bluuebunny/crossref_metadata_2025_split huggingface dataset:
Duplex color doppler study of uterine artery in early diagnosis of preeclampsia
Authors: Sultana Sohely , Yasmin Tarana , Mollah Md Nazir Uddin , Roy Shyamal Kumar , Hossain Mohammad Sazzad , Al-Amin Abdullah 
Published: June 2019

Background: This cross sectional study was carried out to observe Doppler wave form in subjects with preeclampsia enrolling 40 subjects with preeclampsia, in the Department of Radiology and Imaging, Dhaka Medical College Hospital, Dhaka, over a period of six months from 20th May 2012. A total number of 40 normal pregnancies were also included for comparison.
Methods: Objective of the study was to observe Doppler wave form in subjects with preeclampsia. While specific object is To see PSV, EDV, RI, PI in different groups of study subjects from 24th to 37th weeks and find out significant difference of different Doppler indices in between two groups (i.e.,to calculate the proportion of subjects having early diastolic notch in two groups).
Results: Majority (35% in normal and 37.5% in preeclampsia) of the respondents were found in the age group of 21-30 years. Unpaired t-test revealed no significant difference between mean age between two groups. Among normal group, mean±SD PSV, EDV, PI and RI were 43.94±15.41 cm/sec and 15.51 (±4.93) cm/sec, 1.12±0.0846 and 0.571 (±0.058) respectively. Mean PSV, EDV, PI and RI were 83.19±18.44 cm/sec, 11.86±5.19 cm/sec, 2.497±0.369 and 0.8255±0.087 in preeclampsia group. There was statistically significant (By unpaired t-test) difference in mean Doppler indices between these two groups. It was observed that early diastolic notch was found in 90% subjects with preeclampsia. Early diastolic notch was observed in Doppler wave form in 5% subject with normal pregnancy. Chi-square test showed that there was statistically significant difference in presence of early diastolic notch between normal subjects and subjects with preeclampsia.
Conclusion: It may be concluded that doppler indices with presence of early diastolic notch are reliable indicators for early detection of preeclampsia.
Bangladesh Med Res Counc Bull 2019; 45: 34-40
Endoscopic ultrasound guided fine needle aspiration in the diagnosis of intra-abdominal lesions
Authors: Alam AHM Towhidul , Chowdhury Md Abul Kalam , Das Chitta Ranjan 
Published: June 2019

Background: Endoscopic ultrasound guided fine-needle aspiration cytology (EUS-FNA) in the diagnosis of intra-abdominal lesion is a safe and accurate procedure which is practiced in various parts of the world.12 However, this technique is very new in Bangladesh. To evaluate the diagnostic utility of endoscopic ultrasound guided fine needle aspiration (EUS-FNA) in the diagnosis of abdominal lesions.
Methods: EUS-FNA was carried out on a total of ­48 cases during the study period. The lesions were categorized according to the site of FNA. Clinical impression was compared with the final cytological diagnosis and the percentage of non diagnostic smears was calculated.
Results: Out of 48 cases, 10 cases (20.8%) were reported as inconclusive while a definite diagnosis was given in 38 cases (79.21%). The mean patient age was 47.68 years. There were 28 (58.33%) males and 20 (41.67%) females. The most common site biopsied was pancreas followed by abdominal lymph node. The average number of passes made was two.
Conclusion: Endoscopic Ultrasound Guided Fine-Needle Aspiration in the diagnosis of intra-abdominal lesion is a useful procedure in the evaluation of deep seated lesions of gastrointestinal tract (GIT) and abdominal cavity.
Bangladesh Med Res Counc Bull 2019; 45: 41-46
Care seeking behaviour of Bangladeshi migrant workers in Sarawak, Malaysia
Authors: Rahman Md Mizanur , Arif Mohamad Taha , Safii Razitasham , Tambi Zainab , Akoi Cliffton , Jantan Zulkifli , Halim Syahrizal Abdul 
Published: June 2019

