bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of management of angle fracture of mandible by using different surgical approaches
Authors: Mahat Arun Kumar , Shrestha Merina , Chaudhary Bishwanath 
Published: February 2020

Introduction: Mandible is frequently involved bone in facial fracture with angle fracture accounting for 27-30% of cases. Various methods and approaches have been tried for treatment of angle fracture.
Objective: To correlate the different surgical approaches with its outcome postoperatively
Methodology: A hospital based descriptive observational study was conducted in 30 patients admitted in DentalInpatient Department (IPD), from October 2016 to April 2019. ASA Ipatients having angle fracture of mandible either isolated or combined with other facial bones were included in the study. Different approaches were used for management of angle fracture of mandible. Patient characteristics were presented using frequency table and percentages.
Result: The mean operative duration was lesser in transbuccal approach (111.25 minutes) compared to transbuccal (lower border) approach (120 minutes) and intraoral (122.5 minutes) in case of isolated angle fracture. Ease of surgical access was good in transbuccal approach 7 patients (70%) compared to intraoral approach 6 patients (42.86%). Occlusal discrepancies were more in transbuccal approach (50%) compared to intraoral approach (21.43%). Scar was barely visible in 2 patients (14.29%) out of 14 patients wheretransbuccal incision was made.
Conclusion: We recommend intraoral surgical approach for favorable angle fracture. In unfavorable fractures we advise to place the first miniplate via intraoral approach, check for fracture stability intra-operatively and place second miniplate on lower bordervia transbuccal approach if unstable.
Evaluation of female pelvic mass - correlation of clinical and histopathological findings in female patients attending at Birat Medical College and Teaching Hospital, Morang, Nepal
Authors: Mishra Seema Kumari , Pradhan Roshan , Pokharel Hanoon P 
Published: February 2020

Introduction: The female pelvis is a quite complex anatomical region consisting of uro-genital system as its main part and other structures like blood vessels, gastrointestinal tracts, lymphatics, nerves and a part of musculoskeletal system. Thus, the differential diagnosis of pelvic masses may be of gynecological or non gynecological origin. Gynecological pelvic masses are uterine, ovarian or adnexal masses which may be benign or malignant.
Objective: The objective of this study was to evaluate the type of various gynecological pelvic masses and to correlate the preoperative diagnosis with histopathological diagnosis.
Methodology: This was a hospital based cross sectional study conducted on 107 patients from September 2018 to September 2019 at Birat Medical College and Teaching Hospital (BMCTH) with presenting complian of lump in the abdomen. These patients underwent clinical examination, routine and specific investigations along with ultrasonographic evaluation and tumour markers to reach a preoperative clinical diagnosis. Patients were admitted and preanesthetic consultation was done. Patients were taken for therapeutic or diagnostic laparoscopy or exploratory laparotomy and diagnosis were confirmed with histopathological diagnosis.
Results: Total 107 patients were enrolled in the study with age ranging from 21 to ≥70 years and among them majority (42.1%) were in the age group of 41-50 years. The most common presenting complain of patients were lower abdominopelvic pain (58.87%). The most common clinical diagnosis was leiomyoma in 39.25% patients followed by adenomyosis in 24.29% patients. The most common histopathological diagnosis was fibroid uterus seen in 42.05% patients. There were 2 (1.86%) patients of ovarian malignancies and 1 (0.93%) patient of uterine malignancy.
Clinical Profile and Prognostication in Patients Admitted at Medical Intensive Care Unit at B. P. Koirala Institute of Health Sciences
Authors: Koirala Puru , Bhatta Narendra , Ghimire Ram Hari , Mishra Deebya Raj , Bidesh Bista Bidesh 
Published: February 2020

