scholarly journals Skeletal Manifestations in Acute Lymphoblastic Leukaemia

2019 ◽  
Vol 43 (2) ◽  
pp. 102-105
Author(s):  
Mahmuda Begum ◽  
LE Fatmi ◽  
Khandaker Tarequl Islam ◽  
Syeda Mehnaz ◽  
SM Shamsul Huda ◽  
...  

Background: Skeletal manifestations associated with ALL in children are common findings with a high prevalence (11.6 to 50%). The most common skeletal manifestations are bone pain, arthritis, failure to use an extremity as well as other complaints mimicking orthopedic condition such as osteomyelitis. The objective of this study is to determine the rate of skeletal manifestations commonly present in ALL to reduce mortality and morbidity. Methods: This cross-sectional study was carried out in the department of Pediatrics in Dhaka medical college Hospital, BSMMU and Dhaka Shishu (Children) Hospital between January 2010 to July 2010. Total Fifty patients of ALL were Selected consecutively from the study population. At first, we assessed skeletal manifestations like bone pain, arthritis, radiological findings present or not in ALL. Then specify the rate of bone pain, arthritis, radiological findings of ALL patients. Results: After six months 35 patients were present with skeletal manifestations. Among them 20 patients, presented with bone pain,10 patients presented with arthritis and 5 patients presented with radiological manifestations. Out of 5 patients 3 patients had soft tissue swelling 1 patient had periarticular osteoporosis and 1 patient had joint effusion in x-ray findings. Conclusion: Skeletal manifestations may be the only presentation in ALL. Bangladesh J Child Health 2019; VOL 43 (2) :102-105


2014 ◽  
Vol 15 (2) ◽  
pp. 110-113
Author(s):  
Tania Mahbub ◽  
Md. Nizamuddin Chowdhury ◽  
Ferdous Jahan ◽  
Aparna Das ◽  
Md. Motlabur Rahman ◽  
...  

Background: Worldwide haemodialysis(HD) is the mostly used method of renal replacement therapy. Arteriovenous fistula use is on rise due to Fistula First Initiative due to least complications of fistulae than catheters.But they are also subjected to many complications. Thereby appropriate surveillance of the fistulae is important.Objectives: To measure the blood flow as well as fistula related complications in study population. Materials and Methods: This was a cross sectional study, conducted in the department of Nephrology, Dhaka Medical College Hospital during September 2010 to December 2011.Total 118 subjects were included in the study. Besides visualization technique colour Doppler ultrasonogram of fistula and  echocardiography were performed for each patients. Results: Most of the patients had adequate fistula flow. Aneurysm was most common complication. Many subjects were suffered from primary and secondary fistula failure. Conclusion: Arterio-Venous fistula is subjected to many complications and appropriate surveillance should be launched to detect complications and to prevent fistula failure.DOI: http://dx.doi.org/10.3329/jom.v15i2.20681 J MEDICINE 2014; 15 : 110-113



2021 ◽  
pp. 161-163
Author(s):  
Hannah Roberts O R ◽  
Saranya Bai S ◽  
Sangeetha N ◽  
Mahendranath P

OBJECTIVE: To determine the awareness and knowledge of blood donation among undergraduate medical students MATERIALS AND METHODS: A cross sectional study was conducted at ACS Medical College and Hospital, Chennai, from st nd rd th January to March 2021.The study population was 400 medical students of 1 , 2 , 3 and 4 year. Pre-tested and self-structured equestionnaire was sent to the study population and the responses were viewed using a separate email id. RESULTS: Of the 400 medical students, 41.5% males and 58.5% females. The mean age is 20.6 years. 368 (92.0 %) are aware of voluntary blood donation. Online platforms or web portals are used by 267 (66.8 %) to assess information about Voluntary Blood Donors. Only 11 (2.7 %) have donated blood regularly. CONCLUSION: We infer that the knowledge and awareness on voluntary blood donation was comparatively higher among males and nal year students. The facts pertaining to voluntary blood donation, when conveyed by the online platforms were found to have greater impact on the current youth generation. Hence, this study recommends organising regular talks and interactive sessions as a must to bridge the gap in knowledge, to identify and remove misconceptions and motivate them for voluntary blood donation on a regular basis.



