scholarly journals Aetio-pathology of Epistaxis: A Study of 165 Cases

2020 ◽  
Vol 14 (2) ◽  
pp. 156-159
Author(s):  
Md Ahsanuzzaman Khan ◽  
Md Abdul Wahab ◽  
Md Monsur Alam ◽  
Taniza Tabassum
Keyword(s):  
Human Life ◽  
Age Groups ◽  
Armed Forces ◽  
Neck Surgery ◽  
Cold Weather ◽  
Medical Attention ◽  
Military Hospital ◽  
Cross Sectional ◽  
Male Predominance ◽  
Almost All

Introduction: Epistaxis or nose bleeding is an intensely common problem all over the world. It affects almost all age groups of people. In human life span, up to 60% of the people will experience epistaxis and only 6% of them seek medical attention. Objectives: To find out the aetio-pathological factors of epistaxis and to observe its outcome. Materials and Methods: This cross-sectional observational study was carried out in the Department of Otolaryngology and Head-Neck Surgery (ENT) at Combined Military Hospital (CMH), Chattogram from January 2013 to December 2016 and in CMH, Dhaka from January 2017 to July 2019 among 165 patients who reported with complaints of nose bleeding to the ENT Outpatient Department or Emergency unit of the aforementioned hospitals. The cases were diagnosed on the basis of history, clinical examination, radiological and laboratory investigations and the data regarding aetiopathological factors, outcome of the epistaxis were recorded. Results: The study reveals that the incidence of epistaxis was 14.32% (165 of 1152 patients) with male predominance 70% with a mean age of incidence at 34.44 years. High incidence was noted in the month of December (25) and February (18) where average temperature was 25.03°C and average humidity 79.06% which were typical in cold weather. Low incidence was found in April (7) and October (7) where range of temperature was 26.5°C to 28.2°C and humidity 75.16% to 78.90% respectively. Majority 65.45% reported with bilateral bleeding, 75.76% reported first time, 70.90% of cases had anterior epistaxis. The commonest aetiology was trauma 40% and nasal mass was found in 7.27% cases. Majority 87.27% of patients were treated successfully by nonsurgical/non-interventional method. Conclusion: Epistaxis is found in all age groups, mostly observed in the third and fourth decade of life with male predominance. With a proper diagnosis, prompt intervention and vigilance, epistaxis can be treated conservatively in maximum cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 156-159

scholarly journals Audiometric Evaluation of Hearing Loss– A Study of 100 Cases

2016 ◽  
Vol 12 (2) ◽  
pp. 30-34
Author(s):  
AKM Asaduzzaman ◽  
Sarder Mohammad Golam Rabbani ◽  
Md Tauhidul Islam ◽  
Mohammod Delwar Hossain ◽  
Shafiul Alam ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Mixed Type ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
Armed Forces ◽  
Neck Surgery ◽  
Military Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media

Introduction: Audiometry is the measurement of hearing acuity. If it is done by using pure tones then it is called pure tone audiometry. It is the most commonly used method for hearing measurement. Objective: To find out the type and degree of hearing loss. Materials and Methods: The cross sectional prospective study was carried out in the Audiology unit of the Department of Otolaryngology-Head and Neck Surgery, Combined Military Hospital (CMH), Dhaka, in a period of 06 months from o1.03.2016 to 31.08.2016 among those complaining hearing loss attending in this hospital. 100 cases of hearing impaired people were taken and the data were collected by interviewing the cases as per questionnaire from history, examinations and investigation reports. Results: This study revealed that people of 21-30 years were most common sufferer of hearing loss and female was predominant (61%). The most common type of hearing loss was conductive type. In the right ear type of deafness were 46 cases (51.11%) of conductive type of deafness, 20 cases (23%) of mixed type of deafness and 17 cases (18.88%) of sensorineural type of deafness. In the left ear it was 53 cases (61.62%) of conductive type of deafness, 20 cases (23.25%) of mixed type of deafness and 13 cases (15.13%) of sensorineural type of deafness. This study showed that other ranks (ORs) families (45%) were commonest group of people. This study also revealed that Chronic suppurative otitis media (CSOM) (39%) was the commonest cause of hearing loss. Conclusion: This study denoted that commonest type of hearing loss was conductive type, commonest degree of hearing loss was mild degree and commonest causes of hearing losses were CSOM and otitis media with effusion (OME). Since, these conditions are preventable. So, appropriate measures can prevent hearing impairment in this study group. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 30-34

scholarly journals Health Problems of Elderly Patients attending Combined Military Hospital, Dhaka

