bluuebunny/crossref_metadata_2025_split huggingface dataset:
Рекомендації щодо реалізації методики вибору варіантів використання системи бортових вимірювань
Authors: Кузнецов В.О. , Добришкін Ю.М. , Собора А.І. 
Published: September 2021

Розробка рекомендацій щодо практичної реалізації методичного підходу вибору варіантів використання системи бортових вимірювань дозволить підвищити ефективність проведення випробувань зразків озброєння та військової техніки різного функціонального призначення і є актуальним науковим завданням. Оснащення Збройних Сил України новітніми зразками озброєння та військової техніки призводить до необхідності вдосконалення системи випробувань, в тому числі і системи бортових вимірювань. В існуючих публікаціях запропоновано підхід щодо вибору варіантів використання системи бортових вимірювань для проведення випробувань повітряних суден. Відсутні рекомендації щодо практичної реалізації методичного підходу щодо вибору варіантів використання системи бортових вимірювань для проведення випробувань зразків військової техніки. Метою роботи є підвищення ефективності проведення випробувань зразків озброєння та військової техніки різного функціонального призначення. Розроблені рекомендації, які потребують проведення комплексу організаційно-технічних заходів та направлені на забезпечення ефективного функціонування системи бортових вимірювань під час організації та проведення випробувань. Практична реалізація запропонованих рекомендацій потребує: дублювання вимірювань параметрів сучасних зразків озброєння та військової техніки; застосування сучасного телекомунікаційного обладнання та протоколів для передачі вимірювальної інформації; комплексне використання засобів траєкторних вимірювань та фото, відеофіксації; забезпечення зручного доступу до експлуатації засобів бортових вимірювань з мінімальними масово-габаритними розмірами; створення баз даних засобів бортових вимірювань, об’єктів випробувань з інформацією про їх тактико-технічні характеристики, параметри, які підлягають оцінці, та вимоги до точності вимірювань.
PENGARUH TERAPI BEKAM TERHADAP KADAR ASAM URAT PADA PENDERITA HIPERUREMIA DI RUMAH SEHAT KHAIRA BANGKINANG
Authors: NINGSIH NENENG FITRIA 
Published: September 2021

Kejadian gout di Indonesia terus meningkat dan bertambah banyak.Pada tahun 2012 adalah sebesar 24,3% pada laki-laki dan 11,7% pada perempuan menderita gout. Tujuan penelitian ini adalah Untuk mengetahui pengaruh terapi bekam terhadap penurunan kadar asam urat pada penderitah iperurisemia. Rancangan penelitian ini adalah quasi eksperimen. Menggunakan two group pre testpost test design. Jumlah sampel masing-masing 30 orang pada kelompok kasus dan kelompok kontrol. Analisis data yang di gunakan adalah uji tdependent. Hasil penelitian menunjukkan bahwa pada kelompok kasus dan kelompok kontrol, sebagian besar pasien berumur > 50 tahun yaitu sebanyak 12 orang (40%) pada kelompok kasus dan 11 orang (36.7%) pada kelompok kontrol. Sebagian besar responden pada kelompok kasus dan control berjenis kelamin laki-laki yaitu sebanyak 14 orang (46.7%) dengan pekerjaan sebagai petani yaitu sebanyak 12 Orang (40.0 %) pada kelompok kasus dan 13 (43.3%) pada kelompok kontrol.. Terlihat nilai mean perbedaan kadar asam urat antara sebelum dibekam dan setelah dibekam adalah 2.620 dengan standar deviasi 1.530. Hasil uji statistic didapatkan nilai p= 0.000 maka dapat disimpulkan ada perbedaan yang signifikan rata-rata antara kadar asam urat sebelum dilakukan terapi bekam dan setelah dilakukan terapi bekam. Diharapkan masyarakat agar lebih meningkatkan pengetahuan tentang asam urat dan menjaga pola makan sehingga tidak terjadi peningkatan asam urat (hiperurisemia). Di sarankan kepada penderita asam urat agar rutin untuk melakukan bekam untuk menurunkan kadar asam urat minimal satu kali dalam satu bulan. Mengingat hasil penelitian ini mampu berkontribusi dalam mengatasi masalah asam urat.
Health Related Quality of life of Diabetic and Non-Diabetic Elderly in a Municipality of Central Nepal
Authors: Sapkota Srijana , Poudyal Jiwan Kumar , Shah Rajani , Thapa Kanchan 
Published: September 2021

