bluuebunny/crossref_metadata_2025 huggingface dataset:
Asas-asas Umum Peradilan Yang Baik Menurut Konsepsi Mahkamah Agung Republik Indonesia
Authors: Syis Muhammad
Published: January 2022

Asas-asas Umum Peradilan Yang Baik Menurut Konsepsi Mahkamah Agung Republik Indonesia
Complications among Patients Undergoing Pancreaticoduodenectomy in Tertiary Care Centers of Nepal: A Descriptive Cross-sectional Study
Authors: Neupane Harish Chandra , Tamang Tseten Yonjen , Timalsina Santosh , Tamrakar Kishor Kumar , Bhattarai Abhishek
Published: January 2022

Introduction: Pancreaticoduodenectomy (Whipple procedure), even after significant evolution, continues to be associated with a high morbidity. The study aimed to find out the prevalence of complications following pancreaticoduodenectomies performed by a single surgeon over a span of 20 years in tertiary care hospitals of Nepal.
Methods: This was a descriptive cross-sectional study conducted from hospital records of patients who underwent pancreaticoduodenectomy between 1999 and 2019 at different institutions in Chitwan, where the principal author was involved. Ethical clearance was taken from the Institutional Review Committee. Convenience sampling was done. Patients’ clinical characteristics and diagnoses were noted. Data entry was done using Statistical Package for the Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated, with frequency and percentage.
Results: Out of 327 patients who underwent pancreaticoduodenectomy, complications were found in 125 (38.2%) (32.9-43.7 at 95% Confidence Interval). Respiratory complications were the commonest 32 (9.8%), followed by septicemia 25 (7.6%) and cardiac complications 24 (7.3%). Delayed gastric emptying and postoperative pancreatic fistula were seen in 11 (6.8%) and 4 (2.5%) in the first decade respectively. In the second decade, delayed gastric emptying was noted in 2 (1.2%) and postoperative pancreatic fistula in 1 (0.6%) patient.
Conclusions: The prevalence of complications in our study was comparable to other national and international studies. Surgery-specific complications such as delayed gastric emptying and postoperative pancreatic fistula showed a decline over the decade.
Perception of Health Care Practitioners of Government Designated COVID-19 Hospitals of Nepal towards the Management of COVID-19 Pandemic: A Descriptive Cross-sectional Study
Authors: Panthi Sagar , Raj Jaishi Amrit , Gautam Swotantra , Bhandari Siddhartha , Bhatt Navin , Bahadur Basnet Lila , Kumar Sharma Sanjib
Published: January 2022

Introduction: Amidst the chaos of COVID-19, health care practitioners are persistently providing services and experiencing many challenges. This study aimed to determine the perception of health care practitioners of government designated COVID-19 hospitals of Nepal towards the management of COVID-19 pandemic.
Methods: A descriptive cross-sectional study was conducted among the frontline health care practitioners working in the government designated COVID-19 hospitals in Nepal from 21st June, 2020 to 15th August, 2020. Ethical approval was obtained from the Ethical Review Board of the Nepal Health Research Council (Reference number: 347/2020 P). A total of 252 health care practitioners (doctors, nurses, and paramedics) working at the forefront in the emergency ward, general wards, intensive care units, isolation centers, fever clinics, laboratory, quarantine centers, help desks, etc. in the designated hospitals who consented to participate were included in the study. Convenience sampling was used. The data was analyzed using Statistical Package for the Social Sciences version 16.0. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data.
Results: Only 41 (16.3%) (11.73-20.86 at 95% Confidence Interval) of the health care practitioners were found to have satisfactory perception towards the management of COVID-19 pandemic in Nepal.
Conclusions: The satisfactory perception of the health care practitioners in our study towards the management of COVID-19 pandemic in Nepal is lower as compared to the other studies in Nepal and abroad.
Prevalence of Premenstrual Dysphoric Disorder among Female Students of a Medical College in Nepal: A Descriptive Cross-sectional Study
Authors: Kumari Jha Reena , Jha Mina
Published: January 2022

Introduction: Premenstrual dysphoric disorder is a severe form of premenstrual syndrome that impairs quality of life and carries an increased risk of suicidal attempts. Hormonal changes may underlie these symptoms. The present study was conducted to find out the prevalence of premenstrual dysphoric disorder among female students of a medical college in Nepal.
Methods: This descriptive cross-sectional study was conducted among 266 healthy young females in a medical college of Nepal from 21st June 2021 to 31st August 2021 with approval from the Institutional Review Committee 51/2021. Convenience sampling was done. Self-rated questionnaire of premenstrual symptoms screening tool was used to evaluate premenstrual dysphoric disorder. The Premenstrual Symptoms Screening Tool reflects and ‘translates’ categorical Diagnostic and Statistical Manual of Mental Disorders-IV criteria into a rating scale with degrees of severity. Data were analyzed using the Statistical Package for Social Sciences version 16. Point estimate at 95% confidence interval was calculated along with frequency and proportion for the binary data.
Results: Out of 266 female students, we found that the prevalence of premenstrual dysphoric disorder was 10 (3.8%) (1.50-6.10 at 95% Confidence Interval).
Conclusions: The prevalence of premenstrual dysphoric disorder in our study was found to be higher when compared to other similar studies.
Abdominal Obesity among Outpatients in a Tertiary Level Eye ENT Hospital: A Descriptive Cross-sectional Study
Authors: Prasad Upadhyay Madan , Kumar Upadhyay Sanjib , Raj Bhattarai Janak , Khatri Bijay , Shrestha Rajan
Published: January 2022

