bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of nanofluid properties and mass-flow rate on heat transfer of parabolic-trough concentrating solar system
Authors: Islam M.K. , Hasanuzzaman Md. , Rahim N.A. , Nahar A.
Published: February 2020

Sustainable power generation, energy security, and global warming are the big challenges to the world today. These issues may be addressed through the increased usage of renewable energy resources and concentrated solar energy can play a vital role in this regard. The performance of a parabolic-trough collector’s receiver is here investigated analytically and experimentally using water based and therminol-VP1based CuO, ZnO, Al2O3, TiO2, Cu, Al, and SiC nanofluids. The receiver size has been optimized by a simulation program written in MATLAB. Thus, numerical results have been validated by experimental outcomes under same conditions using the same nanofluids. Increased volumetric concentrations of nanoparticle is found to enhance heat transfer, with heat transfer coefficient the maximum in W-Cu and VP1-SiC, the minimum in W-TiO2 and VP1-ZnO at 0.8 kg/s flow rate. Changing the mass flow rate also affects heat transfer coefficient. It has been observed that heat transfer coefficient reaches its maximum of 23.30% with SiC-water and 23.51% with VP1-SiC when mass-flow rate is increased in laminar flow. Heat transfer enhancement drops during transitions of flow from laminar to turbulent. The maximum heat transfer enhancements of 9.49% and 10.14% were achieved with Cu-water and VP1-SiC nanofluids during turbulent flow. The heat transfer enhancements of nanofluids seem to remain constant when compared with base fluids during either laminar flow or turbulent flow.
Measurement of small vessel machinery vibration induced acoustic signature levels
Authors: Pavan Kumar GVV , Prasad V V S , Nagesh B H
Published: February 2020

Ship vibrations, airborne and underwater noise levels have always been a challenging topic from a performance point of view in ship design, building and operation. The measurement shall help in monitoring the self-noise and the technical state of their machinery mechanism. The vibration levels on the main engine and auxiliary Genset foundation, airborne noise levels of the engine room and underwater self-noise levels of a small mechanized fishing trawler was measured at the jetty in idling condition.  The vibration levels on the foundation measured the average value of 0.207 mm/s for the main engine and 1.36 mm/s for auxiliary Genset. The airborne noise levels measured 99 dB (A) in the engine room. The peak underwater sound pressure levels measured 162 dB re 1µPa. The response spectra indicate the peak vibration and noise levels in the lower frequency region <1.2 kHz. The machinery excitation forces transferred to the hull surface as pressure fluctuations which generated the airborne and underwater noise levels. Though the measurement limited to jetty conditions, detailed analysis can be useful for detection, classification, and tracking of small vessels.
Complications of Laparoscopic Cholecystectomy
Authors: Alam ABM Khurshid , Khan Mashrur Akbar , Zaman Rashed Uz , Akbar Md Ali , Bashar Md Abul
Published: February 2020

Background: laparoscopic cholecystectomy is now regarded as the "Gold Standard" treatment option for benign gallbladder disease. But it is not free of procedure related complications. Objective: To review the complications of laparoscopic cholecystectomy for gall stone disease.

Materials & Method: A prospective observational study was carried out over a period of 9 years beginning from 1st of July 2003 till 30th of June 2012 in Comilla Medical College Hospital and several private hospitals of Comilla. A total of 946 patients who underwent laparoscopic cholecystectomy for symptomatic and asymptomatic gallstone disease as confirmed by ultrasound scan were included. Patient having cirrhosis of liver, ischaemic heart disease, suspected carcinoma of gall bladder were excluded from the study. The outcome including the complications was analyzed.

Result: Out of 946 patients 632 (66.80%) were females and 314 (33.19%) were males. Most (92.3%) of them were between 21-50 years of age. The commonest immediate complication was bleeding from liver bed (9.40%), from vascular injury in Callot's triangle (5.17%) and from the trocar site (4%). There was spillage of gallstones in 104(10.99%) cases. Bowel injury was seen in only one (0.10%) case. Bile leakage was observed in 4(.42%) cases that also include CBD injury .in 3 cases. The procedure was converted to open surgery in 11(1.17%) cases. Port site infection was seen in 43 (4.54%) cases. Late complications include port site hernia in 6 (0.63%) cases, port site keloid in 1 (.1%) case and CBD stricture in 5 (0.54%) cases. Mortality was unavoidable in in 2(0.21%) cases.

Conclusion: With increasing experience laparoscopic cholecystectomy can be a safe and effective procedure for most patients with cholelithiasis. Proper training and sound knowledge of possible complications can yield favorable results and lesser complications.

Journal of Surgical Sciences (2013) Vol. 17 (2) :73-79
Estrogen and Progesterone Receptor Status in Breast Cancer-Its Relation to Age, Axillary Lymph Node Status, Tumour's Maximum Dimension and Grade of Tumour
Authors: Hasanuzzaman Md , Rahman Md Mizanur , Lslam Md Johirul , Haque Md Ashraf UI , Rahman Md Setabur , Rahman Md Mafizur
Published: February 2020

Background: Carcinoma of the breast is one of the most common malignancies of women in our country. The current study was conducted with the objective of assessing Oestrogen receptor (ER) and progesterone receptor (PR) status of carcinoma breast for correlation with age of the patient, tumor dimension, axillary lymph node metastasis and histologic grade.

