bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preparedness for Mitigating Noncommunicable Diseases in Gaindakot Municipality, Nepal: Perspectives of Key informants
Authors: Sapkota Narayan , Paneru Damaru Prasad 
Published: June 2021

Introduction: Non-communicable Diseases (NCDs) are the major public health problem that leads to high morbidity and mortality in the world including Nepal. Government of Nepal has launched the Multi-sectoral NCD Action Plan in 2014 and established NCD and Injuries Poverty Commission in 2016 for the management and control of NCDs nevertheless the implementation status and its outcomes are not identified till date at the local level.
Objectives: To explore the preparedness of the local government for the prevention and control of NCDs at Gaindakot, Nawalpur, Nepal.
Methodology: A qualitative study was conducted in the Gaindakot municipality; Nawalpur to document the key informant's perspectives on health system's preparedness to prevent the potential impacts of NCDs. Face to face Indepth interview was performed using open-ended questions. Interview guidelines were prepared on the basis of building blocks of health system. Information was processed basis on thematic analysis.
Result: The study revealed that health section has NCD preparedness structure but need to strengthening for the better delivery of health services. The study highlights that screening services and the medicine for major NCDs like hypertension and diabetes were available at local level. Limited budget was allocated and health workforce was not trained for NCDs prevention and control. There was no reporting mechanism for NCD related data from local level.
Conclusion: Basic medicine and screening services were provided from the local level to the selected NCDs such as hypertension and diabetes. There was no provision of reporting NCD related information and health workforce were not trained to respond NCDs. Local level health system strengthening is an urgent need to address the increasing burden of NCDs.
Multidetector Computed Tomography (MDCT) Evaluation of Traumatic Brain Injury in Head Trauma Patients in Tertiary Hospital of Eastern Region of Nepal
Authors: Yadav Ajay Kumar , Dev Binit , Taparia Sushil , Kumar Parvez , Mandal Rakesh , Vaidya Bivek 
Published: June 2021

Introduction: Traumatic brain injury (TBI) in patients with head trauma is common cause for emergency visits to hospital affecting all age groups. It is one of important leading cause of death and disability worldwide besides leading to neurological disease burden. Noncontrast enhanced Multidetector computed tomography (MDCT) is imaging modality of choice for detection of various intracranial lesions.
Objectives: This study was done to analyse various imaging findings on MDCT in traumatic head injury patients along with association of CT findings with clinical manifestation and mechanism of injury.
Methodology: In this ethically approved prospective study, CT scan was done in 224 consecutive patients with head injury from November 2020 to February 2021. The various imaging findings seen in CT scan were documented in proforma. The data collected was analyzed with appropriate statistical test and statistical significance was calculated.
Results: Total of 224 patients with diagnosis of head injury were included in the study. The male to female ratio was 2.86 and most common age group involved was between 20-40years (41.1%). The most common mode of injury was road traffic accidents (57.6%) and most of the patients presented with history of altered sensorium (35.7%). About 47.3% patients showed abnormal findings on CT scan with scalp lesion was most common findings (82%) followed by skull fractures (54.7%) and cerebral contusions (43.4%). Patients with history of RTA had more abnormal CT scan (62%) than fall injury and physical assault. Statistically significant association seen between CT scan findings with Glasgow Coma Scale and RTA (P<0.05).
Conclusion: The present study showed well documented role of CT scan in diagnosis of TBI besides detection of spectrum of intracranial lesions in patients with head trauma. Road traffic accident is most common mode of head injury with most of the victims are young middle age active male.
Mortality Review of Children Admitted in Pediatric Intensive Care Unit Over One Year in a Tertiary Care Hospital
Authors: Shrestha Pun Narayan , Agrawal Sumit , R C Kosh Raj , Joshi Prakash , Rayamajhi Ajit 
Published: June 2021

