The Journal of Sylhet Women’s Medical College最新文献

{"title":"Comparative Study between Stapled and Excision Haemorrhoidectomy for the Treatment of Haemorrhoids","authors":"Mowla G, Chowdhury JM, Rahman S, Munim MI, Ahmed J","doi":"10.47648/jswmc2022v1201-02","DOIUrl":"https://doi.org/10.47648/jswmc2022v1201-02","url":null,"abstract":"Introduction: There are different techniques for the treatment of hemorrhoidal diseases. Stapled haemrrhoidectomy is one of the modern technique which has shown little postoperative pain, less hospital stay and early go back to work. This study has been done to compare stapled haemorrhoidectomy with conventional excision hemorrhoidectomy.\u0000\u0000Methodology: The study was done in the Department of Surgery, Women’s Medical College Hospital and different private clinics in Sylhet District, from July 2016 to December 2017.A total of 42 patients were selected fulfilling the inclusion criteria to the stapled (n=21) and openexcision (n=21) group .Those patients having any other associated anal pathology like fistula, fissure, abscess and neoplasm were excluded from the study. Lithotomy position and spinal anesthesia were chosen for all the patients. Both the procedures were evaluated on the basis of total operative time, pain scores, complications, hospital stay and go back to work.\u0000\u0000Results: The mean age of patients was similar in both groups , that is 45.02 years (SD 12.30) in the stapled group and 47.54 years (SD13.50) in the open excision group.Male patients were more affected in both the groups ( 80.9%% in the stapled and 85.7% in the open group). Operative time was significantly less in the stapled group than in the open group (P .oo1). The blood loss, pain scores and requirement of analgesics was significantly less in the stapled group (P o.oo1). Average hospital stay was 2.20 days (SD 0.62) ) in the stapled group and 3.25 days (SD 1.01 ) days in the open group( P 0.01). Patients of the stapled group returned to work earlier (8.18days [SD2.24] as compared with 18.87 days [SD5.34] in the open group [P 0.001 ]). Maximum follow-up period was 6 months.\u0000\u0000Conclusions: Hemorrhoidectomy by stapled procedure is a safe and effective procedure for the treatment of grade II and grade III hemorrhoidaldieases. Early discharge and return to work are possible by this procedure. Furthermore, complications are as like as that of the open technique.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133012767","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":"Histomorphological Spectrum of Pleural Biopsy Specimen of Exudative Pleural Effusion in a Tertiary Care Hospital in Bangladesh","authors":"Pew ND, Hye AQM A, Bari MZJ, Roy S, Choudhury RA, Bhattacharjee B, Patwary MI","doi":"10.47648/jswmc2022v1201-05","DOIUrl":"https://doi.org/10.47648/jswmc2022v1201-05","url":null,"abstract":"Background: The commonest manifestation of pleural pathology is pleural effusion. Most of the time, in spite of routine biochemical and cytological examination of pleural fluid we can’t evaluate the etiology of pleural effusion.\u0000\u0000Aim: Aim of present study was to make an etiological diagnosis of exudative pleural effusion by pleural biopsy and histopathological examination.\u0000\u0000Study design and setting: Fifty consecutive patients of pleural effusion were selected from the outpatient and indoor department of a tertiary medical college hospital in Sylhet. It was a prospective and observational study. It was conducted over a period of one and a halfyears.\u0000\u0000Material and method: In all the cases, cytological examination of pleural fluid (for malignant cell) and pleural biopsy by Abram’s needle were done. Subsequently, histopathological diagnoses were made to determine the etiology of effusion.\u0000\u0000Results: Out of 50 subjects, males outnumbered females, Age is ranged between 19 and 85 years. According to the histopathological examination of the submitted pleural biopsy specimen, granulomatous inflammation is the most common etiology (40%) followed by chronic inflammation of non-specific origin (38%) and malignancy (22%).\u0000\u0000Conclusion: This study represents the result of the experience acquired over one and half years in the histopathological interpretation of pleural biopsies and its correlation with cytology of the pleural fluid. Pleural biopsy is a useful, minimally invasive procedure with no or little complication and has more sensitivity and specificity than pleural fluid cytology smears.