bluuebunny/crossref_metadata_2025_split huggingface dataset:
Complications of Level I and II Axillary Dissection in the Treatment of Carcinoma of the Breast
Authors: Akhter Maj Nasima , Iqbal Abu Khaled Muhammad , Rahman Md Mahbubur , Murshed Mahbub , Bashar Abul 
Published: February 2020

Background: The role of axillary dissection as an effective means of controlling regionalnodal disease, has long been recognized. It is associated with significant complicationsand might be more selectively applied only to patients harboring micrometastases to thesentinel nodes.
Objective: To assess the complications of level I and II axillary lymph node dissection inthe treatment of stage I and II breast cancer, with mastectomy.
Methods: One hundred patients having total mastectomy with axillary dissection, wereevaluated for more than 1 year after surgery for arm swelling as well as non-edemacomplications. All patients had measurements of circumference of upper limb at 4 siteson both the operated and non operated sides.
Results: No patient had an axillary recurrence, difference in circumference of upperlimb at the midbiceps level >2 cm - 13% (p <0.001), difference at the antecubitalfossa>12% (p < 0.001), at the mid forearm>2cm - 8% (p < 0.005), and at the wrist 4%(n.s.). Four patients (4%) had mild swelling of the hand. Seventy seven (77%) patientshad numbness or paresthesias of the medial arm and/or axilla after surgery; in 63(82%) of these, the problem had lessened or had resolved on follow-up assessment.Medical therapy with anti-tubercular drugs ranging from 9 to 12 months with follow upmonthly was the mainstay of treatment. Surgical intervention reserved for selectedrefractory cases. Extension of anti-tubercular therapy from 9 to 12 or 18 monthsrequired in fifty-eight(58) patients on the basis of slow clinical response. Completeresolution obtained in 92 patients but residual tiny mass in eight patients confirmed byrepeated FNAC to be fibrotic.
Conclusion: Level I and II axillary dissection is associated with various complications.Sentinel lymphadenectomy may be proposed as an alternative to elective axillarydissection.
Journal of Surgical Sciences (2017) Vol. 21 (1) :24-28
Solitary Plasmacytoma of Rib Origin in a Young Adult- A Rare CaseReport
Authors: Uddin Mohammad Saif , Ahamed Fahmida , Bashar Abul , Murshed Mahbub , Alam ABM Khurshid 
Published: February 2020

Solitary plasmacytoma of bone, specially of a single rib, is a rare disease and is characterized by onlyone or two isolated bone lesions with no evidence of disease dissemination. Here we present a caseof 35-year-old male who was presented with a recurrent swelling in left lower lateral chest wall withsymptoms of localized pain. Radiological evaluation revealed a solitaryexpanding lesion in left lowerlateral chest wall. Fine needle aspiration showed numerous small round cells having hyperchromaticnuclei with scanty cytoplasm. en-bloc resection of the tumor, including involved part of left 9th rib,the intercostal muscle and the parietal pleura with primary closure of chest wall. Histopathology ofthe resected mass revealed plasma cell neoplasm, highly suggestive of solitary plasmacytoma. Thepatient referred to oncologist for further management.
Journal of Surgical Sciences (2017) Vol. 21 (1) :39-41
A Late Adolescent Girl with Rectal Duplication Cyst in Bangladesh: Case Report
Authors: Khalil Mohammad Ibrahim , Amin Andalib , Asaduzzaman ATM , Rahaman AZM Mahfuzur , Hossain AZM Mostaque 
Published: February 2020

Intestinal duplications, originally described in 1941, are congenital cystic lesions resemblingand associated with part of the gastrointestinal tract. Rectal duplication is the rarest of the allduplications and adolescence presentation of rectal duplication cyst is quite unusual whichis reported here. A 17 year female presented with right gluteal lump. She underwent surgeryand was found to have a smooth cystic mass, which was later found to be a Rectal Duplicationcyst in histopathology. High index of suspicion with other differentials can lead to earlydiagnosis and complete cure of the condition.
Journal of Surgical Sciences (2017) Vol. 21 (1) :45-46
Management of CBD Stone in Situs lnversus Total is: A Case Report
Authors: Khan Sadia Armin , Ashraf Ali Abu Ahmed , Salam Abdus , Hossain Syeda Samina , Chowdhury Sharupa , Sarkar Anusree 
Published: February 2020

Situs inversustotalis is a rare congenital condition present in approximately 0.01% of thepopulation in which the major visceral organs are reversed from their normal position and canpose difficulties in the diagnosis and management of abdominal pathology. Symptomaticcholelithiasis is very common and laparoscopic cholecystectomy is the gold standard treatmentat present. Laparoscopic surgery in a situation of situs inversus is challenging due tothe mirror-image anatomy. Diagnostic pitfalls and technical details of the laparoscopic cholecystectomyare discussed.
Journal of Surgical Sciences (2017) Vol. 21 (1) :48-50
Characteristics of Polycystic Ovarian Syndrome in Sub-fertile Woman Attending to GOPD in ShSMCH
Authors: Islam Jinnat Ara , Ashraf Fatema , Nandi Eva Rani 
Published: February 2020

