bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of In-Hospital Complications among Patients with Right Ventricular Infarction
Authors: Bhuiyan AKM Mohiuddin , Hasan KAM Mahbub , Saha Partha Pratim , Fathema Sayeda Sadia , Biplob Najmul Huda 
Published: January 2023

Background: Patients with right ventricular infarction is a critical condition and may cause adverse cardiac events.
Objective: The purpose of the present study was to compare the in-hospital complications among patients with right ventricular infarction based on TIMI risk score.
Methodology: This prospective observational study was conducted in the Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh from May 2007 to April 2008 for a period of one year. All the patients who were admitted into the coronary care unit of NICVD with acute inferior myocardial infarction with or without anterior myocardial infarction were selected as study population. Inclusion Criteria were patients admitted in CCU (NICVD) with acute inferior myocardial infarction with right ventricular infarction. Patients were categorized into two groups according to the extent of TIMI risk score. Patients with low TIMI risk score (0 to 3) were included in Group I and patients with high TIMI risk-score (4 to 14) were include in group II. Patients were followed up in their hospital stay to see the incidence of major cardiac events.
Results: A total number of 60 patients with right ventricular infarction of which 30 consecutive patients with low TIMI risk score (0 to 3) were in Group I and 30 consecutive patients with high TIMI risk score (4 to 14) were in Group II. In-hospital mortality was 18.3% in the study populations and it was significantly higher in group II (33.3%) than group (3.3%). The next most common complication is cardiogenic shock followed by complete heart block, Cardiac arrest, VT and 2nd degree heart block.
Conclusion: In conclusion the in-hospital mortality in the study populations is significantly higher in group II than group I
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):143-146
Evaluation of Thyroid Function Tests among Chronic Kidney Disease Patients attended at a Tertiary Care Hospital in Dhaka City
Authors: Amin Talukder Md Faruq , Islam Md Nazrul , Fidalillah Ansary Eusha Ahmad , Al Mamun Md Abdullah , Hossain Md Bellal , Naznin Rawshon , Chowdhury Md Nizamuddin 
Published: January 2023

Background: Serological status of thyroid hormones is important among chronic kidney disease patients.
Objective: The purpose of the present study was to see the status of thyroid hormones among chronic kidney disease patients.
Methodology: This cross-sectional study was done From January 2013 to December 2013 in the Department of Nephrology, Dhaka Medical College Hospital. A total of 50 diagnosed cases of adult male with different stages of CKD (CKD stage 3, 4, 5 and 5D) patients along with age-matched 51 healthy individuals were included. Serum Thyroid hormone T3 done by [1251] RIA kit, T4 done by T4 [1251] RIA kit, TSH level done by Turbo TSH [1251] IRMA kit.
Result: A total number of 101 patients were recruited for this study of which 51 cases were in the group A and the rest of the 50 cases were in the group B. The mean serum T3 level was found 1.85±0.7 nmoL/L in group A and 2.79±0.55 nmoL/L in group B (p<0.05) which indicated that low serum T3 level was significantly associated with CKD. The mean serum T4 level was found 104.65±34.9 nmol/L in group A and 138.8±31.5 nmol/L in group B (p<0.05). Serum TSH level of the study patients showed that the mean serum TSH level was found 4.23±4.6 mIU/L in group A and 2.06±2.5mIU/L in group B (p<0.05).
Conclusion: In conclusion the mean with SD of serum level of T3, T4 and TSH were significantly associated with chronic kidney disease.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):147-151
Comparison of Interlukin-10, Tumor Necrosis Factor-α and Complement-3 Levels among Bangladeshi Pregnant Women with or without Hepatitis E Virus Infection
Authors: Sultana Rabeya , Parvin Niilufa , Deb Paroma , Munshi Saif Ullah , Tabassum Shahina 
Published: January 2023

