Pub Date : 2019-03-27DOI: 10.3329/JCAMR.V6I1.40773
A. Sultana, Rumana Afroz, Onayza Yasmeen, Muqbula Tasrin Aktar, A. Yusuf
Background: Anti-inflammatory effect can be exerted by Carica papaya. Objective: The purpose of the present study was to see the anti-inflammatory effect of ethanolic extract of Carica papaya leaves and indomethacin in carrageenan induced rat paw edema animal model. Methodology: This was an animal study carried out in the Department of Pharmacology at Dhaka Medical College, Dhaka, Bangladesh during the period from July 2014 to June 2015 for a period of one (01) year. The leaves of Carica Papaya collected from Botanical garden, Mirpur, Dhaka, Bangladesh. The animals were divided into four groups. The animals were divided into four groups. In all the animals granuloma were induced by implantation of autoclaved cotton pellet on the 1st day and they treated as follows: Group I were served as control that was received normal saline. Group II were received ethanolic extract of Carica Papaya leaves. Group III were received ethanolic extract of Carica Papaya leaves. Group IV were received indomethacin. On the 15th day animals were anesthetized, implanted pellets were dissected out, dried at hit air oven and the final weights were measured. Result: The experiment was carried out on 48 Long Evan Norwegian rats. Rats were divided in 4 groups of six animals each. The mean increase of weight of cotton pellet was 48.06±1.02, 24.48±0.36, 22.42±0.56 and 18.02±0.43 in group I, II, III and IV respectively. The inhibition of granuloma formation was 49.06%, 53.35% and 62.51% in group II, III and IV respectively. Conclusion: In conclusion the ethanolic extract of Carica Papaya leaves has effects on cotton pellet induced granuloma formation in experimental rat. Journal of Current and Advance Medical Research 2019;6(1):2-5
{"title":"Anti-Inflammatory Effect of Ethanolic Extract of Carica Papaya Leaves and Indomethacin in Cotton Pellet Induced Granuloma in Animal Model","authors":"A. Sultana, Rumana Afroz, Onayza Yasmeen, Muqbula Tasrin Aktar, A. Yusuf","doi":"10.3329/JCAMR.V6I1.40773","DOIUrl":"https://doi.org/10.3329/JCAMR.V6I1.40773","url":null,"abstract":"Background: Anti-inflammatory effect can be exerted by Carica papaya. \u0000Objective: The purpose of the present study was to see the anti-inflammatory effect of ethanolic extract of Carica papaya leaves and indomethacin in carrageenan induced rat paw edema animal model. \u0000Methodology: This was an animal study carried out in the Department of Pharmacology at Dhaka Medical College, Dhaka, Bangladesh during the period from July 2014 to June 2015 for a period of one (01) year. The leaves of Carica Papaya collected from Botanical garden, Mirpur, Dhaka, Bangladesh. The animals were divided into four groups. The animals were divided into four groups. In all the animals granuloma were induced by implantation of autoclaved cotton pellet on the 1st day and they treated as follows: Group I were served as control that was received normal saline. Group II were received ethanolic extract of Carica Papaya leaves. Group III were received ethanolic extract of Carica Papaya leaves. Group IV were received indomethacin. On the 15th day animals were anesthetized, implanted pellets were dissected out, dried at hit air oven and the final weights were measured. \u0000Result: The experiment was carried out on 48 Long Evan Norwegian rats. Rats were divided in 4 groups of six animals each. The mean increase of weight of cotton pellet was 48.06±1.02, 24.48±0.36, 22.42±0.56 and 18.02±0.43 in group I, II, III and IV respectively. The inhibition of granuloma formation was 49.06%, 53.35% and 62.51% in group II, III and IV respectively. \u0000Conclusion: In conclusion the ethanolic extract of Carica Papaya leaves has effects on cotton pellet induced granuloma formation in experimental rat. \u0000Journal of Current and Advance Medical Research 2019;6(1):2-5","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82067817","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: A very common medical condition during pregnancy is Gestational Diabetes Mellitus (GDM) which has become a global health concern, not only for its higher prevalence, but also because it can be a predisposing factor for type 2 DM and causes other increased health risk for both mother and their offspring in later life. Objective: The objective of the study was to compare knowledge of GDM including source of knowledge, treatment, awareness