Objective: Coronavirus pandemic has spread globally. It has affected people mentally and economically.These types of pandemics often lead to post-traumatic stress traumatic syndrome among people. Researchdata is needed to know the PTSD due to the coronavirus pandemic among the general population. Materials and Methods: This study is cross-sectional. Data was collected in 3 days from the generalpopulation of Karachi through an online questionnaire regarding age, gender, education, profession,precautionary measures, awareness related to COVID, satisfaction related to COVID, Health informationawareness. IESR scale was used to assess post-traumatic stress syndrome. A total of 241 respondentswere involved. Results: Moreover, 11.2% had partial PTSD, 4.1% had PTSD and 34.9% had PTSD high enough to suppressthe immune system. Among the respondents majority belong to age group 20 to 30, female, student,undergraduate, were aware of COVID, tested positive for COVID, knew someone tested positive forCOVID, applied precautionary measures, avoided going out, worried about your family members gettingCOVID, satisfied with health information available and were aware of health information available. Agegroup 20 to 30, Male gender, matric education level, housewives, tested positive for COVID, applyingprecautionary measures, applying social distancing, having present physical symptoms, worrying aboutyour family members getting COVID, was associated with high IESR score and PTSD (p<0.05). Awarenessrelated to COVID-19 and avoiding going out was associated with low IESR scores and were protectivefactors related to PTSD(p<0.05). Tested positive for COVID, presence of past physical symptoms, satisfactionwith health information available, and awareness of health information available were not significantlyassociated with IESR score and PTSD (P>0.05) Conclusion: During the outbreak of the coronavirus pandemic more than half of the respondentsreported partial to severe PTSD. Age group 20 to 30, Male gender, matric education level, housewives,tested positive for COVID, applying precautionary measures, applying social distancing, having presentphysical symptoms of COVID, worrying about your family members getting COVID are the vulnerablegroups which need urgent attention related to PTSD. Awareness related to COVID-19 and avoiding goingout are protective factors related to PTSD hence these factors can be considered by higher authoritiesto make psychological policies. J MEDICINE 2022; 23: 36-41
{"title":"Prevalence of Post-traumatic Stress Disorder among the General Population of Karachi during COVID-19 Pandemic and its Associated Factors","authors":"D. A. Ali, I. Ali, Karishma Sakharani, Neha Rohra","doi":"10.3329/jom.v23i1.57935","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57935","url":null,"abstract":"Objective: Coronavirus pandemic has spread globally. It has affected people mentally and economically.These types of pandemics often lead to post-traumatic stress traumatic syndrome among people. Researchdata is needed to know the PTSD due to the coronavirus pandemic among the general population.\u0000Materials and Methods: This study is cross-sectional. Data was collected in 3 days from the generalpopulation of Karachi through an online questionnaire regarding age, gender, education, profession,precautionary measures, awareness related to COVID, satisfaction related to COVID, Health informationawareness. IESR scale was used to assess post-traumatic stress syndrome. A total of 241 respondentswere involved.\u0000Results: Moreover, 11.2% had partial PTSD, 4.1% had PTSD and 34.9% had PTSD high enough to suppressthe immune system. Among the respondents majority belong to age group 20 to 30, female, student,undergraduate, were aware of COVID, tested positive for COVID, knew someone tested positive forCOVID, applied precautionary measures, avoided going out, worried about your family members gettingCOVID, satisfied with health information available and were aware of health information available. Agegroup 20 to 30, Male gender, matric education level, housewives, tested positive for COVID, applyingprecautionary measures, applying social distancing, having present physical symptoms, worrying aboutyour family members getting COVID, was associated with high IESR score and PTSD (p<0.05). Awarenessrelated to COVID-19 and avoiding going out was associated with low IESR scores and were protectivefactors related to PTSD(p<0.05). Tested positive for COVID, presence of past physical symptoms, satisfactionwith