bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Managerial ability on Operational Performance and Stock Return moderated by CEO Overconfidence
Authors: Edi Edi , Wijaya Ermi
Published: October 2022

Purpose: This study aims to determine the effect of the acquisition
company's managerial ability on the company's performance after
mergers and acquisitions. CEO overconfidence was added as a
moderating effect in this study. The sample data of this study include
companies listed on the IDX that carried out corporate actions in the
2014-2018 period.
Methodology: The sampling technique used is purposive sampling,
and the data analysis method used is the SPSS and Smart PLS
applications. This research used return-on-assets, cash flow from
operations and market-to-book ratio to measeure the firm’s
operational performance and buy-and-hold abnormal return to
measure company’s stock return.
Findings: The results of this study indicate that managerial ability
affects the firm’s operational performance. This study also shows
that CEO overconfidence can strengthen the relationship between
managerial ability and the firm’s operational performance along with
the rate of the acquiring companies stock returns.
Originality/Value: The managerial implications of this study
suggest that companies should prioritize CEO overconfidence in the
fit-and-proper test. CEO overconfidence can bring the company
forward and earn higher returns. Novelty in this study provides a
new insight of corporate action that CEO overconfidence can
moderate the relationship between managerial ability and the firm’s
operational performance and the company's stock return.
An Empirical Investigation of the Impact of Monetary Policy on Economic Growth in Zambia
Authors: Mwange Austin
Published: October 2022

Purpose: The aim of this study was to investigate the impact of
monetary policy on the real sector and to assess the effectiveness of
various monetary policy transmission channels in Zambia
Methodology: The Johansen cointegration approach, Error
Correction Model (ECM), and Granger causality test were undertaken
to achieve the study objectives
Findings: The study results reveal that economic growth proxied by
Gross Domestic Product (GDP) in Zambia is negatively affected by
lending rates, inflation, and an increase in private sector credit, while
exchange rate and deposit rates were found to have a positive impact
on the other hand. These results confirm the presence of exchange
rate and credit channels of monetary policy transmission in Zambia.
Originality/Value: The study contributes to the theoretical and
empirical literature on the impact of monetary policy on the real
sector. Further, the study provides, through the results of the study,
the effectiveness of various monetary policy transmission channels
in Zambia. Therefore, the study is part of the studies the Central
Bank and academic institutions and research think tanks can make
reference to during further research and practice.
Investigating The Weekend Anomaly and Its Implications: Evidence From International Financial Markets
Authors: Enow Samuel Tabot
Published: October 2022

Purpose: As contended in prior literature, the weekend anomaly is
the tendency for financial markets or security prices to be lower on
Mondays than on previous Fridays. The aim of this study was to
empirically investigate the weekend anomaly in seven international
financial markets namely; NASDAQ Index, CAC 40 Index, DAX Index,
JPX-Nikkei Index 400, SSE Index, BIST and JSE Index.
Methodology: This study made use of the F- statistics test for the
most recent 5 years August 22, 2017 to August 22, 2022.
Findings: Contrary to the findings in the literature, there is no
evidence to support the weekend anomaly. This was evident in the pvalues for the F-statistics test in all the financial markets under
consideration to be statistically insignificant.
Originality/Value: Although this concept may have existed, it is no
longer applicable hence traders and market participants should
avoid regular or pure arbitrage strategy as it may result in significant
losses. As per the author’s knowledge, this study is the first to
empirically investigate the weekend anomaly in seven international
markets using the most recent data..
CEO Narcissism, Company Value and Earnings Management in Industrial Sector of Indonesia
Authors: Sari Intan Kumala , Fuadah Luk Luk
Published: October 2022

Purpose: (i) Analyze and test CEO Narcissism Against
Corporate Value and Earnings Management; (ii)
Analyzing and testing the effect of CEO Narcissism
Intervening on Company Value and Earnings
Management in Manufacturing Companies in the
Industrial Sector Listed on the Indonesia Stock
Exchange for period 2016-2020
Methodology: This study uses descriptive analysis, a
type of quantitative research, which, when viewed
from the data analysis method The data analysis
technique used in the study used linear regression.
Then for the company's value using the Tobin's Q ratio
and to assess the level of earnings management using
the Modified Jones Model
Findings: CEO narcissism has a positive effect on firm
value, which means that every increase in CEO
narcissism will increase firm value. CEO narcissism
has a positive and significant effect on earnings
management which this result explains that every
increase in CEO narration will increase earnings
management. CEO narcissism has a positive and
significant effect on earnings management which this
result explains that every increase in CEO narration
will increase earnings management.
Originality/Value: This research is to have a view
terms of the Effect of CEO Narcissism on Company
Value and Earnings Management as an Intervening
Variable in Manufacturing Companies in the Industrial
Sector Listed on the Indonesia Stock Exchange for the
2016-2020 period in terms of contributions in the field
of education and research results by the hypothesis,
therefore That's the formulation for further research
to consider the sector and additional variables.
Ecocentrism and Bauls: Lalon and Radharaman’s Meditative Activism
Authors: Rabbani Golam
Published: October 2022

Lalon Sain and Radharaman Dutta, two of the famous nineteenth-century Bauls of Bangladesh, have composed folk poetry concentrating on the ancient traditions of ecocentrism; therefore, their folkloric and musical practices are relevant in contemporary ecocriticism. Both of them composed songs which celebrate earth as a mother and nature as an ecological system that needs to be prioritized above all necessities of human beings. This study examines the pastoral consciousness of Bauls on ecology and critically analyzes their ecocentric rituals coined as meditative activism. It also reveals that Lalon and Radharaman’s meditative activism celebrates the innate affinity of humans with other forms of life. Their esoteric philosophy and practices on and for the environment present their instinctual efforts to protect animals and wilderness. The essay examines some rare lyrical poetry of Lalon and Radharaman, reasoning that ecocentrism exists in one of the earliest forms of folklore in Bangladesh. It locates anthropocentrism and argues that the meditative activism of the Bangladeshi Bauls and nature mystics appropriates an ecocentric understanding of the earth and nature through their pastoral approach. To support their eco-poetic philosophy, this study examines their meditative method in practicing dhora-bauliana, the unexplored Baul ritual of bonding with mother earth, trees, and animals to rediscover the human instinct that protects nature from invasive actions.
First-Person Point of View in Contrast to Globalisation in Somerset Maugham’s ‘Mr. Know-All’
Authors: MBON Armel
Published: October 2022

