Scholars Journal of Applied Medical Sciences最新文献

{"title":"Correlation of Ultrasound Guided (USG) Fine Needle Aspiration Cytology (FNAC) With Postoperative Histopathology in the Diagnosis of Thyroid Swelling","authors":"Md. Mostafijur Rahman, Saad Sultan, Md. Ariful Islam, Abdul Quddus, K. Tarafder","doi":"10.36347/sjams.2024.v12i05.005","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i05.005","url":null,"abstract":"Background: Thyroid swelling is a common problem in Bangladesh. Early and systematic evaluation of a nodular thyroid swelling is necessary as it is a frequent presentation of thyroid neoplasia. USG Guided Fine needle aspiration cytology (FNAC) is one of the diagnostic tools for early evaluation of thyroid nodules. USG Guided FNAC is considered as a cost-effective, simple, minimally invasive and easily repeatable procedure for preoperative screening in the diagnosis for most of the thyroid lesions. The objective of this study is to determine the sensitivity and specificity of USG Guided fine needle aspiration cytology (FNAC) and compare the efficacy with histopathology in diagnosis of thyroid swellings. Objective: To evaluate the sensitivity and specificity of USG Guided fine needle aspiration cytology (FNAC) and histopathology for the diagnosis of thyroid swelling. Method: This Observational Prospective Study was performed in the department of Otolaryngology & Head Neck Surgery, Dhaka Medical College Hospital. Dhaka over 6 month’s duration from January 2019-June 2019. Total 50 patients with thyroid swelling was selected after taking informed written consent and fulfilling the inclusion criteria. Smears was taken by standard procedure and then was stained with papanicolaou stain and haematoxylin and eosine stain. The smears was classified into categories like benign, indeterminate, malignant and unsatisfactory. Sensitivity, specificity, positive and negative predictive value and accuracy of USG Guided FNAC was calculated and compared to already available data. Appropriate statistical analysis was done to make comparison between final histopathological findings with initial USG Guided FNAC findings. Result: During the study period a total 73 were found eligible for USG Guided FNAC. Most of the patients (52%) were from 20-39 years age group. Among them 67.12% were female and rest (32.87%) were male. In this government hospital 75.34% were from low income group. ......","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140998009","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":"ASPIRIN IN CAD: Is it Still the King of the Ring in 2024?","authors":"MA. Bouraghda, W. Takdemt, Y. Bououdina, M. Bouzid","doi":"10.36347/sjams.2024.v12i05.004","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i05.004","url":null,"abstract":"With its 3,500-year history, aspirin is one of the most widely used medicines in the world. For a very long time, its place in secondary and sometimes even primary cardiovascular prevention was indisputable. However, a growing body of clinical data is calling this dogma into question. It is therefore necessary to reassess its efficacy and, above all, its safety in certain indications, such as primary cardiovascular prevention in at-risk populations, anti-platelet monotherapy following DES implantation, and post-acute coronary syndrome.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141014231","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":"“The Parental Perspective of Thalassemia in Bangladesh: Challenges for Prevention and Management of Thalassemia”","authors":"Islam Mn, Kamruzzaman M, Sarker Mh, Riaaz R, Ilhan Ns","doi":"10.36347/sjams.2024.v12i05.003","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i05.003","url":null,"abstract":"Introduction: Thalassemia is a genetic blood disorder characterized by abnormal hemoglobin production, poses significant challenges for families worldwide. In Bangladesh, where the prevalence of thalassemia is notable, parents face unique hurdles in both preventing and managing this condition. Aim of the study: The aim of this study is to explore the parental perspective of thalassemia in Bangladesh, focusing on the challenges faced in the prevention and management of the disease. Methods: This was a cross section retrospective study conducted in the Department of Paediatrics of M Abdur Rahim Medical College, Dinajpur, Bangladesh during the period from June 2023 to December 2023. Result: Among the total of 320 caregivers, 46.9% were father, while 53.1% were mother respectively. Minority 14.1% of marriages were consanguineous, while the majority (85.9%) was not. The majority (82.8%) of respondents had one thalassemic child, while 17.2% had two or more thalassemic children. Before the diagnosis of thalassemia in their child, 90.9% of respondents had not heard about thalassemia. All respondents (100%) reported not undergoing thalassemia screening before marriage. The median age at diagnosis of thalassemia among the participants was 1.32 years. Beta thalassemia was diagnosed in 30.6% of the participants, while 68.8% had E-beta thalassemia. The majority 65.9% of respondents correctly identified thalassemia as a genetic disease, while 22.5% provided an incorrect response. Conclusion: Thalassemia presents significant challenges for affected individuals and their families in Bangladesh, ranging from limited access to diagnostic services and blood transfusions to social stigma and financial burdens.