bluuebunny/crossref_metadata_2025_split huggingface dataset:
Life Satisfaction and Insomnia among Elderly Community Dwellers of Lalitpur, Nepal
Authors: Khagi Bina R , Timalsina Rekha , Chhantyal Anita , Shiwakoti Shrijana , Maharjan Manju 
Published: April 2020

Introduction: Life satisfaction during elderly is essential in ageing process. Globally, insomnia is a problem that degrades the health of elderly people, which also interferes with the quality of life.
Methods: A descriptive cross-sectional study was conducted to identify life satisfaction and insomnia among 501 community dwellers elderly of Lalitpur by using structured interview schedule on socio-demographic information, Satisfaction with Life Scale (SWLS) to measure a life satisfaction and Pittsburgh Insomnia Rating Scale (PIRS) to identify the prevalence of insomnia.
Results: Data was edited, classified, and coded manually. Then, data entry and data cleaning were done using Epi data software and data analysis was done using SPSS software version 16. Descriptive and inferential statistics were used to analyze data. The study showed that 31.9% and 35.7% of respondents were highly satisfied and satisfied with their life respectively. However, 6% and 0.6% of respondents were dissatisfied and extremely dissatisfied with their life respectively. Study reveals that 50.5% of respondents had insomnia. Ethnicity, current job status, and health problems during night sleep were significantly associated with life satisfaction. Similarly, age, marital status, educational status, current job status, current physical health problems, presence of disease, taking medication at present and health problems during night sleep were significantly associated with insomnia.
Conclusion: Most elderly people were satisfied with their life, but majority of them suffered from insomnia. Therefore, it is necessary to plan awareness program regarding life satisfaction and insomnia by concerned authority to help elderly to stay healthy and improve their quality of life.
Clinical Profile of Critically Ill Patients Presenting to Emergency Department of Tertiary Level Hospital of Nepal
Authors: Shrestha Shubha K , Pradhan Bishwas , Shakya Yogendra M , Paneru Hem R 
Published: April 2020

Introduction: Among critically ill patients presenting to Emergency Room (ER) of Tribhuwan University Teaching Hospital (TUTH), a number of patients have to either remain in ER or have to be referred outside due to unavailability of critical care beds. Studies have shown significant association between delayed admission and mortality rates along with increased length of stay and higher cost. This study aimed to present an audit of critically ill patients presenting to ER of TUTH.
Methods: This was a prospective study conducted over a period of one month. All patients presenting to ER of TUTH were triaged and critically ill patients were shifted to Red area of the ER. All patients ≥16 years of age shifted to Red area during the study period were enrolled in our study.
Results: Out of 3718 patients presenting to ER during the study period, the number of critically ill patients ≥16 years of age was 526 i.e. 14.14% of total patients. Among them, the common diagnosis were Cerebrovascular Accidents (CVA) followed by Intoxication, Acute Exacerbation (AE) of Chronic Obstructive Pulmonary Disease (COPD), Pneumonia and Chronic Kidney Disease (CKD) respectively. Almost 20% of these patients were admitted, 31% were referred and 40% were shifted for observation. The median length of ER stay was 6 hours (Mean: 8.5 hrs; Range: 20 min to 70 hr 15 min).
Conclusion: Among critically ill patients presenting to our ER, almost 1/5th of the patients were admitted whereas more than 2/3rd were either referred or remained in our ER. This data highlights the need for solutions to provide optimal care for the acute phase management of the critically ill patients.
Effectiveness of Audit and Feedback in Improving the Quality of Operative Notes - A Retrospective Observational Study
Authors: Maharjan Leison , Singhal Aditya , Guragain Rajendra P S 
Published: April 2020

Introduction: Surgeons must maintain detailed and accurate operative notes as it is important not only for safe patient care but also for research, audit and medicolegal purposes. But literature has shown that many operative notes are incomplete and illegible. Audit and feedback is a useful strategy to improve such practices which our department has been following. Our aim is to study its effectiveness by comparing the quality of operative notes of 2016 with that of 2014.
Methods: Total 96 operative notes, 48 each of the year 2014 and 2016 were studied under 22 parameters including 18 suggested by “Good Surgical Practice” guideline. Each operative notes was analyzed by a single observer for completeness. Parameters of the operative notes of two different years were compared and given the status of either improved, deteriorated or unchanged.
Results: Only parameters related to patient identification, date, surgeon’s fullname, postoperative plan were complete in both the years. In comparison to earlier year, in 2016 improvement was seen in parameters such as postoperative diagnosis, details of tissue removed, authors details, closure details, operation time and operative difficulties/ complications and deterioration was seen in hospital number, preoperative diagnosis, procedure, fullname of anesthetist, fullname of scrub nurse, operative findings and signature of the surgeon.
Conclusion: Improvement in the quality of the operative notes was not adequate with audit and feedback strategy alone. Hence to increase the effectiveness, other methods such as computerized operative notes and aide-memoire should also be introduced.
Analysis of Outcomes of Critically ill Surgical Patients using SAPS II Score
Authors: Paudel Prakash , Rai Subash , Shrestha Sunil , Pradhan Giridhar B N , Bhattachan Chitra L 
Published: April 2020

