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

{"title":"Study on Finger Ridge Pattern of Palmar Dermatoglyphics and their Association of Type 2 Diabetes Mellitus in Bangladeshi Population","authors":"Jannat M","doi":"10.47648/jswmc2024v14-02-100","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-100","url":null,"abstract":"The skin on the palmar surface of human hands & the planter surface of the feet differ from skin found also where on the body. The projection of dermal papillae which are interdigitate with epidermal evagination, is called epidermal ridges. By the 17thweek of intrauterine life, these ridges are permanent and remain unchanged throughout life, with the exception of a little increase in size that coincides with growth. Thus, it is quite helpful to predict various genetically acquired disorders. Diabetes mellitus is a condition of partial genetic background. The objective of this study was to determine whether type II diabetes mellitus in Bangladeshi people was associated with a certain finger ridge pattern. This observational cross sectional study was conducted in Sylhet MAG Osmani Medical College from July 2018 to June 2019. A total of 200 subjects were included; among them, 100 were diagnosed patients of type II DM and the rest were healthy individuals. The age and sex of the research participants were matched between the groups under investigation. The ink and paper method was used for making a print of the finger. A mounted hand lens was used to examine the prints. The distribution of finger ridge pattern between the diabetics and controls showed that the ulnar loops (p = 0.003) and whorls (p = 0.001) were significantly higher in diabetic group; whereas arches (p = <0.001) and radial loops (p = <0.001) were found to be significantly higher in control group. The study came to the conclusion that type II DM has the unique characteristics of the finger ridge distribution patterns in palmar dermatoglyphics, it can be employed as a reliable screening method for type II DM early diagnosis.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"18 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699503","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":"Evaluation of The Treatment of Open Intercondylar Fracture Distal Femur by Transosseous Osteosynthesis Technique with Ilizarov External Fixator","authors":"Islam MS","doi":"10.47648/jswmc2024v14-02-105","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-105","url":null,"abstract":"Objectives: Treatment of Distal femoral fractures cannot be done following simple set of rules and when it is an open fracture the treatment is more difficult. Several methods were studied by different authors both at home and abroad, but none were conclusive.\u0000\u0000Methods: This prospective study was done between January 2011 to December 2012, 15 patients of the open intercondylar fractures of Distal femur were treated by transosseous osteosynthesis technique by Ilizarov External Fixator in NITOR (National Institute of Traumatology and Orthopaedic rehabilitation), Dhaka. 2 of the patients were not available for final follow up after removal of the fixator frame. So ultimately the final result based on the results of 13 Cases. Minimum 6 months follow up was done from the date of injury. No patient below age 16, no type IIIB or IIIC fractures and no patients having less than 6 months follow up were included in the study. Patients with severe injuries (Head injury, Abdomen and chest injury) were excluded from the study. Patients with medical illness such as Diabetes Mellitus, Peripheral Vascular diseases were not included in the study.\u0000\u0000Results: 12 male and 01 female patient between 16 and 56 years were studied. Most common age group in this series were 16-30 year age group (53.85%) and average age of the patients was 31.15 years. Most of the patients were male and road traffic accident was the leading cause of injury (92.31%). Right side involved in (69.23%) most of the cases. All patients were C3 type of fractures and G-II and G-IIIA types were same (38.46%). Most of the patients (53.85%) were operated within 1-2 weeks of admission. Average duration of hospital stay was 22 days ranging from 10 day to 45 days. Most of the patient had soft tissue healing by granulation tissue formation. Others were treated by primary closure, Delayed primary closure or secondary closure.\u0000\u0000Various complications were observed among them pintract infection, wire breakage, wire loosening, stiffness of joints, angulations and rotations, deep infection of the tissue, leg length discrepancy was observed in this study. According to the criteria of Neer et al, 1967 final results of the treatment were analyzed. Acceptable result was found in 61.54% of cases (Excellent 7.69% and good 53.85%). Results of the rest of 38.46% cases were not acceptable (Fair 23.08% and poor 15.38%). The result is similar with others done for open fractures of distal femur by Ilizarov External Fixator or other methods of fixation.