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Screening of New-Borns for Thyroid Status Admitted in Neonatal Ward of a Tertiary Care Hospital 某三级医院新生儿病房新生儿甲状腺状况筛查
Pub Date : 2022-12-08 DOI: 10.3329/cmoshmcj.v21i2.63128
Shaheda S. Ahmed, Wazir Ahmed, M. J. Uddin, Feroza Aktar, S. Dutta, Ziaur Rahman, A. Hoque
Background: Neonatal screening program is very fruitful in saving our newborns from preventable neonatal diseases, thereby healthy grooming of future generations. Though newborn screening for a thyroid disorder is one of the greatest successes in preventive pediatrics but still has not practically worked out for all neonates in Bangladesh at the national level.The majority of newborns with a thyroid disorder have a normal appearance without detectable physical signs and are almost always missed. Screening at the proper time (Approximately 2-7 days after birth), rechecking of suspicious cases within a week, and initiation of treatment (Within 2 weeks of age) of thyroid disorders particularly Congenital Hypothyroidism (CH), can prevent the irreversible mental and physical impairments. Transient neonatal hyperthyroidism is the common form of neonatal hyperthyroidism. The purpose of the study was, Neonatal Screening (NS) to evaluate the rate of thyroid disorders among Preterm (Early preterm born before 34th week of gestation, late preterm born between 34th week and before 37th week of gestation), Term (Born within 37th to 42nd week of gestation) and Post-term (Born after 42nd week of gestation) newborns. Birth weight was alsomeasured to categorize the newborns according to their weight. Materials and methods: It was a cross-sectional, observational type of study. The place was the Neonatal Department of Chattogram Maa-O-Shishu Hospital Medical College, Chattogram. Blood samples were collected from eighty neonates aging 2 to 7 days and sent to the laboratory for estimation of TSH and FT4. Results: Total number of samples was 80. Out of them, preterm new-born were 19 and term new-born were 61, no post-term case was found. Both groups wereagain divided into normal birth weight (³2.5 kg) and low birth weight (< 2.5 kg). Hyperthyroidism (High or normal FT4 but low TSH) was observed in 23 term newborns (37.7%) and hypothyroidism (Low or normal FT4 but high TSH) in 11 term newborns (18.03%) and the rest were Euthyroid (TSH normal, FT4 normal/increased/decreased). In the case of preterm, there were more hypothyroid 03 (15.78%) than hyperthyroid 02(10.52%). Conclusion: Our study observed that, among the newborns, who were admitted to the hospital,around half of them (39 out of 80) had abnormal thyroid function. The newborns with abnormal thyroid status were informed to their parents for further evaluation by the Department of Endocrinology. It would be helpful to reach the final diagnosis and treat it accordingly. Chatt Maa Shi Hosp Med Coll J; Vol.21 (2); July 2022; Page 44-47
