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Comparison of Disability Indices by Multidimensional Health Assessment Questionnaire and Short Form 36 in Patients of Rheumatoid Arthritis With or Without Fibromyalgia 伴或不伴纤维肌痛的类风湿性关节炎患者多维健康评估问卷与短表36致残指标的比较
Pub Date : 2023-06-07 DOI: 10.3329/jcmcta.v31i1.64741
Md Habib Hassan, Md Shahab Uddin, Md. Abdur Razzak, Anupam Barua
Background: Rheumatoid Arthritis (RA) is a chronic disabling and deforming autoimmune disease which presents frequently with articular and extra articular features.Fibromyalgia (FM) has been reported in significant number with RA cases. FM has negative impact on health status, functional capacity, and quality of life. Aim of this study is to assess disability indices Multi-Dimensional Health Assessment Questionnaire (MD HAQ) and Short Form 36 (SF-36) in patient of RA with FM in comparison to RA without FM. Materials and methods: Total 50 patients of RA were enrolled from the Medicine and Physical Medicine Department of Chittagong Medical College Hospital. After clinical evaluation, MDHAQ and SF-36 questionnaires were applied to every patient. Erythrocyte Sedimentation Rate (ESR) and C-reactive Protein (CRP) Rheumatoid Factor (RF) were measured to assess disease activity of RA. FM and RA were diagnosed by American College of Rheumatology Joint count criteria. Results: Meanage was 51.20 (±8.44) years with male to female ratio 1:1.6.Out of 50 RA patients, 11(22%) were classified having FM predominantly in female.Mean (±SD) Disease Activity Score 28 (DAS 28) were significantly higher in patients with RA and FM (5.74±1.09) than in patients with RA only (4.51±1.41). Median MDHAQ scores were significantly higher in patients with RA and FM than the RA patients without FM. SF-36 scores for quality of life in all aspects is significantly worse in RA patients with FM compared to RAwithout FM. Conclusions: RA with FMPatients are found to have worse scores on the MDHAQ and SF-36 than RA alone. JCMCTA 2019 ; 31 (1) : 4-8
背景:类风湿性关节炎(RA)是一种慢性致残和变形的自身免疫性疾病,经常表现为关节和关节外特征。纤维肌痛(FM)已被报道为大量RA病例。FM对健康状况、功能能力和生活质量有负面影响。本研究的目的是比较风湿性关节炎合并FM患者的残疾指标、多维健康评估问卷(MD HAQ)和SF-36量表(SF-36)。材料与方法:选取吉大港医学院附属附属医院内科与物理内科收治的RA患者50例。经临床评估后,对每位患者进行MDHAQ和SF-36问卷调查。测定红细胞沉降率(ESR)、c反应蛋白(CRP)、类风湿因子(RF)评估RA的疾病活动性。根据美国风湿病学会关节计数标准诊断FM和RA。结果:平均51.20(±8.44)岁,男女比例1:6 .6。在50例RA患者中,11例(22%)被分类为FM,主要为女性。RA和FM患者的平均(±SD)疾病活动评分28 (DAS 28)(5.74±1.09)明显高于仅RA患者(4.51±1.41)。RA和FM患者的中位MDHAQ评分明显高于无FM的RA患者。伴有FM的RA患者各方面生活质量SF-36评分明显低于无FM的RA患者。结论:RA合并fm患者的MDHAQ和SF-36评分低于RA单独患者。Jcmcta 2019;31 (1): 4-8
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引用次数: 0
Role of Proximal Femoral Nail Antirotation in Management of Unstable Intertrochanteric Fracture of Femur 股骨近端防旋钉在治疗不稳定股骨粗隆间骨折中的作用
Pub Date : 2023-06-07 DOI: 10.3329/jcmcta.v31i1.65878
C. Das, Md Mizanur Rahman Chowdhury, Mohammad Qausarul Matin, Md Somirul Islam, Md.Kamal Uddin, Md. Abdur Rahman
