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

{"title":"Subjective Health Complaints among the Garments Worker","authors":"","doi":"10.47648/jswmc2022v12-02-51","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-51","url":null,"abstract":"Background: The garments sector in Bangladesh is fronting prospective growth with millions of garments workers at the forefront. Workers suffered from different health problems due to extensive workload, inadequate personal protective equipment and poor or non-existent of health facilities in the workplace. Methods: A cross-sectional study was done to determine the subjective health complaints 180 among the garments workers of two garments factories in Dhaka. ‘Subjective Health Complaints Inventory’ (SHCs) scale was used to construct the questionnaire for interviewing the workers. Results: The garments workers mean age was 27.0±5.7 years and mean working hour’s55.4±6.3per week. The prevalence of SHCs was gastrointestinal problems (89.4%), flu (63.9%), musculoskeletal pain (56.7%), pseudo-neurology problems (41.1%) and allergy (33.3%). The significant subscale of SHCs prevalence was cold flu (59.1%) in flu, leg pain (27.5%) in musculoskeletal pain, heat flushes (23.0%) in pseudo-neurological problems, gas discomfort (53.4%) in gastrointestinal problems and allergies (28.3%) in allergy. Majority of the worker’s (85.0%) health conditions were good. Statistically significant association found coughing with the age; and gas discomfort and allergies (p<0.05) were significant with the gender of the workers. Conclusion: This study reveals that the majorities of the workers’ health condition was good and cough, gas discomfort and allergies being the most prevalent health issues. The garments authorities and policymakers indeed develop primary healthcare services in their garments by establishing health facilities in order to improve the health state of workers.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"23 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":"133149616","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":"Sturge Weber Syndrome Roach Type I: A case report","authors":"","doi":"10.47648/jswmc2022v12-02-10","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-10","url":null,"abstract":"Convulsion is a serious neurological symptom with diverse underlying etiology ranging from metabolic causes to organic brain lesions. Congenital neuro-cutaneous syndromes are rare causes of seizures that manifest with specific external features. This article reports a 22-year-old man born to non-consanguine parents, who presents with recurrent seizures commencing at the age of one year along with thephysical sign of capillary hemangioma on the right side of theface and radiological evidence of ipsilateral subcortical calcification in the brain. These features constitute the diagnosis of a rare neuro-cutaneous disorder, the Sturge-Weber syndrome, a classical variant, the Roach Type I.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"22 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":"125010970","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":"Outcome of Minimally Invasive Osteosynthesis of Distal Tibial Fractures Using Anterolateral Locking Plate","authors":"","doi":"10.47648/jswmc2022v12-02-49","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-49","url":null,"abstract":"This prospective interventional study was conducted in the Department of Orthopaedics ,Jalalabad Ragib Rabeya Medical college Hospital and other Private Hospital in Sylhet during Janurary 2019 to December 2020 with a view to evaluate the outcome of Minimally invasive osteosynthesis of Distal Tibial fractures using anterolateral locking plate of distal tibial fracture. For this purpose 21 patients with fracture distal third of tibia were selected. The mean age of the patients was 43.9(SD8.8) years, 12 (57.1%) male and 9 ( 42.9% ) female with a ratio of 4:3.Total operation time was71.1(SD6.1) minutes and time of union was 15.5(SD2.81) . weeks. Functional outcome was excellent ( 66.7% ), good (14.3% ), fair(9.5%) and poor( 9.5% ).The final outcome was satisfactory in 80.9% and unsatisfactory in 19.1% of patients. so, Minimally invasive osteosynthesis of distal tibial fractures using anterolateral locking plate is an effective surgical option for achieving satisfactory and functional outcome.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"94 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":"126439165","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":"Rapid Onset Ascites: A Rare Case Report of Budd-Chiari Syndrome","authors":"","doi":"10.47648/jswmc2022v12-02-9","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-9","url":null,"abstract":"Budd-Chiari Syndrome is an uncommon condition characterized by clinical features related to hepatic venous outflow obstruction resulting either from thrombotic or non-thrombotic causes. Presentations may vary from asymptomatic to acute fulminant hepatic failure. A meticulous history, examination and imaging studies are invaluable for a prompt diagnosis and initiation of time-sensitive treatment. This report presents a case of a young female with rapid onset ascites due to prothrombotic state of unknown cause with occlusion of all hepatic veins on doppler ultrasonography, without liver impairment.