ORIGINAL RESEARCH ARTICLE | March 20, 2024
Metaverse Technology and Its Impact on the Evolving Landscape of Communication and Media: A Future Outlook for Lebanese Satellite Channels
Hassan Rammal, Hussin J. Hejase, Hussein Hazimeh
Page no 92-117 |
DOI: 10.36348/sjhss.2024.v09i03.001
The current research aims to forecast the impact of Metaverse technology on the ever-evolving landscape of communication and media, specifically focusing on Lebanese satellite channels. This study seeks to forecast how Metaverse technology will influence the media industry in Lebanon by envisioning a future where local satellite broadcasting channels incorporate this technology. Utilizing a quantitative, positivist, and deductive research methodology, this study employs a survey to collect insights from 100 professionals and employees belonging to six Satellite channels and classified into five classes. Respondents were selected conveniently based on their willingness to participate and they were equally distributed among the five classes. Data were input on the Statistical Product and Service Solutions (IBM SPSS version 26.0). A descriptive analysis was performed and a T-test analysis was conducted. The findings suggest that, despite varying opinions on the timeline of its widespread adoption, Metaverse technology is poised to play a significant role in communication and media, especially within satellite channels. Results lead to varying degrees of preparation, awareness, and readiness to take advantage of the full benefits of adopting the Metaverse technology. It is expected to introduce dynamic changes, including interactive and immersive content experiences, and offer audiences new ways to engage with media. These findings support the recommendation that Lebanese satellite channels should prepare for this transformative shift by investing in Metaverse technology, focusing on staff and audience education and engagement, and exploring collaborations with technology providers.
ORIGINAL RESEARCH ARTICLE | March 20, 2024
Exploration the Potential of Artificial Intelligence in Ayurveda Diagnostics through the Machine Learning Approach
Dr. Vikas Deepak Srivastava, Dr. Vijay Kumar, Khushbu Kausar
Page no 67-73 |
DOI: 10.36348/sjef.2024.v08i03.001
Ayurveda, as a holistic system of medicine originating in ancient India, has gained recognition for its emphasis on balance and harmony within the body, mind, and spirit. This ancient healing practice has evolved over centuries and incorporates the concept of doshas – the biological energies that govern an individual's physical and mental well-being. Ayurveda focuses on bringing balance to the doshas through various treatments, including herbal medicines, lifestyle practices, and therapies. In recent years, Ayurveda has experienced significant growth and recognition in India, with the government promoting it as a mainstream healthcare system. Additionally, Ayurveda practices such as yoga and meditation have gained international acclaim. However, with the integration of modern technology, Ayurveda is poised to undergo further advancements. This research study explores the integration of artificial intelligence (AI) and machine learning techniques in Ayurvedic treatment, particularly in the Saharanpur and Dehradun regions. With personalized and holistic healthcare being the cornerstone of Ayurveda, the use of AI and machine learning algorithms can improve accuracy in diagnosis and treatment. Leveraging large datasets, these algorithms can identify patterns and correlations that may not be immediately evident to human practitioners. The majority of respondents in the study have been practicing Ayurveda treatment consultancy for 1-3 years (60%), while 40% had more than 3 years of experience. 70% of respondents believed that AI-driven diagnosis approaches are more effective than generalized approaches in Ayurveda. It was revealed that all respondents used AI tools primarily for Sparshana diagnosis, with no utilization reported for Darshana or Prashna. 80% of respondents believed that the integration of AI into Ayurveda has the potential to greatly improve various aspects of the practice. 50% of respondents were satisfied, and 40% were very satisfied with the current AI-driven diagnosis, while 10% expressed neutrality. These findings indicate a general acceptance and optimism towards AI in Ayurveda diagnosis, with recognition of its potential benefits and effectiveness. However, further research is needed to explore specific factors contributing to satisfaction and neutrality, as well as any concerns or areas for improvement.
