Delta Medical College Journal <p>An official organ of Delta Medical College. Full text articles available.</p><p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons Licence" /></a><br />Articles in the Delta Medical College Journal are Open Access articles published under a <a href="" rel="license">Creative Commons Attribution 4.0 International License</a> CC BY License.</p><p>Deltal Medical College Journal is included on <a title="DOAJ" href="" target="_blank">DOAJ</a>.</p> Delta Medical College en-US Delta Medical College Journal 2307-6615 <p>Copyright on any research article is transferred in full to Delta Medical College Journal upon publication in the journal. The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form).</p><p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons Licence" /></a><br />Articles in the Delta Medical College Journal are Open Access articles published under a <a href="" rel="license">Creative Commons Attribution 4.0 International License</a> CC BY License.</p><p>This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.</p> Preconception Care through Religious Leaders in Bangladesh – A Novel Approach <p>Abstract not available</p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 59-61</p> Samsad Jahan Shahana Shermin ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 59 61 10.3329/dmcj.v6i2.38212 A Study on Highly Sensitive C-Reactive Protein (Hs-CRP) in Patients with Bronchial Asthma <p><strong>Background: </strong>Asthma is a chronic inflammatory disorder of the airways. Relevance of highly sensitive C-reactive protein (hs-CRP), an acute phase reactant and a sensitive marker of low-grade systemic inflammation in bronchial asthma has not been fully studied.</p><p><strong>Objectives: </strong>Reported studies have found an inverse relationship between lung function and markers of systemic inflammation. The aim of this study was to clarify the relationship between serum level of hs-CRP and bronchial asthma.</p><p><strong>Materials and method: </strong>In this study, hs-CRP was measured in 60 patients with asthma and 40 healthy control subjects. Of all asthmatics, 39 patients had partially controlled and uncontrolled asthma and 21 patients had asthma during exacerbation.</p><p><strong>Results: </strong>Highly sensitive CRP was significantly higher (p&lt;0.000) in asthmatic patients as compared to the control group. In asthmatics with exacerbation, serum hs-CRP was significantly higher than in partially controlled and uncontrolled asthmatic patients (p&lt;0.006) and control subjects (p&lt;0.0001).</p><p><strong>Conclusion: </strong>Serum hs-CRP may be a non specific marker of asthma and its exacerbation.<em></em></p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 62-67</p> Md Haroon Ur Rashid Md Rezaul Karim Chowdhury Md Ehsanul Huq Shamimur Rahman Nelson Taposh Mondal ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 62 67 10.3329/dmcj.v6i2.38213 Cataract Surgery under Local Anaesthesia - Search for Safer One <p><strong>Background: </strong>Cataract surgery is usually done under local anaesthesia. But till now there are no absolutely safe local anaesthetics. Current study is done to find out a safer local anaesthetic for cataract surgery.</p><p><strong>Objective: </strong>To evaluate the onset, duration, quality, side effects and safety of bupivacaine and lignocaine in peribulbar block (PBB) for cataract surgery.</p><p><strong>Materials and method: </strong>This was a randomized observational controlled clinical study done in Monno Medical College Hospital, Manikganj, Bangladesh, in the period of October, 2014 to October, 2015. Two hundred cataract patients attending ophthalmology department were allocated to receive either 4 mL 0.5% bupivacaine+4 ml 2% lignocaine or 8 mL of 2% lignocaine for peribulbar block during cataract surgery. Onset, duration, quality of anaesthesia and after effects were used as a clinical parameter for the study.</p><p><strong>Results: </strong>Mean anaesthetic durations of lignocaine and bupivacaine+lignocaine were 75 minutes and 120 minutes respectively. Least complications were observed in subjects with lignocaine.</p><p><strong>Conclusion: </strong>Peribulbar blocks with 2% lignocaine provide better anaesthesia for cataract surgery and success rates are high without any complications. Anaesthetic time of lignocaine alone is enough for cataract surgery<em></em></p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 68-72</p> Md Abdus Salam Siddique Md Fazlul Hoque Md Jamal Abu Naser ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 68 72 10.3329/dmcj.v6i2.38214 Betamethasone Gel versus Intravenous Dexamethasone as Prophylaxis against Postoperative Sore Throat <p><strong>Background: </strong>Postoperative sore throat (POST) though a minor sequel after general anaesthesia with endotracheal intubation, it can be distressing to the patient.</p><p><strong>Objective: </strong>The effectiveness of lubricating endotracheal tube with 0.05% betamethasone gel or intravenous dexamethasone in reducing the postoperative sore throat was compared.