Pub Date : 2023-02-19DOI: 10.3329/cbmj.v12i1.64303
B. K. Biswas, Manjurul Karim Khan, Subir Gupta
Tympanic membrane is the partition between the external ear and middle layer which is a vital component of the human ear. Neglected or maltreated earache, ear discharge and trauma lead to perforation of tympanic membrane. Tympanoplasty is the surgical procedure performed to repair a perforated tympanic membrane, with/without reconstruction of the ossicles, with the aim of preventing reinfection and restoring hearing ability. Type 1 tympanoplasty is the simple closure of the tympanic membrane perforation. To study the outcome of type 1 tympanoplasty operation by interlay technique, a descriptive longitudinal study was conducted among 200 patients in Community Based Medical College Hospital and in private clinics of Mymensingh from January 2012 to December 2021. Our inclusion criteria was population of age ranging from 15 to 55 yrs of both sexes having dry central perforation for at least 6 weeks and exclusion criteria was patient with active stage of chronic suppurative otitis media (CSOM), ossicular discontinuity, sensory neural hearing loss. Data was analyzed by SPSS version 20.0. Prevalence of taking graft was 96.00%. Measured by difference of preoperative air bone gap (ABG) and postoperative ABG of 15 decibel (dB) hearing improvement rate was 90%. Complication was minimal (1%). The complication was infection due to non-compliance with postoperative advice and treatment. Type 1 tympanoplasty done by interlay technique has excellent results both in terms of graft taken and hearing improvement with minimal complications. CBMJ 2023 January: Vol. 12 No. 01 P: 67-72
{"title":"Type 1 Tympanoplasty by Interlay Technique for Management of Tympanic Membrane Perforation","authors":"B. K. Biswas, Manjurul Karim Khan, Subir Gupta","doi":"10.3329/cbmj.v12i1.64303","DOIUrl":"https://doi.org/10.3329/cbmj.v12i1.64303","url":null,"abstract":"Tympanic membrane is the partition between the external ear and middle layer which is a vital component of the human ear. Neglected or maltreated earache, ear discharge and trauma lead to perforation of tympanic membrane. Tympanoplasty is the surgical procedure performed to repair a perforated tympanic membrane, with/without reconstruction of the ossicles, with the aim of preventing reinfection and restoring hearing ability. Type 1 tympanoplasty is the simple closure of the tympanic membrane perforation. To study the outcome of type 1 tympanoplasty operation by interlay technique, a descriptive longitudinal study was conducted among 200 patients in Community Based Medical College Hospital and in private clinics of Mymensingh from January 2012 to December 2021. Our inclusion criteria was population of age ranging from 15 to 55 yrs of both sexes having dry central perforation for at least 6 weeks and exclusion criteria was patient with active stage of chronic suppurative otitis media (CSOM), ossicular discontinuity, sensory neural hearing loss. Data was analyzed by SPSS version 20.0. Prevalence of taking graft was 96.00%. Measured by difference of preoperative air bone gap (ABG) and postoperative ABG of 15 decibel (dB) hearing improvement rate was 90%. Complication was minimal (1%). The complication was infection due to non-compliance with postoperative advice and treatment. Type 1 tympanoplasty done by interlay technique has excellent results both in terms of graft taken and hearing improvement with minimal complications. \u0000CBMJ 2023 January: Vol. 12 No. 01 P: 67-72","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84709509","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 study was conducted between January and December of 2018 in some randomly selected schools under Dhaka City Corporation, Bangladesh, to examine mothers’ experience and their perceived barriers to practice healthy feeding to their school going children. We adopted convenient sampling technique. A total of 120 mothers participated in this study who had children aged between six and eight years. A pre-tested, semi-structured questionnaire was used for data collection. Questionnaire was formatted in both Bangla and English language. However, the participants chose Bangla version for filling up the survey questionnaire. A modified Likert’s scale was used. Socio-demographic variables, mothers’ feeding practice and perceived barriers were analysed using descriptive statistics. 58.2% of the participants belonged to 30-35 years age group, while 41.8% to 36-40 years age group. Among them, higher secondary passed 3.4%, while 35.3% had their university graduation, and 61.3% completed postgraduation. 6.7% had poor economic status, while 73.3% were semi-elite and 20% were from elite income group. Among them, 75% were Muslim, 14.2% Hindu, 7.5% Christian and 3.3% Buddhist. 