背景:新生儿筛查方案是非常富有成效的拯救我们的新生儿从可预防的新生儿疾病,从而健康培养后代。虽然新生儿甲状腺疾病筛查是预防性儿科最伟大的成功之一,但在孟加拉国的国家一级,实际上并没有对所有新生儿进行筛查。大多数患有甲状腺疾病的新生儿外观正常,没有可检测到的体征,几乎总是被遗漏。适时筛查(出生后约2-7天),一周内复查可疑病例,对甲状腺疾病特别是先天性甲状腺功能减退(CH)开始治疗(2周内),可预防不可逆转的精神和身体损害。短暂性新生儿甲状腺功能亢进是新生儿甲状腺功能亢进的常见形式。本研究的目的是,新生儿筛查(NS)评估早产儿(妊娠34周前的早期早产儿、妊娠34周至37周前的晚期早产儿)、足月新生儿(妊娠37周至42周内出生)和足月新生儿(妊娠42周后出生)甲状腺疾病的发生率。出生体重也被确定,以根据新生儿的体重进行分类。材料和方法:本研究为横断面观察型研究。地点是Chattogram Maa-O-Shishu医院医学院新生儿部。采集80例2 ~ 7天新生儿的血样,送至实验室测定TSH和FT4。结果:样品总数为80份。其中早产新生儿19例,足月新生儿61例,未发现足月后病例。两组再次分为正常出生体重组(2.5 kg)和低出生体重组(< 2.5 kg)。足月新生儿甲状腺功能亢进(FT4高或正常,TSH低)23例(37.7%),甲状腺功能减退(FT4低或正常,TSH高)11例(18.03%),其余为甲状腺功能正常(TSH正常,FT4正常/增高/降低)。在早产病例中,甲状腺功能低下03(15.78%)多于甲状腺功能亢进02(10.52%)。结论:我们的研究发现,在入院的新生儿中,约有一半(80人中有39人)甲状腺功能异常。甲状腺功能异常的新生儿通知其父母,由内分泌科进行进一步评估。这将有助于最终的诊断和治疗。上海医科大学医学院;月,(2);2022年7月;页面44-47
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引用次数: 0
Demographic and Clinical Profile of COVID-19 and Post-COVID Complications in Children at a Specialized COVID Hospital 某专科医院儿童COVID-19及后并发症的人口统计学和临床特征
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59763
H. Akter, Mursheda Khanam, Tanjina Hoq, R. Das, M. Chowdhury
Background: Clinical manifestations of children with COVID 19 differ widely from adult cases. They usually have milder disease. There are limited data on pediatric COVID patient from Bangladesh. This study was conducted to find out the demographic and clinical characteristics of COVID-19 in children and post-COVID complications in a specialized COVID hospital from south-east part of Bangladesh. Materials and methods: This retrospective study was conducted in Bangladesh Institute of Tropical and Infectious Diseases (BITID), Fouzderhat, Chattogram from April 2020 to September, 2020. Medical records of PCR-confirmed pediatric COVID- 19 cases were collected. Data regarding age, sex, residence, contact history, presenting features, hospitalization, comorbidities and post-COVID complication were noted. Statistical analysis was done by SPSS 20.0 version. Results: Out of total 2058 pediatric patients, 183 (8.9%) were PCR confirmed COVID- 19 cases. Male to female ratio was 1.3:1 and median age was 11 years (Age range 3 months to 17 years). 35% patients belonged to the age group 11 to 15 years. Family clustering was the main transmission route (81.3%) and parents were the most common source (77.8%). Most of the patients lived in the Chattogram metropolitan area (57.1%). Highest peak of infection were during the month of May and June. Many of them (38.9%) were asymptomatic. Among them 11-15 years age group were mostly asymptomatic (38.6%). Most common presentation was fever (85%) followed by cough (37.5%), runny nose (25%) and sore throat (19.3%). For 2-5 years age group, gastrointestinal symptoms were predominant (30%). Only 9 patients (6.3%) required hospitalization. The median time from onset to cure was 3 days (Ranging from 1 to 30 days). Total 8 patients (5.6%) developed post-covid complications. Those were extreme weakness (2.8%), anorexia (2.1%), chronic cough (1.4%), insomnia (0.7%) and headache (0.7%). 16-17 years patients mostly suffered from these complications. There was no mortality in this pool of pediatric patients. Conclusion: COVID 19 in pediatric patients is distinct from adults. There was slight male preponderance with 11-15 years age group being more susceptible. Most common source of infection were parents. Many patients had asymptomatic infection. Fever was the most common presenting feature followed by respiratory symptoms. Very few patients developed post-COVID complications which were mild and there was no mortality. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 61-65
