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
Aslam Hossain1*, Md. Abul Bashar Maruf2, Farhat Tabassum Nishat3, Kohinur Azad Liza4, Tania Nusrat Shanta5, Md. Ahaduzzaman6, Manoj Tiwari7, Mirza Md. Nazmus Saquib8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-3 | May-June 2024 | Page: 1-7 |https://doi.org/10.53339/aimdr.2024.10.3.1
A Comparative Analysis of Pulmonary Artery Systolic Pressure Between the Preoperative and on the Postoperative Period of Surgical Closure of Atrial Septal Defect
Aslam Hossain1*, Md. Abul Bashar Maruf2, Farhat Tabassum Nishat3, Kohinur Azad Liza4, Tania Nusrat Shanta5, Md. Ahaduzzaman6, Manoj Tiwari7, Mirza Md. Nazmus Saquib8
Abstract
Background: Atrial septal defect (ASD) is a common congenital disorder characterized by abnormal blood flow from the left atrium to the right atrium. This, in turn, causes histological changes in the pulmonary vasculature and ultimately results in pulmonary hypertension. Without surgical intervention, ASD can significantly reduce life expectancy and functional capacity. The aim of this study was to assess and compare the changes in pulmonary different after surgical closure of the atrial septal defect. Material & Methods: This observational study was done in the department of cardiac surgery, Bangabandhu Sheikh Mujib Medical University from June 2020 to June 2022. Sample size was 24 Patients were evaluated preoperatively, 1st week postop-erative period and after 6 weeks of operation through a clinically, ECG, color doppler echocardiography. The statistical analysis was performed by using SPSS version 26.0 for windows software. Statistical analysis was done with in paired t-test for comparing between preoperative and postoperative data, Chi-square test for categorical data, Wilcoxon signed ranks test for ordinal data, McNemar change test for nominal data. The observations were recorded as statistically significant when p-value became ≤0.05. Results: In my study, the mean age of the patients was 33.33±11.3 years, male female ratio was 1:2. The mean pulmonary artery systolic pressure got decreased from 57.54±7.9 mmHg to 53.29±8.30 mmHg on 1st week postoperative peri-od and 57.54±7.9 mmHg to 48.58±8.30 mmHg after 6 weeks of surgery, which was statistically significant. 75% patients improved into New York heart association class 2 on 1st week post operative period, 66.7% improved into class 1 after 6 weeks of surgery. Significant improvement was seen in functional capacity of the patients. 29.2% patients had atrial fibrilation preoperatively, after surgery on 1st week post operative period it became 25% and af-ter 6 weeks it became 4.2% which was statistically significant. Conclusions: ASD patients with pulmonary hypertension (PH) benefit from surgical closure, particularly in younger individuals. Advanced treatments and risk assessments can reduce mortality risk after closure.
PASP, ASD, Surgical Closure.
Shaikh Md. Eunus Ali1*, Most. Dilara Akter2, Nazmun Naher3, Inamur Rahman4, Nabid Shahriar Sarker5, Khadiza Rubab6
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-3 | May-June 2024 | Page: 8-14 |https://doi.org/10.53339/aimdr.2024.10.3.2
The Health Effects of Passive Smoking and Socio-Demographic Factors among Patients in Bangladesh: A Retrospective Study
Shaikh Md. Eunus Ali1*, Most. Dilara Akter2, Nazmun Naher3, Inamur Rahman4, Nabid Shahriar Sarker5, Khadiza Rubab6
Abstract
Background: Tobacco use has been linked to various harmful health consequences, such as lung cancer, heart disease, stroke, and respiratory problems like chronic obstructive pulmonary disease. Additionally, exposure to secondhand smoke, or inhaling tobacco smoke from others, can lead to severe health risks, including cancer. This study examines the impact of passive smoking on health and how the demographics of tobacco users affect these effects. Material & Methods: A retrospective cross-sectional study was done at Shaheed Taz Uddin Ahmad Medical College, Gazipur, Bangladesh. Total 260 outpatients were selected as samples and were assessed for six months, from June 2023 to December 2023. The selected samples were more than 18 years old and provided their approval in participating in this study. Results: The study included 260 respondents, both male and female, aged 18 years or older. The average age of the respondents was 40.93 ± 2.04. The majority of the respondents (103%) reported using smokeless tobacco. Additionally, 30% of the respondents reported being students based on their profession. The survey revealed that smoking was a major concern for the respondents, with environmental pollution being reported as a problem by 91.3% of them. Problems with pregnant women were reported by 74.62% of the respondents, while 52.67% reported breathing problems and 34.67% reported tooth pain. Conclusions: The study revealed that smoking presents a grave danger to public health, causing serious physical and mental health issues. It is crucial to implement targeted preventive measures to dissuade active or passive smoking.
