bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rheumatic Heart Disease in school going children: A cross-sectional epidemiological profile of Jajarkot, Nepal
Authors: Regmi Prakash Raj , Shakya Urmila , Adhikaree Ajay , Paudyal Jigyasa Regmi 
Published: November 2019

Background and Aims: Rheumatic Heart Disease (RHD) is the most common heart disease among children and young adults in Nepal. Identifying the prevalence of RHD is important in planning RHD prevention program. There are few studies on RHD conducted among children of unreached population of Nepal. This study aimed to determine the epidemiological status of RHD among school going children living in rural and underdeveloped community of Jajarkot, Nepal.
Methods: This is a cross-sectional study of 6,147 school going children of age group 5 to 16 years from 24 randomly selected schools of Jajarkot in the month of May, 2018. A team of cardiologists from Nepal Heart Foundation examined the children. Diagnosis of RHD was confirmed by echocardiography. Selected socio-demographic data were collected. All positive cases were reviewed by senior cardiologist. Information obtained were analyzed. Frequency and percentage for the categorical data were calculated. Prevalence was reported as cases per thousand school children.
Results: The overall prevalence of RHD was 7.32 per 1000 schoolchildren. Borderline RHD was 1.30 per 1000 and definite RHD 6.02 per 1000. On severity scale, mild RHD was 6.18, moderate RHD 0.81 and severe RHD 0.33 per 1000 respectively. Prevalence of RHD varied with age, sex, ethnicity, and severity. RHD was found higher among males, 10-16 years age group and underprivileged children.
Conclusion: Jajarkot is found to be a RHD endemic zone in Nepal where prevention efforts should be initiated urgently.
Study of clinical profile and outcomes of Percutaneous Coronary Intervention in ST Elevation Myocardial Infraction
Authors: Koirala Parash , Gajurel Ratna Mani , Poudel Chandra Mani , Shrestha Hemant , Devkota Surya , Thapa Sanjeev , Thapa Shovit , Pathak Surya 
Published: November 2019

Background and Aims: Percutaneous Coronary Intervention (PCI) is the preferred method of revascularization in Acute ST Elevation Myocardial Infarction (STEMI). Our aim was to study the clinical profile and outcomes of patients who underwent PCI for STEMI at tertiary cardiac centre of Nepal.
Methods: It is a retrospective, single centre study, performed at Tribhuvan University, Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu, Nepal. All patients who underwent PCI for STEMI from November 2015 to July 2018 were enrolled in this study. All the data were collected from hospital registry and cath lab records.
Results: The Study showed that out of 232 patients who presented with STEMI, 74.5% were male with average age of 57.39 years. The mean time of presentation after onset of symptom/s was 17.5 hours. About 66% patients presented in less than 12 hours of symptoms onset, 21% presented at 12-24 hours of symptoms onset and 13% patients presented late. Primary PCI was done in 87% of patients. Almost all patients (98.2%) underwent coronary artery stenting with drug eluting stents. Multivessel PCI during index procedure was done in 7 patients. TIMI III flow following PCI was achieved in 97% cases. Average LVEF at discharge was 44.73%. There were 8 deaths, all after Primary PCI. In-hospital mortality rates for patients presenting with and without cardiogenic shock were 38.46% and 1.59% respectively. The overall mortality rate was 3.98%.
Conclusion: This study has reemphasized that PCI is effective in the management of STEMI cases in Nepal with improving mortality rates and decreasing complications. Minimizing the delayed presentation after the onset of symptoms should be one of the prime focuses for effective management of STEMI.
Study on the Prospects of Promoting Dhaka Cloth Production in Nepal
Authors: Shrestha Erene 
Published: November 2019

