bluuebunny/crossref_metadata_2025 huggingface dataset:
Predictive validity of SSCE grades and UTME points on final CGPA of students of Bauchi State University Gadau, Bauchi State
Authors:   Department of Mathematical Sciences, Bauchi State Universty, P.M.B. 65 Gadau, Bauchi State, Nigeria, Muhammad Adamu Adamu , Isaac Hussaini ,   Department of Mathematical Sciences, Bauchi State Universty, P.M.B. 65 Gadau, Bauchi State, Nigeria
Published: July 2022

Cumulative Grade Point Average (CGPA) is a major indicator of students’ academic performance in Nigerian university system and the final class of degree to be awarded to a student solely relies on his final CGPA. The academic entry requirements into the universities are Senior Secondary Certificate Examination (SSCE) grades and Unified Tertiary Matriculation Examination (UTME) points. One may naturally therefore, expect paramount dependency of student’s final CGPA on his SSCE grades and UTME points on entry. This study used multiple linear regression based on ordinary least squares with SSCE grades and UTME points on entry as predictors of final CGPA of students. We also used Pearson correlation to ascertain relationships between each predictor variable and the dependent variable. Results for both methods revealed that final CGPA of students in the university is not strongly determined by their SSCE grades and UTME points.
Malachra: A genus added to the family Malvaceae of Uttar Pradesh, India
Authors: Yadav Rupendra , Verma Ankita , Bhimsen  , Singh Alok , Gond Deepak
Published: July 2022

The genus Malachra (M. capitata) of the family Malvaceae is reported as an addition to the flora of Uttar Pradesh. A detailed description along with a photo illustration is provided in the paper for easy identification.
C39: Tumeurs du côlon en occlusion de l’adulte : Etude rétrospective de 8 ans : A propos de 63 cas au CHU Aristide le Dantec de Dakar
Authors: Seck M , Touré A , Thiam O , Ndiaye M , Cissé M , Gueye M L , Ka O , Dieng M
Published: July 2022

INTRODUCTION : Les tumeurs du côlon en occlusion de l’adulte sont des urgences médico-chirurgicales. Nous avons réalisé une étude rétrospective de huit ans (Janvier 2012 à Décembre 2019), colligeant 63 dossiers de patients opérés pour cette pathologie au service de Chirurgie Générale de l’Hôpital Aristide le Dantec. L’objectif de la présente étude était d’étudier les aspects épidémiologiques, diagnostiques et thérapeutiques. MATERIELS ET METHODES : Il s’agissait de 41 hommes et de 22 femmes, soit un sex-ratio de 1,8. L’âge moyen était de 55,4 ans et l’âge médian de 56,5 ans. La prévalence annuelle était de 7,8 cas. RESULTATS : Le délai de consultation était <24 h dans 58,7%. A la clinique, la douleur abdominale était retrouvée dans 85,7% des cas et le météorisme abdominal dans 44,4% des cas. La tomodensitométrie était réalisée dans 79,3% des cas et a fait le diagnostic dans tous les cas. Des signes de souffrance digestive étaient retrouvés dans quatre cas (8%). Des localisations secondaires étaient retrouvées dans 55,5% des cas. Au plan chirurgical, 85,7% des cas étaient opérés dans les 24 h de leur admission. La voie d’abord était une laparotomie médiane sus- et sous-ombilicale dans 95% des cas (n=56). La tumeur était localisée au côlon gauche dans 57,6% des cas (n=34). La chirurgie était curative dans 72% des cas au niveau du côlon droit (n=18) et dans 66,6% des cas au côlon gauche (n=20).  Le taux de résécabilité tumorale était de 69,1%. Treize résultats de l’examen d’anatomie pathologique sur pièces opératoires étaient retrouvés, avec un adénocarcinome lieberkühnien dans 31,2%. La morbidité globale était de 50,9%. La durée moyenne d’hospitalisation était de 7,1 jours. La chimiothérapie adjuvante était utilisée dans trois cas avec le protocole XELOX et dans un cas avec le protocole LV5FU. La mortalité globale était de 20,6%. La mortalité peropératoire était de 3,3%, soit deux cas. La médiane de survie était de 12 mois avec ou sans métastases. CONCLUSION : Les tumeurs du côlon en occlusion constituent des urgences eu égard à leurs complications. La tomodensitométrie permet de faire le diagnostic et de rechercher les complications. Le traitement repose essentiellement sur la chirurgie qui peut être grevée d’une morbi-mortalité non négligeable. L’occlusion aggrave le pronostic des patients porteurs de tumeurs coliques avec une baisse de la survie.
C43: Pseudo-tumeur splénique : A propos d’un cas à l’Unité de Chirurgie Oncologique de l’Hôpital National Donka
Authors: Bah M , Keita M , Cisse I K , Conde I K , Souaré M B , Diallo T M , Keita F S , Barry M S , Traore B
Published: July 2022

INTRODUCTION : La tuberculose splénique est l’un des aspects rares de la tuberculose hématopoïétique des organes profonds. Le but de notre communication est de souligner, en rapportant un cas de tuberculose splénique pseudo-tumorale, d’une part son polymorphisme clinique et anatomique, et d’autre part le rôle diagnostique et thérapeutique de la chirurgie. OBSERVATION : Il s’agissait d’une patiente de 24 ans qui présentait une splénomégalie importante accompagnée de fièvre et d’amaigrissement. L’échographie et la TDM abdominopelvienne montrait des images d’une rate polykystiques isolée évoquant un abcès splénique. Une splénectomie a été réalisée et l’analyse bactériologique a montré la présence de Mycobacterium tuberculosis et l’analyse de la pièce opératoire a confirmé le diagnostic de tuberculose splénique. Les suites opératoires ont été simples et la patiente a été mise sous traitement anti-bacillaire. CONCLUSION : La tuberculose splénique est une entité rare dans notre contexte, qui doit être évoquée devant toute splénomégalie isolée avec notion de fièvre au long cours. Le diagnostic de certitude est histologique et/ou bactériologique. Le traitement repose sur une polychimiothérapie anti-bacillaire, qui si elle est débutée précocement permet la guérison.
Irregular Verb Acquisition Among EFL and ESL Learners in Cameroon: Peculiarities of Group 4 and 5 Verbs
Authors: Etengeneng Ngasu Betek
Published: July 2022

