bluuebunny/crossref_metadata_2025_split huggingface dataset:
Outcome of critically ill patients with non-thyroidal illness
Authors: Afsana Faria , Fatema Kaniz , Ahsan ASM Areef , Bhowmik Bishwajit , Siddique Tasnima 
Published: January 2021

Background: During period of critical illness, there are diverse alterations in the hypothalamus-pituitarythyroid (HPT) axis. This diversity in critically ill patients and the etiological relationship between underlying disease and non-thyroidal illness (NTI) is poorly understood. The aims of this study were to examine the features of NTI and outcomes in critically ill patients admitted in Critical Care Medicine (CCM) Department, BIRDEM General Hospital.
Methods: A total of 86 patients admitted to CCM department, BIRDEM General Hospital during the period of July to December 2015 , having nonthyroidal illness, detected by thyroid function tests during ICU stay were enrolled in this study. All patients discharged from hospital were followed up for a period of 6 months. Patients with known thyroid diseases or taking medications that affect thyroid function were excluded. Condition at hospital discharge and mortality in the ICU or later at home after discharge within next 6 months was assessed as outcomes.
Results: Mean age of the study subjects was 63.87(±13.5)years and 45(52.3%)of the study subjects were female. Most of the study subjects had diabetes (84.88%) and hypertension (82.55%).Mean (±SD) of FT3 (pmol/l), FT4(pmol/l), TSH (uIU/ml) were 2.85(±1.35),12.74(±8.17) and 2.81(±8.57)respectively. Among the total study subjects 44.18% patients died in ICU and 2.32% patients after shifting to ward. Among the patients having pneumonia, Myocardial Infarction(MI) /Arrhythmia, Stroke, Sepsis and Gastrointestinal disease, 50.94% 51.02%, 56.0%,53.85%,37.50% died in hospital (ICU or after shifting toward).The 46 patients ,who were discharged from hospital were followed up for next 6 months.
Conclusion: NTI is a transient adaptive response affecting individuals with acute and chronic illness and is more common among patients admitted in intensive care unit (ICU). The prognosis of patients having NTI depends on severity of thyroid dysfunction.
Birdem Med J 2021; 11(1): 47-51
Heerfordt’s syndrome: an uncommon manifestation of sarcoidosis
Authors: Ahmed Syed Mohaimeen , Hossain Anika , Azad Md Rihan , Khan Mohammad Sakhawat Hossen , Islam Md Rashedul 
Published: January 2021

Heerfordt’s syndrome – the combination of facial palsy, parotid swelling, anterior uveitis and fever, is a rare manifestation of sarcoidosis. Here, we present case history of a patient with bilateral lower motor neuron facial nerve palsy, who was found to have bilateral parotid gland swelling and bilateral hilar lymphadenopathy. Computed tomography guided fine needle aspiration cytology from hilar lymph node findings were consistent with sarcoidosis. Subsequently, based on clinical features and cytological findings, the case was diagnosed as incomplete Heerfordt’s syndrome.
Birdem Med J 2021; 11(1): 67-69
Acute kidney injury secondary to hypothyroidism induced rhabdomyolysis: a case report
Authors: Ullah Md Amirul Islam Kudrat , Ghosh Rahul Prasad , Khanam Fatisha , Jahan Ishrat , Chowdhury Tufayel Ahmed , Rahim Muhammad Abdur , Ananna Mehruba Alam , Iqbal Sarwar 
Published: January 2021

Renal impairment is occasionally reported in association with hypothyroidism. We report a case of a middle aged man, who presented with features of rhabdomyolysis and acute kidney injury which was ascribed to underlying undiagnosed hypothyroidism. The etiology is presumed to be multifactorial; hemodynamic effects and a direct effect of thyroid hormone on the kidney play important role. This case enlivens the necessity of assessing thyroid function in cases of unexplained renal failure. Awareness about this rare presentation of a common disease would alert the physician to effectively treat this dreaded yet reversible complication.
Birdem Med J 2021; 11(1): 72-74
RELATIONSHIP OF OBESITY AND STRESS WITH HYPERTENSION EVENTS IN WOMEN IN NADGALO PADANG HEALTH CENTER
Authors: Alisa Fitria 
Published: January 2021

