bluuebunny/crossref_metadata_2025_split huggingface dataset:
Personal Well-Being, Mental Resilience and Emotional Intelligence in First- and Second-Generation Druze in the Golan Heights
Authors: Walter Ofra , Siwar Shaalan 
Published: July 2021

This study examined personal well-being, mental resilience, and emotional intelligence in the first- and second-generation Druze population in the Golan Heights using qualitative and quantitative methods. One hundred Druze respondents completed four questionnaires (emotional intelligence, mental resilience, demographics, personal well-being), and eight participated in semi-structured interviews. One hypothesis was that the first generation (ages 40-62) who lived through the Six-Day War in 1967 when Israel occupied the Syrian-ruled Golan Heights and the annexation process in 1981, would have lower levels of personal well-being and emotional intelligence than the second generation (ages 25-40) who were born and raised in Israel and did not experience these events. Another hypothesis was that the first generation, having experienced those events, would have higher mental resilience than the second generation. The findings showed that the second generation had higher levels of personal well-being and emotional intelligence than the first generation. However, mental resilience levels were higher in the second generation than the first. The findings indicated that memories of the stressful historical events and the sense of loyalty to Syria result in an emotional burden that exposes a low level of resilience. The levels of mental resilience predicted emotional intelligence levels and personal well-being, regardless of generational affiliation. This study's findings may be expanded to describe other communities that have undergone similar political upheaval.
Cervical Cancer Self Management Education (CSME) meningkatkan kualitas hidup pasien dengan kanker serviks
Authors: Wuriningsih Apriliani Yulianti , Distinarista Hernandia , Laely Anna Jumatul 
Published: July 2021

Kanker serviks merupakan salahsatu penyakit kronis dengan berbagai gejala penyerta selama sepanjang hidup pada penderita. Pasien dengan kanker serviks dapat melakukan manajemen diri terhadap gejala. Beberapa memiliki kemampuan untuk beradaptasi terhadap gejala yang muncul, namun ada juga yang mengungkapkan ketidaksiapan dalam mengelola gejala. Informasi kesehatan sangat penting untuk pasien, berupa mempromosikan rasa kontrol, menurunkan tekanan emosional, mendukung manajemen diri yang efektif, dan menghilangkan gangguan dari aktivitas sehari-hari. Penelitian ini bertujuan untuk mengetahui pengaruh cervical cancer self management education(CSME) terhadap kualitas hidup pasien dengan kanker serviks. Desain penelitian yang digunakan, yaitu eksperimen semu dengan pendekatan pre dan post test pada kelompok kontrol dan intervensi. Besar sampel minimal ditentukan berdasarkan tujuan menguji hipotesis beda dua proporsi kelompok independen dan nilai proporsi efek terapi standar (P1) dengan metode pengambilan sampel menggunakan simple random samplingsejumlah 37 responden. Hasil penelitian menunjukkan bahwa CSME berpengaruh terhadap kualitas hidup pasien dengan kanker serviks dengan nilai p= 0,000.
Analisis Usability Pada Aplikasi M-Commerce Tokopedia Terhadap Kepuasan Pengguna Menggunakan USE (Usefulness, Satisfaction, Ease of Use) Questionnaire
Authors: Lengkong, S.Kom., M.Ds. Oktoverano , Tumewu Melissa Dawn , Lumintang Novena Thelma Tessalonika 
Published: July 2021

