Bangladesh Medical Journal最新文献

{"title":"Radionuclide Renogram Findings in Different Kidney Diseases Referred to Institute of Nuclear Medicine and Allied Science (INMAS)","authors":"Mohammed Mehedi Al Zahid Bhuiyan, K. Nahar, Md Azzad Mia, Arshad Hossain, Humayra Tasnim, Md Saiful Islam","doi":"10.3329/bmj.v50i1.58247","DOIUrl":"https://doi.org/10.3329/bmj.v50i1.58247","url":null,"abstract":"Renal function evaluation with the use of radio nuclide scanning is a very helpful technique. Renogram is a routine procedure in the Institute of Nuclear Medicine and Allied Sciences (INMAS), Sylhet. This is a tertiary referral hospital to north east part of the country. The aim of this study was to analyze the renal disease pattern and outcome of diuretic renogram of different types of renal diseases. This retrospective study was conducted among 223 patients who underwent 99mTc-DTPA renogram from February to October 2018 in INMAS, Sylhet. Mean age of the patients was 30.04 ± 18.52 year with age range 1 to 80 years, male to female ratio 1.5:1. USG. Clinical information and other adjuvant findings along with the ultrasound findings were collected to categorize the study subject. Most common indication for the renogram was hydronephrosis (HDN) 80.27%, followed by smaller kidney 7.17%, renal parenchymal disease 3.14%, nephrolithiasis 3.14% and others (renal cysts and renal artery stenosis). The mean and standard deviation of serum creatinine was 0.9 ± 0.51, range from 0.30 to 4.50. Among the 179 HDN patients, mild, moderate and severe cases were 37 (20.7%), 44 (24.6%) and 81 (45.3%) respectively. Most common site of involvement was left kidney (n=90, 41.3%), followed by both kidneys (n=67, 30.7%). Overall renographic findings showed obstructive disease in 144 (66.05%) patients and non- obstructive disease in 74 (33.94%) patients. It concluded that isotope renogram is very important in the evaluation of renal function especially differentiate between obstructive from non-obstructive pathology. \u0000Bangladesh Med J. 2021 January; 50(1) : 10-14","PeriodicalId":8711,"journal":{"name":"Bangladesh Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87414010","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":"Serum C-reactive Protein Predicts Early Mortality in Patients with Decompensated Cirrhosis of Liver","authors":"A. Islam, S. M. N. E. Alam, D. C. Das, Narwana Khaleque, M. Yousuf, M. Mahtab","doi":"10.3329/BMJ.V49I1.52582","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52582","url":null,"abstract":"Serum C-reactive protein is a marker of systemic in!ammation, which has been studied to predict mortality and cirrhosis related complication in decompensated cirrhosis of liver. To evaluate the role of serum Creactive protein as a predictor of early mortality in patients with decompensated cirrhosis of liver. \"is was a prospective observational study, carried out in the Department of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka between October 2017 to February 2019. A total of 89 patients with decompensated cirrhosis of liver were included in the study. Baseline serum CRP was measured and patients were longitudinally followed for a period of 30 days. Patients were divided into two groups, survival and non-survival. \"e groups were compared of CRP level, CTP score, MELD score and cirrhosis related complications. Chi-Square test was used to analyze the categorical variables and Student t-test was used to analyze continuous variables. Receiver-operator characteristic curve was used to detect serum CRP level for prediction of mortality within 30 days. \"e mean age was found 49.02±13.90 years in survival group and 47.52±11.30 years in non-survival group. Male patients were predominant in both groups. Total WBC count, serum CRP, serum sodium, serum bilirubin, CTP score & MELD score were statistically signi$cant (p<0.05) between the groups. In multivariate analysis, only serum CRP level (OR 1.075, 95% CI, 1.027-1.122%, p=0.001) was found signi$cantly associated with mortality within 30 days. Receiver-operator characteristic (ROC) was constructed, using serum CRP level, which gave a cut o' value of 31mg/L, with 78% sensitivity and 90% speci$city for prediction of mortality within 30 days. Elevated serum CRP level is an independent predictor of early mortality in patients with decompensated cirrhosis of liver. It was also observed that, high serum CRP level was associated with increased frequency of cirrhosis related complications.","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":"90503132","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":"A Comparative Study of Rotaviral Antigen Detection by ELISA and ICT in Children below Five Years