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

{"title":"Outcome of Hyaluronic Acid for Knee Osteoarthritis","authors":"Ahmed F, Shakiba C, Mazumdar SH, Mozumder TK","doi":"10.47648/jswmc2023v13-01-62","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-01-62","url":null,"abstract":"Osteoarthritis(OA) is the most common chronic condition of the knee joints that takes place when the cartilage or a low friction surface between joints breaks down which leads to pain, stiffness and swelling. Total 56 patients with osteoarthritis of knee, randomized to receive intra articular hyaluronic acid injection and were followed up for 3 months. Patients were evaluated with the Western Ontario and Mc Master University Osteoarthritis Index(WOMAC), Knee injury and Osteoarthritis Outcome Score (KOOS) and the visual analog scale. This study was done for the evaluation of the therapeutic effect of intra articular injection of hyaluronic acid (HA) in knee osteoarthritis. Patients mean age were57 ±9 years. WOMAC score shows that stiffness did not improved after intervention, (P> 0.05). KOOS score shows that after intervention, symptoms were improved (P< 0.05).","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121834591","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":"Monkeypox: A Global Public Health Emergency of 2022- Are We Ready?","authors":"Afroze T, Salam MU, Rahman N, Ahmad MM, Alam FM, Joysoual MR","doi":"10.47648/jswmc2023v13-01-6","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-01-6","url":null,"abstract":"Monkeypox is a zoonotic viral disease endemic to the tropical rainforest regions of Central and West Africa. The 1st virus isolation was done from a group of research monkeys in 1958 and the 1st human case was detected in the Democratic Republic of Congo (DRC) in 1970. Outbreaks outside Africa by 2021 were always small-scale and associated with travel to endemic regions or the importation of infected animals. But in 2022, more than 2000 cases were reported from 1st January to 3rd August from more than 80 countries worldwide, and the majority of them had no travel or contact history. Neighboring country India has also detected four monkeypox cases for the first time with one death which is a concern for Bangladesh. This review article gives a brief overview of the monkeypox virus, the disease, and most importantly, the preventive measures in the context of the current global outbreak.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129803218","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":"Disease Pattern and Laboratory Profile of Febrile Convulsion among Admitted Children in SWMCH, Sylhet","authors":"Chowdhury FJ, Bashar AHMK, Shahabuddin M, Qurashi MSA, Parvin R","doi":"10.47648/jswmc2023v13-01-67","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-01-67","url":null,"abstract":"Background: Febrile seizure is the most common cause of convulsion encountered in pediatric practice. Majority of febrile convulsions occurred in first two years of life. The incidence is slightly higher in boys than in girls, but they tend to occur earlier in girls.\u0000\u0000Aim of the study: This aim of the study was to evaluate the disease pattern and laboratory profile of febrile convulsion among the children admitted in SWMC.\u0000\u0000Materials and methods: This cross-sectional study was done in Sylhet Women’s Medical College Hospital from February 2021 to January 2022. Total 174 children aged in between 0-7 years who were admitted in Pediatric department with the complaints of fever and convulsion were included in the study. Data was collected by expert physician with structured questionnaire containing demographic profile, history, clinical examination and laboratory profile. Data were analyzed by descriptive manual.\u0000\u0000Results: The results showed that, there were 25 (14.44%) children in age group of 0-2, 108 (62%) in age group of 3-5 and 41 (23.56%) in age group of 6-7 years. The number of male subjects were higher 91 (52%) than female 83 (47%) in the study. The most frequent type of seizure was GTCS which was found in 148 (85%) cases. Leukopenia was found in 92 (52.87%) cases which was the most frequent finding. The most frequent type of disease was upper respiratory tract infection 52 (29.88%) followed by pneumonia 46 (26.43%), gastroenteritis 32 (18.39%), urinary tract infection 32 (18.39%) and otitis media 12(6.89%).\u0000\u0000Conclusion: In our study most of the children were 3-5 years of age with male preponderance. Upper respiratory tract infection was found as common cause of febrile convulsion and leucopenia, raised CRP were identified.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117134307","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 study of the sleep patterns and problems of Medical Students in Bangladesh","authors":"Chowdhury TF, Khatun S, Laskar AMH, Sajjad T","doi":"10.47648/jswmc2023v13-01-68","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-01-68","url":null,"abstract":"Aim: The aim of the present study is to describe sleep habits and sleep-related problems among the medical students in Bangladesh.\u0000\u0000Method: This was a cross-sectional study over four weeks in the year 2021 at different medical colleges in Sylhet, Bangladesh. The sample size was 192.Using purposive sampling technique, data were collected digitally using Google Forms as a self-administered questionnaire. Data were examined using Stata version 16.All the descriptive statistics were measured and reported accordingly.