bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of retained fetal membranes in a dairy cattle farm located in Mureș county, Romania
Authors: Rafa Horatiu , Oroian Ioan , Cozma Oana Maria , Andrei Sanda , Stefanut Cristina Laura
Published: December 2024

A clinical study was conducted at the Bălţată Românească cattle farm in Sângeorgiu de Mureş, Mureș County, Romania (46°34′35″N - 24°36′15″E, altitude 320 m) with a continental-moderate climate, average annual temperature of 8-9°C, and humidity of 86%. The study spanned January to December 2021, involving 240 cattle, including 105 adult cows. The population comprised three breeds: Baltata Romaneasca (n=89), Pinzgau (n=12), and Red Holstein (n=4), with age groups 2-4 years (n=57), 5-7 years (n=41), and >7 years (n=7). The study analyzed the prevalence of retained placenta, dystocia, and endometritis by breed, age, calf sex, and season. Results showed a 13% prevalence of retained placenta (14/105), 2% dystocia (2/105), and 4% endometritis (4/105). Among Baltata Romaneasca, retained placenta was 15.73% (14/89), and Pinzgau had 1 case (8.33%). Dystocia was observed at 2.25% (2/89) in Baltata Romaneasca, and endometritis at 33.33% (4/12) in Pinzgau. Age influenced disease prevalence, with cows over 7 years showing higher rates: retained placenta (28.57%) compared to younger groups (≤12.28%). Endometritis and dystocia followed similar age-related trends. Seasonally, retained placenta cases were highest in spring (16.67%) and winter (14.29%), and lower in summer (9.25%). Endometritis was seen only in summer (12.5%), and dystocia in autumn. Retained placenta was more prevalent in cows with male calves (18.18%) versus female calves (8%). Differences in endometritis and dystocia by calf sex were not significant.
Correlations between hypothyroidism and ovarian cysts in bitches
Authors: Irimie Alexandra , GÁL Zoltán-Miklós , Hîruța Ana , POP Alexandru Raul , Groza Ioan Ștefan
Published: December 2024

This study involved 48 canine individuals with ovarian cystic formations larger than 4–5.5 mm in diameter, as identified by ultrasound, who were in the diestrus or anestrus phase of the sexual cycle. Both T4 and fT4 levels were measured in all 48 cases. The imaging diagnosis of ovarian cystic formations was performed using the stationary ultrasound equipment Esaote MyLab X5, and with the owners' consent, samples were collected and the obtained data processed. Peripheral venous blood samples were collected in coagulation activator-lined tubes. Hormone assays were performed using the Biomerieux MiniVidas hormone analyzer. The results are automatically calculated by the machine using stored calibration curves and are expressed in mg/dL for T4 and in ng/dL for fT4. The objective of this study is to determine the prevalence and extent of hypothyroidism in polycystic ovarian syndrome in bitches by measuring the levels of both T4 and fT4 in 48 patients with ovarian cysts. Considering clinical symptoms, borderline values were classified as indicative of hypothyroidism. 27% (n = 13) were diagnosed with hypothyroidism, while 73% (n = 35) had euthyroidism. Statistically significant differences were found in the results of both T4 and fT4 between the euthyroid and hypothyroid groups. This study found a high prevalence of hypothyroidism in female dogs with ovarian cysts. Given the impact of hypothyroidism on ovulation in women and its potential effects in dogs, thyroid function testing is recommended for female dogs with infertility.
Mold-Blown Glass Arcaded Beakers from Masada
Authors: Max Yael
Published: December 2024

Fragments of unique mold-blown glass beakers displaying well-defined, low-relief architectural niches or recesses devoid of standing figures were recovered by the 1963–1965 Yigael Yadin Masada Expedition of the Hebrew University of Jerusalem and the Israel Exploration Society. The fragments were found in Building VII, in Casemate 1266, and in its adjacent Dump 1275. The beakers are tall and narrow; their rim and lower body are cylindrical; their middle is divided into eight straight panels of equal width, joined at an angle of 45 degrees. Each panel is bounded on either side by a sectioned column, smooth on the bottom and fluted at the top, standing on a double-torus (Attic) base and capped with an ionic capital. The sunken rectangular niche between the columns is angular on top and curved at the bottom; it is framed by a narrow ridge inside a wide, oblong groove. Triangular pediments with a raised spheroid in their center straddle some of the capitals. An undulating garland of raised dots encircles the beaker above the pediments and below the rim. This vessel has no published equivalents and is dated, by technique and context, to the second half of the 1st century CE. Are the Masada Arcaded Beakers a local product?
الخطاب التربوي في التعليم الجامعي للمعارف الإسلامية
Authors: محمود الخالدي
Published: December 2024

n/a
حوار بين عالمين حول روح الصوم
Authors: محمد الغزالي
Published: December 2024

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ابن البيطار عالم الصيدلة وشيخ العشابين في الأندلس
Authors: بركات محمد مراد
Published: December 2024

n/a
Possibilities of Analyzing the Speech of Patients with Mental Disorders Using Mathematical Methods and Artificial Intelligence Algorithms
Authors: Barulina M. A. , Zakharova N. V. , Nasyrova R. F. , Ivashinenko D. M. , Dvoryankina M. A. , Rakhmatullin A. I.
Published: December 2024

