scholarly journals Recipients Perception of Blood Transfusion Risk in Some Selected Tertiary Care Hospitals

2014 ◽  
Vol 5 (2) ◽  
pp. 30-33
Author(s):  
MM Rahman ◽  
TT Sajani
Keyword(s):  
Blood Transfusion ◽  
Blood Group ◽  
Large Scale ◽  
Tertiary Care ◽  
Community Based ◽  
Medical College ◽  
Level Of Understanding ◽  
Record Review ◽  
Demographic Condition ◽  
Tertiary Care Hospitals

This was a descriptive study carried out in the Medicine, Surgery, Gynae and Orthopedics ward of three randomly selected tertiary care hospitals at Dhaka, Bogra and Rangpur. It was aimed to evaluate the extent of understanding about the risk of blood transfusion among the blood recipients, to identify the common indications for blood transfusion through record review, to determine the recipients knowledge about indications of blood transfusion, their level of understanding about blood group, blood donors, and risk of blood transfusion and to find out the socio-demographic condition of recipients admitted at tertiary care hospitals. It was found that most of the respondents 63.17% were in the age group of 15-39 years and 56.95% were between primary to secondary level of education. More than half 56.83% respondents were housewife. The idea about indications of blood transfusion was found among 60.37% respondents. The idea about own blood group was found among 73.54% respondents. However, 52.93% respondents were unaware about the persons who can donate blood. Professional blood donor were the choice for own to only 15.60% respondents. The study also identified 57.32% respondents having risk of blood transmissible diseases. The respondents idea about transmissible diseases were identified as AIDs, Hepatitis-B, Syphilis and Malaria by 90.48%, 42.38%, 5.25% and 5.25% respectively. The study demands awareness and motivational program among younger and adult females in regards to transfusion transmissible diseases and its prevention. The importance of knowing blood group,donor selection and adverse effects of transfusion may also considered as a part of awareness program. It also demands a large scale community based survey to generate information towards development of effective strategy in minimizing risk of transfusion transmissible diseases in particular. DOI: http://dx.doi.org/10.3329/akmmcj.v5i2.21129 Anwer Khan Modern Medical College Journal Vol. 5, No. 2: July 2014, Pages 30-33

scholarly journals A Survey of Factors Influencing Drug Choice and the Prescribing Attitudes Among Junior Doctors of Two Major Tertiary Care Hospitals in Chittagong City

2018 ◽  
Vol 17 (1) ◽  
pp. 17-22
Author(s):  
Jannatul Ferdoush ◽  
Abhijit Chowdhury ◽  
Kohinoor Parveen ◽  
Maliha Ata ◽  
Sefa Sarwath Alam ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Complete Response ◽  
Continuous Medical Education ◽  
Junior Doctors ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Factors Influencing ◽  
Drug Choice ◽  
Tertiary Care Hospitals

Background: The magnitude of rational prescribing is well known but the irrationalities and errors in prescriptions are seen worldwide as the training of future doctors is still not up to the mark. This study aimed to find out the factors influencing drug choice and the prescribing attitudes among junior doctors of two major tertiary care hospitals in Chittagong city. Methods: A cross-sectional questionnaire survey was conducted among the junior doctors of Chittagong Medical College Hospital (CMCH) and Chattagram Maa -O- Shishu Hospital Medical College (CMOSHMC) to assess the factors influencing drug choice and the prescribing attitudes among junior doctors during August 2016. Results: The questionnaires were provided to 220 participants of whom 162 (73.63%) participants provided a complete response to the survey. The response rate was 75.89% in CMOSHMCH and 71.29% in CMCH. The majority (87.03%) of junior doctors mentioned that they are highly influenced by their supervising senior doctors’ patterns of prescriptions. About 79.01% of them took the cost of drugs into consideration while prescribing. 58.64% of the prescribers reported their confidence while prescribing without supervision. On the otherhand, 33.33% doctors mentioned that side effects of the drug changed their patterns of prescriptions. Only one-third (33.95%) of the junior doctors opined that the pharmaceutical promotional offers never influence them. Conclusion: Junior doctors decide their drug of choice mainly by copying their supervising senior doctors’ prescriptions without knowing how to choose, and they feel less confident while prescribing. Issues of drug cost, adverse drug reactions concerned the majority of the participants, but they do not have the clear ideas on how to deal with these practice behaviours. Moreover, pharmaceutical promotional offers significantly persuaded the junior doctors’ prescription patterns. So, there is a need for the continuous medical education programs in hospital settings to train the junior doctors for building capacities and competencies while prescribing. Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 17-22

scholarly journals Comparison of ABO and Rh-D Blood Group Systems between the Garo Tribal People of Mymensingh and General People of Dhaka City