Introduction: Critical Care management is an important issue in developing countries where Medical Intensive Care Units (MICU) patients have comorbidity or complications of multisystem involvement.
Objectives: The objective of study was to analyze clinical profiles of patients in Medical Intensive Care Unit and identify applicable factors that prognosticate outcomes.
Methodology: Study conducted at Medical Intensive Care Unit of B. P. Koirala Institute of Health Sciences, Dharan, Nepal. Records from July 31, 2013 to August 1, 2014 were retrospectively studied. Clinical profiles were analyzed, outcomes defined as improved, referred, Leave Against Medical Advice (LAMA) or death. An online calculator (MD+Calc) was used to calculate Sequential Organ Failure Assessment Score (SOFA). Descriptive statistics were used, values <0.05 were statistically significant.
Results: Of 70 patients 36 (51.4%) were female, 30 (42.9%) had sepsis of which 12 (40%) had Community-Acquired Pneumonia. 8 (11.43%) had Acute Respiratory Distress Syndrome, 7 (10%) had congestive cardiac failure. 43 (61.43%) improved, 17 (24.3%) expired, 9 (12.86%) LAMA, one patient was referred. Sequential Organ Failure Assessment Score was >9 in 23 (41.07%) cases. Of 17 expired cases, 14 (82.35%) had SOFA score >9.
Conclusion: Sepsis with pulmonary involvement is primary diagnosis in patients requiring Medical Intensive Unit Care. Sequential Organ Failure Assessment Score was useful for prognostication and can be used for better clinical decision-making.
Comparison of effects of Bupivacaine and Ropivacaine in patients undergoing elective Caesarean section
Authors: Subba Sangeeta , Arjun Chhetri Arjun , Bhattarai Rupak 
Published: February 2020

Introduction: Spinal anesthesia is considered a reasonable choice for cesarean section. Bupivacaine and ropivacaine have been used as intrathecal drugs alone or in combination with various opioids. Ropivacaine is considered a valid and safe alternative to bupivacaine for spinal anesthesia.
Objectives: To compare the efficacy and safety of hyperbaric ropivacaine with hyperbaric bupivacaine in spinal anesthesia for elective cesarean section.
Methodology: Sixty pregnant women undergoing elective cesarean section were allocated into two groups. Group R received 3 ml of 0.5% hyperbaric ropivacaine (2 ml 0.75% plain ropivacaine mixed with 1 ml of 25 %dextrose) and Group B received 2.5 ml of 0.5% hyperbaric bupivacaine. Both the groups were compared in terms of onset of sensory and motor block, regression of sensory and motor block, duration of analgesia and side effects.
Results: The onset of sensory block was comparable in both groups but was statistically insignificant. The onset of motor block in Bupivacaine(7.53 ± 1.72) min was faster when compared to Ropivacaine group(14.33 ± 6.19) min. Regression of sensory and motor block both were faster in Ropivacaine group. Duration of analgesia was longer in Bupivacaine group(131.17 ± 32.95)min than Ropivacaine group(125.33 ± 30.54)min.
Conclusion: Ropivacaine can be used as an alternative to Bupivacaine for spinal anesthesia in cesarean section but has a shorter duration of sensory and motor block.
Patterns of Coronary Dominance in Patients undergoing Coronary Angiography
Authors: Khatun Sanzida , Nepal Rajesh , Yadav Ranjeet Kumar 
Published: February 2020

Introduction: Right and left coronary arteries supply the heart. The dominant vessel supplies posterior descending artery and at least one posterolateral branch to inferior surface of heart. The coronary circulation can be: right dominant, left dominant and co-dominant.
Objectives: The aim of this study was to determine the different patterns of coronary artery dominance in patients with coronary artery disease.
Methodology: A descriptive cross-sectional study was conducted in patients undergoing coronary angiography in cathlab of Nobel Medical College and Teaching Hospital, Biratnagar, Nepal. The coronary angiography was taken from all standard views. For assessing the left dominance, left anterior oblique cranial view was specially focused.
Results: There were 72.9% right dominant, 22.2% left dominant and 4.9% co-dominant cases. Both sexes had similar patterns of coronary dominance (73.8% RD, 22.2% LD and 4.0% CD among males whereas, 71.4% RD, 22.1% LD and 6.5% CD among females) as that in total study population. The highest number of patients was found in 60 to 69 years of age group. More number of patients had left dominance in less than 50 years age group than in 50 years and above group. There were no significant differences in pattern of coronary dominance with age groups.
Conclusion: The most prevalent type of coronary artery dominance is right dominance followed by left dominance and co-dominance.
Afterword. Ukraine in the world religious space
Authors: Fylypovych Liudmyla O. 
Published: February 2020

It has been 17 years since Ukraine has been in the world religious space, but it is hardly aware of its presence there, and the world community does not notice that this space has been enriched by another country and spiritual tradition.
Thanks to Ukraine, the world religious space has increased territorially by 603.7 thousand km², which is 5.7% of European and 0.44% of world land area. This geographical area is inhabited by nearly 50 million, of which more than 30 million are believers. Ukraine, accounting for 0.7% of the population (46 million of 6.6 billion), has respectively 0.5% of believers in the world's total population.
Such territorial and human quantitative growth is not too noticeable for the world. But this territory and human resources have long been present in the history of mankind. The spiritual weight of the Ukrainian religious experience requires verbalization both for the Ukrainians themselves and for other peoples who inhabit a certain local and global religious space.
The prospect of the development of evangelical Protestantism in the Ukrainian society
Authors: Cherenkov Mychailo M. 
Published: February 2020

