bluuebunny/crossref_metadata_2025 huggingface dataset:
Antibiotic Resistance Profile of Biofilm Producing Staphylococci Isolated from Different Clinical Samples
Authors: Tuladhar Ratna Shova , Shrestha Raju , Lekhak Sunil , Chaudhary Mahesh , Manandhar Sarita
Published: January 2024

Biofilm mediated infections by Staphylococci have a significant negative impact on patient health and necessitate reliable method for detecting biofilm producers. The ability of isolates to produce biofilm makes them resistant to host immune response as well as available antibiotics. This study aims to detect biofilm producing ability among clinical staphylococci by phenotypic methods and presence of icaAD genes and determine their antibiotic profile. A total of 350 different clinical specimens received in the KIST Medical hospital, Gwarko, Nepal was examined from July 2018 to January 2019 and Staphylococci were identified following standard microbiological procedure. The antibiotic resistivity pattern was detected by Kirby Bauer disc diffusion method whereas biofilm formation was detected by three phenotypic methods viz. congo red agar (CRA), tube method (TM) and tissue culture plate (TCP) method. Furthermore, icaAD genes were detected by PCR method. Chi-square test and independent sample t-test were employed to calculate the significance. A total of 161 Staphylococci were isolated comprising S. aureus (63, 39.1%) and coagulase negative staphylococci (CNS) (98, 60.9%). Most isolates were found to be resistant to penicillin and erythromycin. Strong biofilm formation was detected among 6 (3.7%), 22 (13.7%) and 35 (21.7%) by CRA, TM and TCP method respectively. Similarly, icaAD genes were detected among 24 (14.9%) isolates. Staphylococci isolated from clinical sample showed biofilm forming ability by both phenotypic and genotypic method. The biofilm producing isolates were found to be more resistant to antibiotics than their planktonic counterparts with 56 (89%) and 65 (66%) S. aureus and CNS observed as methicillin resistant respectively. Regular surveillance of biofilm formation by Staphylococci and their antimicrobial resistance profile may lead to early treatment of Staphylococcal infection.
Characterization of Plasma Activated Water Generated from Gliding Arc Discharge and Its Application on Enhancement of Seed Germination of Radish (Raphanus sativus var. longipinnatus)
Authors: Dhungana Santosh , Guragain Rajesh Prakash , Subedi Deepak Prasad , Baniya Hom Bahadur
Published: January 2024

In recent decades, generation of plasma activated water (PAW) from non-thermal atmospheric pressure plasma sources has received enormous attention due to their diverse applications. The research described in this paper is mainly focused on the preparation and characterisations of PAW produced from gliding arc discharge (GAD) operated with high voltages (9.7 kV, 50 Hz) power supply system and its use in the enhancement of seed germination of radish. The physical and chemical parameters of the PAW are investigated using a multi-parameter probe and UV-visible spectrometer. There are significant differences in physical parameters like pH and conductivity, and chemical parameters like concentration of nitrates, nitrites, ammonia in untreated and PAW.  But no significant differences in temperature and total dissolved oxygen (TDO) are found. In order to determine the effects of PAW on seed germination, different germination parameters are calculated on radish (Raphanus sativus) which indicates that PAW can enhance the seed germination of radish.
Discrepancies and Research Gaps on the Lithostratigraphy of the Jajarkot Thrust Sheet, Western Nepal Himalaya
Authors: Lamsal Sunil , Shah Ram Bahadur , Paudyal Kabi Raj
Published: January 2024

The interaction between the Indian and Asian plates has led to the formation of imbricated thrust sheets in the Himalayas. This study focuses on a segment of the Jajarkot Thrust Sheet, characterized by metamorphic rocks, including garnet-biotite schist, biotite schist, quartzite interlayers, and marbles. The upper stratigraphic sequence of this thrust sheet contains fossiliferous rocks from the Paleozoic era. Prior classifications have identified three main units: Chaurjhari Formation, Thabang Formation, and Jaljala Formation. However, the Department of Mines and Geology recognizes two units: Siuri Formation and Surbang Formation. This discrepancy, along with inconsistent terminologies like "Jajarkot nappe" and "Jajarkot klippe", highlights the need for a unified stratigraphic framework. Such clarity is crucial for assessing mineralization potentials, particularly for iron and copper, in western Nepal and understanding the thrust sheet's tectonic history within the broader Himalayan context.
Internet Banking Tools and Client Satisfaction with Nepalese Commercial Banks
Authors: Sharma Gaire Amrit Kumar
Published: January 2024

The principal aim of this research endeavor was to assess the influence of Internet tools on client satisfaction within the commercial banking sector in Surkhet. The independent variables, namely Internet banking (IB), mobile banking (MB), automated teller machine (ATM), and point of sales (POS), were selected for this investigation, with client satisfaction designated as the dependent variable. Employing a descriptive research design and quantitative data, the study utilized a convenience sampling technique and administered a structured questionnaire to collect relevant data from respondents. The sample comprised 101 Internet banking users selected from the pool of Internet banking users in Surkhet. In the process of data analysis, various statistical measures, including frequency, mean, standard deviation, univariate, bivariate, and multivariate regression, were employed. The study's findings revealed a noteworthy positive impact of Internet banking tools on client satisfaction. This implies that commercial banks' integration and utilization of Internet banking tools in Surkhet are associated with a statistically significant improvement in client satisfaction.
Influencing Factors of Online Shopping on Customer Satisfaction in Birendranagar, Surkhet
Authors: Pulami Hasta Bahadur
Published: January 2024

