scholarly journals A study of snake bite cases in Faridpur Medical College Hospital, Faridpur

2015 ◽  
Vol 9 (1) ◽  
pp. 32-34
Author(s):  
Md Towhid Alam ◽  
Md Abdul Wadud ◽  
MM Shahin Ul Islam

Snakebite is one of the important cause of mortality in our country. This study was carried out to see the common type of snakes in local area with clinical presentations, complications and outcome of snake bite patients inFaridpur. Fifty cases of snakebite patients in medicine wards of Faridpur Medical College Hospital from 1st January 2012 to 31th April 2013 were studied. Among 50 snake bite patients 35 (70%) were male and 15 (30%) were female. Among them 30 (60%) were venomous and 20 (40%) snake bite cases were non-venomous.The common victims were farmers (53%) and housewives (13%). The bites were commonly encountered during rural foot walking (32%) followed by sleeping (15%). 55% were bitten during outdoor and agriculture related activities. 65% had sustained bite in lower limbs. The majority (82%) of the snakebites were observed during the month. Total 98% patients applied multiple tight tourniquets in the affected limb. A common local practice (seen in 85%) was to receive pre hospital treatment from 'Ohzas'. Among 30 poisonous cases, drooping of the upper eyelid, external ophthalmoplegia and brocken neck were the common features of poisoning. Among the 30 venomous snake bite cases 21 (70%) recovered completely after getting polyvalent antivenom serum and 9 (30%) died after admission. Total 80% cases recovered with 10 vials of polyvalent antivenom serum but others required upto 30 vials depending on severity of symptoms and its duration. No reaction to anti-snake venom was noticed.Faridpur Med. Coll. J. 2014;9(1): 32-34

2021 ◽  
Vol 53 (1-2) ◽  
pp. 23-26
Author(s):  
SK Moazzem Hossain ◽  
Farjana Kabir ◽  
SK Mamun Ar Rashid

Background: Snake bite is an important but under recognised public health issue in Bangladesh. It is one of the important cause of mortality in our country specially in this southern part of Bangladesh. Objective: This study was carried out to evaluate the common type of snake bite in local area with their clinical presentation and outcome of admitted patients in hospital. Methods: Patients of snake bite diagnosed by history and clinical examination were consecutively selected for the study after fulfillment of inclusion criteria in the inpatient department of medicine ward, Khulna Medical College Hospital from July 2017 to June 2018. Data were collected and analysed afterwards. Results: Among 54 snake bite patients 27 (50%) were female and 27 (50%) were male. Twenty nine (53.7%) were venomous snake bite and 25 (46.3%) were non venomous. The common victims were farmers 14 (25.9%) and housewife 19 (36.2%). The bites were commonly encountered during walking (30%) in rural area. Bite also occured during sleeping (20%). The majority of the snake bite was observed during the month of June & July. Total 95% patient applied multiple tight tourniquet in the affected limb. A common local practice was to receive prehospital treatment from 'Ohzas'. Among 29 poisonous cases, drooping of the upper eyelid was present in 29 (100%) patients, External Opthalmoplegia and broken neck sign were present in 19 (66.6%) patients. Among the venomous snake bite cases 25 (93%) patients recovered completely after getting antivenom. Conclusion: Neurological manifestation (Ptosis, Opthalmoplegia, Broken neck sign) are very common in venomous snake bite. Early detection and application of antivenom is needed for better outcome. Treatment of venomous snake bite with Polyvalent serum is successful and safe. Bang Med J Khulna 2020: 53 : 23-26


2017 ◽  
Vol 28 (2) ◽  
pp. 66-68
Author(s):  
Rowshan Ara Begum ◽  
Naireen Sultana ◽  
Nahid Sultana ◽  
Amena Begum ◽  
Mohammad Emran Hossain ◽  
...  

