bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Malnutrition among Elderly People Living in a Rural Area of Nepal
Authors: Chataut Jagdish , Jonche Shristi , Ghimire Manish , Tamrakar Dipesh , Singh Bhandari Mukta 
Published: March 2021

Introduction: Elderly population is more likely to suffer from malnutrition due to aging-associated factors that influence nutritional status like loss of appetite, swallowing difficulties, digestive problems, and chronic illness. There is insufficient information related to the nutritional status of the elderly in Nepal. Hence, this study aims to determine the prevalence of malnutrition among elderly people living in the rural area of the Kavrepalanchok district.
Methods: A descriptive cross-sectional study was conducted among 320 elderly people aged â‰¥60 years in a rural area of Kavre district from August to October 2019. Ethical approval was taken from the Institutional Review Committee (IRC-KUSMS: 68/19). Convenient sampling was done. Data analysis was performed using the Statistical Program for Social Sciences version 23.
Results: The prevalence of malnutrition and risk of malnutrition was 37 (11.6%) and 159 (49.7%), respectively. Of 320 elderly persons, 193 (60.3%) males and 127 (39.7%) females, with a mean age of 68.23Â±7.38 years, participated in this study. The mean BMI was 22.54Â±3.25 kg/m2 (MeanÂ±SD). The prevalence of malnutrition was higher among females 19 (15%) compared to males 18 (9.3%).
Conclusions: The prevalence of malnutrition and risk of malnutrition is high in the study population. Interventions to improve the nutritional status of the elderly should focus primarily on older people, females, and those who have co-morbidities.
Success of Using Iodopovidone as a Sclerosing Agent for Chemical Pleurodesis in a Tertiary Care Center: A Descriptive Cross-Sectional Study
Authors: Mishra Deebya Raj , Bhatta Narendra , Koirala Puru , Shah Bhupendra , Bista Bidesh , Shah Niharika 
Published: March 2021

Introduction: Pleurodesis is a procedure to achieve symphysis between the two layers of pleura aimed at preventing the accumulation of either air or fluid in the pleural space. In Nepal, intrapleural instillation of the chemical sclerosing agent is more commonly done as thoracoscopy facility is not easily available. However, iodopovidone is rarely used for this purpose in Nepal. The study aims to find the prevalence of success using iodopovidone as the chemical sclerosing agent.
Methods: The study included cases undergoing pleurodesis over a two-year period. The clinicodemographic data, diagnosis, treatment effect and treatment response were analyzed. The treatmentresponse was graded as Treatment Success (Complete Response or Partial Response) and TreatmentFailure.
Results: Pleurodesis was done in a total of 54 cases. Of those, 39 cases were Secondary SpontaneousPneumothorax, 11 were Malignant Pleural Effusion, 3 were Primary Spontaneous Pneumothorax,and 1 was a case of Hepatic Hydrothorax. Among Secondary Spontaneous Pneumothorax, Pleurodesis was successful in 37 (95%) out of 39 cases, with 35 (90%) having a Complete Response and 2 (5%)having a Partial Response while 2 (5%) had Treatment failure. Among Malignant Pleural Effusion,treatment success was achieved in 6 (55%) out of 11, whereas 5 (45%) failed the treatment. The commonest complication was burning sensation, and the commonest pain scale was “distressing.”
Conclusions: This study highlights the safety and ease of use of iodopovidone as an agent forchemical pleurodesis. It confirms the high rate of success of pleurodesis in cases of pneumothoraxas found in other studies. In contrast, the success rate is understandably lower in cases of MalignantPleural effusion.
Personality Disorders among Patients with Mental and Behavioral Disorders due to Psychoactive Substance Use in a Tertiary Care Center of Nepal: A Descriptive Cross-sectional Study
Authors: Mahara Rawal Namrata , Pradhan Monalisha , Prasad Adhikari Suman , Manandhar Pradeep 
Published: March 2021

