Bangladesh Medical Journal最新文献

{"title":"Computed Tomographic Evaluation of Renal Mass with Histopathological Correlation","authors":"Fatama Sharmin, Shamsunnahar Shams, SM Mazharul Islam, Z. Chowdhury, Mohammad Hossain, Sami Nazrul Islam, N. Akter","doi":"10.3329/bmj.v51i1.68492","DOIUrl":"https://doi.org/10.3329/bmj.v51i1.68492","url":null,"abstract":"Renal cell carcinoma (RCC) is the seventh most common cancer and the most common primary renal malignant neoplasm in adults. Computed Tomography (CT) is of a great value in differentiating malignant from benign masses of RCC. This cross-sectional study was conducted among 61 clinically suspected cases of renal mass at Sir Salimullah Medical College and Mitford Hospital (SSMC and Mitford Hospital) in the Department of Radiology and Imaging in collaboration with the Department of Urology and Pathology, from July ’2011 to June’ 2013. However, in 05 cases, histopathological reports were not available and 07 patients refused surgery after enrolling. Finally, histopathology reports were collected from 49 patients and they were considered as study subjects. Aim of the study was to evaluate the accuracy of CT scan findings in compere with the histopathological report for the diagnosis of renal mass and to differentiate its benign and malignant forms. The age range of the patients was 2 to 73 years, where more than two-third (69.38%) were male and rest of them were female. Maximum number of malignant cases observed in the age range of 50-59 years. In comparison, inflammatory and benign conditions dominate in early age group, mostly before 40 years. Among 49 cases, 41 (83.68%) cases were diagnosed as malignant renal mass by CT scan, 01 (2.04) case was missed, which was confirmed by histopathology. Rest 07 (14.28%) patients were diagnosed as benign both in CT scan and histopathology. The sensitivity of CT for malignant renal mass was found 97.62% and specificity was 100%. The positive and negative predictive values of CT were 87.5% and 97.59% respectively. Computed tomography is a valid diagnostic modality for differentiating benign and malignant renal mass.\u0000Bangladesh Med J. 2021 Sept; 51(1): 41-46","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75876349","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 September-2022","authors":"Editor in Cheif","doi":"10.3329/bmj.v51i1.68592","DOIUrl":"https://doi.org/10.3329/bmj.v51i1.68592","url":null,"abstract":"Abstract not available \u0000Bangladesh Med J. 2021 Sept; 51(1): 63","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72754874","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":"Parry Romberg Syndrome: A Rare Entity from a Primary Care Center in Bangladesh","authors":"Chinmay Saha Podder, Nandini Chowdhury","doi":"10.3329/bmj.v51i1.68358","DOIUrl":"https://doi.org/10.3329/bmj.v51i1.68358","url":null,"abstract":"Parry Romberg syndrome (PRS) is an acquired, rare, neurocutaneous disorder presenting most commonly as hemiatrophy of face with characteristic involvement of skin, subcutis, bone and denture with or without neurological manifestations.Here we present a case of 16 year old girl, who presented with characteristic insidious, progressive, selflimited hemifacial atrophy accompanied with headache and facial pain. Bangladesh Med J. 2021 Sept; 51(1): 59-62","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135499360","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":"Prevalence of Post-traumatic stress disorder among Physicians during the COVID-19 Pandemic","authors":"Mohammad Nurunnabi, Anika Nazia, Nabeel Chowdhury, Mubashira Binta Alam, Md Moinul Islam, Mst Siddika Sultana, Nadira Sultana Kakoly","doi":"10.3329/bmj.v51i1.68500","DOIUrl":"https://doi.org/10.3329/bmj.v51i1.68500","url":null,"abstract":"The healthcare professionals endured a major physical as well as psychological burden against the coronavirus disease (COVID-19) global catastrophe. Owing to their role in the frontline, they were the most exposed group who faced the deadly virus head-on which increased their mental health problems during this pandemic. The study was designed as a cross-sectional study to assess the prevalence of PTSD among 314 working physicians from the purposively selected government and private hospitals during the COVID-19 pandemic in Dhaka city. ‘Impact of Event Scale-Revised’ (IES-R) was used to construct the questionnaire. The mean age of the physician was 32.2±4.7 years. One-fifth of them (21.0%) diagnosed COVID-19 positive by the rt-PCR test. The most prevalent co-morbidities were found bronchial asthma (74.2%), hypertension (32.3%) and diabetes mellitus (19.4%). About half