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C-Arm Guided Epidural Steroid Injection: An Effective Treatment for Patients with Radiculopathy in Tertiary Level Hospital of Bangladesh c臂引导硬膜外类固醇注射:孟加拉国三级医院神经根病患者的有效治疗
Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68316
Tamjid Ali, M. Khasru, A. Salek, Alauddin Sikdar, Quazi Tamanna Haque
Introduction: Epidural steroid injections (ESI) have been utilized for over 50 years in the conservative therapy of prolapsed lumbar intervertebral discs. However, controversy persists regarding their effectiveness in reducing pain and improving function, with literature supporting and opposing them. Aim: To study the effectiveness of epidural steroid injection in treating pain caused by a prolapsed lumbar intervertebral disc and compare the effectiveness between caudal, transforaminal, and interlaminar injection routes. Materials and Methods: A total of 152 patients with back pain with Radiculopathy with a lumbar disc prolapse confirmed on MRI were included in the study. Their pre-injection Japanese Orthopedic Association Score (JOA) counted up. In this study, participants were enrolled using a simple randomization procedure (picking a card).in the Department of Physical Medicine & Rehabilitation at BSMMU, Dhaka, from May 2020 to April 2021. Among 152 patients were intervenes as transforaminal (n=62), caudal (n=53), and interlaminar (n=25) approach with subsequently received epidural steroids as methylprednisone. Twelve individuals were dropped from the trial because they failed to show up for their scheduled therapy. Results: The prevalence increased dramatically, leading to a JOA Score at 12 months following injection via any of the three methods 53 (37.26%) via the caudal pathway, 62 (44.21%) via transforaminal, and 25 (18.53%) via interlaminar. At six months and 12 months post-injection, the transforaminal route was substantially more efficacious than the caudal (p=0.01) and interlaminar routes (p=0.03). Comparing the caudal and interlaminar methods yielded no statistically significant difference (p=0.36). Conclusion: In the current study, methylprednisone epidural injections effectively treat radiculopathy and back pain caused by a herniated lumbar disc. All three injection techniques are adequate, with the best result obtained by the transforaminal route. TAJ 2022; 36: No-1: 113-118
硬膜外类固醇注射(ESI)已用于保守治疗腰椎间盘突出超过50年。然而,关于它们在减轻疼痛和改善功能方面的有效性,争论仍然存在,文献支持和反对它们。目的:探讨硬膜外注射类固醇治疗腰椎间盘突出症的疗效,并比较经椎间孔、椎尾孔和椎间三种注射方式的疗效。材料与方法:选取经MRI证实的腰椎间盘突出型神经根病腰痛患者152例作为研究对象。统计注射前日本骨科协会评分(JOA)。在这项研究中,参与者使用简单的随机化程序(挑选卡片)进行登记。2020年5月至2021年4月在达卡BSMMU物理医学与康复系工作。在152例患者中,经椎间孔(n=62)、尾侧(n=53)和椎间(n=25)入路进行干预,随后接受硬膜外类固醇如甲基强的松。有12人因未能按时接受治疗而退出试验。结果:三种注射方式中的任何一种注射后12个月JOA评分为:尾侧注射53例(37.26%),椎间注射62例(44.21%),椎间注射25例(18.53%)。在注射后6个月和12个月,经椎间孔途径明显优于尾侧途径(p=0.01)和椎间途径(p=0.03)。尾侧法与层间法比较,差异无统计学意义(p=0.36)。结论:在目前的研究中,甲基强的松硬膜外注射可有效治疗腰椎间盘突出症引起的神经根病和背痛。所有三种注射技术都是足够的,经椎间孔途径获得最佳效果。泰姬酒店2022;36: no - 1:13 13-118
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引用次数: 0
Comparison of the Efficacy of Transcutaneous Electrical Nerve Stimulation and Short Wave Diathermy on Patients with Chronic Nonspecific Low Back Pain 经皮神经电刺激与短波热疗治疗慢性非特异性腰痛的疗效比较
Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68284
Monjur Ahmed, Ahsanul Hoque, Nur A. Zannat, Z. Sadeque, T. Khan
