TAJ: Journal of Teachers Association最新文献

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C-Arm Guided Epidural Steroid Injection: An Effective Treatment for Patients with Radiculopathy in Tertiary Level Hospital of Bangladesh c臂引导硬膜外类固醇注射:孟加拉国三级医院神经根病患者的有效治疗
TAJ: Journal of Teachers Association Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68316
Tamjid Ali, M. Khasru, A. Salek, Alauddin Sikdar, Quazi Tamanna Haque
{"title":"C-Arm Guided Epidural Steroid Injection: An Effective Treatment for Patients with Radiculopathy in Tertiary Level Hospital of Bangladesh","authors":"Tamjid Ali, M. Khasru, A. Salek, Alauddin Sikdar, Quazi Tamanna Haque","doi":"10.3329/taj.v36i1.68316","DOIUrl":"https://doi.org/10.3329/taj.v36i1.68316","url":null,"abstract":"Introduction: Epidural steroid injections (ESI) have been utilized for over 50 years in the conservative therapy of prolapsed lumbar intervertebral discs. However, controversy persists regarding their effectiveness in reducing pain and improving function, with literature supporting and opposing them. \u0000Aim: To study the effectiveness of epidural steroid injection in treating pain caused by a prolapsed lumbar intervertebral disc and compare the effectiveness between caudal, transforaminal, and interlaminar injection routes. \u0000Materials and Methods: A total of 152 patients with back pain with Radiculopathy with a lumbar disc prolapse confirmed on MRI were included in the study. Their pre-injection Japanese Orthopedic Association Score (JOA) counted up. In this study, participants were enrolled using a simple randomization procedure (picking a card).in the Department of Physical Medicine & Rehabilitation at BSMMU, Dhaka, from May 2020 to April 2021. Among 152 patients were intervenes as transforaminal (n=62), caudal (n=53), and interlaminar (n=25) approach with subsequently received epidural steroids as methylprednisone. Twelve individuals were dropped from the trial because they failed to show up for their scheduled therapy. \u0000Results: The prevalence increased dramatically, leading to a JOA Score at 12 months following injection via any of the three methods 53 (37.26%) via the caudal pathway, 62 (44.21%) via transforaminal, and 25 (18.53%) via interlaminar. At six months and 12 months post-injection, the transforaminal route was substantially more efficacious than the caudal (p=0.01) and interlaminar routes (p=0.03). Comparing the caudal and interlaminar methods yielded no statistically significant difference (p=0.36). \u0000Conclusion: In the current study, methylprednisone epidural injections effectively treat radiculopathy and back pain caused by a herniated lumbar disc. All three injection techniques are adequate, with the best result obtained by the transforaminal route. \u0000TAJ 2022; 36: No-1: 113-118","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117173941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the Efficacy of Transcutaneous Electrical Nerve Stimulation and Short Wave Diathermy on Patients with Chronic Nonspecific Low Back Pain 经皮神经电刺激与短波热疗治疗慢性非特异性腰痛的疗效比较
TAJ: Journal of Teachers Association Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68284
Monjur Ahmed, Ahsanul Hoque, Nur A. Zannat, Z. Sadeque, T. Khan
{"title":"Comparison of the Efficacy of Transcutaneous Electrical Nerve Stimulation and Short Wave Diathermy on Patients with Chronic Nonspecific Low Back Pain","authors":"Monjur Ahmed, Ahsanul Hoque, Nur A. Zannat, Z. Sadeque, T. Khan","doi":"10.3329/taj.v36i1.68284","DOIUrl":"https://doi.org/10.3329/taj.v36i1.68284","url":null,"abstract":"Background: Transcutaneous electrical nerve stimulation (TENS) is widely used as a therapeutic adjunct in the management of low back pain. It is a relatively safe, non-invasive, and easy-to-use modality, making it an attractive treatment option. For more than four decades, TENS has been applied in the treatment of acute and chronic pain syndromes.  