Bangabandhu Sheikh Mujib Medical University Journal
The COVID-19 pandemic had substantial effects on education. As a result, online education has gai... more The COVID-19 pandemic had substantial effects on education. As a result, online education has gained popularity among postgraduate medical students. The aim of this study was to explore postgraduate learners’ experiences regarding online classes. This study was carried out in the Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from March 2020 to September 2020. A questionnaire was sent to neonatology and pediatrics allied residents and students of FCPS paediatrics. Qualitative data were collected and using likert scales to assess satisfaction regarding online learning experience. The study included 79 participants. Of them, 71 (89.9%) responded, 12 (16.9%) attended online classes before the COVID-19 situation. Thirty-four (47.9%) residents opined that online classes provided the right amount of theory. Eighteen (25.4%) disagreed that high-quality learning can be accomplished without face-to-face contact. Twenty-four respondents (33.8%) disa...
Journal of pediatrics, perinatology and child health, 2022
Background: Sepsis is one of the leading causes of neonatal mortality worldwide. Shock is usually... more Background: Sepsis is one of the leading causes of neonatal mortality worldwide. Shock is usually accompanied with sepsis. Documentation of presentations and causative organisms is crucial to manage the newborn with septic shock. Objective: The objective of this study was to describe the clinical profile and outcome of newborns with septic shock. Materials and methods: This retrospective study was conducted in the Department of Neonatology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from January 2019 to December 2020. A total of144 neonates with septic shock were included in this study. Hospitalized inborn and out born babies were enrolled. Baseline data of selected neonates were retrieved from the registry book. Time of onset of sepsis, presentation of shock with their management and hospital outcome were collected. Data were analyzed in SPSS version 20. Statistical analysis was performed to establish the relationship between neonatal variables and outcomes with septic shock. Results: Among 1086 admitted newborns, 536 (49.4%) developed sepsis, of which 144 (26.86%) newborns developed septic shock. The mean gestational age and birth weight were 34.32±2.88 wk and 1886.50±744.9g respectively. One hundred and eight newborns were premature and 90.3% developed sepsis at >72 hours of age. Newborns with septic shock were presented with tachycardia (100%), prolonged CRT (98.6%), cold peripheries (75%), low pulse volume (44.4%), and 38.9% newborns had low blood pressure. Culture-positive sepsis was 31.2% cases. One hundred newborns recovered from septic shock within 72 hours (69.4%) and 64.6% of newborns survived after septic shock. The predictors of outcome of mortality were male sex, age of onset of sepsis >72 hours, positive blood culture, mechanical ventilation and DIC. No variables were found significant in binary regression analysis. Conclusion: In this study, 26.86% (144/536) septic neonates developed septic shock in the course of NICU stay. The common presentation of shock in newborns were tachycardia, prolonged CRT, cold peripheries, low pulse volume and mottled skin; the incidence of hypotension was 38.9%. Neonatal death after the onset of septic shock was 35.4%. Early recognition and prompt management can improve the survival of neonates.
Journal of Bangladesh College of Physicians and Surgeons
Introduction: The pandemic novel corona virus (SARS-CoV- 2) infects pregnant women and affects pr... more Introduction: The pandemic novel corona virus (SARS-CoV- 2) infects pregnant women and affects pregnancy outcome. The perinatal outcome of COVID positive pregnancies attended at private hospitals during the last epidemic peak at Dhaka is unknown. The purpose of the study was to evaluate perinatal outcome among COVID positive and COVID negative pregnant women who delivered in the 2 study hospitals at Dhaka during the last epidemic wave. Methods: This retrospective study was conducted in 2 eminent private medical college& hospitals in Dhaka,namely Popular medical college &hospital (PMCH) and Greenlife medical college hospital (GLMC) over a period of 3 months from July 2021 to September 2021. COVID positive and COVID negative pregnant women who delivered in the study hospitals during the study period were included in this study. Outcome variables were COVID related maternal morbidity mortality, rate of caesarean delivery, stillbirth, preterm birth, low birth weight, neonatal COVID-19 p...
Background: Perfusion index (PI) could reflect peripheral flow. Preterm infants with hemodynamica... more Background: Perfusion index (PI) could reflect peripheral flow. Preterm infants with hemodynamically significant patent ductus arteriosus (hsPDA) will have left-to-right shunt across PDA causing less blood flow to the lower legs. Objective: To evaluate pre- and postductal PI differences (ΔPI) in hsPDA. Methods: Preterm infants with gestational age <34 weeks were assessed for ΔPI on days 1, 3, and 7 of life with simultaneous echocardiography. Based on echocardiography, each infant was categorized into hsPDA, non-hsPDA, and no PDA. Results: Thirty infants (16 males), median age 31 weeks (interquartile range, IQR, 29-32) and weight 1,490 g (IQR 1,100-1,670) were enrolled. On days 1 and 3 of life, the ΔPI of infants with hsPDA (1.57%, IQR 0.28-2.32, n = 14, and 1.32%, IQR 0.28-1.83, n = 10) were significantly higher than those without hsPDA (0.14%, IQR -0.03 to 0.30, n = 16, and 0.08%, IQR -0.07 to 0.26, n = 20), p = 0.009 and 0.005, respectively. At all time points (days 1, 3, and 7...
