bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficacy of insecticides in controlling pod borer (Helicoverpa armigera Hubner) infesting chickpea
Authors: Shahiduzzaman Md
Published: June 2017

A field experiment was carried out at the Regional Pulses Research Station of Bangladesh Agricultural Research Institute, Madaripur, Bangladesh during rabi season of 2013-14 and 2014-15 to select effective insecticides to control pod borer (Helicoverpa armigera Hubner) of chickpea (Cicer arietinum). Signinificantly the highest insect infestation and yield loss were recorded from untreated control. Spray with every insecticide for 3 times at 7 days interval reduced insect infestation and yield loss significantly over control in both years. Reduction in insect infestation was 11.77-18.77% and 6.34-13.34% and yield loss was 280-393-168-281 kgha-1 in 2013-14 and 2014-15, respectively. The highest grain yield was obtained with Tracer 45 SC (Spinosad) (1177 kgha-1) followed by Volium Flexi 300 SC (Thiamethaxam) (1045 kgha-1) and Belt 24 WG (Flubendiamide) (1020 kgha-1) in first year. In second year, Tracer 45 SC produced maximum yield (1396 kgha-1) followed by Volium Flexi 300 SC (1315 kgha-1) and Admire 200 SL (Imidacloprid) (1300 kgha-1). In 2013-14, the highest benefit cost ratio (3.39) was obtained with Volium Flexi 300 SC followed by Belt 24 WG (2.65) and Admire 200 SL (1.67). In 2014-15, the highest benefit cost ratio was also obtained with Voilum Flexi 300 SC (2.38) followed by Admire 200 SL (1.79) and Belt 24 WG (1.63). Comparing two years data considering highest profit, Volium Flexi 300 SC might be applied @ 0.05% at an interval of 7 days to the crop for three times.Bangladesh J. Agril. Res. 42(2): 373-378, June 2017
The level of functional dependency and independency among the elderly people of old care homes in Bangladesh
Authors: Mahmud Mir Hasan Shakil , Rahman Nusrat , Mandal Shipra
Published: June 2017

The level of functional dependency of elderly is increasing day by day. The old care homes have been markedly increased in recent years in Bangladesh. The purpose of the study was to identify the level of functional dependency and independency among activities of daily living for the elderly people of old care homes in Bangladesh. A cross sectional study was conducted with a structured and close ended interviewer administered questionnaire to collect information from 144 elderly people of five old care homes through convenient sampling technique. The results showed that, 38 participants were fully functional (score 6), 56 participants had score 4 and they had moderate impairment, 40 participants score was 2 or less which indicated severe functional impairment and 10 participants were totally dependent (score 0). The study also revealed that 58% of the elderly people in the age group 60-65 years were independent and 70% of the elderly people belonging to age group >70 were totally dependent. However, it has been evident that percentage of independency decreases with the increase of age. It was also found that respondents at the age of 65 years and above were functionally dependent. This study also recommends for occupational therapy service in old care home.Bang J Psychiatry Dec 2014; 28(2): 62-66
Moyamoya disease in a child
Authors: Akhter Shohela , Riaaz Rumana , Jahan Roushan , Rahman Shahana A.
Published: June 2017

A 6 year old boy presented with sign symptoms of cerebral stroke. After clinical and radiological evaluation, a diagnosis of bilateral moyamoya disease was made. An indirect bypass surgery encephaloduroateriosynangiosis was done on the right side at first then on the left side.  Patient was partially improved. At one year follow-up, there was the evidence of occlusion of collateral circulation on the right side and the patient became symptomatic again. It is noted that, although the early indirect bypass surgery is indicated in the pediatric patients for preventing the stroke but the outcome is difficult to judge.
An atypical presentation and diagnostic dilemma of sickle cell disease
Authors: Rahman Mohammad Mizanur , Islam Md. Monirul , Khan Lutfunnahar
Published: June 2017

A 5½ year old male child of a consanguineous couple presented with moderately high fever, hepatosplenomegaly and severe pain in the left upper quadrant of the abdomen for four days. On examination, the child was found severely anemic, ill-looking and mildly icteric but the abdomen was soft and non-tender. Radiological investigations and ultrasonography of the whole abdomen revealed the diagnosis of space occupying lesions which may be either due to splenic abscess/cyst or leukemia/lymphoma. However, blood film revealed the features of hereditary hemolytic anemia and later on hemoglobin electrophoresis initially commented as HbSbeta thalassemia but subsequent family screening of the patient turned out to a case of homozygous sickle cell anemia or sickle cell disease. To resolve such diagnostic dilemma, it is very much essential to analyze critically the history including family history, clinical and physical findings as well as investigational findings.
From the Desk of Editor-in-Chief 7(2)
Authors: Khan Md Aminul Haque
Published: June 2017

Abstract not availableJ Enam Med Col 2017; 7(2): 55
HIV Epidemic Situation in Bangladesh: An Overview
Authors: Das Akkur Chandra
Published: June 2017

Abstract not availableJ Enam Med Col 2017; 7(2): 56-57
Identifying Predatory or Pseudo-Journals
Authors: Laine Christine , Winker Margaret A
Published: June 2017

