Background and aims: Vitamin D deficiency is associated with skeletal as well as extraskeletal diseases. Aim of this study was to find out the status of Vitamin D level in a densely populated area like Dhaka. Method: This descriptive cross sectional study was conducted in Ibn Sina Medical College Hospital in Kallyanpur, Dhanmondi Ibn Sina Hospital and Ibn Dina Diagnostic Laboratory in Dhanmondi. Total 500 subjects who went for vitamin D assay were included in this study. Serum Vitamin D (25 - Hydroxyvitamin D) levels were measured by chemiluminescence immunoassay method. The respondents were divided in 4 age groups: ( 0-20) years, (21-40) years, (41-60) years and (61-rest) years. Data were presented by frequency distribution tables & graphs. Result: Out of the 500 respondents, 10.6% were in 0-20 age group, 30.8% were in 21-40 age group, 41.2% were in 41-60 age group and 17.4% were in 61-rest age group respectively. Mean age of total study subjects was 43.7 years. Male and female ratio was 33.2:66.8. Of the total 218(43.8%) participants had deficient level, 187(37.2%) had insufficient level, 90(18%) had sufficient level and only 5(1%) had toxic level of vitamin D. Conclusion: High prevalence of vitamin D deficiency was observed in 41 to 60 years age group people and female are more suffered than male. That’s why vitamin D status screening in this age group should be a routine test. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.624-627

Abstract:Background: Unani Medicine had its golden past in the middle age. Allopathic medicine evolved with simultaneous exploration of modern scientific development. Discovery of chemicals and antibiotics to deal infectious disease led foundation of epitome of modern medicine. There is however growing tendency among people to show their to depend on plant source and time old preparations. It is estimated that about 80 percent of population of the Asia and African countries uses herbal medicine for health care. This scenario opened the scope and merit to evaluate the preparation(s) which people are still using and the present study tested the usefulness and safety of 'Sarbat Misali' an Unani hematinic preparation in treating anemia. Materials and Methods: A total 31 women of age 24-40 yrs were enrolled in the study following ethical guidelines. The volunteers offered the choice and were free to refuse for not being included. Anthropometry recorded and blood sample obtained for biochemical test from the consenting subjects and prescribed with the preparation. Weight recorded and blood samples taken at the baseline end of four weeks. During study period they were in touch for their allegiance to taking the test preparation. Hemoglobin was estimated using autoanalyzer. Serum creatinine and SGPT were determined by standard biochemical method using autoanalyzer. Results: Blood hemoglobin level showed significant increase at the end of the supplementation (12.03±0.82) compared to the baseline level (10.78±1.08) (p<0.001). Serum creatinine and SGOT did not show any statistical difference between before and after supplementation. Conclusion: Data concluded that Sharbat Misali an Unani preparation of hematinics improved hemoglobin level and safety was supported by the fact of unaltered hepatic and renal functional status, however, to conclusively comment on adverse and toxic effect(s) chronic study needs to be undertaken with attention of inclusion of exhaustive biochemical markers.

DOI: http://dx.doi.org/10.3329/bjmb.v4i1.13779 Bangladesh J Med Biochem 2011; 4(1): 27-31

Background: The importance of learning environment in teaching institution is increasingly being appreciated in terms of its effect on learning and outcome. Objective: The objective of this study was to explore students’ perception of learning environment for identifying measures to improve it of a private medical college, Bangladesh. Method: Two phase cross-sectional study combining quantitative and qualitative components was conducted among the students of a private medical college. In Phase I part the Dundee Ready Education Environment Measure (DREEM) inventory was used to obtain data for base line quantitative information on a total of 204 medical and final professional examinee students. Purposive sampling method was employed in this phase and the Item that scored >3 was categorised as highest and < 2 was categorised as lowest scored item. In Phase II part the highest and lowest score items were explored further by qualitative method of focus group discussions among teachers and students on two separate occasions. For focus group discussion a combination of 10 (clinical and preclinical) teachers and 10 students (2x5 =10) except the examinee batch were selected by convenience sampling method. The purpose and method of the focus group was clearly stated to the participants and a consent form was signed by one participant on behalf of the respective group. Results: The response rate was 100% in Phase I part of the study with a perceived global DREEM mean score was 120/200 (22.984) which indicated students’ positive perception towards the learning environment of ISMC. The global score for year 1, 2, 3, 4, 5 and examinee students were 133/200 (12.959); 134/200 (15.678); 127/200 (9.895); 112/200 (17.205); 67/200 (22.623) and 14/200 (22.984) respectively. The 1st year and 2nd year had highest global score whereas 5th year students had lowest score. The perceived Domains mean scores for Students Perception of Learning (SPoL) was 29.35/48 (8.189); Students Perception of Teacher (SPoT) 27.24/44 (5.195); Students Academic Self Perception (SASP) 18.69/32 (6.726); Students Perception of Atmosphere (SPoA) 28.09/48 (6.844) and Students Social Self Perception (SSSP) 14.65/28 (2.952) which indicated students’ positive perception in all five Domains of DREEM as well. Out of 50 items three scored >3 and 7 items scored <2 which were explored further by focus group discussions among teachers and students to know the underlying causes for such scores. many similar issues were identified by both the groups in focus group discussion. Conclusion: The combination of a quantitative and qualitative method revealed students’ positive perception and the strong and weak areas of the learning environment of ISMC. The findings were used in recommending remedial measure for creating an encouraging learning environment of ISMC which is one the main ingredient for effective learning.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.234-242

