bluuebunny/crossref_metadata_2025 huggingface dataset:
Heartbeat and Body Temperature Monitoring System Based on Artificial Neural Networks
Authors: Sollu Tan Suryani , Alamsyah Alamsyah , Setijadi Eko
Published: October 2022

Heartbeat and body temperature are vital sign parameters for paramedics in strengthening the diagnosis of a disease. Medical staff generally use an electrocardiogram and thermometer to check the heart rate and body temperature. These tools are still manual and require concentration to get accurate values. This examination system is less useful because it requires a long time to collect data, increasing the burden on medical personnel and rising operational costs. To improve health services optimally, the authors propose the manufacture of heart rate and body temperature monitoring devices for the elderly based on wireless using the Artificial Neural Network (ANN) method. The proposed method can assist medical personnel in diagnosing heart attacks with three conditions (normal, low risk, and high risk). This study aims to assist medical staff in monitoring patients 'health conditions and diagnosing patients' heart disease in real time. This system uses PPG HRM-2511E sensor to detect heart rate and a DS18B20 sensor to detect body temperature. The data detection process uses a raspberry pi, and the decision-making system uses the ANN method. The results of testing the success rate of detecting the heartbeat of 97.90%, and the body temperature of 99.51%. The heart rate and body temperature data processing using ANN went as expected.
Feasibility Study of Raw Material for Hybrid Power Plant in Coastal Cilacap Selatan
Authors: Musyafiq Afrizal Abdi , Prasetia Vicky , Purwiyanto Purwiyanto , Susanti Hera , Ilahi Novita Asma , Purnata Hendi , Rahmat Saepul
Published: October 2022

Cilacap Regency is a coastal area south of the island of Java. The purpose of this study is to determine the potential of raw materials available in the South Cilacap Coastal area and to determine the potential power that can be generated for the PLTH system through the calculation of the raw material data that has been obtained. This research method begins with direct measurements of wind speed and light intensity. Both devices read data in real time and connect online. The data obtained is processed to determine the wind speed and the average intensity of sunlight. The results of these calculations are entered into the equations to calculate the potential power that can be generated. Based on the calculation, the average wind speed is 3-4 m/s and the light intensity is 54612 watt/m2. The results of the calculation of the potential power that can be generated from the PLTB system in the coastal area of ​​South Cilacap is equivalent to 508 watts/day. The potential power that can be generated from PLTS is 10.8 kW/day. The total potential power that can be generated from the PLTH system on the coast of South Cilacap is equivalent to 273.22 kWh/day.
Design of Controlling and Monitoring System for Room Temperature, Lighting, Power, and Energy Using Internet of Things
Authors: Purnama Ida Bagus Irawan , Sutawan I Kadek Endra , Putra I Gede Agus Antara , Suika I Putu Agastia Kama , Budarsa I Gede Ketut Sri , Purbhawa I Made
Published: October 2022

One goal of a smart home is to save the use of energy. Savings can be made with a control system where the things related to electricity usage will be controlled automatically. This research designs a control system of several parameters in a replica of a room with a monitoring application. Those parameters include room temperature, lighting, voltage, current, power, and energy using the Internet of Things. The room temperature control system uses the DHT11 sensor, the light intensity controller uses the LDR HL01 sensor module, while measuring current, voltage, power, and electrical energy at the load uses the PZEM-004T sensor. The NodeMCU ESP8266 is used as a control center that receives, processes, and sends data to the Blynk application using WiFi. The core of the system is based on the detection of the room temperature threshold and the state of light intensity based on light or dark. From these two conditions, the control center will instruct the relay to turn on or turn off the fan and lighting according to the predefined conditions. If the load is on then the voltage, current, power, and energy data will be acquired and displayed on the Blynk application in real-time.
Monitoring and Protection System for Overvoltage, Undervoltage and Unbalance Voltage
Authors: Saifudin Muhammad , Suryono Suryono , Irianto Irianto
Published: October 2022

The biggest loss in the industry that caused the industry to experience financial losses that should have been the target of achieving 90% - 100% production was a decrease of up to 40%, due to the production machines not running due to excessive loads used resulting in overvoltage disturbances, voltage drops or unbalanced voltages. To overcome voltage disturbances, a monitoring tool and protection system are needed with a method that can cut off the load automatically when a disturbance occurs, namely by using a contactor as a load breaker from the source and then controlled. using a microcontroller that utilizes relays and voltage sensors. So that the results obtained in the manufacture of tools that refer to SPLN and NEMA then obtained overvoltage disturbances ranging from 399V - 413V, then a voltage drop occurs at 320V - 328V, while the voltage test is not balanced in the R phase which is different from the S phase and T phase, and the percentage of unbalance voltage is 3%, then the tool will cut off the load and it is hoped that from the results that have been carried out it can return the achievement target in the industry.
Design and Build Automatic Rice Winnowing and Weighing Equipment IoT (Internet of Things) Based
Authors: Andriani Siwi , Rakhman Abdul , Suroso Suroso
Published: October 2022

Technological developments are growing rapidly without exception in the agricultural sector. Food needs are increasing every year in Indonesia, rice is a staple food for most Indonesian people before being distributed, it is necessary to process rice including cleaning and weighing so that it can reach the hands of buyers. This research was conducted using the R&D (Research and Development) method with a prototype development model. development procedures include the stages of needs analysis, system design and design, prototyping, testing and validation. The design of this rice winnowing and weighing device uses the telegram application, Arduino ide which is connected to the internet as software and hardware NodeMCU ESP 8266, Arduino Uno as a controller, hx711 load cell sensor as a weighing sensor, power supply as a power supplier, relay module, LCD 16 x 20, buzzer, MG996 servo motor, and AC fan that can be controlled remotely using IoT (Internet of Things).
Design for A Remote Smart Home Monitor Using the Internet of Things (IoT)
Authors: Utami Mita Azania , Suroso Suroso , Salamah Irma
Published: October 2022

Designing a Remote Smart Home Monitor Based on the Internet of Things (IoT) using the NodeMCU ESP32 microcontroller as a wifi network provider and also utilizing Firebase Technology as a data storage medium. This remote smart home monitor with the Internet of Things concept is safe because only people who have certain access can control home appliances such as turning on lights, fans, opening doors, filling water in the bath, preventing theft, in Remote Smart Home Monitors also uses CCTV cameras that utilize special applications, with the selection of these communication technologies efficiently and also saving power in controlling and monitoring from smart home remotely via smartphones. Test results control data can function properly when the switch control is activated then the lights, fans, doors will automatically turn on. Test results PIR sensor can detect movement or when the door is open and the buzzer will sound sending information on the android application. Test results, the ultrasonic sensor can work when the sensor reads the water distance >15 cm then the pump will work to fill the water and when the sensor distance reads the distance <2 cm then the pump will stop to fill the water.
Auto-Tuning PI Controller Design Using Fuzzy Logic Controller for Web Tension Control in Roll Rewinder System
Authors: Faizal Ahmad , Rahmadeni Rahmadeni , Safitri Elfira , Huswina Juliesty , Kurniawan Rudy
Published: October 2022