This research aims to investigate and assess the variables that affect the impact of Internet shopping on consumers' satisfaction in Birendranagar, Surkhet. This research used a causal-comparative design to ascertain the causes and consequences of specific variables. One hundred fifteen customers who used to shop online provided information for the analysis. Multiple regression, F-test, mean, and standard deviation were used in the studies. According to the survey, there is a statistically significant impact of perceived risk, comfort, ease, and competitive price when it comes to customer satisfaction. However, it was discovered that the effects of each variable separately produced distinct outcomes. Customer satisfaction is significantly impacted (<.05) by comfort and perceived risk but not significantly by competitive pricing and shopping convenience.
Root Dentin Transparency: A Reliable Method of Age Estimation in Nepalese Population
Authors: Adhikari Bhoj Raj , Shakya Mamata , Upadhyaya Chandan , Mahanta Swagat Kumar , Chaurasia Nitesh , Poudel Pratibha , Singh Pankaj Kumar , Srii Ritesh , Lamichhane Simant
Published: January 2024

Background: Root dentin transparency, one of the age changes in dentin, is considered to be a stable parameter not affected by environmental and pathological factors. The effect of age changes in the transparency of root dentin in Nepalese population have not been established so far. In the present study, we aimed to determine the age of an individual using the root dentin transparency in the Nepalese subjects and attempt to derive the formula to estimate the age applicable to the Nepalese population.
Materials and Methods: A cross sectional analytical study was conducted to measure the length of root dentin transparency in the tooth of patients of known age. Correlation of the age and the length of transparent root dentin was determined. A linear regression analysis was carried out to derive a formula applicable to the Nepalese population.
Results: The length of transparent root dentin increased linearly with the age of an individual. The newly derived formula was used to calculate the estimated age from the length of transparent root dentin. The difference between the actual age and the calculated age was within 6 years in 63.2% of the sample.
Conclusion: A simple and relatively inexpensive method for calculating age by measuring RDT is described.
Diagnostic Utility of Touch Imprint Cytology of Image Guided Core Needle Biopsy
Authors: Dahal Mona , Karki Smriti , Regmi Niraj , Devkota Karun , Jain Neetu
Published: January 2024

Background: Touch imprint cytology of image guided core needle biopsy implies gentle rolling of core needle biopsy obtained with the aid of imaging modality from various organs. The aim of the study was to measure the diagnostic accuracy of touch imprint cytology of image guided core needle biopsy in comparison to histopathological diagnosis.

Materials and Methods: A prospective descriptive cross-sectional study was conducted among 47 touch imprint cytology of image guided core needle biopsy in the department of pathology of a tertiary care centre between 1st October 2021 to 30th September 2022 after receiving ethical approval from the institutional review committee. The Papanicolaou and Giemsa-stained slides of touch imprint smear and haematoxylin - eosin-stained slides of core needle biopsy was analysed for adequacy and categorization as non-neoplastic, benign, atypical and malignant. Convenience sampling was done.

Results: The most frequent site of image guided core needle biopsy was lung (40.4%). The adequacy rate of touch imprint cytology of image guided core needle biopsy was 85.1%. Among 40 cases of adequate touch imprint smear, 28 cases (70%) were categorized as malignant. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of touch imprint cytology for categorizing a malignant lesion was 91.18%, 95.45%, 96.88%, 87.5% and 92.86% respectively.

Conclusion: The touch imprint cytology of image guided core needle biopsy is a useful modality for the rapid preliminary diagnosis of lesions of various organs with decreased turnaround time for diagnostic workup and ancillary studies.
Scrub Typhus Associated Secondary Hemophagocytic Lymphohistiocytosis in Pediatric Intensive Care Unit
Authors: Singh Sandip Kumar , Jha Shishir , Mishra Rajnish , Thakur Sajan Kumar , Gurung Suja , Bajracharya Aliza
Published: January 2024

Background: Scrub Typhus is febrile illness caused by orientia tsutsugamusi and presents with multiorgan involvement. It can cause multiorgan failure resulting in acute respiratory distress syndrome, acute kidney Injury and hemophagocytic lymphohistiocytosis. Secondary hemophagocytic lymphohistiocytosis is rare but life threatening clinical condition caused by uncontrolled activation of inflammatory cytokines and accumulation of activated macrophages and lymphocytes.

Materials and Methods: This study is a prospective observational study conducted on children with Scrub Typhus being admitted to Pediatric Intensive care Unit of Nobel Medical College during 12 months period from July 2022 to June 2023. Basic demographic features, clinical presentation, severity and outcome were analyzed. Categorical variables were reported as frequencies, and continuous as mean ± SD. Independent sample t-test and chi square test was used for comparison of means and categorical variables.

Results: A total of 32 children with scrub typhus were included. Common age group was >10 years. Fever, hepatosplenomegaly, rash and respiratory distress were common clinical features. Among 32 cases, 7 (21.87%) had Encephalitis, 10 (31.25%) developed acute respiratory distress syndrome, 13 (40.62%) had Shock, and 9 (28.12%) developed secondary hemophagocytic lymphohistiocytosis. Among 9 children with scrub typhus associated secondary hemophagocytic lymphohistiocytosis, all of them had Hyperferritenemia, Hypofibrinogenemia, and Hypertriglyceridemia. Hemophagocytosis was identified in (55.55%) in bone marrow biopsies. 1 patient succumbed to multiorgan failure.

