bluuebunny/crossref_metadata_2025_split huggingface dataset:
Unusual Clinical and Biochemical Presentations of Severe Covid-19 Pneumonia Managed in General Ward
Authors: Rahmana Quazi Audry Arafat , Ahasan HAM Nazmul , Chowdhury Tasmina , Reza Ishrat Binte , Islam Quazi Tarikul 
Published: September 2020

Covid-19 is a multi-system infection which predominately infects the lungs. This new disease can present as an asymptomatic infection to life threatening infections leading to death, making it a challenge for healthcare workers across the globe in this pandemic. Covid-19 pneumonia often shows a set pattern of symptom progression along its disease course, although the timing of each symptom may vary in different individuals. In this case report, we will discuss the unusual presentation of a middle-aged man who suffered a prolonged course of disease and who was managed on suspicion of a secondary bacterial infection along with cytokine storm. The logical, thoughtful management options that we chose at various stages of his disease in general ward without use of immune modulatory drug like tocilizumab,which eventually led to his cure are also discussed here.Persistence of positive RT-PCR in the 4th week is also seen in this case.Emphasis is given on how these tricky cases can be dealt in the general ward without shifting them in the HDU, where HDU or ICU facilities are not available or affordable.
J Bangladesh Coll Phys Surg 2020; 38(4): 223-228
Potentially Inappropriate Medication Use in Elderly Adults: A Prospective Study in Cardiology Outpatient Department of a Tertiary Care Teaching Hospital
Authors: Roy Udoy Shankar , Khan Murshidur Rahman , Rahman Mohammad Abdur , Ahmed Tanvir , Majumder Nisith Kumar 
Published: September 2020

Objective: This study was undertaken with the aim to detect extent of drugs use in elderly patients at Cardiology outpatient department of a tertiary care teaching hospital and to evaluate inappropriate prescribing with the help of Beers Criteria 2015.
Material and Methods: The study was carried out at Cardiology outpatient department of Shaheed Suhrawardy medical college hospital, Dhaka, Bangladesh from May 2018 to April 2019. Total 2351 Geriatric patients were included during the study period of 12 months. The data was collected in a prescribed data form which included the patient’s details and the prescriptions.
Results: The result revealed that 11.96% of total drugs were prescribed inappropriate manner and 27.26% of total patients received at least one inappropriate drug prescription. Administration of a drug which should be avoided in elderly forms a common category of inappropriate drug use. Antihypertensive, Anti-platelets, Anti-diabetics, Antibiotics and Sedatives/ Hypnotics were the most common drug groups prescribed in inappropriate manner.
Conclusion: This study shows high prevalence of inappropriate use of drugs in geriatric patients which needs attention to improve the situation.
J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 101-105
Prognostic Relevance of Significantly Raised CA 19-9 with Choledocholithiasis to Malignant Pathologies of HBS: An Early Experience in Dept. of Hepatobiliary Surgery at ShSMCH, Dhaka
Authors: Ahmed Akhter , Shahriar Shaon , Shimu Farhana , Alam SM Syeed Ul , Sarker Rajib Dey 
Published: September 2020

