bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of Serum Testosterone with Acne Vulgaris in Women
Authors: Rahman Md. Moksedur , Sikder Md. Akram Ullah , Rashid Muhammad Munir , Khondker Lubna , Hazra Samaresh Chandra , Nessa Moriom 
Published: June 2012

Background: Androgens enhance the sebum production and follicular keratosis that plays the key role in the aetiology of acne. Objective: To find out the association between serum testosterone and acne vulgaris. Methods: A case control study was carried out for a period of two years in the outpatient department of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Female patients having acne vulgaris were selected as case. Healthy control (age and sex matched) were enrolled from the community. Results: The study showed that the mean age of the cases was 22.43 with standard deviation 5.2 years and the mean age of the control was 23.23 with standard deviation 5.9 years. The mean duration of disease was 62.6 months ranging from 12 months to 300 months. All the patients had presented with comedones (blackheads and whiteheads) followed by 94.3% had papules and 58.6% had pustules. Considering the site of lesion, all the patients had acne in the face. Data analysis revealed that the percentage of serum testosterone above normal was found to be high among the cases with acne (10%) whereas below normal level of serum testosterone was found among the control and the difference was statistically significant (p<0.001). Conclusion:The study found a significant association between serum testosterone and acne vulgaris. As serum testosterone is associated with acne vulgaris, testosterone levels should be measured in patients presenting with acne vulgaris especially in treatment resistant cases and anti-androgen treatment may be indicated in cases with elevated testosterone level.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10980 BSMMU J 2012; 5(1):1-5
Treatment of Scoliosis by Hartshill Rectangle and Sublaminar Wiring
Authors: Ahsan Md. Kamrul , Sakeb Najmus , Zaman Naznin , Mahmud Abdullah Al 
Published: June 2012

Background: Scoliosis is a complex three dimensional deformity characterized by coronal, sagittal and horizontal plane deviation. Treatment of scoliosis has made significant development in techniques and modalities of internal fixation. Objective: To see the efficacy of Hartshill rectangle and sublaminar wiring for correction of scoliotic deformity, clinical outcome and patients satisfaction. Methods: During the period of July 2008 to June 2011, 14 patients of scoliotic spinal deformities of various etiologies (Congenital-02, idiopathic-12) were operated. Age ranged from 11 to 23 years with mean 16.71 ± 03.22 years. Female 09 and male 05 patients were included where Hartshill rectangles with sublaminar wiring were used for every case. Results: At least 12 months (range 12-36 months) follow up regarding clinico-radiological evaluation and patients satisfaction were accounted as per the SRS-24 questionnaire. The mean scoliosis in the coronal plane (Cobbs angle) measured 53.50o ± 03.98o preoperatively reducing significantly to 21.14o ± 02.77o (p<0.05) and the mean preoperative sagittal plane angle 60.14o ± 07.30o reducing significantly to average 42.14o ± 05.28o (p<0.05) at 1 year as determined by paired t-test. No neurological complication was seen except transient hyperesthesia in 02 patients, superficial wound infection in 01 patient and 01 wire breakage. All the patients were happy to live with their present back status. Conclusion: Overall outcome in segmental spinal fixation with sublaminar wire and Hartshill rectangle is satisfactory and effective.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10981 BSMMU J 2012; 5(1):6-11
Outcome of Pregnancy in Lupus
Authors: Sayeeda Syeda , Begum Firoza , Akhtar Nahreen , Sharmin Farzana 
Published: June 2012

