scholarly journals Frequency of paediatric facial trauma in a tertiary care dental hospital

2017 ◽  
Vol 5 (1) ◽  
pp. 310 ◽  
Author(s):  
Muhammad Athar Khan ◽  
Muhammad Ishfaq ◽  
Mobeen Akhtar ◽  
Sadiq Amin Ahmed Rana ◽  
Muhammad Kashif
Keyword(s):  
Tertiary Care ◽  
Facial Trauma ◽  
Facial Fracture ◽  
Facial Bones ◽  
Female Ratio ◽  
Dental Hospital ◽  
The Mean ◽  
Upper Third ◽  
Male To Female ◽  
Written Informed Consent

Background: The objective of the study was to determine the frequency of various patterns of pediatric facial trauma in the patients attending a tertiary care hospital.Methods: After written informed consent, 191 cases were taken using non- probability purposive sampling. Demographic profile (age, gender, address) was taken. Diagnoses of the distribution of facial fracture were made with help of history, clinical and radiological examination, plain radiographs, OPG (Orthopantomogram), Occipitomental, PA view of face and CT scan, according to the requirement. Pattern of facial trauma i.e. upper third of face (frontal bone, orbital bone), mid facial bones (Maxilla, Zygomatic, NOE noso-orbito-ethmodial complex), dentoalveolar and mandible was noted on the proforma attached. Data was entered and analysed using SPSS 20.0.Results: The mean age of the patients was 6.50±3.72 years. In this study, 112 (58.63%) were males and 79 (41.37%) were females. So, the male to female ratio were 1.41:1. The mandible was the most commonly fractured bone 58 (30.36%) followed by dentoalveolar, maxilla, zygomatic, NOE complex, orbital and frontal bones fractures.Conclusions: Mandible is the most prone to fracture in paediatric patients.

scholarly journals Accidental childhood poisoning in Paediatrics department of a tertiary care facility: A retrospective review

2020 ◽  
Vol 47 (3) ◽  
Author(s):  
D.C. Obu ◽  
M.C. Orji ◽  
U.V. Muoneke ◽  
U.V. Asiegbu ◽  
G.O. Ezegbe
Keyword(s):  
Tertiary Care ◽  
Care Facility ◽  
Accidental Poisoning ◽  
Female Ratio ◽  
The Public ◽  
Tertiary Care Facility ◽  
Childhood Poisoning ◽  
The Mean ◽  
The Relationship ◽  
Male To Female

Background: Accidental childhood poisoning is a recognized preventable cause of morbidity and mortality among children worldwide. This studywas aimed at determining the prevalence, pattern, and outcome of childhood poisoning among children in Abakaliki, Ebonyi State. Material and Methods: Medical records of all cases of accidental childhood poisoning admitted into Children’s emergency room (CHER) of the health facility of study between January 2014 and December 2018 were retrospectively identified and relevant data extracted and analyzed usingSPSS version 22. Results: Out of the 7,700 children that presented to CHER over a 5- year period, 42 were cases of poisoning, giving prevalence rate of 0.5%. Of the 42 cases, only 20 case notes were retrieved. The male to female ratio was 2.3:1 while the ages ranged between 6months and 14 years with the mean age of 3.06±2.88. Kerosene poisoning had the highest proportion of 50.0% (10/20) with the overall mortality rate of 5.0% (1/20).The relationship between age, place of residence and outcome in poisoned children was statistically significant (p = 0.038, 0.045 respectively). Conclusion: Accidental childhood poisoning is common in Abakaliki. Kerosene still remained the major agent while male toddlers were most  vulnerable. There is need to intensify enlightenment campaigns and education of the public about the hazard of improper storage of kerosene and other implicated substances at home. Keywords: Accidental poisoning, Childhood, Kerosene

scholarly journals Clinical Spectrum and Neuroimaging Changes in Neurodegenerative Disorder-Experiences in Tertiary Care Hospital of Bangladesh

2021 ◽  
Vol 2 (6) ◽  
pp. 10-14
Author(s):  
Gopen Kumar Kundu ◽  
Rumana Islam ◽  
Noor E-Sabah ◽  
ABM Mukib
Keyword(s):  
Neurodegenerative Diseases ◽  
Tertiary Care Hospital ◽  
Neurodegenerative Disorder ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Care Hospital ◽  
Female Ratio ◽  
History Of ◽  
The Mean ◽  
Male To Female