Background: Polycystic ovarian syndrome (PCOS) is a condition characterized by menstrual abnormalities (oligo/amenorrhea) and clinical or biochemical features of hyperandrogenism and may manifest at any age. It is a common cause of female subfertility. All the dimensions of PCOS have not been yet completely explored.
Methods: It was a cross sectional comparative study carried out at-GOPD of Shaheed Suhrawardy Medical College & Hospital from January, 2016 to December 2016 on 162 subfertile women. Among them 54 were PCOS group and 108 were non PCOS group. PCOS was diagnosed by (Rotterdam criteria 2003) (i) Oligo or anovulation (ii) hyperandrogenism (iii) Polycystic ovaries. Study was done to evaluate and compare the demographic characteristics, clinical, biochemical and ultrasoundgraphic features of sub-fertile women with and without PCOS.
Results: A total of 162 sub-fertile women aged 16-36 years. Mean age was 29.5±5.4. There were significant differences between the two groups in terms of (oligo/amenorrhea), hirsutism, WHR and ovarian ultrasound features. There were no significant differences between two groups in correlations between the level of obesity with the incidence of anovulation, hyperandrogenism or with hormonal features.
Conclusion: PCOS is one of the important factors causing Infertility. It is an ill-defined symptom complex needed due attention. There is a need to increase awareness regarding. The clinical features of PCOS are heterogenous thus can be investigated accordingly of selection of appropriate treatment modality.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 17-23
Role of HRUS in Detection and Localization of Foreign Bodies
Authors: Shah KZ , Begum N , Ali MS , Hossain M , Ahmed P 
Published: February 2020

Prick injuries with metallic and non-metallic foreign body are commonly encountered cases in surgery and orthopedics OPD. Detection and localization is difficult task with conventional radiography. Ultrasonography, CT and MRI are other modes of evaluation but CT and MRI are expensive and not easily available.About 35 patients were evaluated with USG (7.5-10 MHz Linear probe) and X-ray for clinically suspicious non-radiopaque foreign body in soft tissue and extremities. Clinical presentation, symptoms anatomical location, and foreign body retrieved after surgery were recorded. X-ray detect only 3 foreign bodies where as HRUS detected 34 patient. Most of the cases FBs were present in ankle and foot. Majority of the foreign bodies were plant thorn and wood pieces. Plain X-ray is not sensitive for detection of non-radiopaque foreign bodies but USG is sensitive and specific for detection and localization in that cases.
TAJ 2010; 23(1): 33-37
Anatomic Site Distribution of Colorectal Cancer: A Retrospective Study of 102 Cases in a Tertiary Hospital
Authors: Alim MA , Rashid MH , Ahad MA , Chowdhury MMH , Rahman MK , Khan MMR , Haque M Azizul 
Published: February 2020

Colorectal carcinoma is one of the major cancers in the developed world. It is not uniformly distributed through out the large bowel. Recent studies of patients with colorectal cancer have suggested a shift towards the proximal colon and an increase in incidence of right sided colon cancer. This study aimed to determine the anatomical distribution of colorectal in our tertiary level hospital. A total of 102 patients were selected retrospectively from Department of Gastroenterology in Rajshahi Medical College. Records of patients of colorectal cancer were reviewed for demographic data, histological type and anatomical location of tumour. Tumour located at or proximal to splenic flexure were defined as right sided cancer and tumour arising distal to the splenic flexure were defined as left sided cancer. Out of 102 patients, 74 are male and 28 are female and male: female ratio 2.6:1. The age range was from 21 to 71years with mean 46.5±13.3. Approximately seventy eight percent of cancer was left sided and 21% were right sided. Age and sex related distribution of proximal and distal tumors were analyzed but no statistically significant relation has been observed. So it is observed that the anatomical distribution of colorectal cancer has been fairly constant with no evidence of proximal shift of colorectal cancer. However multicenter large volume studies can bring a concrete opinion.
TAJ 2010; 23(1): 22-25
Neurological Manifestation of Wilson Disease at an Early Age: A Case Report
Authors: Bari MI , Sharmin LS , Alam T 
Published: February 2020

Wilson’s disease (hepatolenticuler degeneration), an inborn error of copper metabolism, is an autosomal recessive disorder characterized by degenerative changes in brain, liver disease and Kayser Fleisher (KF) rings in the cornea. It is due to a defect of p-type ATPase which is probably required for normal excretion of copper through bile. Hepatic manifestation of the disease is common at early age and neurological manifestation is common at an older age. We are reporting Wilson disease with neurological manifestation in a 10 year old boy.
TAJ 2010; 23(1): 87-90
Chiari Malformation- Report of 3 Cases
Authors: Hossain Md Zahed , Uddin Md Kafil 
Published: February 2020

