Pub Date : 2022-05-19DOI: 10.3329/jcamr.v9i1.59738
N. Begum, Iffat Nawshin, Md. Atiqur Rahman
Background: Non-communicable diseases (NCDs) is considered as an emerging public health problem recognized as threats. Objective: The purpose of the present study was to determine the behavioural risk factors of non-communicable diseases (NCD) and socio-demographic factors among rural population in Bangladesh. Methodology: This descriptive type of cross sectional study was conducted among 186 participants who were selected purposively in Keranigonj Upazila of Dhaka District and lasted for 15 days from 15th May to 30th May 2019. The data was collected by using a semi structured questionnaire employing purposive technique. Results: A total number of 186 respondent’s were recruited for this study. Regarding physical activity 118(73.75%) of the respondents do physical work 5 to 10 hours per day. Majority of the respondents (48.92%) use table salt whereas 17(9.13%) cases should not. Regarding smoking among male respondents of 41(53.24%) cases were current smokers. Regarding smokeless tobacco 111(59.67%) respondents were current users 64(34.40%) were non-users. Current study showed 14(18.18%) females and 11(10.09%) males were overweight (BMI>25kg/m2). Knowledge regarding risk factors about NCD study showed that knowledge regarding diabetes, cancer and hypertention respondent gave multiple response. Again 76(40.86%) respondents gave the history excess sweet intake and 69(37.09%) respondents for smoking 17(9.13%) had no idea, 77(41.39%) respondents responed hypertention is due to smoking 42(22.58%) respondents had no knowledge about cancer and 71(38.17%) respondents responsed due to intake of unhealthy diet whereas 58(31.18%) they did not about the risk factor of cancer. Conclusion: The increasing burden of noncommunicable diseases (NCDs) in different population groups urges continuous survey to exclude risk factors. In the study area increasing awareness about NCDs through accepted and appropriate strategies need to be implemented. Journal of Current and Advance Medical Research, January 2022;9(1):9-15
{"title":"Behavioural Risk Factors of Non-Communicable Diseases among Rural Population in a Selected Area of Dhaka City","authors":"N. Begum, Iffat Nawshin, Md. Atiqur Rahman","doi":"10.3329/jcamr.v9i1.59738","DOIUrl":"https://doi.org/10.3329/jcamr.v9i1.59738","url":null,"abstract":"Background: Non-communicable diseases (NCDs) is considered as an emerging public health problem recognized as threats. \u0000Objective: The purpose of the present study was to determine the behavioural risk factors of non-communicable diseases (NCD) and socio-demographic factors among rural population in Bangladesh. \u0000Methodology: This descriptive type of cross sectional study was conducted among 186 participants who were selected purposively in Keranigonj Upazila of Dhaka District and lasted for 15 days from 15th May to 30th May 2019. The data was collected by using a semi structured questionnaire employing purposive technique. \u0000Results: A total number of 186 respondent’s were recruited for this study. Regarding physical activity 118(73.75%) of the respondents do physical work 5 to 10 hours per day. Majority of the respondents (48.92%) use table salt whereas 17(9.13%) cases should not. Regarding smoking among male respondents of 41(53.24%) cases were current smokers. Regarding smokeless tobacco 111(59.67%) respondents were current users 64(34.40%) were non-users. Current study showed 14(18.18%) females and 11(10.09%) males were overweight (BMI>25kg/m2). Knowledge regarding risk factors about NCD study showed that knowledge regarding diabetes, cancer and hypertention respondent gave multiple response. Again 76(40.86%) respondents gave the history excess sweet intake and 69(37.09%) respondents for smoking 17(9.13%) had no idea, 77(41.39%) respondents responed hypertention is due to smoking 42(22.58%) respondents had no knowledge about cancer and 71(38.17%) respondents responsed due to intake of unhealthy diet whereas 58(31.18%) they did not about the risk factor of cancer. \u0000Conclusion: The increasing burden of noncommunicable diseases (NCDs) in different population groups urges continuous survey to exclude risk factors. In the study area increasing awareness about NCDs through accepted and appropriate strategies need to be implemented. \u0000Journal of Current and Advance Medical Research, January 2022;9(1):9-15","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84527074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/jcamr.v9i1.59739
