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  • 1
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    Online Resource
    A study on knee osteoarthritis in physical medicine and rehabilitation department, Rangpur Medical College
    Bangladesh Academy of Sciences ; 2018
    In:  KYAMC Journal Vol. 8, No. 2 ( 2018-02-19), p. 18-23
    Details
    In: KYAMC Journal, Bangladesh Academy of Sciences, Vol. 8, No. 2 ( 2018-02-19), p. 18-23
    Abstract: Background: Physical Medicine & Rehabilitation (PMR) Department has also been trying to provide services with specialized outdoor (referred patient only) set up for twenty million people of Rangpur division.Objectives: Study is to know the demographic study, clinical grading, examination findings and radiological changes of Knee osteoarthritis.Materials & Methods: It was an observational study. This study was done on referred patients of Knee osteoarthritis in PMR specialized outdoor of RpMCH from 20th September, 2012 to 20th October; 2012. The objective of this study is to know the demographic study, clinical grading, examination findings and radiological changes of knee osteoarthritis (OA). Consecutive sampling technique was adopted and total 34 samples were taken.Results: Among 30 study population, 4 (13.3%) were male, 26 (86.7%) were female and male: female ratio was 0.15 (Table I). The mean age was 52.20±9.572 (standard deviation) and P value was 0.000. Regarding Occupation, 18 (60%) were housewife, 10 (33.3%) were sedentary worker and 2 (6.7%) were businessmen (P value 0.002) (Table IV). Among the study population, 18 (60.0%) had both knee joint OA, 8 (26.7%) had right knee joint OA and 4 (13.3%) had left knee OA. The mean duration of knee joint pain was 25.33 ± 37.570 (standard deviation) month (P value 0.001) (Table VII). Among the study population, 4 (13.3%) had diabetes mellitus, 6 (20.0%) had hypertension, 2 (6.7%) had hypertension with ischemic heart disease and 2 (6.7%) had diabetes mellitus with hypertension with bronchial asthma and 16 (53.3%) were normotensive and nondiabetic (Figure 1). According to clinical grading of knee OA, 2 (6.7%) were in grade-1a, 6 (20%) were in grade-1b, 2 (6.7%) were in grade-2a, 4 (13.3%) were in grade-2b, 8 (26.7%) were in grade-3b, 8 (26.7%) were in grade-4 (P value 0.180 ) (Figure 2).Conclusion: This study reveals that clinically more advanced OA patients actually carrying early radiological changes.KYAMC Journal Vol. 8, No.-2, Jan 2018, Page 18-23
    Type of Medium: Online Resource
    ISSN: 2308-2860 , 2308-2720
    URL: Article
    DOI: 10.3329/kyamcj.v8i2.35698
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2018
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  • 2
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    Discectomy for Primary and Recurrent Prolapse of Lumbar Intervertebral Discs
    SAGE Publications ; 2012
    In:  Journal of Orthopaedic Surgery Vol. 20, No. 1 ( 2012-04), p. 7-10
    Details
    In: Journal of Orthopaedic Surgery, SAGE Publications, Vol. 20, No. 1 ( 2012-04), p. 7-10
    Abstract: To reviewed 416 patients who underwent discectomy for primary or recurrent prolapse of lumbar intervertebral discs (PLID). Methods. Records of 296 men and 102 women aged 19 to 60 (mean, 39) years who underwent discectomy for a primary PLID, and 14 men and 4 women aged 28 to 50 (mean, 40) years who underwent revision discectomy for a recurrent ipsilateral (n=14) or contralateral (n=4) PLID at L4–5 (n=14), L5-S1 (n=3), or L3–4 (n=1) were reviewed. The pain-free interval, side and degree of herniation, operating time, length of hospital stay, and pre- and post-operative visual analogue score (VAS) for pain were recorded. Clinical outcomes were evaluated using the modified Macnab criteria and the Oswestry Disability Index. Results. Patients were followed up for one to 4 years. The mean operating time was significantly longer in revision discectomy (65 vs. 141 minutes, p 〈 0.001, unpaired t-test). There was no significant difference between revision and primary discectomy in terms of length of hospital stay or clinical improvement rates. Age, gender, smoking, profession, level and extent of herniation, and pain-free interval did not affect clinical outcomes. In the 18 revision cases, the mean pain-free interval until recurrence was 31 (range, 1–42) months. At the one-year follow-up, results were excellent in 8, good in 6, fair in 3, and poor in one. Three of the patients had persistent pain despite taking analgesics. 14 of the patients had returned to their normal daily activities. Complications included foot drop (n=1), dural tear (n=3), and superficial wound infection (n=1). Conclusion. Discectomy achieved satisfactory results for both primary and recurrent PLIDs.
