ORIGINAL RESEARCH ARTICLE | Nov. 8, 2021
Evaluation of Autopsy Study of Organo Phosphorus Poisoning in Patients
Md. Jasim Uddin, Md. Shafi Mohaimen, Md. Iqbal Bahar Chowdhury, Md. Nazir Hossain, Rakibul Hasan Khan, Md. Mashiour Rahman Rikabder, Afroza Akter, Malay Kumar Das
Page no 384-351 |
10.36348/sjm.2021.v06i11.001
Introduction: Organophosphates (OP) are used as insecticides in agricultural and domestic settings throughout the world. The mechanism of action is through the inhibition of the enzyme acetyl cholinesterase, leading to the accumulation of acetylcholine at cholinergic synapses. On a worldwide basis, pesticides are responsible for hundreds and thousands of cases of acute poisoning and many thousands of deaths each year. Objective: To evaluation of autopsy study of organo phosphorus poisoning in patients. Method: This retrospective type of study was conducted among 75 patients who fulfilled criteria from Forensic Medicine Dept. Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh from July-2015 to July-2017. Results: During the study, 58% patients were male, which was 16% higher than female. 52.11% worked as an agriculture area/ farmer. Also, 76% people used organo phosphorus for suicide and 24% people used it accidentally. Conclusion: From our study we can conclude that, organophosphorus is a self-poisoning important clinical problem in developing world. Because of limited guide therapy, properly study is needed for seeking treatment which could help to reduce mortality and morbidity.
ORIGINAL RESEARCH ARTICLE | Nov. 8, 2021
“Workplace Mental Health Disorders in Garments Workers”
Nirob Nahian, Mahfuza Rahat, Najnin Yesmin
Page no 352-358 |
10.36348/sjm.2021.v06i11.002
Workplace Mental Health Disorders can affect health if there is an inappropriate interaction between the type and content of the work, the organizational environment and the worker's capabilities. The objective was to determine the relationship between labor psychosocial factors and psychic disorders in workers of a Garments Factory. According to the National Mental Health Survey conducted by WHO in 2013–2015 about 16.05 percent of the adult population in the country are suffering from mental disorders. ICDDR, B's review in 2019 bumped that number to a prevalence range between 16–31 percent. Regrettably, the inference that can be drawn is that up to 50.5 million Bangladeshis are either unemployed, or are actively hiding their mental illness related issues at work. Labor psychosocial factors can affect health if there is an inappropriate interaction between the type and content of the work, the organizational environment and the worker's capabilities. The objective was to determine the relationship between labor psychosocial factors and psychic disorders in workers of a garments factory. This is an observational, cross-sectional and analytical study in Asrotex Limited and Taqwa Fabrics Limited, Gazipur, Bangladesh from August to September -2021. The data were collected with the both Garments Factories at Work instrument and the Goldberg General Health Questionnaire. 110 workers participated, 54% were women and 46% men. 40% perceived the presence of negative psychosocial factors at medium level, the most frequent being the labor requirements and the role of the worker. In relation to mental health, 15% were considered as a “case”, the most frequent disorders were: sleep disturbances, anxiety and depression and behavior disorders. Psychosocial factors were related to anxiety and depression (p<0.05). The relationship between occupational psychosocial factors and psychic disorders was confirmed.
ORIGINAL RESEARCH ARTICLE | Nov. 16, 2021
Workers' Perceptions of Occupational Safety and Health in a Textile Industry in the Democratic Republic of Congo
Jean Panda Lukongo Kitronza, Jacques Lofandjola Masumbuko, Philippe Mairiaux
Page no 359-366 |
10.36348/sjm.2021.v06i11.003
Background: There is a lack of studies on workplace safety in Africa and in particular as a Democratic Republic of Congo (DRC). The present study was designed to explore perceptions of the workers of the textile in DRC. The aim was to analyze how different risk perceptions can influence the behavior of security and health related to work. Methods: A cross-sectional study was conducted on a representative sample of textile Workers Company in DRC. Data collection (N= 228 subjects) was performed using a self-administered questionnaire. The survey questionnaire was developed using validated questionnaire for the assessment of work safety scale, the model of work organization and safety and performance behavior, supplemented by the European working conditions surveys. The internal consistency coefficients (Alpha de Cronbach) for reliability analysis were calculated separately for each measurement. Only scales with reliable internal consistency (Cronbach alpha index >= to 70) were selected in our analyses. The relationship between perceptions and work-related accident was analyzed by an ANOVA-one-way analysis for independent samples. For each scale, a correlation of Spearman was calculated. A logistic regression model was used to assess the association between the accident and the predisposing factors for the different scales of the questionnaire. Results: The correlations in this study are highly significant for different scales. The strongest correlations are between the perceptions of the Management Safety Practice and Supervisor Safety. The results showed a difference in the frequency of accidents according to workers' safety perceptions. Workers who were not victims of an accident presented higher mean scores for Job safety, Management safety practice, Safety knowledge and SCRD. The study shows that the accident rate is significantly related to Job safety (OR= 2,1), to Management safety practice (OR=2,9). Safety knowledge (OR=0, 37) and the SCRD (OR=0, 30) have protective effect. Conclusion: The present study shows that the perception of workers influences their health-safety behaviours at work. It’s highlighted the influence of occupational safety knowledge, the management system on the occurrence of the work accident. The results provide valuable guidance for policy makers, researchers and practitioners to identify mechanisms to improve workplace health and safety.