Acquisition patterns of irregular verbs by Second and Foreign Language learners of English in Cameroon present remarkable peculiarities that emanate from the country’s unique linguistic identity, where French, English and a multiplicity of local languages are spoken. Following on a previous study (see Ngasu Betek 2020) this study documents these peculiarities, but with a focus on Group 4 and 5 irregular verbs, to ascertain the mastery of English irregular verbs. From a population of nine hundred (900) students from six selected schools in Cameroon, samples of their production in English irregular verb usage were collected. The specific classes were Forms One, Three, Five, (of the Anglophone sub-system of secondary education), and Sixième, Quatrième and Seconde students (from the Francophone sub-system of secondary education). Using Simple Random Sampling Technique, completion tasks were administered and the results analysed to identify and map traceable frequency patterns of use by students. A comparative analysis of the two leaner clusters was carried out which revealed ESL and EFL learners of English in Cameroon both exhibited challenges in using irregular verbs either through overgeneralizations or through morphological distortions of irregular verbs especially at the past tense. This paper thus informs on best practices for successful learning, specifically in the acquisition of irregular verbs by L1 and L2 learners in schools in Cameroon.
Use of recycled waste in the production of building materials
Authors: Aryngazin Kapar , Abisheva Assem
Published: July 2022

With the development of modern society, technological progress does not stand still. Mankind is constantly in search of new ideas and ways of implementation. This article of the authors is part of the modernization of the existing system of production of building materials. The authors propose to use secondary raw materials for the manufacture of a standard product, confirm them with laboratory tests and results. The indicators of the modified concrete mixture with the addition of ash-and-slag waste from the local industrial sector gave a density not inferior to the heavy concrete of 1.8 g/cm3. Positive effect is obtained by using hydraulic press, where at equal ratio of components due to pressing, all samples were transferred to a number of heavy concretes with a density of 1.8 to 2.5 g/cm3. Moreover, it was found that there are reserves of cement saving in the application of ash in the case of samples prepared by means of hydraulic press, as well as to correct the composition of concrete it is required to carry out a full-scale experiment with the joint action of vibration and pressing. Strength tests of samples show that there is an optimum quantity of ash and slag in the formulation, at that not only the standard requirements for the quality of construction products are met, but also exceeds some characteristics of products according to the requirements of standards.
Motivasi, Lingkungan Kerja dan Kinerja Karyawan Dinas Kesehatan Kabupaten Purbalingga serta Hubungannya
Authors: Aurellia Fadillah Zahra , Winarno Alex
Published: July 2022

Setiap organisasi termasuk instansi pemerintah memiliki target yang harus direalisasikan. Sama halnya dengan Dinas KesehatanaaKabupaten Purbalingga yang menjadi objek dalam penelitian ini. Berdasarkan Laporan Kinerja Tahunan Dinas Kesehatan Kabupaten Purbalingga tahun 2019 dan 2020 terjadi penurunan kinerja pada indikator jumlah angka kematian ibu, bayi, dan balita semakin banyak dibanding tahun sebelumnya. Atas dasar ini dilakukan penelitian dengan tujuan untuk mengetahui dan menganalisis pengaruh antara motivasi dan lingkungan kerja terhadapakinerja karyawan Dinas Kesehatan Kabupaten Purbalingga. Pengumpulan data dilakukanaadengan menyebarkansskuesioner kepada karyawan Dinas Kesehatan Kabupaten Purbalingga yang menjadi responden. Data yang telah didapat ini dianalisis menggunakan analisiseedeskriptif dan analisis regresiiilinear berganda dengan bantuan SoftwarerrIBM SPSSSStatistic 25. Penelitian ini memiliki hasil penelitian bahwa motivasi kerja karyawan Dinas Kesehatan Kabupaten Purbalingga dalam kategori tinggi, lingkungan kerja pada Dinas Kesehatan Kabupaten Purbalingga yang nyaman dan kinerja karyawan Dinas Kesehatan Kabupaten Purbalingga yang baik. Selain itu dihasilkan bahwa motivasi berpengaruhaasignifikan terhadap kinerja karyawan, sedangkan lingkunganakerja tidak berpengaruh signifikan terhadap kinerja karyawan. Tetapi untuk motivasi dan lingkunganakerja secara simultan berpengaruh signifikan terhadap kinerja karyawan DinaseKesehatan Kabupaten Purbalingga.
Konsep Pola Pendidikan Muallimin yang Tertuang pada Undang-Undang RI Nomor 18 Tahun 2019
Authors: Helmiyah Helmiyah , Khodijah Nyayu , Suryana Ermis
Published: July 2022

Penyelenggaran pesantren di Indonesia diatur di dalam Undang-Undang Republik Indonesia Nomor 18 Tahun 2019. Artikel ini bertujuan untuk menganalisis peraturan-peraturan dalam penyelenggaran pesantren di Indonesia. Jenis penelitian ini adalah penelitian kualitatif, sumber datanya adalah Undang-undang Republik Indoensia Nomor 18 Tahun 2019. Sedangkan metode pengumpulan datanya adalah dokomentasi dan analisis datanya menggunakan analisis konten (content analysis) dengan display data, reduksi dan menarik kesimpulan. Hasil penelitian ini mendiskipsikan aturan-aturan dalam menyelenggaran pendidikan pondok pesantren. Menganalisis aturan-aturan yang tertuang di dalam UU tersebut serta menemukan pola pendidikan pesantren. Pola pendidikan pesantren yang dimaksud adalah pola pendidikan Muallimin yang terstruktur, sistematis dan terorganisasi dalam kajian kitab kuning atau dirasah Islamiyah.
Analisis Kepuasan Kerja dan Dampaknya terhadap Kinerja Pegawai pada Sekretariat DPRD Kota Palu dengan Komitmen Organisasional sebagai Variabel Intervening
Authors: Lamusa Faruq , Hasanuddin Bakri , Mahardiana Lina
Published: July 2022

