Pub Date : 2022-12-31DOI: 10.3329/jbcps.v41i1.63259
M. U. Salma, M. A. Rahman, Fatema Jannath, Nihar Sultana, M. A. Hossain
Background: Periodontal health plays a vital role in the longevity of prosthodontic restorations. Full veneer crown (FVC) is one of the most common modalities in restoration of single tooth for preservation of function and health of oral tissues. Objectives : The study was done to critically evaluate the impact of FVC restoration providing standard procedures on the periodontal health of posterior teeth, also to observe the changes of periodontal health in terms of their status of gingival index, plaque index, periodontal pocket depth, bleeding on probing in different stages of treatment. Materials & Methods: This prospective study evaluated the impact of FVC on periodontal health of 30 endodontically treated posterior teeth with FVC and 30 contralateral natural teeth of 19 patients in different stages of treatment for 2 years duration in the Dept. of Prosthodontics, Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital. To assess the periodontal health gingival index, plaque index, periodontal pocket depth, bleeding on probing were used. Collected data were analyzed using SPSS software (version 22) according to the study Objectives Results: The study Result showed that the mean differences of gingival index and plaque index between abutments and contraleteral natural teeth were non significant (p > 0.05) at baseline, 4th month visit; but the differences were significant (p < 0.05) at 8th month, 12th month visits. Regarding periodontal pocket depth the mean differences between abutments and contraleteral natural teeth found non significant (p > 0.05) throughout the follow up period. Same thing observed in bleeding on probing except 12th month follow up visit, where highly significant (p < 0.01) mean differences observed. Also the study found that the gingival index, plaque index, bleeding on probing, periodontal pocket depth increased a bit in 4th,8th,12th month visits gradually in abutments, which was almost same in contralateral natural teeth in case of gingival index, periodontal pocket depth; and increased a bit in case of plaque index, bleeding on probing. Conclusion : If the FVC is fabricated maintaining all standard procedures equigingival margin with proper marginal adaptation, oral hygiene as well as general health of the patient is maintained although less but there is a chance of detrimental effects on periodontal health in comparison to contralateral natural teeth. J Bangladesh Coll Phys Surg 2023; 41: 46-52
{"title":"Impact of Full Veneer Crown Restoration on the Periodontal Health of Posterior Teeth","authors":"M. U. Salma, M. A. Rahman, Fatema Jannath, Nihar Sultana, M. A. Hossain","doi":"10.3329/jbcps.v41i1.63259","DOIUrl":"https://doi.org/10.3329/jbcps.v41i1.63259","url":null,"abstract":"Background: Periodontal health plays a vital role in the longevity of prosthodontic restorations. Full veneer crown (FVC) is one of the most common modalities in restoration of single tooth for preservation of function and health of oral tissues.\u0000Objectives : The study was done to critically evaluate the impact of FVC restoration providing standard procedures on the periodontal health of posterior teeth, also to observe the changes of periodontal health in terms of their status of gingival index, plaque index, periodontal pocket depth, bleeding on probing in different stages of treatment.\u0000Materials & Methods: This prospective study evaluated the impact of FVC on periodontal health of 30 endodontically treated posterior teeth with FVC and 30 contralateral natural teeth of 19 patients in different stages of treatment for 2 years duration in the Dept. of Prosthodontics, Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital. To assess the periodontal health gingival index, plaque index, periodontal pocket depth, bleeding on probing were used. Collected data were analyzed using SPSS software (version 22) according to the study Objectives\u0000Results: The study Result showed that the mean differences of gingival index and plaque index between abutments and contraleteral natural teeth were non significant (p > 0.05) at baseline, 4th month visit; but the differences were significant (p < 0.05) at 8th month, 12th month visits. Regarding periodontal pocket depth the mean differences between abutments and contraleteral natural teeth found non significant (p > 0.05) throughout the follow up period. Same thing observed in bleeding on probing except 12th month follow up visit, where highly significant (p < 0.01) mean differences observed. Also the study found that the gingival index, plaque index, bleeding on probing, periodontal pocket depth increased a bit in 4th,8th,12th month visits gradually in abutments, which was almost same in contralateral natural teeth in case of gingival index, periodontal pocket depth; and increased a bit in case of plaque index, bleeding on probing.\u0000Conclusion : If the FVC is fabricated maintaining all standard procedures equigingival margin with proper marginal adaptation, oral hygiene as well as general health of the patient is maintained although less but there is a chance of detrimental effects on periodontal health in comparison to contralateral natural teeth.\u0000J Bangladesh Coll Phys Surg 2023; 41: 46-52","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45949178","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 : 2022-12-31DOI: 10.3329/jbcps.v40i4.61884
