bluuebunny/crossref_metadata_2025_split huggingface dataset:
Coronary Artery Disease prevalence in Heart Failure with Reduced Ejection Fraction
Authors: Najmy Shaneez , Paudel Rajan , Adhikari Ajay , Manandhar Reeju , Adhikari Chandra Mani , Sah Ram Kishor , Malla Rabi , Maskey Arun , Sharma Deewakar , Rajbhandari Sujeeb 
Published: November 2019

Background and Aims: Even though heart failure (HF) is a major global health problem, studies on the prevalence and etiology of HF in Nepal are scant. Coronary artery disease (CAD) has been reported to be the etiology in 18% of HF presentations to the emergency department of a tertiary cardiac center in Nepal1. Present study evaluated the prevalence and characteristics of CAD in HF with reduced ejection fraction (HFrEF) with coronary angiography (CAG).
Methods: In a prospective, observational study, conducted from June 2018 to May 2019, 95 patients with HFrEF undergoing CAG, at Shahid Gangalal National Heart Centre, were evaluated.
Results: The mean age of the patients was 62.7±10.1 years, with 67% males. Obstructive CAD was present in 31(33%) with 48%, 39% and 13% having triple (TVD), single (SVD) and double vessel disease (DVD) respectively. Age ≥ 65 years, smokers, dyslipidemia, obesity, angina, indexed left ventricular end diastolic volume (iEDV), indexed LV systolic diameter (iLVIDs) and regional wall motion abnormality (RWMA) on echocardiography were predictors of CAD, among only which, smoking was the independent predictor of CAD.
Conclusion: Our results suggest a lower prevalence of CAD in HFrEF than previously reported from developed countries, which may be due to a systematic angiography approach and exclusion of previous coronary events. We encourage clinicians to aggressively identify this co-morbidity as it has important treatment and prognostic implementations.
Mortality patterns of adolescent and youth in SAARC countries: Findings from the global burden of disease
Authors: Sedain Bhagabati 
Published: November 2019

Adolescence and youth are the healthiest period of life. Despite being a healthy period of life, the people of this age group also suffer significantly higher deaths and disease conditions. This paper analyzes level, trend of all causes mortality and causes of mortality among population aged 10-24 years. Datasets on population aged 10-24 years; number of deaths and cause-specific mortality were obtained from the Global Health Data Exchange platform (GHDx) of the Institute of Health Metrics and Evaluation. This paper utilized broad causes of mortality and the variables: number and death rates for the years 2000, 2005, 2010 and 2015.
The estimated number of deaths for aged 10-24 years in SAARC countries is 640,000. About 80% of the deaths occurred in Afghanistan and India. Maldives has the lowest mortality rate. In Bangladesh, India, Nepal and Pakistan, the combination of injuries and non-communicable diseases are the major causes of deaths whereas in Afghanistan, Maldives and Sri Lanka, injuries. Majority of female population in all countries died from communicable, maternal, neonatal, causes. In addition to those causes, natural disaster, war also significantly attributed to adolescent and youth mortality in SAARC region. Overall SAARC region data shows that adolescent and youth death rate has declined between 2000 and 2015. There should be regional priorities for the prevention of adolescent and youth deaths recognizing these causes of deaths. Since these findings are based on GBD estimates, there is an urgent need for new evidence based research to examine the validity.
Comparative Study of Newar And Japanese Classifiers
Authors: Shrestha Arun 
Published: November 2019

This paper compares and contrasts the numeral classifier systems of two genetically unrelated languages: Newar of Kathmandu and “Hyoujungo”, Japanese spoken in Tokyo, the defacto official language of Japan. It is not the case either in Newar or in Japanese that nouns in general can be directly quantified by a number. For example, in Newar one cannot say*ni che two house ‘Two houses” for ‘two houses’. Rather, one must say ni-khache ‘two-CL house” Two houses” .The noun che ‘house’ requires that the numeral classifier -kha be affixed to numerals used for counting houses. One might say that che ‘house’ is not conceived of as a separate countable entity. Only when the unit -kha ‘CL’ is suffixed to the number do we have a countable entity. Numeral classifiers: The choice of noun determines the choice of classifier both in Newari and in Japanese. By looking at the nouns associated with a given classifier it is possible to identify the way in which a noun selects its classifier. In Newar there are three different ways in which nouns select their classifiers (1) according to semantic parameters (as when sentient nouns select the classifier -mha, (2) by unique lexical collocation (as when che ‘house’ selects -kha ‘CL’) and (3) by full or partial reduplication (as when ha: ‘leaf’ selects thehead noun ha: itself, where as salakhwa: ‘horse’s hoof’ selects -khwa:, only thelatter portion of the head noun (Hale 2005).These modes can be taken as the basis for a three-term typology of classifier selection: (1) semantic selection, (2) lexical selection, and (3)morphological selection. This paper provides a detailed comparison of Newar and Japanese classifiers within each of these three types of selection. Though all three types are attested in each language, there are mutual counterparts and skewing between the two languages.
Stress Concentration in the Casing when Cutting Holes for the Sidetracks
Authors: Kryzhanivskyy Ye. I. , Chornopyskyy D. G. , Paliichuk І. I. 
Published: November 2019

