Pub Date : 2019-09-05DOI: 10.3329/jcamr.v6i2.42979
A. Sharif, R. Islam, G. Faruque, Rashida Akter Khanam, Mohammmad Main Uddin, A. Yusuf
Background: Thyroid swelling was found in different clinical presentation and demographic characteristics. Objective: The purpose of the present study was to see the clinical and demographic characteristics as well as the surgical outcomes of thyroid swelling patient. Methodology: The study was conducted at Mugda Medical College Hospital, Dhaka during the period of April 2017 to March 2018. The diagnosis of thyroid swelling was based on detailed history, thorough clinical examination and relevant investigations, Ultrasonogram and fine needle aspiration cytology (FNAC). All the patients were undergone surgical management and the outcomes were recorded. All the data were compiled and tabulated in order o obtained a statistical and comprehensive results of the study. Results: A total number of 45 patients were recruited for this study after fulfilling the inclusion and exclusion criteria. This study shows age of the patients ranged from 17 years to 65 years. The highest number of cases (35.6%) belongs to the age group of 31 to 40 years followed by 20% in the age group of 21 to 30 years. Female were higher in frequency (95.6) than male (4.4%). Most of the patients (54%) were from poor socio-economic status. The most common indication were nodular goiter (80%), papillary 13.3%, follicular adenoma 4.4%, and medullary (2.2%). In this study most of the findings showed solid mass in the thyroid gland (55.6%). In this series hemithyroidectomy carried out in 68.9% patients and occupied the top of the list followed by subtotal 22.2%. In this study highest number of complications were recurrent laryngeal nerve paralysis (8.9%). Conclusion: Young adult female patient is most commonly affected by thyroid swelling and mostly are benign nodular type goiter Journal of Current and Advance Medical Research 2019;6(2):97-100
背景:甲状腺肿胀有不同的临床表现和人口学特征。目的:了解甲状腺肿大患者的临床、人口学特征及手术效果。方法:研究于2017年4月至2018年3月在达卡Mugda医学院医院进行。甲状腺肿胀的诊断基于详细的病史、彻底的临床检查和相关调查、超声检查和细针穿刺细胞学检查(FNAC)。所有患者均接受手术治疗并记录结果。为了对研究结果进行统计和综合分析，对所有数据进行整理和制表。结果:在满足纳入和排除标准后，本研究共招募了45例患者。本研究显示患者年龄从17岁到65岁不等。31至40岁年龄组的病例数最多(35.6%)，其次是21至30岁年龄组，占20%。女性(95.6)高于男性(4.4%)。大多数患者(54%)来自社会经济地位较差的家庭。最常见的适应症是结节性甲状腺肿(80%)、乳头状腺瘤(13.3%)、滤泡性腺瘤(4.4%)和髓样腺瘤(2.2%)。在本研究中，大多数表现为甲状腺实性肿块(55.6%)。在本系列中，有68.9%的患者进行了甲状腺切除术，并占据榜首，其次是小计22.2%。本研究中并发症发生率最高的是喉返神经麻痹(8.9%)。结论:青壮年女性患者以甲状腺肿大最为常见，且多为良性结节型甲状腺肿;contemporary and Advance Medical Research; 2019;6(2):97-100
{"title":"Clinico-Demographic Characteristics and Surgical Outcomes of Thyroid Swelling Patient Attended at a Tertiary Care Hospital in Dhaka City","authors":"A. Sharif, R. Islam, G. Faruque, Rashida Akter Khanam, Mohammmad Main Uddin, A. Yusuf","doi":"10.3329/jcamr.v6i2.42979","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42979","url":null,"abstract":"Background: Thyroid swelling was found in different clinical presentation and demographic characteristics. \u0000Objective: The purpose of the present study was to see the clinical and demographic characteristics as well as the surgical outcomes of thyroid swelling patient. \u0000Methodology: The study was conducted at Mugda Medical College Hospital, Dhaka during the period of April 2017 to March 2018. The diagnosis of thyroid swelling was based on detailed history, thorough clinical examination and relevant investigations, Ultrasonogram and fine needle aspiration cytology (FNAC). All the patients were undergone surgical management and the outcomes were recorded. All the data were compiled and tabulated in order o obtained a statistical and comprehensive results of the study. \u0000Results: A total number of 45 patients were recruited for this study after fulfilling the inclusion and exclusion criteria. This study shows age of the patients ranged from 17 years to 65 years. The highest number of cases (35.6%) belongs to the age group of 31 to 40 years followed by 20% in the age group of 21 to 30 years. Female were higher in frequency (95.6) than male (4.4%). Most of the patients (54%) were from poor socio-economic status. The most common indication were nodular goiter (80%), papillary 13.3%, follicular adenoma 4.4%, and medullary (2.2%). In this study most of the findings showed solid mass in the thyroid gland (55.6%). In this series hemithyroidectomy carried out in 68.9% patients and occupied the top of the list followed by subtotal 22.2%. In this study highest number of complications were recurrent laryngeal nerve paralysis (8.9%). \u0000Conclusion: Young adult female patient is most commonly affected by thyroid swelling and mostly are benign nodular type goiter \u0000Journal of Current and Advance Medical Research 2019;6(2):97-100","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":"87412173","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.v6i2.42978
