scholarly journals Osteoporosis in Surgical Menopause

1970 ◽  
Vol 6 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Farhana Kabir ◽  
Nasim Jahan ◽  
Nayma Sultana
Keyword(s):  
Cross Sectional Study ◽  
Control Group ◽  
Mineral Density ◽  
Cross Sectional ◽  
Medical College ◽  
T Score ◽  
Estrogen Level ◽  
Menopausal Women ◽  
Microparticle Enzyme Immunoassay ◽  
Group B

Background: Osteoporosis in both surgical and natural menopausal women are common health hazards all over the world. And the surgical menopausal women may have the greater chance of this disorder than those of natural menopausal women. Objective: To observe osteoporotic changes in both surgical and natural menopausal women in Bangladesh. Method: This Cross sectional study was carried out in the Department of Physiology, Sir Salimullah Medical College, Dhaka between 1st January 2010 to 31st December 2010. A total number of 60 female subjects were included in this study. Among them 30 surgical menopausal women age ranged from 45-55 years were included in the study group (Group B) and 30 natural menopausal women age ranged from 50-60 years were taken as control (Group A). All the menopausal women were selected from Out Patient Department (OPD) of Gynaecology and Obstetrics, Sir Salimullah Medical College and Mitford Hospital. Estimation of serum estrogen level by microparticle enzyme immunoassay (MEIA) method and T- score was obtained by Dual energy X-ray absorptiometry of both natural and surgical menopausal women were done. The statistical analysis was done by using appropriate method as applicable. Results: In this study T- score of both spinal and femoral neck bone were significantly (p<0.001) lower in surgical menopausal women than those of natural menopausal women. Again, mean serum estrogen level was significantly (p<0.001) lower in surgical menopausal women than that of natural menopausal women. Conclusion: The present study revealed that surgical menopausal women have greater chance of osteoporosis than those of natural menopausal women. Key words: Menopause; Bone mineral density; Osteoporosis.   DOI: http://dx.doi.org/10.3329/jbsp.v6i1.8083 J Bangladesh Soc Physiol. 2011 June; 6(1): 39-44

scholarly journals Effect of lactation on serum total cholesterol & triglyceride

2014 ◽  
Vol 29 (1-2) ◽  
pp. 1-7
Author(s):  
Khadiza Begum ◽  
Rokeya Begum ◽  
Qazi Shamima Akhter ◽  
Nusrat Sultana ◽  
Shamima Bari
Keyword(s):  
Total Cholesterol ◽  
Study Groups ◽  
Cross Sectional Study ◽  
Serum Total Cholesterol ◽  
Cross Sectional ◽  
Medical College ◽  
Data Collection Sheet ◽  
Group A ◽  
Group B ◽  
High Level

Background: There is an association between breast feeding & maternal lipid profile. Pregnancy related hyperlipidaemia reverse quickly with lactation. Objective: To observe Serum Total cholesterol & triglyceride in lactating & nonlactating mother. Method: The present cross sectional study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka, during the period of July 2010 to June 2011. A total 300 subjects were included within the age limit from 20 to 40 years of women. Among them100 were normal healthy subjects & had child above 3 years were considered as group A (control). The rest 200 women were selected as study subject (group B) having child between the age 6 weeks to 2 years. Group B is again subdivided into group B1 (100 lactating mother) & group B2 (100 nonlactating mother). The subjects were selected from pediatric ward & OPD of pediatrics, DMCH and BSMMU, Dhaka. Data were collected in data collection sheet after taking informed written consent of the subjects. The study parameters total cholesterol & Triglyceride were done in the Department of Physiology, Dhaka Medical College. The data were analyzed by computer with SPSS programs using unpaired Student ?t’ test.Results: In group B1 total cholesterol & triglyceride levels were non significantly higher than that of group A but in group B2 these values were significantly higher than that of group A. Within the study groups all these values were significantly higher in nonlactating mother than lactating mother. It was observed that high level of study parameters were more in B2 than that of group B1. Conclusion: From the results of the present study it may be concluded that lactation has effect on lowering serum total cholesterol & triglyceride which may preferably related to health education for the mother. http://dx.doi.org/10.3329/bjpp.v29i1-2.20060Bangladesh J Physiol Pharmacol 2013; 29(1&2) : 1-7

scholarly journals A Randomized Control Trial for conservative management of parotid abscess in children

