bluuebunny/crossref_metadata_2025_split huggingface dataset:
Utilization of Online Oral Reading Test in Determining the Reading Skills of the Grade 6 Pupils in English
Authors: NICOLAS VERONICA 
Published: April 2021

Reading is every child’s foundation where great learning is involved and evidently proved one’s comprehension. Reading teachers play a vital role in assessing their pupils’ reading skills and administering intervention programs for learners’ reading development. This action research employed the Phil-IRI (Philippine Informal Reading Inventory) Oral Reading Test. This is an informal measure that assesses the pupils’ reading skills, both their reading speed and comprehension. It consists of graded reading passages from Grade I to Grade VI. Each graded passage is followed by 7 comprehension questions for Grades I-III and 8 comprehension questions for Grades IV-VI. The questions are categorized into three dimensions, namely literal, interpretive, and applied. Hence, reading speed and comprehension of the pupils will be classified into three levels as frustration, instructional and independent with the applied criteria given by the Phil-IRI. Furthermore, the results of the study exhibited that the ten groups of pupils demonstrated low reading performance in their oral reading test both in speed and comprehension. The struggle of the online oral reading test was evidently shown through the weak internet connection provided by the internet servers in the country. With this, the researcher designed a reading intervention program through reading remedial class during asynchronous class. This will be administered using the online platform and available reading resources for the enhancement of pupils’ reading skills amidst these trying times of global pandemic, where distance learning has been practised first in the public schools’ setting in the Philippines.
Serum Procalcitonin in the Prediction of Severity and Outcome of Acute Pancreatitis
Authors: Saqeb Khan Md Nazmus 
Published: April 2021

Background: Different modalities are available for predicting severity and outcome of acute pancreatitis. A single marker with high sensitivity and specificity is yet to be identified.
Aim: This study intends to find out the utility of serum procalcitonin in predicting the severity and outcome of acute pancreatitis.
Methods: 117 patients admitted with acute pancreatitis were included.Clinical parameters and biochemical tests were recorded on admission, on day-3 & day-5 of admission. CT scan was performed in all patients. Serum procalcitonin was done on admission. Multifactorial scores were calculated using these data.Every patient was followed for identification of organ failure or other complications. Statistical analysis was done with SPSS.
Result: Among 117 patients, 67(57.3%) were male. Biliary, hypertriglyceridemia, alcohol, malignancy and post-ERCP complications were found as aetiology in 25(21.4%), 23(19.7%), 8(6.8%), 3(2.6%),2(1.7%) cases respectively. In 53(45.3%) cases no definite etiology could be found. 83(70.9%) patients had mild,15(12.8%) had moderately severe and 19(16.2%) had severe acute pancreatitis. 23(19.65%) patients developed complication, whereas 94 (80.34%) developed none. The mean serum procalcitonin(pg/ml) of patients with mild, moderately severe and severe disease was 146±165.21, 1297±439.44, 4361±1493.55 respectively. The difference among the groups were statistically significant. Mean serum procalcitonin(pg/ml) in patientswho developed complications was 3744±1827.05 and in those without complication it was 301±559.97.ROC curve evaluating the role of serum procalcitonin in predicting outcome of acute pancreatitis showed AUC of 0.985. A cutoff point of 1131.28pg/ml showed highest sensitivity (95.7%) & specificity (94.7%).
Conclusion: Serum procalcitonin can be a new promising marker to predict severity and outcome of acute pancreatitis.
Bangladesh Crit Care J March 2021; 9(1): 16-21
Polyarteritis Nodosa Presenting as Hypertensive Crisis
Authors: Saber Sadia , Haque M Touhidul , Alam Md Tarek , Hossain Mohammad Monower , Md Munir Hasan Khalid 
Published: April 2021

