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Journal of Current and Advance Medical Research
Number of Followers: 2

This is an Open Access Journal

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

[107 journals]

Structural Peculiarities of SARS CoV2
- Authors: Iftikhar Ahmed
  Pages: 49 - 49
  Abstract: Abstract not available Journal of Current and Advance Medical Research 2020;7(2): 49
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49589
  Issue No: Vol. 7, No. 2 (2020)
Pattern of Respiratory Diseases in Pediatric Unit of a 250 Bedded District
Level General Hospital in Bangladesh
- Authors: Sudesh Chandra Rakshit, Md Mahbubur Rahman, Mohammad Abdul Hye, Ahmed Ferdous Jahangir, Palash Kumar Biswas, Emdadul Haque Raju, Md Iqbal Hossain, Md Khairul Alam, Md Manir Hasan
  Pages: 50 - 54
  Abstract: Background: The morbidity and mortality of under five children due to respiratory illness still not in acceptable range in spite of multiple ongoing national programs including IMCI. Objective: The present study was intended to explore the pattern of respiratory illnesses and their hospital outcome seen in admitted children admitted with respiratory illnesses. Methodology: This present retrospective study was conducted in children up to 12 years of age admitted with acute respiratory illness in pediatric unit of 250 bedded Jashore General Hospital, Jashore, Bangladesh from February 2019 to January 2020. All children between the age limit with acute respiratory illness were included in the study. Data were collected from treatment file and admission register. Results: A total of 7,484 patients were admitted in pediatric unit. Among them 840 cases (11.2%) were admitted with respiratory illnesses and bronchopneumonia contributing the majority cases 410(48.8%), followed by bronchiolitis 190(22.6%), childhood asthma 110(13.1%), wheezy child 70(8.4%), URTI 45(5.3%), laryngomalacia 12(1.4%) and tuberculosis 3(0.4%). Males were predominant in every group. Majority of respiratory diseases were from poor socioeconomic background and found lately referred. Conclusions: In conclusion respiratory illnesses contributes to most common cause of admission in pediatric unit of district level hospital Journal of Current and Advance Medical Research 2020;7(2): 50-54
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49590
  Issue No: Vol. 7, No. 2 (2020)
Removal of Arsenic from Isolated Liver Tissues of Experimental Rat by
Kalmishak
- Authors: Andalib Mustafa Iqbal Ira, Jalaluddin Iqbal, Eliza Omar Eva, Jesmin Fauzia Dewan, Sayedur Rahman, Naznin Rashid Shewly, Mir Misbahuddin
  Pages: 55 - 59
  Abstract: Background: Kalmishak has some ability of removal of inorganic matter. Objective: The purpose of the present study was to see the ability of Kalmishak for the removal of arsenic from isolated liver tissues of rat. Methodology: This animal study was carried out on isolated liver tissues of Long Evans Norwegian adult healthy male rats weighing 160 to 200 g. The rats were 3 to 6 months of age obtained from animal house of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from 2004 to 2005. Measurements and all tasks were performed in a very careful manner. Atomic Absorption Spectrophotometer with Hydride Generator was used to measure the arsenic level. No arsenic was added in test tube I. 2.5 g/ml arsenic trioxide was added rest of the test tubes. They all were incubated for 45 minutes at 370C. Then the tissues were washed properly. In second incubation, different extracts of kalmishak (C 1and C 2) were added at 20 l/ml dose. Second incubation was also for another 45 minutes at 370C. There were duplicates of all test tubes. Result: When the tissues were incubated with no arsenic in both 1st and 2nd incubation the amount of arsenic was found 6.62 ± 3.40 μg / g (mean ± s.e) of protein and it was considered as blank. The liver tissues of rat loaded with 2.5 μg / ml arsenic were incubated for 45 minutes at 37°C with no extract and the amount of arsenic was 98.32 ± 36.10 μg / g (mean ± s.e) of protein and the value was considered as standard. The blank value was then deducted from the standard and the derived value was considered as control. After exposure with Compound -1 (20 μl /ml) in second incubation for 45 minutes at 37°C, the amount of arsenic was 69.57 ± 7.60 μg / g (mean ± s.e) of protein. There was 13.00% removal of arsenic. Conclusion: In conclusion Kalmishak has the ability to remove of arsenic from isolated liver tissues of rat. Journal of Current and Advance Medical Research 2020;7(2): 55-59
