Subjects -> MEDICAL SCIENCES (Total: 8447 journals)
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    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (230 journals)
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    - DERMATOLOGY AND VENEREOLOGY (163 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (120 journals)
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    - MEDICAL SCIENCES (2307 journals)
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    - UROLOGY, NEPHROLOGY AND ANDROLOGY (152 journals)

MEDICAL SCIENCES (2307 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 201 - 400 of 3562 Journals sorted alphabetically
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)
Auris Nasus Larynx     Full-text available via subscription  
Australasian Journal of Ultrasound in Medicine (AJUM)     Hybrid Journal  
Australian Coeliac     Full-text available via subscription   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 2)
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: 2)
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: 4)
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: 18)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
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: 4)
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: 17)
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: 8)
Biomedical Journal     Open Access   (Followers: 4)
Biomedical Materials     Hybrid Journal   (Followers: 7)
Biomedical Microdevices     Hybrid Journal   (Followers: 8)
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: 8)
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)
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: 13)
BMC Obesity     Open Access   (Followers: 8)
BMC Proceedings     Full-text available via subscription   (Followers: 1)
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: 1784)
BMJ Case Reports     Hybrid Journal   (Followers: 26)
BMJ Evidence-Based Medicine     Hybrid Journal   (Followers: 3)
BMJ Global Health     Open Access   (Followers: 3)
BMJ Innovations     Hybrid Journal   (Followers: 6)
BMJ Leader     Hybrid Journal  
BMJ Open     Open Access   (Followers: 43)
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 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: 18)
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: 19)
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: 17)
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: 1)
Case Reports in Clinical Medicine     Open Access   (Followers: 2)
Case Reports in Clinical Nutrition     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: 7)
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  
Ceylon Journal of Medical Science     Open Access  
Ceylon Medical Journal     Open Access  
Chattagram Maa-O-Shishu Hospital Medical College Journal     Open Access  
Chiang Mai Medical Journal     Open Access  
ChiangRai Medical Journal     Open Access  
Chimerism     Full-text available via subscription  
Chinese Journal of Integrative Medicine     Hybrid Journal   (Followers: 3)
Chinese Journal of Natural Medicines     Full-text available via subscription   (Followers: 1)
Chinese Medical Journal     Open Access   (Followers: 10)
Chinese Medical Record English Edition     Hybrid Journal  
Chinese Medical Sciences Journal     Full-text available via subscription   (Followers: 2)
Chinese Medicine     Open Access   (Followers: 2)
Chinese Medicine     Open Access   (Followers: 4)
Chisholm Health Ethics Bulletin     Full-text available via subscription   (Followers: 1)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Chronic Diseases and Translational Medicine     Open Access  
Chronic Illness     Hybrid Journal   (Followers: 6)
Chronic Wound Care Management and Research     Open Access   (Followers: 4)
Chronobiology International     Hybrid Journal   (Followers: 3)
ChronoPhysiology and Therapy     Open Access  

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Bangladesh Journal of Medical Science
Journal Prestige (SJR): 0.167
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2223-4721 - ISSN (Online) 2076-0299
Published by Bangladesh Journals Online Homepage  [107 journals]
  • Chikungunya virus outbreak-a threat to global public health including
           Bangladesh

    • Authors: Abdullah Al Mahdy, Mostofa Jamal, Hiroshi Kinoshita, Tareq Hossan
      Pages: 183 - 184
      Abstract: not availableBangladesh Journal of Medical Science Vol.17(2) 2018 p.183-184
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35868
      Issue No: Vol. 17, No. 2 (2018)
       
  • How Religosity and/or Spirituality Might Influence Self-Care in Diabetes
           Management : A Structured Review

    • Authors: Iman Permana
      Pages: 185 - 193
      Abstract: Background: abundant evidence exists worldwide with regards to how religiosity and/or spirituality plays a role in influencing people with Type 2 diabetes manage their daily self-care activities. Indonesia is the most populous Muslim country in the world and research suggeststhat Indonesia has among the highest incidence of diabetes in the world. However, paucity of evidences was found about the relationship of religiosity and/or spirituality to the self- care of diabetes.Methods: The objective of this structuredreview is to identify, appraise and synthesise the best available evidence worldwide, including Indonesia, related to how people with diabetes perceives the role of religion and/or spirituality in managing daily self-care. CINAHL, Ovid MEDLINE and Garuda, an Indonesian search portal were accessed to find evidence regarding self-care, religion and diabetes using the keywords ‘religion’, ‘religiosity’, ‘spirituality’, ‘selfcare’, ‘self-management’, ‘self-efficacy’, ‘diabetes’. A critical appraisal using an adapted CASP tool was utilized.Results: The first attempt collected 51,722 articles from CINAHL, 11,346 from OvidMEDLINE, 62 from ISJD, 4 from Google Cendikia and nothing from Garuda. Second attempt was done with the inclusion of ‘linked full text’, ‘references available’, ‘abstract available’, ‘1970-2012’, age range of ’19-65’ and revealed a total of 298 articles. Third attempt was done using several inclusion criteria, such as: self-management in chronic illness, quality of life in chronic illness, coping with diabetes, structured education in diabetes, and health behaviour determinants. Criteria exclusion was applied, such as: mental health, psychosis, nutrition intervention, chronic renal diseases, nurse’s coping, and dying patients. Finally, thirtyone studies were retrieved to be analysed. Several themes emerged from the evidence these included: relationship with God or the transcendent, religion or spirituality as coping methods; religious practices; and, social support.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.185-193
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35869
      Issue No: Vol. 17, No. 2 (2018)
       
