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A Clinicopathological Study of Cervical Lymphadenopathy 宫颈淋巴结病的临床病理研究
Pub Date : 2023-09-03 DOI: 10.3329/bsmmcj.v1i1.68414
Md. Shafiq-Ur Rahman, N. N. Biswas, Shabub Alam, Debabrata Roy
Lymphadenopathy is a very common clinical manifestation of many diseases. It is a disease of the lymph nodes, inwhich they are abnormal in size or consistency. The study intends to find out systematically the various pathologicalconditions presenting with enlarged lymph nodes in the neck, also the various nodes of clinical presentations andbehavior of these conditions. This study consisted of 200 consecutive cases and diagnosis was made on the basis ofclinical, fine needle aspiration cytology and histopathological findings. Out of 200 cases in the study 30.0% werenon-specific lymphadenopathy, 47% were tuberculosis, 15% were secondary metastatic lymphadenopathy due toprimary malignant lesion in head-neck region, 5% were primary malignant lesion that is lymphoma (Hodgkins andnon-Hodgkins lymphoma), rest 3% were due to other lesions like Kikuchi's disease, histiocytosis. After swelling inthe neck, pain and fever were the most common presentations. Some patients presented with suppurativelymphadenopathy. In this study, fine needle aspiration cytology was found to be so reliable.Bangabandhu Sheikh Mujib Med. Coll. J. 2022;1(1):29-32
淋巴结病是许多疾病非常常见的临床表现。它是一种淋巴结疾病,淋巴结的大小或稠度不正常。本研究旨在系统地发现以颈部淋巴结肿大为表现的各种病理情况,以及这些情况下的各种淋巴结的临床表现和行为。本研究由200例连续病例组成,并根据临床,细针穿刺细胞学和组织病理学结果进行诊断。在本研究的200例病例中,30.0%为非特异性淋巴结病,47%为结核病,15%为头颈部原发性恶性病变引起的继发性转移性淋巴结病,5%为原发性恶性病变淋巴瘤(霍奇金淋巴瘤和非霍奇金淋巴瘤),其余3%为菊池病、组织细胞增多症等其他病变。颈部肿胀后,疼痛和发烧是最常见的表现。部分患者表现为化脓性淋巴结病。在本研究中,细针穿刺细胞学检查是非常可靠的。Bangabandhu Sheikh Mujib Med. col。j . 2022; 1 (1): 29-32
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引用次数: 0
Salt intake knowledge, attitude and behaviour in a rural population of Bangladesh 孟加拉国农村人口的盐摄入量知识、态度和行为
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67238
Md Abbas Ibn Karim, Rijwan Bhuiyan, Md Nahid Sarkar, Shafia Shaheen
Abstract not availableBangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 124-125
摘要不可用Bangabandhu Sheikh Mujib医科大学学报2023;16(2):124-125
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引用次数: 0
Swyer syndrome: A rare case Swyer综合征:一例罕见病例
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67241
H. Pradhan, G. Dangal, M. K. Shrestha
Abstract not availableBangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 128-130
摘要不可用Bangabandhu Sheikh Mujib医科大学学报2023;16(2):128-130
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引用次数: 0
Protecting children from online sexual abuse in Bangladesh: A policy brief 保护孟加拉国儿童免受网络性虐待:一份政策简报
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67209
Muhammad Ibrahim Ibne Towhid, Raisa Nuzhat, Md Atiqul Haque
Background: Online sexual abuse is a growing concern in Bangladesh, particularly as children are increasingly accessing the internet and social media. This paper examines the prevalence and impact of online sexual abuse on children in Bangladesh, and provides policy recommendations to protect children from this type of abuse.Methods: This policy brief was prepared after reviewing findings of the research works conducted on online child sexual abuse.Results: Around 86% female and 91% male children of Bangladesh use the internet. Among the internet users, about one in two children are sexually abused. In addition to the Children Act 2013, the government of Bangladesh enacted the ICT Act 2006 and the Digital Security Act 2018 to address cybercrimes. However, these acts do not specifically address the issue of online child sexual abuse. In addition, the legal provisions lack strict enforcement and the media at times discloses the identities of child victims including images.Policy recommendations: The government, civil society organizations, and other