Background: Conventionally it is assumed that raised level of CA 19-9 (Carbohydrate antigen 19-9) is related to malignancies of liver, pancreas and biliary tract. Through our early experience in Shaheed Suhrawardy Medical College Hospital we found that raised level of CA 19-9 is not associated only with malignancies but also with other benign disorders of HBS. The aim of this study was to explore the relationship of raised CA 19-9 with hepatobiliary disorders other than malignancies.
Result: We encountered a total of 57 cases at our department of Hepatobiliary Surgery where patients presented with classical features of obstructive jaundice with pain, anorexia and vomiting. Routine investigations of USG and MRCP revealed stone disease in the CBD. Fiftyseven patients with obstructive jaundice were studied retrospectively. Serum CA19-9 levels and some additional biochemical parameters were evaluated before and after treatment. CA 19-9 levels were significantly elevated in most patients, along with levels of total bilirubin, alkaline phosphatase (ALP), and gamma glutamyl transpeptidase (GGT), and 10 patients with benign disorders had extraordinarily high levels of these markers (> 1000 U/mL). The mean CA 19-9 level in the malignant group was greater than that in the benign group (826.83 ± 557.34 vs. 401.92 ± 483.92 U/mL, P = 0.005), and the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for CA19-9 were 100%, 7.69%, 33.33% and 47.47%, respectively. CA19-9 levels in the whole cohort were correlated with ALP (r = 0.77, P < 0.001), GGT (r = 0.83, P < 0.001), bilirubin (r = 0.69, P < 0.001), and CRP (r = 0.37, P = 0.004). The reduction in serum level of CA19-9 after treatment in the malignant group was remarkably less than that observed in the benign group (97.26 ± 123.24 U/mL vs. 352.71 ± 397.29 U/mL, P < 0.001). CA 19-9 levels may not be sufficient to distinguish between malignant and benign obstructive jaundice diseases. So raised CA 19-9 can obviously denote any hepatobiliary disease other than malignancy that will start to decline 1 to 28 days later after extraction of stone.
Conclusion: In conclusion, it is obvious that raised level of CA 19-9 is associated not only with malignancies but also with other benign disorders of HBS to a larger scale.
J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 119-123
Antimicrobial Sensitivity Pattern of Salmonella spp. Clinical Isolates in Blood Culture: A Tertiary Center Study
Authors: Gani ABM Shakil , Wadud Ayman , Rahman Mizanur , Roy Sushmita , Aktari Selin 
Published: September 2020

Objective: Bangladesh is an endemic area for enteric fever. Adequate and timely antimicrobial treatment invariably cures this disease. But resistant strains of Salmonella spp. have made it difficult to treat nowadays. This study will help clinicians in understanding the local resistance pattern of enteric fever and identifying recent changes in the trends of the sensitivity pattern of commonly used antibiotics in Bangladesh.
Materials and Methods: This cross-sectional study was conducted during the period from January 2016 to June 2019 in Sheikh Hasina Medical College, Tangail, to determine the antimicrobial sensitivity patterns of Salmonella typhi and paratyphi isolated by blood culture from clinically suspected typhoid fever patients. The blood sample was processed on BACTEC 9050 and isolates obtained from subculture were serotyped. Then antibiotic susceptibility testing was carried out using the disk diffusion method.
Results and Discussion: A total of 137 cases were recorded in four years. All cephalosporins were found sensitive in more than 90% of cases. We did not find any resistance to Ceftriaxone in our patients’ group. Moxifloxacin and Levofloxacin showed higher sensitivity than Ciprofloxacin (100% and 96% Vs 90%). Nalidixic acid demonstrated lower sensitivity than previously reported (less than 5%), while Gentamicin showed the highest sensitivity around 100%.
Conclusion: Multidrug-resistant (MDR) Salmonella typhi and paratyphi are emerging rapidly. To overcome this global issue, rational use of antibiotics has to be ensured. Physicians should also be aware of the local resistance pattern so that they can treat their patients effectively.
J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 134-137
Comparative Study between Optical and Ultrasonic Measurement of Axial Length and Anterior Chamber Depth in Normal, Long and Short Eyes
Authors: Rashid Harunur , Sharif AQM Omar , Shipu Zinat Rehana , Ghosh Debashish , Akhter Sofia , Priyadarshini Faizah , Sharmee Tania Hossain 
Published: September 2020

Purpose: The aim of the study is to evaluate and analyze the difference between optical and ultrasonic measurement regarding axial length (AL) and anterior chamber depth (ACD) in normal, long and shorts eyes.
Methods: A prospective study conducted on 145 patients enrolled for cataract surgery. Total 145 eyes have been tested. The eyes were divided into three groups depending on their AL; normal eye (22mm – 25mm), long eye (>25mm) and short eye (< 22mm) groups. The eyes have been measured by both Swept Source Optical biometry and Applanation Ultrasoundbiometry.
Results: Statistical analysis of the sub groups showed, mean axial length was 23.68mm and 23.59mm by optical and applanation biometry with standard deviation of 2.34mm and 2.30mm. The mean of anterior chamber depth was 3.14mm by optical and 3.12mm by ultrasonic method with standard deviation of 0.48mm and 0.44mm. The sample size was 145. The correlation statistics between the methods was 0.995 and 0.934 with mean difference of 0.08 and 0.02 for AL and ACD respectively. The eyes were divided into normal eye (22mm-25mm), long eye (>25mm) and short eye (<22mm) groups according to the measurement of axial length. There was no statistically significant difference in axial length and anterior chamber depth measurement by optical method (P=0.52) and ultrasonic method (P= 0.17). So, it can be said that, there is good agreement between the two methods regarding measurement.
Conclusion: There is no significant difference in measurement of axial length and anterior chamber depth by optical and ultrasonic method of biometry.
J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 147-154
Pengaruh Kepuasan Kerja, Komitmen Organisasi, dan Budaya Organisasi terhadap Organizational Citizenship Behavior di PDAM Tirta Taman Sari Kota Madiun
Authors: Rofiqoh Marlinda , Isharijadi Isharijadi , Styaningrum Farida 
Published: September 2020

