bluuebunny/crossref_metadata_2025_split huggingface dataset:
Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh
Authors: Rashid Md Mamunur , Rabbi Hashim , Ahmed AHM Tanvir , Goni Osman , Joya Masuda , Hussain Mohammad Sazzad , Raihan HM Sabbir , Hossain Md Nawshad , Ali Mohammad 
Published: November 2020

Background: Proper patient selection for most appropriate treatment option for hepatic hydatid is crucial to ensure successful treatment outcome. Chemotherapy, newer approaches, like PAIR procedure, (puncture, aspiration, injection and reaspiration) laparoscopy are available. As the indications for these approaches are restricted, surgery remains the key treatment strategy with hope for complete cure. Radical surgical excision coupled with chemotherapy and long-term aggressive chemotherapy for partially resected ensures lowest morbidity and mortality.
Methods: This cross sectional observational study of 15-year single-institution experience, intended to further validate different surgical procedures in management of hydatid disease of liver and its outcome. Patients were randomly selected irrespective of their age, sex and mode of presentation. Different preferred surgical treatment modalities, perioperative complications, recurrences, and length of hospital stay were retrospectively analyzed.
Result: The study was carried out on 79 Bangladeshi patients diagnosed hepatic hydatidosis, treated surgically from January 2002 to December 2017 in BIRDEM General Hospital. Among them was no anastomotic leakage or mortality in the immediate postoperative period in our series.
Conclusion: This study revealed, proper case selection and consideration of risks-benefits, indicationscontraindications for each case of Hydatid cyst of liver, for making a decision for type and timing of surgery is key to successful outcome. Surgery is the mainstay of treatment strategy. Radical surgery is key to effective and successful outcome, ensures better quality of life and prevents recurrence of the disease.
Journal of Surgical Sciences (2018) Vol. 22 (2) : 118-124
Linitis Plastica of The Stomach: A Review
Authors: Rahman Md Mizanur 
Published: November 2020

Linitis plastica (LP) is a particular subtype of diffuse gastric cancer and is thought to have a separate entity in respect with its biological behaviour, pathology, presentation and treatment outcome. The poor prognosis of LP gastric cancer is due primarily to its advanced stage at diagnosis. The characteristic histopathological feature of this entity is cellular spread to the submucosa and stroma with minimal mucosal alterations accompanied by an excessive desmoplastic reaction. Despite recent research on alternative therapies, surgical resection appears the only potentially curative approach. Patient selection and multidisciplinary management are paramount when considering surgical resection in patients with gastric LP. The operative approach in patients with LP has historically been questioned because of the poor outcomes. The aim of this review is to highlight different dimension of linitis plastica stomach in respect to its definition, classification, clinico-pathological characters, diagnostic approaches and treatment outcome.
Journal of Surgical Sciences (2018) Vol. 22 (2) : 125-138
Evaluation of Breast Lumps by Ultrasound and Correlation with Histological Findings
Authors: Jahan Nelema , Rahman Md. Mamunur , Alam Mohammad Shahidul , Islam Md Saiful 
Published: November 2020

Background: A breast lump is the most common symptom associated with both benign and malignant breast diseases. Therefore, a distinction of benign from malignant lump is of importance for proper management. Though a definitive diagnosis is possible with imaging for all the lesions, histopathological study is proven essential for confirming the diagnosis.
Objective: The objective of this study was to evaluate the role of USG and histopathological findings of different breast lump in diagnosis and their comparison.
Methods: A prospective study was conducted over a period of one year from January 2017 to December 2017. A total of 116 patients were included in this study. All breast lumps underwent surgery and the ultrasound findings of these lumps were compared with the histopathological findings. Data were collected from these patients by a preformed questionnaire and finally the data were analyzed. Results: Out of 116 patients only 21 cases were reported as malignant in ultrasound report but histopathology revealed 31 malignant patients. On histopathological examination 10 benign cases turned out to be malignant.
Conclusion: The present study was undertaken to evaluate in diagnosing breast mass lesions individually by ultrasound and compared with histopathology for definitive management of a patient.
Journal of Surgical Sciences (2019) Vol. 23 (1) : 10-12
Management and Outcome of Diabetic Foot-A Study of Hundred Case
Authors: Ali Mohammad , Rabby Md Jamal E , Zaman Md Masud , Salam Md Abdus , Hassan Md Kabirul , Rahman Md Mustafizur , Parvin Farida 
Published: November 2020

