Mymensingh medical journal : MMJ最新文献

{"title":"Evaluation of Risk Factors Associated with Stillbirth in a Tertiary Level Hospital.","authors":"M S Khatun, T T Mirza, M S Alam, M Siddika, S A Tithy, H Akhter, S Choudhoury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A Stillbirth is the birth of a newborn after 28th completed week (weighing 1000 gm or more) when the baby does not breathe or show any signs of life after delivery. It has an enormous impact on mothers, families, health care professionals and the community. Bangladesh has high stillbirth rate due to lack of access to antenatal care, home trial, high parity, social norms and customs etc. Multiple maternal and fetal risk factors have been identified that are associated with stillbirth. This study is intended to provide information for proper antepartum surveillance and also build up awareness in the community to prevent perinatal mortality. Objective of this study was evaluation of risk factors associated with stillbirth. This was cross-sectional observational study conducted from 10th February 2019 to 10th August 2019. Consecutive 100 pregnant women admitted in Obstetrics and Gynaecology department of MMCH and had delivered stillbirth baby were included in the study. Data was collected through a pre-designed questionnaire and analyzed by SPSS Version 26.0. In this study, 76.0% women were found between 20 to 30 years of age. Most of the women studied were gravida second and third (72.0%). Most stillbirth baby were preterm with gestational age between 35 to 36 weeks (60.0%). Maternal hypertensive disorder was the commonest medical disorder associated with stillbirth (34.0%), followed by DM (6.0%). Obstetric complications associated with stillbirth were PROM (12.0%), prolonged labour (8.0%), obstructed labour (5.0%), abruptio placentae (6.0%), placenta praevia (2.0%) and cord accident (6.0%). Fetal factor accounted for 8.0% of stillbirth of which majority was due to multiple congenital anomalies (6.0%). Apparently no identifiable risk factors were found in 8.0% cases. It was observed that maternal hypertensive disorders were the predominant risk factors of stillbirth. Majority of women had emergency admission and did not receive adequate antenatal care at all. Significant proportion of stillbirth was preventable by proper and regular antenatal checkup, timely referral and hospital delivery.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"700-706"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of Exteriorization of the Anastomotic Site in Case of Emergency Bowel Surgery.","authors":"N Islam, M A K Azad, M A Baten, K R Hoque, K S Rahman, T Jahan, M S Islam, S M Imteaz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anastomotic leakage followed by septic peritonitis is the most serious complication following intestinal surgery. It has an impact on overall postoperative morbidity and mortality. To prevent the complications of intraperitoneal anastomotic leakage, exteriorization of the anastomosis provides a good alternative. The exteriorized anastomosis can be safely dropped back to the peritoneal cavity after healing in the same hospital admission. If anastomotic leakage occurs, then this exteriorized anastomosis can be converted into an ordinary stoma. The main goal of the present study is to assess the feasibility and to see the outcomes of an exteriorized intestinal anastomosis in emergency bowel surgery. This prospective observational study was carried out in the Department of Surgery, Mymensingh Medical College Hospital, Bangladesh from November 2018 to May 2019. Twenty (20) patients who underwent emergency laparotomy with bowel anastomosis were included in this study. The anastomosis was then exteriorized followed by a drop back to the peritoneal cavity if there was no leak from the anastomosis. Immediate complications were noted and managed accordingly as leaked anastomosis was fashioned as a stoma. The exteriorized anastomosis was successfully dropped back into the peritoneal cavity in 75.0% of cases and was possible between the 6th to 10th postoperative days. Anastomotic leak in the exteriorized segment was seen in 25.0% of patients. No added morbidity or mortality was found in leaked exteriorized anastomosis rather than they were fashioned as an ordinary stoma. One patient underwent re-operation for a pelvic abscess which was usually not related to anastomotic leakage and there was no leak after drop back. The mean hospital stay was up to 11.07th postoperative day (POD), ranging from 8th to 30th postoperative day (POD) after successful drop back of exteriorized anastomosis. But after leaked anastomosis, it was the 18th POD which was more