  • Neonatal outcomes and neonatal care received by the term neonates
           following initial hospital discharge in Sri Lanka

    • Authors: Damitha Asanga Gunawardane, Samath D Dharmaratne, Dhammica S Rowel
      Pages: 194 - 199
      Abstract: Objectives: The main aim of this study was to describe the neonatal outcomes of term neonates following initial hospital discharge.Methods: This is a descriptive cross sectional study done among term neonates discharged from Teaching Hospital (TH) Kandy from 27th of March to 14th of May 2015. All the term neonates who delivered at term in the TH Kandy during the study period were included in the study. Study was conducted as a telephone survey.Results: Nearly half (46.79%) of the mothers sought medical advice for their neonates following hospital discharge during the neonatal period. Majority of the mothers who sought medical advice (71.06%) went to ordinary doctors while 28.43% consulted specialist doctors. All most all women (98.10%) exclusively breast fed their newborn baby. Four percent of the term neonates were hospitalized during the neonatal period and most common reasons for admission was breathing difficulty followed by yellow discoloration of the body. Considerable proportion (29.66%) of mothers stated that postnatal visits were not helpful for any of the six aspects of postnatal care questioned in the telephone interview. Postpartum visits had its highest impact on breastfeeding followed by maternal competence on recognizing danger signs. But post-partum visit had its least impact on keeping baby warm and dressing up of baby.Conclusion: Nearly half of the mothers seek medical advice for their neonates following hospital discharge during the neonatal period. One third of the mother stated that postnatal visits were not helpful for any of the six aspects of postnatal care studied. Postpartum visits had its highest impact on breastfeeding followed by maternal competence on recognizing danger signs while had its least impact on keeping baby warm and dressing up of baby.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.194-199
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35870
      Issue No: Vol. 17, No. 2 (2018)
       
  • The effect of X-rays and toxicity lead/ cadmium on hematological and
           immunological cells

    • Authors: Mohammed W Al Rabia, Abdullah S Alshuwayman, Yousef S Almutairi, Khalid S Alasmari, Bander M Alasmari, Nouf Alanazi, Jahz Alharbi, Abdulrahman Talohi, Faris Q Alenzi
      Pages: 200 - 204
      Abstract: Background: Exposure to radiation and/or batteries containing lead/cadmium, is currently under huge investigations as they are causing many health problems. The aim of this study is to evaluate the effect of radiation and toxicity of lead and cadmium on hematological cells.Methods: Forty subjects who previously exposed to lead/cadmium, twenty five radiologist and 10 healthy controls were recruited to this study. This study was conducted between January 2017 - April 2017 in Riyadh city, KSA. A questionnaire was distributed and answers were taken by the interviewer. Ten ml of whole blood in EDTA tube were collected and immediately tested by Abbott Cell Hematology Analyzer.Results: There was a significant difference in Hgb levels between batteries exposed people and healthy controls. Also there was a significant increase on WBCs count and lymphocytes count on battery exposed people compared to controls and radiologist. Almost 43% of battery exposed people have allergic reactions compared to controls.Conclusion: Monitoring irradiation and lead/cadmium toxicity levels is suggested in patients with a high risk of immunocompraimised or chronic diseases patients.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.200-204
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35871
      Issue No: Vol. 17, No. 2 (2018)
       
  • Studies to determine antidiarrhoeal and spasmolytic activities of extract
           of Aegle marmelos. L fruit

    • Authors: Syed Intasar Husain Taqvi, Atiqur Rahman, Mohammad Ali Versiani, Hina Imran, Amna Khatoon, Tehmina Sohail
      Pages: 205 - 211
      Abstract: Objective: To investigate and determine the antidiarrhoeal and spasmolytic potential of fruit of Aegle marmelos is due to CCBs compounds and not tannic acid.Materials and methods: The extract of ripe and dry fruit of A. marmelos (Am.Cr) was prepared in methanol: water (70:30). The antidiarrhoeal activities of the extract, loperamide and tannic acid were studied in vivo; in castor oil induced diarrhoeal model in mice whereas spasmolytic effect was studied in vitro; in isolated mice ileum. Calcium channel blocking (CCB) activity was investigated after preincubation of mice ileum by Am. Cr or loperamide and subsequent adding of K+80 mM.Results: Am. Cr inhibited castor oil-induced diarrhoea: onset of diarrhoea, total no. of faeces, and total no. of wet faeces dose-dependently, the dose of 800 mg/mL was found statistically significant, total weight of feces and total weight of wet faeces were also inhibited. Concentration-dependent inhibition of spontaneous contraction and contractile effect of K+80 mM after pre-incubation by Am. Cr were confirmed in isolated mice ileum. The results of Am. Cr are comparable with Loperamide. Tannic acid produced neither antidiarrhoeal effect nor exhibited CCB activity, however relaxant effect was observed in isolated mice ileum.Conclusion: The antidiarrhoeal and spasmolytic effects of Am.Cr may be mediated through compounds which posses CCB effect. Tannic acid exhibited relaxant effect only which is not sufficient evidence scientifically to classify as antidiarrhoeal.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.205-211
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35872
      Issue No: Vol. 17, No. 2 (2018)
       