ORIGINAL RESEARCH ARTICLE | March 19, 2024
New Insights for Promoting the Plant Growth and Germination and Applications in Agriculture
Sana Razzaq, Muhammad Ameer Hamza, Shumaila Khan, Muzamil Imam, Kaenat Nazir, Shama Kausar, Rukh E Fatima Naqvi, Adnan Abbas Shah, Warda Abbas, Abdul Rauf
Page no 30-36 |
DOI: 10.36348/sijb.2024.v07i02.003
Drought is a generally prolonged period of dryness which creates significant damage to crops and prevents their effective growth. It can also refer to a prolonged period of extremely low precipitation, especially one that has a negative impact on growing or living conditions. Drought affects plants vary, depending on the various stages of the plant's growth and the duration, severity and frequency of the drought. During high concentration germination decreases with increasing level of drought. Water deficiency also reduces the dry biomass of seed and seedlings. Drought stress causes the decline in seedling of wheat. The field experiment was conducted by utilizing augmented block design. Augmented block design is used when a limited quantity of resources available for experiment. From upper position of the spike excluding awns to the soil surface in centimeter were noted before harvesting. Spikes from each plot were selected randomly and number of spikelets was counted starting from base of spike towards the spike end. Under drought, plant height, spikes, peduncle length of selected plants was affected and had significant differences during normal irrigation and rainfed conditions. Grain yield per plant had highly significant positive correlation spike length under water irrigation.
ORIGINAL RESEARCH ARTICLE | March 17, 2024
Maternal Mortality from 2014 To 2017: Trend and Risk Factors at the Kintambo Maternity Ward, Democratic Republic of Congo
Augustin Kadiata Bukasa, Nene Kabyahura Novi, Aline Mulunda Kankolongo, Marthe Makangisiya Kihosambaku, Tshilembi Beya Christine, Rose Mujinga Ntumba, Agnes Tudinange Badibake, Mena Nkanshama Brigitte, Rose Tshibi Tshiabu, Kabanga Kashala Astrid, Félicien Tshimungu Kandolo
Page no 122-130 |
DOI: 10.36348/sijog.2024.v07i03.007
Introduction: Maternal mortality is a tragedy and constitutes a triple scourge. It is dramatic for the family (which falls apart after the death of the woman), unacceptable for the medical profession (since there are obstetric means to save mothers), and unacceptable for society (dying while giving birth). However, it seems to increase every year in the city of Kinshasa, due to several factors including the lack of easy access to quality care and childbirth services. The main objective for this study was to investigate the trend in maternal mortality at the Kintambo maternity ward from 2014-2017 including the relative contribution of risk factors linked to the lack of easy access to care and services quality delivery. Methods: This is an observational case-control study among pregnant women who followed ANC or not at the Kintambo maternity ward, but who all gave birth from January 2014 until December 2017. The use of the survey method, based on the analysis of registers, with a data collection sheet (check list) which was used for the collection of data, proved essential to bring this to fruition research. The sample size was exhaustive for cases (63 cases) and 63 controls. Results: Trend in female mortality between 2014-2017 at the Kitambo maternity ward in the city of Kinshasa has been decreasing, i.e. 22 cases in 2014, 17 cases in 2015, 14 cases in 2016 and 10 cases in 2017. It was observed that the variables show a very significant difference in relation to the factors which are the age of the pregnant woman, attendance at the CPN, delivery in the same center, the number of doctors in the delivery room and the distance between the residence and the center with an added value (P) less than 0.008; In comparison to pregnant women who die or not during childbirth and the factors in relation to their Chi-square, the age of gestation has a higher. Conclusion: Reducing this mortality requires strengthening the capacities of midwives /midwives in the care of pregnant women from conception to delivery and in the postpartum period , providing maternity wards with all the assets for good operationalization in the farthest corners of the city center , raising awareness among pregnant women of the importance of attending the CPN, ensuring good monitoring of the pregnant woman during her pregnancy and during childbirth, and for women to be always accompanied by their husbands during the CPN in order to help them internalize certain notions.
