GAJRC |Volume-5-Issue-03

Global Academic Journal of Medical Sciences

Volume-5-Issue-03

May 13, 2023

Reviewing the Side-Effects of Cosmetics on Skin and Overall Health

Styliani Bertaki, Koralia Papakitsou, Dr. Evangelos Papakitsos
Glob Acad J Med Sci, 2023; 5(3): 126-134
DOI : 10.36348/gajms.2023.v05i03.001

May 18, 2023

Peritoneal Pseudomyxoma Secondary to a Mucinous Tumor of the Ovary: About a Case

Ali Said Samah, Handa Acila, Errami AA, Oubaha S, Samlani Z, Krati K
Glob Acad J Med Sci, 2023; 5(3): 135-137
DOI : 10.36348/gajms.2023.v05i03.002

May 24, 2023

Quality of Life in Children with Minimal Change Nephrotic Syndrome

Tanzina Parveen, Tasmina Parveen, Nandalal Sutradhar
Glob Acad J Med Sci, 2023; 5(3): 138-143
DOI : 10.36348/gajms.2023.v05i03.003

Introduction: Nephrotic syndrome (NS) in children is a common, yet challenging, relapsing, and remitting renal disorder and exhibits a heterogeneous clinical phenotype ranging from a single episode, infrequently relapsing, frequently relapsing to steroid-resistant disease. Although 80% of these children are corticosteroid responsive, nearly half of them demonstrate a frequently relapsing or steroid-dependent course, often resulting in multiple complications, hospitalizations, or even chronic renal failure. Objective: To assess the quality of life in patients with minimal change nephrotic syndrome. Methods: This cross-sectional, comparative, questionnaire-based study was conducted in Dhaka Shishu Hospital, Dhaka, Bangladesh July to December 2022. The cases included children with MCD, attending the pediatric nephrology unit and outpatient clinic of nephrology unit. 100 children were selected then they were randomly subdivided into 2 groups, group 1 included 50 known cases of MCD aged 2–18 years and group 2 included 50 age matched children attending the general pediatric outpatient clinic and other pediatric subspecialty clinics. We distributed two questionnaires to 32 outpatients with MCNS. We also used the Self-Care Behavior Scale for patients with chronic kidney disease (CKD), which consists of 31 questions with 4 subscales. Results: Total of one hundred studied nephrotic patients with MCD and an equal number of controls with other chronic diseases aged 2.2–15 year and 3.5–13 years, respectively, were included in the study. Table 1 illustrated the demographic details of the studied cases and controls. Among children with MCD, 32% had first attack or infrequently relapsing variant while 68% had difficult to treat clinical phenotypes (frequently relapsing, steroid– dependent and steroid-resistant varieties). The SF-36v2 social functioning subscale was most impaired and bodily pain was least affected in patients with MCNS. The self-care subscales of information/communication and positive behavior had positive correlations with the QOL subscales of mental health (𝑃 < 0.05) and vitality (p<0.05). The correlation between social functioning and information/communication was close to significant (𝑃 = 0.051). Conclusion: In conclusion, our findings suggest that patients with MCNS have lower QOL based on low social functioning and that QOL is related to the positive behavior and thoughts of the patients. These results also show that healthcare professionals should be conscious of the QOL of children with MCNS.

May 30, 2023

Histomorphological Study of Skin Lesions in a Specialized Tertiary Care Hospital: A Descriptive Study

Dr. Mashud Parvez, Dr. Rukon Uddin, Dr. Salahuddin Mahmud
Glob Acad J Med Sci, 2023; 5(3): 144-149
DOI : 10.36348/gajms.2023.v05i03.004

Introduction: The skin is the largest organ of the integumentary system in human. Dermatological lesions are commonly encountered in all countries and it encompasses a wide spectrum, varies from country to country and various regions within a country. Skin diseases are much common in developing countries. The spectrum varies according to geographic distribution, gender, age, and coexisting disorder. We conducted this study to find out the prevalence of different skin lesions and to evaluate their frequency and site of distribution. Aim of the Study: The aim of this study was to find out the prevalence of different skin lesions and to evaluate their frequency and site of distribution. Methods: This was a descriptive study and was conducted in the Department of Histopathology of Bangladesh Specialized Hospital, Dhaka, Bangladesh during the period from January 2019 to December 2021.We included 133 skin biopsies in our study. Result: Among 133 skin biopsies examined, non-infectious vesicobullous and vesicopustular disease were found in 53 (48.18%) cases followed by microbial disease in 20 (18.18%) and non-infectious erythematous papular and squamous disease in 28 (21.05%) cases. Lichen simplex chronicus was the most common vesicobullous disease seen in 08 (15.09%) cases. Dermatophytes were the commonest microbial disease found in 10 (50%) cases. The commonest non- infectious erythematous papular and squamous disease was lichen planus and psoriasis 08 (15.09%) cases. The commonest neoplastic lesion was keratinocytic tumor seen in 13 (56.53%) cases. The commonest tumor of the skin was seborrheic keratosis and squamous cell carcinoma in 13 (56.53 %) cases. Upper extremities were the most frequently involved site by skin lesions. Conclusion: In our study prevalence of lichen simplex chronicus was higher. We observed a wide spectrum of skin lesions ranging from dermatitis to malignant neoplasm. The importance of specific histomorphological features lies in distinguishing various skin lesions and play a major role in making the final diagnosis of these diverse skin lesions. This highlights the role of histopathological examination for the proper management of patient.

