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ssnimcj2025v10i1s11

Information for Contributors

General Information
Shaheed Syed Nazrul Islam Medical College Journal (SSNIMCJ) is a journal, published twice a year. It accepts original papers, review articles, case reports and short communications related to various disciplines of medical science for publication. Paper should be solely contributed to the Journal.

Manuscripts
Manuscripts should be prepared in accordance with the PubMed style. Two copies of each paper along with figures, tables, photographs, photomicrographs and the relevant materials should be submitted to the editor with a letter informing that it is not submitted in other journal. Manuscripts should be typed in English on one side of white bond paper ISO A4 size with margins of at least 25 mm using double space throughout. Each of the following sections should begin on separate pages: Title, Abstract and Keywords, Text, Acknowledgements, References, individual Tables and legends. Pages should be numbered consecutively beginning with the Title page.

Title Page
The title page should include (i) type of publication (original, review, case history etc.) (ii) the complete title of the article (iii) authors’ name in abbreviation (according to PubMed style) (iv) list of authors including full name, highest degree, signature, designation and institutional affiliation and (v) name, mailing address, email and telephone/mobile number of author responsible for correspondence.

Abstracts
It should begin with full title of the article. Do not write authors name in the abstract page. The abstracts should not be more than 200 words. The abstract should state the purpose of the study or investigations, basic procedures, main findings and principal conclusion. Three to ten keywords may be provided below the abstract using terms from the Medical Subject Headings (Index Medicus, NLM, USA).

Text
The text of the original articles should be divided into following sections: Introduction, Methods, Result and Discussion.

Reference
References to literature should be numbered in Arabic numerical in superscripts consecutively in the order in which they are mentioned in the text. At the end of article, the full list of references should give the name of all authors followed by the title of the article, the title of the journal abbreviated according to Index Medicus, the year of publication, volume number and first and last pages of the article. Title of the books should be followed by the edition, place of publication, the publisher, the year and the relevant pages. Examples of correct form of reference are given below:

Journal
1. Yagupskey P and Noltes FS. Quantitative aspect of septicemia. Clin Microbiol Rev, 1990; 3:269-271.
2. Kabir N, Kawser CA, Rahman F et al. The relationship of placental weight with birth weight. Mymensingh Med J, 2007; 16(2):177-180.

Editor/compiler as author in book
1. Winste L and Swartz MN. Pathogenic properties of invading microrganisms. In: Sodeman WA Jr and Sodaman WA. eds Pathologic Physiology 4th Ed: Mechanism of Disease, Philadelphia. W/B Saunders Co. 1994: pp 457-472.

Tables
Tables should be typed written on separate numbered pages and should follow the reference list. All tables should be numbered consecutively using Roman numerical. Each must carry a brief descriptive heading. Tables should be planned to fit within print area.

Illustrations
Photographs and photomicrographs should be printed in glossy paper. Figure should be drawn on thick white paper or card and be submitted in original. Figure number and name of the first author should be marked lightly on the back of each figure with soft pencil. Legend should be given in separate page.

Abbreviation
Standard abbreviation should be used whenever possible. The full term for which the abbreviation stands followed by abbreviation in parenthesis should be proceed the first use of the abbreviation in the text except for standard units of measurements like 27OC and 25 mmol/L etc.

Letters to the editor
Communications with reference to an article published in the journal and current health problems in the community will be accepted as letter to the editor.

Electronic Copy
An electronic copy (soft copy) in the form of CD must be submitted with the printed copy of the article. Electronic copy may be send by email attachment at sadequel@yahoo.com. Text should be processed with MS Word and Pictures should be saved in JPG format.

The editor reserves the customary right to style and if necessary shorten the material accepted for publication and to determine the priority and time of publication. Editor assumes that work based on honest observations. It is not the task of the editor to investigate scientific fraud paper.