Research Study on the prospects of promoting Dhaka cloth production in Nepal is aimed to explore the present situation and the future prospects of the expansion of Dhaka industry in Nepal. Dhaka cloth is swivel woven through handloom traditional cloth. Its manufacturing is concentrated mainly in Kahtmandu valley, Pokhara and Palpa and in recent years in the hills of eastern Nepal Therathum etc. The research is conducted taking interviews with the owners of Palpali Dhaka Udyog, The rathume Dhaka Udyog Dhaka weaves, Mahaguthi, Dhanakuta sisters entrepreneurs in Kupondole and visiting and interviewing in Gharelu Udyog in Tripureswar and visiting some of the retail shops of Kathmandu valley, where different types of Dhaka are sold from different parts of the countries. A questionnaire is developed to be answered by the retail sellers and another questionnaire was developed by the Dhaka factory owners. The questionnaire include mostly with their production purchases, sales, weaving techniques, yarn used dyeing methods etc. Secondary literature and information are hardly used in this research paper.
Possibilities of prospects for the expansion of exports lie in modernization in certain segment of the sectors to ensure the right quality of fabrics used in the garments extension of technical assistance, training and modern techniques and designs. Dhaka weaves export the products in Norvey, Switzerland, Japan, America etc. In the past, it also used to supply in royal family. There is also a good prospect for selling of efficient manufacturing units in the form of export oriented joint ventures in response to the condisreable opportunities available in dynamic export market. Handloom units of the country substituted by the big mills and factories can be organized and modernized for export oriented handloom cloth production if well planned improvement in loom yarn consumption, methods and designs are made.
The Peculiarities of Oil Displacement in the Process of Oscillating Injection of Polymer Solution into the Bed with Layered Heterogeneity
Authors: Pogrebnyak V. G. , Perkun І. V. 
Published: November 2019

The authors study the filtration flow of polyethylene oxide (PEO) water solutions of molecular weights 4∙106 and 6∙106 within the concentration range from 0 to 0.05% when exposed to an oscillating hydrodynamic field. Photographs characterizing the displacement of oil (with a viscosity of 10 to 50 mPa. s) with PEO water solutions from model porous formations with layered heterogeneity have been obtained. They have made it possible to specify the effectiveness of different oil displacement modes. It is shown that pumping a polymer solution into porous heterogeneous strata, while exposing it to oscillating hydrodynamic field, proved to yield a higher oil displacement ratio, as compared with a stationary oil displacement mode. The authors find out the conditions providing the positive influence on elastic deformations effects in the process of enhanced oil recovery by using polymer solutions. If elastic deformations take place, the filtration flow of polymer solutions should be carried out in the oscillating mode, whereas the frequency of the oscillating effect on the filtration flow should correspond to the dissipative function maximum. The stated results of the polymer solution flow research, under model conditions of a porous bed, have confirmed the nonlinearity mechanism of the polymer solutions filtration flow. In essence, the molecular and macromolecular non-linearity mechanism of the polymer solutions filtration flow means that in a porous medium under the influence of quasi-regular longitudinal velocity gradients, there arise self-sustained oscillations of reversible macromolecular deployment; the deployed macromolecules, in turn, influence the structure of the filtration flow, both on the molecular and macromolecular levels. Deformation oscillations of macromolecules and dissolubility of dynamic macromolecular structures formed under the influence of tensile currents result in the energy dissipation increase and the filtration flow nonlinearity. The nonlinearity of polymer solutions filtration flow ensures the alignment of the frontal advance of the polymer solutions within a porous bed with a layered heterogeneity and, consequently, higher oil displacement efficiency.
The Prospects of Using the Mechanical Activation Method in the Technological Processes of Oil and Gas Production
Authors: Orfanova M. M. 
Published: November 2019