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141015097","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":"Assessment of the Level of Awareness among Pregnant Women Regarding Antenatal Care Services at the Selected Upazila Hospital in Bangladesh","authors":"Deb Dulal Dey Parag, U. Alam, Irfan Nowroze Noor, Nishat Barman, Md. Sazzad Hossain, Antara Paul Alo, Susmita Podder Irani, Noshin Nahid Tammi","doi":"10.36347/sjams.2024.v12i05.002","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i05.002","url":null,"abstract":"Background: Antenatal care (ANC) is a critical component of maternal and child health care, focusing on the medical and psychological well-being of pregnant women from conception to the onset of labor. Therefore, awareness among pregnant women regarding antenatal care services is crucial. Aim of the study: The aim of this study was to assess the level of awareness among pregnant women regarding Antenatal Care Services. Methods: A descriptive cross-sectional study was carried out at 3 upazillas of Kishorganj district to assess the level of satisfaction of pregnant women regarding antenatal care at selected upazilla health complex during covid-19 pandemic. A total of 163 pregnant women were interviewed from 3 upazilla health complex, Kishorganj were included in this study. Result: Most pregnant women visiting the upazilla health complex were aged 18-23 (54.6%), with a mean age of 23.38 years (SD ±3.659). Information about the complex's services was primarily received from healthcare personnel (70.6%). The majority found the complex consistently open (97.5%), providing satisfactory care (89%). Most respondents (81%) received all necessary medicines, and 77.3% confirmed the availability of medical instruments. Awareness of antenatal care services was high, majority knew about pregnancy registration and check-ups. Among the respondents 51.5% were good aware and nearly half of respondents (48.5%) were poor aware about ANC related services provided from upazilla health complex. Conclusion: The findings of the current study indicate a strong awareness of antenatal care services among the majority of respondents.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141017256","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":"Intrathecal Analgesia Versus Thoracic Epidural Analgesia for Thoracic Surgery","authors":"M. Matouk, N. Kachouane, F. Chettibi","doi":"10.36347/sjams.2024.v12i05.001","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i05.001","url":null,"abstract":"Introduction: Thoracic surgery is associated with severe postoperative pain involving parietal, visceral, and projected components. Potent analgesia at rest and during movement over an extended period is crucial. Thoracic epidural analgesia is considered the gold standard, but intrathecal analgesia may represent a promising alternative. This study aimed to evaluate the ability of intrathecal analgesia to provide comparable pain relief to thoracic epidural analgesia for thoracic surgery. Methods: This prospective, descriptive study was conducted over 12 months. Adult patients undergoing elective thoracic surgery were included after obtaining written informed consent. Patients were randomly allocated to receive either thoracic epidural analgesia (Epidural group, n=40) with a loading dose of 10 ml 0.1% bupivacaine + 10 mcg sufentanil followed by continuous infusion, or intrathecal analgesia (Intrathecal group, n=23) with a single injection of 500 mcg morphine + 10 mcg sufentanil. Standardized general anesthesia and postoperative care protocols were applied. Primary outcomes included intraoperative hemodynamics, postoperative pain scores (NRS 0-10), rescue analgesic requirements, patient satisfaction, and adverse effects. Results: The incidence of intraoperative hypotension was higher in the Epidural group (30% vs 8.7%, p=0.04). Postoperative pain scores were initially lower in the Intrathecal group, but the difference was not significant beyond 18 hours. Rescue morphine requirements were significantly higher in the Epidural group during the first 12 postoperative hours. Overall patient satisfaction was higher in the Intrathecal group (82.6% vs 62.5%, p=0.03). The incidence of nausea/vomiting and pruritus was significantly higher in the Intrathecal group. Discussion: Thoracic epidural analgesia was associated with a higher risk of intraoperative hypotension, likely due to the extended sympathetic blockade. Intrathecal analgesia provided superior early postoperative ....","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141022575","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":"Evaluation of Fibrinogen