bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of pneumonia severity scores for patients diagnosed with pneumonia in emergency department
Authors: Kaya Aynur Ecevit , Ozkan Seda , Usul Eren , Arslan Engin Deniz 
Published: December 2020

Background & objectives:
Sepsis due to pneumonia or pneumonia itself is one of the main causes of deaths in patients despite the advanced treatment methods. The optimal prognostic tool in pneumonia is still not clear. This study was aimed to compare the pneumonia severity scores and the possibility of using the new scores in patients who were diagnosed with pneumonia in the emergency department.

Methods:
Demographic data, laboratory and imaging results, confusion, elevated blood urea nitrogen, respiratory rate and blood pressure plus age ≥65 yr (CURB-65), pneumonia severity index (PSI), national early warning score (NEWS), NEWS-lactate (NEWS-L) scores, hospitalization, referral, discharge and 30-day mortality of patients who were diagnosed with pneumonia in emergency department were recorded.

Results:
A total of 250 patients were included in the study. The most successful score in predicted mortality was found to be NEWS-L. This was followed by NEWS, CURB-65 and PSI, respectively. Most successful scores in anticipation of admission to the intensive care unit were NEWS-L followed by NEWS. This was followed by CURB-65 and PSI scores, respectively. The most successful score in anticipation of hospital admission was NEWS-L, followed by NEWS, CURB-65 and PSI, respectively. There was a significant difference between all pneumonia severity scores of the patients who died and survived within 30 days. There was a significant difference between the scores of patients in intensive care unit (ICU) and service, compared to non-ICU patients.

Interpretation & conclusions:
NEWS-L score was found to be the most successful score in predicting mortality, ICU admission and hospitalization requirement. Both NEWS-L and NEWS scores can be used in determining the mortality, need for hospitalization and intensive care of the patients with pneumonia in the emergency department.
A comparative study on the anti-inflammatory effect of angiotensin-receptor blockers & statins on rheumatoid arthritis disease activity
Authors: Mostafa Tarek Mohamed , Hegazy Sahar Kamal , Elshebini Emad M. , Saif Dalia S. , Elabd Ahmed H. 
Published: December 2020

Background & objectives:
Rheumatoid artherits (RA) is a refractory disease and the imbalance between pro- and anti-inflammatory cytokines in favor of pro-inflammatory cytokines has been implicated in pathogenesis of RA. In this context, the aim of the present study was to compare the anti-inflammatory and antioxidant effects of candesartan, an angiotensin-receptor blocker, and atorvastatin in RA patients.

Methods:
In this single-blinded parallel randomized placebo controlled study, the patients recruited between December 2017 and May 2018 were categorized into three groups: group 1 included 15 RA patients who served as control group and received traditional therapy (+ placebo); group 2 included 15 RA patients who received traditional therapy + candesartan (8 mg/day); and group 3 included 15 patients who received traditional therapy + atorvastatin (20 mg/day) for three months. Clinical status in RA patients was evaluated by Disease Activity Score 28 (DAS28), Health Assessment Questionnaire-Disability Index (HAQ-DI) and morning stiffness before and three months after treatment. All groups were subjected to biochemical analysis of C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), tumour necrosis factor-alpha (TNF-α), interleukin-1beta (IL-1β) and malondialdehyde (MDA) before and three months after treatment.

Results:
Both candesartan and atorvastatin treated groups showed significant decrease in serum levels IL-1β and TNF-α, acute-phase reactants (CRP and ESR), number of swollen joint and patient global assessment. This was also associated with improvement in disease activity and quality of life regarding DAS28 and HAQ-DI as compared to baseline data and the control group. Atorvastatin group showed significant decrease in the serum level of oxidative stress marker (MDA).

