bluuebunny/crossref_metadata_2025 huggingface dataset:
Hazard Psikososial dan Upaya Mencegahnya
Authors: Joyanda Stevani
Published: November 2020

Perawat (nurse) berasal dari bahasa latin yaitu kata nutrix yang berarti merawat atau memelihara. Menurut Kusnanto (2003), perawat adalah seseorang (seorang profesional) yang mempunyai kemampuan, tanggung jawab dan kewenangan melaksanakan pelayanan/asuhan keperawatan pada berbagai jenjang pelayanan keperawatan. Perawat merupakan tenaga kesehatan yang memiliki peran penting dalam meningkatkan kesehatan pasien baik secara fisik maupun psikologis.
SEMINAR KECEMATAN KKLP YAPTI JENEPONTO
Authors: Rostina
Published: November 2020

Kegiatan seminar ini berjalan dengan lancar. Program kerja secara keseluruhan yang ada di kecamatan Rumbia juga sudah mencapai 71% . Tinggal menyelesaikan beberapa program yang belum terlaksana ataupun yang sedang berjalan.
Partisipasi Pasien Mengambil Keputusan Klinis Dalam Keperawatan
Authors: Syofian Elsya Fitri
Published: November 2020

Pengambilan keputusan klinis memerlukan interaksi antara perawat dengan pasien. Perawat harus mengikutsertakan pasien dalam pengambilan pengambilan keputusan, dikarenakan hal tersebut termasuk dalam hak pasien. Untuk dapat menentukan keputusan klinis, perlu adanya kemampuan perawat dalam berpikir kritis. Berpikir kritis dapat melandasi bagaimana perawat dalam mengidentifikasi dan mempertimbangkan keputusan terbaik dalam membantu pasien untuk menentukan keputusannya. Keterlibatan pasien merupakan inti dari proses partisipasi keperawatan, sehingga pasien dalam proses keperawatan menjadi penting dalam penentuan kualitas dan efektifitas dalam pelayanan asuhan keperawatan. Dengan mengambil keputusan klinis yang mengikutsertakan pasien, maka akan mudah untuk menyelesaikan masalah tertentu dengan pilihan-pilihan keputusan yang terbaik.
MAKNA DAN PENTINGNYA MELAKUKAN PROSES KEPERAWATAN BAGI SEORANG PERAWAT KEPADA PASIEN
Authors: Manurung Kristina Melita
Published: November 2020

Pelayanan keperawatan merupakan bagian integral dari pelayanan kesehatan memegang peranan penting dalam menentukan mutu pelayanan Rumah Sakit, merupakan bagian terdepan dalam mencapai tujuan pembangunan kesehatan karena pelayanan keperawatan diberikan secara berkesinambungan selama 24 jam dan berada dalam berbagai tatanan pelayanan kesehatan. Proses keperawatan merupakan suatu cara yang dilakukan secara sistematis oleh perawat dengan klien dalam menentukan kebutuhan asuhan keperawatan dengan melakukan pengkajian, menentukan diagnose, merencanakan tindakan yang akan dilakukan, melaksanakan tindakan serta mengevaluasi hasil pemberian asuhan keperawatan yang berpokus pada pasien. Terdapat beberapa manfaat proses keperawatan bagi perawat dan juga pasien dirumah sakit seperti bagi pelayanan kesehatan itu sendiri yaitu sebagai pedoman yang sistematis bagi terlaksanakanya pelayanan kesehatan dan bagi perawat itu sendiri memupuk rasa percaya diri dalam memberikan asuhan keperawatan, karna tujuan yang ingin dicapai jelas serta untuk pasien sendiri mengulang intruksi dalam pemberian asuhan keperawatan dapat dihindari.
kemah budaya dan musik hutan
Authors: NURDIN RAHMI
Published: November 2020

Tujuan : di adakannyakemah budaya dan musichutan untuk memenuhiprogram kerja kecamatanserta memperkenalkan hutanpinus paccumikang yangbelum tersentuh dan belumdi kenal di masyarakat luarkecamatan rumbia .Mamfaat : mengangkatnama kampus yapti sebagaisatu-satunya kampus diSulawesi selatan yangberani membuat iven besardengan melibatkan seluruhmasyarakat kabupatenjeneponto dan kabupatenlainnya serta bekerja samadengan pemda kabupatenjeneponto serta membuatsejarah di tanah rumbiatepatnya di jenetallasakcamatan rumbia bahwa ‘hutan pinus paccumikang’pertama kali di perkenalkanoleh anak kklp angkatanXXII stie/stkip yaptijeneponto.
KONSEP PROSES KEPERAWATAN
Authors: Fkep Niken malinda putri
Published: November 2020

