bluuebunny/crossref_metadata_2025_split huggingface dataset:
Upaya Meningkatkan Prestasi Belajar IPS dengan Menggunakan Metode Kerja Kelompok pada Siswa Kelas IV SD N Gading Asri, Playen, Gunungkidul Tahun Pelajaran 2021/2022
Authors: Muryanti Sri , Sukadari Sukadari 
Published: June 2022

The background of this research is that the lack of social studies learning achievement is caused by the selection of learning methods that do not increase students' motivation and activeness in participating in learning. Given that the learning process is very large in determining the success of students, it is necessary to conduct research on learning improvements. The purpose of this study is to prove that the application of the group work method can improve student learning achievement regarding the material for maintaining personal documents and valuables for fourth grade students at SDN Gading Asri, Playen, Gunungkisul, Academic Year 2021/2022. The research was carried out in 2 cycles consisting of cycle 1 on 20 and 22 August 2021. then cycle 2 will be held on 27 and 29 August 2021. Each cycle consists of several stages, namely: planning, implementation, observation and reflection. The data collected is analyzed at each stage of the cycle with quantitative descriptive analysis. Based on the research results, it can be concluded that the improvement of learning through the group work method in social studies subjects for fourth grade students at SDN Gading Asri in the 2021/2022 academic year can be increased. This can be seen from the increase in the average score of students starting from pre-cycle activities, namely 66, after the action in the first cycle increased to 73 then after the second cycle of action the average value increased again to 84.
INFLUENCE OF AIR TEMPERATURE ON OAT SOWINGS YIELD IN MO-RAINIC HILL AGROLANDSCAPE
Authors: Ivanov D. А. , Karaseva O. V. , Rublyuk М. V. 
Published: June 2022

The paper presents the results of statistical processing of data from long-term monitoring of oat yields, both in clean crops and with sowing of perennial grasses. Studies were conducted in 1998-2021 on an agroecological transect within a polygon located on a moraine hill 4 km east of the city of Tver. In each of the 120 test points located on the transect, the correlation coefficient of oat yield from the average monthly temperature at different stages of phytocenosis life (May, June, July and August) was determined. Studies show that correlation analysis is a powerful statistical research tool adaptive reactions of plants to landscape and agroclimatic conditions, with the help of which it is possible to identify the features of the impact of temperatures on crop yields in various technological and landscape conditions. It was revealed that the average monthly temperatures do not have a significant impact on the yield of net oat crops - many correlation coefficients are not reliable. Growing oats together with grasses leads to an even greater reduction in the dependence of the crop on temperatures, which can be explained by better thermal and hydroregulation in complex crops. It is established that on the upper hypsometric elevations of the landscape with the most variegated soil cover in clean crops there is an inhibition of plants in June-July, and in complex phytocenoses these locations are most favorable for seedlings. It is concluded that the phytocenosis of oats with grass seeding has greater plasticity compared to its pure crops. It can be distributed in the agrolandscape almost everywhere, while clean crops are more rationally placed on the lower parts of the slopes and in depressions.
Effect of Group Reminiscence Therapy on the Loneliness, Depression and Life Satisfaction of the Elderly who living in Nursing Home: Randomized Controlled Trial
Authors: SEZER BALCI Ayşe , KOLAÇ Nurcan , KÖSE Melisa , SAFA İbrahim , KIRAÇ Ayşe , ÖĞÜT DÜZEN Kerime 
Published: June 2022

Objective: The study aimed to examine the effect of group reminiscence therapy among elderly people who living nursing homes.
Methods: This randomized controlled trial was performed in two nursing homes in Turkey. A total of 76 elderly recruited the intervention group (n= 37) and the control group (n=39). The intervention group received reminiscence therapy in the form of group sessions lasting 30-45 minutes once a week for six weeks. The control group had no application. Data were collected using a socio-demographic form, the Loneliness Scale, Beck Depression Scale, and Life Satisfaction Scale.
Results: After reminiscence therapy, Beck Depression Scale and Life Satisfaction Scale mean scores increased in elderly in the intervention group (p0.05).
Conclusion: At the end of the study, reminiscence therapy was found to be a useful method for reducing depression and increasing life satisfaction in elderly.
ALTERATIONS IN THE PERIPHERAL CIRCULATION IN HEART FAILURE: CURRENT VIEW ON ENDOTHELIAL DYSFUNCTION AND PHARMACOLOGICAL IMPLICATIONS INVOLVING ITS PATHOPHYSIOLOGICAL ASPECTS
Authors: Chursina T.Ya. , Kravchenko A.M. , Mikhaliev K.O. 
Published: June 2022