Hypertensive crisis is a deadly complication that should be avoided at all costs, let alone when it is associated with a rare disease, such as Polyarteritis Nodosa (PAN). We present a case of an adult female who initially came to Bangladesh Medical College Hospital (BMCH) with a prolonged high-grade fever responding to antipyretics. Upon follow up, the patient went into a hypertensive crisis, which led to the admission to Coronary Care Unit (CCU). The hypertension was difficult to control until the culprit was revealed. Polyarteritis Nodosa was then diagnosed by angiography, which showed tight stenosis of the left renal artery. Prompt treatment was initiated, and the patient's blood pressure normalized. Our case highlights the importance of detecting such diseases, since it may be easily missed as it usually presents with nonspecific symptoms. Newly detected Hypertension in patients of any age should not be taken lightly and should be investigated promptly. We hope our case report sheds enough light on this issue for other clinicians and researches to identify and prevent later on.
Bangladesh Crit Care J March 2021; 9(1): 52-55
Simultaneous COVID -19 and Cytomegalovirus infection in Renal Allograft Recipient: Case Report
Authors: Mahbub Tania , Haque Elena , Akter Salina 
Published: April 2021

Coronavirus Disease 2019 (COVID-19) has become a pandemic since March 2020.Kidney-transplant recipients appear to be at particularly high risk for critical COVID-19 illness due to chronic immunosuppression and coexisting conditions. We report a case of a young lady who being a renal allograft recipient developed concomitant COVID-19 and Cytomegalovirus (CMV) infection.
Bangladesh Crit Care J March 2021; 9(1): 56-58
Effect of Intact Pleura on Early Outcome after Off-Pump Coronary Artery Bypass Grafting
Authors: Dhruba Avishek Sarker , Hasan Md Kamrul , Khan Md Azizul Islam 
Published: April 2021

Background: Among the various options of treatment of ischemic heart disease coronary artery bypass grafting (CABG) remains one of the standard modes of revascularization. Coronary artery bypass grafting can be done with or without using cardiopulmonary bypass (CPB). This study was to compare postoperative early (up to 1 month) outcome of intact versus open pleura after off pump coronary artery bypass grafting (OPCAB).
Methods: In this study, sixty patients aged 18-70 years admitted in Department of Cardiac Surgery, NICVD who underwent OPCAB were selected for the study sample and divided into two groups. Groups I (n=30) consist of the patients who underwent OPCAB with pleurotomy and Group II (n=30) consists of patients who underwent OPCAB with intact pleura. Outcome of patients including Forced expiratory volume in first second (FEV1) & Forced vital capacity were evaluated.
Results: Patients having OPCAB with intact pleura showed lower incidence of atelectasis and pleural Effusion in 2nd postoperative & 5th postoperative day (p<0.05). Lower amount of chest tube drainage and transfusion requirement were observed in group II patients than Group I (530.00 ± 28.97 vs. 485.96±38.62; p<0.05 and 611.23±99.22 vs. 577.93±135.38, p>0.05, respectively). Moreover, higher duration of ventilation were noted in group I (7.50 ± 2.22 vs. 6.30±2.32, p<0.05). Beside these, total duration of ICU stay & hospital stay were significantly higher in patients OPCAB with open pleura (p<0.05).
Conclusion: Keeping the pleura intact during OPCAB is significantly associated with low rate of atelectasis and pleural effusion. Clinically, it decreases postoperative amount of blood loss and significantly lowers ICU stay, mechanical ventilation time and hospital stay. Therefore, it can be concluded that intact pleura during OPCAB improves postoperative pulmonary outcomes.
Cardiovasc. j. 2021; 13(2): 112-119
Incidence & Pattern of Valvular Heart Disease in Patients attended in Echo Lab at a tertiary care Hospital: A single Centre Study
Authors: Shafi Masuma Jannat , Nasrin Sahela 
Published: April 2021

