bluuebunny/crossref_metadata_2025_split huggingface dataset:
Relation of Antral Follicular Count and Follicular Stimulating Hormone with Anti-Mullerian Hormone in Determining Ovarian Reserve in Infertile Women Presenting in a Tertiary Health Centre of Nepal
Authors: Ojha Bhuwan Prasad , Ghimire Asmita , Panta Padam Raj , Ojha Neebha 
Published: March 2023

Introduction: Infertility is a disorder of the reproductive system defined by failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. Globally, about 10-15% married couples are sub-fertile. 20-40% of female factors for infertility include ovarian cause. Ovarian reserve refers to the size of resting primordial follicle in the ovaries which determines the capacity of the ovary to provide egg cells for fertilization resulting in a successful pregnancy. Ovarian reserve is one of the most reliable investigations to determine ovarian regression, which regresses with age. Follicular Stimulating Hormone (FSH), Estradiol (E2), Antral Follicular Count (AFC) and Anti-Mullerian Hormone (AMH) are investigations to determine ovarian reserve.
Objective: To determine the correlation of antral follicular count and follicular stimulating hormone with anti-mullerian hormone in determining ovarian reserve among infertile women attending infertility clinic of Tribhuvan University Teaching Hospital (TUTH).
Methodology: This was a prospective, hospital based study conducted among 78 patients attending infertility clinic in the Department of Obstetrics and Gynecology at TUTH, Kathmandu from 14th April 2017 to 13th April 2018. After taking history and examination, routine infertility investigation was sent. On the Day 2 or Day 3 of the cycle, serum FSH and AMH were sent. On the 3-5 day of the cycle, trans-vaginal scan was done for antral follicular count. Follicular monitoring was done every alternate day from day 9 of natural cycle till the follicle became 18 to 22 mm. If no follicle developed even after day 20 of menstruation, monitoring was stopped and development of follicle or failure was noted. This monitoring was done in single cycle. Early follicular phase serum FSH, AMH and AFC were correlated in relation to follicular development.
Result: Among 78 patients included, mean age was 27.6 ± 3.14 years. The mean FSH, AMH and total AFC were 6.46 ± 1.90 IU/ml, 5.01 ± 3.46 ng/ml and 15.88 ± 5.21 respectively. A strong positive linear correlation between AFC and AMH (p<0.001, r=0.811) and weakly negative correlation between FSH and AMH (p=0.182, r= -0.153) was found.
Conclusion: Serum AFC level showed a strong positive correlation with AMH and could be used as an alternative to AMH to assess ovarian reserve.
A Descriptive Cross-Sectional Study on Clinical Profile and Outcome of Delirium in Trauma Patients in the Semi-Closed Intensive Care Unit of a Medical College
Authors: Singh Alok Kumar , Keyal Niraj Kumar , Chaudhary Pankaj , Izahar Mosarrat , Alam Md Shahid 
Published: March 2023

