Pub Date : 2022-11-03DOI: 10.3329/jrpmc.v7i2.62647
Sarowat Hossain, S. Alam, Mahabubul Islam, Munira Begum, Z. H. Sarker, Shahgahan Miah, Md. Abu Hanifa, Taslim Fatema, Labib Hasan
Background: Novel Corona virus-2019 (nCOVID-2019) is recognized as a major public health threat all over the world. This virus is spreading at a breakneck speed since its emergence from Wuhan, China in December 2019 and it is important to pull all the necessary resources to halt it. The outbreaks of Coronavirus infection among people are always of public health concern especially when they have little knowledge. Most infectious disease preventive campaigns assume that if rational knowledge is given, people's behavior will change and will favor control. Objective: The study was aimed to assess the public knowledge about nCOVID-2019. Methods: A descriptive type of cross-sectional study was carried out among the population of Palashbari Upazilla, Gaibandha district from 20 th January 2020 to 20 th February 2020. 1010 respondents were selected conveniently from 5 catchment areas. Data were collected through face-to-face interviews with a pre-tested structured questionnaire. Collected data were entered in the spreadsheet and analyzed in SPSS version 23. Results: The highest numbers of respondents were in the age group of 15 to 30 years (43.2%). Male and females of were almost equally distributed. 92.9% of the respondents heard the name of 2019-nCoV and 47.6% of them said that it was a respiratory tract infection. 57.5% respondents knew about the sign symptoms but only 26.6% among them could identify all sign symptoms satisfactorily. 40.8% were aware that it was transmitted through the air and only 31.2% knew humans as the source of infection, 19.8% of respondents had no knowledge and others told that wild animals, snakes, bats, cattle, and poultry could transmit the virus. A good percentage of respondents could tell about using masks (85.4%), hand washing (84.75%), avoid touching mouth nose and eyes with the unwashed hand (78.9%), avoid undercooked food (70.6% ), avoid touching poultry and animals (71.2%) and the necessity to quarantine the suspected cases (71.3%), as beneficial for the prevention of Coronavirus infection but they had a lack of knowledge about the treatment (24.52%), 63.5% respondents knew that there was no treatment against Coronavirus infection whereas 11.9% didn’t know about the treatment and only 22.6% had knowledge about the quarantine period. Conclusion: The study revealed that, though most of the respondents heard the name Coronavirus, people have limited knowledge about transmission, quarantine, and treatment against nCOVID-2019. Health care professionals have to work with enormous effort to control the outbreak of nCOVID-2019. J Rang Med Col. September 2022; Vol. 7, No. 2:58-62
背景:新型冠状病毒-2019 (nCOVID-2019)被认为是世界各地的重大公共卫生威胁。自2019年12月在中国武汉出现以来，这种病毒正在以惊人的速度传播，重要的是调动一切必要的资源来阻止它。冠状病毒感染在人群中的爆发一直是公共卫生关注的问题，尤其是在人们知之甚少的情况下。大多数传染病预防运动都假设，如果给予理性知识，人们的行为就会改变，并倾向于控制。目的:了解公众对2019冠状病毒病的认知情况。方法:于2020年1月20日至2020年2月20日对盖班达区Palashbari Upazilla人口进行描述性横断面研究。从5个集水区方便地抽取了1010名受访者。数据通过面对面访谈和预先测试的结构化问卷收集。将收集到的数据输入到电子表格中，并在SPSS version 23中进行分析。结果:15 ~ 30岁年龄段的受访人数最多(43.2%)。男性和女性的分布几乎相等。92.9%的受访者听说过2019-nCoV的名称，47.6%的受访者表示这是呼吸道感染。57.5%的被调查者知道体征症状，但仅有26.6%的人能满意地识别所有体征症状。40.8%的人知道通过空气传播，只有31.2%的人知道传染源，19.8%的人不知道，还有人告诉野生动物、蛇、蝙蝠、牛、家禽可以传播病毒。较高比例的受访者能说出使用口罩(85.4%)、洗手(84.75%)、避免用未洗手的手接触口鼻和眼睛(78.9%)、避免未煮熟的食物(70.6%)、避免接触家禽和动物(71.2%)和隔离疑似病例的必要性(71.3%)有利于预防冠状病毒感染，但对治疗知识缺乏(24.52%)。63.5%的受访者知道没有针对冠状病毒感染的治疗方法，11.9%的受访者不知道治疗方法，只有22.6%的受访者知道隔离期。结论:该研究表明，尽管大多数受访者都听说过冠状病毒这个名字，但人们对covid -2019的传播、隔离和治疗的了解有限。卫生保健专业人员必须付出巨大努力来控制2019年新冠肺炎疫情。J Rang Med Col. 2022年9月;第七卷，第2:58-62
