Khan Mh, M. Karim, Sejuty Haque, S. Khan, M. T. Alam
Odontomas are mixed odontogenic tumors composed of both epithelial and mesenchymal dental hard tissues. They are usually asymptomatic and are often discovered during routine radiography. A case of odontoma in a 21 year old man is described who presented with delayed eruption of upper central and lateral incisor teeth. The odontome was surgically removed followed by re-implantation of preserved extracted lateral incisor and a porcelain crown. Ibrahim Med. Coll. J. 2011; 5(1): 29-31 Key Words: Odontoma; Impacted tooth; Re-implantation. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9860
{"title":"Compound odontome with unerupted permanent incisor","authors":"Khan Mh, M. Karim, Sejuty Haque, S. Khan, M. T. Alam","doi":"10.3329/IMCJ.V5I1.9860","DOIUrl":"https://doi.org/10.3329/IMCJ.V5I1.9860","url":null,"abstract":"Odontomas are mixed odontogenic tumors composed of both epithelial and mesenchymal dental hard tissues. They are usually asymptomatic and are often discovered during routine radiography. A case of odontoma in a 21 year old man is described who presented with delayed eruption of upper central and lateral incisor teeth. The odontome was surgically removed followed by re-implantation of preserved extracted lateral incisor and a porcelain crown. Ibrahim Med. Coll. J. 2011; 5(1): 29-31 Key Words: Odontoma; Impacted tooth; Re-implantation. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9860","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129780424","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}
Bangladesh is facing a big challenge in reducing maternal and neonatal mortality. Addressing maternal health issues is now on the global social agenda in the new millennium. This cross sectional descriptive study was conducted in the unions of Sreepur Upazilla in March 2010 among 300 rural married women having at least one living child. Data were collected by face to face interviews using a semi-structured questionnaire to assess the knowledge, attitude and practice on maternal health care of married women in Sreepur Upazilla. The mean ± SD age of women was 33.5 ± 10.4 years and monthly income was Tk. 6,518.3 ± 5,142.4. Reproductive history of the women reveals that mean ± SD age at marriage, age at first child, and parity were 15.3 ± 2.9, 18.2 ± 3, 3 ± 2 years respectively. Only 42.3% of the respondents knew about swelling of the foot, 36.3% were aware of fits, 25.7% knew about severe headache and 24.7% knew about unusual bleeding as warning signs of pregnancy. About 84.3% respondents knew that the first meal of the baby should be colostrum. Among the participants 57%, 70.7% and 62.3% had average knowledge on ANC, INC and PNC respectively. Rural married women having a positive attitude towards maternal health care was 96.3% in ANC, 80% in home delivery, 61.3% in hospital delivery and 95.3% in PNC. It was found that 35.6% and 27.1% respondents were taking ANC 3 and 4 times respectively. Among the respondents 66.7% had done their laboratory examination and 84.7% took vitamins adequately. About 67.2% respondents performed normal physical work as before during pregnancy and 30.5% took more food than before. Home delivery was practiced by 88.3% respondents and 10.3% women delivered their baby at the hospital. Among the respondents who delivered their baby at home, 64.9% of them practiced few of the features of safe home delivery. Practice was good on ANC among 55.3% respondents where poor practice was found 69.3% on INC and 72.3% on PNC. Age and monthly income were related to knowledge on ANC (P<.001, P<.05) and PNC (P<.01, P<.05) respectively. Practice on maternal health care also related to socio-economic condition of the rural women. Women in rural settings are vulnerable due to poor maternal health care and exposed to risk of pregnancy and child birth. Appropriate health education activities, encouraging institutional delivery and development of socio-economic status are key factors to improve our maternal health. Ibrahim Med. Coll. J. 2011; 5(1): 13-16 Key Words: Knowledge; attitude; practice; maternal health care; Bangladesh. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9855