Background: Quality of life (QoL) is the perception of an individual about their position in life. Chronic diseases such as diabetes are said to have influence on QoL. Health condition changes with increased age and chronic disease condition. This study aimed to assess Health-Related QoL of diabetic and non-diabetic elderly.
Method: A community based cross-sectional study was conducted among 167 elderly in Gaindakot municipality of Nawalpur, Nepal. Health related QoL was assessed using World Health Organization QoL Instrument scale. Data was analyzed using descriptive as well as inferential statistics.
Results: Among the diabetic respondents, highest mean score was obtained in social relationship (68.76), whereas environmental health (69.02) holds highest mean score among non-diabetic. Non-diabetics were in better position in terms of both psychological (63.23 vs 55.77) and physical health (62.23 vs 57.15) than diabetics. Overall QoL and overall health perception were found to be significantly correlated with all domains of QoL at (p<0.05) and (p<0.01) respectively among diabetics. Age group, gender, educational status, marital status and employment status were found to be statistically associated with different domains of QoL in both groups but caste, family type smoking and alcohol intake didn’t show any association with any of the domain of QoL in both groups.
Conclusion: Three domains of Health Related QoL (physical, psychological and environmental health) except social relationship were better among non-diabetic compared to that of diabetic respondents. Preventing diabetes and focusing on physical, psychological and environmental health of diabetics are required for a healthy elderly life.
Gastrointestinal Malignancies: An Eight Years Experience
Authors: Goyal Binita , Sedhain Mamata , Rai Suman , Subedi Pratigya 
Published: September 2021

Background: Gastrointestinal malignancy constitutes a significant cancer burden in terms of mortality. They are most often detected late due to hidden location and lack of symptoms. This study was undertaken with an aim to see age and site distribution, histopathological spectrum, histologic grade and pathologic stage at presentation and to find correlation between histologic grade and pathologic stage at presentation.
Methods: This retrospective chart review was carried on 161 cases of GI malignancies received in Department of Pathology of College of Medical Sciences and Teaching Hospital during a time period of 8 years from January 2012 to December 2019.
Results: Age of the patients ranged from 16 to 93 years with a mean±SD of 57.3±16.3 years with maximum 36 (22.4%) cases in 51-60 years age group and a male female ratio of 1.4:1. 29 (18.0%) cases were seen at or below 40 years of age. Stomach was the most common site involved in 69 (42.9%) cases. Majority, 136 (84.5%) cases were adenocarcinoma. Majority, 48 (35.3%) cases of adenocarcinoma were Grade 2. Most 31 (45.0%) cases were Stage III at presentation. There was no statistical significant association between histologic grade and pathologic stage (p = 0.073).
Conclusion: GI malignancy constitutes a significant cancer burden. Younger individuals are also considerably affected denoting a need of high degree of suspicion. Stomach was the most common site involved. Adenocarcinoma was the most common histological type. There was no association between histologic grade and pathologic stage at presentation (p > 0.05).
Psychiatric Morbidity among Children and Adolescents Attending Psychiatric Clinic of a Tertiary Hospital
Authors: Sharma Bhaskkar , Shrestha Rajesh 
Published: September 2021

Introduction: A variety of psychiatric manifestations can be seen in children and adolescents below the age of 19 years. This study aims to examine the socio-demographic, morbidity profiles, and clinical correlates of child and adolescent patients attending the psychiatry out-patient clinic of Lumbini Medical College and Teaching Hospital (LMCTH).
Methods: It was an observational, cross-section study involving case record analysis of all children and adolescent patients attending the psychiatry out-patient clinic between December 1, 2018 to November 30, 2019 in LMCTH, Nepal. Socio-demographic and clinical data were entered into computer software and analysed.
Results: One hundred and forty cases fulfilling inclusion criteria were included in the study. There were 96 (68.6%) females and 44 (31.4%) males. Majority of the patients were from 16-19 years age-group. Cases from urban areas predominated the picture. Most common psychiatric diagnosis was conversion disorder (29, 20.7%) followed by depressive disorder (25 or 17.9%) and anxiety disorder (14, 10%). Majority of females had conversion disorder (25 or 26%) followed by seizure disorder (23, 24%) and depressive disorder (15, 15.6%) whereas majority of males had equal count of depressive disorder and seizure disorder (10, 22.7%) followed by anxiety disorder (7, 15.9%).
Conclusions: Psychiatric illness was most common in children and adolescents in the age group 16-19 years, followed by 11-15 years age-group. They were more common in female sex, and slightly higher in those from urban background. Common psychiatric diagnoses were conversion disorder followed by depressive disorder and anxiety disorder.
Effectiveness of Autologous Blood and Steroid Injection in Tennis Elbow Based on Visual Analog Score Pain Score and Nirschl Stage
Authors: DC Gopal Sagar 
Published: September 2021

