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Evaluation of the Patient Profile and Current Pattern of Care with Docetaxel Based Adjuvant Regimen in Operable Breast Cancer 以多西他赛为基础的可手术乳腺癌辅助治疗方案的患者概况和当前护理模式评估
Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40614
M. Hai, P. Akhter, Q. Chowdhury, P. Banu, M. Hossain, K. Pervin
Background: Early stage breast cancer can often be cured with surgery alone though there are chances of recurrent disease and decrease in survival. Adjuvant poly-chemotherapy with docetaxel-based regimens can improve both disease-free and overall survival in patients with operable breast cancer. Objective: This study was designed to evaluate the patient profile and current pattern of care with docetaxel based adjuvant regimen in operable breast cancer patients including the treatment outcome from clinical practice. Materials and method: This prospective, observational, non-comparative study planned to enroll newly diagnosed operable breast cancer patients with high risk of recurrence after surgery. Selection of docetaxel-based treatment strategy and dosage of therapy was at the discretion of individual oncologists as per routine clinical practice. Patient data were recorded during inclusion, each cycle of therapy, and follow-up at 1 year (+/- 1 month) after inclusion. Results: Between August 2008 and July 2011 a total of 85 patients with median age of 53 years (23-73 years) were enrolled and 53 (62.4%) patients were postmenopausal. Ductal carcinoma, the most common cancer type,was found in 73 (85.9%) patients. Receptor status was positive for estrogen, progesterone or Her2/neu/erbB2 in 65.9%, 47.1% and 5.8% patients, respectively. Mastectomy either partial or total was performed in 76 (89.4%) patients for the current disease. An average of 8 (range: 2-15) lymph nodes (LN) mostly in axilla were excised in 56 patients and average of 4 (range: 1-11) LN nodes were positive. Sentinel LNs were negative, excised in 4 patients. The mean tumor size was 5.5 cm and most (82.4%) patients were diagnosed at Stage II disease including some at Stage I and III (7.1%, 10.6%). Docetaxel (Taxotere®) was combined with cyclophosphamide alone or in addition with doxorubicin, epirubicin, 5 FU and trastuzumab either in combination or sequential regimen. Taxotere in combination with adriamycin and cyclophosphamide was planned for 63.5% patients. Trastuzumab as sequential therapy could be afforded by 1 patient only. Data regarding radiotherapy or hormone therapy was not recorded. At the end of four cycles, 83.5% of patients were found disease free and 5.9% had loco regional relapse. At 1 year 71 (93.4%) patients were alive, 63 (88.7%) were relapse-free and 8 (11.2%) had loco regional relapse. Nausea, vomiting, diarrhea, alopecia, anemia and neutropenia were most commonly reported adverse events classified as Grade 1 or Grade 2. Grade 3 neutropenia was reported in 5 patients and 2 patients reported grade 4 neutropenia. Grade 3 diarrhea was reported in 1 patient. Conclusion: Docetaxel as adjuvant chemotherapy offered one year survival in 93.4% (71/76) of the patients and 88.7% (63/71 patients) were disease-free. The safety profile of docetaxel based regimens was expected and manageable. Delta Med Col J. Jan 2019 7(1): 4-10
