KYAMC Journal最新文献

{"title":"Pneumatosis Cystoides Intestinalis: A rare cause of intestinal obstruction","authors":"S. B. Sharif, Halima Khatun, Shakila Jannat, K. S. Naznin, Amanul Islam","doi":"10.3329/kyamcj.v13i3.63275","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63275","url":null,"abstract":"There are many well-known causes of acute or sub-acute intestinal obstruction. But Pneumatosis cystoides intestinalis (PCI) is a rare cause and can easily be misdiagnosed. PCI refers to presence of air within the wall of small or large intestine. This benign disease having both idiopathic and secondary causes with different contributing pathogenic factors that confuses many doctors. In most of the time it is asymptomatic, but clinical signs and imaging impressions may mimic true abdominal visceral perforation or soft tissue stranding leads to mechanical obstruction. PCI is sometimes incidentally found during radiological evaluation, endoscopic procedure or laparotomy. Surgery is not recommended for PCI if there was no intestinal obstruction, because of high operative risk. So correct diagnosis is imperative as treatment of PCI is generally conservative. We are presenting a case of intestinal obstruction who underwent to laparotomy followed by the histopathological diagnosis as a case of PCI.\u0000 KYAMC Journal Vol. 13, No. 03, October 2022: 177-180\u0000 ","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87292111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conservative Treatment Alone and with Diclofenac Sodium Phonophoresis on The Patients With Low Back Pain Due to Prolapsed Lumbar Intervertebral Disc","authors":"H. Rahman, A. Haque, M. Emran, A. Zaman","doi":"10.3329/kyamcj.v13i3.63204","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63204","url":null,"abstract":"Background: Prolapsed lumbar intervertebral disc (PLID) one of the major causes of low back pain. The PLID has become an important and increasingly general health problem, both in Bangladesh and across the world. Phonophoresis has been used clinically since the early 1960s in attempts to drive these drugs transdermally into subcutaneous tissues. The efficacy of Phonophoresis has not been conclusively established in PLID linked low back pain.\u0000Objective: To evaluate the effects of Diclofenac Sodium Phonophoresis on patients with low back pain due to PLID.\u0000Materials and Methods: The comparative study was conducted on the 72 patients diagnosed as PLID after being confirmed by Magnetic Resonance Imaging (MRI) and, were randomly assigned to Group A(Control group) and Group B (Case group), 36 patients in each group. Visual analog scale (VAS), Straight leg raising (SLR) test used to assess the effects on the last 3rd day of the consecutive week.\u0000Results: There were significant differences of improvement in outcome measure between the two groups from pretreatment to week 4. After 4 weeks of treatment VAS score in Group A was 2.10±0.5 and in Group B was 1.7 ± 0.5,P-Valuewas0.026.The significant improvement was observed in Group B patients, and according to Straight leg raising test of patients in Group A was 65.27± 7.36 and for group B it was 75.1 ±6.9. P-Value of 0.069 implies that it was not significant.\u0000Conclusion: Effectively managed Diclofenac sodium Phonophoresis can reduce the pain consistency of PLID to a major extent.\u0000KYAMC Journal Vol. 13, No. 03, October 2022: 158-164","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"152 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86670725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hepatitis B Seropositivity in Hospitalized Children Suffering from Acute & Chronic Liver Disease, Bangladesh Perspective","authors":"Prokash Chandra Ray, Mohammad Shariful Hasan, U. K. Shoma, Md Shafiul Alam, K. Fathema, Ruhina Tasmeen, Lubana Akram","doi":"10.3329/kyamcj.v13i3.63235","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63235","url":null,"abstract":"Background: Hepatitis B Virus (HBV) infection is often found in the pediatric population. Virus-related liver diseases are an important cause of morbidity and mortality in Bangladesh. The present study will provide information regarding the seropositivity of HBV infection, risk factors & clinical profile of children suffering from hepatitis. This will ultimately help in early diagnosis and appropriate preventive and curative measures in order to reduce the burden of liver disease in our country.\u0000Objective: To ascertain the frequency of Hepatitis B Infection among hospitalized children with acute & chronic liver disease.