bluuebunny/crossref_metadata_2025_split huggingface dataset:
Serum Soluble Transferrin Receptor-Ferritin Indices in Diagnosing and Differentiating Iron Deficiency Anemia from Anemia of Chronic Disease among Patients with Chronic Kidney Disease
Authors: Latif Abdul , Hoque Farhana , Alam Muhammad Rafiqul , Khanam Asia , Iqbal Sarwar , Rahim Muhammad Abdur , Billah Md Mostarshid , Rahman Md Obaidur , Chowdhury Tufayel Ahmed 
Published: May 2019

Background: Anemia is common in patients with chronic kidney disease (CKD) and this is generally anemia of chronic disease (ACD), but iron deficiency anemia (IDA) is also common. Soluble transferrin receptor (sTfR) is a useful marker for IDA. Present study was undertaken to assess the utility of sTfR as a marker of IDA and to differentiate ACD from IDA in selected group of Bangladeshi patients with CKD.
Methods: This cross-sectional study was conducted in the Department of Nephrology, BSMMU, Dhaka, Bangladesh from January 2013 to December 2014. Patients with anemia admitted in Nephrology Department, whether on hemodialysis or not and Medicine Department of BSMMU were taken for study. The study population was further divided into two groups; Group A, patients (30) who were having IDA and Group B, patients (40) with ACD and a control group was also selected. Data were collected by face to face interview and laboratory investigations with a self-administered questionnaire.
Results: The mean age of the patients in Group A and Group B were 38.40±13.23 and 34.85±10.52 years respectively and male-female ratio were 0.5:1 and 1:0.5. Mean sTfR level was higher (4.81± 1.64 μg/ml) in patients with IDA than (2.89±1.40 μg/ml) in patients with ACD (p <0.0001). Mean ferritin level was 599.59± 449.15μg/L in ACD patients whereas 101.23±119.42 in IDA patients (p<0.0001). Total iron binding capacity (TIBC) was more in ACD patients with sTfRe”3μg/ml as compared to ACD patients with sTfR<3μg/ml. Transferrin saturation (TSAT) level was significantly decreased in ACD patients with sTfRe”3μg/ml as compared to ACD patients with sTfR<3μg/ml. sTfR and ferritin indices between group A (IDA) and group B (ACD) shows mean sTfR:logSF level was significantly (P<0.001) high in group A (2.71±1.13) in comparison to group B (1.08±0.54). Mean log sTFR:SF was also significantly higher (P<0.05) in group A (0.001±0.0008) compared to group B (0.013±0.012).
Conclusion: sTfR level has a comparable ability to serum ferritin in diagnosing IDA and ACD. However, sTfR and serum ferritin alone cannot definitely exclude coexisting iron deficiency in ACD. Log sTfR/ ferritin index has role in identifying development of iron deficiency in ACD whereas sTfR/ log SF ratio can differentiate pure IDA from ACD with or without iron deficiency. Thus, it is important to estimate both serum sTfR and sTfRferritin indices to be able to differentiate pure IDA, ACD and ACD with co-existing iron deficiency thus providing a non-invasive alternative to bone marrow iron.
Birdem Med J 2019; 9(2): 151-156
Evaluation of Diagnostic Accuracy of Anal Fistula by 360° Endoanal Ultrasound
Authors: Singha Jawhar Lal , Ahmad Sami , Ahmed Nadim , Nayeem SM Zulker , Rayhan Ferdoush , Ahmed Farhad Uddin 
Published: May 2019