about GDM and impact of GDM on the baby among mothers with GDM and healthy pregnant mothers. Methodology: The study was a cross-sectional study conducted in Cumilla city from May to October 2016. Eighty-nine participants attending the outpatient department of two hospitals and one antenatal clinic in Cumilla city were selected. A structured questionnaire and in-depth interview method was used to obtain data. Result: Significant difference has been found in knowledge between GDM patients and normal pregnant women regarding source of knowledge (p=0.01), treatment of GDM (p=0.000), risk factors of GDM (p=0.01), problems in managing GDM (p=0.003), nutrition maintenance (p=0.006) and physical exercise (p=0.000). No significant difference has been found in GDM awareness (p=0.83) and its impact on the baby (p=0.28) in two groups. Awareness of GDM is found to be associated with higher education (p=0.000), family history of DM (p=0.05), meal plan (p=0.03) and maintaining nutrition (p=0.01). Conclusion: Knowledge about GDM is poor among pregnant women, especially among normal pregnant women. Journal of Current and Advance Medical Research 2019;6(1):32-37
{"title":"Comparison of Knowledge of Women with Gestational Diabetes Mellitus and Healthy Pregnant Women Attending at Hospital in Bangladesh","authors":"Nowshin Monir, Z. Zeba, Azizur Rahman","doi":"10.3329/JSF.V16I1.38175","DOIUrl":"https://doi.org/10.3329/JSF.V16I1.38175","url":null,"abstract":"Background: A very common medical condition during pregnancy is Gestational Diabetes Mellitus (GDM) which has become a global health concern, not only for its higher prevalence, but also because it can be a predisposing factor for type 2 DM and causes other increased health risk for both mother and their offspring in later life. \u0000Objective: The objective of the study was to compare knowledge of GDM including source of knowledge, treatment, awareness about GDM and impact of GDM on the baby among mothers with GDM and healthy pregnant mothers. \u0000Methodology: The study was a cross-sectional study conducted in Cumilla city from May to October 2016. Eighty-nine participants attending the outpatient department of two hospitals and one antenatal clinic in Cumilla city were selected. A structured questionnaire and in-depth interview method was used to obtain data. \u0000Result: Significant difference has been found in knowledge between GDM patients and normal pregnant women regarding source of knowledge (p=0.01), treatment of GDM (p=0.000), risk factors of GDM (p=0.01), problems in managing GDM (p=0.003), nutrition maintenance (p=0.006) and physical exercise (p=0.000). No significant difference has been found in GDM awareness (p=0.83) and its impact on the baby (p=0.28) in two groups. Awareness of GDM is found to be associated with higher education (p=0.000), family history of DM (p=0.05), meal plan (p=0.03) and maintaining nutrition (p=0.01). \u0000Conclusion: Knowledge about GDM is poor among pregnant women, especially among normal pregnant women. \u0000Journal of Current and Advance Medical Research 2019;6(1):32-37","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87406456","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 : 2018-06-20DOI: 10.3329/jcamr.v5i2.37057
N. Nahar, M. Iqbal, K. Rahman, A. Yusuf, S. Iqbal, S. Hossain
Background: Various types of female breast cancer associated with rapidly increasing age incidence. Objective: The purpose of the present study was to find out the frequency of different types of malignant neoplasm of breast in different age and sex.Methodology: This cross-sectional study was carried out at the Department of Pathology, Chittagong Medical College, Chittagong, Bangladesh from May 2005 to June 2006. Patients presented with breast lump of different age and sex were subjected to this study. Details gross examination was done followed by H & E staining for histopathological study.Result: A total number of 48 samples were selected after fulfilling the inclusion and exclusion criteria. This present study conducted in 27 specimens out of 48 breast lump. Among these benign and malignant were 21 and 27, respectively. Majority of the malignancy found in age group 41-50 years. Histopathologically Invasive ductal carcinoma was common 81.5%.There was significant association between different age group and type of neoplasm. In relation to sex malignant breast neoplasm was more common in female.Conclusion: In conclusion invasive ductal carcinoma was the commonest lesion of breast. In relation to sex malignant breast neoplasm was more common in female.Journal of Current and Advance Medical Research 2018;5(2):42-44