Tahmida Firdousi, T. Begum, F. Hafez, Nur Mohammad, Ashfaq Ahmad, A. R. Amin
Background: Comparison of foetal weight detection between clinical examination and ultrasonography is very important. Objective: The purpose of the present study was to compare the detection of foetal weight between clinical examination and ultrasonography. Methodology: This cross-sectional comparative study was carried out in the Department of Obstetrics & Gynaecology at Rajshahi Medical Hospital Hospital (RMCH), Rajshahi, Bangladesh from July 2012 to June 2014 for a period of 2(two) years. Pregnant women with known gestational age at term (38 to 40 weeks of pregnancy), singleton pregnancy with longitudinal lie were included in this study. The clinical estimation of foetal weight was done. Foetal weight was estimated by using Johnson’s formula. The patient was then taken to Dept. of Radiology & Imaging, RMCH. Ultrasonographic estimation of foetal weight was done from estimation of foetal abdominal circumference (AC), biparietal diameter (BPD) and foetal femur length (FL). All the weights measured by ultrasound were recorded in the data sheet. Result: A total number of 245 pregnant women in term pregnancy were recruited as per inclusion and exclusion criteria. Table 1 shows age distribution of the study subjects. The mean age was 26.42 (SD ± 4.46). Low birth weight was found 12(4.9%) cases in ultrasonographic examination and 14(5.7%) cases in clinical measurement. Overweight was found 13(5.2%) cases in ultrasonographic examination and 16(6.5%) cases in clinical measurement. The mean with SD of birth weight among the study population were 3283.27±461.05 gram and 2870.41±424.84 gram in clinical and Ultrasonographic examination respectively (p < 0.05). Conclusion: In conclusion clinical estimation of foetal weight is significant differed with the measurement of USG. Journal of Current and Advance Medical Research 2019;6(2):92-96
背景:临床检查与超声检查胎儿体重的比较具有重要意义。目的:比较临床检查和超声检查对胎儿体重的检测效果。方法:本横断面比较研究于2012年7月至2014年6月在孟加拉国拉杰沙希拉杰沙希医疗医院(RMCH)妇产科进行，为期2年。已知足月孕周(38 - 40周)的孕妇，单胎纵向妊娠的孕妇被纳入本研究。对胎儿体重进行临床估计。胎儿体重是用约翰逊公式估计的。随后，患者被送至RMCH放射与影像科。通过胎儿腹围(AC)、胎儿双顶径(BPD)和胎儿股骨长(FL)的超声估计胎儿体重。所有超声测量的体重都记录在数据表上。结果:按纳入和排除标准共纳入足月妊娠孕妇245例。表1显示了研究对象的年龄分布。平均年龄26.42岁(SD±4.46)。超声检查低出生体重12例(4.9%)，临床测量低出生体重14例(5.7%)。超声检查超重13例(5.2%)，临床测量超重16例(6.5%)。研究人群出生体重的临床和超声检查平均SD分别为3283.27±461.05 g和2870.41±424.84 g (p < 0.05)。结论:临床对胎儿体重的估计与USG测量有显著差异。现代医学研究进展2019;6(2):92-96
{"title":"Comparison of Clinical Foetal Weight and Ultrasonography Detected Foetal Weight","authors":"Tahmida Firdousi, T. Begum, F. Hafez, Nur Mohammad, Ashfaq Ahmad, A. R. Amin","doi":"10.3329/jcamr.v6i2.42978","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42978","url":null,"abstract":"Background: Comparison of foetal weight detection between clinical examination and ultrasonography is very important. Objective: The purpose of the present study was to compare the detection of foetal weight between clinical examination and ultrasonography. \u0000Methodology: This cross-sectional comparative study was carried out in the Department of Obstetrics & Gynaecology at Rajshahi Medical Hospital Hospital (RMCH), Rajshahi, Bangladesh from July 2012 to June 2014 for a period of 2(two) years. Pregnant women with known gestational age at term (38 to 40 weeks of pregnancy), singleton pregnancy with longitudinal lie were included in this study. The clinical estimation of foetal weight was done. Foetal weight was estimated by using Johnson’s formula. The patient was then taken to Dept. of Radiology & Imaging, RMCH. Ultrasonographic estimation of foetal weight was done from estimation of foetal abdominal circumference (AC), biparietal diameter (BPD) and foetal femur length (FL). All the weights measured by ultrasound were recorded in the data sheet. \u0000Result: A total number of 245 pregnant women in term pregnancy were recruited as per inclusion and exclusion criteria. Table 1 shows age distribution of the study subjects. The mean age was 26.42 (SD ± 4.46). Low birth weight was found 12(4.9%) cases in ultrasonographic examination and 14(5.7%) cases in clinical measurement. Overweight was found 13(5.2%) cases in ultrasonographic examination and 16(6.5%) cases in clinical measurement. The mean with SD of birth weight among the study population were 3283.27±461.05 gram and 2870.41±424.84 gram in clinical and Ultrasonographic examination respectively (p < 0.05). \u0000Conclusion: In conclusion clinical estimation of foetal weight is significant differed with the measurement of USG. \u0000Journal of Current and Advance Medical Research 2019;6(2):92-96","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":"86865316","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}
