scholarly journals Management of Alarming Hemangiomas with Oral Prednisolone in Infants

2017 ◽  
Vol 7 (1) ◽  
pp. 7-11
Author(s):  
Kamal M Choudhury ◽  
Shafiqul Hoque
Keyword(s):  
Oral Prednisolone ◽  
Single Mode ◽  
Duration Of Treatment ◽  
College Hospital ◽  
Vast Number ◽  
Prednisolone Therapy ◽  
Medical College ◽  
Number Of Patients ◽  
Study Population ◽  
Medical University

Background: Treatment of hemangiomas remains a contentious and difficult issue for the physicians as well as for the surgeons. The numerous modality of treatment for hemangiomas testifies that no single mode of treatment is entirely satisfactory in their management. However, for alarming hemangiomas oral prednisolone had been used for long with encouraging resultsMethods: From a vast number of patients with hemangiomas attending the out-patient departments (OPDs) of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Shishu Hospital (DSH), Rajshahi Medical College Hospital (RMCH) and BIRDEM General Hospital between 1999 through 2014, we had selected consecutively 462 infants with alarming hemangiomas. The whole study population (462 infants with alarming hemangiomas) received oral prednisolone at a dose of 2-4 mg/kg/day, and the results were observed sequentially in serial follow-ups.Results: About 71% patients showed substantial regression of the hemangiomas with oral prednisolone therapy after a mean duration of treatment of 6 months. Few adverse effects were associated with oral prednisolone but these were mostly transient and reversible.Conclusion: The authors assert that the management of alarming hemangiomas with oral prednisolone therapy is safe and effective.Birdem Med J 2017; 7(1): 7-11

scholarly journals Colchicine in the Treatment of Recurrent Oral Aphthous Ulcer -Open Clinical Trial in Bangladesh

1970 ◽  
Vol 39 (3) ◽  
Author(s):  
A Hassan ◽  
Z Ahmed ◽  
R Ali ◽  
F Ara ◽  
N Ahmed ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Oral Mucosa ◽  
Colchicine Treatment ◽  
Aphthous Ulcer ◽  
College Hospital ◽  
Medical College ◽  
Aphthous Ulceration ◽  
Benign Nature ◽  
Medical University

Background: Recurrent aphthous Ulceration (RAU) is characterized by necrotizing ulcers of the oral mucosa that persist, remit, and recur for variable periods of time. Despite the benign nature of the disease, RAU frequently affects quality of life as a result of long lasting and recurrent episodes of burning pain.Aim and objective: the aim of the study was to determine the efficacy of colchicine in treatment of recurrent oral aphthous ulcer.Methods: A clinical trial was conducted among 30 samples in the department of dermatology and venereology of Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College Hospital, Dhaka. Study was performed among those who fulfilled the inclusion criteria. Data was collected from 1st September 2007 to 29th February. 2008 and enrolled data was analyzed by using statistical SPSS win 13.Results: Among 30 patients, 24 (80%) were male and 6(20%) were female. Mean age of the patients was 26.20 (±6.65) years. 26(87.7%) patients found ulcer in oral mucosa and 4(13.3%)in tongue, but previous family history was present in only 20% cases out of 30 patients. All patients experienced a marked decrease in symptoms during colchicine treatment in where; mean aphthae count was 3.27 (±1.05) before treatment and 0.43 (±0.68) during treatment. Pain score also reduced during treatment from 6.80 (±2.12) to 1.13 (±.1.11) which was statistically highly significant.Conclusions: Colchicine may be a promising modality of treatment in the therapeutic armamentarium for RAU.DOI: http://dx.doi.org/10.3329/bmj.v39i3.9948 BMJ 2010; 39(3)

scholarly journals A Study of Comorbidities Among Stroke Patients Admitted In A Tertiary Level Hospital

KYAMC Journal ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 152-155
Author(s):  
Mohammad Iqbal Hossain ◽  
Ahmed Manadir Hossain ◽  
Quazi Shihab Uddin Ibrahimi
Keyword(s):  
Ischemic Stroke ◽  
Recurrent Stroke ◽  
Cross Sectional Study ◽  
Comorbid Condition ◽  
Stroke Patients ◽  
Stroke Event ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Number Of Patients

