bluuebunny/crossref_metadata_2025 huggingface dataset:
IMPACT OF SULFUR AMINO ACIDS SUPPLEMENTATION ON PERFORMANCE, OXIDATIVE STRESS, AND LIVER HISTOLOGY IN FEED-RESTRICTED INSHAS COCKERELS
Authors: Elwan Hamada , Mahmoud Hemdan , Mohamed Abdelhameed , D. Milošević Marija , Mohany Mohamed , S. Al-Rejaie Salim , S. Elnesr Shaaban
Published: September 2024

A 60-day experiment was conducted to investigate the impact of dietary sulfur amino acids (AA) on altered haemato-biochemical and redox parameters of Inshas cockerel chicks raised under restricted feeding. Male Inshas strain chickens were divided into five groups, each with five replicates of eight birds. The control group received the full National Research Council (NRC) requirements (100%). The other groups received diets meeting 90% of NRC requirements: 90% NRC; 90% NRC+Methionine; 90% NRC+Cysteine; and 90% NRC+both Methionine and Cysteine (AA-mix). AA supplementation improved growth performance compared to the control group. The birds that were given a combination of AA supplementation exhibited the highest body weight and carcass weight compared to other groups. AA supplementation improves blood physiological characteristics by reducing damage caused by feed restriction conditions. Serum parameters, including aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, alkaline phosphatase, gamma-glutamyl transpeptidase, and total protein concentration, showed decreased levels. Treatment with mixed AA maintained urea and uric acid concentrations at a level similar to the control group. Remarkably, a combination of AA treatments reduced the negative effects of feed restriction on young male chickens by enhancing the overall antioxidant capacity and activity of antioxidant enzymes in liver tissue (glutathione S-transferase, total superoxide dismutase, glutathione peroxidase, and amount of total glutathione), and decreased the malondialdehyde concentration. Feed restriction impacted liver histological structure, where hepatocytes were susceptible to feed restriction and included numerous cytoplasmic vacuoles, congested blood vesicles, lymphocytic infiltration, and pyknotic nuclei in treated cockerels. AA therapy restored most hepatic histological abnormalities. The findings suggest that AA supplementation significantly mitigated the adverse effects of feed restriction by improving haemato-biochemical parameters and hepatic redox status.

Acknowledgement: The authors extend their appreciation to the Department of Animal and Poultry Production, Faculty of Agriculture, Minia University, Egypt.
EFFECTS OF ARTIFICIAL LIGHT ON OXIDATIVE STRESS PARAMETERS IN AMPHIBIANS: A CASE STUDY OF HYLA ARBOREA
Authors: G Petrović Tamara , P Gavrić Jelena , G Despotović Svetlana , R Gavrilović Branka , B Radovanović Tijana , Kijanović Ana , Mirč Marko , Vukov Tanja , Đukić Nevena , Tomašević Kolarov Nataša , D Prokić Marko
Published: September 2024

Human activity and rapid urbanization created disturbance factors that drastically changed natural habitats. The introduction of artificial light at night changed natural light-dark regimes affecting a range of biological processes. Disruption of circadian rhythm is linked with changes in endocrine and neurobiological systems that control hormonal regulation, food intake, metabolism, reproduction, and behavior of animals. Oxidative stress was suggested as a possible mechanism through which artificial light could affect an organism’s physiology and health. We examined the oxidative status of tree frog (Hyla arborea) under two artificial night light intensities 20 lux and 90 lux. Artificial light affects the antioxidant system of both larval and juvenile stages. Larvae had higher activity for glutathione peroxidase only for 90 lux, while greater lipid damage was observed in individuals under both light regimes compared to control. Juvenile individuals showed boosted antioxidant response seen through higher activities of superoxide dismutase, catalase, and glutathione peroxidase. Finally, development under artificial light led to higher levels of protein damage in juveniles. Artificial light at night acts primarily through direct effects and can persist across life stages. Overall results point out that exposure to artificial light alters physiological traits in amphibians, such as oxidative status that could have various consequences on individuals in natural populations.
Checklist of arthropod predators of the cotton aphid, Aphis (Aphis) gossypii Glover, 1877 (Insecta: Hemiptera: Aphididae), and their distribution in India
Authors: Singh Rajendra
Published: September 2024

In this article, arthropod predators of Aphis (Aphis) gossypii Glover, 1877 (cotton aphid, melon aphid, brinjal aphid etc.) are catalogued along with the host plants of the prey distributed in different states and union territories of India. Predatory arthropods of cotton aphid mostly belong to four orders of class Insecta: Coleoptera (Anthribidae, Coccinellidae, Nitidulidae, Staphylinidae), Diptera (Calliphoridae, Chamaemyiidae, Cecidomyiidae, Syrphidae), Hemiptera (Anthocoridae, Geocoridae, Miridae, Pentatomidae) and Neuroptera (Chrysopidae, Hemerobiidae); and one order of class Arachnida, the order Araneae (spiders) (10 families). Among the Coleoptera, the Coccinellidae (ladybird beetles) is the largest family having 92 species feeding on this aphid infesting 107 species of host plants distributed in 27 states and union territories of India. A maximum of  52 species of these ladybird beetles’ prey on the aphids on brinjal (Solanum melongena) followed by cotton, Gossypium hirsutum (20 species), and okra, Abelmoschus esculentus (18 species). Among the Diptera, the hover flies (Syrphidae) are the most common predators having 24 species feeding on Aphis gossypii infesting 36 species of host plants distributed in 16 states and union territory of India. Among the Hemiptera, four species of anthocorid bugs are reported to prey on the cotton aphid. In Neuroptera, only two families, Chrysopidae (9 species) and Hemerobiidae (3 species) are recorded to prey on it in India. Among the Araneae, 29 species of spiders were reported belonging to 10 families, that prey on Aphis gossypii in six states of India. Indeed, very limited research works have been made to record these aphidophagous arthropods in India feeding on the cotton aphid and most of the regions are still unexplored and need an intensive and extensive survey plan to record them in those areas.
Subhealth Determinants in Chinese Nursing Graduate Students: The Role of Lifestyle and Stress Management
Authors: Su Lyu , Lachica Toni-An
Published: September 2024

