bluuebunny/crossref_metadata_2025 huggingface dataset:
INFLAMMATORY PSEUDOTUMOR AT NEPHRECTOMY SITE: A DIAGNOSTIC DILEMMA
Authors: Alger Raksha , Balsarkar Rajesh , Algeri Rashmi , Babu Rahul
Published: April 2024

Inammatory pseudotumors are unusual neoplasms that develop due to a variety of inciting factors including surgical exploration. As these are not
very common, with no pathognomonic imaging features, they often pose a diagnostic dilemma. We present a case of a 42-year-old patient with
renal cell carcinoma, status post nephrectomy. A contrast enhanced CT, performed nearly two years after surgery, revealed a soft tissue mass at the
renal operative bed, which was reported as recurrence due to its worrisome appearance. An ultrasound guided biopsy of the mass, however,
revealed it to be an inammatory pseudotumor. In hindsight, we review the case and evaluate if the possibility of inammatory pseudotumor could
have been considered as a differential in the CT performed prior to the biopsy.
MICROBIOLOGY OF CHRONIC OTITIS MEDIA: A PROSPECTIVE STUDY IN A TERTIARY CARE CENTRE.
Authors: Kumar G Chethan , Joy Lyra , Babu Dayana , B.K Noorjihan , Rajadurai V Deepak
Published: April 2024

Background: Chronic suppurative otitis media (CSOM) is a condition of the middle ear that is characterized by persistent or recurrent discharge
through a chronic perforation of the tympanic membrane. Due to the perforated tympanic membrane, bacteria can gain entry into the middle ear via
the external ear canal. Since CSOM pathogenesis and etiology remain poorly understood, assessing the microbiological prole in different regions
is critical. Antibiotics are generally used empirically, which may lead to the emergence of resistant bacterial strains. Objective: Identifying the
bacterial spectrum and susceptibility to antimicrobials is essential for efcient empirical treatment, and would help better understand CSOM.
Therefore, this work aimed to document CSOM's bacteriological prole and evaluate antibiotic susceptibility in CSOM patients. Materials and
methods: 150 patients who presented to the Ear, Nose and Throat (ENT) department from February 2023to January 2024 were prospectively
studied. All patients had perforated tympanic membranes with active purulent discharge. Only patients who had not received antibiotic therapy
(topical or systemic) for the previous ve days were included in the study. Results: A total of 150 adult patients of CSOM were included in the
study. Out of 150 samples, 124 samples showed growth while remaining 26 samples did not show any growth in culture .Of 124 isolates 95 were
gram negative bacilli while 21 were gram positive cocci. Pseudomonas aeruginosa was predominant isolate followed by Klebsiella Pneumoniae
and Staphylococcus aureus. Pseudomonas aeruginosa showed maximum sensitivity to imipenem (100%) followed by piperacillin-tazobactam
combination (97.8%), ciprooxacin (87.2%) and ceftazidime (94.6%). Conclusion: The study of bacteriological prole and their antibiotic
sensitivity determines the prevalent organisms causing chronic otitis media in the area taken for study.It helps in starting the appropriate treatment
of otitis media and prevents the development of complications and for successful outcome.
THE SPECTRUM OF HISTOPATHOLOGICAL PATTERNS IN PROSTATE SPECIMENS IN A TERTIARY CARE HOSPITAL
Authors: Binayke Rachana , Watane Shweta , N. Hiwale Buddheshwar , Sharma Mohini , Goyal Ashupriya
Published: April 2024

Background: Prostate is bromuscular glandular organ encircling the neck of the urinary bladder. Prostate cancer is the most common form of
malignancy and the second leading cause of cancer death among men.1,2It accounts for about 15.1 % of male cancers and nearly of all
malignancies. Total 40 prostatic lesions were received and studied in the department of pathology a Methods: t tertiary care hospital, Mumbai for a
period of 13 months (January 2022 to February 2023)3. TURP, TRUS guided biopsies, radical prostatectomy along with cysto-prostatectomy
specimen were examined. The prostate lesions range from inammatory, non- neoplastic and neoplastic. Modied Gleason's grading was used to
grade all the prostatic adenocarcinoma cases. In the present study, majority benign lesions were obs Results: erved to be benign prostatic
hypertrophy, out of which 13 cases had BPH alone as a primary feature and 20 cases had BPH associated with prostatitis, 3 cases showed only
prostatitis and the remaining 3 cases were of adenocarcinoma. In our study, the peak incidence of benign and malignant lesions was in the age group
of 61-80 years. All the cases of prostatic carcinoma were graded with modied gleason's criteria. The most common primary pattern found to be
pattern 4 and the secondary pattern 5 were observed in 2 cases out of 3 cases making it the total sum of 9 while single case had the total sum of 10
with the primary and secondary pattern to be 5 hence both went to the grade group of 5. This study Conclusion: highlights the importance of
identifying the nonneoplastic conditions from neoplastic conditions where biopsy still remain the gold standard.
TO EVALUATE THROMBOCYTOPENIA AS AN INDICATOR OF MALARIA IN PATIENTS WITH FEBRILE ILLNESS IN A PERIPHERAL HOSPITAL IN SUBURBAN MUMBAI
Authors: Salve Prachi , Chilkund Jayant , Paul Gaurav , Mahato Shruti
Published: April 2024

