bluuebunny/crossref_metadata_2025_split huggingface dataset:
Limbah Sabut Kelapa Sebagai Alternatif Bahan Utama dalam Pembuatan Material Plafon
Authors: Putra Heristama Anugerah , Christanti Vebyola Indah Dwi , Arganata Tito Mugabi 
Published: July 2023

Semakin meningkatnya kebutuhan hidup disuatu kota membuat pemintaan akan hunian dalam bentuk perumahan pada kalangan rakyat menengah ke bawah semakin meningkat. Tidak terkecuali dengan penggunaan bahan material bangunan yang semakin meningkat pula. Indonesia berada di kawasan tropis dengan memiliki iklim yang baik untuk kehidupan flora yang dimana adanya sumber daya alam yang sangat melimpah. Sumber daya alam dalam bentuk komiditi buah kelapa menjadi salah satu yang berlimpah dengan kondisi alam di Indonesia. Air dan buah kelapa memiliki manfaat yang sangat besar bagi tubuh manusia, selain itu sabut kelapa menjadi salah satu limbah hasil produksi dalam jumlah besar yang dibutuhkan tiap harinya. Limbah dari buah kelapa yang paling banyak digunakan adalah bagian sabut kelapa, dimana difungsikan sebagai bahan baku untuk proses pembakaran dan pembuatan arang. Saat ini limbah sabut kelapa paling banyak digunakan sebagai bahan baku industri home appliance dan kerajinan yang berbasis ramah lingkungan, namun pengolahan tersebut masih belum dilakukan secara menyeluruh. Metode yang digunakan dalam penelitian ini yaitu dengan cara melakukan eksperimen takaran untuk mendapatkan hasil rasio pencampuran bahan material antara sabut kelapa dengan semen perekat yang sesuai. Hasil dari penelitian ini bertujuan untuk mengembangkan rasio limbah sabut kelapa sebagai campuran dengan nilai 1:1,5.
Clinical profile of critically ill patients admitted with Dengue in a tertiary level hospital in Nepal: A retrospective study
Authors: Shrestha Gentle Sunder , Pradhan Akshay Prasad , Kharga Satyam , Shrestha Manjit , Lobsel Tenzing , Raut Birendra Kumar , Karki Bal Chandra , Poudel Nimesh , Gautam Rakshya , Maharjan Nisha 
Published: July 2023

BACKGROUND AND AIMS Dengue is a viral disease transmitted by mosquitoes. The burden of disease related to Dengue is considerable in tropical and sub-tropical countries. Recently, many countries observed the outbreak of Dengue. Our study aims to explore the clinical profile and outcome of the dengue positive cases admitted in the intensive care unit (ICU) of a tertiary level hospital in Lalitpur.
METHODS We conducted a retrospective single center study in patients with proven Dengue, admitted to ICU. Data were collected between 20th August and 15th October 2022. Data collected were the baseline characteristics of patients, signs and symptoms and need for organ support. Patients were graded according to WHO severity scale.
RESULTS A total of 31 cases were admitted during the study period. Fever, vomiting and malaise were the common presenting symptoms. Comorbidities like hypertension and diabetes were common. Hypotension, requiring inotropic support was present in nine (29.0%) of cases. Ten patients (32.3%) required respiratory support. Derange hepatic and renal function were common. Five patients (16.1%) presented with clinically significant bleeding. Six (19.4%) of the cases expired in ICU. Among the non-survivors, five (83.3%) had severe Dengue and one (16.7%) case had Dengue with warning signs.
CONCLUSION Critically ill patients with Dengue have multisystem involvement. Severe Dengue and Dengue with warning signs is associated with significant morbidity and mortality.
Incidence of new onset arrhythmia after non cardiac surgery
Authors: Rajbhandari Rajib , Shah Jageshwar Prasad , Pradhan Arya , Dangol Rebika , Dangol Utsav , Manandhar Ashreyata , Banskota Bibek , Baidhya Niraj , Bajracharya Tamanna 
Published: July 2023

