bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Study on Histopathological Pattern of Ovarian Tumours in Chittagong Medical College Hospital
Authors: Begum Mahmuda , Rahman Md Mukhlesur , Jahan Mahmuda , Rahman Zillur , Chowdhury Shahanara 
Published: November 2020

Background: Ovarian tumours may either be asymptomatic, found on the routine ultrasound examination or symptoms may be vague till the patient has an acute emergency like torsion or rupture of a benign cyst. The worst is late presentation of malignant ovarian tumour. There is marked variation in the presentation of the tumour as well as in histological types. This study was under taken to analyse modes of presentation and various histopathological patterns of ovarian tumour.
Materials and Methods: A total of 69 cases were selected consecutively. The age range was 13-70 years. This study was carried out in the Department of Pathology, Chittagong Medical College and Department of Gynaecology and obstetrics, Chittagong Medical College Hospital during the period from July 2013 to June 2014. The specimens of ovarian tumours were subjected to histopathological examination in the histopathology section.
Results : Out of 69 cases, 54(78.3%) were benign and 15(21.7%) were malignant tumour. There was no borderline malignancy in our study. The commonest histological pattern in this study was surface epithelial tumour 49(70.6%) including both benign and malignant tumour followed by germ cell tumour 6(8.7%). The commonest benign tumour was serous cyst cyst adenoma 23(33.4) and malignant tumour was serous cyst adenocarcinoma 5(7.2%).
Conclusion : Surface epithelial tumours are the commonest variety of ovarian tumour followed by germ cell tumour. The histological type of ovarian tumour correlates with the prognosis of the tumour.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 13-17
Top Five Causes of Neck Mass in Chattogram
Authors: Chowdhury Ziaul Answar , Uddin M Jalal , Ahmad Ashfaq , Uddin Abbas , Chowdhury Nurul Karim , Hossain HS Mubarak , Chowdhury Mahbubul Alam , Majumder Dhananjoy 
Published: November 2020

Background: Identifying top problems in any discipline is very important for diagnosis and effective management. Unfortunately there is a knowledge gap in Chattogram, Bangladesh. To fill up the gap we have conducted the study.
Materials and methods : It was a retrospective study based on hospital records of Chattogram General Hospital from January 2017 to December 2017. All (104) cases with neck mass were included. Age, sex, clinical diagnosis, histo-pathological diagnosis and management were noted. Data were managed manually.
Results: Total 104 cases were studied among the cases 65% were female and 35% were male. 91% cases were of 10-50 years age group. Highest cases 33% were found in 20-30 years age group. According to Histo-pathological report 25% cases were Tubercular lymphadenopathy, Nonspecific lymphadenopathy were 17% and Multi-nodular goiter were 15%. Results were contrasted with previous studies.
Conclusion: Top 05 causes of neck mass in Chattogram have been unveiled. Tuberculosis is still number one problem. So, TB control program should be evaluated further to find out causes of high TB cases in this region.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 18-20
Prelabour Rupture of Membrane : Maternal and Foetal Outcomes
Authors: Jamal Monira , Biswas Rajat Kumar 
Published: November 2020

