bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALISIS FAKTOR KEPATUHAN BANK/POS PERSEPSI TERHADAP PELIMPAHAN PENERIMAAN NEGARA
Authors: Sumantri Joko 
Published: May 2020

The timeliness and accuracy of the amount in the transfer of state revenues affect the availability of funds in the State General Cash Account to finance state activities. Therefore, compliance with perception bank / post is very important considering that they play an important role in the state revenue process. Knowing the determinants of compliance with the transfer of state revenues by perception bank / post will be beneficial for the Directorate General of Treasury to accelerate the inflow of State Treasury. Whereas, for perception bank / post it will be beneficial in avoiding the imposition of late penalties. By using qualitative research methods, the results of research show that the network system, the use of technology, and the quality of human resources are three determinants of compliance with the transfer of state revenues by perception bank / post. Ketepatan waktu dan ketepatan jumlah dalam pelimpahan penerimaan negara mempengaruhi ketersediaan dana di Rekening Kas Umum Negara untuk membiayai kegiatan negara. Oleh Karena itu, kepatuhan bank/pos persepsi sangat diperhatikan mengingat mereka memegang peranan penting dalam proses penerimaan negara. Mengetahui faktor-faktor penentu terhadap kepatuhan pelimpahan penerimaan negara oleh bank/pos persepsi akan bermanfaat bagi Direktorat Jenderal Perbendaharaan untuk mempercepat aliran masuk Kas Negara. Sedangkan, bagi Bank/Pos Persepsi akan bermanfaat dalam menghindari pengenaan denda keterlambatan. Dengan menggunakan metode penelitian kualitatif, diperoleh hasil penelitian yang menunjukan bahwa sistem jaringan, pemanfaatan teknologi, dan kualitas sumber daya manusia merupakan tiga faktor penentu kepatuhan pelimpahan penerimaan negara oleh bank/pos persepsi.
Pelaksanaan Pengendalian Internal Bantuan Operasional Sekolah (BOS) melalui Pendekatan Fungsi Pengelolaan Keuangan Negara
Authors: Panjaitan Rido Parulian 
Published: May 2020

Kebijakan dana BOS telah diterapkan sebagai upaya pemerintah dalam menyukseskan program wajib belajar nasional sejak tahun 2005. Pengelolaan dana BOS tersebut diserahkan kepada pihak sekolah untuk dikelola secara independen, dalam hal ini Tim BOS Reguler Sekolah. Artinya, peranan tim tersebut adalah sangat krusial dalam memastikan keefektifan pengelolaannya. Oleh karena itu, tulisan ini dimaksudkan untuk melihat kembali peranan setiap unsur pada Tim BOS Reguler Sekolah dengan mengkaitkannya kembali dengan konsep keilmuan serta model pengelolaan Keuangan Negara dan Perbendaharaan Negara. Melalui pendekatan konseptual, tulisan ini menggunakan studi literatur sebagai alat untuk mengumpulkan informasi dan referensi. Tulisan ini menemukan bahwa pembagian peran antar unsur pada Tim BOS Reguler Sekolah perlu dipertegas. Secara lebih khusus, prinsip saling uji (check and balance) antara unsur pada Tim Manajemen Sekolah belum ditemukan secara lebih tegas. Penelitian ini mengemukakan kerangka kerja pengendalian internal BOS melalui tiga fungsi pengelola keuangan negara sebagai bentuk penguatan pengendalian internal pada tim tersebut, yaitu: fungsi otorisator, ordonator dan comptable.
Evaluation of Extracranial Carotid Arteries in Ischemic Stroke Patients Using Color Doppler Sonography and Correlation with Various Risk Factors
Authors: Pathak Manish Raj , Gautam Mahesh , Pathak Yagya Raj 
Published: May 2020

Background: Cerebral ischemic stroke is the major cause of death after ischemic heart disease and malignancies, among which major cases of stroke results from atherosclerosis of intra and extra-cranial carotid vessels. The aim of this study is to evaluate the extracranial carotid arteries in patients with ischemic stroke and correlation with various risk factors.
Materials and Methods: A cross sectional study of the patients with ischemic stroke presented in Radiology department of Nobel Medical College were evaluated for a period of one year from February 2017- January 2018 using color Doppler ultrasound and correlated with various risk factors. A total of 50 patients were included in the study. All age groups and sex were included.
Results: Out of 50 patients, 29 patients (58%) were males and 21 patients (42%) were females. Stroke was present in 24 patients on right side and 26 patients on left side. A total of 36 patients had extra-cranial carotid stenosis. Among them, 18 patients had <50% stenosis, 17 patients had >50% stenosis and 1 patient had complete occlusion. The most common cause of obstruction was found to be atherosclerotic changes in the form of atheromatous plaque. Out of 50 patients 27 had history of hypertension and 19 had history of smoking. Out of 27 hypertensive patients, 23 had stenosis which is statistically significant (p value 0.024).
Conclusion: The current study shows the importance of color Doppler ultrasound as an economic, safe and non-invasive method of demonstrating the cause of stroke in extra-cranial carotid artery system
A Comparative Study of Dexmedetomidine and Esmolol on Hemodynamic Responses During Laparoscopic Cholecystectomy
Authors: Subba Sangeeta , Mishra Richa , Bhattarai Rupak , Chhetri Arjun 
Published: May 2020

