bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Characteristics and Outcome of ANCA-Associated Vasculitis; Experience of A Single Reference Vasculitis Center
Authors: Irmak İlim , Bas Silam , Inam Maide Gözde , Tekin Fatih , Yesilyurt Berkay , Bilgin Emre , Kilic Levent , Karadag Omer , Coplu Lütfi 
Published: December 2020

Objective: The aim of the study is to describe the clinical characteristics of Antineutrophil cytoplasmic antibodies-associated vasculitis and to analyze the parameters affecting the outcome.
Materials and Methods: The study is a retrospective cohort study. Totally 130 patients with Antineutrophil cytoplasmic antibodies-associated vasculitis (18 years and over) who were followed up between October 2014 and October 2019 were analyzed. Demographic data, laboratory values, clinical course, thorax computed tomography findings and treatment approaches were noted from the charts of patients. Patients were divided into two groups as those with pulmonary involvement and non-pulmonary involvement.
Results: We retrospectively reviewed the medical records of 130 patients with Antineutrophil cytoplasmic antibodies-associated vasculitis; 111 with granulomatosis with polyangiitis, 15 with microscopic polyangiitis, 1 with eosinophilic granulomatosis with polyangiitis, and 3 with other types of vasculitis. The ratio of having the abnormality in thoracic computed tomography was 72.2%. There were 84 cases with pulmonary involvement and 46 cases with non-pulmonary involvement. The frequency of microscopic polyangiitis was significantly higher (p=0.034) in non-pulmonary involvement cases.
There were 67 cases with proteinase 3 Antineutrophil cytoplasmic antibodies and 39 cases with myeloperoxidase Antineutrophil cytoplasmic antibodies positivity. Most of the cases with proteinase 3 Antineutrophil cytoplasmic antibodies positivity were classified as granulomatosis with polyangiitis, this was statistically significant. Recovery was referenced for the outcome. Any of the variables were found statistically significant effective on outcome.
Conclusions: Cases with pulmonary involvement were more than the cases without pulmonary involvement in our study. microscopic polyangiitis was significantly higher in non- pulmonary involvement cases. We studied on a large group, and these significant findings may have important implications for the investigation, pathogenesis, and treatment of Antineutrophil cytoplasmic antibodies-associated vasculitis.
Review of the monograph by K. P. Osadcha "Theoretical and methodological fundamentals of vocational training of future teachers for tutoring"
Authors: Lazariev Mykola , Koval Tamara , Machynska Nataliia 
Published: December 2020

In the publication the theoretical and methodological research of K. P. Osadcha “Theoretical and methodological fundamentals of vocational training of future teachers for tutoring” has been analyzed, which reflects the theoretical and practical aspects for vocational training of future teachers to new realities of teaching, namely the implementation of tutoring in working with children at primary, secondary and high school. The authors have analyzed the structure of this monograph, highlighted main author achievements, which are the historical and pedagogical analysis of the development for tutoring in Ukraine, the determination of the essence the tutoring, the structure of the tutor competence and conceptual foundations of vocational training of future teachers for tutoring.
CONSTRUCTIVE DESIGN OF HEAT EXCHANGERS "TUBE-IN-TUBE" (REVIEW)
Authors: Mikulionok I.O. 
Published: December 2020

Advanced designs of one of the simplest and reliable heat-exchange apparatuses for processing of various liquid and gaseous environments – heat exchangers "tube-in-tube" are considered. New designs in the majority a case eliminate the main defect of classical heat exchangers "tube-in-tube" – a small surface of a heat transfer. However increase in a heat exchange surface usually significantly complicates production and/or operation (including repair) heat exchangers. Classification of the heat exchange devices "tube-in-tube" is proposed: The following signs are the basis for classification: assembly level, quantity of streams in channels, the design material nature, degree of mobility of heat exchange tubes, existence of vortex generators in channels, a form of external and/or internal tubes. The critical analysis of the most characteristic designs of the heat exchangers "tube-in-tube" developed by domestic and foreign designers and inventors is made. Bibl. 17, Fig. 21.
TERRA INDÍGENA EM DISPUTA: A RETERRITORIALIZAÇÃO DOS POTIGUARA NA TERRA INDÍGENA POTIGUARA MONTEMOR/PARAÍBA/BRASIL
Authors: Costa Ivys Medeiros , De Andrade Maristela Oliveira , Gonçalves Alicia Ferreira , Martinez-Torres Maria Elena 
Published: December 2020

