bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of Nutritional Status of Chronic Kidney Disease Patients Undergoing Hemodialysis
Authors: Joshi Sharmila , Singh Samir , Singh Amrit 
Published: September 2020

Background: Chronic kidney disease caused by deterioration of renal function is a growing problem in the world. In chronic kidney disease, renal function is decreased and waste can build to high level in blood. Malnutrition is common in chronic kidney disease patient who is related to poor food intake because of anorexia, restricted protein intake, nausea and vomiting.
Objective: This study aims to assess the nutritional status of chronic kidney patients undergoing hemodialysis by anthropometric measurement and laboratory investigations.
Materials and Methods: A cross-sectional study was conducted in Human Organ Transplant Center, Bhaktapur, Nepal over a period of 3 months (December, 2016 to February, 2017). Total of 53 patients (25 male and 28 female) undergoing hemodialysis were included in this study. Anthropometric measurements like body mass index, midupper arm circumference and laboratory investigation like serum albumin was used to evaluate the nutritional status of chronic kidney patients. The data were analyzed using SPSS version 16.0.
Results: Mean age of study population was 43.07±16.1 years. Majority of study subjects belong to age group between 17-61 years (64.16%). On the basis of World Health Organization body mass index classification, 24.52% of patients had fallen in malnourished class whereas 64.15% of the patients had normal nutritional status. Similarly, on the basis of mid-upper arm circumference, 52% of the male patients and 75% of the female patients were malnourished. 54.72% of the patient’s calorie intake was below 1200 Kcal. 56.6% of the patients had low serum albumin indicating malnutrition.
Conclusion: In conclusion, this study showed that malnutrition is a common problem in our patients with chronic kidney disease undergoing hemodialysis. Inadequate intake of energy and nutrients, low MUAC values, low BMI and low serum albumin concentration increases the degree of malnutrition.
Therapeutic Role of Gastrograffin in Adhesive Small Bowel Obstruction After Unsuccessful Conservative Treatment
Authors: Shahid MD Alam , Bhatta Pashupati , Raya Akash , Rai Binod Kumar 
Published: September 2020

Background: The management of adhesive small bowel obstruction is quite debatable. Gastrograffin, a water-soluble hyperosmolar contrast is used as a diagnostic tool widely but it also has impressive therapeutic role. Hence this study was to determine its therapeutic role in management of adhesive bowel obstruction after failure of conservative treatment.
Methods: This cross-section observational study of 42 patients was conducted in 1-year duration from 01 July 2018 to 30 June 2019 using non-probability purposive sampling technique. All the patients were first managed conservatively for 48 hrs, and then given 100ml of gastrograffin through NG tube and clamped. Appearance of dye in cecum on radiograph at different time frame (4, 8, 12 and 24 hours of administration) signifies the success and who failed to do so within 24 hrs. were planned for laparotomy.
Results: A total of 42 patients with their age ranged 14-80 years (mean 44.6) were included. Among them 32 (76.19%) were male and 10 (23.80%) female. Most had open appendectomy followed by gynaecological surgery and exploratory laprotomy. Majority had midline incision followed by gridiron and pfanensteil incision. After 8 hrs of gastrograffin administration, it was positive in 12 patients while 19 had at 24 hrs. Total 31 patients showed complete resolution, while remaining 11 showed no improvement and undergone exploratory laparotomy.
Conclusion: Thus, the administration of gastrograffin is an effective approach in the management of adhesive small bowel obstruction after failed conservative management and prevents surgeries.
Attitude of the Youth Towards the Elderly People in the Selected Community in Lalitpur District of Nepal
Authors: Gaire Bipula , Khagi Bina Rana 
Published: September 2020

