International Journal of Medical Research Professionals
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Editor-in-Chief: Dr. Rohin Garg
ISSN: 2454-6356 (Print); 2454-6364 (Online)
Frequency: Bimonthly
Language: English
Open Access Peer-reviewed journal
Web site: https://ijmrp.com/Default.aspx
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Item ABO and Rhesus Phenotype Frequencies in Multi-Transfuse Hemodialysis Renal Patient and Blood Donor in Central Sudan(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-07) Mohammed, Eltaib Elmobark; Asaad, Adam Abbass; Eman, Anwer; Sivakumar, Sivagurunathan Moni; Ismail, Adam Arbab; Mohammad, Hadi Sultan; Bakri, Yousif Mohamed NourObjective: Blood transfusions are commonly used in themanagement of patients with chronic renal failure (CRF)undergoing hemodialysis for dialysis-related anemia.Accordingly, they are intended to alloimmunization due torepeated transfusions. Therefore, the purpose of this study wasdesigned to identify the distribution patterns of ABO bloodgroup and Rh-D, C, c, E, e antigen to provide first step donordata bank to prepare red blood cell panel to minimize rhesusalloimmunization among the hemodialysis patients and blooddonors at renal dialysis center, Khartoum and Wad Madani,Sudan from December 2016 to December 2017.Methods: Samples from 351 blood donors and recipients wereserologically tested for ABO, Rh (D, C, E, c, and e) using slideand tube method. ABO and Rh Phenotypes' frequencies werecalculated as a percentage.Results: The ABO blood grouping showing a typical frequencyO >A>B>AB and also the frequency of rhesus antigen showingD >c>e>C>E in both male and female renal failure patients.Conclusion: Blood donors need special precautions tominimize any possible alloimmunization by such antigen.Item Accuracy of FNAC for Diagnosis of Malignancy in Long Standing Multinodular Goiter and Histopathological Correlation(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-07) Islam, Md. Morfudul; Ali, Abu Ahmed Ashraf; Kamruzzaman, Md.; Rashid, Harun OrFNAC is widely accepted as the most accurate, sensitive,specific and cost affective diagnostic procedure in theassessment of thyroid nodules and helps to select people preoperative for surgery. The purpose of this study was toevaluate the accuracy of FNAC for diagnosis of malignancy inlong standing multinodular goiter and histopathological corelation. I evaluated the cytological and histological results of105 patients, who were underwent pre-operative FNAC andsubsequent surgery followed by post-operative histopathology.The cytological diagnosis was classified as- benign, suspiciousand malignant. The definitive cytological study showed benignlesion 92, suspicious 2 and malignant 11 among 105 patients.Post-operative histopathology study showed malignant lesion 9and 96 were benign, among the malignant lesion- 4 werefollicular variant of p. carcinoma and 4 were direct papillarycarcinoma. Benign lesions were distributed as 94 multinodulargoiter and 2 follicular adenoma. In FNAC- eleven patients werefound to be malignant but on post-operative histopathologyexamination confirmed 8 of them as malignant and 3 of themwere benign, 2 follicular adenoma and 1 multinodular goiter. 94patients were found to be benign in FNAC but post-operativehistopathology examination confirmed 93 as multinodular goiterand 1 papillary carcinoma. So total number of malignancyfound in post-operative histology is (8+1)= 9. Rest of them 96were benign. So there is discrepancy between 2 cases. So mystudy revealed a cytological and histological discrepancy in 2patient out of 105 patients due to either diagnostic or samplingerror.Item Acute Renal Failure Due to Cast Nephropathy without Multiple Myeloma(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-11) El-Reshaid, Kamel; Al-Bader, Shaikha; Madda, John PWe report a 64 year-man with acute renal failure on top of hischronic renal disease due to diffuse diabeticglomerulosclerosis. Serum creatinine had reached 600umol/L from a baseline of 160 umol/L 4 months ago. Kidneybiopsy revealed diffuse broad casts obstructing the distaltubules with interstitial fibrosis associated with cast’sextravasation. The casts stained positive with kappa and notlambda indicating their monoclonal origin. The patient did nothave evidence of lymphoprolifertive disease and myeloma inparticular with normal skeletal survey and bone marrowtrephine biopsy. Moreover, serum protein and urineelectrophoresis failed to show monoclonal band. Only, directserum