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Patterns and Influencing Factors of Organisms and Sensitivity in Sputum at Sylhet 锡尔赫特痰中微生物和敏感性的模式及影响因素
Pub Date : 2024-07-16 DOI: 10.36348/sjm.2024.v09i07.009
Dr. Md. Ahsanul Islam, Dr. Md. Alahi Khandaker, Dr. Avijit Sharma, Dr. Md. Imamul Islam
Background: Respiratory tract infections, especially pneumonia and tuberculosis, remain significant public health problems in Bangladesh. This information alone is critical to manage local pathogen distributions, antibiotic susceptibility, and response plans. Objectives: To evaluate the frequency of bacterial pathogens in sputum samples, test their antibacterial sensitivity, and relate them to various demographic factors among patients in Sylhet, Bangladesh. Methods: This cross-sectional study was carried out in the Chest Disease Clinic, Sylhet from January to June 2024.Sputum samples were taken from 120 patients diagnosed with lower respiratory tract infections. Colony and bacterial identification was done microbiologically, and antibiotic susceptibility was determined by using the Kirby-Bauer disk diffusion method. Results: The cocci were the most prevalent, with gram-positive bacteria constituting 75% of all isolates: Staphylococcus aureus 29. Co-amoxiclav had the highest sensitivity of 23 percent, while the highest resistance was recorded for linezolid at 50 percent. Tobacco use was described in 79. Overall, there was a significant association between TB-positive status and the isolation of Klebsiella pneumoniae (p = 0.032). Most participants were of lower SES, and this was observed in 59.32% of the study’s participants. Conclusions: This research found that gram-positive organisms are the most frequent cause of respiratory infections in Sylhet, with S. aureus being the most dominant isolate. The high tobacco use and the link to S. aureus colonization indicate that interventions could and should be targeted. Concerning antibiotic susceptibility patterns, the need to exercise reasonable use of antibiotics and constant monitoring of antimicrobial resistance cannot be overemphasized. These findings may help the local clinicians, help set up empirical antibacterial therapy, and facilitate the design of some targeted health interventions. Scholars Middle East Publishers Browse Journals Payments Publication Ethics SUBMIT ARTICLE
背景:呼吸道感染,尤其是肺炎和肺结核,仍然是孟加拉国的重大公共卫生问题。这些信息对于管理当地病原体分布、抗生素敏感性和应对计划至关重要。目标:评估痰样本中细菌病原体的频率,测试其抗菌敏感性,并将其与孟加拉国锡尔赫特患者的各种人口因素联系起来。研究方法这项横断面研究于 2024 年 1 月至 6 月在锡尔赫特的胸部疾病诊所进行,从 120 名确诊为下呼吸道感染的患者中采集痰液样本。通过微生物学方法对菌落和细菌进行鉴定,并使用柯比鲍尔盘扩散法测定抗生素敏感性。结果显示球菌最常见,革兰氏阳性菌占所有分离菌的 75%:金黄色葡萄球菌 29 例。共阿莫西林的敏感性最高,为 23%,而利奈唑胺的耐药性最高,为 50%。有 79 人吸食烟草。总体而言,肺结核阳性与分离出肺炎克雷伯菌之间存在显著关联(p = 0.032)。大多数参与者的社会经济地位较低,59.32%的参与者属于这种情况。结论这项研究发现,革兰氏阳性菌是锡尔赫特呼吸道感染的最常见病因,其中金黄色葡萄球菌是最主要的分离菌。烟草使用率高以及与金黄色葡萄球菌定植的联系表明,可以而且应该采取有针对性的干预措施。关于抗生素敏感性模式,合理使用抗生素和持续监测抗菌素耐药性的必要性无论怎样强调都不为过。这些发现可能对当地临床医生有所帮助,有助于建立经验性抗菌疗法,并有助于设计一些有针对性的健康干预措施。学者 中东出版商 浏览期刊 支付 出版伦理 提交文章
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引用次数: 0
The Prevalence and Associated Risk Factors of Pressure Injury among Adults at King Saud Medical City, Riyadh 利雅得沙特国王医疗城成人压伤的发生率和相关风险因素
Pub Date : 2024-07-16 DOI: 10.36348/sjm.2024.v09i07.008
Dr. Abdulrahman M. Elnasieh, Dr. Mohammed AL. Mesned, Dr. Fahad AL qahatani, Dr. Akram Al Hazmi, Ms. Batla Alshamarri, Dr. Faisal Alhuwaidi, Mr. Moath Mohammad, Dr. Hassan Alqahtani, Dr. Islam Yassin, Mr. Mohammed Alruthaie, Ms. Leode Amor Merlas
