bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of postprandial distress syndrome in a young patient with the course application of still mineral water “Uvinskaya”
Authors: Shklyaev A. E. , Semenovykh E. A. , Maksimov K. V. 
Published: September 2020

Aim. The purpose of the article is to study the possibilities of MRI diagnosis of postprandial distress syndrome using the drinking test and its correction with mineral water.Materials and methods. Clinical observation is described. Patient A., 24 years old, came to the clinic with symptoms of functional dyspepsia. After a comprehensive examination, the diagnosis of Postprandial Distress Syndrome was established. The capabilities of MRI diagnostics of functional dyspepsia were assessed by drinking test. The study lasted 50 minutes. Scans were performed 5, 13, 20, 35 and 50 minutes after water intake. For the next 4 weeks, the patient ingested the non-carbonated mineral water “Uvinskaya” room temperature 30 minutes before taking a meal of 100 ml in the first 6-7 days, followed by an increase in volume to 200 ml 3 times a day.Results. An MRI study with a drinking test in dynamics showed an increase in the volume of water drunk. When assessing the morphofunctional state of the stomach, differences were revealed at the level of the fundus: before treatment - the wall is tense, after course therapy - relaxed, relaxation accommodation is more pronounced. An acceleration of evacuation of the received water into the duodenum after treatment was also found. The positive dynamics of the state of motor-evacuation function of the stomach is due to the chemical composition of mineral water and the regimen of balneotherapy.Conclusions. Gastric MRI is an informative and safe diagnostic method for Postprandial Distress Syndrome, which allows to evaluate the structural and functional features of the gastroduodenal zone. Drinking test can help in the MRI diagnosis of functional dyspepsia, increasing the information content of the study. The use of drinking mineral waters in postprandial distress syndrome is pathogenetically justified, but requires further research to develop rational balneotherapy regimens.
Peritraumatic distress and perceived mental healthcare needs among residents of a community housing during COVID-19
Authors: Samson Priscilla , Shah Jay Narayan 
Published: September 2020

Introduction: The consequences of lockdown, quarantine, and uncertainties of COVID-19 pandemic has not only caused physical sufferings but affected the mental health of the people around the globe. Peritraumatic distress is a strong predictor of posttraumatic stress disorder that may further lead to depression and suicidal risk. Thus, the aim of this study was to assess peritraumatic distress and perceived mental healthcare needs among the residents of a gated community in Kathmandu Valley.
Method: This was a quantitative online cross-sectional study conducted during June 2020 among adult residents of a gated community in Kathmandu Valley, Nepal. COVID-19 peritraumatic distress index and perceived mental healthcare questionnaire were used to find out peritraumatic distress and mental healthcare needs of the residents. Ethical approval was obtained. Statistical analysis of data was done using SPSS.
Result: A total of 45 residents returned the completed forms. Male were 62.2%, 53.3% belonged to 36 to 55 years and 46.7% had at least one comorbidity. Mild to moderate peritraumatic distress was found among 17.82%. Fisher’s exact test showed no association between age, gender, presence of comorbidity and peritraumatic distress (p > 0.05). Perceived mental healthcare needs were felt by more than 91% of the participants.
Conclusion: One sixth of the participants had mild to moderate level of peritraumatic distress. Almost all the participants felt they have mental healthcare needs. Study highlights the need for counseling for distress and mental health during COVID-19 pandemic.
Huge hemorrhagic ovarian cyst alongside suspected ovarian torsion: a case report
Authors: Sindan Namita , Bhandari Adheesh 
Published: September 2020

An ovarian cyst is usually a relatively large, fluid-filled cystic structure (diameter greater than 3 cm) that originates from the surface or inside the ovary. Ovarian cysts can be simple or complex, depending on their internal material. Hemorrhagic ovarian cysts (HOCs) are commonly seen in clinical practice.
Most of them resolve naturally during follow-up except in a minority of cases in which surgical intervention is needed. Ovarian torsion indicates partial or complete rotation of the ovary and a portion of the fallopian tube along its supplying vascular pedicle. It usually occurs in the reproductive age group, more on the right side (about 60%), and often presents with acute lower abdominal pain lasting for a few hours to 24 hours. It is one of the harmful conditions, hampering blood supply of ovary which may rise to overall necrosis of ovarian tissue and other difficulties, if not identified and managed in time. We present a case of a huge hemorrhagic ovarian cyst managed in the Department of Gynecology and Obstetrics, Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal.
Outcome of Febuxostat treatment in hyperuricemic pre-dialysis chronic kidney disease patients
Authors: Shrestha Dineshowri , Baral Anil , Dahal Kashyap , Shrestha Juju Raj , Hada Rajani 
Published: September 2020