This paper discusses the first-person point of view in Maugham’s ‘Mr Know-All’. It particularly analyses the narrator's position in relation to the story told in this short story, with the intention of disclosing the latter’s prejudice against Mr Kelada, the protagonist, and consequently, its hindrance to globalisation. It thus underlines the fact that this protagonist and other travellers are different colours, but one person on this ship epitomises globalisation. The general attitude of readers is that they are inclined to easily believe the narrator while forgetting that fiction is the work of a taler, a teller, but, first and foremost, a liar. The audience, whether it is disconnected from the setting or not, also tends to forget that ‘‘travellers from afar can lie with impunity’’. In fact, the nameless narrator in Maugham’s short story has a persona that leaves a lot to be desired. He is prejudiced against Mr Kelada, known as Mr Know-All, as will be evidenced by the scrutiny of his diction. This paper finally purports to show that those who proclaim globalisation loudly are not ready to live together.
The Linguo-stylistic Problems Faced in Translating the Meaning of “Fitrah” in the Holy Quran into English
Authors: Jalaluddin Mohammad , Abdelkarim Majda Babiker Ahmed
Published: October 2022

This paper primarily explored the linguo-stylistic problems faced in translating the meaning of Fitrah'' in the Holy Quran into English. The key significance of this study is how the translators attempted to tackle linguo-stylistic problems when rendering the implication of Quranic lexeme Fitrah'' into English. The main question of this study is: what are the linguistic and stylistic problems that the translators of the Holy Quran meet while translating the meaning of Fitrah into English? Moreover, three selected English translations of the Holy Qur’an are used by the two researchers to accomplish this purpose: Marmaduke Pickthall’s (1996), Muhammad Muhsin Khan's, Muhammad Taqiudin Al Hilali’s (1996), and M. A. S Abdul Haleem's (2004). The study results revealed that some linguo-stylistic problems were found when rendering translating the meaning of Fitrah into English.
Diagnostic Research of the Most Used Words in Pashto Literary Texts
Authors: Rahmani Tahmina
Published: October 2022

Diagnostic research of the most used words in Pashto literary texts is a significant and valuable subject; to this day, no one has yet conducted research on this subject in Pashto literature which gave me a reasonable motivation to consider research that might satisfy the need of Pashto Literature. It’s important to realize how efficiently it should be conducted in a good manner so that the key points can be depicted throughout the research. Different research has been conducted by various researchers around the world in the most known language, which is the English language; those researchers have done so in order to solve the new learner’s problems. As a result of field research, the obtained data shows that some words have been accepted as academic words in the Pashto language. Due to the limitations of the topic in this study, only 20 words were selected. Therefore, it is clear that this can be the starting point of this research. Completing this task requires a lot of patience and a lot of perseverance, which I want to give as much attention to as possible.
Gelir Dağılımı Eşitsizliği ile Finansal Gelişmişlik Arasındaki İlişkinin Ekonometrik Analizi (2000-2019)
Authors: ERİK AKYOL Esra , AKBALIK Murat
Published: October 2022

Bu çalışma, seçilmiş 10 gelişmiş ülke örneklemi özelinde gelir dağılımı eşitsizliği ile finansal gelişmişlik arasındaki ilişkiyi analiz etmeyi amaçlamaktadır. Finans piyasalarındaki gelişim ile gelir dağılımı arasındaki ilişkinin ekonometrik olarak analizinde Panel Veri Analiz yöntemi kullanılmıştır. Analizin sonucunda; gelir dağılımı eşitsizliği ile finansal gelişmişlik arasında uzun dönemli ilişkinin varlığı tespit edilmiştir. Finans piyasalarındaki gelişimin gelir dağılımını etkileme derecesi eşbütünleşme katsayı değerleri (%2-%9 civarları) dikkate alındığında çok yüksek olmamasına karşın, finansal gelişmişlik düzeyi arttıkça gelir dağılımı eşitsizliği azalmaktadır. Bu açıdan da çalışmanın kapsamı dışında tutulan mal piyasalarının yani reel üretimin gelir dağılımındaki eşitsizlikleri azaltmada finans piyasalarına kıyasla daha önemli olduğu sonucuna varılmıştır.
2020-2021 Döneminde BIST’de İlk Halka Arz Edilen Şirketlerin Değer Tespitinde Piyasa Yaklaşımının Kullanılmasına Yönelik Bir Araştırma
Authors: YALÇIN Hasan
Published: October 2022

Literatürde yer alan tartışmalar genellikle İndirgenmiş Nakit Akımları değerlemesine odaklanmış olsa da gerçekte şirketler yoğunlukla piyasa yaklaşımına göre değerlenmektedir. Pazarlama yaklaşımında şirket değerlemesi mevcut piyasa fiyatlarına dayanır. Bu çalışmada 2020 ve 2021 yılları arasında BİST’te halka arz edilen 61 adet şirketin fiyat tespit raporları şirket değer tespitinde kullanılan yöntemler açısından içerik analizine tabi tutulmuştur. Yapılan içerik analizinde piyasa yaklaşımı ile yapılan değerlemede Şirket Değeri / FAVÖK çarpanın en çok sık kullanılan oran olduğu tespit edilmiştir.
Aile İşletmelerinin Sermaye Yapısı Üzerine Bir İnceleme
Authors: OMAĞ Aclan , MASUN Altan
Published: October 2022