{"title":"Knowledge, attitude and practice of maternal health care amongst the married women in a rural area of Bangladesh","authors":"S. Shirin","doi":"10.3329/IMCJ.V5I1.9855","DOIUrl":"https://doi.org/10.3329/IMCJ.V5I1.9855","url":null,"abstract":"Bangladesh is facing a big challenge in reducing maternal and neonatal mortality. Addressing maternal health issues is now on the global social agenda in the new millennium. This cross sectional descriptive study was conducted in the unions of Sreepur Upazilla in March 2010 among 300 rural married women having at least one living child. Data were collected by face to face interviews using a semi-structured questionnaire to assess the knowledge, attitude and practice on maternal health care of married women in Sreepur Upazilla. The mean ± SD age of women was 33.5 ± 10.4 years and monthly income was Tk. 6,518.3 ± 5,142.4. Reproductive history of the women reveals that mean ± SD age at marriage, age at first child, and parity were 15.3 ± 2.9, 18.2 ± 3, 3 ± 2 years respectively. Only 42.3% of the respondents knew about swelling of the foot, 36.3% were aware of fits, 25.7% knew about severe headache and 24.7% knew about unusual bleeding as warning signs of pregnancy. About 84.3% respondents knew that the first meal of the baby should be colostrum. Among the participants 57%, 70.7% and 62.3% had average knowledge on ANC, INC and PNC respectively. Rural married women having a positive attitude towards maternal health care was 96.3% in ANC, 80% in home delivery, 61.3% in hospital delivery and 95.3% in PNC. It was found that 35.6% and 27.1% respondents were taking ANC 3 and 4 times respectively. Among the respondents 66.7% had done their laboratory examination and 84.7% took vitamins adequately. About 67.2% respondents performed normal physical work as before during pregnancy and 30.5% took more food than before. Home delivery was practiced by 88.3% respondents and 10.3% women delivered their baby at the hospital. Among the respondents who delivered their baby at home, 64.9% of them practiced few of the features of safe home delivery. Practice was good on ANC among 55.3% respondents where poor practice was found 69.3% on INC and 72.3% on PNC. Age and monthly income were related to knowledge on ANC (P<.001, P<.05) and PNC (P<.01, P<.05) respectively. Practice on maternal health care also related to socio-economic condition of the rural women. Women in rural settings are vulnerable due to poor maternal health care and exposed to risk of pregnancy and child birth. Appropriate health education activities, encouraging institutional delivery and development of socio-economic status are key factors to improve our maternal health. Ibrahim Med. Coll. J. 2011; 5(1): 13-16 Key Words: Knowledge; attitude; practice; maternal health care; Bangladesh. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9855","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116122417","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}
The rates of social crimes taken as ‘social health indicators’ are commonly used for assessing the magnitude of the diseases of social and mental health (DSMH). The prevalence of social crimes, the indicators of the DSMH, worsened dangerously in recent years. Though both developing and developed countries appear to be affected equally, due to lack of proper documentation, it is difficult to assess the trend of the DSMH in developing countries like Bangladesh. However, the trend of DSMH may be assessed based on some published reports.
{"title":"Diseases of social and mental health: are we concerned?","authors":"M. Sayeed","doi":"10.3329/imcj.v5i1.9851","DOIUrl":"https://doi.org/10.3329/imcj.v5i1.9851","url":null,"abstract":"The rates of social crimes taken as ‘social health indicators’ are commonly used for assessing the magnitude of the diseases of social and mental health (DSMH). The prevalence of social crimes, the indicators of the DSMH, worsened dangerously in recent years. Though both developing and developed countries appear to be affected equally, due to lack of proper documentation, it is difficult to assess the trend of the DSMH in developing countries like Bangladesh. However, the trend of DSMH may be assessed based on some published reports.","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132162421","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}
