scholarly journals Impact of Antenatal Care (ANC) on Perinatal Asphyxia.

2020 ◽  
Vol 14 (1) ◽  
pp. 34-36
Author(s):  
Anita Sarker ◽  
Iffat Ara Shamsad ◽  
Najnin Umme Zakia ◽  
Khyrun Nahar ◽  
Sabiha Shimul
Keyword(s):  
Birth Weight ◽  
Antenatal Care ◽  
Perinatal Asphyxia ◽  
College Hospital ◽  
Face To Face ◽  
Medical College ◽  
Group I ◽  
Group Ii ◽  
The Impact ◽  
Control Study

Antenatal care (ANC) is very important for all women for their own health and their neonates. This study was done to observe the impact of antenatal care on perinatal asphyxia. This case-control study was conducted at Neonatology Department of Dhaka Medical College Hospital, Dhaka from July 2014 to December 2014. Fifty neonates with perinatal asphyxia (Group I) and fifty neonates without perinatal asphyxia (Group II) were selected as study subjects. After selection, informed written consent was taken. Then data were collected by face to face interview of the mother. The mean age of neonates was 49.0±72.1 hours in group I and 55.8±63.9 hours in group II. Majority (80.0%) of the neonates had birth weight 2.5- 4.0 kg in group I and only 22(44.0%) neonates had birth weight 2.5-4.0 kg in group II. Almost half (48.7%) of the mothers received antenatal check-up at UHC/FWC/MCWC in group I and 20(41.7%) in group II. It was observed that 19(38.0%) mothers received antenatal care from untrained Dai in group I and 42(84.0%) in group II. Only 30.0% of the mothers received adequate antenatal check-up in group I and 68.0% in group II. Mothers having baby with perinatal asphyxia received significantly less number of ANC. Faridpur Med. Coll. J. Jan 2019;14(1): 34-36

scholarly journals Impact of temporal bone dissection on the understanding anatomy of the ear among medical students

2018 ◽  
Vol 4 (6) ◽  
pp. 1489
Author(s):  
K. C. Prasad ◽  
Prathyusha K. ◽  
Shreeharsha Maruvala ◽  
Harshita T. R. ◽  
Indu Varsha Gopi ◽  
...  
Keyword(s):  
Medical Students ◽  
Temporal Bone ◽  
Three Dimensional ◽  
Operative Procedures ◽  
Research Centre ◽  
Medical College ◽  
Group I ◽  
Group Ii ◽  
Temporal Bones ◽  
The Impact

<p class="abstract">The aim was to study the impact of temporal bone dissection demonstrations on understanding anatomy of the ear among medical students. During a period of six months from October 2017 to March 2018, 10 cadaveric temporal bones dissections were demonstrated using ZEISS microscope and in the presence of medical students headed by a Consultant Otolaryngologist in the department of ENT, Sri Devaraj URS Medical College and Research Centre, Kolar. Anatomy of the middle ear and inner ear and various operative procedures were demonstrated. The students were divided into 2 groups. Group I comprised students who attended the temporal bone dissection and Group II included those who didn’t attend dissection. After the session both the groups were assessed by the consultant. Scores were given to the group individuals based on the ability to answer the questions. 10 Temporal bone dissections were demonstrated in 6 months period to medical students who were divided into 2 groups based on their attendance of the demonstration. The students of both groups were assessed. Scores were given by Likert scale-5point scale question. The results of our study proved that those students who attended the temporal bone dissection (Group-I) had better understanding of the anatomy and operative procedures of the ear as compared to students in group II. Demonstration of temporal bone dissection to the medical students had a good impact on their understanding of the three dimensional anatomy of the ear.</p>

scholarly journals Prematurity: A Major Cause of Early Neonatal Mortality in Ad-din Medical College Hospital

2019 ◽  
Vol 18 (3) ◽  
pp. 593-597
Author(s):  
Nasim Jahan ◽  
Md Abdul Mannan ◽  
Shirin Akter ◽  
Farhana Afroz ◽  
Tashmin Farhana ◽  
...  
Keyword(s):  
Birth Weight ◽  
Neonatal Mortality ◽  
Perinatal Asphyxia ◽  
Medical Science ◽  
Neonatal Resuscitation ◽  
Medical College Hospital ◽  
Mortality Data ◽  
College Hospital ◽  
Medical College ◽  
Early Neonatal Mortality

