scholarly journals Clinical Profiles of Spontaneous Intracerebral Haemorrhage Patients: Experience of 100 Cases in Dhaka City

2018 ◽  
Vol 5 (2) ◽  
pp. 64-67
Author(s):  
Md Mamnur Rashid ◽  
Md Ariful Islam ◽  
Golam Sagir ◽  
Md Rafiqul Islam ◽  
Muhammad Abdul Momen Khan ◽  
...  

Background: Clinical features are the important diagnostic tools for the detection of spontaneous intracerebral haemorrhage patients.Objective: The purpose of the present study was to see the clinical profiles of spontaneous intracerebral haemorrhage patients.Methodology: This cross-sectional study was conducted in the Department of Neurology at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (2) years. Patients with spontaneous intracerebral haemorrhage who were admitted in the Departments of Neurology, Neurosurgery and Medicine at Dhaka Medical College and Hospital, Dhaka were selected as study population. Both male and female patients with the age group of ≥18 years, first ever spontaneous intracerebral haemorrhage and hospital admission within 48 hours of onset were included for this study. The clinical features of the study population were collected after admission of the patients like headache, hemiplegia or paresis, vomiting, and deterioration of consciousness, dysphasia, dysarthria and hemisensory loss.Result: Headache was observed the most frequent complaint in 81.0% (n=79) patients. Hemiparesis or hemiplegia was the most frequent focal neurological deficit in 69.0% (n=68) patients. Vomiting was common also 58.0% (n=57) patients. Twenty five (26.0%) respondents were presented with deterioration of consciousness. Dysphasia/aphasia was found in 15.0% patients. Convulsion was not a common presenting feature (7%).Conclusion:  In conclusion headache, vomiting and deterioration of consciousness are the most common form of clinical feature of spontaneous intracerebral haemorrhage.Journal of Current and Advance Medical Research 2018;5(2):64-67

2019 ◽  
Vol 6 (1) ◽  
pp. 38-41
Author(s):  
Shamima Sultana ◽  
AQM Omar Sharif ◽  
Inamur Rahman Choudhury ◽  
MM Ehsanul Haque ◽  
Wahida Begum

Background: Senile cataract can be expressed with different clinical presentation. Objective: The purpose of the present study was to find out the clinical profiles of senile cataract patients. Methodology: This cross-sectional study was conducted at National Institute of Ophthalmology, Dhaka, Bangladesh from January 1999 to December 2000 for a period of two (02) years. Patients with senile cataract were selected for study. The details clinical profiles of the study population were recorded like types, grades of cataract and visual acuity. Data were collected on pre-designed data collection sheet, compiled and appropriate statistical analysis was done using computer based software. Result: A total number of 60 eyes of cataract patients were recruited for this study. The mean age with the standard deviation was 58.8±6.055 years. Majority of the patients were suffering from total cataract that is nuclear plus cortical plus posterior subcapsular variety which was 31(51.7%) eyes of cataract patients. Majority of the patients were grade III (amber) type of nuclear sclerosis which was 26(43.3%) eyes of cataract patients. Most of the patients were presented with PL which was 32(53.3%) eyes of cataract patients. Conclusion: In conclusion majority of the patients are suffering from total cataract with grade III (amber) type of nuclear sclerosis. Journal of Current and Advance Medical Research 2019;6(1):38-41


2021 ◽  
Vol 11 (1) ◽  
pp. 46-48
Author(s):  
Nidhi Giri ◽  
Anand Acharya ◽  
Kanika Yadav

Introduction: Various forms of malocclusion are a matter of serious concern in Nepalese population. This study was carried out to understand the prevalence of malocclusion among the school children of Biratnagar. The objective of this research is to find out the prevalence of malocclusion of children from different schools of Biratnagar visiting the Pedodontics and Orthodontics department of Nobel Medical College and Teaching Hospital, Biratnagar. Materials and Method: A descriptive cross sectional study method was used in this research. Data was collected by using direct observation of the subjects and occlusal assessment was done according to Angle’s classification and Dewey’s modification types of class I, class II and class III malocclusion. Result: Subjects with normal occlusion was found to be 39 % and with malocclusion was found to be 61%. Among them, class I malocclusion (60%) and angles class II div I subjects (88.33%) were in majority of the total study population. Conclusion: The present study helps to determine the prevalence of malocclusion and need of orthodontic treatment for the school children of Biratnagar