Evangelical Protestantism is a landmark phenomenon in the history and modern religious life of the Ukrainian society, affirming the fact of its peaceful presence with the historical churches the possibility of practical implementation of an inter-denominational, pluralistic model of religion conversion.
The eighteen centuries of the existence of the evangelical church in the unfavorable conditions of persecution by the tsarist regime and the Soviet authorities have proved its viability and great social potential, based on widespread popular support, kinship of the evangelical faith and spiritual demands of society.
RANCANG BANGUN TURBIN ANGIN POROS HORIZONTAL 9 SUDU FLAT DENGAN VARIASI RASIO LEBAR SUDU TOP DAN BOTTOM UNTUK MENINGKATKAN KINERJA PLTB
Authors: Herlambang Yusuf Dewantoro , Wahyono - , Sahid - 
Published: February 2020

<p>Penggunaan energi listrik di Indonesia saat ini sangatlah tinggi, namun energi yang digunakan masih didominasi oleh energi fosil, padahal potensi energi alternatif di Indonesia sangat banyak dan belum bisa <br />dimanfaatkan dengan baik, salah satunya adalah energi angin. Oleh sebab itu, penulis mengambil judul tugas akhir dengan tema turbin angin. Tujuan tugas akhir dari Rancang Bangun Turbin Angin Poros <br />Horizontal 9 Sudu Flat dengan Variasi Rasio Lebar Sudu Top dan Bottom Untuk Meningkatkan Kinerja PLTB tersebut adalah untuk membuat turbin angin sumbu horizontal 9 sudu flat dengan variasi sudut sudu, menguji secara eksperimental kinerja turbin angin sudu 9 flat dengan berbagai macam variasi sudut sudu dan kecepatan angin, mengkaji karaketristik kerja turbin sumbu horizontal sudu 9 flat dengan sudut sudu dan lebar sudu top dan bottom.Pengujian dilakukan dengan menvariasikan rasio lebar sudu 1:1; 4:5; 3:5; 2:5; 1:5 yang semuanya di variasikan sudut sudunya dari 15 – 45 dan kecepatan angin bebas sebesar 5 m/s, 7 m/s, 9 m/s yang pengujiannya diawali pada beban kosong, dihasilkan putaran <br />paling tinggi untuk semua turbin angin dengan variasi rasio lebar sudu top dan bottom. Langkah berikutnya menambah beban dengan caramenyalakan beban lampu DC yang mengakibatkan putaran <br />turun dan daya generator meningkat hingga mencapai kapasitas maksimum turbin angin. Berdasarkan uji kinerja turbin angin, pada sudu turbin dengan rasio lebar sudu 4:5 dan sudut sudu 30° dengan kecepatan angin bebas 5 m/s memiliki nilai ηs yang lebih tinggi yaitu 9,665631% dibandingkan dengan sudu turbin dengan rasio lebar sudu lainnya, kemudian pada sudu turbin dengan rasio lebar sudu 3:5 dan sudut sudu 23° dengan kecepatan angin bebas 7 m/s memiliki nilai η yang lebih tinggi yaitu 7,421294% dibandingkan dengan sudu turbin dengan rasio lebar sudu lainnya, sedangkan pada sudu turbin dengan <br />rasio lebar sudu 2:5 dan sudut sudu 18° dengan kecepatan angin bebas 9 m/s memiliki nilai ηs yang lebih tinggi yaitu 5,8035% dibandingkan dengan sudu turbin dengan rasio lebar sudu lainnya. </p><p>Kata Kunci: “Turbin angin poros horizontal”, “Rasio lebar sudu top dan bottom”, “Efisiensi sistem”, “Tip Speed Ratio”</p>
PEMBUATAN TURBIN VORTEX DENGAN SUDU PIPA BELAH TIGA DENGAN SUDUT KEMIRINGAN SUDU 45°
Authors: Suwoto Gatot , Supriyo - 
Published: February 2020

