scholarly journals Neurocysticercosis in Children at GMC, Charak Hospital, Pokhara

2013 ◽  
Vol 3 (2) ◽  
pp. 20-23 ◽  
Author(s):  
SP Shrestha ◽  
S Dhungana ◽  
AK Shrestha
Keyword(s):  
Taenia Solium ◽  
Ct Scanning ◽  
Diagnostic Tools ◽  
Age Group ◽  
Serological Tests ◽  
Common Cause ◽  
Medical College ◽  
The Past ◽  
Neurological Illness ◽  
Clinical Presentations

Neurocysticercosis (NCC) is a common cause of seizure and major cause of neurological illness globally. It is one of the major causes of epilepsy in children. Fewer studies were done in the past regarding NCC in Nepal. However study on NCC in children in Gandaki Medical College (GMC), Charak Hospital is the first of its kind. 23 children with CT scanning of head that were consistent with NCC over a period of 18 months at GMC, Charak Hospital were included as study subjects. Although there are so many diagnostic tools including MRI, immunological and serological tests for the detection of NCC, CT scanning of the head was used for its diagnosis in this study. 17.3% of the study subjects were found to have suffered from NCC. Girls (60%) outnumbered boys (40%); it was more commonly seen in 10-15 years age group (47.83%). Three main clinical presentations were Seizure (100%), Headache (73.91%) and Vomiting (30.43%). Most of the cases had ring en­hancing lesion at colloidal stage. All patients were treated with albendazole, dexamethasone and antiepileptic drugs (AED) and advised strongly to continue for the period of at least 2 years without failure. NCC should be considered and CT/MRI head must be performed in all children above 5 years of age presented as seizure, headache or vomiting where Taenia solium (TS) infestations are found endemic. DOI: http://dx.doi.org/10.3126/jcmc.v3i2.8437 Journal of Chitwan Medical College Vol.3(2) 2013 20-23

scholarly journals Osteolytic Skull Lesions–Our Experience

2017 ◽  
Vol 08 (03) ◽  
pp. 434-438
Author(s):  
B. V. Sandeep ◽  
Manpreet Singh Banga ◽  
Suniti Kumar Saha ◽  
Kaushik Roy
Keyword(s):  
Cystic Lesion ◽  
Treatment Options ◽  
Age Group ◽  
Female Age ◽  
Medical College ◽  
Study Materials ◽  
Clinical Presentations ◽  
Therapeutic Procedures ◽  
Suitable Treatment ◽  
A Prospective Study

ABSTRACT Objective: To present an overview of varied clinical presentations, investigations and treatment options for Osteolytic skull lesions. Study Design: It is a prospective study. Materials and Methods: We conducted this study from January 2013 to December 2015 in the Department of Neurosurgery, Nil Ratan Sircar Medical College and Hospital, Kolkata. During this period, 14 patients presented with osteolytic skull lesions through the outpatient department. All patients were thoroughly investigated with appropriate hematological and radiological investigations and treated following admission, and surgery was performed in the Neurosurgery Department. All were followed regularly in OPD. Results: Total 14 patients were included in the study. Amongst these 7 were male and 7 female. Age group of patients ranged from 5 to 72 years. Of 14 cases, three cases had dermoid cyst, four cases had metastasis, and one each case had epidermoid cyst, intradiploic meningioma, benign cystic lesion, tuberculosis, histiocytosis X, hemangioma, and osteomyelitis. All underwent diagnostic/therapeutic procedures and referred for Radio or chemotherapy where indicated. Conclusion: All scalp/skull lesions need careful clinical correlation, appropriate radiological investigations to establish diagnosis and subject them to suitable treatment.

scholarly journals A clinical study on ectopic pregnancy

2017 ◽  
Vol 5 (11) ◽  
pp. 4776
Author(s):  
Mamata Soren ◽  
Ranjita Patnaik ◽  
Bismoy Kumar Sarangi
Keyword(s):  
Ectopic Pregnancy ◽  
Reproductive Age ◽  
Medical Emergency ◽  
Diagnostic Tools ◽  
Age Group ◽  
Lower Abdomen ◽  
The Past ◽  
Surgical Emergencies ◽  
Β Hcg ◽  
Reproductive Age Group