Inducible clindamycin resistance was detemined in 200 clinical isolates of staphylococci from pus (53.5%) and wound swab (46.5%). The study was done from July 2009 to June 2010, in the Department of Microbiology, BIHS Hospital Dhaka. Inducible clindamycin resistance was demonstrated by placing an erythromycin disc (15 ig) 15 mm apart from the edge of a clindamycin (2 ig) disc in Mueller Hinton agar. When the clindamycin inhibited zone becomes D- shaped the organism was regarded as positive for inducible resistance (D- test positive). Out of 200 staphylococci, 20% had inducible clindamycin resistance, 5% had constitutive clindamycin resistance and remaining 75% was clindamycin sensitive. In case of methicillin resistant Staphylococcus aureus (MRSA), 48% had inducible clindamycin resistance while 11.5% was constitutively resistant to clindamycin and remainder were clindamycin sensitive. All clindamycin resistant strains were 100% sensitive to vancomycin and linezolid followed by gentamycin (42%) and tetracycline (42.3%). The findings demonstrated that a substantial proportion of staphylococci in our tertiary care hospital had inducible resistance to clindamycin. Ibrahim Med. Coll. J. 2011; 5(1): 6-8 Key words: Staphylococcus aureus; Inducible clindamycin resistance; Constitutive clindamycin resistance; D-test DOI: http://dx.doi.org/10.3329/imcj.v5i1.9853
{"title":"Inducible clindamycin resistance among staphylococci isolated from clinical samples in an urban hospital of Dhaka City","authors":"S. Akhter, Z. H. Asna, Mushfequr Rahman","doi":"10.3329/IMCJ.V5I1.9853","DOIUrl":"https://doi.org/10.3329/IMCJ.V5I1.9853","url":null,"abstract":"Inducible clindamycin resistance was detemined in 200 clinical isolates of staphylococci from pus (53.5%) and wound swab (46.5%). The study was done from July 2009 to June 2010, in the Department of Microbiology, BIHS Hospital Dhaka. Inducible clindamycin resistance was demonstrated by placing an erythromycin disc (15 ig) 15 mm apart from the edge of a clindamycin (2 ig) disc in Mueller Hinton agar. When the clindamycin inhibited zone becomes D- shaped the organism was regarded as positive for inducible resistance (D- test positive). Out of 200 staphylococci, 20% had inducible clindamycin resistance, 5% had constitutive clindamycin resistance and remaining 75% was clindamycin sensitive. In case of methicillin resistant Staphylococcus aureus (MRSA), 48% had inducible clindamycin resistance while 11.5% was constitutively resistant to clindamycin and remainder were clindamycin sensitive. All clindamycin resistant strains were 100% sensitive to vancomycin and linezolid followed by gentamycin (42%) and tetracycline (42.3%). The findings demonstrated that a substantial proportion of staphylococci in our tertiary care hospital had inducible resistance to clindamycin. Ibrahim Med. Coll. J. 2011; 5(1): 6-8 Key words: Staphylococcus aureus; Inducible clindamycin resistance; Constitutive clindamycin resistance; D-test DOI: http://dx.doi.org/10.3329/imcj.v5i1.9853","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132583721","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}
Infertility is an experience that strikes at the very core of a woman’s life and as a whole her family and society. Studies in Bangladesh to evaluate the factors are difficult to come by. This case control study was carried out from Jan 2010 to June 2010 to find out the factors associated with secondary infertility. A total of 70 cases were selected from the infertility unit of Bangabandhu Sheikh Mujib Medical University and 70 unmatched controls from the same hospital attending the pediatrics unit with their children were also recruited. Data were collected by interview and review of documents. No age difference was noticed between the cases (29.26 ± 4.13) and controls (29.21 ± 3.95). Association of secondary infertility was found with body mass index (p=0.036), previous bad obstetric history (p = 0.011) and previous caesarian delivery (p=0.044). Women with secondary infertility were more than four times more likely to have gynecological problem(s) than their fertile counterparts [OR 4.76 with 95% CI (2.018-11.270)]. The factors identified in this study might help the policy makers in designing prevention and health care programmes and thus reducing the hidden burden of secondary infertility. Ibrahim Med. Coll. J. 2011; 5(1): 17-21 Key Words: Secondary infertility; factors; association. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9856