Thinking is a fundamental cognitive process assessed in psychiatric practice through speech and non-verbal signals. While speech is the primary basis for evaluating thought, thinking can occur independently of speech. Disorganized thinking, particularly associated with schizophrenia, involves weakened associations and cognitive disruptions that impact neural networks. Modern definitions of disorganized thinking, rooted in the three-factor model of psychotic disorders, highlight formal disturbances in thought, speech, and behavior. This conceptualization has been substantiated through neuroimaging studies, revealing structural connectivity issues in brain regions responsible for social-emotional processing. Despite its potential, artificial intelligence (AI) has yet to be fully integrated into psychiatric diagnostics, though its success in other medical fields suggests promising applications. AI could enhance psychiatric assessments by analyzing speech, facial expressions, and behavior, offering new diagnostic tools.
Os desafios da formação inicial e da Pós-Graduação Stricto Sensu em Educação Especial na Região Amazônica
Authors: Oliveira Ivanilde Apoluceno de
Published: December 2024

"Este belíssimo texto é fruto de um trabalho encomendado pelo GT 15 da ANPEd à professora Ivanilde. Nele, a pesquisadora nos apresenta um material rico e, ainda, pouco conhecido sobre a formação de professores e pesquisadores em Educação Especial de toda a Região Norte. Para tanto, realiza uma pesquisa, debruçando-se, com uma equipe de pesquisadores sob sua orientação, sobre os Cursos de Pedagogia e os Programas de Pós-graduação em Educação das universidades públicas dos sete estados que compõem a Região.
O que a obra nos revela é instigante, especialmente ao nos evidenciar os avanços e os desafios na formação de docentes no campo da Educação Especial e na Educação Inclusiva. Além da quantidade e variedade de informações, Ivanilde elabora análises, apontando situações restritas de acesso ao conhecimento específico em Educação Especial na formação dos pedagogos, característica esta que, certamente, não se restringe aos cursos da Região Norte. De fato, uma obra essencial para quem se interessa em conhecer e estudar a formação de educadores e pesquisadores em Educação Especial, na perspectiva de uma Educação Inclusiva."
Monica Kassar
Doutora em Educação
Professora Titular da UFMS
КЫТАЙ ТИЛИНДЕГИ ЖАПАЙЫ ЖАНЫБАРЛАРДЫ БИЛДИРГЕН ФРАЗЕОЛОГИЯЛЫК БИРДИКТЕР
Authors: Аманбек кызы Нурпейил , Бекмурзаева Асел
Published: December 2024

Бул макалада фразеологизмдерди кытай тилиндеги жапайы жаныбарларга тиешелүү фразеологиялык бирдиктер жана алардын маанилерин чечмелөө аракеттери жүргүзүлөт. Андан сырткары кытай тилиндеги фразеологиялык бирдиктердин образдуу ички формалары каралат. Ошону менен бирге кытай жана кыргыздардын тил казынасындагы жапайы жаныбарларга байланышкан фразеологиялык бирдиктердин окшоштугу жана алардын улуттук өзгөчөлүктөрүнө басым жасалды. Фразеологиялык мисалдардын негизинде кыргыз жана кытай тилдеринин фразеологиялык бирдиктеринин жалпы белгилерин жана айырмачылыктарын аныктоо маселелерине токтолуп, кытай тилиндеги фразеологизмдеринин кыргыз тилиндеги эквиваленттерин көрсөтүү жана аларды кыргыз тилине которуу маселелери көтөрүлдү.
АЛЫКУЛ ОСМОНОВДУН КОТОРМОСУНДАГЫ «ЖОЛБОРС ТЕРИСИН КИЙГЕН БААТЫР» ПОЭМАСЫ
Authors: Жигитов Салижан
Published: December 2024

Журналыбыздын бул санына да кыргыз эл акыны, жазуучу, адабий сынчы, коомдук ишмер Салижан Жигитовдун (1936-2006) буга чейин эч жерде жарыяланбаган макаласын окурмандарга сунуштайбыз. Бул макалада автордун кыргыз адабиятындагы жаркын акындардын бири Алыкул Осмоновдун котормочулук өнөрү тууралуу адабий сын көз карашы чагылдырылган. Тактап айтканда Шота Руставелинин “Жолборс терисин кийген баатыр” поэмасын кыргызчага которуу иши, андагы кыргыз акыны колдонгон ыкмалар жана поэманын эл арасына тарашы тууралуу маалымат берилет. Ошону менен бирге автор Алыкул Осмоновдун грузин адабиятынын баалуу эстелигин кыргыз тилине которууга жасаган алгачкы аракеттери жана анын жыйынтыктары боюнча калыс сын көз карашын да билдирген. Макалада автордун стили толук сакталып, эч өзгөртүүсүз берилди.
Blockchain and Machine Learning: A Multidisciplinary Synergistic Approach for Fraud Detection in Finance, Healthcare, and Cybersecurity
Authors: Sunil Kumar
Published: December 2024

The integration of Blockchain and Machine Learning (ML) technologies offers a transformative approach to combating fraud across various sectors, including finance, healthcare, and cybersecurity. Blockchain's decentralized and immutable nature ensures data integrity and transparency, while Machine Learning algorithms enable the detection of intricate fraud patterns through predictive analytics and anomaly detection. This synergistic combination provides a robust mechanism for identifying fraudulent activities in real time, minimizing human error, and optimizing decision-making processes. In the financial sector, Blockchain enhances the security and transparency of transactions, while ML models analyze transaction data to identify unusual patterns that may indicate fraud. In healthcare, Blockchain ensures the secure sharing of medical records, and ML assists in detecting fraudulent claims and potential identity theft. Cybersecurity applications leverage Blockchain for secure communication and data storage, with ML identifying potential threats or vulnerabilities. By combining these two cutting-edge technologies, organizations can strengthen their fraud detection systems, improve trust, and mitigate the risks associated with financial losses, data breaches, and privacy violations. This paper explores the multidisciplinary synergy of Blockchain and ML, illustrating their potential to revolutionize fraud detection mechanisms across multiple domains, providing a comprehensive overview of current advancements, challenges, and future directions for their integration in the fight against fraud.
El principio de orden público en la cooperación judicial internacional penal
Authors: Gutiérrez Cardenete Antonio
Published: December 2024

