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  • 1
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2017
    In:  Journal of Dhaka Medical College Vol. 25, No. 2 ( 2017-09-13), p. 82-86
    In: Journal of Dhaka Medical College, Bangladesh Academy of Sciences, Vol. 25, No. 2 ( 2017-09-13), p. 82-86
    Abstract: Introduction: Premature rupture of membrane or PROM means when membrane ruptures before the onset of labour at a gestational age less than 37 completed weeks. In Bangladesh, every year, around 28,000 women die due to complications of pregnancy and childbirth. Nonscientific intervention in PROM made at various levels intensify the pregnancy complications several times, thereby leading many more deaths of foetus and newborn. Aetiology of PROM is largely unknown. The possible causes are either reduction of membrane strength or an increase in intrauterine pressure or both. Proper diagnostic facilities, proper monitoring and standard protocol in the management can improve the maternal and fetal outcome.Aim and objective: The aim of the study was to observe the incidence, type and maternal and fetal outcome of PROM.Materials and Method: A prospective case control analytical study was carried out at Dhaka Medical College Hospital, Dhaka from May 2000 to December2000. Total 120 patients were selected for this study among them 60 patients as case (Group A) and 60 patients were taken as control (Group B). Both primi and multigravida with Pregnancy more than 28 weeks with intact membrane as control and spontaneous rupture of membrane taken as case. High- risk patients such as hypertensive disorder of pregnancy, APH, cardiac disease, previous H/O caesarean section were excluded from the study. After taking proper history, speculum examination, some diagnostic investigations were carried out. Findings were recorded in predesigned questionnaire and statistical analysis were done using computerized software SPSS for Windows. A P value 〈 0.05 was taken as significant.Results: In our study maternal complications were significantly higher in Group A patients (Chi-square test: X2 = 6.263, df= 1, P 〈 0.05). Number of premature babies in PROM patients (25%) was significantly higher than control group. Perinatal morbidity was found higher in PROM (36.66%) compared to control group (31.66%). Most common morbidity was neonatal jaundice in PROM patients (13.33%) compared to babies of control group (8.33%).Conclusion: This study focused on certain risk factors in relation to PROM which can be preventable and reduce incidence and improvement of maternal and fetal outcome.J Dhaka Medical College, Vol. 25, No.2, October, 2016, Page 82-86
    Type of Medium: Online Resource
    ISSN: 2219-7494 , 1028-0928
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2017
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  • 2
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2020
    In:  Anwer Khan Modern Medical College Journal Vol. 11, No. 1 ( 2020-02-27), p. 59-65
    In: Anwer Khan Modern Medical College Journal, Bangladesh Academy of Sciences, Vol. 11, No. 1 ( 2020-02-27), p. 59-65
    Abstract: Introduction: Overall, at least 50% of mothers with PROM near term deliver within 48 hours. The latency period is in general inversely related to the gestational age at the time of PROM. At term, labor is desirable since infections become more likely with more prolong intervals between rupture and delivery. Neonatal complications and perinatal mortality and morbidity also associated with PROM. Material and methods: This randomized clinical trial study was carried out in the Department of Obstetrics and Gynecology Sir Salimuilah Medical College and Mitford Hospital Dhaka, during the period of January 2008 to September 2008. A total of 100 patients with term pregnancy had single fetus and cephalic presentation with PROM were enrolled in this study. After taking informed consent she was randomized in one of the two either groups according to the results of lottery. Fifty in Group I- Termination of the pregnancy (intervention group) by induction of labour and another 50 were in Group II- Expectant management for spontaneous delivery (expectant group). Randomization was 1:1 for intervention and expectant management. Proper history including demographic, past obstetric and medical history was taken, maternal temperature and Fetal heart rate was recorded. Antibiotics were given to all PROM women. The women of intervention group were induced by following ways -Women