International Journal of Current Research and Review
Introduction: Each year, about 15 million babies are born preterm, and 1 million babies die due t... more Introduction: Each year, about 15 million babies are born preterm, and 1 million babies die due to complications of preterm birth. Antenatal corticosteroid is one of the most effective evidence-based interventions that can reduce mortality and morbidity in preterm newborns. Objective: The purpose of this study was to evaluate the effect of antenatal corticosteroids on respiratory morbidities and neurodevelopmental outcomes among preterm neonates. Methodology: This prospective cohort study included admitted premature infant’s ≤ 34 weeks. Infant’s baseline demographics and maternal history of complete ACS exposure or no exposure were evaluated. Development of respiratory morbidities with support was compared between two groups during the neonatal period. After discharge from the NICU, neonates were followed up to assess neurodevelopment at 3rd and 6th months of age using Bayley Scales of Infant Development (BSID-III). Analysis was done to see the relationship with ACS exposure. Result...
Background: Coronavirus disease 2019 (COVID-19) is a global pandemic declared on 11 March 2020 by... more Background: Coronavirus disease 2019 (COVID-19) is a global pandemic declared on 11 March 2020 by World Health Organization (WHO). It is a highly pathogenic viral infection caused by SARS-CoV-2 which has caused global health concern. The emergence of SARS-CoV-2 infection has triggered a global need for accurate diagnostic assays. Detection of viral RNA in clinical specimens is the hallmark of diagnosis. Objectives: The aim of present study was to determine the prevalence of SARS-CoV-2 infection in some districts of North Bengal area of Bangladesh according to age, sex and area distribution. Materials and Methods: This cross sectional descriptive study was carried out in the Department of Laboratory Services, KYAMCH, Enayetpur, Sirajganj, Bangladesh. Real-Time reverse transcription Polymerase chain reaction assay was used for detection of virus. Results: A total of 1760 cases in the month from March to May 2021 were tested, among which 310 (17.6%) cases were detected positive for SAR...
Bangabandhu Sheikh Mujib Medical University Journal
The COVID-19 pandemic had substantial effects on education. As a result, online education has gai... more The COVID-19 pandemic had substantial effects on education. As a result, online education has gained popularity among postgraduate medical students. The aim of this study was to explore postgraduate learners’ experiences regarding online classes. This study was carried out in the Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from March 2020 to September 2020. A questionnaire was sent to neonatology and pediatrics allied residents and students of FCPS paediatrics. Qualitative data were collected and using likert scales to assess satisfaction regarding online learning experience. The study included 79 participants. Of them, 71 (89.9%) responded, 12 (16.9%) attended online classes before the COVID-19 situation. Thirty-four (47.9%) residents opined that online classes provided the right amount of theory. Eighteen (25.4%) disagreed that high-quality learning can be accomplished without face-to-face contact. Twenty-four respondents (33.8%) disa...
Journal of pediatrics, perinatology and child health, 2022
Background: Sepsis is one of the leading causes of neonatal mortality worldwide. Shock is usually... more Background: Sepsis is one of the leading causes of neonatal mortality worldwide. Shock is usually accompanied with sepsis. Documentation of presentations and causative organisms is crucial to manage the newborn with septic shock. Objective: The objective of this study was to describe the clinical profile and outcome of newborns with septic shock. Materials and methods: This retrospective study was conducted in the Department of Neonatology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from January 2019 to December 2020. A total of144 neonates with septic shock were included in this study. Hospitalized inborn and out born babies were enrolled. Baseline data of selected neonates were retrieved from the registry book. Time of onset of sepsis, presentation of shock with their management and hospital outcome were collected. Data were analyzed in SPSS version 20. Statistical analysis was performed to establish the relationship between neonatal variables and outcomes with septic shock. Results: Among 1086 admitted newborns, 536 (49.4%) developed sepsis, of which 144 (26.86%) newborns developed septic shock. The mean gestational age and birth weight were 34.32±2.88 wk and 1886.50±744.9g respectively. One hundred and eight newborns were premature and 90.3% developed sepsis at &gt;72 hours of age. Newborns with septic shock were presented with tachycardia (100%), prolonged CRT (98.6%), cold peripheries (75%), low pulse volume (44.4%), and 38.9% newborns had low blood pressure. Culture-positive sepsis was 31.2% cases. One hundred newborns recovered from septic shock within 72 hours (69.4%) and 64.6% of newborns survived after septic shock. The predictors of outcome of mortality were male sex, age of onset of sepsis &gt;72 hours, positive blood culture, mechanical ventilation and DIC. No variables were found significant in binary regression analysis. Conclusion: In this study, 26.86% (144/536) septic neonates developed septic shock in the course of NICU stay. The common presentation of shock in newborns were tachycardia, prolonged CRT, cold peripheries, low pulse volume and mottled skin; the incidence of hypotension was 38.9%. Neonatal death after the onset of septic shock was 35.4%. Early recognition and prompt management can improve the survival of neonates.
