bluuebunny/crossref_metadata_2025 huggingface dataset:
DUKUNGAN SOSIAL DAN KUALITAS HIDUP FISIK PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGA
Authors: Hitijahubessy Christy N M , Affiyanti Yati , Budiati Tri
Published: July 2019

Violence against women is generally a social phenomenon that is very worrying throughout the world,so WHO has established it as a global epidemic. Violence against women in the household, both inurban and rural areas, always places women in a vulnerable position which results in a lack ofconfidence and inhibits women from empowering themselves. The importance of social support greatlyhelps women victims of domestic violence to improve their quality of life. This study aims to identifysocial support to improve the physical quality of life of women victims of domestic violence. Thedesign of this study is cross-sectional. The study sample consisted of 243 women victims of domesticviolence, aged 19-49 years. Assessment of social support using the Multidimensional Scale ofPerseived Social (MSPSS) questionnaire, while an assessment of physical quality of life usingquestionnaire The World Health Organization Quality of Life (WHOQOL) Bref the Indonesianversion. The results of the analysis show that there is a very strong relationship, the direction of thepositive relationship between social support with the quality of physical life is affected (R = 0.994, p =0.000). Social support can be used as an intervention to improve the physical quality of life of womenvictims of domestic violence through mentoring and counseling programs.

Keywords: Social support, quality of physical life, women victims of domestic
HUBUNGAN MASA KERJA DAN USIA DENGAN TINGKAT HIDRASI PEKERJA PERAJIN MANIK-MANIK DI KABUPATEN JOMBANG
Authors: Nilamsari Neffrety , Damayanti Ratih , Nawawinetu Erwin Dyah
Published: July 2019

Every workplace always has potential hazards. The potential hazards most often found inmanufacturing industries are potential physical hazards that can affect labor productivity. The purposeof this study was to analyze the relationship between working period and age of bead craftsmen withhydration levels. Respondents in this study were 19 workers in PT X Jombang Regency. This researchis an observational study with a cross sectional design. Data collection was conducted from April toJuly 2018. Statistical tests used correlation test in testing urin color indications to determinedehydration levels. The results showed a relationship between the variable work period and the level oflabor hydration with p-value 0.000, age variable with hydration level did not have a relationship withp-value 0.087 where the temperature in the workspace averages 34.1°C. There is a relationship betweenthe length of work and the level of hydration of bead craftsmen and there is no relationship betweenage and level of hydration of bead craftsmen. To reduce the level of hydration status, it isrecommended that every bead craftsman every 2 hours drink as much as 0.5 liters of water, so that theneed for fluids is approximately 2 liter in 8 hours of work can be fulfilled. Companies are advised toadd the amount of ventilation in the workspace to reduce exposure to hot temperatures in theworkspace.

Keywords: Hydration level, working period, age
STUDI PENGETAHUAN, DIET, AKTIFITAS FISIK, MINUM OBAT DAN KADAR GLUKOSA DARAH PASIEN DIABETES MELITUS TIPE 2 SEBELUM DAN SETELAH PENDAMPINGAN GIZI DI PUSKESMAS RIJALI KOTA AMBON TAHUN 2012
Authors: Kaluku Khartini , Jafar Nurhaedar , Citrakesumasari Citrakesumasari
Published: July 2019

Diabetes mellitus has become the world's health problems. The prevalence and incidence of these diseases has increased drastically in the newly industrialized countries and developing countries, including Indonesia's. This research is an experimental research by approach nonrandomized one group pre and posttest design which is to see the difference knowledge, diet, physical activity, medication and the patient's blood glucose levels diabetes mellitus before and after accompaniment nutrition in Puskesmas Rijali Ambon. The population of this research is all patients diabetes mellitus, sampling is done by using the technique of purposive sampling with the total sample as many as 26 people. The result showed that after the accompaniment of nutrition increase knowledge 42,3%, compliance intake of energy 23,1%, compliance intake of proteins 23.1%, compliance fat intake 38.5%, compliance intake of carbohydrates 3.9%, compliance physical activity 30,8%, compliance medication 30,8%  and blood glucose levels are 42,3%. Attesting four main pillars handling DM use the model of nutritional accompaniment give a flanking control blood sugar of 70%. Of the results obtained, can be concluded that the educational model counselling of nutrition is very influential to increase knowledge and compliance respondents against the diet, physical activity, medication and blood glucose levels.

Keywords: Blood glucose levels, diet, knowledge, diet, medication, physical activity
Propostas de ações do comitê de prevenção e posvenção do suicídio em uma Secretaria Municipal de Saúde
Authors: Antoniassi Raquel Pinheiro Niehues , Rodacoski Giseli Cipriano , Figel Flávia Caroline
Published: July 2019

Este relato de experiência se refere a um projeto aplicativo que objetivou apresentar propostas de ações a serem colocadas em prática a partir da implantação e sistematização do Comitê de Prevenção e Posvenção do Suicídio de Maringá-PR, com ações que contemplam as diferentes modalidades de Prevenção do Suicídio: universal, seletiva e indicada. Alguns dos resultados parciais incluem a Elaboração do Plano de Ação do Comitê, Capacitação em Prevenção e Posvenção do Suicídio, Elaboração de Boletim Informativo, atividades no Setembro Amarelo, organização da Rede de Referência para os casos de Comportamento Suicida, organização do Protocolo de Referência e Contra-Referência de Atendimento aos Casos de Comportamento Suicida, monitoramento dos dados epidemiológicos de Maringá, apoio à implantação do CVV, além de outros. Tais resultados são o início de um trabalho que pretende ter um maior alcance, fortalecendo a rede de referência para o cuidado dos usuários com comportamento suicida e seus familiares.
Visibilidade do risco psíquico em crianças na atenção primária
Authors: Soder Isabel Cristina , Pastório Inês Terezinha , Rodacoski Giseli Cipriano
Published: July 2019

A fim de sensibilizar e esclarecer possíveis sinais de sofrimento psíquico em bebês, ou algum tipo de risco à saúde mental, com vistas a uma estimulação a tempo, o presente Projeto Aplicativo tem como objetivo realizar um acompanhamento permanente de uma Unidade de Atenção Primária de Saúde (UAPS) de um território. A metodologia utilizada para elaboração foi pesquisa bibliográfica e de dados acerca da realidade do município e suas necessidades. Para a execução do projeto, a metodologia escolhida foi ações de matriciamento, através dos itens/sinais que estão contemplados nos Indicadores Clínicos de Risco para o Desenvolvimento Infantil (IRDI). Como resultado é esperada a conscientização dos profissionais da atenção primária acerca da necessidade de acompanhamento da saúde mental dos bebês e suas famílias, como também ações que possam envolver a Rede de Atenção Psicossocial (RAPS), para uma estimulação a tempo neste aspecto.
Molecular and Morphological Variation among Populations of
Pediomelum tenuiflorum (Pursh) A.N. Egan (Fabaceae) in
Nebraska, USA
Authors: Kellar Chauncey , Kellar P. Roxanne
Published: July 2019

