bluuebunny/crossref_metadata_2025_split huggingface dataset:
Outcome of Primary Percutaneous Coronary Intervention in Ibrahim Cardiac Hospital & Research Institute
Authors: Md Taimur Syed Dawood , Kabir CM Shaheen , Haq M Maksumul , Karim Md Rezaul , Khan Md Saidur Rahman , Chowdhury Mashhud Zia 
Published: April 2021

Objective: To determine the outcome of primary percutaneous coronary intervention (PPCI) in Ibrahim Cardiac Hospital & Research Institute.
Methods: Medical records of 66 consecutive patients presented in our hospital between January 2010 toJune,2011 with acute ST elevation myocardial infarction (STEMI) and were treated with primary PCI as a mode of reperfusion were reviewed. The primary end point was in hospital mortality and secondary end points were 30 day mortality, myocardial infarction, recurrent angina and congestive cardiac failure, from discharge to one month follow up.
Results: The procedural success was 98.5%. One (1.5%) patient died during hospital stay .No mortality was observed in the 30 days follow up from discharge while other complications like recurrent angina and acute left ventricular failure were 1.5%.
Conclusions: Our findings suggest favorable outcomes, matching the international data can be achieved in our patients with primary PCI in the management of life threatening illness like STEMI despite all the limitations. Primary PCI as a preferred method of reperfusion strategy needs to be practiced more often in our part of the world.
Ibrahim Cardiac Med J 2013; 3(1&2): 10-14
Study on Fate of Rabies Patients following Canine Animal Bite or Scratch
Authors: Bari Mohammad Anwarul , Moon Moon TH Zohra , Begum Zinat , Kabir Md Asadul , Hossain Mohammad Murad 
Published: April 2021

Background & Objective: Rabies is major public health problem in Bangladesh, although little epidemiological information is available about the disease. The present study is, therefore, intended to assess the extent of animal bite and rabies, and the status of post-exposure prophylaxis in Bangladesh.
Materials & Methods: Data were retrospectively collected from clinical records and registers of patients with animal bites and rabies cases attended at IDH between January 2010 to December 2012. All the rabies cases were diagnosed clinically and were analysed using descriptive statistics.
Result: Of the 276 patients of rabies patients admitted in the Infectious Disease Hospital, Mohakhali, Dhaka during the period 2009 to 2013, about 39% were 10 or <10 years old and 26.4% more than 40 years old with mean age of the patients being 26 years (range: 2-90 years). Over three-quarters (76.1%) were male (3:1). Majority (80.1%) was rural resident. The injuries were primarily inflicted by bite (92%) and rarely by scratch (8%). About 96% had injury with bleeding. Dogs were the prime biting animal (88%) followed by cat (7.2%), jackal (2.9%), mongoose (1.4%) and others (0.4%). About three-quarters (74.6%) of the animals were stray animal, followed by rabid (mad) animal (18.1%), pet (4.3%) and others (2.9%). In most cases (82.6%) the biting animal could not be traced. Most of the patients received bite in lower limbs (76.4%), were multiple (70%) and were of category III (96%). Of the total cases, only 34(12.3%) received vaccine before admission at our hospital. Of them only 9(26.5%) completed the course schedule. Half of the patients received vaccine from the pharmacy and 38.3% from Institute of Public Health (IPH). However, over 60% of the patients were uncertain about their preservation status. More than 60% of patients took more than 40 days to develop rabies following bite, 27.5% 20 - 40 days and 10.9% < 20 days. The mean interval was 72.8 days (range 10 days to 3 years).
Conclusion: Rabies is usually a disease of children, male and rural resident primarily caused by bite of stray dogs. The post-exposure prophylaxis is at its worst with majority does not receive vaccine. Protection by rabies immunoglobulin is even rare. None of the patients survived of the disease.
Ibrahim Cardiac Med J 2013; 3(1&2): 32-38
Severe Pulmonary Valvular Stenosis and Balloon Pulmonary Valvuloplasty (BPV): A Case Report
Authors: Nazrin Tahera , Kabir CM Shaheen , Nasrin Sahela , Md Rokonujjaman - , Huq M Maksumul , Ali Mohammad Liaquat , Karim Md Rezaul 
Published: April 2021

