Prescribing trends of antidiabetic drugs in diabetic and hypertensive diabetic patients in an urban tertiary care hospital of Bangladesh

2017 ◽  
Vol 3 (3) ◽  
pp. 338-343
Author(s):  
Mohammad Didar Khan ◽  
Md. Ibrahim ◽  
Md. Mizanur Rahman Moghal ◽  
Dipti debnath ◽  
Asma Kabir ◽  
...  
Keyword(s):  
Urban Areas ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Age Group ◽  
Microsoft Excel ◽  
Patient Profile ◽  
Prescribing Trends ◽  
Medical University ◽  
Insight Into

Objective: The present epidemiological study was conducted with the objectives of providing an insight into the current use of antidiabetic medications to diabetics and hypertensive diabetics in urban areas and determining how the patient factors influence the prescribing of antidiabetic medications. Methodology: Data of patients of past two years were collected from Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka, Bangladesh. The details were entered in the structured patient profile form. Data were statistically analyzed using the Microsoft Excel 2007 software. Result: A total of 958 patient’s data were collected and analyzed of which 632 (65.97 %) were males and 326 (34.03 %) were females. These patients were further categorized based on their age. 330 patients (34.45 %) belonged to the age group 20 – 44 years, 504 (52.61 %) to the age group 45 – 65 years and 124 (12.94 %) to the age group 65 – 80 years. 684 (71.4%) patients out of the 958 patients studied were suffering from coexisting hypertension. Co-existing hypertension was found to be more prevalent in the age group 45 – 65 years (67.69%) and was found more in females (84.04%). Conclusion: Metformin was the oral hypoglycemic which was the highest prescribed. In hypertensive diabetics Metformin and Pioglitazone were most frequently prescribed drugs. Biguanides and Insulin were the most commonly prescribed antidiabetics. A combination of two or more drugs of different classes was prescribed to hypertensive diabetics. It is necessary to have an improved understanding of the etiology and pathophysiology of diabetes to focus on research efforts appropriately.

scholarly journals Epidemiology of Fatal Injuries reported in the mortuary of a tertiary care hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 633
Author(s):  
Subrat Kumar Pradhan ◽  
Himansu Prasad Acharya ◽  
Rudra Prasanna Mishra ◽  
Jay Kumar Panda ◽  
Durga Madhab Satapathy ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Adult Population ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Care Hospital ◽  
Age Group ◽  
Microsoft Excel ◽  
Mortality And Morbidity ◽  
Fatal Injuries

Background: Injuries are an increasingly recognized global, preventable public health problem and are an important cause of mortality and morbidity in adult population. The major causes of injury related deaths may be intentional and unintentional. The major unintentional or “accidental” causes are road traffic accidents (RTAs), falls and drowning whereas the leading intentional causes are suicide and homicide. A robust Surveillance System for Injury Mortality is almost non-existent in our country due to which the data for the same is not available and haphazard. Keeping these factors in mind, the following study was under taken to identify the various epidemiological factors related to fatal injury cases.Methods: A record based retrospective study was conducted in the Department of Community Medicine, VSSIMAR, Burla, Odisha. The data were collected from the autopsy reports preserved at the Dept of FM & T, VSSIMSAR. Variables like age, sex, number of injury cause of death, place of death etc. were collected. Data were entered in Microsoft Excel and analysed using proportions and percentages.Results: The age group 25-44 years recorded the maximum number of deaths (37.49%). Males suffered the highest casualty accounting for 61.85% of deaths. Unintentional fatal injuries constituted 63.58% of deaths. The most number of fatal injuries resulting in deaths were RTAs (36.41%).Conclusions: The age group 25-44 years recorded maximum deaths. Males were the major death victims. RTAs constituted maximum of deaths among unintentional fatal injuries. Homicidal injuries constituted maximum of deaths due to intentional fatal injuries.

scholarly journals To Evaluate the Frequency of Diabetes Mellitus Patients with Hepatitis C at Tertiary Hospital of Sindh, Pakistan

2021 ◽  
pp. 34-38
Author(s):  
Kuldeep Kumar Mewaram ◽  
Faraz Qurban Rajper ◽  
Khalida Unar ◽  
Mirza Tasawar Baig ◽  
Mirza Tasawar Baig ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Hepatitis C ◽  
Nucleic Acid ◽  
Sample Size ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Major Theme ◽  
Care Hospital ◽  
Age Group