Sadia Israt Zaman, H. Tabassum, Asma Khan, Umme Shaila
Background: Postmenopausal women are prone to osteoporosis due to estrogen deficiency. Objective: The purpose of the present study was to assess the correlation between serum parathyroid hormone level and serum calcium level among pre- and post-menopausal women. Methodology: This cross-sectional study was conducted in the Department of Physiology at Dhaka Medical College, Dhaka, Bangladesh during the period of January 2012 to December 2012. Women were selected from different areas of Dhaka city. Among them, postmenopausal women with age ranging from 50 to 60 years were taken as group A and apparently healthy premenopausal women with age ranging from 20 to 30 years were included as group B for comparison. Serum calcium and parathyroid hormone levels were estimated to assess the hormonal status in both groups. Results: A total number of seventy (70) postmenopausal women with age ranging from 50 to 60 years and duration of menopause was more than one year. Thirty (30) apparently healthy premenopausal women with age ranging from 20 to 30 years with regular menstrual cycle. Correlation between parathyroid hormone with serum calcium was analyzed. In group A, serum parathyroid hormone showed negative correlation with serum Calcium (r= -0.161, p= 0.184) which was statistically non-significant relationship. In group B, serum parathyroid showed positive correlation with serum calcium (r=+0.232, p=0.218) which was statistically non-significant relationship. Conclusion: In conclusion serum calcium is lower and serum parathyroid hormone is higher in postmenopausal women. Journal of Current and Advance Medical Research, January 2022;9(1):16-20
{"title":"Correlation of Serum Parathyroid Hormone and Calcium Level among Pre- and Post-menopausal Women","authors":"Sadia Israt Zaman, H. Tabassum, Asma Khan, Umme Shaila","doi":"10.3329/jcamr.v9i1.59739","DOIUrl":"https://doi.org/10.3329/jcamr.v9i1.59739","url":null,"abstract":"Background: Postmenopausal women are prone to osteoporosis due to estrogen deficiency. \u0000Objective: The purpose of the present study was to assess the correlation between serum parathyroid hormone level and serum calcium level among pre- and post-menopausal women. \u0000Methodology: This cross-sectional study was conducted in the Department of Physiology at Dhaka Medical College, Dhaka, Bangladesh during the period of January 2012 to December 2012. Women were selected from different areas of Dhaka city. Among them, postmenopausal women with age ranging from 50 to 60 years were taken as group A and apparently healthy premenopausal women with age ranging from 20 to 30 years were included as group B for comparison. Serum calcium and parathyroid hormone levels were estimated to assess the hormonal status in both groups. \u0000Results: A total number of seventy (70) postmenopausal women with age ranging from 50 to 60 years and duration of menopause was more than one year. Thirty (30) apparently healthy premenopausal women with age ranging from 20 to 30 years with regular menstrual cycle. Correlation between parathyroid hormone with serum calcium was analyzed. In group A, serum parathyroid hormone showed negative correlation with serum Calcium (r= -0.161, p= 0.184) which was statistically non-significant relationship. In group B, serum parathyroid showed positive correlation with serum calcium (r=+0.232, p=0.218) which was statistically non-significant relationship. \u0000Conclusion: In conclusion serum calcium is lower and serum parathyroid hormone is higher in postmenopausal women. \u0000Journal of Current and Advance Medical Research, January 2022;9(1):16-20","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89537609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/jcamr.v9i1.59736
Omma Hafsa Any
No Abstract Available Journal of Current and Advance Medical Research, January 2022;9(1):1-2
无摘要[j] .中华医学杂志，2022;9(1):1-2
{"title":"Important of Pharmacovigilance in Clinical Practice: Bangladesh Perspective","authors":"Omma Hafsa Any","doi":"10.3329/jcamr.v9i1.59736","DOIUrl":"https://doi.org/10.3329/jcamr.v9i1.59736","url":null,"abstract":"No Abstract Available\u0000Journal of Current and Advance Medical Research, January 2022;9(1):1-2\u0000 ","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72556107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/jcamr.v9i1.59743
