scholarly journals Analysis of vitamin D level among asymptomatic and critically ill COVID-19 patients and its correlation with inflammatory markers

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Anshul Jain ◽  
Rachna Chaurasia ◽  
Narendra Singh Sengar ◽  
Mayank Singh ◽  
Sachin Mahor ◽  
...  
Keyword(s):  
Vitamin D ◽  
Serum Ferritin ◽  
Inflammatory Markers ◽  
Clinical Severity ◽  
Medical College ◽  
Marked Variability ◽  
Group A ◽  
The Difference ◽  
Vitamin D Supplements ◽  
Group B

AbstractCOVID-19 is characterized by marked variability in clinical severity. Vitamin D had recently been reviewed as one of the factors that may affect the severity in COVID-19. The objective of current study is to analyze the vitamin D level in COVID-19 patients and its impact on the disease severity. After approval from Ethics Committee, M.L.B Medical College the current study was undertaken as continuous prospective observational study of 6 weeks. Participants were COVID-19 patients of age group 30–60 years admitted during the study period of 6 weeks. Study included either asymptomatic COVID-19 patients (Group A) or severely ill patients requiring ICU admission (Group B). Serum concentration of 25 (OH)D, were measured along with serum IL-6; TNFα and serum ferritin. Standard statistical analysis was performed to analyze the differences. Current Study enrolled 154 patients, 91 in Group A and 63 patients in Group B. The mean level of vitamin D (in ng/mL) was 27.89 ± 6.21 in Group A and 14.35 ± 5.79 in Group B, the difference was highly significant. The prevalence of vitamin D deficiency was 32.96% and 96.82% respectively in Group A and Group B. Out of total 154 patients, 90 patients were found to be deficient in vitamin D (Group A: 29; Group B: 61). Serum level of inflammatory markers was found to be higher in vitamin D deficient COVID-19 patients viz. IL-6 level (in pg/mL) 19.34 ± 6.17 vs 12.18 ± 4.29; Serum ferritin 319.17 ± 38.21 ng/mL vs 186.83 ± 20.18 ng/mL; TNFα level (in pg/mL) 13.26 ± 5.64 vs 11.87 ± 3.15. The fatality rate was high in vitamin D deficient (21% vs 3.1%). Vitamin D level is markedly low in severe COVID-19 patients. Inflammatory response is high in vitamin D deficient COVID-19 patients. This all translates into increased mortality in vitamin D deficient COVID-19 patients. As per the flexible approach in the current COVID-19 pandemic authors recommend mass administration of vitamin D supplements to population at risk for COVID-19.

A STUDY OF SERUM LEVELS OF 25 (OH)VITAMIN D AND CALCIUM IN PRE-ECLAMPSIA, ECLAMPSIA AND NORMAL HEALTHY PREGNANT WOMEN

2021 ◽  
pp. 1-5
Author(s):  
Rama Garg ◽  
Monika Monika ◽  
Parneet Kaur ◽  
Jasvir Singh
Keyword(s):  
Vitamin D ◽  
Pregnant Women ◽  
Serum Levels ◽  
Medical College ◽  
Northern India ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
25 Oh Vitamin D ◽  
Group B

BACKGROUND- It is important to know the modiable risk factors related to the occurrence of preeclampsia and eclampsia, which can help in its primary prevention. To study the serum levels of 25(OH)Vitamin-D and OBJECTIVESCalcium in pre-eclampsia, eclampsia, and normal healthy pregnant women. The prospective observational MATERIAL AND METHODS- study was conducted from 2018-2021 in the Department of Obstetrics and Gynecology, Government Medical College, Northern India. Eighty women were divided into 3 groups: Group A- women with preeclamp sia (30); Group B -women with eclampsia (30); Group C– normal healthy pregnant women (20). Investigations: 1. S.25(OH) VIT D level; 2. S. Calcium level. Results- The mean ± SD levels of vitamin D in women of Group A (preeclampsia) was 21.40 ± 7.11, in Group B (eclampsia) was 16.98 ± 6.62 and in Group C (normal healthy pregnant women) was 37.86 ± 11.34. This data is statistically signicant (P=0.016). The mean ± SD of levels of serum calcium in women of Group A (preeclampsia) was 8.68 ± 0.63, in Group B (eclampsia) was 7.86 ± 0.90 and in Group C (normal healthy pregnant women) was 9.07 ± 0.50. The difference between groups was statistically signicant (P=0.018). Both S. Vitamin D and S. Calc CONCLUSION- ium levels have a negative correlation with systolic and diastolic blood pressure. Women having decreased levels of S. Vitamin D and S. Calcium are more prone to develop hypertensive disorders of pregnancy

scholarly journals Monopolar Diathermy Tonsillectomy Versus Dissection Method Tonsillectomy

