MEDICOLEGAL AUTOPSIES;

Background: Due to high increase in the population, there is sharp increase in the accidental, homicidal, suicidal and natural deaths. Objective: To evaluate and audit the frequency of death patterns in the city of Faisalabad. Study Design: It is a cross sectional study. Setting & Duration: Study was conducted in the Department of Forensic Medicine, Faisalabad Medical University (FMU) Faisalabad for a period of one year i.e. 1st January, 2017 to 31st December, 2017. Methodology: The record of all unnatural deaths brought for medicolegal autopsies during the study period were examined in detail with special reference to the frequency of death patterns, manners & modalities of those cases. The data was entered in the predesigned performa & analysed by using SPSS. Results: Study revealed that frequency of unnatural death in Faisalabad is similar to those conducted in other cities, but higher rates may be due to the fact that Faisalabad is thickly populated & third largest city of Pakistan. Out of total 255 cases of unnatural deaths reported for medico-legal autopsies in FMU Faisalabad (80.40 %) were male and (19.6%) females. Accidental deaths occurred in (28.62%) cases, homicidal deaths involved (50.58%), suicide took the lives of (3.9%) cases and (2.7%) persons died of natural causes whereas manner of death remained undetermined in (14.11%) cases. Unnatural deaths were reported more frequently in the age group 20–29 years involving (24.70%) cases. Conclusion: Homicide is higher in this region and Firearm is the weapon of choice for assailants. This increasing death toll of homicide may be due to increase in frustration and intolerance in the society.

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Pattern of Periodontitis among Adult Patients Attending at Medical University of Bangladesh

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v5i1.42175 ◽

2019 ◽

Vol 5 (1) ◽

pp. 76-80

Author(s):

Md Rajaul Alam ◽

Mohammad Abid ◽

Utpalendu Biswas ◽

Syed Shariful Islam ◽

Rajib Kumar Banik ◽

...

Keyword(s):

Cross Sectional Study ◽

Adult Patients ◽

Age Group ◽

Oral Diseases ◽

Sectional Study ◽

Current Pattern ◽

Cross Sectional ◽

Betel Leaf ◽

One Year ◽

Medical University

Background: Periodontitis is one of the most common oral diseases and is one of the widest spread chronic diseases all over the world. If a person maintains a good oral hygiene, he/she can control periodontitis easily. Periodontitis is a preventable disease. Objectives: This study was aimed to know the current pattern, the possible causes and the attitude towards periodontitis among adult patients attending at outdoor of dental faculty of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Methodology: This cross-sectional study was carried out in the OPD of Dental faculty of BSMMU, Dhaka fromJanuary 2013 to December 2013 over a period of one year. One hundred twenty patients with any sort of dental problem were enrolled in this study. Results: The current study depicted that 68.3% of the patients were from age group of 18 to 40 years and 59.2% were male while 40.8% were female. Most of the respondents (65.8%) lived in urban area. This study showed that 80.8% experienced bleeding from gums and 59.2% had knowledge about cleaning teeth before going to bed and after breakfast. It was found that 77.5%of the respondents used tooth brush and tooth paste for cleaning their teeth. Only 15.8% of the respondents visited dentist for oral and dental check-up regularly. According to life style related habit, 53(44.2%) respondents were smoker, 55 (45.8%) respondents chewed betel leaf and 30 (25%) of the respondents hewed betel leaf with Jarda or SadaPata. Majority 104 (86.7) had calculus, defective margins and restorations. Most of the respondents (95.0%) had bleeding on probing. Conclusion: In this study a significant number of respondents have periodontitis who have attended outdoor of dental faculty. Older age, smoking, betel, jarda/sadapata, diabetes mellitus and presence of calculus and restorations are the risk factors for developing periodontitis. Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 76-80

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TB-DOTS PROGRAM;

The Professional Medical Journal ◽

10.29309/tpmj/2008.15.04.2941 ◽

2008 ◽

Vol 15 (04) ◽

pp. 524-532

Author(s):

