bluuebunny/crossref_metadata_2025_split huggingface dataset:
Outcome of Laparoscopic Cholecystectomy as Ambulatory Surgery: Experience of 250 Cases
Authors: Ullah Mahmud Ekram , Rahman Md Mushfiqur , Rabbi Hashim , Alam Md Noor A , Maitra Tapash Kumar 
Published: May 2019

Background: Laparoscopic cholecystectomy has been performed as outpatient procedure for many years. Few studies have been conducted with primary focus on patient acceptance and preferences in terms of safety and satisfaction. We tried to explore its feasibility in otherwise healthy individuals undergoing laparoscopic cholecystectomy.
Methods: Data from 250 patients with cholelithiasis who underwent laparoscopic cholecystectomy in BIRDEM General Hospital from April 2017 to June 2018 as ambulatory surgery (hospital stay d”23 Hours) with or without overnight stay were analyzed. Complications, admissions and readmissions, patient satisfaction and treatment expenditure were assessed.
Results: Mean duration of hospital stay was 17.3 hours. Two patients had complications (deep port site infection) on 5th post-operative day after surgery. Only 2.4% patients required readmission while 9.2% patients had unplanned admission. Seventy six point four percent patients were highly satisfied with the procedure. Treatment cost was about 15% lower than routine inpatient operation.
Conclusion: Laparoscopic cholecystectomy can be performed as an outpatient procedure with a low rate of complications and admissions/readmissions. Patient acceptance in terms of satisfaction is high.
Birdem Med J 2019; 9(2): 157-161
Laparoscopic Adrenalectomy for Pheochromocytoma - Intraoperative Cardiac Arrest and Cardiopulmonary Resuscitation in Lateral Position: A Case Report
Authors: Shaheen Md Shafiul Alam , Sardar Kawsar , Rahman Md Mushfiqur , Hasan Md Quamrul , Ahmed Raju , Uddin Jashim 
Published: May 2019

Anaesthetic management of patients with large adrenal gland tumor pheochromocytoma is a challenge to the anesthesiologist, due to perioperative uncontrolled blood pressure, risk of arrhythmias and sudden cardiac arrest. Therefore, preoperative assessment and appropriate anaesthetic management are important in patients with pheochromocytoma. Laparoscopic adrenalectomy for Pheochromocytoma offers some technical advantages owing to its improved ability to visualize the contiguous anatomy and its relationship to the adrenal tumor. The decreased manipulation of the tumor during dissection of the adrenal gland has been espoused as another benefit of the laparoscopic approach. The decreased release of catecholamines and the resultant attenuation in haemodynamic liability has been a purported advantage of the laparoscopic approach.1,2,3,4 This is a case report of successful anaesthetic management of a patient with pheochromocytoma undergoing laparoscopic adrenalectomy using combined general and epidural anaesthesia the patient who developed intraoperative cardiac arrest and complete recovery after given lateral position CPR.
Birdem Med J 2019; 9(2): 165-169
A Case Report on Post-Transplant Erythrocytosis
Authors: Khoda Mohammad Mehfuz E , Shimu Ishrat Jahan , Hossain Md Golzar , Haque Mirza Shariful , Moon Moontasim Akhter , Rahim Muhammad Abdur , Mansur Md Abul 
Published: May 2019

Post-transplant erythrocytosis is defined as persistently elevated haemoglobin and haematocrit levels that occur following renal transplantation and persist for more than six months in the absence of thrombocytosis, leukocytosis or other potential causes of erythrocytosis. Here, we report the case history of a 35-year-old male, who underwent live related kidney transplantation ten months ago, presented with high haemoglobin level and high haematocrit. It is an uncommon complication of kidney transplant recipient,whichprompted us to report the case
Birdem Med J 2019; 9(2): 170-173
Evaluation of Hormone Receptors Status in Breast Carcinoma
Authors: Begum Kazi Nishat Ara , Akond Abdul Khaleque , Huq Naila , Aymon Nazneen Naher , Huq Fahmida 
Published: May 2019

