bluuebunny/crossref_metadata_2025_split huggingface dataset:
Study Of Prevalence Of Anxiety And its Contributing Factors Among Patients Undergoing Surgery In a Tertiary Care Hospital
Authors: Subedi S. , Paudel K. , Koirala M. , Chhetri P. 
Published: March 2020

Introduction: Anxiety is a vague, uneasy feeling, the source of which is often non-specific but known to cause abnormal hemodynamic changes as a consequence of sympathetic, parasympathetic and endocrine stimulation. Most patients awaiting elective surgery experience anxiety. The degree, to which patient develops anxiety depends on many factors like age, gender, type and extent of the proposed surgery, previous surgical experience, and personal susceptibility to stressful situations. This study was conducted to find out the prevalence of preoperative anxiety and factors contributing to it.
Material and Method: This is a cross-sectional study done among 74 pre-operative patients admitted the day before elective surgery in Department Of Surgery Universal College Of Medical Sciences Teaching Hospital, Bhairahawa. Socio-demographic as well contributing factor questionnaire, semi structured pro forma by interview method and Beck Anxiety Inventory Scale (BAI) Nepali Version were used to collect the data.
Results: The findings of the study revealed that 90.54%, had very low level of anxiety and 2.70% of patients had severe pre-operative anxiety. The bivariate logistic regression analysis showed statistically significant association between family income (p= 0.004, AOR=2.03, CI= 0.009-2.567), family support (p< 0.001, AOR= 2.34, CI= 0.003-3.368), expected duration of hospital stay (p= 0.049, AOR=8.889, CI= 78.051-78.051), clarity on given information by health care providers (p< 0.001, AOR= 53.33, CI=7.165-396.99), staffs friendliness (p< 0.001, AOR= 21.01, CI= 3.450-127.82), fear of nil per oral (p= 0.015, AOR= 2.32, CI= 0.26-3.67) and level of pre-operative anxiety.
Conclusion: It is concluded that varying degree of pre-operative anxiety were found in patients undergoing surgery. Providing adequate information about Peri-Operative procedure can help in reducing these anxiety.
Program Kemitraan Universitas untuk Rumah Sakit Umum Daerah (RSUD) Temanggung
Authors: Rahayu Heni Setyowati Esti , Wijayanti Kartika , Handayani Estrin 
Published: March 2020

Angka Kematian Ibu (AKI) merupakan salah satu indikator untuk melihat derajat kesehatan masyarakat. Salah satu penyebab kematian ibu melahirkan adalah partus lama atau partus macet yang disebabkan oleh faktor fisik, faktor emosi dan faktor sosial. Salah satu faktot tersebut adalah nyeri persalinan yang tidak diatasi akan menimbulkan kecemasan, kekhawatiran yang juga akan meningkatkan intensitas nyeri. Nyeri yang tidak teratasi akan menghambat kontraksi uterus sehingga persalinan menjadi lebih lama dan beresiko pada ibu dan janin. Hasil survey pendahuluan di Rumah Sakit Umum Daerah (RSUD) Temanggung bahwa rata-rata jumlah persalinan spontan sekitar 100 dari 400 pasien setiap bulan dan masalah utama yang dirasakan adalah nyeri. Belum ada tindakan spesifik untuk mengatasinya seperti masase, akupresur atau tindakan lain. Pemahaman manajemen nyeri non farmaka seperti akupresur dan yang lainnya masih kurang. Belum ada alat yang digunakan untuk mengatasi nyeri seperti Pain Digital Acupressure (PDA). Petugas belum memahami tentang alat PDA dan belum trampil dalam menerapkan PDA kepada ibu bersalin. Tujuan Meningkatkan pemahaman petugas tentang penggunaan alat PDA, Meningkatkan ketrampilan petugas dalam menggunakan alat PDA sehingga intensitas nyeri persalinan yang dirasakan oleh ibu bersalin akan berkurang. Metode yang akan digunakan untuk pelaksnaan kegiatan pengabdian kepada masyarakat ini adalah metode pemberdayaan masyarakat dengan model Participatory Rural Apraisal. Hasil dari kegiatan ini adalah nyeri persalinan yang dirasakan oleh sebagian besar ibu bersalin tertasi dengan penggunaan alat PDA. Pelatihan tentang manajemen non farmaka dan aplikasi alat PDA sangat efektif meningkatkan pemahaman peserta ditunjukkan dengan adanya perubahan rata-rata nilai pre test dan post test. Pendampingan juga sangat membantu meningkatkan ketrampilan peserta dalam mengaplikasikan alat PDA pada ibu bersalin.