Graduate scholars confront heightened stressors, including intense workloads that imperil their health. However, limited empirical inquiries examine Chinese nursing graduates’ well-being. This cross-sectional study explored this cohort's social characteristics, health status, and interrelationships. Utilizing a bespoke social survey and the Subhealth Status Scale, data were collected from 102 nursing master’s students after obtaining ethics clearance. Descriptive and inferential statistics analyzed variables. Participants displayed adept interpersonal abilities yet suboptimal habits like skipping breakfast, nocturnal studying, prolonged sitting, and social isolation. Over half of the participants were in subhealth. Moreover, female participants exhibited significant cardiovascular deficiencies compared to males. Additionally, exercise, sleep, and exam preparation predicted greater variance in subhealth independently. This study of Chinese nursing graduate students reveals an alarming prevalence of poor lifestyle habits negatively impacting health, especially fatigue, psychiatric well-being, and cardiovascular function. Subhealth stemmed largely from lack of sleep, exercise, and a healthy diet. This study highlights an urgent need to address the subhealth and well-being issues nursing graduate students face in China. Improving lifestyle behaviors related to sleep, exercise, and stress management should be prioritized to promote better health outcomes. Implementing supportive programs, policies, and services across educational institutions and healthcare settings may also foster healthier learning and working environments conducive to students' professional growth. Safeguarding the sustainability of this vital nursing talent pipeline will strengthen the capacity of China’s healthcare system to serve citizens. Thus, the program should be utilized and implemented to enhance the health outcomes of nursing graduate students. Keywords: subhealth, graduate students, nursing, lifestyle, China
Exploring the Clinical Learning Landscape: A Qualitative Study on Nursing Students’ Lived Experience
Authors: Yunlan Ma , Garcia Laurence
Published: September 2024

Undergraduate nursing education is pivotal, yet it presents numerous challenges, particularly during crises like the COVID-19 pandemic. This study was conducted to develop a collaborative program between hospitals and educational institutions to enhance the professional preparation of nursing students. This investigation employed qualitative methods and semi-structured interviews with 12 nursing students from a Guangxi hospital. Analysis via Colaizzi's method revealed four primary themes: knowledge and skill requisites, stressors within the clinical environment, emotional responses, and self-adaptation processes. The findings underscore the necessity for heightened attention to the experiences and stressors of nursing students. Drawing on Roy’s Adaptation Model and Neuman’s Systems Model, the research proposes an integrated approach to nursing education that encompasses curriculum development, practical training, mentorship, and administrative support. Enhancements in these areas are posited to strengthen students’ knowledge, resilience, and professional identity, thereby fostering the advancement of nursing practice and education. Keywords: clinical competency, collaborative programs, nursing education, pandemic response, professional development, Stress and coping
Secondary Traumatic Stress, Perceived Organizational Support, and Coping Strategies Among Psychiatric Nurses
Authors: Peng Niu , Diva Mary Beth
Published: September 2024

When psychiatric nurses care for traumatized patients, they are affected by the patient's traumatic experience and develop secondary trauma disorders, which affect individual health and quality of care. The objectives of this study were to characterize the current state of organizational support, coping strategies, and secondary traumatic stress (STS) among mental health nurses in Zhengzhou, China, and investigate the connections between these factors and STS. Psychiatric nurses, totaling 197, were employed to conduct the survey. The study used the Secondary Traumatic Stress subscale, the Nurse Work Index, and the Simplified Coping Style Questionnaire (SCSQ) to measure psychiatric nurses' secondary traumatic stress, organizational support, and coping strategies, respectively. The STS level of psychiatric nurses was at the medium level, but some were still at the high level. Those with more than 10 working years had higher STS levels. More than half of psychiatric nurses tended to adopt negative coping methods. Nurses with different coping styles had different STS levels. Active nurses had lower STS levels, and psychiatric nurses with higher organizational support adopted more active coping styles. Psychiatric nurses rated organizational support somewhat, but their participation in hospital affairs and human resource allocation scored the lowest. The STS situation of psychiatric nurses was not optimistic; therefore, hospital managers should pay attention to the mental health of psychiatric nurses, provide them with adequate organizational support, and improve their coping styles, especially those with high seniority and professional titles. Keywords: secondary traumatic stress, organizational support, coping strategies, psychiatric nurse, management
Rehab Pekarangan Pastoran Menjadi Ruang Tunggu di Paroki Santa Maria Ratu Rosari Tanjung Selamat Medan
Authors: Sitohang Andar , Hutagalung Pieter L , Siburian Mananda Ture , Sitohang Oloan , Sitindaon Charles
Published: September 2024