Background: Transcutaneous electrical nerve stimulation (TENS) is widely used as a therapeutic adjunct in the management of low back pain. It is a relatively safe, non-invasive, and easy-to-use modality, making it an attractive treatment option. For more than four decades, TENS has been applied in the treatment of acute and chronic pain syndromes.  Short wave diathermy (SWD) is a modality that produces deep heating by converting electromagnetic energy to thermal energy. Short wave diathermy (SWD) is also a popular therapy for low back pain. Methods: This randomized controlled clinical trial was conducted to evaluate the comparative efficacy between TENS and SWD on chronic nonspecific low back pain patients. One hundred twenty patients with chronic low back pain were treated according to inclusion & exclusion criteria. Patients were equally distributed in three groups. Group-A patients (n=40) were treated with NSAID+ADL, Group-B patients (n=40) were treated with NSAID+ADL+TENS, and Group-C patients (n=40) were treated with NSAID+ADL+SWD. Written informed consent was obtained from all patients. Data were calculated and analyzed by computer-based software SPSS (Statistical Package for Social Science) Windows 16.0 version.  Main outcome measure (s): Subjective pain intensity score, visual analogue scale, tenderness index, disability due to pain, spinal mobility index, and Oswestry disability index. Results: The mean duration of pain was found to be 23.90±2.57 months in group A, 21.0+1.50 months in group B and 22.1±1.89 months in group C. The visual analog score was improved individually in group-A, group B and Group C after treatment, which was statistically significant (P<0.05). Oswestry disability questionnaire score was also improved individually in group-A, group B and Group C after treatment, which was statistically significant (P<0.05). In the case of comparison between Group B and Group C, this was not statistically significant (P>0.05). In this current study, it was observed that the entire variable individually improved in Group-A, Group B, and Group C. So, all three treatment groups benefited from drugs and therapy. However, these were not statistically significant (P>0.05) between Group B and Group C. Conclusion: Beneficial effects of TENS and SWD were seen in the study population, but no firm conclusion could be drawn. TAJ 2022; 36: No-1: 63-73
背景:经皮神经电刺激(TENS)被广泛用作治疗腰痛的辅助手段。这是一种相对安全、非侵入性和易于使用的方式,使其成为一种有吸引力的治疗选择。四十多年来,TENS已被应用于急性和慢性疼痛综合征的治疗。短波透热(SWD)是一种将电磁能转化为热能而产生深层加热的方式。短波热疗(SWD)也是治疗腰痛的常用疗法。方法:采用随机对照临床试验,比较TENS与SWD治疗慢性非特异性腰痛的疗效。120例慢性腰痛患者按照纳入和排除标准进行治疗。患者平均分为三组。a组(n=40)采用NSAID+ADL, b组(n=40)采用NSAID+ADL+TENS, c组(n=40)采用NSAID+ADL+SWD。所有患者均获得书面知情同意。数据的计算和分析采用计算机软件SPSS (Statistical Package for Social Science) Windows 16.0版本。主要观察指标:主观疼痛强度评分、视觉模拟量表、压痛指数、疼痛致残指数、脊柱活动指数、Oswestry致残指数。结果:A组患者的平均疼痛持续时间为23.90±2.57个月,B组为21.0±1.50个月,C组为22.1±1.89个月。治疗后,A、B、C组患者的视觉模拟评分均有所提高,差异均有统计学意义(P0.05)。在目前的研究中,我们观察到a组、B组和c组的整个变量都有所改善。因此,三个治疗组都受益于药物和治疗。但B组与c组比较差异无统计学意义(P>0.05)。结论:TENS和SWD在研究人群中有有益的作用,但不能得出确切的结论。泰姬酒店2022;36: no - 1:63 -73
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引用次数: 0
Determination of Minimum Inhibitory Concentration of Different Antibiotics against Pseudomonas aeruginosa by E- test at a Tertiary Care Hospital 某三级医院不同抗生素对铜绿假单胞菌最低抑菌浓度的测定
Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68281