Introduction: Abdominal obesity, as abnormal fat accumulation that presents a risk to health, is a global epidemic. There is evidence to support a trait of abdominal adipose deposition despite normal body mass index in south asian populations with greater cardiometabolic risks. Thus, this study aimed to find out the prevalence of abdominal obesity using the waist to height ratio among outpatients in a tertiary level hospital.
Methods: This descriptive cross-sectional study was conducted among outpatients at a tertiary level hospital in Nepal from January 2016 to December 2018. Ethical approval was taken from the Ethical Review Board of Nepal Health Research Council (Reference no. 207/2019). Convenience sampling was done. The data were entered into excel and analyzed using Statistical Package for Social Sciences version 24. Point estimate at 99% confidence interval was calculated along with frequency and proportion for binary data.
Results: Among 25,511 participants, 21,834 (85.6%) (85.0- 86.2 at 99% Confidence Interval) participants had abdominal obesity using Waist-to-Height Ratio, higher in women 12,397 (86.4%) than men 9,437 (84.5%). The mean age of the participants was 53.37±13.15 years and more than half 17,075 (55.7%) of all participants were female.
Conclusions: The prevalence of abdominal obesity among hospital outpatients is higher than in other community-based studies. As hospitals attract large crowds and provide excellent opportunities for screening patients, their attendants, as well as providing opportunities for health promotion, we recommend the introduction of opportunistic obesity screening in all health facilities using weight to height ratio in a phased manner.
USING HEALTH AND SOCIAL SERVICES AS PREVENTION OF SOCIAL EXCLUSION IN OLD AGE
Authors: Motlova Lenka
Published: January 2022

With regard to the demographic aging of the population, the use of health and social services has become hot topic in old age. Care of elderly people should be holistic and complex – i.e. health and social care, because deterioration of the health of the elderly leads to a worsening of the social situation and vice versa. An unsatisfactory social environment leads to a deterioration in the health of the elderly because health and social situations interact and condition each other. Social exclusion is a topical issue that can take different kinds and forms (spatial; economic; cultural, social and political exclusion and symbolic exclusion). The use of health and social services and their availability for the elderly can prevent the emergence of social exclusion in old age. The aim of the paper is to describe the relationship between the use of health and social services by the elderly and the emergence of social exclusion in old age. The author will focus on the presentation of results of qualitative research, which has been realized in seniors 65+ living in a home environment in the Czech Republic. The results will focus on the use and availability of health and social services in the context of social exclusion. The contribution was supported by the project “Social Exclusion in Seniors Living in the Home Environment in the Czech Republic” supported by the Ministry of Education, Youth and Sports of the Czech Republic in the INTER-COST sub-program, INTER-EXCELLENCE, No. LTC18066.
PHILOSOPHY AND ETHICS OF DEATH AND DYING
Authors: Gluchman Vasil
Published: January 2022

Life and death are two sides of one coin. The fact that we are born is to some extent coincidental, but the certainty is that we die once. They are two milestones that define the beginning and the end of our existence. Death and dying, in my opinion, have meaning only in relation to life. Therefore, their exploration cannot be a realized in philosophy and ethics in a different way than in relation to life. That is, as a challenge to life, so that we can formulate the right conclusion from the fact of the existence of death and awareness of dying, that is, as a challenge to life. It means to strive to live a good life, to be able to carry out the art of living in the form of flourishing and meaningful life in relation to themselves but also to other people in the near or wider social community of which we are members, or in relation to humanity as a whole
PENERAPAN KOMUNIKASI RISIKO BENCANA PADA THE CANGKRINGAN JOGJA VILLAS & SPA
Authors: Negoro Sherly Hindra
Published: January 2022

Natural disaster are one the form of crisis that comes from external organization. Natural disaster are unpredictable. For organization, risk communication is important as part of prevention or need anticipation effort. This research discusses risk communication in the context of disaster that implemented by hotels located in high risk disaster area especially Merapi eruption. Disaster areas can be a tourist attraction. On the other hand, the natural disaster can also decrease the number of tourist visit.  This research is a qualitative research  with case study method. The results showed that The Cangkringan Jogja Villas Spa carries out risk identification and analysis to prevent a bad situation for the public. Risk analysis is carried out with knowledge approach and cultural approach. The Cangkringan Jogja Villas Spa involves internal and external parties to communicate risk. In order to anticipate ambiguous information, The Cangkringan Jogja Villas Spa formed an Emergency Response Unit. They are responsible for carrying out the functions and roles based on Standard Operating Procedure (SOP).
STRATEGI KOMUNIKASI BISNIS HIPMIKINDO DALAM MENSINERGIKAN SUMBERDAYA AKADEMISI DAN PELAKU UMKM
Authors: Misnan Misnan , Barizki Rezzi Nanda Nanda
Published: January 2022

The synergy of MSME actors and academics is a new thing in facing the challenges of digitalization. HIPMIKINDO has a strategic positioning between the two parties. The purpose of this research is to know the business communication strategy of HIPMIKINDO in synergizing the resources of academics and SMEs. Through qualitative approach and descriptive method, the result obtained is the form of the terminology concepts of the business communication strategy of pull, push and pass. In the push business communication strategy, HIPMIKINDO implements the managing business disruption message, which is exist a threat to MSME business continuity, so that the context of entrepreneurship requires transformative acceleration towards technopreneurship. At the push step, the motivation of the business cycle without innovation and creativity must be faced with resource competencies. This can be overcome by the presence of the role of academics in accelerating the development of MSME capacity building. Furthermore, the pass is implemented with the establishment of an entrepreneur center, which becomes a communication node for academics, MSMEs as well as across parties and institutions that want to play more active in synergies.
Weaknesses of Euclidean Geometry: A Step of Needs Analysis of Non-Euclidean Geometry Learning through an Ethnomathematics Approach
Authors: Nugroho Khathibul Umam Zaid , Sukestiyarno Y. L. , Nurcahyo Adi
Published: January 2022

