bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of Transversus Abdominis Plane Block After Post Caesarean Section Delivery
Authors: Singh Grisuna , Banu Farhat , Haque Husneyera 
Published: May 2019

Introduction: Post operative pain following caesarean section delivery can negatively affect early wound healing, proper breast feeding to the new born baby and therefore impair mother to child bonding. Combination of non steroidal anti inflammatory drugs (NSAIDS) and opioids has most commonly been used in pain management. The combination of regional anesthetic techniques like Transversus Abdominis Plane (TAP) block reduces pain and the dose of total analgesics consumed and therefore helps to prevent opioid related side effects.
Objective: To evaluate the analgesic efficacy of Transversus Abdominis Plane block for management of postoperative pain in the first 24 hours after caesarean section.
Methodology: It is a prospective randomized controlled single blinded study involving 60 patients of ASA II done in Nepalgunj Medical College Teaching Hospital over a period of 2 months. They are divided into two groups of 30 patients each. Group 1 received 20 ml of 0.25% isobaric bupivacaine in the triangle of Petit bilaterally. Group 2 received IV analgesics (NSAIDS and Tramadol 50 mg with Phenargan 25 mg). VAS score was taken every 6 hourly for 24 hours post operatively.
Results: The mean VAS score of the patients in group 2 at 0-6 hours, 6-12 hours, 12-18 hours and 18-24 hours was 6.73(SD±0.69), 6.63(SD±0.610), 6.40(SD±0.56) and 6.43(SD±0.57) respectively. The mean VAS score of the patients who received block is significantly less as compared to those who did not receive the block with a p value of <0.001. The mean time to first analgesic request in group 1 was 10.83(SD±2.95) and in group 2 was 4.87(SD±0.68) with a p value of <0.001. In group 1, 70% patients received single dose of analgesics, 23.3% received two doses and 6.7% received three doses of analgesics. In group 2 all the patients received four doses of analgesics.
Conclusion: Transversus Abdominis Plane Block can be used as a part of multimodal analgesic therapy for the management of post operative pain after caesarean section as it is technically less demanding, safe and economical. It reduces the side effects related with opioid analgesics and encourage early mobility, wound healing and proper mother to child bonding.
Atopic Dermatitis and its Severity Correlation With Absolute Eosinophil Counts
Authors: Pandey Sumit , Jha Smita , Pokharel Nitesh Raj , Kadel A. 
Published: May 2019

Background: Atopic dermatitis is one of the common skin disease affecting children and adults. Atopic dermatitis is a common and difficult to manage allergic condition. Till date severity of atopic dermatitis is graded only by clinical findings, which has greater means of individual variation, so a laboratory value may uniform the grading and eosinophils are always thought to be associated with allergic conditions.
Objectives: To assess the severity of atopic dermatitis by peripheral blood eosinophil count and SCORAD index, and also to explore relationship between personal history of atopy, family history of atopy, severity of disease and absolute eosinophil count.
Material and Method: This study is a hospital based Cross sectional descriptive study conducted in the Department of Dermatology, Venereology and Leprology of Nepalgunj Medical College Teaching Hospital, Kohalpur between March 2017 to February 2018. Total of 53 patients fulfilling the criteria of UK refinement of Hanifin and Rajka's criteria for atopic dermatitis presented to the OPD of dermatology department at Kohalpur were included in the study.
Result: A total of 53 patients were enrolled, mean age of the patients was 6.08 (SD 2.83) years and mean age of onset of disease was2.95 (SD 1.57) years. Mean AEC was 537.17(SD 343.92)/mm3 and higher mean AEC was significantly (P<0.001) associated with greater severity of disease and similarly presence of personal history of respiratory atopy was also significantly (P<0.001) associated with higher mean AEC. Per patient AEC and severity of disease according to SCORAD index showed reasonable positive correlation (r=0.514 and P<0.001). Conclusion: Severity of disease and presence of respiratory atopy are important factors determining peripheral blood eosinophilia inAD patients. Although larger studies are require to replicate these findings.
Trend of Caesarean Section in Bheri Zonal Hospital
Authors: Thapa Kalpana Kumari , Parajuli Urmila 
Published: May 2019