Congenital pulmonary valve stenosis is a common congenital heart disease andIsolated pulmonary valve stenosis comprises 8-10% of all congenital heart disease. It is an acyanotic heart disease,but can present with severe cyanosis if it is associated with patent foramen ovale (PFO). Severe pulmonary stenosis with cyanosis can be misdiagnosed clinically. Proper evaluation and modern technique of treatment modality can save a life easily. We report a 5 years old boy with severe pulmonary valvular stenosis with PFO who was clinically misdiagnosed as a case of congenital cyanotic heart disease (Tetralogy of Fallot). After taking proper history, clinical examination and investigations we treated the baby by balloon pulmonary valvuloplasty (BPV) successfully without any complication. The short term (6 months) outcome of BPV showed excellent result.
Ibrahim Cardiac Med J 2013; 3(1&2): 53-58
Precocious Puberty: A Case Report
Authors: Munmun Salma Akter , Chowdhury Shiuly , Nasrin Begum , Ara Rowson , Parvin Nahida 
Published: April 2021

A 4 years old girl was brought to the Department of Obstetrics and Gynaecology (of Bangabandhu Sheikh Mujib Medical University) for cyclical pervaginal bleeding and breast development. Her medical and family history was unremarkable. Evaluating her clinical presentations and investigations she was diagnosed as a case of precocious puberty. This case report emphasized how this condition should be evaluated and how these cases are to be managed.
Ibrahim Cardiac Med J 2014; 4(1): 38-41
Accuracy of Platelet Count in Assessing Severity of Preeclampsia
Authors: Reaz Nahid , Md Asaduzzaman Mirza , Jahan Shahnaj Akter , Khanam Shafeya 
Published: April 2021

Background and Objectives: The present cross-sectional study was conducted to determine whether platelet count can predict the severity of preeclampsia (PE) with fair degree of accuracy.
Methodology: The study was carried out at Department of Obstetrics & Gynaecology, Dhaka Medical College Hospital, Dhaka between January 2013 to December 2013 on admitted preeclamptic women. Preeclamptic women ranging between 20-35 years, gestational age between 28-40 weeks and systolic pressure 140 mmHg and/or diastolic pressure 90 mmHg with proteinuria were the study population. A total of 96 preeclamptic women meeting the enrollment criteria were included in the study. Of them 76 had severe preeclampsia and 22 had mild preeclampsia. Platelet count below 1,50000/mm3 of blood was considered low in this study.
Result: Over one-quarter (27.1%) of the patients were < 20 years, 43.8% (20 - 30) years and 29.2% 30 years old with mean age of the patients being 24.9 years. Over three-quarters (77.1%) of the patients belonged to middle class and 22.9% to lower class. Majority (79.2%) of the women was at term pregnancy with ratio of primigravida and multigravida being roughly 2:3. Eight (8.3%) patients had past history of PET. Over one-third (37.5%) of the patients had systolic blood pressure 160 mmHg and 27.1% had diastolic blood pressure 110 mmHg. About 64% of the patients had anemia and 73% had severe proteinuria (albumin 3+). More than 20% of the severe preeclamptics had low (< 1,50,000 per cu-mm of blood) platelet count as opposed to 9.1% of the mild preeclamptic group. The risk of having low platelet count among severe preeclamptics was found to be more than 2-fold (95% CI = 0.5 -12.1) than their mild preeclamptic counterparts (p = 0.037).
Conclusion: The study concluded that, platelet count tends to fall as severity of preeclampsia increases. However, platelet count alone cannot predict the severity of preeclampsia as majority of the severe preeclampsia bears platelet within normal range.
Ibrahim Cardiac Med J 2014; 4(2): 21-25
Association between C - reactive protein and Premature Rupture of Membrane
Authors: Islam Mitheel Ibna , Khatun Monowara , Islam Md Shahidul , Amin Md Nurul , Islam Shitil Ibna 
Published: April 2021

