Subjects -> MEDICAL SCIENCES (Total: 8669 journals)
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    - UROLOGY, NEPHROLOGY AND ANDROLOGY (155 journals)

MEDICAL SCIENCES (2406 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 201 - 400 of 3562 Journals sorted alphabetically
Asian Biomedicine     Open Access   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 6)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 5)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 2)
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Asian Journal of Research in Medical and Pharmaceutical Sciences     Open Access   (Followers: 1)
Asian Journal of Scientific Research     Open Access   (Followers: 3)
Asian Journal of Transfusion Science     Open Access   (Followers: 1)
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Cancer Prevention     Open Access  
Asian Pacific Journal of Health Sciences     Open Access   (Followers: 10)
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Audiology - Communication Research     Open Access   (Followers: 10)
AUP Advances     Open Access   (Followers: 7)
Auris Nasus Larynx     Full-text available via subscription  
Australasian Journal of Ultrasound in Medicine (AJUM)     Hybrid Journal   (Followers: 1)
Australian Coeliac     Full-text available via subscription   (Followers: 2)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 3)
Autopsy and Case Reports     Open Access  
Avicenna     Open Access   (Followers: 3)
Avicenna Journal of Clinical Medicine     Open Access  
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)
Bangladesh Journal of Anatomy     Open Access   (Followers: 2)
Bangladesh Journal of Bioethics     Open Access  
Bangladesh Journal of Medical Biochemistry     Open Access   (Followers: 4)
Bangladesh Journal of Medical Education     Open Access   (Followers: 2)
Bangladesh Journal of Medical Microbiology     Open Access   (Followers: 4)
Bangladesh Journal of Medical Physics     Open Access   (Followers: 1)
Bangladesh Journal of Medical Science     Open Access  
Bangladesh Journal of Medicine     Open Access   (Followers: 1)
Bangladesh Journal of Physiology and Pharmacology     Open Access  
Bangladesh Journal of Scientific Research     Open Access   (Followers: 1)
Bangladesh Medical Journal     Open Access  
Bangladesh Medical Journal Khulna     Open Access  
Basal Ganglia     Hybrid Journal  
Basic Sciences of Medicine     Open Access   (Followers: 1)
Batı Karadeniz Tıp Dergisi / Medical Journal of Western Black Sea     Open Access  
Baylor University Medical Center Proceedings     Hybrid Journal  
BBA Clinical     Open Access  
BC Medical Journal     Free  
Benha Medical Journal     Open Access  
Beni-Suef University Journal of Basic and Applied Sciences     Open Access   (Followers: 3)
Bijblijven     Hybrid Journal  
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Bio-Algorithms and Med-Systems     Hybrid Journal   (Followers: 2)
BioDiscovery     Open Access   (Followers: 2)
Bioelectromagnetics     Hybrid Journal   (Followers: 2)
Bioelectronic Medicine     Open Access   (Followers: 1)
Bioengineering & Translational Medicine     Open Access  
Bioethics     Hybrid Journal   (Followers: 19)
Bioethics Research Notes     Full-text available via subscription   (Followers: 15)
Biologics in Therapy     Open Access  
Biology of Sex Differences     Open Access   (Followers: 2)
Biomarker Research     Open Access   (Followers: 3)
Biomarkers in Medicine     Hybrid Journal   (Followers: 2)
BioMed Research International     Open Access   (Followers: 5)
Biomédica     Open Access  
Biomedical & Life Sciences Collection     Full-text available via subscription   (Followers: 3)
Biomedical and Biotechnology Research Journal     Open Access   (Followers: 1)
Biomedical Engineering     Hybrid Journal   (Followers: 16)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 13)
Biomedical Engineering Letters     Hybrid Journal   (Followers: 6)
Biomedical Engineering Research     Open Access   (Followers: 7)
Biomedical Informatics Insights     Open Access   (Followers: 9)
Biomedical Journal     Open Access   (Followers: 4)
Biomedical Materials     Hybrid Journal   (Followers: 7)
Biomedical Microdevices     Hybrid Journal   (Followers: 9)
Biomedical Optics Express     Open Access   (Followers: 6)
Biomedical Photonics     Open Access  
Biomedical Reports     Full-text available via subscription  
Biomedical Research Reports     Full-text available via subscription   (Followers: 2)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 9)
Biomedical Science and Engineering     Open Access   (Followers: 7)
BioMedicine     Open Access  
Biomedicine Hub     Open Access  
Biomedicines     Open Access   (Followers: 1)
Biomedika     Open Access  
Biomolecular and Health Science Journal     Open Access   (Followers: 1)
Biophysics Reports     Open Access  
BioPsychoSocial Medicine     Open Access   (Followers: 8)
Biosafety and Health     Open Access   (Followers: 2)
Biosalud     Open Access   (Followers: 1)
Biostatistics & Epidemiology     Hybrid Journal   (Followers: 2)
Birat Journal of Health Sciences     Open Access  
BIRDEM Medical Journal     Open Access   (Followers: 1)
Birth Defects Research     Hybrid Journal  
Birth Defects Research Part A : Clinical and Molecular Teratology     Hybrid Journal   (Followers: 3)
Birth Defects Research Part C : Embryo Today : Reviews     Hybrid Journal  
BJR|Open     Open Access   (Followers: 1)
BJS Open     Open Access   (Followers: 1)
Black Sea Journal of Health Science     Open Access  
BLDE University Journal of Health Sciences     Open Access  
Blickpunkt Medizin     Hybrid Journal  
BMC Biomedical Engineering     Open Access  
BMC Medical Ethics     Open Access   (Followers: 22)