Introduction: Delirium in trauma patients is common and underdiagnosed.
Objectives: This study aimed to identify the risk factors and outcome of delirium in trauma patients in a mixed semi-closed intensive care unit.
Methodology: This descriptive cross-sectional study was done on 77 patients of age 18 years or more admitted for more than 24 hours with the history of road traffic accidents, falls, drowning, physical assaults, and self- inflicted violence in a level three intensive care unit of the National Medical College for six months. The whole sampling method was used in our study and all cases during a given time were included in the study. The Confusion Assessment Method-ICU and Richmond Agitation Sedation Scale were used to diagnose delirium and level of arousal respectively. All data was transferred to the excel sheet and transferred to a statistical package for the social sciences-16. The Chi-square test and Fisher’s exact probability test were used to detect the difference between groups in the univariate analysis, as appropriate. The variables were analyzed using binary logistic regression. Any variables which had P<0.2 after the univariable risk regression and all other potential variables associated with the delirium were included for the multivariable risk regression. The level of significance was P<0.05.
Result: Of the 77 ICU admissions 17(22.1%) developed delirium. Hyperactive delirium was the most common motor subtype 9(52.9%). The mean duration of delirium was 3.69±4.06 days. Age, hypertension, blood transfusion, and orthopedic trauma were identified as risk factors for delirium. Delirious patients had a longer length of stay in the ICU (7.0 ±4.6 vs 4.5±4.1 days) with no impact on the duration of mechanical ventilation, mortality, reintubation, and unplanned extubation.
Conclusion: Age, hypertension, blood transfusion and orthopaedic trauma were identified as the risk factor for delirium in trauma patients that should be identified early to prevent complications such as longer length of stay in the ICU, longer duration of mechanical ventilation, mortality, reintubation and unplanned extubation.
Effect of Oral Clonidine Premedication on Hemodynamic Stress Response to Laryngoscopy and Tracheal Intubation
Authors: Prasad Jagat Narayan , Singh Satendra Narayan , Sah Suresh Prasad , Guddy KM , Sarraf Deependra Prasad 
Published: March 2023

Introduction: Different techniques have been tried to blunt undesirable hemodynamic effects like tachycardia, hypertension and dysarrhythmias during and after laryngoscopy and tracheal intubation.
Objective: To find out the effect of oral clonidine premedication on hemodynamic stress response to laryngoscopy and tracheal intubation.
Methodology: It was a prospective, randomized, double-blind comparative study conducted in patients undergoing laparoscopic cholecystectomy. Either oral clonidine 300 mcg (n=30) or placebo (n=30) was given one hour before the surgery. Depth of anesthesia was monitored and maintained at 40-60 level using bispectral index (BIS) monitor. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MABP) and oxygen saturation (SpO2) at baseline, one hour after premedication, on operation theatre (OT) table, just before and after one, two and five minutes after laryngoscopy and intubation were compared in Clonidine and placebo group using Paired t test and Chi-square test. SPSS was used for statistical analysis at P-value<0.05
Results: Hemodynamic variables like HR, SBP, DBP and MBP were significantly lower in the clonidine group compared to placebo just before and after the first five minutes of laryngoscopy and tracheal intubation (P<0.05). Propofol requirement for induction of anesthesia was less in the clonidine group (95±31.8 mg vs 75.3±28.5 mg, p=0.014) compared to the placebo group. Adverse effects like hypotension and bradycardia were comparable in the groups. Time taken for extubation, time to follow verbal commands and time to orientation after surgery were similar in the both groups (P>0.05).
Conclusion: Oral clonidine premedication was effective in blunting undesirable hemodynamic stress response to laryngoscopy and tracheal intubation compared to the placebo.
Knowledge and Participation of Male Partners in Antenatal Care attending Antenatal Clinics in Birat Medical College Teaching Hospital
Authors: Pradhan Tarun , Dahal Prerana , Dhamala Jiba Nath , Yadav Siddartha Kumar , Rathi Nikita , Rauniyar Zenith 
Published: March 2023

