scholarly journals Efficacy of Locally Adapted Dietary Regimen in the Treatment of Nutritional Marasmus: A Randomized Control Trial

2014 ◽  
Vol 41 (2) ◽  
pp. 45-49
Author(s):  
ME Rahman ◽  
K Qamruzzaman ◽  
MMR Bhuian ◽  
MN Karim ◽  
MM Rahman
Keyword(s):  
Initial Phase ◽  
Medical College Hospital ◽  
World Health ◽  
College Hospital ◽  
Dietary Regimen ◽  
Target Weight ◽  
Medical College ◽  
Resource Limited ◽  
Pedal Edema ◽  
Health Organization

Food-based strategies are currently in practice to meet the challenges of micronutrient malnutrition in malnourished children. World Health Organization (WHO) proposed a dietary regimen for such therapy. In resource limited country like Bangladesh, it is difficult to implement the WHO protocol properly. Current study aimed at evaluating the locally adapted peanut based Dhaka Medical College Hospital (DMCH) dietary formula in the treatment of nutritional marasmus. The trial was conducted in Dhaka Medical College Hospital (DMCH) from July 2009 to June 2010. Sixty marasmic patients (based on WHO criteria) admitted in the hospital aged 06 to 59 months who meet the inclusion criteria were enrolled. Children with major congenital anomalies, children having feeding difficulty and bi-pedal edema, severe anemia, severe dehydration, TB, congestive heart failure with shock, critically sick child were excluded. Children were allocated with one of the dietary formula (DMCH regimen or WHO regimen) randomly by box of eight randomization protocol. Both groups were managed in two phase's i.e. initial phase and rehabilitation phase. In the initial phase starter formula was used and during the rehabilitation phase catch-up formula was given. Heath and nutritional education for mother and caregiver was given, Non-immunized children were immunized and discharge was given after fulfilling the criteria. Independent t tests were applied to compare outcome of treatment. Child receiving DMCH regimen took on average 3.47 days to return to smile the time was 4.47 in WHO regimen group (P< 0.01). Rate of weight gain was also higher in the group by around 2.66 gm/kg/day. In DMCH group the time taken to achieve target weight was 13.4 days which was around one day more than that of WHO group (14.3 days). Total amount of F-75 was also required less in WHO group. Most importantly daily treatment cost was higher by around 17 BDT per day in WHO regimen group. Neither of the group experienced any serious adverse effect or fatality. Locally made peanut based DMCH protocol is more efficacious than the WHO regimen for treatment of treatment of nutritional marasmus in the age group 6 months to 59 months. DOI: http://dx.doi.org/10.3329/bmj.v41i2.18808 Bangladesh Medical Journal 2012 Vol. 41 No. 2: 45-49

scholarly journals Oral Health Status and Treatment Needs of Inpatients at a Medical College Hospital in Haryana

2018 ◽  
Vol 52 (1) ◽  
pp. 5-11
Author(s):  
Avijit Avasthi ◽  
Girish M Sogi ◽  
Koratagere L Veeresha
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Oral Hygiene ◽  
Oral Health Status ◽  
Medical College Hospital ◽  
World Health ◽  
Treatment Needs ◽  
College Hospital ◽  
Medical College ◽  
Significant Difference

ABSTRACT Aim To assess the oral health status and felt needs of patients admitted to medical/surgical wards. Materials and methods The cross-sectional study included 346 patients who were recruited from medical/surgical wards. Dental parameters were recorded using the World Health Organization (WHO) Oral Health Assessment Form for Adults, 2013. Results Mean age of patients was 40.77 [standard deviation (SD) ± 14.4] years; 36.4% aged > 45 years and 32.9% educated beyond 10 years of education. 77.2% used toothbrush and 75.7% toothpaste for cleaning of teeth. 91% brushed their teeth at least once a day and 77.7% performed tongue cleaning. Greater number of decayed teeth (3.43 ± 3.38) were seen in those educated ≤ 10 years when compared with those educated beyond this level (2.43 ± 2.55). Participants with low education attainment and higher age group (>45 years) had significantly more teeth missing due to caries/other reasons, and with deeper periodontal disease. Conversely, higher educated and younger aged group (<45 years) participants had significantly greater mean number of sound teeth and teeth without gingival and periodontal abnormalities. There was no significant difference between smokers and nonsmokers, those who ever visited a dentist or not, practicing or not practicing oral hygiene, using tobacco or not, those with diabetes mellitus and/or hypertension or without these conditions. Nearly 80% of the patients felt no requirement for dental treatment. Conclusion Despite adherence to oral hygiene practices, the oral health status of patients admitted to medical/surgical wards was poor. How to cite this article Avasthi A, Sogi GM, Veeresha KL. Oral Health Status and Treatment Needs of Inpatients at a Medical College Hospital in Haryana. J Postgrad Med Edu Res 2018;52(1):5-11.