The World Association of Medical Journal Editors (WAME) Board has recently announced the publication of the WAME statement on Identifying Predatory or Pseudo-Journals (posted on February 18, 2017). Members of WAME are permitted to republish the statement in their journals. As Editor-in-Chief and Editor of Journal of Enam Medical College are members of WAME, we are republishing this important paper in Journal of Enam Medical College.J Enam Med Col 2017; 7(2): 62-68
Food Safety Knowledge, Attitudes and Practices of Chotpoti Vendors in Dhaka, Bangladesh
Authors: Hassan Md Zakiul , Islam Md Saiful , Salauddin Md , Zafr Abu Hena Abid , Alam Shahinul
Published: June 2017

Background: Chotpoti is a popular street food among all groups of people from low to high income in most cities of Bangladesh.Objective: This study was conducted to describe the vending sites, the stalls and equipments used for food preparation, current level of food safety knowledge of vendors and the way to prepare foods to understand the risks of food contamination and opportunities for prevention.Materials and Methods: This cross-sectional study was conducted between July and October, 2012. We selected 18 popular chotpoti vending sites including market places, bus stops, road sides and amusement parks located under Dhaka city corporation areas by judgment sampling. From each study site we randomly selected six vendors for interview. A structured pretested questionnaire was used for data collection. Data were collected on (i) socio-economic and demographic characteristics of the respondents; (ii) health and personal hygiene knowledge of vendors; (iii) vendors food handling practices and (iv) source of ingredients and process of chotpoti making. Location of the chotpoti vendors, utensils used, handling of food, place of preparation of chotpoti, environment surroundings of the stall, general processing of chotpoti and hygienic practices were observed and recorded through an observation checklist.Results: We interviewed a total of 110 vendors. All vendors were male, the majority was between 21 and 30 years of age. Majority (58.2%) of the vendors acquired the knowledge of chotpoti preparation through observation. Nearly all vendors (99%) handled food with bare hands, 95% did not use aprons and hair covering and 94% handled money while serving chotpoti. Most vendors had leftovers; out of those 30% reported discarding them and the rest stored them for following days sale with inappropriate storage. Nearly one-third (32.7%) of the vendors washed their utensils with dirty water which is recycled. Majority reported that they changed the bucket water only once per 12 hours. Presence of flies was observed on food and surroundings of 33% of the stalls. Of the vendors interviewed, most of them did not have garbage receptacles and 23% disposed wastes nearby their stalls and 76% disposed in nearby dustbin.Conclusion: This study demonstrates that chotpoti vendors do not have formal education and formal training on food preparation. Moreover, lack of hand hygiene knowledge, infrequent cleaning of utensils with soap, inappropriate management of leftover foods, and lack of proper waste management create numerous possibilities for food contamination. Consumption of street vended chotpoti may pose a risk of food borne diseases and steps should be taken to educate and train the vendors on personal hygiene and food handling practices.J Enam Med Col 2017; 7(2): 69-76
GeneXpert MTB/RIF Assay for Rapid Identification of Mycobacterium Tuberculosis and Rifampicin Resistance Directly from Sputum Sample
Authors: Laskar Nourjahan , Hossain Md Akram , Fardows Jannatul , Rahman Mominur
Published: June 2017

Background: The World Health Organization has endorsed the use of molecular methods for the detection of tuberculosis (TB) and drug resistant TB as a rapid method. In Bangladesh, the Xpert MTB/RIF assay has been implemented into reference laboratories for diagnosis of TB and also MDR TB.Objective: Drug resistant tuberculosis has long been a common problem prevailing in our country. The present study focused on the rapid identification of Mycobacterium tuberculosis as well as drug resistance.Materials and Methods: Sputum samples from a total of 107 cases, assumed as multi-drug resistance tuberculosis, were studied through GeneXpert assay.Results: Out of 107 cases, 91 (85.05%) were detected having M. tuberculosis ? 64 (59.81%) were rifampicin sensitive and 27 (25.23%) were rifampicin resistant. The sensitivity and specificity of the GeneXpert are 87.64% and 75% respectively.Conclusion: GeneXpert assay can be considered for the rapid diagnosis of drug resistant tuberculosis.J Enam Med Col 2017; 7(2): 86-89
Correlation of Index Finger Length (2D) with Height, Weight and BMI in Adult Bangladeshi Male
Authors: Hasan Karim Rezwan , Ara Shamim , Banna Fakhrul Amin Mohammad Hasanul
Published: June 2017

Background: Human hand is one of the most versatile parts of the human body which plays an important role in modern medical science and evolutionary biology. By virtue of evolution and genetic arrangements, digital lengths vary from person to person according to age, sex, races, occupation or even environmental influences. It has been found that the digital lengths and their ratios are not same in different sexes and even in both hands of same individual. Specially, index to ring digit lengths and their ratios which already have been proved to represent sexual dimorphism may differ in both hands of an individual and show positive correlations with other morphological attributes like height, weight and BMI.Objectives: To analyze the variation of index finger (2D) length and its correlation with height, weight and BMI in adult Bangladeshi male.Materials and Methods: This cross-sectional analytical study was conducted in the department of Anatomy, Dhaka Medical College, Dhaka from July 2012 to June 2013 on 100 male MBBS students (20?25 years of age). With the help of digital vernier caliper measurements of index finger length (2D) was recorded. Height and weight were measured by the stadiometer and weighing scale respectively. BMI was calculated from height and weight. Pearsons correlation analysis was done to find out the correlation of index finger length with height, weight and BMI.Results: Significant correlation has been found between the lengths of index fingers (2D) and height (p<0.01), but there was no significant correlation of index finger length with weight and BMI (p>0.05).Conclusion: In this study, we found variation in index finger lengths of both hands of Bangladeshi male subjects, which needs further study and comparison.J Enam Med Col 2017; 7(2): 90-94
Glycemic Effects of Honey Compared to Glucose Using Standard OGTT
Authors: Naznin Lubna , Hossain Muhammad Rabiul , Saha Debashish , Sultana Sarmin , Sarkar Mreenal Kanti
Published: June 2017