Neurodegenerative diseases (NDD) are a heterogeneous group of disorders characterized by progressive loss of previously acquired skills that are of varied etiology, clinical manifestations, and natural course. There is a paucity of data on clinical profile of neurodegenerative diseases in our population. We conducted a retrospective study with 68 diagnosed cases of NDD at a tertiary care hospital in Bangladesh. Among them, more than one-third of children were in 1-5 years age group. The mean age was 10.2±3.1 year and male to female ratio was 2:1. Fifty percent of cases had a history of consanguineous parents. Leukodystrophy was most common (30.88%) among NDDs, followed by Wilson disease (26.47), SSPE (22.1%), and Degenerative Ataxia (20.59%). Motor skill regression was the most common presentation (97%), followed by speech regression in 91% and Gait disorder in 83% of children. Seizure was presenting features in 24% of children. Neuroimaging abnormalities were found in 80.88% NDD cases. Among them white matter hyper intensity in 29.41%, cerabeller atrophy in 13.25 %, and cerebral atropy in 11.76% of children. Eye changes were found in about two-thirds (69.12%) of cases of NDD. Among them, optic atrophy was found in 29.41%, and KF rings in 25.00% of cases.

scholarly journals Complications of Bone Plating Following Different Facial Bones Fractures

2018 ◽  
Vol 14 (6) ◽  
pp. 351
Author(s):  
Ali R. Al-Hammami ◽  
Auday M. Al-Anee ◽  
Thair Abdul Lateef ◽  
Adil Al-khayat
Keyword(s):  
Wound Dehiscence ◽  
Mandibular Fractures ◽  
Facial Fractures ◽  
Facial Bones ◽  
Reconstruction Procedure ◽  
Female Ratio ◽  
Plate Removal ◽  
Hardware Failure ◽  
The Mean ◽  
Male To Female

The Aim of our study was to evaluate the complication of bone plating fixation used for treatment of multiple type of facial fracture, reconstruction procedure and bone graft in maxillofacial trauma. This prospective study was performed on 42 patients to evaluates complications of the bone plates had been used in fixation of multiple facial fractures, between October 2013 and March 2015, The age of the patients ranged from 17 – 65 years The mean age of the patients was (31.7± 9.4) years. There were 31 males and 11 females, with male to female ratio (2.81:1), patients were followed up for minimum 6 months. Seventy-one plates were inserted over 17 months. Among the 42 patients there were 45 fracture sites, 26 (57.8%) were mandibular fractures, 15 (33.3%) were ZMC fractures, and four (8.9%) were maxillary; it is worth mentioning that some patients had fracture at more than one site. Complications due to fracture fixation with bone plating were 33 represented 46.5% of the total 71 plates inserted, which included Infection/wound dehiscence 15 (21.1%), Discomfort/ palpability 9 (12.7%), Plate exposure 4 (5.6%), hardware failure (broken plate & loosening screw) 1 (1.4%), Cold/heat intolerance 3 (4.2%) and Pain (TMJ) account for one plate (1.4%). According to this study, there will be a need for hardware removal in a portion of patients treated with metallic osteosynthesis devices. This study states that the infection is most common reason for plate removal, followed by discomfort due to cold/heat climate, particularly in those facial regions that provide only thin soft tissue cover over the plate.

scholarly journals Clinical and Socio-Demographic Pattern of Beta Thalassaemia in Bangladesh

2020 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Adnan Hasan Masud ◽  
Md. Kamrul Hasan ◽  
Saradindu Kanti Sinha ◽  
Kazi Mohammad Kamrul Islam ◽  
Md. Jalilur Rahman
Keyword(s):  
Tertiary Care ◽  
Cross Sectional ◽  
Female Ratio ◽  
Beta Thalassaemia ◽  
The Mean ◽  
Almost All ◽  
Hb Concentration ◽  
Medical University ◽  
Tertiary Care Hospitals ◽  
Male To Female