testing for free light chain confirmed high Kappa andnormal Lambda levels. The patient already had improved oncorticosteroids and subsequently Melphalan was added.Serum creatinine decreased to 180 umol/L by the end of this6-month treatment. The case illustrates a unique presentationof cast nephropathy without overt lymphoprolifertive disorderand with normal serum as well as urine proteinelectrophoresis. It emphasizes the need for kidney biopsyand/or direct measurement of serum free light chains fordefinitive diagnosis in such covert cases.Item Adalimumb Induced Systemic Vasculitis Following Treatment of Hidradenitis Suppurativa(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-01) Al-Bader, Shaima; El-Reshaid, KamelA 52-year-old man, with diabetes mellitus and obesity, hadreceived Adalimumb for extensive Hidradenitis suppurativa.The latter was difficult to control with local antiseptics,antibiotics and surgery. Two weeks later, he developed fever,palpable maculopapular rash and progressive renal failure. Hisskin biopsy showed leucocytoclastic vasculitis with negativeimmune deposits and his kidney biopsy showed crescenticglomerulonephritis. Adalimumb was discontinued and thepatient was treated with Prednisone 1 mg/kg/day. His kidneyfailure improved. However, his skin lesions progressed tonecrotizing fasciitis despite aggressive surgical care.Ultimately, he died from disseminated sepses 2 months laterItem Addition of Methylprednisolone to Local Anaesthetics in Brachial Plexus Block (Supraclavicular Approach): A Randomised Double Blind Study(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-03) Gupta, Sunit Kumar; Aggarwal, Nidhima; Soni, Sumit; Agha, MussavvirIntroduction: Various additives have been added in brachialplexus block with local anaesthetics to increase their duration.We performed a randomised prospective double blind study toevaluate the effect of methylprednisolone added to lidocaineand bupivacaine on the onset and duration of anaesthesia.Method: 60 patients with ASA physical status 1 and 2 with age18 to 60 years undergoing elective upper arm surgery belowelbow were randomly allotted to receive either 20 ml (0.5%)bupivacaine + 10 ml lidocaine (2%) + 40 mg (1ml)methylprednisolone or 20 ml (0.5%) bupivacaine + 10 mllidocaine (2%) +1ml normal saline. Block was performed undernerve stimulator guidance. Onset and duration of motor andsensory blockade was done.Results: Onset of sensory and motor blockade (4.5 ± 1.43minutes vs 7.81 ± 1.42 minutes and 9.03 ± 2.48 mins vs 11.27± 2.86 mins) respectively was significantly more rapid inmethylprednisolone group. The duration of sensory and motorblockade (911 ± 112.4 mins vs 396.83 ± 64.28 mins and 456.5± 79.4 mins vs 225 ± 49.39 mins) respectively weresignificantly longer in methylprednisolone group.Conclusion: Addition of methylprednisolone to brachial plexusblock speeds the onset and prolongs the duration of sensoryand motor blockade.Item Analysis of Analgesic Efficacy of the Non-Opioid Analgesics in Patients Following Abdominal Hysterectomy at a Tertiary Care Centre(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-05) Singh, Ratan Pal; Arora, MeghaBackground: Women undergoing procedures or surgeriesrelated to infertility experience pain, which is often treated withopioid medication. Hence; the present study was undertakenfor assessing analgesic efficacy of the non- opioid analgesic inpatients following abdominal hysterectomy at a tertiary carecenter.Materials and Methods: A total of 30 patients scheduled toundergo abdominal hysterectomy were enrolled in the presentstudy. All the patients underwent abdominal hysterectomyunder the hands of skilled clinicians. All the patients weredivided broadly into three study groups: Group 1: Patients weregiven placebo Group 2: Patients were given metamizol 1 g,and Group 3: Patients were given paracetamol 1 g. The drugswere dissolved in 100 mL normal saline and given via IVinfusion over 15 minutes. Patients in the placebo groupreceived only 100 mL of normal saline. All the postoperativedata in all the patients was recorded. All the results wereanalyzed by SPSS software.Results: In the present study, a total of 30 patients wereanalyzed. Mean age of the patients of the study group 1, 2 and3 was 42.8 years, 40.1 years and 43.8 years respective. MeanBMI of the patients of the study group, 2 and 3 was 27, 25.9and 26.1 Kg/m2respectively. In the present study, whilecomparing the Frequency of Patient controlled analgesia bolusdemands among the four study