\u0000\u0000Conclusion: So it can be concluded that transosseous osteosynthesis technique is a satisfactory method for treating open intercondylar fracture of distal femur as a primary and definite mode of treatment.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"197 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141692851","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":"Impact of Increased Hemodialysis Frequency on Kt/V Achievement in Hemodialysis Patients: A Center-Based Observational Study","authors":"Latif A","doi":"10.47648/jswmc2024v14-02-99","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-99","url":null,"abstract":"ntroduction: Chronic kidney disease (CKD) remains a significant global health challenge, necessitating life-sustaining hemodialysis for many individuals. The evidence demonstrates that mortality among ESRD patients is lower when sufficient hemodialysis treatments are provided. The achievement of adequate dialysis dose, measured by Kt/V, plays a pivotal role in improving patient outcomes.\u0000\u0000Method and Material: This was a center-based descriptive cross-sectional study carried out in Hemodialysis unit of NIKDU, Dhaka, Bangladesh from January 1, 2012, to June 30, 2013, seeks to investigate whether increasing the frequency of hemodialysis sessions to three times per week, totaling 12 hours per week, significantly improves the attainment of target Kt/V in hemodialysis patients when compared to those receiving the conventional regimen of 8 hours per week. Purposive sampling of 120 ESRD patients on maintenance hemodialysis (MHD) getting dialysis for at least one month through Arterio-Venous Fistula (AVF) and at least 2 dialysis session per week.\u0000\u0000Discussion: Out of 120 patients 72 (60.0%) were male and ratio was 1.5:1. The mean age of hemodialysis patients in this study was 51 years (range: 18-75 years). Most of the patients 62 (52%) were on 8 hours per week hemodialysis session. Our study showed mean Kt/V, URR, TACurea and nPCR of all study population was 1.21 ± 0.40 62 ± 12, 83 ± 26 and 1.29 ± 0.46 respectively. In 8 hours per week hemodialysis group achieved target Kt/V > 2 was only 3(5%) and on the other hand 12 hours per week hemodialysis group achieved target Kt/V > 1.2 was only 26(45%). Among the study population only 52 (43%) achieved URR > 65% , 13 (11%) patients TACurea was less than 52 mg/dl and 107 (89%) patients achieved nPCR > 1 g/kg/day. Mean values of URR was significantly higher of Kt/V of >1.2 and nPCR of >1 g/kg/day group. Most of our hemodialysis patients inadequately dialyzed. In 12 hours per week dialysis group significantly higher BMI, hemoglobin, nPCR and low phosphorus and TACurea. To achieve hemodialysis adequacy of KDOQI 2006 recommendation needs to increase frequency of HD that is 3 sessions per week (12 hours /week) and needs to give more attention to others factors which increase urea clearance.\u0000\u0000Conclusions: Furthermore, it underscores the need for continuous research to enhance our understanding of hemodialysis adequacy and improve the management of patients with end-stage kidney disease.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"61 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714928","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":"Prevalence of Anxiety and Depression among Wives of Men Working or Living Abroad from Sylhet: Exploring Impact on Mental Health","authors":"Salam MU","doi":"10.47648/jswmc2024v14-02-109","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-109","url":null,"abstract":"This article finds out the prevalence of anxiety and depression among women whose husbands work abroad and also explores the significance of consequential impact on their mental health imposed by the situation as compared to those who live with their husbands. Based on a comprehensive analysis of relevant literature and empirical studies, the research sheds light on the implied challenges faced by these women, considering factors such as separation, communication barriers, and social support. The results showed significant differences between the study and the control groups. The prevalence of anxiety and depression among the study group was 51.2% and 44.1% and the average anxiety and depression score were 19.82 and 21.24 respectively. The combined odds ratio (OR) for anxiety and/or depression between the study and control groups was 9.87 with a 95% confidence interval of [5.49, 17.86] and a chi-squire test p-value <0.001.The findings are important as they may contribute to a deeper understanding of the mental health implications in this specific demographic, providing valuable insights for healthcare professionals, policymakers, and support networks.