bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Self-identity and Positive Emotion Intervention on College Students' English Reading Study on the Correlation between Test Scores
Authors: Zhang Ziyu , Yang Yilei , Mao Zijun
Published: May 2024

The aim of this study was to investigate the impact of self-identification and positive emotion intervention on college students' English reading comprehension. In the context of globalization, proficiency in English reading is crucial for effective cross-cultural communication and career advancement. However, previous research has primarily focused on the influence of self-efficacy on long-term learning, neglecting the examination-specific utilization of psychological adjustment strategies (such as positive emotional intervention) and its correlation with test performance and scores among students. Therefore, this study posits that through psychological adjustment and alleviation of test anxiety, positive emotional intervention and self-identification can facilitate improvements in English reading comprehension skills as well as enhance test coping abilities. A total of 61 non-English major college students were randomly selected and divided into two groups: “moderate self-identification group” and “high self-identification group”. Each group was further subdivided into an intervention group and a control group. The statistical software SPSS was employed to conduct descriptive statistics, correlation analysis, cluster analysis, and difference analysis in order to elucidate the relationship between positive emotions, self-identification, and English reading scores. These findings aim to provide novel insights for both the education industry and the psychological field. The results revealed that positive emotion intervention significantly influenced students' English reading test scores across different levels of self-identification. Specifically, students with a moderate level of self-identification exhibited improved performance after receiving positive emotion intervention, whereas those with a high level of self-identification maintained better performance without additional situational motivation. Furthermore, it was observed that reading materials of varying difficulty levels also impacted reading comprehension at an intermediate level of English proficiency. Overall, this study confirms the efficacy of positive emotion intervention in assisting students in effectively coping with challenges and enhancing their accuracy.
Examining the Relationship between Teachers’ Pedagogical Authority and Students’ Creativity in Moroccan Classrooms
Authors: Khamouja Abdessallam , Mohamed Benmhammed , Azize El Ghouati
Published: May 2024

Education is a critical tool for making a productive student equipped with the necessary skills that can help him be self-reliant and creative. This requires modern teaching pedagogies that put students at the heart of the learning process. In the Moroccan context, there have been different initiatives to reform the education system. This reform tried to implement modern teaching pedagogies that decrease teachers’ dominance in the classroom. The main purpose of the present study is to find out the relationship between teachers’ pedagogical practices and students’ creativity at the high school level after the pedagogical reform. Twenty students studying at the second-year baccalaureate level were selected from four high schools by using the convenience sampling technique. A mixed-methods approach is adopted in the current study. The participants are given a five-point Likert scale questionnaire to fill out and answer semi-structured interview questions. The findings indicate that there is a relationship between teachers’ teaching practices and students’ creativity.
Strategic Employee Performance Analysis in the USA: Deploying Machine Learning Algorithms Intelligently
Authors: Nisha Gurung  , Md Sumon Gazi  , Md Zahidul Islam
Published: May 2024

Strategic employee performance assessment assists organizations in steering productivity, affirming employee satisfaction, and accomplishing strategic organizational goals. Machine learning algorithms provide several benefits over mainstream techniques in assessing employee performance. This research paper aimed to explore the deployment of machine learning algorithms in assessing employee performance. The prime objective of employee performance analysis is to assess an employee's achievement during a specific time frame. The dataset for this research revolved around the leadership team of a global retailer's specific store level in the USA, extending over 18 months. The dataset for this study was subjected to Python programming software for intensive and comprehensive data analysis as well as for visualization purposes. From the experiment design, it was evident that XG-Boost seems to be the best-performing model overall. In particular, it had the greatest AUC for both holdout and training data (0.86 and 0.88, respectively), and it has a relatively low runtime (16 minutes) and maximum memory utilization (12%). By contrast, Random Forest displayed an average AUC for training data (0.79) but a lesser AUC for holdout data (0.51), which indicates that it may be overfitting the training data; besides, it had a longer runtime than XG-Boost.
Computer-Assisted Language Learning: Pros and Cons from the Perspective of Moroccan EFL Instructors
Authors: Mjahad Rania , El Karfa Abderrahim
Published: May 2024

The fast advancement of technology has profoundly impacted how we live, work, and even learn. In the education sector, technology plays a significant role as it has transformed the traditional methods of teaching and learning processes. Computer-assisted language learning and teaching is a concrete example of how technological development has revolutionised the field of education. Computers are incredibly powerful teaching instruments that can support many learning objectives. Therefore, the current study aims to investigate Moroccan high school teachers' perceptions about the potential pros and cons of computer technology in learning English as a foreign language (EFL). To attain the study's objective, the researchers employed a self-developed online questionnaire involving 112 participants. The research results indicate that EFL instructors in Fes-Meknes, Morocco, have positive perceptions regarding implementing CALL in their classrooms. The results suggest that the programs can motivate the learners, enhance their confidence, motivate them, and allow access to diversified educational material. Still, constraints related to financing, uneven access to technology, and scarcity of professional training for teachers are hindering the full implementation of CALL. The research recommends improving financial investment in the educational field, guaranteeing impartial access to technology and providing human resources with professional training to ensure the effective integration of CALL.
Scope, Strengths and Limitations of EFL Vocabulary Research in Iraq: A Country in Focus
Authors: Alrickaby Amjed
Published: May 2024