Introduction: Lateral epicondylitis or Tennis elbow is one of the most common causes of lateral elbow pain. Local steroid injection is a time tested treatment for providing symptomatic relief. Local injection of autologous blood in a case of lateral epicondylitis provides pain relief due to its cellular and humoral factor and triggers a healing cascade.
Aims: This study aims to compare the outcomes of the autologous blood injection and local corticosteroid injection in the treatment of tennis elbow.
Methods: This is a Hospital based study on conducted in the Department of Orthopedics at Nepalgunj Medical College from July 2018 to June 2019. 42 patients with unilateral tennis elbow were divided into two groups-Group A-21 patients (Autologous Blood Injection) and Group B-21 patients (Steroid Injection). Group A received 2 ml of autologous venous blood and mixed with 1 ml of 2% lignocaine solution; Group B patients received 80 mg (in 2 ml) of methyl Prednisolone acetate and 1ml of 2% lignocaine solution. Visual Analogue Scale pain score and Nirschl stage of patients were evaluated before injection and at 2, 6, and 12 weeks of injection were noted and analyzed.
Results: Preinjection mean VAS pain score was - 7.48±0.75, 7.52±0.68 in Group A, and Group B respectively while the Nirschl stage was 5.62±0.59 and 5.6±0.5 in group A and B, these scores among two group was not statistically significant. At 2 weeks follow up both groups showed improvement without any significant difference between two groups (p=0.84 and 0.549), while group A had better improvement in VAS pain score at 6 weeks (p=0.001). At 12 weeks follow-up within each group, there was significant VAS pain and Nirschl stage improvement (p=0.001) but there was no significant difference between the two groups.
Conclusion: Injection of autologous blood and corticosteroid injection is equally effective in the treatment of Tennis elbow at 12 weeks final follow-up.
Study of Correlation Between Glycated Hemoglobin (Hba1c) and Serum Lipid Profile in Type 2 Diabetic Patients
Authors: Shrestha Anil 
Published: September 2021

Introduction: Diabetic mellitus is a chronic metabolic disease characterized by hyperglycemia. Type 2 diabetes mellitus accounts for more than 90% of cases worldwide. Elevated HbA1c and dyslipidemia proportionately increases the risk of development of cardiovascular disease (CVD) which is the major cause of morbidity and mortality worldwide.
Aims: To Study the correlation between glycated hemoglobin (HbA1c) and serum lipid profile in type 2 diabetic patients.
Methods: This is a hospital based cross sectional study conducted at Nepalgunj medical college teaching hospital, which included 104 type 2 diabetic patients (54 males and 50 females).Venous blood samples were collected from all patients and serum was used for analyzing HbA1c, lipid profile panel and fasting blood glucose (FBG). DM was defined as per American diabetic association (ADA) criteria. Dyslipidemia was defined as per the National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III Guidelines. The data were analyzed using standard statistical methods, including SPSS 21.
Results : Abnormal lipid parameters were demonstrated with increased Total Chloseterol (TC), Triglyceride (TG), Low density lipoprotein (LDL),Very low density lipoprotein (VLDL) and low High density lipoprotein (HDL) suggestive of dyslipidemia.HbA1c showed direct and significant correlation with TC,LDL,TG and VLDL. Patients with HbA1c > 7.0% had a significantly higher value of TC, LDL, TG and VLDL as compared to patients with HbA1c ≤7.0%.However, the significant difference in value of HDL-C was not found between two groups.
Conclusion: Due to the strong correlation with lipid profile, HbA1c could be the ideal marker for predicting dyslipidemia in type 2 DM . Patients with higher HbA1c value and dyslipidemia should be considered as a very high risk group for CVD.
Chest X-Ray in Coronavirus Disease 2019 (COVID-19) Infection: Findings and Correlation with Clinical Outcome at Level-3 Nepalgunj Medical College and Teaching Hospital Kohalpur
Authors: BK Shyam Kumar , Pandey Sumit , Poudel Nabin , Pandit Sandesh , Sah Alok Kumar , Neupane Hitesh 
Published: September 2021