背景:早期癌症通常可以通过手术治愈,尽管有复发和生存率下降的机会。以多西他赛为基础的辅助多化疗方案可以提高可手术乳腺癌症患者的无病生存率和总生存率。目的:本研究旨在评估癌症手术患者多烯紫杉醇辅助方案的患者概况和目前的护理模式,包括临床实践的治疗结果。材料和方法:这项前瞻性、观察性、非对比性研究计划纳入术后复发风险高的新诊断的可手术乳腺癌癌症患者。基于多西他赛的治疗策略和治疗剂量的选择由个体肿瘤学家根据常规临床实践自行决定。在纳入期间、每个治疗周期以及纳入后1年(+/-1个月)的随访中记录患者数据。结果:2008年8月至2011年7月,共有85名中位年龄为53岁(23-73岁)的患者入选,53名(62.4%)患者为绝经后患者。导管癌是癌症最常见的类型,在73例(85.9%)患者中发现。雌激素、孕激素或Her2/neu/erbB2受体状态阳性的患者分别为65.9%、47.1%和5.8%。76名(89.4%)患有当前疾病的患者进行了部分或全部乳房切除术。56例患者平均切除了8个(范围:2-15)淋巴结(LN),其中大部分位于腋窝,平均4个淋巴结(范围:1-11)呈阳性。前哨淋巴结阴性,4例患者切除。平均肿瘤大小为5.5厘米,大多数(82.4%)患者被诊断为II期疾病,包括一些I期和III期患者(7.1%,10.6%)。多西他赛(Taxotere®)与环磷酰胺单独或与阿霉素、表阿霉素、5-FU和曲妥珠单抗联合或序贯治疗。63.5%的患者计划使用紫杉醇与阿霉素和环磷酰胺联合用药。曲妥珠单抗作为序贯疗法只能由1名患者提供。没有记录有关放射治疗或激素治疗的数据。在四个周期结束时,83.5%的患者没有疾病,5.9%的患者局部复发。1年时,71例(93.4%)患者存活,63例(88.7%)无复发,8例(11.2%)局部复发。恶心、呕吐、腹泻、脱发、贫血和中性粒细胞减少症是最常见的1级或2级不良事件。5名患者报告3级中性粒细胞减少症,2名患者报告4级中性粒病毒减少症。1例患者报告3级腹泻。结论:多西他赛辅助化疗可使93.4%(71/76)的患者存活一年,88.7%(63/71)的患者无病。以多西他赛为基础的方案的安全性是预期的,并且是可控的。德尔塔医学杂志2019年1月7(1):4-10
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引用次数: 0
Effect of Vitamin E on Serum Urea Level on Gentamicin Induced Nephrotoxicity in Long Evans Rats 维生素E对庆大霉素肾毒性大鼠血清尿素水平的影响
Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40613
Shameem Ahmed, Mohammad Ashraf Ahmed, Rezwanur Rahman, Ashrafuzzaman, M. Jahan, A. Matin, Aysha Yasmin, M. Khatun, F. Afroz, Kuazi Dil Afroz
Background: The kidneys have an important role in eliminating the final products of metabolic activities, excreting the drugs and chemicals. A variety of frequently used drugs have been demonstrated to produce nephrotoxic effects. Objective: This study was carried out to observe the effect of vitamin E on gentamicin-induced nephrotoxicity by assessing serum urea level in Long Evans rats. Materials and method: The experimental study was carried out on 40 healthy Long Evans rats of both sex with the weight ranges from 172-255 gm and the age ranges from 7 to 10 weeks. The rats were divided into four groups - Group A (normal control) received normal saline, group B, C and D received gentamicin for 6 days, rats of group C received vitamin E capsule for total 9 days with gentamicin whereas group D received vitamin E capsule for total 10 days with gentamicin. Serum urea level was measured at the end of the experiment. Results: The (mean±SD) serum urea levels in group A, B, C and D were 4.79±0.32, 12.41±1.22, 7.56±1.11 and 7.15±1.09 mmol/L respectively. The differences between groups were highly significant (p<0.001) for group A & B, A & C, A & D, B & C, B & D whereas the difference between C & D (p>0.01) was not significant. Serum urea level of the normal saline control group (group A) was within the normal limit (4.79 mmol/L). Serum urea level in gentamicin treated rats (group B) was more in comparison to gentamicin and vitamin E treated rats (group C & D) and pretreatment with longer duration group (group D) showed lower serum urea value than shorter one (group C) though the groups showed no significant difference. Conclusion: Vitamin E treatment showed some protective effect against gentamicin-induced nephrotoxicity. The results also indicated that effectiveness of vitamin E depends on duration of pretreatment that means the pretreatment duration must be increased to a suitable period for better protection against gentamicin-induced nephrotoxicity. Delta Med Col J. Jan 2019 7(1): 11-15