Non-Euclidean Geometry is a complex subject for students. It is necessary to analyze the weaknesses of Euclidean geometry to provide a basis for thinking about the need for learning non-Euclidean geometry. The starting point of learning must be close to students' local minds and culture. The purpose of this study is to describe the weaknesses of Euclidean geometry as a step in analyzing the needs of non-Euclidean geometry learning through an ethnomathematics approach. This research uses qualitative descriptive methods. The subjects of this study were students of Mathematics Education at State Islamic University (UIN) Fatmawati Soekarno Bengkulu, Indonesia. The researcher acts as a lecturer and the main instrument in this research. Researchers used a spatial ability test instrument to explore qualitative data. The data were analyzed qualitatively descriptively. The result of this research is that there are two weaknesses of Euclidean geometry, namely Euclid’s attempt to define all elements in geometry, including points, lines, and planes. Euclid defined a point as one that has no part. He defined a line as length without width. The words "section", "length", and "width" are not found in Euclidean Geometry. In addition, almost every part of Euclid’s proof of the theorem uses geometric drawings, but in practice, these drawings are misleading. Local culture and ethnomathematics approach design teaching materials and student learning trajectories in studying Non-Euclid Geometry.
Opportunity to Learn Euclidean Geometry in Two Mathematics Textbooks of Tenth Grade in South Africa
Authors: Ogbonnaya Ugorji I.
Published: January 2022

Textbooks play a central role in the teaching and learning of mathematics. In some schools, textbooks serve as the only resource material available to teachers and students. Yet, little is known about the learning opportunities in mathematics textbooks in most countries. This study investigated the opportunities to learn Euclidean Geometry in two textbooks of tenth-grade mathematics in South Africa. It examined the content coverage, content organization, and the type of tasks used in teaching the topic in the textbooks. This study followed a case study research design and a qualitative approach. The Curriculum and Assessment Policy Statement's (CAPS) grade 10 Euclidean geometry curriculum and Gracin's mathematical activity types served as frameworks for the analyses. The data were analyzed following the deductive content analysis approach. The result shows that the contents of Euclidean geometry were well covered in both textbooks following the curriculum and the contents were presented in logical and sequential order to enhance learning. In addition, it was found that the tasks in the textbooks were predominantly of argumentation and reasoning type. It was concluded that the textbooks offer sufficient opportunities for learning Euclidean geometry as specified in the curriculum for the grade level. However, the inclusion of a wider range of tasks in the future editions of the textbooks was recommended.
Code-switching as a Conversational Lubricant in the Literature Classrooms: An Explanatory Study Based on the Opine of Fijian High School ESL Teachers
Authors: Narayan Ravnil , Kuar Maurine
Published: January 2022

Code-switching in multicultural and multilingual classrooms is a highly acceptable phenomenon that has a repertoire of attributions in a country like Fiji, where English is taught as a compulsory second language (ESL). Naturally, the knowledge of literary code-switching can be considered distinguishable from general code-switching because it is used as a writing tool by the authors of literary texts. As the worldwide changes in teaching ESL methodologies, techniques and strategies concomitants with English Language Teaching (ELT), code-switching is equally considered as the part of a teaching tool that ought to posit effective learning. Presently, this study seeks to discuss the metadiscourse analysis of code-switching by teachers of English literature in the Fijian high school ESL classrooms. The paper intends to give a broader spectrum to the explicit purposes behind teachers' code-switching and their attitudes. This research has adopted one instrument for data collection due to the current pandemic, and it was through an online structured research questionnaire. In totality, twenty-five high school ESL teachers were used as samples from selected high schools between Nadi to Ba corridor. It is envisaged that findings should complement the reasons for code-switching, such as during simple classroom communication in literature classes, elucidating abstract contents, interpreting and introducing unversed terminologies. The research has applied the rudiments of the mixed-method research approach for authentic data collection and analysis of the study.
Schools Strategies in Countering Religious Radicalism in Post-Conflict Community in Poso Regency Central Sulawesi, Indonesia
Authors: Mashuri Saepudin , Pettalongi Sagaf S , Nurdin Nurdin , Paozia Paozia , Yusran Yusran
Published: January 2022

Schools in an area of conflict often experience traumatic memories regarding radicalism and terrorism. Besides having to develop student's talents and interests, schools are also required to take an important role in conflict resolution. Poso regency is an Indonesian territory that has a long history of conflict. After the social conflict that was accompanied by armed violence, Poso was designated as a red area of ​​terrorism in Indonesia. This study aims to find schools strategies in countering radicalism through multicultural-based peace activities in implementing Islamic religious education in schools. This study used qualitative research methods with a multi-site study design. This study found that schools apply Islamic religious education in schools in a multicultural frame based on religious values, nationalism, and local wisdom. In practice, students play active roles in interfaith social action and humanitarian charity activities. Among them, there are peace ambassadors to elementary schools in building inter-religious peace in Poso schools and communities. Apart from that, they also keep each other safe and regulate traffic during the celebration of religious holidays. This effort was made to prevent the entry of radicalism into schools after the Poso conflict.
Un pájaro de aire. La formación de los bibliotecarios y la lectura en la primera infancia
Authors: Domínguez González Mónica Estela
Published: January 2022