La globalización del derecho penal conduce a una nueva interpretación del principiode orden público y su papel en los instrumentos de cooperación jurídica internacional.La identificación de valores y principios esenciales para la comunidad nacional, europeay global, íntimamente ligados al respeto de los derechos humanos, condiciona lacooperación jurídica internacional.
Monoartrite: artrite idiopatica giovanile o malattia reumatica?
Authors: Barachino Angela
Published: December 2024

A 9-year-old child presents to the emergency room with fever, pain, and swelling in the right knee. Based on the tests, the onset of pauciarticular rheumatoid arthritis is hypothesized. After further medical history assessment and a cardiology consultation, which reveals aortic valve insufficiency, the diagnosis of rheumatic disease is confirmed.
Domande e risposte
Authors: Longo Giorgio
Published: December 2024

Cisti mediana del collo: cisti del dotto tireoglosso o cisti dermoide? Tumefazione delle dita e verruche
Algerian Democracy: An Oxymoron or Usurped Opportunity?
Authors: Entelis John P.
Published: December 2024

The Algerian state represents a contradictory mixture of opportunity and failure born of a lengthy colonial past, a violent revolutionary independence struggle, and a failed effort to institutionalize a legitimate system of rule since independence in 1962. As the two authors make clear, both the anti-colonial struggle and the post-independence effort at institution-building were usurped by a military-dominated elite class whose political socialization and insurrectional experience prioritized centralized authority over democratic decision-making. The “curse” of ample hydrocarbon resources reinforced this authoritarian impulse over the democratic imperative resulting in an enduring combat between an autocratic state and a democratically oriented civil society. Both books highlight the macro and micro dimensions of this failed experiment in socialist engineering guided by an autocratic military-industrial complex. Each effort at populist revolt whether in 1968, 1988, 1992, or 2019, has been brutally repressed by a determined army high command. Despite a surface appearance of a stable and ordered political entity, Algeria today remains more political precarious and economically insecure than ever before.
Five Centuries of Plague Presence in Albania (Fourteenth to Nineteenth Century)
Authors: Muhaj Ardian
Published: December 2024

From the mid-fourteenth to the nineteenth century, the Albanian territories, like much of Europe and the Mediterranean, felt the devastating impact of the plague, a deadly disease brought on by the bacterium Yersinia pestis. This disease has caused a major pandemic in Europe and the Mediterranean and is one of the deadliest diseases in human history. In the Albanian regions, this pandemic appeared with all its demographic and economic consequences, similar to those experienced across the Balkans, Europe, and the Mediterranean. Although contemporary records detailing the plague’s impact on Albanian territories are scarce, available data suggest the epidemic was extremely severe, inflicting considerable harm on the population and economy. The disease made recurrent appearances, each time bringing high death tolls and significant disruptions to the area’s social and economic well-being. During the late Medieval and Renaissance periods, the Albanian territories grappled with plague outbreaks, suffering substantial damage. This predicament persisted until the early nineteenth century when advances in medicine and hygiene began to curb the epidemic’s spread and reduce its mortality rate.
Diseminasi Pengembangan Media Big Book Materi Pertumbuhan dan Perkembangan Manusia di SDN 047 Tarakan
Authors: Hadiah Nurul , Kartini Kartini , Kusnadi Dedi , Bua Agustinus Toding , Bua Mety Toding , Saputra Ady , Agustina Degi alrinda , Rhamdan Donna
Published: December 2024

Tujuan pengabdian masyarakat ini adalah mengembangkan media pembelajaran berupa media Big book untuk memenuhi kebutuhan kegiatan belajar mengajar di kelas. Metode pengabdian dilaksanakan melalui diseminasi secara luring. Adapun tahapan pengabdian terdiri dari tahap pengembangan media Big book yang terdiri dari beberapa langkah. 1) melakukan analisis kebutuhan media pembelajaran; 2) Penyusunan materi dan desain media; 3) validasi oleh ahli media, materi, bahasa dan praktisi 4) revisi media; 5) desiminasi. Untuk menguji kelayakan layak atau tidaknya dapat dilihat dari aspek validasi ahli materi mencapai persentase 95,38 %, selanjutnya validasi ahli materi mencapai persentase 86,66%, validasi ahli Bahasa mencapai 88%, sedangkan untuk hasil validasi praktisi mencapai persentase 100%. Sasaran pengabdian adalah Kepala sekolah dan guru-guru di SDN 047 Tarakan. Guru sebagai pihak yang menerima manfaat antusias dalam bertanya terkait dengan cara pembuatan media yang dikembangkan sebagai alternatif solusi dari kebutuhan media pembelajaran saat ini. Kepala sekolah juga berharap ada FGD terkait dengan pembuatan media lainnya.
Therapeutic Efficacy of Sofosbuvir Plus Velpatasvir Antiviral Therapy in Patient with Hepatitis C Virus Related Compensated Cirrhosis of Liver
Authors: Bepari Md. Shahin , Swapnil Mamun Al Mahtab , Noor-E- Alam Sheikh Mohammad , Das Dulal Chandra , Karim Md. Fazal , Podder Provat Kumar , Islam Mohammad.Nasirul , Hossain Mohammad Shawkat , Gazi Mohammad Ashraf Hossain
Published: December 2024

