bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Penentuan Cadangan Kas Badan Layanan Umum
Authors: Aptasari Fety Widianti , Handajani Lilik , Fikri Ali 
Published: June 2022

This research based on government regulation that makes the government have the right of immunity in taking more funds at a BLU which is then distributed to other BLUs, so cash reserves need to be made. This study aims to analyze the nominal cash that must be reserved by BLU University X. The amount of cash reserves must be adjusted by considering the possibility of the government taking a surplus of BLU funds and financial condition to become management capital at the beginning of the following year. This study uses a descriptive qualitative approach. Data were obtained through interviews with the financial, PNBP coordinator and expenditure treasurer. The results showed that BLU University X did not yet have a cash reserve strategy to deal with the government regulations. The implication of this research is as a consideration for BLU in formulating policies and strategies to manage cash from the remaining cash at the end of the previous year to be used as cash reserves.
Keywords: Cash Reserves; Budget Absorption; Budget Surplus.
Pemanfaatan layanan perpustakaan di era modern sebagai sumber informasi bagi pemustaka
Authors: Misbah Mutiara Shalehah 
Published: June 2022

Artikel ini bertujuan berusaha untuk menjelaskan mengenai berbagai layanan yang ada di perpustakaan pada era modern ini, baik itu layanan yang ada pada perpustakaan konvensional maupun layanan perpustakaan digital/ elektronik yang memanfaatkan teknologi, serta melihat tingkat kepuasan pemustaka dalam memanfaatkan layanan yang ada yang dikaji menggunakan pendekatan deskiptif kualtitatif. Semua jenis layanan tersebut ditujukan agar pemustaka bisa mendapatkan segala bentuk informasi sesuai dengan kebutuhannya. Dengan demikian, peranan perpustakaan bukan hanya sekadar sebagai tempat menyimpan dan mengumpulkan bahan pustaka dalam suatu tatatan yang terorganisir, akan tetap harus berusaha agar bahan pustaka dapat dimanfaatkan semaksimal mungkin oleh pemustaka melalui pelayanan yang ada didalam perpustakaan.
People With Knee Osteoarthritis Attending Physical Therapy Have Broad Education Needs and Prioritize Information About Surgery and Exercise: A Concept Mapping Study
Authors: Goff Anthony J. , Donaldson Alex , de Oliveira Silva Danilo , Crossley Kay M. , Barton Christian J. 
Published: June 2022

Objectives To (1) identify the education priorities of people with knee osteoarthritis, including perceived importance and confidence that a health care professional can address each, and (2) match priorities to education-specific content recommendations in knee osteoarthritis management guidelines. Design Concept mapping methodology. Methods Participants generated, sorted (based on themes), and rated (5-point Likert scales: importance and confidence) education priorities. Multidimensional scaling and hierarchical cluster analysis of sorting data produced a cluster map with overarching domains. Priorities were matched against education-specific content recommendations in knee osteoarthritis guidelines. Results Participants (brainstorming, n = 43; sorting and rating, n = 24) generated 76 priorities. A 4-domain, 11-cluster map was the most useful representation of sorting data: (i) understanding treatment options (relationship of education and exercise with surgery, adjunct options, treatment decision making); (ii) exercise therapy (how to exercise, why exercise); (iii) understanding and managing the condition (symptom management, understanding symptoms, understanding the condition); and (4) surgical, medical, and dietary management (surgery, medications, diet and supplements). The “relationship of education and exercise with surgery” (3.88/5), “surgery” (3.86/5), and “how to exercise” (3.78/5) clusters were rated highest for importance. Few priorities identified by participants were clearly recommended as education-specific content recommendations in the American College of Rheumatology (3%, n = 2/76), European Alliance of Associations for Rheumatology (12%, n = 9/76), National Institute for Health and Care Excellence (16%, n = 12/76), and Osteoarthritis Research Society International (1%, n = 1/76) guidelines. Conclusion People with knee osteoarthritis presenting to physical therapists have broad education needs and prioritize information about surgery and exercise. J Orthop Sports Phys Ther 2022;52(9):595–606. Epub: 17 June 2022. doi:10.2519/jospt.2022.11089
Stationarity and Growth in an Agent-Based Model of an Economy
Authors: Tsyplakov A. A. 
Published: June 2022

