Pub Date : 2023-11-12DOI: 10.3329/bsmmcj.v2i1.69601
Abhijit Datta, Prayush Sharma, Shamim Ahmed, Syed Atiqul Haq
The association of Takayasu arteritis (TA) with antiphospholipid syndrome (APS) has rarely been described in the literature. This paper reports the first documented case of TA and APS in a 24-year-old woman in Bangladesh. This patient had claudication pain in upper and lower limbs for four years and Raynaud’s phenomenon in right hand for eight months. During the course of her illness, she suddenly developed deep vein thrombosis in left superficial femoral, popliteal and posterior tibial veins. Conventional angiography revealed total occlusion of right subclavian artery and 60-70% stenosis of right common iliac artery. CT angiography of right upper limb also supported these findings along with increased wall thickening in the 2nd part of right subclavian artery and moderate narrowing of the 1st part of right axillary artery. She had persistently positive anticardiolipin antibodies in high titers, positive lupus anticoagulant (LA), prolonged activated partial thromboplastin time (APTT) and severe thrombocytopenia. We started high dose prednisolone (1mg/kg daily). Her platelet count increased rapidly. Based on review of 10 case reports, we considered the rare association of TA and APS. Both conditions should be determined promptly for the sake of early institution of the appropriate therapy. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 59-63
{"title":"Rare Association of Takayasu Arteritis and Antiphospholipid Syndrome with Severe Thrombocytopenia","authors":"Abhijit Datta, Prayush Sharma, Shamim Ahmed, Syed Atiqul Haq","doi":"10.3329/bsmmcj.v2i1.69601","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69601","url":null,"abstract":"The association of Takayasu arteritis (TA) with antiphospholipid syndrome (APS) has rarely been described in the literature. This paper reports the first documented case of TA and APS in a 24-year-old woman in Bangladesh. This patient had claudication pain in upper and lower limbs for four years and Raynaud’s phenomenon in right hand for eight months. During the course of her illness, she suddenly developed deep vein thrombosis in left superficial femoral, popliteal and posterior tibial veins. Conventional angiography revealed total occlusion of right subclavian artery and 60-70% stenosis of right common iliac artery. CT angiography of right upper limb also supported these findings along with increased wall thickening in the 2nd part of right subclavian artery and moderate narrowing of the 1st part of right axillary artery. She had persistently positive anticardiolipin antibodies in high titers, positive lupus anticoagulant (LA), prolonged activated partial thromboplastin time (APTT) and severe thrombocytopenia. We started high dose prednisolone (1mg/kg daily). Her platelet count increased rapidly. Based on review of 10 case reports, we considered the rare association of TA and APS. Both conditions should be determined promptly for the sake of early institution of the appropriate therapy. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 59-63","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037576","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}
In recent years preterm labor is a significant obstetric concern. Alteration of basic biochemical function at cellular level is one of the etiologies of preterm labor. Several trace elements including magnesium are associated with normal cellular function. Magnesium sulfate is used as a tocolytic agent because high magnesium level causes relaxation of smooth muscle. Hypomagnesaemia leads to neuromuscular irritability leading to uterine hyperactivity which leads to cervical dilation. Therefore, this study was performed to find out the association of hypomagnesemia with preterm labor. This cross-sectional study was conducted in 100 women in labor, of them 50 were diagnosed case of preterm labor and 50 women were in labor at term attended in BSMMCH, Faridpur during July 2021 to December 2021. After overnight fasting 5ml blood sample was collected and was analyzed for serum magnesium using standard enzymatic method. Mean value of serum magnesium was compared between two groups by student unpaired t-test. A p-value was considered to be statistically significant at 0.05 at the 95% confidence interval. The mean serum magnesium was found 1.44±0.36 mg/dl in preterm labor and 2.0±0.27 mg/dl in term labor. Low serum magnesium level was significantly higher in preterm labor. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 45-48