  • Comperative phyto toxicological and anti inflammatory effects of leaves
           extracts of holoptelea integrifolia

    • Authors: Hina Yasin, Shaukat Khalid, Hina Abrar, Ghazala H Rizwani, Rehana Perveen, Kaneez Fatima
      Pages: 212 - 217
      Abstract: Objective: Plants play valuable role in the new drug discovery and significantly used to treat different diseases. Nowadays scientists are investigating the therapeutically active phytochemical constituents that are safe and producing lesser side effect in comparative to other standard drugs.Methods: The plant Holoptelea integrifolia is medicinally important and this study was carried out to evaluate the anti inflammatory activity of aqueous extract of the leaves of Holoptelea integrifolia in male albino rats wistar stain treated with acetic acid to induced paw edema.Results: Result indicated the significant anti-inflammatory activity while compared with standard drug (diclofenac sodium).Brine shrimp bioassay (cytotoxicity), phytotoxicity, insecticidal and enzyme inhibition activity was performed in different extracts of the leaves of H. integrifolia. Results of brime shrimp bioassay indicating positive lethality at high dose in BuOH and H2O only. While the results of phytotoxicity in all crude extracts displayed mild phytotoxicity(46.3 µg/ml) in high concentrations (1000 µg/ml) except H2O extract showed no phytotoxicity. Result of insecticidal activity revealed that BuOH extract were found more effective against Rhyzoperthadominica, the EtOH extract expressed major while EtOAC extract showed mild activity against Callosobruchusanalis. Aqueous extract possessed no insecticidal activity.Conclusion: Results of Urease inhibition activity suggested that EtOAC and BuOH extracts of this plant expressed no activity while EtOH and H2O possessed mild inhibiting activity.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.212-217
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35873
      Issue No: Vol. 17, No. 2 (2018)
       
  • Efficacy of an experimental propylene glycol-based, water-free caries
           detecting dye in comparison with Snoop® using histological analysis

    • Authors: Parastoo Iranparvar, Kasra Tabari, Anahita Shahi
      Pages: 218 - 223
      Abstract: Background and Aim: One limitation of caries disclosing dyes is the risk of sound dentin removal. This study sought to assess the efficacy of a newly developed experimental caries disclosing dye in complete removal of infected dentin and its properties in comparison with Snoop caries detecting dye using histological analysis.Materials and Methods: A caries detecting dye with improved properties was experimentally prepared. Twenty permanent teeth with occlusal caries were selected and divided into two groups of staining with the experimental dye (group 1) and Snoop caries detecting dye (group 2). Stained carious dentin was removed and the process of staining and caries removal was repeated until no staining was observed. DIAGNOdent laser caries detection aid was used in all cavities to ensure absence of caries. After decalcification, 5 sections were made of each tooth, Gram-stained and subjected to histological analysis. Presence of bacteria in the two groups following staining with the experimental and Snoop dyes was evaluated and statistically analyzed using Fisher’s exact test.Results: In the Snoop group, bacteria were present in 3 out of 50 (6.0%) specimens. In the experimental group, bacteria were found in 2 out of 60 specimens (4.0%). Fisher’s exact test showed no significant difference in this respect between the two groups.Conclusion: Histological analysis revealed similar efficacy of Snoop and the experimental caries detecting dyes in terms of complete elimination of infected dentin. Considering the improved properties of the experimental caries detecting dye, it may have superior efficacy in preventing unnecessary removal of sound dentin.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.218-223
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35874
      Issue No: Vol. 17, No. 2 (2018)
       
  • Serum heavy metal levels in teenagers currently or formerly employed as
           gas station attendants

    • Authors: Ayobola Abolape Iyanda
      Pages: 224 - 229
      Abstract: Background: Reports are available indicating that leaded gasoline is still being made available in some parts of the world. Moreover it is also known that the crude from which petroleum products are obtained is rich in heavy metals. This means heavy metal toxicity from petrol contact is a possibility. The aim of this study is to assess selected heavy metal levels in teenagers who are currently and formerly employed as GSA.Materials and Methods: The study population consisted of teenagers divided into 3 groups. GROUP I was made up of 30 male subjects that are currently employed as GSA with less than 6 months work history; GROUP II composed of 34 male teenagers with work history in gas station not less than 20 months; GROUP III consisted of 22 male teenagers who were former attendants; the control group consisted of 35 participants, with no history of occupational exposure to fuel, or heavy metals. Information was obtained through questionnaire on demography, life-style and clinical symptoms of gasoline exposure. Serum heavy metal levels were estimated using atomic absorption spectrometry. Student’s t test and analysis of variance were employed to determine the level of significant difference. P < 0.05 was considered significant.Results and Discussion: The serum levels of lead, arsenic, nickel, cadmium, and aluminium of GSA in GROUPS I and II were significantly higher compared with control. On the other hand, there were significant increases in levels of lead and cadmium in GROUP III compared with control. Additionally, majority of test subjects in GROUPS I and II identified headache and fatigue as symptoms associated with workplace. Teenage GSA are prone to heavy metal toxicity and discontinuing contact with gas station environment did not resolve this occupational hazard.Conclusion: Gonadotoxic effect of some of these elements on these categories of subjects who are within reproductive stage is possible. Therefore appropriate measure should be taken to address it.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.224-229
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35875
      Issue No: Vol. 17, No. 2 (2018)
       
