scholarly journals Role of Electromyography(EMG) for (Muscle Conductivity) management of Paralyzed Patients in Dhaka city

2021 ◽  
Vol 3 (Number 2) ◽  
pp. 12-15
Author(s):  
Md. Naimul Hasan ◽  
Md. Saizuddin (Kabir) ◽  
Syed Masrur Ahmed ◽  
Sarowar Hossain
Keyword(s):  
Tertiary Care ◽  
Normal Function ◽  
Dhaka City ◽  
Biceps Muscle ◽  
Aged Group ◽  
Complete Paralysis ◽  
Clear Idea ◽  
Tertiary Care Hospitals ◽  
Complex Movement

The purpose of this study is to assess the electromyography (EMG) signals of biceps muscle of paralyzed patients to know the condition of their affected muscle. For measuring the muscle signal, 5 voltages analog signal is sent to biceps muscle via EMG sensor with Arduino. As higher the voltage is, the condition of the muscle status is better. In this study, we have observed paralyzed patients in Dhaka city having different kinds of paralysis patients like Complete paralysis, Partial or incomplete paralysis and localized paralysis. The study also focused on monitoring different stage of paralysis like Flaccidity, dealing with appearance of spasticity, increased spasticity or decreased spasticity, complex movement combination, spasticity disappear and normal function return. This observational study was carried out in three largest and tertiary care hospitals located in Dhaka metropolitan area with the help of Myoware EMG based muscle sensor. Total 50 paralyzed cases were included in this study. Among the 50 cases of paralyzed patients, majority of the cases (55%) were of 40-55 years aged group where 75% were male and 25% were female. In this study, 85% were Localized paralyzed patients, 10% Partial paralyzed and 5% Complete paralyzed. This study also shows the condition of healthy biceps muscle as compared with paralyzed muscle. The findings of this study could play an important role to observe the condition of paralyzed muscle for better management of paralyzed patients and give a clear idea about which management is needed.

scholarly journals Perinatal factors among children with neurodevelopmental disorders attending tertiary care hospitals in Dhaka city

2020 ◽  
Vol 32 (2) ◽  
pp. 26-31
Author(s):  
Fatima Zohra ◽  
Md Faruq Alam ◽  
Mekhala Sarkar ◽  
Shahriar Faruque ◽  
Mohammad Waliul Hasnat Sajib
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Neurodevelopmental Disorders ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Dhaka City ◽  
Perinatal Factors ◽  
Public Health Burden ◽  
Tertiary Care Hospitals

Neurodevelopmental disorders (NDD) are public health burden worldwide. NDD causes disabilities and reduces the quality of life. Perinatal factors like maternal age, stress, maternal physical illnesses, birth complications, preterm birth, low birth weight and neonatal infections are the important risk factors for NDD. The objectives of the study were to determine the proportion of perinatal factors among children with neurodevelopmental disorders attending tertiary care hospitals in Dhaka city. This was a cross-sectional study conducted in outpatient department of National Institute of Mental Health (NIMH), Dhaka and Institute of Paediatric Neurodisorder and Autism (IPNA), Bangabandhu Sheikh Mujib Medical University (BSMMU) from January 2017 to July 2018. Among 115 children with NDD aged 0-17 years satisfying inclusion and exclusion criteria who were conveniently selected as sample. After diagnosing NDD using DSM- 5 criteria by psychiatrists and paediatric neurologists, a semi structured questionnaire was applied by researcher herself that included socio-demographic and perinatal factors as well. Results showed that majority of the respondents (29.6%) were 5-8 years with male predominance (78.3%). The most common perinatal factors were maternal factors like maternal stress (68.7%), maternal physical illness (66.1 %), inadequate food/rest intake (53.9%) and inadequate weight gain during pregnancy (50.4%). Fetal and neonatal factors like birth complication (82.6%), preterm birth (80%), low birth weight (75.6%), neonatal illness (69.6%) and birth asphyxia (61.7%). Most common neonatal illness were pneumonia (30.0 %) followed by neonatal Jaundice (20%). Early identification of possible perinatal factors and providing safe perinatal period can give a positive impact in prevention of NDD in children. Bang J Psychiatry 2018;32(2): 26-31

scholarly journals EMERGENCY LAPAROTOMIES: VALIDATING THE ROLE OF SPINAL ANESTHESIA IN HIGH RISK CASES. A RETROSPECTIVE, FACILITY BASED OBSERVATIONAL STUDY IN SRINAGAR, GARHWAL, UTTARAKHAND