Interpretation & conclusions:
Both candesartan and atorvastatin showed anti-inflammatory effect and immunomodulatory effects leading to improvement in clinical status and disease activity in RA patients. However, atorvastatin was superior to candesartan through its anti-oxidant effect.
A study of collaborative telepsychiatric consultations for a rehabilitation centre managed by a primary healthcare centre
Authors: Kulkarni Karishma R. , Shyam R.P.S. , Bagewadi Virupakshappa Irappa , Gowda Guru S. , Manjunatha B.R. , Shashidhara Harihara N. , Basavaraju Vinay , Manjunatha Narayana , Moirangthem Sydney , Kumar Channaveerachari Naveen , Math Suresh Bada 
Published: December 2020

Background & objectives:
Telepsychiatric methods can be used for the purpose of providing clinical care comparable to in-person treatment in various settings including rehabilitation. Previous evidence has shown that clinical outcomes for both are comparable. In view of challenges posed in the implementation of traditional psychiatric care in India, telepsychiatry offers an avenue to provide feasible, affordable and clinically useful psychiatric services. This study was conducted to examine the utility, feasibility and clinical effectiveness of providing collaborative telepsychiatric services with a primary care doctor for inpatients in a rehabilitation centre through a telepsychiatrist of estabilished psychiatry department in a tertiary care centre in south India in a collaborative care model with a primary care doctor.

Methods:
Patients at the rehabilitation centre attached to an urban primary healthcare centre received collaborative care using telepsychiatry for a period from January 2013 to December 2016. A retrospective review of their charts was performed and sociodemographic, clinical and treatment details were collected and analyzed.

Results:
The sample population (n=132) consisted of 75 per cent males, with a mean age of 43.8 ± 12.1 yr. Each patient received an average of 7.8 ± 4.9 live video-consultations. Initially, an antipsychotic was prescribed for 84.1 per cent (n=111) of patients. Fifty four patients (40.9%) had a partial response and 26 (19.7%) patients showed a good response.

Interpretation & conclusions:
The study sample represented the population of homeless persons with mental illness who are often brought to the rehabilitation centre. This study results demonstrated the successful implementation of inpatients collaborative telepsychiatry care model for assessment, follow up, investigation and treatment of patients through teleconsultation.
Ivan Skušek ml. kot zbiratelj kitajskega pohištva
Authors: Vampelj Suhadolnik Nataša 
Published: December 2020

Članek prikaže zbirateljsko strategijo Ivana Skuška ml. (1877–1947), pri čemer pod drobnogled postavi kitajsko pohištvo. Analiza zbirateljstva kitajskega pohištva v širšem evropskem kontekstu je pokazala, da lahko Ivana Skuška umestimo med prve zahodne zbiratelje, ki so v posameznih kosih kitajskega lesenega pohištva že v drugem desetletju 20. stoletja prepoznali umetniško obliko. Leseno pohištvo je namreč večjo mednarodno pozornost doseglo šele v 40. in 50. letih 20. stoletja, ko so začele izhajati prve angleške publikacije.
Pri analizi Skuškove vloge v kontekstu zbirateljstva kitajskega pohištva izhajamo iz širše perspektive zbirateljstva v evro-ameriškem prostoru in kulturne klasifikacije, ki je na piedestal večinoma umeščala predmete iz porcelana in laka. Skuškovo vlogo nadalje poskušamo umestiti v širši evropski diskurz zbirateljskih strategij pohištva, pri tem pa se dotaknemo tudi vprašanja definicije kitajske dediščine, kar nadalje izpostavi problematiko kulturnega diskurza evrocentrične imaginacije o Kitajski in s tem različne nacionalne percepcije.
NGHIÊN CỨU NGUYÊN NHÂN CỦA VẾT NỨT THẲNG ĐỨNG XUẤT HIỆN TRÊN CÁC TRỤ CẦU BÊ TÔNG CỐT THÉP DẠNG RẺ QUẠT
Authors: QUANG DŨNG NGUYỄN , CHÂU PHƯƠNG NGÔ 
Published: December 2020