Background: Ruptured ectopic pregnancy is a medical emergency; therefore, it is imperative to diagnose the unruptured ectopic pregnancy such that timely intervention will prevent morbidity and mortality Today with availability of monoclonal β-HCG, high resolution transvaginal scan and laparoscopy it is possible to make early diagnosis even before rupture.Methods: Prospective study of two years duration with sample of 72 cases of suspected ectopic pregnancy observed and treated out of total 20193 pregnant women admitted were included in this study.Results: The incidence was 0.36%, maximum between the age group of 26-30 years (33.3%). Risk factors were tubectomy (30.56%), D and C (6.94%), PID (5.6%), previous ectopic (1.39%), IUCD (2.78%). The typical triad of amenorrhoea, pain abdomen and bleeding was observed in 54.2% of cases. 19 patients were brought in shock (26.4%). Ultrasonography done in 56 cases.Conclusions: There is an increase in the incidence of ectopic pregnancy but a decrease in maternal mortality during the past two decades. Although the early diagnostic tools were available, we had to manage most of our patients as surgical emergencies, as they were brought late in the trial, with established diagnosis of ruptured ectopic pregnancy. Physicians should be sensitive to the fact that in the reproductive age group any women presenting with pain in the lower abdomen, diagnosis of ectopic pregnancy should be entertained irrespective of the presence or absence of amenorrhoea, whether or not she has undergone sterilization. 

scholarly journals Similarities between Preexplorative Diagnosis and Perexplorative Findings of Intestinal Obstruction Patients in Two Tertiary Care Hospitals in Bangladesh

2019 ◽  
Vol 9 (3) ◽  
pp. 155-159
Author(s):  
Sonia Akter ◽  
Deb Prosad Paul ◽  
Debasish Das
Keyword(s):  
Intestinal Obstruction ◽  
Preoperative Diagnosis ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Diagnostic Tools ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstructed Hernia

Background: Intestinal obstruction is a common surgical problem that surgeons face in clinical practice. Still intestinal obstruction is a major problem in medical college hospitals in Bangladesh. Causes of intestinal obstruction remain same as earlier. There is lack of statistical data in our country. So, this study will be helpful in various aspect of management of intestinal obstruction patients by providing data. Objective: To find out similarities between preoperative diagnosis with actual peroperative findings of intestinal obstruction. Materials and Methods: This cross-sectional study was conducted from April 2013 to April 2014 at Enam Medical College Hospital and Dhaka Medical College Hospital. Two hundred patients were selected by purposive sampling of diagnosed cases of intestinal obstruction. Results: Among the subjects male were 124 (62%) and female were 76 (38%). Mean age was 34.56 ± 9.13 years. The maximum respondents were from 21–30 years age group (54%) followed by 31–40 years (18%) age group. Chronic intestinal obstruction was present in 53% cases and acute intestinal obstruction in 47% cases. The clinical profile showed that all patients had abdominal pain followed by vomiting (78%). The preoperative diagnosis of intestinal obstruction was neoplastic obstruction (24%) followed by obstructed hernia (22.5%). The highest similarities (100%) were observed in case of volvulus and ileosigmoid knotting. Obstructed hernia had the highest accuracy (97.7%) followed by neoplastic obstruction (91.66%). Maximum patients (13.5%) suffered from wound infection followed by burst abdomen (3%). Conclusion: The preoperative diagnoses are very much similar to peroperative findings. The clinical parameters and other mandatory diagnostic tools commonly used in tertiary level hospitals in our country showed diagnostic accuracy in diagnosis of intestinal obstruction. J Enam Med Col 2019; 9(3): 155-159

Autopsy Analysis of Suicidal Hanging Cases in Sylhet

2021 ◽  
Vol 11 (Number 1) ◽  
pp. 39-43
Author(s):  
Tasnuva Aziz Munalisa ◽  
Md. Shamsul Islam ◽  
Md. Abdul Hye Minar ◽  
Tahmina Islam ◽  
Kanta Deb ◽  
...  
Keyword(s):  
Subcutaneous Tissue ◽  
Causative Factor ◽  
Age Group ◽  
Post Mortem ◽  
Common Cause ◽  
Police Station ◽  
Medical College ◽  
Unnatural Death ◽  
The World ◽  
Post Mortem Findings