Background: Liver cirrhosis is a critical stage of chronic liver dis¬ease. Chronic hepatitis C virus (HCV) infection is one of the most common causes of chronic liver disease worldwide. The long term impact of HCV infection may range from minimal histological changes to extensive fibrosis and cirrhosis with or without hepatocellular carcinoma (HCC).The primary goal of HCV treatment is to cure the infection. The aim of this study was to observe efficacy of sofosbuvir plus velpatasvir therapy in patient with HCV related compensated cirrhosis of liver. Material & Methods: The study was conducted from January, 2020 to September, 2020 in the Hepatology Department of BSMMU. Thirty seven patients (37) were included in the study. Anti HCV positive patient were primarily evaluated by history, clinical examination and investigation. Patients who met the inclusion criteria were informed in details about the study. After proper evaluation those who were labeled as CHC infection, having features of decompensation (ascites, encephalopathy, variceal bleeding, jaundice), and features of HCC were excluded from the study. Results: In this present study thirty seven (37) patients had detectable HCV RNA in pretreatment and at 12th weeks 34(91.9%) patients had undetectable HCV RNA. End of treatment response (ETR) was achieved 91.9% and at 24th weeks 33 (89.2%) patients were HCV RNA undetectable so sustained virological response (SVR12) was achieved 89.2%. Liver functions were significantly improve (p<0.05) from baseline to subsequent 4th, 12th, 24th weeks follow-up. The common adverse effects were nausea, fatigue, headache, sleep disturbance and some haematological abnormalities were observed 1(2.7%) patient haemoglobin <10 gm/dl and 2(5.4%) patients had thrombocytopenia < 50000/cumm. None of them experienced any serious adverse event and discontinued treatment. Conclusions: From this study it can be concluded that treatment with the single-tablet regimen of sofosbuvir and velpatasvir for 12 weeks was highly effective and safe pan- genotypic treatment for patients with compensated HCV cirrhosis of liver and also improvement of liver function.
Cardiovascular Disease (CVD) risk factors among patients of type2 Diabetes Mellitus (DM) with Non–Alcoholic Fatty Liver Disease (NAFLD)
Authors: Sarker Bidhan Krishna , Devi Sangita , Akter Sonia , Chy Tasnova Islam , Ahmed Foysal
Published: December 2024

Background: Global pandemics of cardiovascular disease (CVD) and diabetes mellitus (DM) are spreading quickly. CVD continues to be a pressing global health issue, standing as a prominent cause of both mortality and morbidity. Among its diverse risk factors, type2 DM and Non–Alcoholic Fatty Liver Disease (NAFLD) stand out as pivotal contributors. This research endeavors to delve into the multifaceted relationship between type2 DM, NAFLD, and cardiovascular health. Material & Methods: From July 1 to December 31, 2012, a hospital-based observational study was conducted in the Department of Medicine at Cumilla Medical College and Hospital in Bangladesh. This study comprised 50 type2 DM patients with NAFLD who had been hospitalized. Their medical history, physical exam, and laboratory study (fasting and 2-hour post-meal blood glucose, blood urea, serum creatinine, liver function tests, and fasting lipid profile) were included. Based on a liver ultrasound examination, NAFLD was identified. Results: Out of 50 patients, 18(36%) were males and 32(64%) were females, with mean age 58.89 ± 8.38 and 54.6 ± 10.1 years, respectively. Grade -1 NAFLD cases were 54%, grade -2 was 32%, and grade -3 was 14%. On statistical analysis, we found increasing grades of NAFLD were significantly associated with hypertension (p=0.0083), obesity (p=0.0006), increasing levels of total cholesterol (p<0.0001), ALT (p<0.0001), AST (p<0.0001) and ALP (p<0.0001). Conclusions: NAFLD combines with CVD risk factors among people with type2 diabetes. It is a substitute and a reliable CVD risk marker in type2 diabetes patients. Ultrasonography was used to detect NAFLD.
Maternal Outcome of Placenta Accreta Spectrum Disorder Patients admitted at Cumilla Medical College Hospital
Authors: Parvin Jannath , Hossain Mohammed Kamal
Published: December 2024

Background: Placenta Accreta Spectrum Disorder (PAS) is a complex obstetric condition with significant implications for maternal and fetal health. The study aims to provide a comprehensive understanding of the maternal and fetal outcomes associated with PAS in a tertiary care hospital in Bangladesh. Material & Methods: This prospective observational study was conducted at a tertiary care hospital in Bangladesh over 18 months. The study included 60 pregnant women diagnosed with PAS, adhering to specific inclusion and exclusion criteria. Data were collected through structured questionnaires and analyzed using SPSS version 26. Results: The majority of participants was aged between 21-30 years (76.67%) and had completed their Higher Secondary Certificate (HSC) (50%). Regular antenatal care was reported by 50% of the participants. Hemorrhage was observed in 21.67% of the cases, with 36.67% requiring blood transfusion. Maternal outcomes were uneventful in 78.33% of the cases, and fetal outcomes resulted in 90% live births. Conclusions: The study reveals the complex nature of PAS and its significant impact on maternal and fetal health. Despite the high incidence of hemorrhage and the need for blood transfusion, proactive and multidisciplinary management strategies appear to result in a majority of uneventful maternal outcomes. The findings emphasize the need for comprehensive antenatal care and further research to improve outcomes.
To Study the Outcome of 25 Gauge Pars Plana Vitrectomy Using Valved Trocar Cannulas in Rhegmatogenous Retinal Detachment Cases
Authors: Jhala Laxman Singh , Varshney Sumit , Bhuva Prateek
Published: December 2024

