Annals of International Medical and Dental Research
Annals of International Medical and Dental Research (AIMDR) is indexed in Index Medicus (IMSEAR), Global Index Medicus, Index Copernicus and Google Scholar
Annals of International Medical and Dental Research
Annals of International Medical and Dental Research (AIMDR) is indexed in Index Medicus (IMSEAR), Global Index Medicus, Index Copernicus and Google Scholar
An evaluation of Glenoid Fossa Location in various Facial Divergence Types
Arvind Mengi1*, Nancy Mengi2, Ravnitya Singh3, Abhishek Singh4
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 1-7 | https://doi.org/10.53339/aimdr.2024.10.5.1
An evaluation of Glenoid Fossa Location in various Facial Divergence Types
Arvind Mengi1*, Nancy Mengi2, Ravnitya Singh3, Abhishek Singh4
Abstract
Background: To study the variation in the anatomical position of glenoid fossa in patients with long face and short face. The study was conducted to assess the location of Glenoid Fossa in various facial divergence types. Material & Methods: Glenoid fossa location is ascertained in cephalometric radiographs of subjects with different facial types. Glenoid fossa location in cranial base was assessed using four linear and two angular variables on cephalometric data of 184 subjects. Data was analyzed using IBM SPSS Statistics, version 25, predictive analytics software. Statistical analysis used Bonferroni Correction for multiple comparisons and Kruskall Wallis test in place of oneway ANOVA if the data was not normally distributed. Results: Hyperdivergent facial types have glenoid fossa located significantly superiorly in the cranial base as compared to hypodivergent facial types (p = 0.0163). Conclusions:The glenoid fossa location amongst hypodivergent and hyperdivergent facial types varies significantly. The glenoid fossa is located superiorly in cranial base in hyperdivergent facial types as compared to hypodivergent facial types.
Glenoid Fossa, hyperdivergent, hypodivergent and normodivergent.
Shafia1*, Junaid Mohi U Din2
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 8-15 | https://doi.org/10.53339/aimdr.2024.10.5.2
Awareness and Knowledge of Dentists of Kashmir Regarding Separated Instrument Management : A Questionnaire Based Cross-Sectional Study
Shafia1*, Junaid Mohi U Din2,
Abstract
The aim of this survey was to evaluate the awareness & knowledge of dentists of Kashmir regarding separated instrument management. A modified online questionnaire comprising of demographics, knowledge and practice based questions was prepared and distributed online amongst 215 dentists irrespective of their specialty. A stipulated time of two weeks was given to receive response. The data collected was segregated and analyzed using MS excel for descriptive analysis. The response rate of 76% was achieved as 163 responses were received out of 215 participants. The survey respondents comprised of 32.5% percent of graduates, 35.5% endodontists and rest post-graduates of other specialties. Around 78.5% respondents experienced instrument separation during cleaning and shaping while 12.5 % during initial negotiation. Regarding the level of fracture inside the canal almost 71.5% observed separation in apical third of canal in mesial roots (65.6%) of mandibular molars. Most of the clinicians preferred bypassing technique (59.9%) as first line of treatment. 21.9% respondents preferred to leave the separated instrument in canal without further treatment & 8.8% clinicians opted for retrieval of separated instrument. 9.4% referred to endodontist for further treatment. Most of the respondents were aware about the basic technique and about the role of magnification in management of separated instrument although more information and training is needed to get aquanted with latest techniques and equipments for the treatment of separated instrument
Instrument separation, Knowledge, awareness, cleaning & shaping, root canal treatment, dental operating microscope.
