bluuebunny/crossref_metadata_2025_split huggingface dataset:
«Gaudim sense metàfores»
Llenguatge, gaudi i subjectivitat en la poesia de Joan Vinyoli
Authors: Fernàndez Josep-Anton 
Published: December 2023

This chapter proposes a meditation on the nature of poetic activity in the work of Joan Vinyoli, based on an enigmatic line from the poem “Damunt la sorra”, from the book Cercles: “Gaudim sense metàfores”. From the standpoint of a psychoanalytic and affect theory framework, the paper explores the dialectic established in Vinyoli’s poetry between sexual enjoyment and poetic sublimation, and the relationship of this dialectic to language. Indeed, Vinyoli’s poetry expresses a desire for communion with the desired other and with the objects of the world: this is an experience of contact that transcends and shatters the limits of the subject, and that language is incapable of expressing in its entirety. On the other hand, the lyrical subject constructed through language in Vinyoli’s poetry is not a stable, coherent self, but appears as a medium that channels an unconscious, impersonal force. By means of poetic activity (the sublimation of the sexual drive), the poet in Vinyoli’s work approaches an inner void and through the use of metaphors takes on the risk of the fragmentation of the subject in order to access a dimension of impersonal otherness inside himself. In this chapter I propose to redefine this dialectic by analysing various poems.
La poètica de la vulnerabilitat
A propòsit de la companyia de dansa Mal Pelo
Authors: Moya Azucena 
Published: December 2023

This chapter is part of a research project on the dance company Mal Pelo and their collaborations with writers who work with the ideas of memory, vulnerability, and refuge. In order to explore how emotions can be part of the dance creation process and how this emotional sphere involves the public during Mal Pelo’s performances, this paper analyses the Refugi trilogy.
Relationship Social Economic (Family Income) With Stunting
Authors: Nuraini Nanik , Fitriani Yunita Dyah 
Published: December 2023

The growth and development of children will experience a rapid increase at an early age, from 0 to 5 years as the phase.Golden age3. Socio-economic (Family Income) is low causing poor nutrition so that it affects the growth and development of children. The purpose of this study was to determine the Socio-Economic Relationship (Family Income) with the occurrence of Stunting in Toddler Age Children in Leran Village, Manyar District - Gresik Regency. The method used isÂ analytic with are search designÂ cross sectional. Data were collected directly through observations of mothers who have children under five in Leran Village - Manyar District, Gresik Regency as many as 82 people with the sampling technique simple random. Data analysis used the statistical test of the contingency coefficient =0.05. The results of the study obtained 46 respondents income < UMR (< Rp 4.3 million); 42 (91.3%) experienced stunting and 4 (8.7%) were not stuntingÂ while 36 respondents had income > UMR ; 2 (5.6%) were stunting and 34 (94.4%) were not stunting. The conclusion is that there is a relationship between socio-economic (family income) with the incidence of stunting in children aged under five, it is recommended to increase family income and pay attention to child nutrition.
Diyaliz Fistül Trombozlarının Perkütan Tedavisinde Kullanılacak Trombolitik İlaç Dozu Nasıl Belirlenmeli?
Authors: ÖZDEMİR Mustafa , DURMUŞ Mehmet Ali 
Published: December 2023

