bluuebunny/crossref_metadata_2025 huggingface dataset:
PENINGKATAN KOMPETENSI AMIL MELALUI PELATIHAN FIQH ZAKAT DI LAZ DANA PEDULI UMAT KALIMANTAN TIMUR
Authors: Zaroni Akhmad Nur , Norvadewi Norvadewi , Tikawati Tikawati
Published: September 2024

LAZ Dana Peduli Umat Kalimantan Timur adalah lembaga amil zakat yang berkembang pesat yang memiliki 6 kantor di cabang di kabupaten kota di  Kalimantan Timur. Dalam pelaksanaan pengelolaan zakat, pelatihan amil zakat sangat diperlukan untuk meningkatkan profesionalisme dan kejujuran dalam mengelola zakat. Pelatihan ini membantu Amil zakat memahami lebih lanjut tentang zakat dan fungsinya, serta meningkatkan kemampuan mereka dalam mengelola zakat secara efektif. Kegiatan Pengabdian kepada Masyarakat (PkM)  FEBI Universitas Islam Negeri Samarinda bekerja sama dengan kantor pusat LAZ Dana Peduli Umat Kalimantan Timur mengadakan kegiatan Pelatihan Fiqh Zakat bertujuan untuk meningkatkan kompetensi Amil dalam penghimpunan, pendistribusian dan pendayagunaan zakat, infak dan sadaqah di LAZ Dana Peduli Umat Kalimantan Timur.  Kegiatan ini diikuti oleh 41 Amil dari kota Samarinda, Balikpapan, Kutai Kartanegara, Kutai Timur, Paser dan Penajam Paser Utara. Metode yang digunakan meliputi ceramah, simulasi dan tanya jawab.   Pelatihan Fikih Zakat ini telah berjalan dengan baik dan dapat memberikan manfaat bagi peserta dalam meningkatkan pengetahuan dan kemampuan mereka dalam menghitung dan mengelola zakat. Hal ini membantu amil dalam meningkatkan kesadaran dan kepedulian masyarakat terhadap zakat sebagai bagian dari kehidupan sehari-hari yang Islami serta  meningkatkan kinerja amli dalam mengelola zakat secara professional.
Keeping politics out of companies' climate action
Authors: Glynn Simon , Coomber Savannah
Published: September 2024

Corporate climate action will succeed and sustain itself best if politics are kept out of it—but the way many companies are tackling climate action is politicizing the issue. Climate action is not inherently ideological, but it becomes so when mixed with issues that are. We propose a model that separates climate action, together with similarly existential issues, from the many societal issues on which companies may choose to take a position. This separation is critical in protecting climate action from the emerging backlash against stakeholder capitalism.
Uso del plasma rico en plaquetas como adhesivo tisular autólogo en la cirugía del pterigión
Authors: Estragó Franco Adrián A. , Trecco Victorino , Zimmermann María Carla
Published: September 2024

Objetivo: Evaluar la efectividad del plasma rico en plaquetas (PRP) como adhesivo tisular autólogo para la fijación del autoinjerto conjuntival comparado con la sutura de nylon 10-0 en la cirugía de pterigión.
Material y método: Se realizó un estudio prospectivo comparativo al estudiar a 64 pacientes con pterigión primario. Se conformaron dos grupos: uno (grupo A) con 33 pacientes operados con PRP como adhesivo tisular autólogo. Otro (grupo B) con 31 pacientes operados con sutura de nylon 10-0.  Se analizaron hiperemia y engrosamiento, compromiso limbar, invasión corneal, impresión clínica, signos, tiempo quirúrgico, resultado estético, molestias postoperatorias, úlceras, recidivas, necrosis y pérdida del injerto, hemorragia subconjuntival, edema y quiste conjuntival, dislocación de injerto, leucoma corneal, granuloma y fijación de conjuntiva.
Resultados: Se observó que la fijación del autoinjerto conjuntival con PRP disminuye el tiempo quirúrgico, la reabsorción del edema conjuntival y las molestias postoperatorias. No se observaron diferencias significativas en los tiempos de reabsorción de la hemorragia subconjuntival o apreciación del resultado estético. Todos los pacientes evidenciaron alguna molestia luego de la cirugía. Las complicaciones más frecuentes fueron la hemorragia subconjuntival y el edema. No se observaron pérdidas del injerto en los pacientes tratados con PRP.
Conclusiones: El uso de PRP está siendo ampliamente estudiado y de acuerdo con nuestros resultados podría considerarse de preferencia para la práctica quirúrgica. Es necesario profundizar los estudios en el área y que se comparen los diferentes métodos quirúrgicos y de fijación.
¿El tipo de papel afecta el rendimiento de la lectura? Estudio de concordancia utilizando papel de caña de azúcar
Authors: Torres Rodrigo M. , Galperín Gustavo J. , Rivero Juan S. , Daponte Pablo , Sabella Daniel , Botta María J. , Garcés Nicolás , Albertazzi Roberto , Zanutigh Virginia
Published: September 2024