Background: Pressure injuries rank among the top five most frequent causes of patient injury worldwide. Usually, these ulcers develop in the body's bony regions where there is a higher chance of pressure and tissue deformation. Pressure injuries are still a common and severely incapacitating ailment, even with advances in medical understanding and the development of efficient therapies and preventative measures. They result in large socioeconomic consequences since they place a heavy load on the healthcare system and the affected individuals. Objectives: To assess the occurrence rate, identify correlated risk factors, and analyze additional indicators related to pressure injuries diagnosed within the care units of King Saud Medical City throughout the study period. Methodology: A descriptive cross-sectional study was undertaken at King Saud Medical City in Riyadh during the months of August and September 2023. The study focused on patients with newly identified pre-existing pressure injury lesions. Demographic information and associated risk factors were recorded in the study's data extraction sheet after obtaining participants' consent to engage in the research. The study commenced following approval from the institutional review board of king Saud medical city research and Innovation center, Riyadh. The gathered data were analyzed using the Statistical Package for the Social Sciences (SPSS), version 26. Descriptive statistics, bivariate and multivariate logistic regression were computed to assess the statistical association, using odds ratio. Significance of statistical association was assured and tested using 95% confidence interval and P-Value of < 0.05 is considered statistically significant. Results: A total of 250 patients with pressure ulcers were identified during the study period. Most of the study participants were male, and the mean age of the participants was 59.2 years. The prevalence of pressure injuries in the hospital units included in the study was 18.8%. The sacral region was the most affected site, with 121 patients (48%) having pressure injuries in that area, while 83 patients (33%) had pressure injuries in the gluteal area. The most frequently associated comorbidities were hypertension, present in 140 patients (56%), and diabetes mellitus, present in 123 patients (49.2%). Conclusion: The prevalence of pressure ulcers was high among admitted patients at King Saud Medical City, Riyadh. Primary prevention health promotion programs should be implemented to prevent the occurrence of pressure injuries in our healthcare facilities and the community at large.
背景:压迫性损伤是全球五大最常见的患者损伤原因之一。这些溃疡通常发生在人体的骨质部位,因为这些部位受压和组织变形的几率较高。即使医学知识不断进步,高效疗法和预防措施不断发展,压伤仍然是一种常见的严重致残疾病。它们给医疗保健系统和受影响的个人带来了沉重的负担,因此造成了巨大的社会经济后果。研究目的在整个研究期间,评估沙特国王医疗城护理单位内诊断出的压伤发生率,确定相关风险因素,并分析与之相关的其他指标。研究方法:在 2023 年 8 月和 9 月期间,在利雅得沙特国王医疗城开展了一项描述性横断面研究。研究的重点是新发现的已有压力损伤病灶的患者。在征得参与者同意参与研究后,人口统计学信息和相关风险因素被记录在研究数据提取表中。在获得利雅得沙特国王医疗城研究与创新中心机构审查委员会的批准后,研究开始进行。收集到的数据使用社会科学统计软件包(SPSS)第 26 版进行分析。采用描述性统计、双变量和多变量逻辑回归进行计算,使用几率比来评估统计关联。使用 95% 的置信区间来确保和检验统计关联的显著性,P 值小于 0.05 即为具有统计学意义。结果研究期间共发现 250 名压疮患者。大部分研究参与者为男性,平均年龄为 59.2 岁。研究对象所在医院的压伤发生率为 18.8%。骶尾部是受压伤最严重的部位,121 名患者(48%)在该部位受压,83 名患者(33%)在臀部受压。最常见的合并症是高血压(140 名患者,占 56%)和糖尿病(123 名患者,占 49.2%)。结论利雅得沙特国王医疗城的住院病人压疮发病率很高。应在我们的医疗机构和整个社区实施初级预防健康促进计划,以防止压伤的发生。
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引用次数: 0
Procalcitonin-A Marker of Sepsis 降钙素原--败血症的标志物
Pub Date : 2024-07-15 DOI: 10.36348/sjm.2024.v09i07.006
Sanaul Hoque, Suzauddin Talukder, Md. Masuduz zaman, Shahed-Ul- Matin, Ruhul Amin Khan, Mst. Zinat Amin, A. H. M. Anisuzzaman