2017 ◽  
Vol 13 (1) ◽  
pp. 8-12
Author(s):  
SM Humayun Kabir ◽  
Md Ziaul Islam ◽  
Masuda Begum ◽  
Masud Ahmed ◽  
Mohammad Mohsin ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Health Care Providers ◽  
Family Income ◽  
Sampling Technique ◽  
Armed Forces ◽  
The Elderly ◽  
Health Problems ◽  
Military Hospital ◽  
Care Providers ◽  
Cross Sectional

Introduction: Health problems of elderly are an emerging health burden throughout the world. Bangladesh is currently undergoing a demographic transition and the proportion of the population of 60 years and older is increasing rapidly. Health care providers and policymakers are highly concerned with this burning issue. Objective: To know the disease pattern among the elderly patients in Combined Military Hospital, Dhaka. Materials and Methods: This cross-sectional study was carried out from July 2015 to June 2016 among 152 elderly patients above 60 years of age admitted in Combined Military Hospital (CMH), Dhaka Cantonment. Data were collected by face-to-face interview with semi-structured questionnaire and checklist following purposive sampling technique. Analysis of data was done by Statistical Package for Social Science (SPSS, version 20.0). Results: Mean age of the elderly was 72.06±4.56 years with the range of 60-80 years and majority (90.8%) of the elderly was male. Out of total 152 elderly patients, by occupation majority (31.6%) were in the business group followed by 30.3% in the retired group and 9.2 % in the housewife group. Average monthly family income was BDT 17927.63±7360.75 with the range of BDT 6000-35000. With initial complaints elderly patients reported to doctors in private chamber (38.2%), private hospital (25.6%) and Govt hospital (5.9%). Among all of the elderly patients, majority (21.1%) had Diabetes Mellitus followed by Rheumatoid Arthritis (17.6%), Asthma (12.5%), Cataract (11.2%), ENT problem (6.6%), Malignancy (5.9%) and Benign Enlargement of Prostate 8(5.3%). Conclusion: The number of elderly people is expanding rapidly; it also presents multifaceted health problems and thus creates unique challenges for the national healthcareservices. Early identification of problem and ensuring the availability of health with economic and social support can have a control over the elderly health problems. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 8-12

Pattern of Injuries and Treatment Given to Victims of Rana Plaza Tragedy in a Level II Armed Forces Medical Facility in Bangladesh

2016 ◽  
Vol 11 (1) ◽  
pp. 21-24
Author(s):  
Shafiul Alam ◽  
Rabiul Alam ◽  
Manirul Islam ◽  
Amin Salek
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Armed Forces ◽  
Military Hospital ◽  
Surgical Approaches ◽  
Rescue Operation ◽  
Cross Sectional ◽  
Building Collapse ◽  
Industrial Disaster

AbstractBackgroundRana Plaza building collapse is the worst industrial disaster of Bangladesh so far. The 9-storied structure collapsed suddenly on April 24, 2013, with more than 4000 people inside. Bangladesh Armed Forces played a key role in the massive rescue operations.MethodsWe conducted a cross-sectional study with 423 victims who were treated at a Combined Military Hospital to review the pattern of injuries and management provided.ResultsMiddle-aged (35±12.75 years) females (68.32%) were the majority of the victims. Among the injured, 42.35% had soft tissue injury, 22.55% had abrasions, 18.79% had fractures, 3.75% had facial injuries, and 2.5% each had head and abdominal injuries. We treated the injured with various surgical approaches, such as soft tissue debridement (38.84%), fasciotomy (18.79%), amputation (3.75%), and other procedures. We had to refer 8.27% of the patients to different advanced centers. The mortality rate was 5.91%, including 1 volunteer rescuer.ConclusionPattern of injuries and modalities of management needed in an industrial disaster is a valuable experience which can be utilized in preparing to face disasters in the future and beyond. Death of a voluntary rescuer once again warrants the necessity of using a helmet and safety gear during any rescue operation. (Disaster Med Public Health Preparedness. 2017;11:21–24)

scholarly journals Psychological State of Selected Infertile Couples of Bangladesh

