bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efectos del bullying en los adolescentes
Authors: Velasteguí López Pablo Homero 
Published: January 2020

El bullying es evidente en el ámbito escolar, este tipo de violencia lo llevan a cabo los mismos alumnos ya sea entre iguales o no, sus conductas son de intimidación acoso, amenaza, burlas o insultos en esta investigación analizamos la violencia en los adolescentes pudiendo centrarnos principalmente en lo que se produce en el ámbito escolar. En primer lugar pudimos tomar en cuenta los conceptos de agresividad, violencia, y otros relacionados. A continuación, revisamos y pudimos comparar algunas investigaciones que son más destacadas acerca de la incidencia del bullying; para luego así poder reflexionar sobre las causas y circunstancias que facilitan y ayudan a mantener ese tipo de conductas. Tenemos la capacidad de sugerir algunas líneas que facilitan la actuación de distintas instancias sociales que se encaminen hacia su prevención.
Por lo general hay personas que siempre recurren a la violencia y la agresión para poder dominar a sus semejantes o para tratar de armar nuevos conflictos es muy común que en nuestro marco cultural podamos entender que las conductas violentas y agresivas no forman parte de una conducta adecuada para la convivencia diaria. También entre otras cosas las agresiones pueden conllevar a la represión de un conflicto, la sociedad también comenta que a veces la violencia aparenta ser muy sensibilizada en ciertas manifestaciones, como la violencia juvenil, o la violencia de género, etc. En concreto en las últimas décadas, los medios de comunicación han destacado las noticias relacionadas con la violencia de los adolescentes específicamente, con la que se produce en el ámbito escolar.
POEMS Syndrome - Rare Paraneoplastic Syndrome in a Young Female
Authors: Prusty B Saroj Kumar , Ramineni Kiran Kumar , Reddy G Krishna Mohan , Reddy G Vamshi Krishna , Momin Majed Abdul Basit 
Published: January 2020

POEMS syndrome is defined by the presence of peripheral neuropathy (P), organomegaly (O), endocrinopathy (E), a monoclonal plasma cell disorder (M) and skin changes (S). We report a case of POEMS syndrome in a 34-year-old female who presented with three month history of back pain, pain in lower limbs, weakness, numbness and edema in both lower limbs. Patient was unable to walk and bed ridden with worsening general condition, shortness of breath and fever for three days. Further clinical examinations (hyperpigmentation), systemic examination (hepato-splenomegaly), laboratory investigation (hypothyroidism), CT showed sclerosis in sacral bone and left acetabular lytic lesion, which on biopsy and immunohistochemistry showed plasma cell dyscrasia and confirmed by increased plasma cells in bone marrow biopsy and presence of M band in immunofixation study. Here we describe, in detail, an unusual clinical presentation of this rare paraneoplastic syndrome with multisystemic involvement which needs multidisciplinary approach with strong clinico-pathological & radiological correlation to diagnose this rare entity.
J MEDICINE JAN 2020; 21 (1) : 55-58
Clinical, Pathological, Treatment Pattern and Post-management Follow-up Features of Differentiated Thyroid Carcinoma (DTC) in a Tertiary Level Health Care Center of Bangladesh
Authors: Ahmed Parvez , Ghosh Subrata , Ahsan Mostafa Shamim , Begum Nasrin , Hossain Mosharruf , Hosen MM Arif 
Published: January 2020

Introduction: This study evaluates clinical, pathological, treatment pattern and post-management follow-up features of differentiated thyroid carcinoma affected patients who had attended Rajshahi Medical College Hospital as well as private clinics and then Institute of Nuclear Medicine & Allied Sciences, Rajshahi for primary surgical management and post-operative radioiodine ablation therapy respectively.
Materials and Methods: It is a retrospective study. Clinico-pathological, treatment and post-management follow-up features of 254 patients of histologically proved differentiated thyroid carcinoma (DTC) were recorded from their ultrasonography report, pre-operative cytology, operation note, post-operative histopathology and radioiodine ablation therapy related follow-up book between 2011 and 2015 and analyzed using statistical software IBM SPSS v. 16.
Results: Among the sample (n=254), 211 (83 %) were female and 43 (17 %) were male. Mean age group was 30-39 years. In relation to FNAC findings of thyroid nodules among this study sample (n=254), 223 (88%) had malignant cytology, 16 (6%) had borderline cytology and 15 (6%) had benign cytology. Regarding the histopathological findings of thyroid nodules, 241 (95 %) had papillary carcinoma and 13 (5 %) had follicular carcinoma. Regarding radioiodine ablation dose, 198 (78%) had been given 138 millicurie (5.1 gigabecquerel) and 56 (22%) had been given 178 millicurie (6.6 gigabecquerel).
Conclusion: Early and successful management of differentiated thyroid carcinoma is required to practice widely and equitably in order to significantly reduce mortality and morbidity related to such conditions.
Medicine Today 2020 Vol.32(1): 25-28
Comparison of Haemodynamic Effects of Levobupivacaine and Bupivacaine in Sub-arachnoid Block for Total Abdominal Hysterectomy
Authors: Rahman Mohammad Mizanoor , Anam Md Ashraful , Sina Md Mohim Ibn , Rahman Md Aminur , Uddin Mohammad Nasir , Rahman Mohammad Mahbubur 
Published: January 2020

