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Post-Operative Complications after Thyroid Gland Surgery due to Different Pathologic Condition: A Prospective Study 不同病理条件下甲状腺手术后并发症的前瞻性研究
Pub Date : 2021-07-01 DOI: 10.3329/jcamr.v8i2.57437
Rana Jahangir Alam, M. Salim, Sayem Al Monsur Faizi, Aklima Parvin, Farah Naz Amina, B. Debnath, Ibrahim Siddique
Background: The outcome and complication rates of post-operative cases are largely dependent on different factors. Objective: The objective of this study was to determine the risk factors responsible for major postoperative complications after thyroid surgery. Methodology: This was a prospective cohort study which was carried out at the Department of Surgery, Bangabandhu Shiekh Mujib Medical University, Dhaka, Bangladesh. Adult patients undergoing elective surgery for various thyroid disorders were selected as study population. This study was carried out from March 2009 to June 2011 for a period of two years. The study was included patients of various thyroid disorders that required surgical intervention of different magnitude. They were evaluated by history, physical examination, biochemical tests, ultrasound scan and FNAC where indicated. Histopathology was done and patients were followed up for subsequent outcome. Results: Among 2(2%) of them developed reactionary haemorrhage. The most common immediate surgical complication following thyroidectomy is hypocalcaemia and 12 patients (12%) experiencing this problem. 11(11%) patients developed transient tetany (hypocalcaemia) on 2nd post-operative day which was improved later on and 1(1%) patient developed permanent hypoparathyroidism and the patient supplemented by vitamin-D more than 6 months follow-up . In this study the mortality rate is 0% and complication rate is acceptable in comparison to other study. Conclusion: Hypoparathyroidism is a relatively common complication after thyroid surgery. Journal of Current and Advance Medical Research, July 2021;8(2):119-124
背景:术后病例的预后和并发症发生率在很大程度上取决于不同的因素。目的:本研究的目的是确定甲状腺手术后主要术后并发症的危险因素。方法:这是一项前瞻性队列研究,在孟加拉国达卡的Bangabandhu sheikh Mujib医科大学外科进行。选择接受选择性手术治疗各种甲状腺疾病的成年患者作为研究人群。本研究于2009年3月至2011年6月进行,为期两年。该研究纳入了需要不同程度手术干预的各种甲状腺疾病患者。通过病史、体格检查、生化检查、超声扫描和FNAC进行评估。行组织病理学检查,随访患者随访结果。结果:2例(2%)发生了反应性出血。甲状腺切除术后最常见的直接手术并发症是低钙血症,12例患者(12%)出现此问题。11例(11%)患者术后第2天出现一过性手足颤(低钙血症),术后改善,1例(1%)患者出现永久性甲状旁腺功能减退,患者补充维生素d超过6个月。与其他研究相比,本研究的死亡率为0%,并发症发生率可接受。结论:甲状旁腺功能减退是甲状腺手术后较为常见的并发症。现代与先进医学研究杂志,2021;8(2):119-124
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引用次数: 0
Comparison of Ultrasonographic Evaluation of Gallbladder Volume in Type II Diabetic Patients with Non-diabetic Healthy Subjects 2型糖尿病患者与非糖尿病健康人胆囊容积超声评价的比较
Pub Date : 2021-07-01 DOI: 10.3329/jcamr.v8i2.57436
Nushrat Jahan Tahnia, Mohammad S Hossain, S. Khan, M. Hossain
Background: Measurement of increased gallbladder volume is necessary for the detection of pathology of gallbladder. Objective: The purpose of the present study was to find out the difference between ultrasonographically measured gall bladder volume in fasting and post prandial states of type II diabetic patients and non-diabetic control subjects. Methodology: This cross-sectional study, carried out department of Radiology and Imaging at Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Hospital, Dhaka, Bangladesh from June 2013 to July 2014. The type II diabetic patients were selected as group A and the healthy individual with age and sex matched were selected as group B. An ultrasonographic evaluation