    Type of Medium: Online Resource
    ISSN: 2309-4990 , 2309-4990
    URL: Article
    DOI: 10.1177/230949901202000102
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2128854-9
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  • 3
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    Municipal solid waste generation, composition and management: issues and challenges. A case study
    Politechnika Wroclawska Oficyna Wydawnicza ; 2015
    In:  Environment Protection Engineering Vol. 41, No. 3 ( 2015)
    Details
    In: Environment Protection Engineering, Politechnika Wroclawska Oficyna Wydawnicza, Vol. 41, No. 3 ( 2015)
    Type of Medium: Online Resource
    ISSN: 0324-8828 , 2450-260X
    URL: Article
    DOI: 10.37190/epe150304
    Language: English
    Publisher: Politechnika Wroclawska Oficyna Wydawnicza
    Publication Date: 2015
    detail.hit.zdb_id: 2629145-9
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  • 4
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    From Caterpillar to Butterfly: Social Media Engagement of the Socially Excluded Third-Gender People in Bangladesh
    Springer Science and Business Media LLC ; 2023
    In:  Information Systems Frontiers
    Details
    In: Information Systems Frontiers, Springer Science and Business Media LLC
    Abstract: This paper focuses on the effects of gender diversity – in terms of binary- and third-gender – on social media engagement (SMEn). Specifically, we examine the extent to which SMEn's antecedents and outcomes vary between binary- and third-gender people. Based on the uses and gratification theory (UGT) , we develop and validate a model using two cross-sectional studies. Data have been collected from heterosexual and third-gender people (TGP) separately, and analysed with the structural equation modelling (SEM) technique. Our results show that the incentives and outcomes of SMEn are not identical across different gender groups; rather, socially excluded TGP take advantage of social media differently than their heterosexual counterpart. More specifically, habit is the strongest predictor of SMEn for the heterosexual group, which is emotional reassurance for the TGP. Interestingly, identity management is an important determinant of SMEn only for TGP, while social interaction is important for both groups. We further find that SMEn enhances both groups' quality of life and social self-esteem but more for TGP. This study advances knowledge by applying UGT in a new research setting within information systems. The findings provide guidelines to social media architects and policymakers on engaging socially disadvantaged people with social media and enhancing their social wellbeing.
    Type of Medium: Online Resource
    ISSN: 1387-3326 , 1572-9419
    URL: Article
    DOI: 10.1007/s10796-023-10422-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2015660-1
    SSG: 24,1
    SSG: 3,2
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  • 5
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    Online Resource
    Clinical Characteristics of COVID-19 Patients with Digestive Symptoms in a Tertiary Level Hospital
    Scientific Research Publishing, Inc. ; 2022
    In:  Open Journal of Gastroenterology Vol. 12, No. 09 ( 2022), p. 232-248
    Details
    In: Open Journal of Gastroenterology, Scientific Research Publishing, Inc., Vol. 12, No. 09 ( 2022), p. 232-248
    Type of Medium: Online Resource
    ISSN: 2163-9450 , 2163-9469
    URL: Article
    DOI: 10.4236/ojgas.2022.129024
    Language: Unknown
    Publisher: Scientific Research Publishing, Inc.