Introduction: Personality disorders is comprised of deeply ingrained and enduring behavioral patterns, manifesting themselves as inflexible responses to a broad range of personal and social situations." Personality Disorders are frequently occurring among patients with substance use disorders. Co-occurrence of substance use disorders and personality disorder is associated with a greater functional impairment affecting treatment adherence. This study's objective was to find out the prevalence of personality disorders among substance use disorders from the Department of Psychiatry and Mental Health, of a tertiary care center of Nepal.
Methods: A descriptive cross-sectional study was done at the Department of Psychiatry and Mental Health of Shree Birendra Hospital, Chhauni, Kathmandu, Nepal. The ethical approval was approved by the Institutional Review Committee prior to the study. The International Personality Disorder Examination ICD-10 module interview schedule was used to determine personality disorders. There were 100 patients, 86 males and 14 females of age ranging between 18-59 years, from different education levels, socioeconomic statuses, and ethnicities.
Results: Of the total 100 patients, 63% of the patients with substance use disorders were found to have either single 24 (24%) or multiple 39 (39%) personality disorders. The most frequently identified disorders were Emotionally Unstable Borderline Type 34 (34%), Anxious Personality Disorder 27 (27%), Emotionally Unstable Impulsive Type 27 (27%).
Conclusions: Present study indicates that personality disorders were highly comorbid with patients of substance use disorders with either single or multiple personality disorders. Personality disorders mostly found in substance use disorders are Emotional Unstable Borderline Type, Anxious Personality Disorder, and Emotional Unstable impulsive Type.
Knowledge of Medical Students and Faculties of a Medical College Towards Human Body and Organ Donation: A Descriptive Cross-sectional Study
Authors: Singh Poonam , Phuyal Naveen , Khadka Sagar , Gurung Minani 
Published: March 2021

Introduction: The study of clinical anatomy is inseparable from cadaveric dissection. However, scarcity of cadavers is observed all over the world. So, body donation is propounded and is a major source of cadavers worldwide. However, nowadays, there is a scarcity of cadavers for the body dissection in the medical course & also due to the rise in the number of medical institutions in Nepal. This research aimed to find out the knowledge of medical and nursing students at a medical college regarding human body and organ donation.
Methods: A descriptive cross-sectional study was conducted among 400 medical and nursing students in a tertiary care hospital of Kathmandu valley. After obtaining ethical approval, a semistructured questionnaire was used to collect the data. Data were analyzed using Statistical Package for Social Sciences version 20.0.
Results: Most of the respondents, 360 (90%) knew that organs could be donated from living donors as well as cadavers. A majority of the respondents 374 (93.5%) said that bodies could be donated for educational and learning purposes. The eyes were the most commonly donated organ. One hundred seventy five (43.5%) of the respondents were motivated to donate their bodies or organs. Self-motivation followed by motivation through media by celebrities, family members, and faculties were seen among the participants.
Conclusions: We need a proper voluntary body donation act to facilitate medical teaching with the proper motivation of people for this generous gift to further the knowledge and expand the field of medical science.
PERANCANGAN ALAT PEMBELAH BUAH DURIAN UNTUK MEMUDAHKAN PENJUAL DURIAN DENGAN METODE QUALITY FUNCTION DEPLOYMENT
Authors: Kurniawan Adip , Suryadi Akmal 
Published: March 2021

Durian adalah suatu tanaman yang banyak tumbuh didaerah tropis contohnya seperti di Indonesia. Durian memiliki ciri ciri yang khas yaitu kulitnya yang berduri dan memiliki aroma yang khas yang banyak disukai masyarakat. Selain sebagai makanan durian dapat diolah menjadi dodol,selai dan bahan pemberi aroma pada makanan contohnya pada biscuit roti dan permen.
Perancangan alat ini akan dirancang memiliki fungsi membelah buah durian dengan lebih praktis dan efesien, sehingga produk ini lebih memiliki nilai tambah dimata masyarakat. Untuk mewujudkan tujuan itu digunakan Metode Quality Function Deployment (QFD). Dengan hasil perhitungan antropometri didapatkan hasil ukuran alat pembelah durian dari antopometri tubuh konsumen dengan ukuran tinggi bahu = 56 cm jangkauan tangan= 18 cm Dengan hasil total atribut kuisioner sangat tidak sesuai 0,2%, tidak sesuai 0,72%, cukup sesuai 5,32%, sesuai3,98%, sangat sesuai1,76%
PENERAPAN METODE PLS PADA ANALISIS FAKTOR KEMAMPUAN DAYA SAING BERKELANJUTAN UMKM BATIK DI KOTA XYZ
Authors: Krisnawan Mohammad Yoga Anang , Safirin Mochammad Tutuk 
Published: March 2021