groups, non-significant resultswere obtained.Conclusion: Both metamizol and paracetamol can be usedwith equal efficacy in patients following abdominalhysterectomy.Item Analysis of Cardiovascular Changes in Hypothyroidism Patient’s: An Institutional Based Study(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-09) Choudhary, SukhdevBackground: Hypothyroidism is a commonly occurring clinicalcondition with variable prevalence. It has profound effects oncardiovascular function that can impact cardiac contractility,vascular resistance, blood pressure, and heart rhythm. Thepresent study was conducted to analyse the cardiovascularchanges in hypothyroidism patients.Materials and Methods: The present study was conducted in230 hypothyroidism patients of age group between 30 and 60years of age over the period of 6 months. The followinginvestigations were done to diagnose hypothyroidism and withassociated cardiac profile: complete blood count, FBS,2hrPGBS, serum FT3, FT4, TSH, ECG, 2D Echocardiogram.Statistical analysis of the data was done using SPSS version21.Results: In the present study total sample size was 230 inwhich maximum were females (63.03%). Maximum patientssuffering from hypothyroidism belongs to age group of 30-40years. Cardiovascular symptoms like chest pain, effortintolerance was prevalent in males whereas breathlessnessand chest pain was prevalent in females. Both systolic anddiastolic hypertension was prevalent in females. ECG showslow voltage complexes in 38 females and 24 males. Echofinding of diastolic function was present in maximum patientsi.e 36 patients.Conclusion: Present study concluded that cardiovascularsymptoms like chest pain, effort intolerance was prevalent inmales whereas breathlessness and chest pain was prevalent infemales. Both systolic and diastolic hypertension was prevalentin females. ECG shows low voltage complexes in more numberof females than males. Echo finding of diastolic function waspresent in maximum patients.Item Analysis of Coagulation Disturbances in PCOS Patients at a Tertiary Care Teaching Centre(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-11) Poonawala, Nilofer; Poonawala, AtahussainBackground: The polycystic ovary syndrome (PCOS) is ahyperandrogenic disorder associated with chronic oligoanovulation and polycystic ovarian morphology. Themechanisms of potential disturbances of the hemostaticsystem in women with PCOS are unknown. Hence; presentstudy was planned to evaluate the coagulation disturbances inPCOS patients.Materials & Methods: The present study was planned toanalyse various coagulation disturbances in PCOS patients. Atotal of 20 patients (study group) and 20 healthy controls wereincluded in the present study. Blood samples were withdrawnfrom all the subjects and complete haematological profile wasobtained.Results: Mean fibrinogen profile of the subjects of the PCOSgroup and the control group were 3.65 and 2.61 g/lrespectively. Mean value of factor VIII of the subjects of thePCOS group and the control group were 1.25 and 0.98 IU/molrespectively. Significant results were obtained while comparingthe mean fibrinogen profile among the two study groups.Conclusion: Coagulation profile shows significant alterationsin patients with PCOS.Item Analysis of Demographic Profiles among Cases of Isolates of Enterococci at a Tertiary Care Teaching Hospital(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-09) Sharma, Abhishek; Khatri, Motilal; Sharma, B.P.; Gupta, AnjaliIntroduction: Therapy for infections due to Vancomycinresistant Enterococci presents real challenge for the clinician.Despite increasing reports of VRE from different countries,there is a paucity of information on this issue from our country.Hence, the present study aims to study of demographic profileamong cases of isolates of Enterococci from various clinicalsamples of PBM and associated group of hospital SPMC,Bikaner up to the species level.Materials and Methods: The present descriptive study wascarried out in the Department of Microbiology, S.P.M.C.Bikaner over a period of one year. 194 isolates of Enterococcalwere obtained from various clinical samples of patientsattending P.B.M. Hospital, Bikaner.Results: The maximum number of samples (30.41%) wasisolated from patients in the 0-10 year age group. It should benoted that out of the 59 patients in this group, 21 (35.59%)were <1year old. The mean age of incidence of enterococcalinfections was 31.53 years. 