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  • 1
    Online Resource
    Online Resource
    Different Types of Cardiac Arrhythmias Shown In Holter ECG Monitoring of 100 Patients Studied in NICVD
    Bangladesh Academy of Sciences ; 2015
    In:  Medicine Today Vol. 26, No. 2 ( 2015-07-16), p. 71-74
    Details
    In: Medicine Today, Bangladesh Academy of Sciences, Vol. 26, No. 2 ( 2015-07-16), p. 71-74
    Abstract: Ambulatory ECG monitoring is suitable for patients with symptoms which may be caused by arrhythmia such as palpitation, light-headedness, syncope or chest discomfort. Patients with symptoms occurring daily or almost daily or those who have syncope without warning may be evaluated with a 24 hour Holter monitoring. Objective of this study is to determine incidences of various arrhythmias on 24-hour electrocardiographic Holter monitoring. This retrospective cross-sectional descriptive study was carried out in the cardiology department of NICVD by reviewing the Holter monitoring report to study different types of cardiac arrhythmias. Adult patients of either gender, referred for Holter monitoring with symptoms of palpitation, dizziness and syncope were evaluated for arrhythmia. The data analysis of the 100 patients who were studied, showed that there were 75 (75%) males and 25 (25%) females. 25% of patients were below 40 years whereas 75% were above 40 years of age. 67(67%) patients developed arrhythmia and others were normal. 38% report showed ventricular ectopic, 11% sick sinus syndrome, 5% ventricular tachycardia, 3% complete heart block. Supraventricular ectopic, atrial flutter, atrial fibrillation and Wolf Parkinson White syndrome each developed in only 1% of patients. Twenty four hour Holter monitoring is an important investigation for evaluation of patients with palpitation, dizziness and syncope. Arrhythmias were detected frequently in both symptomatic and asymptomatic patients. One must be careful to avoid attributing a symptom to an arrhythmia until a close temporal relationship is demonstrated.Medicine Today 2014 Vol.26(2): 71-74
    Type of Medium: Online Resource
    ISSN: 2408-8714 , 1810-1828
    URL: Article
    DOI: 10.3329/medtoday.v26i2.24223
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2015
    detail.hit.zdb_id: 2573717-X
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  • 2
    Online Resource
    Online Resource
    Association Between Acute Stroke and Metabolic Syndrome
    Bangladesh Academy of Sciences ; 1970
    In:  Journal of Medicine Vol. 11, No. 2 ( 1970-01-01), p. 124-127
    Details
    In: Journal of Medicine, Bangladesh Academy of Sciences, Vol. 11, No. 2 ( 1970-01-01), p. 124-127
    Abstract: Objective: Metabolic syndrome is the cluster of vascular risk factors including insulin resistance, elevated bloodpressure, hyperlipidemia, and obesity. Metabolic syndrome is strongly associated with cardiovascular andcerebrovascular disease. The aim of this study is to find out association between stroke and metabolic syndrome inour population.Methods: In this observational study, a total number of fifty randomly selected patients were studied from July2009 to December 2009 at Medicine ward of Dhaka Medical College Hospital. Definition of metabolic syndromewas taken from the guidelines by the National Cholesterol Education Program Adult Treatment Panel III.Results: Among the study population 46% had metabolic syndrome. This study estimated that Ischaemic stroke ismore common among metabolic syndrome patients (65.2%), but patient without metabolic syndrome had morehaemorrhagic stroke (55.6%).Only 12% patient was found obese. With or without metabolic syndrome most of thepatient had elevated TG (64%) and raised blood pressure (64%).Conclusion: Without obesity, metabolic syndrome is an important risk factor for cerebrovascular disease. Majorityof the patients with metabolic syndrome present as ischemic stroke.Keywords: Stroke; Metabolic syndrome; hypertension; fasting blood sugar; hyperlipidaemia.DOI: 10.3329/jom.v11i2.5453J MEDICINE 2010; 11 : 124-127
    Type of Medium: Online Resource
    ISSN: 2075-5384 , 1997-9797
    URL: Article
    DOI: 10.3329/jom.v11i2.5453
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 1970
    detail.hit.zdb_id: 2549281-0
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  • 3
    Online Resource
    Online Resource
    Determination of Realistic Facility Location in Bangladesh by using Center of Gravity Method
    European Open Science Publishing ; 2023
    In:  European Journal of Engineering and Technology Research Vol. 8, No. 2 ( 2023-04-26), p. 83-92
    Details
    In: European Journal of Engineering and Technology Research, European Open Science Publishing, Vol. 8, No. 2 ( 2023-04-26), p. 83-92
    Abstract: The facility location plays an important role in an industry's supply chain management to facilitate logistics management requirements, making the sourcing and distribution process smooth and fast. The purpose of this study is to determine the ideal place to determine the location of a garment industry. This research uses the Center of Gravity method to calculate the optimal location that will be considered. This method employs an (X-Y) coordinate system to cover the geographical map of the study areas and identifies the coordinates for the new facility's location. It endeavored to identify the optimal location for the garment industry in Bangladesh. It was pinpointed where the industry can obtain raw materials from various regions of the country and a market, labor force, and energy source. Information was gathered regarding the volume of business activity at existing facilities. From the results of this study, it was found that the selected facility's location at the coordinates (23.68497454, 90.5928119), the arable land of the village of Sreepatir Char, Sonargaon, Narayanganj, which is the centralized position according to the supplier's distance, market distance, and availability of labor. Finally, we have shown that the identified location is appropriate for the facility's placement.