Background: Sepsis remains a significant health concern, particularly in resource-limited regions like Bangladesh. Despite available diagnostic methods, identifying bacterial infections in septic patients proves challenging, prompting the exploration of biomarkers. Procalcitonin (PCT) has emerged as a promising biomarker for bloodstream infections like sepsis. Objective: This study aims to evaluate the utility of measuring serum PCT levels in diagnosing and assessing the severity of sepsis, with a focus on enhancing early treatment in intensive care units (ICUs). Method: A prospective study was conducted on 50 patients admitted to the Combined Military Hospital, Dhaka ICU, exhibiting clinical manifestations of sepsis between April and September 2015. Patients of all ages and genders were included, while those with recent major surgery, trauma, or burn history were excluded. Detailed clinical assessments and laboratory investigations were performed, with data recorded on a standardized proforma. Result: Of the 50 patients evaluated, 64% were male, and 36% were female, with a mean age of 56.11±10.89 years. Sepsis was more prevalent in patients aged >50 years (60%) and in males (64%). Respiratory tract infection (RTI) was the most common source of sepsis (40% of cases), with Klebsiella pneumonia being the predominant organism. Higher Sequential Organ Failure Assessment (SOFA) scores correlated significantly with elevated serum PCT concentrations. Serum PCT demonstrated a significant difference between non-septic and septic groups (p-value <0.001), exhibiting sensitivity and specificity of 91% and 83.3%, respectively. Conclusion: Serum PCT emerges as a promising marker for sepsis in critically ill patients, enhancing diagnostic certainty and informing patient management. Its addition to routine work-ups could improve outcomes and patient care in ICUs.
背景:败血症仍然是一个重大的健康问题,尤其是在孟加拉国这样资源有限的地区。尽管有可用的诊断方法,但确定败血症患者的细菌感染仍具有挑战性,这促使人们探索生物标记物。降钙素原(PCT)已成为治疗败血症等血流感染的一种有前途的生物标记物。研究目的本研究旨在评估测量血清 Procalcitonin 水平在诊断和评估败血症严重程度方面的效用,重点是加强重症监护病房(ICU)的早期治疗。研究方法对 2015 年 4 月至 9 月期间达卡联合军事医院重症监护室收治的 50 名有败血症临床表现的患者进行了前瞻性研究。研究对象包括所有年龄和性别的患者,但不包括近期有大手术、外伤或烧伤病史的患者。对患者进行了详细的临床评估和实验室检查,并将数据记录在标准化的表格中。结果在接受评估的 50 名患者中,64% 为男性,36% 为女性,平均年龄为(56.11±10.89)岁。脓毒症在年龄大于 50 岁的患者(60%)和男性(64%)中发病率较高。呼吸道感染(RTI)是败血症最常见的病因(占病例的 40%),肺炎克雷伯菌是主要病原菌。较高的序贯器官衰竭评估(SOFA)评分与血清 PCT 浓度的升高显著相关。血清 PCT 在非败血症组和败血症组之间存在显著差异(P 值<0.001),敏感性和特异性分别为 91% 和 83.3%。结论血清 PCT 是危重病人败血症的一种有前途的标记物,可提高诊断的确定性并为患者管理提供信息。将其纳入常规检查可改善重症监护病房的治疗效果和患者护理。
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引用次数: 0
Erectile Dysfunction in Adults: A Review of Neurological Causes and Risk Factor Analysis 成人勃起功能障碍:神经原因综述与风险因素分析
Pub Date : 2024-07-15 DOI: 10.36348/sjm.2024.v09i07.007
Dr. S M Saadi, Dr. Rehnuma Taher Fariha, Dr. Rabeya Sultana Jui, Dr. S M Sadlee, Dr. Pijush Majumder, Dr. Muhammad Abdur Rouf, Dr. Biplob Kumar Roy, Dr. Md. Nazrul Islam, Dr. Amitabh Sarkar
Erectile dysfunction (ED) is a prevalent condition affecting adult men globally, characterized by the inability to achieve or maintain an erection sufficient for sexual intercourse. Neurological causes, including multiple sclerosis, Parkinson's disease, ischemic stroke, congenital spinal abnormalities, and spinal cord injuries, disrupt neural pathways essential for erectile function. Additionally, chronic conditions such as diabetes mellitus, hypertension, hyperlipidemia, and cardiovascular diseases, along with lifestyle factors like smoking and alcohol consumption, exacerbate ED by compromising vascular health. Psychological stressors further complicate the etiology of ED. Pelvic surgeries, cavernous nerve injuries, and certain medications, including antihypertensives and antidepressants, contribute to ED progression. Effective management requires addressing these neurological, vascular, hormonal, and psychological factors, necessitating a multidisciplinary approach involving specialists such as neurologists, urologists, endocrinologists, and mental health professionals. This review highlights the complex interplay between neurological disorders, systemic conditions, and lifestyle factors in the pathophysiology of ED, emphasizing the need for tailored treatment strategies targeting the underlying contributors to improve patient outcomes.
