Delta Medical College Journal最新文献_第8页

Serum Lipid Profile in Adult Nephrotic Syndrome Patients 成人肾病综合征患者的血脂分析

Delta Medical College Journal Pub Date : 2018-09-14 DOI: 10.3329/DMCJ.V6I2.38216

T. Rahman, N. Sultana, G. M. Molla, P. Mazumder, S. N. Chowdhury, I. Rahman

{"title":"Serum Lipid Profile in Adult Nephrotic Syndrome Patients","authors":"T. Rahman, N. Sultana, G. M. Molla, P. Mazumder, S. N. Chowdhury, I. Rahman","doi":"10.3329/DMCJ.V6I2.38216","DOIUrl":"https://doi.org/10.3329/DMCJ.V6I2.38216","url":null,"abstract":"Background: The nephrotic syndrome is a constellation of abnormalities that includes massive proteinuria, hypoalbuminaemia and oedema. Lipid abnormalities have an important biochemical basis in the disease process of adult nephrotic syndrome. Dyslipidaemia in nephrotic syndrome is involved in cardiovascular risk and also accelerates the progression of glomerular dysfunction.Objective: To find out the association between serum lipid profile and nephrotic syndrome in adult.Materials and method: This case control study was carried out in the Department of Biochemistry, Dhaka Medical College, Dhaka, Bangladesh, during the period of July 2013 to June 2014 to evaluate the association of serum lipid profile in adult patients with nephrotic syndrome. One hundred (100) study subjects were included, among them fifty (50) were diagnosed adult nephrotic syndrome patients selected as case and fifty (50) were age and sex matched healthy adult individuals selected as control. Serum lipid profile and serum albumin were measured for both case and control. All the statistical analyses were done by using SPSS for Windows version 20.0.Results: Mean±SD of serum total cholesterol (Tchol), triacylglycerol (TAG), high density lipoprotein (HDL-C), and low density lipoprotein (LDL-C) of case were 288.23±35.67 mg/dL, 174.53±18.86 mg/dL, 23.71±4.58 mg/dL, and 231.16±34.28 mg/dL respectively and that of control were 171.04± 24.36 mg/dL, 129.58± 23.47 mg/dL, 37.5± 7.01 mg/dL, and 103.58±36.83 mg/dL respectively. Serum Tchol, TAG, LDL-C levels were significantly higher in cases than the control (p<0.0001) and serum HDL-C level was significantly lower in cases than the control (p<0.0001).Conclusion: Dyslipidaemia is associated with adult nephrotic syndrome. Routine check-up of lipid profile will help to prevent the development of cardiovascular and cerebrovascular complications in adult nephrotic syndrome patients.Delta Med Col J. Jan 2018 6(2): 78-81","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V6I2.38216","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48195085","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

Betamethasone Gel versus Intravenous Dexamethasone as Prophylaxis against Postoperative Sore Throat 倍他米松凝胶与静脉注射地塞米松预防术后咽喉痛的比较

Delta Medical College Journal Pub Date : 2018-09-14 DOI: 10.3329/DMCJ.V6I2.38215

Muhammad Sazzad Hossain, M. Rashid, Anisur Rahman Babu, Devashis Saha, Debasis Banik

{"title":"Betamethasone Gel versus Intravenous Dexamethasone as Prophylaxis against Postoperative Sore Throat","authors":"Muhammad Sazzad Hossain, M. Rashid, Anisur Rahman Babu, Devashis Saha, Debasis Banik","doi":"10.3329/DMCJ.V6I2.38215","DOIUrl":"https://doi.org/10.3329/DMCJ.V6I2.38215","url":null,"abstract":"Background: Postoperative sore throat (POST) though a minor sequel after general anaesthesia with endotracheal intubation, it can be distressing to the patient.Objective: The effectiveness of lubricating endotracheal tube with 0.05% betamethasone gel or intravenous dexamethasone in reducing the postoperative sore throat was compared.Materials and method: This was a prospective study carried out among ninety ASA I and II informed consenting patients aged 20-50 years undergoing elective surgery under general anaesthesia with endotracheal intubation. The patients were randomly divided into three groups with thirty subjects in each group. Betamethasone gel (0.05%) was applied over endotracheal tube over 15 cm mark from the tip in group I, intravenous dexamethasone was given in group II and group III was taken as control. In post-anaesthesia care unit, an anesthesiologist interviewed all patients on postoperative sore throat at 1 hour, 6 hours and 24 hours after operation.Results: At 24 hours following extubation, there was statistically significant lower incidence of post-operative sore throat (POST) in betamethasone group compared to other two groups (betamethasone group 3.33%, dexamethasone group 20% and control group 26.66%, p<0.05). When the groups were compared in pairs at 24 hours, there was statistically significant difference in the incidence of POST between betamethasone group and dexamethasone group and also betamethasone group and control group with lower incidence of POST in betamethasone group, p<0.05. It was also observed that there was no significant difference of POST between dexamethasone and control group at 1 hour, 6 hours or 24 hours, p>0.05.Conclusion: It can be concluded that the use of 0.05% betamethasone gel to lubricate widely the endotracheal tube prior to intubation effectively reduces postoperative sore throat, compared to intravenous dexamethasone administration.Delta Med Col J. Jan 2018 6(2): 73-77","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V6I2.38215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45084604","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