Background: Honey, though rich in fructose and glucose, had been shown to have plasma glucose lowering effect. It may be as a result of insulin sensitization, enhanced insulin secretion and anti-oxidant activity.Objective: This study was designed to assess the glycemic effects of honey comparing to glucose.Materials and Methods: The study was carried out at Armed Forces Institute of Pathology (AFIP), Dhaka cantonment from September, 2015 to October, 2015 on 35 individuals who reported to AFIP for Oral Glucose Tolerance Test (OGTT). They were categorized to three groups based on OGTT ? Normal, Impaired glucose homeostasis (IGT or IFG), and Diabetes mellitus. On the subsequent day they were subjected to 52 mL honey load (equivalent to 75 gm by weight) to assess plasma glucose level after 1 hour and 2 hours posthoney load state. Student t-test was done to compare between means of plasma glucose level 1 hour after 75 gm glucose load and 1 hour after 75 gm honey load and also between means of plasma glucose level 2 hours after 75 gm glucose load and 2 hours after 75 gm honey load in the same individuals.Results: In all the three groups mean plasma glucose level in post-honey load state was found declined compared to post-glucose load state in both 1 hour and 2 hours specimens of HTT (Honey Tolerance Test) versus OGTT (Oral Glucose Tolerance Test) and this reduction was statistically significant (p<0.05).Conclusion: The study findings provide evidence that honey consumption causes less change in plasma glucose level than the equivalent quantity of oral glucose load regardless of status of glucose homeostasis. Further well designed researches are needed to determine the long term effects and beneficial quantity of honey, particularly in relation to diabetes mellitus.J Enam Med Col 2017; 7(2): 95-100
Rosettes and Pseudorosettes and Their Significance
Authors: Ahmed Mahtab Uddin
Published: June 2017

Rosettes are round assemblage of cells found in tumors. They usually consist of cells in a spoke circle, a halo collection surrounding a central or a cellular lumen. Rosettes are so named for their similarity to the rose casement found in gothic cathedrals. There are clusters of different kinds of rosettes in pathology, each with different kind of cells and dissimilar names. Most of them are found in tumors of the nervous system. The detection of rosettes help in diagnosis of different tumors.J Enam Med Col 2017; 7(2): 101-106
Fatal Paraquat Poisoning in a 15-Year-Old Girl
Authors: Parvin Rukhsana , Hasan Md Kamrul , Sarkar Priyanka , Mouri Nazmun Nahar
Published: June 2017

Paraquat (dipyridylium) is a highly toxic compound with a pungent smell. It is commonly used for weed killing. Intoxication occurs mainly by oral ingestion. After ingestion severe impairment of multiple organs develops. There is no specific antidote. Treatment includes repeated activated charcoal hemoperfusion with pulse methylprednisolone, cyclophosphamide, and antioxidants. Here we report a case of 15-year-old girl who presented with history of attempted suicide with paraquat. Patient died due to respiratory failure despite aggressive treatment and hemodialysis.J Enam Med Col 2017; 7(2): 107-110
Hyperreflexia ? an Uncommon Presentation of Guillain-Barré Syndrome
Authors: Neki NS , Shergill Gagandeep Singh , Kaur Amanpreet
Published: June 2017

Guillain-Barré syndrome (GBS) is an acquired acute autoimmune polyradiculoneuropathy. Progressive motor weakness and areflexia are essential for diagnosis. But in some cases hyperreflexia can be seen. Diagnosis of GBS was made based on history and clinical findings and was supported by cerebrospinal fluid (CSF) studies and nerve conduction study (NCS). We hereby report a case of a 42-year-old male presenting with acute onset flaccid quadriparesis. There was frank hyperreflexia in all four limbs. Although reflex preservation and hyperreflexia can be noted in axonal variant of GBS in Chinese, Japanese, and European populations, it is uncommon in India.J Enam Med Col 2017; 7(2): 111-112
A Large Mass in Lung in a 5-Year-Old Child ? Wilms Tumour with Pulmonary Metastasis
Authors: Sharmin Lazina
Published: June 2017

Abstract not avaialableJ Enam Med Col 2017; 7(2): 113-114
College News 7(2)
Authors: Khan Md Aminul Haque , Parvin Rukhsana
Published: June 2017

Abstract not avaialableJ Enam Med Col 2017; 7(2): 115
Reviewers in this Issue 7(2)
Authors: Editor -
Published: June 2017

Abstract not avaialableJ Enam Med Col 2017; 7(2): 116
Hypertension- An update
Authors: Islam Md Saiful
Published: June 2017

Abstract not availableKYAMC Journal Vol. 6, No.-1, Jul 2015, Page 543-544
Hereditary Haemoglobin Disorders of Anaemic Patients Attending in a Rural Tertiary Level Hospital
Authors: Hossain Md Shahadat , Sarker Md Mahbur Rashid , Kabir Faisal
Published: June 2017