BMC Medical Research Methodology     Open Access   (Followers: 9)
BMC Medicine     Open Access   (Followers: 14)
BMC Obesity     Open Access   (Followers: 7)
BMC Proceedings     Full-text available via subscription   (Followers: 2)
BMC Research Notes     Open Access   (Followers: 4)
BMC Sports Science, Medicine and Rehabilitation     Open Access   (Followers: 34)
BMH Medical Journal     Open Access   (Followers: 2)
BMI Journal : Bariátrica & Metabólica Iberoamericana     Open Access  
BMJ     Hybrid Journal   (Followers: 1886)
BMJ Case Reports     Hybrid Journal   (Followers: 28)
BMJ Evidence-Based Medicine     Hybrid Journal   (Followers: 4)
BMJ Global Health     Open Access   (Followers: 3)
BMJ Innovations     Hybrid Journal   (Followers: 6)
BMJ Leader     Hybrid Journal  
BMJ Open     Open Access   (Followers: 44)
BMJ Open Quality     Open Access   (Followers: 19)
BMJ Open Science     Open Access   (Followers: 1)
BMJ Sexual & Reproductive Health     Hybrid Journal   (Followers: 2)
BMJ Surgery, Interventions, & Health Technologies     Open Access  
Bodine Journal     Open Access  
Boletín del Consejo Académico de Ética en Medicina     Open Access  
Boletín del ECEMC     Open Access  
Boletin Médico de Postgrado     Open Access  
Boletín Médico del Hospital Infantil de México     Open Access  
Bone     Hybrid Journal   (Followers: 18)
Bone and Tissue Regeneration Insights     Open Access   (Followers: 2)
Bone Marrow Research     Open Access   (Followers: 2)
Bone Reports     Open Access  
Bosnian Journal of Basic Medical Sciences     Open Access  
Bozok Tıp Dergisi / Bozok Medical Journal     Open Access  
Brachytherapy     Full-text available via subscription   (Followers: 6)
Brain and Development     Full-text available via subscription   (Followers: 5)
Brain Communications     Open Access   (Followers: 2)
Brain Connectivity     Hybrid Journal   (Followers: 5)
Brain Impairment     Full-text available via subscription   (Followers: 2)
Brazilian Journal of Medical and Biological Research     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Brazilian Journal of Pain (BrJP)     Open Access  
Brazilian Journal of Physical Therapy     Open Access   (Followers: 2)
Breastfeeding Review     Full-text available via subscription   (Followers: 19)
British Journal of Biomedical Science     Full-text available via subscription   (Followers: 7)
British Journal of General Practice     Full-text available via subscription   (Followers: 39)
British Journal of Hospital Medicine     Full-text available via subscription   (Followers: 16)
British Medical Bulletin     Hybrid Journal   (Followers: 6)
Buddhachinaraj Medical Journal     Open Access  
Bulletin Amades     Open Access  
Bulletin de la Société de pathologie exotique     Hybrid Journal   (Followers: 1)
Bulletin of Legal Medicine     Open Access  
Bulletin of Medical Sciences     Open Access  
Bulletin of the History of Medicine     Full-text available via subscription   (Followers: 21)
Bulletin of the Menninger Clinic     Full-text available via subscription  
Bulletin of The Royal College of Surgeons of England     Free  
Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products     Open Access  
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz     Hybrid Journal   (Followers: 6)
Burapha Journal of Medicine     Open Access  
Burns     Hybrid Journal   (Followers: 10)
Cadernos de Naturologia e Terapias Complementares     Open Access   (Followers: 1)
Calcified Tissue International     Hybrid Journal   (Followers: 2)
Canadian Bulletin of Medical History     Hybrid Journal  
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Pain     Open Access   (Followers: 2)
Canadian Journal of Rural Medicine     Full-text available via subscription   (Followers: 1)
Canadian Medical Association Journal     Open Access   (Followers: 18)
Canadian Medical Education Journal     Open Access   (Followers: 10)
Canadian Prosthetics & Orthotics Journal     Open Access  
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Cardiac Electrophysiology Clinics     Full-text available via subscription   (Followers: 1)
Care Management Journals     Hybrid Journal   (Followers: 5)
Case Reports     Open Access  
Case Reports in Acute Medicine     Open Access   (Followers: 2)
Case Reports in Clinical Medicine     Open Access   (Followers: 2)
Case Reports in Clinical Nutrition     Open Access   (Followers: 1)
Case Reports in Clinical Pathology     Open Access   (Followers: 1)
Case Reports in Medicine     Open Access   (Followers: 3)
Case Reports in Transplantation     Open Access  
Case Reports in Vascular Medicine     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Study and Case Report     Open Access   (Followers: 5)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
CBU International Conference Proceedings     Open Access   (Followers: 3)
Cell & Bioscience     Open Access   (Followers: 6)
Cell Adhesion & Migration     Open Access   (Followers: 9)
Cell and Molecular Response to Stress     Full-text available via subscription   (Followers: 2)
Cell and Tissue Transplantation and Therapy     Open Access   (Followers: 2)
Cell Cycle     Full-text available via subscription   (Followers: 6)
Cell Death and Differentiation     Hybrid Journal   (Followers: 8)
Cell Death Discovery     Open Access   (Followers: 1)
Cell Health and Cytoskeleton     Open Access   (Followers: 1)
Cell Medicine     Open Access   (Followers: 6)
Cell Research     Hybrid Journal   (Followers: 8)
Cell Transplantation     Open Access   (Followers: 4)
CEN Case Reports     Hybrid Journal  
Central African Journal of Medicine     Full-text available via subscription  
Cephalalgia Reports     Open Access   (Followers: 2)
Ceylon Journal of Medical Science     Open Access  