Methodology: One hundred and nineteen female breast cancer patients operated at the surgical oncology department of National Institute of Cancer Research & Hospital were selected by non-probability sampling method and operated specimens were sent for immunohistochemical study of the Oestrogen receptor and progesterone receptors. Statistical analysis was conducted using SPSS version 12 for Windows software. P-value 0.05 or less was considered as significant.

Result: Mean age of the patients was 41.64 years (95 % Cl 39.8, 43.5). About 87% of the ER+ and PR+ patients had tumour dimension < 5 cm. The predominant morphology was infiltrating duct cell carcinoma. Out of 66 ER+ cases 63 were the patients of Infiltrating duct cell carcinoma and in 63 PR+ cases 60 were the patients of same histological type. The majority of the cases presented as grade II (59.1%) followed by grade Ill (33.9%). Sixty percent patients had axillary lymph node metastasis. Majority of the patients (51.3%) expressed both the receptors in their breast tissue while around 43% of the patients did not show any receptor.

Conclusion: ER and PR expression in breast cancers in the current study was found to be comparable to published national and international data. Assessment of prognostic markers for the clinical management of breast cancer patients is strongly advocated to provide best therapeutic options.

Journal of Surgical Sciences (2013) Vol. 17 (2) : 84-88
Enhanced Recovery Programme (ERP) after Abdominal Surgery: Time to Change Practice
Authors: Hossain AZM Mostaque , Haque Nazma , Nafisa Ali
Published: February 2020

Abstract not available

Journal of Surgical Sciences (2014) Vol. 18 (1) : 28-34
Quality of Life after Liver Transplantation
Authors: Das Bidhan C , Rahman Mohammed Mostafizur , Khan Md Zulfiqur Rahman
Published: February 2020

We have searched articles published in various journals world wide on quality of life (Qol) after liver transplantation through internet; 38 articles were available through our searching process. After reviewing all papers we have found that there is no transplant specific assessment tool for measuring Qol after liver transplantation. General tools are used for assessment of Qol of these patients. PretransplantationQol are severely affected when compared to normal healthy volunteers. Hepatocellular carcinoma and cholestatic etiologies have higher Qol scores than those related to alcohol or viral hepatitis. Post-transplantation Qol scores are not affected by the etiology of the original liver cirrhosis, but transplant recipient scores continue to remain significant!)'. lower than those of healthy patient controls. The Qol scores improve during initial time after liver transplantation, but decreases in the long term. It may be due to decreases in the physical function and bodily pain domains as the patient's age increases, develops osteoporosis from long-term intake of steroids, and chronic rejection process. It is also addressed that Qol is not good in patients with Hepatitis C after liver transplantation. The development of a Qol assessment tool specific to transplantation could help to more accurately assess factors that alter post-transplantation Qol.

Journal of Surgical Sciences (2014) Vol. 18 (2) : 67-77
Outcome of Laparoscopic Versus Open Abdominal Rectopexy for the Treatment of Complete Rectal Prolapse-Our experience in Bangabandhu Sheikh Mujib Medical University
Authors: Naznin Kazi Nasid , Sheikh Md Shahadot Hossain , Habib Md Ahsan , Lslam Md Rashidul , Alam Ariful , Salahuddin Gazi Muhammad , Rahman Md Rayhanur
Published: February 2020

Background: Complete rectal prolapse is a very distressing condition. In adults, the only potentially curative treatment for complete rectal prolapse is surgery either by transabdominal or perinea! approaches. Till date abdominal rectopexy is considered as the standard surgical treatment for complete rectal prolapse, which can be done laparoscopically or by open procedure.

Objective: The purpose of the study was to observe the outcome of Laparoscopic rectopexy in the treatment of complete rectal prolapse by subjective assessment and to compare the result with that of conventional open abdominal rectopexy.

Methodology: This randomized clinical trial was carried out in the Department of Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka, from July 2012 to June 2014 for a period of twenty four (24) months. Patients who presented with complete rectal prolapse with age ranging from 25 to 70 years irrespective of gender were selected as study population. Patients were randomized by lottery method into two groups as group I who underwent laparoscopic rectopexy (LR) and group II who underwent open rectopexy (OR).

Result: A total number of 50 patients were recruited in this study of which 25 patients were. in group I and 25 patients were in group II. The mean (s.d.) age was 49.40 (13.22) years and 46.48(13.27) years in group I and group II respectively (p>0.05). The mean (s.d.) operative time was 115(19) minutes in group I and 75(12) minutes in group II (p<0.05). In this study 1(4.0%) patient and 6 (24.0%) patients had abdominal wound infection in group I and in group II respectively (p>0.05). Mean (s.d.) ambulation time was 1.96 (0.67) days in group I and 3.92(1.15) days in groups II (p<0.05). Postoperative hospital stay mean (s.d.) was 3.08(1.18) days in group I and 8.16(3.57) days in group II (p<0.05). Overall patients satisfaction were 92% and 76% in group I and group II respectively (p>0.05).

Conclusion: Laparoscopic rectopexy is a better option than conventional open abdominal rectopexy for the treatment of complete rectal prolapse.

