Bangladesh Medical Journal最新文献

{"title":"Obituary news September-2021 Vol. 50(3)","authors":"K. Halim","doi":"10.3329/bmj.v50i3.62937","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62937","url":null,"abstract":"Abstract not available \u0000Bangladesh Med J. 2021 Sept; 50(3): 56-59","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":"79635866","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":"Vitamin D Status in Patients with Proximal Muscle Weakness","authors":"M. U. Bhuiyan, Ayesha Hoque Asha, M. Hasan, R. Bhowmic, Md Shahriar Siddiki, Shah Mubdi Un Naafi, Md Faizul Islam Chowdhury","doi":"10.3329/bmj.v50i3.62924","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62924","url":null,"abstract":"Vitamin D deficiency has emerged as a concerning public health issue, and almost 25-50% of patients with proximal muscle weakness suffer for this deficiency. It has been documented that myopathy could be a presentation of hypovitaminosis D. Most often, it remains unnoticed or undiagnosed because muscle weakness develops gradually over the years. As fewer studies are available on this topic, the study was designed to assess the vitamin D status in patients presenting with proximal muscle weakness. This hospital-based descriptive cross-sectional study was conducted at the Inpatient and outpatient Department of Medicine of Dhaka Medical College Hospital for 6 months following approval of this protocol. The Ethical Review Committee approved the protocol, and informed written consent was obtained from all the patients. The patients were selected as per inclusion and exclusion criteria with the purposive sampling method. Data were collected by a preformed semi-structured questionnaire. Total 50 patients were included in the final analysis. Collected data were analyzed by the Statistical Package for the Social Sciences version-22 (SPSS). Among 50 patients, 70% were females and mean age was 58.92 ± 12.3 years with a frequent age group> 65 years (46%), where more than two third (68%) of the respondents were from urban area. Among the study subjects, the majority of them had involvement of the lower limb muscles (54%) and one-fifth of them (20%) had both upper and lower limb involvement, whereas more than one-fourth (26%) had only upper limb involvement. The mean duration of illness was 8. 6 ± 3.4 months. The study found more than three fourth, (78%) had hypovitaminosis D the and mean value of serum 25(0H) D was 22.3 ± 7.7 ng/ml. Among them 36% had mild insufficiency, 30% had a moderate deficiency, and 12% had severe deficiency. About two-thirds of proximal myopathy patients had hypovitaminosis D. Difficulties in walking, standing from sitting, climbing, raising hands above the head, bone and joint pain were significantly associated with the severity of vitamin D deficiency (P-value < 0.05). The severity of muscle weakness was strongly associated with the severity of vitamin D deficiency (P-value <0.05). Females were comparatively more affected than males, it was not statistically significant. However, further large-scale analytical studies are needed to find the association of this hypovitaminosis with the disease process. \u0000Bangladesh Med J. 2021 Sept; 50(3): 7-13","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"67 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85060003","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":"Skeletal and Extra-Ekeletal Effects of Vitamin D Deficiency in Children","authors":"Suraiya Begum, Dhiraj Chandra Biswash","doi":"10.3329/bmj.v50i3.62933","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62933","url":null,"abstract":"Vitamin D is essential for the maintenance of calcium and phosphorus homeostasis. It has skeletal growth and extra-skeletal effects in our body.  Objective of this article is to update the information on skeletal and extra-skeletal effects of vitamin D deficiency in paediatric clinical disorders. In the paediatric population, vitamin D deficiency is associated with different clinical diseases such as rickets, insulin resistance, metabolic syndrome, respiratory tract infections, asthma, and autoimmune diseases. It is associated with prematurity, obesity, malabsorption, anticonvulsant agents, extreme latitudes, low consumption, and little sun exposure. The recommendation is to prevent vitamin D deficiency and to maintain 25(OH) D serum levels >30ng/mL (>75 nmol/L). \u0000Bangladesh Med J. 2021 Sept; 50(3): 36-43","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78660866","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":"Children and COVID-19 Vaccine: A Public Health Ethics Perspective","authors":"A. S. M. Nurunnabi, Shamsi Sumaiya Ashique, Asmay Jahan, Afroza Akbar Sweety, S. Sharmin","doi":"10.3329/bmj.v50i3.62934","DOIUrl":"https://doi.org/10.3329/bmj.v50i3.62934","url":null,"abstract":"As COVID-19 cases were in rise all over the world and the World Health Organization declared