{"title":"Factors associated with secondary infertility","authors":"H. Momtaz, M. Flora, S. Shirin","doi":"10.3329/IMCJ.V5I1.9856","DOIUrl":"https://doi.org/10.3329/IMCJ.V5I1.9856","url":null,"abstract":"Infertility is an experience that strikes at the very core of a woman’s life and as a whole her family and society. Studies in Bangladesh to evaluate the factors are difficult to come by. This case control study was carried out from Jan 2010 to June 2010 to find out the factors associated with secondary infertility. A total of 70 cases were selected from the infertility unit of Bangabandhu Sheikh Mujib Medical University and 70 unmatched controls from the same hospital attending the pediatrics unit with their children were also recruited. Data were collected by interview and review of documents. No age difference was noticed between the cases (29.26 ± 4.13) and controls (29.21 ± 3.95). Association of secondary infertility was found with body mass index (p=0.036), previous bad obstetric history (p = 0.011) and previous caesarian delivery (p=0.044). Women with secondary infertility were more than four times more likely to have gynecological problem(s) than their fertile counterparts [OR 4.76 with 95% CI (2.018-11.270)]. The factors identified in this study might help the policy makers in designing prevention and health care programmes and thus reducing the hidden burden of secondary infertility. Ibrahim Med. Coll. J. 2011; 5(1): 17-21 Key Words: Secondary infertility; factors; association. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9856","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130576323","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}
Syed Dawood Md Taimur, T. Ahmed, Golam Muinuddin, S. Jahan, F. Islam
Secondary hypertension is more common in children compared to that in adults, leading to organ damage and increased mortality. Renal artery stenosis could be a sequel to secondary hypertension in children and give rise to serious outcomes. A case of renal artery stenosis in an eight year old boy is presented in this study in whom PTA was performed with successful results. Blood pressure was controlled and all antihypertensive drugs could be withdrawn in a short period of time. Ibrahim Med. Coll. J. 2011; 5(1): 32-33 Indexing words: Secondary hypertension; children; renal artery stenosis; surgery. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9862
{"title":"An 8-year-old boy with renal artery stenosis and cerebral infarct","authors":"Syed Dawood Md Taimur, T. Ahmed, Golam Muinuddin, S. Jahan, F. Islam","doi":"10.3329/IMCJ.V5I1.9862","DOIUrl":"https://doi.org/10.3329/IMCJ.V5I1.9862","url":null,"abstract":"Secondary hypertension is more common in children compared to that in adults, leading to organ damage and increased mortality. Renal artery stenosis could be a sequel to secondary hypertension in children and give rise to serious outcomes. A case of renal artery stenosis in an eight year old boy is presented in this study in whom PTA was performed with successful results. Blood pressure was controlled and all antihypertensive drugs could be withdrawn in a short period of time. Ibrahim Med. Coll. J. 2011; 5(1): 32-33 Indexing words: Secondary hypertension; children; renal artery stenosis; surgery. DOI: http://dx.doi.org/10.3329/imcj.v5i1.9862","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127037206","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}
Bangladesh has one of the highest maternal mortality rates (MMR) in the world. The estimated lifetime risk of dying from pregnancy and childbirth related causes in Bangladesh is about 100 times higher compare to developed countries. However, utilization of maternal health care services (MHCS) is notably low. This study examines the socio-economic determinants of utilization of MHCS in some slum areas of Dhaka city. The overall utilization was 86.3% of women; however, utilization of different sorts of MHCS was very low, i.e., the mean utilization was found to be 2.25 out of 5 MHCS. Indicator wise, ANC, TT, institutional delivery, delivery assistance by health professional and PNC were received by 61.3%, 80.4%, 12.6%, 33.2% and 55.4% of women respectively. Variation was observed with different socio-economic variables. Multiple regression model could explain 38% of variance (P<0.001). Among the significant determinants, order of last birth negatively explained the most variance (15.2%). Similarly, distance between home and clinic was found to affect the utilization negatively. Besides, some respondents’ socio economic variables had a significant positive effect on MHCS utilization. To reduce maternal mortality in disadvantaged women in slum areas, this study might suggest a few pointers while considering formulation of policies and planning. Keywords: determinants; utilization; maternal health care; service; slum areas DOI: 10.3329/imcj.v4i2.6495 Ibrahim Med. Coll. J. 2010; 4(2): 44-48