Short wave diathermy (SWD) is a modality that produces deep heating by converting electromagnetic energy to thermal energy. Short wave diathermy (SWD) is also a popular therapy for low back pain. \u0000Methods: This randomized controlled clinical trial was conducted to evaluate the comparative efficacy between TENS and SWD on chronic nonspecific low back pain patients. One hundred twenty patients with chronic low back pain were treated according to inclusion & exclusion criteria. Patients were equally distributed in three groups. Group-A patients (n=40) were treated with NSAID+ADL, Group-B patients (n=40) were treated with NSAID+ADL+TENS, and Group-C patients (n=40) were treated with NSAID+ADL+SWD. Written informed consent was obtained from all patients. Data were calculated and analyzed by computer-based software SPSS (Statistical Package for Social Science) Windows 16.0 version.  Main outcome measure (s): Subjective pain intensity score, visual analogue scale, tenderness index, disability due to pain, spinal mobility index, and Oswestry disability index. \u0000Results: The mean duration of pain was found to be 23.90±2.57 months in group A, 21.0+1.50 months in group B and 22.1±1.89 months in group C. The visual analog score was improved individually in group-A, group B and Group C after treatment, which was statistically significant (P<0.05). Oswestry disability questionnaire score was also improved individually in group-A, group B and Group C after treatment, which was statistically significant (P<0.05). In the case of comparison between Group B and Group C, this was not statistically significant (P>0.05). In this current study, it was observed that the entire variable individually improved in Group-A, Group B, and Group C. So, all three treatment groups benefited from drugs and therapy. However, these were not statistically significant (P>0.05) between Group B and Group C. \u0000Conclusion: Beneficial effects of TENS and SWD were seen in the study population, but no firm conclusion could be drawn. \u0000TAJ 2022; 36: No-1: 63-73","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132135250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determination of Minimum Inhibitory Concentration of Different Antibiotics against Pseudomonas aeruginosa by E- test at a Tertiary Care Hospital 某三级医院不同抗生素对铜绿假单胞菌最低抑菌浓度的测定
TAJ: Journal of Teachers Association Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68281
Mst. Romena Khatun, Khandaker Md Faisal Alam, S. G. Nahar, N. Begum, Md. Khaled Shahrear, Quazi Tamanna Hauqe
{"title":"Determination of Minimum Inhibitory Concentration of Different Antibiotics against Pseudomonas aeruginosa by E- test at a Tertiary Care Hospital","authors":"Mst. Romena Khatun, Khandaker Md Faisal Alam, S. G. Nahar, N. Begum, Md. Khaled Shahrear, Quazi Tamanna Hauqe","doi":"10.3329/taj.v36i1.68281","DOIUrl":"https://doi.org/10.3329/taj.v36i1.68281","url":null,"abstract":"Background: Antimicrobial drug resistance is a matter of worldwide concern. Different microorganisms, including bacteria, are becoming more resistant day by day. So it is of utmost importance to know the antimicrobial susceptibility pattern not only for initiation of treatment but also for prevention of drug resistance. By determining minimum inhibitory concentration (MIC) by Epsilometer-test (E-test), we can determine the exact dose of a particular drug. \u0000Aims: The study is aimed to determine the MIC of different antibiotics against intermediate isolates of P. aeruginosa isolated from clinically suspected patients of chronic suppurative otitis media (CSOM). \u0000Materials and Methods: A cross-sectional type of descriptive study was conducted in the Department of Microbiology, Rajshahi Medical College, Rajshahi, during the period of January 2019 to December 2019 to identify the causative bacteria of CSOM with their antibiotic susceptibility pattern. A total of 96 aural swabs were collected from clinically suspected cases of CSOM, irrespective of age and sex, in the ENT department of Rajshahi Medical College Hospital, Rajshahi. Isolation and identification of bacteria were made as per standard procedure, and then antimicrobial susceptibility testing was performed by the disc diffusion method. At last, E-test was performed on different antibiotics against intermediate isolates of P. aeruginosa. \u0000Results: Among 73 isolates, 37 showed intermediate susceptibility towards selected antibiotics such as