N. U. Ahmed, K. Talha, M. Y. Ibrahim, F. Selina, T. Myint
Dengue is one of the commonest viral diseases of Africa and tropical Asia. This disease is characterized by headache, fever, generalized body pain, severe malaise and back pain. The uncomplicated Dengue which is also named the classical dengue fever usually begins 3-8 days after biting of an infected mosquito. This is a cross sectional study on clinical presentation of Dengue in a general hospital in Bangladesh. The total number of patients was 198. The study period was 6 months (July 2004 to December 2004). All the patients who were admitted in the ‘Dengue ward’ and diagnosed as Dengue by serological test were included in this study. The aim of this study was to evaluate the common clinical presentations of Dengue in a General hospital in Bangladesh. The aim and objective was to compare the clinical presentations of Dengue in Bangladesh patients with those of other international studies. Most of the patients were male (3.7 :1) in sex and young adult(s) in age (80.3%). Fever and severe backache were the commonest clinical features. Nearly two-third (74%) patients presented with hemorrhagic features. Gum bleeding (20.2%) was the commonest bleeding feature. The result of this study showed a similarity with that of other international studies.
{"title":"Clinical presentation of Dengue in a general hospital in Bangladesh","authors":"N. U. Ahmed, K. Talha, M. Y. Ibrahim, F. Selina, T. Myint","doi":"10.51200/bjms.v10i2.630","DOIUrl":"https://doi.org/10.51200/bjms.v10i2.630","url":null,"abstract":"Dengue is one of the commonest viral diseases of Africa and tropical Asia. This disease is characterized by headache, fever, generalized body pain, severe malaise and back pain. The uncomplicated Dengue which is also named the classical dengue fever usually begins 3-8 days after biting of an infected mosquito. This is a cross sectional study on clinical presentation of Dengue in a general hospital in Bangladesh. The total number of patients was 198. The study period was 6 months (July 2004 to December 2004). All the patients who were admitted in the ‘Dengue ward’ and diagnosed as Dengue by serological test were included in this study. The aim of this study was to evaluate the common clinical presentations of Dengue in a General hospital in Bangladesh. The aim and objective was to compare the clinical presentations of Dengue in Bangladesh patients with those of other international studies. Most of the patients were male (3.7 :1) in sex and young adult(s) in age (80.3%). Fever and severe backache were the commonest clinical features. Nearly two-third (74%) patients presented with hemorrhagic features. Gum bleeding (20.2%) was the commonest bleeding feature. The result of this study showed a similarity with that of other international studies.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78410128","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}
Globally every year cigarette smoking is known as universal and preventable cause of mortalities and morbidities among young people and students. In developing countries like Bangladesh the use of cigarette is increasing day by day. As students are very important segment of the society they should be educated with the consequences of smoking cigarette. A descriptive cross-sectional survey on 280 medical students of a selected medical college was carried out to determine their smoking patterns, stances and awareness regarding anti-smoking legislation in Dhaka city. The study was commenced from July to December, 2014. The frequency of smoking in the study was 63.2% and it was highest among final year students. More than fifty percent students smoked 1 to 5 sticks per day. Comprehensive plan with proper instructions and measures should be developed to educate healthcare providers regarding smoking hazards and provide counseling to large number of general public. Specific training and counseling should be a part of the required curriculum at medical schools to address these issues.
