Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56480
M. R. Mowla, D. Barua, S. Zaman, Mohammad Ismail Hossain Chowdhury, Papri Dutta, Md Wazed Ali Mridha
Background : Nearly all epidemiologic studies have involved patients with Systemic Lupus Erythematosus (SLE). Few authors have investigated the characteristics of patients with Cutaneous Lupus Erythematosus (CLE). We aim to describe the epidemiologic, clinical, and immunologic characteristics of a series of patients diagnosed with CLE. Materials and methods : This is a descriptive retrospective cross-sectional study carried out using the register records of total 218 patients attending the ‘Lupus Clinic’ in Chittagong Medical College Hospital during the period 2010 and 2020. The disease activity and damage of CLE were assessed according to the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI). Results : There were 187 females (86%) and 31 males (14%) with the female: male ratio being 6.1:1. The mean age was 28 ± 10.06 (mean ± SD) ranging between 11 and 65 years. The Chronic Cutaneous Lupus Erythematosus (CCLE) patients accounted 154 (71%) followed by Acute Cutaneous Lupus Erythematosus (ACLE) 46 (21%) and Subacute Cutaneous Lupus Erythematosus (SCLE) 18 (8%). On the basis of CLASI score, 91 (42%) patients were in mild form, 85 (39%) in moderate form and 42 (19%) in severe state. In LE specific skin lesions, common manifestation was photosensitivity 198 (91%) followed by discoid rash 154 (71%) and maculo-papular lupus rash 55 (25%). Oral ulcer was seen in 49 (22%) patients and malar rash in 46 (21%) patients. Other observed LE specific skin manifestations were papulo squamous rash 11 (5%), Toxic epidermal necrolysis like lesions 7 (3%) and lichenoid lesions 6 (3%). Among LE nonspecific skin lesions, common manifestation was nonscarring alopecia 123 (56%) followed by Raynaud’s phenomenon 17 (8%) livedo reticularis 17 (8%) Vasculitis 15 (7%) Periungual telangiectasia 7 (3%) erythema multiforme 6 (3%) and leg Ulcer 5 (2%). Antinuclear Antibody (ANA) 132 (61%) was the most common autoantibody followed by anti-ds DNA 91 (42%) anti-Sm antibody 2 (1%) anti-phospholipid antibodies 9 (4%) and anti-RNP 3 (1%). Hematological manifestations were seen in 161 (73.85%) where erythrocyte sedimentation rate was the most common hematological abnormality 161(73.85%) followed by lymphopenia 126 (57.80%) leucopenia 113 (51.80%) thrombocytopenia 107 (49.10%) anemia 92 (42%) monocytopenia 37 (16.97%). Conclusions: CCLE was the most common subtypes of CLE. Patients with different subtypes of CLE have distinct clinical and pathological characteristics. The onset or concurrence of SLE mandates the involvement of other disciplines depending on organ involvement. In the absence of consensus on a definition that makes it possible to differentiate cutaneous forms of LE from SLE, the dermatologist’s role in the correct diagnosis and classification of such patients is fundamental. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 79-84
{"title":"Clinico-Pathological Profile of Cutaneous Lupus Erythematosus Patients: A Report from A Tertiary Care Center of Chattogram","authors":"M. R. Mowla, D. Barua, S. Zaman, Mohammad Ismail Hossain Chowdhury, Papri Dutta, Md Wazed Ali Mridha","doi":"10.3329/cmoshmcj.v20i2.56480","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56480","url":null,"abstract":"Background : Nearly all epidemiologic studies have involved patients with Systemic Lupus Erythematosus (SLE). Few authors have investigated the characteristics of patients with Cutaneous Lupus Erythematosus (CLE). We aim to describe the epidemiologic, clinical, and immunologic characteristics of a series of patients diagnosed with CLE. Materials and methods : This is a descriptive retrospective cross-sectional study carried out using the register records of total 218 patients attending the ‘Lupus Clinic’ in Chittagong Medical College Hospital during the period 2010 and 2020. The disease activity and damage of CLE were assessed according to the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI). Results : There were 187 females (86%) and 31 males (14%) with the female: male ratio being 6.1:1. The mean age was 28 ± 10.06 (mean ± SD) ranging between 11 and 65 years. The Chronic Cutaneous Lupus Erythematosus (CCLE) patients accounted 154 (71%) followed by Acute Cutaneous Lupus Erythematosus (ACLE) 46 (21%) and Subacute Cutaneous Lupus Erythematosus (SCLE) 18 (8%). On the basis of CLASI score, 91 (42%) patients were in mild form, 85 (39%) in moderate form and 42 (19%) in severe state. In LE specific