Individuals of Pediomelum tenuiflorum, “wild alfalfa”, from disjunct populations in Nebraska vary extensively in their overall gestalt.
Those in the western and central part of the state have a very slender growth habit, with thin stems and few, small flowers; whereas,
those in the southeast have a very robust growth habit with heavy-looking stems and many tightly clustered flowers. For nearly 200
years, taxonomists have alternated between splitting P. tenuiflorum into two species, with the many-flowered morphotype named
P. floribundum, and lumping all the morphological variants into one species as they are now. In this study, we investigated morphological
and molecular characters that could be used to clarify taxonomic classifications of these morphotypes. We measured 10
morphological characters on 51 specimens and sequenced nearly 300,000 nucleotide characters on the Illumina platform from three
cellular genomes in seven samples of Pediomelum plus an outgroup taxon. Results revealed six significantly different morphological
characters but ambiguous evolutionary histories of the plastid and mitochondrial genomes in P. tenuiflorum. Our complete plastid
genomes and genes and noncoding regions of the mitochondrial genome may be used as a foundation for studying the evolutionary
histories of these genomes. Additionally, we identified seven highly variable genomic regions in the chloroplast genome upon
which a molecular phylogenetic investigation on an expanded set of samples from across the species’ geographic distribution can
be conducted to further define the taxonomic placements of P. tenuiflorum and P. floribundum.
Preliminares
Authors: Editorial Comité
Published: July 2019

Preliminares
De biografías y arcontes : las potencialidades del archivo colonial.
Authors: Campuzano Betina Sandra
Published: July 2019

En los años noventa Antonio Cornejo Polar, al prestar atención a las últimas tres décadas confusas en el Perú, señaló con lucidez la insuficiencia de las categorías del hispanismo, el indigenismo y el mestizaje para abordar y dar respuestas a la cuestión de las identidades nacionales en los tiempos recientes atravesados por procesos migratorios y fenómenos de la violencia. Instaló asimismo una sospecha: las identidades nacionales son, en realidad, un falso problema construido por una o varias élites intelectuales. Y este falso problema es puesto en jaque tanto por la aparición de figuras fragmentarias y migratorias, como por los debates en torno a la ciudadanía y los desplazamientos poblacionales. Aunque refiriéndose a un tiempo anterior, esto es, a un convulso siglo XIX que revisita la obra garcilasista, la propuesta de Enrique Cortez, a propósito de las lecturas en torno a los Comentarios reales del Inca Garcilaso, bien puede esbozar un nuevo camino ante la encrucijada de categorías críticas que resultan hoy insuficientes no solo para abordar los textos contemporáneos sino, y sobre todo, para aquellos producidos y leídos en los tiempos republicanos.
Irene López, discursos identitarios en el folklore de Salta, las producciones de Gustavo “Cuchi” Leguizamón y José Juan Botelli, Salta: editorial Universitaria de la Universidad Nacional de Salta, 2018. 324 págs.
Authors: Palermo Zulma
Published: July 2019

Esta publicación da cuenta de los resultados de algunos de los propósitos que orientan a las universidades públicas de la Argentina: colaborar para que la sociedad en cuya red se entrama, encuentre mejores condiciones de existencia. Las páginas de este libro dan cuenta de la generación de un espacio académico-político en uno de los momentos más críticos-cíclicamente reiterados-de nuestra historia social. Una reiteración que nos habla del empuje y la potencia del poder-ayer imperial/colonial, hoy colonial/global- cuya impronta no cesa de imponerse en el correr de los siglos.
Primero cayó Pablo, después cayó Joaquín.
Authors: Rangel Flores Luis Fernando
Published: July 2019

¿De qué hablamos cuándo hablamos del narco? La respuesta puede extenderse al infinito: desde la explosión mediática del fenómeno del tráfico de drogas en la década de los ochentas en Colombia y México, con la presencia del Cartel de Medellín, el Cartel de Guadalajara y el Cartel de Sinaloa, bajo la dirección de personajes como Pablo Escobar, Miguel Ángel Félix Gallardo y Joaquín “El Chapo” Guzmán, la palabra “narco” se volvió un prefijo que antecedió a todas las palabras que pudo. Comenzamos a hablar de narcocorridos, narcopolítica, narcoliteratura, narcoseries, narcoatentados, narcopelículas y hasta terminamos hablando de narcosatánicos, creando toda una estética del narcotráfico además de una cultura que giraba en torno al tráfico de drogas y el submundo en el que se ve inmerso. Así, las narrativas de la violencia que generó el narcotráfico, fueron ocupando lugares importantes dentro de la cultura popular y comenzaron a gestarse un sinfín de discursos que atravesaron todas las narrativas posibles. Sin duda la literatura, la música, el cine y la televisión fueron parte de este fenómeno como una de las representaciones más palpables.
SURAT KETERANGAN TANAH: ANTARA REALITAS DAN PENGAKUAN
Authors: FH UBB Pusat Kajian Agraria
Published: July 2019

The title of land rights in the form of letters made by notaries or sub-district heads with a variety of forms intended to create written evidence of lands controlled by citizens. The issuance of evidence of land acquisition there is made on the land that has not been converted or the lands controlled by the State and then the land is occupied by the community either intentionally or regulated by the Village Head and authorized by the Camat, as if the land has been Is a person's right or belongs to the category of customary rights. In its development the land title is known as Land Certificate. The subdistrict certi fi cate of the land is required as a basis for the rights to the transfer of uncertified lands which are still State lands which may be diverted or disadvantaged by or in the presence of the camat commonly referred to as a waiver of compensation. The camat's certificate of land is the base of the right to be used when it will be proposed to improve the status of the land into a certificate of land right at the local Land Office
SISTEM BIKAMERAL DI LEMBAGA LEGISLATIF BERDASARKAN TUGAS DAN KEWENANGAN DEWAN PERWAKILAN DAERAH (Perbandingan dengan Amerika Serikat, Inggris, dan Argentina)
Authors: Yokotani Yokotani
Published: July 2019

The role of the legislature as a representation of the people has been much improved. The duties and functions and forms of this institution are also developing which has the system of state government and the form of its state. The legislature as an institution must exist in the system of government and any state form applied in the countries of the world. But the development of the chamber that is applied by each country is sometimes different from each other despite having the same governmental system and state form
MEMBANGUN PARADIGMA BARU HUKUM PERUSAHAAN DAN ETIKA KEWIRAUSAHAAN
Authors: Wirazilmustaan Wirazilmustaan , Saliman Abdul Rasyid
Published: July 2019

Curriculum of corporate law must be prepared to enter into the world of the industry with a very characteristic and distinctive, and the corporate law is not separated from the external business culture conditions develop. This means, the conditions of the external culture assumed already embedded in advance within the students, before they work in a company and then drift in the culture of the company. Because of its implication, build a new paradigm of curriculum into an absolute obligation to be met by faculty of law at this time. Construct curriculum based corporate law building the entrepreneurial spirit in faculty of law is the solution. The results showed that the revitalization of the new paradigm in developing corporate law should be immediately done. Where in the era of free market today many businessmen doing business without an understanding of corporate law and a strong corporate culture. The implications of this, the theories of corporate law, in the curriculum of lectures, also great for hindsight
PERTANGGUNGJAWABAN PIDANA WISATAWAN YANG MERUSAK KELESTARIAN LINGKUNGAN WISATA
Authors: Saputra Beri
Published: July 2019

