scholarly journals Etiological patterns of polyneuropathy in a tertiary level hospital of Bangladesh

2014 ◽  
Vol 43 (1) ◽  
pp. 17-20
Author(s):  
Makhan Lal Paul ◽  
Monoj Sinha ◽  
Ahsan Habib ◽  
Lubna Khondker ◽  
Md Mahabubur Rahman ◽  
...  

The causes of polyneuropathy are many and it is important to identify them, as some of them, especially the inflammatory types are treatable. To explore the different etiological factors of polyneuropathy, this cross sectional study was carried out in the department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka. Data were collected by taking medical history and clinical examination and subsequent laboratory investigations. A total of 60 subjects were included in this study and mean age of the entire patient was 42.25 year. Out of all respondents, 83.3% had muscle weakness, similar number had problems with object handling, 66.3% had muscle cramp, 63.3% had impaired standing or gait, 55.0% had distal paraesthesia, 41.7% had burning feet, 8.3% had restless legs and 5.0% had stiffness. Out of all patients of polyneuropathy, 33.3% had diabetic neuropathy, 11.7% had Guillain-Barré syndrome, 10.0% had chronic inflammatory demyelinating polyneuropathy, similar number had unknown etiology, 6.7% had charcot-marry-tooth disease disease, 6.7% had renal failure, 5.0% had leprosy, Vitamin B 12 deficiency and chronic liver disease of each, 3.3% had history of isoniazide drug intake and similar had systemic lupus erythromatosus. We conclude that, polyneuropathy has wide variety of etiological factors. Among them, diabetes is the most common factor. Further large controlled study is needed to establish the etiological pattern in the context of Bangladesh. DOI: http://dx.doi.org/10.3329/bmj.v43i1.21371 Bangladesh Med J. 2014 January; 43 (1): 17-20

2014 ◽  
Vol 15 (1) ◽  
pp. 03-08
Author(s):  
Makhan Lal Paul ◽  
Rezaul Karim Khan ◽  
Md. Zulfiqar Hossain Khan ◽  
Md. Mahabubur Rahman ◽  
Monoj Sinha ◽  
...  

A cross sectional study was carried out in the department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka to explore the different clinical pattern of polyneuropathy. A total of 60 subjects were included in this study and mean age of the entire patient was 42.25 year and male and female ratio was 3:1. Out of all patients 26.7% were service holder, 20.0% were student, 20.0% were housewife, 11.7% were unemployed and 33.3% were engaged in some other professions. Maximum 41.7% patients were educated up to graduate and above level followed by 20.0% secondary, 18.3% primary, 16.7% higher secondary and 3.3% were illiterate. Out of all patients 31.7% were smoker, 48.3% were non smoker and 20.0% past smoker. About 35.0% patients had history of betel leaf; nut chewing and no patient had history of alcohol intake. Out of all patients of polyneuropathy 33.3% had diabetic neuropathy, 11.7% had Guillain-Barré syndrome (GBS), 10.0% had chronic inflammatory demyelinating polyneuropathy, similar number had unknown etiology, 6.7% had renal failure, 5.0% had leprosy, Vitamin B 12 deficiency and chronic liver disease(CLD) of each, 3.3% had history of INH drug intake and similar had systemic lupus erythematosus (SLE). Regarding clinical presentation, out of all respondents 83.3% had muscle weakness, similar number had problems with object handling, 66.3% had muscle cramp, 63.3% had impaired standing or gait, 55.0% had distal paresthesia, 41.7% had burning feet, 8.3% had restless legs and 5.0% had stiffness. In the light of this study we conclude that polyneuropathy has wide variety of clinical pattern. The study will enrich our current knowledge and will improve the quality of management of polyneuropathy among the Bangladeshi population.DOI: http://dx.doi.org/10.3329/jom.v15i1.19851 J Medicine 2014; 15: 3-8


Author(s):  
Md Ali Kawsar ◽  
Marina Akhtar ◽  
Md Ahsan Habib ◽  
Zafrina Islam ◽  
Md Nurul Islam