Amaç: Diyaliz fistül trombozlarının perkütan tedavisinde kullanılan standart doz ile tromboze segment uzunluğuna göre ayarlanan doz yaklaşımlarının başarısını karşılaştırmak amaçlandı.
Gereç-Yöntem: Çalışmaya merkezimizde fistül trombozu nedeniyle anjioplasti yapılan 42 hasta dahil edildi. Hastaların 24’ü erkek (%57,1), 18’i kadın (%42,9) hastaydı. 21 hastaya (%50) standart 5 mg dozda, 21 hastaya ise (%50) tromboze segmentin uzunluğuna göre cm’ye 1 mg olacak şekilde değişen dozlarda (ortanca 7 mg, 4-10 mg arası) trombolitik ajan ultrason eşliğinde kontrollü bir şekilde enjekte edildi. Sonrasında uygun boyut ve uzunlukta balon kateterler yardımıyla anjioplasti yapıldı.
Bulgular: İki grup arasında yaş (p=0,633), cinsiyet (p=0,674), tromboze segment uzunluğu (p=0,484), tromboz süresi(p=0,911), primer (p=0,618) ve sekonder (p=0,608) patensi ile teknik (p=0,145) ve klinik (p=0,145) başarı bakımından anlamlı farklılık saptanmadı.
Tartışma: Diyaliz fistül trombozlarının perkütan tedavisinde kullanılan standart doz ile tromboze segment uzunluğuna göre ayarlanan doz yaklaşımları arasında teknik ve klinik başarı ile patensi anlamında farklılık saptanmamıştır.
Urgensi Keterlibatan Mahkamah Konstitusi dalam Pelaksanaan Perubahan UUD NRI Tahun 1945
Authors: Noer Rakhanaufal Yusuf , Jaya Wardana Dodi 
Published: December 2023

Bahwa iurgensi ipelibatan iMK idalam iperubahan iUndang iUndang iDasar ididasarkan ipada ibeberapa ihal, iantara ilain: iPertama, iterdapat ibanyak ikelemahan idalam iamandemen ipertama isampai idengan iamandemen ike-empat; iKedua, iEksistensi iMPR isebagai ilembaga ipolitik; iketiga, iPelaksanaan iprinsip iChecks iand iBalance iSystem; iKeempat, iPerwujudan iMK isebagai iThe iGuardian iof iConstitution. iBahwa iProspektif ipelibatan iMK idalam iperubahan iUUD iNRI i1945 iadalah idengan imenekankan ipada ipolitical igood iwill idari iMPR iuntuk imenyusun imekanisme iperubahan iUUD iNRI i1945 idengan imelibatkan iMK isebagai ilembaga inegara iyang imemberikan iSertfikasi iKonstitusi idari ihasil ikajian iperubahan iyang idilakukan ioleh iKomisi ikonstitusi isebelum imendapatkan ipersetujuan idari iMPR iuntuk iditetapkan isebagai ihasil iperubahan iUUD i1945 iyang ibaru. iHasil idari imekanisme iperubahan ikonstitusi idengan imelibatkan iMK iini iditujukan iuntuk imenghasilkan iperubahan ikonstitusi iyang ibersifat ithe ipeople iof ithe iconstitution. iSaat iini imuncul ikembali ituntutan iperubahan i(ulang) iterhadap iUUD i1945 isebagai ihasil ievaluasi i10 itahun ilebih iimplementasi iUUD i1945 ipasca iperubahan. iDalam ikurun iwaktu itersebut isudah iada ibeberapa ipersoalan iyang idiajukan ike iMahkamah iKonstitusi ipengujian itentang icalon iperseorangan idalam ipemilihan ipresiden, itambahan ikewenangan iPerppu, iconstitutional icomplaint idan iconstitutional iquestion ioleh iMK, ioptimlisasi iperan ilegislasi iDPD, idan ilain-lain. iTulisan iini imenggagas iperubahan i(ulang) iUUD i1945 iyang ilebih ipartisipatoris imelalui iKomisi iKonstitusi iyang ilebih iindependen idibandingkan iKomisi iKonstitusi iyang isebelumnya, idengan imandat imenyiapkan idraft iperubahan i(ulang) iUUD i1945. iBelajar idari ipengalaman iberbagai iNegara iyang ijuga imengalami itransisi idemokrasi idan ireformasi ikonstitusi, iada ibaiknya ikita imenggagas iuntuk imelibatkan iMK idalam iperubahan i(ulang) iUUD i1945.
Effect of the addition of bio-polymer lignin on the Transverse and Impact strength of the autopolymerizing acrylic resin.
Authors: Ismail Intisar J. , Hamad Thikra I. , Hussein Basima M.A. 
Published: December 2023

