scholarly journals Clinical Profile of Kerosene Poisoning in a Tertiary Level Hospital in Bangladesh

2014 ◽  
Vol 38 (1) ◽  
pp. 11-14 ◽  
Author(s):  
S Anwar ◽  
AKMN Rahman ◽  
SK A Houqe ◽  
AKMA Moshed ◽  
L Yasmin ◽  
...  
Keyword(s):  
Soft Drink ◽  
Clinical Findings ◽  
Summer Season ◽  
Clinical Profile ◽  
Medical Emergency ◽  
College Hospital ◽  
Economic Class ◽  
Medical College ◽  
Respiratory Complaints ◽  
Level Hospital

Background: Accidental ingestion of kerosene continues to remain a common medical emergency among children in developing countries. The importance of this poisoning makes it imperative that parents should be aware about this poisoning. Objective: To see clinical profile of Kerosene poisoning in Bangladesh. Methodology: This retrospective study analyzed 56 children with acute kerosene poisoning admitted in Dhaka Medical College Hospital from January 2010 to June 2010 Result: Fifty six kerosene poisoning cases were admitted within 6 months period. Among the cases boys 29(51.8%), aged less than three years 52(93%), from a rural background 36(64%) and belonging to lower economic class 51 (91%) were found. Inappropriate container of kerosene like soft drink bottle 40 (71%) & summer season 40 (71%) were found major risk factor for kerosene ingestion. Cough 52 (92%) and dyspnea 51(91%) were the commonest clinical findings. Conclusion: Respiratory complaints are predominant clinical features of Kerosene poisoning. Toddler age, children from rural area, summer season were found major risk factors for kerosene ingestion and is mostly due to faulty packing & storage of kerosene. DOI: http://dx.doi.org/10.3329/bjch.v38i1.20021 Bangladesh J Child Health 2014; VOL 38 (1) : 11-14

scholarly journals Surgery at Cranio-vertebral (CV) Junction: Our Experience of 32 Cases

1970 ◽  
Vol 29 (2) ◽  
pp. 78-84
Author(s):  
FH Chowdhury ◽  
MR Haque ◽  
NKSM Chowdhury ◽  
MS Islam ◽  
Z Raihan ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Surgical Techniques ◽  
Clinical Findings ◽  
Type I ◽  
College Hospital ◽  
Chiari Malformation Type I ◽  
Female Ratio ◽  
Medical College ◽  
Neoplastic Lesion ◽  
Wide Range

Cranio vertebral (CV) junction is one of the critical sites for surgery. It's anatomy, physiological aspects and pathological involvement varies in a wide range of margins. Common problems are developmental anomalies, traumatic involvement, inflammatory, infective and neoplastic lesion. Management of these problems varies a lot from each other. Aim of the article is to overview the pathologies in this area and to study presentations, investigations, surgical procedures and results of these pathologies. We prospectively analyzed 32 cases of Cranio-vertebral (CV) region surgery in the Department of Neurosurgery Dhaka Medical College Hospital and Mitford Hospital, Dhaka, from 2000 to 2008. In our series, male and female ratio was 7.2:1. Pathologies were atlanto- axial dislocation (AAD), Chiari malformation type –I, schwannoma, meningioma, hydatid cyst and tuberculosis. Common clinical findings were- neck pain, quadriparesis, quadriplegia, hand atrophy, autonomic dysfunction and hypertension. Various types of surgical procedures were done in this series according to the pathology. Death was in 01 case, neurological deterioration seen in one case, 2 cases were neurologically stable and 28 cases (87.5%) improved neurologically where one was non useful improvement (Frankel grade-C). Complete pre operative radiological study is a very important adjunct for a successful surgical result. Proper evaluation of patients with selection of appropriate surgical procedures along with safe surgical techniques are the necessary things for successful surgery in this area. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7952 (J Bangladesh Coll Phys Surg 2011; 29: 78-84)

scholarly journals PROGNOSIS OF ACUTE FULMINANT HEPATIC FAILURE

2012 ◽  
Vol 19 (04) ◽  
pp. 496-500
Author(s):  
JAVED AHMED PHULPOTO
Keyword(s):  
Mortality Rate ◽  
Fulminant Hepatic Failure ◽  
Hepatic Failure ◽  
Developed Countries ◽  
Medical College Hospital ◽  
Medical Emergency ◽  
College Hospital ◽  
Medical Unit ◽  
Medical College ◽  
Geographical Variations

