bluuebunny/crossref_metadata_2025_split huggingface dataset:
Early Puerperal Complications - A Prospective Clinical Study on Caesarean Deliveries
Authors: Akhter Tahamina , Ghani Tabassum , Paul Subinoy Krishna , Noorjahan - , Begum Afrina , Rahman Tashrifa , Sarkar Mandira 
Published: March 2020

Introduction : when a healthy pregnant woman with no obstetric or medical risk factors goes into spontaneous labour, she should anticipate a normal delivery. But still 580, 000 women in the world die from pregnancy and childbirth each year.1 Lack of attention to postpartum care in developing countries is neglected tragedy and requires immediate attention. This study evaluates the incidence of complications of early puerperium and also focuses the specific types of complications and to detect the risk factors associated with these complications.
Aims and objectives : Main aim of the study is to evaluate the common complications in early puerperium with special attention to identify the risk factors.
Materials and method : This study was carried out in Dhaka Medical College Hospital and Sir Sallimullah Medical College Hospital within the period of March ’2004 to August’ 2004. Two hundred patients were selected for this study who were delivered by caesarean section in these two institutions and complications occurring within 7 days excluding first 24 hours. Patients delivered outside the hospital and with known medical diseases were excluded from this study. Detailed history taking and appropriate clinical examination and specific investigations were done for diagnosis of complications. All relevant informations was noted in prescribed data sheet and results were tabulated and statistical analysis was done.
Results : Among 200 cases only 44(22%) cases had early puerperal morbidity.Most of the patients who suffered complications underwent caesarean section for obstructed labour and fetal distress who had trial at home. Many of the patients suffered from wound infection and endometritis (40.9%). Among patients, age group -<20 years suffered from wound infection(53.8%) and endometritis(45.8%) were common in age group 21-30 years. VVF was common in patients in age <20 years.Endometritis (42.2%) was maximum in women with parity 1-3 and wound infection (50%) in women with parity 4-6. Some of the patients had more than one early puerperal morbidity. Maximum number of poor class suffered from wound infection (42.4%).Early puerperal morbidity was more prevalent in women with duration of labour <18 hours and Premature rupture of membrane had relationship with endometritis (15.9%), wound infection (13.6%) and UTI (11.4%).
Conclusion : Incidence of early puerperal morbidities is still quite high (22%) and many patients experiences more than one problem at a time.Long term sequelae of early puerperal infectious morbidity should not be neglected as this may interfere quality of life of a woman.
J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 68-71
Evaluation of Intravenous Iron Therapy Response to Manage Anemia in Pregnancy
Authors: Saha Joysree , Quader Md Abdul , Islam Ferdousi , Prasad Indrajit , Khanom Kamil Ara , Siddique Sohana , Akter Sumaya , Talukder Debesh Chandra , Saha Haridas , Shamnaz Tasrina 
Published: March 2020

Background: Iron deficiency anaemia is a common problem in antenatal patient especially in primigravida in developing world. The study was conducted to evaluate the efficacy of intravenous iron sucrose in antenatal primigravida anaemic cases.
Aims and Objectives: The study was conducted to evaluate the response of intravenous iron therapy in anaemic antenatal primigravida patients. The rise of hemoglobin level was predicted after therapy.
Materials and Methods: A prospective cross-sectional study was done in the antenatal clinic of Popular Medical College Hospital from January 2016 to December 2016. Primigravida women of e” 18 years with iron deficiency anaemia were included in this study. Pretreatment hemoglobin level was measured. After total dose of calculated iron, intravenous iron sucrose was infused to achieve the target hemoglobin. After completion of therapy hemoglobin was measured 2 weeks and 4 weeks after last dose of iron treatment. Mean, percentage, Chi-square test was done and P value <0.05 was considered significant.
Results: Among the 63 primigravida anaemic patients mean age of the study subjects were 23.98 years with mean gestational age were 23.54 weeks. Their pretreatment hemoglobin level was 5.42 gm/dl. After total dose infusion of iron sucrose, the mean rise of hemoglobin after 2 weeks was 8.87 gm/dl and after 4 weeks was 10.87 gm/dl respectively. This findings were statistically significant (P<0.001). Attainment of target hemoglobin at the range of 9.1-11.0 gm/ dl was 50.79% and 65.08% after 2 weeks and 4 weeks respectively.
Conclusion: Parenteral iron therapy in the form of iron sucrose proved to be better choice to correct iron deficiency anaemia in primigravida anaemic patients
J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 79-82
Evaluation of Post-operative Complications following Thyroid Surgery
Authors: Talukder Debesh Chandra , Sarker Satinath Chandra , Ahasan Syed Ali , Haque Muhammad Mozammal , Arefin Mostafa Kamal , Musabbir Nadira , Rahman Chowdhury Md Mushfiqur 
Published: March 2020