Keberadaan Usaha Mikro Kecil Menengah (UMKM) di Jawa Timur khususnya di Kota XYZ sangat strategis dan dibutuhkan upaya meningkatkan perekonomian masyarakat sekitarnya. Masyarakat XYZ sudah cukup terkenal dengan industri kecilnya dalam membuat Batik, baik Batik Tulis maupun Batik Cap yang sudah banyak berkembang di Kota XYZ. Tetapi di luar XYZ, UMKM Batik XYZ masih belum sepenuhnya mampu bersaing dengan UMKM Batik dari daerah lain, terutama dengan UMKM Batik dari pulau Jawa. Dari keterangan tersebut dapat dilihat bahwa salah satu permasalahan UMKM Batik di Kota XYZ adalah masih kurang kuatnya kemampuan bersaing bila dibandingkan dengan UMKM Batik dari daerah lain. Oleh karena itu perlu kiranya dilakukan penelitian tentang faktor-faktor apa saja yang mempengaruhi daya saing UMKM Batik Cap di Kota XYZ menggunakan analisis Partial Least Square (PLS). hasil yang ditunjukan pada penelitian ini yaitu menunjukkan bahwa 74,8% variabel daya saing (Dy) yang dipengaruhi oleh sumber daya, infrastruktur, produk, IPTEK, kemampuan usaha, dukungan eksternal, kebijakan pemerintah dan 50,7% variable kemampuan bersaing (Kb) yang dipengaruhi oleh daya saing (Dy) Dimana ada empat faktor yang bernilai postif (sumber daya, infrasturktur, kemampuan usaha, dan produk) ada tiga faktor yang bernilai negative (kebijakan pemerintah, dukungan eksternal, dan iptek) yang berarti hubungan mengarah ke negative dimana malah mengurangi daya saing bagi mereka. dimana daya saing sangat berpengaruh untuk kemampuan bersaing berkelanjutan bagi umkm batik kab.XYZ.
Kata kunci : Daya Saing UMKM, Partial Least Square
Ergenlerde Gelecek Beklentileri ve Okula Uyum İlişkisi
Authors: Makas Ayşenur , Düşünceli Betül 
Published: March 2021

Araştırmanın temel amacı ergenlerin gelecek beklentileri ile okula uyumları arasındaki ilişkiyi incelemektir. Ayrıca ergenlerin gelecek beklentileri ve okula uyumlarının cinsiyet, okul türü ve lise tercih sebebi değişkenlerine göre incelenmesi de hedeflenmiştir. Bu doğrultuda Doğu Anadolu bölgesinde Milli Eğitim Bakanlığı’na bağlı üç ortaöğretim kurumunda öğrenim görmekte olan 651 öğrenci araştırmaya gönüllü katılım sağlamıştır. Araştırmada veriler Ergen Gelecek Beklentileri Ölçeği, Okula Uyum Ölçeği ve kişisel bilgi formu ile toplanmıştır. Araştırmada 'karşılaştırmalı ilişkisel tarama modeli’ kullanılmıştır. Verilerin analizinde Spearman Sıra Farkları korelasyon analizi, Kruskal-Wallis ve Mann-Whitney U testleri kullanılmıştır. Araştırma sonucunda, ergen gelecek beklentilerinin tüm alt boyutları (iş ve eğitim, evlilik ve aile, din ve toplum, sağlık ve yaşam) ile okula uyum arasında düşük düzeyde pozitif yönde istatistiksel olarak anlamlı bir ilişki bulunmuştur. Ergenlerin gelecek beklentilerinin ve okula uyumlarının cinsiyete ve lise tercih sebebine göre anlamlı bir farklılık gösterdiği, ayrıca ergenlerin gelecek beklentilerinin okul türüne göre de farklılaştığı görülmüştür.
EFEKTIVITAS RANGE OF MOTION (ROM ) JARI-JARI TANGAN DAN SPHERICAL GRIP TERHADAP KEKUATAN EKSTREMITAS PADA PASIEN STROKE NON HEMORAGIK DI RSUD K.R.M.T WONGSONEGORO SEMARANG
Authors: Sonhaji Sonhaji 
Published: March 2021