Introduction: 360° endoanal ultrasound (EAUS) has become an effective imaging tool to diagnose anal fistulas for last three decades.
Objectives: To assess the diagnostic accuracy of 360° endoanal ultrasound imaging comparing pre and peroperative diagnosis in anal fistulas.
Methods: Between Jauary 2015 and June 2018, 240 patients with clinical anal fistula underwent endoanal sonographic assessment using a 360° endoanal transducer (7–15 MHz The sonographic findings, including the fistulas and other inflammatory lesions, were correlated with surgical results. The types of fistulas on endoanal sonography based on classification of Park and the internal opening of the fistula, both pre and peroperative, were compared to those of other studies.
Results: The 240 patients studied included 165 male and 75 female patients. Endoanal sonography was able to show and track hypoechoic lesions, their locations, and internal openings of the fistulas. Compared with surgical results, endoanal sonography had sensitivity of 94.6%, specificity of 100%, and accuracy of 94.1% for the diagnosis of perianal fistulas. Also, endoanal sonography had accuracy of 86.1% for determining fistula types based on the Parks classification and 92.8% for identifying internal openings of the fistulas.
Conclusions: Endoanal ultrasound is an accurate and noninvasive imaging modality for evaluation of fistulas. It is a very useful tool for preoperative management and surgical planning by providing precise and detailed information on fistulas.
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 66-69
Surgical Treatment of the Displaced Proximal Humeral Fractures in Adults with Philos Plate
Authors: Alamgir MHM , Hossain SM Amir , Barua Anupam , Kader Abdul , Monzer Salauddin M , Rahman SM Mosheeur 
Published: May 2019

Aim: To evaluate the treatment outcome of Philos plate fixation for displaced proximal humeral fractures in 17 patients.
Methods: This was a prospective study with 17 patients, 11 women, 6 men with average age 62yr having displaced proximal humeral fractures fixed with Philos plate. All the fractures were closed and no associated injuries, classified as 2 part (n=12),3 part (n=3),4part (n=2) according to Neer classification. All patients were evaluated clinically, functionally and radiologically using the Constant Shoulder Score.
Results: Patients were followed up for 6 to 24 months. All the fractures healed except one which was four part fracture in 65yr woman. The fracture was in varus position and screw penetration of humeral head at six week. Revision surgery was done and eventually fracture united.
Conclusion: Philos plate fixation is a good stable construct with minimal metal work problems and permit early movement J
Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 80-82
Disorders of Sex Development: Can You Be Sure This Baby Is A Boy or Girl? We Must See Beyond The Diagnosis
Authors: Alam Mohammed Shadrul , Zahid Mirza Kamrul , Palit Paritosh Kumar , Chakraborty Abhi Kumar , Saha Nirupama , Hasanuzzaman Md , Khan Md Shamsuzzaman , Majumdar Sajal Kumar , Choudhury ASM Alamgir 
Published: May 2019

Throughout the pregnancy, the parents have anticipated whether their child will be a boy or a girl. No part of a newborn baby’s anatomy arouses as much interest initially as the external genitalia. Most newborn children have the typical features of a boy or girl, but in some cases the baby’s sex can’t be clearly identified. Infants born with ambiguous or abnormal genitalia may have indeterminate phenotypic sex.1 Disorders of sex development (DSDs), formerly termed intersex conditions, are congenital conditions in which development of the chromosomal, gonadal, or anatomic sex is atypical and may affect up to 1:1000 individuals in the population.2
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 103-110
Jejuno-jejunal Intussusception as an Unusual Cause of Acute Abdomen of a 26 Year Female - A Case Report
Authors: Rahman Md Mustafizur , Ahmad Sami , Singha Jawhar Lal , Alam Shoaeb Imtiaz , Islam Mansurul , Hasan Muhammad Rashedul , Sutana Salsabil 
Published: May 2019

Intussusception is a relatively common etiology of abdominal pain in pediatric population. In adults, on the other hand, this entity is seen infrequently and a lead point can be recognized in a vast majority of cases. A 27 year old woman who was admitted in the Surgery Department of Shaheed Sohrawardy Medical College Hospital after experiencing severe upper abdominal pain associated with nausea, vomiting and fever. Later on the patient developed features of intestinal obstruction. Ultrasonography demonstrated small bowel intussusception. A jejunal intussusception 50 cm distal to the dudeno-jejunal junction was found during laparotomy. Resection and anasto mosis was performed as gut was not viable. A diagnosis of jejunal inflammatory fibroid polyp was made based on the histological findings which act as a lead point for jejunal intussusception.
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 111-114
52 year Male with Haemophila-A; Presented with Scrotal Haematoma: Managed in Resource Constraint Settings - A Case Report
Authors: Alam Shoaeb Imtiaz , Rahman Md Mustafizur , Rayhan Ferdoush , Hasan ASM Farhad Ul 
Published: May 2019