Background: Several female factors are related with the cause of infertility. Objectives: The purpose of the present study was to assess female factors related with infertility and their pregnancy outcome after intrauterine insemination. Methodology: This prospective cohort study was carried out at a private infertility centre (Central Hospital Limited, Dhaka) in Dhaka city of Bangladesh from January 2012 to December 2017 for a period of 6 years. Infertile couples who already had undergone natural cycles of super-ovulation for six months or whose duration of infertility was more than one year were included. Infertile women were evaluated and the causes of infertility were assessed. The follow up was performed to see the pregnancy outcome. Result: A total number of 790 women were recruited. The mean age with standard deviation of study population was 28.94±5.386 years. Among 790 infertile women 12 women were become pregnant after IUI. Among these 12 women female factors of infertility was present in 8(66.7%) cases and the rest 4(33.3%) cases were absent. However, 778 women could not pregnant after IUI and among these 277(35.6%) cases had the presence of female factors and the rest 501(64.4%) cases had absence of female infertility causes. The presence of female factor had 3.62 (95% CI 1.08-12.12) times more risk to become pregnant among the infertile women after IUI (p=0.026). Among 790 infertile women 285(36.1%) women had presence of female infertility factors. Conclusion: In conclusion female factors are significantly related with infertility and their pregnancy outcome after intrauterine insemination. Journal of Current and Advance Medical Research 2019;6(2):87-91
背景:一些女性因素与不孕症的病因有关。目的:本研究的目的是评估与不孕相关的女性因素及其宫内人工授精后的妊娠结局。方法:这项前瞻性队列研究于2012年1月至2017年12月在孟加拉国达喀市的一家私人不孕不育中心(达卡中央医院有限公司)进行，为期6年。已经经历了六个月自然超排卵周期或不孕持续时间超过一年的不孕夫妇被纳入研究范围。对不孕妇女进行评估，并对不孕原因进行评估。随访观察妊娠结局。结果:共招募790名女性。研究人群的平均年龄(标准差)为28.94±5.386岁。在790名不孕妇女中，12名妇女在IUI后怀孕。12例患者中有8例(66.7%)存在女性不孕因素，其余4例(33.3%)不存在。778例患者经IUI后不能怀孕，其中女性因素277例(35.6%)，无女性不孕原因501例(64.4%)。女性因素的存在使IUI后不孕妇女的怀孕风险增加3.62倍(95% CI 1.08 ~ 12.12) (p=0.026)。790例不孕妇女中有285例(36.1%)存在女性不孕因素。结论:结论女性因素与宫内人工授精后不孕及其妊娠结局有显著关系。现代医学研究进展，2019;6(2):87-91
{"title":"Female Factors related with Infertility and Their Pregnancy Outcome after Intrauterine Insemination: Experience of 790 Cases in Bangladesh","authors":"Shafeya Khanam, R. Khanam, Muqsuda Ashraf Shuvro, Morium Faruque Shati, Trifa Obayed","doi":"10.3329/jcamr.v6i2.42977","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42977","url":null,"abstract":"Background: Several female factors are related with the cause of infertility. \u0000Objectives: The purpose of the present study was to assess female factors related with infertility and their pregnancy outcome after intrauterine insemination. \u0000Methodology: This prospective cohort study was carried out at a private infertility centre (Central Hospital Limited, Dhaka) in Dhaka city of Bangladesh from January 2012 to December 2017 for a period of 6 years. Infertile couples who already had undergone natural cycles of super-ovulation for six months or whose duration of infertility was more than one year were included. Infertile women were evaluated and the causes of infertility were assessed. The follow up was performed to see the pregnancy outcome. \u0000Result: A total number of 790 women were recruited. The mean age with standard deviation of study population was 28.94±5.386 years. Among 790 infertile women 12 women were become pregnant after IUI. Among these 12 women female factors of infertility was present in 8(66.7%) cases and the rest 4(33.3%) cases were absent. However, 778 women could not pregnant after IUI and among these 277(35.6%) cases had the presence of female factors and the rest 501(64.4%) cases had absence of female infertility causes. The presence of female factor had 3.62 (95% CI 1.08-12.12) times more risk to become pregnant among the infertile women after IUI (p=0.026). Among 790 infertile women 285(36.1%) women had presence of female infertility factors. \u0000Conclusion: In conclusion female factors are significantly related with infertility and their pregnancy outcome after intrauterine insemination. \u0000Journal of Current and Advance Medical Research 2019;6(2):87-91","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":"82269162","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.v6i2.42982
Enayet Ul Islam, A. Momin, F. Sharmin, P. Sarkar, A. Hoque
