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

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Mermaid baby: Fairy tale in practical 美人鱼宝宝实用的童话故事
The Journal of Sylhet Women’s Medical College Pub Date : 2024-01-01 DOI: 10.47648/jswmc2024v14-01-18
Bhattacherjee A, Haque R, Shahabuddin M, Noor ZB, Akhter P, Samad A
{"title":"Mermaid baby: Fairy tale in practical","authors":"Bhattacherjee A, Haque R, Shahabuddin M, Noor ZB, Akhter P, Samad A","doi":"10.47648/jswmc2024v14-01-18","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-01-18","url":null,"abstract":"Sirenomelia, also called Mermaid syndrome is a rare and fatal anomaly which is characterized by a single lower extremity featuring a Mermaid like appearance where head and trunk is like humans and lower extremity is like tail of a fish. It is associated with other gastro-intestinal, genito-urinary and other organ abnormalities. Most patients die shortly after birth. The exact cause of Sirenomelia is unknown. Here we present a newborn baby with Sirenomelia. Mother had bad obstetric history, antenatal ultrasonography revealed severe oligohydramnios and renal agenesis. On examination there was dysmorphic facies, fusion of lower limbs, single leg with two foot and ten toes. There was no identical external genitalia and anus.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"7 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455410","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
Relationship between Etiology and Radiological Findings in Case of Moderate and Severe Head Injury Patients. 中度和重度颅脑损伤患者病因与放射学检查结果之间的关系
The Journal of Sylhet Women’s Medical College Pub Date : 2024-01-01 DOI: 10.47648/jswmc2024v14-01-89
Talha KA, Ahmed MT, Ahmed SN, Choudhury MMK, Sulaiman M, Selina F, Begum K, Depok NH
{"title":"Relationship between Etiology and Radiological Findings in Case of Moderate and Severe Head Injury Patients.","authors":"Talha KA, Ahmed MT, Ahmed SN, Choudhury MMK, Sulaiman M, Selina F, Begum K, Depok NH","doi":"10.47648/jswmc2024v14-01-89","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-01-89","url":null,"abstract":"Introduction: Traumatic brain injury (TBI) or head injury is one of the leading causes of mortality and disability in the world. The common causes of TBI are usually motor vehicle accident, fall and physical assault.\u0000\u0000Methodology: This was a prospective cohort study to find out the relationship between etiology and the radiological findings in moderate and severe head injury patients. The places of the study were the Neurosurgery department of Sylhet M A G Osmani Medical College Hospital, Sylhet Women’s Medical College Hospital (SWMCH) and King Faisal Hospital (KFH), Taif, KSA. The Sample size was 104. The study period was 3 years (July 2021 to December 2022). On the basis of radiological findings, the participants were divided into three groups or arms. The different arms were diffused traumatic brain injury (arm-1), focal traumatic brain injury (arm-2) and both (diffused and traumatic) types traumatic brain injury (arm-3).\u0000\u0000Results: Mean age was significantly higher in female (51.83%). Overall mean age was 40.28 year. Highest frequency (23%) was in the below 20-year age group followed by the 41-50-year age group (20.2%). Road traffic accident (RTA) was the commonest (63.5%) etiology followed by fall (21.2%). At the end of 1 month 68.3% of participants showed improvement. \u0000\u0000Conclusion: Post head injury disability is a huge psychological and financial burden for any nation or family. RTA contributes the major risk for the moderate and severe head injury","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"16 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457689","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
Health related quality of life and family functioning of parents having children suffering from thalassaemia 患有地中海贫血儿童的父母与健康有关的生活质量和家庭功能
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-76
howdhury T, Chowdhury ZR, Chowhury M, Mollah MS, Benzamin M
{"title":"Health related quality of life and family functioning of parents having children suffering from thalassaemia","authors":"howdhury T, Chowdhury ZR, Chowhury M, Mollah MS, Benzamin M","doi":"10.47648/jswmc2023v13-02-76","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-76","url":null,"abstract":"Background: Thalassaemia is a hereditary blood disorder without an effective cure in majority. Despite recent advances in the management of thalassaemia, people living in developing countries do not receive satisfactory treatment. Parents of these children have many problems in various aspects of physical, emotional, social and communications. The objective of this study was to assess the HRQOL and family functioning of parents having children with thalassaemia in comparison to the parents of healthy children.