of fasting gallbladder volume and 2 hours after meal was done in all the subjects using a 3.5 MHz transducer. Information was recorded in preformed data collection sheet. Results: There was statistically significant (p<0.001) difference of mean fasting gall bladder volume between diabetic and non-diabetic subjects. The mean postprandial gall bladder volume of type II diabetic patients was significantly higher than that of the non-diabetic controls. By using Karl-Pearson coefficients of correlation it was found that gallbladder enlargement in type II diabetics, was significantly correlated with body mass index (p= 0.05) and systolic blood pressure (p= 0.05). Conclusions: Cholecystomegaly is found in type II diabetics in the present study to a significant degree which is also significantly correlated with body mass index and systolic blood pressure. Journal of Current and Advance Medical Research, July 2021;8(2):114-118
背景:胆囊体积增加的测量是胆囊病理检测的必要条件。目的:探讨2型糖尿病患者与非糖尿病对照组空腹及餐后状态下超声测量胆囊体积的差异。方法:这项横断面研究于2013年6月至2014年7月在孟加拉国达卡的孟加拉国糖尿病、内分泌和代谢疾病研究与康复研究所(BIRDEM)医院放射学和影像学部门进行。选择2型糖尿病患者为A组,选择年龄和性别匹配的健康个体为b组。使用3.5 MHz换能器对所有受试者的空腹胆囊容量和餐后2小时进行超声检查。信息记录在预先制作的数据收集表上。结果:糖尿病患者与非糖尿病患者空腹胆囊平均体积差异有统计学意义(p<0.001)。2型糖尿病患者的平均餐后胆囊体积明显高于非糖尿病对照组。通过卡尔-皮尔森相关系数分析发现,II型糖尿病患者胆囊肿大与体重指数(p= 0.05)和收缩压(p= 0.05)显著相关。结论:本研究中II型糖尿病患者存在显著程度的胆囊畸形,且胆囊畸形与体重指数、收缩压显著相关。现代与先进医学研究杂志,2021;8(2):114-118
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引用次数: 1
Scopes and Opportunities of Interventional Radiology in Clinical Settings 介入放射学在临床环境中的范围和机会
Pub Date : 2021-07-01 DOI: 10.3329/jcamr.v8i2.57428
Md. Tariqul Islam
Abstract not available. Journal of Current and Advance Medical Research, July 2021;8(2):78-79
摘要不可用。现代与先进医学研究杂志,2021;8(2):78-79
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引用次数: 0
Predictors of Post-Operative Acute Kidney Injury in relation with N-Terminal Pro-B-Type Natriuretic Peptide Level among Patients Undergoing Mitral Valve Replacement 二尖瓣置换术患者术后急性肾损伤与n端前b型利钠肽水平相关的预测因素
Pub Date : 2021-07-01 DOI: 10.3329/jcamr.v8i2.57430
M. Hossain, A. Hoque, Tasmin Rubayath, R. Rahman, Abu Shadat Mohammad Saem Khan, Md. Noor-E-Elahi Mozumder, M. Hossain, Imran Ahmed, Muhammad Asif Ahsan Chowdhury, W. Salam
Background: The N-terminal Pro-B-type natriuretic peptide (NT-proBNP) level can be utilized as post-operative prediction models suring cardiac surgery. Objective: The objective was to find out the predictors of post-operative acute kidney injury in relation with N-Terminal Pro-B-Type natriuretic peptide level among mitral valve replacement patients. Methodology: This cross-sectional study was conducted in the Department of Cardiac Surgery at National Institute of Cardiovascular Diseases, Dhaka, Bangladesh from January 2018 to December 2019. Patients with the age of more than or equal to 18 years with both sexes who were underwent mitral valve replacement were selected as study population. Patients were divided into two groups based on pre-operative NT-proBNP level. Post-operatively patients were observed on the basis of post-operative serum creatinine. Results: A total number of 100 patients were recruited for this study of which 50 cases were in group A and the rest of 50 cases were in the group B. Elevated NT-proBNP was the most powerful and independent pre-operative variable in predicting post-operative AKI development (OR 0.999, 95% CI 0.998-1.00) Conclusion: In conclusion elevated NT-proBNP is the most powerful and independent pre-operative variable in predicting post-operative acute kidney injury. Journal of Current and Advance Medical Research, July 2021;8(2):85-89
