Laran Chetty
iraetc med. bull; 2(3) 40-49
https://doi.org/10.62469/tmb.v02i03.001
Background: Limited research has been undertaken on people who identify as disabled from low- to middle-income countries and its influence on employment. The aim of this paper is to review the evidence in the context of understanding how the disabilities of people influence their ability to gain or remain in employment in low- to medium-income countries. Materials and Methods: A rapid evidence-based assessment (REA) research design was utilised. A REA is a constrained (modified) systematic review. Six articles were reviewed following a database search conducted from January 2014 to January 2023 in order to summarise the barriers and facilitators that influence the employment of people with disabilities. Results: Most articles focussed on the structural barriers, attitudinal barriers and the lack of awareness of negative behaviours on disability. The facilitators included gaining an understanding of disability and developing a strategy and vision for disability management. Conclusion: Future research is needed to investigate hidden disabilities and their influence on employment in low- to medium-income countries.
Dr. Mahbub Alam, Md. Shahidul Islam
iraetc med. bull; 2(3) 50-53
https://doi.org/10.62469/tmb.v02i03.002
Laparoscopic cholecystectomy is the gold standard for treating symptomatic cholelithiasis. This case report details the surgical technique, intraoperative findings, and postoperative recovery of a 45-year-old female patient who underwent minimally invasive laparoscopic cholecystectomy. The patient had a history of recurrent biliary colic and was diagnosed with chronic cholecystitis. The surgery was completed successfully without complications, and the patient experienced an uneventful recovery. This report aims to provide insights into the procedural details and highlight the benefits of the laparoscopic approach over open cholecystectomy.
Md. Shahidul Islam, Md. Anwarul Haque
iraetc med. bull; 2(3) 54-56
https://doi.org/10.62469/tmb.v02i03.003
Chronic anal fissures are a significant cause of anorectal pain and discomfort, frequently leading to a diminished quality of life. When conservative treatments fail, surgical interventions become necessary, with lateral internal sphincterotomy (LIS) being the traditional standard. However, advancements in medical technology have introduced laser sphincterotomy, a minimally invasive procedure, as an alternative. This case report discusses the treatment of a 45-year-old male with a chronic anal fissure who underwent laser sphincterotomy. The report covers the patient's clinical presentation, procedural details, postoperative outcomes, and a review of the current literature, highlighting the potential benefits and risks of laser sphincterotomy in comparison to traditional methods.