\u0000Materials and Methods: This is a cross-sectional study. A total thirty (30) pediatric patients with acute or chronic liver disease were enrolled in this study. The study was of six months duration from July 2018 to December 2018 in (BSMMU), Paediatric Gastroenterology & Nutrition Department. Children with stigmata of acute & chronic liver disease (ALD /CLD), history of jaundice, and raised ALT level were included and normal ALT level, organomegaly with ascites other than liver disease, patients with acute hepatic failure, suffering from acute hepatitis other than viral infection were excluded. The presence of HBsAg in these patients was detected by (ELISA). In addition to HBsAg, CBC with film, serum bilirubin, prothrombin time , Serum Glutamic Pyruvic Transaminase (SGPT), and serum total protein of each patient was done. Both clinical and laboratory data were collected in a data sheet.\u0000Result: Mean age was 8.83 + 4yrs; where all patients were 1 to 14 years age . The male and female ratio was 3.3:1. Non-specific symptoms were Jaundice (76.7%), ascites (50.0%), nausea and vomiting (46.7%) & abdominal pain (40.0%). In this study 76.7% had hepatomegaly and 40.0% had splenomegaly. The Seropositivity rate of HBsAg was found 36.7%. Among all patients of CLD 7 (41.2%) had positive HBsAg and 4 (30.8%) patients of acute ALD had positive HBsAg. Overall Seropositivity rate of HBsAg was found 36.7% of ALD.\u0000Conclusion: High seropositivity of HBV in hospitalized pediatric patients which might indicate significant infection among the general pediatric population.\u0000KYAMC Journal Vol. 13, No. 03, October 2022: 165-169","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"203 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86949385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Vitamin E on Serum Creatinine level on Gentamicin Induced Nephrotoxicity in Long Evans rats","authors":"Mohammad Shameem Ahmed, Ayesha Yasmin, Rashed Mustafa, Abdullah Al Masud, Ashrafuzzaman","doi":"10.3329/kyamcj.v13i3.63195","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63195","url":null,"abstract":"Background: The kidneys are one of the vital organs of our body to excrete metabolic waste products, drugs and chemicals in the form of urine.\u0000Objectives: This study was carried out to observe the effect of Vitamin E on gentamicin-induced nephrotoxicity by assessing serum creatinine level in Long Evans rats.\u0000Materials and Methods: The experimental study was carried out on 40 Long Evans rats of both sex with the weight ranges from 172-255 gm and the age ranges from 7 to 10 weeks. The rats were divided into four groups- Group A (control) received normal saline, group B, C and D received gentamicin for 6 days, rats of group C received vitamin E capsule for 9 days with gentamicin whereas, group D received vitamin E capsule with gentamicin for total 10 days. Serum creatinine level was measured at the end of experiment.\u0000Results: The mean (mean+ SD) serum creatinine levels in group A, B, C and D were 0.98+0.34, 2.36+ 0.44, 1.39+0.18 and 1.30+0.18 respectively. The differences between the groups were highly significant (p<0.001) in group A&B, B&C and B&D whereas the difference between C&D was not significant (p>0.50). Serum creatinine level on the normal saline control (group A) was within normal limit (0.98mg/dl). Serum creatinine level in gentamicin treated (group B) rats were more in comparison to gentamicin and vitamin E treated rats (group C&D) and pretreatment with longer duration group (group D) showed lower serum creatinine level than the shorter one (group C) though there was no significant difference.\u0000 Conclusion: Vitamin E treatment showed some protective effects against gentamicin induced nephrotoxicity. The results also indicated that effectiveness of vitamin E depends on a suitable duration of pretreatment for better protection against gentamicin-induced nephrotoxicity.\u0000KYAMC Journal Vol. 13, No. 03, October 2022: 149-152","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"140 S263","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91435400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison Between Clonazepam and Bromazepam as Premedication Drugs to Reduce Anxiety in Patients Undergoing Elective Surgery Under General Anaesthesia","authors":"M. E. Karim, Md Muzibur Rahman, R. Ershad, Ram Mustafijur Rashid","doi":"10.3329/kyamcj.v13i3.63153","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63153","url":null,"abstract":"Background: The majority of patients admitted in hospital for elective surgery experience anxiety preoperatively which can adversely influence the surgical procedure as well as the patient’s recovery. Reduction of anxiety and fear during preoperative period in patients of elective surgery is an essential surgical preparation. Benzodiazepines are the most commonly used drugs for this purpose.