MUHAMMAD ANWAR SULEHR ◽

AYUB `ALI

Keyword(s):

Urban Areas ◽

Program Design ◽

Health Workers ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Direct Supervision ◽

Suspect Identification ◽

Study Setting

Objectives: To assess the performance of Lady Health Workers (LHWs) in collection, storage & distribution of drugs andevaluate their effectiveness regarding TB suspect identification, referral, directly observing the intake of medicine, default identification andhealth education in TB-DOTS program. Design: A cross-sectional study. Setting: In district Toba Tek Singh. Period: From January to Sep2006. Materials & Methods: One hundred and Two LHWs were selected randomly and interviewed using a structured pre-tested questionnaire.Results: Among 102 LHWs, 76.5% were trained in TB-DOTS. Sixty four (62.7%) had qualification matric and above. Collection of the drugswas being performed properly by 87.3%, while 83.4% were storing the anti-TB drugs at proper places. Anti-TB drugs were being distributedto patients daily by 95.1%. Under the direct supervision of LHWs 69.6% of TB patients had completed treatment. In the areas of 58.8% LHWs,TB patients were declared cured after 8 months treatment. Defaulted TB cases were present, in the areas of 19.6% LHWs, while 12.8% of theLHWs had relapsed TB cases in their areas. Most of the LHWs (85.3%) had proper record of medicine and of the patients (84.3%). Conclusion:The experienced and TB-DOTS trained LHWs of urban areas, in the age group of 41-50 years had overall good performance. The LHWs havingqualification matric and above had better performance than the LHWs having middle qualification. TB-DOTS program in district Toba Tek Singhwas working successfully and it should be continued with some improvements and innovations.

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Nursing training from the perspective of graduates

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0620 ◽

2021 ◽

Vol 74 (suppl 5) ◽

Author(s):

Ana Paula Dias França Guareschi ◽

Maria Aparecida de Oliveira Freitas ◽

Maria Inês Nunes

Keyword(s):

Education Institution ◽

Cross Sectional Study ◽

Private Higher Education ◽

Nursing Graduates ◽

Cross Sectional ◽

Professional Characteristics ◽

Training Satisfaction ◽

One Year ◽

Nursing Training ◽

The City

ABSTRACT Objective: To correlate the satisfaction of graduates with their training according to their professional characteristics and general competences. Method: Descriptive cross-sectional study with a sample of 192 Nursing graduates from a private higher education institution in the city of São Paulo. Data were collected between 2016 and 2017. Results: Graduates placed in the job market within one year (p=0.01) had nursing as their main source of income (p=0.011) and occupation (p=0.014); those who considered themselves professionally successful and those who would choose the profession again (p=<0.001), if they could choose, were more satisfied with their training. Satisfaction with training was linked to the competences acquired during graduates’ training, such as decision making (p=0.002), leadership (p=0.004) and continuing education (p=0.005). Conclusion: The study shows that most graduates consider their training satisfactory when analyzed with the study variables.

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HEPATITIS “C”

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.09.1699 ◽

2016 ◽

Vol 23 (09) ◽

Author(s):

Muhammad Iqbal ◽

Adnan Ahmed ◽

Muhammad Rafique Hingoro

Keyword(s):

Hepatitis C ◽

Tertiary Care ◽

Cross Sectional Study ◽

University Hospital ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Grade 3 ◽