  First | 1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
BIRDEM Medical Journal
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2305-3712 - ISSN (Online) 2305-3720
Published by Bangladesh Journals Online Homepage  [107 journals]
  • Ethical Issues in Biomedical Research and Publication

    • Authors: Khwaja Nazim Uddin
      Pages: 1 - 8
      Abstract: Abstract not availableBirdem Med J 2018; 8(1): 1-8
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35030
      Issue No: Vol. 8, No. 1 (2017)
       
  • Can FRAX Tool be Used for Determination of Risk Score for Osteoporosis
           Fractures in a Financially Constrained Society Like Bangladesh'

    • Authors: Nazma Akter, Nazmul Kabir Qureshi, Zafar Ahmed Latif
      Pages: 9 - 15
      Abstract: Background: This study was designed to assess the effectiveness of use of the fracture risk assessment system (FRAX) as risk assessment tool for osteoporosis risk score scale in Bangladeshi subjects and to assess how the results of the tools correlate with each other.Methods: This cross-sectional study was conducted between January 2016 to August 2016. The study population was randomly collected 600 Bangladeshi subjects; who attended outpatient department (OPD) of MARKS Medical College & Hospital, Dhaka, Bangladesh. The age range of the subjects was between 40 to 75 years. The subjects had not done a bone mineral density (BMD) score. None of them were previously diagnosed or got treatment for osteoporosis. A questionnaire was designed to complete the osteoporosis specific risk score sheet. Major osteoporotic and hip fracture incidence to 10-years as a function of the FRAX probability was calculated by using fracture risk assessment system.Results: A total of 600 subjects were included. Among them, 59.2% and 40.8%were male and female respectively. Mean age (Mean ± SD) of the study, subjects were 52.16±7.96 years. Among study subjects, mean BMI was more in females in comparison to males (p<0.05). The FRAX predicted 10-year risk assessment scores of major osteoporotic fractures were significantly more in females than males (p<0.02). Risk assessment scores of both major osteoporotic fractures and hip fractures showed significant association in post-menopausal women when compared with there who were not menopausal (p<0.05). Risk assessment factors for risk scores did differ significantly among male and female subjects and among postmenopausal and non-menopausal women. Among risk assessment factors, subjects having finally history of fracture hip, glucocorticoids, rheumatoid arthritis showed strong association with presence of ≥20% risk scores for major osteoporotic fracture (p<0.05) and ≥ 3% for hip fracture (p<0.05). Subjects having history of previous fracture and secondary osteoporosis showed only significant association with ≥3% risk scores for hip fracture (p<0.05).Conclusion: The public health burden of fractures will fail to compromise unless the subset of patients who are at increased risk for fracture are identified and treated. Ten-year fracture risk assessment with the fracture risk assessment system is increasingly used to guide for treatment decisions. It is an effective tool to predict fracture probability, particularly in developing countries like Bangladesh, where most of the patients cannot afford expensive dual energy x-ray absorptiometry scans.Birdem Med J 2018; 8(1): 9-15
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35031
      Issue No: Vol. 8, No. 1 (2017)
       
  • Chikungunya Viral Infection Requiring Intensive Care – Experience in a
           Tertiary Care Hospital in Bangladesh

    • Authors: Suraiya Nazneen, Madhurima Saha, Rakib Hossain, ASM Areef Ahsan, Kaniz Fatema, Fatema Ahmed, Debasish Kumar Saha, Rozina Sultana
      Pages: 16 - 20
      Abstract: Background: Chikungunya fever is a benign self-limiting viral illness. Although it is considered as a nonfatal disease but in elderly patients who have co-morbidities can present with atypical life threatening clinical menifestations which may cause significant morbidity and mortality.The Aim of this study is to observe atypical presentations ,various complications and outcome of chikungunya fever.Methods: This was a cross sectional observational study was carried out on 23 adult patients with chikungunya fever from 1st June to 31st July of 2017 in the Department of Critical Care Medicine of BIRDEM General Hospital, Dhaka, Bangladesh.Results: Total 23 patients were included in this study, male 83% and female 17%.From indoor 17(73.9%) patients got admitted in ICU, 3(13%) patients came directly from home and 3(13%) patients from another hospitals. Most of the patients were elderly having co-morbidities like diabetes, Hypertension, IHD and CKD. COPD and CVD were also present in a few numbers of patients. Most of the patients had fever , arthralgia and headache but respiratory distress (73.9%), altered mental status (56.5%), vomiting (21.7%), diarrhoea (17.3%) and low urine output (17.3%) are the causes of ICU admission. Major Organ involvement of the study subjects were respiratory system (52.1%), renal system (47.8%), CVS (34.7%) and nervous system (34.7%). Among 23, 16(70%) patients improved and 4(17%) patients died in ICU.Conclusion: This study highlights that though chikungunya fever is considered as a benign non-fatal disease it can produce life threatening clinical menifestations and serious complications requiring Intensive Care particularly in elderly comorbid patients and can cause high mortality.Birdem Med J 2018; 8(1): 16-20
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35033
      Issue No: Vol. 8, No. 1 (2017)
       
  • Outcome of Surgical Treatment of Spondylolisthesis by Decompression,
           Stabilization with Transpedicular Screws and Rods and Posterior Lumbar
           Interbodyfusion