Background: Laparoscopic surgery has various advantages like minimal invasiveness and quick recovery. However carbon dioxide used for pneumoperitoneum during laparoscopic surgery causes increase in heart rate, blood pressure and systemic vascular resistance. The present study compared the efficacy of Dexmedetomidine and Esmolol on hemodynamic responses during laparoscopic cholecystectomy.
Material and Methods: A total of 100 patients scheduled for laparoscopic cholecystectomy were randomly allocated in two groups, 50 in each group. Esmolol group received bolus dose of 1 mg/kg intravenous Esmolol just before pneumoperitoneum followed by an infusion of 200 mcg/kg/minand Dexmeditomidine group received bolus dose of 1 mcg/kg iv Dexmedetomidine over 10 minutes before pneumoperitoneum followed by 0.6 mcg/kg/hr in infusion. Hemodynamic parameters like Heart rate, Mean arterial pressure, Systolic blood pressure, Diastolic blood pressure were recorded at different time intervals.
Results: It was found that in Dexmeditomidine group there was a statistically significant decrease in heart rate before pneumoperitoneum (84.24±9.17) and 10 minutes after pneumoperitoneum (79.40±7.41)compared to Esmolol Group before pneumoperitoneum (91.40±5.98) and10 minutes after pneumoperitoneum (95.18±14.17).There was statistically significant decrease in Mean arterial pressure in Dexmeditomidine group at 30 minutes (86.53±6.13), 50 minutes (77.95±4.85) , after release of pneumoperitoneum (92.42±3.91) and after extubation (99.50±11.81) compared to Esmolol group at 30 minutes (91.23±8.97), 50 minutes (94.34±12.64) after release of pneumoperitoneum (102.5±10.44) and after extubation (112.39±11.15).
Conclusion: Dexmedetomidine was found to be more effective than Esmolol in attenuating the hemodynamic responses following pneumoperitoneum during laparoscopic cholecystectomy.
Study of Extended Spectrum Beta-Lactamases Producing Escherichia Coli and Klebsiella Species in a Tertiary Care Hospital, Biratnagar, Nepal
Authors: Yadav Kumari Ragani , Singh Ganesh Kumar , Bhattacharjee Sujit , Shrestha Kewal 
Published: May 2020

Background: Escherichia coli and Klebsiella species are most common ESBL producers and associated with UTI in both community and hospital setting, often limiting the treatment therapy of UTI. Aim of present study was Isolation and Identification of ESBL producing E. coli and Klebsiella Species in urine sample from cases of UTI and their antibiotic susceptibility pattern at Nobel Medical College Teaching Hospital, Biratnagar, Nepal.
Materials and Methods: This descriptive cross-sectional study was conducted at Nobel Medical College with effect from October 2018 to June 2019 after approval from the Institutional Review Committee (IRC) of the college as per clinical laboratory standards institute of (CLSI) guidelines.
Results: Out of total 2567 urine samples, 631(24.5%) samples showed microbial growth. Among which E. coli was 288(45.6%), Klebsiella species were 20(31.5%), other gram-negative bacteria were 158(25%), gram positive bacteria were 114(18%) and fungus 51(8%) were recovered. Out of 631 culture positive urine samples, 308 urine samples were positive for E. coli/K. species 288(93.5%)/20(42.5%) respectively. Among which ESBL isolates were 213(69%) and non ESBL isolates were 95(31%). All ESBL producing E. coli and K. species were found (100%) sensitive to meropenem. Similarly, among other antibiotics also showed increased susceptibility towards the piperacillin/tazobactum (97.2%),cefoperazone/sulbactum (94.4%) and amikacin (93.0%).
Conclusion: The highest numbers of ESBL producers E. coli and K. species from urine sample are increasing day by day and creating serious problem in treating patients in Nepal. So it should be mandatory and very essential to have routine monitoring system to detect the ESBL producing isolates in clinical laboratories.
Clinical Features, Treatment Choices and in-Hospital Outcome of Patients with ST-Segment Elevation Myocardial Infarction in Eastern Region of Nepal: A Hospital-Based Study
Authors: Nepal Rajesh , Dhungana Sahadeb Prasad 
Published: May 2020