Introduction: Global ageing is the success story of the 21st century as a result of declining fertility, mortality and improved public health interventions. With the increased elderly population, the attitude of societies about ageing changes. Positive attitudes towards the elderly people are valued, respected and experienced but most of the literature shows negative perceptions towards elderly people among the youth, especially in the form of stereotypical behaviors and ageism which can result in social exclusion, isolation and ultimately the abuse of elderly people and disempowerment of elderly people.
Methods: Cross sectional research design was used to assess the attitude of youth towards the elderly people in the selected community of Lalitpur, Nepal from August 12 to September 7, 2018. Total 380 youth were interviewed by using modified Kogan’s Old People Scale and structured questions. Systematic random sampling technique was used for data collection.
Results: More than half of the youth (66.1%) had positive attitude level towards the elderly. With regards to the attitude towards the care of elderly almost of all of the youth (97.9%) had positive attitude towards the care of the elderly. There was significant association between gender and attitude towards elderly (p=0.04) and occupation and attitude towards the care of the elderly (p=0.02) at 95% of significance level.
Conclusion: Although more than half of the youth have positive attitude toward the elderly people still there is need to provide awareness program regarding the physical, physiological and psychological changes that occurs during the ageing period which helps in enhancing the positive attitude of the youth and thus contributing towards overall quality of life of the elderly people.
Prevalence of Anaemia Among Pregnant Women in Third Trimester and Its Effect on Pregnancy Outcome at Tertiary Level Teaching Hospital, Birgunj
Authors: Shah Ravi Kumar , Deep Jagat Prasad , Rahman Zarin , Shah Pravin , Nayak Neha , Gupta Ravi Shankar 
Published: September 2020

Background: Anaemia in pregnancy is a global health challenge. It is the commonest medical disorder of pregnancy and a major cause of morbidity and mortality in developing countries. Main cause of anaemia in obstetrics is iron deficiency. There are specific risks for the mother and the fetus such as intrauterine growth retardation, prematurity, and blood transfusion. Hence, the importance of giving iron in the antenatal period and to be continued postnatally.
Objectives: The study was conducted to determine the overall prevalence of anaemia among pregnant women presenting in third trimester and its effect on pregnancy outcome.
Methods: This is a cross sectional descriptive study done at National Medical College & Teaching Hospital from September 2015 to August 2016. During the study period 2048 pregnant women attended antenatal clinic in third trimester. Among 2048, 1200 were booked cases and out of these women with haemoglobin less than 11gm/dl were labeled as anaemia. The prevalence was calculated along with the maternal and fetal outcome.
Result: Among 2048, 1200 were booked cases, 368 (30.66%) were anemic, 66.30% were multigravida, 67.93% in age group of 21-30 years, 284 patients came for delivery. In 14.08% patients there was preterm labour, apgar score less than 7 in 66.19% babies. Majority of neonate weighed between 2.0 - 2.5kg (49.29%). Perinatal deaths were 2.81%.
Conclusion: Anaemia in pregnancy need awareness about early and regular antenatal care with oral iron supplementation. Correction of anaemia will reduce the maternal and fetal complications.
Penerapan Teknik Self Control untuk Mengurangi Perilaku Prokrastinasi Akademik pada Mahasiswa
Authors: Wulandari Ratna , Nurhidayatullah Dahlan  
Published: September 2020

Tujuan penelitian ini adalah unttuk mengetahui: (1) Gambaran tingkat prokrastinasi akademik mahaMahasiswa Universitas Muhammadiyah Palopo Universitas Muhammadiyah Palopo, (2) Pelaksanaan teknik self control di mahaMahasiswa Universitas Muhammadiyah Palopo Universitas Muhammadiyah Palopo, (3) Teknik self control dapat mengurangi perilaku prokrastinasi akademik Mahasiswa Universitas Muhammadiyah Palopo Pendekatan penelitian ini adalah penelitian kuantitatif dengan jenis penelitian quasi eksperimental design. Populasi penelitan sebanyak 95 orang. Adapun sampel penelitian sebanyak 20 orang yang dibagi menjadi dua kelompok penelitian menggunakan teknik proporsional random sampling. Teknik pengumpulan data dilakukan dengan menggunakan skala prokrastinasi akademik dan observasi. Analisis data menggunakanan alisis data deskriptif dan analisis inferensial.
PENGARUH SOLVABILITAS TERHADAP PERTUMBUHAN LABA PERUSAHAAN ASURANSI SYARIAH DI INDONESIA PERIODE 2011-2018
Authors: Fadli Fadli , Rima Rima 
Published: September 2020

