Pub Date : 2024-01-24DOI: 10.3329/cbmj.v13i1.71048
Mahmud Hasan
Abstract not available CBMJ 2024 January: Vol. 13 No. 01 P: 1-2
摘要暂缺 CBMJ 2024 年 1 月：第 13 卷第 01 期 P: 1-2
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A cross-sectional study was conducted at Uttarkhan Thana under Dhaka City Corporation, Bangladesh, between January and December of 2018, to compare respiratory symptoms in under five children living in households using biomass fuels and fossil fuels. The study community comprised of three areas named Vatulia, Munda and Pulartek of Ward No. 4 of Uttarkhan Thana. Total number of households were 1329. Population size in total was 5114, where 2548 were male and 2566 were female. Among them 200 households were chosen by simple random sampling technique – selected households had under five children and met the inclusion criteria (i.e., mother or caregiver of children under five years of age wanted to participate voluntarily. However, we excluded children having congenital anomalies and households using electricity for cooking purpose. A semi-structured questionnaire was used as data collection instrument. Questionnaire included socio-demographic characteristics such as age, sex, educational status, marital status, occupation, number of family members. Cooking related information, e.g., frequency of cooking, duration of cooking, type of fuel used, presence of children during cooking, sleeping in the kitchen and respiratory symptoms in children, e.g., nasal discharge, cough, breathing problems, chest tightness, wheezing, and sore throat were included in the data sheet. Besides, it contained information regarding location of the kitchen, area of the kitchen and presence of any ventilation facility and chimney. Nasal discharge (79.7% vs. 71.6%), cough (69.9% vs. 64.2%), and sore throat (9% vs. 6%) were more common in biomass fuel users’ children. In contrast, shortness of breath (22.4% vs. 18.8%) and wheezing (31.3% vs. 24.1%) were more common among fossil fuel users’ children. However, none of those differences were statistically significant (P>0.05). CBMJ 2023 July: vol. 12 no. 02 P: 164-170
{"title":"Comparison of Respiratory Symptoms among Under Five Children Living in Households Using Biomass Fuel and Fossil Fuel in An Urban Area of Bangladesh","authors":"Nusrat Jahan, Tunazzina Shahrin, Irtifa Aziz Oishee, Syed Shafiq Tamal, Md Khalequzzaman","doi":"10.3329/cbmj.v12i2.68360","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68360","url":null,"abstract":"A cross-sectional study was conducted at Uttarkhan Thana under Dhaka City Corporation, Bangladesh, between January and December of 2018, to compare respiratory symptoms in under five children living in households using biomass fuels and fossil fuels. The study community comprised of three areas named Vatulia, Munda and Pulartek of Ward No. 4 of Uttarkhan Thana. Total number of households were 1329. Population size in total was 5114, where 2548 were male and 2566 were female. Among them 200 households were chosen by simple random sampling technique – selected households had under five children and met the inclusion criteria (i.e., mother or caregiver of children under five years of age wanted to participate voluntarily. However, we excluded children having congenital anomalies and households using electricity for cooking purpose. A semi-structured questionnaire was used as data collection instrument. Questionnaire included socio-demographic characteristics such as age, sex, educational status, marital status, occupation, number of family members. Cooking related information, e.g., frequency of cooking, duration of cooking, type of fuel used, presence of children during cooking, sleeping in the kitchen and respiratory symptoms in children, e.g., nasal discharge, cough, breathing problems, chest tightness, wheezing, and sore throat were included in the data sheet. Besides, it contained information regarding location of the kitchen, area of the kitchen and presence of any ventilation facility and chimney. Nasal discharge (79.7% vs. 71.6%), cough (69.9% vs. 64.2%), and sore throat (9% vs. 6%) were more common in biomass fuel users’ children. In contrast, shortness of breath (22.4% vs. 18.8%) and wheezing (31.3% vs. 24.1%) were more common among fossil fuel users’ children. However, none of those differences were statistically significant (P>0.05).\u0000CBMJ 2023 July: vol. 12 no. 02 P: 164-170","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89391145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.3329/cbmj.v12i2.68387
