Journal of Enam Medical College最新文献

{"title":"A Young Boy with Multiple Bony Overgrowths","authors":"M. Hannan, R. Hasan, S. Jahan, S. Morshed","doi":"10.3329/JEMC.V9I1.39908","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39908","url":null,"abstract":"Hereditary multiple exostoses is a rare autosomal dominant pediatric disorder with an incidence of about 1:50000 characterized by multiple cartilage-capped bony protuberances, called osteochondromas or exostoses, projecting from the metaphyses of long bones. It is caused by loss of function mutations in exostosin-1 and exostosin-2 genes that encode glycosyltransferase enzymes involved in the synthesis of heparan sulfate which has fundamental role in extracellular matrix formation during bone development. It commonly presents with compressive symptoms due to bony overgrowth involving all bones except calvarium and rarely transformed into malignancy. No definite treatment is available, but careful screening of these exostoses with timely referral to respective surgeon prevents long term complications and improves quality of life. \u0000J Enam Med Col 2019; 9(1): 60-63","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I1.39908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49196760","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":"Diagnostic Accuracy of Fine Needle Aspiration Cytology in Diagnosis of Tuberculous Lymphadenitis","authors":"Tamanna E Nur, A. Shirin, Monimala Saha","doi":"10.3329/JEMC.V9I1.39901","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39901","url":null,"abstract":"Background: Tuberculosis is still a global health problem. Most common presentation of extrapulmonary tuberculosis is tuberculous lymphadenitis. In our setting, keeping huge burden of tuberculosis in mind, clinicians have to depend on pathological diagnosis of enlarged lymph nodes, i.e., cytomorphology with acid-fast staining in diagnosing these cases so that diagnosis and management of such cases can be initiated quickly. Fine needle aspiration cytology (FNAC) of lymph nodes has been a simple, rapid and cost-effective procedure for diagnosis of various causes of lymphadenopathies. \u0000Objective: To determine the diagnostic accuracy of fine needle aspiration cytology in providing a diagnosis of tuberculous lymphadenitis patients in Bangladesh. \u0000Materials and Methods: This cross-sectional study was done on 317 subjects in Bangabandhu Sheikh Mujib Medical University (BSMMU) in collaboration with icddr,b. After clinical examination, fine needle aspiration (FNA) was done. The FNA materials were processed for Papanicoulaou staining (PAP stain), Ziehl-Neelsen staining and culture for the diagnosis of tuberculosis. Sensitivity, specificity, positive and negative predictive values of FNAC were determined where culture was taken as the gold standard. \u0000Results: Initially 351 clinically suspected tuberculous lymphadenitis patients were enrolled, but 34 cases were excluded due to diagnosis of malignancy. Among them 123 were male and 194 were female. Mean age was 27.91±13.16 years. Among the subjects 95.9% presented with cervical lymphadenopathy, others presented with lymphadenopathy of axillary or other groups of lymph nodes. The results of cytomorphological diagnosis of TB were in 58.36% cases, and culture was positive in 23.3% cases. Sensitivity, specificity, positive predictive value and negative predictive value of cytomorphological diagnosis were 79.7%, 48.1%, 31.9% and 88.6% respectively. \u0000Conclusions: FNAC is an effective diagnostic method for tuberculous lymphadenitis. It can diagnose granulomatous inflammation as well as reactive and other disease conditions including malignancies, thereby providing more information about the patient’s disease status. \u0000J Enam Med Col 2019; 9(1): 30-33","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I1.39901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44592674","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":"Antibiotic for Future: Disarm Bacteria, Don’t Kill!!","authors":"M. Begum","doi":"10.3329/JEMC.V9I1.39897","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39897","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2019; 9(1): 4","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I1.39897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48992221","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":"From the Desk of Editor-in-Chief Vol 9(1)","authors":"Aminul Haque Khan","doi":"10.3329/jemc.v9i1.39896","DOIUrl":"https://doi.org/10.3329/jemc.v9i1.39896","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2019; 9(1): 3","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v9i1.39896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47314228","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":"Locally Aggressive Glioma in a 55-Year-Old Female","authors":"Mashah Binte Amin, Tarana Yasmin","doi":"10.3329/JEMC.V9I1.39909","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39909","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2019; 9(1): 64-66","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I1.39909","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48211409","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":"Endoscopic Retrograde Cholangiopancreatography (ERCP) Experience in a Tertiary Level Hospital in Bangladesh","authors":"M. Hasan, Nelson Taposh Mondal, Mahbub Hossain, I. Perveen","doi":"10.3329/JEMC.V9I1.39898","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39898","url":null,"abstract":"Background: Although endoscopic retrograde cholangiopancreatography (ERCP) was first described as a diagnostic technique, now-a-days we mainly do ERCP with a therapeutic intent for management of various biliary and pancreatic diseases. \u0000Objectives: This study intends to find out the diagnosis obtained by ERCP procedure and the therapeutic interventions done for appropriate cases in a tertiary level hospital in Bangladesh. \u0000Materials and Methods: This prospective observational study was performed in the Department of Gastroenterology in Enam Medical College & Hospital over a period from June 2014 to October 2016. Eighty patients, aged 15–70 years, were selected only for therapeutic ERCP. They were diagnosed and selected after taking history, physical examination and appropriate investigations. ERCP was done under short-term general anesthesia or deep sedation by using propofol or fentanyl. Results are shown in tables. \u0000Results: Majority of the cases were choledocholithiasis (53.75%) followed by cholangiocarcinoma (11.25%), ampullary carcinoma (8.75%), carcinoma of the gall bladder (6.25%), biliary ascariasis (6.25%), biliary stricture (5%), papillary stenosis (5%), chronic pancreatitis (2.5%) and sludge in the CBD (1.25%). Types of therapeutic intervention depended on diagnosis. Papillotomy with stone removal was done in patients with choledocholithiasis. Papillotomy with stenting was done in the patients with cholangiocarcinoma, ampullary carcinoma, gall bladder carcinoma, biliary stricture and paillary stenosis. Papillotomy with worm extraction was done in cases of biliary ascariasis. Papillotomy with clearing of sludge was done for sludge in the CBD and only papillotomy was done in two patients of chronic pancreatitis. \u0000Conclusion: In this study we found that choledocholithiasis and biliary tract malignancy were the two major ERCP findings. Therapeutic interventions were done according to diagnosis. The most common therapeutic intervention was papillotomy with stone removal. Next common intervention was papillotomy with stenting. \u0000J Enam Med Col 2019; 9(1): 9-15","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I1.39898","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45352137","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":"Electrolyte Disturbances in Acute Exacerbation of COPD","authors":"H. Rashid","doi":"10.3329/JEMC.V9I1.39900","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39900","url":null,"abstract":"Background: Chronic obstructive pulmonary disease (COPD) is a major cause of chronic morbidity and mortality worldwide. Acute exacerbation is an acute and sustained worsening of a patient’s condition from a stable state and it is associated with significant electrolyte disturbances. \u0000Objectives: The main objective of this study was to determine the prevalence of electrolyte disturbances in patients with acute exacerbation of COPD and to determine possible effects of these electrolyte disorders. \u0000Materials and Methods: This observational prospective study was carried out in the Department of Pulmonology, Enam Medical College & Hospital from 1st January to 31st December 2017. Sixty patients with acute exacerbation of COPD were included. Serum electrolytes and arterial blood gases were measured. \u0000Results: Low level of serum sodium (131 ± 5.66 mEq/L) and potassium (3.20 ± 0.44 mEq/L) were found in subjects with acute exacerbation of COPD. In patients with respiratory failure Na+ and K+ levels were even lower. \u0000Conclusion: Serum electrolytes in acute exacerbation of COPD patients should be monitored routinely and should be corrected early to avoid poor outcomes. \u0000J Enam Med Col 2019; 9(1): 25-29","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I1.39900","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43231110","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":"Awareness Level of Cervical Cancer among Rural Women Attending Manikgonj 250-Bedded District Hospital, Manikgonj","authors":"F. Rahman, A. Bhattacharjee","doi":"10.3329/jemc.v9i1.39902","DOIUrl":"https://doi.org/10.3329/jemc.v9i1.39902","url":null,"abstract":"Background: Cervical cancer is a typically slow-growing cancer that may not have symptoms, but can be early diagnosed by Pap smear and Visual Inspection of Cervix with Acetic Acid (VIA). The burden of the disease is increasing in developing countries day by day due to the ascending trend of transmissible diseases such as HIV and Human Papilloma Virus (HPV). Objective: The main aim of this study was to assess the level of awareness regarding cervical cancer among the women attending outpatient department of Manikgonj 250-bedded district hospital, Manikgonj. Materials and Methods: This study was conducted among the women attending the OPD of Obstetrics & Gynaecology Department of Manikgonj 250-bedded district hospital from June, 2017 to October, 2017. The respondents were selected by random sampling. A pre-structured, interview-based data collection sheet was prepared, which was used as a research tool. Data were collected by interview of the patients and then data were gathered, decorated and tabulated after data cleaning and edition. Then the results were presented in tabular and figure forms. As it is a descriptive type of cross-sectional study p value determination was not required to see the level of significance. Results: In this study mean age of 50 respondents was 24.18 ± 6.63 years. The maximum respondents (62%) were from 20−30 years age group. Out of 50 respondents 46% were married and 24% were unmarried. Among the study subjects 84% knew about cervical cancers, 28% respondents knew about the disease from uthan boithok and 26% by electronic and print media. Thirty six percent respondents knew about the risk factors of the disease, 42 (84%) heard about the disease, 60% thought that they are at self risk and 12% respondents underwent screening before. Among those (70.45%) who did not undergo screening blamed not having adequate knowledge about the risk factors. Seventy two percent of total respondents knew that district hospital is a center for screening. Fifty percent women did not have any knowledge regarding vaccination. Conclusion: Majority respondents in this study did not know clearly about cervical cancer, specially its risk factors, vaccination, prevention and clinical profile of the disease. J Enam Med Col 2019; 9(1): 34-40","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/jemc.v9i1.39902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45729507","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":"Reviewers in this Issue Vol 10(1)","authors":"I. Chief","doi":"10.3329/JEMC.V10I1.45070","DOIUrl":"https://doi.org/10.3329/JEMC.V10I1.45070","url":null,"abstract":"Abstract not available \u0000J Enam Med Col 2020; 10(1): 60","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":"9 1","pages":"144"},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46758403","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":"From the Desk of Editor-in-Chief Vol 8(3)","authors":"Aminul Haque Khan","doi":"10.3329/JEMC.V8I3.38359","DOIUrl":"https://doi.org/10.3329/JEMC.V8I3.38359","url":null,"abstract":"Abstract not availableJ Enam Med Col 2018; 8(3): 121","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V8I3.38359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49583698","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}