Socio-demographic Characteristics of Patients with Tuberculosis Spine in Bangladesh

Background: Spinal tuberculosis is more frequently reported in developing countries.Objective: The purpose of the present study was to see the socio-demographic characteristics of spinal tuberculosis patients.Methodology: This study was carried out in the Department of Neurosurgery, Dhaka Medical College Hospital during the period of January 2002 to December 2004 to elucidate the effectiveness of surgical and conservative treatment of the tuberculosis of the spine. For this purpose, a total number of 50 consecutive cases admitted during the study period with tuberculosis of the spine supported by investigations were included in this study.Result: The mean age of the patients was 25.4 years and ranged from 7 years to 68 years. The highest incidence of tuberculosis of the spine was found in age group between 11 to 20 years and 70% of the patients were under 30 years of age. Incidence of tuberculosis of this spine was more in male (62%) in comparison to female (3 8%) with a male female ratio of 1.63:1. In this study most of the patients came from low class society (66%) followed by middle class (28%) and high class (6%) respectively.Conclusion: Spinal TB more frequently occurs among the young age group with a male predominance.Bangladesh Journal of Infectious Diseases 2016;3(1):3-5

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TO STUDY EFFICACY OF AMISULPRIDE IN TREATMENT OF SCHIZOPHRENIA.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i12.834 ◽

2019 ◽

Vol 3 (12) ◽

Author(s):

Om Prakash Raichandani ◽

Abhijeet Kadam ◽

Sapna Raichandani

Keyword(s):

Urban Population ◽

Extrapyramidal Symptoms ◽

Reproductive Age ◽

Age Group ◽

Female Ratio ◽

Moderate Severity ◽

Medical College ◽

Male Female Ratio ◽

The Mean ◽

Reproductive Age Group

The study was performed at the Department of Pharmacology in collaboration with Department of Psychiatry, NSCB Medical College, Jabalpur. The maximum numbers of patients in were in reproductive age group that is in between 20 to 49 years. The mean age in Amisulpride group was 33.26(±10.23) years while in Olanzapine group it was 31.25 (±12.22) years. Schizophrenia was more common (80%) in younger (20-49years) age group. In our study the male /female ratio was 1.7. Our study supports the notion that Schizophrenia is more common in Married and Urban population. Only one patient from Olanzapine Group suffered Extrapyramidal symptoms of moderate severity requiring withdrawal from study.2 patients from Olanzapine group and 1 patient from Amisulpride group had Tremors and Akathesia of mild severity. There was no emergence of Extrapyramidal symptoms in rest of the patients (p>.05) Keywords: Efficacy, Amisulpride, Olanzapine & Schizophrenia.

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Profile Of Clinically Suspected Encephalitis Patients Admitted To Faridpur Medical College Hospital, Bangladesh

Faridpur Medical College Journal ◽

10.3329/fmcj.v5i2.6818 ◽

1970 ◽

Vol 5 (2) ◽

pp. 38-40

Author(s):

SA Fattah ◽

SK Sarker ◽

MY Ali ◽

MT Alam ◽

SY Ali

Keyword(s):

Nipah Virus ◽

Medical College Hospital ◽

Age Group ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

Male Female Ratio ◽

Neurological Features ◽

Using Data ◽

Epidemiological Characteristics

Encephalitis is a relatively common clinical diagnosis of admitted patients in Faridpur Medical College Hospital. This is significant because there was an outbreak of Nipah Virus (Ni-V) encephalitis in Faridpur district in 2004 with 34 cases including 26 deaths. Recent death of an intern doctor of FMCH from Ni-V encephalitis further emphasizes the gravity of situation. In this study a total number of 100 cases of clinically suspected encephalitis patients were studied for different clinical parameters. This is a retrospective study using data from hospital records. Majority of patients presented with neurological features (85%), 6% with pulmonary, 7% with combined neurological and pulmonary, and 2% with other features. 5-18 years age group comprises the highest number 44%, followed by >18 years age group 34%. Male-female ratio was 33:17. July to November was the period of maximum number of admission, the highest being in August. Patient from all upazillas of Faridpur were admitted, the highest being from Sadar Upazilla. 48% of the patients recovered, 19% expired and 7% were referred. In this context, further prospective study is urgently required to find out the epidemiological characteristics of Nipah virus encephalitis in Faridpur region. DOI: 10.3329/fmcj.v5i2.6818Faridpur Med. Coll. J. 2010;5(2):38-40

