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Anwer Khan Modern Medical College Journal
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This is an Open Access Journal

Open Access journal
ISSN (Print) 2221-836X
Published by Bangladesh Journals Online

[109 journals]

Chikungunya: Facts and Responsibilities to Combat
- Authors: Md Mahfuzar Rahman, Md Mahmudur Rahman Siddiqui
  Pages: 83 - 84
  Abstract: Abstract not availableAnwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 83-84
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33653
  Issue No: Vol. 8, No. 2 (2017)
Role of atd Angle of Palm in Diagnosis of Pulmonary Tuberculosis
- Authors: Afrose Ahmed, Shamim Ara, KM Monjurul Alom, Saida Rashed, Sadia Rahman, Nadia Islam
  Pages: 85 - 88
  Abstract: Background: Dermtoglyphics are the lines and ridges forming a skin pattern, especially on the palm of the hands, fingertips and soles of feet. Differentiations of dermal ridges in early life are genetically determined1. Any disturbance by genetic factors causes development of unusual dermatoglyphics. On the other hand, deficiency of Mannose binding protein (MBP) gene and Interleukin-1 (IL-1) gene cause spread of pulmonary tuberculosis2. The dermatoglyphic pattern in patient with pulmonary tuberculosis can represent an anatomical, non-invasive, inexpensive tool for screening high-risk population, and facilitates early prediction of vulnerable population of PTB.Materials and Methods: A Cross-sectional, analytical type of study was conducted in Department of Anatomy, Dhaka Medical College, Dhaka, from January 2012 to December 2012. The study was performed in 100 patients suffering from pulmonary tuberculosis and 100 healthy individuals.Results: There was significant reduction in mean±SD of atd angle in pulmonary tuberculosis patients in comparison to control subjects. Mean±SD of atd angle was 37.87±3.403 in pulmonary tuberculosis patients and 49.77±4.628 in the control subjects. The difference was highly significant (P<0.001).Conclusion: The atd angle was found significantly narrower in the study group compared to the control subjects.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 85-88
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33654
  Issue No: Vol. 8, No. 2 (2017)
Hypotension During Haemodialysis: Aetiology, Risk Factors and Outcome
- Authors: Nazneen Mahmood, Md Mahtab Uddin Hassan, Farhana Mahmood, Sabrina Bari
  Pages: 89 - 93
  Abstract: Background: Hypotension during hemodialysis is common. In some patients, the development of hypotension necessitates intravenous fluid replacement before patients are able to safely leave the dialysis unit. Intradialytic hypotension may reduce the efficacy of the dialysis procedure and contributes to the excessive morbidity and mortality that is associated with hemodialysis.Aims: The aim of the study is to identify the patients who develops intradialytic hypotension and find out the aetiology, risk factors and outcome to reduce the mortality and morbidity of those patients.Methodology: This Cross sectional descriptive type of observational study was conducted in the Haemodialysis Unit of Anwer Khan Modern Medical College Hospital over the period from January 2015 to December 2016. The change in systolic pressure during haemodialysis was reviewed for ten consecutive haemodialysis in all the patients. The patients with chronic renal failure who were on regular dialysis were enrolled. Patients with sepsis, hemoglobin level less than 9 g/dL, low cardiac output, acute coronary syndrome, significant valvular lesion or body weight below the dry weight of the patient were excluded from the study.Result: Ninetythree patients were included in the study. Among them male 53(56.98%) and female 40(43.02%) with a M:F ratio was 1.3:1. The mean age of the patients was 53.50±16.82 (Range 13- 90).We found that 28%(26) of the patients developed intradialytic hypotension at least once in consecutive ten dialysis. Out of them 14 were female and 12 patients were male. All of the patients recovered from the incident after adequate management and stoppage of the ultrafiltrate volume, convert the machine to SLED(Sustained low efficacy dialysis) mode and hold antihypertensive drugs morning dose on the day of haemodialysis and treatment of the cause.Conclusion: As a result of increasing age of the patients receiving hemodialysis and the increasing incidence of diabetic nephropathy, hypotension will become a greater problem in future.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 89-93
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33660
  Issue No: Vol. 8, No. 2 (2017)
Diagnostic Significance of Haemogram Parameters and RBC Indices in
Haemoglobin E Trait
- Authors: Tarannum Khondaker, Abul Kashem Jalaluddin Ahmed, Syed Khairul Amin
  Pages: 94 - 99