Examining previous research plays a crucial role in informing policy decisions, educational policies, and researchers about present conditions and future endeavours. While the landscape of English as a Foreign Language (EFL) vocabulary research in Iraq remains largely unexplored, this study undertakes a systematic review of existing research to delineate its scope, strengths, and limitations. An analysis of 24 studies meeting established criteria is categorized into four research strands: (1) vocabulary learning enhancement, (2) vocabulary learning strategies, (3) evaluation of vocabulary teaching techniques, and (4) vocabulary learning achievement. Each strand is examined for its characteristics, research designs, strengths, and limitations. Findings reveal that while research in the first strand meets sampling requirements, it often lacks educational foundations, fails to track actual usage, employs inadequate effectiveness measurements, exhibits questionable learning outcomes, faces uncontrollable variables, and raises concerns about applicability. Studies in the second strand primarily target university students, sometimes overlook sampling requirements, and neglect participants’ backgrounds and personal variables. Research in the third strand adequately recruits participants but focuses solely on pre-university education, with gaps in research design regarding treatment duration. Studies in the fourth strand exhibit shortcomings in achievement measurement methods. Recommendations and suggestions for future research, derived from this systematic review, aim to address identified gaps and enhance the quality of EFL vocabulary research in Iraq.
THE ASSESSMENT OF THE FACTORS OF RESILIENCE TO CLIMATE CHANGE AMONG ARABLE CROP FARMERS IN DELTA STATE. NIGERIA.
Authors: GIWEZE E.A , IGHORO A.
Published: May 2024

Climate change is real and overwhelmingly affecting farming activities in Delta State. Objectives of the study are to identify arable crops that the farmers in Delta State cultivate, identify agricultural practices that are resilient to climate change and constraints affecting the choice of agricultural practices in Delta State. Arable crop farmers in Delta State formed the population from which sample was drawn. A multi-stage sampling technique was used to sample the farmers to get the sample size of 225. Data were analyzed with frequency, percentage, mean and standard deviation. Majority of arable crop farmers (55.4%) were female. Maize, cassava, vegetables, beans, cowpea and yam are major arable crops engaged. The results indicated that mixed cropping (=3.18); planting of trees (=3.13); increase use of
organic fertilizers (=2.57); mulching of crop (=2.93); planting pest and disease resistant crops (=2.92) were considered serious resilience factors. Factors such as high cost of improved planting varieties (=3.35); poor funding of agricultural rural development program (=3.32); lack of information (=3.34); low capacity of extension agents to boost and build farmers resilience (=3.02) were agreed constraints affecting the choice of agricultural practices. The study revealed that arable crop farmers in Delta State engaged many practices as resilience factors to climate change but many factors affecting their choice of agricultural practices
Surgical Management and Short-Term Outcome of Patients with Posterior Fossa Tumor in All Age Groups: Our Perspective
Authors: Sultana Mst Shamima , Rahman Md Habibur , Roy Rajkumar , Bhuiyan Tofael Hossain , Azad Md Abul Kalam , Azam Md Isma , Islam Md Shafiqul
Published: May 2024

Background: Different types of brain tumor can occur in the region of posterior fossa. Ependymoma, medulloblastoma and pilocytic astrocytoma occur mostly in children and rarely in adults. Brain metastases in adults are the most common malignancies at this site. Other tumors that occur in the posterior fossa are meningioma, schwannoma, hemangioblastoma, brain stem glioma and epidermoid tumors. Posterior fossa tumor has different treatment approaches and prognosis. So, an accurate diagnosis, surgical approaches, complication analysis and outcome assessment are mandatory. Objective: To evaluate the clinical aspects, surgical approach, role of preoperative shunt, post-operative complications, and short-term outcome of patients with posterior fossa tumor in different age groups. Methods: This cross-sectional observational study included 36 patients with posterior fossa tumors that were admitted and operated in the Neurosurgery Department of Rangpur Medical College Hospital between the period of November 2018 and June 2022. In each patient clinically diagnosis was confirmed by MRI of Brain with contrast followed by histopathology. Results: Out of 36 patients, 23(63.9%) patients were male and 13(36.1%) were female. Mean age was 18.01±13.95 SD years (minimum 6 months and maximum 45 years), more common in pediatric age group (36.1% <10 years and 25% between 11-20 years). Common presentations were headache (91.6%), vomiting (83.3%) and ataxia (72.2%). Medulloblastoma (27.8%) and ependymoma (25%) were common histological types. Surgical outcome was excellent in 17 cases (47.2%), while poor in 5.6% and 19.4% patients died. There was no statistically significant association of surgical outcome with age (p=0.148) and sex (p=0.170). Suboccipital craniotomy was superior to other surgical procedures in terms of patient’s outcome (p=0.031). Ependymomas and Astrocytomas had better outcome (p=0.014). Conclusions: Surgical outcome is related to the operative approach and histology of the tumor in this study, but no significant association of patient’s outcome with age, sex and preoperative procedure.
J Rang Med Col. March 2024; Vol. 9, No. 1: 3-9
Pattern of Breast Cancer in Women at Child-bearing Age, its Risk Factors and Clinicopathological Evaluation in Tertiary Level Hospital
Authors: Haque Md Rasedul , Hossain Md Amzad
Published: May 2024

