Pub Date : 2022-06-05DOI: 10.3329/kyamcj.v13i1.59873
M. A. Rahman, S. Sultana, Q. M. Haque
Background: Burkholderia cepacia complex (Bcc) bacteria are endowed with an extraordinary metabolic diversity and emerged in the 1980s as life-threatening and difficult-to-treat pathogens among the patients suffering from cystic fibrosis (CF). Recently, these bacteria became recognized as a threat to hospitalized patients suffering from other diseases, in particular oncological patients. Objectives: The objectives of the present study were to isolate, speciate, reactions to different substrates and to find out the antibiogram of Bcc from different clinical samples. Materials and Methods: These Gram negative organisms were analyzed by BD Phoenix M50 Automated Microbiology System for carbohydrates, amino acids and proteins and other substrates to observe the reactions. Antibiogram was also observed. Results: Reactions to different substrates showed similarities with other studies with some variations. Antimicrobial susceptibility pattern of the Bcc isolates was found almost similar in comparison to other studies with some differences. Conclusion: Bcc demands an early detection and diagnosis as the incidences of infection by these organisms are increasing day by day. Therefore, this automated system can be used as a tool to facilitate early identification and antimicrobial susceptibility pattern of the Bcc bacteria in routine microbiology laboratories. KYAMC Journal Vol. 13, No. 01, April 2022: 4-8
{"title":"Biochemical Characterization and Antimicrobial Susceptibility Pattern of the Clinical Isolates of Burkholderia cepacia complex from Northern Part of Bangladesh","authors":"M. A. Rahman, S. Sultana, Q. M. Haque","doi":"10.3329/kyamcj.v13i1.59873","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i1.59873","url":null,"abstract":"Background: Burkholderia cepacia complex (Bcc) bacteria are endowed with an extraordinary metabolic diversity and emerged in the 1980s as life-threatening and difficult-to-treat pathogens among the patients suffering from cystic fibrosis (CF). Recently, these bacteria became recognized as a threat to hospitalized patients suffering from other diseases, in particular oncological patients.\u0000Objectives: The objectives of the present study were to isolate, speciate, reactions to different substrates and to find out the antibiogram of Bcc from different clinical samples.\u0000Materials and Methods: These Gram negative organisms were analyzed by BD Phoenix M50 Automated Microbiology System for carbohydrates, amino acids and proteins and other substrates to observe the reactions. Antibiogram was also observed.\u0000Results: Reactions to different substrates showed similarities with other studies with some variations. Antimicrobial susceptibility pattern of the Bcc isolates was found almost similar in comparison to other studies with some differences.\u0000Conclusion: Bcc demands an early detection and diagnosis as the incidences of infection by these organisms are increasing day by day. Therefore, this automated system can be used as a tool to facilitate early identification and antimicrobial susceptibility pattern of the Bcc bacteria in routine microbiology laboratories.\u0000KYAMC Journal Vol. 13, No. 01, April 2022: 4-8","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81593885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-05DOI: 10.3329/kyamcj.v13i1.59883
A. Moniruddin, H. Raihan, Tanvirul Hasan, Mst Nazmun Nahar Khanom, Md Asadul Bari Shaikat, Ba Ferdous, M. R. Khan, M. A. Rouf
A 35-year old married non-diabetic, non-hypertensive, non-alcoholic, non-smoking and non-betel-nut-chewing poor housewife having average body build and body weight hailing from Shahjadpur of Sirajgonj district got herself admitted with intermittent pain and 2.5x1.75 cm sized discolored swelling in the umbilical region for one year. The dull aching non-radiating pain aggravated by moving was not associated with fever, chills and rigor. The pain was distinctly remarkable during regular normal menstrual flow. It was responding variably to traditional analgesic and nonspecific antimicrobial drugs as advised by local village doctors. But she was not cured. Her bowel and bladder habits were normal. She had no abdominal pain, distension, chest pain, bone pain, dyspnea, cough, jaundice, umbilical