{"title":"Knowledge About nCOVID-2019 Among the Population of Palashbari Upazilla in Gaibandha District","authors":"Sarowat Hossain, S. Alam, Mahabubul Islam, Munira Begum, Z. H. Sarker, Shahgahan Miah, Md. Abu Hanifa, Taslim Fatema, Labib Hasan","doi":"10.3329/jrpmc.v7i2.62647","DOIUrl":"https://doi.org/10.3329/jrpmc.v7i2.62647","url":null,"abstract":"Background: Novel Corona virus-2019 (nCOVID-2019) is recognized as a major public health threat all over the world. This virus is spreading at a breakneck speed since its emergence from Wuhan, China in December 2019 and it is important to pull all the necessary resources to halt it. The outbreaks of Coronavirus infection among people are always of public health concern especially when they have little knowledge. Most infectious disease preventive campaigns assume that if rational knowledge is given, people's behavior will change and will favor control. \u0000Objective: The study was aimed to assess the public knowledge about nCOVID-2019. \u0000Methods: A descriptive type of cross-sectional study was carried out among the population of Palashbari Upazilla, Gaibandha district from 20 th January 2020 to 20 th February 2020. 1010 respondents were selected conveniently from 5 catchment areas. Data were collected through face-to-face interviews with a pre-tested structured questionnaire. Collected data were entered in the spreadsheet and analyzed in SPSS version 23. \u0000Results: The highest numbers of respondents were in the age group of 15 to 30 years (43.2%). Male and females of were almost equally distributed. 92.9% of the respondents heard the name of 2019-nCoV and 47.6% of them said that it was a respiratory tract infection. 57.5% respondents knew about the sign symptoms but only 26.6% among them could identify all sign symptoms satisfactorily. 40.8% were aware that it was transmitted through the air and only 31.2% knew humans as the source of infection, 19.8% of respondents had no knowledge and others told that wild animals, snakes, bats, cattle, and poultry could transmit the virus. A good percentage of respondents could tell about using masks (85.4%), hand washing (84.75%), avoid touching mouth nose and eyes with the unwashed hand (78.9%), avoid undercooked food (70.6% ), avoid touching poultry and animals (71.2%) and the necessity to quarantine the suspected cases (71.3%), as beneficial for the prevention of Coronavirus infection but they had a lack of knowledge about the treatment (24.52%), 63.5% respondents knew that there was no treatment against Coronavirus infection whereas 11.9% didn’t know about the treatment and only 22.6% had knowledge about the quarantine period. \u0000Conclusion: The study revealed that, though most of the respondents heard the name Coronavirus, people have limited knowledge about transmission, quarantine, and treatment against nCOVID-2019. Health care professionals have to work with enormous effort to control the outbreak of nCOVID-2019. \u0000J Rang Med Col. September 2022; Vol. 7, No. 2:58-62","PeriodicalId":370900,"journal":{"name":"Journal of Rangpur Medical College","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131781772","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 : 2022-11-03DOI: 10.3329/jrpmc.v7i2.62649
Md Helal Miah, Tania Begum, Md Shafiul Alam, A. Mondol, Md Mahfuj Ul Anwar
Bangladesh is an example of a highly populous, agricultural country where melioidosis may be a significantly underdiagnosed cause of infection and death. Melioidosis is caused by a highly pathogenic, soil-borne, Gram-negative bacterium, Burkholderia pseudomallei. Diabetes mellitus is the most common risk factor. Disease manifestations vary from pneumonia or localized abscess to acute septicemia or arthritis. Culture is considered the current gold- standard for diagnosis. For the intensive phase (10 to 14 days), ceftazidime or meropenem is the drug of choice. For the eradication phase (3 to 6 months), oral trimethoprim/ sulfamethoxazole is the drug of choice. Surgery (drainage of abscess) has an important role in the management of melioidosis. A 48-year-old male, health worker of an NGO, working at Cox’s Bazar presented with fever for 1 month and gradual increasing pain and swelling of the left knee for 7 days followed by cellulitis and multiple abscess formation in the left leg. B. pseudomallei isolated from blood culture and successfully treated with meropenem. J Rang Med Col. September 2022; Vol. 7, No. 2:69-72
