scholarly journals Epidemiological Pattern of Renal Insufficiency among the Patients of Nephrology Unit of Dhaka Medical College Hospital, Dhaka, Bangladesh

2014 ◽  
Vol 8 (2) ◽  
pp. 80-84
Author(s):  
Md Nazmul Haq ◽  
Latifur Raaman ◽  
Md Zohirul Islam Miah ◽  
Easin Ali Gazi ◽  
Shukti Catherine Baroi
Keyword(s):  
Renal Insufficiency ◽  
Medical College Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Throat Infection ◽  
Ckd Stage ◽  
Significant Difference ◽  
History Of ◽  
Epidemiological Pattern

A hospital based descriptive cross sectional study was conducted at Nephrology unit of Dhaka Medical College Hospital (DMCH) to see the association between epidemiological pattern of renal insufficiency with sociodemographic factors, kidney related factors and others factors. Sources of data include patient interviews, diagnosis cards and case records. Respondents were categorized to their CKD stage according to their estimated GFR on Modification of Diet in Renal Disease (MDRD). The sample comprised 150 patients suffering from CKD with male and female ratio being 1.5:1, mean age of the population was 47 years (SD ± 14.5), 47.3% of the respondents had history of streptococcal throat infection and 10% had previous kidney disease Renal Replacement Therapy (RRT) was the commonly advised therapy for CKD indicating very late diagnosis of CKD. Total 49.3% had smoking habit while 60.7% was on regular physical exercise and 49.3% took extra salt on their dietary habit, 52.7% were diabetic and 78.7% were hypertensive and 40% had both diabetes and hypertension. Total 76.6% were in stage-5 of CKD where 60.7% of them used NSAID with 54.0% within normal range of BMI. There is statistically significant difference with stage of renal insufficiency and history of streptococcal throat infection (p=0.00) and therapy advised for CKD (P-0.01). Worldwide, CKD is becoming a common disease in the general population. It requires early, accurate and improved detction and mangemnt of diabetes and hypertension, the major contributors to CKD. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20391 Faridpur Med. Coll. J. 2013;8(2): 80-84

scholarly journals Occupational Stress among Nurses in a Public Medical College Hospital

2018 ◽  
Vol 6 (2) ◽  
pp. 86-89
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas ◽  
Sharmina Afrin
Keyword(s):  
Occupational Stress ◽  
Family Income ◽  
High Stress ◽  
Clinical Work ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Work Related ◽  
Significant Difference

Background: Now a days, there is increased demand and progress in the nursing profession. Along with these stress among the nurses has also increased.Objective: Purpose of the study was to assess the extent of perceived occupational stress and its association with work-related and non-work related causes among nurses.Materials and method: This Cross-sectional study was carried out among 197 nurses of Shaheed Suhrawardy Medical College hospital (ShSMCH), Dhaka, Bangladesh, from the period of 1st July 2015 to 30th June 2016. Sampling method was simple random sampling. Data was collected by face to face interview with the help of semi-structured questionnaire and finally all data were analyzed using SPSS software version 21.Results: It was found that 69% nurses were between the age of 21 to 39 years, 94.9% were female, 68% were married, 79.2% were Muslim, 84.3% had diploma, family income of 91.4% were equal to more than 40,000 Tk. and 95.5% used to do clinical work. Only 5.1% found to experience high stress. Statistically significant difference was found between sex, occupational stress and religion, educational status, and type of work (p < 0.05). Few nurses suffered from high stress but high level of stress were more in male, non Muslim, post graduate nurse and those who were engaged in administrative work.Conclusion: Nurse Managers should take appropriate actions to decrease stress helping their nurses to work efficiently and effectively.Delta Med Col J. Jan 2018 6(2): 86-89

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 Pattern of Sexually Transmitted Diseases (STDs) Among Patients Attending Out Patient Department of Dermatology of Dhaka Medical College Hospital, Dhaka, Bangladesh

1970 ◽  
Vol 19 (1) ◽  
pp. 7-10
Author(s):  
CM Ali ◽  
TK Sikdar ◽  
N Sultana ◽  
N Ahmed ◽  
AKMR Haque ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Secondary Level ◽  
Educational Status ◽  
Medical College Hospital ◽  
College Hospital ◽  
Dermatology Department ◽  
Female Ratio ◽  
Male And Female ◽  
Sexually Transmitted ◽  
Medical College