Un pájaro de aire, la formación de los bibliotecarios y la lectura en la primera infancia es el libro seleccionado para la realización de una reseña, elegido por la forma en que aborda la importancia de la lectura en los primeros años de vida. Texto escrito por la argentina María Emilia López, quien es pedagoga, escritora y especialista en edades tempranas y literatura infantil; investigadora en temas sobre arte y lectura en la primera infancia, es coautora del vigente Programa Aprendizajes Clave para la Educación integral para los niños y niñas de 0 a 3 años, “Educación inicial: un buen comienzo”, publicado en el 2017 por la Secretaría de Educación Pública.
Surgical management of ileocolic intussusception in two dogs
Authors: Munif M. R. , Alam M. R.
Published: January 2022

Background: Intussusception is the invagination or telescoping of one part of the bowel into an adjacent part which causes bowel obstruction, and compromises blood flow to the affected portion. It can occur anywhere along the gastrointestinal tract; however, usually occurs in the middle portion of the small intestine or where the small intestine joins the large intestine. Although ileocolic intussusception is common in dogs, its proper surgical management is urgent to save the life of the animal. Methods: Two mixed-breed dogs of5-7 months old and 12-14 kg BW were presented with hemorrhagic and protruded mass of bowel through anus. Clinical examination revealed intussusception with severe dehydration in the dogs, and there after ventral midline laparotomy was performed in both dogs which exposed and confirmed the cases as ileocolic intussusceptions. Results: The laparotomy was successful in both cases which involved certain level of intestinal resection and anastomosis. Postoperatively, the dogs were provided with adequate feed and necessary drugs; and successfully improved after 14 days of operation. Conclusion: Ileocolic intussusception in dogs can be successfully treated by urgent laparotomy with intestinal resection and anastomosis, which resumes the adequate potency and vitality of the bowel segments.
Migraine Headache: A Bangladesh Perspective
Authors: Ahmed Kazi Gias Uddin , Mahmud Reaz , Islam Md Rafiqul , Chowdhury Ahmed Hossain , Alam Iftekher , Aftab Rassel Mohammad , Monayem Farhana Binte
Published: January 2022

Background: Migraine headache is one of the commonest cause of primary headache. This study aims to reveal the clinical profile of migraine headache in Bangladeshi people presented in Headache clinic, Dhaka Medical College Hospital. It will give an overview on presentation of migraine and its functional consequences among the people of Bangladesh.

Methods: The study was a hospital based cross sectional observational study. It was conducted in the Headache clinic Dhaka Medical college Hospital from January 2018 to December 2018. About 854 patients with headache was attended in the headache clinic during the study period. Of that 234 patients were diagnosed as migraine according to ICHD-3 classification and 75 patents were enrolled in this study by systematic sampling. Details were collected using a preformed questioner.

Results: In this study migraine burden among the headache patients found to be about 25%.The mean age of the onset of the migraine headache in this study was found to be 25.2±11.86 years, in most of the cases (4 68%) in 15-34 years age group. In this study 36% of the patient with migraine had positive family history which is significantly higher in patients with migraine with aura (52% vs. 30% p value <0.5). In this study about 81% of the patient has single or multiple trigger factors. Along with other known factor sun exposure and journey was found to be the important trigger factors for Bangladeshi population. In this study 22% of the female migraineurs and 33% of male migraineurs had aura. About 53% of the patient with aura had combinations of aura and 47% patient had exclusive visual aura. In the present study 100% of the patient had visual aura, 42% had brainstem aura and 10% had sensory aura. The study revealed that 25% patient had chronic daily headache due to migraine, 26% patient had >5 attack/ month and 15% patient had < 4 attack per month. In this study 44% had moderate headache and 56% had severe headache according to VAS score. Chronic migraine with anxiety, chronic migraine with medication overuse Migralepsy, Status migrainosus were found as a complications of migraine in this study. According to MIDAS score Patient largely had Mild (32%) to Moderate (34.67%) disability.

Conclusions: Clinical profile of migraine in Bangladesh differs in some trigger points and migraine subtypes than the western world. Sun exposure and journey found to be most important triggers. Migraine with brainstem aura occurs in a significant number of the patient.

Bangladesh Journal of Neuroscience 2019; Vol. 35 (1): 1-9
Risk Factors Analysis in Various Subtypes of Ischemic Stroke According to TOAST Criteria in a Tertiary Care Hospital
Authors: Mohammad Rakib Hasan , Islam Md Rafiqul , Md Shahidullah - , Rahman Hasan Zahidur , Hossain Refayet Chowdhury Neamul , Rashid Mohammad Bazlur
Published: January 2022

Background: Stroke is the third leading cause of death in adult population throughout the world and is the most common cause of severe adult physical disability. The aim of the study is to identify the major risk factors in various subtypes of ischemic stroke according to TOAST criteria. Methods: A Cross-sectional observational study was conducted from January, 2018 to December 2018 in the department of Neurology, Bangabandhu Sheikh Mujib Medical University, Dhaka. All the patients of first ever ischemic stroke within 14 days diagnosed by history, clinical examination and neuroimaging (CT scan of head / MRI of brain), meeting the inclusion and exclusion criteria were included in the study. Results: Present study showed that among the 52 ischemic stroke patients mean age of the respondents was 57 ± 12.37 years with a slightly higher male predominance. Male to female ratio was 1.2:1. Dyslipidemia 44 (84.6 %) and hypertension 37 (71.2 %) were the most common risk factors, followed by obesity and overweight 33(63.5%), smoking 32 (61.5%), diabetes mellitus 29 (55.8%), family history of vascular event 27(51.9 %) and past history of vascular event 14 (26.9%). TOAST Subtype distribution of study population was large-artery atherosclerosis 18 (34.6%) followed by cardioembolism 11(21.2%), small-vessel occlusion 10(19.2%), stroke of other determined etiology 3(5.8%), and stroke of undetermined etiology 10(19.2 %) of patients. In cardioembolic subtype significant association was found with ischemic heart disease (P=0.001) and chronic rheumatic heart disease (P= <0.001). Conclusion: In this study large-artery atherosclerosis was the most common subtype, followed by cardioembolism, small vessel occlusion, stroke of undetermined etiology and stroke of other determined etiology subtypes. Dyslipidemia was found to be the most common risk factor, others were HTN, diabetes and smoking. Ischemic heart disease and rheumatic heart disease were very important cause and comorbidities of cardioembolic types of ischemic stroke.