背景:儿童COVID - 19的临床表现与成人病例有很大差异。他们通常病情较轻。关于孟加拉国儿科COVID患者的数据有限。本研究旨在了解孟加拉国东南部一家专门的COVID医院中儿童COVID-19的人口统计学和临床特征以及COVID后并发症。材料和方法:本回顾性研究于2020年4月至2020年9月在Chattogram Fouzderhat的孟加拉国热带和传染病研究所(BITID)进行。收集经pcr确诊的小儿COVID- 19病例的医疗记录。记录年龄、性别、居住地、接触史、表现特征、住院情况、合并症和术后并发症等数据。统计学分析采用SPSS 20.0版本。结果:2058例患儿中,PCR确诊病例183例(8.9%)。男女比例为1.3:1,年龄中位数为11岁(年龄范围3个月至17岁)。35%的患者年龄在11 ~ 15岁之间。家庭聚集是主要的传播途径(81.3%),父母是最常见的传播源(77.8%)。大多数患者居住在Chattogram大都市区(57.1%)。感染高峰在5月和6月。无症状者占38.9%。其中11 ~ 15岁以无症状者居多(38.6%)。最常见的症状是发烧(85%),其次是咳嗽(37.5%)、流鼻涕(25%)和喉咙痛(19.3%)。2-5岁年龄组以胃肠道症状为主(30%)。只有9名患者(6.3%)需要住院治疗。从发病到治愈的中位时间为3天(范围为1至30天)。8例(5.6%)出现新冠肺炎后并发症。分别是极度虚弱(2.8%)、厌食症(2.1%)、慢性咳嗽(1.4%)、失眠(0.7%)和头痛(0.7%)。16-17岁的患者大多患有这些并发症。在这群儿科患者中没有死亡率。结论:小儿新冠肺炎与成人不同。男性略占优势,11-15岁年龄组易感。最常见的感染源是父母。许多患者无症状感染。发烧是最常见的症状,其次是呼吸道症状。很少有患者出现轻微的新冠肺炎后并发症,没有死亡。上海医科大学医学院;月(1);2022年1月;页61 - 65
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引用次数: 0
A Clinical Study of Acute Meningitis in Adults in Rangpur Medical College Hospital Rangpur医学院附属医院成人急性脑膜炎的临床研究
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59758
M. Ali, Md Zakir Hossain, B. Bidhu, Amaresh Chandra Shaha, Md. Ashraful Haque, A. Alam, Umme Habiba, Md Ruhul Amin Sarkar
Background: Meningitis is an inflammatory condition involving the meninges of the brain and spinal cord. Acute meningitis is global burden of disease, has a high casefatality rate and survivors can have severe lifelong disability. It can have infectious causes, such as bacteria, mycobacteria, viruses, fungi, or parasites, or be associated with autoimmunity, cancer, or reactions to medication. Risk factors that predispose individuals to meningitis and epidemics include malnutrition, household overcrowding, HIV infection, absence of immunisation, indoor air pollution, and sickle cell disease. Bacterial meningitis can rapidly become fatal and lead to severe disability in those who survive. Purpose of this study was clinical study of acute meningitis in adults. Materials and methods: This cross sectional observational study was conducted in Department of medicine, Rangpur Medical College Hospital, among the 100 patients who presented with sign symptoms of meningitis. Detailed history, clinical examination and thorough investigations were done and the findings were recorded on a proforma. Data was processed and analysed with the help of computer program SPSS and Microsoft excel. Results: The mostly affected groups were 16-20 and 31-40 years. Mean age was 33.04 (±18.08 SD) years. There was an overall male preponderance with a male to female ratio 2.12:1. Fever headache, and vomiting was most common symptoms. Altered consciousness was present in 80% of cases, focal neurological deficit and rash were present in 10% cases. CSF findings are the hallmark of diagnosing various types of meningitis. Colour of CSF, glucose and protein concentration of CSF found in this study correlates with maximum authority. On evaluation of aetiology, 66% cases were due to bacteria and 24% and 10% cases were tuberculous and viral aetiology respectively. Outcome of pyogenic meningitis was good and mortality was 6%. Inspite of treatment 8 out of 24 (33%) tuberculous meningitis patient’s were died. One case of bacterial and one case of viral meningitis were missed during follow up. Conclusion: Meningitis is foremost causes of morbidity and mortality. It is recommended that provision of proper health care support, rapid detection and other investigation facilities reduce the disability. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 36-40
