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COVID-19 Pandemic and Prevalence of Self-care Practices among the Future Physicians: A Bangladesh Study COVID-19大流行和未来医生自我保健实践的流行:孟加拉国的一项研究
Pub Date : 2021-05-11 DOI: 10.1101/2021.05.11.21257027
F. Johora, A. Abbasy, F. Jeenia, M. Bhowmik, M. Aktar, N. Choudhury, Panchali Moitra, J. Ferdoush
Background: Since December 2019, the novel coronavirus, SARS-CoV-2, has garnered global attention due to its rapid transmission, which has infected more than twenty nine million people worldwide. World is facing enormous stress and anxiety as there is no effective medicine or vaccine to treat or prevent COVID-19 till date. Experts are recommending self-care like social distancing, respiratory etiquette, hand washing, using face mask to prevent corona virus infection. Materials and methods: This descriptive cross-sectional study was designed to assess the prevalence of self-care practice among the undergraduate medical students (4th year) of 14 medical colleges of Bangladesh during COVID-19 pandemic. A structured questionnaire survey linked in the google form was used as study instrument and was distributed among study population through email, messenger, whatsapp and other social media during the month of October 2020. Total 916 students were participated in the study. Results: 79.8% of students reported self-care practice in study period. 44.98% of students went outside once in a week. 90.5%, 70.96% and 52.62% of respondents always used face mask, followed 20 seconds hand washing principle and maintained social distancing. Face masks (97.8%), sanitizers (76.7%) and gloves (71.9%) are most common items purchased as protective mesures. Most of the students (76.9%) follow their hobbies as a coping strategy to overcome phychological stress, while 6% of students took professional help. Conclusion: Suboptimal practice of self-care was found among the undergraduate medical students of Bangladesh.
背景:自2019年12月以来,新型冠状病毒SARS-CoV-2因其快速传播而引起全球关注,全球已有2900多万人感染。由于迄今为止没有有效的药物或疫苗来治疗或预防COVID-19,世界面临着巨大的压力和焦虑。专家们建议保持社交距离、呼吸礼仪、洗手、戴口罩等自我保健措施来预防冠状病毒感染。材料与方法:本描述性横断面研究旨在评估COVID-19大流行期间孟加拉国14所医学院本科(四年级)医学生自我保健实践的流行程度。在2020年10月期间,使用谷歌表格链接的结构化问卷调查作为研究工具,并通过电子邮件,信使,whatsapp和其他社交媒体在研究人群中分发。共有916名学生参与了研究。结果:79.8%的学生在研究期间进行了自我护理实践。44.98%的学生每周外出一次。90.5%、70.96%和52.62%的受访者始终佩戴口罩,遵循20秒洗手原则,保持社交距离。口罩(97.8%)、洗手液(76.7%)和手套(71.9%)是最常购买的防护措施。大多数学生(76.9%)将自己的兴趣爱好作为克服心理压力的应对策略,而6%的学生寻求专业帮助。结论:孟加拉医科大学生自我保健行为不理想。
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引用次数: 0
Risk Factors of Premature Rupture of Membrane in A Tertiary Care Hospital, Bangladesh 孟加拉国一家三级护理医院的胎膜早破的危险因素
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50014
Most. Sabina Yeasmin, M. J. Uddin, R. Biswas, Azwad Azdar, Shahanara Chowdhury, N. Nourin
