bluuebunny/crossref_metadata_2025 huggingface dataset:
MODELLING THE STRUCTURAL PARAMETERS OF THE GLUE COMPOSITION AND STUDYING ITS ADHESIVE STRENGTH
Authors: Zolotov S. , Pustovoitova O. , Kamchatna S. , Savisko S. , Lytvynova H.
Published: April 2024

The study considers a model of a filled polymer system to analyse the interaction and relationship between its components and adhesive properties. A two-phase system occurs in the filler composition, which forms a layer at the interface with properties different from the bulk properties of the filler and the binder. The system consists of a filler, a boundary layer, and a binder, with their properties accounted for with the accuracy of the manufacturing conditions and the dimensions of the sample. We found that the filler grains shape significantly affects the properties of the system, such as bond strength and water resistance. Distance analysis between filler particles showed that a decrease in its volume fraction in the composition leads to an increased distance between them. We can draw the most objective conclusions after processing the filler particles since, in this case, everything depends on the change of interactions at the boundary (the properties of the matrix in the volume practically do not change). In other cases (for example, in the case of changing the temperature and time conditions of preparation and testing), not only the surface but also the volume properties of the matrix change, and, accordingly, it is usually impossible to conclude the role of adhesion. Its processes are part of the adhesion strength of the adhesive material, so the adhesion strength (also called interfacial strength, boundary strength, and bond strength) has been the subject of constant research for several decades. Adhesion strength is a quantitative indicator of adhesion, i.e., a quantitative indicator of the adhesion forces between the polymer matrix and the dispersed filler as a substrate. While the wetting angle of the edge characterises the process of formation of an adhesive bond, the strength of adhesion characterises the process of its destruction. Knowing the limits of the ‘ideal’ adhesion region can answer the question of what limits to aim for to improve adhesion, but this requires practical measurement of the interfacial strength between the acrylic composition and the filler, which is challenging. As a result, the strength of the composite can be a monotonically increasing function of the adhesion strength, but only in a limited range of values. An increase in adhesion can lead to a decrease in the strength of the adhesive material, depending on the size of the filler particles and the volume fraction of the filler. Adhesion strength is a quantitative indicator of the adhesion strength between the polymer matrix and the dispersed filler. The strength of adhesion affects the strength of the composite material. The ideal adhesion strength depends on the size and volume fraction of the filler. Excessive adhesion strength can lead to a decrease in the strength of the adhesive material.
Keywords: polymer-mineral composition, adhesion, cohesion, acrylic glue.
МІЖНАРОДНА ВІЙСЬКОВО-ТЕХНІЧНА ДОПОМОГА УКРАЇНІ ПЕРЕД ПОЧАТКОМ ЛІТНЬОГО КОНТРНАСТУПУ СИЛ ОБОРОНИ УКРАЇНИ У 2023 РОЦІ
Authors: ОСТАПЧУК Олександр , НОВІКОВА Валентина
Published: April 2024

Вивчення нового етапу сучасної російсько-української війни є важливим науковим завданням, вирішення якого активно триває. Важливим фактором успішної протидії російській збройній агресії залишається різнобічна міжнародна підтримка та допомога (політична, військово-технічна, економічна та гуманітарна) Україні. Зокрема, під час травневих візитів 2023 року до низки європейських країн керівництво України досягнуло важливих домовленостей щодо оборонної підтримки держави. Сполучені Штати Америки були та залишаються для України головним партнером та постачальником численної військово-технічної допомоги. США надали Україні усю можливу підтримку для підготовки контрнаступу влітку 2023 року. У статті розглянуто особливості міжнародної підтримки у травні 2023 року. Висвітлено роль і місце провідних країн демократичного світу в підтримці України перед початком контрнаступу Сил оборони України.
ВНЕСОК УРОДЖЕНЦІВ УКРАЇНИ В ІНЖЕНЕРНО-ПРОМИСЛОВИЙ РОЗВИТОК ТА БОЙОВЕ ЗАСТОСУВАННЯ БОМБАРДУВАЛЬНОЇ АВІАЦІЇ (ПЕРША ЧВЕРТЬ ХХ СТ.)
Authors: ДЕЙНЕГА Віктор
Published: April 2024

У статті визначено основні етапи становлення та формування бомбардувальної авіації, зосереджено увагу на загальній історії її розвитку та внеску уродженців України. На думку автора, тогочасне досягнення українців призвело до формування бомбардувальної авіації далекої дії та створення «Ескадри повітряних кораблів», що у 1916–1917 рр. дислокувалася у м. Вінниці. Проаналізовано довоєнний (1903–1914 рр.) етап розвитку авіації, визначаючи його як період активного розвитку авіаційної промисловості у світі й на теренах України. Особливу увагу зосереджено на висвітленні історії Ескадри повітряних кораблів, становлення якої відбувалося у період стрімкого зростання авіаційної промисловості під час Першої світової війни (1914–1917 рр.). Фрагментарно висвітлено події, що пов’язані з авіаційною галуззю у період від 1918 до 1920 року, що був досить важливим і, водночас, найважчим, через націо­нальні визвольні змагання, етапом розвитку авіаційної промисловості.
СТВОРЕННЯ РОСІЙСЬКИХ ПАРАМІЛІТАРНИХ ОРГАНІЗАЦІЙ І ДОБРОВОЛЬЧИХ ФОРМУВАНЬ ТА ЇХ ВИКОРИСТАННЯ У ВІЙНІ ПРОТИ УКРАЇНИ У 2014–2016 РОКАХ
Authors: ОНІЩУК Олександр
Published: April 2024