health information available, and awareness of health information available were not significantlyassociated with IESR score and PTSD (P>0.05)\u0000Conclusion: During the outbreak of the coronavirus pandemic more than half of the respondentsreported partial to severe PTSD. Age group 20 to 30, Male gender, matric education level, housewives,tested positive for COVID, applying precautionary measures, applying social distancing, having presentphysical symptoms of COVID, worrying about your family members getting COVID are the vulnerablegroups which need urgent attention related to PTSD. Awareness related to COVID-19 and avoiding goingout are protective factors related to PTSD hence these factors can be considered by higher authoritiesto make psychological policies.\u0000J MEDICINE 2022; 23: 36-41","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44425740","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: The health care workers’(HCWs) are working 24/7 in managing devastating pandemicCorona virus disease19(COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) as front liner which leads them to be at highest risk for contacting infection. In Bangladesh, beinga lower middle-income country and densely populated, the burden is much more on HCWs. Methods: We did a cross-sectional study with an aim to identify the prevalence, risk factors, and outcomesof SARS-CoV-2 infection among the HCWs in a COVID-19 dedicated tertiary care hospital. Statisticalanalysis was done in SPSS version-26. Multivariate regression analysis was done to evaluate risk factorsresponsible for COVID-19 infection and the severity of the COVID-19 disease. We expressed odds ratiowith 95% CI, and considered the p-value of <0.05 as significant in the two-tailed test. Results: A total of 864 HCWs had participated with mean age of 34.16 ± 6.77 and 426 (49.31%) males.Among them 143 (16.55%) were tested RT-PCR positive for SARS-COV-2. Bronchial asthma/COPD andHypertension were the most common co-morbidities with 23 (16.08%) for each. About 102 (71.33%) ofthe RT-PCR positive HCWs became symptomatic. Fever, cough and myalgia were the most commonsymptoms 84(82.35%), 67(65.69%) and 52(50.98%) respectively.Multivariate regression analysis revealed hypertension, gout, and working in the COVID-19 confirmedward had a significant odds ratio for getting infected with SARS-CoV-2 [95% CI, p-value 1.91 (1.08 - 3.41),0.027; 5.85 (1.33 - 25.74), 0.020; and 1.83 (1.10 - 3.03), 0.019].Bronchial asthma/COPD and gout found to be risk factors for moderate to severe COVID-19 disease[95% CI, p-value 3.04 (1.01 - 9.21), 0.049 and 23.38 (3.42 - 159.72), 0.001]. Hospitalization rate was12(85.7%), and 3(100%) and median hospital stays were 11 (5.5 - 15), and 20 (7 - 30) days for moderate andsevere diseases respectively. Outcome was uneventful without any ICU admission and death. Conclusion: HCWs working in the COVID-19 confirmed ward are at increased risk of infection withSARS-COV-2. Some co-morbidities like hypertension and gout are important risk factors for contactingSARS-COV-2 infection. Bronchial asthma/COPD and gout favors disease severity. J MEDICINE 2022; 23: 5-12
{"title":"SARS-CoV-2 Infection and Risk Stratification among Healthcare Workers in the Largest COVID-19 Dedicated Tertiary Care Hospital in Dhaka, Bangladesh","authors":"Md. Uzzwal Mallik, Reaz Mahmud, Saima Azad, -. Md Moniruzzaman, Tahera Khatun, Mohammad Rafiquzzaman, Sonjoy Kumar Poddar, M. Hoque, Md. Titu Miah, Md. Mujibur Rahman","doi":"10.3329/jom.v23i1.57930","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57930","url":null,"abstract":"Background: The health care workers’(HCWs) are working 24/7 in managing devastating pandemicCorona virus disease19(COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) as front liner which leads them to be at highest risk for contacting infection. In Bangladesh, beinga lower middle-income country and densely populated, the burden is much more on HCWs.\u0000Methods: We did a cross-sectional study with an aim to identify the prevalence, risk factors, and outcomesof SARS-CoV-2 infection among the HCWs in a COVID-19 dedicated tertiary care hospital. Statisticalanalysis was done in SPSS version-26. Multivariate regression analysis was done to evaluate risk factorsresponsible for COVID-19 infection and the severity of the COVID-19 disease. We expressed odds ratiowith 95% CI, and considered the p-value of <0.05 as significant in the two-tailed test.