Original Research Article
Feb. 5, 2021
Association of Serum Ferritin with Gestational Diabetes Mellitus
Mahmood S, Fatema K, Yousuf S
Sch J App Med Sci | 179-182
DOI : 10.36347/sjams.2021.v09i02.001
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Background: The aim of the present study was to evaluate the association of serum ferritin with GDM (n=60) and without GDM (n=60) .The age and body mass index of the participants along with their gestational age, gravidity and parity were harmonized. The serum ferritin levels and blood glucose were investigated. The results revealed that pregnant women with GDM had significantly higher level of serum ferritin than their healthy counterparts. Methods: This cross sectional analytical study was done in Department of Obstetrics &Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), and Dhaka, Bangladesh during April 2019to march 2020. 120 pregnant womenbetween 18-35 years of age attending antenatal clinic in their 24-34 weeks ofpregnancy were included in this study. Among them 60 diagnosed case of GDM wereconsider as group A and rest 60 (without GDM) were consider as group B. Serumferritin concentration was measured in all of these patient. Results: The mean serum ferritin level was 121.1+17.7 ng/ml and 86.4±19.9 ng/ml ingroup A and group B respectively. The difference was statistically significant (p<0.05) between two groups. More than half (65.0%) patients had serum ferritinlevel >120 ng/ml in group A and 12(20.0%) in group B. Serum ferritin level >120ng/ml had 3.1 (95.0% C.L. 1.6 to 7.60) times significantly (p<0.05) increase to developed gestational diabetes mellitus.Conclusion: The serum ferritin was markedly higher in women with GDM than without GDM. Therefore, high serum ferritin can be regarded as a significant risk factor for the development of GDM.
Treatment of a Cerebral Thrombophlebitis Associated with a Large Intraparenchymatic Cerebral Hematoma, Resuscitation Department at N’djamena Renaissance Chu
Fall ML, Ndiaye K, Traore S, Abassi A, Vagba J, Toudjimgar F, Kessel YYC, Berret M
Sch J App Med Sci | 183-186
DOI : 10.36347/sjams.2021.v09i02.002
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The association of cerebral thrombophlebitis with cerebral hematoma is an uncommon situation. Hematomas are often satellite or indicative of thrombophlebitis. Its incidence is too low on average 2% [1], it is increased with the risk factors of hypercoagulability [2]. The diagnosis with clinical polymorphism and imaging thrombophlebitis is often obscured at first glance by the presence of cerebral hematoma. Our observation is a clinical presentation of a large cerebral hematoma indicative of thrombophlebitis in the presence of a convulsive state with laborious therapeutic management. This required a neurosurgical resuscitation team which had targeted thrombophlebitis in its management. The short and long course is often favorable if the management is early, adequate and careful.
Original Research Article
Feb. 9, 2021
Anesthesic Management in Surgery of Congenital Heart Deseases Operated with Cardiopulmonary Bypass at the Pediatric Heart Surgery Center
Fall ML, Belem PF, Ba EH, Diédhiou M, Leye PA, Diop EHN, Gaye I.
Sch J App Med Sci | 187-193
DOI : 10.36347/sjams.2021.v09i02.003
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Congenital heart diseases are quite common. They occur in 0.5-1% of births. The taking care of children suffering from cardiac malformation must be done early despite the very high operating risks. It requires a suitable center, with adequate medical equipment and special knowledge in both domains anesthesia and surgery. The Pediatric Cardiac Surgery Center in Dakar (CUOMO) is a new public hospital that aims to expand the range of care in the field of cardiology and cardiac surgery to children in Senegal and West Africa; to train the learners in pediatric cardiac surgery for the treatment of simple and complex congenital or rheumatic heart disease. The objective of this study was to evaluate the anesthetic management of congenital heart diseases operated with cardiopulmonary bypass in this center after the first year of activity and to compare the results obtained with data from the literature. We conducted a retrospective, descriptive study over one year from January to December 2018. All patients operated during this period with cardiopulmonary bypass (CPB) for congenital heart disease were included. We collected 80 files of patients operated for congenital heart disease in the center. During the same period, 136 patients had been operated. Surgery for congenital heart disease accounts for 58.8% of surgical activity. Among these 80 patients, 60 were operated with CPB or a rate of 75%. The average age of our patients was 7.41 years with extremes of 1 and 17 years with a sex ratio of 1.22. A notion of consanguinity was found in 10 of our patients, a frequency of 16.66%. We found 22 cases of cyanogenic heart disease (36.66%) and 38 cases of non-cyanogenic heart disease (63.34%). The duration of the extracorporeal circulation was on average 82.82 minutes and the average duration of aortic clamping was 58.31 minutes. 70% of the patients had amines at the end of the procedure. The most common postoperative complication was right heart failure (69%). The average.........