21.7% of the mothers found availability of healthy food as 'very easy' and 66.7% found it 'easy', while 9.2% found it 'difficult'; only 2.5% found it 'very difficult'. Only 11.6% of the mothers found preparation of healthy meal inconvenient, while 71.7% found it convenient and 16.7% found it very convenient. Regarding taste of a healthy meal, 2.5% reported as 'very monotonous', 37.5% as 'monotonous', 54.2% reported as 'charming' and only 5.8% stated it as 'very charming'. Preparation cost of a healthy meal was reported as costly by only 15.8% of the mothers, while cost effective by 76.7%, and very cost effective by the rest 7.5%. 42.4% of the mothers stated that their children have the habits of taking meal sitting with the family members, while 48.8% were fed while watching TV, and 8.8% reported that they fed their children while they were playing. Only 37.5% of mothers reported that their children found it pleasant taking healthy food. Regarding time spent on feeding the children, 17.5% stated 'very time consuming', while 68.3% stated 'time consuming', and only 14.2% found it 'timesaving'. Only 20.8% of mothers reported that they could conveniently feed their children healthy food. Difficulties experienced by the mothers were strong aversion (15.8%), fast food preference (22.5%), varieties of food preference (61.7%). CBMJ 2023 January: Vol. 12 No. 01 P: 93-98
2018年1月至12月期间,在孟加拉国达卡市公司(Dhaka City Corporation)下随机选择的一些学校进行了一项横断面研究,以检查母亲的经历以及她们认为的为学龄儿童实行健康喂养的障碍。我们采用了方便的抽样技术。共有120名母亲参与了这项研究,她们的孩子年龄在6到8岁之间。采用预先测试的半结构化问卷进行数据收集。问卷以孟加拉文和英文两种格式填写。然而,参与者选择孟加拉语版本填写调查问卷。采用改良的李克特量表。使用描述性统计分析社会人口变量、母亲喂养做法和感知障碍。30-35岁年龄组占58.2%,36-40岁年龄组占41.8%。其中,高中毕业3.4%,大学毕业35.3%,研究生毕业61.3%。6.7%的人经济状况不佳,73.3%的人属于半精英阶层,20%的人来自精英收入群体。其中75%是穆斯林,14.2%是印度教徒,7.5%是基督教徒,3.3%是佛教徒。21.7%的母亲认为获得健康食品“非常容易”,66.7%认为“容易”,9.2%认为“困难”;只有2.5%的人认为“非常困难”。只有11.6%的妈妈认为准备健康餐不方便,71.7%的妈妈认为方便,16.7%的妈妈认为非常方便。关于健康饮食的味道,2.5%的人认为“非常单调”,37.5%的人认为“单调”,54.2%的人认为“迷人”,只有5.8%的人认为“非常迷人”。只有15.8%的母亲认为健康膳食的准备成本昂贵,而76.7%的母亲认为成本有效,其余7.5%的母亲认为非常具有成本效益。42.4%的母亲表示自己的孩子有和家人坐在一起吃饭的习惯,48.8%的母亲在看电视的时候喂孩子,8.8%的母亲在孩子玩耍的时候喂孩子。只有37.5%的母亲报告说,她们的孩子觉得吃健康食品很愉快。17.5%的人认为“非常耗时”,68.3%的人认为“耗时”,只有14.2%的人认为“省时”。只有20.8%的母亲报告说,她们可以方便地给孩子喂健康食品。母亲的困难表现为强烈厌恶(15.8%)、快餐偏好(22.5%)、食物偏好种类(61.7%)。中华医学杂志2023年1月12期01期P: 93-98
{"title":"Mothers’ Experience and Perceived Barriers to Practice Healthy Feeding to Their School Going Children","authors":"Tunazzina Shahrin, Bijoy Kumer Paul, S. Sharmin, Munira Begum, Nusrat Jahan, Farzana Nusrat, Moyeedur Rahman","doi":"10.3329/cbmj.v12i1.64364","DOIUrl":"https://doi.org/10.3329/cbmj.v12i1.64364","url":null,"abstract":"A cross-sectional study was conducted between January and December of 2018 in some randomly selected schools under Dhaka City Corporation, Bangladesh, to examine mothers’ experience and their perceived barriers to practice healthy feeding to their school going children. We adopted convenient sampling technique. A total of 120 mothers participated in this study who had children aged between six and eight years. A pre-tested, semi-structured questionnaire was used for data collection. Questionnaire was formatted in both Bangla and English language. However, the participants chose Bangla version for filling up the survey questionnaire. A modified Likert’s scale was used. Socio-demographic variables, mothers’ feeding practice and perceived barriers were analysed using descriptive statistics. 58.2% of the participants belonged to 30-35 years age group, while 41.8% to 36-40 years age group. Among them, higher secondary passed 3.4%, while 35.3% had their university graduation, and 61.3% completed postgraduation. 6.7% had poor economic status, while 73.3% were semi-elite and 20% were from elite income group. Among them, 75% were Muslim, 14.2% Hindu, 7.5% Christian and 3.3% Buddhist. 21.7% of the mothers found availability of healthy food as 'very easy' and 66.7% found it 'easy', while 9.2% found it 'difficult'; only 2.5% found it 'very difficult'. Only 11.6% of the mothers found preparation of healthy meal inconvenient, while 71.7% found it convenient and 16.7% found it very convenient. Regarding taste of a healthy meal, 2.5% reported as 'very monotonous', 37.5% as 'monotonous', 54.2% reported as 'charming' and only 5.8% stated it as 'very charming'. Preparation cost of a healthy meal was reported as costly by only 15.8% of the mothers, while cost effective by 76.7%, and very cost effective by the rest 7.5%. 42.4% of the mothers stated that their children have the habits of taking meal sitting with the family members, while 48.8% were fed while watching TV, and 8.8% reported that they fed their children while they were playing. Only 37.5% of mothers reported that their children found it pleasant taking healthy food. Regarding time spent on feeding the children, 17.5% stated 'very time consuming', while 68.3% stated 'time consuming', and only 14.2% found it 'timesaving'. Only 20.8% of mothers reported that they could conveniently feed their children healthy food. Difficulties experienced by the mothers were strong aversion (15.8%), fast food preference (22.5%), varieties of food preference (61.7%). \u0000CBMJ 2023 January: Vol. 12 No. 01 P: 93-98","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77965686","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 : 2023-02-19DOI: 10.3329/cbmj.v12i1.64292