IN VITRO EVALUATION OF ANTIBACTERIAL AND ANTIOXIDANT PROPERTIES OF AN INDIAN MEDICINAL PLANT: CELASTRUS PANICULATUS WILLD
Authors: Pradeep K Naik  , Debasmita Dubey  , Priya Cheruvanachari  , Animesh Pattnaik  , Swaraj K Babu  
Published: March 2020

Aim: To evaluate the antibacterial efficacy, the presence of different phytoconstituents of the leaf extracts of Indian plant Celastrus paniculatus against 6 antibiotic-resistant bacteria along with the evaluation of their antioxidant potentiality.
Methods: The leaf extracts were prepared using 4 solvents, water, methanol, n-butanol, and acetone. The antibacterial property was evaluated using agar well diffusion and micro-broth dilution method. Qualitative phytochemical analysis was performed using standard protocols for each solvent extract to check for the presence of the secondary metabolites and phytochemicals which attributes to the antibacterial effectivity of C. paniculatus. Further, the antioxidant potentiality of all the 4 leaf-solvent-extracts was estimated using the DPPH method.
Results: The n-butanol leaf extract exhibited the highest antibacterial and antioxidant activity, followed by acetone, methanol extracts. The aqueous extracts exhibited negligible antibacterial activity.
Conclusion: This study validated the antibacterial properties of C. paniculatus leaf extracts against both gram-positive and negative bacteria and the phytochemical analysis revealed the presence of many secondary importance which can be attributed to its therapeutic properties. Hence, this plant can be further used as a complementary or alternative choice of drug for combatting multidrug-resistant bacterial pathogens.
Keywords: Antibiotic resistance; Medicinal plants; Celastrus Paniculatus; Antibacterial activity, Phytochemical Analysis; Antioxidant activity
Forms of Operative and Service Activities of the Ukraine’s State Border Guard Agencies (Units): Concepts and Legal Regulation
Authors: Polovnikov V. V. 
Published: March 2020

As the objective of this article, the characteristics of the concept and legal regulation of the Ukrainian state border guard agencies’ (units) operative and service activities forms are chosen. Such activity is a type of law enforcement activity. The level of the rule of law compliance of such agencies (units) officials and official persons’ service activities depends on the state of its legal regulation.
Based on the analysis of the current Ukrainian legislation and scientific views, the author characterized such forms of operative and service activities as border guard and border control. The author's definition of individual concepts is formulated. In particular, according to the author, Ukraine’s state border guard unit is SBGSU state border guard agency’s structural unit, which is responsible for the state border’s certain section protection. The operative and service activities of such units is one of the forms of its state (official) external activity, which is implemented in the border guard service process and carrying out other measures, in accordance with the law enforcement and other SBGSU credentials, concerning persons and legal entities not subordinate to this unit, which implies the origin of all kinds of social relations. The form of operative and service activities of the respective unit is a system of interrelated measures reflecting the content of law enforcement and other credentials of the State Border Guard Service of Ukraine in a certain direction of its state (official) external activities.
The forms of operative and service activities are categorized. It is offered to regulate these concepts at the level of the Law of Ukraine “On the State Border Guard Service of Ukraine” and by-laws.