The aim of this study is to observe the enforcement of law and the criminal responsibility of tourists for tourism. Type of juridical normative study using juridical normative and juridical empirical methods. That the law is enforced when there is a violation of it, since the person committing the violation should be held accountable. The individual who can be held responsible is one who is mentally sane. The weight of the penalty is based on the elements of the violation
PENGATURAN HUKUM PERBATASAN NEGARA KESATUAN REPUBLIK INDONESIA BERDASARKAN UNDANG-UNDANG WILAYAH NEGARA
Authors: Manik Jeanne Darc Noviayanti
Published: July 2019

The arrangements area of the country is done to provide legal certainty and clarity to

citizens on the territory of the country. Area of the country as outlined in the Constitution

of the Republic of Indonesia Year 1945 has an arrangement the Government of Indonesia

that protects the Nations Indonesia, the utilization of earth, water, and air as well as the

natural resources contained therein for the most of people's prosperity, decentralization of

Government to the areas large and small that are autonomous in the frame of the unitary

State of the Republic of Indonesia; and social welfare for all the people of Indonesia.
IMPLEMENTASI TANGGUNGJAWAB REKLAMASI PERTAMBANGAN TIMAH DI PULAU BELITUNG
Authors: Haryadi Dwi , Darwance Darwance , Salfutra Reko Dwi
Published: July 2019

Mining is one of the sectors that becomes an economic country’s support until now.

Environmental issues is kind of difficult things and can’t even be separated from mining

activities. Belitung island is as part of the largest tin-producing province in Indonesia that

has been exploited since the 18

century. It also has experienced the environmental crisis

as well as other mining areas has in Indonesia. This research is conducted as an effort to

discover and unravel the problematic implementation of reclamation on the ex-tin mine’s

land in Belitung Island by using a conceptual approach and legislative approach. Based

on the observation’s result, it shows that the reclamation’s result in Belitung Island has

not been successful. Data from PT Timah (Persero) Tbk about the reclamation in Belitung

Island also shows that the realization is far from the plan. There is no target that achieved

successfully every year, also there is no reclamation that reaches 50 percent, the maximum

is only 25 percent in 2016.

th
KONSEP HUBUNGAN KEWENANGAN ANTARA PEMERINTAH PUSAT DAN PEMERINTAH DAERAH DALAM BINGKAI NEGARA KESATUAN DENGAN CORAK OTONOMI LUAS
Authors: Robuwan Rahmat , Wirazilmustaan Wirazilmustaan , Agustian Rio Armanda
Published: July 2019

State of Indonesia is a very large country. It can be seen from many tribes, nations, cultures, languages, and others who are in Indonesia. As a unitary state with extensive autonomy, takes the concept of the relationship of authority between the central government and local governments. Administratively, the pattern of the relationship of authority between the central government and regional governments born of the delegation of authority. Who was born on the theory of delegation, supervision concept embraced by local governments in Indonesia are more inclined to form Hybrid variations (supervision), transfer of power from central to local government could be said to embrace open-end arrangement or general competence. therefore, a new paradigm in central and local relations should be established with the pattern of center-periphery relations towards a more harmonious, it's time developed progressive thinking that is based on relations that are complementary and interdependent.
HAK ASASI MANUSIA DALAM PERSPEKTIFFILSAFAT HUKUM
Authors: Salfutra Reko Dwi
Published: July 2019

Human Rights is a moral principle and its justification is in the philosophical moral.Understanding of human rights in the perspective of philosophical morality is believed to find the correct or at least deepening arguments for understanding the truth of human rights.Pancasila as the ideology of the Indonesian contains the idea that humans are created by God by carrying out two aspects, namely aspects of individuality and aspects of sociality. Therefore, everyone’s freedom is limited by the rights of others. This means that everyone has the obligation to recognize and respect the human rights of others.
PANCASILA ANTARA AKUMULASI INFORMASI DAN PARADIGMA KEBANGSAAN
Authors: Toni Toni , Faisal Faisal
Published: July 2019

Pancasila in relation to the law always has a general tendency that Pancasila is placed as the highest part of the Indonesian legal pyramid model. Pancasila becomes contemplation, concerning efforts to put Pancasila at a standstill in accumulating information or continuing it as a national paradigm and if Pancasila is expected to shape the nation's way of thinking, then it should be like what we are behaving in a national context. in fact, Pancasila is an authentic feeling of the national paradigm which must be continually maintained and pass on those values to logical consciousness with intuitive reflection.
PLC技术在电气自动化中的应用
Authors: 颜 杰
Published: July 2019

随着信息技术的飞速发展，人们越来越重视电气工程系统安全性和效率的提高和完善。电气自动化技术应用于电气工程中，其应用自然成为研究热点。电气自动化的应用领域很多，但其发展优势在电气工程中得到了突出，不仅直接受益，而且取得了最为明显的效果。电气自动化技术在电气工程中的应用不仅提高了系统的安全性和效率，而且更有利于自动化和智能化，这符合当前信息技术发展的趋势。因此，推动电气自动化技术在电气工程中的应用已成为当前我国电气工程系统中最重要的问题之一。
房屋建筑项目的环保节能设计与工程管理
Authors: 杨 光宗
Published: July 2019

随着建筑形式不断变化，建筑工程也更加系统化同时也变得更加复杂，施工所需要的时间、物料也愈加增多。再加之城市化建设速度不断加快房建工程的数量、规模也发生着改变，因此要想确保房建工程的可持续发展应合理的应用环保节能技术，并做好相应的宣传与落实工作。在进行房建施工过程中会产生一定量的工程废物、垃圾，如果没有进行严格的管理会给施工现场及周边地区环境带来污染。同时城市的发展与建设对土地的开发与利用量也越来越大，也给城市环境带来不同程度的影响，所以更应在房建施工中合理的应用环保节能技术做好房建工程设计工作，避免因设计不合理给环境带来影响，建设起安全文明的施工现场并实现节能环保的目标。
通信工程传输技术的应用与发展
Authors: 车 军
Published: July 2019

随着信息技术的发展，智能终端和移动互联网已经在人们的生活中占据了十分重要的位置，用户对通信的需求也日益增加，因此，改进和革新通信技术在这个时代就变得越来越重要。在未来的时代进程中，如果通信工程不能合理地优化不断进行完善和升级，用户的上网需求就无法得到满足。而传输技术的突破对于通信工程的发展具有很重要的作用。
建筑材料检测中影响检测结果的关键因素研究
Authors: 郑 莉雅
Published: July 2019

建筑材料是建筑的基础，建材的质量是保证建筑质量的根本。因此，在建筑材料进入项目施工现场之前，必须进行建筑材料的检验和测试。在检测建筑材料的时候，必须按照测试标准对每一个细节进行细致的检测，从而减少与测试过程中出现的某些问题，以确保测试结果的真实可靠性，保证建筑使用的材料的质量。因此对建筑材料检测中影响检测结果的关键因素进行了探讨。
市政工程施工中的深基坑施工技术研究
Authors: 唐 浩
Published: July 2019

随着我国城市建设步伐的不断提速，我国的市政工作在项目建设上也有了非常大的量化提升。随着我国市政工程的不断推进，目前深基坑项目的施工技术广泛应用在我国的市政工程建设施工中。在市政工程建设的过程中，深基坑施工技术在进行的时候首要的一点就是要保障建设施工的稳定性，因此在施工前期要做好相应的施工方案设计以及施工前的处理工作，通过这样的方式来提升深基坑的施工质量以及提升深基坑的施工进度。
论如何提高冶金余热锅炉安全运行系数
Authors: 纪 德良
Published: July 2019

