bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementation of an accelerated recovery program for pancreatoduodenectomy
Authors: Usenko A. Yu. , Skums A. V. , Skums A. A.
Published: December 2020

Annotation. A number of issues concerning the practical application of the program of accelerated recovery of patients after surgery without compromising their safety remain debatable. The purpose of this study was to assess the feasibility of ERAS program for patients who undergo pancreatoduodenectomy (PD) and its impact on postoperative results. The study included 60 patients from 28 to 75 years old with benign and malignant pathologies of the pancreas and ampullary region, in which PD was performed between January 2015 and December 2018. The preoperative components of ERAS program were fulfilled in all patients. Mathematical data processing was performed using the software Statistica 64 ver. 10.0.1011.0 (StatSoft Inc.). All intraoperative components were implemented (100%) (except for epidural anesthesia – 85%). Postoperative components of ERAS program were implemented in the range from 56.7% to 100%. There was no postoperative mortality. Complications were observed in 16 (26.7%) patients in whom total number of complications was 22. The average duration of hospital stay after surgery was 13.1±4.1 days. The most of components of ERAS program for PD patients can be successfully implemented, decreasing the lengths of hospital stay without increase in number of postoperative complications.
Prevalence dynamics, sex-age characteristics and mortality in acute heart failure in patients with myocardial infarction
Authors: Solomonchuk A. V. , Rasputina L. V.
Published: December 2020

Annotation. Acute heart failure (AHF) is a major cause of death and/or reduced quality of life in patients with acute myocardial infarction (MI). Purpose: to assess the dynamics of the prevalence of severe AHF (Killip III, Killip IV) in the patients with acute MI over a five-year period at specialized center for medical care for the patients with myocardial infarction. The study is a retrospective analysis of medical records of acute MI patients over 5 years. Statistical analysis of the results was performed using a software package in the system “Statistica 7.0” (Statsoft.Inc., USA). We used parametric methods (Student’s t-test), non-parametric statistics (Mann-Whitney U-test) and non-parametric Spearman correlation analysis. It is established that the prevalence of AHF in patients with acute MI averages 12.1 %. In the structure of AHF were prevalence of men over women however, in 2019 the ratio of men and women did not differ significantly. Predominant the patients older than 70 years. Mortality of AHF patients on the background of acute MI for a 5-year period is 40.8 %. There is a positive correlation of AHF with Q-MI (r=0.22, p=0.002), concomitant arterial hypertension (r=0.19, p=0.007), diabetes mellitus (r=0.18, p=0.011) and heart rates disorders (r=0.30, p<0.001). The inverse correlation was determined between AHF and hospitalization time more than 24 hours (r= -0.17, p=0.002) and non-Q MI (r= -0.19, p<0.001).
Effect of L-Ornithine L-Aspartate on the quality of life in patients with esophageal and gastric variceal bleeding
Authors: Petrushenko V. V. , Grebeniuk D. I. , Kedyk O. O.
Published: December 2020

Annotation. The aim of the study was to evaluate the dynamics of changes in the quality of life of patients with liver cirrhosis complicated by esophageal and gastric variceal bleeding while taking L-Ornithine L-Aspartate. 67 patients with a confirmed diagnosis of liver cirrhosis complicated by esophageal and gastric variceal bleeding were included in the study. All patients were randomly divided into two groups – experimental group (34 patients, standard therapy, supplemented with L-Ornithine L-Aspartate) and comparison group (33 patients, standard therapy). To evaluate the effectiveness of the treatment, the quality of life was assessed using the Gastrointestinal Symptom Rating Scale questionnaire on days 1st–2nd, 7th and 30th. Parametric values were evaluated using Student's t-test, non-parametric values - using the Mann-Whitney test. The intensity of the studied syndromes at the beginning of the study did not differ significantly in both groups. It is explained by the homogeneity of the patient population. In patients of the experimental group, there was a tendency to a more rapid progressive decrease in the intensity of the studied parameters both during their stay in the hospital and after discharge. The improvement in the quality of life after discharge of patients of the experimental group from the hospital is associated with the continuation of the course of taking L-Ornithine L-Aspartate in the form of granules. A moderate decrease in the intensity of the studied syndromes during hospitalization in patients of the comparison group can be explained by the appointment of only standard intensive care. After the patients of the comparison group were discharged from the hospital and the intensive care was stopped, no changes in the quality of life were observed. Thus, the administration of L-Ornithine L-Aspartate to patients with liver cirrhosis complicated by esophageal and gastric variceal bleeding can significantly improve the quality of life and reduce the intensity of dyspeptic, pain, diarrheal, constipation and reflux syndromes. It is planned to evaluate the long-term results of the use of L-Ornithine L-Aspartate in this patient population.
Fındık Kırma Yöntemleri ve Fırlatarak Kırma Hız Analizi
Authors: ABDÜSSELAM Mustafa Serkan , GÜNEY Mükrimin Ş.
Published: December 2020

Fındık kabuk kırma işlemi veya genel anlamıyla sert kabuklu yemişlerde kabuk kırma yöntemleri darbeyle kırma, sıkıştırarak basma kuvvetiyle kırma, vakum basıncıyla kırma, sert ince bıçaklarla keserek kırma, sıkıştırıp ovalayarak kırma ve fırlatıp çarptırarak kırma yöntemleri olarak sınıflandırılabilmektedir. Bu çalışmada tombul cins fındığı tüp içinde kontrollü olarak hızlandırarak kırma işlemi amaçlanmıştır. Şeffaf boru/tüp içinde frekans kontrollü devir sayısı ayarlanabilen radyal fan cebri üflemesiyle tüp içinde akışı sağlanan fındığın belli aralıklarda hızı ölçülmüş ve denemeler sonucunda diğer kırma yöntemleriyle rekabet edebilecek bir sistem geliştirilmiştir. Geliştirilen prototip ek araştırmalarla desteklendiğinde fırlatarak kırma sistemi endüstriyel üretime uygun hale gelebilecektir.
Św. Augustyn - duszpasterz
Authors: Eckmann Augustyn
Published: December 2020