Background: The leading cause of perinatal morbidity and mortality is prematurity in developed and underdeveloped countries. In one third of the patients with preterm labour, there is associated premature rupture of membranes. The study was conducted to evaluate the clinical presentation of Pre-labour Rupture of Membrane (PROM) in pregnancy and obstetric outcome.
Materials and methods: This is a cross sectional study carried out in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, between September 2013 to February 2014. About 50 women having PROM with more than 32 weeks gestational age who admitted in the above department for delivery were enrolled in this study.
Results: The mean age was found 27.4 ± 4.42 years with range from 17 to 41 years. Forty eight percent of PROM patient were primi and 52.0 percent of patients were multigravida. Six percent patients were illiterate. Almost two third patients were housewives. More than half (54.0%) of the patients were came from poor class income group family. Majority (64.0%) patients had term PROM (>37 weeks) gestational age and the mean gestational age was 38.1 ± 2.7 weeks with range from 32- 40 weeks. More than half (54.0%) didn't received any antenatal checkup. A total of (56.0%) patients had associated disease, out of which anaemia was more common. Twelve percent had diabetes mellitus and 8.0% had UTI infection. Almost two third (64.0%) was vaginal delivery and 18(36.0%) were caesarean section and common indication for caesarean section was fetal distress (38.9%). Two third patients were healthy and 17 patients had morbidities, wound infection is highest (29.4%). The mean birth weight was found 2.74 ± 0.7 kg. APGAR score >7 at 1 minute was found (92.0%) and (94.0%) at 5 minutes of birth of baby after birth. Fetal outcome take home alive (98.0%) and neonatal death 2.0%. Among 50 foetus morbidity develop in 26 cases. Among them respiratory insufficiency is highest (38.5%).
Conclusion: Motivation of the patients, health education, improvement of nutritional status of mother, neonatal care service, early diagnosis, treatment, overall institutional delivery is needed for reduction of neonatal morbidity and mortality, as well as maternal morbidity.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 23-27
Evaluation of Results of Extraperiosteal Plating of Pronation-Abduction Ankle Fractures in Adults
Authors: Kabir Tafhim Ehsan , Ahmad Salehuddin , Biswas Alak Kanti 
Published: November 2020

Background: Pronation-abduction ankle fractures frequently are associated with substantial lateral comminution and is associated with the highest rates of nonunion among indirect ankle fractures. It is one of the common injuries occurring in adult age group where trauma is the main etiology. The present prospective hospital based observational study was conducted to evaluate the functional outcome of treatment of ankle fracture by extraperiosteal plating in a series of patients with pronation-abduction ankle fractures.
Materials and methods : A total of 30 consecutive patients aged over 18 years with pronation-abduction ankle fracture were included in the study and underwent surgery by extraperiosteal plating of the fibular fracture. Patients were selected irrespective of sex. The average age of the patients was 36.5 years. Patients with gustilo type III open fractures, pathological fractures were excluded from the study. The patients were evaluated functionally with the use of the American Orthopaedic Foot and Ankle Society score (AOFAS) radiographically, and clinically with range of motion testing.
Results: Immediate postoperative and final follow-up radiographs showed that most of the patients had a well-aligned ankle mortise on the fractured side as compared with the normal side on the basis of standardized measurements. All fractures healed without displacement. The average American Orthopaedic Foot and Ankle Society score was 81.5. The range of motion averaged 13° of dorsiflexion and 53° of plantar flexion. Satisfactory results were obtained in 93.33 % patients. Complication includes 2(6.66%) superficial infection, 1(3.33%) deep infection, 4(13.33%) delayed union, 1(3.33%) skin necrosis. Radiological evaluation revealed persistent of talar shift in 1(3.33%) patient postoperatively.
Conclusions: Extraperiosteal plating to be an effective method for the stabilization of pronation-abduction ankle fractures. The technique allows for accurate reduction of the mortise without stripping the periosteum of the comminuted region of the fracture. The technique is easier and faster than standard techniques in which the lateral periosteum is split to facilitate placement of the plate.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 32-36
Delay in the Diagnosis of Oral Malignancy : Study on Responsible Factors
Authors: Chowdhury Nurul Karim , U Kyaw Khin , Chowdhury Ziaul Answar , Uddin Md Abbas , Hossain HS Mubarak , Biswas Supran , Anwar Mostafa Mahfuzul 
Published: November 2020

Background : Oral malignancy is an emerging disease all over the world. Treatment failure is grave if the diagnosis is delayed in this disease which will ultimately increase the mortality rate. This is an observational sociodemographic study, done to identify the causes in diagnostic delay of the patients suffering from oral cancer.
Materials and methods: The study was done with a sample size of 215 cases of oral cancer patients. This observational study was conducted from 1st August 2015 to 31st December 2016 at Upazila Health Complex, Mirsarai, Chattogram & later at ENT Department of Chittagong Medical College Hospital from 1st March 2017 to 30thApril 2018.
Results: Several causes of diagnostic delay were identified. Among them, monetary issue (78%) and Ignorance or Illiteracy (69%) have been found as the most important causes. Stage of the disease, delay in referral system, tobacco use, age, gender, alternative medicine, social taboo ,distance of hospital from house etc were found the other factors delaying the diagnosis of the cancer.
Conclusion: Many of the causes of delay can be preventable. The authority should establish awareness among the patients & a protocol for early detection of cancer by the health professionals.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 37-40
Study on Pregnancy Outcomes in Intrauterine Insemination Cycles with Motile Spermatozoa Insemination
Authors: Khanam Mafruha , Begum Rokeya , Banerjee Aditi , Jerin Jesmin , Fazyl Mohamed Mazih , Saadat Shan 
Published: November 2020