Objective: Early neonatal mortality within the fi rst 24 hours contributes substantially to overall neonatal mortality rates. Reliable cause- specific mortality data are limited; thus the estimated proportion of prematurity-related deaths nationally remains questionable. The objective was to determine the presumed causes of neonatal death within the fi rst 24 hours in Ad-din Medical College Hospital. Methods: This is a retrospective study initiated in January of 2016 to December 2016, conducted in the delivery room and adjacent neonatal area at Ad-din Medical College Hospital. Research assistants were trained to observe and record events related to labor, neonatal resuscitation, and 24-hour postnatal course. Perinatal asphyxia (PNA) was defined as failure to initiate spontaneous respirations and/or 5-minute Apgar score <7, prematurity as gestational age <37 weeks, and low birth weight (LBW) as birth weight (BW) < 2500gm. Data were analyzed with using the SPSS version (Chi-Square test). Results: Over 1 year, 14316 neonates were born and evaluated. Of these, 1867 were admitted to the neonatal area. Twenty seven neonates died secondary to Prematurity (55.56%), PNA (37.03%) and Meconium aspiration syndrome (7.41%). Conclusions: Most cases of early neonatal mortality were related to Prematurity and its related complications and Perinatal asphyxia are additional important considerations. Reducing Perinatal mortality requires a multifaceted approach with attention to issues related to potential complications of Prematurity and its related complications and PNA. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.593-597

scholarly journals Routine Gynaecological Operations Without Blood Transfusion

2020 ◽  
Vol 27 (2) ◽  
pp. 123-126
Author(s):  
Fahmida Naz Mustafa ◽  
Nahid Yasmin ◽  
Nasreen Afreen ◽  
Md Nabir Hossain ◽  
Razia Sultana
Keyword(s):  
Postoperative Complications ◽  
Blood Transfusion ◽  
Outcome Variable ◽  
P Value ◽  
College Hospital ◽  
Medical College ◽  
Group I ◽  
Main Outcome Variable ◽  
Group Ii ◽  
The Difference

Objective : To establish the fact that most of the routine gynaecological operations need no blood transfusion. Method : This was a prospective observational study conducted in Dhaka Medical College Hospital from 15th January, 2011 to 14th April, 2011. Subjects were gynaecological patients admitted for routine operation. Main outcome variable was comparison of postoperative events between patients who received blood transfusion and who did not. Results : 40 gynaecological patients were operated without blood transfusion (Group I ) and 40 patients were taken who were operated with blood transfusion (GroupII ). Among the patients 35% in Group I and 42.5 % patients in Group II had some minor complications (hypotension, fever, wound infection and others) in postoperative period . The p value of of these postoperative complications in Group I is 0.020 and in Group II is 0.047 and r = 0.75 . The difference of pvalue is significant. No patient of any group sufferred from any major comcplication. Conclusion : There was no advantage of transfusing blood in routine gynaecological operation, rather more patients with blood transfusion had some minor postoperative complications. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 123-126

TRANSFUSION INDUCED ALLERGIC REACTIONS AMONG THE PATIENTS OF APLASTIC ANAEMIA - A CASE CONTROL STUDY FROM BANGLADESH..

2019 ◽  
pp. 1-6
Author(s):  
Bepasha Naznin ◽  
Md. Ashraful Hoque* ◽  
Daanish Arefin Biswas ◽  
Tamanna Afroz ◽  
Farida Parvin ◽  
...  
Keyword(s):  
Allergic Reaction ◽  
Aplastic Anaemia ◽  
Case Control Study ◽  
Platelet Concentrate ◽  
Transfusion Reaction ◽  
Group I ◽  
Multiple Unit ◽  
Group Ii ◽  
Control Study ◽  
Transfusion Reactions