Introduction: Caesarean Section (CS) rates are a major public health concern and cause worldwide debates according to latest data from 150 countries. Currently 18.6% of all births occur by CS, ranging from 6 to 27.2% in the least and most developed regions. This study was done to find out incidence and outcome of CS and geographical variation of women coming for the service in this Zonal Hospital.
Methods: A retrospective review of case files of 771 women who had CS from 16th April 2017 to15th April 2018 were analyzed for demographic profile like age, parity, geographical location. Similarly, gestational age, various indications of CS, incidence, parity, maternal and fetal outcome and duration of hospital stay were recorded.
Results: Out of 5083 deliveries, 771 (15.17%) had CS. Most of the CS was done for Cephalopevic disproportion (CPD) which was 175 (22.70%) and previous CS, 140 (18.15%). Majority of CS which was 328 (42.54%), in age group 20-24 years. In relation to parity nulliparous were 463 (60.05%). Maternal morbidity was 31 (4.02%) and maternal mortality was one after CS. Apgar score of the baby between 0-3 was 3.24%. Three babies were expired within 24 hours due to severe birth asphyxia. The patients from Banke district were 408 (52.92%).
Conclusion: Study showed CS rate, 15.7% which is in upper limit of WHO recommendation and 60.50% were nulliparous had CS and most common indication of CS was CPD and fetal distress. There was no CTG used in routine practice.
Role of Computed Tomography In Evaluation of Patients With History of Chronic Headache
Authors: Rawal Sanju , Mukhi Sadhan , Subedi Sandip , Maharjan Surendra 
Published: May 2019

INTRODUCTION: Headache is one of the universal experience and one of the most common symptom in medical practice. It is most frequently suffered illness by human beings. As much as 90 percent of individuals have at least one episode of headache each year and severe headache is reported to occur at least annually in 40 percent of the population. Population based estimates suggest that about 4 percent of adults have daily or near daily headache. Since majority of patients who present with chronic or recurrent headache have no significant intracranial abnormalities to be detected on neuroimaging. The main objective of our study was to obtain socio demographic status of patients presenting with history of chronic headache and to assess the role of CT scan in evaluation of such patients presenting to radiology department from various departments of Universal College of Medical Sciences & Teaching Hospital (UCMSTH).
MATERIAL AND METHODS: All patients with complaints of chronic headache and referred to Department of Radiology from August 2013 to April 2014 were included in the study. Total of 193 cases were included. Intravenous contrast medium was given in all 193 cases. Patients were divided into two groups with normal and abnormal CT findings. Results were tabulated and analyzed for the diagnostic yield from imaging in evaluation of patient with history of chronic headache.
RESULTS: Out of 193 patients, 182 had normal CT (94.31%) and 11(5.69%) had abnormal CT findings. Contrast enhanced CT scans did not improve lesion detection .Out of 11 abnormal CT findings 3 of them had intracranial space occupying lesion, 3 had calcified granuloma, 2 of them had sinusitis, 1 had hydrocephalus, 1 cerebral atrophy and 1 with persistent cavum septum pellucidum.
CONCLUSION: The proportion of intracranial abnormalities detected by CT in patients with history of chronic headache in this study was similar to that of previous studies. This corroborates the evidence that the ability of CT scan in detecting intracranial pathology is low in patient with chronic headache with exclusion of any neurological abnormality.
Management of Distal Humerus Fractures With Jess Fixator
Authors: Kandel Prakriti Raj , Shrestha Kishor Man , Pathak Laxmi 
Published: May 2019

INTRODUCTION: Fractures of distal humerus are rare comprising approximately 2% of all fractures and a third of all humerus fractures. Even with the development of newer fixation techniques, the treatment of distal humerus fractures remains a great challenge to any orthopaedic surgeon. Thus this present study was conducted to evaluate the results of Joshi's External Stabilization System (JESS) in the management of distal humerus fracture with or without intercondylar extension.
MATERIALS AND METHODS: This retrospective study was conducted by collecting records of thirty two adult patients who sustained distal humerus fracture and were managed with JESS fixation under anaesthesia over a period of two years in Universal College of Medical Sciences Teaching Hospital (UCMSTH) after obtaining permission from Institutional ethical committee.
RESULTS: According to AO (Arbeitsgemeinschaft für Osteosynthesefragen) classification, 2 patients had C1 fracture and 30 patients had C2 fractures. The mean duration of JESS application was 16 weeks. The mean follow up was 8 months. The functional outcome was evaluated by using Cassebaum's functional rating system. Among C1 fractures, 50% showed fair and 50% showed good result whereas among C2 fractures, 40% showed good, 46.66% showed fair and 13.33% showed poor results.
CONCLUSIONS: JESS fixation technique represents a viable option in the management of open as well as close intercondylar fractures of the distal humerus.
Profile of Paediatric Traumatic Cataract and its Surgical Outcome
Authors: Panjiyar Paras , Puri Lila Raj 
Published: May 2019