of the physicians (48.6%) had mild PTSD. The test of significance denotes the significant associations of the prevalence of mild PTSD level with physician’s age, gender, marital state, work settings, results of COVID-19 positive and had co-morbidities in physicians (p<0.05). The prevalence of mild PTSD was higher in the age group of 25-35 years (49.1%), in females (49.8%), unmarried (50.0%), work in private settings (51.5%), ever been COVID-19 positive (59.1%) and had co-morbidities (51.6%). This study reveals that about half the physicians are suffering from mild PTSD. A high encumbrance of COVID-19 related mental disorders and fear among frontline physicians’ entreaties to government and policymakers' prompt regard for taking appropriate preventive measures. Bangladesh Med J. 2021 Sept; 51(1): 52-58","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135499359","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":"Outcome of Patients with Left Main Coronary Artery Disease Together with Left Ventricular Dysfunction Following OPCAB and Conventional CABG Surgery","authors":"S. Raha, S. Biswas, Salahuddin Rahaman, Hosne Jahan, Md. Kamrul Hasan","doi":"10.3329/bmj.v50i3.62925","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62925","url":null,"abstract":"In-hospital mortality and morbidities are significantly higher in patients who undergo coronary artery bypass graft (CABG) surgery having a depressed left ventricular function or a left main (LM) coronary artery disease. Due to the improvement in technique and clinical outcome, Off-pump Coronary Artery Bypass (OPCAB) is thought to be beneficial in patients with depressed left ventricular function by avoiding prolonged ischemic time. This study was performed with an aim to assess whether OPCAB is better than conventional on-pump CABG (CCAB) in these sub-groups of patients. We purposively selected 100 patients with left main coronary artery disease (defined as ≥50% stenosis) with reduced left ventricular ejection fraction (defined as ejection fraction 40% or less) who underwent elective CABG in National Institute of Cardiovascular Diseases (NICVD) between January 2014 and December 2020. Among them OPCAB was done in 50 patients and conventional CABG in another 50 patients. Both groups had similar pre-operative parameters. Total operative time, intubation time, blood loss, requirement for blood and blood products, intensive care unit (ICU) stay and hospital stay were all significantly lower in the OPCAB group. Post-operative complications were not statistically different among the two groups. Study finds that patients with left main coronary artery disease with left ventricular dysfunction can be safely revascularized in OPCAB technique. \u0000Bangladesh Med J. 2021 Sept; 50(3): 14-19","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86241150","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":"Relationship of HBsAg and Kidney Biopsy Marker with HBV Related Glomerulonephropathy","authors":"Gm Hafizur Rahman, M. R. Alam, H. Rahman, Al Asma Ul Taslima, F. Ahmed, Golam Mahabub Sikder","doi":"10.3329/bmj.v50i3.62923","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62923","url":null,"abstract":"Hepatitis B virus infection is a major public health problem worldwide and it causes not only hepatic diseases but also extra hepatic manifestations particularly HBV-associated Glomerulo- nephritis (GN). HBsAg has been observed in the glomeruli of some patients with glomerulonephritis. HBV related glomerulo- nephritis may be found in HBV seropositive as well as sero- negative patients. HBV may present in the renal tissue of such patients. In most cases detection of HBsAg in the renal tissue by renal biopsy and immunohistochemistry can establish the etiology.  To find out the relationship of HBsAg and Kidney biopsy marker with HBV related glomerulonephropathy, this cross sectional study was done in the Department of Nephrology, Bangabandhu Sheikh Mujib Medical University (BSMMU), during the period of July 2015 to June 2016. A total number of 53 cases who fulfilled the inclusion and exclusion criteria were selected as sample. Samples were selected by purposive sampling technique. HBsAg antigen in renal tissue was found in 2 patients among 7 patients who were seropositive for both HBsAg and Anti HBc(total), 2 patients among 8 patients who were HBsAg seronegative but Anti HBc (total) seropositive, 2 patients among 38 patients who were seronegative for both HBsAg and Anti HBc(total). There were no patients in this study who was HBsAg seropositive but Anti HBc (total) seronegative.  