Annals of International Medical and Dental Research
Annals of International Medical and Dental Research (AIMDR) is indexed in Index Medicus (IMSEAR), Global Index Medicus, Index Copernicus and Google Scholar
Annals of International Medical and Dental Research
Annals of International Medical and Dental Research (AIMDR) is indexed in Index Medicus (IMSEAR), Global Index Medicus, Index Copernicus and Google Scholar
Md. Kamruzzaman1*, Md. Imran2, Md. Nazrul Islam3, Bayzid Mostafa4, Sayera Sultana5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 1-7 | DOI – 10.53339/aimdr.2024.10.1.1
Treatment with Osteo Sclerosing Agent (Polydochonol) for Aneurysmal Bone Cyst: Experience of West- Southern Area of Bangladesh
Md. Kamruzzaman1*, Md. Imran2, Md. Nazrul Islam3, Bayzid Mostafa4, Sayera Sultana5
Abstract
Background: The ideal treatment of aneurysmal bone cysts (ABC) stays dubious. Surgery has for quite some time been considered as the treatment that yields the best results. A few authors presently are showing interest toward involving less intrusive options as the essential treatment. The aim of this study was to determine if treatments that are less invasive than surgery, such as Osteo Sclerosing Agent, are also effective in curing the Aneurysmal Bone Cyst (ABC). Material & Methods: Alcoholic zein (Polydochonol) injection, a commonly used osteo sclerosing agent, is used in this trial. In this clinical trial, 120 patients with ABC aged between 4 and 22 years were selected. These patients with aneurysmal bone cysts were treated with CT-guided percutaneous injection of Polydochonol into the cyst cavity. Polydochonol injection was used as primary treatment in 50 patients. 40 patients had recurrence following previous curettage and bone grafting and one patient had not responded to injection into the lesion of autologous iliac crest bone marrow aspirate. 29 patients needed a second injection. The median follow-up was 12 months. This study was conducted in 250 Bed General Hospital, Khulna, Bangladesh between June 2021 and May 2022. Results: During this study, at imaging, 70 patients had resolution of the lesion and 50 had partial response at the most recent follow-up. Complications consisted of a local transitory inflammatory reaction in 2 patients and an aseptic abscess in one patient. Conclusions: This comparatively simple, minimally invasive procedure makes an operation unnecessary by stopping the expansion of the cyst and inducing endosteal new bone formation. By using this technique, primary management may be possible of aneurysmal bone cysts excluding spinal lesions.
Aneurysmal bone cyst, Percutaneous, Polydochonol, Alcoholic zein, Osteo Sclerosing agent
Gulshan Ara Begam1*, Md. Abdul. Quddus2, Laila Sultana3, Rumana Ahmed4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 8-14 | DOI – 10.53339/aimdr.2024.10.1.2
Comparison of Serum Magnesium Level Among Patients with Chronic Kidney Diseases and Patients with Maintenance Hemodialysis
Gulshan Ara Begam1*, Md. Abdul. Quddus2, Laila Sultana3, Rumana Ahmed4
Abstract
Background: The worldwide incidence of Chronic Kidney Disease (CKD) is quickly expanding and has emerged as a major public health issue. According to studies, cardiovascular events account for more than half of all deaths in CKD patients. Serum magnesium protects the cardiovascular system in patients with CKD and Maintenance Hemodialysis (MHD). The aim of this study was to compare the Serum magnesium level among patients with chronic kidney diseases and patients with Maintenance Hemodialysis. Material & Methods: This was a cross-sectional study and was conducted in the Department of Biochemistry, Dhaka Medical College, Dhaka, Bangladesh during the period from July 2014 to June 2015. In our study, we took 50 diagnosed cases of CKD patients (Stage IV & V) and 50 CKD patients with MHD admitted to the Department of Nephrology, Dhaka Medical College Hospital. Results: In our study, we found the mean ±SD age was 43.86 ±9.21, and 47.14 ±9.02 in CKD, and CKD ē MHD respectively. BMI was almost similar in all groups. We found the mean ± SD of serum magnesium was 3.00 ± 0.33 mg/dl, and 2.02± 0.61 mg/dl in CKD, CKD ē MHD respectively. Serum magnesium was significantly higher in CKD than in CKD with MHD patients. Conclusions: From the findings of our study, it is concluded that serum magnesium level is increased in patients with CKD (CKD Stage IV & V) than in patients with maintenance hemodialysis. Serum magnesium levels should be checked on a regular basis in CKD and MHD patients in order to prevent cardiovascular and cerebrovascular illness caused by hypomagnesemia.
Serum magnesium level, Chronic Kidney Disease, Maintenance Hemodialysis.
A Clinical Analysis of Blood Transfusion Practices in Caesarean Sections with Varied Indications
Mst. Sharifa Khatun1, Asma Khatun2, Shahinur Rahman3, Mst. Ismat Zerin4, Shamima Amir5, Sohel Ahmed Khan6, Roksana Rahman7, Nurun Nahar Khanam8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 15-22 | DOI – 10.53339/aimdr.2024.10.1.3
A Clinical Analysis of Blood Transfusion Practices in Caesarean Sections with Varied Indications
Mst. Sharifa Khatun1, Asma Khatun2, Shahinur Rahman3, Mst. Ismat Zerin4, Shamima Amir5, Sohel Ahmed Khan6, Roksana Rahman7, Nurun Nahar Khanam8
Abstract
Background: The pregnant uterus has one of the greatest blood supplies than any other organ in the body. When uterus is surgically opened to perform caesarean section, a number of large blood vessels are cut. While the average blood loss for a vaginal birth is about 500cc, the average blood loss with caesarean section is almost double and may require blood transfusion. This study identified frequency of the blood transfusion among the patients undergoing caesarean section with various indications. The aim of this study was to ascertain the frequency of blood transfusions among patients undergoing Caesarean sections with various indications. Material & Methods: This cross-sectional study and was conducted in the Department of Obstetrics & Gynaecology of Bangabandhu Seikh Mujib Medical University (BSMMU) Hospital, Dhaka, Bangladesh during the period from September 2012 to February 2013. Results: In this study a total 96 caesarean sections were observed, the mean age of the patients was 29.88 ± 3.14 years. About 26.04% of patients required blood transfusion, with different indications of cesarean sections including placenta praevia (83.33%), malpresentation (66.66%), obstructed labor (33.33%), and previous caesarean section (18.75%). Only 4% of transfused patients experienced a mild febrile reaction. Conclusions: Frequency of blood transfusion was high (26.04%) during caesarean sections. Preoperative anaemia, quantitity of blood loss and various indications of caesarean sections were the considering factors for the blood transfusions during caesarean sections. Placenta praevia was the most common indications of blood transfusion during caesarean sections. Efforts should be made to reduce the blood transfusion without increasing maternal morbidity and mortality to reduce hazard of blood transfusions blood born infections, like HBV, HCV & HIV infections that are more prevalent in developing countries like ours.
Blood Transfusion, Caesarean Section, Varied Indications.