Thrombocytopenia has a wide range of causes of which malaria is one of the common causes. The purpose of the study was to evaluate
thrombocytopenia as an indicator of malaria in patients with febrile illness and was conducted from October 2023 to December 2023 in
Department of Pathology at Pandit Madan Mohan Malviya Shatabdi Municipal General Hospital, Govandi, a 210 bedded hospital in suburban
Mumbai. In the present study, out of total 204 outdoor patients coming with acute febrile illness, 102 (50 %) had thrombocytopenia on automated
cell analyzer (RBC Semi-Automatic ADG 300 Hematology Analyzer). All the cases of thrombocytopenia were graded and classied into 4
categories according to the severity. Out of 102 cases of thrombocytopenia, 61 cases (59.8%) were reported to be positive for malarial parasite on
peripheral smear and/or rapid antigen detection test. 52 cases (56.8 %) were positive for Plasmodium vivax and 09 cases (8.8 %) were positive for
Plasmodium falciparum. Higher incidence of thrombocytopenia was seen in Plasmodium vivax as average mean platelet value for this malarial
species was 77,670/mm3 in contrast to the average mean platelet value of Plasmodium falciparum being 92,1100/mm3. Also, Plasmodium
falciparum was more associated with severe form of thrombocytopenia. Thrombocytopenia was found to be a good discriminatory parameter to
detect the presence or absence of malaria along with clinical, microscopic and/or rapid antigen detection tests in patients with acute febrile illness.
QUANTITATIVE EVALUATION OF GAIT PARAMETERS IN PATIENTS WITH DIFFERENT GRADES OF KNEE OSTEOARTHRITIS USING A PRESSURE MEASURING SYSTEM.
Authors: Jetly Shilpy , Paul Rajesh , Sharma Jitendra
Published: April 2024

Osteoarthritis (OA) is a disabling condition that affects every
1
component of the aficted joint. It is a chronic degenerative joint
disease with exacerbation of acute inammation which typically
affects the articular cartilage leading to new bone formation at the joint
2,3 surfaces and margins. Osteoarthritis (OA) is characterized by focal
cartilage loss and periarticular bone response, brought on by an
4
imbalance between cartilage degeneration and regeneration. It is a
synovial joint disorder characterized by a failed repair of the joint
damage that occurs because of some form of stress which can be any
kind of deformity of the synovial joint tissues i.e. articular cartilage,
ligaments, menisci, synovium, subchondral bone, peri-articular
7 muscles. It may be a widespread disease or exclusive to one joint. This
arthropathy most frequently manifests as joint discomfort, restricted
5
locomotion, and functional impairment of varying degrees. It is the
most prevalent musculoskeletal disorder leading to joint disability,
functional deterioration, and an overall decline in quality of life and is
responsible for 85% of the physical and social burden, and it is
anticipated to continue to rise as the population ages and the frequency
6,7,8,9 of obesity rises. The most common type of OA is knee OA, although
it can also affect the spine, elbows, hands, hips, feet,
4,10 temporomandibular joints, and sacroiliac joints. Osteoarthritis (OA)
of the knee is a prevalent multifactorial joint disease that progresses
over time and is marked by functional impairment and chronic
11 9 discomfort. In 90% of instances, varus deformity is present.
THE PROMISING OUTCOMES OF STAPLED HEMORRHOIDOPEXY IN CONTRAST TO OPEN HAEMORRHOIDECTOMY
Authors: Kumar Jha Awadhesh , Kumar Paul Saurav , Kumar Sushant , Ahmad Md Sohail
Published: April 2024

Background Haemorrhoids, often referred to as "Piles," impact around 4.4% of the population, leading to surgical intervention being a frequent
treatment method. In surgical practice, various nonsurgical and surgical options are available for managing this condition. While the MilliganMorgan open haemorrhoidectomy is widely utilized, there's a growing recognition worldwide of a newer technique known as "Stapled
Hemorrhoidopexy," pioneered by Italian surgeon Antonio Longo, attributed to its perceived benets. Methods A prospective comparative study
was conducted from July to December 2023. The study comprised 50 patients aged between 25 and 65 years diagnosed with grade III or IV
haemorrhoids. They were divided into two groups: Group 1 underwent Open haemorrhoidectomy (25 patients), and Group 2 underwent Stapled
Hemorrhoidopexy (25 patients). Following surgery, patients from both groups were assessed at discharge. Each patient was provided with a
questionnaire, and data were collected verbally and analysed statistically. Comparative analysis between the two groups was performed using the
student's t-test. Results In the Open Haemorrhoidectomy group, males comprised 72% and 80% of the Stapled Hemorrhoidopexy group, while
females accounted for 28% and 20%, respectively. Post-operative bleeding occurred in 4% of both groups. Urinary retention post-operatively was
observed in 8% and 12% of patients in the Open Haemorrhoidectomy and Stapled Hemorrhoidopexy groups, respectively. As per the results of the
Sample t-test, postoperative pain, length of hospital stays, and time taken to resume daily activities were notably reduced in the Stapled
Hemorrhoidopexy group, and these differences were statistically signicant. Nevertheless, the occurrence of complications like post-operative
bleeding and urinary retention was comparable in both groups. Conclusion Stapled Hemorrhoidopexy is associated with reduced pain, shorter
hospital stays, and quicker return to daily activities compared to open haemorrhoidectomy. Nonetheless, long-term monitoring is necessary to
determine the recurrence rate following stapled haemorrhoidectomy.
VALUE OF FLAT INFERIOR VENA CAVA ON VENOUS PHASE OF CONTRAST ABDOMINAL CT AS PREDICTOR OF HYPOTENSION IN PATIENTS WITH BLUNT TRAUMA TO ABDOMEN.
Authors: Mulla Faisal , M U Jeevika
Published: April 2024