Background: Migrant workers are exposed to vulnerable health risks related to occupational safety, infection and personal health risk behaviours. These vulnerabilities, together with low capacity to pay medical care, and poor access to healthcare, can result in unsatisfactory health outcomes. This objective of the study was to determine the pattern of morbidity and the care seeking behaviour of Bangladeshi migrant workers in Sarawak.
Methods: This cross-sectional study was conducted among Bangladeshi migrant workers in selected districts in Sarawak, Malaysia. A total of 314 Bangladeshi workers were interviewed by face to face using a pre-designed and validated questionnaire. Simple descriptive analysis was done using SPSS version 22.0. However, to supplement the quantitative findings, field notes were also analysed.
Results: The mean (SD) age of the respondents was 35.9 (7.3) years. Most of the workers were engaged in manufacturing job (43%) followed by construction (32.2%) and a variety of job according to the employers' desire (22.9%). The median monthly salary of the workers was MYR 923 with median duration works was 10 years. One-fourth of the workers (25.5%) had no health insurance, while another one tenth of workers were unaware of health insurance. It was found that 20% had medial ailments in the last two weeks, while 45.2% had physical complaints in the last one month. The most frequent complaints were fever (48.4%) followed by injuries (11.3%) in the last two weeks. About three fifths (57.4% in last two weeks and 60.6% in last one month) visited private health hospitals or clinics for their treatment. Only a few workers visited public hospitals or clinics for their ailments. One-fifth of the workers were self-medicated. While another one tenth of workers visited traditional healer for their ailments. Qualitative analysis revealed a high cost and no scope of bargain as factors which discourage them to take treatment from public hospitals or clinics. The majority of migrant workers in this study sought healthcare when they fell ill.
Conclusion: However, knowledge about health-related insurance was poor and low wage might be significant issues in accessing health care services. The study concluded that workers’ friendly health policy could be instituted for the welfare of the foreign workers’ despite of their awareness of local health services.
Bangladesh Med Res Counc Bull 2019; 45: 47-53
Subcutaneous emphysema and pneumomediastinum following adenotonsillectomy
Authors: Naha Aborvab , Akhtar Nasima , Datta Pran Gopal , Datta Anindita 
Published: June 2019

Adenotonsillectomy is a commonly performed surgery for an Otolaryngologist. The most common complication is post operative bleeding. However, it can potentially be associated with several other complications. Subcutaneous emphysema after adenotonsillectomy one of the rare complication but potentially life threatening. A case of 6 years old boy who developed cervicofacial subcutaneous emphysema and pneumomediastinum following adenotonsillectomy is reported here.
Bangladesh Med Res Counc Bull 2019; 45: 62-65
Hyperbaric Oxygen Therapy in Non Healing Wounds in a Referral Hospital of Bangladesh
Authors: Rahman Masroor Ur , Khan Mohammad Rabiul Karim , Ahmed Tanveer , Islam Md Salek Bin , Nayeem Rahatun , Kalam Md Abul 
Published: June 2019

Introduction: The therapeutic use of oxygen under pressure is known as hyperbaric oxygen therapy (HBOT) and has been used to assist wound healing for almost 40 years. The purpose of the present study was to see the outcome of hyperbaric oxygen therapy following its use in non healing wounds.
Methods: This prospective observational study was conducted in the Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka, from March 2016 to February 2017 for a period of 12 (twelve) months. The study was carried out on patients with non healing wounds. Patients were initially assessed with detailed history, clinical examination and investigations, and then treated with hyperbaric oxygen therapy for 90 minutes per session in 6 days a week for 25 cycles. Wound was assessed clinically, and with transcutaneous oximetry and laboratory investigations.
Results: Eighty patients were included, where 52 (65.0%) patients had diabetic ulcer, followed by post traumatic wound (14) and venous ulcer (7). Fifty nine (73.75%) patients had initial wound size of < 50 cm2 with mean size 14.78 ± 12.5 cm2. Wound size reduction rate after 15 cycles of HBOT was 42.78%, and after 25 cycles of HBOT it was 61.21%. Among the 80 patients, 60 (75.0%) had moderate amount of discharge before HBOT; 19 (31.67%) & 25 (41.67%) reduced to small & no discharge after 25 cycles of HBOT respectively. 39 (48.75%) patients had serosanguineous discharge before HBOT, followed by 36 (45.0%) and 5 (6.25%) patients with purulent and serous discharge. Among the 39 patients with serosanguineous discharge, 15 (38.46%) & 20 (51.28%) patients had serous & no discharge after 25 cycles of HBOT respectively. Before starting HBOT, mean transcutaneous oximetry was 58.26 ± 3.84 mmHg, and it was 62.1 ± 6.27 mmHg and 66.92 7.52 mmHg after 15 and 25 cycles of HBOT respectively.
Conclusion: So it can be stated that the hyperbaric oxygen therapy is a good option in treating different non healing wounds.
J Bangladesh Coll Phys Surg 2019; 37(3): 109-118
Pattern of Malocclusion in Patients Attended in Orthodontic Department of a Tertiary Level Hospital
Authors: Rita Sufia Nasrin , Hasan Mahdee , Dhar Partha Protim , Abrar Maruf Hossain , Sadat SM Anwar 
Published: June 2019