due to prolonged management of wound infection with co-morbidities but not due to leakage-related complications. During the study process 2(10.0%) patients died, one due to ARDS and the other due to severe sepsis with complications of a burst abdomen which was also not related to anastomotic leakage. The procedure of exteriorized gut anastomosis has the advantage of shorter hospital stays and can avoid stoma formation, one-stage surgery and single hospital admission. It does not add any morbidity to the patient but also can early detect anastomotic leakage by direct visualization of the anastomotic site and can be converted to an ordinary stoma. So, exteriorized gut anastomosis can be an alternative to the formation of stoma as well as prevent complications of intra-peritoneal anastomotic leak.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"666-673"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532050","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":"Hepatitis C Seropositivity among Hospitalized Patients with Decompensated Chronic Liver Disease: An Observational Study in a Tertiary Care Hospital of Bangladesh.","authors":"N Chowdhury, M I Patwary, M A I Chowdhury, S Das, G Karmaker, M M Alam, J Banik, M N Islam, J Fardous, S Islam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Viral hepatitis due to hepatitis B virus and C virus (HCV) is a major contributor to the huge burden of chronic liver disease in Bangladesh. This study aimed to investigate the sero-prevalence of HCV among decompensated Chronic Liver Disease (CLD) patients admitted to Sylhet MAG Osmani Medical College Hospital (SOMCH), Bangladesh. This cross-sectional study was conducted among 58 admitted patients with SOMCH aged ≥18 years with a diagnosis of decompensated CLD. Detailed clinical data were extracted from the hospital records and physical examination. Here the immunochromatographic direct binding method was used for the detection of Anti-HCV antibody. The mean age ±SD of the patients was 45.7±13.3 years and 86.0% of them were male. Seropositivity of anti-HCV antibody was 17.2%, with a predominance of genotype-3. Around 58.0% patients had CLD class C in the Child-Pugh scoring system. Edema (91.0%), testicular atrophy (81.0%), leukonychia (72.0%), jaundice (58.0%), clubbing (58.0%), palmar erythema (50.0%), flapping tremor (43.0%) and ascites (40.0%) were the most common presentations of the patients. HCV infection contributed to almost one-fifth of decompensated CLD in hospital-admitted patients. Mass screening and adequate preventive measures are recommended to mitigate the burden of HCV-induced CLD.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"714-719"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532122","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":"Demographics, Clinical Characteristics and Outcomes of 123 Cases of Coronavirus Disease (Covid-19) with Anosmia.","authors":"F Malik, M Kalimuddin, M Ishraquzzaman, M A A Mamun, N Ahmed, M Badiuzzaman, M N Ahmed, D Banik, T S Huq, S R Choudhury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anosmia has been recently recognized as a symptom of coronavirus disease (Covid-19). This study aimed to define demographics, the clinical course of anosmia in relation to other clinical symptoms, outcome of anosmia in Covid-19 positive patients. This cross-sectional study including all consecutive patients with confirmed Covid-19 from March 8th 2020 to March 7th 2021 at the National Heart Foundation Hospital & Research Institute of Bangladesh. There was subjective evaluation of olfactory function. A total of 769 patients were included in this study. Of whom 123(16.0%) patients had anosmia and 646 (84.0%) were without anosmia. Patients with anosmia were younger (37.07±13.23 years vs. 50.27±15.16 years), predominantly female (52.0% vs. 48.0%) and had fewer co-morbidities (p=0.001). Fever (87.8% vs. 61.0%), fatigue (74.8% vs. 18.9%), cough (60.2% vs. 32.7%), body ache (53.7% vs. 11.9%) and headache (52.0% vs. 9.9%) were the most common findings in patients with anosmia. Nasal congestion symptoms were more prevalent in patients with anosmia {32 cases (26.01%)} compared to patients without anosmia {38 cases (5.88%)} (p=0.001). Most of the patients with anosmia were treated either in home isolation or in institutional isolation (74.8% vs. 16.3%) and most of the patients without anosmia were hospitalized (83.7% vs. 25.2%). Patients with anosmia had milder course and good in-hospital outcome [0% case fatality rate (CFR) vs. 4.2% CFR; p=0.02] as compared to patients without anosmia. Patients with anosmia are usually younger and more frequently female, have a less co-morbidity, a milder course, a lower probability of hospitalization, and associated with favorable prognosis as compared with patients without anosmia.