Conclusion: Secondary hemophagocytic lymphohistiocytosis should be considered in children with Scrub typhus requiring Intensive care support. Early recognition and prompt treatment can result in good outcome in children with Scrub typhus associated secondary hemophagocytic lymphohistiocytosis.
Pelvic Floor Dysfunction and Quality of Life among Hysterectomy Cases at B.P. Koirala Institute of Health Sciences
Authors: Agrawal Subhadra , Basnet Tulsa , Dixit Baburam , Hegde Aparna , Regmi Mohan Chandra
Published: January 2024

Background: Pelvic floor dysfunction a global major female reproductive health burden associated with genitourinary and psychosocial symptoms even after hysterectomy has been underreported in the developing world.  The study aimed to determine the early incidence of pelvic floor dysfunction and its psychological impact among post-hysterectomy women.

Materials and Methods: It was a prospective cohort study for 52 weeks among 130 post-hysterectomy cases at the tertiary care center. Pelvic floor dysfunction was diagnosed with the Pelvic Floor Disability Index and quality of life with the Pelvic Floor Impact Questionnaire. The association of pelvic floor dysfunction with epidemiological characters was analyzed using SPSS version 20.

Results: The incidence of pelvic floor dysfunction was 7.8% and the impact on the quality of life was 2.7% among 130 post-hysterectomy cases. Age, body mass index, comorbidities like chronic obstructive lung disease, and previous abdominal surgery were statistically significant. A parity of three or more, caesarian sections with instrumental delivery and Transabdominal hysterectomy was statistically significant with pelvic floor dysfunction and Socio-Psychological effect within the same groups of patients. The most common symptoms were urinary symptoms accounting for 9(90%) followed by prolapse 5 (50%) and colorectal 4(40%) with a score of 20.82± 9.07, 7.48±4.5 and 6.97± 1.55, and quality of life was mostly impacted by bladder symptoms 3 (100%) with a score of 24.96±2.96.

Conclusion: Pelvic floor dysfunction is a common health burden among post-hysterectomy cases especially with older age, higher Body Mass Index, Chronic Obstructive Pulmonary Disease, parity of more than three and caesarian sections with instrumental delivery.
Depression, Anxiety and Stress among Nursing Students at Biratnagar
Authors: Chapagain Sita , Neupane Saraswata , Pokhrel Indira , Kafle Tara Kumari
Published: January 2024

Background: Nursing students’ depression, anxiety and stress are important issue in society with strongest connection to client recover when these students become nurse in future.Such psychological distress among them leads to less productivity, reduced quality of life, learning difficulties and may negatively affect patient care.

Materials and Methods: A descriptive, cross-sectional study was conducted in Nobel Medical College Teaching Hospital, Biratnagar. A total of 104 Bachelor nursing students were selected by using a non-probability total enumerative sampling technique.  Data were collected in the classroom through self-administered questionnaire using standardized tool DASS-21. All calculations and statistical analyzed by using SPSS software version 23.0.

Results: The mental health status of nursing students reported alarming accounting about 37% severe anxiety, 17% severe depression and severe stress each. Among the six variables run, only year of study found associated with depression, however, stress and anxiety were not found associated with all given six variables. Similarly, there is very strong positive correlation was found among stress, anxiety and depression.

Conclusion: The number of students experiencing depression, anxiety and stress were some levels. Among the six variables run, only year of study found associated with depression but none of the variables found associated with other mental health dimensions. Similarly, the dimension of mental health: stress, anxiety and depression were found strongly correlated.
Serum Procalcitonin as a Biomarker for Diagnosing Neonatal Sepsis in a Tertiary Care Hospital of Eastern Nepal
Authors: Giri Arun , Yadav Sunil Kumar , Sah Vijay Kumar , Kushwaha Amaresh Kumar
Published: January 2024

Background: Sepsis is the main cause of morbidity and mortality in neonates. Early diagnosis and appropriate treatment can reduce the mortality rate. Blood culture is the gold standard for diagnosis of bacterial sepsis, but it requires 3-5 days for results. Since the disease may progress rapidly in neonates, a faster diagnostic test is needed. This study aimed to investigate and evaluate the role of serum procalcitonin as a marker for diagnosis of neonatal sepsis, aiming to enhance early detection and improve clinical outcomes.

Materials and Methods: This was a hospital-based cross-sectional observational study carried out in 350 neonates admitted with suspicion of neonatal sepsis in Neonatal Intensive Care Unit (NICU) of Nobel Medical College Teaching Hospital (NMCTH), Biratnagar, Nepal during 1 year between October 2021 to September 2022.

Results: The study included 350 cases, with a median age of 4days (1day to 4 days). Males made up the majority of cases (69.71%), as did Hindus (70.29%). Similarly, 78.86% of the cases had serum procalcitonin levels more than or equivalent to 0.5 ng/ml. Possible sepsis (43.43%) accounted for the majority of cases. The cases age, gender, and religion were shown to have a statistically significant relationship with serum procalcitonin.

