Bangladesh Medical Journal最新文献

{"title":"Morbidities among Eclamptic Women of Lower Socioeconomic Community in a Selected Area of Bangladesh","authors":"Rehana Pervin, K. Halim, N. Ara, Syed Monirul Islam, F. Nargis","doi":"10.3329/BMJ.V49I1.52583","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52583","url":null,"abstract":"Eclampsia is a serious obstetric emergency with new onset of grand mal seizure during pregnancy or postpartum women having signs symptoms of pre-eclampsia. The sequel of severe pre-eclampsia and eclampsia includes organ failure, loss of consciousness and finally loss of lives of both mother and fetus. This study aimed to evaluate morbidity of eclamptic women at lower socioeconomic community in a selected area of Bangladesh. This descriptive cross sectional study was conducted at Sheikh Hasina Medical College Hospital (SHMC.T) of Tangail district during the period of January to December 2019. During this period 7918 admitted patients from different sub-districts (Upazilas) of this district in obstetrics ward of SHMC.T were observed and 205 diagnosed eclamptic patients were selected as respondents for this study to detect morbidities. The prevalence rate of eclampsia among the obstetrics patients was 2.6%, where 81% of them were found during antepartum/ intrapartum and rest of them during postpartum period. The mean age of the eclamptic cases was 23.78±4.94 years and more than half of   them were in age group 21-30 years. Most of the cases (84%) were from primary level or able to sign or illiterate and rest was secondary level of education. Mean age of marriage and first pregnancy were 17.81±SD2.19 and 19.39±SD2.5 years respectively, where majority of patients were primigravida. Among the multi gravida about one fourth had 2-4 children, 16.09% had 5-6 children, where 1.46% had ≥7 children and more than three-fourth of cases had 34-37 weeks of gestational period. Among cases 95.1% had hypertension, 94.6% edema, 83.9% convulsion, 39.5% headache with blurring of vision, 22.4% severe abdominal pain, 79.0% proteinuria and 9.76% unconsciousness. Incidence of maternal morbidity during study period was 14.36%, among them 9.4% pulmonary edema, 1.5% renal failure, 0.98% HELLP (Hemolysis, Elevated liver enzyme level and Low Platelet level) syndrome, 0.98% coma and 1.5% placental abruption. Caesarean delivery was 79.2% and 11.70% was detected as postpartum haemorrhage. Among fetal morbidity 19.5% intrauterine growth restriction, 48.8% low birth weight, 39.6% birth asphyxia, and 58.5% preterm baby. During follow up only persistent hypertension was found as morbidity of eclampsia, 19.5%, 9.8% and 7.32% at 2nd week, at 6th week and at 6th months respectively. Regarding health care services 93.7% had available facility and 41.5%, 47.8% and 10.7%  lived in >10 kilometers (kms), 5-10 kms and less than 5 km distance respectively. Regarding MCH services; only 5.9% patient received antenatal care (ANC) ≥4 times; more than half of them incompletely received ANC <4 times and 42.0% never visited for ANC. This study reveals various matters of maternal and fetal morbidities commencing from eclamptic condition in lower socioeconomic community. Here important factors for morbidities in eclamptic women like lack of ANC/ PNC, availabilities of MCHC services and others. Pulmonar","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81580311","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":"Helminthic Infestation of Grass Root Level Students in a Selected Madrasha of Bangladesh","authors":"R. B. Habib, A. Kabir, A. Rouf, Sk Shahid Ullah, N. Hossain, Anisur Rahman, Rushdul Karim Boyan, A. Hye, K. A. Khan, Sudipta Roy, Mohammad Rezaul Haque, Joheb Imtiaz Jamil","doi":"10.3329/BMJ.V48I2.51293","DOIUrl":"https://doi.org/10.3329/BMJ.V48I2.51293","url":null,"abstract":"In Bangladesh, 4 million students study in 64000 madrasha, which represent 7% of all students, most of these are unregistered. There is little evaluation of helminthic infestation by any authority. It is believed that madrasha students came from vulnerable part of society. : Present Sheikh Hasian government declared on equivalency of their certificate therefore it is important to study on them and evaluate their helminthic infestation. May be this is one of the first study on helminthic infestation on grass root level madrasha students in Bangladesh. We conducted the study to evaluate on helminthiasis to find out current situations, to identify the risk factors and for intervention to control of helminthic infestation.  