INTRODUCTION: Ocular injuries are the most common cause of acquired monocular blindness in children. Ocular trauma in children is mainly accidental and has an age-specific pattern.
MATERIAL AND METHODS: This was a prospective study conducted at Sagarmatha Choudhary Eye Hospital, Lahan, Nepal. All children upto 15 years of age, who were diagnosed and managed for traumatic cataract between October 2012 and March 2014 (18 months period), were included in the study. Altogether 189 cases were enrolled for the study.
RESULTS: Out of total 189 cases, 138(73%) were male, 51(27%) were female. 85% of the children were in the age group of 5 to 15 years while only less than 15% of the children were from the age group of 0 to 5 years. The most common cause of injury was wooden stick(34.4%) while 14.5% of the cases did not know the mode of trauma. CONCLUSION: Taking measures for prevention of ocular trauma among children is strategically important to reduce the stubborn prevalence of blindness in children.
Don Quijote de la Mancha en las Tradiciones Peruanas
Authors: Bazán Montenegro Dora 
Published: May 2019

Mi primer contacto con la relación entre la obra de Ricardo Palma y Miguel de Cervantes lo tuve en la antigua Universidad de Madrid, hoy Universidad Complutense. Esto pese a que ya habia estudiado detenidamente la obra de Palma. sobre todo las Tradiciones Peruanas. A Don Quijote de la Mancha, en edición para adultos, lo conocía desde el primer año de Secundaria. En mi colegio San José de Cluny tenía una profesora aficionada a Cervantes y que incluso me hizo leer la novela ejemplar La gitanilla y preparar un trabajo de análisis sobre ella. Y el Quijote lo leímos en clase. Respecto a Palma, en especial a las Tradiciones Peruanas, las estudié desde el primer año de letras en la Universidad Nacional Mayor de San Marcos. Las analicé todas y preparé la tesis de bachillerato sobre la mujer en las Tradiciones Peruanas bajo la dirección del doctor Alberto Escobar. Posteriormente, el mismo profesor me dirigió la tesis para el doctorado de linguística y filología sobre los nombres en Palma.
Vitex Agnus-castus l., Oenothera biennis l., Curcuma longa l., como tratamento alternativo na síndrome da tensão pré-menstrual (tpm)
Authors: Honorato Karin Alessandra , Veiga Rogério da Silva 
Published: May 2019

A Síndrome da Tensão Pré-Menstrual (TPM) é um conjunto de sinais e sintomas que ocorrem ciclicamente relacionados com a menstruação, apresentando intensidade suficiente para interferir na vida social e profissional de muitas mulheres. Com base nisso, a popularidade das terapias complementares/alternativas tem crescido nos últimos anos. A fitoterapia tem sido umas dessas terapias alternativas que busca minimizar os efeitos dos sintomas da TPM e tem sido o tratamento preferido das mulheres por reduzirem os efeitos colaterais se comparados aos tratamentos farmacológicos. O presente estudo tem como objetivo rever a literatura sobre o uso de fitoterápicos na TPM como recurso terapêutico no alívio dos sintomas físicos e psicológicos. O levantamento bibliográfico foi conduzido a partir de artigos publicados sobre o assunto nos bancos de dados online. Em geral, estudos mostraram que Vitex agnus-castus L., Oenothera biennis L. e Curcuma longa L. atuam, por meios diferentes, no alivio aos sintomas da TPM. Assim, verificou-se que a fitoterapia é um método eficaz e seguro para o tratamento, alivio e melhora da qualidade de vida das mulheres que sofrem de TPM.
Penjatuhan Dua Putusan Perkara Pidana Dalam Suatu Objek Perkara Yang Sama
Authors: Terisno Prisilia Anggraini Evelyn , Angela Yuliana 
Published: May 2019