Background: Parkinson’s disease occurs in different socio-demographic characteristic people. Objective: The Purpose of the present study was to see the socio-demographic characteristics of Parkinson’s disease patients attended at a tertiary care hospital in Dhaka city. Methodology: This cross-sectional study was carried out in the in-patient and out-patient Department of Medicine and Neurology of Sir Salimullah Medical College and Mitford Hospital, Dhaka from July 2012 to December 2013 for a period of one and half year. All patients with Parkinson’s disease who were admitted under department of Medicine and Neurology and also who visited out-patient department of Medicine and Neurology of Sir Salimullah Medical College and Mitford Hospital, Dhaka were taken as study population. Patients who were diagnosed as Parkinson’s disease according to Brain Bank clinical criteria for diagnosis of Parkinson’s disease were included in this study. The demographic and socio-economic characteristics were recorded in a semi-structured questionnaire. Result: A total number of 40 Parkinson’s patients were recruited for this study. The mean age was 69.15±10.08 years. The male female ratio was found 1.22:1. The majority patients were businessman which was 13(32.5%) cases. The majority of 15(37.5%) patients came from rural area. However, 12(30.0%) patients were in primary level. Furthermore, 21(52.5%) patients came from lower class. Conclusion: In conclusion elder male rural dwellers are mostly suffering from Parkinson’s disease Journal of Current and Advance Medical Research 2019;6(2):106-110
{"title":"Socio-demographic Characteristics of Parkinson’s Disease Patients attended at a Tertiary Care Hospital in Dhaka City","authors":"Enayet Ul Islam, A. Momin, F. Sharmin, P. Sarkar, A. Hoque","doi":"10.3329/jcamr.v6i2.42982","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42982","url":null,"abstract":"Background: Parkinson’s disease occurs in different socio-demographic characteristic people. \u0000Objective: The Purpose of the present study was to see the socio-demographic characteristics of Parkinson’s disease patients attended at a tertiary care hospital in Dhaka city. \u0000Methodology: This cross-sectional study was carried out in the in-patient and out-patient Department of Medicine and Neurology of Sir Salimullah Medical College and Mitford Hospital, Dhaka from July 2012 to December 2013 for a period of one and half year. All patients with Parkinson’s disease who were admitted under department of Medicine and Neurology and also who visited out-patient department of Medicine and Neurology of Sir Salimullah Medical College and Mitford Hospital, Dhaka were taken as study population. Patients who were diagnosed as Parkinson’s disease according to Brain Bank clinical criteria for diagnosis of Parkinson’s disease were included in this study. The demographic and socio-economic characteristics were recorded in a semi-structured questionnaire. \u0000Result: A total number of 40 Parkinson’s patients were recruited for this study. The mean age was 69.15±10.08 years. The male female ratio was found 1.22:1. The majority patients were businessman which was 13(32.5%) cases. The majority of 15(37.5%) patients came from rural area. However, 12(30.0%) patients were in primary level. Furthermore, 21(52.5%) patients came from lower class. \u0000Conclusion: In conclusion elder male rural dwellers are mostly suffering from Parkinson’s disease \u0000Journal of Current and Advance Medical Research 2019;6(2):106-110","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":"75294933","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 : 2019-08-20DOI: 10.3329/jcamr.v6i2.42696
M. A. Haque, Uday Kumar Goswami, Mostafijur Rahman, Mohammad Wahidul Islam, M. Morshed, R. Islam, Bakhtiar Azam
Background: Primary Oral Squamous Cell Carcinoma can metastasize in the cervical lymph nodes. Objective: The purpose of the present study was to see the association of Anneroth’s scoring and frequency of cervical lymph node metastasis among primary oral squamous cell carcinoma patients. Methodology: This cross sectional study was conducted in the Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Dhaka, Bangladesh from November 2009 to December 2010 for a period of one year. Patients attending in the place of study with diagnosed case of oral squamous cell carcinoma were selected for the study after fulfilling the inclusion criteria. The resected primary lesion and neck lymph nodes were sent for histopathological examination. Histopathological grading of the primary lesion was done and neck lymphodes were graded as metastatic and non-metastatic. Results: This prospective study with 50 cases of oral squamous cell carcinoma was taken of which 28 cases were non-metastasis tumor. Each case was graded according to TNM classification, Broder’s grading and Anneroth’s classification. Both Anneroth’s classification (p=0.002) and Broder’s grading (p=0.017) were significant but Anneroth’s one was more significant than Broder’s. Conclusions: There is an association between Anneroth’s grading system with lymph node metastasis. Journal of Current and Advance Medical Research 2019;6(2): 69-72