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"31 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":"130138222","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 Pivot Shift under Anesthesia in Anterior Cruciate Ligament (ACL) Deficient knees","authors":"","doi":"10.47648/jswmc2022v12-02-52","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-52","url":null,"abstract":"Background: Knee injuries are common injuries sustained in sports or accidents (domestic, road traffic, etc.).These injuries affect the different structures of the knees, affecting the skin, muscles, bone, ligaments, tendons, etc. Some of the structures are extra-articular and others are intra-articular. There are a lot of different ways that the anterior cruciate ligament (ACL) can be torn. The most common are low-speed, non-contact, deceleration, and contact injuries with a rotational component. Contact sports can also cause twisting, valgus stress, or hyperextension from direct contact or collision-related ACL secondary injuries. The pivot is one of these injuries. The shift test for anterolateral stability of the knee It is a painful test, so most of the patients will not cooperate if not under anesthesia. Objective: This study evaluates the angle of displacement of the tibia in relation to the femur at 30-degree knee flexion, knee extension, and the difference between knee flexion and knee extension. It also determined the angular estimation as outlined above after reconstruction. To compare the angular displacement in the pivot shift before and after reconstruction in an ACL-deficient knee. Methods: This study was conducted in the department of orthopedics, arthroscopy, and sports medicine at Aware Global Hospital, Hyderabad, India. The study was initiated from January 2015 to March 2015. Through inclusion criteria, 15 patients with knee instability were included in the study. Results: After completing the pivot shift test using spinal anesthesia, the knee was flexed to 30 degrees. Three K-wires are placed in three key locations. Compared to the affected knee, the angular displacement in flexed and extended knees is a more reliable and sensitive method for screening anterior instability of the knee due to ACL tear. It is also a low-cost method when specialized medical diagnostic tests are not available. Compared to MRI, it is a dynamic modality and has proven to be just as reliable in diagnosing ACL injuries.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"23 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":"129321418","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":"Study on Prevalence and Antimicrobial Sensitivity Pattern of Bacteria Causing Urinary Tract Infection in a Tertiary Care Hospital in Sylhet.","authors":"","doi":"10.47648/jswmc2022v12-02-56","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-56","url":null,"abstract":"Background: UTI is one of the common bacterial infections occurring hospitals and the community of Bangladesh. Aims and objectives: The aim of this study is to determine the prevalence of UTIs in male and female patients as well as the effect of gender and age on its prevalence. And evaluate sensitivity to common antibiotics. Materials & methods: A cross-sectional observational study was conducted in the Department of Microbiology, Sylhet Women’s Medical College Hospital for a period from May 2021 to October 2021. Urine samples were collected from all suspected UTI patients attending to OPD/ IPD of various departments of Sylhet women’s Medical College Hospital. Isolation and antimicrobial susceptibility were performed using standard microbiological methods. Results: During the study period, a total number of samples sent to the microbiology laboratory from out and in patients of the various departments were 3139 of which 697 (18.0%) of the sample were tested positive and 2442 (82.0%) of the samples were negative. The overall prevalence of UTI for both male and female patients was found to be 18%. In this study, a high prevalence of UTIs showed in females (75%) than in males (25%).The highest susceptible age group of patients to UTI was the age group more than 60 years for both sex (30.3%). Escherichia coli was found the dominant bacteria among the isolated causative pathogens with a rate of (46.1%), the second highest is Klebsiella spp. (31.7%) followed by Staphylococcus saprophyticus 6.3%, Enterococcus faecalis 5.75%, Pseudomonas species 5.5% and Staphylococcus aureus 4.7%. Among them, a good number of isolated pathogens were multidrug resistance. Conclusion: This study reveals a significant prevalence of bacterial isolates in urine with multi drug resistance. Routine bacterial surveillance of causative agents and antibiotic susceptibility to prevent further emergence and spread of resistant bacterial pathogens.