Introduction: Childhood mortality is still high in developing countries. This can be reduced with good preventive and curative services especially with critical care. The treatment of critically ill children must be focused for better outcome. The pediatrics deaths audit and review provide feedback to health workers and to the institution. The outcome measures of critical care medicine include mortality, morbidity and disability rate.
Objectives: The aim of this study is to review the causes and mode of death in children and length of PICU (pediatric intensive care unit) stay.
Methodology: A retrospective study was conducted of the patients who were admitted and died within the period of 16 July 2019 to 15 July, 2020 at PICU of Kanti Children Hospital (KCH). Variables recorded were patient's demography, diagnosis, co- morbidities, complications, length of PICU stay (LOS), mode and time of death. Data were tabulated into MS Excel and analyzed using SPSS version 23.
Result: Out of 718 admitted children, 99 (13.78%) died with male to female ratio of 1.8:1. The maximum death (75%) was observed in less than five year of age and most of them were from outside the Kathmandu valley. The leading causes of death were pneumonia (28%), sepsis (20%) and congenital heart diseases (21%). The common complications seen were disseminated intravascular coagulation (DIC), multi- organ dysfunction syndrome (MODS), acute kidney injury (AKI) (5.1 %) and acute respiratory distress syndrome (ARDS) (6.1%) and co- morbidities were congenital heart disease (CHD) (18.2%) and global developmental delay (GDD) (9.1%). Mechanical ventilation was needed in 80.8%. Most of the cases (86%) died despite active treatment and (75%) during off hours (4pm-9am).
Conclusion: Pneumonia, sepsis and CHD were the main reason of death and most of them were from outside the valley.
Evaluation of the Effects of Ultra-Low Dose Naloxone on Brachial Plexus Block with Bupivacaine
Authors: Bhattarai Amit Sharma , Shrestha Gentle Sunder , Koirala Megha , Shrestha Pramesh Sunder , Marhatta Moda Nath 
Published: June 2021

Introduction: Adjuvants are used in conjunction with local anaesthetics for brachial plexus block to quicken onset, prolong duration and augment the quality of anaesthesia.
Objectives: The study aims to evaluate the effect of adding ultra-low dose naloxone to bupivacaine on the duration of postoperative analgesia.
Methodology: A prospective, randomized, double-blind study was conducted including forty American Society of Anesthesiologists Physical Status (ASA PS) I and II patients of either sex between 15 and 65 years of age scheduled for upper limb surgery. They were randomized into two groups. Group BN received a mixture of 0.33% plain bupivacaine with ultra-low dose naloxone (100 ng) and group BS received 0.33% plain bupivacaine with saline. The procedure was standardized in both groups. The onset of sensory and motor block were assessed with pinprick sensation and muscle power respectively. Visual Analogue Score (VAS) was used to assess the pain at 1, 2, 4, 8 and 12 hours postoperatively.
Result: The patients were comparable with respect to age, sex, ASA PS, baseline hemodynamic and respiratory parameters and duration of surgery. The mean duration of analgesia in group BN was significantly longer (610.7±125.4 mins) as compared to group BS (354.3±59.6 mins) (p<0.001). No complications were noted in both the groups.
Conclusion: This study demonstrated that 100 ng naloxone, when used with 0.33% plain bupivacaine for supraclavicular brachial plexus block, prolongs postoperative analgesia significantly after upper limb surgeries, without any significant side effects.
Early Re- Laparoscopy in Suspected Bile Duct Injuries after Laparoscopic Cholecystectomy
Authors: Ghimire Roshan , Maharjan Dhiresh , Thapa Prabin 
Published: June 2021