Directional drilling of complementary holes in a cased well is an effective method of restoring decommissioned, emergency and abandoned wells. It enables the possibility to save on drilling new oil and gas wells. Today, sidetracking is considered to be the most efficient technology which makes use of milling casing window. Cutting into the column wall is a very important process. The milling cutter makes a slot-like hole in it due to the force response of the wedge deflection device in the casing. The upper part of the hole becomes elliptical with a smooth contour due to the small angle of the wedge during the axial moving of the tool. At the same time, the lower edge of the hole is straight and forms right angles with its side edges. The vertices of these angles create a stress concentration in the wall, weakened by the hole, under the condition that a significant tensile force of its own weight acts on the casing. These stresses reach their maximum values in those pipe cross-sections where the window width becomes maximum (design), and their area is the smallest one. The topicality and novelty of the solved problem lie in studying the stress-deformed state of the casing pipe under tension while cutting a window, close to a rectangular shape, in its wall, as well as in calculating the maximum stresses that arise around the right angles of the hole. These solutions make it possible to specify stress concentration factors depending on the geometrical parameters of the hole, and thereby ensure the development of engineering methods for designing a trouble-free process for window cutting in casing pipes. The operating results are as follows: a developed mathematical model of a nonaxisymmetric stress state that occurs during tension-compression of a cylindrical shell with rectangular holes, for which the analytical methods of calculating the stress-strain state of non-thin shells with non-canonical stress concentrators have been used, and theoretical and experimental studies of the stress concentration in the walls of this shell.
Characteristics of false-positive alerts on transcranial motor evoked potential monitoring during pediatric scoliosis and adult spinal deformity surgery: an “anesthetic fade” phenomenon
Authors: Ushirozako Hiroki , Yoshida Go , Hasegawa Tomohiko , Yamato Yu , Yasuda Tatsuya , Banno Tomohiro , Arima Hideyuki , Oe Shin , Yamada Tomohiro , Ide Koichiro , Watanabe Yuh , Kurita Tadayoshi , Matsuyama Yukihiro 
Published: November 2019

OBJECTIVETranscranial motor evoked potential (TcMEP) monitoring may be valuable for predicting postoperative neurological complications with a high sensitivity and specificity, but one of the most frequent problems is the high false-positive rate. The purpose of this study was to clarify the differences in the risk factors for false-positive TcMEP alerts seen when performing surgery in patients with pediatric scoliosis and adult spinal deformity and to identify a method to reduce the false-positive rate.METHODSThe authors retrospectively analyzed 393 patients (282 adult and 111 pediatric patients) who underwent TcMEP monitoring while under total intravenous anesthesia during spinal deformity surgery. They defined their cutoff (alert) point as a final TcMEP amplitude of ≤ 30% of the baseline amplitude. Patients with false-positive alerts were classified into one of two groups: a group with pediatric scoliosis and a group with adult spinal deformity.RESULTSThere were 14 cases of false-positive alerts (13%) during pediatric scoliosis surgery and 62 cases of false-positive alerts (22%) during adult spinal deformity surgery. Compared to the true-negative cases during adult spinal deformity surgery, the false-positive cases had a significantly longer duration of surgery and greater estimated blood loss (both p < 0.001). Compared to the true-negative cases during pediatric scoliosis surgery, the false-positive cases had received a significantly higher total fentanyl dose and a higher mean propofol dose (0.75 ± 0.32 mg vs 0.51 ± 0.18 mg [p = 0.014] and 5.6 ± 0.8 mg/kg/hr vs 5.0 ± 0.7 mg/kg/hr [p = 0.009], respectively). A multivariate logistic regression analysis revealed that the duration of surgery (1-hour difference: OR 1.701; 95% CI 1.364–2.120; p < 0.001) was independently associated with false-positive alerts during adult spinal deformity surgery. A multivariate logistic regression analysis revealed that the mean propofol dose (1-mg/kg/hr difference: OR 3.117; 95% CI 1.196–8.123; p = 0.020), the total fentanyl dose (0.05-mg difference; OR 1.270; 95% CI 1.078–1.497; p = 0.004), and the duration of surgery (1-hour difference: OR 2.685; 95% CI 1.131–6.377; p = 0.025) were independently associated with false-positive alerts during pediatric scoliosis surgery.CONCLUSIONSLonger duration of surgery and greater blood loss are more likely to result in false-positive alerts during adult spinal deformity surgery. In particular, anesthetic doses were associated with false-positive TcMEP alerts during pediatric scoliosis surgery. The authors believe that false-positive alerts during pediatric scoliosis surgery, in particular, are caused by “anesthetic fade.”
Efektifitas Pelayanan Penjualan Tiket Penyeberangan Dari Bangsal Menuju Tiga Gili
Authors: Mardiah Mardiah , Rienelda Baiq , Juniati Emi 
Published: November 2019