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Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v6i2.50766 ◽

2020 ◽

Vol 6 (2) ◽

pp. 114-117

Author(s):

Shimul Akter ◽

Naznin Rashid Shewly ◽

Kashefa Khatun ◽

Rokshana Parvin Nupur ◽

Kamrun Nahar ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Demographic Characteristics ◽

Medical College Hospital ◽

Care Hospital ◽

Vaginal Fistula ◽

College Hospital ◽

Medical College ◽

The Mean ◽

Vesico Vaginal Fistula

Background: Vesico-vaginal fistula can occur in different women with varied socio-economic condition. Objectives: The purpose of the present study was to see the socio-demographic characteristics of vesico-vaginal fistula (VVF) patients attended at a tertiary care hospital in Bangladesh. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. The entire selected patients were interviewed for detailed socio-demographic characteristics. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Most of the respondents were illiterate (55.0%) and one-third patients had primary level education. The number of highly educated patients was scarce (12.0%). It was evident that average age at marriage of the patients was 15.8(±4.74) years. Some females were forced to accept marriage at the age of 10 years. The mean interval between initiation of menstruation and the marriage was only 4.72 years. Mothers were on an average 17.48 years old at the time of first delivery. Conclusion: In conclusion middle age illiterate women are most commonly suffering from VVF. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 114-117

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Primary Retroperitoneal Ganglioneuroma: A Retrospective Cohort Study of 32 Patients

Frontiers in Surgery ◽

10.3389/fsurg.2021.642451 ◽

2021 ◽

Vol 8 ◽

Author(s):

Jianchun Xiao ◽

Zixuan Zhao ◽

Binglu Li ◽

Taiping Zhang

Keyword(s):

Growth Pattern ◽

Clinical Manifestations ◽

Incomplete Resection ◽

Radiological Imaging ◽

College Hospital ◽

Laboratory Findings ◽

Female Ratio ◽

Medical College ◽

The Mean ◽

The Masses

Purpose: To investigate the clinical characteristics, diagnosis, differential diagnosis, therapy options, and outcomes of retroperitoneal ganglioneuroma.Methods: In this retrospective study, we collected and analyzed the clinical data of 32 patients diagnosed with retroperitoneal ganglioneuroma and admitted to Peking Union Medical College Hospital from October 2012 to August 2019.Results: Among our 32 cases with retroperitoneal ganglioneuroma, the male-to-female ratio was 1:3 and the mean age was 35. Only 25% of the cases presented with abdominal pain while more than 65% had no specific symptoms. The masses could be found through physical examination in only five patients. Most of the tumors are located near the renal area. They were usually single and displayed an embedded growth pattern with diameters <10 cm, clear borders, and soft texture. For radiological imaging, the majority of tumors demonstrated soft tissue density with mild-to-moderate enhancement on CT imaging and showed hypoecho with moderate blood flow signals in ultrasound. No significantly abnormal laboratory examinations were found in most patients. Of all the 32 patients, 2 chose surveillance after biopsy due to difficulties in operation, while others chose surgical resection. The mean follow-up time was 15.8 months among 26 patients. The tumor remained stable in the surveillance cases. Residual tumors were found in four cases receiving operations with no progress and discomfort. No recurrence was seen in all patients.Conclusions: The retroperitoneal ganglioneuroma is a benign tumor without specific clinical manifestations or significant laboratory findings. Typically, it is shown as low density with a clear border and an embedded growth pattern in radiological imaging. The overall prognosis is good. Surgery is an effective approach with possible severe complications. Incomplete resection or surveillance can be considered for some cases where complete resection is difficult to achieve.