Tenaga kesehatan tersebut diantaranya tenaga medis dan penunjang medis, tenaga keperawatan, tenaga kefarmasian, tenaga manajemen rumah sakit dan tenaga non kesehatan UU RI No 44 pasal 12-13 (2009, p.11-12). Salah satu pelayanan kesehatan yang diberikan oleh tenaga kesehatan adalah pelayanan keperawatan, Sebagai bagian dari pelayanan kesehatan, maka pelayanan keperawatan yang dilakukan oleh tenaga perawat memiliki tugas diantaranya memberikan asuhan keperawatan (Hidayat, 2011, p.75).Tenaga perawat yang merupakan “The caring profession” mempunyai kedudukan penting dalam menghasilkan kualitas pelayanan kesehatan di rumah sakit, karena pelayanan yang diberikannya berdasarkan pendekatan biopsiko-sosial-spiritual merupakan pelayanan yang unik dilaksanakan selama 24 jam dan berkesinambungan merupakan kelebihan tersendiri dibanding pelayanan lainnya (Departemen Kesehatan RI, 2001).Keperawatan adalah salah satu profesi pelaku pemberi pelayanan kesehatan, memiliki peranan penting dalam menentukan keberhasilan kesehatan secara keseluruhan. Pelayanan keperawatan merupakan pelayanan profesional sebagai bagian integral dari pelayanan kesehatan yang didasarkan ilmu dan kiat keperawatan (Nursalam, 2008).Asuhan keperawatan adalah suatu pendekatan untuk pemecahan masalah yang memampukan perawat untuk mengatur dan memberikan asuhan keperawatan. Standar asuhan yang tercantum dalam Standar Praktik Klinis Keperawatan terdiri dari lima fase asuhan keperawatan: 1) Pengkajian; 2) Diagnosa; 3) Perencanaan; 4) Implementasi; dan 5) Evaluasi. Salah satu manfaat dari penerapan asuhan keperawatan yang baik adalah meningkatkan mutu dan kualitas pelayanan dalam bidang keperawatan (Kozier, 2010).Kualitas pelayanan ditentukan oleh manajemen asuhan keperawatan. Pelaksanakan asuhan keperawatan dengan menggunakan metode proses keperawatan untuk menyelesaikan masalah pasien, antara pasien dan perawat berhubungan secara langsung dalam pengelolaan asuhan keperawatan (Muhlisin, 2008)Menurut Sumijatun (2010, p.88) permasalahan pelayanan keperawatan di negara Indonesia adalah banyaknya perawat yang belum melakukan asuhan keperawatan sesuai dengan standar. Di sebagian besar tatanan pelayanan keperawatan, masih terbatas melakukan kegiatan-kegiatan yang belum memenuhi kaedah asuhan keperawatan secara profesional yang bertanggung gugat.
RESIKO DAN HAZARD PERAWAT DALAM MEMBERIKAN ASUHAN KEPERAWATAN DI RUMAH SAKIT
Authors: Nisa Khairun
Published: November 2020

Kesehatan Kerja (K3) adalah suatu upaya dalam menciptakan perlindungan dan keamanan dari macam-macam risiko berbahaya. Perawat merupakan profesi yang memiliki peran yang begitu besar terhapat pasien di Rumah sakit. Ada banyak hal yang biasa di lakukan perawat di rumah sakit mulai dari memberikan asuhan kepada pasin, memberikan pendidikan kesehatan, serta merawat pasien. Dalam melakukan asuhan keperawatan sering terjadi bahaya atau kecelakaan yang terjadi selama dalam proses kerja. Bahaya yang terjadi bisa berupa ahaya fisik, biologi dan lain-lain. ada banyak faktor yang bisa membahayakan perawat. Faktor-faktor tersebut antara lain yaitu: Faktor bahaya kimia, seperti: gas, Debu, bahan beracun, dan lain-lain. Faktor bahaya biomekanik, seperti: posisi kerja gerakan, dan lain-lain titik Faktor bahaya sosial psikologis, seperti: stres, kekerasan dan lain-lain. risiko hazard saat melakukan pengkajian bisa berupa salah dalam pendukumentasian, salah dalam memberikan asuhan yang bisa menimbulkan bahaya.
Upaya Pencegahan Hazard Kimia di Rumah Sakit
Authors: Purba Clara Febiola
Published: November 2020

Kesehatan dan keselamatan kerja merupakan salah satu bagian terpenting dari perlindungan ketenaga kerjaan untuk mencegah terjadinya kecelakaan akibat kerja dan menjamin para pekerja dan orang lain yang berada di sekitar tempat kerja selalu dalam keadaan aman dan sehat. Kesehatan dan keselamatan kerja bergantung juga pada lingkungan, apabila lingkungan dalam keadaan terjaga maka kurangnya risiko terjadinya kecelakaan akibat kerja. Hazard atau potensi bahaya menunjukan bahwa adanya sesuatu potensial yang akan mengakibatkan cidera, kerusakan, dan penyakit. Di tempat keja sangat memungkinkan terjadi kecelakaan kerja, apalagi di rumah sakit. Di rumah sakit sangat rentan terjadinya kecelakaan kerja. Adapun sumber bahaya di rumah sakit seperti sumber bahaya fisik, kimia, biologis, ergonomis, dan sebagainya. Risiko bahaya di rumah sakit tidak semuanya terlihat kalau tidak dikenalnya, terutama resiko bahaya biologi, karena keberadaan micro organisme patogen tidaklah terlihat seperti resiko bahaya fisik atau kimia. Akan tetapi dampak dari risiko bahaya biologi di rumah sakit jika tidak dikendalikan, maka dapat berdampak serius baik terhadap kesehatan maupun terhadap keselamatan pekerja dan pengunjung serta masyarakat disekitar rumah sakit, begitupun dengan risiko bahaya kimia, fisika, ergonomis, dan sebagainya.
pemutaran film
Authors: MIRNAWATI
Published: November 2020

Tujuan:perkumpulaniniingin memajukanpersatuan dankebangsaan Indonesiayang kurang dipupuk.pemuda pemudi inginmenguatkan hubunganantara sesama anggotaperkumpulanagardapatbersatudanbangkitdaripenjajah.
PENTINGNYA KONSEP K3 DALAM BIDANG KEPERAWATAN DI RUMAH SAKIT INDONESIA
Authors: Siringoringo Pitauli Aprilia
Published: November 2020

PENTINGNYA KONSEP K3 DALAM BIDANG KEPERAWATAN DI RUMAH SAKIT INDONESIA
mengajar di tpa arrahman
Authors: Susanti.A Risda
Published: November 2020

kuliah kerja lapang plus(kklp)
MEMPERINGATI MAULID NABI MUHAMMAD SAW
Authors: Nurmeilani
Published: November 2020