Blunt abdominal trauma is one of the important contributors to morbidity and mortality. Studies have indicated that the incidence of blunt
abdominal trauma has been increasing in the past decade. Since the burden of blunt abdominal trauma is more in Low- and Middle-income
countries such as India, it calls for the development of various rapid diagnostic modalities to aid in early diagnosis, for faster initiation of treatment
and for reducing the preventable mortality This study is aimed at to access the validity of Flat IVC appearance in venous phase of CT scan of the
abdomen as a predictor of hypotension in blunt abdominal trauma. Transverse: Anteroposterior ratio of the IVC was measured infrarenally. The
normal cut off value of ratio was considered as 1.9. We considered a ratio of > or = 1.9 as at IVC and that <1.9 -as non- at IVC. All the 30 patients
had involvement of the solid organs, Among the study population 24(76.7%) had at IVC, 26(93.3%) had hypotension and 24(76.7%) had both
hypotension and at IVC. Flat IVC had sensitivity of 92.3% (95 CI 74.87% to 99.05%), specicity of 100.00% (95 CI 39.76% to 100.00%) in
detecting hypotension. The positive predictive value was 100.00% (95 CI 85.75% to 100.00%), Negative predictive value was 72.70 % (95 CI
26.80% to 97.55%), and the total diagnostic accuracy was 93.62 % (95 CI 78.32% to 99.27%) Flat IVC on CT could be of value in predicting
hypotension among blunt abdominal trauma patients. Perhaps, this nding could serve the treating physician as an aid in early diagnosis and
management to prevent mortality in such patients.
FILICIDE-FETICIDE-SUICIDE: AN UNUSUAL VARIANT OF TRIADIC DEATH – A CASE REPORT
Authors: Kiranmai Kemsaram , Subhedar Abhijit
Published: April 2024

According to the inquest report, a 22year old pregnant female after prolonged verbal abuse by her husband and in laws killed her son by hanging
him with the help of saree, later committed suicide by hanging from the other end of the same saree. They were found dead on 24/06/2023 at
01:00AM at their residence with feet touching the bed and doors locked from inside. D1 is pregnant female and D2 is her son. Bodies were shifted to
OGH Mortuary for post-mortem examination by the investigating ofcer. The postmortem ndings were D1 pregnant female had an ante mortem
oblique ligature mark which is non-continuous around the neck, above the level of thyroid cartilage, in the midline extending from right posterior
hair line to left posterior hair line. D2 son had an ante mortem non-continuous ligature mark around the neck, passing above the level of thyroid
cartilage extending from right mastoid eminence to left posterior hair line. As per inquest report, post mortem examination and circumstantial
evidences the cause of death in D1 is HANGING and the cause of death in D2 was given as HOMICIDAL HANGING.
PREDICTION OF SEVERITY OF ACUTE KIDNEY INJURY USING RENAL ANGINA INDEX IN PEDIATRIC INTENSIVE CARE UNIT- A PROSPECTIVE OBSERVATIONAL STUDY.
Authors: Tirupati Reddy Kengal , R N Karthik , S Udayakumar , K Pushpalatha
Published: April 2024

Background -AKI is a common complication associated with critical illness in children admitted in PICU . Prevention of AKI by early recognition
and intervention may help to improve outcome. The essential marker by which AKI has been diagnosed was creatinine which remains normal till
50% of renal injury has already occurred . RAI SCORE is a composite set of clinical and laboratory parameters , predicts AKI early in critically ill
children . Methods- Present study was a prospective observational study conducted in Department of Paediatrics, ESICMC&PGIMSR over a
period of 18 months from January 2020 to June 2021. Results- 74 children included in the study , Incidence of AKI was 29%(n=22), among them
14 , 6 and 2 had stage 1, stage2 and stage 3 respectively. Among 22 children who developed AKI on day3 , 86% had hypotension, , 95% required
inotropes, 63% required both ventilator and inotropes . (p value 8 on day0 , among these 19(57.5%) developed AKI on day 3 .(p value 8 had greater
incidence of AKI (57.5%) and mortality(18.1%) compared to children with RAI score8 in predicting AKI was sensitivity 86.3%, specicity 73%,
PPV 57.5%, NPV 92.6%. Sensitivity ,PPV and NPV of RAI in predicting severe AKI is better than creatinine alone. Conclusion- Predictive
performance of RAI score is better than individual marker i.e. creatinine alone in terms of severe AKI .RAI could be used as an effective bedside
tool to identify impending AKI early in critically ill children.
A RARE CASE OF HYPERTROPHIC OSTEOARTHROPATHY SECONDARY TO MYELOFIBROSIS
Authors: Shetye Rahi , Sumeet Juwarkar Ambika , Lawande Shikha Prabhu , G Sardessai Sanjay , Linyu Visar
Published: April 2024

Hypertrophic osteoarthropathy (HOA) is a condition characterized by arthralgia/arthritis, clubbing and periosteal reaction in long bones. It can be
classied into primary and secondary HOA. Primary HOA is seen as a hereditary condition whereas secondary HOA is seen in various systemic
disorders. We report a 63-year old female who presented with clinical ndings of HOA. On subsequent imaging and pathological workup, the
presence of myelobrosis was conrmed. This coexistence of HOA and myelobrosis although rare should be considered in the differential
diagnosis of HOA and imaging plays a vital role in establishing the diagnosis.
EFFECT OF TABATA TRAINING ON CARDIORESPIRATORY FITNESS AND MUSCULAR ENDURANCE AMONG RECREATIONAL MALE VOLLEYBALL PLAYERS
Authors: Seema Sk. , Reddy A. Viswanath , Madhavi K.
Published: April 2024

Volleyball is a popular high-intensity intermittent sport characterized by repeated intense movements. HIIT training is adapted to develop healthrelated physical tness components such as aerobic tness and muscular endurance, which are essential for performing well in the game, where
movements occur in intervals. Aim: To assess the impact of Tabata training (an alternative to HIIT) on cardiorespiratory tness and muscular
endurance among male recreational volleyball players. Objectives: To evaluate cardiorespiratory tness (VO2max) by means of Cooper 12
minute run test and muscular endurance by means of number of push-ups and bent knee sit-ups before and after Tabata training among recreational
male volleyball players. Methodology: The study design is a one-group pre-test, post-test design involving 30 male subjects recruited through
convenient sampling 13 from the College of Physiotherapy and 18 from College of Nursing, SVIMS. Baseline demographic details (age, weight,
height, BMI) were recorded before the study. Pre-values were measured before the Tabata training protocol, and post-values were measured after 8
weeks of training using the same outcome measures. Results: There was a signicant improvement in post-values of CRF and muscle endurance
following the Tabata training protocol (p < 0.05). Conclusion: Tabata training led to signicant improvements in CRF and muscle endurance
among recreational male volleyball players.
EFFECTIVENESS OF CARDIAC REHABILITATION ON DEPRESSION, APPETITE AND ACTIVITIES OF DAILY LIVING IN POST- OPERATIVE VALVE REPLACEMENT INDIVIDUALS
Authors: Hyndavi D. , Kavitha N. , Madhavi K. , Kumar M. Suresh
Published: April 2024