skin lesions, common manifestation was photosensitivity 198 (91%) followed by discoid rash 154 (71%) and maculo-papular lupus rash 55 (25%). Oral ulcer was seen in 49 (22%) patients and malar rash in 46 (21%) patients. Other observed LE specific skin manifestations were papulo squamous rash 11 (5%), Toxic epidermal necrolysis like lesions 7 (3%) and lichenoid lesions 6 (3%). Among LE nonspecific skin lesions, common manifestation was nonscarring alopecia 123 (56%) followed by Raynaud’s phenomenon 17 (8%) livedo reticularis 17 (8%) Vasculitis 15 (7%) Periungual telangiectasia 7 (3%) erythema multiforme 6 (3%) and leg Ulcer 5 (2%). Antinuclear Antibody (ANA) 132 (61%) was the most common autoantibody followed by anti-ds DNA 91 (42%) anti-Sm antibody 2 (1%) anti-phospholipid antibodies 9 (4%) and anti-RNP 3 (1%). Hematological manifestations were seen in 161 (73.85%) where erythrocyte sedimentation rate was the most common hematological abnormality 161(73.85%) followed by lymphopenia 126 (57.80%) leucopenia 113 (51.80%) thrombocytopenia 107 (49.10%) anemia 92 (42%) monocytopenia 37 (16.97%). Conclusions: CCLE was the most common subtypes of CLE. Patients with different subtypes of CLE have distinct clinical and pathological characteristics. The onset or concurrence of SLE mandates the involvement of other disciplines depending on organ involvement. In the absence of consensus on a definition that makes it possible to differentiate cutaneous forms of LE from SLE, the dermatologist’s role in the correct diagnosis and classification of such patients is fundamental. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 79-84","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79468037","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}
Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56467
M. Ferdousi, A. Baki
Background: Thyroid disorders are among the common endocrine problems in pregnant women. It is now well established that not only overt but subclinical thyroid dysfunction also has adverse effects on maternal and fetal outcome. There are few data from Bangladesh about the prevalence of thyroid dysfunction in pregnancy. With this background, this study aims to find prevalence of thyroid dysfunction in pregnancy and its impact on obstetrical outcome. Materials and methods: It is an observational study done in a Combined Military Hospital (CMH) Chattogram during the period from February to December 2020 on 130 hypothyroid mothers to observe maternal effects of hypothyroidism. Patients were collected as per inclusion and exclusion criteria after informed written consent. Data was compiled and analyzed and presented. Results: Among 1148 total patients,1018(89%) were normal and 130(11%) were diagnosed as hypothyroid.Among all the patients, 35% patientsare from inside the Chattogram and 65% are from outside. Among 130 hypothyroid cases age range revealed 20-45 years and 20 -30 years age group were 82(63.07%), 30-40 years age group was 40(30.76%) and >40 years age group were 8(6.15%). Primigravida was 48(36.92%) cases and multigravida was 82(63.08%) cases, anemia was present in 40(30.76%) cases, 10(7.69%) patients had hypertension, GDM and DM was found in 20(15.38%)and 3(2.30%) cases respectively, preconception hypothyroidism was found in 10(7.69%) and on Levothyroxine during ANC was 120(92.30%).Among all, 63(48.46%) cases were underwent vaginal delivery and 67(51.53%) cases underwent cesarean section. Untreated and irregular treatment in hypothyroidism are associated with pregnancy complications like spontaneous miscarriage 40(30.76%), maternal anaemia 55(42.30%), pre-eclampsia 4(3.07%), pre term birth 16(12.30%), postpartum haemorrhage 3(2.30%). Conclusion: Hypothyroidism is a common clinical condition during pregnancy and it causes variable pregnancy outcome Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 18-21
{"title":"Prevalence and Maternal Effects of Hypothyroidism in Pregnancy","authors":"M. Ferdousi, A. Baki","doi":"10.3329/cmoshmcj.v20i2.56467","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56467","url":null,"abstract":"Background: Thyroid disorders are among the common endocrine problems in pregnant women. It is now well established that not only overt but subclinical thyroid dysfunction also has adverse effects on maternal and fetal outcome. There are few data from Bangladesh about the prevalence of thyroid dysfunction in pregnancy. With this background, this study aims to find prevalence of thyroid dysfunction in pregnancy and its impact on obstetrical outcome. \u0000Materials and methods: It is