2012 ◽  
Vol 1 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Rayhana Sultana ◽  
Zaida Rahman ◽  
Dipok Kumar Sannyal ◽  
Mohammad Abdullah Al Masud ◽  
Golam Morshed Molla ◽  
...  
Keyword(s):  
Distribution Pattern ◽  
Blood Group ◽  
Large Scale ◽  
Blood Groups ◽  
Dhaka City ◽  
Chi Square ◽  
Tribal People ◽  
Medical College ◽  
Garo People ◽  
Group B

Background: The distribution pattern of ABO and Rh-D blood group in our country including the tribal people is not fully established as elaborated and large scale studies have not been carried out on it. Therefore this study was designed to observe the distribution pattern of ABO and Rh-D blood groups among the Garo tribes of Mymensingh and general people of Dhaka city. Objectives: To determine and to compare the distribution pattern of ABO and Rh-D blood groups among the Garo tribal people of Mymensingh and general people of Dhaka city and to compare this distribution between this two groups. Materials and Methods: This observational study was conducted in the Department of Physiology, Dhaka Medical College, Dhaka from July 2008 to June 2009. After proper ethical consideration total 900 Garo people of Mymensingh and 784 general people of Dhaka city were included in this study. The Garo localities and the general people of Dhaka city were selected by systematic random sampling. ABO and Rh-D blood groups were determined by the antigen antibody agglutination test of slide method. Chi square statistical analyses were done to compare the results of ABO blood group systems between the Garo people and general people of Dhaka city. Results: This study revealed that there are significant variations in the distribution of ABO and Rh-D blood groups between the Garo tribal people of Mymensingh and the general people of Dhaka city. In this study it was observed that blood group ‘A’ was apparently predominant in Garo population, while blood group ‘B’ was predominant in general population (p<0.001), blood group ‘AB’ and ‘O’ were almost similar in both groups. Rh typing of the participants reveals that majorities of both groups were Rh positive. Rh negative persons are rare in both populations, but it is extremely rare in the Garo population (0.9%). Conclusion: From the findings of the present study it can be concluded that distribution of ABO and Rh-D blood groups varies between the Garo tribal people and the general people of Dhaka city. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11137J Enam Med Col 2011; 1(1): 31-35

scholarly journals Spectrum of dengue morbidity in pregnancy and its impact on maternal and perinatal outcome

2019 ◽  
Vol 8 (4) ◽  
pp. 1511
Author(s):  
Anuradha G. ◽  
Sandya M. R. ◽  
Shirley George
Keyword(s):  
Dengue Infection ◽  
Tertiary Care ◽  
Dengue Shock Syndrome ◽  
Severe Form ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Medical College ◽  
Still Births ◽  
Record Review ◽  
In Pregnancy

Background: Dengue is a vector borne viral infection with seasonal outbreaks every year. The spectrum varies from just a febrile morbidity to the severe form of dengue shock syndrome (DSS). The objective of the present study was to study the influence of dengue fever on pregnancy and to analyze the maternal and perinatal outcome.Methods: Thirty-six pregnant women beyond 28weeks of gestation who tested positive for dengue infection were retrospectively analyzed during a 5year study period (Jan 2014-Dec 2018). The study was conducted in the Department of OBGYN St John’s Medical College Hospital, Bangalore. Thirty-three of these patients delivered at St John’s and there were three postpartum referral cases. The necessary data was obtained by patient record review. The data was analyzed using SPSS and the results were expressed as Mean±SD and percentages.Results: Out of 36 women analyzed the mean age was found to be 23.93±4.5 years. Majority were primigravidae (58.3%). The most common clinical manifestation was fever seen in 47.2%. Twenty five percent of patients had platelet count of <20,000 on admission. Overall 66% of the patients required transfusion. Nearly fifty three percent of the patients had vaginal delivery. There were 4 maternal mortalities (11.1%) and 2 perinatal mortalities (5.5%) both were still births in the present study.Conclusions: Dengue infection in pregnancy was associated with increased maternal and perinatal morbidity as well as mortality. The severity of the infection has direct impact on the outcome. Hence early diagnosis and prompt management in a tertiary care centre, with multidisciplinary approach improves the outcome and minimizes the complications.