Introduction: Management of patients with suspected bile leak or bile duct injury after laparoscopic cholecystectomy is challenging. Early laparoscopy in these groups of patients will benefit in terms of diagnostic as well therapeutic purpose.
Objective: This study is done to assess utility of early re-laparoscopy in suspected bile duct injury in early postoperative period following laparoscopic cholecystectomy.
Methodology: It is a descriptive study of all consecutive patients who underwent diagnostic as well therapeutic re-laparoscopy when required in suspected bile duct injury in early postoperative laparoscopic cholecystectomy that is within 72 hours of presentation. Study was conducted over a period from June 2019 to December 2020 at Kathmandu medical College, Sinamangal, Kathmandu, Nepal. Relaparoscopic operative findings and therapeutic intervention done were recorded.
Result: The mean age at presentation was 34.6 years and male to female ratio was 1:1.8. During the study period, eleven patients underwent re-laparoscopy out of which one had no bile leak. Six out of ten were managed definitely in the same time of re-laparoscopy. However, four patients underwent definitive biliary reconstruction as they had already undergone arteriography in CT scan.
Conclusions: Early re-laparoscopy may be beneficial prior to detail radiological investigations in suspected bile leak patients. Early re-laparoscopy can be an effective diagnostic as well therapeutic tool; and also it can help in planning for definitive repair in later date.
Formation of the social package at the enterprise: domestic and foreign experience
Authors: Morhai Liliia 
Published: June 2021

The article describes the definition of «social package» and the content, characteristics and social benefits to which the employee is entitled while working at the enterprise. The essence of the compensation package and its function at the enterprise are analyzed. Motivation has been highlighted material motivation, which effectively influences and motivates employees to a better result at work. Problems have been identified. The need to introduce a social package at the enterprise has been substantiated.
The directions of improvement of documentation of a social package at the enterprises are covered. The practice of providing social packages to employees at Ukrainian enterprises has been presented. The neds of employees in the relevant social benefits had been identified. It has been proposed to
form social packages taking into account employees' needs and interests.
The works of Ukrainian teachers who dealt with the content of the social package at the enterprise have been analyzed. Issues of the content of the social package in Ukraine and abroad, in particular in the United States and Germany have been covered. In Ukraine, the content of the social package depends on which institution a person works in - public or private.
It had been found that the US legislation prescribes the social benefits that the company must provide to its employers. It has been established that there is compulsory health and pension insurance, and contributions to state insurance funds depend on the amount of salary in Germany.
Methods of filling the social package in Western countries have been highlighted. It was found that the social policy of enterprises influences the content of the social package.
Socio – psychological factors of successful adaptation of adults with cerebral palsy at the community level
Authors: Sarancha Iryna , Pastuh Natalia 
Published: June 2021

Unfortunately, statistics on the birth of children with disabilities in the world are growing every year. Depending on the diagnosis and specifics of development, each child needs special care, upbringing and training. One of the types of institutions in Ukraine that provide training, upbringing, and correction of psychophysiological features of the development of children and teens is rehabilitation centres. Conditions in them are created following the needs of a particular group of people which is as comfortable as possible. Also, the specifics of training and rehabilitation provide an individual's psychological growth and development among people who have similar developmental features, and therefore the same "strengths" and "weaknesses".
Cerebral palsy (CP) is defined as a persistent disorder of posture caused by a non-progressive pathological one of the developing brain.
Every graduate of rehabilitation centres needs social support and assistance in adapting to an adult, independent life. Such support makes a person feel less alone reduces anxiety and feelings of loneliness and isolation. Social workers become guides from one social environment to another, mitigating such a transition as much as possible for people with mental and physical disabilities, who are one of the most vulnerable segments of the population.
Individuals in later adolescence are on the verge of a crucial transition to adult life. This developmental stage involves the challenges of making living arrangements, setting goals, establishing independence, and forming social relationships (Spekman, Goldberg, & Herman, 1992). It may be a difficult period for young people with physical disabilities who face unemployment, low income, social isolation, and lack of advice (Hirst, 1982). Later adolescence also is a time of self-evaluation and comparison with others, and young people with disabilities may be forced to reflect on their physical differences and areas of competence. These developments ultimately affect their success in life and happiness. For instance, Clausen (1993) has shown that adolescent competence is linked to occupational, financial, and marital success.
Social animations as a technology of integration of youth with disabilities
Authors: Boiko Olha , Isachenko Victoria 
Published: June 2021

