Tag: Medical Journal

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ssnimcj2021janv6n1

Shaheed Syed Nazrul Islam Medical College Journal

Volume 6, Issue 1, January, 2021
1. Editorial
1COVID-19 and the Kidney
Huda AN
PDF
Original
2. Evaluation of C-reactive Protein, Blood Urea Nitrogen and Hematocrit as Independent Predictors of Severity of Acute Pancreatitis
Saqeb KM
PDF
3. Evaluation of Replacement Hemiarthroplasty of Femoral Neck Fracture by Bipolar Prosthesis through Lateral Approach
Khan MH, Rokonuzzaman S M, Hossain MA, Sikder SI, Hossain SZ, Arman DM,Khan MM, Shahiduzzaman M
PDF
4. The Menstrual Abnormalities on Premenstrual Syndrome (PMS) Patients: A Cross Sectional Study
Baidya D, Begum M,Akter S
PDF
5. Clinical Evaluation and Outcome of Patients with Infantile Spasm
Hossain MM, Ahmed GU,Syfullah KA, Hossain MN
PDF
6. Retrospective Study on Magnitude and Pattern of Deaths due to Road Traffic Accidents in Sylhet
Uddin NM, Nurunnabi M, Islam MS, Alam MS,Hasan MR, Rahman MF
PDF
7. Cardiac Markers: A Clear Cause for Point of Care Testing in Newly Diagnosed Acute Coronary Syndrome Patients
Jahan NA, Hossain MM, Abbas MG, Haque A, Parvin D, Nahar K, Alam MR, Arslan MI
PDF
8. Essential Newborn Care: Practices among Rural Mothers
Begum MB, Halim KS, Sultana H, Haque A, Nahar K, Alam MR, Abbas MG
PDF
9. Diagnostic Accuracy of Ultrasonography in the Diagnosis of Ovarian Masses of the Admitted Patients in a Tertiary Care Hospital
Rahman L, Ferdous J, Rahman MA, Sultana R
PDF
10. Clinical Outcome of Laparoscopic Simple Nephrectomy in Comparison with Open Simple Nephrectomy
Uddin MZ, Khan SS, Enayetullah I, Nasiruddin M, Babul MS, Abedin KR
PDF
11. A Study on Pattern of ECG Changes in Acute Phase of Stroke Patients in Tertiary Care Medical College Hospital
Alam MS, Rahman MH,Rahman S, Sultana T, Ali MH
PDF
12. Role of Ivermectin in Patients with Mild to Moderate Coronavirus Disease -2019 Admitted in Shaheed Syed Nazrul Islam Medical College Hospital, Kishoreganj: Open Label, Randomized Controlled Trial
Rahman MA, Pavel MM, Haque MJ, Wahab MA, Akter M, Shamme SS, Rahman MA,Rahman M
PDF
13 Comparison of Ultrasonographically Measured Intravesical Prostatic Protrusion and Prostate Volume in the Evaluation of Bladder Outlet Obstruction
Rafique FB, Mazumder MM, Ahammod T, Russel MA, Dowel FA, Miah MO, Mahmud H
PDF
14. Fetal and Maternal Outcome in Patients with Impaired Liver Function at Third Trimester of Pregnancy
Akter M,Rahman MA,Mirza TT
PDF
15. Prevalence of Chronic Kidney Disease in Type 2 DM Patients in a Rural Medical College Hospital, Kishoreganj
Chowdhury MR, Bhuiyan BU, Saad S, Hossain MZ, Alam MS, Rahman S, Kabir S
PDF
16. Comparison of Effect of Pentoxifylline and Lifestyle Modification on Histological Activity of Nonalcoholic Steatohepatitis Patients: A One Year Randomised Control Trial
Hasan SN, Rahman MM, Howlader MH, Afroze N, Khatun S, Alam MS
PDF
17. Efficacy and Safety of Levofloxacin in the Treatment of Community Acquired Pneumonia in Children
Nuruzzaman M, Hoque M, Shamme SS, Das S, Ahmed DN
PDF
Case Report
18. Wilson Disease, Presenting as Recurrent Jaundice: A Case Report
Nuruzzaman M, Hasan SN, Quadir MA, Ahmed M, Trisha NA
PDF
19. Information for Contributors
PDF