The study was conducted among 568 patients of STDs out of 58560 male and female patients in the OPD of Dermatology Department of Dhaka Medical College Hospital (DMCH) during the period of March 2009 to February 2010 irrespective of sex and age >15 years with a view to assess the prevalence of sexually transmitted diseases. In this study prevalence of STDs such as gonorrhea, syphilis, non gonococcal urethritis, chancroid, genital herpes and genital warts were 29.58%, 12.68%, 41.58%,4.93%,8.45% and 2.82% respectively; male and female ratio were 3.73:1. The highest prevalence rate was found in age group of 25-34 years (42.25%). According to educational status of the respondents, 33.80% were up to secondary level and only 2.82% were master degree holder. Among occupation 36.62% were in service, and 15.49% were students. According to socioeconomic status 40.14% were poor and only 9.86% were from upper middle class. Key words: Sexually transmitted diseases; prevalence. DOI: 10.3329/jdmc.v19i1.6243 J Dhaka Med. Coll. 2010; 19(1) : 7-10.

scholarly journals Multimorbidity Patterns Among Hospitalized Geriatric Patients in Medicine Wards of a Tertiary Care Hospital in Dhaka City

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Sumiya Bent Kalam ◽  
Sadia Islam ◽  
Mohammad Abdullah Az Zubayer Khan ◽  
Tanjina Akhter
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College

Background: Elderly people are posing a significant health burden in our country for their multi morbidity as economic growth has increased our life expectancy. Pattern of multi morbidity of this older people varies according to geography, ethnicity, culture and life style. Aim: The aim of this study was to identify the prevalence and pattern of multi morbidity of elderly patients admitted in a tertiary care hospital. Method: 50 random cases of elderly patients aged more than 60 years admitted in medicine and allied wards of Dhaka medical college hospital were observed at this cross-sectional study from January 2017 to June 2017(total 6 months period). Data were reviewed and analyzed using simple frequency and percentage. Protocol was reviewed by institutional ethical board (IRB) of Dhaka medical college hospital. Result: A total number of 50 elderly patients with age ranging from 60 to 95 years were observed with male and female ratio 1.3:1 having multi morbidity among 92.0% patients and female is more affected than male. Hypertension, ischemic heart disease, diabetes mellitus and stroke were found most common diseases as individual. Hypertension and diabetes mellitus was found as the most common multi morbidity pattern followed by hypertension and IHD, stroke & diabetes mellitus. Conclusion: This study sheds light on priority needs of elderly patients in terms of medical facility in tertiary care hospital of Bangladesh. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 56-59

scholarly journals A Clinico-epidemiological Study of Malaria Patients Admitted in A Tertiary Care Hospital of Bangladesh

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Diagnostic Test ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Clinical Aspects ◽  
Case Report Form ◽  
Care Hospital ◽  
Mosquito Net ◽  
College Hospital ◽  
Medical College ◽  
History Of

Malaria is a public health problem in 90 countries around the world affecting 300 million people and responsible for about 1 million deaths annually. Bangladesh is considered as one of the malaria endemic countries in Asia. Every year large number of people suffered for malaria. But there is little studies about clinico-epidemiology of malaria. Aim: To study the epidemiological and clinical aspects of malaria. Methods: This is a Prospective observational study that was conducted in all medicine unit of Chittagong Medical College Hospital, Chittagong, Bangladesh during August 2017 to June 2018. Total 55 patients were included in the study having malaria diagnosed by blood slide examination or rapid diagnostic test. Patients were enrolled in this study after getting written informed consent from the patient or attendant. Detail demographic and clinical data were recorded in structured case report form. Patients were regularly followed up and outcome recorded. Results: Results showed males (65.5%) of 25±15.109 years of age were the main sufferer. Majority (45%) came from low socio-economic condition (<5000 taka/month). 65.5% patients denied any history of recent travel to malarias’ area. 69.1% cases give history of using mosquito net, but only 25.5% have insecticide treated mosquito net. Majority (89.1%) were diagnosed as severe malaria and only few (10.9%) as uncomplicated malaria. Most of the diagnosis done at Chittagong Medical College Hospital, mainly presenting with coma or altered consciousness and convulsion. At field level diagnostic test done in 67.27% cases, of which RDT in 14.5%, BSE in 45.5% and both in 7.3% cases. 78.2% cases outcome were good with improvement and death occurred in 21.8% cases, mainly due to acute renal failure. Conclusion: Though we are making significant effort to control malaria, still we have to improve in controlling malaria based on both preventing the infection and on prompt effective treatment of the infection and illness when it does occur.