Introduction: Several prognostic models have been implemented for risk assessment and mortality prediction in critically ill patients admitted in ICU. The availability of such sophisticated methods has facilitated in clinical decision making and comparison of outcomes. However, none are universally accepted as standard method to predict mortality. We have decided to use SAPS II score because of the simplicity and easy availability of its variables to analyse the outcomes of critically ill surgical patients admitted to ICU at our centre.
Methods: The study was conducted between September 2016 and August 2018 at Nepal Medical College and Teaching Hospital, Kathmandu, Nepal. We prospectively collected data on surgical patients consecutively admitted to the ICU during the study period. The variables of SAPS II score were collected from the physiological, laboratory, and patient characteristics mentioned in the ICU scoring data sheet at 24 hours. The SAPS II score and predicted mortality was calculated using computer software programme. The predictive mortality based on the score was compared with the actual outcome to derive the standardized mortality ratio (SMR).
Results: During the period of study, 64 patients met the inclusion criteria. The mean age of the patients was 54±17.9 (20- 84) years and length of ICU stay was 5.3 ±3.5 (3-22) days. GI malignancy was most common pathology comprising 43.8% (n=28). The mean SAPS II score was 24.9±16.4 (3-68). There was no statistical difference in mean SAPS II score between patients with different gender, nature of disease and type of surgical intervention The mean predicted mortality was 13.4% and the observed ICU mortality was 15.6% (n=10). The calculated mean SAPS II score and predicted mortality was higher in non-survivors compared to survivors (p<0.0001). The calculated SMR for our study population was 0.85 ranging from 0.01 to 5.2. The number of patients with SMR greater than 1 was only 17 % (11/64). There was significant correlation of mortality with SMR greater than 1 (p=<0.0001).
Conclusion: The variables in SAPS II score are readily available. Neither special samples nor cumbersome procedures are required. SAPS II can be used as simple and rapid tool to predict mortality in critically ill surgical patients in our set up.
Perception of Nursing Students toward Academic Learning Environment in a College of Kathmandu
Authors: Koirala Manisa , Koirala Surya , Neupane Sharmila 
Published: April 2020

Introduction: A supportive and systematic design of academic learning environment has been important for transfer of learning in clinical context, can lead to positive outcomes for graduates and best prepares for professional life. The objective of this study was to find out the perception of nursing students toward academic learning environment.
Methods: The descriptive, cross sectional study design was used among 172 proficiency certificate level (PCL) nursing students at Maharajgunj Nursing Campus, Kathmandu Nepal. The data were collected by using Dundee Ready Education Environment Measure (DREEM) Inventories with complete enumeration technique which was developed by Roff et al (1997). Data were analyzed using descriptive and inferential statistics.
Results: Overall mean score of academic learning environment was found 142.78 out of 200 for 50 items which was in the ranged for ‘positive’ learning environments. The total mean score for perception of learning was 34.4 out of 48; for perception of teacher 30.7 out of 44; for academic self-perception 25 out of 32; for perception of atmosphere 33.3 out of 48; for social self-perceptions 19.3 out of 28. Mean scores indicated that students’ rated all five dimensions of the educational environment in this institution as an average. The significant differences were found between overall mean score; mean score of teachers, academic self-perception & social self perception of students and different academic year.
Conclusion: The overall mean DREEM scores indicate a more positive academic learning environment. Although the overall learning environments score of this institution observe as an average, none of the items represents ‘excellent’ score or real positive academic learning environment.
CARACTERIZAÇÃO FLORÍSTICA E FITOSSOCIOLÓGICA DO COMPONENTE LENHOSO DE UM FRAGMENTO FLORESTAL DE CAATINGA EM SERRA DO MEL, RIO GRANDE DO NORTE, BRASIL
Authors: Souza Mary Regina de , Ferreira Maria Beatriz , Sousa Geovana Gomes de , Alves Allyson Rocha , Holanda Alan Cauê de 
Published: April 2020