2016 ◽  
Vol 10 (1) ◽  
pp. 17-19
Author(s):  
Krishna Gopal Sen ◽  
Ahammed Ali ◽  
Md Kamal Mostofa ◽  
Sumitendra Kumar Sarkar ◽  
Chandona Sorcar ◽  
...  

The burden of scabies is highest in tropical countries, but recent data from Bangladesh is scanty. This cross sectional study was carried out to find the prevalence of scabies in skin & VD Out Patient Department (OPD) of Faridpur Medical College Hospital (FMCH) during the period of April 2013 to March 2014. Total 22,399 patients attended to the skin & VD OPD, were included in this study. We identified 15,455 patents with scabies. The total prevalence was 69%. Prevalence in January was highest & was 78%. Most cases were uncomplicated but 17.28% of complicated scabies patients were found. Scabies was more in poor socio-economic group than others. The present study showed a high prevalence of scabies in patients presenting to skin & VD OPD, FMCH. Prevalence was higher overall in children. Our data show that scabies is common in patients presenting to skin & VD OPD & this finding may be used as an indicator of the general population.Faridpur Med. Coll. J. Jan 2015;10(1): 17-19



2021 ◽  
pp. 42-44
Author(s):  
S. Hema Akilandeswari ◽  
B. Kavitha ◽  
J. Sudhakaran ◽  
K. Rajkanth

BACKGROUND:Asthma- COPD Overlap Syndrome (ACOS) is a recently dened terminology characterized by persistent limitation in airow, which shares features of both Asthma and COPD. ACOS is associated with worse outcomes than either condition alone. MATERIALS AND METHODS: A cross sectional study conducted in Government Thanjavur Medical College Hospital in the department of Internal Medicine between October 2017 and July 2018. The patients attending the asthma clinic and the medicine op for medications were enrolled into the study. Atotal of 80 patients were included. The statistical analyses were performed using Graph pad Prism version 5 software. RESULTS: In this study it was found that 25 % of the study population had a COPD overlap features. Duration of asthma was found to be a single independent factor associated with the development of COPD overlap in asthmatics in the study population. This study views smoking to have an additive effect in the disease pathology. CONCLUSION: The prevalence of ACOS in previously diagnosed Asthma or COPD is more alarmingly increasing. Asthma- COPD overlap is characterised by more frequent exacerbations and complications. There is a critical need to better dene the management and treatment of this syndrome.



2017 ◽  
Vol 24 (05) ◽  
pp. 697-701
Author(s):  
Gulshan Ali Memon ◽  
Bilal Ahmed ◽  
Syed Kashif Ali Shah

Introduction: Gallstones patients are mostly asymptomatic, but yet, it addsconsiderable burden to health care system as only in United States more than 600000laparoscopic cholecystectomies are performed annually. The introduction of day care withlaparoscopic (LC) surgery in the late 1980s increased the rate of cholecystectomy for about20%. This new intervention introduced changes in indications of cholecystectomy and putfurther impact on health care system. After the introduction of LC, many studies have highlightedand discussed the importance of adequate surgical skills in order to improve the timing andoutcome of surgery. The aim of this study was to see the conversion from laparoscopic to opensurgery in symptomatic patients. Study Design: Descriptive Cross Sectional Study. Period:January 2013 to 2015. Setting: Surgical unit I of Peoples Medical College Hospital Nawabshah.Methods: Study population consists of two hundred cases having non probability consecutivepatients of cholelithiasis who were eligible on inclusion criteria. Results: The conversion ratewas 10 %, seven (3.5%) patients had biliary injury, six (3%) had adhesions, four (2%) patienthad vascular injury, two (1%) patients had gut injury, one (0.5%) patient had dilated commonbile duct. Conclusion: Proper pre-operative assessment and proper anatomical recognition ofCalot’s triangle reduce the rates in conversion from laparoscopic to open surgery.