Introduction: Altered haemodynamics and arterial hypotension are the most prevalent untoward effects of sub-arachnoid block with bupivacaine. Use of levobupivacaine as pure S (-) - enantiomer of bupivacaine has progressively increased due to its lower cardiotoxicity, neurotoxicity and shorter duration of motor block. This study aimed to compare the haemodynamic status of levobupivacaine and bupivacaine when used with fentanyl in Sub-arachnoid block (SAB) among patients undergone total abdominal hysterectomy.
Materials and Methods: This randomized clinical trial enrolled 80 gynaecological patients scheduled for total abdominal hysterectomy under SAB. Forty patients were randomly assigned as trial group (levobupivacaine+fentanyl) and forty as control group (bupivacaine+fentanyl). Main outcome measures in both groups considered intraoperative haemodynamic stability (acute hypotension), cardiotoxicity (bradycardia or tachycardia) and time of administration of first dose of postoperative analgesics.
Results: Bupivacaine caused comparatively more significant slowing of heart rate at 25 and 35 minutes of operation. Though no significant differences were found in systolic blood pressure between two groups, bupivacaine caused significant reduction of diastolic blood pressure in comparison to levobupivacaine at 6, 9, 45 minutes and at the end of surgery. Mean pressure found significantly lowered at 6 minutes and at the end of surgery following bupivacaine administration. The incidence of acute hypotension was significantly low in trial group and postoperative analgesia was maintained longer duration with levobupivacaine in control group.
Conclusion: Levobupivacaine in comparison to bupivacaine showed more effective and satisfactory haemodynamic stability in sub-arachnoid block with less incidence of intraoperative acute hypotension and provides prolonged postoperative analgesic effect.
Medicine Today 2020 Vol.32(1): 29-32
Morphology of Right Atrioventricular Valve -A Postmortem Study
Authors: Sultana Mahmuda , Islam Md Tazul , Basak Pran Krishna , Uddin Md Samir , Sultana Zakia 
Published: January 2020

Introduction: Heart valves serve the important function of preventing backflow, or regurgitation, in the healthy heart. It is well known that cardiac valves can suffer from congenital and acquired disease. Most frequent acquired valvular abnormalities are stenoses of the aortic and mitral valves, which account for approximately 2/3rd of all valve disease. For the management of valvular disease morphology of right atrioventricular valve is essential.
Materials and Methods: Study design was descriptive type of study. Place and period of study was Department of Anatomy, Sylhet MAG Osmani Medical College, Sylhet from July 2015 to June 2016.
Results: Present study was performed on 70 post mortem human hearts of age ranging from 9 to 70 years. Human heart was collected from the unclaimed dead bodies autopsied in the department of Forensic medicine in Sylhet MAG Osmani Medical College during the study period fulfilling the inclusion criteria.
Conclusion: The collected samples were divided into 3 groups depending on age. Group – A: (9 - 21 Years), Group - B: (22 - 41 Years), Group - C: ( 42 -70) Years. Each group was subdivided into two groups depending on their sex.
Medicine Today 2020 Vol.32(1): 42-44
Sensitivity of Alvarado Score among the Suspected Appendicitis Patients at a Tertiary Level Teaching Hospital
Authors: Md Shamsuzzaman - , Sikder Md Alamgir Hossain , Ahmed Quazi Sabran Uddin , Banik Shyamol Chandra , Shaha Kartick Chanda 
Published: January 2020