Analysis of the Impact of the Fireplace Heating on the Energy Performance of the Family House
Authors: Ingeli Rastislav , Buday Peter 
Published: March 2020

Reduction of energy use in buildings is an important measure to achieve climate changes of mitigation. It is essential to minimize heat losses when designing energy efficient buildings. For energy efficient building in a cold climate, a large part of the space heating demand is caused by transmission losses through the building envelope. In compliance with the today's trend of designing sustainable and energy-saving architecture, it is necessary firstly to solve the factors influencing the energy balance. This year the subsidy for houses has been valued at € 8,000. The condition is that the building is classified in the energy class A0 according to the Energy Performance Act. Energy class A0 characterizes nearly zero energy buildings. The main concern is for the public to become interested in such buildings. The subsidy is designed to reward and promote those buildings that their heat and technical characteristics and modern technical equipment that meet energy class. In addition to a good plan to raise the profile of such buildings, there has been a lot of speculation to help make buildings in energy class A0. They are mainly owners of family houses where there is no gasification and are forced to have electricity as a source of heat and hot water. Electricity has a high primary energy factor, which means that buildings do not have to be approved.
Correlation Between Serum Creatinine & Urine Albumin in Diabetic Nephropathy Patients
Authors: Sanyal Mousumi , Hossain Mohammad Zaid , Khan Md Arif Uddin , Rahman Farzana , Ali Md Haider 
Published: March 2020

Diabetic nephropathy has some distinct stages and each of the stages are individually defined according to different amount of albumin excreted through urine. Serum creatinine is a very common tool of renal assessment in diabetic nephropathy. This study aims at observation of existing correlation between serum creatinine and urine albumin in diabetic nephropathy patients. This cross sectional observational study has been conducted on 50 diabetic patients admitted to medicine department of Dhaka Medical College Hospital. Patients were included in this study after fulfilling inclusion and exclusion criteria in a period January 2018 to June 2018. After selection, data were collected by structured questionnaire. Then 24 hour urinary total protein, urine for microalbumin, complete blood count, fasting blood sugar, two hours postprandial blood sugar, HbA1C, serum creatinine report were collected and analyzed it with the help of SPSS 16.0 MS excel. Among total 50 patients, 34 patients were diagnosed on the basis of microalbuminuria and the rest were found to have raised urinary total protein. The male patients were 54 percent of the total population. Most of the patients were in between the age of 57 to 67 years. The r value is insignificant in two graphs where serum creatinine was compared with urine microalbumin and serum creatinine respectively, which suggests absence of linear or any other correlation between these two components. The estimated Glomerular Filtration Rate (eGFR) was calculated by MDRD equation individually. Staging was done on the base of eGFR. Only 41.37% of the patients with microalbuminuria, showed eGFR consistent with its staging while only 31.5% of the patients with proteinuria showed respective expected eGFR. And the difference between the mean serum creatinine in two groups was insignificant. This study has shown that, the serum creatinine has no linear correlation with urinary albumin in diabetic nephropathy patients. So, commonly used serum creatinine based formula to calculate the estimated GFR cannot reflect the amount of urinary protein excretion all the time. So it can misinterpret the staging of the disease which can delay the appropriate treatment of the patient.