discharge of faeces, blood or urine. Her two children were born normally (i.e., by NVD: Normal Vaginal Delivery). She had no previous history of any form of surgery. Her rt-PCR for Covid-19 test was negative with normal liver and kidney function tests and normal sonographic findings of the whole abdomen. Our clinical diagnosis of primary umbilical endometriosis was supported by FNAC from discolored umbilical swelling. After having an informed written consent we excised the umbilicus. The histopathological report had confirmed our preoperative diagnosis. The post-operative period was smooth and uneventful. We like to share our experience of diagnosing and treating this very rare disease of primary umbilical endometriosis. KYAMC Journal Vol. 13, No. 01, April 2022: 56-60
{"title":"Primary Umbilical Endometriosis (Villar’s Nodule): A Rare Symptomatic Umbilical Pathology in An Adult Woman","authors":"A. Moniruddin, H. Raihan, Tanvirul Hasan, Mst Nazmun Nahar Khanom, Md Asadul Bari Shaikat, Ba Ferdous, M. R. Khan, M. A. Rouf","doi":"10.3329/kyamcj.v13i1.59883","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i1.59883","url":null,"abstract":"A 35-year old married non-diabetic, non-hypertensive, non-alcoholic, non-smoking and non-betel-nut-chewing poor housewife having average body build and body weight hailing from Shahjadpur of Sirajgonj district got herself admitted with intermittent pain and 2.5x1.75 cm sized discolored swelling in the umbilical region for one year. The dull aching non-radiating pain aggravated by moving was not associated with fever, chills and rigor. The pain was distinctly remarkable during regular normal menstrual flow. It was responding variably to traditional analgesic and nonspecific antimicrobial drugs as advised by local village doctors. But she was not cured. Her bowel and bladder habits were normal. She had no abdominal pain, distension, chest pain, bone pain, dyspnea, cough, jaundice, umbilical discharge of faeces, blood or urine. Her two children were born normally (i.e., by NVD: Normal Vaginal Delivery). She had no previous history of any form of surgery. Her rt-PCR for Covid-19 test was negative with normal liver and kidney function tests and normal sonographic findings of the whole abdomen. Our clinical diagnosis of primary umbilical endometriosis was supported by FNAC from discolored umbilical swelling. After having an informed written consent we excised the umbilicus. The histopathological report had confirmed our preoperative diagnosis. The post-operative period was smooth and uneventful. We like to share our experience of diagnosing and treating this very rare disease of primary umbilical endometriosis.\u0000KYAMC Journal Vol. 13, No. 01, April 2022: 56-60","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85743434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.3329/kyamcj.v12i4.58217
Sheuly Akter, Nasrin Nigger, Sohalee Sarmin
Background: The incidence of multiple pregnancies is on rising due to a variety of reasons like increased use of assisted reproductive techniques and an increasing number of women having a pregnancy at an advanced age. A mother with twin pregnancy needs to be taken under the special care category. Objectives: We are intended to observe the effects associated with twin or higher-order pregnancy. Materials and Methods: This is a descriptive type of cross-sectional observational study conducted in the Department of Gynae and Obstetrics, Bangabandhu Sheik Mujib Medical University and Dhaka medical college hospital over a period of six months from 1st July to 31st December 2014. Total fifty patients were included in the study. Inclusion criteria were pregnant women who would be admitted with multiple pregnancies in BSMMU & DMCH. Results: Average age of the responding patients was 24.54 years with standard deviation of ±3.93. Forty-two (84%) patients had ANC. Maximum (34%) patients had no complication, 8(16%) patients had GDM, 8(16%) patients had Preterm labor (PTL), 12 (24%) patients had Preeclampsia and only 5(10%) patients had PROM. Maximum (50%) babies had no significant fetal outcome, 30% babies had low birth weight, 16% babies were very low birth weight and 4(8%) patients had fetal demise. Conclusion: Now a days the incidence of multiple pregnancies is increasing due to ART. Multiple pregnancies are high-risk pregnancies with more complications in comparison to a single pregnancy. Our study reveals that nearly half of the cases had no maternal or fetal complication, Commonest maternal complications were preterm labor, Premature rupture of membranes (PROM), preeclampsia, and fetal outcomes were premature and low birthweight babies. KYAMC Journal. 2022;12(04): 196-199