Ismat Ara Laizu, L. Banu, Fowzia Abul Fayez
Background: Placenta praevia is a disorder that happens during pregnancy when the placenta is abnormally placed in the lower uterine segment, which at times covers the cervix. Placenta previa may be associated with placenta accreta (PA) or one of its more advanced forms as (placenta increta and percreta). Objective: The purpose of the present study was to evaluate the maternal and neonatal outcomes in patients with placenta previa and placenta accrete. Methodology: This prospective descriptive study was carried out at Different privet chamber in Dhaka City, during study period from January 2018 to December 2019. Among 75 cases (45 had placenta previa and 30 had placenta accrete) diagnosed preoperatively by ultrasound or postoperatively with or without PA. Maternal and neonatal outcomes were evaluated. All intraoperative and postoperative data were reported. The obtained data was analyzed by means of SPSS software (version 23.0) and p<0.05 was taken as the significant level. Results: Cesarean hysterectomy, Urinary tract injuries, EBL, Patients receiving mean transfusion , mean Operative time, Admission to maternity HDU, Admission to ICU and mean Postoperative hospital stay (days) statistically significant (p<0.05), however age, parity and gestational age was not statistically these were significant (p>0.05) between two groups. IUFD was found 1(3.3%) in placenta accrete group but not found in placenta previa group. Neonatal death was found 1(3.3%) in placenta accrete group but not found in placenta previa group. Conclusion: The incidence of both PP and PA is very high in present locality due to increase CS rate. Admission to maternity HDU, admission to ICU and mean Postoperative hospital stay (days) were significantly difference between women with placenta previa (PP) and placenta accreta (PA). Journal of Current and Advance Medical Research, January 2022;9(1):36-41
{"title":"Evaluation of Maternal and Neonatal Outcomes in Pregnant Women with Placenta Previa and Placenta Accreta","authors":"Ismat Ara Laizu, L. Banu, Fowzia Abul Fayez","doi":"10.3329/jcamr.v9i1.59743","DOIUrl":"https://doi.org/10.3329/jcamr.v9i1.59743","url":null,"abstract":"Background: Placenta praevia is a disorder that happens during pregnancy when the placenta is abnormally placed in the lower uterine segment, which at times covers the cervix. Placenta previa may be associated with placenta accreta (PA) or one of its more advanced forms as (placenta increta and percreta). \u0000Objective: The purpose of the present study was to evaluate the maternal and neonatal outcomes in patients with placenta previa and placenta accrete. \u0000Methodology: This prospective descriptive study was carried out at Different privet chamber in Dhaka City, during study period from January 2018 to December 2019. Among 75 cases (45 had placenta previa and 30 had placenta accrete) diagnosed preoperatively by ultrasound or postoperatively with or without PA. Maternal and neonatal outcomes were evaluated. All intraoperative and postoperative data were reported. The obtained data was analyzed by means of SPSS software (version 23.0) and p<0.05 was taken as the significant level. \u0000Results: Cesarean hysterectomy, Urinary tract injuries, EBL, Patients receiving mean transfusion , mean Operative time, Admission to maternity HDU, Admission to ICU and mean Postoperative hospital stay (days) statistically significant (p<0.05), however age, parity and gestational age was not statistically these were significant (p>0.05) between two groups. IUFD was found 1(3.3%) in placenta accrete group but not found in placenta previa group. Neonatal death was found 1(3.3%) in placenta accrete group but not found in placenta previa group. \u0000Conclusion: The incidence of both PP and PA is very high in present locality due to increase CS rate. Admission to maternity HDU, admission to ICU and mean Postoperative hospital stay (days) were significantly difference between women with placenta previa (PP) and placenta accreta (PA). \u0000Journal of Current and Advance Medical Research, January 2022;9(1):36-41","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74732883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/jcamr.v9i1.59740
P. Biswas, Mm Amin, Md Ataul Huq, S. Akter, M. Shamima