Pattern and Risk Factor Analysis of Oral and Maxillofacial Trauma- A Hospital Based Study
Parveen Akhtar Lone1, Jasbinder Kumar2*, C. Lalmuanpuia3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 16-22 | https://doi.org/10.53339/aimdr.2024.10.5.3
Pattern and Risk Factor Analysis of Oral and Maxillofacial Trauma- A Hospital Based Study
Parveen Akhtar Lone1, Jasbinder Kumar2*, C. Lalmuanpuia3
Abstract
Background: The purpose of the study is to discuss the epidemiology and pattern of oral and maxillofacial trauma and various risk factors related to them. Material & Methods: This retrospective study was conducted in the department of Oral and maxillofacial surgery, Indira Gandhi Govt. Dental College, Jammu between 1st January to 31st December 2023 for a period of one year. Standardized data was gathered related the following information: Gender, age, etiology of injury, anatomic site of trauma , presence and location of associated injuries, treatment pattern and complications. Following categories of injury cause were considered- RTA, Fall from height, Personal violence, Animal attack injury. Results: During the one year period of study, 600 patients presented with oral and maxillofacial fractures. Road traffic Accident was the most common cause of injury comprises 487 (81.2%) injuries. The next common cause was assault n=61 (10.2%) followed by fall from height n=45 (7.5%). The most common site of maxillofacial fracture was mandible n= 373(62.2%). The next common site of maxillofacial trauma was Zygomatic arch n=94(15.7%). The next common site of maxillofacial fracture was Maxilla n=60(10%) followed by dentoalveolar 49(8.2%). Conclusions: Road traffic accident remain the highest cause of injury. Precaution and preventive measures need to be reinforced, considering the quality of life, disability and cost of rehabilitation.
Maxillofacial trauma, epidemiology of maxillofacial trauma.
Investigating Vitamin D-3 Deficiency among Pregnant Women at a Local Tertiary Hospital
Shamima Haque Chowdhury1*, Waheeda Nargis2, Farhana Kalam3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 23-30 | https://doi.org/10.53339/aimdr.2024.10.5.4
Investigating Vitamin D-3 Deficiency among Pregnant Women at a Local Tertiary Hospital
Shamima Haque Chowdhury1*, Waheeda Nargis2, Farhana Kalam3
Abstract
Background: Vitamin D deficiency is a pervasive issue globally, particularly among pregnant women, and is linked to various adverse health outcomes. This study investigates the prevalence and characteristics of Vitamin D-3 deficiency among pregnant women in a tertiary care setting in Dhaka, Bangladesh, and explores the association with demographic and clinical factors. Material & Methods: This retrospective observational study was conducted at Uttara Adhunik Medical College and Hospital, Dhaka, over 12 months from January to December 2020. The study included 60 pregnant women suspected of Vitamin D deficiency based on clinical symptoms. Data on age, gravidity, parity, comorbidities, and serum Vitamin D levels were collected and analyzed using descriptive statistics and bivariate correlation analysis. Results: The majority of participants were aged between 26 and 35 years (45.00%), with a high prevalence of Vitamin D deficiency (86.67%). The common comorbidities observed were hypothyroidism (20.00%), preeclampsia (15.00%), and diabetes (13.33%). Bivariate correlation analysis showed no significant associations between Vitamin D levels and demographic factors such as age, parity, and gravidity. Conclusions: Vitamin D deficiency is highly prevalent among pregnant women at the studied hospital in Dhaka, Bangladesh, and is associated with significant comorbidities. These findings underscore the need for targeted public health interventions to address Vitamin D deficiency in this population, including supplementation and dietary education, to improve pregnancy outcomes.
Vitamin D Deficiency, Pregnancy, Bangladesh, Comorbidities, Public Health Interventions.