勃起功能障碍(ED)是影响全球成年男性的一种普遍病症,其特点是无法达到或维持足以进行性交的勃起。多发性硬化症、帕金森病、缺血性中风、先天性脊柱异常和脊髓损伤等神经系统疾病会破坏勃起功能所必需的神经通路。此外,糖尿病、高血压、高脂血症和心血管疾病等慢性疾病,以及吸烟和饮酒等生活方式因素都会损害血管健康,从而加剧 ED。心理压力使 ED 的病因进一步复杂化。骨盆手术、海绵体神经损伤和某些药物(包括降压药和抗抑郁药)也会导致 ED 的恶化。有效的治疗需要解决这些神经、血管、荷尔蒙和心理因素,因此需要神经科、泌尿科、内分泌科和精神卫生专业人员等多学科专家的参与。这篇综述强调了在 ED 的病理生理学中,神经系统疾病、全身性疾病和生活方式因素之间复杂的相互作用,强调需要针对潜在的致病因素采取量身定制的治疗策略,以改善患者的预后。
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引用次数: 0
Outcomes of Cystodistension for Bladder Pain Syndrome: A Monocentric Analysis 膀胱硬化剂治疗膀胱疼痛综合征的效果:单中心分析
Pub Date : 2024-07-09 DOI: 10.36348/sjm.2024.v09i07.005
Abdelmounim Boughaleb, Reda Tariqi, Hussein Abdallah, I. Ziani, I. Boualaoui, Ahmed Ibrahimi, H. E. Sayegh, Yassine Nouini
Introduction: Bladder pain syndrome (BPS) is a chronic condition characterized by pelvic pain and urinary urgency/frequency. While the exact cause of BPS is unknown, various treatment options exist. This study aimed to evaluate bladder hydrodistension's short- and long-term efficacy in BPS patients. Methods: A retrospective analysis of four female BPS patients treated with bladder hydrodistension over 10 years was conducted. Symptoms, cystoscopy findings, and treatment outcomes were reviewed. Results: The average patient age was 40 years. All patients reported pain, with an average of 13 daytime and 3 nighttime urinary voids per day. Hydrodistension improved symptoms in 75% of patients, reducing daytime frequency and nocturia. Cystoscopy after hydrodistension revealed Hunner's ulcers in one patient and petechiae in three. One patient required a second hydrodistension. Transient worsening of symptoms and hematuria occurred in one patient each. Discussion: Bladder hydrodistension appears to be a safe and effective treatment for BPS, improving symptoms in most patients in our study. The findings are consistent with previous reports suggesting. Our study adds to the growing body of evidence supporting hydrodistension as a valuable tool in managing BPS. Conclusion: Bladder hydrodistension is a simple and minimally invasive technique that has proven its efficacy with a low complication rate. Our findings support the existing literature on the benefits of hydrodistension for BPS.