背景:脑膜炎是一种涉及脑膜和脊髓的炎症性疾病。急性脑膜炎是一种全球性疾病负担,病死率高,幸存者可能有严重的终身残疾。它可能有传染性原因,如细菌、分枝杆菌、病毒、真菌或寄生虫,或与自身免疫、癌症或药物反应有关。使个人易患脑膜炎和流行病的危险因素包括营养不良、家庭过度拥挤、艾滋病毒感染、缺乏免疫接种、室内空气污染和镰状细胞病。细菌性脑膜炎可迅速致命,并导致幸存者严重残疾。本研究的目的是对成人急性脑膜炎的临床研究。材料与方法:本横断面观察性研究在Rangpur医学院附属医院内科进行,在100例出现脑膜炎体征症状的患者中进行。详细的病史,临床检查和彻底的调查完成,结果记录在表格上。利用SPSS软件和excel软件对数据进行处理和分析。结果:16 ~ 20岁和31 ~ 40岁为主要发病人群。平均年龄33.04(±18.08 SD)岁。总体上以男性为主,男女比例为2.12:1。发热、头痛、呕吐是最常见的症状。80%的病例出现意识改变,10%的病例出现局灶性神经功能缺损和皮疹。脑脊液的检查结果是诊断各种类型脑膜炎的标志。本研究发现脑脊液颜色、脑脊液葡萄糖和蛋白浓度与最大权威相关。在病原学评估中,66%的病例为细菌,24%的病例为结核,10%的病例为病毒。化脓性脑膜炎的预后良好,死亡率为6%。尽管经治疗,24例结核性脑膜炎患者中仍有8例(33%)死亡。随访中遗漏细菌性脑膜炎1例,病毒性脑膜炎1例。结论:脑膜炎是发病和死亡的主要原因。建议提供适当的保健支助、快速检测和其他调查设施,以减少残疾。上海医科大学医学院;月(1);2022年1月;页面36-40
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引用次数: 0
Socio Demographic Profile and HER2 Status in Patients with Colorectal Carcinoma 结直肠癌患者的社会人口统计学特征和HER2状态
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59761
Shamima Khanam, Tirtha Khastagir, Rahat Anjum, Mitasree Barua, M. Khatun, M. Z. Rahman
Background : Colorectal carcinoma (CRC) is the most frequently observed malignancy worldwide. The incidence of CRC is 3.5% in Bangladesh. Conflicting data exist about the prevalence of HER-2/neu over expression in colorectal cancer ranging from 0 to 83%. The aim of this study was to evaluate the expression of Her-2/neu protein in colorectal cancers. Materials and methods: This descriptive cross-sectional study was conducted in the Department of Pathology of Chittagong Medical College, Chittagong, Bangladesh from 1st January 2017 to 31st December 2017. A total of 52 cases with a histopathological diagnosis of colorectal cancers included in the study as sample size, HER2 status was evaluated by immunohistochemistry (IHC) in formalin fixed, paraffin embedded tissue.Positive expression was assigned a score from 0–3+.IHCs were analysed with grades of colon cancers. Results: The mean age in this study was 47.62years range from 12 to 85 years ,53.8% were female. Among 52 specimens 30 (57.7%) cases were from colon and all the cases were adenocarcinoma and rest of all (42.3%) were from rectum.33 (63.5%) cases were Grade-I, 8 (15.4%) were Grade-II, and 11 (21.2%) were Grade-III. Only 8 (15.4%) of 52 cases showed HER2 positive, 4 (50.0%) cases were from grade- Iand another 4 (50.0%) were grade- II tumours. HER2 overexpression were significantly associated with well differentiated CRC than poorly differentiated (p=0.044). Conclusion: HER2/neu protein expression was observed in colorectal cancer but HER-2/neu protein is less likely to be expressed in colon cancer cell lines among our patients. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 52-56
背景:结直肠癌(CRC)是世界范围内最常见的恶性肿瘤。孟加拉国的结直肠癌发病率为3.5%。关于HER-2/neu在结直肠癌中过表达的患病率,存在矛盾的数据,范围从0到83%。本研究的目的是评估Her-2/neu蛋白在结直肠癌中的表达。材料和方法:本描述性横断面研究于2017年1月1日至2017年12月31日在孟加拉国吉大港吉大港医学院病理科进行。本研究共纳入52例经组织病理学诊断为结直肠癌的病例作为样本量,采用免疫组化(IHC)方法在福尔马林固定、石蜡包埋的组织中评估HER2状态。阳性表达评分为0-3 +。对ihc进行结肠癌分级分析。结果:本组患者平均年龄47.62岁,年龄12 ~ 85岁,女性占53.8%。52例标本中,30例(57.7%)来自结肠,全部为腺癌,其余全部来自直肠(42.3%)1级63.5%,2级8例(15.4%),3级11例(21.2%)。52例中HER2阳性8例(15.4%),4例(50.0%)为ⅱ级肿瘤,4例(50.0%)为ⅱ级肿瘤。HER2过表达与高分化CRC的相关性显著高于低分化CRC (p=0.044)。结论:HER2/neu蛋白在结直肠癌中有表达,但HER2/neu蛋白在结肠癌细胞系中表达较少。上海医科大学医学院;月(1);2022年1月;页面52-56