Prevention and Management of Endometriosis in Adolescent Girls
Mst Ferdewsi Begum1*
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 31-38 | https://doi.org/10.53339/aimdr.2024.10.5.5
Prevention and Management of Endometriosis in Adolescent Girls
Mst Ferdewsi Begum1*
Abstract
Background: Endometriosis is a chronic gynecological condition characterized by the presence of endometrial-like tissue outside the uterus, leading to symptoms such as pelvic pain, dysmenorrhea, and infertility. This study aims to investigate the prevention and management strategies for endometriosis in adolescent girls, focusing on both medical and surgical interventions, as well as the effectiveness of preventive measures. Material & Methods: This study is designed as a prospective cohort study at the Department of Obstetrics & Gynaecology in Mymensingh Medical College, Mymensingh, Bangladesh from July 2020 to July 2022. The study enrolled 88 adolescent girls aged 12-18 years who have been diagnosed with endometriosis through laparoscopy or imaging. Data were analyzed by SPSS (Statistical Package for Social Sciences) version 22.0. Statistical analysis involved descriptive statistics for baseline characteristics, comparative analysis between intervention groups using t-tests and chi-square tests, and longitudinal analysis using mixed-effects models, with statistical significance set at p<0.05. Results: In this study, progestins demonstrated a 65% response rate but were associated with weight gain. GnRH agonists showed an 80% response rate with side effects such as hot flashes, while aromatase inhibitors had a 70% response rate and were linked to joint pain. Surgical outcomes indicated that laparoscopy provided 90% pain relief with a 10% complication rate and 15% recurrence, whereas laparotomy resulted in 85% pain relief, 15% complications, and 20% recurrence. Quality of life measures showed significant improvements, with pain scores decreasing from 8.5 to 3.2, activity limitations reducing from 70% to 30%, and psychological well-being increasing from 50% to 80% after treatment. Conclusions: Effective prevention and management of endometriosis in adolescent girls involve early detection, appropriate medical treatments, and preventive measures. Key strategies include using combined oral contraceptives (COCs) and lifestyle modifications to reduce symptoms, supported by education programs to improve awareness. Progestins, GnRH agonists, and aromatase inhibitors are effective treatments, with laparoscopy being a successful surgical option.
Endometriosis, Adolescent, Prevention, Management.
Hospital Readmission Rates and Associated Factors in Pediatric Pneumonia Cases
Md Abdul Awyal1*
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 39-46 | https://doi.org/10.53339/aimdr.2024.10.5.6
Hospital Readmission Rates and Associated Factors in Pediatric Pneumonia Cases
Md Abdul Awyal1*
Abstract
Background: Pediatric pneumonia remains a leading cause of hospitalization and morbidity among children, particularly in resource-limited settings. Understanding the factors associated with hospital readmission is crucial for improving patient outcomes and optimizing healthcare resources. Material & Methods: This retrospective cohort study analyzed data from 250 pediatric patients diagnosed with pneumonia and admitted to 250 Beded General Hospital, Nilphamari, Bangladesh over a two-year period from January 2022 to December 2023. Patients aged 0-18 years with a confirmed diagnosis of pneumonia were included, while those with chronic lung diseases, immunodeficiencies, or incomplete medical records were excluded. Data were collected from electronic medical records, focusing on patient demographics, clinical characteristics, treatment details, and readmission status within 30 days post-discharge. Descriptive statistics and chi-square tests were employed, along with logistic regression analysis to identify predictors of readmission. Results: The study found that 30% of the patients were aged 2-5 years, with a male predominance of 56%. Asthma was the most common comorbidity, affecting 24% of the cohort, while 60% had no comorbidities. The severity of pneumonia was evenly split between mild and moderate cases (40% each), with severe cases constituting 20%. Treatment modalities were equally divided between oral and IV antibiotics (40% each), with 20% receiving combined therapy. The 30-day readmission rate was 16%, indicating a significant proportion of patients required subsequent hospitalization. Conclusions: The findings highlight key factors influencing hospital readmission rates in pediatric pneumonia, emphasizing the need for targeted interventions and improved post-discharge care to reduce readmission rates and associated healthcare burdens.
Pediatric pneumonia, hospital readmission, treatment modalities, comorbidities, severity.