Introduction. Despite the significant advances in the pharmacotherapy of cardiovascular diseases, the increasing prevalence of heart failure (HF) and its poor prognosis constitute one of the leading medical problems worldwide. The complex pathophysiology of HF involves the alterations in the peripheral circulation, particularly the development of endothelial dysfunction (ED). The deepening of understanding the pathology of ED and the spectrum of pharmacological implications, involving its certain pathophysiological aspects, could favor the optimization of the personalized approach to the management of such challenging HF patients.
Aim: to provide a literature review of the current data on the alterations in peripheral circulation in HF with the focus on ED, and to outline possible pharmacological implications involving certain pathophysiological aspects of ED in HF patients.
Material and methods. The thematic scientific papers, published predominantly during the last decade, constituted the study material. The research methodology involved bibliosemantic method and structural and logical analysis.
Results and discussion. Currently, the ED considered as a stage of a specific continuum, which is initiated in the form of «activation» of the endothelium, and moves through the stage of its actual «dysfunction» to the stage of endothelial «damage». Taking into account the important pathogenetic and prognostic significance of ED in HF, the endothelium is considered as a target of various pharmacological influences, including renin-angiotensin-aldosterone inhibitors and statins. Among the modern approaches to pharmacological treatment of HF, the correction of reduced nitric oxide (NO) bioavailability by modulating the «NO-soluble guanylate cyclase-cyclic guanosine monophosphate» signaling pathway is a perspective option in terms of preventing the occurrence and progression of ED.
Conclusion. The deepening of knowledge about the pathophysiological features of ED in HF allows both to improve the understanding of the pharmacodynamic effects of already approved cardiovascular drugs, and to outline the perspectives for pharmacological direct or indirect impact on endothelium.
PLACE OF PRIMARY MEDICAL CARE IN PROVIDING MEDICAL REHABILITATION TO PEOPLE WITH DISORDERS OF THE MUSCULOSKELETAL SYSTEM: WORLD HEALTH ORGANIZATION RECOMMENDATIONS AND THE SITUATION IN UKRAINE
Authors: Brych V.V. 
Published: June 2022

The aim of the research is to analyse the recommendations of the World Health Organization (WHO) on the involvement of primary health care in the implementation of rehabilitation in case of musculoskeletal disorders and describe the situation in this area in Ukraine.
Materials and methods. Methods of system and structural-logical analyses, bibliosemantic method were used during the research. The materials included published documents and information sources of the WHO, regulations of Ukraine on the implementation of medical rehabilitation, publication of scientific research.
Results: WHO points out that rehabilitation integrated into primary medical care is one of the categories of rehabilitation care. It has a number of obstacles and requires more active action by the state leadership. The people with musculoskeletal disorders are also identified as key group of consumers of rehabilitation at the level of primary medical care. In Ukraine in recent years, the development of rehabilitation is constantly being improved by regulations. They create the possibility of providing rehabilitation services at all levels of medical care, identify the consumers and scope of rehabilitation services, regulate the use of telerehabilitation. However, the possibility of receiving rehabilitation services for persons with musculoskeletal disorders at the level of primary medical care in Ukraine is still limited by certain regulations and levels of staffing and technical support of the health care system.
Conclusions. Securement of rehabilitation services to people with musculoskeletal disorders in the provision of primary health care requires the development of new approaches to its organization, taking into account the recommendations of the WHO.
APPROACHES TO IMPROVE MANAGEMENT STYLES IN THE PROCESS OF TRAINING LEADERSHIP MEDICAL STAFF AT DIFFERENT LEVELS OF EDUCATION
Authors: Kryachkova L.V. , Simon K.I. , Borvinko E.V. , Semenova L.S. 
Published: June 2022