Introduction: Stroke is an important cause of disability among adults and is one of the leading causes of death worldwide. The reported prevalence of stroke in Bangladesh is 0.3%. Stroke patients have comorbidity Comorbidity is an important factor in stroke outcomes and burden. Objectives: This study was carried out with a view to find out the common comorbidities prevalent in stroke patients. Materials and Method: This cross sectional study was carried out in Faridpur Medical College Hospital from November 2018 to April 2019 to see the comorbidities and associated factors among admitted stroke patients. A total of 390 stroke patients were included. Data were collected by detailed history from patients or their relatives followed by thorough physical examination; Results: Among total respondents, majority was male (56.4%) and ischemic stroke was the commonest type of stroke (65.6%) diagnosed. The substantial number of patients (85.6%) had one or more comorbidities. Hypertension was the predominant comorbid condition (74.1%) followed by coronary heart disease ((19.5%), diabetes mellitus (17.4%), obesity (6.2%), hyperlipidemia (6.2%), CKD (4.9%), COPD (3.3%), malignancy (0.8%), hypothyroidism (0.5%),CLD (0.5%) and parkinsonism (0.3%). Comorbidities were present in 88.28% of ischemic stroke, 81.81% of intracerebral haemorrhage and 69.23% of subarachnoid hemorrhage cases. Patients with first stroke event have comorbidities in 83.64% cases where as in 95.45% cases of recurrent stroke patients. The relationship between comorbidity and mortality risk is not clear with approximately 16% death in both with or without comorbidity. Conclusion: The results of the study concluded that the prevalence of comorbidities in stroke patients remains high in our settings and the patients with increasing age and those with recurrent stroke events have statistically significant number of comorbid conditions. KYAMC Journal Vol. 10, No.-3, October 2019, Page 152-155

scholarly journals Hearing Status after Stapedotomy in Otosclerotic Patients

2020 ◽  
Vol 25 (2) ◽  
pp. 85-93
Author(s):  
Ahmed Tariq ◽  
Mostafizur Rahman ◽  
Delwar Hossain ◽  
Sheikh Hasanur Rahman
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Bone Conduction ◽  
Surgical Techniques ◽  
Neck Surgery ◽  
Speech Discrimination ◽  
College Hospital ◽  
Medical College ◽  
Medical University ◽  
Conductive Hearing

Otosclerosis is the most frequent cause of conductive hearing loss in patients with intact tympanic membrane. It can be treated by surgery with various techniques. Because of limited manipulation and comparably similar results, stapedotomy at present is preferred over other surgical techniques by most surgeons. Here we present the operative results of 35 otosclerotic patients who underwent stapedotomy between January 2009 - October 2010 in the department of Otolaryngology- Head & Neck Surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital and Shahid Suhrawardhy medical college & hospital, Dhaka. The aim of this study was to evaluate the hearing results following stapedotomy in otosclerosis surgery. The average air-bone gap of patients improved significantly to 21.74 dB after operation. Other hearing parameters of patients (including air conduction, bone conduction, speech discrimination score, and tinnitus) also improved. No patient experienced persistent vertigo after the operation and pre operative tinnitus resolved in 12 out of 22 patients. Stapedotomy is a safe and effective modality for improving conductive hearing loss in otosclerotic patients. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 85-93

scholarly journals Lifestyle, Nutritional Status and Seroclinical Profile of Liver Cirrhotic Patients

1970 ◽  
Vol 36 (2) ◽  
pp. 44-47
Author(s):  
Touhida Ahsan ◽  
Monira Ahsan ◽  
Md Mustafa Kamal ◽  
Kaji Jahangir Hossain ◽  
Mohammed Emdadul Haque ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Nutritional Status ◽  
Energy Intake ◽  
Clinical Signs ◽  
College Hospital ◽  
Housing Status ◽  
Medical College ◽  
Cirrhotic Patients ◽  
Almost All ◽  
Medical University