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ssnimcj2025v10i1

Shaheed Syed Nazrul Islam Medical College Journal

Volume 10, Issue 1

January, 2025

 Contents

Editorial

1. Artificial Intelligence (AI) in Clinical Medicine: Potential and Progress

Das DC

Original Contributions

2. Clinical and Socio Demographic Aspects of Congestive Heart Failure Patients

Mia MR, Rahman M, Rahman MM, Uddin MJ, Azad MS, Ahmed N

3. Psychiatric Morbidities and Socioeconomic Background – An Evaluation from a District Level Government Hospital

Bashar MK, Kulsum U, Talukder MM, Mitu MR, Naser MJ, Sultana N, Hasan MK

4. Disease Patterns and Outlook with Coronary Artery Bypass Grafting

Hossain MI, Talha MA, Tabassum N, AhmedY, Shadman R, Sharifuzzaman M

5. Changes in Serum Sodium Level in Patients with Acute Myocardial Infarction

Taufiq-Ul-Alam M, Diluara K, Chowdhury NM, Tasnim N, Hassan ST, Yesmin F

6. Relationship of Interpregnancy Interval with Ultrasonographic Measurement of Lower Uterine Segment Caesarean Scar Thickness

Sarker B, Haque N, Sikdar K, Akter F, Shormin N, Rowshan A

7. Haematological Parameter Changes in Per-operative Early Ligation of Splenic Artery during Splenectomy in Children with Hypersplenism

Sikdar K, Hossain AZ, Mahammad N, Shimon MS, Sarker B,Hasan GJ

 8. Knowledge, Attitude and Practice of Oral Care of Critically Ill Child by Intensive Care Nurses at Pediatric Critical Care Unit

Talha MA,Tabassum N,Hossain MI,Munjerin M,Rony RH, Hasan NA

 9. Effect of Pre-existing Ischemic Heart Disease on 30-Days Mortality in COVID-19 Patients

Iqbal MH, Moontaha H, Sarker BK, Paul MR, Chowdhury AW

 10. Evaluation of Neutrophil-lymphocyte Ratio as a Predictor of Complications in Dengue Infection

Wazib A, Rahman S, Belal MM, Shamme SS, Ahmed MR, Kamal FN, Mani SI, Kamal M

 Others

11. Information for Contributors

Cover PDF
Index PDF
Contact PDF

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ssnimcj2024v9i2

Shaheed Syed Nazrul Islam Medical College Journal
Volume 9, Issue 2
July, 2024

Contents

Original Contributions

  1. Prediction of Oesophageal Varices by Serum Albumin Level among Patients with Cirrhosis of Liver

Ullah P, Bhowmik RC, Keya SA, Rahut A, Aftab H

 

  1. Adolescent Students’ Distress and Noise Exposure in Classrooms near an Industrial Area

Pritom MJ, Joy YA, Tabassum N, Shadman R, Talukdar MS, Rahman MM, Sattar S, Abbas MG

 

  1. Association of Microalbuminuria with Duration of Type-2 Diabetes Mellitus

Haque MJ, Ahammod T, Asaduzzaman M, Kawsar IA

 

  1. Prevalence of Psychiatric Disorders – An Evaluation from a Psychiatric Outdoor Department with ICD-10 Diagnostic Criteria for Research (DCR)

Bashar MK, Kulsum U,Talukder MM, Mitu MR Naser MJ, Sultana N6

 

  1. Analysis of Road Traffic Accident Deaths at a Medical College Mortuary in Sylhet

Rahman MF, Poly TB, Uddin NM, Nurunnabi M

 

  1. Prevalence of Morbidity Pattern & Immediate Outcome of Perinatal Asphyxia in a SCANU of 250 Bed District Hospital in Jamalpur

Khaleque MA, Islam MT, Mridha S, Begum S,Asaduzzaman M,Jahan MS

 

  1. Biochemical and Serological Characteristics of Incidentally Detected Chronic Hepatitis B Infection

Alam MJ, Mahtab M, Rahman MM, Ahmed MU, Rahman MO, Chowdhury MK, Shaha M

 

  1. Sociodemographic and Etiological Profile of Patients with Metabolic Acidosis Admitted in an Intensive Care Unit of a Specialized Hospital in Bangladesh

Rahman MM, Islam U, Mamun AA

 

Others

  1. Information for Contributors

Top Cover
Index
Contacts

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ssnimcj2024v9i2a9

Information for Contributors

 General Information

Shaheed Syed Nazrul Islam Medical College Journal (SSNIMCJ) is a journal, published twice a year. It accepts original papers, review articles, case reports and short communications related to various disciplines of medical science for publication. Paper should be solely contributed to the Journal.