Objective: The major theme of the research was to evaluate the frequency of diabetes mellitus patients with hepatitis C infection at tertiary care hospital of Sindh, Pakistan. Methodology: Descriptive cross sectional study was conducted at tertiary care hospital of Sindh, Pakistan for the period of 08 months; total 374 sample size was calculated by using Rao soft sample size calculator at the prevalence rate of 58.3% and confidence level 95% and margin of error 5%. Data was collected from patients of sero-positive HCV-RNA (Hepatitis C Virus-Ribose Nucleic Acid) visiting outpatient department or admitted at tertiary care hospital of Sindh, Pakistan and Informed consent form was also filled from all included subjects and data was analyzed by using SPSS software version 24.00. Results: From the 374 patients 209 were males and 165 females and all participants were divided in to various age groups as 15 patients were in the age group of 20-25 years, 67 patients were in 26-30 years, 48 patients included in 31-35 years and 109 patients were included in to age group of 36-40 years. Only 12 patients were included in the age group of 50 years and above. Total 164 (43.85%) were diabetic and 229 (61.22%) were diagnosed with Hepatitis C RNA (Ribose Nucleic Acid) positive. Patients had various range of HbA1c as 93 patients had range between 6-7mmol/dl. 107(28.60%) included in 7-9mmol/dl, 145(38.77%) included in 9-11mmol/dl and only 29 patients were having HbA1c (Glycated Hemoglobin) level above 11mmol/dl. Conclusion: It was concluded that there were increased number of diabetic patients with hepatitis C in worsening condition, so the proper programs should be conducted in order to reduce the complication of co-morbid disease.

scholarly journals Incidence and Patient Profile of Carcinoma Breast Patients Presenting in Surgical OPD in a Tertiary Care Hospital

2021 ◽  
Vol 15 (2) ◽  
pp. 65-68
Author(s):  
Sharmistha Roy ◽  
Mosammat Mira Pervin ◽  
Mohd Mejbahul Bahar ◽  
Samiron Kumar Mondal ◽  
Md Tariq Hasan
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Cancer Biology ◽  
Tertiary Care ◽  
Locally Advanced ◽  
Metastatic Breast ◽  
Care Hospital ◽  
Age Group ◽  
Breast Lump ◽  
Patient Profile

Breast cancer is one of the common cancers in women that causes financial health burden and or death in Bangladesh. Economically we are slowly rising from low to middle income country, which is changing our women's lifestyle. Risk factors of breast cancer include lifestyle factors like- age at first childbirth, parity, using oral contraceptives, BMI; which are also changing in our women. This study will look at our current incidence and patient profile of breast cancer patient. This is a retrospective study done in BIRDEM General Hospital. One hundred patient presenting with breast lump during the period of September 2018 -May 2019 were selected by purposive sampling. In <30 years age group 2 (13.6%) patient had cancer, 41% at <40 years, 53% in 51-60 , 83% in 61-70 age group. Thirty four out of 100 breast lump patient were diagnosed with cancer. Eleven had early cancer, 20 had locally advanced cancer, 3 presented with metastasis. In our study risk factor assessment did not show significant increase risk of in patients who are having cancer compared to those having benign breast disease with similar risk factors. The big number of advance and metastatic breast cancers in our study indicates self-breast examination and breast cancer screening program is still inadequate. Further research is required to find out breast cancer biology and pathogenesis rather than blindly accusing urbanized life style. Faridpur Med. Coll. J. 2020;15(2): 65-68

scholarly journals Study of Drug Utilization on Acute Poisoning Cases Treated at Tertiary Care Hospital

2018 ◽  
Vol 3 (10) ◽  
Author(s):  
Dr. Sreya Todi
Keyword(s):  
Drug Utilization ◽  
Urban Areas ◽  
Tertiary Care ◽  
Acute Poisoning ◽  
Medical Emergency ◽  
Poison Control ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional

