bluuebunny/crossref_metadata_2025_split huggingface dataset:
Комбинация Down/Klinefelter синдром – клиничен случай
Authors: Колева Рени , Вълчанова Деляна , Дончева Радка 
Published: February 2022

Въведение: Съчетанието Down/Klinefelter синдром е описано за първи път през 1959 г. от Ford. Честотата му е 0.4-0.9/10 000 новородени момчета. Описваме съвместната работа между медицински и немедицински специалисти при семейство с Down/Klinefelter синдром с цел оптимално физическо и психомоторно развитие и интеграция на детето в обществото.
Материал и методи: Момче на 4 г. 6 м., родено от втора рискова бременност (майка на възраст 44 г.), с (+) биохимичен скрининг. При раждането са установени стигми за Down синдром. От кариограмата: две хромозомни патологии – 48, XXY,+21. При наблюдението са диагностицирани: първичен хипотиреодизъм, епилепсия, силно влошено зъбно здраве. Поради мускулната хипотония и изоставане в психомоторното развитие е насочено за консултация и рехабилитация на 10 м.в. първоначално в ДМСГД, а от 2 г.в. и в център „Алтернатива“, специализиран за ранна диагностика и рехабилитация.
Резултати: Растежът на детето съвпада с този на общата популация. Добра адаптация в масова детска градина от 4 г.в., където работи допълнително с логопед и ресурсен учител. Продължава да използва социални услуги към „Алтернатива“, в това число музикотерапия, ТЕАССН, Brushing. Психологичното изследване на 4 г. и 2 м.: напредък в самостоятелността и фината моторика, поява на тревожни атаки, умерена умствена изостаналост, по-изразена в социалната, емоционална област и експресивната реч.
Дискусия: Ранната интервенция, екипният принцип, доверието както между екипите, така и между семейството и екипите са основополагащи принципи за постигане на социална самостоятелност в максимално възможната степен.
Pembuatan Aplikasi Website E-Commerce Sebagai Strategi Pengembangan Pemasaran pada UMKM Thunderbolt Yogyakarta
Authors: Utari Tituk , Susilawati Susilawati , Nababan Sintar 
Published: February 2022

Kegiatan pengabdian masyarakat ini bertujuan untuk membantu usaha mikro kecil menengah (UMKM) Thunderbolt dalam membuat strategi pengembangan pemasaran produk melalui digital marketing di tengah pandemi Covid-19 berupa pembuatan website e-commerce. Kegiatan pengabdian masyarakat ini diadakan di UMKM Thunderbolt di Yogyakarta. Pesertanya adalah pegawai dan pemilik dari UMKM Thunderbolt. Metode yang digunakan oleh penulis diawali dengan melakukan wawancara, survey bisnis proses, identifikasi keunikan dari UMKM tersebut untuk dijadikan taglines, mencari konten-konten yang tepat seperti gambar dan video untuk menguatkan branding, mengerjakan website, mengenalkan website, dan memberikan ide-ide tambahan untuk mempercantik website yang akan mereka kelola secara mandiri. Hasil yang diperoleh adalah terwujudnya platform digital marketing berupa website e-commerce yang diharapkan dapat membantu meningkatkan penjualan pada UMKM dalam mempertahankan usahanya di tengah pandemi Covid-19.
Prediction of the Number of Arrivals of Training Students With the Monte Carlo Method
Authors: Sapriadi Sopi , Yunus Yuhandri , Dari Rahmatia Wulan 
Published: February 2022