Tujuan penelitian ini adalah: (1) untuk mengetahui dan menganalisis pengaruh kepuasan kerja terhadap komitmen organisasi pejabat di lingkungan Sekretariat DPRD Kota Palu; (2) untuk mengetahui dan menganalisis pengaruh komitmen organisasi terhadap kinerja pejabat di lingkungan Sekretariat DPRD Kota Palu; (3) untuk mengetahui dan menganalisis pengaruh kepuasan kerja terhadap kinerja Pejabat pada Sekretariat DPRD Kota Palu; (4) untuk mengetahui dan menganalisis pengaruh tidak langsung kepuasan kerja terhadap kinerja pejabat di lingkungan Sekretariat DPRD Kota Palu melalui komitmen organisasi. Jenis penelitian ini adalah deskriptif kausal yang melibatkan 57 responden yang dipilih dengan teknik sensus. Hasil analisis jalur menunjukkan bahwa: (1) kepuasan kerja berpengaruh positif dan signifikan terhadap komitmen organisasional kinerja pejabat di Sekretariat DPRD Kota Palu; (2) komitmen organisasi berpengaruh positif dan signifikan terhadap kinerja pejabat di lingkungan Sekretariat DPRD Kota Palu; (3) kepuasan kerja berpengaruh positif dan tidak signifikan terhadap kinerja pejabat di lingkungan Sekretariat DPRD Kota Palu; (4) Kepuasan kerja secara tidak langsung mempengaruhi kinerja pejabat melalui komitmen organisasi di lingkungan Sekretariat DPRD Kota Palu.
Pengaruh Kompensasi dan Kepuasan Kerja terhadap Turnover Intention pada Bank Mandiri Cabang Samratulangi Palu
Authors: Islianty Nur Risky , Wirastuti Wiri
Published: July 2022

Penelitian ini bertujuan (1) Untuk mengetahui pengaruh kompensasi dan kepuasan kerja secara simultan terhadap turnover intention karyawan pada PT. Bank Mandiri Cabang Samratulangi Palu. (2) Untuk mengetahui pengaruh kompensasi secara parsial terhadap turnover intention karyawan PT. Bank Mandiri Cabang samratulangi palu. (3) Untuk mengetahui pengaruh kepuasan kerja terhadap turnover intention karyawan pada PT. Bank Mandiri Cabang Samratulngi palu. Jenis penelitian ini bersifat asosiatif kausal dengan menggunakan pendekatan kuantitatif. Populasi penelitian ini berjumlah 70 orang. Teknik pengumpulan data meliputi observasi, wawancara, kuesioner, dan dokumentasi, sedangkan teknik analisis data menggunakan regresi linear berganda. Hasil penelitian menunjukan; (1) Kompensasi dan kepuasan kerja berpengaruh secara simultan terhadap turnover intention karyawan pada PT. Bank Mandiri Cabang Samratulangi Palu dari hasil perhitungan diperoleh Fhitung = 3,235 pada taraf nyata ? = 0.05 atau ? < 0.05. (2) Kompensasi secara parsial terhadap turnover intention karyawan PT. Bank Mandiri Cabang samratulangi palu dengan nilai koefisien regresi sebesar 1,454 sementara tingkat signifikasi t sebesar 0,042. (3) Kepuasan kerja terhadap turnover intention karyawan pada PT. Bank Mandiri Cabang Samratulngi palu dengan nilai koefisien regresi sebesar 2,183 sementara tingkat signifikasi t sebesar 0,033.
Analisis Manajemen Produksi Tahu dalam Mempertahankan Loyalitas Pelanggan pada Pabrik Tahu Pak Maksum di Kabupaten Blitar
Authors: Istiqomah Dwi Pilianti  , Nurul Fitri Ismayanti
Published: July 2022

Seorang pengusaha perlu meningkatkan efisiensi dan efektifitas untuk mencapai tujuan yang sebesar-besarnya. Aspek vital dalam mencapai tujuan pada suatu usaha ada pada pengelolaan produksinya. Suatu usaha akan berkembang dengan baik jika memiliki manajemen yang tepat dan dikelola profesional agar tujuan tercapai sesuai dengan keinginan. Penelitian ini akan meneliti tentang penerapan manajemen produksi tahu dalam mempertahankan loyalitas pelanggan pada Pabrik Tahu Pak Maksum. Penelitian ini berjenis deskriptif dengan pendekatan kualitatif yang menggunakan pengumpulan data observasi, wawancara, dokumentasi, dan sumber yang mendukung penelitian ini. Hasil dari penelitian memaparkan fungsi manajemen pada pabrik tahu Pak Maksum dilakukan dengan cukup baik. Selain itu hubungan baik antara pemilik dengan karyawan dan karyawan dengan pelanggan mampu menjadi strategi menarik pelanggan. Kesimpulan penelitian ini memaparkan pengembangan pabrik tahu Pak Maksum perlu ditinjau ulang dalam aspek modal, inovasi pengolahan, dan pendistribusian yang kurang menjangkau konsumen.
Estudio prospectivo sobre el efecto en los indicadores de calidad de la reanimación cardiopulmonar durante el curso de soporte cardiaco avanzado utilizando la simulación clínica, durante enero a diciembre del 2021en el CER UNIBE
Authors: Cairol Barquero Andrés , Morún Vargas Wendy , Loaiza Sáenz Luis Felipe , Segura Pérez Edward , Mora Barrantes Sergio
Published: July 2022