Trụ cầu dạng tường rẻ quạt bê tông cốt thép thường đã đƣợc sử dụng rộng rãi trong các cầu vượt đô thị ở các nút giao khác mức tại Việt Nam do có ưu điểm về mỹ quan và tiết kiệm vật liệu. Tuy nhiên trong quá trình thi công cũng như khai thác, loại trụ này đã xuất hiện vết nứt thẳng đứng tại khu vực giữa đỉnh trụ ở nhiều công trình. Bài báo này trình bày kết quả nghiên cứu giải thích nguyên nhân xuất hiện vết nứt thẳng đứng trụ cầu dạng tường rẻ quạt bằng mô hình chống giằng, phương pháp phần tử hữu hạn và đối chiếu với số liệu đo đạc thực tế nhằm đề xuất phương pháp thiết kế phù hợp cho các công trình tương tự trong tương lai.
ỨNG XỬ KHÁNG CẮT CỦA DẦM BÊ TÔNG CỐT THÉP ĐƯỢC SỬA CHỮA BẰNG BÊ TÔNG SỢI THÉP SAU QUÁ TRÌNH BỊ ĂN MÒN
Authors: VĂN HỒNG LĨNH BÙI , THỊ HẢI YẾN NGUYỄN , VĂN NAM NGUYỄN , BÁ PHÚ NGUYỄN , THANH VIỆT NGUYỄN , CHÂU PHƯƠNG NGÔ 
Published: December 2020

Để cải thiện hiệu suất của kết cấu bê tông cốt thép (BTCT) bị hư hại do ăn mòn, nhiều phương pháp sửa chữa và gia cường đã và đang dần được tạo ra. Bài báo này phân tích thực nghiệm ứng xử kháng cắt của dầm BTCT bị ăn mòn, và sau đó được sửa chữa trong vùng uốn bằng bê tông cốt sợi thép (SFRC). Các thông số thực nghiệm là cấp độ ăn mòn (được đo bằng độ mất mát khối lượng cốt thép): 0%, 12% và 17%, và hàm lượng sợi thép phân tán trong SFRC: 1.0%, 1.5% và 2.0%. Các kết quả thu được từ thí nghiệm như sức chịu tải, mối quan hệ tải–độ võng và loại phá hoại của dầm BTCT sẽ được phân tích và đánh giá. Bài báo đã chỉ ra rằng khi tăng cấp độ ăn mòn, khả năng chịu cắt của dầm tăng lên vì cơ chế kháng cắt của dầm chuyển từ hiệu ứng dầm sang hiệu ứng vòm. Hơn thế nữa, dầm BTCT bị ăn mòn rồi được sửa chữa bằng SFRC có sức kháng cắt tương đương với các mẫu đối chiếu.
War Heroines of 1971 of Bangladesh: How they are Treated in our Society
Authors: Dipu Tahmina Akter 
Published: December 2020

The aim of this paper is during the post war how war heroines were treated what we can do for them. In 1971 women played a very important role during the war. Bangladesh sacrificed a lot of things for her independent. About three million people were killed & 4.50 lakh women were brutally raped by the Pakistani Army & their collaborators. During the war, Women made history. They had sacrificed their dignity, beloved son, husband & their life. Some of the brave women joined the Frontal & Gruella war, some provided food, shelter & medical treatment. But nowadays they were not recognized. During the post war they became remain in darkness. After the war their war didn't stop. They fought against their life, family even society. But father of the nation Bangabandhu acknowledged as a 'Bironggona' (Brave women). Only two women were endowed ' Bir Partik'. But gradually these women didn't have any facilities what they wanted. Some faced money problem, some oppressed the man society, and some lost their fertility some died without proper treatment. So we should take initiative in our own place for them.
Dynamical Analysis and Circuit Design for Malasoma System
Authors: Rusyn Volodymyr , Purwandari Diana 
Published: December 2020

In this paper, the Malasoma system based cubic function is presented. This system contains operational amplifiers, resistors, capacitors, multipliers, and voltage sources. The first stage, we analyze the Malasoma model and execute its stability. The phase portraits and bifurcation diagram are used to analyze the dynamic behaviors of the Malasoma model. The proposed circuit was modelled by utilizing NI’s MultiSim software environment. The electronic circuit is realized by using off-the-shelf components. MATLAB and MultiSim simulation results show a good agreement.
PENDIDIKAN AGAMA KRISTEN DALAM MEMBANGUN WAWASAN KEBANGSAAN MENGHADAPI ISU INTOLERANSI DAN RADIKALISME
Authors: Peter Ramot 
Published: December 2020