The need to improve the technological processes of raw fuel resources processing, to search for new technologies and to involve oil and gas waste production wastes as anthropogenic resources becomes urgent. The main directions of using the effects of the mechanical activation of substances in the technological processes of oil and gas production are analyzed. A brief description of the method of mechanical activation is provided. The prospect of using the method of mechanical activation to solve the problem of waste disposal is shown. The author analyzes the main directions of mechanical activation influence used for changing the composition and properties of hydrocarbons and considers the possibilities of mechanical activation of a substance as an efficient way for accelerating the mechano-chemical processes that occur in hydrocarbons due to intense mechanical loads. The article generalizes the research results concerning the effect of mechanical activation on changes in the physical-chemical properties of oil, fuel oil, bottoms and sludge. The results of using mechanical activation for the preparation of plug-back mixtures based on silica sand and quartziferous waste are summarized. The laboratory research was carried out at a centrifugal-planetary mill. It is established that under the conditions of mechanical activation of hydrocarbons their destruction occurs. The process of transformations is a chain nature. The areas of mechanical and chemical transformations, change of fraction content in residual fuel oil, bottom products, and natural gasoline have been investigated. It has been established that destruction of hydrocarbon fractions takes place. The author demonstrates that processing modes, time and mechanical loads affect the course of hydrocarbon destruction, and its results depend on the type of substance. The researcher proves that it is promising to use the method of mechanical activation to control the properties of mineral flour obtained on the basis of oil sludge. The results of the research indicate clearly that it is possible to get different volume of the light cuts yield by regulating the modes of hydrocarbons processing. The author shows the possibility of increasing the depth of oil refining, as well as the possibility of obtaining a cement mixture with the addition of up to 30% of mechanically activated quartziferous additive without deteriorating the characteristics of cement stone achieved. The method of mechanical activation is promising for the utilization of the wastes of oil and gas complex, as these wastes can be considered the anthropogenic raw materials.
Hallazgos clínicos y electrocardiográficos en pacientes pediátricos con comunicación interauricular
Authors: Chin Suh Dong , Greco Junior , Romero Fátima , Spinzi Lorena , Real Chantal , Vargas-Peña Milagros , Jarolín Jorge 
Published: November 2019

Introducción: La comunicación interauricular (CIA) es una cardiopatía congénita frecuente, cuyo diagnóstico es difícil en pacientes paucisintomáticos. Sin tratamiento, puede complicarse con insuficiencia cardiaca, arritmias e hipertensión pulmonar. El electrocardiograma puede proporcionar indicios de esta cardiopatía. Objetivo: Describir los hallazgos clínicos y electrocardiográficos de pacientes portadores de CIA. Materiales y Métodos: Trabajo retrospectivo, de pacientes menores de 18 años, evaluados cardiológicamente de enero 2008 a diciembre de 2013. Se describen las variables electrocardiográficas y semiológicas sugestivas de CIA. Resultados: Hubo 77 pacientes con CIA. Los motivos de consulta más frecuentes entre los pacientes con CIA fueron el soplo cardiaco, el síndrome de Down y la disnea. En el examen físico de los pacientes con CIA: soplo sistólico en 69% y R2 desdoblado en 56%. En el electrocardiograma, los pacientes tuvieron QRS de 79 ms, eje eléctrico desviado hacia la derecha, BIRD y notch. Los criterios de sobrecarga ventricular derecha (SVD) más frecuentes fueron la onda S profunda en V6 y la onda R alta en V1. La auscultación de un R2 desdoblado en el examen físico, así como la SVD y el patrón notch fueron los hallazgos más frecuentes en pacientes con CIA. Conclusión: el electrocardiograma constituye una herramienta válida en la evaluación de pacientes con sospecha de CIA pero precisa de la combinación de hallazgos clínicos para llegar al diagnóstico.
Tumores cardíacos de resorte quirúrgico. Serie de Casos
Authors: Garay Nancy , Alvarez Soledad , Melgarejo Marcos , Verón Carlos , Meza Maria Esther , Bellasai José 
Published: November 2019