Indonesia is a state of law, so that it can guarantee certainty, benefit and justice for the community. One form of legal certainty for citizens is the implementation of the principle of ne bis in idem. The purpose of this paper is to analyze the judge's decision on two criminal case decisions in one object of the same case. The research method used in the statute approach is the approach by examining all the laws of the regulation that relate to the legal issues and Conceptual Approach, which is an approach that departs from the views and doctrines that developing in law. The result of this writing is that in a criminal case which is a concursus that is tried separately it is not a violation of the principle of ne bis in idem, as long as each of these cases does not have permanent legal force, but it is supposed to guarantee legal certainty against criminal acts of justice and decided in one decision.
Negara Indonesia adalah negara hukum, sehingga dapat menjamin adanya kepastian, kemanfaatan dan keadilan bagi masyarakat. Salah satu bentuk kepastian hukum bagi warga negara yaitu dengan pemberlakuan asas ne bis in idem. Tujuan penulisan ini untuk menganalisis putusan hakim terhadap terhadap dua putusan perkara pidana dalam satu objek perkara yang sama. yaitu tujuan praktis, sehingga dapat diterapkan dalam tindak pidana sejenis. Metode penelitian yang digunakan pendekatan peraturan perundang-undangan atau statute approach, adalah pendekatan yang dilakukan dengan menelaah semua undang-undang dari regulasi yang bersangkut paut dengan isu hukum yang sedang dihadapidan Conceptual Approach, yaitu pendekatan yang beranjak dari pandangan-pandangan dan doktrin-doktrin yang berkembang di dalam ilmu hukum. Hasil dari penulisan ini adalah dalam suatu perkara pidana yang merupakan concursus yang diadili secara terpisah bukan merupakan pelanggaran asas ne bis in idem, selama masing-masing perkara tersebut belum memiliki kekuatan hukum tetap, namun sudah seharusnya untuk menjamin kepastian hukum terhadap tindakan pidana concursus untuk diadili dan diputus dalam satu putusan.
Data Elektronik Sebagai Alat Bukti Yang Sah Dalam Pembuktian Tindak Pidana Pencucian Uang
Authors: Kartika Pandoe Pramoe 
Published: May 2019

The writing of this scientific work is motivated by the difficulty of legal institutions such as the court in carrying out the verification of criminal cases related to Electronic Data. Evidence is fundamental in every criminal case. Therefore, evidence becomes a very decisive thing whether or not a person is convicted. However, the Criminal Procedure Code as a formal law in Indonesia, has not regulated electronic evidence as a legal evidence. The research method used is normative research using a statutory and analytical approach, while data collection through literature studies and interviews and qualitative descriptive data analysis. The results of the study indicate that proof of the ITE Law is lex specialis, because the ITE Law regulates everything that is more specific in the evidentiary law contained in the Criminal Procedure Code. The legal proof of electronic aspect as a legitimate evidence in the case of money laundering is regulated in Article 73 and with the enactment of the ITE Law, it is increasingly emphasized that electronic documentary evidence is a legitimate and recognized evidence in Indonesian procedural law.
Penulisan karya ilmiah ini dilatar belakangi oleh sulitnya lembaga hukum seperti pengadilan dalam hal melaksanakan pembuktian perkara pidana yang berhubungan dengan Data Elektronik. Bukti merupakan hal mendasar dalam setiap perkara pidana. Oleh karena itu, alat bukti menjadi hal yang sangat menentukan dapat tidaknya seseorang dipidana. Namun, Kitab Undang-Undang Hukum Acara Pidana sebagai hukum formil di Indonesia, belum mengatur mengenai alat bukti elektronik sebagai alat bukti yang sah. Metode penelitian yang digunakan adalah penelitian normatif dengan menggunakan pendekatan perundang-undangan dan analitis, sedangkan pengumpulan data melalui studi pustaka dan wawancara serta analisis data secara deskriptif kualitatif. Hasil kajian menunjukkan bahwa pembuktian pada UU ITE bersifat lex specialis, dikarenakan UU ITE mengatur segala sesuatu yang lebih spesifik dalam hukum pembuktian yang terdapat di dalam KUHAP. Aspek hukum pembuktian elektronik sebagai alat bukti yang sah dalam kasus tindak pidana pencucian uang diatur dalam Pasal 73 dan dengan diberlakukannya UU ITE semakin dipertegas bahwa alat bukti dokumen elektronik merupakan alat bukti yang sah dan diakui dalam hukum acara Indonesia.
EFEKTIVITAS EDUKASI GIZI MENGGUNAKAN MEDIA KOMIK TERHADAP PENGETAHUAN DAN SIKAP TENTANG GIZI SEIMBANG PADA SISWA SEKOLAH DASAR
Authors: Redyastuti Enggar , Wijaningsih Wiwik , Yuniarti Yuniarti , Larasati Meirina Dwi 
Published: May 2019