{"title":"Association of Anneroth’s Scoring and Frequency of Cervical Lymph Node Metastasis among Primary Oral Squamous Cell Carcinoma Patients","authors":"M. A. Haque, Uday Kumar Goswami, Mostafijur Rahman, Mohammad Wahidul Islam, M. Morshed, R. Islam, Bakhtiar Azam","doi":"10.3329/jcamr.v6i2.42696","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42696","url":null,"abstract":"Background: Primary Oral Squamous Cell Carcinoma can metastasize in the cervical lymph nodes. \u0000Objective: The purpose of the present study was to see the association of Anneroth’s scoring and frequency of cervical lymph node metastasis among primary oral squamous cell carcinoma patients. \u0000Methodology: This cross sectional study was conducted in the Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital, Dhaka, Bangladesh from November 2009 to December 2010 for a period of one year. Patients attending in the place of study with diagnosed case of oral squamous cell carcinoma were selected for the study after fulfilling the inclusion criteria. The resected primary lesion and neck lymph nodes were sent for histopathological examination. Histopathological grading of the primary lesion was done and neck lymphodes were graded as metastatic and non-metastatic. \u0000Results: This prospective study with 50 cases of oral squamous cell carcinoma was taken of which 28 cases were non-metastasis tumor. Each case was graded according to TNM classification, Broder’s grading and Anneroth’s classification. Both Anneroth’s classification (p=0.002) and Broder’s grading (p=0.017) were significant but Anneroth’s one was more significant than Broder’s. \u0000Conclusions: There is an association between Anneroth’s grading system with lymph node metastasis. \u0000Journal of Current and Advance Medical Research 2019;6(2): 69-72","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77822676","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 : 2019-08-20DOI: 10.3329/jcamr.v6i2.42697
M. Khalil, Alfi Rahman, Adnan Ahmed, S. Uddin, M. Alauddin, A. Alam, A. Hossain
Background: Haemorroid stapler becomes easier and safe to deal multiple and prolapsed haemorrhoid at a time. Objectives: The purpose of the present study was to evaluate the outcome of suture haemorrhoidopexy for secondary position haemorrhoids in addition to haemorrhoidectomy for primary haemorrhoids (multiple). Methodology: This prospective interventional study was performed in Dhaka Medical College Hospital, Dhaka, Bangladesh and in a private hospital in Gazipur, Bangladesh for over five (05) years from January 2012 to December 2016. Patients who were presented with secondary position haemorrhoids in addition to primary position haemorrhoids (multiple haemorrhoids) were included in this study. Open haemorrhoidectomy (Milligan-Morgan) followed by suture haemorrhoidopexy was done. All patients were followed up after 1, 2, 4, 8 weeks, 6 months and 1 yearly. Result: Total 18 patients were operated. Among those immediate complications were encountered in patients in the form of per rectal bleeding 1(5.55%), pain 3(visual pain scale 4)16.66%, mucosal oedema 6(33.33%), no patient developed early postoperative prolapse. No patient developed bowel incontinence. Late complications experienced as prolapse at 1 year follow up which was treated by conservative measures. No patient developed anal stenosis. Mean operating time was 25 minutes and duration of hospital stay was 1 day. Conclusion: Stapled haemorrhoidopexy is a safe procedure for circumferential excision of mucosa and submucosa dealing all haemorrhoids and prolapse simultaneously. Journal of Current and Advance Medical Research 2019;6(2): 73-76