Beta thalassaemia is one of the most prevalent haemolytic disorders worldwide which poses serious economic burden to the society. Study on clinical and demographic pattern of this disorder will help the concern authorities to figure out the problem. This cross-sectional descriptive study was carried out to determine the socio-demographic and clinical characteristics as well as to find out the existence of other co-morbidities among the ?-thalassaemic patients (n-101). The study was carried out at the Department of Haematology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from June 2010 to January 2011. Data were collected from 3 tertiary care hospitals of Dhaka city. Almost all the patients were young, age ranged from 10 to 32 years with the mean age of 16. Male to female ratio was almost equal (52.5:47.5) and 80% of the respondents were Muslims. Forty-five (45%) percent of patients were illiterate and 37% respondents had primary education only. Almost 90% were unmarried and majority had a family of 6-8 members. Forty-seven percent (47%) of patients had monthly income 5000-7000 BDT and 56% of the respondents were unemployed. The major clinical features were pallor (72.3%), palpitation (60%), and breathlessness (52.5%). The haemoglobin (Hb) concentration ranged from 7gm/dl to 12gm/dl and 57% patients had an Hb concentration of 8 gm/dl. Sixty percent of the respondents had jaundice with majority had enlarged spleen (86%) and some had enlarged liver too (23%). Ninety percent (90%) respondents had co-morbidities among which arrhythmia is more prevalent (54%).

scholarly journals One Point Fixation Versus Two Point Fixation in Zygomaticomaxillary Complex Fractures

2021 ◽  
Vol 30 (02) ◽  
pp. 74-80
Author(s):  
Muhammad Husnain Akram ◽  
◽  
Muhammad Mustafa Ch ◽  
Armaghan Israr Mirza ◽  
Muhammad Usman Akhtar ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Point Group ◽  
Fixation Method ◽  
P Value ◽  
Female Ratio ◽  
Complex Fractures ◽  
Dental Hospital ◽  
The Mean ◽  
Male To Female ◽  
Zygomaticomaxillary Complex

OBJECTIVE: To compare the mean satisfaction of patients undergoing one point fixation versus two point fixation for zygomaticomaxillary complex fractures. METHODOLOGY: This randomized controlled trial was performed at Oral and Maxillofacial surgey department Punjab Dental Hospital. The duration of this study was 6 months (28-8-18 to 28-2-19). After meeting the inclusion criteria 74 patients were enrolled. Informed consent and demographic information was taken. Patients were randomly divided into two groups. One group is treated with one point fixation method and other with two point fixation. Patient were evaluated in terms of satisfaction of score on 3rd day, 14th day and 28th day and were recorded as per operational definitions. All the collected data was entered and analyzed on SPSS version 20. RESULTS: In this study the mean age of patients in one point group was 42.46±15.325 years while in two points group was 49.32±13.145 years, male to female ratio of the patients was 1.2:1. The mean PSS in one point group was 5.98±0.89 while in two points group was 3.775±0.609 (p-value=<0.001). CONCLUSION: One point fixation is smarter method and provide significantly better satisfaction than to two point fixation method for ZMC fractures KEYWORDS: Zygomaticomaxillary Complex Fractures, One Point, Two Point, Satisfaction

COMPARISON OF CLINICO-SOCIAL PROFILE OF PULMONARY AND EXTRA PULMONARY TUBERCULOSIS IN TERTIARY CARE HOSPITAL IN A RURALAREA: A RETROSPECTIVE STUDY

2021 ◽  
pp. 70-72
Author(s):  
Gaurav Santosh Nemade ◽  
Sumit Nitin Dhus ◽  
Arushi Ramesh Shetty ◽  
Neha Dhananjay Firake
Keyword(s):  
Tertiary Care ◽  
Care Hospital ◽  
Female Ratio ◽  
Extra Pulmonary Tuberculosis ◽  
Younger Age ◽  
Tobacco Addiction ◽  
History Of ◽  
Early Case ◽  
Male To Female ◽  
Clinical Characteristic

