bluuebunny/crossref_metadata_2025 huggingface dataset:
Petr Sedláček: Mezinárodní měnový systém a globální finanční krize
Authors: Prokeš Jan
Published: May 2019

Kniha posuzuje prizmatem mezinárodního měnového systému souborreforem, které byly přijaty v souvislosti s nedávnou globální finanční krizí.První část uvádí historický vývoj a dopad krizí na měnový systém, druhá částanalyzuje opatření, přijatá pro zlepšení fungování jednotlivých oblastísystému, hodnotí jejich účinnost i možné cesty dalšího zkvalitnění. Poprvé unás se tak mohou nejen profesionálové v oblasti státní správy i vsoukromých finančních institucích, ale i studenti vysokých škol seznámit saktuálními trendy reforem mezinárodního měnového systému a jejichdopadem na Českou republiku.
Václav Hubinger: Diplomatické Theatrum mundi.
Authors: Skalník Petr
Published: May 2019

Kniha není jen popisem profese diplomata, ale ukazuje, jak diplomat vidí„divadlo světa“, bez kterého jeho práce nemá smysl. Autor vychází z vlastnízkušenosti, ze zkušeností a vzpomínek kolegů i předchůdců. Životdiplomata je blízký každodenní realitě „obyčejných lidí“, a současně je od nívzdálený tak, že nikdo mimo diplomatů nemá dobrou představu o tom, jakývlastně je.
Twitter and the Struggle to Transform the Object: A Study of Clean Coal in the 2017 Australian Energy Policy Public Debate
Authors: Demetrious Kristin
Published: May 2019

This paper investigates unusually high spikes in Twitter engagement in Australia in February 2017 invoking the 2014 Peabody Energy global public relations campaign Advanced Energy for Life (AEFL) trope clean coal. Focusing on peak Twitter events, it asks: What caused the spike, what was amplified and signified by the dominant tweeters, and what was the content and tenor of discussion generated? Applying discourse analysis to an archive of Australian-based Twitter activity, the research argues that despite widespread ridicule of clean coal as oxymoronic by contemporary publics, the increased engagement provided unintended impetus for the PR campaign objectives. The research contributes to greater understanding of the reach, influence, and limitations of Twitter-based public debate.
ACCURACY OF CT-SCAN FOR THE DETECTION OF MALIGNANT LIVER MASS
Authors: Panwar Nitu , Meena Deepak , Meena G. L.
Published: May 2019

Background: Malignant liver mass, especially hepatocellular carcinoma (HCC), is the most common primary malignant tumour of the liver representing more than 80% of all primary hepatic malignancies.

Methods: This cross sectional study was carried out in the Department of Radiology. All the clinically suspected patients having hepatic mass at any age with both sexes who were attended in hospital were taken as study population as per inclusion and exclusion criteria. Patients having hepatomegaly due to extra hepatic causes, patients who refused to undergo CT-scan, patients who refuse to do biopsy or whose biopsy result was not available and patients having known hypersensitivity reaction to contrast agent were excluded from this study.

Results: Sensitivity of CT to diagnose malignant lesion was 94.12%, specificity 84.62%, accuracy 90%, positive predictive value 88.89% and negative predictive value 91.67%.

Conclusion: The results of the present study therefore conclude that CT is a useful modality for the diagnosis of malignant liver masses. Since the CT diagnosis correlates with histopathological connection, it is a sensitive modality on the basis of the above findings.

Keywords: Test accuracy, CT-Scan, Malignant, Liver Mass
Influence of meteorological factors on the secondary contamination of atmospheric air by formaldehyde ( on the example of the city of Kyiv).
Authors: Klimova Irina , Sipakov Rostyslav
Published: May 2019

Many authors on the basis of researches give information that motor transport is the basic source of contamination of atmospheric air of cities of Ukraine. This work touches on the estimation of the level and dynamics of contamination of m. Kyiv extras from a motor transport and influence of meteorological factors of locality on the degree of atmospheric contamination (including secondary one as a result of actinic transformations).
Authors set connections between the components of SO, Nox, CHOH, and ambient temperature, on the basis of the analysis of the last five years of statistical information of basic components contaminations from motor transport, which take part in the formation of actinic transformations. The authors found out close cross-correlation connection between the molecules of Nox, CHOH, and average monthly values of temperature on the basis of the analysis of these monitoring supervisions. Also, there were investigational processes of the formation of molecules of SNON depending on other climatic factors of the city of Kyiv, namely: the humidity of the air, speed of the wind, and index of acidity of the atmosphere (pH). It is well-proven that formation of formaldehyde in mid-air above motor transport ways the degree of acidification of atmospheric fallouts influences mediated. However, have a direct cross-correlation connection between the relative humidity of air and the speed of the wind. Temperature terms play a key role in forming the secondary contamination formaldehyde above motor transport overpasses and he takes into account other climatic factors of locality mediated.
Speed of reaction of the transformation of hydrocarbons in formaldehyde at neutral meteorological terms is considered on the example of the motor-car upshot of the Darnicka square. The decision of equalization of the speed of transformation of extras of hydrocarbons is found in formaldehyde by the decision of equalization of Arreniusa. This method can be applied to other cities of Ukraine.
The conducted researches will allow to promote ecological strength security on the urbanized territories by the improvement of questions of acceptance of administrative decisions at building and reconstruction of motor-car overpasses of the city, and also at forming of strategic plans of ecological development of city and setting of nature protection measures.
Disease Prediction by Machine Learning from Healthcare Communities
Authors: Jadhav Saiesh , Kasar Rohan , Lade Nagraj , Patil Megha , Kolte Shital
Published: May 2019