Background: Heart valve disease is a signicant and increasing global problem in the developing world. Valve surgery plays a central role in the
management of acquired valvular heart disease. The optimal diagnostic evaluation, surgical treatment and post-operative care of these patients are
only possible through a cooperative effort of the primary care physician, the cardiologist and the cardiac surgeon. The aim of this study is to
evaluate the effectiveness of cardiac rehabilitation on depression, appetite and activities of daily living in post-operative valve replacement
individuals. (21) This study evaluated the depression levels, appetite levels and activities of dai Objectives: ly living levels to see the effect of
cardiac rehabilitation in post-operative valve replacement individuals. An Experimental study of 30 Methodology: participants of both genders,
male and female adults between the age group 25-45 years were included in the study. The study was done by direct markings with the help of 3
questionnaires respectively. Depression is assessed by using Hamilton Depression Rating Questionnaire (HDRQ), Appetite by using Simplied
Nutritional Appetite Appearance Questionnaire (SNAQ) and Activities of daily living is assessed by using Functional Independence Measure
Questionnaire (FIM) on the post-operative Day-3 and at the Time of discharge respectively. The Indi Result: viduals showed a signicant benecial
effect regarding depression, appetite and activities of daily living that is shown by the HDRQ, SNAQ & FIM Questionnaires. Early Conclusion:
cardiac rehabilitation appears to be an effective approach to improve the activities of daily living, mental health and appetite levels in postoperative valve replacement individuals.
Deep Neural Networks for external corrosion classification in industrial above-ground storage tanks
Authors: Alviz-Meza Anibal , Peña-Ballesteros Dario Y.
Published: April 2024

This paper explores EfficientNet smaller models for a
multiclassification task of corrosion types in above-ground storage
tanks through transfer learning and finetuning approaches. Data
augmentation was used to increment the data an oil and gas company
provided, reaching a dataset of around 5000 images. The images were
stored in Google Drive and imported by Colab to obtain the models using
TensorFlow and Keras. After the hyperparameters’ tuning a transfer
learning model was selected and explored with fine tuning. The
EfficientNetB0 model delivered from fine-tuning accomplished 94%
performance. This work is the first attempt to deploy an artificial
vision automatic tool for being implemented during tank inspection in
the industrial sector. In a further development, this model can be
coupled with one based on object detection for the remote identification
of failures due to external corrosion during tank inspection; improving
safety and reliability in the oil and gas industry.
A 0.65-pJ/bit 3.6-TB/s/mm I/O Interface with XTalk Minimizing Affine Signaling for Next-Generation HBM with High Interconnect Density
Authors: Park Hyunjun , Shin Jiwon , Kim Hanseok , Kim Jihee , Shin Haengbeom , Kim Taehoon , Park Jung-Hun , Choi Woo-Seok
Published: April 2024

This paper presents an I/O interface with Xtalk Minimizing Affine
Signaling (XMAS), which is designed to support high-speed data
transmission in die-to-die communication over silicon interposers or
similar high-density interconnects susceptible to crosstalk. The
operating principles of XMAS are elucidated through rigorous analyses,
and its advantages over existing signaling are validated through
numerical experiments. XMAS not only demonstrates exceptional crosstalk
removing capabilities but also exhibits robustness against noise,
especially simultaneous switching noise. Fabricated in a 28-nm CMOS
process, the prototype XMAS transceiver achieves an edge density of 3.6
TB/s/mm and an energy efficiency of 0.65 pJ/b. Compared to the
single-ended signaling, the crosstalk-induced peak-to-peak jitter of the
received eye with XMAS is reduced by 75 % at 10 GS/s/pin data rate, and
the horizontal eye opening extends to 0.2 UI at a bit error rate
< 10 .
Assessing Maternal Management of Childhood Illnesses in Anaocha Local Government Area, Anambra State: A Study of Home-Based Practices and Strategies
Authors: Anulia Solomon Chukwuemeka , Obi-Nwosu Amaka Lovelyn , Edeh Gabriel Chidera , Ekwebene Onyeka Chukwudalu , Nwoye Christian Chukwunulu , Obiekwe Sochima Johnmark , Nwafor Kenneth Okezie , Iregbu John Kelenna
Published: April 2024

Background: Children under 5 years are especially vulnerable to infectious diseases like malaria, pneumonia, diarrhea, HIV, and tuberculosis which are also the major causes of death among this age group. In this study, the three most common under 5 illnesses will be studied which are malaria, pneumonia, and diarrhea. Objectives: To ascertain the home management of childhood illness among mothers in Anaocha local government area of Anambra state. Methodology: This cross-sectional study was conducted among women and data collected using pretested interviewer administered questionnaire among 320 respondents. Results were analyzed using SPSS 25.0. Results: A total of 320 women were interviewed. Their mean age was 28.40±6.07 years, more than half of the respondents were within the age range of 20-29 years. Respondents who had heard about these illnesses before the study were 99.4%, 62.5% and 80.9% for malaria, pneumonia, and diarrhoea respectively. Majority of the respondents had good knowledge of symptoms of childhood illness, 222(69.4%) with an average knowledge score of about 56.4±21.0%. The relationship between educational level of mothers and preventive measure was statistically significant but there was no association between age and preventive measures. The prevalence of home management of the different childhood illnesses was 0.90, 0.81 and 0.36 for malaria, diarrhoea and pneumonia respectively. More than two-third of the respondents visited the hospital to seek for external assistance. The factors identified to cause delays in seeking medical care include cost of health care, 178(55.6%); and transportation, 159(49.7%). With respect to age, highest educational level attained, occupation of mothers and their relationship to visiting the hospital within 24hours of onset of illness, there was significant association with a p-value <0.05. Conclusion: It was found that mothers were able to recognise symptoms of childhood illnesses. Misconceptions about .............
Comparison of Acute on Chronic Liver Failure Prognostic Scores after Plasma Exchange and standard Medical Therapy
Authors: Mukit Abdullah Al , Mahtab Mamun Al , Noor-E-Alam Sheikh Mohammad , Mamun Ayub Al , Harun-Or-Rashid Mohd. , Mahmud Tasnim
Published: April 2024

