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 TO COMPARE ESTIMATION OF GESTATIONAL AGE BY FOETAL TRANSCEREBELLAR DIAMETER WITH BIPARIETAL DIAMETER`, FEMUR LENGTH, ABDOMINAL CIRCUMFERENCE, HEAD CIRCUMFERENCE AT DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY AT SMS MEDICAL COLLEGE, JAIPUR

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Samta Solanki ◽  
Anusha S ◽  
B S Meena
Keyword(s):  
Gestational Age ◽  
Cross Sectional Study ◽  
Abdominal Circumference ◽  
Third Trimester ◽  
Cross Sectional ◽  
Femur Length ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Biparietal Diameter ◽  
The Mean

Background: Ultrasonographic assessment of gestational age by using different foetal parameter such as BPD, FL, AC are highly reliable in first and second trimester in pregnancy. In third trimester reliability of any single parameter has limitations. Methods: This was a hospital based comparative cross-sectional study done in the Department of Obstetrics and Gynaecology, S.M.S. Medical College and attached hospitals, Jaipur, Rajasthan. The period of study was from June 2018 to October 2019. Results: The mean TCD at 15 weeks and 40 weeks was 15.00 ± 0.00mm and 53.33±1.155mm respectively. The mean BPD at 16 weeks and 40 weeks was 33.50±0.70mm and 93±1.528mm respectively. The mean HC at 15 weeks and 40 weeks was 111.00±1,41mm and 340±2.00mm respectively. The mean FL at 15 weeks and 40 weeks was 18.50±0.70mm and 77.67±1.528mm respectively. The mean AC at 15 weeks and 40 weeks was 99.00±1.41mm and 365.33±8.32mm respectively. Conclusion:  We conclude that foetal transcerebellar diameter can thus be used as an alternative foetal parameter to assess gestational age and can be used in cases of wrong dates or when other routine parameters are not conclusive or did not accurately predict gestational age for e.g. in cases of hydrocephalus, brachycephaly, dolicocephaly, intrauterine growth restriction, achondroplasia or short limb dwarfism. Keywords: Gestational age, Linear regression, BPD

scholarly journals Shorter Timed Urine Collection for Detecting Proteinuria in Pre Eclamptic Women

2016 ◽  
Vol 27 (1) ◽  
pp. 9-13
Author(s):  
Nusrat Ara Yousuf ◽  
M Anwar Hussain ◽  
Khadija Begum
Keyword(s):  
Cross Sectional Study ◽  
Urinary Albumin ◽  
Albumin Concentration ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Urine Albumin ◽  
The Mean ◽  
Medical University ◽  
Criteria For Selection

Objective: To assess urinary albumin excretion in pre-eclamptic women by shorter timed collection of urine from 12 hours night sample.Method: This cross sectional study was carried out in the Department of Obstetric and Gynaecology, Bangabandhu Sheikh Mujib Medical University, and Dhaka Medical College Hospital, during the period of November 2004 to February 2005. Among the admitted patient total 40 pregnant women with pre-eclampsia were taken with proper selection criteria. The criteria for selection were hypertension (140/90 mmHg or more) after 20th week of gestation and a bed side urine albumin test positive. Detailed medical and obstetric history was taken and thorough examination was done and all the informations were recorded in the pre-designed data collection sheet.Results: The mean± SD urinary albumin in 12 hour day, 12 hour night and 24 hour sample were 1.74+0.51 gm/L, 1.76+0.51 gm/L and1.75+0.54 gm/L respectively. Urinary albumin concentration in the 12 hour day & night samples agreed well with concentration of the 24 hour samples.Conclusion: From the result it could be concluded that albumin concentrations in the 12- hours day and 12-hours night collections were close to the concentrations of the 24-hour collection.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(1) : 9-13

scholarly journals COVID-19: Effects on Eye in Bangladesh

2020 ◽  
Vol 49 (2) ◽  
pp. 14-18
Author(s):  
Md Sharfuddin Ahmed ◽  
Md Showkat Kabir ◽  
Mazharul Hoque Bhuiyan
Keyword(s):  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Ocular Infection ◽  
Ocular Involvement ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Ocular Manifestations ◽  
Medical University ◽  
Ocular Signs