21 babies included in the 0-10 yearage group were <1 year old. Out of the 194 enterococcalisolates, 79 (40.72%) were from female patients, and 115(59.28%) were from male patients.Conclusion: Majority of the isolates were from the pediatricage group as the maximum number of samples was isolatedfrom patients in the 0-10 year age group The E.faecium strainsshowed a higher percentage of resistance to all the antibioticstested, as compared to the E.faecalis strains.Item Analysis of Maternal Mortality: A Retrospective Study at Tertiary care Centre(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-09) Tasmin, Shahi Farzana; Neaz Ahmed; Jabed Akhtar; Monira Begum; Riffat AraBackground: Mother is the pillar of the family and maternaldeaths during pregnancy and delivery are great loss to baby,family, society and country too. Maternal mortality is anindicator of the quality of obstetric care in a community directlyreflecting the utilization of health care services available.Aims and Objectives: The aim is to study the incidence ofmaternal mortality, to assess the epidemiological aspects,causes of maternal mortality and avoidable factors that canprevent maternal deaths.Method: A retrospective study was done at Rangpur MedicalCollege Hospital from January 2018 to December 2018.Results: A total of 49 deaths were analyzed. Maximummaternal deaths were reported in the age group of 20-30 yearswhich was 67.34%. More deaths were among multiparouswomen which was 24.48% as compared to primipara 6.12%.Deaths among multigravida was 38.77% which was also morethan primigravida 30.61%. Majority of women 91.83% werehousewives and 8.16% women were service holder. Most ofthem were unbooked cases 63.26%. Among them 59.18%belong to rural area 46.8% belongs to urbane area. Mostmaternal deaths were due to obstetric causes like postpartumhaemorrhage 44.89%, Eclampsia 32.65%, antepartumhaemorrhage 6.12%, ruptured uterus 2.04%, puerperal sepsis2.04%, severe pre eclampsia 2.04%. Associated co-morbidfactors were AKI with DIC due to IUFD 2.04%, AKI with hepaticencephalopathy 2.04%, Anaemic heart failure with AKI 2.04%,Encephalitis 2.04%, IFUD with 53% mixed type flame burn2.04%.Conclusion: Maternal mortality even today is a preventabletragedy by giving proper antenatal care, early referral, quickefficient transport facilities, continued skill based training, upgradation of hospitals, setting up a system of audit andmonitoring of health services can reduce maternal mortality.Item Analysis of Prevalence and Prognosis in Bell’s Palsy(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-03) Sisodiya, Mahendra Singh; Bareth, KiranBackground: A facial expression is due to the contraction andcoordination of the facial musculatures, and this is mainlysupplied by the facial nerve. When its function is disturbed,significant alterations may be observed, with impairment offacial expression. The prevalence of the five major causes inthe USA are as follows: Bell’s palsy (25 cases per 100000yearly), infection (7.7 cases per 100000 yearly), neoplasticaetiologies (6.8 cases per 100000 yearly), neurologic causeslike cerebrovascular accidents (6.8 cases per 100000 yearly)and traumatic reasons (4.1 cases per 100000 yearly). Thepresent study was conducted to determine the prevalence andetiology of bell’s palsy.Materials and Methods: The complete demographic detailslike age, gender and socioeconomic status was noted amongstall the subjects. The type of treatment received, the risk factorsassociated were also recorded in a tabulated form. All the datathus obtained was arranged in a tabulated form and analysedusing SPSS software. Data was expressed in percentage.Results: There were 33.3% males (n=200) and 66.7% females(n=400). The recovery rate after treatment was 100% amongstall the patients.Conclusion: Females were more commonly affected ascompared to males and a 100% recovery rate was observed inour study. The most common age group affected was 21-40years.Item Analysis of Prevalence of Haematological Abnormalities among Rheumatoid Arthritis Patients at a Tertiary Care Hospital(Ibn Sina Academy of Medieval Medicine & Sciences, 2020-03) Sinha, Nikhil; Singh, Sanjiv Kumar; Siddique, M.S.I.Background: Rheumatoid arthritis is a systemic inflammatorydisorder with the potential to cause destructive joint disease,significant disability, and increase mortality. The present studywas undertaken for assessing the haematologicalabnormalities among rheumatoid arthritis patients.Materials & Methods: A total of 80 RA patients were enrolled.Complete demographic details of all the patients wereobtained. Blood samples