A caatinga apresenta uma diversidade de fisionomias e um enorme quadro de degradação, sendo importantes os estudos relacionados a fitossociologia para a caracterização da vegetação. O objetivo deste trabalho foi realizar um estudo de florística e fitossociologia em um fragmento florestal de caatinga no município de Serra do Mel no Rio Grande do Norte. Para realização do estudo foi realizado um levantamento da vegetação adotando-se a Amostragem Inteiramente Aleatória, onde foram marcadas 10 unidades amostrais de 20 x 20 m (400 m²). Foram amostrados todos os indivíduos florestais arbustivos-arbóreos vivos com CAP ≥ 6 cm. Foram avaliados todos os parâmetros fitossociológicos da estrutura horizontal e vertical, a diversidade florística das espécies através do Índice de Shannon-Weaver (H’), dominância de Simpson (C) e equabilidade de Pielou (J’). No levantamento foram encontradas 7 famílias, 12 gêneros e 12 espécies. As famílias com maior número de espécies e de indivíduos foram a Fabaceae e Euphorbiaceae. Croton blanchetianus, Mimosa tenuiflora, Bauhinia forficata, Mimosa ophthalmocentra e Poincianella pyramidalis foram as espécies que assumiram maior importância na área de estudo sob os aspectos fitossociológicos. A área do presente estudo apresenta baixa diversidade de espécies se comparada com outros fragmentos florestais de caatinga já estudados. Palavras-chave: Estrutura; Diversidade; Caatinga. FLORISTIC-PHYTOSOCIOLOGICAL CHARACTERIZATION OF THE WOODY COMPONENT IN A CAATINGA FRAGMENT IN SERRA DO MEL, RIO GRANDE DO NORTE, BRAZIL ABSTRACT:The caatinga presents a diversity of physiognomies and a huge degradation picture, being important the studies related to phytosociology for the characterization of the vegetation. The aim of this work was to carry out a floristic and phytosociological study in a forest fragment of caatinga in Serra do Mel, Rio Grande do Norte. To carry out the study, a survey of the vegetation was performed adopting the Random Sampling, where 10 sample units of 20 x 20 m (400 m²) were marked. All living shrubby-arboreal forest individuals with CAP ≥ 6 cm were sampled. All phytosociological parameters of horizontal and vertical structure, floristic diversity of species was evaluated through Shannon-Weaver Index (H'), Simpson dominance (C) and Pielou equability (J'). The analytic survey found 7 families, 12 genera and 12 species. The families with the largest number of species and individuals were Fabaceae and Euphorbiaceae. Croton blanchetianus, Mimosa tenuiflora, Bauhinia forficata, Mimosa ophthalmocentra and Poincianella pyramidalis were the most important species in the study area under phytosociological aspects. The area of the present study presents low species diversity compared to other forest fragments of caatinga already studied.Keywords: Phytosociology; diversity; Caatinga.
ANÁLISE ESPAÇO-TEMPORAL DA OCORRÊNCIA DE SISTEMAS DE IRRIGAÇÃO POR PIVÔ CENTRAL EM REGIÕES AGRÍCOLAS NO ESTADO DE MATO GROSSO
Authors: Demarqui Edgar Nogueira , Demarqui Lígia Manccini Barros 
Published: April 2020