The paper discusses development of the investments block in an agent-based interregional multisector model of the Russian economy. The ability of the model to reproduce stationary states of the economy and economic growth under various regimes of intra-company fixed capital investment is considered. A given steady state can be achieved by choosing the shares of profits assigned to investment. Output growth was insured by reducing labor intensity by 2 % per year in the Leontief-type production functions of firms with a fixed level of labor resources. When investments are financed from the profits of firms under fixed share regime, the model economy demonstrate a balanced growth.
The Impact of Economic Externalities on the Development of China’s Property Insurance
Authors: Xiaohe Xie 
Published: June 2022

This article aims at the impact of changes in the economic environment on China’s property insurance industry, using comprehensive literature analysis and empirical analysis, selecting variables, and using the National Bureau of Statistics of China and Wind database 2013–2019 data to conduct a principal factor analysis. It proves the role of such factors as promoting the development of China’s property insurance, economic system reform, demographic changes, and technological progress. The research was funded by the CSC Committee. The article provides a theoretical reference for the analysis of China’s property insurance development policies and measures, and explains the role of selected variables in the development of the property insurance industry. The specific role of external economic factors in the development of China’s property insurance is the future Research direction. The research results can provide references for developing countries and regions to formulate property insurance industry policies.
Incidence of radiographic scoliosis in asymptomatic young Pakistani adults
Authors: Junaid Muhammad , Kishwar Jafri Syeda Kubra , Bukhari Syed Sarmad , Kulsoom Anisa 
Published: June 2022

Background:
Adolescent idiopathic scoliosis (AIS) is the most common scoliotic deformity of young adults. Screening of AIS is performed as part of the routine preemployment examination for physically demanding positions. We attempted to establish the incidence of clinically overt scoliosis in an adolescent (16 years old) and young adult (21 years old) population.

Methods:
We clinically and radiographically (X-rays) evaluated 85 applicants for physically demanding jobs in two age groups: those 16 versus those 21 years of age. Cobb’s angles and kyphosis angles were measured for each group. These data were then categorized into three grades based on radiographically documented scoliotic curvatures.

Results:
Most 16 years old demonstrated normal Cobb’s angles (90.56%), but kyphosis angles of 20–30° (40.27%). For the 21 years old, most participants had normal Cobb’s angles (93.75%), but exhibited higher than normal kyphosis angles (50%).

Conclusion:
Most young adults ages 16–21 years applying for physically demanding work were “fit.” However, the incidence of kyphosis was higher among the 21 years old population. Such screening for idiopathic scoliosis should be more stringently performed in younger patients applying for physically demanding work.
Pneumocephalus after subcutaneous emphysema
Authors: Alharbi Ahoud , Khairy Sami , Alkhani Ahmed 
Published: June 2022

Background:
Pneumocephalus is the presence of air in the intracranial cavity secondary to communication with the extracranial compartment. It occurs spontaneously, after trauma, or after a cranial surgery.

Case Description:
A 62-year-old female, a known case of diabetes mellitus, presented to our emergency department with a sudden thunderclap headache. She was diagnosed with subarachnoid hemorrhage secondary to ruptured anterior communicating artery aneurysm. Twenty days later, she developed pneumonia and subsequently had a cardiac arrest. She was revived after 26 min of cardiopulmonary resuscitation. She developed pneumothorax requiring a chest tube insertion. After the first trial, she developed a diffuse subcutaneous emphysema, and the chest tube was reinserted. Afterward, she became unresponsive with dilated pupils. A computed tomography (CT) scan of the brain showed a diffuse subcutaneous emphysema reaching up to the face with air around the ventriculoperitoneal shunt distal catheter and extending through the burr hole to the ventricles causing pneumocephalus. There was no evidence of skull base fractures on brain CT. Unfortunately, the patient did not recover and passed away 3 days later.

