scholarly journals Profile of Patients Attending at the Department of Physical Medicine and Rehabilitation in a Specialized Hospital of Bangladesh

2017 ◽  
Vol 46 (1) ◽  
pp. 15-19
Author(s):  
Prasanta Kumar Chakraborty ◽  
Md Shahadat Hossain ◽  
Md Jahidul Islam ◽  
Md Shahadat Hossain ◽  
Monzur Ahmed ◽  
...  
Keyword(s):  
Care Delivery ◽  
Outpatient Rehabilitation ◽  
Physical Medicine ◽  
Health Seeking ◽  
Physical Medicine And Rehabilitation ◽  
Specialized Hospital ◽  
Number Of Patients ◽  
Disease Pattern ◽  
Seeking Behavior ◽  
Tunnel Syndrome

Physician’s documentation has become the critical component in rehabilitation of patients. The scope of Physical Medicine and Rehabilitation (PMR) encompasses more than a single organ system. Attention to the whole person is paramount. The aim of the study was to appraise the disease pattern and demographic information of the patients received outpatient rehabilitation services at the department of PMR, National Institution of Neuroscience and Hospital, Dhaka, Bangladesh. This is a retrospective study carried out for the period of two years July 2013 to June 2015. Total number of patients was 29678, among them 57.02% were male and 42.98% were female. Maximum patients (26.15%) were in age group 41-50 years and in housewife (37.76%) in occupation, where majority (56.33%) of them came from Dhaka city. Regarding disease pattern, 56.32% was neurological, 33.46% was musculoskeletal and 7.25% of patients were suffering from rheumatologic problem. Among leading diseases, largest disease group was stroke (20.02%), 10.48% was non-specific low back pain, 9.92% was Bell’s palsy, 5.35% was lumbar spondylosis, 5.13% was carpal tunnel syndrome, 4.11% was prolapsed lumber inter-vertebral disk (PLID), 3.72% was cerebral palsy. Knowledge about the existing disease pattern and health seeking behavior is essential to provide need based health care delivery to any population.Bangladesh Med J. 2017 Jan; 46 (1): 15-19

scholarly journals Disease Pattern and Health Seeking Behavior in Rural Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 32-37 ◽  
Author(s):  
M Rahman ◽  
MM Islam ◽  
MR Islam ◽  
G Sadhya ◽  
MA Latif
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Household Head ◽  
Gastrointestinal Diseases ◽  
Day Labor ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Rural Bangladesh ◽  
Disease Pattern ◽  
Seeking Behavior

Knowledge about the existing disease pattern and health seeking behavior is essential to provide need based health care delivery to any population and to make the health care system more pro-poor. A community based cross sectional study was conducted among 493 systematically selected households in the Modhukhali Upazilla of Faridpur District to determine the prevailing disease pattern and health seeking behavior in rural Bangladesh. Data were collected through face-to-face interview of the selected respondents. More than half of the respondents gave history of illness of her or her family members during the preceding 15 days. Fever (33.2%), gastrointestinal diseases (24.9%) and respiratory diseases (17.8%) were the most reported complaints. Overall, there were no discernible differences in the likelihood of seeking traditional or any kind of care considering socio-demographic variables and prevailing disease types. Occupation of household head as day labor or in agriculture and suffering from gastrointestinal diseases positively predicted use of para-professionals. Use of un-qualified allopths was negatively predicted by the male gender or literacy of the household head and presence of gastrointestinal, respiratory and other types of diseases and positively predicted by occupation of the household head in agricultural field or as day labor. Use of qualified allopaths was positively predicted by respiratory, skin/eye/ENT and other types of diseases and also by standard of living and relationship of the respondents with household head and negatively predicted by agricultural or day labor work of the household head. Existence of several distinct therapeutic systems in a single cultural setting was found to be an important feature of health care system in the study area. This study concluded that it is important to develop a need based health care delivery system and actions should be taken to improve the overall scenario of health system of rural Bangladesh. Key words: Disease pattern; health seeking behavior; rural area; Bangladesh DOI: 10.3329/fmcj.v6i1.7408 Faridpur Med. Coll. J. 2011;6(1): 32-37

scholarly journals Diseases Pattern in The Department of Physical Medicine & Rehabilitation in A Tertiary Care Hospital

KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Muhammad Alamgir Mandal ◽  
Mohammad Moniruzzaman ◽  
Khurshid Mahmood ◽  
Md Jahidul Islam ◽  
Kazi Shihab Uddin
Keyword(s):  
Cervical Spondylosis ◽  
Tertiary Care ◽  
Frozen Shoulder ◽  
Medical Rehabilitation ◽  
Care Hospital ◽  
Physical Medicine ◽  
Lumbar Spondylosis ◽  
Physical Medicine And Rehabilitation ◽  
Neck Sprain ◽  
Disease Pattern

