Background: Asthma-COPD overlap is a new phenotype in respiratory ailments. It has been shown that this group of patients might possess vitamin D3 deficiency. The association of vitamin D receptor (VDR) gene polymorphism with serum vitamin D status in ACO patients has not been investigated yet. Objective: To assess the association of VDR gene polymorphism (FokI) with serum vitamin D status in patients with Asthma-COPD overlap. Methods: This cross-sectional study was carried out in the Department of Physiology of Bangabandhu Sheikh Mujib Medical University, Dhaka, from January 2018 to July 2018 on 23 (twenty-three) patients (aged ≥40 years) with ACO. For comparison, 24 (twenty-four) apparently healthy age, smoking duration and BMI matched subjects were selected. For all participants single nucleotide polymorphism of VDR gene FokI (rs10735810) was done by DNA extraction, polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). Vitamin D3 was measured by using automated analyzer: ARCHITECT Plus ci4100. The results were expressed as mean with standard error (mean±SEM) and frequency distribution. The data were statistically analyzed by Graphpad prism (Version 7) using independent sample ‘t’ test, two sample proportion test, Fisher exact test and ANOVA test. In the interpretation of results, ≤0.05 level of probability (p) was accepted as significant. Results: The mean±SEM of serum 25(OH)D were 16.37±0.78 and 18.46±1.01 ng/ml in control and study groups, respectively. The frequency distribution of FokI genotype was 86.95% (FF), 8.69% (Ff), 4.35% (ff) and 91.66% (FF), 4.17% (Ff), 4.17% (ff) in ACO patients and healthy subjects, respectively. When FoKI VDR SNP was analyzed with serum vitamin D status in patients with ACO, statistically no association was seen. Conclusions: FokI VDR SNP is not associated with serum vitamin D status in patients with ACO. J Rang Med Col. March 2024; Vol. 9, No. 1: 22-27
背景:哮喘与慢性阻塞性肺病重叠是呼吸系统疾病的一种新表型。研究表明,这类患者可能缺乏维生素 D3。维生素 D 受体(VDR)基因多态性与 ACO 患者血清维生素 D 状态的关系尚未得到研究。目的评估 VDR 基因多态性(FokI)与哮喘-COPD 重症患者血清维生素 D 状态的关系。研究方法这项横断面研究于 2018 年 1 月至 2018 年 7 月在达卡班加班杜谢赫-穆吉布医科大学生理系进行,对象为 23(23)名 ACO 患者(年龄≥40 岁)。为了进行对比,还选择了 24 名年龄、吸烟时间和体重指数相匹配的明显健康的受试者。通过 DNA 提取、聚合酶链式反应(PCR)和限制性片段长度多态性(RFLP)对所有参与者的 VDR 基因 FokI(rs10735810)进行了单核苷酸多态性分析。使用自动分析仪测量维生素 D3:ARCHITECT Plus ci4100。结果以平均值和标准误差(平均值±标准误差)以及频率分布表示。数据采用独立样本 t 检验、双样本比例检验、费雪精确检验和方差分析检验,用 Graphpad prism(第 7 版)进行统计分析。在解释结果时,以≤0.05 的概率水平(p)为显著。结果对照组和研究组血清 25(OH)D 的平均值(±SEM)分别为 16.37±0.78 和 18.46±1.01 ng/ml。ACO患者和健康人的FokI基因型频率分布分别为86.95%(FF)、8.69%(Ff)、4.35%(ff)和91.66%(FF)、4.17%(Ff)、4.17%(ff)。当分析 FoKI VDR SNP 与 ACO 患者的血清维生素 D 状态时,在统计学上未发现任何关联。结论FokI VDR SNP 与 ACO 患者的血清维生素 D 状态无关。
{"title":"Vitamin D and it’s Association with FokI VDR Polymorphism in Patients with Asthma-COPD Overlap","authors":"Sharkia Khanam Rosy, Taskina Ali, Subroto Kumar Biswas, Md Asaduzzaman, Md Sarwar Murshed Alam, Md Habibur Rahman, M. Anwar, Md Nuruzzaman","doi":"10.3329/jrpmc.v9i1.72709","DOIUrl":"https://doi.org/10.3329/jrpmc.v9i1.72709","url":null,"abstract":"Background: Asthma-COPD overlap is a new phenotype in respiratory ailments. It has been shown that this group of patients might possess vitamin D3 deficiency. The association of vitamin D receptor (VDR) gene polymorphism with serum vitamin D status in ACO patients has not been investigated yet. Objective: To assess the association of VDR gene polymorphism (FokI) with serum vitamin D status in patients with Asthma-COPD overlap. Methods: This cross-sectional study was carried out in the Department of Physiology of Bangabandhu Sheikh Mujib Medical University, Dhaka, from January 2018 to July 2018 on 23 (twenty-three) patients (aged ≥40 years) with ACO. For comparison, 24 (twenty-four) apparently healthy age, smoking duration and BMI matched subjects were selected. For all participants single nucleotide polymorphism of VDR gene FokI (rs10735810) was done by DNA extraction, polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). Vitamin D3 was measured by using automated analyzer: ARCHITECT Plus ci4100. The results were expressed as mean with standard error (mean±SEM) and frequency distribution. The data were statistically analyzed by Graphpad prism (Version 7) using independent sample ‘t’ test, two sample proportion test, Fisher exact test and ANOVA test. In the interpretation of results, ≤0.05 level of probability (p) was accepted as significant. Results: The mean±SEM of serum 25(OH)D were 16.37±0.78 and 18.46±1.01 ng/ml in control and study groups, respectively. The frequency distribution of FokI genotype was 86.95% (FF), 8.69% (Ff), 4.35% (ff) and 91.66% (FF), 4.17% (Ff), 4.17% (ff) in ACO patients and healthy subjects, respectively. When FoKI VDR SNP was analyzed with serum vitamin D status in patients with ACO, statistically no association was seen. Conclusions: FokI VDR SNP is not associated with serum vitamin D status in patients with ACO.\u0000J Rang Med Col. March 2024; Vol. 9, No. 1: 22-27","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"286 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141012328","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 : 2024-05-05DOI: 10.3329/jrpmc.v9i1.72698
Shah Md Sarwer Jahan
Abstract not available J Rang Med Col. March 2024; Vol. 9, No. 1:1-2
摘要不详J Rang Med Col. 2024 年 3 月;第 9 卷,第 1 期:1-2