{"title":"Smoking patterns, stances and awareness regarding anti-smoking legislation of medical students in Dhaka city, Bangladesh","authors":"S. Farah, M. Karim","doi":"10.51200/bjms.v10i2.628","DOIUrl":"https://doi.org/10.51200/bjms.v10i2.628","url":null,"abstract":"Globally every year cigarette smoking is known as universal and preventable cause of mortalities and morbidities among young people and students. In developing countries like Bangladesh the use of cigarette is increasing day by day. As students are very important segment of the society they should be educated with the consequences of smoking cigarette. A descriptive cross-sectional survey on 280 medical students of a selected medical college was carried out to determine their smoking patterns, stances and awareness regarding anti-smoking legislation in Dhaka city. The study was commenced from July to December, 2014. The frequency of smoking in the study was 63.2% and it was highest among final year students. More than fifty percent students smoked 1 to 5 sticks per day. Comprehensive plan with proper instructions and measures should be developed to educate healthcare providers regarding smoking hazards and provide counseling to large number of general public. Specific training and counseling should be a part of the required curriculum at medical schools to address these issues.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74950044","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}
T. Aye, Datuk Muhammad Yusolf Ibrahim, D. Naing, T. Myint, Muhammad Hj Jical
Antenatal (AN) care is vital for all pregnant women and for reduction of maternal mortality and morbidity. AN care knowledge and specific AN care practices are some of the crucial components of what determines effective AN care. In developing nations, the health of pregnant women can be even more sensitive to these factors. Objectives of this study was to assess the antenatal ( AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience, residing in kampongs of Sikuati area, Kudat between March to December 2015. Cross–sectional descriptive study, non-probability convenient sampling method was used and 150 eligible participants were interviewed through face to face by trained interviewers using a semi- structured questionnaire and their knowledge of AN care, their AN care practices and outcomes and complications of their pregnancies were recorded. 99% of all the women received AN care, and 64% of the women received essential AN care practice (AN visit of minimum 4 times). The study revealed that overall knowledge amongst the women with good knowledge was 48% and low knowledge was 52%. Despite this, it was found that low knowledge of AN care was associated with essential AN care practice. Additionally, AN care practices, assessed through timing of first AN care visit and frequency of visits, was not significantly associated with pregnancy complications. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current programs in place promoting importance of AN care and delivery practices. Maintenance of current programs with targeted interventions to address low knowledge level and the low level of compliance with essential AN care completed are recommended.
{"title":"Antenatal Care Practice and Pregnancy Outcome at Sikuati Area , Kudat, Sabah�.!","authors":"T. Aye, Datuk Muhammad Yusolf Ibrahim, D. Naing, T. Myint, Muhammad Hj Jical","doi":"10.51200/bjms.v10i2.627","DOIUrl":"https://doi.org/10.51200/bjms.v10i2.627","url":null,"abstract":"Antenatal (AN) care is vital for all pregnant women and for reduction of maternal mortality and morbidity. AN care knowledge and specific AN care practices are some of the crucial components of what determines effective AN care. In developing nations, the health of pregnant women can be even more sensitive to these factors. Objectives of this study was to assess the antenatal ( AN) care practice and pregnancy outcome of ever-married women aged 18 to 49 years old having at least one pregnancy experience, residing in kampongs of Sikuati area, Kudat between March to December 2015. Cross–sectional descriptive study, non-probability convenient sampling method was used and 150 eligible participants were interviewed through face to face by trained interviewers using a semi- structured questionnaire and their knowledge of AN care, their AN care practices and outcomes and complications of their pregnancies were recorded. 99% of all the women received AN care, and 64% of the women received essential AN care practice (AN visit of minimum 4 times). The study revealed that overall knowledge amongst the women with good knowledge was 48% and low knowledge was 52%. Despite this, it was found that low knowledge of AN care was associated with essential AN care practice. Additionally, AN care practices, assessed through timing of first AN care visit and frequency of visits, was not significantly associated with pregnancy complications. Despite these results, outcomes were good and all complications were properly and successfully addressed. This may reflect the effectiveness of current programs in place promoting importance of AN care and delivery practices. Maintenance of current programs with targeted interventions to address low knowledge level and the low level of compliance with essential AN care completed are recommended.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75565974","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}
Normally endometrial carcinoma presents with post-menopausal bleeding in the majority of cases. It rarely presents with haematometra. If it does, it rarely reaches the term pregnant uterus size. This case report is a rare presentation of endometrial carcinoma which was at first diagnosed as a huge ovarian mass later found out to be haematometra intraoperatively. There was a discordant finding between the endometrial invasions with distant metastasis (Local invasion of stage 1A with lung metastasis which should be stage 4B). It is an uncommon combined occurrence but at least we learnt there can be possible different presentation for endometrial cancer. It further proved that almost all of haematometra can turn out to be associated with endometrial carcinoma.