Background: This echocardiographic study was undertaken to establish incidence, pattern & complications in patients of valvular heart disease.
Methods: A total of 97 patients were enrolled among the patients attended in echo lab at Ibrahim cardiac hospital & Research Institute over a period of 1 year.
Results: Mean age was 53.8±1.5 years. Male were predominant (58.76% vs 41.23%). Most common symptom was shortness of breath (60.8%) followed by palpitation (43.3%). 39.2% of patients had normal ECG & 12.4% revealed AF. The most common complication was pulmonary hypertension (54.6%) followed by pulmonary edema (26.8%), Stroke (10.3%), Left atrial thrombus (7.3%), & infective endocarditis (6.2%). MV was most commonly involved (72.2%) followed by aortic valve (AV) (66.0%), tricuspid valve (TV) (54.6%) & pulmonary valve (PV) was (20.6%). Rheumatic involvement (52.6%) constituted the dominant cause than degenerative & congenital (24.7% in each). Mitral stenosis (MS) was predominant (52.6%) & was rheumatic in origin; then aortic stenosis (AS) (48.5%) which was mostly degenerative followed by bicuspid aortic valve (8.2%). Mitral regurgitation (MR) was the most common valvular lesion (64.9%); then aortic regurgitation (AR) (51.5%) which was also rheumatic in etiology. Multiple valve involvement was also present. The most common variety was MS+MR (43.3%). Tricuspid stenosis (TS) was in association with MR+AR (1.03%). Tricuspid regurgitation (TR) was 58.8%, mostly secondary to rheumatic involvement of other valves. Severe TR (5.2%) was due to Ebstain anomaly and prolapse (4.1% & 3.1%). ventricular systolic & diastolic functions were normal mostly.
Conclusion: Among the rheumatic heart disease patients’ mitral valve was the most commonly affected valve. Mitral regurgitation was the most common valvular lesion. Rheumatic involvement remains the dominant cause of valvular heart disease in Bangladesh.
Cardiovasc. j. 2021; 13(2): 144-153
A Rare Combination of Complex Congenital Heart Disease with Acquired Rheumatic Valvular Heart Disease
Authors: Chowdhury Abdul Wadud , Haque Azizul , Hosen ABM Imam , Md Salim Gias Uddin , Islam Kazi Nazrul , Amin Mohammod Gaffar , Hoque Abu Taher Md Mahfuzul , Md Khalequzzaman - , Hasan Pratyay 
Published: April 2021

Tetralogy of Fallot (TOF) is a complex cyanotic congenital heart disease with a survival beyond middle age. Rheumatic and congenital cyanotic heart disease are common causes of hospital admission. However, coexistence of rheumatic heart disease with complex congenital heart disease like TOF is known to occur very rarely. This report presents a case of rheumatic valvular heart disease (AR & MR) with a complex congenital heart disease (TOF with PDA with PLSVC) in a 30 yrs old female. Patient was treated by conservative management and advised for corrective surgery and double valve replacement.
Cardiovasc. j. 2021; 13(2): 235-238
Aplicativos móveis e sua contribuição para pais sobre o desenvolvimento infantil
Authors: Rodrigues Douglas da Silva , Silva Meyson Santos , Tannus Lorena de Oliveira , Caldas Ivete Furtado Ribeiro 
Published: April 2021