Background:Allergic transfusion reactions (ALTR) are very common complication of blood transfusion. Advances in transfusion medicine have significantly decreased the incidence of ALTR; however, ALTR continue to be burdensome for transfusion dependent patients. It increases their existing sufferings. Allergic reaction is more common in platelet concentrate transfusion because stored platelet concentrate supernatants (PCSNs) accumulate striking levels of biological response modifiers (BRMs) during storage. Objective: To determine the risk factors of allergic reactions in platelate concentrate transfusion. Method: It is a case control study enrolled a total of 64 diagnosed case of aplastic anaemia receiving transfusion of platelet concentrate at Department of Transfusion Medicine, BSMMU, Dhaka, from May 2015 to April 2016. Among them 32 case of aplastic anaemia having allergic reaction due to transfusion of platelet concentrate was considered as group I (case) and rest 32 patients not developed allergic transfusion reaction due to transfusion of platelet concentrate was considered as group II (control). Patients age belong to 5 - 50 years and both sex and also patients getting transfusion of plate late concentrate were enrolled in this study. Statistical analysis: Statistical analyses were carried out by using the Statistical Package for Social Sciences version 20.0 for Windows (SPSS Inc., Chicago, Illinois, USA). Chi-Square test, Odds ratio with 95% CI used to analyze the categorical variables, shown with cross tabulation. Student ttest used for continuous variables. Significant value of 'p' was decided to be at a level of 0.05 in two tailed tests. Result: The mean age was found 22.1±11.58 years in group I and 23.5±3.8 years in group II. Twenty four (75.0%) patients were male in group I and 17(53.1%) patients in group II. Almost twenty (62.5%) patients come from urban area in group I and 19(59.4%) in group II. In group I, thirty two (100.0%) patients had urticarialrash, 100.0% had itching, 37.5% had angioedema, 3.1% had cough, 3.1% had chest pain, 3.1% had respiratory distress, 3.1% had fever and 3.1% had vomiting. Almost twenty(62.5%) patients had tachycardia (>100 bpm) in group I and all patients had normal pulse in group II.Thirty two (100.0%) patients had normal blood pressure in both group. In group I, 31(96.9%) patients developed mild allergic reaction, 3.1% moderate allergic reaction. Majority (40.6%) patients belonged to age 16-30 years in present allergic transfusion reaction and 11(34.3%) in absent allergic transfusion reaction. Most (40.6%) of the patients was found blood group B in present allergic transfusion reaction and 11(34.4%) in absent allergic transfusion reaction. Multiple unit of PC transfusion increases 3.69 times risk to develop allergic transfusion reactions with 95% CI 0.99 to 14.44%.Platelet concentrate storage>3daysincreases 5.95timesrisktodevelopallergic transfusionreactionwith95%CI1.75to21.09%. Conclusion: Multiple unit (≥2) transfusion and Platelet concentrate storage >3 days were significantly (p<0.05) associated with allergic transfusion reactions but no significant association was found between allergic transfusion reactions with age and Blood group

scholarly journals Impact of hemodialysis on the wellbeing of chronic kidney diseases patients: a pre-post analysis

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Um-e-Kalsoom ◽  
Sabiha Khan ◽  
Israr Ahmad
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Perceived Social Support ◽  
Kidney Diseases ◽  
Chronic Kidney Diseases ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
The Impact

Abstract Background Hemodialysis may have serious psychological impact upon patients suffering from chronic kidney diseases. The aim of the present study is to investigate the impact of hemodialysis on the wellbeing of individuals with chronic kidney diseases (CKD). Result A sample consists of (N = 100) CKD patients referred from neurology ward of Leady Reading Hospital Peshawar. Data was collected from both male (50%) and female (50%) in 2017. Participants were divided into two groups on the basis of pre-set criteria. In group I, individuals with 4–5 stage of CKD referred first time for dialysis treatment were recruited. Group II comprised of CKD patients with 1–3 stage. Demographic data sheet, Pakistan Anxiety and Depression, WHO Quality of Life scale, and Perceived Social support scale (PSS) were used to test the hypotheses. Paired sample t test was use to see the difference between pre- and post-analysis of depression, anxiety, QOL, and PSS in group I (experimental group). Results suggests significant difference on depression (p > .001), anxiety (p > .001), and QOL (p > .001), while no significant difference was reported on perceived social support (p <.673). Findings also indicate no significant difference between group I and group II on QOL depression, anxiety, and PSS. Conclusion The findings concluded that patients under hemodialysis treatment suffered from depression, anxiety, and poor quality of life.

scholarly journals Caudal tramadol bupivacaine combination for postoperative pain releif in subumbilical paediatric surgery

2014 ◽  
Vol 23 (2) ◽  
pp. 42-46
Author(s):  
Md Shafiqul Islam ◽  
Md Tajul Islam ◽  
Dilip Kumar Bhowmick ◽  
Moinul Hossain ◽  
AKM Akhtaruzzaman ◽  
...  
Keyword(s):  
Postoperative Nausea And Vomiting ◽  
Paediatric Population ◽  
Paediatric Surgery ◽  
Physical Status ◽  
Anaesthetic Agents ◽  
Group I ◽  
Caudal Analgesia ◽  
Group Ii ◽  
To Receive ◽  
Control Study