  • Willingness to Pay For Health Insurance in Sarawak, Malaysia: A Contingent
           Valuation Method

    • Authors: Azizah Azhar, Md Mizanur Rahman, Mohd Taha Arif
      Pages: 230 - 237
      Abstract: Background and objective: One of the suggested ways of financing health care is health insurance combined with general taxation. This study aimed to assess the willingness to pay for health insurance among the adult population and the factors thereof.Methods: A multi-stage cluster sampling with cross sectional study design was adopted to select the respondents. Data was collected by face to face interview. A total of 1018 data was analyzed with response rate of 84.3%. The data on willingness to pay for insurance was collected using the contingent valuation method with bidding style. Data entry and analysis was done by SPSS 22.0 version. A p-value of less than 0.05 was considered as statistically significant.Results: Data analysis revealed that about half (46.7%) of the respondents agrees to pay monthly health insurance premium. Among those who were unwilling to pay, 81.3% were unable to afford the monthly insurance. Logistic regression analysis revealed that occupation, level of education, gender, marital status, monthly family income and treatment preference appeared to be potential predictors for willingness to accept health insurance (p<0.05).Recommendation: The key policy priority is to increase the awareness of the public regarding the benefits of health insurance, and to increase willingness to pay rate.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.230-237
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35876
      Issue No: Vol. 17, No. 2 (2018)
       
  • An in vitro study to elucidate the effects of Septilin TM on immune
           pathways

    • Authors: Mujeeb Hoosen, Edmund John Pool
      Pages: 238 - 244
      Abstract: Objective: The use of herbal immunomodulatory preparations to prevent and treat immunological complications is increasing in popularity. Rigorous in vitro, in vivo and clinical trial studies are needed to ensure safety, quality and efficacy for the wellbeing of patients. SeptilinTM, a proprietary herbal medicinal product has been reported to have immunomodulatory effects. This study investigated the in vitro effects of SeptilinTM on biomarkers of specific immune pathways by using whole blood culture assays (WBC).Materials and Methods: Stimulated and unstimulated WBC have been incubated with the product. Enzyme linked immunosorbent assays have been used to screen for IL-6, IL-10, and IFN γ as biomarkers for inflammation, humoral immunity, and cell mediated immunity, respectively.Results: SeptilinTM had no effect on the release of IL-6 production by (lipopolysaccharide) LPS stimulated WBC across all concentrations tested. However, SeptilinTM induced significant higher levels (P<0.001) of IL-6 release in unstimulated WBC across all concentrations between 0µg/ml-258µg/ml. SeptilinTM had no effect on the release of IL-10 release in unstimulated WBC across all concentrations. However the presence of SeptilinTM in phytohaemagglutinin (PHA) stimulated WBC induced significant higher release (P<0.01) of IL-10 release at concentrations between 64.5µg/ml- 258µg/ml when compared to the control. The presence of SeptilinTM in unstimulated WBC had no effect on the release of IFN γ production across all concentrations. The presence of SeptilinTM in PHA stimulated WBC release of IFN γ is inconclusive.Conclusion: This study shows that SeptilinTM has immunomodulatory effects on WBC in vitro.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.238-244
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35877
      Issue No: Vol. 17, No. 2 (2018)
       
  • Occupation related differences in the thickness of metatarsal fat pads: an
           in vivo assessment in a young male adult population

    • Authors: Egwu Ogugua Augustine, Akunna GG
      Pages: 245 - 250
      Abstract: Background: The foot combines mechanical complexities with structural strength to withstand pressure and the metatarsal fat pads play a major role in this.Methods Material: In this study, we determined the metatarsal fat pad thickness of 40 male students that constituted a control group and an age-matched 40 male auto mechanic artisans within Abakaliki metropolis, southeast Nigeria, which served as the quasi-experimental group. Evaluation was made using a brightness mode ultrasound system. Their weights, heights, foot length, foot breadth and mid foot circumference were measured.Results: Results show a significant (P<0.05) difference in the mid-foot circumference and metatarsal fat pad thickness between the control (9.99±0.55cm and 2.04±0.35mm respectively) and artisans (9.58±2.0.59cm and 2.50±2.0.38mm respectively). However, there was no significant (P>0.05) differences in the foot breadth and length between the control (9.86±0.84cm and 26.96±1.03cm) and artisans (10.03±0.54cm and 26.16±1.39cm).Conclusion: These findings indicate that occupation related physical activity that increases plantar pressure can induce an unprecedented thickening of the Metatarsal fat pads thereby reducing elasticity and shock absorbing ability of the fat pads. This could trigger the development of overuse injuries of the foot and plantar foot ulcers. The assessment could also serve as a guidepost in the biomechanical evaluation of the metatarsal fat pad thickness.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.245-250
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35878
      Issue No: Vol. 17, No. 2 (2018)
       