  Abstract: Background: Hemoglobin E disease are the most common structural haemoglobinopathies, reaching its highest frequency in South East Asia and also prevalent in Bangladesh. There are very few data for effective screening of HB E trait. The aim of the study was to analyze hematological profile and RBC indices as a marker of screening for Hb E trait.Methodology: A cross sectional observational study was conducted among 150 subjects at Dhaka Shishu (Children) Hospital from December 2008 to November 2009. On the basis of Hb electrophoresis, all subjects were divided into three groups. Group I comprised of 50 subjects with Hb E trait, group II comprised 51 subjects with ß thalassemia trait and Group III comprised of 49 normal subjects. Result of RBC indices and blood count were compared between Hb E trait and normal study population.Results: In group I the mean age was 29.53 years and the age range was 2-47 years. In group II the mean age was 30.31 years and the range was 1-55 years. In group III the mean age was 21.81 years and the range was 1-52 years. The present study revealed the mean±SD haemoglobin level (g/dl) in group I (E trait) and group III (normal subjects) were 11.76±1.91 and 10.77±1.4 respectively. Statistically no significant difference was found between these 2 groups (P>.05). The mean corpuscular volume (MCV) in mean±SD in group I and group III were 72.89±12.24 fl and 77.35±10.27 fl respectively. No statistical significance was found as P>0.05. The mean corpuscular haemoglobin (MCH) and mean corpuscular haemoglobin concentration (MCHC) in group I were 24.84±2.71pg & 32.97±2.27 g/dl and in group III were 28.28±2.71 pg & 32.97±2.38 g/dl respectively. There were no significant difference between group I and III regarding MCH and MCHC.The mean RBC count in E trait and normal subject group were 5.01±71 million/cmm and 4.61±0.65 million/cmm respectively. There was no significant difference was found P>0.05. Mean red cell distribution width (RDW) in group I and III were 14.32 ±2.34 and 14.83±1.28 without any statistical difference (P>0.05)Conclusion: In our study there were no diagnostic significance of Blood count and RBC Indices for detection of Hb E trait. More study should be conducted to find out reliable marker of screening for Hb E carrier.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 94-99
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33661
  Issue No: Vol. 8, No. 2 (2017)
Use of Seton in Management of High Variety of Anal Fistula
- Authors: Mohammad Noor A Alam, Sharmin Abbasi
  Pages: 100 - 104
  Abstract: Background: Anal fistula is an abnormal communicative small channel that has an internal opening and an external opening and connected by the primary track. Our study evaluate the effectiveness of seton in high variety anal fistula.Objectives: Evaluation the efficacy and safety of seton as surgical management of high anal fistula. Methods: This is a prospective study done on 57 patients in BIRDEM hospital and some other clinic of Dhaka city in 3 years period with high variety of anal fistula which is above the dentate line and were treated with seton .Outcome measured during follow up period were- successfully healed, recurrence, incontinence, percentage of complications and patients satisfaction.Result: Among 57 patients mean age was 38.2+_6.8 years. Overall outcome of the patients showed-fistula completely healed in 51 patients, incontinence occurred in 2 patients and recurrence occurred in 4 patients.Conclusion: Seton is relatively safe, effective and low cost for the management of high anal fistula with low rate of incontinence. It can therefore, be recommended as the standard of treatment for high variety fistula in ano.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 100-104
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33662
  Issue No: Vol. 8, No. 2 (2017)
Role of Ultrasound and Computed Tomography in the Evaluation of
Gallbladder Malignancy
- Authors: Nusrat Ghafoor, Naffisa Abedin, AS Mohiuddin
  Pages: 105 - 111
  Abstract: Background & objective: Ultrasonogram (USG) and computed tomography (CT) are often used in the evaluation of gall-bladder carcinoma. Thepresent study was conducted to determine the usefulness of USG and CT scan in diagnosing gallbladder carcinoma.Materials & Methods: This cross-sectional observational study was conducted at Department of Radiology and Imaging, BIRDEM in collaboration with the Departments of Hepato-biliary Surgery, and Histopathology of the same institute over a period of 3 years fromJuly 2004 to June 2006. A total of 42 patients (ranging from 40-80 years) were initially included on the basis of signs and symptoms of gallbladder carcinoma and underwent USG and CT scan for preoperative radiological diagnosis, its extension and operability. Following operation all the resected specimens were sent for histopathological evaluation. The diagnostic accuracies of USG and CT scan were then compared against histopathological diagnoses by using Kappa statistics.Result: In the present study, the mean age of the patients was 60 (range: 40-80) years with female preponderance. About 40% of the gall-bladder were contracted and reduced in size and 32.5% large and distended on USG examination, while 