Background: The aim of this study is to evaluate the management of intertrochanteric fracture of the femur using Proximal Femoral Nail Antirotation (PFNA). Materials and methods: Sixty patients of unstable pertrochanteric fractures were treated by closed reduction and internal fixation by proximal femoral nail antirotation from July 2015 to June 2017. Four patients were lost to follow-ups. The remaining 56 patients were followed for a mean period of 2 years. The results were evaluated by assessing the patients regarding their clinical and functional outcome at follow up as per kyle’s criteria Results: Peroperative failure to proximal head neck blade fixation (n-1) jamming of nail (n=2) and post operative lateral migration of head neck blade (n=1) and fracture related infection (n=1) were complications observed. End results were excellent in 46.34%, good in 36.58%, fair is 14.64% and poor in 2.43%. Conclusion: Proximal Femoral Nail Antirotation (PFNA) is the biomechanically and biologically suitable implant for the management of intertrochanteric fracture of the femur. JCMCTA 2020 ; 31 (1) : 64-70
背景:本研究的目的是评估使用股骨近端钉防旋(PFNA)治疗股骨粗隆间骨折的疗效。材料与方法:2015年7月至2017年6月对60例不稳定股骨粗隆骨折采用股骨近端钉反旋闭合复位内固定治疗。4例患者失访。其余56例患者平均随访时间为2年。结果:术中观察到头颈近端刀片固定失败(n-1例)、钉卡伤(n=2例)、术后头颈刀片外侧移位(n=1例)、骨折相关感染(n=1例)为并发症。优秀者占46.34%,优秀者占36.58%,一般者占14.64%,差者占2.43%。结论:股骨近端防旋钉(PFNA)是治疗股骨粗隆间骨折的生物力学和生物学上的理想植入物。Jcmcta 2020;31 (1): 64-70
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引用次数: 0
Biliary Ascariasis: Overall Perspective of Management 胆道蛔虫病:管理的整体观点
Pub Date : 2023-06-07 DOI: 10.3329/jcmcta.v31i1.65282
Md. Saiful Hoque, T. A. Chowdhury, Salauddin Mohammed Ali Haider, Sabrina Akhter Qurashi, S. Nath
Background: One of the common cause of admission in surgical ward with acute abdomen in Asian subcontinent is Biliary Ascariasis.The causative agent, Ascarias lumbricoides is distributed throughout the tropics & subtropics & mostly prevent is developing country due to unhygienic livelihood. This study deals with management of Biliary Ascariasis demonstrating the effectiveness of only conservative management in acute condition. Materials and methods: This was an analytical study where 47 patients diagnosed as a case of Biliary Ascariasis were observed & managed accordingly. Complete history, diagnostic tool, complication of Ascarisis & treatment modality were analysed. Result: Here we documented 47 patients throughout the period October-2018 to September -2019 age limit is 13 yrs to 70 yers. Out of which female patient was 78.72% where male was 21.27%. Among female patient 10.63% were pregnant at the time of presentation. 100% patient present with biliary colic, 57.44% had associated nausea & vomiting 38.99% patient present as a case of cholecystitis. Cholangitis developed was 8.5% patient, 8.5% had obstructive jaundices, 4.2% developed liver abscess, 6.38% pancreatitis, 10.63% got cholelithiasis & 8.51% develop chololadocholithiasis &/ or hepaticolithiasis. USG & CBC was advised for all patient as standard diagnostic tool. During conservative treatment endoscopy was advised to all, only 63.82% was able to do this & successful extraction of worm was possible in 26.02%.70% improved by conservative treatment & ERCP required in 10.63%.Surgery for exploring CBD was done in 1 patient (2.1%). 34.02% patient had H/O recurrent attack. 17.02% patient underwent previous endoscopic procedure & 8.51% ERCP procedure. Before discharge review USG found in 68.08% patient with evidence of clear CBD & then discharged with advice of taking Antihelmintic therapy in 2 months interval. Conclusion: Maintenance of hygienic & regular anthelmintic therapy is all prevention of occurance & complication. only conservative management with or without minimal invasive endoscopic retrieval of worm is very much effective for improvement of symptoms. JCMCTA 2019 ; 31 (1) : 9-12
