Journal of Enam Medical College最新文献_第9页

Leukemia Cutis in a 32-Year-Old Male with Acute Myeloid Leukemia 32岁男性急性髓细胞白血病患者的白血病切口

Journal of Enam Medical College Pub Date : 2019-05-16 DOI: 10.3329/JEMC.V9I2.41416

Meher Afsun, Rokon Uddin, A. Baker, I. Ahmed

引用次数: 0

Superior Ophthalmic Vein Thrombosis with Cerebral Venous Sinus Thrombosis: A Rare Entity in a Child 眼上静脉血栓合并脑静脉窦血栓:罕见的儿童病例

Journal of Enam Medical College Pub Date : 2019-05-16 DOI: 10.3329/JEMC.V9I2.41415

K. Fatema, M. M. Rahman, L. A. Banu

引用次数: 1

Congenital Cytomegalovirus Infection: Evaluation and Management 先天性巨细胞病毒感染的评估与处理

Journal of Enam Medical College Pub Date : 2019-05-16 DOI: 10.3329/JEMC.V9I2.41414

Md Benzamin, Md Mizanur Rahman, M. Rukunuzzaman, A. Karim

{"title":"Congenital Cytomegalovirus Infection: Evaluation and Management","authors":"Md Benzamin, Md Mizanur Rahman, M. Rukunuzzaman, A. Karim","doi":"10.3329/JEMC.V9I2.41414","DOIUrl":"https://doi.org/10.3329/JEMC.V9I2.41414","url":null,"abstract":"Congenital cytomegalovirus (CMV) infection is the most common congenital infection worldwide and most individuals are eventually exposed to this agent. In developing countries the seroprevalence in women of reproductive age approximates 100%. Cytomegalovirus (CMV) infection has great importance to obstetriciangynecologists and pediatricians. Despite the heavy disease burden, CMV infection is severely under-diagnosed because the majority (approximately 80%) of affected mothers are asymptomatic. The clinical manifestations of congenital CMV infection vary widely, from asymptomatic infection to potentially life-threatening disseminated disease. Prenatal diagnosis of fetal CMV infection can be made by testing amniotic fluid for cytomegalovirus by amniocentesis. Diagnosis of congenital cytomegalovirus infection in neonates should include real-time PCR of saliva, urine, or both, as soon as possible after birth. Antiviral therapy is not routinely recommended for congenital cytomegalovirus infection. Neonates with life-threatening infection and moderately to severely symptomatic congenital cytomegalovirus disease, CNS involvement is considered for immediate treatment that should be initiated within first month of life. \u0000J Enam Med Col 2019; 9(2): 116-126","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I2.41414","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46283060","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}

引用次数: 0

From the Desk of Editor-in-Chief Vol 9(2) 第九卷(二)总编辑

Journal of Enam Medical College Pub Date : 2019-05-16 DOI: 10.3329/JEMC.V9I2.41406

Aminul Haque Khan

引用次数: 0

Comparative Study between Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for the Treatment of Renal Stones 逆行肾内手术与经皮肾镜取石术治疗肾结石的比较研究

Journal of Enam Medical College Pub Date : 2019-05-16 DOI: 10.3329/JEMC.V9I2.41409