Introduction: Hyperuricemia is a cause and effect of chronic kidney disease (CKD), accelerates its progression and predisposes to acute kidney injury. Present study aimed to find out the outcome of Febuxostat treatment in hyperuricemic pre-dialysis CKD patients.
Method: This was a cross sectional study conducted in Nephrology department, Bir hospital, Nepal, during from February 2019 to January 2020, among pre-dialysis CKD stage 3-5 non dialysis (ND) patients with serum uric acid (SUA) >7 mg/d L who were treated with Febuxostat 40 mg once a day and followed up at one, two and three months. The baseline SUA, creatinine, estimated glomerular filtration rate (eGFR) calculated by the modification of diet in renal disease (MDRD) equation compared with values at follow up and according to CKD stages. The adverse effects and liver enzymes were recorded.
Result: There were total 50 patients, mean age 54.2±16.5 years, male 31 (62%).There were significant reductions of SUA from baseline of 8.9±1.4to 7.1±1.2 vs 5.9±0.9 vs 4.7±1.0) at one, two and three month respectively, p=0.000 and increment of eGFR (ml/min/1.73m2) from 29.6±15.0 to 31.6±16.0, 33.6±16.6, 34.1±17.1, p=0.000.And 41 (82%) patients achieved uric acid < 6 mg/dl at three month. Significant reduction of uric acid in all CKD stages and increment of eGFR in CKD stage 3 and 4 were observed. Adverse effects were epigastralgia in 5 (10%) and joint pain in 13 (26%).
Conclusion: Febuxostat is an effective serum uric acid lowering drug in pre-dialysis chronic kidney disease patients with improvement of kidney function.
Necrotizing enterocolitis: clinical characteristics and outcome of a cohort of 106 cases at a children’s hospital in North China
Authors: Rong Li Hui , Yao Si Xi , Shah Jay Narayan , Yong Jiao Fu 
Published: September 2020

Introduction: Necrotizing enterocolitis (NEC) in neonates, especially in the preterm, is a life-threatening condition. This study aims to analyze the clinical profile of NEC to get an insight for better understanding and management.
Method: This was a retrospective analysis of neonatal NEC during the six-year period from 2014 to 2019. The prevalence and time for the development of NEC, clinical profile (term and preterm, low birth weight, gender, breast and formula feeding, abdominal distension, vomiting, hematochezia, apnea, fever, altered mental status, blood transfusion, breast or formula-fed, intestinal perforation, Bell’s stage and time for the development of NEC) and maternal factors (gestational hypertension, diabetes, premature rupture of membranes PROM, intrauterine fetal distress, placenta previa) were analyzed. Features in preterm and term neonates were compared. Ethical approval was obtained.
Result: There were 106 NEC (0.87% of 12,184 neonatal admissions), 62 (58.49%) male, 90 (84.91%) preterm, and 85 (80.19%) LBW. Overall, 88 (83.02%) were Bell’s stage II, and severe stage III was seen in eight (19.04%) out of 42 babies with formula feeding as compared to one (1.56%) out of 64 in breastfeeding. The median time for the development of NEC was 6 days of life. The yearly prevalence of NEC per thousand neonates admitted during 6-years increased from 2.90 in 2014 to 12.06 in 2019. Overall mortality was 14 (13.20%).
Conclusion: The yearly incidence of NEC increased with a higher incidence in preterm, in low birth weight and formula-fed neonates.
Knowledge and utilization of preconception care among women in selected community of Kathmandu
Authors: Khanal Laxmi Devi 
Published: September 2020