Journal of Surgical Sciences (2015) Vol. 19 (1) : 3-7
Stapled Versus Hand-Sewn Anastomosis in Colorectal Cancer Surgery: A Comparative Study
Authors: Singha Jawhar Lal , Haq Zahidul , Majid MA , Taher Md Abu
Published: February 2020

Introduction: In spite of long journey of intestinal anastomotic techniques surgeons still are not free from doubt about the leakage after colorectal anastomosis. In distal rectal anastomosis after cancer surgery it poses more risk due to poor colonic vascularity and reduced remaining tissue to nourish the anastomotic site. Exploration of surgical staplers has provided some procedural advantages and sense of security to surgeons as well as to patients in respect to sphincter saving and thereby improving quality of life. However, outcome measures of these devices should be made to see its efficacy over conventional hand-sewn technique because their cost play role in treatment plan. The result of such comparative study may help surgeons to counsel the patients.

Objectives: To find out whether stapled anastomosis is safer than hand-sewn anastomosis in colon and rectal cancer surgery.

Materials and methods: The quasi-experimental study was undertaken in the department of general and colorectal surgery, Bangabandu Sheikh Mujib Medical University hospital during Feb 2005 to June 2008. Total 100 patients were selected. 48 patients underwent 'Stapled' and 52 underwent 'Hand-sewn' anastomosis. The patients were treated and postoperatively managed by same colorectal surgeon. The outcome variables were 'time required for anastomosis', 'postoperative hospital stay' and early and late 'complications' in postoperative and follow-up period.

Result and observation: The age, sex, socio-economic status or co-morbidities did not show any statistical difference between two groups as in the hospital stay (p=.821 ). The time required for anastomosis showed strongly significant difference (18.17 min and 26.85 min; p=.000) in favor of stapling group. The hemorrhage from anastomotic line (p=1.00), anastomotic leakage (p=.413), ileus/ obstruction (p=.640) and wound dehiscence (p=.640) were much less in stapled group though they lack statistical power. All others except anasotomotic stenosis (p=.514) showed almost similar results.

Conclusion: The stapled anastomosis was found to be less time consuming which was statistically significant. Both early and late complications except anastomotic stenosis showed results in favor of stapled group though they lack statistical strength. So, considering user perspective, time requirement and postoperative complications stapling technique appear to be safer and superior to hand-sewn technique though it demands statistical strengthening on large scale study.

Journal of Surgical Sciences (2015) Vol. 19 (1) : 8-16
Breast Cancer in Bangladesh
Authors: Akhtar Parveen Shahida
Published: February 2020

Abstract not available

Journal of Surgical Sciences (2015) Vol. 19 (2) : 42-43
Laparoscopic Cholecystectomy- A Safe treatment option for Gangrenous Cholecystitis 48 and Empyema Gallbladder in experienced hands
Authors: Mondal Samiron Kumar , Roy Sharmistha
Published: February 2020

Background: Laparoscopic cholecystectomy has become the gold standard of treatment for gall stone disease and in acute cholecystitis. But controversy persists regarding laparoscopic approach to gangrenous gallbladder and empyema gallbladder due to the risk of life threatening complications. We share our experience in a tertiary care multidisciplinary diabetic hospital where we encounter significant number of patients with empyema Gallbladder and gangrenous gallbladder because most of our patients are diabetic and hence immunocompromised. Purpose of this study was to evaluate the safety of laparoscopic procedure for the treatment of empyema of gallbladder and gangrenous gallbladder in an experienced hand.

Methods & Materials: Between January 2013 and January 2015 we performed 1191 cases of laparoscopic cholecystectomy. Empyema gallbladder and gangrenous gallbladder were found per operatively in 345 and 53 cases respectively.All were managed by laparoscopic procedure except two cases, where conversion to open cholecystectomy was needed.

Result: The mean operating time was 72 minutes(45-100 minutes) in empyema gallbladder. In gangrenous cholecystitismean operating time was 80 minutes(60-100 minutes). Total number of patients (including empyema gallbladder 345 and gangrenous cholecystitis 53) were 398. Among them 52 patients (13%) had excessive bleeding(>100ml) from calot’s triangle or gallbladder bed in liver. Spillage of stones occurred in 28 patients (7%). 1 patient had common bile duct injury (.25%). Gallbladder retrieval was difficult in 71 patients (18%). In the post operative period 21 patient (5%) developed minor port infection in the umbilical port. 9 patients (2%) developed chest infection, and 1 patient (.25%) developed MI. 356 patients (89%) were discharged within 72 hours of surgery.

Conclusions: Innovative technique, appropriate instruments, knowledge about the possible risks and way to manage them, with expertise in intracorporeal suturing and knotting are an essential pre requisites to attempt these cases. Operating time is more but post operative recovery is prompt. Hospital stay is significantly less than open cholecystectomy. Laparoscopic cholecystectomy is a safe procedure in cases of Empyema and gangrenous gallbladder, provided the surgeon is experienced enough and has a low threshold to convert to open cholecystectomy at anypoint of time.

Journal of Surgical Sciences (2015) Vol. 19 (2) : 48-51
Metastatic Melanoma in the Breast with unknown Primary
Authors: Paul Tapesh Kumar , Pervin Mosammat Mira
Published: February 2020

Secondary in the breast is a very rare condition but may occur usually from contralateral breast and from others like lymphoma, melanoma, ovarian tumors, and pulmonary malignancies and  malignancies of the gastrointestinal and genitourinary tract. Among the primary diseases, melanoma is notorious and unpredictable in its metastatic potentiality and organ of dissemination. There are few reported cases with metastatic melanoma in the breast. We report a case of metastatic deposits in the breasts of a 45year-old lady who presented with bilateral breast lumps with axillary lymphadenopathy having no primary site of melanoma.

