Pub Date : 2022-06-09DOI: 10.3329/jbcps.v40i40.59912
I. A. Shamsad, Md Ibrahim Siddique, M. S. Bari, I. Ara, M. Hussain, Mahmud Hasan
Bangladesh College of Physicians and Surgeons has been the pioneer in developing post-graduate medical education in this country. The curriculum offers guidelines for selecting versatile candidates to become future specialist, training particulars and learning outcomes and set criteria expected of them at the exit. In general, the curriculum is the guideline for the trainees and training facilities including the assessment system to fulfill the conditions to facilitate creation of specialist in different disciplines To document the hard works done by the fellows in last 50 years to establish curriculum in different specialities. All the available data regarding development of curriculum found are analyzed to document the struggles did previously to develop curriculum in different specialities of BCPS. FCPS part-1 syllabus was printed in different subject in the year 2000. Between 2000-2005 most of the subject developed printed part-I syllabus. Changes in the structure of postgraduate medical education and training of the BCPS was initiated in 2012 by holding a workshop to discuss the way forward with participation of experts from the Royal College of Physicians and Surgeons of Glasgow, College of Physicians and Surgeons of Pakistan, experts from the USA together with leading members of the Faculties of BCPS. This resulted in the decision that individual Faculties need to develop a curriculum. To ensure competency based training a common frame work was approved by the Council of the College in 2016. In 2017 another important change was approved that FCPS course will be for 5 years from January 2020. On the back ground of those decisions of the council curriculum and log book development committee work hard to developed new curriculum and log book. Several Workshops involving leading Faculty members on the development of the curriculum were held in the following months starting on 2019. In the year 2020 and 2021 this committee with the help and different faculties and administration able to published new curriculum in 42 specilities. Dynamicity of the curriculum makes it possible to incorporate recent advancements in the subject. This updated curriculum includes relevant new developments in different specialties. J Bangladesh Coll Phys Surg 2022; 40: 74-77
{"title":"Curriculum Development: The Journey of Bangladesh College of Physicians and Surgeons","authors":"I. A. Shamsad, Md Ibrahim Siddique, M. S. Bari, I. Ara, M. Hussain, Mahmud Hasan","doi":"10.3329/jbcps.v40i40.59912","DOIUrl":"https://doi.org/10.3329/jbcps.v40i40.59912","url":null,"abstract":"Bangladesh College of Physicians and Surgeons has been the pioneer in developing post-graduate medical education in this country. The curriculum offers guidelines for selecting versatile candidates to become future specialist, training particulars and learning outcomes and set criteria expected of them at the exit. In general, the curriculum is the guideline for the trainees and training facilities including the assessment system to fulfill the conditions to facilitate creation of specialist in different disciplines To document the hard works done by the fellows in last 50 years to establish curriculum in different specialities. All the available data regarding development of curriculum found are analyzed to document the struggles did previously to develop curriculum in different specialities of BCPS. FCPS part-1 syllabus was printed in different subject in the year 2000. Between 2000-2005 most of the subject developed printed part-I syllabus. Changes in the structure of postgraduate medical education and training of the BCPS was initiated in 2012 by holding a workshop to discuss the way forward with participation of experts from the Royal College of Physicians and Surgeons of Glasgow, College of Physicians and Surgeons of Pakistan, experts from the USA together with leading members of the Faculties of BCPS. This resulted in the decision that individual Faculties need to develop a curriculum. To ensure competency based training a common frame work was approved by the Council of the College in 2016. In 2017 another important change was approved that FCPS course will be for 5 years from January 2020. On the back ground of those decisions of the council curriculum and log book development committee work hard to developed new curriculum and log book. Several Workshops involving leading Faculty members on the development of the curriculum were held in the following months starting on 2019. In the year 2020 and 2021 this committee with the help and different faculties and administration able to published new curriculum in 42 specilities. Dynamicity of the curriculum makes it possible to incorporate recent advancements in the subject. This updated curriculum includes relevant new developments in different specialties.\u0000J Bangladesh Coll Phys Surg 2022; 40: 74-77","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41586675","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 : 2022-06-09DOI: 10.3329/jbcps.v40i40.59909
Abul Bashar Md Jamal, S. M. Arafat, F. Islam, Md Fazle Rabbi Chowdhury, Tabassum Parvin, Choudhury Ali Kawser