Background: Regularly patients attending in the hospital with severe illness for medical treatment. A large number of patients came with features of anaemia. Many of them show hereditary haemoglobin disorders.Objective: This study was done to find out the pattern of hereditary haemoglobin disorders of anaemic patients attending in the hospital for medical treatment in a tertiary level rural hospital.Method: This descriptive type of retrospective study was performed with 151 cases of anaemic patients whose whole blood show abnormality in haemolobin on capillary haemoglobin electrophoresis. Haemoglobin as well as haematocrit and red blood cells indices were performed by using fully automated haematology lab automation (Sysmex XN-1000). Then haemoglobin electrophoresis was performed to see haemoglobin disorder by using Capillary-2 Haemoglobin Electrophoresis, Sebia, France.Results: All of the 151 cases of hereditary haemoglobin disorders were categorized into four groups. Of those Haemoglobin-E ß thalassaemia was 64.90%, ß thalassaemia minor was 17.22%, Haemoglobin-E haemoglobinopathies was 11.92% and ß thalassaemia major was 5.96% of cases. Among 151 patients; 106 (70.20%) patients were severely anaemic, 30 (19.87%) patients were moderately anaemic and 15 (9.93%) patients were mildly anaemic. Among 98 patients of haemoglobin-E ß thalassaemia, 87 (88.76%) patients were severely anaemic.Conclusion: All anaemic patients especially who suffers from anaemia for a long period of time should be checked for haemoglobin disorders by routine haematological investigation and peripheral blood film examination. The patients with persistent anaemia and whose blood shows hypochromic microcytic anaemia should be advised for haemoglobin electrophoresis.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 545-549
Effects of Methotrexate on Prothrombin Time in Rheumatoid Arthritis Patients
Authors: Parvin Mst Shakila , Rashid Mamun Ur , Habib Md Anwar , Ara Shahin
Published: June 2017

The present study was undertaken to evaluate safety and efficacy of methotrexate in Rheumatoid arthritis patients. This study was carried out on ARA criteria fulfilling 35 diagnosed Rheumatoid arthritis patients of either gender, aged 20-60 years, presented in Medicine department of Rajshahi Medical College Hospital, Rajshahi from July 2007 to June 2008. Patients with normal liver function tests and HBsAg and anti-HCV negative cases were given oral methotrexate (10-15 mg/wk) for 6 weeks. Baseline prothrombin time was 12.97±0.34 seconds. After 6 weeks of methotrexate therapy prothrombin time was found 13.47±0.46 seconds. During methotrexate therapy change of prothrombin time was not significant (p>0.05).KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 550-552
"Usage of Silver-Stained Polyacrylamide Gels Electrophoresis (PAGE) for Detection of Rotavirus Infection by Direct Identification of Viral Nucleic Acid ."
Authors: Kabir Md Rashedul , Hossain Md Akram , Alam Md Murshed , Paul Shyamal Kumar , Begum Zohra , Rahman Mahmudur , Kobayashi Nobumichi
Published: June 2017

Background: Rotavirus infects almost all children by the age of five. More than 180,000 annual deaths due to rotavirus, occurs in Bangladesh.Aims: This study aimed to determine the incidence of rotavirus infection in children by a modified polyacrylamide gel elctrophoretic (PAGE) in stool samples.Materials and Methods: In this descriptive type cross sectional study, a total of 400 stool samples were examined for the presence of rotavirus by a modified PAGE analysis of viral genome. Stool culture was done for common enteric pathogens. The study was carried out from November 2012 to July 2013 in the department of Microbiology, Mymensingh Medical College, Mymensingh.Results: PAGE results were found in 365 of 400 (91%) specimens. Maximum incidence of rotavirus infection was seen in age group of 6 months - 24 months (67.25%). All 151 rotavirus positive cases did not show infection with bacterial pathogens.Conclusion: The modified PAGE technique for the detection of viral RNA was found to be rapid, simple, reliable and less expensive technique.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 557-561
Experience of CT-guided FNAC from Lung lesion: A Study of 330 Cases
Authors: Sarker Md Mahbur Rashid , Hossain Md Shahadat , Farooq Md Shamim
Published: June 2017

CT-guided FNAC is an important method in which aspiration of materials done from deep structure of the body. Now a day, it is a useful tool for diagnosis of lung lesion. This study was done in the department of Pathology, Khwaja Yunus Ali Medical College & Hospital (KYAMCH), a rural tertiary hospital in Bangladesh. A total of 330 cases from January 2008 to December 2013 were evaluated in this study. Of these, 93 (28.20%) were adenocarcinoma, 66 (20%) were squamous cell carcinoma, 35(10.6%) were small cell carcinoma, 31 (9.4%) were non-small cell carcinoma, 03 (0.9%) were non-hodgkin lymphoma, 57 (17.3%) were inflammatory, 24 (7.3%) were tuberculosis and others were 21 (6.4%). The mean age±SD of patients was 58.92±12.92 years. Incidence of malignancy was quite similar in compare to previous study. So in case of any suspicious lesion or growth of lung, CT- guided FNAC should be done for diagnosis and also to exclude malignancy that will help to reduce patients' morbidity and mortality.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 562-564
Extra-Articular Manifestations of Rheumatoid Arthritis & its relation with Treatment Outcome: a tertiary care hospital experience
Authors: Akter Nazma , Qureshi Nazmul Kabir , Hoque Md Azizul , Rahman Md Mujibur
Published: June 2017

