Delta Medical College Journal最新文献

{"title":"Assessment of Risk Score for Developing Type 2 Diabetes Mellitus among Bangladeshi Adults Using Indian Diabetes Risk Score","authors":"N. Akter","doi":"10.3329/dmcj.v9i1.71331","DOIUrl":"https://doi.org/10.3329/dmcj.v9i1.71331","url":null,"abstract":"Background: Different studies support the utilization of risk-assessment scoring systems in quantifying individual’s risk for developing type 2 diabetes mellitus (T2DM). Thus, a simple risk-assessment scoring system for early screening of T2DM among Bangladeshi adults would be beneficial to identify the high-risk adults and thus taking adequate preventive measures in combating DM. Objective: The purpose of the study was to calculate the risk assessment score for developing type 2 DM among Bangladeshi adults using IDRS (Indian Diabetes Risk Score) tool and to assess the association of different risk factors of IDRS tool with the risk score. Materials and method: The cross sectional observational study was conducted among randomly sampled 482 adult Bangladeshi male and female subjects. The study population consisted of non-diabetic adults visiting the outpatient department (OPD) of Medicine, MARKS Medical College & Hospital, a tertiary care hospital in Dhaka, Bangladesh, from June 2018 to May 2019. A Semi-structured questionnaire consisting of demographic characteristics, risk factor profile of Indian Diabetes Risk Score (IDRS) was used. All the participants were assessed and categorized as high (IDRS ≥60), moderate (IDRS 30-50) and low risk (IDRS <30) based on the risk score of IDRS questionnaire. Data were entered andanalyzed in SPSS. Results: Out of 482 subjects, female were 53.3%. The Mean (±SD) age of the study subjects was 38.92±1.12 years. According to IDRS score, 50.4% of the study subjects were at moderate risk and 37.3% were at high risk of developing diabetes; (p<0.05). The mean IDRS was significantly higher among female than male subjects (p<0.001). A statistically significant association of diabetes risk with different age group, waist circumference, level of exercise and positive family history for diabetes were seen. Conclusion: About 88% of the study subjects were at moderate to high risk of having diabetes, hence screening for risk factors is of utmost importance so thatinterventions can be initiated at an early stage.\u0000Delta Med Col J. Jan 2021;9(1):9-16","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"28 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795297","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":"Prolapsed Lumbar Intervertebral Disc (PLID) Surgery and Our Experiences","authors":"Md Shoriful Islam, Md Abdul Quader, K. M. R. U. Haq, Md Masud Rana, Hafsa Marium","doi":"10.3329/dmcj.v9i1.71335","DOIUrl":"https://doi.org/10.3329/dmcj.v9i1.71335","url":null,"abstract":"Background: Herniated lumbar disc is the most common specific cause of low back pain. Surgery results in better outcome for cases with exclusive severe radicular pain and health-related quality of life improves after lumbar disc herniation (LDH) surgery. Objective: To determine the outcome of lumbar disc herniation surgery and to assess the effect of factors that could predict the outcome of surgery. Materials and method: This observational study was done in Delta Medical College & Hospital, Mirpur, Dhaka, during March 2016 to January 2019. We evaluated 54 patients who had undergone operations for lumbar disc herniation using three different surgical techniques (laminectomy, fenestration and discectomy, and spinous process osteotomy) for low back pain and radicular pain. Results: Forty six (85.19%) patients were male and 8(14.81%) were female. Age range was 18-60 years. Forty nine (90.74%) were new patient and 5(9.26%) had recurrent disc prolapse. Diagnosis was confirmed by MRI. Fifty (92.59%) patients had no pain after surgery and only 2(3.70%) patients needed reoperation and 2(3.70%) had occasional pain. Conclusion: Surgery for lumbar disc herniation is effective in reducing radicular pain. All three surgical approaches resulted in significant decrease in preoperative radicular pain and low back pain, but 100% good outcome was not achieved.\u0000Delta Med Col J. Jan 2021;9(1): 28-32","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"72 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855483","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":"Clinicopathologic Features and Outcome of COVID-19 Patients Attended at a Secondary Hospital in Bangladesh during the Pandemic","authors":"Syed Mohammad Shaifuddin, Md Abdul Wahab, F. Zafreen, Jaida Jalal Sarker","doi":"10.3329/dmcj.v9i1.71330","DOIUrl":"https://doi.org/10.3329/dmcj.v9i1.71330","url":null,"abstract":"Background: Coronavirus Disease 2019 (COVID-19) is an acute respiratory diseasethat can present varieties of clinical and pathologic manifestation. Sometimes it presentwith severe manifestation which ultimately lead to respiratory failure and death.COVID-19 patients with other comorbidities may develop a life-threatening situation.Objective: To describe the clinicopathologic features and outcome of COVID-19patients admitted in Combined Military Hospital (CMH) Rangpur, Bangladesh.Materials and method: This cross-sectional study was conducted at CMH Rangpur,Bangladesh, from 1 May 2021 to 30 August 2021 among purposively selected 416 casesof COVID-19 positive patients. Data were collected from the medical records of thehospital admitted patients in a structured case report form. Results: Highest numbers ofthe respondents were in the age group of 31-50 years (49.03%) with male predominance(72.28%). About 89% were Muslim and 54.81% were educated up to higher secondarylevel. Fever (90.86%) was