Pub Date : 2023-07-09DOI: 10.3329/jawmc.v10i1.67456
S. Islam, M. Hanif, Shaikh Mahmud Kamal Vashkar, S. Hossain
A 75 year old man presented with gastric outlet obstruction with a history of vomiting and weight loss for a period of 4 months. He had severe electrolyte imbalance, anemia and malnutrition. CT-scan revealed a huge antral carcinoma occupying the distal half of stomach. Firstly, his anemia and electrolyte imbalance was corrected, followed by preoperative parenteral nutrition. Stapler assisted distal radical gastrostomy and Roux-y gastro-jejunostomy was performed. The patient had excellent post-operative recovery. He was discharged on resumption of oral feeding and referred to the oncologist for adjuvant therapy. This case report, is on steps of stapler assisted distal radical gastrectomy with high resolution operative picture from the Department of Surgery, AWMCH. The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 38-41
男，75岁，胃出口梗阻，呕吐及体重减轻4个月。他有严重的电解质失调、贫血和营养不良。ct扫描显示一个巨大的胃窦癌占据了胃的远端。首先纠正他的贫血和电解质失衡，然后进行术前肠外营养。吻合器辅助远端根治性胃造口术和Roux-y胃空肠造口术。患者术后恢复良好。患者恢复口服喂养后出院，并转介肿瘤科医生进行辅助治疗。本病例报告采用订书机辅助远端胃癌根治术，高分辨率手术图片来自AWMCH外科。Ad-din女子医学院学报;Vol. 10 (1)， Jan 2022;p 38-41
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Pub Date : 2023-07-09DOI: 10.3329/jawmc.v10i1.67486
K. S. Anwar
Abstract not available The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 67-69
《中华女子医学院学报》;Vol. 10 (1)， Jan 2022;p 67 - 69
{"title":"Research Methodology Course for BSc 4th Year Nurses of Ad-din Women's Medical College through Medical Research Unit (MRU)","authors":"K. S. Anwar","doi":"10.3329/jawmc.v10i1.67486","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67486","url":null,"abstract":"Abstract not available\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 67-69 ","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121368016","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67427
Most Sabina Yasmin
Abstract not available The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 1-3
摘要:《中华女子医学院学报》;Vol. 10 (1)， Jan 2022;1 - 3页
{"title":"Heated Humidified High Flow Nasal Cannula (HHHFNC): A non-invasive respiratory support in Neonates","authors":"Most Sabina Yasmin","doi":"10.3329/jawmc.v10i1.67427","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67427","url":null,"abstract":"Abstract not available \u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 1-3","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127743396","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67446
Md. Amir Hossain, Wahida Khanam, Rubaiya Parven, Tauhidul Islam, N. Hossain, Zamil Ahmed Manik, Kamrun Nahar Poly, R. B. Habib
Background: Nutritional status of infants and young children chiefly depends on proper feeding practice; despite child rearing that often vary across population. Childhood malnutrition remains one of the major underlying causes of morbidity and mortality among younger children particularly from lower and mid income countries (LMIC) like Bangladesh. Objective: To identify determinants of practicing inappropriate complementary feeding (CF) among the infants and young children and to find out if these CF-determinants are associated with socio-demographic characteristics of child‟s families. Methods: This cross-sectionally designed study hybrid with some analytical methods were conducted among 6-24 months old children attending the out-patient and indoor departments of Pediatric, Institute of Child and Mother Health (ICMH). Results: Of total 273 children, only 20% received CF appropriately but 80% got it „inappropriately‟ based on all parameters studied, on an average. Good CF practice were significantly associated with child‟s age group (P<0.01), gender (0.02), parental education (<0.01) and monthly income (<0.01). None of the factors like time of starting CF (right after 6 months), type of food groups (carbohydrate, protein, fat, vegetables, vitamin) introduced to young children were not associated with any of 6 types of major food groups, significantly, except for citrous fruits (p>0.01). Frequency of feeding per day was also not significantly associated with CF-feeding practice (p>0,83). Similarly, none of the consistency of food (p>0.95), its amount (p>0.28), feeding