2020 ◽  
Vol 8 (9) ◽  
pp. 802-805
Author(s):  
Biant Singh ◽  
◽  
Manpreet Kour ◽  
Shwetabh Pradhan ◽  
Surinder Singh ◽  
...  
Keyword(s):  
High Risk ◽  
Spinal Anesthesia ◽  
Tertiary Care ◽  
Ventilatory Support ◽  
Optimal Care ◽  
Perforation Peritonitis ◽  
Excessive Consumption ◽  
Difficult Terrain ◽  
Tertiary Care Hospitals

Introduction: Perforation peritonitis is very rampant in hilly areas of Garhwal due to excessive consumption of alcohol, smoking and stresses of life due to difficult terrain and working conditions. Most of the patients with co-morbities like COPD have higher pulmonary related complications following surgery under G.A. It is a challenge and concern for surgeons and anesthetists to manage and provide optimal care to these patients. The study validates the role of spinal anesthesia in such cases. Materials And Method: We reviewed all cases of emergency laparotomies done between Jan 2019 and June 2020. Ninety cases were given spinal anesthesia as sole anesthetic agent out of which sixty cases were ASA IV and thirty cases were ASA III. Outcome in all cases was analyzed and recorded. Results: All cases were adequately operated and outcome was successful in all accept three cases which required G.A due to prolonged surgeries. None needed mechanical ventilatory support post operatively. Mean hospital stay was seven days and there was no report of major renal or respiratory complications. Conclusion: Spinal anesthesis is a safe option and alternate to G.A in high risk emergency laparotomies minimizing the requirement of ventilatory support in rural tertiary care hospitals were critical care facilities are compromised.

NosocomialSerratia marcescensInfections Associated With Extrinsic Contamination of a Liquid Nonmedicated Soap

2000 ◽  
Vol 21 (3) ◽  
pp. 196-199 ◽  
Author(s):  
Catherine Sartor ◽  
Véronique Jacomo ◽  
Cédric Duvivier ◽  
Hervé Tissot-Dupont ◽  
Roland Sambuc ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Tertiary Care ◽  
Hand Washing ◽  
Environmental Investigation ◽  
Hospital Units ◽  
Before And After ◽  
Tertiary Care Hospitals ◽  
The Relationship ◽  
Control Study

AbstractObjective:To determine the role of nonmedicated soap as a source ofSerratia marcescensnosocomial infections (NIs) in hospital units with endemicS marcescensNI and to examine the mechanisms of soap colonization.Setting:University-affiliated tertiary-care hospitals.Methods:A prospective case-control study and an environmental investigation were performed to assess the relationship betweenS marcescensNIs in hospital units andS marcescens-contaminated soap. Soap-bottle use and handwashing practices were reviewed. Cultures of healthcare workers’ (HCWs) hands were obtained before and after hand washing with soap.Results:5 of 7 hospital units withS marcescensNIs had soap bottles contaminated withS marcescens, compared to 1 of 14 other units (P=.006). After hand washing with anS marcescens-contaminated soap pump, HCWs' hands were 54 times more likely to be contaminated withS marcescens(P<.001).Conclusions:Extrinsic contamination of a non-medicated liquid soap byS marcescensresulted in handborne transmission ofS marcescensNIs by HCWs in our setting. This finding led to the application of strict guidelines for nonmedicated soap use and to the reinforcement of alcoholic hand disinfection.

scholarly journals Phenotypic detection of metallo-β-lactamase among the clinical isolates of imipenem resistant Pseudomonas and Acinetobacter in tertiary care hospitals of Dhaka city

1970 ◽  
Vol 4 (2) ◽  
pp. 63-65
Author(s):  
Shaheda Anwar ◽  
Md Ruhul Amin Miah ◽  
Ahmed Abu Saleh ◽  
Humayun Sattar ◽  
Sharmeen Ahmed
Keyword(s):  
Tertiary Care ◽  
Clinical Isolates ◽  
Beta Lactamase ◽  
Dhaka City ◽  
Gram Negative ◽  
Carbapenem Resistant ◽  
Rapid Spread ◽  
One Year ◽  
Tertiary Care Hospitals