Background: Carcinoma breast is the leading cancer in female in Bangladesh, increasing significantly due to urbanization and adoption of western life style. Objective: This study aimed to systematically understand the pattern of breast cancer, its risk factors and clinicopathological evaluation in women at their childbearing age. Methods: A cross sectional observational study, data was collected from 50 patients of histopathologically confirmed breast cancer in the department of Surgery, Combined Military Hospital, Dhaka from 2022 to 2023. Results: The majority of the cases were 41-45(42%) years age with mean presentation was 43.55 (SD-/+9.63) years. Invasive ductal carcinoma was the most common subtype 86%, followed by ductal carcinoma in situ (8%). Of the cases 2% were nullipara and 46% had two children. Median age of at 1st birth was 21 years. A significant proportion (16%) had family history of breast cancer. 98% patients gave history of breast feeding. Conclusions: Breast cancer is increasingly occurring in younger age groups in Bangladesh, results suggested a mixture of different factors in women like age of menarche, age of first child birth, parity, history of breast feeding and family history poses higher risk for breast cancer.
J Rang Med Col. March 2024; Vol. 9, No. 1:16-21
Vitamin D and it’s Association with FokI VDR Polymorphism in Patients with Asthma-COPD Overlap
Authors: Rosy Sharkia Khanam , Ali Taskina , Biswas Subroto Kumar , Asaduzzaman Md , Alam Md Sarwar Murshed , Rahman Md Habibur , Anwar Md Mahfuj Ul , Nuruzzaman Md
Published: May 2024

Background: Asthma-COPD overlap is a new phenotype in respiratory ailments. It has been shown that this group of patients might possess vitamin D3 deficiency. The association of vitamin D receptor (VDR) gene polymorphism with serum vitamin D status in ACO patients has not been investigated yet. Objective: To assess the association of VDR gene polymorphism (FokI) with serum vitamin D status in patients with Asthma-COPD overlap. Methods: This cross-sectional study was carried out in the Department of Physiology of Bangabandhu Sheikh Mujib Medical University, Dhaka, from January 2018 to July 2018 on 23 (twenty-three) patients (aged ≥40 years) with ACO. For comparison, 24 (twenty-four) apparently healthy age, smoking duration and BMI matched subjects were selected. For all participants single nucleotide polymorphism of VDR gene FokI (rs10735810) was done by DNA extraction, polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). Vitamin D3 was measured by using automated analyzer: ARCHITECT Plus ci4100. The results were expressed as mean with standard error (mean±SEM) and frequency distribution. The data were statistically analyzed by Graphpad prism (Version 7) using independent sample ‘t’ test, two sample proportion test, Fisher exact test and ANOVA test. In the interpretation of results, ≤0.05 level of probability (p) was accepted as significant. Results: The mean±SEM of serum 25(OH)D were 16.37±0.78 and 18.46±1.01 ng/ml in control and study groups, respectively. The frequency distribution of FokI genotype was 86.95% (FF), 8.69% (Ff), 4.35% (ff) and 91.66% (FF), 4.17% (Ff), 4.17% (ff) in ACO patients and healthy subjects, respectively. When FoKI VDR SNP was analyzed with serum vitamin D status in patients with ACO, statistically no association was seen. Conclusions: FokI VDR SNP is not associated with serum vitamin D status in patients with ACO.
J Rang Med Col. March 2024; Vol. 9, No. 1: 22-27
Comparison of Maternal and Neonatal Complications in Women with and without Gestational Diabetes Mellitus
Authors: Akbar Tania , Begum Sheuly , Karmaker Anuradha , Hamid Marmarin , Nupur Rokshana Parvin
Published: May 2024

Background: Gestational Diabetes Mellitus (GDM) is a common pregnancy-related metabolic disorder associated with adverse maternal and neonatal outcomes. Gestational Diabetes Mellitus is characterized by glucose intolerance that develops during pregnancy. It affects approximately 7% of all pregnancies and has been linked to an increased risk of maternal and neonatal complications. Objective: The study was aimed to provide a comprehensive comparison of maternal and neonatal complications in women with and without GDM involving a thorough examination of medical records and clinical data to identify patterns and associations between GDM and various complications. Methods: A retrospective cohort study was conducted, including pregnant women with and without GDM who received prenatal care and underwent hospital delivery at the Department of Obstetrics and Gynecology, Enam Medical College and Hospital, Dhaka, Bangladesh from June 2022 to June 2023. Clinical data, including maternal age, gestational age at diagnosis, parity, and antenatal care were collected. Pregnancy outcomes, such as maternal complications, and live birth complications were also assessed. Result: A total of 60 pregnant women were included in the analysis, 30 were diagnosed with GDM and 30 without GDM. Analysis of pregnancy outcomes revealed a higher incidence of cesarean section deliveries in the GDM group (p<.05). Additionally, infants born to mothers with GDM had a higher risk of neonatal complications. Conclusions: Women diagnosed with GDM demonstrated distinct clinical characteristics and experienced a higher incidence of adverse pregnancy outcomes. These findings underscore the importance of effective management and close monitoring of pregnant women with GDM to optimize maternal and neonatal health.
J Rang Med Col. March 2024; Vol. 9, No. 1: 28-32
Clinical Association of Lupus Erythematosus with Patients of Vitiligo: A Case Control Study
Authors: Azzad Mohammad Abul Kalam , Rashid Muhammad Munir , Noor Syeda Fateha , Chowdhury Abu Hena , Khondoker Lubna
Published: May 2024