Paper has a very important role, because it increases the productivity of pulp and paper companies in Indonesia. The company's development in 2018 increased by 2.1%, this was indicated by increasing consumer demand. Therefore, paper becomes a necessity in everyday life. The criteria for the paper to be produced are paper with a flat surface and cannot be wrinkled. However, errors in paper production that often occur are a lot of wrinkles and uneven paper surfaces. This happens because of a discrepancy in the dynamics of paper tension with the standards that have been set. The paper record is caused by the dynamics of the web tension in the Rewinder Roll system. In order for the web tension to remain stable, a controller is needed. The controller used is Auto-Tuning PI controller using Fuzzy Logic Controller (FLC). The controller can be said to be successful when it is able to perform automatic tuning of setpoint changes. The results showed that the system was able to achieve setpoint values, overcome overshoot and steady-state error (Ess) with response time values, namely Tr=0.3151 seconds, Ts=0.3750, Td=0.0721, overshoot=0.0044%, and Ess=0 N.
Implementation of MFCC and SVM for Voice Command Recognition as Control on Mobile Robot
Authors: Rendyansyah Rendyansyah
Published: October 2022

The mobile robot is a system that can move according to function and task. An example is an industrial robot taking objects using a remote control system. Robots controlled using a manual remote system are generally carried out on mobile robots. Many researchers have developed manual control methods, such as image or sound-based robot control. In this study, the mobile robot was applied in an unobstructed room and controlled using voice commands. The methods used are Mel-Frequency Cepstral Coefficients (MFCC) and Support Vector Machine (SVM). MFCC is a characteristic identification of voice command patterns such as “forward”, “backward”, “left”, “right”, and “stop.” SVM is used to recognize voice command patterns based on the value of the MFCC for each pattern. The experiment has been carried out 50 times with a success rate of 96%. Overall the robot can be controlled by voice commands with good movement.
Web-based Knowledge Sharing System in Faculty of Engineering Bangka Belitung University
Authors: Adawiyah Rodiatul , Kustiawan Elyas , Wijayanti Eka Sari
Published: October 2022

New lecturers must be quickly adapted to their work environment. Adaptation was difficult when colleagues did not provide space for discussion to the new lecturers. This condition occurred at the Faculty of Engineering Bangka Belitung University, with the planned to open a new study program, new lecturers had to be in a temporary homebase that was not their field. The expectation from the Dean was the existence of a knowledge sharing system that can be accessed anytime and anywhere by lecturers. But in reality, the knowledge sharing system still did not exist and knowledge sharing carried out manually by face-to-face meetings between lecturers and through Whatsapp groups. This research was conducted at the Faculty of Engineering, Bangka Belitung University. The knowledge sharing system methodology uses a combination of two methods, which are Socialization, Externalization, Combination, Internalization (SECI), and Knowledge Management Life Cycle. The result of this research was a development of web-based knowledge sharing system with an object-oriented approach which has been tested with black box testing and resulted as the system functions worked well.
Implementation of Ad-Hoc Protocol On Tandem Multihop Wireless Network
Authors: Agussalim Agussalim , Kartika Dhian Satria Yudha , Rahajoe Ani Dijah
Published: October 2022

The utilization of Internet of Things (IoT) technology, especially in remote areas, is still relatively low, even though the technology is required to implement smart farming or smart villages, which aims to improve the quality of life of people in rural areas. The high investment cost for IoT networks that still use cellular networks or Wi-Fi is one of the causes of the slow implementation of this technology. Our previous research has developed an alternative network for IoT devices in remote areas with the concept of a Tandem Multihop Wireless Network focusing on developing simple message scheduling. This research focuses on implementing ad-hoc routing protocols in tandem with multi-hop wireless to analyze the advantages and disadvantages of the protocol. Each sensor periodically sends data to the monitoring server via IoT devices on each tower. The scenario was implemented using MININET-WIFI. Evaluations were carried out to determine delivery probability, latency average, and jitter. In general, the two Ad-Hoc protocols tested, namely OLSR and BATMAN, had the same performance when the data sent was 1 MB, but when the data size was increased to 2 MB, the OLSR routing protocol on several nodes had better performance than BATMAN.
试论房屋建筑工程施工管理与质量控制思路探析
Authors: 李 亚
Published: October 2022

新形势下，城市化进程在全面推进的同时，我国建筑行业也发生了翻天覆地的变化，建筑规模与施工水平不断提高。在房屋建筑施工过程中，施工管理与质量控制至关重要，对工程整体效果有直接影响。为保证房屋建筑工程施工作业顺利开展，应该加强对施工环节的把控，明确施工期间存在的管理与质量问题，依照施工具体情况制定管理措施，建立健全的质量控制机制，保证施工问题在有效规避的基础上，房屋建筑工程能朝着可持续的方向发展。
解读工业污水处理技术及前景
Authors: 王 小杰
Published: October 2022

在自然界中，水资源属于重要组成部分，在新陈代谢、水系运动等多个环节有着重要作用，在持续化、绿色化、环保化等理念的推进过程中，对污水治理等项目的开展，提出了作为严格的要求。在工业产业长久化的发展过程中，若无法对生产阶段所用的水源予以有效处理，在排放大量污水的同时，造成了严重的污染问题。对于工业污水来说，其种类具有多样性，并且含有物理、化学等复杂成分，若无法采用无害化的处理形式，则会对生态自然环境造成极大的危害。在工业污水处理技术的发展过程中，应将其尽快应用于污水治理阶段，不仅需要改善工业传统生产模式，还应为该类技术的发展，提供优良的前景支持。
建筑工程招投标阶段造价控制的影响因素及应对措施
Authors: 宫 敏
Published: October 2022

我国市场飞速发展的条件下，建设工程都在不断的扩大规模，所以为了保证工程的品质和建设施工的经济效益就要对造价进行有效的管控，避免成本的浪费，提升企业自身的竞争能力。在工程建设的时候，招投标过程中的管控工作对整个工程的造价管控品质有着直接的关系，落实此项工作能够保证成本的合理管控，并且提升建设企业的经济效益，提升施工的效率。提升招投标过程中的造价管控程度对整个工程都有着很重要的作用。因此，文章主要分析和研究了建筑工程招投标过程中的阶段以及相应的影响因素，并且以此为基础对其改善措施进行了进一步的研究和分析。
农田水利灌溉渠道工程运行维护及管理探析
Authors: 汪 豹
Published: October 2022