The Research and Training Monitoring Department (RTMD) has been playing an important role in research and training activities. RTMD is designed to enhance the qualities of clinical training, research skills and the development of other soft skills of post graduate trainees of different faculties. RTMD monitors the training of doctors who will appear in the fellowship examination in various disciplines. It is also involved in the timely evaluation of research activities of health professionals in this field. The core activities of the department are now not only confined to the training and research, but it extends it’s wing to help the trainees technically by Research clinic and financially by the handsome research grants. Time to time updating of training manual by different modern tools by the department is also appreciating. Here the important activities of the RTMD are being highlighted in its all aspects. J Bangladesh Coll Phys Surg 2022; 40: 57-61
{"title":"Pioneering and Upgrading the Postgraduate Research and Training: Role of RTMD of Bangladesh College of Physicians and Surgeons","authors":"Abul Bashar Md Jamal, S. M. Arafat, F. Islam, Md Fazle Rabbi Chowdhury, Tabassum Parvin, Choudhury Ali Kawser","doi":"10.3329/jbcps.v40i40.59909","DOIUrl":"https://doi.org/10.3329/jbcps.v40i40.59909","url":null,"abstract":"The Research and Training Monitoring Department (RTMD) has been playing an important role in research and training activities. RTMD is designed to enhance the qualities of clinical training, research skills and the development of other soft skills of post graduate trainees of different faculties. RTMD monitors the training of doctors who will appear in the fellowship examination in various disciplines. It is also involved in the timely evaluation of research activities of health professionals in this field. The core activities of the department are now not only confined to the training and research, but it extends it’s wing to help the trainees technically by Research clinic and financially by the handsome research grants. Time to time updating of training manual by different modern tools by the department is also appreciating. Here the important activities of the RTMD are being highlighted in its all aspects.\u0000J Bangladesh Coll Phys Surg 2022; 40: 57-61","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48183106","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 : 2022-06-09DOI: 10.3329/jbcps.v40i40.59903
-. Amiruzzaman, Mohammad Robed Amin, Mohammad Tanvir Islam, Sanjoy Kumar Dey, N. Islam, S. Giti, Md Mamunur Rahman, S. Afrose, A. Rahman, Md Nazrul Islam, A. Alam, Md. Abul Faiz
Bangladesh College of Physicians and Surgeons (BCPS) was established in June 1972 through an Order revised in 2018 as an act with six functions which cover post-graduate education of all specialties of medical science. This commission report is to document the spectrum of contribution of BCPS in the health and education sector through its fellows and members. The data obtained for this report covers selected literature review, consultation with key official documents- Year Book of BCPS, Annual report of honorary secretary of BCPS, Health Bulletin of DGHS, various website, information from a brief quick Google survey on the fellows and focus group discussion (FGD) with senior present and past leaders of BCPS. BCPS is providing a skill based supervised comprehensive logbook based clinical training of five years’ duration through its recognized/accredited hospitals in different tiers of mostly public health system across the country. While undergoing clinical training the ‘would be fellows’ provide supervised quality clinical services to the patients attending the BCPS accredited hospitals. BCPS is producing specialists’ human resources by offering fellowship covering general and specialized subjects (n=59) and membership (n=16) in various branches of medicine. Immediately after independence there were 247 specialists altogether in the country. Since its inception, in 1972 after the liberation, 8266 fellows are entered as fellows, 7887 fellows with examinations, 111 without examinations and 268 honorary fellows; 3222 are entered as members of the College. The fellows of BCPS are engaged in providing specialized patient care in various fields of medical science as professor, associate professor, assistant professor and consultants in various public and non-government medical college hospitals, medical universities, post-graduate institutes, district hospital, and upazila health complexes. As a teacher most of the fellows are also heavily engaged in human resource development at both under-graduate and post-graduate level. Through their active voluntary engagement, the fellows of the College participate in the core activities of the College for HR development through activities related to monitoring & supervision, assessment, continuous professional development, skill development of the trainees and the fellows. Fellows are equally contributing in the armed forces medical services as clinical and para clinical specialists and development of specialist HRs. Additionally, fellows are contributing to various aspects of important public health topics relevant for SDG and Bangladesh. Fellows are also engaged in doing funded and non-funded quality researches and writing of scientific intellect at national and international publication system. Having achieved the various positions in academic, research and administrative arena BCPS fellows’ role in policy development and implementation, and scientific development deserve special appreciation. Future contribu