A. S. M. Nurunnabi, Sadia Akther Sony, Munira Begum, S. Sharmin, F. Haseen, Md Kamran Ul Baset
Multinational nature of research activities has been growing increasingly through collaboration that involves a developing country and a developed country. However, several scandals have been reported to date in such research done by the western authorities in the name of collaboration, development, or health improvement in different developing countries especially revolving informed consent and protection of the participants. Those incidences tend to create distrust and may result in non-cooperative attitude among developing countries in further collaboration. This paper aims to discuss how much an informed consent is really informed and how community engagement can make it more meaningful and ethical by respecting the values of any society (i.e., participating developing country). Evidence suggests that there are essential interdependence and overlapping between consenting process and community engagement in that collaborative research. Community engagement is able to provide a meaningful insight that helps in formulation of context-specific consent process. It also helps to regulate and monitor consenting procedure, withdrawal from participation, and any relevant changes while research is ongoing. Moreover, as a sign of showing respect to the participating group in research, community engagement has been found instrumental in making research more acceptable and mutually beneficial. CBMJ 2023 July: Vol. 12 No. 02 P: 192-200
通过发展中国家和发达国家之间的合作，研究活动的多国性质日益增加。然而，迄今为止，在西方当局以合作、发展或改善健康的名义在不同发展中国家进行的这类研究中，特别是在知情同意和对参与者的保护方面，已经报告了一些丑闻。这些事件往往造成不信任，并可能导致发展中国家在进一步合作中采取不合作的态度。本文旨在讨论知情同意在多大程度上是真正知情的，以及社区参与如何通过尊重任何社会(即参与的发展中国家)的价值观使其更有意义和道德。有证据表明，在合作研究中，同意过程和社区参与之间存在着本质上的相互依存和重叠。社区参与能够提供有意义的见解，有助于制定具体情况的同意程序。它还有助于规范和监督同意程序、退出参与以及研究进行中的任何相关变化。此外，作为对参与研究的群体表示尊重的一种标志，社区参与已被发现有助于使研究更容易被接受和互利。中华医学杂志2023 July . 12卷02期，第192-200页
{"title":"Informed Consent through Community Engagement in Collaborative Research in Developing Countries","authors":"A. S. M. Nurunnabi, Sadia Akther Sony, Munira Begum, S. Sharmin, F. Haseen, Md Kamran Ul Baset","doi":"10.3329/cbmj.v12i2.68387","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68387","url":null,"abstract":"Multinational nature of research activities has been growing increasingly through collaboration that involves a developing country and a developed country. However, several scandals have been reported to date in such research done by the western authorities in the name of collaboration, development, or health improvement in different developing countries especially revolving informed consent and protection of the participants. Those incidences tend to create distrust and may result in non-cooperative attitude among developing countries in further collaboration. This paper aims to discuss how much an informed consent is really informed and how community engagement can make it more meaningful and ethical by respecting the values of any society (i.e., participating developing country). Evidence suggests that there are essential interdependence and overlapping between consenting process and community engagement in that collaborative research. Community engagement is able to provide a meaningful insight that helps in formulation of context-specific consent process. It also helps to regulate and monitor consenting procedure, withdrawal from participation, and any relevant changes while research is ongoing. Moreover, as a sign of showing respect to the participating group in research, community engagement has been found instrumental in making research more acceptable and mutually beneficial.\u0000CBMJ 2023 July: Vol. 12 No. 02 P: 192-200","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"206 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87640767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A cross-sectional, descriptive study was done on 150 (70 right and 80 left) fully ossified dry human scapulae of Bangladeshi people to find out the variation in length and breadth of the acromion process. Sample collection was carried out in the Department of Anatomy, Mymensingh Medical College, Bangladesh, between January and December of 2019. Any kind of damaged or broken scapulae were excluded to maintain standard measurement. Length and breadth were measured with the help of digital Vernier slide calipers. The mean (±SD) length was 41.77±5.87 mm and 40.84±6.262 mm on right and left sided scapulae respectively and the mean (±SD) breadth was 22.19±3.08 mm on right sided scapulae and 22.1±2.69 mm on left sided scapulae. These data are important to compare Bangladeshi scapulae to those from various other races that could contribute to demographic studies of shoulder disease probability and management in Bangladeshi population. CBMJ 2023 July: Vol. 12 No. 02 P: 183-187