The shepherd is the builder, who builder on the rock, which is Jesus Christ, the farmer, who works in the God’s vineyard, the servant of God and the Church.
Pneumatologiczny wymiar sakramentalogii św. Ambrożego
Authors: Macheta Kazimierz
Published: December 2020

La dimension pneumatologique de la sacrementologie de Saint Ambroise nait de sa comprehension historique et salvatrice de la Sainte Trinite.
Spór o Melchizedecha (Ambrozjaster - Hieronim)
Authors: Staniek Edward
Published: December 2020

Jerome ne s’interesse pas a la synthese des verites revelees et ne s’efforce pas de les comoser harmonieusement comme un tout.
L'espérance chez les Pères Apostoliques
Authors: Starowieyski Marek
Published: December 2020

BRAK
J. G. Deckers – G. Mietke – H. R. Seeliger, Die Katakombe "Santi Marcellino e Pietro". Repertorium der Malereien, Münster – Città del Vaticano 1987, Aschendorffsche Verlagsbuchhandlung – Pontificio Istituto di Archeologia Cristiana, 1. Textband S. X + 422
Authors: Wronikowska Bożena
Published: December 2020

recenzja
Bibliotheca hagiographica latina antiquae et mediae aetatis, Novum supplementum. Subsidia hagiographica 70, ed. Henricus Pros, Bruxelles 1986, Société des Bollandistes, s. XXI + 959.
Authors: Pietras Henryk
Published: December 2020

recenzja
The Form of Alawiyyin Relations in Social Life Based on Noble Values and Hereditary Line
Authors: Hatta Ikhtiar
Published: December 2020

This study suggests the application of the syiar method as part of the relationship between the Alawiyyin to build their unity in living their social life with other communities. This study applies a historical approach that looks at how the Alawiyyin started with the construction of a social arena through an operational life order with Islamic faith and the noble values of the Alawiyyin, how the Alawiyyin lives and maintain the existing order in social relations. The results shows that through the institutions, norms, and symbolic apparatus covering the life of the Alawiyyin. Functionally, it could support their existence as a foreign Alawiyyin community in Maluku. Furthermore, this study reveals that the Alawiyyin builds their social arena by relating religious life and daily life practices. Through the teaching mode of the life of his ancestors, the prophet Muhammad, can form belief and devotion to Allah. In addition, it contributes positively to maintaining the lineage (genealogy) of the Alawiyyin in the middle of the arena of social life that continuously mix through the process of amalgamation. Apparatus that supports stability, commitment to love/loyalty of those around them is maintained through practice, grave pilgrimage, reading ratib, dhikr, proselytization, becoming a muhibbin, tasawuf, tawassul, barsanji, and kafaah marriage.
Peningkatan Ketersediaan Waktu Operasi Pada Mesin Boiler Berdasarkan Down Time Dengan Pendekatan Metode Reliability Centered Maintenance (RCM) (Studi Kasus PT. Dian Swastika Sentosa, Tbk
Authors: Sultan Ahmad Zubair , Suyuti Muhammad Arsyad , Naim Tanhar Bin , Amiruddin Arya A.
Published: December 2020

This study aims to (1) determine the subsystem or component that causes the main failure in boiler unit 2 and the effect on production efficiency. (2) Determine the maintenance interval at boiler unit 2 with the Reliability Centered Maintenance method. This research was conducted by processing downtime data from each sub-system or component, which was converted into time data between failures. Thus, testing of the distribution data is to determine the appropriate distribution. Based on the parameters obtained, it is used to determine the reliability function of each subsystem or component. Thus, the reliability value of each component over a certain period of time can be calculated. From the results of the research, the most damage has reliability including ballmill a (29.01%), ballmill b (37,250%), bottom ash a (41,604%), coal feeder a (35,282%), boiler (38,275%), hydraulic (20,236%), soot blower l3 (16,019%), coal feeder b (35,915%). So that reliability is focused on these components or subsystems. Then the maintenance time intervals are arranged as a group maintenance strategy to achieve the targeted system reliability.
Zygmunt Messing – dzieje Żyda o życiorysie niezgodnym z regułą
Authors: Walicki Jacek
Published: December 2020

Artykuł pozwala zapoznać się z życiorysem wieloletniego współpracownika tajnych służb niemieckich, Żyda Zygmunta Messinga. Jako jeden z najlepszych agentów łódzkiego Gestapo zorganizował on własną siatkę wywiadowczą, skoncentrowaną na zwalczaniu szmuglu, ale mającą też duże sukcesy w rozpoznaniu ruchu oporu. Po wojnie polskie organa bezpieczeństwa podejmowały wielokrotnie próby jego werbunku
THE FEATURES OF DIGITAL COMPETENCES FORMATION IN THE EDUCATIONAL ENVIRONMENT BASED ON SUSTAINABLE DEVELOPMENT PRINCIPLES
Authors:   SHEE «Prіazovskyi State Technical University», Gorokhova Tetiana , Mamatova Leila ,   SHEE «Prіazovskyi State Technical University»
Published: December 2020