<p>Tujuan dari program ini adalah mengembangkan, merekayasa, dan membandingkan turbin air vortex dengan sudu yang berbentuk pipa belah tiga dengan sudut sudu 0° dan sudut kemiringan sudu 45°. Metode yang digunakan yaitu tahapan perancangan turbin, proses pengerjaan, prosedur pengujian, langkah – langkah pengujian. Variabel penelitian adalah sudut kemiringan sudu dan parameter uji yang diukur adalah head aliran, debit aliran, putaran turbin, dan beda tekanan. Data yang didapat dari pengujian turbin dibuat grafik karakteristik kinerja turbin, kemudian dianalisa dan dibuat optimalisasinya. Tahap akhir dari penelitian ini adalah mendapatkan hasil kinerja turbin dan selanjutnya dibuat artikel ilmiah yang berguna bagi masyarakat umum. Hasil pengujian didapatkan pada bentuk sudu pipa belah tiga dengan sudut sudu 0° pada putaran turbin 65,7 rpm yang menghasilkan efisiensi tertinggi sebesar 9,094% , sedangkan pada sudut kemiringan sudu 45° pada putaran turbin 75,8 rpm yang menghasilkan efisiensi tertinggi sebesar 11,755%. Dari perbandingan bentuk sudu pipa belah tiga dengan sudut sudu 0° dan sudut kemiringan sudu 45° disimpulkan bahwa sudut kemiringan sudu 45° memiliki efisiensi yang lebih baik. <br /> <br />Kata Kunci : Turbin Air Vortex, Sudu Pipa Belah Tiga, Efisiensi</p>
Rancang Bangun Motor – Generator Magnet Permanen Jenis NdFeB
Authors: Prasetiyo Budhi , Mulud Teguh Harijono 
Published: February 2020

<p>Ketidaktersediaan energi listrik merupakan suatu masalah bagi masyarakat modern khususnya pengguna perangkat elektronik dengan konsumsi daya rendah. Dari permasalahan tersebut dibutuhkan suatu alat motor – generator magnet permanen jenis NdFeB untuk menghasilkan energi listrik. Sumber energi listrik berasal dari baterai 9 volt disusun seri untuk membangkitkan fluks inti besi dengan bantuan kumparan. Fluks inti besi motor impuls menghasilkan kutub magnet yang sejenis pada komponen rotor sehingga timbul gaya tolak menolak dan menyebabkan komponen rotor bergerak dan magnet rotor menginduksi kumparan stator. Metode tugas akhir yang dimulai dari tahapan pembuatan, perakitan dan pengujian seluruh komponen motor – generator. Pengujian menggunakan beban berupa lampu LED, tahanan keramik dan potensiometer. Tegangan keluaran generator yang diperoleh pada karakteristik beban nol ialah 8.83 VDC dan tegangan keluaran tertinggi sebesar 8.84 VDC dan arus 0.009 Ampere menggunakan beban potensiometer 18KOhm. Untuk mendapatkan daya keluaran yang lebih besar dengan melakukan pembuatan ulang komponen dengan ketelitian yang lebih tinggi, memvariasi jumlah magnet, merubah ukuran lilitan dan memperkecil lebar celah udara. <br /><br /></p>
Morphometric characteristics of embryonic development Heterakis dispar isolated from geese
Authors: Stybel V. V. , Prijma O. B. 
Published: February 2020

Knowledge of the biological properties and ecological environment of the development of helminths, especially those that cause invasive diseases of animals and humans, is extremely important for understanding the epizootic aspects and clinical manifestations of invasions. Among the domestic and wild birds, one of the dominant ones is the group of parasitic nematodes of the genus Heterakis Dujardin, 1845. The aim of this study was to study the peculiarities of the embryonic development of Heterakis dispar, isolated from domestic geese, taking into account their morphological and metrical changes. Experimental cultivation of eggs isolated from gonads of H. dispar females to their invasive stage in the laboratory. Morphological and metric changes in the process of their embryogenesis were established. The picking of nematodes was performed by the method of complete helminthological opening of the caecum of dead or forcedly killed geese. It has been determined that the eggs of nematodes of domestic geese of H. dispar species under the temperature regime of 22 ºС undergo 4 stages of exogenous development: protoplast, crushing of blastomeres, formation of the larva of the first stage, formation of the larva of the second stage. At this temperature, the development of the parasites ended in 8 days, and the viability of the embryonic stages of the development of heteroxides was 79.33 ± 0.88%. In this case, developmental stoppage and death were observed in 20.67 ± 0.88% of eggs. The protoplast stage occurred within 1–18 days, the formation of two blastomeres – 2–4 days, the formation of the first stage larvae – 2–6 days, the formation of the second stage larvae – 4–8 days. In the process of exogenous development, the metric parameters of eggs of heterakises isolated from domestic geese change. Their sizes for cultivation from the stage of the protoplast to the larvae of the second stage are characterized by a significant decrease in width by 1.2 times and a simultaneous thinning of the shell by 1.1 times. Obtained data on the timing of the formation of invasive H. dispar eggs parasite in domestic geese, as well as their viability in the process of embryonic development can be used to improve the efficiency of species identification of isolated parasites by the results of scatoscopic studies of the bird.
Graham Greene and the Issue of Obsessive Love: The Critical Analysis of the End of the Affair
Authors: Boro Alidou Razakou Ibourahima 
Published: February 2020