Introduction: Preconception care is a critical component of maternal and child health care services to reduce adverse outcomes of pregnancy and to improve desired health outcomes for women, new-born, and children by focusing on health promotion, screening, and interventions. This study aimed to find out the knowledge and utilization of preconception care among women.
Method: A cross-sectional design was carried out among women. Non-probability purposive sampling technique was adopted to select married women of reproductive age in Tokha municipality-10, Kathmandu. Data was collected using face-to-face structured interview. Descriptive and inferential statistics were used to analyze the data. Association among variables was measured by Kruskal–Wallis H test.
Result: More than half of the 200 women surveyed, 133 (66.5%) had average level of knowledge and 61 (30.5%) adequate and 6 (3%) inadequate level of knowledge regarding preconception care. Similarly, 196 (98%) had low utilization and 4 (2%) had high utilization level. There was statistically significant association between educational level of respondents with the level of knowledge (p=0.05) and their husband’s educational level (p=0.00). There was no significant association with age, type of family, occupation, monthly family income, number of pregnancy, history of abortion/still birth and age at first pregnancy.
Conclusion: This study shows more than half of respondents had an average level of knowledge about preconception care whereas only 2% had high level of utilization of care.
Ethical Issues in Suicide Research
Authors: Mozaffor M , Nurunnabi ASM , Shahriah S 
Published: September 2020

Introduction: Quality research is needed in order to better understand, appropriately respond to, and reduce the incidence of suicide, which must be ethically sound as well. However, in South Asian region, there is a lack of knowledge and clarity around the nature of ethical problems related to suicide research and how to resolve them. This review work aims to describe the possible ethical problems and how to ensure ethical practice in different types of suicide research, especially involving groups of people who are or who have been suicidal.
Material And Method: This review was prepared through an extensive searching of published articles in 3 databases - Google, HINARI and PubMed. However, some institutional guidelines were also taken into considerations. Key words used for searching were ‘suicide’, ‘suicidal’, ‘ethics’, ‘ethical issues’ and ‘ethical research’. A total of 18 journal articles and 3 guidelines were finally selected for this review.
Results: Major concerns or ethical issues are accessing the population, potential harm to participants or the researcher, researchers’ competency, securing trust and confidence, maintaining confidentiality, providing support to the participants, and responding sensitively to the needs of the family involved.
Conclusion: Ethical research on suicide, especially involving people with suicidal ideation requires both procedures to protect the study participants, and consideration of ethical dilemmas (before, during and after research) as an ongoing negotiated process. The findings of this research provide a collection and compilation of views held by number of researchers, bioethicists, ethics committee members as well as institutions.
Alcohol Induced Psychotic Disorder: Prevalence and Risk Factors
Authors: Singh PM , Karmacharya S , Khadka S , Gautam Sc , Joshi N 
Published: September 2020

Introduction: Alcohol is a potent drug that can produce serious psychiatric symptoms including psychosis. It is believed that approximately 3% of alcoholic persons experience auditory hallucinations or paranoid delusions in the context of heavy drinking or withdrawal. Across Nepal, alcohol use varies widely and alcohol dependence is an increasing problem. So this study aims to provide information regarding prevalence and risk factors of Alcohol Induced Psychotic Disorder in context of Nepal.
Material And Method: A hosiptal-based cross- sectional study was carried out among 37 patients admitted in psychiatric inpatient ward at Nepal Medical College Teaching Hospital, Kathmandu with the diagnosis of AIPD from the period of Magh 2075 to Poush 2076. Semi-structured proforma developed by department of Psychiatry was used to collect socio- demographic data. The consent was taken from the patients and caregivers and strict inclusion and exclusion criteria were applied. Diagnosis was based on ICD-10 DCR criteria and the collected data was analyzed with SPSS.
Results: There were total 37 patients (29 males and 8 females) admitted with the diagnosis of AIPD and the prevalence of AIPD in our study was 6.19%. Among them majority of the patients (35.1%) were of age group (41-50) years and more than half were from rural areas (64.9%). Nearly half of the patients were educated upto primary level (45.9%) and (35.1%) were farmer by occupation. Also Hindus (56.8%) were found to be more associated with AIPD than Buddhist or Christian.
Conclusion: The findings of this study concluded that alcohol is a substantial problem in Nepal. The efforts should be used to increase public awareness about the problems associated with alcohol.
Attitude of Senior Secondary Level Students towards Mental Illness
Authors: Nepal S , Rayamajhi A , Shrestha M. , Aryal N 
Published: September 2020