This research uses descriptive analytic cross sectional design. Data collection was conducted at Nanggalo Public Health Center in Padang with a sample of 57 people, with accidental sampling technique. Retrieval of data using primary data collected through questionnaires and weighing BMI and secondary data obtained from the documentation study at Padang Nanggalo Public Health Center. Data were processed with SPSS using univariate analysis of frequency distribution and bivariate chi- square test.The results of the study are known from 57 respondents 66.7% who suffer from hypertension, 78.4% respondents who are obese, 80% respondents are stressed Bivariate analysis showed that there was a relationship between. The relationship between obesity and hypertension (p= 0.024 ? 0.05). The relationship between stress and hypertension (p=0.030 ? 0.05). From the results of this study the incidence of hypertension in women is related to the use obesity and stress. Suggestions for health workers to further improve counseling about healthy eating and exercise to prevent hypertension.
FACTORS RELATED TO FALLING RISK PREVENTION OF PATIENTS AT RSUD ENCIK MARIYAM DAIK LINGGA IN 2020
Authors: Ramayana Zurva 
Published: January 2021

Patients’risk of falling in is an increased susceptibility to falls which can cause physical harm. Fall prevention done by assess, the use of the yellow bracelets for the high risk; and a constant monitoring andevaluating. External factorthat affect the implementation of fall risk prevention is organization and management factor, work environmental, work team, the attendant, assignment, patients, and communication. Observation on the ward the nurse had been giving education the fall risk prevention, somebedrailwere not elevated and the patients’ with highfall risk who do not wear the yellow bracelet. As suchit can be concludethat the nurse had been carrying out assessment of thefall risk but the implementation of the fall prevention stillnot optimal.The purpose of the research is to determine the factors that relate to theact of fall risk prevention by nurses in Encik Mariyam State Hospital of Daik Lingga Year 2019. Research is using the methods of descriptive analytic and across sectionalas the time approach, the sampling method used is total sampling, totaling 32 respondents as sample. The results of the study is analyzed using the Chi-square test and showed thecorrelation between the relating factors such as knowledge, attitudes and motivation of nurses with patients’ risk fallprevention by nurses in Encik Mariyam State Hospitals of DaikLingga Year 2019. Based on the study result to improve the implementation of the risk fall prevention hospital management and the nurse practitioner should improve the knowledge of the fall risk prevention,and improve the motivation in doing the correct fall risk prevention implementation.
FACTORS AFFECTING HYPERCOLESTEROLEMIA IN LANSIA IN THE WORKING AREA OF PUSKESMAS DAIK 2020
Authors: Rubiah Rubiah 
Published: January 2021

Hypercholesterolemia is one of the causes of metabolic disorders that cause coronary heart disease, blood vessels and diseases related to blockage of blood vessels. WHO data in 2015 states that more than 17 million people worldwide die from coronary heart disease and blood vessels. The results of screening for the elderly in the Daik Community Health Center Work Area in 2019, of the 398 elderly who were examined, there were 283 elderly who had hypercholesterolemia, namely 71.1% of the elderly with cholesterol> 200 mg / dl. One of the factors that affect hypercholesterolemia, among others: Diet and Physical Activity. The purpose of this study was to determine the factors that influence hypercholesterolemia in the elderly in the Daik Community Health Center Work Area in 2020. This research is a quantitative study with a cross sectional design. The study population was 283 elderly people aged> 60 years who had hypercholesterolemia. The sample in this study were 165 people with purposive sampling technique. Data were collected using a Diet questionnaire and a Physical Activity questionnaire. which was carried out on the elderly aged 60-75 years with hypercholesterolemia .. Data analysis for bivariate with chi-square test at degree ? = 0.05. The results showed that the eating habits of the most respondents were eating foods containing cholesterol, the results of statistical tests were obtained by using Chi-Square analysis x2 count 52.5 ? x2` Table 5.991. The most respondents physical activity was light physical activity with the number of Metabolic <600 (MET), the results of the Chi-Square test x2 count 182.94 ? x2` Table 5.991. There is a significant influence between dietary habits and physical activity with hypercholesterolemia in the elderly in the Daik Community Health Center Work Area. Keywords: Elderly, Hypercholesterolemia, Daik Community Health Center
SELF CARE MANAGEMENT EVALUATION IN HYPERTENSION PATIENTS
Authors: Aprilatutini, S.Kep.,M.Pd Titin , Sihotang Raja , Utama Tut Anggriani , Yustisia Nova 
Published: January 2021

