Central Medical College Journal最新文献

{"title":"Fragrance and frequencies: EEG analysis of theta spectral edge frequency after olfactory stimulation by spearmint.","authors":"Esaba Sadia, Rezvi Ahmed, Md Shaiful Islam Patwary, Israt Jahan","doi":"10.3329/cemecj.v7i2.74418","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74418","url":null,"abstract":"Background: Sense of smell plays a crucial role in emotions, memories, and cognitive processes. The interplay between olfaction and neural activity has intrigued researchers for decades. The signals pass through the olfactory bulb to emotional centers, impacting emotions and memory recall and influencing brain function beyond fragrance identification. Fragrant oils have gained modern attention for their potential to influence cognitive and emotional states. The oil of spearmint is celebrated for its refreshing and calming properties, has emerged as a significant contender in in this context. Objectives: To investigate real-time changes in theta wave Spectral Edge Frequencies (SEF) in response to spearmint fragrance, aiming to understand the dynamic interplay between fragrance and brainwave frequencies. Materials and Methods: Thirty healthy females were exposed to the fragrance of spearmint essential oil, and their brain wave activities were monitored in five brain regions. The recordings were analyzed before and after smelling the fragrance. Wilcoxon Matched-pairs signed Rank test was considered for comparison. Results: Our findings suggest that the olfactory stimulation of spearmint did not exhibit significant influence on the SEF theta waves in any brain regions except in the parietal region. Only this region showed significant shift of theta SEF to a higher frequency after smelling the fragrance compared to baseline (p=0.04). Conclusion: The study revealed no noteworthy alterations in spectral edge frequencies of theta waves in brain regions linked to cognition, memory, or emotions. So, further exploration is recommended, especially in different demographic groups including other waves. \u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 92-96","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 64","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670739","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":"Indiscriminate use of Hormone in Managing Abnormal Uterine Bleeding: A Call for Caution","authors":"Shamsun Nahar","doi":"10.3329/cemecj.v7i2.74322","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74322","url":null,"abstract":"Abstract not available\u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 66","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670435","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":"Study On Cardiac Autonomic Nerve Function Status by Heart Rate Variability in Patients with Gastro-esophageal Reflux Disease","authors":"Sukrana Mamataj, Mahin Motaleb, Sabrina Fahmida Azim, Mohammed Iqbal Hossain","doi":"10.3329/cemecj.v7i2.74417","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74417","url":null,"abstract":"Background: Gastro-esophageal reflux disease (GERD) has been associated with autonomic nervous dysfunction along with reduced Heart Rate Variability. Objective: To observe cardiac autonomic nerve function status by heart rate variability analysis in patients with Gastro-esophageal reflux disease (GERD). Methods: This cross sectional study was carried out in the Department of Physiology, Sir Salimullah Medical College (SSMC), Dhaka from 1st January, 2017 to 31st December, 2017. For this, total 30 male and female diagnosed GERD patients from the Out Patient Department (OPD) of Gastroenterology, BSMMU aged 20-35 years were included in the study group. Total power Low Frequency power (LF) and High Frequency power (HF) of HRV parameters were recorded. Thirty ages, BMI matched healthy subject also included as control. For statistical analysis, unpaired t-test was done as applicable. Results: Total power Low Frequency power (LF) and High frequency power (HF) were significantly lower in GERD patients in comparison to that of healthy subjects. The total power is the indicator of variability of the total cardiac autonomic nerve activities. LF power has represents sympathetic modulation on the heart and HF power is a marker of parasympathetic nerve activity on heart. Conclusion: This study concluded that autonomic dysfunction occurs in GERD patients which are characterized by decreased sympathetic & parasympathetic activity.  \u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 87-91","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671818","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":"Sedation for Endoscopic Retrograde Cholangiopancreatography (ERCP) – A comparative study between propofol-fentanyl with Propofol-fentanyl-ketamine Combination","authors":"Atiqur Rahman, Md Kutub Uddin Khan, Md Abbas Uddin, Md Mizanur Rahman, Ayesha Hasina","doi":"10.3329/cemecj.v7i2.74415","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74415","url":null,"abstract":"Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a painful and long procedure requiring transient deep sedation and analgesia. The purpose of our study was conducted to evaluate and compare the sedation efficacy and propofol-fentanyl-ketamine could be a better regime than propofol-fentanyl for sedation in ERCP. Material and Method 100 ASA II-III patients, 18-60 yrs old schedule for planned ERCP procedure in the Dept. of Hepatobiliary Surgery & Gastroenterology of BSMMU. They were selected by inclusion and exclusion criteria and allocated to one of the two groups: group PF (n=50) and group PFK (n=50) by randomization. Group PF received propofol 1mg/kg + fentanyl 1µg/kg and group PFK received propofol 1mg/kg + fentanyl 1µg/kg + ketamine 0.25mg/kg and subsequent doses of propofol were given as a dose 0.5mg/kg accordingly. Recovery time was assessed from the discontinuation