{"title":"E- Health in Bangladesh: Are we Ready for the Commuter?","authors":"Shah Md Sarwer Jahan","doi":"10.3329/jrpmc.v9i1.72698","DOIUrl":"https://doi.org/10.3329/jrpmc.v9i1.72698","url":null,"abstract":"Abstract not available\u0000J Rang Med Col. March 2024; Vol. 9, No. 1:1-2","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"276 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141012724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: There is increasing evidence of a relationship between vitamin D status and type 2 diabetes. Diabetes has also been found to be associated with 25(OH)D (vitamin D) deficiency and the role of vitamin D has recently emerged, especially in preventing cardiovascular diseases and cancer. and insulin resistance. Objective: This study aimed to compare vitamin D deficiency between healthy and Type 2 Diabetes Mellitus (T2DM) patients. Methods: This cross-sectional study was conducted from July 2021 to June 2022 in the Department of Physiology, Rangpur Medical College, Rangpur. For this study, a total number of 100 subjects were selected among them 50 non-diabetic healthy subjects were included as control and 50 Type 2 Diabetes Mellitus patients were included as cases. The subjects of control were selected from the surrounding community of Rangpur district and subjects of cases were selected from Diabetic Association and from Outdoor of Endocrinology Department, Rangpur Medical College and Hospital, Rangpur. For statistical analysis, an independent sample t-test was performed by computer-based software SPSS-23.0 version for windows. Results: The mean vitamin D level was lower in the diabetic patients than in non-diabetic participants (14.1±8.3 ng/ml and 37.3±11.3, p<0.001). Conclusions: Early screening for serum vitamin D level is recommended for T2DM patients. Hence, it is crucial to promptly address any deficiencies in vitamin D levels. J Rang Med Col. March 2024; Vol. 9, No. 1: 77-81
背景:越来越多的证据表明,维生素 D 状态与 2 型糖尿病之间存在关系。研究还发现,糖尿病与 25(OH)D(维生素 D)缺乏有关,而维生素 D 的作用最近也逐渐显现出来,特别是在预防心血管疾病和癌症以及胰岛素抵抗方面。研究目的本研究旨在比较健康人和 2 型糖尿病(T2DM)患者的维生素 D 缺乏情况。研究方法这项横断面研究于 2021 年 7 月至 2022 年 6 月在兰普尔医学院生理学系进行。研究共选取了 100 名受试者,其中 50 名非糖尿病健康受试者为对照组,50 名 2 型糖尿病患者为病例组。对照组受试者选自兰普尔地区的周边社区,病例受试者选自糖尿病协会以及兰普尔医学院和医院内分泌科门诊部。统计分析采用基于计算机的软件 SPSS-23.0 version for windows 进行独立样本 t 检验。结果糖尿病患者的平均维生素 D 水平低于非糖尿病患者(14.1±8.3 ng/ml 和 37.3±11.3,P<0.001)。结论建议对 T2DM 患者进行早期血清维生素 D 水平筛查。因此,及时处理维生素 D 水平的任何缺陷至关重要。
{"title":"Vitamin D status in Type 2 Diabetes Mellitus in a Tertiary Level Hospital","authors":"Sharnasree Saha, Anupam Sarker, Progga Sarker, Sajeda Afrin, M. Anwar, Chandra Rani Sarkar","doi":"10.3329/jrpmc.v9i1.72789","DOIUrl":"https://doi.org/10.3329/jrpmc.v9i1.72789","url":null,"abstract":"Background: There is increasing evidence of a relationship between vitamin D status and type 2 diabetes. Diabetes has also been found to be associated with 25(OH)D (vitamin D) deficiency and the role of vitamin D has recently emerged, especially in preventing cardiovascular diseases and cancer. and insulin resistance. Objective: This study aimed to compare vitamin D deficiency between healthy and Type 2 Diabetes Mellitus (T2DM) patients. Methods: This cross-sectional study was conducted from July 2021 to June 2022 in the Department of Physiology, Rangpur Medical College, Rangpur. For this study, a total number of 100 subjects were selected among them 50 non-diabetic healthy subjects were included as control and 50 Type 2 Diabetes Mellitus patients were included as cases. The subjects of control were selected from the surrounding community of Rangpur district and subjects of cases were selected from Diabetic Association and from Outdoor of Endocrinology Department, Rangpur Medical College and Hospital, Rangpur. For statistical analysis, an independent sample t-test was performed by computer-based software SPSS-23.0 version for windows. Results: The mean vitamin D level was lower in the diabetic patients than in non-diabetic participants (14.1±8.3 ng/ml and 37.3±11.3, p<0.001). Conclusions: Early screening for serum vitamin D level is recommended for T2DM patients. Hence, it is crucial to promptly address any deficiencies in vitamin D levels.\u0000J Rang Med Col. March 2024; Vol. 9, No. 1: 77-81","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"54 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Epilepsy is a common neurological disorder found in all societies. It is seen that the relative frequency of various clinically important characteristics is different in persons with epilepsy (PWE) living in different geographical areas. The purpose of this study was to describe the sociodemographic and clinical characteristics of a cohort of patients with epilepsy from an Epilepsy Clinic of a tertiary hospital in Bangladesh. Methods: This cross-sectional study was conducted in the Department of Neurology at Rangpur Medical College Hospital, Rangpur, Bangladesh, from July 2022 to June 2023. The patients were recruited from the epilepsy clinic. A structured questionnaire was designed to collect relevant information by interviewing the consecutive PWEs. Results: A total of 252 PWEs were recruited, of which 134(53.2%) were male. Most [200(79.4%)] of them were young (age group 0 to 29 years) and had generalized seizures 147(58.3%). The