The article explores the features of the introduction of digital tools into the educational process, using a competency-based approach to the training of future specialists. The article analyzes the process of forming digital competences in the educational environment according to domestic and foreign regulations. Based on the study, a shift in emphasis to requirements of the modern worker from the formal factors of his/her qualifications and education to the social value of his/her personal qualities, the ability to self-development of personality has been found. The article deals with issues related to the digitalization of educational processes and a number of problems in the development of digitalization in education, namely: funding, obsolete technologies, the reluctance of applicants and teachers to study online. The authors compared the level of implementation of digital technologies in educational institutions based on such world educational rankings as Times Higher Education Ranking (2019), QS Rankings (2019), Best Global Universities Ranking (2018). The article summarizes and presents the components of digital competences and features of their formation in distance learning. The authors also considered a com­bination of soft and hard skills in the teaching and learning process to provide a compe­tent approach based on the digital component. Digital competence should focus on cognitive, social and emotional factors of work and life in a digital environment. The authors have developed a model for interaction with the main elements of digital competence development. The results of the author’s study revealed digital tools, innovative methods and technologies, as well as the impact of digital trends on the educational process. The authors concluded that the introduction of digital tools in the educational process affects the content of learning, the formation of competence of future specialists and changes the role of the teacher as a facilitator of the process.
INFORMATION AND ANALYTICAL SUPPORT IN THE PROCESS OF DOCTORS OF PHILOSOPHY CERTIFICATION
Authors:   SSI «Institute of Educational Analytics», Gapon Valentyna , Sharaievska Mariia ,   SSI «Institute of Educational Analytics», Derepa Tеtiana ,   SSI «Institute of Educational Analytics»
Published: December 2020

The purpose of the article is to study approaches to the formation of a network and composition of one-time specialized scientific councils in Ukraine according to the Resolution of the Cabinet of Ministers «Procedure for conducting an experiment for awarding the degree of Doctor of Philosophy» dated March 6, 2019, No. 167. An analysis was made of the existing extensive network of specialized scientific councils in Ukraine and the procedure for conducting an experiment for awarding the degree of Doctor of Philosophy by specialized scientific councils of the institutions of higher education and scientific institutions. The main objects of the study are institutions of higher education and scientific institutions which have received the right for performing educational activities in higher education at the third educational and scientific level in the field of knowledge and specialties for which Doctors of Philosophy are trained. During 2016–2019, 251 institutions of higher education in 118 specialties and 189 scientific institutions in 64 specialties received a license to train Doctors of Philosophy. As of January 1, 2020, there were 25,245 postgraduate students in 226 institutions of higher education and 191 scientific institutions (excluding postgraduate students from foreign countries), including 15,447 full-time postgraduate students, which is 61,2 % of the total number of postgraduate students, 9,798 postgraduate students attend evening and correspondence courses (38,8 %). The statutory period for the preparation of a Doctor of Philosophy in postgraduate studies, regardless of the form of study, is four years, and a Doctor of Science in doctoral studies is two years. Doctors of Philosophy training began in 2016, with the first graduation of Doctors of Philosophy in 2020, respectively. According to the data of the State Statistics Service of Ukraine, the number of persons enrolled in graduate studies was 6 609 in 2016, 7 274 persons – in 2017, 7 172 persons – in 2018, 7 381 persons – in 2019. To conduct an experiment on the Doctors of Philosophy certification, the structure of the application for the opening of one-time Specialized Scientific Councils for institutions of higher education and scientific institutions, as well as the mechanism of database filling was developed. Further research on the development of information and analytical system for the training of scientific and scientific-pedagogical staff should be focused on the development of information and analytical system for the automated accounting and monitoring of the establishment of one-time specialized scientific councils, the procedure of the Doctors of Philosophy certification and records of diplomas issued.
IMPROVING THE ORGANIZATION OF INCLUSIVE EDUCATION FOR CHILDREN WITH SPECIAL EDUCATIONAL NEEDS: REFORM STEPS, INDICATORS OF IMPLEMENTATION
Authors:   SSI «Institute of Educational Analytics», Denysiuk Oksana , Tytarenko Nataliia ,   SSI «Institute of Educational Analytics»
Published: December 2020

The article considers the results of the all-Ukrainian monitoring study on the implementation of NUS in the context of inclusive education for children with special educational needs in general secondary education on the example of primary school, which for the second year implements the New Ukrainian School Concept. We consider the organization of inclusive education in general secondary education institutions through the prism of educational indicators developed by the researchers. The developed indicators record the state of the organization of inclusive education in general secondary education institutions. We chose the Convention on the Rights of Persons with Disabilities, adopted by the United Nations in 2006, as the basis for the development of indicators. The educational indicators presented in the article cover two areas of organization of the educational process in accordance with the needs of children with special educational needs: indicators of the organization of the educational process and indicators of the organization of educational activities. For the first direction, for example, the following indicators are proposed: the number of teacher assistants per child with special educational needs, for the second direction – the teacher’s willingness to work in the classroom with children with special educational needs. We form the first group of indicators from statistical data obtained from the State Statistics Service of Ukraine, the second group – from statistical and analytical data collected during monitoring studies. The results of the monitoring study are considered in the context of the educational indicators we have presented, which will allow education authorities to obtain objective information on a given issue and to make informed management decisions to improve the organization of inclusive education for children with special educational needs. Thus, it was found that the provisions of the Convention on the Rights of Persons with Disabilities have not yet been fully implemented in the educational process of general secondary education institutions. Both the provision of «smart accommodation» and quality education for children with special educational needs – these issues remain relevant and open today. And this in turn requires the organization of additional research on the organization of inclusive education in general secondary education institutions.
EVALUATION OF THE EFFECTIVENESS OF THE IMPLEMENTATION OF THE NUS CONCEPTUAL FRAMEWORK INTO EDUCATIONAL PRACTICE, BASED ON THE RESULTS OF A SURVEY OF PUPILS’ PARENTS OF THE 1 GRADE IN 2018/2019 SCHOOL YEAR
Authors:   SSI «Institute of Educational Analytics», Tkachenko Valentyna , Dron Tetiana ,   SSI «Institute of Educational Analytics»
Published: December 2020