Background: Several plasma proteins are proposed as biomarkers for acute HEV infected patients, but have not been validated among pregnant Bangladeshi women infected with HEV.
Objective: In this present study, levels of interlukin-10 (IL-10), tumor necrosis factor α (TNF-α) and complement-3 (C3) were measured among HEV infected pregnant women and were compared with pregnant and HEV infected women.
Methodology: This comparative cross-sectional study was conducted among the pregnant women who were admitted to the Department of Medicine, Department of Obstetrics &amp; Gynecology, and Department of Hepatology of Dhaka Medical College Hospital (DMCH) and Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh for 1 year period. The study population included acute HEV infected pregnant women (HEV-P), healthy pregnant women (HPC) and HEV-infected non-pregnant women (HEV-NP) of the same age group. Interlukin-10 (IL-10), Tumor necrosis factor α (TNF-α) and complement 3(C3) levels were quantified by enzyme linked immunosorbent assay (ELISA) and turbidometry, respectively.
Result: A total number of 81 women were recruited for this study of which 31 cases were acute HEV infected pregnant women (HEV-P); 25 cases were healthy pregnant women (HPC) and 25 cases were HEV infected non-pregnant women (HEV-NP) of the same age group. The mean levels with SD of the C3 level showed significant difference (P; 0.05) between groups of HEV-P (67.73±38.24 mg/dl), HEV-NP (147.9±22.28 mg/dl) and HPC (182.6±17.49 mg/dl). Though plasma TNF-α did not show any significant change (P; .05) in any of the groups, the IL-10 level was elevated significantly (p; 0.05) in HEV infected pregnant patients (0.187±0.3 ng/ml) then the non-pregnant HEV patients (0.027 + .08 ng/ml) and pregnant women group (0.012±0.04 ng/ml).
Conclusion: In conclusion, increased levels of C3 and IL-10 observed in HEV infected pregnant women.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):157-161
Socio-Demographic Characteristics of Abdominal Tuberculosis Patients attended at Tertiary Care Hospital in Bangladesh
Authors: E Khuda Iftekhar Md Kudrat , Momotaj Mst Tanjila , Ahmed Sk Shamim , Ahmed Sk Shamim , Rahman Md Mostafizur , Khatun Mosammat Khadiza , Alom Md Ashraful , Islam Md Nazrul , Islam Rafiqul 
Published: January 2023

Background: The socio-demographic profiles may vary among the abdominal tuberculosis patients. Objectives: The purpose of the presents study was to see the socio-demographic characteristics of abdominal tuberculosis patients.
Methodology: This descriptive cross-sectional study was conducted in the Department of Surgery of Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2014 to December 2015 for two years. This study included 100 patients who were admitted in surgery units of Rajshahi Medical College Hospital, Rajshahi, Bangladesh who were diagnosed as abdominal tuberculosis with or without associated pulmonary or nodal TB. Both male and female patients of any age except pediatric age group irrespective of nutritional and socio-economic status were included in study population. The details of demographic variables like age, sex, residence and so one were recorded in a data collection sheet.
Results: A total number of 100 cases of abdominal tuberculosis patients were recruited for this. Among the 100 cases 52% was within 20 to 30 years of age. The male and female ratio was 2.45:1. Maximum cases (68.0%) were living in rural area. About 82 cases were from lower socio-economic group.
Conclusion: In conclusion young adult male with low socio-economic condition are most commonly suffering from abdominal tuberculosis.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):162-166
Clinico-Demographic characteristics of Patients Presented with exudative Pleural Effusion
Authors: Rahman Mohammed Ziaur , Syed Mahnaz , Ayub Ansary Abdullah Md Abu , Sarwar Shahana , Bahauddin Md , Mohith Muhammad Tanvir 
Published: January 2023

