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An Analysis of Hospitalized Burn Injuries in a Burn Care Unit of Northern Bangladesh 孟加拉国北部烧伤护理病房住院烧伤分析
Pub Date : 2024-05-10 DOI: 10.36348/sjmps.2024.v10i05.002
Hamid, M. A, Sen, S. L, Moniruzzaman, S, Mukit, S. M. A, Sultana, S. N, Biswas, G
Introduction: Burn injuries remain a significant public health issue, especially in low- and middle-income countries where comprehensive data is scarce. This study provides a detailed analysis of burn injuries in Northern Bangladesh, focusing on epidemiological characteristics and factors influencing burn severity and incidents. Methods: This retrospective study analyzed 477 cases of acute, unintentional burns recorded between January 2022 and December 2022 at the Rangpur Medical College Hospital's Burn and Plastic Surgery unit. Data on demographics, burn types, etiology, and severity were collected from hospital registers. Statistical analysis, including chi-square tests and logistic regression, was used to identify predictors of burn severity. Result: Of the 477 documented cases, females represented 62.05% (296 cases) and males 37.95% (181 cases). Flame burns predominated, comprising 70% of incidents, significantly impacting females engaged in cooking activities. The data revealed a distinct seasonal trend with a significant peak in January, where 40% (191 cases) of annual burn incidents occurred due to campfire exposure. The analysis further demonstrated that burns covering more than 30% of total body surface area (TBSA) were significantly associated with higher morbidity and mortality, with third-degree burns occurring in 92.9% of females compared to 55.8% of males. Logistic regression identified age (OR = 1.28, CI [1.13-2.71]), gender (OR = 1.75, CI [1.11-1.47]), and the cause of ignition (OR = 0.56, CI [0.41-0.76]) as significant predictors of burn severity. Conclusion: The findings emphasize the need for targeted interventions to address the high incidence of burns among young to middle-aged women, particularly through safer cooking practices and awareness campaigns. Additionally, public health strategies should consider seasonal risks and promote safer heating methods during colder months. This study underlines critical areas for intervention and highlights the importance of culturally tailored public health strategies to reduce burn injuries in Northern Bangladesh.
导言:烧伤仍然是一个重大的公共卫生问题,尤其是在缺乏全面数据的中低收入国家。本研究详细分析了孟加拉国北部的烧伤情况,重点关注流行病学特征以及影响烧伤严重程度和事故的因素。研究方法这项回顾性研究分析了 2022 年 1 月至 2022 年 12 月期间兰普尔医学院医院烧伤和整形外科记录的 477 例急性意外烧伤病例。有关人口统计学、烧伤类型、病因和严重程度的数据均来自医院登记簿。统计分析(包括卡方检验和逻辑回归)用于确定烧伤严重程度的预测因素。结果:在记录在案的 477 例烧伤中,女性占 62.05%(296 例),男性占 37.95%(181 例)。烧伤以火焰烧伤为主,占 70%,对从事烹饪活动的女性影响较大。数据显示,烧伤有明显的季节性趋势,1 月份是明显的高峰期,全年烧伤事件中有 40% (191 例)是由于暴露于篝火而造成的。分析进一步表明,烧伤面积超过体表总面积(TBSA)30%的烧伤与较高的发病率和死亡率密切相关,其中92.9%的女性发生了三度烧伤,而男性的比例为55.8%。逻辑回归确定年龄(OR = 1.28,CI [1.13-2.71])、性别(OR = 1.75,CI [1.11-1.47])和点火原因(OR = 0.56,CI [0.41-0.76])是烧伤严重程度的重要预测因素。结论研究结果表明,有必要采取有针对性的干预措施来解决中青年女性烧伤发病率高的问题,特别是通过更安全的烹饪方法和宣传活动。此外,公共卫生策略应考虑季节性风险,在寒冷季节推广更安全的取暖方法。这项研究强调了需要采取干预措施的关键领域,并突出了针对孟加拉国北部文化制定公共卫生策略以减少烧伤的重要性。
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引用次数: 0
Examination of Risk Factors and Postpartum Cardiomyopathy in Hospital Outcomes in a Tertiary Level Hospital in Bangladesh 孟加拉国一家三级医院产后心肌病住院结果中的风险因素研究
Pub Date : 2024-05-10 DOI: 10.36348/sjmps.2024.v10i05.003
DR. Mugni Sunny, DR. Kamrunnahar
