Pub Date : 2023-03-30DOI: 10.3329/kyamcj.v13i4.65053
Mohammed Emran, Md Israt Hasan, Md Nazmul Alam, Neelufar Rahman, Md Zulfikar Ali
Background: The use of disease-specific scales would be more valuable for the evaluation of the effects of lymphedema. To manage accordingly, and maintain the optimum quality of life of lymphedema patient, a validated outcome measure is helpful.Objective: To investigate the reliability and validity of Bangla Version of Lymphedema Life Impact Scale Version 2 (B-LLIS V2).Materials and Methods: A structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-LLIS V2 reliability and validity were conducted on 52 lymphedema patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-LLIS V2 with other scales implying Pearson’s correlation.Results: Internal consistency with Cronbach’s alpha was 0.92 for total score and 0.79, 0.82, 0.80 and 0.78 for physical, psychosocial, functional, and infection respectively. The calculated overall tool score in Intra-class correlation co-efficient (ICC) for test-retest reliability was 0.94 and among subscales, the scores were 0.92, 0.95, 0.91 and 0.93 for physical, Psychosocial, functional, and infection respectively, which signified substantial reliability. The overall values of Pearson’s correlation coefficient for the construct validity were 0.91, 0.78 and 0.86 against reference standard Bengali SF-36 Health Survey, Bangla version of the Boston Carpal Tunnel Questionnaire and Bangla Start Back Screening Tool, and they all were statistically significant.Conclusions: B-LLIS V2 is a valid and reliable tool for the assessment of impairment due to lymphedema. KYAMC Journal Vol. 13, No. 04, January 2023: 198-203
{"title":"Bangla Version of Lymphedema Life Impact Scale Version 2: Reliability and Validity","authors":"Mohammed Emran, Md Israt Hasan, Md Nazmul Alam, Neelufar Rahman, Md Zulfikar Ali","doi":"10.3329/kyamcj.v13i4.65053","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i4.65053","url":null,"abstract":"Background: The use of disease-specific scales would be more valuable for the evaluation of the effects of lymphedema. To manage accordingly, and maintain the optimum quality of life of lymphedema patient, a validated outcome measure is helpful.Objective: To investigate the reliability and validity of Bangla Version of Lymphedema Life Impact Scale Version 2 (B-LLIS V2).Materials and Methods: A structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-LLIS V2 reliability and validity were conducted on 52 lymphedema patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-LLIS V2 with other scales implying Pearson’s correlation.Results: Internal consistency with Cronbach’s alpha was 0.92 for total score and 0.79, 0.82, 0.80 and 0.78 for physical, psychosocial, functional, and infection respectively. The calculated overall tool score in Intra-class correlation co-efficient (ICC) for test-retest reliability was 0.94 and among subscales, the scores were 0.92, 0.95, 0.91 and 0.93 for physical, Psychosocial, functional, and infection respectively, which signified substantial reliability. The overall values of Pearson’s correlation coefficient for the construct validity were 0.91, 0.78 and 0.86 against reference standard Bengali SF-36 Health Survey, Bangla version of the Boston Carpal Tunnel Questionnaire and Bangla Start Back Screening Tool, and they all were statistically significant.Conclusions: B-LLIS V2 is a valid and reliable tool for the assessment of impairment due to lymphedema. \u0000KYAMC Journal Vol. 13, No. 04, January 2023: 198-203","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"144 8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83070606","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 : 2023-03-30DOI: 10.3329/kyamcj.v13i4.65086
Shakila Jannat, Halima Khatun Doly, Sayeed Bin Sharif, Md Atiqur Rahman, A S M Akramul Islam
Renal primitive neuroectodermal tumor (renal PNET) or renal Ewing sarcoma (renal ES) is a rare, rapidly growing malignant small round cell tumor with poor prognosis. A 32-years-old Bangladeshi male patient presented with right loin pain, fever and anemia. On CT imaging a large (18x10.5x10.0 cm) renal mass was discovered. On suspicion of malignancy, a biopsy was taken from the mass. Microscopic evaluation showed features consistent with malignant small round blue cell tumor. Immunohistochemical stains showed diffuse and strong positive reaction to CD-99 and negative for WT-1, CD-3 and CD-20, which confirmed the diagnosis of renal PNET. After 6 cycles of combined chemotherapy, the patient was relatively well and at 6 months follow-up he showed no evidence of metastasis or recurrence. KYAMC Journal Vol. 13, No. 04, January 2023: 257-260