Bangladesh Journal of Neuroscience 2019; Vol. 35 (1): 14-21
Socio Demographic and Headache Characteristics of Migraine Patients in a Tertiary Care Hospital in Bangladesh
Authors: Bhattacharjee Manabendra , Karim MD Rezaul , Hossain Akmal , Mondol Gurudas , Biswas Rajib
Published: January 2022

Migraine is a common type of headache. After tension type headache, it is the second common cause of primary headache disorder with a female preponderance.This cross sectional study was done toassess the sociodemographic characteristics of migraine patients in Bangladeshi population and to see the characteristics of headache and associated comorbidities of migraine patients.The study was conducted in a tertiary care hospital (Mymensingh medical college) of Bangladesh.The study subjects consisted of 60 patients with migraine headache seen in neurology OPD.Mean age was 32.03± 11.74 yrs. Male female ratio was 1: 2.7.Most of them are housewives (61.6%). 22% had family history of headache. Most of the patients had severe (53.4%) and frequent (e”3 per month) headache attacks. Aura was present in 25% patients. Depressive illness was the associated comorbid condition which was found in 15% patients.

Bangladesh Journal of Neuroscience 2019; Vol. 35 (1): 22-26
Progressive Limb Weakness in A Young Man: A Case Report of POEMS Syndrome
Authors: Chowdhury Ashish , Saha Sujan , Al Muzahid Md Abdullah , Roy Uttam , Kabir Md Suman , Agarwalla Ajay Kumar , Reza Samim , Sarker Imran , Islam Md Rafiqul
Published: January 2022

Polyneuropathy is an initial presentation and essential feature of POEMS ( polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes) syndrome. Neuropathy is typically distal, symmetric and slowly progressive with demyelinating changes. After a gradual proximal spread, it usually results in severe muscle weakness and functional disabilities. In the present report, we describe a 40-year-old diabetic male presented with gradually progressive weakness of both lower limbs for 1 year followed by the involvement of both upper limbs for the last 3 months. On examination hyperpigmentation, lymphadenopathy, gynecomastia, anasarca, hepatomegaly, bilateral optic disc swelling, sensory-motor polyneuropathy was found. Laboratory findings showed IgG lambda monoclonal gammopathy, raised VEGF, sensory-motor demyelinating and axonal polyneuropathy. All findings were consistent with POEMS syndrome. The patient was treated with lenalidomide and dexamethasone cyclical therapy with some clinical improvement.

Bangladesh Journal of Neuroscience 2019; Vol. 35 (1): 51-56
Infarct Pattern in Patients with Varying Degrees of Internal Carotid Artery Stenosis
Authors: Muzahid Md Abdullah Al , Shaikh Md Abdul Kader , MD Shahidullah - , Chowdhury Ashish , Saha Sujan , Roy Uttam , Kabir Md Suman , Dey Subash Kanti , Ahmed Anis , Islam Md Rafiqul
Published: January 2022

Background: Internal carotid artery (ICA) is one of the commonest site stenosis in patients with ischemic stroke. There is difference in the distribution of stenosis among different sites of cerebral infarct.Volume and severity of cerebral infarct may also depend on the degree of stenosis. To plan efficient evaluation and treatment of individual patient of ischemic stroke, the responsible clinician must be familiar with the relative probability of finding occlusive lesions at various sites within the vascular tree.
Objective: The objective of this study was to evaluate the angiographic pattern of ICA stenosis among different types of cerebral infarct.
Materials and Methods: We evaluated 53 ischemic stroke patients from indoor, outdoor, stroke and neuro intervention clinic, BSMMU. CT scan and/ or MRI of brain were done to each patient to confirm the diagnosis. After vascular imaging, the degree of stenosis was measured by the NASCET formula.
Results: Cervical segment of ICA was most commonly [n=45(84.9%)] encountered site of stenosis and total occlusion of ICA was always observed in cervical segment. Among patients with moderate stenosis (n=15) of ICA, 6(40.0%) presented with subcortical infarction, 4(26.7%) presented with lacunar infarction and 5(33.0%) presented with territorial infarction. In case of severe stenosis (n=23), territorial, lacunar and watershed infarct were 9(39.1%), 8(34.8%) and 2(8.7%) respectively. Whereas total occlusion (n=15) of ICA presented as either territorial infarction [n=11(73.3%)] or watershed infarction [n= 4(26.7%)]. These differences between severity of stenosis and subtype of infarct were also significant (p-value = 0.003).A total of 25 patients presented with territorial infarction, mostly MCA territory [n=23(92%)].
Conclusion: With increasing severity of stenosis, the infarct burden rises. ICA stenosis of e”70% mainly presented as territorial infarction whereas, watershed infarct was an indicator of severe stenosis.
Bangladesh Journal of Neuroscience 2019; Vol. 35 (2): 69-77
Understanding Hemifacial spasm: A Review Of An Uncommon Movement Disorder
Authors: Anwar Nayeem , Nahar Shamsun , Anwar Nawreen Binte , Ullah AKM Anwar
Published: January 2022

Hemifacial Spasm is a rare condition and often misdiagnosed even by neurologists. Although etiology, pathophysiology is clear, treatment is unsuccessful in many cases. In this review article we focus on etiology, pathophysiology, diagnosis and management of this infrequent movement disorder.