Introduction: The aim of this study was to screening the Sensitivity of Alvarado score among the hospitalized suspected appendicitis patients at Dhaka National Medical College Hospital for determine the diagnostic accuracy.
Materials and Methods: It was an observational type of descriptive study, conducted in the Dhaka National Medical College Hospital, Dhaka, during the study period of July 2015 to December 2015. The study was approved by the institutional ethical committee.
Results: Most of the appendicitis patients belonged to the between 21-30 years which was 64 (32%). Male appendicitis patients (52%) are more than the female patients (48%). Majority of the patients (69%) complains pain occurs in the Right iliac fossa. The sensitivity of Alvarado scores was 81.60%, specificity 74.58%, accuracy 79.35%, positive and negative predictive values were 87.18% and 65.67% respectively.
Conclusion: Alvarado score has more specificity.
Medicine Today 2020 Vol.32(1): 45-47
Effect of Oral Zinc Sulfate on Burning Mouth Syndrome
Authors: Banik Ruman , Shrestha Rubina , Khatun Shohda 
Published: January 2020

Introduction: Burning Mouth Syndrome (BMS) is a common condition having a severe burning sensation in the mouth, mainly affects menopausal women and have no definitive treatment so far. The main aim of this study was to evaluate the efficacy of zinc supplement in improving the symptoms of burning mouth syndrome.
Materials and Methods: 70 patients were enrolled in this study and were randomly divided in 2 groups. The patients in the intervention group received triamcinolone acetonide topical past with oral zinc sulfate therapy twice daily that continued for 3 months and the patients in the control group receivedtriamcinolone acetonide topical past only.
Results: There was a significant difference (P = 0.001) in the severity of burning sensation in the two groups after the intervention.
Conclusion: Zinc supplement might lessen the intensity of burning mouth syndrome in patients with zinc deficiency.
Medicine Today 2020 Vol.32(1): 55-57
Management of Pancreatic Calculi – an Experience of Ten Cases in a District Hospital
Authors: Islam Md Rafiqul , Rahman Kazi Moinur , Rahman Gazi Shafiqur 
Published: January 2020

Introduction: Down syndrome (DS) is the most common congenital abnormality affecting numerous organs and is associated with an increased incidence of many cutaneous diseases. Lichen Planus (LP) is a quite uncommon disease and associated with many immunologically altered condition. DS is also a medical condition with altered immune function. So, a higher research of LP associated with DS is very important for better understanding of both the diseases and also for comprehensive medical care.
Case Report: A 33 years old known patient of Down Syndrome presented with signs and symptoms of LP is reported in this study. The diagnosis of LP was confirmed by histopathological study. She revealed a treatment history of several course of topical and systemic steroid since last 2 years for treatment of LP without any satisfactory outcome. After proper counseling we prescribed her systemic Acitretin (25 mg) daily for 3 months. She was examined every month for subsequent 3 months and was observed very satisfactory result. There was no relapse within one year after discontinuation of treatment.
Discussion: We describe an adult patient with Down syndrome, associated with lichen planus (LP). LP is an inflammatory muco-cutaneous disease and benign in nature. However, some varieties of LP may cause considerable discomfort and need various systemic treatment. We treated the patient with systemic Retinoid with satisfactory result.
Conclusion: LP associated with DS is a rare condition. It may be treated with systemic Retinoid.
Medicine Today 2020 Vol.32(1): 70-72
Sutureless and Glue-free Conjunctival Autograft in Pterygium Surgery: A Case Series
Authors: Akanda Md Ameenur Rashid , Ali Yousuf , Ferdousi Sharmin 
Published: January 2020