Liver cirrhotic patients were investigated for their lifestyle, energy intake, BMI, biochemical and serological indices and prevalent clinical signs. The study included 50 liver cirrhotic patients who were hospitalized in Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital and BIRDEM Hospital during the period of 1999-2000. Of the fifty cirrhotic patients, hepatitis B virus infection was found responsible for 52% (n=26) of liver cirrhosis, hepatitis C was for only 6% (n=3) patients and etiology for the rest 42% (n=21) patients could not be identified. It was observed that literate, low-mid income and productive male were being suffering from the liver cirrhosis. The patients had good housing status. Low energy intake (1670.6±42.9) and low BMI (19.52±3.48) were present in almost all of the patients. Mean serum haemoglobin, total proteins, and albumin were 96.2±20.5g/L, 63.1±1.01g/L, and 31.30±0.93g/L respectively. Serum bilirubin was raised in 50% patients. Serum SGPT and SGOT levels were increased from 2 to 4 folds in 50% of the patients; alkaline phosphatase was increased only in 8% cirrhotic patients. Anaemia, PEM, ascities, oedema, muscle wasting were prevalently present in vast majority of the patients. Key words: Liver cirrhosis, nutritional status, liver function determinants   DOI: 10.3329/bmj.v36i2.3611 Bangladesh Medical Journal 36(2) 2007 44-47

scholarly journals Clinico-Demographic Profiles and Urinary Albumin in Prediction of Preeclampsia among Pregnant Women at a Tertiary Care Hospital

2019 ◽  
Vol 16 (2) ◽  
pp. 54-59 ◽  
Author(s):  
Taslima Begum ◽  
Khr Md Shahjahan Ali ◽  
Shafeya Khanam ◽  
Md Anwar Habib ◽  
Shipra Chaudhury ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Education Level ◽  
Urinary Albumin ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Demographic Profiles ◽  
Medical College ◽  
Study Population

Background: The clinical profiles and urinary albumin are very important for the prediction of preeclampsia among the pregnant women. Objective: The purpose of the present study was to assess the clinical and demographic profiles as well as the urinary albumin for the prediction of preeclampsia among the pregnant women. Methodology: This cohort study was conducted in the OPD of the Department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2013 to December 2014 for a period of two (2) years. This study was carried on pregnant woman attending in outdoor department of Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh before 20th weeks of pregnancy who were healthy normotensive primigravidae with singleton pregnancy. The details demographic profiles, edema were collected from the study population. Urinary albumin was estimated before 20th weeks and after 28th weeks of pregnancy. Result: In the present study, 75 women were included; all were before 20th weeks of pregnancy without any complication or any risk factor for developing PE. Among the study group incidence of PE was 16%. The population are 24(32.0%) low, 31(41.3%) middle and 20(26.7%) high in socio economic conditions. Education level of study population was 45% completed primary education level, illiterate (27%) and secondary education (28%). Edema was absent in 1st visit, in 2nd visit 6(+), 6(++) present who developed PE, 18(+) present who did not develop PE. Edema was absent in 1st visit and (+) 6(50.0%) and (++) in 6(50.0%) present who developed PE in 2nd visit. Urine albumin in 1st visit nil in 6(50.0%), trace in 3(25.0%) and (+) in 3(25.0%) who developed PE. Conclusion: In conclusion housewife living in urban area in middle income socioeconomic condition are the most commonly presented with preeclampsia and urinary albumin is the most commonly detected in the pregnant women presented with preeclampsia Journal of Science Foundation 2018;16(2):54-59

scholarly journals Ultrasonographic Evaluation of Foetal Binocular Distance in Second & Third Trimester of Pregnancy and Correlation with Gestation Age

2016 ◽  
Vol 3 (1) ◽  
pp. 10-15
Author(s):  
Md. Menhazul Islam ◽  
Taslima Akter ◽  
Saiful Islam ◽  
Farzana Alam ◽  
Uday Goswami ◽  
...  
Keyword(s):  
Gestational Age ◽  
Cross Sectional Study ◽  
Uterine Wall ◽  
Third Trimester ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Gestation Age ◽  
Medical University ◽  
Posterior Position