were obtained from all the patientsand were sent to pathology department. Haematological profilewas assessed. All the results were recorded in Microsoft excelsheet and were analysed by SPSS software.Results: Anaemia was found to be present in 53.75 percent ofthe patients, while leucocytosis was found to be present in 15percent of the patients. Thrombocytosis was found to bepresent in 26.25 percent of the patients.Conclusion: Anaemia, thrombocytosis and leucocytosis are acommon finding in rheumatoid arthritis patients.Item Analysis of Risk Factors of COPD among Patients Reporting to Tertiary Care Hospital(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-11) Singhal, Sanjay; Srivastava, PiyushBackground: Chronic obstructive pulmonary disease (COPD)is a nonreversible lung condition that includes both chronicbronchitis and emphysema. Smoking is the most important riskfactor for the development of COPD. Hence; the present studywas undertaken for assessing risk factors of COPD amongpatients reporting to tertiary care centre.Materials & Methods: A total of 50 COPD patients wereanalysed during the study period. Written consent wasobtained from all the patients before the starting of the studyafter explaining in detail the entire study protocol. Completedemographic and clinical profile of all the patients wasobtained. Complete clinical examination of all the patients wascarried out. Risk factors of COPD were recorded separatelyand were analysed. All the results were recorded and analysedby SPSS software. Chi- square test was used for evaluation oflevel of significance.Results: Significant results were obtained while assessing theage-wise distribution of patients. 58 percent of the patientswere males while the remaining were females. Non-significantresults were obtained while assessing the gender-wisedistortion of patients. Smoking history was found to bepresent in 72 percent of the patients. Significant results wereobtained while assessing smoking as a risk factor for COPD.Positive family history of COPD was found to be present in 60percent of the patients. Rural residence was found to bepresent in 58 percent of the patients.Conclusion: Old age and smoking were found to be significantrisk factors of COPD.Item Analysis of Risk Factors of Osteoporosis among Premenopausal Women And Postmenopausal Women at a Tertiary care Teaching Centre(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-11) Pareek, Pooja; Agarwal, Chandrakala; Mathur, Arpit KumarIntroduction: Osteoporosis is a serious health concern thataffects millions of people around the world. Especiallyosteoporosis in postmenopausal women is one of the majorpublic health concerns growing worldwide. In order to preventosteoporosis there is a need to understand its risk factors. Sothe present study is designed to assess and compare the riskfactors of osteoporosis among women and BMD at lumbarspine and femur neck in premenopausal and postmenopausalwomen.Materials and Methods: This hospital based prospectivestudy was conducted on 350 women aged 30-65 years referredto the department of Radio diagnosis for Dexa scan assuspected cases of osteoporosis form various outpatientdepartment. The data collected was evaluated usingstandardized statistical methods in order to derive a logicalconclusion i.e. mean, standard deviation and Pearson Chisquare test.Results: A highly significant difference was observed b/w twogroups in age, weight, BMI, WC, HC, BMDLS, LS T &Z score,FNBMD, FN T & Z score of normal and low BMD group ofPostmenopausal group. A highly significant difference wasobserved b/w two groups in Age, weight, BMI, Waistcircumference, Hip circumference, BMD Lumbar, Lumbar spineT score & Lumbar spine Z score, BMD Femur neck, Femurneck T score & Femur neck Z score of normal and low BMDgroup of Postmenopausal group.Conclusion: Based on the result of our study we conclude thatpostmenopausal women with older age, Low socioeconomicstatus and with low level of physical activity were at higher riskof low BMD. Body mass index found to be positively associatedwith Bone mineral density in postmenopausal women onlywhereas negative correlation was found with age in both preand postmenopausal women.Item Analysis of Role of Caudal Epidural Steroid Injection in Chronic Low Back Ache Patients at a Tertiary Care Hospital(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-03) Beniwal, SumitBackground: Low back pain is a huge health problem in allcountries and is most commonly treated in primary healthcaresettings. Hence; under