背景:n端前b型利钠肽(NT-proBNP)水平可作为心脏手术的术后预测模型。目的:探讨二尖瓣置换术后急性肾损伤的预测因素与n端前b型利钠肽水平的关系。方法:本横断面研究于2018年1月至2019年12月在孟加拉国达卡国立心血管疾病研究所心脏外科进行。年龄大于或等于18岁的男女患者均行二尖瓣置换术作为研究人群。根据术前NT-proBNP水平将患者分为两组。术后以患者术后血清肌酐水平观察。结果:本研究共纳入100例患者,其中A组50例,b组50例。NT-proBNP升高是预测术后AKI发生的最有效且独立的术前变量(OR 0.999, 95% CI 0.998-1.00)。结论:NT-proBNP升高是预测术后急性肾损伤最有效且独立的术前变量。现代与先进医学研究杂志,2021;8(2):85-89
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引用次数: 0
Clinical Response to Different Medical Treatment Options for Mastalgia in Fibrocystic Breast Disease among Women at a Tertiary Care Hospital in Dhaka City 达卡市一家三级保健医院对纤维囊性乳腺疾病患者乳腺痛不同治疗方案的临床反应
Pub Date : 2021-07-01 DOI: 10.3329/jcamr.v8i2.57433
Samia Mostary, Md Manir Hossain Khan, M. A. Hossain, T. Maitra
Background: Various types of medical management are given for mastalgia in fibrocystic breast disease. Objective: The aim of this study was to compare the effects of different commonly used medical management options of mastalgia of fibrocystic breast disease on the quality of life of the respondents and their side effects as well. Methods: This prospective longitudinal study was carried out in Out-patients Department of General Surgery, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka, Bangladesh from July 2018 to June 2019. The patients with fibrocystic breast disease were selected according to the eligibility criteria and are allocated to two groups by alternative random selection. In non-pharmacological treatments receiving group, lifestyle modification advices along with Evening Primrose Oil were given. On the other hand, in pharmacological treatment receiving group, Bromocriptine and Danazole were given according to some selection criteria of the patients. Response of treatments to each group & side effects were determined at one month, three months and six months follow up respectively. Results: A total number of 45 patients were recruited for this study. Majority of them presented with cyclical mastalgia (57.78%), bilateral mastalgia (60%) and mastalgia with lumpiness (44.4%). Among the patients who received non- pharmacological treatment, mastalgia improved in 34.78% cases and patients received pharmacological treatment, mastalgia improved in 72.73% cases. Different domains of quality of life were improved significantly in patients who received pharmacological treatment. Conclusion: In conclusion pharmacological management by Danazol or Bromocriptine has well tolerated to the patients. Journal of Current and Advance Medical Research, July 2021;8(2):95-99
背景:纤维囊性乳腺病伴乳痛的治疗方法多种多样。目的:本研究的目的是比较纤维囊性乳腺疾病乳痛的不同常用医疗管理方案对受访者生活质量的影响及其副作用。方法:本前瞻性纵向研究于2018年7月至2019年6月在孟加拉国达卡孟加拉国糖尿病、内分泌和代谢疾病研究与康复研究所(BIRDEM)总医院普通外科门诊进行。根据入选标准选取纤维囊性乳腺疾病患者,采用随机替代法分为两组。非药物治疗组给予生活方式改变建议及月见草油治疗。另一方面,在药物治疗接受组,根据患者的选择标准给予溴隐亭和丹唑。分别于随访1个月、3个月、6个月时观察各组治疗效果及不良反应。结果:本研究共招募了45例患者。以周期性乳痛(57.78%)、双侧乳痛(60%)和肿块性乳痛(44.4%)为主。在接受非药物治疗的患者中,34.78%的患者乳房疼痛得到改善,而接受药物治疗的患者中,72.73%的患者乳房疼痛得到改善。在接受药物治疗的患者中,生活质量的不同领域得到了显著改善。结论:丹那唑或溴隐亭的药物治疗对患者具有良好的耐受性。中华医学杂志,2021;8(2):95-99
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引用次数: 0
Short-Term Outcome of Video Assisted Thoracoscopic Decortication in Empyema Thoracis 视频胸腔镜下胸脓胸去皮术的近期疗效
Pub Date : 2021-07-01 DOI: 10.3329/jcamr.v8i2.57432
Rajib Banik, Akm Akramul Haque, Mobarak Hossain, Apurbo Kumar Choudhary, Mohammad Mahshukur Rahman Chisty, Mohammad Zannatul Rayhan, Avishek Sarker Dhruba