Solvency is the ability of a company to fulfill all its obligations. The obligations referred to here are debts that must be paid. Debt is an obligation that must be paid by a company to another party within a certain period due to transactions that have occurred in the past. The amount of corporate debt is closely related to solvency.
From the financial data contained in the table, it can be seen that the solvency on the profit growth of sharia insurance company in Indonesia for the 2011-2018 period have experienced significant developments fluctuatuations.
This study was conducted to examine how much influence the solvency on the profit growth of sharia insurance company in Indonesia for the 2011-2018 period. The samples used were 6 sharia General Insurance Companies and sharia units that met the sample criteria. The observation period of this research is from 2011 to 2018.
The method used in this study is a quantitative method that uses the quantitative research methods, testing hypotheses using simple linear regression analysis through the test (t).
The analysis tool in study uses simple regression analysis that involves one independent variable as a predictor of the value of the dependent variable. The Statistical analysis used was software namely SPSS Version 25.0.
the results of this study indicate that a significant effect of the tcount is 1,002 while the ttable values ??obtained from the t distribution are sought at the significance of 5%: 2 = 2.5% (two-way test) degrees of freedom (df) nk-1 or 48-1 -1 = 46, we get t table of 1.67866. therefore tcount> t table = 1.002> 1.67866 with a significance level of 0.005, it can be concluded that Ho is accepted and Ha is rejected. The influence derived from the coefficient of determination (R-Square) of 0.064 means that the magnitude of the effect of solvency on earnings growth is 6.4% while the remaining 93.6% is explained by other factors not examined in this study.
ANALISIS KINERJA UNDERWRITER DALAM MENENTUKAN CALON PESERTA PADA PRODUK ASURANSI MOBILKOE (Studi Pada PT Asuransi Umum Bumiputera 1967 Cabang Serang)
Authors: Yakin Ikin Ainul , Nurhabibah Eva 
Published: September 2020

Every company really needs workers as actors who can carry out company activities in order to achieve the expected goals for it is expected that a worker who has quality human resources. Unfortunately this has not been matched by quality workforce. Often the opening of a branch or new Islamic insurance division is only supported by a limited number of workers because the need for Underwriter-certified Underwriters is still lacking. Development and marketing of insurance products must be supported by the availability of human resources that enable the good implementation of Underwriter performance Underwriter performance. in sharia insurance has an important role because he determines whether insurance coverage is acceptable or not
Based on the results of the analysis conducted by researchers on research, there is a role for Underwriters' performance in determining prospective participants in mobilkoe insurance products, namely: improving service quality, applying quality of human resources in performance, risk identification, risk assessment, risk estimation and acceptability, and risk sharing, as well as the obstacles encountered by the Underwriters in determining the prospective participants in mobilkoe insurance products are the availability of incomplete participant data, data on previous participant experience and prospective participants do not provide the desired benefit budget, while the solution is to contact Agent in order to obtain additional information needed by an Underwriter.
Disciplinary measures applied to convicted persons serving imprisonment under the legislation of the Republic of Kazakhstan and their classification
Authors: Sleptsov Igor' 
Published: September 2020

Based on the analysis of the system of penalties provided for by the Penal legislation of the Republic of Kazakhstan, which can be applied to convicts serving imprisonment for violation of the order and conditions of serving a sentence, organizational and legal aspects of their application and taking into account existing theoretical developments, the author of the article attempts to classify them. The author concludes that all penalties provided for by the Penal legislation of the Republic of Kazakhstan, which can currently be applied to convicts serving imprisonment, are of a one-time nature and are not associated with long-term changes in the conditions of convicts’ detention. Their classification was based on the following criteria:
categories of convicts to whom such measures can be applied, i.e. the degree of universality of their application (universal, limited-universal, specific and special penalties);
belonging to a particular branch of law (general, which in addition to penal legislation are provided for in other branches of law, and special penalties applied only to persons deprived of their liberty);
the level of misconduct of a convicted person serving a sentence of imprisonment (penalties applied for a single disciplinary offense; penalties that are a reaction to the continued negative behavior of the convicted person; penalties applied to convicted persons who have committed malicious violations of the established procedure for serving a sentence).
Penguatan Pembukuan Kegiatan Pendanaan Renovasi Rumah Untuk Penanggulangan Rumah Kumuh Di BKM Sasono Mulyo, Keluahan Rejomulyo Semarang
Authors: Durya Ngurah Pandji Mertha Agung , Pratiwi Ririh Dian 
Published: September 2020