Objective: This study was done to determine frequency of extra-articular manifestations (ExRA) in patients with rheumatoid arthritis (RA) and its relation with treatment outcome in a tertiary care hospital, Dhaka.Methods: A cross sectional study was conducted upon 50 patients of rheumatoid arthritis of both gender aged ranging 30 to 60 years attending different medicine units of Shaheed Suhrawardy Medical College & Hospital during the period of May to October, 2011 who fulfilled the 1987 American College of Rheumatology criteria for RA. Demographic characteristics, extra-articular manifestations were recorded and some information was gathered by document review according to DAS28 (disease activity score 28.)Results: Among 50 patients female to male ratio was 9:1. The average age was 43.72±10.95 (SD) in years with maximum age 60 years and minimum age 30 years. Extra-articular manifestations were reported in 86.0% of patients. Hematological involvement (82%) was the most common extra-articular manifestation. Average DAS 28 was more in patients who had extra-articular manifestations than patients who had no extra -articular manifestation.Conclusion: Significant proportion of patients with female predominance visited at a tertiary care hospital due to RA. ExRA were present in a substantial proportion of a hospital based sample and is generally associated with a worse disease outcome. Hematological system involvement was the commonest. Early recognition and treatment are important to decrease disease activity.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 570-573
Diagnosis of Kala-azar by rK39 based ELISA and KAtex
Authors: Habib Zakir Hossain , Ahmed Imtiaz , Akhter Hasina , Akhter Hafiza , Jhora Sanya Tahmina , Lutfor Afzalunnessa Binte
Published: June 2017

This cross sectional study was carried out in SSMC for a period of one year from July 2007 to June 2008 to evaluate rK39 based ELISA and KAtex tests for diagnosis of Kala-azar. Total 150 patients were selected clinically. For this study rK39 ICT was regarded as confirmatory test according to national guideline. Among 150, total 100 cases were confirmed to be positive for Kala-azar by rK39 ICT test. Age and sex matched 25 healthy persons each from endemic and non-endemic area were taken as control. Among the 100 sero confirmed cases KAtex was positive in 87 (sensitivity of 87%) while ELISA was positive in 98 cases (sensitivity 98%). Among the 50 controls none were positive by KAtex test while 1 (one) ELISA test was positive resulting in specificity of these tests 100% and 98% respectively. The result of the study clearly showed superiority of rK39 antigen based ELISA in respect of sensitivity and KAtex in respect of specificity.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 574-578
Nutritional Status Among Students of a Private Medical College of Bangladesh
Authors: Akhter Marufa , Biswas Sailendra N , Ansari MH
Published: June 2017

Nutritional status of Medical College students is an indicator of health & wellbeing at both the individual & the population level. This cross sectional study was carried out to assess the overweight and obesity as well as underweight among the students of Khwaja Yunus Ali Medical College, Enayetpur, Sirajgonj. All the students aged 18 -23 years reading in KYAMC were included in this study. Body weight, height and waist-hip ratio were measured and their relative information was collected with a self- administered, predesigned and pretested questionnaire. A total of 239 students data were found correct. Body mass index (BMI) was computed and categorized it into normal, overweight and obese according to WHO (1997) classification and analyzed for age, sex, waist-hip ratio and BMI category for assessing the nutritional status. In this study,157 (65.7%) students [male:53.5% & female:46.5%] were found in normal group, 38 students (15.9%) were overweight [male:44.7% and female:55.3%] and 44 students (18.4%) were in underweight group [male:50% and female:50%]. On splitting the data, the prevalence of underweight in different age groups decreases as the age advances but no such trend is observed in the case of overweight group and the proportion of overweight among the female students were more than that of male [18.1& vs 13.8%]. Waist-hip ratio was categorized into normal and overweight category and the prevalence of overweight is higher in female students than the male [80.8% vs 19.2%]. The results indicate the presence of a dual burden, underweight as well as overweight among the Medical College students in our country. Additional nutritional education, regular physical exercise and outdoor game facilities are recommended to overcome the problems.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 579-582
Caesarean Section in Eclampsia and its Outcome in Bangladesh
Authors: Mazid MA , Akter Shahida
Published: June 2017

This prospective study was carried out on a total number of 58 eclamptic subjects during the period of July 2010 to June 2012 where 38 were undergone caesarean section (LUCS - Lower Uterine Caesarean Section) and 20 received conservative management. Mean (±SD) Age of the subjects who undergone Caesarean Section and conservative management (NVD) were 23.67±8.63 and 23.45±9.31 years respectively. Significant mean age difference was also present between these two groups. In 38 subjects of LUCS 34 subjects were recovered and rest 4 cases were died. Possible causes of death were due to heart failure and post partum pulmonary embolism. Among these 20 subjects who were treated conservatively 14 were recovered and 6 subjects were died. Causes of death in these groups were pulmonary embolism, Septic pneumonia, and HELLP syndrome. Significant difference was found between these two treatment options. It was observed that socio-demographic, economic status and BMI had significant effects on management outcome.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 583-586
Atypical Presentations of Rheumatoid Arthritis
Authors: Chowdhury Ashif Mashud , Islam Md Kamrul , Kalimullah - , Sakib Md Annaz Mus , Ali Zulfikar , Rahman Md Ridwanur
Published: June 2017