Original Research Article
Feb. 9, 2021
Epidemiology and Clinical Course of Asymptomatic COVID-19 Infection
Dr. Atanu Bhattacharjee, Dr. BishnuProsad Chanda, Dr. Mohammed Ziaur Rahman, Dr. Jahangir Alam Sarker, Dr. Kanta Narayan Chakraboty
Sch J App Med Sci | 194-198
DOI : 10.36347/sjams.2021.v09i02.004
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Background: Comprehensive studies on transmission from asymptomatic patients are difficult to conduct, as they require testing of large population cohorts and more data are needed to better understand and quantified the transmissibility of SARS-CoV-2. WHO is working with countries around the world, and global researchers, to gain better evidence based understanding of the disease as a whole, including the role of asymptomatic patients in the transmission of the virus. An asymptomatic laboratory confirmed case is a person infected with COVID-19 who does not develop symptoms. Asymptomatic transmission refers to transmission of the virus from a person, who does not develop symptoms. The virus can cause a range of symptoms mild illness to pneumonia. Symptoms of the disease are cough, fever, sore throat, rhinorrhoea, loss of smell, loss of taste, diarrohea, headaches and others. Aim of the study: The study aim was to assess the epidemiology and clinical course of asymptomatic COVID-19 infection in patient. Materials and methods: This prospective observational study was conducted in the Department of Medicine, 250 Beded District Sadar Hospital, Sunamgonj, Bangladesh during the period from June 2020 to August 2020. Eighty two (82) patients diagnosed with asymptomatic COVID-19 infection were included in this study as the study population. Collected data were entered in a predesigned case report form and subsequently analyzed by SPSS 22. Results: The total study population was 82 patients, 61 (74.39%) were males and 21 (25.61%) were females. Table I demonstrated the Sex distribution of the study population.Clinical course of asymptomatic COVID-19 infection in patient. (n=82). The Figure I shows of Symptoms following RT-PCR become positive among the study population 51(62.19%) patients had Cough develop after ± 3days (mean duration), 30(36.58%) patients had Fever developed after ± 6days (mean duration), 23(28.04%) patients had Sore Throat developed after ± 3days .............
Madelung Deformity of the Wrist in a 19 Year Old Girl: A Case Report
Elyazid Houass, M. R. Elgaliou, M. Boufetal, R. A. Bassir, M.Kharmaz, M. O. Lamrani, M. S. Berrada
Sch J App Med Sci | 199-201
DOI : 10.36347/sjams.2021.v09i02.005
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Madelung deformity is a rare congenital anomaly of the wrist caused by asymmetric growth at the distal radius physis secondary to a partial ulnar sided arrest, leading to an ulnar and palmar curvature of the distal radius, positive ulnar variance, and proximal subsidence of the lunate. We report the case of a 19-year-old female with madelung deformity of the right wrist. Conservative management with oral analgesics, activity restriction, and a volar splint was done as the patient was skeletally mature, had only mild pain with no functional limitation or gross deformity.
Original Research Article
Feb. 11, 2021
Role of MDCT in Assessment of Mediastinal Masses
Dr. Manish Bhagat, Dr. Vaishali Kundu, Dr. Eliza Kapadia
Sch J App Med Sci | 202-205
DOI : 10.36347/sjams.2021.v09i02.006
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Aim: Role of Multidetector Computed Tomography in Evaluation of Mediastinal Masses. Objectives: 1.To differentiates between benign and malignant mass lesions based on MDCT characteristics. 2. To evaluate the ability of MDCT to differentiate mediastinal masses based on CT characteristics and location. Result: Patient between 41 to 60 years is the most common age group having mediastinal mass and anterior mediastinal mass is the most common mediastinal mass. Conclusion: Multidetector computed tomography is a very useful modality in evaluating the mediastinal lesions, and provides precise information regarding the extent, tissue composition, lesion pattern enhancement and mediastinal and vascular invasion.