Chronic Hcv ◽

Study Setting

Objectives: To determine incidence of steatosis in non-responder casesof chronic HCV. Study Design: Cross-sectional study. Setting: Tertiary Care Sanatorium inMedicine Department of LIAQUAT University Hospital Hyderabad/Jamshoro. Period: 26-9-2011to 25 August 2012. Material & Methods: Total 144 non-responders cases of Hepatitis C wereintegrated. Both gender, age 18 to 50 yrs, chronic HCV non-responder cases as well as cases fitfor hepatic biopsy were integrated in study. Grading of Inflammation was carried out as indicatedby histopathological measures. Results: Mean age was 48.5 + 5.2years. Uppermost prevalenceof chronic HCV disease was 65(45.13%) at 41 to 50 years age interval whereas 42(29.1%) caseswere noticed in 31 to 40 yrs age group and 25(17.3%) cases were observed in 20 to 30 yearsof young age group. In this study hepatic steatosis occurrence was observed in 103 (71.5%)cases and these were categories as: grade 1, grade 2, grade 3, as (<33%) 45/103(43.68%), (33to 66%) 35/103(33.98%), (>66%) 23/103(22.33%) respectively. Conclusion: Hepatic steatosisis a important risk factor the cases of HCV to decreased response to antiviral therapy and forprogression toward fibrosis as observed in cases related to metabolic steatosis.

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Death due to Poisoning - a Medicolegal Study at Dhaka Medical College, Dhaka

Faridpur Medical College Journal ◽

10.3329/fmcj.v9i2.25679 ◽

2015 ◽

Vol 9 (2) ◽

pp. 76-79 ◽

Cited By ~ 1

Author(s):

Mushtaq Ahmad ◽

Farial Naima Rahman ◽

Md Mozaharul Islam ◽

Md Rakib Uddin Majumder

Keyword(s):

Social Factors ◽

Rapid Development ◽

Cross Sectional Study ◽

Accidental Poisoning ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Manner Of Death ◽

Medical College ◽

Negative Results

Self destruction or suicide by pesticide poisoning is a burning problem of Bangladesh. Rapid development in science and rapid growth in agricultural activities has led to the increase in the incidences of poisoning. The objective of this study was to find out the incidences and pattern of poisoning in an urban area, different aspects of poisoning along with demographic pattern, social factors related and other related perimeter, and modality to prevent loss of precious life due to poisoning. This retrospective cross sectional study was conducted among victims of poisoning at Dhaka Medical College, Dhaka Morgue during the period of January 2008-December 2009. Specific identification of poisons was made from Chemical Examiner's report. All the data were later on analyzed. A total of 5114 medico legal post mortems were performed during this study period. Among these 300 (5.87%) cases were suspected poisoning. Out of these cases specific poisons were identified in 131 (43.66%) cases. Among the detected poisoning cases OPC was the commonest agent 103 (78.63%) followed by alcohol/rectified spirit 12 (9.16%) and barbiturate 7 (5.34%). No poison was detected (Negative results) in 116 (38.66%) cases and no reports from chemical examiner were received in 53 (17.66%) cases during the study period. Out of 300 victims 174 (58%) were male and 126 (42%) were female. Highest incidence of poisoning was observed in 21-30 years age group 117 (39%) followed by age group of 31-40 years 84 (28%). Most of the victims were agricultural workers/ farmers 108 (36%) followed by housewives 51 (17%). Among the study subjects 178 (59.33%) were illiterate and 198 (66%) were married. Considering manner of death 274 (91.33%) victims committed suicide by poisoning and rests 26 (8.67%) were due to accidental poisoning. To reduce poisoning cases proper emphasis should be given for safe use of pesticides and consciousness should be created among the population about poisonous compounds. Detail study regarding death due to poisoning is required to be carried out in this country.Faridpur Med. Coll. J. 2014;9(2): 76-79

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ISCHEMIC AND HEMORRHAGIC STROKE;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.02.3089 ◽

2019 ◽

Vol 26 (02) ◽

Author(s):

Abdul Aziz Sahto ◽

Amir Shahzad ◽

Ruqayya

Keyword(s):