Foreign materials used in ocular surface surgery may lead to local complications such as discomfort, scarring, or infection. Plasma-derived products such as fibrin glue may produce possible hypersensitivity reactions whereas the risk of viral transmission remains. We describe a simple method of achieving conjunctival autograft adherence during pterygium surgery avoiding potential complications associated with the use of fibrin glue or sutures. Pterygium excision with limbal conjunctival autografting without using glue or sutures was performed in all the patients followed by bandaging for 24 hours. The patients were followed up post operatively on 2nd day, 1 week, 1 month, 3 month and 6 months. They were examined for haemorrhage, wound gape, graft shrinkage, chemosis, graft dehiscence, recurrence or any other complications. Total 100 cases were included in this case series. Patient age in ranged from 23 to 78 years (mean 50. 08 ± 12.76 years). Surgical Time was (in Minutes) from 20-28; mean & SD 23.76 ± 1.89. Total graft dehiscence occurred in 1 eye (1%), graft retraction in 12 eyes (12%) and recurrence was seen in 1 eye (1%). At 3 month postoperatively, the gain in uncorrected visual acuity ranged from 2-3 line in Snellen chart in 13 eyes. No other complication was noted. This simple technique for pterygium surgery may prevent potential adverse reactions encountered with the use of foreign materials and in this case series provided safe and comparable results to current methods.
TAJ 2019; 32(2): 56-61
PENGARUH SIKAP, NORMA SUBJEKTIF, KENDALI PERILAKU DAN RELIGIUSITAS TERHADAP INTENSI MENGGUNAKAN UANG ELEKTRONIK
Authors: Ferinaldy Ferinaldy , Muslikh Muslikh , Huda Nurul 
Published: January 2020

Abstract: The purpose of this study is to examine the factors of attitude, subjective norms, behavioral control, and religiosity towards behavior through the intention to use electronic money in YARSI University students. Based on a literature review, this research hypothesis states that attitudes, subjective norms, behavioral control, and religiosity affect behavior through intention. This study uses survey data from questionnaires to 127 respondents. Hypothesis testing techniques are done by using SEM analysis with Lisrel software. The results of data processing indicate that the Attitude Variable, Subjective Norms, Behavioral Control, and Religiosity have a significant influence on behavior through the intention to use electronic money. Intention variable has a significant effect on behavior using electronic money with a t-value of 7.86. Behavioral Control Variables and subjective norms have a greater influence on behavior through the intention to use electronic money than other variables. Suggestions based on research results: first, it is necessary to expand information to the public about the benefits of using electronic money. Second, it is necessary to increase the number of merchants or expand the place of use so that the use of electronic money becomes more extensive and maximal.
Keywords: intention, electronic money, TPB, SEM.
PENGARUH TRANSAKSI NON TUNAI TERHADAP JUMLAH UANG BEREDAR DI INDONESIA TAHUN 2015- 2018 DENGAN INFLASI SEBAGAI VARIABEL MODERASI
Authors: FATMAWATI MEILINDA NUR RASYIDA , Yuliana Indah 
Published: January 2020

ABSTRACTNowadays, Non-cash transactions are increasingly used in transactions. Besides being more practical, easy and fast, non-cash transactions influence monetary policy in Indonesia. In monetary policy, non-cash transactions affect the level of money supply. Also besides, other factors can affect the money supply, namely inflation. Non-cash transactions in this study use a debit ATM, credit ATM, and electronic money. The purpose of this study is to obtain evidence of the effect of non-cash transactions on the money supply in Indonesia with inflation as a moderating variable during 2015-2018. Data collection is based on secondary data and the analysis technique used was Moderating Regression Analysis (MRA) test. Based on the results of research conducted, non-cash transactions have a positive and significant effect on the money supply and inflation can strengthen the relationship of non-cash transactions to the money supply.Keywords: non-cash transactions; Debit ATM. ATM credit, electronic money, inflation, money supply (M1) ABSTRAKTransaksi non tunai kini semakin banyak digunakan dalam bertransaksi. Selain lebih praktis, mudah dan cepat, transaksi non tunai memiliki pengaruh terhadap kebijakan moneter di Indonesia. Dalam kebijakan moneter, transaksi non tunai mempengaruhi tingkat jumlah uang beredar di masyarakat. Selain itu, terdapat faktor lain yang dapat mempengaruhi jumlah uang beredar yaitu inflasi. Transaksi non tunai pada penelitian ini menggunakan ATM debet, ATM kredit dan uang elektronik. Tujuan penelitian ini adalah untuk mendapatkan bukti pengaruh transaksi non tunai terhadap jumlah uang beredar di Indonesia dengan inflasi sebagai variabel moderasi selama tahun 2015- 2018. Pengumpulan data menggunakan data sekunder dan teknik analisis yang digunakan adalah uji Moderating Regression Analysis (MRA). Berdasarkan hasil penelitian yang telah dilakukan adalah transaksi non tunai memiliki pengaruh positif dan signifikan terhadap jumlah uang beredar dan inflasi mampu memperkuat hubungan transaksi non tunai terhadap jumlah uang beredar. Kata Kunci: transaksi non tunai; ATM debet. ATM kredit, uang eletronik, inflasi, jumlah uang beredar (M1)
Antifungals patterns in critical patients with candidiasis in the intensive care units at Sanglah General Hospital 2019
Authors: Ady Widayana Komang , Aryabiantara I Wayan , Senapathi Tjokorda Gde Agung , Suranadi I Wayan , Aribawa I Gusti Ngurah Mahaalit 
Published: January 2020