随着科学技术水平的不断提高、冶金行业的迅速发展，其利用余热锅炉来收集烟气并进行余热发电的应用技术，得到了社会上冶炼行业的广泛认同和关注，也越来越被国家大力提倡。发展余热利用，不仅能节能减排，同时对保护能源和提高人类生存环境的质量也都起到积极的作用。 但余热锅炉在使用和生产过程中，尤其是冶金行业余热锅炉的生产运行过程中，会伴随着大量的有毒有害气体及粉尘颗粒物；同时，冶金余热锅炉大多数为高压或超高压锅炉，其自身具有一定的特殊性和危险性，锅炉在运行过程中极易引发各种危险事故的发生。会间接或直接造成人员和设备的重大危害和损失，本论文就是着重来讨论，如何提高冶金行业余热锅炉安全运行系数。
铁路物资采购监督工作中存在的问题与对策
Authors: 尹 晓斌
Published: July 2019

近年来，我国陆运交通网络不断完善，铁路网络建设进程不断加快，铁路物资采购越来越受到铁路部门的关注，物资采购不仅影响铁路建设工程的质量，也关乎铁路部门的高效运行。铁路采购各个环节都需要加强监管，从而降低各个环节的采购风险，这也是提升物资采购监督水平的重要方式。因此对铁路物资采购监督工作中存在的问题进行了分析，并阐述了铁路物资采购监督工作问题的应对对策，以供参考。
电力建设工程施工过程质量安全控制探讨
Authors: 李 文利
Published: July 2019

在改革开放的新时期，我国的社会经济得到了快速的发展，人们的生活水平也不断的提升，现代化的技术正在改变着人们的生活，而人们对于电力资源的依赖程度也是越来越高，电力需求有了巨大的增长。在新时代背景下，电力工程建设作为一项重要的建设项目，对于很多的领域都有着重要的影响。不过，大量的电力工程建设，也暴露出了很多的不足之处，例如，技术人员专业水平不高、安全管理体系不完善、管理模式单一、施工与管理脱节以及对质量和安全问题的忽视等，所以，针对这些问题提出了相应的措施，以确保电力工程建设工作顺利完成。
市政工程施工中环境问题与保护对策
Authors: 丑 伟
Published: July 2019

随着我国社会经济快速发展，现代化城市建设的步伐正在不断加快，在现代化城市建设工作开展的过程中，市政工程施工是其中最为重要的内容之一。市政工程施工是在城市的内部开展，具体的施工操作会给周围环境带来一定程度的影响，因此在实际施工过程中，施工部门应该给予市政施工过程中的环境保护问题足够的重视，要能够协调好施工和环境两者之间的关系。主要对市政施工中存在的环境问题进行详细的分析，并针对具体情况制定相应的保护对策。
电能量采集终端在钢铁企业变电站的实际应用与分析
Authors: 郑 少峰
Published: July 2019

文章介绍了电能量采集终端 iES-E70（山东积成电子）在三钢动力厂变电站的应用及推广，主要针对电能量采集终端在应用过程中系统组成，现场调试，故障判断与处理及应用后的优点进行了分析阐述。
大准线软交换网络的规划设计与实现
Authors: 杭 利华
Published: July 2019

主要针对软交换技术在铁路通信网中的应用进行研究，讨论现阶段大准线铁路交换网的现状和存在的主要问题，通过程控交换和软交换技术的优缺点和应用领域的比较，分析了大准线软交换网络的整体设计和实现，成功地完成了软交换网的业务割接和投入运行。
房屋建筑工程防震减震控制技术
Authors: 刘 军
Published: July 2019

防震减震技术是保障房屋建筑工程在地震灾害中稳定性的关键所在。基于此，文章主要针对房屋建筑工程的防震减震现状进行分析；并细化探讨了当前房屋建筑工程中常用的屈曲约束支撑技术、摩擦阻尼器技术、粘滞阻尼器技术等防震减震手段；最后以乌鲁木齐市中医医院合业务楼（内科病房楼）为例，阐述了防震减震技术在房屋建筑工程中的实践应用，以期为房屋建筑工程的防震减震设计与施工提供良好的支持。
曝气设备在环境工程水处理中的应用
Authors: 张 文成
Published: July 2019

现代化发展虽然带动了社会的进步、提升了人们的生活水平，但是也给环境带来了污染。在各个行业不断发展的过程中给环境带来更大的负担，环境污染现象愈加严重，因此应根据污染的具体情况对环境进行有针对性的治理，并大力宣传、推广环境污染治理方式。目前，水污染是最常见环境污染情况，治理过程也比较困难，由于水资源又与我们的生活息息相关，因此受到的各级政府及群众更多关注，治理力度也逐渐加强。在环境工程水处理过程中曝气设备处理是目前使用比较广泛的方式，其具有较好的经济性且可以得到较好的处理效果。同时，在治理的过程中其可以充分利用自然条件，很好的避免了资源浪费的情况，因此，得到了专业人士的认可，值得推广使用。
电子招投标系统在工程项目中应用分析
Authors: 孙 敬晏
Published: July 2019

为了更好呼应国家提出的节能环保理念，在工程项目中推广电子招投标系统至关重要，其不但可以保障施工资源得到科学配置，而且有助于减少资源消耗。同时，电子招标系统的应用也为投标者提供了良性竞争的平台，促使招标者在控制不良因素出现概率的同时，提升了实践工作效率。对比传统意义上的工程招投标工作可知，以往招标者选择召开会议或公告等形式进行操作，而在新时代发展背景下，电子招投标系统的提出有效突破了传统工作形式的限制，符合国家大力推广的大数据平台建设需求，更为工程项目的落实提供了安全保障，因此企业在发展中要结合自身特点有效推广电子招投标系统。换句话说，作为工程项目施工的重要组成部分，电子招投标系统在应用过程中具有现实意义。
全过程工程造价管理在现代建筑经济中的重要性探析
Authors: 刘 利果
Published: July 2019

随着我国市场经济的繁荣，建筑业也迎来了春天，但传统的工程造价管理模式已经不适应当今的建筑发展格局，因此众多企业需要对造价管理模式进行改革。对建设项目进行全过程的造价管理，能有效提高工作效率和质量，为企业创造更高的经济效益保驾护航。
浅谈城市交通规划与道路工程设计理念及技术差异化分析
Authors: 刘 洋
Published: July 2019

随着我国由交通大国向交通强国的演变，城市交通地位日益凸显其重要意义。城市交通规划结合研究片区出行人口、经济、不同性质土地之间的关系，分析地区未来交通发展需求，合理布局城市交通网络。道路工程设计在城市交通规划的基础上，进一步落实交通规划意图，使其真正意义上的为施工提供可靠的蓝图。城市交通规划与道路工程设计有着紧密的联系，却也在设计理念及技术等方面存在着较大差异 ，笔者就以城市交通规划与道路工程设计在理念及技术两方面展开浅易分析。
建设项目施工期间交通组织设计关键问题研究
Authors: 刘 洋
Published: July 2019

