Journal of medicine最新文献_第8页

A Review on The Causative Agents, Risk Factors and Management of Ventilator-Associated Pneumonia: South Asian Perspective 南亚地区呼吸机相关性肺炎的病原、危险因素及治疗综述

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60633

A. Ahmed, Nahian Sanjida Naboni, Afia Nowshen, S. Sultana, F. Haque, M. M. Hossain

引用次数: 1

Vitamin D Level in Healthy Bangladeshi Adults- A Pilot Study 孟加拉国健康成年人维生素D水平的初步研究

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60631

A. Yadav, S. Selim, T. Haq, A. Shah, Md Shahed Morshed, Md Habibul Ghani, I. Faisal, Murshed Ahamed Khan, M. Mustari, Mostafa Hasan Rajib, Md Firoj Hossain, M. Hasanat, M. Fariduddin

{"title":"Vitamin D Level in Healthy Bangladeshi Adults- A Pilot Study","authors":"A. Yadav, S. Selim, T. Haq, A. Shah, Md Shahed Morshed, Md Habibul Ghani, I. Faisal, Murshed Ahamed Khan, M. Mustari, Mostafa Hasan Rajib, Md Firoj Hossain, M. Hasanat, M. Fariduddin","doi":"10.3329/jom.v23i2.60631","DOIUrl":"https://doi.org/10.3329/jom.v23i2.60631","url":null,"abstract":"Background: Vitamin D level has profound clinical implications but there is dilemma of optimal vitamin D cut-off level among Bangladeshi population as well in many parts of the world. This study aimed to determine the sufficient level of vitamin D [25 hydroxyvitamin D, 25(OH)D] in relation to intact parathormone (iPTH) in apparently healthy adult volunteers.\u0000Materials and Methods: This cross-sectional study was carried out among 130 apparently healthy adult participants [age (years): 37.57±12.23, mean±SD; m/f: 67/63] in Bangabandhu Sheikh Mujib Medical University, Dhaka. Demographic profile, sunlight exposure and dietary history were taken, physical examinations were done and fasting blood was taken to measure 25(OH)D, iPTH, calcium, albumin and phosphate. Serum 25(OH)D was measured by high performance liquid chromatography whereas iPTH, serum calcium, albumin and phosphate were measured by chemiluminescent Method.\u0000Results: The mean serum 25(OH)D of apparently healthy Bangladeshi adults was 15.44 – 18.44 ng/ml. Vitamin D level was significantly affected by age group [p=0.002], sunlight exposure time [p=0.013] and body surface area [p=0.023] along with sunscreen use [p=0.026]. Serum 25(OH)D had negative predictive association with iPTH [β=-0.220, p=0.012] and positive predictive association with daily sunlight exposure time [β=0.235, p=0.007]. Serum 25(OH)D level above 30 ng/ml was sufficient to keep maximum suppression of iPTH at 54.56 pg/ml by using the quadratic model.\u0000Conclusion: The optimal level of 25(OH)D for apparently healthy adults in Bangladesh is above 30.0 ng/ml.\u0000J MEDICINE 2022; 23: 139-145","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46556955","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: 1

Monkeypox- A New Threat for the Globe! 猴痘-全球新威胁！

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60625

Q. Islam

引用次数: 1

Diagnosis of a Rare Tumor “Solitary Plasmacytoma of Bone” 罕见肿瘤“骨孤立性浆细胞瘤”的诊断

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60637

Md Jubaidul Islam, Tasnia Sultana, F. Mahmuda, J. Ahmed

引用次数: 0

Ischemic Stroke in a patient with Essential Thrombocythemia: Case Report 一例原发性血小板增多症患者的缺血性卒中病例报告

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60636

M. Moniruzzaman, S. Chandra, S. J. B. Sayeed

引用次数: 0

Erythema Induratum of Bazin, a Rare Manifestation of Cutaneous Tuberculosis: A Case Report 皮肤结核的一种罕见表现:巴津硬化性红斑1例