Background: Vitiligo is an idiopathic acquired depigmentary skin/ mucous membrane disorder. Lupus erythematosus and vitiligo are diseases of autoimmune origin. A genetic explanation for the association between lupus erythematosus and vitiligo has recently been attempted. Objective: To find out the association of lupus Erythematosus in patients of vitiligo. Methods: This case control study was carried out in the department of Dermatology & Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during the period of January 2023 to December 2023. A total of 180 patients with and without vitiligo from both genders and different ages for case and control groups were included in the study based on inclusion and exclusion criteria. Patients were divided into two groups, 90 patients with vitiligo as cases and 90 patients without vitiligo (healthy subjects) as controls. Wood’s lamp examination was performed for diagnosis of vitiligo. LE was diagnosed based on ACR criteria and laboratory test including Complete blood count, Urinalysis, ANA, anti-ds DNA, VDRL and Skin biopsy. Patients with lupus erythematosus and patients without lupus erythematosus were considered as group I and group II respectively. Results: In this study, the mean age was found 41.7±12.8 years in case group (Vitiligo) and 42.1±13.6 years in control group (Healthy subjects).More than half (51.1%) of the patients were female in case group and 41(45.6%) in control group. There was no significant difference was found regarding age, sex, anemia, leucopenia, thrombocytopenia, proteinuria, ANA and anti ds-DNA. Family history of vitiligo was significantly higher in vitiligo patients than healthy patients (26.7% vs 12.2%). The majority 45(50.0%) presented with generalize followed by 21(23.3) acrofacial, 13(14.4%) focal, 10(11.1%) segmental and 1(1.1%) mucosal of vitiligo. Lupus erythematosus was higher in vitiligo patients than healthy patients (4.4% vs 1.1%) but the difference was not statistically significant between the two groups (p=0.184). Conclusions: This study concluded that family history of vitiligo was significantly higher in vitiligo patients than healthy patients. Lupus erythematosus was higher in vitiligo patients than healthy patients, but not statistically significant.
J Rang Med Col. March 2024; Vol. 9, No. 1: 33-38
Evaluation of Morbidity and Mortality of Eclampsia at Brahmanbaria Medical College and Hospital
Authors: Rahman Saima , Begum Nasima , Mahmud Ashik
Published: May 2024

Background: Eclampsia is a severe and life-threatening complication of pregnancy, characterized by the onset of seizures in a woman with preeclampsia. This hypertensive disorder of pregnancy is associated with a range of maternal complications, presenting a significant challenge in obstetric care. Maternal complications of this nature can significantly affect both maternal and perinatal health, potentially leading to higher rates of mortality and morbidity. Objective: This study was aimed to evaluate the morbidity and mortality of eclampsia in Brahmanbaria Medical College and Hospital. Methods: This cross-sectional observational study was conducted at Brahmanbaria Medical College and Hospital, Brahmanbaria, Bangladesh, from January 2021 to December 2021. The study included 56 pregnant women with eclampsia purposively. Demographic and clinical information was recorded, and data analysis and dissemination were carried out using MS Office tools. Results: Regarding perinatal outcomes, 80% of cases resulted in live births, with a 57% survival rate. Among live births, 4% experienced post-birth mortality, and 11% faced early neonatal death. Among live births (n=45), a significant 69% experienced intrauterine growth restriction (IUGR). Maternal complications included abruptio placenta in 32% of cases, HELLP syndrome in 5%, and maternal death occurred in 5% of cases. Conclusions: Eclampsia assessment shows complex perinatal and maternal outcomes. Live births are common, but survival is challenging. High post-birth and neonatal mortality highlight newborn vulnerability. Intrauterine growth restriction (IUGR) worsens newborn health concerns. Maternal issues like abruptio-placenta, HELLP syndrome, and maternal death further complicate matters.
J Rang Med Col. March 2024; Vol. 9, No. 1: 39-43
Sociodemographic and Clinical Characteristics of Persons with Epilepsy Attending an Epilepsy Clinic of a Tertiary Hospital in Bangladesh
Authors: Amin Md Ruhul , Haque Md Emdadul , Majumder Sukumar , Hanif Md Abu , Pondit Proshanta Kumar , Morshed Md Montashim
Published: May 2024

Background: Epilepsy is a common neurological disorder found in all societies. It is seen that the relative frequency of various clinically important characteristics is different in persons with epilepsy (PWE) living in different geographical areas. The purpose of this study was to describe the sociodemographic and clinical characteristics of a cohort of patients with epilepsy from an Epilepsy Clinic of a tertiary hospital in Bangladesh. Methods: This cross-sectional study was conducted in the Department of Neurology at Rangpur Medical College Hospital, Rangpur, Bangladesh, from July 2022 to June 2023. The patients were recruited from the epilepsy clinic. A structured questionnaire was designed to collect relevant information by interviewing the consecutive PWEs. Results: A total of 252 PWEs were recruited, of which 134(53.2%) were male. Most [200(79.4%)] of them were young (age group 0 to 29 years) and had generalized seizures 147(58.3%). The median age of the 1st seizure was 11 years (range 0.5-73.0), and the median duration of epilepsy was 5.0(0-35) years in the present study. EEG, CT scan, and MRI could be done in 200(79.4%), 128(50.8%), and 68(27%, respectively. Among them, 24.2%(61), 10.7%(27), and 11.1%(28) patients had different types of abnormalities on EEG, CT scan, and MRI, respectively. A family history of seizures was present in 20(7.9%) patients. Sixteen patients(6.3%) were not getting any AEDs, 63.1% and 30.6% were on single and multiple AEDs, respectively. Sixty-five (25.8%) patients reported stopping the drug without any medical consultation. Forgetfulness was the most reported (21, 33.8%) reason for stopping drugs, followed by the misconception that the disease was cured (14, 21.5%), lack of time to buy pills (12, 18.5%), and no money to buy (9, 13.8%). Seventy-seven reported having two or more continuous seizures despite taking AEDs regularly. Conclusions: Present study documented some treatment gap and non-adherence to medication in PWE. PWE should be adequately advised about the disease and the effects of drug non-compliance.
J Rang Med Col. March 2024; Vol. 9, No. 1: 44-49
Frequency of Hypocalcemia and Hypomagnesemia in Autistic Spectrum Disordered Children of Bangladesh
Authors: Parvin Shahana , Shahzadi Shorifa , Begum Shelina , Mahruba Syeda Nusrat
Published: May 2024