Haemophilia A is an X linked disorder characterized by bleeding manifestations due to deficiency of factor VIII. Administration of factor VIII is the mainstay of treatment in case of bleeding which is very costly. That’s why fresh frozen plasma is a very good alternative in the management of mild to moderate bleeding. Here we present a case of 50 years old male presented to us with traumatic scrotal haematoma who was newly diagnosed with Haemophilia A. As the patient was unable to bear the cost of factor VIII, we managed the patient by transfusing fresh frozen plasma. After raising his activity of factor VIII up to 30% which was adequate for soft tissue trauma, surgical exploration of scrotum was done. Both the testes were found viable. Evacuation of clot was done followed by secondary closure of the wound
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 118-121
Formation of base data list and content for determining of the ways for military teams procurement with armament
Authors: Борохвостов Ігор , Білокур Микола , Колотухин Євген , Ткач Іван 
Published: May 2019

Maintenance of samples of weapons is carried out at the stages of their life cycle and is carried out on the basis of coordination of actions of the customer and the consumer with a wide range of organizations from the main developer to the co-executors, which does not exclude the occurrence of conflict situations. This leads to the problem of implementing the optimal synthesis of such a complex system and does not allow to direct efforts to achieve the extremum of the target function of the system as a whole. Therefore, the emergence of such a problem and the existing conflicts in the process of determining the means of providing arms to military formations is considered as a complex organizational system, and the difficulties of direct solution of the problem of optimal synthesis in this case are related to: the interconnections of a complex system (between systems of the lower level and elements of the system); limited programming abilities; the construction of a mathematical model, etc.; and cause the need to find solutions to this problem.
The methods developed at present allow analytically to calculate the technical perfection of the weapons samples that are considered for providing military formations, as investigated when choosing for procurement or development. Such tasks are deterministic, but, considering costs at all stages of the life cycle, there may be stochastic (probable ones) that can be solved by expert methods. At present, the list and content of the source data when choosing ways of providing weapons are not defined at all stages. Thus, having them strictly non-formalized, the statement of the problem of synthesis is carried out under conditions of uncertainty, which in most cases is solved by heuristic methods, which in turn allows elements of subjectivity.
Having determined the list and content of the initial data, it is possible to pre-implement the calculations in cost form (strictly mathematical) in the form of expenses, having carried out the projection of expenditures at the stage of the weapon’s life cycle, and such a list to be chosen according to the criterion of the problem of synthesis, while defining the criteria of the restrictions, and to use these data for assessing the quality of this type of weapons and the cost of the stages of their life cycle. Also, in case of incomplete receipt of such data in cost form, with their partial, such an assessment will allow to determine between the corresponding methods when solving the problem of choosing ways of providing arms in the medium term. Even if this method is not analytical, then the relevant statistics will help to reduce the degree of uncertainty and subjectivism when choosing ways to provide armed skills by expert means.
UPAYA PENCEGAHAN DAN PENANGGULANGAN HIV/AIDS MELALUI PENINGKATAN PENGETAHUAN DAN SCREENING HIV/AIDS PADA KELOMPOK WANITA BERESIKO DI BELAWAN SUMATERA UTARA
Authors: Darti Nur Afi , Imelda Fatwa 
Published: May 2019

AIDS stands for Acquired Immune Deficiency Syndrome, a collection of symptoms and infections or commonly called syndromes caused by damage to the human immune system due to the HIV virus, while HIV stands for Human Immunodeficiency Virus, a virus that can weaken immunity in humans. The increasing rate of transmission of HIV/AIDS sexually, especially through sex, has replaced the position of transmission through needles in injecting drug users, as the main route of transmission of HIV. Increased rates of transmission through heterosexual groups have led to increasingly susceptible transmission to low risk groups such as housewives and infants. The HIV/AIDS case is an iceberg phenomenon that must immediately require special attention from health workers. Therefore this community service takes a precautionary and remedial approach with increasing knowledge, with health education and counseling before screening HIV / AIDS with a blood examination, the effort is to cut the chain of transmission of HIV/AIDS. And can be used as a basis for follow-up in treatment with anti retroviral (Anti Retroviral) for participants who are detected positive for HIV/AIDS. This community service was carried out in the Belawan region of North Sumatra with 80 female participants examined and from the results of the examination there were no detectable women who were HIV/AIDS positive and there was an increase in knowledge about HIV AIDS regarding definitions, signs and symptoms, modes of transmission and methods prevention. So that it is expected that this increase in knowledge will reduce and avoid risky behavior.Keywords: Knowledge, Screening, HIV/AIDS
OPTIMALISASI PERSALINAN NORMAL MELALUI “BIRTH PREPARATION CENTRE” DI KLINIK BERSALIN KOTA MEDAN TAHUN 2018
Authors: Kaban Febrina Oktavinola , Sari Siregar Farida Linda , Br Karo Evi Indriani 
Published: May 2019

