bluuebunny/crossref_metadata_2025_split huggingface dataset:
Smokeless Tobacco: Pattern and Awareness in a Rural Area of Bangladesh
Authors: Zahur Tamanna , Parvin Rehana 
Published: July 2023

Background: Smokeless tobacco consumption has contributed nothing except diseases, disability and death. But assessment of awareness and knowledge regarding its use has less been studied to the extent as that of smoking. The study was undertaken to assess the pattern of use and awareness of smokeless tobacco among rural community.
Materials and methods: This descriptive cross-sectional study was conducted among 310 respondents selected through systemic sampling method, aged 18 years, residing at least for 10 years in Noakhali district in Bangladesh. This study was conducted from May to November 2013. Data were collected with a pretested questionnaire through face-to-face interview.
Results: Smokeless Tobacco (SLT) use was prevalent among 45.8% of respondents. Higher proportion of females than males used SLT. Zarda was the common form in more than half of the users. Among daily users, self-interest was the main factor for initiation and mean age of starting was 35 years. Per day frequency of SLT use for 1-8 times was in two-thirds of the daily users. Most of the respondents knew that SLT is injurious to health. About two-thirds of them mentioned SLT as addictive. More than one-thirds of the respondents had knowledge that smoking is more injurious than SLT. However, 30% of the respondents knew that both smoking and SLT were equally addictive. Excluding the former users, majority of the respondents knew that SLT might be quitted.
Conclusion: Multistage effective behavioral change intervention programs are the preferable way to overcome this lifestyle-related health problem.
JCMCTA 2022 ; 33 (1) : 166-172
Diagnostic Value of Urinary Neutrophil Gelatinase-Associated Lipocalin in Detecting Acute Kidney Injury in Asphyxiated Term Neonates
Authors: Hossain Mohammed , Biswas Suman , Islam Md Saiful , Ullah Monir , Sultana Nahid , Hadi Fuad Md Abdul , Amin Chowdhury Muhammad Jabed Bin , Das Jagadish Chandra 
Published: July 2023

Background: Neonates with Perinatal Asphyxia (PNA) are at higher risk for developing Acute Kidney Injury (AKI). Conventionally, Serum Creatinine (SCr) is used to diagnose AKI but lacks specificity during the first few days of life. Neutrophil Gelatinase-Associated Lipocalin (NGAL) has emerged as a novel biomarker of AKI in such situations, while its value in our setting is yet to be validated. The study aimed to evaluate the role of urinary NGAL (uNGAL) level as a predictive biomarker of AKI in term newborn infants with PNA.
Materials and methods: This prospective observational study included 55 full-term neonates with PNA from the Special Care Neonatal Unit of Chittagong Medical College Hospital.The uNGAL was measured by an enzyme-linked immunosorbent assay. Urinary samples were obtained for uNGAL on postnatal day 1(after 6 hours), and on day 3, blood samples for sCr were obtained on postnatal day1, 3 and 6.
Results: Among 55 neonates with PNA, 20 (36.4%) had AKI. The mean ±SD uNGAL level was 97.77±17.13 ng/ml in neonates with AKI compared to 25.76±2.19 ng/ml in those without AKI in the first postnatal day. An uNGAL cutoff value of 28.86 ng/ml had 90.0% sensitivity and 82.9% specificity in predicting AKI the same day. The mean value of uNGAL was observed at a lower level, 54.53±14.72 ng/ml vs 15.17±2.18 ng/ml in AKI and no AKI neonates on third postnatal days. The cutoff value for detecting AKI was seen to be 26.43 ng/ml with high validity on this day. Significant differences in sCr were observed between AKI and no AKI measuring on days one and three, whereas the difference was not significant on day six.
Conclusion: The study showed that uNGAL might be a valuable biomarker for predicting AKI among neonates with PNA.
JCMCTA 2022 ; 33 (1) : 173-177
Antithyroid antibody (TPO-Ab) Status in Type 2 Diabetic Patients
Authors: Alo Kamrunnahar , Safayet Ahammed  , Mahboba Rahman  , Shyamal Chandra Banik  , Kazi Shihab Uddin  
Published: July 2023