Background: Acrylic resin dentures are susceptible to fracture; it is unresolved problem in prosthodontics. The repair procedure should be simple, strong, and accurate. This study evaluated the transverse and impact strength of autopolymerizing acrylic resin, the repair material was modified with kraft lignin as a new enforcement material and compared with the commercially available self cured acrylic resin.Materials and Methods: The addition of kraft lignin to the acrylic resin were done in percentages of 0.25%, 0.5%, 0.75%, 1.0%, 1.25%, and 1.5% (wt%). Seventy specimens were made according to the ADA specification No 12 for transverse strength using three point bending test and Impact strength test was conducted following the procedure given by the ISO 179 with Charpy Type Impact testing instrument.Results: Mean transverse strength of experimental specimens where increased only in 0.25wt% addition of lignin (61.3400 Mpa) then results tend to decrease, and no statistical differences found between the control and any one of the modified groups. The impact strength increased more than the control in the groups 0.25, 0.50, 0.75,and 1.0wt%,13.9700, 15.5900, 35.2100, 33.6900 Kj/m2 respectively, then has been decreased at 1.50wt% until reach value of the control (9.2525 Kj/m2).Highly significant difference was found at 0.5, 0.75 and 1.0wt% (p<0.05).Conclusions: The autopolymerizing acrylic resin exhibited significantly higher impact strength as a result of addition the biopolymer lignin. The transverse strength of the modified specimens was decreased after increasing the weight percent addition of lignin.
Congenital diaphragmatic hernia: prevalence and management
Authors: Gatea Hasan K. , Al-Gailani Faik T. , Abulhab Raghad J. 
Published: December 2023

Background: The morbidity and mortality of congenital diaphragmatic hernia is related to the severity of lung hypoplasia ,pulmonary hypertension and associated anomalies.Patients and methods: fifty nine consecutive patients with surgically proved diaphragmatic hernia (excluding hiatal hernia) were included in this prospective study. All patients were seen at Al- Kadhymia hospital for children and Al-Mustansyria hospital, in the period from January 2003 to December 2009.Plain chest x-ray was done for all the patients understudy, but barium study was arranged for only nine patients.Results: There were fifty nine child with congenital diaphragmatic hernia , Bochdalek hernia forms 81.4% of all congenital diaphragmatic hernia, the peak incidence at presentation was in the neonatal period (80,2%) of patients. The chest roentgenographic appearance was diagnostic in 87.5% of the patients with Bochdalek while Morgagni hernia in 62.5% of patients was diagnostic. Morgagni hernia constitutes 13.6% of the congenital variety, commonly to the right side (87.5% of patients ).The incidence of presentation beyond the neonatal period was 50% of cases . Absence of hemidiaphragm was found in 5% of the congenital variety , the chest x-ray was diagnostic in all patients.Conclusion: The chest roentgenograph (frontal view) is a very helpful diagnostic tool for the diaphragmatic hernia with a high diagnostic accuracy (73.7%).
Morbidity and mortality Post laparoscopic Cholecystectomy in cirrhotic patients
Authors: Al. Zobaidy Hayder 
Published: December 2023

Background: Cholecystectomy in cirrhotic patients is commonly followed by high morbidity and mortality, the incidence of hepatic cirrhosis has increased since last decade as well as the occurrence of complication such as liver failure, portal hypertension, and biliary disorders.Patients and methods: laparoscopic Cholecystectomy was performed in 24 cirrhotic patients (18 child A and 6 child B) in an effort to obtain lower complications and mortality rates. The mean age of the group was 51.8 years, ten of the 24 patients were men and 14 female.Results: intraoperative complications such as bleeding, dense adhesion and long operative time were recorded.Conclusion: laparoscopic Cholecystectomy was safe and will tolerated by selected cirrhotic patients (child A and B) with clear indication for surgery.
Correlation between Computerized Tomography Densimetry and Histomorphometry in Assessment of Bone Healing
Authors: Aljumaily Mahmood A , Alnuaimy Hatim , Al-allaf Hazim 
Published: December 2023