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690927","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 Brief Analysis PIK3CA Expression in Head and Neck Squamous Cell Carcinoma","authors":"Rahman MM","doi":"10.47648/jswmc2024v14-02-106","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-106","url":null,"abstract":"Background: Head and neck squamous cell carcinoma (HNSCC) are the 6th common carcinoma worldwide. PIK3CA gene often dysregulated in many cancers including HNSCC. Here, we aimed to observe PIK3CA expression in HNSCC using publicly free common dataset like TCGA and using bioinformatics tool GEPIA2.\u0000\u0000Material and methods: Bioinformatics tools often used to predict overall and survival analysis. Here, we used the TCGA dataset to examine PIK3CA expression. We use GEPIA2 to investigate PIK3CA gene expression in HNSCC patients to view overall and disease-free survival.\u0000\u0000Results: We observedthat the most mutated gene is TP53with 266 (number of cases gene mutated) out of 378 (number of simple somatic mutation) in contrast to PIK3CA gene 63(number of cases gene mutated) out of 378 (number of simple somatic mutation). Overexpression of PIK3CA related to lower risk of death with treatment and lower risk of disease recurrence.\u0000\u0000Conclusion: To understanding of the role played by the PIK3CA gene to establish a biomarker in head and neck squamous cell carcinoma (HNSCC).","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704836","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":"Cross-Sectional Comparative study to find out the efficacy of Probiotic in case of children of Acute watery diarrhea(AWD)","authors":"Ferdoush N","doi":"10.47648/jswmc2024v14-02-104","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-104","url":null,"abstract":"Objectives: Diarrhea is a diseases with high fatality rate and having a significant impact on the health and well being of children. In addition to ORS, effectiveness of zinc is already established. Use of probiotic in AWD is a new era of treatment. The aim of this study was to compare the effectiveness of zinc-probiotics combination therapy to zinc monotherapy in reducing the severity of AWD.\u0000\u0000Method: This was a cross-sectional compative study which was conducted from july 1,2019 to june 30, 2020 in the department of Pharmacology and Therapeutics at Sylhet M.A.G Osmani medical college Hospital. Total number of 128 patients with acute watery diarrhea ages between 6 months to 5 years were enrolled those who were fulfilled the selection criteria. Participants were subsequently randomized into two group. Group A were treated with Zinc(2mg/kg/day in two divided dose for 14 days), Probiotic(1capsule mixed with 1 tsf of water two times a day for 5 days) and Group B were treated with Zinc(2mg/kg/day in two divided dose for 14 days). Sufficient amount of ORS(Oral rehydration Solution) were supplied to the patients according to their requirement .Patients were followed up for changes of consistency of diarrhea, severity of diarrhea (both frequency and duration),duration of hospital stay for 7 days. \u0000\u0000Result: The Study covered, in Group A 57.81% male and 42.19% female where as in Group B 51.56% male and 48.44% female. Stool consistency have improved in Group A then Group B (liquid stool 3.13% versus on day 2 (p<0.001).Frequency of stool passing became less than two on third day in Zinc Group A and on fifth day in Group B. Based on the Vesikari severity scoring system, the score became below one on fifth day in Group A and on sixth day in Group B. In Vesikari severity score grading system, all the patients of Zinc + Probiotic Groups became mild on fifth day and of Zinc only Group on sixth day of treatment. Mean duration of hospital stay was significantly (p = <0.001) less in Zinc + Probiotic Group (3.36±0.545 days) than Zinc only Group (4.38±0.63 days).","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691410","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":"The ratio of Obesity and Associated Factors amongRamna Park Visitors of Dhaka City","authors":"Ferdous F","doi":"10.47648/jswmc2024v14-02-107","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-107","url":null,"abstract":"Background: Obesity has become one of the major problems of developing countries. Weight is now increasing during this life stage of transition at a higher rate. The purpose of the study was to know the ratio of obesity and associated factors among visitors of Ramna Park, Dhaka city.\u0000\u0000Methodology: This descriptive type of cross-sectional study was carried out from January 2022 to December 2022 for a period of 1 year in Ramna Park, Dhaka City among 260 visitors. Pretested semi-structured questionnaires were used and BMI measurements were calculated as data collection instruments.\u0000\u0000Results: Out of all respondents, most of the study population were in the age group of 20 to 40 years which was 197(75.8%) respondents. Regarding BMI majority of the respondents were obese which was 104(40.0%) respondents. Among 104 obese respondents, most of them had said that they had taken three times meals per day which was 52(50.0%) respondents. Statistically significant (P<0.05) association was found among dietary habits, physical inactivity, and obesity.