背景:肾脏在消除代谢活动的最终产物、排出药物和化学物质方面起着重要作用。各种常用药物已被证明可产生肾毒性作用。目的:通过测定龙氏大鼠血清尿素水平,观察维生素E对庆大霉素所致肾毒性的影响。材料与方法:选取体重172 ~ 255 gm、年龄7 ~ 10周龄的健康雄性Long Evans大鼠40只进行实验研究。将大鼠分为4组,A组(正常对照组)给予生理盐水,B、C、D组给予庆大霉素治疗,疗程6 D, C组给予维生素E胶囊治疗,疗程共9 D, D组给予维生素E胶囊治疗,疗程共10 D。试验结束时测定血清尿素水平。结果:A、B、C、D组血清尿素水平(平均±SD)分别为4.79±0.32、12.41±1.22、7.56±1.11、7.15±1.09 mmol/L。组间差异极显著(p0.01),但无统计学意义。生理盐水对照组(A组)血清尿素水平在正常范围内(4.79 mmol/L)。庆大霉素处理大鼠(B组)血清尿素水平高于庆大霉素和维生素E处理大鼠(C和D组),预处理时间较长的组(D组)血清尿素水平低于预处理时间较短的组(C组),但两组间差异无统计学意义。结论:维生素E对庆大霉素所致肾毒性有一定的保护作用。结果还表明,维生素E的有效性取决于预处理时间,即预处理时间必须增加到适当的时间,以更好地防止庆大霉素引起的肾毒性。[j] .中华医学会医学杂志,2019,7(1):11-15
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引用次数: 0
Situation of Working Slum Children in Dhaka City 达卡市贫民窟工作儿童的状况
Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40617
S. Farah, M. Karim, S. Afrin
Background: Rapid urbanisation in the 20th century has been accompanied by the development of slums. Nearly one-third of the world’s population and more than 60% of urban population in the least developed countries live in slums, including hundreds of millions of children. Slums are areas of broad social and health disadvantage to children and their families due to extreme poverty, overcrowding, poor water and sanitation, substandard housing, limited access to basic health and education services. Objective: To assess the demographic and nutritional situation of working slum children in Dhaka city. Materials and method: This descriptive cross sectional study was conducted at Moghbazar slum situated in Dhaka city from July to December, 2015. Results: Out of 200 slum children, 57 (28.5%) were in the age group of 12-14 years, among them 110 (55.0%) were male. Regarding educational background, more than fifty percent never attended any kind of school. Forty five percent respondents lived with their parents. About 26% of the slum children were engaged in beggary, 23% were van/rickshaw puller, 22% were tokai, and 10% were cooli. Near about 75% respondents did medium type of work and 80% did 5-8 hour work per day and most of their income was 500-800 Tk. per month. One third respondents were severe under nourished, 50 (25%) were normal and 30 (15%) respondents were obese. Conclusion: Increasing numbers of slums constitute a major challenge to development. Therefore, health related programmes should focus to improve the overall wellbeing of the working slum children. Delta Med Col J. Jan 2019 7(1): 26-30
背景:20世纪的快速城市化伴随着贫民窟的发展。世界上近三分之一的人口和最不发达国家60%以上的城市人口生活在贫民窟,其中包括数亿儿童。贫民窟是儿童及其家庭在社会和健康方面普遍处于不利地位的地区,原因是极端贫困、过度拥挤、水和卫生条件差、住房不合标准、获得基本保健和教育服务的机会有限。目的:了解达喀市贫民窟童工的人口和营养状况。材料与方法:本描述性横断面研究于2015年7月至12月在达卡市Moghbazar贫民窟进行。结果:200名贫民窟儿童中,12 ~ 14岁儿童57人(28.5%),其中男性110人(55.0%)。关于教育背景,超过50%的人从未上过任何学校。45%的受访者与父母同住。大约26%的贫民窟儿童从事乞讨,23%的人是货车或人力车车夫,22%的人是托卡伊,10%的人是酷儿。近75%的受访者从事中等类型的工作,80%的人每天工作5-8小时,他们的大部分收入是500-800泰铢。每个月。三分之一的受访者严重营养不良,50人(25%)正常,30人(15%)肥胖。结论:越来越多的贫民窟对发展构成了重大挑战。因此,与保健有关的方案应侧重于改善贫民窟工作儿童的整体福利。中华医学会医学杂志,2019,7(1):26-30
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引用次数: 3
Laboratory Medicine - Current 实验室医学-当前
Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40612
Rezwanur Rahman
Abstract not available Delta Med Col J. Jan 2019 7(1): 1-3
中华医学杂志,2019,7(1):1-3
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引用次数: 0
Large Foreign Body in Nose in Adult for a Long Time: A Rare Case 成人长时间鼻内大异物一例
Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40620
K. Haq, R. Tabassum, Shoriful Islam, A. I. Siddiqui, M. A. Basunia, R. Lodi, Mithun Paul, Amirul Islam
Otolaryngologists frequently encounter nasal foreign bodies, particularly among children and mentally retarded patients. Many unusual foreign bodies in the nose have been reported like nuts, plastic toy parts, beads and even button batteries. Several symptoms may be present in the case of a nasal foreign body which includes nasal discharge, epistaxis, infection, halitosis, foul breath or body odour and chronic sinusitis. We present a case of 19 years old girl with left sided nasal blockage, foul smell from left nostril and mouth with occasional nasal bleeding for last 13 years. She was treated conservatively but was not improved. On anterior rhinoscopy some blackish material covered with exudates was revealed which was very foul smelling and bleeds on touch. After nasoendoscopy we suspected that it would be an old foreign body which had already formed rhinolith. The large foreign body was fixed with floor, lateral and medial wall (nasal septum) and was removed by 0˚nasoendoscope and also through oral cavity under general anaesthesia. Delta Med Col J. Jan 2019 7(1): 49-52
耳鼻喉科医生经常遇到鼻腔异物,特别是儿童和智障患者。据报道,鼻子里有许多不寻常的异物,比如坚果、塑料玩具部件、珠子,甚至纽扣电池。鼻腔异物可能出现几种症状,包括鼻分泌物、鼻出血、感染、口臭、口臭或体臭和慢性鼻窦炎。我们报告一个19岁的女孩,她有左鼻塞,左鼻孔和嘴巴有难闻的气味,偶尔有鼻出血,持续了13年。她接受了保守治疗,但没有好转。前鼻镜检查发现一些黑色的物质覆盖着渗出物,非常难闻,触摸时出血。经过鼻内窥镜检查,我们怀疑这可能是一个已经形成鼻石的古老异物。用鼻底、外侧壁和内侧壁(鼻中隔)固定大异物,在全身麻醉下通过0˚鼻内窥镜和口腔取出。中华医学会医学杂志,2019,7(1):49-52
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引用次数: 1
Diabetic Peripheral Neuropathy: Epidemiology, Physiopathology, Diagnosis and Treatment 糖尿病周围神经病变:流行病学、生理病理、诊断与治疗
Pub Date : 2019-03-19 DOI: 10.3329/DMCJ.V7I1.40619
N. Akter
Diabetic peripheral neuropathy (DPN) is a common complication of both type 1 and type 2 diabetes. It affects over 90% of the diabetic patients. It is widely accepted that the toxic effects of hyperglycemia play an important role in the development of this complication, but several other hypotheses have been postulated. It is typically characterized by significant deficits in tactile sensitivity, vibration sense, lower-limb proprioception, and kinesthesia. Painful DPN has been shown to be associated with significant reductions in overall quality of life, increased levels of anxiety and depression, sleep impairment, and greater gait variability. DPN is often misdiagnosed and inadequately treated. Clinical recognition of DPN is imperative for allowing timely symptom management to reduce the morbidity associated with this condition. The management of diabetic neuropathic pain consists basically in excluding other causes of painful peripheral neuropathy, improving glycemic control as a prophylactic therapy and using medications to alleviate pain. First line drugs for pain relief include anticonvulsants, such as pregabalin and gabapentin and antidepressants, especially those that act to inhibit the reuptake of serotonin and noradrenaline. In addition, there is experimental and clinical evidence that opioids can be helpful in pain control, mainly if associated with first line drugs. Other agents, including for topical application, such as capsaicin cream and lidocaine patches, have also been proposed to be useful as adjuvant in the control of diabetic neuropathic pain, but the clinical evidence is insufficient to support their use. The purpose of this review is to examine proposed mechanisms of DPN, summarize current treatment regimen. A better understanding of the mechanisms underlying diabetic neuropathic pain will contribute to the search of new therapies. Delta Med Col J. Jan 2019 7(1): 35-48