Background: Oral hygiene maintenance is difficult for patients who are receiving fixed orthodontic treatment. Objective: The aim of the study was to find out deterioration of oral hygiene status during treatment of fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Methodology: This cross sectional study was carried out in the Department of Orthodontics at Bang-  abandhu Sheikh Mujib Medical University, Dhaka from July 2013 to July 2014. All the patients taking treatment with fixed orthodontic appliances for more than 6 months were included as study population. During treatment in the OPD all the information of the patients’ oral hygiene maintenance like brush-  ing, dental floss use, use of mouthwash, and history of sugar consumption, taking sticky food were recorded.  The  Orthodontic  Plaque  Index  (OPI)  was  calculated  and  recorded.  In  addition  to  that frequency of brushing, type of tooth brush, technique of brushing and inter dental brush were also considered. Result: A total number of 100 patients were studied. Mean OPI was 81.78 (22.97). Mean value of OPI was 86.35 (13.27) among patients who brushed their teeth once a day but it was decreased gradually as the  patients  increased  frequency  of  toothbrush  use  per  day  and  became  85.74  (±26.12)  among  the patients who brushed their teeth thrice a day. Mean value of OPI was 81.98 (±23.27) who did not use dental floss and 75.00 (±7.00) who used dental floss once a day. Mean value of OPI was 84.65 (±23.10) who used inter dental brush irregularly but 35.00 (±0.00) who used it thrice a day. Mean value of OPI was 85.70 (±22.43) who did not use mouth wash whereas it reduced to 46.00 (±0.00) among them who used mouth wash thrice a day.  Conclusion: All the indexes of oral hygiene are increased in patients treated with fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.16-19


2012 ◽  
Vol 18 (2) ◽  
pp. 103-108
Author(s):  
Mohammad Nasimul Jamal ◽  
Ali Imam Ahsan ◽  
Mohammed Sattar ◽  
Md Abul Hasnat Joarder

Introduction: Deafness is the invisible disability and the commonest human sensory defects.  It leads to difficult speech development, poor educational and employment prospects of  chilhood. Comprehensive otologic and audiological evaluations are very much essential for  etiological assessment of hearing impaired children and management efficacy.Methods: A cross-sectional study was carried out with the aim to evaluate the etiological  factors, degree of hearing loss, type of hearing loss, and results of aided audiogram among  the below 12 years deaf children. The study included 100 deaf children below 12 years with  history of deafness and non-development of speech.Result: The etiology of deaf Children was diverse. Infection was the predominating etiological  factor (38%). The infections were: measles (31.5%), pneumonia (26.2%), typhoid (21.5%),  maternal rubella (5.2%), varicella (5.2%), mumps (5.2%) and meningitis (5.2%). 48% of deaf  child had a parental suspicion of deafness below the one year of age. 35% had a positive  family history and 32% had history of consanguinal marriage. The deaf children were managed  with hearing device, among them 89% with hearing aid and 11% with cochlear implant 42.7% of child used hearing aid in both ears. The results of aided audiogram reflected that, the gain  after using hearing aid within 31-60 dB were 80%. 10% in right ear, 71.10% in left year and  70.00% in both ears, so average gain after using hearing aid was 74% within 31- 60 dB. DOI:http://dx.doi.org/10.3329/bjo.v18i2.11981 Bangladesh J Otorhinolaryngol 2012; 18(2): 103-108


KYAMC Journal ◽  
2020 ◽  
Vol 11 (3) ◽  
pp. 141-144
Author(s):  
Md Ali Emran ◽  
Taufiq Morshed ◽  
Md Israt Hasan ◽  
Mohammed Emran ◽  
Md Atiquzzaman ◽  
...  