Hypertension is a health problem that needs attention because of its high morbidity and mortality. hypertension must be treated properly because it causes various kinds of complications. Compliance becomes a form of independence in the management of patients, especially those with hypertension, in the form of a framework that focuses on selfcare. The purpose of this study is to review the literature to determine the percentage of self care management of hypertensive patients. The literature search method was carried out through the CINAHL, DOAJ, and Pubmed database and obtained 30 research articles and then examined the completeness of the menus in the research articles with a total of 15 articles. After that, the criteria and stages of critical review were carried out using the Joanna Briggs Institute (JBI) format with a total of 10 articles that were reviewed by literature. The results showed that hypertension self management was in the good category. Further research is needed to provide an intervention strategy for hypertensive patients to improve self-care practices and control of related factors.
A utilização da laserterapia na prevenção e tratamento da mucosite bucal: uma revisão da literatura
Authors: Gondim Flávio Murilo Lemos , Souza Breno Estevam Silva de 
Published: January 2021

Este trabalho é uma revisão de literatura, realizado entre junho 2019 e junho de 2020, que se dedicou a analisar artigos publicados na última década, sobre a utilização da laserterapia em pacientes acometidos por mucosite bucal, buscando relatar os fundamentos científicos que justifiquem a utilização desta medida terapêutica e as melhorias na qualidade de vida dos pacientes que se submeteram ao tratamento. Método: Busca realizada nas bases de dados Pubmed®, Scielo, Medline e LILACS, sendo descartados os artigos que não eram disponibilizados na íntegra ou cuja abordagem se distanciava do tema proposto. Conclusão: Os autores analisados defendem que houve uma considerável melhoria na qualidade de vida dos pacientes acometidos por mucosite bucal, quando submetidos a laseterapia de baixa intensidade, principalmente diante do controle da dor e dos processos inflamatórios, bem como, no reestabelecimento das funções bucais. Reforçam ainda a necessidade de capacitação dos profissionais que utilizam a laserterapia e a inclusão dos mesmos na equipe multidisciplinar.
Uso de óleos essenciais in natura e ozonizados no controle in vitro de Trichophyton mentagrophytes
Authors: Kume Joelma Evelin Pereira , Andreani Junior Roberto , Di-Tanno Marilisa Flavia Pereira , Kozusny-Andreani Dora Inés 
Published: January 2021

Algumas espécies de fungos são capazes de provocar infecções micóticas. Uma dessas infecções, é a dermatofitose, causada por um grupo de fungos, denominados Dermatófitos que compreende os gêneros Trichophyton, Microsporum e Epidermophyton. O tratamento da doença é realizada utilizando antifúngicos convencionais. A emergência de cepas resistentes tem estimulado ao desenvolvimento de medicamentos naturais e ao emprego do gás ozônio. Objetivou-se nesta pesquisa avaliar a atividade antifúngica de óleos essencias in natura e ozonizados frente ao Trichophyton mentagrophytes ATTC 9533. Foram empregados óleos essenciais in natura e ozonizados de Cinnamomum cassia, (L.) Presl), Eugenia caryphollata L. Merr. & L. M. Perry, Cymbopogon winterianus Jowitt, Eucalyptus globulus Labill, Eucalyptus staigeriana F. Muell. ex F. M. Bailey e Mentha piperita L., avaliados quanto a atividade antifúngica. Os óleos foram ozonizados em equipamento corona (Ozon & Life). Utilizou-se a técnica de microdiluição para avaliar a concentração inibitória mínima (CIM) e a concentração fungicida mínima (CFM). Foi determinada a cinética fungicida dos óleos essenciais. Os óleos de C. winterianus C. cassia e E. caryphollata, ozonizados se mostraram capazes de anular Trichophyton mentagrophytes com exposição de 5-10 minutos, mostrando-se mais eficientes que os de eucalipto e de menta De forma geral, os resultados evidenciaram a atividade antifúngica dos óleos essenciais, apontando a possibilidade do uso na terapêutica antifúngica frente ao dermatófito avaliado. No entanto há necessidade de realização de estudos em relação à segurança no uso e de eficácia dos óleos essenciais.
Resposta diferencial a diferentes classes de herbicidas: Tradescantia pallida (Rose) D. R. Hunt var. purpurea Boom como planta modelo
Authors: Menegazzo Renato Fernando , Rickli Max Emerson , Scanavacca Juliana , Lima Julliane Destro de , Silveira Ana Cristina da , Menegazzo André Werlang , Souza Silvia Graciele Hülse de , Lopes Ana Daniela 
Published: January 2021

