bluuebunny/crossref_metadata_2025_split huggingface dataset:
Students’ engagement in the medical school in Nepal based on ASPIRE criteria
Authors: Piryani Rano Mal , Piryani Suneet , Narayan Gautam 
Published: August 2020

Background and Objectives: Students’ engagement in active learning and scholarly activities are essential for effective medical education. This is one of the dimensions of ASPIRE-to-Excellence-Initiative. Objective of this study was to know from students about their engagement in Universal College of Medical Sciences (UCMS) Bhairahawa, Nepal as per ASPIRE criteria for excellence.
Material and methods: This is questionnaire-based survey done in UCMS, in October 2019. The Criteria regarding students’ engagement developed by International Association for Medical Education (AMEE)for ASPIRE-to-Excellence-Initiative was utilized in the questionnaire. The questionnaire comprised of four ASPIRE criteria and 21 sub-criteria. The response on each sub-criteria (statements) were three yes/to some- extent/no. They had to select one response as deemed appropriate. 3rd-year MBBS students participated in the survey. The data was entered into SPSS 21; frequency, and percentage were computed.
Results: Out of 100 students; 80 participated in the survey. The response rate was 80%. Around 2/3 of the students reported that they didn’t engaged with management of the school, including matters of policy and mission and vision of the school. Overall students’ engagement is poor on criteria-1. More than 2/3 of the students mentioned that they have been engaged in the school’s education program (delivery of teaching and assessment). Overall students’ engagement is fair on criteria-2. More than 50% of students reported that they have been engaged in the academic community (school’s research program and participation in meetings). Overall students’ engagement is satisfactory on criteria-3. More than 70% of students mentioned that they have been engaged in the local community and service delivery. Overall students’ engagement is good oncriteria-4.
Conclusion: Students’ engaged on 4 criteria varies from poor to good; poor on criteria 1 while good on criteria 4. More research is required involving all batches of students and other medical colleges in Nepal to know the details of students’ engagement in medical schools based on ASPIRE criteria.
Prevalence and pattern of Iron deficiency in patient with heart failure with reduced ejection fraction
Authors: Mahaseth Aditya , Shah Jay Narayan , Nepal Bikash , Karki Biplave , Ghimire Jeet , Pandey Naveen Kumar , Shah Prashant , Karki Prahlad 
Published: August 2020

Background and Objectives: Iron Deficiency is the commonest nutritional deficiency worldwide, affecting more than one-third of the population, its association with Heart Failure with or without anemia is of growing interest. As iron supplementation improves prognosis in patients with Heart Failure, Iron Deficiency is an attractive therapeutic target – a hypothesis that has recently been tested in clinical studies. This study is designed to estimate the prevalence and pattern of iron deficiency (ID) in heart failure (HF) with reduced ejection fraction patients with or without anemia.
Material and methods: It was a single center hospital based cross sectional observational study. A total of 60 male and female patients with diagnosis of heart failure based on the Framingham Criteria, who gave consent for the study were included. They underwent laboratory evaluation including hemoglobin concentration, serum iron, transferrin saturation percentage, serum ferritin, total iron binding capacity. Serum ferritin <100 μg/l was used to diagnose absolute ID. Functional ID was defined as a serum ferritin level of 100–300 μg/l and a transferrin saturation of <20 %. Anemia was defined as hemoglobin (Hb) <13 g/dl for males and <12 g/dl for females, based on World Health Organization definition.
Results: Using the above definitions iron deficiency was found in 28 (46.67%) patients. 36.67% patients had absolute iron deficiency and 10% patients had functional iron deficiency. Females had a higher non statistically significant iron deficiency than males 63.16% vs 39.02%. 15 patients (48.38%) with iron deficiency did not have anemia, and 11 (35.5%) of those patients had absolute iron deficiency.
Conclusion: Iron deficiency is prevalent in patients with heart failure and reduced ejection fraction irrespective of anemia and hemoglobin levels. Many of those patients can have functional iron deficiency. Measurement of iron status should be a routine during workup of heart failure patients and further studies are needed to determine the prognostic value of iron status measurement and the influences of treatment of iron deficiency in heart failure patients. Many such trials are now underway.
Buffered Versus Non Buffered Lignocaine with Adrenaline for Pain Control in Hand Surgery: A Comparative study
Authors: Chaurasia Lok Raj , Nakarmi K. , Shrestha S. , Rai S.M. 
Published: August 2020

