scholarly journals Prevalence of various causes of infectious keratitis among patients coming to OPD of Katihar Medical College Hospital and its visual outcome: A prospective observational study

2020 ◽  
Vol 08 (06) ◽  
Author(s):  
Dr Himanshu Kumar ◽  
2020 ◽  
Vol 27 (2) ◽  
pp. 195-198
Author(s):  
Tasmin Shahnaz ◽  
Kazi Afzalur Rahman ◽  
AHM Mostafa Kamal ◽  
Habibun Nahar ◽  
Sabrina Shammi Shahnewaz ◽  
...  

Context: Non-steroidal anti-inflammatory drugs (NSAIDs) are most commonly used drugs for years for management of pain and inflammation with good efficacy. NSAIDs are increasingly used for variety of indications like rheumatoid arthritis (RA), osteoarthritis (OA), low back pain (LBP) etc. Prescribing patterns need to be evaluated periodically to increase the therapeutic efficacy, decrease adverse effects and provide feedback to prescribers. A prospective observational study was conducted among patients attending the Out Patient Department (OPD) of Orthopedic and received prescription for NSAIDs in the Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH) in Mymensingh. Material and Methods: The study was carried out on 300 (three hundreds) prescriptions for NSAIDs from orthopedic Out Patient Department (OPD) of Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH). A prospective observational study was conducted from January 2015 to December 2015. Data were collected only from the patients prescribed for NSAIDs and prescribing pattern of NSAIDs were analyzed using SPSS method version 20.1 Results: In case of orthopedic OPD patients most common NSAIDs prescribed to the patients was aceclofenac (29.33%). Others NSAIDs prescribed to the patient in pain management were ketorolac (10%), etoricoxib(8%), ibuprofen (9%), naproxen(9%), sulindac (7%) in orthopedic out patients of both Medical College Hospitals. Most of the NSAIDs were prescribed in brand name (85.34%) where only (14.76%) were prescribed in generic name in both hospitals. Conclusion: From the study it was observed that aceclofenac was the most common NSAIDS used in orthopedic OPD of CBMCH and indomethacin was the most common used NSAIDs in MMCH. Other used NSAIDs were ketorolac, naproxen, etoricoxib, ibuprofen and sulindac. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 195-198


1970 ◽  
Vol 7 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Md Abul Kalam Azad ◽  
Hanif Mohammad ◽  
Md Billal Alam ◽  
Anup Kumar Saha ◽  
Tofayel Ahmed

Dengue fever was not recognized as a major public health hazard in Bangladesh before 1999 outbreak, so there was little evidence and awareness in this regard. A prospective observational study was carried out to determine the risk group of patients suffering from dengue syndrome; clinical parameters of the subjects for hospitalization and the pattern of presentation of dengue fever in hospital care in different medicine units of Dhaka Medical College hospital from July 2000 to March 2001. Total 150 cases were selected randomly and diagnosed clinically as dengue, and were classified into 3 groups, i.e. 18 cases of classical dengue fever, 127 cases of dengue hemorrhagic fever (DHF-I and DHF-II) and 5 cases of dengue shock syndrome (DSS), and were discharged uneventfully. Among them 125(83.3%) were male and 25(16.7%) were female. Mean ages of the subjects were 26.75 ±3.69, 27.59 ± 1.18 and 10.67 ± 2.33 years in respective groups. Mean temperature was 103.45±0.28, 103.08±0.13, and 104.00±1.00 °F with mean duration was 5.50±0.51 days, 6.12±0.2 days, and 5.00±1.15 in respective groups. Majority had profound weakness, headache, myalgia, anorexia, nausea, and vomiting. Diarrhoea, abdominal pain, organomegaly, ascites, and pleural effusion were frequent complaints in group-3 patients, whereas infrequent complaints in other groups. Haemorrhagic manifestations were common in group 2 and 3 patients, melaena being the most common manifestations.   DOI = 10.3329/jom.v7i1.1355 J MEDICINE 2006; 7: 3-9


2017 ◽  
Vol 28 (2) ◽  
pp. 66-68
Author(s):  
Rowshan Ara Begum ◽  
Naireen Sultana ◽  
Nahid Sultana ◽  
Amena Begum ◽  
Mohammad Emran Hossain ◽  
...  

To find out the common indications of caesarean section and complications of this operation, both for mother and baby. This observational study was carried out on 100 cases of caesarean sections, who were operated in the Department of Obstetrics & Gynaecology, Tairunnessa Memorial Medical College & Hospital. Previous caesarean section and oligohydroamnios with fetal distress contribute the major causes of caesarean section. Contribute the major causes of caesarean section. Common complications are UTI, wound infection. Indications of caesarean section should be properly identified to decrease the unnecessary operation, which ultimately decrease indication of previous caesarean section. Maintenance of proper asepsis would avoid the complications of this operation.Medicine Today 2016 Vol.28(2): 66-68


2018 ◽  
Vol 16 (2) ◽  
pp. 51-55
Author(s):  
Md Salim ◽  
GM Zakir Hossain ◽  
Mahmudur Rahman ◽  
Md Monirul Alam ◽  
Muallem Al Farukh Khan