Latar belakang: Stroke menurut WHO (World Health Organisation) adalah gangguan otak fokal ataupun global secara mendadak yang disebabkan oleh gangguan vaskuler. Tujuan mengetahui efektivitas Range Of Motion (ROM) jari-jari tangan dan spherical grip terhadap kekuatan ekstremitas pada pasien stroke non hemoragik di RSUD K.R.M.T Wongsonegoro Semarang. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan teknik sampling yaitu purposive sampling, populasi penelitian ini sebanyak 32 orang dengan rancangan pre-post Test dengan menggunakan kelompok kontrol, untuk kelompok intervensi 16 responden dengan memberikan latihan terapi ROM jari-jari tangan dan spherical grip, kelompok kontrol responden sebanyak 16 responden dengan memberikan latihan terapi ROM jari-jari tangan, uji statistik menggunakan shapirowilk, dependent paired t test, dan independent t-test. Hasil analisis statistik diperoleh kelompok intervensi (latihan terapi Range Of Motion (ROM) jari-jari tangan dan spherical grip memberikan pengaruh yang lebih efektif dibandingkan dengan pemberian terapi pada kelompok kontrol (Range Of Motion (ROM) jari-jari tangan) dapatkan rata-rata perbedaan kekuatan otot ekstremitas dengan p-value 0.000. Simpulan pemberian terapi spherical grip maupun Range Of Motion (ROM) jari-jari tangan efektif terhadap peningkatan kekuatan ekstremitas pada penderita pasien stroke non hemoragik. Saranpenelitain selanjutnya dapat melakukan penelitian dengan menggunakan atau menambah variabel lain dengan desain penelitian yang lebih baik dengan mempertahankan karakteristik responden.
FENOMENA INTERVENSI HARAPAN TERHADAP KEBAHAGIAAN PADA PASIEN PENYAKIT GINJAL TAHAP AKHIR DENGAN HEMODIALISIS
Authors: Astuti Nining Puji 
Published: March 2021

Pendahuluan: Hemodialisis sebagai salah satu metode pengobatan pasien Penyakit Ginjal Tahap Akhir menimbulkan banyak dampak psikologis yang mempengaruhi kebahagiaan pasien. Kondisi tidak bahagia menyebabkan turunnya imunitas, ketidakpatuhan regimen terapeutik dan rendahnya kualitas hidup pasien hemodialisis. Intervensi harapan diperlukan sebagai salah satu metode dalam meningkatkan kebahagiaan pasien hemodialisis.
Tujuan: Studi kasus ini bertujuan untuk menjelaskan fenomena intervensi harapan dalam mempengaruhi kebahagiaan pada pasien penyakit ginjal tahap akhir.
Metode: Metode yang digunakan dalam penelitian ini adalah deskriptif dengan pemaparan studi kasus melalui pendekatan asuhan keperawatan yakni pengkajian, penegakan diagnosa keperawatan, perencanaan, implementasi, dan evaluasi keperawatan. Tindakan keperawatan non farmakologis berupa intervensi harapan dilakukan sebanyak 8 sesi dan di ukur menggunakan alat ukur kebahagiaan yaitu Oxford Happiness Questionnaire.
Hasil dan Pembahasan: Berdasarkan hasil pengukuran awal kebahagiaan menggunakan Oxford Happiness Questionnaire didapatkan hasil bahwa level kebahagiaan pasien adalah 3 (tidak bahagia) dan meningkat menjadi 5 (bahagia) setelah dilakukan intervensi. Kebahagiaan pasien penyakit ginjal tahap akhir yang menjalani hemodialisa dipengaruhi oleh kondisi psikologis, status pernikahan, hubungan seksual, tingkat ekonomi, kondisi fisik dan sangat berpengaruh terhadap kepatuhan pasien dalam menjalankan pengobatan.
Kesimpulan: Intervensi harapan merupakan intervensi mandiri keperawatan yang dapat dilakukan baik secara mandiri dan berkelompok demi meningkatkan kebahagiaan pasien penyakit ginjal tahap akhir yang menjalani hemodialisa.