Mst. Romena Khatun, Khandaker Md Faisal Alam, S. G. Nahar, N. Begum, Md. Khaled Shahrear, Quazi Tamanna Hauqe
Background: Antimicrobial drug resistance is a matter of worldwide concern. Different microorganisms, including bacteria, are becoming more resistant day by day. So it is of utmost importance to know the antimicrobial susceptibility pattern not only for initiation of treatment but also for prevention of drug resistance. By determining minimum inhibitory concentration (MIC) by Epsilometer-test (E-test), we can determine the exact dose of a particular drug. Aims: The study is aimed to determine the MIC of different antibiotics against intermediate isolates of P. aeruginosa isolated from clinically suspected patients of chronic suppurative otitis media (CSOM). Materials and Methods: A cross-sectional type of descriptive study was conducted in the Department of Microbiology, Rajshahi Medical College, Rajshahi, during the period of January 2019 to December 2019 to identify the causative bacteria of CSOM with their antibiotic susceptibility pattern. A total of 96 aural swabs were collected from clinically suspected cases of CSOM, irrespective of age and sex, in the ENT department of Rajshahi Medical College Hospital, Rajshahi. Isolation and identification of bacteria were made as per standard procedure, and then antimicrobial susceptibility testing was performed by the disc diffusion method. At last, E-test was performed on different antibiotics against intermediate isolates of P. aeruginosa. Results: Among 73 isolates, 37 showed intermediate susceptibility towards selected antibiotics such as beta-lactams (Ceftazidime, Ceftriaxone), aminoglycosides (Gentamicin), and quinolones (Ciprofloxacin) by disc diffusion method. Among 37 intermediate isolates, P. aeruginosa was 14 in number. Regarding MIC breakpoints in terms of susceptibility, out of 14 intermediate isolates of P. aeruginosa, 09(64.28%) isolates were susceptible, 03(21.43%) intermediate, and 2(14.28%) were resistant to different antibiotics by E-test. Conclusion: In this study, higher susceptibility of different antibiotics against intermediate isolates of P. aeruginosa was observed by E-test than the disc diffusion method. TAJ 2022; 36: No-1: 47-54
背景:抗微生物药物耐药性是全世界关注的问题。不同的微生物,包括细菌,抗性日益增强。因此,了解抗生素的药敏模式不仅对开始治疗,而且对预防耐药性至关重要。通过Epsilometer-test (E-test)测定最小抑制浓度(MIC),我们可以确定特定药物的确切剂量。目的:研究不同抗生素对临床疑似慢性化脓性中耳炎(CSOM)患者铜绿假单胞菌中间分离株的MIC。材料与方法:采用横断面描述性研究方法,于2019年1月- 2019年12月在Rajshahi医学院微生物学系进行CSOM病原菌及其抗生素药敏模式的鉴定。在拉杰沙希拉杰沙希医学院附属医院的耳鼻喉科共收集了96例临床疑似CSOM病例的耳部拭子,不论年龄和性别。按标准程序进行细菌分离鉴定,然后采用纸片扩散法进行药敏试验。最后对不同抗生素对铜绿假单胞菌中间分离株进行e -检验。结果:73株分离菌中,37株对β -内酰胺类药物(头孢他啶、头孢曲松)、氨基糖苷类药物(庆大霉素)、喹诺酮类药物(环丙沙星)呈中等敏感性。37株中间分离株中,铜绿假单胞菌14株。在药敏MIC断点上,14株铜绿假单胞菌中间分离株中,易感09株(64.28%),耐药03株(21.43%),耐药2株(14.28%)。结论:本研究中不同抗生素对铜绿假单胞菌中间分离株的敏感性均高于纸片扩散法。泰姬酒店2022;36: no - 1:47 -54
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引用次数: 0
The Outcome of Obese Pregnant Mother Having Gestational Diabetes Mellitus 肥胖孕妇患妊娠期糖尿病的结局
Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68305
H. Pervin, S. Jesmin, N. Nahar, N. Yusuf, Mst Shorifa Rani
