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Biomedical subjects

M Rashid

Publications and source records attributed to M Rashid.

46 records · Page 3Linked to original sources

CSF hydrocele--unusual complication of V-P shunt.

CSF hydrocele as a complication of migration or extrusion of the peritoneal end of the V-P shunt has rarely been reported. Here the case of a 6 month old infant, born at 28 weeks gestational age, is reported. The baby was noted to have scrotal swelling, exacerbated by crying, two months after insertion of ventriculoperitoneal shunt. The hydrocele resolved following revision of the shunt. Possible pathophysiological causes are discussed.

Cerebrospinal Fluid Shunts↗

The influence of age on the durability of Carpentier-Edwards biological valves. Thirteen years follow-up.

Two hundred and ninety-nine patients received 325 Carpentier-Edwards biological valves from April 1976 to April 1982. Valves were placed in the following positions: 150 aortic (AVR), 120 mitral (MVR), 26 multiple (MR), 2 pulmonary (PR) and 1 tricuspid (TR). The mean age was 54.7 years. The total follow-up time was 2545 patient-years. Patients were divided into different age groups: less than 40, 40-49, 50-59, 60-69 and greater than 70 years and were followed-up for reoperations and tissue failure. Ninety-three operations were performed in 91 patients (30.5%) for valve related dysfunctions. The main cause of reoperation was primary tissue failure (85%). The respective incidence and risk of reoperation in the different age groups were 51.5% and 5%, 41.5% and 4%, 32% and 3%, 18% and 2.5%, and 0% for greater than 70 years of age. The risk of reoperation decreased significantly with increasing age (P less than 0.05). The respective incidence and risk of tissue failure in the age groups were 43.8% and 4.1%, 35% and 4%, 27.3% and 3.2%, and 17.2%, 2.4% and 0%. The freedom from reoperation and tissue failure was significantly higher in the older patient (greater than 60 years) compared to the younger patients (less than 60 years). The commonest cause of failure in young patients was calcification, while in older patients it was cusp rupture. Comparing aortic and mitral bioprostheses in the different age groups showed no difference between these valves in patients less than 50 years of age.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

A randomized controlled trial on the efficacy of alternative treatment regimens for uncomplicated falciparum malaria in a multidrug-resistant falciparum area of Bangladesh--narrowing the options for the National Malaria Control Programme?

We performed an open, randomized chemotherapy trial comparing the recommended first-, second- and third-line drug regimens, as well as mefloquine, for uncomplicated falciparum malaria in Bangladesh in 1996-97. The regimens were chloroquine for 3 days (CQ, Group I), quinine sulphate for 3 days followed by single-dose sulfadoxine-pyrimethamine (Q3 + SP, Group II), quinine for 7 days (Q7, Group III), and mefloquine 20 mg/kg single dose (MEF, Group IV). Subjects were symptomatic patients, aged > or = 12 years, with parasite density 500-250,000/mm3 and no history of taking antimalarials during the previous week. Drug administration was supervised and subjects were followed clinically and with blood slides in the hospital for 8 days, then as outpatients on days 14, 21 and 28. A total of 413 subjects (149, 145, 49 and 70 in Groups I-IV, respectively) completed the study. Early treatment failures (persistent or worsening clinical manifestations by day 3 confirmed with parasitological examinations) occurred only in the chloroquine group. RII and RIII parasitological failures occurred in 56%, 12%, 8% and 14% in Group I-IV, respectively. There were significantly more clinical and parasitological failures with chloroquine than with Q3 + SP, which we now recommend as a better (but far from ideal) choice for first-line therapy. The alternative compounds show parasitogical evidence of Plasmodium falciparum resistance. Further studies are needed to determine the optimum treatment for malaria in Bangladesh.

Adolescent↗

Improved serum HDL cholesterol profile among Bangladeshi male students during Ramadan fasting.

Effects of Ramadan fasting on serum lipids of 20 healthy males in Bangladesh were assessed. Anthropometric parameters and blood lipids were measured 1 day before Ramadan, day 26 of Ramadan and 1 month after Ramadan. Body weight and body mass index decreased significantly during Ramadan compared with before and after Ramadan. Fat intake was significantly higher during Ramadan than after. High-density lipoprotein (HDL) cholesterol increased significantly during Ramadan. Other lipids were not significantly different. Regression analysis of Ramadan HDL cholesterol levels indicated positive association with pulse rate and fat intake and negative association with systolic blood pressure and weight loss. The findings indicate improved HDL cholesterol profiles during Ramadan.

Adult↗

Knowledge, attitude and practices about zoonoses with reference to Campylobacteriosis in a rural area of West Bengal.

Campylobacteriosis is a leading cause of zoonotic diarrhoea in the developed as well as developing countries. Domestic animals particularly the poultry act as a source of human infections. Domestic animal rearing is a very common practice in India particularly in rural areas. The present study of KAP of Zoonosis showed 68.2 % of 500 families interviewed did not have knowledge about zoonotic diseases in rural Bengal and not a single family had any idea of Campylobacter infections.

Animals↗