Manifa Afrin, Nazneen Mohal Lima, Tania Taher, Mohammad Jamal Abu Nasser
Background: Congenital heart disease (CHD) contributes about one-third of all major congenital anomalies in the world among the neonates, most common in infants of diabetic mothers but incidence is increasing all over the world due to establishing cardiac investigation facilities especially neonatal echocardiogram. Materials & Methods: A hospital-based cross-sectional study was done in two private hospitals in Dhaka from July ’19 to June ’20. A total of 90 neonates were included from nursery and neonatal intensive care units of both hospitals who were requested for echocardiography as suspected CHD. Results: In our study 52% mothers had diabetes mellitus (DM) during this conception and remains were normoglycemic. CHD present in 41.11% non-DM & DM mother’s offspring, there was no significant statistical difference among the groups (p=0.535). Gestational age and maternal coexisting diseases caused little impact on CHD in neonates (p <0.1). Regarding neonatal conditions only respiratory distress was significantly associated with CHD at p<0.05 level. Conclusions: Researcher according to our study diabetes mellitus does not contribute to CHD in neonates. Researcher can focus on other maternal comorbidities and other factors like respiratory distress and cyanosis after birth, which may contribute to CHD in neonates. J Bangladesh Coll Phys Surg 2023; 41: 27-32
{"title":"Comparison of Congenital Heart Disease between Neonates Born to Diabetic and Non-diabetic Mothers","authors":"Manifa Afrin, Nazneen Mohal Lima, Tania Taher, Mohammad Jamal Abu Nasser","doi":"10.3329/jbcps.v40i4.61884","DOIUrl":"https://doi.org/10.3329/jbcps.v40i4.61884","url":null,"abstract":"Background: Congenital heart disease (CHD) contributes about one-third of all major congenital anomalies in the world among the neonates, most common in infants of diabetic mothers but incidence is increasing all over the world due to establishing cardiac investigation facilities especially neonatal echocardiogram.\u0000Materials & Methods: A hospital-based cross-sectional study was done in two private hospitals in Dhaka from July ’19 to June ’20. A total of 90 neonates were included from nursery and neonatal intensive care units of both hospitals who were requested for echocardiography as suspected CHD.\u0000Results: In our study 52% mothers had diabetes mellitus (DM) during this conception and remains were normoglycemic. CHD present in 41.11% non-DM & DM mother’s offspring, there was no significant statistical difference among the groups (p=0.535). Gestational age and maternal coexisting diseases caused little impact on CHD in neonates (p <0.1). Regarding neonatal conditions only respiratory distress was significantly associated with CHD at p<0.05 level.\u0000Conclusions: Researcher according to our study diabetes mellitus does not contribute to CHD in neonates. Researcher can focus on other maternal comorbidities and other factors like respiratory distress and cyanosis after birth, which may contribute to CHD in neonates.\u0000J Bangladesh Coll Phys Surg 2023; 41: 27-32","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43737153","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 : 2022-12-31DOI: 10.3329/jbcps.v41i1.63260
M. A. Rahim, W. Haque, F. Afsana, S. Zaman, S. Iqbal
Background: Patients with type 2 diabetes mellitus may present with different macro- and micro-vascular complications including diabetic nephropathy. This study was designed to evaluate the risk factors for diabetic nephropathy among newly detected type 2 diabetic patients. Methods: This case-control study was done at BIRDEM General Hospital, Dhaka, Bangladesh from January to September 2017. Adult (³18 years), type 2 diabetic patients, who were detected as diabetic for the first time, within the previous three months and who tested, at least, 2 urine samples for urine albumin to creatinine ratio (UACR), at least 6 weeks apart, were consecutively enrolled for the study. Pregnant ladies, patients with diagnosed kidney disease, patients having features of glomerulonephritis and systemic diseases like vasculitis and systemic lupus erythematosus, history of recent fever, urinary tract infection and menstruation were excluded. Patients having UACR ³30 mg/g in at least 2 (out of 3, if tested) samples were taken as cases and those with UACR < 30 mg/g were controls. Data were analyzed by statistical package for social sciences (SPSS) version 20. Results: Total patients were 224 with female predominance (150, 67%). Fifty one (22.8%) patients had diabetic nephropathy (microalbuminuria = 47 and overt proteinuria = 4). Multivariate regression analysis