简介膀胱疼痛综合征(BPS)是一种以骨盆疼痛和尿急/尿频为特征的慢性疾病。虽然膀胱疼痛综合征的确切病因尚不清楚,但存在多种治疗方案。本研究旨在评估膀胱静水压疗法对 BPS 患者的短期和长期疗效。方法:对四名接受膀胱水压治疗的 BPS 女性患者进行回顾性分析,时间跨度长达 10 年。回顾了症状、膀胱镜检查结果和治疗效果。结果显示患者平均年龄为 40 岁。所有患者均报告有疼痛感,平均每天日间排尿 13 次,夜间排尿 3 次。75%的患者的症状得到了改善,减少了日间尿频和夜尿。肾积水后的膀胱镜检查显示,一名患者出现了亨纳氏溃疡,三名患者出现了瘀斑。一名患者需要进行第二次肾积水。各有一名患者出现短暂的症状恶化和血尿。讨论:膀胱充水似乎是一种安全有效的 BPS 治疗方法,在我们的研究中,大多数患者的症状都得到了改善。研究结果与之前的报告一致。越来越多的证据支持膀胱充水是治疗 BPS 的重要工具,我们的研究为这些证据增添了新的内容。结论膀胱肾积水是一种简单的微创技术,其疗效已得到证实,并发症发生率较低。我们的研究结果支持现有文献关于膀胱水压扩张术对 BPS 的益处。
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引用次数: 0
An Impactful Health Fair in a Semi-Urban Community: Awolowo Town Case Study 在半城市社区举办有影响力的健康博览会:阿沃洛沃镇案例研究
Pub Date : 2024-07-09 DOI: 10.36348/sjm.2024.v09i07.004
Opreh Owigho Peter, Adeoye Bayo Olufunso, Obisanya Akintomiwa, Ukangwa Ngozi Angela, Oyeleke Ibukun Oyebimpe, Anthony G. S. Moore
Background: Even though most communities in developing countries understand the importance of disease prevention, they do not know how to do so. Beneficial programmes, like Health Fairs, even when relatively free, are often scorned. Understanding the importance of hypertension prevention in rural communities in developing nations is under-utilized. This study aimed to get the Awolowo community to come to terms with the benefits of an impactful Health Fair and generate convincing health information. It addressed how to motivate, generate interest and participate. Thus bridging knowledge gap and experience regarding disease prevention and medical screening. Methodology: This was a prospective study conducted over three days during a health fair at Awolowo town, Osun State, South-western Nigeria. A total of 178 Participants (18 years and above) were divided into three groups. Each group went through eight (8) different stations of specialized Health screening format. Blood pressure, Body mass index (BMI), and demographics were collected. Regression analyses was carried out on IBM SPSS (version 21) to examine the relationship between demographic features and blood pressure. Results: Our study found a high prevalence of pre-hypertension (41.6%) among participants. The study highlighted the rising rates of overweight (22.5%) and obesity (14%) in the population. Also, about 33% had hypertension, while increasing age was identified as a significant factor in its prevalence. The data demonstrates a strong correlation between obesity/overweight and hypertension. Conclusion: The specialized Health screening format and seminars/workshops served as motivation and interest generation. This should be adopted for similar studies. This study emphasizes the need for community interventions to address the growing prevalence of hypertension and obesity in Awolowo town and environ. Early diagnosis, heightened awareness, and lifestyle modifications are crucial approaches to mitigate health risks related to these conditions and enhance the overall health and well-being of the community.
背景:尽管发展中国家的大多数社区都了解预防疾病的重要性,但却不知道如何去做。有益的计划,如健康展销会,即使相对免费,也常常受到蔑视。发展中国家的农村社区对高血压预防重要性的认识不足。本研究旨在让阿沃洛沃社区认识到健康展的好处,并提供有说服力的健康信息。它探讨了如何激励、激发兴趣和参与。从而弥补在疾病预防和医疗筛查方面的知识差距和经验不足。研究方法:这是一项前瞻性研究,为期三天,在尼日利亚西南部奥孙州阿沃洛沃镇举办的一次健康展览会期间进行。共有 178 名参与者(18 岁及以上)被分为三组。每组通过八(8)个不同的站点进行专门的健康检查。收集了血压、体重指数 (BMI) 和人口统计数据。使用 IBM SPSS(21 版)进行回归分析,研究人口统计学特征与血压之间的关系。结果我们的研究发现,参与者中高血压前期的发病率很高(41.6%)。研究突出表明,人口中的超重率(22.5%)和肥胖率(14%)不断上升。此外,约 33% 的人患有高血压,而年龄的增长被认为是高血压患病率的一个重要因素。数据显示,肥胖/超重与高血压之间存在密切联系。结论专门的健康筛查形式和研讨会/讲习班起到了激励和激发兴趣的作用。类似的研究也应采用这种方式。这项研究强调,有必要采取社区干预措施,以解决阿沃洛沃镇和环境中日益普遍的高血压和肥胖问题。早期诊断、提高意识和改变生活方式是降低与这些疾病相关的健康风险和提高社区整体健康和福祉的关键方法。
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引用次数: 0
Hypothyroid Patients Show Significant Association with Antithyroid Antibodies: A Cross Sectional Study in Khulna 甲状腺功能减退症患者与抗甲状腺抗体关系密切:库尔纳的一项横断面研究
Pub Date : 2024-07-08 DOI: 10.36348/sjm.2024.v09i07.003