 

Manuscripts

Manuscripts should be prepared in accordance with the PubMed style. Two copies of each paper along with figures, tables, photographs, photomicrographs and the relevant materials should be submitted to the editor with a letter informing that it is not submitted in other journal. Manuscripts should be typed in English on one side of white bond paper ISO A4 size with margins of at least 25 mm using double space throughout. Each of the following sections should begin on separate pages: Title, Abstract and Keywords, Text, Acknowledgements, References, individual Tables and legends. Pages should be numbered consecutively beginning with the Title page.

 

Title Page

The title page should include (i) type of publication (original, review, case history etc.) (ii) the complete title of the article (iii) authors’ name in abbreviation (according to PubMed style) (iv) list of authors including full name, highest degree, signature, designation and institutional affiliation and (v) name, mailing address, email and telephone/mobile number of author responsible for correspondence.

 

Abstracts

It should begin with full title of the article. Do not write authors name in the abstract page. The abstracts should not be more than 200 words. The abstract should state the purpose of the study or investigations, basic procedures, main findings and principal conclusion. Three to ten keywords may be provided below the abstract using terms from the Medical Subject Headings (Index Medicus, NLM, USA).

 

Text

The text of the original articles should be divided into following sections: Introduction, Methods, Result and Discussion.

Reference

References to literature should be numbered in Arabic numerical in superscripts consecutively in the order in which they are mentioned in the text. At the end of article, the full list of references should give the name of all authors followed by the title of the article, the title of the journal abbreviated according to Index Medicus, the year of publication, volume number and first and last pages of the article. Title of the books should be followed by the edition, place of publication, the publisher, the year and the relevant pages. Examples of correct form of reference are given below:

 

Journal

  1. Yagupskey P and Noltes FS. Quantitative aspect of septicemia. Clin Microbiol Rev, 1990; 3:269-271.
  2. Kabir N, Kawser CA, Rahman F et al. The relationship of placental weight with birth weight. Mymensingh Med J, 2007; 16(2):177-180.

 

Editor/compiler as author in book

  1. Winste L and Swartz MN. Pathogenic properties of invading microrganisms. In: Sodeman WA Jr and Sodaman WA. eds Pathologic Physiology 4th Ed: Mechanism of Disease, Philadelphia. W/B Saunders Co. 1994: pp 457-472.

 

Tables

Tables should be typed written on separate numbered pages and should follow the reference list. All tables should be numbered consecutively using Roman numerical. Each must carry a brief descriptive heading. Tables should be planned to fit within print area.

 

Illustrations

Photographs and photomicrographs should be printed in glossy paper. Figure should be drawn on thick white paper or card and be submitted in original. Figure number and name of the first author should be marked lightly on the back of each figure with soft pencil. Legend should be given in separate page.

 

Abbreviation

Standard abbreviation should be used whenever possible. The full term for which the abbreviation stands followed by abbreviation in parenthesis should be proceed the first use of the abbreviation in the text except for standard units of measurements like 27OC and 25 mmol/L etc.

 

Letters to the editor

Communications with reference to an article published in the journal and current health problems in the community will be accepted as letter to the editor.

 

Electronic Copy

An electronic copy (soft copy) in the form of CD must be submitted with the printed copy of the article. Electronic copy may be send by email attachment at sadequel@yahoo.com. Text should be processed with MS Word and Pictures should be saved in JPG format.

 

The editor reserves the customary right to style and if necessary shorten the material accepted for publication and to determine the priority and time of publication. Editor assumes that work based on honest observations. It is not the task of the editor to investigate scientific fraud paper.