KYAMC Journal ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 21-24
Author(s):  
Md Abdus Salam ◽  
Md Mahbub Alam ◽  
Rezwan Ahmed ◽  
Md Sultan Mahmud
Keyword(s):  
Postoperative Pain ◽  
Postoperative Bleeding ◽  
Throat Pain ◽  
Medical College ◽  
Advantages And Disadvantages ◽  
Case Surgery ◽  
Group A ◽  
The Difference ◽  
Group B ◽  
Dissection Method

Background: Tonsillectomy is one of the most common surgical procedures performed worldwide by otorhinolaryngologists for different indications. Tonsillectomy is often performed as day-case surgery, which increases the demands of a satisfactory postoperative pain control and a low risk of early postoperative bleeding. Objective: The aim of the study was to compare the Monopolar diathermy and Dissection methods of tonsillectomy and evaluate their advantages and disadvantages during surgery, convalescence. Materials and Methods: Two hundred children were recruited for this study during the period of five years from January, 2014 to December, 2018 at Otolaryngology department of Khwaja Yunus Ali Medical College and Hospital (KYAMCH). Subjects between the age of 5 and 25 years listed for tonsillectomy were included. Subjects were recommended not to have aspirin within the 2 weeks before surgery. Results: The mean duration of operation was found 10.6±0.4 minutes in group A and 17.0±0.7 minutes in group B. The difference was statistically significant (p<0.05) between two groups. At 1st day, 11(11.0%) patients had throat pain in group A and 23(23.0%) in group B. At 2nd day, 14(14.0%) patients had throat pain in group A and 25(25.0%) in group B. Which were statistically significant (p<0.05) between two groups. Conclusion: The monopolar diathermy tonsillectomy appears to cause less bleeding, postoperative pain and less time consuming in compare with the dissection tonsillectomy although patients experience slightly more pain than dissection Method. KYAMC Journal Vol. 10, No.-1, April 2019, Page 21-24

scholarly journals Morphological Changes of Placenta in Preeclampsia

1970 ◽  
Vol 7 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Segupta Kishwara ◽  
Shamim Ara ◽  
Khandaker Abu Rayhan ◽  
Mahamuda Begum
Keyword(s):  
Morphological Changes ◽  
Medical College ◽  
Group A ◽  
Different Shapes ◽  
The Difference ◽  
To Come ◽  
Group B ◽  
Larger Sample ◽  
Normal Placenta ◽  
Human Placentae

Context: Preeclampsia is regarded as a risk factor in pregnancy and it leads to placental insufficiency. This, in turn causes both maternal and fetal morbidity and mortality. The present study intends to compare the morphological changes of placenta in preeclampsia with that of normal placenta. Study design: A descriptive type of study. Place and period of study: Department of Anatomy, Dhaka Medical College, Dhaka, from August 2005 to June 2006. Materials: 60 human placentae, 30 were from normal pregnant women as control and 30 from pregnancies complicated by preeclampsia were taken for this study. Method: Samples were grouped as Group A and Group B on the basis of presence or absence of preeclampsia. All samples were studied morphologically. Result: Different shapes of placenta were found with some having accessory lobes in both groups. There was significant reduction (p< 0.001) in diameter and volume of placenta in Group B. The thickness of placenta was reduced in Group B but the difference did not reach a significant level. The number of cotyledon was significantly reduced in Group B (p<0.05). Conclusion: In this study, it was found that the preeclamptic placentae underwent definite morphological changes. These changes seemed to be the result of insufficiency of placenta in preeclampsia. However, further histological and morphometric placental study in a larger sample has to be conducted to come up with a conclusive decision. Key Words: Placenta, Preeclampsia, Morphology.   doi: 10.3329/bja.v7i1.3026 Bangladesh Journal of Anatomy January 2009, Vol. 7 No. 1 pp. 49-54

scholarly journals Adrenaline and Dexamethasone, vs Adrenaline and Fluticasone, vs Adrenaline alone in Bronchiolitis: A Randomized Controlled Trial