2018 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Meenakshi Basnet ◽  
Rajkumar Bedajit ◽  
Bijay Neupane ◽  
Bibek Ghimire
Keyword(s):  
Treatment Protocol ◽  
Cross Sectional Study ◽  
Computer Assisted ◽  
Cross Sectional ◽  
Incision And Drainage ◽  
Medical College ◽  
Severe Diarrhea ◽  
Group A ◽  
Group B ◽  
Incision Drainage

Background: The optimal conservative treatment protocol of parotid abscess in children is evaluated.Material and Methods: This is a randomized, prospective, cross-sectional study conducted between November 2013 and June 2017 in Nobel Medical College and Teaching Hospital. Thirty children (below 14 years age) suffering from parotid abscess diagnosed by ultrasonography were included in this study. Recurrent parotid abscess cases were excluded. The children were divided into 2 groups by computer assisted randomization into15 patients each. Group A were treated with intravenous Clindamycin while group B were given intravenous Ampicilin + Cloxacillin combination. Results: Five patients of group B did not respond to treatment and were then put on intravenous Clindamycin. Three of these patients responded to treatment but 2 developed multi-lobulated fluctuation and required incision + drainage. Remaining 10 patients in group B and all patients in Group A responded to medical treatment without recurrence. Five patients in group B developed severe diarrhea during antibiotic treatment but none of the patients in group A had this complaint. No patient developed any complications like parapharyngeal abscess or septicemia. Conclusion: Parotid abscess in children can be managed conservatively with intravenous Clindamycin without the need for incision and drainage. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 56-59 

scholarly journals Incidence of Presence & Variation in Anatomical Position of Isthmus of Thyroid Gland in Bangladeshi Cadaver

1970 ◽  
Vol 9 (1) ◽  
pp. 26-29
Author(s):  
Seheli Zannat Sultana ◽  
Mohsin Khalil ◽  
Manjurul Karim Khan ◽  
Laila Anjuman Banu ◽  
Zubaida Gulshan Ara ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Human Thyroid ◽  
Cross Sectional ◽  
Anatomical Position ◽  
Medical College ◽  
Adjacent Part ◽  
Group B ◽  
Normal Standard

Context: The thyroid gland is the first endocrine organ to evolve in the vertebrates. It has right and left lobes and connected by narrow median isthmus which lies over the second, third and fourth tracheal rings. A conical pyramidal lobe often ascends towards the hyoid bone from isthmus or the adjacent part of either lobe. It measures about 1.25 cm transversely and vertically. Its size and site vary greatly. Isthmus is topographically related with some important anatomical structures. So this study was carried out to determine the incidence of presence & variation in anatomical position of isthmus of thyroid gland of Bangladeshi people of different age groups to establish a normal standard. Study type: Descriptive cross-sectional study. Place and period of study: Department of Anatomy, Mymensingh Medical College. from October’2004 to February’2005. Materials: The study was carried out on 60 cadavers of different age groups age ranging from 11 to 70 years. Thyroid glands were collected from unclaimed dead bodies autopsied in Forensic Medicine Department of Mymensingh Medical College. Methods: The collected specimens were divided into age group A (upto 18 years), group B (18 to 45 years), group C (above45 years). All specimens were examined morphologically by fine dissection method. Result: In the present study isthmus was present in 41 (68.33%) cases. In those thyroids which were devoid of isthmus, lobes were found to be merged with each other in the midline but in one case two lobes were found completely separated from each other. It was evident that the posterior relations of isthmus were widely variable. In only 18% cases it was found at its usual position- against the 2nd, 3rd and 4th tracheal rings. In the present study more frequent location of isthmus was found at 1st, 2nd, 3rd and 2nd, 3rd, 4th tracheal rings. In both cases their incidences were 18.3%. Conclusion: The present study will help to increase the information pool on the anatomy of thyroid gland of Bangladeshi people. To establish a normal standard for Bangladeshi people, further studies with large samples from different zones of the country are suggested. Key Word- Isthmus; Human Thyroid gland; Incidence; Posterior relation; Bangladesh DOI: http://dx.doi.org/ 10.3329/bja.v9i1.8144 Bangladesh Journal of Anatomy January 2011, Vol. 9 No. 1 pp 26-29

scholarly journals Frequency of Low Bone Mineral Density (BMD) in Patients with Liver Cirrhosis