Sermaye yapısı finansal kararların bir unsuru olup, farklı faktörlere bağlı olarak şekillenir. İşletmelerin mali tablolarından bilançonun pasif kısmı sermaye yapısının nasıl oluştuğunu anlamamıza yardımcı olur. Aile işletmeleri de kendilerine özgü yapılarıyla farklı kaynakların bir arada kullanıldığı işletmelerdir. Kuruluşta ve ilk dönemlerde daha fazla özsermayeden yararlanan aile işletmelerinde zamanla büyüme olduğunda farklı finansman tercihleri söz konusu olabilmektedir. Bu çalışmada da, büyük bir aile işletmesi olan Arzum A.Ş.’nin sermaye yapısını belirlemek amacıyla 2017-2020 dönemi bilançoları dikey analiz yöntemiyle incelenmiştir. Elde edilen sonuçlar, şirketin incelenen dönemde sermaye yapısında kısa vadeli borçların ağırlıkta olduğunu göstermiştir. Şirketin yararlandığı diğer kaynaklar sırasıyla özsermaye ile uzun vadeli borçlar olmuştur.
Liman Operasyonel Verimliliğinin Karlılık İle İlişkisi: TCDD Limanları Üzerine Bir Araştırma
Authors: ALNIPAK Serdar
Published: October 2022

Dış ticaret hacminin büyük kısmının gerçekleştirildiği denizyolu taşımacılığı gerek makro gerek ise mikro ekonomik açılardan büyük önem taşımaktadır. Bunun yanı sıra deniz taşımacılığı ve tedarik zincirlerinin yönetiminde limanlar en hayati halkalardan birisidir. İlgili tesislerin etkinliği, verimliliği ve karlılığı ülkelerin rekabet gücüne önemli katkılarda bulunmaktadır. Bu bağlamda limanların verimliliği; üretilen çıktının maksimizasyonu veya belirli bir çıktının sınırlı kaynaklarla üretilmesi gibi operasyonel performansa yönelik çok boyutlu bir kavramdır ve karlılık ile ilişkisi önemli bir araştırma konusudur. Bu çalışmada TCDD limanlarının 2004-2020 yılları arasındaki süreçte oluşan operasyonel verimlilikleri hesaplanmış ve elde edilen değerlerin, her bir karar biriminin kar miktarları ile ilişkisi incelenmiştir. İlgili limanların operasyonel verimliliklerinin hesaplanmasında; girdi değişkenleri olarak ‘’toplam çalışan sayısı’’, ‘’liman sahası’’ ve ‘’toplam gemi kabul kapasitesi’’; çıktı değişkenleri olarak ‘’toplam elleçlenen yük miktarı’’ ve ‘’toplam gelen gemi sayısı’’ kullanılmıştır. Girdi ve çıktı kriterlerinin ağırlıklandırılması CRITIC Yöntemi, karar birimlerinin verimlilikleri ise EATWOS Yöntemi ile yapılmıştır. Verimlilik değerlerinin karlılık ile ilişkisinin araştırılmasında korelasyon analizinden faydalanılmıştır. Bulgular, TCDD limanlarının ilgili dönemde ortalama %76 operasyonel verimlilik ile çalıştıklarını ve verimlilik skorları ile karlılıkları arasında pozitif orta şiddetli ilişki olduğunu göstermiştir.
Neonatal Surgery in Chittagong Medical College Hospital
Authors: Bhuiyan Md Akbar Husain
Published: October 2022

Abstract not available

JCMCTA 2016 ; 27 (2) : 1 - 3
World Health Organization, Should Wesee It in a New Light?
Authors: Chowdhury Abhijit , Ferdoush Jannatul , Choudhury Sushmita
Published: October 2022

World Health Organization (WHO) the mother organisation of all global health initiativesis actively involved in conceiving effective strategies to fight different Communicable and Non- Communicable Diseases (NCDs) worldwide. WHO has the goal to serve poorer nation effectively so that they can have fair access to various vaccines and drugs.The organisation is also ensuring sustainable financing for the global health sector. However, to deliver the effective health initiatives all across the continents, WHO should reason more efficiently with the regional offices so that it can collaborate in decision making and implement those decisions more precisely and decisively. WHO should act in coordination with other private, country-based and global organisations. It should advocate for research independent of any industrial interest, human rights policies and improvement of health services. WHO needs to modify its global endeavours which will intensify international responses in combating any emergency.To hold on to its current leadership role, if necessary, WHO should undergo significant reformation. Until present days, there is no substitute for WHO. WHO should realise that without empowering the marginalised people no global health goal can be achieved adequately.

JCMCTA 2016 ; 27 (2) : 4 - 8
Medical Ethics in Clinical Practice
Authors: Dutta Asok Kumar
Published: October 2022

Medical ethics is important for every medical practitioner. A doctor should acquire sound knowledge on medical ethics which is very much important in clinical practice. Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine. Medical ethics derive from numerous sources. Physicians face ethical dilemmas more frequently as community relies on physicians for critical services. Ethics are a useful element for solving these dilemmas. Medical ethics based on four basic principles: autonomy, beneficence, nonmaleficence and justice. Physicians are expected to have higher standards than the law. The code of medical ethics provides a guide line in the context of doctor patient relationship and the society.