of procedure to modified aldrete recovery score ≥ 9. All result was expressed as number or mean ± SD or in frequencies (percentage) as applicable. The result were compiled and analyzed using SPSS-16, Student unpaired t test, Chi-square test. Result The average age of group PF and group PFK study population was 40.16(±9.34) and 44.56(±3.75) respectively whereas there average weight in initial group was 60.83(±5.54) and in the second group 58.39(±7.37). Male patients were more in both the groups. Group PF belongs to ASA II 35(70%) patients and ASA III 15(30%) patients whereas group PFK belongs to 30 (60%) and 20(40%) patients respectively. In the peroperative vital parameters, sedation related side effect as hypotension 10(20%) patients was observed in group PF and 3(6%) patients was observed in group PFK which was found statistically significant (p value 0.032) and apnea has been found 7(14%) patients in group PF and 2(4%) patients in PFK group. Which was found statistically significant (p value 0.018). No post-operative vital parameters were found statistically significant (p value >0.05). Total doses of propofol consumed was significantly higher in group PF (p<.05) than group PFK (190.45±12.8 mg and 140.67 ± 10.23mg). Time needed to achieve Aldrete recovery scale score of 9 in between PF group and PFK group were 18.25±6.76 min and 12.24 ±5.45 min respectively and the result found statistically significant (p value <0.001). Conclusion: Propofol-fentanyl-ketamine provided better sedation quality over propofol-fentanyl combination in term of less side effects, early recovery, cost effectiveness in patients undergoing ERCP procedure. \u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 70-81","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671788","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. 7(2)","authors":"Mahabubul Islam Majumder","doi":"10.3329/cemecj.v7i2.74319","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74319","url":null,"abstract":"Abstract not available\u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 87-91","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 58","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670881","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":"Management of Corneal Astigmatism by Limbal Relaxing Incisions during Phacoemulsification","authors":"Mohammad Ariful Islam, Afroza E Alam, Mohammad Sabbir Hossain, Mohammad Nurul Alam, S M Shafiul Bari Rasel, Md Hasnat Jaki Chowdhury","doi":"10.3329/cemecj.v7i2.74416","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74416","url":null,"abstract":"Background: Phacoemulsification is one of the most successfully and commonly performed cataract surgeries worldwide. Modern cataract and refractive surgery aims not only to improve vision but to provide a good unaided visual acuity. Correcting astigmatic errors and control of surgically induced astigmatism are now an integral part of such operative procedures. Objective: To analyze the effectiveness and safety of limbal relaxing incisions (LRI) in correcting keratometric astigmatism during phacoemulsification. Method: A prospective study of two groups: control group and treatment group. Treatment group included 50 eyes of 50 patients who had combined clear corneal phacoemulsification, IOL implantation and LRI. Control group included 50 eyes of 50 patients who had clear corneal phacoemulsification and IOL implantation. Postoperative keratometric astigmatism was measured at 1 week, 1 month, 3 months and 6 months. Result: LRI significantly decreased keratometric astigmatism in patients with preexisting astigmatism compared with astigmatic changes in the control group. In eyes with LRI, the mean keratometric astigmatism was 0.31±0.17 D (range 0 to 0.5 D) at 1 week, 0.39± 0.21 D (range 0 to 0.85 D) at 1 month, respectively reduced by 2.43 D and 2.29 D at 1 week and 1 month postoperatively (P=0.000, P=0.000), and postoperative astigmatism was stable until 6 months follow-up. The keratometric astigmatism of all patients decreased to less than 1.00 D postoperatively. Conclusion: LRI was a practical, simple, safe and effective method to reduce preexisting astigmatism during phacoemulsification. \u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 82-86","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671019","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":"Case Report on Fibrocalculous Pancreatic Diabetes in a Tertiary Hospital in Cumilla, Bangladesh","authors":"Md Mahabubul Islam Majumder, Ashrafur Rahaman Mahadi, Mostaque Ahmed, Mohammad Nazim Uddin, Hossain Mohammed Shihab, Abu Sayed Md Shahed Billal","doi":"10.3329/cemecj.v7i2.74424","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74424","url":null,"abstract":"Background: This case highlights the emergence of diabetes as a significant global health concern and discusses Fibrocalculous Pancreatic Diabetes, a distinct condition characterized by pancreatic calcification and chronic inflammation resulting in pancreatic dysfunction. While typically seen in young males in tropical regions with malnutrition, this case presents a rare instance of late-onset disease in a female, a reported case in Bangladesh. The case involves a 53-year-old non-alcoholic healthy female with a history of chronic pancreatitis leading to severe Insulin Dependent Diabetes Mellitus. Abdominal imaging revealed typical pancreatic calcifications consistent with Fibrocalculous pancreatic diabetes. This report underscores the importance of maintaining a high index of suspicion for atypical presentations, even when diagnostic criteria suggest childhood onset of the disease. \u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 116-120","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671736","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":"Allergic Rhinitis in Bangladesh: Unveiling the Tapestry of Patterns, Coping Strategies, Risk Factors