Background:Suicide is one of the leading cause of unnatural death in the world. The frequency of suicidal hanging is dramatically increasing over the period of time in Bangladesh. Methods:Anautopsy reports based retrospective study carried out in the Department of Forensic Medicine of Sylhet MAG Osmani Medical College to analysis of suicidal hanging cases during the study period January 2017 to December 2018. After reviewing all postmortem reports, 230 cases of death were found due to suicidal hanging casesduring the study period. Results:The highest number of the victims 76(33.04%) were from the age group 10-19 years, followed by 61(26.52%) from 20-29 years and 126(54.78%) were female. Most of the dead bodies 38(16.52%) were brought from Gowainghat police station and majority victims 32(13.91%) locality were also in Gowainghat. The commonest autopsy findings were skin and subcutaneous tissue underneath the ligature mark found pale, white, hard, glistening 225(97.83%) and cyanosis 208(90.43%). The most common cause of deathin post mortem findings was asphyxia 213(92.61%). Conclusion: A well intended and inclusive programme is needed to reduce the frequency of suicidal hanging, which will ascertain the causative factor and helps incontrol and prevention.

scholarly journals Retrospective Study on Suicidal Cases at Sir Salimullah Medical College Morgue House in the Year 2008

1970 ◽  
Vol 37 (2) ◽  
pp. 50-51
Author(s):  
Tejendra Chandra Das ◽  
Mostaque Rahim ◽  
Md Nazmul Hoq ◽  
Mosahef Uddin Ahmed ◽  
Sharmin Yasmin ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Age Group ◽  
Post Mortem ◽  
Common Cause ◽  
Young Females ◽  
Factors Associated ◽  
Medical College ◽  
Unnatural Death ◽  
Number Of Factors ◽  
The World

Suicide is one of the commonest causes of unnatural death in the world. The number of suicide is increasing over the period of time. Our research focused on a number of factors associated with the occurrence of suicide, these includes- age, gender, religion, cause of death, modes of death. A total of 95 cases of suicide were studied in Sir Salimullah Medical College morgue house in the year 2008. The victims were composed of 33 males (34%) & 62 females (66%) and the age group of 21-30 years was the most common, which indicates occurrence of suicide is more common in young females. Of 95 cases, the most common cause of death was due to asphyxia, 88 cases (92%). Other cases include respiratory failure- 3 cases (3%), hemorrhage & shock- 4 cases (5%). In the discrimination of cause of death, we obtained information on victims & witness as well as investigating the scene & post mortem examination of the victim.   DOI: 10.3329/bmj.v37i2.3593 Bangladesh Medical Journal 37(2) 2008 50-51

scholarly journals Magnitude of Deaths due to Organophosphorus Compounds Poisoning in Bangladesh-A Study at Dhaka Medical College

2014 ◽  
Vol 3 (2) ◽  
pp. 29-33
Author(s):  
Elias Bin Akber ◽  
Abu Jamil Forhad ◽  
Mohammad Habibuzzaman Chowdhury ◽  
AM Ashraful Anam ◽  
Israt Jahan
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Organophosphorus Compounds ◽  
Acute Poisoning ◽  
Morbidity And Mortality ◽  
Age Group ◽  
Male Victims ◽  
Manner Of Death ◽  
Common Cause ◽  
Medical College

Poisoning with Organophosphorus compounds (OPC) is one of the important leading causes of morbidity and mortality for the countrymen of Bangladesh. OPC poisoning is a common cause of acute poisoning. The study was conducted to evaluate the magnitude of death due to OPC poisoning. This paper presents the study of total 852 cases of poisoning comprising 6.42% of the total 13,300 autopsies done during the period of three years (from 01/01/2009 to 31/12/2011) at Dhaka Medical College Mortuary. Of them, there were 478 cases of OPC poisoning. Most of the victims were from rural areas i.e. 296 cases (61.92%) and 182 cases (38.07%) from urban areas. 274 male victims (57.32%) outnumbered females i.e. 204 cases (42.67%) and the most affected age group was 21-30 years i.e. 214 cases (44.76% ). Farmers were the commonest victim i.e. 270 cases (56.48%) followed by housewives i.e. 105 cases (21.96%). Ingestion was the commonest route of poisoning i.e. 460 cases comprising 96.23% followed by 12 cases of inhalation (2.51%) and others. Suicide dominated the list of manner of death i.e. 466 cases comprising 97.48% followed by accidental i.e. 12 cases (2.51%) of the total 478 cases of OPC poisoning. CBMJ 2014 July: Vol. 03 No. 02 P: 29-33

scholarly journals OUTCOME OF THE UNIDENTIFIED/UNACCOMPANIED PATIENT OF TRAUMATIC BRAIN INJURY IN TRAUMA UNIT OF GANDHI MEDICAL COLLEGE AND ASSOCIATED HAMIDIA HOSPITAL BHOPAL (INDIA)

