bluuebunny/crossref_metadata_2025_split huggingface dataset:
PELATIHAN PEMBUATAN KOKI NON ADIBAH (KORNET KEPALA IKAN NON ADITIF BERBAHAYA, BERGIZI DAN MURAH) UNTUK WARGA KELURAHAN KARANGSARI KECAMATAN TUBAN KABUPATEN TUBAN
Authors: Seftia Ifa , Winata Anggun 
Published: February 2020

Abstrak
Kelurahan Karangsari kecamatan Tuban kabupaten Tuban terletak di pesisir utara pantai Tuban dan sebagian besar masyarakatnya bermata pencaharian sebagai nelayan dan dari hasil laut. Salah satu hasil laut terbanyak yaitu ikan tongkol. Namun, ikan tongkol hanya dimanfaatkan bagian badan dan ekornya. Bagian kepala ikan tongkol hanya dibuang dan sering menjadi limbah. Limbah kepala ikan tongkol dapat menjadi limbah yang mengganggu lingkungan karena baunya yang tidak sedap. Masih rendahnya pengolahan limbah kepala ikan tongkol menyebabkan limbah kepala ikan tongkol belum tersentuh untuk diolah menjadi produk yang memiliki nilai ekonomis yang tinggi tanpa mengurangi kandungan protein dan kalsium yang terkandung di dalamnya. Limbah kepala ikan tongkol dilakukan inovasi baru berupa kornet. Pengolahan kornet menggunakan bahan-bahan alami. Kornet yang dinamai KOKI NON ADIBAH (KOrnet Kepala Ikan NON ADItif berbahaya, Bergizi, dan murAH) dibuat dari bahan dasar limbah kepala ikan tongkol dengan penambahan bahan aditif alami seperti garam dan gula sebagai pengawet dan pemanis, serta rempah-rempah sebagai penguat rasa. Tujuan pelatihan ini diharapkan dapat dikembangkan dalam skala yang lebih besar untuk diproduksi dan dijual. Kegiatan ini dilaksanakan di kelurahan Karangsari kecamatan Tuban kabupaten Tuban dihadiri oleh anggota PKK dan Karang Taruna RT 02/RW 01. Kegiatan praktek pengolahan limbah kepala ikan tongkol menjadi KOKI NON ADIBAH didemonstrasikan oleh beberapa anggota pengmas dan selanjutnya diikuti oleh anggota PKK dan Karang Taruna. Hasil kegiatannya adalah anggota PKK dan Karang Taruna RT 02/RW 01 kelurahan Karangsari kecamatan Tuban kabupaten Tuban mampu mengembangkan olahan limbah kepala ikan tongkol menjadi tambahan penghasilan masyarakat dilihat dari hasil penilaian pretest dan posttest serta ketercapaian praktek yang dilakukan.
Kata Kunci: limbah kepala ikan, kornet
Bases biológicas de la actividad física y salud en el entorno laboral
Authors: Varela Polit Luis Felipe , Hernández Toro Víctor Manuel , Galarza  Galarza Cinthia Katherine , Galarza Galarza Jeanneth Caroline 
Published: February 2020

