Pub Date : 2024-02-29DOI: 10.36347/sjams.2024.v12i02.020
Rezwana Habiba, Sayed Sharif-ul-Alam, Md. Jasim Uddin, Romendra Kumar Singha, Md. Abdullah Sayed, A. R. Chowdhury
Background: Depression, a pervasive public health issue, is associated with substantial morbidity and mortality. Existing literature suggests a connection between depression and female sexual dysfunction, impacting the overall quality of life. Recognizing the prevalence of sexual dysfunction in Major Depressive Disorder (MDD) patients becomes crucial for holistic patient care. Objective: This cross-sectional observational study, conducted at Sylhet MAG Osmani Medical College Hospital from September 2018 to August 2020, aimed to assess the patterns and frequencies of sexual dysfunction in female MDD patients of reproductive age. The primary objectives included evaluating the correlation between the severity of depression and sexual dysfunction, as well as exploring the association between sexual dysfunction and socio-demographic variables. Method: Sixty-eight married, reproductive-age females diagnosed with MDD were included. Diagnosis followed DSM-5 criteria, with severity assessed using the Bangla version of the Depression Anxiety and Stress Scale (DASS-21) and sexual dysfunction evaluated via the Female Sexual Function Index (FSFI) scale. Statistical analyses employed Chi-square tests and Pearson’s correlation coefficient tests. Results: Of the participants, 77.9% experienced sexual dysfunction, with 41.2% exhibiting extremely severe depression. Dysfunction in desire (72.1%), arousal (67%), and satisfaction (54.4%) were prevalent, while 51.5% reported lubrication difficulties. Dysfunction in orgasm (44.1%) and pain (45.6%) were less frequent. A significant correlation was observed between female sexual dysfunction and depression severity (p=<0.001), while no statistically significant correlation was found between the duration of MDD and sexual dysfunction (p=0.122). Conclusion: This study underscores a high prevalence of sexual dysfunction in female MDD patients, emphasizing the necessity of routine inquiry into sexual health in the clinical management ...........
{"title":"Sexual Dysfunctions Among Female Major Depressive Disorder Patients of Reproductive Age","authors":"Rezwana Habiba, Sayed Sharif-ul-Alam, Md. Jasim Uddin, Romendra Kumar Singha, Md. Abdullah Sayed, A. R. Chowdhury","doi":"10.36347/sjams.2024.v12i02.020","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.020","url":null,"abstract":"Background: Depression, a pervasive public health issue, is associated with substantial morbidity and mortality. Existing literature suggests a connection between depression and female sexual dysfunction, impacting the overall quality of life. Recognizing the prevalence of sexual dysfunction in Major Depressive Disorder (MDD) patients becomes crucial for holistic patient care. Objective: This cross-sectional observational study, conducted at Sylhet MAG Osmani Medical College Hospital from September 2018 to August 2020, aimed to assess the patterns and frequencies of sexual dysfunction in female MDD patients of reproductive age. The primary objectives included evaluating the correlation between the severity of depression and sexual dysfunction, as well as exploring the association between sexual dysfunction and socio-demographic variables. Method: Sixty-eight married, reproductive-age females diagnosed with MDD were included. Diagnosis followed DSM-5 criteria, with severity assessed using the Bangla version of the Depression Anxiety and Stress Scale (DASS-21) and sexual dysfunction evaluated via the Female Sexual Function Index (FSFI) scale. Statistical analyses employed Chi-square tests and Pearson’s correlation coefficient tests. Results: Of the participants, 77.9% experienced sexual dysfunction, with 41.2% exhibiting extremely severe depression. Dysfunction in desire (72.1%), arousal (67%), and satisfaction (54.4%) were prevalent, while 51.5% reported lubrication difficulties. Dysfunction in orgasm (44.1%) and pain (45.6%) were less frequent. A significant correlation was observed between female sexual dysfunction and depression severity (p=<0.001), while no statistically significant correlation was found between the duration of MDD and sexual dysfunction (p=0.122). Conclusion: This study underscores a high prevalence of sexual dysfunction in female MDD patients, emphasizing the necessity of routine inquiry into sexual health in the clinical management ...........","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140412286","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 : 2024-02-26DOI: 10.36347/sjams.2024.v12i02.016
Juwel Das, Sayeed Haq, Palash Sarker, Bijoy Pal
Introduction: Thyroid dysfunction poses a greater risk in preterm newborns (PN) compared to term newborns (TN), often eluding detection in neonatal screening due to delayed thyrotropin (TSH) elevation in these cases. Objective: To assess thyroid function during the second week of life in PN born before 32 weeks gestation and identify factors associated with its alteration. Methods: A retrospective study examined thyroid function in < 32 weeks gestation neonates, analyzing thyroxine (T4L) and TSH levels in relation to perinatal and neonatal outcomes. The study included 358 patients with a mean gestational age of 29.3 weeks and a mean birth weight of 1127 grams. Results: Linear correlations were observed between T4L and birth weight (BW) (R=0.356; p<0.001) and gestational age (GA) (R=0.442; p<0.001). TSH values were associated with small for gestational age (SGA) (5.3 mU/L [1.5-37] for SGA vs. 2.89 mU/L [0.2-19.5] for non-SGA; p<0.001), inotropic support (3.98 mU/L [0.6-22.9] for Yes vs. 3.16 mU/L [0.2-37] for No; p=0.019), and BW (R=-0.249; p<0.001). Levothyroxine treatment was administered to 2.5% of patients, with six being SGA. Conclusions: Analyzing thyroid function in the second week aids in identifying asymptomatic newborns at risk of thyroid dysfunction, particularly in the case of SGA newborns who exhibit a higher susceptibility to thyroid function alterations.