{"title":"Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids","authors":"M. Khalil, Alfi Rahman, Adnan Ahmed, S. Uddin, M. Alauddin, A. Alam, A. Hossain","doi":"10.3329/jcamr.v6i2.42697","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42697","url":null,"abstract":"Background: Haemorroid stapler becomes easier and safe to deal multiple and prolapsed haemorrhoid at a time. \u0000Objectives: The purpose of the present study was to evaluate the outcome of suture haemorrhoidopexy for secondary position haemorrhoids in addition to haemorrhoidectomy for primary haemorrhoids (multiple). \u0000Methodology: This prospective interventional study was performed in Dhaka Medical College Hospital, Dhaka, Bangladesh and in a private hospital in Gazipur, Bangladesh for over five (05) years from January 2012 to December 2016. Patients who were presented with secondary position haemorrhoids in addition to primary position haemorrhoids (multiple haemorrhoids) were included in this study. Open haemorrhoidectomy (Milligan-Morgan) followed by suture haemorrhoidopexy was done. All patients were followed up after 1, 2, 4, 8 weeks, 6 months and 1 yearly. \u0000Result: Total 18 patients were operated. Among those immediate complications were encountered in patients in the form of per rectal bleeding 1(5.55%), pain 3(visual pain scale 4)16.66%, mucosal oedema 6(33.33%), no patient developed early postoperative prolapse. No patient developed bowel incontinence. Late complications experienced as prolapse at 1 year follow up which was treated by conservative measures. No patient developed anal stenosis. Mean operating time was 25 minutes and duration of hospital stay was 1 day. \u0000Conclusion: Stapled haemorrhoidopexy is a safe procedure for circumferential excision of mucosa and submucosa dealing all haemorrhoids and prolapse simultaneously. \u0000Journal of Current and Advance Medical Research 2019;6(2): 73-76","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73621683","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 : 2019-08-20DOI: 10.3329/jcamr.v6i2.42698
M. Islam, Dahlia Sultana, M. Shahi, M. S. Hassan
Background: Several drugs are used individually for migraine prophylaxis. Objective: The purpose of the present study was to compare the propranolol and amitriptyline as monotherapy for the prophylaxis of migraine. Methodology: This randomized control trial was conducted in headache clinic at Banghabandhu Sheikh Medical University (BSMMU), Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (02) years. Migraine patients with or without aura of 16 to 50 years of age, patients not on any prophylactic medication were included for this study. Patients meeting all the criteria was randomized group A who were treated with Amitriptyline and group B who were treated with propranolol. Patients was followed for a three months period during which they was instructed to maintain a headache diary. The primary outcome evaluated was the proportion of patients in each group that achieved a 50% reduction in the number of days with headache. Result: A total 80 adult patients were selected. During 1st visit among the patients duration of pain 1 to 4 hours (2.5.0%), 5 to 8 hours (13.3%) 9 to 12 hours (35.0%) and above 13 hours (22.5%) in group A were recorded; however, in group B, duration of pain 1 to 4 hours 1(2.5), 5-8 hours 16(13.3%), 9-12 hours 19(47.5) and above 13 hours 4(10.0) (p>0.05). In group A, no adverse effect was found 26(65.0%), drowsiness 6 (15.0%), dryness of mouth 6(15.0%), constipation 2(5.0%), fatigue and bradycardia were not found. In group B, no adverse effect was found 29(72.5%), drowsiness, dryness of mouth and constipation were not found, fatigue and bradycardia were 7(17.5%) and 4(10.0%). Conclusion: In conclusion number of attack and headache before treatment gradually decrease in subsequent follow up in both groups. Journal of Current and Advance Medical Research 2019;6(2):77-82
{"title":"Comparison of Propranolol and Amitriptyline as Monotherapy for Migraine Prophylaxis","authors":"M. Islam, Dahlia Sultana, M. Shahi, M. S. Hassan","doi":"10.3329/jcamr.v6i2.42698","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42698","url":null,"abstract":"Background: Several drugs are used individually for migraine prophylaxis. \u0000Objective: The purpose of the present study was to compare the propranolol and amitriptyline as monotherapy for the prophylaxis of migraine. \u0000Methodology: This randomized control trial was conducted in headache clinic at Banghabandhu Sheikh Medical University (BSMMU), Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (02) years. Migraine patients with or without aura of 16 to 50 years of age, patients not on any prophylactic medication were included for this study. Patients meeting all the criteria was randomized group A who were treated with Amitriptyline and group B who were treated with propranolol. Patients was followed for a three months period during which they was instructed to maintain a headache diary. The primary outcome evaluated was the proportion of patients in each group that achieved a 50% reduction