2019 ◽  
Vol 14 (1) ◽  
pp. 41-45
Author(s):  
SM Nurul Irfan ◽  
Md Mahbubur Rahman ◽  
Sangita Mithun ◽  
SM Yasir Arafat ◽  
Farzana Zafreen
Keyword(s):  
Computer Software ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Psychological State ◽  
Military Hospital ◽  
Infertile Couple ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Medical College ◽  
Infertile Couples

Introduction: Infertility is an increasingly prevalent condition which causes considerable psychological problems among infertile couples. Objective: To assess the psychological state of infertility in terms of depression, anxiety and stress among the infertile couples of Bangladesh. Materials and Methods: This cross-sectional study was conducted in the fertility centre of Combined Military Hospital, Dhaka from January to July 2018 among purposively selected 112 infertile couple. Data were collected by face to face interview through a pretested semi-structured Bangla questionnaire of Depression-Anxiety-Stress Scale and analyzed by computer software SPSS 19.0. Results: Among the 112 infertile couples, depression was found among 54.5%, anxiety among 53.6% and stress in 30.4% of females. Whereas among males depression was found in 38.4%, anxiety 26.8% and stress 21.4%. This study also revealed that couples with primary infertility had more depression, anxiety and stress than others. Conclusion: Females have been psychologically more affected than their husbands due to infertility. More than half of the females had depression and anxiety and about one third was affected by stress which was higher than their husbands. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 41-45

scholarly journals Surgical Outcomes of the Endoscopic Endonasal Transsphenoidal Approach for Anterior Skull Base Lesions: Experience in Combined Military Hospital, Dhaka

2019 ◽  
Vol 14 (1) ◽  
pp. 66-68
Author(s):  
Md Al Amin Salek ◽  
Md Hasnayen Faisal ◽  
Md Abdul Hye Manik ◽  
Ahmed Ul Mursalin Choudhury ◽  
Rukun Uddin Chowdhury ◽  
...  
Keyword(s):  
Skull Base ◽  
Surgical Outcomes ◽  
Cerebrospinal Fluid Leak ◽  
Armed Forces ◽  
Anterior Skull Base ◽  
Military Hospital ◽  
Cushing Disease ◽  
Endoscopic Endonasal ◽  
Cross Sectional ◽  
Skull Base Lesions

Introduction:The endoscopic endonasal approach is a minimally invasive surgical technique for removal of skull base lesions by using nose and sinuses as natural corridors. This study represents our institutional experience with endoscopic endonasal trans-sphenoidal approach for anterior skull base lesions. Objective: To find out surgical outcomes of endoscopic endonasal trans-sphenoidal approach for treatment of anterior skull base lesions. Materials and Methods: Cross-sectional observational study of 38 consecutive patients who underwent endoscopic endonasal trans-sphenoidal surgery for anterior skull base lesions in Combined Military Hospital, Dhaka from July 2013 to June 2017. Results:This study included 16 men and 22 women, ranging from 24 to 68 years of age where median was 38 years. Common presentations were visual disorder (60%), headache (30%), features of pituitary apoplexy (5%), Cushing disease (0.35%), acromegaly (0.7 %), galactorrhoea (0.35%). Radiological evaluation revealed intrasellar (12), sellar and suprasellar (22), sellar and parasellar (1), tuberculum sella and planum sphenoidale (3), clival (1) lesions. Recurrent cases (3/38) were nonfunctioning pituitary macroadenoma, prolactinoma, and growth hormone secreting macroadenoma. The surgical resection in relation to post op imaging were 45% as gross total resection, near-total in 35%, subtotal in 15%, and partial in 5%. We found fifteen patients experienced improvement in visual acuity, while one patient worsened. Common complications were transient diabetes insipidus (53%), new pituitary deficit (35%), endonasal adhesions (20%), and cerebrospinal fluid leak (5%). Surgical mortality was (0.35%). The histological diagnoses included twenty-eight pituitary adenomas, five craniopharyngioma, three meningioma, one Rathke’s cleft cyst and one clival chordoma. Conclusion: Endoscopic endonasal transsphenoidal surgery is a valuable treatment option for an anterior skull base lesion. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 66-68

scholarly journals Clinicopathological Evaluation of Seronegative Arthritis in a Tertiary Care Hospital of Bangladesh

2016 ◽  
Vol 12 (2) ◽  
pp. 66-70
Author(s):  
Md Shameem Haidar ◽  
Md Abdur Razzak
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Armed Forces ◽  
Military Hospital ◽  
Inflammatory Rheumatic Diseases ◽  
Case Report Form ◽  
Care Hospital ◽  
Seronegative Arthritis ◽  
Cross Sectional ◽  
Number Of Patients