{"title":"Histopathological Study of Malignant Neoplasm of Breast of Different Age and Sex Groups In a Tertiary Care Hospital","authors":"N. Nahar, M. Iqbal, K. Rahman, A. Yusuf, S. Iqbal, S. Hossain","doi":"10.3329/jcamr.v5i2.37057","DOIUrl":"https://doi.org/10.3329/jcamr.v5i2.37057","url":null,"abstract":"Background: Various types of female breast cancer associated with rapidly increasing age incidence. Objective: The purpose of the present study was to find out the frequency of different types of malignant neoplasm of breast in different age and sex.Methodology: This cross-sectional study was carried out at the Department of Pathology, Chittagong Medical College, Chittagong, Bangladesh from May 2005 to June 2006. Patients presented with breast lump of different age and sex were subjected to this study. Details gross examination was done followed by H & E staining for histopathological study.Result: A total number of 48 samples were selected after fulfilling the inclusion and exclusion criteria. This present study conducted in 27 specimens out of 48 breast lump. Among these benign and malignant were 21 and 27, respectively. Majority of the malignancy found in age group 41-50 years. Histopathologically Invasive ductal carcinoma was common 81.5%.There was significant association between different age group and type of neoplasm. In relation to sex malignant breast neoplasm was more common in female.Conclusion: In conclusion invasive ductal carcinoma was the commonest lesion of breast. In relation to sex malignant breast neoplasm was more common in female.Journal of Current and Advance Medical Research 2018;5(2):42-44","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75931217","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 : 2018-06-20DOI: 10.3329/JCAMR.V5I2.37058
Uday Kumar Goswami, B. K. Das, P. C. Dash, Razaul Islam
Background: Simple mandibular angle fracture can occur in different group of people due to different etiology.Objective: The purpose of the present study was to find out the demographic characteristics and etiology of simple mandibular angle fracture.Methodology: This cross-sectional study was conducted in the Department of Oral and Maxillofacial Surgery at Dhaka Dental College & Hospital, Dhaka and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2010 to December 2010 for a period of one (01) year. Among all patients admitted/attended to the hospital IPD or OPD with fracture of mandibular angle with or without other associated fracture sites were selected as study subjects. The details of demographics characteristics and etiology of fracture were recorded. Result: A total number of 30 patients were recruited for this study. Majority of the respondents 21(70%) were male and rest 09(30%) were female. Mean age of the patients was 29.5±6.795 years. Among the 30 respondents 46.7% had history of Road Traffic Accident, 43.3% due to assault and only 10% for other causes.Conclusion: In conclusion the most common etiology of mandibular angle fracture is road traffic accident. Male and younger adult are frequently encounter the mandibular angle fracture.Journal of Current and Advance Medical Research 2018;5(2):45-48
{"title":"Demographic Characteristics and Etiology of Simple Mandibular Angle Fracture: Experience of 30 Cases in Dhaka City","authors":"Uday Kumar Goswami, B. K. Das, P. C. Dash, Razaul Islam","doi":"10.3329/JCAMR.V5I2.37058","DOIUrl":"https://doi.org/10.3329/JCAMR.V5I2.37058","url":null,"abstract":"Background: Simple mandibular angle fracture can occur in different group of people due to different etiology.Objective: The purpose of the present study was to find out the demographic characteristics and etiology of simple mandibular angle fracture.Methodology: This cross-sectional study was conducted in the Department of Oral and Maxillofacial Surgery at Dhaka Dental College & Hospital, Dhaka and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2010 to December 2010 for a period of one (01) year. Among all patients admitted/attended to the hospital IPD or OPD with fracture of mandibular angle with or without other associated fracture sites were selected as study subjects. The details of demographics characteristics and etiology of fracture were recorded. Result: A total number of 30 patients were recruited for this study. Majority of the respondents 21(70%) were male and rest 09(30%) were female. Mean age of the patients was 29.5±6.795 years. Among the 30 respondents 46.7% had history of Road Traffic Accident, 43.3% due to assault and only 10% for other causes.Conclusion: In conclusion the most common etiology of mandibular angle fracture is road traffic accident. Male and younger adult are frequently encounter the mandibular angle fracture.Journal of Current and Advance Medical Research 2018;5(2):45-48","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78600114","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 : 2018-06-20DOI: 10.3329/JCAMR.V5I2.37056