Background: Presence of thyroid peroxidase antibody (TPO-Ab) in type 2 diabetic patients is a risk factor for future development of thyroid dysfunction.Objective: To observe thyroid antibody status in type 2 diabetic patients.Materials & Methods: This cross sectional study was carried out in the Department of Physiology, Sir Salimullah Medical College, Dhaka from July 2016 to June 2017. Total 60 subjects including male and female, age ranged from 40 to 60 years were included in this study, among them 30 were non-diabetic subjects and 30 were type 2 diabetic patients.Results: In this study, mean serum TPO-Ab level was significantly (<0.01) higher in diabetic subjects in comparison to that of apparently healthy non-diabetic subjects and mean serum TPO-Ab level was higher in uncontrolled diabetic subjects in comparison to that of controlled diabetic subjects but the difference is not statistically significant. However, On the other hand, among the diabetic patients 6.67% had positive TPO-Ab whereas, among the uncontrolled diabetic patients 11.76% had positive TPO-Ab. There was no correlation between TPO-Ab and HbA1c.Conclusion: The present study reveals that TPO-Ab may present in type 2 diabetic patients.
KYAMC Journal Vol. 14, No. 01, April 2023: 35-38
Outcome of Febrile Neutropenia in Children with Cancer: Experience from a Tertiary Health Care Center
Authors: Md Imrul Kaes  , Afiqul Islam  , Chowdhury Yakub Jamal  , Mousumi Saha  , Indira Chowdhury  
Published: July 2023

Background: Febrile neutropenia (FN) is a serious event in children with cancer; associated with various complications and mentionable adverse outcome.Objective: To identify the outcome of febrile neutropenia in children with cancer.Materials and methods: This prospective observational study was conducted from October 2017 to November 2018 in the Department of Pediatric Hematology and Oncology, BSMMU. Children (age<18years) with malignancy who were admitted with febrile neutropenia or admitted patients who had developed febrile neutropenia onward were enrolled in this study. Finally, the outcome of each episode of FN was analyzed.Results: Total of 61 patients with 68 febrile neutropenic episodes were studied. Male patients were 62.29% and female patients were 37.70% with a mean age of 7 years. Majority were ALL (50.8%) followed by AML (29.5%), NHL (11.4 %) and solid tumor (8.1%). Bacterial infection was confirmed by culture in 14.7% episodes, 11.7% episodes had positive blood culture. Most of the isolated organisms were gram-negative (90%). Cough (39.7%), bleeding (19%) and diarrhea (17.64%) were the common clinical manifestations in those febrile neutropenic episodes. The mean duration of neutropenia was 9 days, 55.88% of episodes had prolonged neutropenia. Profound neutropenia was recorded in 47 % episodes and significantly associated with adverse outcome. Age ≥10 years also significantly associated with adverse outcome. The treatment success rate was achieved in76.4 % of episodes. A composite adverse event was observed in 23.52% of episodes; with mortality in 11.76%.Conclusion: Febrile neutropenia was a common complication in hematological malignancy. Although 76.4% episodes of febrile neutropenia had been treated successfully, mortality was significantly higher 11.76%. Profound neutropenia and age ≥10 were significant risk factors for dreadful outcome.
KYAMC Journal Vol. 14, No. 01, April 2023: 07-10
Frequency of Helicobacter Pylori Infection in Children presented with Recurrent Abdominal Pain in Northern part of Bangladesh
Authors: Ghosh Uzzal Kumar , Md Imrul Kaes  , Satabdi Ghosh  , Mosammat Afroza Jinnat  , Chandan Kumar Saha  , Md Zulfikar Ali  
Published: July 2023

Background: Abdominal pain is one of the common symptoms in hospital attended children. Recurrent abdominal pain also is a challenge to diagnosis. Although the most common etiology of recurrent abdominal pain is functional, organic treatable cause exclusion is justified. Peptic ulcer disease is one of the causes of recurrent abdominal pain; whereas association of Helicobacter Pylori is not so uncommon.Objective: To find out the frequency of H Pylori infection in children presented with recurrent abdominal pain.Materials and methods: A cross sectional was study done in Khwaja Yunus Ali Medical College located in northern part of Bangladesh. One hundred eight recurrent abdominal pain (RAP) cases were included in our study. Along with the other investigations ICT for H Pylori was sent to find out the etiology of recurrent abdominal pain in children attending in outpatient and inpatient department of pediatrics. RAP were our study population (N). H Pylori positive & H Pylori negative test results were included in data sheet. Demographic characteristics were noted among the H pylori positive cases (n) including age, sex and socioeconomic condition. Data were analyzed in Microsoft Excel.Results: Among the 108 RAP cases H Pylori infection were found 37(34.25%) by diagnostic test ICT for H. pylori. Out of 37(34.26%) H pylori positive children 21(56.76%) were male 16(43.24%) were female. Children aged 7 to 9 year constituted 6(16.21%), 10 to12 year 12(32.43%), 13 to 15 year 19(51.36%). Twenty six (70.27%) belonged to rural area and 11 (29.73%) belonged to urban area. Low income family 28(75.68%), medium income family 5(13.51%) and high income family were found 4(10.81%).Conclusion: About thirty five percent H Pylori infection are found in children presented with recurrent abdominal pain in northern part of Bangladesh among the seven to fifteen year child.
KYAMC Journal Vol. 14, No. 01, April 2023: 04-06
Risk Factors for the Musculoskeletal Pain Based on the Computer Ergonomics Related Practices among Medical Professionals
Authors: Abu Saleh Mohammad Mainul Hasan  , Md Israt Hasan  , Mohammed Emran  , Muzahidul Islam Mollah Mohammad , Tulshi Chandra Saha  , MD Abdullah Al Mamun  
Published: July 2023