Acute poisoning is common everywhere in medical emergency.  Acute poisoning may be due to deliberate exposure to drugs, chemicals and natural toxins or accidental which is emergency for common medical health.  The main aim of this study was to investigate the pattern of drug utilization, poisoning agents, and outcome in patients with treated acute poisoning. Material and Methods:  This prospective cross sectional study was carried out in the emergency department of a tertiary care centre over a one year period. Result: During the period of 1 year total 310 Acute poisoning cases were recorded by us. Out of 310 acute poisoning cases 170(54.8%) were male where as females were 140(45.2%). The majority of cases were from age group of 20 -50 years in males whereas mean age of female patients was 37.3 years and majority of the cases were from 25-50 age group. The most common route of exposure to poisons (69.6%) was ingestion and followed by dermal exposure (in cases of venomous animal exposures) (25.8%) and inhalation (4.6%).The most common symptomatic treatments given to the patients were antimicrobials (88.7% of cases),  antiemetics (82.6%% of cases), H2 blockers (72.9% of cases) and Atropine (51% of cases), pralidoxime (41.6% of cases)  Proton pump inhibitors and  Vasopressor agents  etc respectively. The most commonly prescribed specific antidotes were Anti-snake venom (ASV) (12.9% of cases).Conclusion: In the present study, the main causes of poisoning were identified as household products in urban areas of India. Awareness about the dangers of such poisons should be the added responsibility of  health and hospital authorities. Poison control center establishment in the region will also help in preventing and controlling such poisoning events.

scholarly journals Socio-demographic Characteristics of Hepato-cellular Carcinoma Patients attended at Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 3 (2) ◽  
pp. 39-42
Author(s):  
Md Akter Hossain ◽  
Md Saiful Huq ◽  
Ashfaq Ahmad
Keyword(s):  
Hepatocellular Carcinoma ◽  
Tertiary Care ◽  
Medical Personnel ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Cellular Carcinoma ◽  
Medical University

Background: The hepatocellular carcinoma is one of the most common tumor.Objectives: The purpose of the present study was to see the socio-economic characteristics 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.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. Out of 50 patients 43(86%) were male and 7(14%) female. Cultivator was 42% followed by service holder. Medical personnel were 2%. Illiterate group was the top of the list with 40% and most educated was 4%.Conclusion: In conclusion the hepatocellular carcinoma is most commonly occurred in middle age group with a predominance of male.Journal of Current and Advance Medical Research 2016;3(2):39-42

scholarly journals A prospective study of pattern of acute poisoning and treatment outcome in paediatric age group in tertiary care hospital of Konaseema region of Andhra Pradesh, India

2018 ◽  
Vol 5 (2) ◽  
pp. 576
Author(s):  
Katada Narayan Rao ◽  
Payyavula Suresh Babu ◽  
Anand Acharya
Keyword(s):  
Treatment Outcome ◽  
Andhra Pradesh ◽  
Tertiary Care ◽  
Food Poisoning ◽  
Acute Poisoning ◽  
Care Hospital ◽  
Age Group ◽  
Idiosyncratic Reaction ◽  
Patient Profile ◽  
Paediatric Age

Background: Konaseema region of Andhra Pradesh is little different from other area as it is the delta of Godavari river with agriculture and aqua main source of income to the people. This area has mainly rural establishment and no study has been conducted on children to know the pattern of acute poisoning and treatment outcome. Present study has been designed with an aim to study of the pattern of acute poisoning and treatment out come in Konaseema region of Andhra Pradesh.Methods: In present study all the children from birth to 16 years of age who has been admitted in emergency department were recruited. Patients with snake bite, scorpion bites, unknown bites, idiosyncratic reaction to prescribed drugs, food poisoning were excluded from this study. Information were obtained from mother of the patients in most of the cases but father or other guardian were also interview if mother was not available. A pre-designed questionnaire was used for collection of data. This contains demography data of the patient, profile of poisoning, symptoms of the patient presenting with and the outcome of the treatment.Results: Insecticide and pesticides poisoning patients were 122 but of that 60 were organophosphorus, 30 were organochlorines, 10 were carbamates, 20 were rat poisoning and two pts were having herbicides and fungicides poisoning. Fourteen patients were having poisoning by house hold things out of then, four having kerosene oil poisoning, 6 patients having turpentine oil poisoning, two patients with phenyl and rest two patients with KMnO4 poisoning.Conclusions: In Konaseema region pesticides, insecticides and rodenticides are used commonly in agricultural fields and easily available that is the reason for its poisoning in paediatric age group, so awareness about the proper handling of pesticides container and use is required to reduce the incidence.

scholarly journals A STUDY OF BLUNT CHEST TRAUMA : ETIOLOGY, EXTENT OF DANAGE AND MANAGEMENT

2021 ◽  
pp. 35-36
Author(s):  
Parth S Patel ◽  
A.A. Ghasura ◽  
Deep Patel ◽  
Kartik Vala
Keyword(s):  
Urban Areas ◽  
Chest Trauma ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Health Concern ◽  
Care Hospital ◽  
Age Group ◽  
Public Health Concern ◽  
Exclusion Criteria ◽  
Chest Injuries