{"title":"Renal Primitive Neuroectodermal Tumor or Renal Ewing Sarcoma","authors":"Shakila Jannat, Halima Khatun Doly, Sayeed Bin Sharif, Md Atiqur Rahman, A S M Akramul Islam","doi":"10.3329/kyamcj.v13i4.65086","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i4.65086","url":null,"abstract":"Renal primitive neuroectodermal tumor (renal PNET) or renal Ewing sarcoma (renal ES) is a rare, rapidly growing malignant small round cell tumor with poor prognosis. A 32-years-old Bangladeshi male patient presented with right loin pain, fever and anemia. On CT imaging a large (18x10.5x10.0 cm) renal mass was discovered. On suspicion of malignancy, a biopsy was taken from the mass. Microscopic evaluation showed features consistent with malignant small round blue cell tumor. Immunohistochemical stains showed diffuse and strong positive reaction to CD-99 and negative for WT-1, CD-3 and CD-20, which confirmed the diagnosis of renal PNET. After 6 cycles of combined chemotherapy, the patient was relatively well and at 6 months follow-up he showed no evidence of metastasis or recurrence. \u0000KYAMC Journal Vol. 13, No. 04, January 2023: 257-260","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78976653","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 : 2023-03-30DOI: 10.3329/kyamcj.v13i4.64961
Saiful Khan, Masudar Rahman, Morsalin Rahaman, Alamgir Jalil Pramanik, B K M Tarik Hossain, Mst Israt Jahan, Md Sohel Rana, Md Julfiquer Ali Siddiky
Background: One of the most common complications of diabetes mellitus in lower extremity is the diabetic foot ulcer. There are numerous risk factors, among those peripheral neuropathy is the most important risk factor for diabetic foot ulceration. Objectives: To assess the diabetic foot ulcer, probable risk factors and the relationship of diabetic foot ulcer with peripheral Neuropathy. Materials and methods: This cross sectional study was done in the department of General Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh between May, 2015 to November 2015. 50 patients with diabetic foot ulcer were selected by purposive sampling method. Results: In this study, 60% of patients were above 60 years of age. 82% of patients were male and 18% were female. All patients were with uncontrolled diabetes mellitus and 80% of patients had blood glucose level between 11-20 mmol/L. HbA1c level found >7 in 68% of patients. 72% patients had history of trauma. 66% of the patients were smoker. None of the patients was alcoholic. Peripheral arterial disease was present in 24% patients. 72% patients had peripheral neuropathy. Conclusion: This study may help to raise the awareness among patients and professionals, ultimately which will help to take initiatives for early diagnosis and treatment of high risk patients. KYAMC Journal Vol. 13, No. 04, January 2023: 214-217
{"title":"Assessment of Foot Ulcer and Peripheral Neuropathy in Diabetic Patients","authors":"Saiful Khan, Masudar Rahman, Morsalin Rahaman, Alamgir Jalil Pramanik, B K M Tarik Hossain, Mst Israt Jahan, Md Sohel Rana, Md Julfiquer Ali Siddiky","doi":"10.3329/kyamcj.v13i4.64961","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i4.64961","url":null,"abstract":"Background: One of the most common complications of diabetes mellitus in lower extremity is the diabetic foot ulcer. There are numerous risk factors, among those peripheral neuropathy is the most important risk factor for diabetic foot ulceration. Objectives: To assess the diabetic foot ulcer, probable risk factors and the relationship of diabetic foot ulcer with peripheral Neuropathy. Materials and methods: This cross sectional study was done in the department of General Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh between May, 2015 to November 2015. 50 patients with diabetic foot ulcer were selected by purposive sampling method. Results: In this study, 60% of patients were above 60 years of age. 82% of patients were male and 18% were female. All patients were with uncontrolled diabetes mellitus and 80% of patients had blood glucose level between 11-20 mmol/L. HbA1c level found >7 in 68% of patients. 72% patients had history of trauma. 66% of the patients were smoker. None of the patients was alcoholic. Peripheral arterial disease was present in 24% patients. 72% patients had peripheral neuropathy. Conclusion: This study may help to raise the awareness among patients and professionals, ultimately which will help to take initiatives for early diagnosis and treatment of high risk patients.\u0000KYAMC Journal Vol. 13, No. 04, January 2023: 214-217","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77914894","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}
