bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predisposing Factors and Pattern of Gingival Recession Among the Patients Attending the Periodontal Department at Dhaka Dental College: An Observational Study
Authors: Rahman Mizanur , Uddin Mohammed Kamal , Rahman Taufiqur 
Published: October 2022

Background: Gingival recession is defined as the displacement of the gingival margin apical to cemento-enamel junction leading to exposure of the root’s surfaces of the teeth. Thus, it creates an aesthetic problem as well as hypersensitivity of the tooth and roots caries. Objectives of this study were to explore the distributions, the severity and contributory factors of the gingival recession. Materials and methods: In this study, we studied 60 patients aged between 14 to 70 years of both sex. The presence of gingival recessions were recorded using Miller`s classification of gingival recession. Chi- square test and Students paired t-test was done to assess the association between dependent and independent variables. Results: In this study, the most frequent gingival recession was found within the age group 20-30. Higher frequency of gingival recession was seen in male (68.33%) compared to female (31.67%). Again, Miller’s class one was the most frequent recession. As a whole, anterior teeth (38%) showed more recession than premolars (25%) and molars (37%) respectively. Plaque accumulation (85%) was found as the most contributory factor for gingival recession. Length of gum recession, before and after scaling, not extending beyond the mucogingival margin were statistically correlated and found significant. Conclusion: The information found in this study would probably help in adopting long term strategies to prevent the occurrence of gingival recession.
JCMCTA 2018 ; 29 (1) : 63-67
Acute Kidney Injury Followed by Paraquat Poisoning With Relative Absence of Pulmonary and Renal Complaints : Story of a Survivor
Authors: Saha Mrinal , Arjumand Merina , Sattar MA , Paul Sujat 
Published: October 2022

A 16 years old girl admitted in the hospital after paraquat ingestion. She had oral ulceration and difficulty in swallowing. All her vital signs were normal including clear both lung fields. After few days, her tongue found coatedwith whitish debris. Her chest X-ray was normal but creatinine was 7.45 mg/dL despite normal urine output. After 2 cycle ofhemo dialysis her creatinine became normal. She had 2 unit of blood transfusion.After 3 weeks of hospital treatments she wasdischarged from hospital with all normal routine investigations including High Resolution Computed Tomography (HRCT) of both lungs. After one month of home stay she was alright on her last follow up.
JCMCTA 2018 ; 29 (1) : 75-77
Prevalence of Breast Cancer at Divisional Level in Bangladesh
Authors: Ahmed Shakera , Azad KAK , Chakraborty Rivu Raj , Sultana Nasrin , Ahmed Farid Uddin 
Published: October 2022

Background : Breast cancer remains a leading dreadful cancer of women in Bangladesh. Lack of screening program is the reason behind this high morbidity and mortality. The Government of Bangladesh (GOB) has taken initiative to develop a breast cancer screening program by Clinical Breast Examination (CBE) throughout the country. But there is almost no information on baseline prevalence of breast cancer in Bangladesh. Moreover, cancer surveillance is a fundamental element of the Cancer Control Strategy. To form a foundation of this surveillance program, the survey was done to determine the breast cancer prevalence in Chittagong Division of Bangladesh. Materials and methods: This cross-sectional population-based survey was conducted by the department of Surgery, Chattogram Medical College Hospital, in Chattogram Division from 01.12.2017 to 31.04.2018. Females willing to participate in the survey were included from 4 Upazilas (Anwara, Boalkhali, Lohagara and Patiya) of Chattogram district. CBE of the study population was performed by trained physicians to identify the suspected positive physical signs for breast carcinoma. These patients were further investigated by FNAC. Data were collected and analyzed. Results: Out of 732 women surveyed, 2 subjects (A crude prevalence rate of 273.22/100,000 women) were finally diagnosed as carcinoma breast and another 29 had benign breast disease. Conclusions: This survey is an initiative towards a large scale itra-divisional epidemiological investigation inBangladesh. The peak of breast cancer incidence in Bangladesh may be 15–20 years before the peak incidence in Western countries, suggesting that more attention should be paid to the premenopausal women.
JCMCTA 2018 ; 29 (2) : 4-8
Comparative Study of Polymerase Chain Reaction And Routine Microbiological Methods for the Diagnosis Of Pneumococcal Meningitis in Csf
Authors: Rozario Diana Thecla D , Akter Nasima , Dewanjee Arup Kanti , Ahmed Shakeel 
Published: October 2022