Background: Gestational diabetes mellitus (GDM) is a public health issue, mainly affecting the Southeast Asian region and Bangladesh( prevalence 9.7 % - 12.9%). It has a significant adverse impact on maternal and fetal outcomes. Obesity is one of the common nutritional problems complicating pregnancy in developed countries. Body mass index > 30 kg/m2 is a globally accepted definition of obesity. The body fat percentage is considered to be higher in the Asian population compared to the European population at the same level of BMI, and therefore, different cut-off levels are recommended for Asians. The provisional recommendations for the Asian Pacific region published in February 2000 by the WHO regional office for the western pacific, the International Association for the Study of Obesity, and the international obesity Task Force are overweight at BMI >23 and obese at BMI > 25 kg/m2. There is a strong association between maternal obesity and gestational diabetes mellitus. So it needs to be addressed energetically to avoid maternal and fetal morbidity and mortality. Materials and methods: This cross-sectional type of comparative study was carried out in the Gynae outdoor and indoor departments of Rajshahi medical college hospital, Rajshahi, and Rajshahi Diabetic Hospital. All patients following inclusion and exclusion criteria on the basis of history and clinical examination were selected. 37 patients are obese having BMI > or = 25 kg/m2 and 55 having BMI < 25 kg/m2. Besides the baseline investigations, some specific investigations like serum urea, creatinine, HbA1C, lipid profile, and ophthalmoscopy were carried out to assess the status of end organs. Results: Vulvovaginitis was more in the obese group than without the obese group, which was 27.03% and 7.24%, respectively. The difference was statistically significant between the two groups (P < 0.05). But PET, UTI, and polyhydramnios were statistically not significant between the two groups (P>0.05). Cesarean section incidence was higher in all GDM patients, and the difference was not statistically significant. Preterm delivery was 13.51% in GDM with obese patients and 3.64% in GDM with non-obese patients, which was statistically significant. Maternal postpartum complications, including PPH, UTI, and wound infection, were 10.81%, 21.62%, and 5.41 %, in GDM, with the obese group and 3.64%, 12.73%, and 1.82%, respectively, in the non-obese group. The rest of the variables had statistically insignificant differences between the two groups (P> 0.05). Fetal distress was not statistically significant. Regarding perinatal outcome, macrosomia was 16.22% and 5.45% in obese and non-obese groups, respectively. The difference was statistically significant between the two groups (P< 0.05). Hypoglycemia in the obese group was 13.51%, and in the non-obese group, 3.64%; the difference is also statistically significant (P< 0.05). However, birth asphyxia, hyperbilirubinemia, and RDS were statistically not signifi
背景:妊娠期糖尿病(GDM)是一个公共卫生问题,主要影响东南亚地区和孟加拉国(患病率9.7% - 12.9%)。它对产妇和胎儿的结局有显著的不利影响。肥胖是发达国家妊娠期常见的营养问题之一。体重指数> 30 kg/m2是全球公认的肥胖定义。在相同的BMI水平下,亚洲人的体脂率被认为比欧洲人高,因此,建议为亚洲人设置不同的临界值。世卫组织西太平洋区域办事处、国际肥胖研究协会和国际肥胖工作组于2000年2月发布的亚太区域临时建议是BMI >23时超重,BMI > 25 kg/m2时肥胖。孕妇肥胖与妊娠期糖尿病有很强的相关性。因此,需要大力解决,以避免产妇和胎儿的发病率和死亡率。材料与方法:本横断面比较研究在Rajshahi医学院附属医院、Rajshahi糖尿病医院妇科室外科进行。根据病史和临床检查,选择所有符合纳入和排除标准的患者。BMI >或= 25 kg/m2的肥胖37例,BMI < 25 kg/m2的肥胖55例。除基线调查外,还进行了血清尿素、肌酐、糖化血红蛋白、血脂、检眼等专项调查,以评估终末器官状况。结果:肥胖组外阴阴道炎发生率高于非肥胖组,分别为27.03%和7.24%。两组比较差异有统计学意义(P < 0.05)。而PET、UTI、羊水过多两组间差异均无统计学意义(P>0.05)。所有GDM患者剖宫产发生率均较高,差异无统计学意义。GDM合并肥胖患者早产率为13.51%,GDM合并非肥胖患者早产率为3.64%,差异有统计学意义。GDM产妇产后并发症PPH、UTI、伤口感染发生率分别为10.81%、21.62%、5.41%,肥胖组和非肥胖组分别为3.64%、12.73%、1.82%。其余变量两组间差异均无统计学意义(P> 0.05)。胎儿窘迫无统计学意义。围产期结局方面,肥胖组和非肥胖组巨大儿发生率分别为16.22%和5.45%。两组比较差异有统计学意义(P< 0.05)。肥胖组低血糖率为13.51%,非肥胖组为3.64%;差异也有统计学意义(P< 0.05)。两组新生儿窒息、高胆红素血症、RDS差异无统计学意义(P> 0.05)。结论:目前的研究结果表明,GDM患者的肥胖与更多的孕产妇和围产期妊娠并发症有关。因此,所有妇女,特别是患有妊娠期糖尿病的妇女,在产前减少孕前体重和适当增加体重,可能会减少妊娠和分娩并发症,改善孕产妇和围产期结局。泰姬酒店2022;36: no - 1:97 -106