\u0000Results: A total of 864 HCWs had participated with mean age of 34.16 ± 6.77 and 426 (49.31%) males.Among them 143 (16.55%) were tested RT-PCR positive for SARS-COV-2. Bronchial asthma/COPD andHypertension were the most common co-morbidities with 23 (16.08%) for each. About 102 (71.33%) ofthe RT-PCR positive HCWs became symptomatic. Fever, cough and myalgia were the most commonsymptoms 84(82.35%), 67(65.69%) and 52(50.98%) respectively.Multivariate regression analysis revealed hypertension, gout, and working in the COVID-19 confirmedward had a significant odds ratio for getting infected with SARS-CoV-2 [95% CI, p-value 1.91 (1.08 - 3.41),0.027; 5.85 (1.33 - 25.74), 0.020; and 1.83 (1.10 - 3.03), 0.019].Bronchial asthma/COPD and gout found to be risk factors for moderate to severe COVID-19 disease[95% CI, p-value 3.04 (1.01 - 9.21), 0.049 and 23.38 (3.42 - 159.72), 0.001]. Hospitalization rate was12(85.7%), and 3(100%) and median hospital stays were 11 (5.5 - 15), and 20 (7 - 30) days for moderate andsevere diseases respectively. Outcome was uneventful without any ICU admission and death.\u0000Conclusion: HCWs working in the COVID-19 confirmed ward are at increased risk of infection withSARS-COV-2. Some co-morbidities like hypertension and gout are important risk factors for contactingSARS-COV-2 infection. Bronchial asthma/COPD and gout favors disease severity.\u0000J MEDICINE 2022; 23: 5-12","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46550609","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}
M. Hajri, Maroua Yangui, G. Talbi, W. Ferjaoui, Leila Ben Farhat, R. Bayar
Abstract not available J MEDICINE 2022; 23: 82-83
摘要不可用J MEDICINE 2022；23:82-83
{"title":"Heterotaxy Polysplenia Syndrome in an Old Female","authors":"M. Hajri, Maroua Yangui, G. Talbi, W. Ferjaoui, Leila Ben Farhat, R. Bayar","doi":"10.3329/jom.v23i1.57941","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57941","url":null,"abstract":"Abstract not available\u0000J MEDICINE 2022; 23: 82-83","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42579565","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}
Md Rubel Miah, S. A. Imam, S. Akter, E. Khan, Md. Uzzwal Mallik, A. Kabir, S. Biswas, M. Kabir, Md Hafiz Sardar
immunoproliferative small intestinal disease is considered as a rare condition and has endemicity inMediterranean countries and often associated with campylobacter jejuni infection. This conditionvaries in severity from benign to frankly malignant. Prolonged remission can be obtained with longterm antibiotic therapy but chemotherapy is required for those who have aggressive disease. Bangladeshidata on IPSID is sparse. Here our patient 21 years old male presented with chronic diarrhoea, occasionalvomiting, severe weakness and significant unintentional weight loss. He had cachectic body built,bipedal edema, easy bruising, glossitis with angular stomatitis. His upper GI endoscopy showed multiplenodular lesion in the duodenum. Biopsy was taken from nodular lesion and sent for histopathology,geneXpert and culture. Histopathology revealed IPSID. He was treated with tetracycline and improvedclinically. J MEDICINE 2022; 23: 84-86
{"title":"IPSID- a Neglected Cause of Chronic Diarrhea","authors":"Md Rubel Miah, S. A. Imam, S. Akter, E. Khan, Md. Uzzwal Mallik, A. Kabir, S. Biswas, M. Kabir, Md Hafiz Sardar","doi":"10.3329/jom.v23i1.57942","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57942","url":null,"abstract":"immunoproliferative small intestinal disease is considered as a rare condition and has endemicity inMediterranean countries and often associated with campylobacter jejuni infection. This conditionvaries in severity from benign to frankly malignant. Prolonged remission can be obtained with longterm antibiotic therapy but chemotherapy is required for those who have aggressive disease. Bangladeshidata on IPSID is sparse. Here our patient 21 years old male presented with chronic diarrhoea, occasionalvomiting, severe weakness and significant unintentional weight loss. He had cachectic body built,bipedal edema, easy bruising, glossitis with angular stomatitis. His upper GI endoscopy showed multiplenodular lesion in the duodenum. Biopsy was taken from nodular lesion and sent for histopathology,geneXpert and culture. Histopathology revealed IPSID. He was treated with tetracycline and improvedclinically.\u0000J MEDICINE 2022; 23: 84-86","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41956763","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}
R. Chakrabortty, S. Paul, Abir Hasan Dip, S. Rahman, Shipon Chandra Paul, Shahed Choudhury, S. Islam