糖尿病周围神经病变(DPN)是1型和2型糖尿病的常见并发症。它影响了90%以上的糖尿病患者。人们普遍认为,高血糖的毒性作用在这种并发症的发生中起重要作用,但也提出了其他几种假设。它的典型特征是触觉敏感性、振动感、下肢本体感觉和运动感的显著缺陷。疼痛的DPN已被证明与整体生活质量显著下降、焦虑和抑郁水平增加、睡眠障碍和更大的步态变异性有关。DPN经常被误诊和治疗不当。临床认识DPN是必要的,允许及时的症状管理,以减少发病率与这种情况。糖尿病神经性疼痛的管理主要包括排除其他原因引起的疼痛性周围神经病变,改善血糖控制作为预防性治疗,并使用药物减轻疼痛。缓解疼痛的一线药物包括抗惊厥药,如普瑞巴林和加巴喷丁,以及抗抑郁药,尤其是那些能抑制血清素和去甲肾上腺素再吸收的药物。此外,有实验和临床证据表明,阿片类药物可以帮助控制疼痛,主要是如果与一线药物联合使用。其他药物,包括局部应用,如辣椒素乳膏和利多卡因贴剂,也被认为是有效的辅助控制糖尿病神经性疼痛,但临床证据不足以支持其使用。本综述的目的是研究DPN的机制,总结目前的治疗方案。更好地了解糖尿病神经性疼痛的机制将有助于寻找新的治疗方法。中华医学杂志,2019,7(1):35-48
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引用次数: 12
Retraction Notice for "Preconception Care through Religious Leaders in Bangladesh - A Novel Approach" 关于“孟加拉国宗教领袖提供孕前护理-一种新方法”的撤回通知
Pub Date : 2019-03-18 DOI: 10.3329/DMCJ.V6I2.40608
Rezwanur Rahman
On 18th March 2019 the Editorial Board of Delta Medical College Journal agreed to retract the Editorial 'Preconception Care through Religious Leaders in Bangladesh – A Novel Approach’ published in Delta Medical College Journal, Vol.6(2) pages 59-61 (DOI: https://doi.org/10.3329/dmcj.v6i2.38212) as the authors had already committed it for publication elsewhere. This error is regretted, and we apologise for any inconvenience.
2019年3月18日,《德尔塔医学院杂志》编委会同意撤回发表在《德尔塔医疗院杂志》第6卷第2期第59-61页的社论《孟加拉国宗教领袖的孕前护理——一种新颖的方法》(DOI:https://doi.org/10.3329/dmcj.v6i2.38212)因为作者已经承诺在其他地方发表。对此错误深表歉意,给您带来不便,我们深表歉意。
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引用次数: 0
Occupational Stress among Nurses in a Public Medical College Hospital 某公立医学院医院护士职业压力调查
Pub Date : 2018-09-14 DOI: 10.3329/dmcj.v6i2.38218
S. Das, C. Biswas, S. Afrin
Background: Now a days, there is increased demand and progress in the nursing profession. Along with these stress among the nurses has also increased.Objective: Purpose of the study was to assess the extent of perceived occupational stress and its association with work-related and non-work related causes among nurses.Materials and method: This Cross-sectional study was carried out among 197 nurses of Shaheed Suhrawardy Medical College hospital (ShSMCH), Dhaka, Bangladesh, from the period of 1st July 2015 to 30th June 2016. Sampling method was simple random sampling. Data was collected by face to face interview with the help of semi-structured questionnaire and finally all data were analyzed using SPSS software version 21.Results: It was found that 69% nurses were between the age of 21 to 39 years, 94.9% were female, 68% were married, 79.2% were Muslim, 84.3% had diploma, family income of 91.4% were equal to more than 40,000 Tk. and 95.5% used to do clinical work. Only 5.1% found to experience high stress. Statistically significant difference was found between sex, occupational stress and religion, educational status, and type of work (p < 0.05). Few nurses suffered from high stress but high level of stress were more in male, non Muslim, post graduate nurse and those who were engaged in administrative work.Conclusion: Nurse Managers should take appropriate actions to decrease stress helping their nurses to work efficiently and effectively.Delta Med Col J. Jan 2018 6(2): 86-89
