bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical profile of patients with Idiopathic Dilated Cardiomyopathy in a Tertiary Care Hospital of Bangladesh
Authors: Hoque Shabnam Jahan , Rahman Aparna , Alam Md. Zahid , Irfan S M Rezaul 
Published: October 2019

Background: High prevalence of Chronic heart failure due to Idiopathic Dilated Cardiomyopathy (DCM) is animportant cause of heart failure in Bangladesh. This study was carried out to find the clinical characteristics of thepatients with Idiopathic DCM, so that the data can be used to treat symptoms and improve survival and treatment.
Methodology: This prospective observational study was carried out in the Department of Cardiology, BIRDEMGeneral Hospital, Dhaka, Bangladesh from January 2012 to December 2018. Total 50 consecutive admittedpatients fulfilling the criteria of Idiopathic DCM were studied. Clinical information, findings fromEchocardiography and other relevant investigations were collected for analysis.
Results: Among total 50 patients, 30(60.0%) were male and 20(40.0%) were female. Majority 20(40.0%) patientsbelonged to age 51-60 years and their mean age was found 55.34±13.24 years. Using NYHA (New York HeartAssociation) functional status classification of the patients, 18(36.0%) patients were found in NYHA class I,15(30.0%) in class II, 12(24.0%) in class III and 5(10.0%)in class IV. Almost all patients presented with three basicsymptoms i.e. exertional dyspnea, easy fatigability and pedal edema. Orthopnea, Paroxosmal Nocturnal Dyspnoea(PND), palpitation & chest pain wewe also reported in almost half of the patients. Mean pulse was found88.78±15.75 beat/min, respiratory rate 20.79±6.48 breath/min, BMI 23.12±3.29 kg/m2, systolic BP 119.03±22.22mmHg and diastolic BP 75.00±12.54 mmHg. Bilateral basal crepitation 45(90.0%), Pedal edema 43(86.0%),Raised JVP 39(78.0%), Hepatomegaly 35(70.0%) were also found. Third heart sound in 34(68.0%), Pan systolicmurmur of Mitral regurgitation 40(80.0%), Pansystolic murmur of Tricuspid regurgitation was present in42(84.0%) among study patients. Mean left ventricular ejection fraction was found 30.44 ±4.91%, LVIDs 5.24±0.51cm and LVIDd 6.18 ±0.52 cm.
Conclusion: Majority of the Idiopathic DCM patients belonged to age 51-60 year age group with malepredominance and clinical presentation was variable.
Bangladesh Crit Care J September 2019; 7(2): 86-89
Incidence, Type and Anatomical Location of Gastric Polyp: Experience of a Tertiary Level Hospital in Bangladesh
Authors: Hoque Md. Nazmul , Ahmed Shireen 
Published: October 2019

Background: Gastric polyps are small gastric mucosal lesions, usually asymptomatic in most cases and are generallydiscovered incidentally during upper Gastro Intestinal (GI) tract endoscopy. But some polyps have malignant potential.We observed the characteristics and frequency of gastric polyps, derived from the gastric mucosal epithelium in a seriesof endoscopies.
Method: Fifty three patients were studied in a series of 2890 consecutive upper GI endoscopies done over one yearperiod. Each patient had only one examination and were analyzed on the basis of their location, size, type and histopathological findings. All patients had at least one gastric polyp, as confirmed by histological examination.
Result: Among 2890 endoscopies we found gastric polyps in 53 cases. So the incidence was 1.83 %. Mean age of thestudy population was 50.25±11.75. Polyp was more prevalent among female (64%). Most of the patients were presentedwith anemia, heartburn and abdominal pain, 57%, 42% and 36% respectively. Other less common clinical features areanorexia (13%), melaena (9.4%) and hematemesis (1.9%). 64% patients were diabetic and 76% patients used PPI withduration of 19.00±9.78 months.Most of the polyps were located at the body of stomach (47.1%), less common sites were antrum (15.1%), cardia(7.6%), fundus (7.6%), Gastro Esophageal (GE) junction (3.8%) and duodenum (1.9%). Majority of the polyps weresmall and medium sized (37.7%, 35.8%) and large (11.3%). Sessile polyp was found in 49.1% cases, other common typewas pedunculated (39.5%). Only 28% patient had surface ulceration on polyp and commonest histological type washyperplastic 75.4%, 18.9% patient had adenomatous polyp. Brunner’s gland adenoma and carcinoid were rare, 3.8%and 1.9% respectively. Multiple polyps were found in 30% patient.
Conclusion: Gastric epithelial polyps are infrequent and most of them measure less than 1 cm. The upper GI tractendoscopy is the safest and efficient method for the diagnosis of the gastric polyps, as in most of the patients does notshow characteristic symptoms. The histopathological definition is necessary to classify the polyps as well as detectionof dysplastic changes. Biopsy from different part of the stomach is necessary to find out the gastritis and dysplasticchanges.
Bangladesh Crit Care J September 2019; 7(2): 90-94
Pyoderma Gangrenosum : An enigma without a cure?
Authors: Ahsan Mohammad Kamrul 
Published: October 2019