Background: Pregnancy in patients with SLE is associated with a high risk of maternal disease exacerbation in active disease state and adverse fetal outcome. Objective: To analyse maternal and fetal outcome in pregnant lupus patients as well as to identify influence of disease activity on it. Methods: This retrospective observational cross sectional study was done on 27 pregnant lupus patients in feto-maternal medicine wing of the department of Obstetrics and Gynaecology, BSMMU from April 2007 to March 2011. For statistical analysis z test of proportion and students t test was used. Results: Mean age of the patients was 26.6 years. At booking, 8 (29.63%) had active lupus while 19 (70.37%) was in remission. As complications of SLE, lupus flare was found in 11.1%, lupus nephritis in 25.9% and skin rash in 7.4%. Regarding obstetric complications, PIH was developed in 3.7% and preeclampsia in 11.1% of the patients. Average gestational age at delivery was 34.8 weeks. Birth weight was <2.5kg in 45.8% of neonates. There was IUGR in 33.3% of the cases and 25% of the neonates needed admission in neonatal ICU. There was no neonatal death and none of the 24 neonates had neonatal lupus. In this study there was no maternal mortality. Patients who were in active disease state, most (55.5%) delivered preterm, spontaneous abortion occurred in two and IUD in one of the patients. Average birth weight was lower (1.9+.47kg) in patients with active SLE than those of with remission (2.3+.68kg). Lupus flare developed in 66.6% with active disease, while in 33.3% with remission. Conclusion: Pregnancy is relatively safe with SLE in remission but considered as high risk in terms of fetal loss and spontaneous abortion. Disease activity influences pregnancy outcome.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10995 BSMMU J 2012; 5(1):18-23
Prevalence of Behavioral and Emotional Disorders among the Orphans and Factors Associated with these Disorders
Authors: Rahman Wasima , Mullick M S I , Pathan Mohammed Asraful Siddike , Chowdhury Nafia Farzana , Shahidullah Mohammed , Ahmed Helaluddin , Roy Surajit , Mazumder Atiqul Haq , Rahman Farzana 
Published: June 2012

Background: Orphans are the special group of children who are generally deprived and prone to develop psychiatric disorders even reared in well run institution. Objectives: To find out the prevalence of the behavioral and emotional disorder among the children living in orphanage in Dhaka city, and to assess the possible factors associated with the presence of disorders among this study population. Methods: It was a cross sectional descriptive study conducted in selected orphanages. A Total 342 cases were included. One stage structured assessment of psychopathology was carried out by using a valid Bangla version of DAWBA (The Development and Well-Being Assessment). Data analysis was done by SPSS for windows 16.0 version. Results: The results indicate that overall prevalence of behavioral and emotional disorders were 40.35%, in which Behavioral disorder was 26.9%, Emotional disorder was 10.2% and both Behavioral and Emotional disorder were 3.2%. Higher length of stay and low level of education of foster mother were significantly associated with psychiatric morbidity of the respondents. Conclusions: It can be concluded that behavioral and emotional disorders are highly prevalent among orphan children and adolescents with residential care that needs to be addressed. Moreover, measure for early identification and intervention will improve the quality of life of the orphan population.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10997 BSMMU J 2012; 5(1):29-34
Evaluation of the Results of Posterior Decompression, Corpectomy and Instrumentation in Traumatic Unstable Thoraco-Lumbar Burst Fractures
Authors: Islam Md. Anowarul , Sakeb Najmus- , Mahmood Ehsan 
Published: June 2012

Background: Thoraco-lumbar burst fractures occur as a result of axial load which often causes displacement of the middle column into the vertebral canal. Posterior surgery reduces the morbid outcomes of different other approaches. Objective: To evaluate the clinical and radiological success of posterior corpectomy and instrumentation in the management of traumatic unstable thoraco-lumbar burst fractures. Methods: It is a prospective interventional study carried out in Bangabandhu Sheikh Mujib Medical University and different private hospitals in Dhaka from July 2008 to December 2011. Total 18 patients; 13 male and 05 female within an age range of 21-40 years were selected. Total 09 cases involved L1, 05 cases at D12, 02 cases at D11 and at L2 each. Neurological status was assessed by Frankels grading and pain status by Visual Analogue Score (VAS). Paired t-test was used for statistical analysis. Results: All the patients were followed up for minimum 1 year. Eleven out of 12 patients with Frankel grade-B and 04 patients out of 06 with Frankel grade-C recovered fully and could walk without support (p<0.05). Overall 03 patients ended with some degrees of persistant neurological deficit. The mean postoperative pain improvement and kyphotic angle correction was significant (p<0.05). Conclusion: Decompression through posterior approach by laminectomy, corpectomy and fusion by cage with bone graft and stabilization by pedicle screw and rod significantly improves the clinical and radiological outcome in management of traumatic unstable thoraco-lumbar burst fractures.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.10998 BSMMU J 2012; 5(1):35-41
Leishmanial Hepatitis with Chronic Hepatitis B Infection Treated Successfully with Liquid Form of Liposomal Amphotericin B - A Case Report
Authors: Salma Umma , Khan Abed Hussain , Rahaman Mohammad Ferdous Ur , Irshadullah Naseeb Muhammad , Shumy Farzana , Chowdhury M A Jalil 
Published: June 2012