孟加拉国是世界上产妇死亡率最高的国家之一。据估计，孟加拉国一生中死于怀孕和分娩相关原因的风险比发达国家高出约100倍。然而，孕产妇保健服务的使用率非常低。本研究考察了达卡市一些贫民窟地区MHCS利用的社会经济决定因素。妇女的总体使用率为86.3%;然而，不同种类MHCS的利用率很低，即5种MHCS的平均利用率为2.25。从指标上看，分别有61.3%、80.4%、12.6%、33.2%和55.4%的妇女接受了非分娩护理、TT、机构分娩、保健专业人员分娩援助和PNC。不同社会经济变量之间存在差异。多元回归模型可以解释38%的方差(P<0.001)。在重要的决定因素中，最后出生顺序负向解释了最大的方差(15.2%)。同样，家与诊所之间的距离也会对使用率产生负面影响。此外，部分被调查者的社会经济变量对MHCS的利用有显著的正向影响。为了降低贫民窟地区弱势妇女的孕产妇死亡率，在考虑制定政策和规划时，本研究可能会提出一些建议。关键词:行列式;利用率;产妇保健;服务;DOI: 10.3329/imc .v4i2.6495 Ibrahim Med. Coll。j . 2010;4 (2): 44-48
{"title":"Utilization of maternal health care services in slum areas of Dhaka city, Bangladesh","authors":"H. Begum, N. Nili, A. M. Sayem","doi":"10.3329/IMCJ.V4I2.6495","DOIUrl":"https://doi.org/10.3329/IMCJ.V4I2.6495","url":null,"abstract":"Bangladesh has one of the highest maternal mortality rates (MMR) in the world. The estimated lifetime risk of dying from pregnancy and childbirth related causes in Bangladesh is about 100 times higher compare to developed countries. However, utilization of maternal health care services (MHCS) is notably low. This study examines the socio-economic determinants of utilization of MHCS in some slum areas of Dhaka city. The overall utilization was 86.3% of women; however, utilization of different sorts of MHCS was very low, i.e., the mean utilization was found to be 2.25 out of 5 MHCS. Indicator wise, ANC, TT, institutional delivery, delivery assistance by health professional and PNC were received by 61.3%, 80.4%, 12.6%, 33.2% and 55.4% of women respectively. Variation was observed with different socio-economic variables. Multiple regression model could explain 38% of variance (P<0.001). Among the significant determinants, order of last birth negatively explained the most variance (15.2%). Similarly, distance between home and clinic was found to affect the utilization negatively. Besides, some respondents’ socio economic variables had a significant positive effect on MHCS utilization. To reduce maternal mortality in disadvantaged women in slum areas, this study might suggest a few pointers while considering formulation of policies and planning. Keywords: determinants; utilization; maternal health care; service; slum areas DOI: 10.3329/imcj.v4i2.6495 Ibrahim Med. Coll. J. 2010; 4(2): 44-48","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126437795","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}
Anisur Rahman, M. A. Moni, K. Ahmed, S. Islam, A. Haque
This cross-sectional study was carried out from January to June 2006 to find out the anthropometric profile of the urban seniors living in three selected areas (Nakhal Para, Badda and Mirpur) of Dhaka city. A total of 317 individuals of both sexes aged 60 years and above were recruited by convenient sampling. Data were collected by a pre-tested questionnaire and a check list. Mean body mass index, waist circumference and waist to hip ratio were 17.8 ± 4.0, 75.5 ± 12.5 cm and 0.87 ± 0.12, respectively. Although only 3% elderly were obese, substantial proportion of the sample were overweight. Females were more prone to health risks than male. Measures should be taken to create awareness amongst these populations for controlling their health risk. Key words: Anthropometry; elderly; Body Mass Index (BMI); Waist Circumference (WC); Waist to Hip Ratio (WHR) DOI: 10.3329/imcj.v4i2.6497 Ibrahim Med. Coll. J. 2010; 4(2): 59-62