Cover-1: Front cover
Cover-2: Index Part 1
Cover-3: Contact
Index Part 2

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ssnimcj2025v10i2s5

Original Contribution

Severe Acute Malnutrition of Children in Slums of Dhaka City, Bangladesh 

*Billah MM,1 Shampa NN,2 Henderson A3 

  1. *Dr. Mallick Masum Billah, Resident Advisor, Field Epidemiology Training Program, Nepal, South Asia Field Epidemiology and Technology Network Inc. (SAFETYNET). drmasumbillah@yahoo.com
  2. Nazmun Nahar Shampa, Junior Consultant (Paediatrics), Upazila Health Complex, Tala, Satkhira, Bangladesh
  3. Alden Henderson, Epidemiologist, Department of Public Health Sciences, University of Hawaii, Honolulu, HI, USA 

*For correspondence

Abstracts
Introduction: The risk of malnutrition among children of urban slums is higher due to socio-economic deprivation and inadequate healthcare access. Transition from exclusive breastfeeding to weaning in the first year of life is critical, whereby caregivers’ lack of knowledge and inappropriate feeding practices can lead to severe acute malnutrition (SAM). This study aims to identify human factors associated with SAM among children aged 12-18 months living in slums of Dhaka city.
Methods: A case-control study in slums of Dhaka from January to August 2017 enrolled as cases, children aged 12-18 months with mid-upper arm circumference (MUAC) <11.5 cm or bilateral pitting oedema and controls as children of same age with MUAC >12.5 cm and no oedema. Using a 1:2 ratio, we purposively selected participants and interviewed their caregivers. We calculated odds ratios (OR) and 95% confidence intervals (CI). We applied multivariable logistic regression and calculated adjusted odds ratios (AOR) to adjust for confounders.
Results: We visited 56 slums in Dhaka and interviewed 193 cases and 386 controls in the study. Mean age of children was 15 months. Gender distribution was similar among cases and controls. Incomplete vaccination (AOR:2.2, 95%:1.6–3.8), absence of exclusive breastfeeding (AOR:2.2, 95%:1.4–3.4), smoking inside home (AOR:2.2, 95%: 1.3–3.3), maternal age <18 years (AOR:3.1, 95%:1.3–7.8), and recent diarrhoea history (AOR:1.9, 95%:1.7–2.9) were significantly increased risk of SAM. Although not statistically significant, other factors included poor maternal nutritional knowledge, lack of time for feeding, and unsafe water consumption.
Conclusion: This study reinforces findings from previous research, showing that severe acute malnutrition in Dhaka slums was driven by preventable factors such as young maternal age, lack of exclusive breastfeeding, incomplete vaccination, indoor smoking, and recent diarrhoea. Targeted, community-based interventions based on these findings were recommended to prevent malnutrition and improve child outcomes.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):121-130]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s5

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ssnimcj2025v10i2s4

Original Contribution

Referral Patterns for Psychiatric Morbidities from Non-Psychiatric Medical Departments: A Retrospective Study in Rural Bangladesh

*Bashar MK,1 Kulsum U,2 Talukder MM,3 Mitu MR,4 Hasan MK,5 Sultana N6

  1. *Dr. Md. Khairul Bashar, Associate Professor, Department of Psychiatry, Shaheed Syed Nazrul Islam Medical College, Kishoreganj. kabashar47@gmail.com
  2. Umme Kulsum, Assistant Professor, Department of 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. Md. Kamrul Hasan, Assistant Professor Department of Anesthesia, BSMMU, Dhaka.
  6. Nadia Sultana, MPH, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka 

