Pub Date : 2020-01-22DOI: 10.3329/jemc.v10i1.45060
M. Hasan, Nelson Taposh Mondal, R. Parvin, I. Perveen
1. Associate Professor, Department of Gastroenterology, Enam Medical College & Hospital, Savar, Dhaka 2. Former Associate Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka 3. Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka 4. Professor, Department of Gastroenterology, Enam Medical College & Hospital, Savar, Dhaka Correspondence Mohammad Quamrul Hasan, Email: qhasanbd@gmail.com Abstract
{"title":"Uses of Proton Pump Inhibitors and Their Prescribing Pattern among the Patients Attending the Out-Patient Department at a Tertiary Care Hospital in Bangladesh","authors":"M. Hasan, Nelson Taposh Mondal, R. Parvin, I. Perveen","doi":"10.3329/jemc.v10i1.45060","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45060","url":null,"abstract":"1. Associate Professor, Department of Gastroenterology, Enam Medical College & Hospital, Savar, Dhaka 2. Former Associate Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka 3. Professor, Department of Medicine, Enam Medical College & Hospital, Savar, Dhaka 4. Professor, Department of Gastroenterology, Enam Medical College & Hospital, Savar, Dhaka Correspondence Mohammad Quamrul Hasan, Email: qhasanbd@gmail.com Abstract","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"10-16"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42266398","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45069
R. Parvin
Abstract not available J Enam Med Col 2020; 10(1): 58-59
中华医学杂志2020;10 (1): 58-59
{"title":"College News Vol 10(1)","authors":"R. Parvin","doi":"10.3329/jemc.v10i1.45069","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45069","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2020; 10(1): 58-59","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"58-59"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43423326","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45065
Tamanna Bahar, Shaila Rahman
Depression is a common mental disorder that presents with depressed mood, loss of interest, feelings of guilt or low self-esteem. It affects an estimated one in 15 adults (6.7%) in any given year. One in six people (16.6%) will experience depression at some point in their lifetime. It can strike at any time; but usually it first appears during the late teens to mid-20s. Women usually experience depression more than men. Depression is one of the most common mental health issues among physicians worldwide due to high-intensity training and work overload. Recent systematic reviews and meta-analysis indicated that the prevalence of depression among physicians worldwide was around 28.8% which is quite higher than in the rest of the general population. Depressed physician makes more medical error than others. The burden of depression could lead to a low quality of life, ultimately suicidal attempts. So identifying risk factors for depression must be addressed and solved properly with utmost priority. This article reviews the prevalence of depression in physicians based on recently published literature related to this arena.
{"title":"Depression in Physicians: An Overlooked Issue in Mental Health","authors":"Tamanna Bahar, Shaila Rahman","doi":"10.3329/jemc.v10i1.45065","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45065","url":null,"abstract":"Depression is a common mental disorder that presents with depressed mood, loss of interest, feelings of guilt or low self-esteem. It affects an estimated one in 15 adults (6.7%) in any given year. One in six people (16.6%) will experience depression at some point in their lifetime. It can strike at any time; but usually it first appears during the late teens to mid-20s. Women usually experience depression more than men. Depression is one of the most common mental health issues among physicians worldwide due to high-intensity training and work overload. Recent systematic reviews and meta-analysis indicated that the prevalence of depression among physicians worldwide was around 28.8% which is quite higher than in the rest of the general population. Depressed physician makes more medical error than others. The burden of depression could lead to a low quality of life, ultimately suicidal attempts. So identifying risk factors for depression must be addressed and solved properly with utmost priority. This article reviews the prevalence of depression in physicians based on recently published literature related to this arena.","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49113079","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45058
Aminul Haque Khan
Abstract not available J Enam Med Col 2020; 10(1): 3
中华医学杂志2020;10 (1): 3