Background: Chronic Venous Insufficiency (CVI) is a common but often ignored problem in primary health care, sign and symptoms may ranges from mild leg heaviness or aching, dilated or unsightly veins, or troublesome odema to fibroses subcutaneous panniculitis associated with recurrent cellulitis and chronic ulceration.Methods: The prospective observational study was carried out Depaertment of Surgery, Chittagong Medical College Hospital, Chittagong. The primary purpose of the present study was to evaluate the impact of the diagnostic approach on patient of chronic venous insufficiency, varicose vein to difference primary and secondary venous insufficiency.Results: Most common sign flebedema found in 56 (65.12%) patients was followed by dermo-hypodermatitis in 15(17.44) patients, stasis eczema in 09(10.47) patients and thrombophlebitis in 06(6.98) patients. Most frequent lower leg symptoms are heaviness 82 (95.35%) & the lowest is throbbing 55(63.95%). The others are according to order of Frequency cramps 66 (70.0%) Itching 63 (73.26%) Burning 61(70.93%) Tiredness 69 (80.23%) Restless leg 71 (82.55%) Pain aching 76 (88.37%). CVI (Chronic Venous Insufficiency) studied 04 (4.65%) were in C1, 54(62.79%) were in C2, 03(3.49%) were in C3, 11(12.79%) were in C4, 6 (6.98%) were in C5 and 8(9.30%) were in C6 according to clinical CEAP classification.Conclusion: Majority of patients presented with the complains of heaviness of leg and unexplained leg swelling, sex predilection is almost same for male and female but advanced stages are more common in male patients. Increasing age is associated with more advanced stage of the disease.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 51-55


2017 ◽  
Vol 16 (1) ◽  
pp. 48-53
Author(s):  
Nura Nasrin Rowshan Ara ◽  
Md Anwar Husain ◽  
Nasima Akter ◽  
Shakeel Ahmed ◽  
Md Mostafizur Rahman ◽  
...  

Background: Now a day’s bacterial vaginosis is an extremely common health problem for women in the world which causes many complications both in the pregnancy and non-pregnancy states. G. vaginalis is most important cause of bacterial vaginosis.Methods: A prospective observational study was conducted to detect G. vaginalis in bacterial vaginosis and their sensitivity patterns on patients attending at the outpatient Department of Gynaecology and Obstetrics of Chittagong Medical College Hospital, Chittagong. A total of 170 sexually active female in the age group of 15-45 years, with abnormal vaginal discharge were selected for the study. A detailed history and a thorough clinical examination of all the cases were done.Results:In this study 38(22.35%) Gardnerella vaginalis were isolated by culture and bacterial vaginosis was detected by different methods 47(27.65%). Antimicrobial resistance is one of the major public health threats. So antimicrobial sensitivity pattern of the organisms should be done at regular intervals.Conclusion: In this study Gardnerella vaginalis showed high (52.63%) resistant to most commonly used metronidazole and 100% sensitive to clindamycin.Chatt Maa Shi Hosp Med Coll J; Vol.16 (1); Jan 2017; Page 48-53


2019 ◽  
Vol 6 (3) ◽  
pp. 906
Author(s):  
Diana Grace R. ◽  
Suresh Kumar S. ◽  
Sathya .

Background: Bubble continuous positive airway pressure (bCPAP), a non-invasive respiratory device provides continuous pressure that helps recruitment of more alveoli, increases the lungs, functional residual capacity and decreases the work of breathing in newborns admitted with respiratory distress. Bubble continuous positive airway pressure (bCPAP) is the most important respiratory support in different types of respiratory conditions in level III. In this observational study, author reported this research using bCPAP therapy as the primary respiratory support in level III unit in tertiary care centre in Chengalpattu, Tamil Nadu, India. Despite reporting their indications, duration of use and adverse effects we tried to search for further improvement in other areas of CPAP therapy in level III newborn unit.Methods: This prospective observational study included 250 babies delivered in obstetric unit and admitted with respiratory distress within 6 hours of birth at level III care. They were treated according to level III newborn unit protocol. Those data were collected and entered in the proforma. Newborns were followed up till discharge.Results: A total of 250 babies satisfying the inclusion criteria delivered in Chengalpattu Medical College Hospital, Tamil Nadu, India (mean gestational age 36±2 weeks, mean birth weight 2.5±1.2 kg were included. All newborns were given bCPAP as the primary support. The most common underlying cause of respiratory distress was transient tachypnea of newborn (44%), followed by respiratory distress syndrome (24%) and prolonged respiratory transition (18%). The therapy success rate was 86%. Only 35 newborns failed to respond to CPAP. The most common adverse effect was eye puffiness (19%).Conclusions: Bubble continuous positive airway pressure (b CPAP) therapy use is being well established in level III unit for various respiratory conditions with minimal failure and adverse effects. Its use in extreme preterms and initiation after 6 hours is controversial.


2019 ◽  
Vol 31 (2) ◽  
pp. 54-58
Author(s):  
Mosammat Nargis Shamima ◽  
Mst Rawson Ara Khatun ◽  
Rubayet Zereen ◽  
Nurjahan Akter ◽  
Nargis Zahan ◽  
...  

Background: Bangladesh recently became a middle income country and despite of its relatively low skilled birth attendance (26.5%) nevertheless experience a rise in caesarean section (CS) rate. But now the rate of CS increased almost seven fold from 3.5% in 2004 to 23% in 2016. Objective: To find out the cause and incidence of caesarean section among the primigravid mother in Rajshahi medical college hospital performed in between January 2017 to December 2017. Methods: This prospective type of observational study was performed in Rajshahi Medical College Hospital (RMCH) over a period of one year from January 2017 to December 2017. All primigravida who underwent caesarean section in RMCH were included. Result: During the study period there were 11018 deliveries. Overall CS rate was 40.98%. The rate in primi was 30.70% and last year it was 25.58%. Conclusion: The vast majority of CS was not medically indicated. A number of policies and program had been launched to counteract this increasing rate of CS but virtually there was no impact. TAJ 2018; 31(2): 54-58


2019 ◽  
Vol 5 (9) ◽  
pp. 696-702
Author(s):  
Dr. Ajay Kumar ◽  
◽  
Dr. Avinash Priyadarshi ◽  
Dr. Sanjay Kumar ◽  
Dr. Prabhat Kumar Lal ◽  
...  

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