Background: Bacterial meningitis is an important cause of mortality and long term morbidity. Early and accurate diagnosis of bacterial meningitis is of critical concern. Though bacterial culture is considered as gold standard, this approach has some disadvantages with regard to rapidity and sensitivity. This has motivated the evaluation of alternative diagnostic strategy. This study was performed to compare between Polymerase Chain Reaction (PCR) and conventional methods for the diagnosis of pneumococcal meningitis. Materials and Methods: This cross sectional study was carried out in the Department of Microbiology, Chattogram Medical College for cytological examination, biochemical tests, Gram’s stain, culture, and PCR for lytAgene of S.pneumoniae in CSF. Results: Among the 36 cases of probable bacterial meningitis, culture was positive in 12 (33.33%) and Gram’s stain was positive in 9 (25%) cases. Streptococcus pneumoniaewas the predominent organism detected by isolation in 6(50%). PCR detected 14(46.67%) cases of S. pneumoniae among 30 bacterial meningitis cases. All the culture and Gram’s stain positive cases for Streptococcus pneumoniaewere also positive by PCR. The sensitivity, specificity, positive predictive value and negative predictive value of PCR were 100%, 67%, 43%,100% respectively by using CSF culture as gold standard. Conclusion: PCR was highly sensitive and specific and PCR was found superior to other available methods for detection of bacterial meningitis.
JCMCTA 2018 ; 29 (2) : 16-21
Self-Medication of Antibiotics Among Medical College Students of Chattogram
Authors: Ata Maliha , Khanom Mehrunnissa , Ferdoush Jannatul , Khair Rummana 
Published: October 2022

Background: The study was conducted to observe the prevalence of practice regarding self medication of antibiotics among medical students. Materials and methods: This was a cross-sectional, questionnaire-based study which was conducted among the preclinical phase, paraclinical phase and and clinical phase of medical students of four Medical College and Hospital in Chattogram. Total 120 students of four medical colleges participated in the study. Results: Total 120 undergraduates participated in the study. Among them 48(40%) were male and 72 (60%) were female. The prevalence of selfmedication among the medical students was 90(75%) whereas 30(25%) mentioned that they didn’t follow or encouraged selfmedication. The most important indication for antibiotic self-medication was cough and cold (60%) diarrhea (40%) then sore throat and dental infection (10%). The most common class of antibiotic self-medicated was Metronidazole (60%) followed by Azithromycin (53.33%) Amoxycillin 24(16%) and Erythromycin 20 (16.66%). Conclusions: This questionnaire based study revealed the higher prevalence of self-medication of antibiotics among the undergraduate especially in preclinical phase. The major and important reason for misuse of antibiotics is lack of proper knowledge on antibiotic resistance. It is important to spread the information and knowledge about antibiotic misuse by selfmedication and its consequent effects. Hence, incorporation of chapter in rational use of antibiotics becomes necessary and restrict the curriculum not only in Pharmacology undergraduate medical study but also should be included in the school books that can emphasizes more on the disadvantages of self medication of antibiotic.
JCMCTA 2018 ; 29 (2) : 22-27
Satisfaction Level Among Patients Attending The Dental Out-Patient Department Toward Rendered Dental Health Services
Authors: Rahman Farina , Hoque Afroza , Khanom Mehrunnissa , Mashrur Abu Rushd Md , Hossain Md Amir , Sabuj Md Muslim Uddin , Chowdhury Md Akram Pervez 
Published: October 2022