Background: Heart failure (HF) is a major public health issue, and it is associated with a high rate of mortality, morbidity, Objective: The purpose of the present study was to assess the demographic and clinical characteristics of the chronic renal disease patient with congestive cardiac failure (CCF). Methodology: This cross-sectional study was carried out in the Department of Medicine and Department of Cardiology in Dhaka Medical College Hospital, Dhaka, Bangladesh for six months after approval of the protocol on patients suffering from CCF. Study population was selected in the study group based on age more than 18 years of both sex and diagnosed case of CCF. Results: A total 100 patients were included and among them majority of the patients were aged between 51 to 60 years (32.0%). Among them 70.0% cases were male and 30.0% cases were female. About 58.0% cases were living in rural area and 46.0% cases of total subjects had a family income of 20,000-40,000 BDT. Co-morbidities of CCF patients of the study population showed that 53% had hypertension, 48% had ischemic heart disease, 34% had DM, 20.0% had dyslipidaemia, 16% had anaemia, 14.0% had asthma or COPD and rest 8% had history of atrial fibrillation. About 100.0% patients had shortness of breath along with 92.0% bilateral basal crepitation on auscultation; 80.0% had orthopnoea and 66.0% had raised JVP with 64.0% bilateral ankle edema. Conclusion: In conclusion males with hypertension and sedentary life style suffer from kidney diseases. Journal of Current and Advance Medical Research, January 2022;9(1):21-25
{"title":"Clinico-Demographic Study of Chronic Renal Disease Patients Presenting with Congestive Cardiac Failure at a Tertiary Level of Hospital in Dhaka City","authors":"P. Biswas, Mm Amin, Md Ataul Huq, S. Akter, M. Shamima","doi":"10.3329/jcamr.v9i1.59740","DOIUrl":"https://doi.org/10.3329/jcamr.v9i1.59740","url":null,"abstract":"Background: Heart failure (HF) is a major public health issue, and it is associated with a high rate of mortality, morbidity, \u0000Objective: The purpose of the present study was to assess the demographic and clinical characteristics of the chronic renal disease patient with congestive cardiac failure (CCF). \u0000Methodology: This cross-sectional study was carried out in the Department of Medicine and Department of Cardiology in Dhaka Medical College Hospital, Dhaka, Bangladesh for six months after approval of the protocol on patients suffering from CCF. Study population was selected in the study group based on age more than 18 years of both sex and diagnosed case of CCF. \u0000Results: A total 100 patients were included and among them majority of the patients were aged between 51 to 60 years (32.0%). Among them 70.0% cases were male and 30.0% cases were female. About 58.0% cases were living in rural area and 46.0% cases of total subjects had a family income of 20,000-40,000 BDT. Co-morbidities of CCF patients of the study population showed that 53% had hypertension, 48% had ischemic heart disease, 34% had DM, 20.0% had dyslipidaemia, 16% had anaemia, 14.0% had asthma or COPD and rest 8% had history of atrial fibrillation. About 100.0% patients had shortness of breath along with 92.0% bilateral basal crepitation on auscultation; 80.0% had orthopnoea and 66.0% had raised JVP with 64.0% bilateral ankle edema. \u0000Conclusion: In conclusion males with hypertension and sedentary life style suffer from kidney diseases. \u0000Journal of Current and Advance Medical Research, January 2022;9(1):21-25","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73584589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/jcamr.v9i1.59737
M. T. Islam, M. A. Haque, Afifa Anjum, A. Nessa, S. E. Rayna, Sharmin Sultana, F. A. Khan, Sharraf Samin, M. Khalequzzaman
Background: Chikungunya virus is common in Bangladesh. Objective: The aim of the study was to estimate the post-outbreak seroprevalence of chikungunya virus infection in a Bangladeshi urban slum population. Methodology: From April to May 2018, a cross-sectional study was conducted in Bauniabadh, an underprivileged slum area in Mirpur Thana (subdistrict), Dhaka, Bangladesh. Randomly selected residents of this area were interviewed and screened for chikungunya IgM and IgG antibodies in sera using the immunochromatographic process. Results: Randomly selected 403 residents were recruited of which 200 cases were male and 203 cases were female. Chikungunya seroprevalence was 4.7% cases with males being more vulnerable than females (6.5% vs. 3.0% ). People over the age of 60 years were found to be infected at a higher rate (7.2%) than people between the ages of 18 and 59 years (5.5%) and those in the pediatric age group (1%). During the outbreak, 22% of patients with joint pain and 17% with fever were diagnosed as having chikungunya. Conclusion Urban slum people, especially the elderly, are affected by chikungunya outbreak in Bangladesh characterized by fever and joint pain. Journal of Current and Advance Medical Research, January 2022;9(1):3-8