Idiopathic Granulomatous Mastitis (IGM), or Granulomatous Lobular Mastitis (GLM) or simply GM (Granulomatous Mastitis) is a benign chronic and sometimes recurrent inflammatory process of unknown etiology, involving one or both breasts, commonly in women of childbearing age. In has no definite diagnostic hallmark or marker. It is to be diagnosed by exclusion of all other diseases. Biopsy is mandatory. A challenge is there to differentiate IGM from other diseases including malignancy, tuberculosis and other granulomatous reactions, It has no specific curative treatment. Breastfeeding from the IGM breast is safe, if not on immunosuppressive or steroid treatment. It has long been classically treated with oral steroids with or without such other immunomodulators as methotrexate, azathioprine etc. Recently, intralesional triamcinolone injection has been shown to improve the symptoms. But local high concentration intralesional triamcinolone, systemic immunosuppressive agents are unsafe for breastfed babies. If a woman chooses systemic treatment, after Shared Decision Making (SDM), she should be cautioned about milk suppression and untoward effects both in mother and baby. Some women prefer no medication during lactation. Complicated cases or failure of conservative treatment calls for surgical treatment in the form of local wide resection or mastectomy etc. The patients may suffer physically, mentally, and economically, significantly lowering the quality of life. There is no consensus on its management strategies. Its management still remains as a challenge. We like to review, discuss, and share about its masked etiology, presentations, diagnostic aids plus the available avant-garde optimum management strategies. KYAMC Journal Vol. 13, No. 04, January 2023: 250-256
{"title":"Idiopathic Granulomatous Mastitis: A Management Dilemma","authors":"ABM Moniruddin, Md Masudar Rahman, Morsalin Rahaman, Tanvirul Hasan, Mst Nazmun Nahar, Salma Chowdhury, Baikaly Ferdous, Md Rashed Khan, MA Rouf","doi":"10.3329/kyamcj.v13i4.65035","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i4.65035","url":null,"abstract":"Idiopathic Granulomatous Mastitis (IGM), or Granulomatous Lobular Mastitis (GLM) or simply GM (Granulomatous Mastitis) is a benign chronic and sometimes recurrent inflammatory process of unknown etiology, involving one or both breasts, commonly in women of childbearing age. In has no definite diagnostic hallmark or marker. It is to be diagnosed by exclusion of all other diseases. Biopsy is mandatory. A challenge is there to differentiate IGM from other diseases including malignancy, tuberculosis and other granulomatous reactions, It has no specific curative treatment. Breastfeeding from the IGM breast is safe, if not on immunosuppressive or steroid treatment. It has long been classically treated with oral steroids with or without such other immunomodulators as methotrexate, azathioprine etc. Recently, intralesional triamcinolone injection has been shown to improve the symptoms. But local high concentration intralesional triamcinolone, systemic immunosuppressive agents are unsafe for breastfed babies. If a woman chooses systemic treatment, after Shared Decision Making (SDM), she should be cautioned about milk suppression and untoward effects both in mother and baby. Some women prefer no medication during lactation. Complicated cases or failure of conservative treatment calls for surgical treatment in the form of local wide resection or mastectomy etc. The patients may suffer physically, mentally, and economically, significantly lowering the quality of life. There is no consensus on its management strategies. Its management still remains as a challenge. We like to review, discuss, and share about its masked etiology, presentations, diagnostic aids plus the available avant-garde optimum management strategies.\u0000KYAMC Journal Vol. 13, No. 04, January 2023: 250-256","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85450461","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 : 2022-12-31DOI: 10.3329/kyamcj.v13i3.63163