Introduction: Acute and acute-on-chronic liver failure (ACLF) has a very high short-term mortality rate. Jaundice, hepatic encephalopathy, hepato-renal syndrome, hemodynamic instability, increased susceptibility to severe infections, and finally multi-organ failure may occur in the final stage of ACLF regardless of its underlying etiology. Biochemical parameters play a vital role in assessing the prognosis of the mortality rate of the disease. Aim of the study: This study aimed to compare acute on chronic liver failure prognostic scores in predicting short-term mortality rates after plasma exchange and standard medical therapy. Methods: This randomized control trial was conducted at the Department of Hepatology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from September 2020 to September 2021. All the patients admitted to the Department of Hepatology, BSMMU with ACLF were considered as the study population. A total of 28 patients (14 in each group of PLEX and SMT) were selected as study subjects by simple random sampling technique. All data were analyzed by SPSS version 21.0. Qualitative data were analyzed by Chi-square test and Quantitative data were analyzed by Student´s t-test. Comparison between the two groups in each follow-up was done by unpaired t-test. Result: The majority (57.1%) of patients survived in the PLEX group then 5(35.7%) in the SMT group. The difference was statistically not significant (p>0.05) between the two groups. Serum bilirubin, AST, ALT, MELD score, MELD-Na score, and AARC score were statistically significant (p<0.05) between the two groups. Conclusion: This study concludes that serum bilirubin, serum AST, serum ALT, MELD score, MELD-Na score, and AARC score are statistically significant in patients with ACLF. Serum bilirubin, serum AST, serum ALT, MELD score, MELD-Na score, and AARC score can act as predictors of short-term mortality rate in ACLF after plasma exchange and standard medical therapy.
Trans-Abdominal Ultrasonographic Evaluation of Molar Pregnancy
Authors: Alam Md. Shafiqul , Rahman Md. Saidur , Awai Naila , Afroz Farhana
Published: April 2024

Background: Molar pregnancy is the most common benign from of gestational trophoblastic neoplasm. Molar pregnancy has distinction histologic characteristics a custic or grape like degeneration of chorionic villi, absent or inadequate vascularization of chorionic villi and abnormal proliferation of placental trophoblast. Objective: To assess the role of ultrasonography (UCG) in the evaluation of molar pregnancy. Method: This cross sectional study was carried out on consecutively selected 40 patient out of 45 patient who were suspected to suffering from molar pregnancy. This study was take place Mymensingh Medical College Hospital from those who were attended the department for ultrasonography for suspicious features of gestational trophoblastic diseases. Result: Among the 40 patients in this study 9 were 15-20 years of age, total 24 were between 20-35 years of age and 7 patients were 35-45 years of age. The range of age was 15 to 45 years. Conclusion: In conclusion ultrasonography can be accepted as an initial imaging modality in the evaluation of gestational trophoblastic diseases.
Association of Deviated Nasal Septum with Chronic otitis Media
Authors: Rahman Md. Mahmudur , Parveen Sabina , Alam Sabrina Sarah
Published: April 2024

Background: The existence of a pathophysiologic connection between nose and rniddle ear is widely accepted so that chronic purulent middle ear disease (CPMED) could be expected to be usually associated with chronic nasal disease or impaired function. Nevertheless such association is less frequently observed in clinical practice than one could expect, possibly because of inadequate evaluation of nasal function. Objective: To observe the association of deviated nasal septum with COM Methods: Two hundred patients complaining of middle ear discharge and or nasal symptoms were included in this study, to see the association of COM with nasal disorders. This cross sectional study was conducted in Dhaka Medical College Hospital from July 2012 to June 2014.Sample was taken by purposive sampling. Sample was divided into four groups as exposed and diseased, exposed and not diseased, not exposed diseased and not exposed and not diseased. Results: Along with DNS age, sex, smoking and abusing of nasal drug were compared. Number of patients with septal deviation with a convexity to the same side as affected ear in COM was compared with Chi-square test. Septal deviation founded more frequently on the same side of ear pathology (p<00l), Therefore, septal deviations must be carefully investigated during the management patients with COM. Conclusion: Septal deviations must be carefully investigated during the preoperative assessment of patients with COM. Along with DNS age, sex, smoking and abusing of nasal drugs were evaluated. Smoking was found to be associated with the development of COM.
A Multidisciplinary Approach to a Rare Cause of Pulmonary Cavitating Nodules - Pyoderma Gangrenosum
Authors: Goyal Karan , Reddy Subbagari Saikrishna , Rastogi Ekta , Goyal Aman
Published: April 2024

Pyoderma Gangrenosum (PG) is an inflammatory skin disorder associated with chronic inflammation and neoplastic conditions. It is relatively rare, with an estimated annual incidence of 3 to 10 cases per million people, with the highest occurrence between 20 and 50 years of age. Proper differential diagnosis is essential to guide appropriate treatment and management strategies for affected individuals. This case study presents a compelling instance of PG with a unique twist-the extracutaneous involvement of the pulmonary system, an uncommon and diagnostically challenging manifestation requiring multidisciplinary management.
Cross Cultural Adaptation and Psychometric Validation of the Attention-Deficit/Hyperactivity Disorder Rating Scale-5 (Parent Version) into Bangla
Authors: Dey Parag , Morshed Nahid Mahjabin , Algin Sultana , Nag Palash , Syed Sifat E
Published: April 2024