revealed that, hypertension [odds ratio (OR) = 3.71; 95% CI 1.23 to 4.31, p = 0.003], smoking (OR = 3.27; 95% CI 2.91 to 4.79, p = 0.003), family history of diabetes (OR = 2.31; 95% CI 1.84 to 3.14, p = 0.005) and diabetic nephropathy (OR = 3.34; 95% CI 2.40 to 4.97, p = 0.001), dyslipidaemia (OR = 2.31; 95% CI 1.98 to 3.91, p = 0.023), increased body mass index (BMI) (OR = 2.11; 95% CI 1.54 to 4.87, p = 0.001 and high glycated haemoglobin (HbA1c) (OR 3.21; 95% CI 1.71 to 5.97, p = 0.034) were significant risk factors for diabetic nephropathy. Conclusion: One in every five type 2 diabetic patients had diabetic nephropathy during diabetes diagnosis and most patients had microalbuminuria. Hypertension, dyslipidaemia, smoking, family history of diabetes and diabetic nephropathy, increased BMI and high HbA1c were significant risk factors for diabetic nephropathy among newly detected type 2 diabetic patients. J Bangladesh Coll Phys Surg 2023; 41: 15-21
背景:2型糖尿病患者可出现包括糖尿病肾病在内的不同的大、微血管并发症。本研究旨在评估新发现的2型糖尿病患者糖尿病肾病的危险因素。方法:本病例对照研究于2017年1月至9月在孟加拉国达卡BIRDEM总医院进行。成人(18岁)，2型糖尿病患者，首次诊断为糖尿病，在前三个月内，至少两次尿白蛋白与肌酐比(UACR)检测，间隔至少6周，连续入组研究。排除孕妇、诊断为肾脏疾病的患者、有肾小球肾炎及血管炎、系统性红斑狼疮等全身性疾病特征的患者、近期有发热史、尿路感染史和月经史的患者。在至少2个(如果检测的话，3个样本中)样本中UACR³为30 mg/g的患者作为病例，UACR < 30 mg/g的患者作为对照。数据分析采用社会科学统计软件包(SPSS)版本20。结果:224例，女性为主(150例，67%)。51例(22.8%)患者有糖尿病肾病(微量白蛋白尿= 47例，显性蛋白尿= 4例)。多因素回归分析显示，高血压[优势比(OR) = 3.71;(95% CI 1.23 ~ 4.31, p = 0.003)，吸烟(OR = 3.27;95% CI 2.91 ~ 4.79, p = 0.003)，糖尿病家族史(OR = 2.31;95% CI 1.84 ~ 3.14, p = 0.005)和糖尿病肾病(OR = 3.34;95% CI 2.40 ~ 4.97, p = 0.001)，血脂异常(OR = 2.31;95% CI 1.98 ~ 3.91, p = 0.023)，体重指数(BMI)增加(OR = 2.11;95% CI 1.54 ~ 4.87, p = 0.001，高糖化血红蛋白(HbA1c) (OR 3.21;95% CI 1.71 ~ 5.97, p = 0.034)是糖尿病肾病的重要危险因素。结论:1 / 5的2型糖尿病患者在糖尿病诊断时存在糖尿病肾病，多数患者存在微量白蛋白尿。高血压、血脂异常、吸烟、糖尿病及糖尿病肾病家族史、BMI增高、高HbA1c是新发2型糖尿病患者发生糖尿病肾病的重要危险因素。[J]孟加拉大学物理外科20123;41: 15至21
{"title":"Risk Factors for Diabetic Nephropathy among Newly Detected Type 2 Diabetic Patients Attending a Tertiary Care Hospital of Bangladesh","authors":"M. A. Rahim, W. Haque, F. Afsana, S. Zaman, S. Iqbal","doi":"10.3329/jbcps.v41i1.63260","DOIUrl":"https://doi.org/10.3329/jbcps.v41i1.63260","url":null,"abstract":"Background: Patients with type 2 diabetes mellitus may present with different macro- and micro-vascular complications including diabetic nephropathy. This study was designed to evaluate the risk factors for diabetic nephropathy among newly detected type 2 diabetic patients. Methods: This case-control study was done at BIRDEM General Hospital, Dhaka, Bangladesh from January to September 2017. Adult (³18 years), type 2 diabetic patients, who were detected as diabetic for the first time, within the previous three months and who tested, at least, 2 urine samples for urine albumin to creatinine ratio (UACR), at least 6 weeks apart, were consecutively enrolled for the study. Pregnant ladies, patients with diagnosed kidney disease, patients having features of glomerulonephritis and systemic diseases like vasculitis and systemic lupus erythematosus, history of recent fever, urinary tract infection and menstruation were excluded. Patients having UACR ³30 mg/g in at least 2 (out of 3, if tested) samples were taken as cases and those with UACR < 30 mg/g were controls. Data were analyzed by statistical package for social sciences (SPSS) version 20.\u0000Results: Total patients were 224 with female predominance (150, 67%). Fifty one (22.8%) patients had diabetic nephropathy (microalbuminuria = 47 and overt proteinuria = 4). Multivariate regression analysis revealed that, hypertension [odds ratio (OR) = 3.71; 95% CI 1.23 to 4.31, p = 0.003], smoking (OR = 3.27; 95% CI 2.91 to 4.79, p = 0.003), family history of diabetes (OR = 2.31; 95% CI 1.84 to 3.14, p = 0.005) and diabetic nephropathy (OR = 3.34; 95% CI 2.40 to 4.97, p = 0.001), dyslipidaemia (OR = 2.31; 95% CI 1.98 to 3.91, p = 0.023), increased body mass index (BMI) (OR = 2.11; 95% CI 1.54 to 4.87, p = 0.001 and high glycated haemoglobin (HbA1c) (OR 3.21; 95% CI 1.71 to 5.97, p = 0.034) were significant risk factors for diabetic nephropathy.\u0000Conclusion: One in every five type 2 diabetic patients had diabetic nephropathy during diabetes diagnosis and most patients had microalbuminuria. Hypertension, dyslipidaemia, smoking, family history of diabetes and diabetic nephropathy, increased BMI and high HbA1c were significant risk factors for diabetic nephropathy among newly detected type 2 diabetic patients.\u0000J Bangladesh Coll Phys Surg 2023; 41: 15-21","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41390584","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 : 2022-12-31DOI: 10.3329/jbcps.v40i4.61886
M. Chowdhury, Mohammad Saneat Jahan Khan, A. Sarker, Mohammad Abul Hossain
