scholarly journals Knowledge and Acceptance of HPV Vaccination among Women Attending at Out Patient Department of Dhaka Medical College Hospital

2017 ◽  
Vol 46 (1) ◽  
pp. 25-31
Author(s):  
Lutfa Begum Lipi ◽  
Mohammed Mizanur Rahman ◽  
Nibedita Shaha ◽  
Meher Sultana ◽  
Iffat Ara
Keyword(s):  
Cervical Cancer ◽  
Hpv Vaccination ◽  
Development Program ◽  
Cervical Cancer Prevention ◽  
Medical College Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Face To Face ◽  
Highly Educated ◽  
Medical College

Vaccination is a part of primary prevention to prevent cervical cancer. The causative agent of cervical cancer is Human Papilloma Virus (HPV). The purpose of this study was to assess the knowledge and awareness regarding cervical cancer prevention by HPV vaccination and acceptance of vaccination among women attending at outpatient department of Dhaka Medical College Hospital. A qualitative study was undertaken using face to face in depth interviews from July 2015 to December 2015. A total of 229 women were included and their mean age was 34.07±7.92 ranging from 18 to 60 years. Awareness and knowledge about cervical cancer was very poor. Only 22.7% participants were aware of HPV vaccination. Knowledge was high among women coming from high socioeconomic condition which was 31.5% (p=0.03). Participants who were highly educated had more knowledge on vaccination about 66.7% (p=0.001). There was a high acceptance (83.8%) of HPV vaccination among participants. The findings focus on the importance of awareness development on cervical cancer and its risk factors. Continuous screening of cervical cancer for early diagnosis and prompt treatment and publicity of awareness development program by mass-media (television, cable line add etc.), poster, billboard and most importantly through health education could play an important role in cervical cancer prevention.Bangladesh Med J. 2017 Jan; 46 (1): 25-31

scholarly journals Knowledge and awareness about cervical Cancer and its Prevention among Women Attending at Out patient Department of Dhaka Medical College Hospital

2018 ◽  
Vol 10 (1) ◽  
pp. 36-41
Author(s):  
Lutfa Begum Lipi ◽  
Afroza Kutubi ◽  
Mohammed Mizanur Rahman ◽  
Nebedita Shaha ◽  
Nazma Haque ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Service Providers ◽  
Medical College Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Face To Face ◽  
Highly Educated ◽  
Medical College ◽  
Health Service Providers ◽  
Patient Department

The purpose of this study was to assess the knowledge and awareness regarding cervical cancer and its prevention among women attending at out patient department of Dhaka Medical College Hospital. A qualitative study was undertaken using face to face in depth interviews from January 2015 to July 2015 .Among 229 women mean age 34.07±7.92 ,from 18 to 60 years were observed. Awareness and knowledge about cervical cancer was very poor which was about 25.3%. Knowledge was high among women coming from high socioeconomic condition which was 31.5% (p=0.03). Participants who were highly educated had more knowledge about 83.3% (<0.001). Most of the participants about 72.22% got the information from doctors and health service providers. The findings highlights the importance of awareness creation about cervical cancer and its risk factors, screening through utilization of the services of media like television, newspaper and radio which have massive impact in improving the knowledge.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 36-41

scholarly journals Predisposing Factors of Scabies among the Patients Attending Skin and Venereal Disease Outdoor of Dhaka Medical College Hospital

1970 ◽  
Vol 9 (2) ◽  
pp. 82-86
Author(s):  
Afzalur Rahman Mahmood ◽  
Zannatun Nur
Keyword(s):  
Standard Deviation ◽  
Venereal Disease ◽  
Family Members ◽  
Predisposing Factors ◽  
Medical College Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Female Ratio ◽  
Level Of Education ◽  
Medical College

This cross sectional type of descriptive study was carried out among the patients attending the Skin and Venereal Disease (VD) Out Patient Department (OPD) of Dhaka Medical College Hospital (DMCH) from August 2006 to November 2006 with a view to explore the current situation of scabies and its predisposing factors. In this regard 213 clinically diagnosed scabies contracted patients were interviewed randomly by using pre-tested questionnaire. Risk factors were assessed considering their dwelling places, types of families, number of family members, persons living in each room, using fomites of infected persons, socioeconomic condition, occupation, level of education, regular bathing and cloth washing habit along with age, sex distribution and clinical presentation of scabies. The mean age of the respondents was 13.16 years with a standard deviation (SD) of ±5.38 years and majority (36.15%) was in the age group of 1-5 years. Male, female ratio was 1.15:1. Major level of education was in the group of class I to V (38%). 50.73% had family members comprised of 4 to 6. Majority (38.50%) belonged to lower middle class (income 3001-6000 taka/month). Among the respondents maximum (54.93%) were infected by family members. 77.94% respondents used fomites of affected persons and 66% respondents shared beds of infected persons. Mean duration of illness was 42 days with standard deviation of ±4.47 days. Among the male, majority (82.63%) had lesion on lower abdomen and buttock. In contrary, 80.28% female had lesion on hand. 58.68% presented with papule. The study recommends that emphasis should be given on personal hygiene and life style of people as well as educating them about scabies. Key words: Scabies, Predisposing factors, Skin and VD outdoor DOI = 10.3329/jom.v9i2.1436    J MEDICINE 2008; 9 : 82-86