O uso de softwares para as áreas da saúde tem atingido destaque nos últimos anos. Todavia, ainda são escassos dados referentes a quantidade e as características estruturais daqueles que abordem sobre o desenvolvimento de crianças nos primeiros anos de vida e os determinantes neurobiológicos, sociais e ambientais que podem interferir nesse processo. Este estudo objetivou realizar uma investigação documental em bases de dados indexadas e em aplicativos móveis sobre orientação para pais acerca do desenvolvimento infantil. Trata-se de um estudo de investigação documental, descritivo e de abordagem quantitativa. Para a busca de conteúdo teórico-científico e de aplicativos, a pesquisa realizada ocorreu em três etapas: 1) levantamento bibliográfico utilizando os descritores em bases de dados científicas Pubmed, via Medical Literature Analysis and Retrievel System Online (MEDLINE), Cochrane Library e Biblioteca Virtual em Saúde (BVS); 2) o levantamento de aplicativos para dispositivos móveis nas lojas virtuais Google Play e App Store, nas plataformas Android e iOS, respectivamente; 3) organização dos dados. Foram encontrados 199 artigos, porém, apenas 2 artigos destacaram-se sobre a eficiência na utilização de mensagens de texto e meios telefônicos sobre orientações para gestantes e puérperas. Na plataforma App Store um total de 425 aplicativos foram encontrados, entretanto, apenas 9 atendem os critérios de inclusão e exclusão, enquanto na Google Play 1149 foram encontrados e somente 29 contemplaram os critérios. Portanto, faz-se necessário o desenvolvimento de ferramentas tecnológicas com propostas mais didáticas, interativas e com conteúdo científico para pais sobre o desenvolvimento infantil.
O impacto do coronavírus em pacientes cardiopatas
Authors: Santos Layane Estefany Siqueira dos , Santos Lucas Siqueira dos 
Published: April 2021

Este estudo objetivou identificar quais são os impactos do coronavírus em pacientes cardiopatas. Trata-se de uma pesquisa de revisão integrativa de literatura. A busca dos artigos científicos foi realizada nas seguintes bases de dados: Biblioteca Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Eletronic Library Online (SciELO) e PubMed. Foram selecionados 7 artigos para compor o atual estudo entre 2020 - 2021, posteriormente foram elaboradas discussões acerca dos estudos. Os manuscritos corroboram que os pacientes cardiopatas têm maiores riscos de desenvolverem a forma grave da COVID-19 e que muitas vezes esses pacientes acabam com lesões cardíacas após sua recuperação. Conclui-se que a contaminação pela COVID-19 agrava os danos ao coração e os cardiopatas facilmente desenvolvem a forma grave da doença.
KĀDÎ ABDÜLCEBBÂR VE EBÜ’L-MUÎN EN-NESEFÎ’NİN BÜYÜK GÜNAH HAKKINDAKİ GÖRÜŞLERİNİN KARŞILAŞTIRILMASI
Authors: GÜLVERDİ Selim 
Published: April 2021

Öz: İslam düşünce tarihinde ilk tartışılan konulardan biri olan büyük günah problemi, kelâm ekollerinin büyük günahın kapsamı ve büyük günah işleyen kimsenin dini statüsünün ne olduğu hakkında uzun süre tartıştığı bir konu olagelmiştir. Günümüzde Harici anlayışın etkisi altında olan Selefî akımların, Müslümanları tekfir ederek şiddete yönelmeleri problemin hâlâ güncelliğini koruduğu kanaatindeyiz.
Bu makalede Hariciler, Mu‘tezîle, Mürcie ve Ehl-i Sünnet’in büyük günah konusundaki görüşleri hakkında genel bilgi verildikten sonra Kādî Abdülcebbâr ve Ebü’l-Muîn en-Nesefî’nin iman ve mahiyeti, iman-amel ilişkisi ve mürtekib-i kebîrenin isimlendirilmesi ilgili düşünceleri karşılaştırılarak ele alınmıştır. Ayrıca Ehl‐i Sünnet kelâm ekolüne bağlı olan Nesefî’nin, Mu‘tezîli kelâmcı Kadî Abdülcebbâr’ın konu ilgili düşüncelerine yönelttiği eleştiriler dikkate alınarak büyük günah işleyenlerin mümin olarak isimlendirilmesi gereği üzerinde durulmuştur.
Nilai Religius pada Tokoh Utama Sam Dan Haba dalam Novel Sebening Syahadat Karya Diva Sinar Rembulan
Authors: Fitriani Fitriani , Muliyono Nurwakhid , Sumarti Endang 
Published: April 2021