In PDF

 

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ssnimcj2024v9i2a8

Original Contribution

Sociodemographic and Etiological Profile of Patients with Metabolic Acidosis Admitted in an Intensive Care Unit of a Specialized Hospital in Bangladesh

*Rahman MM,1 Islam U,2 Mamun AA3

  1. *Dr. Md Muhibur Rahman, FCPS (Medicine), FCPS (Gastroenterology), Medical Officer, Department of Gastroenterology, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh. dmc@gmail.com
  2. Ummehoney Islam, MD (Dermatology), Resident, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh
  3. Abdullah Al Mamun, FCPS (Medicine), Senior Consultant, Department of Medicine, Evercare Hospital, Dhaka, Bangladesh

 

*For correspondence

Abstract

Background: Metabolic acidosis is a serious acid-base disorder frequently encountered in intensive care units (ICUs). Early diagnosis and management of its underlying causes are crucial for improving patient outcomes. However, there is a paucity of local data on the etiologies of metabolic acidosis among critically ill patients in Bangladesh.

Objectives: To determine the causes of metabolic acidosis and distinguish the etiologies associated with an elevated anion gap from those with a normal anion gap among patients admitted to the Medical ICU of a specialized hospital in Bangladesh.

Methods: This hospital-based observational study was conducted at the Medical ICU of Evercare Hospitals, Dhaka, Bangladesh, from March 2012 to August 2012. Fifty patients diagnosed with metabolic acidosis were enrolled. Data on patient demographics, comorbidities, clinical features, and biochemical investigations were collected.

Results: The mean age of patients was 58.04 years, with a predominance of males (68%). Renal failure was the most common cause of metabolic acidosis (58%), followed by lactic acidosis (28%), diabetic ketoacidosis (6%), and methanol poisoning (6%). The majority (82%) had high anion gap metabolic acidosis. Hypoalbuminemia was observed in 62% of patients.

Conclusion: Metabolic acidosis more commonly occurred in patients with renal failure, particularly in the sixth and seventh decades of life, with a male predominance and higher prevalence among individuals from higher socioeconomic backgrounds. Causes of high anion gap metabolic acidosis were more common than normal anion gap acidosis in ICU patients. Prompt diagnosis and management of the underlying etiology are crucial for improving outcomes.

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):94-102]

doi: https://doi.org/10.69699/ssnimcj2024v9i2a8

Keywords: Metabolic acidosis, anion gap, intensive care unit, Bangladesh, etiology

Full Article in PDF

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ssnimcj2024v9i2a7

Original Contribution

Biochemical and Serological Characteristics of Incidentally Detected Chronic Hepatitis B Infection

 

*Alam MJ,1 Mahtab M,2 Rahman MM,3 Ahmed MU,4 Rahman MO,5 Chowdhury MK,6 Shaha M7

 

  1. *Dr. M. Jahangir Alam, Department of Gastroenterology, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh. jahangirk43@yahoo.com
  2. Masuma Mahtab­, Department of Radiology & Imaging, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh.
  3. Md Muhibur Rahman Department of Gastroenterology, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh
  4. Mostak U. Ahmed, Department of Gastroenterology, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh
  5. M. Oliur Rahman, Department of Gastroenterology, Sylhet MAG Osmani Medical College, Sylhet, Bangladesh
  6. Malay K. S. Chowdhury3, Department of Gastroenterology, Colonel Maleque Medical College, Manikganj, Bangladesh.
  7. Madhusudan Saha, Department of Gastroenterology, Sylhet Women’s Medical College, Sylhet, Bangladesh.

 

*For correspondence

Abstract

Background: Hepatitis B virus infection is still a significant public health problem worldwide. In a considerable number of cases the infection person remains asymptomatic, despite ongoing histological activity.

Objective: This retrospective study was done to see biochemical and serological activity of hepatitis B virus in incidentally detected hepatitis B virus infected patients.

Methods: This cross-sectional study was conducted at Popular Medical Centre, Sylhet, Bangladesh, from January 2016 to December 2017.  Available demographic and laboratory data of incidentally detected patients of chronic hepatitis B virus infection were retrieved from record and analysed using SPSS version 20. Mean and SD for continuous data and percentage of categorical data were calculated.

Results: Total 276 patients, age ranging from 13 to 60 years (mean 29.38), male 225 (81.5%) were enrolled. Of them 147 (53.3%) were in 26 – 40 years age group. In this series, 157 (56.9%) and 54 (19.6%) had history of saloon shave and family history of liver disease respectively. Alanine aminotransferase (ALT) of them varied from 15 to 367 iu/dl (mean 51.54). Of them 37 (13.4%) had HBeAg positive and 17 (6.2%) had fatty liver in ultrasound.  HBV DNA was seen in 115 patients with 32 (27.82%) had DNA load above 100,000 copies per ml.