Objetivo: Evaluar el grado de concordancia respecto del rendimiento de la lectura con el papel blanco estándar y el papel producido a partir de caña de azúcar.
Métodos: Se desarrolló un estudio transversal para comparar cuatro versiones de la cartilla de lectura Byromat-CAO, definidas como PBlack, PNatBlack, PBlue y PNatBlue, según el tipo de papel (Nat: papel Ledesma, Argentina) y el color de la tinta (negra”Black” o azul: “Blue”). La población evaluada fue de oftalmólogos asistentes a un congreso (noviembre de 2023). Se evaluó la agudeza visual (AV) de cerca, el tiempo total de lectura y la cantidad de parpadeos. Se realizó una prueba de regresión lineal de Pearson y el nivel de concordancia se analizó mediante la prueba de Bland-Altman (p<0,05 = estadísticamente significativo).
Resultados: Participaron 104 oftalmólogos con una edad media de 39,1 ±12,4 años. No se encontraron diferencias estadísticas para la AV (p: 0,72), obteniéndose una correlación positiva (R2:0,83; p: 0,02), con un buen nivel de concordancia en el análisis de Bland-Altman. En cuanto al tiempo total de lectura, al comparar entre grupos independientes se observó un menor tiempo para PNatBlack vs PBlack (p: 0,03) y para PNatBlue vs PBlue (p: 0,04). La frecuencia de parpadeos fue estadísticamente menor (p<0,001) para PNatBlue y PNatBlack.
Conclusiones: La agudeza visual cercana resultó equivalente entre las cuatro variantes pero el tiempo de lectura y la frecuencia de parpadeo fueron menores con el papel Nat, lo que resultó en ventajas para la lectura.
Coriorretinitis esclopetaria: reporte de caso
Authors: Caffarelli Natalia , Fernández Agustín , Belmont Wasserlauf Eden , Florero Vallejos Jésica , Varela Milena
Published: September 2024

Objetivo: Presentación de un caso de coriorretinitis esclopetaria unilateral.
Caso clínico: Paciente de sexo masculino de 28 años de edad con antecedente de impacto con arma de fuego en región malar izquierda de 15 días de evolución concurrió al servicio de oftalmología para evaluación completa previa a cirugía maxilofacial. Al examen físico su agudeza visual era de 10/10 en ojo derecho y movimiento de manos en ojo izquierdo mejor corregida. Al fondo de ojos no presentaba ninguna particularidad en ojo derecho; en cambio, en el izquierdo se evidenciaron hemorragias retinales y subretinales en sector inferior y temporal comprometiendo la mácula: pliegues maculares y restos de hemovítreo en retina inferior. La tomografía de coherencia óptica macular mostró una alteración completa de la arquitectura retinal. Ante el hallazgo de estas lesiones sumado al antecedente, se indicó conducta expectante con estrictos controles periódicos.
Conclusión: Descripción de un caso de coriorretinitis esclopetaria, entidad escasamente comunicada. El diagnóstico oportuno y el seguimiento estricto son de gran importancia a fin de detectar posibles complicaciones en forma temprana.
Neoplasias escamosas de la superficie ocular: una serie de casos
Authors: Sansinanea Magalí , Defeo Cecilia , Ferella Elsa Aída , Mascazzini Virginia , Martínez Peterlin Alejo , Valeiras Andrea , Faretta Martina , Abuin Liliana
Published: September 2024

Las neoplasias escamosas de la superficie ocular son los tumores oculares más frecuentes que afectan principalmente a individuos del sexo masculino entre los 50 y 75 años de edad. Los factores de riesgo son el tabaquismo, los traumatismos o la inflamación crónica, la exposición a productos químicos, la deficiencia de vitamina A, la inmunosupresión local o sistémica, y la exposición a la radiación ultravioleta B, su factor principal de riesgo. El virus del papiloma humano y el virus de la inmunodeficiencia humana están fuertemente asociados con las neoplasias escamosas, donde estos tumores son a veces la primera manifestación clínica del VIH. Los pacientes VIH positivos con neoplasias escamosas tienen tumores de mayor tamaño, mayor agresividad histológica y mayor recurrencia luego del tratamiento. El objetivo de este trabajo es presentar una serie de casos de pacientes con carcinoma de células escamosas conjuntivales con diferentes factores de riesgo, modalidades de presentación clínica y su correspondiente abordaje clínico-terapéutico.
Melanoma coroideo en paciente joven: a propósito de un caso clínico
Authors: Faretta Martina , Cardozo Laura , Rocco Camila , Schweitzer Cecilia , Villalba Julieta , Settecase Florencia , Venancio Pablo , Valeiras Andrea
Published: September 2024

Se describe el caso clínico de un paciente varón de 34 años que consulta a la guardia de Oftalmología del HIGA Rodolfo Rossi por dolor y ojo rojo derecho de 48 horas de evolución. Había sido diagnosticado en otro centro como glaucoma agudo. Se realizó examen oftalmológico completo donde se constató disminución severa de agudeza visual del ojo derecho asociada a inyección ciliar moderada, edema corneal epitelial, cámara anterior estrecha, pupila arreactiva, Tyndall + y aumento de la presión intraocular sin afectación del otro ojo. El fondo de ojo derecho no se podía observar por opacidad de medios y nula dilatación. Se realizó ecografía del ojo derecho donde se observó imagen lobulada en polo posterior con compromiso del nervio óptico, de media reflectividad, de 14,5 mm de alto y 10,5 mm de ancho con excavación coroidea, compatible con melanoma coroideo. El ojo izquierdo no tenía alteraciones. Se hizo interconsulta con el Servicio de Oncología para descartar metástasis y se decidió enucleación del ojo afectado con colocación de prótesis. El resultado anatomopatológico informó proliferación neoplásica atípica de células fusiformes pigmentadas, compatible con melanoma coroideo. La importancia del caso, más allá de la particular juventud del paciente con un tumor ocular, radica en resaltar las múltiples formas de presentación clínica del melanoma coroideo, pero que también es primordial realizar a todos los pacientes el control del fondo de ojos. Esto permitirá detectar de forma temprana casos que pueden ser inicialmente asintomáticos, para realizar un tratamiento oportuno que permita mejorar la expectativa de vida del paciente.
Queratitis bacteriana difusa en pacientes con queratopatía bullosa
Authors: Eraso Maritza , Mazzalupo Bianca , Díaz José , Timón Adrián , Preto Federico , Galperín Gustavo , Ortega Carlos
Published: September 2024