背景:胆道蛔虫病是亚洲次大陆急腹症外科病房住院的常见原因之一。致病菌蛔虫分布在热带和亚热带地区,由于不卫生的生活方式,主要预防发展中国家。本研究涉及胆道蛔虫病的管理,证明在急性情况下仅采用保守管理是有效的。材料和方法:本研究是一项分析性研究,对47例诊断为胆道蛔虫病的患者进行观察和相应的治疗。分析了蛔虫病的全部病史、诊断工具、并发症及治疗方式。结果:在2018年10月至2019年9月期间,我们记录了47名患者,年龄限制为13岁至70岁。其中女性占78.72%,男性占21.27%。在女性患者中,10.63%的患者在就诊时已怀孕。100%患者表现为胆道绞痛,57.44%患者伴有恶心呕吐,38.99%患者表现为胆囊炎。胆管炎8.5%,梗阻性黄疸8.5%,肝脓肿4.2%,胰腺炎6.38%,胆结石10.63%,胆总管结石和/或肝胆结石8.51%。建议所有患者使用USG和CBC作为标准诊断工具。在保守治疗期间,建议所有患者进行内窥镜检查,只有63.82%的患者能够做到这一点,26.02%的患者能够成功取出蠕虫。保守治疗改善70%,10.63%需要ERCP治疗。手术探查CBD 1例(2.1%)。34.02%患者有H/O复发。17.02%的患者曾接受过内窥镜手术,8.51%的患者接受过ERCP手术。出院前复查USG发现68.08%的患者有明确的CBD证据,出院时建议间隔2个月接受抗虫治疗。结论:保持卫生,定期驱虫药治疗是预防该病发生及并发症的有效方法。只有保守治疗,或不微创内镜下取虫是非常有效的改善症状。Jcmcta 2019;31 (1): 9-12
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引用次数: 0
Outcome of Conventional Linear Versus Purse String Skin Closure of Intestinal Stoma Reversal 传统线性皮封术与荷包线皮封术治疗肠造口逆转的疗效
Pub Date : 2022-06-30 DOI: 10.3329/jcmcta.v33i1.66917
Faisal Mostafa, Md. Nur Hossain Bhuiyan, Sreekanta Chandra Banik, Sadia Akter, Mohammad Ahsanul Abedin, Syed Md Muhsin
Background: Stoma closure is one of the most frequently performed surgery. The common complications are surgical site infection (SSI) and poor scar cosmesis. Compared to the conventional linear closure, the pursestring closure technique is expected to have less wound infection, smaller size scar and good patient satisfaction. The aim of this study is to evaluate the feasibility of PSC of stoma site at a tertiary hospital and comparing it with LC of stoma. Materials and methods: This study was performed in the Department of General Surgery, Chittagong Medical College Hospital for a period of one year with a sample size of 72. About 36 subjects were enrolled in each group, Group-A (Linear closure) and Group-B (Purse string closure). Each patient of both group were observed for wound infection, post-operative pain, scar formation, patient satisfaction, and length of post-operative hospital stay. Results: The level of pain according to VAS score was 4 in 36 (100.0%) in Group A and 6(16.7%) in Group B. One third (33.3%) patients had wound infection in Group A and 4(11.1%) in Group B.  The mean duration of hospital stay was 9.72±3.46 days in Group A and 7.97±2.46 days in Group B which is statistically significant (p<0.05). The mean patient satisfaction score was 17.75±1.59 in Group A and 22.12±0.73 in Group B which is statistically significant (p<0.05). The mean patient scar assessment scale was 42.47±0.99 in Group A and 35.88±2.81 in Group B which is statistically significant (p<0.05). The mean observer scar assessment scale was 41.97±1.28 in Group A and 36.22±2.73 in Group B which is statistically significant (p<0.05). Conclusion: Purse-string skin closure for stoma reversal had significantly less incidence of surgical wound infection, improved the scar outcome, good patient satisfaction, reduce complications and better cosmesis. JCMCTA 2022 ; 33 (1) : 25-28