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引用次数: 0
Mixed Diabetic Emergencies with Acute Pancreatitis and Type 2 Myocardial Infarction: A Case Report 糖尿病合并急性胰腺炎和2型心肌梗死1例报告
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59765
Mazharul Islam, A. Azad, S. Kazmi, Sidrah Khan, S. Krishnan
Diabetic ketoacidosis and Hyperosmolar Hyperglycaemic State are both acute, lifethreatening metabolic complications occurring in patients with Type 1 and Type 2 Diabetes. The presence of both these conditions simultaneously in one patient is always a challenge to the clinicians. We report such a case of a 62-year-old gentleman known to have Type 2 diabetes, presented with multiple episodes of vomiting and collapse. On arrival to the Emergency Department, he was tachycardic and physical examination revealed upper abdominal tenderness. Blood tests revealed initial pH 6.96, HCO3 6.1mmol/L, Glucose high, blood ketones 5.8mmol/L, K 4.5mmol/L, and Lactate 1.7mmol/L. His calculated serum osmolality was 340mmol/Kg, serum amylase 532U/L and Troponin 88ng/ml. He was treated as per the DKA protocol of the trust and was transferred to the High Dependency Unit. In view of his raised serum osmolality, he was diagnosed as having mixed Diabetic Ketoacidosis and Hyperglycaemic Hyperosmolar State. A CT scan of the abdomen was done to find out the underlying etiology which suggested acute pancreatitis. Additionally, he was diagnosed as having Type 2 myocardial infarction (MI). Both the surgical and cardiology teams were involved in his care. Because of his having both DKA and HHS features the management, especially fluid resuscitation was tailored accordingly. Eventually, the patient recovered and was stepped down to the ward 3 days later. Our case emphasizes that prompt and correct diagnosis of diabetic emergencies can lead to successful outcomes in patients with multiple complications as well. Timely diagnosis, thorough clinical and biochemical evaluation, and effective management are essential for the resolution of DKA and HHS. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 70-72
糖尿病酮症酸中毒和高渗性高血糖状态都是发生在1型和2型糖尿病患者中的急性、危及生命的代谢并发症。一个病人同时出现这两种情况对临床医生来说总是一个挑战。我们报告这样一个62岁的绅士已知的2型糖尿病,表现为多次发作呕吐和崩溃。到达急诊科时,他心跳过速,体格检查发现上腹部有压痛。血液检查:初始pH 6.96, HCO3 6.1mmol/L,葡萄糖高,血酮5.8mmol/L, K 4.5mmol/L,乳酸1.7mmol/L。计算血清渗透压340mmol/Kg,血清淀粉酶532U/L,肌钙蛋白88ng/ml。他被按照信托的DKA协议对待,并被转移到高度依赖股。鉴于他的血清渗透压升高,他被诊断为糖尿病酮症酸中毒和高血糖性高渗透压状态。腹部CT扫描发现潜在的病因提示急性胰腺炎。此外,他被诊断为2型心肌梗死(MI)。外科和心脏病小组都参与了他的治疗。由于他同时具有DKA和HHS的特点,因此对其进行了相应的处理,特别是液体复苏。最终,患者康复,3天后被下放到病房。我们的病例强调,及时和正确的诊断糖尿病急症可以导致成功的结果,以及患者的多重并发症。及时诊断、全面的临床和生化评价、有效的管理是解决DKA和HHS的关键。上海医科大学医学院;月(1);2022年1月;页70 - 72
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引用次数: 0
Health and Disease among Adolescent Urban School Girls in Bangladesh 孟加拉国城市女学生的健康和疾病
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59752
T. Banu, T. Chowdhury, T. T. Aziz, Nowrin Tamanna, Arni Das, Nugayer Sharmeen, Sanchita Roy, Durdana Sadab, Sabbir Ahmed