{"title":"Seroprevalence of Chikungunya Virus Infection in an Urban Slum Population of Bangladesh: A Cross-Sectional Study","authors":"M. T. Islam, M. A. Haque, Afifa Anjum, A. Nessa, S. E. Rayna, Sharmin Sultana, F. A. Khan, Sharraf Samin, M. Khalequzzaman","doi":"10.3329/jcamr.v9i1.59737","DOIUrl":"https://doi.org/10.3329/jcamr.v9i1.59737","url":null,"abstract":"Background: Chikungunya virus is common in Bangladesh.\u0000Objective: The aim of the study was to estimate the post-outbreak seroprevalence of chikungunya virus infection in a Bangladeshi urban slum population.\u0000Methodology: From April to May 2018, a cross-sectional study was conducted in Bauniabadh, an underprivileged slum area in Mirpur Thana (subdistrict), Dhaka, Bangladesh. Randomly selected residents of this area were interviewed and screened for chikungunya IgM and IgG antibodies in sera using the immunochromatographic process.\u0000Results: Randomly selected 403 residents were recruited of which 200 cases were male and 203 cases were female. Chikungunya seroprevalence was 4.7% cases with males being more vulnerable than females (6.5% vs. 3.0% ). People over the age of 60 years were found to be infected at a higher rate (7.2%) than people between the ages of 18 and 59 years (5.5%) and those in the pediatric age group (1%). During the outbreak, 22% of patients with joint pain and 17% with fever were diagnosed as having chikungunya. Conclusion Urban slum people, especially the elderly, are affected by chikungunya outbreak in Bangladesh characterized by fever and joint pain.\u0000Journal of Current and Advance Medical Research, January 2022;9(1):3-8","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83043721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/jcamr.v9i1.59745
S. K. Sarker, M. Salim, M. Hossain, B. Mandal
Background: Snake bite and the subsequent envenomation is an important health hazard which may lead to fatality in rural areas of Bangladesh. Objective: This study was conducted to evaluate the epidemiology, clinical profile, treatment and outcome for patients with snake bite admitted in the intensive care unit of Dhaka Medical College Hospital, Bangladesh. Methodology: This prospective cohort study was conducted in the Department of Anaesthesia, Analgesia, Palliative and Intensive Care Medicine, Dhaka Medical College, Dhaka, Bangladesh from May 2019 to April 2020 for a period one year. The patients of snake bite were treated in the Intensive care unit, Dhaka Medical College Hospital, Dhaka, Bangladesh. A questionnaire, containing information on bite, physical examination and identification of snake was used. Results: A total number of 23 patients of snake bite were treated in the Intensive care unit. Among the patients, 16 (69.56%) were bitten by cobra, 2 (8.6%) were suspected to be bitten by krait and 5(21.7%) cases had Russel viper bite. Tight tourniquet was used in 15(65.21%) cases. Among the patients 18(78.26%) patients were observed with the features of neurotoxicity with or without local envenoming. Among all patients, one patient required two doses of ASV, another patient needed 3 doses; but the other patients were found to be improved after getting a single dose of ASV. However, 15 patients needed ventilator support. The mean duration of ventilator support was 4.8 days. The mortality was 30.43% (7 patients). Out of these 7 patients, 4 patients died due to acute renal failure with DIC. Conclusion: Neuroparalytic Cobra envenomation is accounted for the highest incidence of venomous bites in the present study. Journal of Current and Advance Medical Research, January 2022;9(1):48-55