Background: Autistic spectrum disorder (ASD) in children is commonly associated with mitochondrial dysfunction and mineral deficiency. Studies have highlighted links between Ca2+ and Mg2+ deficiency and neuronal excitability, along with connections between iron deficiency and behavioral abnormalities in individuals with ASD. Objective: This study was aimed to assess the frequency of hypocalcemia and hypomagnesemia in autistic spectrum-disordered children of Bangladesh. Methods: This cross-sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University, Dhaka from March 2014 to January 2015. The study included 100 randomly selected male children, with 50 in a healthy control group (Group A) and 50 diagnosed with autistic spectrum disorder (Group B). Children with ASD were selected from the Parents Forum (DOHS, Mohakhali), while the control group was chosen from schools with typically developing children. Fasting serum levels of various components along with calcium and magnesium were measured, and statistical analysis was conducted using independent sample 't' tests and proportion (Z) tests, with a significance level set at p-value ˂0.05. Results: In this study, out of 50 autistic spectrum disorder cases, the frequencies of hypocalcemia and hypomagnesemia were 74% and 52%, respectively. A comparison with the control group revealed significantly higher frequencies of both hypomagnesemia and hypocalcemia in the ASD group, with p-values <0.001. Conclusions: Among most children with autism spectrum disorder in Bangladesh, hypocalcemia and hypomagnesemia are prevalent. These prevalences are significantly higher than those observed in healthy children.
J Rang Med Col. March 2024; Vol. 9, No. 1: 55-58
Comparison of Recovery Rate and Early Complications Between Primary Resection and Two-stage Operation in the Treatment of Acute Non- Complicated Sigmoid Volvulus
Authors: Alam M Reazul , Sikder Koushik , Rayhan Md Ferdoush , Chowdhury Mohammad Imrul Hasan , Rahman Ashrafur , Hasan Md Tarek , Sayeed Shovon
Published: May 2024

Background: This study compares recovery rates and early complications associated with primary resection and a two-stage operation in treating acute sigmoid volvulus, a gastrointestinal emergency requiring prompt intervention. Proper diagnosis and appropriate operative approaches are crucial for lifesaving treatment. Objectives: This study was aim to compair of recovery rate and early complecations between two operative procedures. Methods: The cross-sectional analytical study was conducted from May to October 2015in National Institute Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh, involved 50 patients with acute non-complicated sigmoid volvulus, randomly divided into two groups, with the outcome variable being the only difference between two groups. Results: Two stage operation patients experienced 24% stomal complications, while one stage operation patients did not experience any late complication. The mean time for one stage operation was longer, and one stage operation resulted in 200 ml blood loss compared to 156 ml in two stage operations. Conclusion: In consideration of anastomotic leakage, operative time, operative blood loss post-operative hospital stay, two stage operation was better than primary resection.
J Rang Med Col. March 2024; Vol. 9, No. 1: 59-64
Hospital Acquired Diarrhoea in Children: A Study in a Tertiary Care Hospital in Sylhet
Authors: Chowdhury Tahmina Jahan , Akther Naznin , Chowdhury Jannatul Ferdush , Begum Shaila , Rahman Zainab , Ahmed Tofayel
Published: May 2024

Background: Children hospitalized for diseases other than diarrhoea can be infected with an enteric pathogen during their stay at hospital, which may complicate and prolongs the course of illness and hospital stay. Hospital acquired diarrhoea are defined as those occurring more than 72 hours after admission to hospital. Nosocomial diarrhoea second to nosocomial respiratory tract infections in causing morbidity among hospitalized children. Objectives: The study was designed to find the rate of hospital acquired diarrhoea, their risk factors and to observe the clinical features. Method: This cross-sectional observational study was conducted in the inpatient department of Pediatrics in Jalalabad Ragib-Rabeya Medical College, Sylhet over a period of 3 months between July to September 2018. A total number of 274 children aged from 1 month to 5 years were admitted in inpatient department other than diarrhoea were included in the study. During their hospital stay, all patients were followed up daily for development of diarrhoea. Results: Out of 274 children 80 patients developeddiarrhoea 72 hours after admission, the rate of occurrence of hospital acquired diarrhoea was 29.2%. Patients who developed hospital acquired diarrhoea, were initially admitted due to pneumonia accounted for about 65% followed by 12.5% due to malnutrition. Patients aged below two years and staying in hospital for longer duration developed diarrhoea more. Presence of any diarrhoeal patient in a bed close the patient’s bed (p=0.00001), hand washing by mother’s during handling baby (p=0.00001), hand washing by doctors (p=0.00001), and sharing the bathroom with diarrhoeal patient (p=0.000061), were statistically associated with the development of nosocomial diarrhoea. Diarrhoea was mostly watery in nature (80%) having pus (80%) and RBC (100%) on stool microscopy and patients suffered from milder dehydration (80%). Conclusions: Hospital acquired diarrhoea is common in admitted patients, which may complicate the disease course, prolonged the hospital stay.
J Rang Med Col. March 2024; Vol. 9, No. 1: 65-70
Association Between Sociodemographic Status and Physical Functioning of Obese School Going Children- A Cross Sectional Study
Authors: Islam ABM Ariful , Murad Md Abu Zafar Al , Johora Fatema Tuj
Published: May 2024

