bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case Report Adrenal Myelolipoma
Authors: Md Ashaduzzaman Abu Taher , Khalil M lbrhim , Jarnaf ABM 
Published: February 2020

Adrenal myelolipoma is a rare tumor that is benign in nature, usually asymptomatic, unilateraland nonsecreting, With the widespread use of imaging modalities such as ultrasonographythe incidental detection of these tumors are increasing in frequency. We report acase of adrenal myelolipoma in a 45-year-old female who presented with pain in the rightupper abdomen, headache and hypertension. Myelolipoma as an incidental diagnosismight keep in mind and evaluate accordingly to validated protocol because of surgicalemergencies such as spontaneous retroperitoneal hemorrhage.
Journal of Surgical Sciences (2016) Vol. 20 (2) :59-61
Evaluation of the Use of POSSUM and P-POSSUM Score as a Tool for Prediction of Surgical Outcome
Authors: Uddin Mohammad Saif , Mondal Samiron Kumar , Roy Sharmistha , Khan Masrur Akbar , Alam ABM Khurshid , Bashar Abul , Murshed Mahbub 
Published: February 2020

Background: There are many scoring systems that predict the risk of mortality with varyingdegrees of accuracy. The ideal scoring system for surgical outcome should be quick andeasy to use and should be applicable to all general surgical procedures. POSSUM(Physiological and Operative Severity Score for enumeration of Mortality and Morbidity) andP-POSSUM (Portsmouth POSSUM) are the most appropriate scoring systems currentlyavailable in general surgery to predict thirty days mortality and morbidity.
Objective: The study was done to assess the value of POSSUM in predicting the morbidityrate and the value of P-POSSUM in predicting the mortality rate in general surgical patientsof our country.
Methods: Aprospective study was performed in 120 general surgical patient. The risks ofmorbidity and mortality were calculated by using the POSSUM equation for morbidity andthe P-POSSUM equation for mortality in each patient. The predicted risks were comparedwith the observed risks of morbidity and mortality for 30 days after surgery and statisticallyanalysed.
Results: The difference in p value of predicted risk of morbidity by POSSUM equation andobserved morbidity; calculated by chi square test(x2 =1.36, d.f=4,p=0.24,0/P ratio was1.18); which was not statistically significant. The predicted mortality by P-POSSUM equationand observed mortality; calculated by Fisher's exact test(p=1) was not found statisticallysignificant. The Pearson correlation has shown significant correlation at the 0.01 level (2tailed) for the observed and predicted mortality and morbidity(r=O. 701).ROC analysesshowed both POSSUM and P-POSSUM scores to be good predictors of 30-day morbidity andmortality with area under the curve values (AUC) of 0.887 and 0.991 respectively.
ConclusionPOSSUM and P-POSSUM can be used as a valid tool for using risk prediction of morbidityand mortality in our set up.
Journal of Surgical Sciences (2017) Vol. 21 (1) :11-14
Breast Surgery under Thoracic Epidural Analgesia
Authors: Bashar Md Abul , Ali Mohammad , Jahan Kazi lsrat , Rahman Zahidur , Murshed Mahbub 
Published: February 2020

Background: Operations on breast are routinely performed under general anesthesia. Avariety of local and regional techniques have been described for breast surgery with thegoal of reducing the complications associated with general anaesthesia.
Objective: To assess the feasibility of thoracic epidural anaesthesia as sole anesthetictechnique for breast surgery.
Methods: This study was conducted on 32 cooperative female patients of age group42-55 year. T5-T6 or T4-T5 space was used for insertion of epidural catheter. lnjLidocaine 2% 12 ml was injected through the catheter as anaesthetic agent. lnj Tramadol50- 100 mg used epidurally for postoperative relief till 48 hours postoperatively.Demographic characteristics of the study population, any coexisting disease, type ofsurgery performed, duration of surgery, degree of intraoperative analgesia, incidence ofcomplications related to TEA, and its efficacy in postoperative pain relief were observedand analysed.
Results: Out of 32 patients most of them (11) were in between 51-55 years. 10 out of32 had coexisting disease. 5 patient had hypertension and one had asthma. Modifiedradical mastectomy (MRM) was most frequently performed operation (24). 21 patientcomplained no pain during the operation and 5 patient complained mild discomforttowards end of operation. 4 patient developed bradycardia during the operation whichwas managed by inj. Atropin. Post operative analgesia was satisfactory.
Conclusion: Midthoracic epidural anaesthesia technique is a safe alternative acceptablemethod for various breast surgery with excellent postoperative pain relief and earlyrecovery.
Journal of Surgical Sciences (2017) Vol. 21 (1) :29-32
Evaluation of Female Infertility by Laparoscopy in a Secondary Level Infertility Care Centre
Authors: Kutubi Afroza , Rahman Rusdana , Rahman Sumana , Rahman Md Mustafizur 
Published: February 2020