Isu-isu intoleransi dan radikalisme sudah merasuki dimensi pendidikan di Indonesia. Perilaku buruk peserta didik yang mengarah pada intoleransi dan radikalisme sudah meresahkan kehidupan berbangsa. Pemerintah menyikapi permasalahan tersebut dengan mencanangkan program pendidikan karakter dan gerakan revolusi mental. Program dan gerakan tersebut masih belum maksimal berdampak sehingga perlu melibatkan dunia pendidikan. Penelitian ini perlu dilakukan untuk mengidentifikasi pemahaman peserta didik tentang pentingnya pembelajaran PAK dalam rangka pembentukan karakter berwawasan kebangsaan; menemukan pemahaman peserta didik dalam menyikapi bahaya radikalisme dan intoleransi; dan, memberikan alternatif solusi untuk membentuk karakter berwawasan kebangsaan dalam mencegah intoleransi dan radikalisme. Metode yang digunakan dalam penelitian ini adalah metode kualitatif dengan pendekatan deskriptif-analitis dengan menggunakan berbagai data yang diperoleh melalui wawancara dan kuesioner sebagai data primer dan sekunder melalui buku-buku, jurnal, majalah, surat kabar dan sumber-sumber relevan lainnya. Setelah wawancara secara tidak terstruktur, penyuluhan dilakukan untuk pengayaan dan selanjutnya penyebaran kuesioner kepada peserta didik. Penelitian diadakan di Panti Asuhan Asih Lestari Jakarta terhadap penghuni panti yang disebut peserta didik dari berbagai tingkatan dan usia. Hasil pengumpulan data kuesioner menunjukkan bahwa: pertama, peserta didik memahami dengan yakin bahwa pembelajaran PAK sangat mendukung untuk membangun karakter berwawasan kebangsaan; kedua, peserta didik mampu untuk menyatakan sikap terhadap bahaya intoleransi dan radikalisme; ketiga, pembentukan karakter berwawasan kebangsaan sebagai upaya untuk mendukung gerakan revolusi mental dan alternatif solusi untuk mencegah intoleransi dan radikalisme. Dengan demikian maka semua Pendidikan Kristen diharapkan mampu mengembangkan pembelajaran PAK sebagai sarana pembentukan karakter berwawasan kebangsaan sehingga peserta didik memiliki sikap nasionalisme untuk pencegahan bahaya tindakan intoleransi dan radikalisme.
ДЕНЕ МӘДЕНИЕТІНІҢ ЖЕКЕ ТҰЛҒАНЫҢ ДАМУЫНДАҒЫ МАҢЫЗЫ ТУРАЛЫ
Authors: АХМЕДОВ Б , ӘБІЛДАЕВ Ә , МҰХАМЕДЖАНОВ Б 
Published: December 2020

Біздің ата-бабаларымыз «денсаулық – ең басты байлық» деген. Бұл қазіргі технологиялық даму кезеңінде де өзінің маңыздылығын жоймай отыр. Қазіргі уақытта, өкінішке орай, технологиялық дамудан қалыспау үшін дене тәрбиесімен айналысудың орнына интеллектуалды жағынан жетілуді көбірек ойлайтын қалалықтар көбеюде. Дене тәрбиесі – тұлғаның интегралдық тәрбиесінің бір бөлігі ретінде қазіргі уақытта адамдар өмірінің ажырамас бөлігіне айналды. «Кәсібилік-парасаттылық» желісін іске асыруда жоғары кәсіби деңгейде практикалық қызметте өз функцияларын орындау мақсатында студенттердің жалпы және әлеуметтік мәдениетінің элементі ретінде дене тәрбиесінің мәселелерін философиялық, социологиялық, мәдениеттанулық, психологиялық- педагогикалық талдаудың қажеттілігі ерекше қызығушылық тудырады.
Covid-19 Uzaktan Eğitim Sürecinde Fen Bilimleri Şube Rehber Öğretmenlerinin Gözünden Öğretmen, Öğrenci ve Velilerin Değerlendirilmesi
Authors: HAŞILOĞLU M. Akif , DURAK Songül , ARSLAN Aslı 
Published: December 2020