A disputa pelas terras ocupadas pelos Potiguara tem se processado em ondas históricas, iniciadas com as invasões coloniais portuguesas no século XVI e a ocupação efetiva do litoral paraibano, entre 1585 e 1634, com a introdução do plantio da cana-de-açúcar. No século XX, nos anos 1970, novas ondas de ocupação tiveram origem na instalação de complexo industrial têxtil, de agroindústrias sucroalcooleiras. Nos anos 2000, a produção de camarão em tanques, com incentivo do Estado, ocupam porções do território indígena. A partir deste cenário de ocupações sucessivas, o objetivo deste artigo é analisar o processo de reintegração de posse em favor dos Potiguara, em uma disputa de terra que envolveu a família Lundgren, as usinas de cana de açúcar, a Fundação Nacional do Índio, o Ministério Público Federal e o Governo Federal. Esta pesquisa com foco etnográfico consistiu na revisão do estado da arte, realização de entrevistas e mapeamento dos conflitos. Foi feita a disputa territorial nas Terras Indígenas Potiguara Montemor a partir do movimento de reterritorialização resultante das lutas desse povo indígena. A reconquista das terras foi assegurada pela legislação que protege os direitos indígenas, quanto ao usufruto exclusivo de suas terras e ao respeito de seus costumes e organização política, conforme o art. 231 da Constituição Federal. Por fim, concluiu-se que a resolução duradoura dos conflitos fundiários na TI Potiguara Montemor requer a efetivação da demarcação de suas terras, para garantir seu território, o acesso a políticas indigenistas e mitigar os impactos dos grandes empreendimentos econômicos.
LEARNING FROM PALU: REBUILDING A BETTER CITY IN THE AFTERMATH OF NATURAL DISASTER
Authors: Handayani Prawita Meidi , Puspasari Poetika 
Published: December 2020

<p>Indonesia is the largest archipelagic country located in the ring of fire, which puts it at a high risk of natural disasters. Earthquakes, tsunami, and liquefaction that occurred in Palu in 2018 that resulted in significant material and immaterial losses were some of the examples. The earthquake and tsunami resulted in a total casualty of 1.347 people and caused the loss of access to clean water and electricity, as well as a change in the geographical structure and landscape of the city of Palu. Thus, the purpose of this study is to analyze the implementation of post-disaster rehabilitation and reconstruction in the city of Palu using a qualitative research methodology. In addition to that, this study also discusses the relationship between Palu disaster, human security, and national defense. Qualitative research in a descriptive manner that offers a complete description and analysis regarding Palu disaster was held to answer the research question presented in this paper. The results show that the natural disasters that occurred in Palu in 2018 brought about an impact on people's lives and all aspects of human security. This is because, in each phase of the disaster that occurred, the Government of Indonesia failed to protect the community from the risk of such a disaster. Furthermore, based on the Disaster Risk Reduction criteria, the rehabilitation and reconstruction that have been carried out are relatively adequate. However, non-structural aspects of mitigation, which is one of the important aspects of disaster risk reduction, have not been carried out. Disaster training and simulations so far have only been done once and not regularly, therefore jeopardizing the community's preparedness for future occurrences of natural disasters. Therefore, improvements in disaster management need to be done in Indonesia</p>
PENGGALANGAN PARA MANTAN NARAPIDANA TERORIS GUNA MENCEGAH RADIKALISME DAN TERORISME DI PROVINSI SUMATERA UTARA
Authors: Pardede Satya Dharma 
Published: December 2020