{"title":"Case Report: A Rare Presentation of Carcinoma Endometrium","authors":"M. Yi, S. Lwin, Thida Soe, K. Yee","doi":"10.51200/bjms.v10i2.631","DOIUrl":"https://doi.org/10.51200/bjms.v10i2.631","url":null,"abstract":"Normally endometrial carcinoma presents with post-menopausal bleeding in the majority of cases. It rarely presents with haematometra. If it does, it rarely reaches the term pregnant uterus size. This case report is a rare presentation of endometrial carcinoma which was at first diagnosed as a huge ovarian mass later found out to be haematometra intraoperatively. There was a discordant finding between the endometrial invasions with distant metastasis (Local invasion of stage 1A with lung metastasis which should be stage 4B). It is an uncommon combined occurrence but at least we learnt there can be possible different presentation for endometrial cancer. It further proved that almost all of haematometra can turn out to be associated with endometrial carcinoma.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80105550","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}
C. Michal, S. N. adirah, P. Praneetha, G. Juhanah, Gokula Mohan
The Emergency Department (ED) provides treatment for acutely ill patients in need of urgent medical attention. Despite the availability of the primary care unit ‘Klinik Kesihatan’, where non urgent patients should be treated, Malaysia’s public hospitals still need to deal with overcrowding of non-urgent patients in ED. The main aim of the study was to assess the willingness of non-urgent patients to be redirected to Klinik Kesihatan. This was a cross-sectional study conducted at Hospital Tuaran Emergency Department, Sabah. Non-urgent patients were interviewed using a questionnaire, to find out the purpose of their visit to Emergency Department. A total of 318 non-urgent patients out of 457 patients were interviewed during the study duration. 41 respondents (12.9%) were willing to be redirected towards a Klinik Kesihatan. No associated factors were found when compared with the unwilling to be redirected group. Among 277 respondents who rejected redirection to Klinik Kesihatan, 70.4% agreed to pay a surcharge to be treated in the Emergency Department and there was no association found with the employment status (p= 0.391). Most patients were not willing to accept redirection to a Klinik Kesihatan and would prefer to visit the Emergency Department despite knowing that their condition or illness is one that does not require emergency treatment. Social media, advertisements and pamphlets must be made available to educate patients on the proper use of the Emergency Department.
{"title":"Redirection of non-critical patients in the Emergency Department of Hospital Tuaran to the Primary Care Unit (Klinik Kesihatan)","authors":"C. Michal, S. N. adirah, P. Praneetha, G. Juhanah, Gokula Mohan","doi":"10.51200/bjms.v10i2.629","DOIUrl":"https://doi.org/10.51200/bjms.v10i2.629","url":null,"abstract":"The Emergency Department (ED) provides treatment for acutely ill patients in need of urgent medical attention. Despite the availability of the primary care unit ‘Klinik Kesihatan’, where non urgent patients should be treated, Malaysia’s public hospitals still need to deal with overcrowding of non-urgent patients in ED. The main aim of the study was to assess the willingness of non-urgent patients to be redirected to Klinik Kesihatan. This was a cross-sectional study conducted at Hospital Tuaran Emergency Department, Sabah. Non-urgent patients were interviewed using a questionnaire, to find out the purpose of their visit to Emergency Department. A total of 318 non-urgent patients out of 457 patients were interviewed during the study duration. 41 respondents (12.9%) were willing to be redirected towards a Klinik Kesihatan. No associated factors were found when compared with the unwilling to be redirected group. Among 277 respondents who rejected redirection to Klinik Kesihatan, 70.4% agreed to pay a surcharge to be treated in the Emergency Department and there was no association found with the employment status (p= 0.391). Most patients were not willing to accept redirection to a Klinik Kesihatan and would prefer to visit the Emergency Department despite knowing that their condition or illness is one that does not require emergency treatment. Social media, advertisements and pamphlets must be made available to educate patients on the proper use of the Emergency Department.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82513302","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}
Meryem Irfan Unal, Vebster J, Shahkinna N, Naveena T., Fadli M. , Aini A. , Hazlina K. , Mughni B.
