scholarly journals The Scenario of Acute Poisoning in Jashore, Bangladesh

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
G. K. Acherjya ◽  
M. Ali ◽  
A. B. M. S. Alam ◽  
M. M. Rahman ◽  
S. G. M. Mowla

Background. Acute poisoning is a common scenario in the emergency department of any general hospital globally, but its pattern may vary in different parts of the world and even may be a different regional variation in the same country. Objective. Our recent study aims to assess the demographic characteristics, psychological aspect, pattern, and treatment outcome in different acute poisoning. Method. The present cross-sectional study was conducted in the medicine department of Jashore Medical College and Hospital from 1st January to 30th June 2018, which recruited 487 eligible cases of admitted acute poisoning patients. Results. The study reveals that the total incidence of acute poisoning in Jashore, Bangladesh, is 17.1 per 100,000 populations over a 6-month period. The mean age of our study population was 27 ± 11 (SD) years with having significant female preponderance in acute poisoning (female: 253/52% and male: 234/48%; p = 0.002). Female subjects were significantly younger than male (p <0.001). Moreover, the total suicidal intension of acute poisoning in our study was 97.3%, whereas the female subjects were more committed to suicidal attempts (p = 0.027). Organophosphorus compounds (OPCs) were the significant leading agents (66.1%, p = 0.029) of acute poisoning, and even, it had been significantly used as suicidal intention of poisoning substance (65.1%, p <0.001) in our observation. Muslim (97.5%, p = 0.005), 10–29 year age group (68.0%, p = 0.002), rural (99.2%), unmarried (51.3%), middle class (50.1%), students (48.9%), and secondary educational background population (76.4%) were more victimized of acute poisoning. Among different factors, familial disharmony constituted of 56.1% cases of suicidal attempt in acute poisoning. Finally, we had observed that the death incidence by acute poisoning in Jashore, Bangladesh, was 1.9 per 100,000 population over a 6-month period. Conclusion. The recent study reveals that there is high incidence of acute poisoning in Jashore, Bangladesh, with a significant amount of death toll. Organophosphorus compound is the most common agent of deliberating self-poisoning in our study due to its easy availability in our agriculture-based community.

2014 ◽  
Vol 26 (1) ◽  
pp. 46-48
Author(s):  
Devendra Nath Sarkar ◽  
Md Ismail Hossain ◽  
Mainuddinin Ahmed ◽  
AKM Shaheduzzaman ◽  
Nur Mohammad

Organophosphorus compounds (OPC) poisoning is a major public health problem in low and middle income countries. The incidence varies from country to country depending on easy availability of poison, socio-economic condition and educational background of the people. This study aimed to determine the frequency, outcome and aetiological aspect of OPC poisoning patient admitted in Rangpur medical college hospital. It was a cross sectional study carried out in the department of Medicine, Rangpur medical college hospital from 1st December 2011 to 30th November, 2012. During the study period a total of 703 patients have been studied. The most of the patients were between the age of 18- 40 years (91.9%), male (51.6%), married (71.3%) and from rural areas (67.8%). People of different occupations were involved in OPC poisoning, house-wives were the maximum (33.6%) followed by farmers (31.7%). 92% cases were suicidal and 8% accidental. Familial disharmony was the prime cause (92.3%) of suicidal motive. 88% of the patients were survived and 5% died. OPC poisoning is an important health care problem in our country. Improved awareness, restricting availability and banning more toxic organophosphorus compounds will reduce the incidence of OPC poisoning. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21313 Medicine Today 2014 Vol.26(1): 46-48


2020 ◽  
pp. 62-63
Author(s):  
Sanjay Kumar Pandey ◽  
Mangesh Dorai ◽  
P. Sarkar ◽  
Debarshi Jana

OBJECTIVES: To study the clinical presentation and outcome of acute organophosphorus(OP) poisoning. METHODS: This case series included 94 cases from medical wards/emergency/I.C.U. of MGM Medical College, Jamshedpur, Jharkhand from March 2019 to February 2020. all patients of organophosphorus poisoning showing either sign of muscarinic or nicotinic effects were included. We did exclude those patients with doubtful poisoning. RESULTS: Ninety-Four patients with organophosphate poisoning were admitted. Among these 61% were males and 39% were females. Modes of poisoning were suicidal in 61% of cases, accidental in 35%, and 4% were homicidal. The clinical presentation of acute poisoning was variable however the most consistent feature was miosis (98%). As per WHO classification for severity of organophosphorus poisoning; 57% of cases were moderate, 27% were severe, and 16% were mild. The mortality rate was 17% and mostly among patients who presented with severe symptoms and presented late. CONCLUSION: OPs are the main chemical threat to young people, depressed individuals, and farmworkers. so rapid diagnosis and early treatment is essential to save