Background Regional anaesthesia in children provides the advantage of reduced requirements of other anaesthetic agents and of excellent analgesia introduction. Rational use of adjuvant with local anaesthetic in caudal route for prolonged optimal analgesia in paediatric population. Objectives To evaluate the quality and duration of postoperative analgesia in children undergoing subumbilical surgeries with caudally administered mixture of tramadol and bupivacaine. Methods Sixty children of ASA physical status I & II scheduled for elective subumbilical surgery were included in this prospective case-control study. Children were randomly assigned to receive caudal analgesia with plain bupivacaine (Group-I) and a mixture of tramadol-bupivacaine (Group-II) respectively. Blood pressure, heart rate, oxygen saturation and duration of analgesia were recorded postoperatively. Results Study revealed that mean duration of caudal analgesia in Group-I and Group-II were 245.67 ± 6.94 and 612.05 ± 16.49 minutes respectively which was significantly longer (P<0.001) in Group-II. Mean number of postoperative analgesics were 2.97±0.50 and 1.78±0.50 in Group-I and Group-II which was statistically highly significant (P=0.000). Postoperative nausea and vomiting was significantly high in Group-II (P=0.019). Conclusion Combination of tramadol with bupivacaine results in prolonged analgesia when administered in caudal route. In addition, tramadol is more useful in young children considering less respiratory depression than other opioids. DOI: http://dx.doi.org/10.3329/jbsa.v23i2.18172 Journal of BSA, 2009; 23(2): 42-46

scholarly journals The impact of ureteral Double-J stent insertion following ureterorenoscopy in patients with ureteral stones accompanied by perirenal fat stranding

2018 ◽  
Vol 90 (1) ◽  
pp. 15
Author(s):  
Ercan Ogreden ◽  
Ural Oguz ◽  
Erhan Demirelli ◽  
Erdal Benli ◽  
Özkan Özen
Keyword(s):  
Ureteral Stone ◽  
Ureteral Stones ◽  
Stent Insertion ◽  
Female Ratio ◽  
Group I ◽  
Dj Stent ◽  
Group Ii ◽  
Fat Stranding ◽  
The Impact ◽  
Perirenal Fat

Objective: To evaluate the impact of ureteral stent insertion following semirigid ureterorenoscopy (URS) in patients with perirenal fat stranding (PFS) due to ureteral stones. Material and methods: Data of 600 patients who underwent URS were analyzed retrospectively. Seventy-two patients detected to have PFS accompanying ureteral stone were included. Patients who did not undergo double J (DJ) stent insertion following semirigid URS were classified as Group I (n: 52), while those who underwent stent insertion were classified as Group II (n: 20). Side distribution; localization of the stones, stone size, presence of fever, urinary tract infection (UTIs) and urosepsis rates were compared in the two groups. Results: The average age of the patients was 44.4 (20-71) years. Male/female ratio and side of the stone location showed similar distribution in both groups (p > 0.05). Fever occurred in 23 cases (44.2%) in Group I and in 15 cases (75%) in Group II (p = 0.038). UTIs occurred in 15 cases (28.9%) in Group I and in 12 cases (60%) in Group II (p = 0.03). Urosepsis presented in 3 (5.8%) and 5 (25%) of the patients in Group I and II, respectively (p = 0.033). Conclusions: According to our results, ureteral DJ stent insertion following URS in patients with PFS due to ureteral stone caused an increase on postoperative infection related complications.

scholarly journals Transport Factors Affecting the Outcome of Referred Neonates Admitted in A Tertiary Care Hospital

2018 ◽  
Vol 41 (3) ◽  
pp. 159-164 ◽  
Author(s):  
Madhabi Baidya ◽  
Mahfuza Shirin ◽  
Liton Chandra Saha
Keyword(s):  
Perinatal Asphyxia ◽  
Care Center ◽  
Tertiary Care ◽  
Preterm Neonates ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Neonatal Transport ◽  
Group I ◽  
Group Ii

Background: Adequate neonatal transport is a key component of care of the sick newborns who require referral to tertiary care center. Poor transportation is one of the iatrogenic factors associated with greater neonatal mortality. Neonatal transport is the greatest challenge faced today in our country. The purpose of this study was to find out characteristics of transport of referred neonates and to idention the factors that contribute to mortality.Methodology: This cross sectional study was conducted in Dhaka Shishu (Children) Hospital from June 2013 to November 2013. Both term and preterm neonates who were referred within first seven days of life were included and those with gross congenital abnormalities and left against medical advice were excluded from the study. After enrollment, data were collected using a structured questionnaire including birth details, interventions before transportation, reasons for referral, and details of transportation. Outcome & duration of hospital stay were also recorded. Neonates who were expired considered as group I and who were survived considered as group II. The study variables were analyzed for their association with immediate outcome by applying chi square test and t test. P value <0.05 was considered significant.Results: This study found that out of 332 neonates 181 were expired with 54.5% mortality rate. One eighty one neonates who were expired, considered as group I and one fifty one neonate were survived, considered as group II. The mortality was significantly high in male neonates [RR 0.80 (0.66-0.97)] and neonates those delivered at home [RR 1.34(1.10-1.64)] (p<0.05). Perinatal asphyxia, pre-term low birth weight, neonatal sepsis were the main causes of referral. It was found that transportation without any referral note [RR 1.40 (1.14- 1.71)], no advice regarding maintenance of airway[RR 1.50(1.17- 1.92)]and keeping warm [RR 1.51(1.17-1.950], resuscitation on admission [RR 1.63(1.23-2.17)] and transportation required > 3hours [RR 1.36(1.09-1.69)] were associated with significantly higher mortality among referred transported neonates(p<0.05).Conclusions: This study found that male neonates, home delivery, transportation without any referral note, no advice regarding maintenance of airway and keeping warm, resuscitation needed on admission and prolonged transportation time were significantly associated with mortality of referred transported neonates.Bangladesh J Child Health 2017; VOL 41 (3) :159-164