Background: Intrauterine Insemination (IUI) is one of the most common assisted reproductive technology methods in the world to treat various forms of infertility. The influence of number of IUI applied with the percentage of motile spermatozoa during insemination is critical on the likelihood of a successful pregnancy. The aim of our study is to assess the results of IUI as a function of the number of IUI applied with motile spermatozoa inseminated during intrauterine insemination in couples with infertility.
Materials and methods: This is a prospective study conducted in Surgiscope Fertility Centre, Chattogram, Bangladesh over 21 months on 596 couples who underwent IUI from 01/12/2017 to 30/09/2019. We performed semen analysis of the male partner from the couples who underwent IUI, calculated the sperm motility and the relationship between number of IUI applied with motile spermatozoa and the pregnancy rate of IUI. Multiple variables were selected such as, patient parameters like age of female, number of IUI, percentage of motile spermatozoa inseminated, endometrial thickness and ovulation induction protocol which were recorded and statistically analyzed.
Results: Among the 596 patients, the overall success rate was 11%. The maximum number of successes were observed in patients with 3 IUI applications whereas the success rate was lower in comparison with decreasing IUI applications. The regression between the success and number of insemination and age indicate that there is a statistically significant positive relationship between number of inseminations completed and the rate of successful pregnancy, but no significant relationship between the number of prewash sperm and successful pregnancy. These could be due to lower population size. As an ovulation inducing agent, a 12.42% success rate was observed among the patients administered with FSH whereas 9.28% was observed for patients administered with GONAL F. The mean endometrial thickness was observed to be 8.914 mm with a minimum thickness of 4.5 mm and a maximum thickness of 19 mm.
Conclusion: The rationale for the use of insemination is to increase gamete density at the site of fertilization. This revealed that intrauterine insemination should be a firstchoice treatment rather than more invasive and expensive techniques of assisted reproduction in cases of cervical, unexplained and moderate male factor subfertility.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 41-45
Effects of Breast Feeding Practice in Respiratory Syncytial Virus Positive Bronchiolitis in Early Infancy
Authors: Shikder Nazrul Quader , Sadeque AJM , Begum Rabeya , Rahman Mizanur 
Published: November 2020

Background: Bronchiolitis is a common respiratory illness. It can be diagnosed clinically, as well as by a few costly laboratory tests. It has no specific treatment except supportive measures. Respiratory Syncytial Virus (RSV) related Bronchiolitis carries near about 1% mortality and involve an economical load. The objective of this study was to compare effecte of breast feeding practice in relation with RSV positivity among bronchiolitis in early infancy.
Material and methods: This case control study is designed to evaluate the effects of breast feeding practice among the RSV positive bronchiolitis patients during a period of 1 year. A total 40 patients of bronchiolitis were evaluated who have exclusive breast feeding and non exclusive breast feeding. RSV positivity were analyzed among both groups and compared. Patients were selected after taking consent from guardians, patient diagnosed as bronchiolitis, age 2 month to 2 year and all tests are done in Department of Microbiology, Chittagong Medical College Hospital (CMCH). Results were evaluated to find out the effects of breast feeding practice in relation with RSV positivity bronchiolitis in early infancy.
Results: Among all 40 patients, male was 25(62.5%) and female was 15(37.5%). Male to female ratio was 1.67:1. Majority of guardians were workers 18(45%), service holder 11(27.5%) and businessman 10(25%). Regarding socioeconomic conditions of the parents where 26(65%) were poor and 14(35%) were rich. Twenty five (62.5%) were from rural areas and 15(37.5%) were from urban locality. Different history related with risk factors of bronchiolitis were evaluated where 11(27.5%) patients had H/O prematurity, 10(25%) had parental smoking history, nonexclusive breast feeding 13(32.5%) and supplemental feeding had 13(32.5%) cases. Regarding pattern of breast feeding 27(67.5%) were given exclusive breast feeding and non exclusive breast feeding were 13 (32.5%) of which only formula milk was given to 1(2.5%) case and cow’s milk and formula milk jointly was given in 12(30.0%) cases. Findings of clinical histories revealed that all 40 patients had cough, respiratory distress and excessive cry, cyanosis was present in 39(97.5%) cases and cent percent patients had chest in drawing and all of were categorized as severe bronchiolitis. Regarding RSV testing 15 (37.5%) cases were found to having RSV positive and remainder portion were negative. Significant association was found regarding RSV status and exclusive breast feeding where more negativity was found among those who were exclusively breast feed.
Conclusion: There is significant association between RSV positivity bronchiolitis andnon- exclusively breast feed children.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 46-49
Relationship Between Glycemic Control and Cardiovascular Outcomes
Authors: Chowdhury Sumon Rahman , Tanzil Tasnuva , Chowdhury Rezaul Haider , Alam Md Minhazul 
Published: November 2020