M. Habibullah, M. A. Islam, Saleh Muhammad Ali, B. Saha, Md Pervez Amin, Abu Mohd Shafiqul Hasan, R. Mondal
Background: In Bangladesh, acute poisoning is a serious public health issue. Suicide by this manner is rather prevalent. Every area needs a detailed picture of clinical presentation, the most widely utilized hazardous substances, background circumstances, and the result of poisoned patients. The study's goal is to look at the occurrence and outcomes of acute poisoning episodes in Pabna Upazila, Bangladesh. Objective: To find out the chemical types of agricultural poison and out of the acute poisoning cases by agricultural poisons. Materials and Methods: This is a prospective study, carried out in Pabna Sadar Hospital between April 2019 to December 2019. Results: A total of 120 patients were studied in this study. There were 23 males and 97 females. The average age group for acute poisoning was 15-25 years. The major toxic agent that caused the acute poisoning death was OPC. The average hospital stay was 2-3 days, and 82% of patients were fully recovered and discharged. Conclusion: Acute poisoning cases were more in young age group, female; most of the patient had history of ingestion of OPC and more than two-third cases recovered. KYAMC Journal Vol. 13, No. 03, October 2022: 145-148
{"title":"Pattern of Agricultural Poisoning in District Level Hospital","authors":"M. Habibullah, M. A. Islam, Saleh Muhammad Ali, B. Saha, Md Pervez Amin, Abu Mohd Shafiqul Hasan, R. Mondal","doi":"10.3329/kyamcj.v13i3.63163","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63163","url":null,"abstract":"Background: In Bangladesh, acute poisoning is a serious public health issue. Suicide by this manner is rather prevalent. Every area needs a detailed picture of clinical presentation, the most widely utilized hazardous substances, background circumstances, and the result of poisoned patients. The study's goal is to look at the occurrence and outcomes of acute poisoning episodes in Pabna Upazila, Bangladesh. \u0000Objective: To find out the chemical types of agricultural poison and out of the acute poisoning cases by agricultural poisons.\u0000Materials and Methods: This is a prospective study, carried out in Pabna Sadar Hospital between April 2019 to December 2019.\u0000Results: A total of 120 patients were studied in this study. There were 23 males and 97 females. The average age group for acute poisoning was 15-25 years. The major toxic agent that caused the acute poisoning death was OPC. The average hospital stay was 2-3 days, and 82% of patients were fully recovered and discharged.\u0000Conclusion: Acute poisoning cases were more in young age group, female; most of the patient had history of ingestion of OPC and more than two-third cases recovered.\u0000KYAMC Journal Vol. 13, No. 03, October 2022: 145-148","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78761815","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 : 2022-12-31DOI: 10.3329/kyamcj.v13i3.63200
M. Haque, M. Mandal, Md. Ferdows Zaman, K. Ahmed, Md. Osman Goni, Md Rifat Mahmud, Md Rafiuzzaman
Background: Traumatic Head injury is one of the most important causes of death. Decompressive craniectomy is said to be the best way to reduce otherwise intractable intracranial pressure and its complications in traumatic brain injury (TBI). But we have not enough information regarding the outcomes and effectiveness of decompressive craniectomy in TBI. Objectives: The aim was to assess the outcomes and effectiveness of decompressive craniectomy in TBI. Materials and Methods: Prospective observational study which conducted in Khwaja Yunus Ali Medical College and Hospital, Sirajganj and TMSS Medical College & Hospital, Bogura, Bangladesh in collaboration with the Department of Neurosurgery, from July 2018 to December 2021. Total 32 patients with severe TBI diagnosed and treated in those hospitals who recruited as the samples and outcomes of the patients evaluated through Glasgow Coma Scale (on which scores range from 3 to 15, lower scores indicating reduced levels of consciousness). All patient data were collected, processed, analyzed then disseminated by using MS Office 2019 and SPSS version 23 programs. Results: Analyzing