Background : Some issue found during preliminary survey and have not revealed the good dietary habit with balanced nutrient; for example: did not bring lunch and drink from home, buy unhealthy snack outside the school, and low knowledge about the importance of high protein side-dish, vegetables, and fruits. Nutrition education for elementary school students can support them to have good dietary habit. Using media can help us to give information.Objective : To know the influence of giving an education of balanced nutrient using media of comic-book with the content: knowledge and attitude of balanced nutrient to elementary school students.Methods : This research is classified to community nutrition research. The type of research is quasi experimental design and the plan is design with the pretest - posttest control group design. Total sample is 72 students, divided into treated-group and control-group. Collected data are identity, pretest and posttest result of knowledge-and-attitude. The test method that be used are Independent t-test and Mann Whitney.Results : Average score of knowledge in treated-group increased 6,36 points and in control-group 3,79 points. Average score of attitude in treated-group increased 0,98 points and in control-group 1,82 points.Conclusion : There were significantimpact of giving nutrition education using media of comic-book towardsbalanced nutrition knowledge on elementary school students (p=0,017), while on the attitude the improvement is not significant, (p=0,549).
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN SISA MAKANAN PADA PASIEN KANKER PAYUDARA DI RUMAH SAKIT DADI KELUARGA PURWOKERTO
Authors: Pamungkas Triana Uji , Subandriani Dyah Nur 
Published: May 2019

Background : Visually observed in July - September 2016 the remaining food by 33%. While the results of visual observation of food residuals in breast cancer patients in January 2017 that is equal to 29.6%. This is not in accordance with the SPM is 20%. Objective : To know the factors associated with the food of breast cancer patients at Dadi Keluarga Hospital Purwokerto. Methods : The cross sectional study design was 38 samples. The data were obtained using questionnaires: appetite, psychic condition, food from outside hospital, family support, food appearance, food taste, and food residual form. The test used was chi square with α = 0, 05. Results : The rest of the food was not eaten by patients 57.9%. Factors that influence the rest of the food include appetite 55,3%, normal psychic condition 60,5%, food from outside hospital 52,6%, family support 55,3%, appearance 55,3% and food taste 55,3% %. There was no association of feeding of breast cancer patients with appetite (p = 0,154), and psychic condition (p = 0,646). There was association of leftover food in breast cancer patients with food from outside hospital (p = 0,019), family support (p = 0,006), food appearance (p = 0,006), and food taste (p = 0,011). Conclusion : The most associated factor with the remaining food of breast cancer patients is family support.
PENGARUH VARIASI PENYAJIAN MAKANAN TERHADAP PERSEPSI PENAMPILAN DAN DAYA TERIMA MAKANAN PADA PASIEN ANAK DI RSUD BANYUMAS
Authors: Triastuti Shanty , Rahmawati Ana Yuliah , Mintarsih Sri Noor 
Published: May 2019

Background: The remaining food of pediatric patients in the inpatient ward of RSUD Banyumas is still high. In addition, factors related to patient satisfaction are influenced by the appearance of food and how the presentation. Factors that can be used as an enhanced presentation of interest include color, texture, color, large portions, serving and decking of food. One effort to improve the patient's child's acceptance of the food served is to serve an interesting meal. Modification of the shape and appearance of food when presented can attract attention so that children are interested to eat and want to spend the food served.Objective: Knowing the effect variation of food serve to appear perception and acceptance food for children patients in RSUD BanyumasResearch Method: This Research is a kind of experiment with planning of Quasy Experimental. The amount subject of the research is 48 people who have some criteria inclusion. The data included perception of food appearance and food acceptance using Comstock. The statistical test used is chi Square.Results: The patient's perception of the food appearance was satisfactorily varied at 87.5%. The acceptance of feeding patients given food presentation was varied by 41.7%. There is influence of variation of food presentation to perception of appearance in pediatric patient with p value 0.000. There was no effect of variation of food presentation on patient's pediatrics, with p value 0.221.Conclusion: Variations in food presentation affect the respondent's perception of the appearance of the food served, but it does not affect the acceptance.