scholarly journals Hospital Based Longitudinal Study on Artificial Snow Spray Induced Ocular Injuries and Its Correlation with the Awareness among the Study Population at Medical College Hospital, Bhubaneswar

2021 ◽  
Vol 8 (22) ◽  
pp. 1764-1768
Author(s):  
Lipika Panda ◽  
Arun Kumar Samal ◽  
Lisa Sarangi
Keyword(s):  
Visual Acuity ◽  
Longitudinal Study ◽  
Public Awareness ◽  
Ocular Injury ◽  
College Hospital ◽  
Medical College ◽  
Corneal Erosion ◽  
Number Of Patients ◽  
Limbal Area ◽  
Ocular Injuries

BACKGROUND Artificial snow spray induced ocular injuries have become common in the past two decades throughout India. There is a paucity of studies in India as well as globally on such injuries. This study was undertaken to identify such types of ocular injuries and evaluate the awareness of artificial snow spray use in the present hospital settings. METHODS This hospital based longitudinal study was carried out among 68 patients having artificial snow spray induced ocular injuries. The study period was from 01. 01. 2019 to 30. 12. 2019. A detailed history of patients was taken pertaining to the injury. A thorough ocular examination was carried out on a slit lamp biomicroscope. Visual acuity was recorded using Snellen’s test type chart. Clinical grading was done by Roper Hall classification. RESULTS The present study included 68 patients i.e. 124 eyes of which 64.7 % (44) were males, 35.3 % (24) were females. The mean age was 26.029 years. All the patients suffered from chemical conjunctivitis (100 %), superficial punctate keratitis (SPK) 82.3 %, corneal erosion (8.8 %), and corneal erosion involving limbal area (3.2 %). Most ocular injuries due to artificial foam were bilateral (82.3 %). Maximum number of patients (94.4 %) had grade I ocular injuries. 93.5 % of patients had BCVA (best corrected visual acuity) 6 / 6 within 1 week of ocular injuries. So far, no patients had any irreversible ophthalmic sequelae. Awareness among the study group was very less. CONCLUSIONS Artificial snow spray used in parties, festival celebration can cause mild to severe ocular injuries. Public awareness will reduce the use of this chemical. KEYWORDS Artificial Snow Spray, Corneal Erosion, Ocular Injury, Awareness

scholarly journals Acid violence: a burning issue in Bangladesh

2014 ◽  
Vol 7 (1) ◽  
pp. 12-15 ◽  
Author(s):  
Gulshan Ara Akhter ◽  
Farzana Islam
Keyword(s):  
Older Women ◽  
Rural Areas ◽  
Public Awareness ◽  
College Hospital ◽  
Young Females ◽  
Medical College ◽  
Land Dispute ◽  
One Stop ◽  
Urban And Rural Areas

Acid violence is a barbaric form of violence in Bangladesh. Acid violence also called acid throwing or vitriolage, is defined as the act of throwing of strong corrosives on face and body of a person with the intention of causing permanent disfiguration, intense pain, scarring and sometimes blindness. All of these injuries are considered as ‘grievous hurt’ under section 320 of B.P.C (Bangladesh Penal Code). For the last few years it is on the rise in both urban and rural areas of Bangladesh. The perpetrators are mostly men and adolescent boys. The overwhelming majority of the victims are women and many of them are girls and young females. Recently, however, there have been acid attacks on children, older women and also men. These attacks are often the result of family and land dispute, dowry demands or a desire for revenge due to failure in love affairs or marriage proposals. It is considered as one of the extreme forms of repression and violation of women’s right. This review article is aimed to focus on the present situation of this barbaric act of vengeance against women and young adolescent girls with regard to frequency, causes, long term consequences and creating public awareness on the issue by tightly regulating the sale and transport of acid as well as enacting harsher penalties for perpetrators. Data collection is based on information from Dhaka Medical College hospital, One Stop Crisis Center (OCC), Acid Survivors’ Foundation, Naripokkho Action Aid and several Dhaka based organizations. DOI: http://dx.doi.org/10.3329/imcj.v7i1.17744 Ibrahim Med. Coll. J. 2013; 7(1): 18-20

scholarly journals A Study of Comorbidities Among Stroke Patients Admitted In A Tertiary Level Hospital