Linseed Oil in preventing Peri-ileostomy Skin Excoriation in Children
Md. Mozammel Haque Chowdhury1*, Mohammed Kabirul Islam2, Md. Faridul Islam3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 47-53 | https://doi.org/10.53339/aimdr.2024.10.5.7
Linseed Oil in preventing Peri-ileostomy Skin Excoriation in Children
Md. Mozammel Haque Chowdhury1*, Mohammed Kabirul Islam2, Md. Faridul Islam3
Abstract
Background: Peri-ileostomy skin excoriation is an inevitable complication following Ileostomy specially in children. To prevent such excoriation Zinc oxide paste and several other conventional modalities has been used with some demerits. So in search of an alternative, Linseed oil has been proposed to prevent peri-ileostomy skin excoriation as it contains an omega-3 α Linolenic acid having anti-inflammatory, anti-allergic, skin soothing, healing and revitalizing properties. The aim of the study is to compare the effectiveness of Linseed oil and Zinc oxide paste in preventing peri-ileostomy skin excoriation. Material & Methods: This was a prospective comparative interventional study conducted in 76 children (ranging from 1 day to 18 years) admitted at Dhaka Shishu (Children) Hospital requiring Ileostomy care from March 2017 to September 2019. Out of 76 children, 38 were purposively selected and randomly allocated in each of Group A (Linseed oil Group) and Group B (Zinc oxide Group). Patients were followed up for 1 month after operation. During this period, 5 children were lost from follow-up in Group A and 4 in Group B. So we studied with 67 patients among which 33 enrolled in Group A and 34 in Group B. SPSS version 25 statistical software was used to analyze. Results: Age, sex, weight, primary diagnoses and types of operation showed no significant statistical differences between two groups. Area of excoriation was absent in 22 (66.7%) patients in Group A and 8 (23.5%) patients in Group B. No patient in Group A had > 3 cm excoriation while in Group B 8 (23.5%) patients had > 3 cm excoriation which was statistically significant (p < 0.001). 1st degree excoriation was significantly more in group B 24 (70.6%) than Group A 10 (30.3%) (p -value = 0.001). Conclusions: Linseed oil is more effective than Zinc oxide in preventing peri-ileostomy skin excoriation. It is locally available, easy to use and potential to minimize the peri-ileostomy skin excoriation.
Linseed oil, Zinc oxide paste, Peri-ileostomy skin excoriation.
Md Tuhin Talukder1*, Kazi Mazharul Islam2, Mohammad Mahbub Elahi3, Mohammad Abdul Awal4, ANM Nure Azam5, Golam Mahmud Rayhan6, H A Nazmul Hakim7
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 54-63 | https://doi.org/10.53339/aimdr.2024.10.5.8
Early Complications of Internal Versus External Pancreatic Duct stent in Patients with Pancreaticoduodenectomy
Md Tuhin Talukder1*, Kazi Mazharul Islam2, Mohammad Mahbub Elahi3, Mohammad Abdul Awal4, ANM Nure Azam5, Golam Mahmud Rayhan6, H A Nazmul Hakim7
Abstract
Background: Pancreaticoduodenectomy (PD) is a complex surgical procedure with significant postoperative complications, including pancreatic fistula, delayed gastric emptying, and intra-abdominal infections. This study aims to compare the early postoperative complications of internal versus external pancreatic duct stents in patients undergoing PD. Material & Methods: This prospective observational study was conducted at Dhaka Medical College Hospital from January 1, 2023, to December 27, 2023. A total of 40 patients scheduled for PD were divided into two groups: 20 managed with internal stents and 20 with external stents. Data on demographic characteristics, per-operative factors, and postoperative complications were collected and analyzed. Results: The study population had a mean age of 56.78 years, with males constituting 65%. The most common histopathological diagnosis was periampullary carcinoma (50%). In the internal stenting group, 10% had a soft pancreas, 65% had a firm pancreas, and 25% had a hard pancreas. In the external stenting group, 40% had a soft pancreas, 50% had a firm pancreas, and 10% had a hard pancreas. Wound infections occurred in 10% of the internal stenting group and 15% of the external stenting group. Intra-abdominal collections were found in 5% of the internal stenting group and 10% of the external stenting group. GI bleeding was absent in the internal stenting group but occurred in 5% of the external stenting group. Intra-abdominal bleeding was absent in the internal stenting group but present in 10% of the external stenting group. Delayed gastric emptying was noted in 5% of participants in both groups. Grade A pancreatic fistula was observed in 10% of the internal stenting group and 15% of the external stenting group. Grade B and C pancreatic fistulas were only present in the external stenting group, at rates of 10% and 5%, respectively. Conclusions: Internal pancreatic duct stents are associated with lower incidences of wound infections, intra-abdominal collections, and severe pancreatic fistulas compared to external stents. These findings suggest that internal stents may offer better postoperative outcomes, although stent selection should be individualized based on patient-specific factors. Further research is warranted to confirm these results and guide clinical practice.