Background: Patients with Acute ST-elevation myocardial infarction (STEMI) have different modes of presentation, treatment options and outcomes which vary across the different population. There is a paucity of data about the clinical characteristics of acute STEMI from the eastern part of Nepal. Our study aimed to assess the clinical characteristics and in-hospital outcome of patients with acute STEMI at a tertiary care center of the eastern part of Nepal.
Materials and Methods: This is a descriptive cross-sectional study on 214 patients who presented in the emergency room or coronary care unit of Nobel Medical College Teaching Hospital from August 2018 to July 2019. Demographic features, risk factors, duration of symptoms before presentation, different treatment options offered and the in-hospital outcome were noted.
Results: The male to female ratio was 2.14. The most common symptom was chest pain (97.0%) followed by sweating 78.0%, breathlessness 29.0%, nausea or vomiting 24.8 %, etc. The most common regional territory involved was the anterior wall (48.1%) followed by the Inferior wall (42.5 %), posterior wall (5.1 %). The majority (71.3%) presented within 12 hours after symptom onset. Hypertension was the most frequent (40.2%) risk factor followed by Smoking (39.7%), diabetes mellitus (35.0%) and dyslipidemia (34.6%). Among patients eligible for primary PCI - 76.6% underwent PCI, 22.0% were managed conservatively. Total mortality among patients managed with primary PCI was 3% as compared to medical therapy (14.8%). Heart failure prevalence was less with primary PCI (12.1%) compared to medical therapy (29.6%).
Conclusion: The majority of patients presented with typical symptoms in a reasonably early period (12 hrs) and the in-hospital outcome was better with primary PCI. Hence, efforts should be made to offer primary PCI to the majority of patients in the peripheral part of our country.
Outcome of Corrective Dome Osteotomy for Cubitus Varus Deformity
Authors: Jha Ranjib Kumar , Thapa Santosh , Singh Dhiraj 
Published: May 2020

Background: The cubitus varus deformity is one of the most common late complications of fracture supracondylar area of humerus in children. Various corrective osteotomies are used of which lateral closed wedge osteotomy is commonly done which has its own disadvantages like lateral condylar prominence, difficulty in achieving correction and limitation of movement. Dome osteotomy is a versatile technique to achieve correction of deformity in all planes and to overcome these above complications. The aim of this study was to evaluate the results of dome osteotomy for correction of post-traumatic cubitus varus deformity of elbow in children.
Materials and Methods: The study included 18 children between 6-13 years of age of both sex with malunited supracondylar fracture of distal humerus having cubitus varus deformity. After appropriate pre- operative assessment, dome osteotomy was done by posterior approach. In pre and post operative x-ray carrying angle and lateral condylar prominence Index (LCPI) were calculated. Patients were re-assessed at complete union and results were calculated.
Results: In this study of 18 patients, 12 were males and 6 were females. The age ranged from 6-13 yrs with average of 8.4yrs. The average correction of carrying angle was from -22.4 degree to +10 degree. LCPI changed post operatively ranging from -8.6% to +3.25%, average -2.9%. There were no significant complications. Fifteen patients had excellent outcome and 3 had good outcome.
Conclusion: The results in our study concluded that dome osteotomy for cubitus varus is safe and effective method and give cosmetically more acceptable elbow.
Factors Affecting Satisfaction Regarding Maternity Services Among Postnatal Mothers in a Tertiary Hospital of Kathmandu
Authors: Parajuli Puspa , Paudel Narayani 
Published: May 2020