Background: The field of Physical Medicine and Rehabilitation focuses on the restoration of health and function and reintegration of the patient into the community, Providing services (outdoor & indoor patients) of physical medicine & rehabilitation (PMR) department was started in 2015. Since establishment, department of Physical Medicine is providing services as outdoor basis regularly.Aim & Objectives: The purpose of the study was to observe the disease pattern and demographic characteristics of patients attending the department of Physical Medicine and Rehabilitation in a tertiary care hospital.Methods: This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Khwaja Yunus Ali Medical College Hospital (KYAMCH), Sirajganj for the period of one year from 1st January, 2016 to 31st December, 2016.Results: Total eighteen hundred sixty five (n = 1865) patients were studied, of which 46.21% were male and 53.78% were female. The mean age was 34.64 ± 5.36 years; maximum patients (25.14%) belong to 31-40 years of age. Maximum patients (78%) were come from out of Sirajgonj District specially North Bengal. Regarding disease pattern, 21.60% were PLID, 10.99% stroke, cervical spondylosis 11.15%, lumbar spondylosis 11.52%, frozen shoulder 10.83%, low back pain 9.49%, osteoarthritis 8.25%, facial palsy 0.43% rheumatoid arthritis 5.47%, seronegetavive Spondyloarthopathy 0.26%, GBS 0.10% acute neck sprain/strain 5.68% and others 4.18%.Conclusion: A large scale multi-centered study should be performed in the country. A uniform data system should be constructed for Medical rehabilitation in Bangladesh. Maximum patients were having PLID, Cervical spondylosis, lumbar spondylosis, Stroke & Frozen shoulder.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 33-37

scholarly journals Health Seeking Behavior among Mentally and Physically Ill Patients: A Comparative Study

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Naglaa M Gaber
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Mentally Ill ◽  
Health Care Services ◽  
Health Seeking ◽  
Care Services ◽  
Number Of Patients ◽  
Seeking Behavior ◽  
Remedial Actions ◽  
Physical Diseases

Health-seeking behaviour has been defined as a sequence of remedial actions that individuals undertake to rectify perceived ill-health. Therefore, this study was to assess the barriers affecting seeking health care services as perceived by mentally and physically ill patients. A descriptive comparative design was utilized in this study. A sample of convenience of 100 patients (50 physically ill patients and 50 mentally ill patients) was recruited for the conduction of this study. Socio-demographic/medical data sheet, barriers affecting seeking health care services questionnaire were used for data collection. Findings of this study indicated that, near half of studied sample of patients with mental illness express severe level of difficulties in seeking health care services as compared to more than one third of patients with physical diseases. Meanwhile, more than one third of studied sample of patients with mental illness express moderate level of difficulties in seeking health care services as compared to two thirds of patients with physical diseases. To conclude no statistical difference was found between patients with mental illness and patients with physical disease in relation to barriers affecting seeking health care services. Further studies on a larger number of patients with different diagnoses from different geographical areas are recommended

Abstract P97: Changes in Stroke Patient’s Health-Seeking Behavior by Covid-19 Epidemic Regions: Data From Korean Stroke Registry

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Han-yeong Jeong ◽  
Eung-Jun Lee ◽  
Min Kyoung Kang ◽  
Ki-woong Nam ◽  
Jeonghoon Bae ◽  
...  
Keyword(s):  
Treatment Time ◽  
Stroke Care ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Stroke Registry ◽  
Care Services ◽  
Number Of Patients ◽  
Epidemic Period ◽  
Seeking Behavior ◽  
Ischemic Attack

Background and purpose: With the wide spread of coronavirus disease 2019 (COVID-19) around the world, not only patients with COVID-19, but also patients with other disease such as stroke have undergone many changes in their health-seeking behavior. Between late February and March 2020, COVID-19 was epidemic in the community of Daegu city and Gyeongsangbuk-do region (D-G region) in Korea. We aimed to clarify the changes in the health-seeking behaviors of stroke patients and stroke care services by region in Korea through analysis of data from Korean Stroke Registry (KSR). Methods: We retrospectively reviewed the data with acute stroke and transient ischemic attack (TIA) patients between 2019 and 2020. We compared the stroke onset to hospital arrival (onset-to-door) time of these patients in the D-G region and other regions in Korea during the epidemic period in 2020 (post-COVID-19: February 18-March 31, 2020) and the same period in 2019 (Pre-COVID-19). In addition, we investigated the in-hospital stroke pathways with the patients. Results: 1,792 patients in pre-COVID-19 and 1,555 patients in post-COVID-19 who visited KSR-registered hospitals were analyzed. Compared to pre-COVID-19, the number of patients registered in KSR decreased in most regions in post-COVID-19. In the D-G region, the number of registered patients decreased by two thirds, and the proportion of patients with TIA decreased significantly. (9.97% to 2.91%). Unlike other regions, the median onset-to-door time increased significantly in the D-G region (361 versus 526.5 minutes, p=0.0084). The proportion of patients with onset-to-door time within 3 hours also decreased significantly (36.45% versus 28.16%, p=0.0485). Patients in their 60s and 70s and mild symptoms (NIHSS score 0 to 3) came to the hospital later. As a result, the patients who underwent thrombectomy also decreased, but the treatment time did not differ between the two periods. Conclusion: During the epidemic of COVID-19, the patients residing in the epicenter showed distinct changes in health-seeking behavior. Appropriate public education about stroke is needed during the COVID-19 pandemic.