an observational study done in a Combined Military Hospital (CMH) Chattogram during the period from February to December 2020 on 130 hypothyroid mothers to observe maternal effects of hypothyroidism. Patients were collected as per inclusion and exclusion criteria after informed written consent. Data was compiled and analyzed and presented. \u0000Results: Among 1148 total patients,1018(89%) were normal and 130(11%) were diagnosed as hypothyroid.Among all the patients, 35% patientsare from inside the Chattogram and 65% are from outside. Among 130 hypothyroid cases age range revealed 20-45 years and 20 -30 years age group were 82(63.07%), 30-40 years age group was 40(30.76%) and >40 years age group were 8(6.15%). Primigravida was 48(36.92%) cases and multigravida was 82(63.08%) cases, anemia was present in 40(30.76%) cases, 10(7.69%) patients had hypertension, GDM and DM was found in 20(15.38%)and 3(2.30%) cases respectively, preconception hypothyroidism was found in 10(7.69%) and on Levothyroxine during ANC was 120(92.30%).Among all, 63(48.46%) cases were underwent vaginal delivery and 67(51.53%) cases underwent cesarean section. Untreated and irregular treatment in hypothyroidism are associated with pregnancy complications like spontaneous miscarriage 40(30.76%), maternal anaemia 55(42.30%), pre-eclampsia 4(3.07%), pre term birth 16(12.30%), postpartum haemorrhage 3(2.30%). \u0000Conclusion: Hypothyroidism is a common clinical condition during pregnancy and it causes variable pregnancy outcome \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 18-21","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83406594","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}
Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56463
Omar Faruque Yusuf
Abstract not available Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 1-2
[摘要]上海医科大学医学院;期(2);2021年7月;1 - 2页
{"title":"Social Media for the Surgeon","authors":"Omar Faruque Yusuf","doi":"10.3329/cmoshmcj.v20i2.56463","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56463","url":null,"abstract":"Abstract not available \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 1-2","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73793975","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}
Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56474
Tanjina Hoq, P. Chowdhury, Fannana Ahmed, M. Datta, Promugdha Hafiz, R. Das
Background: Moderate Preterm (MP) and Late Preterm (LP) infants together comprise more than 80% of all prematurely born infants. Since last decade, there has been growing concern about Neurodevelopmental Abnormality (NDA) in these infants. This study was aimed to assess neurodevelopmental status of moderate to late preterm born neonates and to determine factors associated with adverse neurodevelopmental outcome in a tertiary hospital in Bangladesh. Materials and methods: In this prospective observational study 215 preterm (32 to <37 completed weeks gestation at birth) infants (107 MP and 108 LP) were enrolled from the Special Care Neonatal Unit (SCANU) Chittagong Medical College Hospital from June 2018 to May 2019. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA) at 1, 3 and 6 months of Corrected Age (CA). Results: Of the 215 enrolled children, 63 (29.3%) attended all the 3 follow-up, 123 (57.2%) had incomplete follow-up or lost and 29 (13.5%) died. At final follow-up out of 63 infants 43 (68.3%) had no abnormality in all 8 domains of RNDA. Seven infants (11.1%) had abnormality in one domain and 13 (20.6%) had abnormality in more than one domain. Gross motor abnormality was most common abnormality (28.6%), followed by cognition (14.3%), vision (12.7%) and behavior (12.7%). Small for gestational age and lower birth weight were found to be independent predictive factors for NDA in moderate to late preterm infants. Conclusion: Study has shown that NDA persist till 6 months of CA in moderate to late preterm infants. It is important to closely monitor the neurodevelopmental status and provide early intervention in referred cases. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 50-54