median age of the 1st seizure was 11 years (range 0.5-73.0), and the median duration of epilepsy was 5.0(0-35) years in the present study. EEG, CT scan, and MRI could be done in 200(79.4%), 128(50.8%), and 68(27%, respectively. Among them, 24.2%(61), 10.7%(27), and 11.1%(28) patients had different types of abnormalities on EEG, CT scan, and MRI, respectively. A family history of seizures was present in 20(7.9%) patients. Sixteen patients(6.3%) were not getting any AEDs, 63.1% and 30.6% were on single and multiple AEDs, respectively. Sixty-five (25.8%) patients reported stopping the drug without any medical consultation. Forgetfulness was the most reported (21, 33.8%) reason for stopping drugs, followed by the misconception that the disease was cured (14, 21.5%), lack of time to buy pills (12, 18.5%), and no money to buy (9, 13.8%). Seventy-seven reported having two or more continuous seizures despite taking AEDs regularly. Conclusions: Present study documented some treatment gap and non-adherence to medication in PWE. PWE should be adequately advised about the disease and the effects of drug non-compliance. J Rang Med Col. March 2024; Vol. 9, No. 1: 44-49
{"title":"Sociodemographic and Clinical Characteristics of Persons with Epilepsy Attending an Epilepsy Clinic of a Tertiary Hospital in Bangladesh","authors":"Md Ruhul Amin, Md Emdadul Haque, Sukumar Majumder, Md Abu Hanif, Proshanta kumar Pondit, Md Montashim Morshed","doi":"10.3329/jrpmc.v9i1.72720","DOIUrl":"https://doi.org/10.3329/jrpmc.v9i1.72720","url":null,"abstract":"Background: Epilepsy is a common neurological disorder found in all societies. It is seen that the relative frequency of various clinically important characteristics is different in persons with epilepsy (PWE) living in different geographical areas. The purpose of this study was to describe the sociodemographic and clinical characteristics of a cohort of patients with epilepsy from an Epilepsy Clinic of a tertiary hospital in Bangladesh. Methods: This cross-sectional study was conducted in the Department of Neurology at Rangpur Medical College Hospital, Rangpur, Bangladesh, from July 2022 to June 2023. The patients were recruited from the epilepsy clinic. A structured questionnaire was designed to collect relevant information by interviewing the consecutive PWEs. Results: A total of 252 PWEs were recruited, of which 134(53.2%) were male. Most [200(79.4%)] of them were young (age group 0 to 29 years) and had generalized seizures 147(58.3%). The median age of the 1st seizure was 11 years (range 0.5-73.0), and the median duration of epilepsy was 5.0(0-35) years in the present study. EEG, CT scan, and MRI could be done in 200(79.4%), 128(50.8%), and 68(27%, respectively. Among them, 24.2%(61), 10.7%(27), and 11.1%(28) patients had different types of abnormalities on EEG, CT scan, and MRI, respectively. A family history of seizures was present in 20(7.9%) patients. Sixteen patients(6.3%) were not getting any AEDs, 63.1% and 30.6% were on single and multiple AEDs, respectively. Sixty-five (25.8%) patients reported stopping the drug without any medical consultation. Forgetfulness was the most reported (21, 33.8%) reason for stopping drugs, followed by the misconception that the disease was cured (14, 21.5%), lack of time to buy pills (12, 18.5%), and no money to buy (9, 13.8%). Seventy-seven reported having two or more continuous seizures despite taking AEDs regularly. Conclusions: Present study documented some treatment gap and non-adherence to medication in PWE. PWE should be adequately advised about the disease and the effects of drug non-compliance.\u0000J Rang Med Col. March 2024; Vol. 9, No. 1: 44-49","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"297 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141012583","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 : 2024-05-05DOI: 10.3329/jrpmc.v9i1.72712
Saima Rahman, Nasima Begum, Ashik Mahmud
Background: Eclampsia is a severe and life-threatening complication of pregnancy, characterized by the onset of seizures in a woman with preeclampsia. This hypertensive disorder of pregnancy is associated with a range of maternal complications, presenting a significant challenge in obstetric care. Maternal complications of this nature can significantly affect both maternal and perinatal health, potentially leading to higher rates of mortality and morbidity. Objective: This study was aimed to evaluate the morbidity and mortality of eclampsia in Brahmanbaria Medical College and Hospital. Methods: This cross-sectional observational study was conducted at Brahmanbaria Medical College and Hospital, Brahmanbaria, Bangladesh, from January 2021 to December 2021. The study included 56 pregnant women with eclampsia purposively. Demographic and clinical information was recorded, and data analysis and dissemination were carried out using MS Office tools. Results: Regarding perinatal outcomes, 80% of cases resulted in live births, with a 57% survival rate. Among live births, 4% experienced post-birth mortality, and 11% faced early neonatal death. Among live births (n=45), a significant 69% experienced intrauterine growth restriction (IUGR). Maternal complications included abruptio placenta in 32% of cases, HELLP syndrome in 5%, and maternal death occurred in 5% of cases. Conclusions: Eclampsia assessment shows complex perinatal and maternal outcomes. Live births are common, but survival is challenging. High post-birth and neonatal mortality highlight newborn vulnerability. Intrauterine growth restriction (IUGR) worsens newborn health concerns. Maternal issues like abruptio-placenta, HELLP syndrome, and maternal death further complicate matters. J Rang Med Col. March 2024; Vol. 9, No. 1: 39-43