J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 141-147
Serum Triglycerides and Total Cholesterol levels and its Relation with type 2 148 Diabetes mellitus
Authors: Yeasmin Nahid , Akhter Qazi Shamima , Mahmuda Sayeeda , Afroz Romana , Nahar Sharmin , Habib Tamanna Binte , Abira Mahmuda , Hossain Syed Zakir , Rahman Farhana , Das Konica 
Published: March 2020

Diabetes mellitus is one of the most widespread endocrine disorder in female and its complications are increasing all over the world, leading to life threatening medical problems like cardiovascular diseases, stroke and end stage renal diseases. A relation between hyperlipidemia and diabetes mellitus has been identified. The study was carried out to observe the serum triglycerides and total cholesterol levels its relation with type 2 diabetes mellitus in adult female subjects. This cross sectional study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka, during the period of January 2011 to December 2011. A total number of sixty female subjects were selected with age ranging from30 to50 years. Among them 30 female subjects with diabetes were included from out-patient department of Endocrinology, Dhaka Medical College Hospital, Dhaka as study group(B) and 30 apparently healthy female were taken as control group(A) for comparison. Estimation of fasting serum triglycerides (TG) and total cholesterol (TC) levels were done by enzymatic method in the Department of Physiology, Dhaka Medical College Dhaka in both groups. Fasting serum insulin level was measured by ELISA method in the Department of Laboratory of National Institute of ENT, Dhaka and fasting blood glucose was estimated by glucose oxidase method in Department of Dhaka Medical College in both groups. Data were analyzed by Unpaired Student’s- test and Pearson’s correlation co-efficient (r) test as applicable. The value of fasting serum TG and TC level were significantly higher in study subjects than those of control. In study subjects fasting serum TG and fasting serum TC levels showed positive correlation with fasting blood glucose and serum insulin level.
Conclusion: Present study revealed that fasting serum triglyceride (TG) and fasting serum cholesterol (TC) levels have positive relationship with fasting serum insulin and fasting blood glucose levels.
J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 148-154
Current trends in prescribing antimicrobial drugs on patients suffering from ENT infection in a teaching hospital in Khulna
Authors: Islam Baishakhi , Paul Mitun Kumar , Sweety Afroza Akbar , Farhad Mohammad , Ahmed Farhana , Nizhu Lutfun Nahar , Begum Khadija , Chowdhury Iqbal Ahmed , Rahman Hasan Hafizur 
Published: March 2020

Background: Inappropriate use of antimicrobials results in development of resistance to antibiotics.
Aims and objectives: The present study was aimed at evaluating the current trends in prescribing antimicrobials in patient sufferings from ENT infection.
Methods: A descriptive cross sectional study was carried out at ENT out-patient department of Khulna Medical College Hospital for three months in which data were collected from 500 prescriptions in customized proforma and analyzed using the World Health Organization (WHO) prescribing indicators.
Results: Majority of the patients were females (55%) which was commonly seen between the age group of 15-24 years (39.2%).The most common diseases reported was Recurrent tonsillitis (16.4%) followed by Pharyngitis (15%), CSOM (13.2%). Commonly prescribed oral antimicrobials were â-lactams(39.72%) followed by fluroquinolones 16.16% and macrolides(4.98%). Among the â-lactams, Cefuroxime+clavulenic acid(20.39%) was more used followed by amoxicillin+clavulanic acid(15.55%), and among fluroquinolones was ciprofloxacin 9.81%and among macrolides was azithromycin(4.98%). 57.70% patients received single antimicrobials whereas 42.3% received multiple antimicrobials. Average number of antimicrobials prescribed per patient being 1.32. Concomitant therapy included antihistamines(22.93%), Nasal decongestant(21.56%). Average number of drugs per prescription was 3.07. All drugs were prescribed in brand names. Oral and topical preparations were frequently prescribed rather injection prescribed was nil. Percentage of encounters with an antibiotic prescribed was100%. and only 28..72% drugs were prescribed from Essential Drug List of Bangladesh 2008.
Conclusion: Prescribing multiple antimicrobials in this study without definite culture and sensitivity reports make the study less rational in accordance with the standard guidelines.