    Publication Date: 2022
    detail.hit.zdb_id: 2667299-6
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  • 6
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    Pharmacoeconomic Implications of Lenalidomide Maintenance Therapy in Multiple Myeloma
    S. Karger AG ; 2014
    In:  Oncology Vol. 87, No. 4 ( 2014), p. 224-231
    Details
    In: Oncology, S. Karger AG, Vol. 87, No. 4 ( 2014), p. 224-231
    Abstract: We compared the three arms of the MM-015 randomized phase III clinical trial [melphalan and prednisone (MP), MP plus lenalidomide (MPR), and MPR plus lenalidomide maintenance (MPR-R)] to determine whether the addition of lenalidomide maintenance therapy for primary treatment of multiple myeloma is cost-effective. We used progression-free survival and adverse event data from the MM-015 study for the analysis. Two novel measures of cost-effectiveness termed the Average Cumulative Cost per Patient (ACCP) and the Average Cumulative Cost per Progression-Free Survivor (ACCPFS) were developed for the purpose of this analysis. The ACCP of MP was USD 18,218, compared to USD 167,862 for MPR and USD 309,173 for MPR-R. The ACCPFS was highest with MPR at USD 1,555,443, while MP was USD 313,592 and MPR-R was USD 690,111. MPR-R is superior to MPR in terms of preventing the first progression after initial therapy. However, the addition of lenalidomide to MP in the induction and also in the maintenance setting leads to significant costs.
    Type of Medium: Online Resource
    ISSN: 0030-2414 , 1423-0232
    URL: Article
    DOI: 10.1159/000364880
    RVK:
    XH 3305
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2014
    detail.hit.zdb_id: 1483096-6
    detail.hit.zdb_id: 250101-6
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  • 7
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    ‘Sheldon' in the Medical Field: Emotional Intelligence and Its Associated Factors in Medical Students of Pakistan
    Royal College of Psychiatrists ; 2022
    In:  BJPsych Open Vol. 8, No. S1 ( 2022-06), p. S42-S43
    Details
    In: BJPsych Open, Royal College of Psychiatrists, Vol. 8, No. S1 ( 2022-06), p. S42-S43
    Abstract: The dearth of emotional intelligence leads to medical students’ inability to handle the pressures of medical education, sub-sequently causing burnout and mental illnesses. Poor emotional intelligence in young doctors also begets increased mistrust from the public, lowering the quality of healthcare delivery. Emotional intelligence of Pakistani students, similar to global context, is impacted by a myriad of psycho-socio-economic factors. It is pertinent to find out the detrimental and/or protective factors, and design interventions to enhance emotional intelligence as a soft skill. With this aim in mind, we explored the relationship of emotional intelligence with adverse childhood experiences and prevalent mental illnesses (depression and anxiety) amongst the medical students of one of the most populous cities of Pakistan; Lahore. Methods A cross-sectional study was conducted including currently enrolled MBBS (Bachelor of Medicine and Surgery) students from first year to final year in 2 medical schools of Lahore. An online google form was constructed by combining Modified Adverse Childhood Experiences Score Scale (ACES), Brief Emotional Intelligence Scale (BEIS-10) and Hospital Depression and Anxiety Scale (HADS). Data were exported to SPSS version 25.0 for descriptive and analytical analysis. Pearson's chi-square analysis and logistic regression analysis were used to study the association between the outcome and dependent variables; Odd's ratio (OR) with 95% Confidence Intervals (CI) were calculated. Results Participants (N = 324) belonging to two different medical colleges in Lahore, namely King Edward Medical College (public) and Shalamar Medical and Dental College (private), took part in the study. Pearson's chi-square showed significant association of emotional intelligence with early private schooling (p = 0.029), nuclear family system (0.044) and the presence of symptoms of depression (0.005). The adjusted logistic regression model showed that people who studied in a private sector school (OR: 2.12, CI: 1.01–4.45) and people who lived in a nuclear family (OR: 2.02, CI: 1.00–4.08) had significantly twice the likelihood of having high emotional intelligence. Also noteworthy is that respondents who were depressed according to HADS showed significantly lower emotional intelligence (OR: 0.37, CI: 0.16–0.86) Conclusion Emotional intelligence is now being recognized as an important life skill for healthcare providers. Emotional intelligence of medical undergraduates is influenced by a number of factors such as early schooling, family's living situation, current mental health and adverse childhood experiences. More prospective researches should be conducted to evaluate these relationships. Carefully crafted interventions for improving emotional intelligence for medical students must be implied at an early level to achieve better outcomes from medical education.