Conclusion:
This report describes the presentation and radiological findings of an interesting case of pneumocephalus following iatrogenic diffuse subcutaneous emphysema. It aims to increase the emphasis on early anticipation of such rare complication after subcutaneous emphysema.
Icreasing the efficiency of district heating supply systems by local heat distribution station modernation
Authors: Gorinov Yu. A. , Anisimov P. N. 
Published: June 2022

The PURPOSE of the study is to improve the efficiency of district heating systems. To achieve this purpose, the following tasks must be completed. To consider the problems of functioning of an open heat supply system functioning. Perform an analysis of technical solutions for the modernization of local heat distribution and metering station are presented. To develop a technological scheme of local heat distribution station with a hot-water supply system. To determine the main technical, economic and investment indicators of the developed technical solution.MATERIALS AND METHODS. Measurements were made using the local heat metering station. When solving the set tasks, a methodology for assessing efficiency was applied with the calculation of capital and operating costs, including the calculation of the payback period.RESULTS. A new scheme for regulating of hot water supply system recirculation with open connection of consumers to a centralized source is proposed. The results of the implementation of the developed technical solution of local heat distribution and metering station for apartment buildings in Yoshkar-Ola city are presented. An experimental study of the effect of a joint additional installation of a pump and a control valve on the hot water supply system recirculation line before the mixing unit for hot water recirculation with return pipe and before the direct-acting temperature controller was the first to do. As a result, the consumption of district water was reduced by 36 - 39%, the temperature in the return pipeline was reduced by 13.5%; the enthalpy of the hot water was reduced from 0.168 to 0.145 Gcal/m3, the required circulation in all risers of the hot water supply system was ensured.CONCLUSION. The use of the developed technical solution for the modernization of local heat distribution and metering station increases the efficiency of district heating supply systems. Calculations made on the basis of the readings of automatic custody heat transfer meter showed that the payback period for the technical solution is 40 days. The proposed solution is recommended for use in local heat distribution station of open heat supply system in order to reduce water rate, lower the temperature in the return pipeline and reduce heat losses, improve circulation in all riser pipes of the hot water system.
Features of direct measurements for evaluation of the volume activity of radionuclides in the air of the working area
Authors: Gerasimenko A. S. , Dorokhov S. V. , Krivorotova V. V. 
Published: June 2022

OBJECT. To consider problematic issues related to measurements of radionuclides in the air of the working area released during repackaging of bulk solid radioactive waste during decommissioning of nuclear energy facilities. To develop a method of direct measurements for operational control of the concentration of radioactive aerosols in the air of the working area, ensuring that the control level is not exceeded by the annual effective dose of personnel.METHODS. To solve this problem, the method of calculating the maximum possible number of alpha particles on the selected sample of the analytical filter AFA-RSP20 was used.RESULTS. A method of operational control of the radiation situation in the workplaces of personnel using direct measurements by portable radiation monitoring devices of the alpha particle flux density from the exposed AFA-RSP20 filter is proposed. The use of this method makes it possible to provide control in cases where the use of standard installations for measuring the volumetric activity of radioactive aerosols is unavailable or impossible. The article describes the relevance of the topic, the calculation of the reference level of the alpha particle flux density from the surface of the AFA-RSP20 filter is given.CONCLUSIONS. Passport characteristics of personal respiratory protection equipment do not provide convincing data on the operation of the filter with a specific pollutant. For the correct decision-making on the use of certain types of personal respiratory protection by personnel working with radioactive waste containing transuranium radionuclides, it is necessary to control the volumetric activity of radionuclides in the air. Based on calculations and direct measurements, it is shown that the use of an operational method for measuring the alpha particle flux density from an exposed AFA-RSP20 filter makes it possible to monitor the radiation situation at personnel workplaces during decommissioning of nuclear energy facilities.
Spectrum of paediatric surgical cases and their outcome in a tertiary care hospital
Authors: Maharjan Anu , Kansakar Prerana , Giri Niraj , Sharma Chalise Shiva Prasad , KC Samyukta , Pradhan Saroj Babu , Tuladhar Sucharita , Paudyal Sanjaya 
Published: June 2022