KM Monjurul Alom, Mirza Mohammad Idris Ali, Md Jakaria Mahmud, Mohiuddin Ahmed
The aim of this study was to assess the diagnostic efficacy of Xpert MTB/RIF assay in bronchoalveolar lavage (BAL) in the diagnosis of pulmonary tuberculosis in sputum-smear negative patients. This observational case series study was conducted in a tertiary base institute of Bangladesh from July 2017 to June 2019. All patients with suspected pulmonary tuberculosis who were sputum-smear negative, irrespective of age and gender were included in this study. BAL fluid thus obtained and examined the smear for acid fast bacilli (AFB) and Xpert MTB/RIF assay. The sensitivity, specificity and accuracy values were calculated for smear AFB and Xpert MTB/RIF assay. Xpert MTB/RIF was identified 33 (36.7%) of 90 patients on bronchoalveolar lavage fluid in the final analysis. AFB Fluid culture was positive in 28 (31.2%) cases. The sensitivity and specificity of Xpert MTB/RIF assay was 85.7%, and 85.5% respectively. The positive likelihood ratio was 5.90, and the negative likelihood ratio was 0.167. The accuracy was 85.56%. Xpert MTB/RIF on BAL fluid can be recommended as a fruitful diagnostic tool for mycobacterium pulmonary tuberculosis especially in sputum smear negative, and culture negative patients. CBMJ 2023 January: Vol. 12 No. 01 P: 60-66
{"title":"Role of Bronchoalveolar Lavage (BAL) Gene Xpert in Diagnosis of PTB in Sputum Smear Negative Patients","authors":"KM Monjurul Alom, Mirza Mohammad Idris Ali, Md Jakaria Mahmud, Mohiuddin Ahmed","doi":"10.3329/cbmj.v12i1.64292","DOIUrl":"https://doi.org/10.3329/cbmj.v12i1.64292","url":null,"abstract":"The aim of this study was to assess the diagnostic efficacy of Xpert MTB/RIF assay in bronchoalveolar lavage (BAL) in the diagnosis of pulmonary tuberculosis in sputum-smear negative patients. This observational case series study was conducted in a tertiary base institute of Bangladesh from July 2017 to June 2019. All patients with suspected pulmonary tuberculosis who were sputum-smear negative, irrespective of age and gender were included in this study. BAL fluid thus obtained and examined the smear for acid fast bacilli (AFB) and Xpert MTB/RIF assay. The sensitivity, specificity and accuracy values were calculated for smear AFB and Xpert MTB/RIF assay. Xpert MTB/RIF was identified 33 (36.7%) of 90 patients on bronchoalveolar lavage fluid in the final analysis. AFB Fluid culture was positive in 28 (31.2%) cases. The sensitivity and specificity of Xpert MTB/RIF assay was 85.7%, and 85.5% respectively. The positive likelihood ratio was 5.90, and the negative likelihood ratio was 0.167. The accuracy was 85.56%. Xpert MTB/RIF on BAL fluid can be recommended as a fruitful diagnostic tool for mycobacterium pulmonary tuberculosis especially in sputum smear negative, and culture negative patients. \u0000CBMJ 2023 January: Vol. 12 No. 01 P: 60-66","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79532620","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 : 2022-08-17DOI: 10.3329/cbmj.v11i2.61228
Md Mahbubur Rahman, A. Amin, Md.Abdul Quader
Meconium Stained Amniotic Fluid is associated with increased risk of operative delivery or caesarean section and increased rate of neonatal resuscitation, morbidity and mortality. A hospital-based prospective, observational study was conducted in the Obstetrics & Gynecology Department, NICU and Neonatal Ward of Naval Base Hospital, a tertiary care hospital of Bangladesh Navy, Chattogram, Bangladesh, between January 2020 and December 2021. A semi-structured questionnaire was prepared for both case and control group. 182 cases were enrolled as case and another 182 cases were as control. Antenatal checkup was significantly less in cases (p<0.05). Mean weight was 2.8±0.4 Kg in cases and in control 2.7±0.5 Kg (p<0.01). Mean fetal heart rate were 140±10.5 beats/min in cases and in control 135.7±7.2 beats/min (p<0.01). Apgar scores at 1st minute and fifth minutes were significantly lower in cases (7±1.4 and 8.2±1.2 respectively) in comparison to control (7.5±0.3 and 9.2±1.1 respectively). Obstetric outcome of labor, that is mode of delivery was significantly dictated by the presence of MSAF. There were more than half (57.1%) of the cases were having grade three MSAF, whereas grade one and grade two were 14.8% and 28% respectively. Perinatal asphyxia, 5 min APGAR score <7, oropharyngeal suction needed, EONS, MAS, admission in NICU/Neonatal ward and neonatal death all were significantly higher in MASF group. MSAF is associated with increased need for neonatal resuscitation, higher risk of perinatal asphyxia, MAS, hospital admission and mortality for fetus and higher risk for operative delivery. CBMJ 2022 July: vol. 11 no. 02 P: 114-119
