Delta Medical College Journal最新文献

{"title":"Child Care Practice of Mother of below Five Years Children in a Selected Semi Urban Area of Bangladesh","authors":"Nasreen Akther, Meherunnessa Begum, S. Farah, N. Begum, Nargis Momotaz Lata, Rokshana Sabnom","doi":"10.3329/DMCJ.V5I2.33345","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I2.33345","url":null,"abstract":"Background: Early childhood care plays an important role in children’s development and provides a valuable support to young children. High quality child care can have a positive influence on children’s development. Objective: To find out the child care practices among the mothers of below five year children in a semi urban area of Bangladesh and to find its association with some important demographic variables. Materials and method: This descriptive type of cross-sectional study was conducted among 440 respondents who were selected purposively at Purba Chandra, Shafipur Upazilla, Gazipur in Bangladesh in January, 2016. A pre-designed semi structured questionnaire was used to collect data by face to face interview. Results: Majority of the respondents (72.05%) were within the age group of 16-25 years. About 25% (111) children were within 0-12 months of age. Among the respondents 280 (63.64%) were housewives and 141 (32.05%) were garment workers. Maximum mother (72.73%) herself took care of their children and only 86 (19.54%) were cared by their grandmother/father. Majority of the children (87.05%) took colostrum as their first food, 164 (37.27%) children were breast fed up to age of 13-24 months and 302 (68.64%) children received exclusive breast feeding up to 6 months. Most of the children (92.95%) were vaccinated as per EPI schedule. Among them 283 (64.32%) children suffered from disease in last 3 months and 225 (79.51%) took treatment for their illness. Among them 83 (36.89%) took treatment from quack and only 76 (33.78%) children took treatment from private doctor. Conclusion: In this study, most of the mothers did not complete their secondary education and had a lack of knowledge of child rearing practice. This study provided a vivid picture of the child care practice among mothers and could help to the concerned authority in their policy making and planning to alleviate the problem. Delta Med Col J. Jul 2017 5(2): 76-82","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2017-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V5I2.33345","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42708083","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":"Critically Ill Obstetric Patients Treated in Intensive Care Unit: a Study in a Tertiary Care Institution","authors":"R. Haque, Mizanur Rahman, S. Jahan, K. Begum","doi":"10.3329/DMCJ.V5I1.31423","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I1.31423","url":null,"abstract":"Background: The complications of pregnancy and childbirth are the leading causes of death and disability of reproductive age in developing countries. So, care of critically ill pregnant patients is an important aspect of obstetric services delivered in a tertiary care hospital. Objective: This study was conducted to find out the proportion of obstetric patients treated in ICU over a period of one year, to ascertain the frequency of serious diseases, to identify the risk factors and to determine the maternal mortality of ICU treated patients with an aim to identify the importance of a separate ICU to be incorporated within the labor and delivery suites. Materials and method: This retrospective study was conducted in Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh, during the period from January 2008 to December 2008. Total obstetric patients from all four maternity units admitted in ICU were 52 in number. Evaluation of the cases was done from records of obstetric patients treated in ICU. Necessary information was collected in a predesigned clinical sheet and the findings were compiled and necessary statistical analysis was done using SPSS. Results: ICU admission of obstetric patients in the year 2008 in DMCH was 0.82% of total deliveries and total obstetric population represented 14.3% of total ICU population. The main primary factors for ICU transfer were complications of eclampsia (59.6%) and obstetric haemorrhage (26.9%). The common final causes of ICU transfer were pulmonary oedema (35.5%) in eclamptic women and haemorrhagic shock (66.7%) in non eclamptic women. A total of 39 (75%) patients died in ICU. The major cause of death was pulmonary oedema (45.5%) in eclamptic patients and haemorrhagic shock (47.1%) in non eclamptic patients. Conclusion: Thorough evaluation of cases has revealed that many patients needed ICU treatment which could not be provided because of limited facilities. So, incorporation of a separate obstetric ICU in DMCH could be an important component of measures aimed to reduce maternal mortality rate (MMR). Delta Med Col J. Jan 2017 5(1): 15-19","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48354130","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":"Comparative Study of the Effect of Ethanol Extract of Psidium Guajava Linn Leaves with Glibenclamide on Experimentally Induced Diabetes Mellitus in