Introducción: La parada es una de las principales emergencias dentro o fuera del sistema de salud y la supervivencia está asociada a la desfibrilación temprana, acceso a compresiones de calidad, la causa y el ritmo inicial(1). La comprobación en los cursos estructurados de RCP de los criterios de calidad es recomendado por la AHA desde el 2010. (4). Materiales y métodos: se recolectó datos de los cursos de soporte avanzado en el centro de reanimación de la UNIBE durante un año utilizando el dispositivo Heartisense Ò, para la medición en el primer escenario simulado de parada cardiaca y los indicadores de calidad en el examen práctico final del curso de los 11 cursos y los 70 estudiantes. Para el análisis estadístico se utilizó estadística descriptiva, medidas de asociación, medidas de correlación y de hipótesis que permita llegar a conclusiones estadísticamente robusta. Resultados: los indicadores de calidad de la reanimación cardiopulmonar en general son: Frecuencia de ventilaciones por minuto en el escenario inicial es de 17.3 (DE 4.7), profundidad de la compresión en centímetros en el escenario inicial es de 5.16 (DE 1.1), frecuencia de compresiones por minuto en el escenario inicial es de 121.6 (DE 9.7), el porcentaje de fracción de compresión torácica en el escenario inicial es 56.35 % (DE 11.6). Los resultados en el examen final son: profundidad de compresión torácica 5.7 cm (DE 0.5), frecuencia de compresión torácica por minuto es de 110.85 (DE 5.5), frecuencia de ventilaciones por minuto es de 10.2 (DE 1.7), porcentaje de la fracción de eyección es de 84.65 % (DE 3.9). El aumento promedio de la fracción de compresión torácica es de 28.3 % (DE 11.9) y el promedio de la cantidad de prácticas durante el curso es de 4.95 (DE 0.11). El coeficiente de correlación de Pearson entre estas 2 variables cuantitativas, obteniendo un valor de 0.62 lo que muestra una correlación alta, a utilizar los 70 datos el valor Z calculado es de 40,33, por lo que el Valor Z es mayor que el valor crítico, por lo que se rechaza la hipótesis nula. Discusión: varios estudios han demostrado que los estudiantes que no han recibido un curso formal con simulación clínica poseen una deficiencia de los indicadores de calidad de la RCP y el uso de esta tecnología se asocia al cumplimiento de los indicadores. Conclusiones: se demostró estadísticamente que la calidad de la RCP aumenta con la práctica del curso estructurado con simulación clínica, hay una correlación alta entre la cantidad de prácticas de reanimación con el aumento de la FCT y esta diferencia entre la FCT al inicio y al final del curso es estadísticamente significativa mediante la prueba de hipótesis Z.
Second Wave Covid-19 Pandemic: Opportunities and Challenges in Higher Education
Authors:   Department of Women's Studies, Bharathidasan University, Tiruchirappalli-620024, Tamil Nadu, India, M.S Sameem Banu , P Jilly Philippa ,   Department of General Studies, University of Environment and Sustainable Development, Somanya, Ghana, S Jancy Helena ,   Sree Abirami College of Nursing, Coimbatore-641024, Tamil Nadu, India
Published: July 2022

COVID-19 pandemic has disrupted the education system where all educational institutions from elementary to university level were closed in India and worldwide. However, this pandemic has paved the way for educational institutions to adopt online education. Although university teachers were not ready with a digital platform at the onset of Covid-19, they have embraced digital methods to continue teaching. In this context, this study was conducted to analyze the opportunities and challenges of online education among the higher education teachers who switched to online education during the second wave of the COVID-19 pandemic. This study aims to analyze the online teaching and learning methods teachers adopt and the challenges they face in higher education while imparting the course online from various disciplines. This study used a survey-based online questionnaire to collect data from 175 higher education teachers. The analysis was carried out using a descriptive statistical method that included simple percentages and means. The study's findings revealed that online teaching and learning have opportunities such as allowing teachers and students to continue their education online using various platforms even during a lockdown, using online interactive education through audio, video and other potential learning platforms. It also revealed the challenges that include technical, academic and financial challenges that influence and affect online teaching during COVID19 lockdown.
“HUBUNGAN CARING PERAWAT DENGAN TINGKAT KEPUASAN PASIEN” (STUDI KASUS DI PUSKESMAS TELUK BOGAM, KECAMATAN KUMAI, KABUPATEN KOTAWARINGIN BARAT, PROVINSI KALIMANTAN TENGAH)
Authors: Lesmana Iwan Setyo , Ningtyas Rahaju , Wiludjeng Rahaju
Published: July 2022

Caring adalah sentral dalam praktik keperawatan karena caring merupakan suatu cara pendekatan yang dinamis, dimana seorang perawat professional dalam bekerja harus lebih perhatian dan bertanggung jawab kepada kliennya. Pelayanan keperawatan yang baik dan kepuasan pasien bisa dijadikan salah satu indikator keberhasilan pelayanan kesehatan di puskesmas, kepuasan pasien akan terpenuhi bila pelayanan yang diberikan telah sesuai dengan harapan pasien. Penelitian ini bertujua untuk menganalisis hubungan perilaku caring perawat dengan tingkat kepuasan pasien di Puskesmas Teluk Bogam Kotawaringin Barat Kalimantan Tengah. Desain penelitian yang digunakan dalam penelitian ini ialah desain penelitian deskriptif korelasi dengan rancangan analitik cross sectional dengan jumlah sampel 60 responden dengan tekhnik Consecutive sampling. Analisis data yang digunakan untuk menganalisis hubungan caring perawat dengan tingkat kepuasan menggunkan Analisis Spearman’s rho dimana kedua variabel berskala ordinal. Hasil uji menunjukkan bahwa sebagian besar perawat sudah memberikan caring yang cukup dan pasien juga sudah merasa cukup puas dengan pelayanan yang diberikan (56,6%). Dari Hasil uji didapakan ρ = 0.001, berarti ρ < 0,05 hal ini menujukkan adanya hubungan yang signifikan antara caring perawat dengan tingkat kepuasan pasien di Puskesmas Teluk Bogam Kecamatan Kumai Kabupaten Kotawaringin Barat Kalimantan Tengah. Kesimpulan Adanya hubungan  antara caring perawat dengan tingkat kepuasan pasien di Puskesmas Teluk Bogam Kecamatan Kumai Kabupaten Kotawaringin Barat Kalimantan Tengah
HUBUNGAN DURASI TIDUR DENGAN KADAR KOLESTEROL PADA SATPAM DI KOTAWARINGIN BARAT
Authors: Ratna W Sri , H K Nur Aini , Riky Riky
Published: July 2022

