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The assessment of post-covid-19 Manifestations in recovered patients and The factors associated with high symptom burden 康复患者新冠肺炎后表现及高症状负担相关因素评估
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.68431
Khadija Begum, A. H. M. K. Imam Suman, K. Rahman, Mahjabeen Aftab Solaiman, S. Khan, F. T. Johora, Morshad Alam
Background: Persistent COVID-19 symptoms and post-COVID chronic diseases have received more attention rather than the infection itself. This study’s goal was to evaluate the health status of recovered COVID-19 patients and analyze the factors associated with a high burden of symptoms.Methods: This was acohort study among hospital-released and recovered COVID-19 patients after three to six months of infection. Data was collected through a structured interview and analyzed by IBM SPSS (version25).Results: Fatigue (74.2%) followed by anxiety (38.9%) and joints paint (34.7%) were the most common symptoms of post-COVID period. Among participants, 21.34% had low dietary adherence and 17.2% had high adherence. A statistically significant correlation of high symptoms burden with dietary adherence and age was observed. People with low dietary adherence are at risk of high symptom burden and chronic diseases (AOR: 3.56, 95%CI:1.46-8.69). Habit of smoking, Asthma, Hypothyroidism, Ischemic heart disease are significant predictor (P<0.05). Patients those did not required ICU also had a lower risk of burden.Conclusion: Effective control of post- COVID symptoms is important to confirm a healthy life. Therefore, it is important to maintain good dietary practice, avoid bad habits and control of chronic diseases for a good quality of life.Bangladesh J Medicine 2023; 34(3): 214-222
背景:COVID-19持续症状和COVID-19后慢性疾病比感染本身更受关注。本研究的目的是评估康复的COVID-19患者的健康状况,并分析与高症状负担相关的因素。方法:对感染3 ~ 6个月后出院和康复的COVID-19患者进行队列研究。通过结构化访谈收集数据,并使用IBM SPSS (version25)进行分析。结果:冠状病毒感染后最常见的症状为疲劳(74.2%)、焦虑(38.9%)和关节油漆(34.7%)。在参与者中,21.34%的人饮食依从性低,17.2%的人饮食依从性高。观察到高症状负担与饮食依从性和年龄有统计学意义的相关性。饮食依从性低的人有高症状负担和慢性疾病的风险(AOR: 3.56, 95%CI:1.46-8.69)。吸烟习惯、哮喘、甲状腺功能减退、缺血性心脏病是显著预测因子(P<0.05)。不需要ICU的患者也有较低的负担风险。结论:有效控制新冠肺炎后症状对确保健康生活至关重要。因此,保持良好的饮食习惯,避免不良习惯和控制慢性疾病对于良好的生活质量非常重要。孟加拉国J医学2023;34 (3): 214 - 222
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引用次数: 0
Renal Disease in Bangladesh Perspective 孟加拉国肾脏疾病透视
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.68418
M. Mostafi, M. Jabin
Bangladesh is one of the most densely populated areas in the world. Renal diseases are increasingly recognized and encompasses a large share of the health sector. About 20 million people are suffering from chronic kidney disease, and of them, approximately 35,000–40,000 develop endstage renal disease each year. Chronic glomerulonephritis, diabetes mellitus and hypertension are the principal causes of chronic kidney disease. Hypovolemia, sepsis, obstetric complications and drugs (including herbal and homeopathic remedies) are common causes of acute kidney injury. All three renal replacement therapy modalities (hemodialysis, peritoneal dialysis and renal transplantation) are performed in Bangladesh, yet only 25% of end-stage renal disease patients have access to treatment due to inadequate facilities and high healthcare costs. Nephrology as a specialty started its journey in 1973 in Bangladesh and now about 300 Nephrologists are managing