    Type of Medium: Online Resource
    ISSN: 2736-576X
    URL: Article
    DOI: 10.24018/ejeng.2023.8.2.3007
    Language: Unknown
    Publisher: European Open Science Publishing
    Publication Date: 2023
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  • 4
    Online Resource
    Online Resource
    Takayasu Arteritis Involving Multiple Peripheral Arteries of a 37-year-old Female: A Case Report and Brief Overview
    Bangladesh Academy of Sciences ; 2016
    In:  Bangladesh Heart Journal Vol. 30, No. 2 ( 2016-07-20), p. 92-95
    Details
    In: Bangladesh Heart Journal, Bangladesh Academy of Sciences, Vol. 30, No. 2 ( 2016-07-20), p. 92-95
    Abstract: Takayasu arteritis, formerly known as pulseless disease, is a chronic idiopathic vasculitis which affects the large vessels in the body. First described in the 1800s, this rare condition is more commonly found in Asian women in their 40s. Herein, we report the case of a young woman whose exertional angina and claudication were the initial presentation of active Takayasu arteritis. The importance of modern technology of imaging such as CT, MRI and angiography, can often have paramount importance for confirming a diagnosis and the extent of the pathology. Newer modalities of investigation helps in evaluation of vascular involvement and its haemodynamic effects on cardiovascular system. Previously majority of patient had to be diagnosed clinically. Now a days by CT peripheral Angiogram this disease can be diagnosed. Invasive procedure of peripheral Angiogram is troublesome but single IV dye injection can revealed the actual scenario. So it has got important scientific value.Bangladesh Heart Journal 2015; 30(2) : 92-95
    Type of Medium: Online Resource
    ISSN: 2521-3113 , 1024-8714
    URL: Article
    DOI: 10.3329/bhj.v30i2.28834
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
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  • 5
    Online Resource
    Online Resource
    Coarctation of Aorta as Shown in CT Aortogram
    Bangladesh Academy of Sciences ; 2014
    In:  Journal of Medicine Vol. 15, No. 1 ( 2014-08-06), p. 51-54
    Details
    In: Journal of Medicine, Bangladesh Academy of Sciences, Vol. 15, No. 1 ( 2014-08-06), p. 51-54
    Abstract: Coarctation of the aorta is a congenital heart disease where there is constriction of Aorta. Coarctation accounts for 15-20 % of congenital cardiac defects and is more common in males than in females. It occurs in 1 of 10,000 live births. Coarctation of the aorta is a condition for which surgical outcomes are good and children will lead normal and healthy lives without restriction of their activity. They will typically catch up in growth and have normal development following the recovery period of the surgery. Coarctation of the aorta is typically treated by surgery to remove the narrowed segment of the aorta. Typically the surgery is best done when the child is between 18 and 24 months of age. Sometimes coarctation can be corrected by a balloon angioplasty procedure done during cardiac catheterization. A plastic tube will be inserted in the narrowed segment and a balloon in the tube will be inflated to stretch the narrowed segment. Sometimes a mess tube is then inserted (called a stent) to hold the vessel open. Some infants will be very sick, requiring care in the intensive care unit (ICU) prior to the procedure and could possibly even need emergency repair of the coarctation. Others, exhibiting few symptoms, will have the repair scheduled on a less urgent basis. A small device, called a stent, may also be placed in the narrowed area after the balloon dilation to keep the aorta open. Overnight observation in the hospital is generally required.DOI: http://dx.doi.org/10.3329/jom.v15i1.19872 J Medicine 2014; 15: 51-54
    Type of Medium: Online Resource
    ISSN: 2075-5384 , 1997-9797
    URL: Article
    DOI: 10.3329/jom.v15i1.19872
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
    detail.hit.zdb_id: 2549281-0
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  • 6
    Online Resource
    Online Resource
    Electrolytes Status in Different Type of Acute Stroke Patients and Their Correlation with Some Common Clinical Presentation
    Bangladesh Academy of Sciences ; 2012
    In:  Journal of Medicine Vol. 13, No. 2 ( 2012-11-25), p. 133-137
    Details
    In: Journal of Medicine, Bangladesh Academy of Sciences, Vol. 13, No. 2 ( 2012-11-25), p. 133-137