Kegiatan acara Maulid Nabi ini dilaksanakan di aula kampus, dan yang menjadi promotor kegiatan ini adalah mahasiswa KKLP angkatan XXII. Jadi setiap posko di semua kecamatan harus ikut berpartisipasi dalam kegiatan ini yaitu dengan cara membawa bakul hias tiap-tiap posko.
IDENTIFIKASI DIAGNOSA KEPERAWATAN PADA PASIEN DI RUMAH SAKIT
Authors: jannah nurfatul
Published: November 2020

Penegakan diagnosis keperawatan yang sesuai standar bahasa keperawatan masih merupakan masalah di dalam dokumentasi keperawatan. Supaya bisa menghasilkan dokumentasi keperawatan yang baik, perlu didukung dengan adanya instrumen dokumentasi yang baik pula. Salah satu kegiatan yang penting dalam proses keperawatan adalah pengkajian keperawatan. Pengalaman menunjukkan bahwa sering sekali perawat kesulitan dalam menentukan diagnosis keperawatan spesifik yang dialami oleh pasien.Hal ini mungkin karena pengkajian keperawatan yang tidak terstruktur dengan baik. Diagnosis keperawatan harus ditingkatkan lagi didalam dipelayanan rumah sakit dan fasilitas kesehatan lainnya agar seragam, akurat, dan tidak ambigu. Penegakan diagnosis keperawatan sebagai salah satu komponen standar asuhan keperawatan perlu dilaksanakan dengan baik sebagaimana yang diamanahkan dalam undang-undang No.38 tahun 2014 tantang keperawatan pada pasal 30 bahwa dalam menjalankan tugas sebagai pemberi asuhan keperawatan, perawat berwenang menetapkan diagnosis keperawatan. Perawat sebagai penegak diagnosis yang harus memiliki kemampuan diagnosis yang baik sebagai dasar mengembangkan rencana intervesnsi keperawatan dalam mencapai peningkatan, pencegahan, penyembuhan dan pemulihan kesehatan klien. Penulisan ini bertujuan untuk mengetahui dan memberi informasi tentang identifikasi diagnosa keperawatan pada pasien di rumah sakit. Penulisan ini menggunakan metode literature review dengan pendekatan jurnal atau artikel, buku dan e-book yang relevan dan akurat serta berfokus pada identifikasi diagnosa keperawatan pada pasien di rumah sakit. Adapun jurnal atau artikel dan e-book yang digunakan pada literature review adalah jurnal atau artikel dan e-book yang didapatkan dengan menggunakan Google Scholar, dan Jurnal Keperawatan Indonesia.
Early manifestations of genetic risk for neurodevelopmental disorders
Authors: Askeland Ragna Bugge , Hannigan Laurie John , Ask Helga , Ayorech Ziada , Tesli Martin , Corfield Elizabeth , Magnus Per , Njølstad Pål Rasmus , Andreassen Ole A. , Smith George Davey , Reichborn-Kjennerud Ted , Havdahl Alexandra
Published: November 2020

Background Attention deficit/hyperactivity disorder (ADHD), autism spectrum disorder (autism), and schizophrenia, are highly heritable neurodevelopmental disorders, affecting the lives of many individuals. To improve prevention and treatment, it is important to increase our understanding of how the polygenic risk for neurodevelopmental disorders manifests during childhood in boys and girls.Method Polygenic risk scores (PRS) for ADHD, autism and schizophrenia were calculated in a sub-sample of 15 205 children from the Norwegian Mother, Father and Child Cohort Study (MoBa). Mother-reported traits of repetitive behavior, social communication, language and motor difficulties, hyperactivity and inattention were measured in children at 6 and 18 months, 3, 5 and 8 years. Linear regression models in a multi-group framework were used to investigate associations between the three PRS and dimensional trait measures in MoBa, and sex was used as a grouping variable. Results Before the age of 2, PRS associations were found with language difficulties, inattention and hyperactivity, mostly increasing in strength up to 8 years. PRS for autism was associated with motor difficulties as early as 6 months. By 8 years, all measured neurodevelopmental traits had shown some association with at least one neurodevelopmental PRS. In general, genetic risk manifested similarly in boys and girls. Associations were, however, stronger in girls for language difficulties and ADHD PRS at 8 years. The association between schizophrenia PRS and inattention was found in girls only at 18 months. For autism PRS, associations with social communication difficulties at 18 months, and motor difficulties at 5 years were observed in boys only. Conclusions Genetic risk for neurodevelopmental disorders manifests early in childhood and broadly across behavioral measures of neurodevelopment. Manifestations may be sex specific in some domains, but these findings need to be replicated.
Dissociations between interoceptive accuracy and attention: evidence from the interoceptive attention scale
Authors: Gabriele Eleonora , Spooner Ria , Brewer Rebecca , Murphy Jennifer
Published: November 2020

Previous evidence suggests a dissociation between self-reported interoceptive accuracy and self-reported interoceptive attention. However, it remains unclear whether such dissociations are driven by differences in the interoceptive signals rated across these questionnaires, or a genuine dissociation between different facets of interoception (accuracy and attention). Across three studies, we examined the relationship between existing measures of self-reported interoceptive accuracy and self-reported interoceptive attention by developing a novel measure of self-reported interoceptive attention – the Interoceptive Attention Scale (IATS) – designed to match the interoceptive sensations included in an existing questionnaire measure of interoceptive accuracy. In addition, we examined whether the interpretation of questionnaire measures of interoception altered associations across measures. Results support the proposed distinction between self-reported interoceptive attention and self-reported interoceptive accuracy and highlight the importance of considering the interpretation of questionnaire measures of interoception.
'I think it's been difficult for the ones that haven't got as many resources in their homes': Teacher concerns about the impact of COVID-19 on pupil learning and wellbeing
Authors: Kim Lisa E. , Dundas Suzanna , Asbury Kathryn
Published: November 2020

