bluuebunny/crossref_metadata_2025_split huggingface dataset:
Abe Road: Kuwata Keisuke’s Beatles Parody
Authors: Manabe Noriko 
Published: January 2022

In May 2009, when the Japanese LDP government was in a weakened position, Kuwata Keisuke, lead singer of popular rock band Southern All Stars, performed a parody of the Beatles’ Abbey Road on his weekly television show. Backed by a band performing an uncanny cover of the album, he rewrote the lyrics into commentary on corruption in Japanese politics, fiscal problems, the death penalty, and other political issues.
This performance was highly unusual: Japanese recording artists rarely engage in politics. The recording and broadcast industries disallow lyrics on controversial topics, and management discourages artists from engaging in politics. Kuwata staged his rebellious gesture as a “mishearing” of a well-known album.
Kuwata transformed Abbey Road into political parody through linguistic sleight of hand. Kuwata chose Japanese lyrics with similar vowels and consonants (as demonstrated by their proximities on the International Phonetic Alphabet) to make them sound like the original English lyrics. By presenting his acrid commentary as a parody of this much-loved album and thus framing it as humorous entertainment, Kuwata was able to publicly criticize Japanese politicians.
Isolation of Bacteria from Rhizosphere, Phylloplane and Caulosphere of Brinjal (Solanum melongena L.)
Authors: Jennifer Lolitha C.  , Manjula A. C.  , Prathibha K. Y.  , Keshamma E.  
Published: January 2022

Rhizosphere, phylloplane and caulosphere is the region where a complex community of microbes, mainly bacteria and fungi are present. The microbe- plant interaction in these regions can be beneficial, neutral, variable, or deleterious for plant growth. The bacteria that exert beneficial effects on plant development are termed plant growth promoting bacteria. To isolate the bacteria from rhizosphere, phylloplane and caulosphere of brinjal (Solanum melongena L.). The seeds of 16 cultivars of brinjal (Solanum melongena L.) viz., Arka keshav, Arka shirish, Arka kusumaker, and IIHR accession numbers 389,386,387,377 Tc, BB44, 391, 433, 434, 427, 447, 448, 476 and 487 that were used in the initial screening experiment were obtained from the Department of Vegetable crops, IIHR, Hessaraghatta, Bangalore. Brinjal (Solanum melongena L.) plants of different varieties were collected from seven locations around Bangalore viz., Hessaraghatta, Yelahanka, Kengeri, Madi vala, Hebbal, Tirumalapura and Attibele were also screened for the presence of associative bacteria. Associative microorganisms isolated from the rhizosphere, phylloplane and shoot regions of brinjal (Solanum melongena L.), revealed the presence of three morphologically different colonies. 80% of 16 cultivars of the brinjal (Solanum melongena L.) screened showed the presence of associative bacterial colonies. In this study diazotrophic BBI were obtained from the rhizoplane, phylloplane and stem of 16 cultivars of brinjal (Solanum melongena L.) that were screened. The dominant pearl-colored colonies isolated from all varieties of brinjal plants that were screened was identified and showed maximum nitrogen fixing ability compared with that of the other colonies. The phylloplane of brinjal (Solanum melongena L.) plants from seven different locations around Bangalore showed the presence of the dominant pearl-colored colonies. Moderate growth of bacteria was observed in root, stem and leaf bits sterilized up to 35 minutes. Even on surface sterilized roots which were homogenized and inoculated on growth media, dense growth of bacteria was observed there by establishing the presence of bacteria inside the root system. For the first time the presence of growth promoting bacteria on the rhizosphere and endorhizosphere of brinjal (Solanum Melongena L.) cultivars was established.
Comparison of Tubeless Mini Percutaneous Nephrolithotomy with Conventional Technique in a Tertiary Care Center
Authors: Gupta Dipesh Kumar , Gnyawali Arun , Jaiswal Deepak 
Published: January 2022