the light of above mentioned data, thepresent study was undertaken for assessing the role of caudalepidural steroid injection in chronic low back ache.Materials & Methods: A total of 25 patients with chronic lowback pain were enrolled in the present study. Detaildemographic detail and complete medical and clinical history ofall the patients was obtained. History of low back pain wasrecorded in all the patients. Three caudal epidural injectionswere given at an interval of three weeks. VAS score wascalculated at post third injection, post injection one month andpost third injection three months.Results: Mean pre-treatment VAS score was 6.2. Mean VASpost-third injection was 3.8. Mean VAS at one month postinjection was 3.5. Mean VAS at three months post-thirdinjection was 3.2. Significant reduction in the mean VAS posttreatment was observed at different time intervals.Conclusion: Caudal epidural steroidal injections are effectivein treating patients with Low back pain.Item An Analytic and Clinical Correlation Study of Breast Lump(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-01) Garhwal, B. S.; Chahar, Kapil Dev; Garhwal, Jyoti; Garhwal, PoojaIntroduction: Breast lump is commonly the presentingcomplaint. A dynamic physiological alter in female breastmakes it prone to diverse diseases, lump being the commonone. Transformation in the breast continue throughout the lifeso no age group is bar from the breast disorders. These lumpshave two main causes: benign and malignant breast disease.Materials and Methods: The study comprise of 70 cases ofbreast lump was assume at government hospital Sikar.Methods for evaluation of breast lump were anamnesis andphysical examination, which was supplement with radiologicalinvestigations. Finally a tissue diagnosis was obtained withFine needle aspiration cytology.Results: More than 70% of patients with menopause betweenage group of 45 - 49 years, 50% of Ca breast patients attaintheir menopause more than 7 years, whereas only 2 patientswith benign lumps were menopausal and both of thempresented after 7 years of menopause. Positive family historywas noted in around 15% and around 11% of patients ofmalignancy and benign lumps respectively.Conclusion: Benign breast lumps are more frequent thanmalignant ones. Benign lump was more frequent in 21-30years age group whereas Carcinoma in 41-50 years agegroup. Breast cancer occurs at younger age as compared towomen in west with more than 70% of patients being below 50years of age.Item Anemia and Iron Deficiency among Children and Their Association with Feeding Status That s Effects on Weight and Height in the Southern Part of Bangladesh(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-03) Rahman, Md. Shamsur; Nihar, Ranjan Sarker; Hye, Mohammad Abdul; Das, Tarun Kanti; Khan, Golam Mostafa; Shuperna, AhmedBackground: Anemia is the disorder in which theconcentration of hemoglobin in the blood is lower than thelevels considered normal for a person's age and gender.Objective: In this study our main goal is to assess therelationship among anemia, iron deficiency and feeding statusin weight and height in children southern part of Bangladesh.Method: This cross sectional study was carried out fromJanuary 2016 to January 2018 at secondary care hospitalamong 322 hospitalized children and after examinationchildren’s divided into two group: one is anemic (191) andanother is non-anemic (131).Results: In the study majority of the infants belongs to 6 to 12month age group and 64% of patients had microcytichypochromic anemia. Also premature birth and low birth weightwere found to be expressively associated with occurrence ofanemia.Conclusion: From this study we can conclude thatprematurity, low birth weight and poor complementary feedingpractices is responsible anemia and iron deficiency amongchildren in southern part of Bangladesh. Raising awareness,providing effective health and nutrition education in general willbe the key solutions to prevent and control this public healthproblem in BangladeshItem Anthropometric Study of Correlation between the Stature and Selected Upper Limb Dimensions in Adult Bangladeshi Manipuri Females(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-09) Hussain, Mosa. Shaheli Binte; Bashar, Farhana; Najnin Akhter; Nahid Farhana Amin; Zobayer Mahmud Khan; Tuhin JahanIntroduction: Limb anthropometry provides great contributionin personal identification of any individual by determining themorphological variation of different population which is done byanthropologists