Browsing by Author "Sultana, Nigar"

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    Comparative Analysis of Visual Outcomes and Complications: Age-related Patterns of Uveitis in Pediatric patients
    (Society for Health Care & Research Development, 2024-01) Sultana, K.M. Shakila; Haque, Md. Mamunul; Siddiki, Jahangeer Alam; Sultana, Nigar; Alam, Md. Faysol
    Background: Although it only makes up 2 to 14% of all cases, juvenile uveitis is rare and causes negligible ocular damage. A young person suffering from the disease may become legally blind and have lifelong disability due to the greater rate of complications associated with its course. The aim of the study was to assess the Age-related Patterns of Uveitis in Pediatric Patients: A Comparative Analysis of Visual Outcomes and Complications. Material & Methods: This study was a comparative study conducted at North Bengal Medical College, Sirajganj & Prof. MA Matin Memorial BNSB based Eye Hospital, Sirajganj. The sample size was 150 and the duration of the study was 2021 to 2022. After collection, the data were checked and cleaned, followed by editing, compiling, coding and categorizing according to the objectives and variable to detect errors and to maintain consistency, relevancy and quality control. Statistical evaluation of the results used to be obtained via the use of a window-based computer software program devised with Statistical Packages for Social Sciences (SPSS-24). Results: Regarding age 40% of the patients had ?8?years of age and 60% had >?8?years of age mean age at presentation (SD) was 7 (4.7) years in ?8?years patients and 5 (3.6) years in >?8?years patient抯. Mean follow up, months (SD) was 15 (10) in ?8?years patient抯 and 12 (8 ) in >?8?years patient抯. Mean number of uveitis episodes (SD) was 15 (10) in ?8?years patient抯 and 7.87 in >?8?years patient抯. About 78% of the patients were male and 22% of them were female. Idiopathic uveitis was the most common diagnosis. In patients of ?8?years Idiopathic Causes were 50 (55.55), Autoimmune 30 (33.33) and Infectious 10 (11.11). In patients of >?8?years Idiopathic Causes were 28 (46.67), Autoimmune 20 (33.33) and Infectious 12 (20). With regards to the different etiologies, idiopathic uveitis was the most common and no significant differences in etiologies were noted between the younger and older groups. There were no variations in the methods of treatment across the groups. In a similar vein, no discernible variations in procedure types or rates were discovered between age groups. Visual impairment was present in 48% of the visually immature eyes and 36.3% of visually mature eyes at first visit. In general there was an improvement in vision at subsequent visits in both age groups. Improvement by 2 or more lines was significant in the younger age group both at 6 and 12?months (p?=?0.02, 0.03). Conclusions: Pediatric uveitis is an uncommon condition, it can have devastating effects on young patients� visual prognosis. Because of the higher rate of problems linked with the disease抯 course, a young individual afflicted with it may become legally blind and have lifelong handicap.
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    The evaluation between vitamin D level and pelvic organ prolapse in post-menopausal women
    (Medip Academy, 2023-06) Paul, Zhuma Rani; Khanam, Nurun Nahar; Barai, Shyamal Chandra; Parvin, Mst. Nargis; Talukder, Plabony; Siddiqua, Masrura; Nahar, Nurun; Sultana, Nigar; Rahman, Nasima; Dona, Georgia Haque; Jahan, Samanta; Koly, Homyera
    Background: Vitamin D is important for skeletal integrity and optimal muscle function. The high incidence and prevalence of vitamin D deficiency and pelvic organ prolapse have been found in postmenopausal women, raising the question of whether the entities are related. The aim of the study was to evaluation between vitamin D level and pelvic organ prolapse in post-menopausal women.Methods: This case control study has been designed and conducted in the Department of Obstetrics and Gynecology, BSMMU to investigate the level of vitamin D in patients with and without pelvic organ prolapse to explore the association of vitamin D with pelvic organ prolapse. After taking informed written consent the serum vitamin D level of all participants was measured by CMIA technology with flexible assay protocols at Biochemistry and Molecular Biology department of the same institute. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-24).Results: The study population was divided into two groups, a case group (n=74) consisting of patients with pelvic organ prolapse and a control group (n=74) comprising of women without pelvic organ prolapse. A total 148 participants of 52 years or older attending the out or inpatient department were enrolled in the study. Mean±SD level of Vitamin D in the case group was 13.96±5.18 ng/ml and in the control, group was 21.08±5.77 ng/ml respectively. The difference was statistically significant (p<0.05). Moreover, the vitamin D levels were inversely proportionate with the severity of pelvic organ prolapse.Conclusions: Vitamin D deficiency may be an important systemic factor associated with pelvic organ prolapse. Measuring vitamin D levels in postmenopausal women and replenishing deficiencies may also be important for the pelvic floor.
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    Mid Aortic Syndrome (MAS).
    (2012-01) Rupa, Sharmin Akhtar; Sultana, Nigar
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    The Value of Cardiotocography for Evaluation of Fetal Condition and Outcome in Women Presenting with Less Fetal Movement
    (Ibn Sina Academy of Medieval Medicine & Sciences, 2019-11) Sultana, Nigar; Aziz, Md Shah; Tabassum, Perveen; Zabin, Fahmida; Das, Tripti Rani
    Objective: In this study our main goal is to determine the valueof cardiotocography for evaluation of fetal condition andoutcome in women presenting with less fetal movement.Method: This cross-sectional study was done at Department ofObstetrics and Gynaecology, Bangabandhu Sheikh MujibMedical University (BSMMU), Dhaka between June 2015 -December 2016. Where women >34 weeks’ gestation withsingleton pregnancies presenting during the study period withmaternal perception of less fetal movement (LFM) in the outpatient Department of Obstetrics and Gynecology in BSMMU.Results: During the study, the mean age was found25.61±5.65 years varied from 19 to 38 years in normal CTGand 24.82±3.81 years varied from 19 to 38 years in abnormalCTG. Majority patients were primiparous in both groups (56.0%vs. 52.0%). More than half (52.0%) of the patients in normalCTG and a half (50.0%) in abnormal CTG patients were camefrom lower middle-income group family. Emergency caesareansection was 12.0% and 42.0% in normal and abnormal CTGrespectively. Emergency caesarean section was significantlyhigher in abnormal CTG. At 1-minute APGAR score £7 wasfound 94.0% babies in normal CTG and 78.0% in abnormalCTG. Needed resuscitation was 4.0% in normal CTG and22.0% in abnormal CTG. Admission to NICU 10.0% babies innormal CTG and 36.0% in abnormal CTG.Conclusions: Decelerations, tachycardia and non-reactive(absent of accelerations) were the more common types ofabnormal CTG. Emergency caesarean section, low APGARscore, needed resuscitation, admission to NICU and prolongedhospital stay were higher in abnormal CTG. CTG can becontinued as a good screening test of fetal surveillance but it isnot the sole criteria to influence the management of high-riskpregnancies.