2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48


Author(s):  
Gayatri Aseri ◽  
Sudesh Agrawal

Background: This study was carried out to assess the knowledge, attitude, and practice of contraceptive methods among women attending a tertiary care hospital in Western Rajasthan.Methods: This cross-sectional study was conducted in the department of obstetrics and gynecology, PBM and the associated group of hospitals, attached to Sardar Patel Medical College, Bikaner, Rajasthan, India. Total 500 married women between age group 15-49 yrs were included. These all women interviewed using a structured questionnaire after approval of the hospital’s ethical committee.Results: Total 500 women interviewed for their knowledge, attitude, and practices about contraception. Out of which, 402 (80.4%) women had some knowledge of at least one contraception method at the time of the study.  The most common sources of information about contraception were husband and family member. Amongst the various contraceptives most commonly known was condom (78.4%). Only 265 (53%) women were practicing contraception at present. Most commonly used contraceptive was condom (40.8%). The most common reason for the non-practice of contraception was need of more child or male child in 34.8% families followed by opposition from in-laws (12.4%).Conclusions: Literacy was positively associated with family planning related knowledge and practices. Preconception knowledge and practices about contraception are poor in our study population. Many of the women were getting MTP pills over the counter without consulting to health care persons and then later presents with complications.


2018 ◽  
Vol 16 (1) ◽  
pp. 3-7
Author(s):  
Rumi Farhad Ara ◽  
Jahangir Alam

Background: Teenage pregnancy is a huge problem in developed as well as developing countries.Objective: The purpose of the present study was to see the socio-demographic characteristics of teenage pregnant mother.Methodology: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Dhaka Medical College & Hospital, Dhaka, Bangladesh and Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh from April to July 1999 for a period of four (4) months. The teenager mothers with the age group of 11 to 19 years who were admitted in the study period was selected as study population. At the time of entry, all relevant parameters like religion, residence, occupation, education and monthly income were recorded in a predesigned data sheet.Result: A total number of 50 teenager mothers were recruited for this study. Majority of the study population were Muslim which was 45(90.0%) cases followed by Hindu which was 3(6.0%) cases. Maximum were non-city dweller which was 26(52.0%) cases followed by city and slum dwellers which were 16(32.0%) cases and 8(16.0%) cases respectively. Majority of the study were housewife which was 49(98.0%) cases. Monthly income was less than 3000 taka in 29(58.0%) cases. Majority of the study population were completed the primary education level which was 26(52.0%) cases. Married was found in 49(98.0%) cases.Conclusion: In conclusion Muslim non-city dwellers housewife were the most common group of teenager motherJournal of Science Foundation 2018;16(1):3-7


Author(s):  
Christina Ann George ◽  
Shibu Thadathil Sreedharan ◽  
Smitha Kalarikkal Satheesan ◽  
Sindhu Panakkaparambil Surendranath

Introduction: Ischaemic Heart Diseases (IHD) are increasing at an alarming rate globally. Pharmacotherapy, the mainstay of management of IHD, has Dual Antiplatelet Therapy (DAPT) at its crux. DAPT, comprising of clopidogrel and aspirin, is used often for 12 months in medically managed Acute Coronary Syndrome (ACS). Clopidogrel being a prodrug, needs to be activated after ingestion, mainly by Cytochrome family of enzymes, for the desired pharmacological effects. Abnormal enzymes that convert clopidogrel to its active form can reduce the effectiveness of the drug. Therefore, Single Nucleotide Polymorphisms (SNPs) of the enzymes involved, would predispose the patient to therapy failure and recurrence of the illness. This study aims at identifying the presence of a genetic variant associated with clopidogrel responsiveness in patients with ACS. Aim: To estimate the frequency of CYP2C19*2 allele in patients with ACS presenting to Government Medical College, Thrissur, Kerala, India. Materials and Methods: Present study was a cross-sectional study done among 60 patients who presented to Government Medical College, Thrissur with ACS, between June 2018 to June 2019. Having obtained informed consent from the participants blood samples were collected in Ethylene diamine tetra-acetic Acid (EDTA) tubes. Samples were used to look for presence of CYP2C19*2 allele by Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP). Results: Out of 60 patients 38 were males and 22 were females. Most common age group was 61-65 years. The frequency of CYP2C19*2 allele was 41% in the study population and the variant genotype (AA/AG) was present in 62%. Conclusion: The variant genotype was found to be present in a high frequency in the study population implying the high risk for therapy failure in the study population. This asserts the need to probe the matter further, as the gene is also implicated in the metabolism of several other drugs. The introduction of pharmacogenomic testing prior to initiation of therapy may be therefore recommended for better treatment outcome. However, to validate the same, further studies with larger sample size may be necessary.


2018 ◽  
Vol 27 (2) ◽  
pp. 11-13
Author(s):  
M Akhtarul Islam ◽  
PM Basak ◽  
BC Sarkar ◽  
MMR Khan ◽  
MM Khanam ◽  
...  