Introduction: At the end of 2019 a novel virus, named SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2), expanded globally from China. A new coronavirus, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), was identified as the cause of this outbreak of viral pneumonia that causes coronavirus disease 2019 (COVID-19).
Aims: The aim of this study is to find out the chest radiological features of corona virus disease patients and correlate them with clinical outcome.
Methods: This is a Hospital based study involving patients with clinical-epidemiological aspect of all reverse transcription polymerase chain reaction (RT-PCR) corona virus disease (COVID-19) positive patients, who performed Chest X-Rays at the emergency department of Nepalgunj Medical College, Teaching Hospital from March to June, 2020. All patients performed reverse transcription polymerase chain reaction from nasopharyngeal and throat swab, Chest X-Ray at the Emergency Department and clinical-epidemiological data.
Results: Patients with a reverse transcription polymerase chain reaction positive results for corona virus disease infection were 32 out of these, 22 were females (68.75%) and 10 males (31.25%), with a mean age of 40.78 years (range 20–74 years). Only 2 Chest X-Rays were negative for radiological thoracic involvement (6.25%). The following alterations were more commonly observed among 30 patients: 18 patients with lung consolidations (56.25%), 19 (59.37%) with Ground Glass Opacities, 7 (21.87%) with nodules and 21 (65.6%) with reticular–nodular opacities. Patients with consolidations and Ground Glass Opacities coexisting in the same radiography were 34.37% of total. In reverse transcription polymerase chain reaction positive patients, we found also signs nonspecific for corona virus disease pneumonia as hilar or vascular congestion (37.5%), cardiomegaly (28.12%), pleural effusion (15.6%) and pneumothorax (3.12%). Peripheral (56.25%) and lower zone distribution (56.25%) were the most common predominance. Bilateral involvement (68.75%) was most frequent than unilateral one. Given the results, baseline Chest X-Rays sensitivity in our experience is about 65.62%.
Conclusion: In this study, COVID-19 CXRs generally manifested a spectrum of pure ground glass, mixed ground glass opacities to consolidation in bilateral peripheral middle and lower lung zones. BSTI CXR reporting classification of COVID-19 is valid and sensitive in our patients with addition of middle zonal involvement in classical COVID-19 criteria as opposed to just lower zone involvement.
Comparative Study of Autologous Radiocephalic and Brachiocephalic Arteriovenous Fistula in Patients with End Stage Renal Disease
Authors: Magar Deepak Thapa , Shrestha Kiran , Chapagain Dinesh , Shrestha Kumar , Thapa Sara 
Published: September 2021

Introduction: End-stage renal disease requires treatment with dialysis or renal transplantation. For the dialysis, autologous radiocephalic (RC) or brachiocephalic (BC) arteriovenous fistula (AVF) is the better option for vascular access for hemodialysis.
Aims: The aim of this study is to find out the outcome between RC AVF and BC AVF.
Methods: This is the retrospective study, conducted for the period of 24 months from September 2017 to September 2019 in the department of Cardiothoracic and Vascular Surgery of Bir Hospital, Nepal. RC and BC AVF were created for the assess of hemodialysis. Outcome and different complications were taken into consideration.
Results: The total number of patients included in this study was 400. The overall failure rate of autologous AV fistula was 12.75%. Out of these, the failure rate was more in RC AV fistula group, 34 (17%) than in BC AV fistula group, 17 (8.5%). The most common complication was bleeding in both groups having an overall rate of 39 (9.75%). The limb edema was more common in BC AV fistula group 16 (8.0%) then in RC AV fistula group 7(3.5%). The overall infection rate was 4.5%. Overall patency rate was 87.25%.
Conclusion: Autologous RC AVF and BC AVF are the choices for vascular access for hemodialysis in patients with end-stage renal disease. BC AVF has a better patency rate than RC AVF but with the slight higher risk of complications.
Effectiveness of Surgical Treatment of Rockwood Type III Acromioclavicular Joint Dislocation Using Clavicle Hook Plate and Tension Band Wiring: A Comparative Study to Evaluate the Functional and Surgical Outcome
Authors: Shrestha Dinesh Kumar , Shrestha Merina , KC Dipendra , Karki Prateek , Shrestha Sabin , Yogi Sushil 
Published: September 2021

