M D J Khan, M A Islam, K R Hoque, M A Rahman, M S Sorwer, M A Islam, T B B Disha, M A H Miah, N Islam, K R Hoque, M A Rouf, A B Kamrul-Hasan
{"title":"Clinical Profile and Outcome of Intercostal Tube Drainage in Patients with Secondary Spontaneous Pneumothorax.","authors":"M D J Khan, M A Islam, K R Hoque, M A Rahman, M S Sorwer, M A Islam, T B B Disha, M A H Miah, N Islam, K R Hoque, M A Rouf, A B Kamrul-Hasan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pneumothorax is a prevalent pleural condition encountered by physicians in clinical practice, classified into two types: primary spontaneous pneumothorax (PSP) and secondary spontaneous pneumothorax (SSP), with SSP being more common, which necessitates prompt intervention due to its poorer prognosis and reduced likelihood of successful conservative management. The primary objective of this study is to assess the outcome of intercostal tube drainage in individuals with secondary spontaneous pneumothorax. The study took place in Mymensingh Medical College Hospital, a leading tertiary care hospital in Bangladesh. The research involved 175 patients selected through a purposive non-probability sampling technique. Among 175 patients, remarkably, 161 patients (92.0%) reported experiencing relief from dyspnea, while 147(84.0%) exhibited an expansion of lung fields. This suggests that patients who find relief from dyspnea are likely to experience lung field expansion. This data highlights the substantial correlation between these two clinical outcomes in this patient population. Postoperative pain (49.0%) was the most prevalent consequence, and tube dislodgement (2.0%) was the least common complication after Intercostal tube insertion. Regarding the duration of hospital stays, 84 patients (48.0%) were discharged within 7 days, 56 patients (32.0%) were hospitalized for 8-14 days and 35 patients (20.0%) remained in the hospital for more than 14 days. In comparison, the durations for intercostal tube insertions were 0-7 days for 105 patients (60.0%), 8-14 days for 35 patients (20.0%) and over 14 days for another 35 patients (20.0%).</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"650-655"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532116","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}
S Mahmud, M H Arefin, S Tarafder, G Sultana, F Akter, M Nurunnabi
{"title":"Dental Problems and Oral Hygiene Practices among Dental Unit Outpatients.","authors":"S Mahmud, M H Arefin, S Tarafder, G Sultana, F Akter, M Nurunnabi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Oral health is a significant determinant of overall health and leads to a higher quality of life. Oral diseases are an important health concern across the globe, and oral health problems growing more prevalent in Bangladesh. This cross-sectional study was directed to evaluate common dental problems and oral hygiene practices among 300 patients attending the outpatient department of the dental unit at Shaheed Syed Nazrul Islam Medical College Hospital in Kishoreganj and Sadar Hospital in Sunamganj from January 2022 to June 2022. The most commonly observed oral conditions were gingivitis (41.0%) and dental caries (27.0%). Most of individuals (65.4%) used a toothbrush to clean their teeth, with 18.4% brushing twice every day. Total 45.9% of those who used a toothbrush changed it every 3 months, whereas 30.6% replaced it every 6 months. Only a small number of participants cleaned their tongues (14.7%). Regarding dental visits, one-fifth of the participants (21.3%) went to the dentist for regular check-ups. Only 6.7% of participants had biannual visits and 14.7% attended annually; conversely, a significant majority (78.6%) sought dental care only when problems arose. Most participants used local branded toothpaste (32.0%). Over half of individuals (54.7%) had poor oral hygiene, while 17.0% had good oral hygiene. This study provided an overview of common dental problems, health behaviors and poor dental hygiene practices within the studied population. It is essential to implement comprehensive awareness programs at both educational institutions and the community level to enhance oral health status.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"636-642"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532045","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}
M F I Khaled, S M E Mahabub, S M M Subhan, A K Abrar, M S I Chowdhury, M K Hossain, S Ahmed, S Ansari, A I Joarder, M R M Mandal, D K Adhikary, S S Shakil, S K Banerjee