Knowledge level, passive smoking, health hazards of smoking, smokers.
Evaluation of Death from Dengue Syndrome – Study of 60 Cases in a Tertiary Hospital of Bangladesh
Faruk Ahammad1*, Mohammad Yunus Ali2, Khandaker Aman Abdullah Najib3, Mizanur Rahman4, Md. Nazmus Sakib5, Shamsun Nahar6
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-3 | May-June 2024 | Page: 15-25 |https://doi.org/10.53339/aimdr.2024.10.3.3
Evaluation of Death from Dengue Syndrome – Study of 60 Cases in a Tertiary Hospital of Bangladesh
Faruk Ahammad1*, Mohammad Yunus Ali2, Khandaker Aman Abdullah Najib3, Mizanur Rahman4, Md. Nazmus Sakib5, Shamsun Nahar6
Abstract
Background: Dengue fever presents a significant public health challenge in tropical regions, including Bangladesh. This study aims to evaluate the clinical characteristics and outcomes of severe dengue syndrome cases leading to mortality in a tertiary hospital setting. The aim of the study was also to identify the factors related to mortality in Dengue Syndrome. Material & Methods: This retrospective study involved 60 dengue patients who expired during treatment at Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur, Bangladesh, from June 2023 to December 2023. Patient demographics, clinical presentations, treatment initiation time, fluid management, and time from treatment to death were analyzed. Results: Dengue Shock Syndrome was the most common subtype (46.67%). The study population had a broad age distribution and a higher prevalence of females (60%). Most patients sought medical attention after 3-7 days of fever. Blood pressure variations at admission included hypotension and non-recordable readings, common in severe dengue. Vomiting and shortness of breath were prevalent worsening symptoms. Treatment initiation was often delayed, with 43.33% experiencing a 16-30-minute delay post-admission. Thrombocytopenia was notable, especially in severe dengue cases. Fluid management was generally inadequate, particularly in the critical initial hours of treatment. Mortality occurred rapidly post-treatment initiation, with 50% dying one day after treatment began. Conclusions: The study highlights the need for early recognition and prompt management of dengue fever, especially in severe cases. Inadequate fluid management was a significant concern, emphasizing the need for adherence to established guidelines. These findings provide crucial insights into dengue management in Bangladesh, underlining the necessity of improving and following clinical protocols to enhance patient outcomes.
Dengue fever, Dengue Shock Syndrome, Fluid management, Mortality.
Muhammad Raquib Hussain1*, Md. Jahangir Alam2, Manash Chandra Sarker3, Md. Sanaul Huq4, Mohammad Zahid Hasan5, Ashiq Ahmed6, Neyamul Hasan7, Sajeeb Imtiazur Rahman8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-3 | May-June 2024 | Page: 26-34 |https://doi.org/10.53339/aimdr.2024.10.3.4
Outcome of Surgical Treatment of Subtrochanteric Femoral Fracture with Proximal Femoral Nailing in a Tertiary Hospital in Bangladesh
Muhammad Raquib Hussain1*, Md. Jahangir Alam2, Manash Chandra Sarker3, Md. Sanaul Huq4, Mohammad Zahid Hasan5, Ashiq Ahmed6, Neyamul Hasan7, Sajeeb Imtiazur Rahman8
Abstract
Background: Subtrochanteric fractures of the femur remain one of the most challenging fractures confronting orthopaedic surgeons. Bearing all the advantages of PFN, the present study was carried out to observe its efficacy on subtrochanteric fracture management in a tertiary level hospital like NITOR. The aim of this study was to evaluate the outcome of surgical treatment using proximal femoral nailing for subtrochanteric femoral fractures in patients treated at a tertiary hospital in Bangladesh. Material & Methods: This prospective observational study was conducted at the National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) in Dhaka, Bangladesh, from January 2019 to December 2020. Employing purposive sampling, 31 cases were selected due to availability constraints. Data were collected using a structured questionnaire covering history, clinical examination, laboratory investigations, and follow-up findings. Inclusion criteria comprised individuals above 18 years with closed subtrochanteric fractures. Statistical analysis was performed using SPSS 23.0. Results: In our study of 31 subtrochanteric femoral fracture cases, 38.7% of patients were aged 60 to 79 years. According to Seinsheimer classification, 22.6% of fractures were type IIA. Among the cases, 48% were reduced by closed method, while 52% required open reduction. No complication occurred in 26 (83.9%) cases. 18 (58%) cases had no pain at last follow up. Out of 31 cases, 21 (67.7%) were excellent at the final outcome. Conclusions: Treatment of subtrochanteric fracture by proximal femoral nailing is an effective and safe method without any significant complication.
Subtrochanteric femoral fracture, Surgical treatment, Proximal femoral nailing, Outcome, Tertiary hospital.