    Abstract: Background: In our country, there are many studies on stroke, its associated conditions and their effect on stroke patients outcome, but a few studies on electrolytes status in stroke patients have been done in our country, even outside. Method: A total number of 100 randomly selected, clinically and CT proven acute stroke patients were studied at medicine units of Dhaka Medical College Hospital. Electrolytes status in different type of acute stroke patients and their association with some common clinical presentation were identified and correlated. Result: Out of 100 patients, 29% were in between 51-60 years age group & 72% were male and 28% were female patients. Majority 53% patients had Ischaemic stroke, 45% Intracerebral haemorrhage (ICH) and only 2% had Subarachnoid haemorrhage (SAH). 53% of total acute stroke patient had dyselectrolytaemia. Among 100 acute stroke patients, 66.66% haemorrhagic stroke and 28.30% ischaemic stroke patients had headache (p 〈 0.05). 70.66% haemorrhagic and 30.23% ischaemic stroke patients had vomiting (p 〈 0.05). 53% of total acute stroke patient had dyselectrolytaemia. Among 100 acute stroke patient 49 (49%) presented with vomiting from which 73.46% had dyselectrolytaemia (p 〈 0.01). 54 (54%) presented with headache from which 74.07% had dyselectrolytaemia (p 〈 0.001). 62.22% of haemorrhagic stroke (p 〈 0.05) & 43.39% of ischaemic stroke (p 〉 0.05) patients had dyselectrolytaemia. Total 36% of all stroke patients had serum sodium imbalance & 31% had serum potassium imbalance. In haemorrhagic stroke & ischaemic stroke patients, hyponatraemia (17% & 13%), hypernatraemia (1% & 3%), hypokalaemia (19% & 11%), hyperkalaemia (0% & 1%), hypochloraemia (9% & 6%) respectively. Conclusion: In haemorrhagic stroke, the incidence of electrolytes imbalance was more than ischaemic stroke and which were mostly hyponatraemia and hypokalaemia. DOI: http://dx.doi.org/10.3329/jom.v13i2.12740 J Medicine 2012; 13 : 133-137
    Type of Medium: Online Resource
    ISSN: 2075-5384 , 1997-9797
    URL: Article
    DOI: 10.3329/jom.v13i2.12740
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2012
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  • 7
    Online Resource
    Online Resource
    Enhanced External Counterpulsation: A New Option for the Cardiac Patients of Bangladesh
    Bangladesh Academy of Sciences ; 2014
    In:  Anwer Khan Modern Medical College Journal Vol. 5, No. 1 ( 2014-05-07), p. 39-41
    Details
    In: Anwer Khan Modern Medical College Journal, Bangladesh Academy of Sciences, Vol. 5, No. 1 ( 2014-05-07), p. 39-41
    Abstract: Abstract not available DOI: http://dx.doi.org/10.3329/akmmcj.v5i1.18840 Anwer Khan Modern Medical College Journal Vol. 5, No. 1: January 2014, Pages 39-41
    Type of Medium: Online Resource
    ISSN: 2304-5701 , 2221-836X
    URL: Article
    DOI: 10.3329/akmmcj.v5i1.18840
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2014
    detail.hit.zdb_id: 2701650-X
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  • 8
    Online Resource
    Online Resource
    A Case of Complicated Acute Type B Aortic Dissection
    Bangladesh Academy of Sciences ; 2015
    In:  Anwer Khan Modern Medical College Journal Vol. 6, No. 1 ( 2015-09-14), p. 46-49
    Details
    In: Anwer Khan Modern Medical College Journal, Bangladesh Academy of Sciences, Vol. 6, No. 1 ( 2015-09-14), p. 46-49
    Abstract: A 65 year lady with chest and back pain was referred to our hospital with suspected case of acute coronary syndrome. A computed tomography (CT) aortic angiogram showed dissection of abdominal and thoracic aorta. Patient was initially treated by drugs for controlling heart rate and blood pressure with analgesics but due to progression of disease and involvement of left subclavian artery ostium referred for surgical intervention. She underwent left carotid-subclavian bypass and TEVAR (Thoracic endovascular aortic repair) with good outcome. The present case is a good demonstration revealing that in absence of clinical suspicion and diagnostic imaging, acute aortic dissection represents a diagnostic dilemma which requires immediate action.Anwer Khan Modern Medical College Journal Vol. 6, No. 1: January 2015, Pages 46-49
    Type of Medium: Online Resource
    ISSN: 2304-5701 , 2221-836X
    URL: Article
    DOI: 10.3329/akmmcj.v6i1.24986
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2015
    detail.hit.zdb_id: 2701650-X
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  • 9
    Online Resource
