Objective: To determine the effect of interlocking intramedullary nail in treatment of tibia and fibula fractures and analyze its efficacy by clinical and radiological parameters. Methods: From August 2015 to September 2017, in Community Based Medical College Hospital, Orthopedics department, 15 patients with tibia and fibula fractures were managed by open reduction and interlocking nail and each case was followed up for 7 months. The cases were assessed clinically and by radiology. Results: There were 13 males and 2 females involving 10 right legs and 5 left legs. Ages of patients ranged from 17 years to 60 years with mean age 36.13 years and standard deviation 11.813 years. The location of fractures was 1 upper, 2 middle and 12 lower. There was association of 1 fracture femur right side. Conclusion: Use of interlocking intramedullary nail in management of tibia and fibula fractures was good in majority of cases. CBMJ 2021 January: vol. 10 no. 02 P: 91-97
This cross-sectional descriptive study was conducted in Churkhai village of Bhavokhali union during December 2018 to find out common health problems among 200 agricultural workers in a selected rural area of Mymensingh as a part of Residential Field Site Training by 3rd year MBBS students session 2016-17. 63 percent of population lives in rural area. Agricultural workers have illnesses common to general population. Moreover socioeconomic and work condition poses extra burden. The study was carried out on 200 agricultural workers who were selected purposively. Data were collected on a predesigned questionnaire by face to face interviewing agricultural workers. Data analysis was done by SPSS version 20.0. Age distribution of respondents ranged from 19 years to 80 years; mean age 46.53 years and standard deviation 14.891 years. Males were predominant (male: female ratio 506.06: 100. Majority of them (57.50%) were literate. Most of them (65.00%) belonged to middle class family. More than half (55.00%) of agricultural workers were suffering from illness. Respiratory illnesses 16.00% were predominant followed by skin disease 10.50%, gastrointestinal disease 6.50%, conjunctivitis 6.00%, arthritis 6.00%, hypertension 6.00%, diabetes mellitus 5.00%, anemia 4.50% and hearing loss 0.50%. In summer heat exhaustion (14.50%) was predominant followed by heat syncope (10.00%. In rainy season ARI (12.00%) was predominant followed by diarrheal diseases (10.50%). In winter mild hypothermia (27.00%) was predominant followed by ARI (4.50%). In recall of last 1 year the important events were crop loss 12.50%, damage to house 10.00%, and unemployment 2.50%. There was no case of anthrax and bird flu. Prevalence of occupational accidents was 5.00%. which includes fall from height 0.50%, heavy object fallen on body 1%, domestic fire 1%, electrocution in house 1%, electrocution by power pump 0.50%, cattle hitting by horn 0.50% and accidental insecticide poisoning 0.5%. Most of the injury occurred in the current week. Majority of the workers (66.50%) had partial tetanus toxoid immunization. Morbidity in this study was better than several studies conducted in Bangladesh and India. By knowing health problems we can give health care to agricultural workers which will prevent diseases and illnesses of them, prolong their healthy life, promote their health and efficiency. CBMJ 2022 July: vol. 11 no. 02 P: 125-130
A cross-sectional, descriptive study was conducted to determine health problems of under-five children in a selected rural area of Mymensingh District in Bangladesh. This study was done on the background that the document about community prevalence of health problems of under-five children is scarce though it has public health importance. This was a community-based cross-sectional descriptive study conducted among 144 children belonging from birth to 5 years residing in Churkhai village of Bhavokhali union, Mymensingh Sadar Upazila in between November and December of 2019, as a part of Residential Field Site Training of 3rd year students of Community Based Medical College, Bangladesh (CBMC,B). A purposive sampling technique was adopted. A pre-designed, pre-tested questionnaire has been used to collect required information by face-to-face interviewing mothers of under-five children. The data were entered and analyzed by SPSS version 20.0. Respondent mothers ranged from 16 years to 45 years, mean age 25.47±5.332 years. Majority of mothers were literate (75.69%), housewife (91.67%), belonged to middle class (69.44%). Out of total 144 children ranging from birth to 59 