Hyperprolactinemia: A Systematic Review of Diagnosis and Management 高泌乳素血症：诊断和治疗的系统综述

Delta Medical College Journal Pub Date : 2018-09-14 DOI: 10.3329/DMCJ.V6I2.38219

N. Akter, N. Qureshi, T. Akter

引用次数: 4

A Study on Highly Sensitive C-Reactive Protein (Hs-CRP) in Patients with Bronchial Asthma 支气管哮喘患者高敏C反应蛋白的研究

Delta Medical College Journal Pub Date : 2018-09-14 DOI: 10.3329/DMCJ.V6I2.38213

H. Rashid, R. K. Chowdhury, E. Huq, Shamimur Rahman, Nelson Taposh Mondal

{"title":"A Study on Highly Sensitive C-Reactive Protein (Hs-CRP) in Patients with Bronchial Asthma","authors":"H. Rashid, R. K. Chowdhury, E. Huq, Shamimur Rahman, Nelson Taposh Mondal","doi":"10.3329/DMCJ.V6I2.38213","DOIUrl":"https://doi.org/10.3329/DMCJ.V6I2.38213","url":null,"abstract":"Background: Asthma is a chronic inflammatory disorder of the airways. Relevance of highly sensitive C-reactive protein (hs-CRP), an acute phase reactant and a sensitive marker of low-grade systemic inflammation in bronchial asthma has not been fully studied.Objectives: Reported studies have found an inverse relationship between lung function and markers of systemic inflammation. The aim of this study was to clarify the relationship between serum level of hs-CRP and bronchial asthma.Materials and method: In this study, hs-CRP was measured in 60 patients with asthma and 40 healthy control subjects. Of all asthmatics, 39 patients had partially controlled and uncontrolled asthma and 21 patients had asthma during exacerbation.Results: Highly sensitive CRP was significantly higher (p<0.000) in asthmatic patients as compared to the control group. In asthmatics with exacerbation, serum hs-CRP was significantly higher than in partially controlled and uncontrolled asthmatic patients (p<0.006) and control subjects (p<0.0001).Conclusion: Serum hs-CRP may be a non specific marker of asthma and its exacerbation.Delta Med Col J. Jan 2018 6(2): 62-67","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V6I2.38213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47612565","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

Unusual Presentation of Precocious Puberty Associated with Primary Hypothyroidism in a 8.5 Years Old Girl 8.5岁女孩性早熟伴原发性甲状腺功能减退的不寻常表现

Delta Medical College Journal Pub Date : 2018-09-14 DOI: 10.3329/dmcj.v6i2.38220

S. Rikta, F. Ashraf, Samira Areen

{"title":"Unusual Presentation of Precocious Puberty Associated with Primary Hypothyroidism in a 8.5 Years Old Girl","authors":"S. Rikta, F. Ashraf, Samira Areen","doi":"10.3329/dmcj.v6i2.38220","DOIUrl":"https://doi.org/10.3329/dmcj.v6i2.38220","url":null,"abstract":"Precocious puberty is one of the gynaecological problems in childhood. Children with hypothyroidism generally have delayed pubertal development. But primary hypothyroidism is one of the rare causes of precocious puberty especially in long standing untreated patients. Bilateral ovarian enlargement due to multiple cystic ovaries is a rare complication of primary hypothyroidism. For ovarian enlargement no treatment is required at all. This is a case report of an 8.5 years old girl diagnosed as a case of precocious puberty with benign ovarian tumour at a peripheral hospital and was being prepared to undergo laparotomy. When patient was admitted at Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh, after thorough investigations primary hypothyroidism was diagnosed. She was given thyroxin replacement and close monitoring was done by doing USG of uterus and adnexae, thyroid function test at monthly interval. USG after 2 months revealed significant reduction of ovarian volume and at 6 month ovarian volume reduced to normal. It was also noticed that the rate of reduction of ovarian volume corresponds to the rate of reduction of serum TSH level measured serially at every 2 months interval.Delta Med Col J. Jan 2018 6(2): 102-105","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/dmcj.v6i2.38220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41815702","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

Cataract Surgery under Local Anaesthesia - Search for Safer One 白内障局部麻醉手术-寻找更安全的手术