要想保证农业生产可以顺利开展，应积极做好农田水利工程建设工作，同时还应保证水利灌溉渠道施工质量，从而为农业生产提供有力的支持。随着农业产业的不断发展，我国粮食生产量也在不断提高，因此要想保证农业生产效果应做好水利灌溉技术创新。农业生产技术的优化可以提升农业产业的整体产能，所以不仅应保证农田灌溉工作效果同时还应得到良好的节水效果，充分发挥出灌溉渠道在农业生产中的作用。但是目前农田水利灌溉渠道工程运行维护工作还存在一些不足，因此应对其中的问题进行分析并制定全面的管理措施，确保农业生产可以安全稳定的开展。
道路施工过程中的路基路面质量控制分析
Authors: 胡 斐
Published: October 2022

随着我国社会飞速的发展，交通工程也在不断的发展，我国对于道路的建设规模也在不断的扩大，不过在建设施工的过程中也存在很多的问题，所以，就要提升道路施工过程中的品质监督管控程度，按照相应的标准体系来对改善措施进行研究。对于目前全球化趋势的发展条件下，不仅要提升品质管控思想，而且路基路面工作也是道路建设施工中最主要的施工工序，品质和整个道路工程的质量是息息相关的。因此，文中主要分析和研究了道路工程建设施工过程中路基路面施工的特点以及影响因素和相应的解决措施。
探讨3d打印“生土”建造材料的可行性
Authors: 陈 泽 , 潘 易林
Published: October 2022

一方面，3D打印建造技术1997年开始发展至今已经从概念——研发实验——示范性建造物落地取得了飞跃式的发展，正在朝向大规模建造使用的目标快速前行。因其高效、环保等原因3D打印建造技术得到了社会各界的高度认可。但截止目前行业对3D打印建造技术的材料“油墨”的研究，还只有“混凝土”单一品类，这显然不利于3D打印建造技术的成熟发展；另一方面“生土”作为建造材料有着悠久的历史，因其资源丰富、分布广泛、环保低价等原因成为建造时主要的材料之一。将3D打印建造技术与传统生土材料相结合，探索出坚固、环保并符合3D打印建造要求“生土油墨”从而为我国城市化建设、乡村振兴，城镇设施，灾后重建等发挥重要的作用。
浅谈如何加强工民建工程施工技术管理
Authors: 马 建平
Published: October 2022

建筑行业已经逐渐成为我国经济的支柱型产业之一。近些年,建筑行业高速发展,城镇化建设速度加快,建设项目增多,但是随之日益暴露出各种工程建设问题。文章阐述了当前工民建施工技术管理工作的概念，并基于工民建技术存在的相关问题，明确提出了一系列工民建技术管理方法和对策。
无人机航摄技术测绘地形图的精度分析
Authors: 李 会才
Published: October 2022

随着科技的改革与发展，无人机技术也日益成熟，特别是无人机航摄技术的兴起和发展，有效的弥补了传统测绘技术的不足，不仅促使三维测绘成为了现实，同时也在较大程度上提高了地理信息采集数据的效率。无人机航摄技术在地形图测绘中的应用，提高了测绘的精准度和可靠性，对于促进我国现代测绘工作的持续发展有重要意义。文中就无人机航摄测量技术、优势、操作过程及相关实践入手，分析无人机航摄技术测绘地形图的精度，以完善无人机航摄技术，促进测绘工作的高效发展。
新形势下加强高校教师师德师风建设的思考
Authors: 许 彦
Published: October 2022

当前我国中国特色社会主义事业进入了新的发展时期，社会发展对人才的需要更加迫切，对高等教育以及高素质老师的需要也更加突出和强烈。而与此同时，师德师风也被赋予了新的内涵，并提出了新的要求和标准。不断提高高校师德师风建设对促进教书育人、教师的个人发展以及高校教育事业的长远发展都有着至关重要的意义。因此在文章中我们主要对新形势下如何加强高校教师师德师风建设进行详细的分析与探讨。
体育夏令营对乡村留守儿童心理弹性影响研究
Authors: 段 宇萌 , 江 山
Published: October 2022

文章通过实验法、问卷调查法、数理统计法在江苏省宿迁市沭阳县以乡村留守儿童为调查对象，进行体育夏令营对留守儿童心理弹性影响的调查探究。使用《农村留守儿童心理弹性量表》对乡村留守儿童进行问卷调查，探究体育夏令营对留守儿童的心理弹性干预效果；实验表明体育夏令营干预后，实验组与对照组心理弹性对比具有显著性差异；实验组在体育夏令营前后的心理弹性对比也具有显著性差异；证明体育夏令营对留守儿童心理弹性及其各个因子都有正向的积极影响。文章为乡村留守儿童的心理健康发展提供理论意义，为日后体育夏令营团队的实践提供依据和思考。
启示与借鉴：国外艺术体操训练研究热点分析
Authors: 江 美玲 , 胡 美 , 杜 熙茹
Published: October 2022

以Web of Science TM数据库收录有关艺术体操研究的期刊文献为研究对象，运用CiteSpaceV软件将2000-2021年间的国外艺术体操研究绘制成知识图谱，旨在探索国外20余年艺术体操训练的研究进展，为我国艺术体操可持续发展提供参考。结果表明：（1）近年来，国外艺术体操发文量总体呈现波动式上升的趋势，已经形成以核心作者为中心的合作关系网，但高质量期刊发文量较少；（2）国家和机构间合作较多，但缺少有影响力的研究机构；（3）近年来的研究热点从运动员的健康方面展开，研究重心向运动员的营养状况、运动损伤以及病理性饮食的治疗与预防、心理学层面迁移。因此，应借鉴国外艺术体操的发展，将我国的艺术体操融入中国本土的特色，并加大推广与宣传的力度，从而推动我国艺术体操社会化发展。
输电线路巡视质量管理创新方法探析
Authors: 王 力 , 严 俊超 , 饶 品先 , 项 恋 , 艾 军
Published: October 2022

近年，随着供电负荷急剧攀升，保障电力可靠供应越来越重要，其中，输电线路作为电网重要组成部分，能否安全运行、降低跳闸率就显得尤为重要。目前提升输电线路运维质量需要从根本源头出发，提高线路巡视质量能将线路隐患和缺陷扼杀在萌芽状态。本篇文章主要对线路巡视质量，保障了输电线路的稳定安全运行出现的问题以及措施进行简单阐述。
新农村建设下小型农田水利工程建设、运行与管理
Authors: 李 豹
Published: October 2022

