Z H Sikder Women’s Medical College Journal最新文献

{"title":"Diagnostic Dilemma of Tuberculosis among HIV-positive patients: Challenges and Advances","authors":"Sharma M","doi":"10.47648/zhswmcj.2024.v0602.11","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.11","url":null,"abstract":"HIV/TB co-infection presents a significant public health challenge due to the synergistic interaction between the twopathogens. HIV weakens the immune system, making individuals more susceptible to TB infection and reactivationof latent TB. Conversely, active TB accelerates the progression of HIV to AIDS by further compromising immunefunction, increasing viral replication, and promoting viral mutation. This interaction not only worsens clinical outcomesbut also increases mortality rates among people living with HIV (PLWH). The mutual enhancement of these pathogensmeans that HIV infection increases the likelihood of TB infection and reactivation due to the compromised immunesystem. TB infection, in turn, accelerates the deterioration of immune function in PLWH, leading to faster progressionto AIDS. Active TB is a leading cause of death among PLWH. In 2019, approximately 33% of the 690,000 AIDS-related deaths were attributable to HIV-associated TB.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712518","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}

{"title":"Caring for Grandchildren: Assessing the Psychological Well-being of Urban Grandparents","authors":"Nahar A","doi":"10.47648/zhswmcj.2024.v0602.04","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.04","url":null,"abstract":"Introduction: Grandparents hold significant responsibility alongside parents in nurturing and raising theirgrandchildren. This dynamic not only strengthens familial ties but also supports employed parents.\u0000\u0000Methods: Thishousehold study aimed to assess the psychological well-being (PSW) of 171 urban grandparents, selected purposively,through face-to-face interviews using a semi-structured questionnaire conducted from January to December 2018in Uttara, Dhaka.\u0000\u0000Results: The mean age of the grandparents was 57.9 years, and more than half of them (53.8%)were under 60 years old. A significant number of grandparents experienced severe stress (70.8%), along with mildanxiety (69.6%) and depression (61.4%). In contrast, only a small portion of grandparents (5.3%) reported feelingsof loneliness within their family. Individuals under the age of 60 exhibited higher mean scores for stress, loneliness,anxiety, and depression in comparison to those aged 60 and above. There was also a positive correlation observedbetween the total scores of loneliness, anxiety, and depression with the total scores of stress (p<0.05).\u0000\u0000Conclusion: The majority of grandparents experienced high levels of stress, and some were suffered from loneliness, anxiety anddepression. To enhance the PSW of grandparents, efforts should focus on improving their quality of life.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"24 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715367","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}

{"title":"Academic stress and its Psychological impact on Undergraduate Medical Students during COVID-19 pandemic in Bangladesh","authors":"Ansari M","doi":"10.47648/zhswmcj.2024.v0602.07","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.07","url":null,"abstract":"Background: COVID-19 is an emerging disease has a wide range of effects on all spheres of life, students’ academicperformance and psychological health in particular. Objective: To assess the academic stress and its psychologicalimpact on undergraduate medical students during COVID-19 pandemic.\u0000\u0000Materials and Methods: A descriptivecross-sectional study was conducted among 311 under-graduate medical students of purposively selected fiveprivate medical colleges in Dhaka, Shariatpur and Kishoreganj districts from August to December 2021. PerceivedStress (PS) was measured with the Perceived Stress Scale (PSS-10), data were collected using pretested mailedquestionnaire.\u0000\u0000Results: Mean age of the respondents was 21.22 ± 1.18 years; 181(58.20%) of the participantswere females, 265(85.2%) were Muslim. About three-fourths 221(71.06%) had no inclination to online learning,203(65.27%) had limited or restricted online network status; 160(51.45%) felt stress due to frequent examinations.More than one-third 106(34.08%) never experienced peer competition. Two-thirds 208(66.88%) of the respodentshad moderate, 64(20.6%) low level and 39(12.5%) had high level of Perceived Stress Score (PSS) with meanPS score of 18.43±7.35. The mean PS score was low in the age group of 25 to 29 years which is statisticallysignificant (p<0.05), PS score was significant for attending year (p<0.05). Two-fifths 130(41.80%) male studentshad higher mean perceived stress score than their female counterparts which is insignificant statistical (p>0.05).\u0000\u0000Conclusion: The participants were incompetent to handle personal problems; incapable to control irritability andstress; fail to cope with the assigned tasks; get nervous, feel anger and get agitated for facing unexpected events.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698055","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}