Background: Maternal satisfaction towards care provided during pregnancy, childbirth and puerperium is one of the key outcome measures for quality of care. In order to provide satisfactory maternity services health workers should focus on mother-friendly care. Various factors may affect on mothers' satisfaction regarding maternity services.The objective of this study was to assess the factors affecting satisfaction regarding maternity services among postnatal mothers.
Materials and Methods: A descriptive, cross-sectional study was conducted in postnatal ward of Kathmandu Medical College Teaching Hospital. A total of 180 postnatal mothers were purposively selected for the study. Ethical clearance was obtained from the institutional review committee of Kathmandu Medical College. Face to face interview technique was used to collect the data using pre – designed structured questionnaire. Data collection was done from June to July 2019. Data were analysed using Statistical Package for Social Science 20.0 version. Both descriptive and inferential statistics were used for data analysis.
Results: Majority (83.9%) of the mothers were satisfied with overall maternity services. The level of satisfaction was higher in (82.8%) environmental factor, (80%) health care delivery system of hospital and (73.3%) communication. There was significant association between sexes of current child with maternal satisfaction. Mothers having current child male were more satisfied with maternity services provided by the hospital (COR: 4.90 with 95% CI: 1.97, 12.18).
Conclusion: The study concluded that majority of postnatal mothers were satisfied with maternity services provided at hospital. Current child male was significantly associated with satisfaction level of mothers on maternity services.
Sonographic Evaluation of Plantar Fasciitis and its Relation to Body Mass Index and Heel Pad Thickness
Authors: Khatiwada Prashant , Chataut Dinesh , Subedi Kamal 
Published: May 2020

Introduction: To study the sonographic appearance of plantar fascia in clinically suspected cases of plantar fasciitis (PFs) using both quantitative and qualitative parameters, and to establish the correlation between plantar fasciitis, body mass index (BMI) and heel pad thickness (HPT).
Methods: In this case controlled analytical study, we sonographically evaluated 100 patients with clinical plantar fasciitis (unilateral: 90, bilateral: 10 with mean age 46.9yrs) and control group of 60 (120 heels) healthy volunteers with mean age 45.3yrs. Plantar Fascia Thickness (PFT), HPT, hypoechogenity, biconvexity, perifascial fluid, intrafascial calcification and subcalcaneal spurs were evaluated sonographically. PFT was measured 5mm distal to the calcaneal insertion of plantar aponeurosis. The unloaded HPT was measured from the skin surface to the nearest calcaneal tuberosity.
Results: Mean Plantar Fascia Thickness (PFT) and Heel Pad Thickness (HPT) are greater on the symptomatic side for patients with unilateral and bilateral PFs than on the asymptomatic side for patients with unilateral PFs, and also control subjects (PFT values are 4.41 ± 0.59, 4.63 ± 0.55, 2.83 ± 0.36, 2.62± 0.37 mm, and HPT values 17.64 ± 1.07, 17.28 ± 1.10, 16.91 ± 1.06, 16.73 ± 1.13 mm, respectively) (p <0.0001). Mean BMI values of the case and control groups are 26.14 ± 1.9 and 24.42 ± 0.89 Kg/m2, respectively (p <0.05). We found hypoechogenicity of plantar fascia in 80 cases (72.7%), calcaneal spur in 69 cases (62.7%), biconvexity in 11 cases (10%) and perifascial fluid in 16 cases (14.5%) within the plantar fasciitis group (110 symptomatic heels).
Conclusion: Increased plantar fascia thickness, increased heel pad thickness and hypoechogenicity of plantar fascia are consistent sonographic findings in plantar fasciitis. Its occurrence has significant relation to high BMI.
Features of the relationship between cardiointervalographic indices and constitutional characteristics in highly skilled mesomorphic somatotype wrestlers
Authors: Syvak A.V. , Sarafyniuk L.A. , Sarafyniuk P.V. , Pilhanchuk L.I. , Sorokina N.O. 
Published: May 2020

Mechanisms of regulation of cardiac rhythm have many individual features, which are conditioned by age, sex, training of the organism, strength and nature of external influence, constitutional features of the organism. The purpose of the work is to determine the relationship between cardiointervalographic indices and parameters of the external structure of the body in highly skilled wrestlers of the mesomorphic somatotype. The study involved 24 wrestlers between the ages of 17 and 21 with a high level of sportsmanship and more than 3 years of experience. All of the wrestlers were of medium weight and engaged in free and Greco-Roman wrestling. We conducted a study of heart rate variability on the cardiac computer diagnostic complex “OPTW” following the recommendations of the European and North American Cardiac Association (1996). The indices of vegetative homeostasis according to Bayevsky, variational heart rate, statistical and spectral cardiointervalographic indicators were determined. Anthropometry was performed according to the method of V.V. Bunak (1941), somatotypological study – by the calculated modification of the Heath-Carter method (1990), determination of the component composition of body weight by the method of Matejko (1992). In the package “STATISTICA 5.5” correlation analysis was performed using the nonparametric Spearman statistical method. It was found that in the wrestlers of the mesomorphic somatotype, the variations of the pulsometry had the highest number and strength of reliable correlations with constitutional parameters, most of which were inverse of the mean force. All statistical indicators of heart rate variability with indicators of the external structure of the body had only inverse significant correlations. The least significant correlations were found for spectral indices and parameters of vegetative homeostasis. According to the results of the correlation analysis in the wrestlers of the mesomorphic somatotype, we can assume that with the increase of total, longitudinal, circumferential, transverse body sizes and muscle and bone mass, the variability of the heart rhythm of the sympathetic department of the autonomic nervous system will be more pronounced.
Hubungan Umur Ibu dan Paritas dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Totoli Tahun 2017
Authors: Rahmaniah  
Published: May 2020