Background: Postpartum cardiomyopathy is an unusual type of heart failure during pregnancy that can result in significant maternal mortality in underdeveloped nations. The risk factors and in-hospital outcomes of this illness are still poorly known. Objective: To find out the risk factors and postpartum cardiomyopathy in hospital outcomes in a tertiary level hospital in Bangladesh. Materials and Methods: This descriptive study was conducted from January 1st 2022 to Dec 30th 2022 in the Department of Cardiology, Northeast Medical College, Sylhet, Bangladesh. PPCM was diagnosed as left ventricular ejection fraction (LVEF) ≤ 45% toward the end of pregnancy or within 05 months after delivery by standard Echocardiographic evaluation. In this study 77 cases of PPCM enrolled, excluding other causes of heart failure. Results: The mean age was found 27.0±5.83 years. Majority (45.45%) patients were diabetes mellitus followed by 26 (33.7%) hypertension, 33 (42.86%) obesity, 29 (37.66%) anemia, 16 (20.78%) pre-eclampsia and 14 (18.18%) dyslipidemia. Total 24(31.17%) were dead, 4(5.19%) were complete recovery, 12(15.58%) were partial recovery and 37(48.05%) were still suffering from heart failure. Conclusion: Diabetes, hypertension, obesity, anemia, pre-eclampsia, and dyslipidemia were all found as risk factors for postpartum cardiomyopathy in this study.
背景:产后心肌病是一种不常见的妊娠期心力衰竭,在不发达国家可导致大量孕产妇死亡。人们对这种疾病的风险因素和院内预后仍知之甚少。目的了解孟加拉国一家三级医院产后心肌病的风险因素和住院结果。材料与方法:这项描述性研究于 2022 年 1 月 1 日至 2022 年 12 月 30 日在孟加拉国锡尔赫特东北医学院心脏病学系进行。通过标准超声心动图评估,妊娠末期或产后 05 个月内左心室射血分数 (LVEF) ≤ 45% 即诊断为 PPCM。本研究共登记了 77 例 PPCM 患者,排除了其他原因引起的心力衰竭。结果显示平均年龄为 27.0±5.83 岁。大多数患者(45.45%)患有糖尿病,其次是高血压 26 例(33.7%)、肥胖 33 例(42.86%)、贫血 29 例(37.66%)、子痫前期 16 例(20.78%)和血脂异常 14 例(18.18%)。共有 24 人(31.17%)死亡,4 人(5.19%)完全康复,12 人(15.58%)部分康复,37 人(48.05%)仍处于心力衰竭状态。结论本研究发现,糖尿病、高血压、肥胖、贫血、先兆子痫和血脂异常都是产后心肌病的危险因素。
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引用次数: 0
Transmission of Hepatitis B in Newborn Mothers with Positive Hbs in the Csref of Commune V of the District of Bamako 巴马科区第五社区 Csref 中乙型肝炎抗体阳性的新生儿母亲的乙型肝炎传播情况
Pub Date : 2024-05-06 DOI: 10.36348/sjmps.2024.v10i05.001
K. M, S. D, B. H, T. M, K. I, T. Y, H. M, B. K, Koné D, K. A, D. M, Touré D, Diarra A S, D. F, D. O, Traoré Fd
The main cause of chronic HBsAg carriage is mother-to-child transmission. The aim of the study was to determine the epidemiological, clinical and biological aspects of mother-to-child transmission of the hepatitis B virus in newborns of HBsAg-positive mothers. Methodology: This was a descriptive cross-sectional study which took place from 1 March 2020 to 30 June 2021 at the CSREF in Commune V. Sampling was exhaustive, and all newborns whose mothers were carriers of hepatitis B were included in the study. Results: One hundred and twenty newborns out of 3197 referred from the maternity unit, representing a frequency of 3.7% of hepatitis B in pregnant women. Eighty newborns were included. The other 40 were not included because the mothers refused. Among the mothers, 11/80 tested positive for HBeAg and anti-HBs, with 2 positive results (18.18%). Twelve pregnant women had viral load tests, with two positive results (16.66%). Six of the 80 pregnant women had received tenofovir during pregnancy (7.5%), and all the newborns had negative HBsAg results at 4 months of age. Conclusion : Low realization of viral markers of hepatitis B and treatment during pregnancy.