the common presenting symptoms followed by cough(73.55%), sore throat (30.28%). About 24.51%, 23.07%, 11.05% had hypertension,diabetes mellitus and respiratory comorbidities respectively. Lymphopenia (75.24%)and elevated C-Reactive Protein (54.08%) were observed in most of the cases. Only8.17% patients had critical illness that needed intensive care unit admission. Majority(91.82%) fully recovered from the illness while 1.92% expired. Conclusions: The mostcommonly reported symptom was fever (90.86%) among all the COVID-19 positivepatients. Majority (62.25%) of the patients belonged to mild cases. Overall mortalitywas 1.92%. In most cases the clinical presentation is that of a respiratory infection withsymptom severity ranging from a mild influenza like illness. \u0000Delta Med Col J. Jan 2021;9(1):3-8","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"281 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139857255","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":"Variation of Shapes of Spleen of Bangladeshi People","authors":"Nilufar Jahan Khan, Mohsin Khalil, S. Mannan, S. Sultana, Nahaida Sultana, Sharmin Akter Sumi, Shakera Akter, L. Jabeen, Ismat Ara","doi":"10.3329/dmcj.v9i1.71336","DOIUrl":"https://doi.org/10.3329/dmcj.v9i1.71336","url":null,"abstract":"Background: Spleen is a haemo-lymph organ and belongs to the reticuloendothelial system of human body. The spleen plays a central role in the pathophysiology of several potentially severe diseases and increasing application of sophisticated procedures in radiology and surgery requires a profound knowledge of the gross and histomorphological aspects of the human spleen and also its vascular pattern.Objective: The present study was carried out to minimize the dependency on foreign standards and to identify the morphological changes with a view to establish a data related to spleen of Bangladeshi people. Materials and method: A cross sectional descriptive study was performed on 65 postmortem human spleen (34 of male and 31 of female) by purposive sampling technique and their different shapes were noted. Dissection was performed according to standard autopsy techniques. Results: There were variations of the shapes of the spleen, 2 were found disc shaped (3.07%), 2 were irregular (3.07%), 21 were oval (32.30%), 7 were tetrahedral (10.76%), 8 weretriangular (10.76%) and 26 were wedge shaped (40.0%). Conclusion: From the present study, it was concluded that six types of shapes of spleen were observed, common shapes were wedge and oval shape, with less frequent occurrence of triangular and tetrahedraland few were disc and irregular. The finding of the present study will be of fundamental importance to medical teaching and also to clinicians.\u0000Delta Med Col J. Jan 2021;9(1):33-36","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"23 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795359","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":"Artificial Intelligence in Laboratory Medicine","authors":"Md Rezwanur Rahman","doi":"10.3329/dmcj.v9i1.71329","DOIUrl":"https://doi.org/10.3329/dmcj.v9i1.71329","url":null,"abstract":"Abstract not available \u0000Delta Med Col J. Jan 2021;9(1):1-2","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"53 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139798193","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":"Opportunistic Salpingectomy: A New Scope of Preventing a Deadly Disease","authors":"S. Shermin, A. Noor","doi":"10.3329/dmcj.v9i1.71337","DOIUrl":"https://doi.org/10.3329/dmcj.v9i1.71337","url":null,"abstract":"Background: Symptoms of ovarian cancer are non-specific and often do not arise until the cancer is in a late stage. Such late onset of symptoms and the lack of an effective screening test result in diagnosis at an advanced-stage for most patients of ovarian cancer. The fimbrial end of the fallopian tube has recently been suggested as the site of origin for epithelial ovarian cancers (EOC). Therefore, a change in practice with opportunistic salpingectomy (OS) at the time of hysterectomy has been advocated for prevention of ovarian cancer. Different gynaecological societies have published statements in favour of opportunistic salpingectomy in women at average population risk for ovarian cancer prevention. In recent years, salpingectomy has been increasingly performed for tubal sterilization also. We have gone through the available scientific publications and international guidelines in preparing this brief review in an attempt tobe familiar with the recent updated views regarding this issue.\u0000Delta Med Col J. Jan 2021;9(1):37-57","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"112 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794746","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 among Chemical Suicidal Victims: Situation Analysis","authors":"Sanjida Akhter","doi":"10.3329/dmcj.v9i1.71334","DOIUrl":"https://doi.org/10.3329/dmcj.v9i1.71334","url":null,"abstract":"Background: Suicide by poisoning is the act of intentionally killing oneself by using various chemical substances and it is the most common and widely used method in developing countries like Bangladesh. Objective: The objectives of this study were to find out the socio-demographic characteristics and possible reasons among the chemical suicidal victims. Materials and method: This was a descriptive type of cross-sectional study, held in the Morgue of department of Forensic Medicine of Dhaka Medical College (DMC), Dhaka, Bangladesh, from July 2016 to June 2018. Victims were selected purposively according to the availability in the morgue of Dhaka MedicalCollege. Data were collected from the relatives of the victims and the verbal consent of the doctors who performed autopsy at DMC morgue. Results: A total of 50 victims of suicide using chemical substances as revealed by autopsy findings from the DMC morgue were enlisted in this study. Victims of suicide not using chemicals were excluded from this study. Half (50.0%) of the suicidal deaths by poisoning cases were aged 20 or below. Majority (66.0%) of the victims was male. Organophosphorus compound was found in 58.0% cases, followed by diazepam (8.0%) and barbiturates (4.0%), after receiving chemical analysis report. Conclusion: Pesticides are the most commonly used suicidal agent particularly in low and middle-income countries like ours. So, social awareness regarding this issue is very much needed.