3 cases of chiari malformation type-I were presented with classical picture of spasticity, quadriparesis and dissociated sensory loss and were operated ( Craniovertebral junction decompression by midline suboccipital craniectomy with removal of C1 arch and duroplasty). All the 3 patients were improved. Among them one patient recovered with some morbidity for postoperative other diseases.
TAJ 2010; 23(1): 84-86
Detection of cervical intraepithelial neoplasia (CIN) by visual inspection of cervix with acetic acid (VIA) and its comparison to cervical cytology
Authors: Zahan Nargis , Shamima Mosammat Nargis , Sultana Sharmin , Hossain Mohd Alamgir 
Published: February 2020

Background: Cervical cancer is the second most common cancer in women throughout the world, and it is the leading cause of cancer death among women in underdeveloped countries like Bangladesh is preventable and curable if detected at and early stage using proper screening tools. This study was done to see the effectiveness of VIA and find out the CIN and introduce as a complementary to cytology for diagnosing precancerous form of cervix.
Materials & Methods: A total 175 subjects were studied & relevant data of cervix related patients have been collected. The data regarding Pap smear, VIA and biopsy have been taken and collected data was analysis by SPSS.
Results: Out of 175 Patients VIA positive 53 (30.3%), Pap smear reports, 84 (48.0%) had inflammatory findings and 38 (21.7%) had dysplasia and biopsy result 41(23.4%) CIN positive. Sensitivity of VlA was 90.2%, specificity 88.1%, PPV 69.8%, NPV 96.7% and accuracy 88.6%. Sensitivity of Pap smear reports was 80.5%, specificity 96.3%, PPV 86.8%, NPV 94.2% and accuracy 92.6%.
Conclusion: Visual inspection of cervix after application of acetic acid (VIA) is valid as cytology test for the identification of pre-invasive cervical cancer (CIN). Thus VIA is a useful screening method of Cervical Intraepithelial Neoplasia lesion as Pap smear.
TAJ 2018; 31(1): 15-20
Idiopathic Haemolacria in a 9 Year Old Girl
Authors: Mia Md Sanaul Haque , Sharmin Laila Shamima , Islam Md Zahidul 
Published: February 2020

Haemolacria or bloody tears is a rare clinical condition caused by various ocular and systemic conditions; some cases may be drug-induced and some are idiopathic. We are reporting a case admitted with recurrent bilateral idiopathic haemolacria. A 9-year old girl was admitted in our hospital with complaints of recurrent spontaneous bloody tears from both eyes for 1 month. There were no other bleeding manifestations. Blood stained discharge from punctum was not observed during compression of either nasolacrimal duct. Psychiatric assessment and ENT examination were normal. Further evaluations for underlying causes were unremarkable. There was no abnormality on the ophthalmological and radiological investigations. The patient was diagnosed as a case of idiopathic haemolacria. Patients presenting with complaints of bloody tears should be evaluated with a detailed history focusing on etiologic factors, ocular examination, and nasal and paranasal examination.
TAJ 2018; 31(1): 70-72
Modeling of Teaching of Pedagogical Disciplines in the Process of Preparation the Future Doctors Philosophy in the Conditions of Technical University
Authors: Ignatyuk Olga An. 
Published: February 2020

The article is devoted to the actual problem of pedagogical excellence basis formation as a result of readiness to the pedagogical activity of doctoral students in the technical university in the process of pedagogical disciplines teaching. The peculiarities of pedagogical excellence basis formation of doctoral students in the process of pedagogical disciplines teaching on based process modeling leaning pedagogical disciplines are considered. The article reveals the essence of the modeling process when teaching pedagogical disciplines to graduate students of the university on the basis of a competent, systematic approach. Examined hide essence of the context system forming of bases of pedagogical mastery in teaching of pedagogical disciplines future Ph.D.s of 1 of educating, it elements are aims, maintenance, methods, methods and forms of educating. The results of pedagogical excellence basis formation of future high school pedagogues from the 1-year postgraduate students on above-mentioned principles are discussed. In the process of forming the foundations of pedagogical mastery, it is worthwhile to form a certain system of knowledge where knowledge about system modeling in the pedagogical process should occupy a significant place. Based on the analysis of psychological and pedagogical literature, the features of modeling teaching pedagogical disciplines in the context of forming the foundations of pedagogical skills in the process of studying future PhDs in a technical university are determined. The model of the systemic context formation of the foundations of pedagogical skills in the process of teaching pedagogical disciplines to graduate students is characterized. Depending on the stage of the context-based system formation of the foundations of pedagogical skills when teaching pedagogical disciplines to future PhDs of 1 year of study, this is achieved through the achievement of a number of goals. We believe that the development and implementation of a block of pedagogical disciplines, taking into account the professionalized content of teaching pedagogical disciplines, the fundamentalized teaching content of basic software products (silibus), the fundamentalized teaching content of promising products (the leading nature of training, forms, methods, innovative technologies) of training in a technical university promotes the acquisition by future teachers of the corresponding hierarchy of knowledge systems, both ensures, the readiness of the future teachers to the quality and efficiency of reproductive and productive career. The analysis of the results of the formation of the foundations of pedagogical skills of the future higher school teachers from among the graduate students of 1 year of study on the above foundations showed a positive trend. Conclusions and prospects for further research in the direction of this direction are shown.
Status of Public – State Management Usage of General Secondary Educational Institutions
Authors: Mykhasiuk Oksana К. 
Published: February 2020

