Trans abdominal versus transvaginal ultrasound in assessment of polycystic ovary.

Objective: The main objective of our study is to compare transabdominal and transvaginal ultrasound in assessment of polycystic ovaries. Study Design: Cross Sectional Comparative study. Setting: Jinnah Medical College and Hospital Karachi. Period: January 2016 to January 2017. Material & Methods: 200 married females were selected with complaints of irregular menses, hirsutism, obesity and infertility and age group 18-45 years. Patients with already diagnosed polycystic ovaries or on hormonal treatment were excluded. Results: Out of 200 patients, 54 patient shows poly cystic ovaries both on trans abdominal and Trans vaginal ultrasound, 16 patients on Trans vaginal ultrasound only but not on trans abdominal ultrasound in which 13 patients were very obese. Rest of the patients had normal ovaries on both types of ultrasound examinations. The prevalence of polycystic ovaries noted by transabdominal ultrasound is 27% (54/200) overall and by TVS ultrasound is 35% (70/200). Conclusion: PCOS is quite a common endocrine complaint. Our results suggest that prevalence of PCO is 27% by trans-abdominal u/s and 35% by TVS. The Mean volume of ovary is greater in women with polycystic ovaries but there is no significant difference seen in prevalence of polycystic ovaries diagnosed by both ultrasound examinations. Although it has been observed that TVS is better than transabdominal U/S in detection of PCO but our study shows that the two methods are almost analogous except in obese patient where TVS displayed better results.

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Characteristics of Polycystic Ovarian Syndrome in Sub-fertile Woman Attending to GOPD in ShSMCH

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v11i1.43173 ◽

2019 ◽

Vol 11 (1) ◽

pp. 17-23

Author(s):

Jinnat Ara Islam ◽

Fatema Ashraf ◽

Eva Rani Nandi

Keyword(s):

Polycystic Ovarian Syndrome ◽

Polycystic Ovaries ◽

Cross Sectional ◽

Medical College ◽

Appropriate Treatment ◽

Pcos Group ◽

Symptom Complex ◽

Ovarian Syndrome ◽

Selection Of ◽

Fertile Women

Background: Polycystic ovarian syndrome (PCOS) is a condition characterized by menstrual abnormalities (oligo/amenorrhea) and clinical or biochemical features of hyperandrogenism and may manifest at any age. It is a common cause of female subfertility. All the dimensions of PCOS have not been yet completely explored. Methods: It was a cross sectional comparative study carried out at-GOPD of Shaheed Suhrawardy Medical College & Hospital from January, 2016 to December 2016 on 162 subfertile women. Among them 54 were PCOS group and 108 were non PCOS group. PCOS was diagnosed by (Rotterdam criteria 2003) (i) Oligo or anovulation (ii) hyperandrogenism (iii) Polycystic ovaries. Study was done to evaluate and compare the demographic characteristics, clinical, biochemical and ultrasoundgraphic features of sub-fertile women with and without PCOS. Results: A total of 162 sub-fertile women aged 16-36 years. Mean age was 29.5±5.4. There were significant differences between the two groups in terms of (oligo/amenorrhea), hirsutism, WHR and ovarian ultrasound features. There were no significant differences between two groups in correlations between the level of obesity with the incidence of anovulation, hyperandrogenism or with hormonal features. Conclusion: PCOS is one of the important factors causing Infertility. It is an ill-defined symptom complex needed due attention. There is a need to increase awareness regarding. The clinical features of PCOS are heterogenous thus can be investigated accordingly of selection of appropriate treatment modality. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 17-23

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Occupational Stress among Nurses in a Public Medical College Hospital

Delta Medical College Journal ◽

10.3329/dmcj.v6i2.38218 ◽

2018 ◽

Vol 6 (2) ◽

pp. 86-89

Author(s):

Shila Rani Das ◽

Chinmay Biswas ◽

Sharmina Afrin

Keyword(s):

Occupational Stress ◽

Family Income ◽

High Stress ◽

Clinical Work ◽

Medical College Hospital ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Work Related ◽