Background: Obesity is major non-communicable disease (NCD) all over the world affecting both children & adult. More than 30 million overweight children are living in developing countries & 10 million in developed countries. Childhood obesity leads to a significant reduction in health-related functioning. So, the negative effects of childhood obesity on quality of life (QoL) have to be determined to combat the problem. Objective: To determine the association between sociodemographic status and physical functioning of obese school going children. Methods: This was a cross sectional type of descriptive study conducted at different schools of Rajshahi city from June 2015 to September 2015. Four (4) schools were selected- a) Govt. Laboratory High School, Rajshahi b) Rajshahi Collegiate School c) River view Collectorate School, Rajshahi and d) Rajshahi University School. The study population were 5 to 15 years old obese school children. A total number of 221 children were interviewed. Results: The ages of the respondents were between 4 to 15 years, and the mean age was 7.83±3.058 years. Among the 221 respondents more than half (56.6%) were in 4-7 years of age group, another 24.0% belonged to the age group of 8- 11 years and only 19.5% were 12- 15 years age group. Weight of the respondents was from 20 to 65 kg and mean weight of the respondents was (41.64±10.75). Here, 36.2% weight was from 37-47 kg and 29.0% weight was from 26-36 kg. Another 23.1%, 7.7% and 4.1% weight was from 48-58 kg, 59-69 kg and 15-25 kg respectively. There was no significant relationship with respondent age and sex with physical functioning (p ≥ 0.05). There was a significant relationship with weight and physical functioning (p≤0.05). Conclusions: The sociodemographic status may influence the physical functioning of the obese school going children. Their lifestyle must be modified in this early life otherwise they will be affected by different non communicable disease
J Rang Med Col. March 2024; Vol. 9, No. 1: 71-76
Vitamin D status in Type 2 Diabetes Mellitus in a Tertiary Level Hospital
Authors: Saha Sharnasree , Sarker Anupam , Sarker Progga , Afrin Sajeda , Anwar Md Mahfuj Ul , Sarkar Chandra Rani
Published: May 2024

Background: There is increasing evidence of a relationship between vitamin D status and type 2 diabetes. Diabetes has also been found to be associated with 25(OH)D (vitamin D) deficiency and the role of vitamin D has recently emerged, especially in preventing cardiovascular diseases and cancer. and insulin resistance. Objective: This study aimed to compare vitamin D deficiency between healthy and Type 2 Diabetes Mellitus (T2DM) patients. Methods: This cross-sectional study was conducted from July 2021 to June 2022 in the Department of Physiology, Rangpur Medical College, Rangpur. For this study, a total number of 100 subjects were selected among them 50 non-diabetic healthy subjects were included as control and 50 Type 2 Diabetes Mellitus patients were included as cases. The subjects of control were selected from the surrounding community of Rangpur district and subjects of cases were selected from Diabetic Association and from Outdoor of Endocrinology Department, Rangpur Medical College and Hospital, Rangpur. For statistical analysis, an independent sample t-test was performed by computer-based software SPSS-23.0 version for windows. Results: The mean vitamin D level was lower in the diabetic patients than in non-diabetic participants (14.1±8.3 ng/ml and 37.3±11.3, p<0.001). Conclusions: Early screening for serum vitamin D level is recommended for T2DM patients. Hence, it is crucial to promptly address any deficiencies in vitamin D levels.
J Rang Med Col. March 2024; Vol. 9, No. 1: 77-81
Pregnancy with Non-cirrhotic Portal Hypertension: A Case Report
Authors: Ara Iffat , Khatun Safura
Published: May 2024

Pregnancy with non cirrhotic portal hypertension is an uncommon condition. Due to physiological changes in pregnancy, the patients with portal hypertension may exaggerate and produce life threatening complicationslike variceal haemorrhage and increased incidents of adverse maternal and fetal outcomes. Pregnancy also predisposes the patient to develop hepatic decompensation. So, management of such cases requires a multi-disciplinary approach. In this case report,21-year-old primigravida presented with known case of non cirrhotic portal hypertension at her 33 weeks of pregnancy with huge splenomegaly and history of hematemesis.The pregnancy ran uneventfully, and she underwent elective LSCS at 38+ weeks and gave birth of a live female baby, weighing 3kg was delivered. Post operative recovery was uneventful. The patient was discharged on the 4th post operative day. We want to focus upon different aspects of pregnancy with portal hypertensionto prevent complications and manage the case.
J Rang Med Col. March 2024; Vol. 9, No. 1: 86-88
Outcomes of Pregnancies in Women with Congenital Heart Disease: A Study in a Tertiary Care Hospital in Bangladesh
Authors: Akhter Hasina , Shapla Nahid Reaz , Nahar Kamrun
Published: May 2024