technique (p>0.72) and mother‟s motivation for child‟s self-feeding (p>0.27) were not significantly associated with CF practices. Most common reason for delayed CF was „tried but failed‟ in 53% and „did not know‟ the reason exactly in 10.5%. However, 10.5% mother‟s felt that breast milk was enough for the child to feed, early starting of CF being mothers‟ insuflcient breast milk in 63% and the rest 24% were ignorant on earlier starting the CF. Conclusions: Major findings of this study revealed that factors like, gender, paternal education, monthly family income, citrus food significantly differed between appropriate and inappropriate CF practices. However we strongly recommend further muti-center studies involving larger sample size before refuting or accepting our findings that this study yielded based in one hospital set up only. The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 21-27
背景:婴幼儿的营养状况主要取决于正确的喂养方法;尽管不同人群的育儿方式不同。儿童营养不良仍然是年幼儿童发病和死亡的主要潜在原因之一，特别是来自孟加拉国等中低收入国家的儿童。目的:确定婴幼儿实施不适当补充喂养(CF)的决定因素，并找出这些CF决定因素是否与儿童家庭的社会人口统计学特征有关。方法:采用横断面设计的研究方法，结合一些分析方法，对在儿童与母亲健康研究所儿科门诊部和室内部就诊的6-24月龄儿童进行研究。结果:273名儿童中，平均只有20%的儿童接受了适当的CF治疗，80%的儿童接受了“不适当”的CF治疗。良好的CF实践与儿童年龄组有显著相关(P0.01)。每天的喂养频率也与cf喂养实践无显著相关(p> 0.83)。同样，食物的稠度(p>0.95)、食物的量(p>0.28)、喂养方式(p>0.72)和母亲对儿童自食的动机(p>0.27)与CF实践均无显著相关。延迟CF最常见的原因是“尝试但失败”(53%)，“不知道”(10.5%)确切的原因。然而，10.5%的母亲认为母乳足够喂养孩子，63%的母亲母乳不足导致过早开始CF，其余24%的母亲不知道早期开始CF。结论:本研究的主要发现表明，性别、父亲的教育程度、家庭月收入、柑橘类食物等因素在适当和不适当的CF实践中存在显著差异。然而，我们强烈建议在反驳或接受我们的研究结果之前，进一步进行更大样本量的多中心研究。Ad-din女子医学院学报;Vol. 10 (1)， Jan 2022;p -
{"title":"Determinants of Inappropriate Complementary Feeding Practice among 6 months-2 years old children attending Institute of Child and Mother Health (ICMH), Dhaka","authors":"Md. Amir Hossain, Wahida Khanam, Rubaiya Parven, Tauhidul Islam, N. Hossain, Zamil Ahmed Manik, Kamrun Nahar Poly, R. B. Habib","doi":"10.3329/jawmc.v10i1.67446","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67446","url":null,"abstract":"Background: Nutritional status of infants and young children chiefly depends on proper feeding practice; despite child rearing that often vary across population. Childhood malnutrition remains one of the major underlying causes of morbidity and mortality among younger children particularly from lower and mid income countries (LMIC) like Bangladesh.\u0000Objective: To identify determinants of practicing inappropriate complementary feeding (CF) among the infants and young children and to find out if these CF-determinants are associated with socio-demographic characteristics of child‟s families.\u0000Methods: This cross-sectionally designed study hybrid with some analytical methods were conducted among 6-24 months old children attending the out-patient and indoor departments of Pediatric, Institute of Child and Mother Health (ICMH).\u0000Results: Of total 273 children, only 20% received CF appropriately but 80% got it „inappropriately‟ based on all parameters studied, on an average. Good CF practice were significantly associated with child‟s age group (P<0.01), gender (0.02), parental education (<0.01) and monthly income (<0.01). None of the factors like time of starting CF (right after 6 months), type of food groups (carbohydrate, protein, fat, vegetables, vitamin) introduced to young children were not associated with any of 6 types of major food groups, significantly, except for citrous fruits (p>0.01). Frequency of feeding per day was also not significantly associated with CF-feeding practice (p>0,83). Similarly, none of the consistency of food (p>0.95), its amount (p>0.28), feeding technique (p>0.72) and mother‟s motivation for child‟s self-feeding (p>0.27) were not significantly associated with CF practices. Most common reason for delayed CF was „tried but failed‟ in 53% and „did not know‟ the reason exactly in 10.5%. However, 10.5% mother‟s felt that breast milk was enough for the child to feed, early starting of CF being mothers‟ insuflcient breast milk in 63% and the rest 24% were ignorant on earlier starting the CF.\u0000Conclusions: Major findings of this study revealed that factors like, gender, paternal education, monthly family income, citrus food significantly differed between appropriate and inappropriate CF practices. However we strongly recommend further muti-center studies involving larger sample size before refuting or accepting our findings that this study yielded based in one hospital set up only.\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 21-27","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116920759","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67447
