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Evaluation of Lipid Profile in Obese and Non-Obese Hypertensive Adult Patients Attended in Medicine Department of a medical college Hospital of Bangladesh

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World Journal of Cardiovascular Diseases 2020年第8期10卷 520-544页

作者： Md Reaz Uddin Chowdhury Kazi Shanzida Akter Sahedul Islam Bhuiyan Mainuddin Sohel Mahbub Majumder Arif Mohammad Sohan Mahfuzur Rahman Muhammad Anwarul Kabir Zaman Ahmed Abdul Malek Ukil medical college Noakhali Bangladesh Trauma Center Feni Bangladesh brahmanbaria medical college Brahmanbaria Bangladesh Cumilla medical college Cumilla Bangladesh Ad-Din Akij medical college Khulna Bangladesh

Background: By the dawn of this modern era of science, the prime challenge of physician is cardiovascular disease (CVD). The most important modifiable risk factors of CVDs are unhealthy diet, physical inactivity and tobacco use. The effects of unhealthy diet and physical inactivity include abnormal blood lipid, obesity and hypertension. We tried to evaluate and correlate the pattern of lipid profile in obese and non-obese hypertensive patients. Objectives: This study was conducted at medicine department of Cumilla Medical College Hospital. The principal aim was to evaluate the lipid profile in obese and non-obese adult hypertensive patients. Methodology: During this cross sectional analytical study, a total of 100 adult hypertensive patients were taken by purposive sampling. Among them 50 (group 1) patients were taken those were obese and 50 (group 2) patients taken those were non-obese according to BMI measurement on operational definition. Diagnosis of hypertension would be established with the help of ambulatory BP measurements two occasions few minutes apart. The staging of hypertension was done according to JNC7 Criteria. Morning blood samples were taken after 8 - 12 hours of fasting and lipid profiles were done on authentic laboratories. The laboratory values were interpreted according to the operational definition of dyslipidaemia. The ethical research and review committee approved the study protocol and signed informed consent was obtained from the participants. The statistics was analyzed using the IBM SPSS software of version 19.0. Statistical significance was set at p Results: Among the two groups, there were 56 (56%) males and 44 (44%) females. The mean age of group 1 (46.10 ± 11.09) was compared to that of group 2 (45.5 ± 10.6). Lipid profile abnormalities were s

关键词： Lipid Profile Dyslipidaemia Obese Non-Obese Hypertension

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A Physician Suffering from COVID-19 with Multiple Co-Morbidities Have Delayed Viral Clearance: A Case Report from Bangladesh

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Advances in Infectious Diseases 2020年第3期10卷 94-100页

作者： Md. Reaz Uddin Chowdhury Kazi Shanzida Akter Sahedul Islam Bhuiyan Md. Khalilur Rahman Khabir Bimal Chandra Das Muhammad Anwarul Kabir Abdul Malek Ukil medical college Noakhali Bangladesh Dedicated COVID-19 Hospital-Trauma Center Feni Bangladesh brahmanbaria medical college Brahmanbaria Bangladesh 250 Bed District Sadar Hospital Feni Bangladesh

Background: Novel corona virus (SARS-Coronavirus-2 SARS-CoV-2) which emerged in China has spread to multiple countries rapidly. Little information is known about delayed viral clearance in mild to moderate COVID-19 pa-tients. As it is highly contagious, health care workers including physicians are high risk of being infected in hospital care. Case Report: A 37 years old Bangladeshi physician working in a paediatric unit of a medical college hos-pital with multiple co-morbidities, hypertension, diagnosed axial spondy-loarthropathy (ankylosing spondylitis) taking disease modifying anti rheu-matic drugs— DMARDs (Salfasalazine) from 2016 till now, chronic persis-tent bronchial asthma on medication developed sore throat, increasing breathlessness and cough admitted to his own hospital on 22 April, 2020. He had a history of contact with a relapse nephrotic syndrome (glomerulone-phritis) patient admitted with severe respiratory distress later confirmed as COVID-19 following RT PCR test on 14 April, 2020. After 3 days of contact with the patient, the physician also developed the symptoms mentioned above. The RT PCR test result of the physician came positive on 18 April, 2020. The physician primarily taken only azithromycin 500 mg once daily along with other regular drugs. On 5, 12 and 18 May, 2020, his sample was taken for re-test and came positive subsequently. After that he started Iver-mectin (0.15 mg/kg) once daily for 3 days and doxycycline 100 mg BD for 7 days. He gave samples again on 27 and 29 May, 2020 which were came nega-tive after 39 days. On full recovery he was discharged from hospital on day 40. We choose the patient because presence of co-morbidities may be asso-ciated with delayed viral clearance and physicians with co-morbidities working in a hospital have high risk of being infected.