Ischemic Stroke ◽

Hemorrhagic Stroke ◽

Sampling Technique ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

High Prevalence ◽

One Year ◽

Associated Risk Factors ◽

Medical University

Objectives: The aim behind this study was assess the frequency of ischemic and hemorrhagic stroke and associated risk factors in patients with hypertension. Study Design: Cross sectional study. Period: One year. Setting: Department of Medicine People’s Medical University, Shaheed Benazeerabad. Material and Methods: This study was a hospital based study in which sampling was done through a purposive sampling technique. A total of 160 patients admitted with stroke were included in our study. After taking informed consent patient’s relevant history and examination were carried out. CT-Scan was done to confirm and different between ischemic and hemorrhagic stroke.SPSS version 17.0 was used to analyze the collected data. Results: Ischemic stroke was observed in 105(66%) patients and 55(34%) were suffered hemorrhagic stroke. Hypertension was 100% in both types of storks in ischemic stroke and hemorrhagic stroke.Rate of diabetes mellitus, dyslipidemia and smoking were significantly high in hemorrhagic stroke than ischemic stroke (p<0.01). Conclusion: We found a high prevalence of ischemic stroke than hemorrhagic stroke in our population. Among associated factors gender, hypertension, dyslipidemia, diabetes and smoking were prevalent in both ischemic and hemorrhagic stroke patients.

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Common Risk Factors Responsible for Acute Kidney Injury among Children: Experience at Medical University in Bangladesh

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v7i1.54751 ◽

2021 ◽

Vol 7 (1) ◽

pp. 42-46

Author(s):

Sharmin Akter Luna ◽

Jakia Sultana ◽

Abdullah Al Mamun ◽

Afroza Begum ◽

Md Habibur Rahman ◽

...

Keyword(s):

Risk Factors ◽

Acute Kidney Injury ◽

Kidney Injury ◽

Cross Sectional Study ◽

Cross Sectional ◽

Radiocontrast Agent ◽

Nephrotoxic Drugs ◽

Common Risk Factors ◽

One Year ◽

Medical University

Background: Acute kidney injury can occur among the younger children due to different reasons. Objective: The purpose of the present study was to find out the risk factors and primary disease responsible for acute kidney injury among younger children. Methodology: This cross-sectional study was conducted in the Department of Paediatric Nephrology with the collaboration of Paediatric Gastroenterology, Paediatric Neurology, Paediatric Neonatology and Microbiology and Immunology at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh from May 2018 to July 2019 for a period of one year. Patients with the age group of 1 month to 17 years who were at risk of AKI, and admitted in the inpatient department of Pediatrics and allied at Bangabandhu Sheikh Mujib University, Dhaka, Bangladesh in both sexes were selected as study population. To detect AKI, serum creatinine was measured at 0 h (baseline), 48 h and 5th day respectively. Result: A total number of 42 patients, who fulfilled the inclusion criteria were enrolled in this study. The risk factors of AKI was mainly pre renal in 60% (n=9) cases, mostly due to nephrotoxic drugs followed by hypovolemia. Renal causes were in 40% (n=6) cases. Among these 50% cases due to amikacin and 50% cases due to use of radiocontrast agent. Most patients were with renal disease which was 30(58%) cases. Among them 28(93.0%) cases were nephrotic syndrome and 2(7.0%) cases were hydronephrosis. However, 7(13%) cases were cardiac disease presented with congenital heart disease who used radiocontrast agent. Conclusion: In conclusion most common risk factors of acute kidney injury among younger children is pre-renal causes which are due to nephrotoxic drugs. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 42-46

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A study of surgical profile of patients with hemorrhoids at a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20190824 ◽

2019 ◽

Vol 6 (3) ◽

pp. 916

Author(s):