Background & objective: The importance of establishing hormone receptor status of tumors for the treatment of women with hormone receptor-positive breast cancer is often emphasized. It is critical to evaluate hormone receptor status when considering response to endocrine therapy. The present study was intended to evaluate the usefulness of hormone receptor status in breast carcinoma.
Materials & Methods: The present study was conducted in the Department of Pathology, Dhaka Medical College, Dhaka over a period 12 months from July 2009 to June 2010. A total of 30 histopathologically diagnosed cases of breast tumors who were also subjected to immunohistochemical (IHC) test for ER, PR status and HER-2/neu were consecutively included in the study. Patients who have already been treated for malignancy or who had a history of receiving radiotherapy were excluded.
Result: Age distributions shows that 40% of the patients were early middle-aged (30-40 years), 30% middle-aged and the rest were either < 30 years or >50 years old. Left breast was involved more often (56.7%) than the right breast (43.3%). The predominant location was upper outer quadrant (43.3%), followed by upper inner quadrant (20%), lower outer quadrant (20%), lower inner quadrant (10%) and central (6.7%). Over half (53.3%) of the tumors were < 5 cm and the rest 5 cm or more. Nearly half (46.7%) of the tumors were moderately differentiated, 36.6% well-differentiated and 16.7% poorly differentiated. In majority (83.3%) of the cases lymph-nodes (axillary lymph nodes) were involved. Based on estrogen and progesterone receptor status, over half (53.3%) of the tumors were ER and PR positive and 40% were Her2/neu overexpressed.
Conclusion: The study concluded that half of the Bangladeshi breast cancer patients are ER and PR positive and two in every five cases are Her2/neu overexpressed.
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 70-73
Repeat Caesarean Sections: Complications and Outcomes
Authors: Ghani Aforza , Ila Israt Jahan , Ferdouse Jannat Ara , Sultana Nasrin , Sultana Jesmin 
Published: May 2019

Background: The rising incidence of caesarean section all over the world has been of great concern both to the patients and obstetrician.1 Repeat caesarean section is one of the major reasons which have contributed greatly to high caesarean section (CS) rate.1,2 Although maternal death as a result of CS is now rare, reports of the short-and long-term consequences of the rising CS rate on the childbearing population are conflicting.3 Available data show that repeat caesarean section is associated with many maternal complications, specially intra-abdominal adhesions, central placenta praevia, uterine rupture, caesarean scar pregnancy, caesarean hysterectomy etc.4
Objective: To evaluate outcome and complications of multiple repeat caesarean section.
Methodology: This was a cross sectional prospective study conducted in Shaheed Suhrawardy Medical College Hospital (ShSMCH) from 1st June’2016 to 30th November’2016 for a period of six months. The study population were 102 patients, selected randomly who were admitted in ShSMCH for repeat caesarean section.
Results: Out of 102 patients admitted with history of previous caesarean section, maternal morbidity was 26 (25.49%), which includes intra-abdominal adhesions 19 (18.62%), excessive blood loss 6(5.88%), placenta praevia 4 (3.94%), placenta accreta 1 (.98%), postpartum haemorrhage 11 (10.78%), wound infection 12 (11.76%) etc.
Conclusion: As the rate of repeat caesarean section continue to rise, surgeons should be more judgemental in doing caesarean section.
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 74-79
Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain. J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61
Authors: Nahar Khairun , Hossain SM Amjad , Khatun Ashia 
Published: May 2019

Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61 The author of this article brought attention to publishers that this is an original article an previous issue Vol. 10 No. 1, June 2018 Page - 59-61 it was published as a Case report. These error have been corrected to enhance credibility to readers and the article has been published in this issue of J Shaheed Suhrawardy Med Coll
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Background: Many female patients presented to gynecologist with chronic lower abdominal pain, suspecting chronic PID or UTI, but found no improvement inspite of repeated treatment. It remains as diagnostic dilemma for gynaecologist. Proper diagnosis ultimately shows that it is a case of chronic appendicitis. The main purpose of this study was to evaluate the clinical feature of chronic appendicitis and its correlation with operative and histological findings & to create alertness of physicians and prevention of later complication.
Methods: This cross-sectional study was carried out in female patients in private practice from January 2014 to December 2017.All patientswho complained frequent attacks of pain in their right lower abdomen were included in our study. The patient’s history, clinical and lab findings were closely evaluated. All the patients underwent appendectomy and all their appendices were histopathologically examined. Chronic appendicitis was ruled in with a positive pathology report confirming chronic inflammation. All the patients referred for their follow-up visits in a period of one year.
Results: A total100 female patients were studied.66% patient were in age group 26 to35 years.87% patients were multiparous. Duration of pain varied from 2weeks to 2.5 years. Histopathology report confirmed chronic appendicitis in 96% cases. From them 94% cases expressed complete relief of pain following removal in the follow-up visit.
Conclusion: Chronic appendicitis seems to be a cause of recurrent lower abdominal pain. The disease is easily cured by appendectomy.
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 83-85
Cutaneous Manifestations of Extra pulmonary Tuberculosis
Authors: Ahmad Sami , Ahmed Nadim , Singha Jawhar Lal , Mamun Mohammad Abdullah Al , Hassan ASM Farhad Ul , Bin Aziz Nur Mohammod Mohammod Sayed , Alam Shoaeb Imtiaz 
Published: May 2019

Background: Ulcers and surgical wounds not healing well and expectedly are common problems among patients in countries like us. Ulcers may develop spontaneously or following a penetrating injury. wounds not healing well are common among poor, lower middle class and middle class people. Postsurgical non-healing wound or chronic discharging sinuses at the scar site are also common in that class of people. Suspecting malignancy or tuberculosis in these types of wounds we have sent wedge or excision biopsy for these ulcers in about 500 cases and found tuberculosis in 65 cases. In rest of the cases histopathology reports found as non- specific ulcers, Malignant melanoma, squamous or basal cell carcinoma, Verruca vulgaris.
Objectives: To find out the relationship of tuberculosis with chronic or nonhealing ulcers.
Methods: This is a prospective observational study conducted for patients coming to our chambers, OPD of a district general hospital and Shaheed Suhrawardy Medical College Hospital, Dhaka from July 2012 to June 2018.
Results: Mean age of the study subjects were 28±2. Among the study subjects nonspecific ulcer or sinus tracts were found in 418 (83.6%), tuberculosis in 65 (13%), Malignant melanoma 7 (1.4%), Verruca vulgaris 5(1%), squamous cell carcinoma 3(0.6), basal cell carcinoma 2 (0.4%). Biopsy done only for very suspicious ulcers or wounds.
Conclusion: With this very small sample size it is difficult to conclude regarding incidence of cutaneous involvement of extra pulmonary tuberculosis , but every clinician should think of it in case of suspicious non healing wounds, ulcers and prolonged discharge from a surgical incision site.
J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 86-90
The main indicators for assessing the level of military danger
Authors: Гогонянц Спартак 
Published: May 2019

The article deals with approaches to the choice of indicators of military danger in order to carry out an assessment of threats to the national interests of the state. The attention is focused on the acute need for a careful attitude to the analysis of the dynamics of changes in the military-political situation and the assessment of the level of military danger for Ukraine. It is formulated the necessity of using the scientific approach to the forecast of the level of military danger for Ukraine as a geopolitical player.
An overview of existing research and publications of specialists in the national security strategy on the investigation of threats to national interests in the military field has shown that existing approaches are sufficiently developed and informative. In conducted research, military danger is considered as the potential ability of any state (group of states) to use military force to solve interstate political, economic, military, ethnic, religious and other contradictions. And this potential opportunity is constantly threatening the national interests of Ukraine, which can lead to different forms of armed confrontation. At the same time, the ambiguity in certain theoretical positions raises the need to clarify the definition of the most dangerous threats to national interests in the military sphere, and the constant transformations of the theory of military security of the state further complicate the solution of this problem. Therefore, in the interests of deeper formalization of geopolitical processes and taking into account their impact on the level of military danger, the application of the appropriate system of indicators is proposed.
To assess the level of military danger for Ukraine, it is proposed to select 17 indicators that can be used together in the procedures for determining the level of military danger to Ukraine by other states. The use of separate values of the relevant indicators of military danger during the prediction of changes in the military-political situation can be used to substantiate the relevant decisions in the bodies of state military management.
ABFI (APLIKASI BELAJAR FIKIH IKHTILAF) PENGEMBANGAN APLIKASI FIQIH PERBANDINGAN MAZHAB BERBASIS ANDROID
Authors: Kusumadewi Novita , Abdai M. Hasan Muiz , Pratama Risang 
Published: May 2019