Significant Difference

Background: Now a days, there is increased demand and progress in the nursing profession. Along with these stress among the nurses has also increased.Objective: Purpose of the study was to assess the extent of perceived occupational stress and its association with work-related and non-work related causes among nurses.Materials and method: This Cross-sectional study was carried out among 197 nurses of Shaheed Suhrawardy Medical College hospital (ShSMCH), Dhaka, Bangladesh, from the period of 1st July 2015 to 30th June 2016. Sampling method was simple random sampling. Data was collected by face to face interview with the help of semi-structured questionnaire and finally all data were analyzed using SPSS software version 21.Results: It was found that 69% nurses were between the age of 21 to 39 years, 94.9% were female, 68% were married, 79.2% were Muslim, 84.3% had diploma, family income of 91.4% were equal to more than 40,000 Tk. and 95.5% used to do clinical work. Only 5.1% found to experience high stress. Statistically significant difference was found between sex, occupational stress and religion, educational status, and type of work (p < 0.05). Few nurses suffered from high stress but high level of stress were more in male, non Muslim, post graduate nurse and those who were engaged in administrative work.Conclusion: Nurse Managers should take appropriate actions to decrease stress helping their nurses to work efficiently and effectively.Delta Med Col J. Jan 2018 6(2): 86-89

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TO STUDY THE ONSET AND PROGRESSION OF AIRWAY ABNORMALITY IN TERMS OF ALTERATION IN PFT IN ASYMPTOMATIC SMOKERS.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i11.748 ◽

2019 ◽

Vol 3 (11) ◽

Author(s):

Dr. Hitesh Kumar Solanki ◽

Dr. Omnath P Yadav ◽

Dr. Anita J Gojiya

Keyword(s):

Lung Function ◽

Cross Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Group I ◽

Significant Difference ◽

History Of ◽

Young Smokers ◽

The Mean ◽

Group Ii

The study was conducted in department of physiology, B J Medical College, Ahmedabad from Mar. 2012 to Feb. 2013. This was a cross-sectional study to evaluate the effect of smoking on lung function and serum lipids in asymptomatic smokers and comparable non smokers. The mean of the various spirometric parameters were calculated of the subjects for both the groups. The mean FVC in group I and group II was 2.60 ± 0.62 L and 4.10 ± 0.64L respectively. The mean FEV1 in group I was 1.91 ± 0.57L and 3.19 ± 0.77L in group II Group I had mean FEF25% - 75% and PEFR of 1.98 ± 0.67L/sec and 4.50 ± 1.57L/sec respectively. Group II had mean FEF25 – 75% of 4.22 ± 1.23L/sec and a mean PEFR of 7.22 ± 1.42L/sec. In young smokers and asymptomatic, still the spirometric values were significantly deranged as compared to controls. Even smokers with history of less pack years of smoking also had significant abnormalities of lung function. All he spirometric values in the two groups had statistically highly significant difference and were higher in non-smokers as compared to smokers. The spirometric values were reduced in smokers with history of smoking for as low as two pack years. Keywords: Progression, PFT, Asymptomatic & Smokers

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An Overview of Fingerprint Patterns among Students of Gandaki Medical College, Pokhara, Nepal

Journal of Gandaki Medical College-Nepal ◽

10.3126/jgmcn.v12i1.22609 ◽

2019 ◽

Vol 12 (1) ◽

pp. 31-33

Author(s):

N Hirachan ◽

R Shrestha ◽

S Koju ◽

D Limbu

Keyword(s):