{"title":"Safety Practice of Covid-19 Warrior Healthcare Workers Facing the Reality.","authors":"M F I Khaled, S M E Mahabub, S M M Subhan, A K Abrar, M S I Chowdhury, M K Hossain, S Ahmed, S Ansari, A I Joarder, M R M Mandal, D K Adhikary, S S Shakil, S K Banerjee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The world is facing Covid-19 pandemic without any specific therapy against it. So, prevention of this highly contagious disease is still the key to success against it. The Health care workers (HCWs) are playing vital role to reduce death and sufferings. HCWs are at a high risk of getting the infection and the source of transmission in the community. Addressing the pitfalls in safety practice against Covid-19 pandemic and attempt to solve the issues will definitely improve the strength of fighters and overcome the situation. Therefore, the objective of the study was to assess the status of practice of safety tools toward Corona virus disease-2019 (Covid-19) among healthcare professionals. Findings of this study might be utilized for promulgation of policy and program for upcoming days. This cross-sectional survey was conducted among the adult Bangladeshi healthcare professionals of purposively selected three type of healthcare facilities- a Tertiary level hospital: Bangabandhu Sheikh Mujib Medical University as well as District hospital and Upazila health Complex from highly infected district Narayangonj and low infected district- Brahmanbaria. A number of 241 HCWs were interviewed using semi structured self-administered questionnaire electronically via-email, Facebook Messenger or other social media communication. This study found that a good number (about 14.0%) of the HCWs do not practice frequent hand washing, as defined by at least 3 times during each duty period. Most of the doctors (46.8%) used soap water to disinfectant from Covid-19 which is followed by hexisol (27.9%) and sanitizer (26.5%), whereas more than 55.3% allied health professional used sanitizer for the same purpose which is followed by soap water (29.8%) and hexisol (14.9%). Doctors are more frequent in using all form of disinfectants.more than 90.0% are careful in using their protective equipment and dress. But a significant amount (about 25.0%) of them don't participate in health safety training after the outbreak till the study time. A significant number (30.0%) cannot maintain appropriate quarantine with their family.A significant number of respondents (46.0%) have no home isolation facility. More than 51.0% have no separate donning and doffing room at their workplace. The health care workers serving the Covid-19 diseased patients might be super spreader of this highly contagious disease. Awareness and appropriate safety practice is the burning issue. Organized training regarding protection, supply of safety logistics and strong monitoring are the keys to success to stop spreading of this disease.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"825-832"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532057","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}
J S Rashid, P Rahman, R R Khan, S S Afrin, N Mudi, M K Saha, F Yeasmin, S S Karim, R K Dewan, P Zaman, M Rahman
{"title":"High-Risk Human Papilloma Virus Genotyping in Patients with Clinically Suspected Precancerous and Cancerous Lesions of Cervix.","authors":"J S Rashid, P Rahman, R R Khan, S S Afrin, N Mudi, M K Saha, F Yeasmin, S S Karim, R K Dewan, P Zaman, M Rahman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nowadays, human papilloma virus (HPV) testing has been added with cytology to aid in detection of high-grade cervical lesions, especially in women aged ≥30 years. This study aimed to evaluate the relationship between high-risk HPV (hrHPV) genotype and clinicopathological parameters among the diagnosed patients with both precancerous and cancerous cervical lesions. This cross-sectional study was carried out in the Department of Pathology of Dhaka Medical College and in the collaboration with 'DNA Solution LTD, Dhaka', Bangladesh. The study was conducted over a period of 24 months from July 2018 to June 2020. Following informed written consent, a total of 51 women (18 patients with clinically suspected malignant lesions and 33 with a positive VIA test) were included in this study, and all were subjected to colposcopic examination performed by a gynecologist. Ethical issues were ensured in accordance with the 1975 Declaration of Helsinki. SPSS version 24.0 was used during data analysis. The average age ±SD of the patients with cervical lesions was 41.86±9.84 years with a range from 25 to 60 years. Approximately half of the participants (n=25, 49.0%) were married for less than 16 years and almost one-tenth were multiparous. Among all cytological and histological findings, hrHPV-16 (n=21, 41.18%) was commonest, followed by hrHPV-18 (n=3, 5.88%) and hrHPV-68 (n=1, 1.96%). Two patients had co-infection with hrHPV (16, 18) and hrHPV (16, 51) in particular. However, the rest 24 cases remained undetected. Among the hrHPV-positive cases (n=27), hrHPV-16 was detected in 5 cases while those were negative for intraepithelial lesions. In cervical swabs, 6 cases of hrHPV-16, 2 cases of hrHPV-18 and one case of co-infection hrHPV (16, 18) were histologically diagnosed as invasive SCC G-II. Among 51 cases, the most common histological diagnosis was CIN I (n=18, 35.3%). hrHPV genotyping was found to be associated with cytological findings and histological diagnosis.