Trauma is an important and serious problem of public health concern. It leads to disability and mortality especially among most active and productive age group of 0-40 years.In urban areas, blunt type of chest injuries are more frequently found.urbanization and industrization are important reason for these increasing number of accident. Methods : This study was carried out among 100 cases of age group 15 to 75 years, aa religions and both sexes in tertiary care hospital, civil hospital ahemdabad, between period of December 2020 to July 2021. Inclusion and exclusion criteria were decided. Etiology , extent of underlying damage and management were studied. Majority of Patien Results : t (41%)were from 25 to 35 years, majority of patient weer male. Vehicular accident was the commonest (60%) cause of injury followed by assault (20%).most of the patient suffered rib fracture. Majority were treated conservatively. Conclusion: Most active age group of 25 to 35 years and male were affected with commonly vehicular accident. This situation can only be controlled by increasing awareness among young and active age group.

scholarly journals Hepatitis B & C Viral Markers Status in Icteric Children at a Tertiary Care Hospital

2012 ◽  
Vol 3 (2) ◽  
pp. 35-37 ◽  
Author(s):  
Abdul Matin ◽  
Md. Rafiqul Islam ◽  
Md. Al-Amin Mridha ◽  
Md. Golam Mowla ◽  
Rita Khan ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Hepatitis B ◽  
Venous Blood ◽  
Tertiary Care ◽  
High Rate ◽  
Seroprevalence Rate ◽  
Care Hospital ◽  
Age Group ◽  
Hepatitis C Infection ◽  
Medical University

Background: Hepatitis B (HBV) and Hepatitis C virus (HCV) can cause important morbidity and mortality and are major causes of acute and chronic liver disease worldwide.Objectives: This study was an attempt to evaluate the seroprevalence rate of hepatitis B and C in jaundiced children who were admitted at Bangabandhu Sheikh Mujib Medical University. This would be helpful to take measure for the prevention of hepatitis B and hepatitis C infection in paediatric age group. Methodology: A total of 50 admitted jaundiced children of either sex selected randomly were studied during July 2004 to June 2005 in the Department of Paediatrics of Bangabandhu Sheikh Mujib Medical University. Venous blood was tested for HBsAg and anti-HBcAb (IgM) and anti-HCV viral markers by ELISA.Results: The HBsAg test was positive among 24.0 %, Anti-HBcAb (IgM) test positive in 14.0 %. HBsAg was positive in 66.66% of male children and 33.33% of female children. Sero positivity was more in the 10 years age group. Conclusion: This study shows high rate of HBsAg and Anti- HBcAb IgM seropositivity among icteric sick children so, further studies with appropriate design & sample size to be conducted. J Shaheed Suhrawardy Med Coll, 2011;3 (2): 35-37 DOI: http://dx.doi.org/10.3329/jssmc.v3i2.12075

scholarly journals Analysis of pesticide poisoning cases in a tertiary care hospital, Mumbai

2019 ◽  
Vol 1 (1) ◽  
pp. 12-14
Author(s):  
Rajesh D. Kharat ◽  
RAHUL VITTHAL KEDARE
Keyword(s):  
Urban Areas ◽  
Tertiary Care ◽  
Medical Emergency ◽  
Care Hospital ◽  
Age Group ◽  
Pesticide Poisoning ◽  
Female Ratio ◽  
Safety Practices ◽  
Hindu Religion ◽  
Lower Socioeconomic

The pesticide poisoning is a common medical emergency and leads to morbidity and mortality in developing countries due to easy accessibility and less cost. A prospective analysis of pesticide poisoning cases admitted to the emergency department of tertiary care, teaching hospital, Mumbai, Maharashtra from 1st January 2006 to 31st December 2006. The main objectives, to assess the pattern and socio-demographic profile of pesticide poisoning. The most cases observed in the age group 21-30 years (n:72, 41.37%)). Total males affected were 94 (54.02%) dominating the females 80 (45.98%) and male to female ratio (1.17:1). But in younger age group, females were more affected than males. The maximum cases belonged to the lower socioeconomic class (n:82, 47.12%) and urban areas (n:106, 60.91%). Majority of the victims married and belonged to Hindu religion (n: 140, 80.4%). The occurrence of pesticide poisoning was more frequent in the evening (n:82,47.12%) and during the, monsoon (73, 41.95%).There is a need for adequate guidelines for sale, use, storage and safety practices for the pesticide. These will be helpful for the enhancement of the knowledge, awareness and safety practices among the population for prevention and reduction of the pesticide poisoning. It also emphasized on the early availability of treatment in the poisoning cases.

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