Background: Foetal Binocular Distance in Second & Third Trimester of Pregnancy and correlation with Gestation Age is important. Objective: The purpose of the study was to sonographically measure the foetal binocular distance, determine the foetal gestational age & to find out relationship between them in 2nd & 3rd trimester of gestation. Methodology: This cross sectional study was carried out in the department of radiology and imaging Mymensingh Medical College Hospital, Mymensingh and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period of July 2012 to June 2013. In all the cases BPD, FL, AC, Binocular distance (BD) in cm and gestational age in weeks were measured by USG. Each patient was voluntary enrolled into the study without any specific indication. The measurement was performed only once for each patient. The foetal outer binocular distance was identified in the occipito-transverse or occipito-posterior-foetal positions. With the head in the occipito-posterior position, the transducer was placed in a plane that transected the occiput, orbits, and nasal processes. Measurements were obtained only when the fetal face was directly perpendicular to the uterine wall, since measurements in an oblique plane were considered to be unreliable. Result: The correlation between binocular distance (BD) in cm and gestational age (GA) in wks was calculated. This correlation was highly significant (r = 0. 973; p<0.001).Conclusion:Excellent correlation was found to exist between binocular diameter and gestational age. In the absence of known date of last menstrual period or where fundal height does not agree with dates, these parameters are valuable in estimating the gestational age of the foetus.Journal of Current and Advance Medical Research, 2016;3(1):10-15

scholarly journals Use of Betel Leaves in Pediatric Stoma Care

2014 ◽  
Vol 1 (2) ◽  
pp. 148-152
Author(s):  
Md. Ashraf Ul Huq ◽  
A K M Mizanur Rahman ◽  
Tahmina Hossain
Keyword(s):  
Zinc Oxide ◽  
Cost Effective ◽  
College Hospital ◽  
Mucosal Ulceration ◽  
Medical College ◽  
Betel Leaf ◽  
Number Of Patients ◽  
Peristomal Skin ◽  
Two Parameters ◽  
Stoma Care

Background: To find out a practicable, cost effective and easily available alternative of commercial stoma care devices for pediatric patients in a developing country.Methods: The study was conducted in the department of Pediatric Surgery in Dhaka Medical College Hospital, Bangladesh, during two years period from May 2009 to April 2011. Number of patients was 162 with age range 2 days to 7 years, mean age 2.3 years. As early as a colostomy or ileostomy had started functioning, a central hole was made in a betel leaf. The hole could just snugly accommodate the stoma. After applying a layer of zinc oxide paste over the peristomal skin the leaf was placed as such the stoma rotrudes through the hole. The smooth shiny surface of the leaf would face upwards and rough surface downwards. Another intact betel leaf with the shiny surface also facing upwards would cover the stoma. The leaves did not act as a reservoir rather simply acted as a barrier between the effluent and the peristomal skin. Fifty seven patients with colostomy and 11 with leostomy used stoma appliances (wafer with bag). Eighty six patients with colostomy and 8 patients with ileostomy used betel leaves and zinc oxide paste. Mean length of time between creation and closure of a colostomy was 9 months and that of an ileostomy was three months. It was ensured that each individual patient had used his or her respective stoma care method till closure of the stomas. Two parameters were used to evaluate the outcome of the above mentioned stoma care methods: (a) peristomal skin excoriation and (b) insultto the stomal mucosa in the form of ulceration.Results: Among the patients who used stoma appliances 21.53% developed peristomal skin excoriation, 7.69% developed mucosal ulceration and 6.34% patients developed local hypersensitivity reaction to stoma adhesive. On the contrary, patients who were managed with betel leaves 20.93% developed peristomal skin excoriation and 8.13% developed mucosal ulceration. No incidence of allergic reaction to local application of betel leaf and zinc oxide occurred. Average cost for betel leaves was less than 0.50 US$ per month in comparison to about 30 US$ for ostomy appliances.Conclusion: Betel leaves may be used as a cheap, easily available, non irritant and effective alternative of commercial appliances to protect the stomas and peristomal skin in pediatric patients.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19534

scholarly journals Prevalence of fatty liver in type 2 Diabetic patients: Experience from northern Bangladesh

2018 ◽  
Vol 27 (2) ◽  
pp. 11-13
Author(s):  
M Akhtarul Islam ◽  
PM Basak ◽  
BC Sarkar ◽  
MMR Khan ◽  
MM Khanam ◽  
...  
Keyword(s):  
Fatty Liver ◽  
Diabetic Patients ◽  
Fatty Change ◽  
Type 2 Diabetic Patients ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population ◽  
Patients Experience