Conclusion: We observed a wide range of alanine aminotransferase (ALT) levels, with a  notable proportion of patients tested positive for HBeAg. Ultrasonography revealed fatty liver in a subset of patients. Hepatitis B virus DNA estimation showed a considerable prevalence, with a subset having high viral loads. Fibro-scan demonstrated varying degrees of liver stiffness. These findings underscore the importance of comprehensive assessment and monitoring in patients with incidentally detected chronic hepatitis B infection.

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):86-93]

DOI: https://doi.org/10.69699/ssnimcj2024v9i2a7

 

Keywords: Hepatitis B infection, Biochemical parameter, Serological parameter, incidentally detected.

Full Article in PDF

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ssnimcj2024v9i2a6

Original Contribution

Prevalence of Morbidity Pattern & Immediate Outcome of Perinatal Asphyxia in a SCANU of 250 Bed District Hospital in Jamalpur

 

Khaleque MA,1 Islam MT,2 Mridha S,3 Begum S,4 Asaduzzaman M,5 *Jahan MS6

 

  1. Md. Abdul Khaleque, Associate Professor & Head of Department, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur. abdulkhaleque623@gmail.com.
  2. Md. Tazul Islam, Assistant Professor, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur.
  3. Selim Mridha, Assistant Professor, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur.
  4. Shahanaz Begum, Senior Consultant, Department of Gynaecology & Obstretics, Shaheed Sayed Nazrul Islam Medical College, Kishorgonj.
  5. Mohammad Asaduzzaman, Assistant Professor, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur.
  6. *Dr. Md. Saruar Jahan, Registrar, Department of Paediatrics, Sheikh Hasina Medical College, Jamalpur. msaruar.jahan@gmail.com

 

* For correspondence

Abstract

Background: Perinatal asphyxia (PNA) is a leading cause of infant morbidity and mortality worldwide. Although significant progress has been made in reducing the impact of infectious diseases, much remains to be seen in reducing the threat of perinatal asphyxia, particularly in developing countries.

Objective: The aim of present study is to evaluate the prevalence of morbidity pattern and immediate outcome of perinatal asphyxia in a scanu of 250 bed district hospital in Jamalpur.

Method: This cross-sectional study was conducted among 424 patients from 01.01.2023 to 30.06.2023 in newly shaped Special Care Neonatal Unit (SCANU) of 250 bed district hospital in Jamalpur, Bangladesh.

Results: In our study, maximum (62%) babies were male and 38% of them were female. 80.1% babies had the gestational age of 37 to 40 weeks, 51.4% babies were delivered in clinic. Maximum (80.3%) babies were from rural population. Maximum (128) mothers had abortion, 99 mothers had trial of oxytocin, 84 had obstetric labour, 65 had multiple parity, 46 had still birth and 5 had primi cases. 246 mothers had no adverse medical conditions but 76 had premature leaking, 27 had HTN, 16 had PROM, 15 had anemia, 9 had DM, 5 had PET, 3 had APH and 2 had heart disease. Maximum babies (297) had spontaneous cry, 127 had delayed cry, 126 needed oxygen inhalation and 5 had needed resuscitation. Among the complications, maximum babies had respiratory distress (288) and convulsion (109). Maximum (61%) patients had PNA and Hypoxic-ischemic encephalopathy (HIE) stage 2, 33% patients had only PNA and 6% patients had PNA and HIE stage 1.

Conclusion: In this study, we discovered that asphyxiated babies had significantly higher levels of the identified risk factors as well as neonatal complications. Even with our limited resources, the majority of these could have been avoided.