羊水粪染色与手术分娩或剖宫产风险增加、新生儿复苏率、发病率和死亡率增加有关。2020年1月至2021年12月,在孟加拉国海军三级医院海军基地医院妇产科、新生儿重症监护室和新生儿病房进行了一项以医院为基础的前瞻性观察研究。对病例组和对照组分别进行半结构化问卷调查。182例作为病例,182例作为对照。产前检查明显少于对照组(p<0.05)。患者平均体重为2.8±0.4 Kg,对照组为2.7±0.5 Kg (p<0.01)。平均胎心率为140±10.5次/min,对照组为135.7±7.2次/min (p<0.01)。第1分钟和第5分钟Apgar评分(分别为7±1.4和8.2±1.2)明显低于对照组(分别为7.5±0.3和9.2±1.1)。分娩的产科结果,即分娩方式是由MSAF的存在显着决定的。超过一半(57.1%)的病例为三级MSAF,一级和二级MSAF分别为14.8%和28%。围产儿窒息、5 min APGAR评分<7分、需要口咽吸痰、EONS、MAS、NICU/新生儿病房入院及新生儿死亡均显著高于MASF组。MSAF与新生儿复苏需求增加、围产期窒息、MAS、住院和胎儿死亡率增加以及手术分娩风险增加有关。《中国医学杂志》2022年7月第11期[02:14 . 119
{"title":"Meconium-Stained Amniotic Fluid and Its Perinatal Feto-maternal Outcome","authors":"Md Mahbubur Rahman, A. Amin, Md.Abdul Quader","doi":"10.3329/cbmj.v11i2.61228","DOIUrl":"https://doi.org/10.3329/cbmj.v11i2.61228","url":null,"abstract":"Meconium Stained Amniotic Fluid is associated with increased risk of operative delivery or caesarean section and increased rate of neonatal resuscitation, morbidity and mortality. A hospital-based prospective, observational study was conducted in the Obstetrics & Gynecology Department, NICU and Neonatal Ward of Naval Base Hospital, a tertiary care hospital of Bangladesh Navy, Chattogram, Bangladesh, between January 2020 and December 2021. A semi-structured questionnaire was prepared for both case and control group. 182 cases were enrolled as case and another 182 cases were as control. Antenatal checkup was significantly less in cases (p<0.05). Mean weight was 2.8±0.4 Kg in cases and in control 2.7±0.5 Kg (p<0.01). Mean fetal heart rate were 140±10.5 beats/min in cases and in control 135.7±7.2 beats/min (p<0.01). Apgar scores at 1st minute and fifth minutes were significantly lower in cases (7±1.4 and 8.2±1.2 respectively) in comparison to control (7.5±0.3 and 9.2±1.1 respectively). Obstetric outcome of labor, that is mode of delivery was significantly dictated by the presence of MSAF. There were more than half (57.1%) of the cases were having grade three MSAF, whereas grade one and grade two were 14.8% and 28% respectively. Perinatal asphyxia, 5 min APGAR score <7, oropharyngeal suction needed, EONS, MAS, admission in NICU/Neonatal ward and neonatal death all were significantly higher in MASF group. MSAF is associated with increased need for neonatal resuscitation, higher risk of perinatal asphyxia, MAS, hospital admission and mortality for fetus and higher risk for operative delivery. \u0000CBMJ 2022 July: vol. 11 no. 02 P: 114-119","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75135127","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 : 2022-08-17DOI: 10.3329/cbmj.v11i2.61284
R. Parveen, M. Rahman, Mahmud Ahmed, Md. Ashraful Azim, Zeenatul Momena, Mohammad Nahid Salman
Down syndrome (DS) is the most common chromosomal disorder which causes intellectual disability. It is mainly because of the presence of extra copy of chromosome number 21. Dermatoglyphic has been well established as a diagnostic aid in number of diseases having hereditary basis. Dermatoglyphic data was obtained by the use of ink and prints on a paper. This cross-sectional, analytical type of study was performed at the Department of Anatomy, Dhaka Medical College, Dhaka from January 2017 to December 2017 on 40 Down syndrome subjects (age ranged from 6 to 16) selected from Society for the Welfare of the Intellectually Disabled, Bangladesh (SWID, Bangladesh) and Down Syndrome Society of Bangladesh (DSS) and compared with 40 controls for the establishment of comparison between two groups. Dermatoglyphic prints were used to evaluate the difference in „atd‟ „dat‟ „adt‟ angles and pattern intensity between the control and the DS individuals. The results showed that „atd‟ angle was significantly higher (p<0.05) in Down males than the controls. The dactylography study also revealed lower „dat‟ „adt‟ angles (p<0.05) and pattern intensity (p<0.001) in both hands of Down syndrome group. This method is non-invasive and cost effective. The observed changes in the „atd‟ „dat‟ and „adt‟ angles plus the patterns intensity in the dermatoglyphic study proved that this simple technique could be a valuable tool for selecting individuals of DS for cytogenetic analysis. CBMJ 2022 July: vol. 11 no. 02 P: 144-151