Pyoderma Gangrenosum (PG) is a rare, chronic, recurrent distinctive cutaneous ulceration which is usually idiopathic,but may be associated with systemic diseases in at least 50% of patients who are affected. The diagnosis is made byexcluding other causes of similar-appearing cutaneous ulcerations, including infection, malignancy, vasculitis,collagen vascular diseases, diabetes and trauma. The etiopathogenesis of PG is still not well understood. Clinically, itis classified into ulcerative, pustular, bullous and vegetative types. A few atypical and rare variants have also beendescribed. The diagnosis mainly depends on the recognition of evolving clinical features as investigations only assistin the diagnosis. Therapy for pyoderma gangrenosum involves the use of anti-inflammatory agents, includingantibiotics, corticosteroids, immunosuppressive and biologic agents.
Bangladesh Crit Care J September 2019; 7(2): 99-101
Determination of Minimum Inhibitory Concentration (MIC) of Imipenem against Salmonella typhi
Authors: Saha Sanjoy , Gomes RR , Ahmed Khan Shakil , Islam Serajul , Saha Shyamal Kumar , Islam MM , Biswas Kishore Kumar , Saha Shib Prasad 
Published: October 2019

Objective: To determine the MIC of Imipenem against Salmonella Typhi.
Study Design: An interventional study.
Place of Study: Department of Pharmacology & Therapeutics in collaboration with Department of Microbiology atAd-din Sakina Women’s Medical College, Jashore.
Study Duration: January 2018 to May 2018.
Methodology: MIC of Imipenem was determined by Broth Dilution Technique against standard strain of Salmonellatyphi ATCC 24683.
Result: The MIC of Imipenem against Salmonella typhi was 0.75 μg/ml.
Conclusion: Imipenem is a potential therapeutic agent for Salmonella typhi infection.
Bangladesh Crit Care J September 2019; 7(2): 102-105
The value of the GP’s clinical judgement in predicting dementia: a multicentre prospective cohort study among patients in general practice
Authors: Pentzek Michael , Wagner Michael , Abholz Heinz-Harald , Bickel Horst , Kaduszkiewicz Hanna , Wiese Birgitt , Weyerer Siegfried , König Hans-Helmut , Scherer Martin , Riedel-Heller Steffi G , Maier Wolfgang , Koppara Alexander ,   for the AgeCoDe Study Group
Published: October 2019

BackgroundClinical judgement is intrinsic to diagnostic strategies in general practice; however, empirical evidence for its validity is sparse.AimTo ascertain whether a GP’s global clinical judgement of future cognitive status has an added value for predicting a patient’s likelihood of experiencing dementia.Design and settingMulticentre prospective cohort study among patients in German general practice that took place from January 2003 to October 2016.MethodPatients without baseline dementia were assessed with neuropsychological interviews over 12 years; 138 GPs rated the future cognitive decline of their participating patients. Associations of baseline predictors with follow-up incident dementia were analysed with mixed-effects logistic and Cox regression.ResultsA total of 3201 patients were analysed over the study period (mean age = 79.6 years, 65.3% females, 6.7% incident dementia in 3 years, 22.1% incident dementia in 12 years). Descriptive analyses and comparison with other cohorts identified the participants as having frequent and long-lasting doctor–patient relationships and being well known to their GPs. The GP baseline rating of future cognitive decline had significant value for 3-year dementia prediction, independent of cognitive test scores and patient’s memory complaints (GP ratings of very mild (odds ratio [OR] 1.97, 95% confidence intervals [95% CI] = 1.28 to 3.04); mild (OR 3.00, 95% CI = 1.90 to 4.76); and moderate/severe decline (OR 5.66, 95% CI = 3.29 to 9.73)). GPs’ baseline judgements were significantly associated with patients’ 12-year dementia-free survival rates (Mantel–Cox log rank testP<0.001).ConclusionIn this sample of patients in familiar doctor–patient relationships, the GP’s clinical judgement holds additional value for predicting dementia, complementing test performance and patients’ self-reports. Existing and emerging primary care-based dementia risk models should consider the GP’s judgement as one predictor. Results underline the importance of the GP-patient relationship.
Acceptability of a primary care-based opioid and pain review service: a mixed-methods evaluation in England
Authors: Kesten Joanna M , Thomas Kyla , Scott Lauren J , Bache Kevin , Hickman Matthew , Campbell Rona , Pickering Anthony E , Redwood Sabi 
Published: October 2019