Abstractâ€” This research aim to know influence of job satisfaction, organizational commitment, and organizational culture to organizational citizenship behaviour of PDAM Tirta Taman Sari Madiun City. This research is quantitative analytical research with primary data. These samples in this research is 104 regular employees. While used data collecting technique that is with questioner and documentation. The research instrument used was the Likert scale. The calculation data analysis technique uses Smart PLS, which includes descriptive statistical analysis, the outer model, inner model, and hypothesis testing by looking at the t-statistical value. The result showed job satisfaction, organizational commitment, and organizational culture positive and significant impact on organizational citizenship behavior.Â Keywordsâ€”: job satisfaction; organizational commitment; organizational culture; organizational citizenship behaviour.
Studi Alokasi Belanja Modal Pada Anggaran Pemerintah Daerah Di Eks-Karesidenan Madiun
Authors: Hermawan Hery 
Published: September 2020

Abstractâ€” This study aims to determine the effect of the level of effectiveness, independence, and fiscal decentralization on capital expenditures in districts/ city of Madiun Residency both partially and simultaneously. The type of research is quantitative research. Data analysis used is multiple linear regression, t test, F test and coefficient of determination. The result of this study show that, 1.The level of effectiveness significantly effect on the allocation of capital expenditure in the districts/city of Madiun Residency. 2. The level of independence significantly affects on the allocation of capital expenditure in the districts/city of Madiun Residency. 3. The level of fiscal decentralization significantly affects on the allocation of capital expenditure in the districts/city of Madiun Residency. 4. The level of effectiveness, independence, and fiscal decentralization simultaneously affect on the allocation of capital expenditure in districts/city of Madiun Residency.Â Keywordsâ€”: level of effectiveness; Â independence; fiscal decentralization; capital expenditure.
Kinerja UKM Batik di Jawa Timur dari Perspektif Sumber Daya Perusahaan dan Inovasi Produk
Authors: Dwimahendrawan Andrias 
Published: September 2020

Abstractâ€” This study aims to explain the effect of company resources and product innovation on company performance. This study uses a quantitative approach with a population of 120 batik SMEs and sampling using the Slovin formula with a total of 92 batik SMEs in East Java. Data analysis using linear regression. The results showed that the variable company resources had a significant effect on company performance with a t value of 2.7 and product innovation had a significant effect on company performance with a t value of 2.2. The originality of this study measures the company's performance from the perspective of resources and product innovation in batik SMEs in East Java.Â Keywordsâ€”: Company Resources; Product Innovation; Company performance; Batik.
Sitoutuminen, sopeutuminen ja vastarinta julkisella sektorilla 1990-luvulla
Authors: Frilander Karin 
Published: September 2020

Aikuisuus on muuttunut elinikäisen oppimisen yhteiskunnassa kypsästä ja valmiista aikuisuudesta jatkuvan keskenkasvuisuuden ja jatkuvan keskeneräisyyden hyväksymiseksi, toteaa Karin Filander lektiossaan. Mutta ketkä ovatkaan konnia ja ketkä sankareita, kun julkinen sektori kääntää kurssiaan kohti uusliberalismin, yksilöitymisen ja epävarmuuden aikaa? - Lektio praecursoria. Karin Filander puolusti väitöstutkimustaan Kehittämistyö murroksessa. Sitoutuminen, sopeutuminen ja vastarinta julkisella sektorilla 1990-luvulla 9. joulukuuta 2000. Tutkimus on ilmestynyt Tampereen yliopiston Acta Universitatis Tamperensis sarjassa numerolla 777. Vastaväittäjänä toimi professori Anja Heikkinen Jyväskylän yliopistosta.
O boom da propriedade comum ou: como aprendi a começar a me preocupar e a amar o antitruste
Authors: Tzanaki Anna 
Published: September 2020