To promote sustainable improvement, the smart town implies a global imaginative and prescient that merges artificial intelligence, choice making, statistics and conversation era (ICT), and the net-of-things (IoT). in this mission, the subject of disease prediction and prognosis in clever healthcare is reviewed. due to records progress in biomedical and healthcare groups, correct have a look at of clinical data advantages early disorder recognition, patient care and network services. whilst the exceptional of medical information is incomplete the exactness of study is reduced. moreover, exclusive areas exhibit specific appearances of certain regional illnesses, which can also bring about weakening the prediction of sickness outbreaks. within the proposed system, it offers gadget gaining knowledge of algorithms for effective prediction of various disorder occurrences in ailment-frequent societies and predicts the waiting time for each treatment project for every patient as well as a hospital Queuing advice (HQR) system is advanced for recommending treatment mission sequence with appreciate to anticipated ready time. It experiments on a nearby chronic illness of cerebral infarction. using structured and unstructured facts from health centre it makes use of system studying selection Tree algorithm and KNN algorithm. To the first-rate of our knowledge inside the place of medical huge records analytics none of the existing paintings focused on each information types. in comparison to several normal estimate algorithms, the calculation exactness of our proposed set of rules reaches 94.8% with a convergence speed which is faster than that of the CNN-based totally uni-modal ailment threat prediction (CNN-UDRP) algorithm. similarly, challenges within the deployment of sickness diagnosis in healthcare had been mentioned.
A Review on Adsorbents In Chromatography
Authors: Chavan Rajeshwar V. , Kengar Manohar D. , Dhole Archna R. , Salunkhe Vijay R.
Published: May 2019

The Adsorption chromatography only differs from adsorption in how the process operates, not the principle of separation. For adsorption chromatography, the adsorbent is used as the stationary phase. The solute binds to the adsorbent via van der Waal forces and steric interactions. Since the adsorption sites are typical only on the outer surface of the stationary phase, fairly small particles are used as the stationary phase. The technique of chromatography used presently is limited to a few adsorbents and usually to non-aqueous systems, due to the difficulty of elution of the adsorbate. However, aqueous systems could be used if adsorbents were available which permitted adsorption and desorption to be controlled by pH adjustment. Adsorption is present in many natural physical, biological, and chemical systems and is widely used in industrial applications such as activated charcoal, capturing and using waste heat to provide cold water for air conditioning and other process requirements, synthetic resins, increase storage capacity of carbide-derived carbons for tunable nanoporous carbon and water purification.
Caracterização de aço inoxidável ASTM 138 (CrNiMo) e biocompatibilidade em parafusos de fixação de próteses
Authors: Militão VA , Sodré D , Souza CMP , Silva Jr WC
Published: May 2019

Este trabalho tem por objetivo realizar o uma análise da composição dos ele-mentos químicos dos parafusos para fixação de próteses, fabricados com aço inoxidável ASTM F138 (CrNiMo). Um parafuso para fixação de próteses quando inserido no orga-nismo humano, sofre desgastes corrosivos. O método Microscopia Eletrônica de Varre-dura (MEV) e espectroscopia de raios X por dispersão em energia (EDS), analisaram a morfologia e os elementos químicos que compõem a estrutura do parafuso de fixação de próteses. Os resultados obtidos foram comparados e analisados com as normas ASTM F138.
Reflection on Health Indicators for Atmospheric Chemical Pollutants
Authors: Dias JC , Dias JC , Zanotti E
Published: May 2019

Health and environmental indicators are already a reality in some countries that have invested in technology, qualification of personnel, design of government frameworks, revision of legislation and an interconnected computerized structural web that allows actions of monitoring, planning and control, through these indicators, at the national level. Brazil, following the guidelines of the Action Plan for Sustainable Production and Consumption (PSPC) program, has sought to implement actions for technological and personnel development with international standards, and has obtained surprising results, but it is still necessary to commit efforts to implement the computerized system of indicators, among the main government agencies. This work proposes, through a bibliographical review, a reflection of the parameters used to indicate the local pollution levels, as well as, the systems of warning to the population for respiratory protection measures. The results demonstrate a need to update the concepts on alert and measures to prevent the exposure of atmospheric chemical pollutants to population.
Membrane shaping by low coherence speckle interferometry for pressure measurement
Authors: Saita MT , Barbosa EA , Degasperi FT , Wette NU
Published: May 2019

In this work we developed a novel pressure measurement technique based on the deformation evaluation of a membrane submitted to a pressure differential. The deformed membrane shape was determined by low-coherence speckle interferometry. In this method, a tunable diode laser at 660 nm emitting simultaneously two or more longitudinal modes illuminates the optical setup. The resulting speckled low spatial frequency interferogram of the image corresponding to the membrane shape was evaluated by conventional 4-stepping and phase unwrapping analyses. The sensitivity of the measurement process was controlled by tuning the laser with the help of the Littman-Metcalf arrangement using a 2380 lines/mm reflective diffraction grating, which provided a tunable range of 3 nm. The 0.420 mm thick aluminum membrane was submitted to pressure values from 0 to 90 kPa and a curve of the maximum membrane deformation as a function of the pressure was obtained. The experimental results were compared with the ones obtained by a numerical algorithm.
Análise das Propriedades Antichamas das Espumas Acústicas de um Estúdio Educacional de EAD
Authors: Santos MAA
Published: May 2019