{"title":"Evaluation of the Thyroid Hormone Status among Normal New Born Preterm Infants","authors":"Juwel Das, Sayeed Haq, Palash Sarker, Bijoy Pal","doi":"10.36347/sjams.2024.v12i02.016","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.016","url":null,"abstract":"Introduction: Thyroid dysfunction poses a greater risk in preterm newborns (PN) compared to term newborns (TN), often eluding detection in neonatal screening due to delayed thyrotropin (TSH) elevation in these cases. Objective: To assess thyroid function during the second week of life in PN born before 32 weeks gestation and identify factors associated with its alteration. Methods: A retrospective study examined thyroid function in < 32 weeks gestation neonates, analyzing thyroxine (T4L) and TSH levels in relation to perinatal and neonatal outcomes. The study included 358 patients with a mean gestational age of 29.3 weeks and a mean birth weight of 1127 grams. Results: Linear correlations were observed between T4L and birth weight (BW) (R=0.356; p<0.001) and gestational age (GA) (R=0.442; p<0.001). TSH values were associated with small for gestational age (SGA) (5.3 mU/L [1.5-37] for SGA vs. 2.89 mU/L [0.2-19.5] for non-SGA; p<0.001), inotropic support (3.98 mU/L [0.6-22.9] for Yes vs. 3.16 mU/L [0.2-37] for No; p=0.019), and BW (R=-0.249; p<0.001). Levothyroxine treatment was administered to 2.5% of patients, with six being SGA. Conclusions: Analyzing thyroid function in the second week aids in identifying asymptomatic newborns at risk of thyroid dysfunction, particularly in the case of SGA newborns who exhibit a higher susceptibility to thyroid function alterations.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140428640","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 : 2024-02-20DOI: 10.36347/sjams.2024.v12i02.015
Angela Fitriani Clementine Kalesaran, Chreisye K. F. Mandagi, G. D. Kandou, Desi Desi
The quality of life of elderly is a form of satisfaction with the needs of the elderly, which can be influenced by various factors such as physical health, psychological health, social relationships, and environment. In elderly, weaknesses, limitations, and disabilities in performing daily activities can result in a decline in quality of life. The increase in the number of elderly population in Indonesia is also accompanied by an increase in the issues faced by the elderly, which impact the decline in quality of life. Physical activity is one of various factors that influence quality of life. The elderly living in island areas may have a lifestyle that differs from those living in urban areas, which can impact the quality of life experienced by the elderly. Pulau Manado Tua is an island area that is part of the Manado City in North Sulawesi Province, Indonesia. With 141 respondents, this study measures the level of physical activity and quality of life among the elderly in island areas. The research design was cross-sectional study of the elderly population in Pulau Manado Tua. Data collection methods include using the IPAQ questionnaire to measure physical activity and EQ-5D to measure quality of life. Univariate and bivariate analyses were conducted using appropriate statistical tests. The main results indicate a relationship between physical activity and quality of life in the community of Pulau Manado Tua. It is hoped that the results of this study can serve as a basis for the formulation of health policies related to quality of life and its influencing factors.
老年人的生活质量是满足老年人需求的一种形式，会受到身体健康、心理健康、社会关系和环境等各种因素的影响。老年人在进行日常活动时的弱点、限制和残疾会导致生活质量下降。随着印尼老年人口数量的增加，老年人面临的问题也随之增加，这些问题都会影响生活质量的下降。体育活动是影响生活质量的各种因素之一。生活在海岛地区的老年人的生活方式可能不同于生活在城市地区的老年人，这可能会影响老年人的生活质量。Pulau Manado Tua 是印度尼西亚北苏拉威西省万鸦老市的一个岛屿地区。本研究通过 141 名受访者，对岛屿地区老年人的体育活动水平和生活质量进行了测量。研究设计是对万鸦老岛的老年人口进行横断面研究。数据收集方法包括使用 IPAQ 问卷测量体力活动量和 EQ-5D 测量生活质量。采用适当的统计检验方法进行了单变量和双变量分析。主要结果表明，在 Pulau Manado Tua 社区，体育锻炼与生活质量之间存在关系。希望本研究的结果能为制定与生活质量及其影响因素相关的健康政策提供依据。
{"title":"Physical Activity and Quality of Life in the Island Community of Pulau Manado Tua","authors":"Angela Fitriani Clementine Kalesaran, Chreisye K. F. Mandagi, G. D. Kandou, Desi Desi","doi":"10.36347/sjams.2024.v12i02.015","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.015","url":null,"abstract":"The quality of life of elderly is a form of satisfaction with the needs of the elderly, which can be influenced by various factors such as physical health, psychological health, social relationships, and environment. In elderly, weaknesses, limitations, and disabilities in performing daily activities can result in a decline in quality of life. The increase in the number of elderly population in Indonesia is also accompanied by an increase in the issues faced by the elderly, which impact the decline in quality of life. Physical activity is one of various factors that influence quality of life. The elderly living in island areas may have a lifestyle that differs from those living in urban areas, which can impact the quality of life experienced by the elderly. Pulau Manado Tua is an island area that is part of the Manado City in North Sulawesi Province, Indonesia. With 141 respondents, this study measures the level of physical activity and quality of life among the elderly in island areas. The research design was cross-sectional study of the elderly population in Pulau Manado Tua. Data collection methods include using the IPAQ questionnaire to measure physical activity and EQ-5D to measure quality of life. Univariate and bivariate analyses were conducted using appropriate statistical tests. The main results indicate a relationship between physical activity and quality of life in the community of Pulau Manado Tua. It is hoped that the results of this study can serve as a basis for the formulation of health policies related to quality of life and its influencing factors.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140447221","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 : 2024-02-19DOI: 10.36347/sjams.2024.v12i02.010
Newaz Mohsin Ismail Yousuf, M. Uddin, Khandaker Qamrul Islam, M. Ahmed, Mainul Islam, U. H. Ferdaushi