June 19, 2023

Clinical and Radiology Finding of Patients with Bilateral Optic Disc Swelling

Dr. Kazi Nasimul Hoque
Glob Acad J Med Sci, 2023; 5(3): 150-155
DOI : 10.36348/gajms.2023.v05i03.005

Introduction: Optic disc swelling (ODS) is a pathological condition with a variety of causes, including optic neuritis (ON), anterior ischemic optic neuropathy, and papilledema. Determining the causes of ODS is critical due to the possibilities of vision-or life-threatening diseases, such as space-occupying lesions. Objective: To assess the clinical and radiology finding of Patients with Bilateral Optic Disc Swelling. Methods: This cross sectional study was conducted in the Department of Ophthalmology, Ad-din Akij Medical College Hospital, Khulna, Bangladesh from January to June 2019. One hundred patients with bilateral disc swelling were selected as study population where bilateral disc swelling due to congenital disc anomaly, pseudo disc edema or need emergency medical care had been purposively excluded from the study. All patients were subjected to detailed ophthalmic examination, including visual acuity (VA), red saturation, bright sensitivity, color vision, and detailed slit lamp examination. All the information’s were recorded in a pre-designed data collection sheet. Results: Total 100 patients included in our study. Most commonly affected age group was between 21-30 years in which 32% case are observed, least common affected age group was 51-60 yr. in which 6% cases are observed. Male patients were 33% and female were 67%. The patients by presenting complaints were headache 71.0% followed by dimness of vision 63.0%. Nausea/ vomiting were present in 42.0% patients and ocular pain had 21 (21.0%) patients. Few (5.0%) had transient loss of vision. Among the patients who had IIH 34 (34%), ICSOL were 25(25%) and grade 4 Hypertensive retinopathy 9% respectively. Among the patients who had bilateral optic neuritis and VKH majority of them 13% and 13% respectively. In right eye, 44 (44.0%) had Visual acuity >0.3 while in left eye, 40 (40.0%) had Visual acuity >0.3. One third had (33.0%) sluggish pupillary response in both eye. Majority of the patients (right: 67.0%, left: 64.0%) had only disc swelling. Seventy-three patients (73.0%) did not have any ocular manifestation other than optic disc swelling while 14 (14.0%) had diplopia, 12 (12.0%) had uveitis and 1 (1.0%) had ptosis. Out of 100 patients, 70 patients (70.0%) did not have any space occupying lesion while 9 (9.0%) had meningioma and 6 (6.0%) had Cerebellopontine (CP) angle tumor. Conclusions: Among them headache is the most common presenting complaint and IIH is the most common clinical diagnosis.

June 23, 2023

Comparison of Sevoflurane and Halothane Anesthesia Cognitive Function in Adult

Dr. Md. Abdullah-Hel-Baki, Dr. Kawser Ahmed, Dr. Rizowana Akter, Dr Nirmal Kumar Barman, Dr. Md. Monwar Hossein, Dr. Ashutosh Dev Sharma, Dr. Shiladitya Shil
Glob Acad J Med Sci, 2023; 5(3): 156-161
DOI : 10.36348/gajms.2023.v05i03.006