Penelitian ini didasari pada kepuasan pengguna terhadap penggunaan mobile commerce sebagai alat untuk mempermudah transaksi bisnis. Penelitian ini bertujuan untuk mengukur pengaruh variabel usability secara parsial dan simultan terhadap kepuasan pengguna dengan menerapkan USE Questionnaire yang memuat variabel usefulness (kegunaan), ease of use (kemudahan penggunaan), ease of learning (kemudahan mempelajari) sebagai variabel bebas dan satisfaction (kepuasan) sebagai variabel terikat. Metode penelitian yang digunakan adalah metode deskriptif korelatif dengan pendekatan kuantitatif. Pengambilan data melibatkan 85 responden mahasiswa Fakultas Ilmu Komputer Universitas Klabat yang merupakan pengguna aktif Tokopedia. Hasil analisa linear regresi berganda menunjukkan semua variabel bebas memiliki pengaruh positif terhadap kepuasan pengguna dengan pengaruh sebesar 46% dan sisanya 54% merupakan variabel diluar penelitian. Pada pengujian hipotesis dibuktikan bahwa variabel usefulness, ease of use dan ease of learning memiliki pengaruh signifikan terhadap kepuasan pengguna secara simultan dan secara parsial variabel usefulness dan ease of use berpengaruh signifikan, sedangkan variabel ease of learning tidak berpengaruh signifikan terhadap kepuasan pengguna. Kata kunci: Usability, kepuasan pengguna, USE Questionnaire, mobile commerce
Energy Security Assessment of Nepal for the Period 2005-2030
Authors: Darlamee Shova , Bajracharya Tri Ratna 
Published: July 2021

Energy is an important driver of all economic activities and it is necessary for the production of goods and the provision of services. Thus, a secure supply of energy to meet national demand on both the short term and long term is important for any country. As a net importer of petroleum products from only one supplier country of petroleum products (i.e. India), supply and demand gap of energy, frequent price fluctuations of petroleum products and poor diversification of primary energy supply, policies regarding energy security should be developed for Nepal. This study aims to assess the energy security index of Nepal so as to provide a picture of the historical performance of the country in terms of energy security for the past years 2005-2015 and in the future 2016-2030 under different scenarios. A set of 24 energy security indicators were selected based on literature review and relevant to national energy policies and grouped under 5 dimensions which are availability, affordability, accessibility, efficiency and acceptability. It can be seen that energy security for Nepal has been following a declining trade since 2005/06 to 2015/16, the causes of which could be attributed to the increase in energy consumption, increase in imports of petroleum products, increase in electricity deficit from the year 2008/09, increase in price of petroleum products. However, the value of energy security index is on the higher side (near to 10) which is mainly due to the fact that energy supply of Nepal is mostly dependent on traditional sources which is domestically supplied. There is a need to incorporate energy security in the national energy policy of Nepal with more emphasis on diversification of primary energy sources (other than traditional resources), reduction on import dependency especially on fossil fuel resources, strategic fuel reserves, diversification of energy resources uses in different energy consumption sectors like transport, industries, increase in energy supply from renewable energy sources, etc.
Role of NT-proBNP in Detection of Left Ventricular Diastolic Dysfunction in Asymptomatic Type 2 Diabetes Patients with Preserved Ejection Fraction: A Cross-sectional Study
Authors: Pandey Naveen Kumar , Karki Prahlad , Shah Prashant , Lamsal Madhab 
Published: July 2021

Background: Left ventricular diastolic dysfunction (LVDD) represents the first stage of diabetic cardiomyopathy and is initially subclinical. Early diagnosis enables earlier treatment and stops further progression of the disease. Tissue Doppler Imaging (TDI) is a new diagnostic modality with high sensitivity and specificity to know ventricular diastolic function. N-terminal pro brain natriuretic peptide (NT-proBNP) is a cardiac neurohormone that can be used to identify the changes in ventricular diastolic function. We aimed to estimate the concentration of NT-proBNP and correlate its value with TDI for LVDD in asymptomatic type 2 Diabetes Mellitus.
Methods: In this comparative cross-sectional study, we enrolled 100 asymptomatic type 2 diabetic patients and 100 healthy people aged 30-60 years. In both groups, NT-proBNP levels were measured and the presence of LVDD was determined by TDI. The primary outcome parameter was the level of NT-proBNP in diabetics and healthy people. The secondary outcome parameter was the correlation of NT-proBNP level with various grades of LVDD.
Results: In patients with LVDD, NT-proBNP levels [median (IQR)] were 123 (102,194) pg/ml in diabetics and 72 (67, 77) pg/ml in the control group. In patients without LVDD, NT-proBNP levels [median (IQR)] were 69 (59, 76) pg/ml in diabetics and 57 (49, 63) pg/ml in the control group. The level of NT-proBNP was significantly higher in those with LVDD (p < 0.001). NT-proBNP concentration significantly increased as grades of LVDD increased.
Conclusion: NT-proBNP is a good marker for detection of preclinical LVDD in patients with uncontrolled diabetes prone to develop cardiovascular complications.
Mental Health Status among Adolescents of High Schools: A Cross-sectional Study
Authors: Dass Baishali , Kandangwa Binita , Pokharel Rita 
Published: July 2021