{"title":"Association of Serum Magnesium with Preterm Labor","authors":"Swapna Biswas Joy, Dilruba Zeba, Shahana Pervin, Samiya Alam, Fahmida Zesmin, Ananta Kumar Biswas, Jasmine Sharifa","doi":"10.3329/bsmmcj.v2i1.69598","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69598","url":null,"abstract":"In recent years preterm labor is a significant obstetric concern. Alteration of basic biochemical function at cellular level is one of the etiologies of preterm labor. Several trace elements including magnesium are associated with normal cellular function. Magnesium sulfate is used as a tocolytic agent because high magnesium level causes relaxation of smooth muscle. Hypomagnesaemia leads to neuromuscular irritability leading to uterine hyperactivity which leads to cervical dilation. Therefore, this study was performed to find out the association of hypomagnesemia with preterm labor. This cross-sectional study was conducted in 100 women in labor, of them 50 were diagnosed case of preterm labor and 50 women were in labor at term attended in BSMMCH, Faridpur during July 2021 to December 2021. After overnight fasting 5ml blood sample was collected and was analyzed for serum magnesium using standard enzymatic method. Mean value of serum magnesium was compared between two groups by student unpaired t-test. A p-value was considered to be statistically significant at 0.05 at the 95% confidence interval. The mean serum magnesium was found 1.44±0.36 mg/dl in preterm labor and 2.0±0.27 mg/dl in term labor. Low serum magnesium level was significantly higher in preterm labor. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 45-48","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037579","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 : 2023-11-12DOI: 10.3329/bsmmcj.v2i1.69478
Ahmed Manadir Hossain
Abstract not available Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 05-06
摘要:孟加拉谢赫·穆吉布医学学院。[j] . 2023;2(1): 05-06
{"title":"“Nipah Virus” Awareness Development is the Only Measure to Prevent Deadly Outcome","authors":"Ahmed Manadir Hossain","doi":"10.3329/bsmmcj.v2i1.69478","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69478","url":null,"abstract":"Abstract not available Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 05-06","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037581","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 : 2023-11-12DOI: 10.3329/bsmmcj.v2i1.69471
Dilruba Zeba, Md Mustafizur Rahman, A T M Farid Uddin, Md Shafiq Ur Rahman, Mst Naznin Sarker, Mohammad Farid Uddin Ahmed, Rajib Biswas, Nibedita Barai
Medical students have a greater risk of depression than students of other subjects. When ragging is added to an already stressful condition, it severely affects their academic and occupational life. Our objective of the study was to explore the student’s perspective on ragging at a government medical college in Bangladesh. This cross-sectional study was carried out in 2022 at Bangabandhu Sheikh Mujib Medical College, Faridpur, Bangladesh. A questionnaire regarding the students’ views and experiences of ragging was distributed among the first-to-fifth-year medical students. To encourage honest responses, the complete anonymity of respondents was maintained. Out of 820 students, 748 (91%) participated in the study. Nearly 1 in every 2 students reported being victims of ragging, with a statistically significant gender difference. More than 65% of victims said that they became afraid of the seniors and distanced themselves from them. Indicators of clinical depression were prevalent among the victims. Total 42% of the victims had to seek help from friends or family members, 92% of the students agreed that ragging affects the mental health of juniors, and it should be a punishable crime. The majority (77%) of the students believed that seniors seek revenge by ragging their juniors. Establishing a sense of superiority and gaining influence over political and cultural groups were also influential reasons for ragging. Awareness against ragging, alternative programs for senior-junior respectful interaction, and strict management for the rule breakers should be ensured to discontinue the culture of ragging and to maintain a healthy academic environment. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 14-21
{"title":"Ragging: The Psychology and Perspectives of Students from a Medical College in Bangladesh","authors":"Dilruba Zeba, Md Mustafizur Rahman, A T M Farid Uddin, Md Shafiq Ur Rahman, Mst Naznin Sarker, Mohammad Farid Uddin Ahmed, Rajib Biswas, Nibedita Barai","doi":"10.3329/bsmmcj.v2i1.69471","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69471","url":null,"abstract":"Medical students have a greater risk of depression than students of other subjects. When ragging is added to an already stressful condition, it severely affects their academic and occupational life. Our objective of the study was to explore the student’s perspective on ragging at a government medical college in Bangladesh. This cross-sectional study was carried out in 2022 at Bangabandhu Sheikh Mujib Medical College, Faridpur, Bangladesh. A questionnaire regarding the students’ views and experiences of ragging was distributed among the first-to-fifth-year medical students. To encourage honest responses, the complete anonymity of respondents was