Various programs attempt to reduce the maternal mortality rate implemented by the government to pregnant women. The activity "Optimization of Normal Delivery Through Birth Preparation Center" in the Medan City Maternity Clinic" was carried out in two partners. This service partner were Klinik Bidan Eka in Medan Denai and Klinik Pratama Serasi Medan Helvetia. As many as 80% of pregnant women are afraid of giving birth normally, for reasons of fear of pain that will be experienced later in labor. 85% of pregnant women are negatively pregnant. As many as 90% of pregnant women do not prepare physically. As many as 55% of pregnant women experience hip pain, back pain, and cramps in the legs during pregnancy. 90% of husbands do not motivate their wives. 90% of pregnant women and husbands are anxious about facing childbirth. The methods used are education, hypnobirthing and prenatal yoga. The activities at the Pratama Serasi Clinic were held twice, on 10 and 11 April 2018, this activity was attended by 20 pregnant women. The activities in the second partner were in the Bidan Eka, on May 5, 2018, and was attended by 17 pregnant women. Activities went well and smoothly, publication of activities in Post media massa Sumatera Utara, and Youtube.Keywords: birth preparation, hipnobirthing, yoga prenatal
THE USE OF MANTRA IN THE TRADITION OF MAITAI ALLO MACOA IN ONGLO PEOPLE CAMPALAGIAN SUBDISTRICT POLMAN REGENCY : A REVIEW OF THE SEMIOTICS
Authors: Aswad Hajaratul , Nurhayaty Nurhayaty , Said Ikhwan 
Published: May 2019

The aims of this research were to decipher and to explain interaction between spell and Maitai Allo Macoa tradition, the exsistence of spell and tradition of Maitai Allo Macoa especially to sociaty in Ongko village. The content of spell is the old poem that consist of proface and cloosing. Whereas the manuscript is a creation of cultural that used the symbols and have meaning. This study was qualitative research that orient to the words in the form of spelling and the manuscript of symbols of Maitai Allo Macoa. This research was done in Ongko village sub regency Campalagian, Polman regency. The data were gained by observation, either close and open interview to society, recorded and written. The result of this research showed that the sociaty usually used the spell in the manuscript of Maitai Allo Macoa before going to wander. It consists of there kinds of spell and one manuscript; pembueang, peakkeyang, assalamakang and Maitai Allo Macoa manuscript. In general, the spelling manuscript has relationship to the Holy Al-Qur’an text. It means the creation of spelling inspired by Holy Alquran. Things that decide the good day in the manuscript are time and symbol meaning which are used as the direction to held the holy activity. The exsistence or effect on the using of the spell and tradition of Maitai Allo Macoa is success and safety.
COMPARISON OF LANGUAGE STYLES IN NOVEL ATHEIST BY ACHDIAT KARTA MIHARDJA AND NOVEL TELEGRAM BY PUTU WIJAYA
Authors: Aryana Andi , Darwis Muhammad , Nurhayati Nurhayati 
Published: May 2019