Md. Moniruzzaman Monir1*, Krishna Priya Das2, Shah Md. Samsul Hoque3, Md. Bulbul Ahmed4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 23-30 | DOI – 10.53339/aimdr.2024.10.1.4
The Effectiveness and Comparison of the Outcome of Tibialis Posterior Tendon Transfer to Tibialis Anterior & Peroneus Longus Versus Extensor Hallucis Longus & Extensor Digitorum Longus for Management of Footdrop
Md. Moniruzzaman Monir1*, Krishna Priya Das2, Shah Md. Samsul Hoque3, Md. Bulbul Ahmed4
Abstract
Background: Common Peroneal Nerve (CPN) palsy resulting footdrop has been reported as the most frequent lower extremity palsy. Footdrop is a disabling condition and the result of nerve repair and grafting is not promising. The aim of the study purpose of this present study was to find out the effectiveness and compairsion of the outcome of Tibialis Posterior tendon transfer to Tibialis Anterior & Peroneus Longus Versus Extensor Hallucis Longus & Extensor Digitorum longus for management of Footdrop. Material & Methods: This randomized clinical trial was conducted in the department of Orthopaedic Surgery, BSMMU, Dhaka for duration of two and half years. Thirty patients of footdrop were selected. Purposive type of non probability sampling technique was used as per inclusion and exclusion criteria. Total number of patients were divided into two groups, Group-I who treated with Tibialis Posterior tendon transfer to Tibialis Anterior & Peroneus Longus, Group-II who were treated with Tibialis Posterior tendon transfer to Extensor Hallucis Longus & Extensor Digitorum Longus. Results: A total number of 30 patients (male- 26 and female-4) were recruited in this study. Mean age was 35.4. Right foot was affected more. 80.0% cases had common peroneal nerve injuries. In Group I and II 12 (80.0%) patients had lateral aspect of knee injury, 1 (6.7%) had popliteal fossa, infront of ankle and anterior leg in Group I and 3 (20.0%) had anterior leg in Group II (p = 0.392ns). Conclusions: Outcome of both the procedures is almost same.
Drop foot, Foot surgery, Podiatry, Foot deformities, Orthopedic surgery.
Nazneen Rahman1*, Kazi Khadeza Farhin2, Rahima Sultana3, Shahinur Rahman4, Mst. Sharifa Khatun5, Mahfuza Khatun6, Tahmina Khatun7, Asma Khatun8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 31-40 | DOI – 10.53339/aimdr.2024.10.1.5
Efficacy of Vaginal Misoprostol and Intracervical Catheterization in Labour Induction for Vaginal Delivery in Eclampsia Patients
Nazneen Rahman1*, Kazi Khadeza Farhin2, Rahima Sultana3, Shahinur Rahman4, Mst. Sharifa Khatun5, Mahfuza Khatun6, Tahmina Khatun7, Asma Khatun8
Abstract
Background: Eclampsia, a severe complication of pregnancy characterized by seizures, remains a significant cause of maternal and neonatal morbidity and mortality. Effective and safe labor induction methods are crucial for managing eclampsia, particularly in resource-limited settings. This study compares the efficacy and safety of vaginal misoprostol and intracervical Foley’s catheterization for labor induction in eclamptic patients. The aim of the present study was to compare the vaginal misoprostol and intracervical catheterization to induce labor in eclamptic patients. Material & Methods: This prospective randomized clinical trial was conducted at the Eclampsia unit of Dhaka Medical College & Hospital, Bangladesh. Sixty antepartum eclamptic patients were enrolled with 30 receiving vaginal Misoprostol (25µg every 6 hours for 24 hours) and 30 undergoing intracervical Foley’s catheterization. The study assessed induction-delivery interval, mode of delivery and maternal and neonatal complications. Baseline characteristics including age, socioeconomic status, gravidity, gestational age and Bishop’s Score were recorded. Results: The induction to active labor interval averaged 9.13 ± 3.45 hours for the Misoprostol group and 10.27 ± 3.26 hours for the Catheterization group (p=0.197). Active labor to delivery times were 6.48 ± 4.20 hours and 5.67 ± 5.79 hours respectively (p=0.566). Total induction to delivery times were comparable at 15.48 ± 5.02 hours for Misoprostol and 15.92 ± 6.12 hours for Catheterization (p=0.771). Vaginal delivery was achieved in 76.67% of the Misoprostol group and 83.33% of the Catheterization group. Complication rates including tachysystole (10% vs. 6.67%), uterine hyperstimulation (3.33% vs. 0%) and maternal fever (6.67% vs. 3.33%), were similar in both groups. Neonatal outcomes such as mortality (36.67% vs. 30%) and NICU admissions (36.67% vs. 30%) showed no significant differences. Conclusion: Both vaginal misoprostol and intracervical Foley’s catheterization are equally effective and safe for labor induction in eclampsia with comparable induction times, delivery outcomes and complication rates. These findings are significant for resource-limited settings, guiding clinical decisions in labor induction for eclamptic patients.
Misoprostol, Foley’s Catheterization, Labor Induction, Eclampsia, Delivery
Assessment of the Diagnostic Accuracy of EUS-FNAC for Evaluating Intra-Abdominal Lesions
Md. Fazlur Rahman1*, Zannatul Ferdous2, AHM Towhidul Alam3, Manir Hossain Khan4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 41-49 | DOI – 10.53339/aimdr.2024.10.1.6
Assessment of the Diagnostic Accuracy of EUS-FNAC for Evaluating Intra-Abdominal Lesions
Md. Fazlur Rahman1*, Zannatul Ferdous2, AHM Towhidul Alam3, Manir Hossain Khan4
Abstract
Background: The abdominal cavities can develop a wide range of reactive, inflammatory, and neoplastic lesions. Determining prognosis and choosing the best method of treatment require accurate diagnosis. EUS-FNA is now routinely done in many endoscopic centers. This study conducted to assess the diagnostic accuracy of EUS-FNAC for evaluating intra-abdominal lesions. The aim of this study was to evaluate the diagnostic accuracy of EUS-FNAC for evaluating intra-abdominal lesions. Material & Methods: The observational analytical study was carried out from January 2016 to February 2017 over a period of 12 months in the general surgery unit in the Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. About twenty-five patients with intra-abdominal lesions were included in this study; the other patients were excluded based on exclusion criteria. The results were given with the use of tables showing mean values, ranges, frequencies, and percentages. Results: Out of 25 cases, the maximum number of patients 7 (28.00%) were in the age group >60 years. The mean age was 50.04, within the range of 14–77 years. The male-female ratio was 2.13:1. Most patients have symptoms of abdominal pain 19 (76.00%). The majority of patients presented without abdominal lump (80.00%). Most of the intra-abdominal lesions detected by EUS were in the pancreas 16 (64.00%), followed by intra-abdominal lymphadenopathy 5 (20.00%). Most of the needle passes (17 or 68.00%) were 3-4 passes. Majority of the patients were malignant 18 (72.00%). The EUS-FNAC technique has a high validity (88%) for diagnosing of intra-abdominal lesions, with a perfect specificity (100%) and positive predictive value (100%). Conclusions: In surgical practise, intra-abdominal lesions will always remain an enigma. EUS-FNAC is a more recent, safe, and less invasive diagnostic tool for deeply seated intra-abdominal lesions.. The accuracy of EUS-FNAC is really excellent in our study. Therefore, EUS-FNAC can be used as a valuable tool for pathologic examination of intra-abdominal lesions.
Endoscopic Ultrasound, Fine Needle Aspiration Cytology, Intra-abdominal Lesions, Pancreatic Lesions, Biopsy.