Research Finding ◽

Cross Sectional Study ◽

Female Students ◽

Sectional Study ◽

Cross Sectional ◽

Male And Female ◽

Medical College ◽

Positive Identification ◽

Significant Difference ◽

Loop Pattern

Introduction: Fingerprint system of positive identification is based on the principle that the arrangement and distribution of fingerprint remains constant and persists throughout life and that the patterns of no two hands resemble each other. Methods: A cross sectional study was carried out among 250 students (125 male and 125 female students), aged 17 - 40 years of age, of Gandaki Medical College, Pokhara, Nepal from 15 March to 13 April, 2017 A.D. The fingertip patterns of both hands were collected and identified with the aid of a magnifying glass and documented as: Loops, Whorls, Arches and Composite type. The data were enrolled in SPSS version 16 and analyzed accordingly. Results: There was a preponderance of loop pattern (52.6%) followed by whorls (39.4%), arches (7.3%) and composite (0.6%). Whorls (41.7%) were more common in males compared to females (37.1%) and females had more arches (9.6%) compared to that of the male counterparts (5.04%). There was no significant difference in fingerprint patterns among male and female students. Conclusion: The predominance of loops amongst other fingerprint patterns along with no significant gender differences in fingerprint patterns can be considered as a valuable research finding in the field of forensic science.

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Peak expiratory flow rate among smokers and non-smokers working in Kathmandu Medical College

Journal of Chitwan Medical College ◽

10.3126/jcmc.v10i2.29667 ◽

2020 ◽

Vol 10 (2) ◽

pp. 33-35

Author(s):

Preetu Gurung

Keyword(s):

Cigarette Smoking ◽

Peak Expiratory Flow ◽

Flow Rate ◽

Peak Expiratory Flow Rate ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Medical College ◽

Significant Difference ◽

Expiratory Flow

Background: Cigarette smoking has remained a popular habit since ages. Most people are well aware of the deleterious effects of cigarette smoking yet continue to give a blind eye which deteriorates overall public health. The purpose of the present study was to assess Peak Expiratory Flow Rate among smoking and nonsmoking staffs who work in Kathmandu Medical College. Methods: In this comparative cross-sectional study Peak Expiratory Flow Rate was obtained using Mini Wright’s Peak Flow Meter of 108 smokers and 108 nonsmokers in the age group ranging from 25-45 years. Those who never smoked or who have quit smoking for the past 2 years were grouped as nonsmokers and the smokers with history of smoking at least five or more cigarettes per day for at least two years were included in the study for measuring their Peak Expiratory Flow Rate. Data was collected, compiled and analyzed by using Statistical Package of Social Science (SPSS) software version16. Student ‘t’ test was used for group comparison. Results: The Peak Expiratory Flow Rate value was significantly reduced in the smokers (p value< 0.05). Mean Peak Expiratory Flow Rate was reduced with increasing age of the smokers. However, no significant difference was observed in Peak Expiratory Flow Rate with increase in the number of cigarettes smoked (p value> 0.05). Conclusions: In the study Peak Expiratory Flow Rate among smokers (367.13 ± 74.182) was lower than nonsmokers (471.39±60.842), which was statistically significant proving that cigarette smoking reduced peak expiratory flow rate.

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The Study on Dorsal Venous Arch of Upper Limb Among Nepalese Medical Students at Tertiary Level Teaching Institute

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v18i2.21216 ◽

2019 ◽

Vol 18 (2) ◽

pp. 48-52

Author(s):

Nripendra Tiwari ◽

Deepesh Budhathoki ◽

Krishna Banshi Malla

Keyword(s):

Upper Limb ◽

Blood Donation ◽

Hypovolemic Shock ◽

Invasive Procedure ◽

Male Students ◽

Blood Collection ◽

Cross Sectional ◽

Medical College ◽

Right Hand ◽

Significant Difference

Introduction: Dorsal venous arch of upper limb is the beginning site for cephalic and basilic veins. The superficial veins are clinically important for venipuncture, blood collection and blood donation as well as for health screening and testing, intravenous transfusion for the emergency treatment of hypovolemic shock. Veins of the upper limb are also used for total parental nutrition, therapeutic invasive procedure and blood samples. The Dorsal Venous Arch is superficially placed and can be easily made prominent by putting a tourniquet at the wrist for any such surgical and therapeutic purposes. Methods: It was a cross-sectional observational study conducted in 200 hands among 100 individuals from MBBS first and second year students studying at a Medical College. Body Mass Index (BMI) of individuals was calculated to observe the correlation between length of the dorsal venous arch and BMI. Results: The mean±s.d. length of dorsal venous arch in male on right hand (20.7±2.4 cm) was significantly greater than in female on right hand (19.4±2.1 cm).There was no significant difference in length of dorsal venous arch on left side between male (20.1±2.2 cm.) and female (19.3±1.8 cm). Conclusions: The length of the dorsal venous arch on right hand was found significantly greater in male than in female. Also the length of dorsal venous arch on right side was found to be more than on left side in both sexes. The male students are significantly older, heavier and taller than females.