Introduction: Mini Percutaneous Nephrolithotomy (mPCNL) is a safe and efficient method for management of nephrolithiasis. Post procedure nephrostomy tube drainage is considered as the standard practice. In recent years, tubeless mPCNL with the use of double J (DJ) stent alone has replaced the placement of the nephrostomy tube.
Aims: This study intends to evaluate the safety and efficacy of tubeless Mini Percutaneous Nephrolithotomy.
Methods: A total of 80 patients with Nephrolithiasis, admitted to Urology Unit of Nepalgunj Medical College, between September 2018 and September 2019 were enrolled in the study and divided into two groups: Tubeless group where tube was omitted and Standard Group where it was placed. The two groups were compared with respect to hemoglobin drop and blood transfusion requirement, hospital stay and analgesic requirement in the post-operative period.
Results: Mean age of the patients was 34.30 ± 13.19 years. Mean stone size was 19.03 mm. The mean change in hemoglobin after standard mPCNL was 1.68 gm/dl and that in the tubeless group was 1.11 (p=0.018). The tubeless group had a significantly (p=0.001) shorter hospital stay (3.05 ± 1.23 days) compared to standard group (3.85 ± 0.86). The postoperative pain as assessed by visual analogue scale, was more in the standard group necessitating additional analgesia. It was significantly higher in the standard group at 12, 24, 48 hours, as compared to the tubeless group.
Conclusion: Placement of nephrostomy tube can be omitted as a routine practice as Tubeless mini PCNL has an added advantage of significantly reduced postoperative pain, less analgesic requirement, shorter hospital stay, less postoperative blood loss.
Role of Computed Tomography in Blunt Abdominal Trauma
Authors: Khadka Digbijay Bikram , Sharma Anup , Bhatta Ashish , Maharjan Prabir , Sharma Sandesh 
Published: January 2022

Introduction: Blunt abdominal trauma is one of the commonly encountered surgical emergencies. The diagnostic modality that helps in optimum management of these patients includes chest and abdominal x-rays, Focused Assessment Sonography for Trauma scan and Computed Tomography. In selected hemodynamically stable patients who are candidates for non-operative management, Contrast Enhanced Computed Tomography is not considered essential and hence avoiding its own radiation hazards and decreasing extra financial burden to the patients.
Aims: To evaluate whether Contrast Enhanced Computed Tomography is necessary or not in case of blunt trauma abdomen.
Methods: This is a hospital based prospective study done in the department of surgery at Nepalgunj Medical College, Kohalpur conducted from October 2020 to March 2021. The patients with blunt abdominal trauma who were hemodynamically stable at the time of presentation and those who became stable after resuscitation were included. These patient’s detailed history was taken, clinical examination done. Focused Assessment Sonography for Trauma scan was done at the time of presentation along with chest x-ray and other necessary blood investigation. Data were analyzed with Statistical Package for Social Sciences version 25 and p-value <0.05 was taken as significant.
Results: Out of total 53 patients, age group between 11-20 and 21-30 years comprising of 13 patients with male: female ratio of 1.94:1 were affected more. Fall injury, being the most common mode, comprised 20 patients. The commonest organ involved was spleen seen in 17 patients (32.1%), liver in 16 patients (30.2%). In 44 (83.0%) patients, Computed Tomography scan was done only in nine patients who were also managed conservatively, except one who underwent laparoscopic evacuation of collected blood. Seventeen (32.1%) patients underwent repeat ultrasonography without any new findings.
Conclusion: Patients with blunt abdominal trauma with stable hemodynamics can be managed conservatively with limited use of Contrast Enhanced Computed Tomography scan.
COVID-19 Pandemic and Lockdown: Psychological Distress Impact amongst PCL Nursing Students of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal
Authors: Dhakal Sanjeeva , Kharel Prabha 
Published: January 2022