La descompensación endotelial de la córnea puede tener diferentes causas. Su manifestación clínica origina un cuadro llamado queratitis bullosa en el que se observa edema corneal con pérdida de transparencia y alteración estructural que se manifiesta por ciclos recurrentes de lesiones bullosas en el epitelio corneal. El objetivo de este trabajo es reportar una serie de casos de pacientes con queratopatía bullosa que presentaron queratitis infecciosa corneal cuyo signo principal fue el hipopión. Tras realizar toma de muestra para examen directo y cultivo se realizó tratamiento con colirios fortificados (vancomicina 50 mg/ml y ceftazidima 50 mg/ml) obteniendo satisfactoria respuesta en el contexto de infecciones bacterianas. Se pone énfasis en considerar a la queratopatía bullosa como factor de riesgo para queratitis infecciosa, pudiendo haber infección bacteriana corneal sin ulceración ni infiltración evidente en el momento, y donde la presencia de hipopión es el único signo de infección corneal en los casos presentados.
Simultaneous bilateral intraocular collamer lens implant in a patient with psychomotor impairment
Authors: Eskenazi-Betech Ruth , Vera-Duarte Guillermo Raúl , Ortiz-Morales Gustavo , Gómez-Bastar Arturo , Ramírez-Miranda Arturo , Navas Alejandro , Graue-Hernández Enrique O.
Published: September 2024

Reportar un caso de implantación simultánea bilateral de lente fáquica de cámara posterior de colámero en una paciente con antecedentes de deterioro psicomotor y convulsiones. Paciente mujer de 31 años acudió a nuestro servicio para someterse a cirugía refractiva. Contaba con antecedentes médicos de nacimiento prematuro, accidente cerebrovascular a los tres meses de edad, deterioro psicomotor subsiguiente y convulsiones con intolerancia a las lentes de contacto. En el momento de la presentación, la agudeza visual mejor corregida era de 20/60 y 20/80 en el ojo derecho e izquierdo, respectivamente, por astigmatismo miópico alto. El examen con lámpara de hendidura reveló un segmento anterior normal. La paciente fue sometida a la implantación simultánea de la lente de colámero implantable sin incidentes y con anestesia general. No se observaron complicaciones intraoperatorias ni postoperatorias. La reticencia de los oftalmólogos a contemplar la cirugía intraocular bilateral simultánea se debe a la aprensión de que tal enfoque pueda generar complicaciones específicas que podrían culminar en una discapacidad visual bilateral. Sin embargo, los recientes avances en seguridad y eficacia quirúrgica han llevado a reevaluar las indicaciones de forma análoga al cambio de paradigma observado en la cirugía de cataratas. En determinadas circunstancias, los pacientes con características particulares pueden necesitar anestesia general, por lo que los beneficios frente a los riesgos de la cirugía bilateral concurrente bajo dicha anestesia merecen su consideración.
Esclerectomía profunda no perforante con implante uveoescleral no reabsorbible Esnoper Clip
Authors: Acosta Hugo
Published: September 2024

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Córnea artificial: ¿ha controlado a un paciente con este implante?
Authors: Gallotti Marcelo Nicolás
Published: September 2024

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Fostering Local Economic Development through Agripreneurship in Nepal
Authors:   Editor-in–Chief, MIshra Anjay Kumar
Published: September 2024

Agricultural entrepreneurship is crucial for local economic development in Nepal, where a significant portion of the population relies on agriculture. This study explores the multifaceted factors influencing agripreneurship and outlines strategies to enhance this sector. It highlights that while Nepal has abundant agricultural resources, the current infrastructure, market access, and financial services are inadequate, hindering agripreneurial potential. The study identifies that enhancing infrastructure, such as roads, storage facilities, and financial services, is essential for fostering a robust agripreneurial ecosystem. It also emphasizes the importance of improving perceptual factors by increasing the attractiveness of agriculture and reducing the fear of failure through risk mitigation measures. Furthermore, the study underscores the need for investments in educational and vocational training to build intellectual capital and develop relevant business skills. Strengthening market access and fostering a supportive environment through mentorship and networking are also recommended. By implementing these strategies, Nepal can leverage its agricultural resources more effectively, driving local economic development and improving rural prosperity. Keywords: agricultural entrepreneurship, local economic development, infrastructure development, access to finance, intellectual capital, market access, perceptual factors
Presentation, Comorbidities and Hospital Outcome of Covid-19 Disease: A Prospective Observational Study in a Tertiary Care Hospital
Authors: Bodiuzzaman MM
Published: September 2024

Background: A global pandemic Coronavirus disease (COVID-19) is caused by severe acute respiratory syndromecoronavirus 2 (SARS-CoV-2). It was first started in Wuhan city, China, and spread globally, affect human being irrespective ofage, sex and ethnicity. People affected by this virus had wide range of symptoms with multi-organ failure and even death.Presence of comorbidity along in COVID-19 disease increases morbidities and mortality.

Objective: This study was done to find out the characteristics and presenting features of COVID-19 disease as well as to assessthe co-morbidities and its hospital outcome.

Methods: This prospective observational study was carried out in the COVID-19 dedicated ward in a tertiary hospital ofFaridpur from November 2020 to March 2021 for a period of 05 month. Total 450 purposively selected Covid-19 positivepatients (confirmed by RT PCR) were included in this study. Data were collected from patients or their relatives through apretested questionnaire by face to face interview method. Then data were checked and analyze according to the objectives.

Results: Among all admitted patients 310(68.88%) were male and 140(31.10%) were female. Young adult patients (19 to 50years) were more affected (55.44%) and people living in urban area were more affected (59.21%) than rural area (41.77%).Fever, cough and shortness of breath (67.78%, 46.67% and 43.33% respectively) were predominant symptoms. Around 44.0%patients have one or more comorbidities. Hypertension (19.11%) was the predominant comorbid condition followed byDiabetes (14.10%), COAD (5.33%), ischemic heart disease (3.55%), CKD (0.89%), CVD (0.67%), and Cancer (0.44%).Among the patients needed ICU support; most of them were elderly 45(75.0%). Regarding hospital outcome, 92.63% patientsdischarged uneventfully whereas 07.37% patients expired. Deaths were more in elderly patients (69.0%) and most of themhave comorbidities (81.25%). Common co morbidities among the patients who expired were Hypertension, Diabetes andCOAD (56.75%, 43.75% and 37.50% respectively).