Introduction: Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder in children and adolescents. Reliable and culturally appropriate assessment tools are crucial for accurate diagnosis and management. This study aimed to adapt and validate the ADHD Rating Scale-5 (Parent Version) into Bangla, assessing its psychometric properties in a Bangladeshi context. Methods: This cross-sectional study was conducted with 100 participants from urban areas and nuclear families. The scale underwent a rigorous translation and cultural adaptation process, following a six-step methodological approach. The study evaluated the scale's internal consistency, content validity, and construct validity through Cronbach's alpha, Content Validity Index (CVI), and factor analysis, respectively. Result: The ADHD-RS-5 Bangla Parent Version demonstrated high internal consistency (Cronbach’s alpha = 0.89) and good reliability in the Inattention (alpha = 0.858) and Hyperactivity-Impulsivity (alpha = 0.818) subdomains. Content validity was confirmed with high Item-CVI scores and a Scale-level CVI of 0.962. Confirmatory factor analysis supported the two-factor structure of the scale, and exploratory factor analysis identified three components, explaining 71.1% of the variance. Conclusion: The ADHD-RS-5 Bangla Parent Version is a reliable and valid tool for assessing ADHD symptoms in Bangla-speaking children. Its strong psychometric properties make it suitable for clinical and research use in Bangladesh. This study contributes to the development of culturally sensitive assessment tools for ADHD, enhancing the understanding and management of the disorder in diverse populations.
A Comparative Analysis of Fractional Excretion of Sodium, Potassium and Magnesium among T2DM Patients with Increased Albuminuria and Normal Albuminuria in a Tertiary Care Hospital- An Observational Study
Authors: TS Das , MN Huda , SMU Islam , RB Kamal , TJ Inshad , S Sultana , MK Hasan , MS Hossen , MZ Uddin
Published: April 2024

Background: T2DM often leads to diabetic kidney disease, a condition marked by change in GFR and urinary albumin excretion. The renal handling of key electrolytes like sodium, potassium, and magnesium plays a crucial role in the progression of renal tubulointerstitial damage in diabetic patients. Aim of the study: The aim of this study was to compare the fractional excretion of sodium, potassium and magnesium among T2DM patients with increased albuminuria and normal albuminuria. Methods: This observational study was conducted in Department of Nephrology, Chattogram, Bangladesh from February 2021 to January 2022. Total 125 patients with T2DM were included in this study. Result: Baseline characteristics showed no significant differences across the study groups. Biochemically, eGFR decreased non-significantly from 95.5 to 86.1 ml/min/1.73 m² across groups, while UACR significantly increased from 14.3 to 1056 mg/gm (P<0.001). FBG levels were similar, but 2hPPBG showed a significant decrease from 8.2 to 7.4 mmol/l (P=0.0041). HbA1C levels varied slightly. FENa, FEK, and FEMg showed significant differences across groups, with FENa ranging from 0.59% to 0.56% (P=0.0016), FEK from 9.4% to 6.9% (P=0.0358), and FEMg from 2.87% to 5.58% (P=0.001). Correlations revealed significant negative associations of eGFR with FENa, FEK, and FEMg, and a significant positive correlation of FEMg with UACR. No significant correlations were found between FBG, 2hPPBG, HbA1C, and the electrolytes excretion. Conclusion: Significant variations in the fractional excretion of sodium, potassium, and magnesium were observed. Higher eGFR was associated with lower electrolyte excretion, and a significant positive correlation was found between magnesium excretion and UACR.
Assessment of Quality of Life in Patients with Spinal Cord Injury within the Period of First 6 Months after Injury
Authors: Refat Md. Tanzim Hasan , Uddin Md. Taslim , Islam Mohammad Tariqul , Islam K.M. Tarikul , Nag Palash , Hossain Md. Uzzal , Rahman Md. Sydur
Published: April 2024

Introduction: Spinal cord injury (SCI) is a devastating neurological state resulting in long-term physical dependency, increased morbidity, emotional, and financial burden. This study sought to assess the quality of life in patients with spinal cord injury within the first six months after injury. Aim of the study: The aim of this study was to assess the quality of life in patients with spinal cord injury within the first six months after injury. Methods: This cross-sectional study was conducted at the Department of Physical Medicine & Rehabilitation and Department of Neurosurgery in Bangabandhu Sheikh Mujib Medical University (BSMMU) over a period between October 2021 to September 2022. 21 patients with SCI within 6 months of injury were recruited. Interviews with a semi-structured questionnaire assessed demographics, SCI details, and QoL (WHOQOL-BREF). Neurological injury classification followed ASIA standards. Statistical analysis was performed using SPSS 24. Result: The majority of the studied patients (23.8%) were within the 41-50 and 51-60-year age groups. More than two-thirds of the studied patients (71.4%) were male. with falls (42.9%) and spinal tumors (19.0%) as leading causes. Among all, 33.3% of the patients had complete motor involvement. According to the score of the physical domain, 66.7% of patients had low QoL. Age was positively significantly correlated with the environmental QoL score (r: 0.532, p value: 0.013) Conclusion: SCI significantly impairs all aspects of quality of life, with complete SCI patients facing notably worse physical conditions. A collaborative approach involving health entities, families, and communities is essential to improve quality of life and self-care abilities for SCI survivors.
Subacute Granulomatous Thyroiditis Occurring after SARS-CoV-2 Infection: A Case Report
Authors: Ismail Zahra , Amar Sidebatt , Rafi Sana , Mghari Ghizlane El , Ansari Nawal El
Published: April 2024