45% of the gall-bladder were contracted and reduced in size and 25% distended and large on CT examination. Approximately 40% had irregularly thickened wall and 21.2% diffusely thickened wall on USG and 30% of gallbladder wall were diffusely thickened and 45% irregularly thickened on CT scan. The present study showed hepatic parenchymal invasion to be 22.5% on USG and 42.5% on CT scan. The sensitivity and specificity of USG in diagnosing GB carcinoma were 93.9 and 71.4% respectively. Similarly, the sensitivity and specificity of CT scan in detecting GB carcinoma were 97.1 and 83.3% respectively. The test of agreement (Kappa test) revealed an almost 90% agreement between the two procedures meaning that the two diagnostic modalities are almost comparable in diagnosing gall bladder carcinoma (p<0.001).Conclusion: The study findings indicate that both USG and CT scan are ideal,non-invasive, safe imaging modalities for diagnosis of gallbladder carcinoma. CT scan has an additional advantage in defining the extension of the disease and involvement of surrounding structures including lymph nodes and hepatoduodenal ligament.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 105-111
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33665
  Issue No: Vol. 8, No. 2 (2017)
Study of Maternal and Fetal Outcome in Pregnancy with Heart Disease
- Authors: Sharmin Abbasi, Sehereen Farhad Siddiqua, Shifin Rijvi, Salma Akhtar, Benozir Haque, Suha Jesmin
  Pages: 112 - 116
  Abstract: Background: Heart disease complicating pregnancy is an important indirect cause of maternal mortality and morbidity. Maternal heart disease comprises .2%-2% of pregnancies and responsible for 10%-20% of maternal deaths1. Our study was done to evaluate fetomaternal outcomes in pregnancy with heart disease.Objectives: Evaluation of fetomaternal outcome in pregnant patients with cardiac disease. Materials andMethods: This observational study was done in Bangabandhu Sheikh Mujib Medical University and Anwer Khan Modern Medical College Hospital among 51 pregnant women with known or newly diagnosed heart disease from January 2013-january 2015. Baseline data recorded demographic character, NYHA functional class, maternal complications, mode of delivery and neonatal outcome.Results: Among 51 cardiac patients, 32 (63%) were primigravida. Mostly 46 (90.6%) belonging to NYHA Class I and II. Rheumatic heart disease seen in 45 (87%) and congenital heart disease in 10% subjects. Mitral stenosis was the most common, seen in 22 (41%) cases. 47.33% patients were delivered vaginally and LSCS done in 41% patients. The fetal outcome were live births in (96.6%) cases, (27.4%) babies required NICU admission.Conclusion: An improvement in modern techniques of monitoring, better understanding of pathophysiology of cardiac disease and multi disciplinary care can lead to substantial improvement in the feto maternal outcome.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 112-116
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33666
  Issue No: Vol. 8, No. 2 (2017)
Study on Thyroid Hormone Status in Case of Female Infertility
- Authors: Nusrat Tasnim, Rokeya Begum
  Pages: 117 - 120
  Abstract: Background: Infertility is a global health issue causing great personal sufferings and distress. It is also matter of social injustice and inequality. Both hyperthyroidism and hypothyroidism causes menstrual disturbances secondary to anovulation. The degree of disturbances varies from abnormal sexual development through menstrual irregularity to infertility.Objective: To assess thyroid hormone status in female infertility.Method: A cross-sectional study was carried out in the Department of Physiology, Dhaka Medical College, Dhaka during the period of July 2010 to June 2011. A total number of 250 female were included within the age limit of 20-40 years. Among them 125 subjects, healthy parous women were considered as control (group A) and 125 subjects, infertile women were considered as case (group B). The subjects were selected from Dhaka Medical College Hospital, infertility centre of BSMMU and BIRDEM, Dhaka. Data were collected in predesigned structured questionnaire form after taking consent. The study parameters are serumT3,T4 were measured in the Department of Nuclear Medicine, DMCH, Dhaka. For comparison between two groups, statistical analysis were done by Student's unpaired't' test. P<0.05 was considered as level of significance.Results: Serum T3 and T4 were significantly lower in group B than that of group A(P<0.001).Conclusion: From the results of the present study, it may be concluded that lower level of serum T3,T4 may be related with infertility.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 117-120
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33667
  Issue No: Vol. 8, No. 2 (2017)
Knowledge Regarding Neonatal Jaundice Management among Mothers: A
Descriptive Study Done In a Tertiary Level Hospital of Dhaka City
- Authors: Sazia Huq, Sarder Mahmud Hossain, Syed Mohammad Tanjilul Haque, Monowar Ahmed Tarafder
