COMPUTED TOMOGRAPHIC EVALUATION OF CHEST MASSES AND ITS CORRELATION WITH HISTOPATHOLOGICAL DIAGNOSIS IN A TERTIARY CARE HOSPITAL, VSS MEDICAL COLLEGE AND HOSPITAL, SAMBALPUR, BURLA, ODISHA

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.

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Clinico-pathological profile of ovarian cysts in a tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20174456 ◽

2017 ◽

Vol 6 (10) ◽

pp. 4642 ◽

Cited By ~ 1

Author(s):

Sairem Mangolnganbi Chanu ◽

Biswajit Dey ◽

Vandana Raphael ◽

Subrat Panda ◽

Yookarin Khonglah

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Lower Abdominal Pain ◽

Cystic Teratoma ◽

Serous Cystadenoma ◽

Mature Cystic Teratoma ◽

Ovarian Cysts ◽

Histopathological Diagnosis ◽

Care Hospital ◽

North East

Background: Ovarian cystic neoplasms are common in gynaecological practice. These may pose diagnostic difficulty to the pathologists. This study was conducted to analyse the clinical and histological profile of ovarian cystic neoplasms.Methods: This is a retrospective study done from January 2016 to April 2017 in a tertiary care hospital in North East India. All the patients, who were clinically and radiologically diagnosed as ovarian cysts, which had histopathological confirmation were included in the study. Data including the age, parity, clinical symptoms, laterality and histopathological findings were analysed.Results: A total of 101 patients operated for ovarian cysts in the study period were analysed. The most common clinical presentation was lower abdominal pain. There were 11 (10.9%) malignant cases, 4 (4%) were intermediate grade and borderline in nature, and 85 (84.1%) cases were benign in nature. There was 1 (1%) case of metastasis to ovary. Mature cystic teratoma was most common (20.8%) histopathological diagnosis. The second most common cyst was serous cystadenoma (19.8%).Conclusion: Ovarian cysts are commonly encountered in gynaecological practice and equally encountered by the pathologists. Most commonly found ovarian cysts were mature cystic teratoma followed by serous cystadenoma.

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Cerebral malaria in children : an update

Northern International Medical College Journal ◽

10.3329/nimcj.v6i2.23168 ◽

2015 ◽

Vol 6 (2) ◽

pp. 45-47

Author(s):

Mirza Md Ziaul Islam ◽

M Mizanur Rahman

Keyword(s):

Cerebral Malaria ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Medical Emergency ◽

Care Hospital ◽

Medical College ◽

Antimalarial Therapy ◽

Neurological Presentation ◽

Supportive Management ◽

Prompt Diagnosis

Cerebral malaria (CM) is the most severe neurological presentation of acute falciparum malaria. It is a medical emergency, the hallmark of which is the presence of coma probably due to diffuse encephalopathy. A compromised microcirculation with sequestration of parasitized erythrocytes is central to the pathogenesis of cerebral malaria. The death is unacceptably high even with effective antimalarials in tertiary care hospital. The mainstay of treatment of cerebral malaria include prompt diagnosis and early institution of effective antimalarial therapy, recognition of complications, and appropriate supportive management in an ICU. Neurological sequlae are increasingly recognized, but further research on the pathogenesis of coma and neurological damage is required to develop other ancillary treatmentsNorthern International Medical College Journal Vol.6(2) 2015: 45-47

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A STUDY OF THE IMPACT OF DIETARY HABITS ON TYPE II DIABETIC RETINOPATHY CORRELATING WITH HBA1C LEVELS, AMONG PATIENTS ATTENDING A TERTIARY CARE HOSPITAL ATTACHED TO ANDHRA MEDICAL COLLEGE, VISAKHAPATNAM, ANDHRAPRADESH.