Esta pesquisa sobre espumas acústicas adota a metodologia de um estudo de caso, estabelecendo a continuidade de um trabalho anterior sobre educação e gestão da segurança contra incêndio em ambientes audiovisuais de uma instituição de ensino. Os objetivos desta pesquisa são: analisar as propriedades antichamas das amostras da espuma acústica senoidal instaladas nos estúdios da instituição, preservar o patrimônio público e a integridade física dos profissionais que trabalham nestes ambientes, e propor uma intervenção. Os referenciais teóricos adotados foram baseados em normas que visam evitar a propagação de chamas, no uso da melamina, na educação e gestão da segurança contra incêndio, nas técnicas de gravação de áudio e no ensino a distância. As amostras de espuma acústica do campus analisadas não apresentaram propriedades antichamas adequadas, e o uso deste material inflamável pode ser generalizado para outros campi da instituição. Em seguida, foi sugerida a substituição por espumas antichamas aos campi.
Modelagem em Redes de Petri do Sistema de Controle Local da Plataforma de Tecnologia Assistiva
Authors: Tabacow Rachel Patricia , Bock Eduardo Guy Perpétuo , Nakamoto FY
Published: May 2019

Os avanços tecnológicos da medicina moderna e a melhoria na qualidade de vida são parâmetros que vêm impactando no aumento da expectativa de vida da população em geral, acarretando, conseqüentemente, no envelhecimento da sociedade. Com isso, o número de pessoas com dificuldade de locomoção motora necessita cada vez mais de cuidados especiais. Tendo isto em vista, uma plataforma Reconfigurável de Tecnologia Assistiva está sendo desenvolvida para o atendimento das necessidades destes pacientes. Podendo ser utilizada tanto em pacientes de Home Care, como em ambiente hospitalar, a plataforma é constituída de quatro módulos que visam: auxiliar na remoção de um paciente em cadeira de rodas, auxiliar durante fisioterapia, movimentar verticalmente para mudança de posição e executar a aquisição de dados. O presente trabalho tem como objetivo apresentar a modelagem do Sistema de Controle para comandar a Plataforma Reconfigurável de Tecnologia Assistiva com bases em três níveis de controle. O primeiro nível é responsável pelo controle local, que possui uma interface com o usuário da plataforma, o segundo nível de controle é responsável pela integração com os diversos sistemas de controle locais com bases nas normas de segurança, e o terceiro nível é o sistema supervisório de controle. Os três níveis foram modelados com o emprego de uma metodologia Production Flow Schema/Redes de Petri (PFS/RdP). A metodologia PFS/RdP é alicerçada no conceito de projeto top-down com refinamento sucessivo de Sistemas Dinâmicos a Eventos Discretos (SDED) que resulta em um modelo RdP que permite a posterior análise para validação por meio de simulação. A partir do modelo resultante, é possível implementar uma linguagem de programação para Controladores Lógico Programáveis (CLP), de acordo com a norma IEC 61131-3.
Estudo comparativo de corpos de prova poliméricos (ABS), fabricados por extrusão, injeção e DDM baseado em ensaios de tração
Authors: Cavasso PHF , Paschoalinoto NW , Lazareti C , Gregório D , Bruno DOT
Published: May 2019

O estudo se desenvolveu por meio da fabricação e posterior ensaio de corpos de prova
confeccionados por meio de Direct Digital Manufacturing (DDM), usinagem de placas
extrudadas e injeção de polímeros. Um comparativo das propriedades mecânicas obtidas pelos ensaios de tração foi realizada. A avaliação das aplicações de peças DDM, especialmente por se tratar de uma tecnologia relativamente jovem e que ainda não tem todo seu potencial explorado, foi o que motivou a realização desse trabalho. Cada um dos três processos avaliados apresentou particularidades. Os ensaios de peças usinadas e injetadas apresentaram resultados bem característicos, sendo o material usinado mais resistivo à forças trativas do que o material injetado. As peças fabricadas por DDM se mostraram tão eficientes quanto à injeção no ensaio de tração.
Study of the incorporation of nucleic acids in chitosan-coated polystyrene nanoparticles for use as DNA carrier system
Authors: Del Monaco Adriana , Toller-Correia GKU , Hirata MH , Petri DFS
Published: May 2019

Nanotechnology is a multidisciplinary scientific field based on the development, characterization, production and application of structures, devices and systems with shape and size at the nanoscale. Polymeric systems with therapeutic purpose have been widely used since they allow a slow and gradual release of drug and allow the transport of drugs to their specific place of action. In recent years, nanoparticles have been used for DNA loading. The introduction of exogenous DNA into a cell may be applicable to fields of gene therapy, DNA vaccines and diagnosis. The development of nucleic acid loading nanoparticles, with a well characterized activity, would be very important. For this project, cationic polystyrene nanoparticles coated with chitosan was studied for a DNA carrier system. The propose is an elaboration of a dilution gradient that allows to know the pattern of incorporation of nucleic acids in the nanoparticles, permitting the development of a mathematical model that characterizes the incorporation in the different conditions studied, allowing their use in future projects. Through this, it´s found the potential of DNA saturation by this nanoparticle system, as in 29% of the incorporation mass, which reveals the capacity of DNA incorporation.
Desenvolvimento da Transmissão de um protótipo Fórmula SAE
Authors: Santos MS , Treml AE
Published: May 2019