This study discusses the comparison of language style in novel Atheist by Achdiat Karta Miharja and novel Telegram by Putu Wijaya. The aims of this study are (1) to describe the embodiment of language styles in novels Atheist and novels Telegram, and (2) to describe the comparison of language styles in novels Atheist and novels Telegram. This research is a qualitative research usingdescriptive method. The approach used in this research is stylistic approach. Sources of data in this study is a text that contains the style of rhetorical language and figurative style of language. The results show that: (1) the style of language used in the novel Atheist is the style of language; Hyperbole, simile, metaphor, personification, antonomasia, and sarcasm. The style of language found in the novel Telegram namely; Hyperbole, simile, metaphor, personification, antonomasia, and metonimia. Based on the language style found, there are three types of word classes used as word choice in realizing the style of figurative language and style of rhetorical language, namely; Nouns,verbs, and adjectives. (2) The similarity between novels Atheist and novels Telegram is the similarity of hyperbola-style, personification, and antonomasia-forming structures. The difference between the novel Atheist and the novel Telegram lies in the metaphorical style marker which in the novel Atheistis a transitive verb, while in the novel Telegram is a concrete noun.
RANCANG BANGUN SISTEM INFORMASI PRAKTEK KERJA LAPANGAN PADA STMIK MATARAM
Authors: - Zaeniah 
Published: May 2019

Kegiatan Praktek Kerja Lapangan adalah salah satu kegiatan yang diwajibkan pada STMIK Mataram. Praktek kerja lapangan bisa diikuti oleh seluruh mahasiswa dengan beberapa syarat yang telah ditentukan seperti mengumpulkan data mahasiswa, tempat PKL, dan Kartu Hasil Studi mahasiswa. Saat ini, pengolahan data mahasiswa yang mengajukan PKL masih diolah menggunakan microsoft excel sehingga masih terdapat beberapa kekurangan mulai dari proses input data tempat PKL, kesulitan dalam proses pencarian data mahasiswa, adanya data mahasiswa yang double, perekapan data mahasiswa memerlukan waktu yang lama dan informasi yang dihasilkan kurang akurat. Oleh karena itu, dibuatlah sebuah sistem informasi praktek kerja lapangan yang dapat dijadikan sebagai solusi dari masalah yang ada. Sistem informasi ini dikembangkan menggunakan metode waterfall. Dengan adanya sistem ini diharapkan dapat membantu koordinator PKL dalam mengolah data pengajuan praktek kerja lapangaan serta mendapatkan informasi yang cepat dan akurat.Sistem Informasi ini di buat menggunakan bahasa pemrograman visual basic.net dengan database MySQL. Kata kunci: Praktek Kerja lapangan, Waterfall, Sistem Informasi
SISTEM INFORMASI PENERIMAAN SISWA BARU BERBASIS WEB PADA MA. DARUL QUR’AN BENGKEL
Authors: Juhartini - , Arwidiyarti Dwinita , Ramlan - 
Published: May 2019

Penerimaan siswa baru adalah kegiatan rutin yang dilakukan setiap tahun baik di pendidikan tingkat dasar maupun pendidikan tingkat tinggi. Penerimaan siswa baru di MA Darul Qur’an Bengkel akan dilakukan melalui system informasi dimana data yang diolah terbatas pada data pendaftaran, data hasil seleksi dan data siswa, aplikasi dibangun menggunakan bahasa pemrograman PHP dan database MySQL. Aplikasi ini menghasilkan output untuk siswa yaitu formulir pendaftaran, kartu pendaftaran sedangkan output yang dihasilkan untuk pihak sekolah yaitu data pendaftar dan data calon siswa yang diterima
Implementasi Website Portal Sekolah Sebagai Media Promosi dan Penyampaian Informasi (Studi Kasus : SMAN 1 Praya Timur)
Authors: Riska Baiq Nonik Ria , Imran Bahtiar , Wahyudi Erfan 
Published: May 2019

Peranan teknologi informasi pada aktivitas manusia pada saat ini begitu besar. Teknologi informasi telah menjadi fasilitator utama bagi perusahaan dan organisasi. Hal inilah yang memberikan kemudahan bagi manusia untuk melakukan pekerjaan serta mendapatkan informasi dengan lebih cepat. Salah satu teknologi informasi yang berkembang saat ini adalah website atau lebih dikenal dengan sebutan web, yang merupakan suatu koleksi dokumen elektronik pribadi atau perusahaan dalam server web yang digunakan untuk mengakses berbagai informasi. Website portal ini dibangun menggunakan bahasa permrograman PHP. Dengan adanya website portal ini dapat membantu pihak sekolah dalam melakukan promosi dan penyampaian informasi kepada masyarakat.