Total 11.3% (6 patients) of renal biopsy specimens were found to have HBsAg deposits which included 3 cases of Membrano- proliferative GN and one of each of Membranous nephropathy, Mesangial proliferative GN and IgA nephropathy. The high rate of HBsAg deposits found in renal tissue indicates that detection of HBsAg deposition should be done for all histological varieties of GN.  Antiviral therapy may be used to stop progression of HBV associated nephropathy. \u0000Bangladesh Med J. 2021 Sept; 50(3): 1-6","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82860031","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":"Pachydermoperiostosis with Chronic Diarrhoea: A Case Report","authors":"M. A. H. Khan, Md Nahiduzzamane Shazzad, Shamim Ahmed, S. Haq","doi":"10.3329/bmj.v50i3.62936","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62936","url":null,"abstract":"Pachydermoperiostosis (PDP) is a rare autosomal disorder characterized by periostosis, clubbing, thickening of the skin (pachyderma) of the face and scalp, seborrhea and hyperhydrosis. It is the primary form of hypertrophic osteoarthropathy (HOA), the other name of which is Touraine- Solente-Golé syndrome. PDP has various organ involvements and there are some rare associations of PDP with other disorders. Here we describe a 16-year-old boy who presented with skin and skeletal manifestations typical of PDP who also had chronic diarrhea, abdominal pain and weight loss. After giving treatment with risedronate sodium and mesalazine he got significant improvement in his skeletal and abdominal complaints. \u0000Bangladesh Med J. 2021 Sept; 50(3): 52-55","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74830031","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 of Posterior Circulation Stroke: A Prospective Study at Dhaka Medical College Hospital","authors":"H. Rahman, Gm Hafizur Rahman, Maksuda Begum Mony, S. M. Samsuzzaman, Al Asma Ul Taslima, Golam Mahabub Sikder, F. Ahmed","doi":"10.3329/bmj.v50i3.62926","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62926","url":null,"abstract":"Studies regarding clinical characteristics of stroke involving the posterior circulation territory of the brain in Bangladesh are rare although large number of patients were found in hospital admission and with a high morbidity and mortality. Study for better understanding of the clinical features, risk factors and aetiologies of posterior circulation stroke (PCS) may be very helpful for early diagnosis, treatment, and also for setting primary and secondary prevention strategies. The objective of the study was to identify clinical features and short-term outcome of PCS. Adult patients admitted in Dhaka Medical College Hospital with clinical features consistent with posterior circulation stroke involving brain stem or, cerebellum or thalamus or occipital area and confirmed by computer tomography (CT) scan of brain were the the cases as respondents. Few cases were needed MRI of brain to confirm diagnosis. This was a hospital based prospective observational study with descriptive and analytical component. Sample was selected from the study population by purposive type of non-probability sampling technique. Sample size was 30. A semi-structured questionnaire was prepared containing patients’ profile as well as stroke patients’ reporting form which included all the essential information regarding clinical profile of PCS as well as short term outcome. Analysis was done using Statistical Package for the Social Sciences (SPSS) software. Thirty consecutive cases of strokes involving posterior circulation territory were included in the study according to inclusion and exclusion criteria.  Male female ratio was 1.7:1. Most of the patients in both sexes were affected after the age of 50 years. Hemorrhagic PCS was significantly higher than ischaemic PCS. Among hemorrhagic PCS common symptoms were decreased level of consciousness and motor disturbances. Most common clinical sign in ischemic PCS is impaired consciousness which was present in 55.6% of the total ischemic PCS cases. Whereas this sign was present in all the cases of hemorrhagic PCS (100%). Like presenting symptoms, most of the clinical signs were also more common in hemorrhagic PCS. But few clinical signs were more common in ischemic strokes, such as cranial nerve involvement and nystagmus. Commonest predisposing factors were tobacco abuse, hypertension and dyslipidemia. Mortality was higher in hemorrhagic PCS than ischemic PCS within 7 days of follow up. \u0000Bangladesh Med J. 2021 Sept; 50(3): 20-25","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87187218","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 Pattern of Thoracic Spine Pain (TSP)","authors":"Mahfuzul Alam, Md. Shahadat Hossain, Musa Muhammad Hojaifa, Hasan Habibur Rahman, M. Hosain, Md Sohel Rana, M. Kamruzzaman, Md. Aminul Alam","doi":"10.3329/bmj.v50i3.62927","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62927","url":null,"abstract":"Thoracic spine pain (TSP) is defined as pain perceived anywhere in the region bounded superiorly by a transverse line through the tip of the spinous process of T1, inferiorly by a transverse line through the tip of the spinous process of T12, and laterally by vertical lines tangential to the most lateral margins of the erector spine muscles. One year prevalence of TSP ranged from 8.3-38.1% in different Asian countries. A longitudinal observational study was conducted to observe the clinical feature, demographic profile and clinical course of patients, with TSP attending at the Department of Physical Medicine and Rehabilitation (PMR) of Shaheed Suhrawardy Medical College Hospital (ShSMCH). Among the 100 study patients mean age ±SD was 34.76±13.26. Highest number of the patients (45%) belong to 16-30 years age group and male-female vatioo was 3:1. Highest frequency in the level of education 28% belonged to higher secondary or diploma. Twenty six percent (26%) patients were housewife, manual labor 20%, students 19%, sedentary worker 15%, manufacturing and industrial worker 8%, health professional 4%, driver 3% and 5% were in others group. Most of them (71%) belong to <12000 taka monthly income group and 91% patients’ lived in urban area. Duration of thoracic spine pain was found acute (6 weeks) 46%, sub-acute (>6-12 weeks) 16% and chronic (>12 weeks) 38%. Upper TSP was found among 51% of the patients. Onset of pain among the patients 66% was gradual. Mild intensity of pain was reported in 54% patients, moderate 44% and severe in only 2% patients and 64% patients had no radiation. Aggravating factors were found in patients with prolong sitting in 42%. More than one third (36%) patients relieving factor were lying, 24% rest, activity 16% and no relieving factors in 24% patients. Morning stiffness and depression was found 20% and 25% patients respectively. Associated conditions were found as diabetes mellitus (DM) 25%, sleep disturbance 16%, dyspepsia 10%, hypertension (HTN) were in 7% patients and 42% patients had no associated condition. Large number of the patients’ was occupational 46%; rest of the factors were MFPS 16%, degenerative 14% (dorsal spondylosis 5%, cervical spondylosis 6% and lumbar spondylosis 3%, Ankylosing Spondylitis (AS) 7% and traumatic were 6%. Pott‘s disease 4% and 7% patients’ cause were others. According to Numeric Rating Scale in the first visit mild causes were in 54% patients, 44% moderate and 2% severe. In the last visit 69% patients were found mild and rest had no pain (p value=0.001). Assessment of joint tenderness in first visit; 56% patients were in grade 1, 20% grade 2 and 3% in grade 3, 21% patients had no tenderness. In the last visit it was found that only 21% patients in grade 1 and rest 79% had no tenderness (p value=0.001). According to Pain Disability Index in the first visit mild disability was found in 67% patients, moderate 31% and 2% had no disability. In the last visit mild were 74% and 26% had no disabil","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83009811","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":"Recurrent Hypokalaemia Due to Gittleman Syndrome: A Case Report","authors":"Mohammad Syedul Islam, Q. M. Ahmed, D. Afroze, D. Talukder, Md Nazmul Hasan","doi":"10.3329/bmj.v50i3.62935","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62935","url":null,"abstract":"Gittleman syndrome (GS) is autosomal recessive renal tubulopathy caused by mutation of genes encoding protein for sodium chloride cotransporter and magnesium channel in the distal convoluted tubule.1 We present the case of a-20-years old female patient admitted in our Internal Medicine Department for recurrent hypokalaemia. She presented with recurrent quadriparesis. There was no history of taking inhaled salbutamol, insulin, steroid, diuretics and vomiting or diarrhoea. Investigations revealed hypokalaemia. Hypomagnesaemia, normal urinary excretion of sodium and potassium and hypercalcaemia. Her Serum albumin was within normal limit and renal function was normal. Diagnosis of Gittleman syndrome was established and was given potassium chloride and magnesium sulphate. Subsequently, the patient improved clinically and biochemically.\u0000Bangladesh Med J. 2021 Sept; 50(3): 49-51","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84898760","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}