Objectives: This study evaluates the incidence, Frequency and risk factors of complications in patients submitted to thyroidectomy for various benign and malignant lesion and to corroborate the results in relation to the extent of surgery in a Tertiary level hospital.
Study design : An analytical study of 100 consecutive patients who underwent thyroidectomy for benign and malignant thyroid lesion.
Material s and methods: The study was carried out at Department of ENT and Head-Neck surgery in Dhaka Medical College Hospital over a period of 1.5 years from January 2017 to June 2018. Data were collected from 100 patients who underwent thyroidectomies for various thyroid diseases at this center.
Results: There were 80 females (80%) and 20 males (20%) with female-to-male ratio of 4:1, and The age range of the patients were 15 to 80 years, the mean age was 39.29 years. Preoperative diagnosis of benign and malignant pathologies was made in 86% and 14% cases respectively. Most common pathological diagnosis was colloid goiter 46%,nodular of cases, whereas papillary carcinoma accounting for 11% was the commonest malignant lesion .The types of thyroid operations done were as follows (Table-II). The commonest operation performed was hemithyroidectomy (45%). The overall postoperative complication rate was 17%.Temporary and permanent RLNI occurred in 3% and 2% respectively. The less common complications were wound hematoma, seroma formation, and superior laryngeal nerve injury. There was no mortality observed in this study.
Conclusion: In conclusion, extent of resection, surgical technique and thyroid pathologic condition had a greater impact on the rates of postoperative complications. By developing understanding of the anatomy and the ways to prevent each complication, the surgeon can minimize each patient’s risk and can handle complications expediently and avoid worse consequence.
J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 108-113
Potential effects of omega-3 fatty acids on high density lipoprotein cholesterol and low density lipoprotein cholesterol in middle aged patients with diabetes mellitus
Authors: Habib Tamanna Binte , Akhter Qazi Shamima , Yeasmin Nahid , Imam Hasan , Chowdhury Forhad Uddin Hasan , Hossain Mohammad Zaid , Mirdha Md Sohel , Islam Md Khademul , Rabbani Safia Binte , Alam Md Mahbubul 
Published: March 2020

Background: The one of the most common metabolic disorder that remains worldwide is Diabetes mellitus. Dietary intake of omega-3 fatty acid may confer a protective effect against diabetes, improves high density lipoprotein (HDL-C) and reduce low density lipoprotein cholesterol (LDL-C) levels.
Objective: To observe the effect of supplementation of omega-3 fatty acid on HDL and LDL levels in type 2 DM.
Methods: A prospective interventional study was conducted from January 2017 to December 2017. A total numbers of 52 diagnosed type 2 diabetic patients of both sexes were selected with age ranging from 40 to 50 years. Among them, 27 type 2 diabetic patients with supplementation of omega 3 fatty acid (2g/day) for 12 weeks was considered as study group. Another 25 type 2 diabetic patients without supplementation of omega 3 fatty acid were considered as control group for comparison. The study subjects were selected from Outpatient Department of Endocrinology, Dhaka Medical College Hospital, Dhaka and personal contact from Dhaka city on the basis of inclusion and exclusion criteria. The research work was carried out after obtaining ethical clearance from concerned departments, Research Review Committee and Ethical Review Committee of Dhaka medical college, Dhaka. The study parameters serum HDL was estimated by enzymatic colorimetric method in auto-analyzer and serum low density lipoprotein was calculated by using Friedwald formula in Department of Laboratory Medicine, Dhaka Medical College Hospital, Dhaka. The parameters were studied 2 times in study and control groups i.e. at the beginning of study (base line) and after 12 weeks of study period. Data were collected in pre-designed structured questionnaire from the researcher by herself. For statistical analysis, Paired Student’s ‘t’ test and Unpaired Student’s ‘t’ test were performed as applicable using SPSS for windows version 16.0.
Results: In this study High density lipoprotein cholesterol that is good cholesterol increased and low density lipoprotein cholesterol was decreased in diabetic patients after supplementation with omega-3 fatty acid in comparison to that of their baseline value. Again, after 12 weeks, high density lipoprotein was higher and low density lipoprotein cholesterol was lower in diabetic patients after supplementation with omega-3 fatty acid in comparison to control group.
Conclusion: After analyzing the results of the study, it can be concluded that omega-3 fatty acid can improve HDL and lowers LDL levels in diabetic patients may be helpful to minimize the complications of type-2 diabetes mellitus.
J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 190-194
Study On Serum Magnesium, Calcium And Iron In Autism Spectrum Disorder (ASD) Children
Authors: Shahjadi Shorifa , Khan Arif Salam , Ahmed Mesbah Uddin , Karim Mahmuda , Parvin Shahana , Siddiqi Umme Raihan , Afroz Sharmin , Mahruba Syeda Nusrat 
Published: March 2020