BackgroundPrimary care opioid prescribing to treat chronic non-cancer pain (CNCP) has progressively increased despite a lack of evidence for long-term safety and effectiveness. Developing primary care interventions to reduce opioid dependence in patients with CNCP is a public health priority.AimTo report the acceptability of the South Gloucestershire pain and opioid review service for patients with CNCP, which aimed to help patients understand their relationship with prescribed opioids and support non-drug-based pain management strategies.Design and settingA mixed-methods evaluation was performed on the service, which was based in two GP practices in South Gloucestershire, England, and delivered by project workers.MethodDescriptive data were collected on delivered-within-service and community-based interventions. Twenty-five semi-structured interviews (n= 18 patients,n= 7 service providers) explored experiences of the service.ResultsThe enrolment process, person-centred primary care-based delivery, and service content focused on psychological issues underlying CNCP were found to be acceptable to patients and service providers. Patients welcomed having time to discuss their pain, its management, and related psychological issues. Maintaining a long-term approach was desired as CNCP is a complex issue that takes time to address. GPs recommended that funding was needed to ensure they have dedicated time to support a similar service and to ensure that project workers received adequate clinical supervision.ConclusionThis service model was acceptable and may be a useful means to manage patients with CNCP who develop opioid dependence after long-term use of opioids. A randomised controlled trial is needed to formally test the effectiveness of the service.
A Ars Grammatica de Terenciano Mauro
Authors: Maia Pereira de Jesus Isabela 
Published: October 2019

Este artigo apresenta um breve comentário sobre a arte gramatical intitulada Terentianus de littera, de syllaba, de pedibus, do autor latino Terenciano Mauro. Observa-se que o gramático confere especial atenção formal à construção de seu texto, uma vez que o produziu forma metrificada, variando o uso dos metros. À luz dos estudos de John Langshaw Austin (1990) a respeito do conceito de performatividade, neste trabalho serão discutidas as principais características do tratado, demonstrando, por meio de exemplos, as particularidades da obra de Terenciano Mauro.
La situation démographique en 1963
Authors: Hémery Solange , Piro Christian 
Published: October 2019

Les statistiques démographiques du mouvement naturel de la population sont dressées à partir des bulletins statistiques de l'état civil, établis par les maires lors de la rédaction des actes de l'état civil.
Ces bulletins sont adressés trimestriellement aux Directions régionales de l'I.N.S.E.E. qui, en premier lieu, les comptent par catégorie. Dès que sont ainsi connus les nombres totaux provisoires de mariages, de divorces, d'enfants nés vivants, de mort-nés, de décédés, de décédés de moins d'un an, ces résultats sont publiés au Bulletin mensuel de Statistique. De cette manière, on connaît trois mois après la fin de l'année les résultats démographiques globaux de cette année.
Les bulletins sont ensuite exploités par voie mécanographique, de façon à établir les statistiques définitives détaillées qui permettent seules d'analyser complètement l'évolution démographique. Cette exploitation est conduite en deux phases : une exploitation préliminaire fournit les tableaux essentiels qui permettent de juger la situation démographique, ainsi que de tenir à jour la comptabilité démographique et d'évaluer la population moyenne, par sexe, année de naissance et état matrimonial, utilisée pour le calcul des taux démographiques ; en une deuxième phase, on termine l'exploitation complète de la cartothèque, qui fournit des renseignements plus détaillés nécessaires à l'étude de certains problèmes particuliers.
L'ensemble de ces statistiques fait l'objet d'une publication intitulée : Statistique du Mouvement de la Population.
Le présent compte rendu analyse les résultats de l'exploitation préliminaire de l'année 1963.
Les comptes de l'agriculture en 1965
Authors: Achach  
Published: October 2019

Le rapport soumis à la Commission des Comptes de l'Agriculture de la Nation traite principalement des deux points suivants :
— L'augmentation du revenu de l'agriculture entre 1964 et 1965.
— Son évolution depuis 1959 comparée à celle des revenus des entrepreneurs individuels
non agricoles et des salaires.
Au cours de la discussion, les représentants des organisations professionnelles agricoles ont fait connaître que leurs études les conduisaient à estimer que la croissance du revenu de l'agriculture pendant l'année 1965 était inférieure à celle qui est inscrite dans le rapport de l'I.N.S.E.E.
Les coûts de main-d'œuvre dans les industries des pays du marché commun
Authors: Devaux Andrée 
Published: October 2019