Rehap pekarangan menjadi ruang tunggu Pastoran ini dilakukan karena kebutuhan ketenangan di pondokan pastoran. Adanya Pengabdian Kepada Masyarakan (PkM) sebagai Tridarma Perguruan Tinggi maka, Akademi Teknik Deli Serdang dan Universitas Katolik Santo Thomas Medan memberikan bantuan pemikiran dalam bentuk perencanaan, pengawasan pekerjaan Rehab pekarangan menjadi tempat ruang tunggu. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk menghitung Anggaran Biaya yang relevan dan ekonomis dalam pembangunannya, memberikan pengarahan dan pengawasan dan pendampingan terhadap pelaksana dalam pekerjaan konstruksi secara baik dan aman, memberikan wawasan tentang konsep yang nyaman dalam desain. Kegiatan pengabdian kepada masyarakat ini disusun dalam beberapa tahapan yakni, mulai dari tahap persiapan, tahapan survey lokasi, desain dan menggambar, mengghitung volume bangunan, tahap perhitungan anggaran biaya dan Tahapan selesanjutnya adalah pelaksaanaan fisik di lapangan sampai selesai. Besaran Rencana Anggaran Biaya (RAB) yang ekenomis dapat terjangkau dan terlaksana dengan baik Terbangunnya ruang tunggu di Pastoran Paroki Santa Maria Ratu Rosari Tanjung Selamat Medan, sehingga umat merasa santai dan nyaman saat menunggu para imam.
Sosialisasi Terkait Perilaku Hidup Bersih dan Sehat (PHBS) di Desa Dringu Kabupaten Probolinggo
Authors: Prasetyo Adi , Felda Novia Ermilia , Nuraini Eka , Kusuma Dhea Setya , Hani Risa Pramestia , Prawiswati Kaisa Tri , Ro'uf Muhammad Mufid , Febriani Ayii Maiha , Putri Elvira Popy Eka , Luxianto Leiva Ayu , Taufikurrahman
Published: September 2024

Penerapan Pola Hidup Bersih dan Sehat (PHBS) merupakan salah satu langkah penting yang dilakukan dalam upaya meningkatkan kualitas hidup masyarakat. PHBS berkaitan erat dengan kondisi kesehatan di suatu lingkungan masyarakat. Tujuan pengabdian ini yakni untuk menciptakan masyarakat yang sehat melalui kesadaran akan penerapan PHBS. Semakin banyak masyarakat yang menerapkan PHBS maka juga semakin memperkecil peluang munculnya penyakit hingga menekan angka gizi buruk. Oleh karena itu, sosialisasi mengenai penerapan PHBS sangat dibutuhkan, dimana hal tersebut dapat dilakukan dengan melakukan program edukasi hingga penyuluhan. Pengabdian yang dilakukan untuk mempromosikan penerapan PHBS di Desa Dringu dilakukan dengan melakukan sosialisasi pada acara-acara arisan rutin RW. Yang mana pada kesempatan tersebut, kelompok kami memberikan pengenalan mengenai apa itu pengertian dari PHBS serta bagaimana cara penerapannya. Kegiatan pengabdian yang kami lakukan tersebut sejatinya sesuai dengan program nasional Pemerintah yakni tentang pencegahan stunting. Kegiatan tersebut juga dilakukan tidak hanya sekali, namun beberapa kali secara bertahap, yang dimulai dari sosialisasi di Arisan Rutin RW 01, Arisan Rutin RW 04, hingga edukasi mengenai cuci tangan di TK PKK Sriwijaya Dringu. Dengan demikian, kami berharap kegiatan pengabdian yang telah dilakukan dapat membawa dampak yang bermanfaat bagi masyarakat Dringu agar menumbuhkan rasa kesadaran bagi semua kalangan tentang pentingnya penerapan PHBS.
Mengenalkan Bisnis Digital Kepada Peserta Didik di SMK Harapan Bangsa Kecamatan Tanjung Morawa Kabupaten Deli Serdang
Authors: Silitonga Manaor , Gultom Josua Alexander , Siburian Mananda Ture , Napitupulu Abidan
Published: September 2024

Era digitalisasi yang menggelat telah menghantam dan memporakporandakan pemikiran yang selama ini terlalu mengikuti prosedure yang ribet dan berteletele, yang tak pernah diduga tetapi menjadi kenyataan. Banyak yang kuatir tetapi tidak sedikit yang paham dengan peradaban baru, terutama bagi kalangan usia millenial. Dunia menjadi terasa lebih sempit karena dengan mudah dapat dijelajah. Perusahaan yang tidak segera menyikapi dan tetap berpikir dan bertindak dengan cara lama (konvensional) menjadi roboh dan tergilas seketika. Yang tidak memiliki modal yang cukup dan tiba-tiba dapat melesat hingga menjadi konglomerat. Kemauan dan keberanian berinovasi menjadi kunci yang memegang peranan penting karena hadirnya teknologi digitalisasi. Orang-orang muda dan memiliki daya juang dengan semangat sangat dimungkinkan untuk tampil dalam peradaban baru ini. Yutuber, influenser menjadi orang yang sangat berhasil dari sisi pendapatan; pekerjaan yang semula tak terpikirkan. Bagi Indonesia sangat berpeluang dalam memanfaatkan bisnis digital, tetapi sekaligus menjadi ancaman sebab Indonesia sedang berjalan dalam Era Bonus Demografi, hingga tahun 2023; penduduk usia produktif mendominasi dari total penduduk. Kepada mereka harus denga gencar disampaikan tentang pemahaman-pemahaman baru khususnya menyangkut digitalisasi. Peserta didik menjadi bagian yang sangat penting dan strategis dalam pemahaman digitalisasi (bisnis digital); para pendidik, guru dan dosen, peneliti dan cerdik pandai menjadi agent penyampai informasi agar negara bisa memenangkan kompetisi kemajuan di masa datang.  Peningkatan kemampuan dan kapasitas SDM melalui dunia Pendidikan (formal, informal), terutama dunia pendidikan tinggi; selain mencerdaskan melalui pendidikan, penelitian dan tidak kalah pentingnya yakni pengabdian terhadap masyarakatnya.
Penerapan Instalasi Sistem Genset dan Kompresor untuk Peningkatan Produksi pada Bengkel Las Berkah Rizky Kecamatan Medan Sunggal
Authors: Iriani Juli , Abdullah  , Chrisna HS Samaria , Gunoro  , Cholish  , Suprianto  , Karima Indah Sarah , Nainggolan Tito Karnavia
Published: September 2024