School closures due to COVID-19 have been predicted to have a large impact on pupils’ learning and wellbeing. Systematic evidence about teachers’ perceptions of what challenges their pupils have faced, and how they have been addressing these challenges, will be important for post-pandemic planning. We interviewed 24 teachers from English state mainstream primary and secondary schools in June 2020 and asked them to describe the impact of partial school closures on their pupils’ learning and wellbeing, and how they had been addressing challenges as individual teachers and at the whole school level. Data were analysed using reflexive thematic analysis. Six themes were identified: (a) pedagogy and process, (b) communication with pupils and families, (c) life at home, (d) the role of parents, (e) a COVID-19 curriculum, and (f) moving forwards and making plans. Teachers reported difficulties in navigating the new form of education and finding the most effective way to teach and engage with the pupils. Pupils’ lack of routine and their home environment were seen as influencing their learning and wellbeing. Parents’ differing levels of involvement raised concerns about inequality. We discuss the practical implications of how to support pupils’ learning and wellbeing both during and after COVID-19.
Theoretical Study of Heterogeneous Electronic Transition Rate at the Metal/ Ionic Liquid Interface Using Quantum Theory
Authors: Alshafaay B. , J. M. Al-agealy Hadi , A. Hassooni Mohsin
Published: November 2020

The purpose of this research is study the heterogeneous electronic transition through metal/liquid interface using simple model. The kinetic of electron transfer phenomenon discussion using postulate of quantum transition theory. The energy levels for metal and liquid assume to be alignment depending on continuum model theory. The behavour of electron transfer at metal-liquid interface affected by barrier height. The transition of negative charge on the interface of metal /liquid which suffering much more impediment to transfer cross the potential barrier .The net of electron that transfer give the average rate of electronic transfer and it indicate the electrical properties of metal/liquid devices.
Comparison of Extent and Severity of Coronary Artery Disease in Patients with and without Diabetes Mellitus Presenting with Non ST-Segment Elevation Myocardial Infarction
Authors: Timalsena Birat Krishna , Malla Rabi , Maskey Arun , Rajbhandari Sujeeb , Parajuli Aryan , Basnet Sonu , Acharya Dikshanta , Lamichhane Saugat , Poudel Samir Kumar , Karki Parag
Published: November 2020

Background and Aims: Diabetic patients are at increased risk of developing coronary artery disease. This study was conducted with the aim to compare the extent and severity of coronary artery disease in patients with and without diabetes presenting with non ST segment elevation myocardial infarction (NSTEMI).

Methods: This was a single center, hospital based, cross sectional, observational comparative study in which total 172 patients presenting with NSTEMI were divided into two groups of 86 patients each based on presence or absence of diabetes mellitus. Demographic, laboratory and angiographic data were analysed and compared between two groups.

Results: Among 86 patients enrolled in each group demographic characteristics and risk profile were not significantly different except for smoking status. Significant number of non-diabetics were current smoker (26.7% vs. 9.3%; p < 0.01). Hypertension was the most common risk factor in both groups. Non-diabetic patients had significantly high single vessel disease when compared to diabetics (11.6% vs 24.4%; p=0.03) while multivessel disease was significantly higher among diabetics (80.2% vs 59.3%; p<0.01). Diabetics had severe coronary artery disease with significantly high Gensini score (71.18±39.03 vs 59.84±33.68; p=0.04). There was no difference in terms of type of vessel affected.

Conclusions: Diabetic patients presenting with NSTEMI are likely to have more severe and extensive coronary artery disease compared to non-diabetic patients.
Cardiac Arrhythmias in Patients with Electrical Injury: Hospital Based Study
Authors: Dhital Bishnu Mani , Regmi Sudhir , Regmi Shyam Raj , Shrestha Bidhan , Budhathoki Keshav , GC Ananda , Sedhai Sabina , Khan Amir , Murtuza Shahid , Gurung Puran , Thapa Sagar
Published: November 2020

Background: Electrical injury and its consequences after exposure to electric shock has been associated with an increased risk of developing immediate and delayed cardiac arrhythmias. The aim of this study was to evaluate the prevalence of cardiac arrhythmias and different symptoms in patient with high voltage and low voltage electrical injury.

Methods: All 50 consecutive patients who were admitted in Chitwan Medical College from April 2018 to March 2020 were prospectively studied. Patients were categorized into high and low voltage injury group and their variables were compared.

Results: The mean age of the patients was 32.3±10.4 years among them 41 (82%) were male. Patients who sustain high voltage electrical injury (>1000V) were 18 (36%) and low voltage injury (<1000V) were 32 (64%). Cardiac arrhythmias like sinus tachycardia (11.1% vs 6.2%, p=0.054), sinus bradycardia (11.1% vs 3.1% p=0.254), ventricular premature beats (5.6% vs3.1%, p=0.674), atrial fibrillation (11.1% vs 0%, p=0.054) were observed in high voltage and low voltage group. The commonest presenting symptoms in both groups were pain (77.8% vs 84.4% p=0.560) and fatigue (55.6% vs 40.6%, p=0.328).

Conclusion: In this study few non fatal cardiac arrhythmias were observed in both high and low voltage electrical injury group. There is no significant difference in the presenting symptoms and types of arrhythmias observed between low voltage and high voltage injury group.
Association of High Sensitivity C-Reactive Protein with In-Hospital Mortality in Patients with Acute St-Segment Elevation Myocardial Infarction
Authors: Poudel Samir K , Parajuli Aryan , Gautam Lata , Shah Ram K , Maskey Arun , Malla Rabi , Rajbhandari Sujeeb , Timalsena Birat Krishna , Karki Parag
Published: November 2020

Background and Aims: Among the various biomarkers, high sensitivity C-Reactive Protein (hs-CRP) has been widely studied and is easy to use in the prognostication of patients with acute ST elevation myocardial infarction (STEMI). This study aimed to associate serum level of hs-CRP with in-hospital mortality in patients presented with acute STEMI.