Introduction: Acromioclavicular joint dislocation Type III is still controversial for its management, despite of numerous trials and reviews.
Aims: To compare and evaluate the functional and surgical outcome of Rockwood Type III acromioclavicular joint dislocation treated surgically with clavicular Hook plate and Tension Band wiring with K-wires.
Methods: In a prospective hospital based interventional study comprising of total 22 patients with a mean age of 31.36 ± 7.53 years who presented with Rockwood Type III acromioclavicular joint dislocation were carried between January 2018 to December 2019. They were graded according to Rockwood et al. classification. All 22 patients underwent open reduction and internal fixation. These patients were divided into two groups according to operative procedure; of which 11 patients were treated with clavicular hook plate (CHP) and rest 11 were treated with tension band wiring with K-wires (TBW). Descriptive comparison was tabulated during pre-operative, intra-operative and post-operative periods. The Constant-Murley Shoulder scoring system was applied for evaluating the results.
Results: The mean follow up period was 7.6 months. The clavicular hook plate was removed at 10 months in one patient due to severe pain and limited range of motion , and removal of Tension Band wiring with K-wires were done in two patients due to wound dehiscence and Kirschner wire back out at 5 and 6 months. The mean Constant- Murley shoulder score was 82.6 (min. 70 & max. 93) in clavicular hook plate and 74.72 (min 68 & max. 84) in Tension band wiring with K-wires which found to be significantly difference in mean scoring between two groups.
Conclusion: Patients treated with Clavicular Hook Plate for Rockwood Type III acromioclavicular joint dislocation had a very good functional and surgical outcome over Tension Band wiring with K-wires.
Bilateral Blindness Due to Left Fronto-Temporal Lobe Glioblastoma Multiforme
Authors: Thapa Bikram Bahadur , Neupane Joshan , Moktan Sunil 
Published: September 2021

Introduction: Glioblastoma multiforme is the most common primary malignant brain tumor, with a very poor prognosis. Direct compression of any structure in the visual pathway or chronic papilloedema is the cause of loss of vision in these patients.
Case Report: 30 years old male from Dailekh was brought by his elder brother with the complaint of complete vision loss in both eyes for 45 days. He also had hearing difficulty on right side, headache, right sided weakness and abnormal body movement. His Visual acuity was no perception of Light in both eyes. Pupil was mid-dilated and not reacting to light. Fundus examination revealed bilateral Pallid disc edema. MRI brain revealed left fronto-temporal GBM compressing optic chiasm. Neurosurgical consultation was obtained and counseling was done regarding disease and its treatment. Due to poor prognosis and poverty patient choose palliative conservative treatment.
Conclusion: This case highlights the possibility of bilateral Blindness in unilateral GBM. GBM has very poor outcome even after treatment.
Prithvi Narayan Shah’s Music Policy
Authors: K.C. Shree 
Published: September 2021

Most writers describe Prithvi Narayan Shah as someone who didn’t really appreciate music. However, his grooming in the palace with different rituals accompanied by musical chants of mantras and his attachment with his fellow friends in his childhood shows that he had adopted musical in a very cultural manner.
In his ‘Divya Upadesh’, he has shown views of preserving and protecting Nepali culture by promoting Nepali music and Nepali artists. Bise Nagarchi, a musician helped Prithvi Narayan Shah in his unifying campaign by encouraging and refreshing the people at war through his music.
This article will enlist points that showcase facts that show he was not against music and also review some of his ‘Dibya Upadesh’ through a more musical perspective. Both primary and secondary data have been used as the source of content in the making of this article.