with riped cervix with oxytocin infusion and with unripe cervix, first underwent ripening by misoprostol followed by oxytocin infusion. Data was collected by standard questionnaire; results were compiled and relevant statistical calculation was done using computer-based software (SPSS). Results: The mean age was 20-24 years were predominant in both groups. Low income patients were more common in both groups. Primigravida were predominant in both groups. The mean gestation age was almost similar in both groups, no significant (p 〉 0.05) difference was found between two groups. Majority (80%) patients had time interval 1 to 12 hours between rupture membrane and onset of labour pain in group I. On the other hand 80% patients in group II had 12 to 24 hours time interval for onset of labour pain after rupture membrane.Normal vaginal delivery was higher in group I, whereas caesarean section (LSCS) was higher group II. No statistically significant (p 〉 0.05) difference was found between two groups.Duration of time interval between on set of labour pain to delivery was 〈 12 hours in group I 88.0% patients and 96.0% in group II respectively. No statistically significant (p 〉 0.05) difference was found between two groups.Hundred percent cases was live birth in both groups. Neonatal infection and death were significantly (p 〈 0.05) higher in group II. Puerperal sepsis was significantly (p 〈 0.05) higher in group II.The mean duration of hospital stay was 4.1±2.2 and 5.1±3.7 days in group I and group II respectively but this was not significant (p 〉 0.05). Conclusion: In the present study there was no statistical difference in the mode of delivery and time interval between onset of labour pain and delivery in two groups though maternal complications, neonatal infection and perinatal death was higher where expectant management was followed. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 59-65
    Type of Medium: Online Resource
    ISSN: 2304-5701 , 2221-836X
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
    detail.hit.zdb_id: 2701650-X
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  • 3
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2021
    In:  BIRDEM Medical Journal Vol. 11, No. 3 ( 2021-08-22), p. 197-201
    In: BIRDEM Medical Journal, Bangladesh Academy of Sciences, Vol. 11, No. 3 ( 2021-08-22), p. 197-201
    Abstract: Background: Tramadol is a widely used opioid analgesic for different types of pain. Very few cases of acute tramadol intoxication in infants have been reported where respiratory and central nervous system depression are frequent. The aim of this study was to evaluate the clinical manifestation, treatment and outcome of tramadol intoxication in infants. Methods: This was a retrospective observational study of hospitalized infants in the Department of Neonatology and Paediatrics in BIRDEM General Hospital, Dhaka, Bangladesh from February 2014 to November 2019. Ten infants with history of administration of tramadol suppository were included in this study. Data regarding clinical features, cause of the “incident dose and route of administration” of tramadol, effects of naloxone and outcomes were recorded and analyzed. Results: Of 10 infants, 6 were male and 4 were female. The mean age was 5.1±3.0 months and the mean weight was 6.1±1.8 kg. The mean time of onset of symptoms after drug administration was 2.6±1.0 hours with a mean dose of 17.9±6.4 mg/kg body weight. The main clinical features were decreased level of consciousness (100%), seizure (80%), meiosis (80%) and apnoea (50%). In each 50% (5) of cases, tramadol was given erroneously instead of glycerine and paracetamol suppository. Among them 2 (20%) infants received tramadol suppository as an over-the-counter (OTC) drug. All infants were treated with naloxone without any side effect. In addition, three infants needed mechanical ventilation. The average duration of hospital stay was 89.3±47.4 hours. Nine infants were discharged and one (10%) died. Conclusions: Our study suggested that tramadol intoxication among infants is predominantly accidental. Early identification and prompt initiation of treatment are essential. The creation of public awareness about the safe storage of drugs at home and avoidance of OTC drugs can prevent tramadol intoxication in children. BIRDEM Med J 2021; 11(3): 197-201
    Type of Medium: Online Resource
    ISSN: 2305-3720 , 2305-3712
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2021
    detail.hit.zdb_id: 2918368-6