Background: To evaluate the efficacy of 25 Gauge Pars plana vitrectomy in treating patient with rhegmatogenous retinal detachment. Material & Methods: In a prospective study carried out on 40 patient presented with rhegmatogenous retinal detachment within 1 month of duration. Results: Thirty four eyes were successfully reattached with a single operation. Six cases presented with redetachment. Final mean visual acuity in macula off patient was 0.94 logMAR and macula on patient was 0.31 logMAR. The mean followup period was six month. Conclusions: In the current study, our analyses indicated that the functional success rate after the primary reattachment operation was 85%. Only 6 case had redetachment(4 patient was pseudophakic and 2 patient was phakic) for that they under went further management and final reattachment rate was 100%. Final visual acuity in macula of patients were 0.94 and in macula on patients were 0.3. Most common complication was redetachment and in our study post operative endophthalmitis not occurred in any case.
A Clinical Analysis of Blood Transfusion Practices in Caesarean Sections with Varied Indications
Authors: Khatun Mst. Sharifa , Khatun Asma , Rahman Shahinur , Zerin Mst. Ismat , Amir Shamima , Khan Sohel Ahmed , Rahman Roksana , Khanam Nurun Nahar
Published: December 2024

Background: The pregnant uterus has one of the greatest blood supplies than any other organ in the body. When uterus is surgically opened to perform caesarean section, a number of large blood vessels are cut. While the average blood loss for a vaginal birth is about 500cc, the average blood loss with caesarean section is almost double and may require blood transfusion. This study identified frequency of the blood transfusion among the patients undergoing caesarean section with various indications. The aim of this study was to ascertain the frequency of blood transfusions among patients undergoing Caesarean sections with various indications. Material & Methods: This cross-sectional study and was conducted in the Department of Obstetrics & Gynaecology of Bangabandhu Seikh Mujib Medical University (BSMMU) Hospital, Dhaka, Bangladesh during the period from September 2012 to February 2013. Results: In this study a total 96 caesarean sections were observed, the mean age of the patients was 29.88 ± 3.14 years. About 26.04% of patients required blood transfusion, with different indications of cesarean sections including placenta praevia (83.33%), malpresentation (66.66%), obstructed labor (33.33%), and previous caesarean section (18.75%). Only 4% of transfused patients experienced a mild febrile reaction. Conclusions: Frequency of blood transfusion was high (26.04%) during caesarean sections. Preoperative anaemia, quantitity of blood loss and various indications of caesarean sections were the considering factors for the blood transfusions during caesarean sections. Placenta praevia was the most common indications of blood transfusion during caesarean sections. Efforts should be made to reduce the blood transfusion without increasing maternal morbidity and mortality to reduce hazard of blood transfusions blood born infections, like HBV, HCV & HIV infections that are more prevalent in developing countries like ours.
Outcome of Surgical Treatment of Unilateral DDH Between one to Three Years Old Children
Authors: Ahmed Ashiq , Debnath Shyamal Chandra , Sarker Manash Chandra , Jikria Najmatun , Huq Md. Sanaul , Hossain Md. Zakir , Mandal Tapas , Haque S.M Faisal
Published: December 2024

Background: Developmental dysplasia of the hip (DDH) refers to a wide range of anatomical hip abnormalities, including fixed irreducible dislocation and subtle dysplasia. This study evaluates the clinical and radiological outcome of open surgical treatment of unilateral DDH in children aged 1 to 3 years. The aim of this study was to evaluate the outcome of open surgical treatment of unilateral DDH in children aged 1 to 3 years. Material & Methods: This prospective observational study evaluated the outcome of open surgical treatment of unilateral DDH in children aged 1 to 3 years, who underwent surgery at NITOR and Green Life Medical College Hospital, Dhaka from May 2019 to February 2021. The children were selected by purposive non-random sampling and met the inclusion and exclusion criteria based on their age, diagnosis, and previous treatment. The data was presented on categorical scale as frequency and corresponding percentage, while the quantitative data was presented as mean and standard deviation (SD). Results: The study was evaluated the outcome of open surgical treatment of unilateral DDH in 25 children aged between 1 to 3 years old (17 females and 8 males). The results showed that the treatment was effective in reducing the acetabular index and increasing the centre edge angle in most cases, with a statistically significant difference between the pre-operative and post-operative values. The final outcome was satisfactory (excellent to good) in 22 (88.00%) cases and unsatisfactory (poor) in 3 (12.00%) cases, based on both clinical and radiological criteria. The mean values of the pre-operative and post-operative acetabular index were 35.88 and 27.64, respectively, while the mean value of the post-operative centre edge angle was 22.04±4.400. Conclusions: It can be concluded that, young children having DDH can safely be treated with an open reduction with satisfactory result in short-term follow up.
Comparative Analysis of Tympanoplasty Techniques: A Focus on Cortical Mastoidectomy
Authors: Khan Ahsanuzzaman , Hossain Mohammad Kamal , Islam Md Tauhidul , Azad Muhammad Ali
Published: December 2024