Rats","authors":"A. Momtaz, K. Sharmin, S. Rahman, N. Sultana, R. Sharmin","doi":"10.3329/DMCJ.V5I1.31421","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I1.31421","url":null,"abstract":"Background: Diabetes Mellitus is a major health problem not only in urban but also in the rural areas of Bangladesh. Regarding its treatment, a suitable drug is yet to be available which can permanently cure this disease. Over 400 traditional plants have been reported for the treatment of diabetes, but only a small number have received scientific and medical evaluation to assess their efficacy. Objective: The study was performed to compare the anti diabetic effect of Psidium guajava Linn leaves with an oral anti diabetic drug (Glibenclamide), in experimentally induced diabetic rats. Materials and method: The experiment was carried out in the department of Pharmacology & Therapeutics of Dhaka Medical College, Dhaka, Bangladesh from July 2012 to June 2013. Twenty four healthy rats of Long Evans Norwegian strain were divided into 4 groups (group A, B, C and D) comprising 6 rats in each. Group A (normal control) received standard rat food for 14 days. Diabetes was induced by administration of Alloxan 120 mg/kg/body weight in group B, C and D. Group B (diabetic control group) was given standard rat food. Group C and D was treated with ethanol extract of Psidium guajava leaves 100 mg/kg body weight and Glibenclamide 1.5 mg/kg/day orally respectively. Total duration of the experiment was 15 days. Results: Administration of ethanol extract of Psidium guajava leaves in group C and Glibenclamide in group D produced a significant reduction (p<0.001) in blood glucose level as compared to group B (diabetic control group). Conclusion: Ethanol extract of Psidium guajava leaves can be considered as a potential anti diabetic agent like Glibenclamide but it requires further investigations. Delta Med Col J. Jan 2017 5(1): 9-14","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45815819","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":"Violence against women in Bangladesh","authors":"N. Khan, A. Begum, T. M. Chowdhury, B. K. Das, F. Shahid, Saizuddin Kabir, Meherunnessa Begum","doi":"10.3329/DMCJ.V5I1.31432","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I1.31432","url":null,"abstract":"Background: Violence against women has many forms including physical aggression or threats, sexual abuse, emotional abuse, controlling or domineering, intimidation, stalking, passive/covert abuse, and economic deprivations. Alcohol consumption and mental illness can be co-morbid with abuse and present additional challenges when present alongside patterns of abuse. Objective: The objective of this study was to find out the status of victims of Violence against Women along with the causes and consequences of this heinous crime. Materials and method: A retrospective cross sectional study was done in Dhaka Medical College on the victims who underwent treatment at One Stop Crisis Centre (OCC) and burn unit. The victims were interviewed and the data received were later on analyzed by computer and organized in tables. Total cases of Violence against Women were 1143 during the study period. Due permission was taken from the authority. Results: Among the victims about 63% belonged to 16 to 30 years of age group. Most of the victims (56%) were from low socioeconomic conditions, 60% of them were housewife and most of the victims (71%) were married. Dowry cases and familial conflict (33% and 32% respectively) were the main background behind Violence against Women. Conclusion: At community level, improvement of economic status of women as well as women empowerment is essential. Mass awareness about Violence against Women through mass media is needed to be diffused. Delta Med Col J. Jan 2017 5(1): 25-29","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V5I1.31432","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44847885","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":"Obesity: A Review of Pathogenesis and Management Strategies in Adult","authors":"N. Aktar, N. Qureshi, Hs Ferdous","doi":"10.3329/DMCJ.V5I1.31436","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I1.31436","url":null,"abstract":"Obesity is a chronic metabolic disease characterized by an increase of body fat stores. It is a gateway to ill health, and has become one of the leading causes of disability and death, affecting not only adults but also children and adolescents worldwide. Obesity is a major risk factor for cancer, cardiovascular, metabolic, and respiratory disorders. This presents an ever increasing social and economic burden to individuals, families and the healthcare system. Preventing obesity is the optimal long-term population strategy. A comprehensive history, physical examination and laboratory assessment relevant to the patient’s obesity should be obtained. Appropriate goals of weight management emphasize realistic weight loss to achieve a reduction in health risks and should include promotion of weight loss, maintenance and prevention of weight regain. Management of co-morbidities and improving quality of life of obese patients are also included in treatment aims.Treatment should be based on good clinical care, and evidence-based interventions; should focus on realistic goals and lifelong