Tulisan ini adalah sebuah kajian tentang pentingnya penggalangan para mantan narapidana teroris guna mencegah berkembangnya paham radikalisme di Provinsi Sumatera Utara. Berdasarkan keterangan dari BNPT, dari sekitar 600 orang mantan narapidana teroris (Napiter) yang sudah bebas, beberapa diantaranya kembali melakukan aksi terorisme. Kasus-kasus serangan terorisme di Indonesia telah mengungkap peran mereka, para tokoh dan pengikut ISIS yang masih berada di balik maupun sudah keluar penjara. Lembaga Pemasyarakatan (LP) yang seharusnya tidak hanya memberikan sanksi hukum dan menciptakan efek jera, namun juga dapat menyadarkan mereka atas perilaku mereka yang keliru. LP yang menyiapkan mereka kembali ke masyarakat, ternyata telah berubah fungi, digunakan sebagai tempat untuk menyebarkan ideologi mereka dan merekrut pengikut baru. Para mantan Napiter tersebut kini telah kembali ke masyarakat yang tersebar ke berbagai daerah, salah satunya daerah Provinsi Sumatera Utara. Para mantan Napiter merupakan pihak yang dapat digalang untuk mencegah berkembangnya kembali paham radikalisme dan aksi terorisme. Indonesia pernah dikagetkan dengan kejadian ledakan bom bunuh diri di Polrestabes Medan pada November 2019 lalu. Pelaku bom bunuh diri berinisial RMN merupakan warga Kecamatan Medan Marelan Kota Medan. Hasil pengembangan penyelidikan yang dilakukan oleh aparat keamanan bahwa pelaku memiliki jaringan yang tersebar di Kota Medan. Sebagian besar anggota kelompok jaringan pelaku merupakan warga Kecamatan Medan Belawan. Densus 88, Polda Sumatera Utara dan Polres Pelabuhan Belawan langsung melakukan penggerebekan ke rumah-rumah para tersangka jaringan RMN. Dalam kegiatan penyidikan aparat Kepolisian juga dibantu oleh Lantamal I untuk mengamankan lokasi. Gagalnya perjuangan ISIS di Suriah telah membuat strategi baru agar pengikut mereka disebar ke seluruh dunia salah satunya Indonesia. Salah satu kelompok yang berafiliasi dengan ISIS adalah Jamaah Ansharut Daulah (JAD). Kebangkitan perlawanan secara serentak kelompok JAD mengakibatkan bertumbuhnya sel-sel jaringannya di daerah Sumatera Utara. Pada kasus terorisme yang terbaru di Provinsi Sumatera Utara, Polisi telah menetapkan 23 tersangka terkait bom bunuh diri tanggal 13 November 2019 di Polrestabes Medan. Hasil pemeriksaan aparat keamanan diperoleh keterangan bahwa para tersangka tersebut merupakan bagian dari kelompok JAD wilayah Aceh dan Sumatera Utara. Para tersangka telah membaiat diri kepada Amir JAD wilayah Sumatera Utara, termasuk pelaku yang meninggal dunia RMN. Melihat perkembangan tersebut maka perlu dilakukan penggalangan intelijen namun tetap memperhatikan Hak Asasi Manusia (HAM) daripada para mantan Napiter tersebut. Oleh karena itu dibutuhkan suatu metode penggalangan yang mengedepankan pendekatan persuasif (<em>soft approach</em>) dan menyentuh akar rumput (<em>soul approach</em>) yang dapat menyentuh dan memperbaharui objek penggalangan itu.
Oral bleeding in dengue fever - Our perspective
Authors: Khan Saif , SZ Rahman 
Published: December 2020

Dengue fever is one of the major public health problem in the tropical and subtropical countriesacross the globe with around 50-100 million cases occurring annually. It is a mosquito bornedisease caused by dengue virus of Flaviviridae family. There are four known serotypes ofdengue virus found worldwide. Aedesaegypti mosquito is the principal vector of transfer ofdengue virus in humans. Dengue clinically presents with high grade fever, chills, head-ache,retro orbital and severe back ache and sometimes with hemorrhagic manifestations whichcan occur without plasma leakage and also with plasma leakage as dengue hemorrhagic fever(DHF) and Dengue shock syndrome (DSS). Oral bleeding is one of the important hemorrhagicmanifestations of dengue clinically manifesting as petechiaes, ecchymosis, gingival bleedingand hematomas .The dentist is sometimes the first person who encounters these types of cases.Therefore, timely diagnosis and prompt referral can prevent morbidity and mortality. This paperdiscusses about the clinical and diagnostic perspectives which a dentist should know in order todiagnose a case of dengue fever presenting with oral bleeding.
Bangladesh Journal of Medical Science Vol.20(1) 2021 p.11-16
A Profile of Heart Failure with Preserved Ejection Fraction in a Teaching Hospital
Authors: Agrawal Bimal K , Aggarwal Gaurav , Gahlawat Robin , Prasad Suvarna , Saini Amit , Kaur Barinder , Agrawal Usha 
Published: December 2020