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116878690","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":"Bacteriological Profile and Antimicrobial Sensitivity Pattern of Neonatal Sepsis","authors":"Farhana Jaya Chowdhury, A.H.M Khairul Bashar, Md Shahabuddin, Murshida Afruz, Fahim Ara Jenny","doi":"10.47648/jswmc2021v1102-05","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-05","url":null,"abstract":"Introduction: Neonatal sepsis (NS) is one of the important causesof neonatal morbidity anddeath in neonatal ward and neonatal medical care unit,especiallyin emergent nations. Frequent monitoring on pathogens with recent updates and their antimicrobial sensitivity pattern is compulsory for more satisfactory management. Methods: This cross sectionalstudy was outlined to evaluate the bacteriological profile and antimicrobialsensitivity pattern of NS in neonatal ward and neonatal intensive care unit (NICU)of Sylhet Women’s Medical College and Hospital, Sylhet, Bangladeshfrom October 2019 to December 2020. Blood samples from 90 clinically suspected neonatal sepsis cases were accumulated and processed in the microbiological protocol and their antimicrobial sensitivity pattern were determined. Results: Among the90 cases, two third (61, 67.78%) showed positive blood culture. Among the positive blood culture, 38(62.29%) were gram positive isolates and gram negative isolates were 23(37.7%). This study showed Staphylococcus aureuswas the most common organism (59.01%) followed by Escherichia coli (E. Coli)(27.87%), Klebsiella pneumonia (9.87%) and Streptococcus pneumonia (3.28%) among the isolates. Gram positive isolates were highly reactive to Amikacin and Amoxicillin and Clavulenic acid whereas gram negative isolates were highly reactive to Gentamicin and Meropenem. Conclusion: Gram positive organism are the predominant source of NS which was highlighted in our study,though gram negative organism also plays an important role in the mortality cause by neonatal sepsis.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126812188","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":"Shoulder Pain in an Elderly Smoker May be an Alarm: a Rare Case of Pancoast Tumor","authors":"Mashuq Ahmad Jumma, Mahjuba Umme Salam, Imran Hussain, Abu Saleh Shimon, Farzana Ahmed Bristy, Farzana Ahmed Bristy, Monharul Islam Bhuiyan","doi":"10.47648/jswmc2021v1102-09","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-09","url":null,"abstract":"Patients with shoulder pain commonly present to a general practitioner and/or in the orthopedic department. In some instances, pain in the shoulder region can indicate serious underlying pathology. This article describes an elderly smoker presenting with progressively worsening shoulder pain not conforming to musculoskeletal, neuropathic or mechanical type pain and with poor response to conventional pain management protocols. Evaluation with meticulous history, physical signs, chest imaging findings, and histopathology confirmed the diagnosis of a rare clinical condition the Pancoast tumor.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130761460","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":"Neutralizing Monoclonal Antibody: New Member of Therapeutic Armamentarium Against COVID-19","authors":"Z. H. M. Nazmul Alam, Ishrat Tahsin","doi":"10.47648/jswmc2021v1102-10","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-10","url":null,"abstract":"Many targeted treatment methods have focused on SARS-CoV-2's spike protein, along with neutralizing monoclonal antibodies (mAbs), which are recombinant proteins, may be employed as a kind of passive immunotherapy to reduce pathogenicity. While vaccines are still the best way to prevent COVID-19 infection, mAbs are an effective treatment for those who have already been infected, as well as having the potential to prevent infection in those who have already been exposed to SARS-CoV-2, which can be especially beneficial to certain high-risk groups. Due to the limited initial availability of these new treatments, it is essential to consider their larger potential and create methods for their optimal deployment in clinical practice. The objectives of this review is to answer the most commonly asked clinical questions from HCPs and patients about the target population, dose, interactions with other medicines and vaccines, duration of immunity, and variants.