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49591
  Issue No: Vol. 7, No. 2 (2020)
Histopathological Pattern and Post-Operative Surgical Outcomes of
Gynaecological Malignancies: Three Months Experience in a Teaching
Hospital of Bangladesh
- Authors: Kashifa Khatun, Naznin Rashid Shewly, Jinnat Ara Islam, Rogina Amin, Shimul Akter, Mst Umme Hani, Shamsun Nahar
  Pages: 60 - 63
  Abstract: Background: Gynaecological malignancies are not uncommon in Bangladesh. Objective: The purpose of the present study was to see the histopathological pattern and post-operative surgical outcomes of gynaecological malignancies. Methodology: This clinical trial was conducted in the Department of Gynaeoncology at Dhaka, Medical College, Dhaka, Bangladesh from July to September 2019 for a period of three months. All the women presented with gynaecological malignancies with the age group of more than or equal to 18 years were selected as study population. The different patterns of gynaecological malignancies were diagnosed by histopathological examination after surgical operation. The immediate post-operative outcomes were measured. Result: A total number of 105 cases of gynaecological indoor patients were performed of which ovarian tumor was found in highest number which was 53(50.5%) cases followed by carcinoma of cervix (22.8%), endometrial carcinoma (5.7%) and vulval carcinoma (1.9%). The most common ovarian cancer was serous type carcinoma which was 14(26.4%) cases. In this study 101(96.2%) cases were survived and the rest 4(3.8%) cases were died. Conclusion: In conclusion most common cause of gynaecological operation has been performed due to ovarian tumor, carcinoma of cervix and endometrium. Journal of Current and Advance Medical Research 2020;7(2): 60-63
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49592
  Issue No: Vol. 7, No. 2 (2020)
Outcome of Patch Test on Crack Sole among Bangladeshi Population
- Authors: Abu Sayeed Mohammad, Shahadat Hossain, Zulfiqur Hossain Khan
  Pages: 64 - 67
  Abstract: Background: Crack sole may produce significant morbidity among the physical labourer. Objective: The purpose of this study was to find out the patch test result in crack sole which was due to allergic contactants. Methodology: This test was conducted in the Department at Dermatology and Venereology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2001 to June 2002 for a period of one year. Patients with crack sole were selected as study population. All patients were asked about the details clinical history. Patch test was done by individually prepared alminium Finn Chamber mounted on scanpore tape. Result: A total number of 15 patients were recruited for this study after fulfilling the inclusion and exclusion criteria. The age range was 8 years to 70 years. Among 15 patients 3 patients were patch test positive remaining 12 patients were patch test negative. Two patient were female and one was male. Conclusion: In conclusion patch test is positive among the crack sole patients. Journal of Current and Advance Medical Research 2020;7(2): 64-67
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49593
  Issue No: Vol. 7, No. 2 (2020)
Evaluation of an Antibody-Based Test for the Diagnosis of Chikungunya
Infection
- Authors: Mohammad Tanvir Islam, Afzalun Nessa, Sharmin Sultana, Mohammad Rafiqul Islam, Mohammad Ferdous Ur Rahaman, Mohammad Ehasun Uddin Khan, - Md Hasan, M Atiqul Haque
  Pages: 68 - 72
  Abstract: Background: The diagnosis of chikungunya is confusing due to similar clinical presentations of different viral illnesses. Objective: The purpose of the present study was to evaluate the accuracy of an antibody-based test for the diagnosis of chikungunya infection Methodology: This cross-sectional study was conducted at the Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, from July to September 2017 when an outbreak of chikungunya occurred in Bangladesh. Chikungunya patients were evaluated by the IgM antibody test by immunochromatographic method (ICT) during both the early phase and the convalescent-phase. The sensitivity and specificity of the IgM antibody test were estimated considering the polymerase chain reaction (PCR) method as the gold standard. Result: The sensitivity and specificity of the IgM antibody test in the acute phase were 2.7 percent and 79.5 percent, respectively. In contrast, in the convalescence phase, sensitivity and specificity were 86.5 percent and 33.3 percent. Conclusion: Antibody-based testing was found not suitable for detecting chikungunya infection during the acute phase of the illness. Journal of Current and Advance Medical Research 2020;7(2): 68-72