Acute fulminant hepatic failure (ALF) is a medical emergency and associated with high mortality rate. Its etiology showsconsiderable geographical variations. The viral causes are the most common in our region, [whilst acetaminophen (Paracetamol) inducedhepatotoxicity forms the most common precipitant in many developed countries]. Objective: To assess the causes and prognosis of acutefulminant hepatic failure in patients attending medical unit I, Ghulam Mohammad Mahar Medical college hospital, Sukkur. Study Design: Across-sectional study. Place of Study: Medical Unit-I, Ghulam Mohammad Mahar Medical College Hospital, Sukkur. Duration of Study: FromJanuary 2010 to July 2011. Methodology: A total one hundred twenty (120) patients of ALF were studied during the study period to evaluate thecauses and prognosis. Those patients who were admitted during the study period were included in the study. The selected patients presentedwith jaundice and hepatic encephalopathy of varying grades. Results: Almost all the cases the causative agents were viruses. Among these,the hepatitis E virus (HEV) was the top most causative agent followed by hepatitis B Virus (HBV) in this study. Despite good effort ofconservative treatment, the mortality rate was 77.5%. The mortality rate was higher in grade-III and grade-IV encephalopathy patients,whereas the prognosis is better in grade-1 and grade-II encephalopathy patients.

scholarly journals The Hayman Technique: A Simple Method to Treat Postpartum Hemorrhage due to Placenta Praevia

2018 ◽  
Vol 30 (1) ◽  
pp. 66-69
Author(s):  
Shahela Jesmin ◽  
Nishat Anam Borna ◽  
Mosammat Nargis Shamima ◽  
Iftekhar Md Kudrate E Khuda ◽  
Shahin Mahmuda
Keyword(s):  
Postpartum Haemorrhage ◽  
Uterine Cavity ◽  
Placenta Praevia ◽  
Artery Ligation ◽  
College Hospital ◽  
Cross Sectional ◽  
Simple Method ◽  
Medical College ◽  
Compression Suture ◽  
Level Hospital

Aim: To assess effectiveness of Hayman suture to control postpartum haemorrhage due to placenta praevia during caesarean sectionMethods: It is a cross sectional observational study performed in Rajshahi Medical College Hospital, tertiary level hospital, from January 2016 to December 2016. It included 32 patients with PPH following placenta praevia during elective& emergency caesarean section (C/S). All 32 patients underwent horizontal compression suture (bilateral anteroposterior compression) of lower uterine segment. Vicryl 0 tapercut needle was used. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.Results Hayman suture was applied in 32 cases. In 27 cases Hayman suture was the only intervention. Hayman with uterine artery ligation required in 2 cases. In 1 patient along with Hayman B-lynch compression suture was given and 2 patients required total hysterectomy.Conclusion: The quick and simple Hayman technique seems to be effective, safe, lifesaving method in stopping hemorrhage due to placenta praevia.TAJ 2017; 30(1): 66-69

scholarly journals Clinical Profile and Underlying Cause of Acute Pancreatitis among a Group of Bangladeshi Patients

2020 ◽  
Vol 32 (1) ◽  
pp. 21-24
Author(s):  
ANM Saifullah ◽  
Madhu Sudan Saha ◽  
Bimal Chandra Shil ◽  
Ali Monsur Md Shariful Islam ◽  
Arifa Akhter ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Gall Stone ◽  
Clinical Profile ◽  
Medical Emergency ◽  
High Morbidity ◽  
Cross Sectional ◽  
Medical College ◽  
North East ◽  
Medicine Today