ORIGINAL RESEARCH ARTICLE | Nov. 18, 2021
Understanding the Management of Hypertension and Dyslipidaemia in UAE Population: An Evidence-based Mapping of Literature
Samer Ellahham, Wael Almahmeed, Lina Yassine, Kanwal Saeed
Page no 367-378 |
10.36348/sjm.2021.v06i11.004
The increased prevalence of hypertension and dyslipidaemia specifically in the young population necessitates the identification and quantification of literature gaps in the different phases (awareness, screening, diagnosis, treatment, adherence, and control) of patient management in the UAE for better clinical outcomes. This semi-systematic review identified relevant articles through structured and unstructured searches. Studies on adult populations published (2010-2019) in English and providing data on phases of management of hypertension or dyslipidaemia in the UAE were retrieved. Quantitative data were represented as weighted means. In total, 11 studies on hypertension and six studies on dyslipidaemia were included for the final analyses. The pooled prevalence of hypertension and dyslipidaemia was 24.8% and 43.8%, respectively. The estimates indicated that a few patients (range: 6.8%-17.3%) were aware of their condition, where 63.2% and 49.3% were screened for hypertension or dyslipidaemia, respectively. Approximately two-thirds of patients were on antihypertensive and lipid-lowering medications, whereas 68.4% of patients were adherent to antihypertensive treatment. No data are available on adherence to dyslipidaemia treatment. Control of both risk factors was poor (range: 12.7%-27.8%). The semi-systematic approach identified limited to no data on different phases of management of hypertension and dyslipidaemia, indicating a need for generating country-specific real-world data.
ORIGINAL RESEARCH ARTICLE | Nov. 18, 2021
Nutritional Rickets among Children Admitted with Wheezy Chest at Al-Bieda Medical Center –Libya
Rania.M. Altaib, Kamala O Yonis, Fatema A. Akrim, Salema R. M. Qowaider, Aisha A. Muhammed, Mabrouka Bofarraj, Enas M.Ali
Page no 379-384 |
10.36348/sjm.2021.v06i11.005
Nutritional rickets caused mostly due to Vitamin D deficiency. It is has been declared a public health problem for both adults and children worldwide. Wheezy chest and related allergic diseases are the leading causes of morbidity in children. The objective of this study was to investigate the potential relation of vitamin D deficiency and wheezy chest in children. Case series study was conducted during the period from January to March 2021. 50 children aged 3 months to 24 months were selected randomly from children admitted to department of pediatric in Al-bieda medical center. Out of the total 56% were males, 70% were exclusively breastfed in their first 6months of life. 68% have positive family history of chest allergy. (64%) developed first attack of wheezy chest before 6 months and recurrent attack were observed in (52 %). Vitamin D deficiency was observed in 62% of the wheezy patients with 56% of cases had minimum sun exposure. Early onset was more common in males. Late onset wheezy chest was more common in children lives in houses with bad ventilation in compare to those who lives in better conditions in conclusion, vitamin D deficiency was common finding among children included in our study. It was associated with minimum sun exposure and early weaning. However, larger follow up studies are required to elucidate the effect of vitamin D supplementation on different parameters of asthma severity, its potential therapeutic benefit on children suffered recurrent wheezy chest attacks
ORIGINAL RESEARCH ARTICLE | Nov. 26, 2021
Quality of Work among Saudi Patients before and After Rhinoplasty
Alshehri Ali Abdullah, Alqobti Abdulaziz, Alqahtani Khaled, Ahmed Ohoud
Page no 385-390 |
10.36348/sjm.2021.v06i11.006
