scholarly journals A Study of Late Postpartum Eclampsia - 178 Cases

1970 ◽  
Vol 37 (2) ◽  
pp. 52-55
Author(s):  
Sahin Akhter Jahan Habib ◽  
Sayeeda Sultana
Keyword(s):  
Health Care Providers ◽  
Postpartum Period ◽  
Late Onset ◽  
Epigastric Pain ◽  
Prodromal Symptom ◽  
Care Providers ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Relationship Of

Objective: The purpose of this study was to determine whether there is a shift in the timing of eclampsia in relation to delivery and whether traditional symptoms precede impending postpartum eclampsia. Study Design: A cross - sectional hospital - based study conducted at Gynae Unit, Dhaka Medical College Hospital from January 2006 - December 2007. Data was collected regarding the relationship of the patient's first seizure to delivery prodromal symptoms, neuroimaging studies, use of magnesium sulfate, antihypertensive therapy and follow up medical care. The analysis focused on women who had late postpartum eclampsia. Result: During the study period 178 patients were diagnosed with eclampsia. Fifty eight women (33%) had postpartum eclampsia, of which 46 women (79%) had late onset (> 48 hrs.). Interestingly only 10 of these 46 women (22%) had been previously diagnosed with preeclampsia. Forty two pt.(91%) with late postpartum eclampsia had at least 1 prodromal symptom, and 24 pt. (52%) had> 1 symptom that heralded the seizure : 40 women (87%) had headache , 20 women (44%) had visual changes, 10 (22%) had nausea or vomiting and 4 (9% ) experienced epigastric pain. Only 14 of this 42 women (33%) sought care for their symptoms , of whom 12 women (86%)had clinical evidence of preeclampsia that was not considered by the treating physician. Among all patients with eclampsia there were 14 cases of aspiration pneumonia,6 cases of pulmonary edema, 6 cases of pleural effusion 4 cases of DIC and no cases of maternal death. Conclusion: Current obstetric treatment has a resulted in a shift of eclampsia toward the postpartum period with most cases being seen as late postpartum. To reduce the rate of the postpartum eclampsia, efforts should be directed to the education of the health care providers and patients regarding the importance of prompt reporting and evaluation of symptoms of preeclampsia during the postpartum period.   DOI: 10.3329/bmj.v37i2.3594 Bangladesh Medical Journal 37(2) 2008 52-55

Knowledge about inhaler use among the chronic asthma patients in selected hospitals

1970 ◽  
Vol 37 (2) ◽  
pp. 47-50
Author(s):  
IA Parvin ◽  
SA Ahmad ◽  
MN Islam
Keyword(s):  
Health Care Providers ◽  
Educational Status ◽  
Chronic Asthma ◽  
Care Providers ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Adequate Knowledge ◽  
Asthma Patients ◽  
Level Of Knowledge

This cross sectional descriptive study was conducted among the chronic asthma patients attending three Institutes of Dhaka city namely National Asthma Center, The National Institute of Diseases of Chest and Hospital (NIDCH), Mohakhali, and Dhaka Medical College Hospital to assess the level of knowledge regarding inhaler use. Convenient sampling was adopted. Data were collected using one semi-structured questionnaire through face-to-face interview. The patients were aged from 18 to 75 years with mean age being 40.68 years and sd ± 11.659 years. The mean monthly income of the respondents found was 8278.52 taka with standard deviation ± 3523.315 taka. Mean duration of bronchial asthma was 9.44 years with sd±4.862 years. Out of the total 298 respondents 103(35.8%) possessed “excellent knowledge” on inhalers. Ninety one (31.6%) had “adequate knowledge”, sixty nine (24.0%) had “poor knowledge” and thirty five (8.7%) respondents were found having “no knowledge” about inhalers. Males were seen having better knowledge than the females (χ2 =66.582, df=3, p<0.001). The respondents receiving treatment from the indoor possessed better knowledge than those from the outdoors (p<0.001). Level of Knowledge was also found to be associated with the educational status of the respondents. Respondents with higher education possessed more than the respondents with lower education (p<0.001). Though most of the physicians now prescribe inhalers, but many of them do not explain the proper use of inhaler. This may be corrected through training and motivation of physicians at Medical Colleges and Hospitals and during various medical conferences and other programs. To reduce the extent of suffering and economic burden of asthma patients and their families, active education program for the patients and training program for the health care providers, regarding “inhaler use technique” demands early consideration. DOI: http://dx.doi.org/10.3329/bmrcb.v37i2.8433 BMRCB 2011; 37(2): 47-50  

scholarly journals Rohingya Crisis: An Added Challenge in Neurosurgical Arena of Chattogram Medical College Hospital

