Pub Date : 2021-07-01DOI: 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
{"title":"Post-Operative Complications after Thyroid Gland Surgery due to Different Pathologic Condition: A Prospective Study","authors":"Rana Jahangir Alam, M. Salim, Sayem Al Monsur Faizi, Aklima Parvin, Farah Naz Amina, B. Debnath, Ibrahim Siddique","doi":"10.3329/jcamr.v8i2.57437","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57437","url":null,"abstract":"Background: The outcome and complication rates of post-operative cases are largely dependent on different factors. \u0000Objective: The objective of this study was to determine the risk factors responsible for major postoperative complications after thyroid surgery. \u0000Methodology: 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. \u0000Results: 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. \u0000Conclusion: Hypoparathyroidism is a relatively common complication after thyroid surgery. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):119-124","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73027628","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.v8i2.57436
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
{"title":"Comparison of Ultrasonographic Evaluation of Gallbladder Volume in Type II Diabetic Patients with Non-diabetic Healthy Subjects","authors":"Nushrat Jahan Tahnia, Mohammad S Hossain, S. Khan, M. Hossain","doi":"10.3329/jcamr.v8i2.57436","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57436","url":null,"abstract":"Background: Measurement of increased gallbladder volume is necessary for the detection of pathology of gallbladder. \u0000Objective: 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. \u0000Methodology: 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. \u0000Results: 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). \u0000Conclusions: 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. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):114-118","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89366635","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.v8i2.57428
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
{"title":"Scopes and Opportunities of Interventional Radiology in Clinical Settings","authors":"Md. Tariqul Islam","doi":"10.3329/jcamr.v8i2.57428","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57428","url":null,"abstract":"Abstract not available. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):78-79","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87840406","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.v8i2.57430
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
{"title":"Predictors of Post-Operative Acute Kidney Injury in relation with N-Terminal Pro-B-Type Natriuretic Peptide Level among Patients Undergoing Mitral Valve Replacement","authors":"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","doi":"10.3329/jcamr.v8i2.57430","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57430","url":null,"abstract":"Background: The N-terminal Pro-B-type natriuretic peptide (NT-proBNP) level can be utilized as post-operative prediction models suring cardiac surgery. \u0000Objective: 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. \u0000Methodology: 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. \u0000Results: 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. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):85-89","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90687692","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.v8i2.57433
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
{"title":"Clinical Response to Different Medical Treatment Options for Mastalgia in Fibrocystic Breast Disease among Women at a Tertiary Care Hospital in Dhaka City","authors":"Samia Mostary, Md Manir Hossain Khan, M. A. Hossain, T. Maitra","doi":"10.3329/jcamr.v8i2.57433","DOIUrl":"https://doi.org/10.3329/jcamr.v8i2.57433","url":null,"abstract":"Background: Various types of medical management are given for mastalgia in fibrocystic breast disease. \u0000Objective: 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. \u0000Methods: 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. \u0000Results: 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. \u0000Conclusion: In conclusion pharmacological management by Danazol or Bromocriptine has well tolerated to the patients. \u0000Journal of Current and Advance Medical Research, July 2021;8(2):95-99","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90739712","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.v8i2.57432
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":"55 1","pages":""},"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}
Pub Date : 2021-07-01DOI: 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
{"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":"11 1","pages":""},"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}
Pub Date : 2020-10-07DOI: 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
{"title":"Evaluation of an Antibody-Based Test for the Diagnosis of Chikungunya Infection","authors":"M. T. Islam, A. Nessa, Sharmin Sultana, M. Islam, M. F. Rahaman, Mohammad Ehasun Uddin Khan, M Zahid Hasan, M. Atiqul, Haque","doi":"10.3329/jcamr.v7i2.49594","DOIUrl":"https://doi.org/10.3329/jcamr.v7i2.49594","url":null,"abstract":"Background: The diagnosis of chikungunya is confusing due to similar clinical presentations of different viral illnesses. \u0000Objective: The purpose of the present study was to evaluate the accuracy of an antibody-based test for the diagnosis of chikungunya infection \u0000Methodology: 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. \u0000Result: 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. \u0000Conclusion: Antibody-based testing was found not suitable for detecting chikungunya infection during the acute phase of the illness. \u0000Journal of Current and Advance Medical Research 2020;7(2): 68-72","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73422087","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 : 2019-09-05DOI: 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
{"title":"Relationship of Haemoglobin and C Reactive Protein level with Different Types of Heart Failure Patients","authors":"M. Morshed, Joynul Islam, F. Haseen, M. A. Haque, A. R. Amin","doi":"10.3329/jcamr.v6i2.42980","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42980","url":null,"abstract":"Background: Initial level of haemoglobin and CRP level is important issue among the different type of heart failure patients for their in-hospital outcomes. \u0000Objective: The purpose of the present study was to see the relationship of haemoglobin (Hb) and CRP level with different types of heart failure patients. \u0000Methodology: 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. \u0000Result: 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). \u0000Conclusion: In conclusion haemoglobin and CRP level of acute coronary syndrome patients is statistically significantly associated with different types of heart failure \u0000Journal of Current and Advance Medical Research 2019;6(2):101-105","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76844390","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 : 2019-09-05DOI: 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
{"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":"19 1","pages":""},"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}
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