BACKGROUND Although new-onset arrhythmia are a common problem in cardiothoracic surgery, their incidence in major non- cardiac surgery has not been studied properly. The aim of the study is to assess the incidence of arrhythmia after non cardiac surgery. While we have some data on postop arrhythmia after general surgery, we don’t have much data on orthopedic surgery, and good proportion of our patient in the study belong to this category. Thus it is also aimed to compare the incidence of arrhythmia in different types of surgery.
METHODOLOGY The present study is a retrospective cohort of 100 patients who recently underwent surgery between 2023 January 1st till 2023 June 1st. All included patients were monitored in ICU and post-operative ward after surgery. 100 patients (28 female and 72 male) without any history of prior arrhythmia were analyzed and included in the study. Incidence of postoperative arrhythmia (PA) was observed and compared in patients undergoing different types of surgery. Impact of age factor on the incidence of PA was also studied.
RESULTS Incidence of overall PA among all patients were 31%. Incidence of significant PA were 14.3%. Incidence of significant PA was highest in gastro-surgery patients (22%) whereas orthopedics patients had 11% incidence of PA.
CONCLUSION Gastro surgery seems to give high impact on incidence of PA. In our analysis, age of the patient appear to be associated with the causation of PA.
Prediction of Stone Free Rate after Standard Percutaneous Nephrolithotomy using Stone Nephrolithometry Score in Nobel Medical College Teaching hospital – A Prospective Study
Authors: Shah Ram Sagar , Thapa Niraj , Shrestha Jit Prakash , Koirala Ashok , Mishra Kartikesh , Jayshwal Raju , Pokharel Sinet , Pandey Himal 
Published: July 2023

Background: Amongst all the modalities of treatment for renal stones, percutaneous nephrolithotomy is preferred treatment for large volume renal stone disease. However, percutaneous nephrolithotomy is associated with the risk of postoperative complications and the problem of stone free status. So, a preoperative classification is necessary to grade the complexity of percutaneous nephrolithotomy and STONE (stone size, tract length, degree of obstruction, number of involved calices, and stone essence) nephrolithometry score is one of such kind.
Materials and Methods: This is analytical study conducted at the Department of Urology and Kidney Transplant, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal from January 2020 to July 2020. Total 115 patients were included in the study. These patients were subjected for percutaneous nephrolithotomy. Stone clearance was documented at the end of the surgery; on first postoperative day and at 4 weeks.
Results: In our study the stone – free rate was 89.6%. 32 patients experienced complications (27.8%). The STONE (stone size, tract length, degree of obstruction, number of involved calices, and stone essence) score correlated with the postoperative stone – free status (P=0.001). The patients rendered stone free had statistically significant lower scores than the patients with residual stones (6.83 ± 1.83 vs 9.83 ± 2.08, P = 0.001).
Conclusion: The STONE (stone size, tract length, degree of obstruction, number of involved calices, and stone essence) nephrolithometry score is a simple and easy tool to apply system for predicting complexity in stone clearance with percutaneous nephrolithotomy.
Evaluation of Prescription Pattern of Analgesics at Emergency Department of Tertiary Care Hospital: A Descriptive Cross-Sectional Study
Authors: Ghimire Rinku , KC Anjil , Shreewastav Rupesh Kumar 
Published: July 2023

Background: Rational use of analgesic drugs is needed for immediate relief of pain. This study was conducted to find out the prescribing pattern of analgesics in the emergency department.
Materials and Methods: A descriptive cross-sectional study among patients attending the emergency department of a tertiary care hospital from March 2022 to February 2023 after approval from the Institutional Review Committee. Demographic profile, indications for analgesics use, route, and frequency of administration were recorded based on the pre-structured questionnaires. Convenient sampling was done. Data were analyzed by using SPSS, version 20.
Results: Prescription patterns of analgesics were analyzed in 325 patients. The mean age was 46.93 ± 17.79 years with a male predominance of 196 (60.6%). Orthopedic problems 99(30.5%) due to trauma were the most common indications followed by medical and surgical indications for analgesic use. Non-steroidal anti-inflammatory drugs were used in 46.6%, opioids in 26.8%, combinations in 23%, and antispasmodics in 3.6%. Commonly prescribed analgesic was ketorolac (27.4%), tramadol (19.7%), and diclofenac (11.4%). The most common combination was ketorolac and tramadol (14.5%). Paracetamol alone was used in 16 (4.9%). A prescription with a generic name was 149 (45.8%). Parenteral use accounted for 86.8%. Co-administration of gastroprotective drugs was used in 93.2%. A fixed-dose combination was used in 1.2%.
Conclusion: Non-steroidal anti-inflammatory drugs are the commonly used analgesics for various indications, including acute pain and fever. The choice of analgesics and their prescription pattern varied depending on indications, medical history, and the presence of co-morbidities. Ketorolac and tramadol were the most commonly prescribed analgesics.
Prevalence and Antibiogram of Bacterial Uropathogens from a Tertiary Care Hospital of Eastern Nepal
Authors: Shrestha Kewal , Singh Prabhat Kumar , Yadav Kumari Ragani , Singh Ganesh Kumar 
Published: July 2023