Dr. Utpal Kumar Chanda, Dr. Manika Rani Kundu, Dr. MD. Mijanur Rahman Sardar, Dr. Shatabdi Mallick, Dr. Palash Tarafder, Dr. Muhammed Arshad- UL- Azim, Dr. Nripendra Nath Biswas
Background and Objectives: A high prevalence of thyroid disorder is found worldwide and it is a serious public health problem. A community‑based investigations showed that; overall occurrence of thyroid disease was 20.43%, highest incidence of diffuse goiter (7.35%), followed by sub-clinical hypothyroidism (6.59%), hypothyroidism (4.97%), hyperthyroidism (0.86%) and sub-clinical hyperthyroidism (0.65%) in Khulna, Bangladesh. Antithyroid autoantibodies are one of the most important causes of thyroiditis resulting hypothyroidism. The aim of this study was to investigate the prevalence of antithyroid antibody to hypothyroid patients in Khulna region. Methods: This cross‑sectional study was done on Hypothyroid patients of Khulna Medical College Hospital and Institute of Nuclear Medicine and Allied Science (INMAS), Khulna, from July 2023 to December 2023. After having informed written consent of adult sixty hypothyroid patients, was interviewed and examined the blood sample for relevant information; data recorded in a preformed, semi-structured data collection sheet (Patient particulars form) and analyzed. Results: About 20 percent had positive family history of hypothyroidism, 27 percent patient was associated with other autoimmune diseases and about 80 percent was associated with anti-thyroid antibody. Out of the sixty hypothyroid patients about fifty percent was obese, eighty percent was female of 30-60 years age group. Ninety percent of them belongs to poor socioeconomic conditions and came from rural area of Khulna district. Conclusions: Most of the patients were rural female of low socioeconomic back ground of reproductive age groups. There was very significant association of anti-thyroid antibody with these patients. They also associated with chronic autoimmune diseases and poverty.
背景和目的:甲状腺疾病在全世界的发病率都很高,是一个严重的公共卫生问题。一项基于社区的调查显示,在孟加拉国库尔纳,甲状腺疾病的总发病率为20.43%,弥漫性甲状腺肿的发病率最高(7.35%),其次是亚临床甲状腺功能减退症(6.59%)、甲状腺功能低下(4.97%)、甲状腺功能亢进症(0.86%)和亚临床甲状腺功能亢进症(0.65%)。抗甲状腺自身抗体是导致甲状腺炎和甲状腺功能减退症的最重要原因之一。本研究旨在调查库尔纳地区甲减患者中抗甲状腺抗体的流行率。研究方法这项横断面研究的对象是库尔纳医学院附属医院和库尔纳核医学与联合科学研究所(INMAS)的甲状腺机能减退患者,研究时间为2023年7月至2023年12月。在征得60名甲状腺功能减退症成人患者的知情书面同意后,对他们进行了访谈,并检查了血样以了解相关信息;数据记录在预制的半结构化数据收集表(患者详情表)中并进行了分析。结果显示约20%的患者有阳性甲减家族史,27%的患者伴有其他自身免疫性疾病,约80%的患者伴有抗甲状腺抗体。在 60 名甲减患者中,约 50% 患有肥胖症,80% 为 30-60 岁年龄段的女性。其中90%的患者社会经济条件较差,来自库尔纳区的农村地区。结论大多数患者都是社会经济地位低下的农村育龄女性。抗甲状腺抗体与这些患者的关系非常密切。她们还与慢性自身免疫性疾病和贫困有关。
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引用次数: 0
The Utility of Musculoskeletal Ultrasound in Diagnosing Uncommon Talocrural Synovitis in an Amateur Weightlifting Athlete 肌肉骨骼超声波在诊断一名业余举重运动员罕见的胫骨滑膜炎中的作用
Pub Date : 2024-07-06 DOI: 10.36348/sjm.2024.v09i07.002
Ibraheem Algarni
The use of musculoskeletal ultrasound to assess sports-related injuries has been increasing worldwide. This case report focuses on an unusual form of synovitis of the talocrural joint in a 33-year-old male amateur weightlifter who presented to our sports medicine clinic with acute non-traumatic left ankle pain lasting for 2 days. He reported a recent change in his squatting technique and had no significant medical history other than a recent viral upper respiratory illness. Weight-bearing ankle X-rays were inconclusive, however, ultrasound evaluation revealed effusion in the talocrural joint upon assessment of the ankle’s anterior joint capsule. Additionally, the ultrasound examination helped rule out other common soft tissue ankle pathologies that can affect athletes. The athlete's symptoms resolved by day 5 with conservative measures, including weight bearing as tolerated, nonsteroidal anti-inflammatory drugs, and lymphatic drainage techniques. This report demonstrates the utility of musculoskeletal ultrasound in diagnosing an uncommon cause of ankle pain in athletes.