2020 ◽  
Vol 9 (2) ◽  
pp. 111-116
Author(s):  
Md Rabiul Karim ◽  
SM Noman Khaled Chowdhury ◽  
Syed Md Mainuddin ◽  
Anisul Islam Khan ◽  
Md Manzoorul Islam ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Spinal Injury ◽  
Medical College Hospital ◽  
Local Health ◽  
Delayed Presentation ◽  
Care Providers ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Rohingya are the group of people who has an specific ethnic, linguistic and religious group lived in the former Arakan state, renamed as Rakhain state of Myanmar. These people are homeless, stateless and disowned by their own government. Chattogram Medical College Hospital is the only tertiary level government hospital nearest to the Rohingya camp where Rohingya patients are referred from local health care providers. On a cross sectional observational demographic study conducted in the Department of Neurosurgery, CMCH revealed that, total number of admitted patient in CMCH is 757 among which 137 (18.09%) patient was admitted in Department of Neurosurgery since the Rohingya citizens are forcibly displaced from their land. Traumatic brain injury (31) , spinal injury (22) and gun shot wound (3) are the most common presentation as a result of ethnic cleansing. But lack of primary health care support, proper health education leads to development of hydrocephalus (8), meningocele (8), meningomyelocele (1) in children and delayed presentation of ICSOL (15) and Spinal SOL (2) are also observed among the admitted patients. 67 (48.90%) patients were treated conservatively and 70 (51.09%) patients are treated operatively. Despite the existing over crowded patients from the Chattogram Division, these Rohingya patients made an added challenge to the Department of Neurosurgery. Proper strategic plan should be carried out for the management of neurosurgical condition for decreasing mortality and morbidity and thus support humanity above all. Bang. J Neurosurgery 2020; 9(2): 111-116

scholarly journals Knowledge, socio demographic profile, vaccination status and factors determining the acceptance of hepatitis B vaccine among nursing staff of KPC Medical College of West Bengal

2020 ◽  
Vol 7 (2) ◽  
pp. 554
Author(s):  
Rajib Sikder ◽  
Subha Sankha Kundu ◽  
Rituraj Dey ◽  
Ujjwal Pattanayak ◽  
Kunal Kanti Majumdar ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Health Care Providers ◽  
Nursing Staff ◽  
Close Contact ◽  
Cross Sectional Study ◽  
Vaccination Status ◽  
Care Providers ◽  
Cross Sectional ◽  
Medical College ◽  
Mandatory Vaccination

Background: Hepatitis B, a vaccine preventable infection is one of the important causes of morbidity in India. The risk of acquiring the infection is more among the health care providers like nurses than in general population as they come in close contact with patients. The study has been done to know the sociodemographic profile, vaccination status along with the knowledge about the disease and the factors determining the acceptance of vaccination among nursing staff of KPC Medical College in West Bengal.Methods: A cross-sectional study was carried out among the 284 nursing staff of KPC Medical College and Hospital in November to December, 2018 with the help of pre-designed and semi-structured questionnaire. Data on demographic characteristics, knowledge, occupational exposure, vaccination status and factors for acceptance of vaccine etc. were collected and analysed.Results: 86% nursing staff received vaccination out of which 71% were completely vaccinated, 29% were partially and 14% were non vaccinated. The acceptable knowledge was found in 84% of the nurses. The major reason of vaccination was to protect themselves from infection and the major reason for non-acceptance was time limitation, cost issues etc. Accidental prick was found in 5% of the nurses and universal precautionary measure was taken by 98% of the nurses.Conclusions: In spite of availability of safe, effective and cheap vaccine against hepatitis B infection, 29% of nursing staff were partially vaccinated and 14% were non-vaccinated. There should be a mandatory vaccination at the beginning of their training and frequent educational and awareness programme for them on hepatitis B.