The unharmoniousnes ukhuwah islamiyah show the intolerant attitude between Muslims. This intolerant attitude arises because it is too fanatical towards the mazhab of thought and closes itself to know the other mazhab. Therefore it is necessary knowledge of other mazhab. Lack of knowledge about other mazhab will result in a lack of tolerance for other mazhab. Because it will arise claim that the mazhab he embraced is the most correct mazhab. The jurisprudence between the mazhab can take them to armed conflicts that threaten the unity of Muslims because they are too fanatical about their mazhab without wanting to know the other mazhab. Until now the means used by society or the claimant of science in understanding various mazhab with the use of books tend to be thick that is by using the method of reading and understanding. This method is less effective considering the elements in society not only from the intellect but from various circles which need effective ways to understand and know the teachings of the various mazhab. Technology and information is used to convey all kinds of information in an interesting and easy to understand. Various technologies continue to be developed in all aspects of life ranging from household, industry, education and even weapons systems by various circles. Therefore, this field of initiative, offered a media of learning of fiqh based on technology and information called ABFI (Application of Leraning Fiqh Ikhtilaf), this application contains about knowledge from various mazhab about fiqhiyah study. ABFI (Application of Learning Fiqh Ikhtilaf) will be an Android-based app so that people can easily use this application. It is hoped that through this application the community can learn fiqh flexibly and the society is more open to open their horizons of knowledge about the jurisprudence of various mazhab besides what they already understand and believe.
STUDI KASUS PEMENUHAN BERSIHAN JALAN NAFAS PADA PASIEN TB PARU DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN TAHUN 2018
Authors: Susyanti Deni , Parlagutan Mompang Tua , Marbun Susiana 
Published: May 2019

Background of pulmonary tuberculosis is an infective disease caused by a microbacterium tuberculosis basil which is one of the breathing diseases under parts most tuberculosis bacilli enter the lung tissue through airbone infection and then undergo a process known as the primary focus of ghon. The main symptoms of pulmonary tuberculosis are coughing for two weeks or more, cough accompanied by phlegm, sputum mixed with blood, difficulty breathing, weakness, loss of appetite, weight loss. One of the signs and symptoms of tuberculosis are coughing accompanied by phlegm and will lead to the ineffectiveness of the respiratory tract hygiene is not effective. Effective coughing is a nursing activity to clear secretions in the airway, which serves to improve secretion mobilization and prevent high risk of retention of secretions. After being given an effective cough action within 1 x 24 hours, the patient is expected to experience an increase in airway clearance in pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The design of this study was a descriptive study with 2 pulmonary TB patients at the Second Putri Hijau Hospital in Medan. The results obtained from the two respondents in patients with pulmonary TB that fulfillment of airway clearance is met, but the time is different because the age is different from the two respondents. From the above studies it can be concluded that teaching coughs can effectively increase secretion mobilization. The advice from researchers is to always pay attention to the treatment program by always monitoring and evaluating the actions of teaching effective cough to patients with pulmonary TB.Keywords: pulmonary tuberculosis, respiratory hygiene, effective cough
PENGETAHUAN WANITA TENTANG KANKER PAYUDARA
Authors: Asiah Nur , Arruum Diah , Aizar Ellyta 
Published: May 2019

Introduction about breast cancer is very important in order to decrease new cases through the efforts of prevention and early detection to make it easier to recognize the risk factors and symptoms of breast cancer. This community service activities aiming to identify women's ability to detect early breast cancer. This community service activities performed on May to October 2018 in the UPT PUSKESMAS PB SELAYANG II Medan. The method of implementation of community service activities started by measuring the level of knowledge about society and the cadre of breast cancer, followed by the giving of material (counseling) about breast cancer by SADARI. Results dissemination instruments of knowledge work in the area of women's health centers on breast cancer obtained that 30 women (60%) have less knowledge about breast cancer. For it to do a follow-up to train cadres and taught to the community to recognise and assess the risk factors in a sustainable way next taught how about SADARI techniques and further stages need to be done breast exam by using breasligh.
Breeding prerequisites for Ortolan Bunting Emberiza hortulana in Swedish farmland with special focus on foraging
Authors: Sondell Jan , Durà Carles , Persson Magnus 
Published: May 2019