*For correspondence

Abstract
Objective: Mental disorders are a leading cause of disability globally, yet they remain underdiagnosed and undertreated, particularly in low- and middle-income countries like Bangladesh. Very often patients visit primarily to a non-psychiatric medical department for their psychiatric diseases. This study aims to explore the referral patterns, sociodemographic profiles, and diagnostic distribution of psychiatric patients in Bangladesh, with a focus on identifying systemic barriers and optimizing the role of non-psychiatric medical providers in improving access to mental health care.
Methods: This retrospective cross-sectional study investigates the referral patterns for psychiatric morbidities from non-psychiatric medical departments at Shaheed Syed Nazrul Islam Medical College in Kishoreganj, Bangladesh, spanning October 2023 to November 2024. Data were extracted from 95 patient records to analyze demographics, referral sources, and diagnostic categories.
Result: The findings revealed that most patients (81.05%) were referred from the medicine department, with attending physicians accounting for 54.7% of referrals. The cohort was predominantly female (72.6%), from rural areas (72.6%), and low-income households (88.4%). Conduct disorder (16.84%), depressive disorder (13.68%), and generalized anxiety disorder (12.63%) were the most prevalent diagnoses.
Conclusion: These patterns highlight significant delays and barriers in accessing psychiatric care, underscoring the pivotal role of non-psychiatric providers in early identification and referral of mental health conditions. The study emphasizes the need for targeted training and awareness programs for non-psychiatric physicians to bridge gaps in mental health care.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):111-120]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s4

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ssnimcj2025v10i2s3

Original Contribution

Assessment of Clinical Scoring Systems to Predict the Outcome of Patients with Acute Organophosphorus Poisoning

*Ahmed MU,1 Shima UT2

 

  1. *Dr. Minhaj Uddin Ahmed, Assisstant Professor, Department of Medicine, Dhaka Medical College, Dhaka,  dr.minhaj55@gmail.com  ORCID ID: 0009-0009-4034-1751
  2. Umme Tahmina Shima, Junior Consultant, Department of Gynaecology and Obstretics, Mugda Medical College, Dhaka, Bangladesh.

*For correspondence

Abstract
Objective: This study aimed to determine the relationship between individual scores and mortality rate which will be helpful to provide early interventions in selective cases of acute organophosphate (OP) poisoning.
Methods: This is a hospital-based observational study of 63 adult patients of OP poisoning who presented with acute cholinergic crisis. The performance of International Program on Chemical Safety Poison Severity Score (IPCS PSS), Peradeniya Organophosphorus Poisoning (POP) Scale and Glasgow Coma Scale (GCS) were evaluated. Clinical history, socio-demographic and relevant data, risk factors and outcomes were recorded. Receiver operating characteristics (ROC) curve was generated and the area under the curve (AUC) was calculated for short-term outcome. Logistic regression model was fitted for each of the clinical scoring systems.
Results: The mean age of the patients was 28.4±10.23 years. The most common OP ingested was chlorpyriphos 30.2%. Gastric lavage was given to 77.8% of the admitted patients. 81% of patients remained in hospital for 1-3 days and the majority (87.3%) of patients were cured and discharged. Overall mortality rate was 7.9%. The AUC for mortality was significantly higher for POP (0.840) than IPCS PSS (0.741). On logistic regression analysis, POP can identify 92.1% cases correctly. The performance of POP scale is considered satisfactory (p=0.005). IPCS PSS and GCS appear to be less effective at predicting an individual’s poor outcome.
Conclusion: In acute OP poisoning, POP scale outperforms IPCS PSS and GCS. Thus POP scale can be reliably used to assess the outcome and mortality of patients with acute OP poisoning.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):96-110]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s3

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ssnimcj2025v10i2s2

Original

Drug Prescribing Patterns for Chronic Kidney Disease in a Tertiary Care Hospital of Bangladesh

*Dema TS,1 Ahmed AU,2 Roy AS,3 Begum SA,4 Sattar S,5 Afrose R,6 Ferdous J,7 Razia S,8 Hussain MA,9 Banu TA10

 

  1. *Dr. Taslima Sultana Dema, Lecturer, Department of Community Based Medical College Bangladesh, Mymensingh. taslimadema@gmail.com
  2. Aftab Udding Ahmed, Professor and Head (rtd), Department of Pharmacology, Mymensingh Medical College, Mymensingh
  3. Ashutosh Shaha Roy, Professor, Department of Nephrology, Principal of Shahid Syed Nazrul Islam Medical College, Kishoregonj
  4. Shamin Ara Begum, Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh
  5. Shamima Sattar, Associate Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh.
  6. Rfika Afrose, Associate Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh.
  7. Jannatul Ferdous, Assistant Professor, Department of Pharmacology, Community Based Medical College Bangladesh Mymensingh.
  8. Sultana Razia, Assistant Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh,
  9. Mahbuba Azmary Hussain, Lecturer, Department of Anatomy, Jamalpur Medical College, Jamalpur
  10. Tahmina Akhter Banu, Lecturer, Department of Anatomy, Rangpur Medical College, Rangpur