Background: Autism is a complex neurodevelopmental disorder and one of the major cause of lifelong disability. Magnesium, calcium and iron are important minerals of biological system. Hypomagnesaemia, hypocalcaemia and iron deficiency has been found to be associated with abnormal metabolic functions resulting in autistic spectrum disorder.
Hypothesis: Serum magnesium, calcium and iron levels are lower in ASD children than healthy control.
Objective: To measure serum magnesium, calcium and iron in ASDchildren and to compare them with healthy control.
Method: This observational type of analytical study with case-control design was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka from March 2014–January 2016. For this study, 80 children aged 3-10 years were randomly selected, among which 40 were apparently healthy and 40 were diagnosed as ASD. The study group was selected from the Parents’ Forum (Mohakhali DOHS, Dhaka) for ASD children and the control group was selected from some regular schools. 5ml venous blood was collected from both groups for analysis of fasting serum magnesium, calcium and iron. Fasting magnesium, calcium and iron were estimated in all children by standard laboratory method. Independent sample‘t’ test and proportion (Z) test were used for statistical analysis. P value Â0.05 was accepted as significant.
Result: The mean serum magnesium, calcium and iron were significantly lower (pÂ0.001) in cases as compared to controls. The frequency of hypomagnesaemia, hypocalcaemia and iron deficiency were significantly higher in early diagnosed ASD children, which was 7 (17.5%), 22 (55%) and 5 (12.5%) out of 40 ASD children respectively.The mean values of all the biochemical variables in normal children were within normal ranges.
Conclusion: The results indicate that hypomagnesaemia, hypocalcaemia and iron deficiency are common in ASD children.
J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 199-204
Association between hypertension and the severity of new onset ischemic stroke in Diabetic patients
Authors: Sina Hashmi , Mustary Tamanna , Ahmed Kazi Gias Uddin , Chowdhury Ahmed Hossain , Saha Kanol , Arifuzzaman Mohammad , Siddique Abu Raihan , Alam Lftikher , Dhali Sabbir Ahmed , Ahmed Sharif Uddin 
Published: March 2020

Objective: To evaluate the association between hypertension and the severity of new onset ischemic stroke patient with diabetes mellitus.
Method: This Cross sectional study was carried out in the Department of Neurology, BSMMU, Dhaka, from February 2013 to September 2014 on 50 patients with first attack of ischemic stroke with DM. mRS was measured on 14th day of the stroke. During this period other important relevant investigations were also recorded.
Result: In this study, out of 50 patients, 40.0% were in age group 51-60 years and the mean age of the patients was 58.9 ± 9.6 years with a range from 30 to 75 years. Males were 52.0% and females were 48.0%. Male to female ratio was 1.08:1. It was observed that more than one third (36.0%) patients were current smoker, 9(18.0%) were former smoker and 23(46.0%) were non smoker. More than half of the patients had hypertension (58.0%). Mean systolic BP was 129 ±16 mmHg with a range from 90 to 160 mmHg and the mean diastolic BP was 81±11 mmHg with a range from 60 to 100 mmHg. No association was found between hypertension with severity of new onset ischemic stroke in Diabetic patients.
Conclusion: As per study result it can be concluded that there is no association between hypertension and the severity of new onset ischemic stroke in Diabetic patients.
J Dhaka Medical College, Vol. 28, No.1, April, 2019, Page 7-10
Broad Ligament Pregnancy: A Rare Case Repor
Authors: Siddiqui Maruf , Ghafoor Nusrat , Naznine Fahmida , Abdullah Rusmila Shamim , Chowdhury T A 
Published: March 2020