ORIGINAL RESEARCH ARTICLE | March 17, 2024
Daily Experience of Residents of the Masanga-Mbila District on Self-Medication at Home, in the Democratic Republic of Congo
Angel Andjelani Ngongo, Augustin Kadiata Bukasa, Didier Mangbala Ekibe, Pascal Atuba MAmenepi, Yves Mokili Sambwa, Jolie Kanjinga Kena, Jacques Lofandjola Masumbuku, Félicien Tshimungu Kandolo
Page no 73-79 |
DOI: 10.36348/sjnhc.2024.v07i03.005
Introduction: The delivery of medication is an act emanating from health professionals who have this task in their responsibilities and more particularly the pharmacist. The aim of this study is to understand the way in which the population of the Masanga-Mbila district experiences the phenomenon of self-medication on a daily basis. Methods: It is a descriptive study falling within qualitative research of the phenomenological type. She is carried out among the population of the Masanga district Mbila, commune of Mont- Ngafula, city of Kinshasa, in the Democratic Republic of Congo. This is an environment where observations have been made on this frequent practice of self-medication. The target population was made up of household managers within the population of the Masanga-Mbila district. The phenomenological survey method and the structured interview technique made it possible to collect information concerning the population's experience of self-medication. Results: After analysis thematic, we arrived at the results following: The Experience in the practice of self-medication was focused on three points: Self-medication is seen as a first resort before going to the hospital. Respondents put forward two reasons for their recourse to self-medication, the lack of financial means and the fact of having knowledge about medications and their use. In their experience, the respondents revealed in their receipt some consequences linked to the practice of self-medication, in particular rebellion and worsening of the illness. In the recommendations that they have formulated towards the community user, they wish that these latest can resort to self- medication only to relieve small sufferings and then always be to consult; and towards sellers of medicines, to avoid delivering medicines without a prescription medical. Conclusion: to contribute to the reduction of this practical, it falls under the Ministry of Public Health to strengthen pharmaceutical inspection and establish a system permanent control to ensure rational sale of products in our country; require pharmacies to only deliver medicines on medical prescription; s raise awareness among the population about the abuse of self-medication.
REVIEW ARTICLE | March 17, 2024
Avatars as Digital Identity: A Case Study of Avatar in Facial Recognition Technology & eKYC by IndoAI
Vivek Gujar
Page no 165-172 |
DOI: 10.36348/sjet.2024.v09i03.007
In today’s digital era, avatars have metamorphosized their conventional role, emerging as important tools for safeguarding digital identities in response to the prevalence of facial recognition technology. This article-case study explores the expanding importance of avatars, not only as representations of identity but as protective shields in the digital space. Avatars, once confined to gaming and virtual worlds, now play a crucial role in digital identity formation across various fields. The case study on avatar generation in facial recognition technology with eKYC highlights sophisticated security measures, and fusion of facial recognition, eKYC, artrimetrics and avatar authentication signals a new era where avatars play a pivotal role in retail industry. This study anticipates the growing integration of avatars into our social existence, offering innovative solutions for identity management and security in the digital realm.