En 1962 et en 1963, la C.E.E. a procédé à de nouvelles enquêtes sur les coûts de main-d'œuvre dans les industries qui avaient fait l'objet de ses deux premières investigations en 19S9 et en 1960.
En ce qui concerne les ouvriers, ces deux enquêtes ont fait ressortir que les coûts salariaux horaires étaient, en Allemagne, nettement plus élevés qu'en France dans 14 industries sur 25 et d'un ordre voisin (écarts inférieurs à 10 %) dans onze industries, tandis que, dans les deux pays du Bénélux et en Italie, les coûts étaient le plus souvent assez proches des coûts français. Par contre, les coûts mensuels des employés étaient, dans les industries des enquêtes de 1962 et de 1963, souvent assez proches des coûts français en Italie et en Belgique, mais généralement inférieurs en Allemagne et aux Pays-Bas.
En opérant la synthèse des résultats provenant des trois dernières enquêtes de la C.E.E. (1961, 1962 et 1963), de manière à faire porter l'observation sur les 37 industries manufacturières qui ont fait l'objet d'investigations, on constate qu'en Allemagne les coûts salariaux ouvriers supérieurs de plus de 10 % aux coûts français se présentent dans 21 industries (contre 7 en Belgique, 5 aux Pays- Bas et 4 en Italie), tandis que dans les deux pays du Bénélux ce sont les coûts proches des coûts français (écarts inférieurs à 10 %) qui sont les plus nombreux — 19 industries en Belgique et aux Pays- Bas — et en Italie les coûts inférieurs de plus de 10 % aux coûts français (19 industries).
Les estimations obtenues pour l'année 1964 et le premier trimestre de 1965, en tenant compte de l'évolution des statistiques nationales des salaires et en réestimant l'importance des charges annexes, montrent que, si le classement des coûts horaires ouvriers par rapport aux coûts français ne semble pas s'être sensiblement modifié en Allemagne Occidentale, dans les autres pays — et particulièrement en Italie — le nombre des industries ayant des coûts inférieurs aux coûts français paraît avoir nettement diminué, tandis que s'accroissaient celui des coûts voisins et celui des coûts supérieurs.
Authors: Agustina Neli , Fitriana Ilma Ainun 
Published: October 2019

The implementation of fiscal decentralization is expected to accelerate public services, develop regional potentials, improve the economy and prosperity. However, this situation does not apply to every province, such as Papua and West Papua Provinces having capital expenditure above average and high economic growth rates, but indicators of regional development are still in concern. This study aims to determine the relationship between fiscal decentralization and economic performance towards indicators of regional development. By using Structural Equation Modeling - Partial Least Square (SEM-PLS) analysis, the results show that there is a positive relationship between fiscal decentralization on economic performance. In addition, there is also a positive relationship between fiscal decentralization and economic performance on development indicators.

Keywords— fiscal decentralization, economic performance, development indicators, PLS-SEM
Educação do Campo em Perspectiva: descompasso entre a política pública e a afirmação da concepção pelos sujeitos que a fazem
Authors: Paludo Conceição , Santos Simone Valdete dos 
Published: October 2019

Tendo como referente às proposições da Educação do Campo, o que se apresenta é a análise da produção da 36ª (2013), 37ª (2015) e 38ª (2017) reuniões bianuais da ANPEd - Associação Nacional de Pós Graduação em Educação. Caracteriza-se como um Estado da Questão e um estudo bibliográfico. A intenção foi a de verificar, no atual contexto brasileiro, como são analisadas as políticas públicas; assim como, se há consequências dessa análise em termos da concepção da Educação do Campo. Concluise que enquanto as políticas públicas caminham a passos largos para a sua desconstituição, juntamente com a desconstrução do ideário dos direitos humanos, a concepção de Educação do Campo é mantida nas suas proposições fundamentais, resultado do processo de luta dos movimentos sociais do campo nas duas últimas décadas.
Políticas de Formação de Professores, Violências e Direitos Humanos: entrevistas com Bernardete Angelina Gatti, Carlos Roberto Jamil Cury, Dermeval Saviani
Authors: Pereira Maria e Fátima Rodrigues , Stival Maria Cristina Elias Esper 
Published: October 2019