Original Research Article
Feb. 16, 2021
An Assessment of Postmenopausal Symptoms among Hilly and Urban Populations from Chattogram Division
RawshanAra Begum, Mohammad Ershad Alam, Nazneen Ahmed, Sonjib Chakraborty
Sch J App Med Sci | 206-211
DOI : 10.36347/sjams.2021.v09i02.007
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Background: Postmenopausal problems in women are major issues in their health concerns where they are disturbed by several postmenopausal physical and mental health problems. Which are disrupts their quality of life and regular activities. These difficulties are more prevalent in low-income countries where knowledge is minimal in these issues. It makes significant problems. The study aims to find out discrepancies among the hilly and urban intensity of postmenopausal challenges. Methods: In this study, self-administered questionnaires were used to get information about menopausal women in the urban and hilly areas. A total of 200 women’s general information, including social status, vasomotor and psychosomatic state was collected. All accumulated data were documented and analyzed in the IBM Statistical Package for Social Science (SPSS) version 26.0. Results: A Pearson chi-square test was performed to examine the relationship between location and other variables, where the level of significance p<0.05. The result shows that, Emotional Sensitivity: p>0.000, Irritability: p>0.048, Trouble of Recalling Memories: p>0.032, Bone Pain: p>0.002, Numbness of Fingers: p>0.015, Frequent Urination: p>0.001, Leaky Bladder: p>0.010. Conclusion: Significant differences of symptoms were observed in between women of Hilly and Urban area. These difficulties may hamper regular activities, so women should be aware of it and manage this situation smoothly and establish a quality lifestyle.
Original Research Article
Feb. 17, 2021
Positive Family Atopy, Family Lifestyle and Development of Allergy Diseases
Helena Munivrana Skvorc, Marko Skvorc, Iva Mrkic Kobal, Stefanija Munivrana
Sch J App Med Sci | 212-216
DOI : 10.36347/sjams.2021.v09i02.008
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Background: Atopic diseases are common disorders in childhood. Our aim was to estimate the association between family atopy, pet ownership, farming animals, exposure to tobacco smoke and house dust mites with development of atopic diseases. Methods: The study was undertaken among the 10-12 -year-old school children in northern Croatia (ISAAC Phase II). Results: A total of A 600 children participated in the study; of those 300 children with symptoms of allergy diseases. A total of 310 (51.7%) children had a positive family atopy. We found less symptoms in children who were exposed to animals and house dust mites. Exposure to pets was significantly lower in children with positive family atopy. Conclusions: The results of our study show that risk factor for development of atopy diseases is family atopy. There were inverse relationship between animal exposure and exposure to house dust mite and development of symptoms of allergy diseases.
Original Research Article
Feb. 17, 2021
Predictors of Short-Term Mortality in Hemodialysis Patients
Md. Mamunur Rashid, Pradip Kumar Dutta, Md. Nurul Huda, Biplob Kumar Barua, Dr. Mohammad Abdul Kader
Sch J App Med Sci | 217-222
DOI : 10.36347/sjams.2021.v09i02.009
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Objectives: In this study our main aim is to predict of short-time mortality in Hemodialysis patients. Methods: A prospective observational study was designed in 160 patients who were on maintenance hemodialysis twice and thrice weekly in different dialysis centers, Chittagong. At baseline information were collected & patients were followed up until their death or upto 1 year. Results: Of 160 patients studied mean age was 50.11±13.21 years, 66.25% were male, 35.00% were diabetic. Temporary dialysis catheters were the most common initial vascular access. The prevalence of positive hepatitis B virus surface antigen & anti hepatitis C virus surface antibody were 15.625% & 15.00% respectively. 38 patients died & mortality rate was 23.75%. Sepsis & IHD were the most common causes of death. DM, low serum albumin & high serum phosphorus were independent predictors of mortality. Conclusion: From our study we can say that, our findings indicated that mortality in patients on maintenance hemodialysis was disproportionately high. The most common causes of death were sepsis and IHD. Diabetes mellitus, low serum albumin and high serum phosphorus were found to be independent predictors of mortality. Higher serum albumin & low serum phosphorus level conferred a survival advantage.