Broad ligament pregnancy is a rare obstetric condition. Its diagnosis is quite difficult and management is challenging. Here we report a case of a 26 years old primi gravida conceived following laparoscopy and ovulation induction. Diagnosis of the broad ligament pregnancy was done by a transvaginal ultrasound at her 9 weeks and was proceded with laparoscopy followed by laparotomy. A right broad ligament pregnancy was found and the sac with fetus was removed. Laparoscopy was converted into a laparotomy as there was an uncontrollable bleeding from the broad ligament. Here we present a case of this extreme rare type of broad ligament pregnancy.
J Dhaka Medical College, Vol. 28, No.1, April, 2019, Page 123-125
PLANA MEMORA : DEKONTEKSTUALISASI WUJUD KARYA SENI RUPA
Authors: Rahim Muhamad Ali , Amiarsa Chandra Ghaisani 
Published: March 2020

Dilatarbelakangi gagasan 'perayaan' memudarnya eksklusifitas seni menuju ke pola kontinuitas penciptaan, penelitian ini diiringi proses penciptaan dan menghasilkan karya seni rupa berjudul “Plana Memora” yang dirancang dalam rangka merespon fenomena pergeseran wacana estetika kontemporer. Tujuan konseptualnya adalah manifestasi letak spirit personalitas yang spesifik-otentik atas karya seni rupa pascamodernisme; dalam kesederhanaan visualisasi bisa jadi ditemukan unsur filosofi karya yang memerlukan upaya untuk memahami 'kedalamannya'. Tujuan praktisnya adalah tawaran pola teknik penciptaan karya yang tidak konvensional, dan visualisasinya menjadi alternatif wujud karya seni rupa dua-dimensi. Wujud Plana Memora berupa tulisan tangan dengan menggunakan bolpoin pada sepotong kertas, tak ubahnya sebuah catatan singkat, dibuat dengan maksud memberi peringatan sederhana dan cepat akan rencana kegiatan harian. Dasar pemikirannya adalah bahwa karya seni rupa pascamodernisme mencirikan adanya kedekatan yang lazim dan intens dengan keseharian kreatornya. Hal ini menguatkan bahwa karya seni rupa dua-dimensi tidak lagi (melulu) tentang ilustrasi, representasi alam nyata/ alam mimpi, imajinasi atau berakhir pada komposisi cipratan warna, yang secara eksplisit sekedar menunjukkan kepiawaian tangan belaka. Studi literatur sebagai sumber data dan eksplorasi karya dilakukan sebagai metode dalam penelitian dan penciptaan ini. Dalam rangka mendukung representasi kekaryaan seni rupa kontemporer, penciptaan ini menghasilkan rancangan karya sebagai manifestasi dekontekstualisasi wujud karya seni rupa. Karya ini bukan ilustrasi konvensional. Karya ini mengusung konsep kontinuitas gejala dirinya sendiri yang meskipun bisa jadi mirip dokumentasi, namun merupakan karya (rencana) hari ini dan masa depan.
Features of the Functioning of the National Metrological System in the Health Sector
Authors: Glebov A. B. , Chizhik I. V. , Parkhomenko N. M. , Dengub O. V. 
Published: March 2020

