bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kajian Perkerasan Jalan Menggunakan Metode Analisa Komponen (Studi Kasus Peningkatan Jalan Simpang Talang Babat – Pangkal Bulian Kabupaten Tanjung Jabung Timur)
Authors: Yamali Fakhrul Rozi , Nuklirullah M , Saparudin A Rahmad 
Published: February 2020

Kabupaten Tanjung Jabung Timur merupakan Kabupaten yang terletak di Provinsi Jambi, yang mana tingkat pertumbuhan penduduknya cukup tinggi dan perkembangan ekonominya selalu meningkat dari tahun ke tahun, hal ini dapat diketahui dari jumlah pertumbuhan kendaraan di Kabupaten Tanjung Jabung Timur. Kondisi tersebut menuntut tersedianya fasilitas yang semakin baik, terutama menyangkut prasarana transportasi. Akibat bertambahnya volume lalulintas berdampak juga pada prasarana jalan, salah satunya perkerasan jalan. Ruas jalan simpang Talang Babat - Pangkal Bulian, merupakan salah satu jalan Kolektor Sekunder dan memiliki beban Lalu Lintas Harian yang cukup tinggi, dengan mencermati hal tersebut maka perlunya mengevaluasi kembali perkerasan jalan yang pada tahun 2017 terjadi peningkatan jalan berupa penambahan lebar lapis perkerasan sebanyak 2,5 m pada jalur kiri dan kanan, dengan panjang jalan 3,4 km dan memiliki tebal lapis perkerasan AC – BC 6 cm. Jumlah LHR yang cukup tinggi akan menyebabkan jalan mengalami kerusakan. Berdasarkan hal tersebut, penulis melakukan penelitian mengenai Kajian Perkerasan Jalan Menggunakan Metode Analisa Komponen. Perencanaan ini dimulai dengan survey jumlah kendaraan yang lewat selama 3 hari, kemudian mencari referensi dan data – data sekunder berupa pertumbuhan lalu lintas, data curah hujan dan data kelas jalan. Setelah semua data yang dibutuhkan didapat kemudian dilakukan perhitungan tebal perkerasan jalan menggunakan metode Analisa Komponen. Berdasarkan perhitungan tersebut didapat lapis tambah yang diperlukan adalah 4 cm.
Measurement of small vessel machinery vibration induced acoustic signature levels
Authors: Pavan Kumar GVV , Prasad V V S , Nagesh B H 
Published: February 2020

Ship vibrations, airborne and underwater noise levels have always been a challenging topic from a performance point of view in ship design, building and operation. The measurement shall help in monitoring the self-noise and the technical state of their machinery mechanism. The vibration levels on the main engine and auxiliary Genset foundation, airborne noise levels of the engine room and underwater self-noise levels of a small mechanized fishing trawler was measured at the jetty in idling condition. The vibration levels on the foundation measured the average value of 0.207 mm/s for the main engine and 1.36 mm/s for auxiliary Genset. The airborne noise levels measured 99 dB (A) in the engine room. The peak underwater sound pressure levels measured 162 dB re 1µPa. The response spectra indicate the peak vibration and noise levels in the lower frequency region <1.2 kHz. The machinery excitation forces transferred to the hull surface as pressure fluctuations which generated the airborne and underwater noise levels. Though the measurement limited to jetty conditions, detailed analysis can be useful for detection, classification, and tracking of small vessels.
Complications of Laparoscopic Cholecystectomy
Authors: Alam ABM Khurshid , Khan Mashrur Akbar , Zaman Rashed Uz , Akbar Md Ali , Bashar Md Abul 
Published: February 2020