Background: Dyslipidemia is linked to the risk for coronary ischemic and cardiovascular disease. Considering the absence of national reference level for lipids in Bangladesh the present study was undertaken to look into the pattern of lipid levels among patients seeking laboratory services in a private medical college hospital.Materials and Methods: This cross sectional study was carried out in Ibn Sina Medical College Hospital in Dhaka city. Patients with antilipid and other medication which might affect the outcome were excluded. Consenting and eligible subjects seeking laboratory services were included in the study. Total 970 subjects finally entered in the study. Total cholesterol [TC], triglyceride and HDL-cholesterol [HDL-c] were measured by enzymatic colorimetric method. LDL-cholesterol [LDL-c] was derived using Friedewald equation. Data were expressed mean±SD, number (percent) as appropriate. Statistical analyses were carried out using SPSS version 17 tool. A p value <0.05 was taken as level of significance.Results: Male female ratio of the total subjects was 53.9:46.1. Of the total participants 27.1% were between 41-50 age group and 71% were between 31-60 years. Mean (SD) triglyceride, total cholesterol, HDL-c and LDL-c level for all participants was 182±134, 194±44, 38.4±11.5 and 119±37 respectively. Mean value of HDL-c for all subjects was 38.4mg/dl where as it’s cutoff value is 40 mg/dl and 50 mg/dl for male and female respectively suggesting relatively large number of subjects had HDL-c dyslipidemia of the study subjects. Percent subjects with isolated abnormal lipid component were 51%, 41%, 73.2% and 33.3% for triglyceride, total cholesterol, HDL-c and LDL-c respectively. Of the total subjects 22% had abnormal level of lipid for all four components.Conclusions: The data showed pattern of lipid levels of the subjects seeking laboratory services of a tertiary care hospital which might be taken a trend in the Bangladeshi population. Dyslipidemia appeared to be relatively high among the subjects studied of which HDL-c dyslipidemia was more prominent.Bangladesh Journal of Medical Science Vol.16(3) 2017 p.375-379

Abstract:Background: Coronary artery disease (CAD) is the most common cause of mortality & morbidity in all over the world. Reperfusion therapy is the cornerstone for treating acute STsegment elevation myocardial infarction. Effective reperfusion in STEMI can be achieved by either fibrinolysis or primary percutaneous coronary intervention (PPCI). PPCI generally produces better outcomes than fibrinolysis but is not widely available. ST-segment abnormalities play a fundamental role in assessment and decision making for patients with STEMI. Methods: This quasi-experimental study was conducted in the Department of Cardiology, National Heart Foundation Hospital and Research Institute. Group I underwent primary PCI and group II received fibrinolytic therapy as reperfusion therapy for acute STEMI. Results: The mean ST-segment resolutions were significantly more in group I than group II at 60 minutes (63.54±20.98 vs 33.97±15.88%, p<0.001) and at 90 minutes (73.15±18.76 vs 60.06 ±23.33%, p<0.015). However, the difference is not significant at 180 minutes after procedure (74.48±18.09 vs 65.33±21.20%, p=0.064). In our study we observed that significantly higher number of patients of group II developed acute LVF (33.3% vs 6.1%, p=0.005) and cardiogenic shock (18.2% vs 3.0%, p=0.046) than group I and Rescue PCI was needed in 5 (15.2%% vs 0%, p=0.020) patients of group II than group I. Conclusion: ST-segment resolution occurs earlier and more completely after Primary percutaneous coronary intervention than fibrinolysis (with Streptokinase) with better in hospital outcome in patients with acute STEMI.

Abstract

Purpose – The purpose of this study is to examine the economic impact of COVID-19 and analyse how the corporate social responsibility (CSR) initiatives of Islami banks (IBs) can contribute to reducing the adverse economic impact in the context of Bangladesh. Design/Methodology/approach: Currently eight full-fledged IBs are functioning in Bangladesh adhering to the underlying principles of Shariah; among them, seven are actively engaged in CSR activities to help the underprivileged segments of its citizens. This study, through employing a content analysis method examined the information available from these IBs as well as other government sources and published materials to address the COVID-19 economic impacts, specially the role of these IBs. Findings: This study finds that along the line with national and international funds, IBs’ CSR funds can also help address the economic downturn in Bangladesh caused by the COVID-19 pandemic. The study further identified that if IBs develop a consortium among themselves, the CSR funds can be better utilised for the socio-economic development of Bangladesh. Research limitations/implications: The scope of this study is somehow limited, as it has only considered the impact of CSR funds by IBs in Bangladesh. Further research can be conducted in future considering the total CSR funds by all banks, i.e., conventional and Islamic banks. Practical implications: This study demonstrated that IBs spend USD 83.30 million annually, which means USD 417 in five years period. Based on the recommendations of this study, all IBs may work together to develop a joint CSR strategy for the socio-economic development of Bangladesh. Considering Bangladesh’s poverty level, such a joint CSR strategy would be helpful for the vulnerable population of the country. Originality/value: This study is unique in the sense that it seeks to address the economic challenges of COVID-19 in the context of Bangladesh with support from the CSR initiatives of IBs. This study has created a new insight for IBs into developing an integrated CSR strategy, which is expected to bring significant contributions to the livelihood of the susceptible citizens of this country. Bangladesh Journal of Medical Science Vol. 22 No. 01 January’23 Page : 154-162