Objetivos: Actualizar información a partir de relacionar las variables de actividad física y las enfermedades en contextos laborales. Metodología: Se aplicó el enfoque cualitativo fundamentado en la herramienta del meta análisis, que consiste en comparar estudios realizados y publicados en bases de datos Pubmed, EBSCO, Cochrane, LILACS y PedDro, mediante los términos Physical, Activity, Work, Benefits y therapeutic benefits (India, USA y Colombia), en los que se explica el beneficio de la actividad física en la jornada laboral para el mejoramiento de las funciones corporales vitales y guías de práctica clínica. Resultados: Se evidencia la relación entre la actividad física regular en el entorno laboral con prácticas simples como las pausas activas y la caminata para mejorar las funciones vitales principalmente, el aumento del flujo sanguíneo, una mejora de la conducción nerviosa que se revela con el aumento de la capacidad de atención y de trabajo en el hipocampo, representándose con el incremento de la asimilación de la información, así como la creación de circuitos reverberantes neuronales lo que desencadena en la capacidad de memorización a largo plazo. Además, fuera del aspecto orgánico existe una mejoría considerable en la salud mental como base fundamental de la salud. Conclusión: La actividad física es un pilar en el mantenimiento y mejoramiento de la salud, tanto en el personal con patologías previas, así como en personas aparentemente sanas mejorando su desempeño laboral general y creando un ambiente de trabajo más eficaz y efectivo.
Mirizzi syndrome: diagnosis and management of a challenging biliary disease
Authors: HAN Hakim , Akhter SM Quamrul , Rabbi Hashim , Islam Kazi Mazharul , Talukder Md Tuhin , Islam Md Aminul 
Published: February 2020

Background: Mirizzi syndrome is a condition, difficult to diagnose pre-operatively and treat, represent a particular challenge for hepatobiliary surgeons. Furthermore, it increases the risk of intra-operative biliary injury, particularly during laparoscopic cholecystectomy. The aims of this study were to point out some particular aspect of diagnosis and treatment of this condition that will be helpful for the surgeons.
Methods: We retrospectively reviewed all records of the patients, surgically treated for Mirizzi syndrome from January 2013 to January 2018 in Dhaka Medical College Hospital, Shaheed Sohrawardy Medical College Hospital and BIRDEM General Hospital. Patients’ presentation, diagnostic methods, treatment and complications were recorded.
Results: During the study period, a total of 1320 cholecystectomy were performed, out of which 50 patients were diagnosed with Mirizzi syndrome, representing an incidence rate of 3.78%. Male to female ratio was 0.72:1 and mean age was 54.14 years. When we analyzed the main symptoms in the clinical debut, we found that common features were jaundice (31, 62%), cholangitis (20, 40%) and abdominal pain (22, 44%). Roux en Y hepaticojejunostomy was the treatment of choice and subtotal cholecystectomy were done for 7 cases and laparoscopic cholecystectomy for 2 cases. Mean hospital stay was 4.8±2.9 days. There was no post-operative mortality. Two cases of biliary fistula resolved with conservative management and another case required percutaneous treatment for resolution of an intraperitoneal postoperative collection.
Conclusion: Mirizzi syndrome continues to be a disease of difficult diagnosis and treatment. General surgeons without long experience in hepatobiliary surgery should refer the patient to a specialized hepatobiliary surgical center. In most of the cases biliary reconstruction is inevitable. It is important for the surgeons to know the disease and possible intra-operative challenging situations.
Birdem Med J 2020; 10(1): 7-11
Study of serum zinc status in Bangladeshi women taking oral contraceptives
Authors: Samsunnahar - , Mishu Farzana Akonjee , Mia Md Abdur Razzaque , Ferdous Nadia , Sarkar Sajuti 
Published: February 2020