Background: Thumb pulp defects are commonly due to avulsion injuries. The choice of reconstructive procedure for thumb depends on the amount and type of tissue lost. The First Dorsal Metacarpal Artery (FDMA) flap is a versatile method with minimum donor site morbidity which provides protective sensation, adequate length, stability and good mobility. Method: This study was done over a period of 2 years and involved 15 consecutive cases of thumb pulp defects treated at our institution. The patient included 13 men and 2 women ranging in age from 16 to 60 years. The defects were ranged from 2cm x 1.5cm to 5cm x 3cm. Results: All flaps survived completely except one had marginal flap necrosis healed without the need for a secondary procedure. Donor site was covered with full thickness skin graft that healed spontaneously. Conclusion: First dorsal metacarpal artery flap offers a sensate, pliable and versatile coverage for soft tissue defects of the thumb. It provides good functional Results with minimum donor site morbidity. J Bangladesh Coll Phys Surg 2023; 41: 53-57
{"title":"First Dorsal Metacarpal Artery Flap : A Reliable Option for Reconstruction of Extensive Pulp Defects of the Thumb","authors":"M. Chowdhury, Mohammad Saneat Jahan Khan, A. Sarker, Mohammad Abul Hossain","doi":"10.3329/jbcps.v40i4.61886","DOIUrl":"https://doi.org/10.3329/jbcps.v40i4.61886","url":null,"abstract":"Background: Thumb pulp defects are commonly due to avulsion injuries. The choice of reconstructive procedure for thumb depends on the amount and type of tissue lost. The First Dorsal Metacarpal Artery (FDMA) flap is a versatile method with minimum donor site morbidity which provides protective sensation, adequate length, stability and good mobility. Method: This study was done over a period of 2 years and involved 15 consecutive cases of thumb pulp defects treated at our institution. The patient included 13 men and 2 women ranging in age from 16 to 60 years. The defects were ranged from 2cm x 1.5cm to 5cm x 3cm.\u0000Results: All flaps survived completely except one had marginal flap necrosis healed without the need for a secondary procedure. Donor site was covered with full thickness skin graft that healed spontaneously.\u0000Conclusion: First dorsal metacarpal artery flap offers a sensate, pliable and versatile coverage for soft tissue defects of the thumb. It provides good functional Results with minimum donor site morbidity.\u0000J Bangladesh Coll Phys Surg 2023; 41: 53-57","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46256600","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 : 2022-12-31DOI: 10.3329/jbcps.v40i4.61888
Shayla Haque, Nihar Sultana
Background: Road traffic accident (RTA) is a global trauma which can produce a traumatic stress with tremendous physical, social and psychological impairments to the victims. Post traumatic stress disorder (PTSD) is the most common mental disorders among the RTA victims. Objectives : To assess the PTSD among the RTA victims and the relationship between the socio demographic parameters of RTA victims with PTSD. Methods: This cross sectional study conducted among 202 RTA patients attended in the inpatient dept. of a specialized hospital in Dhaka city for one year duration. Data collected from these patients using a semi structured interview administered questionnaire and PTSD assessed by using Diagnostic and Statistical Manual-IV DSM-IV(PCL-S). The collected data were analyzed by using SPSS software (Version 21) and p < 0.05 considered as significant. Results: The mean age of RTA victims found 37.6 (±13.2) years, majority 57.4% belongs to 18-30 years age group. Out of 202 RTA patients 41.1% developed PTSD having e”51 score in Diagnostic and Statistical Manual-IV DSM-IV (PCL-S) checklist. Among the socio demographic parameters age and occupation were significantly associated with the PTSD; whereas education, family income, sex were not associated significantly with PTSD. Conclusion: This study found a high magnitude of PTSD among RTA victims. J Bangladesh Coll Phys Surg 2023; 41: 22-26
背景:道路交通事故(RTA)是一种全球性的创伤，它会给受害者带来巨大的身体、社会和心理损害。创伤后应激障碍(PTSD)是RTA受害者中最常见的精神障碍。目的:评估RTA受害者的创伤后应激障碍及其社会人口学参数与创伤后应激障碍的关系。方法:对达卡某专科医院住院部住院1年的202例RTA患者进行横断面研究。数据收集采用半结构化访谈问卷，PTSD评估采用诊断与统计手册- iv (PCL-S)。采用SPSS软件(Version 21)对收集的数据进行分析，p < 0.05为差异有统计学意义。结果:RTA患者平均年龄37.6(±13.2)岁，18-30岁年龄组占57.4%。202例RTA患者中，41.1%发展为PTSD，诊断与统计手册- iv DSM-IV (PCL-S)检查表得分为51分。在社会人口学参数中，年龄和职业与PTSD显著相关;而教育程度、家庭收入、性别与创伤后应激障碍没有显著关联。结论:本研究发现RTA受害者的PTSD程度较高。[J]孟加拉大学物理外科20123;41:
{"title":"Assessment of Post Traumatic Stress Disorder and the Associated Socio Demographic Parameters of Road Traffic Accident Victims","authors":"Shayla Haque, Nihar Sultana","doi":"10.3329/jbcps.v40i4.61888","DOIUrl":"https://doi.org/10.3329/jbcps.v40i4.61888","url":null,"abstract":"Background: Road traffic accident (RTA) is a global trauma which can produce a traumatic stress with tremendous physical, social and psychological impairments to the victims. Post traumatic stress disorder (PTSD) is the most common mental disorders among the RTA victims.\u0000Objectives : To assess the PTSD among the RTA victims and the relationship between the socio demographic parameters of RTA victims with PTSD.\u0000Methods: This cross sectional study conducted among 202 RTA patients attended in the inpatient dept. of a specialized hospital in Dhaka city for one year duration. Data collected from these patients using a semi structured interview administered questionnaire and PTSD assessed by using Diagnostic and Statistical Manual-IV DSM-IV(PCL-S). The collected data were analyzed by using SPSS software (Version 21) and p < 0.05 considered as significant.