Methods: This was a hospital-based prospective observational study conducted in Shahid Gangalal National Heart Centre among patients presented to the emergency department with chest pain of less than 24 hours duration, who were diagnosed subsequently to have STEMI. Patients who had known chronic inflammatory diseases, septic foci and chest pain of over 24 hours were excluded from the study. Blood sample for Hs-CRP was sent from the emergency department and was measured with Finecare TM FIA system; Model number: FS-112. The study was conducted from April 2019 to March 2020. Patient outcomes were stratified as per the four groups of serum level of hs-CRP and among them the relationship between mortality and hs-CRP level was tested with chi-square test. The p-value across the groups was again tested for inter-group significance using the Bonferroni adjusted significance level.

Results: 140 patients (112 males and 28 females) with mean age of 58.1±14.86 years were enrolled in the study. There was no increased in-hospital mortality in acute STEMI patients who had serum level of hs-CRP below 3 mg/l. In-hospital mortality showed an increasing trend above this level but it reached statistical significance beyond 10 mg/l only. Thirty five percent of our patients of acute STEMI were found to have serum level of hs-CRP above this threshold. The total in-hospital mortality was 13 (9.28%).

Conclusion: The increased serum level of hs-CRP was associated with increased in-hospital mortality in patients with acute STEMI.
Prevalence of Myocardial Infarction with Non-Obstructive Coronary Arteries in Western Nepal
Authors: Kafle Ram Chandra , Jha Girija Shankar , Sharma Dibya , Alurkar Vijay Madhav
Published: November 2020

Background and Aims: It is well known that ST segment elevation myocardial infarction results from complete occlusion of a coronary artery supplying that area. However, in up to 15% of patients with clinical diagnosis of myocardial infarction, early angiography reveal either non-obstructive or normal coronary artery. This subgroup of disease, myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA), represent a diagnostic and therapeutic challenge to clinicians. We aimed to determine prevalence and clinical profile of patients with MINOCA in current study.

Methods: This is a retrospective, observational study conducted in cardiology department of Manipal Teaching Hospital, Pokhara, Nepal from 6th April 2014 to 5th April 2019. Patients with age ≥18 years and clinically diagnosed acute myocardial infarction who underwent coronary angiography without prior use of thrombolytic agents were selected. Data were analyzed using the software SPSS for windows version 18.

Results: A total of 177 patients’ underwent early coronary angiography without prior use of thrombolytic agent. The prevalence of MINOCA was 13.5% (n=24) in our study population. MINOCA patients were younger (p<0.001) compared to non-MINOCA. Smoking, systemic hypertension, access through femoral route and depressed left ventricular ejection fraction were significantly lower in MINOCA patients (p<0.05, for all).

Conclusion: The prevalence of MINOCA was high (13.5%) in our study. Prospective studies are needed to conclude its high prevalence and to look for other associated factors and etiology.
Anesthetic Management of a Patient with Fontan Physiology for Laparoscopic Cholecystectomy
Authors: Parajuli Santosh Sharma
Published: November 2020

With the modification in surgical techniques and advancement in medical sciences, the survival rate of patients with complex cardiac abnormalities has increased to more than 90% in about 10 years after Fontan palliation. These patients can present with some form of non-cardiac surgeries during their lifetime. Better understanding of Fontan physiology can help in proper perioperative anesthetic management of these patients. Our cases was of a 17-year-old female patient with Fontan physiology for her Ebstein's Anomaly, planned for Laparoscopic Cholecystectomy under general anesthesia. Here we describe how we successfully managed the case perioperatively.
An Extraordinary Case of Infective Endocarditis at its Extreme forms of Systemic Embolisation: A Rare Case Report
Authors: Adhikari Suman , Gajurel Ratna Mani , Paudel Chandra Mani , Devkota Surya , Shakya Smriti , Koirala Parash , Thapa Shovit , Pathak Surya Raj , Sharma Manju , Yadav Vijay
Published: November 2020

The overall incidence of embolic complications in infective endocarditis (IE) ranges from 20 to 50%. It is very uncommon for a treating physician to encounter a patient having multiple manifestations of systemic embolisation.Acute coronary syndrome complicating infective endocarditis is an uncommon finding and the incidence has been found to be upto 10%.Cerebral embolism should be suspected in patients with infective endocarditis and neurological sign and symptoms. Neurologic manifestations can sometimes be the first presentation of infective endocarditis. We present the scenario of a 51-year-old diabetic male with chronic kidney disease, rheumatic heart disease with infective endocarditis leading to multiple embolic complications. Our case is notable because the patient had evidence of coronary, cerebral, splenic, hepatic and musculoskeletal manifestations due to embolic complications of IE within a duration of one year. Our case was primarily managed by multidiscipliniary approach. It is an impossible task for a cardiologist to treat such cases with showering complications where a multidisciplinary team approach is the only treatment option.
Anatomical Study of Triangle of Brocq and Mouchet in Human Cadaveric Heart
Authors: Kharbuja Rabita , Basnet LM , Dhungel S
Published: November 2020