J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 155-160
Hyönteiskasvatuksen edistäminen Etelä-Pohjanmaalla (ENTOLAB) – kokemuksia ja tuloksia hankkeesta
Authors: Latomäki Ilkka , Wirtanen Gun , Lauhanen Risto , Niemi Jarkko , Karhapää Maija , Mellberg Sandra 
Published: March 2020

Hankkeen tavoitteena oli auttaa hyönteiskasvatukseen perustuvan yritystoiminnan käynnistymistä ja kehittymistä Etelä-Pohjanmaalla. Hanke toteutettiin ajanjaksolla 1.1.2016-31.3.2019. Hankkeen tavoitteena oli tuottaa tietotaitoa, joka auttaa hyönteisalan tuotannon aloittamista EteläPohjanmaalla. Hanke koostui viidestä osiosta:
1.Tuotannonhallinta tarkoituksena on arvioida tuotannon taloudellisuutta ja tunnistaa hyviätuotantotapoja hyönteiskasvatuksen toteuttamiselle Suomessa. Osion tarkoituksena oli kartoittaahyönteisten tuotantoprosessin kriittiset tekijät ja tekniset mahdollisuudet.2.Eri ravintolähteiden soveltuvuus kotisirkkatuotannossa -osion tavoitteena oli selvittäävarteenotettavien ravintolähteiden soveltuvuutta kotisirkkojen kasvatuskokeella. Kotisirkat olivalittu selvityksen kohteeksi, koska niiden kasvatusta harjoitetaan jo Etelä-Pohjanmaalla.3.Tuote- ja tuotantoturvallisuuden varmistaminen -osiossa tavoitteena oli laatia tuottajien käyttöönohjeistus, joka sisältää käytännönläheisiä ohjeita tuotannon riskien hallitsemiseksi.4.Tuotteiden käyttöarvo ja saattaminen markkinoille -osion tavoitteena oli selvittää hyönteistenkäyttöarvoa elintarvikkeena ja rehuna. Lisäksi järjestettiin asiantuntija- ja sidosryhmätyöpajoja,joissa kehitettiin keinoja tuoda hyönteisiä ruokapöytiin.5.Tulosten jalkauttaminen -osion tavoitteena oli viestiä hankkeen tuloksia niiden hyödyntäjilleerilaisten tiedotus- ja viestintäkeinojen avulla. Loppuseminaarissa käsittelimme hyönteistenkäyttöä eri näkökulmista.
Hankkeessa tehtyjen ruokintakokeilujen avulla, voidaan todeta, että kotisirkkojen kasvatus tapahtuu tuoteturvallisuuden kannalta haastavissa olosuhteissa ja että kotisirkkojen rehuja on suunniteltava hyönteislajin ravintovaatimukset ja rehulainsäädäntö huomioiden. Ruokintakokeilussa käytettyjen rehujen raaka-aineet kerättiin Etelä-Pohjanmaan alueelta. Rehut pyrittiin myös valmistamaan siten, että yksittäisellä kasvattajalla olisi mahdollisuus rehunvalmistukseen tilallaan. Ruokintakokeilun tuloksena voidaan todeta, että hyönteisten ruokinnan suunnittelu vaatii enemmän tietoa ja tutkimusta kasvatuksen optimoinnin tueksi. Hankkeen aikana järjestetyissä työpajoissa todettiin, että automatisointi on suuren mittakaavan tuotannon kriittinen menestystekijä. Hankkeen tuotoksina syntyi kaksi opasta, joista ensimmäinen keskittyy hygieenisten kasvatustilojen suunnitteluun ja toinen hyönteisten yleisemmin hyönteisten kasvattamiseen elintarvikkeeksi. Hygieniaoppaasta löytyy kiinnostuneille viljelijöille ohjeita, miten pystytään luomaan hygieeniset sirkkojen kasvatustilat. (Taustalla European Hygienic Engineering & Design Groupin (EHEDG) ohje 44 “Hygienic Design Principles for Food Factories”). Kasvatusoppaassa keskitytään kotisirkkojen kasvatukseen, prosessointiin ja elintarvikekäyttöön. Lisäksi käsitellään mm. jauhomatojen ja mustasotilaskärpästen kasvatusta ja taloudellisia tunnuslukuja.