Conclusion: In this study predominant number of patients presented with fever, cough and shortness of breath. Death remainshigh among elderly patients and those with one or more comorbid conditions.Therefore, elderly patients and those withcomorbidities should take all necessary precautions to avoid getting infected with SARS CoV-2.
E-Cadherin Expression in Patient with Gastric Carcinoma in Relation to Histological Prognostic Parameters
Authors: Hoque MM
Published: September 2024

Background: E-cadherin (epithelial-cadherin), encoded by the CDH1 gene, is a transmembrane glycoprotein playing a crucialrole in maintaining cell-cell adhesion. E-cadherin has been reported to be a tumor suppressor and to be down regulated ingastric cancer.

Objective: The aim of this study is to find out the expression of E-cadherin in patients with gastric carcinoma and it's relation tohistological prognostic parameters. This study also aimed to investigate the morphological parameters of prognostic value:histologic type and tumor grading, depth of invasion, lympho-vascular invasion, perineural invasion and lymph node metastasis.

Methods: This descriptive cross sectional study was carried out from March, 2015 to June, 2017 at the Department ofPathology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. The study materials were gastric tissue takenfrom 42 patients who underwent total or partial gastrectomy operation in Surgery Department of BSMMU and few privatehospitals and diagnosed as gastric carcinoma in Pathology department of BSMMU.

Result: Among 42 cases, 26 were male and 16 were female with a male/female ratio of 1.6:1. Thirty two samples were totalgastrectomy specimen and twelve samples were partial/subtotal gastrectomy specimen. Ages of the patients ranged from 20 to76 years and the highest number(33.3%) of cases belonged to 50-59 years age group. This study showed E-cadherin expressiondid not show association with lymphovascular invasion, perineural invasion and depth of invasion. The rate of E-Cadherinpositivity shows association with histological type, histological grading and lymph node metastasis.

Conclusion: Although alterations in E-cadherin and its expression may serve as promising biomarkers or therapeutic targets ingastric cancer but in this study E-cadherin expression was significantly more frequent in comparison with the histological type,histological grading and lymph node metastasis.
An Update on COVID-19: Clinico-pathology & Epidemiological Perspective
Authors: Ahad MA
Published: September 2024

Novel Corona virus is a highly infectious and contagious virus producing pandemic throughout the world with high morbidityand mortality. It causes primarily respiratory tract infection and also affects gastrointestinal system, nervous system, endocrinesystem and others. RT-PCR is the gold standard test. Management is primarily symptomatic. Most people recoverspontaneously and few patients requiring oxygen and ventilation. For prevention of transmission of viruses vaccination andsome healthy practice should be maintained like frequent washing of hands with soap and water for at least 20 seconds or usingan alcohol-based hand sanitizer that contains at least 70% alcohol, avoiding touching face, nose, or mouth with unwashedhands, use of face mask, avoiding close contact with people who are sick. This article highlights an update of clinico-pathologyand epidemiological aspects including its clinical manifestations and preventive measures in deed.
A Catastrophic Consequence: Cervical Ectopic Pregnancy
Authors: Begum P
Published: September 2024

Cervical pregnancy is a rare form of ectopic pregnancy with an estimated incidence of 0.1-1% of all ectopic pregnancies. It isdefined as a pregnancy that implants in the cervical canal below the internal os and within the cervical mucosa. Treatmentvaries from conservative management to hysterectomy depending on the clinical presentation and the time of diagnosis.Diagnosis may be missed unless the clinician and the radiologist are aware of this entity. We present a case of cervicalpregnancy in a 36 years old female who was diagnosed outside as missed abortion and was referred for termination ofpregnancy. During dilatation and evacuation, she had severe uncontrollable bleeding. Laparotomy revealed the presence of anectopic cervical pregnancy for which hysterectomy had to be done. This case is prsented to highlight the importance of correctdiagnosis in these cases to avoid such a catastrophe.
A Suicidal Teen: Help Knowing the Warning Signs and Risk Factors
Authors: Akhiruzzaman
Published: September 2024

Suicide is such an unexplained, meaningless, tragic,contradictory and mystified complex public healthproblem having dimensions of physical, biological,somatic, mental, psychological, psychiatric, cultural,social and spiritual phenomenon. In spite of the severalidentified background factors, the real reasons behindsuicide is not clear, because suicide is multi-causal, and cannever be traced back to one single cause. However, thestrongest suicide risk factor is an unrecognized anduntreated mental disorder. Suicide among young people is1one of the most serious public health problems. Accordingto the Centers for Disease Control (CDC) suicide is the2second leading cause of death for teens and young adults.The suicide rate among teenage girls reached an all-timehigh in 2015. The analysis found an increase in teensuicides across the board between 2007 and 2015. Thesuicide rate increased 31% for teen boys and doubled for teen girls during this time period.

The numbers are a sobering reminder that suicide is agrowing public health concern and that teens are aparticularly vulnerable group. Research shows that teen4depression is on the rise and suicide is always a risk during5the course of a major depressive episode. World HealthOrganization Global Health Observatory estimatesreported suicide rate in Bangladesh is 7.8 per 100,0006population in 2012. However, in a paper published byFeroz et al., reported that suicide rate was 30.4% below 207years of age in Bangladesh. The Bangladesh Police are theonly authorities to keep track of the suicides in the country.According to their 2017 statistics, on average around 30people commit suicide every day. Statistics show that9,665 people committed suicide in 2010 and the numberrose to 11,095 in 2017 among them the largest portion wasbelow 20 years of age. But the police, activists and expertsconcur strongly that the actual numbers would be much higher as many incidents go unreported.