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Laparoscopic Cholecystectomy for Acute Cholecystitis: Indication, Risk, and Outcome

International Journal Of Medical Science And Clinical Invention ◽

10.18535/ijmsci/v8i06.010 ◽

2021 ◽

Vol 8 (06) ◽

pp. 5508-5513

Author(s):

Dr. Shiladitya Shil ◽

Dr. Ashutosh Deb Sarma ◽

Dr. Md. Alomgir Islam ◽

Dr. Md. Abdullah-Hel-Baki Abdul ◽

Dr.Monira Begum

Keyword(s):

Laparoscopic Cholecystectomy ◽

Acute Cholecystitis ◽

Prospective Observational Study ◽

The Other ◽

Surgical Indication ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

The Mean ◽

Good Treatment Option

Background: A laparoscopic cholecystectomy is a fundamental approach to treating acute cholecystitis, and the timing of performing this given treatment is associated with clinical outcomes. It is unknown whether surgical indication, risk, and consequences of laparoscopic cholecystectomy for acute cholecystitis differ from those for the chronic form, making it questionable whether urgent laparoscopic cholecystectomy is the best approach even in severe acute cases. Objective: This study aimed to evaluate surgical indication, risk, and outcomes of laparoscopic cholecystectomy for acute cholecystitis. Methods: This prospective observational study was carried out at Bangladesh Medical College Hospital (Uttara Campus) from July 2006 to November 2008. A total of 103 acute cholecystitis patients were observed to evaluate the safety, risk, and outcomes (includes hospital stay, joining to routine daily works) of laparoscopic cholecystectomy. Result: Male and female ratio is 1:4, and the mean age in our series is 47 years. Acute calculas cholecystitis ultra-sonogram feature shows the highest percentage (85.4%) compare to the other four parts. The study also confirmations around 69% did not get any complications, and bleeding was the most frequently observed (16%) complication. The overall outcomes in this research were observed around 75% of total operated patients did not experience any difficulty and said they fit entirely. The other 19% who had some complications include Pain, RTI, Seroma, Jaundice, Cholangitis, Wound infection). Conclusion: Regarding bile duct injury and prolonged complications, laparoscopic surgery is not a very good treatment option for acute cholecystitis.

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LIGATURE MARK ON THE NECK

The Professional Medical Journal ◽

10.29309/tpmj/2015.22.06.1252 ◽

2015 ◽

Vol 22 (06) ◽

pp. 798-803

Author(s):

Mariam Arif

Keyword(s):

Retrospective Study ◽

Study Design ◽

Forensic Medicine ◽

Soft Tissues ◽

Thyroid Cartilage ◽

Age Group ◽

Manner Of Death ◽

Female Ratio ◽

Medical College ◽

Male Female Ratio

Introduction: There are three types of compression of neck which are of primeforensic importance – (1) Manual strangulation (2) Hanging (3) Ligature strangulation. Ligaturemark is found in the latter two types.1 Ligature mark is a pressure mark on the neck underneaththe ligature. Initially it appears as a pale groove which on drying becomes yellowish brownparchment like.2,5 Objective: The aim is to study the information provided by a ligature markin ligature asphyxial deaths. Methodology: Study Design: A retrospective study on ligatureasphyxial deaths. Setting: Forensic Medicine and Toxicology Departments of King EdwardMedical University, Lahore and Nishtar Medical College, Multan. Period: January, 2012 toDecember, 2013. Results: The incidence of violent ligature asphyxial deaths was 4.21% of thetotal medicolegal deaths autopsied. Age group 21 to 30 years accounted for the maximumcases (37.6%). Male: female ratio was 1.02. Nylon rope (44.7%) was the most common ligaturematerial used. Ligature mark was single in all cases and was situated above thyroid cartilage in82.92% cases of hanging. In ligature strangulation deaths, mark was one in number in 93.18%cases and was below thyroid cartilage in 97.72% cases. The manner of death in hangingwas mostly suicidal (90.24%) as compared to homicidal in all cases of ligature strangulation.Ligature mark was incompletely encircling the neck in 85.36% cases and obliquely present in100% cases of hanging. In all deaths due to ligature strangulation, it was completely encirclingand transversely present around the neck. Underlying soft tissues of neck were glisteningwhite in all hanging deaths while it showed extravasations of blood in all ligature strangulationcases. Conclusions: A meticulous examination of the ligature mark during autopsy, though notconclusive, can give valuable information that can be very helpful in diagnosing deaths due tohanging and ligature strangulation.