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):79-85]

DOI: https://doi.org/10.69699/ssnimcj2024v9i2a6

 

Keywords: Perinatal Asphyxia, Neonates, Morbidity pattern

Full Article in PDF

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ssnimcj2024v9i2a5

Original Contribution

Analysis of Road Traffic Accident Deaths at a Medical College Mortuary in Sylhet

 

*Rahman MF,1 Poly TB,2 Uddin NM,3 Nurunnabi M4

 

  1. Md. Fahmidur Rahman, Assistant Professor, Department of Forensic Medicine and Toxicology, North East Medical College, Sylhet 3100, Bangladesh
  2. Tahmina Begum Poly, Registrar, Department of Obstetrics and Gynaecology, North East Medical College, Sylhet 3100, Bangladesh.
  3. NM Minhaz Uddin, Lecturer, Department of Forensic Medicine and Toxicology, Sylhet MAG Osmani Medical College, Sylhet 3100, Bangladesh.
  4. *Dr. Mohammad Nurunnabi, Assistant Professor, Department of Community Medicine and Public Health, Sylhet Women’s Medical College, Sylhet 3100, Bangladesh. somch@gmail.com

 

*For correspondence

Abstract

Background: Road traffic accidents (RTA) are a widespread global crisis, causing millions of deaths and innumerable injuries each year. It has become more prevalent and deadly as civilization progressed. This study aimed to analyse deaths caused by road traffic accident in Sylhet district.

Methods: A retrospective study, based on autopsy records, was conducted to analyze deaths resulting from road traffic accidents at the mortuary of the Department of Forensic Medicine and Toxicology at Sylhet MAG Osmani Medical College. A total of 301 autopsies were performed from January 2016 to December 2018 at this facility.

Results: The majority of victims, accounting for 48.6%, were adults aged 20-49. Additionally, the death rate was notably higher among individuals aged 60 and older, at 19.6%.The incidence of deaths was higher among males, accounting for 66.1%. Injuries to the skull and scalp region were the most prevalent, occurring in 85.4% of cases, followed by injuries to the brain and spinal cord, which were observed in 76.1% of cases. The most prevalent types of injuries were bruising (92.4%) and abrasions (86.7%). The most common cause of death according to postmortem findings was haemorrhage and shock (91.4%), followed by skull injuries (77.4%) and brain injuries (62.8%).

Conclusion: Addressing these common causes through education, enforcement of traffic laws, infrastructure improvements, and vehicle safety measures can help reduce the number of RTA deaths.

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):72-78]

DOI: https://doi.org/10.69699/ssnimcj2024v9i2a5

 

Keywords: Road traffic accidents, deaths, Sylhet, Bangladesh.

Full Article in PDF

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ssnimcj2024v9i2a4

Original Contribution

Prevalence of Psychiatric Disorders – An Evaluation from a Psychiatric Outdoor Department with ICD-10 Diagnostic Criteria for Research (DCR)

 

*Bashar MK,1 Kulsum U,2 Talukder MM,3 Mitu MR4 Naser MJ,5 Sultana N6

 

  1. *Dr. Md. Khairul Bashar, Associate Professor, Psychiatry, Shaheed Syed Nazrul Islam Medical College, Kishoreganj. kabashar47@gmail.com
  2. Umme Kulsum, Assistant Professor, Psychiatry. Shaheed Syed Nazrul Islam Medical College, Kishoreganj.
  3. Muhammad Moinul Alam Talukder, Assistant Professor, Pharmacology. Shaheed Syed Nazrul Islam medical College, Kishoregonj.
  4. Marshia Rahman Mitu, FCPS (Medicine), OSD, DGHS, Mohakhali, Dhaka.
  5. Mohammad Jamal Abdel Naser, Associate Professor (C.C), Department of Microbiology, Shaheed Syed Nazrul Islam Medical College, Kishoreganj.
  6. Nadia Sultana, MPH, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka

 

*For correspondence

Abstract

Objective: This retrospective cross-sectional study explored the mental health prevalence among individuals seeking psychiatric evaluation and treatment at the outpatient department (OPD) of Shaheed Syed  Nazrul Islam Medical College in Kishoregonj, Bangladesh.

Methods: Medical records of patients visiting the OPD from February 2023 to November 2023 were accessed and reviewed for relevant demographic information and psychiatric diagnoses. Patients with complete and accessible information were included, while those with incomplete records or non-psychiatric primary diagnoses were excluded. The International Classification of Diseases, 10th Revision (ICD-10), was utilized for diagnostic categorization, with diagnoses made according to established guidelines. Neurological disorders falling outside the F00-F99 category of the ICD-10 classification were also excluded to ensure sample homogeneity.