    • Authors: Apel Chandra Saha, Md Hasan Masud
      Pages: 21 - 25
      Abstract: Background: Spondylolisthesis means forward shift of upper vertebral column over the lower vertebra. Most of the spondylolisthesis patients can be successfully treated by conservative treatment. A small but significant number of cases need surgical intervention. Design and capability of spinal instruments have drastically changed the principle of correction of spondylolisthesis by surgical interventions for better functional outcome. The objectives of this study were to assess surgical outcome, complications and return to normal activity of spondylolisthesis patients by posterior approach.Methods: This was a prospective interventional study, carried out at NITOR and different private hospitals in Dhaka from October 2012 to December 2014. Total number of patients was 12, who underwent posterior decompression and stabilization with transpedicular screws and rods and posterior lumbar interbody fusion (PLIF).Patients were followed up for a period of six months to one year. Functional outcome was evaluated by using Modified Oswestry Low Back Pain Disability Questionnaire.Results : Among 12 patients 5 were males and 7 were females, age ranged from 21-70 years with a mean age 43 ±7 years. Three patients (25%) had grade I, 8 patients (66.67%) had grade II and 1 patient (8.33%) had grade III spondylolisthesis. Follow up period was 6 months to 1 year. According to Modified Oswestry Low Back Pain Disability Questionnaire,it was observed that out of 12 patients 3 patients (25%) had excellent, 8 patients (66.67%) had better and 1 patient (8.33%) had worse functional outcome.In this study overall a satisfactory (excellent and better) result was found in 11 (91.68%) patients and unsatisfactory (unchanged and worse) result in 1 (8.33%) patient. Dural tear occurred in 1 patient (8.33%). Dural tear was repaired with 5/ 0 vicryl and there was no cerebro spinal fluid leakage. One patient (8.33%) developed foot drop that was treated surgically later on.Conclusion: Based on the results shown above, it is concluded that surgical treatment of spondylolisthesis by decompression, stabilization with transpedicular screws and rods and PLIF is a safe, effective and acceptable modality of treatment.Birdem Med J 2018; 8(1): 21-25
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35034
      Issue No: Vol. 8, No. 1 (2017)
       
  • Acute Kidney Injury among Adult Patients with Diabetic Ketoacidosis in a
           Referral Hospital of Bangladesh

    • Authors: Muhammad Abdur Rahim, Mehruba Alam Ananna, Tabassum Samad, Shahana Zaman, Rozana Rouf, Ashraf Uddin Ahmed, Rana Mokarram Hossain, Tufayel Ahmed Chowdhury, Shudhanshu Kumar Saha, Palash Mitra, Sarwar Iqbal, Khwaja Nazim Uddin, Zafar Ahmed Latif
      Pages: 26 - 29
      Abstract: Background: Diabetic ketoacidosis (DKA) is a medical emergency. DKA may be complicated by acute kidney injury (AKI) and may require renal replacement therapy. Early detection and treatment including treatment of underlying cause and complication(s), if present, is important in determining outcome of DKA. This study was designed to evaluate the incidence of AKI among patients with DKA.Methods: This cross-sectional study was done in BIRDEM General Hospital, Dhaka, Bangladesh from 2008 to 2011. AKI was diagnosed by using acute kidney injury network (AKIN) criteria.Results: Total patients were 200 with slight female predominance (56%). Mean age of the study subjects was 37.6±7.5 years. Incidence of DKA was more in known diabetic patients (71%), more among rural population (53%) and low income group (76.5%). Infection (40.5%) was the commonest precipitating cause followed by non-adherence to insulin therapy (31%). Acute pancreatitis (5%), myocardial infarction (2%), stroke (1%) and surgery (1.5%) were less common causes and aetiology could not be identified in 14% cases. Fifty nine (29.5%) cases were complicated by AKI and among them three (5%) patients required haemodialysis. AKI was more in severe DKA (pH <7) cases and when precipitated by acute pancreatitis and infections. In spite of standard management overall mortality was 6.5%.Conclusion: Almost one-third of DKA cases had AKI in this study, more in DKA cases precipitated by acute pancreatitis and sepsis. Fluid resuscitation resolved AKI in most cases but few cases required renal replacement therapy.Birdem Med J 2018; 8(1): 26-29
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35035
      Issue No: Vol. 8, No. 1 (2017)
       
  • Evaluation of Anti-Mullerian Hormone level as a marker of Ovarian Reserve
           and correlate it with Laparoscopic Surgery of Pelvic Endometriosis in
           Subfertile Patients

    • Authors: Sharmin Abbasi, Sehereen Farhad Siddiqua, Mohammad Noor A Alam, Suha Jesmin
      Pages: 30 - 34
      Abstract: Background: Endometriosis refers to the presence of endometrial glands and stroma outside the uterine cavity. About 10% causes of infertility are due to endometriosis. In women Anti-Mullerian hormone (AMH) level represents the ovarian follicular pool and has been suggested as the most reliable and reproducible marker to asses ovarian reserve. The gold standard approach of management of endometriosis with subfertility is laparoscopy. The objectives of this stydy are evaluation of AMH levels as a marker of ovarian reserve in subfertile patients with different stages of pelvic endometriosis, and correlate it with laparoscopic surgery.Methods: This was a cross sectional observational study on 59 subfertile patients from January 2014 to January 2017 in Anwer Khan Modern Medical College Hospital (AKMMCH). Main outcome measured on the basis of measurement of AMH levels in correlation with the age, types of subfertility, stages of endometriosis, unilateral or bilateral ovarian involvement, size of the cyst, number of the cyst and the impact of different procedures during laparoscopy on AMH levels.Results: Basal AMH levels significantly lower (p= 0.011 and p =0.001) before and after laparoscopy in primary subfertile patients than secondary subfertile patients and AMH significantly decreased (P<0.024) after laparoscopy in primary subfertile patients. AMH level significantly decreased (P<.001) after laparoscopic surgery of two ovaries. Mean serum AMH levels were decreased in moderate and severe stages of endometriosis after laparoscopy (3.01±.04 ng/ml and 2.15±.03ng/ml). Different surgical procedures of laparoscopy showed significant impact on serum AMH levels, in thermal cauterization (p=0.023) and excision plus cauterization (p=0.001) showed significant decreased of AMH.Conclusion: Serum AMH level decreased in many patients after laparoscopy to such an extent from where future fertility is possible.Birdem Med J 2018; 8(1): 30-34
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35036
      Issue No: Vol. 8, No. 1 (2017)
       