scholarly journals Evaluation of Quality Assurance of Activity against Accreditation Norms of the Imaging Services in a Tertiary Care Teaching Hospital

2021 ◽  
Vol 11 (9) ◽  
pp. 172-177
Author(s):  
Padmini Kumari B ◽  
G Vijay Kumar ◽  
K. Ravi Babu
Keyword(s):  
Quality Assurance ◽  
Outcome Measures ◽  
Health Care Providers ◽  
Quality Care ◽  
Tertiary Care ◽  
Care Providers ◽  
Quality Assurance Programme ◽  
College Hospital ◽  
Cross Sectional ◽  
Process And Outcome

Purpose of Study: To study the radiological and imaging services in terms of Quality Assurance in relation to accreditation norms. Methods: We performed cross sectional evaluation of the data obtained from the participants in the study Semi structured both open and closed ended questionnaire were administered among the participants who were agreed to participate in the study. The questionnaire was formulated to evaluate different parameters of Quality Assurance Programme (QAP). The parameters were divided into structure, process and outcome measures and were derived from literature [National Accreditation Board for Hospitals and Health care Providers during accreditation of healthcare institutions]. Results: The radiology and imaging services of Vydehi Medical College Hospital was established in the year 2002, and was approved by AERB (Atomic Energy Regulatory Board) in the year 2007. The department was renewed by AERB in the year 2012. Checklist was formulated which includes several parameters in terms of structure, process and outcome measures. Conclusion: Quality assurance programme is to provide good patient timely care and the policies adopted by the department of radiology and imaging service in terms of quality are on par with standard guidelines in our study. Safe and sustainable quality care is the need of the hour and it can be practically achieved by regular monitoring of the quality assurance programme. Key words: Quality assurance; Imaging services; Utilisation; Guidelines; Healthcare

scholarly journals Clinical investigation of different types of cases of outdoor patients using ultrasonography in Rangpur Medical College Hospital, Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 294-298
Author(s):  
Shafaat Mahjabun ◽  
Humayun Kabir ◽  
Meftah Islam ◽  
Abdur Rahim Azad ◽  
Sumon Kumar Sarker ◽  
...  
Keyword(s):  
Fatty Liver ◽  
Health Care Providers ◽  
Gall Stone ◽  
Medical College Hospital ◽  
Mass Lesion ◽  
Care Providers ◽  
College Hospital ◽  
Medical College ◽  
Clinical Scenarios ◽  
Different Types

Ultrasonography is an easy, noninvasive, rapid investigation advised by doctors worldwide. Hence we diagnosed different types of cases through ultrasonography at outdoor patients admitted to Department of Rangpur Medical College Hospital, Rangpur Bangladesh over a period of four months. Our objective was to investigate the prevalence of different types of cases diagnosed and evaluated by ultrasonography in a variety of physical conditions with multiple clinical scenarios. Ultrasonography were performed using GE Logiq V5 Expert ultrasound machine with linear and curved linear phased array transducers. A total 300 cases were diagnosed, where female and male cases were 204 (68%), 96 (32%) respectively. Most ultrasound examinations were abdominal, with the remainder being obstetric, pelvic, breast, and genitourinary examinations. In this study, abdominal ultrasonography represented 118 case (39.33%), Pelvic 54 (18%), KUB 57 (19%), Breast 7 (2.33%) and Obstetrics 64 (21.33%). We found general clinical prevalence of abdominal cases were Cholelithiasis 17 (5.67%), Cholecystitis 3 (1%), Fatty liver 24 (8%), Hepatic Mass 2 (0.67%), Hepatic cyst 1 (0.33%), Acute hepatitis 2 (0.67%), Acute appendicitis 6 (2%), Ascites 2 (0.67%), Hernia 3(1%), Acute pancreatitis 2 (0.67%), Choledocholithiasis 2 (0.67%), Splenomegaly 1 (0.33 %), Abscess 1 (0.33%) and normal cases were 54 (18%). In genitourinary, Stone 20 (6.67%), Cyst 7 (2.33%), RPD 11 (3.67), Cystitis 4 (1.33), Ectopic kidney 1 (0.33%), Enlarged prostate 6 (2%), Hydronephrosis 1 (0.33%), Mass lesion 2 (0.67%) and normal cases were 7 (2.33%). In Pelvic, RPC 11 (3.67%), Ovarian and adnexal cyst 11 (3.67%), Uterine Anomaly 14 (4.67%), Mass lesion 2 (0.67%), Collection 7 (2.33) and normal cases were 5 (1.67%). In Obstetrics, normal pregnancy with no or minor complications, pregnancy with severe complications and abnormal pregnancy were 31(10.33%), 30(10%) and 3(1.0%) respectively. In Breast, dilated duct 1 (0.33%), Abscess 2 (0.67%), Fibroadenoma 2 (0.67%) and normal cases were 2 (0.67%). Here, we found that Fatty liver, stone in genitourinary tract and gall stone were highly prevalent. So, health care providers need to concern and raise awareness to reduce the number of cases. Asian J. Med. Biol. Res. June 2020, 6(2): 294-298