The article presents an analysis of the survey results of the students’ parents of studying on the conceptual basis of the New Ukrainian School. The survey of respondents was conducted as part of a Nationwide study of the implementation of the NUS Concept in general secondary education institutions through questionnaires, the results were processed and visualized using graphs and charts. The survey of parents of students focused mainly on the pedagogy of partnership, on what the student feels during lessons, whether he likes to go to school, what are the relationships with classmates and the teacher, and so on. The results of the research also showed what skills and abilities the student acquired after the end of the 1st grade and how the communication between parents and teachers took place during the school year. This study was conducted for the first time, so the collected statistical information will serve as a starting point for further monitoring studies on the introduction of the conceptual foundations of the New Ukrainian School in educational practice. Similar studies are planned to be conducted in the future, in particular to identify trends in educational reform. Among the main results of the survey should be noted the generally positive attitude of parents to the reform of NUS and its support. This is supported by the fact that most parents of students note the positive educational results of their children, the creation of a positive psychological microclimate within the educational teams, which contributes to student satisfaction with learning. Based on the analysis, it was found that there is no significant difference in the number of parents satisfied with the results of their children’s education, in terms of “village/city”. The conducted correlation analysis showed that the level of parents’ satisfaction with the results of students’ education does not depend on the degree of their awareness in the NUS reform. Also, according to the results of the research, no connection was found between the awareness of parents of students in the NUS reform and trust in the school/teacher; interaction of parents with the teacher on the child’s success and parents’ satisfaction with learning outcomes; parental responsibility for the child’s development and student learning outcomes.
Etyka public relations – zapisy kodeksowe a praktyka działań branży PR
Authors: Kaczmarek-Śliwińska Monika
Published: December 2020

Artykuł podejmuje kwestię rozbieżności między zapisami kodeksów etyki zawodowej public relations (PR) i działaniami obserwowanymi na rynku. Brak możliwości skutecznej egzekucji zapisów kodeksów etycznych wynika zdaniem autorki opracowania ze słabości branży public relations w Polsce. Dlatego też dbałość o utrwalanie wartości etycznych w zakresie PR powinna być przedmiotem skutecznej strategii opracowanej i realizowanej przez same stowarzyszenia branży public relations.
Samorządowe media internetowe – uwarunkowania społeczno-prawne wdrażania wymagań WCAG 2.0. Próba diagnozy dostępności (web accessibility) i użyteczności (web usability)
Authors: Kowalik Krzysztof
Published: December 2020

Gminy są wydawcami czasopism, właścicielami mediów elektronicznych, a samorządowe witryny często pretendują do bycia lokalnymi serwisami informacyjnymi. Gospodarze gmin nie byli zobowiązani żadnymi regulacjami do tworzenia serwisów dostosowanych do standardów internetowej dostępności (web accessibility). Sytuacja uległa zmianie wraz z publikacją rozporządzenia Rady Ministrów z 12 kwietnia 2012 r. w sprawie Krajowych Ram Interoperacyjności, minimalnych wymagań dla rejestrów publicznych i wymiany informacji w postaci elektronicznej oraz minimalnych wymagań dla systemów teleinformatycznych. Na podstawie własnych badań podjęto próbę diagnozy podstawowych problemów związanych z wprowadzaniem nowych regulacji, ich uwarunkowań społecznych i prawnych, ze szczególnym uwzględnieniem dostępności (web accessibility) oraz związanej z nią użyteczności (web usability) samorządowych mediów internetowych.
Female Genital Cutting: A Persistent African Health Challenge
Authors: EL-Gharib Mohamed Nabih
Published: December 2020

Female genital mutilation or female circumcision is a worldwide problem, though it is universally prohibited. The definition, historical origin, indications and types of mutilations, technic of performance, and complication are discussed in this article.
Effect of Diclofenac Versus Misoprostol on Pain Perception During Copper IUD Insertion in Cases of Stenosed Cervix
Authors: EL-Gharib Mohamed Nabih
Published: December 2020

Background The current work levels to assess the analgesic effect of vaginal misoprostol versus intramuscular diclofenac sodium and in facilitating IUCD insertion in women with cervical stenosis. Study Design A randomized double-blind controlled trial. The work was conducted in the Outpatient Clinic of Tanta university hospital between June 2017 and September 2018. Sixty parous women with the stenosed cervix, meanwhile eligible for copper IUD insertion were recruited and randomized in a 1:1 ratio to vaginal misoprostol 400 ugs or diclofenac sodium 75 mg ampule intramuscularly, 2 hours before insertion of IUD. Results Sixty women were enrolled (n = 30 in each group). Misoprostol significantly facilitated the insertion of IUD whereas diclofenac sodium has lowered the average pain score during all steps of IUD insertion. Side effects were higher in the misoprostol group. Conclusion This study depicts that the use of 400 ugs of misoprostol vaginally, prior to IUD insertion in women with stenosed cervix facilitates the introduction and IM injection of 75 mg diclofenac sodium reduced the pain perception.
Homage To Prof. Abu Zafar
Authors: Majumder Abdullah Al Shafi
Published: December 2020

Abstract not available

Cardiovasc. j. 2020; 13(1): 1-2
Evaluation of Mortality and Morbidity in Offpump Coronary Artery Bypass Grafting Versus Coronary Artery Bypass Grafting with Cardiopulmonary Bypass in Diabetic Patient Study at NICVD.
Authors: Haque Al Masum Ziaul , Ahmed Nasir Uddin , Zulkarnine MI , Ahmed Saleh
Published: December 2020

Background: Cardiopulmonary bypass is associated with increased incidence of hyperglycemia. Many studies have shown that diabetes is associated with increased morbidity and mortality in coronary artery bypass (CABG) surgery. We reviewed the outcome of on-pump versus off pump CABG in diabetic patients.