Kata Kunci: Gagal Ginjal Kronis; Hemodialisis; Intervensi Harapan; Kebahagiaan; Penyakit Ginjal Tahap Akhir.
Strategi Komunikasi Pemasaran Objek Wisata Goa Lauk di Kabupaten Serang, Banten
Authors: Waluyo Lukman Saleh , Sutowo Irpan Ripa'i 
Published: March 2021

Goa Lauk adalah Goa yang teletak di Desa Lebaktipar, kecamatan Cilograng kabupaten Lebak. Goa ini merupakan Goa yang memiliki ukuran besar dengan bentuk Goa bawah tanah yang dialiri oleh sungai bawah tanah yang berasal dari sungai sawarna. Goa ini telah lama menjadi bahan penelitian baik dari kalangan akademisi maupun ilmuwan, karena goa ini memiliki keunikan dan tekstur yang sangat indah, mulai dari keadaan alamnya, karang-karangnya dan segala ornamen yang terdapat di dalam goa tersebut. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana strategi komunikasi pemasaran Objek Wisata Goa Lauk dan untuk mengetahui bagaimana dampak komunikasi pembangunan setelah adanya Objek Wisata Goa Lauk. Metode yang digunakan di dalam penelitian ini adalah metode deskriptif dengan pendekatan kualitatif. Hasil penelitian diperoleh bahwa kegiatan komunikasi pemasaran yang dilakukan oleh pengelola Goa Lauk sudah banyak diupayakan, namun hal tersebut belum cukup untuk mengangkat citra Goa Lauk. Pengelola menghadapi masalah utama yaitu tentang ketersediaan sumberdaya manusia dan permodalan, dimana hal tersebut sebetulnya dapat diatasi dengan alternatif-alternatif kreatif yang dapat digunakan. Goa Lauk mempunyai potensi besar untuk wisata karena sumber daya alam yang tidak banyak dimiliki di tempat lain, namun butuh upaya serius untuk mempromosikan hal tersebut. Strategi komunikasi pemasaran yang perlu ditingkatkan dengan strategi zero budget marketing.
ANALISIS SEMIOTIKA GAYA KOMUNIKASI MILENIAL BAMBANG SOESATYO MELALUI YOUTUBE PODCAST
Authors: Martianto Raden Wahyu Utomo , Toni Ahmad 
Published: March 2021

Kanal YouTube ‘Bamsoet Channel’ milik Bambang Soesatyo merupakan sebuah terobosan dalam sejarah kepemimpinan MPR-RI untuk menjalankan visi dan misi organisasi. Perbedaan generasi akan berimbas pada perbedaan gaya komunikasi. Penelitian ini bertujuan untuk memberi gambaran mengenai gaya komunikasi yang diterapkan Ketua MPR-RI periode 2019-2024, Bambang Soesatyo dalam YouTube Podcast ‘Ngompol’ (Ngomong Politik). Metode penelitian yang digunakan adalah kualititatif dengan pendekatan analisis semiotika Roland Barthes. Konsep yang digunakan adalah Communicator Style Measure(CSM) dari Robert W. Norton, kemudian Tipe komunikasi pemimpin dari Tubbs & Moss. Hasil penelitian mendapatkan gambaran gaya komunikasi Bambang Soesatyo di video podcast ‘Ngompol’ (Ngomong Politik) dalam kanal YouTube ‘Bamsoet Channel’, ditemukan enam gaya komunikasi Bambang Soesatyo yaitu Impression Leaving, Open, Friendly, Relaxed, Dramatic, dan Attentive, dengan tipe komunikasi equalitarian untuk mengatasi perbedaan gaya komunikasi antar generasi.
Microvascular Structural Alterations in Cancer Patients Treated With Antiangiogenic Drugs
Authors: Coschignano Maria Antonietta , De Ciuceis Carolina , Agabiti-Rosei Claudia , Brami Valeria , Rossini Claudia , Chiarini Giulia , Malerba Paolo , Famà Francesca , Cosentini Deborah , Muiesan Maria Lorenza , Salvetti Massimo , Petelca Alina , Capellini Sara , Arnoldi Chiara , Nardin Matteo , Grisanti Salvatore , Rizzoni Damiano , Berruti Alfredo , Paini Anna 
Published: March 2021