\u0000Results: The mean age of RTA victims found 37.6 (±13.2) years, majority 57.4% belongs to 18-30 years age group. Out of 202 RTA patients 41.1% developed PTSD having e”51 score in Diagnostic and Statistical Manual-IV DSM-IV (PCL-S) checklist. Among the socio demographic parameters age and occupation were significantly associated with the PTSD; whereas education, family income, sex were not associated significantly with PTSD.\u0000Conclusion: This study found a high magnitude of PTSD among RTA victims.\u0000J Bangladesh Coll Phys Surg 2023; 41: 22-26","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41522564","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 : 2022-12-31DOI: 10.3329/jbcps.v41i1.63262
Md Rezwonul Haque, S. Hossain, L. Khan, Mohammed Aminul Islam
Objective: To evaluate the complications of laparoscopic cholecystectomy in the symptomatic cholelithiasis and other benign gall bladder diseases. Methods: This descriptive observational study was carried out at CMH Dhaka and CMH Jashore from March 2016 to Jun 2022, to evaluate the frequency and outcome of management of all the complications in laparoscopic cholecystectomy. A total of 1425 patients of laparoscopic cholecystectomy were included in this study. Patients were followed up for a period of three months after operation. The complications in laparoscopic cholecystectomy observed in this study were divided into (i) Access related (ii) Intraoperative (biliary and extrabiliary) and (iii) Postoperative. Results: The incidence of access-related, intraoperative or procedure-related biliary, extrabiliary and postoperative complications were 3.64%, 2.95%, 4.98% and 1.96% respectively. Access related complications were extraperitoneal insufflations 1.40%, port site bleeding 1.19%, small bowel laceration 0.21% and transverse colon injury 0.07%.Procedural biliary complications included common bile duct (CBD) injury 0.14%, common hepatic duct (CHD) injury 0.07% and iatrogenic gall bladder perforation with bile leakage 2.74%. Procedural extrabiliary complications were Liver injury 0.56%, duodenal perforation 0.07%, colon perforation 0.07%, bleeding through cystic artery 0.49% and bleeding from gall bladder fossa 1.12%. Two colonic perforations and one duodenal perforation were the major complications encountered in this series. Two colonic perforations required conversion to open procedure but duodenal perforation was managed laparoscopically by intracorporeal suturing. Total nine (0.63%) patients required conversion to open procedure. Postoperative complications included port site infection (PSI) 1.05%, port site hernia 0.56%, major sepsis 0.14% and ischemic stroke 0.07%. There was no retained stone, biliary stricture and mortality reported in this series. Conclusion: Complications in laparoscopic cholecystectomy are mainly due to access related and intraoperative and have their own characteristics.. CBD transaction, CHD injury, Colonic perforations and duodenal perforations were the major complications requiring conversion to open procedure except duodenal perforation which was dealt laparoscopically. Conversion to open procedure should not be considered as a complication. J Bangladesh Coll Phys Surg 2023; 41: 75-81
{"title":"Complications in Laparoscopic Cholecystectomy: Experiences from A Study of 1425 Cases","authors":"Md Rezwonul Haque, S. Hossain, L. Khan, Mohammed Aminul Islam","doi":"10.3329/jbcps.v41i1.63262","DOIUrl":"https://doi.org/10.3329/jbcps.v41i1.63262","url":null,"abstract":"Objective: To evaluate the complications of laparoscopic cholecystectomy in the symptomatic cholelithiasis and other benign gall bladder diseases.\u0000Methods: This descriptive observational study was carried out at CMH Dhaka and CMH Jashore from March 2016 to Jun 2022, to evaluate the frequency and outcome of management of all the complications in laparoscopic cholecystectomy. A total of 1425 patients of laparoscopic cholecystectomy were included in this study. Patients were followed up for a period of three months after operation. The complications in laparoscopic cholecystectomy observed in this study were divided into (i) Access related (ii) Intraoperative (biliary and extrabiliary) and (iii) Postoperative.\u0000Results: The incidence of access-related, intraoperative or procedure-related biliary, extrabiliary and postoperative complications were 3.64%, 2.95%, 4.98% and 1.96% respectively. Access related complications were extraperitoneal insufflations 1.40%, port site bleeding 1.19%, small bowel laceration 0.21% and transverse colon injury 0.07%.Procedural biliary complications included common bile duct (CBD) injury 0.14%, common hepatic duct (CHD) injury 0.07% and iatrogenic gall bladder perforation with bile leakage 2.74%. Procedural extrabiliary complications were Liver injury 0.56%, duodenal perforation 0.07%, colon perforation 0.07%, bleeding through cystic artery 0.49% and bleeding from gall bladder fossa 1.12%. Two colonic perforations and one duodenal perforation were the major complications encountered in this series. Two colonic perforations required conversion to open procedure but duodenal perforation was managed laparoscopically by intracorporeal suturing. Total nine (0.63%) patients required conversion to open procedure. Postoperative complications included port site infection (PSI) 1.05%, port site hernia 0.56%, major sepsis 0.14% and ischemic stroke 0.07%. There was no retained stone, biliary stricture and mortality reported in this series.