maintained. Out of 820 students, 748 (91%) participated in the study. Nearly 1 in every 2 students reported being victims of ragging, with a statistically significant gender difference. More than 65% of victims said that they became afraid of the seniors and distanced themselves from them. Indicators of clinical depression were prevalent among the victims. Total 42% of the victims had to seek help from friends or family members, 92% of the students agreed that ragging affects the mental health of juniors, and it should be a punishable crime. The majority (77%) of the students believed that seniors seek revenge by ragging their juniors. Establishing a sense of superiority and gaining influence over political and cultural groups were also influential reasons for ragging. Awareness against ragging, alternative programs for senior-junior respectful interaction, and strict management for the rule breakers should be ensured to discontinue the culture of ragging and to maintain a healthy academic environment. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 14-21","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037587","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}
Cataract is the main cause of visual impairment and treatable blindness in the world and surgery can restore normal sight to the patients. In bilateral cataract patient, surgery in the second eye is as important and meaningful as surgery in the first eye and it can be performed by immediate sequential (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS). There is no statistically significant difference in surgical complications, visual acuity or long term self-perceived visual function between these two methods. To adopt surgical procedure, to improve the patient’s satisfaction and to improve the quality of services, patient opinion should be a great concern. This evaluative study was done to find out various recommendations and suggestions from patients regarding merits & demerits of both types of cataract surgery that will be helpful for the decision-maker and administrator for future practice of cataract surgery in Canada. In this study, vision related quality of life improved in both groups. Participants in DSBCS group experienced different types of difficulties during the gap period between first eye and second eye cataract surgery i.e. visual imbalance between the two eyes and difficulty in driving. They recommended and suggested that cataract surgery wait time should be reduced and the difficulties experienced during the gap period can be eliminated by adopting ISBCS procedure. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 07-13
{"title":"Patient’s Perception Regarding Vision Related Quality of Life in Immediate Sequential and Delayed Sequential Bilateral Cataract Surgery","authors":"Md Mustafizur Rahman, Rehman Iqtedar Upal, Farzana Afrin Ruponti","doi":"10.3329/bsmmcj.v2i1.69470","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69470","url":null,"abstract":"Cataract is the main cause of visual impairment and treatable blindness in the world and surgery can restore normal sight to the patients. In bilateral cataract patient, surgery in the second eye is as important and meaningful as surgery in the first eye and it can be performed by immediate sequential (ISBCS) and delayed sequential bilateral cataract surgery (DSBCS). There is no statistically significant difference in surgical complications, visual acuity or long term self-perceived visual function between these two methods. To adopt surgical procedure, to improve the patient’s satisfaction and to improve the quality of services, patient opinion should be a great concern. This evaluative study was done to find out various recommendations and suggestions from patients regarding merits & demerits of both types of cataract surgery that will be helpful for the decision-maker and administrator for future practice of cataract surgery in Canada. In this study, vision related quality of life improved in both groups. Participants in DSBCS group experienced different types of difficulties during the gap period between first eye and second eye cataract surgery i.e. visual imbalance between the two eyes and difficulty in driving. They recommended and suggested that cataract surgery wait time should be reduced and the difficulties experienced during the gap period can be eliminated by adopting ISBCS procedure. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 07-13","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037583","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 : 2023-11-12DOI: 10.3329/bsmmcj.v2i1.69597
Md Shafiq Ur Rahman, Nripendra Nath Biswas, Debabrota Roy, Shahbub Alam, Mohammad Saneat Jahan Khan