Journal of Surgical Sciences (2015) Vol. 19 (2) : 72-74
Obituary 2015
Authors: Siddique Md Ibrahim
Published: February 2020

Abstract not available

Journal of Surgical Sciences (2015) Vol. 19 (2) : 89
Role of FNAC in evaluation of Parotid Gland Swelling
Authors: Majumder Krisna Rani , Karim Syed Serajul , Alam Md  Monjurul , Karmakar Rajan , Ashaduzzaman Abu Taher Md
Published: February 2020

Objectives: To find out the histological types of parotid neoplasm and to correlate thefindings of FNAC and final histological report in parotid gland neoplasm.

Methods: A total 30 cases were studied from the inpatient departments of General Surgeryand Otolaryngology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka sinceJuly, 2011 to April, 2013. Fine Needle Aspiration Cytology (FNAC) was done in all cases andcompared with histopathology finding of postoperative specimen.

Result: Regarding sex distribution benign neoplasm in female 13 (56.52%) and in male10(43.47%). As to the malignant parotid neoplasm in female 4(57.14%) and in male3(42.85%). All parotid neoplasm male: female ratio 1:1.3. Two cases involved in deep lobeof parotid & presented with inward and forward bulging of tonsil and pillars. Three cases ofwarthin'stumour only presented with swelling in the tail of parotid gland. In this series outof 30 cases of parotid neoplasm 23 (76.66%) cases were benign and rest 07 (23.33%)were malignant. Pleomorphic adenoma was the most common benign neoplasm 20(66.66%). Mucoepidermoid Carcinoma was most common malignancy 3 (10%) followed byadenoid cystic carcinoma 2 (6.66%). Out of 7, 3 were stage 3(42.85%) and 3 were stage4(42.85%). In histological grading 3 were low grade (42.85%) and 4 were high grade(57.14%). All the patient werepartotidectomy. Few were treated by radical parotidectomyplus radiotherapy.

Conclusion: Though it is a small series to comment on the whole spectrum of the parotidgland neoplasm in Bangladesh, yet an idea about the frequency of disease can be establishedbut actual incidence in Bangladesh as a whole can not be ascertained from thisstudy.

Journal of Surgical Sciences (2016) Vol. 20 (1) : 7-12
Malignant Melanoma of Left Sole Metastasis to Brain: A Case Report
Authors: Hossain Nabir , Bhattacharjee Avisak
Published: February 2020

A 60-year-old man presented with malignant melanoma on left heel with left inguinal lymphnode metastasis. He developed right hemiparesis on the 3rd POD of wide local excision of anulcerated lesion of the left sole. CT scan showed multiple cerebral metastasis in the bothparietal lobes. No neurological features also manifested before operation of the primary lesion.

Journal of Surgical Sciences (2016) Vol. 20 (1) : 32-33
Gastrointestinal Perforation Due to Gastrointestinal Stromal Tumour (GIST) In Small Intestine-A Case Report
Authors: Sagar SM lftekhar Uddeen , Sharfuzzaman AMSM , Lslam SM Nazrul , Hasan Md Mahamudul
Published: February 2020

Gastrointestinal stromal tumors (GISTs) is a mesenchymal tumor of GI tract. Now a daysdiagnosis of GISTs is more frequent then previous due to advance diagnostic tool. GISTsusually present with abdominal mass and GI bleeding but it may also present with manyunusual pattern like obstruction, perforation. Perforation of GISTs is extremely rare presentation.We report a case of pneumoperitoneum due to perforation of small intestinal GIST.Emergency laparotomy followed by resection and end to end anastomosis was done. Aftersurgical treatment lmatinibmesylate was given for prevention of early recurrence.

Journal of Surgical Sciences (2016) Vol. 20 (2) :65-67
Surgical education and training: moving towards twenty first century
Authors: Hussain Md Margub
Published: February 2020

Abstract not available

Journal of Surgical Sciences (2017) Vol. 21 (1) :2-4
Complete mesocolic excision for right sided colonic carcinoma - Our Experience in tertiary care hospital
Authors: Mondal Samiron Kumar , Roy Sharmistha , Uddin Mohammad Saif , Murshed Mahbub , Bashar Abul
Published: February 2020

Background: The concept of Complete Mesocolic Excision(CME) as a surgical techniquefor colonic carcinoma.was first introduced in the west in 2008. CME follows the sameprinciple as Total MesorectalExcision(TME) in rectal carcinoma. We have adopted this newtechnique since 2014.

Objective: Here we describe the CME technique in open and laparoscopic right hemicolectomy,and our initial experience of the surgery.

Methods: This is a prospective observational study. Data collected from 24 patientsadmitted under our care in BIR DEM General Hospital from January 2015 to January 2017with carcinoma caecum or ascending colon.

Results: Out of 24 patients 14 patients opted for laparoscopic right hemicolectomy and 10patients choose open right hemicolectomy. In laparoscopic right hemicolectomy with CMEthe mean operating time was 152 minutes, amount of blood loss ranges 70-100ml.Number of lymphnodes removed enbloc with specimen 25-30(mean27). Distance oftumor from mesenteric margins at the point of vascular tie 11-15 cm. In open righthemicolectomy with CME mean operating time was 142 minutes, estimated blood loss120-300 ml, harvested lymph nodes within mesocolic envelop 24-31(mean27), anddistance of tumor from vascular tie is 9-15 cm. there is one major complication of uretericinjury. Histopathology shows resection margin are free of tumor in all except 2 cases.