{"title":"Dermatoglyphic Assessment in Male Down Syndrome","authors":"R. Parveen, M. Rahman, Mahmud Ahmed, Md. Ashraful Azim, Zeenatul Momena, Mohammad Nahid Salman","doi":"10.3329/cbmj.v11i2.61284","DOIUrl":"https://doi.org/10.3329/cbmj.v11i2.61284","url":null,"abstract":"Down syndrome (DS) is the most common chromosomal disorder which causes intellectual disability. It is mainly because of the presence of extra copy of chromosome number 21. Dermatoglyphic has been well established as a diagnostic aid in number of diseases having hereditary basis. Dermatoglyphic data was obtained by the use of ink and prints on a paper. This cross-sectional, analytical type of study was performed at the Department of Anatomy, Dhaka Medical College, Dhaka from January 2017 to December 2017 on 40 Down syndrome subjects (age ranged from 6 to 16) selected from Society for the Welfare of the Intellectually Disabled, Bangladesh (SWID, Bangladesh) and Down Syndrome Society of Bangladesh (DSS) and compared with 40 controls for the establishment of comparison between two groups. Dermatoglyphic prints were used to evaluate the difference in „atd‟ „dat‟ „adt‟ angles and pattern intensity between the control and the DS individuals. The results showed that „atd‟ angle was significantly higher (p<0.05) in Down males than the controls. The dactylography study also revealed lower „dat‟ „adt‟ angles (p<0.05) and pattern intensity (p<0.001) in both hands of Down syndrome group. This method is non-invasive and cost effective. The observed changes in the „atd‟ „dat‟ and „adt‟ angles plus the patterns intensity in the dermatoglyphic study proved that this simple technique could be a valuable tool for selecting individuals of DS for cytogenetic analysis. \u0000CBMJ 2022 July: vol. 11 no. 02 P: 144-151","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77763458","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 : 2022-08-17DOI: 10.3329/cbmj.v11i2.61223
Shawana Haque, M. Mozaffor, M. Mahmud, M. Muttalib
A cross-sectional study was conducted in the Department of Biochemistry and Molecular Biology of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh, between July 2016 and June 2017, to evaluate serum zinc level and its relationship with glycemic control in type 1 diabetic children. A total of 160 participants (all aged between 1 and 18 years) were selected from the outpatient department (OPD) of BIRDEM General Hospital-2, Dhaka – 80 type 1 diabetic children as cases and 80 apparently healthy children as controls. We measured anthropometric parameters all study subjects. Serum zinc level was assessed using colorimetric method. Fasting plasma glucose level was estimated using enzymatic glucose-oxidase method. Glycemic control was evaluated through estimation of HbA1c using a high-performance liquid chromatographic method. The mean serum zinc levels were significantly lower in patient with type 1 DM compared to control (72.5±16.5 vs. 82.4±13.3 μg/dl; P<0.001). Lower levels of zinc were found in subjects with poor glycemic control compared to good glycemic control (62.8±14.6 vs. 78.8±14.6 μg/dl; P<0.001). Moreover, serum zinc levels were significantly lower in patients who have duration of diabetes mellitus for 5 years or more (P<0.05). To summarize, serum zinc level is lower in type 1 diabetic children in comparison to its healthy counterpart and this lower zinc level is strongly associated with poor glycemic control which may potentially contribute to the early development of diabetic complications in children. CBMJ 2022 July: vol. 11 no. 02 P: 80-85
{"title":"Serum Zinc Level in Children Suffering from Type 1 Diabetes Mellitus and Its Relationship with Glycemic Control: An Experience from A Tertiary Level Specialized Diabetic Hospital in Bangladesh","authors":"Shawana Haque, M. Mozaffor, M. Mahmud, M. Muttalib","doi":"10.3329/cbmj.v11i2.61223","DOIUrl":"https://doi.org/10.3329/cbmj.v11i2.61223","url":null,"abstract":"A cross-sectional study was conducted in the Department of Biochemistry and Molecular Biology of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh, between July 2016 and June 2017, to evaluate serum zinc level and its relationship with glycemic control in type 1 diabetic children. A total of 160 participants (all aged between 1 and 18 years) were selected from the outpatient department (OPD) of BIRDEM General Hospital-2, Dhaka – 80 type 1 diabetic children as cases and 80 apparently healthy children as controls. We measured anthropometric parameters all study subjects. Serum zinc level was assessed using colorimetric method. Fasting plasma glucose level was estimated using enzymatic glucose-oxidase method. Glycemic control was evaluated through estimation of HbA1c using a high-performance liquid chromatographic method. The mean serum zinc levels were significantly lower in patient with type 1 DM compared to control (72.5±16.5 vs. 82.4±13.3 μg/dl; P<0.001). Lower levels of zinc were found in subjects with poor glycemic control compared to good glycemic control (62.8±14.6 vs. 78.8±14.6 μg/dl; P<0.001). Moreover, serum zinc levels were significantly lower in patients who have duration of diabetes mellitus for 5 years or more (P<0.05). To summarize, serum zinc level is lower in type 1 diabetic children in comparison to its healthy counterpart and this lower zinc level is strongly associated with poor glycemic control which may potentially contribute to the early development of diabetic complications in children. \u0000CBMJ 2022 July: vol. 11 no. 02 P: 80-85","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82724452","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 : 2022-08-17DOI: 10.3329/cbmj.v11i2.61282