Bu çalışmanın amacı, fen bilimleri şube rehber öğretmenlerinin Covid-19 uzaktan eğitim sürecinde öğretmen, öğrenci ve veliler hakkındaki görüşlerinin belirlenmesidir. Çalışmada nitel bir araştırma modeli olan özel durum (casestudy) araştırması yöntemi kullanılmıştır. Araştırmanın örneklemini Ağrı ili ve ilçe okullarında görev yapmakta olan 10 fen bilimleri öğretmeni oluşturmaktadır. Verilerin toplanması için araştırmaya katılan öğretmenlere, araştırmacılar tarafından geliştirilen 10 adet yapılandırılmış mülakat sorusu sorulmuştur. Hazırlanan sorular üç uzmanın görüşüne sunulmuş, uzmanlardan gelen dönütler neticesinde soruların içeriği ile ilgili düzeltmeler yapılmıştır. Mülakat, zorunlu uzaktan eğitim sürecinde olunmasından dolayı görüntülü konuşma sırasında ses kaydı alınarak gerçekleştirilmiştir. Araştırmadan elde edilen bulgular; nitel araştırma yöntemleri kapsamında veri analizinde kullanılmakta olan betimsel, sistematik ve veri analizi teknikleri kullanılarak analiz edilmiştir. Araştırma sonuçlarından bazıları şu şekildedir: Öğretmenlerin çoğu, çeşitli sebeplerden dolayı bütün öğrencilere ulaşamadıklarını ifade etmişlerdir. Öğretmenlerin öğrencilere ulaşmak için farklı kaynaklar kullandıkları tespit edilmiştir. Öğretmenlerin süreç içerisinde Eğitim Bilişim Ağı’nı (EBA) az kullandıkları görülmüştür. Bunun nedenlerinin başında öğrencilerin yaşadıkları yerlerdeki internet sıkıntısı gelmektedir. Öğretmenler bu süreçte kilit rol oynayan velilerin geneline ulaşamadıklarını, ulaşabildikleri velilerin de genel olarak çocuklarının eğitimi ile ilgili olduklarını ifade etmişlerdir. Uzaktan eğitim sürecinde velilerin genelinin ilgisiz olduğu, ilgili olan velilerin ise sosyoekonomik düzeyi iyi olan veliler olduğu ayrıca bu velilerin çocuklarının derse karşı ilgilerinin ve başarılarının daha yüksek olduğu tespit edilmiştir. Öğretmenler bu süreçte öğrencilerin verimli ders takibi yapamadıklarını bu durumun sebebinin ise yüz yüze eğitim yapamamaktan kaynaklandığını belirtmiştir. Bu süreçte öğretmenler öğrencilerine ulaşmak için en fazla WhatsApp kullandıklarını ifade etmiştir. Araştırma sonuçlarına göre öğrencilerin okula geri dönüş sürecinde, pandemiden dolayı kişisel hijyen ve sosyal mesafe kuralının daha da önem kazandığı için okula uyum problemi yaşayacaklarını ve bu durumun öğrencilerde hijyen takıntısına dönüşebileceği belirlenmiştir.
Average birth weight of term newborn babies: a hospital based study in Thimphu, Bhutan
Authors: Dorji Phurb 
Published: December 2020