  • Extract Ethanol of Poguntano in Alloxan Induced Diabetic Rats

    • Authors: Sry Suryani Widjaja, - Rusdiana
      Pages: 251 - 254
      Abstract: Back Ground: Diabetes mellitus is a group of metabolic disease with high blood glucose level above 150 mg/dL over a prolonged period. The elevated of blood glucose, free fatty acid and insulin resistance will cause the endothelial dysfunction, hemostasis disturbances that lead to micro and macrovascular complications. Poguntano (Picria fel-terrae Merr) from family Scrophulariaceae found in most part of Indonesia, has been used as traditional plant for treatment of diabetes.Objective: The purpose of this study was to investigate the effect of extract ethanol of Poguntano in alloxan induced diabetic rats.Method: Fifteen male Wistar rats with body weight of 150-200 gr were given intra peritoneal injection of 150 mg/kg Alloxan to induce diabetes. These were divided into three groups (control diabetic, group given insulin and group given Extract ethanol of Poguntano 200 mg/Kg body weight) and one control normal control. The duration of study was 4 weeks; blood glucose and Endothelin-1 were measured for all groups.Results : Extract ethanol of Poguntano 200 mg showed significant results (p<0.001) in lowering blood glucose in Alloxan induced diabetic rats compared to control diabetic, but did not show superior to insulin group (p=0.892). Endothelin-1 showed statistical significant between group with normal rats and diabetic control rats. (p=0.009) but did not in the other groups. Levels of Endothelin-1 was higher in the diabetic control group with the median 1.95 (1,78- 3.1).Conclusion: In our study we found that extract ethanol of Poguntano showed significant hypoglycemic activity and lowering the Endothelin-1 level in alloxan induced diabetic rats.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.251-254
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35879
      Issue No: Vol. 17, No. 2 (2018)
       
  • Handmade endoloop knotting technique without knot pusher for appendicular
           stump closure in laparoscopic appendectomy- personal experience

    • Authors: Sajid Iqbal, Mohinder Kumar Malhotra, Majhail Singh, Saima Tabassum
      Pages: 255 - 257
      Abstract: Aim: to devises a handmade endoloop knotting technique without the use of knot pusher thereby reducing the overall cost of laparoscopic appendectomy.Material and methods: This prospective study was conducted in MMIMSR Ambala from January 2015 to august 2017. All operations were performed by the same surgical team. Mesoappendix was coagulated with bipolar cautery and cut with scissors. Two handmade Meltzer loops were placed on base of appendix and tightened using conventionalgraspers.Results: 53 patients were included in the study. The time spent for preparing and tyingone loop was approximately 20-25 seconds. None of the patients had leakage from the appendicular stump. Only one polyglactin suture was used to make three loops. Knot pusher was not used in any of the patients.Conclusion: handmade endoloop used in this prospective study for securing appendicular stump using conventional laparoscopic graspers was found to be equally safe and can be easily mastered by any laparoscopic surgeon, which will reduce his dependency upon preformed endoloops making the procedure cost effective.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.255-257
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35880
      Issue No: Vol. 17, No. 2 (2018)
       
  • A critical role of ultrasonography in management of liver abscesses

    • Authors: Samita Singal, Amit Mittal, Muzzafar Zaman, Rikki Singal
      Pages: 258 - 262
      Abstract: Aims and objectives: to see the efficacy of ultrasonography in the management of amoebic liver abscess. We assessed whether patient required surgery or can be managed with drainage procedure on ultrasonography basis.Materials and Methods: This is a prospective study done from July 2014 to May 2015, in a medical college in remote area. A total of 88 patients diagnosed with liver abscess were included in the study for ultrasound-guided percutaneous aspiration or pigtail drainage management. All patients had been treated with antibiotics or antimicrobials for at least 2 weeks if treated conservatively and were still being continued for another 6 weeks.Results: A total of 88 patients with liver abscess were successfully treated, consisting 79 males and 9 female. The age ranged from 18 to 82 years with a mean of 43.6 years. A total number of 76 (86.36%) cases undergone percutaneous catheter drainage and 12 (13.6%) underwent needle aspiration. A total of 73 (82.95%) patients had single large abscess, while 8 (9%) had two and 7 (7.9%) had multiple abscesses. The abscesses were commonly located on the right lobe of liver. The Pigtail catheters of sizes 10 F to 18 F was introduced either directly under the guidance of the guide wire with safety precautions. The volume of pus aspirated averaged from 70 - 1200 ml, while the period of catheter drainage ranged from 7 to 24 days with the follow up on ultrasonography.Conclusion: This study shows a success rate of ultrasonography almost 98 % by avoiding unnecessary surgical intervention. It was confirmed that needle aspiration in small abscesses and catheter drainage in large abscesses offers the safest and best modality.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.258-262
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35881
      Issue No: Vol. 17, No. 2 (2018)
       
  • Nutritional and toxicological analysis of phoenix dactylifera (date palm)
           powder used as a drink