慢性 HBsAg 携带的主要原因是母婴传播。本研究旨在确定 HBsAg 阳性母亲的新生儿中乙型肝炎病毒母婴传播的流行病学、临床和生物学方面。研究方法这是一项描述性横断面研究,于 2020 年 3 月 1 日至 2021 年 6 月 30 日在第五社区的 CSREF 进行。抽样是详尽的,所有母亲为乙型肝炎携带者的新生儿都被纳入研究范围。研究结果在产科转来的 3197 名新生儿中,有 120 名,占孕妇乙型肝炎发病率的 3.7%。其中 80 名新生儿被纳入研究。另外 40 名新生儿因母亲拒绝而未被纳入。在这些母亲中,有 11/80 人的 HBeAg 和抗-HBs 检测呈阳性,其中 2 人呈阳性(18.18%)。有 12 名孕妇进行了病毒载量检测,其中 2 人结果呈阳性(16.66%)。80 名孕妇中有 6 名在怀孕期间接受过替诺福韦治疗(7.5%),所有新生儿在 4 个月大时的 HBsAg 检测结果均为阴性。结论 :对乙型肝炎病毒标记物和孕期治疗的认识不足。
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引用次数: 0
Phytochemical Profiling and Investigating of Anti-Diabetic Properties of Asparagopsis taxiformis Collected from the Bay of Bengal Bangladesh 孟加拉国孟加拉湾采集的 Asparagopsis taxiformis 植物化学成分分析及抗糖尿病特性研究
Pub Date : 2024-04-16 DOI: 10.36348/sjmps.2024.v10i04.006
Sheikh Shohag, Shomaya Akhter, Md Abdul Alim, Md. Farhad Munshi, Mohammad Nazir Hossain
Diabetes mellitus (DM) is a global health issue due to its prevalence and catastrophic health effects. Synthetic hypoglycemic agents can treat diabetes, but they have side effects. Therefore, natural remedies for diabetes are now gaining popularity. Marine benthic algae are rich in phytochemicals and other bioactive compounds. Inhibition of carbohydrate hydrolyzing enzymes in-vitro and lower blood glucose levels in-vivo during fasting and postprandial testing imply seaweed extracts and their bioactive ingredients may treat diabetes. This study investigated the phytochemical properties of Asparagopsis taxiformis from the southern part of St. Martin Island in Bangladesh and examined the anti-diabetic activity of its 50% ethanolic extracts in-vitro and in-vivo. After establishing traditional phytochemical presence, total phenolic and flavonoid content was estimated, and an in-vitro alpha-amylase inhibitory activity test was performed. In-vitro anti-diabetic investigation shows that 50% ethanolic extract of Asparagopsis taxiformis reduces diabetes less than acarbose. In-vivo anti-diabetic tests also showed similar results compared to the control group when their blood glucose level was measured. After 14 days of treatment with the 50% ethanolic extract of Asparagopsis taxiformis, the treated group of mice didn’t show any considerable lowering activity when their body weight, lipid profile, kidney function, and liver function (SGPT, SGOT) were compared to the control group. Though Asparagopsis taxiformis has manifold benefits, 50% ethanolic extract of this alga didn’t show any antidiabetic properties suggesting more studies in different solvents are required to evaluate the antidiabetic properties.