Waktu tidur yang kurang dapat menyebabkan terjadinya penurunan kadar growth hormone. Growth hormone merupakan hormon pertumbuhan yang mengatur metabolisme berbagai substrat termasuk lipid, sehingga akan mempengaruhi kadar kolesterol dalam darah. Hormon ini disekresi pada malam hari selama tidur. Penelitian ini bertujuan untuk mengetahui adanya hubungan durasi tidur dengan kadar kolesterol satpam di Kotawaringin Barat. Jenis penelitian ini adalah observasional dengan pendekatan cross-sectional menggunakan teknik purposive sampling. Subjek penelitian adalah satpam di Kabupaten Kotawaringin Barat dengan rentang usia 15-50 tahun sebanyak 30 orang. Kadar kolesterol diperoleh dengan menggunakan metode Cholesterol Oxidase-Peroxidase Aminoantipyrine Phenol (CHOD-PAP). Data yang diperoleh dianalisis menggunakan SPSS melalui uji Kolmogorof Smirnov untuk melihat normalitas data, dilanjutkan menggunakan uji korelasi rank spearman untuk melihat hubungan antara durasi tidur dengan kadar kolesterol pada satpam di Kabupaten Kotawaringin Barat. Hasil penelitian menunjukkan nilai koefisien korelasi antara durasi tidur dengan kadar kolesterol sebesar -.382. Hal ini berarti terdapat hubungan lemah antara durasi tidur dengan kadar kolesterol pada satpam di Kabupaten Kotawaringin Barat, dimana semakin lama durasi tidur maka kadar kolesterolnya semakin rendah.
PENGARUH PEMBERIAN EKSTRAK ETANOL KULIT BUAH ASAM PAYA (Eleiodoxa Conferta (Griff.) Buret.) TERHADAP PENURUNAN KADAR ASAM URAT MENCIT YANG DIINDUKSI KAFEIN DAN JUS HATI AYAM
Authors: Aqubah Siti , Fakhruddin Fakhruddin , Billi Joseph
Published: July 2022

Pendahuluan : Hiperurisemia adalah keadaan yang menunjukkan kadar asam urat di dalam darah meningkat dan mengalami kejenuhan. Hal ini dapat terjadi karena meningkatnya sintesis asam urat tersebut, penurunan ekskresi asam urat oleh ginjal atau keduanya. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian ekstrak etanol kulit buah asam paya (Eleiodoxa conferta) (Griff.)  terhadap penurunan kadar asam urat mencit yang diinduksi kafein dan jus hati ayam.Metode : Hewan uji yang digunakan sebanyak 15 ekor dan dibagi menjadi 5 kelompok uji yaitu kontrol negatif (Na CMC 0,5%), kontrol positif (Allupurinol 0,52mg/kgBB), kelompok perlakuan I (100 mg/grBB), kelompok perlakuan II (150 mg/grBB) dan kelompok perlakuan III (200 mg/grBB). Presentase penurunan kadar asam urat mencit dianalisis menggunakan Uji One Way Anova dan Post Hoc LSD.Hasil : Berdasarkan hasil uji statistika menyatakan bahwa tidak ada perbedaan signifikan pada penurunan kadar asam urat yang kelompok kontrol positif dengan kelompok perlakuan dosis 150 mg/grBB dan dosis 200 mg/grBB dengan nilai signifikan (p > 0,05).Kesimpulan : Ekstrak etanol kulit buah asam paya dosis 200 mg/grBB dapat memberikan penurunan kadar asam urat pada mencit hiperurisemia.
HUBUNGAN TINGKAT PENGETAHUAN PENGGUNAAN OBAT ANTIHIPERTENSI TERHADAP QUALITY OF LIFE (QOL) PADA PASIEN HIPERTENSI DI APOTEK MEDIKA FARMA
Authors: Mulyanto Febriyan , Irawan Yogie , Jaluri Poppy Dwi Citra
Published: July 2022

Pendahuluan : Hipertensi merupakan masalah kesehatan global yang umum dan masih banyak terjadi di negara maju maupun berkembang. Tingkat pengetahuan yang baik juga dapat berdampak dalam kesehatan. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara tingkat pengetahuan penggunaan obat antihipertensi dengan kualitas hidup pasien hipertensi.Metode : Penelitian ini menggunakan metode survei analitik dengan pendekatan cross sectional. Penelitian dilakukan di Apotek Medika Farma dengan sampel pasien yang membeli obat antihipertensi. Teknik pengambilan sampel menggunakan purpose sampling dengan jumlah sampel 78 orang. Data dianalisis dengan uji validitas dan uji chisquare menggunakan Statistical Product And Service Solution (SPSS).Hasil : Penelitian ini menunjukan hasil tingkat pengetahuan penggunaan obat antihipertensi dalam kategori baik 76,9%, kualitas hidup pasien hipertensi dalam keadaan baik 89,7%, dan berdasarkan hasil  uji chisquare didapat nilai p value 0,001.Kesimpulan : Terdapat hubungan antara tingkat pengetahuan penggunaan obat antihipertensi dengan kualitas hidup pasien hipertensi di Apotek Medika Farma.
ASUHAN KEBIDANAN KOMPREHENSIF PADA Ny. S DI BPM LIANA PANGKALAN BUN
Authors: Handayani Yuli , Lubis Angela Ditauli , Lestari Lieni
Published: July 2022

Pendahuluan: Asuhan kebidanan komprehensif merupakan asuhan kebidanan yang diberikan secara  menyeluruh dimulai dari ibu hamil, bersalin, bayi baru lahir, nifas dan kontrasepsi (Prawirohardjo, 2011).Metode: Jenis metode penelitian ini dilakukan dengan menggunakan studi penelaahan kasus (case study) dengan cara mengkaji suatu masalah dengan unit tunggal, unit tunggal berarti satu orang ibu hamil UK 28-32 minggu dengan menggunakan metode pemecahan masalah 7 langkah Hellen Varney, SOAP (subyektif, objektif, analisa, penatalaksanaan).Hasil: Hasil asuhan kebidanan komprehensif pada Ny. E usia 34 tahun G4P3Ab0 usia kehamilan 33 minggu di Klinik Harapan Bunda Kelurahan Baru Pangkalan Bun, kunjungan kehamilan dilakukan sebanyak 7 kali. Dan pada Ny. S usia 38 tahun G4P3Ab0 usia kehamilan 39 minggu di BPM Liana Pangkalan Bun, persalinan 1 kali, BBL 1 kali, nifas 4 kali dan KB 1 kali. Selama kehamilan trimester III tidak terdapat keluhan, persalinan spontan tidak disertai komplikasi, bayi baru lahir dengan bayi baru lahir normal, masa nifas dengan nifas normal dan kontrasepsi yang digunakan yaitu metode amenorea laktasi, dari semua asuhan yang telah ada diberikan tidak terdapat penyulit dan sesuai dengan teori yang di dapatkan.Kesimpulan: Setelah dilakukan pengkajian, perencanaan, pelaksanaan dan evaluasi asuhan kebidanan di Ny. E dan Ny. S dapat disimpulkan bahwa kehamilan, persalinan, bayi baru lahir, nifas, dan KB normal tanpa adanya komplikasi. Hasil asuhan kebidanan secara komprehensif ini diharapkan dapat memberikan pelayanan yang optimal dan berkualitas sesuai kebutuhan pasien.
COMPASSION FATIGUE, BURNOUT AND COMPASSION SATISFACTION AMONG NURSES WORKING IN A TERTIARY CARE HOSPITAL OF NEPAL DURING COVID-19 PANDEMIC
Authors: Poudyal Sunita , Sharma Kalpana , Ghimire Srijana
Published: July 2022