Conclusion: Right hemicolectomy with CME in both open and laparoscopic approach canbe easily adopted by general surgeons and colorectal surgeons who are performing'standard technique' or 'conventional technique' routinely for right hemicolectomy. Withthe encouraging results available from centers who are routinely performing CME incolonic surgery it is now considered as the new bench mark of quality of standard colonicsurgery.

Journal of Surgical Sciences (2017) Vol. 21 (1) :15-18
Complications of Level I and II Axillary Dissection in the Treatment of Carcinoma of the Breast
Authors: Akhter Maj Nasima , Iqbal Abu Khaled Muhammad , Rahman Md Mahbubur , Murshed Mahbub , Bashar Abul
Published: February 2020

Background: The role of axillary dissection as an effective means of controlling regionalnodal disease, has long been recognized. It is associated with significant complicationsand might be more selectively applied only to patients harboring micrometastases to thesentinel nodes.

Objective: To assess the complications of level I and II axillary lymph node dissection inthe treatment of stage I and II breast cancer, with mastectomy.

Methods: One hundred patients having total mastectomy with axillary dissection, wereevaluated for more than 1 year after surgery for arm swelling as well as non-edemacomplications. All patients had measurements of circumference of upper limb at 4 siteson both the operated and non operated sides.

Results: No patient had an axillary recurrence, difference in circumference of upperlimb at the midbiceps level >2 cm - 13% (p <0.001), difference at the antecubitalfossa>12% (p < 0.001), at the mid forearm>2cm - 8% (p < 0.005), and at the wrist 4%(n.s.). Four patients (4%) had mild swelling of the hand. Seventy seven (77%) patientshad numbness or paresthesias of the medial arm and/or axilla after surgery; in 63(82%) of these, the problem had lessened or had resolved on follow-up assessment.Medical therapy with anti-tubercular drugs ranging from 9 to 12 months with follow upmonthly was the mainstay of treatment. Surgical intervention reserved for selectedrefractory cases. Extension of anti-tubercular therapy from 9 to 12 or 18 monthsrequired in fifty-eight(58) patients on the basis of slow clinical response. Completeresolution obtained in 92 patients but residual tiny mass in eight patients confirmed byrepeated FNAC to be fibrotic.

Conclusion: Level I and II axillary dissection is associated with various complications.Sentinel lymphadenectomy may be proposed as an alternative to elective axillarydissection.

Journal of Surgical Sciences (2017) Vol. 21 (1) :24-28
Solitary Plasmacytoma of Rib Origin in a Young Adult- A Rare CaseReport
Authors: Uddin Mohammad Saif , Ahamed Fahmida , Bashar Abul , Murshed Mahbub , Alam ABM Khurshid
Published: February 2020

Solitary plasmacytoma of bone, specially of a single rib, is a rare disease and is characterized by onlyone or two isolated bone lesions with no evidence of disease dissemination. Here we present a caseof 35-year-old male who was presented with a recurrent swelling in left lower lateral chest wall withsymptoms of localized pain. Radiological evaluation revealed a solitaryexpanding lesion in left lowerlateral chest wall. Fine needle aspiration showed numerous small round cells having hyperchromaticnuclei with scanty cytoplasm. en-bloc resection of the tumor, including involved part of left 9th rib,the intercostal muscle and the parietal pleura with primary closure of chest wall. Histopathology ofthe resected mass revealed plasma cell neoplasm, highly suggestive of solitary plasmacytoma. Thepatient referred to oncologist for further management.

Journal of Surgical Sciences (2017) Vol. 21 (1) :39-41
A Late Adolescent Girl with Rectal Duplication Cyst in Bangladesh: Case Report
Authors: Khalil Mohammad Ibrahim , Amin Andalib , Asaduzzaman ATM , Rahaman AZM Mahfuzur , Hossain AZM Mostaque
Published: February 2020

Intestinal duplications, originally described in 1941, are congenital cystic lesions resemblingand associated with part of the gastrointestinal tract. Rectal duplication is the rarest of the allduplications and adolescence presentation of rectal duplication cyst is quite unusual whichis reported here. A 17 year female presented with right gluteal lump. She underwent surgeryand was found to have a smooth cystic mass, which was later found to be a Rectal Duplicationcyst in histopathology. High index of suspicion with other differentials can lead to earlydiagnosis and complete cure of the condition.

Journal of Surgical Sciences (2017) Vol. 21 (1) :45-46
Management of CBD Stone in Situs lnversus Total is: A Case Report
Authors: Khan Sadia Armin , Ashraf Ali Abu Ahmed , Salam Abdus , Hossain Syeda Samina , Chowdhury Sharupa , Sarkar Anusree
Published: February 2020

Situs inversustotalis is a rare congenital condition present in approximately 0.01% of thepopulation in which the major visceral organs are reversed from their normal position and canpose difficulties in the diagnosis and management of abdominal pathology. Symptomaticcholelithiasis is very common and laparoscopic cholecystectomy is the gold standard treatmentat present. Laparoscopic surgery in a situation of situs inversus is challenging due tothe mirror-image anatomy. Diagnostic pitfalls and technical details of the laparoscopic cholecystectomyare discussed.