Background : Premature Rupture of Membrane (PROM) is one of the most common complication of pregnancy. A woman with premature rupture of membrane is at risk of perinatal morbidity and mortality and also associated with maternal morbidity and psychological stress. Objective of this study was to determine incidence and risk factors of pregnant woman with PROM admitted in a tertiary hospital at Chattogram, Bangladesh. Materials and methods : This prospective observational study conducted in the Department of Obstetrics and Gynaecology at Chattogram Maa-O-Shishu Hospital Medical College (CMOSHMC) Chattogram from 1stJanuary 2018 to 31st December 2018. In this period total admitted antenatal patients were 8117. Among the pregnant patients with PROM were 665 and their weeks of gestation were > 28 weeks. Data was collected by interviewer with semi structured questionnaire & check list. Results : Incidence of PROM was 8.2%. PROM was found to be frequent (53%) in younger age group between 20-24 years. It was also commonly in primigravida (61.8%). Term PROM was higher (69.2%) than pre-term PROM (30.8%). 93.3% were singleton pregnancies, 6.4% were twins and .3% were triplets. Analysis of risk factors revealed ectiology was unknown in 46 (6.8%) low socioeconomic condition (60.6%), anaemia (45 %), lower genital tract infection (35.6%) UTI (31%) previous history of PROM (27.9%) malpresentation (15%) multiple pregnancy (6.7%) polyhydramnios (6%) history of recent coitus (12%) DM and GDM (10.5%) were commonly associated with PROM. Conclusions : Early identification of various risk factors causing PROM and their management can prevent premature deliveries and its complications to some extent as well as serious maternal complication like Chorioamnionitis. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 5-8
背景:胎膜早破(PROM)是妊娠最常见的并发症之一。胎膜早破的妇女有围产期发病率和死亡率的风险,也与产妇发病率和心理压力有关。本研究的目的是确定在孟加拉国Chattogram一家三级医院接受胎膜早破的孕妇的发病率和危险因素。材料与方法:本前瞻性观察研究于2018年1月1日至2018年12月31日在Chattogram Maa-O-Shishu医院医学院(CMOSHMC) Chattogram妇产科进行。在此期间,住院的产前患者总数为8117例。胎膜早破的孕妇665例,妊娠周数> 28周。数据由采访者用半结构化问卷和检查表收集。结果:胎膜早破发生率为8.2%。早舞会多发于20-24岁的年轻年龄组(53%)。在初迁女性中也很常见(61.8%)。中期早舞会(69.2%)高于早产儿早舞会(30.8%)。93.3%为单胎妊娠,6.4%为双胞胎,0.3%为三胞胎。危险因素分析显示,有46例(6.8%)患者的泌尿系未知,低社会经济条件(60.6%)、贫血(45%)、下生殖道感染(35.6%)、尿路感染(31%)、胎膜早破史(27.9%)、表现不良(15%)、多胎妊娠(6.7%)、羊水过多(6%)、近期性交史(12%)、糖尿病和GDM(10.5%)与胎膜早破相关。结论:早期发现引起胎膜早破的各种危险因素并加以处理,可在一定程度上预防早产及其并发症,以及绒毛膜羊膜炎等严重的产妇并发症。上海医科大学医学院;Vol.19 (2);2020年7月;5 - 8页
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引用次数: 4
CME (Continuing Medical Education) & CMS (Combined Morning Session) January-June 2020 CME(继续医学教育)和CMS(联合上午会议)2020年1月至6月
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50048
M. J. Uddin
Abstract not available Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 63
[摘要]上海医科大学医学院;Vol.19 (2);2020年7月;63页
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引用次数: 0
Study on Pregnancy Outcomes in Intrauterine Insemination Cycles with Motile Spermatozoa Insemination 运动精子人工授精在宫内授精周期妊娠结局的研究
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50041
Mafruha Khanam, R. Begum, Aditi Banerjee, J. Jerin, Mohamed Mazih Fazyl, Shan Saadat
Mobile : +88 01819 32 03 86 Email : drporag@yahoo.com Abstract Background: Intrauterine Insemination (IUI) is one of the most common assisted reproductive technology methods in the world to treat various forms of infertility. The influence of number of IUI applied with the percentage of motile spermatozoa during insemination is critical on the likelihood of a successful pregnancy. The aim of our study is to assess the results of IUI as a function of the number of IUI applied with motile spermatozoa inseminated during intrauterine insemination in couples with infertility.
