Browsing by Author "Alam, Md. Jahangir"

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    Determinants of quality of life among COVID-19 patients in Southwestern region of Bangladesh
    (Scientific Scholar, 2022-04) Methun, MH; Uddin, MSG; Haq, I; Noor, A; Habib, MJ; Hossain, MI; Saleheen, Ahmed Abdus Saleh; Roy, Sutopa; Ume, Shatabdi Shamrita; Rukon, Md. Rukonozzaman; Hasan, Md. Amit; Alam, Md. Jahangir
    Objectives: The outbreak of COVID-19 has caused an unprecedented health crisis and dramatically changed human lives. This study aims to identify risk factors related to health-related quality of life (HRQoL) among COVID-19 patients who were discharged from the hospital. Material and Methods: A total of 557 COVID-19 patients of Jhenaidah district of Bangladesh who had tested positive before February 1 of 2021 were selected for this cross-sectional study. The EuroQol 5-dimensional-5 level questionnaire was used to measure the HRQoL. Thai value set was used to assess the full health status. Chi-square test was used to find out the association of HRQoL with sociodemographic and clinical factors. Finally, logistic regression was used to find out the predictors of the dimensions of HRQoL. Results: Using the Thai value set, it is observed that 57.27% of participants had reported that they had experienced moderate or severe health problems. About 40.57% of the respondent reported anxiety or depression, whereas 39.14% of the participants had experienced moderate or severe pain or discomfort. The result of the logistic regression showed that age, gender, occupation, place of care, heart problems, and diabetes significantly affect various dimensions of the HRQoL. Conclusion: The COVID-19 significantly depletes the health condition of the patients in both mental and physical aspects. Therefore, the policy-makers and government should need to come with comprehensive strategies to reduce the psychological and physical health woe of COVID-19 patients.
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    Improvement of AOFAS Score after Suture Endobutton Fixation for Ankle Syndesmosis Injury: A Prospective Interventional Study.
    (Society for Health Care & Research Development, 2024-01) Sarker, Manash Chandra; Alam, Md. Jahangir; Chowdhury, Golam Mahbub; Bhowmik, Devolina; Hussain, Muhammad Raquib; Hasan, Mohammad Zahid; Hossain, Md. Zakir; Ferdoushi, Naima
    Background: Ankle syndesmosis injuries, comprising disruptions to the distal tibiofibular joint, present challenges in orthopedic management, necessitating effective interventions to restore optimal function. Suture-endobutton fixation has emerged as a promising surgical technique for stabilizing the syndesmotic complex. The aim of this study was to determine the improvement of AOFAS score after suture endobutton fixation for ankle syndesmosis injury. Material & Methods: This prospective interventional study was conducted in National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh from May 2019 to August 2021. Due to COVID-19 pandemic only 24 samples could be collected who completed the final follow-up. Results: In our study we found the mean AOFAS sub score of pain was 18.33�64 in pre-operative follow up and 29.58�04 in 24 weeks follow up. P-value was <0.001 which is statistically significant. The mean AOFAS score improved significantly from a preoperative value of 22.71�07 to 85.29�41 at final follow up. Conclusions: In conclusion, this prospective interventional study underscores the effectiveness of suture-endobutton fixation in improving AOFAS scores and overall outcomes for patients with ankle syndesmosis injuries.
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    Outcome of Ankle Syndesmotic Injury Fixation by Suture Endobutton: A Prospective Interventional Study at NITOR
    (Society for Health Care & Research Development, 2024-01) Chowdhury, Golam Mahbub; Alam, Md. Jahangir; Sarker, Manash Chandra; Khan, Mohammad Mahbubur Rahman; Halder, Rabin Chandra; Rahaman, Syed Khaledur; Rahman, Md. Mostafizur
    Background: Ankle syndesmosis injuries, comprising disruptions to the distal tibiofibular joint, present challenges in orthopedic management, necessitating effective interventions to restore optimal function. Suture-endobutton fixation has emerged as a promising surgical technique for stabilizing the syndesmotic complex. The aim of this study was to determine the improvement of AOFAS score after suture endobutton fixation for ankle syndesmosis injury. Material & Methods: This prospective interventional study was conducted in National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh from May 2019 to August 2021. Due to COVID-19 pandemic only 24 samples could be collected who completed the final follow-up. Results: In our study we found the mean AOFAS sub score of pain was 18.33�64 in pre-operative follow up and 29.58�04 in 24 weeks follow up. P-value was <0.001 which is statistically significant. The mean AOFAS score improved significantly from a preoperative value of 22.71�07 to 85.29�41 at final follow up. Conclusions: In conclusion, this prospective interventional study underscores the effectiveness of suture-endobutton fixation in improving AOFAS scores and overall outcomes for patients with ankle syndesmosis injuries.
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    Outcome of Surgical Treatment of Subtrochanteric Femoral Fracture with Proximal Femoral Nailing in a Tertiary Hospital in Bangladesh
    (Society for Health Care & Research Development, 2024-05) Hussain, Muhammad Raquib; Alam, Md. Jahangir; Sarker, Manash Chandra; Huq, Md. Sanaul; Hasan, Mohammad Zahid; Ahmed, Ashiq; Hasan, Neyamul; Rahman, Sajeeb Imtiazur
    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.
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    Small scale production and characterization of xanthan gum synthesized by local isolates of Xanthomonas campestris.
    (2016-02) Barua, Rajesh; Alam, Md. Jahangir; Salim, Mohammad; Ashrafee, Tamzida Shamim
    Xanthan gum is a commercially important microbial exopolysaccharide (EPS) produced by Xanthomonas campestris. X. campestris is a plant pathogen causing various plant diseases such as black rot of crucifers, bacterial leaf blight and citrus canker disease resulting in crop damage. In this study, we isolated efficient local bacterial isolates which are capable to produce xanthan gum utilizing different sources of carbon (maltose, sucrose and glucose). Bacterial isolates from different plant leaves and fruits were identified as Xanthomonas campestris based on their morphological and biochemical characteristics. Among the 23 isolates, 70% were capable of producing gum. Taro plant, considered as new bacterial host, also have the capability to produce xanthan gum. Production conditions of xanthan gum and their relative viscosity by these bacterial isolates were optimized using basal medium containing commercial carbon and nitrogen sources and various temperature and rotation. Highest level of xanthan gum (18.286 g/l) with relative viscosity (7.2) was produced (Host, Citrus macroptera) at 28°C, pH 7.0, 150 rpm using sucrose as a carbon source at orbital shaker. Whereas, in lab fermenter, same conditions gave best result (19.587 g/l gum) with 7.8 relative viscosity. Chilled alcohol (96%) was used to recover the xanthan gum. FTIR studies also carried out for further confirmation of compatibility by detecting the chemical groups.