Rhinoplasty considers one of the most common cosmetic surgeries done in Saudi Arabia, the purpose of this study is to survey the quality of work among Saudi adults before & after Rhinoplasty. A retrospective record-based approach was applied in this research on 100 patients. The results indicate no significant statistically impactions on any measured variables in this article (Gender, confidence, education level or social life) on our patients. The researcher used the retrospective record based approach. The medical files of 100 patients underwent rhinoplasty in the last five years included in this study. Most of the study sample gender is female with an overall of (68) respondent which equivalent to (68%) and (34) are male which equivalent to (32%) of the overall sample. Sample Do you feel more confidence after rhinoplasty shows that the answered Yes with a total of (82) respondents, which equivalent to (82%), and No with a total of (18) respondents, which equivalent to (18%). Sample Job performance after rhinoplasty? shows that the answered Better with a total of (22) respondents, which equivalent to (64.7%), and Same with a total of (12) respondents, which equivalent to (35.3%). Sample Does your education level and willing of learning differ? shows that the answered Better with a total of (63) respondents, which equivalent to (63%), and Same with a total of (37) respondents, which equivalent to (37%). Sample How do you look to your social condition after rhinoplasty? shows that the answered Happy with a total of (81) respondents, which equivalent to (81%), and Feeling non confident with a total of (19) respondents, which equivalent to (19%). Result shows no statistically significant impact occupation before rhinoplasty on any variables (Gender, feel confidence after rhinoplasty, Education level and social life) of patients, this result was consistent with the results of multiple studies.
REVIEW ARTICLE | Nov. 27, 2021
Obstructive Sleep Apnoea in Children and Adults
Dr. Nikita Gupta, Dr. Tarpit Bhargava
Page no 391-394 |
10.36348/sjm.2021.v06i11.007
Obstructive sleep apnoea is a disorder leading to repetitive collapse of pharyngeal airway while sleeping. This causes desaturation of oxygen, low oxygen levels in blood and disturbed sleep. The symptoms include snoring, apnoeas, choking sensation, and sleepiness. The pathogenesis of sleep apnoea could be anatomical issue with upper airway, central respiratory control system issues, muscular factors with improper neuromuscular control of the dilator muscles of upper airway. Continuous positive airway pressure, bi-level positive airway pressure, auto-titration airway pressure can be used for management of sleep apnoea. Other treatments include dental devices, surgery, and weight loss.
ORIGINAL RESEARCH ARTICLE | Nov. 30, 2021
Varicocele Treatment: Which Technique is First-Line
Bakzaza O, Agouthane N, Boukhabrine MK
Page no 395-397 |
10.36348/sjm.2021.v06i11.008
Varicocele is a dilated veins pampiniform plexus secondary to valvular dysfunction; it is also one of the most frequent causes of male-factor infertility. There are several options for the treatment of varicocele, including surgical repair either by open or microsurgical approach, laparoscopy, or through percutaneous embolization of the internal spermatic vein. Our study involved 60 patients treated for primary varicocele in the urology and vascular surgery departments of the Moulay Ismail Military Hospital in Meknes.
ORIGINAL RESEARCH ARTICLE | Nov. 30, 2021
The Impact of Ramadan Fasting on the Body Fat Mass of Type 2 Diabetics
F. El Gharroudi, W. Douali, S. Rafi, G. El Mghari, N. El Ansari
Page no 398-400 |
10.36348/sjm.2021.v06i11.009
Introduction: Despite being exempt, many Diabetic Muslims observe fasting during the month of Ramadan. We carried out this work to study the impact of this practice on body composition in this group of patients. Material and methods: We studied 176 Moroccan Muslim with type 2 diabetes. The study data were collected through a questionnaire, clinical examination and bioelectrical impedancemetry. The study variables were: weight, height, body mass index (BMI), body fat and visceral fat. Results: All patients who fasted the entire month of Ramadan and who met the study monitoring deadlines have been included. The average age was 57 years +/- 11 years; 79% were women. Despite a similar BMI, there was a reduction in weight (before: 76.85kg +/- 12.8 against 76.21kg +/- 12.8; p = 0.019), body fat (before: 28.43kg +/- 9.3 against 26.72kg +/- 8.3; p = 0.015) and visceral fat (before: 10.41 +/- 3.36 against 9.95kg +/- 3.2; p = 0.007). Conclusion: Ramadan fasting can be practiced in all safety with prior patient education and adjustment therapeutic. It also confers an improvement in the body composition, especially in women.