  Pages: 121 - 127
  Abstract: Background: Jaundice is the most common clinical condition in the newborn that requires medical attention. This study was carried out in order to assess the knowledge on neonatal jaundice management among the mothers in a selected tertiary level hospital of Dhaka city.Methodology: It was a descriptive type of cross-sectional study. 150 samples were selected by non randomized purposive sampling technique with the administration of a pretested, modified and semistructured questionnaire by face to face interview.Results: Study found that majority of the respondents (76.7%) was in the age group 17-27 years with mean age 23.78±5.397 years. Majority of the respondents (83.3%) had heard about neonatal jaundice previously and 16.7% did not hear about it. Regarding Knowledge on preventive measures of NNJ (neonatal jaundice) 90.6% respondents had knowledge on "Putting jaundiced baby under direct sun light", 62.7% said "Herbal remedies", 48% indicated "Consult with doctor" and 12% had knowledge on "phototherapy". Another major finding from the study was that 7.3% respondents had excellent level of knowledge regarding NNJ, whereas 40.0%, 34.0% and 18.7% had satisfactory, good and poor level of knowledge respectively. The Chi-square test model showed a significant association between previous knowledge of the respondents on NNJ with level of knowledge among the respondents (p= 0.027) and age of the respondents (p=0.012).Conclusion: Awareness should be created among the expecting mothers about neonatal jaundice and encourage them to take preventive measures to avert neonatal mortality and morbidity.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 121-127
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33669
  Issue No: Vol. 8, No. 2 (2017)
Transformative Learning: a Concept and Powerful Vision for Adult Education
- Authors: Md Mahfuzar Rahman, AK Mahbubul Hoque
  Pages: 128 - 131
  Abstract: Transformative learning is a process of learning that individuals to changes their critically assumptions and beliefs and consciously making and implementing plans that bring about new ways. It is a fundamentally rational and analytical process. It is also a process of getting beyond gaining factual knowledge alone to instead become learns in some meaningful way. It involves questioning assumptions, beliefs and values, and considering multiple points of view, while always seeking to verify reasoning. This learning is to make interpretations from the person's own beliefs, judgments and feelings and consciously define the meaning of the experience1 or a process of learning that creates a substantial change in the habits, ideas and/or outlook of an individual. This article highlights concept and theories that deals with the paradigm shift of changes needed among adult learners, role of educators and learners towards development of individual and social lives in addition to existing perspective (traditional) of teaching & learning practice. Practices of transformative learning vision and process in adult education have the scope to bring improved critical thinking and a way of changing life style.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 128-131
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33670
  Issue No: Vol. 8, No. 2 (2017)
Assessment of Ovarian Reserve in Infertile Patients
- Authors: Poly Begum, Dipti Rani Shaha, - Mahbuba, Lipika Sanjowal, Ripon Barua, Md Kamrul Hassan
  Pages: 132 - 143
  Abstract: Reduced ovarian reserve is a condition characterized by a reduced competence of the ovary to produce oocyte due to advanced age or congenital, medical surgical and idiopathic causes. Age is considered to be the principal factor in determining the reduction of ovarian reserve, especially in woman over 40 years of age, but it's well known that a premature reduction of ovarian reserve can also occur in young patients. Management of patients with diminished ovarian reserve is challenging for fertility experts and frequently the only option to conceive is represented by assisted reproduction technologies. Here we reviewed the aetiology, presentation and diagnosis of reduced ovarian reserve in advanced and young aged women and recent advances in the management of infertility in these women.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 132-143
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33671
  Issue No: Vol. 8, No. 2 (2017)
Sirenomelia: The Mermaid Syndrome-A Rare Case Report
- Authors: Sehereen Farhad Siddiqua, Sharmin Abbasi, Abrar Saqif Hasan
  Pages: 144 - 147