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引用次数: 0
Histomorphological Study of Different Ovarian Lessons in a Tertiary Care Hospital 某三级医院不同卵巢课程的组织形态学研究
Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68275
Anindita Sarkar, S. Asafudullah, K. Khanam, A. Sultana, Nazifa Islam, Samrose Sultana, Sunandita Sarkar
Objective: The present study is to ascertain the relative frequency, histologic types, and age distribution of both neoplastic and non–neoplastic ovarian lesions in the Rajshahi medical college hospitals and compare the results with similar studies in other regions of this country and abroad. Methods & Materials: This cross-sectional study was conducted in the Department of Pathology, Rajshahi Medical College, over one year from January 2021 to December 2021. A total of 144 cases of ovarian lesions were included in this study. Inflammatory conditions and developmental anomalies were excluded. Result: Out of 144 cases of ovarian masses studied, 104 (72%) were neoplastic. The common types were Surface epithelial tumors (70%), germ cell tumors (23%), and sex-cord stromal tumors (7%). The age range of ovarian tumors was 5 to 70 yrs, and the highest incidence was between 21-50 yrs. Most of the ovarian tumors were bilateral (85%). Conclusion: Varying types of both non-neoplastic and neoplastic ovarian lesions were seen. Benign tumors were more common than malignant tumors in all age groups. Surface epithelial cell tumors, followed by germ cell tumors, were the most common tumor. Serous cystadenoma was the most common tumor. Tumour types varied in different age groups. TAJ 2022; 36: No-1: 17-22
目的:了解拉杰沙希医学院附属医院肿瘤和非肿瘤卵巢病变的相对频率、组织学类型和年龄分布,并与国内外同类研究结果进行比较。方法与材料:本横断面研究于2021年1月至2021年12月在Rajshahi医学院病理学系进行,为期一年。本研究共纳入144例卵巢病变。排除炎症和发育异常。结果:144例卵巢肿块中,肿瘤性104例(72%)。常见类型为表面上皮肿瘤(70%)、生殖细胞肿瘤(23%)和性索间质肿瘤(7%)。卵巢肿瘤发病年龄范围为5 ~ 70岁,21 ~ 50岁发生率最高。大多数卵巢肿瘤为双侧(85%)。结论:卵巢非肿瘤性和肿瘤性病变类型多样。在所有年龄组中,良性肿瘤比恶性肿瘤更常见。最常见的肿瘤是表面上皮细胞瘤,其次是生殖细胞瘤。浆液性囊腺瘤是最常见的肿瘤。不同年龄组的肿瘤类型不同。泰姬酒店2022;36: no - 1:17 -22
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引用次数: 0
Frequency and Outcome of Acute Respiratory Tract Infection in Exclusive, Partial, and Non-Breastfed Babies 纯母乳、部分母乳和非母乳喂养婴儿急性呼吸道感染的频率和结局
Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68323
Sanchita Sarker, B. Ahmmad, Md Mosharrof Hossain, S. C. Paul, C. Ara, Md Asgar Hossain
Background: Exclusive breastfeeding provides nutritional and immunological support for the normal growth and development of the infant. Bangladesh is traditionally a breastfed community. The probability of having an acute respiratory infection (ARI) episode was higher for formula-fed infants than fully breastfed infants during the first four months of life. The risks for partially breastfed infants fell between those of formula-fed and fully breastfed infants, suggesting a dose-response effect of breastfeeding on the risk of respiratory infection. Objective: This study compares exclusive, partial, and non-breastfed groups regarding the frequency and outcome of acute respiratory infection.  