bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge Regarding Health Promotional Measures of Infant among Mothers Attending Pediatric OPD of Universal College of Medical Sciences
Authors: Bhusal Chet Kant , Bhattarai Sigma , Kafle Raju , Shrestha Rubina 
Published: January 2021

INTRODUCTION
Infant and child health status depends upon knowledge of mothers regarding health promotional measures. This study aimed to determine knowledge and its associated factors regarding health promotional measures of infants amongst the mothers attending pediatrics outpatient department of Universal College of Medical Sciences Teaching Hospital, Bhairahawa, Rupandehi, Nepal.
MATERIAL AND METHODS
Hospital based cross-sectional study was conducted in Universal College of Medical Sciences Teaching Hospital, Bhairahawa, Rupandehi, Nepal among 414 mothers attending pediatrics outpatient department from June 2019 to March 2020. Bivariate and multivariate logistic regressions were used to explore associations between different factors with health promotional measures.
RESULTS
The mean age and family size was 25.89 ±4.81 and 5.94 ±2.48 respectively. A total of 73.2% mothers have good knowledge of health promotional measures. Mothers greater than 20 years (AOR =8.13, CI: 2.16-30.67), Dalit (AOR=0.02, CI: 0.003-0.16), living in rural area (AOR=0.27, CI: 0.08-0.61), family size greater than 5 (AOR =3.99, CI: 1.37-11.59), below SLC education (AOR=0.29, CI: (0.09-0.88) and fathers with SLC and above education (AOR=25.40, CI: 4.54-142.0), fathers engaged in non-agricultural work (AOR =4.78, CI: 1.80-12.68) and birth space of index child greater than two years (AOR =5.88, CI: 1.48-23.55) were significantly associated with knowledge of health promotional measures.
CONCLUSIONS
Mothers’ age, caste, residence, family size, education of parents, occupation of father and birth space of index child were found to be independent associated factors of knowledge. Thus policy makers should provide specific education regarding health promotional measures to both parents focusing rural area. Similarly, local Government needs to subsidize in reducing teenage marriage.
Simulation in Nursing Education: Review of Research
Authors: Ghimire Sulochana , Kachapati Anuja 
Published: January 2021

INTRODUCTION
Nursing education consists of the theoretical and practical training provided to nurses with the purpose to prepare them for their duties as nursing care professionals. The scope of nursing practice reflects all the role and responsibilities undertaken by the nurse to address the full range of human experiences and responses to health and illness. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decision making ability as well as in developing the psychomotor skill performance of new graduates. Simulation provides nursing students with opportunities to practice their clinical and decision-making skills through various real-life situational experiences. Although endorsed in nursing curricula, its effectiveness is largely unknown.
Evaluation of Overall Performance of Faculty Members by Using Self-Assessment Method
Authors: Shah Santosh , Kumar Anand , Pokharel Nabaraj 
Published: January 2021

INTRODUCTION
The quality of teaching–learning process at medical college depends mainly of infrastructure that includes competent personnel, optimal teaching space and equipment in accordance with existing standards and norms.Faculty hence remains the cornerstone of overall academic performance of institution. Faculty evaluation and faculty development training strengthens further academic excellence. Self-assessment of their own teaching performance by faculties is highly efficient for further academic improvement and enhancement.
MATERIAL AND METHODS
A Cross sectional, prospective study was conducted among 134 faculty members of various departments at Universal Medical College and Teaching Hospital (UCMS), Bhairahawa in month of June 2019. Faculty from clinical, basic, dental and nursing sciences were included in this study. Assessment were done with standard questionnaire with 8 different variables was using the Likert scale. A semi-structured self-administered questionnaire was used for collection of data. All the respondents provided opinion regarding level of skill, level of dependability, skill in patient relation, commitment to organization, efficiency to organize work, overall quality deliver to workplace, productivity, level of team work by a 5 points rating scale. They were provided with questionnaire and they are asked to fill form with using self-assessment methods. Data were analyzed using Microsoft excel and represented as frequency and proportion.
RESULTS
A total of 134 lecturers from various faculties participated in this study. Majority of participants (40%) are from basic sciences. In this study majority of faculties assessed themselves as competent in regards of skill (12%), clinical faculties find themselves efficient in regard of organization of work schedule. Sixteen participants found themselves dependent on others in their work. When they were asked to rate their patient related skills, six members from basic sciences were unsatisfied while all the clinicians find that they meet the job requirement and expectations. All participants believe in team work and majority of them were committed towards the organization.
CONCLUSION
The self-assessment by faculty themselves is equally effective to plan faculty development programs for further improvement and enhancement.
ऐतिहासिक भौतिकवादको कसीमा प्रेतकल्प Aaitihasik Bhautikvadko Kasima Pretkalpa
Authors: न्यौपाने Neupane श्रीराम Shreeram 
Published: January 2021