stakeholders need to take a comprehensive approach to protect children from online sexual abuse including improving the legal framework, strengthening child protection mechanisms, increasing awareness and education on safe internet use, and empowering children and their families to report incidents of online sexual abuse. Anonymous reporting system needs to be developed and strict legal measures must be enforced.Conclusion: Protecting children from online sexual abuse requires a sustained multi-stakeholder approach that involves the government, civil society organizations, parents, educators, and children themselves.Bangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 111-117
背景:网络性虐待在孟加拉国越来越令人担忧,尤其是随着儿童越来越多地使用互联网和社交媒体。本文研究了孟加拉国网络性虐待对儿童的普遍性和影响,并提出了保护儿童免受此类虐待的政策建议。方法:本政策简介是在回顾了有关网络儿童性虐待的研究成果后编写的。结果:孟加拉国约86%的女性和91%的男性儿童使用互联网。在互联网用户中,大约每两个孩子中就有一个受到性虐待。除2013年《儿童法》外,孟加拉国政府还颁布了2006年《信息和通信技术法》和2018年《数字安全法》,以应对网络犯罪。然而,这些法案并没有具体解决网络儿童性虐待问题。此外,法律规定缺乏严格执行,媒体有时披露儿童受害者的身份,包括图像。政策建议:政府、民间社会组织和其他利益攸关方需要采取全面的方法来保护儿童免受网络性虐待,包括改进法律框架、加强儿童保护机制、提高对安全使用互联网的认识和教育,以及赋予儿童及其家人报告网络性虐待事件的权力。需要建立匿名举报制度,并必须执行严格的法律措施。结论:保护儿童免受网络性虐待需要一种持续的多方利益相关者方法,包括政府、民间社会组织、家长、教育工作者和儿童本身。Bangabandhu Sheikh Mujib医科大学学报2023;16(2):111-117
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引用次数: 0
Association of imbalanced diet with dental caries: A casecontrol study 不平衡饮食与龋齿的关系:一项病例对照研究
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67240
Md Ali Asgor Moral, R. Akter
Abstract not availableBangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 126-127
摘要不可用Bangabandhu Sheikh Mujib医科大学学报2023;16(2):126-127
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引用次数: 0
Health-seeking behaviour of stroke patients in a rural area of Bangladesh 孟加拉国农村地区中风患者的求医行为
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67202
Md Badrul Alam, U. K. Saha, S. Mashreky, A. Hussain, Md Atiqul Haque, A. Rahman, K. Dalal, Q. Mohammad
Background: Improper health-seeking behaviours (HSB) have been correlated with detrimental health outcomes, elevated rates of illness and mortality. The study aimed to investigate how stroke patients in a rural community of Bangladesh seek health care.Methods: A cross-sectional survey was conducted in the Raiganj sub-district of Sirajganj district from January to June 2016, using a validated screening tool to identify stroke patients at the household level. Neurologists confirmed the diagnosis after examining all suspected cases. Out of the 419 suspected cases identified during the screening process, 186 cases were officially reported after undergoing a confirmed diagnosis. Information on health-seeking behaviour was collected through face-to-face interviews with patients or their attendants.Results: After experiencing a stroke, approximately 35% of patients received treatment from unregistered care providers and over 40% received treatment outside of a hospital setting. Males were significantly more likely than females to receive treatment from registered physicians or hospitals (P<.05 and P<.01). A significantly higher proportion of educated individuals sought healthcare from registered physicians or hospitals (P<.05). Although better health-seeking behaviour was observed among higher-income groups, the findings were not statistically significant. Around 67% of patients were found to be hypertensive, with about one-third of them not taking any medication for their elevated blood pressure. Approximately 37% of patients had elevated blood glucose levels but only 22% were taking medication.Conclusion: A notable proportion of stroke patients in rural Bangladesh sought treatment from unqualified service providers. Health-seeking behaviour was associated with factors such as gender, education, and economic condition.Bangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 75-80