    • Authors: Tehmina Sohail, Nida Saleem, Hina Imran, Zahra Yaqeen, Atiq ur Rehman, Khalid Jamil, Muhammad Rauf
      Pages: 263 - 269
      Abstract: Objective: Phoenix dactylifera fruit widely used in Muslim countries.They have religious attachment to it and also it had many health benefits. It is essential to investigate nutritional values of Phoenix dactylifera fruit in dried powder form and to find out any toxicological changes during processing of this dried powder drink.Method: Dried date powder was prepared from fresh fruit by drying it and its nutritional value and toxicological studies were carried out. The acute oral toxicity study of date powder was conducted on wistar strain rats by oral route in a dose of 0.5g/kg body weight and 0.1g/kg body weight.Result: The results of biochemical analysis of dehydrated date powder exhibited that it possesses high energy value of 311 Kcal, carbohydrate 70.5%, dietary fiber 7.3%, fat content 2.1%, protein 2.6%, and mineral content 2.2%. Whereas, total sugar was found to be as 63.2% and moisture content 2.3%. The test drink showed no sign of toxicity or death during the whole observation period (fourteen days) in rats. No group of animal showed any unusual change in behavior or in locomotors activity. The macroscopic studies of vital organs i.e. heart, liver, spleen, lungs and kidneys exhibited that they were normal.Conclusion: As a result of these studies it can be concluded that from processing of fresh fruit to dried powder along with its nutritional and toxicological studies no hazardous material like toxins were produced. So it can be used safely.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.263-269
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35882
      Issue No: Vol. 17, No. 2 (2018)
       
  • Effects of exercise on plasma lactic acid and body temperature in man,
           following a standardized meal

    • Authors: Tesleem K Babalola, Udoh Utibe Abasi
      Pages: 270 - 274
      Abstract: Background: The effects of exercise on plasma lactic acid level and body temperature following a standardized meal were carried out on 20 healthy young individuals (aged between 18 and 29 yrs.), consisting of 10 males and 10 females. The physical fitness of the subjects was determined measuring their blood pressure, pulse rate and other physical examinations.Methodology: Each subject was made to ride the bicycle ergometer for 6mins, at a rhythmic cadence of 50revolution/ min via 100beats metronome counts. Blood samples were collected before and after the exercise to analyze for the pre and post exercise plasma lactate levels. Pre and post-exercise values for body temperature were also measured. Statistical tests were carried out at 95% CI (P=0.05).Result: The result obtained showed that exercise causes a statistically significant increase (p< 0.05) in both plasma lactate concentration (from a pre-exercise mean value of 0.98 ±0.07mmol/L to post- exercise mean value of 2.84 ±0.21mmol/L) and body temperature (from a mean value of 36.45 ±0.130C before exercise to a mean value of 36.91 ±0.190C after exercise).Conclusion: There was a statistically significant increase in plasma lactateand body temperature because of exposure to exercise which is in line with findings from most previous studies.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.270-274
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35883
      Issue No: Vol. 17, No. 2 (2018)
       
  • Quality of Communication skills of nurses worked at the Hospitals
           Affiliated to Jahrom University of Medical Sciences, Iran

    • Authors: Zohreh Badiyepeymaiejahromi, Somayeh Ramezanli, Mehran Farzaneh, Camellia Torabizadeh
      Pages: 275 - 281
      Abstract: Objective: Communicating with patients is not only among the principles of care, but it is considered as one of the key roles of nurses. As nurses are skilled in other clinical skills, their communication skills should also be adequate. The aim of this study is to determine nurses’ communication skills.Materials and Methods: This descriptive study was conducted in 2015 in hospitals affiliated to Jahrom University of Medical Sciences. 215 nurses participated in the study using census method. Data was collected using valid and reliable communication skills (α=0.885). The quality of communication skills was classified on three levels: poor, average, and good.Results: Quality of communication skills of 120 (55.8%) of nurses was weak, 95 (44.2%) moderate, and there was no good evaluation (0%). The communication skills of most nurses were weak in the areas of conscious start (75.8%), verbal and nonverbal communication skills (86.5%), inner and outer harmony (92.6%), respect for the patient (94.4%) and the unconditional acceptance of patient (100%). There was a significant relationship between the nurses’ educational level, mean age and work experience with quality of communication skills (p <0.05).Conclusion: The results indicate the low ability of nurses in terms of communication skills with the patient. It seems that teaching communication skills, as well as the revision of management, description of job responsibilities, increasing job autonomy and decision-making power for nurses can be the effective ways to improve nurse-patient communication which leads to enhancing the quality of care from patients.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.275-281
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35884
      Issue No: Vol. 17, No. 2 (2018)
       
  • A perceptual evaluation of resonance disorders in children with repaired
           unilateral cleft lip and palate in Hospital UniversitiSains Malaysia