scholarly journals Clinico-Demographic Profiles and Urinary Albumin in Prediction of Preeclampsia among Pregnant Women at a Tertiary Care Hospital

2019 ◽  
Vol 16 (2) ◽  
pp. 54-59 ◽  
Author(s):  
Taslima Begum ◽  
Khr Md Shahjahan Ali ◽  
Shafeya Khanam ◽  
Md Anwar Habib ◽  
Shipra Chaudhury ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Education Level ◽  
Urinary Albumin ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Demographic Profiles ◽  
Medical College ◽  
Study Population

Background: The clinical profiles and urinary albumin are very important for the prediction of preeclampsia among the pregnant women. Objective: The purpose of the present study was to assess the clinical and demographic profiles as well as the urinary albumin for the prediction of preeclampsia among the pregnant women. Methodology: This cohort study was conducted in the OPD of the Department of Obstetrics and Gynaecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh from January 2013 to December 2014 for a period of two (2) years. This study was carried on pregnant woman attending in outdoor department of Gynaecology, Rajshahi Medical College Hospital, Rajshahi, Bangladesh before 20th weeks of pregnancy who were healthy normotensive primigravidae with singleton pregnancy. The details demographic profiles, edema were collected from the study population. Urinary albumin was estimated before 20th weeks and after 28th weeks of pregnancy. Result: In the present study, 75 women were included; all were before 20th weeks of pregnancy without any complication or any risk factor for developing PE. Among the study group incidence of PE was 16%. The population are 24(32.0%) low, 31(41.3%) middle and 20(26.7%) high in socio economic conditions. Education level of study population was 45% completed primary education level, illiterate (27%) and secondary education (28%). Edema was absent in 1st visit, in 2nd visit 6(+), 6(++) present who developed PE, 18(+) present who did not develop PE. Edema was absent in 1st visit and (+) 6(50.0%) and (++) in 6(50.0%) present who developed PE in 2nd visit. Urine albumin in 1st visit nil in 6(50.0%), trace in 3(25.0%) and (+) in 3(25.0%) who developed PE. Conclusion: In conclusion housewife living in urban area in middle income socioeconomic condition are the most commonly presented with preeclampsia and urinary albumin is the most commonly detected in the pregnant women presented with preeclampsia Journal of Science Foundation 2018;16(2):54-59

scholarly journals Hepatic Lobectomy-Case Report of Two Patients, Performed at Chittagong Medical College Hospital

1970 ◽  
Vol 26 (3) ◽  
pp. 153-157
Author(s):  
SM Ashraf Ali ◽  
Md Margub Hussain
Keyword(s):  
Case Report ◽  
Life Experience ◽  
Left Lobe ◽  
Medical College Hospital ◽  
General Surgeon ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Low Socioeconomic ◽  
Medical College ◽  
Tertiary Center

Lobectomy of liver is indicated for different conditions; mainly malignancy and trauma. Though it is highly specialized operation and preferably be performed in specialized tertiary center, sometime a general surgeon may not be in a position to avoid the surgery due to very low socioeconomic condition or to tackle emergency traumatic condition. Two case report of Lobectomy of liver; right lobectomy for hepatocellular carcinoma, and left lobectomy for left lobe big cyst and multiple stones in it were performed at Chittagong Medical College Hospital utilizing the existing facilities. Both patients recovered uneventfully. Case I expired after two month and fourteen day, Case II leading a pain free cheerful normal life. Experience of management of these two cases of resection of liver is recorded at Chittagong Medical College Hospital. DOI: 10.3329/jbcps.v26i3.4201 J Bangladesh Coll Phys Surg 2008; 26: 153-157

scholarly journals Screening of Cervical Cancer by VIA among women in Rajshahi Medical College Hospital

2016 ◽  
Vol 28 (1) ◽  
pp. 31-37
Author(s):  
Nahid Yusuf ◽  
Md Ahmed Ali ◽  
Md Latifur Rahman ◽  
Hasina Akhter ◽  
Jahanara Khanam
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Predictive Value ◽  
Visual Inspection ◽  
Low Cost ◽  
Medical College Hospital ◽  
Low Grade ◽  
College Hospital ◽  
Medical College ◽  
Cancerous Lesions