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"854-865"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532044","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 Intima-Media Thickness of Common Carotid Artery in Acute Ischemic Stroke.","authors":"S S Rahman, M Bhattacharjee, F Ahmed, E Mia, M Saiduzzaman, S I Bhuiyan, M K Linckon, P A Khan, S Hossain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stroke is the second leading cause of death and third leading cause of disability which is associated with many risk factors. The progression of Carotid Intima Media Thickness (CIMT) has been established as a strong predictor of future vascular events recently. The purpose of this study was to assess the association between CIMT and acute ischemic stroke. This cross sectional comparative study was conducted in the Department of Neurology and Medicine, at Mymensingh Medical College Hospital, Bangladesh from January 2019 to September 2020. Total 120 patients (60 cases of acute ischemic stroke and 60 age and sex matched apparently healthy controls) were included in the study. Participants were studied for the presence of atherosclerotic risk factors and CIMT by high resolution ultrasonography. Mean age of the patients with acute ischemic stroke was 62.85±9.30 years and 70.0% were male. No significant difference was noted between cases and controls in terms of age, sex, occupation, education and socioeconomic class. The mean right CIMT in the patient group was 0.94±0.24mm and it was 0.66±0.19mm in the control group (p<0.001). The mean left CIMT in the patient group was 0.97±0.30mm and it was 0.63±0.18mm in the control group (p<0.001). The average CIMT in the patient group was 0.96±0.23mm and it was 0.65±0.17mm in the control group (p<0.001). CIMT was found to be higher among acute ischemic stroke patients who were smoker and hypertensive than that of nonsmoker and normotensive stroke patients. On multivariate analysis, CIMT remained associated with ischemic stroke as compared to other variables {OR 4.53, 95% CI 1.57-13.05), p<0.01}. CIMT measurements are independent markers of acute ischemic stroke.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"759-764"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532054","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":"Role of Resistive Index to Differentiate between Prerenal Acute Kidney Injury and Acute Tubular Necrosis.","authors":"S Mahjabin, M N Islam, R Rahman, M Akhter, M E Mobin, F Nobi, N Hasan, B Sarker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute kidney injury (AKI) a life threatening condition, one of the most dreadful disease with a broad etiological profile, a challenging problem in our community and specially in critically ill patients and also associated with high morbidity and mortality. Accurate and rapid diagnosis of the cause of AKI is particularly important for selecting appropriate therapy. Measurement of renal indices is commonly used to differentiate prerenal AKI from ATN, often cannot be used and also may not be accurate in many conditions. As renal biopsy is gold standard but this invasive procedure may not be feasible in critically ill patients. Therefore, this cross sectional study was conducted among patients with AKI at Department of Nephrology in Dhaka Medical College Hospital, Bangladesh from November 2017 to June 2019, to assess the ability of Resistive index (RI) to differentiate prerenal AKI and ATN. Mean age were 39.45±10.96 years, with male 65.0%. Among all, 19.0% of AKI patients were found to be sepsis followed by acute watery diarrhea (17.5%), when all causes of hypovolemia were combined, hypovolemia constituted the most prevalent cause. According to renal indices 47.0% patients had prerenal AKI and 53.0%, ATN. On the basis of RI, about 45.0% patients were as a case of prerenal AKI with mean RI 0.63±0.07 and 55.0% were ATN with Mean RI 0.77±0.71. But, type of AKI based on clinical diagnosis was considered as standard and were 46.0% prerenal AKI and 54.0% patients ATN. When compared with clinical diagnosis, RI was found to be more correlated with clinical diagnosis with p<0.001 than renal indices. RI had 91.89% sensitivity and 95.35% specificity to differentiate prerenal AKI and ATN. On the other hand, renal indices had low sensitivity (62.16%) and specificity (65.12%). Moreover, a statistically significant difference were noted between type of AKI diagnosed by RI and by renal indices (p<0.05). So, RI derived from Doppler ultrasound is superior to renal indices and can be used as a useful differentiating tool.