Jurnal Penelitian dan Pengabdian ini, dibuat untuk mengidentifikasi permasalahan pengelolaan keuangan CSR dimasyarakat, sekaligus dimaksudkan untuk memperkuat pembukuan yang ada di kegiatan kolaborasi infrastruktur, diwilayah BKM Kelurahan Rejomulyo. Penguatan khususnya pada kegiatan pengembangan dan renovasi RTLH, yang didanai oleh CSR PT SMF. Permasalahan diidentifikasi, selanjutnya dilakukan penguatan, melalui pemahaman kembali konsep-konsep dasar akuntansi. Hal ini penting terkait dengan tansaksi yang yarus dicatat, dan kewajiban untuk melaporkan laporan keuangan. Penguatan diberikan oleh Tim Dosen Pengabdian Masyarakat UDINUS, kepada pemanfaat dana infrastruktur. Dimulai dengan penguatan konsep-konsep pembukuan, selanjutnya diharapkan dapat dioperasionalkan pada kegiatan pembukuannya.Penguatan selanjutnya, merupakan diskusi-diskusi yang diarahkan untuk pembentukan model pembukuan, yang dapat mengantisipasi kebutuhan program maupun masyarakat pemanfaat. Tim selanjutnya memberikan masukan tentang Bagaimana seharusnya pembukuan dapat dilakukan oleh KSM, sehingga dapat terbentuk Laporan Keuangan yang transparan dan akuntabel
PERUBAHAN TRADISI KAMOMOOSE DI KECAMATAN LAKUDO KABUPATEN BUTON TENGAH: 1940-2017
Authors: Fatma Siti , Hasni Hasan Aslim 
Published: September 2020

This study aims to describe: (1) the background of the birth of Kamomoose in Lakudo District, Central Buton Regency (2) the change in the Kamomoose tradition in Lakudo District of Central Buton Regency in 1940-2017. The method used in this study was a historical method with stages of work, namely; (1) Selection of topics, (2) Gathering of sources, (3) Verification of sources, (4) Interpretation of sources, (5) Historiography (history writing). The results showed that: (1) The Kamomoose tradition was born in the District of Lakudo due to the presence of limbo ano gau (outgoing speech) or vows from someone's mouth. The tradition began in the 1940s and has become an annual event to date. This tradition was preserved as local culture, alms for the construction of mosques, as well as a place to strengthen friendship between the people. (2) The implementation of the Kamomoose tradition consisted of several stages. First, the preparation stage, namely the determination of the time and place of implementation, participants who would follow the Kamomoose tradition, and the tools and materials to be used. Second, the implementation phase. But today, there has been a change in the Kamomoose tradition. First, the change in the Kamomoose tradition arena in 1951-2017. Secondly, the change in fosambu (dissipated) material in the Kamomoose tradition in 1970-2017.Third, the change in the process of carrying out the Kamomoose tradition. Fourth, changes in the values ​​and objectives of the Kamomoose tradition in Lakudo District of Central Buton Regency.
Keyword: History, change, tradition, Kamomoose
Physicians’ perspectives on estimating and communicating prognosis in palliative care: a cross-sectional survey
Authors: Engel Marijanne , van der Ark Andrée , van Zuylen Lia , van der Heide Agnes 
Published: September 2020

BackgroundAdvance care planning (ACP) can help to enhance the care of patients with limited life expectancy. Despite physicians’ key role in ACP, the ways in which physicians estimate and communicate prognosis can be improved.AimTo determine how physicians in different care settings self-assess their performance in estimating and communicating prognosis to patients in palliative care, and how they perceive their communication with other physicians about patients’ poor prognosis.Design & settingA survey study was performed among a random sample of GPs, hospital physicians (HPs), and nursing home physicians (NHPs) in the southwest of the Netherlands (n = 2212).MethodA questionnaire was developed that had three versions for GPs, HPs, and NHPs. Each specialism filled in an appropriate version.ResultsA total of 547 physicians participated: 259 GPs, 205 HPs, and 83 NHPs. In the study, 61.1% of physicians indicated being able to adequately estimate whether a patient will die within 1 year, which was associated with use of the Surprise Question (odds ratio [OR] = 1.65, P = 0.042). In the case of a prognosis of <1 year, 75.0% of physicians indicated that they communicate with patients about preferences regarding treatment and care, which was associated with physicians being trained in palliative care (OR = 2.02, P=0.007). In cases where patients with poor prognosis are discharged after hospital admission, 83.4% of HPs indicated that they inform GPs about these patients’ preferences compared with 29.0% of GPs, and 21.7% of NHPs, who indicated that they are usually adequately informed about the preferences.ConclusionThe majority of physicians indicated that they believe they can adequately estimate patients’ limited life expectancy and that they discuss patients’ preferences for care. However, more physicians should be trained in communicating about patients’ poor prognosis and care preferences.
EFEKTIVITAS SEDIAAN GRANUL BUNGA GUMITIR (Tagetes erecta L) SEBAGAI LARVASIDA Aedes aegypti
Authors: Wardani I Gusti Agung Ayu Kusuma , Santoso Puguh , Cahyaningsih Erna 
Published: September 2020