Pancreaticoduodenectomy, Pancreatic Duct Stents, Internal Stents, External Stents, Postoperative Complications, Pancreatic Fistula, Delayed Gastric Emptying, Intra-Abdominal Collections.
Peritoneal Cytology in the Staging Process of Gastric Carcinoma
Girin Chandra Biswas1*, Tanvir Hasan Shoaib2, Mahnaz Tabassum Prova3, Sonia Rahman4, Mofizur Rahman5, Shubhankar Das6
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 64-72 | https://doi.org/10.53339/aimdr.2024.10.5.9
Peritoneal Cytology in the Staging Process of Gastric Carcinoma
Girin Chandra Biswas1*, Tanvir Hasan Shoaib2, Mahnaz Tabassum Prova3, Sonia Rahman4, Mofizur Rahman5, Shubhankar Das6
Abstract
Background: Peritoneal carcinomatosis is one of the patterns of recurrence in patients with gastric cancer. The prognosis of patients with advanced gastric cancer invading the gastric serosa because of the high incidence of peritoneal recurrence. Recurrence with this pattern is most likely caused by the presence of free cancer cells in the abdominal cavity exfoliated from the serosal surfaces of the primary gastric tumor. The study aimed to assess peritoneal cytology in the staging process of gastric cancer. Material & Methods: This Cross-sectional observational study was carried out in the Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh for twenty-one months, starting from July 2017 to March 2019 following approval of the protocol. 42 study patients were selected based on the inclusion and exclusion criteria. The patients were diagnosed clinically, radiologically, and histopathologically. A structured case record form was used to interview and collect data. The outcome of gastric carcinoma was measured by doing peritoneal cytology. All the data were compiled and sorted properly and analyzed statistically using Statistical Package for Social Science (SPSS-22). The results were expressed as percentages and mean ± SD and presented as tables and charts. Results: In the present study, the mean (±SD) age of the subjects was 66.19 (±10.38). The majority (33.3%) were aged 56-65 years. Among the study subjects, 64.3% were males and 35.7% were females. 52.4%, 40.5%, and 7.1%) study subjects had BMI 18.5-24.9 kg/m2, 25-30 kg/m2 and >30 kg/m2. In this study, out of 42 patients, 61.9% were smokers and 83.3% were taking betel leaf in their habit. Here, the majority (69%) of study subjects came from the middle class. In the present study, proximal and distal stomachs were involved in study subjects. The mean ± SD tumor size was 6.20 ± 1.86cm. The majority of study subjects had Type 3 and Type 4 tumors and T4a and N2 stage. In this study, total gastrectomy and lower radical gastrectomy were done in the majority of the patients. The time of index surgery was 1-1.5 hours in the majority of the subjects. In the present study, 64.3% of subjects had cytology positive, 31% had cytology negative and only 4.8% of subjects had suspected cytology. Negative cytology was significantly higher in T1, T2, N0, and N1 stages and positively cytology was significantly higher in T3, T4a, and N2 stages. Conclusions: After analyzing the results of the present study, it can be concluded that the majority of subjects had cytology positive, and positive cytology was significantly higher in the T3, T4a, and N2 stages. Negative cytology was significantly higher in T1, T2, N0, and N1 stage.
