scholarly journals Causative Factors of Ludwig’s Angina

2017 ◽  
Vol 26 (1) ◽  
pp. 3-7
Author(s):  
Dipali Biswas ◽  
Mashuque Mahamud ◽  
Sharfuddin Mahmud ◽  
Md Shaikhul Islam ◽  
DGM Akaiduzzaman ◽  
...  
Keyword(s):  
Systemic Disease ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Odontogenic Infection ◽  
Cross Sectional ◽  
Medical College ◽  
Causative Factors ◽  
Poor Nutritional Status ◽  
Improve Patient

Introduction: Ludwig’s angina is a rapidly progressive, potentially fulminant cellulitis involving the sub-lingual, submental and sub-mandibular spaces. It typically originates from an infected or recently extracted tooth, most commonly the lower second and third molars. Besides, poor nutritional status, lack of proper medical supports are still major predisposing factors in developing Ludwig’s angina in countries like Bangladesh.Aim: Our study aimed to observe the role of odontogenic infection in development of Ludwig’s Angina.Method: We carried out a cross sectional study among 26 patients with Ludwig’s angina admitted in the department of ENT and Head-neck surgery in SSMC &Mitford Hospital from January-December-2014.Results: In this study we found that males are predominantly affected than females (21 males and 5 females, ratio-4.2:1) with odontogenic infection (18, 69%) as source. We found historyof recent tooth extraction in 6 cases (23%) & organism was isolated from pus culture,Klebsiella in 10 cases (19.2%) out of 26 cases. We elicited underlying systemic disease mainly is Diabetes Mellitus in 9 cases (35%) that predisposes to Ludwig’s angina.\Conclusion: Our study suggests that prompt and thorough clinical evaluation and definitivecare will considerably improve patient condition and reduce morbidity and mortality.J Dhaka Medical College, Vol. 26, No.1, April, 2017, Page 3-7

scholarly journals Factors influencing Ludwig’s Angina

2015 ◽  
Vol 20 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Sharfuddin Mahmud ◽  
Rojibul Haque ◽  
Abdullah Al Mamun ◽  
Rafiul Alam ◽  
Siddiqur Rahman ◽  
...  
Keyword(s):  
Systemic Disease ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tooth Cleaning ◽  
Clinical Presentations ◽  
Poor Nutritional Status ◽  
Causative Agents ◽  
History Of ◽  
Response Method

Introduction: Ludwig‘s angina is a rapidly progressive, potentially fulminant cellulitis involving the sub-lingual, submental and sub-mandibular spaces. It typically originates from an infected or recently extracted tooth, most commonly the lower second and third molars. Besides, poor nutritional status, lack of proper medical supports are still major predisposing factors in developing Ludwig‘s angina in countries like Bangladesh. Aim: Our study aimed to observe etiological factors, clinical presentations, causative agents and treatment response. Method: We carried out a cross sectional study among 26 patients with Ludwig‘s angina admitted in the department of ENT and Head-neck surgery in Mitford Hospital from January- December-2012. Results: In this study we found that males are predominantly affected than females (22 males and 4 females, ratio-5.5:1) with odontogenic infection (15, 57%) as source. We found history of recent tooth extraction in 5 cases (19.2%) & organism was isolated from pus culture, Klebsiella in 5 cases (19.2%) out of 13 cases. In this study we found tooth cleaning habit of patients by tooth brush18 cases (69.2%). We elicited underlying systemic disease mainly Diabetes Mellitus in 4 cases (15.3%) and Chronic renal failure in some of our cases but could not reach in a conclusion as to whether systemic illness predisposes to Ludwig‘ angina. Conclusion: Our study suggests that prompt and thorough clinical evaluation and definitive care will considerably improve patient condition and reduce morbidity and mortality. DOI: http://dx.doi.org/10.3329/bjo.v20i1.22010 Bangladesh J Otorhinolaryngol; April 2014; 20(1): 5-7

scholarly journals Role of Physiotherapy in Hospitalised Patients of COVID-19 disease