This study aims to determine the effectiveness of crossing ticket sales services from Bangsal to three Gili and to find out what factors hinder the service from Bangsal to the three Gilis. The problems in this study are (a) how the effectiveness of crossing ticket sales services from Ward to three Gilis and (b) any factors that hinder the service of ticket sales attacks from Bangsal to three Gili.
The method used in this study is a qualitative research method with observation techniques, interview techniques and documentation techniques. Data in this study were obtained from primary data, namely data obtained directly from the object of research and secondary data, namely data obtained indirectly. Data collection through these two sources to obtain data on effectiveness and service inhibiting factors.
The results of this study can be concluded that the effectiveness of crossing ticket sales service from Ward to three Gilis has been said to be quite effective as seen from public service supporting indicators, namely reliability, tangibles, responsiveness and assurance.
Strategi Promosi Pariwisata Di Dinas Pariwisata Provinsi Nusa Tenggara Barat (Studi Kasus Promosi Pariwisata Pasca Gempa Bumi di Pulau Lombok Tahun 2018)
Authors: Diah Mar , Adha Rishan , Niawan Kur 
Published: November 2019

This study aims to find out how tourism promotion strategies and inhibiting factors for tourism promotion in the NTB Province Tourism Office after the earthquake earth on the island of Lombok in 2018. The method used in this study is a descriptive qualitative method with speakers from NTB Province Tourism Office employees. Technical data were collected by observation, interview, and documentation techniques. Technical data analysis used includes data collection, data reduction, data presentation and then drawing conclusions.
The results of the study show that the tourism promotion strategy at the NTB Province Tourism Office uses strategies through the promotion mix, namely advertising, personal sales, public relations and direct marketing. Factors inhibiting tourism promotion at the NTB Province Tourism Office consist of internal factors and external factors.
Dampak Bullying Terhadap Perilaku Remaja (Studi pada SMKN 5 Mataram)
Authors: Hardi Mintasri , Kharis Abdul , Aini Nur' 
Published: November 2019

This research was conducted due to the spread of bullying phenomenon among adolescents. This research aims to find how the impact of bullying on adolescent behaviour. and how schools overcome the impact of bullying in the school environment.
This research type was descriptive qualitative research. The informants of the study consisted of 35 students, 2 homeroom teachers, and 2 counselor teachers of SMKN 5 Mataram. Data collection methods used are observation, interviews, and documentation. Analysis of data used is to data reduction, data display, and data conclusions and verification. To measure the validity of the data of this study using resource triangulation.
The results showed that the impact of bullying on the behavior of victims caused victims to fear and withdraw from the social environment, just let it go, and made bullying as a driver to be better than before, also students who became victims against the students who bullied him is the emergence of feelings of guilt and regret in the offender. The way schools to overcome the effects of bullying in the school environment is by giving suggestions and motivation to the perpetrators and victims of bullying.
Peran Wanita Pedagang Dalam Meningkatkan Pendapatan Keluarga (Studi Kasus Wanita Pedagang Sayur Di Desa Midang Kecamatan Gunungsari Kabupaten Lombok Barat)
Authors: Selva Selva , Syahida Nidya Putri , Anita Anita 
Published: November 2019

