Journal of Chittagong Medical College Teachers' Association最新文献

{"title":"Ectopic Cushing’s Syndrome From Prostatic Adenocarcinoma: A Rare Clinical Entity","authors":"R. H. Chowdhury, S. Chowdhury, Tasnuva Tanzil, M. Alam","doi":"10.3329/jcmcta.v31i1.66752","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66752","url":null,"abstract":"A 61-year-old man known to have metastatic prostate adenocarcinoma was seen at Changi General Hospital, Singapore, because of severe hypokalaemia due to ACTH dependent Cushing’s syndrome. He underwent a Dotate PET CT which showed increased DOTA-NOC-avidity in the right side of the prostate gland. Subsequent immunohistochemical staining of prostate biopsy sample documented ACTH, synaptophysin and CD 56 positivity. He was suggested medical management for prostate cancer complicated by Cushing's syndrome. Unfortunately, Cushing’s syndrome was not controlled and the patient’s clinical condition progressively worsened. Subsequently, he developed fatal sepsis due to immunocompromised state. This case report describes a case of Cushing’s syndrome due to metastatic adenocarcinoma of the prostate, a tumour with very few therapeutic options and negative prognosis. \u0000JCMCTA 2020 ; 31 (1) : 125-129","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90244606","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":"Hypospadias Repair in Children: A 5-Year Experience from a Pediatric Surgery Department of Chittagong Medical College","authors":"Md Khurshid Alam Sarwar, T. Chowdhury, M. G. Habib, Rajib Khastagir, Adnan Walid","doi":"10.3329/jcmcta.v31i1.65827","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65827","url":null,"abstract":"Background: Hypospadias a very common condition in the children and the incidence is increasing.  Here we present our experience of managing hypospadias patients over the last five years.   \u0000Materials and methods: It was a retrospective study from 2014 to 2018 in the Department of Pediatric Surgery, Chattogram Medical College Hospital. Records of all hypospadias patients were analyzed and type of hypospadias, age at repair, type of repair and admission with complication of hypospadias were recorded.   \u0000Results:  A total of 492 boys were admitted with the diagnosis of hypospadias and 272 boys underwent hypospadias surgery. Distal penile hypospadias (148 patients, 30%) was the commonest variety followed by coronal hypospadias (144 patients, 29%). Age at surgery ranged from 6 months to 19 years with a mean age of 7±4 years. General anesthesia was given in 133 patients (64.7%) spinal anesthesia in 93 patients (31.8%) local anesthesia in 7 patients (2.4%) and caudal block in 3 patients (1%). Urethro-cutaneous fistula, failed urethroplasty and meatal stenosis are the admissions with hypospadias complications.   \u0000Conclusion: Hypospadias is still common with substantial number of complications. Health education is necessary to reduce age at surgery. \u0000JCMCTA 2020 ; 31 (1) : 38-41","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83255310","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":"Helicobacter Pylori Eradication by Levofloxacin Based Triple Therapy in Patients with Peptic Ulcer Disease","authors":"Md. Razibul Alam, M. S. Arefin, Md Abdul Mumit Sarkar, Ma Ohab, M. Rahman, Md. Anwarul Kabir","doi":"10.3329/jcmcta.v31i1.66339","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66339","url":null,"abstract":"Background: Clarithromycin resistance globally has challenged the success of conventional Clarithromycin based triple therapy for Helicobacter Pylori eradication. Levofloxacin has primarily been considered as a second-line treatment but may also be used as primary therapy. Recently, some studies have evaluated its efficacy as a valid alternative to standard antibiotics as first-line therapy for H. pylori infection. This study was intended to assess the eradication success of Levofloxacin based first-line triple therapy and also to see it’s compliance & adverse effect profile. \u0000Materials and methods: This non-randomized single-arm clinical trial was carried out in the Department of Gastroenterology, BSMMU from March 2016 to March 2017 involving 123 H. pylori-positive patients with endoscopically proven peptic ulcer disease to assess the eradication success of levofloxacin based first-line triple therapy and also to see its compliance and adverse effect profile. H. pylori status were detected by urea breath test. Patients were treated with amoxycillin 1 gm 12 hourly, levofloxacin 500 mg 12 hourly and omeprazole 20 mg 12 hourly for 14 days and were followed-up at 2 months after completion of therapy for repeat urea breath test. \u0000Results: A total of 97 patients returned for followup.  