Results: In this study, anxiety disorders represented a significant portion, with generalized anxiety disorder being the most commonly observed subtype. Obsessive-compulsive disorder, dissociative disorders, and somatoform disorders also featured prominently within this category. Additionally, mood disorders were identified as a substantial portion of cases, with depressive disorder of recurrent type, and bipolar condition being the predominant subtypes. Furthermore, schizophrenia, borderline personality disorder, conduct disorders, and acute and transient psychotic disorders were notable in their prevalence. Conversely, certain disorders such as dementia, cognitive disorder, substance abuse, and delusional disorder were observed in a minority of cases.

Conclusion: A high burden of anxiety and depression disorders had been observed in this study. Additionally, the presence of schizophrenia, borderline personality disorder, and other severe mental illnesses underscores the diverse spectrum of conditions encountered. Notably, low incidence of dementia, cognitive disorders, substance abuse, and delusional disorders could be attributed to distinct characteristics of the OPD population or variations in patterns of seeking help for mental health concerns.

 

 

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):62-72]

DOI: https://doi.org/10.69699/ssnimcj2024v9i2a4

 

Keywords: Mental illness, ICD-10, Depression, Anxiety, OPD presentation

Full Article in PDF

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ssnimcj2024v9i2a3

Original Contribution

Association of Microalbuminuria with Duration of Type-2 Diabetes Mellitus

 

Haque MJ,1 *Ahammod T,2 Asaduzzaman M,3 Kawsar IA4

 

  1. Md.  Jahirul Haque, MD, Associate Professor, Department of Medicine; Shaheed Syed Nazrul Islam Medical College, Kishorganj. jahirulhaque69@gmail.com
  2. *Dr. Tofael Ahammod, MD, Assistant Professor, Department of Nephrology; Shaheed Syed Nazrul Islam Medical College, Kishorganj. ritonahammod@hotmail.com
  3. Md. Asaduzzaman, FCPS, Senior Consultant (Ophthalmology) and Assistant Director, Mugda Medical College Hospital, Mugda, Dhaka.
  4. IUM A Kawsar, Assistant Professor, Department of pediatrics, Shaheed Tajuddin Ahmad Medical College, Gazipur.

 

*For correspondence

 

Abstract

Background: Microalbuminuria has been linked to the identification of incipient diabetic kidney diseases as well as it is a predictor of outcome in patients with renal disease. It is also an independent risk factor for prediction of cardiovascular morbidity and mortality. In various studies, it was found that long duration of diabetes is associated with higher percentages of microalbuminuria.

Objective: In this study, we tried to correlate microalbuminuria with duration of type 2 diabetes mellitus as well as to observe relation of microalbuminuria in between cardiovascular diseases and without cardiovascular diseases in patients having type 2 diabetes mellitus.

Methods: A hospital based observational study was carried out in the Department of Medicine, Dhaka Medical College & Hospital where total of 100 patients diagnosed as type 2 DM were included. Detailed history including duration of diabetes mellitus, medications received, associated hypertension, any other cardiovascular diseases, and their medication, any history suggestive of adverse cardiac events along with prescribed medication was obtained. Investigations were carried out to assess level of microalbuminuria.

Result: In this study it was observed that 38.0% patients have normoalbuminuria and 62.0% patients have microalbuminuria. It was also observed that presence of microalbuminuria in study population is gradually increasing along with duration of DM and it was high in > 10 years duration of DM group (83.3%). Occurrence of microalbuminuia was found significantly higher (p<0.05) in type 2 DM patients with cardiovascular disease.

Conclusion: Microalbuminuria is an important association with development of cardiovascular diseases in type 2 DM.. Presence of microalbuminuria is gradually increasing along with duration of DM and especially higher in more than 10 years.

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):54-61]

DOI: https://doi.org/10.69699/ssnimcj2024v9i2a3

 

Keywords: Microalbuminuria, Type-2 Diabetes Mellitus

Full Article in PDF