{"title":"Morphometric Variation of Acromion Process in A Bangladeshi Population","authors":"Md Safat Latif, Rafuja Afrin Shanto, Dilruba Afrose Mili, Shamima Islam, Shah Md Atiqul Haque, Tasnoma Siddiquee, Sabiha Tanzeem, Masuma Sultana","doi":"10.3329/cbmj.v12i2.68380","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68380","url":null,"abstract":"A cross-sectional, descriptive study was done on 150 (70 right and 80 left) fully ossified dry human scapulae of Bangladeshi people to find out the variation in length and breadth of the acromion process. Sample collection was carried out in the Department of Anatomy, Mymensingh Medical College, Bangladesh, between January and December of 2019. Any kind of damaged or broken scapulae were excluded to maintain standard measurement. Length and breadth were measured with the help of digital Vernier slide calipers. The mean (±SD) length was 41.77±5.87 mm and 40.84±6.262 mm on right and left sided scapulae respectively and the mean (±SD) breadth was 22.19±3.08 mm on right sided scapulae and 22.1±2.69 mm on left sided scapulae. These data are important to compare Bangladeshi scapulae to those from various other races that could contribute to demographic studies of shoulder disease probability and management in Bangladeshi population. \u0000CBMJ 2023 July: Vol. 12 No. 02 P: 183-187","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77632072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.3329/cbmj.v12i2.68385
Mahmud Hasan
Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease characterized by the involvement of multiple organs, including the kidneys. Lupus nephritis (LN) is a common and severe manifestation of SLE, often leading to renal dysfunction and disease progression. However, some cases of LN can present with minimal or no clinical symptoms, making early detection and intervention challenging. We present a case report of a 26-year-old lady from Bangladesh with "silent" LN, emphasizing the importance of vigilant monitoring and timely diagnosis. The patient initially presented Swelling of lower limbs but did not exhibit overt urinary symptoms or signs of renal dysfunction. Laboratory investigations revealed elevated antinuclear antibodies (ANA), anti-double-stranded DNA (anti-dsDNA) antibodies, and reduced complement levels. Despite the absence of classical clinical features, a renal biopsy was performed due to persistent laboratory abnormalities, which confirmed the presence of LN. The patient's treatment regimen included high-dose corticosteroids and immunosuppressive agents, resulting in clinical improvement and normalization of laboratory parameters. Regular monitoring of renal function and disease activity was crucial in maintaining disease control and preventing further renal damage. CBMJ 2023 July: Vol. 12 No. 02 P: 188-191
系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病，其特征是累及包括肾脏在内的多个器官。狼疮性肾炎(LN)是SLE常见且严重的表现，常导致肾功能障碍和疾病进展。然而，一些LN病例可以表现为很少或没有临床症状，这使得早期发现和干预具有挑战性。我们提出一例来自孟加拉国的26岁女性“沉默”LN的病例报告，强调警惕监测和及时诊断的重要性。患者最初表现为下肢肿胀，但未表现出明显的泌尿系统症状或肾功能不全的迹象。实验室调查显示抗核抗体(ANA)，抗双链DNA(抗dsdna)抗体升高，补体水平降低。尽管没有典型的临床特征，但由于持续的实验室异常，进行了肾活检，证实了LN的存在。患者的治疗方案包括大剂量皮质类固醇和免疫抑制剂，导致临床改善和实验室参数正常化。定期监测肾功能和疾病活动是维持疾病控制和防止进一步肾脏损害的关键。中华医学杂志2023 July . 12卷02期:188-191
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Pub Date : 2023-09-02DOI: 10.3329/cbmj.v12i2.68377
Ahsanul Kabir, Abul Kalam Azad, A. T. M. A. Rustom, Suraya Akter, Md. Hasan Mahmood, Rashed Ashraf, Muinul Islam Shah, Md Mujahidul Islam, Aziza Jahan