Materials and methods: This cross-sectional comparative study was done at the Department of Pediatrics, Rajshahi Medical College Hospital, from January 2013 to June 2013, a period of six months. A total of 300 cases of infants suffering from ARI were selected. Among them, 100 are each for exclusive breastfed (EBF) babies, partially breastfed babies (PBF), and non-breastfed (NBF) babies. In addition, demographic profile, frequency, severity of attacks, outcomes, and length of hospital stay were assessed. Results: Most EBF babies came to the hospital with a history of one or two attacks of ARI, but PBF and NBF babies had multiple attacks. i.e., two, three, or more attacks. Most of the NBF and PBF have presented with severe attacks (84% and 72%, respectively), whereas only 42% of EBF babies presented with severe attacks; nonetheless, a maximum of 58% of EBF babies present with mild attacks. The severe attack is more frequent in the PBF and NBF groups than in the EBF groups. Conclusion: Frequency, severity, and hospital staying of ARI attacks are found to be more in the PBF and NBF group of babies than in EBF babies. Better outcomes were found in EBF group babies. TAJ 2022; 36: No-1: 135-141
背景:纯母乳喂养为婴儿的正常生长发育提供营养和免疫支持。孟加拉国传统上是一个母乳喂养的社区。在出生后的前四个月,配方奶喂养的婴儿发生急性呼吸道感染(ARI)发作的概率高于完全母乳喂养的婴儿。部分母乳喂养的婴儿的风险介于配方奶喂养和完全母乳喂养的婴儿之间,这表明母乳喂养对呼吸道感染风险存在剂量反应效应。目的:本研究比较纯母乳喂养组、部分母乳喂养组和非母乳喂养组发生急性呼吸道感染的频率和结果。材料与方法:本横断面比较研究于2013年1月至2013年6月在Rajshahi医学院附属医院儿科完成,为期6个月。总共选择了300例患有ARI的婴儿。其中,纯母乳喂养(EBF)婴儿、部分母乳喂养(PBF)婴儿和非母乳喂养(NBF)婴儿各有100份。此外,还评估了人口统计资料、发作频率、严重程度、结果和住院时间。结果:EBF患儿以1 - 2次急性呼吸道感染史为主,PBF患儿和NBF患儿以多次急性呼吸道感染史为主。即,两次,三次或更多次攻击。大多数新生儿和PBF患儿出现过严重的攻击(分别为84%和72%),而EBF患儿只有42%出现过严重的攻击;尽管如此,最多58%的EBF婴儿出现轻度发作。PBF组和NBF组的严重发作频率高于EBF组。结论:PBF组和NBF组的ARI发作频率、严重程度和住院时间均高于EBF组。EBF组婴儿的预后较好。泰姬酒店2022;36: no - 1:35 -141
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引用次数: 0
Effect of Zinc Supplementation on Duration of Acute Watery Diarrhoea in Children aged Six Months to Five Years 补充锌对6个月至5岁儿童急性水样腹泻持续时间的影响
Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68315
Dilruba Sultana, B. Ahmmad, A. Kashem, Md. Fazlul Kader, M. K. Das, Md. Belal Uddin, Md Sanaul Haque Mia
Background: Diarrheal disease is one of the leading causes of morbidity and mortality among young children under five years of age in developing countries. The longer duration of diarrhea increases the chance of morbidity and mortality. Zinc supplementation decreases the duration of diarrhea. It is a straightforward, acceptable, low-cost, and effective treatment that could easily be affordable in our country. Objective: This study aimed to determine the effect of zinc supplementation on the duration of acute watery diarrhea.  Materials and Methods: A total of 106 subjects were included in this study over six months, from December 2014 to May 2015. Detailed information was obtained from each patient. A total of 106 patients were taken. Among them, 53 patients (group A) were given zinc with Oral Rehydration Salts (ORS), and 53 patients (Group B) were given ORS only. However, three patients in each group were lost during follow-up. Data were analyzed by using a standard statistical method (SPSS version 16.0). Results: The duration of