Bengkel las dimasa sekarang ini menghasil banyak produk seperti rak bunga, rak barang, pagar rumah, kanopi bahkan permintaan mesin-mesin dengan fungsi tertentu. Beberapa permasalahan dalam usaha bengkel las, salah satunya pemadaman listrik yang tidak terduga sementara pemesanan sudah pada waktunya, ditambah lagi perlengkapan usaha las yang penting seperti mesin kompresor cat. Untuk menghasilkan kualitas produk las adalah sangat diperlukan karena hal itu berkaitan dengan konsumen yang tertarik terhadap produk las yang dibuat, yang menjadi ketertarikan konsumen seperti hasilnya yang kuat, kokoh dan tahan lama ditambah lagi hasil dari pengecatan yang menghasilkan tampilan yang baik dan sangat indah. Pengabdian ini bertujuan mengupayakan peningkatan produksi baik secara kualitas maupun kuantitas produk las pada Mitra Usaha Bengkel Las Berkah Rizky dengan menerapakan instalasi mesin genset dan penggunakan kompresor, sehingga jika pemadaman listrik terjadi tidak menghambat produksi dari pesanan konsumen dan hasil tampilan yang bagus dilakukan pengecatan dengan kompresor dibanding pengecatan manual menggunakan kuas yang tidak dapat menjangkau semua sudut dan pemerataan hasil pengecatan produk las. Metode yang dilakukan pada kegiatan ini berupa metode ceramah, diskusi dan demonstrasi alat serta dilanjutkan proses instalasi mesin genset dan kompresor secara keseluruhan. Hasil kegiatan ini diharapkan mitra dapat menghasilkan produksi usaha las secara maksimal dilihat dari kuantitas dan kualitasnya.
Meningkatkan Pemahaman Siswa SMK Harapan Bangsa Untuk Keterampilan Teknik Pelatihan Sepeda Motor
Authors: Gultom Josua Alexander , Napitupulu Abidan , Silitonga Manaor , Sinurat Windo , Siburian Mananda Ture , Naibaho Ronald
Published: September 2024

Pendidikan untuk pelatihan sepeda motor di Sekolah Menengah Kejuruan (SMK) memiliki peran penting dalam memfasilitasi siswa untuk memahami secara menyeluruh teknik sepeda motor, hal yang menarik adalah tentang keahlian teknis tidak hanya berfungsi sebagai informasi praktis, tetapi juga sebagai dasar untuk meningkatkan pemahaman dalam pemecahan masalah, mengatasi tantangan, dan beradaptasi dengan perkembangan tren dalam sektor otomotif. dalam pelatihan ini dilakukan pada siswa smk harapan bangsa menekankan bahwa pelatihan sepeda motor tidak hanya terbatas pada aspek mengendarai atau merawat kendaraan bermotor, melainkan juga mencakup pengembangan pemahaman komprehensif dalam bidang keteknikan. Kursus ini memberikan kesempatan bagi siswa untuk mempelajari tentang mesin sepeda motor, sistem gigi transmisi, dan teknologi yang sedang berkembang dalam dunia otomotif. Dengan pelatihan yang diberikan oleh dosen Akademi Teknik Deli Serdang ini juga yang nantinya akan mencatat bahwa pelatihan sepeda motor mempersiapkan siswa smk harapan bangsa untuk menjadi pemain di industri otomotif, dengan fokus pada pengembangan soft skill seperti keterampilan pemecahan masalah, kerja tim, dan komunikasi, sehingga yang diharapkan nantinya bagi siswa smk harapan bangsa dapat mendalami pelatihan sepeda motor berguna untuk menyimpulkan bahwa pelatihan sepeda motor merupakan langkah strategis dalam membentuk generasi muda yang siap menghadapi tantangan, memanfaatkan peluang, dan memberikan kontribusi positif dalam industri otomotif yang terus berkembang.
Perbaikan Bangunan Provinsialat SCMM Kecamatan Sunggal Kabupaten Deli Serdang
Authors: Sitohang Andar , Sitohang Oloan , Sitindaon Charles
Published: September 2024

Bangunan Kongregasi Suster-Suster Cintakasih Maria Bunda Berbelaskasih yang ada di Kecamatan Sunggal sudah cukup lama berdiri, sehingga perlu beberapa bagian dirawat/diperbaiki dari berbagai kerusakan. Peran dosen dalam memberikan Solusi perbaikan dapat diwujudkan melalui Tri Darma Perguruan Tinggi bentuk pengabdian kepada Masyarakat (PkM) dengan melalukan indentifikasi kerusakan, kalkulasi biaya perbaikan dan lain-lain. Untuk menjawab permasalahan perbaikan kerusakan yang ada maka peran Kampus sangat diperlukan melalui Pengabdian Kepada Masyarakat yang dilaksanakan Akademi Teknik Deli Serdang dan Unika Santo Thomas. Peran dosen dalam hal ini adalah identifikasi kerusakan, menghitung anggaran dan mengawasi pelaksanaan perbaikan. Program pengabdian kepada masyarakat ini disusun dalam beberapa tahapan, yakni; tahap persiapan menyangkut: Pengadaan Material/Bahan, tenaga kerja, Pembuatan jadwal kerja, Tahap pelaksanaan selama 2 miggu dan terakhir Tahap Finishing. Berdasarkan hasil pelaksanaan kegiatan pengabdian kepada masyarakat Dosen Akademi Teknik Deli Serdang, Dosen Universitas Katolik Santo Thomas Medan di lokasi Kongregasi Suster-Suster Cintakasih Maria Bunda Berbelaskasih dapat disimpulkan bahwa pekerjaan berjalan sesuai dengan rencana dan berlangsung lancar. Dengan adanya perbaikan-perbaikan kerusakan ini dapat memberikan kenyamanan bagi suster-suster karena pintu, jendela dan sanitasi air sudah berfungsi dengan baik.
Mothers' Knowledge on Infant & Young Child Feeding (IYCF) in Selected Villages of Modhukhali
Authors: Zaman F
Published: September 2024