{"title":"Factors Affecting Street Food Vendors’ Safety Procedures and Their Awareness of the Health Risks to Customers","authors":"Tabassum N","doi":"10.47648/zhswmcj.2024.v0602.03","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.03","url":null,"abstract":"Background: Food and beverages that are prepared and sold by sellers on places like the streets. Street food sellinghas become a booming business in developing countries like Bangladesh. This study aimed to find out the food safetypractices of street food vendors and their knowledge regarding the health hazards of the consumers in selected areas in Dhaka city.\u0000\u0000Method: This was a cross-sectional study to assess the level of food safety practices among the street foodvendors and their knowledge regarding health hazards of the consumers in selected areas in Dhaka city.\u0000\u0000Result: Themean age of the respondents was 30.85 years. Almost 94% of the respondents were male. Among all the respondents 37.2% completed secondary educational level. 73.7% of respondents were working for more than 20 years. Almost78.9% of respondents had a monthly income between 10001 to 30000 BDT. Almost respondents 65.4% were married.Almost 50.7% half of respondents had the habit of taking paan (Betel Leaf), bidi (a type of cheap cigarette madeof unprocessed tobacco wrapped in leaves)/cigarette, gul (remains of tobacco cake after it has been smoked). 96%of respondents had average safety practices. 72.0% of respondents had good knowledge about health hazards. Theassociation between educational qualification, income, personal habits and knowledge regarding health hazards issignificant. The association between knowledge regarding health hazards and food safety practices of the consumersis found significant.\u0000\u0000Conclusion: It is “easy to enter” businesses in developing nations like Bangladesh, where theunemployment rate is relatively high. This study of street food sellers in a few different parts of Dhaka city revealedthat the vendors have an average safety practice and good knowledge about potential health risks. The result of thestudy sets the stage for further investigations into food safety and knowledge about potential health risks.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"211 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141692651","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}

{"title":"Parry-Romberg Syndrome: Case Report of a Rare Type of Linear Scleroderma","authors":"Akter L","doi":"10.47648/zhswmcj.2024.v0602.12","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.12","url":null,"abstract":"Parry–Romberg syndrome (PRS), which is also known as Progressive hemifacial atrophy, is a form of linearscleroderma of the face and head. The hallmark of this presentation is varying degrees of atrophy at one side of face,affecting the subcutaneous fat, muscle, and underlying bone structures, with mild or absent epidermal and dermalchanges. Here we report a 10-year-old girl presented with right hemifacial atrophy and convulsion. Considering theclinical features and laboratory workup diagnosis was consistent with Parry–Romberg syndrome (PRS).","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706273","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}

{"title":"Salmonella Hepatitis in a 10-year Old Boy: A Case Report","authors":"Kadir S","doi":"10.47648/zhswmcj.2024.v0602.13","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.13","url":null,"abstract":"Enteric fever is an acute systemic disease caused by ingestion of food or water contaminated with the organismSalmonella typhi or Salmonella paratyphi. It can involve virtually any body system and can present with a multitudeof presentations. Salmonella hepatitis is a recently coined term to describe the hepatic complications of typhoid fever.Acute hepatitis prevalence due to Salmonella is 1% to 26% of patients. We report a case of 10-year old boy whopresented with fever, jaundice and tender hepatomegaly. His blood culture was positive for Salmonella typhi andliver function test shows Acute hepatitis like picture. His ALT/ LDH ratio was 3 (ALT/LDH ratio< 9 is suggestiveof Salmonella hepatitis). He recovered completely to prompt administration of appropriate antibiotic therapy withsupportive management.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"12 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849362","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}

{"title":"A Retrospective overview of Medico Legal Study on poisoning death in Dhaka medical college","authors":"Biswas UK","doi":"10.47648/zhswmcj.2024.v0602.08","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.08","url":null,"abstract":"Background: Poisoning deaths are filed as mostly unnatural death in Bangladesh. Both accidental and intentionalpoisoning is not uncommon. By these deaths are significant contributor to mortality and morbidity day by day.Objective: The main objectives of these studies were to find out the incidences and pattern of poisoning in rural areas.The present study carried out to evaluate the type of poisoning deaths among the unnatural death at DMC morgue forautopsy over a period of one year from January 2023 to December 2023.\u0000\u0000Material and method: This retrospectivestudy was conducted in the year January 2023 to December 2023 in the morgue of Forensic Medicine and Toxicologydepartment of Dhaka Medical College. Out of total 2156 medico legal autopsies, 387 (17.93%) were poisoningdeaths during the study period.\u0000\u0000Result: Specific poisons were identified in 301(77.69%) cases. Maximum number ofpoisoning deaths cases reported was due to Organo Phosphorous compound (65.36%). Peak incidence (35.81%) wasobserved in the age group 21-30 years, with male female ratio of 1.12: 1. Agricultural workers have been found to be amajor (31.86%) risk group by occupation. Most of the victims were from rural areas (62.37%). Married outnumberedthe unmarried victims 230(59.47%) and belonged to lower socioeconomic status202 (52.17%); 224 Cases (57.89%)did not complete their primary education. Intentional poisoning deaths (90.93%) were more.\u0000\u0000Conclusion: To reducepoisoning cases proper emphasis should be given for safe use of pesticides and awareness should be created amongthe population about poisonous compounds.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702846","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}