Background: Coronary artery disease (CAD) is a major cause of death and a global health issue that has reached pandemic proportions in both industrialized and developing countries. Coronary artery disease is primarily caused by atherosclerosis of the epicardial coronary arteries. Aim of the study: The aim of our study was to investigate the relationship between hyperuricemia and the angiographic severity of coronary artery disease in patients who have recently been diagnosed with acute coronary syndrome. Methods: This cross-sectional analytical study was conducted in the department of Cardiology, National Institute of Cardiovascular Diseases and Hospital, Dhaka, Bangladesh, from December 2011 to November 2012. The study included 103 patients who were newly diagnosed as acute coronary syndrome. The individuals in this study were separated into two groups based on their serum uric acid levels. All acquired data was entered into a Microsoft Excel Work Sheet and analyzed using descriptive statistics in SPSS 11.5. Results: The study populations are mainly between 40 to 75 years (90.6% & 92% remaining in group- I & group- II respectively). It was found that majority of the study participants were male in both groups. Findings of the study shows that there is no statistically significant difference observed in respect smoking habit (p-0.86), hypertension (p-0.32), DM (p-0.53), dyslipidemia p-6.93) and family history of IHD (p-0.68) between two groups. The data of biochemical parameters reveals that HDL level is comparatively lower in group-II (38.72± 2.19) than group- I (39.64 ± 2.11) and it is statistically significant (p=0.03). This study findings reveals that the value of stenosis in Friesinger score in group-II (9.30± 3.96) is remarkably higher than that of group-I (0.77± 3.43) and it is statistically highly significant (p-0.001). Conclusion: This study reveals that hyperuricaemia may be an independent risk factor and predictor of the severity of coronary artery ......
{"title":"Association of Hyperuricaemia with Angiographic Severity of Coronary Artery Disease in Patients of Acute Coronary Syndrome","authors":"Newaz Mohsin Ismail Yousuf, M. Uddin, Khandaker Qamrul Islam, M. Ahmed, Mainul Islam, U. H. Ferdaushi","doi":"10.36347/sjams.2024.v12i02.010","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.010","url":null,"abstract":"Background: Coronary artery disease (CAD) is a major cause of death and a global health issue that has reached pandemic proportions in both industrialized and developing countries. Coronary artery disease is primarily caused by atherosclerosis of the epicardial coronary arteries. Aim of the study: The aim of our study was to investigate the relationship between hyperuricemia and the angiographic severity of coronary artery disease in patients who have recently been diagnosed with acute coronary syndrome. Methods: This cross-sectional analytical study was conducted in the department of Cardiology, National Institute of Cardiovascular Diseases and Hospital, Dhaka, Bangladesh, from December 2011 to November 2012. The study included 103 patients who were newly diagnosed as acute coronary syndrome. The individuals in this study were separated into two groups based on their serum uric acid levels. All acquired data was entered into a Microsoft Excel Work Sheet and analyzed using descriptive statistics in SPSS 11.5. Results: The study populations are mainly between 40 to 75 years (90.6% & 92% remaining in group- I & group- II respectively). It was found that majority of the study participants were male in both groups. Findings of the study shows that there is no statistically significant difference observed in respect smoking habit (p-0.86), hypertension (p-0.32), DM (p-0.53), dyslipidemia p-6.93) and family history of IHD (p-0.68) between two groups. The data of biochemical parameters reveals that HDL level is comparatively lower in group-II (38.72± 2.19) than group- I (39.64 ± 2.11) and it is statistically significant (p=0.03). This study findings reveals that the value of stenosis in Friesinger score in group-II (9.30± 3.96) is remarkably higher than that of group-I (0.77± 3.43) and it is statistically highly significant (p-0.001). Conclusion: This study reveals that hyperuricaemia may be an independent risk factor and predictor of the severity of coronary artery ......","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451116","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}
Background: In a patient who had previous pelvic surgery, total laparoscopic hysterectomy (TLH) has well-established advantages over total abdominal hysterectomy. The hysterectomy is a common gynaecological operation. Although the vaginal route is preferred for hysterectomy, the best route for women who are not candidates for the vaginal approach is unknown. Hysterectomies are increasingly being performed laparoscopically as technology advances and experience grows. Objectives: The aim of this study is to evaluate the replacement of total abdominal hysterectomy by TLH in a patient with previous pelvic surgery. Method: This observational study was carried out on 60 women admitted in the Department of obstetrics and gynaecology, Labaid specialized Hospital, Dhaka, Bangladesh during the study period. The duration of the period was from July 2021 to June 2022. The data for this study about had been accumulated from patients sociodemographic & obstetrics information, physical examination and per-operative findings. Statistical evaluation of the results used to be got via the use of a window-based computer software program devised with Statistical Packages for Social Sciences (SPSS-24). Results: A total of 60 patients were included in final analysis. According to the study population's age distribution of the study population, it was observed that 15(25.0%) were in group 35-38, 23(38.33%) were in group 39-42, 16(26.66%) were in group 43-46 and 6(10.0%) were in group 47-50. according to patient demographics, it was observed that 44(73.33%) were Leiomyoma, 29(48.33%) were Bleeding, 3(5.0%) were Pelvic pressure, 19(31.66) were Pelvic pain and 15(0%) were size growth. Conclusion: TLH for endometrial pathology has few problems and is well tolerated by a restricted group of patients. For suitable patients, the benefits include decreased blood loss and a shorter hospital stay. TLH can be performed effectively despite previous abdominal surgery. Patients who had previous .......