{"title":"Evaluation of Morbidity and Mortality of Eclampsia at Brahmanbaria Medical College and Hospital","authors":"Saima Rahman, Nasima Begum, Ashik Mahmud","doi":"10.3329/jrpmc.v9i1.72712","DOIUrl":"https://doi.org/10.3329/jrpmc.v9i1.72712","url":null,"abstract":"Background: Eclampsia is a severe and life-threatening complication of pregnancy, characterized by the onset of seizures in a woman with preeclampsia. This hypertensive disorder of pregnancy is associated with a range of maternal complications, presenting a significant challenge in obstetric care. Maternal complications of this nature can significantly affect both maternal and perinatal health, potentially leading to higher rates of mortality and morbidity. Objective: This study was aimed to evaluate the morbidity and mortality of eclampsia in Brahmanbaria Medical College and Hospital. Methods: This cross-sectional observational study was conducted at Brahmanbaria Medical College and Hospital, Brahmanbaria, Bangladesh, from January 2021 to December 2021. The study included 56 pregnant women with eclampsia purposively. Demographic and clinical information was recorded, and data analysis and dissemination were carried out using MS Office tools. Results: Regarding perinatal outcomes, 80% of cases resulted in live births, with a 57% survival rate. Among live births, 4% experienced post-birth mortality, and 11% faced early neonatal death. Among live births (n=45), a significant 69% experienced intrauterine growth restriction (IUGR). Maternal complications included abruptio placenta in 32% of cases, HELLP syndrome in 5%, and maternal death occurred in 5% of cases. Conclusions: Eclampsia assessment shows complex perinatal and maternal outcomes. Live births are common, but survival is challenging. High post-birth and neonatal mortality highlight newborn vulnerability. Intrauterine growth restriction (IUGR) worsens newborn health concerns. Maternal issues like abruptio-placenta, HELLP syndrome, and maternal death further complicate matters.\u0000J Rang Med Col. March 2024; Vol. 9, No. 1: 39-43","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"262 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141012959","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 : 2024-05-05DOI: 10.3329/jrpmc.v9i1.72711
Mohammad Abul Kalam Azzad, Muhammad Munir Rashid, Syeda Fateha Noor, Abu Hena Chowdhury, L. Khondoker
Background: Vitiligo is an idiopathic acquired depigmentary skin/ mucous membrane disorder. Lupus erythematosus and vitiligo are diseases of autoimmune origin. A genetic explanation for the association between lupus erythematosus and vitiligo has recently been attempted. Objective: To find out the association of lupus Erythematosus in patients of vitiligo. Methods: This case control study was carried out in the department of Dermatology & Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during the period of January 2023 to December 2023. A total of 180 patients with and without vitiligo from both genders and different ages for case and control groups were included in the study based on inclusion and exclusion criteria. Patients were divided into two groups, 90 patients with vitiligo as cases and 90 patients without vitiligo (healthy subjects) as controls. Wood’s lamp examination was performed for diagnosis of vitiligo. LE was diagnosed based on ACR criteria and laboratory test including Complete blood count, Urinalysis, ANA, anti-ds DNA, VDRL and Skin biopsy. Patients with lupus erythematosus and patients without lupus erythematosus were considered as group I and group II respectively. Results: In this study, the mean age was found 41.7±12.8 years in case group (Vitiligo) and 42.1±13.6 years in control group (Healthy subjects).More than half (51.1%) of the patients were female in case group and 41(45.6%) in control group. There was no significant difference was found regarding age, sex, anemia, leucopenia, thrombocytopenia, proteinuria, ANA and anti ds-DNA. Family history of vitiligo was significantly higher in vitiligo patients than healthy patients (26.7% vs 12.2%). The majority 45(50.0%) presented with generalize followed by 21(23.3) acrofacial, 13(14.4%) focal, 10(11.1%) segmental and 1(1.1%) mucosal of vitiligo. Lupus erythematosus was higher in vitiligo patients than healthy patients (4.4% vs 1.1%) but the difference was not statistically significant between the two groups (p=0.184). Conclusions: This study concluded that family history of vitiligo was significantly higher in vitiligo patients than healthy patients. Lupus erythematosus was higher in vitiligo patients than healthy patients, but not statistically significant. J Rang Med Col. March 2024; Vol. 9, No. 1: 33-38