背景:造口术是最常见的手术之一。常见的并发症是手术部位感染(SSI)和疤痕美容不良。与传统的线性缝合相比,荷包线缝合技术具有伤口感染少、疤痕尺寸小、患者满意度高的优点。本研究旨在评价某三级医院造口部位PSC的可行性,并与造口LC进行比较。材料与方法:本研究在吉大港医学院附属医院普外科进行,为期一年,样本量72人。a组(线性闭合)和b组(荷包闭合)每组约36例。观察两组患者的伤口感染、术后疼痛、疤痕形成、患者满意度和术后住院时间。结果:根据VAS评分,A组36例患者中疼痛程度为4(100.0%),B组6例(16.7%)。A组有1 / 3(33.3%)患者出现伤口感染,B组有4例(11.1%)患者出现伤口感染。平均住院时间A组为9.72±3.46天,B组为7.97±2.46天,差异有统计学意义(p<0.05)。A组患者平均满意度为17.75±1.59分,B组患者平均满意度为22.12±0.73分,差异有统计学意义(p<0.05)。A组患者疤痕评分平均为42.47±0.99分,B组为35.88±2.81分,差异有统计学意义(p<0.05)。观察瘢痕评分A组平均41.97±1.28分,B组平均36.22±2.73分,差异有统计学意义(p<0.05)。结论:荷包缝合造口术创面感染发生率明显降低,瘢痕结局改善,患者满意度高,并发症减少,美观性好。Jcmcta 2022;33 (1): 25-28
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引用次数: 0
Endoscopic Adenoidectomy with Microdebrider Versus Conventional Adenoidectomy 内镜下腺样体切除术与常规腺样体切除术的比较
Pub Date : 2022-06-30 DOI: 10.3329/jcmcta.v33i1.67264
S. Das, P. Dutta, T. Sen
Background: Adenoidectomy is one of the most common surgical procedures performed in children in Bangladesh. Though conventional curettage is highly popular as it has the advantage of being cost effective and continues to be a commonly used method especially in developing countries but Microdebrider has opened the new horizon in this arena. To compare conventional curettage adenoidectomy and endoscopic-assisted powered adenoidectomy using a microdebrider. Materials and methods: This is randomized single blinded comparative study, which was performed in the Medical Center Hospital, Chattogram from August 2019 to July 2020. A total of 60 patients were randomly divided into two groups. Group I underwent conventional curettage adenoidectomy while Group II underwent endoscopic- assisted powered adenoidectomy. Duration of surgery, amount of intra-operative bleeding, adequateness of removal and damage to the adjacent structures were assessed and compared between two groups. All patients were followed for 12 months. Statistical analysis was done using statistical software package SPSS v 22.0. Data were represented as mean ± SD. Continuous variables were compared using the were using the t test while nonparametric data were compared using Mann-Whitney U test. The c2 test was used to compare the nominal data. A p value <0.05 was considered statistically significant. Ethical directives from the Managing Body of Medical Centre Hospital, Chattogram for this study was obtained. Results: in our study, we observed approximately almost three times more mean blood loss and total operating time in the endoscopic-assisted powered procedure compared to the conventional technique (149 and 56 ml, respectively, 63 and 27 min, respectively). Nine (30%) cases in group I had more than 50% residual adenoid tissue while 20 – 50% of residual adenoid tissue was documented among 7 patients (23%). Postoperative pain was found to be significantly higher in group I compared to group II. In both groups, recovery time ranged from 24-48 hour with a mean of 33.6 hour in group I and 36 hour for group II. 23 patients (77%) in group I presented with residual disease in the 3 months follow up period, where number of patients with the exact instance in group II was 0. Conclusion: Endoscopic assisted adenoidectomy may appear more handy over conventional curettage. But precise peri-operative care and awareness are required to attain the successful outcomes. JCMCTA 2022 ; 33 (1) : 88-92