This study was done to find out the prevalence of fatty liver in type2 Diabetic patients. This was a descriptive cross-sectional comparative study carried out in Department of Medicine, Rajshahi Medical College Hospital and Rajshahi Diabetic Association Hospital from July 2008 to June 2010. 100 (one hundred) diagnosed type2 diabetic patients were included. All of those study population were free from taking any hepatoxic drugs and free from any preexisting liver disease. This exclusion was done by history, through clinical examination and relevant investigations. Among 100 type2 diabetic patients, 66 (66%) had normal, 25 (25%) had mild fatty change, 6 (6%) had moderate fatty change in liver; 2 (2%) had mild hepatomegally and 1 (1%) had congested liver. Non had cirrhosis or hepatocellular carcinoma.TAJ 2014; 27(2): 11-13


2017 ◽  
Vol 14 (2) ◽  
pp. 36-39
Author(s):  
Md. Akter Hossain ◽  
Md. Saiful Islam ◽  
Md. Abdullah Yusuf

Background: The clinical characteristics of hepatocellular carcinoma are varied from person to person.Objectives: The purpose of the present study was to see the clinical profiles of hepatocellular carcinoma patients.Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging in Dhaka Medical College, Dhaka and Banghabandhu Sheikh Mujib Medical University, Dhaka from January 2007 to May 2008 for a period of around one and half year. All the patients presented with hepatocellular carcinoma at the age group of more than 20 years with both sexes were selected as study population. The patients were undergone CT-scan examination and the confirmation was performed by histopathological examination. All the clinical features of HCC patients were recorded.Result: A total number of 50 patients were recruited in this study after fulfilling the inclusion and exclusion criteria. Mean age of my study was 48.78 and SD ± 12.07. Hepatocellular carcinoma commonly presented with hepatomegaly (96%). Upper abdominal pain (60%), weight loss (60%), anorexia (44%), nausea/vomiting (44%), bruit (21%), jaundice (40%) and ascitis (32%) was also present.Conclusion: In conclusion the hepatocellular carcinoma is most commonly occurred in middle age group with a predominance of male.Journal of Science Foundation 2016;14(2):36-39


Author(s):  
Abhishek Padha ◽  
Prateek Koul ◽  
Swati Sharma

Background: Pterygium, derived from the Greek work ‘pteryx’, meaning wing is a growth of fibrovascular tissue on the cornea and conjunctiva in the palpebral fissure. The present study was conducted to find out the prevalence and Socio-demographic determinants of pterygium in Sub Himalayan region of Himachal Pradesh, India.Methods: A cross-sectional study was conducted between the months of May-June 2018, in the outpatient department of Ophthalmology of Pt. Jawahar Lal Nehru Govt. Medical College and Hospital, Chamba, H.P, India. Among all the patients visiting the OPD in the given duration, a total of 200 patients having Pterygium were selected for the study. Detailed history of the all the patients were taken and required examination was done. Data collected was analysed with Microsoft excel software.Results: Out of the 200 patients, 59% were males and 41% were females. 70% of the total study population were seen in the age group 41-60years. In present study a total of 130 patients (65%) were outdoor workers. Left eye (40.5%) was the eye most frequently involved eye in present study, right eye (36.5%) also both the eyes were involved in 23% of study population. Nasal pterygium was seen in 93%, temporal pterygia 5.5% and double pterygium (both nasal and temporal presentation in same eye) in 1.5% patients. Grade I pterygium was seen in 43.5% patients, grade II in 40% and grade III pterygia were found in 16.5% of the study population.Conclusions: People living in high altitude regions and who work outdoors, are subjected to increased U.V. exposure. So, they must take appropriate precautions like wearing protective glasses and caps etc.


2014 ◽  
Vol 15 (2) ◽  
pp. 110-113
Author(s):  
Tania Mahbub ◽  
Md. Nizamuddin Chowdhury ◽  
Ferdous Jahan ◽  
Aparna Das ◽  
Md. Motlabur Rahman ◽  
...  

Background: Worldwide haemodialysis(HD) is the mostly used method of renal replacement therapy. Arteriovenous fistula use is on rise due to Fistula First Initiative due to least complications of fistulae than catheters.But they are also subjected to many complications. Thereby appropriate surveillance of the fistulae is important.Objectives: To measure the blood flow as well as fistula related complications in study population. Materials and Methods: This was a cross sectional study, conducted in the department of Nephrology, Dhaka Medical College Hospital during September 2010 to December 2011.Total 118 subjects were included in the study. Besides visualization technique colour Doppler ultrasonogram of fistula and  echocardiography were performed for each patients. Results: Most of the patients had adequate fistula flow. Aneurysm was most common complication. Many subjects were suffered from primary and secondary fistula failure. Conclusion: Arterio-Venous fistula is subjected to many complications and appropriate surveillance should be launched to detect complications and to prevent fistula failure.DOI: http://dx.doi.org/10.3329/jom.v15i2.20681 J MEDICINE 2014; 15 : 110-113


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