Contornos de definição de propriedade comum. Externalidades negativas da propriedade comum e consequências potenciais para os mercados financeiros, comportamento empresarial e estrutura e desempenho do setor. Propriedade comum e dano anticoncorrencial. Possíveis soluções do direito antitruste para preocupações de concorrência.
Nilai Estetika dan Cita Rasa Makanan dalam Penyajian Makizuki Musim Gugur pada TV Champion Jepang
Authors: Christianawati Theng Anita 
Published: September 2020

This research discusses the aesthetic value and taste of the food served in autumn makizushi as shown in TV Champion Japan. It aims to find out the aesthetic value and taste of autumn makizushi, because there are several types of sushi based on the season they are served. The video data were taken from the first episode of Sushi King series of TV Champion, produced by TV Tokyo Japan. The type of this study is descriptive qualitative. The result of the study show that there are severalÂ characteristics of aesthetically served makizushi, i.e.; unity, symmetry, harmony, balance and contrast. In addition, there are three characteristics which define the aestheticÂ value of makizushi taste; unity, harmony and contrast.Keywords : Aesthetic value, Food Aesthetic, Sushi, maki-zushi, Tv Champion Japan
Strategi Kesantunan Permintaan Bahasa Jepang dalam Drama â€œEngineâ€
Authors: Satyanto Satyanto 
Published: September 2020

This paper examines the variations of request strategies based on the theory suggested by Ide Sachiko on Japanese politeness strategies. The purpose of this study is figure out the variations of politeness strategy in Japanese request. The primary data source of this research a Japanese drama entitled â€œEngineâ€. The data were analyzed based on the Wakimae (Discernment) and Ishiryoku (Volition) concept. Japanese social rules encourage people to take into account the social distance, psychological distance, and formality in every interaction. The distance affects the selection and use of diverse futsuugo and keigo in both request topic sentence and supporting reasons and yobikake usage preference. The results of the study show that the use of yobikake, requests, and reasons were adjusted based on the social distance of the people in the conversation.Â Keywords : Request Strategies; Politeness; Wakimae; Volition; Social Distance.
Rational antibiotic prescribing in primary care: qualitative study of opportunities and obstacles
Authors: Sundvall Pär-Daniel , Skoglund Ingmarie , Hess-Wargbaner Maria , Åhrén Christina 
Published: September 2020

BackgroundThe Swedish strategic programme against antibiotic resistance (Strama) has worked towards rational use of antibiotics, and Swedish antibiotic prescribing is low.AimTo explore how opportunities and obstacles for rational antibiotic prescribing were perceived by primary health care centres (PHCCs).Design & settingA qualitative study of 50 randomly selected reports from approximately 200 PHCCs in 2013 and 2016 in Region Västra Götaland, Sweden.MethodOne assigned GP at each PHCC reported yearly in an open-ended questionnaire on how the PHCC worked to improve antibiotic prescribing. The report included several antibiotic-related tasks and a summary of reflective meetings with the doctors, the head of the PHCC, and, preferably, also the nurses. The reports were qualitatively analysed using Malterud’s systematic text condensation (STC).Results'Everyone wants to do right, but sometimes you do not know what's right or wrong.' Knowledge about diagnosis and treatment of infectious diseases was highlighted. Knowledge and skills had to be internalised by the clinician in order to bring about behavioural change. This could be achieved through reflective, collegial dialogues where consensus often was found. Structural factors at the PHCC could provide good conditions for 'doing right', but could also constitute obstacles. Teamwork involving all personnel was important to achieve rational antibiotic prescribing.ConclusionEnablers for rational antibiotic prescribing were knowledge, reflective collegial dialogues, a well organised workplace, and a collaborating team. Obstacles were lack of knowledge, insufficient staffing, perceived lack of time, and overuse of laboratory tests. Patients’ attitudes and expectations could be both.
A 4G LTE Evolved packet Core Planning and Deployment in Freetown Sierra Leone
Authors: Koroma Mohamed , Sawaneh Ibrahim Abdulai 
Published: September 2020

