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Journal of Current and Advance Medical Research
Number of Followers: 1

This is an Open Access Journal

Open Access journal
ISSN (Print) 2313-447X
Published by Bangladesh Journals Online

[107 journals]

Patient Empowerment: A New dimension in Gestational Diabetes Mellitus
Management'
- Authors: Fatema Ashraf, M Tasdik Hasan
  Pages: 34 - 35
  Abstract: not available Journal of Current and Advance Medical Research 2017;4(2):34-35
  
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36351
  Issue No: Vol. 4, No. 2 (2018)
Clinico-demographic Characteristics of Pregnant Women with Diabetes
Mellitus attended at a Referral Diabetic Care Hospital in Bangladesh
- Authors: Shamsun Nahar, Kashefa Khatun, Tahamina Khanum, Md Masum Akther, TA Chowdhury, AS Mohiuddin
  Pages: 36 - 39
  Abstract: Background: The clinical and demographic profiles of pregnant women with diabetes mellitus are very important consideration during management.Objectives: The purpose of the present study was to see the clinico-demographic characteristics of pregnant women with diabetes mellitus attended at a referral diabetic care hospital in Bangladesh.Methodology: This cross sectional study was carried out in inpatient Department of Obstetrics and Gynecology and in outpatients Department of Radiology and Imaging of Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM) at Dhaka, Bangladesh during the period of April 2005 to March 2007 for a period of two (02) years. Pregnant women diagnosed as diabetes mellitus or gestational diabetes mellitus (GDM) selected for caesarean section or induction of labour, gestational age 236 weeks having 23700 gm by clinical method were included in this study. All the clinical relevant data and demographic characteristics were recorded. Result: A total number of 69 pregnant women with diagnosed DM or GDM were recruited for this study. The mean (+SD) age of the patients was 30.8±5.1 years ranged from 20 to 40 years. 60.9% patients were from middle socioeconomic class, 30.4% from low and 8.7% from high class. 58.0% had DM and 42.0% had GDM. The mean (1SD) gestational age of the patients was 37.511.5 weeks range from 36 to 41 weeks. Conclusion: In conclusion majority of the pregnant women are in the middle age group with the middle income group.Journal of Current and Advance Medical Research 2017;4(2):36-39
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36352
  Issue No: Vol. 4, No. 2 (2018)
Diagnostic Accuracy of Combined Use of MCV and MCH for the Detection of
Thalassaemia Carrier
- Authors: Nazmul Haque, Sheikh Azimul Hoque, Ariful Islam, Yamin Shahriar Chowdhury, Bithi Debnath, Narayan Chandra Saha
  Pages: 40 - 43
  Abstract: Background: Determination of thalassaemia carrier is the mainstay of prevention and in this context red cell indices like mean corpuscular volume (MCV) and mean corpuscular haemoglobin (MCH) provide valuable tool for determination thalassaemia carrier.Objective: The purpose of the present study was to determine the diagnostic test validity of combined use of MCV and MCH for the determination of thalassaemia carrier.Methodology: This case-control study was carried out in the Department of Pediatrics and Department of Medicine at MAG Osmani Medical College Hospital, Sylhet, Bangladesh from September 2007 to January 2009 for a period of one year and five months. Siblings and cousins of beta thalassaemia major and haemoglobin-E (Hb-E) beta thalassaemia at any age with both sexes were selected for this study. Detailed history and thorough physical examination were performed meticulously. MCV, MCH and Hb-Electrophoresis were performed in all patients.Result: A total 128 siblings and cousins of beta thalassaemia major and Hb- E -beta thalassaemia were recruited for this study. Sensitivity, specificity, positive predictive value and negative predictive value of combine MCV & MCH in determination of thalassaemia carriers are 95.2%, 93.8%, 93.7% and 95.3% respectively.Conclusion: In conclusion combined use of MCV and MCH has high diagnostic validity for the detection of thalassaemia carrier.Journal of Current and Advance Medical Research 2017;4(2):40-43
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36353
  Issue No: Vol. 4, No. 2 (2018)
Risk of Teenager Pregnancy in Adverse Neonatal Outcome: A Hospital Based
Case-Control Study
- Authors: Rumi Farhad Ara, Jahangir Alam
  Pages: 44 - 47