{"title":"Contribution of Bangladesh College of Physicians and Surgeons to Health Sector and Medical Education in Bangladesh: A 50-year Perspective","authors":"-. Amiruzzaman, Mohammad Robed Amin, Mohammad Tanvir Islam, Sanjoy Kumar Dey, N. Islam, S. Giti, Md Mamunur Rahman, S. Afrose, A. Rahman, Md Nazrul Islam, A. Alam, Md. Abul Faiz","doi":"10.3329/jbcps.v40i40.59903","DOIUrl":"https://doi.org/10.3329/jbcps.v40i40.59903","url":null,"abstract":"Bangladesh College of Physicians and Surgeons (BCPS) was established in June 1972 through an Order revised in 2018 as an act with six functions which cover post-graduate education of all specialties of medical science. This commission report is to document the spectrum of contribution of BCPS in the health and education sector through its fellows and members. The data obtained for this report covers selected literature review, consultation with key official documents- Year Book of BCPS, Annual report of honorary secretary of BCPS, Health Bulletin of DGHS, various website, information from a brief quick Google survey on the fellows and focus group discussion (FGD) with senior present and past leaders of BCPS. BCPS is providing a skill based supervised comprehensive logbook based clinical training of five years’ duration through its recognized/accredited hospitals in different tiers of mostly public health system across the country. While undergoing clinical training the ‘would be fellows’ provide supervised quality clinical services to the patients attending the BCPS accredited hospitals. BCPS is producing specialists’ human resources by offering fellowship covering general and specialized subjects (n=59) and membership (n=16) in various branches of medicine. Immediately after independence there were 247 specialists altogether in the country. Since its inception, in 1972 after the liberation, 8266 fellows are entered as fellows, 7887 fellows with examinations, 111 without examinations and 268 honorary fellows; 3222 are entered as members of the College. The fellows of BCPS are engaged in providing specialized patient care in various fields of medical science as professor, associate professor, assistant professor and consultants in various public and non-government medical college hospitals, medical universities, post-graduate institutes, district hospital, and upazila health complexes. As a teacher most of the fellows are also heavily engaged in human resource development at both under-graduate and post-graduate level. Through their active voluntary engagement, the fellows of the College participate in the core activities of the College for HR development through activities related to monitoring & supervision, assessment, continuous professional development, skill development of the trainees and the fellows. Fellows are equally contributing in the armed forces medical services as clinical and para clinical specialists and development of specialist HRs. Additionally, fellows are contributing to various aspects of important public health topics relevant for SDG and Bangladesh. Fellows are also engaged in doing funded and non-funded quality researches and writing of scientific intellect at national and international publication system. Having achieved the various positions in academic, research and administrative arena BCPS fellows’ role in policy development and implementation, and scientific development deserve special appreciation. Future contribu","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49514718","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 : 2022-06-09DOI: 10.3329/jbcps.v40i40.59910
M. A. Rahim, R. Nazneen, T. Saiful, S. Afroza, R. Begum
Journal archives are invaluable resources to the scientific community. The Journal of Bangladesh College of Physicians and Surgeons (JBCPS) is one of the leading biomedical journals in Bangladesh. The objectives of the present review were to have an overview to the all published articles in the JBCPS and to identify remarkable articles for republication of the abstracts on the occasion of golden jubilee celebration of the Bangladesh College of Physicians and Surgeons (BCPS). This retrospective review covered all published articles in the JBCPS since its inaugural issue published in August 1983 to the latest issue published in April 2022. Articles were retrieved from different sources; the BCPS Library, the JBCPS office and Bangladesh Journals On-Line (BanglaJOL). For selection of remarkable articles, systematic review and metaanalysis of randomized controlled clinical trials and original articles were considered and review articles, case reports and others were excluded. Articles were evaluated on three main areas: contribution to the field, methods and clarity of presentation. After initial scrutiny by different contributors, a short list containing 43 articles was prepared. This short list was then reevaluated by each authors individually for