यस लेखमा ऐतिहासिक भौतिकवाद के हो; यसले साहित्यलाई कसरी हेर्छ र साहित्यभित्रको अन्तर्वस्तु र रूपको अन्तर्सम्बन्धबारे केकस्तो मान्यता राख्छ भन्ने सैद्धान्तिक पक्षलाई सङ्क्षिप्त रूपमा चिनाइएको छ । प्रकृति, समाज र चिन्तनको समग्र द्वन्द्वात्मक विकासको वैज्ञानिक खोज ऐतिहासिक भौतिकवाद हो भने साहित्यले वर्ग, द्वन्द्व, चेतना रक्रान्तिको मार्गदर्शन गर्दै समाज रूपान्तरणलाई मूल धेय बनाउँछ । त्यसै गरी वस्तु तथा सङ्घटनालाई निर्माण गर्ने तत्त्व तथा प्रक्रियालाई अन्तर्वस्तु र त्यसको प्रस्तुति, तरिका, शैली तथा संरचना रूप हो । यसका आधारमा साहित्यका विभिन्न विधामा रचित सृजनाहरूको विश्लेषण गर्न सकिन्छ । नारायण ढकालले प्रेतकल्पउपन्यास ऐतिहासिक भौतिकवादी चिन्तनलाई आधार बनाई रचना गरेका छन् । यस रचनामापूर्वी काठमाडौँको दुःखपुरमा काशीबाट शास्त्री पढेर फर्किएको आर्यसमाजी विचारबाट प्रभावित बालकृष्ण पात्रले फैलाएको विचार, तर्क र व्यवहारबाट स्थापित पुरातन मान्यता भत्कदै क्रमशः नवीन मूल्यको स्थापना हुन थालेको तथ्यलाई द्वन्द्वात्मक रूपमा चिनाइएको छ ।समाज परिवर्तनको गति चिनाउन यो उपन्यास सफल देखिएको छ । यस लेखमाउक्त रचनामा अन्तर्निहित तत्कालीन शासक वर्गविरुद्ध शोषित निम्न वर्गमा पलाएको शूक्ष्म जागरणका झिल्का र अन्तर्विरोधका स्वरहरूलाई ऐतिहासिक भौतिकवादी कोणबाट चिनाउन खोजिएको छ ।
Dynamika ustępowania zaburzeń afatycznych u chorego po udarze mózgu
Authors: Bigos Kamila 
Published: January 2021

Do najczęstszych jednostek chorobowych powodujących trudności językowe o typie afazji należą choroby naczyniowe mózgu, a wśród nich udary niedokrwienne. Zaburzenia mowy wynikające z uszkodzeń mózgu mają zazwyczaj charakter dynamiczny. Duży wpływ na obraz kliniczny, a dalej – skuteczną diagnozę i terapię logopedyczną pacjenta po przebytym incydencie neurologicznym, mają zatem okoliczności, w jakich znalazł się chory, a także czynnik czasu. W artykule przedstawiono dynamikę ustępowania zaburzeń afatycznych u chorego po udarze niedokrwiennym w obrębie lewej półkuli mózgu. Celem jest zwrócenie uwagi na zmiany w obrazie zaburzeń u 63-letniego mężczyzny po przebytym incydencie neurologicznym, u którego zdiagnozowano afazję semantyczną. Stwierdzono różnice w występowaniu objawów (w tym zaburzeń afatycznych) u pacjenta bezpośrednio po udarze oraz po kilkunastu miesiącach od zachorowania, po intensywnej terapii logopedycznej.
Miejsce zwykłego pobytu dziecka — uwagi na tle wyroków Trybunału Sprawiedliwości Unii Europejskiej z dnia 28 czerwca 2018 r. (C-512/17) oraz z dnia 17 października 2018 r. (C-393/18 PPU)
Authors: Bobrzyńska Olga 
Published: January 2021