scholarly journals Role of Splint in Patients with Symptoms of Carpal Tunnel Syndrome

2018 ◽  
Vol 15 (2) ◽  
pp. 48-51
Author(s):  
Ehsanul Haque Khan ◽  
Khurshid Mahmood ◽  
Taslima Hoq Moonmoon ◽  
Bidoura Tanim
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Management Tool ◽  
Physical Medicine ◽  
Duration Of Symptoms ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

Background: Carpal tunnel syndrome is a common condition Encountered in the department of physical medicine and rehabilitation. Splinting wrist in patients with carpal Tunnel syndrome is good conservative management tool in patients specially who wake up at night.Objective: This study was conducted to assess the role of splint in patients with symptoms of carpal syndrome.Methodology: This was a quasi-experimental study. This study was conducted in the department of physical medicine and rehabilitation department at Dhaka medical college hospital during July 2006 t0 January 2007 time period. Patients were selected randomly from the outpatient department physical medicine and Rehabilitation of Dhaka Medical College, Dhaka, Bangladesh. Patients who had symptoms consistent with carpal tunnel syndrome that was numbness, tingling and burning sensation in the hand, duration of symptoms more than two weeks or more than three times in last six months, who were residents of Dhaka city and who were able to follow up regularly were included as study population. Patients were enrolled randomly into splinted and non-splinted group by odd and even number. Splinted group were treated by splint, drugs, ergomic training and exercise. Non-splinted group were treated by same drugs, ergonomic training and exercise only. The splint was a tailor made volar static wrist splint prepared by same orthoptist for every patient with splint. Outcomes were measured by Visual Analogue scale (VAS) and Levine Symptom Severity Scale (LSSS) at second fourth and six weeks follow up visits. The data were collected into splinted and non-splinted groups.Result: There were 51 hands in 34 patients enrolled for the study. Among them 26 were in the splinted group and 23 were in the non-splinted group.Conclusion: In this study splinted group showed significant improvement.Journal of Science Foundation, July 2017;15(2):48-51

scholarly journals Electrodiagnostic Testing and Treatment for Carpal Tunnel Syndrome in Canada

2015 ◽  
Vol 43 (1) ◽  
pp. 178-182 ◽  
Author(s):  
Rodney Li Pi Shan ◽  
Michael Nicolle ◽  
Ming Chan ◽  
Nigel Ashworth ◽  
Chris White ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
American Academy ◽  
Carpal Tunnel ◽  
Nerve Conduction Study ◽  
Nerve Conduction ◽  
Sensory Nerve ◽  
Practice Parameter ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Tunnel Syndrome

AbstractObjectives: 1) Assess which electrodiagnostic studies Canadian clinicians use to aid in the diagnosis of carpal tunnel syndrome (CTS). 2) Assess whether Canadian clinicians follow the American Association of Neuromuscular & Electrodiagnostic Medicine/American Academy of Neurology/American Academy of Physical Medicine and Rehabilitation Practice Parameter for Electrodiagnostic Studies in CTS. 3) Assess how Canadian clinicians manage CTS once a diagnosis has been established. Methods: In this prospective observational study, an electronic survey was sent to all members of the Canadian Neuromuscular Group (CNMG) and the Canadian Association of Physical Medicine and Rehabilitation (CAPM&R) Neuromuscular Special Interest Group. Questions addressed which electrodiagnostic tests were being routinely used for the diagnosis of carpal tunnel syndrome. Management recommendations for CTS was also explored. Results: Of the 70 individuals who completed the survey, fourteen different nerve conduction study techniques were reported. Overall, 36/70 (51%) of participants followed the AANEM/AAN/AAPM&R Practice Parameter. The standard followed by the fewest of our respondents with 64% compliance (45/70) was the use of a standard distance of 13 to 14 cm with respect to the median sensory nerve conduction study. Regarding management, 99% would recommend splinting in the case of mild CTS. In moderate CTS, splinting was recommended by 91% of clinicians and 68% would also consider referral for surgery. In severe CTS, most recommended surgery (93%). Conclusions: There is considerable variability in terms of which electrodiagnostic tests Canadian clinicians perform for CTS. Canadian clinicians are encouraged to adhere to the AANEM/AAN/AAPM&R Practice Parameter for Electrodiagnostic Studies in CTS.

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