F. Chowdhury, M. Haque
Abstract not availableJournal of Current and Advance Medical Research 2018;5(2):39-41
摘要[j] .中国现代医学研究;2018;5(2):39-41
{"title":"Intracranial Aneurysm with Clipping Versus Coiling: Is Management Paradigm Shifting toward Microsurgical Clipping?","authors":"F. Chowdhury, M. Haque","doi":"10.3329/JCAMR.V5I2.37056","DOIUrl":"https://doi.org/10.3329/JCAMR.V5I2.37056","url":null,"abstract":"Abstract not availableJournal of Current and Advance Medical Research 2018;5(2):39-41","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73944307","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 : 2018-06-20DOI: 10.3329/JCAMR.V5I2.37061
R. R. Roy, P. K. Saha, M. A. Yusuf, H. Saha, Ibnul Hasan, R. Sarkar
Background: Congenital heart diseases (CHD) are one of the most common developmental errors in humans.Objectives: The purpose of the present study was to see the frequencies of various types of atrial septal defect (ASD) and associated cardiovascular disorders in patients undergoing surgical repair.Methodology: This cross-sectional study was conducted on patients undergoing surgical repair at the National Institute of Cardiovascular Diseases (NICVD) or the National Heart Foundation and Research Institute (NHF & RI) in Dhaka, during the period of July, 2010 to June, 2011. Patients presented with ASD at any age of both sexes were selected as study population. Diagnoses were revealed with echocardiography and confirmed preoperatively by registered cardiac surgeons.Results: The morphological types of ASD were ostium secundum type in 96% cases and sinus venosus type in 4% cases. Atrial septal defects were either small or larger defects associated with pulmonary hypertension in 38 (76%) cases, varying degree of tricuspid regurgitation was seen in 33 (66%) patients and dilated pulmonary artery was noted in 24 (48%) cases. Ventricular septal defect in 4 (8%) cases, tricuspid atresia in 2 (4%) cases and mitral valve prolapse in 6 (12%) cases were also observed.Conclusions: Ostium secundum type of ASD is found to be the commonest type of ASDJournal of Current and Advance Medical Research 2018;5(2):60-63
背景:先天性心脏病(CHD)是人类最常见的发育错误之一。目的:本研究的目的是观察各种类型房间隔缺损(ASD)和相关心血管疾病在接受手术修复的患者中的频率。方法:本横断面研究于2010年7月至2011年6月期间在达卡国家心血管疾病研究所(NICVD)或国家心脏基金会与研究所(NHF & RI)进行手术修复的患者。任何年龄的ASD患者，无论男女，都被选为研究人群。超声心动图显示诊断，术前由注册心脏外科医生确认。结果:ASD的形态类型为第二口型96%，静脉窦型4%。房间隔缺损有38例(76%)伴有肺动脉高压，或小或大，有33例(66%)出现不同程度的三尖瓣反流，24例(48%)出现肺动脉扩张。室间隔缺损4例(8%)，三尖瓣闭锁2例(4%)，二尖瓣脱垂6例(12%)。结论:第二开口型ASD是最常见的ASD类型[j] contemporary and Advance Medical Research; 2018;5(2):60-63
{"title":"Associated Valvular Heart Diseases among ASD Patients Undergoing Surgical Repair","authors":"R. R. Roy, P. K. Saha, M. A. Yusuf, H. Saha, Ibnul Hasan, R. Sarkar","doi":"10.3329/JCAMR.V5I2.37061","DOIUrl":"https://doi.org/10.3329/JCAMR.V5I2.37061","url":null,"abstract":"Background: Congenital heart diseases (CHD) are one of the most common developmental errors in humans.Objectives: The purpose of the present study was to see the frequencies of various types of atrial septal defect (ASD) and associated cardiovascular disorders in patients undergoing surgical repair.Methodology: This cross-sectional study was conducted on patients undergoing surgical repair at the National Institute of Cardiovascular Diseases (NICVD) or the National Heart Foundation and Research Institute (NHF & RI) in Dhaka, during the period of July, 2010 to June, 2011. Patients presented with ASD at any age of both sexes were selected as study population. Diagnoses were revealed with echocardiography and confirmed preoperatively by registered cardiac surgeons.Results: The morphological types of ASD were ostium secundum type in 96% cases and sinus venosus type in 4% cases. Atrial septal defects were either small or larger defects associated with pulmonary hypertension in 38 (76%) cases, varying degree of tricuspid regurgitation was seen in 33 (66%) patients and dilated pulmonary artery was noted in 24 (48%) cases. Ventricular septal defect in 4 (8%) cases, tricuspid atresia in 2 (4%) cases and mitral valve prolapse in 6 (12%) cases were also observed.Conclusions: Ostium secundum type of ASD is found to be the commonest type of ASDJournal of Current and Advance Medical Research 2018;5(2):60-63","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87894488","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 : 2018-06-20DOI: 10.3329/JCAMR.V5I2.37066