Original Research Article
Feb. 18, 2021
A Study on the Spectrum of Neonatal Intestinal Obstruction in a Tertiary Care Centre
Amarendra Nath Sarkar, Partha Pratim Deb, Surajit Paul
Sch J App Med Sci | 223-226
DOI : 10.36347/sjams.2021.v09i02.010
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Neonatal intestinal obstruction is a common surgical emergency requiring intervention in newborn. This study was conducted amongst 40 diagnosed cases of neonatal intestinal obstruction admitted in the department of general surgery and paediatric medicine of North Bengal Medical College and Hospital during the study period. 1 out of every 156 neonates admitted in this hospital during the study period was a case of neonatal intestinal obstruction. There was a male preponderance with a male-female ratio of 3:1 (p<0.0001). 15% of neonates suffered from prematurity. Gestational age varied from 32 weeks to 42 weeks. 70% of neonates were below 2.5 kg at presentation (p=0.0003). Majority of neonates (55%) presented within 7 days of birth (p=0.3711). Most of the cases of anorectal malformations, intestinal atresia and meconium ileus presented within first week of birth while rest presented after 7 days. 45% of the neonates suffered from anorectal malformation, 25% suffered from Hirschsprung disease while 22.5% suffered from intestinal atresia. Other causes were malrotation and meconium ileus. Amongst anorectal malformations, high anomalies were commoner than low anomalies in this study (p<0.0001). Abdominal distension, failure to pass meconium within 24 hours, vomiting, constipation, absent anal opening was the common symptoms at presentation. There were 17.5% cases of complications following surgery for intestinal obstruction and majority of them were due to superficial wound infections. The mortality rate in our study was 12.5% and highest cases of mortality were seen in cases of intestinal atresia.
Original Research Article
Feb. 19, 2021
Early Outcome of Intra Peritoneal Onlay Mesh Repair for Ventral Hernia in Dhaka Medical College Hospital, Dhaka, Bangladesh
Rokhsana Sarmin, Md. Azizur Rahman, M Rashid-E-Mahbub AH, Syed Sanaul Islam, Farah Nobi, Sheikh Mamun Mohar
Sch J App Med Sci | 231-240
DOI : 10.36347/sjams.2021.v09i02.012
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Background: The common abdominal hernias include paraumbilical, umbilical, incisional and epigastric hernia. All varieties of ventral hernias are characterized by a defect in anterior abdominal wall. Incisional hernia is defined as a defect occurring through the operative scar. It is the only hernia considered to be truly iatrogenic. It occurs due to failure of the lines of closure of abdominal wall following laparotomy. Conventionally these hernias are treated by suture repair which has led to a substantial rate of recurrence whereby increasing demand for a better technique of repair. The introduction of mesh repair of these hernias has shown encouraging results over the past few years and many studies have shown a substantial decrease in the rate of recurrence with this technique. Objectives: To assess the early post-operative complications (within 30 days) following Intra peritoneal onlay mesh repair in Dhaka Medical Collage & Hospital, Dhaka, Bangladesh. Methods: This Observational study conducted in department of Surgery, DMCH, and Dhaka in study period from June 2016 to May 2017. A total of 30 patients were purposively selected from department of Surgery in DMCH who underwent laparoscopic Intra peritoneal onlay mesh repair for ventral hernia. Patients with ventral hernia in department of Surgery, DMCH, Dhaka in study period. Data analysis was done by SPSS for windows version 21. The 30 days post-operative outcome was analyzed. Postoperatively, patients were observed for Post-operative pain, seroma, post-operative ileus, post-operative cellulitis, wound infection, mesh infection, mesh migration, early mesh failure. Patients were followed up on 7th, 15th and 30th post-operative day. Results: With the objectives to determine the early post-operative complications (within 30 days) following Intra peritoneal onlay mesh repair in department of surgery in DMCH, a total of 30 patients were purposively selected. It was found that more than half of the patients........