Multiple myeloma is a malignant proliferation of plasma cells that typically presents in the bone marrow.Extramedullaryplasmacytoma (EMP) represents an unusual and characteristically progressive malignancythat can arise outside the bone marrow. The occurrence of multiple myeloma with plasmacytoma of thelung is very unusual. Herein, we report a case of multiple myeloma with plasmacytoma of the lungdiagnosed by CT-guided FNAC and bone marrow trephine biopsy. J MEDICINE 2022; 23: 96-100
{"title":"Multiple Myeloma with Plasmacytoma of the Lung - A Rare Entity","authors":"R. Chakrabortty, S. Paul, Abir Hasan Dip, S. Rahman, Shipon Chandra Paul, Shahed Choudhury, S. Islam","doi":"10.3329/jom.v23i1.57944","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57944","url":null,"abstract":"Multiple myeloma is a malignant proliferation of plasma cells that typically presents in the bone marrow.Extramedullaryplasmacytoma (EMP) represents an unusual and characteristically progressive malignancythat can arise outside the bone marrow. The occurrence of multiple myeloma with plasmacytoma of thelung is very unusual. Herein, we report a case of multiple myeloma with plasmacytoma of the lungdiagnosed by CT-guided FNAC and bone marrow trephine biopsy.\u0000J MEDICINE 2022; 23: 96-100","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49172981","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}
Abu Muhammad Shamsu Uddin, Md Farhad Hussain, Abm Adnan, R. Hasan, Ahidul Helal, Umme Salma Amin, M. Faiz
Background: Around a million FDMNs have settled in Cox’s Bazar, the southeast coastal district ofBangladesh. The geographically proximate country of Rakhine state of Myanmar following armed conflictin this area in August 2017 and created a unique humanitarian crisis. It is important to know the currenthealth status of FDMNs because, without this information, equal and equitable health service provision isnot possible. So, we conducted this study to explore the common health problems of FDMNs residing incamps of Cox’s Bazar, Bangladesh. Method: This descriptive observational study was conducted from January 2018 to July 2019 at Cox’sBazar Medical College Hospital, Cox’s Bazar which first prioritized referred tertiary hospitals for FDMNs. Result: Among study FDMNs, Age ranges from 3 months to 97 years with a median age of 40 (25-60) years andmale to female representatives were almost equal (51.6% male and 48.4% female). Majority of the male werefarmers (engaged in agriculture, livestock and fish farming) and the females were house makers. One third ofthe primary respondents have formal education (i.e. religious education) in Myanmar. More than 30% of theparticipants reported having H/O recent death of family members in Myanmar with a median number of twomembers due to recent violence. 37% FDMNs were malnourished out of them 14.7% were severe. BCG scarmarks were found in 70% and only 40.7% were vaccinated with other vaccines in under five children.75.4%FDMNs were dependent on unqualified village doctors” for treatment. The most common NCD among theFDMNs people were COPD, DM, and HTN with risk factor tobacco use and frequent betel nut chewing.Chronic liver disease with underlying hepatitis C or Hepatitis B infection, HIV and TB were more common.Nearly one third FDMNs were clinically anemic. 42.9% of the participants reported do not won and use LLNin Myanmar. 73.2% FDMNs have knowledge about ORS use in diarrhea. Predominant diseases among admittedprimary respondents were CLD (15.7%) followed by COPD (13%), pregnancy complication and Injury (7.2%).Major causes of death in admitted FDMNs were COPD with its complication (25%) Cardiac disease (20%),CLD with Hepatic encephalopathy (15%), CNS infection and Septic shock (10%). Conclusion: This study identifies common health problems of the FDMN also called Rohingya refugeesin Bangladesh. FDMNs in Bangladesh are under significant health risks and necessary to scale up targetedhealth care policy and improvement of local GOB and non-Government health care facilities for them. J MEDICINE 2022; 23: 13-19