{"title":"Replacement of Total Abdominal Hysterectomy by TLH in a Patient with Previous Pelvic Surgery","authors":"Sharmin Afroz, Sumyia Akhter, Amena Begum, Asma Begum","doi":"10.36347/sjams.2024.v12i02.013","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.013","url":null,"abstract":"Background: In a patient who had previous pelvic surgery, total laparoscopic hysterectomy (TLH) has well-established advantages over total abdominal hysterectomy. The hysterectomy is a common gynaecological operation. Although the vaginal route is preferred for hysterectomy, the best route for women who are not candidates for the vaginal approach is unknown. Hysterectomies are increasingly being performed laparoscopically as technology advances and experience grows. Objectives: The aim of this study is to evaluate the replacement of total abdominal hysterectomy by TLH in a patient with previous pelvic surgery. Method: This observational study was carried out on 60 women admitted in the Department of obstetrics and gynaecology, Labaid specialized Hospital, Dhaka, Bangladesh during the study period. The duration of the period was from July 2021 to June 2022. The data for this study about had been accumulated from patients sociodemographic & obstetrics information, physical examination and per-operative findings. Statistical evaluation of the results used to be got via the use of a window-based computer software program devised with Statistical Packages for Social Sciences (SPSS-24). Results: A total of 60 patients were included in final analysis. According to the study population's age distribution of the study population, it was observed that 15(25.0%) were in group 35-38, 23(38.33%) were in group 39-42, 16(26.66%) were in group 43-46 and 6(10.0%) were in group 47-50. according to patient demographics, it was observed that 44(73.33%) were Leiomyoma, 29(48.33%) were Bleeding, 3(5.0%) were Pelvic pressure, 19(31.66) were Pelvic pain and 15(0%) were size growth. Conclusion: TLH for endometrial pathology has few problems and is well tolerated by a restricted group of patients. For suitable patients, the benefits include decreased blood loss and a shorter hospital stay. TLH can be performed effectively despite previous abdominal surgery. Patients who had previous .......","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450528","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 : 2024-02-19DOI: 10.36347/sjams.2024.v12i02.012
Urbasree Devi, Amrin Sultana, Mst. Rumana Islam Bisty, Israt Jahan, Samsunnahar Dina, Kazi Mansura Zesmin
Background: Globally Tuberculosis (TB) is a major infectious disease. In 2011, there were an estimated 8.7 million new cases with 6% childhood tuberculosis. The majority of the cases occurring in high TB burden countries worldwide. Confirmed diagnosis of childhood TB remains challenging for physicians. MT test and Chest X-ray usually has very little diagnostic value for the diagnosis of pulmonary tuberculosis in children who has symptom criteria suggestive of PTB. Objectives: This study was done to evaluate of Gene Xpert Test of Stool Specimen with that of Induced Sputum as Gold Standard. Methods: The cross-sectional study was conducted in the Department of Pediatrics, Sir Salimullah Medical College & Mitford Hospital from January 2020 to June 2021. A total of 48 subjects of both sexes with the age range from 1 month to 59 months were included in the study. Data were collected over a period of eleven months and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 22. Results: In this study, most of the children 14 (29.2%) lies between 13 months to 24 months. About most of the children 28 (58.33%) were male and 20 (41.67%) children were female. According to the clinical presentation majority of the children present with fever 39(75.0%), followed by cough (72.9%) and weight loss (50%), history of contact was present in 15 (31.3%) children. Chest X-ray of 54% children was suggestive of PTB (as Consolidation, Milliary mottling, patchy opacity etc) 46% showed normal X-ray findings. Gene X-pert of Induced sputum could detect M.Tuberculosis in case of 12.5% children and in 87.5% cases Gene X-pert could not detect M.Tuberculosis in induced sputum. M.Tuberculosis was detected by Stool X-pert in 18% of children who were clinically diagnosed as PTB. In 82% of patient stool X-pert could not detect M.Tuberculosis. Conclusion: Gene Xpert test of stool specimen is a relatively easy test for the diagnosis ........