Subacute thyroiditis is a rare self-limited thyroid inflammatory condition characterized in the majority of cases by sudden onset of neck pain. It seems to be mostly linked, directly or indirectly, to viral infections. During the COVID-19 pandemic, several cases of thyroiditis were reported in the literature, occurring during or after infection by the SARS-CoV-2, suggesting that this virus is also linked to subacute thyroiditis. Therefore, knowledge of a possible association between these two entities is of the most importance. Several hypotheses explaining the mechanism of action of SARS-CoV-2 on the thyroid gland have been put forward. Clinical symptoms do not appear to be very typical, and thyroid hormonal dysfunction may not be present. Treatment is essentially based on corticosteroids and NSAIDs. The prognosis remains favorable. We report the case of a 46-year-old woman who presented with subacute thyroiditis 25 days after SARS-CoV-2 infection. Her workup showed elevated CRP, multinodular goiter, normal thyroid function and negative antibodies. She was treated with corticosteroids that resulted in improvement of her symptoms.
Impact of Soybean Phytoestrogen-Rich Extract on Hormonal Imbalance and Ovarian Function in Menopausal Rat Induced with 4-Vinylcyclohexene Diepoxide: A Neglected Naturaceutical
Authors: Olawale Olaniyan Stephen , Abiodun Emokpae Mathias , Oyakhire Fidelis Ohiremen , Olaniyan Olaniyan , Juliana Edusola , Uwumarongie Osamuyi Henry , Ugege Christian Onosetale , Kelly Esezobor Iria , Samson Efenarhua
Published: April 2024

Backgroud: Decrease levels of estrogen and progesterone, a vital hormone in female reproductive health as led to vasomotor symptoms, such as hot flashes, sweating, physical and psychological discomfort, and emotional changes experienced by a large portion of the menopausal and postmenopausal female population. The study aim to investigate the impact of Soybean phytoestrogen-rich extract on hormonal imbalance and ovarian function on 4-vinylcyclohexene diepoxide-induced menopause in albino rats. Methods: Thirty (30) female albino Wistar rats were employed in the investigation, and each one was induced with 80mg/kg of 4-vinylcyclohexene diepoxide before being treated with either normal estradiol therapy (14ug/kg) or varying concentrations of the soybean phytoestrogen-rich extract (200 mg/kg, 400 mg/kg, and 600 mg/kg). Reproductive hormones (follicle stimulating hormone (FSH), luteinizing hormone (LH), estrogen (E2), anti mullerian hormone (AMH), progesterone and testosterone) were measured by ELISA methods. Statistical software SPSS (IBM) version 23.0 was used to analyze the data. Results: Serum E2 and progesterone levels were observed to be significantly higher (p<0.05) in the soybean phytoestrogen-rich extract treatment group compared to the positive control group. There was non-significant difference (p>0.05) observed in use of standard estrogen therapy compared to phytoestrogen isoflavones but increased serum mean levels of estrogen, progesterone and anti-mullerian hormone was observed. Conclusion: Data from this research clearly demonstrate the hormone regulating effect of soybean phytoestrogen-rich extract therapy in menopause-induced female Wistar rats. Soybean phytoestrogen-rich extract therapy in a high-dose appears to be more effective in management of hormonal imbalance and ovarian function compared to hormone replacement therapy as an alternate source of estrogen.
Pengaruh Manajemen Pengetahuan Terhadap Komitmen (Studi pada Kantor Sekretariat Daerah Kota Depok)
Authors: Sariono Endro , Waluyo Tri , Sitorus Marison
Published: April 2024

Penelitian ini bertujuan untuk menganalisis pengaruh manajemen pengetahuan Pemerintah Kota Depok terhadap komitmen Aparatur Sipil Negara (ASN), di tengah meningkatnya kebutuhan akan komitmen ASN dalam menjaga efisiensi dan meningkatkan kualitas layanan publik. Peran ASN sebagai ujung tombak dalam penyelenggaraan pemerintahan menjadi krusial dalam era reformasi administrasi publik. Metode penelitian yang digunakan adalah analisis jalur untuk mengetahui pengaruh manajemen pengetahuan terhadap komitmen ASN. Berdasarkan hasil analisis dan pembahasan, disimpulkan bahwa manajemen pengetahuan yang terdiri dari variabel kondisi pengungkit, variabel organisasi pembelajar, dan variabel modal pengetahuan organisasi berpengaruh langsung terhadap variabel komitmen ASN. Hasil penelitian ini menunjukkan bahwa pengaruh langsung manajemen pengetahuan terhadap komitmen ASN dapat dianggap cukup berarti.
Mengurai Kepastian Hukum: Deadlock dan Implikasinya Terhadap Pemegang Saham Dalam Perseroan Terbatas Dengan Kepemilikan Berimbang
Authors: Sheerleen Sheerleen , Rahayu Mella Ismelina Farma
Published: April 2024

Undang-Undang Nomor 40 Tahun 2007 tentang Perseroan Terbatas (UU PT) menyatakan bahwa PT dapat didirikan oleh minima dua orang atau lebih, tetapi tidak mengatur tentang persentase kepemilikan saham yang harus dimiliki oleh masing-masing pemegang lsaham. Dalam situasi ini, terdapat kemungkinan terbentuknya kepemilikan saham yang seimbang di mana setiap pemegang saham memiliki 50% saham. Pemilikan saham yang seimbang ini merupakan penerapan prinsip keseimbangan yang mencerminkan nilai-nilai positif, tetapi juga dapat mengalami kebuntuan (deadlock) jika terjadi ketidakharmonisan di antara para pemegang saham yang seimbang. Oleh karena itu, dibutuhkan solusi-solusi hukum sebagai upaya untuk menyelesaikan masalah tersebut. Penelitian ini bertujuan untuk memahami dampak ketidaksepakatan antara para pemegang saham yang seimbang dan menganalisis opsi hukum untuk menyelesaikan situasi kebuntuan ltersebut. Penelitian menggunakan pendekatan metode penelitian hukum lnormatif. Informasi yang diterapkan adalah informasi kedua yang telah dibagi menjadi dua sumber utama, yaitu sumber hukum primer dan sumber hukum sekunder. Berdasarkan hasi lpenelitian, dapat disimpulkan bahwa deadlock yang disebabkan oleh kepemilikan saham yang seimbang menyebabkan RUPS tidak dapat dilaksanakan. Jika deadlock ini berlanjut hingga berakhirnya masa jabatan direksi dan komisaris, maka akan terjadi kekosongan jabatan yang mengakibatkan PT tidak dapat melaksanakan hak dan kewajibannya. Kedua, UU PT diperkenalkan suatu solusi untuk masalah ini yaitu dengan memberikan kekuasaan kepada pengadilan negeri untuk menentukan jumlah peserta Rapat Umum Pemegang Saham (RUPS) yang diperlukan untuk dapat memutuskan tindakan tertentu, serta untuk membubarkan perusahaan jika terdapat alasan yang jelas bahwa perusahaan tersebut tidak bisa melanjutkan kegiatan.
Tanggung Jawab Pihak Asuransi Terhadap Perjanjian Kredit Bank dalam Hal Debitur Meninggal Dunia
Authors: Saputra Mochammad Iqbal , Djajaputera Gunawan
Published: April 2024