{"title":"Common Health Problems of ‘Forcibly Displaced Myanmar Nationals’ “(FDMNs)” of Bangladesh","authors":"Abu Muhammad Shamsu Uddin, Md Farhad Hussain, Abm Adnan, R. Hasan, Ahidul Helal, Umme Salma Amin, M. Faiz","doi":"10.3329/jom.v23i1.57931","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57931","url":null,"abstract":"Background: Around a million FDMNs have settled in Cox’s Bazar, the southeast coastal district ofBangladesh. The geographically proximate country of Rakhine state of Myanmar following armed conflictin this area in August 2017 and created a unique humanitarian crisis. It is important to know the currenthealth status of FDMNs because, without this information, equal and equitable health service provision isnot possible. So, we conducted this study to explore the common health problems of FDMNs residing incamps of Cox’s Bazar, Bangladesh.\u0000Method: This descriptive observational study was conducted from January 2018 to July 2019 at Cox’sBazar Medical College Hospital, Cox’s Bazar which first prioritized referred tertiary hospitals for FDMNs.\u0000Result: Among study FDMNs, Age ranges from 3 months to 97 years with a median age of 40 (25-60) years andmale to female representatives were almost equal (51.6% male and 48.4% female). Majority of the male werefarmers (engaged in agriculture, livestock and fish farming) and the females were house makers. One third ofthe primary respondents have formal education (i.e. religious education) in Myanmar. More than 30% of theparticipants reported having H/O recent death of family members in Myanmar with a median number of twomembers due to recent violence. 37% FDMNs were malnourished out of them 14.7% were severe. BCG scarmarks were found in 70% and only 40.7% were vaccinated with other vaccines in under five children.75.4%FDMNs were dependent on unqualified village doctors” for treatment. The most common NCD among theFDMNs people were COPD, DM, and HTN with risk factor tobacco use and frequent betel nut chewing.Chronic liver disease with underlying hepatitis C or Hepatitis B infection, HIV and TB were more common.Nearly one third FDMNs were clinically anemic. 42.9% of the participants reported do not won and use LLNin Myanmar. 73.2% FDMNs have knowledge about ORS use in diarrhea. Predominant diseases among admittedprimary respondents were CLD (15.7%) followed by COPD (13%), pregnancy complication and Injury (7.2%).Major causes of death in admitted FDMNs were COPD with its complication (25%) Cardiac disease (20%),CLD with Hepatic encephalopathy (15%), CNS infection and Septic shock (10%).\u0000Conclusion: This study identifies common health problems of the FDMN also called Rohingya refugeesin Bangladesh. FDMNs in Bangladesh are under significant health risks and necessary to scale up targetedhealth care policy and improvement of local GOB and non-Government health care facilities for them.\u0000J MEDICINE 2022; 23: 13-19","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48704897","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}
Purpose of the ProjectTo examine the change in telehealth use growth during the COVID-19pandemic with non-elderly patients in Bangladesh. Methods Using patients of age between 18-64 from residents in and outside Dhaka, this study analyzedtelehealth visits, and all health care procedures from 2019-2021. The inflection point of interest wasMarch 2020, the month when the COVID-19 pandemic was officially declared as a national emergency.Analyses were controlled for age, gender, and socioeconomic index. We used DiD approach to see thegrowth in telehealth use and then performed logistic regression to evaluate the association between anytelehealth use and patient characteristics. Results There were more than 3000 observations in the analysis, where more than 60% were female.The percentage of females did not decrease after the inflection point. The onset of the pandemic wasassociated with an increase in telehealth usage in Dhaka relative to outside Dhaka (DiD estimate 0.07;95% CI, -0.77-0.62). The mean telehealth visits in Dhaka after March 2020 was 33% higher than outsideDhaka per person-year. The mean (SD) of Dhaka and outside Dhaka were 1.69 (7.03) and 1.48 (7.62)respectively.Interpretations Overall, telehealth use was associated with the youngest age group of 18-34, living inmore urban areas and living in areas of higher socioeconomic status. Conclusion In this study, we found a significant decrease to in-person services and a rise in telehealthvisits. J MEDICINE 2022; 23: 42-47