scholarly journals Congenital Anomalies Presenting as Head-Neck Swellings: A Study of 50 Cases

2020 ◽  
Vol 23 (2) ◽  
pp. 171-179
Author(s):  
Md Zahidul Islam ◽  
Md Abdur Rahman ◽  
Md Sirajul Islam Mahfuz
Keyword(s):  
Dermoid Cyst ◽  
Branchial Arch ◽  
Medical College Hospital ◽  
Sex Distribution ◽  
Thyroglossal Cyst ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Head Neck

Purpose: To analyse the prevalence, distribution and presentation of different congenital head-neck lesions with their age, sex, site and side predilection. Methods: 50 patients of head-neck congenital swelling was selected from january/2013 upto december/2013 in the OPD of otorhino-laryngology, head and neck deptt. of Dhaka medical college hospital under a specific prospective study protocol. Results: The most frequent swelling was thyroglossal cyst(42%), followed by branchial arch anomalies (18%),dermoid cyst(14%),pre-auricular sinus(14%),lymphangioma(8%) and haemangioma(4%).Amongst the cervical swellings the sequential preponderence was thyroglossal cyst(52%),branchial arch anomalies(23%),dermoid cyst(13%), lymphangioma(10%) and haemangioma (2%).The majority of branchial arch anomalies(100%) were of second arch. The majority of patients were of first(52%) and second(30%) decade and the male to female ratio for thyroglossal cysts was 1:1.1.The majority of lesions were painless swelling and all were surgically excised. Conclusion: The overall frequency and age-sex distribution of congenital head-neck swellings as well as site, nature and type specific predominance of some of them in OPD of Dhaka medical college hospital are almost similar to international findings. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 171-179

scholarly journals Intranasal Splint in Nasal Septal Surgery: Is It Necessary?

2020 ◽  
Vol 32 (2) ◽  
pp. 126-129
Author(s):  
Jahangir Alam Mazumder ◽  
Md Golam Mustafa ◽  
AHM Delwar ◽  
Shazibur Rashid ◽  
Md Mostafizur Rahaman ◽  
...  
Keyword(s):  
Complete Healing ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Septal Surgery ◽  
Significant Difference ◽  
Group A ◽  
Medicine Today ◽  
Group B ◽  
Male To Female

Introduction: After SMR/septoplasty with or without turbinate surgery, it needs to keep apart the septum and turbinates upto their complete healing otherwise there is a chance of adhesion (synechia) formation. To prevent this there are variousprocedures. To place an intranasal splint in one or both sides of the septum is one of them. Nowadays there raised thequestion of whether the splinting is necessary or not. There is no significant difference in result with or without anintranasal splint. Weighing against the co-morbidities the routine use of an intranasal splint can no longer be justified. Materials and Methods: This is a randomized control study of 200 patients of SMR/septoplasty, done for nasal septaldeviation causing symptoms in Cumilla Medical College Hospital in the period of January 2016 to December 2019. Theywere equally divided into two groups, group-A were operated placing an intranasal splint and group-B with no intranasalsplint. They were followed up for 6 weeks to detect any synechia and co-morbidities. Result: The age of our patients wasranged from 13-49 years with a mean age of 22.45 years. The male to female ratio is 1.78:1. Synechia was found in 4% ofthe splinted group and 6 of the nonsplinted groups. Co-morbidities were detected more in the splinted group than that ofnon-splinted. In INS group these were found as follows: pain in the nose, face and head (26%), faint during removal ofnasal splint (6%), nasal obstruction (38%), the anxiety of splint removal in the postoperative period (35%) and vestibulitisdue to persistent irritation by a splint (17%). Conclusion: There is little significant advantage of using intranasal splintroutinely in septal surgery to prevent synechia formation. Medicine Today 2020 Vol.32(2): 126-129

scholarly journals Profile of Young Acute Myocardial Infarction in Chittagong Medical College Hospital, Chittagong