scholarly journals Use of Blood and Blood Components In Dhaka Medical College Hospital

2015 ◽  
Vol 26 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Fahmida Sharmin Chowdhury ◽  
Md Ali Ehsan Siddiqui ◽  
Khairul Islam ◽  
Zubaida Nasreen ◽  
Husne Ara Begum ◽  
...  
Keyword(s):  
Whole Blood ◽  
World Health Organisation ◽  
Transfusion Practice ◽  
Medical College Hospital ◽  
World Health ◽  
Blood Component ◽  
Blood Components ◽  
College Hospital ◽  
Medical College ◽  
The Right

Introduction: Use of blood means providing the right blood product, in the right quantity, for the right patient. It can help in bridging the gap between demand and supply of the precious blood or blood products.Objective: The present study was designed to study appropriateness of use of the blood components in different wards in DMCH, to improve the consistency and appropriateness of transfusion practice, to promote the integration of quality management systems into transfusion practice, to reduce the overall number of transfusion-related complications, to increase consumer awareness of the benefits and risks of blood component therapy; and conserve a limited resource.Methodology: This study was done at Transfusion Medicine Department of Dhaka Medical College Hospital in the period between January 2008 to December 2011. Donors of 18 to 55 years of both sexes were selected after reviewing the questionnaire, physical and medical examination and written consent .Blood was collected in different blood bags. Blood components were prepared by centrifugation of whole blood in a refrigerated centrifuge machine. Data was collected using a pretested questionnaire on age, gender, department, haemoglobin levels, indications of blood transfusions, types of product advised, total number of units ordered, cross-matched and transfused. Rational use of blood was assessed by determining prevalence of appropriateness using World Health Organisation’s clinical practical guidelines and transfusion indices. Interviews were done with doctors to assess their knowledge and practices.Result: In 2008, 1231(8.4%) components were prepared against 14560 whole blood. In 2009, 1636 (9.63%) components against 16984 whole blood were prepared. In 2010, 1380 (8.13%) components were prepared against 16980 whole blood. In 2011 1800 (8.91%) components were prepared and supplied to surgery, medicine, gynae, paediatrics, haematology and oncology wards.Conclusion: The hospital was not rationale in use of blood.Bangladesh J Medicine Jan 2015; 26 (1) : 18-24

scholarly journals Real-time Reverse Transcription PCR-based SARS-CoV-2 Detection in Khwaja Yunus Ali Medical College Hospital, Enayetpur, Sirajganj, Bangladesh

KYAMC Journal ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 59-65
Author(s):  
Md Arifur Rahman ◽  
Sabera Sultana ◽  
Mosammad Alpana Jahan ◽  
Shamsun Nahar ◽  
Md Abdullah Akhtar Ahmed ◽  
...  
Keyword(s):  
Real Time ◽  
Reverse Transcription ◽  
World Health ◽  
Health Concern ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Reverse Transcription Pcr ◽  
Laboratory Services ◽  
Health Organization

Background: Coronavirus disease 2019 (COVID-19) is a global pandemic declared on 11 March 2020 by World Health Organization (WHO). It is a highly pathogenic viral infection caused by SARS-CoV-2 which has caused global health concern. The emergence of SARS-CoV-2 infection has triggered a global need for accurate diagnostic assays. Detection of viral RNA in clinical specimens is the hallmark of diagnosis. Objectives: The aim of present study was to determine the prevalence of SARS-CoV-2 infection in some districts of North Bengal area of Bangladesh according to age, sex and area distribution. Materials and Methods: This cross sectional descriptive study was carried out in the Department of Laboratory Services, KYAMCH, Enayetpur, Sirajganj, Bangladesh. Real-Time reverse transcription Polymerase chain reaction assay was used for detection of virus. Results: A total of 1760 cases in the month from March to May 2021 were tested, among which 310 (17.6%) cases were detected positive for SARS-CoV-2. Out of 310 positive cases 211 (68.06%) were male and 99 (31.94%) were female. Maximum positive cases were from Sirajganj followed by Pabna, Natore, Naogaon, Bogura, Gaibandha districts and some parts of Rajshahi district respectively. Conclusion: This is the first study for genetic detection of SARS-CoV-2 done in KYAMCH, Enayetpur, Sirajganj. Strategies of using rRT-PCR for detection of SARS-CoV-2 may facilitate early and confirmatory diagnosis of COVID-19 KYAMC Journal.2021;12(02): 59-65

scholarly journals Pattern of Injury in RTA Patients in Department of Neurosurgery, Rangpur Medical College Hospital