Experience of violence amongst female medical and nursing students and their perception regarding violence against women in Delhi, India

2017 ◽  
Vol 0 (0) ◽  
Author(s):  
Nitika Gautam ◽  
Tanu Anand ◽  
Jugal Kishore ◽  
Shekhar Grover
Keyword(s):  
Nursing Students ◽  
Violence Against Women ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Female Students ◽  
Care Providers ◽  
Cross Sectional ◽  
Medical College ◽  
Victims Of Violence ◽  
Eve Teasing

Abstract Background Health care providers are often the first point of contact for the victims of violence against women (VAW). Therefore, it is important to understand their perception about VAW. Objective To assess the proportion of female medical students who experienced violence, and elicit their perception regarding the same. Methods It was a cross-sectional study undertaken among 50 medical and 50 nursing students of a medical college in Central Delhi. A self-administered, questionnaire was used for data collection. Results Of the total, 18% had experienced molestation while 77% had experienced eve-teasing during their lifetime. But, only 2% reported the incident to police. Perception regarding the victim’s role and self-determination was favorable amongst the female students. However, only 39% knew some basic self-defense techniques. Conclusion The proportion of students who experienced eve-teasing in their lifetime was high. The study highlighted the need to make the female students more pro-active and competent in terms of tackling violence.

scholarly journals Awareness about emergency contraception among medical students in a Tamil Nadu private medical college: a cross sectional study

2017 ◽  
Vol 4 (8) ◽  
pp. 2977
Author(s):  
Kamal Kishore Verma ◽  
Rajeev K. H.
Keyword(s):  
Medical Students ◽  
Health Care Providers ◽  
Emergency Contraception ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Future Health ◽  
Cross Sectional ◽  
Medical College ◽  
Future Health Care ◽  
First Year Medical Students

Background: The methods of contraception that can be used to prevent pregnancy in the first five days after sexual intercourse are termed as emergency contraception (EC). Unwanted pregnancy among adolescents and youth poses a major challenge to the reproductive health in developing countries because of illegal and unsafe abortions and leading to maternal death. Since medical students are future health care providers and their correct awareness about EC will help in giving health education to the community. The objective of the study was to assess the awareness about emergency contraception among first year medical students in a private medical college of Tamil Nadu.Methods: A cross sectional study was conducted among first year medical students of a private medical college. A total of 122 students were interviewed using pretested, semi-structured questionnaire. Descriptive statistics were used to analyse the data.Results: Among the study population, 56.6% and 43.4% were males and females respectively. All students heard about EC and 73% were correctly aware about the correct timing of administration of EC. 72% of them felt that they can get EC directly from any pharmacy store without any prescription, 89% of them feel that EC is not an effective routine method of contraception and only 10% said that it will result in more women suffering from STI/HIV.Conclusions: Our study showed that, students were having good knowledge about emergency contraception. Since they are future health care providers giving adequate training to them in acquiring good knowledge will help in dispensing the reproductive health education to the community especially for the adolescents and youth.

scholarly journals A Cross-Sectional Study of Various Gynaecological Profiles among Adolescents Attending Outpatient Department at Dr. B.R. Ambedkar Medical College and Hospital