Background: Pleural effusion can occur with varied clinical presentations.
Objective: The purpose of the present study was to see the demographic characteristics and clinical profiles of patients presented with exudative pleural effusion.
Methodology: This cross-sectional study was carried out at medicine indoor department of Sylhet MAG Osmani Medical College Hospital, Sylhet over a period of six month from October 2009 to March 2010. Patients who were admitted with pleural effusion were selected as the study population. Pleural fluid was collected by a physician. The laboratory tests were performed in the Department of Laboratory medicine of the Hospital. The details history of age, sex, socio-economic condition, clinical features were collected from the patients.
Results: A total of 50 cases were selected consecutively in the study. The mean age of the patients was 44.5±12.86 years. Male to female ratio was 2.1:1. Over half of the patients (54.0%) was poor; 32.0% cases was middle class and 14.0% cases was rich. Low-rade fever (92.0%), cough (86.0%), weight loss (74.0%) and dyspnoea (56.0%) were found as the most common symptoms of exudative pleural effusion.
Conclusion: In conclusion middle age adult male living in poor socio-sconomic condition are most commonly suffering from exudative pleural effusion.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):167-170
Evaluation of Cone-beam Computed Tomography to differentiate Odontogenic Periapical Cysts and Granulomas
Authors: Soma Sharmin Aktar , Akhtar Mst Mousumi , Begum Shahida , Haque Mohammad Ahtashamul , Akter Mahmuda , Mamun Showkat , Kabir KM Ahsan 
Published: January 2023

Background: Cone-beam Computed Tomography is a useful diagnostic tools for the detection of odontogenic peripheral cysts and granulomas.
Objective: The purpose of the present study was to assess the accuracy of CBCT for diagnosing periapical cyst and granuloma.
Methodology: This cross-sectional study was conducted from February 2017 to November 2017. Following inclusion and exclusion criteria consecutive patients who were consult in the department of oral and maxillofacial surgery of Dhaka Dental College Hospital and Bangabandhu Seikh Mujib Medical University for periapical infection was selected. Only those patients showing a periapical lesion of minimum 5 mm size was included in the study subject. Intra-oral periapical radiograph showing criteria was presence of apical radiolucency of 5 mm, corticated borders and displacements of roots. The CBCT images were done for those patients. The following features were documented on CBCT like location at the apex of involved tooth, well defined corticated border, shape is curved or circular, internal structure of lesion is radiolucent, displacement and resorption of the roots of adjacent teeth with a curved outline and perforation of cortical plate. Histopathological specimens were obtained for microscopic examination. The findings of histopathological examinations were correlated with the findings of CBCT.
Results: Out of 50 subjects, 41(82.0%) subjects were diagnosed as cyst and 9(18.0%) subjects were as granuloma. Postoperative histopathology revealed 37 out of 41 were cysts and 4 were granulomas. Out of 9 granulomas 3 were cysts and 6 were granulomas. In this study we found the PPV 90.2439 and NPV 66.66. Diagnostic Accuracy was measured by calculating TP, TN and total population. The accuracy was 86%.
Conclusion: In conclusion Cone-beam Computed Tomography has high accuracy of CBCT for diagnosing periapical cyst and granuloma.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):171-174
Comparison of Self-Tapping Screws Versus Erich’s Arch Bar Wiring for Occlusion Maintenance in the Surgical Management of Mandibular Fracture: A Randomized Control Trial
Authors: Begum Shahida , Ahmed Toufiqua , Hossain Mohammad Azmal , Akhtar Mst Mousumi , Akter Mahmuda , Soma Sharmin Aktar , Kamruzzaman Mohammed 
Published: January 2023

Background: Conventional methods like Erich’s arch bars and eyelet wires are currently most common methods for achieving temporary inter-maxillary fixation (IMF).
Objectives: The purpose of the present study was to compare the efficacy of Self-tapping screws over Erich’s arch bar wiring for inter maxillary fixation in the treatment of mandibular fractures.
Methodology: This was a randomized control trial study. Study duration was one year from October 2014 to September 2015. This study involved patients with mandibular fractures aged 22 to 65 years who visited Department of Oral & Maxillofacial Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. After random sampling according to inclusion and exclusion criteria surgical treatment was done by miniplate osteosynthesis. Study population were divided into two groups. In group A, temporary MMF was done with Erich’s arch bar and in group B treatment was given with self-tapping screws. The study outcomes were total time required for achieving temporary MMF, number of wire stick injury, stability of occlusion and oral hygiene index. All the parameters were measured preoperatively and postoperatively for 14 days up to removal of screws or arch bars.
Results: The mean time taken for temporary MMF was 11.31±2.46 min with screws as compared to 84.72±14.30 min with Erich’s arch bar. Mean number of perforations were significantly more in group A. Occlusion stability was 69.2% in group A and 84.6% in group B. The mean value of plaque index in group A was 2.85±0.25 and in group B was 1.15± 0.16.
Conclusion: In conclusion, plaque deposition was more in group A.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):175-180
Effect of Mandibular Third Molar Presence and Position on the Risk of Mandibular Angle Fracture
Authors: Akhtar Mst Mousumi , Haque Mohammad Ahtashamul , Soma Sharmin Aktar , Begum Shahida , Gain Sumanta Kumar , Mamun Showkat , Kabir KM Ahsan 
Published: January 2023