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49594
  Issue No: Vol. 7, No. 2 (2020)
Long Term Effect of Acute Intestinal Obstruction Management following
Laparotomy in a Tertiary Care Hospital
- Authors: Md Mamunur Rahman, Nelema Jahan, Md Mahfuzul Momen, Syed Masud Reza, Karina Rahman, Sonia Akter, Suman Chandras Roy
  Pages: 73 - 79
  Abstract: Background: Post-surgical outcomes are very crucial for acute intestinal obstruction following laparotomy. Objective: The purpose of the present study was to identify the causes and risk factors that influence the outcome of post laparotomy acute intestinal obstruction and also to assess their management and outcome. Methodology: This cross sectional study comprising fifty patients irrespective of age and sex with diagnosis of Acute intestinal obstruction following laparotomy who attended at the Department of Surgery in different tertiary Hospital of Dhaka city, within the time period of July 2017 to June 2019. All these data were analyzed and tried to find out the outcome of management of acute intestinal obstruction following laparotomy. Results: All the 50 patients had undergone some conventional surgeries in previous instance. Acute intestinal obstruction was found in 80.0% of cases who had undergone emergency surgery and 20.0% cases were after routine surgery. The reasons behind Laparotomy for burst appendix (16.0%) followed by laparotomy for blunt trauma abdomen (12.0%) and classical appendicectomy (12.0%). After conservative management complication rate was low (21.0%) and the most prominent complication was UTI (28.57%) whereas mortality was 14.29%. After surgical management complication rate was higher which was in 56.25% of cases. Conclusion: Post laparotomy of acute intestinal obstruction can improve the outcome and reduce the chance of relaparotomy, surgical morbidity. Journal of Current and Advance Medical Research 2020;7(2): 73-79
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49595
  Issue No: Vol. 7, No. 2 (2020)
Indication and Complication of Induction of Labour by Misoprostol among
Pregnant Women in a Clinical Trial in Dhaka City
- Authors: Shafeya Khanam, Nasrin Akhter, Muqsuda Ashraf Shuvro, Trifa Obayed, Habiba Shamim Sultana, Shimul Akter
  Pages: 80 - 83
  Abstract: Background: Misoprostol is very useful for induction of labour among the pregnant women. Objective: The purpose of the present study was to see the indication and complication of induction of labour by misoprostol among pregnancy women. Methodology: This single center clinical trial was carried out in the Department of Obstetrics and Gynaecology at a private hospital in Dhaka city, Bangladesh from September 2005 to February 2006 for a period of six months. Primi or second gravida patients with the gestational age between 37 weeks to 42 weeks in singleton pregnancy with cephalic presentation and not in labour were selected as study population. After proper selection of the cases, induction of labour was done by applying tablet misoprostol 50mcg in the posterior vaginal fornix. Complication of induction were recorded. Result: A total number of 60 patients were recruited for this study. 24 patients were between 23 to 26 years and 12 patients were between 27 to 30 years. Pre-eclampsia, pregnancy induced hypertension and intrauterine growth retardation were the most common indication of induction. In this study 31(51.7%) patients needed only 1 dose of Misoprostol and 24 (40.0%) patients needed 2 doses and only 5(8.3%) patients needed 3 doses of Misoprostal. In this study 11.67% patients experienced Nausea & vomiting and 3.33% patients developed hyperstimulation. Conclusion: In the conclusion, the use of misoprostol results in a shorter induction to delivery time and miserable adverse effects on the method of delivery. Journal of Current and Advance Medical Research 2020;7(2): 80-83
  PubDate: 2020-10-07
  DOI: 10.3329/jcamr.v7i2.49596
  Issue No: Vol. 7, No. 2 (2020)