{"title":"Neurodevelopmental Status of Moderate to Late Preterm Infants at 6 Months Corrected Age","authors":"Tanjina Hoq, P. Chowdhury, Fannana Ahmed, M. Datta, Promugdha Hafiz, R. Das","doi":"10.3329/cmoshmcj.v20i2.56474","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56474","url":null,"abstract":"Background: Moderate Preterm (MP) and Late Preterm (LP) infants together comprise more than 80% of all prematurely born infants. Since last decade, there has been growing concern about Neurodevelopmental Abnormality (NDA) in these infants. This study was aimed to assess neurodevelopmental status of moderate to late preterm born neonates and to determine factors associated with adverse neurodevelopmental outcome in a tertiary hospital in Bangladesh. \u0000Materials and methods: In this prospective observational study 215 preterm (32 to <37 completed weeks gestation at birth) infants (107 MP and 108 LP) were enrolled from the Special Care Neonatal Unit (SCANU) Chittagong Medical College Hospital from June 2018 to May 2019. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA) at 1, 3 and 6 months of Corrected Age (CA). \u0000Results: Of the 215 enrolled children, 63 (29.3%) attended all the 3 follow-up, 123 (57.2%) had incomplete follow-up or lost and 29 (13.5%) died. At final follow-up out of 63 infants 43 (68.3%) had no abnormality in all 8 domains of RNDA. Seven infants (11.1%) had abnormality in one domain and 13 (20.6%) had abnormality in more than one domain. Gross motor abnormality was most common abnormality (28.6%), followed by cognition (14.3%), vision (12.7%) and behavior (12.7%). Small for gestational age and lower birth weight were found to be independent predictive factors for NDA in moderate to late preterm infants. \u0000Conclusion: Study has shown that NDA persist till 6 months of CA in moderate to late preterm infants. It is important to closely monitor the neurodevelopmental status and provide early intervention in referred cases. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 50-54","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74325085","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}
Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56476
N. Nahar, Tareq M. Hassan, Mohammed Kamal Uddin
Background: Giomer is a unique class of restorative material has been introduced as the true hybridization of Glass Ionomer (GI) and composite resin and has the distinguishing feature of a stable surface pre-reacted glass ionomer. Glass Ionomer Cements (GIC) are also unique restorative materials with many uses in clinical practice and provide for caries-protective fluoride releasing at the margins of restorations, as well as their ability to have the fluoride within their chemical matrix recharged by outside exposure to other fluoride-containing materials. The present study aim at clinically evaluate the comparison between the glass Ionomer cement and Giomer for the management of cervical caries. Materials and methods: The study was a cross sectional comparative study which was carried out from 01 December 2018 to 31 November 2019 in the Department of Conservative Dentistry and Endodontics, Bangladesh Dental College, Dhanmondi, Dhaka. Total number of cases was 80. The patients were divided into two groups, half of the patient (Group-1) was treated with Glass Ionomer cement and half of the patient (Group-2) was treated with Giomer restoration. The post-operative sensitivity discoloration, dislodgement of filling material and secondary caries formation were recorded. All the patients were assigned and the data were analyzed statistically by SPSS version 21. p-value < 0.05 was taken as significant. Results: The study reveals 60% of the study population was within 41 to 50 years of age group (Group-1) and 62.5% were 51 to 60 years (Group-2) 45% in (Group-1) and 10% in (Group-2) had history of post filling sensitivity, 12% in (Group-1) and 5% in (Group-2) had discoloration after restoration, 2.5% had history of dislodgement of the filling in (Group-1), no history of dislodgement of the filling in (Group-2), 2.5% had history of secondary caries formation in (Group-1) and no history of Secondary caries formation in (Group-2). Conclusion: Patients were more approachable for Giomer restoration than Glass ionomer for the management of cervical caries over a period of 12 month. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 60-64