Background: Pregnancies in individuals with congenital heart disease (CHD) frequently pose complex challenges. The presence of CHD elevates the risks not only for the expectant mother but also for the well-being of the developing fetus. Additionally, careful monitoring and specialized medical care are crucial throughout the pregnancy to ensure the best possible outcomes for both. Objective: This study was aimed to assess the outcomes of pregnancies in women with congenital heart disease. Methods: This was a cross-sectional observational study that was conducted in the Combined Military Hospital (CMH), Dhaka, Bangladesh from January 2020 to December 2021. A total 30 pregnant women with congenital heart disease were enrolled through purposive sampling. All the demographic and clinical information was recorded. Data were processed, analyzed, and disseminated by using MS Office tools. Results: Among participants, Lower Segment Cesarean Section (LSCS) was the most common delivery (43.3%), followed by vaginal delivery (36.7%). Instrumental delivery, specifically through outlet forceps, was found in 6.7% of cases. Pregnancy termination occurred in 6.7% due to inevitable abortion and 3.3% for medical reasons, resulting in one maternal death (3.3%). Perinatal outcomes included 90% live births and 81.5% with Apgar scores ≥9. Neonatal Intensive Care Unit (NICU) admission was required for 33.3%, with a 3.3% perinatal death rate. Conclusions: In pregnant women with congenital heart diseases, common delivery modes are Lower Segment Cesarean Section (LSCS) and vaginal delivery. Termination and maternal fatality rates are low. Perinatal outcomes are generally positive, with most births resulting in live infants with Apgar scores ≥9 and high newborn survival rates, although some require Neonatal Intensive Care Unit (NICU) admission.
J Rang Med Col. March 2024; Vol. 9, No. 1: 50-54
Can Socratic dialogue techniques be used to increase meaning of life for students with disabilities?
Authors: Barida Muya , Hana Intan , Widyastuti Dian Ari
Published: May 2024

This research was motivated by the low meaningfulness of life among people with disabilities, especially those with autism spectrum disorder with visual impairment (ASDVI). The meaning of life greatly influences a person's quality of life, enthusiasm for living life, productivity, creativity, and happiness in living their own life. So, this research aims to determine the efficacy of individual counseling services using the cognitive behavior therapy (CBT) approach and Socratic dialogue techniques to increase the meaning of life in ASDVI students. The type of research that the researcher applied was a single-subject research experiment with the A-B-A pattern. The subject of this research was an ASDVI student at SLBN 001 Tanjungpinang. The instruments used in this research were observation and interviews. The data analysis method used is the explanatory sequential design. The results of the research showed that there was an increase in the meaning of life in ASDVI students, so the Socratic dialogue technique was considered effective in increasing the meaning of life in someone with disabilities, especially ASDVI specifications. The increasing meaningfulness of life for ASDVI students shows the difference between negative and positive thought patterns. This can be seen in changes in thinking patterns and behavior as well as independence, which shows that ASDVI students have the enthusiasm to live their lives and are independent, and can be active in seeking the views of the general public to achieve the ASDVI students' version of meaning itself and achieve a new, more positive perspective.
Exploring the multifaceted influence of affective factors on English reading comprehension among senior high school students
Authors: Fitria Maulida Faizzatul , Usadiati Wahyuningsih , Rusfandi Rusfandi
Published: May 2024

Existing research has emphasized the significance of cognitive factors in facilitating reading comprehension. Nevertheless, there is limited understanding of how affective factors contribute to this aspect of English learning, particularly within the Indonesian context. This study examines the contribution of affective factors (learning motivation, academic self-efficacy, and self-concept) to English reading comprehension among senior high school students. Adopting a correlational research design, it analyzed data from 136 eleventh graders using multiple regression analysis. The data was collected using the Reading Comprehension Test, Learning Motivation Scale, Academic Self-Efficacy Scale, and Self-Concept Scale. The analysis revealed a significant positive contribution of learning motivation to reading comprehension, accounting for approximately 8.9% of the variance (t-value of 3.626, p-value of 0.000), while academic self-efficacy explained about 4.4% (t-value of 2.484, p-value of 0.014). However, self-concept was found to have no significant effect on reading comprehension (t-value of -0.022, p-value of 0.982). Collectively, learning motivation and academic self-efficacy explicated around 11.9% of the variability in reading comprehension scores, as evidenced by an F-statistic of 9.021 and p-value of 0.000. The study concludes that affective factors are crucial in reading instruction. It suggests educators integrate strategies fostering motivation and self-efficacy to enhance reading comprehension.
Ảnh hưởng của điều chỉnh lợi nhuận đến hiệu quả tài chính của các công ty niêm yết trên sàn giao dịch chứng khoán Hà Nội
Authors: Nguyễn La Soa , Đỗ Thị Ly , Nguyễn Thị Phương Anh , Trần Thị Phương Anh , Hoàng Việt Hà , Lê Quỳnh Trang , Nguyễn Diệu Hà
Published: May 2024