Wireless broadband subscribers have tripled in the past two decades in the world. It subsequently adds more burden on the network traffic, thereby pressuring the current 2G / 3G wireless network infrastructural development in Freetown, Sierra Leone. The existing 2G / 3G network infrastructures in Freetown offer limited resources for download and upload speed of 12.54Mbps and 2.59Mbps, respectively, to active subscribers. The exponential increase in the country’s population has adverse effects on the subscriber’s database. Therefore, a considerable task is faced by the country’s telecommunication network infrastructures to devise an improvement and efficient technologies to augment the current system to handle the numerous issues. Three active private mobile network operators (X, Y, & Z) and one Government-owned operator (W) exist in the country. The only operator that runs across the country is operator X, and it has the highest number of subscribers. The country has just rollout it Long Term Evolution (LTE) by the private MNOs.
The research is to encourage the Sierra Leone National Telecommunication Commission (NATCOM), a telecommunication regulatory body, to mandate all MNOs in the country to roll out the 4G LTE core network infrastructure in Freetown. ARIMA model is used to analyze the throughputs (kbps) prediction to ascertain 4G LTE rollout using the Python programming language is an effective alternative. Statistical data from operator X for ten years for Freetown municipality from January 2010 - November 2019 was collected. The research concludes that 4G LTE deployment or upgrade was necessary for the Freetown municipality.
POLA FREKUENSI PENJUALAN BARANG BALI MART MENGGUNAKAN FP-GROWTH
Authors: Putri Dewi Eka 
Published: September 2020

Tingginya persaingan dalam bisnis, terutama dalam industri minimarket, membuat para pengelola minimarket harus memikirkan cara agar dapat meningkatkan penjualan di minimarket mereka. Salah satunya bisa dilakukan dengan memanfaatkan data transaksi di minimarket tersebut. Bali Mart merupakan salah satu minimarket yang berada di Padang. Masalah di Bali Mart adalah banyaknya barang yang tidak terjual karena pihak minimarket tidak bisa melihat pola beli konsumen. Pola beli konsumen diperlukan agar pihak minimarket bisa melihat frekuensi barang yang dibeli konsumen dan mengelola tata letak barang di minimarket tersebut, sehingga akan sangat memudahkan konsumen dalam mencari barang saat berbelanja. Data mining merupakan pendekatan yang dinilai cocok untuk mendapatkan pola frekuensi barang di Bali Mart. Penelitian ini menggunakan 12 transaksi penjualan di Bali Mart. Contoh pola penjualan barang yang diperoleh adalah dari 12 transaksi yang membeli GR, 6 transaksi membeli ST. Algoritma yang digunakan adalah FP-Growth dapat memecahkan masalah pihak minimarket dalam melihat kecenderungan barang yang dibeli secara bersamaan oleh konsumen, sehingga akan memudahkan pihak pengelola minimarket dalam mengatur pengadaan barang yang akan dijual dan mengatu tata letak barang di minimarket agar memudahkan konsumen dalam mencari barang.
Метафізика Декарта як вчення про умови саморозбудови особистості
Authors: Malivskyi Anatoly 
Published: September 2020

Опонуючи дискусійній рецепції метафізики Декарта, автор зосереджується на її тлумаченні як умов особистісної самореалізації. Інтерпретація мислителя в контексті незавершеної революції Коперника прояснює чинники актуалізації належних засадин людської поведінки. У процесі звернення до приватного листування обґрунтовується правомірність а) оцінки періоду роботи над незавершеними «Правилами для керування розумом» як етапу метафізики та б) з’ясування мотивів роботи над незавершеним ним текстом. Аналіз спадщини Декарта як осмислення умов розбудови особистості увиразнює її змістовну спорідненість із вченням Канта. Йдеться насамперед про межі людського знання як передумову свободи, а також про принципову відмінність знань людини та зовнішніх речей. Глибоке знайомство з метафізикою Декарта свідчить про її дистанціювання від науки та релігії та його розважливе ставлення до ідеї абсолютизації мислення. А оскільки усвідомлення метафізичності людської природи зумовлює звертання Декарта до мистецтва, то подальші перспективи дослідження автор пов’язує з вивченням його ролі.