Background: Birth control pills alter women’s reproductive cycle and suppress various endocrine functions. Primary alterations of endocrine functions have secondary effects on other chemical and enzyme functions of the body. A general lowering of the body’s nutrient base occurs in women on hormonal contraception. The biochemical profile of oral contraceptive pill user women showed different changes in plasma total protein, albumin and various trace minerals like serum zinc, copper, magnesium etc. Trace minerals are necessary for endocrine function. This study was designed to evaluate serum zinc levels of women taking oral contraceptives.
Methods: This cross-sectional study was conducted at Department of Biochemistry, Mymensingh Medical College Hospital from July 2013 to June 2014. A total of 150 subjects were included in this study; among them 50women were selected as control (Group I),who were neither taking oral contraceptives at the time of selection nor had taken it during prior one year period and 100 women were included as case (Group II), those were taking oral contraceptives. Again Group II was divided as Group IIA included 50 women who were taking oral contraceptives for 3 months duration or less and Group IIB included 50 women who were taking oral contraceptives for 4 months – 5years duration. Student’s unpaired‘t’ test was used to analyze the data between groups. For analytical purpose 95% confidence limit (p<0.05) was taken as level of significance.
Results: In this study, mean±SD of serum zinc was found as 84±13.33ìgm/dl, 57.88±3.68ìgm/dl and 58.40±4.59ìgm/dl in Group I, Group IIA and Group II B respectively. Serum zinc was significantly low in both Groups IIA and IIB in comparison to Group I (p<0.001).
Conclusion: In this study serum zinc level was significantly lower in women taking OCP in comparison with control individuals who were not taking any hormonal contraceptive.
Birdem Med J 2020; 10(1): 12-15
Per-rectal bleeding due to jejunal Crohn’s: a rare case report from Bangladesh
Authors: Ahmed Shireen , Hoque Md Nazmul , Rahman Md Anisur 
Published: February 2020

Crohn’s disease (CD) is a disorder of uncertain etiology that is characterized by transmural inflammation of the gastrointestinal tract. CD may involve the entire gastrointestinal tract from mouth to the perianal area. Isolated jejunal involvement of CD is a rare entity. We describe a case of CD involving only jejunum with successful treatment in a 74-years-man who presented with melaena, abdominal pain and significant weight loss. Endoscopy of upper gastro-intestinal tract revealed gastritis and colonoscopy showed small sessile polyp at rectum and sigmoid colon, polypectomy was done accordingly. After few days of polypectomy, he again noticed melaena along with abdominal discomfort and weakness with loss of 4 kg weight within this periods. Diagnosis was confirmed by capsule endoscopy and serology. Treatment was thereafter started with oral steroid and mesalamine sachet. The patient is now on remission and is on regular follow up. CD has propensity to involve the distal small intestine and proximal large bowel. Affected persons usually experience diarrhea and abdominal pain, frequently accompanied by weight loss. Proximal small bowel involvement is less common than distal small bowel or colonic involvement in CD. CD involving proximal small intestine should be suspected in Asian patients with middle gastro-intestinal bleeding. It is associated with a high risk of clinical relapse and morbidity, including the need for abdominal surgery. Different modalities of baseline evaluation and more sophisticated diagnostic modalities may be required for patients with CD involving proximal small bowel. Capsule endoscopy (CE) currently plays an important role in CD.
Birdem Med J 2020; 10(1): 68-72
Sarcomatoid carcinoma of adrenal gland: a rare case report
Authors: Rezwana Israt , Sarkar Sourav , Binte Rouf Rushda Sharmin , Shefin Sultana Marufa , Ashrafuzzaman SM 
Published: February 2020

Adrenal sarcomatoid carcinoma (ASC) are very rare and aggressive malignant tumors of adrenal glands containing both epithelial (carcinomatous) and mesenchymal (sarcomatous) components. ASC presents a diagnostic challenge due to its atypical symptoms and histological patterns which influence treatment.At the time of diagnosis, a large percentage of patients are already at the metastatic stage and succumb within a few months. Here, we report a case of functional sarcomatoid carcinoma in right adrenal gland in a 37-year-old female, who presented with new onset hypertension. The patient underwent right sided adrenalectomy and she was alive at the time of writing the current report.To the best of our knowledge, ASC reported in literature to date showed only few patient presented with endocrine hypersecretion and only one patient presented with both hypertension and endocrine dysfunction. So, our case is the rarest among the rare.
Birdem Med J 2020; 10(1): 73-75
Clinico-Laboratory Profile and Drug Sensitivity Pattern in Urinary Tract Infection of Children in a Tertiary Care Hospital
Authors: Paul Nibedita , Nusrat Nadia , Islam Md Rafiqul , Rahman Farhana , Rahman Neshwa 
Published: February 2020