{"title":"Effects of Multiple Pregnancies on Mother and Foetus","authors":"Sheuly Akter, Nasrin Nigger, Sohalee Sarmin","doi":"10.3329/kyamcj.v12i4.58217","DOIUrl":"https://doi.org/10.3329/kyamcj.v12i4.58217","url":null,"abstract":"Background: The incidence of multiple pregnancies is on rising due to a variety of reasons like increased use of assisted reproductive techniques and an increasing number of women having a pregnancy at an advanced age. A mother with twin pregnancy needs to be taken under the special care category.\u0000Objectives: We are intended to observe the effects associated with twin or higher-order pregnancy.\u0000Materials and Methods: This is a descriptive type of cross-sectional observational study conducted in the Department of Gynae and Obstetrics, Bangabandhu Sheik Mujib Medical University and Dhaka medical college hospital over a period of six months from 1st July to 31st December 2014. Total fifty patients were included in the study. Inclusion criteria were pregnant women who would be admitted with multiple pregnancies in BSMMU & DMCH.\u0000Results: Average age of the responding patients was 24.54 years with standard deviation of ±3.93. Forty-two (84%) patients had ANC. Maximum (34%) patients had no complication, 8(16%) patients had GDM, 8(16%) patients had Preterm labor (PTL), 12 (24%) patients had Preeclampsia and only 5(10%) patients had PROM. Maximum (50%) babies had no significant fetal outcome, 30% babies had low birth weight, 16% babies were very low birth weight and 4(8%) patients had fetal demise.\u0000Conclusion: Now a days the incidence of multiple pregnancies is increasing due to ART. Multiple pregnancies are high-risk pregnancies with more complications in comparison to a single pregnancy. Our study reveals that nearly half of the cases had no maternal or fetal complication, Commonest maternal complications were preterm labor, Premature rupture of membranes (PROM), preeclampsia, and fetal outcomes were premature and low birthweight babies.\u0000KYAMC Journal. 2022;12(04): 196-199","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85537562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.3329/kyamcj.v12i4.58221
M. Hossain, M. Emran, K. Mohajan, Sajeda Islam, Afm Mahbubul Alam
Background: The Back pain affects about 20% of the population in Bangladesh in each year between the ages of 30-60 years. A well-defined pathology is identified in only about 15% of patients. Objective: To identify the association of hyperuricemia in patients with chronic low back pain. Materials and Methods: A descriptive cross-sectional study was performed on 180 patients among the ages of 18 to 75 years with chronic low back pain (CLBP). Data was collected through a structured questionnaire. X-rays and Magnetic Resonance Imaging (MRI) of the lumbosacral spine had been used to evaluate any findings in terms of low back pain. Serum uric acid (sUA) levels had been tested and recorded. Results: Joint pain (p < 0.001), lumbar disc prolapse (p = 0.023), and disc degeneration (p = 0.011) were more in High-sUA than Low-sUA group. Female patients in H-sUA group had significantly higher occurrence of joint pain(p = 0.002), lumbar disc prolapse (p = 0.019), and disc degeneration (p = 0.004) than L-sUA group. In regression analysis, female sex (p = 0.036), duration of CLBP (p = 0.031), and sUA level (p = 0.025) were associated with radiological findings. In female patients association of duration of CLBP (p = 0.046) and sUA (p = 0.009). Conclusion: The serum UA level was significantly associated with CLBP in female patients. More studies are warranted to explore whether the two conditions exist simultaneously or there is a direct causal relationship between the conditions. KYAMC Journal. 2022;12(04): 213-217