BACKGROUND AND OBJECTIVES: The burden of tuberculosis (TB) in India is the highest accounting for 26% of the global incidence. A total of 1.4 million people died from TB in 2019 (including 208 000 people with HIV). India accounts for a fourth of the global burden of TB and 29% of global mortality. Therefore, we carried out this study to compare demographic, lifestyle and clinical characteristic between pulmonary TB (PTB) and extrapulmonary TB (EPTB). MATERIALS AND METHODOLOGY:Aretrospective analysis was carried of 348 patients diagnosed in DOTS centre, Pravara Rural Hospital, Loni. Characteristics of demographic and clinical characteristics were obtained from medical case records. RESULTS:Among the 348 cases, 71.3% were PTB and 28.7% were EPTB including, pleural (36%), meningeal (27%) and lymphatic (20%) cases. The male to female ratio in PTB and EPTB are 1.99 and 1.22 respectively. EPTB was more common at younger age (<25 years). Tobacco addiction (10.9%), diabetes mellitus (4.03%), HIV positivity (12.1%) and history of contact with Tb patients (17.7%) were more likely to be associated with PTB. CONCLUSION:Increased awareness of the risk factors may facilitate early case nding and better management outcomes for these patients.

scholarly journals Dengue Fever : Study of 100 Cases in a Tertiary Care Hospital in Dhaka City

2015 ◽  
Vol 24 (Number 1) ◽  
pp. 3-7
Author(s):  
A H M Karnal ◽  
K H Mollah ◽  
A Begum ◽  
K Khoda ◽  
S Tanzeem ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Hemorrhagic Fever ◽  
Viral Disease ◽  
Care Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Body Ache

Dengue is a rapidly spreading mosquito-borne viral disease worldwide. The endemicity in Bangladesh is also increasing gradually. The study was a prospective observational one, documented the presenting features and outcome of management. It was carried out in Department of Medicine in Holy Family Red Crescent Medical College Hospital, Dhaka from June 2013 to December 2013. Total 100 admitted cases of both sera positive and sera-negative were included in this study. Detailed history was taken, clinical examination and relevant investigations were done. Out of 100 patients 54 (54%) were male and 46 (46%) were female. So male to female ratio was 1.7:1. The age of the patients ranged from 12-75 years. Among them 20-40 years age group was highest 63%. Patients of higher socio-economic group were (69%) more affected. Out of 100 cases 54 had classical dengue fever (DF), 46 had dengue hemorrhagic fever (DHF). Antibody was positive in 81% cases. All patients presented with high fever, headache in 90%, retro-orbital pain in 45%, body ache in 56%, and backache in 48%. Leucopenia found in 60, platelet count <100x1091L was in 57, HCT- normal 17, <20% rise in 48%, ?20% rise in 28%. With proper management all patients were recovered.

scholarly journals Effects of the COVID-19 Pandemic on the Epidemiology of Knee and Shoulder Arthroscopy

2021 ◽  
Vol 58 ◽  
pp. 004695802110560
Author(s):  
Krystian Kazubski ◽  
Łukasz Tomczyk ◽  
Piotr Morasiewicz
Keyword(s):  
Hospital Stay ◽  
Shoulder Arthroscopy ◽  
Demographic Data ◽  
Epidemiological Data ◽  
University Hospital ◽  
Female Ratio ◽  
Duration Of Hospital Stay ◽  
The Mean ◽  
Orthopedic Patients ◽  
Male To Female

The purpose of our study was to comprehensively assess the effect of the COVID-19 pandemic on knee and shoulder arthroscopy performed in an orthopedic department of a university hospital in Poland. This study compared the data on all shoulder and knee arthroscopy procedures performed in two different periods: The period of the COVID-19 pandemic in Poland (from March 4, 2020, to October 15, 2020) and the corresponding period prior to the pandemic (March 4, 2019, to October 15, 2019). The study evaluated epidemiological data, demographic data, and hospital stay duration. The total number of arthroscopy procedures conducted in the evaluated period in 2020 was approximately 8.6% higher than that in the corresponding 2019 period. The mean duration of hospital stay for orthopedic patients after their knee or shoulder arthroscopy was 3.1 days in 2020 and 2.8 days in 2019. Our study revealed the mean age of arthroscopy patients during the pandemic to be lower at 48.4 years than the 51.2 years recorded in 2019. The male-to-female ratio was shown to be lower at .85 during the pandemic, having decreased from 1.5 in 2019. The COVID-19 pandemic did not reduce the number of arthroscopy performed at our center, and the mean age of the patients did not change. However, the pandemic had a marked effect on the mean duration of hospital stay and male-to-female ratio.