2021 ◽  
Vol 9 (3) ◽  
pp. 154-159
Author(s):  
Dr. Sanjay Kumar Bharty ◽  
◽  
Dr. Jitendra Kishore Bhargava ◽  
Dr. Brahma Prakash ◽  
Dr. Vikas Patel ◽  
...  
Keyword(s):  
Severity Index ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Medical College ◽  
Breathing Exercises ◽  
Hospitalised Patients ◽  
Before And After ◽  
Respiratory Physiotherapy

Introduction: Respiratory physiotherapy is one of the therapeutic methods in various respiratoryviral infections. Breathing exercises with other interventions, could enhance the total lung capacityand symptom alleviation in patients with virus-related acute respiratory distress syndrome (ARDS).Aim: To study the clinical evaluation of the role of physiotherapy in hospitalised patients of covid-19diseases. Method: This was an Observational (prospective, cross-sectional) study. 187 patientswere recruited and diagnosed as COVID-19 as per RTPCR at NSCB Medical College, Jabalpur (MP).Patients were randomised into the physiotherapy group and controlled group. Patients in thephysiotherapy group were undergone positional changes, prone ventilation, Breathing exercise,Resistive training, Passive joint motion, Muscle stretching, Bedside standing training, enduranceexercise by a specialized physiotherapist. Mean cough severity index, MMRC grade, respiration rateand peripheral blood saturation were recorded before and after intervention and compared with thecontrolled group. Result: There was significant improvement found in MMRC grade and respirationrate after physical therapy in the physiotherapy group (p-value < 0.05). Exertional dyspnoea andcough severity index significant deceased in physiotherapy group. The positive change was found inperipheral blood saturation. There was decreased in hospitalization stay in the physiotherapy groupas compared to the controlled group. Conclusion: Our study revealed the positive effect ofphysiotherapy on covid-19 disease in terms of symptoms and hospitalization duration among thephysiotherapy group. Physiotherapy exerts a beneficial role in the management of the covid-19disease.

scholarly journals Cold exposure distinctively modulates parathyroid and thyroid hormones in cold-acclimatized and non-acclimatized humans

2020 ◽  
Author(s):  
Zuzana Kovaničová ◽  
Tímea Kurdiová ◽  
Miroslav Baláž ◽  
Patrik Štefanička ◽  
Lukáš Varga ◽  
...  
Keyword(s):  
Energy Metabolism ◽  
Thyroid Hormones ◽  
Cold Exposure ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Whole Body ◽  
Cross Sectional ◽  
Brown Adipose ◽  
Ice Water

AbstractContextCold-induced activation of thermogenesis modulates energy metabolism, but the role of humoral mediators is not completely understood.ObjectiveTo investigate the role of parathyroid and thyroid hormones in acute and adaptive response to cold in humans.DesignCross-sectional study examining acute response to ice-water swimming and to experimental non-shivering thermogenesis (NST) induction in individuals acclimatized and non-acclimatized to cold. Seasonal variation in energy metabolism of ice-water swimmers and associations between circulating PTH and molecular components of thermogenic program in brown adipose tissue (BAT) of neck-surgery patients were evaluated.SettingClinical Research Center.Patients, ParticipantsIce-water swimmers (winter swim n=15, NST-induction n=6), non-acclimatized volunteers (NST-induction, n=11, elective neck surgery n = 36).Main Outcomes and ResultsIn ice-water swimmers, PTH and TSH increased in response to 15min winter swim, while activation of NST failed to regulate PTH and lowered TSH. In non-acclimatized men, NST-induction decreased PTH and TSH. Positive correlation between systemic levels of PTH and whole-body metabolic preference for lipids as well as BAT 18F-FDG uptake was found across the two populations. Moreover, NST-cooling protocol-induced changes in metabolic preference for lipids correlated positively with changes in PTH. Finally, variability in circulating PTH correlated positively with UCP1/UCP1, PPARGC1A and DIO2 in BAT from neck surgery patients.ConclusionsRegulation of PTH and thyroid hormones during cold exposure in humans depends on the cold acclimatization level and/or cold stimulus intensity. Role of PTH in NST is substantiated by its positive relationships with whole-body metabolic preference for lipids, BAT volume and UCP1 content.