Background: Nurses frequently experience compassion fatigue and burnout, which have an impact on both their personal lives and patient care. The aim of this study was to assess compassion fatigue, burnout and compassion satisfaction among nurses working in a tertiary care hospital of Nepal during COVID-19 Pandemic.
Methods: A cross-sectional study was conducted among 230 nurses working in Chitwan Medical College Teaching Hospital. Simple random sampling technique was used to select the study sample. Data were collected using self-administered questionnaire with Professional Quality of Life Questionnaire (ProQOL) from 15th July 2021AD to 15th September 2021AD. Data were analyzed in SPSS version 15 for window using descriptive and inferential statistics.
Results: Majority of the nurses reported moderate level of compassion fatigue 177 (77.0%), burnout 176 (76.5%) and compassion satisfaction 164 (71.3%) whereas only 65 (28.3%), 8 (3.5%) and 2 (0.9%) nurses had high level of compassion satisfaction, fatigue and burnout respectively. Level of compassion fatigue and burnout were significantly associated with professional protection training. There was significant relationship found among components of ProQOL where compassion satisfaction was negatively correlated with fatigue (r= -.149: p-0.024) and burnout (r=-.487: p-0.000) but compassion fatigue and burnout were positively correlated with each other (r=0.522, p=<0.001).
Conclusions: Majority of nurses working in tertiary care hospital have moderate level of compassion satisfaction, fatigue and burnout during COVID-19 crisis. Hence, effective measures need to be implemented by hospital administration to enhance the nurses’ satisfaction and to reduce fatigue and burnout during pandemic period.
MONKEYPOX – ANOTHER OPPORTUNITY TO ADOPT PUBLIC HEALTH MEASURES AFTER COVID-19
Authors: Chhetri Muni Raj , Amgain Kapil
Published: July 2022

N/N
PROFILE OF ACUTE GASTROENTERITIS IN CHILDREN UNDER FIVE YEARS OF AGE, AND THEIR ASSOCIATION WITH BLOOD UREA NITROGEN-TO-CREATININE RATIO
Authors: Ahmad Shakil , Yadav Gopal Kumar , Amgain Kapil , Subedi Prativa
Published: July 2022

Background: Acute gastroenteritis (AGE) is a major cause of childhood morbidity and mortality, especially in developing countries. This study aimed to explore the clinical and laboratory profile in under five children with AGE. It furthermore aimed to study the association of socio-demographic and clinical parameters with blood urea nitrogen and serum creatinine ratio (BCR).

Methods: This was a cross-sectional study carried among 62 under-five children in the Pediatric Department, Nepalgunj Medical College and Teaching Hospital. Data was entered in excel and analyzed in statistical package for social sciences. Demographic and clinical data obtained from informants was presented as frequency and percentage. BCR was calculated based on baseline serum urea and creatinine values. Chi square test and logistic regression were used to study the association of clinical and demographic profiles with BCR. Adjusted odds ratio was calculated at 95% confidence interval.

Results: The mean age of participants was 26 months. Most of the children belonged to low socio-economic status (44, 70.97%). Dehydration was the commonest clinical association (51,82.25%) followed by fever (31,50%) and abdominal pain (31,50%). Multivariate logistic regression showed that children with dehydration had greater odds (Adjusted odds ratio (AOR)=5.82) of having BCR greater than 20:1 as opposed to those without dehydration.

Conclusions: AGE was commonly seen in children with low socio-economic status. Dehydration, fever and abdominal pain were common clinical associations. High BCR (20:1) was positively associated with presence of dehydration in children presenting with acute gastroenteritis.
ROLE OF HERBAL EXTRACTS IN ROOT CANAL DISINFECTION AND REMOVAL OF SMEAR LAYER: A REVIEW
Authors: Munaga Swapna , Halkai Kiran R , Al Jarrah Abdul Kader , Chitumalla Rajkiran , Halkai Rahul , Khan Sheeba
Published: July 2022

Background: The success of endodontic treatment depends on the complete debridement and disinfection of canal space. Various chemicals have been used for canal disinfection. However, to overcome the adverse effects, toxicity issues, and microbial resistance of most conventional canal disinfectants, alternative agents are needed. Many herbal products have been studied and recommended for canal disinfection. This article aimed to review the role of herbal extracts in canal disinfection as an irrigant, intracanal medicament, and their efficacy in smear layer removal.

Results: Studies were identified through search of the following electronic databases: PubMed, Science direct, Scopus and Google Scholar. The search was undertaken with keywords herbal agents/ products for root canal disinfection, Enterococcus faecalis, endodontics, smear layer, biofilm, herbal extracts and antimicrobial activity. The literature was reviewed for past 30 years (1990- till June 2020). The results showed that several in-vitro studies reported effective antimicrobial action of herbal extracts for canal disinfection, however, very less in-vivo or clinical studies have been reported to ascertain the use of these agents for endodontic therapy.