International Journal of Advanced Research ◽

10.21474/ijar01/9383 ◽

2019 ◽

Vol 7 (7) ◽

pp. 468-473

Author(s):

Nirmala JyothiPamu ◽

Keyword(s):

Diabetic Retinopathy ◽

Dietary Habits ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Type Ii ◽

Medical College ◽

The Impact ◽

Hba1c Levels

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Characteristics of Lichen Planus in Patients Attending a Tertiary Care Hospital in Bangladesh

Journal of Dhaka Medical College ◽

10.3329/jdmc.v21i2.15338 ◽

2013 ◽

Vol 21 (2) ◽

pp. 156-159

Author(s):

Md. Mostaque Mahmud ◽

Lubna Khandker ◽

Md. Shahadat Hossain ◽

Md. Mostafizur Rahman ◽

Mohammad Zaid Hossain

Keyword(s):

Lichen Planus ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Medical College

J Dhaka Medical College, Vol. 21, No. 2, October, 2012, Page 156-159 DOI: http://dx.doi.org/10.3329/jdmc.v21i2.15338

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Assessment of adverse drug reaction profile of the disease-modifying anti-rheumatic drugs at the department of orthopaedics in a tertiary care hospital, Silchar, Assam, India

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20191592 ◽

2019 ◽

Vol 8 (5) ◽

pp. 1007

Author(s):

Vijoy S. Kairi ◽

Pinaki Chakravarty ◽

Arun Kumar Sipani

Keyword(s):

Prospective Observational Study ◽

Tertiary Care Hospital ◽

Early Recognition ◽

Tertiary Care ◽

P Value ◽

Care Hospital ◽

Case Record ◽

Medical College ◽

Disease Modifying ◽

Reaction Profile

Background: The mainstay of treatment of Rheumatoid Arthritis (RA) is the use of the disease-modifying anti-rheumatic drugs (DMARDs). Methotrexate, sulfasalazine and hydroxychloroquine are some of the DMARDs which are used in combination for the treatment of RA. The current study was undertaken to assess the adverse drug reactions (ADRs) of DMARDs that are commonly encountered with the treatment of RA.Methods: The present study was designed as a prospective, observational study on newly diagnosed patients with RA. Patients diagnosed with RA above 18 years (excluding pregnant women) of either sex who were prescribed DMARDs in combination were included. ADRs reported spontaneously by the patients and also responses obtained in a questionnaire related to likely ADRs from the patients was recorded in the case record form. Statistical analysis was done using graph pad and p value <0.05 was considered to be statistically significant.Results: A total of 47 patients attending the Outpatient Department of Orthopaedics, Silchar Medical College and Hospital, Silchar, Assam, India were screened for the study. ADRs were monitored up to the last visit on 41 patients excluding the patients who were lost and who were not able to adhere to the treatment. A total of 27 ADRs were reported from 19 ADR forms. Gastrointestinal manifestations were the most common adverse effects of combination DMARDs seen in 10 patients (24.39%). Severity assessment done using modified Hartwig and Siegel scale that showed majority of the ADRs were mild (74.07%).Conclusions: Present study showed that DMARDs are well-tolerated and have an acceptable toxicity profile as majority of ADRs seen were mild. It was however difficult to prevent the occurrence of ADRs. Proper monitoring of therapy is needed for early recognition of ADRs.

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Satisfaction of women with health service provider in outpatient department of Obstetrics and Gynecology at a Tertiary care hospital

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v6i2.31775 ◽

2017 ◽

Vol 6 (2) ◽

pp. 79-81 ◽

Cited By ~ 1

Author(s):

Ashia Khatun ◽

Khairun Nahar ◽

Mst Nurunnahar Aktar ◽

Fatema Mahbooba Akter ◽

Habibur Rahman

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Hospital Environment ◽

Obstetrics And Gynecology ◽

Care Hospital ◽

Health Service Provider ◽

College Hospital ◽

Cross Sectional ◽

Patient’S Satisfaction ◽

Medical College

Background: Patient's satisfaction over the health care services is very important issue in Bangladesh.Objective: The purpose of present study was to find out the level of satisfaction of women attending in the OPD of Obstetrics and Gynecology department at a tertiary care hospital in Dhaka.Methodology: This descriptive type of cross sectional study was carried out in the OPD of Obstetrics and Gynecology department at Dhaka Medical College from September 2011 to October 2011 for a period of one month. All the women attending in Obstetrics and Gynecology department in outdoor service at Dhaka Medical College Hospital, Dhaka with the age group of 22 to 40 years were selected as study population. A purposive sampling method was used to collect the data.Results: A total number of 200 cases were taken for this study. Highly satisfied over the services delivered by the doctors was reported in 135 (65.8%) cases and service of nurses was satisfied 111(55.8%) of cases. Satisfactory waiting time (two hours) was 143(7l.9%) of cases and the satisfactory hospital environment was 127 (63.8%) of cases.Conclusion: In conclusion most of the women are satisfied to the treatment delivered by the doctors at the OPD of a tertiary care hospital.J Shaheed Suhrawardy Med Coll, 2014; 6(2):79-81