SUBJECT CATEGORY: HUMAN ANATOMY | March 17, 2024
Prevalence of Morton’s Toe Amongst People of the Kalabari Tribe, Rivers State, Nigeria
John Nwolim Paul, Iboro Efiong Edet, Lucky Iminabo Briggs, Chioma Akunnaya Ohanenye, Anelechi Kenneth Madume, Exploit Ezinne Chukwuka, Idawarifa Frank Cookey-Gam, Victor Chikeobi Osi, Ihua Confidence Waribo, Hope Kelechi Okechukwu, Gloria Stanley Acra Jones, Rosemary Ezekiel
Page no 90-94 |
DOI: 10.36348/sb.2024.v10i03.005
Background: Anatomical variations have been genetically linked and the phenomenon Morton's toe is no exception. Its prevalence has been a notable phenomenon in the medical field. This study investigated the prevalence of Morton's toe amongst the Kalabari tribe of Rivers State, Nigeria. Materials & Methods: A total of 446 participants were sampled for this study. Results & Discussions: The observed longer second toe pattern was described as present (both feet, right foot or left foot), while a shorter second toe was described as absent. Morton’s toe was more prevalent (65.9%) in the studied population than absent (34.1%); with males (34.7%) having slightly higher proportion of Morton's toe than females (31.2%), a little difference of 3.5% which was not so significant. The pattern of inheritance of Morton’s toe was without sex predisposition, with larger population exhibiting Morton’s toe. The male participants had a present to absent ratio of 3:1 indicating that for every three males who had Morton’s toe, one male around did not. The female participants had a present to absent ratio of 2:1 indicating that for every two females who had Morton’s toe, one female around did not have it. Conclusion: In the general population, the ratio for present to absent is 2:1, implying that for every two persons with Morton’s toe in the population, there is one person who does not have it. The study also observed bilateral symmetry (i.e., some individuals presented with Morton’s toe on both feet), while others had it on either the left or right foot.
The field of crime fiction in Nigeria remains under-explored in scholarly discourse. This lacuna is particularly notable given the absence of comprehensive academic works dedicated to this genre. Crime fiction, which delineates narratives surrounding criminals, their crimes, detection and investigation processes, and underlying motivations, has been a prolific subject in Nigerian creative literature. Despite the substantial body of Nigerian literary works delving into themes of crime, punishment, and motivation, it is intriguing that the genre has not garnered significant critical analysis. This study adopts a diachronic approach to trace the historical evolution of crime fiction in Nigeria. It further investigates various sub-genres within this literary category and examines how a multitude of socio-political dynamics have influenced the thematic focus of Nigerian crime fiction. The study posits that crime fiction is gaining relevance in contemporary Nigerian society. It reveals that a significant corpus of these narratives grapple with issues such as colonialism, militarism, corruption, government apathy towards human and national development, and other opaque political and economic elements that perpetuate Nigeria’s precarious journey towards democratic stability.
ORIGINAL RESEARCH ARTICLE | March 15, 2024
Perception of Adolescent Girls Living with HIV/AIDS Regarding Their Illness in the City of Lukala in Kongo Central in the Democratic Republic of Congo
Nzolani Mpangi Henriette, Ngoy Eyasu, Désiré Nsobani Lukelo, Augustin Kadiata Bukasa, Dominique Tuka-Mbiasi
Page no 69-72 |
DOI: 10.36348/sjnhc.2024.v07i03.004
Introduction: Despite the clear progress in the fight against HIV, the challenges to be overcome remain significant and vital. This is the negative opinion that the population has towards HIV-positive people. This perception of HIV leads, among patients, to a feeling of rejection, discrimination, marginalization and stigmatization. The aim of this study is to explore the perception of people living with HIV AIDS (PLHIV) in the city of Lukala DRC regarding their illness. Method: This is a cross-sectional study, by interview conducted with adolescent girls living with HIV/AIDS, during the year 2022 in the city of Lukala. Results: The results revealed that 83% of adolescent girls reached the age of maturity. Among them, 66% are married and multiparous, 83% have a low level of education and do self-employed work. All respondents have heard of AIDS and admit to being affected. Everyone is afraid of death. As for the cause of the disease, 66% of cases believe in bad luck. However, they continue to do their usual work. 50% of respondents are stigmatized or rejected by the family. They find their life dark. 66.7% of cases take no protective measures. Among married people, 80% say they lead a normal married life. Conclusion: Adolescent girls living with HIV/AIDS are a reality in the city of Lukala. However, preventive measures and therapeutic monitoring are not well applied but their lives continue normally. Ignorance and poor education favor the transmission of HIV.
