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Beliefs related to the dying process and its impact on end-of-life care in the Marma community of Bangladesh: A qualitative study 与死亡过程相关的信念及其对孟加拉国马尔马社区临终关怀的影响:一项定性研究
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.67162
Wai Wai Mroy, AKM Motiur Rahman Bhuiyan, Muhammad Ibrahim Ibne Towhid, Mostofa Kamal Chowdhury, Nezamuddin Ahmed, Md Atiqul Haque
Background Marma indigenous community in Bangladesh has a unique culture with its religion, culture, language, and tradition. To provide appropriate healthcare and end-of-life support, healthcare providers must know their beliefs and customs near and after death. We explored the beliefs related to the dying process and its impact on end-of-life care in the Marma community of Bangladesh. Methods This cross-sectional qualitative study used an open-ended interview schedule for in-depth interviews (IDI). Twenty-six interviewees were selected purposively from the Marma community of Bandarban district to represent a population of different ages with varied experiences and religious knowledge. After each IDI, all field notes and audio records were transcribed verbatim, and qualitative content analysis was done to construct the themes. Result After analysis, the generated theme indicated a ‘reflection of previous Karma’ within the Marma community. This theme is based on three categories: ' state of the body and mind’, ‘care of a dying person’, and ‘beliefs on the dying process’. Conclusion Death is inevitable for all of us, but suffering in death is not desired. Like other communities around the world, the Marma community also holds its own beliefs and practices regarding end-of-life care related to death. The death of a person in his own house is considered a good death within the Marma community. In the traditional death ritual practices of the Marma community, palliative care in the form of end-of-life care has the potential to enhance the quality of life, alleviate suffering, and enable a peaceful passing with dignity. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 144-151
孟加拉国的马尔马土著社区拥有独特的文化,包括宗教、文化、语言和传统。为了提供适当的医疗保健和临终支持,医疗保健提供者必须了解他们死前和死后的信仰和习俗。我们探讨了与死亡过程有关的信仰及其对孟加拉国马尔马社区临终关怀的影响。方法本研究采用开放式访谈法进行深度访谈(IDI)。有目的地从班达班地区的马尔马社区中选择了26名受访者,以代表不同年龄、不同经历和宗教知识的人群。每次IDI结束后,将所有现场记录和录音逐字转录,并进行定性内容分析以构建主题。经过分析,生成的主题表明了Marma社区中“以前业力的反映”。这个主题基于三个类别:“身体和精神状态”,“临终者的护理”和“对死亡过程的信念”。死亡对我们所有人来说都是不可避免的,但我们不希望在死亡中受苦。像世界上其他社区一样,玛玛社区也有自己的信仰和实践,关于与死亡有关的临终关怀。在马尔马社区,一个人死在自己家里被认为是死得好。在马尔马社区的传统死亡仪式实践中,临终关怀形式的姑息治疗有可能提高生活质量,减轻痛苦,并使人有尊严地和平离开人世。Bangabandhu Sheikh Mujib医科大学学报;2023;16(3):144-151
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引用次数: 0
Relationship problems and suicide in Bangladesh 孟加拉国的关系问题和自杀
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.68101
Russell Kabir, S M Yasir Arafat
Abstract not available Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 186-187
孟加拉谢赫穆吉布医科大学学报,2023;16(3):186-187
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引用次数: 0
Association of single nucleotide polymorphism in patatin like phopholipase domain containing 3 (PNPLA3) gene with paediatric non-alcoholic fatty liver disease 含PNPLA3基因的patatin样磷脂酶结构域单核苷酸多态性与儿童非酒精性脂肪肝的关系
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.68260
Rubaiyat Alam, Kaniz Fathema, Md Rukunuzzaman, Khan Lamia Nahid, Sharmin Mahbuba, Lubana Akram, Abu Naser Ibne Sattar