beta-lactams (Ceftazidime, Ceftriaxone), aminoglycosides (Gentamicin), and quinolones (Ciprofloxacin) by disc diffusion method. Among 37 intermediate isolates, P. aeruginosa was 14 in number. Regarding MIC breakpoints in terms of susceptibility, out of 14 intermediate isolates of P. aeruginosa, 09(64.28%) isolates were susceptible, 03(21.43%) intermediate, and 2(14.28%) were resistant to different antibiotics by E-test. \u0000Conclusion: In this study, higher susceptibility of different antibiotics against intermediate isolates of P. aeruginosa was observed by E-test than the disc diffusion method. \u0000TAJ 2022; 36: No-1: 47-54","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127965139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Outcome of Obese Pregnant Mother Having Gestational Diabetes Mellitus 肥胖孕妇患妊娠期糖尿病的结局
TAJ: Journal of Teachers Association Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68305
H. Pervin, S. Jesmin, N. Nahar, N. Yusuf, Mst Shorifa Rani
{"title":"The Outcome of Obese Pregnant Mother Having Gestational Diabetes Mellitus","authors":"H. Pervin, S. Jesmin, N. Nahar, N. Yusuf, Mst Shorifa Rani","doi":"10.3329/taj.v36i1.68305","DOIUrl":"https://doi.org/10.3329/taj.v36i1.68305","url":null,"abstract":"Background: Gestational diabetes mellitus (GDM) is a public health issue, mainly affecting the Southeast Asian region and Bangladesh( prevalence 9.7 % - 12.9%). It has a significant adverse impact on maternal and fetal outcomes. Obesity is one of the common nutritional problems complicating pregnancy in developed countries. Body mass index > 30 kg/m2 is a globally accepted definition of obesity. The body fat percentage is considered to be higher in the Asian population compared to the European population at the same level of BMI, and therefore, different cut-off levels are recommended for Asians. The provisional recommendations for the Asian Pacific region published in February 2000 by the WHO regional office for the western pacific, the International Association for the Study of Obesity, and the international obesity Task Force are overweight at BMI >23 and obese at BMI > 25 kg/m2. There is a strong association between maternal obesity and gestational diabetes mellitus. So it needs to be addressed energetically to avoid maternal and fetal morbidity and mortality. \u0000Materials and methods: This cross-sectional type of comparative study was carried out in the Gynae outdoor and indoor departments of Rajshahi medical college hospital, Rajshahi, and Rajshahi Diabetic Hospital. All patients following inclusion and exclusion criteria on the basis of history and clinical examination were selected. 37 patients are obese having BMI > or = 25 kg/m2 and 55 having BMI < 25 kg/m2. Besides the baseline investigations, some specific investigations like serum urea, creatinine, HbA1C, lipid profile, and ophthalmoscopy were carried out to assess the status of end organs. \u0000Results: Vulvovaginitis was more in the obese group than without the obese group, which was 27.03% and 7.24%, respectively. The difference was statistically significant between the two groups (P < 0.05). But PET, UTI, and polyhydramnios were statistically not significant between the two groups (P>0.05). Cesarean section incidence was higher in all GDM patients, and the difference was not statistically significant. Preterm delivery was 13.51% in GDM with obese patients and 3.64% in GDM with non-obese patients, which was statistically significant. Maternal postpartum complications, including PPH, UTI, and wound infection, were 10.81%, 21.62%, and 5.41 %, in GDM, with the obese group and 3.64%, 12.73%, and 1.82%, respectively, in the non-obese group. The rest of the variables had statistically insignificant differences between the two groups (P> 0.05). Fetal distress was not statistically significant. Regarding perinatal outcome, macrosomia was 16.22% and 5.45% in obese and non-obese groups, respectively. The difference was statistically significant between the two groups (P< 0.05). Hypoglycemia in the obese group was 13.51%, and in the non-obese group, 3.64%; the difference is also statistically significant (P< 0.05). However, birth asphyxia, hyperbilirubinemia, and RDS were statistically not signifi","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124867021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histomorphological Study of Different Ovarian Lessons in a Tertiary Care Hospital 某三级医院不同卵巢课程的组织形态学研究