JCMCTA 2016 ; 27 (2) : 9 - 11
Pre Medication With Midazolam in Children For Smooth Separation From Parents: A Comparison Of Two Different Routes of Administration
Authors: Billah KM Baki , Alam AKM Shamsul , Chowdhury Gulshan Ara , Khatun Syeda Nafisa , Tipu Md Rezaul Hoque , Khan Shameema Hossain , Chowdhury Shahnaj Jahan , Muhsin Syed Md
Published: October 2022

Premedication with midazolam is widely used in paediatric anaesthesia to reduce fear, anxiety, emotion, psychological trauma and ensure smooth separation from parents. However, various routes and dosing regimens are recommended for paediatric premedication and variable efficacy is found when use in different routes. The aim of our study to compare the efficacy and acceptable route between intranasal versus sublingual midazolam premedication for smooth separation from parents before entering the operation theater. It will be a comparative, cross-sectional prospective clinical study. 120 unmedicated children, ASA I or II, Age 1–6 years, who will be scheduled for routine elective surgery and who will be planned to receive midazolam as a premedicant drug, will be randomly assigned to one of the two groups. Group–I receives intranasal midazolam 0.2 mg kg-1 and Group–II receives sublingual midazolam 0.2 mg kg-1 after having obtained the parent’s informed consent. Heart rate, Systolic blood pressure, SpO2, Sedation and Anxiolysis Scores will be assessed in 4-point scale by the anaesthesiologist every 3 min prior to surgery. Sixty patients will be enrolled in each group, I and II. Data will be compiled and analyzed in computer, using statistical software package SPSS.

JCMCTA 2016 ; 27 (2) : 24 - 30
The Effect of Multistrain Probiotic Formulation On Irritable Bowel Syndrome Patients : A Randomized Controlled Clinical Trial
Authors: Khosruzzaman SM , Ishaque SM , Ahmed Dewan Saifuddin , Kabir Md Anwarul , Ahmed Ershad Uddin , Jannat Syeda Nur E
Published: October 2022

Probiotic formulation is useful in reducing symptoms of irritable bowel syndrome. To assess effectiveness of multistrain probiotics with standard treatment than standard treatment alone. This was a randomized control trial conducted in the Department of Gastroenterology, BSMMU, from July 2015 to June 2016. Patients with diagnosed case of IBS using Rome III criteria, absence of red flag sign like anemia, fever, weight loss, per rectal bleeding, nocturnal frequency, family history of IBD, cancer and age 18-55 years, no probiotics used in prior 3 months were included in the study. Patients were divided into group A (Standard treatment) and group B (Probiotics with standard treatment). Symptom severity scores especially for abdominal pain, global symptom severity were assessed at baseline, at one month interval during treatment for two months and one month post treatment. Mean age of the patients was 31.64 ± 9.72 years and 32.17 ± 10.03 years with no statistical significant difference with male female ratio of 4.2:1 and 3.06:1 in group A and group B respectively. Severity of abdominal pain, frequency of pain in every 10 days, severity of abdominal distension, satisfaction with bowel syndrome, frequency of open bowels per day gradually reduced in both groups but was higher in group B than group A (P<0.05). Passing mucus with motion was gradually reduced in both groups but the decrement was higher in group A than group B (p<0.05). Multistrain probiotics with standard treatment is more effective in reducing IBS symptoms than standard treatment alone.

JCMCTA 2016 ; 27 (2) : 31- 38
Pattern of Antihypertensive Drugs Used For Hospitalised Adult Patients
Authors: Khanom Mehrunnissa , Hossain Md Amir , Zahed ASM , Das Joyabrata
Published: October 2022

Hypertension is a leading contributor to global burden of cardiovascular as well as cerebrovascular mortality and morbidity. This paper presents a study on prescription patterns of antihypertensive drugs at medicine ward of a private hospital. An observational study was done for 6 months period (1st March 2015 to 30th August 2015) on 82 Patients at Medicine ward of Southern Medical College Hospital. The objectives of this study were to identify whether monotherapy or combination therapy was most effective in controlling blood pressure, to identify types of antihypertensive drugs most commonly prescribed, to find out most preferred combinations and to see if prescription pattern complied with existing guidelines.Patients of 18 years old or above diagnosed as hypertensive according to JNC-7 and those being prescribed with antihypertensives as well as given consent for the study were included. Among 82 hypertensive patients, male constituted 53.7% and female 46.3%. Monotherapy was prescribed for 42.7% and combination therapy for 57.3% patients. 42.7% received two drugs, 13.4% received three drugs and 1.2% received four drug combinations. Of all monotherapy users, Angiotensin Receptor Blocker (ARB) was most prescibed, used in 77.2% cases. Regarding combination therapy, most preferred combination was ARB and calciumchannel- blocker, used in 44.6% cases. Olmesartan (79.4%) was most preferred as ARB. Combination therapy was more preferred than monotherapy and two drug combination was mostly selected. Angiotensin Receptor Blocker was mostly used agent. Existing guidelines had implications in prescribing pattern of antihypertensive drugs.

JCMCTA 2016 ; 27 (2) : 39- 43
Effects of Moringa Oleifera Lam. Leaf Extracts On the Histology of Paracetamol Induced Hepatotoxicity in Rats
Authors: Ata Maliha , Jahangir Selim Mohammmed , Islam Mahbubul , Islam Saiful
Published: October 2022

This study was designed to evaluate the Hepatoprotective effect of extract of Moringa oleifera Lam. leafon the Histology of the liver of albino rats. Thirty (30) adult albino rats were divided into five (5) groups. Group 1 was the Control group that received distilled water for 7 days, group 2 was the vehicle control group that received single dose of 2 ml of propylene glycol and group 3 received single dose of Paracetamol (2gm/kg ), Group 4 recieved only extract of Moringa oleifera Lam. leaffor 7 days and Group 5 was pre-treated with 500 mg/kg of the ethanolic plant extract of Moringa oleifera for 7 days and before inducing the liver damage on the 7th day with 2gm/kg of paracetamol. On the 9th day rats were sacrificed and the liver was fixed immediately in Formalin. The liver tissues was processed and stained in Haematoxylin and Eosin (H&E). The histological observations showed that the plant extract of Moringa oleifera Lam. prevent liver damage.