M. Jahangir
Objective: This cross sectional study carried out among the anemic pregnant women to determine their neonatal outcome at a private hospital in Dhaka city. Materials and Methods: This study was conducted among 110 pregnant women after 28 weeks of gestation was selected purposively. Data were collected by interviewing the with a structured pre-tested questionnaire. Place and Period of Study: The study was conducted at Obstetrics department of the Ad-Din Barrister Rafiquil-Huq Hospital, Jurain, Dhaka and Bashundhara Ad-Din Medical College Hospital South Keranigonj, Dhaka during November 2019 to February 2020. Results: Most of the respondents (38.2%) belonged between 16-20 years age group. The mean age was 23.74±5.127 years. Almost (49.1%) up to primary & (38.2%) were up to secondary/higher secondary level. Most of the respondents were homemaker (87.3%); Monthly family income means was 19340.91±12459.647. More than one third (37.3%) of the respondents were from low income family followed by 40.9% by middle income and high income family (21.8%). Age at marriage mean 17.79±3.400 and age at the time of first conception mean 20.12±3.173 years. Most (90.9%) of the respondents had received ANC during pregnancy. Hemoglobin level shows that 20.9% of the respondents had 10-10.9 gm/dl, 66.4% had 8-9.9 gm/dl and rest 12.7% of the respondents had 6-7.9 gm/dl. This study reveals that 12.7% of the respondents had congenital anomaly of newborn highest 90.9% of the respondent’s fetal outcome were health & alive baby. More than half (51.8%) of the respondent’s baby were ≤ 2.5 kg birth weight and 48.2% baby were more than 2.5 kg birth weight. There was a significant relation between low birth weight (LBW) less higher education. Conclusion: All pregnant women should be given proper advice regarding their diet during pregnancy particularly on iron rich with details of foods. Dietary changes alone are not suflcient to correct an existing iron deficiency in pregnancy, and, thus, iron supplements may be necessary. The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 28-32
{"title":"Neonatal Outcome of Anemic Pregnant Mother at Private Hospital in Dhaka City","authors":"M. Jahangir","doi":"10.3329/jawmc.v10i1.67447","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67447","url":null,"abstract":"Objective: This cross sectional study carried out among the anemic pregnant women to determine their neonatal outcome at a private hospital in Dhaka city.\u0000Materials and Methods: This study was conducted among 110 pregnant women after 28 weeks of gestation was selected purposively. Data were collected by interviewing the with a structured pre-tested questionnaire.\u0000Place and Period of Study: The study was conducted at Obstetrics department of the Ad-Din Barrister Rafiquil-Huq Hospital, Jurain, Dhaka and Bashundhara Ad-Din Medical College Hospital South Keranigonj, Dhaka during November 2019 to February 2020.\u0000Results: Most of the respondents (38.2%) belonged between 16-20 years age group. The mean age was 23.74±5.127 years. Almost (49.1%) up to primary & (38.2%) were up to secondary/higher secondary level. Most of the respondents were homemaker (87.3%); Monthly family income means was 19340.91±12459.647. More than one third (37.3%) of the respondents were from low income family followed by 40.9% by middle income and high income family (21.8%). Age at marriage mean 17.79±3.400 and age at the time of first conception mean 20.12±3.173 years. Most (90.9%) of the respondents had received ANC during pregnancy. Hemoglobin level shows that 20.9% of the respondents had 10-10.9 gm/dl, 66.4% had 8-9.9 gm/dl and rest 12.7% of the respondents had 6-7.9 gm/dl. This study reveals that 12.7% of the respondents had congenital anomaly of newborn highest 90.9% of the respondent’s fetal outcome were health & alive baby. More than half (51.8%) of the respondent’s baby were ≤ 2.5 kg birth weight and 48.2% baby were more than 2.5 kg birth weight. There was a significant relation between low birth weight (LBW) less higher education.