Objective: Heart failure with preserved ejection fraction (HFPEF) is fast becoming animportant public health issue. Nearly fifty percent of all heart failure cases are due to HFPEF.There are many associated comorbidities has been associated with this condition which maybe pathophysiologically related. There is no specific treatment yet. The focus remains onsymptomatic treatment of heart failure along with carefully managing the associated conditions.The present study was aimed at analyzing the comorbidities in HFPEF in a tertiary care centre.
Method: Patient diagnosed with heart failure wereechocardiographically analyzed. Thoseshowing diastolic dysfunction on tissue Doppler imaging were diagnosed as HFPEF. Patientswith chronic obstructive pulmonary disease, valvular heart disease, constrictive pericarditis,restrictive/ hypertrophic cardiomyopathy and sepsis related diastolic dysfunction were excluded.One hundred such patients fulfilling the inclusion and exclusion criteria were enrolled. Plasma Btype natriuretic peptide(BNP) level was assayed in all participants. Institutional Ethics Committeeapproval was taken beforehand. Written informed consent was taken from each patient.
Result: The mean age of the patients in the study group was 63.06yrs. HFPEF was more commonin females(62%). The common comorbidities observed were hypertension(82%), high bodymass index (80%),anaemia (76%), hyperlipidemia (30%) diabetes mellitus(28%). The plasmaBNP was elevated in all except 2 patients. The BNP level was higher in those with higherleft atrial size and those showing more severe diastolic dysfunction on tissue doppler imaging.Conclusion- HFPEF can be diagnosed clinically with the help of echocardiography. Plasma BNPlevel assay may be done when diagnosis is in doubt. The patients with HfpEf are heterogeneousand treatment need to be individualized depending on the associated comorbidities. Furtherstudies with larger sample size are required to define the profile of this disease.
Bangladesh Journal of Medical Science Vol.20(1) 2021 p.39-44
Anatomical variations of the middle Turbinate among adult Sudanese Population -A Computed Tomographic Study
Authors: Madani Gisma Ahmed , Badawi Kamal Eldin , Gouse Helen Suban Mohammed , Gouse Suban Mohammed 
Published: December 2020

Objectives: This study aimed to determine the prevalence of the anatomical variations of themiddle turbinate among adult Sudanese population which include Concha Bullosa (CB) andParadoxical middle turbinate (PMT) and their relationship with age and sex.
Methods: The studypopulation involved 29 males (47.5%) and 32 females (52.5 %) with a mean age of 37 years.Exploration was done in the radio-diagnostic department of Ribat University Teaching Hospital,Khartoum- Sudan in the period from January to September 2018. Patients were scanned on slicecollimation of 1mm thickness with a slice thickness of 4 mm. Computed Tomography (CT) scanswere retrospectively reviewed for the presence of CB and PMT coronal planes, bony windowsand reported the results in the datasheet. Statistical analysis was performed using SPSS andcompared with previous results on similar studies.
Result: In the current study, the prevalence ofthe CB was 22.9%, observed bilaterally in 6 cases (9.8%), unilaterally in 8 (13.1%). PMT waspresent only in 3 cases (4.9%) all of them were unilateral.
Conclusion: Computed Tomography(CT) may easily identify such uncommon anatomic variations of the osteomeatal region,determination of these variations aids in providing a better surgical orientation and avoiding orminimizing the possible complications.
Bangladesh Journal of Medical Science Vol.20(1) 2021 p.62-67
Comparison of dengue and other febrile illnesses in patients admitted to Teaching Hospital- Peradeniya
Authors: Nandasena Chamila Kumari , Abeysinghe Sathya Charuni , Kula Senanayake Abeysinghe Mudiyanselage , Rathnayak Rathnayake Mudiyanselage Manel , Ralapanawa Udaya , Rajapakse Jayantha , Bandar Jayasekara Mudiyanselage Kithsiri 
Published: December 2020

Background: Dengue is a severe and notifiable infection in Sri Lanka and other tropical countries.There are other febrile illnesses,which have the same symptoms as dengue. Identifying early changingmarkers in blood and their changing patterns in dengue and other febrile illnesses will help to differentiatedengue patients from other febrile illnesses.It is important for the early recovery and management of the dengue patients.
Methods: Dengue suspected 288 patients were selected from adult medical wards inTeaching hospital-Peradeniya, after initial screening process. Out of whole population, 56% were RTPCRpositive for dengue and RT-PCR negative population (44%) was named as other febrile illnesses.Results of variations in liver enzymes, full blood count (FBC), demographic and hospitalization detailsin both groups were obtained from hospital records.
Results: Male predominance and highly affectedyoung population were detected in both groups. Number of days from onset of fever to admission tothe hospital is lower and hospitalization period is higher in dengue than other febrile illnesses. Onadmission, higher level of aspartate transaminase, significant lymphopenia and higher mean cell volume(MCV) were noticed in dengue patients. On discharge, lower total white blood cell count, lower absolutelymphocyte count, lower platelet count and increased levels of transaminases were detected in denguecompared with other febrile illnesses.
Conclusion: From dengue suspected admissions, 44% was due toother febrile illnesses which was very difficult to distinguish by symptoms of dengue. Young patients withmale predominance is common in dengue as well as in other febrile illnesses. Recovery of cytopenia inFBC and normalization of liver transaminases were lower in dengue.
Bangladesh Journal of Medical Science Vol.20(1) 2021 p.101-106
“Concept mapping – an innovative approach to learning”
Authors: Paul Preetha , Easuraj Rajarajan , Arumugam Sasikumar , Srirangaramasamy Jamunarani 
Published: December 2020