\u0000\u0000Results: A total of 192 medical students were enlisted with age is 21.3±1.8years. All the respondents have slept for 6.2 ±1.54 hours every night with taking on an average of 36.5 ±35.3 minutes to fall asleep. The ESS score for all the respondents is 7.9 on average with a standard deviation of 4.83.Sleep quality is reported fairly bad by 31 (16.6%) students and very bad by 12(6.4%) students. Poor sleep quality is usually reported in association with sleep latency, nightmares, incidence of night-time awakenings, and time of going to bed. However, 87% of students have refused to take any over-the-counter medicine to induce sleep despite having sleep problems. Most of the students prefer to use social media (76.2%) before they go to sleep which may attribute to their sleep disorders. Majority of the students (73.7%) responded study stress is the culprit of their lack of sleep, followed by over thinking (47.3%) and social media use (38.2%).\u0000\u0000Conclusion: Medical students are exposed to high academic demands, which may affect their sleep pattern. Poor sleep quality with undue daytime sleepiness can affect their mental capability required for good academic performance.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114578334","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":"Risk factors of Hemorrhagic Stroke- a Case-Control Study in Bangladesh","authors":"Talha KA, Selina F, Patwary MI, Khan MH, Debnath J","doi":"10.47648/jswmc2023v13-01-63","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-01-63","url":null,"abstract":"Background: Spontaneous intracerebral hemorrhage is one of the leading causes of mortality and morbidity. Genetic factors play an important role in this disease. Among the non-genetic causes Hypertension (HTN), IDDM (insulin dependent diabetes mellitus), NIDDM (non-insulin dependent diabetes mellitus), family history of hemorrhagic stroke, smoking, previous history of ischemic stroke, alcohol intake and education level are important.\u0000\u0000Methods: The aim of the study was to evaluate the association between ICH and non-genetic risk factors. This was a case-control study with 120 participants. The place of the study was in the Neurosurgery department of Sylhet Women’s Medical College Hospital (SWMCH) and the study period was 2 years.\u0000\u0000Result: Alcohol consumption (RR=3, Odd=3.11) showed highest risk for ICH. Other risk factors of ICH were smoking (RR=2, Odd=2.36), family history (F/H) of ICH (RR=1.3, Odd=1.38), Hypertension (RR=1.1, Odd=1.39) and below 12 class education status (RR=1.08, Odd=1.63). The relative risk of IDDM, NIDDM, previous history (P/H) of ischemic stroke were less than 1.\u0000\u0000Conclusion: There are few controllable risk factors of hemorrhagic stroke apart from genetic risk factors.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115650018","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":"Drainage Followed by Primary Closure with Suction Drain Versus Drainage Only in the Treatment of Breast Abscess","authors":"Podder S, Chowdhury DAH, Azad MAS","doi":"10.47648/jswmc2023v13-01-66","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-01-66","url":null,"abstract":"Background: Breast abscess is a common inflammatory condition among young lactating women. Although initial stages of breast abscess can be managed with antibiotics, surgery may be required in advanced stages in the form of incision and drainage with or without placement of a surgical drain. There are various methods for the treatment of breast abscesses.\u0000\u0000Objectives: To compare the outcome of drainage followed by primary closure with suction drain and drainage only in the treatment of breast asbscess.\u0000\u0000Methods: A total of 74 diagnosed cases of lactational breast abscess who underwent surgery were included in this prospective observational study. The patients were divided into two groups, 37 patients who underwent primary closure with suction drain were considered as group- A and the rest 37 patients who underwent drainage only were considered as group-B. Diagnosed cases of lactational breast abscess who underwent drainage of the abscess by either of the two above-mentioned methods were enrolled in this study. Statistical analyses of the results were obtained by using windows-based computer software Statistical Packages for Social Sciences (SPSS-22).\u0000\u0000Results: The mean age was 24.16±4.02 years in group-A and 23.27±3.63 years in group-B. More than half (54.1%) patients were primipara in group-A and 24(64.9 %) in group-B. More than half (56.8%) patients had S. aureus in pus culture in group-A and 28(75.7%) in group-B. The differences were statistically not significant (p>0.05) between the twogroups. The mean healing time was 8.95±1.51days in group-A and 25.76±4.23 days in group-B. The mean duration of hospital stay was 5.14±1.03 days in group-A and 26.05±4.03 days in group-B. The mean time required to resume of breastfeeding was 4.57±1.04 days in group-A and 25.73±4.2 days in group-B. The mean score of postoperative pain (visual analog scale) was 1.35±0.48 in group-A and 3.76±0.6 in group-B. The mean requirement of analgesia was 5.24±1.28 days in group-A and 13.95±2.75 days in group-B. More than half (51.4%) patients had better scar quality in group-A and 26(70.3%) had good scar quality in group-B. The differences were statistically significant (p<0.05) between the two groups.\u0000\u0000Conclusion: Primary closure with suction drain results better outcome than conventional incision & drainage in the treatment of breast abscess.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132322975","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":"Encephalitis: Diagnostic and Management Challenges","authors":"Patwary MI, Razzaque MF","doi":"10.47648/jswmc2023v13-01-7","DOIUrl":"https://doi.org/10.47648/jswmc2023v13-01-7","url":null,"abstract":"Encephalitis is a condition characterized by inflammation of the brain which may be caused either by direct infection of the brain parenchyma or as a post-infective process with a more increasingly recognized association with autoimmune etiologies. Establishing etiology is a crucial first step alongside initiating appropriate management. This article will explore the taxing issues clinicians face whilst investigating such cases and their therapeutic challenges.