The aim of this study was to determine the pattern of individual traits of malocclusion, including sagittal molar relationship, overbite, overjet, crowding, spacing, cross bite, missing tooth, impacted tooth and extra tooth of upper and lower jaws in patients attended in Orthodontic Department of a Tertiary Level Hospital. This cross-sectional study included orthodontic patients who visited the department of Orthodontics and Dentofacial Orthopedics in Sapporo Dental College and Hospital from January 2013 to February 2018. Among the study population comprised of 371 patients the females were 57.1% and the males were 42.1%.Among them, 6.7% belonged to 6 to 11 years, 20.5% belonged to 12 to 17 years and the remaining 72.8% were of 18-35 years of age . Angles Class I malocclusion was seen to be the most prevalent (64.2%). In incisor classification, Class I malocclusion was seen to be the most prevalent (38.3%). Increase in overjet, deep overbite, crossbite, crowding and spacing were found in 35.34%, 40.3%, 24.3%, 58.2% and 38.5% of the patients respectively.
J Bangladesh Coll Phys Surg 2019; 37(3): 119-123
A Clinical Study on Chikungunya Fever in a Multidisciplinary Hospital of Dhaka City
Authors: Rabbani Safia Binte , Saha Pradip Ranjan , Hossain Md Iqbal , Begum Afsana , Talukder Md Jahangir 
Published: June 2019

Chikungunya is one of the most rapidly spreading Aedes mosquito-borne viral infectious diseases. Recently in Bangladesh it has emerged as an important public health issue. Chikungunya virus (CHIKV) mostly spread by Aedes aegypti and Aedes albopictus, an anthropophilic mosquito species widely distributed in Asia, Europe, Africa and America. Our objective was to determine the clinical, biochemical and radiological features of patients at the acute phase of CHIKV infection. The purpose of study was to evaluate the literature and summarize the current state of CHIKV-associated disease, including clinical presentation, diagnosis, risk factors for development of severe diseases, complications and treatment. We present 253 confirmed cases of chikungunya having different clinical presentations occurring among adult patients from different background including foreigner in Dhaka city, admitted in a tertiary level hospital situated in Gulshan from march’17 to November 2017 . All patients had fever and joint pain. Other common features were rash, diarrhoea, vomiting, confusion, and altered liver biochemistry. Adult patients with multiple co-morbidities admitted in hospital with male preponderance of 59 % and rest were female 41%. Most common complication was post CHIKV arthritis (79%) and rest of the less common complications were post viral asthenia (34%), myocarditis (27%), pneumonitis (30%). Dengue was excluded in all patients. Paracetamol remained the mainstay of treatment during febrile periods, but around 62% of the patients had prolonged joint symptoms requiring non-steroidal antiinflammatory drugs, colchicines, steroid. Among joint involvement, ankle joints were commonly involved joint presented with post viral arthritis. Since there is no specific treatment of chikungunya, prevention through vector control and public health education is the key.
J Bangladesh Coll Phys Surg 2019; 37(3): 124-129
Psychiatric Disorders among Suicidal Behavior Patients Attending Mental Health Facilities: A Descriptive Crosssectional Study
Authors: Islam Md Shahedul , Mamun Sk Abdullah Al , Haque Md Mosharul , Mohammad Khan Niaz , Rashid Md Harun Ar , Sinha Ramendra Kumar , Abedin Mohammed Forhad , Uddin Md Nizam 
Published: June 2019