This cross sectional study was conducted on 164 from 1000 residential students by simple random sampling. Face to face interview and anthropometric measurement were conducted by semistructured open ended questionnaire from those students. Out of hundred-sixty four students all were male, age range from 06-18 years, ova found 75% students in their stool sample, 71% have multiple helminthasis, Ascaris Lumbricoids (AL) was the most (28%) prevalence, in polyparasitism 58% were Ascaris Lumbricoids and Trichuris Trichuria (AL+TT), anal itching found 68% students which indicate pin worm, no antihelminthic intake 76% students within 6 months. Teachers and parent’s health education help to prevent helminthasis. Regular survey, evaluation is needed to identify the risk factors of helminthasis for intervention, monitoring, guidance and training of students and teachers to improve their personal hygiene practice. Moreover need to intake of regular antihelminthic for dewarming  to build a healthy green Bangladesh. \u0000Bangladesh Med J. 2019 May; 48 (2): 44-47","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87962482","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":"Habitual Physical Exercise and Osteoarthritis of the Knee in Female","authors":"Mohammed Y. Emran, Md. Israt Hasan, S. M. Ahmed, F. Newaz, Atiquzzaman, Hasan Habibur Rahman","doi":"10.3329/bmrcb.v46i2.49018","DOIUrl":"https://doi.org/10.3329/bmrcb.v46i2.49018","url":null,"abstract":"The study aimed to evaluate the association of recreational (habitual) physical activities with the osteoarthritis (OA) of the knee in the female. The case-control study was carried out at the Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka in the year 2016 and 2017. The total participants were 174 female selected purposively with the age range of 40 – 70 years, among them 87 were the cases with OA of the knee, and the same number of the same age group were included as the control without OA of the knee. A structured interviewer-administered questionnaire was used to collect data. High level of physical activities (20 or more miles per week) was associated with OA of the knee, whereas moderate level of physical activities (10-20 miles/per week) and low level of physical activities (<10miles/per week) had no significant association with the OA of the knee. This study reveled the relationship of the physical activity and OA of the knee. Continue physical activity according to the public health guideline, may eliminate this such physical problem for the general health promotion and particularly to prevent the OA of the knee. \u0000Bangladesh Med J. 2019 Sep; 48 (3): 39-42","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83358072","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":"Association of Father's Smoking and Neonatal Respiratory Morbidities","authors":"R. B. Habib, A. Kabir, Sunirmal Roy, Md. Kamrul Ahsan Khan, Muzibur Rahman, T. A. Nila, M. A. Wahab, Md Mahbubur Rahman Shaheen, Sujit Das","doi":"10.3329/bmj.v49i2.55817","DOIUrl":"https://doi.org/10.3329/bmj.v49i2.55817","url":null,"abstract":"First 28 days are the most vulnerable period for every neonate. Children usually suffered from respiratory illness. Therefore it is important to observe the prevalence of neonatal respiratory sickness.  However, the disease profile among the neonates in rural areas is not exactly known. Many fathers in the rural area used smoke-producing tobacco. Therefore it is important to identify any relation of passive smoking with neonatal respiratory morbidities at the grass-root level.This study was conducted to estimate the frequency and to determine the pattern of respiratory illness of neonate and also to assess the impact of fathers smoking on the magnitude of acute respiratory tract infections (ARI) of newborns. This was a descriptive type of cross sectional study. It carried out on 62 neonates for 180 days, who attended the Tungipara UHC, Gopalganj in Bangladesh between January  to June 2018. Data were collected through face-to-face interviews, physical examination, relevant investigations, and data were collected by semi structured questionnaire for respiratory illness. In this observational study, out of 62 neonates, from 1st day to 28 days of age. Diseases of the respiratory system topped the list (32%).  Upper respiratory tract illnesses (URTI) were 22.5% as against only 9.5% of lower respiratory tract illness (LRTI). Most (47%) newborns were 28 days aged and 2nd most common (17.5%) was 15 days. The cumulative frequency was 37 percent up to 15 days of age. In the case of the father's occupation, most (19%) were in the private service. About one third (29%) fathers were engaged in business, whereas 18% done small business among them. However, it is a village area their cultivator was only 05 fathers. Consequently parent's education more than half (51.5%, 59.5%) were up to class 8. Nearly one-fifth of the fathers studied more than 12 classes. One-tenth of the fathers had no history of schooling and it was 1.5% of mothers. Most (32%) came in the OPD due to RTI and other than the respiratory problem was 26%. Among them, 42% did not require any treatment. In the inferential statistics fathers, smoking was responsible for neonatal respiratory illness. (Fisher's exact test 21.87  df  4  P 001). The respiratory illness affected more by second hand smoking whose fathers smoked tobacco. There need more grass-root level, multicentric, control-based study to find out the real picture of neonate respiratory morbidity, and other illness.