A good visualization of the surgical field can be achieved by controlled hypotension with various hypotensive agents. Both dexmedetomidine and Magnesium Sulphate (MgSO4) has powerful analgesic effect and can induce hypotension during surgery. This study is aimed to compare the efficacy of Dexmedetomidine with Magnesium Sulphate in controlled hypotension during spine surgery. This randomized, prospective study was carried out in anesthesiology department of Combined Military Hospital, Dhaka for six-months of period following ethical approval. Total 60 patients, scheduled for spine surgery under GA were included in this study and randomly divided into Group D (Dexmedetomidine, n=30) and Group M (Magnesium sulfate, n=30). Informed written consent was taken from each subject. In every 15 mins, heart rate, systolic & diastolic blood pressure, mean arterial pressure (MAP) are assessed and the surgical field was assessed by the Boezaart surgical field bleeding score. Data were collected in separated case-record form and analyzed by the SPSS 24. Demographic characteristics were similar across the two groups in terms of age, sex, BMI, ASA grading, pre-operative systolic and diastolic blood pressure (p>0.05). Group D had higher mean duration of controlled hypotension (102.50±33.44 vs 85.33±20.25 minutes, p=0.02) and lower mean time to achieve target MAP (34.50±22.68 vs 46.00±10.37 minutes, p=0.016) than Group M. MAP was significantly lower for Group D patients than the Group M patients with time (p<0.05). Boezaart surgical field bleeding score was also significantly lower in Group D compared to Group M (p<0.05). In this study Dexmedetomidine is found more effective than Magnesium Sulphate in achieving controlled hypotension during spine surgery. Better haemodynamic stability is also found in Group D in comparison to Group M. CBMJ 2023 July: vol. 12 no. 02 P: 171-182
使用各种降压药控制降压，可使手术视野清晰可见。右美托咪定和硫酸镁(MgSO4)均具有较强的镇痛作用，术中可引起低血压。本研究旨在比较右美托咪定与硫酸镁在脊柱手术中控制性低血压的疗效。这项随机、前瞻性研究在达卡联合军队医院麻醉科进行，在伦理批准后为期6个月。本研究共纳入60例拟行GA下脊柱手术的患者，随机分为D组(右美托咪定，n=30)和M组(硫酸镁，n=30)。每位受试者都获得了知情的书面同意。每隔15分钟评估一次心率、收缩压、舒张压、平均动脉压(MAP)，并采用Boezaart手术野出血评分评估手术野。数据以单独的病例记录形式收集，并使用SPSS 24进行分析。两组患者在年龄、性别、BMI、ASA分级、术前收缩压和舒张压方面的人口学特征相似(p>0.05)。D组控制低血压的平均持续时间(102.50±33.44 vs 85.33±20.25 min, p=0.02)高于M组，达到MAP目标的平均时间(34.50±22.68 vs 46.00±10.37 min, p=0.016)低于M组，p<0.05。D组Boezaart手术野出血评分明显低于M组(p<0.05)。在这项研究中，右美托咪定比硫酸镁更有效地在脊柱手术中实现控制低血压。与m组相比，D组的血流动力学稳定性也更好。[p]: 171-182
{"title":"Hypotensive Anaesthesia during Spine Surgery – A Comparison between Dexmedetomidine and Magnesium Sulphate","authors":"Ahsanul Kabir, Abul Kalam Azad, A. T. M. A. Rustom, Suraya Akter, Md. Hasan Mahmood, Rashed Ashraf, Muinul Islam Shah, Md Mujahidul Islam, Aziza Jahan","doi":"10.3329/cbmj.v12i2.68377","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68377","url":null,"abstract":"A good visualization of the surgical field can be achieved by controlled hypotension with various hypotensive agents. Both dexmedetomidine and Magnesium Sulphate (MgSO4) has powerful analgesic effect and can induce hypotension during surgery. This study is aimed to compare the efficacy of Dexmedetomidine with Magnesium Sulphate in controlled hypotension during spine surgery. This randomized, prospective study was carried out in anesthesiology department of Combined Military Hospital, Dhaka for six-months of period following ethical approval. Total 60 patients, scheduled for spine surgery under GA were included in this study and randomly divided into Group D (Dexmedetomidine, n=30) and Group M (Magnesium sulfate, n=30). Informed written consent was taken from each subject. In every 15 mins, heart rate, systolic & diastolic blood pressure, mean arterial pressure (MAP) are assessed and the surgical field was assessed by the Boezaart surgical field bleeding score. Data were collected in separated case-record form and analyzed by the SPSS 24. Demographic characteristics were similar across the two groups in terms of age, sex, BMI, ASA grading, pre-operative systolic and diastolic blood pressure (p>0.05). Group D had higher mean duration of controlled hypotension (102.50±33.44 vs 85.33±20.25 minutes, p=0.02) and lower mean time to achieve target MAP (34.50±22.68 vs 46.00±10.37 minutes, p=0.016) than Group M. MAP was significantly lower for Group D patients than the Group M patients with time (p<0.05). Boezaart surgical field bleeding score was also significantly lower in Group D compared to Group M (p<0.05). In this study Dexmedetomidine is found more effective than Magnesium Sulphate in achieving controlled hypotension during spine surgery. Better haemodynamic stability is also found in Group D in comparison to Group M.\u0000CBMJ 2023 July: vol. 12 no. 02 P: 171-182","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87991336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.3329/cbmj.v12i2.68342