Conclusions: The study concludes that herbal agents can be effectively used for canal disinfection. However, long-term, invitro, clinical, biocompatibility studies clinical trials are further needed to confidently use these products in endodontics. Herbal extracts can be used as substitute to existing root canal disinfectants due to their unique properties. Therefore, improving the endodontic success rate by preventing root canal failures, persistent and reinfections.
FACULTY PERCEPTION TOWARD ONLINE EDUCATION DURING THE COVID-19 PANDEMIC
Authors: Dahal Sailaza , Dahal Samipa , Pokharel Bibhor
Published: July 2022

Background: COVID-19 outbreak has changed the education system from traditional class­room to online education across the world. Due to need for social distancing, countries were bound to close the educational institutions and adapt online learning as the only means available for learning. Although, this has provided teachers an opportunity to work from home, at the same time it has brought many challenges. Therefore, understanding faculty perception is an important aspect for successful implementation of online education. Thus, this study aimed to identify the faculty perception toward online education during COVID-19 pandemic.
Methods: Cross-sectional online survey was conducted from December 2020 to September 2021 during both the 1st and 2nd wave of COVID-19 Pandemic and lockdown in Nepal. Convenience sampling was used to select the faculty members from different universities across different places of Nepal. Self-developed five-point Likert scale was used to assess faculty perception toward on­line education. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 16 using statistical tool like frequency, percentage, mean and standard deviation.
Results: Total 394 faculty members participated in the study. More than half 271 (68.8%) of the respondents had positive perception, whereas, only 123 (31.2%) had negative perception toward online education. The mean score of perception of was 3.14±0.279.
Conclusions: More than half of the faculty had positive perception toward online education, which concludes that, online education can be an effective means of continuing education during the crisis situations like COVID-19 pandemic. However, the finding of this study offers useful sugges­tion for policy makers and stake holders to develop proper strategies and on-going professional development courses and training programs to successfully implement online education program.
SELF-CARE MANAGEMENT AND ITS ASSOCIATED FACTORS AMONG PATIENT WITH HYPERTENSION IN NEPAL
Authors: Acharya Radha , Chaudhary Ashmita , Pandey Jyotsna , Pandey Chandranshu
Published: July 2022

Background: Hypertension is currently a common and serious health issue that leads to cardiovascular disease and premature death around the world. Self-care practice is essential for blood pressure control and reduction of hypertension complications of cardiovascular and renal diseases. The objective of this study is to assess the level of self-care management and its associated factors among patients with hypertension.
Methods: The cross-sectional study was conducted at the Internal medicine and Cardiac outpatient department of Kathmandu University Hospital, Dhulikhel on 386 participants diagnosed with hypertension with six months of diagnosis and age of 30-80 years. The participants were recruited conveniently in the study. Face to face interviews with participants using Hypertension Self-Care Profile (HTN-SCP) and Multidimensional Scale of Perceived Social Support (MSPSS) were used to assess self-care management and perceived social support. Descriptive and inferential statistics were performed using SPSS version 23.
Results: The mean age of the participants was 57.39 years. Half of the participants (52.3 %) had poor self-care practice. There is significant association between level of self-care practice with religion (p= <0.001), educational level (p= <0.001), area of residence (p= 0.001), income (p=<0.001) and perceived social support (p= 0.001).
Conclusions: The present study revealed that half of the participants had poor self-care practice. Based on the results, the study concluded that good self-care practices and social support influence better self-care practice among hypertensive patients which may eventually help to prevent complications in the coming future.
PRETREATMENT WITH ONDANSETRON IN PREVENTION OF PAIN ON PROPOFOL INJECTION
Authors: Regmi Bharati Devi Sharma , Deo Gopendra Prasad , Gyawali Madhu , Adhikari Kiran , Regmi Subi
Published: July 2022

Background: Pain on intravenous injection of propofol is seen in almost 70% of patients without any pretreatments. This study was conducted to evaluate the effect of ondanse­tron in reducing the occurrence of pain on intravenous injection of propofol.
Methods: Two hundred and thirty-two patients aged between 18- 60 years of either sex belong­ing to ASA status I and II, scheduled for laparoscopic cholecystectomy under general anesthesia at Chitwan Medical College, Bharatpur, Nepal, from from September 1, 2020 to March 31, 2021 were recruited in this study. They were assigned randomly into two groups with 116 participants in each, where Group 1 received 2 ml (4 mg) of ondansetron and Group 2 received 2 ml of 0.9% saline (placebo) intravenously as the pretreatment solution prior to injection of propofol for induction of general anesthesia. The overall incidence of pain in the saline group was 84.5% compared to 48.3% in the ondansetron group (P < 0.001).
Result: Pain was of mild intensity in most patients who belonged to the ondansetron group (33.6%) whereas it was of moderate intensity in most participants of the saline group (54.3%). Few patients in the study group experienced severe pain (0.9%) as compared to the placebo group (9.5%) with P < 0.001.
Conclusion: Therefore, it was concluded that pretreatment with ondansetron may be a useful intervention in reducing the incidence of pain on intravenous propofol administration without any adverse effects in significant number of patients.
ASSOCIATION OF METABOLIC SYNDROME AND SUBCLINICAL HYPOTHYROIDISM PATIENTS ATTENDING CHITWAN MEDICAL COLLEGE
Authors: Kafle Deepak , Mandal Fuleshwar , Timalsina Santosh , Khadka Bikram
Published: July 2022

Background: Metabolic syndrome is characterized by a cluster of cardiovascular risk factors such as abdominal obesity, dyslipidemia, hyperglycemia, and hypertension. Subclinical hypothyroidism is defined as an increase in serum levels of thyroid stimulating hormone (TSH) above the normal range, without alteration of total T4 concentrations has been associated with various metabolic alterations. The study aimed to investigate association between metabolic syndrome and subclinical hypothyroidism patients attending Chitwan Medical College.
Methods: This cross-sectional study consisted of 250 randomly selected individuals visiting OPD in the Department of Medicine of Chitwan Medical College 10ml of blood sample was drawn from antecubital vein following overnight fasting. Fasting blood sugar, lipid profile and thyroid profile etc. were analyzed via chemiluminescence Analyzer at Hospital Laboratory and was statistically analyzed.
Results: The association of BMI with T4 and TSH was found to be positively correlated and was significant at P<0.05 but the association of systolic blood pressure (SBP) with T3 was not significant but there was negatively significant correlation of SBP with T4 and TSH. The correlation of diastolic blood pressure (DBP), TG, HDL, fasting blood sugar were not significant with T3, T4 and TSH at p<0.05. BMI was positively correlated with T4 and TSH (r = 0.12, P<0.05 and r=0.81, P<0.001) whereas SBP was negatively correlated with T4 and TSH (r = -0.12, P<0.05 and r=-0.16, P<0.001 respectively).
Conclusions: From our study it was concluded that the association of BMI with T4 and TSH was found to be positively correlated in subclinical hypothyroidism subjects.
ADHERENCE TO IRON AND FOLIC ACID SUPPLEMENTATION AND PREVALENCE OF ANAEMIA AMONG PREGNANT WOMEN AT A TERTIARY CARE HOSPITAL
Authors: Palikhey Anjan , Prajapati Pravash , Yadav Anita , Shrestha Jharana , Subedi Jigyasa , Shrestha Laxmi , Kumar Shrivastava Amit , Kumar Yadav Chandrajeet
Published: July 2022