scholarly journals Study of pattern of congenital anomalies at tertiary center in Maharashtra, India

2018 ◽  
Vol 7 (7) ◽  
pp. 2802
Author(s):  
B. B. Yadav ◽  
S. B. Yadav ◽  
P. K. Damase
Keyword(s):  
Congenital Anomalies ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Second Trimester ◽  
Community Based ◽  
Common Pattern ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Tertiary Center

Background: To highlight common pattern of congenital malformation seen at hospital population of tertiary care center in Maharashtra.Methods: The study was a descriptive prospective study and conducted in the department of obstetrics and gynaecology of government medical college Latur, Maharashtra for a period of six months. Study includes all womens coming for 2nd trimester MTP due to congenital anomalies in foetus and women’s admitted in labour having anomalous foetus. Details of maternal age, parity, type of anomaly present and sex of fetus were noted.Results: Total babies born in the study period were 3482 (including the second trimester abortions). Total babies with congenital abnormality were 75, making the prevalence 2.15%. 10 cases (13.33) had multiple anomalies involving more than one system. The predominant system involved was central nervous system 40 (53.33%) followed by gastrointestinal system 15 (20%). In this study male babies affected more than females.Conclusions: Prevalence of the congenital anomalies will be definitely higher at tertiary care center and to know prevalence in community, more community based studies are required. Increased awareness about preventable risk factors may help in reducing the incidence of congenital anomalies.

scholarly journals Study of Rhesus Genotype and Phenotype in Bangladeshi Population Attended in a Tertiary Care Hospital Transfusion Medicine

2017 ◽  
Vol 7 (2) ◽  
pp. 25-28
Author(s):  
Nittyananda Shil ◽  
Nahid Sultana ◽  
Sonia Sormin
Keyword(s):  
Blood Group ◽  
Tertiary Care ◽  
Population Sample ◽  
Transfusion Practice ◽  
Care Hospital ◽  
Transfusion Medicine ◽  
Gene Frequencies ◽  
Cross Sectional ◽  
Medical College ◽  
Bangladeshi Population

Background: The Rhesus Blood Group is one of the most important Blood Group like ABO. Exposure of Rhesus Negative individuals to Rhesus Positive Red Cells by Transfusion and/or Pregnancy is most likely to stimulate the production of Rhesus antibodies. These Antibodies may cause Haemolytic Diseases of Newborn (HDN) and Delayed Haemolytic Transfusion Reaction (DHTR.) Rh-antigens, mainly D, C ,E, e and small c are well developed before birth. d is not present or used hypothetically. The frequency of these antigens can be determined by using five different antisera; anti-D,-C, small c, -E and small e. Based on these Phenotype and Gene frequencies in a particular Population, the most probable Rh Genotype can be determined.Methodology: This cross sectional comparative study was carried out with 1,000 randomized samples of both patient and donors in the department of Transfusion Medicine of Bangabandhu Sheikh Mujib Medical University (BSMMU). The eventual objective of the study was to determine the actual Rhesus phenotype-genotype frequency of Bangladeshi Native population. Sample was collected from both donor and patient. For each Test Saline and Anti Human Globulin Test (AHGT) were employed. Result: The most common genotype, we found, CDe/CDe i.e R1R1 (38.60%) which is the most vulnerable genotype to be immunized, the next group in our study was CDe/cde R1r(29.20%) and next category was CDe/Cde i.e. R1R2 (22.20%). Very rare genotype in our study detected was cDE/cde i.e. R2R (1.90%), cDE/cDE i.e. R2R2 (1.50%) CDE/cDE i.e.R1Rz (0.60%), cde/cde i.e. R0R0 (0.60%). Among Rh (D) Negative samples genotypes found is cde/cde i.e. rr (4.50%, and cde/cde i.e.r'r(0.8%) and Cde/cdE i.e. rr" (0.10%). Frequency distribution of genotype among male and female was also determined.Conclusion: The findings may be used in formulating Clinical Transfusion Practice and to fourmule strategies to prevent Rh Sensitization, may thus also be useful in disputed paternity and genetic study in Bangladesh.Anwer Khan Modern Medical College Journal Vol. 7, No. 2: Jul 2016, P 25-28