Author(s):  
Meenakshi B. ◽  
Shantaraman K. ◽  
Indhumathi M. ◽  
Arumugapandian S. Mohan

Background: Snake-bites are well-known common medical emergencies in many parts of the world. In India 46,000 people are dying every year from snakebites. However, the true scale of mortality and morbidity from snake-bite remains uncertain. This study analyses the clinical profile and outcomes of the snake bite poisoning in patients admitted to this centre.Methods: This cross sectional study analyses the data of 150patients admitted to the Intensive Medical Care Unit of Tirunelveli Medical College Hospital with the history of snake bite between April and September of 2015 as available in their case records.Results: In this study, 42.7% of the patients were in the age group of 18 to 40 years and 64% were males with rural: urban ratio of 2.3: 1. About 82.7% of bites were haematotoxic, 10.7% neurotoxic and the remaining nontoxic bites. About 54% patients recovered completely, 44% had some form of morbidity at discharge and mortality was 2%. Out of 136 patients who were treated with Anti-snake venom (ASV), 9.6% developed ADR. The common ADR was itching and hypotension followed by rigor, breathlessness and edema of lips and eyes.Conclusions: This study highlights the need for early treatment intervention post bite. Imparting health education about early pre-hospital management and transfer to the hospital will help in the prevention of deaths due to snakebite. Identification of the type of snake is essential to decide on the type of toxicity and method of treatment to be instituted.



2013 ◽  
Vol 7 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Dr Mahbuba ◽  
Irin Parveen Alam

Rupture uterus is a rare and often catastrophic condition. It is associated with a high incidence of fetal and maternal mortality and morbidity. Our objective in this study is to determine incidence, etiology, trend, management, maternal and fetal outcome of uterine rupture in Faridpur Medical College Hospital. This is a prospective cross-sectional study  of patients with ruptured uterus from the period of January 2011 to December 2011 admitted at Faridpur Medical College Hospital. All the cases of ruptured uterus who were either admitted with uterine rupture or who developed it  in hospital were included in the study. Patients having ruptured uterus due to congenital anomaly were excluded from  the study. Patients were initially assessed in labour ward, relevant sociodemographic data, previous antenatal and  surgical history recorded. Ways of management, maternal and fetal outcome were taken for analysis. There were 30 cases of ruptured uterus out of total 3606 deliveries (including 1809 caesarian sections) over a one year time period, with a prevalence of 0.83%. The most common age group was 21-30 years. A majority of patients 16(53.3%) were cases of unscarred uterus presenting with rupture; the common cause of rupture in scarred uterus was injudicious use of oxytocin (13,43.33%). Proper antenatal care, appropriate counseling of patients with history of previous caesarian section for hospital delivery, training of skilled birth attendant can reduce mortality and morbidity due to rupture uterus. DOI: http://dx.doi.org/10.3329/fmcj.v7i2.13504 Faridpur Med. Coll. J. 2012;7(2):79-81



Pathogens ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. 151 ◽  
Author(s):  
Nusrat ◽  
Akter ◽  
Haque ◽  
Rahman ◽  
Dewanjee ◽  
...  

: Background: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care units (ICU), which accounts for 25% of all ICU infection. Documenting carbapenem-resistant gram-negative bacilli is very important as these strains may often cause outbreaks in the ICU setting and are responsible for the increased mortality and morbidity or limiting therapeutic options. The classical phenotypic method cannot provide an efficient means of diagnosis of the metallo-β-lactamases (MBLs) producer. PCR (Polymerase chain reaction) assays have lessened the importance of the phenotypic approach by detecting metallo--lactamase resistance genes such as NDM (New Delhi metallo-β-lactamase), IMP (Imipenemase), VIM (Verona integron-encoded metallo-β-lactamase), SPM (Sao Paulo metallo-β-lactamase), GIM (Germany imipenemase). Objective: To compare the results of the Combined Disc Synergy Test (CDST) with that of the multiplex PCR to detect MBL-producing gram-negative bacilli. Materials and Method: A total of 105 endotracheal aspirates (ETA) samples were collected from the ICU of a public school in Bangladesh. This cross-sectional study was carried out in the Department of Microbiology, Chittagong for quantitative culture, CDST test, and multiplex PCR for blaIMP, blaVIM, blaNDM genes of MBL producers. Results: Among the 105 clinically suspected VAP cases, the quantitative culture was positive in 95 (90%) and among 95 g-negative bacilli isolated from VAP patients, 46 (48.42%) were imipenem resistant, 30 (65.22%) were MBL producers by CDST, 21 (45.65%) were identified as MBL producers by multiplex PCR. Conclusion: PCR was highly sensitive and specific for the detection of MBL producers.