Background and Objectives: Patients with hand injuries and other conditions presenting to ER or office are usually given local anaesthesia to evaluate the case or perform a certain procedure. Lignocaine in various concentrations with or without adrenaline is used. Lignocaine with adrenaline is shown to be more acidic than plain lignocaine of similar concentration causing more pain. Sodium bicarbonate has been shown to decrease the pH of lignocaine hence decrease the pain related to injection. So this study is carried out to compare buffered (sodium bicarbonate) and plain lignocaine with adrenaline for pain control and analgesia for patients undergoing hand surgery.
Material and methods: Patients in the age group of 18-60 years were divided into two groups- a control group (receiving lignocaine hydrochloride with adrenaline) and a study group (receiving carbonated lignocaine with adrenaline) and were evaluated for pain at the site of injection, onset of action of the anesthetic and its duration of analgesia and anaesthesia.
Results: A total of 38 patients were included, 19 in each group. There was a significant difference in the pain score at time of injection between study group and control group (median,range: 2( 1-5) and 7(4-9) respectively ) with p<0.001. However, there was no significant difference in terms of onset of action, duration of anaesthesia and return of pain sensation. One patient developed swelling over wrist joint who received buffered solution.
Conclusion: Local anesthetics used routinely in hand department should be buffered with sodium bicarbonate to reduce pain on injection of drugs in the patients.
Prevalence of Tigecycline resistance in Multidrug-Resistant Acinetobacter species isolates from clinical specimens
Authors: Mahto Moni , Dhungel Banodita Acharya 
Published: August 2020

Background and Objectives: Acinetobacter baumanii is ubiquitous, aerobic non fermentative, gram negative cocobacilli, emerging globally as an important cause of nosocomial infection. This study was conducted to determine the prevalence and antibiogram of clinically isolated multidrug-resistant Acinetobacter species.
Material and methods: Antibiotic susceptibility of 93 Acinetobacter baumannii isolates were performed against ampicillin, ampicillin/sulbactam, piperacillin/tazobactam, ceftazidime, cefepime, ceftriaxone, cefotaxime, ciprofloxacin, levofloxacin, amikacin, gentamicin, imipenem, meropenem, tigecycline, polymyxin B and colistin as per standard methods in microbiology laboratory of Nepal Mediciti Hospital, Kathmandu, Nepal from January to December 2018. Ethical clearance was taken from the Institutional review committee of Nepal Mediciti Hospital.
Results: A total of 93 Acinetobacter baumannii isolates were obtained from sputum, blood, pus, wound swabs , catheter tips and others. Antibiotic susceptibility analyses of the isolates revealed that the resistance to ampicillin was most common (100%), followed by cefotaxime (75.2%), ceftazidime (74.1%), ampicillin/sulbactam (73.1%), cefepime (67.7%). However, almost all isolates were susceptible to tigecycline (100%), followed by colistin (98.9%), and polymyxin B (87.0%).
Conclusion: The present study showed the increasing trends of resistance of Acinetobacter speciesto various classes of antimicrobials. Treatment options for infections due to MDR and XDR Acinetobacter baumanii are very limited and tigecycline and colistin may be considered as one of the therapeutic option for the treatment of hospital acquired infections
ECOTOURISM DEVELOPMENT OF MUNJANG MANGROVE FOREST AND CONSERVATION EFFORTS BASED ON COMMUNITY APPROACH
Authors: Henri Henri , Ardiawati Seta 
Published: August 2020

Ecotourism development in a mangrove forest area includes many positive and negative aspects and requires a sustainablecomprehensive study. Ecotourism potential must be assessed to provide understanding of local people in managing natural resources. This study aims at identifying the potential for the development of ecotourism and determining the efforts of conservation strategies for supporting mangrove forests. Data collection was done by questionnaires and interviews usingÂ 1-5 Likert scale measurement and SWOT analysis to determine ecotourism development strategies. The results of the study indicates that Munjang mangrove forest has a very good potential to be developed as an ecotourism area. It is supported by the efforts of conservation as the main key in realizing the development of sustainable ecotourism. The role of the community and stakeholders has been well established such as mangrove seeding and nursery activities. Finally, this study recognizes that the capacity of sustainability indicators is very important to map the transformation and constant challenges of supporting mangrove ecotourism, so that it can provide conservation benefits, provide quality services for visitors and improve local communities welfare.
FORMULATION AND ANTIBACTERIAL TEST OF STAR ANISE EXTRACT (Illicium verum Hook.F) AS A HAND SANITIZER
Authors: Puspita Dhanang , Ardhiawati Eli , Desi Desi 
Published: August 2020