The rapid spread of Metallo-β-lactamase (MBL) producing Gram negative bacilli represents a matter of great concern worldwide. The study analyzed the occurrence of MBL production in carbapenem resistant Pseudomonas and Acinetobacter isolates over one year period. A total of 132 Pseudomonas and 76 Acinetobacter isolates were obtained from two tertiary care hospitals of Dhaka city. A total of 53 Pseudomonas and 29 Acinetobacter isolates were selected because of their resistance to carbapenem specially imipenem (IPM). Screening for MBL production was performed in these isolates by IPM-EDTA microdilution MIC method. 44 (83%) IPM resistant Pseudomonas and 19 (65.5%) Acinetobacter isolates were MBL producer by IPM-EDTA microdilution MIC method. These results suggest that MBL producing Pseudomonas and Acinetobacter isolates are emerging in our country and it is essential to screen carbapenem resistant isolates for MBL production. DOI: 10.3329/imcj.v4i2.6498Ibrahim Med. Coll. J. 2010; 4(2): 63-65

scholarly journals SURGICAL SITE INFECTION RELATED RISK FACTORS AND USAGE OF ANTIBIOTICS IN TWO DIFFERENT TERTIARY CARE HOSPITALS OF DHAKA CITY, BANGLADESH

2018 ◽  
Vol 11 (8) ◽  
pp. 184
Author(s):  
Forhad Monjur ◽  
Farhana Rizwan ◽  
Nobo Krishna Ghosh
Keyword(s):  
Risk Factors ◽  
Surgical Site Infection ◽  
Tertiary Care ◽  
Surgical Patients ◽  
Main Concern ◽  
Dhaka City ◽  
Site Infection ◽  
Drug Of Choice ◽  
Duration Of Surgery ◽  
Tertiary Care Hospitals

Objective: Surgical site infection (SSI) is the most common complications following surgical procedures. The aim of the study was to assess the risk factors for SSI and the antibiotic treatment pattern following post-operative infection.Methods: This retrospective study has been considered the data of 156 surgical patients from two tertiary care hospitals in Dhaka city of Bangladesh.Result: The majority (31.4%) of the surgical patients came from the age group 40 to 49 years. A total of 8 SSI cases were discovered, 5 cases (8.9%) from Hospital-1, which was relatively higher (3%) than Hospital-2. Wound class “contaminated” was found in 6 cases, and the ratio is almost 1:3 or 75%. The duration of surgery within 90–120 min for 50% of SSI patients (4/8). Most frequent types of surgery were colorectal surgery (56.4%, 88/156), followed by various grades of fistula (24.4%, 38/156). The prophylaxis antibiotic was ceftriaxone, used by 77 (49.4%) cases. Commonly used antibiotic was ciprofloxacin, administered in 33 (21.2%) patients as a single therapy. Third-generation cephalosporins (cefixime, ceftriaxone, and cefuroxime) were found at the drug of choice in combination with gentamicin/metronidazole/nitazoxanide or amikacin.Conclusion: This study tried to give a little overview of SSI in different hospital settings, whereas improvement of preventive measures, early detection, and management of SSI is the main concern of nowadays. Further research should be done to get the detail by considering all the relevant factors of SSI.

Staff Rotation: Implications for Occupational Therapy

1995 ◽  
Vol 62 (4) ◽  
pp. 208-211 ◽  
Author(s):  
Ann Taylor ◽  
Mary Lynn Andriuk ◽  
Paule Langlois ◽  
Eric Provost
Keyword(s):  
Job Satisfaction ◽  
Occupational Therapy ◽  
Plastic Surgery ◽  
Teaching Hospital ◽  
Royal Victoria Hospital ◽  
Tertiary Care ◽  
University Teaching ◽  
Advantages And Disadvantages ◽  
Tertiary Care Hospitals

Occupational therapy departments of tertiary care hospitals can provide staff with opportunities to gain diverse clinical experience if they rotate through the various services such as surgery, medicine, geriatrics, plastic surgery and orthopedics. The system of rotation offers both advantages and disadvantages for the staff and the institution. The Royal Victoria Hospital in Montreal, a large university teaching hospital, had traditionally offered staff the opportunity to rotate. Changes in staffing and their needs however, resulted in rotation becoming an important issue within the department. This article presents the pros and the cons of rotation and non-rotation systems as identified by therapists and administrators across Canada. Staff rotation was found to have an effect on job satisfaction and a therapist's career orientation. Given these findings, administrators may want to reconsider the role of the generalist and specialist in their facilities.

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