У статті з’ясовано, що починаючи 1990-х рр. у росії почали створюватися перші парамілітарні формування (загони, групи), зокрема «Российские добровольческие отряды», «Российский имперский легион» («Имперский легион», «Царские волки»), «Добровольческий коммунистический отряд», націоналістичне воєнізоване угруповання «Сербский добровольческий отряд «Йован Шевич» тощо, що брали участь у збройних конфліктах на пострадянському просторі. На початку 2000-х рр. було створено «Русское имперское движение», згодом – регіональну громадську організацію «Е.Н.О.Т.» і військово-патріотичний клуб «Резерв», а під час збройної агресії росії на сході України у 2014 р. – націоналістичну організацію «Союз добровольцев Донбасса», десантно-штурмову розвідувальну групу «Русич». Вищезазначені парамілітарні організації й формування можна вважати певним праобразом і передумовою створення російських приватних військових компаній, що активно використовуються росією під час збройної агресії проти України з 2014 року.
THE ROLE OF THE RELIGIOUS SCHOLARS OF FAQIH ALI DATO’ MAHARAJA’S DESCENT IN UPHOLDING SHARIA IMPLEMENTATION IN TERENGGANU
Authors: Wan Husain Wan Ahmad Fauzi , Wan Husain Wan Rohaida , Md Lateh Hanif
Published: April 2024

Faqih Ali Dato’ Maharaja is a well-known figure among local historians, particularly among those who study prominent religious scholars in Southeast Asia. His descendants contributed significantly to promoting the sustainability of Islamic teaching in Terengganu. Islam was upheld as the principle of Terengganu's sovereignty, forming the basis of its constitutional system, thus legitimizing the position of Sharia as the law of the land. This was manifested on the Inscribed Stone dated 4 Rejab 702H. Nevertheless, the role of the descendants of Faqih Ali have not been a focal point in academic writing. The paucity of literature and elucidation within this domain serves as the basis for this study. This article aims to investigate the role of prominent religious scholars of Faqih Ali Dato’ Maharaja's descent in upholding the implementation of Sharia in the Terengganu Sultanate until the Independence Day of Tanah Melayu in 1957. This study is qualitative in nature and employs historical research methods. Data were obtained from archival documents, government publications, field research, and secondary sources. Findings show that the preservation of the Sharia legacy in Terengganu since the discovery of the Inscribed Stone was influenced significantly by the substantial contributions of religious scholars who were also the administrators of Faqih Ali Dato’ Maharaja’s descent, evidenced by the legislation of Itqanul Muluk bi Ta'dil al-Suluk in 1911 and its extension, the Terengganu State Constitution. Hence, the practice of Sharia before 1957, was not confined to personal affairs as understood by many; by virtue of the Federal Constitution, the public affairs of Sharia are now entrusted to public authorities at the federal level unless those matters are retained in the state administration.
A Two-stage Method for Damage Detection in Z24 Bridge Based on K-nearest Neighbor and Artificial Neural Network
Authors: Hoang Viet Hai , Nguyen Ngoc Long , Bui Tien Thanh , Tran Ngoc Hoa
Published: April 2024

In this paper, we propose an effective approach for identifying damages in the Z24 bridge, a large-scale bridge in Switzerland. The dataset of the Z24 bridge is evaluated as a benchmark, reflecting the behavior of a real structure that has been used for numerous studies. However, most of the previous studies have only addressed the issues of updating the model or estimating the location and severity of damages. The core idea behind our proposed approach is to leverage the strengths of two effective Machine Learning (ML) algorithms: K-Nearest Neighbor (KNN) and Artificial Neural Network (ANN), to assess both the location and severity of damages in the Z24 bridge. First, we employ KNN, an unsupervised learning algorithm, for pinpointing the damage location. This strategy proves highly efficient, significantly reducing computation time by circumventing the need for a loss function during KNN training. By adopting this approach, KNN effectively mitigates the risk of encountering local minima in the ANN optimization process. Subsequently, we deploy ANN to determine the damage severity. When compared to previous studies on the Z24 bridge, our proposed method (KNN-ANN) exhibits promising results. Furthermore, our results illustrate that KNN-ANN consistently outperforms traditional ANN methodologies.
Clinical Characteristics and Survival of Pemphigoid and Pemphigus Patients in a Thai Population
Authors: Insan Kamontorn , Tuekhruea Kunraphus , Nettrakun Nitchaya , Chuealek Thanaporn , Tangprasert Nontakorn , Sonpoklang Powwasut , Warnnissorn Prateep , Chaiyamahapurk Sakchai
Published: April 2024

Objective: Pemphigoid and pemphigus are skin diseases with high morbidity and mortality. The research aims to study the clinical presentations, comorbidities, and medications used prior to diagnosis, as well as the survival rates and prognostic factors for pemphigoid and pemphigus patients.
Materials and Methods: The cohort study was conducted on retrospective data of patients who were treated at Naresuan University Hospital between 1 October 2012 and 30 September 2022.
Results: There were 30 pemphigoid patients and 44 pemphigus patients. Pemphigoid patients were on average older than pemphigus patients (76 years vs 52 years), have more skin blisters, and less oral cavity lesions. Neurological disease increases risk of being diagnosed as a bullous pemphigoid (odds ratio=4.6, p-value =0.051). After adjustment by neurologic disease and age at diagnosis, pemphigoid was not significantly associated with the use of any medications. The survival rate of pemphigus was 91.1% at 1 year and 82.2% at 5 years, while the survival rate of pemphigoid was 69.9% at 1 year, and 47.7% at 5 years. In multivariable Cox regression analysis, there was worse prognosis among pemphigoid and pemphigus patients that have comorbidity disease (adjusted HR= 3.13, p-value=0.057) and were older than 70 years (adj HR= 6.93, p-value=0.015).
Conclusion: Clinical characteristics of bullous pemphigoid and pemphigus were different such as age of onset, presence of blister and oral lesion. Neurological disease was a risk factor for developing bullous pemphigoid than pemphigus. Survival of pemphigoid patients was worse than pemphigus patients. However, this finding could be confounded by older age of pemphigoid patients.
Effect of a Single-dose Dexmedetomidine on Postoperative Delirium and Intraoperative Hemodynamic Outcomes in Elderly Hip Surgery; A Randomized Controlled Trial Dexmedetomidine for Postoperative Delirium
Authors: Choovongkomol Chidchanok , Sinchai Sothida , Choovongkomol Kongtush
Published: April 2024