Methods- 80 Adult diabetic patients undergoing isolated CABG both on-pump and OPCAB were divided into 2 groups – 40 patients in each group. To evaluate both preoperative, perioperative and postoperative out come and to compare their in hospital outcome mortality and morbidity.

Results: Diabetic patients undergoing coronary artery bypass grafting without cardiopulmonary bypass had fewer complications, including neurological dysfunction (7.5% vs. 10.0%, p=0.1), and reduced incidence of prolonged ventilation (7.5% vs. 12.5%, p = 0.709), atrial fibrillation (15.0% vs. 20.0%, p = 0.002), and renal dysfunction (10.0% vs. 17.5%, p=0.556). In postoperative period, 70% patients in OPCAB group did not experience any cardiac events whereas 30% patients developed myocardial infarction, 5% had cardiac arrest and 7.5% had low output syndrome. . In on pump group 65% patients had no cardiac events whereas 35% patients developed one or more cardiac events. Of them 20% patients developed atrial fibrillation, 2.5% developed myocardial infarction, 2.5% develop cardiac arrest and 10% had low output syndrome. 2.5% patient developed both atrial fibrillation and low output.

Conclusion: Diabetic patients undergoing CABG without cardiopulmonary bypass compared with those having coronary artery bypass grafting with cardiopulmonary bypass had higher mean predicted mortality and morbidity.

Cardiovasc. j. 2020; 13(1): 12-18
Risk Factors Associated with Non-Cardiac Congenital Anomalies of Fetus Admitted in Chittagong Medical College Hospital
Authors: Akhter Jahanara , Hosain Suman Nazmul , Mamataz Zakia , Bhattacharjee Sulekha , Barua Chowdhury Sharmila
Published: December 2020

Background: Congenital anomalies make an important contribution to infant mortality and they remain a leading cause of death in many countries of the world. Many babies also died in our country due to congenital anomalies.

Methods: This retrospective cross-sectional study was conducted at the Departments of Obstetrics and Gynecology of CMCH between October 2016 to March 2017. Objective of the study was to find out the risk factors of non-cardiac congenital anomaly of fetus. The study population of those women who delivered a baby with different non-cardiac congenital anomalies admitted in Departments of Obstetrics and Gynecology of CMCH.

Results: The mean maternal age was found 26.6±5.6 years and the mean paternal age was found 35.8±7.9 years. 28 (28.0%) patients had hydrocephalus, 25 (25.0%) had Anencephaly, 7 (7.0%) had Omphalocele, 7 (7.0%) had Hydrops fetalis, 6 (6.0%) had cleft lip, 6 (6.0%) had cleft palate, 4 (4.0%) had cleft lip and cleft palate. 20 (20.0%) patients had consanguinity, history of high-grade fever with rash in first trimester was 12 (12.0%). 16(16.0%) was diabetes mellitus. Majority (63.0%) patients belonged to gestational age 16-28 weeks. The mean gestational age was found 29.5±7.1 weeks with ranged from 16 to 42 weeks. Majority (89.0%) were singleton pregnancy. 60% reveal congenital anomaly in USG.

Conclusion: Risk factors of non-cardiac congenital anomalies were consanguinity, maternal obesity, high grade fever with rash in first trimester due to viral infection, diabetes mellitus (uncontrolled), uncontrolled gestational diabetes mellitus, previous birth defect, inadequate intake of folic acid in first trimester, blood group Rh negative, male baby. Hydrocephalus and anencephaly were the most common congenital anomalies.

Cardiovasc. j. 2020; 13(1): 40-45
Economic Implications of Coronary Arterial Revascularization from Bangladesh Perspective
Authors: Rashmin Refaya , Hosain Nazmul
Published: December 2020

Background: There has been a radical improvement lately both for coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) in Bangladesh. Besides the clinical goals, the economic impact of these procedures is very important as well. Out of pocket spending is the major payment strategy for healthcare in Bangladesh. It is estimated that the poverty headcount increased by 3.5% due to out of pocket healthcare payments.

Methods: Data on patients’ expenditure for CABG and PCI in seven Bangladeshi hospitals were collected between 16th and 30th August, 2020. Several models were created, where the cost of CABG was compared with that of PCI in each of these hospital settings.

Results: In the two public hospitals CABG is much cheaper than PCI. However, in mid-level expensive hospitals the cost of PCI with 2 stents is comparable with that of CABG, but with 3 or more stents, PCI becomes more expensive. In the big corporate hospitals, CABG tends to be relatively more expensive. The basic treatment expenditure of a patient suffering from triple vessel ischemic heart diseases may range from Taka 50000 to Taka 415000.

Conclusion: In Bangladesh CABG is much cheaper than multi-stent PCI in the public and medium range private hospitals. CABG in corporate hospitals may be equal or even more expensive than PCI. IHD may contribute to national poverty as it may turn into a catastrophic health event for the patient’s family.