社会经济高速发展的今天，城市各类基础设施建设不断加快，同时也引发了一系列因项目施工造成的城市交通问题。为确保项目施工期间交通运行的安全和畅通，制定科学有效的交通组织方案显得尤为重要。笔者针对建设项目施工期间交通组织设计的关键问题开展了较为详细的研究，并以重庆市新红岩隧道下穿小龙坎立交 A、B 匝道施工期间的交通组织设计为例，提出合理的交通疏解思路和组织方案，并给出评价和分析结果。
浅谈建筑工程项目中业主方的项目管理
Authors: 郭 晨霞
Published: July 2019

建设工程中业主方的项目管理工作是一项综合性的和全方位的管理工作，其内容基本涉及到了项目建设中的工程质量、安全、进度、投资及外部的协调、内部的协调等工作。业主方的工作是否尽职尽责，它直接关系到整个工程能否在目标工期内正常启用，关系到社会效益和国计民生等问题。
市政工程施工质量管理中存在的问题和对策分析
Authors: 黄 艟
Published: July 2019

市政工程与城市居民的生活和生产密切相关，所有市政项目的实施建设都是为了改善城市的总体规划和改良城市的基础设施，以便更好地满足人民群众对美好生的需要。在中国，市政工程的投资建设在 GDP 中所占的份额非常大，投资拉动效应对于经济增长的作用也比较明显，因此政府越来越多地投资于基础设施的建设，虽然一些市政技术建设单位在项目实施期间继续保持着促进技术项目施工的管理，并产生了相对较好的项目工程效益，但对市政的管理和质量控制还有一些问题。
建筑工程地基基础检测工作探讨
Authors: 庄 荣前
Published: July 2019

建筑工程地基是构建一所建筑物的基础任务。所谓的地基是将整个建筑物的上层所承受的荷载重量承载传递至下层建筑物本身，而由于上层建筑给下层建筑带来极大承载力的同时，也使地基不断向下沉积，但有最大的沉积范围，不会造成一般性的损害。做好基础的工程地基，提高人民的生活质量，保障生活水平，也是对社会经济稳步提升具有积极的作用。因此，强化建筑工程地基的基础检测和工作探讨，对于我们今后的建筑工程技术管理有很大的促进作用。
振动时效技术在冶金机械上的运用分析
Authors: 黄 威钢
Published: July 2019

在有色金属冶炼机械的生产过程中，部件之间容易产生较大的应力，在这些应力的作用下导致整个系统的运行稳定性下降，所以需要对这些应力进行消除或削弱。基于对振动时效技术原理的研究，本文提出了这种技术在冶金机械上的应用方式，达到提升机械设备运行稳定性的目的。
电子信息系统防雷工程中电涌保护器的选用
Authors: 孙 俊男
Published: July 2019

电子信息系统很容易受到雷电电涌的影响，为尽可能避免上述情况的出现，论文阐述了雷电对电子信息系统的危害，通过分析雷电电涌入侵电子信息设备的路径，讨论电涌保护器的选用原则和注意事项，使电涌保护器更好地保护电子信息系统，免遭雷电电涌的破坏。
预制装配式建筑施工技术研究
Authors: 张 亮
Published: July 2019

目前，随着城市化进程的不断加快，建筑行业的发展可谓是突飞猛进。预制建筑产品的形式和构件是精致的，主要是由于预制建筑的先进施工技术，在我国具有广阔的市场应用空间。与预制的建筑施工技术和传统的建筑形式相比，这两种方法和操作方式有许多不同之处。施工过程中的预制施工技术改善了传统的施工，消耗了原材料的能量，有效地提高了施工质量，控制了工程造价。
房屋建筑工程施工建设阶段的质量管理及实施分析
Authors: 苏 海涛
Published: July 2019

随着社会的进步，人们物质生活水平的不断提升，对房屋建筑质量提出了更多更高的要求。房屋建筑工程施工质量管理是一项系统化工作，施工企业需要对房屋建设项目基本特点展开全面分析，采取有针对性的施工方案，这样能够更好地提升工程建设质量。施工企业需要对施工质量管理工作进行细化，这样才能在保障施工质量与安全的前提下，按时竣工。但是从目前部分区域房屋建筑工程施工阶段质量管理工作方面来看，仍旧存在较多问题，需要建筑施工企业进行改进。
信息化在建筑工程管理中的应用探究
Authors: 杨 帆
Published: July 2019

科技的进步，信息技术也是越来越成熟，各个行业也开始进行信息化建设，带来的影响也是日益显著。建筑工程领域也在积极利用信息化技术，特别是在工程管理工作中对于信息技术的应用更是在大幅度的提升着管理质量与效率，可以实现对于施工过程更加快速、准确的管理，能够帮助企业创造更多的利益。不过，随在工程管理领域不断的开始对于信息化技术应用的过程中，还有有着很多的缺陷，影响了信息技术作用的发挥。我们如今需要做的就是要对这些不足之处进行分析、研究，找到解决这些问题的办法，加快工程管理信息化建设的速度和水平，进一步的提升工程管理的效率。
浅谈项目管理法在高速公路工程建设中的应用
Authors: 付 玉龙
Published: July 2019

高速公路的建设使得省际间、各城市之间的距离大大缩短了，有效加快了商品、信息、技术等的交流速度，可以说高速公路建设对城市经济发展具有非常重要的作用。但是高速公路建设工程比较复杂，高速公路建设施工中项目管理还存在很多问题，使得当前管理方法不能满足公路建设的发展需求。基于此，主要对项目管理法在高速公路工程建设中的应用进行了分析，并提出了有效的项目管理方法，以提升高速公路施工质量。
安全生产双重预防体系管理探讨
Authors: 李 贤征
Published: July 2019

习总书记多次在重要会议上强调：“对易发生重特大事故的行业领域采取风险分级管控、隐患排查治理双重预防性工作机制，推动安全生产关口前移。”由此，华电淄博热电公司（以下简称淄博公司）将风险分级管控和隐患排查治理作为安全管理工作的突破口，大力提升安全管理水平、提升管理效率、改变管理形象。
湿法脱硫烟气“消白”工艺研究与应用
Authors: 张 飞龙
Published: July 2019

我国多数燃煤电厂湿法烟气脱硫工艺饱和湿烟气直接排放，形成可视湿烟羽。当下已有许多环保节能技术对湿烟羽治理有明显效果，但技术指标尚未结合湿烟羽治理来制订。从研究结果来看，可行的方法包括烟气升温、直接冷却、降温再热等。在这些方法中，降温再热的适用性是较强的，而直接冷却则最弱。
建筑工程施工中桩基础技术的应用
Authors: 胡 金中
Published: July 2019

在迅速发展经济与持续增长的人口数量推动下，中国建筑行业获得了前所未有的发展，因此更多的人越来越重视起了施工的质量。现阶段对于建筑项目施工而言，一项特别普遍运用的技术就是桩基础技术。所以，为让建筑单位的市场竞争力提高，让建筑项目的质量得到保证，一定要增强研究桩基础的施工技术，提升桩基础的施工过程管理，使得其施工质量提高。主要简单介绍了桩基础施工技术在建筑项目施工中的运用。
框架剪力墙结构建筑施工技术分析
Authors: 颜 文龙
Published: July 2019