S. Das, C. Biswas
Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need. Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72
{"title":"Anxiety and Academic Performance among Private Medical College Students","authors":"S. Das, C. Biswas","doi":"10.3329/JCAMR.V5I2.37066","DOIUrl":"https://doi.org/10.3329/JCAMR.V5I2.37066","url":null,"abstract":"Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need. Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85678428","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 : 2018-06-20DOI: 10.3329/JCAMR.V5I2.37059
M. Islam, S. Khan, Mahfuzur Rahman, M. H. Talukder, R. Karim, A. Salam
Background: Glasgow outcome scale (GOS) and Glasgow Coma Scale (GCS) were the important parameter for the proper management of spontaneous supratentorialintracerebral hemorrhage patients.Objective: The purpose of the present study was to compare the GOS and GCS between surgical and conservative management of spontaneous supratentorialintracerebral hemorrhage patients.Methodology: This randomized control trial was conducted in the Department of Neurosurgery at Dhaka Medical College and Hospital from January 2010 to October 2011 for a period of one year and ten months. All hypertensive patients with spontaneous supratentorial intracerebral hemorrhage who were admitted within 48 hours of stroke in Neurosurgery Department during the study period were considered as a study population. Patients underwent surgery was considered as group I and patients those who did not give the consent for operation were treated conservatively was considered as group II.Result: A total of 31 patients were enrolled in this study of which 14 patients underwent surgical evacuation and 17 patients were selected for conservative therapy. Significant positive correlation was found between the GCS score on admission and GOS at 30 days follow-up in surgery group (r=0.649; p<0.05). But a positive significant correlation (r=0.613; P=0.020) was between GCS follow up with GCS on admission in surgery patients and (r=0.575; P=0.016) in conservative group.Conclusion: In conclusion both GOS and GCS are essential during the management of surgical and conservative spontaneous supratentorialintracerebral hemorrhage patients.Journal of Current and Advance Medical Research 2018;5(2):49-54
背景:格拉斯哥结局量表(GOS)和格拉斯哥昏迷量表(GCS)是正确处理自发性幕上脑出血患者的重要指标。目的:比较手术和保守治疗自发性幕上脑出血患者的GOS和GCS。方法:本随机对照试验于2010年1月至2011年10月在达卡医学院和医院神经外科进行，为期一年零10个月。所有研究期间在神经外科中风后48小时内入院的高血压自发性幕上脑出血患者均被视为研究人群。接受手术的患者被视为I组，不同意保守治疗的患者被视为II组。结果:本研究共纳入31例患者，其中手术引流14例，保守治疗17例。手术组入院时GCS评分与随访30 d GOS呈显著正相关(r=0.649;p < 0.05)。但正显著相关(r=0.613;P=0.020)，手术患者入院时GCS随访与GCS (r=0.575;P=0.016)。结论:GOS和GCS在手术和保守治疗自发性幕上脑出血患者中是必不可少的。现代医学研究进展，2018;5(2):49-54
{"title":"Comparison of Glasgow Outcome Scale (GOS) and Glasgow Coma Scale (GCS) between Surgical and Conservative Management of Spontaneous Supratentorial Intracerebral Hemorrhage Patients: A Randomized Control Trial","authors":"M. Islam, S. Khan, Mahfuzur Rahman, M. H. Talukder, R. Karim, A. Salam","doi":"10.3329/JCAMR.V5I2.37059","DOIUrl":"https://doi.org/10.3329/JCAMR.V5I2.37059","url":null,"abstract":"Background: Glasgow outcome scale (GOS) and Glasgow Coma Scale (GCS) were the important parameter for the proper management of spontaneous supratentorialintracerebral hemorrhage patients.Objective: The purpose of the present study was to compare the GOS and GCS between surgical and conservative management of spontaneous supratentorialintracerebral hemorrhage patients.Methodology: This randomized control trial was conducted in the Department of Neurosurgery at Dhaka Medical College and Hospital from January 2010 to October 2011 for a period of one year and ten months. All hypertensive patients with spontaneous supratentorial intracerebral hemorrhage who were admitted within 48 hours of stroke in Neurosurgery Department during the study period were considered as a study population. Patients