Objective: Postoperative delirium (POD) is common in elderly patients. The growing evidences suggesting the potential benefits of dexmedetomidine (DEX) infusion in reducing POD. However, the administration of a singledose DEX remains controversial. This study aims to investigate the effect of a single-dose DEX on POD in elderlypatients undergoing hip surgery.
Materials and Methods: This prospective, randomized, double-blinded trial enrolled patients aged over 65 years who underwent hip surgery under spinal anesthesia. Patients were assigned to either the DEX (received intravenous DEX 0.3-0.5 μg/kg after incision), or the normal saline solution (NSS). Delirium assessments were conducted at the post anesthetic care unit (PACU) and at 24, 48 and 72 hours postoperatively using the Confusion AssessmentMethod (CAM).
Results: A total of 200 patients were randomized, with 100 in the DEX and 100 in the NSS. The incidence of POD was significantly lower in the DEX compared to the NSS (P < 0.001, RR 0.45, 95%CI: 0.28, 0.73). This difference remained significant at each postoperative assessment time point. There was no significant difference in sedation score and perioperative hemodynamics, except for a slightly lower intraoperative heart rate (P=0.015) and systolic blood pressure (P=0.029) observed at the PACU in the DEX, but these differences were not clinically significant. Additionally, the length of stay after surgery in the DEX was significantly shorter compare to the NSS (P=0.006).
Conclusion: A single-dose dexmedetomidine can reduce the incidence of POD within 72 hours postoperatively in elderly patients undergoing hip surgery without compromising intraoperative hemodynamic stability.
Association of Oxygen Therapy Concentration and Duration with Retinopathy of Prematurity Incidence at Naresuan University Hospital
Authors: Phruksarudee Krittaporn , Sungprem Kanrawee , Montriwet Mayuree
Published: April 2024

Objective: This study aimed to evaluate the association between the concentration and duration of oxygen therapy and the development and severity of retinopathy of prematurity (ROP). Additionally, it sought to examine the incidence of ROP at Naresuan University Hospital.
Materials and Methods: A retrospective observational cohort study was conducted, utilizing data from the medical records of infants admitted to the Neonatal Intensive Care Unit at Naresuan University Hospital, Phitsanulok, Thailand, from January 1, 2016, to December 31, 2022. The duration of various oxygen therapies was recorded in hours, and the concentration of oxygen administered per hour was calculated as the average fraction of inspired oxygen for each infant. These data were subsequently analyzed using STATA version 11.0.
Results: Out of 100 eligible infants, 27 (27%) were diagnosed with ROP at different severity levels: 17 infants (62.96%) with ROP stage 1, 9 infants (33.33%) with stage 2, and 1 infant (3.70%) with stage 3. There were no cases of Stage 4 or 5 ROP. The adjusted risk ratio revealed that infants receiving an average FiO2 of 0.3 or higher had a 1.64 times greater risk of developing ROP [95%CI 1.03-2.62], (P-value=0.038). Further analysis using mean difference regression showed a significant correlation between the duration of oxygen therapy and the severity of ROP.
Conclusion: This study suggests that regulating oxygen therapy to not exceed an FiO2 of 0.3 and administering it strictly as needed may mitigate the risk of developing ROP and its severe manifestations.
Fecal Calprotectin in Nosocomial Diarrhea: A Prospective Observational Study
Authors: Jaroonsakchai Wichaya , Limsrivilai Julajak , Phaophu Phutthaphorn , Subdee Nichcha , Ngamskulrungroj Popchai , Pausawasdi Nonthalee , Charatcharoenwitthaya Phunchai , Pongprasobchai Supot
Published: April 2024

Objective: Fecal calprotectin (FC) has an essential role in differentiating inflammatory diarrhea from functional diarrhea in an outpatient setting; however, its role in nosocomial diarrhea remains not well explored.
Materials and Methods: This is a prospective observational study. We included adult inpatients with nosocomial diarrhea and categorized them into diarrhea likely (group A) and unlikely (group B) to have lesions in the colonic mucosa. Group A included infectious diarrhea such as Clostridium difficile and ischemic colitis. Group B comprised tube-feeding diarrhea, non-C. difficile antibiotic-associated diarrhea, and drug-induced diarrhea. The FC levels were compared between the two groups.
Results: 135 patients were included, 45 in group A and 90 in group B. Median FC was 902 mg/kg (interquartile range [IQR] 549-2,175) of feces in group A, significantly higher than the median level of 377 mg/kg (IQR 141-664) of feces in group B (p<0.001). The area under the receiver operating characteristic curve was 0.798 (95% confidence interval: 0.717-0.879). At the standard cutoff of 50 mg/kg of feces, the sensitivity and specificity were 97.8% and 7.8%, respectively.
Conclusion: FC was significantly higher in nosocomial diarrhea likely to have mucosal lesions; however, its clinical usefulness was limited due to poor specificity.
Current Perspectives on Small Bowel Tumors: Overview of Prevalence, Clinical Manifestations, and Treatment Approaches
Authors: Wongsiriamnuey Thitichai , Limsrivilai Julajak
Published: April 2024