A utilização de técnicas de irrigação visando a produção agrícola tem apresentado crescimento nos últimos anos, sendo que o sistema de irrigação por pivô central (PC) também avançou no quantitativo de unidades implantadas e no total de área abrangida. Isto se deve às características desse tipo de sistema, as quais mostram-se vantajosas para o produtor rural, tais como economia de mão-de-obra e facilidade de operação, entre outras. O formato circular deste tipo de sistema facilita sua identificação através de técnicas de Geoprocessamento aplicadas nas análises de imagens orbitais ou aéreas, permitindo análises quantitativas e de espacialização. Neste contexto, o presente trabalho teve como objetivo mapear, por meio de imagens orbitais, as áreas irrigadas por PC no período de 11 anos (2004 a 2015) referente à três regiões que possuem destaque na produção agrícola no Estado de Mato Grosso: Médio Norte, Parecis e Sudeste. A região Médio Norte apresentou taxa média de crescimento anual de 10,96% na sua área irrigada, a região Sudeste 6,75% e a região dos Parecis 4,28%. A evolução média no número de pivôs nestas áreas foi da ordem de 8,07% ao ano, passando de 259 unidades em 2004, para 586 no ano de 2015, totalizando um crescimento de 226,25% no período.Palavras-chave: áreas irrigadas; produção agrícola; geoprocessamento; sensoriamento remoto. SPACE-TEMPORAL ANALYSIS OF THE OCCURRENCE OF CENTRAL PIVOT IRRIGATION SYSTEMS IN AGRICULTURAL REGIONS IN THE STATE OF MATO GROSSO ABSTRACT:The use of irrigation techniques in agricultural production has increased in the last years, and the center-pivot irrigation system has advanced in number of implanted units. This system, due to its characteristics such as labor savings and ease of operation, has proved to be advantageous for the rural producer. The circular shape of this system allows it to be identified by Geoprocessing techniques applied to the quantitative and spatial analysis of orbital or aerial images. In this context, the present work aimed to map, through orbital images, the center-pivot irrigated areas, for a period of 11 years (2004 to 2015) referring to three regions of Mato Grosso State, witch that stand out in agricultural production: Middle North, Parecis and Southeast. The Middle North region presented an average annual growth rate of 10.96% in its irrigated area, the Southeast region 6.75% and the Parecis region 4.28%. The average evolution in the number of pivots in these areas was of the order of 8.07% per year, going from 259 units in 2004, to 586 in 2015, totaling a growth of 226.25% in the period.Keywords: irrigated areas; agricultural production; geoprocessing; remote sensing.
APLICAÇÃO DO MODELO LINEAR DE MISTURA ESPECTRAL PARA MAPEAMENTO DE PASTAGENS DEGRADADAS E SOLO EXPOSTO NA AMAZÔNIA
Authors: Leal Fabrício Assis , Almeida Maila Pereira de , Leal Glória da Silva Almeida 
Published: April 2020

Este trabalho se ocupou no mapeamento e quantificação de pastagens degradadas/solo exposto em propriedades rurais de São Félix do Xingu/PA, em descobrir agrupamentos espaciais para taxas de pastagens degradadas, além de descrever o perfil das propriedades que estavam inseridas nestes agrupamentos. Foram utilizadas cenas do satélite Landsat 8 em 2017, classificadas para obtenção de áreas de pastagens. Depois foi utilizada análise de mistura espectral para obtenção da fração solo. Essa fração solo foi classificada e a primeira classe representou as áreas de pastagens degradadas/solo exposto. Essas áreas foram intersectadas com as propriedades rurais e depois classificadas em relação as taxas de pastagens degradadas/solo exposto. Sequencialmente as propriedades foram agrupadas espacialmente por meio de análise hot spot. A área total de pastagens em 2017 representou 49,8%, já as áreas de pastagens degradadas/solo exposto somaram 21.621 hectares (2,7%) e tiveram presentes em 3.643 (64%) das propriedades rurais (5.691), sendo que 3.004 delas possuíam tamanho de até 500 ha, sendo caracterizadas como pequenas propriedades. Foram três os agrupamentos hot spot encontrados que concentraram 982 propriedades rurais. Dessas 982 propriedades, 878 delas (89,4%) também estavam no grupo de até 500 ha. As pastagens degradadas e solo exposto estavam predominantemente concentradas nas pequenas propriedades rurais.Palavras-chave: análise espacial; imagem fração-solo; pecuária. LINEAR SPECTRAL UNMIXING FOR MAPPING DEGRADED PASTURES AND BARE SOIL IN THE AMAZON ABSTRACT:This work focused on the mapping and quantification of degraded pastures / bare soil in rural properties of São Félix do Xingu/PA, and in discovering spatial clusters for degradation rates, and describing the profile of the properties that were inserted in these clusters. We used scenes from the Landsat 8 satellite in 2017, classified to obtain pasture areas. Then spectral mixture analysis was used in the images to obtain the soil fraction. This fraction was classified and the first class represented the degraded pasture/exposed soil areas. These areas were intersected with the farms and then classified for degraded pasture/exposed soil rates. Sequentially the properties were spatially grouped by hot spot analysis. The total pasture area in 2017 represented 49.8%, while degraded pasture / exposed soil areas totaled 21,621 hectares (2.7%) and were present in 3,643 (64%) of rural properties (5,691), and 3,004 of them had a size of up to 500 ha, being characterized as small properties. There were three hot spot clusters found that concentrated 982 rural properties. Of these properties, 878 of them (89.4%) were also in the group of up to 500 ha. Degraded pastures/exposed soil were predominantly concentrated on small farms.Keywords: Spatial analysis, soil-fraction image, livestock.
La tabloidización y espectacularización mediática: Discusión conceptual y aproximaciones empíricas
Authors: Valdez López Orlando Esteban , Romero Rodríguez Luis Miguel , Hernando Gómez Ángel 
Published: April 2020