Background: Urinary tract infection (UTI) is common in children. About 7% girls and 2% of boys suffer from symptomatic, culture positive UTI by 6 years of age. These children present with poor feeding, irritability, vomiting, fever, abdominal pain or failure to thrive. Now a days antibiotic resistance is a global problem which hampers appropriate treatment of urinary tract infection in children. This study was done to see clinical profile, common pathogens and their drug sensitivity pattern in UTI.
Methodology: It is a prospective study conducted in Delta Medical College & Hospital, Dhaka. All cases collected from outdoor patient or inpatient who were clinically suspected as UTI were enrolled in this study from January 2015 to July 2017. Total 200 cases were included. History was taken properly. Diagnosis of UTI was confirmed by urinalysis and culture sensitivity (C/S). All informations were recorded in preformed data sheet.
Results: Usual presentations of UTI were fever, abdominal pain, vomiting, constipation, urinary complaints, poor feeding, labial adhesion, jaundice, excessive straining. Out of 200 cases 168 were culture positive. Group III age group (> 1year- 5 year) showed higher rate of UTI. UP to one year of age males were more affected than female and beyond one-year females were more affected than male. Most common isolated uropathogen was Escherichia coli. Most sensitive drugs for the pathogen were Imipenem and meropenem (89.39%) - Injectable form and nitrofurantoin (73.48 %)- Oral form.
Conclusion: Presentation of UTI in case of young infant is different from older children. Clinical suspicion is important for early detection of UTI. Before starting antimicrobial therapy, we must do urinalysis and culture sensitive test to prevent recurrent UTI.
Bangladesh J Child Health 2019; VOL 43 (2) :74-79
Comparative Efficacy of Nebulized 7% Hypertonic Saline versus 0.9% Normal Saline with Salbutamol in Children with Acute Bronchiolitis
Authors: Islam Md Saiful , Mollah Md Abid Hossain , Khanam Rokeya , Chowdhury Abu Sayeed , Rahman Md Mahfuzur , Baqui Shah Abdullah Al , Rashid Muhammed Anisur 
Published: February 2020

Background: Acute bronchiolitis is an acute viral lower respiratory tract infection of infants and is the leading cause of hospitalization of infants below 2 years of age. Being a viral disease, there is no effective treatment of this problem other than supportive care. To provide this care, both 0.9% normal saline with salbutamol and 3% hypertonic saline has been found effective. This study was undertaken to assess the efficacy of 7% hypertonic saline on recovery from acute bronchiolitis.
Methodology: This was a randomized controlled trial, carried out in the Department of Paediatrics, Dhaka Medical College Hospital (DMCH), Bangladesh between January 2015 to December 2015. A total of 90 children from 1 month to 2 years of age of either sex who were diagnosed and admitted as acute bronchiolitis were enrolled. After enrollment, they were randomly assigned to either 7% nebulized hypertonic saline (Group-I = 45) or to 0.9% nebulized normal saline with salbutamol (Group-II = 45). The efficacy was determined by assessing clinical severity score and length of hospital stay. Data were analyzed using computer software SPSS version 19.
Result: In this study the two groups were almost similar with respect to their demographic and baseline clinical severity score. After intervention the clinical severity score of both treatment modalities were reduced (Group-I(HS) were 7.9, 6.8, 3.8, 1.4, 1.33 while in Group-II(NS+ Salbutamol) score were 8.6, 7.6, 4.9, 3.11, 2.12) but the reduction was significant more in children who received 7% nebulized hypertonic saline than those who received 0.9% nebulized normal saline with salbutamol. Majority 42(93.3%) of group-I(HS) children recovered at the end of 72 hours whereas 17(37.8%) of the children of group-II (NS+ Salbutamol) recovered from the disease during the same period. Length of hospital stay was shorter in hypertonic saline group compared to normal saline with salbutamol group (56.36±12.33 hours vs71.07±13.48 hours, p<.001). The patients of hypertonic saline group required a shorter duration of oxygen therapy compared to normal saline with salbutamol group (12.53±3.58) hours vs (20.25± 4.15) hours, (p=0.009).
Conclusion: 7% hypertonic saline was found more effective than 0.9% normal saline with salbutamol in terms of reducing clinical severity, length of hospital stays and duration of oxygen therapy.
Bangladesh J Child Health 2019; VOL 43 (2) :80-84
Female sexual dysfunction and associated co-morbidities: a cross sectional study with Female Sexual Function Index (FSFI) in a tertiary care hospital of Bangladesh
Authors: Ahsan Mohammad Shamsul , Selim Shahjada , Ahmed Srijony , Ali Rubaiya , Ara Hosnea , Kajol Rezaul Karim , Islam Monirul , Arafat SM Yasir 
Published: February 2020