Simulasi ini bertujuan untuk memperkirakan jumlah kedatangan mahasiswa training. Data yang di olah dalam penelitian ini sebanyak 3 periode yang bersumber dari bagian administrasi sebuah perusahan swasta di Sumatera Barat. Data akan di proses dan dilakukan perhitungan dengan metode Monte Carlo. Selain itu implementasi perhitungan akan di kembangkan dengan menggunakan sistem berbasis aplikasi yang akan dibangun dengan bahasa pemrograman PHP. Hasil yang diberikan oleh sistem dalam melakukan prediksi yaitu 80% untuk tahun 2017 dan 84% untuk tahun 2018. Dari hasil keakuratan sebesar 80% tahun 2017 dan 84% 2018 maka dari itu sistem bisa dikatakan cukup baik untuk diterapkan. Berdasarkan hasil pengolahan data dengan metode Monte Carlo dapat diprediksi jumlah kedatangan mahasiswa untuk melakukan taraining, serta proses pengambilan keputusan yang baik kedepannya.
SOCIALIZATION OF JOINT BUMDES TAXATION TO ENCOURAGE TAX AWARENESS AND UNDERSTANDING
Authors: Machfuzhoh Asih , Puspanita Intan , Pratiwi Refi 
Published: February 2022

Abstrak:. Bumdes memiliki peran yang banyak dalam membantu pengembangan desa, sehingga pemerintah mendorong pembentukan Bumdesa dalam suatu desa. UU No.6/2014 tentang Desa (UU Desa). Pasal 87 UU Desa dan pasal 132 PP No. 43/2014 menjelaskan bahwa badan usaha tersebut dibentuk untuk mempersiapkan pengelolaan keuangan desa. Didalamnya juga dijelaskan meskipun bukan bersifat kewajiban serta memaksa, pendirian BUmdes menjadi peluang bagi setiap desa.
Dalam memberikan fasilitas dalam pengelolaan keuangan desa maka diperlukan pembentukan Bumdes. Jika tidak dibentuk suatu Bumdes, desa akan mengalami kesulitan dalam mengelola dana desa. Bumdes memliki peranan yang sangat penting yaitu sebagai sektor dari penggerak industri yang baru serta ikut mempercepat perbaikan ekonomi rakyat. Pengelolaan dana desa baik yang diperoleh dari pemerintah pusat, pemerintah daerah maupun dari pemerintah desa dengan tujuan agar dana tersebut lebih banyak dimanfaatkan untuk perekonomian serta pelayanan kebutuhan dasar menjadi alasan perlu adanya Bumdes
Banyak yang belum paham, bagimana perlakuan perpajakan terhadap Bumdes. Sebuah entitas berbentuk badan usaha yang terbentuk dari kekayaan desa yang dipisahkan seperti halnya dengan BUMN dan BUMD merupakan pengertian Bumdes.Kami melakukan pengabdian ini pada BUM Desma Mina Agro, Pandegelang, Banten. Pelaknsanaannya adalah dengan melakukan soisaliasai dan pendampingan terkait pemahaman perpajakan. Dengan pengabdian ini, BUM Desa Bersama ini mengerti dan paham bahwa ada kewajiban perpajakan yang harus dipenuhi sebagai kewajiban terhadap negara.
Lying on the Dissection Table: Anatomizing Faked Responses
Authors: Röhner Jessica , Thoss Philipp , Schütz Astrid 
Published: February 2022

AbstractResearch has shown that even experts cannot detect faking above chance, but recent studies have suggested that machine learning may help in this endeavor. However, faking differs between faking conditions, previous efforts have not taken these differences into account, and faking indices have yet to be integrated into such approaches. We reanalyzed seven data sets (N = 1,039) with various faking conditions (high and low scores, different constructs, naïve and informed faking, faking with and without practice, different measures [self-reports vs. implicit association tests; IATs]). We investigated the extent to which and how machine learning classifiers could detect faking under these conditions and compared different input data (response patterns, scores, faking indices) and different classifiers (logistic regression, random forest, XGBoost). We also explored the features that classifiers used for detection. Our results show that machine learning has the potential to detect faking, but detection success varies between conditions from chance levels to 100%. There were differences in detection (e.g., detecting low-score faking was better than detecting high-score faking). For self-reports, response patterns and scores were comparable with regard to faking detection, whereas for IATs, faking indices and response patterns were superior to scores. Logistic regression and random forest worked about equally well and outperformed XGBoost. In most cases, classifiers used more than one feature (faking occurred over different pathways), and the features varied in their relevance. Our research supports the assumption of different faking processes and explains why detecting faking is a complex endeavor.
The Role of Ryazan Evacuation Hospital during World War II
Authors: Щевьёв А.А. , Cинельников И.Ю. 
Published: February 2022