The hand becomes one of the body parts that are easily exposed to microorganisms because of their high mobility. Hand sanitizer is a liquid that can be used to kill microbes. Hands become one of the body parts that are easily exposed to microorganisms because of their high mobility. Hand sanitizer is a liquid that can be used to kill microorganisms. Most hand sanitizers contain alcohol and triclosan, which can be bad for the skin if used in excessive amounts. It is necessary to substitute alcohol and triclosan as an antibacterial, one of which is star anise (Illicium verum Hook.f). Star anise contains flavonoids and tannins, which can function as antibacterial and safe for health.Â The objective of this study was to make a hand sanitizer formulation from star anise and test its antibacterial strength. The method used was a laboratory experiment with stages; Star anise extraction and antibacterial test. The results of the hand sanitizer formulation of the biggest star anise extract in inhibiting are 10% star anise extract. Inhibitory zone of 10% star anise extract at 6.2 Â± 0.76 mm and included in the medium category.
Pembelajaran Perguruan Tinggi Dalam Jaringan (Daring) Masa Pandemi Covid-19
Authors: Wijayanti Murti , Yunita Tyna , Dharmanto Agus 
Published: August 2020

The education world now is entering an adjustment phase in teaching and learning process during the Covid-19 pandemic. Activities that are usually carried out offline (outside the network) face-to-face in the classroom, turn into online distance learning (in the network). In order to reduce the spread of the virus, the government issued a policy stating that all activities are carried out from home and utilize the technology as a supporting tool, including learning practices carried out by the universities. The limited online learning conditions between lecturers and students, overcome by the campus by preparing themselves to formulate policies and strategic steps, so that, the activity process on sharing topics lecture continue to run using e-learning application facilities. Likewise, Tri Dharma activities of higher education regarding research and community service. The use of technology with various platform applications during this pandemic is one of the researches breakthroughs used. Like it or not, online learning forces both lecturer and students to adapt. Implementation of community service activities that are generally carried out directly in the field, continues to run using the internet network through the provision of webinars (seminars on the web) or virtual work lecture (KKN) activities virtually.
Keywords: Outside the Network, Distance Learning, In the Network, University

Abstrak
Dunia pendidikan saat ini memasuki fase penyesuaian dalam proses belajar mengajar di masa pandemi Covid-19. Kegiatan yang biasanya dilakukan secara luring (luar jaringan) tatap muka di ruang kelas, beralih menjadi pembelajaran jarak jauh dengan daring (dalam jaringan). Dalam rangka menekan laju penyebaran virus, pemerintah mengeluarkan kebijakan yang menyatakan bahwa semua aktivitas kegiatan dilakukan dari rumah dan memanfaatkan teknologi sebagai sarana penunjangnya, termasuk praktik pembelajaran yang dijalankan oleh perguruan tinggi. Kondisi pembelajaran yang terbatas secara daring antara dosen dan mahasiswa, diatasi pihak kampus dengan mempersiapkan diri menyusun kebijakan dan langkah strategis agar proses aktivitas kegiatan berbagi materi topik kuliah tetap berjalan menggunakan fasilitas aplikasi e-learning. Begitu pula dengan kegiatan Tri Dharma perguruan tinggi dalam hal riset dan pengabdian masyarakat. Penggunaan teknologi dengan bermacam platform aplikasi di masa pandemi ini merupakan salah satu terobosan riset yang digunakan. Mau tidak mau, suka tidak suka, pembelajaran secara daring “memaksa” para tenaga didik dan juga mahasiswa untuk beradaptasi. Pelaksanaan kegiatan pengabdian masyarakat yang umumnya dilakukan secara langsung di lapangan, tetap berjalan menggunakan jaringan internet melalui pengadaan webinar (seminar dalam web) atau kegiatan kuliah kerja nyata (KKN) secara virtual.
Kata kunci: Luar Jaringan, Pembelajaran Jarak Jauh, Dalam Jaringan, Perguruan Tinggi
Strategi Pembelajaran Di Perguruan Tinggi Pada Masa Pandemi Covid-19
Authors: Puspitorini Ferawaty 
Published: August 2020

Begin the Year 2020, the world back appalled by the spread of the virus dangerous and deadly. The public call it as a corona virus. The emergence of the virus allegedly originated from the City of Wuhan, capital of Hubei Province, China. This Virus was first reported to WHO on 31 December 2019. This research is qualitative descriptive which describe the activities of online learning at the University of Bhayangkara Jakarta Raya after the enactment of the entire learning activities conducted at home with online mode. The subject consists of 3 students and 2 lecturers of Universitas Bhayangkara Jakarta Raya. Data collection using interviews. Based on the results of wawanccara learning activities with the online mode at the University of Bhayangkara Jakarta Raya have been effective with utilizing E-Learning applications Ubhara Jaya, Zoom and Google Classroom. Constraints in the implementation of online learning, namely the problem of internet connection less support.
Keywords: Online Learning, Pandemic, COVID-19