In cases C-512/17 and C-393/18 PPU, the national courts raised doubts as to the significance of the circumstances that should be taken into account in determining the habitual residence of a child. In particular the issue was whether the child’s physical presence is a prerequisite in order to recognize that a child has his habitual residencein the country concerned. In its judgment of 17 October 2018, the Court of Justice found that a child must be physically present in a Member State in order to be regarded as habitually resident in that Member State. The parent’s intention cannot be assigned a decisive role. The arguments in this respect are consistent with the interpretation of the concept of habitual residence laid out in the earlier judgment of 28 June 2018, in which the Court of Justice connected the habitual residence of the child with the place where the centre of that child’s life is actually situated, and not with the place where the child would have lived in accordance with the plans of one of the parents. The Court’s interpretation can be attributed to the so-called combined model of determining a habitual residence by looking for child’s centre of interest, taking into account a number of circumstances, including the intention of parents with parental responsibility. Physical presence has rightly been recognized as a necessary condition for establishing jurisdiction under Regulation No 2201/2003 based on habitual residence.
Sistem Analisis Dan Perancangan Sistem Informasi Pengarsipan Persuratan Menggunakan Metode Waterfall Pada Dinas Lingkungan Hidup Berbasis Web
Authors: Sri Rejeki, Kusdarnowo Hantoro, Rahmat Purnomo  
Published: January 2021

This writing discusses the creation of a correspondence filing information system with the aim of making it easier for the secretariat to archive letters in incoming and outgoing mail data at the Environmental Service, and minimizing data loss, and speeding up the process of retrieval of archived data at the time needed so as not to repetition of archiving so that it is faster and more precise. The development of information systems uses the programming language PHP, HTML, CSS, and Java Script and uses the MySQL database. The information system development method uses the waterfall method. The results of this research can be implemented in the form of a web-based archiving information system.
Metode Multimedia Development Life Cycle Pada Media Pembelajaran Pengenalan Perangkat Komputer Bagi Siswa Sekolah Dasar
Authors: Pramesti Dyan Yuni , Arifin Rita Wahyuni 
Published: January 2021

The condition of the students who sit in elementary school but difficulty in attending computer recognition lessons, the teacher in explaining the material is not accompanied by props so that elementary school students have difficulty in following computer recognition lessons. Based on existing problems the author tries to design a learning media prop in explaining the lessons of computer device introduction. This learning medium contains written materials, videos, Multiple Choice Quiz, and Puzzles. The method used is Multimedia Development Life Cycle (MDLC) where this method is arranged based on 6 (six) stages namely concept, design, obtaining content material, assembly, testing, and distribution. In this study the authors were only new to the assembly stage. With this learning media, it is expected that elementary school children can know the form of computer devices and understand how to use them, as well as learning activities become more interesting, effective and able to foster students' learning interest in knowing computers.

Keywords: Learning Media, Elementary School, MDLC, Computer, Introduction

Abstrak

Kondisi siswa yang duduk di bangku sekolah dasar kelas namun kesulitan dalam mengikuti pelajaran pengenalan komputer, guru dalam menjelaskan materi tidak disertai dengan alat peraga sehingga siswa sekolah dasar kesulitan dalam mengikuti pelajaran pengenalan komputer. Berdasarkan masalah yang ada penulis mencoba merancang sebuah media belajar alat peraga dalam menjelaskan pelajaran pengenalan perangkat komputer. Media pembelajaran ini berisi mengenai materi tertulis, video, Quiz Pilihan Ganda, dan Puzzle. Metode yang digunakan adalah Multimedia Development Life Cycle (MDLC) dimana metode ini tersusun berdasarkan 6 (enam) tahapan yaitu concept, design, obtaining content material, assembly, testing, dan distribution. Dalam penelitian ini penulis hanya baru sampai tahap assembly. Dengan adanya media pembelajaran ini diharapkan anak sekolah dasar dapat mengetahui bentuk perangkat komputer dan mengerti cara penggunaannya, serta kegiatan belajar menjadi lebih menarik, efektif serta mampu menumbuhkan minat belajar siswa dalam mengenal komputer.

Kata kunci: Media Pembelajaran, Sekolah Dasar, MDLC, Komputer, Pengenalan
The nerve to the levator scapulae muscle as donor in brachial plexus surgery: an anatomical study and case series
Authors: Martins Roberto Sergio , Siqueira Mario Gilberto , Heise Carlos Otto , Foroni Luciano , Neto Hugo Sterman , Teixeira Manoel Jacobsen 
Published: January 2021

