Northern International Medical College Journal最新文献

{"title":"Adolescent Health needs - Special attention and a New Subspeciality - Adolescent Medicine","authors":"B. Yasmeen","doi":"10.3329/nimcj.v11i2.54058","DOIUrl":"https://doi.org/10.3329/nimcj.v11i2.54058","url":null,"abstract":"Abstract Not Available \u0000Northern International Medical College Journal Vol.11 (2) Jan 2020: 443- 446","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123413350","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}

{"title":"Apert Syndrome: A Rare Genetic Disorder","authors":"Mahmuda Hassan, B. Yasmeen, Masuma Khan, A. Mukti","doi":"10.3329/nimcj.v11i2.54066","DOIUrl":"https://doi.org/10.3329/nimcj.v11i2.54066","url":null,"abstract":"Apert syndrome is a rare type I acrocephalosyndactyly syndrome having autosomal dominant inheritance due to mutations in the fibroblast growth factor receptors gene. New or fresh mutations are also frequent. It is characterized by dysmorphic face, craniosynostosis, severe syndactyly of the hands and feet. Apert syndrome affects the first branchial or pharyngeal arch, the precursor of the maxilla and mandible. Disturbances in the development of branchial arches during fetal period create extensive malformation in different parts of the body. Management of Apert syndrome requires a multidisciplinary approach. We, hereby, report a case of a 45-days old baby with Apert syndrome. \u0000Northern International Medical College Journal Vol.11 (2) Jan 2020: 475-477","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128271982","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}

{"title":"Pattern of haematological malignancies among patients attending at the haematology department in a tertiary hospital","authors":"Maruf Hasan, Mahbuba Sharmin, A. A. Kabir, J. Ferdous, M. Khan, Md. Kamrul Hassan, Mohammad Farhad, Tamanna Nourin","doi":"10.3329/nimcj.v11i1.50735","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50735","url":null,"abstract":"Background : Hematological malignancies (HM) was comprise approximately 6.5% of all cancer incidences worldwide in 2012. Although prevalence of these malignancies are much lower in Asia and Africa then in Western countries. The incidence of these malignancies is drastically increasing in low-income settings. WHO predicts that the number of bloodrelated cancer cases would be increased about 48% in less developed countries by 2030 as compared to 2012. \u0000Objective : In our study we tried to determine the current pattern of haematological malignancies among patients attending at the haematology department in a tertiary hospital. \u0000Methods : This cross-sectional observational study was carried out in outpatients and inpatients department of Haematology, Dhaka Medical College Hospital, Dhaka from 13th August 2016 to 12th august 2017 for a duration of 12 months. Detail clinical history, examination findings and investigations of patients were recorded in a pre-designed case record form. All data were converted to tabulated forms to obtain statistical information by Using Microsoft Excel and SPSS 17 program. \u0000Results : Out of 400 HM patients, most of them were male (66.75%) and remaining (33.25%) were female and male female ratio was 2.01:1. From rural were (71.25%) and remaining (28.75%) were urban population. Acute lymphoblastic leukaemia (ALL) patients were 87 (21.75%), mean age 25.4 years; Acute myeloid leukaemia (AML) patients were 81 (20.25%), mean age 36.5 years; Chronic myeloid leukaemia (CML) patients were 71 (17.75%), mean age 35.5 years; Non Hodgekin lymphoma (NHL) patients were 56 (14%), mean age 42.9 years; Acute promyelocytic leukaemia (APL) patients were 35 (8.75%), mean age 29.4 years; Multiple myeloma (MM) patients were 33 (8.25%), mean age 55.9 years; Hodgekin lymphoma (HL) patients were 24 (6.00%), mean age 33.8 years; Chronic lymphocytic leukaemia (CLL) patients were 7 (1.75%), mean age 61.9 years; Follicular lymphoma (FL) patients were 4 (1.00%), mean age 56.5 years; Mantle cell lymphoma (MCL) patient was 1 (0.25%), age 70 years and Burkitt lymphoma (BL) patient was 1 (0.25%), age 25 years. \u0000Conclusion : Study result showed that acute leukaemias were more common than chronic cases. AML and APL (subtype of AML) were more than ALL. Individually APL was the 5th in position whereas ALL was the 1st and AML was the 2nd highest cases among the 11 types of HM found in this study. Percentage of CML was higher (3rd in position) than CLL (8th in position) among the studied cases. Among the lymphomas NHL was more common (4th in position) than HL (7th in position) and MM (6th in position). FL (subtype of NHL) which is low grade in nature was 9th in position among the eleven. MCL and BL was rare and each was 1 in number in this study. \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 415-418","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129586621","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}