Background: Diabetes mellitus is a complex metabolic disorder that affect 1-2 percent of the population. It can give rise to many tissue complications among which foot is particularly vulnerable to circulatory and neurological disorder, so that even minor trauma can lead to ulceration and infection.
Methods: Between September 2008 and August 2009, 100 patients were undergone treatment for diabetic foot at department of Surgery, Shaheed Ziaur Rahman Medical College Hospital, Bogra. This study included all the cases of diabetic foot irrespective of age, sex and diabetic status.
Results: After 12 weeks treatment 84% of patient were completely recovered, 2% developed abscess, 8% developed ulceration and 6% developed gangrene. Mean age of diabetic patients with foot ulcer is 50-60 years. Out of 100 cases 64% male and 36% female. Maximum number of patient (64%) had foot problems after suffering from diabetes mellitus for a period of 6-10 years.
Conclusion: The modalities of treatment of diabetic foot should be selected for each type of pathology depending on the pattern of presentations of diabetic foot. Careful selection of treatment modalities can reduce the rate of diabetic foot complications and improve the quality of life of diabetic patients.
Journal of Surgical Sciences (2019) Vol. 23 (1) : 25-28
Laparoscopic management of perforated appendicitis-a study of 90 cases
Authors: Khan Md Manir Hossain , Sultana Jobaida , Ahsan Tazin , Ahsan SM Abu 
Published: November 2020

Introduction: Acute appendicitis is the most common general surgical emergency in the world. It may cause potential risk for patients due to its life threaten complications like burst (perforation). The perforated appendicitis often leads to serious infectious complication like abdominal sepsis, pelvic abscess & etc. There are concerns of using laparoscopic appendectomy to perforated appendicitis. Now a days laparoscopic management of perforated appendicitis is the standard surgical option in many countries. Laparoscopic procedure has tremendous advantages over the open procedure regarding its diagnosis, exclusion of additional pathology, surgical treatment, wound infection (port infection), hospital stay & overall patient’s satisfaction. The aim of this prospective study was to evaluate the role and application of laparoscopy in the management of complicated appendicitis (perforation).
Methods: It is a prospective study conducting during January 2011 to May 2019 in BSMMU and some private hospitals of Dhaka, Bangladesh. It includes 90 patients in whom laparoscopic appendicectomy & peritoneal lavage was performed. Three ports technique were usual. Sometimes 4th port is required. 10 mm port is telescopic port. The other one is 3/5 mm port and another one is 5/10 mm port.Energy source is unipolar diathermy. Intracorporeal knotting, endoloop and haemoclip are used for haemostosis& ligating appendicular stump.
Results: Age distribution of the study is 3-90 years, mean 17 years. Male is predominant. Duration varies 10-120 minutes, mean 70 minutes. Duration varies 30-120 minutes, mean 70 minutes. Hospital stay varies from 48-96 hours, mean 64 hours. There were 8 complications- single (5, 5.55%) or multiple (3, 3.33%) port infections, paralytic ileus (2, 2.22%) and diarrhea (1, 1.11%), port TB was identified (3, 3.33%) cases among the port infection. Conversion was 1 (1.11%) for controlling haemorrhage of burst appendicitis. All complications are managed conservatively.
Conclusion: Total management of perforated appendicitis by laparoscopy is excellent. So it is achievable, feasible & can be done by expert hand in any center. Now it is considered as standard procedure.
Journal of Surgical Sciences (2019) Vol. 23(2): 59-66
The Student Room Survey: Changes in the Post Graduate Study for Cardiothoracic Surgery
Authors: Sazzad Md Faizus , Mohammed Moniruzzaman - , Choudhury Dewan Iftakher Raza , Mohiuddin Arif Ahmed , Rahman Raafi , Khan Omar Sadeque , Salekin Sirajus , Mohammad Musa Samsul Arif , Russel Saklayen 
Published: November 2020