Introduction: The seronegative arthritis is a heterogeneous group of inflammatory rheumatic diseases with predominant involvement of axial, peripheral joints and enthesitis. All of these have some distinct as well as some overlapping features, characteristic peripheral asymmetrical lower limb involvement and a negative rheumatoid factor. Involvement of joints is usually oligoarticular but rarely polyarthritis may be present. Diagnosis is usually made from clinical features rather than investigations. Objective: To evaluate the seronegative arthritis clinicopathologically by collecting and analyzing the relevant informations. Materials and Methods: A descriptive cross-sectional prospective study was conducted at Combined Military Hospital, Chittagong from November 2015 to October 2016. A total 74 patients of suspected seronegative arthritis were included. Detail socio-demographic data were collected from the informant and recorded in structured case report form. Clinical examination and relevant investigations were done meticulously to confirm the aetiology of seronegative arthritis. Results: Maximum number of patients was in the 3rd to 4th decade (62.1%), mean age of the patient was 37.4±8.7 and 38.7±8.1 years in male and female respectively. Malefemale ratio was 2.65:1. Symmetrical sacroiliitis was found in 15(20.2%) patients, asymmetrical sacroiliitis in 36(48.6%) and in 23(31.2%) cases sacroiliac joint was not involved. Common aetiology for seronegative arthritis showed that, reactive arthritis recognized in majority of patients 29 (39.1%) and second most common cause was seronegative rheumatoid arthritis in 23(31%) patients. Conclusion: The Seronegative arthritis is a social, economical and health-care burden. Patients who develop 66 JAFMC Bangladesh. Vol 12, No 2 (December) 2016 arthritis have high disability, discomfort and loss of quality of life. Seronegative arthritis is an interesting group of related conditions with overlapping features and genetic and familial association. That may alert the primary care physician to attain possible diagnosis of spondyloarthritis and to consider a rheumatological opinion. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 66-70

scholarly journals Parasites found in surgical pathology: the institutional experience

2019 ◽  
Vol 7 (10) ◽  
pp. 3756
Author(s):  
Khushbu P. Shah ◽  
Mandakini M. Patel
Keyword(s):  
Clinical Symptoms ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Surgical Pathology ◽  
Cross Sectional ◽  
Institutional Experience ◽  
Stool Samples ◽  
Immunocompromised State ◽  
Almost All ◽  
Common Parasite

Background: Parasitic infestation has a worldwide prevalence and it affects almost all age groups and both the sexes. The incidence of these infections is slowly rising in today’s era. Parasites are mainly found in stool samples but due to increase in a immunocompromised state now a days, tissue parasitaemia has increased globally necessitating more such type of studies. Parasite found in surgical pathology either incidentally or in clinically suspicious cases not only improves morbidity but also saves clinician’s time and patient’s money.Methods: A retrospective-cross sectional study is done based on histomorphological and cytomorphological evaluation of 25 cases diagnosed at The Department of pathology, New Civil Hospital Surat from January 2015 to January 2017.Results: Most common parasite seen was Echinococcus presenting as hydatid cyst in liver followed by filariasis. Most common age group affected was 0-20 years of age. Most common intestinal parasite found in our study was Entamoeba histolytica. Patients presented with variety of symptoms.Conclusions: Distribution of parasite in tissue section in relation to frequency, age, sex, various system involvements and its correlation with clinical symptoms are analyzed in our study.

scholarly journals Prevalence of Overweight among Military Personnel of a Selected Bangladesh Army Unit

2020 ◽  
Vol 14 (2) ◽  
pp. 193-196
Author(s):  
Irtika Rahman ◽  
ATMA Rustom ◽  
Farzana Zafreen ◽  
Md Abdul Wahab
Keyword(s):  
Military Personnel ◽  
Age Groups ◽  
Armed Forces ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Prevalence Data ◽  
Medical College ◽  
Younger Age ◽  
Military Unit ◽  
And Training