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  • 4
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 12, No. 3 ( 2017-3-27), p. e0174488-
    Type of Medium: Online Resource
    ISSN: 1932-6203
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2017
    detail.hit.zdb_id: 2267670-3
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  • 5
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2016
    In:  Bangabandhu Sheikh Mujib Medical University Journal Vol. 6, No. 2 ( 2016-08-04), p. 116-
    In: Bangabandhu Sheikh Mujib Medical University Journal, Bangladesh Academy of Sciences, Vol. 6, No. 2 ( 2016-08-04), p. 116-
    Abstract: 〈 p 〉 〈 strong 〉 Objective: 〈 /strong 〉 The present study has been conducted to investigate the role of plasma homocysteine on neonatal birth weight. 〈 /p 〉 〈 p 〉 〈 strong 〉 Methods: 〈 /strong 〉 This prospective cross sectional analytical study was conducted in the inpatient department of obstetrics & amp; gynecology, Dhaka Medical College Hospital on 120 term, singleton pregnant women. Pregnant women with plasma total bomocysteine & gt;15 µmol/L were termed as having hyperhomocysteinemia (case, n = 25), while women with plasma total homocysteine ≤15 µmol/L were considered as notmal (control, n = 95). Neonatal birth weight was the main outcome variable which was compared between case and control groups. 〈 strong 〉 〈 /strong 〉 〈 /p 〉 〈 p 〉 〈 strong 〉 Result: 〈 /strong 〉 The entire women in the case group were in their 3rd decades, while 80% of the control group were in this age range and 10% was below 20 and 10% above 30 years old. The cases were older than the controls (25.6 ± 2.0 vs. 23.7 ± 4.7 years, p = 0.051 ). Over three-quarters (76%) of the cases were SSC level educated, while majority (84.2%) of the controls was primary level educated. Eighty percent of the neonates born of mothers with hyperhomocysteinemia were of low birth weight as opposed to only 9.5% in the control group. The mothers of case-group carry nearly 40(95% of CI= 11.5 - 126.4) times higher risk of having low birth weight babies than the mothers with nonnal homocysteine level. The mean birth weight of neonates of case group was observed to be significantly higher (2.8 ± 0.4 kg) than that of control group (2.2 ± 0.4 kg). Correlation between the two variables shows that as plasma homocysteine level of women increases the birth weight of neonates decreases bearing an inverse relationship between these two variables (r = - 0.326, p & lt; 0.001 ). 〈 strong 〉 〈 /strong 〉 〈 /p 〉 〈 p 〉 〈 strong 〉 Conclusion: 〈 /strong 〉 Pregnant women with elevated plasma total homocysteine carry much higher risk of giving low birth weight babies than the women with normal or low level of total homocysteine. Thus, measuring total homcysteine during pregnancy is of much clinical importance as corrective measure could be taken to avert the adverse pregnancy outcome. 〈 /p 〉
    Type of Medium: Online Resource
    ISSN: 2074-2908
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
    detail.hit.zdb_id: 2573885-9
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  • 6
    In: Plant Science Today, Horizon E-Publishing Group, Vol. 8, No. 2 ( 2021-04-01), p. 289-292
    Abstract: The phytotoxic effects of Justicia adhatoda L. were investigated on cauliflower, broccoli, tomato, foxtail millet and barnyard grass. The experiments were carried out under laboratory and in pot experiments. Six different aqueous methanol extract concentrations (control, 0.001, 0.003, 0.01, 0.03 and 0.1 g DW equivalent mL-1 extract) were tested in the laboratory and six aqueous extract concentrations (control, 1.0, 2.0, 3.0, 4.0 and 5.0 g DW mL-1 extract equivalent) were evaluated in the pot experiment. Results showed a reduction in germination and growth (shoot length, root length and biomass weight) at higher extract concentration compared to control. The leaf extracts from J. adhatoda showed that the foxtail millet and barnyard grass are germinating below 50 % both in the laboratory condition and in the pot experiment at their maximum concentration. When maximum extracts have been applied, we have found less than 0.5 cm of shoot and root of foxtail millet and barnyard grass. Maximum dry weight reduction was observed in foxtail millet and barnyard grass at the same concentration. The findings show that J. adhatoda may have phytotoxic potential and thus contains phytotoxins. Therefore, J. adhatoda can be used in sustainable crop production as a mulch or soil additive to suppress weeds.