a pandemic, there was an increasing focus on availability of new vaccines and drugs against the virus. Meanwhile, we already have several vaccines in COVID-19 vaccination programmes across the globe. During the process of development and clinical trials of the vaccines, several questions were popped up by multiple stakeholders about child vaccination against COVID-19. Most of the queries focused on safety of COVID-19 vaccines, the clinical trial process, priority criteria of getting a vaccine, why and why not children be included in the vaccination programme. In adult population of the country, COVID-19 vaccination programme is being carried out in an unequalled state; the focus is now on paeditric population, as some countries have already started to vaccinate children. At the time of writing this paper when Government of Bangladesh has not yet decided to vaccinate children in the country but initiatives has been taken by health department for above 12 years children vaccination. However, this paper aims to discuss potential ethical dilemmas related to COVID-19 vaccination in children especially in low-resource settings and dig into effective strategies to implement COVID-19 vaccination programme properly in the field of public health. \u0000Bangladesh Med J. 2021 Sept; 50(3): 44-48","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"os17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88418440","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":"Cardiovascular Risk Factors amongst the Patient Living with HIV Attending at Anti-Retroviral Therapy Center of Bangladesh","authors":"Abid Hossian, S. Biswas, Md Nazmul Hassan, I. Ahmed, A. M. R. Bhuiyan, Kohinur Ahmed, S. Islam, A. Abdullah","doi":"10.3329/bmj.v50i2.61177","DOIUrl":"https://doi.org/10.3329/bmj.v50i2.61177","url":null,"abstract":"Human immunodeficiency Virus (HIV) seropositive individual is at risk of developing disease of cardiovascular system (CVD). There are scarce of research work regarding this field in Bangladesh. Considering scarcity, this study was conducted at anti-retroviral therapy (ART) center of Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh to find out the frequency of the CVD and their common risk factors in HIV seropositive patients from March 2017 to September 2019. Different CVD risk factors were assessed in this study. The demographic data were assessed and World Health Organization STEPS questionnaire were used to collect demographic data. The 10-year CVD risk was calculated by using the Framingham coronary risk score (FRS).  Mean age of study population was 38, SD= 9.8. Among them sixty-five (65%) were men and thirty-five (35%) were women. About one third were overweight followed by 5% were obese. High cholesterolemia, high triglyceridemia, high low-density lipoprotein (LDL) and low high-density lipoprotein (HDL) were found in 23%, 58%, 14%. and 63% of the HIV patent, respectively.  Hypertension was present in 19% and diabetes in 15% of the patients. In Framingham risk score, 19% of the participants had intermediate to high risk of cardiovascular disease within 10 years. The cardiovascular risk factors were common in HIV patients attending ART center of BSMMU, where base line 10-years CVD risk was low. People living with HIV appear to be an imminent risk to develop CVD.\u0000Bangladesh Med J. 2021 May; 50(2) : 40-44","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85953579","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 Helicobacter Pylori and Portal Hypertensive Gastropathy in Patients with Cirrhosis of Liver","authors":"Muhammed Saiful Islam, Md. Fazlul Karim Chowdhury, Jahanara Arju, Md Shah Alam Miah, Md Abual Hasan, Debprosad Adhikary, K. Zaman, M. S. Chowdhury, Md. Anwarul Kabir","doi":"10.3329/bmj.v50i2.61175","DOIUrl":"https://doi.org/10.3329/bmj.v50i2.61175","url":null,"abstract":"Portal hypertensive gastropathy (PHG) is a common endoscopic finding in patients of cirrhosis of liver. The cause and pathogenesis of PHG in cirrhotic patients is poorly understood. Some studies showed, association of Helicobacter pylori (H. Pylori) with portal hypertensive gastropathy in cirrhosis of liver, but the evidence is not robust. The aim of this study was to assess the association of H. pylori infection and PHG in patients with cirrhosis of liver. This case control study was conducted in the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from April 2016 to August 2018. A total of 230 patients with cirrhosis of liver were included in this study. There were 115 cirrhotic patients with PHG as cases and 115 cirrhotic patients without PHG as controls.  