A brief analysis of different approaches to the definition of «animation», in particular in terms of economics, psychology, pedagogy and social work. The role and place of social animation in creating an environment in which each individual will be able to successfully develop and self-realize for the benefit of society.
A comparison of approaches to the use of social animation in foreign countries. In particular, the experience of the USA, Canada, France and Finland is analyzed.
The latest researches and publications on the problem of social animation of youth in Ukraine are analyzed.
It was found that the main directions of social animation work are overcoming personal tendencies to social disintegration (prevention of socio-psychological disorders, such as deviant behavior of adolescents, drug addiction, alcoholism, suicide, etc.); rehabilitation of critical states of personality; assistance in creative self-realization of the individual.
The scope of professional activity of a social worker in the field of social animation is defined.
The peculiarities of social animation with young people with disabilities are considered, and it is found that social animation with young people with disabilities overcoming socio-psychological isolation. Social animation allows to create conditions for personal growth and productive interpersonal communication in the process of leisure, directs to socially significant activities.
The positive consequences of the organization of social animation with young people with disabilities are highlighted. Social animation allows to create conditions for personal growth and productive interpersonal communication in the process of leisure, directs to socially significant activities.
atmospheric etudes: no 1, troposphere
Authors: Conrad Mari Alice 
Published: June 2021

As a fourth-year music composition major at MacEwan University, Mari Alice Conrad was interested in exploring the concept of vulnerability. She was particularly inspired by her recent vulnerable experiences returning to school as a mature student and sought to understand these existential experiences in more depth. This curiosity led Conrad to design a research-creation project in her Ethnomusicology course that utilized her skills in composing a musical work that explored vulnerability on three distinct levels: personal vulnerability, societal vulnerability, and global vulnerability.
The first level, personal vulnerability, plunged into Conrad's personal experiences as a mature student who, by age and life experience, had been socially segregated to a minority group, and how she was processing those experiences. The second level, sociological vulnerability, specifically focused on addressing societal traditions of classical music and notational conventions for the piano. Conrad sought to displace the customary approach she had developed with the instrument since childhood and considered ways to make the piano (an inanimate object) and its notated music vulnerable. The third level was a more global, ecological, or environmental vulnerability of the weather systems found in the troposphere, the first layer of the atmosphere. Conrad wanted to understand why this layer was extremely volatile and susceptible to multiple variables and how humans interacted with the vulnerability of this force. This third level was also an area that she could universally connect with her audience (hence the title of the composition) and acted as a bridge to explore the other two levels of vulnerability in her work.
Throughout the research-creation process, Conrad was able to explore the three levels of vulnerability in tremendous depth, express her interactions and discoveries of these three levels, and further disseminate her findings through notating a graphic score, recording the composition, and crafting an audiovisual representation. The final result of the research-creation composition project (music score and video) brilliantly weaves together concepts of vulnerability in a compelling and meaningful way and shares insight into how these ideas influence and encapsulate Conrad's budding artistic practice.
PENGARUH PRODUKSI SEKTOR PERTANIAN TERHADAP PRODUKSI SUBSEKTOR INDUSTRI PERTANIAN PROVINSI JAWA BARAT
Authors: Juswadi Juri 
Published: June 2021