{"title":"Evaluation of Gene Xpert Test of Stool Specimen with that of Induced Sputum as Gold Standard","authors":"Urbasree Devi, Amrin Sultana, Mst. Rumana Islam Bisty, Israt Jahan, Samsunnahar Dina, Kazi Mansura Zesmin","doi":"10.36347/sjams.2024.v12i02.012","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.012","url":null,"abstract":"Background: Globally Tuberculosis (TB) is a major infectious disease. In 2011, there were an estimated 8.7 million new cases with 6% childhood tuberculosis. The majority of the cases occurring in high TB burden countries worldwide. Confirmed diagnosis of childhood TB remains challenging for physicians. MT test and Chest X-ray usually has very little diagnostic value for the diagnosis of pulmonary tuberculosis in children who has symptom criteria suggestive of PTB. Objectives: This study was done to evaluate of Gene Xpert Test of Stool Specimen with that of Induced Sputum as Gold Standard. Methods: The cross-sectional study was conducted in the Department of Pediatrics, Sir Salimullah Medical College & Mitford Hospital from January 2020 to June 2021. A total of 48 subjects of both sexes with the age range from 1 month to 59 months were included in the study. Data were collected over a period of eleven months and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 22. Results: In this study, most of the children 14 (29.2%) lies between 13 months to 24 months. About most of the children 28 (58.33%) were male and 20 (41.67%) children were female. According to the clinical presentation majority of the children present with fever 39(75.0%), followed by cough (72.9%) and weight loss (50%), history of contact was present in 15 (31.3%) children. Chest X-ray of 54% children was suggestive of PTB (as Consolidation, Milliary mottling, patchy opacity etc) 46% showed normal X-ray findings. Gene X-pert of Induced sputum could detect M.Tuberculosis in case of 12.5% children and in 87.5% cases Gene X-pert could not detect M.Tuberculosis in induced sputum. M.Tuberculosis was detected by Stool X-pert in 18% of children who were clinically diagnosed as PTB. In 82% of patient stool X-pert could not detect M.Tuberculosis. Conclusion: Gene Xpert test of stool specimen is a relatively easy test for the diagnosis ........","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451470","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}
Background: Obesity is associated with profound metabolic and physiological changes and an established risk factor for the adverse feto-maternal outcome for pregnant women. As the prevalence of obesity increasing day by day among pregnant women and there is a scarcity of related studies in Bangladesh context, this study aimed to find out the fetomaternal outcome in preeclamptic women and its association with maternal body mass index (BMI) in a tertiary care hospital in Rajshahi. Objectives: The aim of the study was to associate the fetomaternal outcome in preeclampsia and its association with maternal body mass index (BMI) in a tertiary care hospital in Rajshahi. Methods: This cross-sectional type of analytical study was conducted in the Department of Obstetrics & Gynaecology, Rajshahi Medical College Hospital (RMCH). Singleton pregnant women with preeclampsia who delivered a baby in this Hospital were approached for this study. After ethical clearance, a total of 120 patients were taken as study samples according to selection criteria. Informed written consent was obtained from each patient. All patients were subjected to detailed history taking and thorough physical examination. A structured questionnaire was designed including all the variables of interest. Data were collected through direct interview of the patients at the respective departments by the researcher. Collected data were checked, edited and analyzed using the SPSS-24. Results: The observed maternal outcome was PIH (33%), Gestational diabetes mellitus (20%), Caesarean section (46.7%), prolonged labour (13.3%), wound infection (5%) and 5% had postpartum hemorrhage (5%). PIH, Gestational diabetes mellitus and Caesarean section were significantly higher among overweight or obese patients with preeclampsia (p<.05). So, association of maternal BMI with PIH, gestational diabetes mellitus and Caesarean section was significant (P<.05) but not significant in prolonged labour, wound infection, postpartum .....