Md. Sohel Mridha1*, Md. Mamunur Rashid2, Samir Kundu3, Abdul Momen4, Nahid Afroza5, Mahmudul Hasan Masum6, Iftekhar Alam7
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 50-61 | DOI – 10.53339/aimdr.2024.10.1.7
Exploring the Correlation Between Fibrinogen-to-Albumin Ratio and Contrast-Induced Nephropathy in the Study Population
Md. Sohel Mridha1*, Md. Mamunur Rashid2, Samir Kundu3, Abdul Momen4, Nahid Afroza5, Mahmudul Hasan Masum6, Iftekhar Alam7
Abstract
Background: Contrast-Induced Nephropathy (CIN) presents a significant risk in non-ST elevation acute coronary syndrome (NSTE-ACS) patients undergoing percutaneous coronary intervention (PCI). This study investigates the association between the Fibrinogen-to-Albumin Ratio (FAR) and CIN in such patients. Material & Methods: This cross-sectional study was conducted at the Department of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, from June 2019 to May 2020. 200 NSTE-ACS patients undergoing PCI were categorized into two groups based on FAR: Group I (FAR ≥ 0.106, n=100) and Group II (FAR < 0.106, n=100). Clinical parameters, including pulse rate, blood pressure, and biochemical markers, were analyzed. The incidence of CIN and the role of FAR as a predictive marker were statistically evaluated. Results: Baseline clinical parameters showed no significant differences between the groups, with pulse rates averaging 88.8±16.4 bpm in Group I and 87.7±11.4 bpm in Group II (p=0.62). Troponin I levels were higher in Group I (42.1±24.6 ng/dl) compared to Group II (35.5±25.6 ng/dl, p=0.07). Group I also exhibited higher hemoglobin levels (12.5±1.5 gm/dl vs. 12.0±1.5 gm/dl in Group II, p=0.02). The incidence of CIN was significantly higher in Group I at 12%, compared to 2% in Group II. FAR was identified as a significant predictor of CIN, with an odds ratio of 11.45 (p=0.006). Conclusions: The study establishes FAR as a significant independent predictor of CIN in NSTE-ACS patients undergoing PCI. These findings suggest that FAR can be an effective biomarker for assessing CIN risk, potentially guiding more tailored patient management strategies in this high-risk group.
Fibrinogen-to-Albumin Ratio (FAR), Contrast-Induced Nephropathy (CIN), Biomarkers, Cardiovascular
Incidence of Shoulder Pain After Covid Vaccination- an Observational Study
Ayesha Sultana1*, Rajat Shuvra Das2, A.K.M. Faizul Hoque3, Mohammad Abdul Hannan4, Mehdi Hassan5, Chandra Shekhar Karmakar6, A B M Sarwar Jahan7, Muhammed Sharif Uddin Siddique8, AKM Habibullah9
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 62-70 | DOI – 10.53339/aimdr.2024.10.1.8
Incidence of Shoulder Pain After Covid Vaccination- an Observational Study
Ayesha Sultana1*, Rajat Shuvra Das2, A.K.M. Faizul Hoque3, Mohammad Abdul Hannan4, Mehdi Hassan5, Chandra Shekhar Karmakar6, A B M Sarwar Jahan7, Muhammed Sharif Uddin Siddique8, AKM Habibullah9
Abstract
Background: COVID-19 vaccines are key to restoring normalcy after the global pandemic. However, improper injection techniques due to lack of clear instructions and inexperienced personnel can lead to issues like shoulder injury related to vaccine administration (SIRVA), causing shoulder pain and limited mobility. Ensuring correct administration is crucial for vaccine efficacy and patient well-being. The aim of this study was to determine the incidence of shoulder pain following COVID-19 vaccination on public health. Material & Methods: This was an observational study and was conducted in the Department of – Anaesthesia, Analgesia and Intensive care medicine of Bangabandhu Sheikh Mujib Medical University (BSSMU, Dhaka, Bangladesh during the period from February 2023 to January 2024. The study included 120 patients, male and female, focusing on Shoulder Injury Related to Vaccine Administration (SIRVA) after COVID-19 vaccination. Physician-evaluated cases were analyzed to minimize diagnostic errors, using a checklist for data extraction. Results: Patients (29.2% aged 63-72 years) predominantly received Pfizer and Moderna vaccines (80%). Common symptoms were bursitis (36%) and adhesive capsulitis (44%). Onset varied, with 35.2% reporting immediate symptoms, 40.8% within 24 hours. Pain was predominant (92%). X-ray (63.2%) and MRI (36.8%) used for diagnosis. Treatment included oral steroids (56%), physical therapy (16%), and NSAIDs (24%). Conclusions: The significance of accurate vaccine administration to avoid complications like SIRVA. Clear guidelines and trained personnel are essential for the success of the COVID-19 vaccination campaign, ensuring both efficacy and the well-being of individuals.
COVID-19, Vaccine, Shoulder Pain, SIRVA.
Rajat Shuvra Das1*, A.K.M. Faizul Hoque2, Ayesha Sultana3, Mohammad Abdul Hannan4, Mehdi Hassan5, Chandra Shekhar Karmakar6, A B M Sarwar Jahan7, Muhammed Sharif Uddin Siddique8, AKM Habibullah9
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 71-78 | DOI – 10.53339/aimdr.2024.10.1.9
The Effectiveness of Bilateral Pectoralis Nerve Block in Cardiac Surgery Patients for Managing Postoperative Pain
Rajat Shuvra Das1*, A.K.M. Faizul Hoque2, Ayesha Sultana3, Mohammad Abdul Hannan4, Mehdi Hassan5, Chandra Shekhar Karmakar6, A B M Sarwar Jahan7, Muhammed Sharif Uddin Siddique8, AKM Habibullah9
Abstract
Background: Effective pain management following cardiac surgery contributes to enhanced recovery and increased mobility. But the coagulation status of the cardiac surgery patients makes neuraxial blocks risky. An alternative to neuraxial blocks for post operative pain management after adult cardiac surgeries is the Pectoralis Nerve (Pecs) block. This innovative technique offers a safe and minimally invasive approach for post operative pain management after adult cardiac surgeries. The objective of the study was to investigate the effectiveness of bilateral pectoralis nerve block in cardiac surgery with regards to enhanced recovery and postoperative pain management. Material & Methods: This was a quasi-experimental study and was conducted in the Department of Anaesthesia, Analgesia and Intensive care medicine of Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka, Bangladesh during the period from January 2023 to June 2023. This study involved 40 adult cardiac surgery patients (25-65 years) undergoing coronary artery bypass grafting and valve repair or replacement surgeries via midline sternotomy. They were divided into two groups: Group A received conventional analgesia with intravenous paracetamol 01 gm TDS with continuous intravevous infusion of 1 microgram per kg body weight of fentanyl, and Group B received ultrasound guided bilateral Pectoral Nerve (PEC) block with volume of 0.2 ml per kg body weight of 0.25% bupivacaine with 5 mg of dexamethasone for each interfacial plane . Extubation criteria were used, and data were collected through a questionnaire for visual analogue score and vital parameters such as heart rate , blood pressure, respiratory rate , duration on invasive ventilation at 0 hour, 02 hour, 04 hour, 08 hour and 12 hour post operatively. Results: In total 40 patients from both the groups completed the study. The study found no significant differences in vital parameters between Group A and Group B. Group B showed significantly lower pain scores upto 12 hours post-extubation. Respiratory rate was significantly lower in Group B at six assessment times.