Background: Adolescence is an important phase of life and adolescent girls have specific health related problems. The aim of the study was to address the health-related issues of urban school going adolescent girls from a lower-middle income country. Materials and methods: A cross-sectional study was performed among 1315 school high-school girls. Demographic and socioeconomic parameters were recorded and health related behaviours and problems analysed. Results: Age ranged from 10 to 17 years. Immunization and deworming rates were 98.17% and 57.41%, respectively and deworming significantly reduced in higher classes (p=0.00). Major physical complaints were eye problems (583, 44.33%), allergy to various substances (500, 38.02%), headache (435, 33.08%) and menstrual problems (334, 25.40%). Obesity and overweight were significantly more in higher classes and underweight in lower classes (p<0.01). Conclusion: Diverse and serious health related undiagnosed problems prevail among girls’ high school. Malnutrition, ocular problems, menstrual problems and headaches are major areas of concerns. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 19-25
背景:青春期是人生的重要阶段,青春期女孩有特定的健康相关问题。该研究的目的是解决来自中低收入国家的城市上学少女的健康相关问题。材料与方法:对1315名高中女生进行横断面调查。记录了人口和社会经济参数,分析了与健康有关的行为和问题。结果:年龄10 ~ 17岁。免疫接种率为98.17%,驱虫率为57.41%,高班级驱虫率显著降低(p=0.00)。主要生理疾患为眼疾(583例,44.33%)、各种物质过敏(500例,38.02%)、头痛(435例,33.08%)和月经问题(334例,25.40%)。高班级肥胖和超重显著增加,低班级体重过轻显著增加(p<0.01)。结论:女生高中存在多种严重的未确诊健康问题。营养不良、眼部问题、月经问题和头痛是人们关注的主要领域。上海医科大学医学院;月(1);2022年1月;页面19-25
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引用次数: 0
Top Five Indications of Hospital Admission of Infants 婴儿住院的五大指征
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59748
Md Jalal Uddin, Kawsar Sultana, Chinmoy Baidya, N. Akhter
Background : Infants are at increased risk of morbidity and mortality. So, it is necessary for clinicians to properly place judgement on if an infant requires hospital admission. However, there is a lack of data on which diseases frequently need hospitalization in infancy. Hence the aim of this study was to provide a comprehensive description of infants requiring admissions to healthcare facilities. Materials and methods : This was a cross-sectional study conducted at the outpatient department of a tertiary level hospital. Hundred infants between 1 month to 12 months of age, who were advised for hospitalization following a provisional diagnosis by an expert clinician were enrolled as study subjects. Their details were obtained from caregivers during their visit and the results were analyzed manually. Results : The mean age of infants was 5.4±3.7 months with 2-month-old being the most common age group. The male: female ratio was 1.6:1 while the ratio forurban vs rural settings was 2.2:1. The most common religion was Islam (87%) followed by Hinduism (12%) and then Buddhism (1%). The most common diagnosis of study subjects in descending order of frequency were acute respiratory infection (46%) acute watery diarrhea (34%) burn and scald injury (13%) congenital disorders (10%) and late onset neonatal sepsis (8%). Conclusion : Most common indicators requiring hospital admissions among infants are acute respiratory infection, acute watery diarrhea, burn and scald injury, congenital disorders and late onset neonatal sepsis. Further study needs to be done to look for seasonal variation and variation between neonates and other under-5 age group children. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 3-6