{"title":"Association of Hyperuricemia with Chronic Low Back Pain","authors":"M. Hossain, M. Emran, K. Mohajan, Sajeda Islam, Afm Mahbubul Alam","doi":"10.3329/kyamcj.v12i4.58221","DOIUrl":"https://doi.org/10.3329/kyamcj.v12i4.58221","url":null,"abstract":"Background: The Back pain affects about 20% of the population in Bangladesh in each year between the ages of 30-60 years. A well-defined pathology is identified in only about 15% of patients.\u0000Objective: To identify the association of hyperuricemia in patients with chronic low back pain.\u0000Materials and Methods: A descriptive cross-sectional study was performed on 180 patients among the ages of 18 to 75 years with chronic low back pain (CLBP). Data was collected through a structured questionnaire. X-rays and Magnetic Resonance Imaging (MRI) of the lumbosacral spine had been used to evaluate any findings in terms of low back pain. Serum uric acid (sUA) levels had been tested and recorded.\u0000Results: Joint pain (p < 0.001), lumbar disc prolapse (p = 0.023), and disc degeneration (p = 0.011) were more in High-sUA than Low-sUA group. Female patients in H-sUA group had significantly higher occurrence of joint pain(p = 0.002), lumbar disc prolapse (p = 0.019), and disc degeneration (p = 0.004) than L-sUA group. In regression analysis, female sex (p = 0.036), duration of CLBP (p = 0.031), and sUA level (p = 0.025) were associated with radiological findings. In female patients association of duration of CLBP (p = 0.046) and sUA (p = 0.009).\u0000Conclusion: The serum UA level was significantly associated with CLBP in female patients. More studies are warranted to explore whether the two conditions exist simultaneously or there is a direct causal relationship between the conditions.\u0000KYAMC Journal. 2022;12(04): 213-217","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87733322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.3329/kyamcj.v12i4.58218
Anupam Das, Md. Abdus Salam, S. Algin, Mohammed SI Mullick, C. K. Ghosh, Md. Zulfikar Ali
Background: Irritable Bowel Syndrome (IBS) is a functional disorder. Invariably it is co-morbid with psychiatric disorder and is associated with psychosocial stressors. Objectives: To see the association of types of IBS with psychiatric disorders and to assess the association of psychosocial stressors. Materials and methods: It was descriptive, cross-sectional study carried out in the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2014 to December 2014. Total 250 samples were included in this study those were diagnosed as IBS. Respondents were above 18 years of age of either sex. Sampling technique was consecutive. Results: The patients with psychiatric disorders among IBS patients were 86.4%. Maximum (35.2%) were IBS-D followed by 32.8% IBS-C and 32% IBS-M. Majority (93.2%) presented with stressful life events. Common stressful life events were changing eating habit (25.2%), change in sleeping habit (20.8%) and financial loss or problem (18.8%). Conclusion: Many people remain troubled by symptoms for long term. So, proper psychiatric evaluation is necessary for successful alleviation of the bothering symptoms of such incurable functional illness. KYAMC Journal. 2022;12(04): 200-204
{"title":"Irritable Bowel Syndrome is Comorbid with Psychiatric Disorders and is Associated with Psychosocial Stressors","authors":"Anupam Das, Md. Abdus Salam, S. Algin, Mohammed SI Mullick, C. K. Ghosh, Md. Zulfikar Ali","doi":"10.3329/kyamcj.v12i4.58218","DOIUrl":"https://doi.org/10.3329/kyamcj.v12i4.58218","url":null,"abstract":"Background: Irritable Bowel Syndrome (IBS) is a functional disorder. Invariably it is co-morbid with psychiatric disorder and is associated with psychosocial stressors.\u0000Objectives: To see the association of types of IBS with psychiatric disorders and to assess the association of psychosocial stressors.\u0000Materials and methods: It was descriptive, cross-sectional study carried out in the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2014 to December 2014. Total 250 samples were included in this study those were diagnosed as IBS. Respondents were above 18 years of age of either sex. Sampling technique was consecutive.\u0000Results: The patients with psychiatric disorders among IBS patients were 86.4%. Maximum (35.2%) were IBS-D followed by 32.8% IBS-C and 32% IBS-M. Majority (93.2%) presented with stressful life events. Common stressful life events were changing eating habit (25.2%), change in sleeping habit (20.8%) and financial loss or problem (18.8%).\u0000Conclusion: Many people remain troubled by symptoms for long term. So, proper psychiatric evaluation is necessary for successful alleviation of the bothering symptoms of such incurable functional illness.\u0000KYAMC Journal. 2022;12(04): 200-204","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83939264","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}