*For correspondence

Abstract

Background: Chronic kidney disease (CKD) is a prevalent non-communicable disease that requires sophisticated medication and polypharmacy. CKD patients need continual medicine, therefore prescribing patterns must be monitored. Managing drugs for CKD patients poses unique challenges, but it also allows healthcare practitioners to improve treatment for this high-risk population.
Objective: To find out the drug prescribing pattern of CKD patients in Nephrology Department of Mymensingh Medical College, Mymensingh.
Methods: This cross-sectional study was conducted at the Department of Pharmacology in collaboration with Department of Nephrology, Mymensingh Medical College Hospital from July 2022 to June 2023. Participants were randomly selected based on predefined inclusion and exclusion criteria. Data were gathered through direct observation of prescriptions and face-to-face interviews with CKD patients attending the Nephrology Outpatient Department.
Results: Most of the patients were above 40 years old and mean age was 54.8 ± 17.8 years of the study subject. Males (55.2%) were predominant than females (44.8%). Maximum patients were CKD stage 4 and 5 (71.6%). Most common antihypertensive was calcium channel blocker (18.8%) followed by beta blocker (15.1%), Diuretics (14.3%) and alpha receptor blocker. Most common antidiabetic drugs were insulin (16.1%), Tab Linagliptin (7.2%) and Tab Gliclazide (6.0%). Statin was prescribed to 18.8% patients as hypolipidemic drug. Most common prescribed vitamin was vitamin D (76.0%). Most common phosphate binders were calcium carbonate (32.6%), calcium acetate (25.5%), calcium acetate along with magnesium carbonate (9.1%). Most common antimicrobials were ceftriaxone (4.7%), followed by cefuroxime (3.9%), nitrofurantoin (3.6%) and azithromycin (2.1%). Most common antiulcerant was esomeprazole (28.1%), followed by pantoprazole (13.3%), rabeprazole (12.5%), omeprazole (5.5%) and dexlansoprazole. Most common hematinic drugs were iron (oral) (16.9%), iron (inj) (10.7%) and folic acid (10.4%). Common erythropoiesis stimulating agents was Erythropoietin alfa (11.5%). Only 0.8% drug was prescribed by generic name, antibiotics were prescribed in 23.2% cases and injection was prescribed in 50.5% cases. From essential drug list 32.5% drugs were prescribed.
Conclusions: Study revealed, most commonly prescribed antidiabetic drugs were insulin (16.1%), Tab Linagliptin (7.2%) and Tab Gliclazide (6.0%). Metformin (1.6%), Empagliflozin (1.0%) and Glimepiride (0.8%) were also prescribed in Nephrology Depertment, Mymensingh Medical College Hospital.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):85-95]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s2

 

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ssnimcj2025v10i2s1

Editorial
The Importance of Accreditation in Medical Education in Bangladesh

*Dr. Safia Sultana, MBBS, Mphil (Microbiology), Head & Associate professor, Department of Microbiology, Shaheed Syed Nazrul Islam Medical College, Kishoreganj.
Email: drsafia79@yahoo.com

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):83-84]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s1
Abstract: Not available
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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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SSNIMCJ 2024 V-9 N-1

Shaheed Syed Nazrul Islam Medical College Journal

Volume 9, Issue 1

January, 2024

Front Cover PDF

Index PDF

Contacts PDF
Contents
Editorial
1. Dengue and Acute Kidney Injury
Huda AN

Original Contributions
2.Impairment of Renal Function and Dyselectrolytemia in Perinatal Asphyxia
Begum MH, Hye MA, Majumder B, Albani SA, Nazneen S, Shil PK, Majumder BK, Mazumder M