Abstrak: Penelitian ini bertujuan untuk mengetahui bagaimana peran wanita pedagang dalam meningkatkan pendapatan keluarga di Desa Midang Kecamatan Gunungsari Kabupaten Lombok Barat. Metode yang digunakan dalam penelitian ini adalah metode kualitatif deskriptif dengan narasumber para wanita pedagang sayur yang ada di Desa Midang. Pengumpulan data dilakukan dengan metode observasi, wawancara dan dokumentasi. Teknis analisis data yang digunakan meliputi pengumpulan data, reduksi data, penyajian data kemudian penarikan kesimpulan.
Berdasarkan hasil penelitian dan pembahasan pada kegiatan penelitian ini, maka dapat disimpulkan bahwa peran wanita pedagang dalam meningkatkan pendapatan keluarga di Desa Midang bertujuan untuk membantu menambah penghasilan suami dan memberikan dampak yang besar dalam pemenuhan kebutuhan sehari-hari, seperti kebutuhan makan, biaya pendidikan dan kebutuhan rumah tangga lainnya. Namun dampak lainnya yang dirasakan oleh para pedagang, yaitu beban psikologis seperti perasaan lelah dan jenuh. Upaya wanita dalam manjalankan peran sebagai istri, ibu rumah tangga dan juga sebagai wanita bekerja, para pedagang sayur tidak melepaskan tanggung jawabnya terhadap perannya dalam keluarga. Kegiatan bekerja sebagai pedagang dilakukan setelah mereka menyelesaikan aktifitas rumah tangganya.
Abstract
This study aims to determine how the role of femaleworkers on increasing family income in the Midang Village, Gunungsari District, West Lombok Regency. The method used in this study is a descriptive qualitative method with resource persons from the vegetable workers in the Midang Village. Data collection is done by the method of observation, interviews and documentation. Technical data analysis used includes data collection, data reduction, data presentation and then drawing conclusions.
Based on the results of the research and discussion in this research activity, it can be concluded that the role of femaleworkers in increasing family income in the Midang Village aims to help increase husband's income and have a large impact on fulfilling daily needs, such as food needs, education costs and needs other households. But other impacts felt by traders, namely psychological burden such as feeling tired and saturated. The efforts of female on carrying out their roles as wives, housewives and also as working female, vegetable workers do not give up their responsibility for their role in the family. The activity of working as a trader is done after they complete their household activities.
MOTIVASI GAYA KEPEMIMPINAN DAN KOMITMEN ORGANISASI BERHUBUNGAN ERAT DENGAN KEPUASAN KERJA PERAWAT DI RUMAH SAKIT BHAYANGKARA POLDA D.I YOGYAKARTA
Authors: Supriyadi Supriyadi , Komarudin Sendy , Hartiningsih Sri Nur 
Published: November 2019

Background: The quality of hospital services is strongly influenced by several factors, among which the most dominant factor is human resources. Human resources are the key to the success and success of the organization. Human resources related to the provision of health services in hospitals are nurses. managing human resources is not an easy thing because it involves many important factors that must be considered, one of which is the factor of job satisfaction. There are several indicators that must be considered by the hospital, one of which is to pay attention to the level of job satisfaction nurse (Simamora, 2012). Â Â Objective: This study aims to determine the relationship of motivation leadership style and organizational commitment with job satisfaction Nurse at Bhayangkara Hospital POLDA D.I. Yogyakarta. Â Â Methods: The research design used in this research is descriptive correlation research with cross sectional approach. Sampling technique with total sampling. Pupulation in this research is nurse counted 33 people. Bivariate statistical test using kendal tau while multivariate test using multiple linear regression with significant level 95%. Â Â Result: Result of research got all variable that is motivation, leadership style, and organizational commitment influence nurse job satisfaction with p value 0.001, 0.003, 0.000 (p<0.05). Multivariate test obtained value of R 0.662 means the relationship between motivation, leadership style and organizational commitment with job satisfaction is strong. Â Conclusion: there is a relationship between motivation, leadership style and organizational commitment with job satisfaction
PENGARUH TERAPI ASMAUL HUSNA DENGAN KOMBINASI SLOW DEEP BREATHING TERHADAP TINGKAT KECEMASAN MENGHADAPI KEMATIAN PADA LANJUT USIA DI POSYANDU LANSIA DUSUN KERTO KIDUL PLERET BANTUL YOGYAKARTA
Authors: Hakim Nasrul , Savitri Peggy Yolanda 
Published: November 2019