    • Authors: Aimi Syahidah Zulkipli, Mohammad Khursheed Alam, Evina Suriakant Patel, Sanjida Haque
      Pages: 282 - 289
      Abstract: Background: In most literature regarding speech outcomes in children with repaired cleft lip and palate (CLP), exhibited resonance disorders despite having surgical repair. However, the types and severity of the resonance disorders vary from one individual to another. Thus, perceptual evaluation is important to determine the speech outcomes in individuals with repaired cleft lip and palate.Aim: The aim of this cross sectional study was to determine the types and severity of resonance disorders of children with repaired unilateral cleft lip and palate (UCLP) and describe the inter- and intra-rater reliability of perceptual evaluation of resonance disorders using GOS. SP.PASS’98. Four children with repaired UCLP in Hospital USM with ages ranging from 8 years old to 12 years old was included in this study. During data collection, history taking was first conducted, then participants’ speech sample was collected and lastly oral motor examination was conducted.Results: 50% of the speech sample was then duplicated for inter- and intraexaminer reliability investigations. Exact agreement and kappa values were used for reliability measures. Seventy five percent (75%) (3/4) participants exhibited hypernasality as the type of resonance disorder and 25% (1/4) participant had no evidence of hypernasality or any other types of resonance disorder. No other types of resonance disorders such as hyponasality, mixed resonance or cul-de-saq was noted in the participants. The severity of hypernasality ranged from mild to severe in the participants. Inter-rater reliability showed fair to almost perfect agreement and intra-rater reliability revealed almost perfect agreement.Conclusion: The results obtained from this study was more or less similar to our other studies conducted on the speech outcome of individuals with repaired UCLP. Although surgical intervention has been provided to these individuals, it is important that referrals be made to SLPs to evaluate their speech outcomes. This is to determine a proper management for the individual.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.282-289
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35885
      Issue No: Vol. 17, No. 2 (2018)
       
  • Association of the waist-hip ratio with plasma adiponectin related to
           coronary artery disease

    • Authors: Premtim Rashiti, Ibrahim Behluli, Albiona Bytyçi
      Pages: 290 - 295
      Abstract: Objective: By enrolling a prospective study of 82 patients that underwent non-urgent coronary angiography for coronary artery disease (CAD), it is aimed to investigate the correlation between adiponectin and waist-hip-ratio with severity of CAD.Materials and methods: The results of the angiography, divided the patients into two groups, patients admitted with a diagnosis of CAD and non-CAD. In the conducted hospital based research, two groups were involved: the study group with documented angiographically CAD and control group without angiographic evidence of CAD. Some of the baseline adiponectin levels in stored serum samples of all patients, anthropometric and biochemical risk factors were assessed in both groups.Result and discussion: As the result, we have seen the presence of CAD that was associated with current smoking, male gender, waist–hip ratio (WHR).While, no significant difference between median adiponectin levels at baseline were observed between cases and controls.Conclusion: There is a significant positive correlation between waist - hip ratio and presence of severity of coronary artery disease.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.290-295
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35886
      Issue No: Vol. 17, No. 2 (2018)
       
  • Dexamethasone added to Bupivacaine prolongs the duration of analgesia for
           supraclavicular brachial plexus block

    • Authors: Naimul Hoq, Abdullah Al Maruf
      Pages: 296 - 301
      Abstract: Background: Local anaesthetics alone for supraclavicular brachial plexus block provide good operative conditions but have shorter duration of postoperative analgesia. Numerous adjuncts have been added to enhance the efficacy of the block. Steroids have anti-inflammatory as well as analgesic effects.Objectives: This study has been undertaken with a view to find out the efficacy of dexamethasone to increase the duration of analgesia when used as an adjuvant to bupivacaine in supraclavicular brachial plexus block in upper extremity surgery.Methods: Total 60 patients of ASA I and II undergoing upper extremity surgery under brachial plexus block were randomly divided into two equal groups of 30 each; Bupivacaine group-‘’A’’ received 0.5% bupivacaine 2 mg/kg with distilled water 15 ml and Dexamethasone group-‘’B’’ received 0.5% bupivacaine 2 mg/kg with dexamethasone (0.2mg/kg) with distilled water 15 ml. The duration of analgesia in the two groups were compared.Results: There was markedly prolonged duration of analgesia in dexamethasone group. The mean duration of analgesia in bupivacaine group was 455 ± 17.09 minutes, whereas in dexamethasone group it was 864.50 ± 25.19 minutes. The results were statistically highly significant.Conclusion: Dexamethasone when added to bupivacaine in brachial plexus block it results significantly prolonged duration of post-operative analgesia, which was significantly higher in comparison to bupivacaine when it is used alone.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.296-301
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35887
      Issue No: Vol. 17, No. 2 (2018)
       
  • Association of 25-hydroxyvitamin D and Anemia parameters in elderly with
           anemia of inflammation and non-inflammation