Background: The surgical procedure of tympanoplasty, either together with or instead of cortical mastoidectomy, is a concern with controversy among otolaryngologists. According to one theory, it is advantageous to combine cortical mastoidectomy with type I tympanoplasty in wet or discharging ears. Another viewpoint contends that in the tubotympanic variant of CSOM, cortical mastoidectomy in conjunction with type-I tympanoplasty has no appreciable impact on surgical results in any condition of the dry or wet ear. Material & Methods: This multicenter, retrospective, observational study was carried out on 258 patients with uncomplicated tubotympanic variant chronic suppurative otitis media between July 2003 and July 2013. The patients’ ages ranged from 18 to 55 years old. Group I consisted of 140 patients (54%) with a history of ear discharge, while Group II consisted of 118 patients (46%) who had no complaints of ear discharge within the three months before surgery. 50% of each group underwent tympanoplasty type-I alone, and the other half experienced tympanoplasty type-I with a cortical mastoidectomy. Results: Only the tympanoplasty surgery (n=70) out of 140 patients with discharging ears resulted in effective graft taking in 62 patients (88.6%) and the achievement of a hearing level within 20dB in 57 patients (81.4%). Following tympanoplasty with cortical mastoidectomy (n = 70), 61 patients (87%) had effective graft taking, and 56 patients (80%) had postoperative hearing levels below 20 dB. Of the 118 patients with dry ears, only the tympanoplasty operation (n=59) produced a successful graft in 54 patients (91.5%), and 48 patients (81.36%) were able to obtain a postoperative hearing level within 20 dB. 53 patients (89.8%) had successful graft taking after tympanoplasty with cortical mastoidectomy (n = 59), and 47 patients (79.7%) had postoperative hearing levels within 20 dB. Conclusions: The necessity and efficacy of cortical mastoidectomy in type-I tympanoplasty for uncomplicated chronic suppurative otitis media, regardless of its dry or discharging status, has not been conclusively established.
A Comparative Analysis of Pulmonary Artery Systolic Pressure Between the Preoperative and on the Postoperative Period of Surgical Closure of Atrial Septal Defect
Authors: Hossain Aslam , Maruf Md. Abul Bashar , Nishat Farhat Tabassum , Liza Kohinur Azad , Shanta Tania Nusrat , Ahaduzzaman Md. , Tiwari Manoj , Saquib Mirza Md. Nazmus
Published: December 2024

Background: Atrial septal defect (ASD) is a common congenital disorder characterized by abnormal blood flow from the left atrium to the right atrium. This, in turn, causes histological changes in the pulmonary vasculature and ultimately results in pulmonary hypertension. Without surgical intervention, ASD can significantly reduce life expectancy and functional capacity. The aim of this study was to assess and compare the changes in pulmonary different after surgical closure of the atrial septal defect. Material & Methods: This observational study was done in the department of cardiac surgery, Bangabandhu Sheikh Mujib Medical University from June 2020 to June 2022. Sample size was 24 Patients were evaluated preoperatively, 1st week postop-erative period and after 6 weeks of operation through a clinically, ECG, color doppler echocardiography. The statistical analysis was performed by using SPSS version 26.0 for windows software. Statistical analysis was done with in paired t-test for comparing between preoperative and postoperative data, Chi-square test for categorical data, Wilcoxon signed ranks test for ordinal data, McNemar change test for nominal data. The observations were recorded as statistically significant when p-value became ≤0.05. Results: In my study, the mean age of the patients was 33.33±11.3 years, male female ratio was 1:2. The mean pulmonary artery systolic pressure got decreased from 57.54±7.9 mmHg to 53.29±8.30 mmHg on 1st week postoperative peri-od and 57.54±7.9 mmHg to 48.58±8.30 mmHg after 6 weeks of surgery, which was statistically significant. 75% patients improved into New York heart association class 2 on 1st week post operative period, 66.7% improved into class 1 after 6 weeks of surgery. Significant improvement was seen in functional capacity of the patients. 29.2% patients had atrial fibrilation preoperatively, after surgery on 1st week post operative period it became 25% and af-ter 6 weeks it became 4.2% which was statistically significant. Conclusions: ASD patients with pulmonary hypertension (PH) benefit from surgical closure, particularly in younger individuals. Advanced treatments and risk assessments can reduce mortality risk after closure.
Awareness and Knowledge of Dentists of Kashmir Regarding Separated Instrument Management : A Questionnaire Based Cross-Sectional Study
Authors: Shafia Shafia , U Din Junaid Mohi
Published: December 2024

The aim of this survey was to evaluate the awareness & knowledge of dentists of Kashmir regarding separated instrument management. A modified online questionnaire comprising of demographics, knowledge and practice based questions was prepared and distributed online amongst 215 dentists irrespective of their specialty. A stipulated time of two weeks was given to receive response. The data collected was segregated and analyzed using MS excel for descriptive analysis. The response rate of 76% was achieved as 163 responses were received out of 215 participants. The survey respondents comprised of 32.5% percent of graduates, 35.5% endodontists and rest post-graduates of other specialties. Around 78.5% respondents experienced instrument separation during cleaning and shaping while 12.5 % during initial negotiation. Regarding the level of fracture inside the canal almost 71.5% observed separation in apical third of canal in mesial roots (65.6%) of mandibular molars. Most of the clinicians preferred bypassing technique (59.9%) as first line of treatment. 21.9% respondents preferred to leave the separated instrument in canal without further treatment & 8.8% clinicians opted for retrieval of separated instrument. 9.4% referred to endodontist for further treatment. Most of the respondents were aware about the basic technique and about the role of magnification in management of separated instrument although more information and training is needed to get aquanted with latest techniques and equipments for the treatment of separated instrument
Hospital Readmission Rates and Associated Factors in Pediatric Pneumonia Cases
Authors: Awyal Md Abdul
Published: December 2024