近年来，随着我国经济水平不断提高，城市化不断加深。城市人口越来越多，建设面积也在不断扩大，这在很大程度上带动了高层建筑的蓬勃发展。建筑工程技术的应用得到了社会广泛的关注，在众多的建筑工程技术中，框架剪力墙结构工程施工技术对改善我国高层建筑施工的质量具有重要的作用。为此，对建筑工程中框架剪力墙结构工程施工技术进行分析，同时发表了自己的见解。
浅谈男幼师在幼儿园多媒体技术支持方面的发展
Authors: 倪 水平
Published: July 2019

随着幼教改革的不断深入，国家越来越重视对幼儿园男教师的培养。众所周知，幼儿园男幼师少之又少，社会上对男幼师也有所偏见。但学前教育的发展需要男幼师的加入，男幼师具有明显的职业优势，幼儿园、家长、幼儿对男幼师的认可度都很高。调查发现，男幼师的职业现状令人担忧，在年龄和学历状况、工资待遇、人际关系、自我实现、职业认同感、对自身职业状态的看法、社会地位等方面面临困境。本文从幼儿园多媒体技术支持的角度出发，描述男幼师通过多元化的学习，不断提升自我价值，逐步找到职业归属感。希望将这些有价值的经验与越来越多的男幼师共同分享，让男幼师这道独特的风景线越来越持久地发挥它应有的光辉。
工民建工程安全管理与质量控制分析
Authors: 苏 达文
Published: July 2019

随着我国社会经济的高速发展，人们的生活质量也得到了显著提高，使得工民建工程规模不断地扩大，工程建筑的安全与质量问题对社会效益起到关键性的作用。基于此，针对当前工民建工程的安全管理和质量控制进行具体分析，进而提出相应的解决对策，为我国可持续发展贡献出一份力量。
基于生态设计理念的建筑设计研究及应用
Authors: 李 春鑫
Published: July 2019

生态发展理念作为一种长期持续性的发展思想，在建筑设计与建设方面具有十分明显的理论与实践意义。生态建筑设计理念受环境保护和优化人居环境原理引导，就是在设计中渗透生态健康思想和理念意识。然而要真正达到设计要求，是比较复杂而且困难的事情，但是，渗透生态理念的设计成果，就会引起建筑设计革命性的变化，从而实现了生态施工、生态建筑以及生态的使用效果。文章简要分析了建筑设计中渗透生态建筑理念的原则，然后对建筑设计中生态建筑设计理念的运用进行了探讨。
“互联网+”时代传统图书编辑思维转变与应对策略研究
Authors: 宋 燕
Published: July 2019

主要针对“互联网+”时代传统图书编辑思维转变与应对策略展开研究。文章认为在“互联网+”时代传统图书编辑应建立互联网思维、用户思维及法律思维等。提出的具体应对策略为：应提升自身数字化能力和水平；在图书选题方面应满足读者需求；提升收集和处理各类信息的能力。
创建企业档案管理新模式的思路探讨
Authors: 周 文君 , 张 海乔
Published: July 2019

档案管理是企业无形的资产，可以对企业发展的各个阶段进行记录。在企业经营过程中扮演着孕育企业文化、加强企业凝聚力，减少企业经营风险的角色。企业档案管理工作是动态的，但是在管理、发展的过程中经常会受到制度规范执行能力、基础建设的投入、信息技术的应用以及档案管理人员素质的差异等多种因素所影响。
企业ERP管理环境下的财务风险管控研究
Authors: 潘 朝霞
Published: July 2019

随着企业 ERP 系统的广泛应用，优化企业资源配置、再造业务流程的同时，在加强企业供应链管理方面起到了积极的作用，但同时也给企业财务工作带来了一定的影响。文中通过对企业 ERP 系统的应用所面临的财务风险进行分析，并提出了加强财务风险控制的建议。
城市轨道交通信号系统互联互通发展的思考
Authors: 王 亚飞
Published: July 2019

互联互通已成为国内城市轨道交通信号系统新的发展方向，信号系统通过规范系统总体架构、通信协议、工程设计标准等，在信号系统层面实现 CBTC 及降级模式下的互通互换及联通联运。
科技创新在杭州奥体中心工程的应用
Authors: 袁 光晔 , 柳 彦
Published: July 2019

随着亚 2022 年亚运会的到来，中国杭州将成为全世界关注的焦点。在运动健儿们展现我国体育竞技水平的同时，场馆建设单位通过前期的设计引领，将诸如物联网技术、人工智能技术、AR 技术等科技创新引入到现代体育场馆中，在提高体育盛会的影响力的同时，也能展现我国的大国国力。
基于美学视角的传统民俗现代传承研究
Authors: 李 林怡
Published: July 2019

传统民俗是一个民族、一个社会文化的重要组成部分。随着社会经济的快速发展，目前我国已经一跃成为世界经济大国，在现代社会如何把千百年间流传下来的传统民俗传承下来发扬光大，向世人展示中华民族博大精深的文化软实力，是亟待我们思考和解决的重要课题。基于此，文章从传统民俗的内涵入手，在分析传统民俗发展异化与变迁的基础上，提出了基于美学视角的传统民俗现代传承策略，希望能对促进我国传统民俗现代传承提供一些有益的参考和借鉴。
企业税务风险原因分析与制度优化研究
Authors: 桑 云娟
Published: July 2019

为了进一步提高企业发展水平，在企业管理过程，要重视企业税务风险管理工作的开展，要积极对其税务风险原因进行实践总结，从而才能科学制定完善的制度，进一步为企业发展奠定良好基础。作为相关研究人员，在对企业税务风险进行分析过程，要重在结合实际，通过科学地进行分析，才能提高企业各项工作开展效率。希望通过文章中的进一步研究，能够提高工作认识，从而为企业健康可持续发展奠定良好基础。
浅谈事业单位财务管理内控体系完善和风险防范
Authors: 胡 红霞
Published: July 2019

在全面贯彻落实科学发展观的影响下，我国社会主义市场经济体制逐步深化变革，这在一定程度上对事业单位的经营发展提出了更高的要求，而财务管理工作作为事业单位实现可持续发展的命脉，需要加大对其的重视力度，不断完善财务管理内控体系，并结合市场经济发展形势采取必要的措施，防范财务风险，推进事业单位的高效运转。
Valoración de costos en la producción lechera del criadero Santa Ana
Authors: Oleas Carrillo Edwin Rafael , Benavides Lara Julio Cesar , Villafuerte Gavilánez Alex Arturo , Almeida López Fabián Augusto
Published: July 2019

La presente investigación, evalúa el costo de producción de un litro de la leche en el criadero Santa Ana, ubicado en el sector de Cubillines, perteneciente al cantón Chambo, provincia de Chimborazo. Realizándose un análisis económico, por lo cual no se consideró tratamientos, ni repeticiones; únicamente se recolectó la información mediante la adquisición de facturas que intervienen en el proceso de producción. La investigación tuvo una duración de 60 días. Logrando los siguientes resultados para el año 2017, la producción de leche tuvo variaciones dentro de los 12 meses, teniendo una alta producción en el mes de noviembre con 15.503,64 litros y un valor de 11.003,93 litros en el mes de abril, siendo el más bajo, lo que da una media de producción de 457,84 litros/leche de las 30 vacas en producción. Concluyendo con la determinación del costo de un litro de leche dentro de criadero Santa Ana de $ 0,42 y teniendo como un margen de utilidad por litro de leche $ 0,03 y un beneficio/costo de $ 1,06. es decir que por cada dólar invertido la empresa tiene un beneficio de $ 0,06. Recomendamos se aplique el plan de mejoras para que estará enfocado en la reducción de los costos de producción del litro de leche lo que mejorara en el margen de utilidad y la relación beneficio costo de la empresa ganadera.
Characteristics of Disease Profile of Hospitalized Patients Referred to the Department of Cardiology in a Tertiary Care Hospital
Authors: Alam MZ , Hossain MS , Basit MA , Hoque SJ , Mohibullah AKM
Published: July 2019

Objectives: Cardiology consultation for hospitalized patients is a common and sometimes mandatory practice in every country. This is because of increased morbidity and mortality of cardiac cases that also has other co-morbidities. We conducted this study to know the pattern of disease profile and the idea of requesting doctors about the cardiac diseases from the cases they referred to the department of Cardiology.

