Background: There is an association between intrauterine growth retardation (IUGR) and subsequent development of diabetes mellitus, coronary artery disease and hypertension during adult life. With this context, it is vital to give attention about the patterns of body proportion of IUGR babies. The aim of this study was to determine the proportion of asymmetric distribution IUGR in contrast to symmetric distribution among babies with low birth weight (LBW). Methods: This cross-sectional study was conducted in the Department of Pediatrics, Sher-e-Bangla Medical College, Barisal,from January 2012 to June 2012, with a total 114 babies with LBW. All singleton newborns, within 24 hours of birth, having birth weight < 2.5 kg was were included. Weight was plotted in weight for gestation age centile chart. Then Ponderal index (PI) was calculated to determine asymmetric and symmetric IUGR by using the formula. Convenient sampling was used. Data were analyzed with SPSS. P value <0.05 was considered as significant. Results: Out of 114 LBW babies, 79 were IUGR babies. Among 79 IUGR babies, 45.6% were male and 54.4% were female. The mean age of the mothers of the IUGR babies was 24.2 ± 5.6 years. Most of the mothers were in the age group of 16 to 25 years. In this study, most of the IUGR was asymmetric (68.4%) and a majority of the asymmetric IUGR babies were from rural areas. The PI of the asymmetric IUGR was significantly (p =<0.001) lower than the symmetric IUGR. Conclusion: This study highlights that, among the LBW babies most of them were IUGR, the large population of IUGR babies were of asymmetric patterns. This group of patients carries immense importance to keep an eye on the risk of fetal origin of adult diseases. BIRDEM Med J 2022; 12(3): 177-181
Introduction: In developing countries like Bangladesh, post-infectious glomerulonephritis (PIGN) is the common form ofacute glomerulonephritis having its changing pattern over recent decades. The aim of the study was to analyze the clinicalprofile of PIGN in local scenario. Materials and Methods: This cross-sectional study was conducted at Shaheed Sheikh AbuNaser Specialized Hospital, Khulna during period from 2017 to 2019. A total of 67 cases of PIGN were identified on thebasis of clinical features, laboratory parameters with recent history of infection. The patients’ records were reviewed withrespect to clinical data. Patients with reduced complement level were included. Result: The age range of the patients wasbetween 2 and 55 years with male predominance. The study revealed that 32.8% of patients had a recent history of sorethroat, 31.3 % of patients had a history of skin infection and rest 35% had a history of fever. Moreover, during presentation68% of patients had hypertension and 37 % of patient had renal impairment. In this study, majority of patients (53%)presented with one plus to two plus proteinuria and the rest of the patients (37%) presented with three plus proteinuria ondipstick. After 2 weeks of follow up, the presence of hematuria found in 58 patients out of 67, proteinuria found in 14patients out of 61 and renal impairment found in 5 patients out of 25. Conclusion: PIGN has been changing with respect toage, proteinuria and renal function. To follow-up periodically and reduction in overcrowding of the patients, would be oneof the superior suggestions to reduce the spread of infectious diseases in our country. Medicine Today 2020 Vol.32(2): 130-133
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