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Efficacy and Safety Profile of Extended Release Tolterodine in Symptomatic Overactive Bladder

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v17i1.39440 ◽

2018 ◽

Vol 17 (1) ◽

pp. 34-37

Author(s):

Md Mofizur Rahman ◽

AKM Anwarul Islam ◽

Hasan Md Abdur Rouf ◽

SAMS Golam Kibria

Keyword(s):

Overactive Bladder ◽

Medical Condition ◽

Receptor Subtypes ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

Male Female Ratio ◽

Tolterodine Er ◽

Scale Data

Background: Overactive Bladder (OAB) is a debilitating medical condition having the symptoms of urinary frequency and urgency with or without urge incontinence. Tolterodine was the first drug developed specifically for the treatment of OAB. It is a competitive muscarinic antagonist that exhibits similar affinities for muscarinic receptor subtypes M1 to M3. Tolterodine may be a more target specific drug that possesses stronger selectivity for the urinary bladder than for the salivary glands. In a pilot study in healthy volunteers, tolterodine was well-tolerated and showed greater function than on salivation. Objectives: To study the efficacy of tolterodine (ER) in relieving symptoms of overactive bladder with its adverse effects to determine the safety of the drug. Methods: This study was conducted at the Department of Urology, Chittagong Medical College Hospital, Chittagong, Bangladesh, from March, 2014 to June, 2015. Purposive sampling was done. Bladder diary was used for evaluating the symptoms of the patient during baseline and 08 weeks follow up. Perceived level of benefit of the patients was assessed and graded using Likert scale. Data analysis was conducted by SPSS version-21. Results: Out of 80 patients, 19 (23.75%) were male and 62 (76.25%) were female with a male: female ratio 1:3.2. The study revealed that the most of the patients, 48 (60.0%) were subjected to much benefit followed by 23 (28.75%) patients experienced little benefit and 09 (11.25%) patients with no benefit from the treatment. Conclusion: With mild form of side effects tolterodine showed a significant level of efficacy on overactive bladder. Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 34-37

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Study of Bacteriological pathogen causing neonatal sepsis at NICU in Ad-din medical college hospital

Northern International Medical College Journal ◽

10.3329/nimcj.v5i1.23116 ◽

2015 ◽

Vol 5 (1) ◽

pp. 297-300 ◽

Cited By ~ 1

Author(s):

Marium Begum ◽

Mahmuda Hassan ◽

ZSM Haque ◽

N Jahan ◽

Kona Chowdhury ◽

...

Keyword(s):

Neonatal Sepsis ◽

Early Onset ◽

Complete Blood Count ◽

Late Onset ◽

Clinical Signs ◽

Coagulase Negative Staphylococcus ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

Male Female Ratio

Objective : To determine the common causative bacterial agents of neonatal sepsis and their antimicrobial susceptibility in NICUMethods : Newborns with clinical signs of septicemia and positive blood culture during twelve months were prospectively studied. Samples for blood cultures, complete blood count, C-reactive protein, sugar, electrolytes were obtained ; ampicillin and gentamycin were started empirically.Result : Seven hundred and three neonates were investigated to rule out of sepsis. The male, female ratio was 1.3:1 and 56(63.63%) of patients were preterm and 32(36.36%) were term neonates. There were 68 (77.27%) cases of Early onset neonatal sepsis (EONS) and 20(22.64%) of Late onset neonatal sepsis (LONS). Coagulase negative staphylococcus (CONS) was the most common 37(42.04%) Gm+ve pathogen causing early onset neonatal sepsis and Acinetobacter was common Gm-ve pathogen in both early onset 16(18%) and late-onset 8 (9%) sepsis. CONS sepsis showed high degree of resistance to commonly used antibiotics; ampicillin (86.5%), oxacillin (60%),cefotaxime (67%) but comparatively low resistance to vancomycin (0%), gentamicin (25%), Levofloxacin(36%) & Imipenem (49%). Acinetobacter were highly resistant to ampicillin (100), gentamicin(75%), cefotaxime(100) and sensitive to Amikacin (58.33%), ciprofloxacin (54.16%), Levofloxacin and Imipenem (62.5%)and Colistin (95.83%).Conclusion : Neonatal sepsis in our NICU is mainly caused by grampositive organisms, which are developing resistance to commonly used antibiotics. The initial empirical choice of Ampicillin and Gentamicin appears to be unreasonable for our environment.Northern International Medical College Journal Vol.5(1) 2013: 297-300