Background: Video-assisted thoracoscopic surgical decortication (VATS Decortication) is one of the technique for treating empyema thoracis. Objective: The purpose of the present study was to assess radiologic and functional short-term outcomes of VATS decortication in comparison with open decortication among empyema thoracis patients. Methodology: This comparative type of observational study was done at Department of Thoracic Surgery at National Institute of Diseases of Chest and Hospital (NIDCH), Dhaka, Bangladesh from July 2018 to June 2019 for a period of one year. Patients with empyema thoracis in stage II or III were included. Short-term outcomes were measured according to collection of chest drain tube in post-operative observational days (PODs), post-operative lung expansion, time taken for chest drain tube removal, postoperative hospital stay and post-operative pain (numeric rating scale) observations up to discharge from hospital. Result: A total number of 70 patients were recruited. The mean age was 36.20 ± 12.50 years. In post-operative phase apical chest drain tube collection followed by VATS procedure was found significantly lower than that of open decortication (2nd POD: p= 0.04; 3rd POD: p =0.039). Both the apical (p=0.001) and basal (p=0.039) chest drain tubes were removed earlier in patients with VATS decortication. Again, patients with VATS decortication had to stay less days in post-operative time (p=0.01). The mean post-operative pain scores was significantly higher among the patients underwent open decortication (p<0.001). Conclusion: VATS decortication has shown better outcome in terms of collection of chest drain tube in post- operative days, time taken for chest drain tube removal, post-operative hospital stay and post-operative pain in managing patients with empyema thoracis. Journal of Current and Advance Medical Research, July 2021;8(2):100-105
背景:电视胸腔镜下手术脱屑是治疗胸脓胸的技术之一。目的:本研究的目的是评估VATS去皮术与开放式去皮术在胸脓肿患者中的放射学和功能短期预后。方法:这项比较类型的观察性研究于2018年7月至2019年6月在孟加拉国达卡国立胸科和医院疾病研究所(NIDCH)胸外科进行,为期一年。包括II期或III期胸脓肿患者。短期结果根据术后观察天数(PODs)收集胸引流管、术后肺扩张、拔胸引流管时间、术后住院时间和术后疼痛(数值评定量表)观察至出院来衡量。结果:共招募患者70例。平均年龄36.20±12.50岁。术后拔胸引流管后行VATS手术明显低于开放式去皮术(第2次POD: p= 0.04;第三次POD: p =0.039)。VATS去皮患者的根尖引流管(p=0.001)和根底引流管(p=0.039)均较早拔除。同样,VATS去皮术患者术后停留时间更短(p=0.01)。开腹去皮术患者的平均术后疼痛评分显著高于开腹去皮术患者(p<0.001)。结论:VATS去皮术在胸脓肿患者术后数日胸引流管收集、拔胸引流管时间、术后住院时间及术后疼痛等方面均有较好的效果。现代与先进医学研究杂志,2021;8(2):100-105
{"title":"Short-Term Outcome of Video Assisted Thoracoscopic Decortication in Empyema Thoracis","authors":"Rajib Banik, Akm Akramul Haque, Mobarak Hossain, Apurbo Kumar Choudhary, Mohammad Mahshukur Rahman Chisty, Mohammad Zannatul Rayhan, Avishek Sarker Dhruba","doi":"10.3329/jcamr.v8i2.57432","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57432","url":null,"abstract":"Background: Video-assisted thoracoscopic surgical decortication (VATS Decortication) is one of the technique for treating empyema thoracis. \u0000Objective: The purpose of the present study was to assess radiologic and functional short-term outcomes of VATS decortication in comparison with open decortication among empyema thoracis patients. \u0000Methodology: This comparative type of observational study was done at Department of Thoracic Surgery at National Institute of Diseases of Chest and Hospital (NIDCH), Dhaka, Bangladesh from July 2018 to June 2019 for a period of one year. Patients with empyema thoracis in stage II or III were included. Short-term outcomes were measured according to collection of chest drain tube in post-operative observational days (PODs), post-operative