A competição Fórmula SAE ocorre anualmente em diversos lugares do mundo. No Brasil acontece em Piracicaba, e envolve estudantes de diversas universidades de todo o país, e, inclusive estrangeiras. O objetivo da competição é de que as equipes desenvolvam um protótipo de carro de corrida tipo fórmula, que será avaliado em diversas provas, desde estáticas à dinâmicas. Parte fundamental do desenvolvimento do protótipo é a concepção da transmissão, pois esta é responsável pela transferência de torque e potência do motor às rodas do protótipo. O projeto deve ser feito de modo a proporcionar elevado torque às rodas em velocidades relativamente baixas do veículo, pois, devido ao fato de que a pista do evento brasileiro tem poucas retas, a rápida recuperação de velocidade é um fator de maior importância para o bom desempenho do carro em detrimento da velocidade máxima do mesmo. Para se obter essas características de comportamento do veículo, busca-se uma razão adequada entre o número de dentes da coroa (engrenagem que transmite o torque as rodas) e do pinhão (engrenagem na saída do motor). Para esta seleção utilizou-se dados de torque máximo, e sua respectiva rotação, sendo este dado fornecido pelo fabricante do motor utilizado no carro, o qual corresponde ao modelo da moto XT660 da Yamaha. Foram analisadas diversas relações, através de gráficos do tipo dentes de serra, que fornecem a velocidade do veículo pela rotação em cada marcha, selecionando-se, assim, a relação que possibilitasse a troca de marcha do veículo com a menor perda de torque possível, mantendo uma boa evolução de velocidade. Da análise destes dados obteve-se que o valor de relação mais adequado ao sistema é de 3/1, ou seja, a coroa deve ter uma quantidade de dentes 3 vezes maior que o pinhão.
Alternative methods of sterilization on films of polymers: Poly(-L-lactic acid) (PLLA), Poly(L-lactic acid-co-glycolic acid) (PLGA) and Poly(-LD-lactic acid) (PLDLA), for bioresorbable vascular scaffolds models
Authors: Del Monaco Adriana , Duek ER , Andrade Aron José Pazin de , Malmonge SM
Published: May 2019

Biodegradable polymers have been the subject of study for more than three decades because of their unique characteristics such as: biocompatibility and non-immunogenic and non-toxic properties, revealing their great acceptance in living organisms and being used as fastening elements in materials such as prostheses, sutures, drug encapsulation matrices and several important applications. The Poly(-lactic acid) (PLLA and PLDLA) and its glycolic acid copolymer (PLGA), present great biocompatibility. A problem when using polymers in bioengineering is sterilization process, which should enable the inactivation of a wide variety of microorganisms without affecting the properties of the materials of the device sterilized. Most of the processes used have limitations for use in thermo sensitive and chemo sensitive materials. Among the alternatives are ultraviolet radiation (UV) and plasma of hydrogen peroxide. This project tested these two alternatives methods, in films and tubes of these polymers. After the process of sterilization, no changes were found in thermal properties evaluated by differential scanning calorimetric analysis (DSC) and termogravimetric analysis (TGA). The mechanical properties of the PLLA, PLDLA and PLGA materials after the sterilization processes, also presents no changes, by UV and plasma, indicating the stability of samples to these processes.
Síntese e caracterização de carvão ativado a partir de resíduos de grãos e de erva-mate para a avaliação do processo de adsorção de azul de metileno
Authors: Fiori Gabriela Crivoi , Oliveira Pâmela Cristina de , Furtado Andréia Cristina
Published: May 2019

O emprego de resíduos agroindustriais utilizados como precursores na síntese de carvão ativado tem se intensificado. Nesse sentido, o presente trabalho tem por objetivo sintetizar carvão ativado a partir de resíduos orgânicos de beneficiamento de grãos e de ervamate, a fim de compará-los quanto a sua capacidade de adsorção, em azul de metileno. Os precursores foram caracterizados pela umidade e cinzas, sendo utilizado a carbonização seguido de ativação química. O carvão ativado sintetizado a partir de palito de erva-mate mostrou-se mais eficiente, com baixo teor cinzas (6,26%), bem como, apresentou-se o melhor dentre os resíduos para adsorção de azul de metileno, com 81,23% de remoção. A isoterma de adsorção se ajustou ao modelo de Freundlich, indicando sítios ativos heterogêneos e cinética de reação de primeira ordem.
Assessment of knowledge of mothers from migrant population regarding use of oral rehydration solution in diarrheal illness in under-five children from rural Pune
Authors: Hanumante Neeta , Murarkar Sujata , Sane Shrivallabh , Sancheti Sumati
Published: May 2019