and forensic scientists as well as anatomists.Stature is considered as one of the important parameters alongwith other parameters like age, sex and race for personalidentification which helps in forensic investigation. TheManipuri community is one of the oldest ethnic communities inBangladesh.Objective: In this study our main goal is to find out thecorrelation between the stature and four selected linear upperlimb dimensions of left side; length of the arm, forearm, ulnaand hand.Materials and Methods: This anthropometric study wascarried out in 100 adult Bangladeshi Manipuri femalepopulation aged between 25 to 45 years. Direct measurementsof stature and four selected linear upper limb dimensions weretaken and statistical analysis was performed using SPSSsoftware (version 22.0).Results: The four selected upper limb dimensions showedsignificant positive correlations (p≤ 0.05) with the stature.Highest correlation of the stature with the dimensions studied,was found in the length of forearm (r=0.511).Conclusion: The findings of the present study show that therewas significant positive correlation between the stature and theselected four upper limb dimensions and thereby indicating thatstature could be predicted successfully using length of the arm,forearm, ulna and hand among Bangladeshi Manipuri femalepopulation.Item Assessment and Importance of PAP Smear: An Hospital Based Study in Gynaecology Department(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-05) Khatri, Sawai; Dudi, O.P.; Choudhary, Jogesh; Choudhary, NirupamaBackground: There is a need to spread cervical cancerscreening awareness programs, educate women regarding thesymptoms of cancer, and motivate them to visit the hospital fora cancer screening. Pap smear-positive women need adequatetreatment and regular follow-up. Hence; we planned thepresent study to ass the importance of PAP Smear amongwomen visiting the department of gynaecology.Materials & Methods: A total of 100 subjects reporting to theOPD of gynecology department were enrolled in the presentstudy. A self-framed questionnaire was used for obtainingdetailed demographic data and clinical details of all thepatients. Cytological sample were obtained from all the patientsfrom ectocervix. All the samples were sent to laboratory werestaining of the sample spread slides was done using PAPstain. All the results were recorded and analyzed by SPSSsoftware.Results: Inflammatory findings were reported in 66 percent ofthe patients, whereas atypical squamous cells of undeterminedsignificance and Low-grade squamous intraepithelial lesionwere reported in 12 percent of the patients each. Outof 40 patients with white discharge, 30 were found to haveinflammatory lesion on PAP staining. Non- significant resultswere obtained while correlating the clinical findings withpathologic findings.Conclusion: PAP smear testing is a very chapter and timesaving screening tool for detecting epithelial pathologies. Forroutine mass screening of women, its use should beestablished and should be done more frequently.Item Assessment of 121 Burn Patients Admitted to the Surgery Department: A Retrospective Study(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-07) Yadav, HariKeshBackground: Burns can be very destructive, and severelyendanger the health and lives of humans. Hence; the presentretrospective study was undertaken for assessing the 121 burnpatients admitted to the surgery department.Materials and Methods: Sample size for the present studyincluded 121 consecutive burn patients. From the department,detailed record of all the burn patients was obtained. Cause ofburn was separately recorded. Thorough examination of thedata records was done for assessing the complete clinical andtreatment profile. Following variables were recorded: Age,Gender, Socio-economic status, Location of burn, surgicaltreatment protocol followed, and Hospital stay. All the resultswere analyzed by SPSS software.Results: Scald and flame were the most common cause ofburn, found to be responsible for 48.76 percent and 28.92percent of the cases respectively. Mean hospital stay was 48.6days. 62 patients belonged to the lower class, while 39 patientsbelonged to middle class. Surgical treatment was carriedout in 46 patients, while conservative treatment without surgicalintervention was done in 75 patients. Total body surface areaof more than 60 percent was involved in 23 cases.Conclusion: Prevalence of burn is significantly high amongchildren, thereby associate with prolonged hospital stays.