  • Can All Benign Gallbladder Diseases be Managed Laparoscopically'

    • Authors: Md Ezharul Haque Ratan, Hasina Alam, Md Abdul Karim
      Pages: 35 - 41
      Abstract: Background: Laparoscopic cholecystectomy (LC) operation is widely practiced in gallbladder diseases. However, controversy persists for LC in acute gall bladder disease, as risk of complications appears to be greater than open procedure1. This study presents the outcome of LCs performed as the first option of treatment in benign chronic as well as acute gall bladder diseases.Methods: Twelve hundred consecutive patients of gall bladder disease, both acute and chronic, underwent cholecystectomies by a single surgeon using standard four port technique. Age, sex, diabetes, prior abdominal procedures, per-operative findings, additional procedure done and complications directly related to surgical technique were evaluated.Results: The laparoscopic approach was attempted in all patients of this series. Success rate was 99.58%. Non diabetic patients presented much earlier for surgery then diabetic patients. About one third (31.4%) of the patients had acute cholecystitis and its complications and none of them required conversion. Conversion rate was seen among those with long history of gall stone and fibrosed contracted gall bladder at ultrasonography. There were three bile duct injury cases among which two were managed laparoscopically and one needed conversion. Most of the patients (94.5%) were discharged within 20 hours of surgery. There was one mortality (0.08%) in this series.Conclusion: LC has proved to be an effective and safe day case surgical procedure for benign gall bladder pathologies and their complications. It provides much benefits with low complication and conversion in experienced hands.Birdem Med J 2018; 8(1): 35-41
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35037
      Issue No: Vol. 8, No. 1 (2017)
       
  • Hepatitis B and Hepatitis C Virus Infection among End Stage Renal Disease
           Patients on Maintenance Hemodialysis, Their Family Members and Dialysis
           Staffs - A Prevalence Study

    • Authors: Rana Mokarram Hossain, M Masud Iqbal, Zeenat Farzana Rahman, Rosy Sultana, Md Habibur Rahman, Md Nazrul Islam, Nazmun Nahar Khan, Md Abul Mansur, Md Anisur Rahman, Sarwar Iqbal, M Sawkat Hassan
      Pages: 42 - 46
      Abstract: Background: Hepatitis B (HBV) and hepatitis C virus (HCV) infection is common among patients on maintenance hemodialysis (MHD). This study was undertaken to observe prevalence of hepatitis B and C infection in hemodialysis patients, their family members and dialysis staffs.Methods: In this cross-sectional study 3 groups were included as gr-1 patients on MHD, the first-degree relatives in gr-2 and the dialysis staffs as gr-3. Clinical and laboratory investigations were done. Viral serology included hepatitis B surface antigen (HBsAg) and antibody against hepatitis C virus (anti-HCV) done by enzyme linked immunosorbent sorbent assay (ELISA) method.Results: Total 150 subjects were analyzed where 50 were in gr-1, 60 gr-2 and 40 in gr-3. In gr-1 MHD patients, HBV infection was positive in 12% and HCV in 71%. None of the viral markers were positive in family members and dialysis staffs. Blood transfusion (BT) was taken by 76% MHD patents. The frequency of HBV and HCV infection was of similar pattern in both BT dependent and non BT group (P=NS).When HCV positive and negative patents were (71 vs. 29%, p<0.001) compared, dialysis duration (37 ± 34 vs. 11± 6 months, p<0.001) was found higher in positive patients.Conclusion: This survey on dialysis patients showed that prevalence of hepatitis B and C virus infections was higher in Bangladeshi patients on MHD groups. Horizontal spread of these viruses is negligible in caregivers and dialysis staffs.Birdem Med J 2018; 8(1): 42-46
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35038
      Issue No: Vol. 8, No. 1 (2017)
       
  • Comparison of Cross Sectional Areas of Median Nerve in Type 2 Diabetic
           Patients with Peripheral Neuropathy with Healthy Adult Subjects Measured
           by 2 D-B Mode High Resolution Ultrasonography