1970 ◽  
Vol 4 (1) ◽  
pp. 53-57 ◽  
Author(s):  
PK Das ◽  
S Ghafur ◽  
B Bhattarcharjee ◽  
A Dey ◽  
AL Mollah ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Risk Factor ◽  
Coronary Angiography ◽  
Young Patients ◽  
Medical College Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Hs Crp

Background: Coronary artery disease (CAD) is now an emerging epidemic in developing countries including Bangladesh. Younger people are being affected here more and more. Young individuals with acute myocardial infarction (AMI) may have unique presentation, risk factor, angiographic profile and outcome which may have an influence on the preventive strategies. This study is an attempt to investigate the same. Methods: Young patients (aged d” 40 yrs) with AMI admitted to the coronary care unit of Chittagong Medical College Hospital over a period of one year were included in the study. Assessments of the patients were done with clinical history, physical examination and systemic evaluation. Location and types (STEMI, NSTEMI) of myocardial infarction were determined by ECG and serum troponin- 1 assay. Blood for glucose and lipid profile was drawn within 24 hours of admission. High sensitivity testing for C-reactive protein (hs CRP) was done in all patients. Coronary angiography was done within 6 weeks of hospital discharge. Results: A total of 83 Patients with age d” 40 years were included .Age range were 21-40 years (34.21 ± 5.07 yrs). There were 71 male (85.5%). Male: female ratio was 5.9:1. Most of the young AMI patients presented lately to the hospital. Majority of these patients were thinly built, came from urban or semiurban areas, engaged in heavy physical activities and belonged to lower socioeconomic group. A positive family history of CAD was present in 18 patients (28.68 %). Smoking was the most prevalent risk factor followed by a raised serum triglyceride or low high density lipoprotein (HDL). A raised hs CRP was present in 47 patients (49.39%). The overall in hospital mortality was only 3.61 %. Coronary angiography done in 38 patients revealed single vessel disease in the majority. Conclusion: The study focuses our attention to the rising incidence of AMI in young individuals who are less prone to CAD. Early detection of AMI and timely intervention needs high index of suspicion in this age group. These young patients have got low BMI High TG, Low HDG High hs CRP & habit of smoking. Avoidance of smoking, controlling high TG and/or low HDL may reduce incidence of AMI among young patients. Use of high dose of statin at an early age in young persons with raised CRP may be considered. Keywords: Myocardial infarction; Young. DOI: http://dx.doi.org/10.3329/cardio.v4i1.9390 Cardiovasc. J. 2011; 4(1): 53-57

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 Demographic profile of patients treated for melasma with glycolic acid and trichloroacetic acid: an institutional experience

2021 ◽  
Author(s):  
Bikkasani U. P. Lakshmi Kishan Rao ◽  
K. Satyanarayana Rao
Keyword(s):  
Family History ◽  
School Level ◽  
Female Ratio ◽  
Medical College ◽  
Number Of Patients ◽  
Institutional Experience ◽  
History Of ◽  
Epidemiological Pattern ◽  
One Year ◽  
Number Of Individuals

<p class="abstract"><strong>Background:</strong> Melasma is an acquired disorder of hyperpigmentation characterised by forehead, cheeks, around eyelids and chin mostly in the sun-exposed areas of the skin. The etiology for melasma is not clear, various factors like genetic or hormonal influences the cause. The aim was to understand the demographical distribution and epidemiological pattern of pigmentation in melasma patients.</p><p class="abstract"><strong>Methods:</strong> A total of 50 patients were participated in the present study at department of dermatology of Mamata medical college and hospital, Khammam over a period of one year.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of patients with melasma was 33.84±5.76 years, with the youngest and oldest being 20 and 40 years with female preponderance, with a male to female ratio of 1:9. The maximum number of patients educated up to middle school level (38%) followed by primary school. The maximum number of individuals participated in the present study were housewife’s and out of 50 individuals 92% patients in the present series were married whereas family history of melasma was noted only 16% of the melasma patients.</p><p class="abstract"><strong>Conclusions:</strong> The present observations demonstrates that the melasma is a female predominant, affecting young adults, etiological observations like sunlight, married, pregnancy, indoor, family history followed by cosmetics plays an important role in the melasma.</p>

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