Background: Urinary tract infection (UTI) is defined as growth of micro-organisms >105 CFU/ml in mid-stream urine samples. [1] Globally, urinary tract infection is considered a major public health concern with the second most common bacterial infection affecting individuals of different ages. It is estimated that worldwide 150 million cases of UTI occur per year and bacteria are responsible for about 95% of all the cases with each year. [3, 4] This study was designed to describe the pattern of microorganisms causing UTI and their antibiotic sensitivity.
Materials and Methods: This is a hospital based cross-sectional study conducted in the Department of Microbiology from January 2022 to June 2022 after taking ethical approval from Institutional Review Committee, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal. The patient profiles or records visiting a tertiary care hospital of both sex and every age group who were having symptoms and clinical diagnosis of urinary tract infection were included.
Results: A total of 2247 urine samples were collected, 501(22.29%) of the urine sample yielded significant growth of uropathogenes. The most common bacteria was found to be Escherichia coli (E. coli) that accounts for 73.05% followed by Enterococcus species 11.57%, Klebsiella pneumoniae 8.98% and amikacin and nitrofurantoin was found to be the most sensitive antibiotic to gram negative uropathogens.
Conclusion: The prevalence of uropathogenes was found to be higher in our study. Significant bacteriuria was seen in the female than male. The total number of patient with culture positivity was higher in younger age groups with high frequency of antibiotic resistance
Quality of Life among Patients with Cardiovascular Diseases at Birat Medical College Teaching Hospital
Authors: Bista Madhab , Parajuli Surya Bahadur , Mehta Ram Kumar , Shah Prashant , Jayshwal Raju , Pokharel Sinet , Pandey Himal 
Published: July 2023

Background: Modern healthcare delivery needs to take care of the quality of life of patients. The burden of cardiovascular disease is increasing each year affecting the quality of life. So, we aimed to examine the quality of life of patients with cardiovascular diseases (CVD) at Birat Medical College Teaching Hospital.
Materials and Methods: A hospital based cross sectional study was conducted among cardiovascular disease patients at Birat Medical College Teaching Hospital from 2023 Jan 27 to 2023 March 27. Ethical clearance was taken from the institutional review committee. The collected data was entered in Microsoft Excel 2019 and analyzed by IBM SPSS statistics 2025.
Results: Among 256 patients, the majority 67(26.2%) were in the age of 61-70 years and male 156(60.9%). Majority 91(35.5%) had coronary artery diseases. The quality of life domains ranging from least to most affected were bodily pain (81.04±26.02), mental health (76.4±15.18), social functioning (68.1±24.2), role limitation due to emotional problems (67.9±43.56), physical functioning (59.02± 28.9), vitality (53.67±15.45), general perception of health (50.19±15.7) and role limitation due to physical health (46.39± 44).
Conclusion: Patients with cardiovascular disease had their quality of life affected based on their physical health, general perception of health, energy and vitality, physical functioning, role limitation due to emotional problems, social functioning, mental health and bodily pain
Professional Values among Undergraduate Nursing Students in Nobel Medical College Teaching Hospital
Authors: Pokhrel Indira , Neupane Saraswata , Niroula Dilli Ram 
Published: July 2023