在农业发展中离不开农田水利工程，可以说，农田水利工程和农业产量、质量都有着很大的关系。在我国不断加大新农村建设力度的背景下，社会各界加大了农业经济发展的关注度。农田水利工程在农业经济发展中发挥着至关重要的作用，其不但关系着农业灌溉，还和控制干旱、洪涝等灾害有着密切的关系。为了进一步提高小型农田水利工程建设水平，文中首先明确了新农村背景下农田水利工程管理重要价值，然后分析了当前小型农田水利工程建设的现状，最后提出了一些优化工程建设的建议。通过文中分析有助于进一步提高小型农田水利工程建设水平，有助于优化项目建设效果，提高农业生产质量。
新疆某面板堆石坝三维有限元数值分析
Authors: 李 瑞
Published: October 2022

为了解面板堆石坝在建设和运行阶段坝体的应力水平情况，文章通过三维有限元计算软件，采用邓肯-张E-μ模型对某面板堆石坝进行了竣工期和满蓄期两种工况下的三维有限元分析。得出了坝体砂砾石料、坝基、库盘和分离式面板在两种工况下的位移、应力和应力水平等，坝体的应力与变形均在正常范围内，并且坝体有较高的安全储备，不易发生破坏；库盘中复合土工膜在满蓄期时受到了纵向拉应力作用，但远小于其安全系数的容许值，不会对土工膜造成破坏；分离式面板产生了较小的挠曲变形，但不会对面板的防渗性能造成影响。数值分析结果为大坝的建设和安全运行提供理论依据，同时对同类工程的设计施工具有一定的指导意义。
水利工程施工现场危险源辨识与控制研究
Authors: 王 吉伟
Published: October 2022

近年来，我国水利基础设施的现代化和建设进展迅速。水利工程危险源辨识与控制是基于风险的流程安全管理现代理念的核心，是实现深度防御和事故前转移的有效手段。考虑到复杂的环境以及水文、地质、结构和其他条件，项目工地的规模、不确定性和危险，以及由此造成的事故，对于项目施工现场的生产和安全管理至关重要。因此，水利工程管理中实施危险源辨识与控制非常重要，因为这是防止事故的第一道防线。
浅谈电力系统多网络监控平台的开发与实现
Authors: 史 杰 , 张 艳霞 , 薛 琴 , 于 林林 , 占 鑫
Published: October 2022

电力作为经济开展的根本保证，在经济市场化过程中发扬侧重要用处。与此同时，电力根底设备建立范围不时扩展， 电力系统通讯网络散布普遍，招致大量的布置、配置和管理。电力系统的网络结构复杂，随便产生各种网络和配备的安全缺 点。如今，还没有标准化、一致的管理 Tools。随着信息技术的发展和应用，电力企业必需开发多网络监控管理系统，以确 保网络通信配备的正常运转和科学管理。本课题研讨的电力系统多网络监控平台可和时监控和管理电力系统中各种通信网络 的运转，提高运行维护效率，实现电力系统网络监控管理资本的有效集成和集中监控，提高监控效能和缺点处理的及时性， 为企业浪费人力资本管理本钱，进步企业综合实力和经济效益。因此，该系统的开发具有非常关键的现实意义。
关于开展传承石油精神弘扬石化传统的思考
Authors: 张 林梅
Published: October 2022

为持续深入学习贯彻习近平总书记关于大力弘扬石油精神重要指示批示精神，引导广大干部员工永葆干事创业、真抓实干的激情，永葆艰苦奋斗、精细严谨的作风，不忘初心、牢记使命、永远奋斗，扎实推进油田战略目标任务实现，按照集团公司党组安排部署，在全油田开展传承石油精神、弘扬石化传统专项教育，我有以下几点思考。
BIM技术在工程造价成本预算风险管理中的应用
Authors: 张 莉娜
Published: October 2022

建筑企业为保证自身经济效益能力，增加BIM技术在工程造价成本预算风险管理中的应用，有效控制合同价格并将工程实施时间调整在可执行范围内，降低预算风险存在。基于此文章结合实际思考，首先简要分析BIM技术的主要内容，其次将目前国内工程造价成本预算风险管理的基本现状及应对策略进行叙述。最后将BIM技术在工程造价成本预算风险管理中的应用方式进行阐述。希望，对建筑部门的BIM技术应用有所帮助。
煤焦化企业生产安全管理问题及对策研究
Authors: 刘 建军
Published: October 2022

对于人们的发展以及进步来说，安全是非常重要的工作，经济的发展以及社会的发展都与安全的管控工作是密切相关的。随着我国科技和经济不断的发展，我国特大的安全事故经常会产生，导致社会各界的舆论产生，人们对于企业的发展以及经济效益的提升来说都是离不开安全工作的。对于目前这种社会发展的背景之下，人们对于安全工作有了进一步的要求。对于煤焦化的企业来说，其自身的生产工作危险性比较强，同时也是整个化工行业中危险程度较高的行业，而且煤焦化企业对于我国经济的发展也有着重要的作用。因此，对于安全工作来说就有了更高的要求。随着我国各行各业的不断发展促使人们对于焦炭的需求也在不断的提升，因此，煤焦化企业自身的产能也需要不断的增加，在这个生产过程中，安全管控工作的忽视就会导致很多安全问题的出现。本篇文章主要分析和研究了煤焦化企业中存在的问题以及安全管控措施。
浅谈建立与健全事业单位会计监督机制的措施
Authors: 王 冬梅
Published: October 2022

在事业单位的发展中，会计监督发挥着重要保障作用，是促进内部财务管理改善的关键，但如若该机制缺乏，或是不完善，则会直接影响内部财务管理效果，不利于事业的健康发展。文中主要围绕建立与健全事业单位会计监督机制的措施进行了探讨、分析，以供参考。
遥感技术在国土资源调查中的运用
Authors: 郭 光宁
Published: October 2022

近些年随着科技水平的不断提高，我国国土资源调查技术也得到了很大的提升，尤其是遥感技术在国土资源调查中的应用更是提高了国土资源调查的水平和质量。我国地广人稀，土地资源本就分布不均衡，因此在土地资源使用过程中不可避免的会出现不合理的情况，而通过遥感技术能够对国土资源管理中存在的问题进行有效的发现和解决，通过高分辨率的卫星数据为国土资源信息提供更加可靠的探测，从而为相关部门掌握国土资源情况提供可靠的保证，并针对问题提出有效的解决措施。因此在本篇文章中我们主要对遥感技术在国土资源调查中的应用进行了详细的分析与探讨，以供参考。
探析道路与桥梁施工技术与质量控制措施
Authors: 汪 安旬
Published: October 2022

在近些年的发展中，道路桥梁问题逐渐出现在人们的视线中，在该方面的发展和其他行业都对我国的经济发展有着一定程度的影响作用，同时也方便了人们的出行。但是目前的施工技术是当下需要注意的一个点，好的施工技术对桥梁道路的质量安全有着极大的保障，虽然有些技术已经很成熟，但是还有一些问题亟待解决。
信息化条件下保障性安居工程计算机审计方法探索
Authors: 杨 冲
Published: October 2022