Background: laparoscopic cholecystectomy is now regarded as the "Gold Standard" treatment option for benign gallbladder disease. But it is not free of procedure related complications. Objective: To review the complications of laparoscopic cholecystectomy for gall stone disease.
Materials & Method: A prospective observational study was carried out over a period of 9 years beginning from 1st of July 2003 till 30th of June 2012 in Comilla Medical College Hospital and several private hospitals of Comilla. A total of 946 patients who underwent laparoscopic cholecystectomy for symptomatic and asymptomatic gallstone disease as confirmed by ultrasound scan were included. Patient having cirrhosis of liver, ischaemic heart disease, suspected carcinoma of gall bladder were excluded from the study. The outcome including the complications was analyzed.
Result: Out of 946 patients 632 (66.80%) were females and 314 (33.19%) were males. Most (92.3%) of them were between 21-50 years of age. The commonest immediate complication was bleeding from liver bed (9.40%), from vascular injury in Callot's triangle (5.17%) and from the trocar site (4%). There was spillage of gallstones in 104(10.99%) cases. Bowel injury was seen in only one (0.10%) case. Bile leakage was observed in 4(.42%) cases that also include CBD injury .in 3 cases. The procedure was converted to open surgery in 11(1.17%) cases. Port site infection was seen in 43 (4.54%) cases. Late complications include port site hernia in 6 (0.63%) cases, port site keloid in 1 (.1%) case and CBD stricture in 5 (0.54%) cases. Mortality was unavoidable in in 2(0.21%) cases.
Conclusion: With increasing experience laparoscopic cholecystectomy can be a safe and effective procedure for most patients with cholelithiasis. Proper training and sound knowledge of possible complications can yield favorable results and lesser complications.
Journal of Surgical Sciences (2013) Vol. 17 (2) :73-79
Estrogen and Progesterone Receptor Status in Breast Cancer-Its Relation to Age, Axillary Lymph Node Status, Tumour's Maximum Dimension and Grade of Tumour
Authors: Hasanuzzaman Md , Rahman Md Mizanur , Lslam Md Johirul , Haque Md Ashraf UI , Rahman Md Setabur , Rahman Md Mafizur 
Published: February 2020

Background: Carcinoma of the breast is one of the most common malignancies of women in our country. The current study was conducted with the objective of assessing Oestrogen receptor (ER) and progesterone receptor (PR) status of carcinoma breast for correlation with age of the patient, tumor dimension, axillary lymph node metastasis and histologic grade.
Methodology: One hundred and nineteen female breast cancer patients operated at the surgical oncology department of National Institute of Cancer Research & Hospital were selected by non-probability sampling method and operated specimens were sent for immunohistochemical study of the Oestrogen receptor and progesterone receptors. Statistical analysis was conducted using SPSS version 12 for Windows software. P-value 0.05 or less was considered as significant.
Result: Mean age of the patients was 41.64 years (95 % Cl 39.8, 43.5). About 87% of the ER+ and PR+ patients had tumour dimension < 5 cm. The predominant morphology was infiltrating duct cell carcinoma. Out of 66 ER+ cases 63 were the patients of Infiltrating duct cell carcinoma and in 63 PR+ cases 60 were the patients of same histological type. The majority of the cases presented as grade II (59.1%) followed by grade Ill (33.9%). Sixty percent patients had axillary lymph node metastasis. Majority of the patients (51.3%) expressed both the receptors in their breast tissue while around 43% of the patients did not show any receptor.
Conclusion: ER and PR expression in breast cancers in the current study was found to be comparable to published national and international data. Assessment of prognostic markers for the clinical management of breast cancer patients is strongly advocated to provide best therapeutic options.
Journal of Surgical Sciences (2013) Vol. 17 (2) : 84-88
Quality of Life after Liver Transplantation
Authors: Das Bidhan C , Rahman Mohammed Mostafizur , Khan Md Zulfiqur Rahman 
Published: February 2020

We have searched articles published in various journals world wide on quality of life (Qol) after liver transplantation through internet; 38 articles were available through our searching process. After reviewing all papers we have found that there is no transplant specific assessment tool for measuring Qol after liver transplantation. General tools are used for assessment of Qol of these patients. PretransplantationQol are severely affected when compared to normal healthy volunteers. Hepatocellular carcinoma and cholestatic etiologies have higher Qol scores than those related to alcohol or viral hepatitis. Post-transplantation Qol scores are not affected by the etiology of the original liver cirrhosis, but transplant recipient scores continue to remain significant!)'. lower than those of healthy patient controls. The Qol scores improve during initial time after liver transplantation, but decreases in the long term. It may be due to decreases in the physical function and bodily pain domains as the patient's age increases, develops osteoporosis from long-term intake of steroids, and chronic rejection process. It is also addressed that Qol is not good in patients with Hepatitis C after liver transplantation. The development of a Qol assessment tool specific to transplantation could help to more accurately assess factors that alter post-transplantation Qol.
Journal of Surgical Sciences (2014) Vol. 18 (2) : 67-77
Outcome of Laparoscopic Versus Open Abdominal Rectopexy for the Treatment of Complete Rectal Prolapse-Our experience in Bangabandhu Sheikh Mujib Medical University
Authors: Naznin Kazi Nasid , Sheikh Md Shahadot Hossain , Habib Md Ahsan , Lslam Md Rashidul , Alam Ariful , Salahuddin Gazi Muhammad , Rahman Md Rayhanur 
Published: February 2020