with Acute Diarrhoea in A Tertiary Care Hospital","authors":"F. Habib, Mohammed Mirazur Rahman, M. Haque, Shib Prasad Sinha, Suborna Dey, N. Tanni, M. A. Nabi, Azima Akter Jhuma, Nazmul Hasan","doi":"10.3329/BMJ.V49I1.52584","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52584","url":null,"abstract":"Rotavirus is responsible for acute severe watery diarrhoea in young children. Early and rapid detection of rotavirus infection can help to reduce inappropriate administration of antibiotics and has future positive impact on prevention of drug resistance. !is cross-sectional study was designed to determine the role of rotaviral antigen detection by ICT from stool sample of acute diarrhoeal children below \"ve years admitted in Sylhet MAG Osmani Medical College Hospital, Sylhet and was carried out in the department of microbiology in collaboration with the department of paediatrics during the period from 1st January to 31st December, 2018. Total 184 children of under \"ve years of age with acute watery diarrhoea were enrolled in this study. Rotaviral antigen was detected by ELISA (Enzyme Linked Immunosorbent Assay) and ICT (Immunochromatographic test) from stool samples. Out of 184 stool samples, rotaviral antigen was found positive in 84 and 86 cases by ICT and ELISA methods, respectively. ICT showed sensitivity of 90.70% and speci\"city of 93.88% when compared with ELISA. !e rotavirus infection was found highest in male children (61.90%) and in age group of 7 to 12 months (51.89%). Considering the importance of rotaviral diarrhoea, rapid detection of rotavirus infection by ICT is essentially needed and should be practiced routinely as it is relatively reliable, easy to perform and cost-e#ective. It is particularly important in Bangladesh, where diarrhoea is still contributing a signi\"cant proportion of mortality and morbidity in under \"ve children.","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":"77421052","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 January-2020 Vol 49(1)","authors":"K. Halim","doi":"10.3329/BMJ.V49I1.52591","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52591","url":null,"abstract":"Abstract not available \u0000Bangladesh Med J. 2020 Jan; 49 (1): 55","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":"83958425","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":"Stress and Coping Status among Caregivers of Major Psychiatric Patients","authors":"Sinthia Tasmin, H. Sultana, Ayeshah Haque, Moinul Islam, M. R. Alam, K. Halim, Golam Abbas","doi":"10.3329/BMJ.V49I1.52588","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52588","url":null,"abstract":"Caregivers play an important role for the treatment and wellbeing of the psychiatric patients. Constant caregiving role exert stress on the caregiver which is usually handled by them. !is cross-sectional study aimed to assess the level of stress and coping status among conveniently selected 171 care givers of major psychiatric patients at National Institute of Mental Health (NIMH), Dhaka. Data was collected by the pre-tested semi-structure questionnaire blended with perceived stress and coping scale through face to face interview. Average coping status was found in most of the (70%) care givers; good coping status was found in more than one \"fth (21%) of the caregivers and few (02%) caregivers had poor coping status. Stress and coping status was found (p<0.05) signi\"cantly related. !is study \"nds the perceived stress among all the caregivers under study population; where high level of stress were perceived by more than three fourth of the caregivers and moderate to low level of stress were perceived by most of the caregivers. Caregiver-centric interventions, services and programs are recommended to plan and implement so that they should not compromise their caregiving work.","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":"74499221","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":"Comorbidity and it,s Impact on COVID-19 Affected Patients in COVID-19 Dedicated Hospital of Bangladesh","authors":"I. Hossain, Ashekur Rahman Mullick, M. H. Khan, K. Halim, M. Aktaruzzaman, Shahroz Nabi, Shafiur Rahman, Shahin","doi":"10.3329/BMJ.V49I1.52585","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52585","url":null,"abstract":"The Wuhan City of China evidenced unknown aetiology pneumonia cases at the end of December 2019. On 7 January 2020, the causative agent was identified as a novel coronavirus (2019-nCoV), currently referred to as SARS-CoV-2, and coronavirus disease as COVID-19. Older adults and people of any age who have underlying medical conditions, such as hypertension and diabetes, have shown worse prognosis. The aim of this study to evaluate the risk of serious adverse outcomes in patients with COVID-19 by stratifying the comorbidity status. We conducted a retro-prospective study of 405 patients admitted into the Mugda Medical College and Hospital, Dhaka,Bangladesh.  