Background and Objectives: Early diagnosis of clinical chorioamnionitis (ChAm) in patients with premature rupture of membrane (PROM) is essential for its prompt treatment with antibiotics. Amniocentesis may be used to detect subclinical infections in cases of PROM. But the procedure is an invasive one. The present study was undertaken to study the role of plasma C-reactive protein (CRP) in the prediction of clinical chorioamnionitis in case of PROM.
Materials & Methods The cross-sectional study was carried out in the of Departments of Obstetrics & Gynaecology, Khulna Medical College Hospital, Khulna over a period 1 year from July 2014 to June 2015. A total of 90 clinically diagnosed cases of PROM (rupture of the membrane with release of the amniotic fluid more than 1 hour prior to the onset of labor) were consecutively included in the study based on predefined enrolment criteria. Clinical ChAm is defined by findings such as leukocytosis [WBC count, >15,000/µL, fetal tachycardia, maternal fever (temperature, >100.4°F), fundal or uterine tenderness, or foul-smelling amniotic fluid]. A CRP value of > 10 mg/L was considered as raised or positive CRP. The risk of developing clinical ChAm in patients with raised CRP was then estimated by computing the Odds ratio.
Result: The mean age of the women with PROM was 23.9 years. The patients presented with fundal or uterine tenderness (10%), raised maternal temperature (8.9%), foetal tachycardia (10%), maternal tachycardia (13.3%), foul smelling amniotic fluid (6.7%). Over half (52.2%) of the patients were preterm PROM and the rest were term PROM. Positive CRP was found in 16.7% cases. Raised WBC count and raised ESR were found in 11.1 and 33.3% cases respectively. Over two-thirds (70%) who developed clinical chorioamnionitis had raised CRP as opposed to 10% of those who did not develop the condition. The risk of having raised CRP in patients who developed clinical chorioamnionitis was > 20-fold (4.5 - 97.7) higher than those who did not develop the condition (p < 0.001). The sensitivity and specificity of CRP in diagnosing and ruling out chorioamnionitis respectively in cases of PROM were 70% and 90% respectively. The positive and negative predictive values of the test are 46.7% and 96% respectively.
Conclusion: The study concluded that a substantial proportion of the PROM cases with clinical chorioamnionitis is manifested with raised CRP compared to PROM cases without chorioamnionitis. However, CRP is moderately sensitive to diagnose chorioamnionitis and highly specific to rule out the condition in cases with PROM.
Ibrahim Cardiac Med J 2014; 4(2): 26-31
Anaesthetic Management of Ischemic Heart Disease Patients in Noncardiac Surgery
Authors: Munir Md Mahbubul Hasan , Rahman Md Mushfiqur , Shaheen Shafiul Alam 
Published: April 2021

Perioperative myocardial infarction is one of the most important predictors of short and long term morbidity and mortality associated with noncardiac surgery. Myocardial infraction occurs whenever myocardial oxygen supply does not match myocardial oxygen demand. Intraoperative ischemia can be precipitated by increase in myocardial oxygen demand caused by tachycardia, hypertension, anaemia, stress, sympathomimatic drugs or discontinuation of beta blocker. Clinical predictors of perioperative cardiac morbidity are acute myocardial infraction or recent myocardial infraction, unstable or severe angina, decompensated heart failure, severe valvular disease, mild angina pectoris, previous myocardial infraction, diabetic mellitus etc. The preoperative history is meant to elicit the severity, progression and functional limitations imposed by ischemic heart disease. Limited exercise tolerance in the absence of significant lung disease is very good evidence of decreased cardiac reserve. The basic challenges during induction and maintenance of anaesthesia in patients with ischemic heart disease are prevent myocardial infraction by increasing myocardial O2 supply and reducing myocardial O2 demand and monitor for ischemia and to treat ischemia if it develops. There are no one best myocardial protective agents or technique. Maintenance of balance between myocardial oxygen supply and demand is more important than the specific technique or drugs selected to produce anaesthesia and muscle relaxation. Potential benefits of a regional anaesthetic include excellent pain control, a decreased incidence of deep vein thrombosis (DVT) in some patients and the opportunity to continue the block into the postoperative period. The postoperative period appears to present the highest risk for cardiac morbidity. It is during this period where 67% of the ischemic events occur. Effective pain management is essential to prevent these adverse outcomes. Successful perioperative evaluation and treatment of cardiac patients undergoing noncardiac surgery requires careful teamwork and communication between patient, anaesthesiologist and surgeon.
Ibrahim Cardiac Med J 2014; 4(2): 56-60
Clinical and Economic Benefits of a New Paradigm of HCV Diagnosis and Treatment
Authors: Fagiuoli Stefano , Ruggeri Matteo , Aragao Filipa , Blissett Rob 
Published: April 2021