Background: Mandibular third molar presence and position may have an effect on the risk of mandibular angle fracture.
Objective: The purpose of the present study was to see the effect of mandibular third molar presence and position on the risk of mandibular angle fracture.
Methodology: This cross-sectional study was conducted in four centers in Bangladesh from July 2009 to June 2010 for a period of one year. The mandibular angle fractured patients were selected for the study. The medical records and panoramic radiographs of patients with mandibular angle fracture were examined. The presence or absence and degree of impaction of the mandibular third molars were assessed for each patient and related to the occurrence of fracture of the mandibular angle. Data were also collected for age, sex, mechanism of injury, number and location of mandibular angle fractures.
Results: A total number of 100 patients with mandibular angle fracture were analyzed. The mean age is 44.36±21.9 years. Among 100 cases, 75 cases had lower third molars and 25 cases had without lower third molars. Within the 75 patients, 64 cases had impacted third molars while 11 cases had erupted third molars. Among the impacted group, 64.1% cases were mesioangular, 15.6% cases were horizontal, 12.5% cases were distoangular and 7.8% cases were vertical.
Conclusion: In conclusion mandibular angle that contains an impacted lower third molar is more susceptible to fracture when exposed to trauma than an angle without lower third molar.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):181-184
Maternal Outcome among Women Presented with Teenage Pregnancy attended at a Tertiary Care Hospital in Dhaka City
Authors: Munira Sherajum , Fatema Naheed , Runa Jannatul Ferdous , Mahmood Nasim Iftekhar 
Published: January 2023

Background: Teenagers face greater risk of pregnancy than the woman in their adulthood.
Objective: The purpose of the present study was to see the maternal outcomes of women presented with teenager pregnancy.
Methodology: This cross-sectional study was performed in the Department of Obstetrics and Gynecology at Kurmitola General Hospital, Dhaka, Bangladesh for a period of six months from March 2019 to September 2019. The teenage mothers with the age group of 13 to 19 completed years at delivery who were admitted to the Department of Obstetrics and Gynecology were included in this study. On admission, diagnosis was established by history, presenting complaints, physical examination, per-abdominal examination and per-vaginal examination. Complications during pregnancy and labour, mode of delivery, post-partum complications and perinatal outcome were noted.
Results: A total number of 100 teenage mothers were recruited for this study. During this study period, 74.0% mothers were aged 18 to 19 years. About 52.0% cases of teenage mothers were suffered from various complications during pregnancy and labor and among them, anemia was in 21.15% cases; UTI was in 3.84% cases; PE was in 17.31% cases; eclampsia was in 3.84% cases; PROM was in 15.38% cases; CPD was in 5.76% cases; prolonged labor was in 93.34% cases; obstructed labor 6.66% cases and preterm labor 15.4% cases. Their modes of delivery were vaginal delivery 63%, caesarean delivery 39%. Among them, indications of caesarean delivery were PROM with Fd 30.77% Gross IUGR with FD 12.82% cases prolonged labor 10.26%, obstructed labor 2.56%, CPD 7.69%, eclampsia 5.13% cases. 57% of teenage mothers suffered from postpartum complications. Among them, PPH was 28.07% cases, inadequate lactation 10.53% cases, Post spinal headache 10.53% cases and wound infection 10.53% cases.
Conclusion: In conclusion the most common maternal complication are anemia, UTI, PE, eclampsia, PROM, CPD, prolonged labor, obstructed labor and preterm labor.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):185-188
Status of Thyroid Hormones among Chronic Tension Type Headache Patients
Authors: Islam Rafiqul , Habib Monsur , Kabir Md Nazmul , Mosleuddin Farhana , Begum Mahmuda , E Khuda Iftekhar Md Kudrat , Kabir M Lutful 
Published: January 2023