    • Authors: Md Towhidur Rahman, AS Mohiuddin, Md Mofazzal Sharif, Jafreen Sultana, Fahmida Yeshmine, Mahbuba Hussain, Sharmistha Dey
      Pages: 47 - 51
      Abstract: Background: Patients with diabetic peripheral neuropathy (DPN) have distal, symmetrical form of the disorder characterized by numbness, burning feet, pins-and-needles sensations and lightning pain. This study was designed to find out the difference between 2 Dimentional (D)-Brightness (B) mode high resolution ultrasonographically measured cross sectional areas of median nerve in type 2 diabetic patients with peripheral neuropathy and those of non-diabetic healthy adult subjects.Methods: This case-control study was done on 180 subjects aged 27-67 years in the department of Radiology and Imaging, BIRDEM from January 2012 to December 2013. Out of them 90 diabetic patients with peripheral neuropathy diagnosed electrophysiologically by nerve conduction study (NCS) were considered study group and age, sex and weight compatible 90 healthy subjects were considered as control group. Measurement of cross sectional areas of median nerve was performed first by the investigator himself purposefully, consecutively and subsequently confirmed by a radiologist in the department of Radiology and Imaging, BIRDEM, who did not know the subjects’ condition to eliminate bias. The major axis, minor axis and the cross sectional areas (CSA) of the median nerve were measured at the carpal tunnel.Results: In this study, the mean cross sectional areas (mm2) of median nerve healthy subjects was 7.78±1.00 mm2 and in diabetic patients with peripheral neuropathy was 13.67±2.97 mm2. The difference mean CSA of median nerve of diabetic subjects with peripheral neuropathy and control subjects were statistically significant (p<0.05) in unpaired ‘t’ test.Conclusion: This study showed that there is a significant difference between the cross sectional areas of median nerve in diabetic subjects with peripheral neuropathy and healthy adult subjects. The mean cross sectional areas of median nerve were increased in diabetic patients with peripheral neuropathy compared to control group.Birdem Med J 2018; 8(1): 47-51
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35039
      Issue No: Vol. 8, No. 1 (2017)
       
  • Serum Zinc and Copper Levels in Gestational Diabetes Mellitus in a
           Tertiary Care Hospital of Bangladesh

    • Authors: Farzana Akonjee Mishu, MA Muttalib, Bilkis Sultana
      Pages: 52 - 55
      Abstract: Background: The term gestational diabetes mellitus (GDM) is becoming a major health problem in developing countries undergoing rapid changes in lifestyle, dietary habits and body mass index. GDM is associated with an increased incidence of congenital abnormalities which is also aggravated by mother’s zinc and copper deficiency. Zinc and copper are essential trace elements for normal embryogenesis and fetal growth and their deficiency increase mortality and morbidity of mothers, embryos and neonates. This study was designed to evaluate the association of serum zinc and copper with GDM in second and third trimester.Methods: It was a case-control study. This study was conducted in Mymensingh Medical College Hospital during the period from July 2013 to June 2014 to evaluate the association of zinc and copper levels of pregnant women with GDM. A total induded of 172 subjects were participated in this study; among them 86 women diagnosed with GDM were selected as case (Group-I) and 86 healthy pregnant women were control (Group- II).The case group was again subdivided as Group Ia and Ib according to second and third trimester respectively. Control group was also subdivided as Group IIa and IIb according to second and third trimester respectively. Student’s unpaired ‘t’ test was used to analyse the data between groups. For analytical purpose 95% confidence limit (p<0.05) was taken as level of significance.Results: There was significant difference in serum zinc and copper levels in cases compared to control group. Highly significant difference (p<0.001) was found when serum zinc was compared between women with GDM and normoglycemic pregnant women in second and third trimester. Serum copper level was significantly increased in cases compared to control group in second trimester and the difference was found highly significant (p<0.001) and significant difference (p<0.01) was found in GDM compared to normoglycemic pregnant women in third trimester.Birdem Med J 2018; 8(1): 52-55
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35040
      Issue No: Vol. 8, No. 1 (2017)
       
  • Exploring the Effective Management of Medical Waste of BIRDEM General
           Hospital

    • Authors: Nazimul Islam, Parvin Akter Khanam, Shahidul Hoque Mollik, Nazmun Nahar
      Pages: 56 - 62
      Abstract: Background: Medical waste can be generated in hospitals or clinics where diagnosis and treatment are conducted. The management of these wastes are of public concern and health threats are associated with such wastes. The study assessed to explore the current situation of medical waste management and level of awareness related to impact of medical waste and its management among the different levels of professionals.Methods: A descriptive cross-sectional study was done and data were collected from September 2012 to December 2012 at BIRDEM General Hospital. Data were collected by simple random sampling method and semi-structured questionnaire were used in this study. The questionnaire included socio-demographic information, source of hospital waste, description of hospital waste, segregation of waste and assessment of medical waste management system. The questionnaires were interviewed to the doctors, nurses, paramedical staff and cleaners who were related to waste management practices.Results: A total of 186 participants were interviewed in this study. The mean and SD of age was 37.9 ± 10.4 years and the age range from 22 to 65 years respectively. The male and female subjects were 28.0% and 72.0% respectively. Of the total participants, doctors, nurses, paramedical staff and cleaners were 15.1%, 55.4%, 12.9% and 16.7% respectively. To assess the perception of the respondents about hospital waste management, the nurses (100.0%) and cleaners (100.0%) were found in a better position to follow color-coding system (CCS) and to use of protective bags while segregating primary waste, while doctors (21.4%) and paramedical staff’s (29.2%) practice were not encouraging. However, in terms of constituents of medical waste doctors and paramedical staff’s perception was better than the nurses and cleaners. Doctors (92.9%), nurses (96.1%) and paramedical staff (95.8%) were very comfortable about the present color coding system than compared with cleaners (74.2%), although the doctors are less compliant to follow the color-coding system (78.6% compliant) in practice. A substantial proportion of the doctors (71.4%) sometimes put waste in wrong bins as opposed to 51.5% nurses and 33.3% paramedical staff. Few of the respondents would consider the waste if some medical waste is accidentally put to the general waste bin, 85.7% of the doctors, 95.1% nurses, 66.7% paramedical staff and 100% cleaners told that they would consider the waste as medical waste. Nurse’s perception was also better compared to other occupants in sealing waste-bin for disposal. In view of improving the existing waste management system, most of the respondents of different categories were in favor on waste management system. Majority of the respondents think that there should be designated person (97.8%) or rules (97.8%) or monitoring (96.8%) at the administrative level for organizing and managing of waste collection, handling, storage and disposal of waste who will follow a definite rule during all these processes.Conclusion: The study observed that there is lack of knowledge affiliate and practice among the doctors, nurses, paramedical staff and cleaners in segregating hospital waste at the primary source of collection. However, nurses and cleaners were more aware than the doctors and paramedical staff in terms of practice of segregating primary waste. The study also found that perception of waste management was better in doctors and paramedical staff than compared with cleaners and other staffs. To improve the waste management system, it is needed to make policy and regulation guidelines to well-organized system of collecting and treating waste in the hospital.Birdem Med J 2018; 8(1): 56-62
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35041
      Issue No: Vol. 8, No. 1 (2017)
       