Introduction: The uncontrolled spread of COVID-19 worldwide has confined millions of people to their homes. In addition to being a public physical health emergency, COVID-19 (Corona Virus Disease 2019) has significantly resulted in a large number of psychological distress and impacts. The career oriented professional students are away from their academic environment.
Aims: This study aims to assess the psychological distress impact of the COVID-19 pandemic among the Proficiency Certificate Level Nursing of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal.
Methods: The online survey with a link directed to students of Proficiency Certificate Level (PCL) Nursing of Nepalgunj Nursing Campus, Kohalpur, Banke, Nepal conducted during lockdown (July 16th –July 21st 2020) which was open for 6 days. Sociodemographic characteristics are the independent variables. Psychological distress was constructed using the Kessler Psychological Distress Scale (K10) Scale as a dependent variables. Data were analyzed using Microsoft Excel.
Results: The evidence of the survey showed that in total 80.2, % (severely distressed - 30.7%, moderately distressed -29.7%, mildly distressed- 19.8%) of the Proficiency Certificate Level Nursing students of Nepalgunj Nursing Campus, were having psychological distress during COVID-19 pandemic and lockdown assessed by using K10 scale.
Conclusion: The present study showed that Proficiency Certificate Level Nursing students were moderately and severely distressed during lockdown of Covid-19 pandemic.
Clinical and Echocardiographic Assessment of Patients with Dilated Cardiomyopathy
Authors: Aryal Madhu 
Published: January 2022

Introduction: Cardiomyopathy is the disorder of the heart muscles which can be dilated, hypertrophic or restrictive type. Dilated cardiomyopathy is caused by genetic and non-genetic causes but many of the causes are still not known. Echocardiography is an important imaging technique to diagnose and manage dilated cardiomyopathy.
Aims: This study aims to assess the clinical and echocardiographic findings among patients with dilated cardiomyopathy.
Methods: This is a cross-sectional, observational study conducted in Nepalgunj Medical College from January 2021 to June 2021. A total of 61 patients with dilated Cardiomyopathy were enrolled after obtaining written informed consent. Clinical examination and echocardiographic findings were recorded and data analysis was done using Statistical Package for Social Sciences.
Results: The participants included 31 men and 30 women with dilated cardiomyopathy. The mean age of the participants was 58.49 + 15.46 years. The most common complaint was shortness of breath 84.5% and the most common clinical presentation was bilateral basal crepitation 98.4%. The patients mostly had diastolic left ventricle internal diameter of 5.5-6 cm and ejection fraction of 21-30%. Mitral regurgitation was observed among most 58(95.1%) of the patients.
Conclusion: This study concludes that shortness of breath and bilateral basal crepitation are the most common presentation. Left ventricle dilation, reduced ejection fraction and mitral regurgitation are seen among majority of the patients.
Assessment of Physical Fitness in Medical Students
Authors: Chaudhary Sailesh , Khadka Rita , Pandey Karishma Rajbhandari , Paudel Bishnu Hari , Shah Gaurav Jung , Chaudhary Hiramani Prasad 
Published: January 2022

Introduction: Physical activity promotes cerebral blood flow during cognitive tasks and possibly enhances performance. It is relevant to find relationship between post exercise recovery heart rate (RHR) and resting pulse rate in medical students.
Aims: To assess physical fitness in medical students.
Methods: In this cross-sectional study, 57 consenting healthy medical students, age 1730 years, underwent 3-Minutes Step Test to assess their physical fitness. Students were divided into four fitness groups based on RHR; good (n=9, RHR=50-84 bpm), satisfactory (n=17, RHR=88-100 bpm), poor (n=12, RHR=102-107 bpm), and very poor (n= 19, RHR=111-157 bpm) groups. The groups were compared using one-way ANOVA. A p<0.05 was considered statistically significant.
Results: Results showed that there were few numbers of students who fall in good fitness group (n= 9, Resting pulse rate mean 72.00 ± 9.29) in comparison to satisfactory fitness group (n= 17, Resting pulse rate mean (68.35 ± 5.95), poor fitness group (n= 12, Resting pulse rate mean 75.67 ± 6.88) and very poor fitness group (n=19, Resting pulse rate mean 78.89 ± 7.67). The level of significance between satisfactory fitness group and very poor fitness group, p <0.05 was statistically significant.
Conclusion: Most of the medical students fall under very poor fitness group. Satisfactory fitness group have less resting pulse rate in compare to very poor fitness group of medical students.
Intrauterine Foetal Death: A Hospital Based Study
Authors: Jahan Kamar , Mahaseth Binod Kumar 
Published: January 2022