Background: Patient satisfaction with dental care is an important aspect of the quality of care both in dental hospitals and academic institutions. This study highlighted the area of patients’ satisfaction level at institutional level with available treatment facilities. The objective of the study was to assess the patients’ satisfaction level attending at the dental outpatient department toward dental health services rendered at an academic institution. Materials and methods: This cross-sectional type of observational study was conducted in Dental Unit, Chattogram Medical College, Chattogram from January 2018- June 2018.All together 100 physically and mentally sound adult patients (Visited more than once) who gave consent were interviewed throughout the process at out- patients department using 7-item closed ended questionnaire which included socio-demographic details, appointment schedule, technical competency of dental services, hospital administrative efficiency, hospital set-up environment, dentist- patient interaction and cost-effectiveness by using “Likert Scale”. The data were analyzed using Statistical Package for Social Science (SPSS version 20) which converted to descriptive and inferential statistics and chi square test also done to see the association. Results: Among 100 adult patients 46% were male, 54% were female, 38% belonged to 26- 40 years age group and 9% were over 55 years. Patients with less than graduate or bachelor degree were more satisfied with dental health services (p=0.000) on the mean satisfaction measures by educational level and mean satisfaction score by educational level, on treatment offered was not painful was 2.16 .800 and mean score of satisfaction on dental instruments used were sterilized was 2.48 1.078. Satisfaction with the dentists’ performances showed 34% female were very satisfied regarding offered treatment was not painful, followed by dental assistance services 35% female respondents were very satisfied on dental staff’s friendliness. Hospital setup and administrative efficiency were followed respectively. On the other hand, 17% male respondents were very satisfied with cost of the treatment. Conclusion: Nevertheless, majority of the patients were satisfied with Dentist- Patient interaction, technical competency, hospital setup and environment, hospital administrative efficiency and cost effectiveness of dental services with additional room of improvements with hospital setup and environment are needed.
JCMCTA 2018 ; 29 (2) : 28-34
Biological Monitoring by Serum Choline Esterase In Different Occupational Groups Exposed to Pesticides
Authors: Hossain Md Kamal , Khaled Sayed Abu Naser Md , Hoque Mahmudul 
Published: October 2022

Background: Pesticide are used extensively in agriculture to enhance food production by eradicating unwanted insects. Pesticide can cause harm to human, animals, or the environment. The aim of this study to evaluate the biochemical changes in human of different occupational groups exposed to pesticide. Material and methods: The cross sectional comparative study was conducted in the department of biochemistry Chattogram Medical College, from January 2012 to December 2012. Total 100 subjects who fulfilled the enrollment criteria were included in this study. Among them 60, who were exposed to pesticides were included in group A or case or test subject and 40 who were not exposed to pesticides were included in group B or control. The occupational groups exposed to pesticide were randomly selected on the basis of their active involvement at least 5 years in preparation, storage and spraying of the pesticides. Results : The present study showed that serum Cholinesterase(ChE) was significantly lower in cases than that of control with p= <0.001. In this study observed that 45% cases decreased ChE level. Regarding serum SGPT , it is significantly increase in cases than that of control (45.05 ± 16.08 vs 31.85± 4.25 U/L, p= <0.001). It is also observed that nearly 45% cases increased SGPT and SGOT level in cases( Group A). Conclusion: It was found that there is a significant decrease in serum cholinesterase in insecticide spraying workers while serum SGPT and SGOT were increased in exposed group. It is thus concluded from the findings of the study that clinicians and epidemiologists should advice occupationally exposure group to periodic screening test for serum ChE, SGPT, SGOT to detect the effect of pesticides before adverse health effect to occur.
JCMCTA 2018 ; 29 (2) : 41-46
Change, Persistence and Convergence in NATO Member Defense Spending
Authors: Coggin T. Daniel 
Published: October 2022

This study presents an analysis and quantitative summary of 18 NATO member country defense spending over the period 1953-2020. Using recently developed econometric techniques, we explore the time series properties of change, persistence and convergence in two indicators of NATO defense spending data typically used in the literature: real (2019) US dollars and Percent of GDP. Our two indicator variables display a mix of positive, negative and zero trends over the sample period. The only NATO countries with more than 2% defense spending after the 2006 and 2014 Summits are: Greece, Turkey, UK, USA and Poland. Using the fractional difference-based persistence tests of Martins and Rodrigues, we find only UK, Hungary and Poland dollar Defense Spending reject the null of a constant fractional difference (unit root) for the entire sample period; while seven NATO members reject the null of a constant fractional difference (unit root) for Percent of GDP. The mixed set of positive, negative and zero trends render the popular relative convergence test of Phillips and Sul inappropriate for our data. Using the more appropriate weak sigma-convergence test of Kong, Phillips and Sul, we find mixed evidence for convergence of our indicator variables. Our quantitative results present a mixed picture of statistical consistency and coherence for NATO defense spending. Our tests of persistence suggest major changes in the defense policies and spending of NATO members will have a lasting effect in most cases. The emergence and growth of serious threats and potential threats from Russia (and now potentially China as well) will require the NATO allies to address these issues.
Aptitudes, Capabilities, and Interests of Children with Autism Spectrum Disorder
Authors: Tan Eunice , Poon Kenneth 
Published: October 2022