Male proportion was 63.41% and female was 36.58% with the median age of 57 years. On intention-to-treat analysis, the eradication rate of H. pylori was 65.85% and on per-protocol analysis, it was 83.50%. Total 15.44% patients developed adverse effects, all were mild to moderate in nature. One patient discontinued treatment because of epigastric pain and vomiting. \u0000Conclusion: Levofloxacin-based therapy was effective, well-tolerated and compliance was excellent; but the eradication rate was not satisfactory. \u0000 JCMCTA 2020 ; 31 (1) : 102-107","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"14 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78402528","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":"Efficacy of Autologous Blood Clot in Primary Pterygium Excision Compared with Suture Technique","authors":"Tanuja Tanzin, Md Iftekher Iqbal","doi":"10.3329/jcmcta.v31i1.65863","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65863","url":null,"abstract":"Background: To assess the efficacy of pterygium excision and conjunctival autograft surgery among patients underwent autologous blood clot or using sutures (10-0 monofilament nylon).    \u0000Materials and methods: A randomized controlled trial was done at Department of Ophthalmology, Chittagong Medical College Hospital, with a study period from February 2017 to November 2018 was conducted with 60 eyes from 60 patients having primary nasal pterygium. They were selected according to inclusion and exclusion criteria and randomized into two groups for conjunctival autograft. Group A (30) was treated with autologous blood clot and Group B (30) was treated with sutures (10-0 monofilament nylon). All surgeries were performed by a single surgeon at single center. Standard examinations were performed preoperatively and postoperatively, preoperative and postoperative outcomes were evaluated and compared statistically where follow up was done at 1st day,7th days, 1-month, 3-month, and 6-month post operation. The mainoutcome variables were postoperative discomfort, graft stability and complications.   \u0000Results: This study included 60 patients (60 eyes) with a mean age of 46.77±7.04 (SD) (Range 33 to 58 years) in Group A (30) and 46.17±7.53 (SD) (Range 22 to 58 years) in Group B (30). In Group A, male was 22 (73.3%) and female was 8 (26.7%) where Group Bcontained male 20 (66.7%) and female 10 (33.3%). Follow-up at 1st and 7th post operation days showed marked discomfort in Group B (Mean rank 41.82 and 40.62) compared to Group A (Mean rank 19.18 and 20.38) respectively (p<0.001). At 1st post operation day there were 3 (10%) graft retraction in Group Aonly. Within 6 months follow-up, all grafts were stable and there wasonly 1 (3.3%) granuloma in Group B.   \u0000Conclusion: In primary pterygium excision, autologous blood clot showed excellent post- operative outcomes with much comfort, more stableas well as fewer complications. So, it appears to be an effective means to treat primary pterygium surgically. \u0000JCMCTA 2020 ; 31 (1) : 42-47","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85685332","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":"Anthropometric Analysis of Foot Length, Breadth and Shape in Adult Bangalee Females of Chattogram: An Observational Study","authors":"Sharmista Bhattacharjee, M. Ashrafuzzaman, Ruma Chakraborty","doi":"10.3329/jcmcta.v31i1.65874","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65874","url":null,"abstract":"Background: Foot is a complex, multi-segmented structure. Each segment act in a coordinated manner to provide support and absorb shock during locomotion. Foot morphology differs among population groups. The objectives of this study were to determine the selected foot dimensions and foot shape of adult Bangalee females to find out any ethnic characteristics of their own. \u0000Materials and methods: The study was conducted on 200 Bangalee adult females within 18-44 years age. Foot length and foot breadth were measured by slide caliper. Foot index was calculated from foot length and foot breadth. Foot shape was determined from foot index by using a pre determined formula. \u0000Results: The mean value for length, breadth and index of foot in Bangalee females were 22.91±0.79 cm, 8.55±0.4cm and 37.35±1.92 respectively.  Most of the participants (68%) had standard foot shape. 17.5% women had slender foot whereas14% had broad foot shapes. \u0000Conclusion: The results of this study should be useful for anatomists, anthropologists and forensic experts. \u0000JCMCTA 2020 ; 31 (1) : 54-57","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76590409","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":"Knowledge, Attitudes and Practices Related to Breast Cancer Screening Among Female Doctors of a Tertiary Care Hospital in Bangladesh","authors":"Shakera Ahmed, Rivu Chakraborty, O. S. Pulock, Shahed Anwar, F. Ahmed, A. Awal","doi":"10.3329/jcmcta.v31i1.66741","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66741","url":null,"abstract":"Background: Doctors with inadequate knowledge and unfavorable practice in their own life will be sub-optimal in their performance in community. This study aimed to determine the Knowledge, Attitudeand Practice (KAP) regarding Brest Self Examination (BSE) Clinical Breast Examination (CBE) and mammographyas screening test for breast carcinoma among female doctors. \u0000Materials and methods: This cross-sectional study was conducted on working female doctors of Chittagong Medical College Hospital, a tertiary care hospital