the subject. Still there is huge need for more Nephrologists, as only one nephrologist is available for about every 0.8 million people. The country has improved financially from low- to low-middleincome country. Health sector is also more improving gradually. The government is now setting up renal care at rural level, introducing screening programs for early detection and prevention of kidney and other noncommunicable diseases. At the same time steps are under way to improve the advanced renal services at secondary and tertiary health institutes. Kidney transplantation started in 1982 and only live related transplantation are being done in several government and private organization. ABO-incompatible kidney transplantation has already been performed. Recently decease renal transplantation has also been performed. Research and training opportunities are expanding in collaboration with international organizations. Renal services appears up to date in this country but needs more and more enhancement to cope up the ever increasing burden. Bangladesh J Medicine 2023; 34(3): 180-185
孟加拉国是世界上人口最稠密的地区之一。肾脏疾病日益得到承认,并在卫生部门占有很大份额。约有2000万人患有慢性肾病,其中每年约有3.5万至4万人发展为终末期肾病。慢性肾小球肾炎、糖尿病和高血压是慢性肾病的主要病因。低血容量、败血症、产科并发症和药物(包括草药和顺势疗法)是急性肾损伤的常见原因。孟加拉国实施了所有三种肾脏替代治疗方式(血液透析、腹膜透析和肾移植),但由于设施不足和医疗费用高昂,只有25%的终末期肾病患者能够获得治疗。肾脏病学作为一门专业于1973年在孟加拉国开始了它的旅程,现在大约有300名肾脏病专家在管理这门学科。尽管如此,仍然需要更多的肾病专家,因为大约每80万人中只有一名肾病专家。该国在财政上已从低收入国家改善为中低收入国家。卫生部门也在逐步改善。政府目前正在农村建立肾脏保健,引入早期发现和预防肾脏和其他非传染性疾病的筛查项目。与此同时,正在采取措施改善二级和三级保健机构的高级肾脏服务。肾脏移植始于1982年,目前只有政府和民间机构进行活体相关移植。abo血型不相容的肾移植已经进行过。最近也进行了死亡肾移植。与国际组织合作,正在扩大研究和培训机会。肾脏服务在这个国家似乎是最新的,但需要越来越多的加强,以应付日益增加的负担。孟加拉国J医学2023;34 (3): 180 - 185
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引用次数: 1
Medical Quiz-1 Vol. 34(3) 2023 医学测验-1卷34(3)2023
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.68444
Aminur Rahman
Abstract not available Bangladesh J Medicine 2023; 34(3): 260
[摘要]孟加拉J医学2023;34 (3): 260
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引用次数: 0
Clinical relevance, etiology and imaging Characteristics of cerebral venous sinus Thrombosis at a tertiary care hospital in Bangladesh 孟加拉国三级医院脑静脉窦血栓形成的临床相关性、病因学和影像学特征
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.68419
Md Rashedul Islam, Aminur Rahman, Tanbin Rahman, Mohammad Sakhawat Hossen Khan, Dilruba Alam, R. Habib
Background: Cerebral sinus thrombus (CVST) is a rare form of stroke often affects young people with diverse clinical, etiological and radiological presentation. The aim of the study was to evaluate clinical relevance, etiologies, and imaging characteristics of CVST in Bangladesh. Methods: A prospective, observational study was done at a tertiary care hospital with patients recruited in the period of January 2021 to January 2023. 38 patients with clinical and radiological features suggestive of cerebral venous sinus thrombosis (CVST) were studied with thorough clinical evaluation and comprehensive work up. Results: The mean age of presentation was 28.42 years with female predominance (n = 24). Headache was the most common presenting symptoms (92%, n = 35) followed by vomiting (52%, n = 20). Hemi paresis (38%; n = 14) was the most common clinical sign followed by cranial nerve palsy (26%, n = 10). 31% of the patients (n=12) had provoked CVST among those the most common cause was found to be pregnancy/puerperium in 58% (n = 7 patients) followed by OCP which were 25% (n = 3). 