Gastric carcinoma, Peritoneal cytology, Staging.
Md. Faysal Kamal1*, Md. Ibrahim Siddique2, Iftakhar Al Mamun3, Tazin Ahmed Adnan4, Md. Rashidul Hasan5, Md. Arif Hossain6
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 73-80 | https://doi.org/10.53339/aimdr.2024.10.5.10
The Role of Local Infiltration of 0.25% Bupivacaine at the Port Sites in Patients with Laparoscopic Cholecystectomy to Control Early Post-Operative Pain
Md. Faysal Kamal1*, Md. Ibrahim Siddique2, Iftakhar Al Mamun3, Tazin Ahmed Adnan4, Md. Rashidul Hasan5, Md. Arif Hossain6
Abstract
Background: Pain management constitutes a vital aspect of surgical procedures, with analgesics commonly employed for this purpose. However, the use of analgesics can be associated with certain complications. This study aimed to assess the role of local infiltration of 0.25% bupivacaine at the port sites in patients with laparoscopic cholecystectomy to control early post-operative pain. Material & Methods: This cross-sectional study was carried out in the Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2022 to September 2022. As the study subjects, a total of 40 adult patients who underwent laparoscopic cholecystectomy for symptomatic gallstone disease enrolled purposively. Data were analyzed by using SPSS version 23.0 were applied. Results: In this study, group 1 had a mean NRS pain score of 2.55±0.6 at 6 hours and 4.1±1.21 at 12 hours, with the first analgesic given after 13.85±1.57 hours and a repeat dose after 22±2.29 hours. Group 2, however, had higher pain scores: 6.8±1.15 at 6 hours, and 7.95±0.6 at 12 hours, with the first analgesic administered after 2.75±0.72 hours, and a repeat dose after 9.5±1.15 hours. In group 1, 30.0% of patients required a single analgesic dose in the first 12 hours, with 75.0% needing a total of 2 doses. Only 5% required analgesics within the first 6 hours. In contrast, in group 2, nearly 90% needed analgesics within the first 12 hours, with all patients requiring analgesics within the first 6 hours. This difference was statistically significant (p<0.05). Conclusions: Local administration of 0.25% bupivacaine at the port sites following laparoscopic cholecystectomy appears to be more effective than conventional analgesics in reducing post-operative port site pain. Additionally, it reduces the dose and frequency of conventional analgesic consumption.
Local infiltration, Bupivacaine, Laparoscopic cholecystectomy, Gallstone disease, Analgesic
Mohammad Ali1*, Md Rahanul Islam2, Sk Sadek Ali3
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 81-91 | https://doi.org/10.53339/aimdr.2024.10.5.11
Prevalence of Behavioral and Emotional Disorders Among Rural and Urban School Going Children and Adolescents
Mohammad Ali1*, Md Rahanul Islam2, Sk Sadek Ali3
Abstract
Background: The mental health of children and adolescents is a critical concern, with significant implications for long-term outcomes. This study aims to assess the prevalence of behavioral and emotional disorders among school-going children and adolescents in rural and urban areas of Meherpur District, Bangladesh, and to explore the socio-economic factors contributing to these disparities. Material & Methods: This cross-sectional, descriptive, and analytical study was conducted among 435 school-going children and adolescents in rural and urban areas of Meherpur District, using purposive sampling. Data were collected through questionnaires and the Development and Well-being Assessment (DAWBA), with diagnoses generated according to ICD-10 criteria. Results: The study found that the prevalence of psychiatric disorders was slightly higher in rural participants (15.89%) compared to urban participants (14.03%), though the difference was not statistically significant. Major depressive disorder was the most common emotional disorder, affecting 3.74% of rural participants and 2.26% of urban participants. Hyperkinetic disorder was more prevalent in urban participants (2.71%) compared to rural participants (1.87%). Parental education, particularly maternal education, and occupational status were significantly associated with the prevalence of psychiatric disorders, with rural areas showing higher rates of illiteracy and agricultural occupation among parents. Conclusions: The findings suggest that while there are slight differences in the prevalence of psychiatric disorders between rural and urban populations, the socio-economic disparities, particularly in parental education and occupation, play a critical role in influencing these outcomes. Targeted interventions addressing these factors are essential for improving the mental health of children and adolescents in both rural and urban settings.