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"816-824"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532123","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}
V Malhotra, C Suryawanshi, F J Cidral-Filho, S Wakode, A Thomas, P K Porter
{"title":"Integrating Kriya Yoga, Pranayama and Brainwave Entrainment for Stress Reduction: An HRV-Based Exploration.","authors":"V Malhotra, C Suryawanshi, F J Cidral-Filho, S Wakode, A Thomas, P K Porter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stress contributes to non-communicable diseases like hypertension and diabetes, with heart rate variability (HRV) reflecting autonomic nervous system (ANS) activity. This interventional study was conducted at the Department of Physiology, All India Institute of Medical Sciences (AIIMS), Bhopal, India, from 2019 to 2025. This study evaluated yogic (Kriya Yoga, Anulom Vilom, Kapalbhati, etc.) and non-yogic (exercise, brain entrainment) interventions in 30 healthy volunteers using HRV. Kriya Yoga and Anulom Vilom reduced stress indices by 71.45% and 56.01%, enhancing parasympathetic tone. Kapalbhati and exercise increased sympathetic activation (+41.66%, +85.33%). Brain entrainment lowered stress by 48.86%. Cooling pranayamas (Chandra Nadi: -69.14%) were optimal for stress management, while heating techniques may exacerbate stress. So, the efficacy of stress-reduction techniques varies based on their physiological impact.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"921-931"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532126","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}
P K Sarkar, N Akand, S Tahura, M Kamruzzaman, J Akter, K A Zaman, T Farhana, S S Rima, M J Alam, M K Hassan, J Fardous, B Chowdhury
{"title":"Antimicrobial Sensitivity Pattern of Sputum and Nasopharyngeal Swab in Children with Cystic Fibrosis: A Lesson from a Specialized Shishu (Children) Hospital in Bangladesh.","authors":"P K Sarkar, N Akand, S Tahura, M Kamruzzaman, J Akter, K A Zaman, T Farhana, S S Rima, M J Alam, M K Hassan, J Fardous, B Chowdhury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infection control in Cystic fibrosis (CF) patients plays a crucial role in improving the survival of patients with CF. Antimicrobial sensitivity patterns in these patient groups in our country are currently lacking. Therefore, the purpose of this observational study was to evaluate the microbiological cultures and antimicrobial susceptibility pattern of pediatric CF patients. A total of 50 respiratory samples were prospectively collected from the patients with CF got admitted in the Dhaka Shishu Hospital, Bangladesh from February 2021 to October 2021. Sputum and nasopharyngeal swabs were processed for culture and microbiological testing. Sample collection and evaluation were performed according to the Good Laboratory Practice guidelines (GLP). Informed written consent was ensured before participation. Statistical analysis was performed with SPSS v26.0. The median age of the children was 30 months (6-120) months, with a male predominance (66.0% vs. 34.0%). Single and two organisms were isolated in 72.0% (n=36) and 12.0% (n=6) of cases, respectively. During the study period, 36.0% of the patients harbored Pseudomonas aeruginosa, 18.0% harbored Klebsiella pneumoniae and both Staphylococcus aureus and Escherichia coli were detected in 16.0% of cases. Levofloxacin was found to be the most active antibiotic agent with 100.0% susceptibility. In contrast, nearly all isolates were resistant to amoxicillin, erythromycin and rifampicin. Levofloxacin is the most effective agent to treat CF patients. Active surveillance of the resistance pattern should always continue to be promoted.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"866-873"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532109","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}
T Farhana, M A Qayyum, M A Hossain, S S Hossain, S Shamsuzzaman, N Hossain, M M Rahman, S S Reshma, A I Khan, B P Bonny, D Debnath, M Rahman, M A S Khan