Right and left coronary arteries maintain the nutritional supply of heart. The left coronary artery (LCA) bifurcates into Anterior Interventricular Artery (AIA) and Circumflex Artery (CA). Triangle of Brocq and Mouchet is an arterio-venous triangle formed by AIA and CA of left coronary artery and great cardiac vein (GCV) that lies between conus aretriosus and left auricle. This study aims to determine frequency of Brocq and Mouchet triangle and its anatomical details. This study was conducted in thirty formalin fixed cadaveric hearts collectively available in the Department of Anatomy, Nepal Medical College from November 2019 till April 2020. The incidence of heart showing the triangle was 93.3% with the most common type being closed which is followed by inferiorly opened, superiorly opened, and completely opened. Most frequent content of the triangle was median artery followed by diagonal branches of AIA and CA. the mean area of the triangle was 218.84mm2(527.97 mm2-57.26 mm2). The branches of LCA varied from bifurcation to pentafurcation. Relationship of GCV with AIA and CA was found to be either superficial or deep. The anatomical knowledge of the Brocq and Mouchet triangle regarding arterio-venous relationship will be required for angiographic procedures. Also, the triangle is a potential epicardial access route to mitral valve annulus thus detailed anatomical knowledge of the triangle will help cardiologist to achieve successful cardiological procedures with minimal complications.
Clinical Profile, Drug Utilization Pattern and Adverse Drug Reactions of Anti-tubercular Drugs at DOTS Center in a Tertiary Hospital
Authors: Chaudhary Aswani , Sarraf DP , Bhattarai NR , Chaudhary A , Rauniar GP
Published: November 2020

Most of anti-tubercular drugs (ATD) cause various adverse drug reactions (ADRs) leading to significant morbidity which may have negative consequences on drug adherence and treatment outcome. The objectives of the study were to know the clinical profile of patients receiving ATD, to identify the pattern of ADRs caused by ATD and to know the drug utilization pattern (DUP) in different types of tuberculosis (TB). A prospective observational study was conducted among patients diagnosed with TB at DOTS center in BPKIHS from June 2017 to May 2018 and occurrence of any ADRs were detected during their monthly visit. Descriptive statistics were used to analyze the data. A total of 126 tuberculosis patients were on ATD therapy during the study period. Seventy five patients (59.5%) were male. Most of the patients (44.4%) belonged to age group 21-40 year. Pulmonary TB (66.7%) was more common than extra-pulmonary TB. Multi-drug resistant TB was detected in 4 patients (3.2%). Seventy one patients (56.3%) were found to be smear positive for acid fast bacilli. First line ATD was given to 122 patients (96.8%). Out of 126 patients, 116 (92.1%) reported occurrence of at least one ADR. A higher number of ADRs were observed in male (68.3%). Change in urine color was the most common ADR (92.9%) followed by nausea and vomiting (39.7%). Further studies covering different regions of Nepal are needed to generalize the findings.
Physical Fitness Index of Non-Vegetarian and Lacto-Vegetarian Adults: A Comparative Study of Harvard Step Test
Authors: Yadav Renu , Mukhopadhyay S , Yadav S
Published: November 2020

A pure vegetarian, consumes the food of plant origin, reportedly has lower risk of chronic diseases and may have enhanced athletic performance compared to omnivorous. Lacto-vegetarian consumes dairy products and plant-based foods where as lacto-ovo-vegetarians, being categorized as vegetarian, consumes egg as well. Considering vegan diet as healthy food habit and appropriate medication, world is directing towards vegan diet. Lacto-vegetarian and non-vegetarian participants were included in this study based on inclusion criteria from various streams; MBBS, BDS, CTEVT and a randomized cross-sectional study was performed among selected students and independent sample ‘t’ was used for analysis. Total enrolled participants (n=100), lacto-vegetarians (LV=50, male= 15, female=35) group and non-vegetarians (NV=50, male= 22, female=28) group were separated, age 16-27 years. Comparing the variables, result showed (NV=18.28±2.09, LV=19.14±1.43yrs, P=0.01), weight (NV=53.76±9.02, LV=50.16±4.82kg, P=0.01) and BMI (NV=29.63±4.49, LV=28.03±2.52kg/m2, P=0.03). Lacto-vegetarians reported greater exercise duration (NV=224.24± 52.13s, LV=248.50±42.33s, P=0.01) and physical fitness index score (NV=62.14±14.86, LV=72.41±16.80, P=0.002) which was statistically significantly. Waist circumference (77.32±4.22, 70.48±3.95, P=0.00), hip circumference (86.97±3.7, 81.76±5.65, P=0.00), waist hip ratio (0.88 ±0.04, 0.86±0.05, P=0.01), exercise duration (263.51±43.5, 220.43±44.76) and physical fitness index score (74.03±14.42, 63.3±16.61) were significantly greater in male (n=37) than female (n=63). The present study concludes, lacto-vegetarians are physically fit compared to non-vegetarian so as male compared to female.
An Epidemiological Study of Diabetes Mellitus in Productive Aged Urban Nepalese of Makalbari Area of Gokarneshwor Municipality
Authors: Shakya Bharati , Shrestha N , Shrestha SR
Published: November 2020

Diabetes mellitus is a chronic disease that through its complications can seriously impact the quality of life of an individual. The incidence of diabetes mellitus is starting to rise at a younger age. This study is carried out to determine the prevalence of diagnosed diabetes mellitus in productive aged persons and to study the association of socio-demographic characteristics, body mass index (BMI) and blood pressure among persons with and without diabetes mellitus. A community-based cross-sectional, observational study was conducted in Makalbari area. Systematic random sampling technique was used to select the households. The family members from those households who met the inclusion criteria were interviewed with self-constructed semi-structured questionnaire which included socio-demographic information of respondents. Height, weight and blood pressure were recorded. BMI was interpreted as per WHO guidelines and hypertension was defined as per Joint National Committee (JNC) VII guidelines. Among total 662 participants, 342 (51.7%) were female and 320 (48.3%) were male. About 196 (29.6%) of subjects were between 25 to 34 age group followed by 145(21.9%) of them in 35 to 44 age group. Prevalence of diagnosed diabetes mellitus in productive aged persons in urban area was 3.8%. The prevalence of BMI of ≥25 was 42.4%. Out of total subjects, maximum number of respondents were prehypertensive 406 (61.3%). Mean age of total participants was 37.9±13.59 and BMI was 24.15±3.89.The age of respondents was highly statistically significant among the persons with diabetes (p = 0.000). The number of diabetes mellitus increased with increase in age and BMI of the participants. Prevalence of diabetes mellitus was almost same in both male 13 (52.0%) and female 12 (48.0%). Diabetes mellitus was seen more in subjects who had completed secondary level education 11 (44.0%) and in homemakers and government job holders, 3 (33.3%) each. In conclusion, most of the people in productive age groups were preobese and were in prehypertensive stage which may increase the risk of acquiring diabetes mellitus in future. This necessitates the screening of more persons in productive age group for diabetes mellitus.
Health Seeking Behavior and Cost of Care of Chronic Dermatophytosis: A Hospital-Based Cross-Sectional Study
Authors: Joshi Smita , Shrestha S , Timothy U , Jha AK , Thapa DP
Published: November 2020