Background: Patients reach their full cognitive and psychomotor potential during the intermediate period of recovery. We still utilize Halothane, which has a delayed recovery profile, despite the fact that rapid clearance drugs like Sevoflurane have a positive impact on early cognitive recovery, which permits early mobility and reduces post-surgical complications. Objective: The study's goal was to promote the use of sevoflurane over halothane by contrasting the two anesthetics' effects on patients' cognitive functioning after surgery. Method: The prospective randomized comparative study was carried out in the Department of Anaesthesia, Analgesia and Intensive Care Medicine, between the period of September 2021 to June 2022. Study population was the patients of either sex, aged between18-50 years, ASA-I and II, patients undergoing elective surgery by general anaesthesia, lasting for 1 hour or more and remaining 24 hours after surgery. A total number of 100 patients were divided into two groups. 50 patients were in Sevoflurane group and 50 in Halothane group. Results: Group- Sevoflurane had a considerably faster emergence time (10.85 min vs. 15.13 min, P0.001) than Group- Halothane. Group- Sevoflurane had a mean BAMSE score of 29 at baseline and showed no change by the conclusion of the observation period, but Group- Halothane saw their scores both drop and then recover. Patients in Group- Sevoflurane finished the (TMT-A) 30 minutes after regaining consciousness in a considerably shorter amount of time (40. 9 seconds vs. 55. 8 seconds, P 0.001). Furthermore, there was no statistically significant difference between the groups after 1.5 hours, 2.5 hours, or 3.5 hours. Conclusion: So the study concludes that adult patient of sevoflurane group experienced an early post-operative cognitive recovery than halothane group. Though sevoflurane is costly, considering the benefits of patients in terms of early cognitive recovery that causes less postoperative complications and shorter hospital stay, sevoflurane should be used instead of halothane.

June 23, 2023

Pattern of Congenital Heart Diseases among Less than 5 Years Old Children of Bangladesh-An Observational Study from a Pediatric Cardiac Center

Lt Col Mir Hasan Md. Moslem, Brig Gen (Rtd) Prof Nurunnahar Fatema Begum, Col Ferdousur Rahman Sarker, Lt Col Nazmul Islam Bhuiya, Lt Col Ashfaque Ahmed khan, Lt Col Biplob Kumar Raha, Maj Mahfuja Akt
Glob Acad J Med Sci, 2023; 5(3): 162-168
DOI : 10.36348/gajms.2023.v05i03.007

June 26, 2023

Maxillary Overdenture Implant Survival Rate and Prosthetic Complications: An Observational Study

Khan, A. A. M, Zahan, N. P
Glob Acad J Med Sci, 2023; 5(3): 169-175
DOI : 10.36348/gajms.2023.v05i03.008

Top Editors

Dr Akhtar Ali
Associate Editorial Board
MBBS, MD (Pharmacology) Senior Medical Officer District Hospital Baran, District- Baran (Rajasthan) 325205, India Email: drakhtar06@gmail.com

Dr Hozifa Mohammed Ali
Associate Editorial Board
Teaching Assistant, Department of Surgery, Alzaeim Al azhari University, Khartoum, Sudan Email: hozifa.m.ali@gmail.com

Dr. Tej Nath Nepal
Associate Editorial Board
Chie Medical Officer, Gedu Hospital, Ministry of Health, Royal Government of Bhutan Email: tnnepal@health.gov.bt

Dr. M. Shabnum
Associate Editorial Board
Assistant Professor, Department of Microbiology, Narayana Medical College, Nellore-524003, Andhra Pradesh, India Email: shabnummusaddiq@gmail.com

Dr Anslem Ajugwo
Associate Editorial Board
Department of Medical Laboratory Science, Madonna University Nigeria E-mail:slemjugwo@yahoo.com

Dr. Devika Singh
Associate Editorial Board
Senior Resident, Department of Dentistry, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India Email: devsika@yahoo.co.in

Dr. Nkporbu A.K. (AmbP)
Associate Editorial Board
Consultant Neuropsychiatrist/Mental Health Physician, Dept. of Neuropsychiatry/Mental Health, University of Port Harcourt Teaching Hospital, Nigeria Email: nakpigi2008@yahoo.com

Dr. Serkan Yazici
Associate Editorial Board
Dermatology and Venereology, Uludag University School of Medicine, Özlüce, Görükle Kampüsü, 16059 Nilüfer/Bursa, Turkey Email: serkanyazici@uludag.edu.tr

Dr. Anil Gowtham Manivannan
Executive Editor
Consultant Orthopaedic Surgeon, Arathana Hospital, Pollachi, Tamil Nadu, India Email: anilthambu91@yahoo.com

Tariq Dhiyab Al-Saadi
Deputy Chief-Editor
Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital- McGill University, Montreal, Canada Email: t.dhiyab@hotmail.com

Mohammed Ahamed Ahamed Abuelnour
Editor-in-Chief
Assistant Professor of Anatomy, College of Medicine, Dar-Al Uloom University, Kingdom of Saudi Arabia (KSA) Email: abuelnour88@yahoo.com

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