Small bowel tumors (SBTs) constitute a rare yet increasingly recognized group of gastrointestinal neoplasms, accounting for less than 5% of all gastrointestinal cancers. Despite their infrequency, the incidence of SBTs has exhibited a notable upward trend, underscoring the importance of understanding these diverse and complex tumors. This review consolidates current knowledge on SBTs, encompassing epidemiology, risk factors, clinical manifestations, diagnostic advancements, and treatment modalities. Data from various sources are analyzed to present a comprehensive overview of the evolving landscape of SBTs. Our findings indicate that adenocarcinomas, carcinoid tumors, lymphomas, and gastrointestinal stromal tumors (GISTs) are the common SBTs. While adenocarcinoma and neuroendocrine tumors are the common types of SBTs in the West, GIST and lymphoma are more common in Asia. Common risk factors include genetic syndromes and inflammatory bowel diseases. There is variability in clinical presentations depending on the type of tumors. Although diagnostic challenges persist, advancements in imaging and endoscopic techniques have improved detection rates. Treatment strategies are evolving; surgical resection remains the mainstay for localized disease, augmented by systemic therapies and targeted agents for advanced stages. This review emphasizes the importance of early detection and individualized treatment approaches in improving outcomes for SBT patients. It addresses the need for ongoing research and innovation in managing these tumors.
Urine Liver-Type Fatty Acid Binding Protein; Biomarker for Diagnosing Acute Kidney Injury and Predicting Mortality in Cirrhotic Patients
Authors: Wejnaruemarn Salisa , Prasoppokakorn Thaninee , Srisawat Nattachai , Teerasarntipan Tongluk , Thanapirom Kessarin , Phathong Chonlada , Chaiteerakij Roongruedee , Komolmit Piyawat , Tangkijvanich Pisit , Treeprasertsuk Sombat
Published: April 2024

Objective: To determine impact of urine liver-type fatty acid binding protein (uL-FABP) and urine neutrophil gelatinase-associated lipocalin (uNGAL), which were biomarkers linked to acute kidney injury (AKI), in AKI diagnosis and prediction of 28-day mortality among hospitalized cirrhotic patients.
Materials and Methods: We prospectively enrolled hospitalized cirrhotic patients at a tertiary care university hospital between June 2018 and November 2019. The uL-FABP, uNGAL, and plasma NGAL (pNGAL) were collected within 48 hours of admission. Cutoff values of biomarkers for diagnosing AKI derived from receiver operating characteristic (ROC) curve. Logistic regression analysis was used to identify independent factors for 28-day mortality.
Results: We enrolled 109 cirrhotic patients in derivative cohort, 41.3% had AKI. Median uL-FABP, uNGAL, and pNGAL levels in AKI group were higher than non-AKI group: 8.1 vs. 2.8 ng/mL (p=0.002), 40.5 vs. 10.1 ng/mL (p<0.001), and 195.7 vs 81.4 ng/mL (p=0.001), respectively. Areas under the ROC curve of uL-FABP, uNGAL, and pNGAL for AKI diagnosis were 0.68, 0.73 and 0.68, respectively. Also, all biomarkers were significantly higher in mortality group. Multivariate analysis showed that the only independent predictor for 28-day mortality was uL-FABP ≥ 4.68 ng/mL (odd ratio 4.15, p=0.02).
Conclusion: UL-FABP, uNGAL, and pNGAL are associated with AKI in hospitalized cirrhotic patients. Moreover, uL-FABP ≥ 4.68 ng/mL was a significant independent predictor for 28-day mortality.
Low Serum Ferritin Level: A Risk Factor of Simple Febrile Seizures– A Hospital-Based Case-Control Study
Authors: Ferdous Jannatul , Choudhury Zabeen , Debnath Bithi , Chowdhury Muhammad Jabed Bin Amin , Hossain Mir Mosharof , Debnath Bithi , Hasan Syeda Humaida
Published: April 2024

Background: Febrile seizure (FS) is the single most common seizure type in children younger than 5 years. The age for peak incidence of febrile seizure is 14 to 18 months, which overlaps with that of iron deficiency anemia.
Objectives: The purpose of this study was to explore the association of serum ferritin and iron deficiency anaemia with simple febrile seizures.
Methods: In this case-control study 50 patients with febrile seizure were evaluated for iron deficiency anaemia by estimation of Hemoglobin%, MCV, MCH, RDW, and serum ferritin. The control group consisted of 50 febrile children of the same age group without convulsion. Data were recorded in case record form and all the outcomes were recorded.
Results: In this study, the mean age of the patients was 20.48 ± 13.79 (range: 6-60) months. In the case group, the mean (± SD) Serum Ferritin level was 52.54 ± 52.64 µg/L and in the control group, the mean (± SD) S. Ferritin level was 87.40 ± 75.74 µg/L. In the case group, 46% of patients had low ferritin level and in the control group, 24% of patients had low ferritin level. Iron Deficiency Anaemia (IDA) was found among 26% of children in the case group and 14% in the control group.  A statistically significant difference was found regarding mean S. Ferritin level and ferritin status between the case and control group.  (Odds ratio 0.002 and 2.698)  But, in the case of IDA, there was no statistically significant difference observed between the groups.
Conclusion: A low ferritin level was associated with an increased risk of febrile seizures. Therefore, in children with febrile seizures, clinicians should be concerned about ferritin status even at normal hemoglobin levels.
J Bangladesh Coll Phys Surg 2024; 42: 139-143
Neuropsychiatric Manifestations and Neuroimaging Changes of Neurologic Wilson Disease–A Cross Sectional Study
Authors: Kundu Gopen Kumar , Mukib ABM
Published: April 2024

