Delta Medical College Journal最新文献_第6页

A Case Report of Rickettsial Meningitis 立克次体脑膜炎1例报告

Delta Medical College Journal Pub Date : 2020-02-23 DOI: 10.3329/dmcj.v7i2.45568

Sadia Islam, S. Rahman, T. Samdani

{"title":"A Case Report of Rickettsial Meningitis","authors":"Sadia Islam, S. Rahman, T. Samdani","doi":"10.3329/dmcj.v7i2.45568","DOIUrl":"https://doi.org/10.3329/dmcj.v7i2.45568","url":null,"abstract":"Rickettsial diseases are a group of infections caused by the obligate intracellular bacteria Rickettsia. Rickettsial infections are common in southern Europe. The disease is usually characterized by the classical triad of fever, eschar and rash. Complications including neurological involvement are rarely described. We report an unusual case of meningitis in a 55 years old man presenting with high grade fever for 8 days associated with persistent headache. The patient was suspected to have enteric fever and treated with injection ceftriaxone. Forty-eight hours after admission, the presence of continued high grade fever, conjunctival congestion, headache, cough, low platelet and increased WBC count, and elevated transaminase raised the possibility of a different aetiology. Finally, Rickettsial meningitis was confirmed due to history of field visit, presence of eschar, neck rigidity, raised titre of WF OX-K antigen and the cerebrospinal fluid analysis revealed increased cellularity, hypoglycorrhachia, and hyper proteinorrhachia (106 mg/dL). Patient was treated with capsule doxycycline and other supportive therapy and became afebrile within 48 hours. This uncommon clinical scenario should be taken into account in the management of patients with high grade fever on admission.","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"7 1","pages":"100-103"},"PeriodicalIF":0.0,"publicationDate":"2020-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/dmcj.v7i2.45568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46846446","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.7(2) 来自主编办公桌第7卷（2）

Delta Medical College Journal Pub Date : 2020-02-19 DOI: 10.3329/dmcj.v7i2.45539

S. Karim

引用次数: 0

Gastroprotective Effect of Azadirachta indica Leaves (Neem) Extract on Aspirin Induced Gastric Ulcer in Rats 印楝叶提取物对阿司匹林致大鼠胃溃疡的保护作用

Delta Medical College Journal Pub Date : 2020-02-19 DOI: 10.3329/dmcj.v7i2.45542

S. Farzana, S. Saha, N. Sultana, I. Khan

{"title":"Gastroprotective Effect of Azadirachta indica Leaves (Neem) Extract on Aspirin Induced Gastric Ulcer in Rats","authors":"S. Farzana, S. Saha, N. Sultana, I. Khan","doi":"10.3329/dmcj.v7i2.45542","DOIUrl":"https://doi.org/10.3329/dmcj.v7i2.45542","url":null,"abstract":"Background: Gastric ulcer is one of the common diseases worldwide. Different parts of Azadirachta indica (Neem) tree has different uses in medicine for its beneficial properties and its leaves are also known to have anti ulcerant effect. Objective: This study was conducted to find out the protective role of Azadirachta indica (Neem) extract in the development of gastric ulcer. Materials and method: The study comprised of 30 Albino rats: Group-A, Group-B, Group-C, Group-D and Group-E having 6 rats in each group. The experiment was divided into 2 parts: Experiment-1 and Experiment-2. Experiment-1 comprised of Group-A and Group-B where Group-A served as control and was provided with normal saline (2 ml/kg body wt). In group-B rats ulcer was produced by administration of aqueous suspension of Aspirin (200 mg/kg body wt). All the rats were sacrificed after 4 hours to confirm gastric ulcer by histopathology. In Experiment-2, rats of Group-C served as disease control group and provided with normal saline (2ml/kg body wt). Group-D was provided with alcoholic extract of Azadirachtaindica leaves (150mg/kg body wt) and Group-E was provided with Ranitidine suspension (20mg/kg). After 8 days of treatment, animals were fasted for 24 hours. Then aqueous suspension of Aspirin (200 mg/kg body wt) was administered and after 4 hours all rats were sacrificed. Gross and microscopic examinations were performed to evaluate the results. Results: Histologically Aspirin treated rats showed ulcerated mucosa. Pretreatment with Neem extract showed protection against Aspirin induced gastric mucosal damage which was statistically highly significant (p<0.001). Conclusion: The study suggests that pretreatment with Azadirachta indica (Neem) leaves extract may be useful in prevention of Aspirin induced gastric ulcer.","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"7 1","pages":"61-65"},"PeriodicalIF":0.0,"publicationDate":"2020-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44946232","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: 2

Changing Pattern of Shingles (Herpes Zoster) in Hill Tracts: A Study among Tribal Community of Bangladesh 山区带状疱疹（Herpes Zoster）的变化模式：孟加拉国部落社区的研究