lung expansion, time taken for chest drain tube removal, postoperative hospital stay and post-operative pain (numeric rating scale) observations up to discharge from hospital. \u0000Result: A total number of 70 patients were recruited. The mean age was 36.20 ± 12.50 years. In post-operative phase apical chest drain tube collection followed by VATS procedure was found significantly lower than that of open decortication (2nd POD: p= 0.04; 3rd POD: p =0.039). Both the apical (p=0.001) and basal (p=0.039) chest drain tubes were removed earlier in patients with VATS decortication. Again, patients with VATS decortication had to stay less days in post-operative time (p=0.01). The mean post-operative pain scores was significantly higher among the patients underwent open decortication (p<0.001). \u0000Conclusion: VATS decortication has shown better outcome in terms of collection of chest drain tube in post- operative days, time taken for chest drain tube removal, post-operative hospital stay and post-operative pain in managing patients with empyema thoracis. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):100-105","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":"76977673","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}
引用次数: 0
Correlation of Serum Magnesium Level and Blood Glucose status among Type 2 Diabetic Patients 2型糖尿病患者血清镁水平与血糖水平的相关性
Pub Date : 2021-07-01 DOI: 10.3329/jcamr.v8i2.57431
K. Hasan, A. Hoque, N. Fatema, M. R. Anwar, A. Bhuiyan, SM Mainul Haque, Ahmadur Rahman
Background: Serum magnesium level is an important electrolytes for the maintenance of haemodynamic of the body. Objective: The purpose of the present study was to correlate the serum magnesium level and blood sugar status. Methodology: This cross sectional study was carried out in the Department of Medicine at Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh from July 2012 to December 2012. All the type 2 diabetic patients admitted in the Department of Medicine in-patient department of ShSMCH who were 18 years and above age with both sexes were included as study population and were designated as group A and non-diabetic patients were included as group B. Blood samples were drawn after an overnight fast for the measurement of fasting blood sugar and serum magnesium. Result: In this present study a total number of 60 patients were enrolled for this study after fulfilling the inclusion and exclusion criteria of which 30 patients were in group A and the rest 30 patients were in group B. The correlation coefficient of FBS and HbA1C with Serum Magnesium level was recorded. The FBS and serum magnesium was negatively correlated to each other significantly which was -0.534. The HbA1C and serum magnesium was negatively correlated to each other significantly which was -0.556. Conclusion: In conclusion the blood sugar level is inversely correlate with the serum magnesium level in type 2 diabetic patients. Journal of Current and Advance Medical Research, July 2021;8(2):106-109
背景:血清镁水平是维持机体血流动力学的重要电解质。目的:探讨血清镁水平与血糖水平的关系。方法:本横断面研究于2012年7月至2012年12月在孟加拉国达卡Shaheed Suhrawardy医学院医院医学部进行。将上海市三院医学部住院部收治的年龄在18岁及以上的男女2型糖尿病患者作为研究人群,设为A组,非糖尿病患者设为b组,禁食过夜后采血测定空腹血糖和血清镁。结果:本研究共纳入60例患者,符合纳入和排除标准,其中a组30例,b组30例。记录FBS、HbA1C与血清镁水平的相关系数。FBS与血清镁呈显著负相关(-0.534)。HbA1C与血清镁呈显著负相关(-0.556)。结论:2型糖尿病患者血糖水平与血镁水平呈负相关。现代与先进医学研究杂志,2021;8(2):106-109