背景:不恰当的求医行为(HSB)与有害的健康结果、发病率和死亡率升高相关。该研究旨在调查孟加拉国农村社区的中风患者如何寻求医疗保健。方法:2016年1 - 6月在Sirajganj区Raiganj街道进行横断面调查,采用经验证的筛查工具在家庭层面识别脑卒中患者。神经科医生在检查了所有疑似病例后确认了这一诊断。在筛查过程中发现的419例疑似病例中,经确诊后正式报告了186例。通过与患者或其护理人员面对面访谈收集了有关求医行为的信息。结果:在经历中风后,大约35%的患者接受了未经注册的护理提供者的治疗,超过40%的患者接受了医院外的治疗。男性接受注册医生或医院治疗的可能性明显高于女性(P< 0.05)。0.05和P< 0.01)。受过良好教育的人从注册医生或医院寻求医疗保健的比例明显更高(P< 0.05)。虽然在高收入群体中观察到更好的求医行为,但这一发现在统计上并不显著。约67%的患者被发现患有高血压,其中约三分之一的患者没有服用任何治疗高血压的药物。大约37%的患者血糖水平升高,但只有22%的患者服用了药物。结论:孟加拉国农村卒中患者向不合格服务提供者寻求治疗的比例显著。求医行为与性别、教育和经济状况等因素有关。Bangabandhu Sheikh Mujib医科大学学报;2023;16(2):75-80
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引用次数: 0
Artificial intelligence and healthcare: An ethical dilemma 人工智能与医疗保健:伦理困境
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67237
Z. A. Ratan, Md Atiqul Haque
Abstract not availableBangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 73-74
摘要不可用Bangabandhu Sheikh Mujib医科大学学报2023;16(2):73-74
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引用次数: 0
Artificial intelligence for prediction of International Classification of Disease codes 用于预测国际疾病分类代码的人工智能
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67235
Kaitlyn Wallace, Jakir Hossain Bhuiyan Masud
Background: The automatic coding of electronic medical records with ICD (International Classification of Diseases) codes is an area of interest due to its potential in improving efficiency and streamlining processes such as billing and outcome tracking. artificial intelligence (AI), and particularly convolutional neural networks (CNN), have been suggested as a possible mechanism for automatic coding. To this end, a rapid review has been undertaken in order to assess the current use of CNN in predicting ICD codes from electronic medical records.Methods: After screening PubMed, IEEE Xplore, Scopus, and Google Scholar, 11 studies were analyzed for the use of CNN in predicting ICD codes. We used artificial intelligence and ICD prediction as keywords in the search strategy.Results: The analysis yielded a recommendation to further explore and research CNN frameworks as a promising lead to automatic ICD coding when paired with word embedding and/or neural transfer learning, while keeping research open to a wide variety of AI techniques.Conclusion: CNN frameworks are promising for the prediction of ICD codes from clinical notes.Bangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 118-123
背景:使用ICD(国际疾病分类)代码对电子医疗记录进行自动编码是一个令人感兴趣的领域,因为它有可能提高效率并简化计费和结果跟踪等流程。人工智能(AI),特别是卷积神经网络(CNN),已经被认为是自动编码的可能机制。为此,我们进行了一项快速审查,以评估CNN在从电子医疗记录中预测ICD代码方面的当前使用情况。方法:在筛选PubMed、IEEE Xplore、Scopus和Google Scholar后,分析了11项关于CNN在预测ICD代码中的应用的研究。我们在搜索策略中使用了人工智能和ICD预测作为关键词。结果:该分析建议进一步探索和研究CNN框架,将其与单词嵌入和/或神经迁移学习相结合,作为自动ICD编码的一个有前途的方向,同时保持对各种人工智能技术的研究开放。结论:CNN框架有望从临床笔记中预测ICD编码。Bangabandhu Sheikh Mujib医科大学学报2023;16(2):118-123
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引用次数: 0
Prolidase activity in adult bipolar disorder patient: a case - control study 成人双相情感障碍患者的增殖酶活性:一项病例对照研究
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67185
Joysree Das Joya, D. Paul, M. Ahsan, M. A. Bhuiyan, Rifat Mahbuba Rob, Sheuly Ferdousi, Md. Saiful Islam, Shaila Yesmin
Background: Bipolar disorder is one of the major neuropsychiatric illnesses. It is responsible for 6.8% of disability-adjusted life years among all mental disorders. Few studies have evaluated the biochemical basis of bipolar disorder. Prolidase is an enzyme that degrade extracellular matrix into proline. In stress condition, prolidase by releasing proline maintain ATP generation, redox state, apoptosis and cell proliferation. The relationship between serum prolidase with bipolar disorder was investigated in this study.Method: A case - control study was conducted at the Department of Laboratory Medicine in collaboration with the Department of Psychiatry of Bangabandhu Sheikh Mujib Medical University, Dhaka from March 2021 to February 2022. Thirty-five patients