\u0000Conclusion: Complications in laparoscopic cholecystectomy are mainly due to access related and intraoperative and have their own characteristics.. CBD transaction, CHD injury, Colonic perforations and duodenal perforations were the major complications requiring conversion to open procedure except duodenal perforation which was dealt laparoscopically. Conversion to open procedure should not be considered as a complication.\u0000J Bangladesh Coll Phys Surg 2023; 41: 75-81","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42593910","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 : 2022-12-31DOI: 10.3329/jbcps.v41i1.63257
Tasnia Habib, Farhana Parvin
Background: “Streptococcus mutans” bacterial biofilm is known to be a major causative organism for dental plaque which is acknowledged to be associated with biofilm. In this study we aim to evaluate the effectiveness of natural compound “Piperine” on the biofilm of “Streptococcus mutans” bacteria from One hundred cases of Dental unit Of Rajshahi Medical College. Methods: This longitudinal study was conducted in the Molecular Pathology with the Insect Biotechnology Lab, IBSc of Rajshahi University and Dental Unit of Rajshahi Medical College from October 2017 to October 2019. A total of 100 cases were selected for this study from the same institution, collected dental plaque sample, identified, and isolated Streptococcus mutans bacteria by using MSB Agar (Mitis salivarius-bacitracin) medium, formation and detection of “Streptococcus mutans” bacterial biofilm using a Microtiter plate biofilm assay method. Then we collected Medicinal plant “Black pepper” from a standard medical food supply, extracted, isolated, purified and identified a specific compound named as “Piperine” by using Column chromatographic and Nuclear magnetic resonance spectroscopic (NMR) techniques and analysis their antimicrobial effectivities. Result: Our Result demonstrated that “Streptococcus mutans” bacterial biofilm represents a very strong microbial attachment with the tooth surface and after the application of 100ul ethyl acetate extract of piperine showed 77% growth of reduction with the value of P<0.001 in case of patient no 17, 75% growth inhibition with the value of P <0.003 in case of patients no 55 and 77% growth of inhibition with the value of p<0.005 in case of patients no 95 against the biofilm of streptococcus mutans bacteria. Conclusion:After some investigations it was revealed the ethyl acetate extract of compound “Piperine” showed the highest antibiofilm activities. J Bangladesh Coll Phys Surg 2023; 41: 33-39
{"title":"Effects of Natural compound “Piperine” on the growth and Adhesive Properties of Streptoccus Mutans Bacterial Biofilm","authors":"Tasnia Habib, Farhana Parvin","doi":"10.3329/jbcps.v41i1.63257","DOIUrl":"https://doi.org/10.3329/jbcps.v41i1.63257","url":null,"abstract":"Background: “Streptococcus mutans” bacterial biofilm is known to be a major causative organism for dental plaque which is acknowledged to be associated with biofilm. In this study we aim to evaluate the effectiveness of natural compound “Piperine” on the biofilm of “Streptococcus mutans” bacteria from One hundred cases of Dental unit Of Rajshahi Medical College.\u0000Methods: This longitudinal study was conducted in the Molecular Pathology with the Insect Biotechnology Lab, IBSc of Rajshahi University and Dental Unit of Rajshahi Medical College from October 2017 to October 2019. A total of 100 cases were selected for this study from the same institution, collected dental plaque sample, identified, and isolated Streptococcus mutans bacteria by using MSB Agar (Mitis salivarius-bacitracin) medium, formation and detection of “Streptococcus mutans” bacterial biofilm using a Microtiter plate biofilm assay method. Then we collected Medicinal plant “Black pepper” from a standard medical food supply, extracted, isolated, purified and identified a specific compound named as “Piperine” by using Column chromatographic and Nuclear magnetic resonance spectroscopic (NMR) techniques and analysis their antimicrobial effectivities.\u0000Result: Our Result demonstrated that “Streptococcus mutans” bacterial biofilm represents a very strong microbial attachment with the tooth surface and after the application of 100ul ethyl acetate extract of piperine showed 77% growth of reduction with the value of P<0.001 in case of patient no 17, 75% growth inhibition with the value of P <0.003 in case of patients no 55 and 77% growth of inhibition with the value of p<0.005 in case of patients no 95 against the biofilm of streptococcus mutans bacteria.\u0000Conclusion:After some investigations it was revealed the ethyl acetate extract of compound “Piperine” showed the highest antibiofilm activities.\u0000J Bangladesh Coll Phys Surg 2023; 41: 33-39","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42059605","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 : 2022-12-31DOI: 10.3329/jbcps.v41i1.63263