Talks regarding sexual problems are not encouraging in Bangladesh and sufferers are in grave situation as they are not sure regarding whom to approach and how to start. It was aimed to see the presenting patterns of female sexual dysfunctions (FSD) and co-morbidities among the patients attending at different outpatient departments (OPD) at Bangabandhu Sheikh Mujib Medical University (BSMMU). This descriptive cross sectional study was conducted among 173 female patients attending at gynecology, endocrinology and psychiatry OPD, BSMMU. Sample was taken by convenient sampling within the period of October 2015 to December 2016. Data were collected through face-to-face interview with Female Sexual Function Index (FSFI) questionnaire. The results showed that, most (95.95%) of the patients were in the reproductive age group. Majority of the patients (32.95%) were in 26-30 years age group and 24.85% were in 18-25 years age group. Majority (77.5%) belonged to home maker occupational class where 12.7% was service-holder. Fifty six percent of the respondents were found to have sexual dysfunctions and 38.15% patients had endocrinological co-morbidities, 37.57% had gynecological co- morbidities and 33.53% had psychiatric co-morbidities. Positive openness in sexual health is required for the betterment of both treatment and diagnosis of sexual disorders. Specialized service center focusing the different groups is needed to deal with sexual health in a developing country like Bangladesh.
Bang J Psychiatry December 2016; 30(2): 27-31
Dapoxetine for the management of premature ejaculation
Authors: Sikdar Tushar Kanti , Chowdhury Moushumi , Ahsan Mohammad Shamsul , Ali Rubaiya 
Published: February 2020

Premature ejaculation is the most prevalent male sexual disorder and is more common in South Asia. Bangladesh is no exception. Premature ejaculation causes dissatisfaction in the relationship, frustration for the patient and partner as well as reason of marital failure. Since 1970s sex therapy was the mode of treatment for premature ejaculation. Now treatment with drugs also seems effective. Now a days dapoxetine is used in Bangladesh for the treatment of premature ejaculation. The aim of the study was to determine the efficacy and tolerability of dapoxetine in patients with premature ejaculation. It was a prospective study conducted in private chamber of Dhaka city during the period of March 2016 to February 2017. A total of 60 patients within 21 to 75 years were enrolled in the study according to criteria of International Society for Sexual Medicine (ISSM). We determined the efficacy of dapoxetine 30 mg/day for 12 weeks. The primary endpoint was intra vaginal ejaculatory latency time (IELT) measured by stopwatch. Safety and tolerability were assessed. All analysis was done on an intention-to-treat basis. The results showed that, dapoxetine significantly prolonged IELT (p<0.001) after 12 weeks. After treatment of 1st, 4th ,8th week mean IELT were 1.71 (SD±0.50) minutes, 2.36 (±0.46) minutes and 2.98 (±0.66) minutes respectively. At the end of 12th week 3.89 (±0.87) minutes was evaluated. Common adverse effects were observed as nausea (11.0%), diarrhoea (3.5%), headache (5.6%), dizziness (5.8%), insomnia (2.1%) and backache (1.8%). So from this study it could be said that, dapoxetine was an effective and generally well tolerated treatment for men with premature ejaculation.
Bang J Psychiatry June 2017; 31(1): 15-19
Unusual presentation of patients with obsessive compulsive disorder
Authors: Hossain Mohammad Delowar , Ferdush Rubayet , Rahman Sajedar 
Published: February 2020