Introduction: infertility is regarded as an upsetting and difficult life experience for some women with elevated levels of anxiety & depression. Laparoscopy is the gold standard in diagnosing various aspects of female subfertility as well as treatment of some of them at the same time.Secondary level infertility care centre includes all those can manage every aspects of problems of infertily except IVF-ET and other advance aspects of management.
Objective: To find out the role of laparoscopy in the management of infertile women in a secondary level infertility care centre.
Study Design: Prospective cross sectional study.
Setting: Fertility care centre, Department of Obst. &Gynaecology Dhaka Medical College Hospital from January 2018 to June 2018.
Methods: During the study period 328 infertile women attended infertility outdoor. .Among them 48 were admitted for diagnostic laparoscopy.
Results: Out of forty eight women 26 (54%) had primary infertility, 22 (46%) had secondary infertility.The findings were PCOS in 22% of cases, endometriosis in 14%, PID in 15% cases,unexplained in 20%, fibroid uterus in 6% cases congenital anomaly of uterus in 1% and others in 22% .
Conclusion: Laparoscopy is the gold standard in evaluating infertile women.Some women would have a correctable problem found at laparoscopy that would not be discovered with any other fertility screening tests like endometriosis.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 9-12
Early Outcome of Conventional Coronary Artery Bypass Grafting with Peri-operative Hyperglycaemia in Diabetic and Non- Diabetic Patients in NICVD, Dhaka
Authors: Ahsan Syed Imtiaz , Sabur SMA 
Published: February 2020

Background: Peri-operative hyper glycaemia has been defined as the average of blood glucose test obtained by venous or arterial sampling on the day of and the day after surgery. Here the association between peri-operative hyper glycaemia and outcomes among patients undergoing coronary artery bypass grafting was measured. Objectives: Evaluation of early outcome of conventional coronary artery bypass grafting with perioperative hyperglycemia in diabetic and non-diabetic patients & to compare the outcomes in both the groups.
Methodology: The study was a prospective observational analytic study conducted in National Institute of Cardiovascular Diseases, Dhaka from January 2010 to December 2011 in 60 patients having ischaemic heart disease with or without diabetes mellitus.
Result: Postoperative ventilation time and ICU stay both were significantly longer in the diabetic group as compared to their non-diabetic counterparts (p<0.001). Pneumonia and all other infections and complications were also more in the former group. None in either group died. The diabetic group stayed on an average 4 days more than the non-diabetic group (p<0.001).
Conclusion: The study concluded that outcome of coronary revascularization in non-diabetic patients with peri-operative hyper glycaemia is better than that in diabetic patients with peri operative hyper glycaemia.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 39-42
Primary Nongestational Ovarian Choriocarcinoma Mistaken for Ectopic Pregnancy: A Case Report
Authors: Adhikary Alpana , Khairunnahar - , Hussein Sabina , Rahman Dalia , Begum Anwara 
Published: February 2020

Trigeminal neuralgia (TN) or tic douloureux is one of the commonest cause of fascial pain after 50 years of age. It is characterized by recurrent, episodic, lancinating pain over the distribution of trigeminal nerve. There is a lack of certainty regarding the aetiology and pathophysiology of TN. Evidence suggests that the likely etiology is vascular compression of the trigeminal nerve leading to focal demyelination and aberrant neural discharge. Secondary causes such as multiple sclerosis or brain tumors can also produce symptomatic TN. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. This multitude of treatment options poses the question as to which treatment fits which patient best. For patients refractory to medical therapy, Gasserian ganglion percutaneous techniques, gamma knife surgery and microvascular decompression are the most promising invasive treatment options. Among them three common interventions commonly carried out by interventional pain physician to provide pain relief are balloon compression, Glycerol rhizolysis and RF rhizotomy.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 73-77
Profile of Children Presenting with Epilepsy in a Tertiary Health Care Centre in Bangladesh
Authors: Uddin Md Belal , Rahman Md Mizanur , Mannan MA , Hossain MA , Hoq MS 
Published: February 2020