Conclusion: Therefore, we draw the conclusion that serum procalcitonin may not be the only diagnostic marker to diagnose neonatal sepsis in term/near term newborns, but it may be helpful when paired with other test indicators.
Notions of Identity and Investment in Second Language Acquisition: Bangladeshi Indigenous Students’ Perspectives
Authors: Hossain Ghazi Shahadat
Published: January 2024

Identity and investment are closely related to second language learning in many contexts. Many studies have been done on how second language learning aff ects the identity and investment of second language learners. Banking on the theory of identity, this article investigates how and why Bangladeshi students, belonging to indigenous communities, invest in second language learning and how their investment in L2 is linked to their agency. The study adopted an interpretative qualitative research paradigm and more precisely, utilized narrative inquiry as a research method to explore the lived experiences situated in a particular time, space and context. The findings exhibit that Bangladeshi ethnic students have made financial, physical, psychological and academic investments to own the linguistic, cultural and symbolic capital of English as a second language and such investment seems to be impacted by factors such as generating new identities (real or imagined), agency, neoliberalism and social justice. The research findings tend to have implications for second language teachers, researchers, SLA curriculum and material designers and other stakeholders in the Bangladeshi context or elsewhere.
Student Identity in the EFL Classrooms
Authors: Basnet Arjun
Published: January 2024

This paper explores various processes of identity construction of the students studying in English medium secondary schools in Nepal while learning English as a second /foreign language. The students in English medium schools actively participate in various classroom interactions, engage mutually in the learning process and share their feelings through which they make sense of themselves and construct various identities. By collecting information from interviews with eight participants, this qualitative study showcases that the EFL students construct multiple identities through the process of positioning, opportunity and transformation. Due to positioning, i.e., how the students situate themselves through their discursive practices and how they are situated by others, the students construct a number of identities namely, discourse identity, social identity, institution identity, authored identity, affinity identity and L1 identity, becoming and being as identity, learner identity and inner circle identity. Some of these identities, especially the former ones are constructed by virtue of opportunity whereas the later one is constructed due to transformation. These identities, however, were not found going parallel because the identities constructed in one field infused their identities in other fields.
Existential Crisis of Female Characters in Sita Pandey’s Fever
Authors: Yadav Rajesh Prasad
Published: January 2024

This article examines Sita Pandey's Fever, an anthology of stories about pain, suffering, and stereotypical depictions of women. The story deals with the oppression of women in patriarchy. Women do housework, serve their husbands, and work long hours and after-hours. They become alienated, frustrated, and mentally and physically broken. The cause of their suffering is none other than patriarchy. Patriarchy imposes laws on women that affect their identity and existence. Society gives them difficult roles and limits their roles. Women live according to patriarchal norms and values, suppressing their own desires. Female characters are depicted as mere servants guided by their emotions. Society is a great example of the ignorance and blind exploitation of women. Society requires women to have passion in their eyes, lust for women's bodies, and admire the beauty of women's bodies. Just as Prema is compared to wine in the story 'Own Question Mark', men compare women to inanimate objects. Female characters are seen by men simply as objects of beauty, pleasure, and satisfaction. The stories contained in Fever visualize the memories of women's oppression, alienation, and depression in society. This article creates an overview of the pain, grief, suffering, hardship, and haunting memories of female characters, exploring their lost identity, respect, and dignity.
The Assessment of the Quality of Existing Parks along Phewa Lake, Pokhara, Nepal
Authors: Thapa Luna , Kandel Samikshya
Published: January 2024

This paper aims to identify the quality criteria to assess the quality of parks and examines the quality of urban parks along Phewa Lake in Lakeside, Pokhara. After a comprehensive study of relevant literature, six criteria are selected for the quality assessment of the urban parks under study; Accessibility, Distinctive Characteristics, Activities, Condition of landscape elements, Condition of utilities and services, and Cleanliness. The criteria are further divided into sub-criteria for the study. Field visits, observation, and key informants’ interviews were conducted to collect data and triangulate results. The findings revealed the existing quality of the urban parks in terms of the selected criteria of assessment. The quality condition of a park differs from one criterion to another and also differs from one park to another. The results from the study will be beneficial in improving the quality of the parks by focusing on the criteria where the park is lagging.
Transient Analysis of 9-Bus System using ETAP
Authors: Jha Rahul Kumar
Published: January 2024

This research paper presents a transient analysis of a 9-bus power system using ETAP software. The simulation results obtained from ETAP are analyzed in terms of voltage and current waveforms, fault current magnitudes. However, the system experiences voltage and current fluctuations during fault conditions, which can lead to instability if not properly addressed.
Predicting Chronic Kidney Disease using ML algorithms and LIME
Authors: Thapa Tara Bahadur , Bhandari Mohan
Published: January 2024

Numerous researchers have implemented machine learning (ML), and deep learning (DL) to predict chronic kidney diseases (CKD). But these studies have succeeded in early diagnosis, they lack transparency. Such ambiguity has raised red flags in adopting AI in the critical domain of healthcare and medical analyses. This paper aims at interpreting the outcome of predictive models by proposing an explainable AI (XAI) interface using local interpretable model-agnostic explanation (LIME).  The intended model aims to hold the system accountable for its projections, which will assist efficient decision-making in the field of clinical research and therapeutic practice.
Design and Fabrication of a Spiked-Shaft Maize Seed Separato
Authors: Bhandari Prabhat Kiran , Adhikari Nishan , Bhattarai Rajesh
Published: January 2024

Maize shelling in developing and underdeveloped nations has been and remains a severe problem to its processing as it is tedious and requires more labour hours. This study aims to design and fabricate a motor-powered spike-shaft type Maize Seed Separator (MSS) machine. The design and selection of components like the motor, belt, frame, bearing, and shaft were made based on general design considerations. After the complete fabrication of the MSS machine, it was tested to find its shelling capacity and efficiency. The shelling capacity was found to be 220 kg/hr, which is 80 times faster than manual shelling and the maximum shelling efficiency was found to be 97 % at the feeding rate of 4 kg at a time. The machine consumes 1.28 kW of electricity, which, when operated for one hour,would cost about Rs. 14 per hour.
Pengaruh Kinerja Keuangan dan Kinerja Lingkungan Terhadap Nilai Perusahaan
Authors: Adyaksana Rahandhika Ivan , M.Sulkhanul Umam  , Vidya Vitta Adhivinna  , Trimely Dinakesuma
Published: January 2024