糖尿病(DM)发病率高,对健康造成灾难性影响,是一个全球性的健康问题。合成降糖药物可以治疗糖尿病,但有副作用。因此,治疗糖尿病的天然疗法现在越来越受欢迎。海洋底栖藻类富含植物化学物质和其他生物活性化合物。海藻在体外抑制碳水化合物水解酶,在体内降低空腹和餐后测试的血糖水平,这意味着海藻提取物及其生物活性成分可治疗糖尿病。本研究调查了孟加拉国圣马丁岛南部 Asparagopsis taxiformis 的植物化学特性,并检测了其 50% 乙醇提取物在体外和体内的抗糖尿病活性。在确定了传统植物化学成分后,对总酚和类黄酮含量进行了估算,并进行了体外α-淀粉酶抑制活性测试。体外抗糖尿病研究表明,50% 的 Asparagopsis taxiformis 乙醇提取物比阿卡波糖更能减少糖尿病的发生。体内抗糖尿病试验也显示,与对照组的血糖水平测量结果相似。使用 50%的拟南芥乙醇提取物治疗小鼠 14 天后,与对照组相比,治疗组小鼠的体重、血脂、肾功能和肝功能(SGPT、SGOT)都没有明显降低。虽然 Asparagopsis taxiformis 具有多方面的益处,但这种海藻的 50%乙醇提取物并未显示出任何抗糖尿病特性,这表明需要在不同溶剂中进行更多研究,以评估其抗糖尿病特性。
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引用次数: 0
Decompensation of Chronic Liver Disease during Pregnancy, a Case Report 妊娠期慢性肝病恶化的病例报告
Pub Date : 2024-04-05 DOI: 10.36348/sjmps.2024.v10i04.004
H. E. Bacha, M. Konso, I. E. Hamraoui, Y. Smiti, N. Benzzoubeir, I. Errabih
Chronic hepatopathies are cosmopolitan disorders, the most common of which are chronic hepatitis and cirrhosis. Cirrhosis is a pathology of diverse etiologies characterized by diffuse disorganization of the normal hepatic structure due to hepatocyte destruction, with the appearance of regenerative nodules surrounded by fibrosis compressing the hepatic vascularization and causing portal hypertension. We report the case of a patient hospitalized in intensive care for decompensation of chronic hepathopathy during her 4th pregnancy, and we will describe the various consequences of pregnancy on this type of hepathopathy and vice versa via a detailed review of the literature.
慢性肝病是一种世界性疾病,其中最常见的是慢性肝炎和肝硬化。肝硬化是一种病因多样的病症,其特点是由于肝细胞破坏导致正常肝脏结构弥漫性紊乱,出现再生结节,周围纤维化压迫肝血管,引起门静脉高压。我们报告了一例在第四次妊娠期间因慢性病变失代偿而住院接受重症监护的患者的病例,并将通过详细的文献综述来描述妊娠对这类病变的各种影响,反之亦然。
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引用次数: 0
Gallbladder Diverticula in Chronic Calculous Cholecystitis 15-Year-Old Boy: Case Report 慢性结石性胆囊炎中的胆囊憩室 15 岁男孩:病例报告
Pub Date : 2024-04-05 DOI: 10.36348/sjmps.2024.v10i04.003
Sulaiman Turki Arfaj Alanazi, Ahmed Tabaan Alenezi
Background: Gallbladder diverticula have the appearance of hernia-like protrusions of the gallbladder wall. This disorder may not be diagnosed until surgically resected because it has no clinical significance unless there are associated diseases. Gallbladder pseudodiverticula have an acquired cause, multiple fundal lesions, an association with gallstones, internal saccular lesions without external hernia-like protrusions, and little to no smooth muscle in the gallbladder wall. Case Presentation: A 15-year-old boy in Saudi Arabia presented with right hypochondrial pain and dyspepsia. Imaging revealed innumerable gallstones in a distended gallbladder, indicative of chronic calculous cholecystitis. Elevated liver enzymes and coagulation abnormalities initially postponed surgery, but subsequent improvement allowed for laparoscopic cholecystectomy. Histopathological examination confirmed chronic calcular cholecystitis without malignancy. Conclusion: This case underscores the importance of recognizing and managing chronic calculous cholecystitis in adolescents promptly especially if associated with complication as pseudodiverticula. Successful treatment with laparoscopic cholecystectomy resulted in a positive outcome for the patient. Further research and case studies in this age group can enhance our understanding of the disease and optimize management strategies.