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"288 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122793047","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":"Frequency and Treatment Outcomes of Isolated Ventricular Hemorrhage\u0000Cases Among Traumatic Intracranial Hemorrhage Patients","authors":"Dr. Md. Rashidoon Nabi Khan","doi":"10.47648/jswmc2021v1102-02","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-02","url":null,"abstract":"Background: Bleeding into the ventricular system of brain is called intraventricular hemorrhage (IVH). It may be associated with brain parenchyma. Cases of isolated ventricular hemorrhages are found less. Ventricular hemorrhage due to trauma is more commonly seen in premature babies and infants than adults. Uncertainty in recovery is a important issue for such cases. Aim of the study: The aim of this study was to evaluate the frequency and the treatment outcomes of isolated ventricular hemorrhage cases among patients with traumatic intracranial hemorrhage. Methods: This prospective observational study was directed in the neurosurgery department of Sylhet MAG Osmani Medical College, Sylhet, Bangladesh from January 2015 to December 2020. In total 890 Admitted diagnosed cases of traumatic intracranial hemorrhage were chosen for this study as study population. Ultrasonography CT scan, MRI of the brain, MRA, MRV, and CSF were performed according to the patient’s status. Those were collected, processed, analyzed, and disseminated by using MS office and SPSS version 23 as per need. Results: According to this study, in total participants, the highest number was with parenchymal hemorrhage which was 34% (n=302). Besides these, cases with extradural hemorrhage were 33% (n=298), cases with subdural hemorrhage were 17% (n=149%), cases with subarachnoid hemorrhage were 14% (n=124) and cases with isolated ventricular hemorrhage (IVH) were 2% (n=17). So, in this study, the frequency of IVH was found only 2% among all types of traumatic intracranial hemorrhage cases. Among a total of 17 IVH patients, most of the cases were infants or baby which was 59%. And 41% of the IVH patients were adults. In analyzing the outcomes among the IVH patients we observed, early recovery was found in 1 child (5.88%) and in 2 adults (11.76%). Besides these, death was occurred in 6 children (35.29%) and in 3 adults (17.65%). Conclusion: Traumatic isolated ventricular hemorrhage (IVH) causes the worst prognosis in most cases. The survival rate with no residual effect is very minimum. In this study in 2 patients’ history of long coma, for more than 12 weeks was found. Besides these, moderate to severe morbidity was found in some cases.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"8 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134158858","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":"Epidemiology, risk factors and antimicrobial resistance of Escherichia coli bacteremia","authors":"Mahjuba Umme Salam, Selina Yasmin, Md. Rashedul Haque, Sharmin Ahmed, Shahidul Alam, Mashuq Ahmad Jumma, Abu Saleh Shimon","doi":"10.47648/jswmc2021v1102-07","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-07","url":null,"abstract":"Background: Escherichia coli is a common causative of blood stream infection having potentials to produce significant morbidity and mortality. This organism also has the ability to develop resistance against antimicrobial agents. Knowing its epidemiology, risk factors and antimicrobial resistance patterns can help preventing and managing bacteremia caused by this organism. Materials and methods: This was across sectional observational study carried out from February 2017 to February 2018 on 64 blood culture positive Escherichia coli infected patients admitted in Medicine inpatient of a medical college hospital. Age, sex, mode of acquisition of infection, history of prior empiric antibiotic treatment, duration of hospital stay, development of complication were observed and noted. Antibiotic susceptibility test for all isolates was performed by Kirby-Bauer disc diffusion method. Predesigned semi-structured data collection from was used and collected data were analyzed manually and expressed in descriptive statistical terms. Results: Of the 64 enrolled patients, 47(73.43%) were female. Average age of affection was 53.48±20.65 years and increased incidence rates (51.56%) was observed at age >60 years. Infection was communityacquired in 35.84% cases and urinary tract infection was the most frequent (46.3) risk factor. More than eighty seven percent of samples showed resistance to at least one antimicrobial agent and resistance to multiple drugs was associated with complications. Conclusion: Escherichia coli bacteremia has high incidence rates for antimicrobial resistance and mortality. Continuous surveillance and antibiotic susceptibility pattern monitoring is essential to develop regional antibiotic therapy protocols.