Absent or abnormal laxity of splenic ligaments may give rise to a rare condition called wandering spleen. This condition can be difficult to diagnose due to its non-specific symptoms and clinical findings which are often missed or the patient presents late with a life-threatening complication.
{"title":"Torsion of Wandering Spleen","authors":"Meryem Irfan Unal, Vebster J, Shahkinna N, Naveena T., Fadli M. , Aini A. , Hazlina K. , Mughni B.","doi":"10.51200/bjms.v17i.4233","DOIUrl":"https://doi.org/10.51200/bjms.v17i.4233","url":null,"abstract":"Absent or abnormal laxity of splenic ligaments may give rise to a rare condition called wandering spleen. This condition can be difficult to diagnose due to its non-specific symptoms and clinical findings which are often missed or the patient presents late with a life-threatening complication.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86131166","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}
Individuals’ perception of periodontal health is influenced not only by signs and symptoms of periodontal diseases but also by socio-demographics and oral health practices. This study aimed to determine the association between self-perceived periodontal health, sociodemographic characteristics, and oral health practices.
{"title":"Perception of Periodontal Health Among Patients with BPE Score 4 in Tawau, Sabah, and the Associated Factors: A Cross-Sectional Study","authors":"Mohd Ritzuan Abdul Multalib, Rathmawati Ahmad","doi":"10.51200/bjms.v17i.4292","DOIUrl":"https://doi.org/10.51200/bjms.v17i.4292","url":null,"abstract":"Individuals’ perception of periodontal health is influenced not only by signs and symptoms of periodontal diseases but also by socio-demographics and oral health practices. This study aimed to determine the association between self-perceived periodontal health, sociodemographic characteristics, and oral health practices.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74013237","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}
The COVID-19 pandemic has disrupted antimicrobial stewardship (AMS) activities in Hospital Queen Elizabeth II (HQEII), which has led to a surge in antibiotics consumption, particularly meropenem, vancomycin, piperacillin-tazobactam, ceftazidime, and ceftriaxone. This study aimed to compare the prevalence of antibiotics consumption in HQEII before (2018/2019) and during (2020/2021) the pandemic to explore its impact on antibiotic costs and bacterial resistance.
{"title":"Impact of COVID-19 Towards Antibiotics Consumption in Hospital Queen Elizabeth II","authors":"Ling Foo Seng","doi":"10.51200/bjms.v17i.4316","DOIUrl":"https://doi.org/10.51200/bjms.v17i.4316","url":null,"abstract":"The COVID-19 pandemic has disrupted antimicrobial stewardship (AMS) activities in Hospital Queen Elizabeth II (HQEII), which has led to a surge in antibiotics consumption, particularly meropenem, vancomycin, piperacillin-tazobactam, ceftazidime, and ceftriaxone. This study aimed to compare the prevalence of antibiotics consumption in HQEII before (2018/2019) and during (2020/2021) the pandemic to explore its impact on antibiotic costs and bacterial resistance.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76013258","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}
Cleft lip and palate (CLP) have a profound psycho-social impact on patients and parents. It is important to assess parental experiences and satisfaction as they play an important role in the care of the affected child, especially during the surgical intervention phase. This study assessed the parental experiences towards caring for CLP children, and their level of satisfaction with the treatment received and investigated the relationship between socioeconomic factors and parental satisfaction towards cleft management.
{"title":"Parental Experiences in the Management of Children with Cleft Lip and/or Palate in Tawau Hospital","authors":"Ashvini Ambikapathy, Mahdah S","doi":"10.51200/bjms.v17i.2821","DOIUrl":"https://doi.org/10.51200/bjms.v17i.2821","url":null,"abstract":"Cleft lip and palate (CLP) have a profound psycho-social impact on patients and parents. It is important to assess parental experiences and satisfaction as they play an important role in the care of the affected child, especially during the surgical intervention phase. This study assessed the parental experiences towards caring for CLP children, and their level of satisfaction with the treatment received and investigated the relationship between socioeconomic factors and parental satisfaction towards cleft management.","PeriodicalId":9287,"journal":{"name":"Borneo Journal of Medical Sciences (BJMS)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79629401","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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