Tradescantia pallida é uma planta ornamental amplamente encontrada em canteiros e jardins urbanos. No entanto, informações sobres as respostas fisiológicas e bioquímicas dessa planta ornamental a herbicidas são escassas. Diante disso, este trabalho teve como objetivo avaliar a toxicidade, capacidade de rebrota, crescimento, fisiologia, e alterações no metabolismo de T. pallida após aplicação de diferentes classes de herbicidas. Os tratamentos consistiram na pulverização dos herbicidas: atrazina (1.500 g ha-1), diquat (300 g ha-1), carfentrazone (10 g ha-1), glifosato (1.500 g ha-1) e 2,4-D (1.050 g ha-1) sobre T. pallida. Plantas pulverizadas somente com água representaram o grupo controle. As avaliações foram realizadas 5 dias após a aplicação dos herbicidas. Foi avaliado a toxicidade visual e índice de rebrota, fluorescência da clorofila a, conteúdo de clorofilas (a, b e a+b), carotenoides e prolina. O herbicida 2,4-D não atuou sobre a planta, mas pode ter produzido efeito genotóxico. Glifosato aumentou significativamente o teor de prolina e gerou índice zero de rebrota, evidenciando sensibilidade da planta ao herbicida. Carfentrazone não foi totalmente eficiente sobre o controle de T. pallida, que também não demonstrou sensibilidade a atrazina, mas alta sensibilidade a diquat, apesar do baixo teor de prolina verificado. As diferentes classes de herbicidas atuam de maneira diferente quanto à toxidez, rebrota, fisiologia e metabolismo de T. pallida, sendo estas, variáveis úteis para investigar a possível tolerância de plantas às diferentes classes de herbicidas.
ANALYSIS OF G-MEAD HUMAN SELF DEVELOPMENT STAGE ON THE APPLICATION OF ONLINE LEARNING IN SMAS NUSANTARA BUNGAH
Authors: Isnaini Falihah Afriliyah Ali Hasby  
Published: January 2021

This policy means that all activities must change their orientation, that is, they may not go through face-to-face, including teaching and learning activities at various levels of education, both formal and informal. Teaching and learning activities continue, but must take advantage of-based media online or whatever form it takes as long as it is not face-to-face with the intention of avoiding the transmission of Covid-19 in Indonesia. This research is a type of qualitative research. The data analysis technique used in this study is a qualitative descriptive technique with critical theory studies supported by the stages of child development in the rationalization of technology as a scalpel. This research was conducted at SMAS Nusantara Bungah, which has implemented-based learning methods online during the pandemic. Therefore, macro and micro solutions are absolutely necessary to avoid the possibility of something worse happening. At the macro level, the government must immediately issue a new policy regarding a more humane learning model by providing supporting facilities and infrastructure. Then at the micro level, an intense dialogical relationship is needed to make the best use of technology between teacher-parents and teacher-students to solve grassroots problems.
A Work Built to Last…
Authors: Lusek Joanna 
Published: January 2021

Sister Wanda Garczyńska of God’s Will (1891–1954) was born in Lviv. She grew up in a home with patriotic traditions. She attended the educational institutions in Niżniów and Jazłowiec and the Wanda Niedziałkowska Women’s High School in Lviv. During World War I, as a volunteer nurse, she worked in military hospitals in Kiev and Lviv; she also helped in orphanages for children, and organized scouting activities. Her passion and life mission was teaching. In 1919, she graduated from the Teachers’ College in Krakow, and in 1925—from the Higher Courses for Teachers in Lviv. In 1926, she entered the Congregation of the Sisters of the Immaculate Conception of the Blessed Virgin Mary. After that, she taught in the schools of the Immaculate Conception in Jazłowiec and Jarosław.
In 1934, she became the head of the private primary school of the Congregation at 59 Kazimierzowska Street in Warsaw’s [Warszawa] Mokotów district. From 1940, when the facility was closed by the German authorities, until she left before it was burnt down in mid-August 1944, the school held secret classes covering the secondary school curriculum for girls and boys, and secret university lectures. At Kazimierzowska, help was provided to Jewish children from the Warsaw ghetto, displaced persons from the nearby bombed houses and refugees. In March 1983, the Yad Vashem Institute of National Remembrance awarded Sister Wanda Garczyńska posthumously with the Righteous Among the Nations Medal.
After the end of World War II, Sister Wanda Garczyńska organized a female gymnasium and a boarding school in Wałbrzych-Sobięcin. In June 2012, the Educational Foundation named after sister Wanda Garczyńska was established there. Its task is to support the unemployed, the poor, single mothers with children and to implement programs for the promotion of professional activation and health, as well as to support educational activities.
A regulação do Ensino Superior como interface da regra do funcionalismo público: a carreira docente em Angola
Authors: Manuel Tuca 
Published: January 2021