В статье представлены исторические сведения, касающиеся функционирования эвакуационных госпиталей в Рязанской области в годы Великой Отечественной войны. Дается анализ нормативно-правового регулирования деятельности эвакуационных госпиталей. На основе архивных источников показана конкретная работа, проводимая эвакуационными госпиталями, расположенными в Рязанском регионе, сравнивается работа эвакогоспиталей в Рязанской области и других регионах
The article presents historical data pertaining to evacuation hospitals functioning in the Ryazan Region during World War II. The article analyzes the legal status of evacuation hospitals. The investigation of archival documents enables the author to study the functions of evacuation hospitals in the Ryazan Region and to compare them against the functions performed by evacuation hospitals in other regions.
The Castles in the Wars of the Roses Review of Dan Spencer’s Book “The Castle in the Wars of the Roses” (Pen & Sword Military, 2020, 264 р.)
Authors: Праздников А.Г. 
Published: February 2022

В рецензии рассматривается книга Дэна Спенсера, посвященная малоизученной стороне истории Войн Роз второй половины XV века в Англии — осадам замков и развитию фортификационного искусства.
The article presents a review of Dan Spencer’s book dedicated to the investigation of an underinvestigated aspect of the War of Roses which took place in the second half of the 15th century in England, namely to castles under siege and to the development of the art of fortification.
Pendampingan UKM : Sosialisasi Pemasaran Topi di Desa Karangmukti, Kec. Bungursari Purwakarta
Authors: Rohmat Siti , Risal Andry , Ina Lestari Nurmala 
Published: February 2022

UKM pengrajin topi di desa karangmukti memili area pasar yaitu di pertemuan perjalanan jakarta-jawa tengah di Jalur pantura. Dengan kondisi tersebut area pemasaran menjadi baik, hal ini di karenakan ramainya lalu lintas kendaraan pribadi maupun umum yang melewati kawasan tersebut. Pemasaran topi di lakukan oleh pedagang sekitar yang berdagang di lingkunagn tersebut. Namun hadirnya tol cipali memperkirakan penjualan akan berkurang di karenakan lalu lintas kendaraan tidak melewati jalur tersebut danberalih melewati tol cipali. Untuk itu perlu di lakukan model pemasaran lain agar penjualan bisa di kendalikan. Tujuan dari kegiatan pengabdian Kepada masyarakat (PKM) ini adalah untuk memberikan kemampuan dan keterampilan lain dalam aspek pemasaran produk usaha.model pengabdian ini di lakukan dengan pelatihan dan pendampingan. Pada tahapan pertama yaitu pelatihan peserta diberiakn materi berupa teori dan praktek tentang internet marketing dan tahapan kedua dari kegiatan pkm ini adaalah melakukan pendampingan terhadap peserta pelatihan dalam membangun dan menjalankan pemasaran online.
HRCT Spectrum in Initially COVID-19 RT-PCR Negative Patients
Authors: Saleem Aniqua , Meraj Lubna , Saleem Hira , Sheikh Sharjeel Sarfraz Ahmed , Hamid Sidra , Saleem Huzaifa 
Published: February 2022