Perjanjian kredit biasanya dibarengi perjanjian agunan serta perjanjian asuransi. Perjanjian asuransi inilah menjadi sarana pengalihan risiko bagi bank, khususnya asuransi jiwa dalam hal debitur meninggal dunia, disamping kredit juga dapat jatuh kepada ahli waris jika debitur meninggal dunia sebelum melunasi sisa kreditnya. Penelitian ini bertujuan untuk menganalisis akibat Hukum terhadap Perjanjian Kredit Bank dalam hal Debitur Meninggal Dunia dan mengetahui tanggung Jawab Pihak Asuransi terhadap Perjanjian Kredit Bank dalam hal Debitur Meninggal Dunia. Penelitian ini menggunakan metode penelitian normatif dengan pendekatan perundang-undangan dan pendekatan konseptual. Hasil penelitian menunjukan bahwa akibat hukum perjanjian kredit dalam hal debitur meninggal dunia ada dua kemungkinan yaitu kredit jatuh ke ahli waris sebagaimana diatur dalam pasal 833 KUHPerdata (Burgerlijk Wetboek) atau jaminannya dieksekusi pihak bank, serta kemungkinan kedua adalah kredit hapus karena adanya klausula asuransi jiwa atau perjanjian asuransi jiwa dengan syarat bankerâ€™s clause, artinya disini pihak asuransi harus bertanggung jawab melunasi sisa utang debitur yang meninggal sesuai syarat dan ketentuan dalam polis, jika tidak maka pihak yang berkepentingan dapat mengajukan somasi hingga menggugat pihak asuransi. Dari hal tersebut, simpulannya para pihak haruslah memahami betul isi dari perjanjian kredit yang dibuat, sehingga nantinya jika terjadi risiko tersebut, maka ada kejelasan terhadap pembayaran sisa utang debitur.
Keterampilan Komunikasi Guru BK pada Implementasi Kurikulum Merdeka Sistem Pembelajaran yang Fleksibel dalam Menilai Perkembangan Siswa SMK 2 Muhammadiyah Banjarmasin dari Segi Akademik
Authors: Mardiana Mardiana , Rakhmadiansyah Rakhmadiansyah , Farihin Farihin , Maulana Erdyan Jaya , Syahbana Takdir Ali
Published: April 2024

Penelitian ini menganalis bagaimana Keterampilan Komunikasi Guru BK Pada Implementasi Kurikulum Merdeka Sistem Pembelajaran Yang Fleksibel Dalam Menilai  Perkembangan Siswa SMK 2 Muhammadiyah Banjarmasin Dari Segi Akademik. Penelitian ini menggunakan metode Deskriptif Kualitatif menggunakan Wawancara dengan Para Informan. Hasil menunjukkan bahwa Keterampilan Komunikasi Guru BK Pada Implementasi Kurikulum Merdeka Sistem Pembelajaran Yang Fleksibel Dalam Menilai  Perkembangan Siswa SMK 2 Muhammadiyah Banjarmasin Dari Segi Akademik sangatlah berpengaruh dan hal tersebut dipengaruhi oleh Kurikulum Merdeka itu sendiri dimana Kurikulum Merdeka dengan sistem Pembelajaran yang Fleksibel meningkatkan kemampuan mengajar para guru dan belajar para siswa yang mendorong kreativitas. Pada Kurikulum merdeka peran guru BK sangat besar dalam jenjang karir para siswa, sistem yang fleksibel ini lah yang membuat kedekatan antara guru BK dan para siswa menjadi dekat yang membuat para siswa percaya dengan para guru.
Analisis Perbandingan Kinerja Keuangan pada Sektor Aneka Industri Sub Sektor Alas Kaki di Indonesia Periode 2020-2022
Authors: Putri Mutiara Ramadhona , Fernandez Azizah , Iryanto Nadya Adella , Camelia Madya , Ramadhan Yanuar , Gunawan Wawan Iwan
Published: April 2024

Penelitian ini bertujuan untuk menguji kinerja perusahaan sub sektor Alas kaki dengan menggunakan rasio keuangan (likuiditas, solvabilitas, aktivitas, profitabilitas), common size dan analisis trend dengan membandingkan rasio keuangan, common size dan analisis trend periode tahun 2020-2022 pada PT Sepatu Bata Tbk (Bata) dan PT Primarindo Asia Infrastructure Tbk (Bima). Rancangan penelitian ini merupakan penelitian deskriptif kualitatif dan menggunakan data sekunder yang berasal dari Laporan Keuangan pada PT Sepatu Bata Tbk (Bata) dan PT Primarindo Asia Infrastructure Tbk (Bima) yang tersedia pada Website Masing masing Emiten maupun yang ada pada website IDX. Hasil penelitian menunjukkan bahwa PT Sepatu Bata Tbk memiliki kinerja keuangan yang lebih baik dibandingkan PT Primarindo Asia Infrastructure Tbk. Namun, penelitian ini hanya mencakup beberapa aspek kinerja perusahaan, sehingga diperlukan penelitian lain yang lebih komprehensif, seperti menganalisis pengembalian investasi, efisiensi manajemen, atau faktor-faktor lain yang mempengaruhi kinerja perusahaan.