{"title":"Serum uric acid level between normotensive and pre-eclamptic patients in third trimester of pregnancy and perinatal outcome","authors":"F. Nesa, F. Chowdhury, B. Yasmeen, N. Begum, A. Das","doi":"10.3329/nimcj.v11i1.50736","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50736","url":null,"abstract":"Background : Preeclampsia is associated with maternal and neonatal complications. It has been indicated that increased uric acid might have a predictive role on preeclampsia. Several studies have demonstrated a relation between elevated maternal serum uric acid levels and adverse maternal and fetal outcome. The aim of this study was to find out the association of serum uric acid level between normotensive and pre-eclamptic (PE) patients in third trimester of pregnancy and perinatal outcome. \u0000Methodology : A case control study was conducted in the department of the Obstetrics and Gynaecology in Dhaka Medical College Hospital from July 2017 to June 2018. A total number of 100 pregnant women in third trimester of pregnancy attending in Obstetrics and Gynaecology department of Dhaka Medical College Hospital were selected purposively as study subjects. Among them 50 diagnosed cases of preeclampsia were selected as cases with age range of 18-35 years and 50 normal healthy age matched pregnant women as controls. Pregnant women with pre-existing hypertension, diabetes mellitus and renal disease were excluded from the study by history, clinical examination and relevant laboratory investigations. \u0000Results : The mean serum uric acid level was found 4.49±1.72 mg/dl in normotensive group and 7.03±1.89 mg/dl in preeclampsia group. Serum uric acid was significantly higher (p<0.05) in pre-eclampsia group than normotensive group. Regarding outcome take home as alive neonate was found 48(96.0%) in normotensive group and 41(82.0%) in preeclampsia group. Early neonatal death was 1(2.0%) in normotensive and 4(8.0%) in pre-eclampsia group. Still birth was 1(2.0%) and 5(10.0%) in normotensive and pre-eclampsia group respectively. \u0000Conclusion : Hyperuricemia is most basic and reliable observations in pre-eclamptic pregnancies. While elevated concentrations of circulating uric acid are not uniformly increased in every woman with PE. But hyperuricemia is found in a subset of pre-eclamptic women who had higher risk for maternal and fetal complications. Therefore, measurement of serum uric acid concentration seems to be a useful test to predict maternal and fetal complications in a women with preeclampsia. \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 419-422","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127453977","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}

{"title":"Central Diabetes Insipidus in a Child due to Histiocytosis X","authors":"Habiba Jesmin, S. Afroz, Saenat Haque","doi":"10.3329/nimcj.v11i1.50739","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50739","url":null,"abstract":"Central diabetes insipidus (CDI) occur due to deficiency of vasopressin which is synthesized in supraoptic and paraventricular nuclei of hypothalamus and stored in posterior pituitary. There are many causes of CDI among them histiocytosis X or lymphohistiocytosis (LCH) is a rare cause. Here we are reporting a 2 years old boy with histiocytosis-Xor presented with CDI. The boy presented with polyuria and polydipsia, low urine specific gravity and osmolality with normal blood sugar and osmolality. Positive response to water deprivation test followed by oral DDAVP establish the diagnosis of CDI. X-Ray skull showed osteolytic punched out lesion and T1 weighted MRI of brain showed thickening of pituitary stalk with absence of bright signal of posterior pituitary. Trephine biopsy showed bone marrow was infiltrated by many eosinophil, some macrophage, lymphocyte and plasma cells. On the basis of all these diagnosis was made as CDI due to histiocytosis-X. Due to hypothalamic- pituitary axis infiltration CDI may be the earliest manifestation of LCH, even before it is diagnosed. Therefore, for diagnostic workup of CDI, LCH should be considered. \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 432-434","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125659728","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}

{"title":"Short term outcome of epileptic Seizure in children attending at Paediatric Neuroscience Department of Dhaka Shishu Hospital","authors":"H. Quaderi, Shaoli Sarker, S. I. Kanta, B. Yasmeen","doi":"10.3329/nimcj.v11i1.50734","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50734","url":null,"abstract":"Background : The optimal response to antiepileptic treatment is the control of seizures. In different studies, it has been shown that childhood epilepsy presents with a variable course, and approximately one-third of epilepsy experience alternating relapse and remission. Some of them do not become seizure-free, despite adequate treatment. \u0000Objectives : This study aimed to see the short-term outcome of seizures in children with epilepsy (whether the seizure is controlled or not) and to correlate them with different predictors like socio-demographic factors, associated comorbidities, and adherence with antiepileptic drugs. \u0000Methods : This retrospective observational study was conducted in an Epilepsy Clinic of Paediatric Neuroscience Department of Dhaka Shishu Hospital (DSH) over a period of 3 years from January 2013 to December 2015. During this period 1-year follow-up record of each patient was analyzed. Information on bio demographic data, clinical and developmental assessment done by a multidisciplinary team was analyzed. \u0000Results : A total of 100 children who had epilepsy were included in this study. Unfavorable outcome (uncontrolled seizure) was found in children <5 years of age, children from the rural area, and those whose parents education were below secondary level (p values were 0.05, 0.03 and 0.04 respectively). Also, the unfavorable outcome was found in children who had H/O perinatal asphyxia (PNA), motor problem, and feeding problem (p-value=0.5, 0.002, 0.05 respectively). After 1 year of regular follow up milestone of development was improved in more than one 1domain in 51children. But there was no improvement found or their condition remained unchanged in 49 children. \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 411-414","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130034394","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}