Background: Adolescents are prone to develop various psychosocial problems with a long-standing impact. We aimed to investigate the mental health status among adolescents from high schools in Dharan sub-metropolitan city.
Methods: In this descriptive cross-sectional study, we enrolled 150 adolescents from two different schools of Dharan, using a stratified random sampling technique. The Pediatric Symptoms Checklist for Youth was used to assess their mental health status. A score of 30 or more was considered as a mental health problem. Poverty, family dispute, punishment, and personal and family history of a psychiatric condition were considered as potential predictors of mental health problem. The chi-square test was applied to identify the predictors of mental health problem.
Results: The final analysis included 141 samples. More than 60% of the students belonged to the age group 13-15 years, and 52.5% were females. About 59.6% were Janajatis, and 61% were Hindus. The majority (63.8%) were living below the poverty line. The majority (83.7%) had no dispute in the family. All the students had received punishment, and 51.1% had received it at home. One-third of the students had mental health problem. The presence of mental health problem was significantly associated with nuclear family status (p = 0.04), and history of a family dispute (p = 0.04).
Conclusion: Mental health problem was common among adolescents, and it was associated with the nuclear family structure and the presence of family dispute.
Knowledge Regarding Care of Low Birth Weight Babies among Nurses Working in Pediatric Wards of a University Hospital in Eastern Nepal
Authors: Yadav Upendra , Karna Basant Kumar 
Published: July 2021

Background: Birth weight is the single most important factor determining a newborn’s survival chance. Recent development in neonatal care demands nurses to have updated knowledge regarding the care of low birth weight (LBW) babies. We aimed to assess the knowledge regarding care of LBW babies among nurses.
Methods: In this descriptive cross-sectional study, we enrolled 54 nurses working in pediatric wards of BPKIHS. To assess their knowledge regarding the care of LBW babies, a pre-tested self- response questionnaire was administered with focus on six domains: knowledge about care of LBW babies, the kangaroo mother care, adequacy of breast feeding, vaccination, bathing of LBW babies, and prevention of infection. The chi-square test was used to examine the association between different categorical variables and their knowledge.
Results: The majority (83%) had a Proficiency Certificate in nursing education, 11% had a Bachelor of Science in nursing education and only 6% had completed Bachelor in general nursing. More than half (55.6%) of the nurses had a job experience of 1-5 years. The overall knowledge score (mean ± SD) among the nurses on care of LBW babies was 86.5 ± 2.3. Nurses with Bachelor level of education had better knowledge score (85.5 ± 15.4) compared to those with proficiency level of education (75.1 ± 15.9) (p = 0.003).
Conclusion: The knowledge regarding the care of LBW babies among the nurses working in pediatric wards of BPKIHS seemed excellent. Knowledge was better in nurses with higher educational level.
Cerebral White Matter Hyperintensities in T2 Weighted Magnetic Resonance Images of Elderly Patients- Correlation with their Mental Status
Authors: Regmi Niraj , Mohiuddin Abu Saleh , Taher Abu , Ferdousi Mahfuz Ara 
Published: July 2021