months, mean age 29.83±19.54 months, male: female ratio was 97.26:100. Majority of children (50.69%) were healthy. Nutritional status was assessed by history taking (history of birth weight) weight, height measurement and clinical examination. Prevalence of low birth weight was 15.28%. Prevalence of under-nutrition was 16.67% and over-nutrition was 1.39%. On clinical examination, prevalence of anemia was found 4.17%. The leading health problem was nutritional 22.22%, followed by respiratory illness 12.50%, diarrhoea 7.64%, skin disease 4.17%, dental caries 0.69%, conjunctivitis 0.69%, acute suppurative otitis media 0.69%, accidental injury 0.69%. Most of the family had safe water supply (98.61%), sanitary latrines (85.42%), semi-pucca house (50%) and suffer air pollution 69.44%. The nutritional profile was quite similar, but disease situation was better than the results of other studies in Bangladesh and in other developing countries. CBMJ 2022 January: vol. 11 no. 01 P: 27-32
A cross-sectional, descriptive study was conducted in Community Based Medical College, Bangladesh (CBMC,B) Hospital during August and September 2018 to identify knowledge, attitude and practice regarding diet among pregnant women attending antenatal checkup. This study was done as a part of Residential Field Site Training by 3rd year MBBS students under Community Medicine curriculum. Data were collected on a predesigned questionnaire by direct interviewing a total of 116 pregnant women. Data analysis was done by SPSS version 20.0. Age distribution of respondents ranged from 18 years to 35 years; mean age 24.45±4.69 years. Most of the respondents 99(85.34%) belonged to age group 18 years to 29 years. Most of them were Muslim 99(85.34%), literate 93(80.17%), and housewives 96(82.76%), belonged to middle class family 65(56.03%). 46(39.66%) were found at risk, based on risk assessment. Knowledge regarding diet and nutrition was found in optimum level. Majority 55(47.41%) had excellent score, while 49(42.24%) had good score and 12(10.34%) were not up to the mark. Attitude of family members regarding care of pregnant woman was positive in most cases, 113(97.41%). Majority 55(47.41%) had excellent dietary practice, 23(19.83%) were good and 38(32.76%) were bad. Barriers of implementation of good dietary practice include lack of knowledge 12(10.34%), poverty 17(14.66%) and lack of cooperation from husband and in-laws 9(7.76%). CBMJ 2022 January: vol. 11 no. 01 P: 46-51
This cross-sectional descriptive study was conducted during November 2019 to assess knowledge and practice of personal hygiene among the high school students in a rural area of Mymensingh. Proper knowledge and practice of personal hygiene plays critical role in avoiding communicable diseases and benefit the high school students to enjoy healthy life with excellent academic career. Respondents were 244 high school students of different schools in Churkhai, Bhavokhali, Mymensingh who were selected purposively. Age ranged from 10 years to 17 years, mean age 13.32 years with SD ± 1.505 years; boys predominant (boy: girl ratio 146.5: 100). Data were collected on a predesigned questionnaire by direct interviewing the students. Knowledge and practice of personal hygiene were measured using scoring based on correct answers. Data analysis was done by SPSS version 20.0. Most of them (217) 88.93% were apparently healthy. Based on presenting symptoms and signs the diagnosed illnesses were ARI (7) 2.87%, diarrhea (5) 2.05%, head lice (5) 2.05%, scabies (4) 1.64%, injury (3) 1.23%, dental caries (2) 0.82% and peptic ulcer disease (1) 0.41%. Important personal hygiene practices inquired were frequency of regular bathing with use of soap or shampoo, combing hair, brushing teeth, hand washing, trimming nails, wearing shoes, clean clothes, avoidance of smoking and appropriate allocation of time for study, outdoor, indoor activities, rest and sleep. Based on aggregate items 80.74% had excellent knowledge and practice on personal hygiene and 19.26% had good knowledge and practice. Knowledge and practice were concordant in all elements inquired except smoking. Knowledge about harm of smoking was 100.00% though avoidance of smoking was 97.95%. Knowledge and practice scores were influenced by educational grade (class VIII at peak), literate parents, better socioeconomic condition and absence of illness. The results are better than the findings of studies conducted in our country and neighboring countries. CBMJ 2022 July: vol. 11 no. 02 P: 136-143
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