Cardiovasc. j. 2020; 13(1): 56-61
Covid-19 Pandemic: A Focused Review on Paediatric Patients
Authors: Fatema Nurun Nahar , Nazme Nure Ishrat , Khan Md Ashfaque Ahemmed , Amin Abdullah Al , Sujan ATM Asadullah Kaisar
Published: December 2020

From last two decades, coronaviruses have led to three major outbreaks that started from 2002 with SARS-CoV, then MERS-CoV in 2012 and currently SARS-CoV-2 (COVID-19). There is limited data regarding the demographics and clinical features of SARS-CoV-2 infection in children. This information is especially important as pneumonia is the single leading cause of death in children worldwide. This Systematic Review aims to elucidate a better understanding of the epidemiologic, clinical and diagnostic findings, treatment and prevention options as well as global impact of COVID- 19 on the pediatric population with a focus on status in Bangladesh.

Cardiovasc. j. 2020; 13(1): 62-74
Atrial Septal Stenting - A Lifesaving Procedure: First Case Report from Bangladesh
Authors: Chowdhury Naharuma Aive Hyder , Haq Tawfiq Shahriar , Mohammad Sharifuzzaman -
Published: December 2020

Certain congenital heart defects require the creation of an unrestrictive atrial septal defect (ASD) secundum to achieve adequate atrial mixing to improve systemic oxygen saturation by placing septal stent. We reported a case of 7-month-old child who was presented with shock like state with marked desaturation. He was diagnosed as a case of mixed total anomalous pulmonary venous return with restricted closing ASD secundum. We performed atrial septal stenting as a palliative procedure for saving the life. Creation or enlargement of ASD in infants using nonconventional transcatheter techniques is feasible, safe, and effective when usual technique fails or not suitable. After the procedure systemic saturation improved and patient became hemodynamically stable and there after rerouting of pulmonary veins to left atrium with ASD closure and removal of stent done by open heart surgery and send him home safely.

Cardiovasc. j. 2020; 13(1): 86-91
Thrombocytopenia Induced by Giant Atrial Thrombus in Rheumatic Valve Disease- A Case Report
Authors: Hossain Md Lokman , Rahman Mahbubor , Dina Sadeka , Islam Mahbubul , Karim Md Abdul , Ahmed Amran , Ahsan Shameem
Published: December 2020

We report a 52-year-old and weight of 79.36 lbs female patient with Thrombocytopenia induced by giant atrial thrombus in rheumatic mitral stenosis. The patient underwent bioprosthetic mitral valve implantation and removal of the giant thrombus. The platelet count progressively increased achieving normal levels one week after surgery.

Cardiovasc. j. 2020; 13(1): 95-96
Uji Fitokimia Secara Kualitatif Pada Buah dan Ekstrak Air Buah Mangrove
Authors: Ramli Husnul Khatimah , Yuniarti Tatty , Lita Noor Pitto Sari Nio , Sipahutar Yuliati Hotmauli
Published: December 2020

Mangrove diketahui mempunyai komponen fitokimia yang mempunyai kemampuan bioaktif. Uji kualitatif komponen fitokimia diperlukan untuk screening awal eksplorasi komponen bioaktif tanaman. Air adalah pelarut komponen fitokimia yang relatif aman dan tidak polutif. Penelitian ini dilakukan untuk membandingkan komponen fitokimia yang terdapat pada buah mangrove sebelum dan sesudah diekstraksi menggunakan pelarut air. Jenis buah mangrove yang digunakan adalah Rhizophora mucronata, Rhizophora apiculata, dan Avicennia marina. Pembuatan ekstrak buah mangrove dilakukan dengan menggunakan pelarut akuades, dengan proses pecacahan, pembilasan dengan asam sitrat 0,5%, perendaman akuades, pengeringan, sonikasi, dan penyaringan filtrat. Hasil uji fitokimia (kualitatif) menunjukkan kandungan fitokimia yang terdapat pada ekstrak buah Rhizophora mucronata adalah saponin dan steroid, sedangkan kandungan yang terdapat pada ekstrak buah Rizophora apiculata dan Avicennia marina adalah tanin, saponin, dan steroid. Kesimpulan dari penelitian ini adalah pelarut akuades dan pembilasan dengan asam sitrat 0,5% dapat melarutkan komponen fitokimia tanin, saponin dan steroid dalam buah mangrove.
Propriedades químico-quânticas utilizando o método TFD: uma ferramenta teórica aplicada no estudo de inibidores de corrosão
Authors: Silva Alden Delunardo da , Nascimento Gabriel Xavier do , Quattrociocchi Daniel Garcez Santos , Martinazzo Ana Paula , Paes Lilian Weitzel Coelho
Published: December 2020

A corrosão é um problema mundial que promove um grande impacto econômico, devido aos custos diretos e indiretos, afetando tanto países desenvolvidos quanto os países em desenvolvimento. Diversos métodos são usados na indústria com intuito de evitar e/ou reduzir a taxa de deterioração de materiais metálicos. Os inibidores de corrosão têm sido amplamente utilizados como agentes de tratamento. Inibidores de corrosão são adicionados a meios corrosivos para mitigar a deterioração do metal versus soluções às quais estão expostos; como é sabido, eles são compostos orgânicos contendo grupos polares, como átomos de nitrogênio em sua estrutura molecular, enxofre e/ou oxigênio; compostos heterocíclicos com grupos funcionais polares e ligações duplas. Para o aperfeiçoamento do processo anticorrosivo, novos materiais têm sido investigados experimentalmente e através de cálculos teóricos.  O estudo do mecanismo de atuação dos inibidores de corrosão assim como os fatores que influenciam a eficiência de inibição tem sido o alvo de muitos trabalhos teóricos. Entre eles, destacam-se os estudos com baseados na a teoria do funcional da densidade (TFD). O objetivo deste artigo é apresentar uma breve revisão da utilização de cálculos teóricos, destacando o método da Teoria do Funcional de Densidade (TFD) como ferramenta na análise de propriedades das moléculas orgânicas com possíveis aplicações como inibidores de corrosão. Esta revisão apresenta as propriedades eletrônicas e índices de reatividade mais importantes relacionados à eficiência de inibidores de corrosão orgânicos, tais como: as energias dos orbitais de fronteira, diferença de energia (HOMO/LUMO), momento de dipolo, eletronegatividade, potencial químico, dureza, maciez, fração de elétrons transferidos, índice global de eletrofilicidade Além disso, descritores químicos quânticos locais, como carga, função de Fukui e suavidade, também foram explorados. Como conclusão, pode-se considerar que os cálculos DFT fornecem fortes evidências para complementar as investigações experimentais ou mesmo para prever com segurança algumas propriedades experimentalmente desconhecidas relacionadas aos inibidores de corrosão.
Avaliação quantitativa da elastografia do tipo strain por ultrassom de nódulos de tireoides: uma nova perspectiva de classificação
Authors: Bernardes Antônio José de Macedo , Pires Ivan Luiz Pedroso , Souza Matheus Rodrigues de , Domiciliano Fabiana Alvarez , Fávero Priscila Pereira
Published: December 2020

