menggunakan total sampling yaitu 30 responden. Instrumen yang digunakan pada pengumpulan data menggunakan kuesioner. Penelitian dilaksanakan 10 sampai 16 Februari 2022. Analisa data yang dipakai yaitu analisa Wilcoxon Signed Rank dengan a sama dengan 0,05 dihasilkan bahwa sebelum dan sesudah diberikan edukasi kesehatan menggunakan video, pengetahuan remaja dari kategori baik 0Persen meningkat menjadi 66,7Persen, kategori cukup 33.3Persen tetap, kategori kurang 66,7 turun menjadi 33,3Persen. Dan untuk sikap remaja sebelum dan sesudah diberikan edukasi kesehatan yaitu kategori negatif 86,7Persen turun menjadi 0Persen, dan untuk kategori positif dari 13,3Persen meningkat menjadi 100Persen. Hal ini dibuktikan hasil Uji Wilcoxon dengan nilai p sama dengan 0,001lebih dari0,05. Hasil penelitian menunjukkan bahwa metode edukasi kesehatan menggunakan video berpengaruh terhadap pengetahuan dan sikap remaja. Media video pada penelitian ini dapat dijadikan media penambah sebagai sumber informasi kepada remaja tentang HIV AIDS.
PENGARUH EDUKASI 7 LANGKAH CTPS MELALUI VIDEO ANIMASI TERHADAP TINGKAT PENGETAHUAN DAN TINDAKANDALAM UPAYA PENCEGAHAN PENYAKIT MENULARCOVID-19 KELAS 3 DI SDN TAPIR
Authors: Zulfia Annisa Ayu , Lundy Fiashriel , Lala Handy
Published: March 2023

Tangan merupakan salah satu jalur penularan penyakit, sehingga mencuci tangan dengan sabun merupakan cara yang paling efektif membunuh virus atau bakteri. Tujuan penelitian ini adalah untuk mengetahui  pengaruh media video animasi terhadap tingkat pengetahuan dan tindakan tentang CTPS sebelum dan sesudah diberikan edukasi dalam upaya pencegahan penyakit COVID 19. Populasi dalam penelitian ini adalah siswa siswi kelas 3 yang berjumlah 28 orang, sampel yang digunakan dalam penelitian ini adalah siswa/siswi kelas 3 yang berjumlah 26 responden. Teknik pengambilan sampel menggunakan total sampling. Pengumpulan data menggunakan kuisioner dan lembar observasi, analisis data menggunakan uji Wilcoxon. Hasil uji Wilcoxon menunjukkan ada pengaruh peningkatan pengetahuan dan tindakan dimana p value sama dengan 0,000 Kurang dari a 0,005. Hal ini menunjukkan penggunaan media video animasi dapat meningkatkan pengetahuan dan tindakan siswa kelas 3 di SDN Tapir. Hal ini menunjukkan penggunaan media video animasi dapat meningkatkan pengetahuan dan tindakan siswa kelas 3 di SDN Tapir.Rekomendasinya adalah video animasi dapat digunakan untuk meningkatkan tindakan  CTPS siswa sebagai upaya dalam pencegahan penyakit.
PERBEDAAN KEPATUHAN JADWAL KUNJUNGAN AKSEPTOR KB SUNTIK DMPA PADA MASA PANDEMI COVID-19 DAN MASA NEW NORMAL DI PMB YULIS AKTRIANI, S.Tr,Keb
Authors: Fadilah Nur , Astutik Heny , Yuliani Ita
Published: March 2023

Ketidakpatuhan akseptor KB suntik adalah salah satu penyebab menurunnya jumlah askeptor KB pada masa pandemi covid 19. Tujuan Penelitian ini adalah untuk Mengetahui perbedaan kepatuhan jadwal kunjungan akseptor KB suntik DMPA pada masa pandemi Covid 19 dan masa new normal. Desain penelitian yaitu penelitian deskriptif komparatif dengan pendekatan retrospektif. Uji analisis yang digunakan yaitu uji chi square, instrument dalam penelitian ini yaitu rekam medis responden berupa kohort KB. Penelitian ini menggunakan 67 responden yang diambil dengan teknik systematic random sampling. Hasil penelitian : dari 67 responden sebagian besar responden tidak patuh dalam melakukan kunjungan ulang pada masa pandemi COVID 19 yaitu sebanyak 18 responden dan terdapat 9 responden yang tidak patuh dalam melakukan kunjungan ulang pada masa new normal. Hal ini menunjukkan terjadi penurunan angka kejadian akseptor KB suntik DMPA tidak patuh dalam melakukan kunjungan ulang pada masa new normal dibandingkan pada masa pandemik COVID 19. Kesimpulan   Berdasarkan uji statistic chi-square di dapatkan hasil bahwa nilai p value 0.019. terdapat 18 responden yang tidak patuh pada masa pandemi covid 19, 15 patuh pada masa pandemi covid 19. Sedangkan pada masa new normal sebanyak 25 responden patuh dalam melakukan kunjungan ulang dan 9 tidak patuh dalam melakukan kunjungan ulang