and Impact on Daily Activities among Adult Population - A Cross-Sectional Study at a Tertiary Hospital","authors":"Dr. Emdadul Hoque","doi":"10.3329/cemecj.v7i2.74422","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74422","url":null,"abstract":"Background: According to the research, despite the prevalence of allergic rhinitis (AR), it is frequently misdiagnosed or undertreated about its pattern, severity and risk factors. Aim: This study investigated the pattern, severity, and illness features of AR in Cumilla, Bangladesh, as well as symptom-relieving coping strategies among adult population. Methods: We conducted a quantitative observational descriptive cross-sectional study on outpatients from the ENT department of Central Medical College Cumilla, Bangladesh, between January 2020 and February 2023. Initially the sample size was 2949 and finally n= 2,549 participants selected who experienced at least one of the four symptoms of AR, namely runny nose, sneezing, nasal blockage, itchy nose, and watery eyes, unrelated to a cold or flu in the prior year. The study's results were the triggers, pattern, severity, categorization of AR (2016 ARIA criteria), and coping strategies. We did descriptive statistics, univariate analytic statistics, and binary analysis. At <0.05, the P-value was deemed statistically significant. Results: The top AR trigger was dust (58.8%, n = 1500), followed by pollen (15.7%, n = 400), mold (11.88%, n = 300), and fur/perfumes (5.9%, n = 150). The prevalence of intermittent AR was 56 % (n = 1,435) and 44 percent (n = 1,114) for permanent AR. Nearly one-third (n = 816; 32%) complained of mild forms of AR, while the remainder (n = 1733; 68%) complained of moderate to severe types. The most common coping mechanisms were antihistamines (1649; 64.66%) and herbal hot liquids (185). (7.25%). Conclusion: This study examined the patterns, illness features, and related variables of self-reported AR in Cumilla, Bangladesh. Younger age groups and obese individuals who have reported chronic forms of AR should be given special consideration. Males reported more chronic and severe cases of AR. \u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 97-107","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671479","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":"Life Style of Male Adolescent in A Selected High School of Bangladesh","authors":"Regan Barua, Md Shakil Ahamed, Farzana Mahejabin, Shayela Farah","doi":"10.3329/cemecj.v7i2.74423","DOIUrl":"https://doi.org/10.3329/cemecj.v7i2.74423","url":null,"abstract":"Background: The descriptive cross-sectional study was conducted to find out the lifestyle of male adolescent in a selected high school Laksam, Cumilla. Sample size was 255 and data was collected by face to face interview using semi-structured questionnaire to collect information about the lifestyle of male adolescent. Objective: To determine the lifestyle of male adolescent of high school student. Methods: The study was a descriptive type of cross-sectional study. Study place was Joytipal Mohathero Orphanage High School, Laksam, Cumilla. Study populations were adolescent boys of school students at Joytipal Mohathero Orphanage High School. The duration of the study will be 1 (One) year from 1st January 2021 to 31st December, 2021. Initially data was collected then checked for completeness and correctness in order to exclude missing or inconsistent data. Then data was entered into the computer using Statistical Package for Social Sciences (SPSS, version-25). Then were presented using frequency table, graph and chart. Result: Out of 255 male adolescent, 136 (53.3%) were within the age group 15-17 years, among rest 66 (25.9%) respondents were within the age limit of 11-14 years, 53(20.8%) were within the age group 18-19 years respectively (Mean ±SD=1.95±0.683). Most of 172 (67.3%) of male adolescent do not have any history of illness and rest of the respondents 83 (32.5%) have history of illness in last 6 month. Most of 165 (64.7%) of male adolescent exercise every day and rest of the respondents 90 (35.3%) don’t exercise every day. Almost half 140 (54.9%) of respondents 7-8 hours’ sleep per night, 73 (28.6%) of respondents 5-6 hours’ sleep per night and 42 (16.5%) 9-10 hours’ sleep per night. Out of 255 respondents 164 (64.3%) used internet every day, 41 (16.1%) used internet more than a month, 24 (9.4%) used thrice a day, 14 (5.5%) used twice a day, 6 (2.4%) once a week and 6 (2.4%) once a month. Most 68 (26.7%) of respondents playing games on mobile, 59 (23.1%) of respondents watch you tube and other video watching site, 38 (14.9%) of respondents use social site (Facebook, twitter etc.), 31 (12.2%) listening music in the internet, 30 (11.8%) used messenger (like Facebook messenger, imo, WhatsApp etc.), 29 (11.4%) of respondents used as a web browsing. This study informed that there is healthy life style practicing among the adolescent boys. Conclusion: According to the study a vast number of adolescent were away from physical activities and in bedded into internet and were suffering from lack of sleep and others problems. Health education, making facilities available and further research is needed for the betterment of those adolescent.\u0000Central Medical College Journal Vol 7 No 2 July 2023 Page: 108-115","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":" 63","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141671310","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. 7(1)","authors":"Mahabubul Islam Majumder","doi":"10.3329/cemecj.v7i1.70823","DOIUrl":"https://doi.org/10.3329/cemecj.v7i1.70823","url":null,"abstract":"Abstract not availabe \u0000Central Medical College Journal Vol 7 No 1 January 2023 Page: 02","PeriodicalId":495343,"journal":{"name":"Central Medical College Journal","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139523890","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}