An Assessment of Flood Shocking Tears Down: A Case Study in Bogura District

This study was conducted on two chars of Bogura district using primary data and aims at understanding of how flood affects the rural poor living in the char lands. The study revealed that floods have long-term negative implications on socio-economic status. According to survey the most affected sector was agriculture (54.03%), followed by property (28.66%) and health (19.71%), diseases as Diarrhea occurred at alarming levels (76.07%) in the study areas. In the study year food availability and roads communications were also highly affected by flood. Floods make people vulnerable; as they take away their livelihoods at the first instance and leave them with little resources to overcome from the situation. Because of floods, rural poor communities face job loss, and two-thirds of their income is reduced, which limits their capabilities of preparedness, response, and recovery to subsequent floods. People cope with the situation by bearing substantial debts and a loss of productive assets. It also examines the impacts of flood on the livelihood of the rural poor and explores their coping strategies and also observers it as a positive ingredient for fertility and soil improvement. However the present study captures both positive and negative.&#x0D; Res. Agric., Livest. Fish.8(1): 65-73, April 2021</jats:p

Antiplatelet Therapy in Patients with Acute Coronary Syndrome: An Update

Antiplatelet therapy is the cornerstone in the treatment of acute coronary syndrome. Aspirin is the most widely used antiplatelet agent followed by P2Y12 inhibitors. Glycoprotein (GP) IIb-IIIa antagonists are also gaining popularity as an antiplatelet agents during peri-PCI period. This review article summarizes the indications, duration of dual antiplatelet therapy (DAPT) in ACS setting. Antiplatelet therapy in special situations like atrial fibrillation and thrombocytopenia are discussed here. Issues like switching between P2Y12 inhibitors and genetic testing of antiplatelet agents are also mentioned in this article&#x0D; University Heart Journal Vol. 17, No. 1, Jan 2021; 66-70</jats:p

Subpulmonary Obstruction Due to Aneurysmal Ventricular Septum in a Patient with Congenitally Corrected Transposition of the Great Arteries and Dextrocardia

Congenitally corrected Transposition of Great Arteries is usually associated with multiple cardiac defects. Morphologic left-ventricular outflow (pulmonary) tract obstruction due to aneurysm of the membranous ventricular septum in patients with corrected transposition and ventricular septal defect is rare, but was reported in the past. This is even more uncommon in patients with dextrocardia, prompting us to document this case. Absence of the conus with resultant proximity of the aneurysm to the subpulmonary region and higher pressures in the left-sided morphologic right ventricle lead to obstruction of outflow tract in corrected transposition. Echocardiogram with Doppler interrogation and cardiac catheterization with selective cineangiography are the diagnostic tests of choice. Surgical resection of the aneurysm with patch closure of ventricular septal defect, avoiding injury to the conduction system, is recommended.University Heart Journal Vol. 10, No. 1, January 2014; 31-38</jats:p

Association of Serum Vitamin D level with in-hospital Outcome in Patients with Acute Myocardial infarction

Objective: Vitamin D deficiency is emerging as a new risk factor for various cardiovascular events. Several studies have been done to find out association of vitamin D level with CAD with varying Results. Very few studies, however, have investigated the association between serum vitamin D levels and clinical outcomes in ACS patients thus far. The  Objective of this study was to assess the association between serum vitamin D levels and in-hospital complications of AMI patients in Department of Cardiology, Dhaka Medical College Hospital (DMCH), Dhaka. Methods: This was a cross-sectional observational study. We measured serum vitamin D level in AMI (STEMI and NSTEMI) patients (n=198) admitted in Department of Cardiology, DMCH. Patients with normal vitamin D level (e”30 ng/ml) were considered as Group I and patients with low serum vitamin D level (&lt;30 ng/ml) were considered as Group II; and in-hospital complications were evaluated. Results: The study showed that 51% of study subjects of AMI had in-hospital complications; 71.1% patients with low vitamin D level had adverse in-hospital outcome whereas 14.3% patients with normal vitamin D level had AMI complications which was statistically significant (p&lt;0.001). Heart failure and arrhythmias were the most frequently observed complications. The Results of the study demonstrates that the association between low vitamin D level and in-hospital complications after AMI remains statistically significant (p&lt;0.001). Conclusions: Low serum vitamin D level is independently associated with a higher frequency of several in-hospital adverse clinical events including mortality after acute myocardial infarction (STEMI and NSTEMI). Whether low vitamin D levels represent a risk marker or a risk factor in ACS remains to be elucidated. Bangladesh Heart Journal 2022; 37(2): 89-98</jats:p

Comparison of Mini-Mental State Examination (Mmse) and Bangla Mini-Mental State Examination (Mmse-B) Among Healthy Elderly in Bangladesh

Objective: The aim of the present study was to compare the efficacy of modified Bangla version of mini mental state examination (MMSE-B) with mini mental state examination (MMSE) for using among Bangladeshi healthy elderly.Methods: This is a descriptive type of observational study carried out in Department of Neurology, Dhaka Medical College Hospital, Dhaka, from January to December of 2013. A total of 200 healthy elderly (patient attendants at the clinic) who met the inclusion criteria, were interviewed using a structured questionnaire containing information on age, sex, residence, educational backgrounds and questions set at MMSE English version (MMSE-E) and modified Bangla version for MMSE-B (Figure-1). MMSE and MMSE-B both were applied in 1:1 ration. The literate people were asked whether they are comfortable to answer in English (MMSE-E) or they would like the translated form and we applied the form of MMSE (MMSE-T) according to their wish. But in other group of people the modified Bangla version (MMSE-B) was used irrespective of level of education.Results: The mean age at presentation was 58.1±7.8 and 94% were within 50-70 years of age. Male were more common (80, 66) in both the groups and most of them belonging to rural areas. MMSE-B were mostly employed on people having only primary level of education (up to class five, n=80) or no education (n=2), whereas MMSE-E were employed up on people having a level of education higher than class five (n=96). Every question in each item of cognitive domain correlated well (correlation co-efficient range from 0.801- 0.971) except the 7th (correlation co-efficient 0.418) which had higher mean score for MMSE-B than those of MMSE-E (0.90 versus 0.54). The mean score of MMSE-B was greater than the mean score of MMSE-E for most of questions except the 1st question that is related to orientation of time. The mean of total score in MMSE-E and MMSE-B were 24.04 and 24.91 respectively with a correlation co-efficient of 0.940.Conclusion: MMSE-B is comparable to MMSE and it is even better in some segments of cognitive assessment for using among Bangladeshi people irrespective of level of education.J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 30-35</jats:p

Role of Percutaneous Septal Ablation in Hypertrophic Obstructive Cardiomyopathy

HCM is a relatively common genetic mediated primary cardiac disease which may cause sudden death in the young including competative athlets.PTSMA is an alternative therapeutic option for surgical septal myomectomy who are high risk for surgery and presented with severe disabling symptoms due to marked LV outflow obstruction. PTSMA is performed by injection of 1 to 4 ml of 96% to 98% ethanol into the target artery in 0.5 to 1.0 ml aliquots at 1 ml/min. Selection of patients for PTSMA includes those with severe symptoms refractory to maximum medical management associated with LV outflow gradient &gt; 50 mm Hg and basal septal thickness &gt; 18 mm. Successful outcome following septal ablation by LV outflow gradient often reduced to &lt; 20 mm of Hg and improved from symptomatic standpoint. DOI: http://dx.doi.org/10.3329/uhj.v8i2.16083 University Heart Journal Vol. 8, No. 2, July 2012</jats:p