Original Research Article
Feb. 23, 2021
The Relationship of AMH Level with Ovarian Response in PCOS Patients
Dr. Iffana Azam, Dr. Shahana Ferdous Choudhury, Dr. Natia Rahnuma
Sch J App Med Sci | 241-247
DOI : 10.36347/sjams.2021.v09i02.013
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Introduction: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder of women of reproductive age. Anti-Mullerian hormone (AMH) has a glycoprotein dimer structure and is a member of the transforming growth factor-β (TGF-β) family. AMH is produced by the granulosa cells surrounding preantral and antral follicles and has an important role in the development and maturation of follicles. Several studies have suggested that AMH serum levels may be a marker for polycystic ovary syndrome (PCOS). Serum AMH has also demonstrated its utility in the treatment of infertility. Objective: To assess relationship of AMH level with ovarian response in Polycystic Ovary Syndrome (PCOS) patients. Methods: This is a cross sectional comparative study which was held at Sylhet women’s Medical college from 2018 to 2019. Result: In this study 45 respondent had participated. For statistical analysis of this study AMH divided by two sub groups Group A (<8) and Group B (8<) and study found that 50.7% respondent had AMH which is Group A (<8). This study also revealed the negative correlation between AMH and follicle size (r= -0.288). On other hand AMH Group have positive correlation between LH (r = 0.238. Besides follicle size have positive correlation with ET (r=0.044) which is statistically significant. Conclusion: From this study it is easily understandable that AMH plays an important role to predict ovarian response to ovulation education in Polycystic Ovary Syndrome (PCOS) patients.
Does Obesity Increase The Morbidity and Mortality in COVID-19 Patients? Evidence Based Clinical Review
Dr. Ajeet Subramaniam, Dr. Rania Mansour Elsayed
Sch J App Med Sci | 248-252
DOI : 10.36347/sjams.2021.v09i02.014
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Obesity is a global disease. This study explores the links between obesity and morbidity and mortality in COVID-19. The coronavirus disease 2019 (COVID‐19) is caused by a single‐stranded RNA virus. Recent data suggest that people with obesity are at increased risk of severe COVID-19. Obesity increases risk for hospitalization, ICU admission, Invasive Mechanical Ventilation requirement and death among patients with COVID-19. This study also highlights the pathways by which complications arise in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A hyperinflammatory reaction through the excessive release of cytokines, a condition known as "cytokine storm is responsible for increased morbidity and mortality. We also discuss how severe acute respiratory syndrome coronavirus 2 penetrates human cells through direct binding with angiotensin-converting enzyme 2 receptors on the cell surface. Angiotensin-converting enzyme 2 expression in adipose tissue is higher than that in lung tissue, which means that adipose tissue may be vulnerable to COVID-19 infection.
Original Research Article
Feb. 24, 2021
Clinicoetiological Profile of Pulmonarythrombo Embolism in a Tertiary Care Hospital
Dr. Sachin Aurade, Dr. Hemamalini Gururaj, Dr. ArchanaDambal, Dr. Neelakanth S Patil
Sch J App Med Sci | 253-256
DOI : 10.36347/sjams.2021.v09i02.015
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Background: Pulmonary embolism is a potentially fatal disorder for which anticoagulation therapy improves the outcome. Aim is to study the clinical profile, diagnostic methods and management in patients with pulmonary embolism. Methods: Retrospective assessment of clinical features and management of 34 patients presenting with pulmonary embolism from January 2019 to December 2019 in the department of General Medicine at SDM CMS & H tertiary care centre. Results: 34 patients who were diagnosed to have pulmonary embolism with a mean age 51.3 years were included in the study. Dyspnea (30) and lower limb swelling were predominant symptoms. The most common ECG finding was sinus tachycardia in all patients followed by Q3T3 in 11 patients followed by RBBB in 9 patients followed by S1T3 and S1Q3T3 in 5 patients and T wave inversion in v2-v5 in 3 patients. 32 patients showed positive D dimer levels. 8 patients had hypoxia on arterial blood gas analysis. 15 patients had lower limb proximal deep vein thrombosis. Echocardiography was done in all patients. 26 patients had pulmonary arterial hypertension and 23 patients had RV dysfunction. Conclusion: Pulmonary embolism is a common problem and can be easily diagnosed provided it is clinically suspected. Early diagnosis and aggressive management is the key to successful outcome.