TAJ: Journal of Teachers Association Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68275
Anindita Sarkar, S. Asafudullah, K. Khanam, A. Sultana, Nazifa Islam, Samrose Sultana, Sunandita Sarkar
{"title":"Histomorphological Study of Different Ovarian Lessons in a Tertiary Care Hospital","authors":"Anindita Sarkar, S. Asafudullah, K. Khanam, A. Sultana, Nazifa Islam, Samrose Sultana, Sunandita Sarkar","doi":"10.3329/taj.v36i1.68275","DOIUrl":"https://doi.org/10.3329/taj.v36i1.68275","url":null,"abstract":"Objective: The present study is to ascertain the relative frequency, histologic types, and age distribution of both neoplastic and non–neoplastic ovarian lesions in the Rajshahi medical college hospitals and compare the results with similar studies in other regions of this country and abroad. \u0000Methods & Materials: This cross-sectional study was conducted in the Department of Pathology, Rajshahi Medical College, over one year from January 2021 to December 2021. A total of 144 cases of ovarian lesions were included in this study. Inflammatory conditions and developmental anomalies were excluded. \u0000Result: Out of 144 cases of ovarian masses studied, 104 (72%) were neoplastic. The common types were Surface epithelial tumors (70%), germ cell tumors (23%), and sex-cord stromal tumors (7%). The age range of ovarian tumors was 5 to 70 yrs, and the highest incidence was between 21-50 yrs. Most of the ovarian tumors were bilateral (85%). \u0000Conclusion: Varying types of both non-neoplastic and neoplastic ovarian lesions were seen. Benign tumors were more common than malignant tumors in all age groups. Surface epithelial cell tumors, followed by germ cell tumors, were the most common tumor. Serous cystadenoma was the most common tumor. Tumour types varied in different age groups. \u0000TAJ 2022; 36: No-1: 17-22","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127896562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frequency and Outcome of Acute Respiratory Tract Infection in Exclusive, Partial, and Non-Breastfed Babies 纯母乳、部分母乳和非母乳喂养婴儿急性呼吸道感染的频率和结局
TAJ: Journal of Teachers Association Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68323
Sanchita Sarker, B. Ahmmad, Md Mosharrof Hossain, S. C. Paul, C. Ara, Md Asgar Hossain
{"title":"Frequency and Outcome of Acute Respiratory Tract Infection in Exclusive, Partial, and Non-Breastfed Babies","authors":"Sanchita Sarker, B. Ahmmad, Md Mosharrof Hossain, S. C. Paul, C. Ara, Md Asgar Hossain","doi":"10.3329/taj.v36i1.68323","DOIUrl":"https://doi.org/10.3329/taj.v36i1.68323","url":null,"abstract":"Background: Exclusive breastfeeding provides nutritional and immunological support for the normal growth and development of the infant. Bangladesh is traditionally a breastfed community. The probability of having an acute respiratory infection (ARI) episode was higher for formula-fed infants than fully breastfed infants during the first four months of life. The risks for partially breastfed infants fell between those of formula-fed and fully breastfed infants, suggesting a dose-response effect of breastfeeding on the risk of respiratory infection. \u0000Objective: This study compares exclusive, partial, and non-breastfed groups regarding the frequency and outcome of acute respiratory infection.  Materials and methods: This cross-sectional comparative study was done at the Department of Pediatrics, Rajshahi Medical College Hospital, from January 2013 to June 2013, a period of six months. A total of 300 cases of infants suffering from ARI were selected. Among them, 100 are each for exclusive breastfed (EBF) babies, partially breastfed babies (PBF), and non-breastfed (NBF) babies. In addition, demographic profile, frequency, severity of attacks, outcomes, and length of hospital stay were assessed. \u0000Results: Most EBF babies came to the hospital with a history of one or two attacks of ARI, but PBF and NBF babies had