A. Ara, Zubaida Gulshan Kazi Ara, T. Begum, Dilruba Afrose Mili, K. Naher
A cross-sectional, descriptive study was done to determine the breath of the thyroid lamina and the differences in its values in respect of age and sex in Bangladeshi cadavers. A total 60 postmortem human larynges were collected between October 2008 and March 2009. Among those, 45 (male 23 and female 22) were collected from unknown dead bodies (aged between 9 and 60 years) under autopsy in the mortuary of Department of Forensic Medicine of Mymensingh Medical College, while the other 15 (male 6 and female 9) were collected from stillborn babies of viable age (28 to 40 weeks of gestation) in the Department of Obstetrics & Gynaecology of Mymensingh Medical College Hospital, Mymensingh, Bangladesh. The breath of thyroid lamina was measured from laryngeal prominence to the posterior margins of lamina at its transverse plane using slide calipers and differences were observed in between age groups and sexes. The mean±SD breadth of thyroid lamina was found 12.40±1.30 mm in group A (from 28 to 40 weeks of gestation) ranging between 9 and 14 mm, while 26.19±3.69 mm in group B (from 9 to 16 years) ranging between 21 and 35 mm, and 30.76±4.17 mm in group C (from 17 to 60 years) with a range of 24 to 38 mm. The mean breadth of thyroid lamina was highest in age group C (30.76 mm) and was lowest in age group A (12.40 mm). The mean difference of breadth of thyroid lamina between group A & B, A & C and B & C were statistically significant (P=0.000). The breadth of thyroid lamina was found higher in male (32.70±3.96 mm) than that of female (28.00±2.69 mm) in Group C and the difference was statistically significant (p=0.001). Our study revealed that the breadth of thyroid lamina is greater in adult male than female and overall, the value increases with age. CBMJ 2022 July: vol. 11 no. 02 P: 131-135
{"title":"Measurement of the Breadth of the Thyroid Lamina in A Bangladeshi Population by Dissection Method","authors":"A. Ara, Zubaida Gulshan Kazi Ara, T. Begum, Dilruba Afrose Mili, K. Naher","doi":"10.3329/cbmj.v11i2.61282","DOIUrl":"https://doi.org/10.3329/cbmj.v11i2.61282","url":null,"abstract":"A cross-sectional, descriptive study was done to determine the breath of the thyroid lamina and the differences in its values in respect of age and sex in Bangladeshi cadavers. A total 60 postmortem human larynges were collected between October 2008 and March 2009. Among those, 45 (male 23 and female 22) were collected from unknown dead bodies (aged between 9 and 60 years) under autopsy in the mortuary of Department of Forensic Medicine of Mymensingh Medical College, while the other 15 (male 6 and female 9) were collected from stillborn babies of viable age (28 to 40 weeks of gestation) in the Department of Obstetrics & Gynaecology of Mymensingh Medical College Hospital, Mymensingh, Bangladesh. The breath of thyroid lamina was measured from laryngeal prominence to the posterior margins of lamina at its transverse plane using slide calipers and differences were observed in between age groups and sexes. The mean±SD breadth of thyroid lamina was found 12.40±1.30 mm in group A (from 28 to 40 weeks of gestation) ranging between 9 and 14 mm, while 26.19±3.69 mm in group B (from 9 to 16 years) ranging between 21 and 35 mm, and 30.76±4.17 mm in group C (from 17 to 60 years) with a range of 24 to 38 mm. The mean breadth of thyroid lamina was highest in age group C (30.76 mm) and was lowest in age group A (12.40 mm). The mean difference of breadth of thyroid lamina between group A & B, A & C and B & C were statistically significant (P=0.000). The breadth of thyroid lamina was found higher in male (32.70±3.96 mm) than that of female (28.00±2.69 mm) in Group C and the difference was statistically significant (p=0.001). Our study revealed that the breadth of thyroid lamina is greater in adult male than female and overall, the value increases with age. \u0000CBMJ 2022 July: vol. 11 no. 02 P: 131-135","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78615387","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 : 2022-08-17DOI: 10.3329/cbmj.v11i2.61285
Faijun Nahar, Md. Akram Hossain, S. K. Paul, S. Khatun, G. R. Bhuiyan, S. Nasreen, Salma Ahmed, N. Haque