Anemia pada ibu hamil masih menjadi prioritas penanganan masalah kesehatan oleh kementerian kesehatan. Hal ini terlihat dari masih dilakukannya intervensi pemberian tablet zat besi pada ibu hamil. Banyak faktor yang mempengaruhi anemia diantaranya jarak antara kehamilan sebelumnya dan berikutnya yang pendek dan juga paritas. Di Indonesia prevalensi anemia pada tahun 2016 sebanyak 37%. Di Sulawesi Barat Angka Kematian Ibu pada tahun 2014 sebanyak 358 per 100.000 kelahiran dan umumnya kematian tersebut disebabkan oleh anemia dan komplikasi pada masa kehamilan. Di wilayah kerja Puskesmas Totoli pada Januari sampai April 2017 terdapat 195 ibu hamil dengan anemia berat 18.9% dan anemia sedang 49.2%. Tujuan dari penelitian ini untuk mengetahui hubungan umur ibu dan paritas dengan kejadian anemia pada ibu hamil. Jenis penelitian observasional dengan desain cross sectional. Populasi penelitian ini adalah seluruh ibu hamil di wilayah kerja Puskesmas Totoli. Data umur dan paritas didapatkan menggunakan kuesioner, sedangkan data anemia didapatkan dari data sekunder. Tekhnik pengambilan sampel menggunakan accidental sampling. Analisis data menggunakan uji chi-square. Berdasarkan hasil penelitian menunjukkan bahwa umur ibu berhubungan dengan anemia (p=0.002) dan paritas juga berhungan dengan anemia (p=0.049). Berarti p< Î±= 0,05, sehingga disimpulkan bahwa ada hubungan antara umur ibu dan paritas dengan kejadian anemia pada ibu hamil. Disarankan terhadap ibu hamil untuk sering memeriksakan kesehatannya minimal 4 kali selama kehamilan dan bagi petugas kesehatan agar dapat mengoptimalkan perannya berupa pemberian edukasi gizi terhadap pasangan usia subur dan ibu hamil terkait dengan pencegahan masalah anemia.
Penerapan Asuhan Keperawatan Pada Pasien Dengan Tuberkulosis Paru Dalam Pemenuhan Kebutuhan Oksigenasi Di Ruang Sakura Rumah Sakit TK II Pelamonia Makassar
Authors: Harmawati  
Published: May 2020

Tuberkulosis merupakan penyakit yang sangat diperhitungkan di negara berkembang, diperkirakan sepertiga populasi di dunia sudah terinfeksi Mycobacterium Tuberculosis. Di Sulawesi Selatan penderita tuberkulosis mengalami peningkatan pada tahun 2015 sebanyak 13.029 kasus dibandingkan pada tahun 2014 sebanyak 12.454 kasus. Angka Case Notification Rate menunjukkan Kota Makassar merupakan kabupaten/kota dengan angka CNR tuberkulosis tertinggi yaitu 254 per 100.000 penduduk. Penyakit ini dapat mempengaruhi kebutuhan dasar manusia yaitu oksigenasi, jika tidak ditangani dengan baik akan menimbulkan komplikasi salah satunya yaitu efusi pleura, pleuritis serta obstruksi jalan napas. Untuk penanganan bersihan jalan napas dapat dilakukan dengan pemberian tehnik batuk efektif. Penelitian ini bertujuan menggambarkan asuhan keperawatan pada pasien TN. F dengan tuberkulosis paru dalam pemenuhan kebutuhan oksigenasi di Ruang Sakura TK II Pelamonia Makassar. Pengumpulan data dan instrument dengan menggunakan format pengkajian yang didalamnya berisi pedoman wawancara, lembar observasi, dan lembar ceklis. Didapatkan selama tiga hari, masalah bersihan jalan napas teratasi, mampu mengeluarkan sekret dengan batuk efektif dan frekuensi pernapasan 24x/menit. Pemenuhan kebutuhan oksigenasi pada Tn. F dapat terpenuhi dengan memberikan tindakan mandiri dan pemberian obat, sehingga bersihan jalan napas kembali efektif. Kepada perawat agar melakukan asuhan keperawatan sesuai dengan kebutuhan klien.