Abstrak
Mengawali Tahun 2020, dunia kembali digemparkan dengan penyebaran virus berbahaya dan mematikan. Publik menyebutnya sebagai virus corona. Kemunculan virus tersebut ditengarai berawal dari Kota Wuhan, ibukota Provinsi Hubei, Tiongkok. Virus ini pertama kali dilaporkan ke WHO pada tanggal 31 Desember 2019. Penelitian ini merupakan deskriptif kualitatif yang mendeskripsikan kegiatan pembelajaran daring di Universitas Bhayangkara Jakarta Raya setelah ditetapkannya seluruh kegiatan pembelajaran dilaksanakan di rumah dengan mode daring. Subjek terdiri dari 3 mahasiswa dan 2 dosen Universitas Bhayangkara Jakarta Raya. Pengumpulan data menggunakan wawancara. Berdasarkan hasil wawanccara kegiatan pembelajaran dengan mode daring di Universitas Bhayangkara Jakarta Raya sudah efektif dengan memanfaatkan aplikasi E-Learning Ubhara Jaya, Zoom dan Google Classroom. Kendala dalam pelaksanaan pembelajaran daring yaitu masalah koneksi internet yang kurang mendukung.
Kata kunci: pembelajaran online, masa pandemi, COVID-19
Virtual reality or isokinetic training; its effect on pain, kinesiophobia and serum stress hormones in chronic low back pain: A randomized controlled trial
Authors: Nambi Gopal , Abdelbasset Walid Kamal , Alrawaili Saud M. , Alsubaie Saud F. , Abodonya Ahmed M. , Saleh Ayman K. 
Published: August 2020

BACKGROUND: Evidence on the latest technologies in rehabilitation for reducing pain and altering serum stress hormones in low back pain (LBP) was lacking. OBJECTIVE: To find the clinical and hormonal effects of virtual reality training (VRT) and isokinetic training (IKT) in chronic LBP patients. METHODS: Through the simple random sampling method, 60 university football players with chronic LBP were allocated into three groups: NVRT= 20, NIKT= 20 and NCONTROL= 20. The three groups underwent different exercises for 4 weeks. Clinical (pain intensity and kinesiophobia) and hormonal (glucose, insulin, HOMA-IR, growth hormone, prolactin, ACTH and cortisol) values were measured at baseline, after 4 weeks and 6 months. RESULTS: Four weeks following training, the VRT and IKT groups showed significant changes in pain intensity and kinesiophobia in comparison to the control group (p< 0.05). Hormonal measures also showed significant improvement in the VRT group in comparison to the other two groups (p< 0.05). CONCLUSION: Training through virtual reality and isokinetic exercise is an effective approach in terms of pain and kinesiophobia. In terms of hormonal analysis, virtual reality shows slightly more improvements than isokinetic training in subjects with chronic LBP.
Effects of an 8-week basketball-specific proprioceptive training with a single-plane instability balance platform
Authors: Domeika Aurelijus , Slapšinskaitė Agnė , Razon Selen , Šiupšinskas Laimonas , Klizienė Irina , Dubosienė Milda 
Published: August 2020

BACKGROUND: To avoid injuries in basketball players, they are recommended to pay more attention to improve their body balance. Therefore new training methods and equipment need to be devised. This study examined the effects of an 8-week basketball-specific proprioception training program while using a new developed one plane instability balance board during warm-up for improving balance ability in basketball players. Players who obtained basketball-specific balance training were compared to a control group. METHODS: Thirty-one male university basketball players (age: 21.35, SD = 0.605 years; height: 190.97, SD = 1.88; body mass: 86.95, SD = 2.61) participated in this study. Seventeen participants were assigned to the basketball-specific 8-week balance training group (BTG) while 14 participants served as a control group (CG). Both groups were tested with the Y balance test (YBT) and postural stability test (PST) at baseline and 8 weeks later. RESULTS: The results indicate significant improvements in the overall YBT for both legs in BTG, but not in CG. However, no group differences were found for dynamic balance performance, but static balance (i.e., postural stability) differed between groups after 8 weeks. A statistically significant moderate inverse correlation was computed between the total score of YBT and the total score of the overall stability index (r=-0.404; p= 0.041). CONCLUSIONS: An 8-week basketball-specific proprioception training program with a single-plane instability balance platform improved balance ability (Y balance test and postural stability test) of basketball players.
Strategi Pengembangan Aneka Dodol Berbasis Bahan Baku Lokal di Kabupaten Lampung Barat
Authors: Analianasari Analianasari , Berliana Dayang , Humaidi Edy 
Published: August 2020