Background: Wilson disease is genetic disorder of copper metabolism which causes hepatic & neurologic manifestation mainly. Chelator therapy is usually given as first line treatment in symptomatic wilson disease.
Objective:  Objective of our study was to evaluate the neuropsychiatric menufestations of wilson disease.
Methods: A Cross sectional study was conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, a tertiary care premier Postgraduate Medical Institution of Bangladesh. Forty five (45) patients of neurologic wilson disease were evaluated at In-patient department of Paediatric Neurology, during the period of January 2015 to December 2020.
Diagnosis of Neurologic wilson disease was done, based on the characteristic clinical features of progressive deterioration of scholastic performances, dysarthria and gait disorder along with ophthalmologic findings, biochemical & neuroimaging findings.
Results: Total numbers of studied cases were 45. Mean age was 124.65± 20.69 months and male to female ratio was 1.8:1. Most of the patient (83.33%) arrived from poor socio-economic background and rural area (66.67%) of Bangladesh.  Among them 20.0% had history of consanguineous mating parents and 17.78% had another affected sibs. Common presenting features were progressive deterioration of school performance (89.74%), gait disturbance (92.31%),   dysarthria (92.31%) and dystonia (41.03%) of our studied children. Neuropsychiatric manifestations were very common among the affected children. Changes in behavior was present in 62.22% cases, and among them mania were present in 57.77% children. Other common neuropsychiatric manifestations were depression (35.55%), generalized anxiety disorder in 31.11% and loss of memory in 20% cases. Ophthalmological manifestations like KF ring (83.33%) also found in majority of patient. Neuroimaging study showed  basal ganglia hyperintensity in 63.63.% , white matter hyper intense signal changes 18.18% cases and ischemic change in grey matter in 18.18% cases.
Conclusion: In our study about two third cases of Neurologic Wilson diseases may present with Neuropsychiatric manifestations in children. Behavior changes were commonest neuropsychiatric manifestations which includes depression, mania, generalized anxiety disorder and loss of memory.In neuroimaging study bilateral basal ganglia hyperintensity were found in about three-fourth cases of our studied children.
J Bangladesh Coll Phys Surg 2024; 42: 144-148
Keystone flap: Suitable option for coverage of soft tissue defect over Tendo Achilles following open repair
Authors: Islam Md Salek Bin , Rahman Md Moshidur , Islam Md Azizul , Uddin Md Zalal , Khan Md Noazesh
Published: April 2024

Introduction: Wound complications are not uncommon following operative Tendo Achilles repair. Patients presented in Plastic surgery department with soft tissue defect on Tendo achilles region with exposed Tendon.  The paucity of tissue and poor blood circulation are main challenges for the reconstructive surgeon. The study aimed to evaluate the Keystone flap for soft tissue coverage of defects following Tendo achilles repair.
Methods: This prospective study was conducted on January 2021 to December 2022 in Plastic surgery department of Rajshahi Medical College Hospital and all 12 cases were done by single surgeon.  All patients had history of repair for ruptured Tendo Achilles and were presented with defect over Tendo achilles near or at its insertion, where the defect length was larger than width. Keystone flap type IIA was done for each defect.
Results: Mean age of the study patients was 43.42 ±9.79 years. The highest dimension of wound was 36.80 (8 X 4.6) cm2 and flap was 66 (10 X 6.6) cm2. The range of advancement of flap was 3- 4.6 cm (mean: 3.43 ±0.54 cm) in transverse axis of leg. Mean duration of operative time was 53.58± 10.06 minutes. Follow up period was 3 months to measure outcome the flap.
Conclusion: The keystone flap has high survivability rate with low complications rate providing with good functional outcome of joint. So, keystone flap is a suitable option for coverage of soft tissue defects following operative Tendo Achilles repair.
J Bangladesh Coll Phys Surg 2024; 42: 155-160
Clinico demographic profile and short-term outcome of Pediatric Idiopathic Intracranial Hypertension in a tertiary care hospital of Bangladesh
Authors: Saha Dipa , Khan Husne Ara , Parvin Jobaida , Mistry Banita , Khan Husne Ara , Nayeem Abu , Begum Most Shameem Ara , Mistry Banita , Saha Narayan Chandra , Saha Chinmoy Kumar
Published: April 2024

Background: Diagnosis of IIH (idiopathic intracranial hypertension) in children is challenging. The pathogenesis of IIH is still largely unknown. The aim of this study to evaluate the clinico-demographic profile and short-term outcome of IIH among Bangladeshi children.
Methodology: This observational cohort study was done in pediatric Neurology Department, National Institute of Neurosciences and Hospital Bangladesh from January 2018 to July 2019. Total 19 cases were enrolled who were clinically suspected and/or had normal CSF with opening pressure (OP) above 250 mmH2O. They were further categorized as “definite IIH”, definite IIH without papilledema, and “probable IIH”. Clinical, radiological profile and short-term outcome were analyzed by SPSS version 22.
Result: Among them most were probable IIH (74%). Episodic (57.9%), moderate, diffuse headache was the predominant symptom along with vomiting, double vision, unilateral VI nerve palsy and papilledema. Obesity was found in 21% cases. Mean CSF pressure was 21.84+7.62cm H2O and found high in definite IIH. All the cases were treated with acetazolamide and serial LP was done in 4(15.8%) cases. Definite IIH requires longer hospital stay (6.42 ± 2.87days). Recurrence was observed in 10.5% cases and visual impairment was found in 15.8% cases.
Conclusion: This study found wide range of diversity between clinical feature and CSF opening pressure in Pediatric IIH and diagnostic confirmation was challenging. Initial treatment response was satisfactory with a low recurrence rate.
J Bangladesh Coll Phys Surg 2024; 42: 161-168
Chest Ultrasound- A New Way To Diagnose
Authors: Rashid Sabrina Q
Published: April 2024

Chest ultrasound is a new modality and a new way of scanning and investigating the chest and lungs. It is getting popular both with the clinicians and the sonologists as it is cheap, easily available and portable and so can be taken to the patient’s bedside in the Intensive Care Unit (ICU) or High Dependency Unit (HDU). Its need is increasing with the passage of time. It is more used nowadays with the prevalence of Dengue fever to detect pleural effusion and also the degree of pleural effusion. Its use also increased in the ICU and HDU during COVID pandemic to detect pneumonia. Even for carrying out procedures like pleural fluid aspiration for diagnostic or therapeutic purpose its usage is increasing for accurate and quick access to the targeted area of fluid collection. It is also being used to exclude any collection at the site of aspiration so as to treat it before discharge of the patient.
J Bangladesh Coll Phys Surg 2024; 42: 189-193
Pantothenate kinase-associated neurodegeneration (PKAN) a rare neurodegenerative disease-Two case reports
Authors: Kundu Gopen Kumar , Das Konica , Sabah Noor A , Nishi Meher Nigar , Sarker Mohammad Arbab , Ahmed Sanjida
Published: April 2024