Introduction: Male partner participation and being prepared of complications and delivery during pregnancy is extremely important for successful pregnancy outcome.
Objective: Objective of this study was to assess Knowledge and participation of male partners in antenatal care attending antenatal clinics at Birat Medical College Teaching Hospital.
Methodology: A cross-sectional prospective study was done in Department of Obstetrics and Gynecology, BMCTH. Male partners accompanying primigravid pregnant lady were included. 150 male partners were included for the study. Knowledge of male partners were assessed using pre-tested questionnaire and the knowledge was scored for poor, average and good. Frequency and percentage were calculated for sociodemographic variables and male partner knowledge questionnaire.
Result: Majority of male partners accompanying wife were educated (96%) and skilled (81.3%). 89.3% were between 20-35 years. Both couples involved in decision making were 48.7% and 85.3% had planned pregnancy. 89.3% had good knowledge about importance of antenatal care, pregnancy complications and delivery preparedness. Knowledge of pregnancy related complication among male partners were significantly related to level of education, age of partner, employed and skilled partner and couple with planned pregnancy. Knowledge of delivery preparedness was significantly related to male partner education, occupation and if couple are making decision in family. Knowledge score of male partners showed significant relation with level of education, involvement in skilled occupations, involvement of couple in decision making.
Conclusion: Knowledge of male partners involved in antenatal care with pregnant lady showed good knowledge of antenatal care events, pregnancy related complication and also showed positive importance of hospital delivery.
Effectiveness of Use of Single Dose Preoperative Antibiotic versus both Pre and Post Operative Antibiotics in Patients Undergoing Laparoscopic Uncomplicated Appendectomy in Birat Medical College Teaching Hospital (BMCTH)
Authors: Shrestha Bhupendra Charan , Sharma Shivraj , Yadav Rohit Prasad , Agrawal Chandra Shekar , Pandit Narendra 
Published: March 2023

Introduction: Acute appendicitis is one of the most common surgical emergency. Rationalized use of antibiotics prevents the risk of post operative complications. There is no conclusive recommendation on the duration of antibiotic usage and role of postoperative use of antibiotics in preventing complications in uncomplicated cases remains controversial till date.
Objectives: To compare the effectiveness of single dose preoperative antibiotic with preoperative and postoperative antibiotics for patients undergoing laparoscopic uncomplicated appendectomy.
Methodology: A total number of 113 patients who fulfilled the selection criteria underwent laparoscopic appendectomy for uncomplicated appendicitis and were randomly divided into two groups. Group A patients received only pre operative antibiotics whereas Group B patients received both preoperative and postoperative antibiotics. Patients of both the groups were followed up postoperatively till discharge from the hospital
Results: In this study, patients who received only pre-operative antibiotic were 57 (50.4%) and patients who received both preoperative and postoperative antibiotics were 56(49.6%). SSI was detected in total of 2 patients (1.8%) one from each group and postoperative lump noted in right iliac fossa (RIF) in 2 patients (1.8%) one in each group intraoperatively in which further antibiotic was continued postoperatively. Hematoma, seroma and peritonitis were absent in both the groups. The difference between the two groups for incidence of SSI and postoperative RIF lump was statistically insignificant with P value of 0.748.
Conclusion: Single dose preoperative antibiotic is sufficient in preventing postoperative complications in patients undergoing laparoscopic appendectomy for uncomplicated appendicitis. This can be recommended for implementation as standard operating protocol in such cases.
Delivery site preferences and associated factors among married women of Panauti Municipality, Kavrepalanchok district, Nepal
Authors: Pathak Pratiksha , Manandhar Naresh , Joshi Sunil Kumar 
Published: March 2023

Introduction: Maternal mortality is a top global developmental agenda. The main cause of being underutilization of available delivery services especially in a developing country like Nepal. Various socio-demographic, socio-cultural and health service-related factors affect the utilization of these services. Thus, the study aims to identify the delivery site preferences and its associated factors among the married women of Panauti municipality of Kavrepalanchok district.
Method: A cross-sectional study was conducted among the married women between the ages of 15-49 y residing in Panauti municipality. The face-to-face interviews were conducted using semi-structured questionnaires. The statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 21.
Result: A total of 106 women of 15-49 y were included in the study. The proportion of institutional delivery among the participants was 68%. 90.6% of total participants would prefer health facility for their future deliveries; 7.5% were not sure about their preferences and very few (1.9%) preferred to deliver at home. The factors like knowledge regarding safe-motherhood program and age at marriage were found to be significantly associated with their delivery site preference (p<0.05).
Conclusion: In a country like Nepal, home delivery is still in practice and pregnancy and childbirth are regarded as normal life events. Thus, efforts should be made to change that perception, increasing utilization of available services and improving maternal and child health. This in turn will help to achieve the Sustainable Development Goal target in reducing the Maternal Mortality Rate.
Prevalence of long COVID-19 syndrome among health care workers of Patan Academy of Health Sciences
Authors: Pandey Bimal , Gautam Sanjeev , Karki Sanjit , Lama Mipsang , Sigdel Keshav Raj , Hirachan Niroj 
Published: March 2023