No significant differences were observed in hemodynamic variables. Group B had a shorter ICU stay compared to Group A, but no significant difference in hospital stays or duration of ventilator use between the groups. Conclusions: The Pectoral Nerve (Pecs) block is an effective and less invasive and safe procedure for managing postoperative pain and enhancing recovery in adult cardiac surgeries such as CABG, valve repair or replacement surgeries with a medial sternotomy.
Cardiac Surgery, Pectoralis Nerve Block, Pain Management.
Md. Gulam Mustofa1*, Sushmoy Saha2, Sabbir Ahmed3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 79-87 | DOI – 10.53339/aimdr.2024.10.1.10
Comparison Between Treatment of Unstable Intertrochanteric Fracture of Femur by Dynamic Hip Screws (DHS) and Proximal Femoral Locked Compression Plate (PFLCP)
Md. Gulam Mustofa1*, Sushmoy Saha2, Sabbir Ahmed3
Abstract
Background: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bone. Dynamic Hip screws (DHS) is still considered the gold standard treatment for Intertrochanteric fracture. This study was done to compare the functional and radiological outcome for the treatment of unstable Intertrochanteric fracture. (AO/ATO: 31A2.2. , 31A2.3.). Material & Methods: The study included a total of 30 patients with intertrochanteric fractures who were subjected to PFLCP & DHS treatment. From January, 2020 to December 2022, a prospective comparative study was done who were operated by using PFLCP & DHS. Ethical community approval was taken from local ethical committee of President Abdul Hamid Medical College Hospital. Patient consent was taken in prescribed format. Functional outcome and radiological assessment is done using Harris hip score on 3rd, 6th & 12th months post-operatively. Results: We found that patient treated with DHS had increased blood loss (159 ml), longer duration of surgery (105 min), delayed mobilisation. But PFLCP – had lowered blood loss (73 ml), shorter duration (91 min) and early mobilisation. Shortening of the limbs in DHS group is 9.33 mm. Vs PFLCP groups is 4.72 mm. Conclusions: PFLCP is better than DHS for unstable intertrochanteric fractures in-term of decreased blood loss, duration, early weight bearing, mobilisation, less hospital stay, decreased infection and complications.
Dynamic hip screw (DHS), Proximal Femoral locked compression plate (PFLCP), Intertrochanteric fractures, Harris hip scores (HSS).
Relationship Between Hand Length and Stature in Adult Bangladeshi Medical Students
Mahin Motaleb1*, Sukrana Mamataj2, Syed Jamiul Hasan3, Tarana Chowdhury4, A. S. M Mashrurul Haque5, Afroza Akter6
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 88-97 | DOI – 10.53339/aimdr.2024.10.1.11
Relationship Between Hand Length and Stature in Adult Bangladeshi Medical Students
Mahin Motaleb1*, Sukrana Mamataj2, Syed Jamiul Hasan3, Tarana Chowdhury4, A. S. M Mashrurul Haque5, Afroza Akter6
Abstract
Background: Among ancestry, age, sex and stature, the main four components of anthropometry, stature is considered one of the most important parameters. Anthropometry is an individual tool to estimate the stature of the living individuals. These parameters are used by Anatomists, Forensic experts and Anthropologists to build up the biological profile of a human. Identification of an individual is important in almost all spheres of life. Stature is one of the most important and useful anthropometric parameters to determine the physical identity of an individual. The aim of this study was to evaluate the relationship between hand length and stature in adult Bangladeshi medical students. Material & Methods: This was a descriptive study carried out in Department of Anatomy, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh from July 2019 to June 2020. In the present study, anthropometric measurements were done in 240 adult Bangladeshi medical students. Results: All the anthropometric measurements of male participants showed positive and statistically significant correlation with stature (p <0.05). All the anthropometric measurements of female participants showed positive and statistically significant correlation with stature (p <0.05). Stature was estimated from hand anthropometry through linear regression equation. All the results indicate the effectiveness of the formulated equation, evaluated by the test of significance (p < 0.05). Conclusions: That present study has generated some baseline data on the stature and hand measurements of Bangladeshi medical students. The data will be helpful in establishing a standard set of anthropometric measurements for the Bangladeshi population. These formulae can be finalized for the population by using the results of the present study and getting inputs from further larger studies.
Stature, Hand length, Anthropometry, Ergonomics, Human adaptation
Omar Sadeque Khan1*, Jesmeen Morshed2, Farjana Nasrin Ina3, Md. Rezwanul Hoque Bulbul4, Mostafizur Rahman5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 98-105 | DOI – 10.53339/aimdr.2024.10.1.12
A Rare Tetralogy of Fallot patient with Absent Left Pulmonary Artery Syndrome Successfully Treated in BSMMU Cardiac Surgery- A Case Report
Omar Sadeque Khan1*, Jesmeen Morshed2, Farjana Nasrin Ina3, Md. Rezwanul Hoque Bulbul4, Mostafizur Rahman5
Abstract
Congenital unilateral absence of a pulmonary artery (UAPA) is a rare anomaly. The absence of right pulmonary artery is usually not associated with cardiac diseases but the absence of left pulmonary artery (LPA) is associated with cardiac diseases. Absent LPA is usually associated with tetralogy of Fallot (TOF) and hence surgically treated. As such, the agenesis of the unilateral pulmonary artery without any cardiovascular malformation is rare. This malformation of the absence of left pulmonary artery is confirmed by cardiac catheterization and CT angiography, prior to this X-ray gives some clues regarding the diminished vascularity of the involved left lung. The incidence is approximately 1 in 2,00,000 individuals with diverse nonspecific clinical presentation. Chest X-ray and echocardiography are usually the initial supportive investigations. Chest X-ray may reveal a minimally small left pulmonary hilum and left lung. MDCT angiography of pulmonary arteries may reveal an absent left main pulmonary artery with systemic collaterals around the left hemithorax. An early diagnosis of a unilateral absence of pulmonary artery and appropriate intervention has a beneficial role in improving the outcome. Diagnosis can be hard due to the rarity of the circumstance and its nonspecific presentation. We are hereby reporting a case of absent left pulmonary artery associated with tetralogy of Fallot which was incidental finding during evaluation of cyanotic patient. We did successful intracardiac repair with good outcome and without any major adverse effect.
Pulmonary Artery Syndrome, Unilateral Absence Of A Pulmonary Artery, Tetralogy Of Fallot
Manash Chandra Sarker1*, Md. Jahangir Alam2, Golam Mahbub Chowdhury3, Devolina Bhowmik4, Muhammad Raquib Hussain5, Mohammad Zahid Hasan6, Md. Zakir Hossain7, Naima Ferdoushi8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 106-112 | DOI – 10.53339/aimdr.2024.10.1.13
Improvement of AOFAS Score after Suture Endobutton Fixation for Ankle Syndesmosis Injury: A Prospective Interventional Study.