Delta Medical College Journal Pub Date : 2020-02-19 DOI: 10.3329/dmcj.v7i2.45541

Ahmed Tanjimul Islam

{"title":"Changing Pattern of Shingles (Herpes Zoster) in Hill Tracts: A Study among Tribal Community of Bangladesh","authors":"Ahmed Tanjimul Islam","doi":"10.3329/dmcj.v7i2.45541","DOIUrl":"https://doi.org/10.3329/dmcj.v7i2.45541","url":null,"abstract":"Background: Herpes zoster infection (shingles) is a common painful disease in Bangladesh. Changing pattern of the disease presentation can cause delayed diagnosis, inappropriate treatment, prolongation of the disease with debilitating symptoms and post herpetic neuralgia. Objective: The study was done to evaluate the different changing clinical and dermatome pattern of shingles among tribal community in Hill tracts of Bangladesh. Materials and method: This descriptive hospital based study was carried out among 74 shingles patients using simple, direct, standardized questionnaire with history, clinical and dermatological examination from July 2015 to July 2016 in Rangamati General Hospital, Rangamati, Bangladesh. Results: August to October was the vulnerable period for Shingles (75.7%) with highest number of cases found in September (32.4%). Rural area (70.2%) is vulnerable than urban area. Lumbar region (39.1%) is the commonest dermatome involved during examination. Itching was the commonest complaint (41.9%) for physician consultation and 15% cases suffered reactivation within six months in the same dermatome region. Conclusion: As changing and different pattern of manifestations are common in shingles in Hill Tracts, these are to be considered by local and consultant physicians in the total management to decrease delayed complications and reactivation.","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"7 1","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2020-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42521276","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

Materials Used for Suicidal Hanging Recorded during Autopsy from Sir Salimullah Medical College Morgue 萨里穆拉爵士医学院太平间尸检记录的自杀上吊材料

Delta Medical College Journal Pub Date : 2020-02-19 DOI: 10.3329/dmcj.v7i2.45543

S. R. Sumon, Kishoara Binte Quader, M. T. Asha, F. A. Mollika, M. S. A. Rashid, B. H. Khan, F. Ahmed

{"title":"Materials Used for Suicidal Hanging Recorded during Autopsy from Sir Salimullah Medical College Morgue","authors":"S. R. Sumon, Kishoara Binte Quader, M. T. Asha, F. A. Mollika, M. S. A. Rashid, B. H. Khan, F. Ahmed","doi":"10.3329/dmcj.v7i2.45543","DOIUrl":"https://doi.org/10.3329/dmcj.v7i2.45543","url":null,"abstract":"Background: Suicide is one of the commonest causes of death worldwide and has a great public health effect. The cause of suicide is found to be multi-factorial in which biological, psychological, social and environmental factors act together. The choice of method depends on the accessibility and availability of the means on the spot at the time of act. Objective: To find out the choice of ligature material used by the victims, type of hanging in relation to the point of suspension and other related factors. Materials and method: This retrospective observational study summarizes the post mortem examinations on 187 cases of suicide by hanging during January 2012 to December 2013 in the Department of Forensic Medicine, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh. Ligature material used by the victim was noted from the available forensic reports. Results: The current study is done to find out the commonly used material in cases of hanging. Male (63%) outnumbered females (37%) in committing suicide by hanging. Most commonly used ligature material was rope (28%) followed by ‘orna’/’dupatta’ (22%). The nature of ligature material was soft in 68% cases while hard material was used in 5% cases. The position of knot was observed on left side of neck in 63% cases followed by right side in 21% cases. The commonly used ligature was a rope with guider, and ceiling fan and tree branches as the point of suspension. Conclusion: Rope is frequently used for domestic purposes and thus it is also the most commonly used ligature material. Social, cultural and economic values must be strengthened to reduce incidence of suicide.","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"7 1","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2020-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/dmcj.v7i2.45543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44411973","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

Dengue – What to Do? 登革热——该怎么办？

Delta Medical College Journal Pub Date : 2020-02-19 DOI: 10.3329/dmcj.v7i2.45540

Rezwanur Rahman

引用次数: 1

Outcome of Mode of Delivery in Nulliparous and Multiparous Women Presenting with Early and Late Cervical Dilatation 早、晚宫颈扩张的无产和多产妇女分娩方式的结局

Delta Medical College Journal Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40616