scholarly journals FREQUENCY OF STROKE IN HYPERTENSIVE PATIENTS

2014 ◽  
Vol 21 (03) ◽  
pp. 484-488
Author(s):  
Ashok Kumar Lohano ◽  
Adnan Samie ◽  
Noor Nabi Siayal
Keyword(s):  
Risk Factors ◽  
Intracerebral Hemorrhage ◽  
Cross Sectional Study ◽  
Medical Department ◽  
Cross Sectional ◽  
Medical College ◽  
Long Duration ◽  
History Of ◽  
Study Setting ◽  
Improve Patient

Objective: To determine the frequency of intracerebral hemorrhage inhypertensive patients. Study design: Cross sectional study. Setting: This study was conductedat Medical department of Peoples Medical College & Hospital Nawabshah, from 01-01-2012 to31-12-2012. Material and methods: Admitted patient through emergency department withhistory of hypertension more than two years, meeting the inclusion criteria taken consent fromattendant. Patient was referred for C.T scan brain presence of hyperdense area was consideredas intracerebral hemorrhage. Inclusive criteria were age >20 years, either sex and patients withhistory of hypertension more than two year with any two or more sign and symptoms like suddenunconsciousness or with hemiplegia, hemiparesis, dysarthria. Aphasia, cranial nerve palsies.Exclusion criteria were age less than 20 years, normotensive patients with cerebral hemorrhageand patients with traumatic hemorrhage. Results: Among 281 patients that had stroke, therewere 147 males and 134 females with a sex ratio males: female 1:1. Mean age of patientsadmitted with intracerebral hemorrhage was 37.89 ± 7.33 years with an average age amongmales and females was same. Duration of hypertension was greater than 20-25 years in most ofthe patients nearly 63.7%. Patients with long duration of diabetes and hypertension presentedwith intracerebral hemorrhage. Nearly all the patients with intracerebral hemorrhage weresmokers 145, only 2 patients were non smokers and nearly all had long history of smoking. The127 patients who presented with intracerebral hemorrhage were obese. All risk factors werestatistically significant and were responsible for intracerebral hemorrhage. Conclusions:Hypertension is a risk factor for intra cerebral hemorrhage. An effort should be made to controlblood pressure and other modifiable risk factors to reduce incidence of intra cerebralhemorrhage and improve patient outcomes.

Socioeconomic Features of Burn Injuries in Southern Iran: A Cross-sectional Study

2021 ◽  
Author(s):  
Ali Akbar Mohammadi ◽  
Mohammad Ali Hoghoughi ◽  
Mohammadreza Karoobi ◽  
Keivan Ranjbar ◽  
Reza Shahriarirad ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Burn Injuries ◽  
Cross Sectional ◽  
Susceptible Population ◽  
Southern Iran ◽  
Causative Factors ◽  
Burn Survivors ◽  
Preventive Role ◽  
Substantial Morbidity

Abstract Burn injuries are among the most traumatic incidences which could be associated with substantial morbidity and mortality. The incidence of these injuries differs based on population socioeconomic characteristics. In this study, we aim to evaluate the distribution of burn injuries based on socioeconomic and causative factors. Relative features from the targeted population were obtained and evaluated. Data were extracted in August 2019 and statistical analysis of the data was conducted from February 2020 to April 2020. This cross-sectional record-based study was conducted from 2008 to 2016 in a main referral center for burn injuries in the southern Iran. Participants included burn survivors and burn patients who were registered as outpatients or inpatients. A total of 4919 burn cases with a mean age of 31.91 ± 17.33, including 2926 (59.5%) males and 1993 (40.5%) females was reported. The majority of our cases had an educational level of under diploma (40.72%). A significant correlation between age, gender, and percentage of burn with the level of education was recorded (P &lt; .001). The most frequent cause of burn injuries was flame with 2537 (51.9%) cases. The most susceptible population to burn injuries were reported to be poorly educated individuals, which emphasizes the preventive role of education.

scholarly journals Postoperative complications and its management after total laryngectomy