{"title":"Anthropometric profile of the urban senior citizens","authors":"Anisur Rahman, M. A. Moni, K. Ahmed, S. Islam, A. Haque","doi":"10.3329/IMCJ.V4I2.6497","DOIUrl":"https://doi.org/10.3329/IMCJ.V4I2.6497","url":null,"abstract":"This cross-sectional study was carried out from January to June 2006 to find out the anthropometric profile of the urban seniors living in three selected areas (Nakhal Para, Badda and Mirpur) of Dhaka city. A total of 317 individuals of both sexes aged 60 years and above were recruited by convenient sampling. Data were collected by a pre-tested questionnaire and a check list. Mean body mass index, waist circumference and waist to hip ratio were 17.8 ± 4.0, 75.5 ± 12.5 cm and 0.87 ± 0.12, respectively. Although only 3% elderly were obese, substantial proportion of the sample were overweight. Females were more prone to health risks than male. Measures should be taken to create awareness amongst these populations for controlling their health risk. Key words: Anthropometry; elderly; Body Mass Index (BMI); Waist Circumference (WC); Waist to Hip Ratio (WHR) DOI: 10.3329/imcj.v4i2.6497 Ibrahim Med. Coll. J. 2010; 4(2): 59-62","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123899924","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}
Permanent deformity and disability can occur in diabetic Charcot arthropathy (neuropathic arthropathy) if not diagnosed and treated promptly. We report two patients with uncontrolled diabetes mellitus in whom the diagnosis of ankle neuro-arthropathy was delayed by up to six months, with misdiagnoses including ankle arthritis, osteomyelitis and cellulitis. The clinical scenario and appearances of the ankle and foot were typical of Charcot arthropathy. Unfortunately, both of them sustained ankle fracture-dislocation without a history of significant trauma. Both the patients were treated by ankle arthrodesis (fusion of joint). Prevention and early diagnosis of diabetic foot is the key to avoid the development of complications. In diabetic patients, a higher index of suspicion for the possibility of Charcot’s disease is needed. Key Words: Diabetes mellitus; Charcot arthropathy; ankle fracture-dislocation; arthrodesis. DOI: 10.3329/imcj.v4i2.6503 Ibrahim Med. Coll. J. 2010; 4(2): 83-86
{"title":"Consequences of misdiagnosis of diabetic charcot anthropathy of the ankle","authors":"C. I. Mahmud","doi":"10.3329/IMCJ.V4I2.6503","DOIUrl":"https://doi.org/10.3329/IMCJ.V4I2.6503","url":null,"abstract":"Permanent deformity and disability can occur in diabetic Charcot arthropathy (neuropathic arthropathy) if not diagnosed and treated promptly. We report two patients with uncontrolled diabetes mellitus in whom the diagnosis of ankle neuro-arthropathy was delayed by up to six months, with misdiagnoses including ankle arthritis, osteomyelitis and cellulitis. The clinical scenario and appearances of the ankle and foot were typical of Charcot arthropathy. Unfortunately, both of them sustained ankle fracture-dislocation without a history of significant trauma. Both the patients were treated by ankle arthrodesis (fusion of joint). Prevention and early diagnosis of diabetic foot is the key to avoid the development of complications. In diabetic patients, a higher index of suspicion for the possibility of Charcot’s disease is needed. Key Words: Diabetes mellitus; Charcot arthropathy; ankle fracture-dislocation; arthrodesis. DOI: 10.3329/imcj.v4i2.6503 Ibrahim Med. Coll. J. 2010; 4(2): 83-86","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121580910","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}
B. Zabeen, J. Nahar, N. Nabi, A. Baki, S. Tayyeb, K. Azad, N. Nahar
Neonatal jaundice is a common cause of newborn hospital admission. The risk factors, the characteristics and outcomes related to neonatal jaundice in Bangladesh has not been studied so far. This study addressed the outcomes, characteristics and risks of the jaundiced newborn admitted into hospital. The babies who had significant jaundice and required phototherapy and /or exchange transfusion were investigated. A detailed history of delivery with gestational age was noted and clinical examination of the admitted newborn was done. Birth weight was recorded. The investigations included complete blood count, ABO and Rh compatibility, serum bilirubin, glucose 6 phosphate dehydrogenase (G6PD), thyroid stimulating hormone (TSH) and ultrasonography (USG) of brain. The newborns were closely monitored for the prognosis. The requirement of individualized phototherapy and exchange transfusion were also noted. Finally, the outcomes were recorded. Overall, 60 (m v. f = 58.3 v. 41.7%) newborns were found who developed significant jaundice and were investigated. Of them, 35% had gestational age less than 32wks and only 32% had equal to or greater than 35wks. Regarding delivery, 83.3 % had the history of caesarean section. ABO- and Rh– incompatibilities were found in 13.3% and 3.3%, respectively. Septicemia was diagnosed among 26.7% though blood culture yielded growth only in 20%. Compared with the higher gestational age-group (? 