Journal of Bangladesh College of Physicians and Surgeons
Introduction: The pandemic novel corona virus (SARS-CoV- 2) infects pregnant women and affects pr... more Introduction: The pandemic novel corona virus (SARS-CoV- 2) infects pregnant women and affects pregnancy outcome. The perinatal outcome of COVID positive pregnancies attended at private hospitals during the last epidemic peak at Dhaka is unknown. The purpose of the study was to evaluate perinatal outcome among COVID positive and COVID negative pregnant women who delivered in the 2 study hospitals at Dhaka during the last epidemic wave. Methods: This retrospective study was conducted in 2 eminent private medical college& hospitals in Dhaka,namely Popular medical college &hospital (PMCH) and Greenlife medical college hospital (GLMC) over a period of 3 months from July 2021 to September 2021. COVID positive and COVID negative pregnant women who delivered in the study hospitals during the study period were included in this study. Outcome variables were COVID related maternal morbidity mortality, rate of caesarean delivery, stillbirth, preterm birth, low birth weight, neonatal COVID-19 p...
Background: Perfusion index (PI) could reflect peripheral flow. Preterm infants with hemodynamica... more Background: Perfusion index (PI) could reflect peripheral flow. Preterm infants with hemodynamically significant patent ductus arteriosus (hsPDA) will have left-to-right shunt across PDA causing less blood flow to the lower legs. Objective: To evaluate pre- and postductal PI differences (ΔPI) in hsPDA. Methods: Preterm infants with gestational age <34 weeks were assessed for ΔPI on days 1, 3, and 7 of life with simultaneous echocardiography. Based on echocardiography, each infant was categorized into hsPDA, non-hsPDA, and no PDA. Results: Thirty infants (16 males), median age 31 weeks (interquartile range, IQR, 29-32) and weight 1,490 g (IQR 1,100-1,670) were enrolled. On days 1 and 3 of life, the ΔPI of infants with hsPDA (1.57%, IQR 0.28-2.32, n = 14, and 1.32%, IQR 0.28-1.83, n = 10) were significantly higher than those without hsPDA (0.14%, IQR -0.03 to 0.30, n = 16, and 0.08%, IQR -0.07 to 0.26, n = 20), p = 0.009 and 0.005, respectively. At all time points (days 1, 3, and 7...
International Journal of Current Research and Review
Introduction: Each year, about 15 million babies are born preterm, and 1 million babies die due t... more Introduction: Each year, about 15 million babies are born preterm, and 1 million babies die due to complications of preterm birth. Antenatal corticosteroid is one of the most effective evidence-based interventions that can reduce mortality and morbidity in preterm newborns. Objective: The purpose of this study was to evaluate the effect of antenatal corticosteroids on respiratory morbidities and neurodevelopmental outcomes among preterm neonates. Methodology: This prospective cohort study included admitted premature infant’s ≤ 34 weeks. Infant’s baseline demographics and maternal history of complete ACS exposure or no exposure were evaluated. Development of respiratory morbidities with support was compared between two groups during the neonatal period. After discharge from the NICU, neonates were followed up to assess neurodevelopment at 3rd and 6th months of age using Bayley Scales of Infant Development (BSID-III). Analysis was done to see the relationship with ACS exposure. Result...
Background: Coronavirus disease 2019 (COVID-19) is a global pandemic declared on 11 March 2020 by... more Background: Coronavirus disease 2019 (COVID-19) is a global pandemic declared on 11 March 2020 by World Health Organization (WHO). It is a highly pathogenic viral infection caused by SARS-CoV-2 which has caused global health concern. The emergence of SARS-CoV-2 infection has triggered a global need for accurate diagnostic assays. Detection of viral RNA in clinical specimens is the hallmark of diagnosis. Objectives: The aim of present study was to determine the prevalence of SARS-CoV-2 infection in some districts of North Bengal area of Bangladesh according to age, sex and area distribution. Materials and Methods: This cross sectional descriptive study was carried out in the Department of Laboratory Services, KYAMCH, Enayetpur, Sirajganj, Bangladesh. Real-Time reverse transcription Polymerase chain reaction assay was used for detection of virus. Results: A total of 1760 cases in the month from March to May 2021 were tested, among which 310 (17.6%) cases were detected positive for SAR...
Uploads
Papers