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123645512","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":"Neonatal Candidaemia in Tertiary Care Hospitals in Dhaka- A Comparison of Different Carbohydrate Assimilation Methods and Chromagar Technique for Speciation","authors":"Jalil RA, Nurunnabi M, Jahan S, Islam KMS","doi":"10.47648/jswmc2021v1102-04","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-04","url":null,"abstract":"Background: Nosocomial candidiasis are becoming increasingly important worldwide. Candida is a major causative agent of health care associated bloodstream infections, and lately non-albican Candida species are increasingly isolated from blood samples. Some of the Candida species have intrinsic and acquired resistance to the limited arsenal of antifungals; therefore early speciation is essential for the timely initiation of effective antifungal therapy. Methods: A hospital based cross-sectional study was conducted to evaluate the performance of different carbohydrate assimilation tests and commercially available HiCrome Candida Differential Media (CHROMagar) for the identification of Candida in the four tertiary level hospitals in Dhaka. Results: A total of 58 yeasts samples was included in this study. Non-albicans Candida accounted for 100% of the isolates of which C. tropicalis was the predominant species (81.03%) followed by C. parapsilosis (12.07%), C. auris (5.17%) and C. dubliniensis (1.72%). Swab auxanographic technique and microtitre plate based miniaturized CHO assimilation methods were equally effective in identification of Candida sp. in comparison to CHO impregnated YNB plate method (98.28% and 100% vs 89.66%). Conclusion: By using Chromogenic agar 75.86% yeasts were identified but it could not give the conclusive differentiating color between the species of C. parapsilosis and C. auris.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121372184","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":"Changes of Proinflammatory Biomarkers of COVID-19 Patients and Its\u0000Relationship with HRCT Percentage- A Multi-Center Study in Tertiary\u0000Hospitals of Sylhet","authors":"Talha KA, Patwary MI, Bari MZJ, Rahman AAMS, Alam ZHMN, Ali SM, Selina F, Khan MMH, Shusmita FR, Ahmed, A., Siddika T, Mutakabbir AKMA, Tawhid Tasneef CMT, Nath UD","doi":"10.47648/jswmc2021v1102-01","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-01","url":null,"abstract":"Background and objectives- COVID-19 is a coronavirus disease declared pandemic by WHO. The commonly checked proinflammatory biomarkers are Neutrophil-Lymphocyte ratio (NLR), C - reactive protein (CRP), D-Dimer and Ferritin. High-Resolution Computed Tomography (HRCT) of chest is an important tool to evaluate the diagnosis and prognosis of COVID-19. The objective of this study was to evaluate the relationship between the biomarkers and HRCT findings. Materials and method- This was a multi-center cross-sectional study done in Sylhet Women’s Medical College Hospital (SWMCH), Sylhet Shahid Shamsuddin Ahmed Hospital (SSSAH), Northeast Medical College Hospital (NMCH) and Mount Adora Hospital, Sylhet. Data were collected from electronic medical record (EMR). Relationship test were done by independent t-test and one-way-ANOVA test. Results- Among the total 481 participant, 312 (65%) were male and rest 169 (35%) were female. The average age of the COVID-19 positive group participants was 60.72 year and it was 60.79 year in the COVID-19 negative group. The mean difference of D-Dimer between COVID-19 positive and negative patients was significant (p=0.0063). The mean differences of NLR (p=0.0012) and CRP (p=0.005) were significant between died and survived patients. Conclusion- All four biomarkers were raised in the higher HRCT percentage involved groups. NLR and DDimer were significantly (p<0.001) higher in the higher HRCT percentage groups.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"221 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131818226","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":"Congenital Agenesis of Both Vertebro-Basilar Artery-A Rare Case Report","authors":"Tahmina Siddika, Ashraful Hasib, Avijith Bhattacharjee, Naziur Rahman, M H Khan Pavel, Khandaker Abu Talha, Khandaker Abu Talha","doi":"10.47648/jswmc2021v1102-08","DOIUrl":"https://doi.org/10.47648/jswmc2021v1102-08","url":null,"abstract":"Vertebral and basilar arteries are the major blood suppliers of the brain. They supply nearly one-third of the brain. Congenital absence of these arteries is a rare condition. Usually, this condition presents with stroke like presentation. This is a case presentation of a 40-year-old lady who was diagnosed as congenital agenesis of vertebra-basilar arteries. This lady was presented with intraventricular hemorrhage. Subsequently the diagnosis was made by cerebral angiogram.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130651280","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}