Introducción: Los tumores cardiacos son infrecuentes en la edad pediátrica, en su mayoría son primarios y benignos (90%), siendo los más frecuentes los Rabdomiomas, Fibromas y Mixomas. Las indicaciones quirúrgicas están relacionadas al efecto hemodinámico o mecánico, arritmias y/o disfunción ventricular que ocasionan, más que a su origen anatomopatológico de benignidad o tamaño tumoral. En los tumores malignos o metastásicos la conducta a seguir la determina el origen primario del tumor, así como el estadio en que se encuentra cada paciente. Objetivos: Presentar la casuística y conducta médica de pacientes con Tumor Cardiaco sometidos a exéresis quirúrgica, así como su evolución inmediata y a mediano plazo. Material y Métodos: Análisis retrospectivo, observacional, mediante la revisión de datos de historias clínicas de niños diagnosticados con tumores cardiacos por ecocardiografía transtorácica. Resultados: En nuestra casuística, 4 de los 5 tumores fueron benignos (80%) y 1 maligno (20%); hubo 100% de coincidencia del hallazgo por Ecocardiografía bidimensional transtorácico de imagen de masa tumoral con el hallazgo quirúrgico; el diagnóstico histopatológico informó Mixoma en 3 casos (60%), 1 paciente (20%) Rabdomioma gigante y 1 paciente (20%) Carcionoma Mucoepidermoide de Timo. Encontramos correlación positiva entre el diagnóstico clínico-imageneológico y los resultados histopatológicos. Discusión: Los tumores cardiacos primarios benignos, tuvieron indicación de exéresis quirúrgica basados en su localización y repercusión hemodinámica obstructiva a las vías de entrada ventriculares. En el caso del carcinoma mucoepidermoide de timo de bajo grado de malignidad, el diagnóstico y resección quirúrgica precoz permitió la exéresis total, no requiriendo terapia adicional. La evolución posoperatoria sin complicaciones a excepción de un caso (20%) que requirió asistencia con ECMO. Todos fueron dados de alta y permanecen asintomáticos y sin regresión tumoral a 5 años del primer caso y 18 del ultimo. La ecocardiografía transtorácica bidimensional continúa siendo un método diagnóstico de elección para estos casos.
Readmission after spinal epidural abscess management in urban populations: a bi-institutional study
Authors: Longo Michael , Pennington Zach , Gelfand Yaroslav , De la Garza Ramos Rafael , Echt Murray , Ahmed A. Karim , Yanamadala Vijay , Sciubba Daniel M. , Yassari Reza 
Published: November 2019

OBJECTIVEThe incidence of spinal epidural abscess (SEA) is rising, yet there are few reports discussing readmission rates or predisposing factors for readmission after treatment. The aims of the present study were to determine the rate of 90-day readmission following medical or surgical treatment of SEA in an urban population, identify patients at increased risk for readmission, and delineate the principal causes of readmission.METHODSNeurosurgery records from two large urban institutions were reviewed to identify patients who were treated for SEA. Patients who died during admission or were discharged to hospice were excluded. Univariate analysis was performed using chi-square and Student t-tests to identify potential predictors of readmission. A multivariate logistic regression model, controlled for age, body mass index, sex, and institution, was used to determine significant predictors of readmission.RESULTSOf 103 patients with identified SEA, 97 met the inclusion criteria. Their mean age was 57.1 years, and 56 patients (57.7%) were male. The all-cause 90-day readmission rate was 37.1%. Infection (sepsis, osteomyelitis, persistent abscess, bacteremia) was the most common cause of readmission, accounting for 36.1% of all readmissions. Neither pretreatment neurological deficit (p = 0.16) nor use of surgical versus medical management (p = 0.33) was significantly associated with readmission. Multivariate analysis identified immunocompromised status (p = 0.036; OR 3.5, 95% CI 1.1–11.5) and hepatic disease (chronic hepatitis or alcohol abuse) (p = 0.033; OR 2.9, 95% CI 1.1–7.7) as positive predictors of 90-day readmission.CONCLUSIONSThe most common indication for readmission was persistent infection. Readmission was unrelated to baseline neurological status or management strategy. However, both hepatic disease and baseline immunosuppression significantly increased the odds of 90-day readmission after SEA treatment. Patients with these conditions may require closer follow-up upon discharge to reduce overall morbidity and hospital costs associated with SEA.
Mekanisme Pengawasan terhadap Lalu Lintas Barang Masuk ( Impor ) dan Barang Keluar ( Ekspor ) pada Kantor Pengawasan dan Pelayanan Bea dan Cukai Type Madya Pabean C Mataram
Authors: Mintasrihardi Mintasrihardi , Rienelda Baiq , Elisyah Elisyah 
Published: November 2019