JCMCTA 2016 ; 27 (2) : 44 - 49
Exploring the Relationship Between Bisphenol A, Iodine and Papillary Thyroid Carcinoma
Authors: Chowdhury Sumon Rahman , Zhenzhen Zhou , Kamal Abu Hena Mostafa , Talukder Mujibul Huq
Published: October 2022

Bisphenol A, one of the environmental endocrine disrupting chemicals, was shown to have a weak estrogen activity and could disrupt thyroid function to some degree. Iodine, which is the most essential microelement that is used for the synthesis of thyroid hormones in humans, was proven to give rise to thyroid diseases, such as thyroiditis, thyroid nodular goiter, and so on. There are relatively very few studies that have considered the role that both Iodine and Bisphenol A play in the development of papillary thyroid carcinoma. Therefore, this crosssectional observational study was carried out to explore the relationship between Iodine, Bisphenol A and Papillary Thyroid Carcinoma. The study included 113 subjects aged from 20 years to 80 years selected from Qilu Hospital of Shandong University from February 2015 to September 2015 and 65 healthy volunteers residing in Jinan, P.R. China. We compared the differences of the concentrations of Urinary Iodine, Urinary Bisphenol A and Serum Bisphenol A among patients of Papillary Thyroid Carcinoma, nodular goiter and normal population. In the PTC and nodular goiter group, urinary BPA and Iodine concentrations were significantly higher than controls stating that the excretion of Iodine and BPA were increased. Meanwhile 23 patients with papillary thyroid carcinoma (43%) had excessive iodine nutrition compared to only 6 volunteers with excessive iodine intake in the control group (9%). These findings suggest that excessive dietary iodine intake is a risk factor for thyroid cancer. Moreover, the significant association between urinary creatine-adjusted BPA and iodine suggest that they might have a synergistic effect on the thyroid.

JCMCTA 2016 ; 27 (2) : 50 - 59
Correlation of HBeAg and Alanine Aminotransferase In Chronic Hbv Carriers
Authors: Akther Shamima , Husain Md Anwar , Hossain HS Mubarak , Chowdhury AHM Saiful Karim
Published: October 2022

Hepatitis B is a major public health problem worldwide, more than 350 million people have chronic infection in which may develop cirrhosis or cancer of the liver. The present study carried out among 61 previously diagnosed chronic hepatitis B patients. Among the 61 cases, 13(21.3%) were HBeAg positive and 48(78.7%) were HBeAg negative. In HBeAg positive cases, 53.85% had elevated and 46.15% had normal ALT levels. In contrast, majority (75%) of HBeAg negative patients had normal ALT levels. There was significance difference between HBeAg and ALT (p<0.05). In conclusion, the present study observed that there was positive correlation among HBeAg and ALT status in chronic HBV carriers. The combination of routine serology and biochemical test may be considered as an alternative to HBV DNA in evaluating the state of chronic HBV infection.

JCMCTA 2016 ; 27 (2) : 60 - 62
Role of Uric Acid as a Prognostic Factor in Acute Myocardial Infacrtion
Authors: Chowdhury Md Zahangir Alam , Sarwar Mirza Golam , Jalil Md Abdul
Published: October 2022

Uric acid has been proven to be a negative prognostic indicator in patients with acute myocardial infarction and heart failure. So the aim of the present study is to evaluate the uric acid as a predictor of outcome after acute myocardial infarction. A total of 120 patients presenting with acute myocardial infarction were included in the study where case were the AMI with heart failure and arrhythmia and control were the only Ami patients. Patients were evaluated in relation with clinical features, risk factors, complications, heart failure with Killip Class and serum uric acid level. Sociodemographic profiles of the study populations were matched in case and control group. Regarding different biochemical variables of case and control where serum uric acid was found significantly higher among the case group than the control (p<0.05). Among different risk factors of MI where hypertension, smocking, DM and sedentary lifestyle were found common in both case and control group showing the different signs of the case and control where all were more or less common among both groups. Serum uric acid level and arrhythmia class among the case group. Regarding prognostic evaluation of uric acid after MI where complete recovery, arrhythmia, recurrent MI, hospital stay and death was significantly found associated with risk stratification. Serum uric levels are raised during an episode of myocardial infarction and more so when the patient is in heart failure. There is a positive correlation between rising serum uric acid levels with higher Killip Class at the time of admission. Thus uric acid can be used as a prognostic indicator in patients presenting with myocardial infarction more so if they are in heart failure.

JCMCTA 2016 ; 27 (2) : 63- 66
Study on Relationship Between Postprandial Triglycerides With Overweight and Obesity
Authors: Hossain Md Kamal , Ahmed Farhena , Suhrawardy SM , Hoque Mahmudul , Khatun Monira , Akter Nasrin
Published: October 2022

Overweight and obesity are the major health problem in both developed and devloping countries. Various lipid abnormalities are observed in overweight and obese population. The objective of the study to evaluate relationship between postprandial triglycerides with overweight and obesity.The present case control study was carried out in the Department of Biochemistry, Chittagong Medical College. Samples were collected from population of different area of Chittagong City Corporation of different occupations, age from 35-60 years. The data were collected by a structured questionaries. BMI was calculated by standardized protocol.Serum triglycerides was estimated at fasting, 2 hours postprandial and 4 hours postprandial condition and was analyzed in the semi auto analyzer.In the obtained results of this study the mean BMI of female was significantly (p <0.05) higher than that of male. Regarding fasting triglycerides there was a significant difference between values of serum triglycerides of cases and controls (p <0.001) . In respect of postprandial serum triglycerides value the mean value were significantly higher than of controls (p <0.001). Increased serum fasting TG was observed in 73% but increased postprandial serum triglycerides was observed in a higher score, ie, 92% cases in two hours postprandial and 81% cases in four hours postprandial.Study showed that post prandial hypertriglyceridemia was the common lipid abnormality in overweight and obese population.