COVID-19 is a contagious disease which can spread person to person mainly by respiratory droplet from infected person and contact by contaminated objects or body limbs through the routes nose, mouth, and eyes. To find out the ocular manifestations that are found in Bangladesh during COVID-19 pandemic this descriptive type of cross-sectional study was conducted to detect the ocular infection and its manifestation among patients admitted at different COVID-19 dedicated hospitals. Total 26 doctor’s (Eye Specialists, ICU Consultants, ICU Residents/ Medical Officers, Consultants of other Specialities, Medical Officers/ Residents) observational and examination findings were recorded in this study who have already completed one or more roster [07 days] duties in Corona Dedicated hospitals to treat the COVID-19 affected patients directly. Total 3,678 patients information from different hospitals were collected and interviews were taken directly or over telephone from the participants. Data collected from the participants based on the observations of physicians during COVID roster duties in different corona dedicated hospitals. Age sex and ocular signs and symptoms found in patients during hospitalization were recorded. Total 08 (eight) Corona dedicated hospitals; one Medical University, five tertiary level Govt. hospitals, one private Medical College hospital and one largest Isolation center of South-Asia were included as study place. Among the cases 66.2% were male and 33.8% female. Maximum patients were in age group 40-60 years [40%] and minimum of them were above 70 years [10%]. Ocular manifestations found in 48 cases and.30 in suspected, total 78 cases found with ocular manifestations. Total 2.121% patients hade ocular manifestations in confirmed and suspected cases. In COVID confirmed cases 1.316% patients hade ocular manifestations. In conclusion, we found several ocular manifestations in patients who are hospitalized as COVID-19 patients. Moreover, the ocular involvement could be the presenting finding of disease. Further studies are required in Bangladesh and this information may be valuable for future studies. Bangladesh Med J. 2020 May; 49(2) : 14-18

scholarly journals Role of Ultrasonographic Measurement of Fetal Head Circumference in the Evaluation of Gestational age in Bangladeshi Women

2017 ◽  
Vol 6 (2) ◽  
pp. 6-11
Author(s):  
Netay Kumer Sharma ◽  
Sankar Narayan Dey ◽  
Md Masudur Rahman ◽  
Akter Zahan ◽  
Mahzabeen Islam ◽  
...  
Keyword(s):  
Gestational Age ◽  
Head Circumference ◽  
Close Relation ◽  
Cross Sectional Study ◽  
Fetal Head ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetric Management ◽  
Age Range

Determination of gestational age by ultrasound has now become an integral part of maternal antenatal care. Accurate assessment of gestational age by sonography is now essential for obstetric management particularly due to term, preterm and post date management. Timing of elective caesarean delivery and decision whether to consider a fetus at risk for intrauterine growth retardation depends in part on the estimated age. In this study gestational age was determined on the basis of head circumference (HC) and correlation was established between weeks of gestation calculated from LMP. A cross sectional study was carried out in the department of Radiology & Imaging, Mymensingh Medical College Hospital during the period of January 2011 to June 2012. Three hundred ninety seven normal pregnant Bangladeshi women age range from 20 to 36 years with apparently healthy fetuses between 18 to 38 weeks of gestation referred for ultrasonic evaluation of pregnancy profile. Mean age was 29.60 years with standard deviation (SD) +0.67. Aim of this study was to determine relationship between menstrual age and HC. Result of this study may give idea about gestational age calculated by LMP of 397 cases and expressed in weeks. Estimated gestational age was determined by HC evaluated by US and expressed in weeks. Significant positive correlation was found between gestational age measured by HC and LMP. Estimated gestational age measured by HC had very close relation with weeks of gestation(LMP), which is 2 to 3 days less from weeks of gestation (LMP) during 18-38 weeks of gestation variation was only 2 to 4 days less from weeks of gestation (LMP). A strong positive significant correlation (r=0.987, P<0.001) was found between weeks of gestation and predicted gestational age measured from HC. Significant relationship between gestational age measured by LMP with estimated gestational age evaluated by head circumference. CBMJ 2017 July: Vol. 06 No. 02 P: 06-11

scholarly journals Parapharyngeal Tumour – A Study of 30 Cases

2016 ◽  
Vol 4 (1) ◽  
pp. 18-23
Author(s):  
Bithi Bhowmik ◽  
Miraj Ahmed ◽  
Debesh Chandra Talukder ◽  
Belayet Hossain Siddique
Keyword(s):  
Surgical Resection ◽  
Parapharyngeal Space ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Salivary Gland Tumours ◽  
Male Predominance ◽  
Medical College ◽  
Fourth Decade ◽  
Medical University