multidisciplinary management. A comprehensive obesity management can only be accomplished by a multidisciplinary obesity management team. We conclude that physicians have a responsibility to recognize obesity as a disease and help obese patients with appropriate prevention and treatment. This review addresses the current therapeutic options in the treatment of obesity, focusing on pathogenesis, lifestyle changes, medications, and surgery. It also presents a suggested algorithm for the clinician assessing and managing obese patients. Delta Med Col J. Jan 2017 5(1): 35-48","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"35-48"},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V5I1.31436","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48593558","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":"Abdominal Cocoon: An Unusual Cause of Intestinal Obstruction","authors":"T. K. Paul, R. Lodi, Shayda Ali, M. A. Basunia, H. M. A. Rouf","doi":"10.3329/DMCJ.V5I1.31437","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I1.31437","url":null,"abstract":"Abdominal cocoon, the idiopathic form of sclerosing encapsulating peritonitis, is a rare condition of unknown etiology that results in an intestinal obstruction due to total or partial encapsulation of the small bowel by a fibrocollagenous membrane. The early clinical features are nonspecific, are often not recognized and it is difficult to make a definite pre-operative diagnosis. Clinical suspicion may be generated by the recurrent episodes of small intestinal obstruction combined with relevant imaging findings and lack of other plausible etiologies. Surgery is important in the management of this disease. Careful dissection and excision of the thick sac with the release of the small intestine leads to complete recovery in the vast majority of cases. Here a case of abdominal cocoon in a 45 years old male is presented due to its rarity and difficulty in preoperative diagnosis. Delta Med Col J. Jan 2017 5(1): 49-52","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V5I1.31437","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41471633","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":"Zika Virus – An Upcoming Challenge?","authors":"Rezwanur Rahman","doi":"10.3329/DMCJ.V5I1.31416","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I1.31416","url":null,"abstract":"Zika virus is a flavivirus in the family Flaviviridae, that was first isolated in 1947 from a sentinel rhesus monkey in a Ugandan forest, with the first human cases identified 5 years later in Nigeria.1,2 After remaining in relative obscurity for nearly 60 years; it came as a great surprise when the 2007 outbreak of Zika virus on several islands in the State of Yap, Federated States of Micronesia, resulted in an estimated 5000 infections among the total population of 6700.3 Subsequently, an outbreak in French Polynesia in 2013 and 2014 is estimated to have involved 32,000 persons and this time cases of Guillain-Barré syndrome were also noted.4 Subsequent outbreaks occurred on other Pacific islands in the next two years.5 Then, within the span of just 1 year, Zika virus was introduced into Brazil from the Pacific Islands, spread rapidly to at least 33 countries and territories in the Americas and by March 2016, a total of 51,473 suspected cases of Zika virus had been reported in Brazil. By September 2015, investigators in Brazil noted an increase in the number of infants born with microcephaly in the same areas in which Zika virus was first reported, and by mid-February 2016, more than 4300 cases of microcephaly had been recorded.6,7 It became the first major infectious disease linked to human birth defects to be discovered in more than half a century and created such global alarm that the World Health Organization (WHO) would declare a Public Health Emergency of International Concern on February 2016.7 Zika Virus Transmission Mosquito-borne Transmission Humans become infected with Zika virus mainly through the bites of several species of aedes mosquitoes, including Aedes aegypti and presumably Aedes albopictus.1,2","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46173960","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":"Pattern of Otolaryngological Diseases among Paediatric Population Attending ENT OPD in a Tertiary Care Centre, Dhaka","authors":"Afroza Khanam, Gulshan Akhtar, Farhana Hossain, Nurun Nahar Chowdhury, A. Rahman","doi":"10.3329/DMCJ.V5I1.31434","DOIUrl":"https://doi.org/10.3329/DMCJ.V5I1.31434","url":null,"abstract":"Background: Ear, nose and throat diseases are serious public health problems affecting all age groups. These include problem of hearing, speech, phonation, breathing, swallowing, smell and taste and protection of lower respiratory passage. Objective: There is lack of data on paediatric ENT diseases in our country and their consequences. This study was undertaken to determine the hospital prevalence of ENT diseases among paediatric population. Materials and method: This is an observational study which included 430 children presenting with ENT problem in the Department of ENT OPD, in a Tertiary Care Centre at Dhaka, Bangladesh from January 2013 to December 2013. Results: The current study was conducted among children aged 