diarrhea was three days in 56% of patients in the zinc-supplemented group, but it was only 20% in the control group. The frequency of stool gradually decreased over five days. It was more marked in zinc supplemented group. The p-value was 0.001. Vomiting occurred in 30% of patients in zinc supplemented group, and in the control group, it was only 20%. The p-value was 0.5. So we conclude that oral zinc administration in acute watery diarrhea (AWD) decreases the duration and causes early recovery and may be considered in the management of AWD. Conclusion: Oral zinc administration in acute watery diarrhea decreases the duration and frequency of diarrhea in children aged six months to five years by changing the natural course of acute diarrheal disease. TAJ 2022; 36: No-1: 107-112
背景:腹泻病是发展中国家5岁以下幼儿发病和死亡的主要原因之一。腹泻持续时间越长,发病率和死亡率就越高。补充锌可以减少腹泻的持续时间。这是一种直接、可接受、低成本和有效的治疗方法,在我国很容易负担得起。目的:本研究旨在确定补锌对急性水样腹泻持续时间的影响。材料与方法:本研究从2014年12月至2015年5月共纳入106名受试者,历时6个月。从每位患者处获得详细信息。共收治106例患者。其中,53例患者(A组)给予锌和口服补液盐(ORS), 53例患者(B组)只给予口服补液盐。然而,在随访期间,每组均有3例患者丢失。数据分析采用标准统计学方法(SPSS version 16.0)。结果:补锌组56%的患者腹泻持续时间为3天,而对照组仅为20%。大便次数在5天内逐渐减少。锌补充组的差异更为显著。p值为0.001。补锌组呕吐发生率为30%,对照组仅为20%。p值为0.5。由此可见,急性水样腹泻(AWD)患者口服锌可缩短病程并使其早日恢复,可作为治疗AWD的一种方法。结论:口服锌治疗6个月~ 5岁儿童急性水样腹泻可通过改变急性腹泻的自然病程而减少腹泻的持续时间和次数。泰姬酒店2022;36: no - 1,107 -112
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引用次数: 0
Lipid Profile among Pregnant and Non-Pregnant Women in Rajshahi City 拉杰沙希市孕妇和非孕妇血脂分析
Pub Date : 2023-01-04 DOI: 10.3329/taj.v35i2.63720
Bedowra Begum, Shamima Nazneen Rupa, A. Sayem, S. Akhter, Susmita Sharmin, Sumayra Jhumu, Mst Fatema Khatun
Background: Pregnancy is a physiological state with rapid hormonal and metabolic changes that helps the growth and survival of the fetus properly. However, biochemical profile derangement may lead to pregnancy complications and, eventually maybe, death.  Objectives: This study aimed to investigate whether lipid profile (Serum total cholesterol, Serum triglyceride, HDL-C, and LDL-C) during 3rd trimester of pregnancy differs from non-pregnant women of similar reproductive life. Materials & Methods: This cross-sectional type of comparative study was carried out in the Physiology Department of Rajshahi Medical College in collaboration with the Maternity and Child Welfare Centre (MCWC), Rajshahi, over a period of 12 months from January 2019 to December 2019 among the pregnant and non-pregnant women to investigate the lipid profile during 3rd trimester of pregnancy. Approval from the Ethical Review Committee (ERC) was obtained prior to the commencement of the study. A pre-designed, validated, structured questionnaire was used to gather information from 120 women by purposive sampling technique. Of them, 60 were pregnant women, and 60 were non-pregnant healthy women. Results: The Results showed that the total serum cholesterol, serum triglyceride, and LDL-C were raised among pregnant women compared to non-pregnant women, and these were statistically significant (p < 0.001). But no significant difference in HDL-C was found between the two groups (p > 0.05). In this study, it was found that there was a substantial raised in lipid profile in the 3rd trimester of pregnancy compared with non-pregnant healthy women. So, regular monitoring of the lipid profile of pregnant women should be done to avoid adverse pregnancy outcomes. Conclusion: Total metabolism is increased due to the needs of the growing fetus and the uterus. Basal metabolic rate may be increased up to 30% higher than that of the average for non-pregnant women. TAJ 2022; 35: No-2: 51-58