Abstract. Effective leadership, which is one of the most important functions of the health care system, is impossible without effective leadership.
Objective. Exploring the self-perception of own management style among senior medical staff and medical students to determine approaches for their optimization in the direction of improving personal and professional efficiency.
Materials and methods. A study was conducted among 76 managers of different levels of management of health care institutions in the Dnipro region (main group) and 74 senior medical students (comparison group). The methodology developed and tested by WHO specialists in the relevant training module on leadership and strategic management was used. A special website https://leader-style.herokuapp.com was created to collect information and obtain results. The results were analyzed using generally accepted statistical approaches using the Jupyter Notebook software (https://jupyter.org/install)
Results. Among the dominant management styles among managers of different levels in descending order were: Problem-solving style, Supportive, Resilient and Innovative. Similar patterns are observed among medical students in the frequency of styles, but with a statistically significantly lower frequency (p <0.05) there are Supportive and Problem-solving styles. Regarding the effectiveness of management functions, no differences were found between the groups between Regulating and Adaptive functions, while others had a greater degree of effectiveness in the organizers of health. Managers most effectively use the next functions: Task Management, Creative and Nurturing, the least effective - Regulating and Adaptive.
Conclusions. The formation of leadership potential among medical students will in the future increase the effectiveness of the management functions of health care organizers. Defining leading management styles and further developing the necessary skills of managers is the leading way to improve their performance.
Paediatric Colonoscopy: Experience from Pediatric Gastroenterology and Nutrition Department, BSMMU
Authors: Begum Fahmida , Nahid Khan Lamia , Islam Fahmida , Majumder Wahiduzzaman , Md Rukunuzzaman - , Karim ASM Bazlul 
Published: June 2022

Background: Colonoscopy of the lower gastrointestinal tract has both diagnostic and therapeutic value.
Objective: This cross-sectional study aimed to investigate the indications, findings and complications of children who underwent the colonoscopy.
Materials & Methods: We studied the children between 1 and 18 years of age who presented with various indications and underwent both diagnostic and therapeutic colonoscopy in the Department of PGN, BSMMU, Dhaka from January 2015 to February 2018.
Results: Among the total 332 patients reviewed,61.7% (205) were male and 38.3% (127)with a male to female ratio of 1.61:1. The most common (69.8%) indication was lower gastrointestinal bleeding (LGIB) followed by diarrhea (15.9%) and altered bowel (14%) as well. No serious complications occurred during the procedures. A total of 211 patients (63.5%) received a diagnosis, including 137 (41.3%) patients with colorectal polyps, erythema 40(12%) and diffuse nonspecific colitis 34(10.2%).Ninety four percent polyps are located in recto-sigmoid region. Juvenile polyp was the most common pathological findings.
Conclusion: LGIB is the commonest indication for pediatric colonoscopy. Pediatric colonoscopy is effective diagnostic as well as therapeutic option for lower GI pathology.
BANGLADESH J CHILD HEALTH 2021; VOL 45 (1) : 25-28
Retrospective Analysis of Cervical Cancer Staging in two Cohorts and its Application in 2018 Revised FIGO Staging for Cancer Cervix
Authors: Khatun Sabera , Ferdous Jannatul , Begum Shirin Akter , Hussain Fowzia , Ferdous Noor e , Khatun Farhana , Bithi Farzana Sharmin , Nazir Fahmida , Akter Latifa 
Published: June 2022