Background: Pediatric pneumonia remains a leading cause of hospitalization and morbidity among children, particularly in resource-limited settings. Understanding the factors associated with hospital readmission is crucial for improving patient outcomes and optimizing healthcare resources. Material & Methods: This retrospective cohort study analyzed data from 250 pediatric patients diagnosed with pneumonia and admitted to 250 Beded General Hospital, Nilphamari, Bangladesh over a two-year period from January 2022 to December 2023. Patients aged 0-18 years with a confirmed diagnosis of pneumonia were included, while those with chronic lung diseases, immunodeficiencies, or incomplete medical records were excluded. Data were collected from electronic medical records, focusing on patient demographics, clinical characteristics, treatment details, and readmission status within 30 days post-discharge. Descriptive statistics and chi-square tests were employed, along with logistic regression analysis to identify predictors of readmission. Results: The study found that 30% of the patients were aged 2-5 years, with a male predominance of 56%. Asthma was the most common comorbidity, affecting 24% of the cohort, while 60% had no comorbidities. The severity of pneumonia was evenly split between mild and moderate cases (40% each), with severe cases constituting 20%. Treatment modalities were equally divided between oral and IV antibiotics (40% each), with 20% receiving combined therapy. The 30-day readmission rate was 16%, indicating a significant proportion of patients required subsequent hospitalization. Conclusions: The findings highlight key factors influencing hospital readmission rates in pediatric pneumonia, emphasizing the need for targeted interventions and improved post-discharge care to reduce readmission rates and associated healthcare burdens.
Early Complications of Internal Versus External Pancreatic Duct stent in Patients with Pancreaticoduodenectomy
Authors: Talukder Md Tuhin , Islam Kazi Mazharul , Elahi Mohammad Mahbub , Awal Mohammad Abdul , Azam ANM Nure , Rayhan Golam Mahmud , Hakim H A Nazmul
Published: December 2024

Background: Pancreaticoduodenectomy (PD) is a complex surgical procedure with significant postoperative complications, including pancreatic fistula, delayed gastric emptying, and intra-abdominal infections. This study aims to compare the early postoperative complications of internal versus external pancreatic duct stents in patients undergoing PD. Material & Methods: This prospective observational study was conducted at Dhaka Medical College Hospital from January 1, 2023, to December 27, 2023. A total of 40 patients scheduled for PD were divided into two groups: 20 managed with internal stents and 20 with external stents. Data on demographic characteristics, per-operative factors, and postoperative complications were collected and analyzed. Results: The study population had a mean age of 56.78 years, with males constituting 65%. The most common histopathological diagnosis was periampullary carcinoma (50%). In the internal stenting group, 10% had a soft pancreas, 65% had a firm pancreas, and 25% had a hard pancreas. In the external stenting group, 40% had a soft pancreas, 50% had a firm pancreas, and 10% had a hard pancreas. Wound infections occurred in 10% of the internal stenting group and 15% of the external stenting group. Intra-abdominal collections were found in 5% of the internal stenting group and 10% of the external stenting group. GI bleeding was absent in the internal stenting group but occurred in 5% of the external stenting group. Intra-abdominal bleeding was absent in the internal stenting group but present in 10% of the external stenting group. Delayed gastric emptying was noted in 5% of participants in both groups. Grade A pancreatic fistula was observed in 10% of the internal stenting group and 15% of the external stenting group. Grade B and C pancreatic fistulas were only present in the external stenting group, at rates of 10% and 5%, respectively. Conclusions: Internal pancreatic duct stents are associated with lower incidences of wound infections, intra-abdominal collections, and severe pancreatic fistulas compared to external stents. These findings suggest that internal stents may offer better postoperative outcomes, although stent selection should be individualized based on patient-specific factors. Further research is warranted to confirm these results and guide clinical practice.
Teachers’ performance at Islamic School Foundations: The impact of self-efficacy, organizational culture, environment, and job satisfaction
Authors:   University of Indraprasta, Virgana Virgana , Kasyadi Soeparlan ,   University of Indraprasta
Published: December 2024

Enhancing organizational performance is key to producing high-quality graduates. Therefore, supporting factors such as self-efficacy, work culture, work environment, and job satisfaction is essential in an educational setting. This study analyzes the direct and indirect influence of these factors on teachers' performance using path analysis with Smart Partial Least Squares software. The sample consisted of 340 teachers from private schools managed by an Islamic religious education foundation. The results showed that self-efficacy, organizational culture, and work environment positively influenced job satisfaction. Additionally, self-efficacy, organizational culture, work environment, and job satisfaction positively impacted teachers' performance. Furthermore, self-efficacy, organizational culture, and work environment had a significant indirect effect on teachers' performance through job satisfaction. These findings suggest that further efforts should focus on enhancing the work environment to provide the best possible service to students, thereby potentially improving their academic achievements. Findings call for follow-up actions by local and central governments, particularly in improving the quality and quantity of equipment at the school level. Ensuring a supportive work environment is crucial for enhancing teachers' psychological satisfaction and encouraging better performance in providing professional services to students. Ensuring that job satisfaction remains high or improves is crucial, as it has a direct impact on the effectiveness of teaching and learning.
Development and validation of podcast as a supplementary listening material
Authors:   Northwestern Visayan Colleges, Dandoy Deodenen , Barrios Rebecca ,   Northwestern Visayan Colleges
Published: December 2024