Introduction: Paediatric surgical cases has been operated by general surgeon due to lack of paediatric surgeons. Complex cases in neonates and infants is being referred to other centres with paediatric surgical services. This study aims to compare the spectrum of paediatric surgical cases and their outcome before and after availability of paediatric surgeon.
Method: This is the Retrospective study conducted at Patan Academy of Health Sciences over a period of 4 years. Group 1 included surgeries during 1st 2 y before and Group 2 during 2nd 2 y period after the availability of paediatric surgeon. Ethical approval was obtained. Patient age, sex, diagnosis, operative procedure, type of surgery and outcome data were collected from operative theater register and patients file from medical record section. Data analysis was done using SPSS 16.
Result: Among 1157 cases, 369 cases were in group 1 and 788 in group 2. Male to female ratio was 2.8:1. Laparotomy 270(23.2%) was the most performed inpatient surgery and hernitomy 221(19.1%) in day care. There was total 52(4.5%) neonates, 2(4%) in group 1 and 50(96%) neonates in group 2. Among total cases mortality rate was 8(0.7%) in group 2, due to preterm birth, delayed presentation and septicemia.
Conclusion: Lower GI tract and skin and soft tissue were most common system involved. Laparotomy and incision and drainage were most performed surgery before and after availability of paediatric surgeon. There was 96% increment in neonatal cases (50 v/s 2) after availability of paediatric surgeon. Mortality was 8(0.7%) in group-2 due to delayed presentation and septicemia.
Ocular pathology in patients referred to ophthalmology outpatient clinic at tertiary care hospital with headache
Authors: Sharma Ranjana , Aryal Dipsikha , Jha Mukesh Kumar 
Published: June 2022

Introduction: Headache has multi-factorial causes; many primary or secondary headache disorders have ocular manifestations and benefit from the systematic ocular examination. Physicians at the point of the first contact should therefore be familiar with common ocular pathologies associated with a headache for appropriate referral.
Method: This hospital-based descriptive cross-sectional study was conducted in the Ophthalmology Department of Patan Hospital. All patients with headache as primary symptom and were referred to an ophthalmology clinic for ocular evaluation by other departments were included. The study was done for 15 mo and 354 patients were evaluated for the cause of headache. Findings and diagnoses of consenting participants were recorded and analyzed.
Result: All enrolled patients completed all the study procedures and were analyzed. The majority 61% were in 14-40 years. Homemaker was commonly affected 30.2% followed by students 25.4%. Any form of ocular pathology was detected in 76 % of patients. The majority of patients had no refractive errors (67.8%). Although any form of refractive error was more common in the presbyopia age group there was no statistically significant difference between different age groups. Most patients were orthophoric and only 11% of patients had vergence insufficiency. Among the ocular pathology dry eye, glaucoma suspects were more common.
Conclusion: This study supports the ocular morbidities and headache symptoms are linked very frequently. Good ocular history is needed for appropriate patient referral to a specialist. Correction of a minor degree of refractive error and lubricating eye drop may relieve worrisome headaches for many patients.
Hospital supply of a polymeric enteral nutrition formula amongst inpatients at Patan Hospital, Nepal
Authors: Sharma Bishnu Prasad , Kim Vicki Leanne , Zimmerman Deirdre 
Published: June 2022

Introduction: A retrospective quantitative descriptive study was undertaken to describe the provision of a standard polymeric nutritional supplement produced at Patan Hospital, Nepal, with the aim of assisting efforts to improve the nutritional care of malnourished patients.
Method: All adult inpatients (18 years and above) who commenced this nutritional supplement between December 2017 and August 2019 were included. Data was collected from a register and descriptive analysis done. The use across specialty areas, patient weights, duration of use, main feeding route, main volume recommended and main reasons for cessation were among the characteristics described.
Result: Total 894 record of the patients were analysed. Awareness-raising activities and launch of a modified supplement recipe, saw prescriptions increase from 13.3 to 47.4 patients per month. The general medical ward and medical intensive care unit initiated the greatest numbers of prescriptions (n=312, n=251 respectively). The nutritional supplement was most commonly prescribed as a 500 ml oral supplement. The average length of prescription was 9.8 d and the main reasons for ceasing was discharge (n=479) and patient expiry (n=158). Weight was recorded in 38% of patients (n=340) and mean weight was 50.5 kg. The average age of the study population was 57.8 y.
Conclusion: For improving the nutritional care of malnourished patients, awareness raising activities appeared helpful in increasing prescriptions for the nutritional supplement. However, the use of the nutritional supplement remained low and practices varied significantly between wards.
Relation of neutrophil-to-lymphocyte ratio with coronary artery disease severity in patients undergoing coronary angiography
Authors: Nepal Bikash , GHimire Jeet P. , Karki Biplave , Mahaseth Aditya , Uranw Surendra , Pandey Naveen Kumar , Shah Prashant , Upadhyaya Paricha , Karki Prahlad 
Published: June 2022