在全球范围内,使用肌肉骨骼超声波评估运动相关损伤的情况越来越多。本病例报告的重点是一名 33 岁男性业余举重运动员的滑膜炎,他因急性非外伤性左踝关节疼痛持续 2 天而到我们的运动医学诊所就诊。他说自己最近改变了深蹲技术,除了最近患过病毒性上呼吸道疾病外,没有其他重要病史。踝关节负重 X 光检查没有结果,但超声波评估显示,在评估踝关节前关节囊时发现距骨关节有渗液。此外,超声波检查还有助于排除其他可能影响运动员的常见踝关节软组织病变。通过采取保守措施,包括在可以忍受的情况下负重、服用非甾体抗炎药和淋巴引流技术,该运动员的症状在第 5 天得到缓解。本报告展示了肌肉骨骼超声波在诊断运动员踝关节疼痛这一罕见病因方面的实用性。
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引用次数: 0
Resistant Graves’ Disease in Childhood, A Rare but Complicated Situation, through a Clinical Case 通过一个临床病例看儿童期巴塞杜氏病--一种罕见但复杂的病症
Pub Date : 2024-07-02 DOI: 10.36348/sjm.2024.v09i07.001
Malad Mohamed, Tadlaoui Abderrahman, Riznat Malak, Jade Issouani, G. Anas
Graves’ disease is by far the most common cause of hyperthyroidism in children [1]. In this specific population, the hyperthyroidism is willingly biochemically overt and clinically severe [2]. Childhood hyperthyroidism may also cause accelerated growth and bone maturation, and eventually deterioration in academic performance, hence the need for a good screening and a better management. children with GD require prompt treatment, for the most of cases it’s initially medical. But once this fails or is not possible, a definitive treatment should be considered [3]. For the antithyroid drugs use, we currently consider no difference in biochemical control between DT and BR [2,4], unlike previous approaches which argue in favor of the use of bloc-replace method in children [5-6]. However, for a curative treatment, total thyroidectomy is the preferred option for GD patients younger than 10 years [3]. We report the case of a girl who was 2 and a half years old in the moment of diagnose, and whom we followed for Graves' disease for 1 and a half years. Ethical considerations: In accordance with the regulations in force, informed consent, written and verbal, was provided to the parents of the child before the publication of this work.
迄今为止,巴塞杜氏病是儿童甲状腺功能亢进症最常见的病因[1]。在这一特殊人群中,甲状腺机能亢进在生化方面表现明显,临床症状严重[2]。儿童甲状腺功能亢进症还可能导致生长和骨骼成熟加速,最终导致学习成绩下降,因此需要进行良好的筛查和更好的管理。但一旦治疗失败或无法进行治疗,就应考虑进行明确的治疗[3]。对于抗甲状腺药物的使用,我们目前认为DT和BR在生化控制方面没有区别[2,4],这与之前主张在儿童中使用整体置换法的观点不同[5-6]。然而,对于年龄小于 10 岁的 GD 患者来说,全甲状腺切除术是治愈性治疗的首选[3]。我们报告了一个女孩的病例,确诊时她只有两岁半,我们对她进行了一年半的巴塞杜氏病随访。伦理方面的考虑:根据现行法规,本研究报告发表前已获得患儿父母的书面和口头知情同意。
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引用次数: 0
Frequency of Distant Metastasis of Differentiated Thyroid Carcinoma- A Descriptive Analysis 分化型甲状腺癌远处转移的频率--描述性分析
Pub Date : 2024-06-10 DOI: 10.36348/sjm.2024.v09i06.004
Md. Khaled Shahrear, M. M. Haque, Ashik Iqbal, A. A. M. Nafis, M. R. Khatun
Introduction: The presence of distant metastases is one of the important predictive factors of poor outcomes in patients with thyroid carcinoma. It is rarely observed at early presentation of differentiated thyroid carcinoma (DTC). This study aimed to analyze the frequency of distant metastasis in differentiated carcinoma of the thyroid. Methods: This cross-sectional observational study was conducted at the Department of Otolaryngology, Rajshahi Medical College Hospital, Rajshahi, and Department of Otolaryngology Bangabandhu Sheikh Mujib Medical University (BSMMU), from July 2011 to Jun 2012. A total of 40 patients were selected as study subjects by simple random sampling technique. A descriptive analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows. Result: In this study, a majority (35, 87.5%) of the patients suffered from papillary carcinoma, followed by (5,12.5%) follicular carcinoma. Considering the distant metastasis, 2 (5.71%) patients had metastasis to the lung among the patients with papillary carcinoma (n=35). 1 patient had lung metastasis and another 1 patient had bony metastasis among the follicular carcinoma patients. In terms of distant metastasis, 50% of the patients had distant metastasis from each papillary and follicular carcinoma. Conclusion: This study concludes that metastasis in differentiated thyroid carcinoma is not uncommon. Distant metastasis is more common in follicular thyroid carcinoma than papillary carcinoma. Lung and bone metastasis are common regarding the site of metastasis.