\u0000Bangladesh Med J. 2020 May; 49(2) : 30-33","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90571037","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":"Stratification and Assessment of Risk Factors of Chronic Kidney Disease in Hospitalized Patients","authors":"M Zahid Hasan, Haidar Ali, Ashikur Rahman, Mariam Mille, A. F. M. Moshiur Rahman, M. H. Jafri","doi":"10.3329/bmj.v49i2.55815","DOIUrl":"https://doi.org/10.3329/bmj.v49i2.55815","url":null,"abstract":"Chronic kidney disease (CKD) has become a global public health concern. The adverse outcome of CKD are high in number in developing countries due to scarcity of facilities for renal replacement therapy and high cost of services for management of ESRD. It is one of the leading cause of hospital deaths. CKD is strongly associated with diabetes, hypertension, glomerulonephritis and elevated lipids.  Therefore, identifying the preventable risk factors, pathophysiological mechanisms and stratification of CKD helps in decreasing and slowing its progression. This study was conducted for the staging of chronic kidney disease (CKD) and assessment of the risk factors with CKD in hospitalized patients of Dhaka Medical College Hospital in collaboration with Medicine and Nephrology department. This was a cross sectional observational study where 125 patients having chronic kidney diseases (CKD) were diagnosed on the basis of history, clinical examinations and investigations, who had fulfill the inclusion and exclusion criteria admitted in the department of medicine and department of nephrology from January to December 2016. Sampling method was purposive sampling. A specifically designed questionnaire were used to get the personal and medical history data. Blood and urine samples were collected and data was analyzed using SPSS (22.00). Out of 125 patients, no Stage-1 patient was found, remaining were   Stage- 2 CKD 7.2%, Stage- 3 CKD 63.2%, Stage- 4 CKD was 25.6%,  and  Stage- 5 CKD was 4%. Among 125 participants, 52.0% had glomerulonephritis (GN), 31.2% had diabetes mellitus (DM) and 9.6% had hypertension (HTN). Mean age was 48.41 (±13.99) years, mean body weight was 50.61 (±10.73) Kg, mean BMI was 22.9 (±1.69), male female ratio was 3.6:1.  Age group 51 to 60 years were suffering more. The association between CKD and other risk factors including obesity and overweight, use of tobacco, diabetes and hypertension were highly significant. The commonest risk factors for CKD like DM and HTN are also alarmingly high and obviously adding to the existing burden of CKD. Early detection of the risk factors of CKD, early referral to nephrologist, appropriate treatment of hypertension, DM, GN and other risk factors, life style modification with specific emphasis on reduction in salt intake, physical exercise, and abstinence from smoking would retard progression of kidney disease to an advanced stage. Bangladesh Med J. 2020 May; 49(2) : 19-24","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87120018","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":"COVID-19: Effects on Eye in Bangladesh","authors":"Sharfuddin Ahmed, S. Kabir, Mazharul Hoque Bhuiyan","doi":"10.3329/bmj.v49i2.55814","DOIUrl":"https://doi.org/10.3329/bmj.v49i2.55814","url":null,"abstract":"COVID-19 is a contagious disease which can spread person to person mainly by respiratory droplet from infected person and contact by contaminated objects or body limbs through the routes nose, mouth, and eyes. To find out the ocular manifestations that are found in Bangladesh during COVID-19 pandemic this descriptive type of cross-sectional study was conducted to detect the ocular infection and its manifestation among patients admitted at different COVID-19 dedicated hospitals. Total 26 doctor’s (Eye Specialists, ICU Consultants, ICU Residents/ Medical Officers, Consultants of other Specialities, Medical Officers/ Residents) observational and examination findings were recorded in this study who have already completed one or more roster [07 days] duties in Corona Dedicated hospitals to treat the COVID-19 affected patients directly. Total 3,678 patients information from different hospitals were collected and interviews were taken directly or over telephone from the participants. Data collected from the participants based on the observations of physicians during COVID roster duties in different corona dedicated hospitals. Age sex and ocular signs and symptoms found in patients during hospitalization were recorded. Total 08 (eight) Corona dedicated hospitals; one Medical University, five tertiary level Govt. hospitals, one private Medical College hospital and one largest Isolation center of South-Asia were included as study place. Among the cases 66.2% were male and 33.8% female. Maximum patients were in age group 40-60 years [40%] and minimum of them were above 70 years [10%]. Ocular manifestations found in 48 cases and.30 in suspected, total 78 cases found with ocular manifestations. Total 2.121% patients hade ocular manifestations in confirmed and suspected cases. In COVID confirmed cases 1.316% patients hade ocular manifestations. In conclusion, we found several ocular manifestations in patients who are hospitalized as COVID-19 patients. Moreover, the ocular involvement could be the presenting finding of disease. Further studies are required in Bangladesh and this information may be valuable for future studies.