Introduction: Mental disorders are recognized as a major contributor (12%) to the global burden of disease and are among the most stigmatizing conditions worldwide. The lack of awareness is very evident in Nepal. In this study, we aimed to learn about the attitude of senior secondary level students towards mental illness.
Material And Method: Descriptive cross-sectional study was conducted amongst senior secondary level students to investigate about their attitude towards mental illness. We recruited a sample of 138 students from classes 11 and 12 from a conveniently sampled school of Dharan Sub-metropolitan. Semi-structured questionnaire was used to elicit the information.
Results: Our study group consisted of 53.6% females while 46.4% were males. Equal numbers of students were sampled from each grades with their ages ranging from 14-18 years. The mean for total of BMI scale was 52 and the standard deviation was observed to be 12.810. The T-tests revealed males had more negative attitude than the female students which was statistically significant with a p value of 0.048. Our study revealed that there was a significant negative correlation between the attitude scores and the grade the respondents were studying and also between the gender of the respondent, father’s and mother’s education level and in students having a family member or neighbor suffer from mental illness.
Conclusion: Most of the students in the senior secondary level were found to have negative attitudes towards mental illness though no any variables were found to be contributing towards such perceptions from our research.
Awareness Regarding Attention Deficit Hyperactivity Disorder Among Teachers of Selected Schools in Municipality of Rupandehi
Authors: Bhattarai S , Bhusal CK , Jaishi AB 
Published: September 2020

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a chronic condition that affects millions of children and often continues into adulthood which includes a combination of persistent problems such as difficulty sustaining attention, hyperactivity and impulsive behavior. The aim of the study was to find out teachers awareness regarding ADHD.
Material And Method: Descriptive cross-sectional study was used to find out awareness regarding ADHD among 77 teachers. Three private school were selected using simple random sampling technique, among them seventy seven primary school teachers were selected as a study sample by using enumerative method. Data was collected by pretested self-administered semi-structured questionnaire and the collected data was analyzed by using descriptive and inferential statistics with Statistical Package for Social Sciences (SPSS) Software version 20.
Results: Ninety three percent of respondents had awareness that attention deficit hyperactivity disorder (ADHD) vary from person to person, 59.74% of respondents knew child with ADHD has a lower intelligence quotient than normal children. Sixty one percent of respondents had awareness that prolonged emotional disturbances as a risk factor of ADHD, 59.74% of the respondents had awareness that can't sit for long period to pay attention as symptom of ADHD and 64.94% of the respondents had awareness regarding teachers are the effective person for training of ADHD. Majority of the respondents had low awareness (55.84%) regarding ADHD. There was statistically significant association between awareness level regarding attention deficit hyperactivity disorder and years of teaching experience (p=0.043).
Conclusion: It is concluded that awareness regarding ADHD is inadequate among teachers. Respondents had low awareness regarding management and risk factors of ADHD. Hence concerned authority should focus on organizing awareness programme on ADHD to school teachers.
DEVELOPMENT TRAINING EMPLOYERS' GROUP BAMBOO
Authors: Siti Khadijah Hidayati Nasution  , Sinar Indra Kesuma  , Suzanna Fitriany Sitepu  
Published: September 2020

Bamboo craft employers' group (Mr. Gunawan and Irwansyah), both located in the Village of West Rambung, District of South Binjai, Binjai. Both drying bamboo by using sunlight so that the quality is low if production during bad weather or rain, employers also do not yet know how to control the quality of the end product of bamboo, not knowing about the Patent/IPR, has not been able to make bookkeeping, and difficulty getting bamboo. Therefore, a team of lecturer from the Department of Agribusiness and Agroecotechnologi USU nurture small businesses through service activities: manufacture Oven Dryer, technology training drying bamboo by using Oven Dryer, training Quality Circles, training on Patent and IPR, making training books, and training Aquaculture Bamboo. The result: the entrepreneur has been able to use the oven dryer to dry the bamboo, to understand how to control the quality of the final product bamboo, know about the patent and intellectual property rights, are able to make bookkeeping, and know the techniques of bamboo cultivation right and can produce bamboo production / productivity and a high quality and sustainable. With the completion of this activity, both partners can develop their business and ultimately increase revenue. Outputs training: Oven Dryer, appropriate technology module bamboo drying, and appropriate technology module bamboo cultivation.
PENGEMBANGAN USAHA MIKRO KECIL DAN MENENGAH (UMKM) KERAJINAN MENJAHIT DAN BORDIR DI KECAMATAN MEDAN AREA KOTA MEDAN
Authors: Prihatin Lumbanraja  , Arlina Nurbaity Lubis  , Sitti Raha Agoes Salim  
Published: September 2020