Introduction: The current paradigm (CP) of hepatitis C virus (HCV) diagnosis and treatment in Italy’s National Health Service system has numerous steps. The European Association for the Study of the Liver recommends initiation of a pan-genotypic direct-acting antiviral regimen after a simple diagnostic process. The present study estimated the efficiency gains resulting from two simplified pathways from diagnosis to treatment of chronic hepatitis C patients in Italy over the next 5 years from a societal perspective.
Methods: The CP, a New Paradigm 1 (NP1), and a New Paradigm 2 (NP2) were evaluated in a Markov model. The NP1 model simplifies monitoring and laboratory test requirements in the diagnosis and treatment phases. The NP2 model also eliminates the primary care referral requirement.
Results: Treatment process time for non-cirrhotic patients was 48, 43, and 25 weeks in the CP, NP1, and NP2, respectively, and in cirrhotic patients was 49, 46, and 37 weeks. Under the CP, 19% of patients/year would be lost to follow-up, which decreases by 11% in NP1 and 100% in NP2. Compared with the CP, implementation of NP1 at 5 years would reduce compensated cirrhosis, decompensated cirrhosis, hepatocellular carcinoma, and liverrelated deaths by 12.6%, 12.4%, 8.1%, and 8.8%, respectively; these cases would be reduced by 94.0%, 93.8%, 61.0%, and 58.4% in NP2. Total 5-year costs with the CP, NP1, and NP2 are estimated at 135.6€ million, 110.5€ million, and 80.5€ million, respectively.
Conclusions: Simplification of HCV diagnosis and monitoring requirements would allow Italy to move closer to international guidelines with significant health benefits and economic gains.
Determining Partnering Effects in the “Rise and Fall” Motion of Competitive Waltz by the Use of Statistical Parametric Mapping
Authors: Yoshida Yasuyuki , Bizokas Arunas , Demidova Katusha , Nakai Shinichi , Nakai Rie , Nishimura Takuichi 
Published: April 2021

Background. Competitive dance, also known as “DanceSport,” is a competitive style of ballroom dance. The waltz features a particular movement in which the dancer lifts and lowers his/her body while dancing. In ballroom dance terms, this movement is known as the “rise and fall.” The purpose of this research was to examine partnering effects in relation to the vertical component of dancers’ center of mass when performing the competitive waltz.
Methods. This investigation was conducted through statistical parametric mapping of the movements of 13 national level competitive dance couples and a world champion couple as they danced both solo and in pairs. The Xsens MVN system was used to record their movements, using a capture rate of 240 Hz.
Results. We consequently found that, in the pair condition, the vertical component of the center of mass was smaller for the male dancers and larger for the champion male dancer when compared to their respective solo conditions. However, for the female dancers and the champion female dancer, unlike the males, no significant partner effects were found.
Conclusion. Therefore, in terms of partner effects, the “rise and fall.” motion was smaller for the male dancers and larger for the champion male dancer.
Keywords: DanceSport, ballroom, kinematics, partnering, statistical parametric mapping.
Relationships Between Young Men’s Health-Related Behaviour, Psychological Distress, Physical Education and Sports Experience
Authors: Ambrutytė Jovita , Miežienė Brigita , Emeljanovas Arūnas , Česnaitienė Vida Janina , Vizbaraitė Daiva , Žumbakytė-Šermukšnienė Renata 
Published: April 2021

Background. Negative health-related behaviours among young adults are common worldwide. Most of young males are physically inactive, have poor diets, drink a lot of alcohol or smoke, and such behavior causes physical and mental health disorders (Aubert et al., 2018). Nowadays more mental health problems are diagnosed among young people than a decade. Researchers are trying to determine the causes of harmful behaviour in adults, but the impact of previous physical education on further health-related behaviours in adults has not been studied.
Methods. Physical activity, alcohol consumption and cigarette smoking was evaluated according to the 2008 US Department of Defense Survey of Health Related Behaviours (Bray et al., 2009). Adherence to a healthy eating pattern was evaluated using the Mediterranean diet adherence screener (MEDAS). Psychological distress was assessed using the six-item Kessler scale (Kessler et al., 2003).
Results. Nearly half of young adults were physically inactive, ate poorly, had harmful habits, one of ten had high psychological distress. Two thirds of the respondents participated in sports in childhood, 61% of young people liked the physical education lessons, 44% of them attended every PE lesson. Lower distress was significantly associated with better nutrition, higher physical activity, lower alcohol consumption, and smoking. Also, significant associations were found between higher alcohol consumption and more frequent smoking. Higher incomes, younger age, better perception and attendance of PE classes in the past, active lifestyle in childhood and adulthood are the predictive factors of more favourable health-related behaviours and better mental health.
Conclusions. Harmful health-related behaviours are prevalent among young adults, one of tenth has high psychological distress. Although the majority of young adults were active in childhood, the percentage of active adults decreases significantly. More favourable health-related behaviours are related to less distress. Better economic status, better PE experiences in childhood, sports activities in adulthood lead to better health-related behaviours and less distress.
Keywords: young adults, health-related behaviours, mental health, physical education.
The Importance of Psychosocial Aspects in the Formation of New Healthy Lifestyle Habits in Adult Women: A Qualitative Study
Authors: Palevičiūtė Gabrielė , Čapkauskienė Sandrija , Miežienė Brigita 
Published: April 2021