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Photographic Estimation of Facial Height and Nasal Length of Bangladeshi Women

Bangladesh Journal of Anatomy ◽

10.3329/bja.v11i2.20669 ◽

2014 ◽

Vol 11 (2) ◽

pp. 50-53

Author(s):

Nazma Farhat ◽

Humaira Naushaba ◽

Rita Rani Saha ◽

M Tanveer Hossain Parash ◽

Jubaida Gulshan Ara ◽

...

Keyword(s):

Facial Trauma ◽

Base Line ◽

Multiplication Factor ◽

Cross Sectional ◽

Medical College ◽

Facial Height ◽

Facial Defect ◽

Significant Difference ◽

Part Time ◽

Nasal Length

Context: Estimation of facial height and nasal length from digital photography is important to evaluate and planning surgical treatment of facial trauma, facial defect and post traumatic deformity. So facial height and nasal length values are of great use in plastic surgery and reconstructive surgery. These values are also important for identification of a person in forensic anthropology and archeology. The reliability of estimation of facial height from nasal length by using multiplication factor is high. The values of facial height and nasal length vary among populations. Materials and Method: This is a cross sectional, analytical type of study conducted in the Department of Anatomy, Sir Salimullah Medical College, Dhaka from January 2010 to June 2011. One hundred (100) Bangladeshi 25 to 45 years old women were selected for the study. Fourth class female employees of Sir Salimullah Medical College and Mitford Hospital and part time housemaids of Mitford area were selected by purposive sampling as study subjects. Results: The values of facial height and nasal length were 17.949 ± 1.3111cm and 5.179 ± 0.5349cm respectively. Multiplication factor for measuring facial height from nasal length was 3.49 ± 0.2864 (Mean ± SD). No significant difference was found between the measured and estimated facial height from nasal length. Conclusion: The anthropometric base line data of different facial dimensions might help the surgeons in diagnosing and treating reconstructive cases DOI: http://dx.doi.org/10.3329/bja.v11i2.20669 Bangladesh Journal of Anatomy, July 2013, Vol. 11 No. 2 pp 50-53

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Perception of Nurses on Needs of Family Members of Patient Admitted to Critical Care Units of Teaching Hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study

Nursing Research and Practice ◽

10.1155/2018/1369164 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Ishwori Khatri Chhetri ◽

Bedantakala Thulung

Keyword(s):

Critical Care ◽

Teaching Hospital ◽

Family Members ◽

College Teaching ◽

Patient Treatment ◽

Family Needs ◽

Cross Sectional ◽

Critical Care Units ◽

Medical College ◽

Significant Difference

Background. Critical care units’ nurses should seek to develop collaborative relationships with patients’ family members based on their needs and help them to cope with their distress. The objective of this study was to find out the perception of nurses on needs of family members of patients admitted to critical care units.Methods. A descriptive cross-sectional study was conducted in Chitwan Medical College Teaching Hospital among all 65 nurses working in critical care units. Ethical clearance was obtained from Chitwan Medical College Institutional Review Committee. Data were collected from March 27 to April 25, 2016, using Critical Care Family Needs Inventory (CCFNI). Obtained data were analyzed using descriptive and inferential statistics.Results. This study found that mean age of the nurses was 23.98 ± 4.05 years. More than half of the nurses had completed PCL in nursing (52.3%) and had 1-5 years of experience in critical care units (58.5%). Nurses ranked the needs for assurance as most important needs with mean percent (86.25%) followed by needs for information (78.58%), need for comfort (69.59%), needs for closeness (69%), and needs for support (64.13%). Out of 45 family needs, 81.5% of nurses perceived that knowing about patient treatment is very important for family members. Married nurses perceived the needs for support to be more important than unmarried nurses (p=0.04) whereas unmarried nurses perceived the needs for information to be more important than married (p=<0.01). There was significant difference on perception of nurses on needs of assurance with ethnicity (p=0.009) and critical care experience (p=0.04).