69 % of the patients (n=26) had unprovoked CVST among those the most common cause was found to be prothrombotic conditions in 85% (n = 22 patients) followed by idiopathic which were 15% (n = 4). In magnetic resonance imaging venography (MRV), 74% of patients (n = 28) had thrombosis of transverse sinus, 53% of patients (n = 20) had thrombosis of the sigmoid sinus and 42% patients (n = 16) of patients had saggital sinus thrombosis. Conclusion: Clinical presentation is variable, etiology must be determined, and diagnostic method of choice is MRV. Headache was most the common clinical presentation and the most common etiological factor is puerperium. Provoked CVST is more common than unprovoked CVST and transverse sinus thrombosis frequently involved. Bangladesh J Medicine 2023; 34(3): 186-191
背景:脑窦血栓(CVST)是一种罕见的中风形式,常发生在年轻人中,临床、病因和影像学表现多种多样。该研究的目的是评估孟加拉国CVST的临床相关性、病因和影像学特征。方法:在一家三级保健医院进行了一项前瞻性观察性研究,患者于2021年1月至2023年1月期间招募。本文对38例具有脑静脉窦血栓形成(CVST)临床及影像学表现的患者进行了详细的临床评估和综合治疗。结果:平均发病年龄28.42岁,以女性为主(n = 24)。头痛是最常见的症状(92%,n = 35),其次是呕吐(52%,n = 20)。半脑轻瘫(38%;N = 14)是最常见的临床症状,其次是脑神经麻痹(26%,N = 10)。31%的病人(n = 12)激怒了CVST其中最常见原因被发现怀孕/产褥期58% (n = 7例)紧随其后(OCP 25% (n = 3)。69%的病人(n = 26)有无缘无故的CVST其中最常见原因被发现凝血状况85% (n = 22名患者),其次是特发性的15% (n = 4)。在磁共振成像造影术(MRV), 74%的患者(n = 28)横窦血栓形成,乙状窦血栓形成占53% (n = 20),矢状窦血栓形成占42% (n = 16)。结论:临床表现多变,必须明确病因,诊断方法应选择MRV。头痛是最常见的临床表现,最常见的病因是产褥期。诱发性CVST比非诱发性CVST更常见,常伴有横窦血栓形成。孟加拉国J医学2023;34 (3): 186 - 191
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引用次数: 1
Effectiveness of Tizanidine and intensive rehabilitation in Spastic Cerebral Palsy 替扎尼定与强化康复治疗痉挛性脑瘫的疗效
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.68430
Md Ruhul Amin, Amitav Banik, Anisur Rahman, Harun or Rashid
Background: The treatment of cerebral palsy is multifactorial. The aim of the study is to find out the efficacy of tizanidine and intensive rehabilitation in the treatment of spastic cerebral palsy.Methods: This observational study was conducted over 35 patients in Sir Salimullah Medical Mitford Hospital from January 2022 to December 2022.The patients satisfying the inclusion and exclusion criteria were enrolled: total 35 patients received tizanidine (2mg) orally at a dose of 1 mg given at bed time under 10 years and 2 mg given at bed time more than 10 years of age, then after 1 week maintenance dose was given at 0.3 mg/kg/day, three times daily in combination with intensive rehabilitation 1 hour daily five times a week. Total 24 weeks of intensive rehabilitation was given. All patients were followed up at 4 weeks interval and were evaluated for a total of 24 weeks.Results: The study shows high efficacy in reducing tone in spastic cerebral palsy measured by using Modified Ashworth scale (p<0.001).Also there is improvement in physician rating scale crouch (p<0.0001) and foot contact, (p<0.0001) and also improvement in gross motor function (p<0.01).Conclusion: Combination of tizanidine and intensive rehabilitation is effective for reduction of generalized spasticity regarding muscle tone, range of motion of the joint and improvement of gait in cerebral palsy patients.Bangladesh J Medicine 2023; 34(3): 223-228