Background:: Osteoarthritis is one of the commonest disabilities that affect human life. Knee joint is most commonly affected by osteoarthritis. The professional footballers are exposed to heavy and prolonged physical activities that often exceed normal health capacities during both training and competition and are at risk of developing knee osteoarthritis of the knee (KOA). Objective: To evaluate the factors related to KOA in former professional male footballers in Bangladesh. Materials and Methods: This was a multicenter cross-sectional study. Purposively Selected footballers subsequently underwent knee radiographs at Bangabandhu Sheikh Mujib Medical University (BSMMU) and Kurmitola General Hospital (KGH). Patients were examined at Sports Medicine Clinic of KGH and Department of Physical Medicine and Rehabilitation of BSMMU from January 2019 to December 2019. Results: The mean age of ex footballers was 59.49±9.19 years. We found 46.55% prevalence of KOA among footballers. Among 174 footballers 37.63% had history of familial OA and 8.62% had gout. An average matches played by a footballer was 497 and average training in career was 3924 hours. We found knee injury, BMI, family history of OA, gout and total matches played were significant risk factors for KOA. Other did not proved significant. Conclusion: Knee injury was the prime factor here for causing KOA later. So we need to give more attention in preventing knee injuries beside other strategies to reduce risk of developing KOA, moreover early diagnosis of KOA, modification of activities of daily living and exercise is needed. KYAMC Journal Vol. 11, No.-3, October 2020, Page 141-144


2020 ◽  
Vol 27 (01) ◽  
pp. 162-165
Author(s):  
Hakim Ali Abro ◽  
Azizullah Jalbani ◽  
Chandur Lal ◽  
Sheeraz Ali ◽  
Sultan Ahmed Chandio ◽  
...  

Objectives: To determine the frequency of Hepatitis C infection in patients with ischemic Stroke at CMCH Larkana. Study Design: Cross-sectional study. Setting: Medical wards of Shaheed Mohtarma Benazir Bhutto Medical University Larkana. Period: From January 2018 to December 2018. Material & Methods: This study was conducted on 125 diagnosed ischemic stroke patient with age >18 years or both genders. Patients with sudden history of partial or complete weakness of half the body persisting for more than 24 hours and clinical examination supporting reduced power and presence of focal sign and CT brain showing hypodense area in respected blood supply. Patients were considered suffering from Hepatitis C who were reactive to anti HCV on second generation ELISA. Results: We surveyed 125 patients admitted with clinical diagnosis of ischemic stroke after exclusion criteria with mean age of 54.53 ± 10.994. In this study male were 51.2% and female were 48.8%. About 40 (32% patients were anti HCV reactive. Conclusion: It is revealed that HCV infection significantly increased the risk of stroke.


2021 ◽  
Vol 11 ◽  
Author(s):  
Cheng Wang ◽  
Junbin Yan ◽  
Beihui He ◽  
Shuo Zhang ◽  
Sumei Xu

BackgroundIn China, the prevalence and mortality of colorectal cancer (CRC) have always been high, and more than 95% of CRC cases have evolved from colorectal polyps (CPs), especially adenoma. Early detection and treatment of CPs through colonoscopy is essential to reduce the incidence of CRC. Helicobacter pylori (Hp) is regarded as a risk factor for gastritis and gastric cancer and may also be a risk factor for CPs and CRC. However, few studies based on vast clinical cases exist in China to clarify whether Hp is a risk factor for CPs and CRC, and whether Hp-positive patients need to undergo colonoscopy checks earlier. This article attempts to make up for that deficiency.MethodThis cross-sectional study was conducted based on 13,037 patients without a treatment history of Hp who underwent their first gastroscopy and colonoscopy simultaneously at The First Affiliated Hospital of Zhejiang Chinese Medical University from January 2018 to December 2019. Pearson χ2 test and logistic regression were used to determine whether Hp is a risk factor for CPs and CRC. Multifactor analysis of variance was used to define the impact of Hp on CPs prevalence with different ages, sexes.ResultsFor Chinese individuals, Hp is a risk factor for CPs and CRC. The odds ratio (OR) value are 1.228 (95% CI, 1.130 to 1.336) and 1.862 (95% CI 1.240-2.796), respectively. Hp-positive patients have a higher probability of multiple or large intestinal polyps. However, Hp infection does not increase the incidence of adenomas, nor does it affect the pathological type of adenomas. The OR of Hp on the risk of CPs was 1.432 (95%CI 1.275-1.608) for males but increased to 1.937 (95%CI 1.334-2.815) for those aged 35 to 40. For females, the results were similar.ConclusionsFor the Chinese, Hp is a risk factor for CPs and CRC (OR>1); the infection of Hp increased CPs risk in Chinese of all ages, especially aged 35-40, suggesting that Hp-positive patients should undergo colonoscopy frequently.