背景:腺样体切除术是孟加拉国儿童最常见的外科手术之一。虽然传统刮除非常受欢迎,因为它具有成本效益的优势,并且仍然是一种常用的方法,特别是在发展中国家,但微型刮除器在这一领域开辟了新的视野。比较传统刮刮式腺样体切除术和内镜辅助下使用微型清氧器的动力腺样体切除术。材料与方法:本研究为随机单盲比较研究,于2019年8月至2020年7月在Chattogram医学中心医院进行。60例患者随机分为两组。ⅰ组行常规刮除腺样体切除术,ⅱ组行内镜辅助动力腺样体切除术。评估并比较两组的手术时间、术中出血量、切除是否适当以及对邻近结构的损害。所有患者随访12个月。采用SPSS v 22.0统计软件包进行统计分析。数据以mean±SD表示。连续变量比较采用t检验,非参数数据比较采用Mann-Whitney U检验。采用c2检验比较标称数据。p值<0.05认为有统计学意义。医学中心医院管理机构的伦理指令,本研究的Chattogram已获得。结果:在我们的研究中,我们观察到与传统技术相比,内窥镜辅助动力手术的平均失血量和总手术时间大约增加了三倍(分别为149和56毫升,分别为63和27分钟)。1组9例(30%)腺样体组织残留超过50%,7例(23%)腺样体组织残留20 - 50%。术后疼痛I组明显高于II组。两组患者的恢复时间为24 ~ 48小时,其中ⅰ组平均为33.6小时,ⅱ组平均为36小时。随访3个月,ⅰ组出现残留病变23例(77%),ⅱ组出现残留病变例数为0例。结论:内镜辅助腺样体切除术比常规刮除术更方便。但精确的围手术期护理和意识是获得成功的必要条件。Jcmcta 2022;33 (1): 88-92
{"title":"Endoscopic Adenoidectomy with Microdebrider Versus Conventional Adenoidectomy","authors":"S. Das, P. Dutta, T. Sen","doi":"10.3329/jcmcta.v33i1.67264","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67264","url":null,"abstract":"Background: Adenoidectomy is one of the most common surgical procedures performed in children in Bangladesh. Though conventional curettage is highly popular as it has the advantage of being cost effective and continues to be a commonly used method especially in developing countries but Microdebrider has opened the new horizon in this arena. To compare conventional curettage adenoidectomy and endoscopic-assisted powered adenoidectomy using a microdebrider. \u0000Materials and methods: This is randomized single blinded comparative study, which was performed in the Medical Center Hospital, Chattogram from August 2019 to July 2020. A total of 60 patients were randomly divided into two groups. Group I underwent conventional curettage adenoidectomy while Group II underwent endoscopic- assisted powered adenoidectomy. Duration of surgery, amount of intra-operative bleeding, adequateness of removal and damage to the adjacent structures were assessed and compared between two groups. All patients were followed for 12 months. Statistical analysis was done using statistical software package SPSS v 22.0. Data were represented as mean ± SD. Continuous variables were compared using the were using the t test while nonparametric data were compared using Mann-Whitney U test. The c2 test was used to compare the nominal data. A p value <0.05 was considered statistically significant. Ethical directives from the Managing Body of Medical Centre Hospital, Chattogram for this study was obtained. \u0000Results: in our study, we observed approximately almost three times more mean blood loss and total operating time in the endoscopic-assisted powered procedure compared to the conventional technique (149 and 56 ml, respectively, 63 and 27 min, respectively). Nine (30%) cases in group I had more than 50% residual adenoid tissue while 20 – 50% of residual adenoid tissue was documented among 7 patients (23%). Postoperative pain was found to be significantly higher in group I compared to group II. In both groups, recovery time ranged from 24-48 hour with a mean of 33.6 hour in group I and 36 hour for group II. 23 patients (77%) in group I presented with residual disease in the 3 months follow up period, where number of patients with the exact instance in group II was 0. \u0000Conclusion: Endoscopic assisted adenoidectomy may appear more handy over conventional curettage. But precise peri-operative care and awareness are required to attain the successful outcomes. \u0000JCMCTA 2022 ; 33 (1) : 88-92","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"60 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72454204","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}