{"title":"Recurrent Abdominal Pain: A Rare Presentation of Childhood Intestinal Lymphoma in a Bangladeshi Child","authors":"Md Shafiul Alam, M. Mazumder, M. Begum, -. Md Benzamin, Nadia Haq, Shariful Hasan, A. R. Rahman, Md. Saidul Islam","doi":"10.3329/nimcj.v11i1.50741","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50741","url":null,"abstract":"In children, primary malignant tumors of the gastrointestinal (GI) tract are rare and accounts less than 5% of all pediatric neoplasms.1 Non-Hodgkin’s lymphoma (NHL) remains the most common malignancy of the GI tract in children.2 Moreover small intestine (PLI) is very uncommon. They are different in anatomic distribution and histologic appearance compared to common patterns in adult cases. The disease is rare and having variable clinical presentation that delayed early detection when the possibility of cure exists. The common presentations of PLI are bowel obstruction and intussusception.3,4 NHL of the gastrointestinal tract usually arises in the submucosal lymphoid tissue of the ileocecal region, extendtransmuraly, and involve local mesenteric lymph nodes extensively, forming a bulky abdominal mass. NHL most frequently involved the ileocecal valve (35.8%), followed by the small bowel (31.3%), large bowel (19.4%) and multiple gastrointestinal involvements (13.4%).5 Here we present a case report to show the scenario of a patient suffering from NHL where diagnosis was delayed. The child was suffering from recurrent abdominal pain (RAP) and various treatment was offered but he could not improve. Finally, he was diagnosed as a case of primary non-Hodgkin's lymphoma of the small intestine (PLI). Though PLI is a very uncommon malignancy in childhood. \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 438-439","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130495592","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}

{"title":"Incidental diagnosis of combined deficiency of vitamin C and D in a child admitted with bronchiolitis","authors":"Mahmuda Hassan, K. Chowdhury, B. Yasmeen, H. Rahman, Masuma Khan, A. Mukti, S. Roy","doi":"10.3329/nimcj.v11i1.50740","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50740","url":null,"abstract":"Several cases from developing countries has been reported either on isolated vitamin C or isolated vitamin D deficiency in the recent past. Though nutritional vitamin C deficiency is rare but recently there is re-emergence of vitamin D deficiency found in developed countries. Combined deficiency of vitamin C and D found in the same patient is very rare both in developed and developing countries. Our patient was admitted in Ad Din Women’s Medical College Hospital, Dhaka with bronchiolitis. She had a history of cough and cold for 5 days. She had fever and respiratory difficulty for the last 2 days. On physical examination, she had low grade fever, fast breathing, chest in drawing. She had also widening of the wrist and ankle joints but her parents were unaware of these changes. They thought these could be a normal phenomenon. We suspect Rickets on physical examination findings. The baby was very much irritable and we thought that it was due to cough, cold and difficult breathing (bronchiolitis). Combined vitamin C and D deficiency was an incidental finding in this case. Her X ray of wrist joints, lower limb including knee and ankle joints showed the features of combined deficiency of vitamin C and D. \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 435-437","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115577119","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}

{"title":"Noninvasive prenatal diagnosis of β-Thalassaemia","authors":"B. Yasmeen","doi":"10.3329/nimcj.v11i1.50732","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50732","url":null,"abstract":"Abstract not available \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 403-405","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124746057","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}

{"title":"Knowledge of Adolescent Girls on Pregnancy and Antenatal care","authors":"N. Sultana, Sharmin Sultana, Fakhruddin Ahmed, S. Ullah","doi":"10.3329/nimcj.v11i1.50737","DOIUrl":"https://doi.org/10.3329/nimcj.v11i1.50737","url":null,"abstract":"Background : Adolescence is particularly a transition period of human development which has profound influence on a person’s future. In Bangladesh adolescents usually gather their knowledge about reproductive health from their family and surroundings and therefore their knowledge remains incorrect and insufficient. Government increases the provision of schooling for girls but there is no provision of sex education. \u0000Objective : To assess the knowledge of adolescent girls about pregnancy and antenatal care. \u0000Methods : A cross sectional study was done during the period of January ’15 to June ’15 among 143 students of class 1X and X of 2 rural private schools of Rupganj and Narayanganj. Simple random sampling method was applied for enrolling the study population and data was collected by interview method using pretested questionnaire. Finally, data was analyzed by SPSS version 17. \u0000Result : Most of the respondents had average knowledge about pregnancy and antenatal care. Nearly three-forth (61.5%) of the respondents had incorrect knowledge about pregnancy period and majority (76.3%) do not know about the correct mother’s organ for developing baby during pregnancy. Maximum respondents (95%) had good knowledge about extra care of a pregnant mother. Although 74.8% mentioned about TT vaccination of a pregnant mother but majority (65%) did not know detail about the vaccines’ dose and schedule. Statistically significant difference found in knowledge on pregnancy and antenatal care among married and unmarried girls. (P=<0.05) \u0000Conclusion : Knowledge of adolescent girls about pregnancy and ANC was average in our rural area. \u0000Northern International Medical College Journal Vol. 11 No. 1 July 2019, Page 423-426","PeriodicalId":389586,"journal":{"name":"Northern International Medical College Journal","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128689454","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}