背景:脑瘫的治疗是多因素的。目的探讨替扎尼定联合强化康复治疗痉挛性脑瘫的疗效。方法:本观察性研究于2022年1月至2022年12月在Sir Salimullah Medical Mitford医院对35名患者进行了研究。纳入符合纳入和排除标准的患者:共35例患者口服替扎尼定(2mg), 10岁以下患者1 mg, 10岁以上患者2mg, 1周后维持剂量0.3 mg/kg/天,每日3次,结合强化康复治疗,每日1小时,每周5次。患者接受24周的强化康复治疗。所有患者每隔4周随访一次,共评估24周。结果:改良Ashworth量表对痉挛型脑瘫患者的张力降低效果显著(p<0.001)。在蹲伏评分(p<0.0001)和足部接触(p<0.0001)和大运动功能(p<0.01)方面也有改善。结论:替扎尼定联合强化康复治疗可有效减轻脑瘫患者肌肉张力、关节活动度及步态的全身性痉挛。孟加拉国J医学2023;34 (3): 223 - 228
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引用次数: 0
Answer to Medical Quiz - 2 Vol. 34(3) 2023 医学测验- 2卷34(3)2023的答案
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.68447
Muhammad Abdur Rahim
Abstract not available Bangladesh J Medicine 2023; 34(3): 263
[摘要]孟加拉J医学2023;34 (3): 263
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引用次数: 0
Serum adiponectin in women with polycystic ovary syndrome 多囊卵巢综合征妇女血清脂联素的变化
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.67393
Iffat Ara Jahan, Md Shahed Morshed, Hurjahan Banu, Emran-Ur-Rashid Chowdhury, M. Hasanat
Background: An imbalance of different adipocytokines may play a role in the pathogenesis of PCOS. This study aimed to observe the association and diagnostic utility of adiponectinin PCOS and its manifestations.Methods: This cross-sectional study included 40 newly diagnosed females of reproductive age (18-40 years) with PCOS on the basis of international evidence-based guidelines and an equal number of matched healthy control. Along with clinical information, blood was drawn for biochemical and hormonal analysis. Glucose was measured by glucose oxidase, lipid by glycerol phosphate dehydrogenase peroxidase, all hormones by CMIA, and adiponectin by ELISA method. Insulin resistance was measured by homeostasis model assessment (HOMA-IR) and defined with a cut-off of 2.6.Results:Patients with PCOS had lower serum adiponectin than controls without significant differences even irrespective of body mass index status(ns for all). Adiponectin levels had no significant associations or correlations with any manifestations among patients with PCOS (ns for all). ROC curve analysis showed that serum adiponectin could not be used as a marker of PCOS. It was a poor marker of both metabolic syndrome [AUC (95% CI): 0.64 (0.46-0.81] and insulin resistance [AUC (95% CI): 0.61 (0.44-0.79)] in patients with PCOS.Conclusion: Our study failed to find any significant association between adiponectin and PCOS and its characteristics. Serum adiponectin could not be used as a marker of PCOS. It was a poor marker of insulin resistance and metabolic syndrome among patients with PCOS.Bangladesh J Medicine 2023; 34(3): 206-213
背景:不同脂肪细胞因子的失衡可能在多囊卵巢综合征的发病机制中起作用。本研究旨在观察脂联素与PCOS及其表现的相关性和诊断价值。方法:本横断面研究纳入40例根据国际循证指南新诊断的育龄(18-40岁)PCOS女性和等量匹配的健康对照。结合临床资料,抽血进行生化和激素分析。葡萄糖氧化酶法测定葡萄糖,甘油磷酸脱氢酶过氧化物酶法测定脂质,CMIA法测定激素,ELISA法测定脂联素。胰岛素抵抗通过稳态模型评估(HOMA-IR)测量,并以2.6的临界值定义。结果:多囊卵巢综合征患者血清脂联素低于对照组,且无显著差异,即使与体重指数状态无关(所有人的ns)。脂联素水平与PCOS患者的任何表现均无显著关联或相关性(ns for all)。ROC曲线分析显示血清脂联素不能作为PCOS的标志物。它是PCOS患者代谢综合征[AUC (95% CI): 0.64(0.46-0.81)]和胰岛素抵抗[AUC (95% CI): 0.61(0.44-0.79)]的不良标志物。结论:本研究未发现脂联素与PCOS及其特征有显著相关性。血清脂联素不能作为PCOS的标志物。它是多囊卵巢综合征患者胰岛素抵抗和代谢综合征的不良标志。孟加拉国J医学2023;34 (3): 206 - 213
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引用次数: 0
Plastic and Health Issues in Bangladesh: Current Scenario 孟加拉国的塑料和健康问题:目前情况
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.66798
Goutam Saha
Abstract not availableBangladesh J Medicine 2023; 34: 255-256
孟加拉J Medicine; 2023;34: 255 - 256
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引用次数: 0
Recent Trend in Dengue in Bangladesh 孟加拉国登革热的最新趋势