引用次数: 0
Achieving Professional Standard in Health Care : A Long Way to Go for Health Care in Developing Countries 实现卫生保健专业标准:发展中国家卫生保健工作任重道远
Pub Date : 2022-06-30 DOI: 10.3329/jcmcta.v33i1.67611
Md. Ridwanur Rahman
Abstract not available JCMCTA 2022 ; 33 (1) : 1-3
JCMCTA 2022;33 (1): 1-3
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引用次数: 0
Gender Difference in Palatal Rugae Patterns Among Adult Bengali Population in Chattogram 孟加拉成年人口腭纹形态的性别差异
Pub Date : 2022-06-30 DOI: 10.3329/jcmcta.v33i1.67226
Sarah Fatima Sumaiya, M. Ashrafuzzaman, T. Begum, M. E. Mahmud, Baishakhi Bhowmik, Urmila Chowdhury, Mohammed Morshed Alam
Background: The anatomical fold on the front portion of the hard palate is known as the palatal rugae. They are distinct and do not change during life, making them perfect for use as an identification tool when other options are unavailable. The aim of our study is to determine gender differences in palatal rugae pattern among the Bengali population in Chattogram of Bangladesh. Materials and methods: A total of 200 Bengali male (100) and female (100) populations aged 18 years and above were studied. The data was assessed based on the Thomas and Kotze classification. The student's t-test was used to compare all quantitative data. Results: Curved and straight type palatal rugae were significantly higher (p < 0.05, p < 0.001 respectively) in males than females. Wavy and circular type palatal rugae were higher in females than males and the difference was significant (p < 0.001, p < 0.05 respectively). The female exhibited a higher converging palatal rugae p > 0.05. The male exhibited a higher diverging palatal rugae p < 0.001. Conclusion: The Bengali population of Chattogram has a distinctive pattern and sexual diversity of palatal rugae. That can be used to reliably identify subjects and gender differences in the Bengali population. JCMCTA 2022 ; 33 (1) : 82-87
背景:在硬腭前部的解剖褶皱被称为腭褶。它们是独特的,在生活中不会改变,这使它们成为在没有其他选择时用作识别工具的完美选择。我们的研究目的是确定在孟加拉Chattogram孟加拉人口腭纹模式的性别差异。材料与方法:对18岁及以上孟加拉人男性100人、女性100人共200人进行调查。这些数据是根据Thomas和Kotze分类进行评估的。采用学生t检验比较所有定量数据。结果:男性弯曲型和直型腭纹明显高于女性(p < 0.05, p < 0.001)。波浪型和圆形腭纹女性高于男性,差异有统计学意义(p < 0.001, p < 0.05)。雌鼠腭襞收敛性较高p > 0.05。男性表现出较高的腭纹分化(p < 0.001)。结论:孟加拉族人口腭纹形态独特,性别差异大。这可以用来可靠地识别孟加拉人口中的受试者和性别差异。Jcmcta 2022;33 (1): 82-87
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引用次数: 0
The Pattern of In-patient Referral in the Psychiatry Department of a Tertiary Care Hospital in Bangladesh 孟加拉国某三级医院精神科住院病人转诊模式
Pub Date : 2022-06-30 DOI: 10.3329/jcmcta.v33i1.67284
Panchanan Acharjee, Rakibul Hasan, Sajjad Mohammad Yusuff, Maria Fátima, Shinjan Shaha, Faisal Chowdhury, Sarah Binte Kibria
Background: A referral system allows patients to have optimal care. This study aimed to provide the current referral pattern in the context of a tertiary care hospital in the periphery of Bangladesh.   Materials and methods: This retrospective observational study was conducted from January to December 2020 at the Psychiatry Department of Chittagong Medical College Hospital using data from the referral book. 428 cases were analyzed using SPSS-26, and shown in frequency distribution.     