Bangladesh Journal of Medical Science最新文献

{"title":"Dengue COVID-19 overlap: antigenic mimicry or concurrent two viral diseases","authors":"Patil Shital, S. Toshniwal, U. Dhumal","doi":"10.3329/bjms.v23i1.70712","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70712","url":null,"abstract":"Background: Dengue-COVID-19 overlap is mixture of both diseases sharing few similarities in pulmonary and extrapulmonary involvement. Due to high prevalence of both diseases later being pandemic disease, and overlapping laboratory and clinical parameters we have conducted a study to observe dengue-COVID-19 overlap in Indian settings in tertiary care hospitals. \u0000Methods: Prospective, observational study, included 600 COVID-19 cases with dengue NS1 or Dengue IgM positive, with lung involvement documented and categorized on HRCT thorax at entry point. All cases were subjected to dengue IgG antibody titers and dengue IgM/IgG antibody titer analysis after 12 weeks of discharge form hospital. \u0000Results: Dengue- COVID-19 overlap was documented in 16.33% (98/600) cases. CT severity has documented significant correlation with Dengue-COVID-19 overlap cases. [p<0.00001] Hematological evaluation, white blood cell count & platelet count were having significant association with Dengue-COVID-19 overlap [p<0.0076] & [p<0.00001] respectively. Clinical parameters as hypoxia have significant association with dengue- COVID-19 overlap. [p<0.00001] Inflammatory markers as IL-6, CRP and LDH has significant association in dengue-COVID-19overlap [p<0.00001] respectively. In study of 98 cases of ‘Dengue-COVID-19’, post covid lung fibrosis [p<0.004] and serological assessment in dengue IgM/IgG and covid antibody titers has significant association [p<0.00001] \u0000Conclusion: Dengue-COVID-19 overlap is clinical syndrome with overlapping clinical and laboratory workup of both the illnesses. High index of suspicion is must in all covid cases in tropical settings where dengue is endemic; and all cases with leucopenia and thrombocytopenia with fever should be screened for dengue serology. False positive dengue serology or dengue antigen crossreactivity is known to occur in underlying COVID-19 illness, and have impact on clinical outcome as it will result in delay in covid appropriate treatment initiation and many cases require intensive care unit treatment due to progressed covid pneumonia. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 189-199","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":"80 24","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458251","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":"Clinical profile, dietary zinc content, and lifestyle habits of adult male and female hbss and hbsc patients","authors":"A. Alaka, O. Alaka, A. Iyanda","doi":"10.3329/bjms.v23i1.70681","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70681","url":null,"abstract":"Objective: Males and females have been reported to show significant variation with respect to clinical profile of sickle cell disease (SCD) (e.g. cardiovascular, musculoskeletal and chronic end-organ complications). Clinical features of SCD are also influenced by lifestyle and dietary habits. Thus, the study was conducted to examine whether the distributions of other manifestations (e.g. priapism, pain frequency, leg ulcers rates) and habits (lifestyle, dietary) of SCD patients in Osun state, Nigeria are influenced by gender or genotype. \u0000Material and methods: Questionnaires were administered to obtain information on age, gender, concoction/herbal preparations, and fruit/vegetable consumption, as well as zinc contents of 24-hour meal recall, physical exercise, lifestyle parameters and clinical profile of SCD. Descriptive (relative frequency) and inferential (Chi-square (χ2) test of independence) statistics were employed. Statistical significant was set at p<0.05. \u0000Results and discussion: HbSS rather than HbSC showed higher distributions of pain frequency and more frequent hospitalization rates at p= .001 and p=.001 respectively. There was no significant relationship between hemoglobin genotype and the following variables: leg ulcers, priapism, fruit intake, herb/concoction consumption, 24-hour dietary zinc content. Moreover, all the variables were not influenced by gender not only among HbSS but also HbSC patients. \u0000Conclusion: There are indications from data obtained that clinical profile of SCD such as priapism, leg ulcers, high hospitalization rates and pain episodes are present among HbSS and HbSC SCD patients in Osun state Nigeria. Although only pain episodes and hospitalization rates were significantly higher among HbSS than HbSC, for either variable though there was no gender bias in its distribution. Similarly the distributions of other variables (such as exercise, dietary, etc) for each of SCD (HbSS, HbSC) categories were not influenced by gender. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 74-82","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":" 13","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392145","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 Association of Caregivers Burden with Schizophrenia Disorder","authors":"Farhan Ishaque, Farkhanda Emad, Shaiaza Masooma, Syed Mustafa Hasan, Syed Muhammad Zaeem Zaidi, Syeda Fatima Azmat","doi":"10.3329/bjms.v23i1.70691","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70691","url":null,"abstract":"Objective: The aim of this study is to find out a relationship between life satisfaction and caregiver burden among patients who are suffering from psychiatric illness. \u0000Materials and methods: The sample size of this study was 170 psychiatric patients. Primarily consent was received from the higher authorities of the psychiatric hospitals and rehabilitation centers in Karachi. Zarit Burden Interview Scale (ZBIS) and Satisfaction with Life Scale (SWLS) were used. Psychiatric patients were divided into schizophrenia disorder (n = 85) and bipolar disorder (n = 85). Data were analyzed by statistics software (SPSS, version, 20.0). The sample was constituted with male 75 (44.1%) and females were 95 (55.9%). The average age range of caregivers was between 19 and 60 years with M = 44.74 and SD = 12.05 years. \u0000Results : The results indicated that caregiver burden was a significant predictor of satisfaction with life in patients with schizophrenia disorder [R2, .554; F (1.84) = 36.711, p<.000]. A significant difference was also observed between male and females caregivers of psychiatric patients on the variable of caregiver burden and satisfaction with life scale (i.e. t=-3.129; p=.<002; t=3.528; p=.<.001). \u0000Conclusion: It is concluded that caregiver burden significantly affects the level of mental health of the caregivers of patients with psychiatric disorders. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 89-94","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":"69 s285","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393707","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":"Application of Laryngeal Mask Airway (LMA) in Medium and Short Period Traumatic Orthopedic Surgeries","authors":"Ta Duc Luan, Nguyen Tan Phong","doi":"10.3329/bjms.v23i1.70720","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70720","url":null,"abstract":"Objective:Application of Laryngeal Mask Airway (LMA) as a ventilation method has been rarely explored in short and medium period orthopedic operations. In this study, we evaluated ventilatory efficacy of LMA in patients admitted to Ho Chi Minh City Orthopedic and Rehabilitation Hospital, Vietnam via a number of patient indicators including changes of pulse, blood pressure, airway pressure, SpO2 and pressure of CO2 at the end of an exhaled breath (EtCO2). \u0000Method: A total of 154 emergency and elective surgery cases with anesthesia were selected for the study. \u0000Result: One minute after LMA insertion to discontinuation of anesthetic, we recorded slower pulse of patients but only twenty-six cases (16.9%) required intravenous administration of atropine. Blood pressure of patients dropped after 1 minute following LMA insertion but then recovered afterward and only nine cases (5.8%) needed administration of ephedrine. \u0000Conclusion: After surgery, only eleven (7.15%) patients experienced oral mucosal bleeding but no further special treatment was used. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 207-213","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":" 29","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392280","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":"The Association between Vitamin D and Lipid Profile among Healthy Malay Adults in K ota Bharu, Malaysia","authors":"Noorazliyana Syafii, Tuan Salwani Tuan Ismail, Roznie Aida Mohd Rosdi, Bayani Che Muda, Wan Norlina Wan Azman, Hanim Afzan Ibrahim, Ahmad Badruridzwanullah","doi":"10.3329/bjms.v23i1.70752","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70752","url":null,"abstract":"Background:The effect of vitamin D in regulating lipid profiles is one of the proposed mechanisms for the association between vitamin D deficiency and cardiovascular heart disease (CHD). However, the relationship between vitamin D status and lipid profiles remained unclear. \u0000Objective: The objective of this study is to evaluate the association of vitamin D status on serum lipids among healthy adults. \u0000Material and Methods: This is cross-sectional study, involving 120 healthy adults with age of 18-50 years from the Malay adult in Kota Bharu, Malaysia which were selected via random sampling. To decrease the seasonal variability, the study was conducted within 2 months, between July and August 2015. Serum 25(OH)D, serum parathyroid hormone (PTH), serum triglycerides (TG), serum total cholesterol (TC), serum low density lipoprotein cholesterol (LDL-C) and serum high density lipoprotein cholesterol (HDL-C), fasting blood sugar (FBS) and serum insulin were measured. \u0000Results: The mean serum 25(OH) D was 23.50 ± 8.74 nmol/L. Based on the definition of vitamin D deficiency as serum 25(OH)D less than 30mmol/L, the proportion of vitamin D deficiency among our study subjects was 76.7%. Our data revealed that serum 25(OH) D had significant inverse association with HDL-C and significant positive association with TC, TG and LDL-C. \u0000Conclusions: Our study shows highly prevalence of vitamin D deficient among healthy Malay adult population in Kota Bharu, Malaysia. Serum 25(OH) D was positively associated with TC, TG and LDL-C and negatively associated with HDL-C. Perhaps optimizing the level of vitamin D might improve the lipid profiles among healthy Malay adults. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 214-220","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":"7 2","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394959","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":"Evaluation of Chrisofix® Chest Orthosis Application in Patients with Traumatic Rib Fractures","authors":"A. G. Işıklı, Fazlı Yanık, Y. Karamustafaoğlu, Y. Yörük","doi":"10.3329/bjms.v23i1.70689","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70689","url":null,"abstract":"Background: The Chrisofix® Chest Orthosis is an effective and easy to use device for the treatment of rib fractures. It is used as a supportive treatment to reduce the pain levels and complication risks of the patients. \u0000Methods: Patients hospitalized with the diagnosis of rib fractures in the Thoracic Surgery Service of a university hospital were retrospectively scanned in an online computer program between October 2018 and October 2021. The study sample consisted of patients with the treatment (30) and control (30) groups. \u0000Results: Visual Analog Scale and incidence of atelectasis of the patients in the experimental group (The Chrisofix® Chest Orthosis) is statistically significantly lower than the control group (P < 0.05). In both the experimental and control groups, no statistically significant difference was found between the variables of patient’s demographic and clinical characteristics (p > 0.05). \u0000Conclusions: In the study, with the use of The Chrisofix® Chest Orthosis, a significant decrease was observed in the Visual Analog Scale and the incidence of atelectasis. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 83-88","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":"294 5","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395250","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":"Differences in the Effectiveness of Infrared Therapy for Reducing Musculoskeletal Pain in the Elderly","authors":"Ida Untari, Ipin Prasojo, Siti Sarifah","doi":"10.3329/bjms.v23i1.70695","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70695","url":null,"abstract":"Objective: A health problem that is a priority for medical care and treatment for the elderly is pain in the musculoskeletal system. Non-pharmacological management in the form of treating musculoskelatal pain in the elderly, one of which is infrared therapy. Infrared therapy is able to reduce pain in the elderly and requires close supervision because the elderly experience a decrease in skin sensitivity to heat. The effectiveness of reducing pain varies in the elderly. One of the influencing factors is age. This study’s objective is to determine differences in the effectiveness of infrared therapy to reduce musculoskeletal pain in the elderly group. \u0000Materials and methods: This study used an experimental research method with a nonrandomized pretestposttest control group design. The research location was conducted at the Posbindu Institut Teknologi Sains dan kesehatan PKU Muhammadiyah Surakarta, in September - October 2022. A sample of 50 elderly people was divided into elderly (> 60 years: 30) and pre-elderly (45-60 years: 20) selected using a purposive technique sampling. The dependent variable is musculoskeletal pain. The independent variable is infrared therapy. Data were analyzed by Wilcoxon and Mann-Whitney test. \u0000Results and Discussion: The Wilcoxon test showed that there was an effect of infrared therapy in reducing musculoskeletal pain in the elderly and preelderly groups (p value <0.001 and <0.001). The average reduction in pain in the elderly group = 3.1; SD = 1.3 and pre-elderly = 2.95; SD = 1.2. The Mann-Whitney test showed no difference in reducing musculoskeletal pain using infrared therapy in the elderly and pre-elderly (p = 0.712). \u0000Conclusion: Infrared therapy is effective in reducing musculoskeletal pain and reducing musculoskeletal pain for the two elderly groups are similar \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 108-114","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":"35 24","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456767","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":"Development of endurance in physical education lessons with the use of outdoor games","authors":"G. Polevoy, Andrew Sablin, S. Chernishev","doi":"10.3329/bjms.v23i1.70758","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70758","url":null,"abstract":"Background: Endurance is of great importance for the growth and development of the body of schoolchildren, and is also the foundation for the development of other physical qualities. The low level of endurance of modern schoolchildren requires the search for new ways to improve the system of physical education. \u0000The aim of the study: To increase the level of endurance development in schoolchildren using outdoor games in physical education classes at school. \u0000Study design: Pedagogical experiment. \u0000Research methods: The research was carried out on the basis of secondary school number 30 in the city of Kirov, Russian Federation. The experiment was attended by 3rd grade students aged 9-10 years. The study took place from September 6 to December 26, 2022 during physical education lessons 2 times a week for 45 minutes each lesson. In total, 2 groups of 25 people were formed. Classes in the control group were conducted according to the standard program, and in the experimental