identification of 20 remarkable articles and the final selection was made jointly in a meeting among them. Over 40 years, the JBCPS has published 1212 different types of articles including 114 editorials, 565 original research articles, 138 review articles, 316 case reports, 37 images and 42 other types of articles. Twenty remarkable articles were selected from different specialties including anaesthesiology, dentistry, endocrinology, gastroenterology, hepatology, infectious diseases, histopathology, medical education, obstetrics and gynaecology, oncology, ophthalmology, pulmonology, paediatrics, psychiatry, surgery, toxicology and other specialties. In spite of its commendable role in publishing scholarly articles over the previous four decades, the JBCPS is expected to contribute more in the future, both in local and international perspectives. J Bangladesh Coll Phys Surg 2022; 40: 62-73
{"title":"Looking Back: Remarkable Articles Published in the Journal of Bangladesh College of Physicians and Surgeons","authors":"M. A. Rahim, R. Nazneen, T. Saiful, S. Afroza, R. Begum","doi":"10.3329/jbcps.v40i40.59910","DOIUrl":"https://doi.org/10.3329/jbcps.v40i40.59910","url":null,"abstract":"Journal archives are invaluable resources to the scientific community. The Journal of Bangladesh College of Physicians and Surgeons (JBCPS) is one of the leading biomedical journals in Bangladesh. The objectives of the present review were to have an overview to the all published articles in the JBCPS and to identify remarkable articles for republication of the abstracts on the occasion of golden jubilee celebration of the Bangladesh College of Physicians and Surgeons (BCPS). This retrospective review covered all published articles in the JBCPS since its inaugural issue published in August 1983 to the latest issue published in April 2022. Articles were retrieved from different sources; the BCPS Library, the JBCPS office and Bangladesh Journals On-Line (BanglaJOL). For selection of remarkable articles, systematic review and metaanalysis of randomized controlled clinical trials and original articles were considered and review articles, case reports and others were excluded. Articles were evaluated on three main areas: contribution to the field, methods and clarity of presentation. After initial scrutiny by different contributors, a short list containing 43 articles was prepared. This short list was then reevaluated by each authors individually for identification of 20 remarkable articles and the final selection was made jointly in a meeting among them. Over 40 years, the JBCPS has published 1212 different types of articles including 114 editorials, 565 original research articles, 138 review articles, 316 case reports, 37 images and 42 other types of articles. Twenty remarkable articles were selected from different specialties including anaesthesiology, dentistry, endocrinology, gastroenterology, hepatology, infectious diseases, histopathology, medical education, obstetrics and gynaecology, oncology, ophthalmology, pulmonology, paediatrics, psychiatry, surgery, toxicology and other specialties. In spite of its commendable role in publishing scholarly articles over the previous four decades, the JBCPS is expected to contribute more in the future, both in local and international perspectives.\u0000J Bangladesh Coll Phys Surg 2022; 40: 62-73","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49267135","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 : 2022-04-10DOI: 10.3329/jbcps.v40i2.58688
Maliha Alam Simi, Md. Abid Hossain Mollah, Md. Ekhlasur Rahman
Introduction: Inadequate knowledge on nutritious foods and feeding practices are determinant of malnutrition rather than lack of food. Health professionals particularly nurses pass long contact time with the mothers, so positive attitude among them can be used in motivating mothers for infant and young child feeding. There is little data available in this regard, therefore evaluation of nurses’ knowledge, attitude and practice on complementary feeding is very important. This study was conducted among the female nurses in a tertiary level hospital of Bangladesh to find out the knowledge, attitude and practice of complementary feeding to their own under-2 children. Methods: The descriptive study was carried out at Dhaka Medical College Hospital between September 2014 and August 2015. Total 95 nurses having children from 6 months up to 2 years of age were enrolled as sample. Results: It showed that 63.1% of the nurses had good understanding on complementary feeding. But 46.3% of them did not know the duration correctly and 27.4% considered infant formula as the complementary food. Almost all had the positive attitude but 28.4% stated that distraction during feeding is needed. Among the respondents, 97% strongly agreed about the importance of complementary feeding but 67.4% of the nurses introduced complementary food before 6 months of age. Only 58.9% of them continued breast feeding up to 2 years. Conclusion: The study reflects that although most of the nurses have adequate knowledge and positive attitude towards complementary feeding but deviation was noted in timely Introduction of complementary food and use of feeding bottle. This indicates clear disparity between knowledge and practice of the female nurses. J Bangladesh Coll Phys Surg 2022; 40: 87-92
