Binge eating disorder is associated with obesity. Topiramate an antiepileptic agent weight loss. The objective of this study was to evaluate topiramate in the treatment binge obesity.For 14-week, double-blind, flexible-dose (25-600 mg/day) trial, 61 outpatients (53 women, eight men) who were obese (body mass index >/=30 kg/m(2)) randomly assigned receive (N=30) or placebo (N=31). primary efficacy measure frequency. analysis a repeated-measures random regression treatment-by-time as effect...

Caesarean scar pregnancy (CSP) is a unique type of that has been becoming more common due to the growing cesarean section rate. This case report about 36-year-old woman with who did not respond medical management and later underwent successful surgery. The patient previously had two deliveries three abortions; she was initially given cycles methotrexate. However, measurement β-hCG titers sonography established continuation at 9 weeks±3 days. Another attempt misoprostol mifepristone also...

To evaluate the psychometric properties of Bangla version HeartQoL questionnaire, a core heart disease health-related quality-of-life (HRQoL) instrument, specifically in coronary (CHD) patients. The English was translated into and then cross-sectional test-retest study undertaken 2 specialized cardiac hospitals Bangladesh. All patients admitted for percutaneous intervention or artery bypass graft between April October 2019 diagnosed with CHD were eligible recruitment. HeartQoL, EQ-5D-3L,...

Cardiovascular disease is the leading cause of mortality and morbidity in lower-middle income countries (LMICs), including Bangladesh. Cardiac rehabilitation (CR) as part secondary prevention cardiovascular has been shown to reduce improve quality life exercise capacity. However, date, very few controlled trials CR have conducted LMICs.A quasi-randomized trial comparing home-based plus usual care with alone was undertaken patients following coronary artery bypass graft surgery. Participants...

Chronic exposure to arsenic is associated with increased morbidity and mortality from cardiovascular disease (CVD); however, plausible biomarker for early prediction the underlying mechanism of arsenic-related CVD have not yet been clearly understood. Endothelial dysfunction plays a central role in development CVD. We hypothesized that endothelial damage or an important aspect may be event Soluble thrombomodulin (sTM) serum thought specific stable marker dysfunction. This study was designed...

The study aimed at exploring constraints faced by small-scale farmers in the production of major crops such as Sorghum and Maize; find out their relationship with selected characteristics they faced. Baki, Dilla, Sabawanag, Idhanks under Borama Baki districts were respondents study. Data collected using a pre-tested structured interview schedule randomly sample 92 from population 1,250 farmers. Results indicated that among ten characters farmers, education, cosmopolites, training received,...

An operational research was done to explore the effect of targeted food supplementation by comparing birthweight babies two areas (intervention & nonintervention). This record-based study carried out in Kapasia and Savar upazila Dhaka division, relying on primary organizational data 565 mothers. In National Nutrition Program (NNP) area only fifty percent moderate severe malnourished [Chronic Energy Deficiency (CED) II III] mothers were preferably for onsite support while 34 them managed...

Ibrahim Cardiac Medical Journal 2011; 1(2): 24-28 DOI: http://dx.doi.org/10.3329/icmj.v1i2.13548

Striking an adequate balance between bleeding risks and prevention of stent thrombosis can be challenging in the setting percutaneous coronary intervention (PCI) with drug eluting stents (DES) acute myocardial infarction (MI). This is more pronounced patients treated both low molecular weight heparin (LMWH) dual antiplatelet therapy (DAPT). Prasugrel, a second generation thienopyridine potent platelet inhibition capability, associated significant risks. risk often underestimated when...

IntroductionTuberculosis of the spine is a common form TB infection for 50% to 60% osseous tuberculosis. Although uncommon, spinal still occurs in both developed and developing countries. The diagnosis tuberculosis difficult it commonly presents at an advanced stage. Delays establishing management result complications such as cord compression deformity. Material MethodsA total 582 patients with cervical, thoracic lumbar moderate severe were studied. Variable degrees neurological deficit...

Bloody tears (Haemolacria) are a rare symptom that can be caused by local or systemic pathology. It is one of the most alarming in ophthalmology. Besides those, idiopathic cases have been reported. A case hyperthyroidism where haemolacria was secondary to condition has also Haemolacria reported as epistaxis. Psychogenic causes described including Munchausen Syndrome proxy. Here we describe series four along with bleeding from other sites, found associated features dissociative disorders. In...

The main objective of the study was to determine impact drought on sorghum production and its adaptation strategies overcome impacts. farmers Baki Ruqi villages under districts were respondents study. conducted from 16 February 2022 – 1 January 2023, population, selected 109 sample sizes represent population by using Slovin formula with maximum acceptable error 5%. sampling procedure non-probability particularly purposive sampling. fifteen major impacts faced identified in A four-point...

The study was undertaken to assess the comparative advantage of production and export vegetables from Bangladesh. Fifty four kinds different were exported importing countries mostly in Middle East. demand for summer found higher than those winter vegetables. Total quantity 6046 metric tons earned foreign exchange Tk. 1120 million, which only 1.18 percent total value vegetable Among marketing cost items, air freights charges highest. For all vegetables, DRCs observed be less unity implying...

Background: Ventilator-Associated Pneumonia (VAP) is a frequent nosocomial infection. The etiology of VAP varieswith different patient populations and types critical care settings.
 Materials & methods: This prospective observational study was conducted at the Coronary Care Unit (CCU) ofIbrahim Cardiac Hospital Research Institute from April 2016 to November 2016. Demographic details andincidence recorded analysed by appropriate statistical tests.
 Results: 52 patients required...

Background: To evaluate the safety of radial versus femoral artery approach in routine coronary angiography (CAG) practice.Methods: We retrospectively evaluated consecutive patients Ibrahim Cardiac Hospital & Research Institute, a tertiary care centre, who underwent diagnostic CAG over period 12 months. Procedure duration was calculated as time from initiation local anesthesia to completion procedure. Contrast volume and fluoroscopy were recorded.Results: 3346 included this study. The...

Dual antiplatelet treatment (DAPT) with aspirin and clopidogrel is vital after percutaneous coronary intervention (PCI). Clopidogrel prasugrel act on P2Y12 platelet surface receptors. Both these inhibitors are pro-drugs depend cytochrome system of the liver for their conversion to active metabolite. There growing concern regarding suboptimal response in inhibition by clopidogrel. Verify Now got approval Federal Drug Administration, USA, assessing function as its result almost comparable gold...

Introduction: Coronary heart disease (CHD) is an impairment of function due to inadequate blood flow the compared its needs, caused by obstructive changes in coronary circulation heart. It a common multifarious public health crisis today and leading cause morbidity mortality both developing developed countries. Objective: To analyses risk factors for artery (CAD) patients with ischemia disease. Methods: A cross sectional study was conducted at Department Cardiology, Bangladesh Medical...

Background: Primary percutaneous coronary intervention (PPCI) is preferred over thrombolysis due to its better outcome both in terms of morbidity and mortality. Transradial (TR) PPCI favored transfemoral (TF) approach several advantages including survival benefit. Only concern TR a possible delay door-to-balloon (D2B) time which an important parameter for outcome. This retrospective analysis compared various variables D2B between TF versus groups order decide provides the other.Methods:...

Right coronary artery perforation extending to the sinus of Valsalva is a rare and potentially fatal complication percutaneous intervention. There are no definite guidelines on management strategies for such complications. Treatment modality depends patient’s haemodynamic stability extent aortic involvement. Polytetrafluoroethylene-covered stents have emerged as revolutionary strategy, enabling efficient endovascular repair entry port dissections, particularly ostia, obviating need high-risk...