背景:婴儿的发病和死亡风险增加。因此,临床医生有必要正确判断婴儿是否需要住院。然而,缺乏关于哪些疾病经常需要在婴儿期住院的数据。因此,本研究的目的是提供一个全面的描述婴儿需要入院的医疗机构。材料与方法:本研究是在某三级医院门诊部进行的横断面研究。100名年龄在1个月至12个月之间的婴儿被纳入研究对象,他们在专家临床医生的临时诊断后被建议住院治疗。他们的详细信息是在他们访问期间从护理人员那里获得的,结果是手工分析的。结果:患儿平均年龄5.4±3.7个月,以2月龄最常见。男女比例为1.6:1,而城市与农村的比例为2.2:1。最常见的宗教是伊斯兰教(87%),其次是印度教(12%),然后是佛教(1%)。最常见的诊断是急性呼吸道感染(46%)、急性水样腹泻(34%)、烧伤和烫伤(13%)、先天性疾病(10%)和迟发性新生儿败血症(8%)。结论:婴幼儿住院最常见的指标是急性呼吸道感染、急性水样腹泻、烧伤烫伤、先天性疾病和晚发型新生儿败血症。需要做进一步的研究来寻找季节性变化以及新生儿和其他5岁以下儿童之间的差异。上海医科大学医学院;月(1);2022年1月;3 - 6页
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引用次数: 1
Medical Education Amidst the COVID-19 Pandemic: A Takeaway from Perspectives of Medical Students of Bangladesh COVID-19大流行中的医学教育:从孟加拉国医学生的角度出发
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59759
M. Parveen, M. Hannan, J. Ferdoush
Background: The objective of this study was to understand the factors which have positively and negatively affected delivery of medical education in Bangladesh during the COVID-19 epidemic and to apply this knowledge to improve preparedness in the event of future COVID spikes or other pandemics. Materials and methods: A 20-question survey was constructed and responses from over 300 medical students across Bangladesh were received and statistically examined by chi-squared, logistic regression and latent class analysis. Results: Quality of internet connection has the biggest impact on delivery of highquality online courses. General experience with online course delivery through number of courses attended and year in the program were also impactful. Latent class analysis indicated that two classes of students existed with regards to their answers (Yes/No/Undecided) as to whether they would attend class or sit professional exams if schools reopened. The characteristics of each class were diverse and enabled a glimpse into the psyche of the students. Conclusions: The results demonstrated a need for government to ensure every one has access to a good quality internet. Not only will it improve the perception of online medical courses, it will prevent students from unnecessary travelling increasing the risk of transmission. With experience in developing online curricula, the misconception that it is inferior to classroom equivalent may be reduced. More confidence in the quality of online classes may encourage more students that are apprehensive about the professional exams to regain their self-confidence and sit them and increase the pool of independently practicing physicians in Bangladesh. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 41-46
背景:本研究的目的是了解在2019冠状病毒病流行期间对孟加拉国医学教育的提供产生积极和消极影响的因素,并应用这些知识来提高未来发生COVID高峰或其他流行病时的准备工作。材料和方法:构建了一项包含20个问题的调查,并收到了来自孟加拉国300多名医学生的回复,并通过卡方、逻辑回归和潜在类别分析进行了统计检验。结果:网络连接质量对高质量在线课程的交付影响最大。通过参加的课程数量和参加课程的年份对在线课程交付的总体经验也有影响。潜在阶级分析表明,对于学校复课后是否会上课或参加专业考试,学生的回答(是/否/未定)存在两个阶级。每个班级的特点各不相同,可以一窥学生的心理。结论:调查结果表明,政府有必要确保每个人都能使用高质量的互联网。这不仅会提高人们对在线医学课程的认识,还会防止学生不必要的旅行,从而增加传播的风险。随着开发在线课程的经验,认为它不如课堂教学的误解可能会减少。对在线课程质量的更大信心可能会鼓励更多对专业考试感到担忧的学生重拾自信并参加考试,从而增加孟加拉国独立执业医生的数量。上海医科大学医学院;月(1);2022年1月;页面41-46
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引用次数: 0