Original Research Article
Feb. 25, 2021
An Assessment of Lumbar Intervertebral Disc Prolapse (PLID) Surgery
Dr. Md. Rezaul Karim, Dr. Tapas Kumer Talukder, Dr. Md. Enamul Hoque, Dr. Md. Mahbub Hasan
Sch J App Med Sci | 257-259
DOI : 10.36347/sjams.2021.v09i02.016
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Introduction: Prolapse of lumbar intervertebral discs (PLID) is a major cause of morbidity. Back pain and sciatica are very common in adult persons. More careful assessment must be done to treat these patients. Injudicious treatment, whether medical or surgical, may aggravate the sufferings. Objective: This study aim was to assess the Lumbar Interverterbral Disc Prolapse (PLID) surgery. Material & Methods: This was a descriptive type of study. The study period extends from October 1, 2017 to September 30, 2019 (Two years). The study was carried out in the Department of Orthopaedic Surgery, Shaheed Ziaur Rahman Medical College Hospital (SZMC), Bogura, Bangladesh. We used purposive sampling method. Among the total study population 74 (70.48%) were male and 31 (29.52%) were female. Age range was 20-59 years. Written informed consent was obtained in favor of all the participants before enrolling into the study. Results: A total of 105 patients were operated and observed periodically in outdoor. Most of them 70.48% of them were male. Majority 45.72% were aged between 30-39 years, 35.24% were in between 20-29 years age, 15.24% were in between 40-49 and 3.80% were aged between 50-59 years. preoperative symptomatology majority 47.62%) had radicular pain, 35.24% had low back pain and 17.14% patients had lower extremity numbness. Distribution of level of disk prolapse majority 55.25% were in between L4-L5 level. Outcome of operation where majority 92.38% of the patient had no pain. Conclusion: PLID surgery is not a routine surgery. Proper assessment of the patient must be done before going to operation.
Original Research Article
Feb. 26, 2021
A Comparative Study of Immunochromatographic Test (ICT) and Bone Marrow Aspiration for the Diagnosis of Kala-Azar in Children
Kundu NK, Siddique AB, Sarkar MAM, Uddin MB
Sch J App Med Sci | 260-266
DOI : 10.36347/sjams.2021.v09i02.017
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Introduction: Kala-azar or visceral leishmaniasis is a parasitic disease caused by Leishmania of the L. donovani complex. The Indian term kala-azar for this disease denotes black sickness and also hyperpigmentation seen in those patients. Immunochromatographic test (rk39) for VL is a qualitative, membrane based immunoassay for the detection of antibodies to visceral leishmaniasis in human serum. Aim of the study: To evaluate the immunochromatographic test (ICT) and bone marrow aspiration test for the diagnosis of kala-azar in children. Material & Methods: This hospital based descriptive cross-sectional study was conducted in all the Paediatric units of Rajshahi Medical College Hospital from the period of April 2006 - December 2007. A total of 70 suspected cases of kala-azar patients were included in this study. Forty six (46) patients were diagnosed as a case of kala-azar, 24 patients were other than kala-azar. All data were analyzed by using SPSS (Statistical Package for Social Science) software package for entry, classification, analysis and interpretation of results. Results: A total of 70 suspected case of Kala-azar (Fever more than two weeks, pallor, hepatosplenomegaly) patients were enrolled in this study. Among them 46 patients (65.71%) were diagnosed as a case of Kala-azar, 24 patients (34.29%) were other than kala-azar. Among the kala-azar patients, most affected age group was 5-10 years. Male and female ratio was 1.71:1.Bone marrow study for LD body and ICT strip test performed in all 70 suspected case of Kala-azar. Among them LD bodies were found in 29 patients (41.43%) and LD body was not found in 41 patients (58.57%). Among them 24 cases were diagnosed other than Kala-azar.Among the Kala-azar cases (46 patients) LD body was not found in 17 cases (36.96%). Among the suspected Kala-azar patients 43 patients (61.43%) were ICT positive, 27 patients (38.57%) were ICT negative. No patient of ‘other than Kala-azar’gave ICT positive result. ....................
Original Research Article
Feb. 26, 2021
Assessment of the Prevalence of Malnutrition in Under 5 Aged Children of Slums in Dhaka City, Bangladesh
Md. Aynal Hoque, Hossain Sahid Kamrul Alam, Md. Abu Sayeed, A. T. M. Azharul Haque
Sch J App Med Sci | 267-270
DOI : 10.36347/sjams.2021.v09i02.018
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Background: The uncontrollable rapid growth of urban slum population, accompanied by poor nutritional status is a devastating problem. This study was aimed to assess the prevalence of protein energy malnutrition (PEM) in slum areas of Dhaka city. Methodology: This cross sectional study was conducted among 500randomly selected children aged 6 months to 5 years of Agargaon and Beribadh slum of Dhaka city, Bangladesh. After taking consents from parents anthropometric measurements were done using standard methods. These are weight, height, MUAC and age. Data were entered onto a questionnaire and analyzed using SPSS windows 21 programs. Results: Amongst the 500 under 5 aged children male to female ratio was equal (1.08:1). Majority (125) children were 13 months to 24 months aged. According to weight for height Z-score, 16% of the children had mild to moderate wasting and 07% had severe wasting. According to height for age Z-score about 36% of children were stunted (mild/moderate) and 05% children were severely stunted. About 31% of children were under weight (mild/moderate) and 04% children were severely underweight. According to MUAC classification 32% of children had mild/ moderate malnutrition and 08% had severe malnutrition. Conclusions: Overall, nutritional status of the under 5 children of slums of Agargaon and Beribadh were below acceptance.