摘要背景:宫内人工授精(IUI)是世界上治疗各种形式不孕症最常用的辅助生殖技术方法之一。人工授精过程中应用的人工授精次数与活动精子百分比的影响对成功怀孕的可能性至关重要。我们研究的目的是评估不孕夫妇在宫内授精过程中使用活动精子的人工授精器数量对人工授精效果的影响。
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引用次数: 1
Prelabour Rupture of Membrane : Maternal and Foetal Outcomes 产前胎膜破裂:母体和胎儿的结局
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50019
M. Jamal, R. Biswas
Background: The leading cause of perinatal morbidity and mortality is prematurity in developed and underdeveloped countries. In one third of the patients with preterm labour, there is associated premature rupture of membranes. The study was conducted to evaluate the clinical presentation of Pre-labour Rupture of Membrane (PROM) in pregnancy and obstetric outcome. Materials and methods: This is a cross sectional study carried out in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka, between September 2013 to February 2014. About 50 women having PROM with more than 32 weeks gestational age who admitted in the above department for delivery were enrolled in this study. Results: The mean age was found 27.4 ± 4.42 years with range from 17 to 41 years. Forty eight percent of PROM patient were primi and 52.0 percent of patients were multigravida. Six percent patients were illiterate. Almost two third patients were housewives. More than half (54.0%) of the patients were came from poor class income group family. Majority (64.0%) patients had term PROM (>37 weeks) gestational age and the mean gestational age was 38.1 ± 2.7 weeks with range from 32- 40 weeks. More than half (54.0%) didn't received any antenatal checkup. A total of (56.0%) patients had associated disease, out of which anaemia was more common. Twelve percent had diabetes mellitus and 8.0% had UTI infection. Almost two third (64.0%) was vaginal delivery and 18(36.0%) were caesarean section and common indication for caesarean section was fetal distress (38.9%). Two third patients were healthy and 17 patients had morbidities, wound infection is highest (29.4%). The mean birth weight was found 2.74 ± 0.7 kg. APGAR score >7 at 1 minute was found (92.0%) and (94.0%) at 5 minutes of birth of baby after birth. Fetal outcome take home alive (98.0%) and neonatal death 2.0%. Among 50 foetus morbidity develop in 26 cases. Among them respiratory insufficiency is highest (38.5%). Conclusion: Motivation of the patients, health education, improvement of nutritional status of mother, neonatal care service, early diagnosis, treatment, overall institutional delivery is needed for reduction of neonatal morbidity and mortality, as well as maternal morbidity. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 23-27
背景:在发达国家和不发达国家,早产是围产期发病率和死亡率的主要原因。在三分之一的早产患者中,存在相关的胎膜早破。本研究旨在评估产前胎膜破裂(PROM)的临床表现和产科结局。材料和方法:这是一项横断面研究,于2013年9月至2014年2月在达卡Bangabandhu Sheikh Mujib医科大学妇产科进行。约有50名胎龄超过32周的早舞会妇女在上述科室接受分娩。结果:17 ~ 41岁,平均年龄27.4±4.42岁。原胎早破患者占48%,多胎妊娠患者占52.0%。6%的病人是文盲。几乎三分之二的病人是家庭主妇。超过一半(54.0%)的患者来自低收入阶层家庭。足月胎膜早破(>37周)占64.0%,平均胎龄为38.1±2.7周(32 ~ 40周)。超过一半(54.0%)的人没有接受任何产前检查。共有56.0%的患者伴有相关疾病,其中贫血更为常见。12%患有糖尿病,8.0%患有尿路感染。近三分之二(64.0%)为阴道分娩,18例(36.0%)为剖宫产,常见的剖宫产指征为胎儿窘迫(38.9%)。2 / 3患者健康,发病17例,伤口感染最高(29.4%)。平均出生体重为2.74±0.7 kg。出生后1分钟APGAR评分>7者占92.0%,5分钟APGAR评分>7者占94.0%。胎儿存活(98.0%)和新生儿死亡(2.0%)。50例胎儿中发病26例。其中呼吸功能不全发生率最高(38.5%)。结论:提高患者的积极性、开展健康教育、改善母亲的营养状况、提供新生儿护理服务、早期诊断、早期治疗、全面的机构分娩是降低新生儿发病率和死亡率以及孕产妇发病率的必要措施。上海医科大学医学院;Vol.19 (2);2020年7月;页面汽车出行
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引用次数: 0
Relationship Between Glycemic Control and Cardiovascular Outcomes 血糖控制与心血管结局的关系
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50043
S. Chowdhury, Tasnuva Tanzil, R. H. Chowdhury, M. Alam
Mobile : +88 01670 39 30 31 Email : sumonrahman79@yahoo.com Abstract Diabetes is a well-known cardiovascular risk factor in both T1DM and T2DM. They have a 4-10 higher risk of developing complications from CVD than the non-diabetic population. The importance of intensive glycaemic control to prevent CVD in T1DM was established in both “The Diabetes Control and Complication Trial” (DCCT) and “Epidemiology of Diabetes Intervention and Complications” (EDIC) trials. Despite the epidemiological evidence that poor glycaemic control can lead to higher incidence of cardiovascular events in T2DM, the intervention trials are still inconclusive. In this report we will highlight the pathophysiology of the effect of hyperglycemia on the cardiovascular system, the effect of medications, and the major Randomized Control Trials (RCTs) looking specifically at the cardiovascular outcome of intensive glycaemic control in T2DM.