2014 ◽  
Vol 19 (2) ◽  
pp. 82-86 ◽  
Author(s):  
Kazi Atikuzzaman ◽  
Khabir Uddin Ahmed ◽  
Mahmudul Hassan
Keyword(s):  
Wound Infection ◽  
Total Laryngectomy ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Pharyngocutaneous Fistula ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Carcinoma Larynx ◽  
Male Patients

Objectives: To find out the pattern of complications, frequency, risk factors and the management after total laryngectomy. Methods: It was a cross sectional study done in the Department of Otolaryngology & Head- Neck Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka from July 2007 to Dec 2009. 15 patients undergoing total laryngectomy for histologically proven Carcinoma larynx were included in this study. Patients were reviewed after surgery and any complication that occurred was recorded. The presentation, diagnosis and management of these complications were discussed after total laryngectomy. Results: There were 15 male patients, 3 non radiated cases and 12 post irradiated cases. Age of patients ranged from 35-75 years. Complications included wound infection (04), pharyngocutaneous fistula (03), flap necrosis (01), pharyngeal stenosis (01), stomal stenosis (01) and stomal recurrence (01). Conclusions: Wound infection and pharyngocutaneous fistula are most common complications after total laryngectomy. Preoperative radiotherapy is an important risk factor for development of pharyngocutaneous fistula in total laryngectomy patients. DOI: http://dx.doi.org/10.3329/bjo.v19i2.16366 Bangladesh J Otorhinolaryngol 2013; 19(2): 82-86

Complications of Parotid Surgery – A Study of 30 Cases

2015 ◽  
Vol 21 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Ashim Kumar Biswas ◽  
Nasima Akhtar ◽  
Timir Kumar Debnath ◽  
Anita Sarkar ◽  
Kazi Sameemus Salam
Keyword(s):  
Facial Nerve ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Benign Tumors ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Superficial Lobe ◽  
Marginal Mandibular Nerve ◽  
Parotid Surgery

Objectives: To find out the complication of parotid surgery and association of nerve injury with the type of disease pathology and type of parotid surgery.Methods: This cross-sectional study on 30 cases was carried out in the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University & Dhaka Medical College Hospital, Dhaka from September 2011 to September 2012. After taking history, clinical examination and investigation (FNAC, CT-scan) diagnosis was confirmed by histopathological examination.Results: In this study, lowest age was 14 years and highest age 65 years, male to female ration was 1.1:1. 83.33% cases were benign and 16.67% cases were malignant. Most of benign tumors was pleomorphic adenoma (80%). 88% cases involved in superficial lobe. Temporary facial nerve paresis was the most common postoperative complication (29.97%); 6.6% cases develoved permanent facial palsy and hypoesthesia of ear was 26.04%. Most patient regained normal facial nerve function within 6 months from the onset.Conclusion: Marginal mandibular nerve is the most common branch of facial nerve injury.Bangladesh J Otorhinolaryngol; April 2015; 21(1): 23-27

Tracheostomy in Intensive Care Unit: Indications, Benefits and Complications

2015 ◽  
Vol 21 (1) ◽  
pp. 28-32
Author(s):  
Muddassir Mahmud ◽  
Md Abul Hossain ◽  
Md Zakaria Sarkar ◽  
HS Mubarak Hossain ◽  
Md Obaidul Islam ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Endotracheal Intubation ◽  
Cervical Spinal Cord ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Cord Injury

Objectives: To see the common indications of tracheostomy in ICU in this country, to compare the benefits over endotracheal intubation and to find out the pattern of complication of tracheostomy in the ICU to enrich the ideas for minimizing the complications.Methods: This is a cross sectional study was carried out at the Department of Otolaryngology and Head-Neck Surgery and Intensive Care Unit of Bangabandhu Sheikh Mujib Medical University & Dhaka Medical college Hospital, Dhaka from October 2012 to march 2013.This study includes all ICU patients, irrespective of age and sex, whose tracheostomy has done after admission in Intensive Care Unit.Results: The study revealed that the commonest indication of tracheostomy in the ICU was head injury with history of RTA (27.5%), followed by post operative case of Intracranial space occupying lesion (25%). Next common indications were Guillain-Barre syndrome (15%), cerebrovascular accident (12.5%), Maxillofacial trauma (5%), RTA with cervical spinal cord injury (5%), and post operative pneumonia (5%)., Regarding benefits of tracheostomy over endotracheal intubation in ICU we found that 100% patient had greater comfort.The rate of complication of tracheostomy in ICU was 10% in this study. Surgical emphysema was the commonest complications (5%) followed by haemorrhage(2.5%) and tube displacement(2.5%).Bangladesh J Otorhinolaryngol; April 2015; 21(1): 28-32