Background: Suicide is a leading cause of death worldwide. This is the first study in Bangladesh to find out the psychiatric morbidity profile and suicidal behavior. The study was aimed to delineate the types of suicidal behavior and the psychiatric morbidity profile, and sociodemographic status of patients.
Methods: A descriptive cross-sectional study was done in Depatrment of Psychiatry, Cumilla Medical College, Cumilla from October 2015 to March 2017. A total 120 patient aged 9 to 40 years who fulfilled the enrolment criteria included in the study. The Composite International Diagnostic Interview (CIDI) module was used to assess the suicidal behavior. DSM-5 was used to diagnose the psychiatric disorders. Semi structural questionnaire were used for collecting information about the risk factors for psychiatric morbidity and sociodemographic information. Result: Of 120 suicidal behavior patients’ psychiatric disorders was 65%. Among suicidal behavior patients neurotic disorders was 19%, psychotic disorders was 15%, personality disorders was 39% and others disorder was 27%. Among 78 psychiatric patients borderline personality disorder was 25.64%, adjustment disorders were 15.38%, mood disorders were 11.53%, psychotic disorder was 7.69%, multiple personality disorder and oppositional defiant disorder were 6.42%, hystrionic personality disorder and substance use disorder were 3.84%, antisocial personality disorder, conduct disorder and anxiety disorder were 2.57%, and composite disorder was 11.53%. Among suicidal behavior in psychiatric patients suicidal ideation was 54, suicidal plan was 13, suicidal attempt was 45 , ideators only proceeded to plan was 17, ideation to attempt was 59. Among suicidal behavior in total 120 participants suicidal ideation was 84, suicidal plan was 19, suicidal attempt was 56, ideators only proceeded to plan was 26, ideation to attempt was 76, planned attempt was 14 and impulsive attempt was 62. Most of the suicidal behavior participants were female (77.5%) and age group of <24 years (60%).
Conclusions: Psychiatric disorders are important risk factors for the onset and persistence of suicidal behaviour, with this risk being the greatest in childhood, and early adult.
J Bangladesh Coll Phys Surg 2019; 37(3): 130-134
Duodenal Varices: A Rare Manifestation of Portal Hypertension
Authors: Basak Deepankar Kumar , Gomes Richmond Ronald , Arfin Md Samsul 
Published: June 2019

We report a case of haematemesis & melaena due to ectopic varices located in the duodenum in a patient with NASH related CLD. Duodenal varices are a rare but potentially serious consequence of portal hypertension in the event of a bleeding. The etiology of duodenal varices can be classified into hepatic (e.g. cirrhosis) or extra hepatic (e.g. portal, splenic or superior mesenteric vein thrombosis). Endoscopic injection sclerotherapy (EIS) and endoscopic variceal ligation (EVL) are widely accepted as primary therapies for esophageal variceal bleeding whereas bleeding gastric fundal varices are usually treated with cyanoacrylate injection or shunt procedures. However there is no widely accepted treatment modality for duodenal varices. In the case presented, we used injection sclerotherapy with ethanolamine oleate, to obliterate varices and control bleeding. A short review on the etiology pathogenesis and management of ectopic varices is presented.
J Bangladesh Coll Phys Surg 2019; 37(3): 156-159
Surgical and intervention treatment of secondary pancreatic infections
Authors: Krivoruchko I. A. , Boyko V. V. , Mushenko Y. V. , Drozdova A. G. 
Published: June 2019

Introduction. Many experimental and clinical studies have improved our understanding of the pathophysiology of acute pancreatitis. Today, there are no disagreements over the timing and basic indications for surgery in this disease, but there are still various surgical approaches.
Methods. A retrospective and prospective two-center controlled study was conducted in 582 patients with acute pancreatitis treated in 2004–2018. Age of patients was 53 ± 12,5 years. The classification of the disease was used according to the recommendations of the International Consensus 2012. Patients included in the study were treated in accordance with the IAP/APA (2013) recommendations adapted to local resources and procedures. Of 582 patients, 387 (66,5%) patients with mild to moderate heaviness performed complex treatment, including 89 patients undergoing surgery. According to the goals and objectives of the study, other patients were divided into two groups: the main group – 103 patients with secondary pancreatic infection, who used the tactic of treatment «step-up approach»; а comparison group – 92 patients with open surgical intervention.
Results. In the comparison group were used open necrosectomy and drainage. Postoperative complicationshavearisenin52 (56,2%)patients. After surgery died 26 patients (28,3%), 19 had a 30-day mortality and 7 had a 90-daymortalityof them. In the main group 62 (60,2%) patients were treated by percutaneous controlled ultrasound intervention, 26 (25,2%) by videolaparoscopic necrosectomy and drainage and at 5 (4,9%) drainage through the wall of the stomach or duodenum. In 10 (9,7%) open operations were performed (minilumbotomy, upper medial, left or right-winged minilaparotomy with formation of mini-bursostomy) with pancreatic necrosectomy, including at 5 decompressive VAC-laparostomy local access. Postoperative complications have arisen in 33 (32%) patients. After surgery died 15 patients (14,6%), 6 had a 30-day mortality and 9 had a 90-day mortality of them. When comparing the two strategies of the treatment-tactical approach, the number of postoperative complications and mortality were lower than in the group of patients who performed only open surgical interventions (х2 = 6,976, p = 0,011).
Conclusion. The our research showed that an individualized approach to patients with secondary pancreatic infection using the step-up approach provides a reduction in the number of laparotomic pancreatic necrosectomies and allows postponing «open» surgical interventions for a period after the 4th week from the onset of the disease and reducing the number of postoperative complications and mortality (х2 = 6,976, р = 0,031).
Diagnosis and treatment of destructive forms of acute pancreatitis
Authors: Mishchenko V. V. , Hrubnyk V. V. , Pustovoyt P. I. , Horyachyy V. V. , Velychko V. V. , Vododyuk R. Yu. 
Published: June 2019