Manash Chandra Sarker1*, Md. Jahangir Alam2, Golam Mahbub Chowdhury3, Devolina Bhowmik4, Muhammad Raquib Hussain5, Mohammad Zahid Hasan6, Md. Zakir Hossain7, Naima Ferdoushi8
Abstract
Background: Ankle syndesmosis injuries, comprising disruptions to the distal tibiofibular joint, present challenges in orthopedic management, necessitating effective interventions to restore optimal function. Suture-endobutton fixation has emerged as a promising surgical technique for stabilizing the syndesmotic complex. The aim of this study was to determine the improvement of AOFAS score after suture endobutton fixation for ankle syndesmosis injury. Material & Methods: This prospective interventional study was conducted in National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh from May 2019 to August 2021. Due to COVID-19 pandemic only 24 samples could be collected who completed the final follow-up. Results: In our study we found the mean AOFAS sub score of pain was 18.33±5.64 in pre-operative follow up and 29.58±2.04 in 24 weeks follow up. P-value was <0.001 which is statistically significant. The mean AOFAS score improved significantly from a preoperative value of 22.71±7.07 to 85.29±9.41 at final follow up. Conclusions: In conclusion, this prospective interventional study underscores the effectiveness of suture-endobutton fixation in improving AOFAS scores and overall outcomes for patients with ankle syndesmosis injuries.
Syndesmosis, AOFAS, Suture-endobutton, Syndesmotic Reduction, Screw.
Golam Mahbub Chowdhury1*, Md. Jahangir Alam2, Manash Chandra Sarker3, Mohammad Mahbubur Rahman Khan4, Rabin Chandra Halder5, Syed Khaledur Rahaman6, Md. Mostafizur Rahman7
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 113-121 | DOI – 10.53339/aimdr.2024.10.1.14
Outcome of Ankle Syndesmotic Injury Fixation by Suture Endobutton: A Prospective Interventional Study at NITOR
Golam Mahbub Chowdhury1*, Md. Jahangir Alam2, Manash Chandra Sarker3, Mohammad Mahbubur Rahman Khan4, Rabin Chandra Halder5, Syed Khaledur Rahaman6, Md. Mostafizur Rahman7
Abstract
Background: The distal tibiofibular syndesmosis connects the lower leg bones and supports the ankle joint. When this structure is injured, often due to ankle fractures, it can cause long-term problems that require surgical repair. Two common methods of surgery are screw and suture-button fixation, with the latter showing better results in recent studies. The aim of this study was to evaluate the outcome of suture-endobutton fixation for acute ankle syndesmotic injury. Material & Methods: This study followed 24 patients with acute ankle syndesmotic injury who underwent suture endobutton fixation at NITOR, Dhaka, from May 2019 to August 2021. The patients were observed for 24 weeks and their outcomes were evaluated by the AOFAS score and radiological analysis together with reported complications.Results: The study involved 24 patients with acute ankle syndesmotic injury who underwent surgery. The patients were mostly male 19 (79.17%), had PER type of injury 23 (95.83%), and injured by RTA 12 (50.00%) or twisting force 10 (41.67%). According to the AOFAS score, at the final follow up 12 (50%) patients had an excellent outcome, 08 (33.33%) patients had a good outcome, 3 (12.5%) patients had a fair outcome, and 1 (4.2%) patient had a poor outcome.Conclusions: The aim of this study was to evaluate the outcome of suture-endobutton fixation for acute ankle syndesmotic injury. From this study it can be concluded that suture endobutton fixation is an effective treatment option for acute syndesmotic injuries of ankle.
Suture-endobutton, AOFAS Score, Ankle syndesmosis, Ankle mortise, Ankle injuries.
Outcome of Early Excision Followed by Skin Grafting on Deep Dermal and Full Thickness Burns
Mohammad Abul Kalam Azad1*, Mohd. Fazle Rubby2, Romana Parvin3, Md. Toriqul Islam4, Istiaq Sultan5, Mohammad Morshed Kamal6, Maherun Nesa7, Ahmedur Rahman Sabuj8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 122-132 | DOI – 10.53339/aimdr.2024.10.1.15
Outcome of Early Excision Followed by Skin Grafting on Deep Dermal and Full Thickness Burns
Mohammad Abul Kalam Azad1*, Mohd. Fazle Rubby2, Romana Parvin3, Md. Toriqul Islam4, Istiaq Sultan5, Mohammad Morshed Kamal6, Maherun Nesa7, Ahmedur Rahman Sabuj8
Abstract
Background: Burn injury is a significant cause of morbidity and mortality throughout the world. Burn injuries perhaps represent the widest spectrum among various forms of trauma. Treatment of burn wounds is always challenging due to high mortality, morbidity, and long duration of hospital stay. Early excision may reduce mortality, morbidity, and hospital stay. This study is aimed to observe the clinical outcome of early excision followed by skin grafting on deep dermal & full thickness burns. Material & Methods: This was a prospective observational study and was conducted in the Department of Plastic Surgery of Dhaka Medical College Hospital, Dhaka, Bangladesh during the period from August,2017 to June,2019. In our study, we included 60 patients with deep dermal and full-thickness burns who required skin grafting. Results: In our study, we found that the majority 55(91.7%) of patients were alive with good, satisfactory outcomes followed by 3(5.0%) death and 2(3.3%) patients took DORB during the study period. Almost half (41.8%) of patients were in the satisfactory group of wound healing followed by 16(29.1%) good and 16(29.1%) in poor group where other procedures were taken for wound healing. 13 (23.6%) patients had scars in the donor site. The mean hospital stay was 23.26±10.24 days. Conclusions: Early excision and skin grafting have become the standard procedure for most of the deep dermal and all full-thickness burns. Early excision is an effective option for coverage of deep dermal and full-thickness burn patients concerning graft take, post-graft complication, and length of hospital stay.
Early excision, Skin grafting, Deep dermal burns, Full-thickness burns
Md. Shahin Bepari1*, Mamun Al Mahtab Swapnil2, Sheikh Mohammad Noor-E- Alam3, Dulal Chandra Das4, Md. Fazal Karim5, Provat Kumar Podder6, Mohammad.Nasirul Islam7, Mohammad Shawkat Hossain8, Mohammad Ashraf Hossain Gazi9
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 133-141 | DOI – 10.53339/aimdr.2024.10.1.16
Therapeutic Efficacy of Sofosbuvir Plus Velpatasvir Antiviral Therapy in Patient with Hepatitis C Virus Related Compensated Cirrhosis of Liver
Md. Shahin Bepari1*, Mamun Al Mahtab Swapnil2, Sheikh Mohammad Noor-E- Alam3, Dulal Chandra Das4, Md. Fazal Karim5, Provat Kumar Podder6, Mohammad.Nasirul Islam7, Mohammad Shawkat Hossain8, Mohammad Ashraf Hossain Gazi9
Abstract
Background: Liver cirrhosis is a critical stage of chronic liver dis¬ease. Chronic hepatitis C virus (HCV) infection is one of the most common causes of chronic liver disease worldwide. The long term impact of HCV infection may range from minimal histological changes to extensive fibrosis and cirrhosis with or without hepatocellular carcinoma (HCC).The primary goal of HCV treatment is to cure the infection. The aim of this study was to observe efficacy of sofosbuvir plus velpatasvir therapy in patient with HCV related compensated cirrhosis of liver. Material & Methods: The study was conducted from January, 2020 to September, 2020 in the Hepatology Department of BSMMU. Thirty seven patients (37) were included in the study. Anti HCV positive patient were primarily evaluated by history, clinical examination and investigation. Patients who met the inclusion criteria were informed in details about the study. After proper evaluation those who were labeled as CHC infection, having features of decompensation (ascites, encephalopathy, variceal bleeding, jaundice), and features of HCC were excluded from the study. Results: In this present study thirty seven (37) patients had detectable HCV RNA in pretreatment and at 12th weeks 34(91.9%) patients had undetectable HCV RNA. End of treatment response (ETR) was achieved 91.9% and at 24th weeks 33 (89.2%) patients were HCV RNA undetectable so sustained virological response (SVR12) was achieved 89.2%. Liver functions were significantly improve (p<0.05) from baseline to subsequent 4th, 12th, 24th weeks follow-up. The common adverse effects were nausea, fatigue, headache, sleep disturbance and some haematological abnormalities were observed 1(2.7%) patient haemoglobin <10 gm/dl and 2(5.4%) patients had thrombocytopenia < 50000/cumm. None of them experienced any serious adverse event and discontinued treatment. Conclusions: From this study it can be concluded that treatment with the single-tablet regimen of sofosbuvir and velpatasvir for 12 weeks was highly effective and safe pan- genotypic treatment for patients with compensated HCV cirrhosis of liver and also improvement of liver function.