A cross-sectional, observational study was conducted to determine the relationship between sociodemographic variables and the development of cervical cancer through detection of detection of HPVE6 oncoprotein. A total of 47 endocervical swabs were collected from colposcopy clinic under the Department of Obstetrics & Gynaecology, Mymensingh Medical College, Mymensingh, Bangladesh, from January to December of 2015. Laboratory work was done in the Department of Microbiology of the same institution. E6 strip test is an immunochromatographic test based on detection of HPV-E6 oncoprotein in cervical swab samples. The swab specimen was treated with lysis solution and conditioning solution. Then the specimen solution was clarified by centrifugation. After that the sample solution was transferred into the detector mAb vial, wash solution vial, and finally, into developing solution vial. The test unit was then placed on a reading guide. Positive result was indicated by the appearance of purple colored test line. Out of 47 specimens, 21 (44.68%) were OncoE6 positive. Among those 21 positive cases, 19 (90.48%) were HPV-16 and 2 were (9.52%) HPV-18. Out of 11 histologically diagnosed CIN I cases, 1 (9.09%) case came out as positive. However, there were no positive cases by oncoE6 cervical swab test in CIN II and CINIII categories. Among histopathologically confirmed 22 cervical carcinoma cases, 20 (90.90%) came out as positive through this test. The results were compared with sociodemographic variables. OncoE6 is more common among ≥50 age group, and who got married before 18 years, and in multiparous women (P<0.05). Cervical cancer prevention services should be strengthen including health education, OncoE6 screening, and Anti-HPV vaccination. CBMJ 2022 July: vol. 11 no. 02 P: 152-157
{"title":"Correlation between Sociodemographic Variables and OncoE6 Cervical Swab Test Positive Cases","authors":"Faijun Nahar, Md. Akram Hossain, S. K. Paul, S. Khatun, G. R. Bhuiyan, S. Nasreen, Salma Ahmed, N. Haque","doi":"10.3329/cbmj.v11i2.61285","DOIUrl":"https://doi.org/10.3329/cbmj.v11i2.61285","url":null,"abstract":"A cross-sectional, observational study was conducted to determine the relationship between sociodemographic variables and the development of cervical cancer through detection of detection of HPVE6 oncoprotein. A total of 47 endocervical swabs were collected from colposcopy clinic under the Department of Obstetrics & Gynaecology, Mymensingh Medical College, Mymensingh, Bangladesh, from January to December of 2015. Laboratory work was done in the Department of Microbiology of the same institution. E6 strip test is an immunochromatographic test based on detection of HPV-E6 oncoprotein in cervical swab samples. The swab specimen was treated with lysis solution and conditioning solution. Then the specimen solution was clarified by centrifugation. After that the sample solution was transferred into the detector mAb vial, wash solution vial, and finally, into developing solution vial. The test unit was then placed on a reading guide. Positive result was indicated by the appearance of purple colored test line. Out of 47 specimens, 21 (44.68%) were OncoE6 positive. Among those 21 positive cases, 19 (90.48%) were HPV-16 and 2 were (9.52%) HPV-18. Out of 11 histologically diagnosed CIN I cases, 1 (9.09%) case came out as positive. However, there were no positive cases by oncoE6 cervical swab test in CIN II and CINIII categories. Among histopathologically confirmed 22 cervical carcinoma cases, 20 (90.90%) came out as positive through this test. The results were compared with sociodemographic variables. OncoE6 is more common among ≥50 age group, and who got married before 18 years, and in multiparous women (P<0.05). Cervical cancer prevention services should be strengthen including health education, OncoE6 screening, and Anti-HPV vaccination. \u0000CBMJ 2022 July: vol. 11 no. 02 P: 152-157","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88099452","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 : 2022-08-17DOI: 10.3329/cbmj.v11i2.61226
Shamsi Sumaiya Ashique, Ainun Afroze, R. Rana, Habiba Jesmin, Shabnam Sharmin, S. Sharmin
A prospective, observational study was conducted in the Department of Obstetrics & Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, between July 2008 and January 2009 to compare position and attachment of the babies during breastfeeding before and after counselling the mothers. Our study samples include 100 healthy mothers and 100 term healthy babies. Initially, all the mothers and babies were observed for their position and attachment during breastfeeding within 24 hours of the delivery and documented in a standard data sheet. Then the mothers were shown the wall chart of nursing mothers and breastfeeding manual and taught practically by the investigators. Mothers were requested to come after 15 days for follow-up visit so that they become physically fit by that time and improve their skills. At follow-up visit, documentation of the position and attachment during breastfeeding was done in the data sheet. Comparison of each of the components of positioning and attachment was done with first observation (i.e., within 24 hours of the birth of the baby) and follow-up observation (i.e., after 15 days). The mean age of the mothers was 29.40±4.71 years. In all components of the position and attachment of the babies, the difference between before and after counselling the mothers was statistically significant (P<0.05). Similarly, in all signs of effective sucking, the difference was also statistically significant between before and after counselling (P<0.05) except for the sign of oxytocin reflex noticed by the mother (P>0.05). CBMJ 2022 July: vol. 11 no. 02 P: 102-107