背景:胆囊憩室表现为胆囊壁疝气样突起。除非伴有相关疾病,否则这种疾病在手术切除前可能不会被诊断出来,因为它没有临床意义。胆囊假性憩室的病因是后天性的,胆囊底有多处病变,与胆结石有关,内囊病变而无外疝样突起,胆囊壁几乎没有平滑肌。病例介绍:沙特阿拉伯一名 15 岁男孩因右下腹疼痛和消化不良就诊。影像学检查发现,膨胀的胆囊内有无数胆结石,显示为慢性结石性胆囊炎。肝酶升高和凝血功能异常最初推迟了手术时间,但随后情况好转,可以进行腹腔镜胆囊切除术。组织病理学检查证实为慢性钙化性胆囊炎,无恶性病变。结论:本病例强调了及时发现和治疗青少年慢性结石性胆囊炎的重要性,尤其是伴有假性憩室等并发症时。腹腔镜胆囊切除术的成功治疗为患者带来了积极的结果。对这一年龄段患者的进一步研究和病例分析可以加深我们对该疾病的了解,并优化治疗策略。
{"title":"Gallbladder Diverticula in Chronic Calculous Cholecystitis 15-Year-Old Boy: Case Report","authors":"Sulaiman Turki Arfaj Alanazi, Ahmed Tabaan Alenezi","doi":"10.36348/sjmps.2024.v10i04.003","DOIUrl":"https://doi.org/10.36348/sjmps.2024.v10i04.003","url":null,"abstract":"Background: Gallbladder diverticula have the appearance of hernia-like protrusions of the gallbladder wall. This disorder may not be diagnosed until surgically resected because it has no clinical significance unless there are associated diseases. Gallbladder pseudodiverticula have an acquired cause, multiple fundal lesions, an association with gallstones, internal saccular lesions without external hernia-like protrusions, and little to no smooth muscle in the gallbladder wall. Case Presentation: A 15-year-old boy in Saudi Arabia presented with right hypochondrial pain and dyspepsia. Imaging revealed innumerable gallstones in a distended gallbladder, indicative of chronic calculous cholecystitis. Elevated liver enzymes and coagulation abnormalities initially postponed surgery, but subsequent improvement allowed for laparoscopic cholecystectomy. Histopathological examination confirmed chronic calcular cholecystitis without malignancy. Conclusion: This case underscores the importance of recognizing and managing chronic calculous cholecystitis in adolescents promptly especially if associated with complication as pseudodiverticula. Successful treatment with laparoscopic cholecystectomy resulted in a positive outcome for the patient. Further research and case studies in this age group can enhance our understanding of the disease and optimize management strategies.","PeriodicalId":21367,"journal":{"name":"Saudi Journal of Medical and Pharmaceutical Sciences","volume":"77 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140736114","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}
引用次数: 0
The Relationship between the Incidence of Atrial Fibrillation and Patients with Type 2 Diabetes Mellitus: A Systematic Review 心房颤动发病率与 2 型糖尿病患者之间的关系:系统回顾
Pub Date : 2024-04-03 DOI: 10.36348/sjmps.2024.v10i04.002
Mohammed Abdulrahman Al-Falah, Y. Medany, Mansoor Alnaim, Mareyah Alshaikh Husain, Mariam Sami Alshehab, Y. Al-Mulhim, J. AlRashada, A. Alarfaj, S. A. Almulhim, Abdulaziz Ali Alyousof, Hesham Alsuqair, Munirah Aldawsari
Objectives: To investigate the prevalence and mechanisms of atrial fibrillation (AF) among type 2 diabetes (T2D) patients. Methods: We conducted a thorough search of PubMed, SCOPUS, Web of Science, Google Scholar, and Science Direct to find pertinent literature. Rayyan QRCI was utilized during the entire process. Results: We included twelve studies with a total of 587,822 T2D patients and 299,957 (51%) were females. The prevalence of AF among T2D patients ranged from 0.2% to 41.63% with a total prevalence of 44936 (7.6%). The reported risk factors for developing AF among T2D patients were impaired glucose tolerance (IGT), men, obesity, elderly patients, those with lower socioeconomic backgrounds, those who currently smoked, people with reduced renal function, long-term BP fluctuation, and microvascular illness. Conclusion: Although the exact relationship between T2D and AF is still unclear, there is a significant correlation. Certain glycemic control studies indicate that therapeutic HbA1c levels in conjunction with well-controlled T2D do not significantly reduce the risk of new-onset AF in T2D patients. Further investigation is needed to fully comprehend the connection between T2D and AF. In the interim, healthcare professionals can treat people with T2D, AF, or possibly both illnesses at the same time according to accepted guidelines.