Some individuals with autism spectrum disorder (ASD), may display some areas of talent that are in contrast with their overall low level of general functioning. The aim of this study was to investigate the frequency of special abilities (aptitudes, capabilities, and interests) in a sample population of individuals with ASD. One in ten persons with ASD has special abilities in varying degrees. Researchers used to consider special abilities unimportant. However, this is an area of research for scientists and educators who are making attempts to understand the complexities and intricacies of the human mind. There have been reports of individuals who have intellectual disabilities and challenges, yet possess extraordinary abilities in reading, arithmetic, calendar calculations, art, or music. The study investigates the percentage and frequency of special abilities as reported by parents and teachers in a sample population of individuals with ASD in Singapore using a quantitative methodology. Parents and teachers were given questionnaires to ascertain this occurrence.
Association between mealtimes of first and last meals and food consumption in pregnant women
Authors: Gotine Ana Raquel Ernesto Manuel , Filgueiras Mariana de Santis , Ribeiro Sarah Aparecida Vieira , Araújo Raquel Maria Amaral , Lopes Leidjaira Juvanhol , Pereira Patrícia Feliciano , Pereira Patrícia Feliciano 
Published: October 2022

Eating an early first meal and a tendency towards morningness have been associated with healthy eating habits. The objective of the study was to investigate the association between mealtimes of first and last meals and food consumption of pregnant women. Methods: A cross-sectional study with 111 pregnant women who use a public health service. Sociodemographic, nutritional and health data were collected from medical records. Food consumption was assessed by habitual dietary intake. Nutritional value was determined with the DietPro® program (version 6.1) and diet quality was assessed through Diet Quality Index Adapted for Brazilian Pregnant Women (IQDAG).. The study was approved by the Research Ethics Committee of Universidade Federal de Viçosa (No. 4.098.560). Results: The mean age was 34.3 (±5.5) years. Pregnant women who had a late first meal and an early last meal (PR:2.55; 95% CI 1.41-4.63) presented a higher prevalence of vitamin B12 deficiency. On the other hand, pregnant women who had a late first meal and an early last meal (PR:4.74; 95%CI 1.50-15.04), and those who had late first and last meals (PR:4.31; 95%CI 1.37; 13.58), presented a higher prevalence of having an inadequate number of meals. Conclusion: Pregnant women who eat late have a higher prevalence of vitamin B12 deficiency and eating ≤3 meals during the day compared to those who eat early. The result reinforces the need for approaches to prenatal care based on mealtimes and nutrition aimed at improving the dietary profile of this population.
Protocolos de avaliação em motricidade orofacial: uma revisão sistemática
Authors: Nunes Eveline de Lima , Menzen Liliane , Cardoso Maria Cristina de Almeida Freitas 
Published: October 2022

Objetivo: Revisar sistematicamente os protocolos de avalição em motricidade orofacial. Método: A pesquisa foi realizada nas bases de dados PubMed, LILACS e SciELO com protocolos publicados nos últimos 15 anos. Os descritores utilizados foram: avaliação; sistema estomatognático; respiração; mastigação; deglutição; fonoaudiologia e seus similares em inglês. Esta revisão sistemática foi conduzida de acordo com as diretrizes do instrumento PRISMA e analisada quanto a sua qualidade pelo instrumento STARD15, com alta concordância entre os juízes. Resultados: Foram elegíveis 12 estudos, na sua maioria desenvolvida no Brasil e junto a uma população entre seis meses e 55 anos de idade e com diferentes objetivos clínicos e conceituais. Os protocolos mais descritos foram o MBGR e o AMIOFE, que apresentam boa sensibilidade e especificidade. Não foi realizado meta-análise. Conclusão: O presente estudo revisou sistematicamente os protocolos de avaliação em motricidade orofacial, e encontrou discrepâncias metodológicas em relação ao tamanho da amostra e aos instrumentos de avaliação utilizados para o diagnóstico dos distúrbios miofuncionais orofaciais.
Mulching de polietileno e fontes de adubo em cafeeiros: efeitos no teor de clorofila, produtividade e qualidade de bebida
Authors: Caixeta Lucas Gomes , Assis Gleice Aparecida , Nascimento Letícia Gonçalves , Fernandes Marco Iony dos Santos , Cota Bruno Marcio Alves , Silva Gustavo Dantas , Silva Neto Rubens da 
Published: October 2022

