scholarly journals COMPARATIVE STUDY OF NEONATAL OUTCOME IN CEASAREAN SECTION DONE IN REFERRED CASES VS ELECTIVE CEASAREAN DELIVERY IN A RURAL MEDICAL COLLEGE HOSPITAL

2014 ◽  
Vol 3 (64) ◽  
pp. 13993-13998
Author(s):  
Sowmya M ◽  
Indranil Dutta
Keyword(s):  
Comparative Study ◽  
Neonatal Outcome ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College

scholarly journals Patient Empowerment: An Effective Strategy to Improve Management of GDM

2019 ◽  
Vol 10 (2) ◽  
pp. 91-94
Author(s):  
Fatema Ashraf ◽  
Sania Sultana ◽  
Tasdik Hasan ◽  
Hamida Pervin ◽  
Fahima Mustanzid ◽  
...  
Keyword(s):  
Neonatal Outcome ◽  
Patient Empowerment ◽  
Medical College Hospital ◽  
Self Management ◽  
Control Group ◽  
Study Group ◽  
Clear Understanding ◽  
Type Ii ◽  
College Hospital ◽  
Medical College

Background: GDM is a public health issue, affecting mostly the South East Asian region, as well in Bangladesh (prevalence 9.7% - 12.9%). It has a significant adverse impact on maternal and foetal outcome. So it needs to be addressed energetically to avoid maternal and foetal morbidity and mortality. Also it will contribute a lot to the pool of Type II Diabetes as substantial number of GDM mother and their offspring may develop type II DM in near future. Self-management of GDM is well-known globally but there is still lacking in adequate handling of diabetes by the patients themselves. Nevertheless the lacking can be minimized through ‘Patient Empowerment’ by clear understanding of the disease and its consequences along with intense learning, training, monitoring and evaluation of the clients involved. Also it will help in emotional stability of the client which is an essential component of diabetes management during pregnancy. The innovative strategy may contribute significantly in GDM management at low cost in a resource constraint setting. Objective: To find the effectiveness of ‘patient empowerment’ promoting better self-management of GDM. Methodology: This quasi experimental study was done on 96 cases (48 in each group) by purposive sampling technique at Shaheed Suhrawardy Medical College Hospital (ShSMC) as study group & Rajshahi Medical College Hospital (RMCH) as control group, from August 2012 – August 2015. Both group were matched of age, parity, education and income. Ethical clearance was taken from ethical committee of both ShSMC and RMCH Result: In the study group good glycemic control achieved with diet & exercise (75%) and Insulin required in only 25% cases, while in control group Insulin given in 75% cases. In the study group NVD (67%) were more than control group (33.3%). There were no obstructed labour in study group but control group (12.50%). Majority of the study group (74.6%) had no or minimum antenatal complication, in comparison to control group (74.66%). Regarding Neonatal outcome, neonatal resuscitation required none in study group but 12 (25%) in control group. So, overall adverse outcome observed less in study group than control group Conclusion: Patient empowerment can be an effective tool to manage GDM cases with an outcome of good control of blood sugar; less antenatal, intrapartum and post natal complications, good foetal and neonatal outcome and low requirement of insulin. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 91-94

scholarly journals A Comparative Study of Electrocardiographic and Echocardiographic Evidence of Left ventricular Hypertrophy

1970 ◽  
Vol 20 (1) ◽  
pp. 24-27
Author(s):  
M Razzak Mia ◽  
ARM Saifuddin Ekram ◽  
M Azizul Haque ◽  
M Raisuddin
Keyword(s):  
Left Ventricular Hypertrophy ◽  
Comparative Study ◽  
Ventricular Hypertrophy ◽  
Left Ventricular ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Random Manner ◽  
Echocardiographic Evidence

This study was carried out in medicine and cardiology indoor of Rajshahi Medical College Hospital from November 2004 to October 2005. 100 cases were selected for this study in random manner. Sensitivity of ECG to diagnose LVH was found to be 87.5%, and specificity was only 50%. ECG is relatively insensitive and can't accurately identify the severity of LVH.   doi: 10.3329/taj.v20i1.3085 TAJ 2007; 20(1): 24-27

scholarly journals A Comparative Study of Benzylpenicillin Versus Ceftriaxone in the Treatment of Adult Pyogenic Meningitis

1970 ◽  
Vol 17 (2) ◽  
pp. 59-61 ◽  
Author(s):  
A Wazib ◽  
MZ Hossain ◽  
R Hasan ◽  
MB Alam
Keyword(s):  
Comparative Study ◽  
Prospective Study ◽  
Hospital Stay ◽  
Key Words ◽  
Clinical Features ◽  
Medical College Hospital ◽  
Pyogenic Meningitis ◽  
College Hospital ◽  
Medical College