目的研究 2 型糖尿病(T2D)患者心房颤动(AF)的发病率和机制。方法我们对 PubMed、SCOPUS、Web of Science、Google Scholar 和 Science Direct 进行了全面搜索,以查找相关文献。整个过程中使用了 Rayyan QRCI。结果我们共纳入了 12 项研究,涉及 587,822 名 T2D 患者,其中 299,957 人(51%)为女性。房颤在 T2D 患者中的发病率从 0.2% 到 41.63% 不等,总发病率为 44936 例(7.6%)。据报道,糖耐量受损(IGT)、男性、肥胖、老年患者、社会经济背景较差者、吸烟者、肾功能减退者、长期血压波动和微血管疾病是 T2D 患者发生房颤的风险因素。结论虽然 T2D 与房颤之间的确切关系尚不明确,但两者之间存在显著的相关性。某些血糖控制研究表明,治疗性 HbA1c 水平与控制良好的 T2D 结合使用,并不能显著降低 T2D 患者新发房颤的风险。要完全理解 T2D 与房颤之间的联系,还需要进一步的研究。在此期间,医护人员可以根据公认的指南,对患有 T2D、房颤或可能同时患有这两种疾病的患者进行治疗。
{"title":"The Relationship between the Incidence of Atrial Fibrillation and Patients with Type 2 Diabetes Mellitus: A Systematic Review","authors":"Mohammed Abdulrahman Al-Falah, Y. Medany, Mansoor Alnaim, Mareyah Alshaikh Husain, Mariam Sami Alshehab, Y. Al-Mulhim, J. AlRashada, A. Alarfaj, S. A. Almulhim, Abdulaziz Ali Alyousof, Hesham Alsuqair, Munirah Aldawsari","doi":"10.36348/sjmps.2024.v10i04.002","DOIUrl":"https://doi.org/10.36348/sjmps.2024.v10i04.002","url":null,"abstract":"Objectives: To investigate the prevalence and mechanisms of atrial fibrillation (AF) among type 2 diabetes (T2D) patients. Methods: We conducted a thorough search of PubMed, SCOPUS, Web of Science, Google Scholar, and Science Direct to find pertinent literature. Rayyan QRCI was utilized during the entire process. Results: We included twelve studies with a total of 587,822 T2D patients and 299,957 (51%) were females. The prevalence of AF among T2D patients ranged from 0.2% to 41.63% with a total prevalence of 44936 (7.6%). The reported risk factors for developing AF among T2D patients were impaired glucose tolerance (IGT), men, obesity, elderly patients, those with lower socioeconomic backgrounds, those who currently smoked, people with reduced renal function, long-term BP fluctuation, and microvascular illness. Conclusion: Although the exact relationship between T2D and AF is still unclear, there is a significant correlation. Certain glycemic control studies indicate that therapeutic HbA1c levels in conjunction with well-controlled T2D do not significantly reduce the risk of new-onset AF in T2D patients. Further investigation is needed to fully comprehend the connection between T2D and AF. In the interim, healthcare professionals can treat people with T2D, AF, or possibly both illnesses at the same time according to accepted guidelines.","PeriodicalId":21367,"journal":{"name":"Saudi Journal of Medical and Pharmaceutical Sciences","volume":"26 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746174","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}
引用次数: 0
Prevalence of Ear and Nasal Diseases in Bangladeshi Patients 孟加拉国患者耳鼻疾病的发病率
Pub Date : 2024-03-28 DOI: 10.36348/sjmps.2024.v10i03.010
Md. Mahmudur Rahman, Sabina Parveen, Sabrina Sarah Alam