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. I. D. Chaurasia ◽  
Dr. Shikha Shukla ◽  
Dr. Aryish Gupta ◽  
Dr. Rajat Maheshwari ◽  
Dr. Mahim Koshariya ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Hospital Stay ◽  
Decompressive Craniectomy ◽  
Neurological Status ◽  
Age Group ◽  
Common Cause ◽  
Medical College ◽  
Trauma Unit ◽  
Gandhi Medical College

All unidentified / unaccompanied & unknown TBI patients admitted in department of neurosurgery, Gandhi Medical College Bhopal from June 2016 to May 2019 were enrolled in this study. Management of unidentified and unaccompanied patients is difficult in any health care setup due to challenges in managing their day to day care. Traumatic brain injury is the most common cause of death in trauma patients.  We analyzed demography, mode of injury, clinical presentation & condition at admission, treatment given, hospital stay, outcome & factors affecting outcome of the patients. Very few studies in world literature are available on this subgroup of patients. We analyzed data pertaining to 100 consecutive patients at our hospital. Aim and Objectives: The aim and objective of this study is to determine the outcome of traumatic Brain Injury in patients who were admitted in trauma unit/ Neurosurgery unit of Gandhi medical College Bhopal India from June 2016 to May 2019. As unaccompanied / unknown/ unidentified. In this study we collected the data of unknown/ unidentified patients of TBI to analyze the outcome. Material and Methods: It was a prospective study of all unaccompanied/ unknown patients who were admitted in the trauma unit/ Neurosurgery unit of surgery department of Gandhi Medical College & Associated Hamidia Hospital Bhopal India from June 2016 to May 2019 a total number of 100 unidentified /unaccompanied patients were admitted whose data were collected and analyzed Departmental staff, social workers, police and media persons help were take in for relocation of unknown patients to their home or non government organization shelter homes . Results: There were total 100 consecutive patient enrolment in this study, 87% of the patients were male. Most common age group was 40-59 years, 48% patients falls in this age group. Most common cause of trauma was road traffic accident (48%), followed by Cause Unknown (36%). Overall mortality was 39%. Others clinical characteristic and type of lesion in traumatic brain injury of unidentified and unaccompanied patients is given in detail in. Out of 100 patients, 43 (43%) patients were managed conservatively based on CT head findings and neurological status & 57 (57%) were operated. Decompressive Craniectomy was most common operative procedure depending on the clinical & neurological status. Overall complication rate during hospital stay was 26%. Keywords: TBI, Unidentified Patient & Unaccompanied & Decompressive Craniectomy, Rehabilitation.

scholarly journals Prevalence of Dermatophytic Infection and Detection of Dermatophytes by Microscopic and Culture Methods

2018 ◽  
Vol 8 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Tashmin Afroz Binte Islam ◽  
Farjana Majid ◽  
Mushtaque Ahmed ◽  
Samia Afrin ◽  
Tahmina Jhumky ◽  
...  
Keyword(s):  
Potassium Hydroxide ◽  
Diagnostic Procedures ◽  
Cross Sectional Study ◽  
Climatic Conditions ◽  
Age Group ◽  
Culture Methods ◽  
Microscopic Method ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Presentations

Background: Dermatophytosis is considered as one of the major public health problems in the world and is the most commonly diagnosed skin disease in Bangladesh. The prevalence and characteristics of dermatophytic infections vary with climatic conditions, age, lifestyle and population migration patterns.Objective: To determine the prevalence of dermatophytic infection and sensitivity of different diagnostic procedures among the patients visiting dermatology outpatient department of Tairunnessa Memorial Medical College & Hospital, Gazipur, Bangladesh (TMMCH).Materials and Methods: This cross-sectional study was done during a period of 12 months from July 2015 to June 2016. Total 80 specimens were collected based on clinical presentations irrespective of age and sex. The diagnosis was confirmed by microscopic examination using 20% potassium hydroxide (KOH) and culture on Sabouraud’s dextrose agor medium.Results: Out of 80 samples, 31(38.75%) were found positive by culture and 21 (26.25%) were found positive by microscopic method which were also found positive by culture. This study found that most (51.62%) of the dermatophyteinfected cases were in the age group of 21−40 years followed by 41−60 years (29.03%) with male and female distribution 58.06% and 41.94% respectively The maximum number of infections was reported from groin followed by hands/legs and feet.Conclusion: The result of this study shows higher prevalence of dermatophytosis in both genders in this area. An accurate diagnosis can help in proper and effective treatment of dermatophytosis.J Enam Med Col 2018; 8(1): 11-15