Upper gastrointestinal Endoscopy and 13C Urea Breath Test (UBT) was done in both cases and controls. In this study, out of 230 cases, 147 (63.91%) found to have H. pylori infection. Among cirrhotic patients with PHG case, 77 (66.95%) was positive in UBT. Out of these 77 UBT positive cases, 55 had mild PHG whereas 22 cases had severe form of PHG. Among 38 cases of cirrhosis with PHG who had negative UBT, 23 had mild PHG and 15 cases had severe form of PHG. The risk of positive urea breath test was not statistically significant in cirrhotic patients with PHG in comparison with cirrhotic patients without PHG (P=0.337, OR 1.303, 95% CI 0.759-2.235). In this study, statistically significant association was not found between H. Pylori and PHG in cirrhotic patients.\u0000Bangladesh Med J. 2021 May; 50(2) : 21-27","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"33 12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82771253","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":"Co-Morbidities and Family History Among Methamphetamine Users","authors":"M. M. Maruf, N. Jahan, Muhammad Zillur Rahman Khan, Arman Ibne Haq, J. Akhter, Mahbub Mayukh Rishad, MA Kamal","doi":"10.3329/bmj.v50i2.61173","DOIUrl":"https://doi.org/10.3329/bmj.v50i2.61173","url":null,"abstract":"The abuse of methamphetamine, locally known as Yaba locally, has increased in Bangladesh recently. The study was designed to determine the proportion of co-morbidities, in terms of physical, psychiatric and other substances, and family history of substance use and other psychiatric disorders among methamphetamine abusers in Bangladesh.This was a cross-sectional study. Data were collected from the available medical documents of a private hospital dedicated for the management of substance abusers in Dhaka, Bangladesh. Information of the individuals admitted in the hospital during 1 January, 2014 to 31 December, 2015 due to substance related disorders having history of using methamphetamine within one month of hospitalization were enrolled in the study. Completed data of 115 individuals were taken and data analysis was performed using Statistical Package for Social Sciences (SPSS) version 24.Most (91.3%) of the respondents were male. Mean age of the respondents was 24.6 (±5.8) years. Half of the respondents (50.4%) belonged to the age group 21-30 years. Most (89.6%) of them resided in urban area and was Muslim (94.8%). Majority (52.2%) was unmarried. Regarding education status, majority (34.8%) completed graduation. About one-third (33.9%) were currently unemployed. All the methamphetamine users had used other substances. Among the other co-morbid substances, nicotine was the substance used by most (94.8%) respondents, followed by cannabinoids (56.5%) and opiates (38.3%). Among the respondents about one-third (33.9%) had current physical co-morbidities. Co-morbid psychiatric disorders were present among 29.6% of the respondents. Among the respondents, more than one-fourth (27.8%) had family history of substance use, 20.9% had family history of other psychiatric illnesses. All the methamphetamine users had used other substances. A substantial proportion of methamphetamine users had physical and other psychiatric comorbidities and family history of substance and other psychiatric disorders. This essential issue should be considered in the management strategy of methamphetamine use.\u0000Bangladesh Med J. 2021 May; 50(2) : 15-20","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88716483","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":"Early Signs of Autism and It’s Relation with Gestational Factors: An Urban Based Study in Bangladesh","authors":"S. Sharmin, K. Halim, Zobayed Sultan, Kazi Mahbubul Haque","doi":"10.3329/bmj.v50i2.61172","DOIUrl":"https://doi.org/10.3329/bmj.v50i2.61172","url":null,"abstract":"A cross-sectional study was conducted to observe the prevalence autism spectrum disorders (ASD) and its correlation with gestational factors in country population between January and December of 2016. The study population was nursery school child aged 3-5 years whose parents were willing to participate in the study. In this study, the children are excluded whom already being identified as any forms of autism spectrum disorders. Convenient sampling technique was followed to select the samples from 47 schools of Uttara, Ashulia and Nikunjo area of Dhaka City Corporation and Tongi area of Gazipur City Corporation under Dhaka Division, Bangladesh. A total of 1000 children were recruited in the study. The research instrument was a semi-structured questionnaire based on Early Screening of Autistic Traits (ESAT) tool. Based on the diagnosis of the cases, parents were invited to another interview to fill out questionnaire related to some parental and gestational factors to assess the relationship with autism. The study found early signs of autism in 2.6% cases (26 in 1000), by using Early Screening of Autistic Traits (ESAT) questionnaire. Among the children having early signs of autism, history of normal birth weight was found more in term pregnancy (62.5%) than its preterm counterpart (60.0%). Growth parameter was higher in normal birth weight (68.8%) than low birth weight (60.0%). Similarly, growth parameter was also higher in children that are from 3rd gravida (75.0%) than that of 2nd gravida (66.7%) and 1st gravida (61.5%). Birth weight was also higher in >2 years birth spacing (60.0%) than that of <2 years (50.0%). Complication was more in home delivery (50.0%) than institutional delivery (20.8%). Birth injury happened more in home delivery than institutional delivery. Similarly, complication during delivery was higher in >2 years birth spacing (30.0%) than that of <2 years (0%), However, the difference was not significant statistically in any of the comparisons (P>0.05). Hence, no causal relation was found between autism and gestational factors.