Epilepsy is a common neurological problem in children. A retrospective study was carried out among the epileptic children attending in the child development and Neurology service center of the department of Pediatrics of Bangabandhu Sheikh Mujib Medical University, Dhaka over a period from September 1999 to September 2001. The aim of this study was to find out clinical profile of epilepsy in children attending in a tertiary care hospital. One hundred twenty children of 1 month to 15 years of age of both sexes were included. Febrile seizures and seizure due to acute CNS infection were excluded from the study. This study showed that epileptic children were mostly from urban area (58%) with M&F 3.14:1 and 50% of them between 1-5 years of age with mean age 2.67 years it was found that most of the children were term (86.55%); home delivered (67.80%), normal birth weight (86.55%), history of delayed crying (43.78%) and history of resuscitation (24.00%). Majority of the patients had perinatal history of irregular and no antenatal check up 51.25%. Common age of onset of seizures was found in the most cases (57.75%) before 1 year of age. GTCS (48.27%) was the commonest pattern of seizure. Epileptic children were mostly severe type (71.70%), which were associated with daily seizure discharged (66.67%). Some of the patients (39.53%) were associated with known provoking factors. Gross motors (58.62%) were the common associated impairment or disability of the epileptic patients. About one third of the patients (32.46%) were associated with cerebral palsy where quadriplegic type was common 48.65%). A significant number of patients (44.8%) were treated previously with AEDs. Among them 60% were treated with single drug. Fifty one percent of the epileptic children were treated inadequately. After attending in the neurology center 69.25% of the patients were getting mono therapy and polytherapy was given in 30.48% of the patients. Carbamazipine and Valproate were commonly used in initial treatment. After initial treatment, control of seizures occurred in 54.25% of cases at different duration. With poly therapy 22.22% of patients did not response with AEDs. During the study period total 26 patients were remain seizures free at different duration.
TAJ 2010; 23(1): 46-50
Primary Calvarial Meningioma- Repaired by Acrylic Bone Cement: A Case Report
Authors: Talha Khandaker Abu , Hossain ATM Mosharef , Asaduzzaman Khan , Wahed Amer , Selina Farhana , Henry Paul T 
Published: February 2020

We present a lady with scalp swelling and headache. CT scan of brain showed a right parietal bony lesion without any dural or parenchymal invasion. Tumour was removed. Bony gap was repaired by acrylic bone cement. Post operative recovery was uneventful. Biopsy report of tumour was primary calvarial meningioma. This is a very rare type of CNS tumour. Only very few cases were reported before.
TAJ 2010; 23(1): 80-83
Head Injuries, A Forensic Overview
Authors: Rahman M Emdadur , Haque M Enamul , Rahman Md Monsur 
Published: February 2020

The incidence of head injuries is growing with greater mechanization in industry and an increase in high velocity transport. The injuries could be caused by a penetrating or blunt force either by direct violence or indirectly, such as a fall on the feet or buttocks. There is no direct relation to the severity of injury to skull bones and extent of cerebral disorder.We is reporting two cases of head injury from forensic point of view.
TAJ 2010; 23(1): 98-102
Complications of Two Port Laparoscopic Cholecystectomy-Studyof 50 Cases
Authors: Mahmud Nasir Uddin , Uddin Ghyas , Haque Md Anwarul , Haque ANM Mozammel , Kibria AKM Golam 
Published: February 2020

Background: For the management of Gallstone disease, laparoscopic cholecystectomy has been the the gold standard and is preferred over open cholecystectomy. As patients’ demand has increased for improved postoperative quality of life and cosmesis, surgeons have continued to decrease the number of ports for laparoscopic cholecystectomy. To meet these expectations we adopted two-port techniques at Comilla, Bangladesh. For the last three years we have selected 50 patients where two-port laparoscopic cholecystectomy was trialled. The procedure were successfully performed in 47(94%) & conversion were required in 3(6%) with some accepted complications like epigastric port infection & herniation, post cholecystectomy syndrome, reactionary haemorrhage, bile leakage & biloma, significant epigastric port pain postoperatively & stricture of CBD. The present two port technique not only overcoming specimen extraction difficulties but also contributes to good cosmesis.
Objectives: To see the outcome of two port laparoscopic cholecystectomy.
Methods: Consecutive 50 patients were admitted in surgery ward of Central medical college, Comilla with gallstone disease over a 3 years period. Diagnosis is confirmed by ultrasound with the assessment of operative feasibility. Data collection sheet was maintained by Microsoft Excel. Data were analyzed manually.
Results: In this study 50 patients were included. Among them 34 (68%) were females and 16 (32%) were males (ratio = 2.1:1). Mean age was 35.7 years (range 20–55years).All patient were undergone two port laparoscopic cholecystectomy & successfully accomplished in 47 (94%),conversion were required in 3 (6%) patients. Most common (62%) sonological findings were cholelithiasis with normal size & shape of gall bladder. Mean operative time was 50 minutes. Among the per operative difficulties bleeding were 14%, perforation of gall bladder 10%, spillage of gallstones 6%, epigastric forceps manipulation difficulties 4%,conversion to open cholecystectomy 6%. Most of the patients(80%) admitted in hospital for 2-3 days. 4 (8%) patient had epigastric port infection & 1 (2%) patient developed this site herniation, 3 (6%) patient had post cholecystectomy syndrome,1 (2%) patient had reactionary haemorrhage, 1 (2%) bile leakage & biloma,4(8%) patient had significant epigastric port pain postoperatively, 1 (2%) patient developed delayed stricture of CBD. In all other patients wound healed nicely with minimal scarring, with very less postoperative pain, with no problem so far in 3 years follow up. Most patients (90%) returned to work within 2 weeks.
Conclusion: Two-port laparoscopic cholecystectomy is a safe procedure & cosmetically rewarding.
TAJ 2018; 31(1): 29-37
Modern Adaptive Technologies of Individual Work with Masters of Education Management
Authors: Yeromenko Olha An. 
Published: February 2020