This prospective study was conducted in Dhaka Medical College Hospital during July 2006 to June 2007. 100 patients were included in the study among which forty seven received benzylpenicillin and fifty three was treated with ceftriaxone. The result of this study showed that mortality was similar in both groups but ceftriaxone had better outcome regarding duration of clinical features and hospital-stay. Key words: pyogenic meningitis; benzylpenicillin; ceftriaxone. DOI: 10.3329/jdmc.v17i2.6583J Dhaka Med Coll. 2008; 17(2) : 59-61

scholarly journals Comparative study of different approaches of myringoplasty in chronic otitis media

2020 ◽  
Vol 22 (1) ◽  
pp. 21-25
Author(s):  
Km Nurul Alam ◽  
Md Monjurul Alam ◽  
Md Delwar Hossain ◽  
Md Abdul Karim ◽  
Md Abul Hossain ◽  
...  
Keyword(s):  
Comparative Study ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Surgical Approach ◽  
Chronic Otitis Media ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Graft Take

Objectives: To determine the best surgical approach of myringoplasty regarding healing of tympanic membrane and improvement of hearing. Methods: This was a cross sectional comparative study carried out in the departments of Otolaryngology and Head-Neck Surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College Hospital, Sir Salimullah Medical college Mitford Hospital and Shaheed Suhrawardy Medical College Hospital during the period of July’2009 to March 2011. A total number of 75 patients of age 15-45years having inactive mucosal chronic otitis media with central perforation were included in this study. All patients has undergone myringoplasty and patients were divided into three groups according to surgical approach such as postaural, transcanal and endaural. All patients were followed up postoperatively and all postoperative findings were recorded. The three groups were compared with regard to healing of tympanic membrane and improvement of hearing. Results: The success rate in this study was 80% . graft take rate in postaural, transcanal and endaural approaches were 92.5%, 66.67% and 63.64% respectively. Improvement of mean airbone gap in postaural, transcanal and endaural approaches were 19.04dB, 10.02dB and 11.36dB Conclusion: Graft take rate and hearing improvement is significantly higher in postaural approach than other approaches. Bangladesh J Otorhinolaryngol; April 2016; 22(1): 21-25

SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang
Keyword(s):  
Preterm Birth ◽  
Comparative Study ◽  
Pregnancy Outcome ◽  
Neonatal Morbidity ◽  
Research Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Chorionic Villi ◽  
Term Birth ◽  
Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

Comparative Study Between Clean Intermittent Self-Catheterization (Cisc) and Continuous Indwelling Catheterization (Cidc) in Relieving Acute Refractory Retention of Urine Due to Benign Enlargement of Prostate (Bep)

2020 ◽  
Vol 21 (2) ◽  
pp. 105-110
Author(s):  
Md Shawkat Alam ◽  
Sudip Das Gupta ◽  
Hadi Zia Uddin Ahmed ◽  
Md Saruar Alam ◽  
Sharif Muhammod Wasimuddin
Keyword(s):  
Comparative Study ◽  
Acute Urinary Retention ◽  
Bladder Capacity ◽  
Inclusion Criteria ◽  
College Hospital ◽  
Medical College ◽  
High Incidence ◽  
Group A ◽  
Group B ◽  
Better Than

Objective: To compare the clean intermittent self-catheterization (CISC) with continuous indwelling catheterization (CIDC) in relieving acute urinary retention (AUR) due to benign enlargement of prostate (BEP). Materials and Methods :A total 60 patients attending in urology department of Dhaka Medical college hospital were included according to inclusion criteria ,Patients were randomized by lottery into two groups namely group –A and group –B for CISC and IDC drainage respectively . Thus total 60 patients 30 in each group completed study. Results : Most men can safely be managed as out-patients after AUR due to BPH. The degree of mucosal congestion and inflammation within the bladder was found to be lower in those using CISC and the bladder capacity in these patients was also found higher.Patients with an IDC had a high incidence of UTIs then that of patients with CISC. During the period of catheterization the incidence of UTI was 43.3% in group B in comparison to 40% in group A; before TURP 36% in group B in comparison to 10% incidence in group A.According to patient’s opinion CISC is better than IDC in the management of AUR. Experiencing bladder spasm, reporting blood in urine, management difficulties, incidence and severity of pain were less in CISC group, and the method of CISC was well accepted by patients as well as their family members. Conclusion: From the current study it may be suggested that CISC is better technique for management of AUR patient due to BPH than IDC. It can also be very helpful when surgery must be delayed or avoided due to any reasons in this group of patients. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.105-110

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