Background: Anaemia is characterized by a reduced oxygen-carrying capacity of blood and causes various health problems in people of all ages, including pregnant women. The most common cause of anemia is a lack of iron in the diet. Prevention of anaemia requires strict adherence to iron and folic acid supplementation during pregnancy. The main objective of this study was to gather information on adherence to iron and folic acid supplementation and anaemia prevalence among pregnant women.
Methods: The cross-sectional study was conducted among 200 postpartum mothers in the obstetrics ward of Universal College of Medical Sciences. Eligible participants were interviewed using a questionnaire to measure their adherence to iron and folic acid supplementation during pregnancy. Haemoglobin levels were recorded to check the presence of anaemia. Multivariable regression analysis was used to find the relationship between independent and dependent variables. Results: Total 164 (82%) participants had good adherence to iron and folic acid supplementation. Participants who started their antenatal care visit in first trimester were more adherent to iron and folic acid supplementation (AOR = 0.13, 95% CI (0.05–0.39)). The prevalence of anaemia was 24%. Anaemic participants were less likely to adhere to their iron and folic acid supplements (AOR = 0.26, 95% CI (0.11–0.63)).
Conclusions: The adherence of participants to iron and folic acid supplementation was good and significantly associated with gestational age when antenatal care visit was started, child birth weight and anaemia. By strengthening the national level awareness campaign, we can further improve the adherence rate and prevent anaemia.
MATERNAL AND FETAL OUTCOME IN PREGNANCY BEYOND THE EXPECTED DATE OF DELIVERY IN A TERTIARY CARE HOSPITAL OF NEPAL
Authors: Baniya Chhetri Puja , Kumar Shrestha Buddhi , Shrestha Subha , Pathak Priya , Shrestha Rubina , Acharya Manisha
Published: July 2022

Background: The risk to the mother and the fetus increase with advancing gestation age. Our study aims to study the maternal and fetal outcome in pregnancy extending beyond the expected date of delivery so that safe timings of induction and appropriate mode of delivery can be determined.
Methods: We conducted a retrospective study of 152 patients with pregnancy beyond the expected date who presented to the department of Obstetrics and Gynecology, College of Medical Sciences Teaching Hospital from the time period of October 2019- November 2021.The primary outcome measures were obtained in terms of rate of cesarean section, postpartum hemorrhage, wound infection, admission in neonatal intensive care unit, birth asphyxia and meconium aspiration syndrome. Statistical analysis was performed using Chi-square test with P value <0.05.
Results: The majority of 86 (56.58%) patients were between 40-41 weeks of gestation. Maximum number of vaginal deliveries were seen between 40-41weeks (77.90%). Overall cesarean section rate was 40.13% with maximum number between 41-42 weeks (64.28%). Fetal distress with meconium-stained liquor was the most common indication (36.06%). The rate of neonatal intensive care unit admission was 16.44% with birth asphyxia (12.50%) and meconium aspiration syndrome (8.55%) as the primary cause for admission. Maternal complications like oligohydramnios, postpartum hemorrhage, wound infection, cervical tear, shoulder dystocia was seen in 16.45%, 1.97%, 1.97%, 2.63% and 1.31% respectively.
Conclusions: The pregnancy beyond the expected date causes definite risk to the mother and the fetus. Therefore, strict fetal surveillance with early induction of labor prior to expected date of delivery is recommended for better fetomaternal outcomes.
TRANEXAMIC ACID IN REDUCING BLOOD LOSS IN PROXIMAL FEMUR FRACTURE SURGERY: AN OBSERVATIONAL STUDY
Authors: Bhandari Gaurav , Magar Sushil Rana , Chand Pankaj , Acharya Smriti , Amgain Kapil , Pokhrel Anup , Acharya Suyash , Khadka Sitaram
Published: July 2022

Background: Blood transfusion during orthopedic surgery is associated with different types of complications. The goal of this research was to observe if tranexamic acid could help in reducing perioperative blood loss after proximal femur fracture surgery.
Methods: At Shree Birendra Hospital, a total of 60 patients with proximal femur fractures participated in this one-year observational study. The study group (n=30) received 1g intravenous tranexamic acid at induction of anesthesia, whereas the control group (n=30) received intravenous normal saline. Using a proximal femoral nailing device, all patients underwent closed reduction and internal fixation. Preoperative and postoperative hematological parameters, as well as intraoperative blood loss were measured. Patients were followed up till the third day for the need of blood transfusion. Statistics Program for Social Sciences version 20.0 was used to analyze the data.
Results: The study’s preoperative hemoglobin and hematocrit were 10.5±1.43gm/dl versus 10.9±1.2gm/dl and 31.5±4.19% versus 32.7±3.6%, respectively, compared to the control group. In the study versus control group, the values were 10.1±1.0gm versus 9.9±0.8gm (p=0.01) and 30.3±3% versus 29.7±2.4% (p=0.03) on day one and 10±0.69gm versus 9.68±0.51gm (p=0.049) and 30±2.07% versus 29.04±1.53% (p=0.049) on day three. Total blood loss in the study group was 156.79±43.46ml compared to 392.63±92.32ml in the control group (p=0.00), with both apparent and hidden blood loss being lower in the study group.
Conclusions: In patients undergoing minimally invasive surgery of proximal femoral fractures using proximal femoral nailing system, intravenous administration of a single dose of 1g tranexamic acid at the time of induction of anesthesia lowers blood loss by a significant amount.