孟加拉国是一个人口众多的农业国家，类鼻疽病可能是一个严重未被诊断的感染和死亡原因。类meliosis是由一种高致病性的，土壤传播的革兰氏阴性细菌，假氏伯克氏菌引起的。糖尿病是最常见的危险因素。疾病表现多样，从肺炎或局部脓肿到急性败血症或关节炎。文化被认为是目前诊断的金标准。在强化期(10至14天)，可选择头孢他啶或美罗培南。在根除阶段(3至6个月)，口服甲氧苄啶/磺胺甲恶唑是首选药物。手术(脓肿引流)在类鼻疽的治疗中起着重要作用。一名48岁男性，非政府组织卫生工作者，在Cox 's Bazar工作，发烧1个月，左膝疼痛和肿胀逐渐加重，持续7天，随后出现蜂窝组织炎和左腿多发脓肿。从血培养中分离出假假芽孢杆菌，并用美罗培南成功治疗。J Rang Med Col. 2022年9月;第7卷第2章69-72节
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Pub Date : 2022-11-03DOI: 10.3329/jrpmc.v7i2.62638
Md Shahed Morshed, Md. Firoj Hossain, M. A. Hannan, Md Ahamedul Kabir, Mobarak Hosen, Satyajit Mallick, M. J. Alam, Mohammad Nurul Amin, M. Faruque, S. Rahman
Background: Risk stratification is an essential and first component of the pre-Ramadan assessment of patients with diabetes mellitus (DM) who wish to fast. Limited data are reported from Bangladesh regarding risk stratification of people with DM who wish to fast. Objective: To determine the risk status of people with DM who wish to fast during Ramadan. Methods: This cross-sectional observational study was done among Muslim people of DM with at least one year of experience of Ramadan in previous years after their diagnosis. Along with baseline characteristics, the individual 14 risk elements of the International Diabetes Federation and Diabetes & Ramadan International Alliance (IDF-DAR) risk calculator- 2021 were assessed. Patients were categorized into low, moderate, and high risk with a total score of 0-3, 3.5-6, and ≥6.5 respectively. Moderate and high-risk patients were counseled about their risk of fasting and requested to reconsider their wishes. Results: Among 569 participants, (mean age 50.97±12.02 years, male-female ratio 36.2:63.8) 37.8%, 38.8%, and 23.4% had high, moderate, and low risk respectively. Risk scores were significantly higher in older age (p<0.001), male sex (p=0.024), residence in Chattagram than Rajshahi division (p=0.009) as well as housewife and businessman than other occupations (p=0.012). Despite knowing the risks of fasting, 88.8% of people with high risk and 96.8% of people with moderate risks still wished to fast. The people who still wished to fast despite knowing their risks of fasting had significantly lower percent of macrovascular disease (p=0.039), lower creatinine levels (p<0.001), with a lower percent of dipstick proteinuria (p=0.010), and use of insulin (p=0.021) than those who changed their decision. Conclusions: Nearly 90% of persons with DM with moderate/high risk for fasting still wished to fast despite their exemption. These at-risk population needs guidance, monitoring, and follow-up for safe fasting. J Rang Med Col. September 2022; Vol. 7, No. 2:4-11
背景:风险分层是希望斋戒的糖尿病(DM)患者斋月前评估的重要和首要组成部分。孟加拉国关于希望禁食的糖尿病患者的风险分层报告的数据有限。目的:了解糖尿病患者在斋月期间斋戒的危险状况。方法:这项横断面观察研究是在穆斯林糖尿病患者中进行的，他们在诊断后的前几年至少有一年的斋月经历。除了基线特征外，还评估了国际糖尿病联合会和糖尿病与斋月国际联盟(IDF-DAR)风险计算器- 2021中的14个风险要素。患者分为低危、中危和高危，总分分别为0-3分、3.5-6分和≥6.5分。中度和高危患者被告知他们禁食的风险，并被要求重新考虑他们的意愿。结果:569名参与者中(平均年龄50.97±12.02岁，男女比36.2:63.8)，高、中、低风险分别为37.8%、38.8%和23.4%。年龄较大(p<0.001)、性别为男性(p=0.024)、居住在查塔格拉姆区(p=0.009)、家庭主妇和商人的风险评分显著高于其他职业(p=0.012)。尽管知道禁食的风险，88.8%的高风险人群和96.8%的中度风险人群仍然希望禁食。与改变决定的人相比，尽管知道自己有禁食的风险，但仍然希望禁食的人患大血管疾病的比例(p=0.039)、肌酐水平(p<0.001)较低、尿量蛋白尿(p=0.010)和胰岛素使用(p=0.021)的比例明显较低。结论:近90%的糖尿病中/高风险禁食患者尽管得到了豁免，但仍希望禁食。这些高危人群需要安全禁食方面的指导、监测和随访。J Rang Med Col. 2022年9月;第七卷2:4-11
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