    Online Resource
    Clinical Response of Enhanced External Counter Pulsation (EECP) Among Bangladeshi Ischemic Heart Disease Patients
    Bangladesh Academy of Sciences ; 2012
    In:  University Heart Journal Vol. 7, No. 1 ( 2012-03-29), p. 19-22
    Details
    In: University Heart Journal, Bangladesh Academy of Sciences, Vol. 7, No. 1 ( 2012-03-29), p. 19-22
    Abstract: EECP is used to stabilize the coronary circulation in patients with severe coronary artery disease when maximal medical therapy and/or invasive procedures have proven inadequate. This prospective observational study was done for a period of 12 months. 40 patients with angina and angiographically proven coronary artery disease, who met the inclusion and exclusion criteria was enrolled in this study. Among 40 enrolled patients 30 (70%) patients completed their treatment. All the patients were in between 42 to 80 years age group. All patients required sublingual nitrate before started EECP treatment. But after completion of treatment, 75% patient required no nitrates. Who completed full course, 100% were improved their angina symptoms from class II, III, IV to class I. Overall 80% patients improved their quality of life. Those completed full course of treatment 100% patients improved their quality of life. EECP Heart therapy is now world-wide accepted alternative treatment option for those patients, who are not fit for surgery or any kind of interventional procedure and those developed heart failure. DOI: http://dx.doi.org/10.3329/uhj.v7i1.10205 UHJ 2011; 7(1): 19-22
    Type of Medium: Online Resource
    ISSN: 1998-927X , 1998-9261
    URL: Article
    DOI: 10.3329/uhj.v7i1.10205
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2012
    detail.hit.zdb_id: 2493547-5
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  • 10
    Online Resource
    Online Resource
    Comparison of Left Radial Versus Femoral Approaches for Coronary Procedures in Patients with Previous Coronary Artery Bypass Grafts
    Bangladesh Academy of Sciences ; 2019
    In:  Anwer Khan Modern Medical College Journal Vol. 10, No. 1 ( 2019-10-20), p. 11-16
    Details
    In: Anwer Khan Modern Medical College Journal, Bangladesh Academy of Sciences, Vol. 10, No. 1 ( 2019-10-20), p. 11-16
    Abstract: Aims: Radial approach is gaining the momentum as a default technique for coronary procedures. Limited trails are available for post coronary artery bypass graft (CABG) patients to compare the merits of femoral & radial access. Methods: It is a single-center study conducted in between January, 2013 to December, 2015. During this study period, post CABG patients were blindly assigned to its five high volume operators. Coronary angiography & intervention procedures were performed by left radial or femoral approach as per assigned operator's choice. Contrast volume was the primary endpoint whereas the procedure & fluoroscopy time, procedural success, access site major bleeding, pre discharge major adverse cardiac event (MACE) were the secondary endpoint both for coronary angiogram (CAG) & percutaneous coronary intervention (PCI). Results: Total 380 post CABG patients were included in this study period. Radial access (n=155) was lower than femoral access (n=225). Compared with femoral access, diagnostic CAG required relatively lower contrast volume though statistically not significant via radial access (70±34 vs. 72±40 ml, p=0.267). Procedure time (25.2±10.7 vs. 26.9±6.8 min, p=0.735), fluoroscopy time (10.7±5.5 vs. 9.5±4.7 min, p=0.424) were almost similar in both access for CAG. Other secondary clinical endpoints were similar among both groups. Interestingly, adhoc PCI was more frequent in radial group (n=54 out of 155, 34.8%) than in femoral group (n=44 out of 225, 19.6%) with p=0.01. Contrast volume in between two groups was pretty similar with p=0.226. The incidence of other secondary endpoints was also not statistically significant. Conclusion: Coronary angiography for post CABG patients through left radial approach seems to be effective, non-inferior in terms of contrast volume, procedure & fluoroscopy time & other clinical end points comparing to femoral access. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 11-16
    Type of Medium: Online Resource
    ISSN: 2304-5701 , 2221-836X
    URL: Article
    DOI: 10.3329/akmmcj.v10i1.43653
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2019
    detail.hit.zdb_id: 2701650-X
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