\u0000Conclusion: All pregnant women should be given proper advice regarding their diet during pregnancy particularly on iron rich with details of foods. Dietary changes alone are not suflcient to correct an existing iron deficiency in pregnancy, and, thus, iron supplements may be necessary.\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 28-32","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130601435","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67483
Md. Abdullah A Kafi
Abstract not available The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 63-64
《中华女子医学院学报》;Vol. 10 (1)， Jan 2022;p 63 - 64
{"title":"Common Ocular Diseases: Recent Observation from a Community Based Ophthalmological Clinic in Shaymoli, Dhaka","authors":"Md. Abdullah A Kafi","doi":"10.3329/jawmc.v10i1.67483","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67483","url":null,"abstract":"Abstract not available\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 63-64","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"213 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121452632","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67484
K. S. Anwar
Abstract not available The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 65-66
《中华女子医学院学报》;Vol. 10 (1)， Jan 2022;p 65 - 66
{"title":"Success of Medical Research Unit (MRU)","authors":"K. S. Anwar","doi":"10.3329/jawmc.v10i1.67484","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67484","url":null,"abstract":"Abstract not available\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 65-66","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"162 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131008264","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67452
Md. Akmat Ali, Zakiul Hassan, F. Yeasmin, Khadija Begum, Ahm Khairul Imam, Mohammad Moin Shohid, Nila Akter Keya, K. S. Anwar
Background: Non-alcoholic Fatty Liver Disease (NAFLD) is a growing public health concern globally. NAFLD has been linked with adverse pregnancy outcome. The prevalence of NAFLD among women in childbearing age is 10%. During pregnancy both physiologic and pathologic fluctuation in estrogen as well as rapid weight gain plays an important role in the development of NAFLD in mother and infant. Objective: To find out clinical and laboratory profile and pregnancy outcome of patients with fatty liver disease. Methods: We conducted this observational study between January through December 2017 in (pro-women, pro-poor) Ad-din Women Medical College Hospital in Maghbazar, Dhaka, Bangladesh. We enrolled 103 pregnant women who signed the consent (verbal) to participate in the study. Demographic and clinical information was collected using a pre-tested questionnaire. Results: Mean age of the patients was 27 years. During first trimester 18 patients were enrolled, 32 in second and 53 in third trimesters. Of 103, 3 (2.91%) patients had known history of fatty liver disease, 11 (10.68%) had hypertension, 11 (10.68%) had Gestational Diabetes Mellitus (GDM) but none had previous history of Diabetes Mellitus (DM). Among all, 8 (7.76%) patients had previous pregnancy related complications and 32 (31%) had foetal complications including still birth, abortion, neonatal death and Intrauterine Device (IUD). Beside, 92 (89.3%) had grade 1, 10 (9.7%) had grade 2 and one (0.97%) patient had grade 3 fatty liver. 35 (32.4%) patients had high Fasting Blood Sugar level and 26 (24.1%) patients had positive Oral Glucose Tolerance Test (OGTT). And, 31% patients had a high cholesterol level, none had abnormal HDL, 5.8% had high LDL and 78.6% had high TG. USG identified 3 patients with abnormal fetal profile and only 2 patients had adverse pregnancy outcome: one IUD and one abortion. Conclusions: Non-alcoholic fatty liver Disease increases the risk of maternal and fetal complications. Pregnant women should regularly screen for fatty liver disease for early detection and intervention. The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 33-37