背景:如今,护理专业的需求不断增加和进步。与此同时,护士们的压力也在增加。目的:探讨护士职业压力感知程度及其与工作相关和非工作相关原因的关系。材料与方法:本横断面研究于2015年7月1日至2016年6月30日对孟加拉国达卡沙希德苏赫瓦迪医学院医院(ShSMCH) 197名护士进行调查。抽样方法为简单随机抽样。采用面对面访谈的方式收集数据,采用半结构化问卷,最后使用SPSS软件21版对所有数据进行分析。结果:年龄在21 ~ 39岁之间的护士占69%,女性占94.9%,已婚占68%,穆斯林占79.2%,有大专学历占84.3%,家庭收入在4万塔卡以上占91.4%。95.5%用于临床工作。只有5.1%的人有高压力。性别、职业压力与宗教、文化程度、工种的差异有统计学意义(p < 0.05)。护士存在高压力的人数较少,但男性护士、非穆斯林护士、研究生护士和从事行政工作的护士存在高压力。结论:护理管理者应采取适当措施减轻护士压力,使护士工作更有效率。中华医学杂志,2018,6(2):86-89
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引用次数: 0
Retracted: Preconception Care through Religious Leaders in Bangladesh – A Novel Approach 撤下:孟加拉国宗教领袖的孕前护理——一种新颖的方法
Pub Date : 2018-09-14 DOI: 10.3329/dmcj.v6i2.38212
S. Jahan, S. Shermin
The following retraction notice for this article appears in Vol.6(2) 2018 https://doi.org/10.3329/dmcj.v6i2.40608. On 18th March 2019 the Editorial Board of Delta Medical College Journal agreed to retract the Editorial 'Preconception Care through Religious Leaders in Bangladesh – A Novel Approach’ published in Delta Medical College Journal, Vol.6(2) pages 59-61 (DOI: https://doi.org/10.3329/dmcj.v6i2.38212) as the authors had already committed it for publication elsewhere. This error is regretted, and we apologise for any inconvenience.
本文的以下撤回通知出现在2018年第6卷(2)https://doi.org/10.3329/dmcj.v6i2.40608.2019年3月18日,《德尔塔医学院杂志》编委会同意撤回发表在《德尔塔医疗院杂志》第6卷第2期第59-61页的社论《孟加拉国宗教领袖的孕前护理——一种新颖的方法》(DOI:https://doi.org/10.3329/dmcj.v6i2.38212)因为作者已经承诺在其他地方发表。对此错误深表歉意,给您带来不便,我们深表歉意。
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引用次数: 0
Cross Sectional Study of Burn - Experience in 158 Cases 158例烧伤经验的横断面研究
Pub Date : 2018-09-14 DOI: 10.3329/DMCJ.V6I2.38217
F. Shahid, T. M. Chowdhury, A. Begum, Haibuzzaman Chowdhury, N. Khan, S. Akhter, Mohammad Jubaidul Kabir, Palash Bose, Omma Hafsa Any
Background: Burns are a global public health problem.Objectives: To find out the status of burn victims along with the causes and consequences of fatal burn injuries.Material and method: The data is collected from the autopsy reports of Dhaka Medical College in 2012. The purpose of this study was to record and evaluate the causes and magnitude of the fatal burn injuries.Results: In 2012, among total 2527 deaths reported at Dhaka Medical College, 158 (6.25%) cases were due to burn. The victims within 21 to 40 years were more vulnerable in comparison to other age groups. Female were more vulnerable than male (55.69% vs. 44.31%). Accidental burn was the commonest cause (55%).Conclusion: Thermal burns and related injuries are major cause of death and disability all over the world as well as Bangladesh. Detail study regarding flame burn is required to be carried out in this country.Delta Med Col J. Jan 2018 6(2): 82-85
背景:烧伤是一个全球性的公共卫生问题。目的:了解烧伤患者的状况及致死性烧伤的原因和后果。材料与方法:数据来源于达卡医学院2012年的尸检报告。本研究的目的是记录和评估致死性烧伤的原因和程度。结果:2012年达卡医学院共报告死亡2527例,其中烧伤死亡158例(6.25%)。与其他年龄组相比,21至40岁的受害者更容易受到伤害。女性比男性更脆弱(55.69%比44.31%)。意外烧伤是最常见的原因(55%)。结论:热烧伤和相关伤害是世界各地以及孟加拉国死亡和残疾的主要原因。在这个国家需要进行关于火焰燃烧的详细研究。中华医学杂志,2018,6(2):82-85
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引用次数: 2
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