Obsessive compulsive disorder (OCD) is a common psychiatric disorder in clinical practice. But few studies have been done in Bangladesh. The aim of the study was to find out the unusual presentation of OCD patients other than common presentation. This was a cross sectional study done at private chamber and clinic in Dhaka, Bangladesh during the period of February, 2018 to January, 2019. Hundred twenty five patients fulfilling the inclusion and exclusion criteria were selected consecutively. After taking written consent a predetermined questionnaire was filled for each patient through face-to-face interview. The results showed that, most of the patients were from 21-30 years of age group (34.4%) with female preponderance (60%). Majority of the patients were married (60%), completed up to HSC level (44.8%) and students (38.4%). Among the patients the unusual presentations of OCD were new experience headache (56%), decreased sexual desire (16%), cough (9.5%), pain (8%), vomiting (8%), fit like behaviour (4%), increased frequency of micturition (2.4%) and deliberate self harm (DSH) (1.6%). The research findings will help us for the assessment, diagnosis and treatment plan. Therefore misdiagnosis and patient sufferings will be reduced.
Bang J Psychiatry December 2017; 31(2): 48-50
Physical activity and menopausal symptoms
Authors: Khan Bushra E Zannat , Rahman Md Anisur , Begum Md Nadira , Halim Kazi Shafiqul , Muna Atiya Tasnim , Mostary Kazi Fardana , Islam Md Safikul 
Published: February 2020

Menopause is an inevitable stage of every woman’s life. This cross sectional study was conducted to assess the relationship between physical activity and menopausal symptoms from January to December 2017. By convenient sampling total 213 post menopausal women were interviewed from Mirpur, situated at the northern part of Dhaka. Five most prevalent menopausal symptoms were joint and muscular pain (90.1%), anxiety and sleep disturbance (80.3%), chest discomfort as well as physical and mental exhaustion (78.9%). Most of the respondents were physically active (63.4%), few were inactive (1.9%) and 34.7% respondents were Health Enhancing Physical Activity (HEPA) active. The mean of total Metabolic Equivalent of Task (MET)-minute per week was 2713.46 ± 1152.24 minutes. Menopausal symptoms retrieved from Menopause Rating Scale were assessed according to physical activity level. Physical and mental exhaustion was found statistically significant (p=0.04) with the higher proportion reported in divorced and widowed (90.5%). Significant relationship between psychological subscale and educational status was seen (p=.03). There was significant association between dryness of vagina and educational status (p<0.01). Physical and mental exhaustion and heart problems were found to be significantly higher among working women (p<.05). The relationship between BMI (Body Mass Index) and hot flash was found statistically significant (p<0.001). Significant statistical difference also was found between irritability and increase in BMI (p <0.001). Hot flash (p=0.001) and depression (p=0.002) were found to be statistically significant in relation with tobacco use. Uro genital symptoms ( p=.03), hot flash (p=0.01) and depression (p=0.009) were found to be statistically significant in relation with history of chronic disease. Only urinary problems were found statistically significant with HRT use. (p >.05). Anxiety was found statistically significant (p=.04) with highest proportion found in HEPA active women (89.2%). Proportion of sleep problems (100%), physical and mental exhaustion (100%), bladder problems (urinary incontinence) (75%), joint and muscular discomfort (100%) were more in inactive than minimally active and HEPA active women but the relationships were not statistically significant (p>.05). The result indicates that physical activity may have some role in reducing menopausal symptoms.
Bangladesh Med J. 2018 Jan; 47 (1): 11-17