2021 ◽  
pp. 47-52
Author(s):  
Ihsanullah Rajar ◽  
Nasrullah Aamer ◽  
Narindar Kumar ◽  
Prem Kumar ◽  
Kapeel Raja ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Liver Cirrhosis ◽  
Bone Mineral ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Mineral Density ◽  
Cross Sectional ◽  
T Score ◽  
Low Bone Mineral Density ◽  
Femur Neck

Objective: The objective of this study was to evaluate the low bone mineral density (BMD) in patients with liver cirrhosis. Methodology: This cross sectional study on 151 Liver cirrhotic patients was conducted at Liaquat University Hospital Hyderabad/Jamshoro. This study duration was 6 months, July 2015 to December 2015. The Assessment of bone mineral density (BMD) for each relevant patient was done using ultrasound impedance Dual Energy X-ray Absorptiometry  (DEXA) by senior pathologist having ≥05 years of experience, across the calcaneum, at lumbar spine  (LS) and femur neck (FN),  were computed by using computer supported device. The BMD was expressed in terms of T score. The WHO standard value was utilized to define the low BMD / osteoporosis is T score -1.5. Results: The mean age of subjects was 31.32±6.18 years. Out of all, 62.9% were males whereas 37.1% were females. About 21% patients had low/abnormal bone mineral density (BMD). Among these, 17.9% had bone mineral density (BMD) of -1.5 to -2.5 and 4% had BMD of <-2.5. Rest of 78.1% patients had a normal (>-1.5) bone mineral density (BMD). Majority of patients, 63.6% had a CTP grade B of liver cirrhosis, whereas 22.5% had A grade and 13.9% had C grade of liver cirrhosis. Conclusion: Conclusively, the risk of low bone mineral density (BMD) was evidently high for patients with hepatic cirrhosis. Male gender and age above 30 years were found at greater risk and CTP grade B of cirrhosis was most common.

scholarly journals A Comparative Study of Oxytocin & Misoprostol in Active Management of Third Stage of Labour

2015 ◽  
Vol 12 (1) ◽  
pp. 22-24
Author(s):  
N Ansari ◽  
CR Das
Keyword(s):  
Blood Loss ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Active Management ◽  
Cross Sectional ◽  
Medical College ◽  
Significant Difference ◽  
Third Stage ◽  
Group A ◽  
Group B

Introduction: The third stage of labour is the period which follows the completed delivery of the foetus and consists of delivery of the placenta and its attached membranes.Aims and objectives: Comparison of oxytocin & misoprostol in active management of third stage of labour.Material and Methods: This is a comparative cross-sectional study was conducted in Nepalgunj Medical College Teaching Hospital, Kohalpur from March 2013 to March 2014. Group A - Oxytocin 10 IU IV bolus in 100 patients and Group B - Misoprostol 600 micro gram rectally. The collected were subjected to statistical analysis using SPSS 15.Results: After active management with bolus oxytocin, the blood loss was grossly reduced being 40-100ml in 84% cases and only 7% had blood loss more than 100ml. blood loss between 200-300ml were only 6% and only 3% had PPH, after misoprostol 80% of cases had blood loss within 40 – 100 ml., 6% cases had blood loss within 100 – 200 ml. and larger amount of blood loss i.e. between 200 – 300 ml. was observed in 7% cases, in 3% cases blood loss was between 300 – 400 ml. and 4% of women in this group had PPH.Conclusion: There was no statistically significant difference in the efficacy of oxytocin and misoprostol in reducing amount of blood loss and duration of labour rd in 3 stage of labour.Journal of Nepalgunj Medical College Vol.12(1) 2014: 22-24

scholarly journals Risk Factors for Severe Proximal Humerus Fracture and Correlation Between Deltoid Tuberosity Index and Bone Mineral Density

