Sofikul Islam, Munzur Rahman1, Ataul Haque, Mohammad Rajib Mahmud, Asadujjaman Azad, Mahfuzzaman, Abu Zahid
iraetc med. bull; 1(2) 29-34
DOI: https://doi.org/10.62469/tmb.v01i02.001
Background: Humerus fractures are a common orthopaedic injury that can lead to significant morbidity and disability if not managed appropriately. In low-resource settings like secondary-level hospitals in Bangladesh, surgical interventions may not always be feasible due to limited resources and infrastructure. Therefore, the exploration of conservative management approaches becomes crucial to ensure optimal patient outcomes. Objective: The objective of this study is to assess the outcomes of conservative management in humerus fractures at Department of Orthopaedic Surgery, Rajshahi Medical College Rajshahi, Bangladesh. The study aims to evaluate the effectiveness of conservative treatment methods and their impact on pain reduction, functional improvement, and overall patient satisfaction. Materials and Methods: A prospective study was conducted on 74 cases of humerus fractures treated conservatively at Department of Orthopaedic Surgery, Rajshahi Medical College Rajshahi, Bangladesh. From October 2022 to June 2023. morphologically as simple (28), intermediate (17), and complex (29) based on the Garnavos classification. Outcome measures included pain levels, range of motion, radiographic assessments, and patient-reported satisfaction scores. Results: A total of 74 patients (60 males and 14 females) underwent extension casting treatment for humeral fractures. The patient's age ranged from 19 to 70 years (mean age: 45.5 years). The majority of patients (58) received treatment on the day of the injury, while 16 experienced delayed treatment. The fractures were classified topographically as P (13), M (25), D (17), PM (10), and MD (9). The average duration of full-length casting was 5 weeks, with conversion to above-elbow casts when necessary. All fractures showed union within 8 to 18 weeks, with an average union time of 10 weeks. Radiographic assessments showed satisfactory fracture healing in 90% of patients. Patient satisfaction scores indicated a high level of contentment with conservative treatment. Conclusion: This study highlights the efficacy and feasibility of conservative management in the treatment of humerus fractures. The findings suggest that conservative approaches can be a viable and effective alternative in resource-constrained healthcare settings, providing satisfactory pain relief, functional improvement, and patient satisfaction.
Sarvesh Sharma, Himesh Soni
iraetc med. bull; 1(2) 35-46
DOI: https://doi.org/10.62469/tmb.v01i02.002
A novel Corona Virus infection (COVID-19) is alike to viral pneumonia and it is caused by severe acute respiratory syndrome Corona Virus-2 (SARS-CoV-2). In this short review we discuss here common features of highly contagious and pathogenic SARS-CoV-2 provide current information of molecular immune pathogenesis, diagnosis and solidarity treatment of COVID-19 on the base of present perceptive of SARS-CoV infectivity, which may be useful to control and to combat pandemic situation.The pressure COVID-19 puts on health systems means that WHO considered the need for speed and scale in the trial. Whereas randomized clinical trials usually take years to design and conduct, the Solidarity Trial will reduce the time taken by 80%. Enrolling patients in one solitary randomized trial will help facilitate the rapid worldwide comparison of unproven treatments. This will conquer the hazard of multiple small trials not generating the strong evidence needed to determine the relative effectiveness of potential treatments.
Dr. Md. Selim Morshed Suvo, Dr. Shahidul Islam, Dr. Zohurul Haque, Dr Anowar Hossain, Dr. Mahmood Hasan, Dr. Narayan Chwdhury
iraetc med. bull; 1(2) 47-51
DOI: https://doi.org/10.62469/tmb.v01i02.003
The exstrophy-epispadias complex (EEC) presents with diverse clinical manifestations, affecting various bodily systems, including the urinary tract, pelvis, abdominal wall, genitalia, and spine. The prevalence is approximately 1 in 10,000 births, with a higher occurrence in males. This study aimed to assess the efficacy of surgical repair for EEC. The observational study analyzed medical records from the Department of Urology at Rangpur Medical College Hospital, a tertiary level facility in Bangladesh, covering the period from June 2018 to January 2021. Eight EEC cases were managed during this four-year duration. Following careful evaluation and pre-anaesthetic assessments, all patients underwent surgical reconstruction of the urinary bladder and urethra. In suspicious cases, biopsies from the bladder wall were taken. The results showed that all patients successfully underwent reconstruction procedures. Biopsies were obtained in three patients due to suspected abnormalities. One patient with bladder exstrophy experienced disruption of the anterior abdominal wall, requiring later secondary closure. Three patients developed urethra cutaneous fistula, which were subsequently managed through closure procedures. The average follow-up period was 2 years, but one patient was lost to follow-up. The suggested modified surgical approach demonstrated favorable outcomes, leading to substantial improvements in patients' social and psychological well-being. Despite the rarity of EEC, the surgical repair proved to be effective in addressing the complexities associated with the condition.