D. Paul, D. Das, A. Rahman, Tarafder Habibullah, S. Akter, Mahfuzul Momen

{"title":"Comparative Study between Retrograde Intrarenal Surgery and Percutaneous Nephrolithotomy for the Treatment of Renal Stones","authors":"D. Paul, D. Das, A. Rahman, Tarafder Habibullah, S. Akter, Mahfuzul Momen","doi":"10.3329/JEMC.V9I2.41409","DOIUrl":"https://doi.org/10.3329/JEMC.V9I2.41409","url":null,"abstract":"Background: The prevalence of urolithiasis has increased during the last decades and now affects approximately 9% of the adult population specially in developed countries. European Urology Guidelines recommend PCNL in stones larger than 2 cm in size and ESWL in stones smaller than 2 cm in size as the first treatment option. With advances in technology, new generation flexible ureteroscopes with safe and effective lithotripters such as holmium laser have been developed and RIRS became an important alternative in the treatment of large urinary stones. \u0000Objective: To evaluate the safety and efficacy of retrograde intrarenal surgery (RIRS) in the treatment of kidney stones and to compare its results with those of percutaneous nephrolithotomy (PCNL). \u0000Materials and Methods: We retrospectively analyzed a total of 50 patients ─ 27 patients (20 males and 7 females) who underwent PCNL and 23 patients (17 males and 6 females) who underwent RIRS between January 2015 and December 2017. \u0000Results: The mean duration of operation was 60.65 ± 23.56 minutes in the RIRS group and 50.55 ± 12.77 minutes in the PCNL group (p<0.047). The hospital stay was significantly shorter in the RIRS group (2.21 ± 0.9 vs 5.29 ± 1.53 days in the RIRS and PCNL groups, respectively; p<0.016). Stone-free rates after one session were 88.6% and 84.8% in the RIRS and PCNL groups respectively. Blood transfusions were required in five patients in the PCNL group. Complication rates were higher in the PCNL group. \u0000Conclusion: This study reveals that RIRS can be an alternative to PCNL in the treatment of kidney stone. \u0000J Enam Med Col 2019; 9(2): 84-89","PeriodicalId":30472,"journal":{"name":"Journal of Enam Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/JEMC.V9I2.41409","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47005299","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}

引用次数: 1

Predictive Accuracy of Dobutamine Stress Echocardiography in Detection of Presence and Extent of Coronary Artery Disease 多巴酚丁胺应激超声心动图检测冠状动脉疾病的存在和程度的预测准确性

Journal of Enam Medical College Pub Date : 2019-01-25 DOI: 10.3329/JEMC.V9I1.39899

M. Ahmed, A. Reza, K. Mohsin

{"title":"Predictive Accuracy of Dobutamine Stress Echocardiography in Detection of Presence and Extent of Coronary Artery Disease","authors":"M. Ahmed, A. Reza, K. Mohsin","doi":"10.3329/JEMC.V9I1.39899","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39899","url":null,"abstract":"Introduction: Exercise tolerance test (ETT) is an established screening test for coronary artery disease (CAD), but not feasible in 30−40% of patients. Dobutamine stress echocardiography (DSE) is an excellent alternative. Traditionally, inducible worsening of wall motion by 1 grade from baseline provides an index of CAD; worsening by 2 grade or more theoretically represents a more severe perfusion abnormality. The present study represents the inaugural experience of DSE at the National Institute of Cardiovascular Disease, Dhaka. \u0000Objective: To assess the predictive accuracy of DSE results with the presence and extent of CAD in subjects with suspected stable angina pectoris. \u0000Materials and Methods: In this prospective observational study, 35 subjects with intermediate to high probability of CAD were subjected to DSE followed by coronary angiography (CAG) within one month. Comparison of DSE results and predicted coronary artery involvement with angiographic findings were done. Overall sensitivity, specificity, accuracy as well as accuracy by arterial territory involvement were calculated. \u0000Results: DSE identified 82 abnormal segments, 66 with 1 grade change in 23 subjects (Group A) and 16 with 2 grade change in 8 subjects (Group B). CAG detected 54 significant lesions, 23 (42.59%) in left circumflex (LCX), 18 (33.33%) in left anterior descending (LAD), 11 (20.37%) in right coronary (RCA) and 2 (3.7%) in left coronary (LCA) artery. DSE had a sensitivity of 93.1% and a specificity of 66.7%. The accuracy was 88.57% overall, 94.29% for LAD and 91.43% for both LCX and RCA territories. Group B subjects had significantly higher number of coronary stenosis per patient (2.63 versus 1.38, p<0.001), triple vessel (62.5% versus 8.6%, p=0.003) and lower single vessel CAD (0% versus 47.8%, p=0.005). \u0000Conclusion: This study shows that DSE is a reliable test for prediction of the presence and extent of CAD. \u0000J Enam Med Col 2019; 9(1): 16-24","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.V9I1.39899","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48320922","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}

引用次数: 0

Current Management Strategy of Non-Alcoholic Fatty Liver Disease 非酒精性脂肪性肝病的当前管理策略

Journal of Enam Medical College Pub Date : 2019-01-25 DOI: 10.3329/jemc.v9i1.39906