Purpose of the study. The study of the diagnosis and treatment of destructive forms of acute pancreatitis and the identification of possible ways to optimize them.
Materials and methods. Destructive forms of acute pancreatitis were found in 16,8%. The algorithm for treating acute destructive pancreatitis consisted in artificial ventilation of the lungs, adequate infusion therapy, peridural anesthesia, setting up a nasoenteric probe, stimulating the bowels, correcting hemodynamics, intraand extracorporal detoxification, antisecretory, anti-bacterial, hepatoprotective, cerebroprotective, antioxidant therapy, directed immune correction, use of anti-enzyme drugs, suppression of the release of mediators inflammation, external secretory activity of the pancreas. Medical video laparoscopy and puncture interventions under the control of ultrasound were used as the first stage of surgical treatment. The indications for traditional surgical interventions are large areas of aseptic destruction, unlimited infected pancreatic necrosis, infection of necrotic areas with complete cell sequestration, abscesses with large sequesters, abdominal phlegmon, signs of progressive multiple organ failure and the development of arousal hemorrhage, perforation of cystic formations in the abdominal cavity, perforation of a hollow organ, purulent peritonitis.
Results. The developed therapeutic tactics allowed, in destructive forms of acute pancreatitis, to achieve a reduction in overall mortality to 23,4%.
Conclusion. Diagnostic and treatment tactics for destructive forms of acute pancreatitis should be standardized depending on the timing, severity of the disease, localization and prevalence of the destructive process, systemic and local complications.
Structural analysis of morphometric and morphofunctional state of immunocompetent blood cells in case of purulent-inflammatory diseases of soft tissues on the background of type 2 diabetes
Authors: Zheliba M. D. , Bogachyuk M. G. , Pokidko M. I. , Khimich S. D. 
Published: June 2019

Relevance. According to the study’s results, steady changes in various parts of the immune system: cellular, humeral, phagocytic activity is revealed in patients with type 2 diabetes. Hyperglycemia, hyperlipidemia, insulin resistance, and adaptive ehyperinsulinemia affect the cells of the immune system, promoting the development of metabolic immunosuppressant and forming a stable immunological disorder.
The purpose of the study into the morphometric and morphofunctional state of peripheral blood leukocytes in patients with type 2 diabetes to determine their significance in the development of purulent-inflammatory diseases of soft tissues are research.
Materials and methods. In this work, the analysis of morphometric, cytogystochemical and laboratory study results of the control (20 healthy volunteers) and thematic (47 patients with supportive soft tissue disease son the background of type 2 diabetes mellitus) study groups with the statistical processing of the obtained results was used.
Results. The investigation of morphofunctional features of nonspecific and specific protection cells for purulent inflammatory diseases of tissues on the background of type 2 diabetes showed that the basis of diabetic complications are there vealed changes in the bactericidal activity of segmented neutrophils. The trend of indicators of leukocyte formula and the distribution curve of mononuclear cells by size, as well as the growth of the lymphocyticgranulocytic index, indicate a chronic formation of endotoxin synthesize of diabetes.
Conclusions. Lowering the level of cationic proteins, the activity of myeloperoxidase and the NBT-test under stimulation of neutrophil granulocytes bylectinsis a sign of unsatisfactory state of the bactericidal cells system, which may be the cause of chronic and acute inflammatory processes in the body that accompany type 2 diabetes, to a functional exhaustion of the macrophage link in the organism immune defense.