scholarly journals A study to evaluate the demographic profile of voluntary and replacement blood donors at tertiary care hospital in Mumbai, India: a 5-year retrospective comparative analysis

2021 ◽  
Vol 9 (3) ◽  
pp. 866
Author(s):  
Khaneta Parveen ◽  
Abdul F. Khan ◽  
Abdul S. Khan
Keyword(s):  
Blood Transfusion ◽  
Blood Donors ◽  
Blood Donation ◽  
Tertiary Care ◽  
Care Hospital ◽  
Demographic Profile ◽  
Medical College ◽  
Donor Type ◽  
Males And Females ◽  
And Gender

Background: Blood donor base is the foundation of any blood transfusion system. Donor screening plays an important role in ensuring the safety of the blood supply.1 This study was undertaken with the aim to screen the blood donor’s demographic profile as male, female voluntary and replacement blood donors and to estimate seroprevalence of HIV, HBV, HCV and VDRL transmissible by blood transfusion in voluntary and replacement male and female blood donors during the last 5 year period.Methods: The present study was conducted over a period of 5 years (2001-2005) and involved 1,53,020 blood donors including both (voluntary, replacement males and females) who were thoroughly screened and selected for blood donation in blood bank at Departments of Pathology, Seth GS Medical College and KEM hospital, Mumbai. We determine among blood donors by their donor type (voluntary and replacement type) and gender wise.Results: The total number of blood donors in five years period was 1,53,020 (100%). Maximum number of voluntary  blood donors 1,00,316 (65.55%), followed by replacement blood donors 52,704 (34.33%).The overwhelming majority of donors in entire 5 years period was of male, comprising 1,36,195 (89.0%), while the female donors comprised of 16825 (10.99%).Conclusions: The maximum number of donors are voluntary males (55.69%) followed by replacement males (33.30%). Our results indicate that the number of female blood donors were less in comparison to male blood donors, so proper health education is required for female blood donors.

scholarly journals The nature of language problem in Bangladeshi children with cerebral palsy: an observation using neurolinguistic approach

Mediscope ◽  
2018 ◽  
Vol 5 (1) ◽  
pp. 22-27
Author(s):  
F Ferdous ◽  
MF Alam ◽  
MMR Chisty ◽  
JI Ali ◽  
NMW Rahman
Keyword(s):  
Cerebral Palsy ◽  
Small Sample Size ◽  
Tertiary Care ◽  
Small Sample ◽  
Childhood Disability ◽  
Medical College ◽  
Complex Sentences ◽  
History Of ◽  
Children Development ◽  
Tertiary Care Hospitals

Cerebral palsy (CP) is the leading cause of childhood disability affecting function and development. The objective of the study was to look into the language problems in Bangladeshi children with CP on the basis of neurolinguistic approach and was conducted during the period of April 2014 to December 2014 at the Department of Linguistics, University of Dhaka among children aged between 3 to 18 years. In the study, a total of 10 children with CP were enrolled purposively from two tertiary care hospitals in Dhaka (Children Development Centre of Sir Salimullah Medical College and Mitford Hospital and National Institute of Mental Health). The mean±SD age was 8.9±4.8 years. Male was predominant (60.0%). History of prolonged labour was 100%, and home attended by untrained birth attendants in 70.0%. The 90.0% of the children understood simple meaningful sentences using two words. The children were unable to understand complex sentences. The 80.0% children did not want to play or make friendship with other children; 40.0% did not understand others’ speech, 50.0% did not express their own speech, and 10.0% did not understand & express their own speech. All the children had deep thong articulation changed to mono thong in case of semi vowel articulation. In case of history of delayed crying at birth, phoneme omission occurred when the children tried to articulate any word. To the best of knowledge, this was the first study done on the neurolinguistic approach in Bengali children, but the limitation of the study were that it was with small sample size, city based and short duration. Therefore, generalization of the results would be difficult. Further studies using larger sample would be better to visualize the extent of the issue in order to insert the children with CP in their social context and to give them quality of life.Mediscope Vol. 5, No. 1: Jan 2018, Page 22-27