Introduction: The birth weight of every new born is a key predictor of its immediate outcome and indirect indicator for later development. There were no studies done in Bhutan to look at the average term birth weight. This study was under taken to estimate the average term birth weight of new born in Jigme Dorji Wangchuck National Referral Hospital in Thimphu and to study its correlation with maternal factors and sex of the new born.
Methods: This was a retrospective study with data collected from the birthing center record for those delivered between January 2011 to December 2014. A total of 13,647 singleton babies were included. Other variables studied maternal age, parity, education level, family income, antenatal booking visits, sex of baby and maternal ethnic origins. Data were analysed for correlations.
Results: From the 13,647 singleton cases, the overall average term birth weight for new born was 3,177± 435 g with boys (mean weight 3,228± 435g) being heavier than girls (mean weight 3,121 ± 429 g). This study also proved the expectation that birth weight will improve with improvements in economic situation and female literacy level. The term birth weight was positively correlated with parity, number of antenatal visits, family income, maternal education level and age.
Conclusions: The average term birth weight of new born in JDWNRH is 3,177± 435 g. The mean birth of North Bhutanese (mean as 3,260 ± 436g) is heavier by 200g than the South Bhutanese (mean as 3,060 ± 411 g).
The effects of a behavioral change program in reducing the house index of mosquito larvae in households in Phetcabun province, Thailand
Authors: Tshering Ugyen , Pooma Kamonchanok , Meksaengsee Kiratikarn , Aiemsa-ard Nongnooch 
Published: December 2020

Introduction: The purpose of this quasi-experimental research was to study the effectiveness of a behavioral change program in reducing house index of mosquito in Village Baan-Wangpong, Lomsak district in Phetcabun province, Thailand.
Methods: The sample size of experimental and control group was 42 representatives of household in each group. Representatives of each sampled household were tested for knowledge, perception and behavioral practice in prevention of dengue fever before and after the program intervention. The program included training on dengue fever prevention by health personnel, demonstration of making mosquito repellents from local product, organising an awareness contest, broadcasting health messages through media and surveying households for mosquitoes’ larvae.
Results: The study found that most households in village Baan-Wangpong had low knowledge (60.4%), perceived risk (60.4%), perceived severity (64.6%) and behavioral practice (77.1%) in the prevention of dengue fever prior to the program, with comparability in intervention versus control. The results showed that after the program intervention, the experimental group had a significantly higher level of knowledge (p=0.001), perceived risk (p=0.042), perceived severity (p=0.002) and behavior (p=0.028) in preventing dengue fever than before the program intervention and higher than the control group post-intervention. The experimental group’s house index was also significantly (p=0.001) lower than before the program and lower than the control group post-intervention.
Conclusions: This study suggests that a proactive program about knowledge, perceptions and behaviors on prevention of dengue fever with support from public health personnel and community participation, can positively change health behavior, resulting in reducing the house index of mosquito larva.
Preference of place of delivery and its determinants: a cross-sectional study in Chukha district, Bhutan
Authors: Wangdi Kencho , Gurung Mongal S. , Pelzom Dorji , Dema Tashi , Wangdi Sonam 
Published: December 2020

Introduction: The estimated global maternal deaths in 2013 was 289000. In Bhutan, Maternal Mortality Ratio has remarkably declined from 770 deaths per 100,000 live births in 1984 to 86 in 2012. However, the maternal mortality ratio still remains high and a high proportion of delivery still take place at homes (26%) despite of adopting 100%institutional delivery policy ever since 2005. This study was carried out to determine the important factors that prevent women from coming to the health facilities for safe delivery.
Methods: A cross-sectional study among the women who delivered in Chukha District in 2013 was carried out after seeking ethical approval from Research Ethics Board of Health and World Health Organization. Chukha is a district with the second highest number of population in Bhutan where 55.7% of the people live in rural villages.
Results: Out of 899 eligible listed women, 78.1% participated in the study and among the participants 11.5% had delivered at home. The number of home deliveries was higher in rural areas, 17.3%, as compared to urban places, 6.4%. Women who were delivering for third or more times are 2.42 times more likely to give birth at home compared to women who were delivering for the first time. Women residing at places more than three hours away from the health facility were 2.58 times more likely to give birth at home compared to women residing less than three hours away. During their last pregnancy, 99.4% of the participants have sought at least one ANC.
Conclusions: This study suggests that the two most important factors associated with home delivery are the distance to health facility from their residences and the parity.