{"title":"Growth in Telehealth Use in Bangladesh from 2019-2021 - A Difference-in-Differences Approach","authors":"Saanjaana Rahman, S. Amit","doi":"10.3329/jom.v23i1.57936","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57936","url":null,"abstract":"Purpose of the ProjectTo examine the change in telehealth use growth during the COVID-19pandemic with non-elderly patients in Bangladesh.\u0000Methods Using patients of age between 18-64 from residents in and outside Dhaka, this study analyzedtelehealth visits, and all health care procedures from 2019-2021. The inflection point of interest wasMarch 2020, the month when the COVID-19 pandemic was officially declared as a national emergency.Analyses were controlled for age, gender, and socioeconomic index. We used DiD approach to see thegrowth in telehealth use and then performed logistic regression to evaluate the association between anytelehealth use and patient characteristics.\u0000Results There were more than 3000 observations in the analysis, where more than 60% were female.The percentage of females did not decrease after the inflection point. The onset of the pandemic wasassociated with an increase in telehealth usage in Dhaka relative to outside Dhaka (DiD estimate 0.07;95% CI, -0.77-0.62). The mean telehealth visits in Dhaka after March 2020 was 33% higher than outsideDhaka per person-year. The mean (SD) of Dhaka and outside Dhaka were 1.69 (7.03) and 1.48 (7.62)respectively.Interpretations Overall, telehealth use was associated with the youngest age group of 18-34, living inmore urban areas and living in areas of higher socioeconomic status.\u0000Conclusion In this study, we found a significant decrease to in-person services and a rise in telehealthvisits.\u0000J MEDICINE 2022; 23: 42-47","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47330477","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}
Malaria is a vector-borne febrile illness that requires an association of three factors- parasite, vector, andhost- to continue its life cycle. The physical and cultural environments, as rainfall, humidity, and temperaturepermitted Bangladesh to be a malaria-endemic area, where Plasmodium falciparum is the dominantparasite and accounts for 93% of the malaria cases in the country. Due to the high degree of severity of thedisease and about 15% of total annual deaths in Bangladesh, in the year of 1961, Malaria EradicationProgram (MEP) was introduced. NMEP caused a significant reduction in total malaria incidences, severityand deaths. Still 33.6% of the total population in Bangladesh is at risk of malaria and the majority of casesare reported in 13 endemic areas of 64 districts in the country. Above all, resurgence of malaria andtreatment resistant cases have become a burning issue to think about in recent years. Here, we presenttwo severe falciparum malaria cases that challenged us with the complicated nature of the disease inDhaka city, which is not listed as a malaria endemic zone of Bangladesh. J MEDICINE 2022; 23: 87-95
{"title":"Challenging Experience with Severe Complicated Malaria in the City of Dhaka","authors":"Refaya Tasnim, Q. Islam","doi":"10.3329/jom.v23i1.57943","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57943","url":null,"abstract":"Malaria is a vector-borne febrile illness that requires an association of three factors- parasite, vector, andhost- to continue its life cycle. The physical and cultural environments, as rainfall, humidity, and temperaturepermitted Bangladesh to be a malaria-endemic area, where Plasmodium falciparum is the dominantparasite and accounts for 93% of the malaria cases in the country. Due to the high degree of severity of thedisease and about 15% of total annual deaths in Bangladesh, in the year of 1961, Malaria EradicationProgram (MEP) was introduced. NMEP caused a significant reduction in total malaria incidences, severityand deaths. Still 33.6% of the total population in Bangladesh is at risk of malaria and the majority of casesare reported in 13 endemic areas of 64 districts in the country. Above all, resurgence of malaria andtreatment resistant cases have become a burning issue to think about in recent years. Here, we presenttwo severe falciparum malaria cases that challenged us with the complicated nature of the disease inDhaka city, which is not listed as a malaria endemic zone of Bangladesh.\u0000J MEDICINE 2022; 23: 87-95","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49292852","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}
Tahera Khatun, Aparna Das, G. Banik, Uma Dhar, M. Sharif, Kayanat Yeasmin, S. Debnath