Author(s):  
Harish Chandra Tiwari ◽  
Sudhir Kumar Gupta

Background: Postnatal care is crucial in maintaining and promoting the health of the woman and the newborn baby. Despite the known benefits of the postnatal care, there are many access and utilization barriers to care. The present study was conducted on postnatal care and its correlates among recently delivered women visiting to BRD Medical College Gorakhpur. Methods: For present cross-sectional study recently delivered women (RDW) defined as a post natal woman who had a baby between two months to six months of age at the time of data collection were taken as the study subjects. Complete post natal care was considered if RDWs had received post natal check-up (Post natal day -1, day-3, day-7,) along with immunization of child with BCG, OPV and three doses of DPT/Pentavalent vaccine. Sample size was calculated as 275 by using the formula 4PQ/L2 with an allowable error (L) of 20% including 10% extra for non/incomplete responders. The proportion of women receiving postnatal care was considered as 50.0% as by this proportion maximum sample size is arrived. Results: A total of 269 recently delivered women (RDW) were taken as the study subjects. They belonged to age group 19-29 year (Mean age 23.7±6.7 year), either educated up to 12th standard and only few were graduate or post graduate. Majority of them belonged to middle or lower middle class. Conclusions: Postpartum care utilization was associated with socioeconomic status, antenatal care received or not, planned pregnancy or not. Interestingly, access to care was not perceived as a top reason for not obtaining PPC. 


Author(s):  
Rajiv Kumar Gupta ◽  
Parveen Singh ◽  
Shahid Hussain ◽  
Rashmi Kumari ◽  
Bhavna Langer ◽  
...  

Background: Sex selective abortions have grossly distorted the child sex ratio in India. Role of medical technology in declining sex ratio at birth cannot be undermined. To combat this social evil, PC-PNDT (Pre-conception Prenatal Diagnostic Test) was promulgated in 2003 by Government of India. Enhancing the knowledge of medical fraternity with focus on undergraduate students can imbibe an enduring commitment towards this predicamentMethods: The present cross-sectional study was conducted in Government Medical College of Jammu. Students of 1st year MBBS of Batch 2016-2017 were administered the pre-designed and pretested questionnaire. Information was collected regarding sex determination as well as PC-PNDT Act.Results: 80% respondents knew about the declining sex ratio and 95% knew that sex determination is possible during pregnancy. Only 24.29% had heard about PC-PNDT Act although 95% knew that prenatal sex determination is punishable. Higher proportions of female respondents were aware of both fine and imprisonment as punishment under the act. (p<0.05). Regarding technique used for sex determination, males had better knowledge about ultrasonography than their female counterparts (p<0.05). More females would like to have male child as preferred first child (p<0.05) and 87.14% of respondents preferred that sex determination be punished more vigorously.Conclusions: Awareness about some of the parameters about PC-PNDT Act among the medical undergraduates was poor and it would be pertinent to hold more educational sessions for them.


2017 ◽  
Vol 28 (1) ◽  
pp. 28-33
Author(s):  
Nahid Yeasmin ◽  
Sayeeda Mahmuda ◽  
Shamima Akther ◽  
Khadija Begum ◽  
Masud Salehin ◽  
...  

Background: Incidence of hypertension in female is increasing throughout the world, leading to life threatening medical problem like cardiovascular diseases, stroke. An association between hypertension and obesity has been identified.Objectives : The study was carried out to observe the association of obesity with hypertension in adult female.Methods : This cross sectional study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka, during the period of January 2011 to December 2011. A total number of one hundred female subjects were selected with age ranging from30 to50 years. Among them 50 hypertensive female subjects were included from out-patient department of Medicine, Dhaka medical college Hospital, Dhaka as study group(B) and 50 apparently healthy female were taken as control group(A) for comparison Waist circumference(WC) was measured and body mass index (BMI) was calculated in both groups. Data was analyzed by Unpaired Student’s ‘t’ test and Pearson’s correlation co-efficient (r) test as applicable.Results: The value of waist circumference was higher in hypertensive subjects than those of nonhypertensive female and result was statistically significant. Body mass index value was significantly (p<0.001) higher in hypertensive subjects in comparison to those of non-hypertensive subjects. In hypertensive subjects waist circumference and body mass index values were higher and showed significant positive correlation with systolic and diastolic blood pressure. Conclusion: Present study revealed that hypertension has positive and significant relationship with waist circumference and body mass index.Bangladesh J Medicine Jan 2017; 28(1) : 28-33


2020 ◽  
Vol 9 (1) ◽  
pp. SG01-SG03
Author(s):  
Ajeet Kumar ◽  
Bhartendu Kumar ◽  
Sunil Kumar

Background: Surgical site infections (SSI) are an important post-operative complication. Knowledge about its risk factors is essential. The present study was conducted to find the profile of surgical site infection among patients admitted in surgical ward of SKMCH, Muzaffarpur.Subjects and Methods:The present cross-sectional study included 322 patients undergoing surgery. Clinical details, onset of SSI and microbiological profile were noted.Results:Mean age of the cases was 43.7 years. 61.2% of these were males. 11.8% of the cases suffered from surgical site infection. Of the emergency surgeries, 20.2% had SSI while 8.1% elective surgery cases had SSI. 36.1% of the cases with dirty wound had SSI while only 5.2% of the cases with clean wound had such infection. S. aureus was the most common organism isolated (57.9%) followed by Pseudomonas (39.5%) and Klebsiella (23.7%).Conclusion: Incidence of SSI is higher in cases of emergency surgery and in dirty wounds.