Objective: Antiangiogenic therapies (tyrosine kinase inhibitors-TKI and direct anti-VEGF monoclonal antibodies) are being increasingly used in the treatment of solid tumors; hypertension represents a common side effect of these agents. Several mechanisms are involved in the development of hypertension, including microvascular rarefaction and other microvascular alterations. Therefore, the aim of our study was to evaluate whether TKI and direct anti-VEGF agents may affect the structure of retinal arterioles or capillary density.Design and Methods: We investigated 20 patients with a diagnosis of cancer who underwent a treatment with either a TKI or an anti-VEGF antibody. Patients were submitted to ambulatory monitoring blood pressure for blood pressure evaluation. Basal and total capillary density were assessed by capillaroscopy whereas, retinal arteriole morphology was measured by Adaptive Optics. Patients were evaluated before starting the antiangiogenic therapy (T0) and re-evaluated after 3 (T3) and 6 (T6) months after treatment. Fourteen patients completed the study.Results: Systolic and diastolic blood pressure values were similar in all patients at T3 and T6 compared to T0. However, during the study antihypertensive treatment was optimized (increased dose and/or addition of drugs) in 57% of patients (n = 8). No differences were observed in retinal arteriole structural parameters and in large artery stiffness. Basal capillary density was reduced by antiangiogenic drugs after 3 or 6 months.Conclusions: Our data suggest that an increase of antihypertensive treatment is necessary in patients treated with a TKI or a direct VEGF inhibitor, confirming pro-hypertensive effects of these drugs. However, under adequate blood pressure control, microvascular structure seem to be partially preserved, since a worsening of basal capillary density but no changes in retinal arteriole morphology were observed.
Agreement Between the KTK3+ Test and the Athletic Skills Track for Classifying the Fundamental Movement Skills Proficiency of 6- to 12-Year-Old Children
Authors: de Niet M. , Platvoet S. W. J. , Hoeboer J. J. A. A. M. , de Witte A. M. H. , de Vries S. I. , Pion J. 
Published: March 2021

The main aim of this study was to determine the agreement in classification between the modified KörperKoordinations Test für Kinder (KTK3+) and the Athletic Skills Track (AST) for measuring fundamental movement skill levels (FMS) in 6- to 12-year old children. 3,107 Dutch children (of which 1,625 are girls) between 6 and 12 years of age (9.1 ± 1.8 years) were tested with the KTK3+ and the AST. The KTK3+ consists of three items from the KTK and the Faber hand-eye coordination test. Raw scores from each subtest were transformed into percentile scores based on all the data of each grade. The AST is an obstacle course consisting of 5 (grades 3 till 5, 6–9 years) or 7 (grades 6 till 8, 9–12 years) concatenated FMS that should be performed as quickly as possible. The outcome measure is the time needed to complete the track. A significant bivariate Pearson correlation coefficient of 0.51 was found between the percentile sum score of the KTK3+ and the time to complete the AST, indicating that both tests measure a similar construct to some extent. Based on their scores, children were classified into one of five categories: &lt;5, 5–15, 16–85, 86–95 or &gt;95%. Cross tabs revealed an agreement of 58.8% with a Kappa value of 0.15 between both tests. Less than 1% of the children were classified more than two categories higher or lower. The moderate correlation between the KTK3+ and the AST and the low classification agreement into five categories of FMS stress the importance to further investigate the test choice and the measurement properties (i.e., validity and reliability) of both tools. PE teachers needs to be aware of the context in which the test will be conducted, know which construct of motor competence they want to measure and know what the purpose of testing is (e.g., screening or monitoring). Based on these considerations, the most appropriate assessment tool can be chosen.