Background: The magnitude of health problems related to ear and nose in Bangladesh has not been estimated in a larger scale and very little is known about the prevalence and types of ENT diseases. Commonest cause of hearing impairment in our country is middle ear infection. Conductive type of deafness mostly occurs due to otitis media with or without its complications. Goal of primary health eare services is to achieve "Sound hearing by 2030" will never be achieved if we could not find out possible association of middle ear disease with other health conditions. Objective: To determine the prevalence of ear and nasal diseases in Bangladeshi patients. Methods: Two hundred patients complaining of middle ear discharge and or nasal symptoms were included in this study, to see the association of COM with nasal disorders. This cross sectional study was conducted in Dhaka Medical College Hospital from July 2012 to June 2014.Sample was taken by purposive sampling. Sample was divided into four groups as exposed and diseased, exposed and not diseased, not exposed diseased and not exposed and not diseased. Results: Two hundred patients were studied in the department of ENT and Head Neck Surgery of Dhaka Medical College Hospital complaining of either COM or Sinonasal disease. Among them 107 were female and 93 were male and male female ratio was 1:1.15. On analyzing age distribution it was ranging from 10 years to 50 years with mean age 30±7.86% clustering around 25 years. This study revealed that 65 % of COM is in the age group of 10-30 years. Conclusion: A study on the prevalence of the Ear Nose throat and Head and Neck diseases in developing country like Bangladesh can provide basic data which can be relevant and beneficial to the development of medical ENT curriculum in the regional setup and subsequent medical practice.
背景:孟加拉国与耳鼻喉有关的健康问题的严重程度尚未得到大规模的估计,人们对耳鼻喉科疾病的发病率和类型知之甚少。我国最常见的听力损伤原因是中耳炎。传导性耳聋主要是由中耳炎引起的,无论有无并发症。如果我们不能发现中耳疾病与其他健康状况的可能关联,那么初级保健服务的目标--"到 2030 年实现健全听力"--将永远无法实现。目标:确定孟加拉国患者耳鼻疾病的发病率。方法:对 200 名主诉中耳流脓的患者进行调查:本研究纳入了 200 名主诉中耳流脓或鼻部症状的患者,以了解中耳炎与鼻部疾病的关联。这项横断面研究于 2012 年 7 月至 2014 年 6 月在达卡医学院附属医院进行。样本被分为四组,即暴露和患病组、暴露和未患病组、未暴露和患病组以及未暴露和未患病组。研究结果达卡医学院附属医院耳鼻咽喉头颈外科对 200 名主诉患有 COM 或鼻窦疾病的患者进行了研究。其中女性 107 人,男性 93 人,男女比例为 1:1.15。年龄分布分析显示,患者年龄从 10 岁到 50 岁不等,平均年龄(30±7.86%)在 25 岁左右。这项研究显示,65%的 COM 患者年龄在 10-30 岁之间。结论对孟加拉国等发展中国家耳鼻咽喉头颈部疾病发病率的研究可提供基本数据,这对地区耳鼻喉科医学课程的设置和后续医疗实践的发展具有相关性和益处。
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引用次数: 0
Lupic Glomerulonephritis in a Patient Presenting with Hyperimmunoglobulin E Syndrome: A Case Report 出现高免疫球蛋白 E 综合征的狼疮性肾小球肾炎:病例报告
Pub Date : 2024-03-26 DOI: 10.36348/sjmps.2024.v10i03.009
Pr Bouchoual Mohammed, Cherradi Ihsene, Pr Anibar Sara, Pr Jabrane Marouane, Pr Arrayhani Mohamed
Hyper-IgE syndrome (also known as Job or Buckley syndrome) is a hereditary immune deficiency of autosomal dominant inheritance. It is clinically characterized by the occurrence of recurrent staphylococcal, skin abscesses, bacterial and fungal pneumopathies, and a significant increase in immunoglobulin E. Its association with systemic lupus erythematosus has been described, the mechanism of which involves the deposition of immune complexes. We report the case of an 11-year-old girl with hyper IgE syndrome who was admitted to our clinic with severe renal failure, diagnosed as lupus glomerulonephritis on kidney biopsy.