This was a descriptive type of cross sectional study conducted during the period of November 2016 to February 2017. Theobjective of this study was to find out the Mothers' Knowledge on Infant & Young Child Feeding in selected villages ofModhukhali. Purposive sampling technique was used to collect 376 samples from the population. Data were collected by faceto face interview through a pretested questionnaire. It was revealed from the study that the mean age(±SD) of the respondentswas 36.09 (±9.4) years ,about 34.57% respondents were illiterate and average monthly family income was 13484 taka. Thestudy revealed that about 43.62% people knew about exclusive breast feeding, 59.84% knew about disadvantage of bottlefeeding, 46.28% of people know about continuation of breast feeding, 62.77% knew about the result if weaning was not doneproperly, 73.14% had knowledge about benefits of colostrums, 64.63% had knowledge about relation between nutritionalstatus and mental development.

Food & feeding practice because even more vital in case of infant & children as they are in their developing phase (both physical & mental) and are susceptible to large number of diseases. The IYCF health care services of the country have been improved by some years but yet there are some gap in rural areas. Strong supervision and monitoring of IYCF health care services throughout the country can change the scenario and help to make a healthy nation.
Salivary Acetylcholine Concentration and Dementia: A Comparative Study in Dhaka City of Bangladesh
Authors: Kabir MA
Published: September 2024

This comparative cross sectional study was carried out to evaluate the relationship of salivary acetylcholine concentration with the events of dementia during the period of July 2014 to June 2015. For this study total 120 respondents were selected purposively. Among them 60 respondents were suffering from dementia (Diagnosed by medicine specialist) and rest 60 were without dementia selected as comparison group.

Out of all study subjects, mean(±SD) age of dementia patients was 73.10(±4.93) years with the age range of 62 to 84 years andthat of in comparative group was 71.20(±5.89) years with the age range of 64 to 85 years. Male (60.0%) was predominant indementia patients. The mean(±SD) value of Salivary acetylcholine in dementia group was found 153.93(±98.04) pg/ml andthat of in comparative group was 411.50(±112.50) pg/ml. Here Salivary acetylcholine was found lower in dementia patientsthan comparative group and therefore it can be concluded that salivary acetylcholine level can help to diagnose the risk ofdevelopment of early dementia.
Ultrasonographic Evaluation in the Diagnosis of Acute Appendicitis with Histopathological Correlation
Authors: Saiham K S
Published: September 2024

Ultrasonogram is a useful tool in providing valuable information for the diagnosis of of acute appendicitis. Ultrasound couldincrease the diagnostic accuracy in those patients presented with unclear symptoms and signs of acute appendicitis . The aim ofthis study is to evaluate the effectiveness of U/S in the diagnosis of acute appendicitis. This cross sectional study was carried outin the department of Radiology & Imaging, Sir Salimullah Medical College, Dhaka during the period of January'2016 toDecember'2016. It included 40 patients suspected to have acute appendicitis. Ultrasound (U/S) was done for all these patients.There were (18) males represent (45%) and (22) females represent (55%). These patients are grouped according to gender, age,signs & symptoms, the result of U/S examination and histopathological result. Ultrasound was positive in (33) patients (82.5%) and negative in (07) patients (17.5%). Four patients out of (07) had true negative results while (03) patients were falsenegative. Ultrasound sensitivity was (91.4 %) in diagnosing acute appendicitis, specificity was (80%), accuracy rate was(92.5%), positive predictive value (96.7%) and negative predictive value (57.1%). As abdominal ultrasound showed highvalidity parameters for the diagnosis of acute appendicitis, the study concluded that ultrasonogram is a useful diagnosticmodality in preoperative evaluation of acute appendicitis and can be used for planning of appropriate management.
Mammographic Evaluation of Breast Mass & Comparison with Histopathological Findings
Authors: Yesmin L
Published: September 2024

Objective: To evaluate the diagnostic performance of Mammography in the diagnosis of benign and malignant breast mass.

Method: This Cross-sectional type of study was carried out in the Radiology & Imaging department of Sir Salimullah MedicalCollege and Mitford Hospital, Dhaka, during July 2013 to June 2015, to determine the value of mammography in evaluation ofbreast mass, and also to determine the sensitivity, specificity, accuracy, PPV and NPV of mammography in the diagnosis ofbenign and malignant breast mass in comparison to the histopathological findings. For this purpose clinically suspected ashaving breast mass, referred in the above mentioned hospitals and enrolled for surgical management were included in thisstudy. Mammography were done in all these patients and they were followed up from the admission upto the post operativetissue diagnosis of breast mass in respective pathology departments for histopathological correlation