Hepatic involvement either due to leishmaniasis or due to coexisting viral infection sometime poses a problem for the clinicians. Atypical presentation is also challenging for them. We present a case of visceral leishmaniasis (Kala-azar) from a non endemic zone, co infection with hepatitis B virus simulating chronic viral hepatitis successfully treated with liquid form of liposomal amphotericin B.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11018 BSMMU J 2012; 5(1):55-56
Multiple Epiphyseal Dysplasia (MED): A Rare Type of Skeletal Dysplasia
Authors: Islam Mohammad Imnul , Begum Suraiya , Talukdar Manik Kumar , Karim Md Enayet , Rahman Shahana Akhter 
Published: June 2012

Multiple epiphyseal dysplasia (MED) is a congenital disorder of skeletal development that primarily affects the ends of long bones, causing progressive joint and bone inflammation and short stature. Mutations in several genes are responsible for pathogenesis of this disease. We are reporting a case of MED who presented with the complaints of multiple swelling of the joints which was associated with pain during movement for last seven years. The patient had flexion deformity of all the affected joints along with restriction of movement. These were associated with kyphosis, pectus carnitum, knock-knee and short stature. Radiological findings were suggestive of MED. Counseling was done with the parents regarding the etiology, progression and outcome of the disease.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11025 BSMMU J 2012; 5(1):57-60
Variants of Conjoined Twins - Two Case Reports
Authors: Akhtar Nahreen , Karim Sabina , Parveen Tabassum , Sayeeda Syeda , Begum Firoza 
Published: June 2012

Conjoined twins are identical twins whose bodies are joined in utero. Parasitic twins occur when a twin embryo begins developing in utero, but the pair does not fully separate, and one embryo maintains dominant development at the expense of the other which becomes vestigial. Vestigial twin appears as parasitic because it is incompletely formed or wholly dependent on the body function of the complete fetus. The independent twin is called the autosite. In conjoined twins both remain healthy. In this study we have presented one parasitic twin and another conjoined twin. In 1st case a 28 yrs old lady delivered a female parasitic twin by caesarean section due to failure of induction of labour. Unfortunately the baby died on 3rd postoperative day. In 2nd case, a 25years old lady diagnosed as a case of conjoined twin by ultrasonography for the first time at her 35wks of pregnancy. Emergency caesarean section was arranged on the day of admission as she started labour pain. A conjoined twin was delivered which were joined at thorax and abdomen and both were alive. Parents were offered surgical separation but they refused it and take the babies home.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11027 BSMMU J 2012; 5(1):65-68
Miller Fisher Variant of Guillain-Barré Syndrome: A Case Report & Clinical Review
Authors: Das Partha Pratim , Biswash Sarmistha , Karim Md. Enamul , Ahmed Nigar Sultana , Islam Badrul , Mandal Shekhar Kumar , Sarkar Abu Hena Md. Raihanuzzaman 
Published: June 2012

Miller Fisher syndrome (MFS) is an uncommon variant of Guillain-Barré syndrome (GBS). It is characterized by external ophthalmoplegia, ataxia, and areflexia. The incidence of MFS as a proportion of GBS was reported to be 1 to 5 % in western countries and considerably higher in Eastern Asia i.e. 19% in Taiwan and 25% in Japan. Here we report the clinical features of a patient who initially presented with ataxia then subsequently developed limb weakness, areflexia and ophthalmoplegia. CSF study and NCV study supported our clinical diagnosis. Patient was managed conservatively. No intravenous immunoglobulin was given but the patient gradually improved in symptoms including power, ataxia, ophthalmoparesis. After one month the patient was discharged from hospital with complete recovery.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11028 BSMMU J 2012; 5(1):69-71
Castlemans Disease- A Case Report
Authors: Patwary Md. Ismail , Hossain Md. Abed , Rahman Md. Matiur , Chowdhury Md. Ashfaqul Islam , Rahman Md. Khalilur , Kabir Md. Ruhul 
Published: June 2012

Castlemans disease(CD) is a heterogeneous group of lymphoproliferative disorders of uncertain cause presenting with lymphadenopathy. It is histologically and prognostically distinct from malignant lymph-node hyperplasia. It was first described in a group of patientswith benign localised hyperplastic lymph-nodes in 1956 by Castleman et al. We report a case of a 70 year old gentleman who was clinically suspected to have lymphoma , but later histologically confirmed to have Castlemans disease.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11031 BSMMU J 2012; 5(1):79-80
The Aging Voice
Authors: Tarafder Kamrul Hassan , Datta Pran Gopal , Tariq Ahmed 
Published: June 2012