Journal of Surgical Sciences (2017) Vol. 21 (1) :48-50
Medical Rehabilitation Services in Bangladesh: Problems & Challenges
Authors: Hossain Md Shahadat
Published: February 2020

Abstract not available

J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 1-2
Characteristics of Polycystic Ovarian Syndrome in Sub-fertile Woman Attending to GOPD in ShSMCH
Authors: Islam Jinnat Ara , Ashraf Fatema , Nandi Eva Rani
Published: February 2020

Background: Polycystic ovarian syndrome (PCOS) is a condition characterized by menstrual abnormalities (oligo/amenorrhea) and clinical or biochemical features of hyperandrogenism and may manifest at any age. It is a common cause of female subfertility. All the dimensions of PCOS have not been yet completely explored.

Methods: It was a cross sectional comparative study carried out at-GOPD of Shaheed Suhrawardy Medical College & Hospital from January, 2016 to December 2016 on 162 subfertile women. Among them 54 were PCOS group and 108 were non PCOS group. PCOS was diagnosed by (Rotterdam criteria 2003) (i) Oligo or anovulation (ii) hyperandrogenism (iii) Polycystic ovaries. Study was done to evaluate and compare the demographic characteristics, clinical, biochemical and ultrasoundgraphic features of sub-fertile women with and without PCOS.

Results: A total of 162 sub-fertile women aged 16-36 years. Mean age was 29.5±5.4. There were significant differences between the two groups in terms of (oligo/amenorrhea), hirsutism, WHR and ovarian ultrasound features. There were no significant differences between two groups in correlations between the level of obesity with the incidence of anovulation, hyperandrogenism or with hormonal features.

Conclusion: PCOS is one of the important factors causing Infertility. It is an ill-defined symptom complex needed due attention. There is a need to increase awareness regarding. The clinical features of PCOS are heterogenous thus can be investigated accordingly of selection of appropriate treatment modality.

J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 17-23
E-Pharmacy Utilization on the Spectrum of Digital Pharmaceutical Practices, Patterns and Challenges in Bangladesh
Authors: Sarker Sujit Kumar , Bhas Geethanjali , Paul Ratna , Pal Himel , Yusuf Mohammad Abdullah , Eva Eliza Omar
Published: February 2020

a
Role of HRUS in Detection and Localization of Foreign Bodies
Authors: Shah KZ , Begum N , Ali MS , Hossain M , Ahmed P
Published: February 2020

Prick injuries with metallic and non-metallic foreign body are commonly encountered cases in surgery and orthopedics OPD. Detection and localization is difficult task with conventional radiography. Ultrasonography, CT and MRI are other modes of evaluation but CT and MRI are expensive and not easily available.About 35 patients were evaluated with USG (7.5-10 MHz Linear probe) and X-ray for clinically suspicious non-radiopaque foreign body in soft tissue and extremities. Clinical presentation, symptoms anatomical location, and foreign body retrieved after surgery were recorded. X-ray detect only 3 foreign bodies where as HRUS detected 34 patient. Most of the cases FBs were present in ankle and foot. Majority of the foreign bodies were plant thorn and wood pieces. Plain X-ray is not sensitive for detection of non-radiopaque foreign bodies but USG is sensitive and specific for detection and localization in that cases.

TAJ 2010; 23(1): 33-37
Anatomic Site Distribution of Colorectal Cancer: A Retrospective Study of 102 Cases in a Tertiary Hospital
Authors: Alim MA , Rashid MH , Ahad MA , Chowdhury MMH , Rahman MK , Khan MMR , Haque M Azizul
Published: February 2020

Colorectal carcinoma is one of the major cancers in the developed world. It is not uniformly distributed through out the large bowel. Recent studies of patients with colorectal cancer have suggested a shift towards the proximal colon and an increase in incidence of right sided colon cancer. This study aimed to determine the anatomical distribution of colorectal in our tertiary level hospital. A total of 102 patients were selected retrospectively from Department of Gastroenterology in Rajshahi Medical College. Records of patients of colorectal cancer were reviewed for demographic data, histological type and anatomical location of tumour. Tumour located at or proximal to splenic flexure were defined as right sided cancer and tumour arising distal to the splenic flexure were defined as left sided cancer. Out of 102 patients, 74 are male and 28 are female and male: female ratio 2.6:1. The age range was from 21 to 71years with mean 46.5±13.3. Approximately seventy eight percent of cancer was left sided and 21% were right sided. Age and sex related distribution of proximal and distal tumors were analyzed but no statistically significant relation has been observed. So it is observed that the anatomical distribution of colorectal cancer has been fairly constant with no evidence of proximal shift of colorectal cancer. However multicenter large volume studies can bring a concrete opinion.

TAJ 2010; 23(1): 22-25
Neurological Manifestation of Wilson Disease at an Early Age: A Case Report
Authors: Bari MI , Sharmin LS , Alam T
Published: February 2020

Wilson’s disease (hepatolenticuler degeneration), an inborn error of copper metabolism, is an autosomal recessive disorder characterized by degenerative changes in brain, liver disease and Kayser Fleisher (KF) rings in the cornea. It is due to a defect of p-type ATPase which is probably required for normal excretion of copper through bile. Hepatic manifestation of the disease is common at early age and neurological manifestation is common at an older age. We are reporting Wilson disease with neurological manifestation in a 10 year old boy.