糖尿病是T1DM和T2DM中众所周知的心血管危险因素。他们患心血管疾病并发症的风险比非糖尿病人群高4-10倍。“糖尿病控制和并发症试验”(DCCT)和“糖尿病干预和并发症流行病学”(EDIC)试验都证实了强化血糖控制对预防T1DM患者心血管疾病的重要性。尽管有流行病学证据表明,血糖控制不良可导致2型糖尿病患者心血管事件发生率升高,但干预试验仍然没有定论。在本报告中,我们将重点介绍高血糖对心血管系统影响的病理生理学,药物的作用,以及主要的随机对照试验(rct),这些试验专门研究T2DM患者强化血糖控制的心血管结果。
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引用次数: 0
Delay in the Diagnosis of Oral Malignancy : Study on Responsible Factors 口腔恶性肿瘤诊断的延迟:相关因素的研究
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50040
N. Chowdhury, U KyawKhin, Z. Chowdhury, A. Uddin, H. M. Hossain, S. Biswas, Mostafa Mahfuzul Anwar
Background : Oral malignancy is an emerging disease all over the world. Treatment failure is grave if the diagnosis is delayed in this disease which will ultimately increase the mortality rate. This is an observational sociodemographic study, done to identify the causes in diagnostic delay of the patients suffering from oral cancer. Materials and methods: The study was done with a sample size of 215 cases of oral cancer patients. This observational study was conducted from 1st August 2015 to 31st December 2016 at Upazila Health Complex, Mirsarai, Chattogram & later at ENT Department of Chittagong Medical College Hospital from 1st March 2017 to 30thApril 2018. Results: Several causes of diagnostic delay were identified. Among them, monetary issue (78%) and Ignorance or Illiteracy (69%) have been found as the most important causes. Stage of the disease, delay in referral system, tobacco use, age, gender, alternative medicine, social taboo ,distance of hospital from house etc were found the other factors delaying the diagnosis of the cancer. Conclusion: Many of the causes of delay can be preventable. The authority should establish awareness among the patients & a protocol for early detection of cancer by the health professionals. Chatt Maa Shi Hosp Med Coll J; Vol.19 (2); July 2020; Page 37-40
背景:口腔恶性肿瘤是一种新兴的疾病。如果延误诊断,治疗失败将是严重的,最终将增加死亡率。这是一项观察性的社会人口学研究,旨在确定口腔癌患者诊断延迟的原因。材料与方法:本研究以215例口腔癌患者为样本。这项观察性研究于2015年8月1日至2016年12月31日在吉大港医学院附属医院米萨拉伊的Upazila健康中心进行,随后于2017年3月1日至2018年4月30日在吉大港医学院附属医院耳喉科进行。结果:确定了诊断延迟的几个原因。其中,货币问题(78%)和无知或文盲(69%)被认为是最重要的原因。发现疾病分期、转诊延误、吸烟、年龄、性别、替代医学、社会禁忌、医院离家距离等是延误癌症诊断的其他因素。结论:许多延误的原因是可以预防的。当局应提高病人的认识,制定卫生专业人员早期发现癌症的方案。上海医科大学医学院;Vol.19 (2);2020年7月;页面37-40
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引用次数: 0
Complications of Ultrasound Guided Renal Biopsy in 100 Children: Experience at a Tertiary Care Hospital 超声引导下100例儿童肾活检的并发症:一家三级医院的经验
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50015
M. Quader, S. Biswas, M. Datta, M. Chowdhury, Salina Haque, Kazi Mohammad Moinuddin, Sunanda Sen, Sawrav Deb Bappy
*Correspondence to: Dr. Mohammed Maruf-Ul-Quader Associate Professor Department of Pediatric Nephrology Chittagong Medical College Chattogram, Bangladesh. Mobile : +88 01911 22 32 37 Email : marufulquader@yahoo.com Abstract Background: Use of automated device with ultrasound guidance in renal biopsy has improved the adequacy and reduced the complication. Chittagong Medical College Hospital (CMCH) is a tertiary teaching hospital where Pediatric Nephrology Department started its journey on 11th December 2013. Since then renal biopsy is going on. Aim of the study is to see the rate of adequacy and complication of renal biopsy along the course of years.