Nowadays, human beings’ relationships take many forms. People are either parents, friends, colleagues, partners, lovers etc. As far as lovers are concerned, we sometimes observe excesses in their interactions. However, not everybody experiences love in the same way. Love, for some is joy, happiness while other people regard it as source of problems and sufferance. In Corneille’s Le Cid, Rodrigue and Chimène are paralyzed by love and suffering, while Romeo and Juliette get to the capital sacrifice for their intensive and polemical love affair in Shakespeare’s Romeo in Juliette. This study aims at exploring the concept of obsessive love and its consequences through the characters of Graham Green’s The End of the Affair. To succeed in this study apart from books on the selected topic, I have used psychoanalysis as literary theory to access the issue. I examined the difference between obsessive love and true love. Of the results I came up with I can briefly say but a few that obsession can be destructive namely for the obsessed. It can also negatively affect the other members of the family tissue. Obsessive love unfortunately often replaces true love. Ways and means are suggested to cope with any sorts of love.
Legal Satisfaction of Electronic Authentic Diction Made Notary in Facing Industrial Revolution 4.0
Authors: Rafiqi Rafiqi , Marsella Marsella 
Published: February 2020

Notary has the authority to make an Authentic Deed based on article 1867 of the Civil Code. Proof of evidence in writing is done by authentic writing or writing under the hand. Along with advances in technology, each transaction using electronic information technology makes it easy for parties to make agreements through online. However in reality the Authentic Deed made by a Notary Public must be adjusted to Law Number 30 of 2004 amending the Law Number 2 of 2014 about the position of Notary Public. The formulation of the problem in this research is How Positive Law about the Certainty of Authentic Deed Law conducted by a Notary by using Electronics and how the obstacles to the agreement by using the Electronic Deed conducted by a Notary. The writing method in this paper uses notative juridical and the nature of the research is perspective. Research results in writing are the legal certainty of an authentic deed made by a notary that there is no positive law relating to an authentic deed done online and authentic deeds made online are that the parties must face directly, good faith and the validity of electronic signatures whose authenticity is uncertain. Recomendation that policies on authentic deeds need to be made electronically.
Aesthetic Concept - Choreography of Piso Surit Dance in Karo Community
Authors: Adlin Dilinar 
Published: February 2020

Piso Surit dance in Karo community has distinctive characteristics in its movement techniques, floor patterns, environmental ethical norms, and symbolic-philosophical images. All of these characteristics grow and develop in line with aspects of the living environment that have been integrated in each form of art. This study aims to explain: 1) the basis and rules of Piso Surit dance; and 2) the concept of Piso Surit dance choreography. This study uses a choreographic-anthropological approach, which is to analyze the relationship of dance motion with the aesthetic choreographic concept of Piso Surit dance and Karo community's mindset. Observation, documentation, and interview techniques are used to collect data and then the triangulation data analysis process is carried out to obtain the credibility of the data. The results showed that the rules for the use and application of motive motives fall into two categories, namely for male dancers and female dancers. The application of the prevailing floor pattern is dealing with their partners, side by side, and encircling each other. The rules for the use and application of accompaniment patterns intend to create a unified nature that is subtle, gentle, and harmonious. In the concept of choreography, Piso Surit's dance movements are broken down into nine (9) sections. The movements use techniques such as: a) tiptoeing, b) rotating movements, c) stopping fingers, and d) up and down movements. The music used as accompaniment in the Piso Surit dance is a folk song in Karo area with the same title. This dance uses 'beautiful' make-up to emphasize the dancer's facial lines in a dance performance, while the fashion is a dress code as used by Karo community. As a pair dance, the floor pattern applied is to show or emphasize the story of how young Karo young people combine love.