{"title":"Correlation of Serum Magnesium Level and Blood Glucose status among Type 2 Diabetic Patients","authors":"K. Hasan, A. Hoque, N. Fatema, M. R. Anwar, A. Bhuiyan, SM Mainul Haque, Ahmadur Rahman","doi":"10.3329/jcamr.v8i2.57431","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57431","url":null,"abstract":"Background: Serum magnesium level is an important electrolytes for the maintenance of haemodynamic of the body. \u0000Objective: The purpose of the present study was to correlate the serum magnesium level and blood sugar status. \u0000Methodology: This cross sectional study was carried out in the Department of Medicine at Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh from July 2012 to December 2012. All the type 2 diabetic patients admitted in the Department of Medicine in-patient department of ShSMCH who were 18 years and above age with both sexes were included as study population and were designated as group A and non-diabetic patients were included as group B. Blood samples were drawn after an overnight fast for the measurement of fasting blood sugar and serum magnesium. \u0000Result: In this present study a total number of 60 patients were enrolled for this study after fulfilling the inclusion and exclusion criteria of which 30 patients were in group A and the rest 30 patients were in group B. The correlation coefficient of FBS and HbA1C with Serum Magnesium level was recorded. The FBS and serum magnesium was negatively correlated to each other significantly which was -0.534. The HbA1C and serum magnesium was negatively correlated to each other significantly which was -0.556. \u0000Conclusion: In conclusion the blood sugar level is inversely correlate with the serum magnesium level in type 2 diabetic patients. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):106-109","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":"74145294","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}
引用次数: 0
Evaluation of an Antibody-Based Test for the Diagnosis of Chikungunya Infection 一种基于抗体的基孔肯雅热感染诊断试验的评价
Pub Date : 2020-10-07 DOI: 10.3329/jcamr.v7i2.49594
M. T. Islam, A. Nessa, Sharmin Sultana, M. Islam, M. F. Rahaman, Mohammad Ehasun Uddin Khan, M Zahid Hasan, M. Atiqul, Haque
Background: The diagnosis of chikungunya is confusing due to similar clinical presentations of different viral illnesses. Objective: The purpose of the present study was to evaluate the accuracy of an antibody-based test for the diagnosis of chikungunya infection Methodology: This cross-sectional study was conducted at the Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, from July to September 2017 when an outbreak of chikungunya occurred in Bangladesh. Chikungunya patients were evaluated by the IgM antibody test by immunochromatographic method (ICT) during both the early phase and the convalescent-phase. The sensitivity and specificity of the IgM antibody test were estimated considering the polymerase chain reaction (PCR) method as the gold standard. Result: The sensitivity and specificity of the IgM antibody test in the acute phase were 2.7 percent and 79.5 percent, respectively. In contrast, in the convalescence phase, sensitivity and specificity were 86.5 percent and 33.3 percent. Conclusion: Antibody-based testing was found not suitable for detecting chikungunya infection during the acute phase of the illness. Journal of Current and Advance Medical Research 2020;7(2): 68-72
背景:基孔肯雅热的诊断是混乱的,由于类似的临床表现不同的病毒性疾病。目的:本研究的目的是评估基于抗体的基孔肯雅感染诊断检测的准确性。方法:本横断面研究于2017年7月至9月在孟加拉国发生基孔肯雅热暴发时在达卡Bangabandhu Sheikh Mujib医科大学内科进行。采用免疫层析法(ICT)对基孔肯雅热早期和恢复期患者进行IgM抗体检测。以聚合酶链反应(PCR)法为金标准,评估IgM抗体检测的敏感性和特异性。结果:急性期IgM抗体检测的敏感性为2.7%,特异性为79.5%。而恢复期的敏感性和特异性分别为86.5%和33.3%。结论:在基孔肯雅病急性期,抗体检测方法不适用于基孔肯雅病感染的检测。现代医学研究进展2020;7(2):68-72