*通讯:孟加拉国吉大港医学院儿科肾脏病学系副教授Mohammed Maruf-Ul-Quader博士。摘要背景:在超声引导下使用自动设备进行肾活检,提高了活检的充分性,减少了并发症。吉大港医学院附属医院是一所三级教学医院,2013年12月11日,吉大港医学院附属医院儿科肾内科正式成立。从那时起就开始进行肾活检。本研究的目的是观察肾活检的充分率和并发症。
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引用次数: 0
Evaluation of Results of Extraperiosteal Plating of Pronation-Abduction Ankle Fractures in Adults 成人踝关节内旋外展骨折的骨外钢板治疗效果评价
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50039
Tafhim Ehsan Kabir, S. Ahmad, Alak Kanti Biswas
Mobile : +88 01712 27 64 87 Email : tafhimekf@yahoo.com Abstract Background: Pronation-abduction ankle fractures frequently are associated with substantial lateral comminution and is associated with the highest rates of nonunion among indirect ankle fractures. It is one of the common injuries occurring in adult age group where trauma is the main etiology. The present prospective hospital based observational study was conducted to evaluate the functional outcome of treatment of ankle fracture by extraperiosteal plating in a series of patients with pronation-abduction ankle fractures.
摘要背景:踝关节内旋外展骨折常伴有严重的外侧粉碎,在间接踝关节骨折中与骨不连发生率最高相关。它是发生在成人年龄组的常见损伤之一,创伤是主要的病因。本前瞻性医院观察性研究旨在评估骨外钢板治疗踝关节内旋外展骨折患者的功能预后。
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引用次数: 0
Antibiotic Sensitivity Pattern in Neck Space infection 颈间隙感染的抗生素敏感性模式
Pub Date : 2020-11-01 DOI: 10.3329/cmoshmcj.v19i2.50020
Mukhlesur Rahman, M. Begum, M. Khan, Mostafa Mahfuzul Anwar
*Correspondence to: Dr. Md Mukhlesur Rahman Assistant Professor Department of Otolaryngology _ Head & Neck Surgery Chittagong Medical College Chattogram, Bangladesh. Mobile : +88 01711 96 23 69 Email : drmukhlesurrahman@yahoo.com Abstract Background: Infection caused by microorganisms are common and may be serious and life threatening, requires immediate attention and management to get best outcome. The purpose of this study is to assess the anatomical spaces and causative microorganisms responsible for neck infections and evaluate the sensitivity pattern of the isolated microorganisms to antimicrobial agents.
*通讯:Dr. Md Mukhlesur Rahman耳鼻喉科助理教授_头颈外科吉大港医学院,孟加拉国。摘要背景:微生物引起的感染是常见的,可能会严重到危及生命,需要立即关注和管理,以获得最好的结果。本研究的目的是评估颈部感染的解剖空间和致病微生物,并评估分离的微生物对抗菌药物的敏感性模式。
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引用次数: 0
期刊
Chattagram Maa-O-Shishu Hospital Medical College Journal
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