  • Pattern of Practices of General Physicians in Overt Diabetic Nephropathy-
           A Pilot Study in A Developing Country

    • Authors: AKM Shaheen Ahmed, Khwaja Nazim Uddin, Fadlul Azim Abrar, Farhana Afroz, Hasna Fahmima Huque, Samira Rahat Afroze, Wasim Md Mohosin Ul Haque, Muhammad Abdur Rahim, Tabassum Samad
      Pages: 63 - 67
      Abstract: Introduction: Diabetes is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) in most parts of the world. Around 20 to 30% of type 1 and type 2 diabetic patients have diabetic nephropathy. General physicians can play an important role in the detection of diabetic nephropathy (DN) and its early primary management and thus prevent its long term dreaded complications. This study was designed to assess the levels of physicians practice, working in diabetic care facilities in terms of early detection and management of DN.Method: A cross-sectional study was conducted among Physicians working in various affiliated associations of Diabetic Association of Bangladesh (DAB), using a pre-validated self-administered questionnaire. It was conducted in the month of April 2016. Data were collected based on the printed series of questionaries regarding “the actions when overt proteinuria was first detected in Urine R/M/E or conventional dipstick test”.Results: In total, 51 general physicians were included. The average age was 34.39 ± 8.54 years ranging from 25 to 64 years. Thirty (58.9 %) of them are in younger age group (25-34 age range) others in senior group (35- 64). A male predominance was observed with 1.5 sex ratio. Twenty-two (43.1%) of them had undergone a Certified Course on Diabetes (CCD). Regarding intervention following first ever detection of overt proteinuria only 29.41% wanted to investigate further and 58.8% wants to repeat the test. To see the extent of renal damage 58.8 and 74.5% of the physicians wanted to do 24-hours urinary total protein (24-h UTP) and serum creatinine respectively. Twenty-seven (52.9%) physicians thought it is right to use angiotensin converting enzyme (ACE) inhibitors / angiotensin receptor blockers (ARBs) for proteinuria. Thirty-three (64.7%) of them wanted to refer to a nephrologist for proteinuria. To see the presence of other microvascular complications, 52.9 % of doctors wanted to examine for the presence of neuropathy and 62.7% wanted to exclude retinopathy by examining the fundus or referring the patient to an ophthalmologist.Conclusion: Overall, the collective response of the doctors having done Certificate Course on Diabetes were much better than others. Junior doctors also fare better than seniors.Birdem Med J 2018; 8(1): 63-67
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35042
      Issue No: Vol. 8, No. 1 (2017)
       
  • Pattern of Musculo-Skeletal Disorders in Diabetic and Non-diabetic
           Patients Attending in a Tertiary Care Hospital in Dhaka

    • Authors: Md Shah Zaman Khan, AKM Shaheen Ahmed, AK Ahmed Zaman, Hasna Fahmima Haque, Mohammad Hosain, AKM Asad Ud Doza
      Pages: 68 - 71
      Abstract: Background: Disorders of the musculoskeletal (MSK) system affect all ages and ethnic groups. This study was done to see the pattern of MSK disorders in diabetic and non-diabetic patients at a tertiary care hospital.Methods: This cross-sectional study was done between period of June 2016-Feb 2017 in the Department of Physical Medicine and Rehabilitation of a tertiary care hospital in Dhaka. Six hundred individuals were included in the study, 300 in diabetic and 300 in non-diabetic group.Results: Diabetic group consisted with 95 (31.67%) males, 205 (68.33%) females. Non-diabetic group consisted with 176 (58.67%) males and 124 (41.33%) females. Osteoarthritis knees (CoA of (101, 33.67%), degenerative lumber disc disease (69, 23%), frozen shoulder (60, 20%), degenerative cervical disc disease (42, 14%) and non-specific back pain (22, 7.3%), were common among diabetic patients. Among non- diabetic patients nonspecific back pain (55, 18.33%), degenerative lumbar disc disease (52, 17.33%), degenerative cervical disc disease (41, 13.66%), OA of knees (38, 12.60%), prolapsed lumbar inter- vertebral disc (PLID) (30, 10%) were common.Conclusion: Degenerative, non-inflammatory abnormalities comprised the major bulk of problems. Soft tissue rheumatism was common in diabetic patients. Frozen shoulder was present in higher percentage in diabetic patients.Birdem Med J 2018; 8(1): 68-71
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35043
      Issue No: Vol. 8, No. 1 (2017)
       