2020 ◽  
Vol 11 ◽  
pp. 215145932093857
Author(s):  
Dong Min Kim ◽  
Dongjun Park ◽  
Hyojune Kim ◽  
Eui-Sup Lee ◽  
Myung Jin Shin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Odds Ratio ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Cross Sectional Study ◽  
Regression Analyses ◽  
Sectional Study ◽  
Mineral Density ◽  
Cross Sectional ◽  
T Score

Introduction: The aims of this study were to investigate (1) whether demographic factors would be risk factors for severe proximal humerus fracture (PHF), (2) relationship of radiological parameters with bone mineral density (BMD), deltoid tuberosity index (DTI), or severe PHF, and (3) correlation between DTI and BMD. Methods: We conducted a cross-sectional study based on radiographs and medical records taken during admission or the visit to the orthopedic clinic. We reviewed consecutive 100 adult patients who were diagnosed with PHF in our hospital from March 2014 to December 2016. Three- and 4-part fractures were regarded as severe PHFs. Univariable and multivariable logistic regression analyses were performed to evaluate risk factors for severe PHF. Also, we investigated the correlation between BMD and DTI using the additional BMD data of the patients who underwent shoulder surgeries. Results: This study included 62 nonsevere PHFs and 38 severe PHFs. There were 30 male and 70 female patients with a mean age of 66.4 ± 16.4 years. Mean T score of BMD was −2.5 ± 0.9 at the time of injury. Logistic regression analyses showed that age (odds ratio: 1.044, range: 1.011-1.079, P = .009) and sex (odds ratio of females: 3.763, range: 1.236-11.459, P = .020) were related to severe PHF. The group satisfying the radiological parameter criteria had significantly higher rates of severe PHF. The correlation coefficient (r) between DTI and T score was 0.555 ( P < .001). Discussion and Conclusion: Older age and female were the independent risk factors for severe PHF. Conversely, BMD and other medical comorbidities were not risk factors for severe PHF. Deltoid tuberosity index showed significantly high intraclass correlation coefficient and a strong correlation with the T score of BMD. Therefore, DTI may be useful for screening osteoporosis in PHF patients. Level of Evidence: Level IV, Cross-sectional study.

scholarly journals Plasma Fibrinogen and Fibrin Degradation Product (FDP) in Preeclampsia

2019 ◽  
Vol 31 (1) ◽  
pp. 36-38
Author(s):  
Sharmin Sultana ◽  
Susmita Nargis ◽  
Heera Lal Roy ◽  
Qazi Shamima Akhter ◽  
Rukhsana Afroz
Keyword(s):  
Degradation Product ◽  
Cross Sectional Study ◽  
Bleeding Complications ◽  
Control Group ◽  
Fibrin Degradation Product ◽  
Cross Sectional ◽  
Medical College ◽  
Medicine Today ◽  
Coagulation Analyzer ◽  
Sensitive Marker

Introduction: Hypercoagulable state is seen in preeclampsia which acts as a risk factor for thromboembolism & DIC. Altered coagulation indices (serum Fibrinogen & FDP) have been reported in patients with preeclampsia and have been suggested as a sensitive marker for detection of bleeding complications. This study was carried out to compare the coagulation indices in preeclamptic women. Materials & Methods: This cross sectional study was conducted in the Department of Physiology, Dhaka Medical College (DMC), Dhaka from January to December 2014. Total 100 women aged 18 – 40 years were selected from the department of Obstetrics & Gynaecology of DMCH, Dhaka for this study. Among them 50 were preeclamptic and age matched 50 healthy nonpregnant women were considered as control group. Fibrinogen & Fibrin Degradation Product (FDP) were analyzed on automated coagulation analyzer. Result: In this study, serum Fibrinogen & FDP were significantly higher in preeclamptic than those of healthy women. Moreover, 100% & 64% preeclamptic patient had raised serum Fibrinogen & FDP respectively. Conclusion: From this study it can be concluded that serum Fibrinogen & FDP are directly related with preeclampsia. Medicine Today 2019 Vol.31(1): 36-38

scholarly journals Haematocrit Value in Preeclampsia

2016 ◽  
Vol 30 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Sankar Kumar Basak ◽  
Kohinoor Begum ◽  
Maliha Rashid ◽  
Nahid Yasmin ◽  
Hasina Begum
Keyword(s):  
Pregnant Women ◽  
Strong Association ◽  
Cross Sectional Study ◽  
P Value ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Group A ◽  
The Mean ◽  
Group B