ORIGINAL RESEARCH ARTICLE | March 15, 2024
Pediatricians’ Awareness and Knowledge of Young Children’s Oral Health: A Cross Sectional Study
Ahmed Youssef Atwa Khater, Ibrahim Allam, Shady Ahmed Moussa
Page no 57-62 |
DOI: 10.36348/sjodr.2024.v09i03.003
Background: Most childhood oral diseases can be prevented, and the indispensable role of pediatricians in childcare uniquely positions them to champion standard oral and dental healthcare for children. This study aimed to evaluate the knowledge, attitudes, and awareness of pediatricians regarding early childhood caries (ECC), oral health, and the treatment needs of their young patients. Subject & Methods: A total of 449 pediatricians were randomly shared in an online self-reported cross-sectional survey which covered personal details, their approach to pediatric dentistry, and their knowledge of oral health. Results: Importantly, 67.9% of surveyed pediatricians recognized the significance of pediatric dentistry, and 88.9% reported conducting regular oral examinations. However, only 22.3% demonstrated familiarity with ECC, and a mere 5.6% acknowledged the cariogenic nature of medicated syrups. All pediatricians who participated in this study did not advise bottle feeding, nearly 91.75% of the pediatricians could relate the importance of breastfeeding and oral health, 60.1% of pediatricians reported that health education should be given to mothers about nursing caries starting early in life. Conclusion: The study highlights a notable deficiency in the surveyed pediatricians' knowledge concerning ECC, oral health, and the dental treatment needs of children. The identified knowledge gaps emphasize the imperative for pediatricians to enhance their understanding by staying current with recent recommendations. Continuous education initiatives, workshops, or other professional development avenues are essential for pediatricians to address these deficiencies effectively, enabling them to contribute significantly to the standardization of oral and dental healthcare for children and ultimately promoting improved overall health outcomes.
REVIEW ARTICLE | March 15, 2024
Management of Ellis Class IX Fracture in Primary Dentition: Review with a Case Report
Dr. Rohan Shrivastava, Dr. Sonal Gupta, Dr. Riya Ojha, Dr. Utkarsh Singh
Page no 49-56 |
DOI: 10.36348/sjodr.2024.v09i03.002
Introduction: Ellis Class IX type of luxation injuries are frequently observed in the primary dentition. The pulp and periodontium are damaged as a result of intrusion, which forces the tooth to go more deeper into the tooth socket. The care of these injuries is difficult due to the chances of harming the permanent tooth germ. It is crucial to conduct a thorough clinical and radiographic assessment and to follow up often. A case of Ellis Class IX fracture i.e., Intrusive Luxation of Incisors of a 3 years old child was reported. Intrusion was grade III Hence, teeth underwent extraction and anterior esthetic fixed space maintainer was placed with a pontic natural tooth offers a replacement of a main anterior tooth, which is important for speech development, appearance, and self-esteem.
ORIGINAL RESEARCH ARTICLE | March 15, 2024
Correlation of VIA Positive Cases with Colposcopic and Histopathological Findings in Diagnosis of Precancerous Lesion of Cervix in A Tertiary Care Hospital
Dr. Numaya Habib, Dr. Najmatun Jikria, Dr. Sadia Sharmin Suborna, Dr. Nasrin Aker, Prof. Dr. AKM Ahsan Habib
Page no 93-99 |
DOI: 10.36348/sijog.2024.v07i03.003
Background: Cervical cancer prevention strategies are evolving by integrating new screening modalities such as human papillomavirus (HPV) DNA testing and visual inspection with acetic acid (VIA). Colposcopy, as a diagnostic tool, plays a crucial role in the management of abnormal cytology smears, especially in developed countries. However, its utilization and efficacy in resource-limited settings like Bangladesh remain underexplored. Objective: This study aimed to assess the correlation between VIA positivity and colposcopic/histopathological findings in diagnosing precancerous cervical lesions among women in Bangladesh. Method: A cross-sectional study was conducted among 200 women aged 30-60 attending the Gynecology OPD of Dhaka Medical College and Hospital. VIA positivity was determined, and all positive cases underwent colposcopic evaluation. Histopathological examination was performed for tissue samples obtained during colposcopy. Result: Among the participants, 21% were VIA-positive. Colposcopic evaluation revealed inflammation (26.2%), CIN I (38.1%), CIN II (11.1%), CIN III (9.5%), and invasive carcinoma (9.5%). Histopathology findings included inflammation (28.6%), CIN I (40.5%), CIN II (7.1%), and invasive carcinoma (16.7%). True positive and false positive cases were identified, with percentages calculated accordingly. Conclusion: Detailed colposcopic evaluation with guided biopsy is crucial for detecting pre-invasive and early cervical cancer. Integrating colposcopy into screening programs in Bangladesh could significantly reduce morbidity and mortality among young women.