scholarly journals The epidemiology and health burden of neurocysticercosis in tertiary hospital of Nepal

2014 ◽  
Vol 4 (2) ◽  
pp. 13-16
Author(s):  
RB Sah ◽  
L Subedi ◽  
N Pandey ◽  
BP Sah ◽  
S Jha ◽  
...  
Keyword(s):  
Public Health ◽  
Secondary Data ◽  
Tertiary Hospital ◽  
Health Concern ◽  
Age Group ◽  
Public Health Concern ◽  
Medical College ◽  
The Past ◽  
The Central Nervous System ◽  
Record Section

Neurocysticercosis (NCC) is the most common parasitic infestation of the central nervous system and is one of the major public health problems in developing nations like Nepal. This study was conducted to find out total number of neurocysticercosis cases in BPKIHS from 2005 to 2013 AD and to know the duration for which cases were admitted and improvement seen in them. This is a hospital based retrospective study conducted from 31st March to 13th April 2014 to see the number of NCC in B P Koirala Institute of Health Sciences, Dharan of Nepal, a tertiary level referral hospital in the Eastern Nepal. It was study in which secondary data, consistent with the diagnosis of Neurocysticercosis was collected from the Medical Record Section of BPKIHS and reviewed. One hundred fourteen cases of neurocysticercosis were enrolled. The patients were predominantly males (nearly 63.2%) and it was more commonly seen in 2-20 years age group (42%). Most of the cases were from Sunsari District. Most of the patients (63.2%) were admitted in Medicine wards. Almost 90.4% of admitted Neurocysticercosis cases were improved in BPKIHS. The trend of Neurocysticercosis cases did not show any showed any consistent pattern in the past nine years. We conclude that the problem of Neurocysticercosis is common and has become a key public health concern for all. DOI: http://dx.doi.org/10.3126/jcmc.v4i2.10854 Journal of Chitwan Medical College 2014; 4(2): 13-16

scholarly journals PATTERN OF MEDICOLEGAL AUTOPSIES CONDUCTED AT TIRUPATI, ANDHRA PRADESH: A 3-YEAR RETROSPECTIVE STUDY

2021 ◽  
pp. 123-125
Author(s):  
K. JYOTI PRASAD ◽  
B. VENKATESULU ◽  
M. ABDUL KHALID
Keyword(s):  
Retrospective Study ◽  
Cause Of Death ◽  
Rural Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Age Group ◽  
Manner Of Death ◽  
Female Ratio ◽  
Common Cause ◽  
Medical College

Objectives: Death of an individual is a grave loss to the family and community at large. Death may be natural or unnatural. Analysis of unnatural deaths helps in understanding the causes, manner, and modes of deaths, thereby formulate and implement a proper policy to reduce incidence. Methods: This is a retrospective study of autopsies conducted over 3 years (2018–2020) in the mortuary of Sri Venkateshwara Medical College, Tirupati. During this period, 2579 autopsies were performed. Required data were collected from the requisitions of police, inquest reports, case sheets, medicolegal register, and postmortem reports in a preformed pro forma. Results: Out of the 2579 cases, majority were in the age group of 21–30 years (34.62%) followed by 41–50 years (18.06%). Male-to-female ratio was 2.5:1. Majority were Hindus (83.52%) and most of the subjects belonged to the rural areas (62.89%). Majority were married (78.40%). The most common cause of death was road traffic accident (48.04%) followed by poisoning (15.82%). Accidental deaths were the most common manner of death (60.56%) followed by suicides (33.96%). Conclusion: The present study reveals that the most cases were in 21–30 years age group. Males outnumbered females and the subjects were mostly married and were from rural areas. Road traffic accidents were common cause of death in males and poisoning was the common cause of death in females.

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