KYAMC Journal ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 152-155
Author(s):  
Mohammad Iqbal Hossain ◽  
Ahmed Manadir Hossain ◽  
Quazi Shihab Uddin Ibrahimi
Keyword(s):  
Ischemic Stroke ◽  
Recurrent Stroke ◽  
Cross Sectional Study ◽  
Comorbid Condition ◽  
Stroke Patients ◽  
Stroke Event ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Number Of Patients

Introduction: Stroke is an important cause of disability among adults and is one of the leading causes of death worldwide. The reported prevalence of stroke in Bangladesh is 0.3%. Stroke patients have comorbidity Comorbidity is an important factor in stroke outcomes and burden. Objectives: This study was carried out with a view to find out the common comorbidities prevalent in stroke patients. Materials and Method: This cross sectional study was carried out in Faridpur Medical College Hospital from November 2018 to April 2019 to see the comorbidities and associated factors among admitted stroke patients. A total of 390 stroke patients were included. Data were collected by detailed history from patients or their relatives followed by thorough physical examination; Results: Among total respondents, majority was male (56.4%) and ischemic stroke was the commonest type of stroke (65.6%) diagnosed. The substantial number of patients (85.6%) had one or more comorbidities. Hypertension was the predominant comorbid condition (74.1%) followed by coronary heart disease ((19.5%), diabetes mellitus (17.4%), obesity (6.2%), hyperlipidemia (6.2%), CKD (4.9%), COPD (3.3%), malignancy (0.8%), hypothyroidism (0.5%),CLD (0.5%) and parkinsonism (0.3%). Comorbidities were present in 88.28% of ischemic stroke, 81.81% of intracerebral haemorrhage and 69.23% of subarachnoid hemorrhage cases. Patients with first stroke event have comorbidities in 83.64% cases where as in 95.45% cases of recurrent stroke patients. The relationship between comorbidity and mortality risk is not clear with approximately 16% death in both with or without comorbidity. Conclusion: The results of the study concluded that the prevalence of comorbidities in stroke patients remains high in our settings and the patients with increasing age and those with recurrent stroke events have statistically significant number of comorbid conditions. KYAMC Journal Vol. 10, No.-3, October 2019, Page 152-155

scholarly journals Use of Betel Leaves in Pediatric Stoma Care

2014 ◽  
Vol 1 (2) ◽  
pp. 148-152
Author(s):  
Md. Ashraf Ul Huq ◽  
A K M Mizanur Rahman ◽  
Tahmina Hossain
Keyword(s):  
Zinc Oxide ◽  
Cost Effective ◽  
College Hospital ◽  
Mucosal Ulceration ◽  
Medical College ◽  
Betel Leaf ◽  
Number Of Patients ◽  
Peristomal Skin ◽  
Two Parameters ◽  
Stoma Care

Background: To find out a practicable, cost effective and easily available alternative of commercial stoma care devices for pediatric patients in a developing country.Methods: The study was conducted in the department of Pediatric Surgery in Dhaka Medical College Hospital, Bangladesh, during two years period from May 2009 to April 2011. Number of patients was 162 with age range 2 days to 7 years, mean age 2.3 years. As early as a colostomy or ileostomy had started functioning, a central hole was made in a betel leaf. The hole could just snugly accommodate the stoma. After applying a layer of zinc oxide paste over the peristomal skin the leaf was placed as such the stoma rotrudes through the hole. The smooth shiny surface of the leaf would face upwards and rough surface downwards. Another intact betel leaf with the shiny surface also facing upwards would cover the stoma. The leaves did not act as a reservoir rather simply acted as a barrier between the effluent and the peristomal skin. Fifty seven patients with colostomy and 11 with leostomy used stoma appliances (wafer with bag). Eighty six patients with colostomy and 8 patients with ileostomy used betel leaves and zinc oxide paste. Mean length of time between creation and closure of a colostomy was 9 months and that of an ileostomy was three months. It was ensured that each individual patient had used his or her respective stoma care method till closure of the stomas. Two parameters were used to evaluate the outcome of the above mentioned stoma care methods: (a) peristomal skin excoriation and (b) insultto the stomal mucosa in the form of ulceration.Results: Among the patients who used stoma appliances 21.53% developed peristomal skin excoriation, 7.69% developed mucosal ulceration and 6.34% patients developed local hypersensitivity reaction to stoma adhesive. On the contrary, patients who were managed with betel leaves 20.93% developed peristomal skin excoriation and 8.13% developed mucosal ulceration. No incidence of allergic reaction to local application of betel leaf and zinc oxide occurred. Average cost for betel leaves was less than 0.50 US$ per month in comparison to about 30 US$ for ostomy appliances.Conclusion: Betel leaves may be used as a cheap, easily available, non irritant and effective alternative of commercial appliances to protect the stomas and peristomal skin in pediatric patients.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19534