背景：肥胖与新陈代谢和生理变化密切相关，是导致孕妇胎儿和产妇不良结局的既定风险因素。由于肥胖症在孕妇中的发病率与日俱增，而孟加拉国的相关研究却很少，本研究旨在了解拉杰沙希一家三级医院中先兆子痫孕妇的胎产结局及其与孕妇体重指数（BMI）的关系。研究目的本研究旨在了解拉杰沙希一家三级医院中子痫前期产妇的胎儿结局及其与产妇体重指数（BMI）的关系。研究方法这项横断面分析研究在拉杰沙希医学院医院（Rajshahi Medical College Hospital，RMCH）妇产科进行。研究对象为在该医院分娩的患有子痫前期的单胎孕妇。在通过伦理审查后，根据选择标准，共抽取了 120 名患者作为研究样本。每名患者都获得了知情的书面同意。所有患者都接受了详细的病史采集和全面的身体检查。研究人员设计了一份结构化问卷，其中包括所有相关变量。研究人员通过在相关科室对患者进行直接访谈来收集数据。研究人员使用 SPSS-24 对收集到的数据进行了检查、编辑和分析。结果观察到的产妇结局为：PIH（33%）、妊娠糖尿病（20%）、剖腹产（46.7%）、产程延长（13.3%）、伤口感染（5%）和产后出血（5%）。在超重或肥胖的子痫前期患者中，PIH、妊娠糖尿病和剖腹产的比例明显更高（P<.05）。因此，产妇体重指数与子痫前期、妊娠糖尿病和剖腹产的关系是显著的（P<.05），但与产程延长、伤口感染、产后 ..... 的关系不显著。
{"title":"Feto-Maternal Outcome in Preeclampsia and its Association with Maternal Body Mass Index (BMI) in a Tertiary Care Hospital in Rajshahi","authors":"Anjana Sarker, Farhana Hossain, Sumon Kumar Sarker, Md Arshad Ali, Sazedul Islam","doi":"10.36347/sjams.2024.v12i02.011","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.011","url":null,"abstract":"Background: Obesity is associated with profound metabolic and physiological changes and an established risk factor for the adverse feto-maternal outcome for pregnant women. As the prevalence of obesity increasing day by day among pregnant women and there is a scarcity of related studies in Bangladesh context, this study aimed to find out the fetomaternal outcome in preeclamptic women and its association with maternal body mass index (BMI) in a tertiary care hospital in Rajshahi. Objectives: The aim of the study was to associate the fetomaternal outcome in preeclampsia and its association with maternal body mass index (BMI) in a tertiary care hospital in Rajshahi. Methods: This cross-sectional type of analytical study was conducted in the Department of Obstetrics & Gynaecology, Rajshahi Medical College Hospital (RMCH). Singleton pregnant women with preeclampsia who delivered a baby in this Hospital were approached for this study. After ethical clearance, a total of 120 patients were taken as study samples according to selection criteria. Informed written consent was obtained from each patient. All patients were subjected to detailed history taking and thorough physical examination. A structured questionnaire was designed including all the variables of interest. Data were collected through direct interview of the patients at the respective departments by the researcher. Collected data were checked, edited and analyzed using the SPSS-24. Results: The observed maternal outcome was PIH (33%), Gestational diabetes mellitus (20%), Caesarean section (46.7%), prolonged labour (13.3%), wound infection (5%) and 5% had postpartum hemorrhage (5%). PIH, Gestational diabetes mellitus and Caesarean section were significantly higher among overweight or obese patients with preeclampsia (p<.05). So, association of maternal BMI with PIH, gestational diabetes mellitus and Caesarean section was significant (P<.05) but not significant in prolonged labour, wound infection, postpartum .....","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451260","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}
Background: Interface dermatitis (ID), also known as lichenoid tissue reaction, is a form of skin reaction characterized by an inflammatory infiltration that appears to cover the dermo-epidermal junction under inexpensively analysis. A wide range of inflammatory skin disorders demonstrate interface alteration with significant overlap of histological characteristics. Aim of the Study: The purpose of this study was to link interface dermatitis clinicopathologically. Methods: This cross-sectional descriptive type of study was conducted in the department of dermatology and venereology, TMSS Medical College, Bogura, Bangladesh, from January 2021 to December 2022. The study included 200 patients aged 5 to 75. Skin biopsies were obtained from clinically confirmed cases of lichenoid skin lesions and sent for histological investigation. The correlation was then performed with clinical diagnosis. All acquired data was analysed using descriptive statistics in SPSS 11.5. Results: Out of 200 cases evaluated, the most common type of ID was Lichen simplex chronicus (95, 47.5%), with Lichen planus (LP) and its variants coming in second (84, 42%). LP-like keratosis (15, 7.5%), Inflammatory verrucous epidermal nevus (ILVEN) 2 cases, Pityriasis lichenoides et varioliformisacuta (PLE-VA) 2 cases, and Prurigosimplex (PS) 2 cases were the least prevalent. Clinicopathological concordance was seen in 84 (42%) of the lichen planus patients and discordance in 116 (58%) of the cases. Conclusion: In our investigation, the most consistent histological results were basement membrane degenerations such as lymphocytic infiltrates along the dermo-epidermal interface. Interface dermatitis refers to a group of conditions that share clinical and histological characteristics. As a result, comprehensive histological studies are required to identify distinct features of various kinds of interface dermatitis.