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Estimation of Serum Copper in Post-menopausal Women Attending in a Tertiary Care Hospital, Bangladesh

Anwer Khan Modern Medical College Journal ◽

10.3329/akmmcj.v10i2.44118 ◽

2019 ◽

Vol 10 (2) ◽

pp. 110-113

Author(s):

N Ferdous ◽

Farzana Akonjee Mishu ◽

Shamsunnahar ◽

Syed Md Tanjilul Haque ◽

ANM Ashikur Rahman Khan ◽

...

Keyword(s):

Clinical Symptoms ◽

Tertiary Care ◽

Premenopausal Women ◽

Serum Copper ◽

Copper Level ◽

Care Hospital ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Significant Difference

Background: Nutritional needs change throughout the various stages of life. While overall caloric needs tend to decrease with age, the requirements for individual micronutrients do not decrease. In fact, the needs for some micronutrients actually increase with age. The risk of nutritional disturbances mainly trace elements deficiencies is high during postmenopause causing or intensifying serious clinical symptoms. Methods: This cross sectional study was carried out in the Department of Biochemistry, Mymensingh Medical College in collaboration with the Department of Obstetrics and Gynecology, Mymensingh Medical College Hospital during the period from July 2013 to June 2014. A total of 100 subjects were included in this study. Among them 50 apperantly healthy postmenopausal women (Case) aged between 45-60 years were considered as case and another 50 regular menstruating premenopausal women(Control) aged between 30-40 years were selected as control. Results: The mean age of cases and control groups was 50.5±2.3 years and 36.5±4.4 years respectively. In this study we found Serum Copper levels in cases and controls were 115.36±8.836 µg /dl and 90.58 ±6.315 µg/dl respectively had (p< 0.01) significant difference. Conclusion: Serum Copper level was significantly increased in postmenopausal group in comparison to premenopausal women (p< 0.01). Estimation of serum Cu level might be incorporated in every postmenopausal woman for prevention of complications. Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 110-113

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The Association between Placental Location in the First Trimester and Fetal Sex

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2019/v27i530183 ◽

2019 ◽

pp. 1-8

Author(s):

Fariba Mirbolouk ◽

Maryam Mohammadi ◽

Ehsan Kazemnejad Leili ◽

Seyedeh Fatemeh Dalil Heirati

Keyword(s):

Significant Relationship ◽

Genetic Disorders ◽

Transvaginal Ultrasound ◽

Abdominal Ultrasound ◽

First Trimester ◽

Cross Sectional Study ◽

Cross Sectional ◽

Fetal Sex ◽

Gestational Sac ◽

Spss Software

Background: Because advance knowledge of fetal sex can satisfy parental curiosity and allay anxiety, attempts at its determination prior to birth have a long history. There may also be reason to determine fetal sex when sex-specific genetic disorders are suspected. The aim of this study was to investigate the association between gestational sac (GS) location and fetal sex. Materials and Methods: This cross-sectional study was conducted on 751 pregnant women. Transvaginal ultrasound was performed during 7-8 weeks of gestation for prenatal care and assessment of pregnancy sac and GS location. Age, parity, gravidity and GS location were recorded. Abdominal ultrasound was performed at 16-20 weeks of gestation to determine fetal health and sex and finally data was analyzed and compared to sex of the fetus after birth using SPSS software version 21. Results: There was a significant relationship between GS location and fetal sex (P<0.0001). However, pregnancy outcomes (male or female) and GS location (anterior or posterior) were not significant correlated (P= 0.290). There was, on the other hand, a significant relationship between outcomes and GS location (right or left) (P<0.0001). Conclusion: Maybe GS location could be considered as a helpful method for earlier fetal sex determination.

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