Objective(s): To assess the association between the haematocrit value and severity of preeclampsia.Materials & Methods: This cross sectional study was conducted in the department of Obstetrics & Gynaecology of Dhaka Medical College Hospital, Dhaka during the period of January 2012 to December 2013. Total of 100 patients were studied and they were divided into two groups – group-A and group-B. Fifty preeclamptic patients were included in the group-A and 50 normal pregnant women were included in the group-B.Results: Majority of preeclamptic women (68%) and normal pregnant women (76%) were in the age group of 20-30 years with the mean ages of group-A and group-B subjects were 26.50±5.71 and 26.26±4.91 years respectively. Eighty six percent of group-A and 70% of group-B women were of lower socioeconomic status. Majority of the study subjects (74% of group-A and 80% of group-B) were housewife. More than half (54%) of the preeclamptic women were primigravid and 60% of normal pregnant women were multigravid. Among the preeclamptic subjects 16 (32%) had mild hypertension (DBP<110mmHg) and 34 (68%) had severe hypertension (DBP ? 110 mmHg). Out of 50 preeclamptic subjects 45 (90%) had severe proteinuria (+++) and only 5 (10%) had moderate (++) proteinuria.The mean haematocrit value of preeclamptic patients was 34.881±3.03 and that of normal pregnant women was 31.94±1.2. It was statistically significant (P value 0.001). The mean haematocrit value of normal pregnant, mild and severe preeclamptic women were 31.94±1.2, 33.31±2.57 and 35.62±2.95 respectively. It was also statistically significant (P value 0.001).Conclusion: This study shows that haematocrit value of preeclamptic patients is significantly higher compared to that of the normal pregnant women (P<0.05). There is a strong association of increasead haematocrit and preeclampsia.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 80-85

ASYMMETRY OF BONE MINERAL DENSITY OF THE HIPS IN PATIENTS WITH UNILATERAL KNEE OSTEOARTHRITIS: A CROSS-SECTIONAL STUDY

2011 ◽  
Vol 14 (01) ◽  
pp. 1150005 ◽  
Author(s):  
Alireza Ashraf ◽  
Seyed Mostafa Jazayeri Shooshtari ◽  
Kaynoosh Homayouni ◽  
Sharareh Roshanzamir ◽  
Mohsen Zafarghasempoor ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Knee Osteoarthritis ◽  
Bone Mineral ◽  
Lumbar Vertebrae ◽  
Cross Sectional Study ◽  
Z Score ◽  
Sectional Study ◽  
Mineral Density ◽  
Cross Sectional ◽  
T Score

Background: Osteoarthritis of any joint may exert different effects on bone mineral density that may be the result of several mechanisms including change in the pattern of weight load distribution. In this cross-sectional study we tried to find correlations between unilateral knee osteoarthritis and bone mineral density of hips and lumbar vertebrae. Methods: Forty three patients with knee osteoarthritis (unilateral or more severe in one side) were recruited in this study. The American college of Rheumatology Criteria was followed for the diagnosis of osteoarthritis. Dual X-Ray absorptiometry was used to obtain the T score and the Z score of the hips and lumbar vertebrae. Results: The T score and Z score of the hip and T score of the femoral neck, at the side with ipsilateral knee osteoarthritis was lower than the other side (p < 0.05). The mean Z score and T score of the vertebrae was negative irrespective of the side of osteoarthritis. Conclusions: Bone mineral density of the hip with ipsilateral knee osteoarthritis was lower than the other side, which suggests that BMD may be sensitive to some extent in detecting osteoporosis in these patients; it has also been observed that osteoarthritis might not affect bone mineral density of the hips and lumbar vertebrae in the same manner or to the same extent.

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