35 wks) the lower group (<32 wks) showed significantly higher rate of septicemia (12.5 v. 68.8%, p<0.005). G6PD deficiency was found in only one (1.7%) case. Birth asphyxia was found as a concomitant factor in three patients. Exchange transfusion was done only in 2 (3.3%) babies. Among them one was preterm IDM with septicemia and other had G6PD deficiency. None of these babies developed kernicterus. Five (8.3%) babies died, all of them had septicemia and one baby also had intraventricular hemorrhage (IVH) with PDA. The study revealed that a substantial number of neonatal jaundice had the history of lower gestational age in Bangladeshi newborns; and the lower gestational age is significantly associated with septicemia and possibly with hyperbilirubinemia. More study is needed to establish the study findings. DOI: 10.3329/imcj.v4i2.6500 Ibrahim Med. Coll. J. 2010; 4(2): 70-73
新生儿黄疸是新生儿住院的常见原因。孟加拉国新生儿黄疸的危险因素、特征和结局尚未得到研究。本研究探讨了黄疸新生儿入院的结局、特点和风险。对有明显黄疸并需要光疗和/或换血的婴儿进行调查。详细的分娩史与胎龄记录和入院新生儿的临床检查。记录出生体重。检查全血计数、ABO和Rh相容性、血清胆红素、葡萄糖6磷酸脱氢酶(G6PD)、促甲状腺激素(TSH)和脑超声检查(USG)。密切监测新生儿的预后。还注意到个体化光疗和换血的要求。最后，记录结果。总体而言，60例(m v. f = 58.3 v. 41.7%)新生儿出现了明显的黄疸，并进行了调查。其中胎龄小于32周的占35%，大于或等于35周的仅占32%。分娩方面，83.3%有剖宫产史。ABO血型和Rh血型不相容分别占13.3%和3.3%。26.7%的患者被诊断为败血症，但血液培养结果仅为20%。与高胎龄组(?35周)，低剂量组(<32周)败血症率显著高于对照组(12.5 vs 68.8%， p<0.005)。G6PD缺乏症仅1例(1.7%)。3例患者伴有出生窒息。只有2名婴儿(3.3%)接受了换血。其中一例为早产IDM合并败血症，另一例为G6PD缺乏症。这些婴儿都没有出现核黄疸。5例(8.3%)患儿死亡，均为败血症，1例患儿合并脑室内出血(IVH)。研究表明，相当数量的新生儿黄疸有低胎龄孟加拉新生儿的历史;低胎龄与败血症和高胆红素血症显著相关。需要更多的研究来证实研究结果。DOI: 10.3329/imc .v4i2.6500 Ibrahim Med. Coll。j . 2010;4 (2): 70 - 73
{"title":"Risk factors and outcome of neonatal jaundice in a tertiary hospital","authors":"B. Zabeen, J. Nahar, N. Nabi, A. Baki, S. Tayyeb, K. Azad, N. Nahar","doi":"10.3329/IMCJ.V4I2.6500","DOIUrl":"https://doi.org/10.3329/IMCJ.V4I2.6500","url":null,"abstract":"Neonatal jaundice is a common cause of newborn hospital admission. The risk factors, the characteristics and outcomes related to neonatal jaundice in Bangladesh has not been studied so far. This study addressed the outcomes, characteristics and risks of the jaundiced newborn admitted into hospital. The babies who had significant jaundice and required phototherapy and /or exchange transfusion were investigated. A detailed history of delivery with gestational age was noted and clinical examination of the admitted newborn was done. Birth weight was recorded. The investigations included complete blood count, ABO and Rh compatibility, serum bilirubin, glucose 6 phosphate dehydrogenase (G6PD), thyroid stimulating hormone (TSH) and ultrasonography (USG) of brain. The newborns were closely monitored for the prognosis. The requirement of individualized phototherapy and exchange transfusion were also noted. Finally, the outcomes were recorded. Overall, 60 (m v. f = 58.3 v. 41.7%) newborns were found who developed significant jaundice and were investigated. Of them, 35% had gestational age less than 32wks and only 32% had equal to or greater than 35wks. Regarding delivery, 83.3 % had the history of caesarean section. ABO- and Rh– incompatibilities were found in 13.3% and 3.3%, respectively. Septicemia was diagnosed among 26.7% though blood culture yielded growth only in 20%. Compared with the higher gestational age-group (? 35 wks) the lower group (<32 wks) showed significantly higher rate of septicemia (12.5 v. 68.8%, p<0.005). G6PD deficiency was found in only one (1.7%) case. Birth asphyxia was found as a concomitant factor in three patients. Exchange transfusion was done only in 2 (3.3%) babies. Among them one was preterm IDM with septicemia and other had G6PD deficiency. None of these babies developed kernicterus. Five (8.3%) babies died, all of them had septicemia and one baby also had intraventricular hemorrhage (IVH) with PDA. The study revealed that a substantial number of neonatal jaundice had the history of lower gestational age in Bangladeshi newborns; and the lower gestational age is significantly associated with septicemia and possibly with hyperbilirubinemia. More study is needed to establish the study findings. DOI: 10.3329/imcj.v4i2.6500 Ibrahim Med. Coll. J. 2010; 4(2): 70-73","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125223148","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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