Introduction: cervical cancer is the second most common cancer of women in Bangladesh. Information about the extent of any cancer is critical for treatment planning .For the management of cervical cancer clinical staging is the first and foremost task and disease stage is the single most important prognostic factor.
Objective: To know the distribution of clinical stages of cervical cancer, to validate the revised 2018 FIGO staging system for cervical cancer with a particular focus on stage 1B and to know the differences in distribution of stages among two cohort groups.
Methods: Retrospective analysis was conducted among two cohorts of cervical cancer patients. First group of cervical cancer patients underwent Examination Under Anesthesia (EUA) for clinical staging during December 2011 to July 2017 and second cohort was the same type of patients undergoing same procedure by different group of observer from August 2017 to June 2019. Chi square test was done to know the difference in stages between two groups. P value <0.05 was considered as significant difference.
Results: In the first (8.12.11-1.7.17) cohort ( n—479) maximum ( 68.21%) patients were between 41 to 60 years old. Similarly in the second ( 2.8.17—30.6.19 ) cohort ( n—256) maximum ( 63.45%) patients were between 41 to 60 years of age. Significant difference observed in the measurement of the size of the tumour when it was 2.1 to 4 cm in size. ( p value-0.001) . Great difference observed in performing cystoscopy during EUA ( p value -0.001) between two cohorts. In the first cohort 27.39% and in 2nd cohort only 2.73% patients underwent cystoscopy. Differences also observed in diagnosing stage 11A, B and 4 A diseases.
Conclusion : The 2018 FIGO staging system for cervical cancer is useful to distinguish stage 1B disease and it is very fruitful in taking decision regarding management. An important information obtained from this analysis is that great variation can occur in diagnosing stages of cervical cancer by different group of observer.
Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 87-92
Effects of Long-Term Use of Depomedroxy Progesterone Acetate on Serum Lipids
Authors: Ferdous Shahrin , Amir Mumtahena , Chowdhury Saleha Begum , Nasrin Begum , Hamid Farzana , Banu Shabnam 
Published: June 2022

Introduction: Long Acting Reversible Contraceptive (LARC) is one of the most popular method of family planning. The Aim of the study was to explore the effects of long-term use of Depomedroxyprogesterone acetate (DMPA) which is the most commonly used LARC, on serum lipid profile.
Methods: This cross-sectional analytical study was carried out in the Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, during the period December 2015 to September 2016. A total 70 married women at the age range of 20-35 years attending, the family planning clinic of BSMMU were included in this study. Out of them 35 subjects who had been using DMPA for ³ two years uninterruptedly were considered as cases and another 35 subjects who did not use any hormonal contraceptives were labeled as control. In both the groups, age and BMI were matched. All the study subjects in both groups were apparently healthy. Fasting blood samples were collected from each subject for the estimation of Total Cholesterol (TC), Triglyceride (TG), High-density Lipoprotein Cholesterol (HDLC) and Low-density Lipoprotein Cholesterol (LDLC). The data were collected in a pre-designed data sheet and analyzed with student T-test for the statistical significance.
Results: Serum TC and LDLC level in group-I (cases) were significantly higher compared to group-II (control) and the difference was statistically significant (p<0.05). Serum High-density Lipoprotein Cholesterol (HDLC) level in group-I was lower than group-II which was also statistically significant (p=0.001). Serum Triglyceride level in group-I was higher than group- II, however the difference was not statistically significant (p=0.177).
Conclusion: DMPA use for ³ two years increases serum TC and LDLC and decrease serum HDLC, which may increase the risk of atherosclerosis.
Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 106-111
Adenomyosis and Infertility
Authors: Begum Mosammat Rashida , Ehsan Nazia 
Published: June 2022

Adenomyosis is an abnormal growth of endometrial glands and stroma into the myometrium causing diffusely enlarged uterus. Due to the abnormal growth of endometrial glands and stroma it causes severe pain during menstruation. Though USG and MRI can help, histopathology of the lesion is confirmatory diagnosis of the disease. It is one of the important causes of infertility with very poor prognosis. Any treatment modalities can fail when lesion is diffuse in nature. Surgery in the form of total hysterectomy is the definitive treatment for complete cure but hysterectomy is not logical for infertile patients. So, fertility sparing surgery can be done to improve fertility. Medical treatment in the form of GnRHa and different form of progesterones can be used to eliminate symptoms and to reduce the adenomyotic mass, which may improve the fertility status. Non-surgical High Intensity Focused Ultrasound (HIFU) is another option to reduce the size of the lesion. For reproduction active treatment is ideal to accelerate live birth. Controled ovarian hyperstimulation and Intrauterine Insemination (IUI) can be done if tube(s) are patent. If not, Assisted Reproductive Technology (ART) is the treatment of choice for this group of patients.
Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 112-123
Malignant Mixed Mesodermal Tumour (MMMT) of the Ovary: An Unusual Primary Tumour
Authors: Akter Razia , Tasnim Saria , Nessa Kamrun , Banu Selina Akter 
Published: June 2022