Delta Medical College Journal Pub Date : 2018-09-14 DOI: 10.3329/dmcj.v6i2.38214

Abdus Salam Siddique, F. Hoque, Jamal Abu Naser

{"title":"Cataract Surgery under Local Anaesthesia - Search for Safer One","authors":"Abdus Salam Siddique, F. Hoque, Jamal Abu Naser","doi":"10.3329/dmcj.v6i2.38214","DOIUrl":"https://doi.org/10.3329/dmcj.v6i2.38214","url":null,"abstract":"Background: Cataract surgery is usually done under local anaesthesia. But till now there are no absolutely safe local anaesthetics. Current study is done to find out a safer local anaesthetic for cataract surgery.Objective: To evaluate the onset, duration, quality, side effects and safety of bupivacaine and lignocaine in peribulbar block (PBB) for cataract surgery.Materials and method: This was a randomized observational controlled clinical study done in Monno Medical College Hospital, Manikganj, Bangladesh, in the period of October, 2014 to October, 2015. Two hundred cataract patients attending ophthalmology department were allocated to receive either 4 mL 0.5% bupivacaine+4 ml 2% lignocaine or 8 mL of 2% lignocaine for peribulbar block during cataract surgery. Onset, duration, quality of anaesthesia and after effects were used as a clinical parameter for the study.Results: Mean anaesthetic durations of lignocaine and bupivacaine+lignocaine were 75 minutes and 120 minutes respectively. Least complications were observed in subjects with lignocaine.Conclusion: Peribulbar blocks with 2% lignocaine provide better anaesthesia for cataract surgery and success rates are high without any complications. Anaesthetic time of lignocaine alone is enough for cataract surgeryDelta Med Col J. Jan 2018 6(2): 68-72","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/dmcj.v6i2.38214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41491629","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.6(2) 本期审稿人第6卷（2）

Delta Medical College Journal Pub Date : 2018-09-14 DOI: 10.3329/dmcj.v6i2.38221

Rezwanur Rahman

引用次数: 0

Hepatitis C Virus Genetic Variability and Quasispecies 丙型肝炎病毒的遗传变异和准种

Delta Medical College Journal Pub Date : 2018-03-10 DOI: 10.3329/DMCJ.V6I1.35969

N. Sultana, Mohammad Ahsan, A. Miti, Umme Shahera, Ridwana Asma, Tahmina Akther, R. Raihan, M. Mahtab, S. M. Akbar

引用次数: 0

Early Postoperative Arrhythmias after Paediatric Cardiac Surgery 小儿心脏手术后早期心律失常

Delta Medical College Journal Pub Date : 2018-03-10 DOI: 10.3329/dmcj.v6i1.35964

K. Hoque, Akhand Tanzih Sultana, Mamun Mia, M. Chowdhury, M. Hossein

{"title":"Early Postoperative Arrhythmias after Paediatric Cardiac Surgery","authors":"K. Hoque, Akhand Tanzih Sultana, Mamun Mia, M. Chowdhury, M. Hossein","doi":"10.3329/dmcj.v6i1.35964","DOIUrl":"https://doi.org/10.3329/dmcj.v6i1.35964","url":null,"abstract":"Background: The radical change in techniques in paediatric cardiac surgery has dramatically reduced the morbidity and mortality. The different varieties of arrhythmia that are frequently observed in postoperative period in our country are still not well documented.Objectives: To determine the incidence and risk factors of arrhythmia immediately after cardiac surgery in paediatric age group.Materials and method: It was a prospective study. A total of 100 paediatric patients (age <18 years) who underwent cardiac surgery at Dhaka Shishu Hospital between 2013 and 2016 were selected purposivelyResults: Out of 100 patients maximum 41% were from 13-72 months age group. The mean age was 49.73±37.17 months with range of 0.5-231 months, 58% patients were male and rest were female. Postoperatively 31% subjects were arrhythmic and of these the highest number of patients suffered from junctional ectopic tachycardia. Out of these 100 patients, 39% were diagnosed as VSD followed by TOF (35%). Among 31 arrhythmic patients 59.83%, 41.93% and 3.22% manifested onset of arrhythmia at 1st, 1st to 2nd and 2nd to 7th postoperative period respectively. In this study age, body weight, cyanosis, CPB time, postoperative acidosis, ventilation support days, hypertension on arrival in ICU as well as ICU stay days were recognized as significant risk factors (p <0.05).Conclusion: Proper and careful monitoring of younger patient with lower body weight undergoing corrective cardiac surgery with long cardiopulmonary bypass (CPB) time may reduce the episodes of post operative arrhythmia. These patients may require high inotropic support post operatively. So, medical prevention and early diagnosis as well as proper management may improve the operative outcome.Delta Med Col J. Jan 2018 6(1): 22-28","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"6 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2018-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/dmcj.v6i1.35964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46601002","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

Intrauterine Single Fetal Demise in Twin Pregnancy 双胎妊娠中的宫内单胎Demise

Delta Medical College Journal Pub Date : 2018-03-10 DOI: 10.3329/dmcj.v6i1.35970

R. Haque, Mizanur Rahman, K. Akhter

引用次数: 3