0-15 years attending ENT OPD with common otolaryngological problems. Prevalence of ENT disease was more common among male children (52.79%) mostly belonging to 0-5 years (male 52.86% and female 42.36%). Vast majority of these children belonged to lower middle class family (52.32%) with inadequacy of basic health care needs. Diseases of the ear (39.75%) were most common followed by throat problems (33.71%) and nasal diseases (26.51%). Conclusion: Otitis media (acute and chronic), rhinitis and tonsillitis were most prevalent ENT disorder among the selected paediatric population. So clinicians should be familiar with these conditions to prevent potential morbidity and to create parental awareness. Delta Med Col J. Jan 2017 5(1): 30-34","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"5 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45118786","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 Multiple Cardiac Biomarkers in Acute STEMI Patients without Clinical Manifestation of Heart Failure in NICVD","authors":"Syeda Shahina Subhan, Nasir Uddin Mithu, Rezwanur Rahman, S. Nahar, Muhsina Abdullah, D. Parvin, B. Dutta","doi":"10.3329/DMCJ.V4I2.29370","DOIUrl":"https://doi.org/10.3329/DMCJ.V4I2.29370","url":null,"abstract":"Background : In patients with acute coronary syndrome (ACS), Cardiac Troponin I (cTnI) elevation is indicative of myocardial damage. After acute myocardial infarction (AMI), level of Pro-BNP rises rapidly during the first 24 hours and tends to stabilize thereafter. Objective : The present study tried to explore the pattern of multiple cardiac biomarkers (cTnI, CK-MB, Pro-BNP, SGOT and LDH) in newly diagnosed acute ST-elevation myocardial infarction (STEMI) patients without clinical symptoms of heart failure. Materials and method : This was a prospective study. Total 82 acute STEMI patients were recruited purposively from National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh, within 24 hours of symptoms having normal serum creatinine level. cTnI and pro-BNP elevation were defined >1mg/mL and >125 pg/mL respectively. The study population was sub grouped according to age: group A ( 51-60 years) and group D (>60 years). Results : The mean±SD age of patients was 53.3±11.6 years and 42.70% population belonged to relatively younger age group (group B). Smoking was found on the top of the list (73.20%) as a risk factor. There was no difference among the groups regarding atherosclerotic marker and no other cardiac markers except pro-BNP. Only Pro-BNP (pg/mL) showed gradual and progressive increment with increasing age. No significant difference was observed between CRP positive and negative groups in different age groups (cut off value <6mg/dL). Group B (40-50 years) seems to be the most vulnerable as the anterior and the extensive anterior myocardial infarctions (worst prognosis) were highest in this group. Conclusion : Worst prognosis is associated with increased age and raised pro-BNP level. Delta Med Col J. Jul 2016 4(2): 55-60","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"4 1","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"2016-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/DMCJ.V4I2.29370","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69488900","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 Treatment Complication of Enteric Fever: A Rare Presentation","authors":"N. Paul, R. Islam, N. Nusrat, F. Rahman, M. Hasan","doi":"10.3329/dmcj.v4i2.29382","DOIUrl":"https://doi.org/10.3329/dmcj.v4i2.29382","url":null,"abstract":"Background: Enteric fever is one of the common infectious diseases worldwide. Ceftriaxone is the most commonly used sensitive antibiotic for enteric fever. Biliary sludge is an important complication of ceftriaxone. Biliary sludge refers to a viscous mixture of small particles derived from bile. These sediments consist of cholesterol crystals, calcium salts, calcium bilirubinate, mucin, and other materials. For patients without symptoms, no treatment is recommended. If patients become symptomatic and/or develop complications, cholecystectomy is indicated. This is case report of a 9 year old boy diagnosed as a case of enteric fever and treated with appropriate dose of ceftriaxone for 8 days. On the day of discharge, at night the boy developed severe abdominal pain. They took surgical consultation; ultrasonography of whole abdomen was done which revealed multiple calculi in gall bladder. Symptomatic treatment was planned followed by surgical removal of biliary calculi. After 20 days they took surgical consultation again. Surgeon was ready to perform surgery. The worried mother requested for repeat USG of whole abdomen and this time finding was normal. We must be aware about side effects of ceftriaxone. Patients should be followed up after completion of treatmentand as biliary sludge is often self-limiting and surgery is not required for all cases. Delta Med Col J. Jul 2016 4(2): 97-100","PeriodicalId":53280,"journal":{"name":"Delta Medical College Journal","volume":"53 1","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"2016-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/dmcj.v4i2.29382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69489032","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}