背景:妊娠是一种激素和代谢发生快速变化的生理状态,有助于胎儿的正常生长和存活。然而,生化特征紊乱可能导致妊娠并发症,最终可能导致死亡。目的:本研究旨在探讨妊娠晚期的血脂(血清总胆固醇、血清甘油三酯、HDL-C和LDL-C)是否与生育期相似的非妊娠妇女不同。材料与方法:这项横断面比较研究是在Rajshahi医学院生理学系与Rajshahi妇幼福利中心(MCWC)合作进行的,为期12个月,从2019年1月到2019年12月,在怀孕和非怀孕妇女中进行的,以调查妊娠晚期的血脂状况。在研究开始前获得了伦理审查委员会(ERC)的批准。采用目的性抽样技术,采用预先设计、经过验证的结构化问卷,对120名妇女进行信息收集。其中60人是孕妇,60人是未怀孕的健康妇女。结果:孕妇血清总胆固醇、血清甘油三酯、LDL-C均高于非孕妇,差异有统计学意义(p < 0.001)。两组间HDL-C水平无显著差异(p > 0.05)。本研究发现,与未怀孕的健康妇女相比,妊娠晚期妇女的血脂水平明显升高。因此,应定期监测孕妇的血脂,以避免不良妊娠结局。结论:总代谢因胎儿和子宫生长的需要而增加。基础代谢率可能比未怀孕妇女的平均水平高出30%。泰姬酒店2022;35: No-2: 51-58
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引用次数: 0
Acute Sigmoid Volvulus: Outcome of Primary Resection & Anastomosis in a Tertiary Hospital 某三级医院急性乙状结肠扭转一期切除吻合术的疗效
Pub Date : 2023-01-04 DOI: 10.3329/taj.v35i2.63692
Shantona Rani Paul, Md. Nowshad Ali, Smawia Shahid, S. C. Paul, M. N. Haque, Md Zamil Hossain
Background: Sigmoid volvulus occurs when the sigmoid colon twists on its mesentery and is a cause of intestinal obstruction. Method: This was a descriptive study conducted at the Surgery department of Rajshahi Medical College Hospital during the period from May 2009 to June 2011. Ethical consideration was taken from all the patients. The sample size was 50 with acute sigmoid volvulus. Data were processed and analyzed through SPSS (Statistical package for social sciences). A value of p ≤0.05 was considered significant statistically. Result: Most patients (56%) were diagnosed with acute sigmoid volvulus from the age range of 51-60, among whom male patients had a prevalence (92%). Most of them (92%) were economically impoverished. 36% of patients came to the hospital for treatment from 37-48 hours of illness. The post-operative complication was mild due to wound infection in 10% of patients. Hospital stay was 8-10 days for 76% of patients without complications postoperatively and 11-13 days for 14% of patients. Severe complication Resulting in hospital stay was seen in 4% of patients. Conclusion: Emergency resection of the sigmoid colon and anastomosis in unprepared bowel was an attractive and preferred option in a setting where patients are poor, hospital care often unaffordable and hospital beds are few. TAJ 2022; 35: No-2: 13-18
背景:当乙状结肠在肠系膜上扭曲时发生乙状结肠扭转,是肠梗阻的原因之一。方法:本研究是2009年5月至2011年6月在Rajshahi医学院附属医院外科进行的描述性研究。所有患者都考虑到了伦理问题。急性乙状结肠扭转病例例数为50例。数据通过SPSS (Statistical package for social sciences)进行处理和分析。p≤0.05认为有统计学意义。结果:诊断为急性乙状结肠扭转的患者年龄在51 ~ 60岁,占56%,其中男性患病率为92%。他们中的大多数(92%)经济贫困。36%的患者在发病37-48小时内到医院就诊。10%的患者因伤口感染,术后并发症较轻。术后无并发症患者的住院时间为8-10天,76%的患者为8-10天,14%的患者为11-13天。严重并发症导致住院的患者占4%。结论:急诊乙状结肠切除术和无准备肠吻合术是一种有吸引力和首选的选择,在病人贫穷,医院护理往往负担不起,医院床位少的情况下。泰姬酒店2022;35: No-2: 13-18
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引用次数: 0
Strategies to Combat Antimicrobial Resistance 抗击抗菌素耐药性的战略
Pub Date : 2023-01-04 DOI: 10.3329/taj.v35i2.63691
Md Azizul Haque
Abstract not available TAJ 2022; 35: No-2: I-II
摘要:TAJ 2022;35: No-2: I-II
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引用次数: 0
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TAJ: Journal of Teachers Association
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