underwent surgery was considered as group I and patients those who did not give the consent for operation were treated conservatively was considered as group II.Result: A total of 31 patients were enrolled in this study of which 14 patients underwent surgical evacuation and 17 patients were selected for conservative therapy. Significant positive correlation was found between the GCS score on admission and GOS at 30 days follow-up in surgery group (r=0.649; p<0.05). But a positive significant correlation (r=0.613; P=0.020) was between GCS follow up with GCS on admission in surgery patients and (r=0.575; P=0.016) in conservative group.Conclusion: In conclusion both GOS and GCS are essential during the management of surgical and conservative spontaneous supratentorialintracerebral hemorrhage patients.Journal of Current and Advance Medical Research 2018;5(2):49-54","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81436222","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 : 2018-06-20DOI: 10.3329/JCAMR.V5I2.37062
M. Rashid, A. Islam, Golam Sagir, R. Islam, Muhammad Abdul Momen Khan, Farhana Moslehuddin, B. Alam
Background: Clinical features are the important diagnostic tools for the detection of spontaneous intracerebral haemorrhage patients.Objective: The purpose of the present study was to see the clinical profiles of spontaneous intracerebral haemorrhage patients.Methodology: This cross-sectional study was conducted in the Department of Neurology at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (2) years. Patients with spontaneous intracerebral haemorrhage who were admitted in the Departments of Neurology, Neurosurgery and Medicine at Dhaka Medical College and Hospital, Dhaka were selected as study population. Both male and female patients with the age group of ≥18 years, first ever spontaneous intracerebral haemorrhage and hospital admission within 48 hours of onset were included for this study. The clinical features of the study population were collected after admission of the patients like headache, hemiplegia or paresis, vomiting, and deterioration of consciousness, dysphasia, dysarthria and hemisensory loss.Result: Headache was observed the most frequent complaint in 81.0% (n=79) patients. Hemiparesis or hemiplegia was the most frequent focal neurological deficit in 69.0% (n=68) patients. Vomiting was common also 58.0% (n=57) patients. Twenty five (26.0%) respondents were presented with deterioration of consciousness. Dysphasia/aphasia was found in 15.0% patients. Convulsion was not a common presenting feature (7%).Conclusion: In conclusion headache, vomiting and deterioration of consciousness are the most common form of clinical feature of spontaneous intracerebral haemorrhage.Journal of Current and Advance Medical Research 2018;5(2):64-67
{"title":"Clinical Profiles of Spontaneous Intracerebral Haemorrhage Patients: Experience of 100 Cases in Dhaka City","authors":"M. Rashid, A. Islam, Golam Sagir, R. Islam, Muhammad Abdul Momen Khan, Farhana Moslehuddin, B. Alam","doi":"10.3329/JCAMR.V5I2.37062","DOIUrl":"https://doi.org/10.3329/JCAMR.V5I2.37062","url":null,"abstract":"Background: Clinical features are the important diagnostic tools for the detection of spontaneous intracerebral haemorrhage patients.Objective: The purpose of the present study was to see the clinical profiles of spontaneous intracerebral haemorrhage patients.Methodology: This cross-sectional study was conducted in the Department of Neurology at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (2) years. Patients with spontaneous intracerebral haemorrhage who were admitted in the Departments of Neurology, Neurosurgery and Medicine at Dhaka Medical College and Hospital, Dhaka were selected as study population. Both male and female patients with the age group of ≥18 years, first ever spontaneous intracerebral haemorrhage and hospital admission within 48 hours of onset were included for this study. The clinical features of the study population were collected after admission of the patients like headache, hemiplegia or paresis, vomiting, and deterioration of consciousness, dysphasia, dysarthria and hemisensory loss.Result: Headache was observed the most frequent complaint in 81.0% (n=79) patients. Hemiparesis or hemiplegia was the most frequent focal neurological deficit in 69.0% (n=68) patients. Vomiting was common also 58.0% (n=57) patients. Twenty five (26.0%) respondents were presented with deterioration of consciousness. Dysphasia/aphasia was found in 15.0% patients. Convulsion was not a common presenting feature (7%).Conclusion: In conclusion headache, vomiting and deterioration of consciousness are the most common form of clinical feature of spontaneous intracerebral haemorrhage.Journal of Current and Advance Medical Research 2018;5(2):64-67","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82549592","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 : 2018-06-20DOI: 10.3329/JCAMR.V5I2.37060