{"title":"From the Desk of Editor-in-Chief Vol 10(1)","authors":"Aminul Haque Khan","doi":"10.3329/jemc.v10i1.45058","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45058","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2020; 10(1): 3","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48601567","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45064
Sohely Sultana, Tarana Yasmin, S. Roy, M. S. Hossain, A. Amin
Background: Use of Duplex Color Doppler Sonography is gaining increasing popularity for assessment of blood vessels in various disease processes around the world. The past 20 years have seen an enormous growth in both technical aspects of Doppler ultrasound and its application in obstetric and fetal medicine. Objective: This cross-sectional study was carried out to observe Doppler wave form in subjects with preeclampsia. Specific objective was to see RI and PI in different groups of study subjects from 24th to 37th weeks and find out significant difference of different Doppler indices between two groups (i.e., to calculate the proportion of subjects having early diastolic notch in two groups). Materials and Methods: Enrolling 40 subjects with preeclampsia, this study was done in the Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka, over a period of six months from 20th June 2014 to 19th December 2014. A total number of 40 normal pregnancies were also included for comparison. Results: Majority (35% in normal and 37.5% in preeclampsia) of the respondents were found in the age group of 21−30 years. Unpaired t-test revealed no significant difference between mean age of two groups. Among normal group, mean±SD of PI and RI were 1.12±0.0846 and 0.571±0.058 respectively and in preeclamptic group mean PI and RI were 2.497±0.369 and 0.8255±0.087. There was statistically significant (by unpaired t-test) difference in mean Doppler indices between these two groups. Early diastolic notch was found in 90% subjects with preeclampsia and 5% subjects with normal pregnancy. Chi-square test showed that there was statistically significant difference regarding presence of early diastolic notch between normal regarding subjects and subjects with preeclampsia. Conclusion: From the study result it was concluded that Doppler indices with presence of early diastolic notch are reliable indicators for early detection of preeclampsia. J Enam Med Col 2020; 10(1): 33-38
{"title":"Prediction of Preeclampsia in Pregnant Population Using Diastolic Notch of Uterine Artery by Duplex Color Doppler Study","authors":"Sohely Sultana, Tarana Yasmin, S. Roy, M. S. Hossain, A. Amin","doi":"10.3329/jemc.v10i1.45064","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45064","url":null,"abstract":"Background: Use of Duplex Color Doppler Sonography is gaining increasing popularity for assessment of blood vessels in various disease processes around the world. The past 20 years have seen an enormous growth in both technical aspects of Doppler ultrasound and its application in obstetric and fetal medicine. \u0000Objective: This cross-sectional study was carried out to observe Doppler wave form in subjects with preeclampsia. Specific objective was to see RI and PI in different groups of study subjects from 24th to 37th weeks and find out significant difference of different Doppler indices between two groups (i.e., to calculate the proportion of subjects having early diastolic notch in two groups). \u0000Materials and Methods: Enrolling 40 subjects with preeclampsia, this study was done in the Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka, over a period of six months from 20th June 2014 to 19th December 2014. A total number of 40 normal pregnancies were also included for comparison. \u0000Results: Majority (35% in normal and 37.5% in preeclampsia) of the respondents were found in the age group of 21−30 years. Unpaired t-test revealed no significant difference between mean age of two groups. Among normal group, mean±SD of PI and RI were 1.12±0.0846 and 0.571±0.058 respectively and in preeclamptic group mean PI and RI were 2.497±0.369 and 0.8255±0.087. There was statistically significant (by unpaired t-test) difference in mean Doppler indices between these two groups. Early diastolic notch was found in 90% subjects with preeclampsia and 5% subjects with normal pregnancy. Chi-square test showed that there was statistically significant difference regarding presence of early diastolic notch between normal regarding subjects and subjects with preeclampsia. \u0000Conclusion: From the study result it was concluded that Doppler indices with presence of early diastolic notch are reliable indicators for early detection of preeclampsia. \u0000J Enam Med Col 2020; 10(1): 33-38","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41841959","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45061
Mahfuzul Momen, A. Sarker, D. Paul, D. Das, Sonia Akhter, Tarafder Habibullah