3. The Pattern and Trends of Burn Related Death
Faizunnahar, Haque M, Iqbal MK
PDF
4. Correlations between Stature and Hand Breadth in Bangladeshi Medical Students
Motaleb M, Mamataj S, Hasan SJ
PDF
Frequency Domain Parameters of Heart Rate Variability in Patients with Gastro-Oesophageal Reflux Disease
Mamataj S, Motaleb M, Azim SF
PDF
Others
6. Information for Contributors
PDF

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ssnimcj-2023-july

Shaheed Syed Nazrul Islam Medical College Journal

Volume 8, Issue 2

July, 2023

Editorial Board

Cover Front PDF

Cover 3

Index PDF
Articles
Editorial
1. Deteriorating the Dengue Situation in Bangladesh Sultana S

Original Contributions
2. Forensic Evaluation of Suicidal Deaths due to Organophosphorus Compounds Poisoning
Munalisa TA, Islam MS, Rashel AT, Islam T, Nurunnabi M
3. Pattern of Utilization of Personal Protective Equipment among Doctors and Nurses during COVID-19 Pandemic
Jannat HT, Riaz BK, Choudhury N, Khan MAH, Ameen MS,Alam UK,Abbas MG

4. Evaluation of Haematological Parameters and their Correlation with Histological Grade and Stage of Colorectal Cancer
Naha S, Saleh A, Das DC, Doly HK
5. Health Problems among the Agricultural Workers in a Selected Area of Manikganj District
Mahjabin A, Ali KM, Alam MJ, Islam MT, Tasneem T, Zihan MM<
6. Prevalence and Spectrum of Congenital Heart Disease in Children Admitted intoTertiary Care Hospital of Kishoreganj: A Multicenter Study
Nuruzzaman M, Tanveer MS, Bhuiyan AG, Akter AM, Royal MR
7. Evaluation of Organism in Vaginal Discharge of PPIUCD Users Versus Non-Users
Khatun MA, Haque N, Saha E, Paul MF, Uddin F, Toma KK, Nahar N
8. Biochemical and Hematological Changes in Patients of Chronic Kidney Disease
Huda AN, Ahammod T, Mahmud H

Others
9. Information for Contributors
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ssnimcj2023janv8n1

Shaheed Syed Nazrul Islam Medical College Journal
Volume 8, Issue 1
January, 2023

Front Cover in PDF

Index in PDF

Editorial board in PDF

Contacts

Editorial

 1. Extrapulmonary Tuberculosis: an Ancient but Re-emerging Problem
Sultana S
PDF

Original Contributions

2. Laparoscopic Cholecystectomy: A Safe Procedure for Empyema Gallbladder
Islam MM, Hossain AS,  Masum MG, Saad S, Islam J
PDF

3. Incidences of Perforated Appendicitis in Children and its Management in District Level Hospital
Islam MM, Hossain AS, Hossain MA, Rashid MS, Masum MG, Islam J
PDF

4.Evaluation of Tear Status for Prolonged Computer in Combined Military Hospital, Dhaka
Mahdia T, Khan KH,Kazmina N, Shariar S,Nahar SS, Fatmatuzzahura M, Sharmin S, Syki SN
PDF

5 . Detection of Human Papilloma Virus as the Major Determinant of Invasive Cervical Carcinoma
Tasneem M, Mirza TT, Paul SK, Latif T, Samsi S, Jahan T, Mahmud A
PDF

6. Observational Study on COVID Positive Cases from August, 2020 to February, 2021 in a District Level Tertiary Care Hospital in Bangladesh
Talukder MM, Mitu MR
PDF

7.Post-Traumatic Stress Disorder among Quarantined Population during COVID-19 Pandemic in Tertiary Hospitals of Dhaka City
Sakir DI, MostarinS, Hossain MA, Sultana H, Haque A, Choudhury R,Alam MR, Abbas MG
PDF

8.Clinical Profile of Dengue Fever in Hospitalized Children: Analysis of 2017 Outbreak from Bangabandhu Sheikh Mujib Medical University   Bangladesh
Akhter S, Fatema K, Ahmed DN,Islam MD, Hossain MS, Ahmed S
PDF
9. Disease Severity, Comorbidities and Clinical Presentation of COVID-19 Patients from a Suburban Tertiary Care Hospital in Bangladesh
Talukder MM, Mitu MR
PDF

Others

10.Information for Contributors
PDF

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