Compensated cirrhosis of liver, Sofosbuvir plus Velpatasvir, Hepatitis C virus, Sustained virologic response, SVR12.
Mahmud Asif Rifat1*, Nahiduzzaman2, Md. Anwarul Haque3, Md. Salahuddin Al Azad4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 142-150 | DOI – 10.53339/aimdr.2024.10.1.17
A Retrospective Study on the Post-Operative Complications of Bipolar Diathermy Tonsillectomy in a Rural Setting of Bangladesh
Mahmud Asif Rifat1*, Nahiduzzaman2, Md. Anwarul Haque3, Md. Salahuddin Al Azad4
Abstract
Background: Tonsillectomy is a common surgical procedure, particularly in the pediatric population, to treat conditions like tonsillitis and obstructive sleep apnea. Post-operative complications, such as bleeding, infection, and delayed healing, can impact patient outcomes. This retrospective study aims to analyze the incidence and management of postoperative complications in a rural setting, where unique challenges may exist in healthcare resources and access to specialized facilities. Understanding these complications and strategies for improved patient care is essential for enhancing safety and outcomes in rural areas. The aim of t the study was to analyze the incidence and types of postoperative complications associated with tonsillectomy in a rural healthcare setting. Material & Methods: This retrospective study was conducted at the Damudya Diagnostic & Health Clinic, Shariatpur, Bangladesh. The study duration was three years from June 2020 to June 2023. The study population consisted of 289 patients who underwent tonsillectomy during the specified period. Data analysis was performed using SPSS software for comprehensive statistical insights. Results: A higher proportion of female patients (61.2%) compared to males (38.8%), with the majority falling in the “50-20” age group (73%). Recurrent tonsillitis was the most common indication (37.7%), followed by obstructive sleep apnea (30.8%) and chronic tonsilitis (16.3%). The bipolar technique was used for all patients (100%), and early postoperative complications included fever (94.1%), nausea (93.4%), and pain (100%). Delayed complications were mainly pain for two weeks (96.9%) and a low incidence of tonsillar regrowth (2.1%). Most secondary complications were managed at home (64.3%), and no anesthesia was required for secondary complication management.. Conclusions: This study sheds light on tonsillectomy in a rural setting, showing similarities to urban and rural populations in previous research. Recurrent tonsillitis remains the primary indication, and the use of the bipolar technique aligns with the guidelines. However, differences in patient preferences and management approaches suggest unique rural characteristics. Valuable insights are gained for rural tonsillectomy care.
Tonsillectomy, Complication, Rural Setting.
Bidhan Krishna Sarker1*, Sangita Devi2, Sonia Akter3, Tasnova Islam Chy4, Foysal Ahmed5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 151-162 | DOI – 10.53339/aimdr.2024.10.1.18
Cardiovascular Disease (CVD) risk factors among patients of type2 Diabetes Mellitus (DM) with Non–Alcoholic Fatty Liver Disease (NAFLD)
Bidhan Krishna Sarker1*, Sangita Devi2, Sonia Akter3, Tasnova Islam Chy4, Foysal Ahmed5
Abstract
Background: Global pandemics of cardiovascular disease (CVD) and diabetes mellitus (DM) are spreading quickly. CVD continues to be a pressing global health issue, standing as a prominent cause of both mortality and morbidity. Among its diverse risk factors, type2 DM and Non–Alcoholic Fatty Liver Disease (NAFLD) stand out as pivotal contributors. This research endeavors to delve into the multifaceted relationship between type2 DM, NAFLD, and cardiovascular health. Material & Methods: From July 1 to December 31, 2012, a hospital-based observational study was conducted in the Department of Medicine at Cumilla Medical College and Hospital in Bangladesh. This study comprised 50 type2 DM patients with NAFLD who had been hospitalized. Their medical history, physical exam, and laboratory study (fasting and 2-hour post-meal blood glucose, blood urea, serum creatinine, liver function tests, and fasting lipid profile) were included. Based on a liver ultrasound examination, NAFLD was identified. Results: Out of 50 patients, 18(36%) were males and 32(64%) were females, with mean age 58.89 ± 8.38 and 54.6 ± 10.1 years, respectively. Grade -1 NAFLD cases were 54%, grade -2 was 32%, and grade -3 was 14%. On statistical analysis, we found increasing grades of NAFLD were significantly associated with hypertension (p=0.0083), obesity (p=0.0006), increasing levels of total cholesterol (p<0.0001), ALT (p<0.0001), AST (p<0.0001) and ALP (p<0.0001). Conclusions: NAFLD combines with CVD risk factors among people with type2 diabetes. It is a substitute and a reliable CVD risk marker in type2 diabetes patients. Ultrasonography was used to detect NAFLD.
Type2 Diabetics Mellitus, NAFLD, CVD risk factors, metabolic syndrome.
Jannath Parvin1*, Mohammed Kamal Hossain2
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 163-170 | DOI – 10.53339/aimdr.2024.10.1.19
Maternal Outcome of Placenta Accreta Spectrum Disorder Patients admitted at Cumilla Medical College Hospital
Jannath Parvin1*, Mohammed Kamal Hossain2
Abstract
Background: Placenta Accreta Spectrum Disorder (PAS) is a complex obstetric condition with significant implications for maternal and fetal health. The study aims to provide a comprehensive understanding of the maternal and fetal outcomes associated with PAS in a tertiary care hospital in Bangladesh. Material & Methods: This prospective observational study was conducted at a tertiary care hospital in Bangladesh over 18 months. The study included 60 pregnant women diagnosed with PAS, adhering to specific inclusion and exclusion criteria. Data were collected through structured questionnaires and analyzed using SPSS version 26. Results: The majority of participants was aged between 21-30 years (76.67%) and had completed their Higher Secondary Certificate (HSC) (50%). Regular antenatal care was reported by 50% of the participants. Hemorrhage was observed in 21.67% of the cases, with 36.67% requiring blood transfusion. Maternal outcomes were uneventful in 78.33% of the cases, and fetal outcomes resulted in 90% live births. Conclusions: The study reveals the complex nature of PAS and its significant impact on maternal and fetal health. Despite the high incidence of hemorrhage and the need for blood transfusion, proactive and multidisciplinary management strategies appear to result in a majority of uneventful maternal outcomes. The findings emphasize the need for comprehensive antenatal care and further research to improve outcomes.