{"title":"Clinical Association of Lupus Erythematosus with Patients of Vitiligo: A Case Control Study","authors":"Mohammad Abul Kalam Azzad, Muhammad Munir Rashid, Syeda Fateha Noor, Abu Hena Chowdhury, L. Khondoker","doi":"10.3329/jrpmc.v9i1.72711","DOIUrl":"https://doi.org/10.3329/jrpmc.v9i1.72711","url":null,"abstract":"Background: Vitiligo is an idiopathic acquired depigmentary skin/ mucous membrane disorder. Lupus erythematosus and vitiligo are diseases of autoimmune origin. A genetic explanation for the association between lupus erythematosus and vitiligo has recently been attempted. Objective: To find out the association of lupus Erythematosus in patients of vitiligo. Methods: This case control study was carried out in the department of Dermatology & Venereology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during the period of January 2023 to December 2023. A total of 180 patients with and without vitiligo from both genders and different ages for case and control groups were included in the study based on inclusion and exclusion criteria. Patients were divided into two groups, 90 patients with vitiligo as cases and 90 patients without vitiligo (healthy subjects) as controls. Wood’s lamp examination was performed for diagnosis of vitiligo. LE was diagnosed based on ACR criteria and laboratory test including Complete blood count, Urinalysis, ANA, anti-ds DNA, VDRL and Skin biopsy. Patients with lupus erythematosus and patients without lupus erythematosus were considered as group I and group II respectively. Results: In this study, the mean age was found 41.7±12.8 years in case group (Vitiligo) and 42.1±13.6 years in control group (Healthy subjects).More than half (51.1%) of the patients were female in case group and 41(45.6%) in control group. There was no significant difference was found regarding age, sex, anemia, leucopenia, thrombocytopenia, proteinuria, ANA and anti ds-DNA. Family history of vitiligo was significantly higher in vitiligo patients than healthy patients (26.7% vs 12.2%). The majority 45(50.0%) presented with generalize followed by 21(23.3) acrofacial, 13(14.4%) focal, 10(11.1%) segmental and 1(1.1%) mucosal of vitiligo. Lupus erythematosus was higher in vitiligo patients than healthy patients (4.4% vs 1.1%) but the difference was not statistically significant between the two groups (p=0.184). Conclusions: This study concluded that family history of vitiligo was significantly higher in vitiligo patients than healthy patients. Lupus erythematosus was higher in vitiligo patients than healthy patients, but not statistically significant.\u0000J Rang Med Col. March 2024; Vol. 9, No. 1: 33-38","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"296 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141012468","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 : 2023-04-04DOI: 10.3329/jrpmc.v8i1.65034
Safina Akhter, C. Sarkar, Atm Zoadur Rahim Zahid
Background: Overweight and obesity has been announced as a global epidemic by The World Health Organization. These conditions have strong associations with renal function impairment. Objectives: To evaluate the estimated glomerular filtration rate (eGFR) in obese male adults and to observe the correlation of eGFR with body mass index (BMI). Methods: This cross-sectional analytical study was conducted at the Department of Physiology, Rangpur Medical College, Rangpur. After briefing about objectives, adult males who met the inclusion and exclusion criteria were enrolled in the study by consensus. The study involved 60 people who were divided into two groups: apparently healthy adult males of average weight (Group A) and apparently healthy adult males who were obese (Group B). The subjects were selected from different districts of the city of Rangpur. Their body mass index & serum creatinine were measured. eGFR was calculated by Cockcroft-Gault equation using serum creatinine. For statistical analysis, unpaired t-test and Pearson’s correlation coefficient test were performed as applicable by computer-based SPSS–25.0 for windows. Regarding the interpretation of results, p≤0.05 was accepted as significant. Results: The mean of estimated glomerular filtration rate was significantly (p≤ 0.001) lower in obese male adults than in normal-weight male adults. This study also found a highly significant (p≤0.05) negative correlation of eGFR (r = -0.317) with body mass index. Conclusion: eGFR is reduced in obese male adults, and it is negatively correlated with BMI. Regular body mass index screening is recommended as an easy and effective means of assessing body weight. J Rang Med Col. March 2023; Vol. 8, No. 2:27-32
背景:超重和肥胖已被世界卫生组织宣布为一种全球性流行病。这些情况与肾功能损害密切相关。目的:评价成年肥胖男性肾小球滤过率(eGFR)的估算值,并观察eGFR与体重指数(BMI)的相关性。方法:横断面分析研究在Rangpur医学院生理学系进行。在简要介绍研究目的后,符合纳入和排除标准的成年男性被一致纳入研究。这项研究涉及60人,他们被分为两组:表面上健康的平均体重成年男性(A组)和表面上健康的肥胖成年男性(B组)。研究对象来自Rangpur市的不同地区。测量他们的身体质量指数和血清肌酐。利用血清肌酐,采用Cockcroft-Gault方程计算eGFR。统计分析采用非配对t检验和Pearson相关系数检验,适用计算机SPSS-25.0 For windows。对于结果的解释,p≤0.05为显著性。结果:肥胖男性肾小球滤过率的平均值明显低于正常体重男性(p≤0.001)。本研究还发现eGFR与体重指数呈极显著负相关(p≤0.05)(r = -0.317)。结论:成年肥胖男性eGFR降低,且与BMI呈负相关。建议定期进行身体质量指数筛查,作为评估体重的一种简单有效的方法。J Rang Med Col. 2023年3月;第8卷第2章27-32节