Religiosity is the attitude and awareness of humans that in this life there is power and strength that far surpasses human power and strength. The openness to acknowledge the existence of this power and power directs humans to the realities of life which are not limited to the external level alone. Religious values ​​in literature can provide inner awareness to readers to behave well and continue to improve. The purpose of this study was to obtain an objective picture of the religious values ​​of the main characters Sam and Haba in the novel Sebening Syahadat by Diva Sinar Rembulan. This type of research is qualitative with a religious approach. The data of this research are in the form of author's speech or narrative and the conversations between the characters related to this research. The data source of this research is Novel Sebening Syahadat by Diva Sinar Rembulan. The research instrument was the researcher as a key instrument assisted by a table containing data regarding religious concepts in accordance with the research. Data collection techniques using note-taking techniques. While the data analysis technique used content analysis techniques. Based on the results of data analysis, the following findings were obtained. First, the value of faith in the main characters Sam and Haba in the novel Sebening Syahadat by Diva Sinar Rembulan, namely faith in Allah, faith in the book of Allah, faith in the prophet and messenger of Allah, and faith in qada and qadar Allah. Second, the value of sharia in the main characters Sam and Haba in the novel Sebening Syahadat by Diva Sinar Rembulan, namely prayer, prayer, call to prayer, reading the Koran, guided by the hadiths, prostration of gratitude, remembrance, and fasting. Third, the moral values ​​of the main characters Sam and Haba in the novel Sebening Syahadat by Diva Sinar Rembulan, namely being kind, honest, polite, giving advice, being devoted, humble, helpful, pious, and friendly.
Key words: religious values, faith, sharia, morals, sebening syahadat novel
Tindak Tutur dalam Tuturan Lara Pangkon Masyarakat Ngantang
Authors: Adi Adi , Ifianti Trisnian 
Published: April 2021

Analyzing the speech of Lara Pangkon in Ngantang this study aims to determine the forms of speech acts, explain its meaning and how the delivery of this speech. By using descriptive qualitative research methods, and narrative in Lara Pangkon as a primary source as well as the book the documentation as the source of secondary data. Acquisition of data through observation, interview, check out the note, and documentation. Data processing techniques are as follows: (1) a transcript and translation of the data, (2) the classification of the data, (3) data analysis, and (4) the exposure of the conclusion of the study. The end result of this research is there are 2(two) speech acts expressive, 2(two) said follow the directive, 2( two) speech acts assertive and 2( two) speech acts komisif are delivered with obvious can be delivered in a concise and straightforward and each speech act are said illocutionary.
Antibacterial therapy of pyogenic liver abscesses
Authors: Novak V. V. , Belinska V. O. 
Published: April 2021