Aging of voice is an unseen issue perceived by sounding old. This involves a widespread change throughout the upper and lower airway mainly affected by the change in anatomy and physiology of vocal fold/cord. Thinning of laryngeal mucosa, atrophy of vocal muscles, reduced movement of cricoarytenoid joint, reduced lung volume and capacities; reduced movement of tongue, jaw as well systemic conditions may all affect the normal voice in older ages. Higher pitch voice in men, lower pitch voice in women, thin voice, vocal fatigue, difficulty in being heard in noisy situations, tremor or shakiness in the voice are common changes found in old people. Various pathological conditions of larynx may cause voice change similar to aging voice. This can be differentiated endoscopically by an experienced Otolaryngologist. Avoidance of smoking, shouting, gastric reflux, resting the throat during a cold attack are simple measures that can delay aging process of our voice. Voice related quality of life index is a quick & easy measurement of voice quality based on changes in last two weeks. Voice therapy and phonosurgery with injectable materials in vocal fold can improve the voice in advanced age.DOI: http://dx.doi.org/10.3329/bsmmuj.v5i1.11033 BSMMU J 2012; 5(1):83-86
Comment on "Induced magnetic field with radiating fluid over a porous vertical plate: Analytical study" by Sahin Ahmed [Journal of Naval Architecture and Marine Engineering 7(2010), 83-94]
Authors: Sharma Bhupendra Kumar 
Published: June 2012

In the present comment, we point out some errors found in the above referenced paper.DOI: http://dx.doi.org/10.3329/jname.v9i1.10579 Journal of Naval Architecture and Marine Engineering 9(2012) T1-T2
Joule heating effect on magnetohydrodynamic natural convection flow along a vertical wavy surface
Authors: Parveen Nazma , Alim M A 
Published: June 2012

In this paper, the effect of Joule heating on magnetohydrodynamic natural convection flow of viscous incompressible fluid along a uniformly heated vertical wavy surface has been investigated. The governing boundary layer equations with associated boundary conditions for this phenomenon are converted to nondimensional form using a suitable transformation. The equations are mapped into the domain of a vertical flat plate and then solved numerically employing the implicit finite difference method, known as the Keller-box scheme. Effects of pertinent parameters, such as the Joule heating parameter (J), Prandtl number (Pr), magnetic parameter (M) and the amplitude of the wavy surface ? on the surface shear stress in terms of the skin friction coefficient (Cfx), the rate of heat transfer in terms of local Nusselt number (Nux), the streamlines and the isotherms are discussed. A comparison with previously published work is performed and the results show excellent agreement. DOI: http://dx.doi.org/10.3329/jname.v9i1.5954 Journal of Naval Architecture and Marine Engineering 9(2012) 11-24
Approximation approach to multiple singularities of flow through a porous pipe with decelerating wall
Authors: Rouf RA , Alam MS , Khan MAH 
Published: June 2012

The multiple singularity behaviour of flow through a porous pipe with decelerating wall is numerically studied in the present paper. The behaviour of the Riccati equation is introduced as a model problem. Then the steady axisymmetric flow of a viscous incompressible fluid driven along a pipe by the combined effect of the wall deceleration and suction is investigated. Our approach uses the power series in order to observe the instability of the problems. The series is then summed by using various generalizations of the Pade´-Hermite approximants. Analysis based on approximate method suggests that the convergence of the series of stream-function, skin friction and centerline axial velocity in powers of Reynolds number is limited by a number of singularities. The location and nature of the singularities in the real plane are presented. The bifurcations of skin friction and centerline axial velocity are also depicted graphically. DOI: http://dx.doi.org/10.3329/jname.v9i1.9283 Journal of Naval Architecture and Marine Engineering 9(2012) 35-42
Les médias sociaux : une histoire de participation
Authors: Coutant Alexandre , Stenger Thomas 
Published: June 2012

Résumé Les « médias sociaux » constituent un phénomène aussi difficile à appréhender dans ses fonctionnalités et usages que dans son histoire. Cet article propose de les interroger sous l’angle de la valeur heuristique de leur définition, de la cohérence historique du regroupement de plateformes qu’elle propose et de la réalité des possibilités de participation qu’elle postule. Il révèle ainsi les enjeux économiques qu’une focalisation sur la participation des internautes masque et propose une représentation plus complexe des différentes configurations sociotechniques émergeant dans le Web du xxi e siècle.
R@S : la naissance d'un acteur majeur de l'« Internet militant » français
Authors: Granjon Fabien , Torres Asdrad 
Published: June 2012