Tujuan: Penelitian ini bertujuan untuk mengetahui dampak kinerja keuangan dan lingkungan terhadap nilai perusahaan. Hal ini dilakukan karena nilai suatu perusahaan saat ini diukur dari faktor keuangan dan factor non keuangan, salah satunya kepedulian lingkungan.
Metodologi: Riset ini merupakan penelitian kuantitatif dengan data sekunder yang berupa laporan tahunan suatu perusahaan. Populasi penelitian merupakan perusahaan industri dasar dan kimia yang terdaftar di BEI periode 2017-2021. Teknik pengambilan sampel menggunakan purposive sampling dan jumlah sampel diperoleh sebanyak 18 perusahaan dengan jumlah data 90.
Temuan: Hasil riset ini membuktikan bahwa ROA, EPS, dan kinerja lingkungan mempunyai pengaruh secara positif dan signifikan terhadap nilai perusahaan, sedangkan nilai perusahaan tidak terpengaruh oleh ROE. ROA, EPS, dan ROE merupakan variabel untuk mewakili kinerja keuangan. Penelitian ini dilakukan untuk menambahkan bukti tentang pengaruh kinerja keuangan dan kinerja lingkungan terhadap nilai Perusahaan pada insustri dasar dan kimia. Perbedaan penelitian ini dengan penelitian sebelumnya terdapat pada komponen yang digunakan untuk merepresentasikan kinerja keuangan. Penelitian ini menggunakan tiga variabel untuk merepresentasikan kinerja keuangan.
Keterbatasan Penelitian: beberapa data perusahaan yang tidak dapat diakses dan tidak bisa dimasukkan dalam sampel penelitian yang mengakibatkan jumlah sampel data yang tersedia untuk penelitian ini cenderung sedikit. Penelitian selanjutnya dapat mengembangkan jumlah sampel dengan menggunakan jenis perusahaan lain atau seluruh jenis perusahaan di Indonesia.
Implikasi Praktis: Perusahaan industri dasar dan kimia diharapkan untuk selalu meningkatkan pengembalian atas aset, laba per lembar saham dan mendapatkan peringkat proper yang baik agar nilai perusahaan mengalami peningkatan. Nilai perusahaan sangat krusial bagi perusahaan lantaran kenaikannya akan diikuti kenaikan harga saham yang akan mencerminkan keuntungan bagi investor
Pengaruh Beban Kerja, Konflik Kerja, dan Pengawasan Terhadap Stress Kerja pada Karyawan Orens Mart Wonosobo
Authors: MajiyatunNisa MajiyatunNisa , Yati Suhartini
Published: January 2024

Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh beban kerja, konflik kerja, dan pengawasan terhadap stress kerja pada karyawan Orens Mart Wonosobo.
Metodologi: Metode yang digunakan dalam penelitian ini merupakan metode kuantitatif. Data pada penelitian merupakan data primer dengan teknik pengumpuln data melalui wawancara, observasi, dan kuesioner . Pengambilan sampel menggunakan teknik randoom sampling. Analisis data menggunakan SPSS versi 26.0, teknik analisis menggunakan analisis regresi linier berganda dengan taraf signifikansi 0,05.
Temuan:. Hasil penelitian ini menunjukkan bahwa beban kerja berpengaruh positif dan signifikan terhadap stress kerja karyawan Orens Mart Wonosobo. Konflik kerja berpengaruh positif dan signifikan terhadap stress kerja karyawan Orens Mart Wonosobo. Pengawasan berpengaruh positif dan signfikan terhadap stress kerja karyawan Orens Mart Wonosobo. Beban kerja, konflik kerja, dan pengawasan secara simultan berpengaruh positif dan signifikan terhadap stress kerja karyawan Orens Mart Wonosobo
Title: “Unreal, Purely Formal Relations”: Realism in Christian Schad’s Drawings of Queer Nightspots for Ein Führer durch das ‘lasterhafte’ Berlin (1931)
Authors: Levinsohn James Michael
Published: January 2024

Art historian Benjamin Buchloh influentially framed the career of German artist Christian Schad (1894–1982) as exemplifying the “return to realism” undertaken by many formerly avant-garde European artists post-World War I. In 1917, as an adherent of Zürich Dada, Schad created the first intentionally abstract photograms. However, by the 1920s, the newly Berlin-based Schad turned to copiously realistic paintings of urban modernity’s paradigmatic figures – including, uniquely among his fellow Neue Sachlichkeit painters, denizens of the German capital’s then-burgeoning queer social spaces. By analysing in-depth Schad’s pen-and-ink illustrations of Berlin’s queer nightspots for Curt Moreck’s sensationalistic 1931 tour-guide Führer durch das ‘lasterhafte’ Berlin, this paper will, for the first time, connect Schad’s return to illusionistic pictorial representation to his representation of queer communities. Positioning Schad’s figuration not as regressive or reactionary but as defined by the hollowing out of realist mimetic conventions and their humanist ideological underpinnings, I propose Schad’s ink lines both denied and asserted their capacity for spatial illusion. Historicising this self-negating realism through Siegfried Kracauer and Georg Simmel’s writings on urban spatial alienation, I argue Schad pictured these nightspots as paragons of the general impossibility of intimate connection under Weimar modernity, popularly attributed to sexual desire’s perceived rampant commodification and dramatised in his drawings through the insistently non-reciprocal play of gazes between their figures. Ultimately, I contend Schad’s portrayal of queer nightspots as privileged sites of a generalised sexual alienation neither indicted nor celebrated Weimar Berlin’s sexual and gender minorities. Rather, their alienated atmosphere reflected Schad’s incapacity, in a fundamentally incoherent society, to forge a self-contained aesthetic whole from the dizzying array of social and sexual experience in Weimar Berlin, that “city of many possibilities and impossibilities.”
A longitudinal prospective cohort study of health-related quality of life assessment in outpatient adults with post-COVID-19 conditions
Authors: Mercier Kassandra , Piché Jasmine , Rioux-Perreault Christine , Lemaire-Paquette Samuel , Piché Alain
Published: January 2024