{"title":"Nutritional status and dietary intake pattern among under-5 children of ethnic minorities living in Chittagong Hill Tracts, Bangladesh: Influence on socioeconomic and dietary factors on chronic malnutrition","authors":"Akter A","doi":"10.47648/zhswmcj.2024.v0602.05","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.05","url":null,"abstract":"Background: Present study retrospectively investigated the nutritional status and nutrient intake pattern of under-5(U5) children of ethnic minorities living in three districts of Chittagong hill tracts (CHTs) of Bangladesh.\u0000\u0000Materialsand Methods: In 2022, data of 232 children (aged 1-5 years) under 505 male-headed households of three hillydistricts were extracted from the Nutrition, Health, and Demographic Survey (NHDS, 2013), rearranged and analyzedto determine which socioeconomic/dietary factors are associated with the prevalence of malnutrition among U5ethnic children. NHDS was a cross-sectional survey, under the framework of the integrated multipurpose Sample(IMS) design, conducted among Bangladeshi people of all ages including ethnic minorities living in three districts(e.g., Rangamati, Khagrachori, and Bandarban) of CHTs. ‘WHO (2006) child growth standard’ was used to assessU5 nutritional status, 24-hour dietary recall for ‘Nutrient intake’ assessment, and all data were analyzed employingstatistical software packages.\u0000\u0000Results: Most of the fathers/mothers were in the 26-35 age groups while respectively56.1% and 34.1% fathers and mothers had formal education. Majority (47.4%) of the fathers were farmers, andmothers (69.8%) were house makers with a mean income of 9956.7±459.0 and 2612.8±149.1 BDT, respectively.The overall prevalence of stunting, wasting, and underweight were respectively 28.5%, 20.3%, and 24.6%, with nogender differences (P>0.05). Nutrient analysis indicates the majority of U5 children’s (especially 1-3 years) diet weredeficient in calcium and vitamin A, who met 58.0% of recommended dietary allowances (RDA) for both nutrients.However, RDA fulfillment of protein, iron, and vitamin C were much higher than the recommended level. Multiplelogistic regression outlined that the father’s illiteracy (aOR=4.9), and income ≤7000 BDT (aOR=3.4), <4 dietarydiversity score/DDS (aOR=4.1), <1650 Kcal intake/day (aOR=2.9), and calcium intake ≤250 mg/day (aOR=2.6) weresignificantly associated with the prevalence of stunting.\u0000\u0000Conclusion: Higher prevalence of chronic malnutrition wasobserved among U5-children living in CHTs, Bangladesh. Majority of U5 children’s diet deficient in energy, calcium,and vitamin A, especially in the 1-3 years.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"34 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691194","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}

{"title":"Public Health Challenges of Bangladesh","authors":"Tarafdar MA","doi":"10.47648/zhswmcj.2024.v0602.01","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.01","url":null,"abstract":"","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"12 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141700677","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}

{"title":"An open clinical trial of Mefenamic Acid in Primary Dysmenorrhoea of Medical Students of Sylhet MAG Osmani Medical College, Sylhet","authors":"Nahar A","doi":"10.47648/zhswmcj.2024.v0602.06","DOIUrl":"https://doi.org/10.47648/zhswmcj.2024.v0602.06","url":null,"abstract":"Background: Dysmenorrhea is one of the most common gynecological disorders among adolescent girls.\u0000\u0000Materialand Methods: This was an open clinical trial conducted in the Department of Pharmacology and Therapeutics,Sylhet MAG Osmani Medical College, Sylhet from July 2018 to June 2019. It involved 45 unmarried female medicalstudents of Sylhet MAG Osmani Medical College, Sylhet with primary dysmenorrhea and moderate to unbearablepain during menstruation (baseline VAS score 4cm or above). Diagnosis of primary dysmenorrhea was confirmed bygynaecologist. Visual Analog Scale (VAS), and Cox Menstrual Symptom Scale (CMSS) were used for grading of painseverity and duration of pain respectively before treatment.\u0000\u0000Result: Each participant received 250 mg Mefenamic acidevery 12 hourly for 5 days. The treatment course continued for three menstrual cycles. VAS and CMSS were assessedin each cycle. The VAS score was significantly decreased from baseline (7.02 ± 0.72) to end of treatment at 3rd cycle(3.56 ± 0.55 (p<0.001). The CMSS also significantly decreased from baseline (3.96 ± 0.21) to end of treatment at 3rdcycle (1.33 ± 0.48) (p<0.001). Recorded adverse effects were nausea and or vomiting (24.4%), heart burn (31.1%) anddizziness (2.2%) were mild and no discontinuation was needed.\u0000\u0000Conclusion: Mefenamic acid is effective and safe inprimary dysmenorrhoea.","PeriodicalId":146386,"journal":{"name":"Z H Sikder Women’s Medical College Journal","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693210","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}