Background: Diarrhea is one of the important causes of morbidity and mortality among under-five children in India. Lack of knowledge of mothers about the management of diarrheal diseases is a common problem in many developing countries. Use of oral rehydration solution (ORS) largely depends, on the level of mother’s knowledge. Objective: The objective of the study was to assess the knowledge of the mothers, from rural migrant population regarding the use of ORS in under-five children with diarrhea. Materials and Methods: A cross-sectional study was carried out from December 2016 to March 2017, among mothers of the migrant population residing and working at brick kilns and construction site in the field practice area of the rural health training center, Lavale, Pune. We included the mothers whose children were under five years of age. Those mothers, who had serious illness and had hearing and speech problems, were excluded from the study. Data were collected by interview method from mothers with the help of a pre-structured and pre-tested questionnaire. Results: A total of 54 (93.1%) mothers from brick kiln sites were included among whom, 43.10% were aware of ORS. Only 37.93% of mothers knew the use of homemade sugar salt solution for diarrhea in children. In this study, 25 (43.10%) mothers were illiterate and the study showed that knowledge regarding ORS was lower in illiterate mothers. Conclusion: Majority of the mothers were not aware regarding ORS, and as per the study, knowledge regarding ORS was lower in less educated mothers. Government schemes would help these mothers to increase the awareness which will result in a decrease in mortality rate.
Rare isolation of Leclercia adecarboxylata in a child with pneumonia: Case report and review of literature
Authors: Gupta Vipul , Chauhan Arpita , Kumar Arun , Dhyani Anuj , Mazumdar J. P. S.
Published: May 2019

Leclercia adecarboxylata is a Gram-negative flagellated bacilli named after Leclerc, who first described it in 1962. Isolation of thisorganism from body fluids is rare. Although it has been reported in immunocompromised individuals and nosocomial infections,pneumonia due to this organism is still rare. We report a case of 13 months old, previously healthy immunocompetent child, withcommunity-acquired pneumonia due to L. adecarboxylata.
The Impact of Other Comprehensive Income Items on Financial Performance: Case of Jordanian Commercial Banks
Authors: Saymeh Adul Aziz , Khalaf ALkhazaleh Ayman Mansour , Musallam Eman Marwan
Published: May 2019

This study aims to determine the effect of the independent variable other comprehensive income on the dependent variables represented by the financial performance of commercial banks. Researcher has studied the case of Jordanian Commercial Banks during the period 2012 to 2017. The study sample consists of 13 Jordanian commercial banks. The study independent variable was given by the quotient of other comprehensive income on net income. The ratios: financial performance by return on assets, and return on equity were the two dependent variables. Study hypotheses were tested by the simple regression equation and T- test. It was found that there was a statistically significant effect of other comprehensive income on the financial performance as measured by the return on assets and return on equity. This significance can be attributed to the increasing weight of other comprehensive income items which makes the value of other comprehensive income an indicator of profitability and efficiency of banks and means of maximizing their wealth. It is recommended that Amman Stock Exchange, Securities Commission and the Companies Control Department, to urge the companies listed on ASE to increase the awareness of companies’ management about the importance of other comprehensive income concept.
The Analysis of Factors Influencing Earning Management of Conventional Private Banking in Indonesia
Authors: Yusoep Islami Agnemas , Tham Jacquline , Azam S. M. Ferdous , Yusuf Eddy , Ahmad Albattat
Published: May 2019

Earnings management is an alternative action to achieve their goals, although this action will produce financial reports that can mislead the reader, in fact, many banks in Indonesia do this practice. This study attempts to examine the effect of factors that influence earnings management in conventional Indonesian banks. The variables in this study are credit risk, capital adequacy ratio (CAR), size, managerial ownership and institutional ownership as independent variables and earnings management variables as dependent variables. The population in this study is a conventional private bank in Indonesia. This study uses a purposive sampling technique. The criteria for objects that can be used as samples in this study were obtained by 55 private banks with the period under study from 2015 - 2017. The number of units of analysis of this study was 141 units. The analysis technique used in this study is multiple regression analysis to find the effect of managerial ownership, institutional ownership, credit risk, capital adequacy ratio (CAR), and size factors on earnings management in conventional private banks in Indonesia. This study found that factors, size of banking, and CAR had a positive and significant effect on earning management of conventional private banks in Indonesia. Management ownership factors have a negative and significant effect on earnings management. While Institutional ownership factors have no significant effect on earnings management. This study uses the Jones model in measuring earnings management. In the future it will be better if all models that can measure earnings management are used so that the model can be compared more accurately and more in accordance with the factors we will examine.
Al-qur`an dan Relasi Umat Beragama; Prinsip Dasar Harmoni Antar Umat Beragama Perspektif Al-qur’an
Authors: Dzulfikar Ahmad
Published: May 2019

Al-Qur`an dan Relasi Umat Beragama Membangun Relasi Harmonis Antarumat Beragama. Berangkat dari perbedaan penafsiran Al-Qur’an terkait bagaimana Al-Qur’an menyikapi relasi umat beragama, maka tulisan ini menyajikan bukti-bukti historis bagaimana Al-Qur’an menyikapi relasi umat beragama. Dengan metode penelitian sejarah, maka runtutan waktu menjadi penting untuk melihat bagaimana Al-Qur’an menyikapi relasi tersebut. Selain itu, secara tematik diketengahkan pula sikap-sikap yang bagaimanakah, menurut perspektif Al-Qur’an, dalam membangun relasi umat beragama. Dari paparan tulisan dapat disimpulkan dalam sejarah relasi umat beragama, Al-Qur’an mengedapankan sisi toleransi yang sangat besar. Akan tetapi, itu bukan berarti Al-Qur’an mendiamkan setiap kezaliman dan pengkhianatan. Al-Qur’an justru subur dengan seruan terhadap nilai-nilai universal: keadilan, kesetaraan, persaudaraan dan dialog. Nilai-nilai iniah yang seharusnya dipupuk dan dikembangkan dalam rangka membina relasi umat beragama yang lebih harmonis.
The Worldview Of Social Harmony Bulding In The Pluralisme A Phenomenology Study in Balun Village, Turi District, Lamongan Regency
Authors: Widyawati Elvi
Published: May 2019