The legislative requirements for metrological support in the healthcare sector, the issues of ensuring metrological traceability and the hierarchical scheme of calibrations and measurements in laboratory medicine according to the recommendations of JCTLM and their adaptation at the national level are considered. The features of the provided metrological control of measuring instruments for medical purposes, including when conducting their compliance assessment with the requirements of technical regulations. The current state of affairs in the confirmation of the technical competence of medical laboratories, including the need for their participation in proficiency testing schemes through inter-laboratory comparisons, in the transition from certification to accreditation is considered.
The analysis of the used methods and means of calibration and reference measurements proposed by JCTLM and other leading orga­nizations in the field of laboratory medicine is observed. Information is provided on the work carried out by the SE «Ukrmetrteststandart» for metrological support of medical measuring instruments. The necessity of legal improvement, the regulatory and methodological base of the metrological system in the field of healthcare is substantiated. As a result of the work performed, the authors consider:

the legislative base of metrological support in the field of healthcare is not perfect and in need of refinement of the profile of the central executive authorities in order to build technically sound organizational and regulatory frameworks for metrological support in this area;
proficiency testing through interlaboratory comparisons in the field of laboratory medicine is an effective tool for confirming the technical competence of the laboratory. Laboratories should parti­cipate in proficiency testing schemes on a regular basis. Proficiency testing providers should pay particular attention to the method of determining reference values of indicators in proficiency testing samples, using predominantly metrologically sound procedures based on the use of standards, certified reference materials and/or reference measurement methods;
the heads of medical laboratories should be careful about the choice of suppliers of legal acts in the metrology.
Presentación
Authors: Tiana Ferrer Alejandro 
Published: March 2020

En el número anterior de la Revista Iberoamericana de Educación abordamos el estudio de un tema crucial para el futuro de los sistemas educativos actuales: el fantasma del denominado «fracaso escolar». Como decíamos en la introducción, la expansión escolar ha tenido el efecto paradójico de crear un nuevo tipo de exclusión educativa, que contribuye a incrementar el riesgo de exclusión social. El éxito escolar y su reverso, el fracaso, se han convertido, en consecuencia, en objeto de análisis y debate, muchas veces apasionado.
Dada la importancia que ha adquirido este asunto, confirmada además por el importante número de contribuciones recibidas, hemos creído conveniente concederle más espacio en nuestra revista, dedicándole un segundo volumen. Pero, al mismo tiempo, hemos querido que cada uno de estos dos números se complete en sí mismo, como es nuestra norma.
Por ese motivo, si el número precedente se dedicó primordialmente al análisis de las hipótesis y las circunstancias del fracaso escolar, el presente se centra en el estudio de los diversos niveles y territorios. Dicho de otro modo, el lector encontrará en la parte monográfica de este volumen un conjunto de trabajos que analizan la realidad del fracaso tal como se presenta en los sucesivos niveles del sistema educativo y en la diversa geografía iberoamericana. No hemos pretendido cubrir todo el abanico de niveles y países –hubiera sido una osadía por nuestra parte–, sino presentar una selección relevante de perspectivas, capaz de ofrecer un panorama suficientemente diversificado y detallado.
En contra del fracaso escolar: nuevos discursos, nuevos retos para la educación infantil
Authors: Sánchez Blanco Concepción 
Published: March 2020

El artículo que nos ocupa indaga acerca de la situación de la escolaridad temprana en el contexto español y de los alcances que la implementación de políticas tecnocráticas y hegemónicas, que convierten las prácticas docentes en compensatorias, tienen para la sociedad en su conjunto, en tanto la escolaridad, en todas sus etapas, es formadora de ciudadanía. Se postula que, si efectivamente se quiere una escuela que no fracase, han de desarrollarse proyectos emancipadores y con continuidad en el sistema educativo, y cuya política sustentadora sea denunciar la injusticia, accionar reflexiva y críticamente contra las desigualdades sociales y, consecuentemente, construir democracia. Se sostiene que este es un derrotero a favor de gestar una sociedad más justa e igualitaria, con independencia de las condiciones y/o características de los sujetos, y que no asumir esta responsabilidad en cualquiera de las etapas educativas nos hace artífices del fracaso de la escuela, que una vez más tendría como destinatarios a los más débiles y/o marginados, niños pequeños con escasos recursos de toda índole que, de esta forma, tampoco tienen una escolaridad inicial en la que involucrarse.
Postula que una escolaridad temprana crítica hace frente a la exclusión también desde las más tempranas edades, convirtiéndose en un foro público en el cual niños y adultos participan juntos en proyectos que potencian la vida democrática en su seno, de manera que de ella misma puedan surgir nuevos movimientos sociales que ahora y en el futuro trabajen en favor de la justicia en el mundo.