\u0000Materials and Methods: The study was carried out in a series of 60 consecutive, randomly selected patients, aged 18-60 years, admitted for elective surgery under General Anaesthesia, in Combined Military Hospital, Chattogram during the period September 2021 to February 2022. Patients who received Clonazepam or Bromazepam as preoperative medication were included in the study. Anxiety was scored using VAS (Visual Analogue Scale), sedation was scored by using Ramsay Sedation Scale and anterograde amnesia by asking preoperative events after 24 hours of premedication.\u0000Results: While evaluating mean anxiety reduction, mean reduction is not significantly different between the two groups (P value 0.856). Sedation level was more achieved with Clonazepam but that was not statistically significant (mean 2.13 vs mean 2.0, P value 0.557). In the Clonazepam group, greater percentage of patients could not recall preoperative events but that was not statistically significant (average 51.10% vs 39.99%, P value>0.05). Incidence of adverse effects was more in the Bromazepam group (16.66% vs 6.66%).\u0000Conclusion: The standard administration of Clonazepam and Bromazepam before operation provides patients with a moderate reduction of periprocedural anxiety. Clonazepam produces more amnesia, sedation and less adverse effects.. Therefore, this study favors routine use of Clonazepam as premedication to reduce anxiety before surgery.\u0000KYAMC Journal Vol. 13, No. 03, October 2022: 139-144","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79396932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Burkholderia Cepacia Complex Septicemia in a Newborn","authors":"Q. M. Haque, Md Arifur Rahman, A. Ahmed, Shafi Ahmed","doi":"10.3329/kyamcj.v13i3.63288","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63288","url":null,"abstract":"Burkholderia cepacia complex (Bcc) has rarely been reported to cause sepsis in newborns. A case in a newborn male was reported in a tertiary hospital in northern part of Bangladesh Khwaja Yunus Ali Medical College and Hospital, Sirajganj. The baby was born to a preeclamptic mother. He was quite well after a normal vaginal delivery. After 6 days, the baby was admitted to neonatal ward on complaint of dyspnea and fever. Antibiotic therapy was begun after samples for hemocultures were obtained with the suspicion of sepsis according to the clinical and laboratory findings. At the same time, he had a respiratory distress and grunting along with the absence of crying for a prolonged period of time. He was jaundiced. Blood culture revealed the presence of Bcc. The patient was sent to the Intensive Care Unit for resuscitation. Antibiotic susceptibility test of the blood specimen showed sensitivity to amikacin, ceftazidime, trimethoprim-sulfamethoxazole, meropenem and levofloxacin. Symptoms improved with medical support along with antimicrobial therapy. This case highlights the importance of diagnostic blood culture of an acute sepsis condition to obtain a specific etiological diagnosis and management.\u0000 KYAMC Journal Vol. 13, No. 03, October 2022: 181-182","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74101962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of Antenatal Care Received by Working Mothers and Their Pregnancy Outcome","authors":"Taslima Akber Happy, M. R. Hasan, Tania Rahman, L. Yesmin, Ayesha Yeasmin, S. Biswas, Mahmudul Haque","doi":"10.3329/kyamcj.v13i2.61335","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i2.61335","url":null,"abstract":"Background: Now a days, women are joining almost in every sector of the workforce. In view of these changes, it is necessary to find out whether the health of the working mother or their progeny has been consequently compromised.\u0000Objectives: To identify the utilization pattern of Antenatal Care (ANC) received by working mothers and their pregnancy outcome.\u0000Materials & Methods: A cross-sectional study was conducted on 242 admitted working mothers with a history of recent delivery in Dhaka Medical College Hospital (DMCH), Dhaka from January 2013 to December 2013.