{"title":"Clinical Evaluation of Glass-Lonomer Cement and Giomer for the Management of Cervical Caries","authors":"N. Nahar, Tareq M. Hassan, Mohammed Kamal Uddin","doi":"10.3329/cmoshmcj.v20i2.56476","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56476","url":null,"abstract":"Background: Giomer is a unique class of restorative material has been introduced as the true hybridization of Glass Ionomer (GI) and composite resin and has the distinguishing feature of a stable surface pre-reacted glass ionomer. Glass Ionomer Cements (GIC) are also unique restorative materials with many uses in clinical practice and provide for caries-protective fluoride releasing at the margins of restorations, as well as their ability to have the fluoride within their chemical matrix recharged by outside exposure to other fluoride-containing materials. The present study aim at clinically evaluate the comparison between the glass Ionomer cement and Giomer for the management of cervical caries. \u0000Materials and methods: The study was a cross sectional comparative study which was carried out from 01 December 2018 to 31 November 2019 in the Department of Conservative Dentistry and Endodontics, Bangladesh Dental College, Dhanmondi, Dhaka. Total number of cases was 80. The patients were divided into two groups, half of the patient (Group-1) was treated with Glass Ionomer cement and half of the patient (Group-2) was treated with Giomer restoration. The post-operative sensitivity discoloration, dislodgement of filling material and secondary caries formation were recorded. All the patients were assigned and the data were analyzed statistically by SPSS version 21. p-value < 0.05 was taken as significant. \u0000Results: The study reveals 60% of the study population was within 41 to 50 years of age group (Group-1) and 62.5% were 51 to 60 years (Group-2) 45% in (Group-1) and 10% in (Group-2) had history of post filling sensitivity, 12% in (Group-1) and 5% in (Group-2) had discoloration after restoration, 2.5% had history of dislodgement of the filling in (Group-1), no history of dislodgement of the filling in (Group-2), 2.5% had history of secondary caries formation in (Group-1) and no history of Secondary caries formation in (Group-2). \u0000Conclusion: Patients were more approachable for Giomer restoration than Glass ionomer for the management of cervical caries over a period of 12 month. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 60-64","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73204870","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}
Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56478
J. Ferdoush, R. Chowdhury, F. Johora, Rafzana Arifina, F. Jeenia, Maliha Ata, Kohinoor Parveen, S. Hossain, Shagorika Sharmeen, M. Rahman
Background: Pain is an inevitable part of the postoperative experience. Current study was designed to assess the pattern of analgesic use, the adequacy of post operative pain control by documenting pain scores and patient satisfaction by documenting the pain perception score of the postoperative patients 48 hours after surgery. Materials and methods: This was a formative research and includes a mix of descriptive cross-sectional study carried out in the Department of Gynecology and Obstetrics, General Surgery and Orthopedics Surgery of Chattagram Maa-O-Shishu Hospital Medical College (CMOSHMC) during the month of January, 2018 to July, 2019. Results: A total of 180 patients underwent surgery were included in this study. Baseline data were collected both retrospectively and prospectively. Only analgesic used immediately after operation in three departments were Pethidine (100%). Diclofenac sodium suppository were used in appendectomy and cesarean section (50/60, 83%) and (26/60, 43%) respectively. Mostly, Diclofenac Sodium IV (55/60, 91%) was used in lower limb surgery. The maximum pain score were 5.3 (SD=2.3), 5.6 (SD =1.9), and 6.1 (SD =1.3) during coughing in the first 8 hour and minimum pain score 2.4 (SD =1.0), 2.2 (SD = 0.8) and 1.7 (SD=1.3) at rest 48 hours after cesarean section, appendectomy and lower limb surgery respectively. But pain score eventually increased during coughing 48 hours after surgery. After 48 hours of surgery maximum pain perception score 3.9 (SD = 0.9) in lower limb surgery and minimum perception score were 3.5 (SD =1.8) in cesarean section. Majority of the appendectomy patient (76%) satisfied with pain management where as only 43% satisfied in case of cesarean section. Conclusion: This study enabled the researchers to get a precise picture of the current state of POPM in different hospitals, as well as identify particular needs for improving such practices in health care facilities and implementing an educational intervention in order to improve the post operative pain management. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 69-73