Introdução: Classicamente os nódulos de tireoide são avaliados inicialmente pela ultrassonografia no Modo B. Apesar de ser sensível para o diagnóstico dos NT, ela não leva em consideração a rigidez do nódulo, uma importante característica que possui relação com a malignidade deste. Nesse sentido, têm se empregado a elastografia como instrumento para auxiliar o diagnóstico de nódulos de tireoide. Tendo isso em vista, o objetivo do presente estudo é avaliar o desempenho da elastografia por pressão manual de forma qualitativa no diagnóstico diferencial de nódulos tireoidianos malignos e benignos em adultos. Método: Trata-se de um estudo prospectivo, observacional, que incluiu pacientes que apresentavam nódulos de tireoide e necessitassem de punção aspirativa por agulha fina (PAAF). A elastografia foi obtida em tempo real junto ao US no Modo B. Foi realizado o cálculo da percentual de área rígida do nódulo com auxílio do software ImageJ. Resultados: O estudo incluiu 41 pacientes, 87,8% do sexo feminino. A idade variou entre 18 a 75 anos, com média de 46,4 anos (DP: 13,57). A maior parte dos nódulos foram classificados como TI-RADS 3, 53,7%. Quanto a classificação de Bethesda, 82,9% da amostra foi classificado como Bethesda 2 (nódulo benigno). O percentual de área rígida (%AR) variou de 3% a 73%, com média de 28,73% (DP: 18,15). Nódulos altamente suspeitos da classificação TI-RADS tiveram maior %AR (51,6%). Em relação a análise citológica, os nódulos caracterizados como benignos tiveram média do %AR de 24,23% (DP: 13,66), enquanto os malignos de 55% (DP: 19,94), uma diferença de 30,77%, que se mostrou estatisticamente significativa (p < 0,001). Conclusão: A avaliação quantitativa da elastografia do tipo Strain a partir da avaliação do %AR se mostrou útil para discriminar nódulos benignos e malignos e se apresenta como uma ferramenta que pode complementar a avaliação de nódulos de tireoide.
A crise climática nos livros didáticos de Biologia (PNLD 2018-2020) à luz do modelo do Conhecimento Especializado de Professores de Biologia
Authors: Carneiro Katherine Iasmin Lima Rossito , Mello Geison Jader , Moriel Junior Jeferson Gomes
Published: December 2020

O livro didático é um importante instrumento no aprendizado escolar, servindo de ponte para abordagem de conteúdos complexos e tornam a linguagem acadêmico-científica acessível a faixa etária estudantil. Levando em consideração a sua relevância, o objetivo deste trabalho foi caracterizar o conhecimento especializado sobre o tema Crise Climática presente nos livros didáticos de Biologia, indicados pelo Programa Nacional do Livro Didático (2018-2020), utilizando o modelo do Conhecimento Especializado de Professores de Biologia como ferramenta metodológica. A temática foi analisada nos livros de primeiro ou terceiro ano de seis coleções didáticas, onde destacamos trechos dos livros que se configurassem como episódios de ensino contendo conhecimento especializado. Nas seis obras analisadas, identificamos o total de 148 conhecimentos especializados segundo o modelo do Conhecimento Especializado de Professores de Biologia. Percebemos que a temática crise climática é trabalhada de forma crítica e reflexiva nos livros didáticos, mas alguns trechos analisados podem desenvolver nos estudantes a sensação de que nada se faz para resolução desta problemática, descaracterizando o esforço de instituições de pesquisas nacionais e internacionais em produzir estudos sobre os impactos provenientes da crise climática e suas medidas de mitigação. No atual panorama político de nosso país, é de grande importância falar sobre a crise climática, uma vez que o negacionismo cresce à medida que os governantes se aproveitam da incredulidade social quanto as catástrofes ambientais, comumente vivenciados no Brasil e no mundo, intensificados pelo desenvolvimento nos diversos setores econômicos, que invisibilizam seus impactos a longo prazo para o ambiente e a sociedade.
Influência da adição de linhaça e mucilagem de inhame nas características tecnológicas de bolo do tipo muffin para fenilcetonúricos
Authors: Oliveira Larisse Marielli de , Moro Thaísa de Menezes Alves , Clareto Silvia Silveira , Clerici Maria Teresa Pedrosa Silva , Moraes Ana Lúcia Leite
Published: December 2020