hospital staying we observed, the mean (±SD) days of mechanical ventilation, days of ICU staying, days of hospitalization were 8.88 ± 2.54, 10.21 ± 3.16 and 15.57 ± 4.51 days respectively. Finally, the mean (±SD) Extended Glasgow Outcome Scale score of all the patients was found as 9.1. and unfavorable Extended Glasgow Outcome Scale score (1 to 4) was found in 56% patients. In this study, finally death cases were 22%. Conclusion: Decompressive craniectomy ensures better outcome for survival but the limitation is quality of life issues after survival especially among poor GCS (3-6) group. Prompt hospitalization, early diagnosis, proper ICU and ventilation facilities can ensure more satisfactory outcomes in TBI. KYAMC Journal Vol. 13, No. 03, October 2022: 153-157
{"title":"Surgical Outcome of Decompressive Craniectomy in Traumatic Brain Injury: A study in a Tertiary Care Hospital of Bangladesh","authors":"M. Haque, M. Mandal, Md. Ferdows Zaman, K. Ahmed, Md. Osman Goni, Md Rifat Mahmud, Md Rafiuzzaman","doi":"10.3329/kyamcj.v13i3.63200","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63200","url":null,"abstract":"Background: Traumatic Head injury is one of the most important causes of death. Decompressive craniectomy is said to be the best way to reduce otherwise intractable intracranial pressure and its complications in traumatic brain injury (TBI). But we have not enough information regarding the outcomes and effectiveness of decompressive craniectomy in TBI.\u0000Objectives: The aim was to assess the outcomes and effectiveness of decompressive craniectomy in TBI.\u0000Materials and Methods: Prospective observational study which conducted in Khwaja Yunus Ali Medical College and Hospital, Sirajganj and TMSS Medical College & Hospital, Bogura, Bangladesh in collaboration with the Department of Neurosurgery, from July 2018 to December 2021. Total 32 patients with severe TBI diagnosed and treated in those hospitals who recruited as the samples and outcomes of the patients evaluated through Glasgow Coma Scale (on which scores range from 3 to 15, lower scores indicating reduced levels of consciousness). All patient data were collected, processed, analyzed then disseminated by using MS Office 2019 and SPSS version 23 programs.\u0000Results: Analyzing hospital staying we observed, the mean (±SD) days of mechanical ventilation, days of ICU staying, days of hospitalization were 8.88 ± 2.54, 10.21 ± 3.16 and 15.57 ± 4.51 days respectively. Finally, the mean (±SD) Extended Glasgow Outcome Scale score of all the patients was found as 9.1. and unfavorable Extended Glasgow Outcome Scale score (1 to 4) was found in 56% patients. In this study, finally death cases were 22%.\u0000Conclusion: Decompressive craniectomy ensures better outcome for survival but the limitation is quality of life issues after survival especially among poor GCS (3-6) group. Prompt hospitalization, early diagnosis, proper ICU and ventilation facilities can ensure more satisfactory outcomes in TBI.\u0000 KYAMC Journal Vol. 13, No. 03, October 2022: 153-157","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85271236","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 : 2022-12-31DOI: 10.3329/kyamcj.v13i3.63054
M. Musharraf, Mosammat Afroza Jinnat, Sumon Shahrior Morshed, Sabira Rahman, Md Tafazzal Hossain Khan, Amit Shome, Pandora Glory, M. Banerjee
Background: Birth trauma usually occurs, particularly in long and difficult labour or fetal mal presentations. Although with advancements in technology and improved obstetric care and liberal use of cesarean section deliveries, serious birth trauma is decreasing worldwide. Appraisement of common triggers of birth trauma is the key ingredient for provision of high quality prenatal & perinatal care to reduce the incidence and severity of birth trauma.Objective: To evaluate the risk factors of birth trauma. Materials and Methods: This case control study was carried out in the department of Neonatology, Dhaka Medical College Hospital from 14th August, 2018 to 14th February, 2019. Total 100 newborns were enrolled in the study. Among them 50 were cases, diagnosed as birth injury & 50 were controlls without birth injury. Results: Most common birth injury encountered, was caput succedaneum15 (30%). The next common injuries were cephalohematoma was 11(22%) & subgalealhemorrhage 11 22%). Other injuries were skin & soft tissue injury in 5 (10%), followed