关键词： Physician Co-Morbidities Viral Clearance COVID-19 Case Report Bangla-desh

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Exploring the practice of common oral diseases among the patients visiting in the selected dental college and hospital in Bangladesh

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Life Research 2022年第4期5卷 1-5页

作者： Khalid Hasan Pasha Md.Fazlul Karim Md.Mahmudur Rahman Ashek Elahi Noor Md.Mamunur Rashid Nahid Al Nomann Kazi Golam Mohiuddin Department of Oral&Maxillofacial Surgery Sapporo Dental College and HospitalDhaka-1230Bangladesh Department of Microbiology Kumudini Women’s Medical CollegeMirzapurTangail-1900Bangladesh Department of Gastroenterology Dhaka Medical College and HospitalDhaka-1312Bangladesh Department of Dental Public Health Sapporo Dental College and HospitalDhaka-1230Bangladesh New Labaid Diagnostic Center&Hospital Brahmanbaria-3400Bangladesh Department of Science of Dental Materials Sapporo Dental College and HospitalDhaka-1230Bangladesh

Background:Having the ability to identify potential health risk factors such as lifestyle,ethnicity,health status,and social determinants associated with oral health status risk,health care providers can take an active role in health screening to discover any need for clinical preventive services,including dental preventive services,and can detect health problems.Methods:A descriptive type of cross-sectional study was conducted to explore the practice of common oral diseases among the patients visiting in the selected dental college and hospital in Bangladesh from October 2019 to December 2019.About 100 patients were interviewed through a semi-structured questionnaire,followed by an oral examination through a checklist and a face-to-face interview.A systematically random sampling technique was employed to select the study population.Results:Among them,the(21-30)year age group shows a maximum 20%,whereas the(71-80)year age group represents the minority with only 2%.Among them,56%were male and 44%were female.Students represent the majority of 26%,whereas others(day laborers)represent only 4%.Decayed teeth remained in 72%of cases,teeth were missing in 31%of cases,and filled teeth were present in 24%of cases.A majority of 71%clean teeth once daily,whereas only 29%clean teeth twice daily.Again,only 30%brush teeth at night and a maximum of 95%brush teeth in the morning.Moreover,a maximum of 68%use toothpaste and brushes,while only 4%use meswak for cleaning their teeth.About 4%of cases with no debris,51%of cases with less than 1/3rd of the tooth with debris,32%of cases with 1/3rd-2/3rd of the tooth with debris,and 13%of cases with more than 2/3rd of the tooth with debris were present.Again,about 30%had no calculus,52%less than 1/3rd of tooth,16%in between 1/3rd and 2/3rd of tooth,and 2%more than 2/3rd of the calculus was present.About 47%of mild,22%of moderate,6%of severe and 25%had no inflammation.Furthermore,for treatment purposes,20.69%was advised for scaling,19.66%for filling,16.90%for root canal treatment,17.59%for

关键词： dental caries abscess broken down root broken down crown decayed missing filled tooth root canal treatment orthopentomogram intra oral periapical cone beam computed tomography body mass index

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COVID-19 Disease Complicated with Severe Pneumonia in a Patient with End Stage Renal Disease (ESRD): A Case Report from Bangladesh

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Advances in Infectious Diseases 2020年第3期10卷 101-109页

作者： Md. Reaz Uddin Chowdhury Kazi Shanzida Akter Muhammad Zahangir Alam Muhammad Anwarul Kabir Sahedul Islam Bhuiyan Arifa Akram Sohel Rahman Abdul Malek Ukil medical college Noakhali Bangladesh Dedicated COVID-19 Hospital-Trauma Center Feni Bangladesh brahmanbaria medical college Brahmanbaria Bangladesh National Institute of Laboratory Medicine and Refferal Center Dhaka Bangladesh Institute of Epidemiology Disease Control and Research Dhaka Bangladesh

Background: Since 2019, the pandemic of Coronavirus disease 2019 (COVID-19) has spread very rapidly in China and Worldwide. COVID-19 is a highly contagious, infectious and rapidly spreading viral disease with an alarming case fatality rate up to 5%. Case Report: In this article, we report a case of 60 years old non diabetic, hypertensive woman infected with COVID-19 who has end stage renal disease (ESRD) on hemodialysis for last 18 months. COVID-19 patients with ESRD need isolation dialysis but most of them cannot be handled properly due to limited hemodialysis machine. With these unavailability and risk, we continue the treatment along with hemodialysis for controlling uraemia and fluid balance. With all effort this patient ended with an uneventful course with clinical improvement, improvement of all laboratory parameters and resolution of radiological findings but follow up RT-PCR cannot done due to changing guideline of discharge criteria of COVID-19 patient in Bangladesh.

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