Background: Professional values are the basis to professional nursing practices. Professional values can be challenged by the variety of situation due to increasing globalization, diversity and health variance and can generate ethical dilemmas in health care delivery. Nursing students must be familiar to the professional value of the profession in which they are enrolled to imply the effective care to the patients.
Material and Methods: A descriptive cross sectional study design was done to assess the Professional values among undergraduate Nursing students in Nobel Medical College Teaching Hospital. A total of 119 nursing students were included in the study using total enumerative sampling techniques. Nurses Professional Values Scale (NPVS-3) was used to assess professional values among the Nursing Students. The data were analysed using SPSS version 23. For descriptive statistics frequency, percentage, mean and standard deviation was calculated and for inferential statistics Pearson’s correlation test was used.
Results: The total mean score of professional values from the nursing student’s outlook was high (115.24 ± 13.50) and also it reveals that 51.3% of the nursing students were conscious of professional values about nursing profession. The mean score was high (42.34 ±5.11) on caring sub-dimension than Activism and Professionalism. There was statistically significant relationship between the total score of professional values with Age.
Conclusion: Findings of the study showed that the overall nursing professional value was high and the mean score was high on caring sub-dimension whereas professionalism and activism has been given less importance by the nursing students in comparison with caring domain.
A Comparative Study of the Safety and Efficacy of Amlodipine and Enalapril when Prescribed as Monotherapy in Patients with Isolated Systolic Hypertension
Authors: Yadav Rajesh , Shah Rekha 
Published: July 2023

Background: Most elderly patients with high blood pressure have isolated systolic hypertension. Enalapril and amlodipine are respectively the most commonly prescribed ACE inhibitors and calcium channel blockers in Nepal. The goal of the current study was to compare the adverse drug reaction associated with amlodipine and enalapril in the study population as well as to compare the mean blood pressure and pulse rate reductions caused by amlodipine and enalapril in isolated systolic hypertensive patients.
Materials and Methods: A comparative cross-sectional study was performed on 72 patients of both genders within the age group of 30 to 90 years; with isolated systolic hypertension; attending the out-patients department of Medicine of Nobel Medical College and Teaching Hospital; from December 2022 to February 2023. Mean reductions in systolic and diastolic blood pressure in the two treatment groups over the eight-weeks study period was calculated and then compared. Frequencies of patients developing different side effects was also calculated and compared between the two groups.
Results: Systolic blood pressure was reduced by 16.1% in amlodipine group and by 18.8 % in enalapril group. Enalapril was slightly more efficacious in reducing the systolic blood pressure but such changes were found to be of no significant difference when compared between the two groups. (p > 0.05). The incidence of adverse effect was more in the amlodipine group in comparison to the enalapril group. Dry cough, dizziness, headache and fatigue with enalapril; and headache, peripheral edema, shortness of breath, fatigue, and flushing and dizziness with amlodipine were the common adverse effects.
Conclusion: Both amlodipine and enalapril were equally effective in lowering systolic blood pressure without significantly lowering diastolic blood pressure. They were also generally well tolerated, though amlodipine was slightly more likely to cause side effects.
Organization and methods of conduct of physical education lessons in the complete classroom of the experimental school with an individual and differentiated approach to learning
Authors: Davybida N. , Bezpalova N. , Matsenko V. 
Published: July 2023

An important task of the development of education in Ukraine in the 21st century. is the creation of an effective system of education and upbringing of young people. Today, education in Ukraine faces many problems, one of which is the preservation and reorganization of understaffed schools. Today, the concept of "small school" is an integrative one, which covers a variety of general educational institutions that differ in the types of activities, operating conditions, number of students studying in them, national and social composition, and territorial location. According to the definition of encyclopedic sources, a small school is a school without parallel classes, with a small contingent of students, where, as a rule, students of two, three or four classes are united in one class-set. One teacher works with a complete class.
Small-staffed schools significantly complicate the acquisition of a full-fledged education for children from the village, but the state cannot refuse their services in the coming years. Meanwhile, due to the objective processes characteristic of the village, the school in its activity goes far beyond the educational functions, playing the role of the center of the spiritual and cultural life of the village. Very often, the school in the village is the only center of communication and interaction of students, a center of qualified information support. In addition, the modern rural school with a small number of students has unique opportunities for the revival of national educational traditions, the organization of the educational process on the basis of folk pedagogy, which corresponds to one of the main conditions for the development of a national school. An important prerequisite for quality education in the countryside is the improvement of the educational process.
Physical and sports rehabilitation of women with postural disorder using yoga according to the iyengar method
Authors: Zharska Nataliya , Briskin Yuriy , Budzyn Vira , Petryna Lesya 
Published: July 2023