by sternomastoidhemorrhage, accidental cut injury, clavicular fracture, humerus fracture, facial nerve palsy, erbs palsy, subconjunctival Haemorrhage. The predisposing factors for mechanical birth trauma were primiparity (P = 0.005), advanced maternal age (28.99 ± 5.4)> (26.5 ± 4.5) (p value =0.01), mal presentation (P = 0.05), oxytocin use (P < 0.01), Prolonged labor (P < 0.01), large size of the baby (p=0.046), VD(p=0.004). Conclusion: The study concluded that the commonest birth injury was caput succedaeneum and primiparity, advanced maternal age, prolonged labor, large-sized baby, mal presentation were the significant risk factors for birth injury. KYAMC Journal Vol. 13, No. 03, October 2022: 129-133
{"title":"Evaluation of Risk Factors of Birth Injuries in a Tertiary Care Hospital","authors":"M. Musharraf, Mosammat Afroza Jinnat, Sumon Shahrior Morshed, Sabira Rahman, Md Tafazzal Hossain Khan, Amit Shome, Pandora Glory, M. Banerjee","doi":"10.3329/kyamcj.v13i3.63054","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63054","url":null,"abstract":"Background: Birth trauma usually occurs, particularly in long and difficult labour or fetal mal presentations. Although with advancements in technology and improved obstetric care and liberal use of cesarean section deliveries, serious birth trauma is decreasing worldwide. Appraisement of common triggers of birth trauma is the key ingredient for provision of high quality prenatal & perinatal care to reduce the incidence and severity of birth trauma.Objective: To evaluate the risk factors of birth trauma.\u0000Materials and Methods: This case control study was carried out in the department of Neonatology, Dhaka Medical College Hospital from 14th August, 2018 to 14th February, 2019. Total 100 newborns were enrolled in the study. Among them 50 were cases, diagnosed as birth injury & 50 were controlls without birth injury.\u0000Results: Most common birth injury encountered, was caput succedaneum15 (30%). The next common injuries were cephalohematoma was 11(22%) & subgalealhemorrhage 11 22%). Other injuries were skin & soft tissue injury in 5 (10%), followed by sternomastoidhemorrhage, accidental cut injury, clavicular fracture, humerus fracture, facial nerve palsy, erbs palsy, subconjunctival Haemorrhage. The predisposing factors for mechanical birth trauma were primiparity (P = 0.005), advanced maternal age (28.99 ± 5.4)> (26.5 ± 4.5) (p value =0.01), mal presentation (P = 0.05), oxytocin use (P < 0.01), Prolonged labor (P < 0.01), large size of the baby (p=0.046), VD(p=0.004).\u0000Conclusion: The study concluded that the commonest birth injury was caput succedaeneum and primiparity, advanced maternal age, prolonged labor, large-sized baby, mal presentation were the significant risk factors for birth injury.\u0000KYAMC Journal Vol. 13, No. 03, October 2022: 129-133","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80068738","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 : 2022-12-31DOI: 10.3329/kyamcj.v13i3.63140
M. Ibraheem, Md. Ahsanul Hoque, Md Farhad Parvez, A. Z. Sadeque, M. Emran, Fatama Sharmin
Background: To detect periarticular lesions around the shoulder, musculoskeletal ultrasonography is very much useful. Recent improvements in Ultrasonographic technology have led to a higher sensitivity and accuracy of musculoskeletal sonography. Objective: To present the distribution and representation of shoulder ultrasonographic (US) examination findings in patients with clinical diagnosis of shoulder periarthritis. Materials and Methods: A cross sectional descriptive type of study at Single center setting conducted in OPD of department of Physical Medicine& Rehabilitation, BSMMU, Dhaka on thirty-five patients with the clinical diagnosis of periarthritis of shoulder. Data was collected using an interview- administered questionnaire. All baseline investigations were done. Ultrasonogram was done by experienced Sonologists who were unaware about clinical data. Results: The primary end point was reached in 85 percent of patient presented sonographic alteration suffering from periathritis of shoulder. The structure most frequently involved was bicipital tendinitis (32%) and Supraspinatus tendinitis (28%). Sub acromial Bursitis (14%) and Acromioclavicular Osteoathritis (11%) were also involved. About 15% individual presents no abnormalities. Different varieties of changes in the various structures had been detected. Conclusion: Proper identification and assessment of the alteration of periarticular structure helps to approach for management and rehabilitation of Periarthritis of shoulder thus disability can be reduced. KYAMC Journal Vol. 13, No. 03, October 2022: 134-138