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60635

S. J. B. Sayeed, Md. Alamgir Hossain, M. Moniruzzaman, Ali Malik, Sabrina Rahman

{"title":"Erythema Induratum of Bazin, a Rare Manifestation of Cutaneous Tuberculosis: A Case Report","authors":"S. J. B. Sayeed, Md. Alamgir Hossain, M. Moniruzzaman, Ali Malik, Sabrina Rahman","doi":"10.3329/jom.v23i2.60635","DOIUrl":"https://doi.org/10.3329/jom.v23i2.60635","url":null,"abstract":"Background: Erythema induratum of Bazin is a rare manifestation of cutaneous tuberculosis. It may mimic some systemic disorders like sarcoidosis, poly arteritis nodosa, lymphoproliferative disorder, Histoplasmosis, and lupus profundus.\u0000Case Presentation: A 38-year young female, diabetic, and hypertensive presented with multiple painful skin lesion over anterior part of her leg for 3 months. These skin lesion used to appear as painful erythematous nodules of variable size and shape over the anterior and lateral aspects of both legs that became ulcerate, healed with hyperpigmentation. On examinations, all of her systemic examinations revealed unremarkable except skin lesion. Punch biopsy from skin lesion revealed lobular panniculitis with granuloma suggestive of erythema induratum and MTB gene Xpert from skin lesion found positive. Thereafter, she was put on anti TB therapy six-month regimens according to the national TB guideline, Bangladesh. After 2 and half months of treatment, her skin lesion disappeared.\u0000Conclusion: In a TB prevalent country, erythema induratum should be kept in differential diagnosis along with others. As it is usually underdiagnosed or misdiagnosed because of the absence of typical clinical features of TB, therefore comprehensive investigations like skin biopsy with histopathology, detecting DNA of Mycobacterium tuberculosis by PCR, positive Mantoux test are the cornerstone for confirmatory diagnosis.\u0000J MEDICINE 2022; 23: 165-168","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44709842","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

Cullen’s Sign in Severe Acute Pancreatitis 重症急性胰腺炎的Cullen征

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60638

M. Hajri, W. Ferjaoui, S. Omrani, R. Bayar

引用次数: 0

A Case of Systemic Lupus Erythematosus with Severe Jaundice 系统性红斑狼疮伴严重黄疸1例

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60634

N. Ferdous, J. Ghosh, Md. Nazrul Islam

引用次数: 1

Immunophenotypic Characterisation Along with Aberrant Expression of CD markers in Morphologically Diagnosed Cases of Acute Myeloid Leukemia 急性髓性白血病形态学诊断病例中CD标记物异常表达的免疫表型特征

Journal of medicine Pub Date : 2022-07-24 DOI: 10.3329/jom.v23i2.60626

Salina Haque, Zulfia Zinat Chowdhury, Tamanna Bahar, S. Reshma, A. Islam, Mohammad Ali, J. Ferdouse, Md. Mahbubur Rahman

{"title":"Immunophenotypic Characterisation Along with Aberrant Expression of CD markers in Morphologically Diagnosed Cases of Acute Myeloid Leukemia","authors":"Salina Haque, Zulfia Zinat Chowdhury, Tamanna Bahar, S. Reshma, A. Islam, Mohammad Ali, J. Ferdouse, Md. Mahbubur Rahman","doi":"10.3329/jom.v23i2.60626","DOIUrl":"https://doi.org/10.3329/jom.v23i2.60626","url":null,"abstract":"Immunophenotyping of leukemia cells is useful for detecting leukemia cell line, determining maturation stage and identifying aberrant antigens which act for individual treatment monitoring and detection of residual disease. A total of 104 newly diagnosed cases of acute myeloid leukemia were identified at hematology department in National Institute of Cancer Research and Hospital from January 2020 to December 2021.We detect Immunophenotypic pattern in newly diagnosed cases of acute myeloid leukemia. We also determine the frequency and pattern of aberrant expression of CD markers in acute myeloid leukemia patients. Mean age of patients was 35 years (SD±16 years) with male to female ratio was 1.53:1. Most frequent morphologic subtype was AMLM2 constituting 33.6% of all AML cases. Lineage specific markers HLADR, CD13, CD33, MPO, CD117 and CD34 were expressed in 80%, 89%, 95%, 77%, 74% and 62% cases of all AML cases respectively. Among 104 AML patient, aberrant CD expression was observed in 36% cases. The most frequently observed aberrant markers were CD7 and CD19 lymphoid markers, that were expressed in 15.38% and 14.42% cases respectively. Less frequent aberrant cCD3, CD10, CD5 and cCD79a antigens were expressed in 2.88%, 1.92%, 0.96% and 0.96% cases respectively. Immunophenotyping is essential in diagnosis and sub-classification of AML and expression of aberrant CD antigens is common in acute myeloid leukemia. These findings suggest the necessity for a more extensive study to evaluate the prognostic significance of aberrant CD marker expression in AML and to improve the accuracy of diagnosis and classification of AML.\u0000J MEDICINE 2022; 23: 106-111","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46428613","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

Tumor-to-tumor Metastases: Papillary Renal Cell Carcinoma into A Papillary Thyroid Carcinoma: A Case Report 肿瘤间转移:乳头状肾细胞癌转化为乳头状甲状腺癌1例

Journal of medicine Pub Date : 2022-02-03 DOI: 10.3329/jom.v23i1.57940

Shrebash Paul, T. B. Hannan, Julekha Begum, Sm Mahbubur Rahman, Istiaque Ahmed Sikder, Wahida Rahman, F. Chowdhury

引用次数: 0