{"title":"Snake Envenomation in the Intensive Care Unit of a Tertiary Care Hospital, Dhaka, Bangladesh: A Prospective Cohort Study","authors":"S. K. Sarker, M. Salim, M. Hossain, B. Mandal","doi":"10.3329/jcamr.v9i1.59745","DOIUrl":"https://doi.org/10.3329/jcamr.v9i1.59745","url":null,"abstract":"Background: Snake bite and the subsequent envenomation is an important health hazard which may lead to fatality in rural areas of Bangladesh. \u0000Objective: This study was conducted to evaluate the epidemiology, clinical profile, treatment and outcome for patients with snake bite admitted in the intensive care unit of Dhaka Medical College Hospital, Bangladesh. \u0000Methodology: This prospective cohort study was conducted in the Department of Anaesthesia, Analgesia, Palliative and Intensive Care Medicine, Dhaka Medical College, Dhaka, Bangladesh from May 2019 to April 2020 for a period one year. The patients of snake bite were treated in the Intensive care unit, Dhaka Medical College Hospital, Dhaka, Bangladesh. A questionnaire, containing information on bite, physical examination and identification of snake was used. \u0000Results: A total number of 23 patients of snake bite were treated in the Intensive care unit. Among the patients, 16 (69.56%) were bitten by cobra, 2 (8.6%) were suspected to be bitten by krait and 5(21.7%) cases had Russel viper bite. Tight tourniquet was used in 15(65.21%) cases. Among the patients 18(78.26%) patients were observed with the features of neurotoxicity with or without local envenoming. Among all patients, one patient required two doses of ASV, another patient needed 3 doses; but the other patients were found to be improved after getting a single dose of ASV. However, 15 patients needed ventilator support. The mean duration of ventilator support was 4.8 days. The mortality was 30.43% (7 patients). Out of these 7 patients, 4 patients died due to acute renal failure with DIC. \u0000Conclusion: Neuroparalytic Cobra envenomation is accounted for the highest incidence of venomous bites in the present study. \u0000Journal of Current and Advance Medical Research, January 2022;9(1):48-55","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84128240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.3329/jcamr.v8i2.57434
Tahmina Ahmed, Md Nazmul Haque, B. Debnath, S. Begum
Background: Bangladesh is one of the developing countries where the maternal mortality is extraordinarily high. Objectives: This study was conducted to find out the number and cause of obstetric haemorrhage related maternal death. Methodology: This retrospective study was conducted in the department of obstetrics & gynaecology at M.A.G Osmani Medical College Hospital, Sylhet, Bangladesh from January 2006 to December 2007. From all maternal deaths related to pregnancy occurred in that period, only death due to obstetric hemorrhage were enrolled. Thereafter, the records of hemorrhage related death patients were scrutinized and data were collected from death register. All necessary information was collected in a pre-designed clinical data sheet and analyzed. Results: Among all deaths in obstetric unit, maternal mortality due to obstetric haemorrhage was 32.09%. The deaths were common among multipara (3-4) in 26-30 years age group. Most of them were from lower socio-economic condition having no or irregular antenatal checkup. Among the causes of obstetric haemorrhage, PPH was the commonest. Atonic uterus was the main cause of PPH. Injudicious use of oxytocin and obstructed labour were the common cause of rupture of uterus. Although the causes of haemorrhage were different, most of the patients died due to haemorrhagic shock. Conclusion: This study helps to detect the magnitude of problem and major causes of maternal deaths specially haemorrhage related maternal deaths. Journal of Current and Advance Medical Research, July 2021;8(2):90-94
{"title":"Obstetric Haemorrhage Related Maternal Mortality: A Two-Year Experience at a Teaching Hospital in Bangladesh","authors":"Tahmina Ahmed, Md Nazmul Haque, B. Debnath, S. Begum","doi":"10.3329/jcamr.v8i2.57434","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57434","url":null,"abstract":"Background: Bangladesh is one of the developing countries where the maternal mortality is extraordinarily high. \u0000Objectives: This study was conducted to find out the number and cause of obstetric haemorrhage related maternal death. \u0000Methodology: This retrospective study was conducted in the department of obstetrics & gynaecology at M.A.G Osmani Medical College Hospital, Sylhet, Bangladesh from January 2006 to December 2007. From all maternal deaths related to