Background: Complete rectal prolapse is a very distressing condition. In adults, the only potentially curative treatment for complete rectal prolapse is surgery either by transabdominal or perinea! approaches. Till date abdominal rectopexy is considered as the standard surgical treatment for complete rectal prolapse, which can be done laparoscopically or by open procedure.
Objective: The purpose of the study was to observe the outcome of Laparoscopic rectopexy in the treatment of complete rectal prolapse by subjective assessment and to compare the result with that of conventional open abdominal rectopexy.
Methodology: This randomized clinical trial was carried out in the Department of Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka, from July 2012 to June 2014 for a period of twenty four (24) months. Patients who presented with complete rectal prolapse with age ranging from 25 to 70 years irrespective of gender were selected as study population. Patients were randomized by lottery method into two groups as group I who underwent laparoscopic rectopexy (LR) and group II who underwent open rectopexy (OR).
Result: A total number of 50 patients were recruited in this study of which 25 patients were. in group I and 25 patients were in group II. The mean (s.d.) age was 49.40 (13.22) years and 46.48(13.27) years in group I and group II respectively (p>0.05). The mean (s.d.) operative time was 115(19) minutes in group I and 75(12) minutes in group II (p<0.05). In this study 1(4.0%) patient and 6 (24.0%) patients had abdominal wound infection in group I and in group II respectively (p>0.05). Mean (s.d.) ambulation time was 1.96 (0.67) days in group I and 3.92(1.15) days in groups II (p<0.05). Postoperative hospital stay mean (s.d.) was 3.08(1.18) days in group I and 8.16(3.57) days in group II (p<0.05). Overall patients satisfaction were 92% and 76% in group I and group II respectively (p>0.05).
Conclusion: Laparoscopic rectopexy is a better option than conventional open abdominal rectopexy for the treatment of complete rectal prolapse.
Journal of Surgical Sciences (2015) Vol. 19 (1) : 3-7
Stapled Versus Hand-Sewn Anastomosis in Colorectal Cancer Surgery: A Comparative Study
Authors: Singha Jawhar Lal , Haq Zahidul , Majid MA , Taher Md Abu 
Published: February 2020

Introduction: In spite of long journey of intestinal anastomotic techniques surgeons still are not free from doubt about the leakage after colorectal anastomosis. In distal rectal anastomosis after cancer surgery it poses more risk due to poor colonic vascularity and reduced remaining tissue to nourish the anastomotic site. Exploration of surgical staplers has provided some procedural advantages and sense of security to surgeons as well as to patients in respect to sphincter saving and thereby improving quality of life. However, outcome measures of these devices should be made to see its efficacy over conventional hand-sewn technique because their cost play role in treatment plan. The result of such comparative study may help surgeons to counsel the patients.
Objectives: To find out whether stapled anastomosis is safer than hand-sewn anastomosis in colon and rectal cancer surgery.
Materials and methods: The quasi-experimental study was undertaken in the department of general and colorectal surgery, Bangabandu Sheikh Mujib Medical University hospital during Feb 2005 to June 2008. Total 100 patients were selected. 48 patients underwent 'Stapled' and 52 underwent 'Hand-sewn' anastomosis. The patients were treated and postoperatively managed by same colorectal surgeon. The outcome variables were 'time required for anastomosis', 'postoperative hospital stay' and early and late 'complications' in postoperative and follow-up period.
Result and observation: The age, sex, socio-economic status or co-morbidities did not show any statistical difference between two groups as in the hospital stay (p=.821 ). The time required for anastomosis showed strongly significant difference (18.17 min and 26.85 min; p=.000) in favor of stapling group. The hemorrhage from anastomotic line (p=1.00), anastomotic leakage (p=.413), ileus/ obstruction (p=.640) and wound dehiscence (p=.640) were much less in stapled group though they lack statistical power. All others except anasotomotic stenosis (p=.514) showed almost similar results.
Conclusion: The stapled anastomosis was found to be less time consuming which was statistically significant. Both early and late complications except anastomotic stenosis showed results in favor of stapled group though they lack statistical strength. So, considering user perspective, time requirement and postoperative complications stapling technique appear to be safer and superior to hand-sewn technique though it demands statistical strengthening on large scale study.
Journal of Surgical Sciences (2015) Vol. 19 (1) : 8-16
Laparoscopic Cholecystectomy- A Safe treatment option for Gangrenous Cholecystitis 48 and Empyema Gallbladder in experienced hands
Authors: Mondal Samiron Kumar , Roy Sharmistha 
Published: February 2020