Behavioral disorders, Emotional disorders, Rural vs. urban, Child and adolescent mental health, Bangladesh.
Assessment of Knowledge and Preventative Practices about COVID-19 Among OPD Patients
Tahmina Israt Khanam1*
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 92-101 | https://doi.org/10.53339/aimdr.2024.10.5.12
Assessment of Knowledge and Preventative Practices about COVID-19 Among OPD Patients
Tahmina Israt Khanam1*
Abstract
Background: The COVID-19 pandemic has significantly impacted public health globally. Understanding the knowledge and preventative practices among patients is crucial for controlling the spread of the virus. This study aimed to assess the knowledge and preventative practices regarding COVID-19 among outpatient department (OPD) patients at Combined Military Hospital (CMH), Dhaka Cantonment. Material & Methods: This descriptive cross-sectional study included 71 participants from the OPD of CMH, Dhaka. Data were collected through face-to-face interviews using a semi-structured questionnaire. The study assessed demographic characteristics, comorbidities, knowledge, and preventative practices. Data analysis was performed using SPSS version 23.0. Results: The majority of participants were aged 28-37 years (45.07%), with a mean age of 35.18 years. Females constituted 59.15% of the sample. Most participants were married (87.32%), and the predominant religion was Islam (91.55%). Educational levels varied, with 42.25% having completed SSC. Occupationally, 49.30% were housewives. Urban residents made up 76.06% of the sample. Common comorbidities included hypertension (15.49%) and diabetes mellitus (15.49%). High compliance was noted for wearing face masks (97.2%) and using hand sanitizer (91.5%). However, only 46.5% practiced social distancing, and 23.9% maintained good respiratory hygiene. Knowledge gaps were identified, with only 59.2% knowing common COVID-19 symptoms. Conclusions: The study highlights significant gaps in knowledge and adherence to preventative practices among OPD patients at CMH, Dhaka. Targeted educational interventions are needed to improve compliance with critical preventative measures. Addressing these gaps is essential for enhancing public health strategies and controlling the spread of COVID-19.
COVID-19, Preventative Practices, Knowledge Assessment, Outpatient Department.
Major and Minor Complications of Laparoscopic Surgery following Colorectal Cancer Treatment
Md. Abdus Salam1*, Md Ekramul Haque2, Mithun Kumar Mallick3, Md. Erfan Siddiq4, Mizanur Rahman5, Mahmudul Hasan Masum6, Muhammed Najibul Islam7, Mohammed Ashrafur Rahman8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 102-110 | https://doi.org/10.53339/aimdr.2024.10.5.13
Major and Minor Complications of Laparoscopic Surgery following Colorectal Cancer Treatment
Md. Abdus Salam1*, Md Ekramul Haque2, Mithun Kumar Mallick3, Md. Erfan Siddiq4, Mizanur Rahman5, Mahmudul Hasan Masum6, Muhammed Najibul Islam7, Mohammed Ashrafur Rahman8
Abstract
Background: Laparoscopic surgery has become a preferred minimally invasive option for colorectal cancer treatment due to its numerous advantages over traditional open surgery. This study aimed to evaluate the short-term outcomes of laparoscopic surgery for colorectal cancer at the National Institute for Cancer Research and Hospital (NICR&H) in Dhaka, Bangladesh. Material & Methods: This was a prospective observational study conducted from September 2018 to October 2019 in the Department of Surgical Oncology at NICR&H. The study included 39 patients diagnosed with colorectal cancer who underwent laparoscopic surgery. Data were collected prospectively from medical records, including demographic information, clinical characteristics, surgical details, and short-term postoperative outcomes. Statistical analysis was performed using SPSS for Windows, with