Ferdous Ara Shuchi, S. Lovereen, Mst Nazmunnaher Mina

{"title":"Outcome of Mode of Delivery in Nulliparous and Multiparous Women Presenting with Early and Late Cervical Dilatation","authors":"Ferdous Ara Shuchi, S. Lovereen, Mst Nazmunnaher Mina","doi":"10.3329/DMCJ.V7I1.40616","DOIUrl":"https://doi.org/10.3329/DMCJ.V7I1.40616","url":null,"abstract":"Background: Knowledge of the patterns of normal and abnormal labour, and of women’s behavior, is fundamental to the formulation of mode of delivery. It is observed that women admitted to hospital early have a higher frequency of obstetric interventions in labour than those admitted later. \u0000Objective: To study the outcome of spontaneous onset of labour in nulliparous and multiparous patients. \u0000Materials and method: During the study period of 1st July 2008 to 31st Dec 2008, 568 pregnant women admitted in Kumudini Women’s Medical College were included in this study. Mothers were observed since admission with spontaneous onset of labour and followed up till they were released from the hospital. Labour outcome was measured and mode of delivery was compared among nulliparous and multiparous women. \u0000Results: Among the nulliparous women, normal vaginal delivery occurred in 71 (23%) patients presented with early cervical dilatation (0-3 cm) and in 142 (46%) patients presented with late cervical dilatation (>4 cm). In nulliparous women caesarean section were needed in 60 (45.8%) patients in early cervical dilatation group and in 35 (19.8%) patients in late cervical dilatation group. In multiparous women, normal vaginal delivery occurred in 66 (25%) patients presented with early cervical dilatation and in 133 (51%) patients presented with late cervical dilatation whereas cesarean section were done in 35 (34.7%) patients and in 25 (15.8%) patients in the two groups respectively. Duration of labour between nulliparous and multiparous was significantly different (8 hours vs. 6 hours). Indication of caesarean section were, 61 (40%) patients due to prolong labour, 48 (34%) due to foetal distress and 44 (26%) due to cephalopelvic disproportion. \u0000Conclusion: Normal vaginal delivery occurred more and duration of labour was shorter in patients admitted with advanced labour (cervical dilatation >4cm). \u0000Delta Med Col J. Jan 2019 7(1): 16-20","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V7I1.40616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43347266","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: 2

Substance Abuse among Bipolar Mood Disorder Patients 双相情感障碍患者的药物滥用

Delta Medical College Journal Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40618

M. Rashid, Ahsan Ahmed, Muhammad Zillur Rahman Khan

引用次数: 0

Reviewers in this issue Vol.7(1) 本期审稿人第7卷（1）

Delta Medical College Journal Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40621

Rezwanur Rahman

引用次数: 0

Association of Chest Radiograph with Community Acquired Pneumonia among the Children Admitted in Dhaka Shishu Hospital 达卡石树医院住院儿童胸部X线片与社区获得性肺炎的相关性

Delta Medical College Journal Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40615

Akhand Tanzih Sultana, M. Miah, K. Hoque, J. Begum, Kamruzzaman, Nazia

{"title":"Association of Chest Radiograph with Community Acquired Pneumonia among the Children Admitted in Dhaka Shishu Hospital","authors":"Akhand Tanzih Sultana, M. Miah, K. Hoque, J. Begum, Kamruzzaman, Nazia","doi":"10.3329/DMCJ.V7I1.40615","DOIUrl":"https://doi.org/10.3329/DMCJ.V7I1.40615","url":null,"abstract":"Background: Community-acquired pneumonia (CAP) is an infectious disease and common reason for hospitalization of children throughout the world. There are few published data about radiological findings and their relationship with community-acquired pneumonia (CAP) severity. \u0000Objective: This study was conducted to evaluate radiological findings in children with community acquired pneumonia (CAP) of different severity. \u0000Materials and method: A prospective study was conducted in the department of Paediatric Respiratory Medicine (Pulmonology) in Dhaka Shishu Hospital from November 2016 and April 2017. A total number of 35 children of 1 month to 10 years, who were admitted with cough or respiratory difficulty and radiological pneumonia were included in this study. \u0000Results: Majority of the study participants 18 (51.43%) were infants with a male preponderance. The most common symptom was cough (94.29%) followed by fever (82.86%) and respiratory distress (42.86%). Crepitation (54.29%), tachypnoea (42.86%) and chest indrawing (28.57%) were the most common signs. Out of total 35 children 17 (48.57%) cases had pneumonia and 18 (51.43%) cases had severe pneumonia. Among chest X-rays, severe pneumonia had greatest frequency of primary end point consolidation (PEP) on right side (n=10, 55.55%), right infiltrates (n=5, 27.78%), bilateral infiltrates (n=2, 11.11%) followed by right sided pleural effusion (n=3, 16.67%) and pneumothorax (n=2, 11.11%). There was no association found between CAP severity and presence of radiological findings of pneumonia. \u0000Conclusion: This study shows that severe CAP may not always be associated with positive radiological findings. This finding may be taken into consideration during the diagnosis and management of CAP. \u0000Delta Med Col J. Jan 2019 7(1): 21-25","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V7I1.40615","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42509337","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