Background: Assessment of fracture healing is a common problem in orthopedic practice and research. Computerized Tomography (CT) is a reliable tool for quantification of the fracture repair process in experimental animals. Histomorphometric evaluation provides a clear quantitative evidence of the bone healing process. The evaluation by micro-architectures in healing bone showed variable correlation between CT and histomorphometry.Material and methods: open ulnar osteotomy induced in twenty young male rabbits under general anesthesia without internal fixation, and divided into five groups. A group of animals were sacrificed at end of 2nd week, 3rd week, 4th week, 5th week, and 6th week. The right ulna isolated and the bone specimens taken for radiological examination, CT scan densimetry and histomorphometric evaluation carried out for the callus at the site of osteotomy for all animals in both group.Results: The mean of histomorphometric evaluation of callus at the site of ulnar osteotomy at the end of second week were 2.9, and increased with duration to reach 9.3 at end of sixth week. The mean of CT densimetry of callus in site ulnar osteotomy at the end of second week were 96.2, and increased with duration to reach 723.3 at end of sixth week. The correlation coefficient between histomorphometric evaluations of callus in site ulnar osteotomy and value of CT densimetry measurements was 0.958, which considered very highly significant, (the P value < 0.0001).Conclusion: The present study demonstrate that, there is strong correlation between CT scan bone densimetry of callus in site of osteotomy and the results of histomorphometric evaluation of callus. The CT scan bone densimetry of callus can be used to assess the bone healing in experimental and clinical studies, as it is noninvasive technique.
Democratic Regression in Indonesian Local Elections: Police in Political Positions Prior to The West Java Governor Election 2018
Authors: Siregar Sarah Nuraini , Dewi Rosita , Rahmiati Dini 
Published: December 2023

This article examines the democratic regression in Indonesia before the local political competition, particularly the 2018 West Java regional election, by investigating the allocation of police officers to civilian political positions. This study contends that the government plays a role in the development of challenges in police professionalism that become apparent during democratic elections. In this study, the government achieved this by assigning serving police personnel to civilian political positions, particularly as temporary governors. This study employs a qualitative methodology that entails conducting desk research to analyze secondary data from many sources, such as books, journals, articles, reports, and official documents, with a specific focus on government regulations. The research findings validate that the connection between the police and the regime forms a political alliance between the state and the police, resulting in the police's role and engagement in the political sphere, particularly during elections. Local political competitions in Indonesia are currently experiencing degradation in democratic processes, which has become a notable phenomenon of democratic regression.
Efficacy of Mannitol in the Management of Cerebral Oedema in Hypoxic Ischemic Encephalopathy Stage-II following Perinatal Asphyxia in a Tertiary Level Hospital
Authors: Noor Reshma , Rahman Mst Ruzina , Jahan Nusrat , Rahman Mahbuba 
Published: December 2023

Background: The use of mannitol in reducing cerebral edema in case of perinatal asphyxia in Hypoxic Ischemic Encephalopathy Stage-II is considerably contributing.
Objective: To find out the efficacy of mannitol in reducing cerebral edema in Hypoxic Ischemic Encephalopathy Stage-II following perinatal asphyxia.
Methods: It was a prospective observational study done in the Paediatric department of Shahid Suhrawardy Medical College Hospital, Dhaka from September 2016 to February 2017. According to inclusion criteria total 120 neonates were included in this study by purposive sampling. Among them, 60 neonates were selected as case (treated with mannitol) and 60 were taken as control (treated without mannitol). Data were collected in a structured questionnaire.
Results: During the study period, a total of 120 patients were studied. In the study group (Group -A), 78.33% were delivered by LUCS whereas in Group-B, the figure was 66.6%. The mean birth weight of neonates of these two groups were 1.9 + 0.76 kg and 1.73 + 0.89 kg respectively. PROM, APH, malpresentation, and multiple gestation were statistically significant risk factors in both groups (P=<0.05). About 79.67% neonates of group-A (with mannitol) and 70% of group-B (without mannitol) had radiological improvement following treatment revealing no statistically significant difference (P= >0.05).
Conclusion: From the result of the present study, it can be concluded that there is no significant difference in the management of cerebral edema following perinatal asphyxia with HIE stage-II between the groups treated with mannitol and without mannitol.
J Shaheed Suhrawardy Med Coll 2022; 14(1): 12-15
Acute Pancreatitis: Association with Primary Hyperparathyroidism: A Case Report
Authors: Haque Afiyat Nawar , Hoque Md Mozammel , Razzak Md Abdur , Ahmed Farhad Uddin , Khan Md Shamsuddoha , Akhand Tanvir Alam 
Published: December 2023