Prashant R. Shinde ◽

Meghraj J. Chawada ◽

Sudhir B. Deshmukh

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Vegetarian Diet ◽

Cross Sectional Study ◽

Care Hospital ◽

Age Group ◽

Cross Sectional ◽

Normal Limits ◽

Skin Tag ◽

One Year

Background: In hemorrhoids, the anal canal venous plexuses become engorged. It can lead to bleeding, thrombosis, prolapse, pain. Study of surgical profile helps to educate the patients to take proper precautions to avoid the severe forms of it. The objective of the study was to study the surgical profile of patients with hemorrhoids at a tertiary care hospital.Methods: Present study was hospital based cross sectional study. It was carried out at a tertiary care hospital in the department of general surgery among 100 patients who presented with symptoms suggestive of hemorrhoids during the study period from 1st January 2017 to 31st October 2018.Results: Majority of the patients 41% were in the age group of 35-45 years. The number affected by hemorrhoids was more in males i.e. 56%. Incidence of hemorrhoids was more in upper class. Incidence of hemorrhoids was less i.e. 21% among those who took only vegetarian diet. Majority of the patients (78%) presented after one year of occurrence of treatment. 54% of the patients had third grade of hemorrhoids. Bleeding was present in the majority i.e. 98% of the patients. On anorectal examination, it was found that 44% of the patients had fissure and 23% of the patients had peri anal skin tag. Anorectal examination was within normal limits in 33% of the cases.Conclusions: Vegetarian diet may be protective against hemorrhoids. Bleeding was the most common presenting symptom. Thus, study helped to identify that being male, younger age group, non-veg diet may be the risk factors for hemorrhoids.

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Clinical Profiles of Hepatocellular Carcinoma Patients: Experience of 50 cases in Dhaka City

Journal of Science Foundation ◽

10.3329/jsf.v14i2.33442 ◽

2017 ◽

Vol 14 (2) ◽

pp. 36-39

Author(s):

Md. Akter Hossain ◽

Md. Saiful Islam ◽

Md. Abdullah Yusuf

Keyword(s):

Hepatocellular Carcinoma ◽

Histopathological Examination ◽

Cross Sectional Study ◽

Age Group ◽

Cross Sectional ◽

Medical College ◽

Clinical Profiles ◽

Upper Abdominal ◽

Medical University ◽

Patients Experience

Background: The clinical characteristics of hepatocellular carcinoma are varied from person to person.Objectives: The purpose of the present study was to see the clinical profiles of hepatocellular carcinoma patients.Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging in Dhaka Medical College, Dhaka and Banghabandhu Sheikh Mujib Medical University, Dhaka from January 2007 to May 2008 for a period of around one and half year. All the patients presented with hepatocellular carcinoma at the age group of more than 20 years with both sexes were selected as study population. The patients were undergone CT-scan examination and the confirmation was performed by histopathological examination. All the clinical features of HCC patients were recorded.Result: A total number of 50 patients were recruited in this study after fulfilling the inclusion and exclusion criteria. Mean age of my study was 48.78 and SD ± 12.07. Hepatocellular carcinoma commonly presented with hepatomegaly (96%). Upper abdominal pain (60%), weight loss (60%), anorexia (44%), nausea/vomiting (44%), bruit (21%), jaundice (40%) and ascitis (32%) was also present.Conclusion: In conclusion the hepatocellular carcinoma is most commonly occurred in middle age group with a predominance of male.Journal of Science Foundation 2016;14(2):36-39

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BREECH PRESENTATION

The Professional Medical Journal ◽

10.29309/tpmj/2012.19.04.2278 ◽

2012 ◽

Vol 19 (04) ◽

pp. 542-545

Author(s):

SHAHID IRSHAD RAO ◽

SHAZIA SIDDIQ ◽

RABIA REHMAN

Keyword(s):

Caesarean Section ◽

Congenital Anomalies ◽

Multiple Pregnancy ◽

Breech Presentation ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Study Setting

Objective: To determine the frequency of breech presentation at term. Design: Cross sectional study. Setting: Department ofObstetrics and Gynaecoogy, Unit-III, Nishtar Hospital, Multan. Period: June 2010 to May 2011 Material and methods: This study was carriedout in women with the age group 0-40 years. Breech presentation at term (37-41 completed weeks). Results: The frequency of breechpresentation at term was found to be 6.2%. 91% (215) of the patients were delivered by caesarean section and 9% (20) were delivered vaginally.Placenta previa and multiple pregnancy 8.51% each, congenital anomalies 4.25% and in 16.17% of the patients, no obvious cause was found.Conclusion: It is concluded from the study that the frequency of the breech presentation at term increased.

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