So it is time to take action against teen suicide. At first we have to know about the warning signs of suicide and also know about, how to help the teens to prevent the catastrophic event.
Antioxidant Status in Type-2 Diabetes Mellitus Compared to Diabetic Foot Patients- A Hospital Based Study in Rajshahi
Authors: Alam T
Published: September 2024

Background: Chronic hyperglycemia in diabetes mellitus leads to decrease total antioxidant level in the body which mightplay important role in the development of chronic complications of diabetes due to oxidative stress.

Objective: It is aimed to evaluate the antioxidant status in type-2 diabetes mellitus patients & diabetic foot patients.

Methods: This was a descriptive cross sectional study carried out in the department of Pharmacology & Therapeutics incollaboration with Rajshahi Diabetic Association General Hospital, Rajshahi from July 2017 to June 2018 to evaluate totalantioxidant status in type-2 diabetes mellitus. In this study, 20 patients with type-2 diabetes mellitus and 20 diabetic footpatients were evaluated. Antioxidant status was determined by using spectrophotometer. Most of the patients were age ranging40-60 years of both sexes.

Results: The mean of fasting blood glucose and total antioxidant capacity of type-2 diabetes mellitus with diabetic footpatients was 11.23+/-2.76 mmol/l and 18.78+/-6.70 μmol/l and that of type-2 DM patients was 9.13+/-2.57 mmol/l and 26.07+/-7.67μmol/l. Antioxidant level were less in type 2 diabetic foot patients.

Conclusion: There is low level of antioxidant in plasma which may be regarded as an important causative factor fordevelopment of type-2 diabetes mellitus and its chronic complication. The findings can be a basis of generating a hypothesis forfurther testing towards a meaningful conclusion.
Role of Dexamethasone in Post-tonsillectomy Morbidities
Authors: Awual SMA
Published: September 2024

Objective: The aim of this study was to find out the effect of Dexamethasone on pain following tonsillectomy. In addition topost-tonsillectomy pain, this study also explore the comparative outcome of use of additional analgesic, fever, nausea &vomiting as well as oral intake of semisolid food between the groups.

Methods: A double blind, randomized control trial using a single pre-operative dose of Dexamethasone (0.15mg/kg bodyweight) or normal saline in the randomly selected 100 patients of age more than 3 years, undergoing tonsillectomy fulfillinginclusion criteria of this study, in the Department of Otolaryngology and head Neck surgery, Dhaka Medical College Hospital,Dhaka during July 2009 to June 2010. Surgical techniques, anesthetic drugs, use of analgesic and other medication werestandardized. Both groups were assessed clinically at 6, 12 and 24 hours post-operatively for pain, requirement of analgesic,fever, nausea & vomiting, oral intake, condition of the tonsillar fossa and reactionary haemorrhage. Visual Analogue Scale(VAS) used for the assessment of pain.

Results: Post-operative pain was assessed by Visual Analogue Scale (VAS) in both Dexamethasone and Control groups.Mean+/-SD of the VAS in Dexamethasone and Control groups at 6 hours was 5.04 +/- 1.09 vs 5.96 +/- 1.03 (p= < 0.0001), at 12hours was 3.94 +/- 0.93 vs 5.14 +/- 0.61 (p=< 0.0001) and at 24 hours was 2.64 +/- 0.69 vs 3.84 +/- 0.87 (p=< 0.0001). Requirement ofadditional analgesic (p<0.05), fever (P<0.001), Post-Operative Nausea and Vomiting (PONV) (P < 0.005), oral intake ofsemisolid food (P<0.005) between Dexamethasone and control group were significantly different. Regarding condition of thetonsillar fossa and reactionary haemorrhage, no significant differences were observed.

Conclusion: A single preoperative IV dose of Dexamethasone (0.15 mg/kg), given just before starting surgery, provided goodand prolonged analgesia. It also reduces fever, nausea & vomiting and odynophagia. Those enhance earlier and betterpostoperative quality of oral intake and decrease morbidities.
Injury Pattern of Victims in Fatal Motor Bike Accident
Authors: Ruhel MA
Published: September 2024

Background: Road traffic accidents (RTA) are a major health problem worldwide, responsible for significant morbidity andmortality. The increase in the number of motorcycles circulating over the years is a consequence of the low cost, ease oflocomotion and fuel efficiency of this vehicle.

Objective: To find out the injury pattern of victims in fatal motor bike accident in addition to socio-demographiccharacteristics of victims.

Methods and Materials: The cross-sectional study was conducted inSylhet M. A. G. Osmani Medical College Hopital,Sylhet. Data were collected from the emergency unit and hospital ward registers. Information from the different unit & wardregisters was entered into a standardized questionnaire. Data were collected by the study principal investigator, during studyperiod from January 2021 to June 2021.

Results: More than two third (68.0%) victims belonged to age group 21-40 years. Male was found 49(98.0%) and 40(80.0%)were employer. Half (50.0%) of the victims were driver followed by 16(32.0%) were passenger and 9(18.0%) were pedestrian.Every victim has been injured in different parts of the body at the same time. Out of 50 patients, head injuries accounted for 49(98 percent), thorax (chest) injuries for 44 (88%), abdominal injuries for 100%, and limb injuries for 27 (54%). Majority47(94.0%) victims were alive and 3(6.0%) were death. In died patients, 1(33.3%) had severe haemorrhage and 2(66.7%) hadcraniocerebral injury.

Conclusion: Male was predominating, half of the victims were driver, and more common type of injury was Head, Thorax (chest), Abdomen and Limbs. Mortality rate was found 6% and most of them were craniocerebral injury.
Evaluation of a Newly Developed Non-Culture Test for Bacteriological Diagnosis of Ventilator-Associated Pneumonia in RMCH
Authors: Shohid S
Published: September 2024

Background: The diagnosis and treatment of pneumonia in patients who are receiving mechanical ventilation remain adifficult challenge.