Placenta Accreta Spectrum Disorder, Maternal Outcomes, Fetal Outcomes, Hemorrhage, Blood Transfusion, Antenatal Care.
Shah Md Faisal Eskander1*, Proma Orchi2, Khaled Mahmud3, Nurul Mahmud Saikat4, Md. Ashiqur Rahman5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 171-179 | DOI – 10.53339/aimdr.2024.10.1.20
Evaluation of Functional Outcomes Following Open Reduction and Internal Fixation of Young-Burgess Lateral Compression Type-II Pelvic Ring Fractures
Shah Md Faisal Eskander1*, Proma Orchi2, Khaled Mahmud3, Nurul Mahmud Saikat4, Md. Ashiqur Rahman5
Abstract
Background: Pelvic ring disruption is a significant challenge in traumatology. Treating Young-Burgess lateral compression type-II pelvic ring fractures through open reduction and internal fixation is crucial in addressing and managing patients with pelvic injuries. This study aimed to analyze long-term functional and radiologic outcomes in patients with lateral compression unstable pelvis fracture. Material & Methods: This descriptive observational was conducted at the Department of Orthopedics & Traumatology, Dhaka Medical College & Hospital, Dhaka, Bangladesh, from July 2016 to June 2018. A total of 22 patients with pelvic injuries admitted to the department were purposively enrolled as the study population. Data analysis was performed using MS Office tools. Results: In the unaided gait assessment, 40.90% displayed a slight limp, 45.45% had a normal gait, and 13.63% showed a moderate limp with shuffling steps; no gross limp or inability to walk was observed. The mean Majeed score ranged from 55 to 100, averaging 85.83 ± 11.42. Functional grading revealed excellent in 63.63%, good in 27.27%, and fair in 9.09%, with no poor outcomes. The procedure demonstrated success in 82.3% to 99.5% of patients, indicating a highly acceptable functional outcome. Radiologically, success ranged from 60.18% to 84.36%, further supporting the procedure’s acceptability. Conclusions: Stabilizing lateral compression type-II pelvic ring fractures using anterior, combined, or posterior reconstruction plates and/or cancellous screws is a satisfactory and effective method for managing patients, allowing for early mobilization and rehabilitation.
Open reduction, Internal fixation, Pelvic ring fracture, Lateral compression injury, Trauma.
Rahat Anwer Choudhury1*, Khondokar Anowar Hossain2, Bijoy Kumar Saha3, Munir Ahmed4, Md Nazrul Islam5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 180-186 | DOI – 10.53339/aimdr.2024.10.1.21
Diabetic Retinopathy Among Young Adults with Diabetes in a Rural Setting in Bangladesh: A Descriptive Cross-Sectional Study
Rahat Anwer Choudhury1*, Khondokar Anowar Hossain2, Bijoy Kumar Saha3, Munir Ahmed4, Md Nazrul Islam5
Abstract
Background: Diabetic retinopathy (DR) is one of the most important complications of type 1 diabetes mellitus, representing the leading cause of blindness in young adults. The aim of the study was to investigate the level of awareness and risk factors of DR in Young Adults with diabetes in the rural setting of Bangladesh. Material & Methods: The study was an observational and descriptive cross-sectional study. A total of 190 young adults DM patients were included in this study following the Fisher et al. 1991 formula. Study data were collected from January 2020 to December 2021. From type 1 diabetic enlisted patients under Faridpur diabetic samity attended for routine follow up in diabetic corner in Faridpur diabetic Association Medical College. Results: Half (48.9%) of diabetes patients aged between 6 to 18 years with a mean age of 19.03 ± 4.26 years, ranging from 6 to 29 years old. About 37.9% of patients were males and 62.1% of patients were females. The difference in age of DM patients by sex was found statistically significant at .02 level (x2 = 43.22, df = 11; Cramer’s V = .35). The average blood sugar was14.36±2.59 (fasting) and 16.58±2.85 (meal) of the young adults. There was an association between the age of the young adults and fasting blood sugar (x2=19.08, df=13, Sig.=0.05), however, there is no association between the age of the DM patients and the level of blood sugar (after breakfast) (x2=29.52, df=19, Sig.=0.08). About 41% of patients’ visual acuity (unaided) was 6/6-6/18 (16-20 years) and in the same age group, 5.3% of the young adults’ unaided visual acuity was <6/18-6/60. About 26.2% (21-25 years) of unaided visual acuity was 6/6-6/18 and 2.6% had <6/18-6/60 VA. However, about 47.4% of the patients VA (aided) of the age group 16-20 years had <6/18-6/60, 29.50% had VA <6/18-6/60 (age group 21-25 years), 4.2% of the patient (26-30%) had <6/18-6/60 vision and same age group 1.1% had <6/60-3/60 vision after correction. Refractive error, allergic condition/itching/red, conjunctivitis, Watering, foreign body, ocular injury, Corneal ulcer, Myopia, and Astigmatism was common eye problems of the DM patients in our study. The majority of the patients were prescribed medicine, spectacles, and surgery. Conclusions: The blood sugar level among young adults is alarming and physical inactivity and obesity are the main risk factors for its development. Community-level awareness programs and establish models of healthcare transition from pediatric to adult care to ensure continuity of care and avoid patient disengagement.
Young adult, DM, DR, Blood sugar, Bangladesh
K.M. Shakila Sultana1*, Md. Mamunul Haque2, Jahangeer Alam Siddiki3, Nigar Sultana4, Md. Faysol Alam5
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 187-193 | DOI – 10.53339/aimdr.2024.10.1.22
Comparative Analysis of Visual Outcomes and Complications: Age-related Patterns of Uveitis in Pediatric patients
K.M. Shakila Sultana1*, Md. Mamunul Haque2, Jahangeer Alam Siddiki3, Nigar Sultana4, Md. Faysol Alam5
Abstract
Background: Although it only makes up 2 to 14% of all cases, juvenile uveitis is rare and causes negligible ocular damage. A young person suffering from the disease may become legally blind and have lifelong disability due to the greater rate of complications associated with its course. The aim of the study was to assess the Age-related Patterns of Uveitis in Pediatric Patients: A Comparative Analysis of Visual Outcomes and Complications. Material & Methods: This study was a comparative study conducted at North Bengal Medical College, Sirajganj & Prof. MA Matin Memorial BNSB based Eye Hospital, Sirajganj. The sample size was 150 and the duration of the study was 2021 to 2022. After collection, the data were checked and cleaned, followed by editing, compiling, coding and categorizing according to the objectives and variable to detect errors and to maintain consistency, relevancy and quality control. Statistical evaluation of the results used to be obtained via the use of a window-based computer software program devised with Statistical Packages for Social Sciences (SPSS-24). Results: Regarding age 40% of the patients had ≤8 years of age and 60% had > 8 years of age mean age at presentation (SD) was 7 (4.7) years in ≤8 years patients and 5 (3.6) years in > 8 years patient’s. Mean follow up, months (SD) was 15 (10) in ≤8 years patient’s and 12 (8 ) in > 8 years patient’s. Mean number of uveitis episodes (SD) was 15 (10) in ≤8 years patient’s and 7.87 in > 8 years patient’s. About 78% of the patients were male and 22% of them were female. Idiopathic uveitis was the most common diagnosis. In patients of ≤8 years Idiopathic Causes were 50 (55.55), Autoimmune 30 (33.33) and Infectious 10 (11.11). In patients of > 8 years Idiopathic Causes were 28 (46.67), Autoimmune 20 (33.33) and Infectious 12 (20). With regards to the different etiologies, idiopathic uveitis was the most common and no significant differences in etiologies were noted between the younger and older groups. There were no variations in the methods of treatment across the groups. In a similar vein, no discernible variations in procedure types or rates were discovered between age groups. Visual impairment was present in 48% of the visually immature eyes and 36.3% of visually mature eyes at first visit. In general there was an improvement in vision at subsequent visits in both age groups. Improvement by 2 or more lines was significant in the younger age group both at 6 and 12 months (p = 0.02, 0.03). Conclusions: Pediatric uveitis is an uncommon condition, it can have devastating effects on young patients’ visual prognosis. Because of the higher rate of problems linked with the disease’s course, a young individual afflicted with it may become legally blind and have lifelong handicap.