2021 ◽  
Vol 8 (9) ◽  
pp. 507-511
Author(s):  
Anitha Narasimhaiah ◽  
Nutan Saha
Keyword(s):  
Adolescent Girls ◽  
Health Care Providers ◽  
Teenage Pregnancy ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Age Group ◽  
Care Providers ◽  
Cross Sectional ◽  
Medical College ◽  
Tract Infections

BACKGROUND Adolescents constitute about 21 % of Indian population. Adolescence is a period of major physiological change along with psychological and socio-behavioural changes. Issues in adolescent age group are not only different but are increasing over the years and need special consideration. Hence, as health care providers, we need to focus on young people as investing in their health today will reap rich rewards tomorrow. Our study focusses on the incidence of adolescents attending gynaecology outpatient department (OPD) and the different gynaecological profiles in adolescents attending OPD. METHODS 351 adolescent girls in the age group of 10 - 19 years attending gynaecological OPD of Dr. BRAMC, Bengaluru, from February’ 19 to January’ 20 were included in the study. All the adolescents presenting with various gynaecological profiles were evaluated by detailed history taking and thorough clinical examination after taking an informed consent. RESULTS There were 351 adolescent girls (5.37 %) attending the gynaecology OPD during the study period. Teenage pregnancy (38.4 %) was the commonest indication for OPD consultation among adolescent girls followed by irregular cycle (17.9 %). Pain abdomen, anaemia, white discharge per vagina (WDPV), urinary tract infections (UTI), polycystic ovarian syndrome (PCOS), heavy menstrual bleeding, breast pain, breast enlargement were few other complaints encountered during this study. CONCLUSIONS Teenage pregnancy and menstrual abnormalities are the most common issues seen in adolescents. Adolescent gynaecology needs increased awareness and greater attention. This can perhaps best be done by setting up specialised adolescent clinics and it is the need of the hour to protect and promote the health of teenagers. KEYWORDS Adolescents, Teenage Pregnancy, Menstrual Irregularities, Gynaecological Problems, Gynaecological Profile, Adolescent Issues

scholarly journals Knowledge of Health Care Providers of a Tertiary Hospital Regarding Post-Operative Infection

2022 ◽  
Vol 40 (1) ◽  
pp. 43-50
Author(s):  
Nusrat Jahan Nishu ◽  
Baizid Khoorshid Riaz
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Demographic Data ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Infection Management ◽  
Medical College ◽  
Collection Data

Background: Infection is a very common post-operative complication. Now a day the knowledge about infection among healthcare provider is very essential. The study was aimed to determine the knowledge health care provider regarding the management of infection in postoperative ward. Methods: The cross-sectional study was conducted among 90 respondents (60 doctors, 50 nurses & 40 supporting staff) from January 2015 to December 2015 in Dhaka Medical College and Hospital. A semi structured questionnaire was used to obtain socio-demographic data and infection management related information from the respondents through face to face interview. In-depth interviews were taken from director of DMCH, head of the department of surgery and nurse in-charge in post-operative ward for qualitative data. After collection data were complied, summarized and analyzed. The study was approved by ethical committee of National institute of Preventive and Social Medicine. Before collection of data, written permission was taken from the director of the selected hospital & take consent from the respondents. Results: Among 150 respondents, 58% were female with 26-30 years age group. Most doctors were post-graduate & nurses were diploma in nursing. Most of doctors had knowledge about infections- 83.3% told bacterial as a type, 80% told devices as a source and 94% told diabetes as a risk factor. Both doctors and nurses had knowledge about the causes and mode of transmission of infection (90% doctors & 93.2% nurses told unsterile instrument), complication due to infection (100% doctors told sepsis & 86.7% nurses told wound become red & swelling), prevention (100% doctors &92% nurses told proper sterilization of instrument). Doctors (95% and nurse (74%) known about infection control guideline and. Doctors (47.5%) and nurses (68%) received training about infection management Among 40 staff 80% were known about infection and they knew from their colleague. 82.5% staffs known about sterilization. Conclusion: This finding had great impact for management of infection and it will be beneficial for all HCW to receive formal and periodic refresher trainings. JOPSOM 2021; 40(1): 43-50

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