TAJ 2010; 23(1): 87-90
Chiari Malformation- Report of 3 Cases
Authors: Hossain Md Zahed , Uddin Md Kafil
Published: February 2020

3 cases of chiari malformation type-I were presented with classical picture of spasticity, quadriparesis and dissociated sensory loss and were operated ( Craniovertebral junction decompression by midline suboccipital craniectomy with removal of C1 arch and duroplasty). All the 3 patients were improved. Among them one patient recovered with some morbidity for postoperative other diseases.

TAJ 2010; 23(1): 84-86
Detection of cervical intraepithelial neoplasia (CIN) by visual inspection of cervix with acetic acid (VIA) and its comparison to cervical cytology
Authors: Zahan Nargis , Shamima Mosammat Nargis , Sultana Sharmin , Hossain Mohd Alamgir
Published: February 2020

Background: Cervical cancer is the second most common cancer in women throughout the world, and it is the leading cause of cancer death among women in underdeveloped countries like Bangladesh is preventable and curable if detected at and early stage using proper screening tools. This study was done to see the effectiveness of VIA and find out the CIN and introduce as a complementary to cytology for diagnosing precancerous form of cervix.

Materials & Methods: A total 175 subjects were studied & relevant data of cervix related patients have been collected. The data regarding Pap smear, VIA and biopsy have been taken and collected data was analysis by SPSS.

Results: Out of 175 Patients VIA positive 53 (30.3%), Pap smear reports, 84 (48.0%) had inflammatory findings and 38 (21.7%) had dysplasia and biopsy result 41(23.4%) CIN positive. Sensitivity of VlA was 90.2%, specificity 88.1%, PPV 69.8%, NPV 96.7% and accuracy 88.6%. Sensitivity of Pap smear reports was 80.5%, specificity 96.3%, PPV 86.8%, NPV 94.2% and accuracy 92.6%.

Conclusion: Visual inspection of cervix after application of acetic acid (VIA) is valid as cytology test for the identification of pre-invasive cervical cancer (CIN). Thus VIA is a useful screening method of Cervical Intraepithelial Neoplasia lesion as Pap smear.

TAJ 2018; 31(1): 15-20
Idiopathic Haemolacria in a 9 Year Old Girl
Authors: Mia Md Sanaul Haque , Sharmin Laila Shamima , Islam Md Zahidul
Published: February 2020

Haemolacria or bloody tears is a rare clinical condition caused by various ocular and systemic conditions; some cases may be drug-induced and some are idiopathic. We are reporting a case admitted with recurrent bilateral idiopathic haemolacria. A 9-year old girl was admitted in our hospital with complaints of recurrent spontaneous bloody tears from both eyes for 1 month. There were no other bleeding manifestations. Blood stained discharge from punctum was not observed during compression of either nasolacrimal duct. Psychiatric assessment and ENT examination were normal. Further evaluations for underlying causes were unremarkable. There was no abnormality on the ophthalmological and radiological investigations. The patient was diagnosed as a case of idiopathic haemolacria. Patients presenting with complaints of bloody tears should be evaluated with a detailed history focusing on etiologic factors, ocular examination, and nasal and paranasal examination.

TAJ 2018; 31(1): 70-72
Modeling of Teaching of Pedagogical Disciplines in the Process of Preparation the Future Doctors Philosophy in the Conditions of Technical University
Authors: Ignatyuk Olga An.
Published: February 2020

The article is devoted to the actual problem of pedagogical excellence basis formation as a result of readiness to the pedagogical activity of doctoral students in the technical university in the process of pedagogical disciplines teaching. The peculiarities of pedagogical excellence basis formation of doctoral students in the process of pedagogical disciplines teaching on based process modeling leaning pedagogical disciplines are considered. The article reveals the essence of the modeling process when teaching pedagogical disciplines to graduate students of the university on the basis of a competent, systematic approach. Examined hide essence of the context system forming of bases of pedagogical mastery in teaching of pedagogical disciplines future Ph.D.s of 1 of educating, it elements are aims, maintenance, methods, methods and forms of educating. The results of pedagogical excellence basis formation of future high school pedagogues from the 1-year postgraduate students on above-mentioned principles are discussed. In the process of forming the foundations of pedagogical mastery, it is worthwhile to form a certain system of knowledge where knowledge about system modeling in the pedagogical process should occupy a significant place. Based on the analysis of psychological and pedagogical literature, the features of modeling teaching pedagogical disciplines in the context of forming the foundations of pedagogical skills in the process of studying future PhDs in a technical university are determined. The model of the systemic context formation of the foundations of pedagogical skills in the process of teaching pedagogical disciplines to graduate students is characterized. Depending on the stage of the context-based system formation of the foundations of pedagogical skills when teaching pedagogical disciplines to future PhDs of 1 year of study, this is achieved through the achievement of a number of goals. We believe that the development and implementation of a block of pedagogical disciplines, taking into account the professionalized content of teaching pedagogical disciplines, the fundamentalized teaching content of basic software products (silibus), the fundamentalized teaching content of promising products (the leading nature of training, forms, methods, innovative technologies) of training in a technical university promotes the acquisition by future teachers of the corresponding hierarchy of knowledge systems, both ensures, the readiness of the future teachers to the quality and efficiency of reproductive and productive career. The analysis of the results of the formation of the foundations of pedagogical skills of the future higher school teachers from among the graduate students of 1 year of study on the above foundations showed a positive trend. Conclusions and prospects for further research in the direction of this direction are shown.
Creation of a Pedagogical Model for Development of Managers 'Management Competences
Authors: Serikov Denys , Luhova Viktoriia
Published: February 2020