{"title":"Knowledge, Attitude and Practice of Female Nurses on Complementary Feeding in a Tertiary level Hospital of Bangladesh","authors":"Maliha Alam Simi, Md. Abid Hossain Mollah, Md. Ekhlasur Rahman","doi":"10.3329/jbcps.v40i2.58688","DOIUrl":"https://doi.org/10.3329/jbcps.v40i2.58688","url":null,"abstract":"Introduction: Inadequate knowledge on nutritious foods and feeding practices are determinant of malnutrition rather than lack of food. Health professionals particularly nurses pass long contact time with the mothers, so positive attitude among them can be used in motivating mothers for infant and young child feeding. There is little data available in this regard, therefore evaluation of nurses’ knowledge, attitude and practice on complementary feeding is very important. This study was conducted among the female nurses in a tertiary level hospital of Bangladesh to find out the knowledge, attitude and practice of complementary feeding to their own under-2 children. Methods: The descriptive study was carried out at Dhaka Medical College Hospital between September 2014 and August 2015. Total 95 nurses having children from 6 months up to 2 years of age were enrolled as sample.\u0000Results: It showed that 63.1% of the nurses had good understanding on complementary feeding. But 46.3% of them did not know the duration correctly and 27.4% considered infant formula as the complementary food. Almost all had the positive attitude but 28.4% stated that distraction during feeding is needed. Among the respondents, 97% strongly agreed about the importance of complementary feeding but 67.4% of the nurses introduced complementary food before 6 months of age. Only 58.9% of them continued breast feeding up to 2 years.\u0000Conclusion: The study reflects that although most of the nurses have adequate knowledge and positive attitude towards complementary feeding but deviation was noted in timely Introduction of complementary food and use of feeding bottle. This indicates clear disparity between knowledge and practice of the female nurses.\u0000J Bangladesh Coll Phys Surg 2022; 40: 87-92","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43557429","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 : 2022-04-10DOI: 10.3329/jbcps.v40i2.58695
K. Islam, Syeda Tabassume Alam, Bikush Chandra Paul
Wilson disease (WD) is a multisystem disease of defective copper metabolism. Excess copper is accumulated in different organ of body including liver, brain, kidney, eyes etc. Accumulated copper causes dysfunction of different parts of brain and produce signs and symptoms of neurological disease. Epidemiological data suggested psychiatric symptoms may be the presenting problem in 30% of WD patients. Psychiatric symptoms developed almost 100% cases of WD patients at any time of the disease course. Psychiatrc symptoms are affective mood disorder, psychotic behavioral, personality changes, anxiety & depression as well cognitive deterioration. Common neurologic symptoms are dystonia, hypertonia & rigidity, tremors and dysarthria. Rarely patients may present with polyneuropathy or dysautonomia. So both neurologic and psychiatric evaluation and specific treatment is essential for both the conditions. Diagnostic evaluations of Wilson disease include estimation of serum ceruloplasmin, 24 hours urinary copper, MRI of brain. Magnetic resonance (MR) imaging of the brain or computed tomography (CT) may detect structures involved like basal ganglia. Knowledge of behavioral problem of WD is helpful for early diagnosis of many cases and overall management. Mainstay of treatment of Wilson disease is dietary restriction of copper-rich diet, copper-chelating agents, symptomatic treatment for dystonia & rigidity as well as behavioral psychiatric therapy. For dystonia trihexy phenidyl, tetrabenazine, codopa & clonidine can be used. Neurologic as well as psychiatric symptoms would be reduced where chelation therapy is effective. More over sometimes pharmacologic treatment for psychiatric symptoms is required. J Bangladesh Coll Phys Surg 2022; 40: 121-127
{"title":"Behavioral aspect of Wilson Disease: Diagnostic & Management Challenge","authors":"K. Islam, Syeda Tabassume Alam, Bikush Chandra Paul","doi":"10.3329/jbcps.v40i2.58695","DOIUrl":"https://doi.org/10.3329/jbcps.v40i2.58695","url":null,"abstract":"Wilson disease (WD) is a multisystem disease of defective copper metabolism. Excess copper is accumulated in different organ of body including liver, brain, kidney, eyes etc. Accumulated copper causes dysfunction of different parts of brain and produce signs and symptoms of neurological disease. Epidemiological data suggested psychiatric symptoms may be the presenting problem in 30% of WD patients. Psychiatric symptoms developed almost 100% cases of WD patients at any time of the disease course. Psychiatrc symptoms are affective mood disorder, psychotic behavioral, personality changes, anxiety & depression as well cognitive deterioration. Common neurologic symptoms are dystonia, hypertonia & rigidity, tremors and dysarthria. Rarely patients may present with polyneuropathy or dysautonomia. So both neurologic and psychiatric evaluation and specific treatment is essential