Introduction: Visual inspection of cervix after application of 3-5% acetic acid (VIA) is a potential alternative to Pap smear cytology for screening of cervical cancer in resource poor settings. VIA has gained popularity and proven itself in many clinical trials as an adequate screening test. VIA is an attractive alternative to Pap smears for its ease of use, low-cost and fewer physician visits. Currently VIA is done in tertiary level hospitals by trained health care providers to generalize its efficacy.Objective: The main objective of this study was to evaluate the efficacy of visual inspection based screening approach in the detection of precancerous & early cancerous lesions of the cervix.Materials and Methods: This study was done as a part of an ongoing screening program in Rajshahi Medical College Hospital from July 2008 to December 2009. VIA was carried out in 540 eligible women attending Gynae OPD for gynecological problems. The women underwent a complete clinical evaluation. Detection of well-defined, opaque, acetowhite lesion close to squamocolumnar junction (SCJ) or in transitional zone (TZ), well-defined circumferential, acetowhite lesions or dense acetowhitening of ulceroproliferative growth on the cervix constituted a positive VIA. All screened women evaluated by colposcopy and biopsy were taken from colposcopically suspected areas or in cases of VIA negative from different quadrants of the cervix. The final diagnosis was based on histology, which allowed direct estimation of sensitivity, specificity, and predictive values of VIA. Those with CIN I or cancerous lesions diagnosed by histology were considered as true positive.Results: Out of 540 patients screened, 328(61%) were VIA negative and 212(39%) were VIA positive. Out of positive cases 87 (41%)%) seemed to have pathology. Colposcopy yielded normal results in 340 (63%) cases, low grade CIN in 138 (26%) cases, high grade CIN in 44 (8%) cases and cancer in 18 (3%) cases making total 200 cases. Of the 200 (37%) patients with positive colposcopy, 98 (49%) turned out to be negative on histology. There were biopsy proven chronic cervicitis and metaplastic changes in 423 (78%) cases, CIN I in 66 (12%) cases, CIN II in 25 (5%) cases, CIN III/ carcinoma-in-situ in 5 (1%) cases. Eighteen (3%) cases of cervical carcinoma were diagnosed on colposcopy but ultimately 21(21%) cases of invasive cancer were detected on histology. The sensitivity of VIA for biopsy proven CIN I was 74.36%, specificity 75.8%, positive predictive value 41.04%, & negative predictive value 90.85%.Conclusion: VIA can differentiate a normal cervix from a precancerous cervix with reasonable accuracy. Till now a good number of studies had been carried out in different countries of the world and now it is well established that the sensitivity of VIA equaled or exceeded the reported rates for conventional cervical cytology. As it is low cost and simple method, it can be set in any hospital or any health care centre of rural or urban areas of poor resource settings.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(1) : 31-37

scholarly journals Cervical Cancer Screening Program in Rangpur Medical College Hospital: 11 Years Experience

2019 ◽  
Vol 33 (1) ◽  
pp. 11-16
Author(s):  
Mst Moonmoon Begum ◽  
Ferdousi Sultana ◽  
Hasina Ferdousy
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Screening Program ◽  
Punch Biopsy ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Cancer Screening Program ◽  
Cervical Cancer Screening Program

Background: Prevention of cervical cancer is the easiest with regular screening tests and follow up. CIN is a pre-malignant condition, detection of which is possible by VIA and colposcopy. Objective: To identify the performance of Cervical Cancer Screening Program in Rangpur Medical College Hospital through 11 Years. Methods and materials: Apparently healthy, married or sexually active women (>10 years) and women aged >30 years attending Gynae OPD were included in this study. After counseling and informed consent a speculum examination was performed for direct visualization of cervix to identify the squamo-columner junction. Freshly prepared 5% acetic acid was applied to the cervix for one minute. All the VIA positive women were further evaluated by colposcopy. Women with negative VIA were advised for 3 yearly VIA test. Suspected CIN cases were evaluated by colposcopy guided punch biopsy or LEEP biopsy and histopathology. Results: VIA screening was provided for 11,792 women from August 2005 to August 2016 and 932 (7.9%) were positive VIA. From November 2007 to August 2016, total women underwent colposcopy were 1548. Among them 632 (40.8%) were normal, out of abnormal cases 730 (80.3%) were CIN-1, 147 (16.1%) were CIN-2, 14 (1.5%) were CIN-3, 17 (1.8%) were invasive and 8 (0.5%) were unsatisfactory. From November 2007 to August 2016 punch biopsy was taken in 384 women and total 568 women were treated by LEEP. Conclusion: In a low resource setting like Bangladesh VIA and colposcopy can detect 80% pre-invasive cervical lesion and may be one of the most important tool to prevent cervical cancer and its mortality. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 11-16

scholarly journals Knowledge and Awareness About Risk Factors of Cervical Cancer, Its Screening and Vaccination Among the Women Attending Chittagong Medical College Hospital

