Journal of Current and Advance Medical Research https://www.banglajol.info/index.php/JCAMR <p>Official journal of Bangladesh Doctors Society. Articles in the Journal of Current and Advance Medical Research are Open Access articles published under the Creative Commons CC BY-NC License (<a href="https://creativecommons.org/licenses/by-nc-nd/4.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</a>). This license permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.</p><p>JCAMR is included in the <a title="NLM" href="https://www.ncbi.nlm.nih.gov/nlmcatalog/101673828" target="_blank">NLM Catalog</a> ID:101673828</p> Bangladesh Doctors Society en-US Journal of Current and Advance Medical Research 2313-447X <p>Copyright on any research article in the Journal of Current and Advance Medical Research is retained by the author(s).</p><p>The authors grant the Journal of Current and Advance Medical Research a license to publish the article and identify itself as the original publisher.</p><p>Articles in the Journal of Current and Advance Medical Research are Open Access articles published under the Creative Commons CC BY-NC License (<a href="https://creativecommons.org/licenses/by-nc/4.0/">https://creativecommons.org/licenses/by-nc/4.0/</a>)</p><p>This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.</p> Intracranial Aneurysm with Clipping Versus Coiling: Is Management Paradigm Shifting toward Microsurgical Clipping? https://www.banglajol.info/index.php/JCAMR/article/view/37056 <p>Abstract not available</p><p>Journal of Current and Advance Medical Research 2018;5(2):39-41</p> Forhad H Chowdhury Mohammod Raziul Haque ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 39 41 10.3329/jcamr.v5i2.37056 Histopathological Study of Malignant Neoplasm of Breast of Different Age and Sex Groups In a Tertiary Care Hospital https://www.banglajol.info/index.php/JCAMR/article/view/37057 <p><strong>Background:</strong> Various types of female breast cancer associated with rapidly increasing age incidence.<strong> </strong></p><p><strong>Objective:</strong> The purpose of the present study was to find out the frequency of different types of malignant neoplasm of breast in different age and sex.</p><p><strong>Methodology:</strong> This cross-sectional study was carried out at the Department of Pathology, Chittagong Medical College, Chittagong, Bangladesh from May 2005 to June 2006. Patients presented with breast lump of different age and sex were subjected to this study. Details gross examination was done followed by H &amp; E staining for histopathological study.</p><p><strong>Result:</strong> A total number of 48 samples were selected after fulfilling the inclusion and exclusion criteria. This present study conducted in 27 specimens out of 48 breast lump. Among these benign and malignant were 21 and 27, respectively. Majority of the malignancy found in age group 41-50 years. Histopathologically Invasive ductal carcinoma was common 81.5%.There was significant association between different age group and type of neoplasm. In relation to sex malignant breast neoplasm was more common in female.</p><p><strong>Conclusion:</strong> In conclusion invasive ductal carcinoma was the commonest lesion of breast. In relation to sex malignant breast neoplasm was more common in female.</p><p>Journal of Current and Advance Medical Research 2018;5(2):42-44</p> Nazmun Nahar Mohammed Iqbal Kazi Md Shahidur Rahman Md Abdullah Yusuf Shahed Iqbal Shahana Hossain ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 42 44 10.3329/jcamr.v5i2.37057 Demographic Characteristics and Etiology of Simple Mandibular Angle Fracture: Experience of 30 Cases in Dhaka City https://www.banglajol.info/index.php/JCAMR/article/view/37058 <p><strong>Background: </strong>Simple mandibular angle fracture can occur in different group of people due to different etiology.</p><p><strong>Objective: </strong>The purpose of the present study was to find out the demographic characteristics and etiology of simple mandibular angle fracture.</p><p><strong>Methodology: </strong>This cross-sectional study was conducted in the Department of Oral and Maxillofacial Surgery at Dhaka Dental College &amp; Hospital, Dhaka and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2010 to December 2010 for a period of one (01) year. Among all patients admitted/attended to the hospital IPD or OPD with fracture of mandibular angle with or without other associated fracture sites were selected as study subjects. The details of demographics characteristics and etiology of fracture were recorded.<strong> </strong></p><p><strong>R</strong><strong>esult: </strong>A total number of 30 patients were recruited for this study.<strong> </strong>Majority of the respondents 21(70%) were male and rest 09(30%) were female. Mean age of the patients was 29.5±6.795 years. Among the 30 respondents 46.7% had history of Road Traffic Accident, 43.3% due to assault and only 10% for other causes.