Background: Laparoscopic cholecystectomy has become the gold standard of treatment for gall stone disease and in acute cholecystitis. But controversy persists regarding laparoscopic approach to gangrenous gallbladder and empyema gallbladder due to the risk of life threatening complications. We share our experience in a tertiary care multidisciplinary diabetic hospital where we encounter significant number of patients with empyema Gallbladder and gangrenous gallbladder because most of our patients are diabetic and hence immunocompromised. Purpose of this study was to evaluate the safety of laparoscopic procedure for the treatment of empyema of gallbladder and gangrenous gallbladder in an experienced hand.
Methods & Materials: Between January 2013 and January 2015 we performed 1191 cases of laparoscopic cholecystectomy. Empyema gallbladder and gangrenous gallbladder were found per operatively in 345 and 53 cases respectively.All were managed by laparoscopic procedure except two cases, where conversion to open cholecystectomy was needed.
Result: The mean operating time was 72 minutes(45-100 minutes) in empyema gallbladder. In gangrenous cholecystitismean operating time was 80 minutes(60-100 minutes). Total number of patients (including empyema gallbladder 345 and gangrenous cholecystitis 53) were 398. Among them 52 patients (13%) had excessive bleeding(>100ml) from calot’s triangle or gallbladder bed in liver. Spillage of stones occurred in 28 patients (7%). 1 patient had common bile duct injury (.25%). Gallbladder retrieval was difficult in 71 patients (18%). In the post operative period 21 patient (5%) developed minor port infection in the umbilical port. 9 patients (2%) developed chest infection, and 1 patient (.25%) developed MI. 356 patients (89%) were discharged within 72 hours of surgery.
Conclusions: Innovative technique, appropriate instruments, knowledge about the possible risks and way to manage them, with expertise in intracorporeal suturing and knotting are an essential pre requisites to attempt these cases. Operating time is more but post operative recovery is prompt. Hospital stay is significantly less than open cholecystectomy. Laparoscopic cholecystectomy is a safe procedure in cases of Empyema and gangrenous gallbladder, provided the surgeon is experienced enough and has a low threshold to convert to open cholecystectomy at anypoint of time.
Journal of Surgical Sciences (2015) Vol. 19 (2) : 48-51
Metastatic Melanoma in the Breast with unknown Primary
Authors: Paul Tapesh Kumar , Pervin Mosammat Mira 
Published: February 2020

Secondary in the breast is a very rare condition but may occur usually from contralateral breast and from others like lymphoma, melanoma, ovarian tumors, and pulmonary malignancies and malignancies of the gastrointestinal and genitourinary tract. Among the primary diseases, melanoma is notorious and unpredictable in its metastatic potentiality and organ of dissemination. There are few reported cases with metastatic melanoma in the breast. We report a case of metastatic deposits in the breasts of a 45year-old lady who presented with bilateral breast lumps with axillary lymphadenopathy having no primary site of melanoma.
Journal of Surgical Sciences (2015) Vol. 19 (2) : 72-74
Role of FNAC in evaluation of Parotid Gland Swelling
Authors: Majumder Krisna Rani , Karim Syed Serajul , Alam Md  Monjurul , Karmakar Rajan , Ashaduzzaman Abu Taher Md 
Published: February 2020