{"title":"Post Operative Pain Management and Patient Satisfection : Experience at a Tertiary Care Hospital","authors":"J. Ferdoush, R. Chowdhury, F. Johora, Rafzana Arifina, F. Jeenia, Maliha Ata, Kohinoor Parveen, S. Hossain, Shagorika Sharmeen, M. Rahman","doi":"10.3329/cmoshmcj.v20i2.56478","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56478","url":null,"abstract":"Background: Pain is an inevitable part of the postoperative experience. Current study was designed to assess the pattern of analgesic use, the adequacy of post operative pain control by documenting pain scores and patient satisfaction by documenting the pain perception score of the postoperative patients 48 hours after surgery. \u0000Materials and methods: This was a formative research and includes a mix of descriptive cross-sectional study carried out in the Department of Gynecology and Obstetrics, General Surgery and Orthopedics Surgery of Chattagram Maa-O-Shishu Hospital Medical College (CMOSHMC) during the month of January, 2018 to July, 2019. \u0000Results: A total of 180 patients underwent surgery were included in this study. Baseline data were collected both retrospectively and prospectively. Only analgesic used immediately after operation in three departments were Pethidine (100%). Diclofenac sodium suppository were used in appendectomy and cesarean section (50/60, 83%) and (26/60, 43%) respectively. Mostly, Diclofenac Sodium IV (55/60, 91%) was used in lower limb surgery. The maximum pain score were 5.3 (SD=2.3), 5.6 (SD =1.9), and 6.1 (SD =1.3) during coughing in the first 8 hour and minimum pain score 2.4 (SD =1.0), 2.2 (SD = 0.8) and 1.7 (SD=1.3) at rest 48 hours after cesarean section, appendectomy and lower limb surgery respectively. But pain score eventually increased during coughing 48 hours after surgery. After 48 hours of surgery maximum pain perception score 3.9 (SD = 0.9) in lower limb surgery and minimum perception score were 3.5 (SD =1.8) in cesarean section. Majority of the appendectomy patient (76%) satisfied with pain management where as only 43% satisfied in case of cesarean section. \u0000Conclusion: This study enabled the researchers to get a precise picture of the current state of POPM in different hospitals, as well as identify particular needs for improving such practices in health care facilities and implementing an educational intervention in order to improve the post operative pain management. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 69-73","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78731496","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}
Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56481
Most. Sabina Yeasmin, N. Nourin, T. Begum, F. Mabud, Farjana Ahmed Surovi
Placental polyp is the retained fragment of placental tissue which presents as a polypoidal or pedunculated mass within the uterus. It is a rare entity and has an incidence of less than 0.25 % of all pregnancies. There are also very few reported cases of the clinical placental polyp. Here,we report a case of 22-year-old P1 woman presenting with vaginal bleeding and something coming down into vagina.Her last pregnancy had occurred one year ago.Laboratory investigation revealed slightly elevated serum b-hCG. Ultrasonography revealed thick endometrium, broad cervix (5.2cm) and a hyperechoic mass within the cervix. Extraction of the placental polyp followed by endometrial curettage were done and tissue sent for histopathology. Definite diagnosis was made by histopathological examination and which was a placental polyp. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 85-88
{"title":"Placental Polyp : A Rare Case Report","authors":"Most. Sabina Yeasmin, N. Nourin, T. Begum, F. Mabud, Farjana Ahmed Surovi","doi":"10.3329/cmoshmcj.v20i2.56481","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56481","url":null,"abstract":"Placental polyp is the retained fragment of placental tissue which presents as a polypoidal or pedunculated mass within the uterus. It is a rare entity and has an incidence of less than 0.25 % of all pregnancies. There are also very few reported cases of the clinical placental polyp. Here,we report a case of 22-year-old P1 woman presenting with vaginal bleeding and something coming down into vagina.Her last pregnancy had occurred one year ago.Laboratory investigation revealed slightly elevated serum b-hCG. Ultrasonography revealed thick endometrium, broad cervix (5.2cm) and a hyperechoic mass within the cervix. Extraction of the placental polyp followed by endometrial curettage were done and tissue sent for histopathology. Definite diagnosis was made by histopathological examination and which was a placental polyp. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 85-88","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88771531","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}
Pub Date : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56465