To find out the common indications of caesarean section and complications of this operation, both for mother and baby. This observational study was carried out on 100 cases of caesarean sections, who were operated in the Department of Obstetrics & Gynaecology, Tairunnessa Memorial Medical College & Hospital. Previous caesarean section and oligohydroamnios with fetal distress contribute the major causes of caesarean section. Contribute the major causes of caesarean section. Common complications are UTI, wound infection. Indications of caesarean section should be properly identified to decrease the unnecessary operation, which ultimately decrease indication of previous caesarean section. Maintenance of proper asepsis would avoid the complications of this operation.Medicine Today 2016 Vol.28(2): 66-68


2015 ◽  
Vol 32 (3) ◽  
pp. 142-148
Author(s):  
Kamrun Nahar ◽  
Halima Yasmin ◽  
Lita Pramanik

Background information: Polycystic ovaries (PCO) and their clinical expression (polycystic ovary syndrome) are conditions characterized by menstrual abnormality, clinical and biochemical features of hyperandrogenism. It is the killer of womanhood. Woman of any ethnic background can present with PCOS.Objectives: To find out demographic characteristics such as age, BMI, clinical presentations like hirsutism, menstrual cycle pattern and fertility status and the hormonal changes like LH/FSH ratio and serum testosterone level.Study design: A descriptive cross sectional study for 1 year from December 2009 to November 2010.Study setting: Outdoor Department of obstetrics and gynaecology and center for Nuclear Medicine and Ultrasonography (CNMU) Mymensingh Medical College Hospital, Mymensingh.Result: Total 55 patients were evaluated. Most common age was 20-29 years (72.7%) with mean age 23.55 years and mean BMI 27.12 kg/m2. Clinical presentations were in this study hirsutism in 36.4%, irregular menstrual cycle in 63.6% and subfertility in 56.3%. Laboratory findings revealed testosterone level was more than normal range in 58% case, LH/FSH ratio was increased (more than 1:1) in 58.2% cases, 26 cases had both increased testosterone level and increased LH/FSH ratio. 17cases had testosterone level within normal range and LH/FSH ratio less than 1:1.Conclusion: There are significant relationship between irregular menstrual cycle pattern and hormonal changes such as testosterone level and LH/FSH ratio. There are also significant relationship between BMI and hirsutism with increased testosterone level.J Bangladesh Coll Phys Surg 2014; 32: 142-148


Author(s):  
Mohammad Abdullah Masud ◽  
Zaida Rahman ◽  
Mahmuda Begum ◽  
Syed Ashrafuzzaman

The present study was conducted to evaluate the prescribing trends of analgesics used in the postoperative patients in a surgical unit of Enam Medical College Hospital. Treatment records of 180 patients, who underwent surgery in Enam Medical College Hospital, were randomly selected. Data pertaining to pain medications prescribed from the day of operation to sixth postoperative day were recorded. 180 prescriptions containing analgesics were collected randomly from the period of July 2007 to June 2008. In the operation day 65.6% patients received Nalbuphine and 33.3% patients received Pethidine. Along with Nalbuphine and Pethidine 86.7% patients received Tramadol and 13.3% patients received Ketorolac. 0.6% patients did not receive any analgesic in the day of operation. In 1st postoperative day, 84.4% patients received Ketorolac and 15.6% patients received Tramadol. In 2nd, 3rd, 4th and 5th postoperative day patients received Ketorolac 86.1%, 85.6%, 83.9% and 62.2% respectively. In 6th postoperative day, 92.8% patients did not receive any analgesics.DOI: 10.3329/bjpp.v25i1.5742Bangladesh J Physiol Pharmacol 2009; 25(1&2) : 23-25


1970 ◽  
Vol 18 (1) ◽  
pp. 37-42
Author(s):  
Abdur Rahsid ◽  
Md Mofakkurul Islam ◽  
Md Rafiqul Islam

Myocardial infarction (MI) is the common form of coronary heart disease. A large number of modifiable risk factors had been identified. This descriptive study was done to observe selected risk factors among the MI patients admitted in CCU of cardiology department of Rajshahi Medical College Hospital in the month of March to June 2005. Data were collected from 200 patients using a closed end questionnaire. Anterior, inferior and non-Q types of MI occupied the major (25%, 24.5% & 20.5%) portion of study subjects, CK-MB level was high in all MI patients, majority (57.5%) of the patients were smoker & most of them had smoked more than 10 cigarettes per day except Non-Q and antero-septal MI patients. Majority (57%) of the patients had systolic blood pressure (SBP) above 140mmHg but had normal diastolic blood pressure (DBP <90mmHg). Serum cholesterol level was high in all patients but majority (55.5%) had LDL within normal range. Less than half (46%) of the patients were diabetic (RBS >8mmol/l).   doi: 10.3329/taj.v18i1.3302 TAJ 2005; 18(1): 37-42