\u0000\u0000Methods: This case-control study was conducted in the Department of Paediatrics, Sylhet MAG Osmani Medical College Hospital during the period of January 2022 to June 2022. Data were collected by using standard self-administered multi-dimensional questionnaire of the paediatric quality of life inventory (PedsQLTM) 4.0 FIM 2.0 Bengali version. A total of 50 parents of children with thalassaemia were enrolled as cases. Another 50 age and sex matched parents of healthy children were selected as controls. In both studied groups parents were free from any chronic diseases. Descriptive and analytical statistics were performed to compare scores between the two groups (case and controls).\u0000\u0000Results: Baseline characteristics of cases and controls regarding age, sex, educational status and socio-economic conditions were comparable. PHRQOL summary scores in cases and controls were 56.67±16.34 and 85.53±14.24 respectively. The FaF summary scores were 68.46±15.87 and 78.64±11.79 respectively. It has been observed that both summary scale scores were significantly lower (p<0.01) in case group.\u0000\u0000Conclusion: HRQOL and family functioning of parents having children with thalassaemia were significantly lower than the parents of healthy children.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120959021","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
Prevalence of Multi-Drug Resistance Bacteria among Adult Chronic Dacryocystitis Cases in Rajshahi Medical College Hospital 拉吉沙希医学院附属医院成人慢性泪囊炎多药耐药菌流行病学分析
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-77
Afroze T, Alam MS, Salam MU, Rahman N, Tasnim A, Ferdose J, Razzaque S
{"title":"Prevalence of Multi-Drug Resistance Bacteria among Adult Chronic Dacryocystitis Cases in Rajshahi Medical College Hospital","authors":"Afroze T, Alam MS, Salam MU, Rahman N, Tasnim A, Ferdose J, Razzaque S","doi":"10.47648/jswmc2023v13-02-77","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-77","url":null,"abstract":"Background: Chronic dacryocystitis is a common ophthalmological problem in Bangladesh. Clinicians need to prescribe antibiotics to patients as an early conservative treatment protocol and, for prevention of post-operative soft tissue infections. But in most of the cases, the empiric antibiotic therapy shows treatment failure and, consequent development of complications, which might be due to emergence and spread of Multi-Drug-Resistant (MDR) organisms.\u0000\u0000Objectives: The objective of this study was to detect the prevalence rates of MDR organisms among adult chronic dacryocystitis cases, so that preventive measures can be undertaken in advance to stop its further spread.\u0000\u0000Methods: A cross sectional descriptive type of study was carried out in the ophthalmology inpatient department of Rajshahi Medical College Hospital (RMCH), a tertiary care government teaching hospital, from January to December, 2017. One hundred diagnosed cases of chronic dacryocystitis undergoing DCR operation were selected and lacrimal sac swabs were collected from each of them. Isolation and identification of bacteria and their antibiotic sensitivity tests were done by standard procedures in the microbiology laboratory of the college. MDR bacteria were detected according to CDC (Centers for Disease Control and Prevention) and ECDC (European Centre for Disease Prevention and Control) guidelines.\u0000\u0000Results: Of the 100 swabs, 73% were culture-positive and, of them, 72.59% were gram-positive and the rest were gram-negative. None of the gram-positive isolates were MDR, but 70% of the gram-negative isolates were MDR.\u0000\u0000Conclusion: This study provided an early insight into the prevalence of MDR organisms among chronic dacryocystitis cases in the RMCH. The results might be beneficial for the therapeutic approach and prevention of MDR spreading in the ophthalmology wards of all hospitals.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125032501","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
A -2- month old child with Spinal Muscular Atrophy Type 1 with Pneumonia: A case report 2月龄1型脊髓性肌萎缩症合并肺炎1例
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-14
Ruhul A, Rashedul H, Shamima SS, Shahab U