{"title":"Ultrasonographic Findings of Periarthritis of Shoulder Joint in the Out Patients Department","authors":"M. Ibraheem, Md. Ahsanul Hoque, Md Farhad Parvez, A. Z. Sadeque, M. Emran, Fatama Sharmin","doi":"10.3329/kyamcj.v13i3.63140","DOIUrl":"https://doi.org/10.3329/kyamcj.v13i3.63140","url":null,"abstract":"Background: To detect periarticular lesions around the shoulder, musculoskeletal ultrasonography is very much useful. Recent improvements in Ultrasonographic technology have led to a higher sensitivity and accuracy of musculoskeletal sonography.\u0000Objective: To present the distribution and representation of shoulder ultrasonographic (US) examination findings in patients with clinical diagnosis of shoulder periarthritis.\u0000Materials and Methods: A cross sectional descriptive type of study at Single center setting conducted in OPD of department of Physical Medicine& Rehabilitation, BSMMU, Dhaka on thirty-five patients with the clinical diagnosis of periarthritis of shoulder. Data was collected using an interview- administered questionnaire. All baseline investigations were done. Ultrasonogram was done by experienced Sonologists who were unaware about clinical data.\u0000Results: The primary end point was reached in 85 percent of patient presented sonographic alteration suffering from periathritis of shoulder. The structure most frequently involved was bicipital tendinitis (32%) and Supraspinatus tendinitis (28%). Sub acromial Bursitis (14%) and Acromioclavicular Osteoathritis (11%) were also involved. About 15% individual presents no abnormalities. Different varieties of changes in the various structures had been detected.\u0000Conclusion: Proper identification and assessment of the alteration of periarticular structure helps to approach for management and rehabilitation of Periarthritis of shoulder thus disability can be reduced.\u0000KYAMC Journal Vol. 13, No. 03, October 2022: 134-138","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74555330","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 : 2022-12-31DOI: 10.3329/kyamcj.v13i3.63048
Q. M. Haque
Abstract not available KYAMC Journal Vol. 13, No. 03, October 2022: 127-128
《中华医学期刊》第13卷第03期，2022年10月:127-128
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Pub Date : 2022-12-31DOI: 10.3329/kyamcj.v13i3.63272
A. Moniruddin, M. N. Nahar, Tanvirul Hasan, Salma Chowdhury, Ba Ferdous, Md Rashed Khan, M. Rouf
Covid-19 had been identified as an acute respiratory disease and many other systemic illnesses, causing unusual morbidity and death, particularly in older people and other people with co-morbidities. The disease is caused by an extremely infectious, super rapidly spreading and super-promptly mutating novel coronavirus, now known as the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2 virus). Covid-19 became a pandemic in 2020 and 2021. Though its pandemic nature is now declining, it is still in existence in many parts of the world, causing substantial mortality and morbidity. The Wuhan Municipal Health Commission of Hubei province, officially notified it first on December 31, 2019, though the first date of symptom onset of a cavid-19 case was first recorded on December 8, 2019 on basis of the patient’s recall during the investigation in the Wuhan city of central China. China publicly had circulated the genetic make-up of the causative virus on January 12, 2020. From the 1st January, 2020 onwards, the WHO (World Health Organization) had worked on it several times at several levels till March 11, 2020, When WHO deeply notified its alarming spread and severity, characterizing it as a pandemic. It had created a severe panic all over the world, interfering with life, health, economy, trade, commerce, livelihood and living standard of people. This Covid-19 had taught us a myriad of lessons how to tackle and handle catastrophic massive disasters in emergent situations, probing into our limitations and requirements and emphasizing on local, regional. national and international awareness, cooperation and coordination. KYAMC Journal Vol. 13, No. 03, October 2022: 170-176
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