2020 ◽  
pp. 20-28
Author(s):  
Jayendra R. Gohil ◽  
Atul M. Sheladiya ◽  
N. B. Adithya ◽  
Ratna D. Bhojak
Keyword(s):  
Hospital Stay ◽  
Clinical Symptoms ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Primary Objective ◽  
Assessment Instrument ◽  
Clinical Severity ◽  
Group A ◽  
The Difference ◽  
Group B

Background and Objectives: There is no consensus over which drug best reduces symptoms in Bronchiolitis syndrome. The primary objective of our study is to establish comparative effect of adrenaline nebulisation alone and combination of adrenaline nebulisation plus injectable dexamethasone and adrenaline nebulisation plus fluticasone nebulisation in the treatment of clinical cases of bronchiolitis. Methods: 100 patients diagnosed clinically as bronchiolitis were enrolled in study from 1 month to 24 months of age. Patients were enrolled by purposive sampling. Patients with respiratory distress assessment instrument score [RDAI] of 4 to 15 were chosen, randomized into three groups and treatment given till patient fullfilled discharge criteria. Group A (n=33) were given nebulised adrenaline alone, Group B (n=34) were given nebulised adrenaline plus injectable dexamethasone and Group C (n=33) were given nebulised adrenaline plus nebulised fluticasone. Results: The mean reduction in clinical severity-RDAI score was 1.75 ±0.86 in Group A, 2.30 ± 0.68 in Group B and 1.42 ± 0.9 in Group C when measured in terms of difference in clinical scores between day 1 and 2 (p=0.0003). Mean duration of hospital stay in the group A was (4.93±1.95 days), Group C (4.78±1.83) and Group B (3.91 ±1.37 days). The difference of stay between the Groups A and B was 1.02±0.58 days vs 0.87± 0.46 days in groups B and C (p-0.0048). Reduction in the length of hospital stay in group B was 22% compared to Group A & 19% compared to Group C (p-0.0048). Side effects were tachycardia in six patients. Conclusion: Combination of adrenaline nebulization and injectable dexamethasone was found significantly better as compared to nebulised adrenaline plus nebulised fluticasone and nebulised adrenaline alone in patients of clinical bronchiolitis in reducing severity of clinical symptoms and duration of hospitalization.

scholarly journals Histological study of proportion of cortex and medulla of the ovary in Bangladeshi women

2016 ◽  
Vol 44 (1) ◽  
pp. 8-10
Author(s):  
Hosna Ara Perven ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Dilruba Siddiqua ◽  
Fatema Johora ◽  
Halima Afroz ◽  
...  
Keyword(s):  
Histological Study ◽  
Age Groups ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B ◽  
The Right

This cross sectional, descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka from January to December 2009, to determine the proportion of cortex and medulla of the ovary in di_erent age group of Bangladeshi women. This study was based on collection of 140 ovaries of 70 unclaimed female dead bodies from the morgue of Dhaka Medical College, Dhaka. The samples were divided into three age-groups including A (10-13 years), B (14-45 years) & C (46-52 years). Histological slides were prepared by using routine haematoxylin and eosin stain. Ten best prepared histological slides from each age group were examined to determine the thickness of the cortex and medulla & proportion of the thickness of the cortex and the medulla of the ovary were expressed in percentages. The mean proportion of the cortex and the medulla of the right ovary were found 80.83±0.58% and 19.17±0.58% in group A, 86.95±1.14% and 13.05±1.14% in group B, 70.53±1.53% and 29.47±1.53% in group C respectively. The mean proportion of the cortex and the medulla of the left ovary were found 80.63±0.58% and 19.37±0.58% in group A, 86.78±1.14% and 13.22±1.14% in group B, 70.41±1.50% and 29.59±1.50% in group C respectively. The difference in mean proportion of the cortex and the medulla was not signi_cant in between the ovaries. However, the difference in mean proportion of the cortex and the medulla of the ovary between group A & group B, group A & group C and group B & group C were statistically significant.Bangladesh Med J. 2015 Jan; 44 (1): 8-10

scholarly journals Study on weight of the postmortem parathyroid glands in a Bangladeshi population