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"13 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":"121650592","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":"Comparison of Feto-Maternal Outcomes after Caesarean Section and Vaginal Delivery in Eclamptic Patients","authors":"","doi":"10.47648/jswmc2022v12-02-57","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-57","url":null,"abstract":"Introduction: Eclampsia has a high prevalence in our country with a high mortality rate. It is recognized that termination of pregnancy is the only definitive cure ofthe pathophysiological events in eclampsia. A rational therapy for general management, management of hypertension and convulsion has beenestablished in Bangladesh by the Eclampsia Working Group. Methodology: This study was carried out in the Eclampsia Ward, Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital, and included 100 consecutively selected patients. In this study, the 50 patients of vaginal delivery group and the 50 patients of caesarean section group were comparable regarding baseline parameters like age, gravidity, socioeconomic status, gestational age, antenatal care and type of eclampsia. Result: Maternal morbidity was significantly high (P<0.01) among women of vaginal delivery group (54%) compared to caesarean section group (16%). Maternal mortality was 4 percent in the vaginal delivery group and none in the caesarean section group. Conclusion: Overall fetal outcome was better among the caesarean section group of patients. Fourteen percent of babies were stillborn in the vaginal delivery group compared to four percent in the caesarean section group. Therefore, early caesarean section may significantly improve thefeto-maternal outcome in eclamptic patients.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"46 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":"114454395","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 Lower Dose of Mgso4 for Control of Convulsions in Bangladeshi Eclamptic Women","authors":"","doi":"10.47648/jswmc2022v12-02-48","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-48","url":null,"abstract":"Introduction: Eclampsia is the third major cause of maternal death in Bangladesh contributing to 16 percent of total maternal mortality rate (MMR)¹. Standard practice in eclampsia is urgent control of convulsions and prevention of its recurrence with the help of a suitable anticonvulsant, prompt initiation of general and obstetric care and control of hypertension if needed. Methodology: This prospective cross-sectional analytic study was conducted in Dhaka Medical College Hospital (DMCH) eclampsia unit during August 2004 to January 2005 in order to determine whether 8 g of magnesium sulphate heptahydrate is sufficient in controlling convulsion and preventing recurrences in lighter Bangladeshi women instead of 10 g of magnesium sulphate (MgSO4) as loading dose that is now being used. One hundred consecutive eclamptic patients who were eligible for magnesium sulphate therapy were assigned by lottery to receive either 8 g of magnesium sulphate heptahydrate (MgSO4. 7H₂O) (group A) or 10 g of magnesium sulphate (group B). The two groups were well-balanced and comparable on important characteristics. Result: The results show that there was no significant difference between the two groups with respect to recurrent convulsion, time needed to regain consciousness and maternal and perinatal morbidities and mortalities. Conclusion: The results reveal that 8 g magnesium sulphate heptahydrate is as effective as 10 g MgSO4 (as loading dose) in management of eclamptic convulsion of Bangladeshi women. If 8 g of magnesium sulphate heptahydrate can be used, it will be more economic, painful intramuscular injections will be avoided and the risk of toxicity will be reduced","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"51 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":"127026819","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 Elevated Troponin- I among Hospitalized Patients with COVID- 19.","authors":"","doi":"10.47648/jswmc2022v12-02-47","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-47","url":null,"abstract":"Background: Corona Virus Disease 2019 (COVID-19) pandemic caused millions of pneumonia related death since December 2019. Cardiac troponin-I elevation is associated with adverse outcomes in cardiovascular and non-cardiovascular disease. There is a lack of data regarding the role of