The article is devoted to the analysis of the normative legal support of the general secondary educational institutions functioning. The importance of the state-public management has been justified, as far as the major analytical reports of the state authority point at the insufficient attained involvement of public institutions in the management education.
For these purposes, the traditional state-public management transformation and upgradeability have been explored by means of the state-public organizations combined efforts, deplacement of the dominant influence and its transition to an innovative public-state management.
According to the results of enquiry within the Kharkiv region it has been found, that the state-public management prevails to date, in connection with low public activity, lack of stakeholders` readiness to co-management, public-state management immaturity of general secondary educational institutions in science and practice.
However, we can observe establishment and development of public-state management in most educational institutions of the united territorial communities, that is an indication that the local authority decentralization reform wields major influence on the democratic process formation in all fields of public life.
Development of Emotional Intelligence of Teachers in the Process of Studying English
Authors: Fedorova Yuliia Vl. 
Published: February 2020

The spread of information technology, the strengthening of communication, requires the rapid adaptation of educational processes to the constant updating of the knowledge base. The modern world already by default assumes knowledge of the English language as a tool for obtaining leading knowledge in the field of scientific interests. This approach contributed to the introduction of continuing education courses for teachers on the basis of higher educational institutions. Participation in academic group classes allowed the author to formulate a thesis about the successful development of the emotional intelligence of participants in the process of interactive learning of the English language.
The article explores the history of the development of emotional intelligence, describes well-known models of emotional development. The concepts of «emotional intelligence», «emotional competence» are considered. The formation process in group classes for advanced training of the main components of emotional intelligence (self-awareness, self-control, social understanding, relationship management) is studied. It is noted that the decisive advantage of the formation of emotional intelligence in group classes in a foreign language is the development of reflection, self-control, empathy and emotional impact skills in the most active stage of the brain. According to the author, the formation of new skills in the conditions of leaving the comfort zone, in conditions of the need to use another language, is the most effective way of creating flexible competencies, in particular emotional competence. The author has developed an algorithm for the formation of the teacher’s emotional intelligence in the process of group training. The effectiveness of interactive teaching the English language as a method that also improves communication and enhances the emotional intelligence of teachers is noted.
Studies have contributed to the implementation of effective techniques for the development of emotional intelligence in English classes. Increasing the level of emotional intelligence of teachers will contribute to their effective adaptation to changes in the modern educational space.
Sociality as a Form of Expression of Public Relationship of Human Society
Authors: Kovalyov Valeriy Myk. , Romanusha Yuliia V. 
Published: February 2020

Modern economic science in Ukraine and in the world is established to be concerned with the private issues of the development of productive forces on a local scale or in a sectoral section. Hence, sociality, as an economic category, is considered by individual scientists as the human essence of an individual, which veils the acuteness of class contradictions in the conditions of the modern human community. Sociality has been established to be a quantitative measure of production relations, which is expressed by the proportions of the distribution of the results of social labor among wage workers and entrepreneurs, on the basis of which the ratio of the measure of labor and the measure of consumption is determined.
The World Bank’s methodology for rating the level of sociality by eighteen relative indicators, such as the level of happiness and others, as well as by the level of national income, which averages inter-class income and hides its apologetic essence, is critically reviewed.
Sociality is proved to be an economic category of a class society and represents a quantitatively expressed production relationship, established according to the proportions of the distribution of the results of social labor between employees and entrepreneurs.
Ways of social transformation of the world are considered against the background of such unresolved problems of our time as the exhaustion of the natural resources of our planet, the progressive growth of population, the internationalization of the Earth’s peoples and their borders, as well as balanced GDP growth and scientifically based needs of people.
A new methodological approach to the quantitative assessment of the laws of social transformation of humanity in the third millennium has been proposed, taking into account the indices of socialization and capitalization of the world community, based on the structure of the labor potential. Examples of calculations based on indicators of Ukraine for 2015-2017 are given.