\u0000\u0000Conclusion: In conclusion, the study revealed that obesity is increasing significantly, So, such a high prevalence of obesity is a health concern for Bangladeshi adults. Therefore, to address these diseases, appropriate health intervention measures and public awareness are required.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"93 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713272","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 Young Man with Polydipsia and Severe Hyponatremia-Successful Management with Mere Fluid Restriction: A Case Report on Psychogenic Primary Polydipsia","authors":"Ahmad MM","doi":"10.47648/jswmc2024v14-02-22","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-22","url":null,"abstract":"Polydipsia as a result of an obsessive-compulsive disorder may cause polyuria and serious consequences like severe forms of electrolyte imbalance. This case report explores the rare occurrence of psychogenic primary polydipsia resulting in severe hyponatremia in a 29-year-old man presenting with excessive thirst, compulsive water intake, and extreme lethargy owing to serum hypo-osmolarity and hyponatremia. After the exclusion of organic conditions like diabetes mellitus, diabetes insipidus, hypercalcemia and, chronic kidney disease, intervention comprising of intensive counseling sessions, fluid restriction and slow normal saline infusion smoothly alleviated his presenting problems. Psychiatric management was contemplated to attain sustainable results.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"40 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711364","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":"Role of Plastic Surgery in a Venomous Snake Bite: A Case Report","authors":"Poly US, Arju KS, Subah N, Rahman SA, Khondokar S","doi":"10.47648/jswmc2024v14-01-19","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-01-19","url":null,"abstract":"Snake bite is one of the major cause of accidental morbidity & mortality worldwide. In riverine Bangladesh people of rural areas are mostly affected by snake bite. Majority of bites are caused by non-venomous snake and usually no casualty occurs but in case of venomous snake bite it can cause physical disability even death. Venom can cause local and systemic effect. Acute management is done by medical specialist but some patient develop surgical complication that need to be addressed by a plastic surgeon.\u0000\u0000A 43 years old male presented with a wound over dorsum of right hand and right middle finger with exposed MP joint (Metacarpophalangeal). He had history of snake bite 25 days back. Reconstruction done with flap and skin graft. Patient of venomous snake bite need a multidisciplinary team approach including plastic surgeon who take responsibility to restore both form and function.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"50 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454795","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":"Recognizing the Diverse Clinical Presentations of Acromegaly: Insight from a Case Series","authors":"Salam MU, Jabeen R, Ahmad MM, Islam MN, Haque MR, Sharker S, Chowdhury NB, Alam S, Rahman S","doi":"10.47648/jswmc2024v14-01-16","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-01-16","url":null,"abstract":"Purpose: Acromegaly is an endocrine disease due to growth hormone excess with slowly developing manifestations and diverse clinical presentations. There are chances that patients may present with common clinical problems and the underlying endocrine condition is overlooked and diagnosis is delayed. This case series will discuss the presentation, clinical features and investigations of four acromegaly cases to increase the clinical skills of physicians so that an early diagnosis is made and treatment is initiated early.\u0000\u0000Methods: This is an observational study, where a series of four acromegaly cases, who presented to medicine inpatients or outpatients of Sylhet Women’s Medical College, Bangladesh. They were analyzed through detailed clinical features and, investigation findings. MRI brain was used as the main tool for diagnosis. Serum levels of growth hormone, IGF-1, TSH, ACTH, and prolactin were assessed in all. Other anterior pituitary hormone assays were selectively done. Ocular examinations were performed on all patients.\u0000\u0000Conclusion: Though a case series has lower value as medical evidence than systematic reviews and randomized clinical trials, it can help in generating future protocols of studies. This series emphasizes that a keen clinical eye of the physician can help in early diagnosis of acromegaly and thus an early MRI of brain based on clinical suspicion can ensure early treatment and prevent cardiovascular complications.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"35 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455677","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}