Background: White matter hyperintensities (WMH), focal and/or diffuse areas of hyperintense signals on T2 weighted magnetic resonance imaging (MRI), are the most common incidental finding in elderly patients. However, their clinical significance is usually overlooked. We aimed to find out the correlation between the degree of cerebral WMH in MRI with the mental status of elderly patients, assessed by Mini-Mental Status Examination (MMSE) score.
Methods: This cross-sectional study was conducted for two years on eighty eligible elderly patients (> 60 years) referred to the Department of Radiology and Imaging for MRI of the brain. Demographic variables like age and sex, MMSE score, and MRI variables like location and number of WMHs were studied. The Pearson’s correlation coefficient was used to calculate the correlation between the extent of periventricular WMHs and MMSE score.
Results: A significant negative correlation (r = -0.78; p < 0.001) was found between decreased MMSE and the extent of periventricular WMH. A significant negative correlation was also found when periventricular hyperintensities were evaluated individually for frontal caps (r = -0.68; p < 0.0001), band opacities (r = -0.55; p<0.0001) and occipital cap (r = -0.59; p < 0.0001). However, subcortical WMH was not significantly corelated with MMSE score (r = +0.018, p = 0.0897).
Conclusion: A significant negative correlation exists between the extent of periventricular WMH seen at brain MRI with cognitive decline in elderly subjects. However, no such correlation exists between subcortical WMH and mental status.
Awareness Regarding Health Insurance Policy Scheme of Government of Nepal among Local Residents of Dharan Sub-Metropolitan City
Authors: Thapa Roshni , Lamsal Shyam , Badhu Angur , Shrestha Sharmila 
Published: July 2021

Background: An expensive care discourages people from using health services. The health insurance policy scheme of the government of Nepal aims to provide quality health care services without a financial burden to its citizens. We aimed to assess its awareness among local people of Dharan and also find its acceptance and association with various demographic variables.
Methods: This cross-sectional study was conducted among 249 households in 5 wards of Dharan sub-metropolitan city. Using a semi-structured questionnaire, a face-to-face interview was taken either from the financial decision maker/ financial supporter of the family. The socio-demographic characteristics, awareness and perception towards the health insurance policy scheme and its acceptance were assessed. The chi-square test was used to find the association of their awareness with different demographic variables.
Results: The majority (70.7%) of the families were aware of the health insurance policy scheme. The most frequent source of knowledge was their friends/ family members (43.7%) followed by insurance service providers (32.4%). Only 36.6% of the families were enrolled in the health insurance policy scheme while 34.1% were not enrolled despite their knowledge about the scheme. Elderly (> 60 years), dependent, those without formal education, or those living below the poverty line were less aware regarding the health insurance policy (p < 0.05).
Conclusion: About 29% of families had no idea about health insurance policy scheme and 34.1% were not enrolled in it despite being aware of the scheme. Friends/ family members and insurance service providers were common sources of information.
Sistrunk’s operation: Ten years’ experience in a teaching hospital
Authors: Koirala Krishna Prasad 
Published: July 2021

Introduction: Thyroglossal duct cyst (TGDC) is a congenital condition that results from persistence of thyroglossal duct. It commonly presents in the midline neck as a painless nodule. On physical examination, it moves with protrusion of tongue and on swallowing. Meticulous clinical history and physical examination are sufficient to make a correct preoperative diagnosis. Ultrasonography of the neck and fine needle aspiration cytology are other useful tools in the diagnosis. Although a congenital anomaly, it usually presents in the first and second decades of life. The standard treatment of choice for thyroglossal duct cyst is Sistrunk’s operation. The aims of this study are to identify the age of presentation of patients with thyroglossal cyst, its site of occurrence in relation to hyoid bone and to look for the patterns of recurrence after Sistrunk’s operation.
Methods: This is a retrospective study with 34 patients over a period of ten years operated by a single surgeon. Patients treated by Sistrunk’s operation and confirmed as the thyroglossal duct after histopathology report were included in the study. Their demographic data, age at presentation, surgical treatment and recurrence rate were noted and analysis were made.
Results: There was slight male predominance, majority of the thyroglossal cysts were found in the pediatric population and below the hyoid bone, and there were acceptable recurrences.
Conclusions: Thyroglossal duct cyst is a disease of children. Sistrunk’s operation is the standard surgical procedure with minimal recurrence.
Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Disease
Authors: Acharya Chandra Prakash , Poudel Kalpana , Thapaliya Rekha 
Published: July 2021