Among 405 cases, mean age was 46.33 years. About 216 (53.3%) patients were male. Almost  322 (79.5%) patients were managed inside Dhaka city. The most common symptom was fever on or after hospitalization (71.9%). Of the 405 cases the prevalence of specific comorbidities was: hypertension (n=141, 34.8%), other cardiovascular diseases (n=42, 10.4%) cerebrovascular diseases (n=7, 1.7%), diabetes (n=140, 34.6%), COPD (n=4, 1.0%), chronic kidney diseases (n=65, 16.0%), malignancy (n=4, 1.0%) and asthma (n=51,12.6%). Overall, 307 (75.8%) patients discharged alive during the time frame of this study. 98(24.2%) patients died, 63 (15.6%) were admitted to the ICU and 16 (4.0%) received invasive ventilation. Patients with comorbidities should take all necessary precautions to avoid getting infected with SARS CoV-2, as they usually have the worst prognosis. There is a need for a global public health campaign to raise awareness, on reducing the burden of these comorbidity illnesses causing deaths in COVID-19- infected patients. \u0000Bangladesh Med J. 2020 Jan; 49 (1): 19-25","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":"82358095","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":"Effects of Iron and Amloki (EmblicaOfficinalis) on Serum Zinc Level in Anaemia with Pregnancy","authors":"T. Akter, Qazi Shamima Akther, S. H. Lisa, M. Sultana, F. Sultana, Sharmin Nahar, S. Suma, Sayeda Tasnim Kamal, T. Habib, F. Rahman","doi":"10.3329/BMJ.V49I1.52587","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52587","url":null,"abstract":"Pregnancy is associated with several trace elements deficiency in developing countries. Supplementation of iron in iron deficiency anaemia (IDA) has several side effects including alterations of serum zinc level. Traditionally, amloki is used as a well known supplement in pregnancy, which is rich in trace elements.To determine the effects of iron and amloki on serum zinc level in IDA with pregnancy. The study was a non blind, non random sampling interventional type of clinical trial. This study was performed in the Department of Physiology, Dhaka Medical College, Dhaka on 43 pregnant women between 13th to 20th weeks of gestation with IDA from July 2016 to June 2017.  They were recruited from Outpatient Department of Obstetrics and Gynaecology of Dhaka Medical College Hospital. Anaemic pregnant women supplemented with oral iron and amloki were considered as study group (A) and control group (B) were with only iron supplementation for 45 days. Serum zinc level was estimated in the laboratory of the Department of Soil, Water and Environment, University of Dhaka, Bangladesh.  For statistical analysis, Paired Student’s‘t’ test and Unpaired Student’s‘t’ test were considered using SPSS 22.0 version. Significant decrease (p<0.001) of serum zinc level was observed after intervention of iron in both groups. In this study, there was no significant difference in serum zinc level in between study and control group. It can be concluded that oral iron supplementation causes decrease in serum zinc level in IDA with pregnancy. Amloki shows no significant role in preventing decrease of serum zinc level in this study.  Emblicaofficinalis (amloki) is traditionally used to treat iron deficiency anaemia. It can increase haemoglobin concentration and decrease side effects of iron supplementation. \u0000Bangladesh Med J. 2020 Jan; 49 (1): 33-37","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":"86455888","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 Early Childhood Adversities of Orphans Rearing in Orphanages","authors":"F. Mahmood, Nirmeen Rifat Khan, Z. Islam, Tasmia Shahreen, Noor Zaman Jhanjhi","doi":"10.3329/BMJ.V49I1.52586","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52586","url":null,"abstract":"Orphans spread a signi!cant mass of our absolute child folks and this study was planned to determine the early childhood adversities of orphans that may attract them in various violence and perilous fortune lead further that in the end have a long-standing psycho-social impact on their adulthood. \"is was a cross-sectional study that was completed among 301orphans of both genders. \"e subjects were chosen by convenient sampling technique based on speci!c inclusion criteria and maintaining ethical issues. \"e study was directed from January to December 2017 in di#erent orphanages of Chittagong and Dhaka city. \"e examination uncovered, maximum (84%) of participants were