{"title":"Evaluation of Estimated Glomerular Filtration Rate in Obese Male Adults and Its Correlation with BMI","authors":"Safina Akhter, C. Sarkar, Atm Zoadur Rahim Zahid","doi":"10.3329/jrpmc.v8i1.65034","DOIUrl":"https://doi.org/10.3329/jrpmc.v8i1.65034","url":null,"abstract":"Background: Overweight and obesity has been announced as a global epidemic by The World Health Organization. These conditions have strong associations with renal function impairment.\u0000Objectives: To evaluate the estimated glomerular filtration rate (eGFR) in obese male adults and to observe the correlation of eGFR with body mass index (BMI).\u0000Methods: This cross-sectional analytical study was conducted at the Department of Physiology, Rangpur Medical College, Rangpur. After briefing about objectives, adult males who met the inclusion and exclusion criteria were enrolled in the study by consensus. The study involved 60 people who were divided into two groups: apparently healthy adult males of average weight (Group A) and apparently healthy adult males who were obese (Group B). The subjects were selected from different districts of the city of Rangpur. Their body mass index & serum creatinine were measured. eGFR was calculated by Cockcroft-Gault equation using serum creatinine. For statistical analysis, unpaired t-test and Pearson’s correlation coefficient test were performed as applicable by computer-based SPSS–25.0 for windows. Regarding the interpretation of results, p≤0.05 was accepted as significant.\u0000Results: The mean of estimated glomerular filtration rate was significantly (p≤ 0.001) lower in obese male adults than in normal-weight male adults. This study also found a highly significant (p≤0.05) negative correlation of eGFR (r = -0.317) with body mass index.\u0000Conclusion: eGFR is reduced in obese male adults, and it is negatively correlated with BMI. Regular body mass index screening is recommended as an easy and effective means of assessing body weight.\u0000J Rang Med Col. March 2023; Vol. 8, No. 2:27-32","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129351660","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 : 2023-04-04DOI: 10.3329/jrpmc.v8i1.65066
Md Helal Miah, Md Ahad Bakas, Md Kamal Hossein, T. Begum, Md Shafiul Alam, M. Kabir, Abu Said Md Rahenur Mondol, Md Ruhul Amin Sarkar, M. Anwar, Shahed Jahan, Md Mahfuzer Rahman
We report an isoniazid-induced encephalopathy in a man with chronic renal failure. Drug-induced encephalopathy is a common side effect of many drugs. Isoniazid (INH), a first-line drug for tuberculosis, can cause encephalopathy in patients with chronic kidney disease (CKD). For Pott's disease of the thoracic spine, he received rifampicin, INH, pyrazinamide, and ethambutol with pyridoxine and prednisolone. But the patient is free of pyridoxine for two and a half months. Subsequently, after treatment, the patient experienced recurrent episodes of altered consciousness, irrelevant conversations, and disorientation. After ruling out other causes, isoniazid-induced encephalopathy was suspected and confirmed by improvement of symptoms after discontinuation of high-dose isoniazid and pyridoxine. J Rang Med Col. March 2023; Vol. 8, No. 1:72-75
我们报告一个异烟肼引起的慢性肾衰竭的脑病。药物性脑病是许多药物的常见副作用。异烟肼(INH)是治疗结核病的一线药物,可引起慢性肾病(CKD)患者的脑病。对于胸椎的波特病,他接受利福平、INH、吡嗪酰胺和乙胺丁醇联合吡哆醇和强的松龙治疗。但病人已经两个半月不用吡哆醇了。随后,在治疗后,患者经历了反复发作的意识改变、不相关的谈话和定向障碍。排除其他原因后,疑似异烟肼所致脑病,停药后症状改善,证实为异烟肼所致脑病。J Rang Med Col. 2023年3月;第八卷,第1章72-75节
{"title":"Isoniazid-induced Encephalopathy in a Patient with Pott’s Disease with Chronic Kidney Disease: A Case Report","authors":"Md Helal Miah, Md Ahad Bakas, Md Kamal Hossein, T. Begum, Md Shafiul Alam, M. Kabir, Abu Said Md Rahenur Mondol, Md Ruhul Amin Sarkar, M. Anwar, Shahed Jahan, Md Mahfuzer Rahman","doi":"10.3329/jrpmc.v8i1.65066","DOIUrl":"https://doi.org/10.3329/jrpmc.v8i1.65066","url":null,"abstract":"We report an isoniazid-induced encephalopathy in a man with chronic renal failure. Drug-induced encephalopathy is a common side effect of many drugs. Isoniazid (INH), a first-line drug for tuberculosis, can cause encephalopathy in patients with chronic kidney disease (CKD). For Pott's disease of the thoracic spine, he received rifampicin, INH, pyrazinamide, and ethambutol with pyridoxine and prednisolone. But the patient is free of pyridoxine for two and a half months. Subsequently, after treatment, the patient experienced recurrent episodes of altered consciousness, irrelevant conversations, and disorientation. After ruling out other causes, isoniazid-induced encephalopathy was suspected and confirmed by improvement of symptoms after discontinuation of high-dose isoniazid and pyridoxine.\u0000J Rang Med Col. March 2023; Vol. 8, No. 1:72-75","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127403839","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 : 2023-04-04DOI: 10.3329/jrpmc.v8i1.65060
Munira Begum, Md Shahriar Morshed, Rehnuma Islam, Most Masuma Islam Nisa