Introduction: Any symptoms acquired after COVID-19 infection that persists beyond 12 weeks period and not explained by any other disease either already present or acquired after COVID-19 infection is termed as long COVID 19 by World Health Organisation. We tried to find out the prevalence of long COVID 19 in healthcare workers.
Method: Questionnaire was made in google form based on COVID-19 Yorkshire Rehabilitation Screening Tool (COVID YRS Tool). Ethical approval was taken from IRC-PAHS. Data collected from all health care workers of PAHS from 2022/05/20 to 2022/07/20. Difference in Precovid and Postcovid status in different domains were compared by statistical tests.
Result: The median age of our participants was 29 years. Prevalence of Long COVID 19 was 68.1%. 19 55.3% ha mild, 10.4% had moderate, 2.4% had severe symptoms. The most common symptom was fatigue (44%), anxiety (41%) and shortness of breath (36%). The COVID YRS Tool overall score was statically significant with p value <0.001. Pre COVID 19 and Post COVID 19, patients had statically significant in breathlessness, fatigue, nutrition, anxiety, usual activity, pain, anxiety and depression. Only 6% of our patients had severe COVID 19.
Conclusion: People are still experiencing various symptoms after COVID 19 infection. Long COVID 19 has now been a health care problem. Long COVID 19 patients have multisystem involvement and multi-speciality team is needed for their management and rehabilitation.
PENGARUH EDUKASI MENGGUNAKAN VIDEO TENTANG HIV/AIDS TERHADAP PENGETAHUAN DAN SIKAP REMAJA DI KECAMATAN SANANWETAN
Authors: Sabhita Dewanty , Winarni Sri , Djuwadi Ganif 
Published: March 2023

Edukasi Kesehatan mengenai HIV AIDS bagi remaja sangat penting diberikan lantaran angka kejadian HIV AIDS setiap tahunnya semakin tinggi. Privinsi Jawa Timur provinsi nomer 2 tertinggi dengan jumlah kasus 62.392, yang tersebar dibeberapa kota salah satu nya yaitu Kota Blitar. Di Kota Blitar terdapat 49 Orang Dengan HIV AIDS dengan rentan umur 21 sampai 30 tahun yang mungkin telah terpapar sejak remaja. Penelitian ini adalah penelitian kuantitatif memakai metode quasi-experimental menggunakan rancangan pretest-posttest terhadap pengetahuan dan sikap remaja yang ada pada LPKA Lembaga Pembinaan Khusus Anak Kelas 1. Dengan populasi 30 remaja. Dan pengambilan sampel menggunakan total sampling yaitu 30 responden. Instrumen yang digunakan pada pengumpulan data menggunakan kuesioner. Penelitian dilaksanakan 10 sampai 16 Februari 2022. Analisa data yang dipakai yaitu analisa Wilcoxon Signed Rank dengan a sama dengan 0,05 dihasilkan bahwa sebelum dan sesudah diberikan edukasi kesehatan menggunakan video, pengetahuan remaja dari kategori baik 0Persen meningkat menjadi 66,7Persen, kategori cukup 33.3Persen tetap, kategori kurang 66,7 turun menjadi 33,3Persen. Dan untuk sikap remaja sebelum dan sesudah diberikan edukasi kesehatan yaitu kategori negatif 86,7Persen turun menjadi 0Persen, dan untuk kategori positif dari 13,3Persen meningkat menjadi 100Persen. Hal ini dibuktikan hasil Uji Wilcoxon dengan nilai p sama dengan 0,001lebih dari0,05. Hasil penelitian menunjukkan bahwa metode edukasi kesehatan menggunakan video berpengaruh terhadap pengetahuan dan sikap remaja. Media video pada penelitian ini dapat dijadikan media penambah sebagai sumber informasi kepada remaja tentang HIV AIDS.
PENGARUH EDUKASI 7 LANGKAH CTPS MELALUI VIDEO ANIMASI TERHADAP TINGKAT PENGETAHUAN DAN TINDAKANDALAM UPAYA PENCEGAHAN PENYAKIT MENULARCOVID-19 KELAS 3 DI SDN TAPIR
Authors: Zulfia Annisa Ayu , Lundy Fiashriel , Lala Handy 
Published: March 2023