Background: Tension-type headache is frequently reported by the patients.
Objective: The purpose of the present study was to see the status of thyroid hormones among chronic tension type headache patients.
Methodology: This study was conducted in the Department of Neurology at Dhaka Medical College, Dhaka, Bangladesh. The study subjects consisted of patients presented with primary headache disorders.
Result: Among the patients 21.0% had chronic sub-type of TTH. Out of 42 chronic tension-type headache patients 12 had subclinical and another 12 had overt hypothyroidism. Statistically significant difference was seen among different sub-types of headache in relation to thyroid status.
Conclusion: Hypothyroidism is found to be a co morbidity or precipitating factors to be development of chronic type of tension-type headache.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):189-192
Comparison of Missing Permanent Tooth in Bangladeshi Unilateral Cleft Lip and Palate to those without Cleft Lip and Palate
Authors: Gani Mohammad Mahfuzul , Hossain Mohammad Azmal , Nazmin Taskin , Hasan Muhammad Mahdee , Islam Babu Mohammad Rakibul 
Published: January 2023

Background: The distribution of dental abnormalities specially missing tooth is common among the cleft palate & lip patient wherefore the aim of this study was to evaluate the prevalence of hypodontia in case of Bangladeshi cleft population.
Objective: The purpose of the present study was to compare the congenital tooth deficiencies seen in permanent dentition in individuals with unilateral cleft lip and palate (UCLP) to non-cleft individuals with Angle Class I malocclusion.
Methodology: This is a retrospective case control study between UCLP and Angle Class l malocclusion patients. This study was done on OPG films taken before treatment from 80 patients who applied for orthodontic treatment. 40 individuals with UCLP between the ages of 12 - 16 years were compared with the 40 individuals with Angle Class I malocclusion with no CLP aged between 12 - 16 years. Individuals with UCLP; 21 clefts were on the left side and 19 clefts were on the right side. The congenitally deficient teeth were recorded from the OPG films. In this study, third molars were not included in the evaluation.
Results: In this study, no differences were found in regard to the gender of the patient. The left side of the patients was affected substantially more than the right side. The frequency of the missing upper lateral incisors in the cleft side of the patients was significantly higher than the non-cleft side. Therapists of cleft patients need to be aware of the high variety of numerical alterations, as this is important for therapy planning and the applied treatment.
Conclusion: The management of dental anomalies, which can easily be detected by careful inspection of routine orthodontic diagnostic records, should be taken into consideration in treatment planning of individuals with a cleft.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):198-201
Astrocytoma Detection with Magnetic Resonance Imaging among Patients attended at a Tertiary Care Hospital in Dhaka City
Authors: Kabir M Lutful , Hasanat Md Aminul , E Khuda Iftekhar Md Kudrat , Akter Rawshan Ara , Haque Md Mozammel , Islam Rafiqul 
Published: January 2023

Background: Accurate detection of astrocytomas is very difficult.
Objective: The purpose of the present study was to evaluate the usefulness of Magnetic Resonance Imaging (MRI) in detection of intracranial astrocytoma.
Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging with the collaboration of Department of Neurosurgery and Department of Pathology at Sir Salimullah Medical College (SSMC & MH), Dhaka from January 2013 to December 2013 for a period of one (1) year. Prior to the commencement of this study, the research protocol was approved by the ethical committee (Local Ethical committee) of SSMC. All the patients presented with clinically diagnosed cases of intracranial astrocytoma who were attended in the OPD and IPD were included as study population. The sampling technique was purposive, non-random sampling method. MRI was performed in all cases. The postoperative resected tissues were examined histopathological in the respective department. Then the collected reports were compared with findings of MRI.
Results: The sample size of the present study was 48 astrocytoma patients. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of MRI for the diagnosis of astrocytoma are 92.0%, 80.0%, 96.0%, 67.0% and 90.3% respectively.
Conclusion: In conclusion MRI has a high diagnostic validity for the detection of astrocytoma.
Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):202-205