in the number of days with headache. \u0000Result: A total 80 adult patients were selected. During 1st visit among the patients duration of pain 1 to 4 hours (2.5.0%), 5 to 8 hours (13.3%) 9 to 12 hours (35.0%) and above 13 hours (22.5%) in group A were recorded; however, in group B, duration of pain 1 to 4 hours 1(2.5), 5-8 hours 16(13.3%), 9-12 hours 19(47.5) and above 13 hours 4(10.0) (p>0.05). In group A, no adverse effect was found 26(65.0%), drowsiness 6 (15.0%), dryness of mouth 6(15.0%), constipation 2(5.0%), fatigue and bradycardia were not found. In group B, no adverse effect was found 29(72.5%), drowsiness, dryness of mouth and constipation were not found, fatigue and bradycardia were 7(17.5%) and 4(10.0%). \u0000Conclusion: In conclusion number of attack and headache before treatment gradually decrease in subsequent follow up in both groups. \u0000Journal of Current and Advance Medical Research 2019;6(2):77-82","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74158443","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 : 2019-08-20DOI: 10.3329/jcamr.v6i2.42695
A. Shamsuzzaman
Abstract Not Available Journal of Current and Advance Medical Research July 2019;6(2):67-68
中华医学杂志;2019;6(2):67-68
{"title":"Dengue Virus and Aedes Mosquitoes: Ecological Relationship","authors":"A. Shamsuzzaman","doi":"10.3329/jcamr.v6i2.42695","DOIUrl":"https://doi.org/10.3329/jcamr.v6i2.42695","url":null,"abstract":"Abstract Not Available \u0000Journal of Current and Advance Medical Research July 2019;6(2):67-68","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82813314","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 : 2019-03-27DOI: 10.3329/JCAMR.V6I1.40776
S. Sarker, Geethanjali Bhas, Vijaya Marakala, M. A. Yusuf
Background: Technology enhanced learning in medical curriculum is expanding rapidly because of research showing the benefits for learners in terms of engagement, convenience, attainment and enjoyment. Objectives: The purpose of the present study was to explore medical students’ perspective on technology enhanced learning in undergraduate pharmacology. Methodology: This descriptive cross-sectional study was conducted in the Faculty of Medicine during 2016 for a period of three (3) months. Second year MBBS students who were studying in the International Medical School, Management & Science University,Selangor, Malaysia with the age group of equal or more than 18 years of age with both sexes were selected as study population. Several online quizzes were conducted by Quizizz. Data were analysed after online quizzes using semi-structured questionnaire. Results: A total number of 42 students were involved in this study. Among these 35(83.33%) surveyed students were strongly agreed with timing for answering the questions however, 39(92.86%) strongly agreed that quizzes stimulate interest in pharmacology and 28(66.67%) strongly agreed that quizzes improve knowledge and skill in pharmacology. Most of the students suggested to continue online quizzes. Conclusion:Systematic analysis and stratification of students’ perceptions regarding technology enhanced learning initiatives such as online quizzes are essential in gaining insight for educational planning and interventions in pharmacology. Journal of Current and Advance Medical Research 2019;6(1):14-17
{"title":"Technology Enhanced Learning in Undergraduate Pharmacology through Online Quizzes: A Pedagogical Approach and Medical Students’ Perspective","authors":"S. Sarker, Geethanjali Bhas, Vijaya Marakala, M. A. Yusuf","doi":"10.3329/JCAMR.V6I1.40776","DOIUrl":"https://doi.org/10.3329/JCAMR.V6I1.40776","url":null,"abstract":"Background: Technology enhanced learning in medical curriculum is expanding rapidly because of research showing the benefits for learners in terms of engagement, convenience, attainment and enjoyment. \u0000Objectives: The purpose of the present study was to explore medical students’ perspective on technology enhanced learning in undergraduate pharmacology. \u0000Methodology: This descriptive cross-sectional study was conducted in the Faculty of Medicine during 2016 for a period of three (3) months. Second year MBBS students who were studying in the International Medical School, Management & Science University,Selangor, Malaysia with the age group of equal or more than 18 years of age with both sexes were selected as study population. Several online quizzes were conducted by Quizizz. Data were analysed after online quizzes using semi-structured questionnaire. \u0000Results: A total number of 42 students were involved in this study. Among these 35(83.33%) surveyed students were strongly agreed with timing for answering the questions