Objective: The objective of the study was to explore the profile of Autopsy cases at Rajshahi Medical College. Materials and Methods: This observational study was carried out at Rajshahi Medical College. From January 2021 to June 2021. A total of 248 autopsy cases were included as a sample size during the study. Results: Most of the autopsy cases were found to be male ( 75% ), More than 40.72% death were due to poisoning, followed by suicidal hanging cases (19.76% ),homicide cases (14.51%), different types of accidental cases( 8.47%). In case of road traffic accidents (RTA) 70% cases were by 2-wheelervehicles followed by 25% were by 4-wheeler vehicles, 3% were by heavy vehicles and 2% were pedestrian cases. Death from suicidal hanging were mostly common in the age group 15-25 years, Homicide in47-67 years, poisoning in 47-67 years, Accidental fall from height in 15-25 years and Natural death in the age group of 67 years and above. Conclusion: This study helps to interpret several sorts of medico-legal situations, by policy makers, health care programmers, judiciary and investigation and then takes appropriate action to minimize mortality. KYAMC Journal. 2022;12(04): 205-207
{"title":"The Profile of Autopsy Cases at Rajshahi Medical College","authors":"L. Yesmin, Md. Kafil Uddin, Md Rafiqul Islam, Sandwip Talukdar, Md Zubaidur Rahman, Joya Debnath","doi":"10.3329/kyamcj.v12i4.58219","DOIUrl":"https://doi.org/10.3329/kyamcj.v12i4.58219","url":null,"abstract":"Objective: The objective of the study was to explore the profile of Autopsy cases at Rajshahi Medical College.\u0000Materials and Methods: This observational study was carried out at Rajshahi Medical College. From January 2021 to June 2021. A total of 248 autopsy cases were included as a sample size during the study.\u0000Results: Most of the autopsy cases were found to be male ( 75% ), More than 40.72% death were due to poisoning, followed by suicidal hanging cases (19.76% ),homicide cases (14.51%), different types of accidental cases( 8.47%). In case of road traffic accidents (RTA) 70% cases were by 2-wheelervehicles followed by 25% were by 4-wheeler vehicles, 3% were by heavy vehicles and 2% were pedestrian cases. Death from suicidal hanging were mostly common in the age group 15-25 years, Homicide in47-67 years, poisoning in 47-67 years, Accidental fall from height in 15-25 years and Natural death in the age group of 67 years and above.\u0000Conclusion: This study helps to interpret several sorts of medico-legal situations, by policy makers, health care programmers, judiciary and investigation and then takes appropriate action to minimize mortality.\u0000KYAMC Journal. 2022;12(04): 205-207","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82137834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.3329/kyamcj.v12i4.58226
SM Emdadul Haque, Md Raseul Kabir, Md Amzad Hossain Pramanik, Muhatarima Tabassum, Md. Ruhul Amin, Reza Nasim Ahmed
Background: Most people experience headache at some point in their lifetime. Among them a small proportion suffers from migraine. It is difficult to estimate actual prevalence of headache. Objectives: The aim of our study was to measure frequency of migraine among school going children in Rajshahi city and to evaluate different presentations of migraine. Materials and Methods: This is a population based cross-sectional type of descriptive study in which the survey was conducted among school going children aged 12 -16 years at Rajshahi City from January, 2014 to December, 2015. The diagnostic criteria for migraine defined by International Headache Society (IHS) were used. After taking informed consent purposively collected total 271 migraine patients were enrolled for the proposed study. Screening questionnaire (Questionnaire A) was given to total 2000 students (girls 1000 and boys 1000). A detailed Questionnaire B was distributed to those who had headache. Result: Mean (+SD) age of student of migraine was 13(+1) years, highest proportion (43.54%) of student was between 13 to 15 years of age. Higher frequency of migraine was observed in girls (51.4%) as compared to boys (27.8%). Pulsatile headache is the commonest type of headache. Majority of students reported unilateral headache. 