Kegiatan pengabdian pada masyarakat ini bertujuan untuk mengembangkan usaha mikro dalam upaya peningkatan daya saing usaha untuk menggerakkan roda perekonomian Indonesia.Dalam kegiatan ini, pengabdian ditujukan kepada kelompok usaha kreatif yang bergerak dalam usaha pembordiran dan penjahit pakaian.Situasi saat ini menunjukkan bahwa pengaplikasiakn konsep-konsep manajemen, khususnya manajemen usaha, pemasaran, serta penenuan harga masih belum sesuai dari kondisi ideal.Situasi ini memberikan peluang optimalisasi kegiatan usaha jika UMKM berhasil dibina dengan baik.
Kegiatan pengabdian dilakukan dalam bentuk sumbangan mesin jahit serta material lainnya yang ditujukan untuk peningkatan produksi dan pelatihan keterampilan pengusaha UMKM anggota kelompok mitra. Pelatih didatangkan secara berkala untuk meningkatkan keterampilan pengusaha yang nantinya akan membantu anggota UMKM lainnya. Penyuluhan diberikan agar pengusaha lebih memahami konsep dan pengaplikasian manajemen dalam kegiatan usaha.Pendampingan diberikan agar penyerapan dan perubahan sikap menjadi lebih optimal.Evaluasi dilakukan untuk melihat perkembangan pengelola UMKM setelah menerika rangkaian kegiatan pengabdian.
Hasil yang diperoleh setelah menyelesaikan rangkaian kegiatan pengabdian tergolong memuaskan.Mitra mengalami perubahan mendasar dari berbagai aspek dan menjadi lebih baik dalam mengelola usaha.
PERTUMBUHAN Rhizophora stylosa PADA TAMBAK SILVOFISHERY DI DESA TANJUNG REJO KECAMATAN PERCUT SEI TUAN KABUPATEN DELI SERDANG
Authors: Delvian  , Ridahati Rambe  , Edy Batara Mulya Siregar  
Published: September 2020

Ekosistem hutan mangrove mempunyai manfaat ekonomi dan ekologi yang sangat besar namun keberadaannya terancam dengan kegiatan pembangunan tambak yang terus bertambah. Pengembangan tambak dengan sistem silvofishery diharapkan dapat mempertahankan fungsi ekologi hutan mangrove tanpa mengabaikan kepentingan ekonomi bagi masyarakat di wilayah pesisir. Kegiatan ini bertujuan untuk mengetahui pertumbuhan R. stylosa yang ditanam pada lahan tambak milik masyarakat. Lahan tambak digunakan untuk budidaya kepiting dan ikan nila. Variabel amatan berupa pertambahan tinggi dan diameter tanaman R. stylosa pada kedua lahan tambak tersebut. Hasil pengukuran menunjukkan bahwa pertambahan tinggi dan diameter R. stylosa pada lahan tambak kepiting lebih baik dibandingkan dengan lahan tambak ikan nila.
THE LAW EDUCATION AND MAKING THE BIRTH CERTIFICATE AS PROTECTION FORM FOR THE CHILDREN
Authors: Marlina  , Mahmud Mulyadi  
Published: September 2020

The birth of a child is a gift and the happiness of parents. The birth is an important event in population administration. Each child must get clear and correct self identity. Birth certificate is an identity form of a child that needs to do by parents as a protection form for the child. The parents’ understanding about birth certificate is still lacking especially in partner village. The condition creates an idea to do a law education and accompaniment to make birth certificate with involves the role of village official, provision districts and related agencies.
The used method is delivered the material by tutorial lecture to the society by bringing Department of population and civil registration in making birth certificate by involving village official, provision districts and society to find the policy form to protect child with clear and correct self identity. The next stage is accompaniment in making birth certificate and cooperation all materials to the ownership of child as a protection for the children.
The result of service shows creating an understanding of partner society in the ownership of birth certificate and the protection form of the child status and the marriage status, and the fulfillment of other requirement in making certificate as the guide book. The result of accompaniment and cooperation in Department of population and civil registration succeed to publish 61 marriage certificate from 67 couples which presents with 2 witnesses when notes in Department of population and civil registration from 123 application marriage certificate submitted. Next form the marriage certificate submitted to publish of birth certificate. The birth certificate which succeeds to be published 107 birth certificate from 162 application birth certificate submitted by society. The failure of submitted certificate because the lack of data, lack of requirement, the discrepancy data, and published the birth certificate.