2015 ◽  
Vol 14 (2) ◽  
pp. 57-60
Author(s):  
Fahmida Shirin Papri ◽  
Zubaida Khanam ◽  
Fahmida Islam ◽  
Md Monjurul Hakim
Keyword(s):  
Cervical Cancer ◽  
Screening Test ◽  
Screening Program ◽  
Medical College Hospital ◽  
Cancer Awareness ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Cancer Screening Program ◽  
Cervical Cancer Screening Program

Cervical cancer is one of the leading causes of morbidity and mortality amongst the gynaecological cancer in Bangladesh.This study was carried out to assess the knowledge of cervical cancer, awareness of the women towards the cervical cancer screening program and its vaccination in Bangladesh. A cross- sectional interview based study was conducted using a self administered questionnaire between January 1 ,2013 and June 31, 2013 on 508 respondents. Convenience sampling was applied among the women attending at Gynae Out Patient Department (GOPD) of Chittagong Medical College Hospital for VIA (Visual Inspection with Acetic Acid) test. Of the 508 respondents only 211(41.54%) told that they had idea about cervical cancer, while only 114 (22.44%) knew that VIA is the screening test for cervical cancer.A total of 390 (76.77%) respondents did not know any cause of cervical cancer.Most of the respondents (80%) came for VIA due to doctor’s advice.After doing VIA among 229 respondents, 149 (65.07%) told that they had been counseled for the next follow - up by the health professionals and 118 (51.52%) were ready for routine periodic screening.Majority (85.88%) of the respondents were absolutely ignorant about the vaccine of cervical cancer. Age and marital status did not influence their knowledge but the level of education and occupation was found to positively influence their knowledge of cervical cancer and their acceptance of the screening test.This study highlights that majority of women in Bangladesh are not adequately equipped with knowledge concerning cervical cancer. Adequate health information and counseling on cervical cancer and regular screening test need to be emphasized in our country.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 57-60

scholarly journals Visual Inspection Using Acetic Acid (VIA) and Pap’s Smear as Methods of Cervical Cancer Screening: An Experience of Dhaka Medical College Hospital, Dhaka, Bangladesh

2020 ◽  
Vol 4 (3) ◽  
pp. 189
Author(s):  
Abu Sadat Mohammad Nurunnabi ◽  
Tahmina Sultana
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Predictive Value ◽  
Visual Inspection ◽  
Screening Programme ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College

Background: National screening programme for cervical cancer has been running in Bangladesh since 2004 through visual inspection using acetic acid (VIA). However, Pap’s smear is also used for the same, where it is available.Objectives: To see the effectiveness of VIA and Pap’s Smear as cervical cancer screening methods.Methods: This prospective study was done on 600 women who attended the outpatient gynaecology clinic and cervical cancer screening programme underwent both VIA and Pap’s smear cytology. Histopathology was taken as gold standard to compare the performance of VIA and cytology (Pap’s smear). Hence, positive cases were further subjected to colposcopy directed biopsy. Then the sensitivity and specificity of VIA and Pap’s smear were compared. The study was done in Dhaka Medical College Hospital, Dhaka, between July and December 2012.Results: On VIA, 46 had aceto-white lesions and on Pap’s smear, 28 had atypical squamous cells of undetermined significance (ASCUS) or worse lesions out of 600 women screened. 22 were positive on both VIA and cytology; 24 were positive on VIA only; and 6 were positive on cytology only. Histological diagnosis of CIN/carcinoma cervix was found in 36 positive cases, who underwent biopsy (n=52). Among them, 20 were picked up from Pap’s smear positive cases, whereas, 34 were VIA positive cases. VIA was found more sensitive (94.44%) than Pap’s smear (55.55%), which was statistically significant (p<0.001). However, the specificity of VIA was slightly lower (97.87%) than that of cytology (98.58%). Positive predictive value (PPV) of VIA was 73.91% for VIA and 71.42% for Pap’s smear, while Negative Predictive Value (NPV) were 9.63% and 97.2% respectively.Conclusion: VIA has got much more sensitivity and slightly lower specificity than that of Pap’s smear in cervical cancer screening.International Journal of Human and Health Sciences Vol. 04 No. 03 July’20 Page : 189-193

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