Background: With The fast growing world, in Bangladesh also getting increased usage of digital connectivity has led to a rise in online activities and also rise in the musculoskeletal (MSK) pain among the professionals.Objective: We investigating the relationship between MSK pain and discomfort among resident doctors because of computer ergonomics related issues.Materials and Methods: The study collected computer ergonomics related information from 227 resident doctors who had used computer for at least one year. Along with descriptive statistical tools, this study addressed essential test of hypothesis and administered a binary logistic regression model to identify the risk factors of MSK pain among resident doctors.Results: The prevalence of neck pain and lower back pain was estimated over 50% whereas more than one-third faced pain in one or both eyes as well as in their upper back. The different sorts of ergonomics significantly associated with different types of MSK pain. The faculty type- taking break, awkward posture, the shoulder placement had significant impact on the pain in one or both eyes. Besides, having gap between leg and seat as well as monitor placement were the significant predictor of neck pain. In addition, wrist not straightening was not the only risk factor for lower back pain and faculty type, device type, gap between legs and seat, Not having an armrest were the risk factors for upper back pain.Conclusion: The computer ergonomics related practices are the fundamental codes for the medical professionals to avoid MSK pain and hence specific practice safeguards for specific pains.
KYAMC Journal Vol. 14, No. 01, April 2023: 19-24
Surgical complexity score as a predictor of surgical site infection in dentoalveolar surgeries
Authors: Furlanetto Amália Pletsch , Guidolin Leandro Rios , Quevedo Alexandre Silva de , Quevedo Daniela Müller de , Puricelli Edela , Ponzoni Deise 
Published: July 2023

Introduction: Postoperative surgical site infections represent one of the most frequent complications related to health care and can increase morbidity and mortality, in addition to increasing treatment costs. Objectives: This study evaluated surgical site infections incidence after dentoalveolar surgeries of retained third molars. The article presents the development of a surgical complexity score that can be used as a predictive method for surgical site infections risk in dentoalveolar surgeries. Methodology: In this cross-sectional observational study, the sample was obtained for convenience, from medical records of patients diagnosed with tooth retention and who underwent dentoalveolar surgery of third molars, from 2015 to 2020. Demographic variables of patients, characteristics of the surgery and information regarding the diagnosis of surgical site infections in the postoperative period were collected. Results: A total of 360 medical records were analyzed, with 59 surgical site infection cases diagnosed (16.4%). There was a statistical difference (p<0.05) in the bivariate analysis correlating infection with time of procedure, type of incision and performance of ostectomy and tooth sectioning. Logistic regression analysis to identify the probability of infection showed no significance for any of the individual variables, except when they are combined composing the surgical complexity score, which was then significantly higher in surgical site infections cases. Conclusions: The surgical complexity score developed can be a new predictive tool for the occurrence of surgical site infections in dentoalveolar surgeries, taking into account that the greater the complexity of surgery, the greater risk.
Desenvolvimento de protocolo para o cuidado de enfermagem a familiares de pacientes internados em Unidade de Terapia Intensiva
Authors: Almeida Vanessa Sena de , Batista Karla de Melo , Gouvêa Áquila Lopes , Massaroni Leila , Bringuente Maria Edla de Oliveira 
Published: July 2023