Objective: To analyze radiological spectrum of HRCT in COVID-19 patients, clinically symptomatic but initially having negative RT-PCR.
Study Design: Prospective cross sectional descriptive study.
Place and Duration of Study: Radiology and Medicine Department, DHQ Hospital Rawalpindi, from June to November 2020
Methodology: The study included 90 patients presenting with clinical symptoms of COVID-19 but with negative RT-PCR. All patients underwent chest computed tomography (CT). Patients with positive COVID-19 RT-PCR test or serology on subsequent repeat test were included in the study. Patients having non COVID-19 HRCT features with negative RT-PCR were excluded from the study.
Results: Out of 90 symptomatic, RT-PCR negative patients, 7 had normal chest CT. According to BSTI classification, 50 patients showed classic, 11 had probable and 22 had indeterminate features. Despite supportive clinical and CT features, 17 (18.89%) patients had negative RT-PCR tests on subsequent testing. Unilateral changes were in 8 (8.9%) and bilateral in 75 (83.3%). Most common finding was mixed pattern of peripherally distributed GGN and bronchocentric nodules in 37 (41.1%) patients. Consolidations were in 19 (21.1%), pure ground glass haze in 13 (14.4%), crazy paving in 4 (4.4%), fuzzy bands and arcades in 7 (7.8%), and subtle gravitational GGH in 3 (3.3%) patients. CT-SS classified 69 (76.7%) patients as mild, 10 (11.1%) as moderate and 4 (4.4%) as severe disease.
Conclusions: HRCT with CTSS is an important tool for diagnosing and prognosticating COVID-19 infection despite negative RT-PCR, timely identifying and isolating COVID-19 cohorts preventing cross infection and also aiding in prompt symptomatic management.
Pattern of unnatural deaths during COVID-19 lockdown in comparison with deaths reported during 2019 in Sahiwal city
Authors: Nadeem Shahid , Sarwar Sumaira , Rehman Humaira , Iftikhar Hira , Saleem Noman , Tariq Fariha 
Published: February 2022

Background: Lockdown, a social isolation restriction measure has a direct impact on covid-19 transmission but its effect on unnatural deaths remains unknown.
Objective: This study has been designed to observe the effects of covid-19 lockdown on unnatural deaths in Sahiwal by comparing with the same period in 2019.
Study design: Descriptive retrospective study. Setting: The study was conducted in mortuary of DHQ Teaching Hospital Sahiwal attached with the Department of Forensic Medicine & Toxicology Sahiwal medical college, Sahiwal. Study Duration: Covid-19 lockdown period from 24th March 2020 to 9th May 2020 and the same period in 2019. Materials and Methods: This study includes 62 cases of unnatural deaths, out of which 23 Cases in 2019 and 39 cases in 2020. We have included age, sex, marital status, area of belonging, manner of death, and cause of death as variables in our study. Results: In total 62 cases, in 2019 there were 15 males and 8 females with a mean age of 37.30±19.55 years and in 2020, there were 27 males and 12 females with a mean age of 32.85±15.16 years. The age group in which most number of deaths occurred was 30-59 years (46.8%). In 2019 majority of victims died due to homicide 15(65.2%) while during the lockdown period 14 (35.9%) victims lost their lives in accidents. Firearm injuries were the cause of death in 11(47.8%) cases in 2019 while in the COVID 19 lockdown period the majority of cases 13 (33.3%) were those who died due to roadside accidents.
Conclusions: We could not detect significant difference in the two periods examined with respect to sociodemographic factors, but manner of death was significantly affected.
Case report of Nasopharyngeal Angiofibroma in a teenager female, a rare finding
Authors: Masood Sundas , Qureshi Nausheen , Shahid Fatima , Afzal Memoona , Fatima Aeimen , Hussain Asmara 
Published: February 2022