保障性安居工程是我国保障和改善民生的标志性工程，是“十二五”规划、“十三五”规划的重点工程。加快建设保障性安居工程对建设服务型政府、全面建设小康社会、构建和谐社会、共圆“中国梦”等具有重大意义。我国保障性安居工程的顺利实施，不仅需要国家的大力扶持，更需要全体社会的共同监督。保障性安居工程跟踪审计自2012年起实施，审计机关充分发挥审计“免疫系统”功能，依法履行审计监督职责，促进住房保障政策落实、分配公平、制度完善，切实维护广大中低收入住房困难家庭的切身利益。然而，保障性住房审计仍然面临着涉及面广、数据量大、信息化程度不高、核查手段单一等问题。本篇文章在信息化条件下，利用计算机技术、大数据审计手段，提出保障性安居工程分配管理方面存在问题及审计思路，创新审计方法，运用计算机审计方法筛查疑点数据，有效的提高审计效率和审计质量。
关于文人精神的表现在园林设计的应用
Authors: 彭 亮亮
Published: October 2022

我国历史悠久，各朝代的诗词歌赋、绘画等艺术形式都在我国的古典园林中有充分体现，作为古人精神文明的载体，使园林工程变得诗情画意。可以说，我国的古典园林发展，离不开中国艺术，不仅增强了古典园林的实用性、艺术性，还提升了园林工程的文人精神，有着很高的艺术价值。
公路沥青路面基层施工技术要点及质量控制措施
Authors: 洪 徐东
Published: October 2022

随着当前公路建设发展速度越来越快，人们对于公路的路面使用性能要求越来越高。相关施工单位，在进行公路建设和施工的过程中，应该切实把握路面施工技术的具体使用，切实做好质量把控工作。要保证沥青路面的耐久性和防晒性，尽可能的提高整体的耐用性能。本篇文章主要针对沥青路面公路施工技术及质量问题进行简单分析和探讨。
Efficacy and Safety of Intralesional Vitamin D3 Injection in Recalcitrant Periungual Warts: A Randomized Controlled Trial
Authors: Khan Md Shirajul Islam , Khan Usama Salman
Published: October 2022

Introduction: Although the treatment of recalcitrant warts is often disappointing due to its high recurrence rates, the intralesional injections of Vitamin D3 (as an immunotherapeutic molecule) may regulate epidermal cell proliferation.
Objective: To evaluate whether intralesional vitamin D3 immunotherapy is efficient and secure in treating the recalcitrant periungual warts.
Materials and Methods: This randomized controlled therapeutic trial was performed in the Department of Dermatology and Venereology of Combined Military Hospital, Dhaka from July 2018 to December 2019. A total of 64 participants’ having different sizes and duration of recalcitrant periungual warts were included. Half of them were injected with about 0.2ml vitamin D3 solution (600,000 IU, 15 mg/ml) at the base of the wart (Group-A) and the remaining participants were subjected to cryotherapy (Group-B). A follow-up period of 6 months following the last session was performed to detect any recurrence.
Results: The mean age of participants in Group A and B were 25.9±12.6 and 26.4±12.4 years, respectively (78.1% male in Group-A and 62.5% in Group B). The size and duration of warts between the two groups were not statistically significant (p>0.05). The treatment outcome in Group-A varied from excellent 19(59.4%) to significant 8(25.0%), moderate 3(9.4%), mild (3.1%), and no response 1(3.1%), whereas in Group-B, the results were as follows: excellent 13(40.6%), significant 3(9.4%), moderate 9(28.1%), mild 7(21.9%). The efficacy was significantly higher in Group-A when compared to Group-B (p <0.05). Furthermore, the burning sensation, blister, erythema, hypopigmentation, depigmentation and skin atrophy were significantly higher in Group-B compared to Group-A. The recurrence of warts were 12.5% and 34.4% in Group-A and B respectively.
Conclusion: Vitamin D3 injection is more effective and secure than cryotherapy in the treatment of periungual warts.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 3-6
Socio-demographic Characteristics and Cognitive Function in Adults with Type 2 Diabetes Mellitus
Authors: Rahman Md Masudur , Islam Md Ziaul
Published: October 2022

Introduction: Diabetes is a very common disease all over the world nowadays. Cognitive function impairment is closely related with socio-demographic characteristics of the diabetic patients.
Objective: To assess the association between sociodemographic characteristics and cognitive function in adult type 2 diabetic (T2DM) patients.
Materials and Methods: This cross sectional study was conducted among purposively selected 210 adult T2DM patients from July 2018 to June 2019 in two tertiary level hospital of Dhaka city. Data were collected by face to face interview using pretested semi-structured questionnaire and review of check list.
Results: Mean age of the patients was 50.5 ± SD 7.4 years with male dominance (61.5%). The mean age of onset of diabetes was 41.6 ± SD 6.9. Most of the patients had normal cognitive function (71.4%) and had a mean MMSE (mini mental state examination scale) score of 25.2± SD 2.3. Statistically significant association was revealed between impaired cognitive function with age, monthly income, education, occupation, number of family members and types of residents of the respondents (p<0.05). There was statistically significant negative correlation of cognitive function score with age (r = -.398, p.001) and number of family members of the respondents (r = -.429, p<.001). The study also revealed a positive correlation between cognitive function score and total monthly family income of the respondents (r = .078, p<.001) which was also statistically significant.
Conclusion: Policy makers should take necessary measures to increase the educational and working facilities to improve the standard of life so that people can live better in a better housing condition.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 7-11
Role of Video-Assisted Thoracoscopic Surgery in the Management of Pleural Empyema
Authors: Hossain SM Shahadat , Jahan Farhana Israt , Rahman Md Shahinur , Majumdar Md Neazul Islam , Islam Khan Nazmul
Published: October 2022