with bipolar disorder type I consisting of 15 euthymic and 20 manic patients were enrolled in the study according to the availability of patients as cases. Thirty-five age - and sex-matched healthy individuals were recruited from the Department of Laboratory Medicine as controls. Serum prolidase level was measured in cases and controls using venous blood.Result: Serum prolidase level was significantly higher in cases than controls (P=0.021). There was no significant differences between euthymic and manic patients (P=0.629). Significant positive correlation was found between Young Mania Rating Scale severity score and serum prolidase level (P=0.001).Conclusion: Serum prolidase activity may be associated with bipolar disorder. This needs further corroboration because our sample size was small.Bangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 96-100 
背景:双相情感障碍是一种主要的神经精神疾病。在所有精神障碍中,它占残疾调整寿命的6.8%。很少有研究评估双相情感障碍的生化基础。脯氨酸酶是一种将细胞外基质降解为脯氨酸的酶。在应激条件下,脯氨酸酶通过释放脯氨酸维持ATP的产生、氧化还原状态、细胞凋亡和细胞增殖。本研究探讨血清脯氨酸酶与双相情感障碍的关系。方法:2021年3月至2022年2月,在达卡Bangabandhu Sheikh Mujib医科大学检验医学系与精神病学系合作进行了一项病例对照研究。35名I型双相情感障碍患者,包括15名处女膜正常患者和20名躁狂患者,根据患者的可用性纳入研究。从实验医学部招募了35名年龄和性别匹配的健康人作为对照。使用静脉血测量病例和对照组的血清脯氨酸酶水平。结果:患者血清脯氨酸水平明显高于对照组(P=0.021),正常和躁狂患者之间无显著性差异(P=0.629),Young Mania评定量表严重程度评分与血清脯氨酸水平呈正相关(P=0.001)。这需要进一步证实,因为我们的样本量很小。Bangabandhu Sheikh Mujib医科大学学报2023;16(2):96-100
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引用次数: 0
Persistence of anti-HBs and immunologic memory in children immunized with hepatitis B vaccine 乙型肝炎疫苗免疫儿童抗乙型肝炎病毒的持久性和免疫记忆
Pub Date : 2023-06-25 DOI: 10.3329/bsmmuj.v16i2.67207
S. Rahman, M. Rukunuzzaman, R. Alam, K. Nahid
Background:  We aimed to examine the persistence of anti-HBs in Bangladeshi children aged 5 and 10 years after primary vaccination, and this response to a booster dose.Methods: A total of 100 children were enrolled who were divided into two groups (A and B). Group A comprised of 50 children vaccinated 5 years ago, and group B had 50 children vaccinated 10 years ago. Hepatitis B surface antibody titer was measured, and a booster dose of the vaccine was administered to those who had anti-HBs less than 10 mlU/ml. Seventeen such children from group A and 27 from group B were vaccinated with a booster dose. After one month, 12 children from group A and 18 children from group B were retested for hepatitis B surface antibody levels.Results: After 5 and 10 years of primary vaccination, 66.0% and 46.0% children had protective antibody levels. After one month of booster dose, 91.6% children responded to the increased level of anti-HBs in group A. Among them, 66.6% showed an adequate response. In group B, 88.8% had an increased level of anti-HBs antibody where 83.3% had an adequate response. Geometric mean titre of anti-HBs antibody boosted by 35 and 75 times from pre-booster time to post-booster vaccination in group A and B, respectively.Conclusion: Children had protective levels of anti-HBs antibodies at 5 and 10 years after completion of the primary vaccinations. Anamnestic response to booster vaccination confirmed the persistence of an effective immunological memory in vaccines.Bangabandhu Sheikh Mujib Medical University Journal 2023;16(2): 101-105
背景:我们的目的是研究孟加拉国5岁和10岁儿童在初次接种后抗hbs的持久性,以及这种对加强剂量的反应。方法:将100例儿童分为A、B两组,A组50例为5年前接种疫苗的儿童,B组50例为10年前接种疫苗的儿童。测定乙型肝炎表面抗体滴度,并对抗乙型肝炎抗体低于10 mlU/ml的患者接种加强剂量的疫苗。来自A组的17名儿童和来自B组的27名儿童接种了加强剂量疫苗。1个月后,A组12名儿童和B组18名儿童重新检测乙型肝炎表面抗体水平。结果:经过5年和10年的初次接种,66.0%和46.0%的儿童具有保护性抗体水平。经1个月的加强剂量后,a组91.6%的儿童对抗- hbs水平升高有反应,其中66.6%的儿童表现为充分反应。在B组中,88.8%的人抗hbs抗体水平升高,83.3%的人有充分的反应。A组和B组抗hbs抗体几何平均滴度较接种前和接种后分别提高了35倍和75倍。结论:儿童在完成初次接种后5年和10年的抗hbs抗体具有保护水平。对加强疫苗接种的遗忘反应证实了疫苗中有效免疫记忆的持久性。Bangabandhu Sheikh Mujib医科大学学报,2023;16(2):101-105
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Bangabandhu Sheikh Mujib Medical University Journal
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