The article proposes the solution of an important scientific and practical task, which consists in the use of didactic systems for the organization of the educational process in order to develop managerial competence of managers. Pedagogical model development managerial competence of managers was developed. It combines the target, theoretical and methodological, motivational-volitional, diagnostic, methodical-technological, productive blocks. Their content is revealed. The purpose and specific tasks of the method development managerial competence of the manager are determined. The theoretical basis development managerial competence is considered: methodological approaches, pedagogical regularities, pedagogical principles. It is proved that one of the most important elements of the model development managerial competence of enterprise managers is a motivational-volitional block. The main motives of professional development, which encourage staff to continuous education, are considered. The essence of basic methods and means of motivation is determined. The toolkit for obtaining information on the level of formation managerial competence of the manager by functional and personal components is offered. The organizational and pedagogical conditions of manager's managerial competence development using the forms, methods and means of training, education and development are substantiated. It is proved that for the development of functional and personal competence of managers it is necessary to form educational, educational and scientific environments. The content effective block of the model is revealed. It provides for the creation of a diagnostic apparatus to determine the level development managerial competence of managers by functional and personal components (high, medium, low) and to implement typology of managers in order to adjust the management competence development methodology (self-actualized, temporarily competent, temporarily incompetent, problem). A promising direction for further research will be the testing of the developed model at specific enterprises and the development of training programs for their managers in accordance with the results.
Forming a Tolerant Attitude Towards Children in the Vocational Training of Social Workers
Authors: Vasylenko Olga Nik.
Published: February 2020

The article considers one of the urgent problems of training future social workers to form a tolerant attitude towards children using interactive technologies. In particular, the essence of such concepts as tolerance, training of future social workers, interactive technologies is revealed. The features of interactive methods for recognizing tolerance in interaction with others are highlighted: modeling of life situations, the use of role-playing games, a joint solution to the problem. Attention is directed to the awareness of tolerance in interaction with others through the modeling of life situations, the use of role-playing games, the joint solution of the problems of group interaction in accepting others.The features of interactive gaming methods are summarized: modeling, role-playing situations, game dramatization, organizational-active games, business games, simulation games, correctional games, didactic games, contests. The content of the joint work in the group for regulating students' tolerant behavior is revealed from the point of view of discussing ideas about the situation two-four-all together, dialogue, discussion. To form a desire to accept the individuality of each person, the values of another, the content of interactive methods is presented: a joint project, a team search for information, a circle of ideas, brainstorming, training-education, a decision tree.The article is devoted to the methods of art therapy: therapy, isotherapy, game therapy, fairy tale therapy, puppet therapy, music therapy, dance therapy. The presented interactive methods in the training of future social workers require a combination of collective, cooperative, group and pair collaboration based on equal, equal subject-subject interaction with the mandatory use of reflection of knowledge, skills and methods of their implementation.
Pedagogical Management of Adaptation of a Young Teacher
Authors: Masterkova Tatyana Vik.
Published: February 2020

The article analyzes approaches to the organization of pedagogical management on the problem of adaptation of a young teacher to the conditions of professional activity. The scientific approaches to the concepts of “pedagogical management”, the forms and methods of pedagogical management of the head of an educational institution are systematized. The characteristic of improving the skill of the teacher in the institution of general secondary education is given, which today gains new significance in the aspect of the implementation of the Concept “New Ukrainian School”, the structure of the process of pedagogical management. The effective forms and methods of pedagogical management are determined, which ensures a high level of attraction and activity of each member of the collective to pedagogical creativity, since social requirements for the activities of an educational institution stimulate teachers to maximize the return of energy, the search for new, non-traditional approaches to work. Orientation to high indicators in professional activity has a positive effect on the formation of the need for introspection, self-improvement and creativity among team members, in the end it allows the leader to set more complex professional tasks for the team and provide a more intensive search for ways to achieve them. According to the results of a survey of young teachers, relevant areas for improving knowledge and skills that provide changes in personal professional activity have been identified.
Status of Public – State Management Usage of General Secondary Educational Institutions
Authors: Mykhasiuk Oksana К.
Published: February 2020

The article is devoted to the analysis of the normative legal support of the general secondary educational institutions functioning. The importance of the state-public management has been justified, as far as the major analytical reports of the state authority point at the insufficient attained involvement of public institutions in the management education.

For these purposes, the traditional state-public management transformation and upgradeability have been explored by means of the state-public organizations combined efforts, deplacement of the dominant influence and its transition to an innovative public-state management.

According to the results of enquiry within the Kharkiv region it has been found, that the state-public management prevails to date, in connection with low public activity, lack of stakeholders` readiness to co-management, public-state management immaturity of general secondary educational institutions in science and practice.

However, we can observe establishment and development of public-state management in most educational institutions of the united territorial communities, that is an indication that the local authority decentralization reform wields major influence on the democratic process formation in all fields of public life.