Tangan merupakan salah satu jalur penularan penyakit, sehingga mencuci tangan dengan sabun merupakan cara yang paling efektif membunuh virus atau bakteri. Tujuan penelitian ini adalah untuk mengetahui pengaruh media video animasi terhadap tingkat pengetahuan dan tindakan tentang CTPS sebelum dan sesudah diberikan edukasi dalam upaya pencegahan penyakit COVID 19. Populasi dalam penelitian ini adalah siswa siswi kelas 3 yang berjumlah 28 orang, sampel yang digunakan dalam penelitian ini adalah siswa/siswi kelas 3 yang berjumlah 26 responden. Teknik pengambilan sampel menggunakan total sampling. Pengumpulan data menggunakan kuisioner dan lembar observasi, analisis data menggunakan uji Wilcoxon. Hasil uji Wilcoxon menunjukkan ada pengaruh peningkatan pengetahuan dan tindakan dimana p value sama dengan 0,000 Kurang dari a 0,005. Hal ini menunjukkan penggunaan media video animasi dapat meningkatkan pengetahuan dan tindakan siswa kelas 3 di SDN Tapir. Hal ini menunjukkan penggunaan media video animasi dapat meningkatkan pengetahuan dan tindakan siswa kelas 3 di SDN Tapir.Rekomendasinya adalah video animasi dapat digunakan untuk meningkatkan tindakan CTPS siswa sebagai upaya dalam pencegahan penyakit.
PERBEDAAN KEPATUHAN JADWAL KUNJUNGAN AKSEPTOR KB SUNTIK DMPA PADA MASA PANDEMI COVID-19 DAN MASA NEW NORMAL DI PMB YULIS AKTRIANI, S.Tr,Keb
Authors: Fadilah Nur , Astutik Heny , Yuliani Ita 
Published: March 2023

Ketidakpatuhan akseptor KB suntik adalah salah satu penyebab menurunnya jumlah askeptor KB pada masa pandemi covid 19. Tujuan Penelitian ini adalah untuk Mengetahui perbedaan kepatuhan jadwal kunjungan akseptor KB suntik DMPA pada masa pandemi Covid 19 dan masa new normal. Desain penelitian yaitu penelitian deskriptif komparatif dengan pendekatan retrospektif. Uji analisis yang digunakan yaitu uji chi square, instrument dalam penelitian ini yaitu rekam medis responden berupa kohort KB. Penelitian ini menggunakan 67 responden yang diambil dengan teknik systematic random sampling. Hasil penelitian : dari 67 responden sebagian besar responden tidak patuh dalam melakukan kunjungan ulang pada masa pandemi COVID 19 yaitu sebanyak 18 responden dan terdapat 9 responden yang tidak patuh dalam melakukan kunjungan ulang pada masa new normal. Hal ini menunjukkan terjadi penurunan angka kejadian akseptor KB suntik DMPA tidak patuh dalam melakukan kunjungan ulang pada masa new normal dibandingkan pada masa pandemik COVID 19. Kesimpulan Berdasarkan uji statistic chi-square di dapatkan hasil bahwa nilai p value 0.019. terdapat 18 responden yang tidak patuh pada masa pandemi covid 19, 15 patuh pada masa pandemi covid 19. Sedangkan pada masa new normal sebanyak 25 responden patuh dalam melakukan kunjungan ulang dan 9 tidak patuh dalam melakukan kunjungan ulang
Analisis Pengujian Cladding pada Aluminium Alloy 2024 Menggunakan Metode Eddy Curent di PT Garuda Maintenance Facility AeroAsia
Authors: Setiawan Agris , Triandika Taufan , Probowati Dyah 
Published: March 2023