  Abstract: Background: Teenage pregnancy is a risk of adverse neonatal outcome.Objective: The purpose of the present study was to estimate the risk of teenage pregnancy in the adverse neonatal outcomes.Methodology: This case-control study was conducted in the Department of Obstetrics and Gynecology at Dhaka Medical College & Hospital, Dhaka, Bangladesh and Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh from April to July 1999 for a period of four (4) months. The teenage mothers with the age group of 11 to 19 years who were admitted in the study period was selected as case and pregnant women with the age group of more than 19 years were selected as control group. Perinatal mortality rate was calculated by foetal death after 28 weeks of gestation up to death within one week of delivery per 1000 live births. At birth, babies were examined for any congenital malformation. Gestational age of infants was assessed by Perkins' scoring system. Babies were assessed by Apgar score at l and 5 minutes.Result: A total number of 100 pregnant mothers were recruited for this study of which 50 pregnant mothers were in the case group and the rest 50 mothers were in the control group. Thirty-two babies of teenage mothers were asphyxiated at birth and 56.0% were healthy. At 1 minute, 52.0% babies of teen mothers have more than 7 Apgar score, whereas 86.0% babies born to non-teen mothers showed a Apgar score more than 7 which was also a significant difference. Among the cases, 54.0% babies have birth weight >2.5 kg. On the other hand, 72.0% of babies of non-teen mothers have birth weight >2.5 kg. Higher rate of perinatal morbidity in terms of birth asphyxia, prematurity, intrauterine growth retardation (IUGR), jaundice and septicaemia was found among the neonates of teen mothers than non-teen mothers.Conclusion: In conclusion birth asphyxia, prematurity, intrauterine growth retardation, jaundice and septicaemia are most commonly found among the neonates of teen mothers than non-teen mothers.Journal of Current and Advance Medical Research 2017;4(2):44-47
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36354
  Issue No: Vol. 4, No. 2 (2018)
Effect of Saline Sonosalpingography in Unexplained Infertility
- Authors: Jannat Ara Ferdows, Israt Jahan, Zobaida Sultana Susan
  Pages: 48 - 52
  Abstract: Background: Saline sonosalpingography is a simple technique that has previously proved to be one way of increasing the chance of achieving pregnancy for couples with unexplained infertility.Objective: The purpose of the present was to evaluate the pregnancy rate following saline sonohysterography in stimulated cycles for couples with unexplained infertility.Methodology: This study was designed as prospective randomized controlled trial which was carried out for a period of two years from January 2015 to December 2016. Women with unexplained infertility were selected randomly for saline sonosalpingography and the procedure was carried out three to four days before ovulation in stimulated cycle. Outcomes measure were rate of pregnancy, first trimester abortion, multiple pregnancy, ectopic etc.Result: In this study total number of 55 patients were recruited for this study and saline sonosalpingography was performed over 2(two) years. Age range was from 23 to 42 years. Maximum patients are within the age range of 23 to 27 years. Among 55 patients, 23 were pregnant. Pregnancy rate was 41.81% cases. Singleton pregnancy without any complication was 52.17% cases. Twin pregnancy rate was 13.01% cases. Among them twin with single fetus demise was 4.3% cases, missed abortion 21.7% cases and ectopic was 8.7% cases.Conclusion: With good case selection, therapeutic hydrotubation may be beneficial in resource poor countries, especially in patients with incomplete tubal occlusion bilateral perifimbrial adhesions and as part of treatment for unexplained infertility. This demonstrates increased chance of pregnancy in this group. So further evaluation is needed to upgrade the result of the study.Journal of Current and Advance Medical Research 2017;4(2):48-52
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36355
  Issue No: Vol. 4, No. 2 (2018)
Mammographic Evaluation of Breast Mass & Comparison with
Histopathological Findings
- Authors: Lovely Yesmin, Rued Hossain, Bibekananda Haldar, Mohammad Sazzad Hossain, Sajida Nahid, Kazi Shantono Saiham, Nusrat Jahan
  Pages: 53 - 57