背景:非酒精性脂肪性肝病(NAFLD)是全球日益关注的公共卫生问题。NAFLD与不良妊娠结局有关。育龄妇女NAFLD患病率为10%。妊娠期雌激素的生理性和病理性波动以及体重的快速增加在母婴NAFLD的发展中起着重要作用。目的:了解脂肪肝患者的临床、实验室情况及妊娠结局。方法:我们于2017年1月至12月在孟加拉国达卡Maghbazar的Ad-din女子医学院医院(亲妇女，亲穷人)进行了这项观察性研究。我们招募了103名孕妇，她们签署了同意书(口头)参与这项研究。使用预先测试的问卷收集人口统计和临床信息。结果:患者平均年龄27岁。18名患者在妊娠早期入组，32名在妊娠中期入组，53名在妊娠晚期入组。103例患者中有脂肪肝病史3例(2.91%)，高血压11例(10.68%)，妊娠期糖尿病11例(10.68%)，无糖尿病史。其中有妊娠相关并发症8例(7.76%)，有死产、流产、新生儿死亡、宫内节育器(IUD)等胎儿并发症32例(31%)。1级92例(89.3%)，2级10例(9.7%)，3级1例(0.97%)。35例(32.4%)患者空腹血糖水平较高，26例(24.1%)患者口服糖耐量试验(OGTT)阳性。31%的患者有高胆固醇水平，没有异常HDL, 5.8%的患者有高LDL, 78.6%的患者有高TG。USG发现3例胎儿外形异常，仅有2例出现不良妊娠结局:1例宫内节育器和1例流产。结论:非酒精性脂肪性肝病增加母体和胎儿并发症的风险。孕妇应定期筛查脂肪肝，以便及早发现和干预。Ad-din女子医学院学报;Vol. 10 (1)， Jan 2022;p 33-37
{"title":"Non-Alcoholic Fatty Liver Disease in Pregnancy with Estimation of Feto-Maternal Outcome in a Tertiary Hospital in Bangladesh","authors":"Md. Akmat Ali, Zakiul Hassan, F. Yeasmin, Khadija Begum, Ahm Khairul Imam, Mohammad Moin Shohid, Nila Akter Keya, K. S. Anwar","doi":"10.3329/jawmc.v10i1.67452","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67452","url":null,"abstract":"Background: Non-alcoholic Fatty Liver Disease (NAFLD) is a growing public health concern globally. NAFLD has been linked with adverse pregnancy outcome. The prevalence of NAFLD among women in childbearing age is 10%. During pregnancy both physiologic and pathologic fluctuation in estrogen as well as rapid weight gain plays an important role in the development of NAFLD in mother and infant.\u0000Objective: To find out clinical and laboratory profile and pregnancy outcome of patients with fatty liver disease.\u0000Methods: We conducted this observational study between January through December 2017 in (pro-women, pro-poor) Ad-din Women Medical College Hospital in Maghbazar, Dhaka, Bangladesh. We enrolled 103 pregnant women who signed the consent (verbal) to participate in the study. Demographic and clinical information was collected using a pre-tested questionnaire.\u0000Results: Mean age of the patients was 27 years. During first trimester 18 patients were enrolled, 32 in second and 53 in third trimesters. Of 103, 3 (2.91%) patients had known history of fatty liver disease, 11 (10.68%) had hypertension, 11 (10.68%) had Gestational Diabetes Mellitus (GDM) but none had previous history of Diabetes Mellitus (DM). Among all, 8 (7.76%) patients had previous pregnancy related complications and 32 (31%) had foetal complications including still birth, abortion, neonatal death and Intrauterine Device (IUD). Beside, 92 (89.3%) had grade 1, 10 (9.7%) had grade 2 and one (0.97%) patient had grade 3 fatty liver. 35 (32.4%) patients had high Fasting Blood Sugar level and 26 (24.1%) patients had positive Oral Glucose Tolerance Test (OGTT). And, 31% patients had a high cholesterol level, none had abnormal HDL, 5.8% had high LDL and 78.6% had high TG. USG identified 3 patients with abnormal fetal profile and only 2 patients had adverse pregnancy outcome: one IUD and one abortion.\u0000Conclusions: Non-alcoholic fatty liver Disease increases the risk of maternal and fetal complications. Pregnant women should regularly screen for fatty liver disease for early detection and intervention.\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 33-37","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123688790","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67444
Mahjabeen Aftab Solaiman, A. Morshed, N. Morshed, M. Mullick, HM Mahmud Harun
Taking care of children with autism spectrum disorder (ASD) is extremely demanding, both physically and mentally, and can have a negative impact on the family. It takes a lot of time, effort, and patience to meet the extra care needs of the aflicted children. This often causes their parents to experience psychological distress, depression, and other mental health issues. Therefore, we designed the study to investigate the caregiver burden and psychological distress among parents of children with ASD and the associated sociodemographic factors influencing parental burden. This descriptive, cross-sectional study was conducted with parents of 180 children with ASD in three tertiary hospitals in Dhaka, Bangladesh. A pre-validated structured questionnaire was used to collect data, and the caregiver burden was assessed using Zarit Burden Interview and scored