Farzana Anar, Md Harun Ar Rashid, Khaled Mohammad Islam, Rashedur Rahman, Md Mukhlachur Rahman, Sultana Razia Khanam, Md Masuqur Rahman
A descriptive, comparative study was conducted in the Department of Conservative Dentistry and Endodontics, Dhaka Dental College Hospital, Bangladesh, from December 2014 to November 2015, to evaluate the effectiveness of calcium hydroxide as a root canal sealer constituent. A total of 60 patients were selected by purposive sampling technique. Patients were divided into two equal groups of 30: group-I had zinc-oxide eugenol [ZOE] cement as a root canal sealer, while group-II had calcium hydroxideor sealapex [Ca(OH)2] cement as a root canal sealer. Total number of teeth treated by single-visit root canal therapy. Out of 60 patients, 37(61.7%) patients were male. In ZOE group, the highest incidence was in age group 21-30 years, where as in Ca(OH)2 group, it was in 11-20 years. The mean age of the patients was 27.62±6.20 years in ZOE group and 25.0±6.14 years in Ca(OH)2 group. 21(70.0%) mentioned trauma as an etiological factor followed by caries 4(13.33%) in ZOE group, while 18(60.0%) patients mentioned trauma followed by caries 6(20.0%) in Ca(OH)2 group. In ZOE group, the incidence of pain was 23(76.67%), and in Ca(OH)2 group, 22(73.33%) reported pain. Periapical radiolucency follow-up findings were significantly better at 3-month and 6-month follow-ups in the Ca(OH)2 group. The difference inthe final outcome of effectiveness in both ZOE and Ca(OH)2 group in the management of periradicular pathosis was statistically not significant (P>0.05). The present study findings revealed that single-visit root canal therapy was equally effective in the management of endodontically involved teeth with periradicular pathosis. After 12 months, in follow-up with post-operative clinical and radiological evaluations, Ca(OH)2 sealer group showed better results than ZOE sealer group. However, in shorter follow-ups, Ca(OH)2 sealer group showed significantly better findings as compared to ZOE sealer groups. CBMJ 2023 July: vol. 12 no. 02 P: 141-149
{"title":"An Evaluation of the Effectiveness of Calcium Hydroxide as A Root Canal Sealer Constituent","authors":"Farzana Anar, Md Harun Ar Rashid, Khaled Mohammad Islam, Rashedur Rahman, Md Mukhlachur Rahman, Sultana Razia Khanam, Md Masuqur Rahman","doi":"10.3329/cbmj.v12i2.68342","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68342","url":null,"abstract":"A descriptive, comparative study was conducted in the Department of Conservative Dentistry and Endodontics, Dhaka Dental College Hospital, Bangladesh, from December 2014 to November 2015, to evaluate the effectiveness of calcium hydroxide as a root canal sealer constituent. A total of 60 patients were selected by purposive sampling technique. Patients were divided into two equal groups of 30: group-I had zinc-oxide eugenol [ZOE] cement as a root canal sealer, while group-II had calcium hydroxideor sealapex [Ca(OH)2] cement as a root canal sealer. Total number of teeth treated by single-visit root canal therapy. Out of 60 patients, 37(61.7%) patients were male. In ZOE group, the highest incidence was in age group 21-30 years, where as in Ca(OH)2 group, it was in 11-20 years. The mean age of the patients was 27.62±6.20 years in ZOE group and 25.0±6.14 years in Ca(OH)2 group. 21(70.0%) mentioned trauma as an etiological factor followed by caries 4(13.33%) in ZOE group, while 18(60.0%) patients mentioned trauma followed by caries 6(20.0%) in Ca(OH)2 group. In ZOE group, the incidence of pain was 23(76.67%), and in Ca(OH)2 group, 22(73.33%) reported pain. Periapical radiolucency follow-up findings were significantly better at 3-month and 6-month follow-ups in the Ca(OH)2 group. The difference inthe final outcome of effectiveness in both ZOE and Ca(OH)2 group in the management of periradicular pathosis was statistically not significant (P>0.05). The present study findings revealed that single-visit root canal therapy was equally effective in the management of endodontically involved teeth with periradicular pathosis. After 12 months, in follow-up with post-operative clinical and radiological evaluations, Ca(OH)2 sealer group showed better results than ZOE sealer group. However, in shorter follow-ups, Ca(OH)2 sealer group showed significantly better findings as compared to ZOE sealer groups. \u0000CBMJ 2023 July: vol. 12 no. 02 P: 141-149","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"349 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82590533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.3329/cbmj.v12i2.68340