No mercado de bolos industrializados estão presentes opções sem glúten e sem lactose tornando-os viáveis a pacientes celíacos, mas podem conter ingredientes que possuem o aminoácido fenilalanina impedindo o seu consumo por portadores de fenilcetonúria. O objetivo deste trabalho foi utilizar gel de linhaça (GL) e mucilagem de inhame (MI) para substituir albumina, ovos e extrato de soja de bolos do tipo muffin sem adição de sacarose, glúten e lactose. Um delineamento completo central rotacional do tipo 22 (p<0,1) foi conduzido tendo como as duas variáveis independentes, GL e MI que variaram de 10 a 20 g e 20 a 40 mL respectivamente, tendo como variáveis dependentes as características tecnológicas da massa e dos muffins. Adição de GL e MI não influenciou a densidade da massa e a atividade de água, firmeza, cor L*, a*, b* da crosta e cor a* do miolo dos muffins. O GL influenciou de forma positiva o volume especifico (R2: 0,54), a luminosidade L* (R2: 0,71) e a cor b* (R2: 0,60) do miolo. Foi possível substituir os ovos, a albumina e extrato de soja de muffins por MI e GL, o que pode representar uma nova opção para consumidores de produtos para dietas especiais.
Ginástica na Universidade: Atuação de professores na pesquisa, ensino e extensão no Amazonas
Authors: Corrêa Lionela da Silva , Silva Cairo Batista e , Verde Evandro Jorge  Souza Ribeiro Cabo
Published: December 2020

O objetivo desse estudo foi analisar a grade curricular dos principais cursos de educação física do Amazonas e o perfil profissional dos docentes que ministram as disciplinas gímnicas. Para isso, foram analisadas as grades curriculares de oito cursos de educação física das principais instituições de ensino superior do Amazonas e os currículos Lattes de dez docentes que atuaram com disciplinas gímnicas no segundo semestre de 2019. Os resultados indicam que as grades curriculares precisam de atualização quanto a nomenclatura das modalidades gímnicas, e duas instituições não ofertam disciplinas na área da ginástica. Quanto aos docentes a maioria era do sexo feminino e, apesar de todos possuírem especialização, apenas três eram na área da ginástica, assim como na pós-graduação stricto-sensu em que a minoria voltou seus estudos para os conteúdos gímnicos. Essa baixa adesão a produção de atividades que envolvam a ginástica é identificada na falta de projetos e orientações, visto que apenas dois docentes possuem projetos de pesquisa e extensão na área. Por fim, esperamos que estes dados possam subsidiar reflexões sobre a atuação e formação do docente universitário na área gímnica no Estado do Amazonas, além de auxiliar em futuras pesquisas.
Características ambientais da área de entorno dos atrativos turísticos de Nobres - MT, conhecimentos para compor um guia didático para planejar aulas de campo
Authors: Brites Diane do Carmo Ribeiro , Santos Vanderley Severino dos
Published: December 2020

Os distritos Coqueiral e Bom Jardim, localizados em Nobres - MT possuem várias belezas naturais, que atraem turistas do Brasil e do mundo. Nesses atrativos também são realizadas aulas de campo, entretanto, os professores não dispõem de material didático com informações da área para auxiliar no planejamento das aulas. As informações aqui produzidas compõem um guia didático construído como um dos requisitos para conclusão do mestrado profissional em educação profissional e tecnológica (ProfEPT). Considerando que esses atrativos são relevantes para o desenvolvimento socioeconômico local e, por isso precisam ser explorados de forma sustentável. Assim, este trabalho tem como objetivos gerar, analisar e descrever os dados morfométricos e produtos cartográficos do ambiente físico da Alta Bacia Hidrográfica do Rio Cuiabá, onde se localizam os atrativos turísticos vinculados aos dois distritos, desta forma, contribuir com estudos que subsidiam a realização de atividades didático/pedagógicas nos atrativos turísticos pelos professores que atuam nas escolas da região e também com o planejamento de ações voltadas ao turismo sustentável praticado nesses espaços. Levantamentos de campo e bibliográficos e dados compilados foram necessários na produção dos mapas temáticos de localização, declividade, hipsometria, vegetação, solos, hidrografia, geologia e geomorfologia. Os resultados mostram que a região possui um grande potencial para se consolidar como um destino de turismo pedagógico em Mato Grosso, tendo em vista que a biodiversidade local propicia inúmeras possibilidades de aprendizagem nesses atrativos.
Caracterização química e sensorial de cookies formulados com grãos crioulos e amido de pinhão (Araucaria angustifolia)
Authors: Macedo Layla Damé , Ávila Bianca Pio , Saraiva Jennifer Ferreira Ribeiro , Lacerda Maicon da Silva , Domingues Brenda Paz , Machado Pereira Aline , Guarino Ernestino de Souza Gomes , Gularte Márcia Arocha
Published: December 2020

Nas variedades crioulas há uma grande variação de cores, morfologia e usos. A preferência da utilização de grãos ou sementes crioulas pode ser atribuída a características como adaptabilidade, valorização dos costumes, sabor e qualidade, além do baixo custo de produção. O objetivo do estudo foi desenvolver cookies formulados com grãos crioulos de milho, feijão e amido de pinhão e avaliar sua composição proximal e bioativa, além de avaliar o perfil sensorial desses produtos. A análise de Dominância Temporal das Sensações indicou que os cookies possuíam sabor e crocância agradável, atributos positivos para os consumidores desses produtos. Os resultados de proteínas e fibras indicaram teores de 11 % e 6, 4 % respectivamente, o que define esse alimento como fonte desses compostos. O teor de umidade (5,3%) foi satisfatório, pois proporciona maior vida útil aos cookies. A atividade antioxidante encontrada pelos métodos DPPH e ABTS revelou que os cookies possuem capacidade de reduzir radicais livres. Desta forma, os cookies elaborados com grãos crioulos e amido de pinhão possuem grande potencial como produto de panificação, além de agregar valor à alimentos oriundos da agricultura familiar regional.