Abstract
Introduction: The prompt initiation of appropriate antifungal therapy is essential in controlling invasive candidiasis and improving the prognosis in critical patients undergoing treatment in the Intensive Care Unit. Candida Score can assess patients at risk of candidiasis and is expected to assist clinicians in starting antifungal therapy in patients suspected Candidiasis. The purpose of this study was to determine the pattern of antifungal administration in critically ill patients with candidiasis in the Intensive Care Unit at Sanglah General Hospital.
Patients and Methods: The design of this study is a cross-sectional descriptive study involving critically ill patients who were under treatment in Intensive Care Unit of Sanglah General Hospital from Januari to June 2019. The patients included in this study were patients who were ≥ 18 years old and under treatment in ICU for at least 7 days.
Results: There are 64 patients undergoing treatment in the Intensive Care Unit. From 64 patients, 6 pasien had CS = 0, 29 patients had CS = 1, 13 patients had CS = 2, 11 patients had CS = 3, 5 patients had CS = 4, and no patients had CS = 5. Eleven patients received empirical antifungal therapy. All empirical antifungal therapies use the Triazole group.
Conclusion: In this study was found that 11 of 16 patients with a CS value of ≥ 2.5 were given empirical antifungal therapy, while 48 patients with a CS value of <2.5 were not given empirical antifungal therapy.
Keywords: Invasive Candidiasis, Candida Score, Empirical Antifungal Therapy.
O CARÁTER EQUALITÁRIO DAS COTAS ÉTNICO-RACIAIS
Authors: GUIMARÃES JOÃO VITOR RAMOS 
Published: January 2020

O presente artigo estabelece um paralelo entre os materiais bibliográficos referentes ao período escravocrata vivido no Brasil, bem como suas cicatrizes pulsantes até os dias atuais. Pretende-se, por meio desse histórico legitimar as lutas do Movimento Negro para o rompimento do ciclo vicioso, no qual o negro mantém-se como a base do sistema hierárquico capitalista, permanecendo marginalizado pela, e na sociedade. Com base em pesquisa bibliográfica, pesquisa documental e no método materialista histórico-dialético, foi atribuído corpo à ideia de produzir um material científico que apresentasse questionamentos e viabilizasse um suporte para reflexões acerca das disparidades entre negros e brancos no Brasil, sobretudo na área educacional. Objetiva-se com isso, discutir a política de cotas étnico-raciais como um mecanismo de justiça social e de democratização do ensino, tendo por finalidade viabilizar o ingresso de pretos, pardos e indígenas no sistema federal de ensino médio e superior público, com o propósito de reparar a dívida histórica com o grupo que por tanto tempo teve seus direitos negados, e que anseia pela retirada completa de suas amarras.
A HUMANIZAÇÃO EM AMBIENTES HOSPITALARES: ESTUDOS DE CASO NA CIDADE DE COLATINA-ES
Authors: Scarpatti Jogaib Dutra Micaela , Costa de Souza Pinho Giusilene , Luiz Teixeira Renilson 
Published: January 2020

Com o passar do tempo as unidades de saúde começaram a se preocupar com a assepsia do local e colocar o paciente como foco, visto que anteriormente eram vinculados a locais de dor e sofrimento, trazendo assim, o conceito de humanização para dentro dos espaços hospitalares. Dentro deste contexto, o presente trabalho tem por objetivo fazer um diagnóstico dos principais hospitais da cidade de Colatina-ES em relação a humanização de seus espaços. O método de análise foi a matriz FOFA (Fortalezas, Oportunidades, Fraquezas e Ameaças) para detectar os pontos fortes e frágeis dos ambientes, tendo como referencial a Cartilha Humaniza SUS (Sistema Único de Saúde) , do Ministério da Saúde, (BRASIL, 2010). Os resultados mostram que embora este material tenha sido publicado pelo governo, muitos pontos não estão sendo atendidos pelas redes públicas pesquisadas, mostrando que as instituições de saúde governamentais carecem da maioria dos itens previstos para proporcionar o bem-estar do paciente e assim auxiliar no processo de saúde.