Mahmud Hasan
Abstract not available CBMJ 2023 July: Vol. 12 No. 02 P: 138-140
摘要:《中华医学杂志》2023年7月第12卷第02期，第138-140页
{"title":"Awareness Regarding Crush Injury and Renal Complications","authors":"Mahmud Hasan","doi":"10.3329/cbmj.v12i2.68340","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68340","url":null,"abstract":"Abstract not available \u0000CBMJ 2023 July: Vol. 12 No. 02 P: 138-140","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74493709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.3329/cbmj.v12i2.68346
Sharmin Begum
Treatment of tinea paedis is very crucial with the different antifungal drugs. The purpose of the present study was to compare the efficacy and safety of oral use of terbinafine and itraconazole for the treatment of tinea paedis. This study was a double-blind, randomized, single-center clinical trial. The patients were randomly allocated to receive a daily dose of terbinafine 500 mg daily for 4 weeks (Group I) or 200 mg of itraconazole for 4 weeks daily (Group II). The primary efficacy criterion was mycological cure, defined as negative results on microscopy and culture at the end of follow-up and no requirement of second intervention treatment. Secondary efficacy criteria included clinical cure without second intervention treatment and mycological and clinical relapse rates. A total of 50 patients were included in this study, it was observed that majority patients were age belonged to 31-40 years in both groups. Regarding gender distribution of the study patients, it was observed that male were predominant in both groups, which was 20(80.0%) in group A and 19(76.0%) in group B. All hyperkeratotic patients were shown 100.0% cases of clinical response. However, interdigital lesion were recovered in 7(100.0%) cases in group A and 6(85.7%) cases in group B. In conclusion, tinea paedis is significantly improved by both drugs, without significant difference after 8 weeks follow-up. CBMJ 2023 July: vol. 12 no. 02 P: 150-156
{"title":"Comparison of Efficacy and Safety of Oral Use of Terbinafine and Itraconazole for the treatment of Tinea paedis: A Randomized Controlled Parallel Group Open Labeled Trial with Clinico-Mycological Correlation","authors":"Sharmin Begum","doi":"10.3329/cbmj.v12i2.68346","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68346","url":null,"abstract":"Treatment of tinea paedis is very crucial with the different antifungal drugs. The purpose of the present study was to compare the efficacy and safety of oral use of terbinafine and itraconazole for the treatment of tinea paedis. This study was a double-blind, randomized, single-center clinical trial. The patients were randomly allocated to receive a daily dose of terbinafine 500 mg daily for 4 weeks (Group I) or 200 mg of itraconazole for 4 weeks daily (Group II). The primary efficacy criterion was mycological cure, defined as negative results on microscopy and culture at the end of follow-up and no requirement of second intervention treatment. Secondary efficacy criteria included clinical cure without second intervention treatment and mycological and clinical relapse rates. A total of 50 patients were included in this study, it was observed that majority patients were age belonged to 31-40 years in both groups. Regarding gender distribution of the study patients, it was observed that male were predominant in both groups, which was 20(80.0%) in group A and 19(76.0%) in group B. All hyperkeratotic patients were shown 100.0% cases of clinical response. However, interdigital lesion were recovered in 7(100.0%) cases in group A and 6(85.7%) cases in group B. In conclusion, tinea paedis is significantly improved by both drugs, without significant difference after 8 weeks follow-up.\u0000CBMJ 2023 July: vol. 12 no. 02 P: 150-156","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79221975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-02DOI: 10.3329/cbmj.v12i2.68359
Monika Parvin, Dewan Ali Hassan Chowdhury, Mohammad Ashik Anwar Bahar