Introduction: Foetal death at any stage of pregnancy is not just a tragic event but also a more traumatic for the mental well-being of a mother. It is one of the most wrenching events in the field of obstetrics.
Aims: The study was done to determine the probable risk factors of intrauterine foetal death and role of antenatal care in its prevention.
Methods: The study was conducted in Obstetrics and Gynecology department at Nepalgunj Medical college from July 2018 to July 2020 .Inclusion criteria were intrauterine fetal death of >28 weeks of gestation and baby weighing 1000 grams or more . An exclusion criterion was molar pregnancy.
Results: There were 115(3.52%) intrauterine fetal death during the study period, making it 35 per 1000 cases. In 17(14.78%) the cause of intrauterine fetal death was not known. The other common associated risk factors were prematurity in 14(12.17%) and hypertension in 13(11.30%). Similarly anemia and antepartum hemorrhage were seen in 13(11.30%) each. 11(9.56%) patients had oligohydramnios. Mal presentation was found in 8(6.95%) patients while polyhydromnios in 6(5.21%).The commonest age range in whom intrauterine fetal death was seen was 20-30 (73.90%). 28 (24.34%) patients were at preterm pregnancy ranging between 28-30 weeks whereas 17(14.78) intrauterine fetal death occured at 32-34 weeks. 77 foetuses were preterm and their birth weight was between 1 - 1.5 kg with the mean wt of 1175.73 gms.
Conclusion: Intrauterine fetal death is still common inspite of the improving awareness in importance of regular antenatal care. In majority, the cause of intrauterine fetal death is still unknown. However, where the cause was known prematurity was the commonest.
Risk Factors and Short Term Morbidities Associated With Term-Small for Gestational Age Babies Delivered at Nepalgunj Medical College
Authors: Kanodia Piush , Verma Arun Kumar , Adhikari Sumit 
Published: January 2022

Introduction: Small for gestational age (SGA) refers to birth weight of neonates less than 10th percentile for gestational age or 2nd standard deviation below the population norms on the growth charts.
Aims: To identify common risk factors and common morbidities for small for gestational age babies.
Methods: This is a cross sectional descriptive study and it has been conducted at Department of pediatrics, Nepalgunj Medical college which is a tertiary level teaching hospital located in western part of Nepal. All term small for gestational age neonates born during study period from January 2020 to December 2020 were included. Detailed baseline demographic and clinical profile has been collected and recorded in the predesigned Proforma.
Results: The most common risk factors associated with small for gestational age babies in our study were maternal hypertension (14.6%) , maternal GDM(9.6%), Urinary Tract Infection (UTI) in 1st or 2nd trimester of pregnancy, maternal anemia, smoking, alcohol consumption, hypothyroidism and congenital heart disease. The most common short term complications associated with Small for gestational age babies were hypoglycemia and Meconium aspiration syndrome.
Conclusion: The most common risk factors associated with Small for gestational age babies in our study were maternal hypertension, maternal Gestational diabetes Mellitus (GDM), Urinary Tract Infection in 1st or 2nd trimester of pregnancy, maternal anemia, smoking, alcohol consumption, hypothyroidism and congenital heart disease. The most common short term complications associated with Small for gestational age babies were hypoglycemia and Meconium aspiration syndrome (MAS).
Comparison of Treatment Response before and after Antiobsessivae Therapy among Psychiatric Patients with Obsessive Compulsive Disorder
Authors: Belbase Mohan , Adhikari Jyoti 
Published: January 2022