</p><p><strong>Materials and method: </strong>This was a prospective study carried out among ninety ASA I and II informed consenting patients aged 20-50 years undergoing elective surgery under general anaesthesia with endotracheal intubation. The patients were randomly divided into three groups with thirty subjects in each group. Betamethasone gel (0.05%) was applied over endotracheal tube over 15 cm mark from the tip in group I, intravenous dexamethasone was given in group II and group III was taken as control. In post-anaesthesia care unit, an anesthesiologist interviewed all patients on postoperative sore throat at 1 hour, 6 hours and 24 hours after operation.</p><p><strong>Results: </strong>At 24 hours following extubation, there was statistically significant lower incidence of post-operative sore throat (POST) in betamethasone group compared to other two groups (betamethasone group 3.33%, dexamethasone group 20% and control group 26.66%, p&lt;0.05). When the groups were compared in pairs at 24 hours, there was statistically significant difference in the incidence of POST between betamethasone group and dexamethasone group and also betamethasone group and control group with lower incidence of POST in betamethasone group, p&lt;0.05. It was also observed that there was no significant difference of POST between dexamethasone and control group at 1 hour, 6 hours or 24 hours, p&gt;0.05.</p><p><strong>Conclusion: </strong>It can be concluded that the use of 0.05% betamethasone gel to lubricate widely the endotracheal tube prior to intubation effectively reduces postoperative sore throat, compared to intravenous dexamethasone administration.<em></em></p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 73-77</p> Muhammad Sazzad Hossain Mamunur Rashid Anisur Rahman Babu Devashis Saha Debasish Banik ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 73 77 10.3329/dmcj.v6i2.38215 Serum Lipid Profile in Adult Nephrotic Syndrome Patients <p><strong>Background: </strong>The nephrotic syndrome is a constellation of abnormalities that includes massive proteinuria, hypoalbuminaemia and oedema. Lipid abnormalities have an important biochemical basis in the disease process of adult nephrotic syndrome. Dyslipidaemia in nephrotic syndrome is involved in cardiovascular risk and also accelerates the progression of glomerular dysfunction.</p><p><strong>Objective: </strong>To find out the association between serum lipid profile and nephrotic syndrome in adult.</p><p><strong>Materials and method: </strong>This case control study was carried out in the Department of Biochemistry, Dhaka Medical College, Dhaka, Bangladesh, during the period of July 2013 to June 2014 to evaluate the association of serum lipid profile in adult patients with nephrotic syndrome. One hundred (100) study subjects were included, among them fifty (50) were diagnosed adult nephrotic syndrome patients selected as case and fifty (50) were age and sex matched healthy adult individuals selected as control. Serum lipid profile and serum albumin were measured for both case and control. All the statistical analyses were done by using SPSS for Windows version 20.0.</p><p><strong>Results: </strong>Mean±SD of serum total cholesterol (Tchol), triacylglycerol (TAG), high density lipoprotein (HDL-C), and low density lipoprotein (LDL-C) of case were 288.23±35.67 mg/dL, 174.53±18.86 mg/dL, 23.71±4.58 mg/dL, and 231.16±34.28 mg/dL respectively and that of control were 171.04± 24.36 mg/dL, 129.58± 23.47 mg/dL, 37.5± 7.01 mg/dL, and 103.58±36.83 mg/dL respectively. Serum Tchol, TAG, LDL-C levels were significantly higher in cases than the control (p&lt;0.0001) and serum HDL-C level was significantly lower in cases than the control (p&lt;0.0001).</p><p><strong>Conclusion: </strong>Dyslipidaemia is associated with adult nephrotic syndrome. Routine check-up of lipid profile will help to prevent the development of cardiovascular and cerebrovascular complications in adult nephrotic syndrome patients.<em></em></p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 78-81</p> Taniza Rahman Nasima Sultana Golam Morshed Molla Pinke Mazumder Sanjeela Nahreen Chowdhury Irin Rahman ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 78 81 10.3329/dmcj.v6i2.38216 Cross Sectional Study of Burn - Experience in 158 Cases <p><strong>Background: </strong>Burns are a global public health problem.</p><p><strong>Objectives: </strong>To find out the status of burn victims along with the causes and consequences of fatal burn injuries.</p><p><strong>Material and method: </strong>The data is collected from the autopsy reports of Dhaka Medical College in 2012. The purpose of this study was to record and evaluate the causes and magnitude of the fatal burn injuries.</p><p><strong>Results: </strong>In 2012, among total 2527 deaths reported at Dhaka Medical College, 158 (6.25%) cases were due to burn. The victims within 21 to 40 years were more vulnerable in comparison to other age groups. Female were more vulnerable than male (55.69% vs. 44.31%). Accidental burn was the commonest cause (55%).