Background: The number of postgraduate students in Cardiac surgical discipline is increasing day by day with incremental proportion are measurably suffering from the unnecessary lingering of the present course curriculum. The primary objective of this study was to find out the last 5 years’ of results of Masters in Surgery course under the University of Dhaka from a student room survey. A secondary objective was to find out positive changes that could show us the way of a step toward up-gradation. Methods: It is a retrospective analysis of all examination results of Cardio-vascular & Thoracic Surgery published since January 2008 to January 2013 from the University of Dhaka with in depth interview of 11 participants.
Results: 85.24% students failed to pass part-I of Masters in Surgery for Cardio-vascular & Thoracic Surgery course while, 82.18% in part-II and 71.28% failed to pass the final part. Average 2.51 attempts needed to complete each part of the designed course resulted into lingering of course duration for 42.18 months/student. In the thoracic surgery discipline the number of students alarmingly reduced up to 0% in the recent academic sessions.
Conclusions: Masters in Surgery is resulting in unnecessary prolongation of the course. We should step forward to meet the next generation challenge.
Journal of Surgical Sciences (2019) Vol. 23(2): 71-74
Comparison of pre and post-operative ODS (Obstructed Defecation Syndrome) score in patient with ODS undergoing Stapled Transanal Rectal Resection (STARR)
Authors: Islam Md Touhidul , Sheikh Shahadat Hossain , Taher Md Abu , Khan Tariq Akhter , Habib Md Ahsan , Mohammad Ali - , Faruque Omar , Dara Ashraful Haque 
Published: November 2020

Background: There are a variety of surgical approaches for correction of ODS, most of these have high recurrence and complication rates. Stapled transanal rectal resection (STARR) was introduced in 2003 by Antonio Longo as a minimally invasive transanal operation for ODS associated with rectocele and or rectal intussusception.
Objective: This study was designed to assess the efficacy of Stapled Transanal Rectal Resection (STARR) as a surgical treatment of Obstructed Defecation Syndrome(ODS).
Methodology: This is a quasi experimental study that was carried out at Colorectal surgery unit of surgery department in Bangabandhu Sheikh Mujib Medical University. The sample size was 17. The admitted patient of Obstructed Defecation Syndrome with Rectocele and or Rectal intussusception was selected according to inclusion and exclusion criteria. The patient was evaluated by history, clinical examination, proctoscopy, colonoscopy and defecography. Preoperative Longo’s ODS score was determined for each patient and it was compared with postoperative ODS score. Regular follow up was done for each patient at one, three and six months after each operation.
Results: Significant improvement of ODS score was observed in 82.35% patients. Only 02 (11.8%) patients didn’t respond to STARR procedure and their postoperative score was 13-15 may be due to coexistence of pelvic floor dysynergy. Postoperative defecatory urgency developed only in 02(11.76%) patients. No patient developed significant postoperative complication like hemorrhage or rectovaginal fistula.
Conclusion: STARR is a simple, less invasive and effective procedure for the treatment of ODS due to rectocele and/or rectal intussusception without major morbidity but pelvic floor dyssynergy should be excluded preoperatively because it’s presence makes the surgical intervention fruitless.
Journal of Surgical Sciences (2019) Vol. 23(2): 67-70
Management of Delayed Priapism
Authors: Sarker Ashok Kumar , Zim Hasnat Zaman 
Published: November 2020