2013 ◽  
Vol 22 (1) ◽  
pp. 34-38
Author(s):  
Sabiha Mahbub ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Abdul Alim ◽  
Rukshana Ahmed ◽  
Shamim Ara
Keyword(s):  
Age Groups ◽  
Parathyroid Glands ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Bangladeshi Population ◽  
Group B ◽  
The Right

Context: A cross-sectional descriptive type of study was designed to find out the difference in weight of the parathyroid glands of Bangladeshi people in relation to age and sex and to compare with the previous studies. Methods: This study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from January to December 2008. The study was performed on 207 post mortem human parathyroid glands collected from 60 unclaimed dead bodies which were in the morgue under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age-groups including group A (10-30 years), group B (31-60 years) & group C (61-90 years) and the weight of the parathyroids were measured and recorded. Results: The mean weight of the right superior parathyroid glands were 13.43±13.77 mg in group A, 13.86±19.15 mg in group B and 9.25±5.12 mg in group C in males and 16.00±6.69 mg in group A and 8.57±5.97 mg in group B in females respectively. The mean weight of the right inferior parathyroids were 17.78±13.94 mg, 16.75±15.67 mg and 23.00±11.53 mg in group A, B and C respectively in males and 26.00±4.18 mg in group A and 15.20±4.32 mg in group B in females. The mean weight of the left superior parathyroid glands were 13.63±6.08 mg in group A, 10.58±7.57 mg in group B and 11.00±3.74 mg in group C in males and 16.20±7.89 mg in group A and 8.29±5.47 mg in group B in females respectively. The mean weight of the left inferior parathyroid gland was 26.11±24.29 mg, 15.81±10.28 mg and 25.25±25.28 mg in group A, B and C respectively in males and 32.25±13.82 mg in group A and 13.29±5.41 mg in group B in females. No difference was found in the weight of superior parathyroid glands at right side between sexes and age groups excepting in superior and inferior parathyroid glands at left side between group A & B (p<0.05). DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15603 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 34-38

scholarly journals A Postmortem Study on the Volume of the Human Thyroid Gland

2012 ◽  
Vol 38 (1) ◽  
pp. 6-8 ◽  
Author(s):  
ASM Nurunnabi ◽  
S Ara ◽  
MU Jahan
Keyword(s):  
Thyroid Gland ◽  
Age Groups ◽  
Human Thyroid ◽  
Cross Sectional ◽  
Fluid Displacement ◽  
Medical College ◽  
Significant Difference ◽  
Group A ◽  
The Difference ◽  
Group B

The present study was designed to find out the difference in volume of the thyroid gland of Bangladeshi people in relation to age and sex and to compare with previous local and foreign studies. It was a Cross-sectional descriptive type of study. The hospital based study was conducted in the Department of Anatomy, Dhaka Medical College, Dhaka, from January to December 2008. The present study was performed on 60 post mortem human thyroid gland (39 of male and 21 of female) collected from unclaimed dead bodies which were in the morgue under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age-groups including group A (10-20 years), group B (21-50 years) & group C (>50 years) and the volume of the thyroid glands were measured by fluid displacement method and recorded. No difference was found in mean volume of the thyroid gland between male and female. However, significant difference was found in between age groups. The volume of the gland was found to increase from early childhood and puberty up to 50 years of age and then decreased.  DOI: http://dx.doi.org/10.3329/bmrcb.v38i1.10444  Bangladesh Med Res Counc Bull 2012; 38: 6-8

scholarly journals Cadaver study of the volume of the ovary in Bangladeshi women

2014 ◽  
Vol 40 (1) ◽  
pp. 15-17 ◽  
Author(s):  
HA Perven ◽  
ASM Nurunnabi ◽  
S Ara ◽  
MU Jahan
Keyword(s):  
Age Groups ◽  
Cadaver Study ◽  
Reproductive Age ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Difference ◽  
Post Menopausal ◽  
Group B ◽  
The Right