Objectives: To find out the histological types of parotid neoplasm and to correlate thefindings of FNAC and final histological report in parotid gland neoplasm.
Methods: A total 30 cases were studied from the inpatient departments of General Surgeryand Otolaryngology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka sinceJuly, 2011 to April, 2013. Fine Needle Aspiration Cytology (FNAC) was done in all cases andcompared with histopathology finding of postoperative specimen.
Result: Regarding sex distribution benign neoplasm in female 13 (56.52%) and in male10(43.47%). As to the malignant parotid neoplasm in female 4(57.14%) and in male3(42.85%). All parotid neoplasm male: female ratio 1:1.3. Two cases involved in deep lobeof parotid & presented with inward and forward bulging of tonsil and pillars. Three cases ofwarthin'stumour only presented with swelling in the tail of parotid gland. In this series outof 30 cases of parotid neoplasm 23 (76.66%) cases were benign and rest 07 (23.33%)were malignant. Pleomorphic adenoma was the most common benign neoplasm 20(66.66%). Mucoepidermoid Carcinoma was most common malignancy 3 (10%) followed byadenoid cystic carcinoma 2 (6.66%). Out of 7, 3 were stage 3(42.85%) and 3 were stage4(42.85%). In histological grading 3 were low grade (42.85%) and 4 were high grade(57.14%). All the patient werepartotidectomy. Few were treated by radical parotidectomyplus radiotherapy.
Conclusion: Though it is a small series to comment on the whole spectrum of the parotidgland neoplasm in Bangladesh, yet an idea about the frequency of disease can be establishedbut actual incidence in Bangladesh as a whole can not be ascertained from thisstudy.
Journal of Surgical Sciences (2016) Vol. 20 (1) : 7-12
Malignant Melanoma of Left Sole Metastasis to Brain: A Case Report
Authors: Hossain Nabir , Bhattacharjee Avisak 
Published: February 2020

A 60-year-old man presented with malignant melanoma on left heel with left inguinal lymphnode metastasis. He developed right hemiparesis on the 3rd POD of wide local excision of anulcerated lesion of the left sole. CT scan showed multiple cerebral metastasis in the bothparietal lobes. No neurological features also manifested before operation of the primary lesion.
Journal of Surgical Sciences (2016) Vol. 20 (1) : 32-33
Gastrointestinal Perforation Due to Gastrointestinal Stromal Tumour (GIST) In Small Intestine-A Case Report
Authors: Sagar SM lftekhar Uddeen , Sharfuzzaman AMSM , Lslam SM Nazrul , Hasan Md Mahamudul 
Published: February 2020

Gastrointestinal stromal tumors (GISTs) is a mesenchymal tumor of GI tract. Now a daysdiagnosis of GISTs is more frequent then previous due to advance diagnostic tool. GISTsusually present with abdominal mass and GI bleeding but it may also present with manyunusual pattern like obstruction, perforation. Perforation of GISTs is extremely rare presentation.We report a case of pneumoperitoneum due to perforation of small intestinal GIST.Emergency laparotomy followed by resection and end to end anastomosis was done. Aftersurgical treatment lmatinibmesylate was given for prevention of early recurrence.
Journal of Surgical Sciences (2016) Vol. 20 (2) :65-67
Complete mesocolic excision for right sided colonic carcinoma - Our Experience in tertiary care hospital
Authors: Mondal Samiron Kumar , Roy Sharmistha , Uddin Mohammad Saif , Murshed Mahbub , Bashar Abul 
Published: February 2020

Background: The concept of Complete Mesocolic Excision(CME) as a surgical techniquefor colonic carcinoma.was first introduced in the west in 2008. CME follows the sameprinciple as Total MesorectalExcision(TME) in rectal carcinoma. We have adopted this newtechnique since 2014.
Objective: Here we describe the CME technique in open and laparoscopic right hemicolectomy,and our initial experience of the surgery.
Methods: This is a prospective observational study. Data collected from 24 patientsadmitted under our care in BIR DEM General Hospital from January 2015 to January 2017with carcinoma caecum or ascending colon.
Results: Out of 24 patients 14 patients opted for laparoscopic right hemicolectomy and 10patients choose open right hemicolectomy. In laparoscopic right hemicolectomy with CMEthe mean operating time was 152 minutes, amount of blood loss ranges 70-100ml.Number of lymphnodes removed enbloc with specimen 25-30(mean27). Distance oftumor from mesenteric margins at the point of vascular tie 11-15 cm. In open righthemicolectomy with CME mean operating time was 142 minutes, estimated blood loss120-300 ml, harvested lymph nodes within mesocolic envelop 24-31(mean27), anddistance of tumor from vascular tie is 9-15 cm. there is one major complication of uretericinjury. Histopathology shows resection margin are free of tumor in all except 2 cases.
Conclusion: Right hemicolectomy with CME in both open and laparoscopic approach canbe easily adopted by general surgeons and colorectal surgeons who are performing'standard technique' or 'conventional technique' routinely for right hemicolectomy. Withthe encouraging results available from centers who are routinely performing CME incolonic surgery it is now considered as the new bench mark of quality of standard colonicsurgery.
Journal of Surgical Sciences (2017) Vol. 21 (1) :15-18