however, 39(92.86%) strongly agreed that quizzes stimulate interest in pharmacology and 28(66.67%) strongly agreed that quizzes improve knowledge and skill in pharmacology. Most of the students suggested to continue online quizzes. \u0000Conclusion:Systematic analysis and stratification of students’ perceptions regarding technology enhanced learning initiatives such as online quizzes are essential in gaining insight for educational planning and interventions in pharmacology. \u0000Journal of Current and Advance Medical Research 2019;6(1):14-17","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78738230","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 : 2019-03-27DOI: 10.3329/JCAMR.V6I1.40785
Sadia Afrin, Anisur Rahman, A. Ahammed, Shaila Afrin, K. Sarker, A. Hossain
Background: Birth weight is the most important predictor of newborn health and survival and is associated with higher risk of infant and childhood mortality. Objective: The objective of this study was to assess the maternal and socio-demographic factors of low birth weight (LBW) newborns of mothers admitted at a teaching medical college hospital in Dhaka city of Bangladesh. Methodology: This was a cross sectional study. Interview was taken by face to face interview and was focused to obtain the information about maternal weight at onset gestation, before delivery, educational, economical status of family, antenatal care visits, maternal exposure to hypertension and anaemia. Data had been collected from interview and medical records. Results: This study revealed from multivariate liner regression analysis. In this model, birth weight had been considered as continuous variable and results had depicted the relationship of different maternal factors with birth weight. This study suggests that there were several factors which lead to LBW babies. The study shows ANC visits (p value 0.05), number of parity (p value .02) and hypertension (p value 0.02) had significant negative effect of on birth weight. Mothers who had taken less ANC visits, more chance of having LBW.Hypertensive mothers were at risk of having low birth weight babies than normotensive mothers. Number of parity was also found as a significant factor. Primi mothers were more prone to LBW. Conclusion: This study suggests that less ANC visits, increase number of parity and hypertension have significant negative effect of on birth weight. Journal of Current and Advance Medical Research 2019;6(1):47-52
{"title":"Maternal and Socio-Demographic Factors Associated with Birth Weight of Newborns Delivered at a Teaching Hospital of Dhaka City","authors":"Sadia Afrin, Anisur Rahman, A. Ahammed, Shaila Afrin, K. Sarker, A. Hossain","doi":"10.3329/JCAMR.V6I1.40785","DOIUrl":"https://doi.org/10.3329/JCAMR.V6I1.40785","url":null,"abstract":"Background: Birth weight is the most important predictor of newborn health and survival and is associated with higher risk of infant and childhood mortality. \u0000Objective: The objective of this study was to assess the maternal and socio-demographic factors of low birth weight (LBW) newborns of mothers admitted at a teaching medical college hospital in Dhaka city of Bangladesh. \u0000Methodology: This was a cross sectional study. Interview was taken by face to face interview and was focused to obtain the information about maternal weight at onset gestation, before delivery, educational, economical status of family, antenatal care visits, maternal exposure to hypertension and anaemia. Data had been collected from interview and medical records. \u0000Results: This study revealed from multivariate liner regression analysis. In this model, birth weight had been considered as continuous variable and results had depicted the relationship of different maternal factors with birth weight. This study suggests that there were several factors which lead to LBW babies. The study shows ANC visits (p value 0.05), number of parity (p value .02) and hypertension (p value 0.02) had significant negative effect of on birth weight. Mothers who had taken less ANC visits, more chance of having LBW.Hypertensive mothers were at risk of having low birth weight babies than normotensive mothers. Number of parity was also found as a significant factor. Primi mothers were more prone to LBW. \u0000Conclusion: This study suggests that less ANC visits, increase number of parity and hypertension have significant negative effect of on birth weight. \u0000Journal of Current and Advance Medical Research 2019;6(1):47-52","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81857981","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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