Original Research Article
Feb. 27, 2021
Extracranial Internal Carotid Artery Aneurysms: Case Report of a Saccular Wide-Necked Aneurysm and Review of the Literature
A. K. Al Miraj, Md. Saleh Ahammed, Mohammad Ata Ullah, Muhammad Abduz Zaher, A. K. M. Latiful Bari, Shohel Mahmud Khan, Md. Kawsur Ahmed, Md. Wares Ali, Md. Magfur Rahman
Sch J App Med Sci | 271-276
DOI : 10.36347/sjams.2021.v09i02.019
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Purpose to describe a case of atherosclerotic Extracranial internal Carotid Artery Aneurysm (EICAA) with an unique “Oval” morphological structure, surgically treated and to review the ex- periences of major referral centers. Case Report: a 60-year-old woman presented with a slowly growing pulsatiling mass for 2 and ½ years years, Occ. dysphagia and Occ. Headeche and Digginess; duplex ultrasonography and MRA scan demonstrated a wide-necked, saccular aneurysm at the origin of the right Internal Carotid Artery (ICA). A total aneurysmectomy with end to end to end anastomosis of the aneurysm of the neck on the carotid wall was successfully performed. No perioperative complications were encountered; at two months follow-up the patient was symptoms significantly subsided without any neurological complication and with carotid patency about 45-50% stenosis. Conclusions: open surgery remains may be the gold standard for the treatment of extracranial internal carotid artery aneurysms in terms of patency and reduced risk of adverse complications; endovascular procedures may, in selected cases, provide a valuable additional tool in the armoury of the physician. (www.bsmmu.org.bd).
Original Research Article
Feb. 27, 2021
Evaluation the Ability of “STONE Nephrolithometry Score in Predicting Stone Clearance Rate and Complications Rate by Modified Clavien Classification”
Khan Nazrul Islam, S. A. Anwarul Quadir, Md. Naushad Alam, Md. Shawkat Alam, Bivash Boran
Sch J App Med Sci | 277-282
DOI : 10.36347/sjams.2021.v09i02.020
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Background: Percutaneous nephrolithotomy (PCNL) is the minimally invasive treatment modality for complex kidney calculi and considered as the standard treatment for large and complex renal stones. With the marked increase in the incidence and prevalence of renal stones, the use of percutaneous nephrolithotomy (PCNL) is now considered as the standard treatment for large and complex renal stones. New predictive tools have recently emerged to systematically and quantitatively assess kidney stone complexity to predict outcomes following PCNL. Objective: To prospectively evaluate the ability of ‘stone nephrolithometry score in predicting stone clearance rate and complications rate by modified clavien classification (within 30 days of the procedure). Materials and Methods: A Prospective observational study done in the duration from Jun 2018 to July 2020. All patients having renal stone admitted for PCNL in Urology Department, National Institute of Kidney Diseases & Urology (NIKDU), Dhaka, Bangladesh. Results: A total 100 patients fulfilled the inclusion and exclusion criteria for undergoing the PCNL for this study. Ninety patients had total clearance. In complete clearance group average stone size is 810 mm2, Avg tract length was 87.61mm and average calyces involved was 1.1 with density of stone of 1024.9 HU. Conclusion: The STONE score is a simple and easy to apply system for predicting the complexity of the stone for PCNL, and stone clearance rate.