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Diaphragmatic Hernia with Atypical Presentation - A Case Series

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v32i1.21050 ◽

2014 ◽

Vol 32 (1) ◽

pp. 45-50

Author(s):

SMA Shahid ◽

MN Ali ◽

M Ahmed ◽

SS Islam ◽

SB Hossain

Keyword(s):

Diaphragmatic Hernia ◽

Case Series ◽

College Hospital ◽

Female Ratio ◽

Medical College ◽

Chest X Ray ◽

The Mean ◽

Challenging Situation ◽

Male To Female ◽

Diaphragmatic Hernias

Congenital Diaphragmatic Hernia is one of the most challenging diagnosis faced by pediatric surgeons. From the time of its first anatomic description more than 300 years ago, CDH has carried a high mortality rate. We aimed to review patients who presented with hernia of diaphragm during the last six months. In this retrospective study, the medical records of three patients treated for diaphragmatic hernias who were admitted to Rajshahi Medical College Hospital between July 2012 and December 2012 were analyzed. Three patients with age of 45 days to 7 years were included in the study. Male to female ratio was 1:2. All patients had left-sided diaphragmatic hernia. Chest X-ray was obtained from all patients which was diagnostic. One patient needed thoracotomy incision. No patient required mesh repair. The mean hospitalization time was 14 days. There was no postoperative death. Diaphragmatic hernia is an uncommon and challenging situation for the surgeon. Prompt diagnosis and treatment prevent serious morbidity and mortality associated with complications such as gangrene and perforation of herniated organ. DOI: http://dx.doi.org/10.3329/jbcps.v32i1.21050 J Bangladesh Coll Phys Surg 2014; 32: 45-50

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Effect of septoplasty on quality of voice

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20192734 ◽

2019 ◽

Vol 5 (4) ◽

pp. 1079 ◽

Cited By ~ 1

Author(s):

Anchal Gupta ◽

Palak Gupta ◽

Padam Singh Jamwal

Keyword(s):

Voice Quality ◽

Minimal Amount ◽

Deviated Nasal Septum ◽

Female Ratio ◽

Medical College ◽

Postoperative Changes ◽

Male Female Ratio ◽

Study Population ◽

Professional Voice Users ◽

The Mean

Background: Septoplasty is one the most commonly performed surgery in ENT. The aim of this study was to evaluate change in voice after septoplasty using voice handicap index (VHI).Methods: The current study was conducted at Department of ENT, SMGS Hospital, Government Medical College, Jammu, from October 2017 to November 2018. The study population was the patients who had come to the department with deviated nasal septum admitted for septoplasty. Voice assessment was done by Subjective Voice evaluation using VHI. It was done at three times i.e. preoperatively, postoperatively at 1 week and then postoperatively at 1 month. Results: Out of 50 cases operated, 84% patients of present study were in the age group of 18-30 years. The mean age was 25 years. The eldest patient in our study was 55 years old. 40 patients were males and 10 were females with male: female ratio of 4:1. Mean VHI score at preoperative, postoperative 1 week and postoperative 1 month were 23.2, 22 and 21.5 respectively. No statistical difference was obtained while comparing the mean VHI score at different time intervals. The scores between 0-30 are in the mild category i.e. minimal amount of handicap.Conclusions: According to our experience a widened nasal cavity has no effect on voice quality and procedures about nasal obstruction like septoplasty can be performed safely. However, professional voice users, in particular, should be informed about the possible minor postoperative changes, before the septoplasty procedure.

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