JCMCTA 2016 ; 27 (2) : 67 - 71
A Comparison of Different Doses of Sufentanil Combined With Flurbiprofen Axetil In Postoperative Analgesia for Children Undergoing Innominate Osteotomy in China
Authors: Chowdhury Alvira Jafar , Barua Subrata , Das Pritam , Wei Wang Rui , Yuan Zhang Meng
Published: October 2022

To evaluate the analgesic efficacy of different doses of sufentanil combined with flurbiprofen axetil in children undergoing innominate osteotomy. Ninety children scheduled for elective innominate osteotomy under general anesthesia were enrolled and randomly divided into 3 groups. All the children received 1mg/kg flurbiprofen axetil intravenously before skin incision for pre-emptive analgesia. Patient Controlled Intravenous Analgesia (PCIA) was started at the end of the operation with the following composition: Sufentanil 1.5 g/kg and ondansetron 0.1 mg/kg in 0.9% NS 100ml (Group N1) sufentanil 2.0 g/kg and ondansetron 0.1 mg/kg in 0.9% NS 100ml (Group N2) and sufentanil 2.5 g/kg and ondansetron 0.1 mg/kg in 0.9% NS 100ml (Group N3). FLACC scores and Ramsay sedation scores were recorded at 2, 4 ,8 ,12 ,24 and 36h after the operation;the PCA button press number and side effects were observed and recorded. FLACC scores in group N1 were higher than group N2 and N3 (p<0.05).Ramsay scores in group N1 were lower than group N2 and N3 (p<0.05).There were no significant differences in FLACC scores and Ramsay scores between group N1 and N2 (p> 0.05).The incidence of side effects was significantly higher in group N3 compared with group N1 and N2 (p<0.05). Combined with 1mg/kg flurbiprofen axetil for preemptive analgesia , PCIA with sufentanil 2.0 g/kg and ondansetron 0.1 mg/kg in 0.9% NS 100ml may be an effective postoperative analgesia solution for children undergoing innominate osteotomy ,with less side effects.

JCMCTA 2016 ; 27 (2) : 77 - 80
Giant Salivary Calculi of the Submandibular Gland Duct : A Case Report
Authors: Hossain HS Mubarak , Ahmad Ashfaq , Amin Mamoon Ibn , Akther Shamima
Published: October 2022

Giant sialoliths are classified as those exceeding 15 mm in any one dimension.Sialolithiasis is the most common disease of salivary glands and approximately 80% of all reported cases of sialoliths occur in the sub mandibular salivary gland and its duct. A case of unusually large sialolith arising in the submandibular salivary gland duct presented which was removed surgically through per-oral approach.It was measured to be 38 mm along with its greatest length and 15 mm wide.

JCMCTA 2016 ; 27 (2) : 81 - 83
Pregnancy With Malignant Ovarian Tumour With Good Out Come : A Case Report
Authors: Kabir Shanjida , Akther Shahena , Majumder Afroza Akter , Pasha Meah Sarwar Kamal
Published: October 2022

The incidence of cancer during pregnancy is increased in recent years. The rate of increase is attributed to, not only higher rate of cancer in general, but also to a delay in child-bearing age. We report such an uncommon case of pregnancy with malignant ovarian tumor. Our case is a 26 years 2nd gravida presented at 32 weeks of her pregnancy with acute abdomen in emergency department of BBMH, USTC. A thorough clinical examination and investigation revealed pregnancy with ovarian tumor with sub-acute intestinal obstruction. The patient is treated with surgery followed by chemotherapy. Now the patient is normal without evidence of disease upto 12 months with a healthy Baby. The case is selected due to the rarity of the condition and the diagnostic dilemma when it presents during pregnancy.

JCMCTA 2016 ; 27 (2) : 84 - 86
Ritalina em crianças com déficit de atenção e hiperatividade
Authors: Ladislau Rebeca Simão , Silva Francisco Gabriel Carvalho da , Silva Gerson Luiz da Silva e , Oliveira Antônio Bartolomeu Teixeira de , Magalhães Edivane Queiroz de , Rodrigues Junior Omero Martins
Published: October 2022

Introdução: O Transtorno de Déficit de Atenção com Hiperatividade (TDAH) se caracteriza por sintomas de: desatenção, a hiperatividade e a impulsividade. O tratamento deve ser multimodal, combinando o uso de psicofármacos com intervenções psicossociais e a Terapia Cognitivo-Comportamental (TCC), é uma das psicoterapias indicadas para tratar essa patologia. Objetivo: O objetivo principal para a realização de este artigo dar-se pela necessidade em conhecer melhor sobre o Transtorno de déficit de atenção e hiperatividade, bem como suas causas e consequências e também conhecer melhor sobre o medicamento utilizado como uma das formas de tratamento sendo neste caso a Ritalina. Metodologia: a pesquisa foi desenvolvida através de buscas nas plataformas Scielo (Biblioteca Eletrônica Scientifc Eletronic Library Onlinne) e Lilacs. Sendo fundamentado em uma revisão de literatura, segundo Silva (2019) , utilizando-se termos e descritores relacionados ao uso de Ritalina em crianças com déficit de atenção e hiperatividade. Foram excluídos os artigos que não atenderam aos critérios de inclusão, aqueles que apresentaram duplicidade de dados e os artigos que após leitura detalhada não atenderam ao objetivo proposto nessa revisão. Por fim foram selecionadas 24 publicaçãoes para compor o estudo. Conclusão: A problemática do TDAH vai além dos sintomas relatados, mas a presença dos mesmos, leva a consequências negativas, interferindo no psiquismo, memória, relações familiares, sociais e posteriormente, na vida profissional do acometido.
Elaboração e cálculo do valor nutricional de um bolo tipo muffins com adição de abóbora e castanha de cumbaru
Authors: Sousa Márcia Ramos de , Siqueira Ana Elisa Barbosa
Published: October 2022