Priapism is a disorder of persistent penile erection unrelated to sexual interest or desire. This pathologic condition, specifically the ischemic variant, is often associated with devastating complications, notably erectile dysfunction. This case is about a 35 year old gentleman who presented with four day old priapism. He was tried with irrigation and aspiration in another hospital with unsatisfactory resolution of the condition. Following admission duplex study was done which confirmed low flow priapism. After thorough evaluation glanulocavernous shunt shunt was done and detumescence of the penis was established within first 24 hour.
Journal of Surgical Sciences (2019) Vol. 23(2): 100-103
Efecto de agentes remineralizantes a base de fosfato de calcio sobre la dentina
Authors: Escalante Otárola Wilfredo Gustavo , Castro Núñez Gabriela Mariana , Carlos Kuga Milton 
Published: November 2020

Objetivos: Evaluar los efectos de agentes remineralizantes a base de fosfato de calcio en la obliteración de túbulos dentinarios y dispersión de energía en la dentina cervical. Material y métodos: Treinta especímenes de dentina cervical bovina fueron previamente erosionados (ácido clorhídrico al 0,6 %, pH 2,3; 5 min) y divididos aleatoriamente en 3 grupos (n = 10): Control – sin tratamiento, NP – Desensibilize Nano P (FGM®) y RD – MI Paste Plus (RecaldentTM). Los tratamientos fueron aplicados en cuatro sesiones con intervalos de 7 días. Los especímenes fueron analizados por microscopia electrónica de barrido (MEB) y espectroscopia de rayos X de energía dispersiva (EDX). Resultados: Los grupos NP e RD mostraron mayor obliteración de túbulos dentinarios que el grupo control (p < 0,05). Las concentraciones de Ca/P fueron similares entre todos los grupos evaluados. Conclusiones: Los agentes remineralizantes a base de fosfato de calcio demostraron ser una alternativa promisoria en la obliteración de túbulos dentinarios.
Determinación del biotipo facial según el índice VERT de Ricketts y el ángulo de apertura facial
Authors: Calla Enriquez Wilber Dante 
Published: November 2020

Objetivo: Determinar el biotipo facial según el índice VERT de Ricketts y el ángulo de apertura facial en pacientes de la Clínica Odontológica de la Universidad Nacional Jorge Basadre Grohmann en el año 2017. Material y métodos: Estudio de tipo no experimental, descriptivo, comparativo y transversal. La muestra estuvo conformada por 94 pacientes (38 hombres y 56 mujeres). Se utilizó el índice VERT de Ricketts para registrar y evaluar los cinco valores cefalométricos que determinan el biotipo facial a través de tejidos blandos y en una fotografía facial en norma frontal estandarizada para valorar el ángulo de apertura facial. Resultados: La aplicación del coeficiente de Kappa ponderado para evaluar la concordancia diagnóstica entre ambos análisis, reveló ausencia de acuerdo o concordancia (k = - 0,61) entre el índice VERT de Ricketts y el ángulo de apertura facial. También se observó ausencia respecto al sexo masculino (k = - 0,197) y femenino (k = - 0,033). Conclusiones: No existe concordancia diagnóstica del biotipo facial entre el índice VERT de Ricketts y el ángulo de apertura facial (p > 0,05), tanto en relación al sexo masculino como al femenino (p > 0,05).
Cicatrización periodontal en pacientes con diabetes mellitus
Authors: Falcón Guerrero Britto , Quea Ticona Sandra , Quispe Quispe Mitsthi , Nina Charca Solange , Medina Condori Willy , Tito Mamani Niria , Pérez Ticona Daniela 
Published: November 2020