to estimate the burden level. The mean age of the children in the sample group was 4.68 ± 0.96 years; 62.8% were boys. Nearly half of the children (46.1%) were diagnosed with ASD in the second year of birth, and comorbidities were present in 31.7%. It was determined that the burden level was significantly higher among mothers of children with ASD than fathers (p<0.01). Single parents experienced higher (p<0.05) psychological distress than those who were married. Spending long hours on caregiving resulted in poorer caregiving outcomes and increased parenting stress (p<0.05). The findings highlight the urgent need for the development of interventions and social support systems to help the parents of children with ASD combat mental health issues. The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 12-20
照顾患有自闭症谱系障碍(ASD)的儿童在身体和精神上都是非常困难的，并且可能对家庭产生负面影响。需要大量的时间、精力和耐心来满足这些受折磨儿童的额外照顾需求。这通常会导致他们的父母经历心理困扰、抑郁和其他心理健康问题。因此，我们设计了这项研究，以调查自闭症儿童父母的照顾者负担和心理困扰以及影响父母负担的相关社会人口学因素。这项描述性横断面研究是在孟加拉国达卡的三家三级医院对180名自闭症儿童的父母进行的。采用预先验证的结构化问卷收集数据，采用Zarit burden Interview对照顾者负担进行评估，并进行评分以估计负担水平。样本组患儿平均年龄4.68±0.96岁;62.8%是男孩。近一半的儿童(46.1%)在出生的第二年被诊断为ASD, 31.7%的儿童存在合并症。结果表明，ASD患儿母亲的负担水平显著高于父亲(p<0.01)。单亲家庭的心理困扰程度高于已婚家庭(p<0.05)。长时间的照顾会导致照顾效果变差和父母压力增加(p<0.05)。研究结果强调，迫切需要发展干预措施和社会支持系统，以帮助自闭症儿童的父母解决心理健康问题。Ad-din女子医学院学报;Vol. 10 (1)， Jan 2022;p 12-20
{"title":"Psychological Distress and Perceived Burden among Parents of Children with Autism Spectrum Disorder: A Cross-Sectional Study","authors":"Mahjabeen Aftab Solaiman, A. Morshed, N. Morshed, M. Mullick, HM Mahmud Harun","doi":"10.3329/jawmc.v10i1.67444","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67444","url":null,"abstract":"Taking care of children with autism spectrum disorder (ASD) is extremely demanding, both physically and mentally, and can have a negative impact on the family. It takes a lot of time, effort, and patience to meet the extra care needs of the aflicted children. This often causes their parents to experience psychological distress, depression, and other mental health issues. Therefore, we designed the study to investigate the caregiver burden and psychological distress among parents of children with ASD and the associated sociodemographic factors influencing parental burden. This descriptive, cross-sectional study was conducted with parents of 180 children with ASD in three tertiary hospitals in Dhaka, Bangladesh. A pre-validated structured questionnaire was used to collect data, and the caregiver burden was assessed using Zarit Burden Interview and scored to estimate the burden level. The mean age of the children in the sample group was 4.68 ± 0.96 years; 62.8% were boys. Nearly half of the children (46.1%) were diagnosed with ASD in the second year of birth, and comorbidities were present in 31.7%. It was determined that the burden level was significantly higher among mothers of children with ASD than fathers (p<0.01). Single parents experienced higher (p<0.05) psychological distress than those who were married. Spending long hours on caregiving resulted in poorer caregiving outcomes and increased parenting stress (p<0.05). The findings highlight the urgent need for the development of interventions and social support systems to help the parents of children with ASD combat mental health issues.\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 12-20 ","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116178898","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 : 2023-07-09DOI: 10.3329/jawmc.v10i1.67428
Shompa Sharmin Rasna, S. Saha, S. Jahan, Md. Abu Taleb, S. Sultana, M. Aktar
Objective: To investigate the antibacterial activities of Indian bay leaf extracts against Pseudomonas aeruginosa. Methods: This Experimental study was carried out during the period of July 2019 to June 2020 in the Department of Pharmacology and Therapeutics with the collaboration of Department of Microbiology, Mymensingh Medical College, Mymensingh, Bangladesh. The antibacterial activity was tested at different concentrations (20, 10, 5,2.5, 1.25 & 0.625 mg/ml) of both extracts of spice by using disc diffusion & broth dilution method. The extracts were prepared by using solvents aqueous & methanol. The test microorganisms were also tested for