Diabetes is a well-known cardiovascular risk factor in both T1DM and T2DM. They have a 4-10 higher risk of developing complications from CVD than the non-diabetic population. The importance of intensive glycaemic control to prevent CVD in T1DM was established in both “The Diabetes Control and Complication Trial” (DCCT) and “Epidemiology of Diabetes Intervention and Complications” (EDIC) trials. Despite the epidemiological evidence that poor glycaemic control can lead to higher incidence of cardiovascular events in T2DM, the intervention trials are still inconclusive. In this report we will highlight the pathophysiology of the effect of hyperglycemia on the cardiovascular system, the effect of medications, and the major Randomized Control Trials (RCTs) looking specifically at the cardiovascular outcome of intensive glycaemic control in T2DM.
Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 50-56
TINGKAT SOLVABILITAS PERUSAHAAN ASURANSI JIWA SYARIAH DI INDONESIA
Authors: Yulianti Nur Wachidah 
Published: November 2020

This study aims to look at the mean difference of the solvability level of tabarru’ fund of sharia life insurance companies in Indonesia. The population of this research were full fledge life insurance companies from 2014 to 2019. This research was tested data through one-way analysis of variance (ANOVA) test. One way ANOVA test result shown that there is a significant mean difference between sharia life insurance companies in Indonesia at the solvability level of tabarru’ funds. Keywords: mean difference, ANOVA, life insurance, solvability
KUALITAS SISTEM INFORMASI, KUALITAS INFORMASI DAN PERCEIVED USEFULNESS TERHADAP KEPUASAN PENGGUNA AKHIR SOFTWARE ANALISIS KREDIT
Authors: Putra Rizky Herawan , Aprila Nila , Marietza Fenny , Hatta Madani 
Published: November 2020

Influence of information system quality, information quality and perceived usefulness on end-user satisfaction credit analysis software aims is to prove the effect of information system quality on end-user satisfaction credit analysis software, to prove the effect of information quality on end user satisfaction credit analysis software, to prove the effect of perceived usefulness on end user satisfaction credit analysis software, and last to prove the effect of system quality, information quality and perceived usefulness together on end-user satisfaction credit analysis software at PT. Bank Rakyat Indonesia, Tbk Bengkulu Branch. The data analysis method used is multiple linear regression analysis. Hypothesis testing obtained results are the quality of the information system has been proven to affect the satisfaction of end users of credit analysis software at PT. Bank Rakyat Indonesia, Tbk Bengkulu Branch. This means that LAS applications can increase data processing capacity, have a high-security system, have good data correction facilities. The quality of information has been proven to affect the satisfaction of end users of credit analysis software at PT. Bank Rakyat Indonesia, Tbk Bengkulu Branch, meaning LAS software can increase user satisfaction because the credit analysis conducted can produce accurate, reliable, timely, and relevant data. And the last result is Perceived usefulness is proven to affect the satisfaction of end users of credit analysis software at PT. Bank Rakyat Indonesia, Tbk Bengkulu Branch, meaning that the LAS application is very helpful in completing the analysis quickly, the LAS application is able to increase work effectiveness and the LAS application makes it easier for employees to complete work so as to increase user satisfaction. Keywords: Information System Quality, System Quality, User Satisfaction
Arystoteles o możliwości bycia niesprawiedliwym wobec samego siebie
Authors: Smolak Maciej 
Published: November 2020