Recent trend in onslaught of chronic and recurrent dermatophytosis not amenable to conventional dose and duration of antifungal agents has been observed in Nepal and India. The major factor implicated behind this surge is use of over-the-counter fixed drug combination containing topical steroids. This study aimed to examine the health seeking behavior, pattern of drug use and cost of care of chronic dermatophytosis in Nepalese population. Ninety-one patients with the diagnosis of chronic dermatophytosis of skin willing to participate in the study were recruited in a hospital-based, cross-sectional study. Information regarding demographic profile, health seeking behavior and cost incurred in the treatment of their dermatophytosis were recorded in a preset proforma. Mean age of study population was 30.49±13.50 years with M:F ratio of 2.25:1. Mean duration of illness was 20.68±6.44 months, with groin as the initial site of involvement in nearly half of cases. Commonest diagnoses were extensive dermatophytosis, followed by tinea cruris et corporis and tinea cruris. Nearly three-forth of patients reported seeking advice from local pharmacy and two-third reported using steroid containing topical agents for their skin problem. On an average, patients spent NPR 6,488.70 in a six months period and 3.03% of their income in the treatment of chronic dermatophytosis. This study highlighted the tendency of patients to seek advice from pharmacy dispensers, use of topical steroid containing agents in chronic dermatophytosis and substantial financial burden borne by patients in the treatment of the condition.
Visitors’ satisfaction and development strategy of agrotourism: evidence from Semarang, Indonesia
Authors: Kinasih Raras Sekar , Roessali Wiludjeng , Prasetyo Edy
Published: November 2020

Visitor satisfaction is fascinating to learn because this is always a significant positioning in developing tourism destination.This study aims to analyze visitor satisfaction and formulate the agrotourism development strategy. The research survey was conducted in Purwosari Agrotourism, Mijen District, Semarang City, Indonesia.  A total of 100 visitors and 20 people were purposively selected to address research objective. Visitor satisfaction is evaluated using the 7P marketing mix approach. The analysis method uses the Importance Performance Analysis and Customer Satisfaction Index to analyze visitor satisfaction; and Strength, Weakness, Opportunity, and Threat (SWOT) analysis to formulate development strategy. The results showed the location, transportation, promotion, and physical evidence (parking area, toilets, and information boards) are the main priority attributes of improvement. The response of visitors was in the satisfied category with a total Satisfaction Index of 73.39%. The development strategy of Purwosari Agrotourism shows the SO (strength and opportunity) strategy approach, which means being in a favorable position with aggressive strategy recommendations.  The strategy includes the innovation of tourism products, collaboration with other tourism objects to create tour packages, and expand product marketing networks.JEL Classification: Q13; R58; Z32
Determinants of interest in using electronic money in Indonesia: evidence from Denpasar, Bali
Authors: Suryandari Kadek Kharisma , Setyari Ni Putu Wiwin
Published: November 2020

Electronic money has received high attention from urban people in Denpasar, Bali. However, the use of electronic money is not yet fully known in relation to what factors influence user interest.  This study aims to determine the relationship between factors that influence interest in using electronic money in Denpasar City, Bali Province. Data is obtained from online questionnaires on Google form, involve active users of Go-Pay, OVO, and Dana product. There are four variables observed including the risk perception, ease of use, benefit of use, and promotion. The research was worked with the confirmatory factor analysis. The results showed that majority of the users of electronic money are 20-25 years old, are female, have a bachelor's degree, and earn 2-4 million rupiahs. All variables show significant relationship to explains the interest in using electronic money.   Interest in using electronic money is higher when the perception of risk is low, expand transactions, increases productivity and is supported by attractive promotion.  The research suggests the attempts such as change in people's behavior to steadily use electronic money, regulation of the financial system stability to facility the use of electronic money and promotion are continuously strived so that users understand the risks and advantages of electronic money.  JEL Classification E42; G32; M30
Fostering online social capital during the COVID-19 pandemic and new normal
Authors: Nugroho Iwan
Published: November 2020

The impact of the COVID-19 pandemic in Indonesia shows a worrying phenomenon. The trend of increasing cases continues, with the number of confirmed cases approaching 4000 cases a day. Efforts to implement social distancing have been carried out in various regions which show a significant number of cases. At present, the Indonesian government has also prepared economic recovery through the new normal concept, by reopening public service activities and business economy while strictly implementing health protocols. This paper tries to provide a conception of online social capital to recommend solving the pandemic problem. Online social capital will generate productivity in people's lives in adherence to health protocols such as handwashing, wearing face masks, and other protective measures attempts. Furthermore, online social capital is expected to have an impact on smoothing the infection curve and stopping the transmission of the virus. This article suggests four steps including managing infodemic and literacy capacity, staying at home and protecting families from the spread of the virus, utilizing digital communication effectively, and preparing emergency response procedures for disaster management.JEL Classification H51; I18; O35
Structural, electronic, and optical properties of quaternary alloys Al0.50Ga0.50NxSb1-x : a first-principles study
Authors: Berber M. , Bouzouira N. , Mebrek M. , Boudali A. , Abid H. , Moujri H.
Published: November 2020