{"title":"A -2- month old child with Spinal Muscular Atrophy Type 1 with Pneumonia: A case report","authors":"Ruhul A, Rashedul H, Shamima SS, Shahab U","doi":"10.47648/jswmc2023v13-02-14","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-14","url":null,"abstract":"Spinal muscular atrophy (SMA) is a autosomal recessive disease characterized by muscular weakness, hypotonia and atrophy. SMA is caused by mutation or deletion of the survivor motor neuron gene (SMN1), which is located in the telomere region of chromosome 5q13. Incidence of the disease is 1:6000-10000 newborn. Confirmatory diagnosis can be established by molecular genetic analysis. Here a 2- month- old female baby was admitted into the department of pediatrics of Sylhet Women’s Medical College Hospital with because of less movement of whole body for 1 month and repeated cough with respiratory distress for same duration. Baby was dyspneic, chest in drawing and crepitation was present over both lung fields. Signs of lower motor neuron lesions were present. It was confirmed by Polymerase chain reaction (PCR) for SMN gene. Final diagnosis was Spinal muscular atrophy with pneumonia. Symptomatic, Supportive and antibiotic treatment were given. Genetic counseling, regular respiratory follow up was advised.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129741497","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
Overweight and Obesity among School-going Adolescents in a Private School in Sylhet City 锡尔赫特市一所私立学校在校青少年的超重和肥胖问题
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-71
Dey T, Das AC, Chowdhury SR, Chowdhury TA, Maria S, Shomy NR
{"title":"Overweight and Obesity among School-going Adolescents in a Private School in Sylhet City","authors":"Dey T, Das AC, Chowdhury SR, Chowdhury TA, Maria S, Shomy NR","doi":"10.47648/jswmc2023v13-02-71","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-71","url":null,"abstract":"Introduction: For both industrialised and developing nations, obesity and overweight are serious public health issues. It is responsible for both physical and mental health problems among adolescents.\u0000\u0000Objective: The study was aimed at assessing the prevalence of overweight and obesity among school going adolescents.\u0000\u0000Methods: This was a cross-sectional study carried out among the students of Blue Bird School and College in Sylhet, Bangladesh, between the periods of January 2017 and December 2017.\u0000\u0000Results: A total of 158 students from classes 9 and 10 were included in the study by a purposive sampling method. The mean age of the students was 15.38 ± 0.754. Among them, 52.5% were male and 47.5% were female. Graduate or higher education was held by 48.1% of the respondents' mothers and 65.8% of the respondents' fathers. Most of the respondents' mothers (75.9%) were housewives, whereas most of the fathers (60.7%) were service holders. Among the respondents, 17.7% and 13.9% were overweight and obese, respectively. There was no significant relationship between body mass index and socio-demographic factors like gender, religion, educational qualification and occupation of the parents, family income, and family type. Most of the overweight (89.3%) and obese (95.5%) respondents performed physical exercise regularly, which was statistically significant (p= 0.01). Other lifestyle factors such as sports participation, food preferences, television viewing, and computer use were not found to be significantly linked to being overweight or obese.\u0000\u0000Conclusion: In our study, adolescents had a greater prevalence of overweight and obesity. Public health programs are required to increase knowledge of the risk factors for overweight and obesity among children and adolescents in order to lessen the future burden of obesity-related chronic diseases.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122095329","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
Morphometric Study of the Articular Facets of Atlas Vertebra in Bangladeshi Population 孟加拉人 Atlas 脊椎关节面形态计量学研究
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-74
Munni TA, Paul DR, Morium U, Naznin R, Sultana N, Sumi MN, Kabir A
{"title":"Morphometric Study of the Articular Facets of Atlas Vertebra in Bangladeshi Population","authors":"Munni TA, Paul DR, Morium U, Naznin R, Sultana N, Sumi MN, Kabir A","doi":"10.47648/jswmc2023v13-02-74","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-74","url":null,"abstract":"Context: The first cervical vertebra, Atlas has different features from other cervical vertebra. Cervical vertebra is an important part of bony anatomy of craniovertebral junction. The stability of atlas is provided by two symmetrical lateral masses that are united by anterior and posterior arches. These lateral masses are the most bulky and solid parts of the atlas, supportive elements composed of superior and inferior articular facets. The stability of cervical spine is violated by various traumatic and non-traumatic causes. Instability of CVJ needs surgical correction or long term immobility to attain solid fusion\u0000\u0000Objectives: knowing of various dimensions of superior and inferior articular facets of atlas are useful in internal fixation techniques for craniovertebral junction abnormalities. The knowledge of dimensions may determine surgical strategy. The result of the study will be helpful not only for anatomists but also for orthopedicians, neurosurgeons and forensic experts.\u0000\u0000Materials and methods: In this study total 103 dried, unbroken atlas vertebra of unknown age and sex were collected from 1st and 2nd year students of Jahurul Islam Medical College, 2023 in kishoreganj. All dimensions are measured using Digital Vernier Calipers with 0.01 resolution.\u0000\u0000Conclusions: Information and details about in screw placement at some stage in CVG surgery procedure the dimensions of superior and inferior articular facets could be helpful.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127860084","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