Tujuan penelitian ini adalah untuk menganalisis strategi pengembangan aneka dodol berbasis bahan baku lokal di Desa Sekincau Kabupaten Lampung Barat. Metode yang digunakan dalam penelitian yaitu analisis SWOT. Responden dipilih secara sengaja (purposive) yaitu di Desa Sekincau dengan jumlah sampel 20 responden dan 4 orang ahli yang berkompeten dalam pengetahuan pengembangan aneka dodol berbasis bahan baku lokal. Hasil penelitian ini menunjukkan bahwa berdasarkan hasil analisis pada matrik SWOT rekomendasi yang harus diberikan adalah strategi “Progresif”. Alternatif strategi pengembangan aneka dodol yang dapat diterapkan yaitu (1) Memanfaatkan produk berkualitas (alami) bebas bahan pengawet sebagai potensi pangsa pasar yang masih luas didukung dengan peningkatan minat masyarakat terhadap produk dan menciptakan lapangan pekerjaan baru akibat pasar semakin luas. ( S1, O1.O2.O3) (2) Memanfaatkan unit produksi yang dekat dengan sumber bahan baku dan menciptakan lapangan pekejaan bagi masyarakat sekitar. (S2,O3)
Peningkatan Kompetensi Peternak dan Keberlanjutan Usaha Sapi Potong di Desa Oebkim Kecamatan Bikomi Selatan Kabupaten Timor Tengah Utara
Authors: Simamora Ture 
Published: August 2020

Kompetensi merupakan hasil dari sebuah proses pemberdayaan. Pemberdayaan merupakan suatu proses yang bertujuan untuk memberikan daya-daya pada masyarakat atau kegiatan yang membuat masyarakat mampu membangun dirinya sendiri, mampu bekerjasama. Tujuan dari penelitian ini adalah untuk menganalisis karakteristik peternak, dukungan penyuluhan, dukungan lingkungan eksternal, tingkat kompetensi, tingkat keberlanjutan serta menganalisis faktor yang berpengaruh terhadap kompetensi dan keberlanjutan usaha ternak sapi potong di Desa Oebkim Kecamatan Bikomi Selatan Kabupaten Timor Tengah Utara. Hasil penelitian menunjukkan faktor yang mempengaruhi kompetensi peternak di Desa Oebkim adalah dukungan lingkungan eksternal. Kompetensi peternak direfleksikan oleh kemampuan dalam pemasaran. Kelembagaan pasar dan modal belum sepenuhnya berfungsi pada usaha peternakan sapi potong. Sebagian peternak masih kesulitan dalam mengakses modal dan kredit usaha sehingga peternak terbatas dalam menambah skala usahanya. Faktor yang mempengaruhi keberlanjutan usaha peternakan sapi potong di Desa Oebkim adalah karakteristik peternak. Karakteristik peternak di refleksikan oleh umur dan pendidikan. Kompetensi tidak berpengaruh terhadap keberlanjutan usaha peternakan sapi potong di Desa Oebkim.
Inclusión e interculturalidad para la cultura Sorda: caminos recorridos y desafíos pendientes
Authors: Becerra Sepúlveda Carolina Alejandra 
Published: August 2020

Esta investigación, realizada en Chile, se centra en la educación intercultural del Sordo. Busca conocer elementos comunes y divergentes que inciden en la relación dialógica entre cultura Sorda y oyente. El trabajo expone un análisis de los antecedentes teóricos que explican la realidad subalterna de esta cultura en el país, donde la mayoría del estudiantado asiste a escuela regular con Programas de Integración Escolar. Además profundiza en conceptos centrales de educación intercultural en un contexto de cultura Sorda. Ellos orientan una investigación empírica realizada en la región metropolitana de Santiago, cuyo objetivo consistió en identificar los elementos experienciales de la relación entre estudiantes Sordos y oyentes de una escuela con Programa de Integración Escolar que propenden al desarrollo de un proyecto intercultural. El estudio contempla un diseño etnometodológico y se interesa en la acción social entre la cultura Sorda y oyente. El trabajo de campo incorporó observaciones no participantes y focus groups. Sus resultados confirman la presencia de algunos elementos que propenden a la relación intercultural al interior de las aulas, los cuales se afectan por la modalidad comunicativa de ambos grupos. Ellos aparecen como consecuencia de la carencia de políticas públicas para garantizar los derechos lingüísticos del estudiantado Sordo.