Tonsillectomy is one of the most common procedures performed by otolaryngologists. It is a surgical operation that removes both palatine tonsils from the tonsillar fossa. It is typically performed in youngers for recurrent tonsillitis and tonsillar hypertrophy. This study was done to compare the dissection and diathermy methods of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. This study was a retrospective analysis of 400 patients from January 2015 to January 2020 in Otorhinolaryngology and Head-Neck Surgery department of Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur. Out of 400 patients 200 patients underwent tonsillectomy by dissection method and rest 200 patients underwent electrocautery method. Total 400 patients were analyzed separately their hospital stay, blood loss per-operatively, complications in each method and overall outcome of the patients. The overall hospital staying in both types was 1-3 days. The average intra operative blood loss was 5-7 ml in cautery and average 50 ml in dissection method. The average operative time was 25-30 minutes in dissection method and 10-15 minutes was in electrocautery. We found higher amounts of blood loss and intra - operative time in dissection method than electrocautery. The chance of secondary haemorrhage was more in electrocautery method than dissection method. Pain, scar formation, odynophagia were more in cauterization method. Complete healing time was more in cauterization method than dissection method. There was no death in both methods. Although per-operative blood loss, operation time were less in cauterization method but post operative bleeding, pain, odynophagia and infection were more in electro cauterization method. In both methods, there were some advantages and some disadvantages. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 40-44
{"title":"Dissection Method and Diathermy Cauterization in Tonsillectomy- A Hospital Based Comparative Study","authors":"Md Shafiq Ur Rahman, Nripendra Nath Biswas, Debabrota Roy, Shahbub Alam, Mohammad Saneat Jahan Khan","doi":"10.3329/bsmmcj.v2i1.69597","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69597","url":null,"abstract":"Tonsillectomy is one of the most common procedures performed by otolaryngologists. It is a surgical operation that removes both palatine tonsils from the tonsillar fossa. It is typically performed in youngers for recurrent tonsillitis and tonsillar hypertrophy. This study was done to compare the dissection and diathermy methods of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. This study was a retrospective analysis of 400 patients from January 2015 to January 2020 in Otorhinolaryngology and Head-Neck Surgery department of Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur. Out of 400 patients 200 patients underwent tonsillectomy by dissection method and rest 200 patients underwent electrocautery method. Total 400 patients were analyzed separately their hospital stay, blood loss per-operatively, complications in each method and overall outcome of the patients. The overall hospital staying in both types was 1-3 days. The average intra operative blood loss was 5-7 ml in cautery and average 50 ml in dissection method. The average operative time was 25-30 minutes in dissection method and 10-15 minutes was in electrocautery. We found higher amounts of blood loss and intra - operative time in dissection method than electrocautery. The chance of secondary haemorrhage was more in electrocautery method than dissection method. Pain, scar formation, odynophagia were more in cauterization method. Complete healing time was more in cauterization method than dissection method. There was no death in both methods. Although per-operative blood loss, operation time were less in cauterization method but post operative bleeding, pain, odynophagia and infection were more in electro cauterization method. In both methods, there were some advantages and some disadvantages. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 40-44","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037281","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 : 2023-11-12DOI: 10.3329/bsmmcj.v2i1.69479
Khan Mohammad Arif, Abhijit Datta, None Sharifunnesa, Mohammad Mahfuzul Haque Mollah, Gazi Md Mahmudul Hassan, None Nusrat Jahan Binti, Mst Sabira Sultana, Jaya Bishnu
Coronavirus Disease-2019 (COVID-19) has disseminated throughout Bangladesh. This study aimed to provide a detailed account of outcomes of patients with COVID-19 who were hospitalized during 2020-2021 in Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur, Bangladesh. This prospective observational study evaluated outcomes of 500 hospitalized patients with COVID-19. Patients with COVID-19, confirmed by positive Reverse Transcriptase Polyremase Chain Reaction (RT-PCR) reports of nasopharyngeal swab were enrolled in this study. Outcomes of the patients were evaluated by 7-point ordinal scale provided by World Health Organization. Mean age of the respondents was 45.70 (±14.50) years. Out of 500 patients, 331 (66.2%) were male and 169 (33.8%) were female. Common comorbidities were overweight or obesity (191, 38.2%), hypertension (173, 34.6%), diabetes