Background: Non-alcoholic fatty liver disease (NAFLD) is the most unabating cause of chronic liver disease in children and adolescents. The aim of this study was to examine the association of paediatric NAFLD and single nucleotide polymorphism in patatin like phopholipase domain containing 3 (PNPLA3) gene. ­Methods:Τhis case-control study was carried out from June 2021 to December 2022. A total of 51 overweight children aged 6  17 years were recruited in this study and divided into NAFLD (cases) and non-NAFLD (controls) groups on the basis of hepatic steatosis detected by liver ultrasonography. We analyzed the rs738409 polymorphism by TaqMan assay and examined its association with NAFLD. ­­­­­Results: A total of 31 (60.7%) children were in case group and 20 children were in control group. Body mass index, waist circumference, total cholesterol and triglycerides levels were statistically higher in NAFLD group. Homogygosity (GG status) and heterogygosity (CG status) for PNPLA3 polymorphism was seen in 2 (6.4%) and 18 (58.1%) children having NAFLD, respectively. PNPLA3 rs738409 genotypes were similar between case and control groups. Conclusion: No association was found between PNPLA3 rs 738409 SNP with the presence of NAFLD in children. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 139-143
背景:非酒精性脂肪性肝病(NAFLD)是儿童和青少年慢性肝病最不减弱的病因。本研究旨在探讨小儿NAFLD与PNPLA3基因单核苷酸多态性的关系。方法:Τhis于2021年6月至2022年12月进行病例对照研究。本研究共招募51例6 ~ 17岁超重儿童,根据肝脏超声检查肝脏脂肪变性分为NAFLD(病例)组和非NAFLD(对照组)组。采用TaqMan法分析rs738409多态性,并探讨其与NAFLD的相关性。——结果:病例组31例(60.7%),对照组20例。NAFLD组体重指数、腰围、总胆固醇和甘油三酯水平均高于NAFLD组。PNPLA3多态性的同质性(GG状态)和异质性(CG状态)分别在2例(6.4%)和18例(58.1%)NAFLD患儿中发现。PNPLA3 rs738409基因型在病例组和对照组之间相似。结论:PNPLA3 rs 738409 SNP与儿童NAFLD的存在无相关性。Bangabandhu Sheikh Mujib医科大学学报,2023;16(3):139-143
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引用次数: 0
A proposed post-graduate biotechnology course curriculum at Bangabandhu Sheikh Mujib Medical University Bangabandhu Sheikh Mujib医科大学拟议的研究生生物技术课程
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.68413
Subroto Kumar Biswas, Laila Anjuman Banu, Md Mohiuddin Masum
Abstract not available Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 172-173
[摘要]孟加拉谢赫穆吉布医科大学学报,2023;16(3):172-173
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引用次数: 0
Neuronal ceroid lipofuscinosis: A case report 神经元样脂褐变1例
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.68255
Gopen Kumar Kundu, Masuma Akhter, Sanjida Ahmed, Bishnu Pada Dey, Shah Noor Hassan
Neuronal ceroid lipofuscinoses (NCL) represent severe neurodegenerative conditions which is one of the lysosomal storage disorders. There are four main clinical forms of NCL among which late infantile variety is the second most common form of NCL. Here, we discuss a case concerning a boy aged 5 years and 4 months who exhibited a continuous decline in cognitive and motor functions starting from the age of 4. As the disorder advanced, he experienced gradual deterioration of his eyesight, unsteady walking and myoclonic seizures. An electroencephalogram performed on the child demonstrated widespread instances of sharp and slow wave discharges alongside a slowed background activity. Magnetic resonance imaging revealed extensive cerebral and noticeable cerebellar degeneration. A skin biopsy extracted from the armpit area displayed distinctive eosinophilic inclusions within the cells and structures in the eccrine ducts which stained positively for periodic acid-Schiff. These findings indicated a possibility of neuronal ceroid lipofuscinoses. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 174-177
神经性ceroid脂褐质病(NCL)是一种严重的神经退行性疾病,是溶酶体贮积性疾病之一。NCL的临床表现主要有四种,其中婴幼儿晚期是第二常见的NCL。在这里,我们讨论一个5岁零4个月的男孩,他从4岁开始表现出认知和运动功能的持续下降。随着病情的发展,他的视力逐渐恶化,走路不稳,还出现了肌阵挛发作。对儿童进行的脑电图显示了广泛的尖锐和慢波放电实例,同时伴有减慢的背景活动。磁共振成像显示广泛的大脑和明显的小脑变性。腋窝皮肤活检显示细胞内独特的嗜酸性包裹体和分泌管结构,周期性酸-希夫染色阳性。这些发现提示神经元类脂褐变的可能性。Bangabandhu Sheikh Mujib医科大学学报;2023;16(3):174-177