\u0000Delta Med Col J. Jan 2021;9(1):23-27","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854946","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.8(1)","authors":"S. Karim","doi":"10.3329/dmcj.v8i1.58963","DOIUrl":"https://doi.org/10.3329/dmcj.v8i1.58963","url":null,"abstract":"Abstract not available \u0000Delta Med Col J. Jul 2020 8(1): 51   ","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48321694","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":"Sociodemographic and Reproductive Factors Associated with Breast Cancer: A Case-Control Study in a Cancer Specialized Hospital of Dhaka City, Bangladesh","authors":"Zerin Zahed, A. Hossain","doi":"10.3329/dmcj.v8i1.58956","DOIUrl":"https://doi.org/10.3329/dmcj.v8i1.58956","url":null,"abstract":"Background: Breast cancer is the most common cancer in women in the world. In Bangladesh, the breast cancer is estimated to have the age-standardized incidence rate of 25.2 per 100,000 females of all ages. \u0000Objective: The objective of this study was to identify the sociodemographic and reproductive factors associated with the development of breast cancer in Bangladesh. \u0000Materials and method: A case control study was conducted on 136 female subjects, in a cancer specialized hospital of Dhaka city (68 subjects for case group with breast cancer and 68 subjects for control group without any known cancer) aged ≥20 years. Data was collected by face to face interview with structured questionnaire. The results were reported by adjusted odd ratios (ORs) and corresponded 95% confidence intervals (CIs). A p-value less than 0.05 were considered statistically significant. Independent factors associated with breast cancer were established using multivariate logistic regression analysis. \u0000Result: Among the reproductive factors, women with the history of hysterectomy are 84% less likely and post-menopausal women are 27.83% more likely to get breast cancer. On sociodemographic background women who received 12+ years of schooling and 6 to 10 years of education are 14.91% and 4.91% more likely to get breast cancer. Women with the monthly family income of 5000 Tk to 25000 Tk are 76% less likely to get breast cancer than women with more monthly family income. Women married for more than 20 years are 7.27% more likely to get cancer. Women with 3 or more children are 81% less likely to get breast cancer than women with fewer children. \u0000Conclusion: Our study suggests that, age, level of education, monthly family income, history of hysterectomy of the patient may play an important role in risk of breast cancer in Bangladeshi women. Further research is needed to better understand the complex interactions between environmental, reproductive and genetic factors. \u0000Delta Med Col J. Jul 2020 8(1): 4-8","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46036827","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":"Personal Hygiene Practices among Selected Rural School Children in Bangladesh","authors":"F. Zafreen, Md Abdul Wahab, M. Rahman, S. Shermin","doi":"10.3329/dmcj.v8i1.58962","DOIUrl":"https://doi.org/10.3329/dmcj.v8i1.58962","url":null,"abstract":"Background: Proper hygiene practices play vital roles in prevention of communicable diseases and maintenance of health for children in developing countries. \u0000Objective: To assess the status of personal hygiene practices among the rural school children. \u0000Materials and method: This cross-sectional descriptive study was conducted from January to June 2014 among the children of class VIII, IX and X of Defalbari and Nagarbathan high school of Jhenaidah district, Bangladesh. A total of 240 children were selected through purposive sampling and data were collected through face to face interview with a pretested semi-structured questionnaire. \u0000Results: Total 240 students’ mean age was 15.36±1.69 years and 56.3% was boy. About 52.5% of the students’ monthly family income was below 10,000 taka, 42.5% were living in kacha house. About 77.1% students practiced hand washing before meal and 73.3% after using toilet. About 47.5% students had sanitary latrine in their home and 56.2% had practices of wearing shoes in toilet. About 72.9% students had daily bathing practices and 39.6% students trimmed their nail weekly. Students’ mothers’ education status had significant association with hand washing practices both before meal and after using toilet. \u0000Conclusion: Proper practices of personal hygiene keep young children away from many diseases and help in maintaining growth and development. Mothers’ education status was found to have significant association with students’ personal hygiene practices. So, effort should be made to aware every school going children and their parents about the benefits of regular practice of personal hygiene for a bright and healthy life. \u0000Delta Med Col J. Jul 2020 8(1): 28-31","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49653874","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}