Level and Platelet Count among the Apparently Healthy Pregnant Women at 3rd Trimester","authors":"Sayeeda Sultana Jolly, Md. Kamrul Hasan, A. K. M. S. Rahman, Mijanur Rahman Sardar, Shamima Nazneen Rupa, Shweta Halder, Farjana Kabir, F. Pervin, Momtaj Parvin, Shireen Akter","doi":"10.36347/sjams.2024.v12i03.014","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i03.014","url":null,"abstract":"Background: Different physiological changes affect normal coagulation and fibrinolytic system during pregnancy. Hemostatic abnormalities are often associated with various complications of pregnancy. Objectives: This study was aimed to evaluate the fibrinogen level and platelet count among pregnant women at third (3rd) trimester as compared to non-pregnant healthy women. Methods: This cross-sectional study was conducted at the Department of Physiology, Rajshahi Medical College (RMC), Rajshahi, Bangladesh, from July 2016 to June 2017 on 60 healthy women, out of them 30 were apparently healthy pregnant women of third trimester in the age group of 20-35 years (cases), and 30 were age matched non-pregnant healthy women (controls). Their detailed case history was taken and relevant clinical examinations were done. Plasma fibrinogen level and platelet count were measured using auto analyzer. Data were analyzed and compared by statistical test. Results: The mean±SD age of the pregnant women was 27.27±3.72 years and that was 27.13±4.01 years in non-pregnant healthy women. The maximum (40.0%) study women were in 26-30 years age group followed by 38.3% was in 20-25 years age group and 21.7% was in 31-35 years age group. Most of the cases were primipara [22(36.66%)] and majority women in the control group were multiparous [17(28.33%)]. Mean±SD body mass index (BMI), pulse rate, systolic blood pressure (SBP), and diastolic blood pressure (DBP) were nearly similar between the groups. Plasma fibrinogen level was significantly high (p<0.001) and platelet count was relatively low among women at 3rd trimester of pregnancy in comparison to non-pregnant healthy women. Conclusion: Plasma fibrinogen level is significantly high and platelet count is relatively low at 3rd trimester of pregnancy. Coagulation parameters are altered in a balanced way during normal 3rd trimester pregnancy.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140389106","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":"Outcomes and Measures of Children with Bilateral Cochlear Implants: A Single-center Experience in Bangladesh","authors":"Mohammod Delwar Hossain, Mohammed Sirazul Islam, Artur Lorens, Ranjith Rajeswaran, Siva Ganesan","doi":"10.36347/sjams.2024.v12i03.013","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i03.013","url":null,"abstract":"Children dealing with hearing impairment encounter challenges associated with speech and language delays, significantly impacting their quality of life. Recent data from the World Health Organization indicate that 466 million people worldwide experience disabling hearing loss, with 34 million being children. Cochlear implantation (CI) is a novel approach for severe to profound sensorineural hearing loss. In pediatric CI, the main objective is to enable hearing-impaired children to perceive sound promptly, facilitating speech and language development. This study investigated the outcomes of bilateral pediatric cochlear implant (CI) users in Bangladesh, applying the Speech, Spatial, and Qualities of Hearing questionnaire and the Classification of Auditory Performance-II (CAP-II). Conducted at the Combined Military Hospital in Bangladesh, the study involved 10 children with bilateral cochlear implants. The results revealed commendable scores in speech understanding, spatial hearing, and qualities of hearing, underscoring the effectiveness of cochlear implant interventions. Deeply examining the implications is the topic of discussion of these findings, emphasizing the positive impact of early implantation and the adaptability of assessment tools in diverse cultural contexts.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140389567","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 Study on Thyroid Dysfunction in Patients with Psoriasis","authors":"Mohammad Abul Kalam Azzad, Syeda Fateha Noor, Silveeya Chowdhury","doi":"10.36347/sjams.2024.v12i03.012","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i03.012","url":null,"abstract":"Background: Psoriasis is a common and chronic inflammatory skin disease which is characterize by clearly defined red and scaly plaques. The plaques of psoriasis can be disfiguring and severely pruritic and/or painful. Itching is often the most bothersome symptom of psoriasis. Methodology: In this hospital based cross-sectional study, a total of 180 people in the all age group were included. Individuals attending the Dermatology Out-patient Department of Bangabandhu Sheikh Mujib Medical University (BSMMU) were selected during the study period from July’2023 to Januray’2024. Total 90 patients with diagnosed cases of psoriasis were selected as study group and 90 age and sex matched healthy individuals were selected as controls. Results: No significant difference was noted in the values of FT3, FT4 and TSH hormones in the values among the control group and patient group. In males 10 (10.2%) were hypothyroid, 51 (86.4%) euthyroid and 2(3.4%) was hyperthyroid whereas, in females 5(16.13%) were hypothyroid, 25 (80.65%) euthyroid and 1 (3.2%) were hyperthyroid. Conclusion: No significant difference was noted in the values of FT3, FT4 and TSH hormones in the values among the control group.