Rheumatoid Arthritis is a common rheumatological problem. It may involve many extra articular organic systems along with joints. Disability resulting from progressive Rheumatoid Arthritis has an enormous effect on our society and it is a drain for human as well as monetary resources. About half of all patients with Rheumatoid Arthritis stop working by 10 years, 90% by 30 years. Disability may be due to both to obvious limitation of joint destruction and pain to complication of therapy and to extra articular problems of Rheumatoid Arthritis, it also shortens life significantly. As inflammatory chronic poly-arthritis, most of the cases of Rheumatoid Arthritis present with constitutional symptoms with typical presentation but a group of patients may produce difficulties for diagnosis due to a variety of atypical presentations. Knowledge about atypical presentations & onset of rheumatoid arthritis is very important to prevent disabling complications of rheumatoid arthritis resulting from joint failure as well as from non musculoskeletal involvement.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 587-591
Glucuretics: A New Class of Drug for the Treatment of Type 2 Diabetes
Authors: Hoque Md Azizul , Rahman SM Tajdit , Islam Md Daharul , Akter Nazma
Published: June 2017

Type 2 diabetes is a common, chronic disease with a prevalence that is increasing at epidemic proportions. Management involves advice on lifestyle changes, oral anti-hyperglycaemic agents and/or insulin. The kidney plays an important role in glucose homeostasis via its production, utilization, and, most importantly, reabsorption of glucose from glomerular filtrate which is largely mediated via the sodium glucose cotransporter 2 (SGLT2). Competitive inhibition of SGLT2 induces glucosuria in a dose dependent manner and appears to have beneficial effects on glucose regulation in individuals with type 2 diabetes. Agents that inhibit SGLT2 represent a novel class of drugs, which has recently become available for treatment of type 2 diabetes. This article summarizes the rationale for use of these agents and reviews available clinical data on their efficacy, safety, and risks/benefits.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 592-597
Tuberculosis and Deep Venous Thrombosis, a rare complication of a common disease: A case report
Authors: Moniruzzaman Md , Islam Md Saiful , Chandra Shuvodip , Koli Anar , Hassan Mirza Jahid
Published: June 2017

Introduction: Tuberculosis remains an infectious disease with a high prevalence worldwide and represents a major public health issue, especially in our subcontinent. Although venous thromboembolism is a rare complication of this disease, it may be a potentially life threatening event.Case presentation: We report a case of a 43 years male who was diagnosed as a case of pulmonary tuberculosis with tubercular pericardial effusion, developed deep venous thrombosis later in the course of the diseaseConclusion: An association between inflammation induced by tuberculosis and a hypercoagulable state has been described. Therefore, the occurrence of deep venous thrombosis or pulmonary embolic episodes should be considered in patients with tuberculosis particularly during the first weeks of treatment. The physician's awareness of these phenomena is important to an early diagnostic suspicion and prompt treatment in order to prevent fatal outcomes.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 598-600
Analysis of Entropy in a Hardware-Embedded Delay PUF
Authors: Che Wenjie , Kajuluri Venkata , Martin Mitchell , Saqib Fareena , Plusquellic Jim
Published: June 2017

The magnitude of the information content associated with a particular implementation of a Physical Unclonable Function (PUF) is critically important for security and trust in emerging Internet of Things (IoT) applications. Authentication, in particular, requires the PUF to produce a very large number of challenge-response-pairs (CRPs) and, of even greater importance, requires the PUF to be resistant to adversarial attacks that attempt to model and clone the PUF (model-building attacks). Entropy is critically important to the model-building resistance of the PUF. A variety of metrics have been proposed for reporting Entropy, each measuring the randomness of information embedded within PUF-generated bitstrings. In this paper, we report the Entropy, MinEntropy, conditional MinEntropy, Interchip hamming distance and National Institute of Standards and Technology (NIST) statistical test results using bitstrings generated by a Hardware-Embedded Delay PUF called HELP. The bitstrings are generated from data collected in hardware experiments on 500 copies of HELP implemented on a set of Xilinx Zynq 7020 SoC Field Programmable Gate Arrays (FPGAs) subjected to industrial-level temperature and voltage conditions. Special test cases are constructed which purposely create worst case correlations for bitstring generation. Our results show that the processes proposed within HELP to generate bitstrings add significantly to their Entropy, and show that classical re-use of PUF components, e.g., path delays, does not result in large Entropy losses commonly reported for other PUF architectures.
Building Relations with Radiology Administrators
Authors: Kalambo Megan , Parikh Jay
Published: June 2017

In some radiology departments, the lack of alignment between administrators and radiologists can pose significant challenges. This article describes how differences in background and priorities between administrators and radiologists can contribute to conflict and presents strategies on how to manage the conflict in a way that can leverage positive change. Strategies to build relations between radiologists and radiology administrators are described.
Study of Water Environmental Cumulative Risk Assessment Based on Control Unit and Management Platform Application in Plain River Network
Authors: Wang Xue , Pang Yong , Wang Xiao , Zhou Qi , Xie Rongrong
Published: June 2017