Background:

Few studies have reported the long-term effects of post-COVID-19 condition (PCC) on health-related quality of life (HRQoL). We aim to assess HRQoL in outpatient adults with PCC over a 2-year period.

Methods:

This prospective longitudinal cohort study compared 413 PCC participants (cases) to 520 COVID-19-positive participants who recovered (controls). HRQoL was assessed with the EuroQol 5-Dimension 5-Level preference-based questionnaire (EQ-5D-5L) and fitness and frailty with the Clinical Frailty Scale (CFS) at each visit for up to 24 months.

Results:

Among a total of 933 participants, 413 (42.3%) met the definition of PCC (cases) and 520 (55.7%) did not (controls). Overall, there was a significant difference in EQ-5D-5L index score from 3 months post-infection up to 18 months between cases and controls ( p < 0.001). This score continued to decline up to 18 months in the PCC group only. Most impaired EQ-5D-5L dimensions at 12 months in the PCC group included pain/discomfort, anxiety/depression, and usual activities.

Conclusions:

This is one of the first studies to report 2-year alterations of HRQoL in outpatients with PCC. Our study highlights the need for continued monitoring for PCC long-term consequences. Given the high proportion of PCC participants experiencing anxiety/depression problems, further studies are needed to specifically address mental health in this population.
Extracorporeal membrane oxygenation for COVID-19-associated severe acute respiratory distress syndrome in Canada: Analysis of data from the Canadian Nosocomial Infection Surveillance Program
Authors: Qaddoura Amro , Bartoszko Jessica , Mitchell Robyn , Frenette Charles , Johnston Lynn , Mertz Dominik , Pelude Linda , Thampi Nisha , Smith Stephanie W
Published: January 2024

Background:

Extracorporeal membrane oxygenation (ECMO) for COVID-19 across Canada has not been well-described. We studied trends for patients with COVID-19-related acute respiratory distress syndrome who received ECMO.

Methods:

Multicentre retrospective cohort study using data from the Canadian Nosocomial Infection Surveillance Program across four different waves. Surveillance data was collected between March 2020 and June 2022. We reported data stratified by ECMO status and wave.

Results:

ECMO recipients comprised 299 (6.8%) of the 4,408 critically ill patients included. ECMO recipients were younger (median age 49 versus 62 years, p < 0.001), less likely to be vaccinated against COVID-19 (Wave 4 data: 5.3% versus 19%; p = 0.002), and had fewer comorbidities compared to patients who did not receive ECMO. Thirty-day all-cause mortality was similar between the ECMO and non-ECMO groups (23% versus 26%; p = 0.25). Among ECMO recipients, mortality tended to decrease across Waves 1 to 4: 48%, 31%, 18%, and 16%, respectively ( p = 0.04 for trend). However, this was no longer statistically significant when removing the high mortality during Wave 1 ( p = 0.15).

Conclusions:

Our findings suggest that critically ill patients in Canadian hospitals who received ECMO had different characteristics from those who did not receive ECMO. We also observed a trend of decreased mortality over the waves for the ECMO group. Possible explanatory factors may include potential delay in ECMO initiation during Wave 1, evolution of the virus, better understanding of COVID-19 disease and ECMO use, and new medical treatments and vaccines available in later waves. These findings may provide insight for future potential pandemics.
Análisis de la fecundidad de las mujeres haitianas por orden de nacimiento
Authors: Pierrin Berthony , Généus Woodley , Simon David Jean
Published: January 2024

Se analiza la fecundidad de las mujeres haitianas a fin de revelar su comportamiento reproductivo según la situación sociodemográfica y económica. Usamos datos de la última encuesta demográfica y de salud realizada en Haití. El presente estudio sólo incluye a las mujeres al final de su edad fértil entre 45 y 49 años. La descripción de las características basales de la muestra analítica se realizó mediante porcentajes. Para el análisis de los datos, recurrimos a las probabilidades de agrandamiento de las familias (PAF) y modelos multivariantes de supervivencia en tiempo discreto (modelos log-log complementario) (LLC), que son dos aproximaciones metodológicas adaptables a la situación de la fecundidad del país. Los análisis abarcan diversos niveles de estudio. En primer lugar, se realizó un análisis estadístico descriptivo univariante con el objetivo de caracterizar el perfil de la población en cuestión. Posteriormente, se procedió a un análisis multivariante para examinar los factores sociodemográficos y económicos, así como los patrones de espaciamiento en la reproducción de las mujeres haitianas. Los resultados indican que, a partir del nacimiento del cuarto hijo, las mujeres demuestran un mayor control sobre su fecundidad. Por tanto, las probabilidades siguen siendo altas para la transición a una paridad alta (más de 3 hijos). Para controlar la fecundidad, cuanto mayor sea el tiempo entre dos nacimientos sucesivos, mayor será la tendencia a la disminución de la reproducción. Además, las mujeres más vulnerables, quienes residen en contextos rurales, con bajos recursos económicos y bajo nivel educativo, tienden a tener más hijos, comienzan a tenerlos a una edad más temprana y presentan intervalos más cortos entre los nacimientos sucesivos.
La violencia psicológica en parejas durante el confinamiento por COVID-19: Impacto en la salud mental de mujeres que asisten a La Casa de la Mujer (Pueblo Libre)
Authors: Llona de la Cruz Bruno Jesús , Rojas Novoa Sandra Nicolle , Huaman Noriega Elizabeth Marián , Lujan Porras Valeria Alessandra , Mayta Franco Leidy Nicol
Published: January 2024