their activity against a standard antibiotic Gentamicin (80 mg) by broth dilution method and the result was compared with that of Aqueous and Methanolic extracts. Results: Among different concentrations of the ALE, 15mg/ml & above concentration showed inhibitory effect against Pseudomonas aeruginosa. In case of MLE, 15mg/ml & above concentration showed inhibitory effect against aforesaid bacteria. In disc diffusion method, Zone of inhibition (ZOI) in case of ALE ranged between 6-25mm at different concentration of extracts. Minimum inhibitory concentrations (MIC) of ALE were 15 mg/ml and MLE were 7.5 mg/ml against Pseudomonas aeruginosa. This result was also compared against a standard antibiotic Gentamicin where the MICs of Gentamicin were lower in comparison to MICs of ALE & MLE. The present study showed that aqueous and methanolic extracts of leaves demonstrated antibacterial effects against Pseudomonas aeruginosa. Conclusion: From the study it is clearly observed that there is definite antibacterial effect of both the aqueous and methanolic extract of leaves of Cinnamomum tamala against Pseudomonas aeruginosa. Further studies are required to detect and isolate the biologically active ingredients present in the Cinnamomum tamala which are responsible for this antibacterial effect. Hopefully, that would lead to the discovery of new and more potent antimicrobial agents isolated from Cinnamomum tamala. The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 4-11
{"title":"Antibacterial Effect of Aqueous and Methanolic extract of Indian bay leaves (Cinnamomum tamala) against Pseudomonas aeruginosa","authors":"Shompa Sharmin Rasna, S. Saha, S. Jahan, Md. Abu Taleb, S. Sultana, M. Aktar","doi":"10.3329/jawmc.v10i1.67428","DOIUrl":"https://doi.org/10.3329/jawmc.v10i1.67428","url":null,"abstract":"Objective: To investigate the antibacterial activities of Indian bay leaf extracts against Pseudomonas aeruginosa.\u0000Methods: This Experimental study was carried out during the period of July 2019 to June 2020 in the Department of Pharmacology and Therapeutics with the collaboration of Department of Microbiology, Mymensingh Medical College, Mymensingh, Bangladesh. The antibacterial activity was tested at different concentrations (20, 10, 5,2.5, 1.25 & 0.625 mg/ml) of both extracts of spice by using disc diffusion & broth dilution method. The extracts were prepared by using solvents aqueous & methanol. The test microorganisms were also tested for their activity against a standard antibiotic Gentamicin (80 mg) by broth dilution method and the result was compared with that of Aqueous and Methanolic extracts.\u0000Results: Among different concentrations of the ALE, 15mg/ml & above concentration showed inhibitory effect against Pseudomonas aeruginosa. In case of MLE, 15mg/ml & above concentration showed inhibitory effect against aforesaid bacteria. In disc diffusion method, Zone of inhibition (ZOI) in case of ALE ranged between 6-25mm at different concentration of extracts. Minimum inhibitory concentrations (MIC) of ALE were 15 mg/ml and MLE were 7.5 mg/ml against Pseudomonas aeruginosa. This result was also compared against a standard antibiotic Gentamicin where the MICs of Gentamicin were lower in comparison to MICs of ALE & MLE. The present study showed that aqueous and methanolic extracts of leaves demonstrated antibacterial effects against Pseudomonas aeruginosa.\u0000Conclusion: From the study it is clearly observed that there is definite antibacterial effect of both the aqueous and methanolic extract of leaves of Cinnamomum tamala against Pseudomonas aeruginosa. Further studies are required to detect and isolate the biologically active ingredients present in the Cinnamomum tamala which are responsible for this antibacterial effect. Hopefully, that would lead to the discovery of new and more potent antimicrobial agents isolated from Cinnamomum tamala.\u0000The Journal of Ad-din Women's Medical College; Vol. 10 (1), Jan 2022; p 4-11","PeriodicalId":243193,"journal":{"name":"The Journal of Ad-din Women's Medical College","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114524484","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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