for both the conditions. Diagnostic evaluations of Wilson disease include estimation of serum ceruloplasmin, 24 hours urinary copper, MRI of brain. Magnetic resonance (MR) imaging of the brain or computed tomography (CT) may detect structures involved like basal ganglia. Knowledge of behavioral problem of WD is helpful for early diagnosis of many cases and overall management. Mainstay of treatment of Wilson disease is dietary restriction of copper-rich diet, copper-chelating agents, symptomatic treatment for dystonia & rigidity as well as behavioral psychiatric therapy. For dystonia trihexy phenidyl, tetrabenazine, codopa & clonidine can be used. Neurologic as well as psychiatric symptoms would be reduced where chelation therapy is effective. More over sometimes pharmacologic treatment for psychiatric symptoms is required.\u0000J Bangladesh Coll Phys Surg 2022; 40: 121-127","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45969006","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 : 2022-04-10DOI: 10.3329/jbcps.v40i2.58691
A. Begum, Md. Titu Miah, K. Ayaz, Mohammmad Shamsuddoha Sarker Shanchay, J. Das
Introduction: Systemic lupus erythematosus (SLE) is a systemic autoimmune disease with increased prevalence in recent years. One of the extra skeletal functions of vitamin D is involved in regulation of immune response. Objectives: This study was to determine vitamin D status in SLE patients and the relationship with disease activity. Methods: This prospective observational study was conducted at Medicine department in Dhaka Medical College and Hospital. Data regarding disease activity of SLE was taken from 50 SLE patients fulfilling ACR criteria and disease activity was calculated by SLEDAI score. Vitamin D level was quantified by ELISA. Results: Out of 50 patients, 46(92%) were female and 4(8%) were male. Age range was 15 to 65 years and mean age was 28.00 ± 13.34 SD. Most of the population reside in rural areas (n=32, 64%) and rest from urban areas (n=18,36%). Common presentations were fever (62%), proteinuria (50%), rash (40%), vasculitis (36%) and hematuria (34%). Overall mean SLEDAI score was 18.24 ± 9.67. Among the study population, 21(42%) patients had very highly active disease, 12(24%) patients had highly active disease, 11(22%) patients had moderately active disease and 6(12%) patients had mildly active disease. Mean vitamin D level was 16.70 ± 8.83 ng/ml. In this study, majority were found to be vitamin D deficient 37(74%), out of rest 7(14%) patients had insufficient vitamin D level and 6(12%) patients had sufficient vitamin D. This study showed that there is negative linear correlation between SLEDAI score and vitamin D level which is statistically significant (p value <0.001 and r=-0.577). Conclusion: Low vitamin D level in SLE patients correlated with increased disease activity. J Bangladesh Coll Phys Surg 2022; 40: 105-110
{"title":"Association of Vitamin D level with Disease Activity in SLE patients at a Tertiary Care Hospital","authors":"A. Begum, Md. Titu Miah, K. Ayaz, Mohammmad Shamsuddoha Sarker Shanchay, J. Das","doi":"10.3329/jbcps.v40i2.58691","DOIUrl":"https://doi.org/10.3329/jbcps.v40i2.58691","url":null,"abstract":"Introduction: Systemic lupus erythematosus (SLE) is a systemic autoimmune disease with increased prevalence in recent years. One of the extra skeletal functions of vitamin D is involved in regulation of immune response. Objectives: This study was to determine vitamin D status in SLE patients and the relationship with disease activity.\u0000Methods: This prospective observational study was conducted at Medicine department in Dhaka Medical College and Hospital. Data regarding disease activity of SLE was taken from 50 SLE patients fulfilling ACR criteria and disease activity was calculated by SLEDAI score. Vitamin D level was quantified by ELISA.\u0000Results: Out of 50 patients, 46(92%) were female and 4(8%) were male. Age range was 15 to 65 years and mean age was 28.00 ± 13.34 SD. Most of the population reside in rural areas (n=32, 64%) and rest from urban areas (n=18,36%). Common presentations were fever (62%), proteinuria (50%), rash (40%), vasculitis (36%) and hematuria (34%). Overall mean SLEDAI score was 18.24 ± 9.67. Among the study population, 21(42%) patients had very highly active disease, 12(24%) patients had highly active disease, 11(22%) patients had moderately active disease and 6(12%) patients had mildly active disease. Mean vitamin D level was 16.70 ± 8.83 ng/ml. In this study, majority were found to be vitamin D deficient 37(74%), out of rest 7(14%) patients had insufficient vitamin D level and 6(12%) patients had sufficient vitamin D. This study showed that there is negative linear correlation between SLEDAI score and vitamin D level which is statistically significant (p value <0.001 and r=-0.577).\u0000Conclusion: Low vitamin D level in SLE patients correlated with increased disease activity.\u0000J Bangladesh Coll Phys Surg 2022; 40: 105-110","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46411147","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}