Gerar a compreensão sobre o percurso regulatório do ensino superior em Angola é o objetivo do presente artigo, implicando para além da perscrutação dos pacotes legislativos, o acesso às lógicas, práticas e estratégias de sua implementação pelas Instituições do Ensino Superior (IES). Durante a investigação sobre a cultura organizacional da universidade, um estudo de caso institucional no âmbito do doutoramento em sociologia da educação pela Universidade do Minho, foi possível apreender a partir das entrevistas, da análise documental e do inqiêrito por questionário na escala de likert, que a evocação de instrumentos de natureza avaliativa assentes na lógica de entrada/saída, de fluxos e de tarefas revelaram-se insuficientes para criar a integridade socio-organizacional da regulação. As variantes dos Estatutos da Carreira Docente (ECD) ao longo de mais de três décadas da única Universidade Pública no País - Universidade Agostinho Neto (UAN), premiaram uma regulação que entrelaçada por lógicas de racionalização e de optimização em nome do desenvolvimento e da competitividade económica, (des)contextualizam-se devido ao mimetismo à regra do funcionalismo público na concepção e na gestão do ECD e normas conexas.
Palavras-chave: Estatuto da carreira docente. Regulação do ensino superior. Regra do funcionalismo público.
The Applicability of CNPs Worksheet for Measuring Students’ Ability in Designing Experiment
Authors: Santoso Purwoko Haryadi , Wiyatmo Yusman 
Published: January 2021

This developmental research had developed two applicablecurious note programs (CNPs) worksheets for quantifyingstudent performances in designing experiment on newton law’s of gravity. This study involved fourdevelopmental proceduresof Thiagarajan’s 4-D model. The CNPs worksheet was pilot tested in 3 groups of students at Yogyakarta’s public school. It included 22 students for the pilot group and 60 students for the implement group. Our initial step of this developmental project had designed applicable CNPs worksheet based on acceptable CVI values, reliable measured results, and positivefeedbacks from the user in both worksheets. Using this instrument, this study had revealed some interesting findings that our participants still discovered some difficulties in performing this kind of scientific abilities. Meanwhile, this study has recommended CNPs worksheet for the physics education communities as a convincing tool for measuring students’ ability in designing physical experiment.
The “force of commerce,” capitalism, and the common good in early American history
Authors: Middleton Simon 
Published: January 2021

Cet article expose le débat concernant le rapport entre le commerce, le progrès, la création de richesse et le bonheur depuis les dix-septième et dix-huitième siècles jusqu’à aujourd’hui. Il avance l’argument suivant : dès l’origine, les analystes étaient divisés entre les optimistes qui louaient les potentialités lucratives et humanitaires du commerce et de la société civile, et des voix plus critiques qui décriaient l’intérêt personnel inhérent au commerce, intérêt justifiant divers processus antisociaux et déshumanisants, qu’il s’agisse de la parcellisation des terres communes, de la colonisation, ou encore de l’exploitation liée au travail pouvant aller jusqu’à l’asservissement et au commerce d’êtres humains. Dès avant les années 1840, ces positions opposées avaient provoqué un débat entre les chantres et les détracteurs du capitalisme concernant sa relation avec le bien commun. À en juger par les menaces contemporaines que font peser sur nos vies l’urgence climatique et la pandémie de Covid-19, ce débat reste essentiel. Le présent article expose brièvement l’historiographie récente concernant l’histoire du capitalisme en lien avec la Jeune Amérique, ainsi que la relation que cette historiographie entretient avec Marx et sa critique de l’économie politique classique ; il pose la question de savoir dans quelle mesure la critique marxiste représente un contrepoint efficace à l’éthique capitaliste et à ses effets sociaux. Il se termine par une réflexion sur des travaux critiques récents ayant Marx pour objet et affirme qu’une relecture renouvelée et revigorée de Smith et de Marx pourrait, à l’avenir, ouvrir des perspectives de recherche fructueuses.