multiple attacks. i.e., two, three, or more attacks. Most of the NBF and PBF have presented with severe attacks (84% and 72%, respectively), whereas only 42% of EBF babies presented with severe attacks; nonetheless, a maximum of 58% of EBF babies present with mild attacks. The severe attack is more frequent in the PBF and NBF groups than in the EBF groups. \u0000Conclusion: Frequency, severity, and hospital staying of ARI attacks are found to be more in the PBF and NBF group of babies than in EBF babies. Better outcomes were found in EBF group babies. \u0000TAJ 2022; 36: No-1: 135-141","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133032849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Zinc Supplementation on Duration of Acute Watery Diarrhoea in Children aged Six Months to Five Years 补充锌对6个月至5岁儿童急性水样腹泻持续时间的影响
TAJ: Journal of Teachers Association Pub Date : 2023-08-24 DOI: 10.3329/taj.v36i1.68315
Dilruba Sultana, B. Ahmmad, A. Kashem, Md. Fazlul Kader, M. K. Das, Md. Belal Uddin, Md Sanaul Haque Mia
{"title":"Effect of Zinc Supplementation on Duration of Acute Watery Diarrhoea in Children aged Six Months to Five Years","authors":"Dilruba Sultana, B. Ahmmad, A. Kashem, Md. Fazlul Kader, M. K. Das, Md. Belal Uddin, Md Sanaul Haque Mia","doi":"10.3329/taj.v36i1.68315","DOIUrl":"https://doi.org/10.3329/taj.v36i1.68315","url":null,"abstract":"Background: Diarrheal disease is one of the leading causes of morbidity and mortality among young children under five years of age in developing countries. The longer duration of diarrhea increases the chance of morbidity and mortality. Zinc supplementation decreases the duration of diarrhea. It is a straightforward, acceptable, low-cost, and effective treatment that could easily be affordable in our country. \u0000Objective: This study aimed to determine the effect of zinc supplementation on the duration of acute watery diarrhea.  Materials and Methods: A total of 106 subjects were included in this study over six months, from December 2014 to May 2015. Detailed information was obtained from each patient. A total of 106 patients were taken. Among them, 53 patients (group A) were given zinc with Oral Rehydration Salts (ORS), and 53 patients (Group B) were given ORS only. However, three patients in each group were lost during follow-up. Data were analyzed by using a standard statistical method (SPSS version 16.0). \u0000Results: The duration of diarrhea was three days in 56% of patients in the zinc-supplemented group, but it was only 20% in the control group. The frequency of stool gradually decreased over five days. It was more marked in zinc supplemented group. The p-value was 0.001. Vomiting occurred in 30% of patients in zinc supplemented group, and in the control group, it was only 20%. The p-value was 0.5. So we conclude that oral zinc administration in acute watery diarrhea (AWD) decreases the duration and causes early recovery and may be considered in the management of AWD. \u0000Conclusion: Oral zinc administration in acute watery diarrhea decreases the duration and frequency of diarrhea in children aged six months to five years by changing the natural course of acute diarrheal disease. \u0000TAJ 2022; 36: No-1: 107-112","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115081501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lipid Profile among Pregnant and Non-Pregnant Women in Rajshahi City 拉杰沙希市孕妇和非孕妇血脂分析
TAJ: Journal of Teachers Association Pub Date : 2023-01-04 DOI: 10.3329/taj.v35i2.63720
Bedowra Begum, Shamima Nazneen Rupa, A. Sayem, S. Akhter, Susmita Sharmin, Sumayra Jhumu, Mst Fatema Khatun