  • Dengue-Chikungunya Co-Infection: A Case Report from 2017-Chikungunya
           Outbreak in Dhaka, Bangladesh

    • Authors: Hasna Fahmima Haque, Farhana Afroz, Samira Rahat Afroze, Muhammad Abdur Rahim, Najeeb Mahiuddin, Mohammad Gaffar Amin, AKM Musa
      Pages: 72 - 74
      Abstract: A case of dengue virus and chikungunya viruse co-infection is reported here. The patient had fever, severe generalized bodyache, arthritis as well as drowsiness. Laboratory investigations showed dengue-chikungunya co-infection. The objective of our report is to emphasize the co-existence of dengue and chikungunya in a clinical case and to aware the clinicians about chikungunya and dengue co-infection.Birdem Med J 2018; 8(1): 72-74
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35044
      Issue No: Vol. 8, No. 1 (2017)
       
  • Primary Disseminated Intra-abdominal Hydatid Disease: A Case Report

    • Authors: Shahana Zaman, Muhammad Abdur Rahim, Khwaja Nazim Uddin
      Pages: 75 - 76
      Abstract: Hydatid disease in human is common and liver is the most common site of involvement followed by lungs. Within the abdomen, hydatid disease can disseminate to involve spleen, pancreas, mesentery, kidney, ovary, gut, supra-renal glands etc. Such disseminations are usually secondary to rupture of a cyst: spontaneous, iatrogenic or traumatic. Without such a history, primary disseminated intra-abdominal hydatidosis is rare. Here we present such a case.Birdem Med J 2018; 8(1): 75-76
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35045
      Issue No: Vol. 8, No. 1 (2017)
       
  • A Case of Adrenal Histoplasmosis

    • Authors: Faria Afsana, Kazi Nazmul Hossain, Ashfaq Tareque, Mohammad Feroz Amin, Md Faruque Pathan
      Pages: 77 - 80
      Abstract: Histoplasmosis is a fungal disease that may present as chronic pulmonary infection or in disseminated form. Disseminated histoplasmosis frequently affects the adrenal gland; sometimes adrenal gland may be the only site of demonstrable disease. Unilateral involvement in immunosuppressed patients is the usual presentation but bilateral involvement may be also there. Early diagnosis and treatment may save the patient from catastrophic adrenal insufficiency. Considering the risk of morbidity following adrenal insufficiency and the wide availability of effective treatments, adrenal histoplasmosis must be considered in adults who had adrenal masses. Though asymptomatic adrenal involvement has been described in patients with disseminated histoplasmosis; isolated adrenal involvement with or without adrenal insufficiency as the presenting feature of the disease is rare. In this report, a 42 years male presenting with history of weight loss, fever and later revealed bilateral adrenal mass, who was successfully treated with antifungal drug is described.Birdem Med J 2018; 8(1): 77-80
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35046
      Issue No: Vol. 8, No. 1 (2017)
       
  • Female Inguinal Hernia – Conservatively Treated as Labial Swelling for a
           Long Time-A Case Report

    • Authors: Nilufar Shabnam, Hasina Alam, Md Rajibul Haque Talukder, Zaman Ummay Humayra, AHM Tanvir Ahmed
      Pages: 81 - 82
      Abstract: Inguinal hernia in females is quite uncommon compared to males. However, in female it may pose both a diagnostic as well as surgical challenge to the attending surgeon. Awareness of anatomy of the region and all the possible contents is essential to prevent untoward complications. Here we are presenting a case of indirect inguinal hernia in a 25 years old women and how she was diagnosed and ultimately managed.Birdem Med J 2018; 8(1): 81-82
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35047
      Issue No: Vol. 8, No. 1 (2017)
       
  • Medical Quiz: Images Vol.8(1)

    • Authors: Md Rashedul Islam, Tanbin Rahman
      First page: 83
      Abstract: Abstract not availableBirdem Med J 2018; 8(1): 83
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35048
      Issue No: Vol. 8, No. 1 (2017)
       
  • Medical Quiz: Single Best Answer (SBA) Vol.8(1)

    • Authors: Jamal Uddin Ahmed
      First page: 84
      Abstract: Abstract not availableBirdem Med J 2018; 8(1): 84
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35049
      Issue No: Vol. 8, No. 1 (2017)
       
  • Birdem News Vol. 8(1)

    • Authors: Khwaja Nazim Uddin
      Pages: 85 - 86
      Abstract: Abstract not availableBirdem Med J 2018; 8(1): 85-86
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35050
      Issue No: Vol. 8, No. 1 (2017)
       
  • From the Desk of Executive Editor Vol.8(1)

    • Authors: Khwaja Nazim Uddin
      First page: 87
      Abstract: Abstract not availableBirdem Med J 2018; 8(1): 87
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35051
      Issue No: Vol. 8, No. 1 (2017)
       
  • Answer to Medical Quiz: Images Vol.8(1)

    • Authors: Khwaja Nazim Uddin
      First page: 88
      Abstract: Abstract not availableBirdem Med J 2018; 8(1): 88
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35052
      Issue No: Vol. 8, No. 1 (2017)
       
  • Medical Quiz: SBA Answers Vol.8(1)

    • Authors: Khwaja Nazim Uddin
      First page: 89
      Abstract: Abstract not availableBirdem Med J 2018; 8(1): 89
      PubDate: 2017-12-27
      DOI: 10.3329/birdem.v8i1.35053
      Issue No: Vol. 8, No. 1 (2017)
       
 
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