Methods: This prospective observational study was carried out in BIRDEM General Hospital, Shahbag, Dhaka from July to December 2017. We followed every case till the final and confirmed diagnoses were made. All the relevant collected data were compiled on a master data sheet. All findings were expressed as frequency with percentage and analysis were done using SPSS for windows version 22.0.

Results: This study revealed that majority of the referred cases to the department of cardiology was routine (84.4%) and non-cardiac (57%). Non-cardiac cases were referred mainly for the fitness of general anesthesia (GA) (18.4%). But among the critical cases (14.0%), mostly were cardiac (9.1%). Among all the cardiac cases, Hypertension (8.8%) got the highest referral followed by Acute Myocardial Infarction (AMI) (3.8%) and Dilated Cardiomyopathy (DCM) (3.8%).

Conclusions: Hospitalized patients were referred to the department of Cardiology differs according to the requesting unit. The surgical units referred their cases to get the cardiac clearance for a major surgery and the medical units referred for typical cardiac emergencies like AMI.

Bangladesh Heart Journal 2019; 34(1) : 1-4
Performance of EuroSCORE II in Predicting Early Mortality after Mitral, Aortic or Mitral & Aortic Valve Surgery Patients in National Heart Foundation Hospital and Research Institute
Authors: Mahmud Ahsan Uddin , Sazzad Md Faizus , Wadud Mohammed Armane , Chowdhury Iftakher Raja , Rahman Mohammad Hafizur , Chowdhury Haroon Rasheed , Gomes Noel Cipriyan , Choudhury Sohel Reza , Talukdar Quamrul Islam , Chanda Prasanta Kumar , Ahmed Farooque
Published: July 2019

Background: Preoperative risk assessment before cardiac surgery to predict mortality become literally important and practicing worldwide, whereas EuroSCORE II is most updated and popular. So we examined the hypothesis that Performance of EuroSCORE II in predicting early mortality after Mitral, Aortic or mitral & aortic valve surgery patients in National Heart Foundation Hospital and Research Institute.

Objectives: To compare Euro SCORE II predicted early mortality and observed early mortality in a sample of patients of National Heart Foundation Hospital who underwent for Mitral, Aortic or Mitral & Aortic valve surgery. Methods: An observational prospective study was done in Department of cardiac surgery, National Heart Foundation Hospital and Research Institute who underwent for Mitral, Aortic or Mitral & Aortic valve surgery in the period of July 2016 to March 2018. Sample size was 356 and all inclusion criteria full filled. Patients were divided into 3 group (low, medium & high) depending on the score. Model discrimination and calibration were assessed additive and logistic EuroSCORE and EuroSCORE II.

Results: The in hospital mortality of this series was 2.8% (10 out of 356) and the predicted mortality was 2.73% (95% CI 1.02-4.38) by the EuroSCORE II, 2.15% (95% CI 0.68- 3.72) by the additive method and 2.25% (95% CI 0.74-3.86) by the logistic EuroSCORE. The model’s discriminatory power also good and useful as indicated by an area under ROC curve of 0.779 in EuroSCORE II model, 0.675 in additive method and 0.696 in logistic method that means EuroSCORE II method can predict the outcome with 77% accuracy, additive method with 67% accuracy and the logistic method does that with 69% accuracy.

Conclusion: EuroSCORE II was validated and performed well on National Heart Foundation patients and could be recommended as a simple risk stratification system to estimate the probability of early mortality in patients scheduled for valve surgery in Bangladesh.

Bangladesh Heart Journal 2019; 34(1) : 11-24
Evaluation of Blood Lactate Level as Predictor of Early Adverse Outcome after Cardiac Surgery under Cardiopulmonary Bypass
Authors: Azad MAK , Islam KS , Quasem MA
Published: July 2019

Background: We examined the hypothesis that high blood lactate level in intensive care unit patient after adult cardiac surgery under cardiopulmonary bypass is associated with early adverse outcome. The objective of this study was to evaluate whether high blood lactate level after cardiac surgery is a predictor of the early outcome after adult cardiac surgery under cardiopulmonary bypass.

Methods: This prospective observational study was carried out in the department of Cardiac Surgery at National Institute of Cardiovascular Disease (NICVD), Dhaka from July, 2013 to April 2014. A total number of 100 patients who underwent cardiac operation with cardiopulmonary bypass were enrolled in this study as per inclusion and exclusion criteria. Patients were divided into two groups according to their blood lactate level 6 hours after transferintensive care unit. Peroperative variables and postoperative variables were observed and recorded during the hospital course of patient. Categorical variables were analyzed by Chi- Square test and Fisher’s exact test and continuous variables were analyzed by ‘t’ test. Multiple Binary Logistic Regression Analysis of predictors for each of the outcome variables was done.

Results: Blood lactate levels ≥3mmol/L 6 hours after transfer to intensive care unit were present in 57(57%) patients. Multiple logistic regression analysis showed higher blood lactate level was an independent predictor for early postoperative low output syndrome (OR 9.073, 95% CI 2.819 – 29.207, p = < .0001), pulmonary complication (OR 5.734, 95% CI 1.814 – 18.122, p = .003), neurological deficits (OR 9.725, 95% CI 1.111 - 85.147, p = .040), renal dysfunction (OR 7.393, 95% CI 1.855-29.469, p = .005), arrhythmia (OR 10.512, 95% CI 1.902 – 58.108, p = .007) and wound infection (OR 7.742, 95% CI 1.418 - 42.259, p = .018).

Conclusions: High blood lactate level 6 hours after transfer to intensive care unit is an independent predictor for worse outcomes in adult patients after cardiac surgery under cardiopulmonary bypass.

Bangladesh Heart Journal 2019; 34(1) : 25-30
Pattern and Prevalence of Dyslipidemia among Patients with Acute Coronary Syndrome Admitted in a Tertiary Level Hospital
Authors: Parvin Dilshad , Baul Sunil Krishna , Hossain SM Rahat , Munshi Swati , Hadiuzzaman Md , Fatema Kaniz
Published: July 2019

Background: The leading cause of mortality in men and women worldwide is coronary artery disease (CAD). For hospitalization in our country, acute coronary syndrome (ACS) is a major reason. Dyslipidemia is found one of the most important modifiable risk factors for CAD.