  Abstract: Background: Mammography is used for the detection of breast cancer.Objective: The purpose of the present study was to evaluate the diagnostic performance of Mammography in the diagnosis of benign and malignant breast mass.Methodology: This cross-sectional type of study was carried out in the Radiology & Imaging department of Sir Salimullah Medical College and Mitford Hospital, Dhaka, during July 2013 to June 2015. Patients clinically suspected as having breast mass, referred in the above mentioned hospitals and enrolled for surgical management were included in this study. Mammography were done in all these patients and they were followed up from the admission up to the post-operative tissue diagnosis of breast mass in respective pathology departments for histopathological correlation.Results: A total of 41 patients had mass among them, 3(7.3%) cases were malignant and 38(92.7%) cases were benign patients. Histopathological diagnosis of invasive ductal carcinoma, invasive lobular carcinoma and medullary carcinoma were 8(14. %), 4(7.00%) and 1(1.8%) respectively. Mammography malignant was found 14 cases out of which 10(76.9%) malignant and 4(9.1%) benign evaluated by histopathology. Mammography benign was found 43 cases out of which 3(23.1%) malignant and 40(90.9%) benign evaluated by histopathology. The sensitivity was 76.9%, specificity 90.9%, accuracy 87.7%, positive predictive values 71.4% and negative predictive values 93.0% in mammography.Conclusion: Mammography is highly sensitive, specific, reliable and useful method in the differentiation of malignant and benign breast masses.Journal of Current and Advance Medical Research 2017;4(2):53-57
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36356
  Issue No: Vol. 4, No. 2 (2018)
Rheumatoid Factor in Type 2 Male Diabetes Mellitus Patients in a Tertiary
Care Hospital of Bangladesh
- Authors: Roksana Yeasmin, MA Muttalib, Kazi Nazneen Sultana, Nizamul Hoque Bhuiyan, Md Jamil Hasan Karami, Ayatun Nesa
  Pages: 58 - 62
  Abstract: Background: Type 2 diabetes mellitus is a chronic disease characterized by relative or absolute deficiency of insulin, resulting in glucose intolerance.Objectives: The present study was planned to see the associations of serum uric acid with positive Rheumatoid factor in type 2 male diabetes mellitus patients. Methodology: This case control study was carried out at the department of Biochemistry at Ibrahim Medical College, Dhaka, Bangladesh. The duration of the study was from June 2015 to June 2016 for a period of one year. In this present study, male patients with type 2 diabetes mellitus were taken as case group and age and sex matched healthy male were taken as control group. Rheumatoid factor was measured from the blood of all case and control group respondents. Others blood para meters were also measured for the correlation with the diabetes mellitus patients.Results: In this present study, 110 male patients presented with type 2 diabetes mellitus were recruited as case and age and sex matched healthy male were recruited as control. More rheumatoid factor positive in type 2 DM male patients with the uric acid range between 6.5 to 9.5 mg/dL. The number of patients was 5 out of total 9 rheumatoid factor positive cases. In this study serum uric acid was significantly correlated with rheumatoid factor in type 2 male diabetic patients. Rheumatoid factor positive cases were taking insulin among 9 and it was statistically significantly associated (p<0.001). Conclusion: In this study serum uric acid is significantly associated with positive rheumatoid factor in type 2 male diabetic patients.Journal of Current and Advance Medical Research 2017;4(2):58-62
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36358
  Issue No: Vol. 4, No. 2 (2018)
A Case Report On Cutaneous Leiomyosarcoma with Review of Literatures
- Authors: Mahbuba Begum, Mohammad Sharif Hossain
  Pages: 63 - 67
  Abstract: Cutaneous leiomyosarcoma represents superficial form of leiomyosarcoma which is a rare mesenchymal tumour originating from smooth muscle cells. Clinically cutaneous leiomyosarcoma can be confused with other cutaneous tumour and needs histopathology and immunohistochemistry to confirm the diagnosis. As it is an uncommon malignant neoplasm we encouraged reporting this case who presented to our hospital as an irregular nodular cutaneous lump of short duration in her right thigh. After local excision histopathological examination of excised specimen established the diagnosis of cutaneous leiomyosarcoma. A brief review of literature is also included here.Journal of Current and Advance Medical Research 2017;4(2):63-67
  PubDate: 2018-04-13
  DOI: 10.3329/jcamr.v4i2.36359
  Issue No: Vol. 4, No. 2 (2018)