Objetivo: descrever o desenvolvimento de um protocolo para o cuidado de enfermagem a familiares de pacientes internados em Unidade de Terapia Intensiva. Metodologia: estudo metodológico com produção tecnológica, fundamentado na filosofia do Cuidado Centrado na Família e na Política Nacional de Humanização, desenvolvido em três etapas: Revisão de literatura; Construção de Protocolo de Cuidados a família de pacientes internados em Unidade de Terapia Intensiva; e 3) Validação do conteúdo da tecnologia por 15 juízes enfermeiros, expertises na área, utilizando o Índice de Validade de Conteúdo – IVC. Resultados e discussão: após o processo de validação, o IVC global do protocolo foi de 0,87, alcançando o nível de concordância equivalente ao determinado pelo índice. A versão final do protocolo inclui tem em sua composição: dois fluxogramas de cuidado, uma ficha de admissão da família na Unidade de Terapia Intensiva, um quadro de orientação com as intervenções necessárias para atendimento das necessidades dos familiares dos pacientes em Unidade de Terapia Intensiva. Considerações Finais: A tecnologia desenvolvida serve como direcionador das ações do enfermeiro, frente à admissão do binômio paciente-família e uniformização das boas práticas assistenciais já consolidadas visando o cuidado à família na UTI. Além disso, poderá influenciar mudanças no planejamento e implementação de práticas voltadas para o acolhimento e humanização do ambiente frente à necessidade de fortalecer a presença da família no processo de hospitalização do familiar.
WORK EXPERIENCE OF THE ROOM FOR MONITORING THE STATE OF HEALTH AND DEVELOPMENT OF CHILDREN FROM THE PERINATAL RISK GROUPS BORN PREMATURELY WITH VERY LOW AND EXTREMELY LOW BODY WEIGHT
Authors: Осипов А.М. , Киреева Г.Н. , Спичак И.И. 
Published: July 2023

Развитие технологий выхаживания детей, родившихся недоношенными, с очень и экстремально низкой массой тела оказывается позволяет позволяет кардинальным образом улучшить результаты выхаживания новорожденных. Выжившие новорожденные из группы перинатального риска имеют груз проблемных отклонений состояния здоровья и развития. Комплексное мультидисциплинарное катамнестическое наблюдение – эффективная форма организации медицинской помощи детям раннего возраста с заболеваниями перинатальной патологии находящихся в группе риска по развитию негативных отдаленных последствий. С 2019 г. в Челябинской областной детской клинической больнице создана многоуровневая мультидисциплинарная система оказания медицинской помощи детям из групп перинатального риска. Система работает, набирает обороты, дает заметные результаты, увеличивается численность наблюдаемого контингента. Целью катамнестического наблюдения за детьми группы перинатального риска является профилактика отдаленных последствий перинатальной патологии, снижение уровня хронических заболеваний, инвалидности с детства и смертности.
The development of technologies for nursing children born prematurely with very and extremely low body weight turns out to make it possible to radically improve the results of nursing newborns. Surviving newborns from the perinatal risk group have a burden of problematic health and developmental abnormalities. Comprehensive multidisciplinary follow-up observation is an effective form of organizing medical care for young children with diseases of perinatal pathology who are at risk for the development of negative long-term consequences. Since 2019, a multi-level multidisciplinary system for providing medical care to children from perinatal risk groups has been created at the Chelyabinsk Regional Children's Clinical Hospital. The system works, gains momentum, gives noticeable results, the number of the observed contingent is increasing. The purpose of follow-up monitoring of children at perinatal risk is to prevent long-term consequences of perinatal pathology, reduce the level of chronic diseases, childhood disability and mortality.
MALIGNANT NEOPLASMS IN INFANTS IN THE CHELYABINSK REGION (2001-2016)
Authors: Коваленко С.Г. , Спичак И.И. , Топоркова Д.И. , Волкова К.Б. , Рожина М.М. , Кононыхина П.С. , Кутнякова А.Е. 
Published: July 2023

Злокачественные новообразования (ЗНО) у детей первого года жизни представляют собой особую категорию в детской онкологии. В статье проанализированы эпидемиологические характеристики и результаты терапии злокачественных новоообразований у пациентов первого года жизни Челябинской области за период 2001-2016 гг. В данную возрастную группу вошли 110 детей, что составило 9,52% от общего количества пациентов с ЗНО за анализируемый период. Заболеваемость ЗНО детей грудного возраста за весь период исследования составила 16,73 на 100000 населения. Наиболее многочисленной группой среди новообразований являлась нейробластома (28,2%), на втором месте в структуре новообразований расположились опухоли почек (18,2%), на третьем – лейкозы (15,5%). Основные параметры соответствуют результатам других исследований. Выживаемость пациентов свидетельствует об эффективной терапии опухолей у детей грудного возраста в Челябинской области.
Cancer in children of the first year of life is a special category in pediatric oncology. The article analyzes the epidemiological characteristics and results of cancer therapy in infants in the Chelyabinsk region for the period 2001-2016. This age group included 110 children, which accounted for 9.52% of the total number of patients with cancer during the analyzed period. The incidence of cancer in infants over the entire study period was 16.73 per 100,000 population. The most numerous group among neoplasms was neuroblastoma (28.2%), kidney tumors (18.2%) ranked second in the structure of neoplasms, and leukemia (15.5%) ranked third. The main parameters are consistent with the results of other studies. Patient survival indicates effective therapy for tumors in infants in the Chelyabinsk region.
ABOUT FORMS OF PREMORBID STATES AND PREVENTION OF THEIR PROGRESSIVE DEVELOPMENT
Authors: Панков Д.Д. , Панкова Т.Б. 
Published: July 2023