Background: Angiofibroma is a rare histologically benign tumor that is an unencapsulated, highly vascular tumor.1 It shows very aggressive behavior due to local invasiveness and is associated with various symptoms.2 Angiofibroma is almost always seen in young adolescent males.2 Along main pathogenesis is unknown, but it is considered to be associated with sex hormones mainly testosterone and estradiol.3 In a study conducted from 1995 to 2012 all patients were male.4 Major symptoms include nasal obstruction and epistaxis and surgical removal of the tumor as a whole is considered the treatment of choice.5 There have been very few individual case reports of angiofibroma in females 6-9 which were confirmed with radiological testing and histopathology report of the samples taken.
Case presentation: We present a rare case of nasopharyngeal angiofibroma in a young female as confirmed by computed tomography scan findings and histopathology reports of the sample by well-qualified pathologists.
Conclusion: The case is being reported to increase awareness among medical professionals and encouraging further workup on the pathogenesis of angiofibroma.
Pre-operative Anxiety Compounding Intra-operative Hypotension in Parturient women undergoing Cesarean Deliveries under Spinal Anesthesia
Authors: Bajwa Saleem Pervaiz , Sheraz Shahida , Hussain Aftab , Akram Muhammad , Khan Umer , Saleem Muhammad Asif 
Published: February 2022

OBJECTIVE: To assess the relation of intra-operative hypotension with severity of pre-operative anxiety in patients undergoing caesarean section under spinal anesthesia.
STUDY DESIGN: Prospective observational study.
PLACE AND DURATION OF STUDY: This study was carried out from June 2017 to May 2018 at anesthesia department of Combined Military Hospital Lahore.
METHODOLOGY: One hundred and twenty patients belonging to America Society of Anesthesiology class I and II, undergoing caesarean section under spinal anesthesia were selected. Verbal Analogue Scale for anxiety (VASA) and Straight Trait Anxiety Inventory (STAIs) questionnaire were used to measure pre-operative anxiety. Patients were divided into three groups as mild (VASA<3or STAIs<44), moderate (VASA 4-7 or STAIs 44-55) and severe (VASA 7-10 or STAIs>55) anxiety.
Baseline mean arterial pressure was measured. Patients were placed in supine position immediately after induction of spinal anesthesia at L3-L4 or L4-L5 level with 12mg bupivacaine. Blood pressure was measured every two minutes until the delivery of baby. Hypotension was labeled when mean arterial pressure dropped by 20% below the baseline. The effect of level of anxiety on drop in MAP was assessed.
RESULTS: Seventeen (14.17%) patients had mild pre-operative anxiety; out of which four (23.53%) developed hypotension. Seventy three (60.83%) patients had moderate anxiety; out of which twenty seven (36.99%) developed hypotension. Thirty (25%) patients had severe anxiety; out of which twenty two (73.33 %) developed hypotension. P-value (0.001) was quite significant.
CONCLUSION: It was concluded in our study that severity of pre-operative anxiety has significant effect on intra-operative spinal hypotension.
Approach of MBBS Students receiving Modular vs Students receiving Conventional Mode of education towards Health Research: A Comparative Study
Authors: Munir Rabiya , Ghafoor Nimra , Niazi Inayat Mumtaz Khan , Saeed Ifra , Yousaf Ayesha 
Published: February 2022

Introduction: Health research training is an important component of the medical curriculum. This study was conducted to compare the approach of medical students being taught through an integrated modular curriculum with the students receiving conventional mode of education towards health research.
Materials and Methods: A cross-sectional study was conducted between 3rd-year MBBS students following Lecture Based Learning and Problem Based Learning (groups A and B respectively). A self-designed pretested questionnaire was filled by 153 students of each group (from group A in 2019 and group B in 2020) through a simple randomized sampling technique. Analysis was done using SPSS 21. P-value <0.05 was considered to be significant for all purposes.
Results: Mean knowledge score of PBL students was 50% against a score of 55.5% of LBL students (p-value=0.114). However, the mean attitude score of PBL students was 79.2% against a score of 67.4% of LBL students (p-value< 0.000). Over 49.6% of LBL students and 41.8% of PBL students had satisfactory knowledge. 19.7% of LBL students and 82.3% of PBL students had a satisfactory attitude.
Conclusion: Significantly higher attitude of PBL students was found. However, the level of knowledge was found to be the same in both groups. PBL curriculum has a positive influence on students on their attitudes towards health research.
Histopathological Typing and Topographic Distribution of Head and Neck Lesions: An Eight Year Retrospective Study
Authors: Iqbal Fatima , Saeed Saleha , Bashir Nasiha , Khattak Sana Mushtaq , Naushin Tehmina , Sulaiman Muhammad 
Published: February 2022