This phenomenon is interesting because in the midst of religious differences they can build a peaceful and harmonious socio-cultural life system. While in other areas differences in religion or belief become the legitimacy or trigger of conflicts and violence between groups in society. The impact of religious conflict or violence is the occurrence of inequality, insecurity, especially for minority groups, which in turn will affect national integration and unity. From this phenomenon, it is interesting to study how Balun people can process differences in religion, so they can foster and build a culture of tolerance in society. This study aims to uncover the paradigm, factors and models or forms of tolerance in Balun Village, Turi Subdistrict, Lamongan Regency, using research methods with qualitative approaches to informant units, namely Christian (Hindu) and Muslim (figures) and Balun Village Devices. Data collection methods using the method of observation (observation), in-depth interviews (depth interviews) with the Snowball model and literature review and FGD (Focus Group Discusion). Analysis of data using multidisciplinary science, meaning that depends on the data obtained, if the data obtained by religious data analysis uses religious studies and so on. The results of the study, the first Balun community paradigm in understanding its religious teachings (Islam, Hinduism, Christianity) is a substantive inclusive paradigm. Second, the factors underlying the culture of tolerance in Balun are the factors that are understanding of the religious teachings that are substantive-inclusive, pluralist political policies, tolerant socio-cultural traditions, maintained interfaith traditions of marriage. The tolerance model found in Balun is, first, Plural Village (Device) Structure. Second, Multicultural (Democratic) Family, Third, Ngaturi / Kenduri Multicultural and Fourth, Inclusive Da'wah. Hopefully the toll road model built in Balun Village can be an inspiration and mirror for other Indonesian people who are prone to conflict, so that our hopes of building a united, tolerant, advanced, peaceful and harmonious Indonesia can be realized.
Movement disorders and cerebellar involvement in mitochondrial disorders
Authors: Finsterer Josef
Published: May 2019

Keywords: Mitochondrial, Hereditary neuropathy, Phenotype, Genotype, Multisystem disease, Lactic acidosis
Neuromyelitis optica spectrum disorder with delayed lesion on spinal cord magnetic resonance imaging
Authors: Kim Jeong Yeon
Published: May 2019

The term Neuromyelitis optica spectrum disorder (NMOSD) is a recently proposed for neuromyelitis optica and related syndromes. Along with serum anti-aquaporin 4 antibody status, detection of a lesions extending over ≥3 contiguous spinal cord segments (longitudinally extensive transverse myelitis, LETM) associated with acute myelitis is the most specific neuroimaging characteristic of NMOSD. 1 We present a case of NMOSD with delayed lesion on spinal cord magnetic resonance imaging.
Outcome of Anterior Cervical Discectomy and Fusion for Cervical Spondylotic Myelopathy
Authors: Saha Apel Chandra , Masud Md Hasan
Published: May 2019

Background: Cervical spondylotic myelopathy (CSM) is a progressive degenerative disease and the most common cause of cervical spinal cord dysfunction (SCD) in older patients. Anterior cervical discectomy andfusion (ACDF) is a common procedure for patients with severe neurological deterioration. The goals of this study were to evaluate the clinical and functional outcome, radiological fusion and operative complications in case of CSM who underwent ACDF by autogeneous-tricortical bone graft and stabilized with plate and screws.

Methods: This prospective interventional study was carried out at National Institute of Traumatology and Orthopaedic Rehabilitation ( NITOR) and different private hospitals in Dhaka from January 2012 to December 2014. Within this period total 12 CSM patients were included as study sample. All were surgically treated by ACDF and stabilized by plate and screws. All patients were clinically and radiologically evaluated before and after surgery.

Results: Single level ACDF by autograft and stabilization by plate and screws was done in 10 (83.33%) patients and 2 (16.67%) patients had two level fusion. The mean follow up period was 12 months. The satisfactory result was found in 10 (83.33%) patients. Post-operative complications were donor site morbidity in2 (16.67%) patients and transient dysphagia in 1 (8.33%) patient. The fusion rate was 100% in this series.

Conclusion: ACDF with anterior plating for CSM is a safe and effective procedure. It results in highest fusion, least complication and relatively lower cost.

Birdem Med J 2019; 9(2): 133-137
Dialysis Adequacy and Quality of Life in Diabetic and Non-diabetic Bangladeshi Patients on Maintenance Hemodialysis
Authors: Saha Shudhanshu Kumar , Islam Rafi Nazrul , Rahim Muhammad Abdur , Chowdhury Tufayel Ahmed , Razzak Abdur , Latif Abdul , Ananna Mehruba Alam , Iqbal Masud , Mansur Mohammad Abul , Choudhury Ayub Ali , Iqbal Sarwar
Published: May 2019

Background: Quality of life (QOL) is one of the chief areas to be addressed when caring for people with end stage renal disease (ESRD). The continual excretory function of native kidneys are replaced in such patients by few hours of rapid urea clearance in a week. This study aimed to explore whether more weekly hemodialysis sessions and dialysis adequacy do actually improve parameters of QOL and if this is beneficial enough at the cost of taking additional dialysis sessions in a low income country like Bangladesh. Whether being diabetic influences QOL was also investigated.