La diabetes es una enfermedad crónica, común y compleja, que cada vez tiene más presencia dentro de la población mundial debido a los desórdenes alimenticios de las personas. Esta enfermedad también tiene un efecto adverso en los tejidos periodontales y sobre todo en el proceso de cicatrización, lo cual afecta la formación del colágeno y a los factores de crecimiento. La cicatrización es el proceso por el cual ocurre el reemplazo de tejido afectado por uno nuevo a fin de restablecer su función; por tanto, es importante que este proceso no sea alterado. En ese sentido, el objetivo de este artículo fue realizar una revisión bibliográfica actualizada en motores de búsqueda de revistas indexadas (PubMed y SciELO) buscando evidenciar la relación entre la diabetes y la cicatrización de los tejidos periodontales en pacientes diabéticos. Al término de este proceso de revisión, se concluye que la diabetes es un factor de riesgo para una adecuada cicatrización de los tejidos periodontales. Asimismo, se resalta la importancia de verificar un nivel de glucosa estable en el paciente antes de realizar un procedimiento quirúrgico, a efecto de evitar que se presenten resultados adversos en el posoperatorio.
Menggumuli Teologi Pastoral Yang Relevan Bagi Indonesia
Authors: Susanto Daniel 
Published: November 2020

Abstract: Pastoral theology in Indonesia is inherited from the West. Because the Indonesian context is not the same as that of Western society, theologians in Indonesia need to develop pastoral theology that is relevant to the Indonesian context. This article is an effort to engage with pastoral theology in a way that is relevant to Indonesia. This effort departs from an understanding of the church in Indonesia, which is open and serving. In relation to the traditional understanding of theology and its branches, pastoral theology in Indonesia can be understood as a field of study on theory and practice of pastoral ministry. In addition, pastoral theology is a form of contextual theological reflection. Correlation is a pastoral theological method relevant to Indonesia, because in this method the process of theology starts from pastoral experience. Thus it is closer to the reality of Indonesian life, but this method does not forget Christian message. In order to gain a wider pastoral theological perspective, the understanding of pastoral ministry in Indonesia must be holistic, which includes individual, societal, and environmental perspectives.

Keywords: Church, pastoral theology, understanding of pastoral theology, deductive method, inductive method, method of correlation, holistic pastoral ministry.

Abstrak: Teologi pastoral di Indonesia diwarisi dari Barat. Para teolog pastoral di Indonesia perlu mengembangkan teologi pastoral yang relevan dengan konteks Indonesia, karena konteks masyarakat Indonesia tidak sama dengan konteks masyarakat Barat. Tulisan ini merupakan sebuah upaya untuk menggumuli teologi pastoral yang relevan bagi Indonesia. Upaya ini berangkat dari pemahaman tentang Gereja di Indonesia yang bersifat terbuka dan melayani. Dalam rangka pembagian teologi ke dalam cabang-cabangnya secara tradisional, teologi pastoral di Indonesia dapat dipandang sebagai salah satu bidang studi atau cabang teologi yang mempelajari teori dan praktik pelayanan pastoral. Di samping itu, teologi pastoral merupakan salah satu bentuk refleksi teologi yang bersifat kontekstual. Metode korelasi merupakan metode berteologi pastoral yang revelan bagi Indonesia, karena dalam metode ini proses berteologi pastoral dimulai dari pengalaman pastoral sehingga lebih dekat dengan realitas, tetapi metode ini tidak melupakan peranan berita Kristiani. Agar refleksi teologi pastoral mempunyai jangkauan yang luas, pemahaman tentang pelayanan pastoral di Indonesia harus bersifat holistik yang mencakup perspektif individu, masyarakat, dan lingkungan hidup.