Bangladesh Journal of Neuroscience 2019; Vol. 35 (2): 104-109
Desenvolvimento de uma nanoemulsão (o/a) bioativa incorporada ao óleo essencial de Coleus aromaticus Benth (hortelã-grosso)
Authors: Ferreira Maycon Lopes , Oliveira João Pedro Mesquita , Lima Thaylanna Pinto de , Sousa Brendha Araújo de Sousa de , Almeida Rodrigo de Aquino , Serejo Ana Paula Muniz , Marinho Silvio Carvalho , Oliveira Ana Catharinny da Silva de , Gomes Paulo Roberto Barros , Mouchrek Filho Victor Elias , Everton Gustavo Oliveira
Published: January 2022

Este estudo objetivou avaliar a atividade larvicida do óleo essencial (OE) e nanoemulsão (O/A) das folhas de Coleus aromaticus Benth (hortelã-grosso). O material vegetal obtido nesta pesquisa foi coletado em Arari (MA) em maio de 2021. Para extração do OE foi utilizada a técnica de hidrodestilação em um sistema extrator de Clevenger modificado. A determinação dos compostos fenólicos totais foi realizada pelo método de Folin-Ciocalteu. A atividade antioxidante foi executada pelo método espectrofotométrico de eliminação de radicais hidroxila do ácido salicílico. Para atividade larvicida submeteu-se larvas Aedes aegypti a soluções do OE e nanoemulsões em concentrações de 10-100 mg L-1, onde avaliou-se a mortalidade das larvas e determinou-se a CL50 pelo método de Probit. No ensaio de fenólicos totais, foi quantificado o valor de 350,86 mg EAT g-1, sendo um resultado significativo para presença da classe no óleo essencial. No ensaio de atividade antioxidante foi obtida a CE50 de 195,39 mg L-1 para ação de C. aromaticus sendo classificada como promissora. Observou-se ação do OE como larvicida sendo determinada a CL50 ­­de 3,24 mg L-1, enquanto para nanoemulsão foi observada ação superior em de 1,83 mg L-1. Os resultados obtidos permitiram concluir que o OE estudado apresentou atividade larvicida eficiente contra as larvas de Aedes aegypti. Por fim, destaca-se o potencial obtido para o OE e nanoemulsão obtida da espécie em estudo, sendo importante destacar que a nanoemulsão obtida é um bioproduto formulado a partir do óleo essencial com potencial de mercado, sendo importante no controle e combate de casos relacionados ao Aedes aegypti.
Estudo transversal com dados radiográficos e documentais de pacientes submetidos a implantes Cone Morse
Authors: Mendes Araújo Rafaela , Carolina Troetsch Kopp Fernanda , Kopp Gino , Stroparo Jeferson Luis de Oliveira , Gabardo Marilisa Carneiro Leão , Zielak João César
Published: January 2022

O objetivo deste trabalho foi realizar um levantamento transversal descritivo com base em exames radiográficos e informações dos prontuários de pacientes submetidos a instalação de implantes Cone Morse Screw Platinum® em uma clínica privada na cidade de Curitiba, PR, Brasil. Foram avaliados os prontuários e os exames radiográficos dos pacientes com idade igual ou superior a 18 anos, de ambos os sexos, atendidos no período de fevereiro de 2015 e junho de 2019. Foram incluídos apenas aqueles com tempo mínimo de instalação de seis meses e que s prontuários estivessem completos. Os dados coletados foram: sexo (masculino ou feminino), idade (em anos), tempo que o implante estava instalado (em meses), arcada (maxila ou mandíbula) e região (anterior ou posterior), posição do implante em relação à altura da crista óssea marginal (infraósseos, em nível ósseo, ou supraósseos). Um total de 27 pacientes (13 homens e 14 mulheres) e 131 implantes foram avaliados. A mediana da idade foi 59 anos e de tempo de instalação do implante foram 15 meses. Quanto à arcada, 70,2% estavam em maxila e a região posterior teve frequência de 63,3%. Um total de 88 implantes estava em posição infraóssea. Pode-se concluir que a maioria dos implantes avaliados estava, em relação à crista óssea marginal, em posição infraóssea, que é considerada a ideal. A maxila, tanto em região anterior como posterior foi a mais reabilitada, o que pode indicar a importância da questão estética por parte dos pacientes aqui analisados.
Análise do preenchimento de prontuários odontológicos: questões éticas e legais
Authors: Oliveira Naiana Pereira Firmino de , Oliveira Yasmin Caldas de Macêdo Abrantes Rodrigues de , Tôrres Bianca Oliveira , Felix Solange Soares da Silva , Batista Mara Ilka Holanda de Medeiros
Published: January 2022

Introdução: Prontuários odontológicos são documentos diariamente produzidos por cirurgiões-dentistas e possuem grande valor administrativo e legal, devendo ser preenchidos com máxima cautela. Para isso foram analisados o preenchimento dos prontuários odontológicos produzidos no atendimento de pacientes no curso de Odontologia de uma universidade particular, tendo em vista as questões éticas e legais que norteiam o preenchimento da referida documentação. Metodologia: Foram analisados 350 prontuários através do uso de um formulário contendo questões referentes aos dados obrigatórios para o correto preenchimento dos principais aspectos do prontuário. Os dados coletados foram analisados a partir da estatística descritiva utilizando o programa estatístico Statistical Package for the Social Sciences – SPSS, versão 20.0. Resultados: A maioria dos prontuários analisados apresentavam todos os dados de identificação do paciente. Apenas 34,9% tinham a anamnese preenchida de forma completa, 21,4% dos casos o plano de tratamento estava escrito de forma completa, haviam radiografias anexadas ao prontuário em 77,1% da amostra, e 91,1% apresentavam o registro de atividades completo. Quanto a assinatura do aluno, estava presente no em 95,7% dos prontuários, enquanto 93,7% continham a assinatura do professor. 4% dos prontuários apresentaram cópia de receituário/atestado anexado e nenhum dos prontuários tinham as orientações cirúrgicas anexadas. Em 22% estava presente em anexado o Termo de Consentimento Livre e Esclarecido e em apenas 18,9% deles constava a assinatura do paciente.  Conclusão: Ainda há falta de atenção por parte dos alunos e professores quanto aos cuidados de preenchimento do prontuário, já que alguns dos critérios para um correto preenchimento não foram atendidos.
Articulação entre redes de atenção a crianças e adolescentes toxicodependentes
Authors: Tozo Giancarlo , Machineski Gicelle Galvan , Toso Beatriz Rosana Gonçalves de Oliveira
Published: January 2022