male and the rest (16%) were female. Among them, around 44.9% of them were matured from 10-12 years followed by 37.9% matured between 13-15 years. \"e majority (62%) of the participants had education up to primary/equivalent level. A maximum (69.77%) of them lost their father and 17.94% of them lost both of their parentages. \"e study revealed, physical assault (30.2%), serious domestic accident (27%), and life-threatening illness/injury (33.6%) had higher frequencies than other events that happened with the participants personally. Additionally, events like tra$c transportation accidents (47.3%), serious domestic accidents (36.8%), and physical assault (28.3%) had higher frequencies than other events experienced through observing to transpiring. \"en again, transportation accidents, domestic accidents ( 2 =32.673, p<0.05), physical assault, life-threatening illness/injury were experienced among 16-18 years of aged orphans personally where assault with a weapon and sexual assault ( 2 =14.637, p< 0.05) were more frequent among 13-15 years old gathering. Keyword: Orphan, childhood adversity INTRODUCTION UNICEF and global partners outlined an orphan as a child under 18 years of age who has lost one or both parents to any cause of death. According to this outlining, there were nearly 140 million orphans worldwide in 2015, including 61 million in Asia, 52 million in Africa, 10 million in Latin America and the Caribbean and 7.3 million in Eastern Europe and Central Asia. \"is outsized number speaks to youngsters who have lost the two guardians as well as the individuals who have lost their dad however have an enduring mother or have lost their mother yet have an enduring father. Of this around 140 million kids delegated orphans, among them about 15.1 million have lost the two guardians. Proof obviously shows that by far most of orphans are living with an enduring guardian grandparent or with other relative for endurance.1 According to UNICEF, about 95 per cent of all orphans globally are over #ve years of age.1 Some of them are lucky enough of getting possibility of being raised up in orphanages having convenience and instructive o!ces and the rest spend their adolescence in streets, railroad stations, and ghettos in a random way. \"ese vulnerable children including orphans are especially defense","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":"78286357","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":"Autoimmiune Hepatitis in Children: Two Case Report","authors":"Benzamin, Zannatul Ferdous Sonia, Rukunuzzaman, K. Nahid, B. P. Dey, Kamal Hossen, K. Fathema, M. Khadga, M. Islam","doi":"10.3329/BMJ.V49I1.52589","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52589","url":null,"abstract":"Autoimmune hepatitis (AIH) is the disease of immune mediated in!ammation of liver. Presentation of AIH in children is variable, ranging from acute hepatitis to cirrhosis of liver and also as only asymptomatic raised ALT. AIH can present at any age and female are more a\"ected. Here we are presenting two cases. Case 1 presented with jaundice and H/O epistaxis, having cutaneous echymosis, hepato-splenomegaly and ascites. Case 2 was a diagnosed case of Systemic Lupus Erythematosus (SLE) presented with only persistent raised of serum ALT. Both were diagnosed as autoimmune hepatitis on the basis of positive auto antibodies, histopathology of liver tissues and exclusion of all other causes of acute and chronic hepatitis.","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":"73011404","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":"A 30-Year-Old Male Patient of Miliary Tuberculosis Presented with Pancytopenia and Intracerebral Haemorrhage Mimicking Brain Tumor in MRI","authors":"Q. M. Ahmed, N. Hasan","doi":"10.3329/BMJ.V49I1.52590","DOIUrl":"https://doi.org/10.3329/BMJ.V49I1.52590","url":null,"abstract":"Unlike to fever, pancytopenia is a rare hematological manifestations of tuberculosis and intracranial haemorrhage as well. Here we report a case of disseminated tuberculosis presented with pancytopenia and intracranial haemorrhage. !e patient presented with prolonged pyrexia, weight loss and subsequently unconsciousness and convulsion. After the diagnosis of tuberculosis with pancytopenia and intracerebral haemorrhage \"owed by convulsion, he was treated with category-1 standard anti-tubercular therapy and anticonvulsant. After completion of the anti-tubercular drug his fever completely subsided and gained weight and pancytopenia was improved. But he is still on anti-convulsant medication with good control of seizure.","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":"87983762","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}