Introduction: The prevalence of anxiety and depression among patients with COPD is significantly higher than the general population; there are serious barriers to the recognition and treatment of these co-morbid conditions. The study aimed to identify the anxiety and depression among patients with COPD.
Methods: A cross sectional study design was adopted and consecutive sampling technique was used to collect 131 samples. A structured interview schedule of Beck Depression Inventory and Beck Anxiety Inventory was used.
Results: Low level of anxiety was found among 83(63.4%) of COPD patients whereas 16(12.3%) had potentially concerning levels of anxiety. It also reveals that 31(23.7%) of the COPD patients were suffering from moderate depression, 14(10.7%) had severe depression whereas 7(5.3%) had extreme depression. A total of 28(21.4%) of them were free from depression. There was association between alcohol consumption and depression (p=0.00). Likewise, there was association between age (p=0.03), educational status (p=0.04), types of family (p=0.00), smoking habit (p=0.01), duration of disease diagnosed (p=0.01) and duration of treatment (p=0.00) with anxiety.
Conclusions: It is concluded that one fourth of the COPD patients had moderate level of anxiety as well as depression. Additionally, some of the COPD patients also suffered from extreme depression.
Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate
Authors: Thapa Pabin , Sapkota Krishna , Ranjeet Niraj , Onta Pratyenta Raj , Wahegaonkar Krishna , Thapa Upendra Jung 
Published: July 2021

Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations.
Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score.
Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up was 8.83 months. The functional outcome was assessed using the Constant- Murley Shoulder score. The pain scores were significantly better after the implant removal was done (p= 0.007). The final mean constant score was 74.6 ± 4.11 before removal and 93.91 ± 2.71 after implant removal and all the 23 patient had excellent result (>90 points).
Conclusions: The pre-contoured clavicular hook plate has proved to be a good implant option in the fixation of Rockwood Type III AC joint dislocation without the need of any ligamentous repair
The Role of Magnetic Resonance Imaging in Traumatic Knee Injury
Authors: Thapa Madan , Thapa Subash , Chhetri Pramod Kumar 
Published: July 2021

Introduction: Magnetic Resonance Imaging (MRI) as a non-invasive modality plays a vital role in assessment of a wide spectrum of internal knee derangements. This study focuses on the commonest anatomical derangement and reveals the importance of MRI to characterize the pattern of derangement in the assessment of the patient with knee injury.
Methods: This is the hospital based prospective study conducted among 65 patients referred to department of radiology with first presentation of knee injury during two years period from August, 2013 to August, 2015. Patient fulfilling the inclusion criteria underwent Magnetic Resonance Imaging knee in SIEMENS MAGNETOM C 0.35 Tesla MRI machine, after taking written informed consent. Descriptive analysis of data was analyzed using SPSS 20.0 program
Result: Of the total 65 patients with knee injury, Sport injuries were the most common mode of knee injury. 63 cases with trauma had findings on MRI. Most of the cases presented with joint effusion (59 cases). Anterior Cruciate Ligament (ACL) tear is the commonest injury (37 cases) during knee trauma followed by Medial Collateral Ligament (MCL), Medial Meniscus, Posterior Cruciate Ligament (PCL), Lateral Meniscus and Lateral Collateral Ligament(LCL) injuries.
Conclusion: MRI as a high-contrast soft-tissue imaging technique can be used as a noninvasive modality to assess a wide spectrum of internal knee derangements in a patient with knee injury. Specific pattern of bone bruise can guide us to narrow our diagnosis.