mellitus (163, 32.6%), smoking (90, 18.0%), ischemic heart disease (IHD) (70, 14.0%), asthma (36, 7.2%), chronic obstructive pulmonary disease (COPD) (28, 5.6%), chronic kidney disease (CKD) (18, 3.6%), stroke (12, 2.4%), malignancy (6, 1.2%) and chronic liver disease (CLD) (5, 1.0%). Out of 500 patients, 238 (47.6%) patients had mild disease, 124 (24.8%) patients had moderate disease, 130 (26.0%) patients had severe disease and 8 (1.6%) patients developed critical COVID-19. Among the respondents, 299 (59.8%) patients required low flow oxygen by face mask or nasal prongs, 64 (12.8%) patients required high flow (non-invasive) oxygen therapy, 1(0.2%) patient required non-invasive ventilation (NIV). Duration of hospital stay was significantly (p< 0.05) higher in smokers (12.68±8.672 days) than non-smokers (9.79± 6.007 days). During or soon after discharge, 206 (41.2%) patients could not resumed normal activities of daily life. Only 9 (1.8%) patients died at hospital. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 22-28
{"title":"Outcomes of Patients with COVID-19 in a Tertiary Care Hospital of Bangladesh","authors":"Khan Mohammad Arif, Abhijit Datta, None Sharifunnesa, Mohammad Mahfuzul Haque Mollah, Gazi Md Mahmudul Hassan, None Nusrat Jahan Binti, Mst Sabira Sultana, Jaya Bishnu","doi":"10.3329/bsmmcj.v2i1.69479","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69479","url":null,"abstract":"Coronavirus Disease-2019 (COVID-19) has disseminated throughout Bangladesh. This study aimed to provide a detailed account of outcomes of patients with COVID-19 who were hospitalized during 2020-2021 in Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur, Bangladesh. This prospective observational study evaluated outcomes of 500 hospitalized patients with COVID-19. Patients with COVID-19, confirmed by positive Reverse Transcriptase Polyremase Chain Reaction (RT-PCR) reports of nasopharyngeal swab were enrolled in this study. Outcomes of the patients were evaluated by 7-point ordinal scale provided by World Health Organization. Mean age of the respondents was 45.70 (±14.50) years. Out of 500 patients, 331 (66.2%) were male and 169 (33.8%) were female. Common comorbidities were overweight or obesity (191, 38.2%), hypertension (173, 34.6%), diabetes mellitus (163, 32.6%), smoking (90, 18.0%), ischemic heart disease (IHD) (70, 14.0%), asthma (36, 7.2%), chronic obstructive pulmonary disease (COPD) (28, 5.6%), chronic kidney disease (CKD) (18, 3.6%), stroke (12, 2.4%), malignancy (6, 1.2%) and chronic liver disease (CLD) (5, 1.0%). Out of 500 patients, 238 (47.6%) patients had mild disease, 124 (24.8%) patients had moderate disease, 130 (26.0%) patients had severe disease and 8 (1.6%) patients developed critical COVID-19. Among the respondents, 299 (59.8%) patients required low flow oxygen by face mask or nasal prongs, 64 (12.8%) patients required high flow (non-invasive) oxygen therapy, 1(0.2%) patient required non-invasive ventilation (NIV). Duration of hospital stay was significantly (p< 0.05) higher in smokers (12.68±8.672 days) than non-smokers (9.79± 6.007 days). During or soon after discharge, 206 (41.2%) patients could not resumed normal activities of daily life. Only 9 (1.8%) patients died at hospital. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 22-28","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037572","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 : 2023-11-12DOI: 10.3329/bsmmcj.v2i1.69593
Madhusudan Saha, Sadhu Uttam Kumar, Sheikh Abul Hasnat Mohammad Mesbahul Islam, Bimal Chandra Shil
Painful rib syndrome is an under diagnosed or neglected clinical entity presented with pain in the lower chest and upper abdomen with a tender spot (or spots) at the lower costal margin. This study was designed to see the presentation of a relatively less recognized clinical condition painful rib syndrome. Consecutive patients presenting with pain in the lower chest or upper abdomen at one or both sides with reproducible tender points or points on the costal margin and positive hooking sign were included. Patients’ epidemiological and clinical data were recorded. A routine x-ray chest of PA view and ultrasonogram of the abdomen were done in all. Data analysis was done using SPSS (Statistical Package for Social Science) version 20. Total 89 patients, male 31(34.8%) and female 58(65.2%) with age ranging from 10 to 70 years (mean 35.34) were included. Of them, 48(53.9%) were within 26 to 45 years group, 43(48.3%) were housewives and 47 (52.8%) were from middle-class economic group. Among them, 16 (18%), 16 (18%), 12 (13.48%), and 30 (33.71%) patients presented with pain in the right lower chest, left lower chest, both sides of chest and right upper abdomen respectively and were managed conservatively with complete or acceptable improvement in 78(87.64%) patients. Painful rib syndrome can be diagnosed easily by history, clinical examination, and minimum investigations which may save patients from anxiety and economic loss. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 29-32