Objetivou-se compreender a articulação entre a rede de atenção psicossocial e a rede de proteção social de um município no Oeste do Paraná, no atendimento de crianças e adolescentes toxicodependentes. Trata-se de pesquisa qualitativa, descritiva e exploratória. A coleta de dados foi documental e por meio de entrevistas semiestruturadas com seis trabalhadores das redes, no período de janeiro a dezembro de 2018, e submetidos a análise temática. Identificou-se a articulação entre as redes por meio da intersetorialidade, da horizontalidade, da cooperação e da integração no atendimento a crianças e adolescentes usuárias de substâncias psicoativas. E a partir dos dispositivos legais dos diversos setores envolvidos e de instrumentos, como o fluxograma de atendimento a drogadição e a ficha de referência e contrarreferência, além da comunicação entre os trabalhadores, contribuindo para a superação de práticas setoriais fragmentadas.
A participação do pai no Aleitamento Materno: Uma rede de apoio
Authors: Oliveira Jessica Assumpção de , Cardoso Luciana Rosa e Silva , Silva Roberta de Oliveira Manhães da , Cardoso Veronica Nunes da Silva
Published: January 2022

Objetivou-se analisar de acordo com a literatura sobre a importância do apoio paterno no aleitamento materno. Trata-se de uma revisão integrativa, realizada de março a junho de 2020. Utilizou-se os descritores paternidade, aleitamento materno, enfermagem e saúde da mulher, nas bases: SciELO, LILACS, BDENF. Encontraram-se 7 artigos, dos quais, observou-se que a presença do pai no aleitamento materno exclusivo, além de fortalecer o vínculo familiar, ressalta sua importância no processo, os profissionais da saúde são de suma importância nesse processo, por manter a aderência, cuidados, orientações e ampliar a rede de apoio. Evidenciou-se que o pai tem grande influência no aleitamento materno, pois sem essa ajuda se torna difícil o processo de amamentar e a aderência da mãe, visto todas as dificuldades. Sugere-se o planejamento de estratégias pelas equipes de saúde que podem orientar e estimular a participação efetiva do pai na realização do apoio a mulher no aleitamento materno.
Correção endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso e revisão das estratégias terapêuticas
Authors: Reis José Maciel Caldas dos , Santos José Victor Figueiredo dos , Melo Glauco dos Santos , Oliveira Murilo Vasconcelos de , Ribeiro Flávio Roberto Cavalleiro de Macêdo , Silva Larissa Pereira
Published: January 2022

O rim em ferradura é uma das anomalias urológicas congênitas mais comuns e está presente em cerca de 0,12% dos pacientes com aneurisma de aorta abdominal. A causa mais comum é a degeneração da parede pela doença aterosclerótica, e, entre outras causas, incluem-se infecção, necrose cística, artrite, trauma e doenças do tecido conjuntivo. O reparo cirúrgico convencional está associado a dificuldades técnicas que provavelmente aumentam a morbidade e a mortalidade, mas que podem ser evitadas com o tratamento endovascular. A correção do aneurisma de aorta abdominal via endovascular é uma técnica menos invasiva se comparada a técnica aberta convencional, onde é feito um reforço da parede arterial para evitar que o seguimento afetado se rompa. No presente artigo. relatamos um caso de um paciente do sexo masculino de 69 anos com rim em ferradura e aneurisma de aorta abdominal infrarrenal, que foi submetido ao reparo endovascular do aneurisma com sucesso.
Composição química e atividade antifúngica do óleo essencial das flores de Bauhinia forficata (Link) e suas propriedades na germinação de sementes de Cucurbita maxima (Duchesne)
Authors: Anjos Rafael Cardoso Lourenço dos , Cortes Brendo Augusto Gonçalves , Alves Estenio Moreira , Farias Luís Henrique Mantovani de , Cazal Cristiane de Melo , Pereira Paulo Sérgio , Christofoli Marcela
Published: January 2022