Sektor pertanian memiliki peran ganda dalam pembangunan ekonomi regional maupun nasional. Selain sebagai sumber pangan, sektor pertanian juga berperan dalam Produk Domestik Regional Bruto (PDRB), penyerapan tenaga kerja, maupun sumber bahan baku subsektor agroindustri. Provinsi Jawa Barat memiliki sumberdaya pertanian yang besar sehingga produksinya mampu berperan dalam memenuhi kebutuhan untuk dikonsumsi langsung maupun sebagai bahan baku subsektor agroindustri. Penelitian ini bertujuan untuk mengetahui peran produksi subsektor pertanian terhadap produksi subsektor agroindustri Provinsi Jawa Barat. Metode penelitian adalah kausal komparatif, dengan menggunakan data PDRB subsektor-subsektor dalam sektor Pertanian dan Subsektor Agroindustri Provinsi Jawa Barat periode 2000-2016. Analisis data menggunakan regresi linier berganda. Hasil penelitian menunjukkan produksi subsektor Tanaman Bahan Makanan berpengaruh sangat nyata terhadap produksi subsektor industri Makanan, Minuman dan Tembakau Provinsi Jawa Barat, sedangkan subsektor Peternakan dan Hasil-hasilnya serta subsektor Perikanan berpengaruh nyata. Produksi Subsektor Tanaman Perkebunan serta Subsektor Peternakan dan Hasil-hasilnya berpengaruh sangat nyata terhadap produksi subsektor Industri Tekstil, Barang Kulit dan Alas Kaki Provinsi Jawa Barat. Produksi Subsektor Tanaman Perkebunan berpengaruh sangat nyata terhadap produksi subsektor industri Kertas dan Barang Cetakan Provinsi Jawa Barat.
THE INDUSTRIAL HUB "FABRYCHNYI" IN DNIPRO: HISTORY AND PROSPECTS FOR FURTHER DEVELOPMENT
Authors: Merylovа Іryna , Rechyts Olexandr 
Published: June 2021

The relevance of the article is in the search for practical approaches to the renovation of the industrial hub "Fabrychnyi" in the city of Dnipro. This industrial hub occupies valuable enormous territory of the city and is adjacent to its central part. Its renovation and reconstruction, change of function and profile of use in the context of complex refunctionalization of the historical industrial heritage of Dnipro is a timely and logical way for the further development of the city system within the framework of the city's renovation policy.
The article reveals the historical stages of the formation of the industry of Yekaterinoslav-Dnepropetrovsk-Dnіpro. A retrospective of the development of the general plan of the city and its industrial zones is presented. In particular, the history of "Fabrychnyi" industrial hub, the conditions for the formation of its functional planning structure in the context of historical stages are described in detail.
The article identifies the complex problem of reorganizing the industrial zones of the city taking into account the need to remove industries of the 1-3rd hazard groups.
The significant historical and architectural value of the industrial environment of the industrial hub has been established as the most significant cultural heritage site of the industrialization period, which carries the spirit of the city and its community. The article also indicates that the territory for residential and commercial development could not be used due to the high level of polluted land plots of enterprises with heavy metals. Therefore, a set of measures should be taken to clean them due to the demand of the city for recreational areas. This article is aimed at maintaining a dialogue in the city-environment system, touching upon the global problems of greening and refunctionalization in order to improve the quality of life of citizens.
FEATURES OF FUNCTIONING OF THE NATIONAL CADASTRE SYSTEM OF UKRAINE IN THE CONDITIONS OF REFORMING THE INDUSTRY
Authors: Nesterenko Svitlana , Shariy Grigoriy , Shchepak Vira , Odariuk Tetiana 
Published: June 2021

Identified problematic issues of land management in Ukraine, namely, the uncertainty of the organizational structure of those responsible (administrators and data holders) for the creation and updating of geospatial data and metadata; delaying registration of land plots; the need to improve inventory data and adapt to European inventories. The connection of cartographic data with land management and town planning documentation has been investigated. The necessity of updating the cartographic base, including orthophoto maps, has been proved. The ways of obtaining an actual cartographic basis are revealed. The efficiency of creating a single geoportal of cadastres and geospatial data of the national infrastructure of geospatial data, in particular layers of cartographic information, agro-industrial soil groups, utilities, restrictions on land use, the address directory of streets and houses, public buildings, investment, tourist, historical and architectural objects, has been investigated. The work of the State Geocadastre system, the effectiveness of land reforms, and ways of combating the corruption environment are characterized. It is noted that with the entry into force from January 1, 2021 of the Law of Ukraine «On the National Geospatial Data Infrastructure», with the start of the work of a single geoportal of cadastres and geospatial data, prerequisites have appeared for the creation of a digitized cartographic base, will be the basis for high-quality urban planning and land management documentation; to ensure the effective adoption of administrative decisions by state authorities and local authorities; to meet the needs of society in all types of geographic information; for integration into global and European geospatial data infrastructures.