Objective: To analyze the histopathological pattern of head and neck lesions with respect to demographic findings referred to the histopathology lab of Peshawar Medical College (PMC).
Study Design: Descriptive cross-sectional study.
Place and Study duration: Histopathology laboratory of PMC, Peshawar, Pakistan. Jan 2010 to Dec 2018.
Materials and Methods: A retrospective study was conducted on a total of 743 specimens submitted to the histopathology lab for diagnosis. Variables like age, gender, site, and histopathological spectrum were evaluated. Statistical Package for Social Sciences (SPSS) version 19 was used for descriptive and inferential statistics considering p-value ≤0.05 significant.
Results: In our study <30 age group was common for head and neck lesions. Females were frequently affected than males. A maximum number of diagnosed lesions was benign in nature with goiter as the most common lesion. Oral squamous cell carcinoma (OSCC) was a widespread malignant neoplasm. According to the site, the thyroid showed 36%of lesions followed by 9.5% lip and oral cavity and lymph nodes respectively.
Conclusion: This study concluded a variety of head and neck lesions with respect to age, gender, and site in our region that can help in improved understanding, management, and control of the disease.
Polycythemia Secondary to Pheochromocytoma
Authors: Raza Raheel , Ambreen Saima , Mumtaz Hassan , Ahmad Shahzaib , Khan Hadin Darain 
Published: February 2022

Polycythemia, also known as polyglobulia, is a clinical condition characterized by an increased number of red blood cells (RBC) or haematocrit concentrations in the peripheral blood. It can either be primary (polycythemia vera) or secondary, which can be congenital or acquired; the most common causes include obstructive sleep apnoea, obesity, hypoventilation, Pickwickian syndrome, Chronic obstructive pulmonary disease (COPD), and lastly, pheochromocytoma.
Here we present a case of a 54-year-old male with a four-day history of altered state of consciousness (ASOC), right-sided body weakness, and respiratory difficulty. After a thorough history, examination, and investigation, he was diagnosed as a case of polycythemia secondary to pheochromocytoma. Early diagnosis and intervention are critical to save the patient’s life.
Correlation between Nasal Foreign Bodies and Their Presentation in Paediatric Age Group
Authors: Umar Mumtaz Ahmad , Mushwani Mohibullah , Jawad Ayesha , Arshad Naveed 
Published: February 2022

Objectives: To observe the relationship of nasal foreign bodies in terms of patient’s age as well as the type of foreign body and removal technique.
Materials and Methods: This retrospective cross-sectional study was conducted in ENT department, Akbar Niazi Teaching Hospital, Islamabad from April 2017 to May 2018. A total of 120 patients selected by non-probability consecutive sampling technique with inclusion criteria of all children less than 12 years with foreign body in nose were recruited for this study after taking written informed consent. Patients who had concurrent nasal infections and trauma were excluded. Children age, gender, site, type of foreign body and removal technique were recorded. Data was analyzed by using SPSS version 21.
Results: A total of 120 patients were presented with nasal foreign bodies, 107 cases were successfully dealt with in OPD while 13 patients were admitted for removal under general anaesthesia. The commonest affected age group was 2-5 years (78.33%) with more females (55.75%) than males (44.25%). Organic type of foreign body was 55.8% and inorganic type of foreign body was 44.2%. Seeds and small nuts (35%) were found to be the commonest types of nasal foreign body. The correlation between age groups, types of foreign body, removal technique and site of foreign body was significant (p value ≤ 0.05).
Conclusion: Nasal foreign bodies are commonly faced problem in children, specially in 2-5 years of age. They are largely harmless but complications can occur if neglected. Prevention remains the best option while for non-cooperative and attempted cases, removal under general anaesthesia is safe and preferred.