80.4% students reported their headache to aggravated by movement. Associated features were photophobia or phonophobia 63.5%, both 26.6%, nausea 82.7%, vomiting 30.6%. Most students (29.5%) reported sleep disturbance as the aggravating factor of migraine and they reported that their attack is relieved by rest. Conclusion: Early diagnosis and treatment of migraine as well as the education of health workers and families are very important. In our environment the numerical importance of this disease suggests the need to perform further and broader epidemiological studies. KYAMC Journal. 2022;12(04): 237-242
{"title":"Frequency and Diversity of Presentation of Migraine Among School Going Children in Rajshahi City.","authors":"SM Emdadul Haque, Md Raseul Kabir, Md Amzad Hossain Pramanik, Muhatarima Tabassum, Md. Ruhul Amin, Reza Nasim Ahmed","doi":"10.3329/kyamcj.v12i4.58226","DOIUrl":"https://doi.org/10.3329/kyamcj.v12i4.58226","url":null,"abstract":"Background: Most people experience headache at some point in their lifetime. Among them a small proportion suffers from migraine. It is difficult to estimate actual prevalence of headache.\u0000Objectives: The aim of our study was to measure frequency of migraine among school going children in Rajshahi city and to evaluate different presentations of migraine.\u0000Materials and Methods: This is a population based cross-sectional type of descriptive study in which the survey was conducted among school going children aged 12 -16 years at Rajshahi City from January, 2014 to December, 2015. The diagnostic criteria for migraine defined by International Headache Society (IHS) were used. After taking informed consent purposively collected total 271 migraine patients were enrolled for the proposed study. Screening questionnaire (Questionnaire A) was given to total 2000 students (girls 1000 and boys 1000). A detailed Questionnaire B was distributed to those who had headache.\u0000Result: Mean (+SD) age of student of migraine was 13(+1) years, highest proportion (43.54%) of student was between 13 to 15 years of age. Higher frequency of migraine was observed in girls (51.4%) as compared to boys (27.8%). Pulsatile headache is the commonest type of headache. Majority of students reported unilateral headache. 80.4% students reported their headache to aggravated by movement. Associated features were photophobia or phonophobia 63.5%, both 26.6%, nausea 82.7%, vomiting 30.6%. Most students (29.5%) reported sleep disturbance as the aggravating factor of migraine and they reported that their attack is relieved by rest.\u0000Conclusion: Early diagnosis and treatment of migraine as well as the education of health workers and families are very important. In our environment the numerical importance of this disease suggests the need to perform further and broader epidemiological studies.\u0000KYAMC Journal. 2022;12(04): 237-242","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84838546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.3329/kyamcj.v12i4.58223
M. Bodiuzzaman
Background: Hypothyroidism is the most common metabolic disorder that slows metabolism and leads to many medical conditions like diabetes (DM) and its complications like hypertension (HTN) and ischemic heart disease (IHD). Objectives: This study was conducted to determine the prevalence of various comorbidities in the hypothyroid population, to compare them, and to demonstrate that we can prevent those comorbidities through early detection and treatment of primary diseases such as hypothyroidism. Materials and Methods: An observational study was conducted in a general hospital in Faridpur from October 2019 to December 2020 for a period of one year and three months. A total of 170 hypothyroid patients were selected randomly from all sexes and races to see their comorbidities. Clinically suspicious patients were selected for laboratory testing and, after confirmation of hypothyroidism, comorbid conditions were searched for by clinical examination and biochemical tests where needed. All new and old patients were included as cases in this study. Result: 170 cases were selected as hypothyroidism