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Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v6i2.50766 ◽

2020 ◽

Vol 6 (2) ◽

pp. 114-117

Author(s):

Shimul Akter ◽

Naznin Rashid Shewly ◽

Kashefa Khatun ◽

Rokshana Parvin Nupur ◽

Kamrun Nahar ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Demographic Characteristics ◽

Medical College Hospital ◽

Care Hospital ◽

Vaginal Fistula ◽

College Hospital ◽

Medical College ◽

The Mean ◽

Vesico Vaginal Fistula

Background: Vesico-vaginal fistula can occur in different women with varied socio-economic condition. Objectives: The purpose of the present study was to see the socio-demographic characteristics of vesico-vaginal fistula (VVF) patients attended at a tertiary care hospital in Bangladesh. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. The entire selected patients were interviewed for detailed socio-demographic characteristics. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Most of the respondents were illiterate (55.0%) and one-third patients had primary level education. The number of highly educated patients was scarce (12.0%). It was evident that average age at marriage of the patients was 15.8(±4.74) years. Some females were forced to accept marriage at the age of 10 years. The mean interval between initiation of menstruation and the marriage was only 4.72 years. Mothers were on an average 17.48 years old at the time of first delivery. Conclusion: In conclusion middle age illiterate women are most commonly suffering from VVF. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 114-117

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A prospective observational pharmacovigilance study of adverse drug reaction monitoring in patients of MDR-TB at tertiary care hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20182671 ◽

2018 ◽

Vol 7 (7) ◽

pp. 1291

Author(s):

Mirza Shiraz Baig ◽

Monali Raghunath Kale ◽

Avinash Lamb

Keyword(s):

Adverse Drug Reactions ◽

Health Care Professionals ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Public Health Problem ◽

Treatment Withdrawal ◽

Care Hospital ◽

Drug Reactions ◽

Medical College ◽

Mdr Tb

Background: The emergence of drug resistant mycobacteria has become a significant public health problem world over creating an obstacle to effective TB control. ADRs are common in patients of MDR-TB on DOTs-Plus drug regimen. Present study was carried out in tertiary care hospital. Identification of types and frequency of adverse drug reactions in Intensive and continuation phase of MDR-TB Patients.Methods: It was a prospective observational study conducted in Department of TB- Chest and Medicine, Govt. Medical College, Aurangabad, Maharashtra, India. All the MDR-TB patients admitted at the directly observed treatment, short course plus (DOTS plus) Center at Medical College Hospital were enrolled and were monitored for ADRs. The causality and severity of the reactions were determined using Naranjo algorithm and Hartwig questionnaire, respectively.Results: A total of 121 tuberculosis patients of MDR-TB on DOTS therapy were enrolled for the study. Out of 121 patients, 13 were dropouts, 6 died, 7 defaulted so 108 patients assessed for ADRs, 48 patients developed 61 (56.48%) adverse drug reactions. The higher numbers of ADRs were observed in age group 31-40yrs followed by 21-30yrs which were more common in men. Majority of adverse drug reactions were Gastrointestinal (GI) problems 32 (52.45%), followed by Ototoxicity 7 (11.48%) and Psychiatric Manifestations 6 (9.84%) and skin problems 3 (4.92%). On evaluation of the causality of ADRs, majority were found to be Possible (59.02%). The severity assessment showed that most of the patients ADRs were of moderate level (50.82%).Some patients required treatment withdrawal and replacement with other drug and most of the patients were managed with supportive medication without removing anti-tubercular drug from their treatment regimen.Conclusions: ADRs are major factor limiting completion of drug therapy under RNTCP and occurrence of drug resistance which requires attention of all health care professionals.

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