Na cafeicultura há interesse em reduzir a incidência e custos no manejo de plantas daninhas, sendo o mulching de polietileno uma alternativa promissora, proporcionando aumento da produção e da lucratividade da atividade agrícola. Nesse contexto, este trabalho foi realizado com o objetivo de avaliar o efeito do mulching de polietileno e fontes de adubo nos teores de clorofila, produtividade e qualidade de bebida. O experimento foi instalado na Universidade Federal de Uberlândia, Campus Monte Carmelo. O plantio da lavoura, cultivar IPR 100, foi realizado em fevereiro de 2019, utilizando-se espaçamento de 3,5 m entre linhas e 0,7 m entre plantas e irrigação por gotejamento. O delineamento utilizado foi em blocos casualizados com quatro blocos no esquema fatorial 3 x 2 (cores de mulching x tipos de adubação). O experimento foi constituído de seis tratamentos: (1) mulching branco/preto com adubação convencional; (2) mulching branco/preto com adubação de liberação controlada; (3) mulching prata/preto com adubação convencional; (4) mulching prata/preto com adubação de liberação controlada; (5) ausência de mulching e adubação convencional e (6) ausência de mulching e adubação de liberação controlada. Em 2021, referente à primeira safra da lavoura, foram determinadas a produtividade, o percentual de frutos verdes, verde-cana, cereja, passas e secos, a análise sensorial e a classificação dos grãos quanto ao tamanho e formato. Quanto à utilização do mulching, não houve acréscimo em produtividade de café beneficiado em relação ao tratamento controle, com média de 47 sacas por hectare. O uso do mulching apresentou decréscimo de 14% no teor de clorofila comparado com a testemunha, porém, o mulching acelera a maturação dos frutos com incremento de 17,33% de frutos secos. Não houve diferença significativa na análise sensorial de qualidade de bebida, com média de 81,5 pontos. O mulching apresentou redução de 19,74% para chato graúdo e aumento de 17,82% de chato médio. As fontes de adubo e o mulching não promovem efeito significativo nos parâmetros fitotécnicos do cafeeiro irrigado.
Efeito do uso tópico de óleos essenciais na cicatrização de feridas em humanos: protocolo de revisão sistemática
Authors: Mota Kárita Santos da , Garcia Ana Cláudia Mesquita , Santos Márcia dos , Costa Isabelle Cristinne Pinto 
Published: October 2022

Objetivo: sintetizar as evidências disponíveis na literatura sobre o efeito do uso tópico de óleos essenciais na cicatrização de feridas em humanos. Método: o protocolo dessa revisão sistemática foi desenvolvido conforme o PRISMA for systematic review protocols e está registrado na base de dados PROSPERO (CRD42021269456). A busca dos estudos será realizada nas bases de dados MEDLINE via PubMed, LILACS, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science e Scopus. A busca manual ocorrerá por meio das referências dos estudos selecionados. A literatura cinzenta também será pesquisada. Dois revisores participarão da seleção dos estudos de forma cega e independente. A avaliação do risco de viés será realizada com as ferramentas ROB-2.0 para estudos randomizados e ROBINS-I para os estudos sem randomização. A análise da qualidade da evidência será feita com os instrumentos propostos pelo Joanna Briggs Institute. A análise quantitativa dos estudos incluídos será representada por a metanálise, no entanto, caso não seja viável, os dados serão apresentados mediante análise descritiva. Considerações finais: os resultados dessa revisão sistemática poderão contribuir para a prática baseada em evidência quanto ao uso de óleos essenciais na cicatrização de feridas.