肋痛综合征是一种未被诊断或被忽视的临床症状，表现为下胸部和上腹部疼痛，下肋缘有一个或多个压痛点。本研究旨在了解一种相对不太为人所知的临床症状，即肋痛综合征。连续出现单侧或双侧下胸或上腹部疼痛，肋缘有可重复压痛点或压痛点，并伴有阳性钩征的患者纳入研究。记录患者的流行病学和临床资料。所有病例均行常规胸片PA片及腹部超声检查。数据分析使用SPSS (Statistical Package for Social Science)第20版。89例患者，男31例(34.8%)，女58例(65.2%)，年龄10 ~ 70岁，平均35.34岁。其中，26 ~ 45岁人群48人(53.9%)，家庭主妇43人(48.3%)，中产经济人群47人(52.8%)。其中16例(18%)、16例(18%)、12例(13.48%)、30例(33.71%)患者分别表现为右下胸、左下胸、胸两侧和右上腹部疼痛，78例(87.64%)患者接受保守治疗，完全或可接受改善。肋痛综合征可以通过病史、临床检查和最少的调查来诊断，从而使患者免于焦虑和经济损失。Bangabandhu Sheikh Mujib Med. col。[j]; 2009;2(1): 29-32
{"title":"Painful Rib Syndrome a Series of 89 Cases","authors":"Madhusudan Saha, Sadhu Uttam Kumar, Sheikh Abul Hasnat Mohammad Mesbahul Islam, Bimal Chandra Shil","doi":"10.3329/bsmmcj.v2i1.69593","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69593","url":null,"abstract":"Painful rib syndrome is an under diagnosed or neglected clinical entity presented with pain in the lower chest and upper abdomen with a tender spot (or spots) at the lower costal margin. This study was designed to see the presentation of a relatively less recognized clinical condition painful rib syndrome. Consecutive patients presenting with pain in the lower chest or upper abdomen at one or both sides with reproducible tender points or points on the costal margin and positive hooking sign were included. Patients’ epidemiological and clinical data were recorded. A routine x-ray chest of PA view and ultrasonogram of the abdomen were done in all. Data analysis was done using SPSS (Statistical Package for Social Science) version 20. Total 89 patients, male 31(34.8%) and female 58(65.2%) with age ranging from 10 to 70 years (mean 35.34) were included. Of them, 48(53.9%) were within 26 to 45 years group, 43(48.3%) were housewives and 47 (52.8%) were from middle-class economic group. Among them, 16 (18%), 16 (18%), 12 (13.48%), and 30 (33.71%) patients presented with pain in the right lower chest, left lower chest, both sides of chest and right upper abdomen respectively and were managed conservatively with complete or acceptable improvement in 78(87.64%) patients. Painful rib syndrome can be diagnosed easily by history, clinical examination, and minimum investigations which may save patients from anxiety and economic loss. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 29-32","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037577","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 : 2023-11-12DOI: 10.3329/bsmmcj.v2i1.69599
Zakia Begum, Md Jahangir Alam, Dilruba Zeba, Shahana Pervin, Samiya Alam, Abu Faisal Md Pervez, Rahat Rehman
One of the eight emergency obstetric components to reduce maternal mortality is blood transfusion. Region, facility, and clinician influence transfusion rates. Bangladesh lacks hospital-based data on obstetric blood transfusions. The study aims to review the incidence, indications, and hazards of blood transfusions among obstetric patients in a tertiary hospital. This descriptive cross-sectional study was undertaken at the Department of Obstetrics, Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur, from June 2022 to December 2022. One hundred and fifty pregnant and postpartum mothers requiring blood transfusions were selected. We analyzed their demographics, clinical history, transfusion hazards, and hospital courses. The blood transfusion rate among obstetric patients was 28.36%. Among the 150 study participants, 71% were from rural areas. Only 8% of patients took ≥4 antenatal care (ANC) visits. Antepartum anemia (51%) and postpartum hemorrhage (40%) were major blood transfusion indications. The mean blood requirement was 1.83 ± 1.22 units (Range: 1 to 7). Forty eight percent of the transfused blood came from the patient’s friends and family, while 7% of the blood was bought. Seven percent of transfusions resulted in adverse reactions. High transfusion rates necessitate planned facility management. In addition to facility preparation, it is essential to strengthen ANC and educate pregnant women about the hazards of anemia during the pregnancy period. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 49-54
{"title":"Blood Transfusion Practices in Obstetrics: An Observational Study at a Tertiary Level Hospital in Bangladesh","authors":"Zakia Begum, Md Jahangir Alam, Dilruba Zeba, Shahana Pervin, Samiya Alam, Abu Faisal Md Pervez, Rahat Rehman","doi":"10.3329/bsmmcj.v2i1.69599","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69599","url":null,"abstract":"One of the eight emergency obstetric components to reduce maternal mortality is blood transfusion. Region, facility, and clinician influence transfusion rates. Bangladesh lacks hospital-based data on obstetric blood transfusions. The study aims to review the incidence, indications, and hazards of blood transfusions among obstetric patients in a tertiary hospital. This descriptive cross-sectional study was undertaken at