scholarly journals Firework-related Ocular Injuries During Festival Season: A Hospitalbased Study in a Tertiary Eye Care Center of Nepal

2021 ◽  
Vol 13 (1) ◽  
pp. 31-39
Author(s):  
Tejsu Malla ◽  
Sabin Sahu
Keyword(s):  
Visual Acuity ◽  
Public Awareness ◽  
Care Center ◽  
Visual Outcome ◽  
Study Results ◽  
Open Globe ◽  
Distribution Mode ◽  
Ocular Injuries ◽  
Demographic Distribution ◽  
Time Of Presentation

Introduction: Firework-related ocular injuries are an important cause of preventable ocular injuries and are common during the festival season. Despite the strict legislation in Nepal, the use of a firework is still commonly used during Tihar and Chaath festivals. Objective: To evaluate demographic distribution, mode, causative firework, type of fireworks-related ocular injuries, and visual outcome at a tertiary eye hospital in Eastern Nepal. Methods: This is a hospital-based prospective interventional study. All the patients with firework-related injuries who attended the emergency and outpatient department of SCEH, Lahan, during or within 1 month of the festival season (Tihar and Chaath puja) were included in this study. Results: Total of 65 eyes were included. The left eye was involved in 49.1%, 82.5% were males. Mean age of the patients was 15.3±14.7 years (range 5yr – 75yr). Children less than 16 years were predominantly involved (77.2%). Firecrackers (56.1%) were the most common type of fireworks causing injury. The closed globe injuries were more (78.5%) compared to open globe injuries (21.5%). Surgical management was done in 50.9% of cases. Following management visual acuity of most patients improved. Only 8 eyes (12.3%) had visual acuity less than 3/60 after management compared to 28 eyes (43.1%) at the time of presentation.   Conclusion: Firework related ocular injuries are important causes of preventable blindness. A combined approach of public awareness about the possible dangers, preventive measures, early treatment by trained primary ophthalmic care, and implementation of strict legislations are essential to reduce blindness due to this preventable cause.    

scholarly journals Conventional treatment versus vacuum therapy for diabetic foot ulcers treatment

2017 ◽  
Vol 5 (1) ◽  
pp. 49 ◽  
Author(s):  
Vigna Sai Potula
Keyword(s):  
Therapy Group ◽  
Vacuum Therapy ◽  
College Hospital ◽  
Medical College ◽  
Randomized Controlled ◽  
Number Of Patients ◽  
Group A ◽  
Randomized Controlled Trail ◽  
The Mean ◽  
Group B

Background: This study compares the efficacy of vacuum therapy against conventional iodine povidone dressing with respect to area and time of ulcer.Methods: This study is a randomized controlled trail which was conducted in Meenakshi Medical College hospital and research institute Enathur Kanchipuram. The number of patients selected were 50, which were divided into 2 groups, Group A which consisted of 25 and received vacuum therapy, Group B which consisted of 25 and received povidone-iodine solution.Results: This study was a 16 days study, mean area of ulcer on day 0 was 11.25 cm2 in group B, 10.89 cm2 in group A. On day 6, mean area of ulcer was 10.44 cm2 in group B, 8.98 cm2 in group A. Mean area of ulcer was 10.39 cm2 in group B, 7.66 cm2 in group A on the end of the day 16. The results show that both the groups showed decrease in the area of ulcers, but patients in group A who underwent vacuum therapy have shown greater decrease in the mean area of ulcer. The decrease in surface area of ulcer was statistically significant i.e. p=0.025. There was a greater decrease in infection in group A on 16th day compared to group A on 16th day. On day 0, 48% and 60% growth of microorganisms was observed in patients of group B and group A respectively (p=0.428). On day 16, 28% and 8% growth of microorganisms was observed in patients of group B and group A respectively (p=0.034).Conclusions: Vacuum therapy was more effective compared to conventional method of povidone-iodone solution dressing in rate of healing and time of healing.