As the gradual deterioration of the environment, the method of environmental risk assessment has been developed from basing only on a single source to basing on a cumulative risk source. In accordance with the water environment features of the plain river network area, a cumulative risk assessment system of water environment in the plain river network area was established in this paper, the design process for which could be divided into three step: (1) Control unit divided reasonably was chosen as the basic unit for water quality management. (2) On that basis, according to the characteristics of the plain river network area, the cumulative risk indexes were selected. The index weight is calculated using entropy method and analytic hierarchy process (AHP), which could determine the risk grade of each control unit. (3) The cumulative risk assessment method is coupled to the existing water environment management platform. The platform with a dynamic database can realize the dynamic calculation and visualization of the cumulative risk grade. In this paper, the Zhejiang area of Taihu Basin was selected to be the research target as the typical plain river network area. Thirty-five control units were divided with regional water environment and control section. Taking the data in the year 2011 as example, the proposed cumulative risk assessment method was used to identify the control units in different grades and the results demonstrated that the numbers of high-, medium-, low- and extremely low-risk control units are 13, 12, 5 and 5, respectively. It is necessary to give priority to the high-risk control unit. Therefore, the cumulative risk assessment method based on the control unit provides an essential theoretical basis for reducing the probability of water pollution and reducing the degree of water pollution damage.
Sustainability Strategy and Management Control Systems in Family Firms. Evidence from a Case Study
Authors: Caputo Fabio , Veltri Stefania , Venturelli Andrea
Published: June 2017

The aim of this paper is to investigate how the integration of new forms of sustainable control systems (SCSs) and traditional management control systems (MCSs), and the use of these control systems affect the integration of sustainability within organizational strategy. A qualitative case study based on a longitudinal investigation of an Italian family firm operating in an environment-sensitive context, the intermodal transport industry, has been used to trace the company’s pathway to sustainability integration based on the Gond et al. framework. The paper enriches the Gond et al. conceptualization providing evidence of the external and internal factors relevant in affecting the organization’s pathway towards sustainability integration. To the best of the authors’ knowledge, the present study is the first analysis that investigates the integration of sustainability into organizational strategy in the context of family firms, from the point of view of performance management systems (PMSs).
Les prémices d’une nouvelle stratégie américaine en Asie
Authors: Farghen Morgane
Published: June 2017

La réinitialisation de la politique extérieure américaine par rapport à la présidence sortante se construit peu à peu autour d’un schéma géopolitique sino-centré, et en opposition à une approche passée jugée trop favorable et permissive ; responsable de la situation sécuritaire dégradée. La reprise de l’ascendant sur les adversaires stratégiques et la restauration de l’autorité dans la relation avec ces derniers s’est imposée comme une force dominante, au détriment des isolationnistes.
La Politique asiatique des États-Unis : du pivot à la navigation à vue ?
Authors: Lim Yves-Heng
Published: June 2017

Il est encore difficile de mesurer l’impact qu’aura l’inattendue victoire de Donald Trump à l’élection présidentielle américaine sur les relations sino-américaines. Toutefois les premières semaines de la présidence Trump ont indubitablement rebattu les cartes dans un sens peu favorable aux États-Unis. Aux rodomontades du candidat ont succédé manœuvres et replis qui ont, de façon visible, affaibli Washington face à Beijing. L’évidente absence de stratégie est susceptible d’impacter l’équilibre bilatéral à moyen terme, bien au-delà de la présidence Trump.
La Politique asiatique de l’administration Trump : entre impératif de puissance et coordination stratégique
Authors: Mireur Yannick
Published: June 2017

L’administration Trump souhaite établir les conditions d’un commerce international équitable, en particulier avec la Chine. La baisse du déficit commercial doit être le témoin de cette politique, mais les enjeux stratégiques régionaux interviennent en raison des relations spéciales entre Pyongyang et Pékin, dont on espère une coopération efficace pour contenir le danger nord-coréen, face auquel le resserrement des alliances avec la Corée du Sud et le Japon est aussi nécessaire. L’imprévisibilité de la présidence américaine et l’absence de stratégie explicite, à ce stade, nourrissent l’incertitude. Si le Japon est une composante essentielle du dispositif américain et d’une coopération économique nouvelle après l’abandon annoncé du TPP, la politique chinoise de l’administration Trump et l’efficacité des sanctions financières contre la Corée du Nord seront clef pour la stabilité et le commerce.
The “Trump phenomenon” in the eyes of Chinese experts : promises and challenges of a transactional presidency
Authors: Abb Pascal
Published: June 2017

Après la victoire inattendue de Donald Trump lors de l’élection présidentielle de 2016, l’Asie orientale est confrontée à une période d’incertitude quant à la future politique américaine dans la région. Pour la Chine, cela présente un ensemble particulier de défis, compte tenu de la rhétorique passée de Trump, mais aussi des occasions de se rapprocher du modèle qu’elle souhaite pour la relation bilatérale avec les États-Unis. Cet article analyse le discours des experts de la politique étrangère chinoise de la candidature de Trump et le début de la présidence, et s’intéresse à l’évolution de leurs perceptions ainsi qu’à celle de leurs recommandations.
La Voie étroite du Prince
Authors: Dubois de Prisque Emmanuel
Published: June 2017

Avec l’arrivée au pouvoir de Donald Trump, certains imaginent, en Chine et ailleurs, que la Chine pourra prendre le relais des États-Unis dans son rôle de leader du processus de globalisation. Cependant, certaines caractéristiques de la gouvernance chinoise compliquent singulièrement la réalisation de cette ambition.
Taiwan : Lingering Uncertainty about President Trump
Authors: Ding Arthur S.
Published: June 2017

Les profondes inquiétudes de Taïwan quant à la présidence Trump portent sur trois domaines : la focalisation de Donald Trump sur des intérêts purement matériels, sans considération des institutions démocratiques et des droits de l’homme, ses tendances isolationnistes et les changements fréquents dans sa politique, et un possible mouvement de retrait, en conséquence de sa politique économique centrée sur les États-Unis.
More of the Same : An Unpredictable Trump Foreign Policy in an Unpredictable Central Asia
Authors: Kavalski Emilian
Published: June 2017