Background. Healthy lifestyle is one of the main health determinants. Chronic diseases can be prevented by adopting health-related behavior and developing it into habits. Scientific literature suggests that psychosocial factors are part of people’s lives as they also affect health and health behaviors and it is important to understand them.
Methods. Primary data collection method was face-to-face interview based on previous research. The main data was collected with self-reported diaries. Qualitative content analysis was used to analyze the data. Data was gathered on psychosocial factors and habits of adult women. There were eight participants in the study.
Results. The following psychosocial aspects related to health behaviors were encoded in the results: self-efficacy, intrinsic motivation, social support, distress and extrinsic motivation. The following emotions were encoded: joy, surprise, sadness, anger and fear. Women had similar psychosocial aspects and emotions towards new physical activity and nutritional habits.
Conclusions. The findings indicated that self-efficacy was a dominant psychosocial aspect in the formation of physical activity habits. Together with intrinsic motivation, which manifested mostly after performing their chosen physical activity behavior, self-efficacy was restored in cases that women felt down about themselves. Social support and extrinsic motivation also suggested positive effect on habit formation. Emotion of joy was observed both before and after physical activity. Sadness and anger appeared when a daily task was not accomplished. Fear was not a widespread emotion among women who developed physical activity habits. Self-efficacy and intrinsic motivation were not important in nutritional habits formation. Social support was as important as extrinsic motivation for women to pursue their chosen habits. Joy was the dominant emotion for women with nutritional habits. One example of surprise was given. Sadness occurred because of unaccomplished tasks. Anger led to not performing nutritional habits.
Keywords: psychosocial aspects, emotions, habits formation, adult women.
Case Report: Histological and Histomorphometrical Results of a 3-D Printed Biphasic Calcium Phosphate Ceramic 7 Years After Insertion in a Human Maxillary Alveolar Ridge
Authors: Mangano Carlo , Giuliani Alessandra , De Tullio Ilaria , Raspanti Mario , Piattelli Adriano , Iezzi Giovanna 
Published: April 2021

Introduction: Dental implant placement can be challenging when insufficient bone volume is present and bone augmentation procedures are indicated. The purpose was to assess clinically and histologically a specimen of 30%HA-60%β-TCP BCP 3D-printed scaffold, after 7-years.Case Description: The patient underwent bone regeneration of maxillary buccal plate with 3D-printed biphasic-HA block in 2013. After 7-years, a specimen of the regenerated bone was harvested and processed to perform microCT and histomorphometrical analyses.Results: The microarchitecture study performed by microCT in the test-biopsy showed that biomaterial volume decreased more than 23% and that newly-formed bone volume represented more than 57% of the overall mineralized tissue. Comparing with unloaded controls or peri-dental bone, Test-sample appeared much more mineralized and bulky. Histological evaluation showed complete integration of the scaffold and signs of particles degradation. The percentage of bone, biomaterials and soft tissues was, respectively, 59.2, 25.6, and 15.2%. Under polarized light microscopy, the biomaterial was surrounded by lamellar bone. These results indicate that, while unloaded jaws mimicked the typical osteoporotic microarchitecture after 1-year without loading, the BCP helped to preserve a correct microarchitecture after 7-years.Conclusions: BCP 3D-printed scaffolds represent a suitable solution for bone regeneration: they can lead to straightforward and less time-consuming surgery, and to bone preservation.