2017 ◽  
Vol 15 (1) ◽  
pp. 26-28
Author(s):  
Shakil Ahmad

Background: The habits that children inculcate during adolescence remains with them throughout the life. Anaemia is one of the most prevalent health conditions amongst the Girls residing in developing countries. The present study was conducted with the aim to determine the prevalence and risk factors associated with anaemia amongst adolescent girls attending in paediatrics OPD of Nepalgunj Medical College. Materials and methods: The present cross sectional study was performed for a period of one year (February 2016 - March 2017). This study was conducted amongst the girls attending to the Paediatrics department of Nepalgunj Medical College and Teaching Hospital, Nepalgunj. The study included all the girls aged between 10-19 years. Each Girls underwent physical examination under trained supervision to record sign of anaemia like pallor. Body mass index of all the subjects was also calculated. The data obtained was arranged in a tabulated form and analysed using SPSS software. Results: A total of 200 girls were enrolled in this study. The mean age of the study sample was 21.10+/-10.67 years. Majority of the early adolescents (68.5%) had anaemia. Least number (36%) of anaemic patients was seen in mid adolescence. There were 47.5% girls in late adolescence that showed signs of anaemia. There were 47.9% Girls who had passage of worms and 50.1% had no worm infestations. Majority (63.5%) of non anaemic Girls were in their post menarche stage. Conclusion: There were 52% of the girls who were anaemic in our study. The proportion of undernourished girls were significantly higher, therefore body mass index significantly affects anaemia.


Author(s):  
Aswin Kumar ◽  
Ayesha S. Nawaz ◽  
Ravi Kumar ◽  
Yamuna B. N.

Background: India is not only growing in terms of population but also developing in terms of communication. Internet has become an essential tool for education, entertainment, communication and sharing of information. Excessive and undisciplined use of internet has led to emergence of internet addiction (IA), especially among students. The objective of the study was to know the magnitude of internet addiction among medical students and to determine the factors associated with it.Methods: The present cross sectional study was carried out over a period of two months among 138 medical students of SSIMS and RC Davangere. Data was collected using a pre designed, pretested questionnaire, with questions adapted from Young’s internet addiction questionnaire to test internet addiction.Results: In our study 30% students had mild internet addiction and 10% had moderate internet addiction. Male gender, internet usage of more than 5 hours per day and expenditure on the monthly internet pack of more than Rs. 400 were found to be significantly associated with internet addiction.Conclusions: More than one third of the students, especially males had internet addiction. It is essential for the parents and institutions to supervise the medical students and limit the time as well as expenditure on the internet usage.


2021 ◽  
Vol 8 (2) ◽  
pp. 116-118
Author(s):  
Nimisha Madhu ◽  
Chandra Kiran ◽  
Rajendra Prasad ◽  
Praveen Kumar ◽  
Ramanuj Singh ◽  
...  

Many researchers have studied the morphology of coronoid process and have found varying shapes but such a study is lacking in this area.The present study was conducted to identify different morphological variations in shape of coronoid process of adult human mandible. The present cross-sectional study was conducted in the department of Anatomy at a Medical College of Bihar upon 46 dry adult human mandibles i.e. 92 coronoid processes. The morphological forms of coronoid process were noted.57.6% of coronoid processes were triangular in shape, 28.3% were rounded and 14.1% were hook shaped. The difference between male and female mandibles was found to be statistically significant (p=0.004).The proper knowledge on the morphological shapes of coronoid process is useful for maxillofacial surgeons as well as to be used as an anthropological marker to assess different populations and races.


Author(s):  
Angli Manhas ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas ◽  
Dinesh Gupta

Background: Cataract constitutes as the leading cause of blindness. Lack of information about the surgical procedure and results of surgery in cataract patients tend to show high levels of anxiety. Preoperative educational intervention planning is necessary to prepare patients for cataract surgery. The aim of present study was to identify emotional factors related to daily difficulties among patients having cataract.Methods: The present cross-sectional study was conducted over a period of 10months by means of a preformed pilot tested questionnaire on patients who had been screened for cataract in various eye camps and admitted for cataract surgery in the upgraded Department of Ophthalmology, Government Medical College, Jammu. All the questions were explained to participants in their local language for better understanding and those who were willing to participate, were requested to fill the semi-structure pilot tested questionnaire form with informed consent.Results: Around 75% of participants reported daily difficulties due to the ocular conditions, of which walking (79.6%) followed by doing housework (77.8%) were the most frequently reported difficulties. About 75% of the participants reported fearing the surgical procedure. Regarding the level of acceptance of cataract surgery 13.9% reported being very much afraid. With respect to the surgical procedure, doubt as to the outcome was reported by 22.2%. When cataract surgery was compared to other kinds of surgery, 31.9% thought it was better to undergo eye surgery whereas 48.6% had not given any opinion on the matter.Conclusions: Preoperative orientation is necessary in order to ease the suffering caused by surgery and render satisfaction with the treatment. Thus, patient should be prepared for the procedure, information regarding common outcomes and risks of surgery reduces anxiety and improves patient satisfaction following cataract surgery.


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