Background: Video-assisted thoracoscopic surgery (VATS) has revolutionized surgical management of patients with empyema. Thoracoscopic management of empyema includes VATS debridement and decortication. VATS debridement has been employed by many centres as the primary treatment option for early-stage empyema.
Objective: To evaluate the outcome of VATS over open thoracotomy.
Methods: This cross-sectional study was conducted in the department of Thoracic Surgery of Combined Military Hospital Dhaka from 01 January 2017 to 30 May 2018 among 30 patients (20 patients underwent VATS and 10 patients underwent open decortication/OD). The results were viewed with respect to baseline characteristics, preoperative management, operative and postoperative course.
Results: Operative time and median in-hospital length of stay were shorter for the VATS group: 128 vs 140 minutes (p < .001), and 14 vs 11 days (p .03), respectively. The median postoperative length of stay was 12 days for the VATS group vs15 days for the OD group (p < .001). Complications after Video Assisted Thoracic Surgery is less like prolonged air leakage, infection and atelectasis.
Conclusions: VATS decortications for empyema thoracis, complex effusion, haemothorax yields better results than open decortications. Patients treated with VATS have less postoperative complications. VATS debridement and decortication is safe and effective treatment in the management of empyema thoracis.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 19-22
Role of Topical Calcipotriol to Potentiate the Effect of Photochemotherapy (PUVA) in Treatment of Vitiligo
Authors: Ahmed Moyassaque , Khan Abdul Latif , Alam Md Shakibul , Wahab Md Abdul
Published: October 2022

Introduction: Vitiligo is a specific, common, often heritable acquired disorder characterized by well-circumscribed milky white cutaneous macules and patches devoid of identifiable melanocyte. Treatment of vitiligo, though quite frustrating, includes repigmentation therapies like Topical glucocorticoids, Topical calcipotrieinene, Topical PUVA (Psoralen + Ultraviolet Light A). The combination of calcipotriol and PUVA proves quite effective for management of this condition.
Objectives: To compare the effectiveness of PUVA and the combination of topical calcipotriol and PUVA in treatment of vitiligo.
Materials and Methods: This quasi experimental study was undertaken at Combined Military Hospital, Dhaka Cantonment, Dhaka from March to October 2015. A total of 32 patients suffering from vitiligo diagnosed clinically and confirmed by Wood’s lamp examination were selected as study population. Systemic PUVA, thrice weekly was given but Topical calcipotriol applied twice daily at one side of the body and other side used nothing Topically. Response was assessed clinically every 4 weeks along with photographic record and compared between two sides of the body.
Results: During the course of the treatment, the calcipotriol plus PUVA treated side showed considerably better improvement than only PUVA treated side. The response was Excellent; 37.8% (12/32), Good; 31.3% (10/32), Fair; 18.8% (6/32), Poor; 12.5% (4/32) in calcipotriol plus PUVA treated side whereas Excellent; 12.5% (4/32), Good; 25% (8/32), Fair; 43.8% (14/32) and Poor; 18.8% (6/32) in only PUVA treated side.
Conclusion: This study shown that concurrent topical calcipotriol potentiates the efficacy of PUVA in the treatment of vitiligo along with the fact that this combination achieves earlier pigmentation with a lower total UVA dosage in comparison to only PUVA therapy.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 23-25
Restoration of Sensibility Following Reconstruction of Soft Tissue Defect of Thumb with the First Dorsal Metacarpal Artery Island Flap
Authors: Waheduzzaman Syed , Awal Rayhana , Khondokar Sazzad
Published: October 2022

Introduction: Thumb injuries constitute a challenge for the plastic surgeon because the loss of its function compromises the function of the entire upper limb. If there is a soft tissue defect in thumb where tendons, joints, or bones is exposed, it requires stable vascularized flap reconstruction preferably with a local or regional flap. The First Dorsal Metacarpal Artery (FDMA) island flap from the dorsum of the index finger is an option for reconstructing such thumb defect.
Objectives: To assess the quality of sensitivity at flap site following reconstruction of soft tissue defect in thumb with the FDMA island flap.
Materials and Methods: A prospective observational study was conducted from July 2012 to June 2013 among 31 patients admitted with soft tissue defect of thumb with exposure of tendon, bone, joint or loss of pulp and were treated with innervated FDMA island flap. Recovery of sensation was evaluated by static-2PD test.
Results: Out of 31 patients 28 were male and 3 were female with male to female ratio is 9:1. The mean age was 26.2±8.8 years. A large number of patient was manual worker (construction worker, mechanic). Most of them sustained injury in their dominant thumb (61%). Most common cause of injury was electric burn (78%) rest were due to machinery injury. Average s-2PD over the flap area 9.1 mm (range, 8-12 mm) compared with 7.4 mm (range, 7-11 mm) over the donor site of opposite index finger and 5.5 mm (range, 3-9 mm) over corresponding site of opposite thumb. Average loss of s-2PD over the flap area compared with the donor area was 1.4 mm (19.2%). Every patient was satisfied with the outcome.
Conclusion: Restoration of sensibility is quite satisfactory after reconstruction of soft tissue defect of thumb by first dorsal metacarpal artery island flap.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 34-38
A Comparative Study on Haematological Changes before and One hour after Haemodialysis in Patients with End Stage Renal Disease
Authors: Rahman Md Moshiur , Giti Susane , Khan Arif Ahmed , Rahman Md Mizanur , Tarek Monwar , Bhuiyan Mohammed Nuruzzaman
Published: October 2022

Introduction: Normal kidney function is very important for maintaining homeostasis. Any deviation of normal renal function leads to deviation of normal homeostasis. End-stage renal disease (ESRD) is the last stage of chronic kidney disease (CKD) resulting from different aetiologies. Different haematological abnormalities in patients with ESRD result from multiple pathogenesis. Treatment of this condition requires multidisciplinary approach. Among all the treatment options haemodialysis (HD) is the most common, widely accepted and available treatment option.
Objective: To find out the effectiveness of haemodialysis in the improvement of different haematological deviations developed during the course of ESRD.
Materials and Methods: A total of 72 patients with ESRD of both sexes with the age ranging from 25 years to 70 years were included in this comparative cross sectional study and carried out in Combined Military Hospital and Armed Forces Institute of Pathology, Dhaka Cantonment from November 2014 to October 2015.
Results: The pre dialysis haematological parameters found in this study were TRBC: 3.4 ± 0.5 X 1012/L, haemoglobin (Hb) level : 9.5 ± 1.4 gm/dL, Haematocrit (HCT): 29.1 ± 4.4%, Mean corpuscular volume (MCV): 83.5 ± 7 fl, Mean corpuscular Hb (MCH): 28 ± 1.8 pg, Mean corpuscular Hb concentration (MCHC): 31.0 ± 2.9 gm/dl, Total leucocyte count (TLC): 6.6 ± 1.9 X109/L, Neutrophil: 66.3 ± 7.8 %, Lymphocyte: 24.5 ± 6.9 %, Monocyte: 5.0 ± 1.8%, Eosinophil: 4.1 ± 2.4 %, Platelet: 184.3 ± 66.5 X 109/L. One hour post HD values are: TRBC: 3.6 ± 0.6 X1012/L, Hb level:10.1 ± 1.6 gm/dl, Hct: 30.9 ± 5 %, MCV:82.6 ± 6.9 fl, MCH: 29.1 ± 2.3 pg, MCHC: 32.2 ± 3.4 gm/dl,TLC: 7.3 ± 2.3 X 109/L, Neutrophil: 69.2 ± 7 %, Lymphocyte: 21.6 ± 5.5 %, Monocyte: 5.3 ± 2 %, Eosinophil: 3.9 ± 2.3%. Platelet: 206.1 ± 63.6 X109/L. Among these values TRBC, Hb level, Hct, MCH, MCHC, TLC, Neutrophil, Lymphocyte and Platelet count significantly improved after HD (p value < .05).
Conclusion: Haemodialysis in the management of patients with CKD/ESRD played a pivotal role in improving haematological parameters deranged by these conditions.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 39-42
The usefulness and wellbeing of Tofacitinib in the treatment of Alopecia Areata
Authors: Khondker Lubna , Sultana Abida , Khan Md Shirajul Islam
Published: October 2022