Przedmiotem tego artykułu jest rozjaśnienie sensu aporii „czy można być niesprawiedliwym wobec samego siebie?”, którą Arystoteles rozważa w EN V, oraz wykazanie, że możliwe jest dobrowolne traktowanie niesprawiedliwie samego siebie. Na uwagę zasługują szczególnie dwa miejsca V 9, czyli ustępy 1136a31-1136b1 oraz 1136b13-25. W pierwszym ustępie Arystoteles wysuwa hipotezę, że akratyk może dobrowolnie traktować niesprawiedliwie samego siebie. W drugim przedstawia dwa argumenty - „z pozornej straty” oraz „z życzenia” - które mają za zadanie udowodnienie, że nikt nie może traktować niesprawiedliwie samego siebie. Argumenty te nie unieważniają hipotezy wysuniętej w pierwszym ustępie ani nie wykluczają możliwości dobrowolnego traktowania niesprawiedliwie samego siebie.
STUDENTS' NEEDS IN ENGLISH TEACHING MATERIALS FOR KINDERGARTEN STUDENTS
Authors: Inawati Iin , Suherdi Didi , Purnawarman Pupung 
Published: November 2020

The aim of this study was to investigate the students actual foreign language needs (Masuhara, 1998: 239-260) , namely : first,Â personal needs which focus on their personal information and second, learning needs covers five points, to be exact: learning attitude, learning preferences regarding activities, teaching media and topics in the EFL classroom, the gap between the target level and the present level of proficiency. A descriptive survey research design was used in this study. A set of smiley questionnaire were collected from for 113 kindergarteners from six kindergartens in Pringsewu District, Lampung Province, Indonesia. Furthermore, interviews with six homeroom teachers and six principals were conducted to get deeper data. The results show that the students are members of various tribe, included in the low to middle socioe-conomic class, the number of students surveyed is more female than male (62 female and 51 male) aged 6-7 years old. They have positive attitude toward EFL class, and they prefered learning English using games to other activities . Animals, numbers and foods were the students favorite topics. Furthermore, from four kinds of oral competencies they were able to naming objects.Â
STUDENTS’ PERCEPTION TOWARD THE ENACTMENT OF METACOGNITIVE INSTRUCTION IN AN EFL WRITING CLASS: LESSON LEARNED FROM A PRIVATE UNIVERSITY IN INDONESIA
Authors: Fiani Ani 
Published: November 2020

Metacognition plays an important role in developing EFL students to become successful learners who are able to plan their learning goals, monitor their learning progress, and evaluate their learning outcomes in the disruption era. Because of the crucial role of metacognition in language learning, the implementation of metacognitive instruction in an EFL writing class had been investigated during one semester. Thus, this article discussed the students’ responses towards the use of the teaching program. This research study conducted with thirty three students in a private university in Lubuklinggau used a case study by collecting data through a questionnaire and reflective journals. The research results revealed that most of the EFL students had highly positive responses towards the implementation of metacognitive instruction in an EFL writing class including three aspects, namely the learning materials, learning activities, and benefits of the learning processes. Therefore, the teaching program had encouraged and benefited to the students in learning to write. Metacognitive instruction, as an alternative of effective methods, should be considered by teachers to help their students to become more independent learners.Keywords: Metacognition, metacognitive instruction, writing
Using Fowler’s Stages of Faith to Understand the Development of Aspiring Social Workers
Authors: Runnels Ratonia C , Thompkins Albert 
Published: November 2020

The integration of religion and spirituality into social work education and practice remains a contentious topic of debate. For Christian social workers, social work students and educators, integrating theories of faith and faith experiences into the educational process can be beneficial. To date there has been little evidence on how teaching spirituality and religion content in accredited programs is enhancing practice. This article presents a conceptual roadmap for instructors and students preparing to enter field practicum. By aligning Fowler's Stages of Faith with students' anticipatory process, instructors can be better equipped to navigate each stage of development.