{"title":"Association of Air Flow Limitation Severity with eGFR in Stable COPD Patients: A Cross-Sectional Study.","authors":"T Farhana, M A Qayyum, M A Hossain, S S Hossain, S Shamsuzzaman, N Hossain, M M Rahman, S S Reshma, A I Khan, B P Bonny, D Debnath, M Rahman, M A S Khan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) is primarily a lung disease, but its consequences also affect other vital organs. Forced expiratory volume in one second (FEV₁), a basic spirometry finding along with others (Predicted FEV₁% and FVC), is essential for COPD diagnosis and severity analysis. Renal functional evaluation is essential, in addition to other systemic evaluations. Its evaluation is important because drugs used for the treatment of COPD are mostly excreted through the kidneys, which may cause its impairment. The estimated GFR (eGFR) by the modification of the diet in renal disease (MDRD) study group equation can approximate the actual GFR. This study aimed to elicit the association between airflow limitation severity and eGFR in stable COPD patients. This cross-sectional observational study included 95 patients with stable COPD who presented at the NIDCH between June 2018 and June 2019. The mean spirometry indices were compared with the eGFR-based groups (eGFR ≥60 mL/min/1.73 m² and eGFR <60 mL/min/1.73 m²). Correlation test was done to elicit the association of FEV₁ with eGFR. In addition, the prediction capability of eGFR along with other clinically relevant effector variables for FEV₁ was analyzed. FEV₁ was strongly correlated with eGFR (r=0.754, p<0.001). Predicted FEV₁% and FVC had moderate correlations with eGFR (r=0.646, p<0.001 and r=0.691, p<0.001, respectively), whereas FEV₁/FVC had weak correlations with eGFR (r=0.440, p<0.001). eGFR showed good prediction capability (β=-0.176, p<0.001) among other clinically relevant effector variables (age, sex, smoking, exacerbation history, mMRC grade, CAT score and BMI). All spirometry indices (FEV₁, PFEV₁%, FVC and FEV₁/FVC) were correlated with eGFR. FEV₁ was strongly correlated (positively) with eGFR and showed linear relation. Furthermore, eGFR had a good predictive capability for FEV₁. FEV₁ in stable COPD patients can be used as a predictor of renal function (eGFR), enabling early detection of renal functional impairment. Based on this, further evaluation, preventive measures or modifications in treatment strategy could be adopted accordingly.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"887-896"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532114","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}
F Islam, S D M Taimur, T Sultana, I Nigar, A T M Rahman, C Y Jamal
{"title":"Fluconazole Prophylaxis in Children with Acute Leukemia during Induction Chemotherapy in a Tertiary Care Hospital in Bangladesh.","authors":"F Islam, S D M Taimur, T Sultana, I Nigar, A T M Rahman, C Y Jamal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with hematological malignancies often develop febrile neutropenia (FN) as a complication of cancer chemotherapy. Opportunistic infection, especially invasive fungal infection (IFI) is frequently encountered during the neutropenic phase. With this perspective different anti-fungal agents had been tried as prophylaxis in leukemia. Evaluation of the role of fluconazole was as antifungal prophylaxis in children with acute leukemia during induction chemotherapy. This randomized double-blind placebo controlled prospective study was carried out in the Department of Pediatric Hematology and Oncology, Bangladesh Medical University (BMU), Bangladesh from September 2016 to August 2017. Total 60 (30 were in fluconazole and 30 were in placebo group) patients of age range from 1 to 18 years were included in this study. Mean age of the patients were 7.08±3.33 years in fluconazole group 6.29±2.79 years in placebo group. Male: Female ratio was 1.14:1. Out of total 60 patients 44 were ALL and 16 AML. Mean duration of neutropenia in fluconazole and placebo group were 13.40±5.75 days and placebo 16.83±5.77 days respectively. Success rate of fluconazole prophylaxis was 25(83.3%). Failure rates of placebo were 40.0%. Duration of empirical antifungal therapy in fluconazole and placebo group differed significantly (p=0.008). Difference of neutrophil recovery achievement in two groups was also significant (p=0.015). The mean duration from AFP to EAF therapy is 17.60±1.51 days and 14.33±5.72 days in patient with fluconazole and placebo group respectively. Prophylactic fluconazole can be used to decrease the fungal infection as well as the duration of febrile neutropenia during induction chemotherapy of Acute Leukemia in children.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"786-790"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532119","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}