F. Hafez, A. Yusuf, J. Nessa, Taslima Hoq Moonmoon, A. S. Reza, D. Parvin
Background: The prevalence of non-cardiac chest pain is estimated to be more than 65.0% of all cases with chest pain.Objective: The objective of the present study was to see the clinic-demographics characteristics and investigational findings of cervical spondylosis patients presented with chest pain.Methodology: This cross-sectional study was carried out in the department of Physical Medicine & Rehabilitation at National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh from July 2012 to June 2013 for a period of one year. The diagnosis was made by detailed history, clinical examination and relevant investigations.Result: In this study, female (60%) were much more sufferer especially in much younger age group (41.67%). People from urban area (68.75%) and affluent status (41.67%) were more affected; also who were in anxiety-depressed state of mind (50%) and those who worked by neck bending posture (45.83%). All patients presented with chest pain (100%) & other associated symptoms like arm pain (41.67%), tingling sensation of left upper limb (22.91%), shoulder pain (25.0%) and scapular pain (16.67%). All (100%) patients had normal ECG finding. On the other hand, they (100.0%) had some finding in cervical spine X-ray; clinically the patient had painful neck movement (75.0%). A specific test for cervical radiculopathy “spurling maneuver” was positive in (22.91%).Conclusion: Through chest pain due to cervical disc disease widely reported but remains under recognized. So careful evaluation of patient for chest pain might have saved the patient for admission and various expensive invasive procedure.Journal of Current and Advance Medical Research 2018;5(2):55-59
{"title":"Clinico-Demographic Characteristics of Cervical Spondylosis Patients Presented with Chest Pain","authors":"F. Hafez, A. Yusuf, J. Nessa, Taslima Hoq Moonmoon, A. S. Reza, D. Parvin","doi":"10.3329/JCAMR.V5I2.37060","DOIUrl":"https://doi.org/10.3329/JCAMR.V5I2.37060","url":null,"abstract":"Background: The prevalence of non-cardiac chest pain is estimated to be more than 65.0% of all cases with chest pain.Objective: The objective of the present study was to see the clinic-demographics characteristics and investigational findings of cervical spondylosis patients presented with chest pain.Methodology: This cross-sectional study was carried out in the department of Physical Medicine & Rehabilitation at National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh from July 2012 to June 2013 for a period of one year. The diagnosis was made by detailed history, clinical examination and relevant investigations.Result: In this study, female (60%) were much more sufferer especially in much younger age group (41.67%). People from urban area (68.75%) and affluent status (41.67%) were more affected; also who were in anxiety-depressed state of mind (50%) and those who worked by neck bending posture (45.83%). All patients presented with chest pain (100%) & other associated symptoms like arm pain (41.67%), tingling sensation of left upper limb (22.91%), shoulder pain (25.0%) and scapular pain (16.67%). All (100%) patients had normal ECG finding. On the other hand, they (100.0%) had some finding in cervical spine X-ray; clinically the patient had painful neck movement (75.0%). A specific test for cervical radiculopathy “spurling maneuver” was positive in (22.91%).Conclusion: Through chest pain due to cervical disc disease widely reported but remains under recognized. So careful evaluation of patient for chest pain might have saved the patient for admission and various expensive invasive procedure.Journal of Current and Advance Medical Research 2018;5(2):55-59","PeriodicalId":15413,"journal":{"name":"Journal of Current and Advance Medical Research","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90553815","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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