高免疫球蛋白E综合征(又称乔布或巴克利综合征)是一种常染色体显性遗传的遗传性免疫缺陷病。它的临床特点是反复发生葡萄球菌性皮肤脓肿、细菌性和真菌性肺炎,免疫球蛋白 E 显著增高。有报道称它与系统性红斑狼疮有关,其机制涉及免疫复合物的沉积。我们报告了一例患有高 IgE 综合征的 11 岁女孩的病例,她因严重的肾功能衰竭入院,肾活检诊断为狼疮肾小球肾炎。
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引用次数: 0
Meckel's Diverticulitis: About 5 Pediatric Observations Collected at the Nianankoro FOMBA Hospital in Ségou, Mali 梅克尔憩室炎:马里塞古 Nianankoro FOMBA 医院收集的约 5 个儿科观察病例
Pub Date : 2024-03-21 DOI: 10.36348/sjmps.2024.v10i03.008
C. S, S. A, B. H, N. G, N. O, K. A, D. B, Reding R, Veyckemans F, C. Y
Meckel's diverticulitis or meckelitis is the infection of the Meckel's diverticulum. The aim of this work was to study the epidemiological, diagnostic, therapeutic and evolutionary aspects in the pediatric surgery department of the Nianankoro FOMBA hospital in Ségou, Mali. This was a retrospective study concerning observations between July 2010 and June 2012. We reported 5 observations in 2 years, representing a frequency of 2.5 cases per year. The average age was 6.6 years and the sex ratio was 1.5. Diagnostically, abdominal pain was the main reason for consultation followed by fever and vomiting. Physical examination found in all cases abdominal pain more or less associated with guarding in the right iliac fossa and peri-umbilical area. Abdominal bloating and contracture were noted in one case. There was hyperleukocytosis in all our 5 observations. The diagnosis was an operative discovery in 4 cases. Ultrasound was contributory in one case. Therapeutically, segmental resection of the small intestine removing the diverticulum, followed by immediate end-to-end anastomosis of the small intestine was the only technique performed in all our patients. The postoperative course was simple in 4 cases. A wall abscess with a favorable outcome was noted. Histological examination confirmed meckelitis at different stages (inflammatory, abscessed, gangrenous or necrotic). Gastric heterotopia was noted in one observation.
梅克尔憩室炎或梅克尔炎是梅克尔憩室的感染。这项工作旨在研究马里塞古市尼亚南科罗 FOMBA 医院小儿外科的流行病学、诊断、治疗和演变情况。这是一项回顾性研究,涉及 2010 年 7 月至 2012 年 6 月期间的观察结果。我们报告了 2 年中的 5 例观察结果,即每年 2.5 例。平均年龄为 6.6 岁,性别比为 1.5。诊断方面,腹痛是就诊的主要原因,其次是发烧和呕吐。体格检查发现,所有病例的腹痛或多或少都与右髂窝和脐周区域的守卫有关。一个病例出现腹胀和挛缩。在我们观察到的 5 个病例中,都出现了白细胞增多。其中 4 例的诊断是通过手术发现的。有一例病例是通过超声检查确诊的。在治疗上,所有患者都采用了小肠分段切除术,切除憩室后立即进行小肠端端吻合术。有 4 例患者的术后并无大碍。术后出现肠壁脓肿,但结果良好。组织学检查证实了不同阶段(炎症、脓肿、坏疽或坏死)的盲肠炎。一名患者出现胃异位。
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引用次数: 0
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Saudi Journal of Medical and Pharmaceutical Sciences
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