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引用次数: 0
Prevalence of metabolic syndrome, its continuous severity score, and correlated cardiovascular risk among postmenopausal women of a selected rural area of Bangladesh 孟加拉农村地区绝经后妇女代谢综合征患病率、持续严重程度评分和相关心血管风险
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.68299
Lingkan Barua, Fardina Rahman Omi, Rijwan Bhuiyan, Muhammed Shahriar Zaman, Muhammad Aziz Rahman, Mithila Faruque
Background: In Bangladesh, very few studies evaluated metabolic syndrome (MetS) among postmenopausal women (PMW) in a rural setting. Again, none of these studies used and tested the proposed continuous MetS score. Therefore, the objective of this study was to estimate the prevalence of MetS among PMW and evaluate the correlation of its severity score with the absolute risk of cardiovascular diseases (CVD) over the next 10-years. Methods: From a rural primary health care center, we recruited 265 PMW of 40-70 years of age who had no CVD. The MetS was defined according to modified Adult Treatment Panel III criteria and the continuous MetS severity score was constructed using a standardized Z-score for each component (high-density lipoprotein cholesterol, lipid accumulation product and diastolic blood pressure) by regressing them onto the age. CVD risk was assessed using the lab-based Globorisk score. Results: About 35.1% of the PMW had MetS and the proportion of central obesity, generalized obesity, physical inactivity, diabetes, and hypertension were higher among those with MetS than those without. A highly significant CVD risk score difference (U=4594.50, P<0.001) was observed between the subjects with and without MetS. Similarly, CVD risk showed a significant linear correlation (P<0.001) with the MetS severity score, which was adjusted for daily physical activity metabolic equivalent of task, body mass index and low-density lipoprotein cholesterol. Conclusion: We found that one-third of PMW in a selected rural area of Bangladesh had MetS and a significant correlation of its severity score with CVD risk. A large-scale study is warranted to confirm the current findings with more precision. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 133-138
背景:在孟加拉国,很少有研究评估农村绝经后妇女(PMW)的代谢综合征(MetS)。同样,这些研究都没有使用和测试拟议的连续MetS评分。因此,本研究的目的是估计PMW中MetS的患病率,并评估其严重程度评分与未来10年心血管疾病(CVD)绝对风险的相关性。方法:从一个农村初级卫生保健中心,我们招募了265名40-70岁无心血管疾病的PMW。根据修改后的成人治疗组III标准定义MetS,并使用每个组成部分(高密度脂蛋白胆固醇,脂质积累产物和舒张压)的标准化z分数通过回归到年龄来构建连续MetS严重程度评分。使用基于实验室的Globorisk评分评估CVD风险。结果:约35.1%的PMW患有MetS, met组中中心性肥胖、全身性肥胖、缺乏运动、糖尿病和高血压的比例高于无MetS组。在有和没有MetS的受试者之间观察到非常显著的CVD风险评分差异(U=4594.50, P<0.001)。同样,CVD风险与MetS严重程度评分显示出显著的线性相关(P<0.001),该评分根据每日体力活动代谢当量、体重指数和低密度脂蛋白胆固醇进行了调整。结论:我们发现,在孟加拉国选定的农村地区,三分之一的PMW患有MetS,其严重程度评分与CVD风险显著相关。有必要进行大规模的研究,以更精确地证实目前的发现。孟加拉谢赫穆吉布医科大学学报;2023;16(3):133-138
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引用次数: 0
HIV-related healthcare-seeking barriers among transgender people 跨性别人群中与艾滋病毒相关的求医障碍
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.68403
Md Mantaka Rahman, Ummul Khair Alam
Abstract not available Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 184-185
[摘要]孟加拉谢赫穆吉布医科大学学报,2023;16(3):184-185
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引用次数: 0
Transverse mini-incision for carpal tunnel release 横向小切口解除腕管
Pub Date : 2023-09-27 DOI: 10.3329/bsmmuj.v16i3.68183
Taufiq Morshed, Md Israt Hasan, Ananta Kumar Sen, Md Zahid Ferdous, Syed Mozaffar Ahmed