Kuluttajanäkökulmia eläinten hyvinvointimerkin kehittämiseen
Authors: Heinola Katriina , Latvala Terhi , Raussi Satu , Kauppinen Tiina , Niemi Jarkko 
Published: March 2020

Selvitimme suomalaisten odotuksia tuotantoeläinten hyvinvoinnista ja sitä, millainen merkitys eläinten hyvinvointia edistävillä toimenpiteillä ja eläinten hyvinvoinnista kertovilla pakkausmerkinnöillä eläinperäisissä elintarvikkeissa on kuluttajille. Kuluttajatutkimuksen pääasiallisena tarkoituksena oli lisätä ymmärtämystä siitä, mitkä ovat kuluttajien huolenaiheita ja toisaalta kiinnostuksen kohteita eläinten hyvinvointimerkinnässä, ja miten merkintä voitaisiin parhaiten lanseerata kuluttajien keskuudessa. Keskeinen kysymys on, tulisiko suomalaisille eläintuotteille kehittää merkintä, joka edistäisi eläinten hyvinvointia ja toisi näkyvästi esiin eläinten hyvinvoinnin eteen tehtäviä toimenpiteitä tiloilla.Tieteellinen ymmärrys tuotantoeläinten hyvinvoinnin osatekijöistä paranee jatkuvasti. Sitä kautta ymmärrys kasvaa myös kuluttajien keskuudessa. Eläinten hyvinvoinnin tieteelliseen mittaamiseen on kehitetty Welfare Quality® mittaristo (WQ). Kuluttajien mielipiteissä WQ:n eri osa-alueiden tärkeydestä korostuivat laajasti hyvinvoinnin eri osa-alueet: eläimen perustarpeet, kuten janon ja nälän tyydyttyminen sekä hyvä terveys, olosuhteiden, tilan, liikkumismahdollisuuksien ja hyvän hoidon merkitys sekä eläinten mahdollisuudet lajinmukaiseen käyttäytymiseen ja vuorovaikutukseen ihmisten ja toisten eläinten kanssa.Vuoden 2018 aikana toteutettiin kolme laajaa kuluttajakyselyä. Kuluttajakyselyn perusteella kuluttajille tärkeimpiä hyvinvoinnin osa-alueita olivat vastaajien mielestä eläimen terveyteen ja ravitsemukseen liittyvät tekijät, mutta yli 80 % vastaajista piti muitakin osa-alueita tärkeinä. Kuluttajien näkökulmasta tärkeimpiä ovat eläinten perustarpeisiin liittyvät kysymykset, kuten jano, nälkä, terveys. Toiseksi tärkein ominaisuusryhmä liittyy eläimen olosuhteisiin, jolloin tuotantoeläimille mahdollisestaan vapaana liikkuminen, riittävästi tilaa, pehmeä makuualusta ja hyvä hoito. Kolmanneksi tärkein osa-alue liittyy vuorovaikutukseen ja käyttäytymiseen, jolloin mahdollisestaan lajinomainen käyttäytyminen, hyvä hoitaja-eläin-suhde, eläintenvälinen sosiaalisuus sekä erilaiset tunnetilat, kuten leikkisyys.Vastaajista 65 % arvioi, että ostaisi hyvinvointimerkittyjä tuotteita, jos kotieläintuotannossa keskityttäisiin enemmän eläinten hyvinvointiin. Puolet vastaajista oli ostanut tuotantotapamerkittyjä eläintuotteita esimerkiksi luomumerkin avulla. Jos Suomen markkinoille tuotaisiin uusi hyvinvointimerkki, kolme neljäsosaa vastaajista koki mahdollisen hyvinvointimerkityn tuotteen ostamisen myönteisesti ja 14 % vastaajista koki merkinnän tarpeettomaksi. Kaksi kolmasosaa uskoi merkinnällä varustetun tuotteen ostamisen parantavan eläinten hyvinvointia myös käytännössä.