Objetivo do presente estudo foi a elaboração, caracterização física e cálculo do valor nutricional de um bolo tipo muffins com adição de polpa e casca de abóbora cabotiá in natura com castanha de cumbaru. Foram formulados muffins padrão (M.P) massa simples, sem sabor. Com base de 100 % do M.P foram adicionados 15 % (MI) e 45 % (MII) de abóbora in natura ralada com polpa e casca na massa crua. As castanhas de cumbaru foram colocadas nas três formulações. Avaliou-se o teor de umidade, cinzas, rendimento e cálculo do valor nutricional. Os resultados de umidade para o M.P foi de 20,95 %, M.I 26,48 % e M.II 36,48. Os valores das análises dos resíduos minerais (cinzas) foram de 5,13% para M.P, 4,56% M.I e 4,12% M.II. No que diz respeito ao rendimento obtido foram de 82,09 %, 83,93 % e 85,39 % para as formulações M.P, M.I e M.II respectivamente. O valor enérgico da formulação M.P foi de 351 Kcal, M.I 312 Kcal e M.II 257 Kcal. Conclui-se que foi possível a elaboração e obtenção do bolo tipo muffins, nas duas formulações onde foram adicionadas a casca e polpa da abóbora, mantendo a maciez e redução do valor energético se comparadas ao muffins tido como padrão.
Allelic variations in alcohol metabolism genes (ADH1B, ADH1C, CYP2E1) and alcohol use disorder (AUD) in northeastern Brazil
Authors: Melo Anne Jurkiewicz , Rocha Jefferson Almeida , Carvalho Mônika Machado de , Yoshioka France Keiko , Pinto Giovanny Rebouças , Motta Fábio José Nascimento , Canalle Renata
Published: October 2022

Alcohol use disorder (AUD) is a multifactorial disease caused by environmental and genetic factors. Genetic polymorphisms of the enzymes involved in alcohol metabolism influence the susceptibility to alcohol dependence. The distribution of the genetic variants varies depending on ethnicity. The aim of this study was to evaluate the effects of the polymorphisms of the three genes responsible for the degradation of ethanol, ADH1B, ADH1C, and CYP2E1 to examine the influence of these mutations on the risk for alcohol use disorder in a population from northeastern Brazil. In addition, the allelic distribution of the northeastern population will be compared with that obtained for other populations. The allelic and genotypic frequencies were determined in 163 alcoholic patients and 182 control subjects. Genotyping was performed by PCR-RFLP. The allele frequencies in the northeastern population were similar to those reported in studies in Mexico but differed significantly from those reported in studies of a Chinese population. The polymorphic variants of CYP2E1 were associated with a higher risk for alcohol use disorder [odds ratio (OR) = 2.80; 95% confidence interval (CI) = 1.35-5.83, p = 0.0072]. No significant result was obtained from the analyses of the ADH1C gene. A significant protective effect against alcohol dependence was observed in individuals carrying allelic and genotypic variations of the ADH1B gene, as determined through the combined analysis of homozygous and heterozygous variant forms of the gene in controls and alcoholics (P = 0.03). Furthermore, the combination of ADH1B*2 with ADH1C*1 and CYP2E1 (c1/c1) may confer protection against alcohol use disorder.
Desinfestação, propagação in vitro e subcultivo de Pereskia aculeata Mill
Authors: Bordignon Karine , Nagel Jordana Caroline , Sommer Laura Reisdörfer , Heinzmann Natália
Published: October 2022

O objetivo deste trabalho foi avaliar a desinfestação, propagação in vitro e subcultivo de ora-pro-nóbis. No primeiro experimento, realizou-se a desinfestação dos explantes com diferentes concentrações de hipoclorito de sódio (2%, 4%, 6%). No segundo, foi realizada a propagação de 600 segmentos nodais, sob diferentes concentrações de meio MS (MS, MS/2, MS/4) e combinações de fitorreguladores: 1) ANA (0,5μM) + BAP (0,5μM); 2) ANA (0,5μM) + BAP (1,0μM); 3) ANA (0,5μM) + BAP (1,5μM); 4) ANA (0,5μM) + BAP (2,0μM); 5) ANA (0,5μM), com e sem adição de carvão ativado. No terceiro, foi realizado o subcultivo em meio MS a partir dos calos desenvolvidos no segundo experimento, submetidos a três tratamentos: T1 - ANA (2μM) + BAP (4μM); T2 - ANA (0,1μM) + BAP (1μM) e T3 - ANA (0,5μM). A concentração de 4% de NaClO foi mais eficiente, apresentando 5% de contaminação. As maiores taxas de multiplicação de calos foram observadas em meio MS/2 sem adição de carvão, suplementado com 0,5μM de ANA e diferentes concentrações de BAP (1,0μM, 1,5μM e 2,0μM) com médias de 0,85 e 0,80 calos por tratamento. Em 47,16% dos explantes ocorreram contaminações fúngicas e bacterianas e 23,5% oxidação. Há a necessidade de desenvolver protocolos para o estabelecimento da ora-pro-nóbis in vitro como, por exemplo, alternativas para controle da oxidação, contaminação e concentrações adequadas dos reguladores de crescimento.
O perfil gerenciador do enfermeiro, seu papel no Centro de Materiais e na proposição do Sistema ABC
Authors: Cioccari Maria Luiza , Betat Marcella Gabrielle
Published: October 2022