Background: Parapharyngeal tumours are a group of rare neoplasms arising from structures within the parapharyngeal space. The complex anatomical and pathological consideration of this region often present a substantial challenge to the otolaryngologist and head-neck surgeons in the evaluation and management of these lesions. The majority of tumours arising in the parapharyngeal space are benign and surgical resection is the mainstay of treatmentObjective: To determine frequency, demography, histological pattern and management of parapharyngeal tumour.Materials and method: A cross sectional study was carried out from January 2007 to December 2007. Total 30 cases were selected from Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, Dhaka Medical College Hospital, Dhaka, Bangladesh and Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh.Results: In this study 37% patients were in the fourth decade. Among the study subjects, 21(70%) were male and 9(30%) were female. Most of the patients presented with neck swelling (66%) followed by oropharyngeal swelling (50%). In this study salivary gland tumours were the highest (47%) in number, neurogenic tumours constituted 40% and chemodectomas were 13%. Histopathologically 80% tumours were benign. Both transparotid and inferior approaches were used for surgical resection in each 40% of cases.Conclusion: Most of the cases were benign and detected around fourth decade of life with male predominance. Surgical resection was the lone treatment for the cases with few post operative complications.Delta Med Col J. Jan 2016 4(1): 18-23

Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun
Keyword(s):  
Stool Sample ◽  
Rapid Detection ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

scholarly journals Usage of telecommunication technology in perpetration of sexual assault- A study conducted on reported victims in a Tertiary Medical College Hospital OCC

2021 ◽  
Vol 9 (2) ◽  
pp. 3-7
Author(s):  
Iffath Farooqui ◽  
Md Shamsul Islam ◽  
Rahat Amin Chowdhury ◽  
ATM Hasibul Hasan
Keyword(s):  
Communication Technology ◽  
Low Income ◽  
Socioeconomic Development ◽  
Smart Phone ◽  
Cross Sectional Study ◽  
Sexual Assaults ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Low Income Families

The sexual assaults and its consequences are increasing along with socioeconomic development of the country. Rise of modern communication technology add fuel to the flame. This descriptive cross-sectional study aimed to evaluate the role of communication technology in sexual assaults in Bangladesh. There were 87 victims included in this study. All were female of 6 years to 40 years of age, mean age was 15.67 (± 6.69) year. Most of the victims were below 20 years of age and came from low income families. About 76% mobile used were smart phone. Among them 46% were owned by the victims herself, 26% gifted by the assailants to the victims. Talking through mobile (37%) was the main communication route between the assailants and the victims; followed by direct verbal (31%), mixed verbal and mobile talking (26%) and others (6%). Regarding methods of communication, they only talk in 42% cases and 36% cases used mixed method (talking, SMS and video chatting). The assailant paid all the costs in 62% cases. Mobile phone came as a blessing in communication, but inchoate use makes it a curse to our society. Parents should be cautious about their children's mobile usage (especially smart phone) daily. Government also should make some policy on using mobile technology by the younger citizens. CBMJ 2020 July: Vol. 09 No. 02 P: 03-07

scholarly journals Cough Variant Asthma in Medical Outpatient Department of a Tertiary Care Hospital in Bangladesh

2013 ◽  
Vol 3 (1) ◽  
pp. 29-31
Author(s):  
Swapna Bhattacharjee ◽  
Shekhar Bhattacharjee ◽  
Rukhsana Parvin
Keyword(s):  
Chronic Cough ◽  
Tertiary Care ◽  
Complete Recovery ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Cough Variant Asthma ◽  
Medical College

Background: Cough variant asthma (CVA) is a subset of asthma where the only symptom is chronic persistent cough. Many cases go unrecognized due to lack of proper evaluation. Response to asthma medication with features supportive of airway hypersensitivity helps in management of this disease. Objective: To find out the proportion of cough variant asthma among the patients attending medicine outpatient department of Enam Medical College, Savar, Dhaka. Materials and Methods: This cross sectional study was conducted in Enam Medical College Hospital, Savar, Dhaka over a period of two years from July 2009 to July 2011. Cough variant asthma was diagnosed mainly on clinical ground as chronic cough without wheezing, fever, weight loss, shortness of breath or sputum or any other apparent cause that persisted for more than eight weeks with absolutely normal physical examination of chest, normal chest radiography and blood count except raised eosinophil count and IgE level. Patients who met these criteria were given 2 weeks course of inhaler beclomethasone propionate and were assessed for improvement. Those who improved after steroid inhalation were categorised as having cough variant asthma. Results: Out of purposively selected 148 patients complaining only of chronic dry cough for more than eight weeks, 92 patients met the primary selection criteria for cough variant asthma. These 92 patients were given 2 weeks trial of 250 ìgm beclomethasone inhalation twice daily. Seventy nine patients reported almost complete recovery from chronic cough after 2 weeks and were categorized as having CVA. Thirteen patients did not improve and were not categorized as CVA. Conclusion: These findings suggest that cough variant asthma is the most common among the patients with chronic cough not due to any apparent cause. The efficacy of inhaled corticosteroid suggests that early intervention is effective in the treatment of this disease. DOI: http://dx.doi.org/10.3329/jemc.v3i1.13871 J Enam Med Col 2013; 3(1): 29-31