Methods: This cross-sectional study recruited 135 adults, who were on maintenance haemodialysis(MHD) for >3 months, from three dialysis centers in Dhaka from January to December, 2013. Patients with malignancy, dementia, and psychosis were excluded. Patients were interviewed once by the investigators to fill a validated Bangla version of the kidney disease quality of life short form questionnaire (KDQOL-SF-36 version 1.3) and calculate a QOL score.

Results: Mean age, mean duration of chronic kidney disease (CKD) and MHD were 50±12 years, 4.9±5.1 years and 12±11.8 months respectively. Overall QOL score for the study sample was 50±17. Only 43(31.9%) patients received adequate hemodialysis (mean Kt/V=1.3) while the rest (with Kt/V<1.2) had achieved an average Kt/V of 0.8 (p<0.001). Duration of MHD, hemoglobin, serum albumin, and ferritin were not significantly different for those adequately dialysed, compared to the rest. Also no improvement in any QOL parameter was found in those with Kt/V>1.2 (adequate HD). However, when a comparison was made between those with 3 HD sessions/week (n=63, mean MHD duration 24±14 months) with patients receiving 2 HD sessions/week (n=72, mean MHD duration 8.4±11 months), the former group had lower “effect of kidney disease” scores (p=0.021), higher “quality of social interaction” scores (p=0.031) and lower “role emotion” scores (p=0.002). When diabetic patients (n=82, mean age 54±8 years, MHD duration 18.5±9.5 months) and non-diabetic subjects (n=53, aged 42±13 years, MHD duration of 25±16 months) were compared, “effects of kidney disease”, “cognitive function” and “quality of social interaction” scales were significantly higher in those having diabetes (with p<0.045, p<0.024 and p<0.022 respectively).

Conclusion: Since achieving hemodialysis adequacy was not found to improve QOL scores, an additional dialysis session at extra cost every week may not be advisable for people of a low income country

Birdem Med J 2019; 9(2): 138-146
Serum Soluble Transferrin Receptor-Ferritin Indices in Diagnosing and Differentiating Iron Deficiency Anemia from Anemia of Chronic Disease among Patients with Chronic Kidney Disease
Authors: Latif Abdul , Hoque Farhana , Alam Muhammad Rafiqul , Khanam Asia , Iqbal Sarwar , Rahim Muhammad Abdur , Billah Md Mostarshid , Rahman Md Obaidur , Chowdhury Tufayel Ahmed
Published: May 2019

Background: Anemia is common in patients with chronic kidney disease (CKD) and this is generally anemia of chronic disease (ACD), but iron deficiency anemia (IDA) is also common. Soluble transferrin receptor (sTfR) is a useful marker for IDA. Present study was undertaken to assess the utility of sTfR as a marker of IDA and to differentiate ACD from IDA in selected group of Bangladeshi patients with CKD.

Methods: This cross-sectional study was conducted in the Department of Nephrology, BSMMU, Dhaka, Bangladesh from January 2013 to December 2014. Patients with anemia admitted in Nephrology Department, whether on hemodialysis or not and Medicine Department of BSMMU were taken for study. The study population was further divided into two groups; Group A, patients (30) who were having IDA and Group B, patients (40) with ACD and a control group was also selected. Data were collected by face to face interview and laboratory investigations with a self-administered questionnaire.

Results: The mean age of the patients in Group A and Group B were 38.40±13.23 and 34.85±10.52 years respectively and male-female ratio were 0.5:1 and 1:0.5. Mean sTfR level was higher (4.81± 1.64 μg/ml) in patients with IDA than (2.89±1.40 μg/ml) in patients with ACD (p <0.0001). Mean ferritin level was 599.59± 449.15μg/L in ACD patients whereas 101.23±119.42 in IDA patients (p<0.0001). Total iron binding capacity (TIBC) was more in ACD patients with sTfRe”3μg/ml as compared to ACD patients with sTfR<3μg/ml. Transferrin saturation (TSAT) level was significantly decreased in ACD patients with sTfRe”3μg/ml as compared to ACD patients with sTfR<3μg/ml. sTfR and ferritin indices between group A (IDA) and group B (ACD) shows mean sTfR:logSF level was significantly (P<0.001) high in group A (2.71±1.13) in comparison to group B (1.08±0.54). Mean log sTFR:SF was also significantly higher (P<0.05) in group A (0.001±0.0008) compared to group B (0.013±0.012).

Conclusion: sTfR level has a comparable ability to serum ferritin in diagnosing IDA and ACD. However, sTfR and serum ferritin alone cannot definitely exclude coexisting iron deficiency in ACD. Log sTfR/ ferritin index has role in identifying development of iron deficiency in ACD whereas sTfR/ log SF ratio can differentiate pure IDA from ACD with or without iron deficiency. Thus, it is important to estimate both serum sTfR and sTfRferritin indices to be able to differentiate pure IDA, ACD and ACD with co-existing iron deficiency thus providing a non-invasive alternative to bone marrow iron.

Birdem Med J 2019; 9(2): 151-156
History of Thyroid Surgery
Authors: Matin MA
Published: May 2019

Abstract not available

J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 62-64
Evaluation of Diagnostic Accuracy of Anal Fistula by 360° Endoanal Ultrasound
Authors: Singha Jawhar Lal , Ahmad Sami , Ahmed Nadim , Nayeem SM Zulker , Rayhan Ferdoush , Ahmed Farhad Uddin
Published: May 2019

Introduction: 360° endoanal ultrasound (EAUS) has become an effective imaging tool to diagnose anal fistulas for last three decades.