Background: Water, sanitation and hygiene (WASH) facilities are considered a basic human necessity for survival and well-being, without these basic needs the health condition of millions of people, especially children and women are at risk. Bangladesh is vulnerable in this regard. Objectives: The study aimed to assess household water, sanitation and hygiene facilities and practices in selected villages of Taraganj Upazilla, Rangpur. Methods: This cross-sectional study was conducted among 341 rural households from six villages of Taraganj Upazilla, Rangpur district using a pretested semi-structured questionnaire and an observation checklist. Data were collected through face-to-face interview and observing the facilities. Result: The respondents of this study were female predominant. Male: female ratio was 1:3 and their average age was 38.16(±14.03) years. Every household were using improved source of water for both drinking and other domestic purposes but only 4.7% households safely treated water for drinking and only in 17.9% households water source was found 50 feet or more from the latrine. About 70.7% respondents kept their drinking water storage container over shelf/table, covered it with lid (65.0%) and 90.4% containers were found clean during observation. Around 95.6% households used an improved toilet facility and in 45.7 % household latrine was situated in their own dwellings. Although on observation of latrines, water collection or storage facility, hand washing facility and soap or detergent availability near them were found 63.2%, 64.4% and 59.9% households respectively. Still 2.1% households had no toilet facility at all. Nearly 19.4% respondents shared their toilet facility with other households. About 90.3% households safely disposed their children’s stool. Majority of respondents told that they used soap during washing hands before meal (84.8%) and after defecation (98.2%).During observation of the site for hand washing, water supply and soap or detergent availability were found in 97.7% and 83.3% households respectively. Good practices for drinking water, sanitation and hygiene were found among 4.7%, 71.6% and 92.7% households respectively. Conclusion: These findings are suggestive of need to come up with strategies of health education and promotion to ensure that rural households understand the importance of safe treatment of drinking water, safe disposal of child’s stool and safe distance of latrine from drinking water source in order to prevent spread of diseases. Effective policies should be developed by policymakers, safe distance of latrine from drinking water source and media and communication specialists should convey clear messages for everyone, particularly illiterate rural population. J Rang Med Col. March 2023; Vol. 8, No. 2:53-58
背景:水、环境卫生和个人卫生设施被认为是人类生存和福祉的基本必需品,没有这些基本需求,数百万人,特别是儿童和妇女的健康状况将面临风险。孟加拉国在这方面很脆弱。目的:本研究旨在评估Rangpur Taraganj Upazilla选定村庄的家庭用水、环境卫生和个人卫生设施和做法。方法:采用预测半结构化问卷和观察表,对Rangpur地区Taraganj Upazilla 6个村的341户农户进行了横断面研究。通过面对面访谈和观察设施收集数据。结果:调查对象以女性为主。男女比例为1:3,平均年龄38.16(±14.03)岁。每个家庭都在使用改善的饮用水和其他家庭用水来源但只有4.7%的家庭对饮用水进行了安全处理,只有17.9%的家庭发现水源距离厕所50英尺或更远。约70.7%的受访者将饮用水储存容器放置在货架/桌子上,并盖上盖子(65.0%),90.4%的受访者在观察时发现容器清洁。大约95.6%的家庭使用改进的厕所设施,45.7%的家庭厕所设在自己的住所。经观察,在厕所、集水或储水设施、洗手设施及附近有肥皂或洗涤剂的住户分别为63.2%、64.4%及59.9%。仍有2.1%的家庭完全没有厕所设施。近19.4%的受访者与其他家庭共用厕所设施。约90.3%的家庭安全处理孩子的粪便。大多数受访者表示他们在饭前洗手(84.8%)和便后洗手(98.2%)时使用肥皂。在对洗手地点的观察中,97.7%和83.3%的家庭分别有供水和肥皂或洗涤剂供应。在饮水、环境卫生和个人卫生方面的良好做法分别占4.7%、71.6%和92.7%的家庭。结论:需要制定健康教育和推广策略,确保农村家庭了解安全处理饮用水、安全处理儿童粪便和厕所与饮用水水源的安全距离的重要性,以防止疾病的传播。决策者应该制定有效的政策,厕所与饮用水源的安全距离,媒体和传播专家应该向每个人,特别是文盲农村人口传达明确的信息。J Rang Med Col. 2023年3月;第8卷第2章53-58节
{"title":"Household Water, Sanitation, Hygiene Facilities and Practices in Selected Villages of Taraganj Upazilla, Rangpur","authors":"Munira Begum, Md Shahriar Morshed, Rehnuma Islam, Most Masuma Islam Nisa","doi":"10.3329/jrpmc.v8i1.65060","DOIUrl":"https://doi.org/10.3329/jrpmc.v8i1.65060","url":null,"abstract":"Background: Water, sanitation and hygiene (WASH) facilities are considered a basic human necessity for survival and well-being, without these basic needs the health condition of millions of people, especially children and women are at risk. Bangladesh is vulnerable in this regard.\u0000Objectives: The study aimed to assess household water, sanitation and hygiene facilities and practices in selected villages of Taraganj Upazilla, Rangpur.\u0000Methods: This cross-sectional study was conducted among 341 rural households from six villages of Taraganj Upazilla, Rangpur district using a pretested semi-structured questionnaire and an observation checklist. Data were collected through face-to-face interview and observing the facilities.\u0000Result: The respondents of this study were female predominant. Male: female ratio was 1:3 and their average age was 38.16(±14.03) years. Every household were using improved source of water for both drinking and other domestic purposes but only 4.7% households safely treated water for drinking and only in 17.9% households water source was found 50 feet or more from the latrine. About 70.7% respondents kept their drinking water storage container over shelf/table, covered it with lid (65.0%) and 90.4% containers were found clean during observation. Around 95.6% households used an improved toilet facility and in 45.7 % household latrine was situated in their own dwellings. Although on observation of latrines, water collection or storage facility, hand washing facility and soap or detergent availability near them were found 63.2%, 64.4% and 59.9% households respectively. Still 2.1% households had no toilet facility at all. Nearly 19.4% respondents shared their toilet facility with other households. About 90.3% households safely disposed their children’s stool. Majority of respondents told that they used soap during washing hands before meal (84.8%) and after defecation (98.2%).During observation of the site for hand washing, water supply and soap or detergent availability were found in 97.7% and 83.3% households respectively. Good practices for drinking water, sanitation and hygiene were found among 4.7%, 71.6% and 92.7% households respectively.