Résumé Le Réseau associatif et Syndical (R@S) a été créé au lendemain du large mouvement social de novembre-décembre 1995. Jusqu’en 2009, date de sa dissolution, le R@S a été un acteur discret, mais majeur dans la structuration et le développement d’un sous-champ spécifique de l’espace des mouvements sociaux , celui travaillant à l’acculturation et à l’appropriation des technologies de la néo-télématique par les mouvements sociaux. Dans le cadre de cet article, nous souhaitons documenter la période de création du R@S en prêtant une attention plus particulière à certaines dimensions sociopolitiques du projet.
Réseaux de communication horizontale, un aperçu à travers le temps
Authors: Perriault Jacques 
Published: June 2012

Résumé Cet article revient sur deux questions rencontrées dans mes travaux à propos des réseaux de communication. La première concerne la possibilité de reconstituer un réseau à partir de données éparses : est-il possible d’en élaborer une archéologie en exploitant les documents dont on dispose? La seconde question porte sur le rôle des réseaux, aussi bien actuels que disparus, pour corriger des déséquilibres sociétaux et sous quelles conditions.
L'histoire de l'Internet au prisme des STS
Authors: Abbate Janet 
Published: June 2012

Résumé L’émergence de l’Internet en tant que média invite les historiens à reconsidérer leurs hypothèses concernant les frontières entre l’humain et le non-humain, l’infrastructure et la culture, la technologie et la société. Les concepts relevant des Science and Technology Studies (STS) peuvent fournir des modèles pour reconsidérer les catégories traditionnelles des média et mettre en lumière les liens entre technologie et culture. Par une première série d’exemples, cet article montre en quoi les ordinateurs et l’Internet ont brouillé les frontières entre infrastructures et culture : des visions littéraires partagées ont inspiré les systèmes informatiques effectivement mis en œuvre, tandis que les matériels de communication ont été utilisés de façon imprévue pour l’expression personnelle. Ensuite, avec une seconde série d’exemple, il propose d’analyser la manière dont les comportements et buts des acteurs humains et non humains sont devenus inséparables dans de nombreux environnements virtuels. Nous suggérons le terme d’agentivité hybride ( hybrid agency ) pour décrire ce phénomène.
A comparative analysis of butterfly richness detection capacity of Pollard transects and general microhabitat surveys
Authors: Létourneau Isabelle , Larrivée Maxim , Morin Antoine 
Published: July 2012

AbstractAssessing biodiversity is essential in conservation biology but the resources needed are often limited. Citizen science, by which volunteers gather data at low cost, represents a potential solution for the lack of resources if it produces usable data for scientific means. Scientific inventories for butterflies are often performed with a Pollard transect, a standardised surveying technique that generates high-quality data. General microhabitat surveys (GMSs) are potentially more appealing to amateurs participating in citizen science projects because they are less constrained. We compare estimates of butterfly species richness acquired by Pollard transects to those obtained by GMSs. We demonstrate that GMSs allow surveyors to detect more butterfly species and a more complete portrait of local butterfly assemblages for the same number of individuals captured.
La adaptación de la formación reglada y continua a la Comunicación
Authors: Vivar-Zurita Hipólito , García-García Alberto 
Published: July 2012

Uno de los aspectos menos estudiados de la formación de comunicadores es la complementariedad de los estudios oficiales, universitarios y profesionales, con la formación privada, continua, desarrollada por las empresas. Simultáneamente, los trabajadores de la Comunicación ven como se incrementan sus funciones y consecuentemente su responsabilidad sin la formación adecuada. Estas carencias, fruto de la inadecuación de la oferta pedagógica tradicional al nuevo escenario laboral, hace que las empresas tengan que gestionar, no siempre correctamente, cambios en el sistema productivo y en la clasificación profesional. A través de la metodología del estudio del caso hemos obtenido unos resultados que nos han hecho establecer una serie de propuestas, a modo de conclusión, que afronte estas nuevas tipologías laborales que implican profundas transformaciones de las funciones y tareas desarrolladas en nuestro campo de estudio, investigación y trabajo.