Tandis que la politique étrangère de l’administration Trump et les affaires intérieures de l’Asie centrale semblent être définies par l’imprévisibilité, cet article veut montrer que les relations des États-Unis avec les pays de la région ne vont sans doute pas changer de façon significative. Une telle prédiction peut sembler surprenante, mais les prédécesseurs de Trump ont fait ce que beaucoup supposent que fera l’actuel résident de la Maison-Blanche, à savoir faire mine d’ignorer la gravité des atteintes aux droits de l’homme commises par les gouvernements d’Asie centrale pour s’assurer de leur soutien pour les opérations anti-terroristes des États-Unis tout en réduisant l’engagement américain dans la région. De ce point de vue, l’absence de clarté quant aux contours de la politique étrangère américaine dans la région semble être la norme plus qu’une anomalie dans les relations entre les États-Unis et les gouvernements d’Asie centrale. A l’intérieur de ce cadre, notre analyse suggère que ce ne sont pas les interactions entre Washington et les capitales d’Asie centrale qui sont susceptibles de définir les trajectoires de long-terme de la politique américaine dans la région, mais plutôt les relations entre Washington et les autres pays acteurs internationaux – en particulier la Russie, la Chine et l’Iran. Ainsi même dans une région du monde habituée à l’imprévisibilité, il est difficile de deviner les conséquences possibles de la politique étrangère américaine en Asie centrale.
Les jeunes face aux injustices et aux discriminations
Authors: Galland Olivier
Published: June 2017

Les jeunes ressentent plus que les adultes les injustices et les discriminations vécues personnellement. En revanche ils sont moins sensibles à l’injustice sociale dans l’ensemble de la société. Cet article explore quelques explications possibles de ce paradoxe : particularités des injustices ressenties et probablement subies par les jeunes, effets de composition sociale du groupe des jeunes par rapport aux adultes contribuant à atténuer la sensibilité à l’injustice sociale, nature des liens, chez les jeunes, entre le positionnement politique et la perception de l’injustice dans la société.
Assessment of the autonomous learning competence in engineering degree courses at the Universitat Politècnica de Catalunya
Authors: Olmedo Torre Noelia , Farrerons Vidal Oscar
Published: June 2017

We present a strategy for the acquisition and assessment of autonomous learning conducted as part of the Graphic Expression in Engineering (GE) degree course during the first quarter at the Escola Universitària d’Enginyeria Tècnica Industrial de Barcelona (EUETIB). The strategy employed is the puzzle technique in the classroom and multiple-choice questionnaires on the virtual campus. The results show that this strategy enables the continuous acquisition of the learning objectives for the subject.
Laboratory 3.0: Manufacturing technologies laboratory virtualization with a student-centred methodology
Authors: Fabregat-Sanjuan Albert , Pàmies-Vilà Rosa , Ferrando Piera Francesc , De la Flor López Silvia
Published: June 2017

This paper presents a blended-learning strategy for improving the teaching method applied in the laboratory subject Manufacturing Technologies. The teaching method has been changed from a predominantly teacher-centred to an active learning system with a student-centred focus and e-learning activities. In face-to-face classes, a game-based learning platform has been used. This methodology ensured engaging classes at the same time that provided a useful live feedback for students and teachers. The virtualization of the laboratory was achieved by two different e-learning activities, self-assessment tasks and video clips. These e-learning tools have been used not only to improve the students’ learning but also to enhance their motivation. The results from academic outputs show a significant improvement after the new blended learning method is applied. Moreover, a student satisfaction survey shows the positive impact of the methodology on the students’ engagement and motivation.
Improving the learning experience of business subjects in engineering studies using automatic spreadsheet correctors
Authors: Rafart Serra Maria Assumpció , Bikfalvi Andrea , Soler Masó Josep , Prados Carrasco Ferran , Poch Garcia Jordi
Published: June 2017

The combination of two macro trends, ICT proliferation and novel approaches in education, has resulted in a series of opportunities with no precedent in terms of content, channels and methods in education. The present contribution aims to describe the architecture, functionality and impact of an automatic spreadsheet corrector responding to a problem-solving approach in an e-learning environment. A total of 179 students coursing technical studies attended a basic course on business administration in the framework of which the experiment was conducted. Subjective perception of students demonstrates a very good opinion about the learning experience using the proposed ICT tool. Objective results show that it is a valuable learning tool, while students who obtain a high final qualification are the ones that have been positively evaluated in the sessions using the automatic spreadsheet corrector. Beyond these highlighted benefits for students, teachers gain time, effort and workload reduction. The validity of the proposal is tested in the Polytechnic School of the University of Girona in Catalonia (Spain).
Use of wiris quizzes in an online calculus course
Authors: Calm Remei , Masià Ramon , Olivé Carme , Parés Mariné Núria , Pozo Francesc , Ripoll Jordi , Sancho-Vinuesa Teresa
Published: June 2017

Calculus courses often present a large number of difficulties to undergraduate students of scientific studies, especially in engineering degrees. These difficulties are sometimes related to teaching and assessment strategies. In this paper, a teaching innovation experience is presented within the framework of the Universitat Oberta de Catalunya. This teaching experience is focused on a continuous assessment through a systematic use of the so-called WIRIS quizzes. Academic outcomes are very positive from both quantitative and qualitative viewpoints.