A prospective, observational study was carried out in the Department of Surgery of Sylhet MAG Osmani Medical College, Bangladesh, from May 2019 to May 2020, to compare the short-term outcomes of laparoscopic versus open appendectomy for acute appendicitis. A total of 120 patients who were diagnosed with acute appendicitis and underwent surgery were included in this study. The selected patients underwent appendectomy either by laparoscopic or using open method under general anesthesia. The patients were divided into two groups – 60 patients underwent laparoscopic appendectomy as group-I and the other 60 patients underwent open appendectomy as group-II. The mean age was 26.25±7.83 years in group-I and 22.88±6.92 years in group-II. The difference was statistically significant (P<0.05). Male predominance was found: 40(66.67%) in group-I and 44(73.33%) in group-II. However, the difference was not statistically significant (P>0.05). The mean operating time was 65.05±8.76 min in group-I and 40.08±4.82 min in group-II. The mean time resumption of diet was 7.3±0.9 hours in group-I and 25.4±4.5 hours in group-II. The mean postoperative pain was 1.32±0.47 in group-I and 3.27±0.69 in group-II. 1(1.7%) patient had wound infection in group-II; however, no patients in group-I developed wound infection. The mean duration of hospital stay was 2.20±0.40 days in group-I and 3.62±0.98 days in group-II. The majority (81.7%) of the patients had the best quality of the scar in group-I and 48(80%) in group-II. The mean quality of the scar was 4.82±0.39 in group-I and 2.90±0.44 in group-II. All those differences except wound infection were statistically significant (P<0.001). This study demonstrated that laparoscopic appendectomy is as safe and effective as the open procedure. The overall benefit of laparoscopic appendectomy is more, as it results in less postoperative pain, shorter duration of hospital stays, better wound healing, as well as cosmetic outcome as compared to open procedure. CBMJ 2023 July: Vol. 12 No. 02 P: 157-163
{"title":"Short Term Outcomes of Laparoscopic Versus Open Appendicectomy in Patients with Acute Appendicitis","authors":"Monika Parvin, Dewan Ali Hassan Chowdhury, Mohammad Ashik Anwar Bahar","doi":"10.3329/cbmj.v12i2.68359","DOIUrl":"https://doi.org/10.3329/cbmj.v12i2.68359","url":null,"abstract":"A prospective, observational study was carried out in the Department of Surgery of Sylhet MAG Osmani Medical College, Bangladesh, from May 2019 to May 2020, to compare the short-term outcomes of laparoscopic versus open appendectomy for acute appendicitis. A total of 120 patients who were diagnosed with acute appendicitis and underwent surgery were included in this study. The selected patients underwent appendectomy either by laparoscopic or using open method under general anesthesia. The patients were divided into two groups – 60 patients underwent laparoscopic appendectomy as group-I and the other 60 patients underwent open appendectomy as group-II. The mean age was 26.25±7.83 years in group-I and 22.88±6.92 years in group-II. The difference was statistically significant (P<0.05). Male predominance was found: 40(66.67%) in group-I and 44(73.33%) in group-II. However, the difference was not statistically significant (P>0.05). The mean operating time was 65.05±8.76 min in group-I and 40.08±4.82 min in group-II. The mean time resumption of diet was 7.3±0.9 hours in group-I and 25.4±4.5 hours in group-II. The mean postoperative pain was 1.32±0.47 in group-I and 3.27±0.69 in group-II. 1(1.7%) patient had wound infection in group-II; however, no patients in group-I developed wound infection. The mean duration of hospital stay was 2.20±0.40 days in group-I and 3.62±0.98 days in group-II. The majority (81.7%) of the patients had the best quality of the scar in group-I and 48(80%) in group-II. The mean quality of the scar was 4.82±0.39 in group-I and 2.90±0.44 in group-II. All those differences except wound infection were statistically significant (P<0.001). This study demonstrated that laparoscopic appendectomy is as safe and effective as the open procedure. The overall benefit of laparoscopic appendectomy is more, as it results in less postoperative pain, shorter duration of hospital stays, better wound healing, as well as cosmetic outcome as compared to open procedure.\u0000CBMJ 2023 July: Vol. 12 No. 02 P: 157-163","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84978895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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