  Abstract: Sirenomelia, which is also known as mermaid syndrome, is an extremely rare congenital developmental disorder characterized by anomalies of the lower spine and the lower limbs. Affected infants are born with partial or complete fusion of the legs1. Additional malformations may also occur including genitourinary abnormalities, gastrointestinal abnormalities, anomalies of the lumbarsacral spine and pelvis and absence or underdevelopment (agenesis) of one or both kidneys. Affected infants may have one foot, no feet or both feet, which may be rotated externally. The tailbone is usually absent and the sacrum is partially or completely absent as well. Additional conditions may occur with sirenomelia including imperforate anus, spina bifida, and heart (cardiac) malformations. Sirenomelia is often fatal during the newborn period. The exact cause of sirenomelia is unknown, most cases occur randomly for no apparent reason (sporadically). We report a case of 30 years old primi wt 115 kg, non diabetic, normotensive, euthyroid at 38 weeks pregnancy deliverd a baby with mermaid syndrome.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 144-147
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33672
  Issue No: Vol. 8, No. 2 (2017)
Two Cases of Alleged Gang Rape Examined at Forensic Medicine Department of
Sher-e-Bangla Medical College (SBMC) Barisal with Opinions Not "Enough to
Prove the Allegation"
- Authors: Syed Mohammad Tanjilul Haque, Ahad Mahmud Khan, Abdul Barek, Md Habibuzzaman Chowdhury, Nashid Tabassum Khan, Md Akhteruzzaman
  Pages: 148 - 152
  Abstract: It is one of the most difficult tasks in forensic medicine is to examine alleged victims of sexual offence like rape that happened a few weeks back. There is a chance of miscarriage of justice. Two women were examined in the department of forensic medicine of SBMC. They gave the history of forceful sexual intercourse by several men at midnight while travelling in a bus. After their identification and obtaining informed written consent they were examined by 2 doctors, one is male and the other is female. With heavy responsibility on them the doctors had to proceed with the examination of the victims of alleged gang rape. Clinical examination, laboratory tests of collected specimens and X-ray examination were done. The opinions were that in case of the first victim, her age was around 18 years and in case of 2nd victim, her age was around 17 years and in both victims, no signs of forceful sexual intercourse were present but signs of past sexual intercourse were present. If a consistency between the history given by the victim and signs detected by the examining doctors is established by the investigating legal officer then a positive result is expected from the court of trial but very often this does not happen.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 148-152
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33673
  Issue No: Vol. 8, No. 2 (2017)
Terson's Syndrome Due to Aneurismal Subarachnoid Hemorrhage
- Authors: Sanwar Hossain, Titus Leonard Guda, Forhad Chowdhury, Md Somir Hossain
  Pages: 153 - 156
  Abstract: Vitreous or retinal hemorrhage occurring in association with subarachnoid hemorrhage is known as Terson's syndrome. In Terson's syndrome, intracranial hemorrhages are followed by intraocular hemorrhage, classically in the subhyaloid space, but may also include subretinal, retinal, preretinal, and vitreal collections. Usually occurs in adult, but can be at any age. It may be unilateral or bilateral. Vitreous hemorrhage recovery is usually spontaneous within 6 to 12 months, otherwise vitrectomy is considered. We report a case of Terson's syndrome which was admitted in Anwer Khan Modern Medical College & Hospital as unilateral Terson's syndrome with multiple intra retinal hemorrhage of left eye associated with Hypertension & Diabetes Mellitus.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 153-156
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33674
  Issue No: Vol. 8, No. 2 (2017)
Report on Three Cases of Advance Ovarian Cancer Upon Bangladeshi
Population: Successful Management with Bevacizumab Based Chemotherapy
- Authors: Md Ehteshamul Hoque, Shanaz Karim, Md Mahmudur Rahman Siddiqui, Tanvir Ahmed
  Pages: 157 - 161
  Abstract: Ovarian cancer is an alarming health problem in Bangladesh. The annual mortality rate per 100,000 people from ovarian cancer in Bangladesh has increased by 40.3% since 1990, an average of 1.8% a year. Globcan predicts a change in the reported incidence of ovarian cancer from 2912 in year 2012 to 3132 in 2015. Recurrent high-grade ovarian cancer is usually associated with short term survival. There are few guidelines to surgically and medically treat long term survivors with ovarian cancer. We are reporting three cases on advance ovarian cancer patients; all are married, age ranging from 40-60 years, primarily treated with chemotherapy. After that, they were experienced with FDA approved (Nov 14, 2014) monoclonal antibody Bevacizumab (AVASTIN), additionally with chemotherapy.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 157-161
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33675
  Issue No: Vol. 8, No. 2 (2017)
From the Desk of Editor in Chief Vol.8(2)
- Authors: Md Tahminur Rahman
  First page: 162
  Abstract: Abstract not availableAnwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 162
  PubDate: 2017-08-23
  DOI: 10.3329/akmmcj.v8i2.33676
  Issue No: Vol. 8, No. 2 (2017)