GAJRC |Volume-3-Issue-02

Global Academic Journal of Medical Sciences

Volume-3-Issue-02

April 8, 2021

Neonatal Management and Outcome in Teenage Pregnancy of Caesarean Delivery-A Study in Rajshahi Medical College Hospital, Rajshahi, Bangladesh

Homaira Shahreen (Simi), Mst. Aleya Khatun, Nurun Nahar, Zahirun Nessa, Naireen Sultana, Jubaida Sultana, Farhana Jaya Chowdhury
Glob Acad J Med Sci, 2021; 3(2): 22-25
DOI : 10.36348/gajms.2021.v03i02.001

April 21, 2021

“Bacteriological Profile and Antimicrobial Sensitivity Pattern of Neonatal Sepsis”

Md. Mahmuder Rahman, Syeda Nafisa Islam, Md. Belal Uddin, Sayeda Sunzida Sultana
Glob Acad J Med Sci, 2021; 3(2): 26-32
DOI : 10.36348/gajms.2021.v03i02.002

April 22, 2021

“Effectiveness of Magnesium Sulphate in Term Neonate with Perinatal Asphyxia: A Study in Faridpur Medical College Hospital, Faridpur, Bangladesh”

Md. Mahmuder Rahman, Syeda Nafisa Islam, Md. Abdul Baset
Glob Acad J Med Sci, 2021; 3(2): 33-37
DOI : 10.36348/gajms.2021.v03i02.003

Introduction: Perinatal asphyxia (PA) or neonatal hypoxic ischemic encephalalopathy (HIE) is an insult to the foetus due to temporary interruption of oxygen availability to various organs. It is one of the leading causes of neonatal death and major attribute to neuromotar disability. Objective: To determine effectiveness of Magnesium Sulphate infusion in full term neonate suffering from moderate and severe perinatal asphyxia. Methods: The present study was conducted in the Dept. of Pediatrics, Faridpur Medical College Hospital, Faridpur, Bangladesh from January 2020 to December 2020. The study was approved by the hospital ethics committee beforehand. All full term neonates admitted within 6 hour of birth with moderate or severe perinatal asphyxia were included in study. Full term neonates with perinatal asphyxia were selected and classified according to criteria laid by Sarnat and Sarnat. After recording baseline characteristics they were randomly assigned to receive either 3 doses of magnesium sulfate infusion at 250 mg/kg/dose 24 hours apart (treatment group) or 3 doses of normal saline infusion at 1 ml/kg/dose 24 hours apart (placebo group). Neurological assessment was performed at time of admission and at fourteenth day. Distributions of perinatal factors, neonatal baseline characteristics, and mean time for initial infusions were noted in pre designed proforma and analyzed statistically. Results: Distribution of neonatal baseline characteristics and severity of hypoxic- ischemic encephalopathy were similar in treatment and placebo groups. In our study, postnatal magnesium sulfate infusion was found neuroprotective in moderate encephalopathy, which was reflected by early control of seizures (p=0.04), early appearance of normal cry (p=0.02), early appearance of normal activity (p=0.02), early acceptance of full oral feed by sucking (p=0.04). Postnatal magnesium sulfate infusion was not found neuroprotective in severe encephalopathy (p=>0.05). No significant differences were observed in the cranial sonography and electroencephalography between treated and placebo groups (p=>0.05). No significant differences were observed in blood pressure, heart rate and respiratory rate between both the groups. Conclusion: Postnatal magnesium sulfate therapy may result in early recovery and favorable neurological outcome in term neonates with moderate encephalopathy.

April 30, 2021

“Outcome of Surgical Management of Unstable Dorso-Lumbar Spine Injuries with Transpedicular Screws and Rods Fixation with Posterior Decompression”

Shohel Mahmud Khan, Md. Rashed Hasan, Mohammad Ata Ullah, Muhammad Abduz Zaher, A. K. Al Miraj, Mohammad Saleh Ahammed
Glob Acad J Med Sci, 2021; 3(2): 38-42
DOI : 10.36348/gajms.2021.v03i02.004

April 30, 2021

Functional Outcomes and Prognosis of Acute Thoracolumbar Junction (TLJ) SpinalInjuries- A Study in Kushtia Medical College & Hospital, Kushtia Bangladesh

Md. Anisur Rahman, Rashed Hasan, Md. Wares Ali, Md. Labid Rahman, A. K. Al Miraj, A. K. M. Latiful Bari, Md. Kawsur Ahmed
Glob Acad J Med Sci, 2021; 3(2): 43-48
DOI : 10.36348/gajms.2021.v03i02.005

April 30, 2021

“Evaluation of External Fixation of Unstable Phalanges Fractures of Hand by JESS (Joshis External Stabilization System) Fixation Technique”

Md. Rashed Hasan, A. K. M. Latiful Bari, Md. Wares Ali, Md. Anisur Rahman, A. K. Al Miraj, Mohammad Khurshed Alam, Md. Arifuzzaman, Gazi Ahsan Ul-Munir
Glob Acad J Med Sci, 2021; 3(2): 49-53
DOI : 10.36348/gajms.2021.v03i02.006

Introduction: Phalangeal fractures either closed or open, are common injuries of the hand. These injuries are encountered every day. These fractures can be treated conservatively or operatively depending on the nature of injuries, fracture pattern, and fracture stability. Various methods are used for this purpose including internal fixation by ‘K’ wires and external fixation by JESS technique. Objective: To find out the Evaluation of External fixation of Unstable Phalanges fractures of hand by JESS (Joshis External Stabilization System) fixation technique. Material and Methods: This study was conducted by the Department of orthopedics at Kushtia Medical College Hospital, Kushtia Bangladesh during the period of two years (January 2018- December 2019). A total of 60 cases of compound and or unstable fractures of metacarpal and phalangeal were included into the study. The stable fractures and hand injuries without fractures were excluded from the study. On the arrival at the hospital, primary resuscitative measures were taken such as recording of vital parameters and rapid systemic evaluation. The wounds were cleaned with dilute hydrogen peroxide, normal saline and Betadine and covered with sterile dressings. Suitable splints were placed onto the hand. Detailed radiological study was carried out and systemic, clinical examination was made and charted. The patients were divided into two groups, Group I who were treated with internal fixation and Group 2 were treated with JESS fixation. Results: Out of the total 60 cases, internal fixation was done in about 44 cases and JESS being performed on 26 patients. Transverse and comminuted were the most common type of fractures, together accounting for about 50% of the cases. The outcome of the treatment was excellent in 50% of the cases among those who were treated with JESS, while less than 40% had excellent outcomes and many had poor outcomes among the patients treated by internal fixation. Conclusion: In the compound fractures, the use of JESS method would be more useful in the repair of hand fractures.

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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