Diagnostic Accuracy of Rapid Diagnostic Kits Test for Diagnosis of Malaria

2021 ◽  
Vol 15 (10) ◽  
pp. 2826-2828
Author(s):  
Muhammad Ahsan Zafar ◽  
Sidra Khalid ◽  
Talha Munir
Keyword(s):  
Diagnostic Accuracy ◽  
Gold Standard ◽  
Female Ratio ◽  
Diagnostic Kits ◽  
Negative Results ◽  
Malaria Antigen ◽  
The Mean ◽  
Sensitivity Specificity ◽  
Age Range ◽  
Male To Female

Objective: To assess the diagnostic accuracy of rapid diagnostic kits test for diagnosis of malaria taking microscopy as gold standard Methodology: A total of 375 cases with age range 18-65 years of either gender as suspected for malaria were included in the study. We excluded all those cases already taking anti-malarial drugs. The study was conducted at Chughtais Lahore Lab, Lahore. Required blood sample were obtained following aseptic measures. Malaria RDT SD Bioline Malaria Antigen Pf/Pan (Catalogue No. 05FK60, Standard Diagnostics Inc, Hagal-Dong, Korea, from now on referred as “SD RDT”) was used. Patients were labeled as positive or negative on the basis of reports from hematology department assessed by microscopy and patients were labeled as positive or negative Results: The mean age of the patients was 41.84±13.44 years, male to female ratio of the patients was 1.01:1. The sensitivity, specificity, and diagnostic accuracy of the RDT for diagnosing malaria was 96.79%, 96.28% and 96.53% respectively taking microscopy as gold standard Conclusion: Rapid diagnostic kits is very useful reliable test with high diagnostic accuracy for diagnosis of malaria taking microscopy as gold standard Keywords: Microscopy, Rapid Diagnostic kits, Malaria,

scholarly journals Apheresis-Adverse Events in Man and Machine Individualities

2020 ◽  
Vol 14 (1) ◽  
pp. 27-30
Author(s):  
Md Ashraful Hoque ◽  
Kashfia Islam ◽  
Selina Akter
Keyword(s):  
Adverse Reaction ◽  
Adverse Events ◽  
Adverse Reactions ◽  
Key Factors ◽  
Serious Adverse Events ◽  
Female Ratio ◽  
The Mean ◽  
Male To Female ◽  
Citrate Toxicity ◽  
Common Adverse Reaction

Adverse events due to platelet pheresis are not unheard of citrate related reactions being the most common. Most of these events are mild and self limiting. The current study describes adverse events in platelet pheresis using modern apheresis systems. This prospective study included 1455 platelet pheresis procedures done from July 2016 to December 2017. Procedures were performed on Hemonetics MCS+, Trima Accel and Cobe spectra cell separators. The endpoint of each procedure was a yield of 3 × 1011 platelets (PLTs) per unit. Donor adverse reaction if any was managed, reported, and documented. The median age of donors was 31 years with male to female ratio of 13:1. The median body surface area and body mass index were 1.64 m2 and 22.4 kg/m2, respectively. The mean PLT count of donors was 199.8 × 103/uL with a mean hemoglobin value of 13.6 g/dl. ACD infusion was significantly more in the Hemonetics MCS+, (P< 0.01). Donation time was least with the Trima compared to Hemonetics MCS+ (P< 0.01) and Cobe (P< 0.001). Total whole blood volume processed was higher in Hemonetics MCS+, (P< 0.01). Paresthesia due to citrate toxicity was the most common adverse reaction (65.3%), and vascular injury was observed in only five donors. The overall incidence of adverse reaction was 3.4%. Serious adverse events were not observed. The modern generation apheresis machines are more donors friendly and cause less adverse reactions compared to the older versions. Good donor screening, optimized donor physiognomic and hematological values and skilled operators are the key factors in reaction reduction by apheresis. Faridpur Med. Coll. J. Jan 2019;14(1): 27-30

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