Pattern of Diseases among Soldiers Attending Combined Military Hospital Ramu, Coxs Bazar 科克斯巴扎尔拉穆联合军事医院士兵疾病模式
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59757
A. Ali
Background : The pattern of disease of a community is not always constant. It was observed that every decade produces its own pattern of disease. The pattern of disease depends on the socio-economic factors, as well as historical period, geographical location and other condition. To determine the pattern of disease of soldiers attending at MI room of CMH Ramu. Materials and methods: This descriptive cross-sectional study was conducted at Medical Inspection Room of Combined Military Hospital Ramu, Cox’s Bazar from July 2021 to November 2021. A total of 501 sick soldiers were selected through systematic random sampling for the study. Data were collected by face to face interview with structured questionnaire. Results: Mean age of the respondents was 29.32 ± 1.0 years.Mean age of the respondents was 29.32 ± 1.0 years. Majority of the respondents (53.1%) were in the age group of 20-29 years, followed by 37.1% respondents of 30-39 years. Most frequent acute complaints were fever and injury (100.0%), followed by RTI (97.6%) and musculoskeletal pain (95.7%). Most frequent complaints of chronic disease were hypertension and Diabetes mellitus (100.0%), followed by backache (55.6%), skin disease (11.4%) and eye disease (91.7%).The selected disease like fever, RTI, GI complain, skin disease were higher among the respondents living in the barrack (77.3%) than those who were living in family accommodation (22.7%). Conclusion: The findings of this study revealed that most frequent acute complaints was fever and injury (100.0%), followed by RTI (97.6%), musculoskeletal pain (95.7%). Most frequent complaints of chronic disease were Hypertension and Diabetes mellitus, followed by backache (55.6%), Skin disease (11.4%) and eye disease (91.7%). This study will provide a guideline for planning and implementation of intervention program and resource allocation. It will also provide a guideline for further studies. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 31-35
背景:一个社区的疾病模式并不总是恒定的。据观察,每十年都会产生自己的疾病模式。疾病的形态取决于社会经济因素,以及历史时期、地理位置等条件。目的:探讨在医院MI室就诊的士兵的疾病类型。材料与方法:本描述性横断面研究于2021年7月至2021年11月在科克斯巴扎尔Ramu联合军医院医学检查室进行。采用系统随机抽样的方法,选取501名患病士兵进行研究。采用面对面访谈、结构化问卷收集数据。结果:受访者平均年龄29.32±1.0岁。受访者平均年龄29.32±1.0岁。20-29岁的受访者占53.1%,30-39岁的受访者占37.1%。最常见的急性主诉是发热和损伤(100.0%),其次是RTI(97.6%)和肌肉骨骼疼痛(95.7%)。慢性病主诉最多的是高血压和糖尿病(100.0%),其次是背痛(55.6%)、皮肤病(11.4%)和眼病(91.7%)。居住在营房的被调查者中,发热、呼吸道感染、胃肠道不适、皮肤病的选择率(77.3%)高于居住在家庭住所的被调查者(22.7%)。结论:本研究结果显示,最常见的急性主诉是发热和损伤(100.0%),其次是RTI(97.6%)和肌肉骨骼疼痛(95.7%)。慢性病主诉最多的是高血压和糖尿病,其次是背痛(55.6%)、皮肤病(11.4%)和眼病(91.7%)。本研究将为干预方案的规划与实施及资源分配提供指导。它也将为进一步的研究提供指导。上海医科大学医学院;月(1);2022年1月;页面31-35
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引用次数: 0
Medical Research : A Neglected Issue in Bangladesh 医学研究:孟加拉国一个被忽视的问题
Pub Date : 2022-05-19 DOI: 10.3329/cmoshmcj.v21i1.59747
Rajat Sanker Roy Biswas, M. J. Uddin
Abstract not available Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 1-2
[摘要]上海医科大学医学院;月(1);2022年1月;1 - 2页
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引用次数: 0
期刊
Chattagram Maa-O-Shishu Hospital Medical College Journal
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