2019 ◽  
Vol 9 (1) ◽  
pp. 22-25
Author(s):  
Rajkumar Roy ◽  
Habibur Rahman ◽  
Shamima Sultana ◽  
Tofael Hossain Bhuiyan
Keyword(s):  
Traffic Accident ◽  
Causes Of Death ◽  
Road Traffic ◽  
Head Injuries ◽  
World Health ◽  
Spine Injury ◽  
College Hospital ◽  
Pattern Of Injury ◽  
Medical College ◽  
Health Organization

Background: Road traffic accident (RTA) is a common problem of neurosurgery department. It is one of the leading causes of death in Bangladesh; the World Health Organization estimated that it kills over 21,000 people in the country annually. Aims: This study aims at to give special attention to RTA patients having head injury or spine injury rather than other injury. Method: The data were collected using a set of structured questionnaires from January/2018 to December/2018. Result: Maximum (93.3%) of RTA patients were managed conservatively and only a few number (6.7%) of patients needed surgery. Recovery was 83% and death was in 17% cases. Conclusion: Head injuries remain the most common and serious type of trauma in RTA and demand good neurosurgical care for such patients. Immediate attention is needed to reduce preventable deaths and morbidities in rural Bangladesh. Bang. J Neurosurgery 2019; 9(1): 22-25

scholarly journals Neonatal Surgery: Demand and Survival Both are Increasing: Eight Years Experience in Dhaka Medical College Hospital, Bangladesh

2014 ◽  
Vol 1 (1) ◽  
pp. 30-35
Author(s):  
Abdul Hanif ◽  
Kaniz Hasina ◽  
Ahmed Zahid Hossain ◽  
S M Shamsul Huda ◽  
M Kamrul Hassan ◽  
...  
Keyword(s):  
Developing Countries ◽  
Pediatric Surgery ◽  
Intestinal Atresia ◽  
Posterior Urethral Valves ◽  
Medical College Hospital ◽  
Infant Mortality Rate ◽  
World Health ◽  
College Hospital ◽  
Medical College ◽  
Mdg 4

Purpose: In order to achieve the Millennium Development Goal (MDG) 4 target of a two-thirds reduction in under-five mortality from 1990 to 2015, major reductions are going to be required in neonatal mortality. Congenital anomalies have become the fourth cause of neonatal deaths and most of these are curable. Dhaka Medical College Hospital is the largest public hospital of the country and serving the poor and lower middle class people where surgery and medical facilities are mostly free of cost. This study was done to see the types of neonatal surgical patients admitted in this hospital and their management out come with limited facilities and find out the ways to improve the scenario to contribute in achieving the MDG.Materials & Methods: This was a retrospective study done over a period of 8 years from July 2001 to June 2009 and carried out in the Department of Pediatric Surgery, Dhaka Medical College Hospital, Dhaka. A total of 650 neonates were admitted during this period and it was the 17.99% of total number of 3612 pediatric surgical admission upto12 years of age. Data was collected from hospital records and analyzed retrospectively.Results: Out of these 650 neonates 533(80%) were admitted for Neonatal Intestinal Obstruction (NIO) and omphalocele were 59 (9.07%), ectopia vesicae are 14 (2.15% ), posterior urethral valves (PUV) were 19 (2.92%), gastroschisis were 7 (1.07%) , congenital diaphragmatic hernia (CDH) were 16 (2.46%),Tracheo-oesophageal fistula 1 (0.15%), and Conjoint twin 1 (0.15%). The most common cause of NIO was anorectal malformation (ARM) and 194 (66.43%) patients have high variety and 98(33.56%) patients have low variety ARM. Next was Hirschsprung disease and 137 (21.07%) neonates presented with this. Thirty-Five (5.38%) patients presented with septicemia and 40 (6.15%) presented with intestinal atresia, 20 (3.07%) neonates had meconium ileus and 9 (1.38%) patients presented with volvulus neonatorum. Five hundred and Fifty-nine patients (86.00%) were managed surgically. Out of 650 patients, 69 died, so mortality was 10.61% and before surgery 2.76% and after surgery was 7.84%.Conclusion: Pediatric surgeons by their skill and teamwork greatly improved the neonatal surgical service and contributing significantly in reducing infant mortality rate and to achieve MDG 4. But to improve further, neonatal intensive care unit (NICU) and other support systems are essential as well as support from UNICEF and World Health Organization (WHO) to include pediatric surgery and surgeons in their activities especially in developing countries. Due to socio-political and economic reasons of the developing countries the roll of pediatric surgeons are multidimensional.DOI: http://dx.doi.org/10.3329/jpsb.v1i1.19463

scholarly journals Understanding of Diabetes among Nurses in a Teaching Hospital of Bangladesh