Management of COVID-19 Pneumonia: Experience in a Peripheral Tertiary Level Hospital in Bangladesh 新冠肺炎的管理:孟加拉国一家外围三级医院的经验
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-83
Salam MU, Goswami A, Ahmad S, Patwary MI, Afroze T, Haque MR, Yasmin S, Sharker S, Ahmad MM, Chowdhury NB, Dhar P
{"title":"Management of COVID-19 Pneumonia: Experience in a Peripheral Tertiary Level Hospital in Bangladesh","authors":"Salam MU, Goswami A, Ahmad S, Patwary MI, Afroze T, Haque MR, Yasmin S, Sharker S, Ahmad MM, Chowdhury NB, Dhar P","doi":"10.47648/jswmc2023v13-02-83","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-83","url":null,"abstract":"Background: Since the detection of the first case of the novel SARS-CoV-2 virus in Wuhan, China, on December 31, 2019, the world stepped into an era of the pandemic as declared by WHO on March 11, 2020. With no prior knowledge regarding this new pandemic, the evidence-based practice of medical management was at stake. Experience sharing from different corners of the world played an essential role in building knowledge to save the world.\u0000\u0000Methods: The researchers collected data for this retrospective study, from hospital records of the COVID-19 dedicated unit of Sylhet Women’s Medical College, Sylhet, Bangladesh, that was formed temporarily in July 2020, in response to the pandemic situation in the country. This article includes data on 3408 admitted COVID-19 patients with moderate to severe symptoms, managed in the isolation unit including its intensive care unit (ICU) up to November 2021.\u0000\u0000Results: The mean age of the patients was 57.21±12.58 years and male to female ratio was 1:1.8. Fever (44.4%), cough (38.9), and fatigability (33.3%) were the common symptoms. Diabetes mellitus (67.7%), systemic hypertension (63.7%), asthma (8.65%), chronic obstructive pulmonary disease (21.94%), and, ischemic heart disease (31.2%) were the top co-morbid conditions. Of the study subjects, 68.2% were RT-PCR positive for COVID-19, 67.3% had an abnormal baseline chest X-ray, and 91.1% had a ground glass shadow on a high-resolution CT scan of chest. Average C-reactive protein, D-dimer, and serum ferritin values were 71.68±60.38, 1.16±2.11, and 839±748.57 respectively. Hypoxemia, which was a common problem among them, was managed with oxygen therapy with an appropriate delivery device, with or without supplementation by dexamethasone (78.3%), or methylprednisolone (18.8%). Eighteen (18) patients refused to receive any antiviral therapy, 61 received oral Favipiravir and the rest of them received injectable Remdesevir. Standard care was augmented with Baricitinib in 60 patients. Thirty-six (36) patients in the ICU, with poor response to standard care, were treated with Tocilizumab. Death rates were 9.46% in the non-ICU block, but they were 6-10 times higher in the ICU.\u0000\u0000Conclusion: Every medical professional learned from the initial two years of the COVID-19 pandemic. Lessons learnt from experience helped building up the knowledge pool necessary for generating effective protocols for COVID-19 pneumonia management.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124959274","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 Efficacy between Topical Luliconazole and Topical Clotrimazole in the Treatment of Tinea Corporis and Tinea Cruris 露立康唑与克霉唑外用治疗体癣和股癣的疗效比较
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-75
Rashel ATM, Chowdhury MAN, Das HS, Ahmed F, Routh T, Munalisa TA, Huque F
{"title":"Comparison of Efficacy between Topical Luliconazole and Topical Clotrimazole in the Treatment of Tinea Corporis and Tinea Cruris","authors":"Rashel ATM, Chowdhury MAN, Das HS, Ahmed F, Routh T, Munalisa TA, Huque F","doi":"10.47648/jswmc2023v13-02-75","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-75","url":null,"abstract":"Background: The prevalence of Tinea Corporis and Tinea Cruris infections are increasing in Bangladesh due to its tropical climate, along with low socio-economic conditions. In treatment of these infections, Clotrimazole has been used for a long time. But Luliconazole is a newer drug which is offering more efficacy and tolerability with a short duration of treatment.