Introduction: The incidence of acute kidney injury (AKI) associated with hospitalized corona virus disease -19(Covid- 19) patients and associated outcomes are not well determined. This study describes the presentation, risk factors and outcomes of AKI in patients hospitalized with Covid-19. Material & Methods: In this cross sectional study, we reviewed the health records for all conveniently selected patients hospitalized with Covid-19 irrespective of co morbidity from 1st May to 31st July, 2020, at combined military hospital Dhaka, Bangladesh. Patients younger than 18 years, end stage kidney disease or with a kidney transplant recipient were excluded from the study. AKI was deûned according to kidney disease improving global outcome (KDIGO) criteria. Results: A total of 470 Covid-19 patients were recruited in this current study, out of them 67.02% were male and 32.98% of were female; with male to female ratio was 2:1. The mean age of the study population was 54.71(±14.31) years. AKI developed among 106 (22.55%) patients of whom 50 patients had CKD. The peak stages of AKI were stage 3 in 58(12.34%), followed by stage 1 in 37(7.87%), and stage 2 in 11(2.34%) patients. Renal replacement therapy was required (RRT) for 37(7.87%) patients. Risk factors included older age, hypertension, diabetes mellitus, cardiovascular disease, and chronic kidney disease and those who presented with prolong fever and breathlessness.AKI was commonly seen in patients with severe disease. Considerable number of patient had proteinuria 222(47.23%) and haematuria in 63 (13.40%) and were significantly associated with AKI. Elevated level of ferritin, D-dimer and procalcitonin were observed among 249(52.98%), 179(38.08%) and 138(35, 88%) patients respectively which were substantially correlated with AKI. COVID-19 patients complicated to acute kidney injury were strongly associated with higher mortality19 of 23 (82.60%). Conclusion: Renal involvement in COVID-19 (Corona virus-nephropathy) has a complex etiology. It is closely associated with severity of disease and indicating poor prognosis. Further study will be needed for better understanding the causes of AKI and patient outcomes. J Bangladesh Coll Phys Surg 2022; 40: 79-86
{"title":"Study of Acute Kidney Injury in Patients Hospitalized with COVID-19: A Single Center Study in Bangladesh","authors":"Md Maqsudur Rasul, Akm Mijanur Rahman, Azizur Rahman, Tahmeed Hussain, Sanjoy Kanto Nath, Miskat Joha, Dewan Mohaimenul Haque","doi":"10.3329/jbcps.v40i2.58687","DOIUrl":"https://doi.org/10.3329/jbcps.v40i2.58687","url":null,"abstract":"Introduction: The incidence of acute kidney injury (AKI) associated with hospitalized corona virus disease -19(Covid- 19) patients and associated outcomes are not well determined. This study describes the presentation, risk factors and outcomes of AKI in patients hospitalized with Covid-19.\u0000Material & Methods: In this cross sectional study, we reviewed the health records for all conveniently selected patients hospitalized with Covid-19 irrespective of co morbidity from 1st May to 31st July, 2020, at combined military hospital Dhaka, Bangladesh. Patients younger than 18 years, end stage kidney disease or with a kidney transplant recipient were excluded from the study. AKI was deûned according to kidney disease improving global outcome (KDIGO) criteria.\u0000Results: A total of 470 Covid-19 patients were recruited in this current study, out of them 67.02% were male and 32.98% of were female; with male to female ratio was 2:1. The mean age of the study population was 54.71(±14.31) years. AKI developed among 106 (22.55%) patients of whom 50 patients had CKD. The peak stages of AKI were stage 3 in 58(12.34%), followed by stage 1 in 37(7.87%), and stage 2 in 11(2.34%) patients. Renal replacement therapy was required (RRT) for 37(7.87%) patients. Risk factors included older age, hypertension, diabetes mellitus, cardiovascular disease, and chronic kidney disease and those who presented with prolong fever and breathlessness.AKI was commonly seen in patients with severe disease. Considerable number of patient had proteinuria 222(47.23%) and haematuria in 63 (13.40%) and were significantly associated with AKI. Elevated level of ferritin, D-dimer and procalcitonin were observed among 249(52.98%), 179(38.08%) and 138(35, 88%) patients respectively which were substantially correlated with AKI. COVID-19 patients complicated to acute kidney injury were strongly associated with higher mortality19 of 23 (82.60%).\u0000Conclusion: Renal involvement in COVID-19 (Corona virus-nephropathy) has a complex etiology. It is closely associated with severity of disease and indicating poor prognosis. Further study will be needed for better understanding the causes of AKI and patient outcomes.\u0000J Bangladesh Coll Phys Surg 2022; 40: 79-86","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48397275","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 : 2022-04-10DOI: 10.3329/jbcps.v40i2.58690
M. S. Kamal, Rubina Farzana, Md Hafiz Ehsanul Hoque, M. G. Hossain