Авторы рассматривают детей 2-й группы здоровья с возможность трансформации функциональных состояний в патологические. В качестве прогностически значимых обсуждаются дисплазия соединительной ткани, артериальная гипотензия, акцентуация личностных свойств характера. Продемонстрированы изменения венозной циркуляции, их связь с дисплазией соединительной ткани. Указанные состояния рассматриваются как возможно преморбидные. Представлены рекомендации по коррекции личностных нарушений с целью сохранения социальной адаптации.
The authors consider children of the 2nd health group with the possibility of transforming functional states into pathological ones. Connective tissue dysplasia, arterial hypotension, and accentuation of personal character traits are discussed as prognostically significant. Changes in venous circulation and their connection with connective tissue dysplasia have been demonstrated. These conditions are considered as possibly premorbid. Recommendations for the correction of personality disorders in order to maintain social adaptation are presented.
BRONCHIAL ASTHMA: HISTORY AND HEROES OF THE FIGHT AGAINST IT IN THE REFLECTION OF COLLECTIBLE MEANS
Authors: Бугаевский К.А. , Онищенко К.М. , Пешикова М.В. , Пешиков О.В. 
Published: July 2023

В статье представлены материалы исследования, посвящённые отражению в средствах коллекционирования сведений об истории изучения бронхиальной астмы и борьбы с ней. В качестве иллюстраций в данной статье использованы скриншоты почтовых марок, почтовых конвертов и блоков, почтових открыток и штемпелей, памятных медалей и наградных знаков на тему бронхиальной астмы, найденных в интернете.
The article presents research materials devoted to the reflection in the means of collecting information about the history of the study of bronchial asthma and the fight against it. As illustrations in this article, screenshots of postage stamps, postal envelopes and blocks, postcards and stamps, commemorative medals and award badges on the topic of bronchial asthma found on the Internet are used.
PROGNOSTIC VALUE OF LONG-TERM MONITORING OF CHILDREN'S DISABILITY TO DETERMINE THE FORCES AND MEANS OF REHABILITATION MEASURES OF THE CITY CHILDREN'S POLYCLINIC OF THE REGIONAL CENTER OF A SUARCTIC TERRITORY WITH LOW POPULATION DENSITY
Authors: Шаповалов К.А. , Шаповалова Л.А. , Каторкин В.И. , Забоева М.В. , Арзубова И.Н. 
Published: July 2023

Ретроспективное обсервационное сплошное когортное исследование включает анализ: заболеваний, обусловивших возникновение первичной инвалидности у 174 детей Сыктывкарской детской поликлинике № 3 и заболеваний, обусловивших возникновение инвалидности у 1690 детей-инвалидов в 2019-2021 гг. Проведён сравнительный анализ: главных нарушений функций в состоянии здоровья детей-инвалидов и ведущих ограничений жизнедеятельности в состоянии здоровья детей-инвалидов. Контрольные группы составили 231 ребёнок «СДП № 3» впервые получивших инвалидность и 1611 пациентов, являвшихся инвалидами в 2011-2018 гг. Рассмотрены результаты анонимного опроса 51-ого официального представителя детей, пациентов «СДП № 3», которые проходили освидетельствование МСЭ, по Анкете «Оценка уровня удовлетворённости граждан качеством предоставления ГУ МСЭ» и 366 отчётов об исполнении мероприятий, предусмотренных ИПРА инвалида (ребёнка-инвалида) 222 детей-инвалидов.
A retrospective observational continuous cohort study includes an analysis of: diseases that caused the onset of primary disability in 174 children of Syktyvkar Children's Clinic № 3 and diseases that caused the onset of disability in 1690 children with disabilities in 2019-2021. A comparative analysis was carried out: the main dysfunctions in the state of health of children with disabilities and the leading limitations of life in the state of health of children with disabilities. (The control groups consisted of 231 children of "SDP No. 3" who received a disability for the first time and 1611 patients who were disabled in 2011-2018.) The results of an anonymous survey of 51 official representatives of children, patients of "SDP No. 3", who were examined by the ITU, were considered, according to the Questionnaire “Assessment of the level of satisfaction of citizens with the quality of the provision of the GU ITU” and 366 reports on the implementation of measures provided for by the IPR of a disabled person (disabled child) 222 disabled children.