Association between primary hyperparathyroidism and acute pancreatitis is very rare. We report a case of a 45-year-old female presented with acute pancreatitis. Primary hyperparathyroidism was diagnosed after that episode of pancreatitis. She had no additional risk factor for pancreatitis. It’s been 10 months after her successful parathyroid surgery, there has been no recurrence of abdominal pain and her serum calcium is within normal limits. The purpose of reporting this specific case is that this pathology is uncommon in occurrence and indicates the importance of keeping in mind all the causes of pancreatitis before declaring it as idiopathic.
J Shaheed Suhrawardy Med Coll 2022; 14(1): 65-67
Effect of Meconium Stained Liquor on Mode of Delivery and Fetomaternal Outcome in a Tertiary Level Hospital
Authors: Sultana Rifat , Adhikary Alpana , Hena ShamsunNahar , Daisy Nazia Sultana , Begum Tahmina 
Published: December 2023

Background: The appearance of meconium-stained liquor during labour is generally considered to be a sign of hypoxia and a predictor of poor fetal outcome.It is one of the clinical events where normal pregnancy can turn into a high risk one for the mother as well as for the foetus.
Objective: To evaluate the obstetric outcome in meconium stained liquor during labour.
Study design: Prospective comparative study.
Study setting and period: Gynaecology and Obstetrics department of Sir Salimullah Medical College and Mitford Hospital (SSMC and MH), Dhaka, between January 2019 to June 2019.
Study population: The study patients in labour with meconium stained amniotic fluid and women in labour but having clear amniotic fluid who admitted for delivery during study period.
Result: A total 75 cases were enrolled in the study as case and 75 cases were enrolled as control. The mean age was found 29.14±5.59 years in case group and 28.9±6.2 years in control group. Patients received irregular ANC was 20(26.7%) and 25(33.3%) in case and control group respectively. Patients who did not receive ANC was 24(32.0%) in case group and 12(16.0%) in control group. Mean gestational age at delivery was found 38.87±1.4 weeks in case group and 38.75±1.6 weeks in control group. Primigravida was predominant in both groups. Caesarean deliveries were high (80.0%) in cases and it was much higher with thick meconium (74.7%) as compared to thin meconium (25.3%). APGAR scores in first minute and fifth minute were also low in cases. Birth asphyxia was found 20.0% in case group and 6.3% in control group. Meconium aspiration syndrome 25.0% and convulsion 3.8% developed only in cases. Neonatal ward admission was 22.0% in case group and 6.3% in control group. Neonatal mortality was higher (3.8%) in cases than control 1.3%. Majority (6.65%) patients had post partum hemorrhage in case group and 3(4.0%) in control group.
Conclusion: Meconium stained amniotic fluid were associated with higher rate of caesarian delivery, increased need for neonatal resuscitation, increased rate of birth asphyxia with hypoxic ischemic encephalopathy, meconium aspiration syndrome, hospital admission, and mortality. Electronic foetal monitoring, timely obstetrical intervention and neonatal care can reduce associated complications and improve foetal outcome.
J Shaheed Suhrawardy Med Coll 2022; 14(1): 43-49
Stress of the COVID-19 and its Consequences on Irritable Bowel Syndrome Patients in A Selected Tertiary Level Hospital in Bangladesh
Authors: Ghosh Dilip Kumar , Sarker Debashis Kumar , Ullah Parash , Nath Mukta , Chowdhury Shamsuddin Al Masud , Bashar Khondaker Abul , Rahut Antora , Mahmuduzzaman Mohammad 
Published: December 2023