pregnancy occurred in that period, only death due to obstetric hemorrhage were enrolled. Thereafter, the records of hemorrhage related death patients were scrutinized and data were collected from death register. All necessary information was collected in a pre-designed clinical data sheet and analyzed. \u0000Results: Among all deaths in obstetric unit, maternal mortality due to obstetric haemorrhage was 32.09%. The deaths were common among multipara (3-4) in 26-30 years age group. Most of them were from lower socio-economic condition having no or irregular antenatal checkup. Among the causes of obstetric haemorrhage, PPH was the commonest. Atonic uterus was the main cause of PPH. Injudicious use of oxytocin and obstructed labour were the common cause of rupture of uterus. Although the causes of haemorrhage were different, most of the patients died due to haemorrhagic shock. \u0000Conclusion: This study helps to detect the magnitude of problem and major causes of maternal deaths specially haemorrhage related maternal deaths. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):90-94","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75053106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.3329/jcamr.v8i2.57429
M. Shirin, S. Azad, F. Alam, M. Islam
Background: Magnetic resonance imaging is a very useful diagnostic tool for the detection of abnormalities of injured knee joint. Objective: This present study was performed to see the different abnormalities of injured knee joint detected by MRI among adult patients. Methodology: This cross-sectional study was conducted in the Department of Radiology and Imaging at Bangabandhu Sheikh Mujib Medical University (BSSMU), Dhaka, Bangladesh from January to June 2021 for a period of six months. The patients in the age group of equal or more than 18 years with both male and female who were visiting Department of Orthopaedics at BSMMU, Dhaka with history of knee injuries were subjected to MRI were selected as study population. MRI findings of the knee joint were analyzed for the presence of any signal changes or lesions of varying severity for the structures of menisci, cartilage, bone marrow, tendons and ligaments of injured knee joint. Results: A total number of 65 cases of knee joints were analyzed. The mean with the SD of age of the study population was 35.34±13.371. The left knee (60.0%) was more involved than right knee (40.0%). The lesion in femur and tibia were found in 10(15.4%) cases and 8(12.3%) cases respectively. Out of 65 knee joints there were 41 joints were found the tear of anterior cruciate ligament. The complete, interstial tear in the anterior cruciate ligaments were 26(40.0%) and 15(23.1%) knee joints respectively. However, anterior cruciate ligaments of 24(36.9%) knee joints were found normal. Medial meniscus (36.9%) was more involved than lateral meniscus (18.5%). Conclusion: In conclusion young adult male are more commonly affected their left knee joint with the tearing of complete tear of anterior cruciate ligaments and involvement of medial meniscus. Journal of Current and Advance Medical Research, July 2021;8(2):80-84
{"title":"Prevalence and Structural Abnormal Findings of Injured Knee Joint among Adult Patients detected by Magnetic Resonance Imaging Study of 70 Cases in a tertiary hospital of Bangladesh","authors":"M. Shirin, S. Azad, F. Alam, M. Islam","doi":"10.3329/jcamr.v8i2.57429","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57429","url":null,"abstract":"Background: Magnetic resonance imaging is a very useful diagnostic tool for the detection of abnormalities of injured knee joint. \u0000Objective: This present study was performed to see the different abnormalities of injured knee joint detected by MRI among adult patients. \u0000Methodology: This cross-sectional study was conducted in the Department of Radiology and Imaging at Bangabandhu Sheikh Mujib Medical University (BSSMU), Dhaka, Bangladesh from January to June 2021 for a period of six months. The patients in the age group of equal or more than 18 years with both male and female who were visiting Department of Orthopaedics at BSMMU, Dhaka with history of knee injuries were subjected to MRI were selected as study population. MRI findings of the knee joint were analyzed for the presence of any signal changes or lesions of varying severity for the structures of menisci, cartilage, bone marrow, tendons and ligaments of injured knee