Uveitis, Outcomes, Complications.
Sharmila Thakur1, Abhay Kumar Das2, Meetu Kumari3, Sneha Singh4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 194-198 | DOI – 10.53339/aimdr.2024.10.1.23
Post Covid 19 HBA1C Level in Non-Diabetic Patients with Chronic Periodontitis at Baseline and 3 Months
Sharmila Thakur1, Abhay Kumar Das2, Meetu Kumari3, Sneha Singh4
Abstract
Background: This study aims to evaluate the impact of Coronavirus on HB1AC levels in non-diabetic patients and impact of HB1AC levels in treated and untreated periodontitis in post covid patients. Material & Methods: 20 post covid patients with chronic periodontitis were taken for the study. Patients were divided into test(SRP) and controlled (without SRP) group. These HB1AC level and clinical parameters were recorded at baseline and 3 months. Results: All the clinical parameters and HB1AC levels were statistically significant in test group in comparison to the control group. Conclusions: In post covid non-diabetic patients with periodontitis had higher levels of HB1AC, non- surgical therapy was performed, tends to improve the HB1AC level in treated patients than untreated patients.
Covid 19, Diabetes, Periodontitis, HBA1C, Oral health.
Laxman Singh Jhala1, Sumit Varshney2*, Prateek Bhuva3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 199-204 | DOI – 10.53339/aimdr.2024.10.1.24
To Study the Outcome of 25 Gauge Pars Plana Vitrectomy Using Valved Trocar Cannulas in Rhegmatogenous Retinal Detachment Cases
Laxman Singh Jhala1, Sumit Varshney2*, Prateek Bhuva3
Abstract
Background: To evaluate the efficacy of 25 Gauge Pars plana vitrectomy in treating patient with rhegmatogenous retinal detachment. Material & Methods: In a prospective study carried out on 40 patient presented with rhegmatogenous retinal detachment within 1 month of duration. Results: Thirty four eyes were successfully reattached with a single operation. Six cases presented with redetachment. Final mean visual acuity in macula off patient was 0.94 logMAR and macula on patient was 0.31 logMAR. The mean followup period was six month. Conclusions: In the current study, our analyses indicated that the functional success rate after the primary reattachment operation was 85%. Only 6 case had redetachment(4 patient was pseudophakic and 2 patient was phakic) for that they under went further management and final reattachment rate was 100%. Final visual acuity in macula of patients were 0.94 and in macula on patients were 0.3. Most common complication was redetachment and in our study post operative endophthalmitis not occurred in any case.
Pars Plana Vitrectomy, Valved Trocar Cannulas, Retinal Detachment.
Bishwalata Rajkumari1, Amrita Sougaijam2, Elakkiya Selvaraju3, Senjam Binita Devi4*
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 205-213 | DOI – 10.53339/aimdr.2024.10.1.25
SOLID WASTE DISPOSAL AND SANITATION PRACTICES ACROSS DIFFERENT URBAN COMMUNITIES IN IMPHAL-EAST, MANIPUR: A COMMUNITY BASED CROSS-SECTIONAL STUDY
Bishwalata Rajkumari1, Amrita Sougaijam2, Elakkiya Selvaraju3, Senjam Binita Devi4*
Abstract
Background: Improper solid waste disposal and inadequate sanitation are major causes of infectious diseases and contributes to malnutrition, impaired cognitive function and impacts on well-being. The objective is to assess the knowledge and practices regarding solid waste disposal and sanitation and to find out the association with demographic variables. Material & Methods: A cross sectional study was conducted in urban communities of Imphal East among 412 households. Data was collected using a semi structured, pretested questionnaire and was analysed using descriptive and analytic statistics. Results: Almost two thirds (290,70%) had poor knowledge on solid waste disposal, more than half (244,59%) had poor practice. Majority had good knowledge (343,83%), but poor practice (323,78%) on sanitation. Respondents of higher educational status had significantly higher level of knowledge and practice on solid waste disposal and sanitation. (p=0.001). Conclusion: Most of the respondents had poor knowledge and practice on solid waste disposal but good knowledge and poor sanitation practice. It is recommended to have frequent, effective awareness campaigns regarding solid waste disposal and sanitation.
Solid Waste Disposal, Sanitation, Urban, Manipur
Jason Nongmaithem1*, Neha Singh2, Bishwalata Rajkumari3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-1 | Jan-Feb 2024 | Page: 214-223 | DOI – 10.53339/aimdr.2024.10.1.26
Comparison of Healing of Transalveolar Extraction Socket with and Without Placement of Autologous Platelet Rich Fibrin: An Experimental Study
Jason Nongmaithem1*, Neha Singh2, Bishwalata Rajkumari3
Abstract
Background: Trans-alveolar extraction of the tooth is a routine procedure in the field of oral and maxillofacial surgery and the role of Platelet Rich Fibrin (PRF) in regulating alterations in alveolar dimensions following tooth extraction is one potential area of study. The study plans to evaluate the efficacy of autologous PRF in healing of trans-alveolar extractions of mandibular molars by evaluating the pain, swelling through comparison soft tissue markings and wound dehiscence on day 1, 3, 7 and 14. Material & Methods: This randomized controlled study was conducted among 24 patients aged 18 to 40 years requiring trans-alveolar mandibular molars extraction with normal hematologic profile, fulfilling ASA 1 and 2 criteria with good oral hygiene and surgical site free of active infection. The study Group (12) received a-PRF after trans-alveolar extraction along with routine surgical management while control Group received routine surgical care. Results: The presence of wound dehiscence was lower in the study group as compared to control but it was not statistically significant. The mean (SD) pain score was lower in the study Group on Day 1, 3, 7 and 14 as compared to Control Group and it was found to be statistically significant (p<0.001). There was statistically significant reduction in swelling in study Group patients on Day 1, 3, 7 and 14 as compared to Control Group patients (p<0.001). Conclusions: The PRF treatment group has significantly lower pain and swelling on day 1,3,7 and 14. PRF can act as an accelerating factor in wound healing and maybe utilized in other maxillofacial surgical procedures for enhanced healing.
Autologous, Platelet Rich Fibrin, Trans-alveolar Extraction.
