SPADI Shoulder pain a b s t r a c tObjective: The literature is inconsistent regarding the level of pain and disability in frozen shoulder patients with or without diabetes mellitus. The aim of this study is to evaluate some demographic features of frozen shoulder patients and to look into the disparity of information by comparing the level of pain and disability due to frozen shoulder between diabetic and non-diabetic people.Design: This is a prospective comparative study. People with frozen shoulder attending an outpatient department were selected by consecutive sampling. Disability levels were assessed by the Shoulder Pain & Disability Index (SPADI). Means of pain and disability scores were compared using unpaired t-test.Results: Among 140 persons with shoulder pain 99 (71.4%) had frozen shoulder. From the participating 40 frozen shoulder patients, 26 (65%) were males and 14 (35%) were females.Seventeen participants (42.5%) were diabetic, two (5%) had impaired glucose tolerance and 21 (52.5%) patients were non-diabetic. Mean disability scores (SPADI) were 51 ± 15.5 in diabetic and 57 ± 16 in non-diabetic persons. The differences in pain and disability level were not statistically significance (respectively, p ¼ 0.24 and p ¼ 0.13 at 95% confidence interval).Conclusions: No difference was found in level of pain and disability level between frozen shoulder patients with and without diabetes.
Background : Decrease plasma High Density Lipoprotein Cholesterol (HDL-C) and increase triglyceride are major dyslipidemia in our country due to effects of carbohydrate rich diet. The relationship of low level of HDL -C in patient's of AMI and its extents of severity in coronary artery disease will be very important for future management as well as prevention of Coronary Artery Disease (CAD). Objective : The aim of this study is to assess the level of serum HDL-C in AMI patient and to assess whether low serum HDL-C level is an independent risk factor for acute ST elevation MI. Methods : It is a hospital based cross sectional observational study. 280 patients of acute STEMI who are admitted in coronary care unit selected for study. After estimation of serum lipid profile of these patients their serum level of HDL-C were used to detect the relationship between serum HDL-C and acute ST elevation MI. Results : In our study, among the case group (280 patiens) lipid profile estimation showed that about 64% patients of acute STEMI have low level of serum HDL-C. The other lipid fractions like triglyceride, low density lipoprotein cholesterol as well as total cholesterol were high in about 24%,39% & 44% but normal in 76%, 61% & 56% respectively. Conclusion : There is an independent inverse association of serum HDL-C in patients of acute STEMI and its an important indepedent risk factor.
Background: AD is the most common cause of dementia in elderly which causes economic burden for the affected individual, caregivers and society. The objective of this study was to see demographic characteristics among AD patients and it will provide magnitude of the problem and planning of health programme for prevention of disease. Methods: This observational analytical study was carried out in the Neurology ward, OPD and Dementia clinic of BSMMU, Dhaka from May’ 15 to February’ 17. A total of 45 patients were recruited as study population after satisfying all the criteria for enrollment. Results: A total of 27 male and 18 female with mean age of 69.20 ± 11.16 years, constituted as cases. Conclusion: The occurrence of AD found more after the age of 65 years. The present study found that lower educational level is associated with more chance of getting AD. Higher rate of Alzheimer’s disease was found in older man than women. Bangladesh Journal of Neuroscience 2019; Vol. 35 (1): 10-13
Background: The TIMI (Thrombolysis in Myocardial Infarction) risk score is a seven item risk stratification tool derived from trials of patients with Unstable Angina (UA) that has been validated in Emergency Department (ED) patients with potential Acute Coronary Syndromes (ACS). To evaluate frequency, outcome and correlation of the gender variation of in-hospital outcome in patients of unstable angina by TIMI risk score. Materials and methods: This was an observational study of Cardiac Care Unit (CCU) patients with unstable angina. Data included demographics, medical and cardiac history, and components of the TIMI risk score. Investigators followed the hospital course daily. The outcomes were death, Acute Myocardial Infarction (AMI) heart failure and arrhythmia during hospital stay as stratified by TIMI risk score and compared between genders using 2 tests. Data were analyzed by SPSS version-19. Results: In this study 62% patients were male and 38% patients were female. 55.20% female had low TIMI score whereas 16.10% male and 18.40% female had very high TIMI scores. The mortality rate was 0% in low TIMI score but the rate was increased in high TIMI score e.g. 3.30% in male patients and 2.60% in female patients with unstable angina. The rate of occuring MI, Cardiogenic shock, Heart failure is increased respectively from low to high TIMI score. In case of Arrhythmia, 17.70% male and 15.70% female had low TIMI score whereas 25.80% male and 26.30% female had high TIMI score. Conclusion: The TIMI risk score successfully stratifies risk in both males and females with UA at the time of CCU presentation; however, males have worse outcome at low TIMI scores than female. JCMCTA 2018 ; 29 (2) : 35-40
Background: Alzheimer’s disease is a neurodegenerative disease. It is the most common cause of dementia in individuals older than 60 years of age. Age is the most important risk factor for Alzheimer’s disease. It is important to identify modifiable risk factors. One such important modifiable risk factor is Magnesium, a trace element. The objective of the study was to see the association of serum Magnesium concentration with Alzheimer’s disease patients. Method: It was a case control study carried out in neurology department of BSMMU, Dhaka. Total 68 patients were enrolled as study population after satisfying inclusion and exclusion criteria. Among them, 34 were grouped as case and rest 34 were control. Serum Magnesium concentration was detected. Result: Serum Magnesium concentration was significantly lower in AD patients than that of control group [2.04±0.19 mg/dl vs 2.36±0.21 mg/dl. Conclusion: The results of our study revealed an expression that the trace element, Magnesium concentration has an association with Alzheimer’s disease. Bangladesh Journal of Neuroscience 2017; Vol. 33 (2): 70-75
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