Kata-kata kunci: Gereja, teologi pastoral, pengertian tentang teologi pastoral, metode deduktif, metode induktif, metode korelasi, pelayanan pastoral holistik.
PENGARUH PELATIHAN DAN PROMOSI PEGAWAI TERHADAP PRESTASI KERJA PEGAWAI
Authors: Sihabudin  
Published: November 2020

Penelitian ini memiliki tujuan untuk mengetahui, menjelaskan dan menganlisis pelatihan, promosi pegawai, dan prestasi kerja pegawai Balai Besar Penelitian Tanaman Padi (BBPADI) Subang. Selanjutnya menjelaskan besaran hubungan pelatihan dan promosi pegawai, menjelaskan besaran pengaruh pelatihan terhadap Prestasi Kerja pegawai, menjelaskan besaran pengaruh promosi pegawai terhadap kinerja pegawai baik parsial maupun simultan. Dengan menggunakan pendekatan path analysis dalam menganalisis mengenai hubungan kausal dengan tujuan memisahkan pengaruh langsung dan pengaruh tidak langsung suatu variabel penyebab terhadap variabel akibat. Jumlah sampel yang diambil 150 responden dengan teknik Disproportionate Stradtified Random Sampling. Artikel ini diharapkan dapat memberikan sumbangan bagi pengembangan bidang manajemen khususnya manajemen sumber daya manusia.
Kata kunci: Sumber Daya Manusia, Analisis Kinerja Pegawai, Promosi Pegawai
IDENTIFIKASI SENYAWA METABOLIT SEKUNDER DAUN PETAI CINA (Leucaena leucocephala (Lamk.) De Wit) DAN UJI AKTIVITAS ANTIBAKTERI Staphylococcus aureus
Authors: Ermi Abriyani  , Neneng Nurfalah  
Published: November 2020

ABSTRAK
Salah satu tumbuhan yang digunakan sebagai obat tradisional adalah petai cina (Leucaena leucocephala (Lamk.) de Wit). Secara etnobotani, masyarakat Indonesia telah memanfaatkan daun petai cina sebagai obat-obatan diantaranya sebagai obat luka dan obat bengkak. Petai cina diketahui potensial untuk dikembangkan lebih lanjut pada penyakit infeksi. Berdasarkan hal ini dilakukan penelitian mengenai identifikasi metabolit sekunder daun petai cina. Metode yang digunakan yaitu soxhlet, uji fitokimia, ekstraksi cair-cair, kromatografi kolom, uji antibakteri mengunakan metode difusi paper disk dengan konsentrasi 10% b/v, 20% b/v, 30% b/v, 40% b/v, 50%. b/v. Pada pengujian karakteristik senyawa metabolit sekunder daun petai cina memiliki potensi yaitu senyawa alkaloid, flavonoid, tanin, polifenol dan steroid. Pada pengujian antibakteri menunjukkan konsentrasi 50% zona hambat paling besar dengan hasil pengukuran 6,16 mm pada ekstrak etanol dan pada ekstak n- heksana 4,44 mm.
Kata Kunci: Daun Petai Cina (Leucaena leucocephala (Lamk.) de Wit)), Ekstraksi cair-cair, Kromatografi lapis tipis, Kromatografi kolom, St
ABSTRACK
One of the plants used as traditional medicine is (Leucaena leucocephala (Lamk.) De Wit). Ethnobotany, Indonesian people have used Chinese petai leaves as medicines, including wound medicine and swollen medicine. Chinese petai is known to be potential for further development in infectious diseases. Based on this, a study was conducted on the identification of secondary metabolites of Chinese petai leaves. The method used is soxhlet, phytochemical test, liquid-liquid extraction, column chromatography, antibacterial test using paper disk diffusion method with a concentration of 10% b / v, 20% b / v, 30% b / v, 40% b / v, 50%. b / v. In testing the characteristics of secondary metabolites of Chinese petai leaves, they have the potential of alkaloid compounds, flavonoids, tannins, polyphenols and steroids. The antibacterial test for a concentration of 50% has the largest inhibition zone with results of measurements of 6.16 mm on ethanol extract and on n-hexane extract 4.44 mm.
Keywords: (Leucaena leucocephala (Lamk.) De Wit)), Liquid- liquid Extraction Cromatography column, Thin Layer Cromatography, Staphylococcus aureus