2014 ◽  
Vol 13 (1) ◽  
pp. 7-12
Author(s):  
Prabal Chakraborty ◽  
Jishu Deb Nath ◽  
MA Faiz ◽  
Anannya Das ◽  
Abdul Qayum Chowdhury

Background: Snake bite is an important health hazard which may lead to fatality in rural areas of Bangladesh. An epidemiological study estimated the incidence of snake bite in Bangladesh about 8,000 per year with 22% mortality. In majority of cases the victims die before entrance to hospital because of their treatment seeking behavior from Ohzas. Present study is to see the clinical profile of snake bite cases admitted in Dhaka Medical College Hospital and also to find out problems in diagnosis and management and outcomes.Methods: Fifty patients of snake bites treated in Dhaka Medical College Hospital, Dhaka, Bangladesh between July 2005 and December 2006 were studied. A questionnaire, containing information on bite, physical examination and identification of snake brought was used.Results: Among the patients venomous snake was 6 (50%) with cobra and 6 (50%) with suspected krait bite. Males were bitten more frequently than females 42(82%) versus 9(18%). Regarding occupation, 28 (56%) was farmer. Majority 37(74%) came from rural areas. Highest number of bite occurred in evening 20(40%). Most snake bite occurred during rural foot walking (30%) followed by sleeping (14%).Total 54% of bite occurred during outdoor activities. Most common site of bite is lower limb 35(70%). Tight tourniquet used in 45(90%) cases and in 8(16%) cases limb was immobilized. Twenty eight (56%) of the patients received treatment from Ohzas. All venomous bites (12) presented with features of neurotoxicity with local envenoming in 6(50%) cases. In 6(50%) cases there were only neuroparalysis. Four (33.34 % of venomous snake) patients required respiratory support and 10(83% of venomous bite) patients required antivenom. There were no anaphylactic reactions and only 2 patients suffered pyrogenic reaction. The outcome was excellent with only one death and only one case of residual effects.Conclusion: To develop an appropriate prevention and control strategy, reliable and timely information has a crucial role. A functional mechanism should be developed to gather information not only about the cases and deaths but other aspects of the snakebite epidemiology.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19410


2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Md. Shahariar Khan ◽  
Md. Rahimullah Miah ◽  
Tania Hussain ◽  
Syed Moosa M.A. Quaium ◽  
Azizur Rahman

Background: The study assesses the common disease profile and death records among admitted child patients at the department of Paediatrics in Northeast Medical College Hospital (NEMCH) of Bangladesh.Methodology: This was an observational study conducted in the department of Paediatrics in Medical College Hospital over a period of three years. The patients of common diseases were hundred in number surveyed through primary questionnaire in respect to their profile, diagnosis and death records. The selected common diseases were ARI, diarrhoea, protein energy malnutrition and febrile convulsion.Results: The numbers of total admitted child patients with common diseases were 10737 for three years with the ratio of 1: 0.93 between the male and female. Out of them neonatal and general patients were 3622 and 7115 respectively. In 2018 child patients were less in numbers other than two years. ARI is more common in the end of year but diarrhoea in same added the beginning of following year. The study also represents the febrile convulsion and malnutrition are more in middle and round the year successively.From 2017 to 2019 the death records of neonate and general at the department of NEMCH are 101 and 84 respectively. Indeed, it is a good sign to reducing the unwanted death in common disease through the consecutive year. A systematic control model is developed to recover from the common diseases associated with hospital admitted child patients’ management.Conclusion: If the medical authority can take advances in preventive measures through health awareness, quality training, safe health care with equipment, facilities and trained-up personnel, then the mortality and morbidity can be reduced suggestively in connection with dynamic National Health Policy and Sustainable Development Goals 2030.  


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