scholarly journals A comparative study of elective and emergency tracheostomy

1970 ◽  
Vol 14 (2) ◽  
pp. 57-62
Author(s):  
A Allam Choudhury ◽  
Tuhin Sultana ◽  
Md Abul Hasnat Joarder ◽  
Kamrul Hassan Tarafder
Keyword(s):  
Head Injury ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
The Common ◽  
Elective Tracheostomy

This is a cross sectional study done in I.C.U & Dept. of otolaryngology - Head & Neck Surgery, B.S.M.M.U, Dhaka and Dhaka Medical College Hospital during the period of 1st March, 2003 to 30th August, 2003. 60 cases of tracheostomies, were included in this study, among them 30 cases of elective tracheostomies and 30 cases of emergency tracheostomies. In this study mean age of elective tracheostomy was 40.46 years & mean age of emergency tracheostomy was 50.50 years. Here Male was predominant both in elective (M:F= 6.5:1) and emergency tracheostomy (9:1). The common indications of elective tracheostomy were ICSOL (26.67%) & Head injury (26.67%) where as commonest indication of emergency tracheostomy was laryngeal carcinoma (53.33%). The frequency of complication for elective tracheostomy was 9.99% and emergency tracheostomy 33.35%. Here complications were 3.33 times more common in cases of emergency tracheostomy then elective tracheostomy. Key-words: Tracheostomy, elective and emergency.  DOI: 10.3329/bjo.v14i2.3282 Bangladesh J of Otorhinolaryngology 2008; 14(2) : 57-62

scholarly journals Role of Ultrasonography in The Differentiation of Solid Breast Mass

KYAMC Journal ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 204-207
Author(s):  
Fatama Sharmin ◽  
Nazif Sultana ◽  
Nazneen Akter ◽  
SM Mazharul Islam ◽  
Farhana Zaman
Keyword(s):  
Cross Sectional Study ◽  
Breast Mass ◽  
College Hospital ◽  
Diagnostic Modality ◽  
Cross Sectional ◽  
Predictive Values ◽  
Medical College ◽  
Imaging Department ◽  
Malignant Breast

Background: Breast cancer is the major cause of cancer death in women. Breast ultrasound is of a great value in differentiating malignant from benign masses. Objective: To distinguish benign from malignant solid breast lesions by Ultrasonography (USG). Materials and Methods: This cross sectional study was performed in Radiology and Imaging department of Dhaka Community Medical College Hospital (DCMCH) in collaboration with the department of Pathology and Surgery, DCMCH from January 2017 to December 2017. The benign and malignant solid breast mass were differentiated by using USG and correlated these with histopathological findings. Results: Total 60 female with breast mass, aged 20 to 60 years, were studied. Out of 60 cases, 34 cases were solid breast mass on USG. Eleven cases were diagnosed as malignant and 23 cases as benign. Among the USG diagnosed 11 cases, 10 cases found truly malignant (true +ve) and 1 (one) case was benign (false+ve) whereas out of the 23 benign cases, 21 were benign (true -ve) and 2 (two) were found malignant(false-ve), and all were confirmed by histopathology.The sensitivity of USG for malignant breast mass was found 83.33% and specificity was 95.45%. The positive and negative predictive values of USG were 90.91% and 91.3% respectively. The diagnostic accuracy of USG in differentiating breast mass into malignant and benign was 91.318%. Conclusion: The USG is a very good diagnostic modality for differentiating benign and malignant breast mass. KYAMC Journal Vol. 11, No.-4, January 2021, Page 204-207

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