    Type of Medium: Online Resource
    ISSN: 2056-4724
    URL: Issue
    URL: Article
    DOI: 10.1192/bjo8_s1
    DOI: 10.1192/bjo.2022.171
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2022
    detail.hit.zdb_id: 2829557-2
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  • 8
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    Electrochemical Properties of Tin Sulfide Nano-Sheets as Cathode Material for Lithium-Sulfur Batteries
    Frontiers Media SA ; 2020
    In:  Frontiers in Chemistry Vol. 8 ( 2020-4-28)
    Details
    In: Frontiers in Chemistry, Frontiers Media SA, Vol. 8 ( 2020-4-28)
    Type of Medium: Online Resource
    ISSN: 2296-2646
    URL: Article
    DOI: 10.3389/fchem.2020.00254
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2020
    detail.hit.zdb_id: 2711776-5
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  • 9
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    Low Level Laser Therapy (LLLT) On Soft Tissue Healing: A Case Report
    Bangladesh Academy of Sciences ; 2019
    In:  Journal of Surgical Sciences Vol. 18, No. 1 ( 2019-10-31), p. 38-42
    Details
    In: Journal of Surgical Sciences, Bangladesh Academy of Sciences, Vol. 18, No. 1 ( 2019-10-31), p. 38-42
    Abstract: Tissue that is damaged and poorly oxygenated as a result of swelling, trauma or inflammation has been shown to have a positive response to laser therapy irradiation. At present, cutaneous lesions represent a dilemma of global proportions and instigate great clinical interest because of the high morbidity associated with changes in the normal healing process. Among the clinical aspects involving this issue, we emphasize tissue repair time in an effort to make the process quicker and more harmonious, reduce possible complications in lesion resolution, and allow an adequate choice of therapy. Laser light energy is highly absorbed by skin and subcutaneous tissue and therefore penetration is key to therapeutic results. Among the methods currently available, low-level laser therapy (LLLT) stands out. Here we present a case of 78 years old lady with multiple variable non healing ulcers on back. Appropriate antibiotics and regular dressing failed to heal the lesions. So we have decided to apply low level laser therapy. At the end of 8th week the wound looked pretty healthy. No untoward reaction or side effect was reported by the patient. Journal of Surgical Sciences (2014) Vol. 18 (1) : 38-42
    Type of Medium: Online Resource
    ISSN: 2408-8668 , 1728-2152
    URL: Article
    DOI: 10.3329/jss.v18i1.43752
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2019
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  • 10
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    Artificial neural network for the prediction model of glomerular filtration rate to estimate the normal or abnormal stages of kidney using gamma camera
    Springer Science and Business Media LLC ; 2021
    In:  Annals of Nuclear Medicine Vol. 35, No. 12 ( 2021-12), p. 1342-1352
    Details
    In: Annals of Nuclear Medicine, Springer Science and Business Media LLC, Vol. 35, No. 12 ( 2021-12), p. 1342-1352
    Type of Medium: Online Resource
    ISSN: 0914-7187 , 1864-6433
    URL: Article
    DOI: 10.1007/s12149-021-01676-7
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2039738-0
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