Background: The aim of this study was to compare the outcomes of transverse mini-incision and traditional mini-palm incision for Carpal tunnel release. Methods: A case-control study was done at Kurmitola General Hospital, Dhaka, and at US Bangla Medical College Hospital, Narayangonj between January 2019 to December 2021. A total of 42 patients diagnosed with idiopathic CTS were equally allocated in the transverse mini-incision group (case) and traditional mini-palm incision group (control). Results: Patients operated with transverse mini-incision returned to their work significantly earlier (10.3±2.1 days) than patients operated with traditional mini-palm incision (18.7±2.3 days). No significant difference was found between group I and group II McGill pain score improvement (P=0.16) and BCTQ symptom severity score and functional severity score (P=0.61 and P=0.43 respectively). Conclusion: We conclude that no significant difference was found regarding pain, symptom, and functional outcome between the two groups. Hence, patients in group I returned early to work. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(3): 167-171
背景:本研究的目的是比较横向小切口和传统小手掌切口在腕管松解术中的效果。方法:2019年1月至2021年12月在达卡Kurmitola综合医院和纳拉扬贡吉美国孟加拉医学院医院进行病例对照研究。42例诊断为特发性CTS的患者平均分为横向小切口组(病例)和传统小手掌切口组(对照组)。结果:横向小切口患者恢复工作时间(10.3±2.1 d)明显早于传统手掌小切口患者(18.7±2.3 d)。两组患者McGill疼痛评分改善(P=0.16)、BCTQ症状严重程度评分和功能严重程度评分(P=0.61和P=0.43)差异无统计学意义。结论:我们得出结论,两组在疼痛、症状和功能结局方面没有显著差异。因此,第一组患者较早返回工作岗位。孟加拉谢赫穆吉布医科大学学报;2023;16(3):167-171
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引用次数: 0
Postpartum Mood Disorders: Sometimes More than "Baby Blues." 产后情绪障碍:有时不仅仅是“产后忧郁”。
Pub Date : 2023-09-03 DOI: 10.3329/bsmmcj.v1i1.68454
D. Zeba, Taukir Tanjim, Rajib Biswas
Postpartum mood disorders are a significant clinical and public health concern. While pregnancy is an immensesource of happiness and pleasure for a woman, it is also a stressful time. During pregnancy, there is a significantincrease in the level of steroidal hormones. Women become vulnerable to numerous mood disorders when thesechildbirth hormones are suddenly withdrawn. These mood disorders range in severity from mild postpartum blues tomore serious mood disorders such as postpartum depression and psychosis. Approximately 50% to 80% of newmothers experience postpartum blues within the first few days of their child's birth.Postpartum depression, while less prevalent (occurring in 10-15% of deliveries), has a profound impact on the healthof both the mother and the baby. Unfortunately, these forms of mental illnesses in women are usually undiagnosed,untreated, and underestimated. Postpartum psychosis is exceedingly rare, involving about 1-2 mothers out of every1000 live births, but it is a true psychiatric emergency. This article reviews postpartum mood disorders, their riskfactors, signs and symptoms, complications, screening, treatment, and nursing care for these mothers. Bangabandhu Sheikh Mujib Med. Coll. J. 2022; 1(1):46-48
产后情绪障碍是一个重要的临床和公共卫生问题。虽然怀孕对女人来说是一个巨大的幸福和快乐的源泉,但它也是一个充满压力的时期。在怀孕期间,类固醇激素的水平会显著增加。当这些分娩激素突然消失时,女性很容易受到各种情绪障碍的影响。这些情绪障碍的严重程度从轻微的产后忧郁到更严重的情绪障碍,如产后抑郁症和精神病。大约50%到80%的新妈妈在孩子出生的头几天内会经历产后抑郁。产后抑郁症虽然不那么普遍(发生在分娩的10-15%),但对母亲和婴儿的健康都有深远的影响。不幸的是,这些形式的女性精神疾病通常没有得到诊断、治疗和低估。产后精神病极为罕见,每1000名活产婴儿中约有1-2名母亲患有产后精神病,但这是一种真正的精神紧急情况。本文综述了产后情绪障碍及其危险因素、体征和症状、并发症、筛查、治疗和护理。Bangabandhu Sheikh Mujib Med. col。j . 2022;1 (1): 46-48
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引用次数: 0
List of Contents of January 2022 2022年1月的目录
Pub Date : 2023-09-03 DOI: 10.3329/bsmmcj.v1i1.68353
E. Chief
Abstract not available
摘要不可用
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引用次数: 0
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Bangabandhu Sheikh Mujib Medical University Journal
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