scholarly journals Outcomes of Early Endoscopic Realignment of Post-Traumatic Complete Posterior Urethral Rupture

2016 ◽  
Vol 24 (2) ◽  
pp. 136-140
Author(s):  
Md Mizanur Rahman ◽  
Md Shafiqul Alam Chowdhury ◽  
Md Mostafizur Rahman ◽  
Md Johirul Islam Miah ◽  
Kartik Chandra Ghosh ◽  
...  
Keyword(s):  
Urethral Stricture ◽  
Complete Healing ◽  
Urinary Continence ◽  
Traumatic Rupture ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Number Of Patients ◽  
Post Traumatic ◽  
Urethral Rupture

Objective: To report the experience with patients treated by early endoscopic realignment of complete post-traumatic rupture urethra.Methods: The cross sectional study included 30 patients in Dhaka Medical College Hospital and different private hospitals in Dhaka, Bangladesh, between April 2010 and March 2014 with post traumatic complete posterior urethral disruption. Pre-operative retrograde urethrography (RGU), micturition cysto urethrography (MCU) and ultrasonography (USG) of abdomen were performed to identify and to evaluate the Urethral defect length, the bladder neck competence, the prostate position and extend of pelvic hematoma. In second week after trauma, antegrade and retro-grade urethroscopy were performed to identify both urethral ends and insert a catheter. Before removal of catheter, Patients were followed up by pericatheter urethrogram after 4 weeks completed postoperative period. If extravasation seen, catheter was again maintained for another 2 weeks. Follow up was done by abdominal ultrasound and uroflowmetry 3 monthly up to 6 months and 6 monthly thereafter. RGU and MCU were performed 8 weeks after removal of catheter. Urinary continence and post-operative erectile dysfunction were assessed by direct patient interview.Results: 30 patients in the age group 18-60 years (mean 36 years) were treated. Patients were followed up for 12 to 36 months. Complete healing of the urethra occurred in 10 patients. Passable urethral stricture developed in 12 patients. Complete urethral obstruction occurred in 8 patients.Conclusion: Early endoscopic realignment for complete posterior urethral rupture is a feasible technique with no or minimal intra-operative complications. The technique is successful as the definite line of therapy in reasonable number of patients and it is seems to be effective Intervention for the prevention of inevitable urethral stricture formation.J Dhaka Medical College, Vol. 24, No.2, October, 2015, Page 136-140

scholarly journals Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 200-202
Author(s):  
Feroz Ahmed Sohel ◽  
Sanzida Jahan ◽  
Saifullah Russel ◽  
Farzana Zafreen
Keyword(s):  
Unplanned Pregnancy ◽  
Economic Status ◽  
Armed Forces ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College ◽  
Number Of Patients ◽  
Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

scholarly journals Management of Alarming Hemangiomas with Oral Prednisolone in Infants

2017 ◽  
Vol 7 (1) ◽  
pp. 7-11
Author(s):  
Kamal M Choudhury ◽  
Shafiqul Hoque
Keyword(s):  
Oral Prednisolone ◽  
Single Mode ◽  
Duration Of Treatment ◽  
College Hospital ◽  
Vast Number ◽  
Prednisolone Therapy ◽  
Medical College ◽  
Number Of Patients ◽  
Study Population ◽  
Medical University