Results: Almost one third (31.6%) patients were age belonged to 46-50 years and the mean age was found 47.8±6.4 years. A totalof 41 patients had mass only among them, 3 (7.3%) were malignant and 38 (92.7%) were benign patients. Six patients were masswith spiculation, among them all (100.0%) were malignant patients. Five patients were mass with macro calcification; amongthem all (100.0%) were benign patients. Two patients were mass with micro calcification, among them all (100.0%) weremalignant patients. Three patients were mass with spiculation, micro calcification and enlarged axillary lymph node; amongthem all (100.0%) were malignant patients. Out of 57 patients, on histopathological diagnosis 29 (50.9%) were firbroadenoma,6 (10.5%) were fibrocystic change, 4 (7.0%) were cyst, 4 (7.0%) were abscess and 1(1.8%) were galactocele. They were benignlesion of breast. Histopathological diagnosis of invasive ductal carcinoma, invasive lobular carcinoma and medullary carcinomawere 8 (14. %), 4 (7.00%) and 1 (1.8%) respectively. Mammography malignant was found 14 cases out of which 10 (76.9%)malignant and 4 (9.1%) benign evaluated by histopathology. Mammography benign was found 43 cases out of which 3 (23.1%)malignant and 40 (90.9%) benign evaluated by histopathology. The sensitivity was 76.9%, specificity 90.9%, accuracy 87.7%,positive predictive values 71.4% and negative predictive values 93.0% in mammography for identification of breast mass.
Nipah Virus: A Zoonotic Pathogen Endemic to Bangladesh
Authors: Khandaker S
Published: September 2024

'Nipah' called upon the name of a Malaysianvillage,Kampung Sungai Nipah , where the first outbreakwas reported in 1999 among the pig farmers. Nipah Virus(NiV) is an emerging and serious zoonotic disease that hasa high case fatality rate (approximately 70% or more). It isendemic primarily in the Indo-Bangladesh regions. Since1997 NiV infection has emerged repeatedly in South EastAsia including Bangladesh. From 2001-2018, Bangladeshreported 303 NiV cases, accounting for 211 deaths(approximately a 70 case fatality rate). NiV infection isassociated with contact with animals; an environmentalexposure, activity, or behavior; or contact with other NiVencephalitis patients. The high mortality rate, broadspecies tropism, multiple plausible modes of transmission,risk of person-person transmission and documented casesof health care workers being affected during outbreaks has made it a public health issue.
Evaluation of Hearing Status after Type-1 Tympanoplasty
Authors: Islam M S
Published: September 2024

Objective: To evaluate hearing outcome after type-1 tympanoplasty in inactive mucosal type of chronic otitis media.

Methods: This was an observational cross sectional study which was carried out in the department of Otolaryngology and Head Neck Surgery of Sir Salimullah Medical College Mitford Hospital during period of January 2016 to December 2016. A total of 50 patients who underwent successful type-1 tympanoplasty were collected. Majority of the patients were operated on under local anaesthesia. After 3 months pure tone audiometry was performed according to ISO standard. The hearing thresholds were measured at 500, 1000 & 2000 Hz. Air and bone conduction thresholds were determined with appropriate masking technique throughout.

Result: In this study, majority of the patients belong to age 21 to 30 years and most of patients were female. About 28 (56%) patients had inferior perforation and 31 (62%) had medium size perforation. Mean pre-operative air conduction threshold was 43.6 dB and significantly reduced to 32.0 dB after type-1 tympanoplasty. Mean change in air conduction threshold was 11.5 dB. Mean pre-operative air-bone gap was 33.1 dB and significantly reduced to 22.9 dB after type I tympanoplasty. Mean change in air-bone gap was 10.1 dB.

Conclusion: Overall improvement of air conduction threshold and AB gap after type I tympanoplasty was statistically significant. Thus from this study it can be concluded that type I tympanoplasty is an effective technique for hearing improvement in inactive mucous type of chronic otitis media.
Assessment of Nutritional Status of Under-five Rural Children in Some Selected Villages of Rupgonj Upazila, Narayangonj
Authors: Forhad C M R Q
Published: September 2024

Introduction: The best indicator of the global well- being depends on child nutritional status. Malnutrition among children in rural areas in most developing countries therefore considered a major health problem.

Objective: This study was carried out to assess the nutritional status of the under five childrenin some selected villages of RupgonjUpazila, Narayngonj.

Methods: This descriptive type of cross sectional study was conducted for the period of six months (from January to June 2017). A convenient sampling technique was used to select 215 samples from the children (1-5 years of age) population. Data were collected from the mother of selected children by face to face interview through a pretested questionnaire. A checklist duly pre-tested was used for collecting anthropometric data of the children and the applied techniques were: (a) Measurement of Mid Upper Arm Circumference (MUAC) by measuring tape (b) Weight was measured by weighing machine and (c) Height was measured by meter stick. The data were analyzed manually & by computer and presented in the form of tables and graphs in line with stated objectives.

Results: The study revealed that most (83.73%) of the children were more than 1year age and there were 50.23% male and 49.77% female. Most (76.27%) of the mothers of the children were within the age group of 18-30 years. It was also found that majority (62.33%) mothers were illiterate and most (48.84%) of the families had monthly income within taka 10001-20000 only. In this study majority (59.53%) of the mothers practiced exclusive breast feeding for 5 months and 81.86% children were immunized. Severe malnutrition was observed in 6.98% under five children by weight for age, 8.37% height for age, and 7.92% by weight for height. However 22.32% of the children of under five years of age was found to had mid upper arm circumference (MUAC) below 12.5 cm.