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引用次数: 0
Relationship of Haemoglobin and C Reactive Protein level with Different Types of Heart Failure Patients 血红蛋白和C反应蛋白水平与不同类型心力衰竭患者的关系
Pub Date : 2019-09-05 DOI: 10.3329/jcamr.v6i2.42980
M. Morshed, Joynul Islam, F. Haseen, M. A. Haque, A. R. Amin
Background: Initial level of haemoglobin and CRP level is important issue among the different type of heart failure patients for their in-hospital outcomes. Objective: The purpose of the present study was to see the relationship of haemoglobin (Hb) and CRP level with different types of heart failure patients. Methodology: This cross-sectional study was conducted in the Department of Cardiology at Mymensingh Medical College, Mymensingh, Bangladesh from December 2010 to November 2011 for a period of two (2) years. Patients of ACS who were presented within 12 hours of chest pain were included as study population. Study population were categorized in four groups according to the level of hemoglobin and C-reactive protein. Blood sample was collected for baseline laboratory investigations like Troponin-I, random blood sugar (RBS), blood urea, serum creatinine, lipid profile, Hemoglobin and CRP level. Sample were then send to standard laboratory/Biochemistry department of MMCH. Result: The mean age of the population was 52.18±8.88 years. Statistically non-significant mean age difference among the groups. Significant difference of mean left ventricular (LV) ejection fraction was found among the groups (p=0.005). Maximum patient in group 1 (48.5%) had ejection fraction in the range of 40 to 50%, compare to group 2(32.0%), group 3 (11.1%) and group 4 (5.8%). The heart failure was statistically significant in Killip class I (p=0.000) and Killip class II (p=0.000). Conclusion: In conclusion haemoglobin and CRP level of acute coronary syndrome patients is statistically significantly associated with different types of heart failure Journal of Current and Advance Medical Research 2019;6(2):101-105
背景:不同类型心力衰竭患者的初始血红蛋白和CRP水平是影响其住院预后的重要因素。目的:探讨血红蛋白(Hb)和CRP水平与不同类型心力衰竭患者的关系。方法:本横断面研究于2010年12月至2011年11月在孟加拉国Mymensingh医学院心内科进行,为期两(2)年。在12小时内出现胸痛的ACS患者被纳入研究人群。根据血红蛋白和c反应蛋白水平将研究人群分为四组。采集血样进行基线实验室检查,如肌钙蛋白- 1、随机血糖(RBS)、尿素、血清肌酐、血脂、血红蛋白和CRP水平。样品送标准实验室/ MMCH生物化学部。结果:人口平均年龄为52.18±8.88岁。组间平均年龄差异无统计学意义。各组左室平均射血分数差异有统计学意义(p=0.005)。第1组最大患者(48.5%)的射血分数在40 ~ 50%之间,而第2组(32.0%)、第3组(11.1%)和第4组(5.8%)。Killip I级(p=0.000)和Killip II级(p=0.000)心力衰竭有统计学意义。结论:结论急性冠状动脉综合征患者血红蛋白、CRP水平与不同类型心力衰竭的相关性有统计学意义[j] . contemporary medicine; 2019;6(2):101-105
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引用次数: 0
Association of Serum Albumin Level in Predicting of Preeclampsia among Pregnant Women in Dhaka City of Bangladesh 血清白蛋白水平与预测孟加拉国达卡孕妇子痫前期的关系
Pub Date : 2019-09-05 DOI: 10.3329/jcamr.v6i2.42976
T. Begum, A. Habib, Shipra Chaudhury, H. Akter, Tahmida Firdousi, F. Hafez, Nur Mohammad, A. R. Amin