\u0000Bangladesh Med J. 2021 May; 50(2) : 9-14","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74080202","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":"Effect of Extra-corporeal Shock-wave Therapy in the Management of Chronic Plantar Fasciitis","authors":"Musa Muhammad Hojaifa, Sohely Rahman, Tulsi Chandra Saha, M. Hosain, Hasan Habibur Rahman, Monjur Ahmed, Mollah Mohammad Muzahidul Islam, Mahfuzul Alam","doi":"10.3329/bmj.v50i2.61171","DOIUrl":"https://doi.org/10.3329/bmj.v50i2.61171","url":null,"abstract":"Plantar fasciitis is a progressive degenerative condition of the plantar fascia which is reported to be one of the most common causes of lower heel pain in adults. Extracorporeal Shock Wave Therapy is being used for the management of plantar fasciitis now a day. The aim of the study was to find out the effects of Extracorporeal Shock-wave therapy in patients with chronic plantar fasciitis. A randomized clinical trial was conducted from May to October 2015, on 60 patients aged more than 18 years with plantar fasciitis attending in the department of Physical Medicine and Rehabilitation (PMR) in the Dhaka Medical College Hospital (DMCH) to observe the effectiveness of Extracorporeal shock-wave therapy (ESWT) in the treatment of plantar fasciitis and its therapeutic outcomes.60 patients were allocated randomly into intervention group (Group A) and control group (Group B). Data were composed through face to face interview using a questionnaire based on 1.Visual analogue scale,  2.Modified Roles and Maudsley score, and 3.100-point Scoring System for Plantar Fasciitis. But after 8 weeks, score was found lower in Group A than Group B (p<0.05).The usual total pain score was higher in 100-point Scoring System for Plantar Fasciitis (p<0.001) after 8 weeks of treatment as well average function score (0.001) in Group A. Patient satisfaction was also found higher in Group A by using Modified Roles and Maudsley score. Extracorporeal shock-wave therapy showed effective, so it can be suggested for the patients.\u0000Bangladesh Med J. 2021 May; 50(2) : 1-8","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83272716","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":"Severity of Pain According to Visual Analog Scale in Adhesive Capsulitis of Shoulder in Diabetic Patients","authors":"M. Hosain, Sohely Rahman, Mahfuzul Alam, S. Islam, Khaza Amirul Islam, Md Mukhlachur Rahman, Mohammad Kamruzzaman Bhuiyan","doi":"10.3329/bmj.v50i2.61179","DOIUrl":"https://doi.org/10.3329/bmj.v50i2.61179","url":null,"abstract":"The aim of the present study was to assess the severity of pain according to visual analog scale in adhesive capsulitis patients with DM. A descriptive, cross sectional study was conducted from January to June 2019 among 200 patients attending at Physical Medicine and Rehabilitation Department, Bangabandhu Sheikh Mujib Medical University after obtaining requisite consent from the patients. Data were collected through the assessment of patients in the Outpatient Department.  The collected data were analyzed by using SPSS (version 20.1) to assess the severity of pain according to visual analog scale in adhesive capsulitis patients. The study was approved by the institutional ethical committee of BSMMU. Mean age of patients with adhesive capsulitis was 54.85±9.35 years among them more than one third (35%) was 51-55 years of age group. Among the patients 61% was female and 39% was male. Among the patients 54(27%) had adhesive capsulitis, and 146(73%) did not have. Nearly two third female patients (65%) suffered from adhesive capsulitis of shoulder than male patients (35%). The hight number of adhesive capsulitis patients suffering from moderate type of pain and visual analogue score is 4-6, where one third of them suffer from severe type (VAS score 7-10). Overall frequency of adhesive capsulitis of the shoulder among diabetic individuals attending in physical medicine and rehabilitation department of a tertiary care hospital was 27%. Most of the adhesive capsulitis patients suffering from moderate type of pain which visual analogue score is 4-6.\u0000Bangladesh Med J. 2021 May; 50(2) : 32-34","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82322504","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}