Original Research Article
Feb. 27, 2021
Clinical Profile and Outcomes of Angiographic Severity in Patients with ST Segment Elevation Myocardial Infarction with Reciprocal ST Segment Depression
Md. Magfur Rahman, A. K. Al Miraj, H. N. Ashikur Rahaman
Sch J App Med Sci | 283-290
DOI : 10.36347/sjams.2021.v09i02.021
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Background: The importance of reciprocal ST segment depression throughout acute infarct has been a region of dialogue, whether or not it's a symptom of multivessel unwellness, ischemia at a distance or just a benign physical phenomenon. Objective: To find out the Clinical Profile and Outcomes of Angiographic Severity in Patients with ST Segment Elevation Myocardial Infarction with Reciprocal ST Segment Depression. Patients and Methods: The current study was conducted as a prospective, controlled single center study involving two hundred patients with ST elevation Myocardial infarction who were admitted to the Department of Cardiac Surgery, Bangabandu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh and had undergone coronary angiogram with PCI result in the Clinical Profile And Outcomes of angiographic severity in patients with ST segment elevation myocardial infarction association with reciprocal ST segment depression period between January 2018 and December 2018. Two hundred ST elevation infarction patients (100 inferior, one hundred anterior), every cluster was sub-grouped into a pair of subgroups consistent with the presence of reciprocal ST segment depression or absence: in anterior STEMI cluster we have a tendency to had subgroup A1 with RSTD (41 patients) and subgroup A2 while not RSTD (59 patients) whereas in inferior STEMI cluster every sub-group (B1 and B2) consisted of fifty patients. Coronary angiography was done in all patients within 15 days of acute ST segment elevation with RSTD or non-RSTD having including primary PCI, thrombolytic therapy and SC LMWH. Results: This study was Patients with reciprocal ST segment depression showed a significant lower mean Left ventricular ejection fraction compared to those without (37 + 3% vs 53 + 5% P < 0.001, anterior ST elevation myocardial infarction subgroups) & (47 + 4% vs 60 + 3% P < 0.001, inferior ST elevation myocardial infarction sub-groups). Multivessel disease was higher incidence of found.....
Original Research Article
Feb. 28, 2021
Primary Fallopian Tube Carcinoma: Case Report of Rare Malignancy
Dr. Parul Garg, Dr. Sarita Nibhoria, Dr. Shilpa Pal, Dr. Navjot Kaur, Dr.Bikramjit Singh
Sch J App Med Sci | 291-293
DOI : 10.36347/sjams.2021.v09i02.022
Abstract
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Primary fallopian tube carcinoma is an extremely uncommon tumor of female genital tract origin. Histologically and clinically it resembles the epithelial ovarian cancer. Due to its nonspecific symptomatology and rarity of this neoplasm, correct preoperative diagnosis is made only in 4% of the cases and is usually first recognized by pathologist. We hereby present a case of primary fallopian tube carcinoma. A 42-year-old female who presented with intermittent vaginal bleeding, lower abdominal pain, and pelvic mass. On physical examination, lower abdominal tenderness was present. The clinical and radiological findings suggested adnexal tumor with elevated CA-125 levels. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. On histopathology a diagnosis of High grade serous carcinoma of the fallopian tube was given.This case is being reported due to the scarcity of data published from the Indian population and rarity of this neoplasm.
Original Research Article
Feb. 27, 2021
Association of Comorbidities in Diabetic Patient and Their Treatment Approach
Fatema Soufe, Aktham Ghazal
Sch J App Med Sci | 294-298
DOI : 10.36347/sjams.2021.v09i02.023
Abstract
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Diabetes is a metabolic disorder characterize by increase blood glucose level. Type 2 diabetes occurs most often in middle-aged and older people is the most common type of diabetes. Our present study was to assess the various comorbid conditions associated with diabetes and their treatment approach in Qatar diabetes patients visited to primary health care centers over the year May 2019- Apr 2020. Three hundred Seventy Four (374), patients with type 2 diabetes were enrolled in this study during routine visits to the Primary health care corporation in Qatar. Most number of patients was found females compared to males. In our study it was also found that most the patients have multiple comorbidities and main are Obesity, Hypertension, Hyperlipidemia, Neuropathy, Nephropathy, Coronary Artery Disease and Retinopathy. The main reason behind the problem is unhealthy diet. Atorvastatin, Losartan, Acetaminophen, Aspirin and their combinations are highly found in prescriptions. In conclusion, it can say that it need to concern about various comorbid complications with diabetes. Not only with medication, has it required to make patient need to educate for food habits, exercise and other way to prevent diabetes.