</p><p><strong>Conclusion: </strong>In conclusion the most common etiology of mandibular angle fracture is road traffic accident. Male and younger adult are frequently encounter the mandibular angle fracture.</p><p>Journal of Current and Advance Medical Research 2018;5(2):45-48</p> Uday Kumar Goswami Binay Kumar Das Prodip Chandra Dash Md Razaul Islam ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 45 48 10.3329/jcamr.v5i2.37058 Comparison of Glasgow Outcome Scale (GOS) and Glasgow Coma Scale (GCS) between Surgical and Conservative Management of Spontaneous Supratentorial Intracerebral Hemorrhage Patients: A Randomized Control Trial https://www.banglajol.info/index.php/JCAMR/article/view/37059 <p><strong>Background: </strong>Glasgow outcome scale (GOS) and Glasgow Coma Scale (GCS) were the important parameter for the proper management of spontaneous supratentorialintracerebral hemorrhage patients.</p><p><strong>Objective: </strong>The purpose of the present study was to compare the GOS and GCS between surgical and conservative management of spontaneous supratentorialintracerebral hemorrhage patients.</p><p><strong>Methodology:</strong> This randomized control trial was conducted in the Department of Neurosurgery at Dhaka Medical College and Hospital from January 2010 to October 2011 for a period of one year and ten months. All hypertensive patients with spontaneous supratentorial intracerebral hemorrhage who were admitted within 48 hours of stroke in Neurosurgery Department during the study period were considered as a study population. Patients underwent surgery was considered as group I and patients those who did not give the consent for operation were treated conservatively was considered as group II.</p><p><strong>Result: </strong>A total of 31 patients were enrolled in this study of which 14 patients underwent surgical evacuation and 17 patients were selected for conservative therapy. Significant positive correlation was found between the GCS score on admission and GOS at 30 days follow-up in surgery group (r=0.649; p&lt;0.05). But a positive significant correlation (r=0.613; P=0.020) was between GCS follow up with GCS on admission in surgery patients and (r=0.575; P=0.016) in conservative group.</p><p><strong>Conclusion: </strong>In conclusion both GOS and GCS are essential during the management of surgical and conservative spontaneous supratentorialintracerebral hemorrhage patients.</p><p>Journal of Current and Advance Medical Research 2018;5(2):49-54</p> Mohammad Rafiqul Islam Md Shafiqul Kabir Khan Md Mahfuzur Rahman Moajjam Hossain Talukder Md Rezaul Karim Abdus Salam ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 49 54 10.3329/jcamr.v5i2.37059 Clinico-Demographic Characteristics of Cervical Spondylosis Patients Presented with Chest Pain https://www.banglajol.info/index.php/JCAMR/article/view/37060 <p><strong>Background: </strong> The prevalence of non-cardiac chest pain is estimated to be more than 65.0% of all cases with chest pain.</p><p><strong>Objective:</strong> The objective of the present study was to see the clinic-demographics characteristics and investigational findings of cervical spondylosis patients presented with chest pain.</p><p><strong>Methodology:</strong> This cross-sectional study was carried out in the department of Physical Medicine &amp; Rehabilitation at National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh from July 2012 to June 2013 for a period of one year. The diagnosis was made by detailed history, clinical examination and relevant investigations.</p><p><strong>Result:</strong> In this study, female (60%) were much more sufferer especially in much younger age group (41.67%). People from urban area (68.75%) and affluent status (41.67%) were more affected; also who were in anxiety-depressed state of mind (50%) and those who worked by neck bending posture (45.83%). All patients presented with chest pain (100%) &amp; other associated symptoms like arm pain (41.67%), tingling sensation of left upper limb (22.91%), shoulder pain (25.0%) and scapular pain (16.67%). All (100%) patients had normal ECG finding. On the other hand, they (100.0%) had some finding in cervical spine X-ray; clinically the patient had painful neck movement (75.0%). A specific test for cervical radiculopathy “spurling maneuver” was positive in (22.91%).</p><p><strong>Conclusion: </strong>Through chest pain due to cervical disc disease widely reported but remains under recognized. So careful evaluation of patient for chest pain might have saved the patient for admission and various expensive invasive procedure.</p><p>Journal of Current and Advance Medical Research 2018;5(2):55-59</p> Fahmida Hafez Md Abdullah Yusuf Jebun Nessa Taslima Hoq Moonmoon AFM Selim Reza Dilshad Parvin ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 55 59 10.3329/jcamr.v5i2.37060 Associated Valvular Heart Diseases among ASD Patients Undergoing Surgical Repair https://www.banglajol.info/index.php/JCAMR/article/view/37061 <p><strong>Background:</strong> Congenital heart diseases (CHD) are one of the most common developmental errors in humans.