Objetivo: analisar as características inerentes ao enfermeiro e as vantagens da implementação do método ABC no Centro de Materiais e Esterilização de um Hospital. Método: trata-se de uma revisão integrativa de trabalhos que abordam tais aspectos da função gerencial desempenhada pelo enfermeiro, e como se dá a implementação do sistema ABC (Activities-based costs) dentro dos hospitais. Como critérios de inclusão definiram-se: o acesso ao estudo completo, sua extensão e relevância para responder às questões levantadas, e limitou-se a um período de 15 anos como faixa temporal. Resultados: O esforço empreendido mostra que o enfermeiro que trabalha no Centro de Materiais e Esterilização (CME) tem papel fundamental nos processos de capacitação e educação continuada, bem como avaliação do desempenho, assim como no gerenciamento dos custos. O outro ângulo da pesquisa mostra que é possível a implementação do sistema ABC e comprova sua eficiência e eficácia na diminuição de custos e maior controle dos estoques. Considerações Finais: A mudança de método de absorção para o método ABC provou-se um sistema mais eficaz no custeio e que pode ser aplicado em todos os setores de um hospital, além de trazer vantagens a longo, médio e curto prazo para a diminuição dos custos de materiais e por consequência impactando nos processos diários executados e no orçamento.
A prática de automedicação em adultos e idosos: uma revisão de literatura
Authors: Silva Lucas Rodrigues da , Franco Jéssyka Viana Valadares , Nestor Irene Caroline Noleto , Santos Jullia José dos , Fonseca Juliana Barros , Barbosa Juliana Marinho , Lima Allan Michael de , Labre Thiago Brilhante Pereira , Leão Natallia Moreira Lopes , Gontijo Érica Eugênio Lourenço
Published: October 2022

A automedicação se tornou uma atividade com um acelerado aumento nos últimos anos. É caracterizada pelo uso de medicamentos sem a prescrição por um profissional da saúde devidamente habilitado. É uma prática muito recorrente, que pode ser justificada pela baixa qualidade de alguns atendimentos em saúde, além de ser uma conduta que pode proporcionar o autocuidado, minimizando sintomas e desconfortos. Para que haja segurança na automedicação, os usuários de medicamentos devem receber maiores conhecimentos sobre o que estão adquirindo nas farmácias, bem como os profissionais destes estabelecimentos devem estar aptos para esta orientação. Isto pode prevenir possíveis situações de mascaramento de sintomas, interações ou reações adversas a medicamentos. O estudo é baseado em uma revisão de literatura, ao qual se fundamentou em trabalhos científicos já publicados entre os anos de 2013 a 202 extraídos de bancos de dados, tais como, Scielo, PubMed, e Google Acadêmico, sendo selecionados 25 artigos que pudessem abordar o tema, demonstrar justificativas para seu uso, agregar situações em que a automedicação possa ser utilizada. Portanto, a automedicação em idosos é uma prática comum, porém, com muitas chances de gerar problemas de saúde mais graves. Conforme a idade avança, aumenta a prevalência de doenças comuns a faixa etária, o que induz o uso de polifarmácia. O objetivo do estudo é conscientizar a população sobre os riscos da automedicação para saúde e demonstrar a importância da prescrição do profissional para o uso de medicamentos.
Violência contra a mulher no século XXI: descortinando a história
Authors: Ribeiro Patrícia Kecianne Costa , Pereira Lucélia Maria Sobral , Lima Louise Verônica Costa
Published: October 2022

A temática acerca da violência contra a mulher é antiga, contudo, atemporais, visto que está presente na sociedade ainda no século XXI. A origem desta violência não pode ser definida, uma vez que não pode ser elencada a uma determinada época, cultura, classe social ou localidade específica. Nesta perspectiva, o presente trabalho propõe uma reflexão sobre a Mulher do século XXI e a violência sofrida por ela. Diante disso, foram analisados artigos presentes em plataformas como o Portal de Periódicos Eletrônicos em Psicologia (PePSIC); Scientific Eletronic Library Online (SciELO); Portal da CAPES e Biblioteca Digital Brasileira de Teses e Dissertações (BDTD); além de plataformas federais para a sistematização do conhecimento das leis vigentes no país. Os itens referenciais aqui analisados foram publicados entre os anos de 2015 e 2022, e têm como principais descritores Violência contra a mulher e Enfrentamento à violência. Assim, foi possível inferir que a mulher do século XXI evoluiu graças ao seu ímpeto e determinação, porém ainda se vê refém de uma violência que possui raízes sociais bastante profundas, que por sua vez carecem de um processo de desconstrução deveras ainda grande. Sendo assim, os direitos básicos da mulher ainda não são respeitados em sua totalidade, expondo as mulheres, cotidianamente, à desvalorização, medo e insegurança.
Percepção do consumidor quanto as informações presentes nas embalagens de alimentos
Authors: Oliveira Paula Maria Nascimento de , Melo Nathália Ramos de , Vidigal Márcia Cristina Teixeira Ribeiro
Published: October 2022

Com os anos o rótulo e a embalagem foram tomando maior popularidade entre a população e hoje eles são o maior canal de comunicação entre a marca e o consumidor no momento da tomada de decisão de compra. A rotulagem de produtos alimentícios é assunto de preocupação entre as indústrias e os consumidores. A demanda é crescente da sociedade por informações confiáveis e de fácil compreensão. O rótulo possui diversas informações inscritas para que o consumidor tome sua decisão de compra baseado nelas, porém não se sabe se a maioria da população realmente compreende aquilo que está escrito. O presente trabalho buscou verificar se os consumidores leem os rótulos e compreendem as muitas informações ali presentes, sejam as descritas ou simbologias utilizadas. O estudo foi realizado por meio de questionário online elaborado na plataforma Google Forms, e divulgado por meios eletrônicos de redes sociais (Instagram, Facebook, WhatsApp) e e-mail. Foram entrevistados 500 (quinhentos) pessoas com mais de 18 anos da região Sudeste do Brasil com distintos níveis educacionais, classe social familiar e estado civil. Pode-se verificar que 52% dos consumidores entendem as imagens e instruções contidas nos rótulos de uma forma geral e que o nível educacional interfere na compreensão dos respondentes.