troponin-I on the assessment and COVID-19 stage classification and stratification. Objective: The study was aimed to estimate prevalence of troponin-I among hospitalized patients with COVID-19. Methods: This cross sectional descriptive type of observational study was carried out at COVID-19 isolation unit of Sylhet Women’s Medical College Hospital during the period of six months from April 2021 to September 2021. Data were collected from purposively selected 204 patients with COVID-19 from patient files and EMR. Data were analyzed by using SPSS version 21.0. Results: The study results revealed that mean age of the patients with COVID-19 was 57.97 years with a standard deviation of 15.78 years. Majority of them (121, 59.3%) were female and the remaining (83, 40.7%) were male. Proportion of comorbidities were estimated and found that each 115 (56.4%) patients were hypertensive and diabetic. Thirty five (16.2%) had ischemic heart disease; 3 (1.5%) had congestive cardiac failure and 2 (1.0%) had asthma. Only 1 (0.5%) patent has atrial fibrillation. Minimum level of troponin-I was 0.01 ng/ml and the maximum level was 21.70 ng/ml with a range of 21.69 ng/ml. Mean troponin-I of patients with COVID-19 was 0.38±1.78 ng/ml. Estimated prevalence of elevated troponin-I was 39.1%. Level of troponin-I in patients of different age group was compared and Chi-square test showed no significant difference (p>0.05). Elevation of troponin-I in both sex was compared and again Chi-square test showed no significant difference (p>0.05). Elevation of troponin-I was significantly higher on those who were detected by RT-PCR than those who were detected by rapid antigen test (p=0.048).Conclusion: Though the pattern of elevation of troponin-I was found similar in younger and older patients and in males and females, a significant number of patients with COVID-19 (65/204, 39.1%) had elevated troponin-I which should be addressed to evaluate and manage patients with COVID-19 more efficiently.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"74 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":"124558219","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":"Case Control Study to Evaluate the Relationship between Vitamin D Deficiency and Severity of COVID-19 Infection and Outcome","authors":"","doi":"10.47648/jswmc2022v12-02-53","DOIUrl":"https://doi.org/10.47648/jswmc2022v12-02-53","url":null,"abstract":"Background: Coronavirus disease (COVID-19) is a systemic disorder caused by severe acute respiratory syndrome corona virus (SARS-COV-2). No established curative treatment for this disease is yet invented. Vitamin D deficiency (VDD) significantly facilitates in worsening COVID 19 infections. Till now, there is no definite verification on its impact on COVID-19 infection. Objective: To evaluate the relationship amid vitamin D-deficiency and severity of COVID-19 infection and its outcome. Methods: The present case-control study was conducted at a medical college hospital, Sylhet, Bangladesh. Total 100 cases and 100 controls were enrolled. Patients categorization were formulated on the ground of severity of COVID infection clinically and Vitamin D level at admission. The relationship among these two categories with different variables was analyzed. All data were processed and analyzed by SPSS (statistical package for social science) version 25. Results: In this study the mean age was 58.46 14.50 years in COVID 19 patients (case group) and 41.96 5.66 years in control group. Majority (64%) was male and 36% was female among COVID 19 patients. Leading risk factor (64%) was DM (diabetes mellitus) followed by smoking (24%) and hypertension (16%). Significant vitamin D deficiency was seen in case group (COVID 19) than control group which was 37% and 22% respectively. Further observed, vitamin D insufficiency was also more in case group (39%) than control group (31%). However, sufficient vitamin D levels were more in control group than case group which was 47% and 24% respectively. The average vitamin D level was 24.10 11.30 in case group and 28.55 11.80 in control group which carried significant statistic value (P<0.05). Thus, Vitamin D level was significantly associated with the COVID 19 disease severity evident by 45.1 % deficiency in severe cases compared to 17.2% among the moderate cases. Conclusion: This study shows the serum level of vitamin D was lower in patients with the COVID 19. It is also found that vitamin D status is remarkably related to COVID-19 severity. Vitamin D supplementation may have a vital role in limiting the impact of this pandemic. More clinical studies are demanded to establish the relationship between COVID 19 patients and the serum level of vitamin D.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"70 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":"122664981","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}