    • Authors: Vitasari Indriani, Nyoman Suci W, Herniah Asti W
      Pages: 302 - 306
      Abstract: Background: Vitamin D deficiency and anemia are conditions commonly in eldery. Both result in significant morbidity in eldery. Relationship between 25-hydroxyvitamin D and anemia need to be concern, particularly in the elderly. including those characterized by inflammatory processes. The aim of this study is to analyze association and differentiations between of 25-hydroxyvitamin D levels and anemia parameters in elderly with anemia inflammation and non-inflammation.Methods: An observational study, at Posyandu Lansia Puskesmas Sokaraja, was conducted among 40 subjects aged ≥60 years consecutively, between September - November 2015. 25-Hydroxyvitamin D, hemoglobin levels, hematocrit and red blood cell counts were measured. 25-Hydroxyvitamin D deficiency defined in level <30 ng/mL and anemia defined by the World Health Organization.Results: After adjustment for CRP levels and leucocyte count, 25-Hydroxyvitamin D was inversely associated with anemia inflammation (p=0,018; p=0,010; p=0,000)and non-inflammation (p= 0,002; p=0,002; p=0,000). There was significantly differences 25-hydroxyvitamin D levels (p = 0.003) in elderly with anemia of inflammation and non-inflammation.Conclusion: 25-Hydroxyvitamin D levels was associated with anemia inflammation and non-inflammation in eldery. Vitamin D may suppress inflammatory mechanism, and studies to determine whether chronic disease involves anemia inflamation are warranted.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.302-306
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35889
      Issue No: Vol. 17, No. 2 (2018)
       
  • A rare case of bilateral congenital posterior mesotympanic cholesteatoma

    • Authors: Ahmad Hafiz Ali, Zulkiflee Salahuddin, Mohd Khairi MD Daud, Rosdan Salim
      Pages: 307 - 310
      Abstract: Bilateral congenital mesotympanic cholesteatoma is a very rare disease. It can present differently from ordinary congenital cholesteatoma. We report a case of bilateral congenital cholesteatoma diagnosed at age of 22 years old. She presented with bilateral intermittent ear discharge since 10 years old that worsening two weeks prior to her presentation to our clinic and associated with bilateral reduced hearing. Clinically there was intact tympanic membrane with retraction of the mesotympanic area with present of mass medial to tympanic membrane. CT scan imaging showed there was soft tissue in the bilateral middle ear cavity with intact scutum and ossicles. Patient undergone canal wall down procedure and the diagnosis of congenital mesotympanic cholesteatoma was confirmed with present of cholesteatoma sac at the posterosuperior part, as opposed to anterosuperior quadrant, where the common site for congenital cholesteatoma.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.307-310
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35891
      Issue No: Vol. 17, No. 2 (2018)
       
  • Backache could be an indication of multiple myeloma: An unusual case
           report

    • Authors: Muhammad Rizwan Ullah, Muhammad Kashif, Ahmed Nadeem, Romeeza Tahir, Zain Rizwan, Noor un Nisa Rizwan, Nadeem Afzal
      Pages: 311 - 315
      Abstract: Unusual presentation of multiple myeloma (MM) poses a diagnostic dilemma. The objective of this case report is to document the unique presentation of MM and to highlight the importance of backache which could be the only indicator for the diagnosis of MM. Although a history of trauma in the past is present in this case, but there is no molecular basis/evidence to declare trauma as a risk factor for MM. It can be concluded that the patients with backache should be thoroughly investigated to rule out any possibility of malignant disease process.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.311-315
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35892
      Issue No: Vol. 17, No. 2 (2018)
       
  • Various outcomes of Idiopathic Grade IV Intraventricular Haemorrhage in
           term newborns at two years of age.

    • Authors: Suman Das, Mala Bhattacharya, Kaushani Chatterjee, Nirmalya Sarkar, Bholanath Aich
      Pages: 316 - 318
      Abstract: not availableBangladesh Journal of Medical Science Vol.17(2) 2018 p.316-318
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35893
      Issue No: Vol. 17, No. 2 (2018)
       
  • Markers of cardiovascular complications in patients with type 2 diabetes
           mellitus and arterial hypertension

    • Authors: Nadiia Demikhova, Olga Chernatska, Tetiana Mazur, Svetlana Bokova, Tetiana Rudenko, Lina Bumeister, Oleksii Demikhov
      Pages: 319 - 322
      Abstract: Background: Hypertensive patients with type 2 diabetes mellitus are also at increased risk for diabetes mellitus–specific complications, including nephropathy. Even the smallest degree of albuminuria increases risk for cardiovascular diseases and all-cause death. The common conditions coexisting with type 2 diabetes (e.g., hypertension and dyslipidemia) are clear risk factors for cardiovascular diseases.Methods and materials: The first (I) group consists of 99 obtained patients with type 2 and AH, the second (II) includes 49 practically healthy people. We evaluated such markers of cardiovascular complications as glycated hemoglobin, lipid profile components by biochemical method and albumin excretion rate with the help of enzyme immunoassay.Result: The positive correlation between the level of albumin excretion rate and glycated hemoglobin (r = 0,23, p < 0,001) is confirmed that albuminuria is a main marker of diabetic nephropathy. The positive correlation between albuminuria and low density lipoproteins (r = 0,34, p < 0,001), triglycerides (r = 0,04, p < 0,001) is the definition of the important role of dyslipidemia in diabetic nephropathy.Conclusion: Determination of albumin excretion rate, glycated hemoglobin as markers of nephropathy, lipid profile components is necessary for patients with type 2 diabetes mellitus and arterial hypertension for prevention cardiovascular complications.Bangladesh Journal of Medical Science Vol.17(2) 2018 p.319-322
      PubDate: 2018-03-23
      DOI: 10.3329/bjms.v17i2.35894
      Issue No: Vol. 17, No. 2 (2018)
       
 
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