2017 ◽  
Vol 2 (2) ◽  
pp. 48-50
Author(s):  
Md Shafiul Alam ◽  
Amir Mohammad Khan ◽  
Tayseer Farzana ◽  
Md Abdus Salam ◽  
Abdur Rabban Talukder

Background: Spinal tuberculosis is a great problem in the health sector. Objective: The purpose of the present study was to see the see the socio-demographic characteristics of spinal tuberculosis patients. Methodology: This study was designed as descriptive cross sectional study which was carried out in the Department of Neurosurgery at Dhaka Medical College Hospital during the period of January 2002 to December 2004 for a period of two (2) years. All the patients who were presented with spinal tuberculosis at any age with both sexes were included as study population. The details of socio-economic condition were recorded of all the patients. Confirmation of spinal tuberculosis was made by CT-scan and MRI. Finally biopsy was done to confirm the cases by histopathology.Results: In this study, 50 cases of tuberculosis of the spine patients were recruited for this study. The mean age with SD was 25.4±18.65 years. The sex distribution shows male preponderance with a male and female ratio of 1.63:1. Regarding the socioeconomic status 33 (66%) patients came from low class society. In this study majority of the study population were illiterate which was 19(38.0%) cases. Most of the patients were day labourer which was 17(34.0%) cases.Conclusion: In conclusion young adult male patients are most commonly affected by spinal tuberculosis.Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 48-50



2020 ◽  
Vol 7 (12) ◽  
pp. 1767
Author(s):  
M. D. Masum ◽  
Rajee Mahmud Talukder ◽  
Shams Ibne Maksud ◽  
Enamul Haque ◽  
Jubaida Khanam ◽  
...  

Background: Now a day erectile dysfunction (ED) and hypogonadism of the patients with type 2 diabetes mellitus (T2DM) become two common complaints. The association among hypogonadism, erectile dysfunction and type 2 diabetes of man seem to be increased. The aim of this study was to evaluate the predictors of erectile dysfunction and hypogonadism in men with types 2 diabetes mellitus (T2DM).  Methods: This was a cross-sectional study which was conducted in the Department of Shaheed Monsur Ali Medical College Hospital, Dhaka, Bangladesh Hospital, Bangladesh during the period from January 2019 to December 2019. In total 352 newly detected T2DM male patients, with complete data were finalized as the study population. All data were processed by using SPSS program version 23.0.Results: In this study, according to complement fixation test (cFT) and androgen deficiency in the aging male (ADAM) criteria, 119 (33.81%) participant had low cFT& ADAM positive under hypogonadal, 84 (23.86%) were with normal TT & ADAM negative (eugonadal), 37 (10.51%) were with low TT & ADAM negative (eugonadal), 112 (31.82%) were with normal TT & ADAM positive (eugonadal). On the other hand, according to the cFT and ADAM score in total 119 (33.81%) hypogonadal patients were with low cFT & ADAM positive. Besides this, 102 (43.78%) eugonadal patients were with normal cFT & ADAM negative and 131 (56.22%) eugonadal patients were with normal cFT & ADAM positive.Conclusions: Hence, universal screening of testosterone level and androgen deficiency symptoms is recommended in newly detected T2DM patients.



Sign in / Sign up

Export Citation Format

Share Document