Introduction:Acute Pancreatitis is a medical emergency, which is one of the most common conditions for hospital admission. Very few studies have yet investigated in Bangladesh. Objective of this study was to define demographic characteristics, clinical profile & underlying etiologies. Materials and Methods: This hospital based cross sectional descriptive study was performed in Sir Salimullah Medical College Mitford Hospital, Dhaka & North East Medical College, Sylhet, Bangladesh from January 2015 to December 2017. One hundred and five consecutive patients of acute pancreatitis (AP) were enrolled for this study. Clinical features and investigations were systematically recorded. Diagnosis of acute pancreatitis was made by the presence of the two of the three following criteria: i. abdominal pain consistent with the disease ii. serum amylase and /or lipase greater than three times from the upper limit of normal, and/or iii. characteristic findings of abdominal imaging. Results: Total of 105 patients took part in the study, of them 65 were male. The mean age was 42.76 ±15.88. Abdominal pain & vomiting was the most common mode of presentation. Gall stone and hypertriglyceridaemia were responsible of 20% of acute pancreatitis. Ascariasis also causes acute pancreatitis in two patients. Conclusion: Acute pancreatitis is a condition associated with high morbidity and mortality. Ascariasis also causes acute pancreatitis in endemic area. Patients usually respond conservative treatment but endoscopic treatment is effective in few cases. Surgery is rarely required. Medicine Today 2020 Vol.32(1): 21-24

scholarly journals Study on specific species of malaria in relation to haematological changes

2021 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Dr. Binita Kanaujia ◽  
◽  
Dr. Anand AS ◽  
Dr. Sagar Mhetre ◽  
◽  
...  
Keyword(s):  
Malaria Diagnosis ◽  
Medical Emergency ◽  
Common Symptom ◽  
College Hospital ◽  
Medical College ◽  
Duration Of Illness ◽  
Haematological Profile ◽  
Red Cell Indices ◽  
Haematological Changes ◽  
Specific Species

Background: As malaria is a potential medical emergency, prompt and accurate diagnosis is criticalfor its effective management. Conventional microscopic examination of peripheral thick and thinblood smear examination remains the “gold standard” for malaria diagnosis. Material: A 2 yearprospective study from 2011 to 2013 was conducted at Navodaya Medical College Hospital andResearch Centre, Raichur. The study comprised of a total number of 150 cases positive for Malaria,collected from above mentioned centre and those referred from peripheral referral centres. Clinicalhistory regarding age, sex, nature and duration of illness were elicited. Blood sample forhaematological study was taken before starting anti-malarial drugs in all these cases. Result: Out oftotal cases, P. vivax infected cases (62%) were common than P. falciparum (34%) and mixedinfection cases [PV & PF] (4%). Most common presenting symptom of cases affected by PV, PF andmixed infection were fever and chills & rigors and least common symptom was cough. Mostimportant haematological changes observed were anaemia and thrombocytopenia (77.3% each) andleucopenia (31.3%). All the above mentioned changes in haematological parameters were speciesspecific and statistically significant, except for red cell indices, DLC and ESR. Conclusions: Inconclusion, changes in haematological profile can help in early diagnosis of specific species ofmalaria for timely and appropriate treatment that can reduce the severity and prevention ofadditional consequences.

scholarly journals Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 200-202
Author(s):  
Feroz Ahmed Sohel ◽  
Sanzida Jahan ◽  
Saifullah Russel ◽  
Farzana Zafreen
Keyword(s):  
Unplanned Pregnancy ◽  
Economic Status ◽  
Armed Forces ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College ◽  
Number Of Patients ◽  
Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

scholarly journals Immediate outcome and risk factors determining the outcome of status epilepticus in children attending tertiary care centre