Objective: To investigate the utility of soluble triggering receptor expressed on myeloid cells1(s TREM-1) levels inEndotracheal aspirate (ETA) samples as early biomarkers for the diagnosis of VAP compared with quantitative culture result ofETA.

Methods: A total of eighty patients with clinically suspected VAP cases were included in this study and were selectedpurposely. ETA was collected and level Wes TREM-1are measured. On the other hand, VAP was diagnosed by the quantitativeculture of ETA.

Results: The concentration of s TREM-1 in ETA did not discriminate VAP positive from VAP negative patients whencompared to quantitative cultures of ETA as the gold standard. A cut-off value of 68.72pg/ml for human s TREM1 in ETAresulted in a sensitivity of 60.81% and specificity of 62.5%.

Conclusion: It may be concluded that the proposed ELISA kit cannot be used as a rapid diagnostic test for the immediatediagnosis of VAP.
Role of Aspirin Anti-platelet Drug in Recurrent Pregnancy Related to Anti- phospholipid Anti-body Syndrome
Authors: Khanam S
Published: September 2024

In our day to day practice absence of viable issue due to recurrent history of pregnancy loss is not so uncommon. There are somany causes that are established as causative factors for recurrent pregnancy loss. We are first ruled out common abnormalitiescreating abortion by our available investigation procedure. Among recurrent pregnancy loss great significant cause isAntiphospholipid syndrome. Antiphospholipid syndrome causes recurrent pregnancy loss at any trimester of pregnancy whichis pathetic for couple. Early diagnosis and preconceptional precaution for prevention of recurrent pregnancy loss is essential todeliver a healthy baby in a diagnosed case of Antiphospholipid syndrome. Antiplatelet drugs like Aspirin had a great play ofrole in reducing recurrent pregnancy loss due to Antiphospholipid syndrome.
Management of Disseminated Intravascular Coagulation Following PPH: A Case Report
Authors: Ahmed S
Published: September 2024

Disseminated intravascular coagulation is a life threatening complications of severe post-partum hemorrhage. That is the end point of a pathologically activated cascade leading to excessive consumption of platelets culminating bleeding. It results from washing out of all important procoagulants. A case of post-partum hemorrhage following caesarean section is reported. She was treated by emergency peripartum hysterectomy and aggressive blood and blood component therapy.
Perlindungan Hukum Bagi Pemegang Hak Merek Atas Persamaan Pada Pokoknya Berdasarkan Undang-Undang No. 20 Tahun 2016 Dalam Putusan MA No. 796 K/Pdt.Sus-Hki/2023
Authors: Prasaja Farisa Awanis , Mardianto Agus , Afwa Ulil
Published: September 2024

Penelitian ini membahas tentang Perlindungan Hukum bagi Pemegang Hak Merek Atas Persamaan Pada Pokoknya Berdasarkan Undang-undang Nomor 20 Tahun 2016 tentang Merek dan Indikasi Geografis dalam Putusan Mahkamah Agung No. 796 K/Pdt.Sus-Hki/2023 dengan Linda Anggraeningsih dan Muhammad Shakeel sebagai Pihak Penggugat dan Pihak Tergugat serta akibat hukum dari diputusnya putusan tersebut bagi para pihak. Penelitian ini dilakukan untuk menganalisis apakah para pihak telah mendapat Perlindungan Hukum sebagai Pemegang Hak Merek dan juga akibat hukum yang timbul dari adanya putusan Mahkamah Agung tersebut. Penelitian ini menggunakan metode pendekatan penelitian yuridis normatif yang bertumpu pada data sekunder yang diperoleh melalui studi kepustakaan dengan metode normatif kualitatif. Hasil penelitian dan pembahasan dalam penelitian ini dapat disimpulkan bahwa Linda Anggraeningsih belum mendapat perlindungan hukum terhadap Hak atas Mereknya karena gugatan yang dimenangkannya di Pengadilan Niaga dibatalkan oleh Putusan Kasasi. Putusan Mahkamah Agung Nomor 796 K/Pdt.Sus-HKI/2023 membatalkan Putusan Nomor 3/Pdt.Sus-Merek/2023/PN.Niaga.Jkt.Pst, sehingga Umamascarves masih berhak memproduksi serta memasarkan produk-produknya karena tetap sah terdaftar dalam PDKI sehingga mendapat perlindungan hukum atas mereknya.
EKSEKUSI JAMINAN FIDUSIA: ANALISIS KONFLIK NORMA DALAM UU NOMOR 42 TAHUN 1999 DAN PUTUSAN MAHKAMAH KONSTITUSI NO. 18/PUU-XVII/2019
Authors: Dewi Putu Eka Trisna
Published: September 2024

Undang-Undang (UU) Nomor 42 Tahun 1999 tentang Jaminan Fidusia (UUJF) menetapkan fidusia sebagai salah satu metode jaminan dalam transaksi hutang piutang yang dijamin oleh undang-undang untuk memudahkan eksekusinya. Kemudahan ini dikenal sebagai parate eksekusi, yang memungkinkan kreditor untuk menjual atau melelang objek jaminan fidusia jika debitur melakukan wanprestasi. Namun, proses eksekusi jaminan fidusia mengalami perubahan signifikan sejak dikeluarkannya Putusan Mahkamah Konstitusi No. 18/PUU-XVII/2019. Penelitian yuridis normatif ini menemukan adanya konflik norma dalam konsep jaminan fidusia sebagai akibat dari putusan tersebut. Berdasarkan UUJF, eksekusi dapat dilakukan secara sukarela oleh debitur saat terjadi wanprestasi. Sebaliknya, Putusan MK mengharuskan bahwa mekanisme dan prosedur hukum pelaksanaan eksekusi Sertifikat Jaminan Fidusia harus dilakukan dan berlaku sama dengan pelaksanaan eksekusi putusan pengadilan yang telah berkekuatan hukum tetap. Penelitian ini mengkaji dampak hukum dari putusan tersebut terhadap eksekusi jaminan fidusia, serta implikasinya bagi kreditor dan debitor dalam pelaksanaan perjanjian hutang piutang di Indonesia.
Research progress of magnetic resonance wireless power transfer based on higher-order non-Hermitian physics
Authors: Wang Li-Kai , Wang Yu-Qian , Guo Zhi-Wei , Jiang Hai-Tao , Li Yun-Hui , Yang Ya-Ping , Chen Hong ,   MOE Key Laboratory of Advanced Micro-structured Materials, School of Physics Sciences and Engineering, Tongji University, Shanghai 200092, China,   School of Electronic and Information Engineering, Tongji University, Shanghai 201804, China
Published: September 2024