OBJECTIVENerve transfers are commonly used in treating complete injuries of the brachial plexus, but donor nerves are limited and preferentially directed toward the recovery of elbow flexion and shoulder abduction. The aims of this study were to characterize the anatomical parameters for identifying the nerve to the levator scapulae muscle (LSN) in brachial plexus surgery, to evaluate the feasibility of transferring this branch to the suprascapular nerve (SSN) or lateral pectoral nerve (LPN), and to present the results from a surgical series.METHODSSupra- and infraclavicular exposure of the brachial plexus was performed on 20 fresh human cadavers in order to measure different anatomical parameters for identification of the LSN. Next, an anatomical and histomorphometric evaluation of the feasibility of transferring this branch to the SSN and LPN was made. Lastly, the effectiveness of the LSN-LPN transfer was evaluated among 10 patients by quantifying their arm adduction strength.RESULTSThe LSN was identified in 95% of the cadaveric specimens. A direct coaptation of the LSN and SSN was possible in 45% of the specimens (n = 9) but not between the LSN and LPN in any of the specimens. Comparison of axonal counts among the three nerves did not show any significant difference. Good results from reinnervation of the major pectoral muscle (Medical Research Council grade ≥ 3) were observed in 70% (n = 7) of the patients who had undergone LSN to LPN transfer.CONCLUSIONSThe LSN is consistently identified through a supraclavicular approach to the brachial plexus, and its transfer to supply the functions of the SSN and LPN is anatomically viable. Good results from an LSN-LPN transfer are observed in most patients, even if long nerve grafts need to be used.
The relationship between Chiari 1.5 malformation and sleep-related breathing disorders on polysomnography
Authors: Sader Nicholas , Hader Walter , Hockley Aaron , Kirk Valerie , Adeleye Adetayo , Riva-Cambrin Jay 
Published: January 2021

OBJECTIVE
Chiari 1.5 malformation is a subgroup of the Chiari malformation in which tonsillar descent into the foramen magnum is accompanied by brainstem descent. No data exist on whether operative decompression in patients with Chiari 1.5 improves sleep-related breathing disorders (SRBDs) and whether there are radiological parameters predicting improvement.

METHODS
The authors performed a retrospective cohort study of consecutive pediatric patients with Chiari 1.5 malformation and SRBDs at the Alberta Children’s Hospital. An SRBD was characterized using nocturnal polysomnography (PSG), specifically with the apnea-hypopnea index (AHI), the obstructive apnea index, and the central apnea index. Preoperative values for each of these indices were compared to those following surgical decompression. The authors also compared preoperative radiographic factors as predictors to both preoperative AHI and the change in AHI with surgery. Radiological factors included tonsillar and obex descent beneath the basion–opisthion line, the presence of syringomyelia, the frontooccipital horn ratio, the pB–C2 line, and the clivoaxial angle.

RESULTS
Seven patients (5 males, 2 females) met inclusion criteria. One patient had two surgical decompressions, each with pre- and postoperative PSG studies (n = 8). The median age was 9 years. Before surgical decompression, 75% underwent tonsillectomy/adenoidectomy. The majority (87.5%) experienced snoring/witnessed apnea preoperatively. The median tonsillar and obex descent values were 21.3 mm and 11.2 mm, respectively. The median values for the pB–C2 line and clivoaxial angle were 5.4 mm (interquartile range [IQR] 4.5 mm, 6.8 mm) and 144° (IQR 139°, 167°), respectively. There was a statistically significant change from preoperative to postoperative AHI (19.7 vs 5.1, p = 0.015) and obstructive apnea index (4.5 vs 1.0, p = 0.01). There was no significant change in the central apnea index with surgery (0.9 vs 0.3, p = 0.12). No radiological factors were statistically significant in predicting preoperative AHI and change in AHI.

CONCLUSIONS
This is the first series of pediatric patients with Chiari 1.5 with SRBDs who demonstrated a marked improvement in their PSG results postdecompression. Sleep apnea has a significant impact on learning and development in children, highlighting the urgency to recognize Chiari 1.5 as a more severe form of the Chiari I malformation.
PENGARUH SISTEM MANAJEMEN KESELAMATAN DAN KESEHATAN KERJA TERHADAP KINERJA PEGAWAI DI PT.NINDYA KENCANA KSO PADANG PARIAMAN
Authors: Hidayat Taufik , Tanti Susi Yulias , Bakkareng Bakkareng 
Published: January 2021