简介远处转移是甲状腺癌患者预后不良的重要预测因素之一。分化型甲状腺癌(DTC)早期很少出现远处转移。本研究旨在分析甲状腺分化癌远处转移的频率。研究方法这项横断面观察性研究于2011年7月至2012年6月在拉杰沙希(Rajshahi)拉杰沙希医学院医院耳鼻喉科和班加班杜谢赫-穆吉布医科大学(BSMMU)耳鼻喉科进行。研究采用简单随机抽样技术,共选取了 40 名患者作为研究对象。研究人员使用社会科学统计软件包(SPSS)22.0 对数据进行了描述性分析。结果在这项研究中,大多数患者(35 例,87.5%)患有乳头状癌,其次是滤泡状癌(5 例,12.5%)。考虑到远处转移,乳头状癌患者(35 人)中有 2 人(5.71%)转移至肺部。在滤泡癌患者中,1 名患者出现肺转移,另外 1 名患者出现骨转移。在远处转移方面,乳头状癌和滤泡状癌各有50%的患者发生远处转移。结论本研究得出结论,分化型甲状腺癌的转移并不少见。与乳头状癌相比,远处转移在滤泡状甲状腺癌中更为常见。就转移部位而言,肺转移和骨转移很常见。
{"title":"Frequency of Distant Metastasis of Differentiated Thyroid Carcinoma- A Descriptive Analysis","authors":"Md. Khaled Shahrear, M. M. Haque, Ashik Iqbal, A. A. M. Nafis, M. R. Khatun","doi":"10.36348/sjm.2024.v09i06.004","DOIUrl":"https://doi.org/10.36348/sjm.2024.v09i06.004","url":null,"abstract":"Introduction: The presence of distant metastases is one of the important predictive factors of poor outcomes in patients with thyroid carcinoma. It is rarely observed at early presentation of differentiated thyroid carcinoma (DTC). This study aimed to analyze the frequency of distant metastasis in differentiated carcinoma of the thyroid. Methods: This cross-sectional observational study was conducted at the Department of Otolaryngology, Rajshahi Medical College Hospital, Rajshahi, and Department of Otolaryngology Bangabandhu Sheikh Mujib Medical University (BSMMU), from July 2011 to Jun 2012. A total of 40 patients were selected as study subjects by simple random sampling technique. A descriptive analysis of data was carried out by using a statistical package for social science (SPSS) 22.0 for Windows. Result: In this study, a majority (35, 87.5%) of the patients suffered from papillary carcinoma, followed by (5,12.5%) follicular carcinoma. Considering the distant metastasis, 2 (5.71%) patients had metastasis to the lung among the patients with papillary carcinoma (n=35). 1 patient had lung metastasis and another 1 patient had bony metastasis among the follicular carcinoma patients. In terms of distant metastasis, 50% of the patients had distant metastasis from each papillary and follicular carcinoma. Conclusion: This study concludes that metastasis in differentiated thyroid carcinoma is not uncommon. Distant metastasis is more common in follicular thyroid carcinoma than papillary carcinoma. Lung and bone metastasis are common regarding the site of metastasis.","PeriodicalId":510088,"journal":{"name":"Saudi Journal of Medicine","volume":"118 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141361206","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
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Saudi Journal of Medicine
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