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391132","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":"The Study Examines the Correlation between the Intensity of Pain and the Oswestry Disability Index in Patients with Chronic Non-Specific Low Back Pain","authors":"Md. Ashikul Islam, Aleya Ferdush Monni, Md. Atiqul Islam, Md. Mustafezur Rahman, Shohag Chakrabarty, S. K. Barua","doi":"10.36347/sjams.2024.v12i03.011","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i03.011","url":null,"abstract":"Background: Back pain has become an important health issue now days. Patients with chronic non-specific low back pain (CNSLBP) have pain, disability, and decreased functional capacity, however, the association is still unknown. Objective: Assessment of disability by using Oswestry Disability Index in chronic non- specific low back pain patients. Methodology: This is a descriptive type of cross-sectional study was conducted in the department of PM & R, DMCH from both outpatient and inpatient. Total 103 patients having with low back pain, seeking treatment in department of Physical Medicine & Rehabilitation during the study period, fulfilling enrollment criteria was enrolled in this study. All the cases were evaluated properly with complaint of chronic non-specific low back pain. The quantitative observations were indicated by frequencies. Chi square test was used to analyze the categorical variables, shown with cross tabulation. ANOVA test was used for continuous variables. A “p” value <0.05 was considered as significant. Results: Of the patients, over half (52.4%) had severe disability, followed by moderate (27.2%), crippled (13.6%), and little (7-8%). A statistically significant increase in pain intensity (p <0.001) corresponds to an increase in the degree of disability. Conclusion: The severity of impairment worsens as pain intensity and duration increase. The length and degree of pain are significantly associated with disability.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140391050","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":"Post-Operative Blood Glucose Level in Various Anaesthetic Techniques (General & Spinal) Among Non-Diabetics Patients","authors":"Md. Monzorull Islam, Md. Sirajul Islam, Salim Al Mamun, Sultana Jahan Hema, Rowshon Ara Ahmed","doi":"10.36347/sjams.2024.v12i02.019","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.019","url":null,"abstract":"Introduction: The metabolic and hormonal responses to anaesthetics and surgery have been a subject of extensive evaluation and discussion for the past many decades. In normal man, anabolism and catabolism are finely balanced. Surgery produces a stress response resulting in various biochemical and hormonal changes. Apart from surgical stress, anesthesia related procedures like Tracheal intubation, recovery from anesthesia, and post-operative pain can increase the stress induced hormonal changes. This study aims to find out post-operative blood glucose level in various anaesthetic techniques (general & spinal) among non-diabetics patients. Methods: An institution based, observational, cross-sectional study was conducted among patients who were operated at Dept. of Anesthesiology, Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh from January to December 2022. A total of 120 non diabetes patients who received either general or spinal anesthesia for their surgery. Data was analyzed using SPSS, version 20.0 for windows. Chi-Square test was used to show association between categorical variables and independent sample t-test was used to show mean difference among normally distributed continuous variables. All statistical tests were 2-tailed and a p-value of <0.05 was considered significant. Results: 65.8% of study population received general anesthesia and 34.2% received spinal anesthesia. In postoperative period, 41.6% of study population had their plasma glucose in pre diabetes range and 20.0% had their plasma glucose in diabetes range. Frequency of postoperative hyperglycemia (IFG + Diabetes) was 61.7%. Mean postoperative plasma glucose was significantly higher among study population who received general anesthesia. Increasing age, female gender, overweight, obesity, hypertension and hypothyroidism was significantly associated with high risk of postoperative hyperglycemia. Conclusion: There is high prevalence of postoperative hyperglycemia. The frequency of","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408897","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}