Purpose of the study. To study the features of the microbial landscape, to develop an algorithm for antibacterial therapy in patients with pyogenic liver abscesses. Prove the effectiveness of the developed algorithm in the treatment of such patients.
Materials and methods. The results of treatment of 79 patients with pyogenic liver abscesses were analyzed. The mean age of patients was 48,4 ± 4,7 years, with men predominating (62,9%). The inclusion criterion was the presence of pyogenic liver abscesses, the exclusion criteria were cholangiogenic and specific abscesses. The main group consisted of 44 patients operated on minimally invasive technologies based on modern diagnostic methods. They received a comprehensive conservative therapy, which took into account antibacterial treatment according to the developed algorithm. The tactics of surgical treatment of 35 patients in the control group did not differ from the main one. The groups did not differ significantly in age, sex, comorbidity, severity of the disease and the results of microbiological examination.
Results. The number of inoculations of microorganisms from the purulent center was dominated by monoinfection – 86,4–88,6% of cases, which was mostly aerobic. Most of them were facultative anaerobic bacteria of the genus Enterobacteriaceae, namely Kl. pneumoniae – 34,1–40,1%. Less than a quarter of patients (11,4–13,6%) isolated cultures are represented by microbial associations – aerobic-anaerobic and aerobicaerobic. However, aerobic-aerobic infection prevailed – 75,0–83,3%. MRSA strains of staphylococci were isolated in 5,7–6,8% of patients. Treatment began on the first day of hospitalization. Empirical treatment was immediately prescribed, followed by antibiotic replacement, if necessary, based on the results of microbiological examination and determination of the sensitivity of the isolated cultures. According to microbiological studies, in patients with AP most of the isolated microorganisms (71,4–90,9%) were sensitive to linezalide and taigecycline. These antibacterial drugs were reserve drugs and were prescribed in extremely severe cases in the absence of sensitivity to other drugs. The effectiveness of treatment was evaluated by clinical data and improvement of laboratory parameters (normalization of body temperature and leukocyte formula).
Conclusion. Carrying out adequate combined antibiotic therapy for patients with AP according to the developed algorithms, along with surgery, allowed to reduce the recovery time of patients: for 2–3 days normalization of body temperature (t = 5,66176; P < 0,000001) and leukocyte formula (t = 8, 56860; P < 0,000001) patients of the main group in comparison with control patients. In turn, this contributed to a probable reduction in the length of stay of the patient in the hospital for 3 days (t = 3,95561; P = 0,000116).
The extracellular matrix degradation markers as predictors of left ventricular systolic dysfunction among patients with STEMI
Authors: Fushtey I. M. , Sid E. V. 
Published: April 2021

The purpose of the study. To determine predictor value of the extracellular matrix degradation markers relative to the occurrence of left ventricular systolic dysfunction among patients with STEMI determined.
Materials and methods. The results of the study are based on data obtained from a comprehensive survey of 162 patients with STEMI. The first group consisted of 145 patients with STEMI and left ventricular ejection fraction > 45% (median age – 59 (52–64) years); the second group consisted of 17 patients with STEMI and left ventricular ejection fraction < 45% (median age 61 (55–63) years). All persons were comparable in age, social status, and gender. The sample of patients was carried out in the period from 2015 to January 2018 on the basis of the MI «Regional medical center of cardiovascular diseases» of the Zaporizhzhia regional Council.
Results. Significantly, the level of 5816,3 (5487,7–6538,6) PG/ml of matrix metalloproteinase-9 was higher in the left ventricular ejection fraction group < 45% compared to 5129,6 (3984,6–5975,8) PG/ml in the left ventricular ejection fraction group > 45%, (p < 0,05). The level of tissue inhibitor of matrix metalloproteinase-2 among patients with left ventricular ejection fraction < 45% was 524,8 (484,6–648,7) PG/ml and was considerably higher compared to 459,7 (368,3–549,2) PG/ml in the left ventricular ejection fraction group > 45%, (p < 0,05). The largest area under the ROC curve (AUC = 0,694, 95% CI 0,617 to 0,764) among the analyzed markers of extracellular matrix degradation was tissue inhibitor of matrix metalloproteinase-2. At the distribution point > 483,7 PG/ml, the sensitivity was 76,47% and the specificity was 62,07% for left ventricular systolic dysfunction among patients with STEMI. The calculated relative risk was for matrix metalloproteinase-9 > 5247,9 PG/ml for the development of left ventricular systolic dysfunction was 7,139, 95% CI 1,686–30,218. For the level of tissue inhibitor of matrix metalloproteinase-2 > 483,7 PG/ml, the relative risk was 4,271, 95% CI 1,455–12,536 for the development of left ventricular systolic dysfunction.
Conclusions. Patients having STEMI with left ventricular ejection fraction < 45% had essentially higher levels of matrix metalloproteinase-9 and tissue inhibitor of matrix metalloproteinase-2. At matrix metalloproteinase-9 > 5247.9 PG/ml level relative risk of the developing left ventricular systolic dysfunction in patients with STEMI increases by 7.139 times.