Frequency of Metabolic Abnormalities of Vesical Calculus in Children Younger than 10 Yrs of Age

2021 ◽  
Vol 15 (6) ◽  
pp. 1243-1245
Author(s):  
H.U Rahman ◽  
S. F. Shah ◽  
A. J. Sheikh ◽  
I. U. Memon ◽  
W. S. Bhatti ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
P Value ◽  
Metabolic Abnormalities ◽  
Urine Ph ◽  
College Hospital ◽  
Cross Sectional ◽  
Vesical Calculus ◽  
Medical College ◽  
Presenting Symptoms ◽  
Calcium Magnesium

Aim: To assess the metabolic abnormalities in children younger than 10 years of age with vesical calculus. Study design: Retrospective cross-sectional study Place and duration of study: Department of Urology, Khairpur Medical College Hospital, Khairpur from 1st October 2014 to 30th September 2016. Methodology: Two hundred and six children age <10 years of age and either gender presented with vesical calculus were enrolled. Demographic information like age, gender, residence, serum electrolytes, calcium, magnesium, phosphate, uric acid, blood, and urine pH were recorded for the purpose of metabolic workup. Results: The mean age was 4.76±1.22 years and 157 (76.2%) were males and 49 (23.8%) were females. The frequency of metabolic abnormalities was observed in 153 (74.3%) of the patients. A significantly higher prevalence of metabolic abnormalities was observed with male gender (p-value 0.006), dark colored urine as presenting symptoms (p-value 0.022), frequent urination (p-value 0.045), and hematuria (p-value 0.016). Of 153 patients with metabolic abnormalities, hypercalciuria was observed in 45 (29.4%), hypocitraturia in 73 (47.7%), hyperoxaluria in 21 (13.7%), and hyperuricosuria in 14 (9.2%) patients. Conclusion: The frequency of metabolic abnormalities was high among children with vesical calculus. Moreover, hypocitraturia in these children was observed in majority followed by hypercalciuria, hyperoxaluria, and hyperuricosuria. Keywords: Metabolic abnormalities, Children, Vesical calculus

ROLE OF ABSOLUTE EOSINOPHIL COUNT AS A MODALITY OF INVESTIGATION IN SUSPECTED CASES OF HELMINTHIC INFESTATION IN CHILDREN AGED BETWEEN 5 TO 15 YEARS WITH COMPARISON TO STOOL ROUTINE AND MICROSCOPY

2021 ◽  
pp. 112-113
Author(s):  
Meghashree N ◽  
Rohini D ◽  
Mahendar Reddy M ◽  
A.M Koppad
Keyword(s):  
Eosinophil Count ◽  
Stool Specimen ◽  
Cross Sectional Study ◽  
Research Centre ◽  
P Value ◽  
College Hospital ◽  
Cross Sectional ◽  
Mean Values ◽  
Medical College ◽  
Absolute Eosinophil Count

Introduction: Eosinophilia is a well-known host immune response in helminthic infestation. This study was carried out to investigate whether a correlation exists between absolute eosinophil count in children with stool specimen positive for helminthic infestation. Aim And Objective: To determine average raised absolute eosinophil count in children who were having various helminthic infestation with stool specimen positive. Materials And Methods: A hospital based cross sectional study done at Navodaya medical college hospital and research centre during 2019 October to 2020 September for a period of 12 months. Both blood and stool samples were obtained from a total of 69 suspected children after examined, categorised into 2 groups. Among them 24 cases were positive of helminthic infestation and 45 cases were negative. T-test and descriptive statistics were used to analyse the data. Results: The study revealed that children infested with helminths found to have higher absolute eosinophil count (mean 4644/µl (95%CI; 3474-4212) than not infested (mean 801/µl (95%CI; 616-945) with p value <0.001. In this helminth's family; nematodes, trematodes, cestodes showed mean values of absolute eosinophil count were 5206/µl (4806-7151/µl), 4930/µl (4500-5382/µl) and 2179/µl (2500-1669/µl) respectively. Conclusions: Raised absolute eosinophil count has been observed in stool specimen positive cases of helminths, especially more in nematodes. Therefore, should be considered for a single dose of albendazole.

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