La violencia contra la mujer, la violencia psicológica y la salud mental son problemas que afectan gravemente a la sociedad peruana. Durante la pandemia por el COVID-19, estos males perdieron relevancia en la mentalidad colectiva debido al contexto del aislamiento social obligatorio, pero siempre estuvieron presentes. Este estudio busca analizar la relación entre la violencia psicológica que sufren las mujeres por sus parejas y el desarrollo de trastornos mentales. Se eligió la Casa de la Mujer de Pueblo Libre porque aquí se pudieron encontrar mujeres que habían sido violentadas por sus cónyuges durante el confinamiento por la pandemia de COVID-19 del 2020 al 2021, y brindó una población variada para analizar según los objetivos. Se tomó como base estudios de escala nacional e internacional sobre la violencia intrafamiliar, sus efectos psicológicos, los efectos de la pandemia de COVID-19, y las causas y consecuencias de trastornos depresivos y ansiosos en las mujeres. La metodología que se utilizó se basa en un enfoque cuantitativo que consiste en una encuesta sobre las experiencias de las mujeres dividida en 5 secciones. Se concluyó que la mayoría de las mujeres de la Casa de la Mujer no sufrieron violencia psicológica durante la pandemia, pero no se pueden ignorar los casos en los que sí ocurrió; además, se halló una relación entre estos y el desarrollo de trastornos mentales. También se demostró que la violencia afecta a las mujeres de la Casa de la Mujer sin importar su condición socioeconómica.
Investigaciones en salud mental en el pre y posgrado de las universidades de Lima, Perú período 2016-2021
Authors: Sánchez-Carlessi Héctor Hugo , Mejía-Sáenz Katia , Velazco-Astete Jackelin I. , Zavalaga-Chávez Álvaro , Corzo-Ruiz Andrea M. , Aujapuclla-Aguirre José M. , Lozano-Ueda Jonatán A. , Morales-Bravo Samantha M. , Ccahuay-Falcón Andrea E.
Published: January 2024

Estudio de carácter bibliográfico y meta-analítico, que tuvo como propósito, presentar un diagnóstico de las características de las tesis de pre grado y pos grado que se han realizado en las universidades estatales y particulares de Lima, Perú, en torno al tema de la salud mental, enfatizando en los indicadores psicológicos más frecuentemente estudiados entre los años 2016 al 2021. El estudio abarcó una muestra de 22 universidades ubicadas en Lima Metropolitana, estatales y particulares de las facultades y escuelas de Psicología, Medicina y Escuelas de Pos grado. Para recoger la información se elaboró una matriz de identificación de 43 indicadores psicológicos vinculados con la salud mental en las tesis revisadas. La información se recopiló a través de los Repositorios Institucionales de cada universidad en donde se pudo ubicar íntegramente la tesis de grado sustentada y aprobada por el graduando. Solo se registraron aquellas tesis vinculadas con el campo de la Salud Mental. El estudio comprende además el análisis metodológico de cada una de las investigaciones en torno a la salud mental que han realizado los egresados de pre y pos grado en las distintas universidades de Lima-Perú. Considerando los 6 años que ocupan el período estudiado, los resultados ubican que los indicadores psicológicos más frecuentes han sido: estrés, ansiedad, depresión, burnout, estrategias de afrontamiento, resiliencia, inteligencia emocional y bienestar personal; en cambio, muy poco se han estudiado temas importantes que preocupan a la población, como, por ejemplo, violencia, psicopatía, ira, hostilidad, entre otros. En conclusión, este estudio bibliográfico y meta-analítico proporcionó un panorama detallado de las características de las tesis de pre grado y pos grado relacionadas con la salud mental en universidades estatales y particulares de Lima entre los años 2016 y 2021. Los resultados destacaron los indicadores psicológicos más recurrentes en estas investigaciones, como el estrés, la ansiedad, la depresión, el burnout, las estrategias de afrontamiento, la resiliencia, la inteligencia emocional y el bienestar personal. Sin embargo, se evidenció una falta de atención en temas relevantes para la población, como la violencia, la psicopatía, la ira y la hostilidad. Estos hallazgos resaltan la necesidad de fomentar una mayor diversidad temática en los trabajos académicos sobre salud mental y promover la investigación en áreas subrepresentadas para abordar integralmente los desafíos emergentes en el campo de la salud mental. Asimismo, este estudio brinda una base sólida para futuras investigaciones y colaboraciones académicas, buscando contribuir al fortalecimiento del conocimiento y la implementación de soluciones basadas en evidencia científica para mejorar la salud mental en la sociedad.
Carácter comprensivo de la introducción y la discusión de resultados desde la lectura científica en revistas con alto factor de impacto
Authors: Argota-Pérez George , Llona-García Erick Serguey , Mendoza-Yáñez César Augusto
Published: January 2024