{"title":"A Clinicopathological Study on Interface Dermatitis","authors":"Renu Gupta, Md. Siddiqur Rahman, Sukanta Kumar Ghose, Shafwanur Rahman, Selina Sultana","doi":"10.36347/sjams.2024.v12i02.014","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.014","url":null,"abstract":"Background: Interface dermatitis (ID), also known as lichenoid tissue reaction, is a form of skin reaction characterized by an inflammatory infiltration that appears to cover the dermo-epidermal junction under inexpensively analysis. A wide range of inflammatory skin disorders demonstrate interface alteration with significant overlap of histological characteristics. Aim of the Study: The purpose of this study was to link interface dermatitis clinicopathologically. Methods: This cross-sectional descriptive type of study was conducted in the department of dermatology and venereology, TMSS Medical College, Bogura, Bangladesh, from January 2021 to December 2022. The study included 200 patients aged 5 to 75. Skin biopsies were obtained from clinically confirmed cases of lichenoid skin lesions and sent for histological investigation. The correlation was then performed with clinical diagnosis. All acquired data was analysed using descriptive statistics in SPSS 11.5. Results: Out of 200 cases evaluated, the most common type of ID was Lichen simplex chronicus (95, 47.5%), with Lichen planus (LP) and its variants coming in second (84, 42%). LP-like keratosis (15, 7.5%), Inflammatory verrucous epidermal nevus (ILVEN) 2 cases, Pityriasis lichenoides et varioliformisacuta (PLE-VA) 2 cases, and Prurigosimplex (PS) 2 cases were the least prevalent. Clinicopathological concordance was seen in 84 (42%) of the lichen planus patients and discordance in 116 (58%) of the cases. Conclusion: In our investigation, the most consistent histological results were basement membrane degenerations such as lymphocytic infiltrates along the dermo-epidermal interface. Interface dermatitis refers to a group of conditions that share clinical and histological characteristics. As a result, comprehensive histological studies are required to identify distinct features of various kinds of interface dermatitis.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450617","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 : 2024-02-14DOI: 10.36347/sjams.2024.v12i02.009
A. Sultana, Rajat Shuvra Das, A.K.M. Faizul Hoque, Mohammad Abdul Hannan, Mehdi Hassan, C. S. Karmakar, Kazi Mahzabin Arin, Muhammed Sharif Uddin Siddique
Introduction: Segmental Thoracic Spinal Anesthesia (STSA) in Laparoscopic Cholecystectomy represents a significant advancement in the field of anesthesiology, offering a viable alternative to the traditional general anesthesia (GA) for this procedure. Aim of the study: The aim of this study was to assess the efficacy of segmental thoracic spinal anaesthesia in laparoscopic cholecystectomy. Methods: This prospective observational study, conducted at the Department of Anaesthesia, Analgesia and Intensive care medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from June to December 2023, included 60 patients undergoing laparoscopic cholecystectomy. They were divided into two groups of 30 each: Group A received segmental thoracic spinal anesthesia, and Group B underwent surgery under general anesthesia. Result: Group A and Group B were demographically similar, with no significant differences in age, sex, BMI, ASA grading, or cholecystectomy indications. Group A had a shorter anesthesia duration (83.0 ± 25.1 min) compared to Group B with 97.8 ± 29.5 min (p=0.0407). Surgical time and intraoperative fluid volume showed no significant difference. Group A experienced more bradycardia (13.3%) and shoulder pain (16.7%), while Group B had more nausea (13.3%) and hypotension (10%). Postoperatively, Group A had a shorter hospital stay and quicker recovery. Group A reported less shoulder pain (6.7% vs. 26.7%, p=0.0395) and no nausea. VAS scores were consistently lower in Group A at all postoperative times, indicating better pain management. Conclusion: The study conclusively demonstrates that thoracic segmental spinal anesthesia offers comparable significant advantages in laparoscopic cholecystectomy with shorter durations of anesthesia, quicker postoperative recovery, and reduced postoperative pain.
导言：腹腔镜胆囊切除术中的分段胸椎麻醉（STSA）是麻醉学领域的一项重大进展，为该手术提供了传统全身麻醉（GA）的可行替代方案。研究目的本研究旨在评估分段胸椎麻醉在腹腔镜胆囊切除术中的疗效。研究方法这项前瞻性观察研究于 2023 年 6 月至 12 月在孟加拉国达卡班加班杜谢赫-穆吉布医科大学麻醉、镇痛和重症监护医学系进行，共纳入 60 名接受腹腔镜胆囊切除术的患者。他们被分为两组，每组 30 人：A 组接受分段胸椎麻醉，B 组在全身麻醉下进行手术。结果A 组和 B 组的人口统计学特征相似，在年龄、性别、体重指数、ASA 分级和胆囊切除术适应症方面无明显差异。A 组的麻醉时间（83.0 ± 25.1 分钟）短于 B 组（97.8 ± 29.5 分钟）（P=0.0407）。手术时间和术中输液量无明显差异。A 组较多出现心动过缓（13.3%）和肩痛（16.7%），而 B 组较多出现恶心（13.3%）和低血压（10%）。术后，A 组住院时间更短，恢复更快。A 组肩部疼痛较轻（6.7% 对 26.7%，P=0.0395），无恶心症状。术后所有时间段内，A 组的 VAS 评分一直较低，表明疼痛控制较好。结论该研究最终证明，胸椎节段脊髓麻醉在腹腔镜胆囊切除术中具有可比的显著优势，麻醉时间更短、术后恢复更快、术后疼痛更少。
{"title":"Efficacy of Segmental Thoracic Spinal Anaesthesia in Laparoscopic Cholecystectomy","authors":"A. Sultana, Rajat Shuvra Das, A.K.M. Faizul Hoque, Mohammad Abdul Hannan, Mehdi Hassan, C. S. Karmakar, Kazi Mahzabin Arin, Muhammed Sharif Uddin Siddique","doi":"10.36347/sjams.2024.v12i02.009","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.009","url":null,"abstract":"Introduction: Segmental Thoracic Spinal Anesthesia (STSA) in Laparoscopic Cholecystectomy represents a significant advancement in the field of anesthesiology, offering a viable alternative to the traditional general anesthesia (GA) for this procedure. Aim of the study: The aim of this study was to assess the efficacy of segmental thoracic spinal anaesthesia in laparoscopic cholecystectomy. Methods: This prospective observational study, conducted at the Department of Anaesthesia, Analgesia and Intensive care medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, from June to December 2023, included 60 patients undergoing laparoscopic