El artículo compila y analiza el estado de la cuestión sobre tabloidización y espectacularización mediática, con énfasis en aportes teóricos, empíricos y epistemológicos sobre el impacto del periodismo tabloidizado en la sociedad de consumo. Se realizó una criba de criterios, descriptores y palabras clave utilizando algoritmos booleanos AND/OR, emergieron 52 publicaciones en WoS y 72 en Scopus. Cuyo resultado es la formación de industrias mercantiles como mecanismo del poder corporativo y político, aunado con los erróneos hábitos de consumo informativo de las audiencias, promueven el infoentretenimiento con información banalizada y sensacionalismo como anzuelo para aumentar los rating de audiencias.
Data storytelling: el empleo de datos en la construcción de relatos publicitarios de marca
Authors: Caro-Castaño Lucía , Selva-Ruiz David 
Published: April 2020

Este trabajo aborda la contribución de los datos a la construcción de relatos de marca. Se analiza, pues, cómo el storytelling, potenciado por el uso de datos, puede ayudar a la generación de engagement en el consumidor y a la construcción de mensajes publicitarios creativos, recurriendo a la categoría «Creative Data Lions» del festival publicitario Cannes Lions, y, en particular, a todas las campañas seleccionadas en la sección «Data Storytelling». Los resultados permiten observar que se trata de una tendencia enormemente diversa, cumpliendo los datos roles muy diversos en su relación con el storytelling.
Akibat Hukum Pewaris yang Menolak Warisan
Authors: Nugraha Fajar , Radinda Fisuda Alifa Mimiamanda , Fathonah Ricka Auliaty 
Published: April 2020

Penelitian ini membahas tentang akibat hukum pewaris yang menolak warisan. Pada umumnya mewaris diterima oleh para ahli waris baik dengan tegas maupun diam-diam, sebagian orang yang seharusnya mempunyai dan mendapatkan hak mewaris, tapi karena suatu hal tertentu ahli waris tersebut tidak mau menerima hak warisnya atau bisa disebut dengan menolak warisan yang diberikan pewaris. Harta yang diwariskan berbentuk harta aktiva dan harta pasiva jadi ahli waris tidak hanya menerima harta dalam bentuk uang dan barang melainkan juga hutang pewaris yang harus ditanggung oleh ahli waris. Tentunya tidak ada orang yang mau dibebani dan bertanggung jawab secara penuh terhadap hutang orang lain. Terdapat dua masalah yang diulas dalam penelitian ini, pertama, apa peran pengadilan dalam menetapkan status hukum ahli waris yang menolak warisan, dan yang kedua, apa akibat hukum yang timbul dari warisan yang ditolak secara penuh oleh ahli warisnya. Hasil penelitian dapat disimpulkan bahwa secara umum yaitu ahli waris yang menolak warisan, berarti ia melepaskan pertanggung jawabannya sebagai ahli waris dan menyatakan tidak menerima pembagian Harta Peninggalan dan menolaknya secara tegas, dengan suatu pernyataan yang dibuat di kepaniteraan Pengadilan Negeri.
Textiles from orange peel waste
Authors: Sachidhanandham Aishwariya 
Published: April 2020

The global textile business is now gearing towards greener alternatives to combat pollution and avoid synthetics in production. Ironically, there is an increased awareness among consumers on the quality of the product and choices they make in their shopping. The natural and synthetic fibres have set limitations, which has made manufacturers look out for other alternative fibres. Bamboo, banana, milk, and corn are experimented for its commercial capabilities to perform as a textile material. To add on to the list, orange, the popular, and the most preferred fruit are known for its refreshing flavour. The peels after consumption/ processing of the fruit are discarded in the landfill, which is an organic waste with immense potential. This paper details the successful brand ‘Orange fibre’, its journey from scratch, and the properties of textiles made from processing orange peel waste. The current areas of research have also been covered in a brief way, to invite more scholars to create solutions for the hitherto pollution orange peel waste.