Maliha Ata, R. Hoque, A. Mostafa, Md Rakibul I Shakil, Rajat Sanker Roy Biswas, S. Akhter, Shamsunnahar B Mannan
Background: In order to improve the spontaneous Adverse Drug Reaction (ADR) reporting practice by the physicians, there is an obligatory need to investigate the current situation of ADR reporting by them. The study was conducted to observe the ADR reporting pattern among physicians in a tertiary medical college hospital. Materials and methods: This was a descriptive cross sectional study carried out in a tertiary medical college hospital during the study period of March 2020 to October 2020. Data were collected from 100 physicians working on different departments using self designed pretested questionnaire by convenient sampling technique. Results: Among the 100 respondents 70 provided response to questionnaire giving a response rate 70%. Most of the respondents (61.43%) had adequate knowledge on ADR reporting. A good number of respondents showed positive attitude but there is no practice of ADR reporting though most of the respondents (84.3%) had experienced it in last 1 year. Most of the respondents experienced ADR with antibiotic (81.35%), NSAIDs (33.89%) & anticonvulsants (15.25%) and maximum (44.06%) experienced ADR was with skin, 30.50% with GIT and 23.03% with respiratory system involvement. The cause of under reporting was mainly due to inaccessible ADR form, busy schedule, unaware of how and whom to report and lack of motivation to report. The respondents would be encouraged to report ADR if they were provided with simple & available reporting form, regular guideline & bulletin. Conclusion: There is an urgent need for educational training & seminar regarding our national online reporting system to emphasizing ADR reporting. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 8-13
{"title":"Current Status of Adverse Drug Reaction Reporting by the Physicians in A Medical College Hospital","authors":"Maliha Ata, R. Hoque, A. Mostafa, Md Rakibul I Shakil, Rajat Sanker Roy Biswas, S. Akhter, Shamsunnahar B Mannan","doi":"10.3329/cmoshmcj.v20i2.56465","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56465","url":null,"abstract":"Background: In order to improve the spontaneous Adverse Drug Reaction (ADR) reporting practice by the physicians, there is an obligatory need to investigate the current situation of ADR reporting by them. The study was conducted to observe the ADR reporting pattern among physicians in a tertiary medical college hospital. \u0000Materials and methods: This was a descriptive cross sectional study carried out in a tertiary medical college hospital during the study period of March 2020 to October 2020. Data were collected from 100 physicians working on different departments using self designed pretested questionnaire by convenient sampling technique. \u0000Results: Among the 100 respondents 70 provided response to questionnaire giving a response rate 70%. Most of the respondents (61.43%) had adequate knowledge on ADR reporting. A good number of respondents showed positive attitude but there is no practice of ADR reporting though most of the respondents (84.3%) had experienced it in last 1 year. Most of the respondents experienced ADR with antibiotic (81.35%), NSAIDs (33.89%) & anticonvulsants (15.25%) and maximum (44.06%) experienced ADR was with skin, 30.50% with GIT and 23.03% with respiratory system involvement. The cause of under reporting was mainly due to inaccessible ADR form, busy schedule, unaware of how and whom to report and lack of motivation to report. The respondents would be encouraged to report ADR if they were provided with simple & available reporting form, regular guideline & bulletin. \u0000Conclusion: There is an urgent need for educational training & seminar regarding our national online reporting system to emphasizing ADR reporting. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 8-13","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84565541","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}
Pub Date : 2021-05-25DOI: 10.3329/CMOSHMCJ.V20I1.53578
Ruhul Amin, K. Islam
*Correspondence to: Dr. Md Ruhul Amin PhD Researcher Centre for Higher Studies and Research Bangladesh University of Professionals Dhaka, Bangladesh. Mobile : +88 01710 89 85 00 Email : ruhul31physio@yahoo.com Abstract Background: Intensive use of social media threat to physical health, visual disorders is one them. A cross-sectional analytical study was conducted to identify the visual hazards of social media users among students of public and private universities in Dhaka city.