Non-destructive testing(NDT) adalah pengujian material untuk menentukan kualitas dan integritas material atau elemen struktur tanpa memengaruhi kemampuan untuk menjalannya fungsinya. NDT itu sendiri memiliki beberapa metode pengujian, yaitu radiograph testing, eddy current testing, thermal testing, penetrant testing, ultrasonic testing, dan visual testing. Metode eddy curent biasanya digunakan untuk melihat crack maupun mengetahui perbedaan suatu material melalui nilai konduktivitasnya. Pada penelitian ini dimaksudkan untuk menanalisis dari teori yang ada dengan yang terjadi dilapangan, dengan menambahkan variasi ketebalan pada Aluminium clad sheet 2024. Cladding test sangat umum dilakukan di industri aviasi untuk menghindari, mengetahui lebih awal dan menanggulangi kecelakaan yang diakibatkan korosi karena cladding sudah hilang.
As Knowers and Narrators
Authors: Omotoso Sharon Adetutu , Ogbebor Ejemen 
Published: March 2023

Abstract
Expanded feminist narratives on the girl child have paid little attention to how young girls have become agents of their own change and sharers of their own knowledge. In this study, we spotlight girls’ agency reinforced by institutions that transform them from recipient to agents of change and resilience. In this qualitative study, we deploy critical analysis and reflective argumentation to underscore how Women's Research and Documentation Center (WORDOC) of the Institute of African Studies University of Ibadan provided Do-It-Yourself (DIY) tactics to girls aged 10 to 18 between 2018 and 2019 at its annual WORDOC Girls’ Summit. We explore a version of African girlhood aimed at presenting institutional impacts that offer platforms for girls’ self-empowerment and girl-agency in Nigeria.
Risk factors for postoperative coronal imbalance after surgical correction of adult spinal deformities: a systematic review with pooled analysis
Authors: Barile Francesca , Ruffilli Alberto , Paolucci Azzurra , Viroli Giovanni , Manzetti Marco , Traversari Matteo , Ialuna Marco , Faldini Cesare 
Published: March 2023

OBJECTIVE
The aim of this study was to identify preoperative risk factors for postoperative coronal imbalance (CIB) in patients undergoing surgical correction for adult spinal deformity (ASD).

METHODS
A systematic search of articles about risk factors for postoperative CIB was conducted on electronic databases (PubMed, EMBASE, and Cochrane Library) according to the PRISMA guidelines. The methodological quality of the included articles was assessed using the Institute of Health Economics Quality Appraisal Checklist for Case Series Studies. Data regarding the patient population (demographics, diagnosis, and follow-up), pre- and postoperative radiographic and clinical data, surgical procedure details, and complications were extracted and summarized. Meta-analyses were performed when possible.

RESULTS
Nine studies comprising 838 patients were included. The pooled incidence of postoperative CIB was 26%; preoperative sagittal vertical axis (SVA) and type C imbalance (trunk shifted toward the convexity) were found to be the only primary risk factors for iatrogenic CIB (p < 0.001 and p = 0.012, respectively).

CONCLUSIONS
Baseline evaluation of a patient’s global alignment is of outmost importance when planning surgery for ASD. Type C coronal imbalance (trunk shifted toward the convexity of the main curve) and increased preoperative SVA put the patient at risk of postoperative CIB. Intraoperatively, care should be taken to properly correct the lumbosacral fractional curve.