International Trade is conducted by all countries in the World including Indonesia. Indonesia conducts international trade with export goods import activities. The benefits of doing this activity one of them increase the state revenue. Any export activity of imported goods will result in customs duties. Technically, the importation process involves a lot of interests or parties, be it activities before the goods arrive, the process at the time of the goods arrived, the process of customs clearence, until the goods release process arrived. As good as any system that is used if it is not supported by a clean or professional apparatus plus parties who try to take advantage of existing regulatory weaknesses for personal benefit, of course the system will not be able to run well or even in vain. In this case, effective supervision of customs and customs authorities in carrying out the monitoring tasks of the goods. The purpose of this study is to describe the monitoring mechanisms on the export and import of goods and to determine what factors influence the control of customs.
This research is qualitative research with descriptive approach. In this case the researcher describes the monitoring mechanism to the traffic of export and import goods conducted by Customs and Excise of Mataram. Therefore, researchers conducted observations and interviews then analyzed it with data collection, data reduction, data display, and conclusions.
From the analysis result, it is found that the monitoring mechanism to import export traffic conducted by KPPBC TMP C mataram is in accordance with the rules of invitation begins with gathering information from intelligence, document research, physical inspection, determining the path to goods passing through customs area and reporting supervision results to the center on a regular basis.
HUBUNGAN USIA DAN LAMA KERJA DENGAN RISIKO KELUHAN NYERI PUNGGUNG BAWAH PADA PEMBUAT EMPING TELO DI RINGINHARJO BANTUL DIY TAHUN 2017
Authors: Wydiarti Dyah , Endartiwi Sri Sularsih 
Published: November 2019

Background: One aspect of occupational health is occupational disease, it is a worker risk due to industrial development and labor increase. According to Minister of Manpower and Transmigration Regulation no. Per.01 / MEN / 1981, occupational diseases are caused by a number of factors but some are from work, and lifestyle diseases. The problem that happened in Ringinharjo Village Hamlet from observation on September 26, 2017, obtained 10 respondents who are whole is teling emping maker, got result 80% of respondents have complaints of pain in back area, wrist and shoulder. Â Objective: This study aims to determine the correlation between age and duration of work with risk of low back pain complaints on cassava emping maker in Ringinharjo, Bantul, DIY. Â Methods: This research design is analytic survey study with cross sectional approach. A sample of 30 female teling employs was selected from the total sample. Data were analyzed by Kendall-tau test. Â Result: There is correlation between age ï² = 0.000, duration of work ï² = 0.037 with lower back pain complaints. Â Conclusion: There is a correlation between age and duration of work, with lower back complaints on cassava maker in Ringinharjo Village, Bantul District, Bantul Regency, DIY.
FAKTOR-FAKTOR YANG MEMPENGARUHI PARTISIPASI PRIA DALAM MENGGUNAKAN MOP (METODE OPERASI PRIA) DI DUSUN KRALAS DESA CANDEN KECAMATAN JETIS KABUPATEN BANTUL YOGYAKARTA 2017
Authors: Mariati Titik 
Published: November 2019

Background: Male steady contraception or vasectomy is a method of minor operative contraception in men who are very safe, simple and very effective, take short operative time and do not require general anesthesia. Vasectomy is a clinical procedure to stop male reproductive capacity by performing occlusion of vas deferens, thus inhibiting spermatozoa and no spermatozoa in cement / ejaculation (no delivery of spermatozoa from the testes to the penis). Level of education, Knowledge, perception, and access to services is an important factor in the formation of participation Male participation using MOP (Male Operation Method).Â Until now, direct male participation is still low despite the increase. In Kralas, active participants ofÂ KB MOP in 2017 reached 0.68%.Â Objective: The aim of this stdy is to know the factors of affecting male participation in using MOP (male operation method) in Kralas Canden village Jetis district Bantul regency Yogyakarta.Â Metods: In this research use descriptive qualitative. Sampling studies using saturated sample to obtain the total sample of 47 people.Â Result: The result of chi-square test all variable operation method of man is education level influence with man participation result 0,0019 and p <0,05, knowledge influence with man participation result 0.000 and p <0,05, perception influence with man participation result 0.000 and p <0.05, access to care had an effect on male participation of 0.000 and p <0,05.Â Conclusion: There is a significant influence between the level of education, knowledge, perception, and access to male participation in using MOP (Male Operation Method) in Dusun Kralas Canden Village, Jetis District, Bantul Regency, Yogyakarta.