Publicam-se, nesta edição, três entrevistas realizadas com três iminentes professores brasileiros – Bernardete Angelina Gatti, Carlos Roberto Jamil Cury e Dermeval Saviani –, concedidas à Professora Maria Cristina Esper Stival, no âmbito de seus estudos de Pós-doutorado, quando então desenvolveu o projeto de pesquisa intitulado Política Nacional de Formação dos Profissionais da Educação Básica: perspectivas acerca do Programa de Desenvolvimento Educacional (PDE), no Estado do Paraná: possibilidades e contradições no debate das violências e dos direitos humanos, realizado na linha de pesquisa Políticas Públicas e Gestão da Educação do Programa de Pós-Graduação em Educação (PPGED) da Universidade Tuiuti do Paraná (UTP) e no grupo de pesquisa Trabalho, Educação e Políticas Educacionais, com início no segundo semestre de 2016 e término em março de 2018. O objetivo da publicação das entrevistas é ofertar, aos educadores brasileiros, importantes reflexões que generosa e solidariamente os três professores fazem com respeito a temas candentes e atuais que afligem os professores em suas práticas pedagógicas e pesquisas, a saber: violências, direitos humanos e políticas de formação de professores.
Êxodo Rural no Extremo Oeste Catarinense e Educação do Campo: uma abordagem a partir dos conceitos de espaço e tempo
Authors: Paula José Fabiano de , Taschetto Leonidas Roberto 
Published: October 2019

Este artigo tem como objetivo problematizar os conceitos de espaço e tempo como possíveis fatores de impacto sobre o êxodo rural no extremo oeste catarinense. Fundamentamos nossa reflexão em Milton Santos (2012; 2004; 2003; 1992 e 1986), Jacques Le Goff (2003), Norbert Elias (1998) e Manuel Castells (1999). A metodologia configura-se em um estudo de caso sobre a mesorregião do extremo oeste catarinense à luz de uma análise documental. Os resultados apontam para o tempo e o espaço como fatores que contribuem para o êxodo rural na região. O acúmulo desigual do tempo, através do “tempo espacial”, das diferentes temporalidades que coabitam o espaço, bem como um espaço que é “uno e múltiplo” serviram de base para compreender o quanto esses termos podem influenciar a Educação do Campo.
Educação Ambiental e os Sentidos da Escola
Authors: Campos Marília Andrade Torales , Carvalho Andréa Macedônio de 
Published: October 2019

A escola brasileira constituiu-se, historicamente, em um espaço de perpetuação das concepções e ideologias das classes dominantes no sentido de formar minimamente uma massa de mão de obra produtiva que atendesse às demandas do capitalismo. A Educação Ambiental brasileira, no entanto, é estabelecida como um processo de emancipação dos sujeitos e precisa ser trabalhada nas escolas dentro de uma perspectiva crítica; escolas estas com princípios pragmáticos. É dentro deste contexto contraditório que se encontra o professor, limitado pela concepção disciplinar do currículo e pelo próprio sentido da escola pública brasileira, mas balizado pelo que é prescrito nas orientações oriundas das políticas públicas. Admitimos que, apesar de todas as limitações, a escola pública ainda é a melhor alternativa na formação de sujeitos críticos, mas que carece de especial atenção em relação à formação de professores também críticos, pois sem eles não há esperanças de um projeto educacional transformador para construção de uma sociedade mais justa social e ambientalmente.
A Dimensão Comunitária da Escola na Prática Pedagógica da Educação Ambiental na Ilha do Mel/PR
Authors: Andreoli Vanessa Marion 
Published: October 2019

O presente artigo tem como objetivo discutir a importância da valorização da dimensão comunitária da escola nas práticas pedagógicas de Educação Ambiental, tomando como análise a ação docente dos professores dos colégios estaduais localizados na Ilha do Mel/PR, região que tem 95% de sua área composta por duas Unidades de Conservação de proteção integral e que, no seu entorno, vivem comunidades em situação de vulnerabilidade socioambiental. Compreende-se que a Educação Ambiental, numa perspectiva crítica, pode contribuir para recriar os vínculos de pertencimento dos sujeitos ao território que vivem, possibilitando o desenvolvimento local e consequentemente sua transformação social, com vistas a uma melhor qualidade de vida. Sugere-se que a Educação Ambiental nas escolas do campo necessita ser diferenciada, específica, alternativa ao modelo educacional tradicional, comprometida com a emancipação dos sujeitos e com o empoderamento comunitário. Democratizando espaços de participação e veiculando saberes significativos, que possibilitem oportunidades reais para que as comunidades consigam romper com as situações e relações que as silenciam e, por vezes, as paralisam, entende-se que ela pode colaborar tanto para a redução da pobreza e das desigualdades sociais, quanto para a conservação dos recursos naturais e da biodiversidade local, na busca do desenvolvimento de comunidades mais sustentáveis.