Background: Inguinal hernia repair is one of the most common surgical procedures in Bangladesh. The option of surgical treatment remains controversial. Laparoscopic hernia repair has all the benefits of a tension free repair. We aimed to compare postoperative outcome and cost between laparoscopic and open inguinal hernia repair. Objective: This study was conducted with an objective to compare the effectiveness of each procedure and complications if any. Materials and Methods: Fifty cases of inguinal hernia admitted in the tertiary care center were selected by nonprobability (purposive) sampling method. All patients with uncomplicated hernia treated by open or laparoscopic method were included. The age/sex, incidence, mode of presentation, surgical treatment and postoperative complications were evaluated and compared with standard published literature. Results: Postoperative wound infection developed in three cases of open hernioplasty and one case in laparoscopic surgery. Hematoma and seroma at the operated site were found in one case of laparoscopic hernioplasty and in two cases of open hernioplasty. Orchitis was more prevalent in the laparoscopic hernioplasty patient with incidence among two cases as compared to one in open group. The mean duration of hospitalization was 59.62±6.11 hours in case of laparoscopic hernioplasty while 53.33±8.26 hours in open hernioplasty. The mean duration of procedure was 72.33 minutes in laparoscopic group while 64.62 minutes in open surgery. The mean cost for the laparoscopic repair group was around taka 63000/= whereas in the open group it was around 42000/= only with significant difference. Prolonged groin pain was seen in four cases in open group as compared to one in laparoscopically operated cases. Conclusion: There were less post-operative complications in the laparoscopic group.
{"title":"Comparison of Laparoscopic VS Open Inguinal Hernioplasty in a Tertiary Care Hospital","authors":"Mahfuzul Momen, A. Sarker, D. Paul, D. Das, Sonia Akhter, Tarafder Habibullah","doi":"10.3329/jemc.v10i1.45061","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45061","url":null,"abstract":"Background: Inguinal hernia repair is one of the most common surgical procedures in Bangladesh. The option of surgical treatment remains controversial. Laparoscopic hernia repair has all the benefits of a tension free repair. We aimed to compare postoperative outcome and cost between laparoscopic and open inguinal hernia repair. Objective: This study was conducted with an objective to compare the effectiveness of each procedure and complications if any. Materials and Methods: Fifty cases of inguinal hernia admitted in the tertiary care center were selected by nonprobability (purposive) sampling method. All patients with uncomplicated hernia treated by open or laparoscopic method were included. The age/sex, incidence, mode of presentation, surgical treatment and postoperative complications were evaluated and compared with standard published literature. Results: Postoperative wound infection developed in three cases of open hernioplasty and one case in laparoscopic surgery. Hematoma and seroma at the operated site were found in one case of laparoscopic hernioplasty and in two cases of open hernioplasty. Orchitis was more prevalent in the laparoscopic hernioplasty patient with incidence among two cases as compared to one in open group. The mean duration of hospitalization was 59.62±6.11 hours in case of laparoscopic hernioplasty while 53.33±8.26 hours in open hernioplasty. The mean duration of procedure was 72.33 minutes in laparoscopic group while 64.62 minutes in open surgery. The mean cost for the laparoscopic repair group was around taka 63000/= whereas in the open group it was around 42000/= only with significant difference. Prolonged groin pain was seen in four cases in open group as compared to one in laparoscopically operated cases. Conclusion: There were less post-operative complications in the laparoscopic group.","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45275971","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45067
M. Kibtiar, M. Mutanabbi, Farzana Akhter Bornee
Sepsis is a life-threatening condition caused by systemic host response to infection. Sepsis or septic shock is considered to be rare as initial presentation of autoimmune disease like systemic lupus erythematosus (SLE). SLE is a multisystem disorder which usually occurs in adolescent girls. So when an adolescent girl presents with septicaemia and multi-organ dysfunction, an autoimmune disease like SLE should be excluded. Here we report a 16-yearold girl initially presenting with septic shock along with multiorgan dysfunction. The patient was thoroughly evaluated and shock was managed effectively according to protocol. Later on she was diagnosed as a case of systemic lupus erythematosus (SLE). J Enam Med Col 2020; 10(1): 49-54
