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Biomedical subjects

M N Alam

Publications and source records attributed to M N Alam.

45 records · Page 3Linked to original sources

Comparative study of piroxicam and ibuprofen in rheumatoid arthritis.

Piroxicam was compared with ibuprofen in a 8 weeks randomised open clinical trial in 31 patients (16 patients with piroxicam and 15 patients with ibuprofen) with rheumatoid arthritis. Piroxicam was given in a dosage of 20mg once daily and ibuprofen 400mg three times a day. Both drugs appeared to be equally effective and there were only few minor side effects in patients on either drug. The once daily administration gives piroxicam a clear practical advantage over ibuprofen.

Adult↗

Incidence of urethritis in Bangladesh.

Urethritis is either gonococcal or non-gonococcal. This paper describes the investigation of 286 cases of urethral or vaginal discharges, dysuria or urethral irritation. Non-gonococcal urethritis (NGU) was found to be the commonest form of urethritis accounting for 65.05 per cent of cases. Gonococcal urethritis (GU) and abacterial urethritis were accounted for 24.47 per cent and 10.48 per cent of cases respectively. No history of sexual exposure was found in 21.27 per cent of cases with NGU, whereas this was invariably present in cases of GU. This may indicate that in at least some of the patients with NGU, the disease may not be sexually transmitted. This point needs further study.

Adolescent↗

Dasherkandi project studies--health of the under fifteen.

Morbidity pattern of the under fifteen of a rural community was analysed and related to socio-economic factors. This was a part of Dasherkandi project studies carried out in a village near Dhaka city. 48.26% of the population was under the age of fifteen. Infants under the age of one year had low sickness rate which rose steeply between 1 and 4 years of life and then gradually declined after the age of 5 years. Commonest morbidity was worm infestation which was followed by flu and upper respiratory tract infection. The non-agriculturist and the low income group had the highest level of sickness. It is suggested that children in rural areas suffer mainly from diseases which are related to poor nutrition and hygiene resulting from unsatisfactory socio-economic condition. All the childhood mortality occurred under the age of one year and was found to be due to tetanus in this study.

Adolescent↗

Dasherkandi project studies. Demography, morbidity and mortality in a rural community of Bangladesh.

The entire population of Dasherkandi, a village near Dacca city was surveyed. Out of 1181 people 44.2% suffered from organic or psychiatric disorders. 37.7% suffered from physical disorders, 3.6% suffered from psychiatric disorders and another 2.9% suffered from both psychiatric and physical disorders. The common physical disorders were worm infestations, hypertension, peptic ulcer, dental problems and upper respiratory tract infection including flu. Females suffered from psychiatric diseases more than males. The psychiatric morbidity found in the survey differed significantly from those found in other similar surveys. Depressive states were the commonest psychiatric disorder and women suffered four times as frequently as men. Anxiety neurosis was the next common psychiatric problem. Both crude mortality and infant mortality rates (5.75 and 93.20 per thousand respectively) were lower than those of other similar studies. The commonest cause of infant mortality during first one month of life was tetanus in this series. Inspite of the fact that diagnosis was based entirely on clinical findings the morbidity rate was high. It was observed that a high percentage of the people who suffered from psychiatric disorders were due to problems which can be easily tackled under field conditions.

Adolescent↗

A clinicopathologic study on patients suffering from "chronic dysentery".

Fifty adult patients with the self diagnosis of "chronic dysentery" were studied. Their faeces were examined microscopically; they were sigmoidoscoped and their rectal mucosa were examined histologically. Most of them had irritable bowel syndrome. Their sigmoidoscopic appearances were normal and the histology showed only mild increase in the numbers of round cells in the lamina propria. This was regarded as normal for the local population. Ten patients showed cysts of Entamoeba histolytica in the faeces. This was thought to be unrelated to the symptoms. Only four patients had sigmoidoscopic as well as histologic evidence of moderate to severe proctocolitis. One of them was proven to be a case of amoebic colitis. These findings have been discussed.

Adult↗

Psychiatric morbidity in general practice.

In order to estimate the psychiatric morbidity in patients asking for consultation with general practitioners, a study was carried out in a general practice in Dacca. This revealed a considerable psychiatric morbidity. The two most frequently encountered psychiatric conditions were neurotic and psychosomatic disorders.

Adolescent↗

Ulcerative colitis in Bangladesh.

A total of 100 cases with chronic diarrhoea having no apparent cause were investigated. Fifty seven of these cases fulfilled the diagnostic criteria of ulcerative colitis. Fortyone of these 57 patients were treated for acute amoebic dysentery during the initial episodes of their illness. Since attack of acute amoebic dysentery is liable to produce post-dysenteric ulcerative colitis, it is possible that ulcerative colitis exist in this country in at least 2 forms, idiopathic and post-dysenteric.

Adolescent↗