Ortolan Buntings Emberiza hortulana are rapidly decreasing in Sweden. Changes in agricultural practices are the main reason. Landscape simplification due to the removal of semi-natural elements leads to a lack of breeding habitats. Furthermore, due to intensive artificial fertiliser applications and advanced agricultural equipment and technology, crops grow both taller and denser than 50 years ago. In Kvismaren, south central Sweden, Ortolan Buntings have been studied since 2009. Here, we focus on one question: what defines a good foraging microhabitat? In 2017, nesting areas for five females and four males were identified and we did 271 feeding observations. Average foraging distance at different nests varied between 47 and 114 meters. About 70% of the foraging activities took place within crop fields. Ortolans utilized mainly unsown rows, later to be used by tractors for spraying etc. and patchy parts of standing crops. Invertebrates extracted from those areas looked dark, suggestive of ground-dwelling species. Our key management recommendation to create better microhabitats for feeding can be easily achieved by most farmers: to leave two unsown sowing rows (amounting to 0.38 m in width) for each tractor wheel to follow.
Teknologi Informasi dan Komunikasi Sebagai Tren Pendidikan Masa Kini dan Masa Datang
Authors: Sriasih Sriasih 
Published: May 2019

Peluang yang ditawarkan oleh penggunaan TIK dalam pendidikan begitu banyak jumlahnya, sehingga dapat mengarah pada pengalaman belajar yang lebih baik dan lebih menarik. Efek ini tidak hanya terbatas pada ruang kelas, tetapi juga transformasi model pendidikan, contohnya seperti model jarak jauh ke model e-learning atau blended learning yang menawarkan pilihan baru dalam penyampaian, serta peluang baru dalam layanan pelatihan guru dan dukungan lain. Kapasitas TIK untuk membangun jaringan tanpa batas merupakan kemungkinan pembelajaran inovatif yang setara di seluruh wilayah dan negara. Kemampuan siswa untuk memanfaatkan TIK sudah menjadi kebutuhan baru untuk sistem pendidikan yang efektif. Kata Kunci: TIK, Teknologi Informasi, Pendidikan.
MEMBANGUN SISTEM INFORMASI PEMBAYARAN SUMBANGAN PENYELENGGARAAN PENDIDIKAN (SPP) PADA SMAN 1 JANAPRIA
Authors: Hulaila Rika , Salman - , Subki Ahmad , Galih Thomas 
Published: May 2019

Abstrak - Sistem informasi pembayaran Sumbangan Penyelenggaraan Pendidikan (SPP) merupakan bagian dari manajemen administrasi keuangan yang berkaitan dengan pembayaran uang sekolah diantaranya : menerima, merekapitulasi dan melaporkan uang Sumbangan Penyelenggaraan Pendidikan (SPP). Pembayaran SPP merupakan ketentuan yang harus dibayar setiap siswa perbulannya. SMA Negeri 1 Janapria adalah salah satu Sekolah Menengah Atas yang ada di Desa Janapria, Kecamatan Janapria, Kabupaten Lombok Tengah. Saat ini pengolahan data pembayaran SPP pada SMA Negeri 1 Janapria ini masih dilakukan secara manual. Semua data yang terkait dengan pembayaran SPP dicatat dengan petugas bendahara kedalam Buku Pembayaran. Untuk mengatasi masalah yang dihadapi, SMA Negeri 1 Janapria membutuhkan sebuah sistem informasi yang dapat mengolah data transaksi pembayaran SPP dan menyajikan laporan registrasi siswa dengan cepat, mudah dan akurat serta pencetakan sehingga pengolahan data yang semula manual menjadi terkomputerisasi yang berdampak pada proses lebih cepat,.Kata kunci: Sistem Informasi, Pembayaran SPP