2018 ◽  
Vol 29 (1) ◽  
pp. 10-15
Author(s):  
Md Nure Alom Siddiqui ◽  
Shahnaj Sultana ◽  
MMR Khan ◽  
MK Rahman ◽  
MN Islam
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Disease ◽  
Clinical Features ◽  
Diabetes Management ◽  
Health Workers ◽  
Public Health Problem ◽  
Medical College Hospital ◽  
World Health ◽  
College Hospital ◽  
Medical College

Objective: Diabetes mellitus is a growing public health problem in the world. Health education by health workers is a key factor in the prevention of this chronic disease. The objective of the study was to determine nurses understanding of diabetes mellitus.Methodology: This was a cross-sectional descriptive study carried out at Rajshahi Medical College hospital from August 2010 to February 2011. Registered nurses were questioned about the clinical features, diagnosis, complications and management of diabetes mellitus. The results were analyzed using appropriate statistical method.Results: A total of 86 nurses completed the questionnaire. Majorities were below 50 years and were ward nurses. About 97.7% correctly identified the definition of diabetes mellitus (p < 0.01) and 94.2% identified <7mmol/l as the fasting plasma glucose diagnostic cut off for DM. Cent percent agreed that DM is a chronic disease (p < 0.01). Polyuria (90.3%) and polydypsia (63.7%) were the commonest clinical features of DM identified. Insulin therapy was the most common form of management identified by 67.9% of the subjects. Majority (83.2%) agreed that weight reduction is useful. About two-thirds (67.2%) identified two oral hypoglycaemic drugs while 25 (22.1%) could not identify any type of insulin. Most subjects (94.7%) could correctly identify treatment for hypoglycaemia, with 7.1% of the nurses saying that insulin can be used to treat hypoglycaemic coma. The eye (82.3%) was the most common organ identified as being complicated with DM. Less than half of the nurses could identify the symptoms of diabetic ketoacidosis while about half (50.9%) of the nurses could identify at least one symptom of diabetic ketoacidosis.Conclusion: Nurses knowledge of diabetes mellitus in Rajshahi medical college hospital is good; however, there are deficits in certain aspects of diabetes management. Organization of regular diabetes educational programmes for nurses will improve these deficiencies of knowledge.TAJ 2016; 29(1): 10-15

scholarly journals Compliance and outcome of implementing World Health Organization surgical safety check list in surgical practice in a teaching hospital

2017 ◽  
Vol 4 (4) ◽  
pp. 126-130
Author(s):  
Suman Kumar Shrestha ◽  
Prabin Bikram Thapa ◽  
Tseten Yonjan Lama ◽  
Dhiresh Kumar Maharjan
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Industrialized Countries ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Surgical Practice ◽  
Surgical Safety ◽  
Medical College ◽  
Health Organization ◽  
Surgical Checklist

Background: Surgical complications represent a signifi cant cause of morbidity and mortality with the rate of major complications after inpatient surgery in industrialized countries. The purpose of this study was to summarize experience with surgical checklist use and efficacy for improving patient safety.Objective: To evaluate the compliance of implementation and outcome of World Health Organization Surgical checklist use in surgical practice at Kathmandu Medical College.Methods: This is a prospectively designed descriptive study including adult patients undergoing surgical procedure in Kathmandu Medical College Hospital from June 2013 till June 2014. Obtained data on compliance of World Health Organization safety checklist use by practitioner and its outcome in patient’s safety were assessed using SPSS version 15.The surgeries that underwent under local anesthesia were excluded from the study.Results: World Health Organization checklist was implemented in all 288 patients undergoing various surgical procedures with acceptable compliance by all 41 practitioners. Although it had no impact on correctable mortality and morbidity, frequent instrument malfunctions were offi cially recorded. Attitudes towards use of checklist was good as 100% of participants wanted use of checklist if they were having operation on themselves. However 22% of the participants complained of extra time needed to fi ll the checklist. Time taken to fi ll up sign in column of checklist was on average from 120 to 150 seconds (mean 135±5secs) and sign out was 80-100 seconds (mean 95±6secs). Only 69% of the participants were available for sign out. Scissor malfunction was detected in 4(1.38%) cases and operation theatre table related problem was found in one case (0.34%).Conclusion: Implementation of World Health Organization Surgical Safety Checklist can be done with acceptable compliance and instrumental malfunction was well documented.

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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