Reproductive age, ovarian reserve and reproductive capability may be determined from the volume of the ovary. A cross-sectional, descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from January to December 2009, to see the variation in the volume of the ovary with age in Bangladeshi women. The study was performed on 140 post mortem human ovaries collected from 70 unclaimed female dead bodies which were in the morgue under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age-groups including group A (10-13 years), group B (14-45 years) & group C (46-52 years). Group A is pre-menarche group, group B represents reproductive age and group C is post menopausal group. The length, breadth and thickness of each ovary were measured by using a slide calipers. Then the volume of each ovary was determined by the product of its length, breadth and thickness multiplied by 0.524, according to the Prolate ellipsoid formula. The mean volume of the right ovary was found higher than that of the left one in all age groups (p<0.001). The difference in mean volume of the ovary between group A & group B, group B & group C (p<0.001) and group A & group C (p<0.01) were also statistically significant. The volume of the ovary increases with age and then gradually starts to decrease from menopause. DOI: http://dx.doi.org/10.3329/bmrcb.v40i1.20323 Bangladesh Med Res Counc Bull 2014; 40: 15-17

scholarly journals A Postmortem Study on the Weight of the Human Ovary

2014 ◽  
Vol 26 (1) ◽  
pp. 12-14
Author(s):  
Hosna Ara Perven ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Shamim Ara ◽  
Sunjida Shahriah ◽  
Gul Newaz Begum
Keyword(s):  
Age Groups ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
Human Ovaries ◽  
The Difference ◽  
Medicine Today ◽  
Group B ◽  
The Right

A cross-sectional, descriptive type of study was designed to find out the difference in weight of the ovary of Bangladeshi women in relation to age and to compare with the previous studies. This study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from January to December 2009. The study was performed on 140 post mortem human ovaries collected from 70 unclaimed female dead bodies which were in the morgue under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age-groups including group A (10-13 years), group B (14-45 years) & group C (46-52 years) and the weight of the ovaries were measured and recorded. The difference in mean weight between the right ovary and the left ovary was statistically significant in all age group (P <0.001). The difference in mean weight of the ovary between group A & group B, group A & group C and group B & group C were statistically significant (P <0.001) DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21304 Medicine Today 2014 Vol.26(1): 12-14

scholarly journals Study of serum FT3, FT4 and TSH in pregnant women

2015 ◽  
Vol 23 (1) ◽  
pp. 68-72
Author(s):  
Shahanara Yeasmin ◽  
AFM Anwar Hossain ◽  
Tahmina Yeasmin ◽  
Md Ruhul Amin ◽  
Qazi Shamima Akhter ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Control Group ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B ◽  
Tsh Levels

Background: Thyroid diseases have a strong predominance in woman of childbearing age. Pregnancy may be associated with thyroid dysfunction. The aim of the present study was to assess the serum FT3, FT4 and TSH levels in pregnant women. Methods: This cross-sectional analytical study was done in the Department of Physiology of Dhaka Medical College, Dhaka, from July 2006 to June 2007. Total 50 apparently healthy women of low socioeconomic class, age ranged from 18-40 years were selected from the Outpatient Department of Urban Primary Health Care Project (UPHCP) at Mirpur, Dhaka. Out of them 30 pregnant women of different trimester were taken as study group (group A) and 20 age matched non pregnant women were taken as control (group B). Serum FT3, FT4 and TSH levels were parameters in both groups. Statistical analysis was done by the SPSS version 12.0. Results: The mean serum FT3 levels were 6.36±1.16 pmol/L and 6.381.36 pmol/L in group A (Study) and group B (control) respectively. The mean serum FT4 levels were 20.25±4.77 pmol/L and 19.39±8.17 pmol/L in group A (Study) and group B (control) respectively. The mean serum TSH levels were 0.96±0.96 mIu/L and 1.27±0.86 mIu/L in group A (Study) and group B (control) respectively. The difference was not significant (p>0.05) between group A and B. Conclusion: From the results obtained in the present study, it may be concluded that there is no change of serum FT3, FT4 and TSH level in pregnancy. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22697 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 68-72

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