Hasil penelitian ini bertujuan untuk meneliti dan menganalisis Pengaruh Sistem Manajemen Keselamatan Dan Kesehatan Kerja Terhadap Kinerja Pegawai Di Pt.Nindya Kencana Kso Padang Pariaman Dimana Variable X Adalah Sistem Manajemen Keselamatan Dan Kesehatan Kerja Variabel Dependen Adalah Kinerja Pegawai Di Pt.Nindya Kencana Kso Padang Pariaman .Penelitian ini menggunakan uji asumsi klasik yang terdiri dari uji normalitas,uji multikulieoritas, uji heroskadisitas dan Uji Regresi Berganda, Uji t dan Uji F . Hasil dari Penelitian Variable Sistem Manajemen Kesalamatan memiliki t hitung(-0,776) < t tabel (1,990) dan nilai sig perhitungan yang diperoleh adalah sebesar 0,440>0,05. Hal ini berarti bahwa H1 ditolak dan Ho diterima. Sehingga dapat disimpulkan bahwa Sistem Manajemen Kesalamatan berpengaruh negatif dan tidak signifikan terhadap Kinerja Pegawai di PT. Nindya Kencana KSO Padang PariamanVariable Kesehatan Kerja memiliki t hitung(11,499) > t tabel (1,990) dan nilai sig perhitungan yang diperoleh adalah sebesar 0,000<0,05. Hal ini berarti bahwa H2diterima dan Ho ditolak. Sehingga dapat disimpulkan bahwa Sistem Kesehatan Kerja berpengaruh positif dan signifikan terhadap Kinerja Pegawai di PT. Nindya Kencana KSO Padang Pariaman.Dari tabel tersebut diketahui nilai F hitung 91,524 yang lebih besar dari nilai F tabel sebesar3,11(lihat lampiran tabel F) dan nilai probabilitas yang dihasilkan dari perhitungan adalah 0,000b lebih kecil dari α (5%). Hal ini berarti bahwa H3 diterima dan Ho ditolak. Sehingga dapat disimpulkan bahwa Sistem Manajemen Kesalamatan dan Kesehatan Kerja berpengaruh positif signifikan terhadap Kinerja Pegawai.
FAKTOR PENENTU KESENJANGAN ANGGARAN
Authors: Zaitul Zaitul , Livita Lathiva Livita , Hamdi Mukhlizul 
Published: January 2021

An important aspect in the budgetsetting process is the tendency for budgeting managers to create budgetary slack. However, there is a limited study investigating the budgetary slack in non-profit oriented organization, such as local government. Therefore, this study address the gap in the literature by investigating the effect of budget participation and trust on budgetary slack. Besides, this study also analys the moderating effect of regulation understanding on the relationship the determinants (budget participation and trust) and budgetary slack. Final sample of this study is seven-eight (78) respondents who represented the lower level manager in organization. Structural equation model (SEM-PLS) is applied. The result show that only one hypothesis is accepted and other are rejected. the significant hypothesis is the effect of trust on budgetary slack. This study has practical and theoritical implication and it discussed in detail. Keywords : budgetary participations, trust, regulation understanding, budgetary slack
Desain Iot Untuk Smart Kumbung Dengan Thinkspeak Dan Nodemcu
Authors: Wajiran Wajiran , Riskiono Sampurna Dadi , Prasetyawan Purwono , Iqbal Muhammad 
Published: January 2021

Kumbung jamur merupakan rumah untuk merawat baglog jamur dan menumbuhkan jamur, yang terbuat dari bambu atau kayu. Kumbung ini harus memiliki kemampuan untuk menjaga suhu dan kelembapan jamur supaya tumbuh secara optimal. Pengendalian kondisi kumbung jamur biasanya dilakukan manual, dengan penyemprotan air pada baglog jamur. Hal ini kurang efektif bilamana seorang petani mempunyai banyak kumbung, terlebih bila jauh dari rumahnya. Untuk itu diperlukan suatu teknologi yang dapat mengendalikan dan memantau suhu dan kelembapan kumbung. Penelitian ini mendesain teknologi Internet of Things (IoT) untuk sistem kumbung yang pintar dalam mengkondisikan suhu dan kelembapannya. Metode penelitian ini bersifat eksperimental dengan pendekatan kuantitatif. Penelitian ini mencoba Thingspeak sebagai platform IoT dengan NodeMCU sebagai mikrokontrolernya. Sensor yang digunakan untuk men-sensing kelembapan dan suhu adalah DHT22 dengan aktuator berupa sprayer-pump, blower dan lampu pijar. Data pemantauan suhu dan kelembapan realtime bisa diakses melalui internet browser. Sistem secara fungsional bekerja baik sesuai dengan desain kerja yang diinginkan. Nilai galat dari pembacaan sensor DHT22 dengan alat ukur Digital Thermometer Hygrometer masih dalam kawasan kerja DHT22.