\u0000Results: Majority (61.2%) of the mothers was in the age group of 20-30 years with an average income 4885.95 Tk. Two fifth (42.1%) of them were garment workers. Only one-third (33.9%) mother received regular ANC. Majority (79.3) of them received their ANC from doctors and rest of them from Non-Government Organizations (NGO) workers (11.6%), nurses (2.5%) and health assistant (1.7%). Mothers with a history of irregular ANC showed almost 5 times more likely to develop anemia than the mothers with history of regular ANC (p < 0.001). Mean level of birth weight was highest among regularly ANC taking group found in one-way ANOVA (F = 7.24, P<0.05).\u0000Conclusion: As ANC has direct effect on a mother’s health and pregnancy outcome employers should have ANC policy for their women workers.\u0000KYAMC Journal Vol. 13, No. 02, July 2022: 86-80","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81132103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicopathological Study of Pleural Effusion In A Tertiary Care Hospital.","authors":"Asmaul Haque, Md Imrul Kaes, Amanul Islam, N. Mohammad","doi":"10.3329/kyamcj.v13i2.61339","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i2.61339","url":null,"abstract":"Background: Pleural effusion is an excess fluid that accumulates between two pleural layers. Pleural fluid analysis and cytology are the mainstays for diagnosing various pulmonary diseases. Levels of adenosine deaminase (ADA) are particularly useful in areas where the prevalence of tuberculosis is high.\u0000Objectives: To find the clinical profile and various etiology of pleural effusion in respect of age and sex and level of adenosine deaminase in the different causes of pleural effusion.\u0000Materials and Methods: This was an observational study carried out in the Department of Laboratory Medicine of a tertiary level teaching hospital, Khwaja Yunus Ali Medical College & Hospital (KYAMCH), Enayetpur, Sirajganj, Bangladesh. Biochemical analysis was done by Olympus AU-400 and cytology was done by Papanicolaou stain.\u0000Result: A total of 173 cases of diagnosed pleural effusion was taken in the present study. Tuberculosis was the primary etiology of the total 82 cases (47.39%), followed by malignancy accounting to 30 cases (17.34%). These two were followed by parapneumonic effusion (10.40%). ADA level is highest in TB (167U/L) in comparison with malignancy, transudative cause and other causes.\u0000Conclusion: Most common cause of pleural effusion in the tertiary hospital setting is tuberculosis, followed by malignant pleural effusion and ADA level is highest in TB than any other cause.\u0000KYAMC Journal Vol. 13, No. 02, July 2022: 98-101","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87473358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Experience of Atypical Mycobacterial Postoperative Infection in a Tertiary Hospital","authors":"Q. M. Haque","doi":"10.3329/kyamcj.v13i2.61331","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i2.61331","url":null,"abstract":"Abstract not available\u0000KYAMC Journal Vol. 13, No. 02, July 2022: 61-62","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"36 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89430215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MDCT Detection of Omental Metastases with Peritoneal Carcinomatosis and Ascites in Prostate Cancer: An unusual metastatic site","authors":"Khaleda Parvin Rekha, D. Ray, Razina Jubaida, M. Sharif, Musharraf Hussain","doi":"10.3329/kyamcj.v13i2.61344","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i2.61344","url":null,"abstract":"Prostate cancer is the second most common cause of cancer related death in males. The most common sites of prostate cancer metastases include bone and regional lymph nodes followed by lung, liver and brain. Peritoneal metastasis without skeletal involvement is extremely rare, with only a few cases reported in the literature. We present herein a patient of prostate cancer with omental metastases and peritoneal carcinomatosis accompanied by ascites but without bone metastases. The importance of this case report is to keep in mind that the lack of skeletal involvement does not exclude the possibility of distant metastases in prostate cancer. Prostate cancer can present with distant metastases in unexpected sites. The presence of ascites may indicate peritoneal involvement.\u0000KYAMC Journal Vol. 13, No. 02, July 2022: 124-126                                                      ","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78429945","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}