In recent years, wireless power transfer (WPT) leveraging parity-time (PT) symmetry has made significant progress , in terms of enhancing efficiency, transfer distance, and robustness. This paper overviews magnetic resonance WPT systems utilizing ideal, asymmetric, high-order, and anti-PT symmetry.

The first section discusses the second-order PT symmetry, evolving from inductive to resonant WPT. Active tuning and nonlinear saturation gain techniques optimize frequency and spontaneously achieve efficient WPT. These methods improve transmission efficiency, especially with the change of dynamic transfer distance. The second section focuses on the third-order PT and anti-PT symmetry. The third-order PT systems maintain a fixed eigenfrequency, making stable energy transfer possible. Generalized PT symmetry harnesses bandgaps for further efficiency. The BIC in asymmetric systems reveals a pure real mode for stable WPT. The anti-PT symmetry’s ‘level pinning’ maintains stability in dynamic changes. The final section summarizes high-order PT symmetry for long-range WPT. Heterojunction coupling and topologically non-trivial chains enhance efficiency and stability. Examples include long-range WPT via relay coils and directional WPT using asymmetric topological edge states.

In summary, this review emphasizes the pivotal role of various forms of PT symmetry in improving the performance and reliability of magnetic resonance WPT systems. By improving transmission efficiency, range, and stability, these symmetries pave the way for wider applications in fields such as smart homes, medical devices, and electric vehicles. The synthesis of current research results provides valuable insights and references for the future development of WPT technology.
Research progress and prospects of plastic thermoelectric materials
Authors: Xu Bo , Tian Yong-Jun ,   State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao 066004, China
Published: September 2024

In recent years, significant progress has been made in the research of plastic thermoelectric materials, for example, Ag2S-based alloys. These materials exhibit excellent room-temperature plasticity due to their low slipping barrier energy and high cleavage energy, with synergistic enhancements in plasticity and thermoelectric properties achievable through alloying and doping strategies. The latest study on Mg3Bi2-based single crystals demonstrated superior performance in terms of plastic deformation capability and room-temperature thermoelectric properties. Microstructural characterization and theoretical calculation have revealed the crucial role of dislocation glide in the plastic deformation process of Mg3Bi2 single crystals, especially, the low slipping barrier energy observed in multiple slip systems. Importantly, the Te-doped single-crystalline Mg3Bi2 shows a power factor of ~55 μW cm–1 K–2 and ZT of ~0.65 at room temperature along the ab plane, which exceed those of the existing ductile thermoelectric materials. These findings not only deepen the understanding of microscopic deformation mechanisms in plastic thermoelectric materials but also establish an important foundation for optimizing material properties and developing novel flexible thermoelectric devices. Future applications of these materials in practical devices still face challenges in thermal stability, chemical stability, and interfacial contact. Addressing these issues will promote the application of plastic thermoelectric materials in the field of flexible electronics.
Empreendedorismo feminino: desafios e oportunidades em tempos de crise
Authors: Dias Rosilene da Silva Almeida , Rosa Priscila Souza , Neckel Alcindo , Corte Vitor Francisco Dalla , Mores Giana , Moro Leila Dal
Published: September 2024

Esta pesquisa visa investigar o cenário do empreendedorismo feminino, analisando os desafios e as oportunidades que emergiram no contexto da pandemia. Utilizando uma abordagem qualitativa e descritiva, foram conduzidas entrevistas semiestruturadas com 12 empreendedoras no setor de estética feminina em Cuiabá, Mato Grosso. A técnica de análise de conteúdo foi empregada para examinar os dados coletados. Os resultados evidenciam a reinvenção dos negócios durante a pandemia e a busca por novas oportunidades em tempos de crise. Além disso, identificou-se a dificuldade enfrentada pelas empreendedoras em equilibrar as demandas profissionais e pessoais.
Integração e automação de Data Lakes com Python para análises em Dashboards
Authors: Ferreira Iago Tanus , Freitas Claudia Regina de , Luche José Roberto Dale
Published: September 2024

A sociedade contemporânea é responsável por gerar várias fontes de dados, que são convertidas em grandes volumes de Big Data. Esses dados são armazenados em Data Centers e, mais recentemente, em Data Lakes, que possuem uma capacidade ainda maior de armazenamento e que são capazes de receber grandes volumes de dados variados. O cotidiano do processamento de dados é feito por intermédio de softwares como Hadoop, Hive, SAS e SQLMS, juntamente com outros, e a integração dessas diversas fontes é complexa no ambiente empresarial. A automação, especialmente pela linguagem Python, pode reduzir variáveis no processo da eficiência operacional, uma vez que é viável diminuir o tempo de processamento e erradicação do número de erros. O presente trabalho visa a investigar os benefícios advindos da robótica no processo de unificação e automação dos dashboards de uma grande empresa do setor financeiro do Brasil, tendo em vista a eficiência e a confiabilidade das tarefas.
Antenatal Diagnosis of Non-Janiceps Type of Cephalophagus Conjoined Twins: A Case Report
Authors: Karmakar Malay , Sahu Suparna , Ghosal Sumedha , Rohatgi Prakhar
Published: September 2024