S. Rashid
Shoulder is an important joint, in fact the most important joint which needs an ultrasound evaluation for not only the diagnosis of the pathology but also its follow-up during treatment. Ultrasound is also an important modality needed for the treatment of joint pathologies like fluid aspiration or intra-articular injections. It is gaining more importance now, due to availability of the high-end digital ultrasound machines with their superior image quality, using high frequency ultrasound probes. So that now even very superficial and very thin muscle fibers, tendons and ligaments can be very well visualized. Diagnosis of small tears, inflammations and small fluid collections can now be made easily. In this paper there is technique for the ultrasound of the shoulder joint with a discussion and review of its importance. J Bangladesh Coll Phys Surg 2023; 41: 82-88
{"title":"Ultrasound of Shoulder Joint Another Diagnostic Modality","authors":"S. Rashid","doi":"10.3329/jbcps.v41i1.63263","DOIUrl":"https://doi.org/10.3329/jbcps.v41i1.63263","url":null,"abstract":" \u0000Shoulder is an important joint, in fact the most important joint which needs an ultrasound evaluation for not only the diagnosis of the pathology but also its follow-up during treatment. Ultrasound is also an important modality needed for the treatment of joint pathologies like fluid aspiration or intra-articular injections. It is gaining more importance now, due to availability of the high-end digital ultrasound machines with their superior image quality, using high frequency ultrasound probes. So that now even very superficial and very thin muscle fibers, tendons and ligaments can be very well visualized. Diagnosis of small tears, inflammations and small fluid collections can now be made easily. In this paper there is technique for the ultrasound of the shoulder joint with a discussion and review of its importance.\u0000J Bangladesh Coll Phys Surg 2023; 41: 82-88","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45333655","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 : 2022-12-31DOI: 10.3329/jbcps.v41i1.63258
Israt Jahan Chaudhury, S. Afroza, S. Akter, Saira Elaine Anwer Khan, Shahnaj Jahan Chawdhury
Introduction: Exchange transfusion (ET) is the first successful treatment introduced for severe neonatal jaundice considered to be a safe procedure but not risk free. Present study aimed to determine the complications related to exchange transfusion and to compare the incidence of severe complications between healthy and ill newborns. Methods: This cross sectional study was done in Neonatal Intensive Care Unit (NICU), Dhaka Shishu Hospital and Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, over 6 months from January to June 2010, included 50 newborns who underwent exchange transfusion due to hyperbilirubinaemia. Newborns with hyperbilirubinemia alone were classified as healthy, while hyperbilirubinaemia associated with other medical problems were classified as ill. Adverse events were analyzed and compared between two groups. Results: Out of 50 patients who underwent ET, 27 were healthy had jaundice only and 23 were ill. Most of the newborns with comorbidities (87%) developed at least one complication following exchange transfusion (p<0.001). Newborns with co-morbidities developed hypoglycemia (13%), hypocalcaemia (17.4%), thrombocytopenia (26.1%), sepsis (26.1%), apnoea (4.3%) and in newborns without co-morbidities, hypoglycemia, hypocalcaemia, thrombocytopenia each was found in 7.4% cases and septicemia (14.8%). Thrombocytopenia was significantly higher in ill newborns (p = 0.039). About 9% of newborns died in ill group compared to 3.7% in healthy group (p = 0.439). Conclusions: Complications and mortality were significantly higher in newborns having hyperbilirubinemia with comorbidities. Thrombocytopenia was the most frequent complication. Majority of the hyperbilirubinemic neonates with comorbidities develop at least one complication after exchange transfusion. J Bangladesh Coll Phys Surg 2023; 41: 40-45