In connection with the active development of a new direction - physical culture and sports rehabilitation, an urgent issue is the use of physical culture and sports, in particular yoga classes according to the Iyengar method, with the aim of strengthening health, physical development and physical capabilities of the body.
The purpose of the study was to substantiate the content of a complex adapted program of yoga classes according to the Iyengar method and to determine its effectiveness for correcting the physical condition of women with postural disorders. The use of yoga classes according to the Iyengar method as a means of physical culture and sports rehabilitation contributed to a statistically significant improvement in the subjective self-esteem of individuals and a reduction in pain. Under the influence of yoga classes as one of the means of physical culture and sports rehabilitation, positive changes in the level of physical condition of women were observed. Thus, persons with a lower than average level decreased by 19.1%; women with an average level increased by 23.8% and visitors with a higher than average level increased by 4.8%. However, women with low and high levels of physical condition were not identified. Statistically significant changes (p<0.05) were established in the indicators of physical fitness of women of the main group, with the exception of agility. A significant improvement is observed in the indicators of flexibility, speed and power endurance.
Optimization of the management of the physical preparation of the discus throwers 12-19 years
Authors: Kovban O.L. 
Published: July 2023

The article is dedicated to the management of the physical preparation of the metalworkers of the disc 12-19 years.
The light record at the methane disk of 74.08 m (men) was set by Jurgen Schult Nimechchina, 76.80 m (women) Gabriela Reinsh Nimechchina.
To improve the efficiency of the disk meta, it is necessary to increase the speed of the wrapping in obertal-progressive rus by the stake in the lance lanok-phase switch with accelerating accelerations in the two-bearing input, single-bearing phase left foot, gallop, single support phase of the right foot, with hits in the double support final susilla.
The transformation of the psychophysiological state of the discus thrower into the psychophysiological state of the discus thrower of a high class is based on the aid of the successively accentuated method of spreading the tension in the river cycle and the serial-variable blocking of the lighter discs, the larger disc and the tighter disc and in the focus on the biomechanical standard.
There are informative indications of power, speed-strength, physical training of athletes and even finishing sports qualifications of metal workers.
Competitive activity in Japanese traditional archery kyudo
Authors: Ostrovskiy Mykhailo , Vynogradskyi Bogdan 
Published: July 2023

The article reveals the peculiarities of competitive activities in kyudo. The relevance of the research lies in the systematization of knowledge about the methods of conducting, types and organization of competitions in traditional Japanese archery – kyudo.
The purpose of the work is to determine the main features of competitive activity in Japanese traditional archery.
A scheme of classification of sports competitions in kyudo is proposed, which is built on the basis of established features: the level of kyudo mastery, scale, gender, shooting rituals, professional orientation, scoring form, age category of participants, tasks, nature of competition organization.
Three ways of determining the winners were also revealed – tekitchusei (a system of awarding points for hitting any part of the target), tokutensei (a point system for hitting a certain area of the target) and saitensei (a scoring system that also evaluates shooting technique).
2 types of competition programs in kyudo were identified – kinteki (competition at a short distance of 28 m) and enteki (competition at a long distance of 60 m). Based on the analysis of the general rules of kyudo competitions, a comparative scheme of these programs is proposed.
Some types of targets (mato) that can be used in Japanese archery are also analyzed and highlighted. It is worth noting that the targets are both black and white and colored, have different sizes, patterns, appointment etc. Among them are those used in the training of athletes, in competitive activities, in entertainment and demonstration events. The scientific work describes the constituent parts of mato.