Introduction: In Bangladesh, laryngeal and hypopharyngeal cancers in 2018 were 3.3% and 4.7% of total cancer cases, 2.6% and 2% of total cancer deaths. Fiber optic laryngoscopy (FOL) has been established as a valuable tool for diagnosis in outpatient department (OPD) setting. The primary objective of this study was to see the distribution of laryngeal and hypopharyngeal cancers and secondary objective was to assess the role of Flexible Endoscopic Biopsy (FEB) in the diagnosis of laryngopharyngeal cancers. Methods: This descriptive cross-sectional study was performed from March 2020 to March 2021 at Mount Adora Hospital, Sylhet, Bangladesh. All suspected patients attending in this hospital for FOL and FEB were included in this study. Results: Total 300 patients of laryngopharyngeal growth were included in this study. The age of the patients ranged from 25 to 100 years with a mean age of 58.1 year (SD=11.8). Male: Female ratio was 4.8:1. Hypopharyngeal growth was most common (47.3%) followed by laryngeal (31.7%) and tongue base growth (21%). In laryngeal growth, supraglottic was more common (69.47%). In hypopharyngeal growth, pyriform fossa was the most common site (88.3%). Synchronous pathology was found in two patients (0.67%). FEB was obtained from 95% of cases. Histopathological examination showed 95.85% positive for malignancy. Sensitivity of FEB was 95.8%. All malignancies were squamous cell carcinoma (100%). Conclusion: Supraglottic region is the most common site for laryngeal cancers and pyriform sinus is the most common site for hypopharyngeal cancers. FEB is highly sensitive in acquiring a definite diagnosis. J Bangladesh Coll Phys Surg 2022; 40: 99-104
{"title":"Distribution of Laryngopharyngeal Malignancy in the North-East Part of Bangladesh: Fiberoptic Laryngoscopic (FOL) Study of 300 Cases","authors":"M. S. Kamal, Rubina Farzana, Md Hafiz Ehsanul Hoque, M. G. Hossain","doi":"10.3329/jbcps.v40i2.58690","DOIUrl":"https://doi.org/10.3329/jbcps.v40i2.58690","url":null,"abstract":"Introduction: In Bangladesh, laryngeal and hypopharyngeal cancers in 2018 were 3.3% and 4.7% of total cancer cases, 2.6% and 2% of total cancer deaths. Fiber optic laryngoscopy (FOL) has been established as a valuable tool for diagnosis in outpatient department (OPD) setting. The primary objective of this study was to see the distribution of laryngeal and hypopharyngeal cancers and secondary objective was to assess the role of Flexible Endoscopic Biopsy (FEB) in the diagnosis of laryngopharyngeal cancers. Methods: This descriptive cross-sectional study was performed from March 2020 to March 2021 at Mount Adora Hospital, Sylhet, Bangladesh. All suspected patients attending in this hospital for FOL and FEB were included in this study.\u0000Results: Total 300 patients of laryngopharyngeal growth were included in this study. The age of the patients ranged from 25 to 100 years with a mean age of 58.1 year (SD=11.8). Male: Female ratio was 4.8:1. Hypopharyngeal growth was most common (47.3%) followed by laryngeal (31.7%) and tongue base growth (21%). In laryngeal growth, supraglottic was more common (69.47%). In hypopharyngeal growth, pyriform fossa was the most common site (88.3%). Synchronous pathology was found in two patients (0.67%). FEB was obtained from 95% of cases. Histopathological examination showed 95.85% positive for malignancy. Sensitivity of FEB was 95.8%. All malignancies were squamous cell carcinoma (100%).\u0000Conclusion: Supraglottic region is the most common site for laryngeal cancers and pyriform sinus is the most common site for hypopharyngeal cancers. FEB is highly sensitive in acquiring a definite diagnosis.\u0000J Bangladesh Coll Phys Surg 2022; 40: 99-104","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46216033","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 : 2022-04-10DOI: 10.3329/jbcps.v40i2.58697
Noor-A-Sabah Liza, Sk Serjina Anwar, G. Kundu
Aicardi Goutieres Syndrome is an early-onset leukoencephalopathy with a presumed immune pathogenesis caused by inherited defects in nucleic acid metabolism. It is an inflammatory disorder resulting from mutation of multiple genes. Majority of the affected individuals experience physical as well as intellectual disability. Here we discuss a case of A 2-year old girl of consanguineous marriage diagnosed as Aicardi Goutieres Syndrome who was presented with the sudden loss of motor and cognitive skills after an acute febrile illness. This syndrome was diagnosed by clinical exome sequencing and RNAEH 2A mutant gene identification. J Bangladesh Coll Phys Surg 2022; 40: 132-135
{"title":"Aicardi-Goutieres Syndrome-A Case Report","authors":"Noor-A-Sabah Liza, Sk Serjina Anwar, G. Kundu","doi":"10.3329/jbcps.v40i2.58697","DOIUrl":"https://doi.org/10.3329/jbcps.v40i2.58697","url":null,"abstract":"Aicardi Goutieres Syndrome is an early-onset leukoencephalopathy with a presumed immune pathogenesis caused by inherited defects in nucleic acid metabolism. It is an inflammatory disorder resulting from mutation of multiple genes. Majority of the affected individuals experience physical as well as intellectual disability. Here we discuss a case of A 2-year old girl of consanguineous marriage diagnosed as Aicardi Goutieres Syndrome who was presented with the sudden loss of motor and cognitive skills after an acute febrile illness. This syndrome was diagnosed by clinical exome sequencing and RNAEH 2A mutant gene identification.\u0000J Bangladesh Coll Phys Surg 2022; 40: 132-135","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49034963","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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