In this study, we have employed the first-principle methods based on density functional theory to investigate the structural, electronic and optical properties of Al0.50Ga0.50NxSb1-x in zincblende structure. The exchange and correlation potential is described by the generalized gradient approximation of Perdew, Burke and Ernzerhof (GGA-PBEsol) coupled with TB-mBJ approaches. The studied structures shows that all structures are semiconductors and have a direct bandgap except Al0.50Ga0.50N0.25Sb0.75 which has a semi-metallic behavior. The optical properties such as refractive index, extinction coefficient and optical conductivity are discussed in detail. Our result shows these materials are considered as promising materials for optoelectronic applications in the visible and infrared region. To our knowledge this is the first time that a study has been done on this alloy and we would like it to serve as a reference for the next studies.
Radiation guided along a cylindrical symmetry system according to the refractive index profile.
Authors: Paola C. Alejandro , Cruzado A.
Published: November 2020

We aim at finding, from a purely theoretical analysis, the behavior that the refractive index should have within a cylindrical waveguide so that the radiation entering the system in a definite way is guided through it. Based on the criterion we have set in a previous article applying the Fermat's extremal principle in the framework of the geometrical optics, we depict the radiation confinement regions for refractive index profiles often used in the construction of waveguides, one step, multi-step and parabolic, by drawing upon the Legendre transform space as an intermediate resource in the process. We have also studied the possibility of performing the reverse path: for a wanted confinement region, to find the parameters defining the refractive index profile of the waveguide to be built. We conclude that such a process is possible as long as we know the shape of the profile. Under such restriction, our analysis allows us to deduce the characteristics that the guide should have so that the radiation entering with a given angle and at a certain distance from its axis remains confined. The technique can be used in design processes as a resource to limit the parameters that characterize the system.
LINGUO-FOLKLORISTIC COMPARISON OF THE KAZAKH AND MONGOLIAN EPOSES: FUNCTIONING OF PREDICATES
Authors: Zhakupov Zh. , Abdikarim N.
Published: November 2020

The article examines the functioning of the predicates in the heroic epics of the Kazakh and Mongolian peoples in the linvofolkloristic plan, their general and qualitative characteristics are compared.
Analyzing the expression of verbal predicates in the epic, their text-forming function is epresented. Although the Kazakh and Mongolian epics do not differ much from each other in terms of predicativity, it has been established that there are stylistic, pragmatic and extralinguistic differences. On the basis of such studies, not only the intertextual connection of the language of folklore in the Eurasian space is realized, but also the attention is focused on a number of issues underlying modern interdisciplinary research.
PROSPECTS FOR NEOADJUVANT TREATMENT OF AMPULLARY CANCER
Authors: Rasulov R. , Dvornichenko V. , Nazarova D. , Nurbekian G.
Published: November 2020

Objective: to study the possibilities of preoperative radiation therapy in a radical treatment regimen for glandular ampullary cancer.
Materials and methods. In 2001-2019, 21 cases of pancreatic-biliary type of ampullary cancer underwent radical treatment, including preoperative RT, extended GPDR and adjuvant chemotherapy according to indications (experimental group), 48 cases of pancreatic-biliary type of ampullary cancer underwent expanded GPDR and adjuvant chemotherapy according to indications (control group), and 43 cases of intestinal type of ampullary cancer underwent extended GPDR and adjuvant chemotherapy according to indications.
Results. Radiation therapy caused radiation injuries in 28.6% of patients: grade 1 erythema (19.1%), grade 1 leukopenia (4.75%), and grade 2 leukopenia (4.75%). Postoperative complications, mortality of the experimental group and the control group, respectively, amounted to 28.6% and 50.0% (p = 0.09) and 4.8% and 6.3% (p = 0.8). The overall 5-year survival rate, the average life expectancy of the experimental group and the control group, respectively, were 50.7% and 9.8% (p = 0.01) and 74.8 ± 12.58 months and 21.7 ± 6.11 months (p = 0.0008). The overall 5-year survival rate, the average life expectancy of the group with intestinal ampullary cancer, were 61.3% and 60.5 ± 9.15 months, respectively. Relapse-free survival of patients with glandular ampullary cancer (n = 112) who received treatment according to the radical regimen was: 1-year - 77.8%, 3-year - 51.0%, 5-year - 35.2%, average life expectancy - 44.7 ± 5.44 months
Conclusion. Radiation injuries were stopped by conservative measures and did not increase the duration of the preoperative period. Preoperative RT in the radical treatment regimen for pancreatic-biliary type of ampullary cancer neither changed the nature nor increased the incidence of postoperative complications. Combined treatment significantly improved long-term survival in cases with pancreatic-biliary type of ampullary cancer.
RESPIRATORY GYMNASTICS COMPLEX AS A METHOD FOR RECOVERY STUDENTS WITH A NEW CORONAVIRUS INFECTION
Authors: Antipov O. , Sukhanova E. , Gezha R.
Published: November 2020

The article considers a simple and affordable set of breathing exercises for recovery from coronavirus disease, developed by teachers of the Department of Physical Education of the Moscow Veterinary Academy. After completion, the trainees note that it became easier for them to breathe, shortness of breath went away and, after consulting with doctors, they moved to the main group, practicing without complications.
THE ROLE OF AN ASSOCIATIVE EXPERIMENT IN THE PERCEPTION OF IMAGES OF A CRIMINAL AND AN INVESTIGATOR
Authors: Sizykh A. , Nikaeva T.
Published: November 2020

The article is devoted to the perception of a criminal and an investigator in the linguistic consciousness. The research is based on the data obtained in the course of the associative experiment, using questionnaires of students aged 17-23 years. The experiment is based on free associations of respondents to the words «criminal» and «investigator».