{"title":"A 16-Year-Old Girl with Systemic Lupus Erythematosus (SLE) with Septicaemia as Initial Presentation","authors":"M. Kibtiar, M. Mutanabbi, Farzana Akhter Bornee","doi":"10.3329/jemc.v10i1.45067","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45067","url":null,"abstract":"Sepsis is a life-threatening condition caused by systemic host response to infection. Sepsis or septic shock is considered to be rare as initial presentation of autoimmune disease like systemic lupus erythematosus (SLE). SLE is a multisystem disorder which usually occurs in adolescent girls. So when an adolescent girl presents with septicaemia and multi-organ dysfunction, an autoimmune disease like SLE should be excluded. Here we report a 16-yearold girl initially presenting with septic shock along with multiorgan dysfunction. The patient was thoroughly evaluated and shock was managed effectively according to protocol. Later on she was diagnosed as a case of systemic lupus erythematosus (SLE). \u0000J Enam Med Col 2020; 10(1): 49-54","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"49-54"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48046767","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 : 2020-01-22DOI: 10.3329/jemc.v10i1.45068
Samar C Sarkar, Mashah Binte Amin
Abstract not available J Enam Med Col 2020; 10(1): 55-57
摘要不可用J Enam Med Col 2020；10（1）：55-57
{"title":"Tectal Plate Cavernous Malformation—A Rare Cavernoma in Brainstem","authors":"Samar C Sarkar, Mashah Binte Amin","doi":"10.3329/jemc.v10i1.45068","DOIUrl":"https://doi.org/10.3329/jemc.v10i1.45068","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2020; 10(1): 55-57","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"10 1","pages":"55-57"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v10i1.45068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47330255","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}
Abstract not available J Enam Med Col 2019; 9(3): 200-201
中华医学杂志2019;9 (3): 200 - 201
{"title":"College News Vol. 9(3)","authors":"R. Parvin","doi":"10.3329/jemc.v9i3.43253","DOIUrl":"https://doi.org/10.3329/jemc.v9i3.43253","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2019; 9(3): 200-201","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48838697","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}
Easnem Khanum, A. Islam, Rahima Akter, K. Mondol, R. Hoque
Virocid is a highly concentrated potent broad-spectrum disinfectant which is used in different sectors such as animal husbandry (poultry, pigs, cattle), agriculture, food processing, hospitals, horticulture, animal transport, feed storage, fish farming, personal hygiene etc. Here we report a case of a 35-year-old male poultry owner who attempted suicide following ingestion of about 10 mL of virocid (chemical disinfectant) and presented with severe burning sensation from throat to the epigastric region, abdominal pain, generalized muscle weakness, several episodes of vomiting and respiratory distress. The patient was treated conservatively along with mechanical ventilator support. After improving condition on 3rd day ventilator support was withdrawn and patient was shifted to step-down ICU. On 4th day the patient was transferred to general ward after consulting with psychiatrist and was discharged on the next day with an advice to follow-up every seven days interval. Two weeks later he was found quite normal. J Enam Med Col 2019; 9(3): 193-196
{"title":"A 35-Year-Old Male with Virocid-Chemical Disinfectant Poisoning","authors":"Easnem Khanum, A. Islam, Rahima Akter, K. Mondol, R. Hoque","doi":"10.3329/jemc.v9i3.43251","DOIUrl":"https://doi.org/10.3329/jemc.v9i3.43251","url":null,"abstract":"Virocid is a highly concentrated potent broad-spectrum disinfectant which is used in different sectors such as animal husbandry (poultry, pigs, cattle), agriculture, food processing, hospitals, horticulture, animal transport, feed storage, fish farming, personal hygiene etc. Here we report a case of a 35-year-old male poultry owner who attempted suicide following ingestion of about 10 mL of virocid (chemical disinfectant) and presented with severe burning sensation from throat to the epigastric region, abdominal pain, generalized muscle weakness, several episodes of vomiting and respiratory distress. The patient was treated conservatively along with mechanical ventilator support. After improving condition on 3rd day ventilator support was withdrawn and patient was shifted to step-down ICU. On 4th day the patient was transferred to general ward after consulting with psychiatrist and was discharged on the next day with an advice to follow-up every seven days interval. Two weeks later he was found quite normal. \u0000J Enam Med Col 2019; 9(3): 193-196","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41834731","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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