group, outdoor games were additionally conducted at each lesson for 6-7 minutes. Tests that were used to determine endurance: flexion and extension of the arms while lying on the floor, running 30 meters, Vis bent arms, lifting the trunk from the supine position, running 1000 m. \u0000Results: After the end of the pedagogical experiment, the indicators of school children in both groups became higher. In the control group, the indicators were reliable only in the test for flexion and extension of the arms while lying on the floor. In the experimental group, by the end of the study, the results in all 5 tests showed a significant and reliable result. Flexion and extension of the arms in the prone position from 15,6±0,76 to 19,7±0,76 (p< 0.05); Running 30 meters from 6,25±0,08 to 5,99±0,08 (p< 0.05); Vis bent arms from 21,90±0,97 to 27,10±0,97 (p< 0.05); Lifting the trunk from the supine position from 22,40±0,87 to 28,10±0,76 (p< 0.05); running 1000 m from 337,7±8,01 to 311,9±3,9 (p< 0.05). \u0000Conclusion: If outdoor games are used in physical education lessons at school when working with children 9-10 years old, then the indicators of different types of endurance will significantly improve. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 254-261","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":" 31","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393156","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":"Comparing clinical course and patients out comes in patients undergoing Open surgical Versus Thoracoscopic closure of the atrial and ventricular septal defects in children","authors":"Ikromzhon Mukhamedov, Zengshan Ma, S. Joshibayev","doi":"10.3329/bjms.v23i1.70696","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70696","url":null,"abstract":"The current study is aimed at evaluation of the impact of different surgical approaches while correcting congenital heart diseases (CHD). Clinical outcomes like; operative time, complications, hospital stay were evaluated in children undergoing surgical repair of atrial septal defect (ASD) and ventricular septal defect (VSD). \u0000Patients and methods: Between 2015 and 2019, a total of 111 patients surgically managed for CHD with male: female ratio of…. and mean age 10.42±3.24 years. Two surgical approaches: open either right anterolateral thoracotomy or sternotomy and thoracoscopic were used. The study conducted to determine the operative time, ICU stay, complications, recovery period and long term follow up of the patients in both the groups. \u0000Results: 67 patients with ASD and 44 patients with VSD underwent cardiac surgery. Mean operation time was significantly longer in TS patients in comparison with TT and ST groups. However, mean intensive care unit (ICU) stay and hospital stay were significantly shorter in TS group in comparison with TT and ST patients. \u0000Conclusion: TS approach in repair of congenital heart defects not only resulted of good cosmetic effect, but also reduces time in ICU and hospital stay in comparison with “classical” operational techniques. In this article we tried to show the whole results of research. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 115-120","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":" 9","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393190","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":"The Psychological Symptoms and Difficulties Experienced By Parents of Children with Autism","authors":"Semra Köse, Hilal Kurt Sezer, Sibel Kucukoglu","doi":"10.3329/bjms.v23i1.70715","DOIUrl":"https://doi.org/10.3329/bjms.v23i1.70715","url":null,"abstract":"Objective: This study investigated the psychological symptoms and difficulties experienced by parents of children with autism. \u0000Method: This descriptive and cross-sectional study was conducted between November 2021 and June 2022. The sample consisted of 218 parents of children aged 3-18 living in XX. The sample was divided into two: 110 parents of children with autism and 108 parents of healthy children. \u0000Results: Parents of children with autism had a mean age of 36.15±6.142, while parents of healthy children had a mean age of 36.65±7.057. More than half of the parents of children with autism stated that they worried about their children’s future and had difficulty taking care of other children of theirs, making time for themselves, and maintaining daily life. On the other hand, only a quarter of the parents of healthy children stated that they worried about their children’s future and had difficulty taking care of other children of theirs, making time for themselves, and maintaining daily life. Parents of children with autism had a significantly higher mean anxiety, depression and hostility subscale score than parents of healthy children (p<0.05). \u0000Conclusions: Parents of children with autism experience more difficulties and present with more symptoms of anxiety, depression, and hostility than parents of healthy children. Parents of children with special needs need to be psychologically reassured and supported. \u0000Bangladesh Journal of Medical Science Vol. 23 No. 01 January’24 Page : 179-188","PeriodicalId":8696,"journal":{"name":"Bangladesh Journal of Medical Science","volume":"5 9","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394366","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}