of Bangladesh. A semi-structured self-administered questionnaire was used for data collection which was consisted of four parts: i) Demographic characteristics ii) KAP about BSE iii) KAP about CBE iv) KAP about mammography. A total of 100 forms were distributed and 84 were returned back. \u0000Results: The mean (SD) age of the female doctors was 38.92 ±7.52 (Range, 27-59 years).Family history of Breast cancer was positive in 15.5% and 96.4% of the doctors were married, Out of those with positive family history, 4 (30.76%) were 1st degree relatives of the respondents. Regarding to their knowledge proportion of doctors had heard about BSE, CBE and mammography were 100%, 97.6% and 100% respectively. But proportion of doctors did not know the exact starting age for BSE and mammography were 61.9% and 11.9% respectively. Moreover, 13.1% didn’t know who should do the BSE, 11.9% reported that, trained nurse should do CBE, about 41% reported that CBE should be done by either mammography or ultrasonography. Regarding attitude majority considered BSE (100%), CBE (96.4%) and mammography (91.7%) as useful tool for early detection of breast cancer. Out of 36 doctors age 40 years 23.8% never practiced BSE and only 11.1% done mammography for themselves. \u0000Conclusion: Though doctors had positive attitude towards BSE, CBE and mammography as screening tests their knowledge and practices regarding these test were not optimal. Emphasis should be laid on BSE and CBE in undergraduate and postgraduate courses for doctors. \u0000JCMCTA 2020 ; 31 (1) : 48-53","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90858410","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":"Etiology of Acute Kidney Injury in Hospitalized Patients in a Tertiary Care Hospital","authors":"Md Ataul Karim, Md. Habibur Rahman, Md Habib Hassan, A. Zahed, M. Uddin, S. Sarkar","doi":"10.3329/jcmcta.v31i1.66344","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66344","url":null,"abstract":"Background: Acute Kidney Injury (AKI) previously referred to as acute renal failure complicates acute care hospital admissions and intensive care unit patients. In AKI associated with sepsis and multiple organ failure, mortality is high and the outcome is usually determined bythe severity of the underlying disorder and other complications, rather than by kidney injury itself. Aim of our study was to evaluate the etiological profile of AKI in a tertiary care hospital like Chittagong Medical College Hospital (CMCH).   \u0000Materials and methods: This observational study was conducted among 100 hospitalized patients in different wards of CMCH from November 2018 to April 2019. Patients were selected based on the Kidney Disease Improving Global Outcomes (KDIGO) criteria of AKI. An increase in serum creatinine >0.3 mg/dl or >1.5 times the baseline and a fall of urine output <0.5 ml/kg/h for 6–12 h were the criteria for selection. A structured questionnaire was completed andbaseline level of serum creatinine, urine output were documented. \u0000Results: Out of 100 patients, 56 were males and 44 were females. Mean age of the patients was 40.89±12.74 years. Diabetes mellitus and Hypertension were the common comorbidities. Hypovolaemia and Sepsis were found to be most common cause which included diarrheal illness (27 patients) followed by Urinary Tract Infection (9 patients) and Community-Acquired Pneumonia (4 patients).  Eleven patients had Surgical causes and only 8 had Obstetrical causes. \u0000Conclusion: Causes of AKI arepreventable and treatable. Timely appropriate management will reduce the incidence and improve the outcome of AKI. \u0000JCMCTA 2020 ; 31 (1) : 108-112","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85053019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Study of Semen Quality for Evaluation of Male Factor Infertility","authors":"Mafruha Khanam, Aditi Banerjee, J. Jerin, Mohamed Mazih Fazyl","doi":"10.3329/jcmcta.v31i1.65495","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65495","url":null,"abstract":"Background: The global infertility rates are increasing at an alarming pace.Standard semen analysis is the basic and initial investigation in clinical practice for understanding male infertility. The objective of this study is to evaluate male infertility by studying the quality of semen according to the WHO protocols, identify the semen abnormalities to correlate the relationship between semen parameters and infertile couples. \u0000Materials and methods: This is a cross-sectional prospective study conducted in Surgiscope Fertility Centre, Chattogram, Bangladesh over 9 months on 1348 couples who received services from the fertility centre from November 2018 to July 2019. Multiple variables were selected such as, patient parameters like age of the couple, smoking history, duration of infertility, semen abnormalities which were recorded and statistically analyzed. The procedure and reference values were according to the WHO guidelines 2010. \u0000Results: The minimum age of the patients was 19 and the maximum age of the patients was 60 with a mean age of 33.3 +/- 0.5 years.The majority of the patients whose wives conceived were between the ages of 34 to 44 years and the lowest number of patients whose wives conceived were 55+ years. Moreover,359 patients (26.63%) conceived while 989 patients (73.37%) did not conceive.No significant relationship between number of conceptions and addiction was recorded. There is a statistically significant negative relationship between total motile sperm and age of patient and a marginally positive relationship between the number of sperm and total motility.   \u0000 Conclusion: This study showed a higher incidence of abnormal semen quality among husbands of infertile couples in our population. This revealed the importance of emphasizing on the need for managing male infertility. \u0000JCMCTA 2020 ; 31 (1) : 13-18","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78781977","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 High-Sensitivity C- Reactive Protein (Hs-Crp) with the Components of Metabolic Syndrome","authors":"Mirzaie Amir, Md. Abdur Rouf, Md Habib Hassan, Anupam Barua","doi":"10.3329/jcmcta.v31i1.65909","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65909","url":null,"abstract":"Background: Metabolic syndrome is associated with both the development of Hypertension, Diabetes Mellitus and an increased risk of adverse cardiovascular outcome. It is considered aspro inflamatory state linked with low grade systemic inflammation. C- reactive protein is a powerful biomarker of chronic systemic inflammation. Aim of this study is to evaluate the relationship of Highsensitivity C-reactive Protein (hs-CRP) with the components of Metabolic Syndrome (MetS) among hospitalized patients. \u0000Materials and methods: 50 patients of 18 years and above with metabolic syndrome, attending outdoor or admitted to Medicine Department of Chittagong Medical College Hospital from January 2016 to December 2016 were enrolled for this cross sectional study. The National Cholesterol Education Panel (NCEP) ATP – III, 2001 criteria was used for the diagnosis of MetS. Results: hsCRP level was found increased in almost every components of MetSin univariate analysis but the differences were not statistically significant. Patients with MetS had higher value of hs-CRP than without MetS (5.18±1.98 Vs 3.51± 1.63mg/l) with a p value 0.023.   \u0000Conclusions: Patients with metabolic syndrome had higher levels of hs-CRP than those without metabolic syndrome and hs-CRP levels increased directly with increasing number of its components. \u0000JCMCTA 2020 ; 31 (1) : 71-75","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90532476","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":"Neutrophil Lymphocyte Ratio as a Prognostic Factor in Acute Pancreatitis","authors":"Anjan Kumer Dey, F. Ahmed, S. Paul","doi":"10.3329/jcmcta.v31i1.66338","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66338","url":null,"abstract":"Background:  Different scoring systems are currently in use to stratify the severity of the acute pancreatitis to guide clinicians in triaging patients with the aim of improving outcomes. The Neutrophil-Lymphocyte Ratio (NLR) provides a rapid indication of the extent of an inflammatory process.  Its value to predict the severity of acute pancreatitis has not been well studied. The aim of this study was to investigate the prognostic value of the NLR in acute pancreatitis patients. \u0000Materials and methods: This hospital based observational study was conducted at Medicine ward of Chittagong Medical College Hospital (CMCH) for one year period from January 2015 to December 2015. One hundred and four adult patients with a diagnosis of acute pancreatitis who fulfilled the defined inclusion and exclusion criteria were selected for the study. After obtaining informed consent clinical interviewing and physical examination were done according to predesigned case record form. Then blood was collected within one hour of admission. After getting the result, final selection were done following exclusion criteria. The patients were arranged into three groups according to NLR tertiles. Main outcome measures were intensive Care Unit (ICU)/High Dependency Unit (HDU) admission, Length of Stay (LOS) in the hospital and in-hospital mortality.    \u0000Results: According to NLR tertiles, patients in the 3 tertile (NLR³7.6) had significantly more ICU/HDU admissions (40.6% vs. 0%), longer average LOS (7.91 vs. 4.03 days) and more death (12.5% vs. 0%) compared with those in the 1rd tertile (NLR< 3.6). The higher the NLR tertile, the Modified Early Warning Score (MEWS) also increased significantly. According to the ROC curve, NLR values were superior in predicting ICU/HDU admission and hospitalization for ³ 7 days compared to WBC and MEWS values.    \u0000Conclusion: Elevation of the NLR during admission was significantly associated with severe acute pancreatitis and is a negative prognostic indicator in acute pancreatitis. It is superior to total WBC and modified MEWS in predicting adverse outcomes of acute pancreatitis. \u0000JCMCTA 2020 ; 31 (1) : 90-95","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89766220","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}