Ovarian carcinosarcoma (Malignant Mixed Mesodermal Tumour) is rare malignant tumour with a poor prognosis. We here present a case of ovarian carcinosarcoma in a 72-yearswoman suffering from intermittent lower abdominal pain for 5 months with previous history of Total Abdominal Hysterectomy (TAH) with Unilateral Salpingo-Oophorectomy (USO) due to leiomyoma 27 years back. Explanatory laparotomy and right salpingo-oophorectomy with complete surgical staging was done at Dhaka Community Medical College Hospital. Histopathology revealed both sarcomatous and carcinomatous component. Surprisingly the patient had no metastatic foci and consulted with a medical Oncologist, who didn’t recommend any chemotherapy and was cancer free during last one and half years follow up.
Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 124-126
Abdominal Wall Endometriosis – Case Series
Authors: Nahar Shamsun , Naher Naznin , Jahan Dilshad , Khaliduzzaman SM , Kundu Dilip Kumar 
Published: June 2022

Endometriosis is primarily a disease of pelvis. Extra pelvic endometriosis is defined, when eutrophic endometrial tissue is detected in any site other than pelvic cavity with the specification that this invasion is benign (non-neoplastic) in nature. Endometriotic lesions are usually found on the peritoneal surfaces of the reproductive organs and adjacent structures of the pelvis, but it can occur anywhere in the body. Extra pelvic endometriosis is a rare condition and it’s most common extra-pelvic location is the abdominal wall, occurring most frequently after cesarean delivery or any other abdominal surgery. Other sites are gastrointestinal tract, respiratory tract, pleura, pericardium, diaphragm and primary umbilical endometriosis. Patient’s usually present with painful mass in the abdominal wall during menstrual period, sometimes with a typical presentation, but recently incidences of scar endometriosis is increased. Two cases are presented here. To obtain a definitive diagnosis and optimal treatment for abdominal wall endometriosis, complete excision & histopathological examination are necessary. Here we presents 3 cases with umbilical endometriosis who presented between 13 to 28 years of age. Our all cases presented with a cyclical painful, abdominal mass and sometimes bleeding from umbilical mass. Also we highlight the importance of early recognition and appropriate surgical intervention to minimize morbidity and mortality from endometriosis.
Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 134-140
Relationship of Age and Parity with Bone Mineral Density among Postmenopausal Women- A Study at Dhaka Medical College Hospital
Authors: Ghani Tabassum , Kasem Setara Binte , Paul Ratna , Dhar Jayanti Rani , Begum Anwara 
Published: June 2022

Low Bone Mineral Density (BMD) leads to osteoporosis and increased bone fracture risk of a menopausal woman. Low Bone Mineral Density (BMD) is a major risk factor for osteoporosis and fragility fractures. Bone loss is accelerated following cessation of ovarian function and menstruation. Menopause is accompanied by estrogen deficiency and associated with bone loss. Generally accepted risk factors for osteoporosis in women are low BMI, age and duration of menopause. The effect of parity is controversial. So the aim of this cross-sectional observational study was to assess effect of parity on BMD. For this purpose total 100 women aged 50-70 years with parity three or more who had natural menopause were studied over the period of one year. All these women underwent measurement of Bone Mineral Density (BMD) at Dhaka Medical College Hospital (DMCH). Among 100 women 64 were para three to five, 30 were para 6-8 and only six were 9-11 para. BMD of L1-4 and total femur measured among para 3-5 women were (.938±.172,.855±.161) and it was (.851±.170,.769±.155) with para six to eight and (.765±.169, .656±.258) with para 9-11 respectively. ANOVA was done within and between groups, F = 3.996/4.959 ( P = .021/ .009). Negative correlation was found between parity and BMD of L1-4 and total Femur. This negative correlation was statistically significant. It can be concluded that with increasing parity BMD decreases.
Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 15-19