Aim: The aim of the study was to determine the pattern and prevalence of dyslipidemia among patients with ACS admitted in National Institute of Cardiovascular Diseases (NICVD), Dhaka.

Subjects and methods: One thousand (1000) patients with ACS were included and classified according to clinical presentation, the findings on the admission electrocardiogram (ECG) and the results of serial cardiac troponin levels, into myocardial infarction(MI), either STelevation or non ST- elevation MI, and unstable angina(UA) subgroups. In the other group 500 healthy subjects were included as controls. All subjects were subjected determination lipid profile. ECG and Troponin- I were done for diagnosis and follow up of the patients.

Results: In patients with ACS, high levels of TC (>200 mg/dl) were found in 60.67%,high levels of LDL (> 130 mg/dl) were found in 58%, high levels of TG (>150 mg/ dl) were found in 63.33%, however, low levels of HDL (< 40 mg/dl) were found in 66%. There was a statistically significant elevation in TC, LDL, TG serum levels in patients with ACS compared to control subjects (p<0.05) while the HDL was significantly low in ACS patient compared to control subjects (p <0.05). TC/HDL > 5 and TG/HDL> 4 were significantly higher in patients with ACS than controls. There was no significant difference between MI and UA patients regarding all lipid profile parameters. TC, LDL, TG were significantly higher in males than in females while HDL was significantly higher in females compared to males. Also TC/HDL and TG/HDL ratios were significantly higher in males compared to females. All lipid components were significantly more prevalent in males than in females except TG where there was no significant difference between males and females. Stepwise regression analysis of lipid parameters revealed that TC/HDL and TG/HDL ratios were independent risk factors for ACS.

Conclusion: Dyslipidemia is one the major risk factors which is widely prevalent in patients with ACS and is more prevalent in males than in females. We recommend paying more attention to serum lipids and other modifiable risk factors for prevention of ACS and more studies about them as risk factors of atherosclerosis and its impact on other systems is advised.

Bangladesh Heart Journal 2019; 34(1) : 31-36
Fractional Flow Reserve (FFR) guided Percutaneous Coronary Intervention (PCI) to Avoid Inappropriate Stenting in Patient with Angiographically Significant Stenotic Coronary Artery Lesion–Our Experiences at Apollo Hospitals Dhaka
Authors: Islam AHM Waliul , Munwar Shams , Hossain Azfar , Reza AQM , Talukder Sahabuddin , Ahmed Tamzeed , Rahman Kazi Atiqur
Published: July 2019

Background: Importance of Physiological study by Fractional Flow Reserve (FFR) in the management of patient with coronary artery disease (CAD is well established.

Objective: Angiographic-guided percutaneous coronary intervention (PCI) is a common practice in Bangladeshi interventional era. Data on Pre-PCI physiological study by Fractional Flow Reserve (FFR) in our patient is not available. Therefore, our primary aim was to perform pre-PCI FFR to assess the angiographically significant coronary stenosis and thus to avoid inappropriate stenting.

Methods: Total 22 patients (Male 20, Female 2) were enrolled in this observational non-randomized prospective cohort. Patient who had angiographically significant lesion, planned for physiological study by pre-PCI FFR. Cut off value for FFR were clinically significant only if Pd/Pa ratio <0.75 and differed stenting if > 0.76-0.80 or above.

Results: In the studied patient population, FFR done in total 27 vessels of 22 patients. Among the vessel wise FFR distribution were in LAD 67%(18), LCX 14.8%(4), RCA 14.8%(4) and Ramus Intermedius 3.7% (1). FFR was nonsignificant (<0.75) in 59% (13) patients and significant (>0.75) were in 41%(9) patients.

Conclusion: In this single center, very preliminary observational prospective cohort of non-randomized study, we found, that FFR is an important aid to perform PCI in patient with angiographically significant coronary lesion, and to avoid inappropriate stenting of insignificant stenosis by physiological study. Thus, to reduce cost and untoward effects of inappropriate stenting.

Bangladesh Heart Journal 2019; 34(1) : 37-43
Peripheral Vascular Intervention: A Review
Authors: Ahmed Mohsin , Muhammed Bashar Abul Hasan , Gaddafi Abdullah Al
Published: July 2019

The prevalence of peripheral artery disease (PAD) continues to increase worldwide. It is important to identify patients with PAD because of the increased risk of myocardial infarction, stroke, and cardiovascular death and impaired quality of life because of a profound limitation in exercise performance.Lower extremity PAD affects approximately 10% of population, with 30% to 40% of these patients presenting with claudication symptoms. Peripheral arterial disease is common, but the diagnosis frequently is overlooked because of subtle physical findings and lack of classic symptoms. Screening based on the ankle brachial index using doppler ultrasonography may be more useful than physical examination alone. Noninvasive modalities to locate lesions include duplex scanning, computed tomography angiogram, magnetic resonance angiography and invasive modalities peripheral angiogram is the gold standard. Major risk factors for peripheral arterial disease are cigarette smoking, diabetes mellitus, older age (older than 40 years), hypertension, hyperlipidemia, and hyperhomocystinemia. Intermittent claudication may be improved by risk-factor modification, exercise, and pharmacologic therapy. Based on available evidence, a supervised exercise program is the most effective treatment. Effective drug therapies for peripheral arterial disease include aspirin (with or without dipyridamole), clopidogrel, cilostazol, and pentoxifylline. By contrast, critical limb ischemia (CLI) is considered the most severe pattern of peripheral artery disease. It is defined by the presence of chronic ischemic rest pain, ulceration or gangrene attributable to the occlusion of peripheral arterial vessels. It is associated with a high risk of major amputation, cardiovascular events and death. The management of CLI should include an exercise program, guideline-based medical therapy to lower the cardiovascular risk. Most of the cases, revascularization is indicated to save limbs; an “endovascular first” approach and lastly surgical approach, if all measures were failed. The choice of the intervention is dependent on the anatomy of the stenotic or occlusive lesion; percutaneous interventions are appropriate when the lesion is focal and short but longer lesions must be treated with surgical revascularisation to achieve acceptable long-term outcome.

Bangladesh Heart Journal 2019; 34(1) : 58-67
Kualitas Hidup Pasien Tuberkulosis Paru yang Mengalami Stigma Diri (Quality of Life Pulmonary Tuberculosis Patients With Self Stigma))
Authors: Sari Yunita
Published: July 2019

Pulmonary tuberculosis (TB) is a chronic disease that can bring about the sufferer's self-stigma and also affect his quality of life. A number of studies report that living with TB has a negative influence on the quality of life of sufferers even with or without self-stigma. The purpose of this study was to identify the quality of life of TB patients who experienced self-stigma. This research is a descriptive study, sample were 31 pulmonary TB patients. Data was collected using a questionnaire. Data analyzed by using frequency distribution and percentage. The researcher first screened TB patients who experienced self-stigma. The results showed that 25 people (80.64%) respondents experienced mild self-stigma. A total of 9 respondents (36%) had a quality of life score in the good category and as many as 16 respondents (64%) had enough category with an average quality of life score is 56.57. While respondents who had moderate self-stigma were 6 people (19.36%) with a good quality of life score was 1 person (16.67%) and enough category quality of life score were 5 people (83.33%) with an average quality of life score is 49.92.