Neurodegeneration with brain iron accumulation (NBIA) is a subtype of inherited metabolic disorders. It includes pantothenate kinase-associated neurodegeneration (PKAN), which is a rare autosomal recessive disorder caused by the mutation of pantothenate kinase 2-gene (PANK2). It affects the deep grey matter nuclei causing progressive extra pyramidal motor impairment. We present two cases who are presented in our department with walking difficulty, dystonia and dysarthria. MRI of brain (T2) showed- hyper intensity of the basal ganglia with the classic eye-of-the-tiger sign and one child's genetic study revealed mutation in PANK2 gene. We managed them with anti dystonic drugs along with iron chelating agent.
J Bangladesh Coll Phys Surg 2024; 42: 209-213
Reverse sural island flap for reconstruction of ankle and posterior heel defect: clinical experience with surgical modifications of pedicle
Authors: Sarker Avijit , Hasan Md Rakibul , Alam Md Iftekharul , Samrat Mohsin Hasan , Chowdhury Maruf Alam , Barua Prattay
Published: April 2024

Introduction: Soft tissue defects around the ankle and posterior heel need stable flap coverage for proper healing and satisfactory recovery of function. Constant and reliable vascular supply of reverse sural island flap (RSIF) have made it a popular choice for reconstruction of these defects. In this study, the outcome of RSIF with few modifications in the pedicle area were discussed.
Methods: This prospective study was carried out in National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka duing April 2019 to June 2020. Total 31 patients with soft tissue defect around ankle and posterior heel were reconstructed with reverse sural artery island flap. The soft-tissue defects were located, infront of ankle in 3 cases, over lateral malleolus in 7 cases, over medial malleolus in 5 cases, over tendoachilles in 12 cases, involving two or more areas of posterior heel, tendoachilles and lateral malleolus in 4 cases. Average Flap length and width were 9.67(+1.60) cm & 6.38(+0.76) cm respectively. Pedicle area of flap was modified by including a 2 cm skin extension in the middle along with additional adipofascial tissue on both sides to improve venous return. Pedicle length to width ratio was maximum of 3:1. Average length of pedicle was 7.2 + 1.7 cm. 
Results: All flaps except three survived completely without any complications. One patient (3%) had partial necrosis and another one (3%) had marginal necrosis of flap due to venous congestion. Epidermolysis was observed in 3% cases.
Conclusions: The distally based superficial sural artery island flap is a versatile, reliable procedure useful in reconstruction of the lower extremity. Modifying the design of pedicle area increases safety by reducing venous congestion which ultimately leads to increase flap survivability.
J Bangladesh Coll Phys Surg 2024; 42: 126-132
Adaptarse a las necesidades que presentan las obras dentro de su entorno
Authors: Espinar José Mª
Published: April 2024

Cuando se plantea la necesidad de intervenir una obra dentro de un entorno sacro, como puede ser una Hermandad hay que tener en cuenta muchos factores. Dándole gran importancia a las necesidades que presenta la obra. Es esencial tener en cuenta todos los valores de la obra y en base a ello, adaptarse al entorno y las costumbres que la rodean a la hora de establecer las pautas a seguir para su intervención. Es importante escuchar y entender el punto de vista de los titulares de la obra, así como se debe comprender también la postura del profesional en la materia, estableciendo así un vínculo de confianza entre ambas partes.
Analisis Faktor Pertimbangan Mahasiswa dalam Pemilihan Program Studi Manajemen Undikma
Authors: Sami`un Sami`un , Hanna Fermatika Oktavia
Published: April 2024

AbstrakPenelitian ini dilakukan di Universitas Pendidikan Mandalika Mataram. Populasi penelitian adalah Mahasiswa Baru UNDIKMA bidang akademik tahun 2022/2023 berjumlah1.062 orang, pengambilan sampel menggunakan Slovin berjumlah 295 orang. mahasiswa UNDIKMA pada Program Studi, S1 Manajemen. Teknik pengambilan sampel dengan random sampling atau acak. Penelitian ini menggunakan metode analisis deskriptif. Hasil validitas uji faktor internal dan faktor eksternal hitung semuanya lebih besar dari tabel mean semua pernyataan itu valid. Hasil uji reliabilitas menunjukkan seluruh pernyataan baik internal maupun realibel eksternal karena crobach Alpha 0,780 dan 0,729 diatas 0,6. Itu Hasil menunjukkan bahwa Calon Mahasiswa UNDIKMA dari awal mayoritas bercita-cita menjadi lulusan ekonomi. Sebagian besar responden meyakini hal tersebut Lulusan UNDIKMA akan mendapatkan pekerjaan yang baik. Mayoritas responden merasa memiliki bakat di bidang ekonomi. Mayoritas masuk UNDIKMA karena UNDIKMA akreditasinya B dan dalam menentukan tempat perguruan tinggi mayoritas faktor lokasi yang dekat dengan kampus, selain itu biaya kuliah di UNDIKMA terjangkau. Saran perkuliahan di UNDIKMA yang dominan adalah nasehat orang tua dari teman. Calon Mahasiswa UNDIKMA mayoritas mendapat informasi dari brosur dan spanduk, menerima sangat sedikit informasi dari iklan surat kabar, radio, televisi, internet dan presentasi UNDIMA di sekolah.Kata Kunci : Keputusan, Motivasi, Pendidikan Tinggi
Penataan Kearsipan di Kantor Camat Belitang Kabupaten Ogan Komering Ulu Timur
Authors: Marlina Leny , Ibrahim Ibrahim , Noviani Sari
Published: April 2024