Pub Date : 2023-09-03 DOI: 10.3329/bjm.v34i3.68417
Md Robed Amin
Abstract not available Bangladesh J Medicine 2023; 34(3): 176-178
[摘要]孟加拉J医学2023;34 (3): 176 - 178
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引用次数: 0
Morphometric analysis of adult Hippopotamus forelimb bones 成年河马前肢骨形态计量学分析
Pub Date : 2023-08-25 DOI: 10.33109/bjvmjj2023zm1
M. H. Shuvo, R. I. Shuvo, A. Emran, M. T. Rahman, I. H. Robin, Md. Mehedi Hasan, M. Jahid, M. Hussain, M. S. Rahman
Background: Understanding the adaptative changes in bone shapes among animals involves studying bone morphology. We examined adult hippopotamus (Hippopotamus amphibius)forelimb bones at the anatomy laboratory of Patuakhali Science and Technology University, Bangladesh. Samples were collected from Rangpur Recreation Park and Zoo between September 2021 and July 2022. Methods: Bones were processed by removing mud and boiled with water. Subsequently, hydrogen peroxide was used for one and a half hours to remove any remaining muscular tissues from the bones. Following this, the bones were air-dried under sunlight for a month. Measurements of key parameters including length, height, width, circumference, and weight were obtained using calibrated instruments, thereby ensuring precision.Results:The scapula displayed a pronounced and elongated spine – the spina scapulae – that demarcated the lateral surface into two distinct fossae: the supraspinous fossa and the infraspinous fossa. The distal expansion of the spine, known as the acromion process, consisted of the fused hamate process and suprahamate process. The head of humerus was round and featured two undivided tubercles: the greater or major and the lesser tubercle. On the medial surface, a small and shallow radial fossa was observed, while on the opposite side, a large and deep olecranon fossa was present. The proximal surface of the radius head exhibited concave fovea capitis radii, which articulated with the lateral condyle of the humerus. The shaft of the radius was slightly expanded in the cranio-caudal direction. Similarly, the shaft of the ulnahad a somewhat triangular shape, resembling the shape of the radius shaft. Medially, it had a convex facet that articulated with the radius, and cranially, the interosseous space between the radius and ulna was longer than the caudal view. Conclusions: The unique anatomical features and morphometric measurements of the forelimb bones in hippos can be beneficial for identification, radiographic interpretation, and forensic investigation. Furthermore, this study provides essential guidelines and insights for understanding appropriate anatomical parameters.
背景:了解动物骨形态的适应性变化涉及到对骨形态学的研究。我们在孟加拉国帕图阿卡利科技大学解剖实验室对成年河马(两栖河马)前肢骨骼进行了检查。样本于2021年9月至2022年7月期间从Rangpur娱乐公园和动物园收集。方法:用去泥、水煮的方法处理骨。随后,用过氧化氢一个半小时去除骨头上残留的肌肉组织。之后,这些骨头在阳光下风干一个月。测量的关键参数包括长、高、宽、周长和重量使用校准的仪器,从而确保精度。结果:肩胛骨显示一个明显的和细长的脊柱-脊柱肩胛骨-将外侧表面划分为两个不同的窝:冈上窝和冈下窝。脊柱的远端扩张,称为肩峰突,由融合的钩骨突和钩骨上突组成。肱骨头呈圆形,有两个未分开的结节:大结节或大结节和小结节。内侧可见小而浅的桡骨窝,另一侧可见大而深的鹰嘴窝。桡骨头近表面呈凹形的头中央窝,与肱骨外侧髁相连。桡骨轴在颅尾方向稍有扩张。同样,尺骨的轴有一个有点三角形的形状,类似于桡骨轴的形状。在内侧,它有一个与桡骨关节相连的凸面,在颅骨上,桡骨与尺骨之间的骨间间隙比尾骨视图长。结论:河马前肢骨骼独特的解剖特征和形态测量有助于鉴定、影像学解释和法医调查。此外,本研究为理解适当的解剖参数提供了重要的指导和见解。
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引用次数: 0
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Bangladesh Journal of Veterinary Medicine
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