\u0000Bangladesh Med J. 2020 May; 49(2) : 14-18","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89462628","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":"Obituary News May-2020, V. 49(2)","authors":"K. Halim","doi":"10.3329/bmj.v49i2.55821","DOIUrl":"https://doi.org/10.3329/bmj.v49i2.55821","url":null,"abstract":"Abstract not available\u0000Bangladesh Med J. 2020 May; 49(2) : 48","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73155907","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":"Diagnosing of Small Vessel Vasculitis Might be a Challenge – A Rare Case Report","authors":"A. Shahin, Mohammad Mamun Khan, Swikriti Shrestha, S. J. Abdal, A. Islam, M. Choudhury","doi":"10.3329/bmj.v49i2.55819","DOIUrl":"https://doi.org/10.3329/bmj.v49i2.55819","url":null,"abstract":"The term vasculitis refers to the inflammation of vessel walls. It may range in severity from a self-limited disorder in one single organ to a life-threatening disease due to multiple organ failure. Most patients with small vessel vasculitis present with constitutional symptoms like fever, malaise, weakness, fatigue and weight loss. To diagnose small vessel vasculitis, serology like ANCA, serum cryoglobulin and biopsy play an important role. Despite the serology and biopsy, diagnosing small vessel vasculitis occasionally remains challenging in resource constraint countries. Here we are reporting a case of a 26-year- old female who presented with purpura and neuropathy. The patient lacks clinical features like constitutional symptoms, renal involvement, upper airway involvement and her ANCA was negative. Depending on biopsy finding and skin and neurologic involvement, we diagnosed her as a case of small vessel vasculitis (unclassified). The patient improved with IV methylprednisolone followed by oral glucocorticoid treatment along with methotrexate. Although small vessel vasculitis has some typical features, diagnosis may often remain challenging even after biopsy.\u0000Bangladesh Med J. 2020 May; 49(2) : 41-43","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89907437","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":"Primary Tracheal Papilloma: A Case Report","authors":"H. Haque, B. H. Siddique, Abirvab Naha, A. Sattar, Nigar Sultana, HM Mustafizur Rahman, Habibur Rahman Palash, Sharifa Akter","doi":"10.3329/bmj.v49i2.55820","DOIUrl":"https://doi.org/10.3329/bmj.v49i2.55820","url":null,"abstract":"Solitary papilloma in the respiratory tract is a rare benign epithelial tumor which is complete surgical excision of the current standard treatment for this type of tumor. Here a case of solitary tracheal papilloma treated by surgical resection is reported. Due to rarity and non-specific symptoms, tracheal papilloma always subjected to misdiagnosed and suffer from delayed treatment. In this case, a forty two years male has been presented with a recurrent non-productive irritative cough, a progressive shortness of breath, expiratory stridor and occasional hemoptysis. The patient was previously diagnosed as a case of bronchial asthma by a Pulmonologist and wrongly treated as well. CT scan revealed an intraluminal tracheal mass arises from the right side of the tracheal wall opposite c6-c7 vertebrae. The tumour was removed by endoscopic excision. The histopathological result confirms the diagnosis of squamous cell papilloma. No complications occur during surgery and no recurrence was observed in six months after surgery on followup.\u0000Bangladesh Med J. 2020 May; 49(2) : 44-47","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89538481","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":"Study on Effect of Magnesium Sulfate as Tocolytic Agent","authors":"Nazma Khalil, K. Halim, Israt Jahan Ummon","doi":"10.3329/bmj.v49i2.55816","DOIUrl":"https://doi.org/10.3329/bmj.v49i2.55816","url":null,"abstract":"We face many problems in diagnosis, monitoring and adopting treatment policy.There are very limited studies about preterm labour prevention in our country and few national data are available about the incidence of preterm labour. Acute tocolysis prevents preterm labor for 48 hours, which is the critical period for antenatal steroid administration or maternal transfer to perinatal centers to improve neonatal outcomes. This prospective study was conducted. To determine the effectiveness of magnesium sulfate as tocolytic agent in preterm labour to arrest the premature onset of labour. A total of 90 primigravid and multigravid with preterm labour was included in this study at 250 Beded General Hospital Tangail from January 2012 to December 2015. The mean age of the respondents was 24.13±4.67 year. The mean systolic and diastolic blood pressure were 122.47±12.64 and 71.67±12.67 mm of Hg respectively. Gestational age did not influence on the outcome of treatment with Tocolytic regime. Out of 90 pregnant women, 70% were anemic, 53.3% had vaginal bleeding and 76.7% had abdominal pain. Among 90 respondents only 6 women had premature rupture of membrane and about 40% had inadequate amniotic fluid. The three treatment regime (Antibiotic+ Tocolytic+ steroid) was found indifferent in terms of affectivity. Preterm labour is not a very uncommon pregnancy-related complication. This study evaluates, the effect of magnesium sulphate as tocolytic agent.\u0000Bangladesh Med J. 2020 May; 49(2) : 25-29","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79206671","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}