joint. \u0000Results: A total number of 65 cases of knee joints were analyzed. The mean with the SD of age of the study population was 35.34±13.371. The left knee (60.0%) was more involved than right knee (40.0%). The lesion in femur and tibia were found in 10(15.4%) cases and 8(12.3%) cases respectively. Out of 65 knee joints there were 41 joints were found the tear of anterior cruciate ligament. The complete, interstial tear in the anterior cruciate ligaments were 26(40.0%) and 15(23.1%) knee joints respectively. However, anterior cruciate ligaments of 24(36.9%) knee joints were found normal. Medial meniscus (36.9%) was more involved than lateral meniscus (18.5%). \u0000Conclusion: In conclusion young adult male are more commonly affected their left knee joint with the tearing of complete tear of anterior cruciate ligaments and involvement of medial meniscus. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):80-84","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75627549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.3329/jcamr.v8i2.57438
A. F. Hoque, M. Mazumder, Omma Hafsa Any, Sharna Moin, R. Gupta, Shahadat Hossain Polash, Rajan Mondol, Sheikh Ul Alam
Background: Weaning of a patient from mechanical ventilation is very important for the outcomes of the patients. Objective: The purpose of the study was to evaluate the serum level of BNP before and after 2hours of spontaneous breathing trial (SBT) among patients under mechanical ventilation. Methodology: This prospective cohort study was conducted in the Department of Anesthesia, Analgesia and Intensive Care Medicine at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh over a period of 2 years. Study population was selected for weaning from mechanical ventilation support for the first time in the age group of more than 18 years with both sexes. Plasma BNP level of all patients was measured before and after 2 hours of spontaneous breathing trial. Results: A total number of 30 patients were recruited for this study. One-third (33.3%) of the patients failed on SBT. The mean percent changes of BNP (pg/ml) during 2-h of SBT in weaning success and failure groups were 38.41±9.379 and 59.51±2.940 respectively (p=0.01). The receiver-operating characteristic curve analysis for BNP as a predictor of weaning outcome, showed that the area under the curve (AUC) was 0.89. Conclusion: In conclusion BNP is currently a good predictor of different cardiac diseases. Journal of Current and Advance Medical Research, July 2021;8(2):125-129
{"title":"Role of Serum B-type Natriuretic Peptide before and after 2hours of Spontaneous Breathing Trial among Patients under Mechanical Ventilation","authors":"A. F. Hoque, M. Mazumder, Omma Hafsa Any, Sharna Moin, R. Gupta, Shahadat Hossain Polash, Rajan Mondol, Sheikh Ul Alam","doi":"10.3329/jcamr.v8i2.57438","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57438","url":null,"abstract":"Background: Weaning of a patient from mechanical ventilation is very important for the outcomes of the patients. \u0000Objective: The purpose of the study was to evaluate the serum level of BNP before and after 2hours of spontaneous breathing trial (SBT) among patients under mechanical ventilation. \u0000Methodology: This prospective cohort study was conducted in the Department of Anesthesia, Analgesia and Intensive Care Medicine at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh over a period of 2 years. Study population was selected for weaning from mechanical ventilation support for the first time in the age group of more than 18 years with both sexes. Plasma BNP level of all patients was measured before and after 2 hours of spontaneous breathing trial. \u0000Results: A total number of 30 patients were recruited for this study. One-third (33.3%) of the patients failed on SBT. The mean percent changes of BNP (pg/ml) during 2-h of SBT in weaning success and failure groups were 38.41±9.379 and 59.51±2.940 respectively (p=0.01). The receiver-operating characteristic curve analysis for BNP as a predictor of weaning outcome, showed that the area under the curve (AUC) was 0.89. \u0000Conclusion: In conclusion BNP is currently a good predictor of different cardiac diseases. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):125-129","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80274739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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