\u0000\u0000Methods: An observational comparative study was directed to assess the efficacy of topical Luliconazole over Clotrimazole in the treatment of Tinea Corporis and Tinea Cruris among the 175 OPD patients of Department of Dermatology and Venereology, Sylhet MAG Osmani Medical College Hospital. The patient’s score was followed up by using 4-point scale of Global Assessment Score.\u0000\u0000Results: The mean age of Group A patients was 33.94±13.95 years and Group B was 32.64±13.15 years and male patients were predominant in both groups (65.2% and 66.3%). Tinea corporis was more prevalent in both groups (65.2% and 70.9%). The mean number of infection lesion was 2.35±1.12 and 2.30±1.13. The mean duration of infections was 3.33±5.98 months and 2.38±3.36 months in respective study groups. Papules found 61.4% and 51.4% among the patients respectively. Based on GAS, at the end of first week of treatment, significant difference in distributions found in case of erythema and papules. At the end of treatment, significant difference in distributions found in case of pruritus and scaling. At the 4 weeks after the end of treatment, significant difference in distributions found in case of pruritus, erythema and scaling (p<0.005). The mean GAS of Group A was 6.95±1.05 at baseline, which gradually decreased to 3.16±1.27, 1.02±1.01 and 0.42±1.32 in respective first, second and third visit. On the other side, in Group B, the mean GAS decreased from 7.21±1.27 to 3.87±1.28, 1.33±1.37 and 1.23±2.01 in respective baseline, first, second and third visit. Complete cure observed more patients in Group A (32.6%) compared to Group B (12.8%) after one weeks of treatment, whereas no response to treatment observed in more patients of Group B (55.8%) compared to Group A (28.1%). These changes in distribution were found significant (p=0.004). At the second visit, complete cure found in 89.9% patients in Group A and 77.9% patients in Group B. These distributions were reached the level of significance (p=0.031). At the last visit, only 2.2% of the completely cured patients of Group A and 16.3% of the completely cured patients of Group B developed relapse of the disease, which was also found significantly (p=0.001).\u0000\u0000Conclusion: Luliconazole found to be superior in terms of short duration of treatment course, less treatment failure and less relapse compared to that of the Clotrimazole.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124196627","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
Neonatal seizures in a tertiary care hospital: clinical presentation and outcome 三级医院新生儿癫痫发作:临床表现和结果
The Journal of Sylhet Women’s Medical College Pub Date : 2023-07-01 DOI: 10.47648/jswmc2023v13-02-84
Bhattacherjee A, Hasan R, Akther N, Choudhury TJ, Haque R, Nur ZB
{"title":"Neonatal seizures in a tertiary care hospital: clinical presentation and outcome","authors":"Bhattacherjee A, Hasan R, Akther N, Choudhury TJ, Haque R, Nur ZB","doi":"10.47648/jswmc2023v13-02-84","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-02-84","url":null,"abstract":"Background: In the neonatal period, seizures emerge as the most apparent warning sign of neurological disorder and are most common in the first 10 days of life. The true incidence of newborn seizures is difficult to ascertain since clinical detection of neonatal seizures is challenging. Growing research suggests that newborn seizures impair neurodevelopmental outcome and may increase the risk of cognitive, behavioral, or epileptic consequences in adulthood.\u0000\u0000Methodology: The Neonatal unit of the Paediatrics Department at the Jalalabad Ragib-Rabeya Medical College Hospital in Sylhet served as the site of this cross-sectional study. This study was conducted between July 2013 and December 2013. There were 100 newborns who had seizures participated in the study. After written consent, a thorough history was taken and complete physical examinations were done. Every seizure episode that was reported by the mother and later examined by the resident doctors documented clinically.\u0000\u0000Results: Most neonates (74%) who experienced seizures were between 1 and 3 days old, and most of them were male children (63%). 40% of newborns cried right away, whereas 60% of them had a history of delayed crying. During the first three days of life, 83% of infants experienced seizures. More than half (57%) of newborns required resuscitation, and 100% of them had weak reflexes. Different types of seizures were observed in neonates. Among them 67% of patients had subtle seizures, 13% had tonic-clonic seizures, 10% had focal clonic seizures, and 10% had tonic seizures. Total 86% of the patients were discharged following treatment.\u0000\u0000Conclusion: First three days of life and male babies are more prone to seizures. Neonatal mortality is largely caused by newborn seizures.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122061673","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
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