ORIGINAL RESEARCH ARTICLE | March 15, 2024
Evaluation of the Efficacy and Safety of Dienogest in the Treatment of Primary Dysmenorrhea: A Study in a District-Level Hospital in Bangladesh
Dr. Najmatun Jikria, Dr. Numaya Habib, Dr. Sohely Sultana, Dr. Sadia Sharmin Suborna
Page no 115-121 |
DOI: 10.36348/sijog.2024.v07i03.006
Background: Dysmenorrhea is a common symptom secondary to various gynecological disorders, but it is also represented in most women as a primary form of disease. Pain associated with dysmenorrhea is caused by hypersecretion of prostaglandins and an increased uterine contractility. The primary dysmenorrhea is quite frequent in young women and remains with a good prognosis, even though it is associated with low quality of life. Objectives: The aim of this study is to evaluate of the efficacy and safety of dienogest in the treatment of primary dysmenorrhea: a study in a district-level hospital in Bangladesh. Methods: The cross-sectional observational study was conducted in the Department of Gynae and Obs, Naogaon Sadar Hospital from July 2022 to June 2023. A total of 100 subjects who received DNG (1 mg/day, orally) were included in the study. Data were collected by face-to-face interview and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: In this study, most of the patients 43% lies between 21 years to 25 years and body weight of 24% patients were between 51 to 55 kg. In this study, most of the patients 41% body mass index were 18.5 – 24.9 kg/m2. Most of the patients’ clinical symptoms were cramping pain in the lower abdomen (89%), low back pain (86%), pain spreading down to the leg (73%), fatigue (64%). About (56%) adverse effects were body weight gain and irregular uterine bleeding occurred in 35 of 100 cases (35%). Conclusion: Primary dysmenorrhea is one of the most common illnesses in women of childbearing age. When severe, it may interfere with the activities of daily living and may lead to school and work absenteeism. Primary dysmenorrhea is also one of the most underdiagnosed diseases, so clinicians should suspect the diagnosis in a timely manner and provide appropriate treatment.
ORIGINAL RESEARCH ARTICLE | March 15, 2024
Diagnostic Performance between Colposcopy Findings and Histopathology Reports
Dr. Fahmida Sultana, Tandra Ghosh, Dr. Rukhshana Khanum, Dr. Sabikun Naher Urmy, Dr. Shah Noor Sharmin, Dr. Mossa. Nupur Aktar, Dr. Kazi Sanzida Haque, Dr. Rakiba Sultana, Dr. Arifa Ahmed, Dr. Mishkat Tabassum, Dr. Maksuda Parvin, Dr. Mst. Jakanta Faika
Page no 108-114 |
DOI: 10.36348/sijog.2024.v07i03.005
Background: Cervical cancer is the most frequent cancer in women worldwide. With appropriate screening, the condition can be prevented and treated. Colposcopy is a useful tool in the diagnosis and management of precancerous cervical lesions following primary screening. The gold standard for identifying precancerous lesions is histopathology. Objective: The aim of this study is to evaluate the diagnostic performance between colposcopy findings and histopathology reports Methods: The cross-sectional observational study was conducted in the Department of Colposcopy Clinic of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from July 2022 to June 2023. A total of 62 subjects were included in the study. The questionnaire was pretested, corrected and finalized. Data were collected by face-to-face interview and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: In this study, the mean age was found to be 36.8±11.9 years, with a range from 20 to >51 years maximum 44 (71.0%) of the patients were within the age group of 20 - 40 years. The majority 37 (59.7%) of