This article discusses the process of training masters in managing an educational institution and its individual components, namely the creation of an individual adaptive scenario for the training of master masters, the filling of which depends on the creativity of the teacher and the motivation of the undergraduate. The necessity of searching for new technologies and diverse options for professional training of masters is emphasized.
The success of the training of master-managers depends on the filling of the process of training in technologies, techniques, innovative and interactive methods, practice-oriented, multi-level tasks. Therefore, an individual adaptive master's script should consist of correctly selected tools.
According to the author, adaptive technologies can automatically become a powerful tool for an individual scenario in the preparation of masters in managing an educational institution, which can automatically provide individual support for each student and work effectively at a subject-subject level.
The text of this article discusses an effective practice-oriented modern technology of “coaching”, which is capable of fundamentally changing the behavior model of a future manager, revealing his inner potential and helping to master the culture of managing teaching staff.
During the study, the author selected coaching techniques for the discipline that is taught to graduate students in school management in the first year of study “Conflicts in management”, since the future manager needs to learn how to adequately resolve conflict situations, be able to decompose the conflict into parts, find out its causes, see hidden motives, interests of the parties to the conflict. The “Wheel of balance” and “Generator of new behavior” techniques with the following description of step-by-step actions are presented as an effective tool.
Nfluence of Individual Properties of the Personality on the Formation of Professional Competence of Education Applicants
Authors: Tropina Mariia And. 
Published: February 2020

An important task of education, in addition to the transfer of special knowledge and skills, is the formation of the structural components of the personality, which will ensure the high efficiency of future professional activities. The processes of integration of the Ukrainian education system into the European world educational space pose for educational institutions the problem of improving the quality of educational services, ensuring the proper level of the educational process. Modern society is largely interested in the psychological resources of the individual as the basis of all other resource components of the development of civilization. That is why the qualities of the person, which allow her to independently and actively act, make decisions, flexibly adapt to changing conditions of life, achieve success, professionally self-realize, should be formed and developed at all stages of education.
Тhe main purpose of the article is to analyze the mechanisms of formation and functioning of the individual in the process of learning and professional activity and to provide recommendations to future specialists on their effective use of methods of psychological tools, the formation of psychological culture for the successful implementation of their personal and professional self-realization.
The relevance of the topic is due to the current important changes in the educational system, related, in particular, to the understanding of a person as an entity - a person and a subject of professional activity. Special attention is paid to the problem of the development of the personality of a specialist, the formation of his professional values. We concentrate on the need to ensure the productive orientation of the individual, updating the motives for achieving it, increasing the need for self-development and self-realization, as well as increasing the adequacy of the tasks of the educational process to the real tasks that applicants have to solve at different stages of vocational training.
Competitiveness of Small Enterprises in the Modern Economy
Authors: Dudnieva Iuliia Er. , Kovalenko Olha Ol. 
Published: February 2020

The article considers the place and role of small enterprises in the economic system, their impact on socio-economic development based on the functions that small business entities implement. The aim of the research is to study the preconditions for the competitiveness of small enterprises in the modern economy, to determine the advantages and disadvantages of small businesses taking into account the characteristics of the external environment. The authors examined the main trends in the development of the world economy, which are factors influencing the functioning of small enterprises, namely the participation of small businesses in global competition, the complexity of management systems of small enterprises, the general informatization of the economy, the emergence of highly specialized market niches, etc. It is proved that the competitiveness of small businesses is based on the negative “economies of scale” and relative competitive advantages in ensuring adaptation to changes in the business environment, customer focus, and low transaction costs. The basic economic, technological and social factors affecting the competitiveness of small businesses are identified. The advantages and disadvantages of small enterprises in Ukraine are formulated. As one of the main disadvantages, the shortage of various resources that small enterprises encounter is highlighted, this is why it is effective cooperation with external contractors to overcome resource constraints that is considered as the main factor influencing the results of operations. The competitiveness of a small enterprise is largely determined by its competencies in interaction with the subjects of the external environment. To study the trends and prospects for the development of small enterprises in Ukraine, the authors analyzed the main indicators of the activities of business entities using official statistical information. The share provided by small enterprises in the results of socio-economic development of the country is calculated. Conclusions are made regarding the place and role of small enterprises, their development trends, problems are identified that require attention from the state, and further scientific and practical solutions.