Conclusion: There is need for improvement in the nutritional status of the rural children. There should be some training or any other education concerning about nutritional knowledge, breast-feeding, weaning practices, nutritional value of food and dietary practices that increase the awareness of rural parents to take care of their children.
Post-operative Outcome of Acute Sigmoid Volvulus
Authors: Rahman M M
Published: September 2024

Background: Sigmoid volvulus is a common surgical emergency in many regions of the world, with significant morbidity and mortality. Volvulus occurs when a segment of the colon twists about its mesentery. In developing countries it is a major cause of colonic obstruction. The sigmoid colon is involved in up to 90% of cases. It can be present as acute, sub-acute or chronic obstruction. Emergency operation is needed in acute sigmoid volvulus. Various operative methods are used in the management.

Objective: The purpose of this study was to compare the 'primary resection and anastomosis' with 'Hartmann's procedure' for management of acute sigmoid volvulus.

Methods: This comparative cross-sectional study was conducted in a consecutive series of 63 patients, admitted to three different Medical Colleges from February 2012 to December 2018 with acute sigmoid volvulus. Then laparotomy were carried out in all 63 patients. Primary resection of the affected sigmoid colon with anastomosis were done in 37 patients and the Hartmann's procedure performed in 26 patients in two different groups. Outcome of the two procedures analyzed in terms of mortality and post-operative complications.

Conclusion: This study demonstrated that outcome of two procedures are same. Primary resection and anastomosis should be done in uncomplicated acute sigmoid volvulus safely, but in case of complicated patients Hartmann's procedure is the choice of operation.
Tumoral Calcinosis with an Atypical Presentation in the Foot: A Case Report
Authors: Ehlers Thomas , Luong Kenny , Karlic Kristina , Giakoumis Matrona
Published: September 2024

Tumoral calcinosis is a rare disorder defined as the development of periarticular calcified masses, typically surrounding large joints, although they may occur in the foot. We present a case of a patient with systemic tumoral calcinosis with lesions in both shoulders and wrists and a relatively large lesion in the right foot presenting with foot pain.
An Aggressively Recurrent Squamous Cell Carcinoma of the Foot
Authors: Tarricone Arthur , Gee Allen , Mata Karla De La , Axman Wayne , Buricea Cristina , Trepal Michael , Krishnan Prakash
Published: September 2024

Squamous cell carcinoma is a malignant tumor that is most commonly found on the head and neck. The current global incidence of squamous cell carcinoma at any site is estimated to be more than 1 million cases per year, with a reported 3-year mortality rate of 30%. Recurrence of squamous cell carcinoma at any site is estimated to be 15% to 50% and has been associated with greater rates of infiltration, perineural invasion, and mortality. Recent studies have shown lower-extremity squamous cell carcinoma to be distinct from squamous cell carcinoma at any site with histologic and clinical differences. Lower-extremity squamous cell carcinoma is suggestively less aggressive and carries less risk of metastasis. However, lower-extremity squamous cell carcinoma prevalence, mortality, and recurrence rates have not been extensively studied. The present report depicts a case of recurrent squamous cell carcinoma originating in 2006 in the dorsal forefoot and provides the clinical management of subsequent recurrence episodes, with excisions from 2015 and 2020.
Congenital Posteromedial Bowing of the Tibia: A Conservative Casting and Bracing Approach
Authors: DeHeer Patrick , Sten Tyler
Published: September 2024

Congenital posteromedial bowing of the tibia is a rare structural deformity of the lower extremity. This severe deformity may be discovered on ultrasound prenatally but is more commonly evident immediately after birth. Prognostically, congenital posteromedial bowing of the tibia ranges from a self-resolving condition to the development of a significant limb-length discrepancy with functional deficits. This condition can be treated conservatively but may require surgical correction in adolescence or at skeletal maturity. This case study presents a pediatric patient who underwent early conservative treatment with casting and bracing in a podiatric medical clinic setting.
Evaluation of Ankle Joint Position Sense in Patients with Type 2 Diabetes Mellitus with Peripheral Neuropathy by Isokinetic Dynamometer
Authors: Kılıç Özlem , İnal Elem , Demirci Hüseyin , Aydın Gülümser
Published: September 2024

Background: Proprioceptive disorders may occur when thick fibers are affected in diabetic neuropathy. This can lead to impaired joint stabilization and increased risk of falls and fractures. We evaluated joint position sense (JPS) in diabetic patients to detect those at risk for neuropathy earlier.

Methods: Sixty diabetic patients and 30 healthy individuals aged 30 to 60 years were included in the study and divided into three groups: 30 diabetic patients with peripheral neuropathy, 30 diabetic patients without peripheral neuropathy, and 30 nondiabetic control patients. Presence of neuropathy was determined electrophysiologically. Passive ankle JPS was evaluated by an isokinetic system in all three groups. Both 10° and 30° plantarflexion and 10° dorsiflexion were determined as target angles. The mean absolute angular error (MAAE) values for three trials with each angle were assessed by Kruskal-Wallis and Mann-Whitney U tests.

Results: The MAAEs with all of the angles were significantly higher in diabetic patients with peripheral neuropathy compared with diabetic patients without peripheral neuropathy and the control group (P < .001 for all of the comparisons). The MAAEs with right ankle 10° plantarflexion (P = .004) and 10° dorsiflexion (P = .007) and left ankle 10° plantarflexion (P = .008) were significantly higher in diabetic patients without peripheral neuropathy than in the control group.