Introduction: Treatment options for alopecia areata are limited and often inadequate but the use of an oral Janus kinase inhibitor such as Tofacitinib is considered promising treatment of alopecia areata.
Objective: To evaluate the usefulness and wellbeing of Tofacitinib in the treatment of alopecia areata.
Materials and Methods: This clinical trial was conducted at the Department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during July 2018 to December 2019. A total of 45 patients with patchy alopecia areata (at least> 50% scalp involvement), in the form of alopecia totalis and alopecia universalis were treated with Tofacitinib at 5mg twice daily for 6 months. Clinical testing was performed on the basis of the Severity of Alopecia Tool Score (SALT).
Results: The average age of the patients was 33.00 ± 13.1 years. For them 40.0% of patients' age was less than 20 years. In addition, 26 (57.8%) were infected with patchy alopecia areata with> 50% of scalp involvement, 11 (24.4%) had Alopeciatotalis and 8 (17.8%) Alopecia universalis. The average duration of illness was 1.2 ± 0.6 years. Clinical follow-up revealed that among the 26 patients with patchy alopecia areata with> 50% of scalp involvement, 15.4% had a gradual growth and 84.6% re-growth of full hair. Of the 11 patients with Alopecia totalis, 27.3% had a partial rejuvenation and 72.7% re-growth of hair and among the 8 patients with Alopecia universalis, 37.5% had a gradual increase and 62.5% had a recurrence for perfect hair. In terms of well-being, 34 patients (75.6%) did not experience side effects but 11 patients (24.4%) experienced side effects such as 18.2% nausea, 72.7% headache and 9.1% had high infection of respiratory tract (URTI).
Conclusion: The treatment of alopecia areata by tofacitinib, Janus kinase inhibitors are effective, safe and sound in the treatment of alopecia areata.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 43-47
Nomogram of Nasal Bone Length in Euploid Fetus at 18-22 Weeks of Gestation in Bangladeshi Population
Authors: Nahar Nargis , Chowdhury Liza
Published: October 2022

Introduction: Down syndrome (DS) is the most common chromosomal aneuploidy to result in a live birth. Prenatal diagnosis of the affected fetuses can be performed using variety of sonographic features. Within the 11 to 14 weeks gestational age (GA) window, increased nuchal translucency has been the hallmark for identifying fetuses with Down syndrome.
Objective: To estimate the Nasal Bone Length (NBL) of fetuses at 18 to 22 weeks GA in Bangladeshi population and establish the Nomogram of it and finally compare it with that of Caucasian population.
Materials and Methods: The prospective observational study was conducted in Aklima General Hospital Limited, Mirpur, Dhaka, Bangladesh in the Feto-maternal Medicine Unit under Obstetrics and Gynaecology Department for tenure from February 2014 to June 2019. After considering the inclusion and exclusion criteria, 500 antenatal subjects married to Bangladeshi partners with singleton pregnancies attending the routine antenatal outpatient department for an anomaly scan (18-22 weeks) were included and followed up in the study. The nasal bone length was measured from the base of the nose closest to the frontal bones to the farthest extent of ossification on the nose.
Results: The nasal bone lengths of the fetuses at 18 to 22 weeks were measured in 500 cases where for 19 cases of 18 weeks of GA fetuses have a mean NBL of 4.6 mm, 75 cases of 19 weeks of GA fetuses have a mean NBL of 4.8 mm, 161 cases of 20 weeks of GA fetuses have a mean NBL of 5.1 mm, 169 cases of 22 weeks of GA fetuses have mean NBL of 5.8 mm and 76 cases of 22 weeks of GA fetuses have mean NBL of 6.2 mm which is significantly shorter than those of Caucasian population.
Conclusion: The nasal bone lengths of the fetuses at 18 to 22 weeks were significantly shorter to those of the Caucasian population.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 48-50
Feeding Practices and Nutritional Status of Children under Five Years Attending at Selected Child Welfare Centre, Dhaka Cantonment
Authors: Chowdhury Imru Al Quais , Hussain Syed Hasan Mahmud
Published: October 2022

Introduction: Malnutrition is one of the catastrophes on human life and a major public health problem. Children below five years of age are at-risk population and hence malnutrition is the leading cause for morbidity and mortality among them. Feeding practices play a pivotal role in determining the nutritional status of Children.
Objectives: To find the nutritional status of under-five children and to assess whether infant feeding practices are correlated with nutritional status.
Materials and Methods: This cross-sectional study was carried out from 01 March to 30 June 2012 among 110 conveniently and randomly selected children and their mothers as respondents attending selected child welfare centre (CWC) of Dhaka Cantonment. An electronic weighing scale, a standard height scale and a predesigned structured questionnaire were used. All data were analyzed by SPSS. Association was assessed with Chi square test. The prevalence of malnutrition was assessed by different indices of nutritional status based on Weight for Age Zscore (WAZ), Height for Age Z-score (HAZ) and Weight for Height Z -Score (WHZ).
Results: Mean age of study population was 31.3±16 months. Out of total 110 mothers as respondents 62 (56.4%) mothers fed their child colostrum. Majority of the mothers (81.7.0%) exclusively breastfed their child. Most of the mothers (59.1%) did not provide proper complementary feeding and 37.3% mother fed their child pre lacteal feeding. Total underweight children were 32 (29%), total stunted children were 44(40.0%) and total wasted children were 26(23.6%). The prevalence of Stunting was higher among children who had not exclusively breastfed. This study showed that the relationship of pre-lacteal feeding and complementary feeding with WAZ, HAZ and WAZ were statistically significant.
Conclusion: This study might serve as an initiative to identify the influences of feeding practices on children’s nutritional status to promote and protect the optimal feeding practices for improving nutritional status of children under five years.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 54-56
Assessment of Treatment Outcomes of Multidrug-Resistant Tuberculosis in Bangladeshi Population: A Retrospective Cohort Study
Authors: Roy Suvash Chandra , Khanam Parvin Akter , Ahmed Be Nazir , Islam Md Azizul , Huq AKM Faizul , Saha Mukti Rani
Published: October 2022

