Journal archives are invaluable resources to the scientific community. The Journal of Bangladesh College of Physicians and Surgeons (JBCPS) is one of the leading biomedical journals in Bangladesh. The objectives of the present review were to have an overview to the all published articles in the JBCPS and to identify remarkable articles for republication of the abstracts on the occasion of golden jubilee celebration of the Bangladesh College of Physicians and Surgeons (BCPS). This retrospective review covered all published articles in the JBCPS since its inaugural issue published in August 1983 to the latest issue published in April 2022. Articles were retrieved from different sources; the BCPS Library, the JBCPS office and Bangladesh Journals On-Line (BanglaJOL). For selection of remarkable articles, systematic review and metaanalysis of randomized controlled clinical trials and original articles were considered and review articles, case reports and others were excluded. Articles were evaluated on three main areas: contribution to the field, methods and clarity of presentation. After initial scrutiny by different contributors, a short list containing 43 articles was prepared. This short list was then reevaluated by each authors individually for identification of 20 remarkable articles and the final selection was made jointly in a meeting among them. Over 40 years, the JBCPS has published 1212 different types of articles including 114 editorials, 565 original research articles, 138 review articles, 316 case reports, 37 images and 42 other types of articles. Twenty remarkable articles were selected from different specialties including anaesthesiology, dentistry, endocrinology, gastroenterology, hepatology, infectious diseases, histopathology, medical education, obstetrics and gynaecology, oncology, ophthalmology, pulmonology, paediatrics, psychiatry, surgery, toxicology and other specialties. In spite of its commendable role in publishing scholarly articles over the previous four decades, the JBCPS is expected to contribute more in the future, both in local and international perspectives. J Bangladesh Coll Phys Surg 2022; 40: 62-73
Background: Magnesium deficiency has been a common, but easily ignored, electrolyte abnormality. Studies on magnesium in our country are lacking. Here, we have estimated and correlated serum magnesium levels with outcomes and other electrolyte imbalance in critically ill patients with respect to the mortality, in hospital outcome and length of high dependency unit (HDU) stay. Methods:A prospective, observational study was conducted in patients who had been admitted to the HDU. Patient's demographic profile, medical history, serum magnesium, calcium and electrolytes were enrolled on admission. Patients were divided into normomagnesemic, hypomagnesemic hypermagnesemic groups and compared for various parameters.Results: Out of 60 critically ill-patients, 32 patients (53.33%) were hypomagnesemic, 20 patients (33.33%) were normomagnesemic and 8 patients (13.33%) were hypermagnesemic. The duration of stay of the patients in HDU, in hospital outcome and mortality showed significant variation between these groups. Associated electrolyte abnormalities in hypomagnesemic patients were hypokalemia (56.25%) and hypocalcemia (62.50%). Most of the hypomagnesemic patients were hypertensive (62.50% vs 40%) and was presented in drowsy state (50% vs 40%) compared to normomagnesemic group. Mortality of hypomagnesemic group was 37.50% while that of hypermagnesemic group was 25%. In hospital, arrythmia (18.75%) and convulsion (12.50%) developed in hypomagnesemic groups. Mean duration of length of stay in HDU was 7.45 days in hypomagnesemic, 6.83 days normomagnesemic, and 8.67 days in hypermagnesemic group.Conclusion: Development of magnesium imbalance in critically ill patients is associated with bad prognosis. Monitoring of serum magnesium levels may have prognostic, perhaps therapeutic implication.
The diagnosis of systemic lupus erythematosus (SLE) depends on clinical evidence of renal, rheumatologic, cutaneous, and neurologic involvement, supported by serological markers. Ocular involvement is not included in diagnostic criteria of SLE. Vaso-occlusive retinopathy, as the primary manifestation of systemic lupus erythematosus (SLE), is relatively rare. We report a 30-year-old female, who suddenly suffered bilateral visual loss. Fundus examination revealed bilateral occlusive retinal vasculitis. She fulfilled the American College of Rheumatology criteria for diagnosing SLE; she had arthralgia, photosensitivity, positive ANA, high titre of anti-dsDNA, and proteinuria. A renal biopsy showed stage IV lupus nephritis. Treatment was initiated with pulse steroid and immunosuppressant. Best corrected visual acuity of both eye improved to finger counting after treatment. This case demonstrates that in patients with severe vaso-occlusive retinopathy, a generalized immunological disorder, like SLE, should be suspected.Bangladesh J Medicine Jan 2018; 29(1) : 36-40
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