{"title":"Visual Hazards of Social Media Users among University Students in Dhaka City: A Comparison between Public and Private Universities","authors":"Ruhul Amin, K. Islam","doi":"10.3329/CMOSHMCJ.V20I1.53578","DOIUrl":"https://doi.org/10.3329/CMOSHMCJ.V20I1.53578","url":null,"abstract":"*Correspondence to: Dr. Md Ruhul Amin PhD Researcher Centre for Higher Studies and Research Bangladesh University of Professionals Dhaka, Bangladesh. Mobile : +88 01710 89 85 00 Email : ruhul31physio@yahoo.com Abstract Background: Intensive use of social media threat to physical health, visual disorders is one them. A cross-sectional analytical study was conducted to identify the visual hazards of social media users among students of public and private universities in Dhaka city.","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"34 1","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73001297","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}
Pub Date : 2021-05-25DOI: 10.3329/CMOSHMCJ.V20I1.53585
M. N. Mohsin, N. Jagtap, Md. Mahbubur Rahman, N. Ali, A. Mamoon, E. Ahmed, T. Bhuiyan
*Correspondence to: Dr. Mostafa Noor Mohsin Assistant Professor Department of Gastroenterology Chittagong Medical College Chattogram, Bangladesh. Mobile : +88 01819 38 21 62 Email : mostafamohsin14@gmail.com Abstract Background: Rectal bleeding is a very common symptom. Intermittent passage of small amount of bright red blood from rectum is a clinical problem frequently found in patients of all ages. It’s often attributed by the patients to ‘piles’ and indeed haemorrhoids or piles are a common cause of this symptom. However, there are other causes and it is important to know what the possible causes are and how to investigate the symptom further. The type and amount of bleeding as well as the age of the patient are important in the initial assessment of the bleeding. Colonoscopy is the investigation of choice for establishing a diagnosis and treatment. In the current study, we aimed to study clinical utility of colonoscopy in young patients with chronic LGI bleeding.
*通讯:Mostafa Noor Mohsin博士，孟加拉国吉大港医学院消化内科助理教授。摘要背景:直肠出血是一种非常常见的症状。少量鲜红色血液从直肠间歇通过是一个临床问题，在所有年龄的患者中都经常发现。患者通常将其归因于“痔疮”，痔疮或痔疮是这种症状的常见原因。然而，还有其他原因，重要的是要知道可能的原因是什么，以及如何进一步调查症状。出血的类型和数量以及患者的年龄在出血的初步评估中是重要的。结肠镜检查是确定诊断和治疗的首选检查。在目前的研究中，我们的目的是研究结肠镜检查在慢性LGI出血的年轻患者中的临床应用。
{"title":"Clinical Utility of Colonoscopy in Young Patients with Rectal Bleeding in Bangladesh","authors":"M. N. Mohsin, N. Jagtap, Md. Mahbubur Rahman, N. Ali, A. Mamoon, E. Ahmed, T. Bhuiyan","doi":"10.3329/CMOSHMCJ.V20I1.53585","DOIUrl":"https://doi.org/10.3329/CMOSHMCJ.V20I1.53585","url":null,"abstract":"*Correspondence to: Dr. Mostafa Noor Mohsin Assistant Professor Department of Gastroenterology Chittagong Medical College Chattogram, Bangladesh. Mobile : +88 01819 38 21 62 Email : mostafamohsin14@gmail.com Abstract Background: Rectal bleeding is a very common symptom. Intermittent passage of small amount of bright red blood from rectum is a clinical problem frequently found in patients of all ages. It’s often attributed by the patients to ‘piles’ and indeed haemorrhoids or piles are a common cause of this symptom. However, there are other causes and it is important to know what the possible causes are and how to investigate the symptom further. The type and amount of bleeding as well as the age of the patient are important in the initial assessment of the bleeding. Colonoscopy is the investigation of choice for establishing a diagnosis and treatment. In the current study, we aimed to study clinical utility of colonoscopy in young patients with chronic LGI bleeding.","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"737 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90314209","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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