2017 ◽  
Vol 4 (4) ◽  
pp. 1289
Author(s):  
Murali Thandavarayan ◽  
Sureshkumar Ramaswamy ◽  
Priyadarsini Bose ◽  
Sivaraman Thirumalaikumarasamy
Keyword(s):  
Risk Factors ◽  
Status Epilepticus ◽  
Tertiary Care ◽  
Medical Emergency ◽  
Time Of Arrival ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Medical College

Background: Status epilepticus (SE) is a paediatric and neurological medical emergency, continuous seizure lasting more than 30 min, or two or more seizures without full recovery of consciousness between any of them. Determination of immediate outcome of SE in children in a tertiary care hospital and to identify the risk factors influencing the outcome was the objectives of the present study.Methods: A study was conducted in Dept of Pediatrics, Tirunelveli Medical College Hospital among the children from 1 month to12 years of age, who had admitted for SE in hospital’s pediatric causality from October 2009 to October 2010 were selected for the study.Results: Out of 92 patients, total 87 patients completed the study and out of those 74 have recovered and 13 have died. The risk factors significantly affecting the outcome were hypoxia at the time of arrival, decompensated shock, respiratory failure requiring intubation and acidosis.Conclusions: Proper prehospital therapy, early referral, proper care while transporting, anticipitating risk factors involved, and protocol based approach uniformly at all hospital can reduce the mortality due to status epilepticus in children. 

Pattern of Haematological Malignant Patients Attending OPD in a Tertiary Level Hospital in A Calendar Year

2021 ◽  
Vol 5 (01) ◽  
pp. 20-26
Author(s):  
Md. Nurul Farhad ◽  
Gazi Yeasinul Islam ◽  
Mohammad Wasim ◽  
Akhil Ranjon Biswas ◽  
Tanzia Khanum Tompa
Keyword(s):  
Bone Marrow ◽  
Molecular Genetics ◽  
Hematological Malignancy ◽  
Hematologic Malignancies ◽  
Tertiary Level ◽  
Monthly Variation ◽  
College Hospital ◽  
Old Patients ◽  
Medical College ◽  
Level Hospital

Background: Hematologic malignancies are of diverse incidence, prognosis, and etiology. Dhaka medical college hospital (DMCH) is a tertiary level hospital and dealing with patients attending from all over the country. We have analyzed data of patients present with hematological malignancy in our Out Patient Department (OPD). As Hematology Dept DMCH deal with patients referred from all over the country, its OPD data represents the picture of whole country. Methods: This is a retro-spective study of OPD patients with hematological malignancy in the department of Hematology of DMCH from January 2018 to December 2018. The diseases were diagnosed on the basis of bone marrow morphology or histopathology (Lymphoma) and or immunophenotyping & molecular genetics. Results: Total 5747 patients were treated in 2018 with the complaints related to hematological malignancy of which 4599 (80%) were old patients and 1148 (20%) were new patients. Among all the treated patients 1420 (24.7%) were female and 4327 (75.3%) were male. Among 1148 new cases 37 were AL(3%), 386 were ALL (34%), 265 were AML(23%), 32 were CLL (3%), 126 were CML (11%), 40 were HL (3%), 18 were MDS (1%), 76 were MM (7%), 168 were NHL (15%). Data shows variation in total number of new patients per month- 83 in January (7.23%), 96 in February (8.36%), 140 in March (12.20%), 98 in April (8.54%), 94 in May (8.19), 89 in June (7.75%), 98 in July (8.54%), 66 in August (5.75%), 99 in September (8.62%), 103 in October (8.97%), 98 in November (8.54%), 84 in December (7.31%) But it does not show any statistical significant frequencies of diseases according to months. Conclusion: We deal a lot of patients with hematological malignancy each year in DMCH. A good portion of them are of ALL because of monthly maintenance of ALL protocols. Analysis of new cases shows ALL, AML, NHL is most common three diseases encounter in OPD. OPD patients’ inflow does not show any significant monthly variation for any of the diseases.

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