G M Shawon, M A Rahman, M N Islam, T H Nayamoth, A S M Chowdhury, K Y Ishad, S Mohammed
{"title":"Early Outcome of Closed Lateral Internal Sphincterotomy in the Treatment of Chronic Anal Fissure Compared to Open Method.","authors":"G M Shawon, M A Rahman, M N Islam, T H Nayamoth, A S M Chowdhury, K Y Ishad, S Mohammed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lateral internal sphincterotomy (LIS) has long been regarded as the standard treatment for chronic anal fissure (CAF). Both open and closed methods are practiced for LIS. In this study evaluated and compared the early clinical outcome in terms of patient morbidity and procedure related complications of both the methods. This was a quasi-experimental study conducted in the department of Surgery, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh (SSMCMH), Dhaka, Bangladesh from May 2018 to April 2019. Fifty (50) patients of chronic anal fissure had been chosen purposively and divided into two groups. Experimental group had 25 patients who underwent closed LIS and Control group had 25 patients who underwent open LIS. All patients were followed up at 2 weeks' and 6 weeks' after surgery. Mean duration of operation in closed method was 8.40±2.10 minutes and in open method 13.48±1.76 minutes, which was significant (p<0.001). Post-operative pain at different time interval was lower in experimental group and significantly lower at 48th hour with a p-value of 0.002. Closed LIS is a safe and time worthy method with less patient morbidity and less post-operative complications for the treatment of CAF.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"840-845"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532047","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}
A Begum, A Nessa, U H Khanom, I Mansoora, F S Joarder
{"title":"Status of Body Mass Index and Blood Pressure in Low Dose Oral Contraceptive Pill Users.","authors":"A Begum, A Nessa, U H Khanom, I Mansoora, F S Joarder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Low dose oral contraceptives are a major category of prescription drugs used by a large number of reproductive women. Since the introduction of the first combined oral contraceptives in the 1960s, great progress has been made to reduce side effects and improve tolerability without compromising efficacy. The most commonly used are combinations of drugs that contain both estrogen and progesterone. Long-term use of hormonal contraceptives by women of reproductive age can lead to increase body mass index (BMI) and blood pressure. The aim of this study was to estimate the status of body mass index and blood pressure in low dose oral contraceptive pill users in Mymensingh locality. This cross sectional analytical type of study was conducted in the Department of Physiology, Mymensingh Medical College, Bangladesh from July 2023 to June 2024. A total number of 140 reproductive women, age ranged from 18-52 years was included in this study. Among them 70 low dose oral contraceptive pill non users were taken as control group (Group I) and 70 low dose oral contraceptive pill users were taken as study group (Group II). The results were calculated and analyzed by using SPSS (Statistical Product and Service Solutions), version 26.0. Data were expressed in Mean ±SD and statistical significance of difference among the groups was calculated by unpaired Student's 't' test. Correlation among body mass index, systolic blood pressure and diastolic blood pressure were done by Pearson's correlation coefficient test. The mean±SD of body mass index (BMI) of control group and study group were 23.24±2.19 in kg/m2 and 26.60±1.94 in kg/m2 respectively. In study group, body mass index was increased in comparison with control group. The mean ±SD of systolic blood pressure of control group and study group were 122.93±10.88 mm of Hg and 141.66±5.47 mm of Hg respectively. In study group, systolic blood pressure was increased in comparison with control group. The mean ±SD of diastolic blood pressure of control group and study group were 81.21±5.92 mm of Hg and 91.87±6.13 mm of Hg respectively. In study group, diastolic blood pressure was increased in comparison with control group. In this study, body mass index and blood pressure was statistically highly significant (p<0.001) in study group in comparison to control group. Therefore, by this study we recommended that OCP users should follow up for early detection and prevention of complication leading to a healthy life.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"619-624"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532086","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}