Background and Aims: Inflammation plays important role in atherosclerosis. Recently, neutrophil-to-lymphocyte ratio(NLR) has emerged as new inflammatory marker in identification of coronary artery disease(CAD). We aimed to evaluate correlation of NLR with CAD severity and propose suitable cut-off NLR for predicting CAD.
Methods: This cross-sectional study included 147 patients undergoing coronary angiography for angina with ischemic ECG changes. CAD severity was assessed by SYNTAX score and categorized into low, intermediate and high SYNTAX group. Neutrophil and lymphocyte count determined by BeneSphera analyser and NLR was calculated. Statistical analysis was performed using chi-square, ANOVA, Pearson’s correlation test and logistic regression analysis.
Results: In 147 patients [mean age 61.27±12.87year (25-86 years);68% male],NLR ranged from 1.0 to 9.66[median 2.53(1.96-3.73 IQR), mean 3.21±1.86].The NLR (mean ± SD) in low, intermediate and high SYNTAX group were 2.35±1.27, 3.04±1.54l, 4.72±2.07 respectively (p<0.0001).High SYNTAX group more frequently had diabetes mellitus, dyslipidemia, smoker, alcohol consumer, were older , and had significantly high neutrophil count, NLR values and low lymphocyte count. In univariate analysis, diabetes mellitus, NLR, neutrophil and lymphocyte count were predictors of high SYNTAX score. In the multiple logistic regression analysis, NLR >3[OR=17.36, 95% CI 6.7-44.5, p=0.001] was identified as independent predictor of high SYNTAX score. In ROC analysis, NLR ≥ 1.785 was best suitable cut-off to identify presence of CAD with sensitivity of 97.4% and specificity of 83.3%.
Conclusion: NLR correlated positively with presence and severity of CAD as assessed by SYNTAX score
Clinical profile and management of prosthetic valve thrombosis in Tertiary cardiac Centre of Nepal, a prospective study
Authors: Manandhar Reeju , Prajapati Dipanker , Tamrakar Rikesh , Bogati Amrit , Roka Madhu , Sherpa Kunjang , Shrestha Shipra , Bhandari Shreya , Chaudhary Taanya , Yadav Sunil , Adhikari Chandra Mani 
Published: June 2022

Background and Aims: Prosthetic valve thrombosis is a life- threatening complication of post-valve replacement surgeries. A number of patients present with thrombotic complications mainly due to poor anticoagulation status with irregular INR checkup especially from remote areas of Nepal. Our aim was to study the clinical profile and management of prosthetic valve thrombosis in our center.
Methods: A prospective observational study of 45 patients (July 2017 – Jun 2019) admitted at Shahid Gangalal National Heart Centre, with the diagnosis of prosthetic valve thrombosis were studied. The demographic profile, clinical parameters and in hospital and 1 year outcome were analyzed.
Results: Out of 45 patients, majority were female (60%) with the age 11-67 years with mean age of 34.9 ± 6.7. Twenty nine patients (64.4%) presented with sub-therapeutic INR value at admission. 46.7% patient had atrial fibrillation at the time of presentation. 88% patients presented within one week of onset of symptoms with shortness of breath being primary complaint, present in 95.6% of the patients. Forty two (86.9%) were thrombolysed with streptokinase while 3 patients underwent surgery. Valve thrombosis was most common at the mitral position 39(87%) patients. In hospital mortality was 13.3% and there were no major bleeding events or new stroke noted.
Conclusion: Majority of patients with prosthetic valve thrombosis presented with a sub-therapeutic INR value and poor patients' compliance. Thrombolysis is a useful option in the management of prosthetic valve thrombosis patients especially in countries like Nepal.