This study was done to find out the prevalence of fatty liver in type2 Diabetic patients. This was a descriptive cross-sectional comparative study carried out in Department of Medicine, Rajshahi Medical College Hospital and Rajshahi Diabetic Association Hospital from July 2008 to June 2010. 100 (one hundred) diagnosed type2 diabetic patients were included. All of those study population were free from taking any hepatoxic drugs and free from any preexisting liver disease. This exclusion was done by history, through clinical examination and relevant investigations. Among 100 type2 diabetic patients, 66 (66%) had normal, 25 (25%) had mild fatty change, 6 (6%) had moderate fatty change in liver; 2 (2%) had mild hepatomegally and 1 (1%) had congested liver. Non had cirrhosis or hepatocellular carcinoma.TAJ 2014; 27(2): 11-13

scholarly journals Association Between Acute Stroke and Metabolic Syndrome

1970 ◽  
Vol 11 (2) ◽  
pp. 124-127 ◽  
Author(s):  
Md Jabed Iqbal ◽  
Md Mahmudur Rahman Siddiqui ◽  
Quazi Tarikul Islam ◽  
Ahmed Hossain ◽  
Ekramul Mustafa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
National Cholesterol Education Program ◽  
Adult Treatment ◽  
Vascular Risk ◽  
Adult Treatment Panel ◽  
College Hospital ◽  
Medical College ◽  
Study Population ◽  
Definition Of

Objective: Metabolic syndrome is the cluster of vascular risk factors including insulin resistance, elevated bloodpressure, hyperlipidemia, and obesity. Metabolic syndrome is strongly associated with cardiovascular andcerebrovascular disease. The aim of this study is to find out association between stroke and metabolic syndrome inour population.Methods: In this observational study, a total number of fifty randomly selected patients were studied from July2009 to December 2009 at Medicine ward of Dhaka Medical College Hospital. Definition of metabolic syndromewas taken from the guidelines by the National Cholesterol Education Program Adult Treatment Panel III.Results: Among the study population 46% had metabolic syndrome. This study estimated that Ischaemic stroke ismore common among metabolic syndrome patients (65.2%), but patient without metabolic syndrome had morehaemorrhagic stroke (55.6%).Only 12% patient was found obese. With or without metabolic syndrome most of thepatient had elevated TG (64%) and raised blood pressure (64%).Conclusion: Without obesity, metabolic syndrome is an important risk factor for cerebrovascular disease. Majorityof the patients with metabolic syndrome present as ischemic stroke.Keywords: Stroke; Metabolic syndrome; hypertension; fasting blood sugar; hyperlipidaemia.DOI: 10.3329/jom.v11i2.5453J MEDICINE 2010; 11 : 124-127

scholarly journals Conventional treatment versus vacuum therapy for diabetic foot ulcers treatment

2017 ◽  
Vol 5 (1) ◽  
pp. 49 ◽  
Author(s):  
Vigna Sai Potula
Keyword(s):  
Therapy Group ◽  
Vacuum Therapy ◽  
College Hospital ◽  
Medical College ◽  
Randomized Controlled ◽  
Number Of Patients ◽  
Group A ◽  
Randomized Controlled Trail ◽  
The Mean ◽  
Group B

Background: This study compares the efficacy of vacuum therapy against conventional iodine povidone dressing with respect to area and time of ulcer.Methods: This study is a randomized controlled trail which was conducted in Meenakshi Medical College hospital and research institute Enathur Kanchipuram. The number of patients selected were 50, which were divided into 2 groups, Group A which consisted of 25 and received vacuum therapy, Group B which consisted of 25 and received povidone-iodine solution.Results: This study was a 16 days study, mean area of ulcer on day 0 was 11.25 cm2 in group B, 10.89 cm2 in group A. On day 6, mean area of ulcer was 10.44 cm2 in group B, 8.98 cm2 in group A. Mean area of ulcer was 10.39 cm2 in group B, 7.66 cm2 in group A on the end of the day 16. The results show that both the groups showed decrease in the area of ulcers, but patients in group A who underwent vacuum therapy have shown greater decrease in the mean area of ulcer. The decrease in surface area of ulcer was statistically significant i.e. p=0.025. There was a greater decrease in infection in group A on 16th day compared to group A on 16th day. On day 0, 48% and 60% growth of microorganisms was observed in patients of group B and group A respectively (p=0.428). On day 16, 28% and 8% growth of microorganisms was observed in patients of group B and group A respectively (p=0.034).Conclusions: Vacuum therapy was more effective compared to conventional method of povidone-iodone solution dressing in rate of healing and time of healing.

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