</p><p><strong>Objectives: </strong>The purpose of the present study was to see the frequencies of various types of atrial septal defect (ASD) and associated cardiovascular disorders in patients undergoing surgical repair.</p><p><strong>Methodology: </strong>This cross-sectional study was conducted on patients undergoing surgical repair at the National Institute of Cardiovascular Diseases (NICVD) or the National Heart Foundation and Research Institute (NHF &amp; RI) in Dhaka, during the period of July, 2010 to June, 2011. Patients presented with ASD at any age of both sexes were selected as study population. Diagnoses were revealed with echocardiography and confirmed preoperatively by registered cardiac surgeons.</p><p><strong>Results:</strong> The morphological types of ASD were ostium secundum type in 96% cases and sinus venosus type in 4% cases. Atrial septal defects were either small or larger defects associated with pulmonary hypertension in 38 (76%) cases, varying degree of tricuspid regurgitation was seen in 33 (66%) patients and dilated pulmonary artery was noted in 24 (48%) cases. Ventricular septal defect in 4 (8%) cases, tricuspid atresia in 2 (4%) cases and mitral valve prolapse in 6 (12%) cases were also observed.</p><p><strong>Conclusions: </strong>Ostium secundum type of ASD is found to be the commonest type of ASD</p><p>Journal of Current and Advance Medical Research 2018;5(2):60-63</p> Ratna Rani Roy Pankaj Kumar Saha Mohammad Abdullah Yusuf Haridas Saha Md Ibnul Hasan Rajib Dey Sarkar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 60 63 10.3329/jcamr.v5i2.37061 Clinical Profiles of Spontaneous Intracerebral Haemorrhage Patients: Experience of 100 Cases in Dhaka City https://www.banglajol.info/index.php/JCAMR/article/view/37062 <p><strong>Background: </strong>Clinical features are the important<strong> </strong>diagnostic tools for the detection of spontaneous intracerebral haemorrhage patients.</p><p><strong>Objective: </strong>The purpose of the present study was to see the clinical profiles of spontaneous intracerebral haemorrhage patients.</p><p><strong>Methodology:</strong> This cross-sectional study was conducted in the Department of Neurology at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (2) years. Patients with spontaneous intracerebral haemorrhage who were admitted in the Departments of Neurology, Neurosurgery and Medicine at Dhaka Medical College and Hospital, Dhaka were selected as study population. Both male and female patients with the age group of ≥18 years, first ever spontaneous intracerebral haemorrhage and hospital admission within 48 hours of onset were included for this study. The clinical features of the study population were collected after admission of the patients like headache, hemiplegia or paresis, vomiting, and deterioration of consciousness, dysphasia, dysarthria and hemisensory loss.</p><p><strong>Result: </strong>Headache was observed the most frequent complaint in 81.0% (n=79) patients. Hemiparesis or hemiplegia was the most frequent focal neurological deficit in 69.0% (n=68) patients. Vomiting was common also 58.0% (n=57) patients. Twenty five (26.0%) respondents were presented with deterioration of consciousness. Dysphasia/aphasia was found in 15.0% patients. Convulsion was not a common presenting feature (7%).</p><p><strong>Conclusion: </strong> In conclusion headache, vomiting and deterioration of consciousness are the most common form of clinical feature of spontaneous intracerebral haemorrhage.</p><p>Journal of Current and Advance Medical Research 2018;5(2):64-67</p> Md Mamnur Rashid Md Ariful Islam Golam Sagir Md Rafiqul Islam Muhammad Abdul Momen Khan Farhana Moslehuddin Md Badrul Alam ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 64 67 10.3329/jcamr.v5i2.37062 Anxiety and Academic Performance among Private Medical College Students https://www.banglajol.info/index.php/JCAMR/article/view/37066 <p><strong>Background: </strong>Medical students are in a huge pressure due to their<strong> </strong>academic syllabus.<strong> </strong></p><p><strong>Objective: </strong>The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.</p><p><strong>Methodology: </strong>This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3<sup>rd</sup> and 4<sup>th</sup> year medical student were included. Data was   collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need.  Statistical test chi-square test were used and p&lt;0.05 was consider to be statistically significant.</p><p><strong>Results: </strong>A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1<sup>st</sup> profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1<sup>st</sup> professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p&lt;0.05).</p><p><strong>Conclusion: </strong>Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.</p><p>Journal of Current and Advance Medical Research 2018;5(2):68-72</p> Shila Rani Das Chinmay Biswas ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2018-06-20 2018-06-20 5 2 68 72 10.3329/jcamr.v5i2.37066