Introduction: Every year millions of people fall sick with Tuberculosis (TB). Multidrug-resistant tuberculosis (MDR-TB) has a life threatening public health crisis globally.
Objective: To determine the successful treatment outcomes of MDR-TB in Bangladeshi population.
Methods: This retrospective cohort study was conducted at the National Institute of Diseases of the Chest and Hospital (NIDCH) Mohakhali, Dhaka, on 224 patients enrolled within July 2014 to June 2015. Data were collected by face-to-face interview and reviewing medical records.
Results: A total of 224 MDR-TB patients’ histories were studied, among them male and female were 71% and 29% respectively. The average age was 37.6± 13.7 years. Of the total MDR-TB patients, 49(21.9%) were successfully treated, 124 (55.4%) had completed, 3(1.3%) had treatment failure, 5(2.2%) were lost to follow-up, 1(0.4%) was XDR-TB and 29 (12.9%) died. This study also found out that the patient with advanced age (≥55;p<0.001), living in rural areas (p<0.01), history of missing dose(p<0.001) and co-morbidity after treatment (p<0.05) were significantly associated with poor treatment outcomes of MDR-TB.
Conclusion: The study concluded that the successful treatment outcomes were 77.2% and the mortality rate was 12.9% of MDRTB patients. Living in rural areas and missing dose were significantly associated with poor treatment outcomes. So, the study demonstrated that it is necessary to ensure the completion of whole treatment course to manage TB patients effectively in order to prevent MDR-TB.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 57-60
Sleep Patterns among the Pre-clinical Medical Students of a Selected Medical College in Bangladesh
Authors: Sultana Sharmeen , Chowdhury Mohamamd Salim , Akbar Farraz Mohammad , Shams Nuzhat Anzum Binte
Published: October 2022

Introduction: Sleep is a complex biological pattern consisting of period of temporary unconsciousness. Sleep deprivation often leads to serious physical and mental health consequences. Medical college students often sacrifice sleep to comply with their demanding academic schedule which may influence their health and academic performance.
Objective: To observe sleep patterns in pre-clinical (first and second year) students of MBBS course of Armed Forces Medical College, Dhaka, Bangladesh.
Materials and Methods: This cross-sectional study was conducted during the period of March 2021 to July 2021 among 233 respondents. Two validated scales were used to assess quality of sleep and daytime sleepiness: 1) Pittsburgh Sleep Quality Index (PSQI) and 2) Epworth Sleepiness Scale (ESS).
Results: Sleep patterns observed in the study-group revealed that more than quarter of the medical students of pre-clinical MBBS course are having insufficient sleep, delayed sleep onset with excessive day time sleepiness.
Conclusion: The students should be made aware of the undesirable consequences of improper sleep habits so that they may inculcate healthy sleep practices in their day-to-day life and thus enjoy natural human circadian rhythm and cope up with their busy academic schedule with sound physical and mental health.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 61-66
A Study of Pregnancies Complicated by Decreased Amniotic Fluid with Maternal and Fetal Outcome in Combined Military Hospital Dhaka
Authors: Akter Mst Ralifa , Haque Md Anwarul , Nahar Nargis , Khan Towhida
Published: October 2022

Introduction: Decreased amniotic fluid volume below the normal range expected for the gestational age is a challenging entity encountered by obstetricians. Normal range of amniotic fluid is Amniotic Fluid Index (AFI) 8-20cm. Amniotic Fluid Index (AFI) is a quantitative estimation of amniotic fluid volume seen and measured by ultrasonography during pregnancy. AFI is the sum of the deepest vertical pocket of fluid, excluding fetal parts and umbilical cord, in four quadrants between the maternal midline vertically and transverse line half way between the pubic symphysis and uterine fundus. Decreased AFI has different etiology, pathophysiology, presentation and effect on fetomaternal outcome.
Objectives: To assess the incidence, aetiology, time and mode of delivery as well as to evaluate fetomaternal outcome associated with decreased amniotic fluid.
Materials and Methods: Prospective observational study was carried out among 60 cases of pregnancy at 3rd trimester with decreased amniotic fluid index admitted in the Department of Obstetrics and Gynaecology, Combined Military Hospital, Dhaka Bangladesh from October 2012-March 2013. Amniotic fluid index was determined by the four quadrant ultrasonography technique on admission. Variables used are parity, gestational age, AFI, the colour of amniotic fluid, etiology and mode of delivery. Neonatal outcome variables were birth weight, APGAR scores at Iand 5 minutes and admission to the neonatal intensive care unit.
Results: This study showed that 6% of the admitted patients were presented with decreased amniotic fluid. Among them 42% were borderline and 58% were severe oligohydramnios. Termination by caesarean section is high especially among the severe oligohydramnios patients 29 of 34. High rate of caesarean section is primarily due to fetal distress 60%. There was no maternal morbidity but there was 32% fetal morbidity.
Conclusion: Decreased amniotic fluid volume has no significant effect or maternal morbidity other than increased rate of caesarean section, however there was significant neonatal morbidity mainly due to birth asphyxia, others are neonatal sepsis and meconium aspiration syndrome.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 67-70
Cutaneous Manifestations of Chronic Renal Disease among Patients of Combined Military Hospital, Dhaka
Authors: Karim ATM Rezaul , Sarker Rizoana , Siraj Md Shahjahan , Sadeque Shayesta Pervin , Chowdhury Sabiqun Nahar
Published: October 2022

Introduction: Chronic renal or kidney disease (CKD) presents with a range of cutaneous manifestation. Many New changes have been described since the advancement of hemodialysis, which prolonged the life expectancy, providing sufficient time for these changes to manifest.
Objective: To observe the cutaneous changes in chronic kidney patients.
Methods: This descriptive cross sectional study was conducted at Dermatology and Venereology department, Combined Military Hospital (CMH) Dhaka from July 2019 to June 2020. A total 100 CKD patients were recruited through purposive random sampling technique and observed for cutaneous changes.
Results: Among the total, 88% study population had some form of skin disorders, pallor 65(65%) was found to be the most common cutaneous manifestation, while xerosis 61(61%), pruritus (53%), hyperpigmentation 37(37%) and bacterial infection 28(28%) were other common features. Prevalence of purpura was 29(29%) and fungal infection was 24(24%).
Conclusion: CKD is associated with a broad spectrum of skin manifestations caused by the disease or by the treatment. The more commonly with pallor, xerosis and pruritus proper recognition of cutaneous signs and symptoms can relieve sufferings and reduce morbidity of the CKD patients.
JAFMC Bangladesh. Vol 18, No 1 (June) 2022: 71-74