Cephalophagus is the rarest type of conjoined twins. Given the exceedingly dismal prognosis, early prenatal detection is crucial because surgical separation is not an option in many situations. The present case report presents a rare non janiceps cephalophagus conjoined twin pregnancy in a 22-year-old primigravida, identified during the third-trimester antenatal ultrasound. Imaging revealed a single face, a shared thoracic cavity with one heart. There were two lungs, the upper abdomen was fused, and the stomach and liver were shared. Two vertebral columns, separate pelvises, and two pairs of limbs were seen. An omphalocele containing liver tissue was observed. An emergency C-section delivered the cephalophagus foetus, underscoring the vital role of early antenatal ultrasound in managing such cases.
A Case of Liver Cirrhosis with Inflammatory Autoimmune Liver Disease Associated with Portal Hypertension and Hepatic Haemangioma
Authors: Chandra Vaibhav , Muntode Pramita , Gaidhane Abhay , Acharya Sourya , Nimkar Shubham
Published: September 2024

Autoimmune Hepatitis (AIH) is a rare autoimmune disease that damages the liver over time and, if left untreated, can progress to liver cirrhosis. Clinical manifestations range from asymptomatic patients to those with acute hepatitis or chronic liver failure. Chronic autoimmune liver disease causes persistent liver injury, which results in unresolved inflammation, proliferation of cells, and the formation of extracellular matrix proteins by stellate cells of the liver and portal myofibroblasts. Cirrhosis of the liver and the resulting loss of normal liver function are unavoidable. Cirrhotic patients have a higher risk of morbidity and mortality, and problems of portal hypertension and/or liver dysfunction result in substantial deterioration in the decompensated phase. The theory suggests that among idiopathic or cryptogenic chronic hepatitis, most of them are autoimmune in origin. It is considered one of the rare liver diseases, especially in the Indian population. Portal hypertension is a dangerous complication caused by an obstruction in portal blood flow, such as cirrhosis or portal vein thrombosis. Hepatic Haemangiomas (HH) are benign liver tumours that are made up of groups of blood-filled cavities lined by endothelial cells and fed by the hepatic artery. The vast majority of HH are asymptomatic and are discovered by chance during imaging studies for unrelated pathologies. Hereby, the authors present a case of 53-year-old female with chronic liver disease with ascites, fatty change, and nodular hepatocellular hyperplasia, which was later found to be cirrhosis of autoimmune origin.
Posterior Reversible Encephalopathy Syndrome with Addison’s Disease in a Known Case of Arnold Chiari Malformation
Authors: Malik Satbir Kaur , Mangudkar Sangram S , Mishra Mahabir , Shinde Sanket Genuji
Published: September 2024

Posterior Reversible Encephalopathy Syndrome (PRES) is a life-threatening neurological disease. The aetiology of Addison’s disease has been modified from infectious to autoimmune pathology. Underlying pathogenesis is insufficient production of glucocorticoids and mineralocorticoids. Case series with PRES syndrome and Cushing’s syndrome have been reported but PRESS with adrenal insufficiency is rarely published. We hereby report an operated case of Arnold Chiari malformation presenting with first episode of generalised tonic clonic seizure and diarrhoea for four days. Postictal confusion was present for two hours. She was previously diagnosed with Addison’s disease. Patient had hypotension and dyselectrolytaemia. Systemic examinations were within normal limits. MRI brain revealed features of PRES. The authors encountered certain challenges in her management which included persistent hypokalaemia, hypocalcaemia and hypotension. Patient is on regular follow-up and she is currently asymptomatic. Prompt diagnosis of PRES and intensive case treatment is a must for the betterment of prognosis.
Study of VEP in Ethambutol Optic Neuropathy: A Cross-sectional Study
Authors: Chandniwala Sofiza Mohmedsaleem , Diwan Jasmin Shankarlal , Mehta Neeta C , Chandniwala M Saifee Mohmedsaleem
Published: September 2024

Introduction: One important first-line drug for treating Tuberculosis (TB) is Ethambutol (EMB), which carries a builtin risk of causing optic neuropathy, potentially resulting in permanent visual impairment. The subjective tests currently used in the diagnostic process, such as visual acuity and visual field assessments, may overlook early changes in visual function. The purpose of the present study is to investigate how well Visual Evoked Potentials (VEP) work as an evaluation tool for identifying optic neuropathy. Aim: To assess the utility of VEP in detecting subtle changes in visual function due to EMB-induced optic neuropathy. Materials and Methods: The cross-sectional study conducted at the Department of Physiology, B.J. Medical College, Ahmedabad, Gujarat, India, over approximately five months (August 2023 to December 2023) involved 62 eyes, with 30 eyes from TB patients undergoing EMB treatment and the rest serving as a control group. VEP recordings were made using a Personal Computers (PC)-based, 2-channel Recorders & Medicare Systems Pvt Ltd Nerve Conduction Velocity (NCV) Electromyography (EMG) Mark II machine with standard silversilver chloride disc electrodes. VEP recordings were conducted regardless of the treatment period and the analysis focused on the amplitude and latency of the P100 wave, a critical component of VEP. Statistical analysis was carried out using Student’s unpaired t-test to compare the results between both groups, with p-values calculated. Results: The mean age of case was 40±17.4 years and controls was 31.12±12.54 years. The study revealed changes in VEP parameters, specifically showing a progressive reduction in P100 amplitude (p-value=0.0001). Conclusion: The present research highlights the potential of VEP as a sensitive and reliable method for assessing EMBinduced optic neuropathy. Incorporating VEP into routine ophthalmologic assessments for patients receiving EMB could improve TB management while reducing the risk of vision loss.