Results: Majority responders were male (53%) and from the 21 to 30 age group (31%). Patients referred to Psychiatry Department were more (66.7%) than referred from. Among 27 departments, internal medicine was the highest in referral in both instances (31.1% and 9.6%), followed by neurology (5.8% and 5.1%). The majority of patients (29.4%) had Schizophrenia Spectrum and Other Psychotic Disorder, followed by Bipolar and Related Disorder (25.4 %). Frequently, the name of psychiatric diagnosis was mentioned wrongly by other departments. In majority of cases, other disciplines did not mention a clinical diagnosis in the referral note. Conclusions: Proper awareness regarding referral pattern may aware physicians about the importance of referral to psychiatry, resulting in better patient care. JCMCTA 2022 ; 33 (1) : 103-111
背景:转诊系统可使患者获得最佳护理。本研究旨在提供当前转诊模式的背景下,三级护理医院在孟加拉国的外围。材料和方法:本回顾性观察性研究于2020年1月至12月在吉大港医学院附属医院精神科进行,使用转诊手册中的数据。采用SPSS-26软件对428例进行分析,并给出频率分布。结果:大多数应答者为男性(53%)和21至30岁年龄组(31%)。转到精神科的患者多于转到精神科的患者(66.7%)。在27个科室中,内科的转诊率最高(31.1%和9.6%),其次是神经内科(5.8%和5.1%)。大多数患者(29.4%)患有精神分裂症谱系和其他精神障碍,其次是双相情感障碍和相关障碍(25.4%)。精神病诊断的名称经常被其他科室误报。在大多数情况下,其他学科没有提及临床诊断转诊说明。结论:对转诊模式的正确认识可以使医生意识到转诊精神病学的重要性,从而更好地护理患者。Jcmcta 2022;33 (1): 103-111
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引用次数: 0
Risk Factor Stratification in Patient with Recurrent Stroke in Bangladesh 孟加拉国卒中复发患者的危险因素分层
Pub Date : 2022-06-30 DOI: 10.3329/jcmcta.v33i1.67233
F. Ahmed, Md Durul Hoda, Md. Abdur Rashid, M. Badiuzzaman, A. Hossain, Mohammad Refatul Islam, M. Hossain
Background: Stroke is a non communicable disease of increasing importance. Stroke is a major cause of death and disability in the world. Individual who suffered from stroke are at high risk of suffering recurrent stroke. So it is important to establish the risk factor for secondary prevention. The aim of this study is to find out the association of risk factor of recurrent stroke and it helps to take steps to reduce recurrent stroke.Materials and methods: This is a cross sectional observational case control study was conducted at Dhaka Medical College Hospital during 1st January to 31 December 2011. Definition was followed by WHO stroke manual.  Results: In this study two leading risk factors were found hypertension and smoking respectively 78% and 72%. Among risk factors others were diabetes 56%, dyslipidemia 24%, cardiac diseases (AF, IHD, Valvular heart disease) 22%, Mean age of patient 61.09. Ischemic stroke found in 68% and haemorrhagic in 32% of patient.Conclusion: The common risk factors of stroke are also attributed to risk factor of stroke. Noncompliance to drug and life style modification also important cause of recurrent stroke.JCMCTA 2022 ; 33 (1) : 93-96
背景:脑卒中是一种日益重要的非传染性疾病。中风是世界上造成死亡和残疾的一个主要原因。患有中风的人患复发性中风的风险很高。因此,建立二级预防的危险因素具有重要意义。本研究的目的是找出中风复发的相关危险因素,并有助于采取措施减少中风复发。材料和方法:这是一项横断面观察性病例对照研究,于2011年1月1日至12月31日在达卡医学院医院进行。定义遵循世卫组织卒中手册。结果:高血压和吸烟分别占78%和72%。其他危险因素为糖尿病56%,血脂异常24%,心脏疾病(房颤、IHD、瓣膜性心脏病)22%,患者平均年龄61.09岁。缺血性中风发生率为68%,出血性中风发生率为32%。结论:卒中的常见危险因素也可归为卒中的危险因素。不遵医嘱和改变生活方式也是卒中复发的重要原因。Jcmcta 2022;33 (1): 93-96
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引用次数: 0
Neonatal Outcome of 100 Cases of Term Pregnancy Having Meconium Stained Liquor in a Tertiary Level Hospital 某三级医院足月妊娠胎粪染色液100例新生儿结局分析
Pub Date : 2022-06-30 DOI: 10.3329/jcmcta.v33i1.66911
Nusrat Sultana Azmi, B. Nasrin