Psychosocial profile of encopretic children and their caregivers in relation to parenting style

2016 ◽  
Vol 33 (S1) ◽  
pp. S362-S362 ◽  
Author(s):  
E. Zaky ◽  
M. Rashad ◽  
H. Elsafoury ◽  
E. Ismail
Keyword(s):  
Parenting Style ◽  
Parenting Styles ◽  
Healthy Controls ◽  
Psychosocial Profile ◽  
Group I ◽  
Egyptian Children ◽  
Paternal Anxiety ◽  
Group Ii ◽  
Anxiety Depression ◽  
The Impact

BackgroundThe role of psychological factors in the development and maintenance of encopresis is controversial.ObjectivesAssessment of the psychosocial profile of encopretic children and their caregivers in relation to parenting style compared to controls.MethodologyThe current cross sectional study comprised 90 Egyptian children classified into three groups: group I (encopresis without constipation and overflow incontinence), group II (encopresis with constipation and overflow incontinence), and group III (clinically healthy controls); each group included 30 children. Thorough clinical evaluation and psychometric assessment were carried out for all enrolled children while caregivers were evaluated for their parenting styles, anxiety, depression, and introversion scores.ResultsHardness, undue blaming, and indecisive parenting styles were significantly more prevalent among caregivers of group I. Encopretic children of group I & II had poorer self-esteem and higher prevalence of clinically manifest depression compared to healthy controls. Furthermore, there was a higher prevalence of clinically manifest paternal anxiety, depression, and introversion and maternal depression among caregivers of group II and higher prevalence of clinically manifest paternal anxiety and depression among fathers of group I.ConclusionThe approach of toilet training, not the time of its initiation, seems to be the factor that really matters in predisposing to and perpetuating encopresis. Further exploration is needed to determine if the documented association of psychological disorders of enrolled encopretic children and their caregivers was causal or being just the impact of the child's encopresis.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals TO STUDY THE ONSET AND PROGRESSION OF AIRWAY ABNORMALITY IN TERMS OF ALTERATION IN PFT IN ASYMPTOMATIC SMOKERS.

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Hitesh Kumar Solanki ◽  
Dr. Omnath P Yadav ◽  
Dr. Anita J Gojiya
Keyword(s):  
Lung Function ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Group I ◽  
Significant Difference ◽  
History Of ◽  
Young Smokers ◽  
The Mean ◽  
Group Ii

The study was conducted in department of physiology, B J Medical College, Ahmedabad from Mar. 2012 to Feb. 2013. This was a cross-sectional study to evaluate the effect of smoking on lung   function and serum lipids in asymptomatic smokers   and comparable non   smokers. The mean of the various spirometric parameters were calculated of the subjects for both the groups. The mean FVC in group I and group II was 2.60 ± 0.62 L and 4.10 ± 0.64L respectively. The mean FEV1 in group I was 1.91 ± 0.57L and     3.19 ± 0.77L in group II Group I had mean FEF25% - 75% and PEFR of 1.98 ± 0.67L/sec and 4.50 ± 1.57L/sec respectively. Group II had mean FEF25 – 75% of 4.22 ± 1.23L/sec and a mean PEFR of 7.22 ± 1.42L/sec. In young smokers and asymptomatic, still the spirometric values were significantly deranged as compared to controls. Even smokers with history of less pack years of smoking also had significant abnormalities of lung function. All he spirometric values in the two groups had statistically highly significant difference and were higher in non-smokers as compared to smokers. The spirometric values were reduced in smokers with history of smoking for as low as two pack years. Keywords: Progression, PFT, Asymptomatic & Smokers

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