I. Perveen

{"title":"Current Management Strategy of Non-Alcoholic Fatty Liver Disease","authors":"I. Perveen","doi":"10.3329/jemc.v9i1.39906","DOIUrl":"https://doi.org/10.3329/jemc.v9i1.39906","url":null,"abstract":"Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease worldwide and is becoming the most common indication for liver transplant in the Western world. The disease spectrum varies from steatosis to non-alcoholic steatohepatitis (NASH), advanced fibrosis, cirrhosis and hepatocellular carcinoma. The global prevalence of NAFLD and NASH varies from 24–25% and 1.5–6.45% respectively among general population. Despite the disease burden and adverse outcome of the condition, no highly effective treatment is currently available for NAFLD. Considering its global prevalence and impact clinicians and researchers from different scientific associations worldwide tried hard to develop high-quality international guidelines to improve the management of NAFLD patients in clinical practice. This paper aims to discuss the management options for NAFLD based on five different well-known international guidelines. These guidelines agree on many points and disagree on some points. Notably these guidelines differ in determining alcohol threshold for defining NAFLD, in screening strategies in high-risk patients, the non-invasive test proposed for the diagnosis of NAFLD and advanced fibrosis in patients with NAFLD, in the follow-up protocols and, finally, in the proposed pharmacological treatment strategy. \u0000J Enam Med Col 2019; 9(1): 46-56","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.v9i1.39906","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46737095","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}

引用次数: 0

A 25-Year-Old Female with Unusually Large Complex Odontoma in Mandibular Molar Area Associated with Unerupted Tooth 一位25岁女性在未出牙的下颌磨牙区有异常大的复杂齿瘤

Journal of Enam Medical College Pub Date : 2019-01-25 DOI: 10.3329/jemc.v9i1.39907

A. Faruq, S. Sultana, Hasan Ibn Showkat

引用次数: 0

USG-Guided Percutaneous Aspiration: an Effective Way for Managing Appendicular Abscess USG引导下经皮穿刺抽吸：治疗阑尾脓肿的有效方法

Journal of Enam Medical College Pub Date : 2019-01-25 DOI: 10.3329/JEMC.V9I1.39905

Tarafder Habibullah, D. Das, D. Paul

{"title":"USG-Guided Percutaneous Aspiration: an Effective Way for Managing Appendicular Abscess","authors":"Tarafder Habibullah, D. Das, D. Paul","doi":"10.3329/JEMC.V9I1.39905","DOIUrl":"https://doi.org/10.3329/JEMC.V9I1.39905","url":null,"abstract":"Background: During last 2−3 decades image-guided drainage procedures have been developed complementing modern surgical drainage techniques. The development of interventional radiological procedure has made percutaneous puncture and drainage of abdominal fluid collection possible. Image-guided percutaneous drainage of appendicular abscess has become well-established because of its proven safety and efficacy. \u0000Objectives: To evaluate the safety and feasibility of USG-guided percutaneous aspiration for draining appendicular abscess with special attention to the need for conversion and to see the nature of complications after draining of abscess. \u0000Materials and Methods: Between May 2013 to May 2014, 25 cases of appendicular abscess were selected from the admitted patients (surgery department) in Enam Medical College & Hospital who underwent USG-guided percutaneous aspiration. Procedure was performed mostly under local anaesthesia. Patients were followed up for 6 months. Interval appendicectomy was not performed routinely. \u0000Results: USG-guided aspiration was successful in 23 (92%) patients and in 2 (8%) patients procedure failed. Single attempt was successful in 21 (84%) cases and 4 (16%) patients needed double attempt for draining appendicular abscess. In 23 (92%) patients, PCA was done under local anaesthesia and two (8%) patients needed general anaesthesia. Complications developed in 4 (16%) patients. Four (16%) patients needed follow-up USG. Average hospital stay was 5 days (2−8 days) and average duration of using I/V antibiotic was 3.5 days (2−5 days). \u0000Conclusion: USG-guided percutaneous aspiration is an easy and safe method for draining appendicular abscess with minimum procedural complications. \u0000J Enam Med Col 2019; 9(1): 41-45","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.V9I1.39905","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45827504","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}

引用次数: 0

Reviewers in this Issue Vol.9(1) 本期审稿人第9卷（1）

Journal of Enam Medical College Pub Date : 2019-01-25 DOI: 10.3329/jemc.v9i1.39911

E. Chief

引用次数: 0