    Type of Medium: Online Resource
    ISSN: 2348-1900
    URL: Issue
    Language: Unknown
    Publisher: Horizon E-Publishing Group
    Publication Date: 2021
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  • 7
    In: SSRN Electronic Journal, Elsevier BV
    Type of Medium: Online Resource
    ISSN: 1556-5068
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
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  • 8
    In: BioMed Research International, Hindawi Limited, Vol. 2019 ( 2019-02-24), p. 1-18
    Abstract: Although thyroid dyshormonogenesis (TDH) accounts for 10-20% of congenital hypothyroidism (CH), the molecular etiology of TDH is unknown in Bangladesh. Thyroid peroxidase (TPO) is most frequently associated with TDH and the present study investigated the spectrum of TPO mutations in Bangladeshi patients and analyzed the effects of mutations on TPO protein structure through in silico approach. Sequencing-based analysis of TPO gene revealed four mutations in 36 diagnosed patients with TDH including three nonsynonymous mutations, namely, p.Ala373Ser, p.Ser398Thr, and p.Thr725Pro, and one synonymous mutation p.Pro715Pro. Homology modelling-based analysis of predicted structures of MPO-like domain ( TPO 142-738 ) and the full-length TPO protein ( TPO 1-933 ) revealed differences between mutant and wild type structures. Molecular docking studies were performed between predicted structures and heme. TPO 1-933 predicted structure showed more reliable results in terms of interactions with the heme prosthetic group as the binding energies were -11.5 kcal/mol, -3.2 kcal/mol, -11.5 kcal/mol, and -7.9 kcal/mol for WT, p.Ala373Ser, p.Ser398Thr, and p.Thr725Pro, respectively, implying that p.Ala373Ser and p.Thr725Pro mutations were more damaging than p.Ser398Thr. However, for the TPO 142-738 predicted structures, the binding energies were -11.9 kcal/mol, -10.8 kcal/mol, -2.5 kcal/mol, and -5.3 kcal/mol for the wild type protein, mutant proteins with p.Ala373Ser, p.Ser398Thr, and p.Thr725Pro substitutions, respectively. However, when the interactions between the crucial residues including residues His239, Arg396, Glu399, and His494 of TPO protein and heme were taken into consideration using both TPO 1-933 and TPO 142-738 predicted structures, it appeared that p.Ala373Ser and p.Thr725Pro could affect the interactions more severely than the p.Ser398Thr. Validation of the molecular docking results was performed by computer simulation in terms of quantum mechanics/molecular mechanics (QM/MM) and molecular dynamics (MD) simulation. In conclusion, the substitutions mutations, namely, p.Ala373Ser, p.Ser398Thr, and p.Thr725Pro, had been involved in Bangladeshi patients with TDH and molecular docking-based study revealed that these mutations had damaging effect on the TPO protein activity.
    Type of Medium: Online Resource
    ISSN: 2314-6133 , 2314-6141
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2019
    detail.hit.zdb_id: 2698540-8
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  • 9
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 1970
    In:  Journal of Medicine Vol. 8, No. 2 ( 1970-01-01), p. 57-59
    In: Journal of Medicine, Bangladesh Academy of Sciences, Vol. 8, No. 2 ( 1970-01-01), p. 57-59
    Abstract: This was a prospective study. The study was done from July 1997 to June 98. All the cases were selected from the outdoor patients of National Institute of Cardiovascular Diseases (NICVD), Controls were selected from healthy volunteers. The plasma fibrinogen level, platelet aggregation and platelet count were studied on a total number of 35 subjects with age ranged from 40-60 years of both sexes. Of these 20 were normal healthy subjects and 15 were patients with stable angina. Plasma fibrinogen level were normal as like as healthy subjects. Platelet aggreagations were increased in some cases but others show normal findings. The platelet count were slightly decreased but it was within normal range. Form this study it may be observed that normal plasma fibrinogen level and increased platelet aggregation with normal platelet count may occur in patients with stable angina. The increased platelet aggregation indicate hypercoagulable states which may aggravate the condition of patients with stable angina and this is the risk factor for the further development of severe ischemia of the heart. So, the routine investigation of plasma fibrinogen level, platelet aggregation and platelet count may be helpful to utilize them as background information both for therapeutic and preventive measures in patients with stable angina.     DOI = 10.3329/jom.v8i2.1408 J MEDICINE 2007; 8 : 57-59
    Type of Medium: Online Resource
    ISSN: 2075-5384 , 1997-9797
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 1970
    detail.hit.zdb_id: 2549281-0
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  • 10
    In: Journal of Organometallic Chemistry, Elsevier BV, Vol. 694, No. 2 ( 2009-1), p. 304-308
    Type of Medium: Online Resource
    ISSN: 0022-328X
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2009
    detail.hit.zdb_id: 1491530-3
    detail.hit.zdb_id: 3002-8
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