Background:For a medical student to blossom into a competent doctor with critical thinkingand decision-making skills, appropriate learning techniques that will enhance his learning anddevelop higher-order thinking skills are needed. Concept mapping is a learning technique thatcreates a mind map. It serves to represent information in a structured format with appropriate linkage and sequencing.
Objective:This article describes a concept mapping workshop that wasorganized in our institution, our pre- and post-test results and the feedback we received.
Materialsand methods:An innovative workshop on “Learning by concept mapping” was organized forfirst year MBBS students. Twelve facilitators and 150 students participated. The workshopbegan with an introductory talk on concept mapping. Then, a demonstration on how to createconcept maps was given. This was followed by a hands – on session where the students createdtheir own concept maps under the guidance of facilitators. Pre- and post-tests were administeredand feedback on the workshop was taken.
Results and Discussion:Statistical analysis showedsignificant improvement betweenpre- and post-test scores. Participants appreciated the workshopand felt that concept mapping was an innovative way of learning and could help in assimilatingcomplicated subject matter.
Conclusion:Concept mapping, asa learning technique, can lead toa meaningful learning experience. Such innovative approaches to learning are welcomed bystudents.
Bangladesh Journal of Medical Science Vol.20(1) 2021 p.115-121
Adherence to Home-based Neuro-rehabilitation Exercise program in Stroke survivors
Authors: Babbar Priyanka , Kumar K Vijaya , Joshua PT Abraham , Chakrapani M , Misri ZK 
Published: December 2020

Background:Post discharge, Home-based exercise program (HEP), prescribed by physiotherapistis an integral part, to plan effective stroke rehabilitation, with the intended goal of maintainingfunctional motor performance and enhancing functional progress.Earlier studies have shown thatmany factors attribute to adherence and barriers for structured group based exercise program.
Objective: This study was designed to identify the factors in stroke subjects, which mayinfluence the adherence and barriers to individually tailored HEP post-discharge, in strokesubjects.
Method: An analytical cross-sectional study, with non-random sampling, consistingof first onset stroke subjects who had received acute stroke rehabilitation from tertiary carehospitals. Post-discharge, seventy-four participants were followed up and their responses relatedto adherence and barriers to the prescribed HEP by administering a self-reported adherence to home exercise questionnaire.
Results: 63.5% were adherent and 36.5% were non-adherent toHEP, among 74 subjects. The adherent group had performed exercises for at least 5-6 times in aweek, for 31-45 minutes each day. Intrinsic factors related to self-efficacy and perceived level ofanticipated recovery had found an association with adherent and non-adherent groups.The mostcommon barriers for adherence to HEP were fear of fall or injury and fatigue for both adherent and non-adherent subjects.
Conclusion: This present study helped to put an insight, onto sociodemographicand intrinsic factors, with the level of adherence and to identify the barriers foradherence to individually tailored HEP.
Bangladesh Journal of Medical Science Vol.20(1) 2021 p.145-153
Cytochrome c adsorption in a continuous flow system by using Cu(II)-chelated magnetic affinity particles
Authors: AKKAYA Recep , AKKAYA Birnur 
Published: December 2020

Background and methodology: In the current study magnetic poly(ethylene glycoldimethacrylate-N-methacryloyl-(L)-histidine methyl ester) poly(Egdma–Mah)) was used as ametal chelated affinity particles. Cu2+ ions loaded directly to MAH ligand of magnetic particlesfor the adsorption of cytochrome c (Cyt c) in a continuous flow system.
Results: The maximumCyt c adsorption capacity on the magnetic particles and Cu2+-chelated magnetic particles were42 mg/g and 197 mg/g in phosphate buffer (pH 8.0), respectively. Cu2+ loading increased theCyt c adsorption capacity, significantly. Cyt c adsorption capacity decreased with increasedtemperature and with increasing magnetic field. According to reusability studies Cyt c moleculescould be reversibly adsorbed and desorbed five times. The binding isotherm was determined byscatchard analysis followed by application of Hill equation to the data obtained, then bindingconstant and nH Hill coefficient were calculated.
Bangladesh Journal of Medical Science Vol.20(1) 2021 p.159-163