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"777-785"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532056","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":"Usage Pattern and Health Impact of Social Media on School-going Adolescents in Dhaka, Bangladesh.","authors":"N Ray, M K Khan, F N Islam, M A Amin, S T Rahman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Social media has become an essential tool for communication, information and entertainment and the use of the internet is increasing among adolescents. This study aimed to understand the usage pattern of social media among school-going adolescents and explore its health impacts. This cross-sectional study was conducted in secondary and higher secondary schools in old Dhaka city of Bangladesh among 248 adolescent students from February 2022 to July 2022. Data were collected through face-to-face interviews and analyzed using the STATA 16 SE version. Most students were 17-19 years old (71.37%) and 66.94% were male. Facebook (90.73%) was the most used social media, followed by Messenger (90.32%), YouTube (85.48%), WhatsApp (55.47%), Instagram (52.42%) and TikTok (12.30%). Students who go to bed after midnight (p=0.02), daily usage of Facebook >2 hours (p=0.02), daily usage of Messenger >2 hours (p<0.01), daily usage of WhatsApp ≥1 hour (p=0.01) and daily usage of Instagram ≥1 hour (p=0.03) were significantly associated with headache. Similarly, for students who go to bed after midnight (p=0.04), daily usage of Facebook >2 hours (p<0.01), daily usage of Messenger >2 hours (p<0.01), daily usage of YouTube ≥1 hour (p<0.01) and daily usage of TikTok ≥1 hour (p=0.04) were significantly associated with Eye Ache. Besides, students who go to bed after midnight (p=0.03) and daily usage of Facebook >2 hours (p=0.04) were significantly associated with interrupted sleep at night. The study found that many students suffer negative health consequences from social media use. Parents should take necessary steps to combat the health hazards of using excessive social media with their children.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"625-635"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532088","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":"Assessment of Some Aspects of Hematological Status in Male Patients with Stable Chronic Obstructive Pulmonary Disease.","authors":"M Pervin, K Jahan, S Jahan, H M A Rashid, A A Jelly, K Fatema","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic Obstructive Pulmonary Disease (COPD) is one of the top three causes of death worldwide that induces an economic and social burden which is both substantial and increasing. Hematological status may be altered even in stable COPD and which is inversely related with the forced expiratory volume in first one second of expiration (FEV1). The objective of the study was to assessthe hematological status in stable COPD patients by counting their neutrophil, lymphocyte and platelet and to correlate them with FEV1. This cross-sectional study was conducted in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh from January 2010 to December 2010. Sixty (60) male smoker (5-10 pack /year) patients of stable COPD (FEV₁/FVC% <0.70; FEV₁ ≤80%; without any exacerbation for last 4 weeks) were randomly selected from the Out Patient Door (OPD) of Medicine Department, BSMMU and a private clinic in Dhaka. On the basis of spirometric findings, 30 mild (Group B1) and 30 moderate stages (Group B2) of COPD patients with age 35-45 years were included in this study. As control (Group A) 30 apparently healthy male persons with matched age, BMI and smoking status were studied. Neutrophil and lymphocyte were counted manually by compound microscope, slide and Leishman's stain. Total count of platelet was counted manually by using hemocytometer and platelet counting fluid through direct method. Data was expressed as mean±SD. The mean±SD of neutrophil were 52.3±4.82, 57.3±5.09 and 71.0±5.5; lymphocyte were 30.7±5.37, 28.4±6.98 and 22.5±4.40% and platelet count were 207.3±19.66, 242.5±40.32 and 281.8±55.46 per mm³ of blood in Group A, B₁ and B₂ respectively. For statistical analysis Independent sample t-test and Pearson's Correlation Coefficient test were performed, as applicable and p<0.05 was accepted as significant. In this study, the mean values of differential count of neutrophil were higher and lymphocytes were lower in both the study groups than control and also in B₂ to that of the B₁. The mean values of platelet were higher in both control and also in B₂ to that of the B₁. These differences of mean values among the groups were statistically significant at (p<0.001) in A vs. B₁ and A vs. B₂ but at (p<0.01) in B₁ vs. B₂. However, this result was non significant for lymphocyte count in B₁. Hematological status altered in stable COPD and this alteration is inversely related to the severity of the disease.