patients completed SSC and most of the patients 56 (90.3%) were housewives. Most of the patients 59 (95.2%) were Muslims and about 32 (51.6%) came from middle-income families. About 25 (40.3%) patients were married between the ages of 15-17 years. About 25 (40.3%) were between 16-18 years during their first delivery and about 26 (41.9%) had 3-4 children and 21 (33.9%) had more than 4 children. Most of the patients 43(69.4%) had history of received OCP. Regarding colposcopic diagnosis, 12.9% (n=8) were normal, 69.4% (n=43) were CIN I, 9.7% (n=6) were CIN II and 8.1% (n=5) were CIN III and 30.6% (n=19) chronic cervicitis, 46.8% (n=29) CIN I, 6.5% (n=4) CIN II, 6.5% (n=4) CIN III, 4.8% (n=3) carcinoma in situ and 4.8% (n=3) were invasive squamous cell carcinoma by the histopathological diagnosis. Conclusion: Colposcopy had a rather high diagnostic accuracy for histopathologically verified precancerous cervical lesions. Even if the results of the screening tests are normal, patients who report with postcoital and postmenopausal bleeding should have colposcopies and biopsies. Colposcopy also has a high sensitivity, therefore it is simple to use the "see and treat" approach to lower dropout rates.
ORIGINAL RESEARCH ARTICLE | March 15, 2024
Relation of Raised HbA1C Level with Congenital Deformity of Fetus Detected by Anomaly Scan in 2nd Trimester of Pregnancy in Diabetic Mother
Dr. Sadia Sharmin Suborna, Dr. Numaya Habib, Dr. Nowshin Yesmin Tonny, Dr. Sadia Dora, Dr. Farzana Aktar, Dr. Khadiza Akter Sumi, Dr. Najmatun Jikria
Page no 100-107 |
DOI: 10.36348/sijog.2024.v07i03.004
Background: Pregnant women with pre-existing diabetes face an elevated risk of congenital anomalies in their offspring. However, research on the pattern of congenital anomalies and its correlation with blood sugar control in pre-gestational diabetic mothers is limited, especially in our country's context. This study investigated the association between elevated HbA1c levels and congenital anomalies in diabetes-related pregnancies. Objective: To assess whether raised HbA1c levels were linked to an increased incidence of congenitally deformed fetal outcomes in pregnancies affected by diabetes. Method: This cross-sectional study was conducted from August 2018 to September 2019 at the Department of Obstetrics and Gynaecology, DMCH. Women with pre-gestational diabetes were sequentially enrolled if they provided informed consent. Data, including HbA1c levels and anomaly scans, were collected at 18-24 weeks of gestation. Participants were divided into two groups based on HbA1c levels: Group-1 (elevated HbA1c) and Group-2 (normal HbA1c). Statistical analysis was performed using SPSS 22, with significance at p<0.05. Result: The mean ages of Group 1 and Group 2 were 31.60±2.89 & 30.51±2.99 (SD) years. Both groups were similar concerning age, residence, education, occupation, economic status, and BMI (p>0.05 in all factors). Mean HbA1C (%) of Group-1 and Group-2 were 8.57±2.22 & 6.18±0.20 (p<0.001), respectively. Congenital anomalies were more frequent in Group 1 (15.6 vs 2.2; p<0.05), and it is associated with high blood sugar levels (p<0.001) and with a previous history of anomalous babies in preceding pregnancies. Conclusion: Elevated HbA1c levels are associated with an increased incidence of congenital anomalies in pregnancies complicated by diabetes. This underscores the importance of strict glycemic control in pregnant women with pre-gestational diabetes to mitigate the risk of adverse fetal outcomes. Further, population-based studies are desired to validate these findings and inform clinical management strategies.