cholecystectomy. They were divided into two groups of 30 each: Group A received segmental thoracic spinal anesthesia, and Group B underwent surgery under general anesthesia. Result: Group A and Group B were demographically similar, with no significant differences in age, sex, BMI, ASA grading, or cholecystectomy indications. Group A had a shorter anesthesia duration (83.0 ± 25.1 min) compared to Group B with 97.8 ± 29.5 min (p=0.0407). Surgical time and intraoperative fluid volume showed no significant difference. Group A experienced more bradycardia (13.3%) and shoulder pain (16.7%), while Group B had more nausea (13.3%) and hypotension (10%). Postoperatively, Group A had a shorter hospital stay and quicker recovery. Group A reported less shoulder pain (6.7% vs. 26.7%, p=0.0395) and no nausea. VAS scores were consistently lower in Group A at all postoperative times, indicating better pain management. Conclusion: The study conclusively demonstrates that thoracic segmental spinal anesthesia offers comparable significant advantages in laparoscopic cholecystectomy with shorter durations of anesthesia, quicker postoperative recovery, and reduced postoperative pain.","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456424","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 : 2024-02-10DOI: 10.36347/sjams.2024.v12i02.008
K. N. Prasad, Mr M Puttaswamy, Maheshwari M
Introduction: Street vendors are important informal self-employment group in the community and their health, nutritional and security status are affected because of weather conditions, pollution in urban area, mental stress and working hours. There is a lack of studies on health profile in street vendors in big cities. This study was conducted with as objective to know the socio demographic profile, health status in relation to their working pattern and habits among the street vendors. Material and Methods: This is a cross sectional and descriptive study. The data was collected by direct interviewing the subjects in their own language at their workplace in Bangalore city using pre tested semi open ended questionnaire. Sample size was determined based on the pilot study. The data included socio demographic, type of business, earning, working years, preexisting health status, body weight and height, habits etc. Subjects who were doing service or selling on mobile carts but not at fixed point and street vendors serving ready to eat foods were excluded. Body Mass Index was estimated as anthropometric nutritional status assessment. Data was analysed in SPSS software version. Results: The study subjects were 275 in the age group of 20 to 70 years and males accounted for 62.5 percentage. The proportion of subjects in the age of 41 years and above was 52.3%. Majority did not have formal schooling and common business was fruits and vegetables selling. Their working hours varying from 4 to 10, and doing business since 2 to 30 years with median of 20 years. The habit of smoking, tobacco chewing and alcohol was present in 30.2%, 14.5% and 14.2% the total. Overweight and obesity accounted for 78.9 % among the total where 19.8% and 25.2% were obese in males and females. The overall prevalence of Hypertension, Diabetes Mellitus and other conditions were 30.5%, 23.6% and 7.2% irrespective of their age, sex, type of business, working hours and habits. The prevalence ........
{"title":"Profile of Health Status in Relation to Working Pattern and Habits among Street Vendors in Bangalore City","authors":"K. N. Prasad, Mr M Puttaswamy, Maheshwari M","doi":"10.36347/sjams.2024.v12i02.008","DOIUrl":"https://doi.org/10.36347/sjams.2024.v12i02.008","url":null,"abstract":"Introduction: Street vendors are important informal self-employment group in the community and their health, nutritional and security status are affected because of weather conditions, pollution in urban area, mental stress and working hours. There is a lack of studies on health profile in street vendors in big cities. This study was conducted with as objective to know the socio demographic profile, health status in relation to their working pattern and habits among the street vendors. Material and Methods: This is a cross sectional and descriptive study. The data was collected by direct interviewing the subjects in their own language at their workplace in Bangalore city using pre tested semi open ended questionnaire. Sample size was determined based on the pilot study. The data included socio demographic, type of business, earning, working years, preexisting health status, body weight and height, habits etc. Subjects who were doing service or selling on mobile carts but not at fixed point and street vendors serving ready to eat foods were excluded. Body Mass Index was estimated as anthropometric nutritional status assessment. Data was analysed in SPSS software version. Results: The study subjects were 275 in the age group of 20 to 70 years and males accounted for 62.5 percentage. The proportion of subjects in the age of 41 years and above was 52.3%. Majority did not have formal schooling and common business was fruits and vegetables selling. Their working hours varying from 4 to 10, and doing business since 2 to 30 years with median of 20 years. The habit of smoking, tobacco chewing and alcohol was present in 30.2%, 14.5% and 14.2% the total. Overweight and obesity accounted for 78.9 % among the total where 19.8% and 25.2% were obese in males and females. The overall prevalence of Hypertension, Diabetes Mellitus and other conditions were 30.5%, 23.6% and 7.2% irrespective of their age, sex, type of business, working hours and habits. The prevalence ........","PeriodicalId":504829,"journal":{"name":"Scholars Journal of Applied Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139847391","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}
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