El objetivo del estudio fue describir el carácter comprensivo de la introducción y la discusión de los resultados desde la literatura científica en revistas con alto factor de impacto. El estudio se realizó desde enero a junio de 2023. Desde la base de datos ScienceDirect la ecuación de búsqueda en inglés con el signo booleano AND fue: comprehension AND scientific information AND formative competence AND university students. Se filtró los años 2021, 2022 y 2023 donde se seleccionó mediante un muestreo no probabilístico por conveniencia, 10 artículos de investigación. El carácter comprensivo hacia la facilitación de alternativas y el descubrimiento de obstáculos fue mayor en la discusión de resultados. Sin embargo, la identificación de problemas se reconoce que fue superior en la introducción: 80% > 20%. Se concluyó, que el carácter comprensivo de la lectura científica en las revistas de alto factor de impacto se describió desde tres dimensiones: identificación de problemas, facilitación de alternativas y descubrimiento de obstáculos. En cada dimensión, el porcentaje varió, según la estructura metodológica de la introducción y la discusión de resultados siendo de 80%, 36% y 44% para la primera, y 20%, 64% y 56% en la segunda.
Mortalidad por accidentes en menores de 15 años. Villa Clara, Cuba: 2015-2019
Authors: González-Rodríguez Irén de la Caridad , Campos-Aguilar Yisel , Güemez-Muñoz Jorge Yoelvis , Quiroz-Hernández Jorge Luis , Rodríguez-González Barbarita , Contreras-González Yegney , Fimia-Duarte Rigoberto
Published: January 2024

Los accidentes son eventos frecuentes en la edad pediátrica y constituyen un suceso complejo en el cual pueden intervenir, múltiples factores que están en relación con las características particulares de cada sociedad. Caracterizar la mortalidad por accidente en menores de 15 años. Se realizó una investigación observacional descriptiva de corte transversal, caracterizando la mortalidad por accidentes en menores de 15 años en Villa Clara en el período, enero 2015 a diciembre 2019. La información se obtuvo del registro nacional y provincial de fallecidos. Se contabilizaron 22 accidentes, con una tasa de 3,76 por cada 100 000 habitantes; el grupo de edad más afectado fue el de 5 a 9 años, con 9 defunciones, y una tasa de 2,32 por cada 10 000 habitantes, del sexo masculino, con 3,20 fallecidos por cada 10 000 niños varones de esas edades. En estos cinco años los municipios que han sufrido más que otros la ocurrencia de accidentes mortales en sus niños, fueron Cifuentes, Quemado de Güines y Manicaragua, donde resultaron ser los meses con mayor accidentalidad, desde julio a octubre. Entre los tipos de accidentes, los de mayor incidencia fueron los ahogamientos, seguidos de las quemaduras, y entre los tipos de lesiones, el ahogamiento y el trauma craneal.
Investigación formativa en la planificación del sílabo por competencia desde la tecnología digital
Authors: Argota-Pérez Yadira , Argota-Pérez George , Apaza-Flores Carlos Roger
Published: January 2024

El uso de la tecnología digital se relaciona con la calidad en la investigación formativa y permite el desarrollo de las competencias. El objetivo del estudio fue describir la investigación formativa en la planificación del sílabo por competencia desde la tecnología digital. Desde la capacitación sobre la construcción de sílabos por competencia se analizó, el puntaje interpretativo de la formación investigativa. Se estableció tres clases de rango de puntuación: I) 12–14; II) 15–17 y III) 18–20, respectivamente. Se realizó el análisis de varianza entre la media aritmética de los intervalos de puntuación. Se registró para el primer intervalo de puntuación un 57,89% de los docentes universitarios. El promedio entre los intervalos fue 14,89±0,43 puntos siendo bajo. Se halló, una diferencia significativa entre las medias de los valores registrados por intervalos de clases. Se consideró limitante la demostración de habilidades prácticas en la conceptualización de la investigación formativa. Se concluyó, que hubo deficiencias en el dominio de la investigación formativa desde su registro en la planificación del sílabo por competencia con el uso de tecnologías digitales. Por consiguiente, se impide la estructuración de procesos de aprendizaje en el aula, además de la gamificación procesos de aprendizaje hacia sistemas de gestión educativos eficientes.
Cómo fomentar la experiencia en el espectador dentro de los relatos periodísticos inmersivos
Authors:   Universidad Camilo José Cela, Benítez-de-Gracia María-José , Herrera-Damas Susana ,   Universidad Carlos III de Madrid
Published: January 2024

Aunque su producción está hoy en retroceso en comparación con la eclosión que experimentó entre 2015 y 2018, el análisis de algunos de los reportajes periodísticos inmersivos más recientes permite advertir que el desarrollo de la tecnología ha contribuido a superar varias de las limitaciones que encontrábamos en las primeras producciones. En este sentido, el empleo de técnicas avanzadas como la fotogrametría consiguen un mayor nivel de participación del espectador al permitirle desplazarse por el espacio, ofrecer imágenes muy realistas, recrear momentos impactantes o lugares remotos y lograr un mayor acercamiento a los protagonistas y a los testigos de cada historia. Así se describe en este texto. En la parte final, ofrecemos una relación actualizada de buenas prácticas para fomentar la experiencia del espectador dentro del relato periodístico inmersivo.