Introduction: Obsessive compulsive disorder is a common, chronic and disabling disorder marked by obsessions and/or compulsions. This study tries to find the demographic profiles, severity and response of antiobsessive drugs in young and adult patients with obsessive compulsive disorder.
Aims: To study the socio-demographic profile, severity and treatment response to commonly used antiobsessive medications in male and female, and young and adults.
Methods: This is a hospital based experimental study done in patients attending to psychiatry out-patient department over one year from February 2020 to January 2021. Diagnosis of obsessive compulsive disorder was made based on International Classification of Disease- 10 criteria for research. Yale-Brown obsessive compulsive scale check list (adult and children) was applied in those patients and recorded accordingly on baseline (week 0) and patients were treated with specific serotonin reuptake inhibitors or tricyclic antidepressants in therapeutic doses for 6 weeks. On follow up at week 6, they were again reassessed and the scores were recorded and analyzed.
Results: Among the total study subject (N-52), 26(50 %) were male and 26(50 %) were females. Patients in age bracket 20-29 is the most common age group representing 18(34.6 %). Mean age of patients is 30.36±11.93 years (28.65±9.80 in male and 32.04±13.73 in female). Severe form of obsessive compulsive disorder was the most common type that represent 33(63.5%) followed by moderate 16(30.8%) and extreme 3(5.7%). There is a difference of treatment response of antiobsessive therapy in male and female with statistical significance (p= 0.039).
Conclusion: This study shows that obsessive compulsive disorder is most commonly found in 20-29 age group and the severe type is the most common. There is a significant difference in treatment response of antiobsessive therapy in male and female.
Management of Perioperative Anemia in Patients that Performed Abdominal Major Surgery.
Authors: Naco Majlinda , Gani Haxhire , Duro Vjollca , Naco Eden 
Published: January 2022

Introduction: Anemia is a recognized predictor of adverse postoperative outcomes in patients during abdominal major surgery. The management of perioperative anemia involves many strategies. Pre-operative anemia has adverse outcomes in major surgery and is called the fourth factor. Anemia was then classified into mild, moderate, and severe depending on hemoglobin level. It is present almost in 40% of patients that performed elective major surgery. Patients with preoperative anemia are associated with an increased rate of blood transfusion together with a risk for high morbidity and mortality. The most usual cause of preoperative anemia is iron deficiency, which can be treated with oral/intravenous iron depending on the time scheduled for surgery. A review concluded that anemia recovery earlier with preoperative intravenous iron than with oral iron supplement. A perioperative erythropoietin injection is also a reasonable approach for patients with hemoglobin between 10 and 13 g/dL and if autologous blood donation is performed. The protocol requires a baseline complete blood count and iron studies and all patients should receive iron supplementation during erythropoietin therapy. The next strategy is stabilized macro/ microcirculation to optimize the patient´s tolerance to bleeding. Recent recommendation, in general, suggests no bridging therapy consider it only if high thrombotic risk. Finally, targeted surgery should be used to reduce intraoperative and postoperative bleeding. We recommend a restrictive transfusion strategy. Allogeneic blood transfusion is associated with an increased incidence of nosocomial infections. Postoperative anemia must be treated with the use of intravenous iron. We ought to know fresh frozen plasma used in deficit in factor V, XI, in dose 15-30ml/kg and be aware of its complications as immunomodulation, acute lung injury, and cardiac overload.
Conclusion: Our goal is to improve patients´ clinical outcomes.
Thromboembolism after COVID 19 – our experience with 6 cases.
Authors: Anastasova Vania N , Zanzov Elean I , Krasteva Elena S , Blagoeva Vesela S 
Published: January 2022

Background: The 2020 year was different. WHO announced a global pandemic and till now we have over 2 million fatality rate. The SARS CoV-2 virus causes acute respiratory viral infection and is associated with a wide range of complications.
Aim: In this article we are representing six patients with deep venous and arterial thrombosis after Covid-19 and their treatment.
Materials and Methods: The patients were treated successively by the Department of Vascular Surgery and the Department of Burns, Plastic, Reconstructive and Aesthetic Surgery of the "St. George" University Hospital, Medical University Plovdiv, Bulgaria.
Results: Some of them were treated conservatively and others surgically. The localizations were upper and lower extremity and the hard palate. Amputation of the affected limb, soft tissue defects and conservative treatment was required. The arterial thrombosis were more than venous ones. All the patients were stable at discharge.
Conclusion: After COVID-19 complications include Thrombotic events – Acute Limb Ischemia (ALI), Venous Thromboembolism (VTE), Pulmonary Embolism (PE), Disseminated Intravascular Coagulopathy (DIC) Syndrome. Thromboprophylaxis is very important. It dependent on the severity of the infection, the underlying causes and the course of treatment.