Background : Presence of meconium in amniotic fluid is potentially a serious sign of fetal compromise and associated with an increased perinatal mortality and morbidities.Meconium stained amniotic fluid is considered a harbinger of fetal compromise because of its direct correlation with fetal distress and increased likelihood of aspiration of meconium with resultant deleterious effects on the neonatal lung. The purpose of the study was to find the neonatal outcome of pregnancy associated with meconium staining amniotic fluid. Outcome variable were birth weight, Apgar score, admission in NICU, neonatal complications, neonatal mortality and morbidity. Materials and methods : The present prospective  observational study was conducted in the Department of Obstetrics and Gynaecology in Bangabandhu Sheikh Mujib Medical University, Dhaka and Dhaka Medical College Hospital. A total of 100 pregnant women admitted in the labour ward with meconium stained liquor were the study population. Results : Nearly three-quarter (72%) of the patients were between 20 – 30 years followed by 17.2% more than 30 years and 10.8% below 20 years old. Over half (52.2%) of the neonates needed resuscitation and 58.7% had to be admitted in ICU. More than 90% of the neonates had normal birth weight and only 9.7% were of low birth weight. Over half (51.1%) of the neonates developed meconium aspirate syndrome and 10.5% respiratory distress syndrome. Neonatal jaundice and neonatal sepsis were observed in 5.4%, 4.3% neonates respectively. Ten neonates (10.5%) died early in the neonatal life, while 1(1.1%) was still-born. low APGAR score (< 7) at 1 and 5 minutes of birth was found in 63.6% and 53% of the cases respectively with thick meconium stained amniotic fluid as opposed to 26.3% and 17.7% of the cases respectively having thin meconium stained amniotic fluid (p = 0.002 and p = 0.014 respectively). Thick meconium tend to be associated with meconium aspiration syndrome (p < 0.001). Neonates needing immediate resuscitation and admission in ICU was staggeringly higher in the former group than those in the latter group (p < 0.001). The incidence of perinatal death was significantly higher in patients with thick meconium stained fluid than that in patients with thin meconium (p = 0.029). Conclusion : The study concluded that meconium stained amniotic fluid is associated with low APGAR score, higher incidence of MAS, ICU admission and perinatal death and their severity depends on the concentration of meconium. JCMCTA 2022 ; 33 (1) : 15-20
背景:羊水中出现胎粪可能是胎儿发育不良的严重征兆,并与围产期死亡率和发病率增加有关。胎粪染色羊水被认为是胎儿受损的先兆,因为它与胎儿窘迫和胎粪误吸的可能性增加直接相关,从而对新生儿肺产生有害影响。本研究的目的是发现与羊水胎粪染色有关的妊娠新生儿结局。结局变量为出生体重、Apgar评分、新生儿重症监护病房入院、新生儿并发症、新生儿死亡率和发病率。材料与方法:本前瞻性观察研究在达卡班班杜谢赫穆吉布医科大学妇产科和达卡医学院医院进行。研究对象为产房产粪染液孕妇100例。结果:近四分之三(72%)的患者年龄在20 ~ 30岁之间,30岁以上占17.2%,20岁以下占10.8%。超过一半(52.2%)的新生儿需要复苏,58.7%的新生儿不得不住进ICU。90%以上的新生儿出生体重正常,只有9.7%的新生儿出生体重过低。超过一半(51.1%)的新生儿出现了吸入性胎粪综合征,10.5%的新生儿出现了呼吸窘迫综合征。新生儿黄疸和脓毒症发生率分别为5.4%和4.3%。10例(10.5%)新生儿早期死亡,1例(1.1%)死产。厚胎粪染色羊水组在出生1分钟和5分钟时APGAR评分< 7的比例分别为63.6%和53%,而薄胎粪染色羊水组分别为26.3%和17.7% (p = 0.002和p = 0.014)。厚胎便往往与胎便吸入综合征相关(p < 0.001)。需要立即复苏并入住ICU的新生儿数量在前一组显著高于后一组(p < 0.001)。粘稠胎粪染色液的围产儿死亡率明显高于粘稠胎粪染色液(p = 0.029)。结论:羊水粪染与APGAR评分低、MAS发生率高、ICU入院及围产期死亡相关,其严重程度与羊水粪染的浓度有关。Jcmcta 2022;33 (1): 15-20
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Journal of Chittagong Medical College Teachers' Association
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