This study was to assert the potential of the developed podcast that was used as a supplementary material in enhancing the listening skills of the fourth grade learners. This study used 4D model by Semmuel and Semmuel (1974 as cited by Hirayato, 2022) namely define, design, development and disseminate. The participants were the thirty-six (36) grade four learners. The percentage, mean, frequency, were used to analyzed the competencies of pre-test and post-test. The pre-test resulted as low in listening competencies with the mean score of 16.58 After the implementation of the developed podcast, post-test was conducted which resulted as moderate with the mean score of 24.47. Podcast developed showed improvement in listening skills to the learners when the pre-test and post-test result were compared using the dependent t-test at a=0.05 level of significance. The significant difference of the pre-test and post-test showed -7.865p<.05 at .05. The level of acceptability in terms of content quality, instructional quality, technical quality and other findings of the developed podcast were highly acceptable with a mean score of 4.75.
The Relationship Between Occupational Accidents and Near-Miss Accidents and Occupational Safety Climate in a Metal Industry Workplace
Authors: Çevik Celalettin , Eroğlu Beyhan , Baydur Hakan , Vurgun Hande
Published: December 2024

Objective: The aim of the research is to determine the relationship between occupational safety climate and occupational accidents and near-miss accidents in a workplace producing in the metal industry. Material and methods: The cross-sectional study was conducted between 15 July and 30 August 2024 in an enterprise engaged in production in the metal sector in Balikesir province with a research group of 387 people. The dependent variables of the study are occupational accidents and near misses. Results: During their working lives, 37.2% of the participants had a near-miss accident and 34.1% had a work-related accident. The results of the multivariate logistic regression analysis showed that those who had a near-miss accident had low scores in the dimensions of Management safety priority, commitment and competence (OR: 0.56 CI: 0.38-0.82), Management safety justice (OR: 0.69, CI: 0.48-1), Workers’ safety commitment (OR: 0.62, CI: 0.42-0.93), Workers’ safety priority and risk non-acceptance (OR: 0.4 CI: 0.27-0.61) and safety communication, learning, and trust in co-worker safety competence (OR: 0.65, CI: 0.45-0.94). According to multivariate logistic regression analysis, those who had a work accident had a significantly lower score on the dimension of Workers’ safety priority and risk non-acceptance (OR: 0.46, CI: 0.30-0.70). Conclusion: In the study, one in three people had a work accident or near-miss accident during their working life and the level of work safety climate was quite good. It was determined that the history of near miss accidents and work accidents was significantly related to the dimensions of occupational safety climate.
La rítmica Dalcroze: desarrollo y actuales desafios
Authors: Del Blanco Silvia
Published: December 2024

En julio de 2016 nos encontramos con Silvia del Bianco, directora del Instituto Jaques-Dalcroze de Ginebra. Esto, con motivo de las actividades de cierre de la primera versión del Diplomado en la Metodología Dalcroze ofrecido por la Escuela Moderna de Música y Danza de Santiago, en convenio con el Insyituto Jaques-Dalcroze.
Nuestro encuentro se llevó a cabo en dependencias de la Facultad de Artes de la Universidad de Chile, y a él asistieron también estudiantes y académicos interesa- dos en la rítmica corporal y vinculados a la pedagogía, al teatro, la danza, la composición, la dirección orquestal y la teoría de la música.
Clara Oyuela: Maestra fundamental y figura clave en el desarrollo del canto lírico en Chile
Authors: Díaz Inostroza Patricia
Published: December 2024

El presente artículo trata de Clara Oyuela Supervielle (Buenos Aires, 1907- Santiago de Chile, 2001) cantante, regisseur y maestra, a quien se le atribuye gran parte del desarrollo del género de la ópera en Chile. Si bien en su país de origen es recordada por su destacada trayectoria como soprano del elenco del Teatro Colón de Buenos Aires –en los años de mayor apogeo de las producciones musicales del coliseo musical trasandino–, en nuestro país el prestigio de la maestra Oyuela ha trascendido, además de sus logros como intérprete, por el desempeño profesional de sus discípulos y reconocido por la crítica periodística de la época.

Palabras clave: ópera, canto, docencia, Universidad de Chile, historia de vida.
Metáfora y canto infantil
Authors: Gallardo Arturo Fabian
Published: December 2024

Este artículo da cuenta de un recurso ampliamente utilizado por los profesores de canto para transmitir un conocimiento vocal: la imagen mental o metáfora. En el caso de la enseñanza del canto infantil, la metáfora es una herramienta pertinente ya que apela a la rica imaginación del niño. Nuestro artículo pretende determinar las razones de dicha eficacia mediante el análisis de interacciones entre los actores pedagógicos de dos coros infantiles chilenos, a través de una metodología cualitativa centrada en el estudio descriptivo de episodios didácticos. En efecto, estudiar el fenómeno metafórico vocal desde la didáctica nos ha permitido modelizar el análisis y dar cuenta así de interacciones linguísticas, gestuales, afectivas y reguladoras que pueden explicar la eficacia de la metáfora en el trabajo vocal con niños. Los resultados puestos en evidencia muestran la complejidad del fenómeno metafórico en el canto infantil, principalmente en el aspecto interaccional o conjunto.
Homenaje a Acuarela
Authors: Sánchez Cunill Carlos
Published: December 2024

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