Larvasida nyamuk adalah suatu zat kimiawi yang digunakan untuk membunuh larva nyamuk. Pemberantasan larva nyamuk dengan menggunakan insektisida sintesis menyebabkan efek toksik pada manusia sehingga diperlukan insektisida alternatif yang lebih aman bagi lingkungan, contohnya dengan menggunakan bunga gumitir (Tagetes erceta L.). Penelitian ini bertujuan untuk mengetahui efektivitas sediaan granul dari ekstrak bunga gumitir sebagai larvasida nyamuk Aedes aegypti. Penelitian ini merupakan penelitian eksperimental dengan rancangan randomized control group posttest only design. Pengamatan dihitung pada waktu 1 jam, 3 jam dan 24 jam. Sampel yang digunakan adalah 25 ekor larva Aedes aegypti instar III yang dimasukkan ke dalam lima kelompok perlakuan. Konsentrasi ekstrak bunga gumitir (Tagetes erecta L.) yang digunakan yaitu 3%, 5%, dan 10%. Hasil penelitian menunjukkan bahwa persentase rata-rata kematian larva paling tinggi terdapat pada kelompok perlakuan 2 (kontrol positif) diikuti dengan kelompok 5 yaitu ekstrak konsentrasi 10% dengan jumlah kematian larva sebesar 92% dan 88% secara berturut-turut. Hasil uji LSD menunjukkan bahwa ada perbedaan signifikan antara kelompok kontrol negatif dengan kelompok kontrol positif, ekstrak 3%, 5%, dan 10%. Pada kelompok kontrol positif tidak terdapat perbedaan signifikan dengan kelompok ekstrak 5% dan 10%, dengan nilai signifikansi sebesar 0,418 dan 0,758 (p>0,05). Pada kelompok ekstrak 3% dengan ekstrak 5% dan 10% diperoleh nilai signifikansi sebesar 0,144 dan 0,061. Hal ini menunjukkan bahwa tidak ada perbedaan yang signifikan antar kelompok. Kesimpulan dari penelitian ini adalah ekstrak bunga gumitir dengan konsentrasi 10% adalah konsentrasi yang efektif sebagai larvasida Aedes aegypti.
KADAR ALKOHOL PADA MINUMAN TUAK DESA SANDA KECAMATAN PUPUAN KABUPATEN TABANAN BALI MENGGUNAKAN METODE KROMATOGRAFI GAS
Authors: Aryasa I Wayan Tanjung , Artini Ni Putu Rahayu , Vidika A. Desak Putu Risky , Hendrayana I Made Dwi 
Published: September 2020

Alkohol adalah cairan transparan yang dapat diperoleh dari fermentasi karbohidrat dan ragi, muda menguap, dapat bercampur dengan air, eter atau kloroform.Salah satu minuman beralkohol adalah minuman yang yang pembuatannya masih tradisional adalah tuak. Tuak mengandung alkohol dengan kadar 4%. Konsumsi alkohol memiliki dampak besar dan kompleks pada penyakit kardiovaskular.Alkohol dapat merusak susunan saraf pusat dan menyebabkan ketergantungan atau alkoholisme. Pada kadar yang tinggi melebihi 55% etanol dapat menyebabkan keracunan bahkan kematian.Oleh karena itu perlu dikembangkan metode analisis kandungan alkohol yang sederhana dan selektif serta tidak memerlukan biaya yang mahal saat pengujian serta tidak memerlukan waktu yang lama dalam mendapatkan hasilnya.Dalam penelitian ini dipilih metode kromatografi gas karena dengan metode ini proses analisis dilakukan cepat biasanya dalam hitungan menit, lebih efisien, resolusinya tinggi, sensitif, dapat mendeteksi dalam ukuran ppm (part per million) bahkan ppb (part perbillion). Uji lain yang menunjuang penelitian ini adalah uji kadarkeasaman dan uji organoleptik. Hasil dari kadar etanol pada minuman tuak aren adalah sebagai berikut 4,839%; 5,076%; 5,233%; 5,173%; 4,971%; 4,954% dan 4,927%.Sedangkan untuk nilai pH pada tuak yang berhubungan dengan kadar keasaman diperoleh nilai pH rata-rata sebesar 4. Sedangkan dari hasil uji organoleptik, tuak aren yang paling disukai baik dari segi rasa, warna, dan aroma adalah tuak aren dengan waktu penyimpanan pada hari pertama.