Abstract: This study raises the discussion of "Arrangement of Archives in the District Office of Belitang OKU Timur District". This study aims to find out how archives are arranged and to analyze the factors that influence filing arrangements at the Belitang OKU Timur sub-district office. This research is a qualitative research, the research subjects are the head of the archives section and the archives employees. Data collected through three ways, namely: interviews, observation and documentation. This type of research approach is descriptive qualitative. The techniques used in data analysis are data reduction, data presentation and drawing conclusions. The techniques used in checking the validity of the data are source triangulation, source triangulation and time triangulation. The results of this study indicate that the arrangement of archives in the Belitang OKU Timur District Sub-District Office has been running as it should, starting from the archive storage system, archive retrieval, determining archives of the same type, archive compilation, supporting facilities and infrastructure, maintaining and maintaining archives, information archive loan. Keywords: Arrangement, ArchivesAbstrak: Artikel ini mengangkat pembahasan mengenai “Penataan Kearsipan di Kantor Camat Belitang Kabupaten Ogan Komering Ulu Timur”. Adapun Penelitian ini bertujuan untuk mengetahui bagaimana penataan kearsipan dan menganalisis faktor-faktor yang mempengaruhi penataan kearsipan di Kantor Camat Belitang Kabupaten Ogan Komering Ulu Timur. Penelitian ini merupakan penelitian kualitatif, subyek penelitian adalah kepala seksi bidang kearsipan dan para pegawai kearsipan. Data yang dikumpulkan melalui tiga cara yaitu: wawancara, observasi dan dokumentasi. Jenis pendekatan penelitian ini yaitu deskriptif kualitatif. Teknik yang digunakan dalam analisis data adalah reduksi data, penyajian data dan penarikan kesimpulan. Teknik yang digunakan dalam pemeriksaan keabsahan data adalah triangulasi sumber, triangulasi sumber dan triangulasi waktu. Hasil penelitian ini menunjukkan bahwa penataan kearsiapn di Kantor Camat Belitang Kabupaten Ogan Komering Ulu Timur sudah berjalan sebagaimana mestinya, mulai dari sistem penyimpanan arsip, penemuan kembali arsip, menentukan arsip yang sama jenisnya, penyusunan arsip, sarana dan prasarana yang mendukung, menjaga dan memelihara arsip, informasi peminjaman arsip.Kata Kunci: Penataan, Kearsipan
Strategi Kepala Sekolah dalam Meningkatkan Kompetensi Siswa di SD Baiturrahman Jember
Authors: Aminah Siti , Sari Frisca Nur Kumala , Hasanah Siti Zumrotun
Published: April 2024

Abstract: This article is entitled ascertaining the Principal's Strategy in Improving Student Competence at Baiturrahman Elementary School, Jember. The problem that occurs is the difficulty in creating a culture in the school that supports learning and academic success, in addition to the difficulty that teachers have the skills and knowledge to teach students effectively. In this research using qualitative methods, the informant in this research is a school principal. Data collection techniques include interviewing private observations and documenting research results. The results show that the principal of Baiturrahman Elementary School has. Based on the results and discussion above, it can be concluded that the principal of SD Baiturrahman Jember has several strategies in improving the competence of his students, including the first, cultivating a cultural system or habits within the institution, the second, namely exploring the potential of his students. those who have achievements, the third is providing training to their students. Baiturrahman Elementary School has many achievements even at the national level. The Baiturrahman Elementary School principal also makes efforts to improve teacher professionalism to support his students by holding KKG and training for teachers.Keywords: Leadership, Principle Strategic of SchoolAbstrak: Artikel ini berjudul Strategi Kepala Sekolah dalam Meningkatkan Kompetensi Siswa di SD Baiturrahman Jember.Adpun permasalahan yang terjadi, yakni terjadinya kesulitan dalam mencipatakan budaya di sekolah yang mendukung pembelajaran dan keberhasilan akademik selain itu sulitnya memastikan bahwa guru memeiliki keterampilan dan pengetahuan untuk mengajar siswa seccara efektif. Dalam penelitian ini menggunakan Metode Kualitatif, informan dalam penelitian ini yakni seorang Kepala Sekolah. Teknik pengumpulan data berupa mewawancarai swrta observasi serta dokumentasi hasil penelitian. Hasil menunjukkan bahwa kepala sekolah Sd Baiturrahman memiliki. Berdasarkan hasil dan pembahasan di atas, maka dapat disimpulkan bahwa Kepala sekolah SD Baiturrahman Jember memeiliki beberapa strategi dalam meningkatkan kompetensi peserta didiknya, di antaranya yakni yang pertama budayakan ada sistim budaya atau kebiasaan dalam lembaga, yang kedua yakni menggali potensi-potensi akan siswa-siswanya yang memiliki prestasi, yang ketiga yakni memberikan pelatihan terhadap siswa-siswa nya. SD Baiturrahman ini memiliki banyak prestasi bahkan sampai tingkat Nasional. Kepala sekolah SD Baiturrahman juga memiliki upaya-upaya untuk meningkatkan ke profesionalan guru untuk menunjang peserta didiknya dengan diadakannya KKG dan pelatihan terhadap para guru.Kata Kunci: Kepemimpinan, Strategi Kepala Sekolah
IMPLEMENTATION OF LEARNING MANAGEMENT SYSTEMS WITH GENERATIVE ARTIFICIAL INTELLIGENCE FUNCTIONS IN THE POST-PANDEMIC ENVIRONMENT
Authors: Arghir Denis-Cătălin
Published: April 2024