2004 ◽  
Vol 3 (3) ◽  
pp. 15-16
Author(s):  
AA Jamil ◽  
KMHSS Haque ◽  
AA Mamun ◽  
MA Siddique ◽  
SK Banerji ◽  
...  

A cross-sectional study was carried out in the Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka in collaboration with Department of Cardiology, CMH, Dhaka Cantonment from June 1999 to May 2000. The patients clinically diagnosed or documented to have coronary artery disease (CAD) requiring coronary angiography (CAG) were included in the study, and were grouped into patients with Cardiovascular Dysmetabalic Syndrome (CDS Group) and without CDS (non-CDS group). The CDS was diagnosed by using the diagnostic criteria defined by Western Working Group, Hawaii, in 1997, Patients with hypertrophic and dilated cardiomyopathies, valvular and congenital heart diseases, and other systemic diseases were excluded frarn the study. OtherCAD risk factors, i,e. Smoking, family history of CAD and physical inactivity were also analyzed. The CAG findings were analyzed in terms of severity and pattern of coronary lesions and were compared between the groups.


2013 ◽  
Vol 22 (1) ◽  
pp. 26-29
Author(s):  
Sanchita Adhikary ◽  
Shaorin Tanira ◽  
Arifa Sultana ◽  
Feroza Wazed ◽  
Saleha Begum Chowdhury

Context: Premature rupture of membrane is defined as spontaneous rupture of membrane before the initiation of labour, which is one of the most common complications of pregnancy having a major impact on maternal outcome. The aim of the present study is to find out the effect of premature rupture of membrane on maternal outcome. Methods: A cross-sectional study was done in the Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from February to July of 2008, on 50 pregnant women with more than 28 weeks of pregnancy both primigravid and multigravid with rupture of membranes prior to labour. Women who were admitted with rupture of membranes with established labour, or having antepartum haemorrhage, pre-eclampsia or eclampsia were excluded from the study. Out of 775, 95 patients were admitted with history of premature rupture of membrane (PROM). Among those patients, 50 cases were included in this study as per inclusion and exclusion criteria. Results: In this study, onset of labour was spontaneous in 30 cases (60%), 35 cases (70%) developed labour within 24 hours of rupture of membranes and 2 patients (4%) had latent period exceeding 7 days. Among those 50 patients, 24 i.e. 48% (primigravida 12 and multigravida 12) had normal vaginal delivery and 26 i.e. 52% (primigravida 16 and multigravida 10) underwent Caesarean section. 5 patients (10%) developed puerperal sepsis (primigravida 1 and multigravida 4). DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15600 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 26-29


2022 ◽  
Author(s):  
Reham Abdulrahman Khalil

Abstract Objectives: The knowledge, attitude and practice of skin-whitening products among female undergraduates in the medical campus, University of Khartoum.Methods: A cross-sectional study was conducted at the medical campus of University of Khartoum. All consenting female undergraduates were included in the study population. 417 women were chosen through proportional stratified random sampling, and were asked to complete a questionnaire.365 completed the questionnaire with a response rate of 87%. Result: 365 women completed the questionnaire, of whom 52% had average knowledge, 32% had poor knowledge and 16% had excellent knowledge,.32% had a positive attitude, and 38% reported using skin-whitening products.Knowledge, attitude and practice were associated with several factors.Conclusion : Although The overall knowledge about skin-whitening products is average. The knowledge about skin-whitening agents is rather poor. The majority of Sudanese University students have a negative attitude towards skin-whitening, but still the use of skin-whiteners is common amongst them .. Women who feel pressured by society to whiten their skin, are more likely to use skin-whiteners, as well as those who have a family history of skin-whitening. Media and social media play an important role in this matter, being the most important source of information and the most common factor pressuring women to lighten their skin as well. We recommend media and social to be used to promote the acceptance of dark skin and raise awareness about the safe practice of skin whitening. We also recommend that the Ministry of Health and Standards and Metrology Authority mandate the labeling of all products sold in Sudan detailing ingredients and concentrations of ingredients.


Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.


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