{"title":"Lipid Profile among Pregnant and Non-Pregnant Women in Rajshahi City","authors":"Bedowra Begum, Shamima Nazneen Rupa, A. Sayem, S. Akhter, Susmita Sharmin, Sumayra Jhumu, Mst Fatema Khatun","doi":"10.3329/taj.v35i2.63720","DOIUrl":"https://doi.org/10.3329/taj.v35i2.63720","url":null,"abstract":"Background: Pregnancy is a physiological state with rapid hormonal and metabolic changes that helps the growth and survival of the fetus properly. However, biochemical profile derangement may lead to pregnancy complications and, eventually maybe, death.  Objectives: This study aimed to investigate whether lipid profile (Serum total cholesterol, Serum triglyceride, HDL-C, and LDL-C) during 3rd trimester of pregnancy differs from non-pregnant women of similar reproductive life. \u0000Materials & Methods: This cross-sectional type of comparative study was carried out in the Physiology Department of Rajshahi Medical College in collaboration with the Maternity and Child Welfare Centre (MCWC), Rajshahi, over a period of 12 months from January 2019 to December 2019 among the pregnant and non-pregnant women to investigate the lipid profile during 3rd trimester of pregnancy. Approval from the Ethical Review Committee (ERC) was obtained prior to the commencement of the study. A pre-designed, validated, structured questionnaire was used to gather information from 120 women by purposive sampling technique. Of them, 60 were pregnant women, and 60 were non-pregnant healthy women. \u0000Results: The Results showed that the total serum cholesterol, serum triglyceride, and LDL-C were raised among pregnant women compared to non-pregnant women, and these were statistically significant (p < 0.001). But no significant difference in HDL-C was found between the two groups (p > 0.05). In this study, it was found that there was a substantial raised in lipid profile in the 3rd trimester of pregnancy compared with non-pregnant healthy women. So, regular monitoring of the lipid profile of pregnant women should be done to avoid adverse pregnancy outcomes. \u0000Conclusion: Total metabolism is increased due to the needs of the growing fetus and the uterus. Basal metabolic rate may be increased up to 30% higher than that of the average for non-pregnant women. \u0000TAJ 2022; 35: No-2: 51-58","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115334136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Sigmoid Volvulus: Outcome of Primary Resection & Anastomosis in a Tertiary Hospital 某三级医院急性乙状结肠扭转一期切除吻合术的疗效
TAJ: Journal of Teachers Association Pub Date : 2023-01-04 DOI: 10.3329/taj.v35i2.63692
Shantona Rani Paul, Md. Nowshad Ali, Smawia Shahid, S. C. Paul, M. N. Haque, Md Zamil Hossain
{"title":"Acute Sigmoid Volvulus: Outcome of Primary Resection & Anastomosis in a Tertiary Hospital","authors":"Shantona Rani Paul, Md. Nowshad Ali, Smawia Shahid, S. C. Paul, M. N. Haque, Md Zamil Hossain","doi":"10.3329/taj.v35i2.63692","DOIUrl":"https://doi.org/10.3329/taj.v35i2.63692","url":null,"abstract":"Background: Sigmoid volvulus occurs when the sigmoid colon twists on its mesentery and is a cause of intestinal obstruction. \u0000Method: This was a descriptive study conducted at the Surgery department of Rajshahi Medical College Hospital during the period from May 2009 to June 2011. Ethical consideration was taken from all the patients. The sample size was 50 with acute sigmoid volvulus. Data were processed and analyzed through SPSS (Statistical package for social sciences). A value of p ≤0.05 was considered significant statistically. \u0000Result: Most patients (56%) were diagnosed with acute sigmoid volvulus from the age range of 51-60, among whom male patients had a prevalence (92%). Most of them (92%) were economically impoverished. 36% of patients came to the hospital for treatment from 37-48 hours of illness. The post-operative complication was mild due to wound infection in 10% of patients. Hospital stay was 8-10 days for 76% of patients without complications postoperatively and 11-13 days for 14% of patients. Severe complication Resulting in hospital stay was seen in 4% of patients. \u0000Conclusion: Emergency resection of the sigmoid colon and anastomosis in unprepared bowel was an attractive and preferred option in a setting where patients are poor, hospital care often unaffordable and hospital beds are few. \u0000TAJ 2022; 35: No-2: 13-18","PeriodicalId":373921,"journal":{"name":"TAJ: Journal of Teachers Association","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128480019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategies to Combat Antimicrobial Resistance 抗击抗菌素耐药性的战略
TAJ: Journal of Teachers Association Pub Date : 2023-01-04 DOI: 10.3329/taj.v35i2.63691
Md Azizul Haque
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