Background: Acute Exacerbation of COPD (AECOPD) is natural course of Chronic ObstructivePulmonary Disease (COPD), where bacterial infection is the major cause. Bacterial infection worse thesign symptoms of the patients and ultimately increase morbidity & mortality. Methods: This is a cross-sectional observational study. 100 clinically diagnosed cases of AECOPD agedbetween 18 and 85 years were included in the study. The sputum specimen was processed by conventionalMethods and subjected to culture and sensitivity in standard laboratory. Results: The prevalence of AECOPD was more common in age group of fifty-six to sixty- five years(38%) with ratio between male and female of 4.6:1. The prevalence of Gram-negative bacteria was 65.21%and Gram-positive bacteria was 34.79%. K. pneumoniae was the commonest bacteria isolated (36.95%)followed by P. aeruginosa (21.73%), S. aureus (15.21), S. pneumoniae (10.86), S. pyogenes and E. coli(6.52%), MRSA (2.17%). The drug sensitivity reveals that 79.55% of the isolates were sensitive to Amikacin(79.55%) followed by Azithromycin (70.45%), Amoxy clavulanic acid (68.18%) and Ciprofloxacin (63.63%). Conclusion: Repeated exacerbation and hospital admission leads to a major impact on the quality of life ofpatients with COPD. Antibiogram helps in screening resistant pathogens and prescribing right treatment protocol. J MEDICINE 2022; 23: 30-35
{"title":"Bacteriological Spectrum of Sputum in Acute Exacerbation of Chronic Obstructive Pulmonary Disease (COPD)","authors":"Tahera Khatun, Aparna Das, G. Banik, Uma Dhar, M. Sharif, Kayanat Yeasmin, S. Debnath","doi":"10.3329/jom.v23i1.57934","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57934","url":null,"abstract":"Background: Acute Exacerbation of COPD (AECOPD) is natural course of Chronic ObstructivePulmonary Disease (COPD), where bacterial infection is the major cause. Bacterial infection worse thesign symptoms of the patients and ultimately increase morbidity & mortality.\u0000Methods: This is a cross-sectional observational study. 100 clinically diagnosed cases of AECOPD agedbetween 18 and 85 years were included in the study. The sputum specimen was processed by conventionalMethods and subjected to culture and sensitivity in standard laboratory.\u0000Results: The prevalence of AECOPD was more common in age group of fifty-six to sixty- five years(38%) with ratio between male and female of 4.6:1. The prevalence of Gram-negative bacteria was 65.21%and Gram-positive bacteria was 34.79%. K. pneumoniae was the commonest bacteria isolated (36.95%)followed by P. aeruginosa (21.73%), S. aureus (15.21), S. pneumoniae (10.86), S. pyogenes and E. coli(6.52%), MRSA (2.17%). The drug sensitivity reveals that 79.55% of the isolates were sensitive to Amikacin(79.55%) followed by Azithromycin (70.45%), Amoxy clavulanic acid (68.18%) and Ciprofloxacin (63.63%).\u0000Conclusion: Repeated exacerbation and hospital admission leads to a major impact on the quality of life ofpatients with COPD. Antibiogram helps in screening resistant pathogens and prescribing right treatment protocol.\u0000J MEDICINE 2022; 23: 30-35","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47013111","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}
Z. Hossain, T. B. Hannan, Md Soabraj Al Quraishi, Md. Sadiqur Rahman, M. R. Alam, F. Chowdhury
Cardiac myxoma is a rare cause of fever of unknown origin. Typically, it presents with one or more ofthe triad namely constitutional, obstructive or embolic phenomenon. Rapid detection and earlysurgical resection is the only effective modality of treatment to prevent debilitating complicationsand mortality. Herein, we showcased a case presenting to us with fever and weight loss. High indexof suspicion and early transthoracic echocardiography is needed to avoid delayed diagnosis andunnecessary tests. J MEDICINE 2022; 23: 101-103
{"title":"Fever of Unknown Origin in an 18-year-old Boy","authors":"Z. Hossain, T. B. Hannan, Md Soabraj Al Quraishi, Md. Sadiqur Rahman, M. R. Alam, F. Chowdhury","doi":"10.3329/jom.v23i1.57945","DOIUrl":"https://doi.org/10.3329/jom.v23i1.57945","url":null,"abstract":"Cardiac myxoma is a rare cause of fever of unknown origin. Typically, it presents with one or more ofthe triad namely constitutional, obstructive or embolic phenomenon. Rapid detection and earlysurgical resection is the only effective modality of treatment to prevent debilitating complicationsand mortality. Herein, we showcased a case presenting to us with fever and weight loss. High indexof suspicion and early transthoracic echocardiography is needed to avoid delayed diagnosis andunnecessary tests.\u0000J MEDICINE 2022; 23: 101-103","PeriodicalId":76013,"journal":{"name":"Journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47344188","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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