\u0000Conclusion: These findings are suggestive of need to come up with strategies of health education and promotion to ensure that rural households understand the importance of safe treatment of drinking water, safe disposal of child’s stool and safe distance of latrine from drinking water source in order to prevent spread of diseases. Effective policies should be developed by policymakers, safe distance of latrine from drinking water source and media and communication specialists should convey clear messages for everyone, particularly illiterate rural population.\u0000J Rang Med Col. March 2023; Vol. 8, No. 2:53-58","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131741238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Transfusion transmitted infection (TTIs) is still an alarming issue associated with blood transfusion, as hepatitis B remains a critical public health concern in a country like Bangladesh. The predisposition of the prevalence of HBsAg infection among healthy blood donors even in a tertiary-level hospital could be a strategy for scheming and observing this problem. Methods: A cross-sectional study was conducted among all samples of a total of 11,566 units of blood screening for hepatitis B surface antigen at Rangpur Medical College Hospital, Rangpur from January 2021 to December, 2021. The prevalence of HBV infection was measured to observe the trends. Data were collected by non-probability convenient sampling, maintaining inclusion and exclusion criteria. Face-to-face interviews, blood grouping tests, and hepatitis B surface antigen (HBsAg) screening were conducted. Results: About 66% of the blood donors were between 18 and 30 years of age, and 89.6% of them were males. All the donors were replacement donors who came voluntarily. The overall seroprevalence rate of HBV among all healthy blood donors was 1.09%. About 98.4% of HBsAg-positive blood donors were males and only 1.6% were female. Hepatitis B infection was more prevalent in the 28–36 years age group and least prevalent among those older than 48 years of age. Conclusion: The decreasing trend in the prevalence of HBV infection might be the result of improvement in donor recruitment and selection, built-up awareness, proper TTIs screening, HBV vaccination and possibly decreasing HBV infection prevalence in the general population. J Rang Med Col. March 2023; Vol. 8, No. 2:49-52
背景:输血传播感染(TTIs)仍然是一个与输血相关的令人担忧的问题,因为乙型肝炎在孟加拉国等国家仍然是一个严重的公共卫生问题。即使在三级医院,健康献血者中HBsAg感染流行的倾向也可能是策划和观察这一问题的一种策略。方法:对2021年1月至2021年12月在Rangpur医学院医院进行乙型肝炎表面抗原血液筛查的11,566个单位的所有样本进行横断面研究。测量HBV感染的流行情况,观察趋势。数据采用非概率方便抽样,保持纳入和排除标准。进行了面对面访谈、血型检测和乙型肝炎表面抗原(HBsAg)筛查。结果:献血者年龄在18 ~ 30岁之间,约占66%,其中男性占89.6%。所有的捐献者都是自愿的替代捐献者。所有健康献血者的HBV总血清阳性率为1.09%。约98.4%的hbsag阳性献血者为男性,仅1.6%为女性。乙型肝炎感染在28-36岁年龄组中更为普遍,在48岁以上年龄组中最不普遍。结论:乙型肝炎病毒感染率呈下降趋势,可能是由于供体招募和选择的改善、意识的建立、正确筛查乙型肝炎病毒感染、接种乙型肝炎疫苗以及普通人群中乙型肝炎病毒感染率可能下降的结果。J Rang Med Col. 2023年3月;第八卷,第2章49-52节
{"title":"Prevalence of Hepatitis B Infection Among Healthy Blood Donors in Rangpur, Bangladesh","authors":"Jobaida Jannat, Md. Ashekur Rahman, Mufeq Mahmud, Md. Zia Hayder Bosunia, A. Rana, Khousnoor Hanif","doi":"10.3329/jrpmc.v8i1.65059","DOIUrl":"https://doi.org/10.3329/jrpmc.v8i1.65059","url":null,"abstract":"Background: Transfusion transmitted infection (TTIs) is still an alarming issue associated with blood transfusion, as hepatitis B remains a critical public health concern in a country like Bangladesh. The predisposition of the prevalence of HBsAg infection among healthy blood donors even in a tertiary-level hospital could be a strategy for scheming and observing this problem.\u0000Methods: A cross-sectional study was conducted among all samples of a total of 11,566 units of blood screening for hepatitis B surface antigen at Rangpur Medical College Hospital, Rangpur from January 2021 to December, 2021. The prevalence of HBV infection was measured to observe the trends. Data were collected by non-probability convenient sampling, maintaining inclusion and exclusion criteria. Face-to-face interviews, blood grouping tests, and hepatitis B surface antigen (HBsAg) screening were conducted.\u0000Results: About 66% of the blood donors were between 18 and 30 years of age, and 89.6% of them were males. All the donors were replacement donors who came voluntarily. The overall seroprevalence rate of HBV among all healthy blood donors was 1.09%. About 98.4% of HBsAg-positive blood donors were males and only 1.6% were female. Hepatitis B infection was more prevalent in the 28–36 years age group and least prevalent among those older than 48 years of age.\u0000Conclusion: The decreasing trend in the prevalence of HBV infection might be the result of improvement in donor recruitment and selection, built-up awareness, proper TTIs screening, HBV vaccination and possibly decreasing HBV infection prevalence in the general population.\u0000J Rang Med Col. March 2023; Vol. 8, No. 2:49-52","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"213 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121721552","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}