the Department of Obstetrics, Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur, from June 2022 to December 2022. One hundred and fifty pregnant and postpartum mothers requiring blood transfusions were selected. We analyzed their demographics, clinical history, transfusion hazards, and hospital courses. The blood transfusion rate among obstetric patients was 28.36%. Among the 150 study participants, 71% were from rural areas. Only 8% of patients took ≥4 antenatal care (ANC) visits. Antepartum anemia (51%) and postpartum hemorrhage (40%) were major blood transfusion indications. The mean blood requirement was 1.83 ± 1.22 units (Range: 1 to 7). Forty eight percent of the transfused blood came from the patient’s friends and family, while 7% of the blood was bought. Seven percent of transfusions resulted in adverse reactions. High transfusion rates necessitate planned facility management. In addition to facility preparation, it is essential to strengthen ANC and educate pregnant women about the hazards of anemia during the pregnancy period. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 49-54","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135037582","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}
Adenomyosis is a common gynecological problem characterized by the growth of endometrial glands and stroma within the myometrium. Previously, the definitive diagnosis of adenomyosis was made through histopathology after a hysterectomy. However, in the last two decades, several uterine-sparing treatment options have emerged, including High-Intensity Focused Ultrasound (HIFU), which has become a promising option. HIFU is a non-invasive local thermal ablation technique that can be performed via ultrasound or MRI guidance. Additionally, “Laparoscopic uterine artery occlusion with uterus sparing pelvic plexus block and partial adenectomy for adenomyosis” has become a popular option. While conventional adenomyomectomy carries a high risk of recurrence and uterine rupture, some novel surgical techniques have been described to mitigate these complications and preserve future fertility. There are also “new surgical techniques of laparoscopic resection of adenomyoma under real-time intraoperative ultrasound elastography guidance”. Diagnostic imaging techniques such as transvaginal ultrasound, MRI, and hysteroscopic evaluation have revolutionized the diagnosis of adenomyosis and opened up possibilities for conservative treatment options. Hysteroscopy can be used for direct visualization and biopsy collection, though it is not the first-line treatment option. With the increasing incidence of adenomyosis and the desire for fertility preservation among younger patients, there is a growing need for effective uterine-sparing treatments. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 55-58
{"title":"Current Trends of Alternatives to Hysterectomy in Adenomyosis: A Review Article","authors":"Dilruba Zeba, Riedwan Habibur Rahman, Raiyan Muhibur Rahman, Rajib Biswas","doi":"10.3329/bsmmcj.v2i1.69600","DOIUrl":"https://doi.org/10.3329/bsmmcj.v2i1.69600","url":null,"abstract":"Adenomyosis is a common gynecological problem characterized by the growth of endometrial glands and stroma within the myometrium. Previously, the definitive diagnosis of adenomyosis was made through histopathology after a hysterectomy. However, in the last two decades, several uterine-sparing treatment options have emerged, including High-Intensity Focused Ultrasound (HIFU), which has become a promising option. HIFU is a non-invasive local thermal ablation technique that can be performed via ultrasound or MRI guidance. Additionally, “Laparoscopic uterine artery occlusion with uterus sparing pelvic plexus block and partial adenectomy for adenomyosis” has become a popular option. While conventional adenomyomectomy carries a high risk of recurrence and uterine rupture, some novel surgical techniques have been described to mitigate these complications and preserve future fertility. There are also “new surgical techniques of laparoscopic resection of adenomyoma under real-time intraoperative ultrasound elastography guidance”. Diagnostic imaging techniques such as transvaginal ultrasound, MRI, and hysteroscopic evaluation have revolutionized the diagnosis of adenomyosis and opened up possibilities for conservative treatment options. Hysteroscopy can be used for direct visualization and biopsy collection, though it is not the first-line treatment option. With the increasing incidence of adenomyosis and the desire for fertility preservation among younger patients, there is a growing need for effective uterine-sparing treatments. Bangabandhu Sheikh Mujib Med. Coll. J. 2023;2(1): 55-58","PeriodicalId":8681,"journal":{"name":"Bangabandhu Sheikh Mujib Medical University Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135036643","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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