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125444135","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":"Negative Pressure Wound Therapy in the Management of Postoperative Abdominal Wound Dehiscence","authors":"Rashid MSU, Chhanda CS, Das S, Hossain KI, Nayamoth TH, Rahman MH, Rahman T","doi":"10.47648/jswmc2022v1202-01","DOIUrl":"https://doi.org/10.47648/jswmc2022v1202-01","url":null,"abstract":"Background: Abdominal wound dehiscence(AWD) is one of the dreadful complications of abdominal\u0000surgery. Conventionally it is treated with regular dressing. Negative pressure wound therapy (NPWT) is\u0000newest concept for management of AWD.\u0000Objective: To find out the effectiveness of NPWT in management of AWD.\u0000Material & methods: This prospective study was conducted in the Department of Plastic and\u0000Reconstructive Surgery, Sir Salimullah Medical College (SSMC) and Mitford Hospital, Dhaka, Bangladesh\u0000from July2018 to June2020. Total 30 patients were fulfilled the enrollment criteria.\u0000Result: Age range of our patient was 15-60 and mean (SD) was 36.5 (± 12.204) years. Male to female ratio\u0000was 1.5:1. AWD commonly (60.66%) occurred after emergency procedure. The mean (SD) wound size\u0000waschanged from 60.21(±31.418) cm3 to 12.19(±7.453) cm3 at the end of treatment that was statistically\u0000significant. The average duration of NPWT was 8.26 days.\u0000Conclusion: The wound healing process is aided by NPWT, which makes the wound bed more favorable\u0000to early covering and reduces the mental stress and financial burden of the patient.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131973242","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":"Risk Factors for the Development of Pneumonia Below 2 Years of Age","authors":"Khan HJ","doi":"10.47648/jswmc2022v12-02-50","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-50","url":null,"abstract":"Acute respiratory tract illness is the leading cause of death in the developing countries. This case control study was endeavored with an aim to assess the factors that can increase the risk of pneumonia in children. Methodology: This Case-Control study was carried out at the Paediatrics Department of Jalalabad Ragib Rabeya Medical College Hospital (JRRMCH) in Sylhet from January 2018 to July 2018.This study involved 200 children of 6 to 24 months age, among them 100 children who was hospitalized in JRRMCH for pneumonia during the study period as case. The control group included 100 children who was selected purposively came for immunization at JRRMCH EPI centre and at OPD for other problem but free from pneumonia. Sample were selected according to the inclusion & exclusion criteria. A case definition for pneumonia as outlined by the WHO(2014) was used as the criteria for case inclusion. Children with history of low birth weight, congenital cardiovascular or respiratory malformation, chromosomal abnormalities, recurrent wheeze, were excluded from the study. Data were collected by interviews of the parents using a structured questionnaire. Pneumonia (a child with cough or difficult breathing and fast breathing and or chest in-drawing with recently developed radiological pulmonary shadowing)1 affected 100 children included in case group and 100 children free of pneumonia included in control group. SPSS version 22 were used to analyze the data. Independent sample‘t’ test and Chi (x2 ) square test were done. Results: Residential area, socio-economic status, maternal education, H/A score, formula feeding, types of complimentary feeding, passive smoking, birth order >2, family member, crowding index and birth spacing are significantly associated with development of pneumonia. Conclusion: Children belonged to rural area, poor maternal education, low socio-economic status, stunting height for age, formula feeding, types of complimentary feeding, exposure to passive smoking, birth order>2, birth spacing, family member and crowding index were significantly (p<0.05) associated with pneumonia.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"77 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113971857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing the Practices of Exclusive Breastfeeding in a Hospital Setting.","authors":"","doi":"10.47648/jswmc2022v12-02-54","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-54","url":null,"abstract":"Background: Breast milk is a most precious natural gift for a newborn and continues to be the optimal form of diet after birth. The practice of exclusive breastfeeding (EBF) is still poor in Bangladesh despite the associated benefits. Methods: A hospital-based cross-sectional study was done to determine the factors influencing the practice of EBF among the 107 lactating mothers in a hospital setting. Results: More than half of the hospital admitted children (56.1%) were in ≤6 months and two-thirds (65.4%) were 1st children of their parents. 44.9% of mothers and 29.0% of fathers of children had no formal education. One-third of the mothers attending breast feeding counseling programs (34.6%), and also get support and care during their lactation period(33.6%). Two-fifths of mothers (40.2%) had sound knowledge about EBF duration and less than one-third (29.9%) were fed EBF expediently.EBF practices among the mothers are statistically significant association with received counseling on breastfeeding, proper attachment during breastfeeding, pre-lacteal foods given after delivery, type of complementary foods, appliances used for complementary feeding, and support and care during the lactation period (p<0.05). The association of knowledge about EBF duration is also statistically significant with counseling on breastfeeding (p<0.05). Conclusion: Lactating mothers have to face various challenges, as they are trying to practice EBF for the first 6 months of a newborn. It’s indeed scaling up EBF practices that require intensive efforts at all levels including family and community levels.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128616638","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}