Introduction: Overweight are associated with high rates of morbidity and mortality, but prevalence data on these conditions are not readily available among military personnel in Bangladesh. The aim of this study is to determine the prevalence of overweight and its association with sociodemographic characteristics among military personnel in a unit of Bangladesh Army. Objectives: The aim of the present study was therefore to determine the prevalence of overweight/obesity among military personnel in a military unit of Jalalabad cantonment and also to investigate their association with selected sociodemographic characteristics. Materials and Methods: A cross-sectional descriptive study was conducted among 385 military personnel. Height weight, BMI were assessed using standardized procedures. Results: Prevalence of overweight was 54(14%) and n one of the participants were obese or underweight. Overweight status was significantly (p<0.05) higher among 30-45 years of age group and JCOs. No significant association was found with other socio-demographic characteristics. Conclusion: Though overall prevalence of overweight was low among military personnel because of their physical hardship and training. But it is significantly higher among the JCOs and younger age groups. Life style modification and education on appropriate diet and physical exercise during formal and informal sessions may be advised. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 193-196

scholarly journals PATIENTS SATISFACTION ABOUT HEALTH CARE DELIVERY IN OUT-PATIENTS DEPARTMENT OF COMBINED MILITARY HOSPITAL RAWALPINDI

2020 ◽  
Vol 70 (6) ◽  
pp. 1929-34
Author(s):  
Tahir Sardar ◽  
Iqbal Ahmad Khan ◽  
Muhammed Alamgir Khan
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Cost Effective ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Nursing Assistant ◽  
Cross Sectional ◽  
Level Of Satisfaction

Objective: To determine patient’s level of satisfaction and factors leading to dissatisfaction in selected patientsgroup with health care delivery in outpatients department of CMH Rawalpindi. Study Design: Cross sectional study. Place and Duration of Study: Out Patients Department of Combined Military Hospital Rawalpindi, from Sep2013 to Aug 2015. Methodology: Before data collection, written informed consent was taken from all the participants. The studypopulation comprised of armed forces personnel and their families. Patients, including both, males and females, coming to the outpatient department of Combined Military Hospital Rawalpindi were included in the study through consecutive sampling. Results: Results revealed that only 30% were satisfied. 67% patients were satisfied with the facilities in reception and 70% were satisfied with cleanliness in waiting area. A relatively low level of satisfaction with dealing of nursing assistant was recorded while very high percentage of satisfaction with performance of doctor i.e. 91%, examination done by doctor 91% and information provided by doctor 93% was recorded.90% patients reported high level of satisfaction with medicines provided.95.33% patients were satisfied with lab tests being done in hospital. Conclusion: Assessing satisfaction of patients is a simple and cost effective way for assessment of hospitalservices. Most of the patients were contented with services delivered in OPD and showed their trust in doctors,medicines provided and lab facilities offered. Majority were willing to revisit the hospital if required.

scholarly journals Prevalence of Metastatic Neck Nodes

2020 ◽  
Vol 25 (2) ◽  
pp. 102-107
Author(s):  
Md Momin Uddin ◽  
Samia Quadir ◽  
Sabiha Quadir ◽  
Kazi Shameemus Salam ◽  
Debabrota Roy ◽  
...  
Keyword(s):  
Paranasal Sinuses ◽  
Cervical Lymphadenopathy ◽  
Neck Surgery ◽  
Nodal Metastasis ◽  
Military Hospital ◽  
Neck Node ◽  
Cross Sectional ◽  
Head Neck Surgery ◽  
Head Neck ◽  
Supraglottic Larynx

Background: Head and neck cancers include cancers of the lips, mouth, nasal cavity, paranasal sinuses, pharynx and larynx. Most of these cancers are squamous cell carcinomas (SCCs). The presence of metastatic cervical lymphadenopathy is of particular importance as with every single nodal metastasis, survival of the patient is reduced by one half. Objective: To see the prevalence of metastatic neck node. Methods: The prospective cross-sectional clinical study was carried out in the Department of ENT and Head Neck Surgery, Combined Military Hospital, Dhaka during March’2018 to March, 2019. All 100 patients were included in this study and were treated at the Department of Otolaryngology of Combined Military Hospital, Dhaka. Results: Total 26 cases were found parotid among them 8(30.8%) in metastatic neck node and 18(69.2%) in without metastatic neck node. Total 10 cases were found paranasal sinuses among them 1(10.0%) in metastatic neck node and 9(90.0%) in without metastatic neck node. Which were statistically significant (p<0.05) between two groups. Conclusion: In this study observed that majority of metastatic neck node were found pyriform fossa, supraglottic larynx, base of tongue which were 68.2%, 68%, 77.8% respectively. In oral cavity and parotid site also found 48.1% and 30.8% metastatic neck node. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 102-107

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