Background: Serum albumin level is very important during the pregnancy for the good outcome of delivery. Objective: The purpose of the present study was to see the association of serum albumin level in predicting of preeclampsia among the pregnant women. Methodology: This descriptive cohort study was conducted in the OPD of the Department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2013 to December 2014 for a period of two (2) years. This study was carried on pregnant woman attending in outdoor department of Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh before 20 weeks of pregnancy who were healthy normotensive primigravidae with singleton pregnancy. Healthy normotensive primigravidae with singleton pregnancy were enrolled in this study before 20th weeks and were followed up after 28th weeks of pregnancy. The data of serum albumin in gm/dL before 20th weeks and after 28th weeks of pregnancy were collected. Result: A total number of 75 pregnant women were finally included in this study. PE was identified in 12(16%) women out of 75 patients on the basis of one or more following parameters. Mean serum albumin in 1st visit was 3.84±0.41 gm/dL. No association was found between development of preeclampsia and levels of serum albumin in early trimester of pregnancy (p=0.960). Conclusion: In conclusion serum albumin level is not a predictor of development of preeclampsia among the pregnant women in early stage. Journal of Current and Advance Medical Research 2019;6(2):83-86
背景:妊娠期血清白蛋白水平对分娩的好坏起着至关重要的作用。目的:探讨血清白蛋白水平与孕妇先兆子痫的相关性。方法:这项描述性队列研究于2013年1月至2014年12月在孟加拉国拉杰沙希医学院附属医院妇产科门诊进行,为期两(2)年。本研究的对象是怀孕20周前在孟加拉国拉杰沙希拉杰沙希医学院附属医院室外妇科就诊的健康、血压正常且单胎妊娠的孕妇。选取孕20周前健康、血压正常的单胎妊娠初产妇,孕28周后随访。采集妊娠第20周前和妊娠第28周后血清白蛋白(gm/dL)数据。结果:本研究共纳入75名孕妇。根据以下一个或多个参数,75例患者中有12例(16%)女性确诊为PE。首次就诊时平均血清白蛋白为3.84±0.41 gm/dL。妊娠早期子痫前期的发生与血清白蛋白水平无相关性(p=0.960)。结论:血清白蛋白水平不是早期妊娠妇女子痫前期发展的预测因子。现代医学研究进展,2019;6(2):83-86
{"title":"Association of Serum Albumin Level in Predicting of Preeclampsia among Pregnant Women in Dhaka City of Bangladesh","authors":"T. Begum, A. Habib, Shipra Chaudhury, H. Akter, Tahmida Firdousi, F. Hafez, Nur Mohammad, A. R. Amin","doi":"10.3329/jcamr.v6i2.42976","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42976","url":null,"abstract":"Background: Serum albumin level is very important during the pregnancy for the good outcome of delivery. \u0000Objective: The purpose of the present study was to see the association of serum albumin level in predicting of preeclampsia among the pregnant women. \u0000Methodology: This descriptive cohort study was conducted in the OPD of the Department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2013 to December 2014 for a period of two (2) years. This study was carried on pregnant woman attending in outdoor department of Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh before 20 weeks of pregnancy who were healthy normotensive primigravidae with singleton pregnancy. Healthy normotensive primigravidae with singleton pregnancy were enrolled in this study before 20th weeks and were followed up after 28th weeks of pregnancy. The data of serum albumin in gm/dL before 20th weeks and after 28th weeks of pregnancy were collected. \u0000Result: A total number of 75 pregnant women were finally included in this study. PE was identified in 12(16%) women out of 75 patients on the basis of one or more following parameters. Mean serum albumin in 1st visit was 3.84±0.41 gm/dL. No association was found between development of preeclampsia and levels of serum albumin in early trimester of pregnancy (p=0.960). \u0000Conclusion: In conclusion serum albumin level is not a predictor of development of preeclampsia among the pregnant women in early stage. \u0000Journal of Current and Advance Medical Research 2019;6(2):83-86","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89498064","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}
引用次数: 2
期刊
Journal of Current and Advance Medical Research
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