</p><p><strong>Conclusion: </strong>Thermal burns and related injuries are major cause of death and disability all over the world as well as Bangladesh. Detail study regarding flame burn is required to be carried out in this country.<em></em></p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 82-85</p> Farhana Shahid Tayyaba Musarrat Jaha Chowdhury Asma Begum Haibuzzaman Chowdhury Nashid Tabassum Khan Sanjida Akhter Mohammad Jubaidul Kabir Palash Kumar Bose Omma Hafsa Any ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 82 85 10.3329/dmcj.v6i2.38217 Occupational Stress among Nurses in a Public Medical College Hospital <p><strong>Background: </strong>Now a days, there is increased demand and progress in the nursing profession. Along with these stress among the nurses has also increased.</p><p><strong>Objective: </strong>Purpose of the study was to assess the extent of perceived occupational stress and its association with work-related and non-work related causes among nurses.</p><p><strong>Materials and method: </strong>This Cross-sectional study was carried out among 197 nurses of Shaheed Suhrawardy Medical College hospital (ShSMCH), Dhaka, Bangladesh, from the period of 1st July 2015 to 30th June 2016. Sampling method was simple random sampling. Data was collected by face to face interview with the help of semi-structured questionnaire and finally all data were analyzed using SPSS software version 21.</p><p><strong>Results: </strong>It was found that 69% nurses were between the age of 21 to 39 years, 94.9% were female, 68% were married, 79.2% were Muslim, 84.3% had diploma, family income of 91.4% were equal to more than 40,000 Tk. and 95.5% used to do clinical work. Only 5.1% found to experience high stress. Statistically significant difference was found between sex, occupational stress and religion, educational status, and type of work (p &lt; 0.05). Few nurses suffered from high stress but high level of stress were more in male, non Muslim, post graduate nurse and those who were engaged in administrative work.</p><p><strong>Conclusion: </strong>Nurse Managers should take appropriate actions to decrease stress helping their nurses to work efficiently and effectively.<em></em></p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 86-89</p> Shila Rani Das Chinmay Biswas Sharmina Afrin ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 86 89 10.3329/dmcj.v6i2.38218 Hyperprolactinemia: A Systematic Review of Diagnosis and Management <p>Hyperprolactinemia is a common endocrine disorder that can be associated with significant morbidity. It can result from a number of causes, including use of medication, hypothyroidism and pituitary disorders. Depending on the cause and consequences of hyperprolactinemia, selected patients require treatment considering the underlying cause, age sex, and reproductive status. We describe a systematic review of hyperprolactinemia, including microadenomas and macroadenomas, in various clinical settings, with emphasis on newer diagnostic strategies and the role of various therapeutic options, including treatment with selective dopamine agonists. Through this review, we aimed to compare efficacy and adverse effects of medications, surgery and radiotherapy in the treatment of hyperprolactinemia.<strong></strong></p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 90-101</p> Nazma Akter Nazmul Kabir Qureshi Tangera Akter ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 90 101 10.3329/dmcj.v6i2.38219 Unusual Presentation of Precocious Puberty Associated with Primary Hypothyroidism in a 8.5 Years Old Girl <p>Precocious puberty is one of the gynaecological problems in childhood. Children with hypothyroidism generally have delayed pubertal development. But primary hypothyroidism is one of the rare causes of precocious puberty especially in long standing untreated patients. Bilateral ovarian enlargement due to multiple cystic ovaries is a rare complication of primary hypothyroidism. For ovarian enlargement no treatment is required at all. This is a case report of an 8.5 years old girl diagnosed as a case of precocious puberty with benign ovarian tumour at a peripheral hospital and was being prepared to undergo laparotomy. When patient was admitted at Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh, after thorough investigations primary hypothyroidism was diagnosed. She was given thyroxin replacement and close monitoring was done by doing USG of uterus and adnexae, thyroid function test at monthly interval. USG after 2 months revealed significant reduction of ovarian volume and at 6 month ovarian volume reduced to normal. It was also noticed that the rate of reduction of ovarian volume corresponds to the rate of reduction of serum TSH level measured serially at every 2 months interval.</p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 102-105</p> Shamsun Naher Rikta Fatema Ashraf Samira Areen ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 102 105 10.3329/dmcj.v6i2.38220 Reviewers in this issue Vol.6(2) <p>Abstract not available</p><p><em>Delta Med Col J. </em>Jan 2018 6(2): 106</p> Md Rezwanur Rahman ##submission.copyrightStatement## 2018-09-14 2018-09-14 6 2 106 106 10.3329/dmcj.v6i2.38221