{"title":"Evaluation of Complications Related to Exchange Transfusion due to Hyperbilirubinaemia in Newborns with or without Comorbidities","authors":"Israt Jahan Chaudhury, S. Afroza, S. Akter, Saira Elaine Anwer Khan, Shahnaj Jahan Chawdhury","doi":"10.3329/jbcps.v41i1.63258","DOIUrl":"https://doi.org/10.3329/jbcps.v41i1.63258","url":null,"abstract":"Introduction: Exchange transfusion (ET) is the first successful treatment introduced for severe neonatal jaundice considered to be a safe procedure but not risk free. Present study aimed to determine the complications related to exchange transfusion and to compare the incidence of severe complications between healthy and ill newborns.\u0000Methods: This cross sectional study was done in Neonatal Intensive Care Unit (NICU), Dhaka Shishu Hospital and Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, over 6 months from January to June 2010, included 50 newborns who underwent exchange transfusion due to hyperbilirubinaemia. Newborns with hyperbilirubinemia alone were classified as healthy, while hyperbilirubinaemia associated with other medical problems were classified as ill. Adverse events were analyzed and compared between two groups.\u0000Results: Out of 50 patients who underwent ET, 27 were healthy had jaundice only and 23 were ill. Most of the newborns with comorbidities (87%) developed at least one complication following exchange transfusion (p<0.001). Newborns with co-morbidities developed hypoglycemia (13%), hypocalcaemia (17.4%), thrombocytopenia (26.1%), sepsis (26.1%), apnoea (4.3%) and in newborns without co-morbidities, hypoglycemia, hypocalcaemia, thrombocytopenia each was found in 7.4% cases and septicemia (14.8%). Thrombocytopenia was significantly higher in ill newborns (p = 0.039). About 9% of newborns died in ill group compared to 3.7% in healthy group (p = 0.439).\u0000Conclusions: Complications and mortality were significantly higher in newborns having hyperbilirubinemia with comorbidities. Thrombocytopenia was the most frequent complication. Majority of the hyperbilirubinemic neonates with comorbidities develop at least one complication after exchange transfusion.\u0000J Bangladesh Coll Phys Surg 2023; 41: 40-45","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43777004","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 : 2022-12-31DOI: 10.3329/jbcps.v40i4.61890
M. Abiduzzaman, U. Ghosh, S. Afroze, F. Rahat, A. Choudhury
Background: Typhoid fever is caused by salmonella typhi which invades the bloodstream causes systemic involvement & different complications. This study was designed to evaluate the complications of typhoid fever in children admitted to a tertiary care hospital. Methodology: This retrospective cross-sectional study was conducted at Dr. M R Khan Shishu Hospital & ICH, over twelve months from July 2019 to June 2020 of 100 children aged 6 months to 15 years who were diagnosed with typhoid fever. Complete history, physical examination and investigation were done to reach the complications. Complications were evaluated and data were analyzed. Results: Complications were found in 37% of typhoid fever cases. Among them, hepatitis, UTI, pneumonia, thrombocytopenia were mostly observed. The majority were boys from poor socio-economic Backgrounds. Complications were usually found on the third week and significantly associated with male child, young age, poor socio-economic Background, poor oral compliance, delay treatment, leukocytosis and thrombocytopenia. Conclusion: A significant portion of children with typhoid fever can develop complications. J Bangladesh Coll Phys Surg 2023; 41: 58-62
背景:伤寒是由伤寒沙门氏菌侵入血流引起全身受累和不同的并发症。本研究旨在评估三级医院收治的儿童伤寒并发症。方法:这项回顾性横断面研究是在Dr. M R Khan Shishu医院和ICH进行的，从2019年7月到2020年6月的12个月里，100名6个月至15岁的儿童被诊断患有伤寒。完整的病史，体格检查和调查，以达到并发症。评估并发症并分析资料。结果:37%的伤寒病例出现并发症。其中以肝炎、尿路感染、肺炎、血小板减少多见。大多数是来自贫困社会经济背景的男孩。并发症通常发生在第三周，与男性儿童、年龄小、社会经济背景差、口服依从性差、治疗延迟、白细胞增多和血小板减少显著相关。结论:相当一部分儿童伤寒可出现并发症。[J]孟加拉大学物理外科20123;41: 58 - 62
{"title":"Risk Factors and Outcome of Complicated Typhoid Fever at Dr M R Khan Shishu Hospital","authors":"M. Abiduzzaman, U. Ghosh, S. Afroze, F. Rahat, A. Choudhury","doi":"10.3329/jbcps.v40i4.61890","DOIUrl":"https://doi.org/10.3329/jbcps.v40i4.61890","url":null,"abstract":"Background: Typhoid fever is caused by salmonella typhi which invades the bloodstream causes systemic involvement & different complications. This study was designed to evaluate the complications of typhoid fever in children admitted to a tertiary care hospital.\u0000Methodology: This retrospective cross-sectional study was conducted at Dr. M R Khan Shishu Hospital & ICH, over twelve months from July 2019 to June 2020 of 100 children aged 6 months to 15 years who were diagnosed with typhoid fever. Complete history, physical examination and investigation were done to reach the complications. Complications were evaluated and data were analyzed.\u0000Results: Complications were found in 37% of typhoid fever cases. Among them, hepatitis, UTI, pneumonia, thrombocytopenia were mostly observed. The majority were boys from poor socio-economic Backgrounds. Complications were usually found on the third week and significantly associated with male child, young age, poor socio-economic Background, poor oral compliance, delay treatment, leukocytosis and thrombocytopenia.\u0000Conclusion: A significant portion of children with typhoid fever can develop complications.\u0000J Bangladesh Coll Phys Surg 2023; 41: 58-62","PeriodicalId":89579,"journal":{"name":"Journal of Bangladesh College of Physicians & Surgeons","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46847897","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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