Background: Elderly people spend much time to think about death compared to individuals who are still young. Pondering and planning death are normal parts of the life of the elderly (Sheila L. Videbeck, 2008). Spirituality greatly affects anxiety over death. The spiritual and physical effort that can be done to reduce excessive anxiety is to carry out Asma'ul Husna therapy with a combination of slow deep breathing. Â Objective: To determine the effect of Asma'ul Husna therapy with a combination of slow deep breathing to the level of anxiety facing death in the elderly at the Elderly Posyandu in Kerto Kidul Village, Bantul Pleret Village, Yogyakarta. Â Methods: This type of research is a quasi-experimental design with one group pretest-posttest design, intervention 3 times for 1 week. The activity begins with a pre-test of measuring anxiety facing death using the ZSAS / ZSRAS questionnaire. then the post test was carried out on the third day after the treatment was completed. A sample of 32 respondents who were active in the elderly yandu post. Test statistical analysis using the Paired t-Test. Â Results: the result of this research shows that Asymp. Sig (2-tailed) is 0,000 (p value), so p <0.05. then the hypothesis is (Ho) is rejected and the hypothesis (Ha) is accepted. Â Conclusion: There is a significant effect after being given Asma'ul Husna Therapy with a combination of slow deep breathing to the level of anxiety facing death in the elderly at the Posyandu in Kerto Kidul Hamlet, Pleret Bnatul Yogyakarta.
Dukungan Nenek Berhubungan Erat Dengan Keberhasilan ASI Eksklusif
Authors: Oktavianto Eka , Setyaningrum Hesti , Timiyatun Endar 
Published: November 2019

Background: Breastfeeding is important in the growth and development of infants. Scope administration Exclusive breastfeeding in the province particularly in Puskesmas Umbulharjo I still low at 45.8%. Support family (grandmother) is one of the most able to give effect to nursing mothers to maximize exclusive breastfeeding. Â Objective: To determine the relationship of family support (grandmother) with the success of exclusive breastfeeding in infants aged 6-12 months in Puskesmas Umbulharjo I Yogyakarta. Â Methods: The study was adescriptivekorelational. cross sectional The samples in this study usingmethod cluster sampling and obtained the respondent amounted to 147 mothers of infants aged 6-12 months. Data were analyzed using chi square. Â Results: The results of this study indicate that there is a relationship between family support (grandmother) with the success of exclusive breastfeeding in infants aged 6-12 months in Puskesmas Umbulharjo I Yogyakarta, based ontest chi square with correlation coefficient 0.601, p value < 0.05. The majority support the grandmother in the high category and nursing mothers likely to succeed in exclusive breastfeeding. The higher the grandmother support the more successful in exclusive breastfeeding. Â Conclusion: There is a relationship between family support (grandmother) with the success of exclusive breastfeeding in infants aged 6-12 months in Puskesmas Umbulharjo I Yogyakarta.
Faktor-Faktor yang Mempengaruhi Mutu Pelayanan Rekam Medis di Rumah Sakit
Authors: Rendarti Rindi 
Published: November 2019

Background: Medical record units as part of supporting medical services in hospitals have an important role in improving the quality of services in hospitals. The indicator of service quality in hospital is measured by incomplete inpatient medical record files. Based on several studies in various hospitals, the complete of inpatient medical record files is around 70% - 80% from 100%. Based on the preliminary data in action research in PKU Muhammadiyah hospital, there were 60 % incomplete in filling the medical resume from 100% target. There are many things that occurred, one of them are about human resources that is affected by behavior, the implementation of operational standards in filling medical records, punish and reward files. Objective: To review the factors that affect the quality of service in medical record units related to improving the quality of hospital services. Â Methods: the method of this study used relevant health databases including Scholars by using a combination ofÂ terms: hospital service quality indicators, incompleteness in filling medical medical records, quality of medical record services. Results: The result of this study said that there were related between medical record services and quality of hospital services. The quality indicator in the medical record can be able to be measured was the number of incomplete filling in medical record files. Filling of incomplete medical record files has the potential to reduce the overall quality of hospital servicesÂ Keywords: quality of medical record services, quality of hospital medical services, incomplete medical record filling