In recent years, the global education system has undergone a transformative shift, relying increasingly on online tools to prove its resilience in the face of various challenges, including epidemiological events. This paper seeks to introduce a Learning Management System (LMS) designed to elevate the delivery of educational content, fostering the training and development of students' knowledge in a dynamic and adaptive learning environment anchored to the connectivity and synchronization needs of smart urban living. The system proposes the integration of a language generation model equipped with Application Programming Interface (API) access. This choice not only streamlines instructor support but also facilitates the creation of courses using an adapted and coherent language. The system goes beyond traditional LMS functionalities by providing suggestions to enhance and diversify lessons. Emphasizing flexibility and adaptability, the proposed LMS caters to various training levels, being able to accommodate the needs of learners across different domains. To identify the appropriate solution, a comparative analysis was conducted, evaluating various platforms based on functionality, intuitive presentation, and customization options. The selected system emerged as the most favorable, offering a robust framework for the development and delivery of educational content. To demonstrate the system's effectiveness, a curriculum was crafted for a specialized field of study - Artificial Intelligence (AI), with a specific focus on the practical application of Machine Learning algorithms. This curriculum incorporates theoretical and practical application components, complemented by a suite of assessment tools and assignments tailored to the proposed subject. The lessons within this curriculum were constructed by drawing insights from various bibliographical sources. What sets this system up-to-date is its integration of generative AI features directly into the LMS, enriching the teaching-learning-evaluating experience.
СТВОРЕННЯ СКРІНКАСТІВ ЗАСОБАМИ BANDICAM ДЛЯ ПІДТРИМКИНАВЧАННЯ МАЙБУТНІХ ЕКОНОМІСТІВ ПІД ЧАС КРИЗОВИХ ЯВИЩ
Authors: Дорогань-Писаренко Людмила , Канцедал Наталія , Красота Олена , Лега Ольга , Прийдак Тетяна , Яловега Людмила
Published: April 2024

The use of online learning methods and relevant services and tools has gained priority during crisis events on a global (pandemic of COVID-19) and all-Ukrainian (military intervention) scale. The educational sector is forced to adapt and revise approaches and methods for organizing learning in a distance and mixed format. One of the promising technologies for supporting the educational process in the conditions of modern realities is the screencast technology.
The purpose of our research was to analyze the benefits of using screencasts to support the educational process in the context of crisis phenomena (quarantine restrictions, military intervention), develop recommendations for creating educational screencasts using the Bandicam program.
In particular, the latest research and publications on the problem were analyzed. The concept and main features of educational screencasts, the possibilities of their application in the training of future economists were considered.
With the use of special web resources, an analysis of various screen recording applications was carried out (Bandicam, CamStudio, Camtasia, Debut Video Capture Software, FastStone Capture, Fraps, Free Screen Video Recorder, OBS Studio, OCAM Screen Recorder, ScreenFlow, ScreenPal, Super Screen Capture) and selected the most rated. The characteristics of screen recording applications that are the most important at the request of users (according to the results of the analysis of the source database, as well as according to the results of the survey of lecturers) were determined. Pre-selected applications were analyzed, taking into account the defined characteristics. The choice of the Bandicam program as a means of creating educational screencasts was justified.
The experience of organizing distance learning at the Poltava State Agrarian University using screencasting technology was presented. The results of a survey of students on their satisfaction with the use of screencasts (56 people, specialty 071 – Accounting and taxation, “Bachelor” level) were presented.
Technical and psychological-pedagogical recommendations for creating educational screencasts using Bandicam have been developed.
Hubungan Parenting Self Efficacy dengan Perilaku Agresif Anak Usia Prasekolah di TK ABA 14 Kandangsemangkon Kecamtan Paciran Kabupaten Lamongan
Authors: Xitri Windy Rahayu , Maghfuroh Lilis , Martini Diah Eko , Rohman Khoirul , Putri Meirizky Ella
Published: April 2024

Pada masa anak prasekolah, kemampuan bersosialisasi, persiapan untuk masuk sekolah, dan meluasnya masa pertemanan akan menjadi hal-hal yang penting dan bisa berpengaruh terhadap perilakunya. Banyak sekali perilaku dari lingkungan sekitar anak yang terjadi sebagai manifestasi perilaku negatif anak prasekolah karena anak prasekolah merupakan pendengar dan peniru yang baik. Perilaku agresif merupakan perilaku individu yang menyakiti orang lain atau merusak obyek atau benda mati. Penelitian ini bertujuan untuk mengetahui hubungan parenting self efficacy dengan perilaku agresif anak usia prasekolah di TK ABA 14 Kandangsemangkon Kecamatan Paciran Kabupaten Lamongan. Desain penelitian adalah analitik korelasional dengan menggunakan pendekatan cross sectional. Populasi penelitian sebanyak 90 orang tua, dan didapatkan sampel penelitian sebanyak 74 orang tua dengan menggunakan teknik simple random sampling. Data penelitian ini diambil menggunakan kuesioner. Setelah ditabulasi data dianalisis menggunakan uji Spearman rho’ dengan p ˂ 0,05. Hasil penelitian menunjukkan sebagian besar orang tua yang memiliki anak usia prasekolah memiliki tingkat parenting self efficacy yang rendah (58,10%), hampir sebagian orang tua memiliki anak usia prasekolah yang pernah berperilaku agresif (39,19%). Berdasarkan analisis data dengan nilai dari hubungan parenting self efficacy dengan perilaku agresif didapatkan nilai taraf signifikan p = 0,000 (p ˂ 0,05) dan nilai rs = 0,505 artinya terdapat hubungan antara parenting self efficacy dengan perilaku agresif anak usia prasekolah di TK ABA 14 Kandangsemangkon Kecamatan Paciran Kabupaten Lamongan dengan tingkat korelasi kuat. Berdasarkan hasil penelitian diharapkan kepada orang tua untuk meningkatkan parenting self efficacy yang dimiliki agar semakin yakin dalam pola pengasuhannya sehingga dapat mengurangi perilaku agresif anak usia prasekolah.