Objectives: To assess the diagnostic accuracy of 360° endoanal ultrasound imaging comparing pre and peroperative diagnosis in anal fistulas.

Methods: Between Jauary 2015 and June 2018, 240 patients with clinical anal fistula underwent endoanal sonographic assessment using a 360° endoanal transducer (7–15 MHz The sonographic findings, including the fistulas and other inflammatory lesions, were correlated with surgical results. The types of fistulas on endoanal sonography based on classification of Park and the internal opening of the fistula, both pre and peroperative, were compared to those of other studies.

Results: The 240 patients studied included 165 male and 75 female patients. Endoanal sonography was able to show and track hypoechoic lesions, their locations, and internal openings of the fistulas. Compared with surgical results, endoanal sonography had sensitivity of 94.6%, specificity of 100%, and accuracy of 94.1% for the diagnosis of perianal fistulas. Also, endoanal sonography had accuracy of 86.1% for determining fistula types based on the Parks classification and 92.8% for identifying internal openings of the fistulas.

Conclusions: Endoanal ultrasound is an accurate and noninvasive imaging modality for evaluation of fistulas. It is a very useful tool for preoperative management and surgical planning by providing precise and detailed information on fistulas.

J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 66-69
Surgical Treatment of the Displaced Proximal Humeral Fractures in Adults with Philos Plate
Authors: Alamgir MHM , Hossain SM Amir , Barua Anupam , Kader Abdul , Monzer Salauddin M , Rahman SM Mosheeur
Published: May 2019

Aim: To evaluate the treatment outcome of Philos plate fixation for displaced proximal humeral fractures in 17 patients.

Methods: This was a prospective study with 17 patients, 11 women, 6 men with average age 62yr having displaced proximal humeral fractures fixed with Philos plate. All the fractures were closed and no associated injuries, classified as 2 part (n=12),3 part (n=3),4part (n=2) according to Neer classification. All patients were evaluated clinically, functionally and radiologically using the Constant Shoulder Score.

Results: Patients were followed up for 6 to 24 months. All the fractures healed except one which was four part fracture in 65yr woman. The fracture was in varus position and screw penetration of humeral head at six week. Revision surgery was done and eventually fracture united.

Conclusion: Philos plate fixation is a good stable construct with minimal metal work problems and permit early movement J

Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 80-82
Disorders of Sex Development: Can You Be Sure This Baby Is A Boy or Girl? We Must See Beyond The Diagnosis
Authors: Alam Mohammed Shadrul , Zahid Mirza Kamrul , Palit Paritosh Kumar , Chakraborty Abhi Kumar , Saha Nirupama , Hasanuzzaman Md , Khan Md Shamsuzzaman , Majumdar Sajal Kumar , Choudhury ASM Alamgir
Published: May 2019

Throughout the pregnancy, the parents have anticipated whether their child will be a boy or a girl. No part of a newborn baby’s anatomy arouses as much interest initially as the external genitalia. Most newborn children have the typical features of a boy or girl, but in some cases the baby’s sex can’t be clearly identified. Infants born with ambiguous or abnormal genitalia may have indeterminate phenotypic sex.1 Disorders of sex development (DSDs), formerly termed intersex conditions, are congenital conditions in which development of the chromosomal, gonadal, or anatomic sex is atypical and may affect up to 1:1000 individuals in the population.2

J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 103-110
Jejuno-jejunal Intussusception as an Unusual Cause of Acute Abdomen of a 26 Year Female - A Case Report
Authors: Rahman Md Mustafizur , Ahmad Sami , Singha Jawhar Lal , Alam Shoaeb Imtiaz , Islam Mansurul , Hasan Muhammad Rashedul , Sutana Salsabil
Published: May 2019

Intussusception is a relatively common etiology of abdominal pain in pediatric population. In adults, on the other hand, this entity is seen infrequently and a lead point can be recognized in a vast majority of cases. A 27 year old woman who was admitted in the Surgery Department of Shaheed Sohrawardy Medical College Hospital after experiencing severe upper abdominal pain associated with nausea, vomiting and fever. Later on the patient developed features of intestinal obstruction. Ultrasonography demonstrated small bowel intussusception. A jejunal intussusception 50 cm distal to the dudeno-jejunal junction was found during laparotomy. Resection and anasto mosis was performed as gut was not viable. A diagnosis of jejunal inflammatory fibroid polyp was made based on the histological findings which act as a lead point for jejunal intussusception.

J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 111-114
52 year Male with Haemophila-A; Presented with Scrotal Haematoma: Managed in Resource Constraint Settings - A Case Report
Authors: Alam Shoaeb Imtiaz , Rahman Md Mustafizur , Rayhan Ferdoush , Hasan ASM Farhad Ul
Published: May 2019

Haemophilia A is an X linked disorder characterized by bleeding manifestations due to deficiency of factor VIII. Administration of factor VIII is the mainstay of treatment in case of bleeding which is very costly. That’s why fresh frozen plasma is a very good alternative in the management of mild to moderate bleeding. Here we present a case of 50 years old male presented to us with traumatic scrotal haematoma who was newly diagnosed with Haemophilia A. As the patient was unable to bear the cost of factor VIII, we managed the patient by transfusing fresh frozen plasma. After raising his activity of factor VIII up to 30% which was adequate for soft tissue trauma, surgical exploration of scrotum was done. Both the testes were found viable. Evacuation of clot was done followed by secondary closure of the wound

J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 118-121