scholarly journals Trend of ABO and Rh Blood Group among the Students of Community Based Medical College Bangladesh

2017 ◽  
Vol 6 (2) ◽  
pp. 12-14
Author(s):  
Nilufar Begum ◽  
Amdadul Haque ◽  
Fatema Akhter Tumpa
Keyword(s):  
Blood Group ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio ◽  
Group B ◽  
Safe Blood ◽  
Blood Grouping

This cross sectional study was done at department of Transfusion Medicine in Community Based Medical College (CBMCB) to know the Prevalence of ABO blood group and Rh group systems among the students selected for admission into CBMCB. Sample size was 555. Male female ratio was 67:33 with mean age was ±19 years. Maintaining aseptic precaution blood samples were collected by venepuncture with disposable syringe without anticoagulant. Antigen-antibody agglutination test was done in slide method for ABO and Rh(D) blood grouping by mixing individual blood sample with Anti A, Anti -B, Anti-D human antisera. Results were taken by visually and under microscope in low power. Blood group differs person to person due to genetically determined antigen. This study showed highest frequency of blood group B (33.5%) followed by O (32.5 %), A (23.37%) and AB (10.63%) in ABO system and In Rhesus system, frequency of Rh-positive was 97.12% and Rh-negative was 2.88%. Results were comparable with different foreign studies. Fair blood grouping assist the safe blood transfusion and reduce the morbidity and mortality considerably. CBMJ 2017 July: Vol. 06 No. 02 P: 12-14

scholarly journals Expenses incurred by hospitalised patients in Era’s Lucknow Medical College, Lucknow

2021 ◽  
Vol 8 (11) ◽  
pp. 5451
Author(s):  
Digvijay Chaudhary ◽  
M. M. A. Faridi ◽  
Tarannum Fatima ◽  
Aysha Rahman
Keyword(s):  
Tertiary Care ◽  
General Medicine ◽  
Total Cost ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Hospitalised Patients ◽  
Private Teaching ◽  
Surgical Conditions ◽  
The Cost ◽  
Tertiary Care Hospitals

Background: Significant amount is spent by the patients when they attend tertiary care hospitals for treatment inspite of free services. The objective of this study was to account expenses on the medication, consumable items for patient care and food and transport.Methods: Fifty patients were recruited, 10 patients each from pediatrics, general medicine, obstetrics and gynaecology, general surgery and orthopaedics indoor wards. First two patients admitted on the day of admission were enrolled and followed for three days. The cost of patient’s expenses on investigations, medicines and consumables, travel to the hospital and food on self and relatives during hospitalization was estimated with the help of a questionnaire.Results: The expenditure was more on the patients suffering from surgical conditions. Total expenditure on the patients admitted in the orthopedics, surgery and surgical cases of obstetrics and gynaecology wards was INR 31985/, INR 11798/- and INR 14746/- for 3 days respectively. Out of the total expenses INR 1095/-, INR 1150/- and INR 1316/- were spent on food and travel of the patients and family members to the hospital for admission in orthopedics, surgery and surgical cases of obstetrics and gynaecology wards respectively. In patients with non-surgical conditions like medicine, pediatrics and non-operative cases of obstetrics and gynaecology the total cost per patient was INR 5610/-, INR 5037/- and INR 4416/- respectively.Conclusions: Patients treated in the private teaching hospital spent significant number of rupees. The expenditure by the patients undergoing surgical treatment spent two to three times more as compared to patients admitted in the general medicine and pediatric wards.

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