{"title":"Position and Attachment of the Babies During Breastfeeding: A Comparison of Before and After Counselling the Mothers","authors":"Shamsi Sumaiya Ashique, Ainun Afroze, R. Rana, Habiba Jesmin, Shabnam Sharmin, S. Sharmin","doi":"10.3329/cbmj.v11i2.61226","DOIUrl":"https://doi.org/10.3329/cbmj.v11i2.61226","url":null,"abstract":"A prospective, observational study was conducted in the Department of Obstetrics & Gynaecology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, between July 2008 and January 2009 to compare position and attachment of the babies during breastfeeding before and after counselling the mothers. Our study samples include 100 healthy mothers and 100 term healthy babies. Initially, all the mothers and babies were observed for their position and attachment during breastfeeding within 24 hours of the delivery and documented in a standard data sheet. Then the mothers were shown the wall chart of nursing mothers and breastfeeding manual and taught practically by the investigators. Mothers were requested to come after 15 days for follow-up visit so that they become physically fit by that time and improve their skills. At follow-up visit, documentation of the position and attachment during breastfeeding was done in the data sheet. Comparison of each of the components of positioning and attachment was done with first observation (i.e., within 24 hours of the birth of the baby) and follow-up observation (i.e., after 15 days). The mean age of the mothers was 29.40±4.71 years. In all components of the position and attachment of the babies, the difference between before and after counselling the mothers was statistically significant (P<0.05). Similarly, in all signs of effective sucking, the difference was also statistically significant between before and after counselling (P<0.05) except for the sign of oxytocin reflex noticed by the mother (P>0.05). \u0000CBMJ 2022 July: vol. 11 no. 02 P: 102-107","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84395831","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 : 2022-08-17DOI: 10.3329/cbmj.v11i2.61287
S. Kadir, Tanjilla Hossain, Md. Golam Haider
Hodgkin’s lymphoma (HL) is a disease originating from lymphoid tissues; however, it may pose a diagnostic challenge. Ocular involvement is more prevalent in non-HL compared to HL. We have reported a rare case of Hodgkin’s lymphoma presented with forwarding bulging of left eye with pain, redness, and watering. The patient also complained of painless swelling of the submandibular lymph node when admitted into the National Institute of Ophthalmology and Hospital (NIOH), Dhaka, Bangladesh; later, incision and biopsy was done at ENT & Head-Neck Cancer Hospital, Dhaka, Bangladesh. Histopathology report revealed Hodgkin’s lymphoma. Hodgkin's lymphoma is a malignancy with unknown aetiology. With timely diagnosis and early treatment, our patient began to show gradual improvement with her symptoms. Prompt oncologic treatment and immunotherapy can be beneficial, if instituted early in the course of the disease. CBMJ 2022 July: vol. 11 no. 02 P: 158-161
{"title":"Hodgkin’s Lymphoma: A Rare Ophthalmic Case Report","authors":"S. Kadir, Tanjilla Hossain, Md. Golam Haider","doi":"10.3329/cbmj.v11i2.61287","DOIUrl":"https://doi.org/10.3329/cbmj.v11i2.61287","url":null,"abstract":"Hodgkin’s lymphoma (HL) is a disease originating from lymphoid tissues; however, it may pose a diagnostic challenge. Ocular involvement is more prevalent in non-HL compared to HL. We have reported a rare case of Hodgkin’s lymphoma presented with forwarding bulging of left eye with pain, redness, and watering. The patient also complained of painless swelling of the submandibular lymph node when admitted into the National Institute of Ophthalmology and Hospital (NIOH), Dhaka, Bangladesh; later, incision and biopsy was done at ENT & Head-Neck Cancer Hospital, Dhaka, Bangladesh. Histopathology report revealed Hodgkin’s lymphoma. Hodgkin's lymphoma is a malignancy with unknown aetiology. With timely diagnosis and early treatment, our patient began to show gradual improvement with her symptoms. Prompt oncologic treatment and immunotherapy can be beneficial, if instituted early in the course of the disease. \u0000CBMJ 2022 July: vol. 11 no. 02 P: 158-161","PeriodicalId":10576,"journal":{"name":"Community Based Medical Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89240848","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}