Conclusions: According to these results, ankle JPS may be deteriorated before determination of neuropathy electrophysiologically.Therefore, we believe that prophylactic programs in terms of the risk of falls and fractures by evaluating JPS need to be developed in the early stages of diabetes.
Leg Ulceration with Infected Calcinosis Cutis Mimicking Osteomyelitis: A Case Report
Authors: Hussain Fahad , Zafar Uzma , Lenz Robin C.
Published: September 2024

Calcified tissue exposed in a leg ulcer can become infected and develop into a nidus of infection leading to sepsis. This case details a patient with a leg wound secondary to skin biopsy. This leg ulceration did not heal due to an underlying calcified mass and led to five hospital admissions for sepsis. She was diagnosed as having calcinosis cutis, which was suspected to be the source of her infections. The calcified mass was resected, and she healed uneventfully without further infections. Calcified soft-tissue masses should be considered in nonhealing leg ulcers and ulcers with multiple recurrent infections. Radiographs can be used to diagnose this condition, and surgical excision can be considered in cases of infection.
Joint Preserving Limb Salvage Secondary to Septic Nonunion Following Placement of a Fibular Intramedullary Nail: A Case Report
Authors: Luong Kenny , Bergen Christopher , Huchital Michael , Subik Michael
Published: September 2024

Several challenges exist for the foot and ankle surgeon when addressing the complications associated with ankle fracture repair. The risk of joint destruction, debilitation, and even limb loss may be amplified by the noncompliant patient. There is an abundance of literature documenting the management of fracture nonunions in the setting of infection with a variety of techniques proven successful in managing large osseous defects and eradicating infection. We present a particularly challenging case in which we modified an existing method of treatment to preserve the ankle joint of a failed reduction complicated by septic nonunion following placement of a fibular intramedullary nail.
Treatment Optimization with Ultrasound for Chronic Heel Pain
Authors: Ata Ayşe Merve , Altunay Bihter Semiha
Published: September 2024

Plantar fasciitis is the most common cause of chronic heel pain. It is characterized by localized inflammation and degeneration of the proximal part of the plantar aponeurosis. Treatment is mainly conservative. Herein, a 54-year-old woman with chronic heel pain was diagnosed as having plantar fascia rupture by ultrasound, probably after extracorporeal shock wave therapy. Corticosteroid injection was avoided after ultrasound imaging. Plantar fascia rupture after extracorporeal shock wave therapy is an unexpected complication. This case report highlights the importance of ultrasound imaging for both diagnosis and injection guidance in patients with plantar fasciitis.
Mycobacterium abscessus Cutaneous Infection in the Immunosuppressed: A Case Report on an Atypical Pathogen
Authors: Carver Caden , Patel Jigar , Mariano Dylan , Krause Mattie , Heigh-Rosen Evelyn
Published: September 2024

Mycobacterium abscessus complex (MAbc) is a rapidly growing nontuberculous mycobacterium that represents an increasingly prevalent cause of skin infections. This report describes an atypical presentation of MAbc to heighten physician awareness of the pathogen. A 69-year-old woman with immunocompromised status presented with a 4-month history of a solitary, nonhealing ulcer on her right lower extremity after an insect bite. After no improvement following oral amoxicillin/clavulanate and topical mupirocin for the initial diagnosis of cellulitis, biopsy and culture of the lesion revealed MAbc. Microscopic examination revealed reactive cutaneous inflammation without evidence of malignancy. Acid-fast bacteria (AFB) stain was negative, and no granulomas were noted histologically. Clarithromycin and doxycycline were initiated while awaiting susceptibility testing results. Final culture showed MAbc sensitive to amikacin, cefoxitin, and clarithromycin. Unfortunately, before antibiotic therapy could be modified, the patient died. The presentation of a solitary lower-extremity ulcer is rare compared with current literature. This case occurred after a suspected insect bite rather than instrumentation. In addition, this case demonstrated negative AFB stain and absence of granulomas on histologic analysis. The patient’s death did not allow for evaluation of treatment efficacy. Existing literature characterizing MAbc is sparse. Most cases present as multiple papules, nodules, and abscesses with positive AFB staining and granulomas; it is possible for deviations to exist depending on host immune status. Considering the highly drug-resistant nature of M abscessus, prompt diagnosis and treatment are crucial. For this to occur, clinicians must maintain high clinical suspicion for M abscessus infection in any chronic, nonhealing wound failing to respond to initial treatment.
Comparison of the Effects of Low-Dye and Kinesiology Taping in Plantar Fasciitis on Pain and Function: A Randomized Double-Blind Study
Authors: Unuvar Bayram Sonmez , Kulunkoglu Bahar Anaforoglu , Gercek Hasan , Tufekci Osman , Bagcaci Sinan , Erbas Onur
Published: September 2024

Background: Plantar fasciitis (PF) is becoming an increasingly common source of limitation in people's daily activities. As such, this study sought to investigate the effects of kinesiology taping (KT) and low-Dye taping treatments, used in conjunction with extracorporeal shockwave therapy (ESWT), on pain and function in patients with PF.

Methods: To conduct this randomized controlled study, 45 individuals with PF aged 18 to 65 years were included, with 15 individuals assigned to each group: the KT, low-Dye, and control groups. Pain intensity was evaluated using the visual analog scale, and functionality was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) scale before and after the study. Each group received three sessions of ESWT.

Results: When pretreatment and post-treatment differences were analyzed, first-step pain in the morning, pain with palpation, and pain after prolonged standing were reduced in the KT, low-Dye, and control groups (P < .05 for all). There were differences in the AOFAS total score in the KT (P <.001; r = 2.03), low-Dye (P < .001; r = 1.49), and control (P = .003; r = 0.92) groups. Low-Dye taping was more effective than the control in reducing pain with standing and improving AOFAS function scores (P < .05). Low-Dye taping and KT were effective in improving AOFAS total scores (P < .05) but were not superior to each other (P > .05).

Conclusions: Based on these findings, taping techniques such as KT and low-Dye, combined with conventional treatments such as ESWT, may be beneficial for improving pain and function in individuals with PF. Further randomized controlled trials with longer follow-up are needed to confirm this hypothesis.