A produção agroecológica vem aumentando muito nos últimos anos, constatando a necessidade de medidas mais seguras e eficazes no controle de pragas agrícolas por meio do uso de produtos naturais como os óleos essenciais. O presente estudo teve como objetivo avaliar a composição química do óleo essencial das flores de Bauhinia forficata, sua atividade antifúngica, bem como seu efeito na germinação de sementes de Curcubita maxima. O óleo essencial foi extraído por hidrodestilação e analisados por cromatografía gasosa acoplado à espectrômetria de massas (GC-EM). Posteriormente foram avaliados em diferentes concentrações quanto à atividade antifúngica sobre Sclerotinia sclerotiorum, Rhizopus microsporus e Colletotrichum gloeosporioides. No ensaio de desenvolvimento germinativo, as sementes de C. maxima foram imersas em diferentes doses de óleo essencial e comparados sua germinação e desenvolvimentos com fungicida comercial Vitavax thiram®. Os compostos majoritários identificados foram guaia-1(10),11-dieno (66,17%), α-pineno (14,06%) e β-pineno (4,14%). O óleo essencial das flores de B. forficata nas maiores concentrações inibiu o crescimento micelial dos fungos R. Microsporus, C. gloeosporioides e S. Sclerotiorum em 37,71%; 73,7% e 25,74%, respectivamente. O óleo essencial das flores de B. forficata na dose de 30 µL favoreceu a germinação e o desenvolvimento das plântulas sem diferença significativa em relação ao fungicida comercial Vitavax thiram®, o que implica em maior e mais saudável produção. Esses resultados indicam que o óleo essencial de B. forficata apresenta aspectos positivos para produções agroecológicas o que remete a grandes perspectivas evolutivas para o meio sustentável.
Tendência da temperatura mínima e sua reta de regressão para Amparo de São Francisco – Sergipe, Brasil
Authors: Fança Manoel Vieira de , Medeiros Raimundo Mainar de , Holanda Romildo Morant de , Saboya Luciano Marcelo Fallé , Sousa Francisco de Assis Salviano
Published: January 2022

As informações sobre a flutuabilidades climáticas de uma determinada área, são conhecimentos fundamentais à melhoria da produção agrícola familiar, na agropecuária sustentável e na prevenção de fenômenos atmosféricos. Objetiva-se analisar as distribuições térmicas mínimas entre 1963 a 2020, observar os possíveis comportamentos das tendências lineares, assim como variabilidade do coeficiente de regressão, levando em conta a avaliação mensal dos anos com o intuito de identificar os meses com maiores e menores flutuações térmicas, disponibilizando assim informações com relação à variação espacial e temporal térmica em Amparo de São Francisco, Sergipe. Utilizou-se dos dados térmicos mínimos estimadas pelo software Estima_T entre 1963-2020, e calculou-se a média, desvio padrão, coeficiente de variância, máximos e mínimos, valores absolutos ocorridos, equação lineares para definir a equação da reta, R2, mensais, anuais e sazonais. Este estudo pode ser ferramenta para planejamentos de ações que visem a melhor forma de gerenciar os índices térmicos a serem utilizados na agropecuária, saúde, conforto térmico das cidades entre outras aplicações. A possibilidade de reduções nas temperaturas mínimas para 20,4 ºC, poderá ocorrer nos próximos cinco anos com 45% de probabilidade. Este artigo tem como objetivo, fornecer subsídios para projetistas, planejadores de estratégias de adaptação e/ou mitigação de seus possíveis impactos negativos ou tirar proveito de possíveis condições climáticas favoráveis.
Antimicrobial bentonite by the addition of geranyl acetate for aflatoxin B1 adsorption
Authors: Capelezzo Ana Paula , Celuppi Laura Cassol Mohr , Camerini Thalia , Macuvele Domingos Lusitâneo Pier , Zeferino Rubieli Carla Frezza , Mello Josiane Maria Moneron de , Riella Humberto Gracher , Fiori Márcio Antônio
Published: January 2022

A nanocomposite composed of organophilic bentonite (OB) with geranyl acetate (GA) was prepared on a shaker for 1 hours, 180 rpm and room temperature, being subsequently dried an oven at 90 ºC±2 ºC during 48 hours. This material was then characterized for its antibacterial against Staphylococcus aureus and Escherichia coli and antifungal activity against Aspergillus flavus and Aspergillus niger, respectively. Moreover, the adsorption capacity of OB and OB/GA was evaluated using Aflatoxin B1 in the concentration of 107 µg∙L-1. After 17 h, the composite removed a significant amount of mycotoxin, being below 20 µg∙L-1. The results showed that this composite has a good adsorption capacity, can be effective in the removal of mycotoxin in aqueous media and excellent antibacterial and antifungal activity.
Mortalidade por causas externas no estado da Bahia, 2015-2019
Authors: Ribeiro Marcela Rossi , Rebouças Lyra Cândida Calhau , Jesus Cléber Souza de , Ribeiro Roseli Maria Cardoso , Farias Anadir de Almeida , Pinheiro Gleide Magali Lemos , Santos Charles Souza , Silva Maicla Oliveira da , Santos Maycon Brandão dos , Barreto Rebecca Calheira , Sousa Micaela Leão de , Souza Evelin Matos Marambaia , Martins Bianca Oliveira Souza , Leal Letícia Souza , Prates Wicentte Aurélio dos Santos
Published: January 2022

Objetivo: descrever o perfil epidemiológico da mortalidade por causas externas no estado da Bahia no período de 2015 a 2019. Metodologia: trata-se de uma pesquisa do tipo descritiva, de delineamento temporal e abordagem quantitativa que utilizou dados secundários do Sistema de Informação de Mortalidade (SIM), do Departamento de Informática do SUS (DATASUS) que são disponibilizados pelo Ministério da Saúde. Resultados: os achados mostraram que entre as causas externas analisadas, a agressão foi a razão das maiores taxas de mortalidade. Ao analisar o perfil das vítimas acometidas pelas causas externas, a maior parte são indivíduos do sexo masculino com idade entre ­20 a 29 anos, de cor parda, com escolaridade entre 4 a 7 anos de estudos e a via pública foi o local principal de ocorrência das mortes. Conclusão: constatou-se que no período do estudo a Bahia apresentou uma tendência de aumento de óbitos por causas externas, principalmente no que tange as agressões, um óbito evitável. Acreditamos que com base nos achados apresentados é possível obter subsídios para a elaboração de políticas públicas que visem a promoção da saúde para a população, assim como a redução dos óbitos por causas externas na Bahia e no país.