Background: The COVID-19 pandemic represents a multiple stress. Stress can worsen the symptoms of (IBS) patients.
Aims & Objective: The aim of the study was to assess the stress of COVID -19 and its impact on IBS patients during the pandemic situation among the Bangladeshi population.
Methods: This cross-sectional study was conducted among the self-reported previously diagnosed IBS patients aged 18 years and above, irrespective of sex, in the Gastroenterology department of ShaheedSuhrawardy Medical College Hospital. Data was collected by a structured questionnaire which included the patient’s socio-demographic, clinical symptoms of IBS, personal habits, comorbidities, self-reported stress due to COVID-19, and its effect on the symptoms of IBS.
Results: The study respondents consisted of 210 IBS patients, among them 71.90% were male and 28.10% were female. The majority of the study population (43.0%) belonged to age group of 31-40 years and mean age 35.12 ± 11.55 years. Most of the respondents (91.9%) reported stress due to the COVID-19 pandemic. The most commonly reported causes of stress were fear of a family member being infected with the virus (94.8%), followed by fear of self-infection (90.5%), and death due to COVID-19 infection (68.1%). Most of the stressed respondents (72.9%) reported that stress usually exaggerates IBS symptoms. Almost 25.7% of the subjects consulted a physician for stress aggravation of the symptoms, 21.0% used sedatives due to stress, and 21.0% modiﬁed IBS medications due to stress. Moreover, 36.2% of the participants reported hampered daily activities due to IBS symptoms exacerbation.
Conclusion: The study revealed that most of the IBS patients had been suffering from stress during the COVID-19 pandemic situation. IBS patients should be advised to participate in mental health education programs to adjust to the current pandemic COVID-19 situation.
J Shaheed Suhrawardy Med Coll 2022; 14(1): 50-56
Assessing Vitamin D Levels and Demographic Profiles of Adult Outdoor Patients: A Descriptive, Cross-sectional Study in a District Medical College Hospital of Bangladesh
Authors: Gani ABM Shakil , Alam Md Raqibul , Mahmood Abdullah Al 
Published: December 2023

Background: Vitamin D deficiency is a highly prevalent nutritional deficiency in Bangladesh. While the majority of the research has been done in the large metropolitan area, few studies have been conducted at the district level. Furthermore, little information has been discovered about the demographics of people with vitamin D deficiency. Thus, this study aimed to identify the district-level demographics of those who suffer from vitamin D insufficiency.
Methods: A descriptive cross-sectional study was conducted among 197 participants attending medicine outdoors at Sheikh Hasina Medical College Hospital, Tangail, Bangladesh. Detailed interview on socio-demographic and lifestyle factors and anthropometric measurement was conducted. Serum vitamin D level was estimated by chemiluminescent immunoassay. Data were analyzed by SPSS 22.0.
Results: About 46.2% of respondents had insufficient and 36.5% had deficient vitamin D levels. Serum vitamin D level was 22.68 ng/ml ± 7.83. Females (84.92%) had hypovitaminosis D more than males (78.87%) which was statistically significant. BMI, occupation, and monthly income had no significant role in different vitamin D status groups. Among females, wearing Burka had a significant relationship with low vitamin D levels.
Conclusion: Females are more prone to suffer from low vitamin D levels especially those who had less sun exposure due to choice of clothing. Prophylactic supplements of vitamin D may be considered in this group.
J Shaheed Suhrawardy Med Coll 2022; 14(1): 57-61