out of a total of 3233 patients (5.25%). Female patients were more than male cases (134 vs. 36 and a ratio 3.2:1). More patients were above 50 years (29.41%). Comorbidities present most of the patients (88.82%). Most common comorbidities were HTN, DM, BA, and IHD (40%, 19.41%, 14.11%, and 11.76%, respectively). Common concomitant comorbidities were HTN with DM (15.23%) and HTN with IHD (11.25%). Conclusion: There is a high incidence of HTN, DM, BA, and IHD in association with hypothyroidism. Overt hypothyroid patients are more likely to suffer from HTN and DM. As a result, these comorbid conditions should be investigated in all hypothyroid patients. KYAMC Journal. 2022;12(04): 222-225
{"title":"Hypothyroidism and Its Comorbidities - An Observational Study at A General Hospital","authors":"M. Bodiuzzaman","doi":"10.3329/kyamcj.v12i4.58223","DOIUrl":"https://doi.org/10.3329/kyamcj.v12i4.58223","url":null,"abstract":"Background: Hypothyroidism is the most common metabolic disorder that slows metabolism and leads to many medical conditions like diabetes (DM) and its complications like hypertension (HTN) and ischemic heart disease (IHD).\u0000Objectives: This study was conducted to determine the prevalence of various comorbidities in the hypothyroid population, to compare them, and to demonstrate that we can prevent those comorbidities through early detection and treatment of primary diseases such as hypothyroidism.\u0000Materials and Methods: An observational study was conducted in a general hospital in Faridpur from October 2019 to December 2020 for a period of one year and three months. A total of 170 hypothyroid patients were selected randomly from all sexes and races to see their comorbidities. Clinically suspicious patients were selected for laboratory testing and, after confirmation of hypothyroidism, comorbid conditions were searched for by clinical examination and biochemical tests where needed. All new and old patients were included as cases in this study.\u0000Result: 170 cases were selected as hypothyroidism out of a total of 3233 patients (5.25%). Female patients were more than male cases (134 vs. 36 and a ratio 3.2:1). More patients were above 50 years (29.41%). Comorbidities present most of the patients (88.82%). Most common comorbidities were HTN, DM, BA, and IHD (40%, 19.41%, 14.11%, and 11.76%, respectively). Common concomitant comorbidities were HTN with DM (15.23%) and HTN with IHD (11.25%).\u0000Conclusion: There is a high incidence of HTN, DM, BA, and IHD in association with hypothyroidism. Overt hypothyroid patients are more likely to suffer from HTN and DM. As a result, these comorbid conditions should be investigated in all hypothyroid patients.\u0000KYAMC Journal. 2022;12(04): 222-225","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82114907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-10DOI: 10.3329/kyamcj.v12i4.58222
Talha Yousuf, Md Shamim Ahmed, M. Hasan, Md Shafiqul Islam
Background: Chronic kidney disease (CKD) is a worldwide public health problem. It is usually associated with anemia and prevalence of anemia increases progressively with worsening CKD. Objective: To find out the association of anemia with different stages of CKD. Materials and Methods: This cross-sectional study was conducted in the department of physiology in Mymensingh medical college, Bangladesh over a period of one year from January to December 2016. A total number of 174 subjects were enrolled in this study among which 87 patients and 87 healthy participants. On the basis of inclusion and exclusion criteria study subjects were divided into case and control group. Hemoglobin concentrations in the blood were measured in all study subjects by using auto-analyzer. Result: Hemoglobin concentration in the blood was decreased in both male and female CKD patients which were 9.55±1.13 gm/dl and 9.11±0.95 gm/dl respectively and result was statistically significant (p<0.01).) 55% is anemic in stage 1, 61% in stage 2, 70% in stage 3, 75% in stage 4, 86% in stage 5 of CKD. Conclusion: This study revealed that prevalence of anemia is common in all stages of CKD patients in Mymensingh, Bangladesh. It emphasizes the need for regular checking of anemia in CKD patients and early referral to the nephrologists. KYAMC Journal. 2022;12(04): 218-221
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