Background: Treatment of hemangiomas remains a contentious and difficult issue for the physicians as well as for the surgeons. The numerous modality of treatment for hemangiomas testifies that no single mode of treatment is entirely satisfactory in their management. However, for alarming hemangiomas oral prednisolone had been used for long with encouraging resultsMethods: From a vast number of patients with hemangiomas attending the out-patient departments (OPDs) of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Shishu Hospital (DSH), Rajshahi Medical College Hospital (RMCH) and BIRDEM General Hospital between 1999 through 2014, we had selected consecutively 462 infants with alarming hemangiomas. The whole study population (462 infants with alarming hemangiomas) received oral prednisolone at a dose of 2-4 mg/kg/day, and the results were observed sequentially in serial follow-ups.Results: About 71% patients showed substantial regression of the hemangiomas with oral prednisolone therapy after a mean duration of treatment of 6 months. Few adverse effects were associated with oral prednisolone but these were mostly transient and reversible.Conclusion: The authors assert that the management of alarming hemangiomas with oral prednisolone therapy is safe and effective.Birdem Med J 2017; 7(1): 7-11

scholarly journals Epidemiological Analysis of Maxillofacial Injuries in Road Traffic Accidents: A Peripheral Hospital Based Study

2020 ◽  
Vol 28 (1) ◽  
pp. 10-16
Author(s):  
Satadal Mondal ◽  
Indranil Sen ◽  
Rabi Hembrom ◽  
Swagato Roy ◽  
Rupam Sinha ◽  
...  
Keyword(s):  
Young Adults ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Common Type ◽  
Medical College Hospital ◽  
Road Traffic Accidents ◽  
College Hospital ◽  
Medical College ◽  
Number Of Patients ◽  
Maxillofacial Fractures

Introduction The aetiology of maxillofacial fractures is greatly influenced by geographic location, socioeconomic status of the cohort, and the period of investigation. The aim of this study is to analyze and identify characteristics of maxillo-facial fractures that took place in and around Midnapore- Kharagpore city of West Bengal and who presented to a peripheral medical college hospital during a period of 1 year. Materials and Methods    A detailed database analysis was performed based on data collected from the patients of Road Traffic Accidents (RTA) with sustained facial trauma admitted to General Surgery and Otorhinolaryngology ward of a peripheral medical college hospital. Detailed clinical examination as well as radiological data was collected. Results The highest frequency of maxillo-facial injury due to RTA was among the young adults 18-40 years. Most common type of injury encountered is abrasion (44%) followed by bruise and closed fracture. Mandible is the most common bone to get fractured and most common type of Le fort type is Type II. Significant number of patients having RTA were young adults under the influence of alcohol riding in two-wheeler . ConclusionWith the increasing incidence of RTA awareness must be created concerning safety rules and more policies need to be addressed.

scholarly journals THE CLINICAL PRESENTATION AND SURGICAL MANAGEMENT OF PATIENTS WITH CARCINOMA STOMACH

2020 ◽  
Vol 7 (2) ◽  
pp. 62-65
Author(s):  
Vikram Yogish ◽  
Himanshi Grover ◽  
Sunu Ancy Joseph
Keyword(s):  
Tamil Nadu ◽  
Economic Status ◽  
College Hospital ◽  
Medical College ◽  
Contrast Enhanced Ct ◽  
Number Of Patients ◽  
Upper Gi Endoscopy ◽  
Cect Scan ◽  
Carcinoma Stomach ◽  
High Index Of Suspicion

Carcinoma stomach is a condition that occurs due to various causes. In order to diagnose a case ofcarcinoma stomach, a high index of suspicion is required. A detailed history and a thorough clinicalexamination must be done. Patients may have various complaints such as vomiting, abdominal painand anemia. Diet has also been shown to play a role in the occurrence of carcinoma stomach. Thepatient’s socio-economic status also plays a very important role in the incidence of carcinomastomach. Various investigations are available today in order to diagnose a case of carcinomastomach. Investigations such as upper GI endoscopy are very useful to visualize a growth in thestomach and to take tissue for biopsy. A contrast enhanced CT (CECT) scan of the abdomen is alsovery useful to diagnose the stomach neoplasia as well as to find out if any metastatic lesions arepresent. On histopathology, adenocarcinoma is the most common type of carcinoma that may befound. Other tumors such as GI stromal tumors and lymphomas may also be found. Treatment ofcarcinoma involves surgery as well as chemotherapy. Our study was carried out from March 2015to February 2019. The study was carried out at SRM Medical College Hospital and Research Center,Kattankulathur, Tamil Nadu, India. The total number of patients studied was 75. The results obtainedwere tabulated and compared with other studies.

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