Background: Recently Eczema is one of the important causes of public health problem in diabetic patients. Objective: In this study our main goal is to evaluate the prevalence of eczema in outdoor diabetic patients. Method: This descriptive cross-sectional study was conducted among the diabetic patients in the department of Dermatology (Outpatient department) of Bangladesh. The population of the study was the diabetic patients of all ages of different occupations. Among all the patients with skin disease only the eczema infected patients were selected. A total of 100 diabetic patients infected with eczema were selected purposively. Results: During the study, most of the patients belongs to 41-50 years age group, 46% and 46% were male. Majority (45%) respondents had eczema in hand, 35% had it in legs and 15% in finger. Some other organs (5%) were also affected. Out of 100 respondents majority (55%) did not control diabetes, 10% controlled strictly and 35% just controlled it. It means that majority of eczema cases were in respondents with uncontrolled diabetes mellitus. Conclusion: Skin disorders like the type of eczema are very common, particularly in the case of type 2 diabetes patients. Further study is needed for better outcome.
Background: Stroke is an important health issue for individuals and society. Early identification of risk factors of stroke patients helps take measures to prevent the development of further stroke. C-reactive protein is a marker of acute infection as well as acute inflammation. A high level of CRP may be associated with poor outcomes because they reflect either an inflammatory reaction or tissue damage (den Hertog HM et al., 2009). Increase in inflammatory parameters correlated significantly with lesion volume and stroke severity (Audebert HJ et al., 2004). Aim of the study: To see the Correlation between CRP level and stroke volume. And to see the CRP level as a prognostic marker in 3 months follow-ups in ischemic stroke. Methods: This was a descriptive cross-sectional study undertaken in the neurology department of a medical college hospital in Bangladesh. A total of 130 patients were included in the study group who met the inclusion and exclusion criteria. Out of 130 patients, 63 were ischemic strokes and 67 were hemorrhagic strokes. Results: In our study, the estimated level of mean CRP level in acute haemorrhagic stroke was 8.6 mg/L. and in acute ischemic stroke was 21.6mg/L. In this study, there was a statistically significant relationship between the size of the infarct and the level of estimated CRP in ischemic stroke. There was no correlation between CRP level and volume of hemorrhage in hemorrhagic stroke. In this study, the mean CRP value was 19.1 mg/L in those patients who were alive and 28.4 mg/L in those patients who died of ischemic stroke. The difference between the two groups was not statistically significant (p-value 0.30) though the mean CRP in patients who died were much higher than in those who were alive. Conclusion: In conclusion, we believe that these data support two main conclusions. First, the elevation of CRP is common in ischemic stroke. Second, advanced CRP levels were associated with larger infarct size in cases with acute ischemic stroke. These results suggest that elevated CRP levels, reflecting a large infarct size, may serve as a helpful serologic marker in the evaluation of inflexibility of acute ischemic stroke.
Objective: To evaluate Dengue fever outbreak in pediatric age group. Methods: This experimental study was conducted at tertiary medical college and hospital, Dhaka from January 2019 to December 2019, where a total of 100 children were selected consecutively based on clinical features mentioned in National Guidelines for Clinical Management of Dengue Syndrome, Bangladesh 2018. Result: During the study, where most of the patients belong to lower economic status, 60% patients had rash with itching on their body, 9% had low WBC count, 30% of patients had platelet count 51- 100*10^9/L and 24% with 21-50*10^9/L. Conclusion: From our result, we can conclude that, most of the children with dengue fever presented with high grade continued fever with vomiting and abdominal pain. More than half of the patients showed bleeding manifestation even with negative tourniquet test. Further study is needed for better outcome.
Background: Thalassemia is the most common heterogeneous group of genetic disorders in which the production of normal hemoglobin (Hb) is partly or completely suppressed because of defective synthesis of one or more globin chains that vary widely in severity from asymptomatic forms to severe or even fatal entities. Aim of this study is to compare of various lipid levels in patients with b-thalassemia major with that of normal individuals. Methods: In this cross sectional study, 30 children (case) previously diagnosed as beta thalassemia major were evaluated for serum lipid levels who were admitted at the Department of Pediatrics in DMCH & Thalassemia center of Dhaka Shishu Hospital from January 2012 to December 2012. The control group included 30 ages & sex matched healthy participants. Serum lipids profiles (total cholesterol, triglycerides, LDL cholesterol, and HDL cholesterol) as well as hemoglobin, MCV, MCH & MCHC were compared between the two groups. P value < 0.05 was considered statistically significant. Serum total cholesterol (TC), Triglycerides (TG) and HDL cholesterol concentrations were measured by using Photoelectric Colorimeter (ERMA INC, model no AE-30F, made in Japan) in clinical biochemistry department of Dhaka Medical College. Results: Hematological tests showed the mean haemoglobin level in thalassemia group was 7.23 gm/dl with standard deviation of 1.23 whereas in control group the mean haemoglobin level was 10.37 gm/dl with standard deviation of 1.22. There was significant differences between two groups (p=.001). Mean MCV, MCH and MCHC in thaiassemic group were significantly lower [69.83 fl (SD 8.34), 23.10 pgm (SD 3.57) and 28.03% (SD-2.58)] than those in their control counterpart [8323 fl (SD 4.97), 29.23 pgm (SD 2.43) and 31.20% (SD-1.83)] respectively (p = 0.001 in all parameters). Beta thalassemia major patients had significantly lower high-density lipoprotein (HDL) and low-density lipoprotein (LDL) compare with controls (p<0.001). ......
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