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"720-727"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532111","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":"Annular Conjunctival Autograft (ACAU): Modified Technique for Ocular Surface Reconstruction in Unilateral Chemical Burn.","authors":"S K Biswas, S R Roy, A S M Alam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chemical burns due to calcium hydroxide are common among all ages in the Indian subcontinent causing corneal blindness and disfigured eyes. Here, we applied a modified surgical procedure to assess the surgical outcome of a unilateral chemical burn complicated by limbal stem cell deficiency and symblepharon, which was managed by an annular conjunctival autograft from the other eye. This prospective, non-randomized, non-controlled quasi-study of 37 patients was conducted in a tertiary care eye hospital in Bangladesh from January 2015 to December 2018. Inclusion criteria were unilateral old chemical burn with total limbal stem cell deficiency and symblepharon with vision up to the perception of light. Exclusion criteria were bilateral cases, glaucoma due to a secondary cause, any pathology in the retina and optic nerve, and aqueous deficiency. All patients followed up for 24 months. The age range and mean age were 02 to 45 years and 17.14±10.92 years respectively. Fifty-four percent were at or below 16 years. Delay in presentation after burn to ophthalmologist varied from 6-156 months. Preoperative visual acuity was perception of light to 6/36 and postoperative was hand movement to 6/12. Preoperative corneal clarity defined by iris detail and pre-operatively it was clear iris detail at 2.7%, hazy iris detail at 24.3%, and no iris detail at 72.97%. Post-operatively it improved to 35.13%, 62.16%, and 2.7% respectively. Eighty-one percent of patients were happy with their post-operative outcome. In 24 months of follow up symblepharon or conjunctivalization of the cornea did not occur. Fellow eyes showed no limbal stem cell deficiency. The surgical technique of ACAU may be an option not only for the treatment of complicated old chemical burns associated with limbal stem cell deficiency and symblepharon but also can preventing it.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"810-815"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532107","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":"Assessment of the Changes of Body Mass Index, Fasting Serum Glucose and Serum Calcium in Postmenopausal Women.","authors":"N Sultana, F Wahed, A Nessa, N Khatun, S S Suchi, M Paul, S Sadia, S Yeasmin, A Begum, F R Momo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Menopause is a silent but significant event in women's life. It causes dramatic change in physical and psychological aspects. It occupies almost one third of a woman's life. This study was done to evaluate the effects of menopause and changes it brings to various physical and biochemical parameters. The aim of this study was to find out the effect of body mass index, fasting serum glucose and serum calcium levels in postmenopausal women in Mymensingh locality. This analytical type of cross-sectional study was carried out in the Department of Physiology, Mymensingh Medical College, Bangladesh from July 2023 to June 2024. A total 200 subjects were selected and from them 100 were grouped as Control group, Group I (reproductive women) and 100 were grouped as Study group, Group II (postmenopausal women). The results were calculated and analyzed by using SPSS. Anthropometric measurements such as height and weight taken in meter and kilogram respectively. Laboratory analysis of fasting serum glucose was measured by GOD-POD method and serum calcium by o-Cresolpthalein direct method. In this study it was found that body mass index, fasting serum glucose and serum calcium were altered significantly in postmenopausal women in comparison to healthy reproductive women. Fasting serum glucose was positively correlated with body mass index. Serum calcium was negatively correlated with body mass index. Therefore, by this study we recommend that routine estimation of these parameters is important for prevention of complications related to menopause.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"615-618"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532112","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}