categorical data expressed as numbers and percentages and continuous data as means and standard deviations. Results: The study comprised 23 males (58.97%) and 16 females (41.03%). Most participants had primary education (51.28%) and were housewives (41.03%). A family history of cancer was reported by 25.64% of participants. The most common chief complaint was per-rectal bleeding (48.72%). Colonoscopy findings included ulcer proliferative lesions in 64.10% of patients. The most frequent minor complication was urinary tract infection (30.77%), while surgery conversion (12.82%) was the most common major complication. Other major complications included hemorrhage, respiratory distress, internal hemorrhage, intra-abdominal abscess, acute renal failure, and postoperative mortality, each occurring in 2.56% of patients. Conclusions: Laparoscopic surgery for colorectal cancer in Bangladesh demonstrates significant benefits, including reduced postoperative pain and quicker recovery times, despite certain minor and major complications. These findings support the broader adoption of laparoscopic techniques in similar healthcare settings to improve patient outcomes.
Colorectal cancer, Laparoscopic surgery, Postoperative complications.
Observation of Early Outcome and Complications among Gastric Cancer Surgery Patients
Tanvir Hasan Shoaib1*, Girin Chandra Biswas2, Lt Col Shahajadi Shanjida Parveen3, Mahnaz Tabassum Prova4, Md Ekramul Haque5, Kaselia Fatema6, Sonia Rahman7, Md. Nahid Hossen8
Annals of International Medical and Dental Research (AIMDR)| Vol-10, Issue-5 | September-October 2024 | Page: 111-120 | https://doi.org/10.53339/aimdr.2024.10.5.14
Observation of Early Outcome and Complications among Gastric Cancer Surgery Patients
Tanvir Hasan Shoaib1*, Girin Chandra Biswas2, Lt Col Shahajadi Shanjida Parveen3, Mahnaz Tabassum Prova4, Md Ekramul Haque5, Kaselia Fatema6, Sonia Rahman7, Md. Nahid Hossen8
Abstract
Background Gastric cancer remains a significant public health challenge in Bangladesh, with a high prevalence of habitual risk factors and late-stage diagnoses. This study aims to evaluate the early outcomes and postoperative complications among gastric cancer surgery patients in a resource-limited setting. Material & Methods: This prospective, cross-sectional observational study was conducted from July 2017 to March 2019 at the Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Dhaka. Forty patients with biopsy-proven operable gastric carcinoma were selected using purposive non-randomized sampling. Data were collected through clinical evaluations, structured interviews, and case record forms, focusing on demographic characteristics, habitual risk factors, tumor-related features, types of surgery, duration of surgery, hospital stay, and postoperative complications. Statistical analyses were performed using SPSS-22. Results: The mean age of participants was 65.16 ± 10.28 years, with a male predominance (70%). Smoking (70%) and beetle leaf consumption (90%) were prevalent habitual risk factors. Distal stomach cancer was more common (65%), with a mean tumor size of 5.00 ± 2.00 cm. Lower radical gastrectomy was performed in 65% of cases. Most surgeries (60%) were completed within 1 to 1.5 hours. Hospital stay durations varied, with 45% staying 11-15 days. Postoperative complications were noted in 52.50% of patients, including wound infections (20%) and urinary tract infections (15%). Conclusions: This study highlights the critical need for improved early detection, risk factor mitigation, and postoperative care in gastric cancer management within Bangladesh. These findings provide a foundation for future research and clinical strategies aimed at enhancing patient outcomes in similar resource-limited settings.
Gastric cancer, postoperative complications, Bangladesh, early outcomes, surgical oncology.