Nghiên cứu này nhằm xác định tác động của việc điều chỉnh lợi nhuận thông qua các giao dịch thực tế (REM) đến hiệu quả tài chính của doanh nghiệp trong tương lai dựa trên báo cáo tài chính đã qua kiểm toán của 192 doanh nghiệp niêm yết trên Sở Giao dịch Chứng khoán Hà Nội (HNX) tại Việt Nam từ năm 2019 đến 2022. Áp dụng phương pháp nghiên cứu định lượng và xử lý số liệu theo dữ liệu bảng, nhóm nghiên cứu đã thực hiện các kiểm định để tìm ra sự phù hợp của các mô hình hồi quy Pool OLS, hồi quy với tác động cố định (FEM), hồi quy với tác động ngẫu nhiên (REM), từ đó lựa chọn mô hình phù hợp nhất. Kết quả nghiên cứu chỉ ra mối quan hệ nghịch biến giữa điều chỉnh lợi nhuận và hiệu quả tài chính. Từ kết quả, nhóm nghiên cứu đã đưa ra các khuyến nghị tới doanh nghiệp, cơ quan nhà nước về việc áp dụng mô hình phát hiện điều chỉnh lợi nhuận nhằm đảm bảo lợi ích của các bên liên quan.
Teknoloji ve Bilgi Çağında Veri Okuryazarlığı: Tanım, Özellikler ve Türkiye'deki Uygulamalara Bakış
Authors: Arık Kaan
Published: May 2024

Uzun yıllardır, okuryazarlık akademik çalışmaların odak noktalarından biri olmuştur. Literatür incelendiğinde, okuryazarlığın çeşitli yazılı kaynakları ve güncel materyalleri kullanarak tanımlama, yorumlama, bir araya getirme, iletişim kurma ve hesap yapma becerisi olarak tanımlandığı görülmektedir. Artan bilgi teknolojilerinin kullanımı bu alandaki önemi bir kez daha vurgulamaktadır. Zamanla, dijital cihazlara ve platformlara uyum süreci hızlanmış ve günlük yaşamda teknolojik cihaz kullanımı önemli ölçüde artmıştır. Bu artış, büyük veri setlerinin oluşmasına ve büyük veri kavramının gündeme gelmesine yol açmıştır, aynı zamanda veri okuryazarlığı kavramını da gündeme getirmiştir. Bu çalışma, son yılların popüler konularından biri olan veri okuryazarlığının tanımlarını, farklı yönlerini ve beceri setini ortaya koymayı hedeflemektedir. Ayrıca, çalışma kapsamında verinin artışı tartışılmış, veri yönetimi sürecine ilişkin çalışmalara yer verilmiş ve literatür taraması yapılarak veri okuryazarlığına dair farklı yaklaşımlarla kavramsal bir çerçeve sunulmaya çalışılmıştır. Son olarak, Türkiye'de açık veri ile ilgili yapılan çalışmalara da değinilerek sonuçlar çıkarılmış ve öneriler sunulmuştur.
Assessing functional impairment in university students seeking psychological help: a psychometric study of the Portuguese Work and Social Adjustment Scale
Authors: Caetano Sofia , Marques Marisa , Carvalhal de Melo Ana , Ferreira Andreia , Xavier Sandra , Queirós António , Martins Maria João
Published: May 2024

Background: It has been advocated that higher education settings should promote a supportive environment devoted to improving several dimensions of the well-being of their communities. Assessing functional impairment is of utmost importance, particularly in clinical services.Goals: The present study aimed at analyzing factor structure and psychometric properties of the Work and Social Adjustment Scale (WSAS), a 5-item scale developed to assess the patient’s perceived functional impairment resulting from a health problem in five dimensions: work, social leisure activities, private leisure activities, and relationships with others.Methods: A non-probabilistic sample of university students who sought mental health support answered a set of self-report questionnaires, including the WSAS and measures of anxiety, depression, and quality of life.Results: Overall, 207 university students participated in the study (22 years old of mean age; 74,9% female and 69,2% undergraduate). Confirmatory factor analysis indicated an adequate fit to the single-factor structure, and the scale presented very good reliability. Concurrent, convergent, and incremental validity were also found, and the WSAS differentiated groups with different levels of anxiety and depressive symptoms.Discussion: Overall, our results corroborate that WSAS is a brief, reliable, and valid measure, and, therefore, useful in research and clinical settings. Further research is needed, particularly regarding temporal stability, discriminative power between clinical and nonclinical populations, and clinical samples between different diagnoses.
Ekstrakurikuler Pramuka Tidak Wajib Diikuti Peserta Didik; Perspektif Filsafat Pendidikan Humanisme
Authors: Bimantara Gusti Agung , Dirgantara Gusti Agung
Published: May 2024

Pendidikan merupakan sarana untuk menciptakan generasi muda yang unggul dan  berkarakter. Ekstrakurikuler salah satu bagian dari pendidikan itu sendiri memiliki tujuan untuk mewadahi setiap peserta didik untuk mengembangkan potensi nya sesuai dengan minat, bakat dan keinginannya. Ekstrakurikuler kepramukaan menjadi salah satu kegiatan yang menjadi pembentuk karakter peserta didik. Namun dalam perjalanannya ekstrakurikuler kepramukaan yang sebelumnya diwajibkan untuk diselenggarakan oleh sekolah dan wajib diikuti peserta didik, kini telah tidak wajib lagi diikuti oleh peserta didik. Oleh karena itu, bagaimana jika kebijakan ini dilihat dari dari relevansinya dengan filsafat pendidikan humanisme. Metode Penelitian yang dipakai ialah pendekatan kualitatif deskriptif yang diperpadukan dengan metode studi literatur dan teknik analisis isi konten. Hasil dan pembahasan dalam penelitian ini menunjukkan bahwa Kebijakan yang diambil oleh Mendikbud Ristek mengenai tidak diwajibkannya lagi peserta didik untuk mengikuti pramuka sangat sejalan dengan filsafat pendidikan humanisme yang lebih menekankan kebebasan untuk memilih apa yang menjadi minat dan keinginan peserta didik.