scholarly journals Aggravating Factors of Migraine among the Patients Attending Neuro-Medicine Outpatient Department at Two Selected Tertiary Level Hospital

2018 ◽  
Vol 26 (2) ◽  
pp. 132-134
Author(s):  
Syeda Rumana Hoque ◽  
Md Nazmul Hasan ◽  
Md Abdullahhel Kafee ◽  
Nahiduzzaman Shazzad ◽  
Sanjoy Kumar Saha ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Bright Light ◽  
Tertiary Level ◽  
Contraceptive Methods ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Different Types ◽  
Medical University ◽  
Level Hospital

A descriptive cross-sectional type of study was conducted among the migraine patients attending the Neuromedicine department of Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University to find out the aggravating factors of migraine in the year of 2006. Total number of respondents was 160. Among them 70% were female. Majority of the patients (46.25%) were aged between 21-30 years. Significant number of respondents (38.12%) was housewives; followed by 28.75% were student. The main aggravating factors so far identified in this study were sleep disturbance, bright light, noise and mental or physical stress. Other aggravating factors were various types of food, oral pill, relation with menstrual cycle. Respondents also stated more than one factor. Among the female respondents 39.8% practiced different types of contraceptive methods of which majority (82.05%) used OCP.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 132-134

scholarly journals Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 200-202
Author(s):  
Feroz Ahmed Sohel ◽  
Sanzida Jahan ◽  
Saifullah Russel ◽  
Farzana Zafreen
Keyword(s):  
Unplanned Pregnancy ◽  
Economic Status ◽  
Armed Forces ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College ◽  
Number Of Patients ◽  
Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

scholarly journals Practice of contraceptive methods among the outdoor patients in a tertiary level hospital

Mediscope ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 113-116
Author(s):  
Serajul Islam ◽  
Sanjoy Saha ◽  
Khan Shakil Ahmed ◽  
Mir Moyeedul Islam ◽  
Susmita Nargis ◽  
...  
Keyword(s):  
Contraceptive Method ◽  
Unmet Need ◽  
Married Women ◽  
Acceptance Rate ◽  
Medical College Hospital ◽  
Tertiary Level ◽  
Contraceptive Methods ◽  
College Hospital ◽  
Medical College ◽  
Level Hospital

The study to determine the practice contraceptive method among married women attended in the out-door patients in Ad-din Sakina Women’s Medical College Hospital from 2nd November to 12th November in 2015. Nine hundred thirty five married women were interview on practice of contraceptive methods. Result shows highest number of choice among the respondents was oral pill, followed by condom, injection, IUCD. Through, contraceptive methods acceptance rate is increased still unmet need for contraceptive method was present. The country should come forward to face the challenges to safe country from disaster of over population. Mediscope Vol. 7, No. 2: July 2020, Page 113-116

scholarly journals Emergency Tracheostomy in a Tertiary Level Hospital in Bangladesh: Indications and Complications

2020 ◽  
Vol 22 (2) ◽  
pp. 96-101
Author(s):  
Md Nazmul Islam ◽  
Mohammad Mamun Siddiqui ◽  
Sabrina Hossain ◽  
Anup Kumar Chowdhury ◽  
Mohammad Shahariar Arafat ◽  
...  
Keyword(s):  
Road Traffic ◽  
Emergency Operation ◽  
Neck Surgery ◽  
Laryngeal Edema ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
Level Hospital

Objective: To see the common indications, pattern of complications (during and post operative) of emergency tracheostomy in the tertiary level hospital in Bangladesh. It also gives the idea for minimizing the complications. Methods: This cross sectional study was carried out in the Department of Otolaryngology & Head- Neck surgery of Dhaka Medical College Hospital, Dhaka, from 14th April 2015 to 14th October 2015. This study includes all emergency patients irrespective of age and sex whose tracheostomy was done in emergency operation theatre of ENT department of Dhaka Medical College and Hospital. Results: The study reveals that the commonest indications of emergency tracheostomy were diagnosed case of carcinoma of larynx & base of tongue (30%) followed by post-irradiated carcinoma larynx (24%). Next common indications were stridor in undiagnosed case (18%), difficulty in intubation during surgery (10%), history of road traffic accident (6%), cut throat injury (6%), foreign body in throat (2%), laryngeal edema and blunt trauma in neck (2%) respectively. Commonest complications during the procedure were apnoea (12%), haemorrhage (18%), injury to surrounding structure (10%), cardiac arrest (4%) & respiratory arrest (2%). Common complications in early post operative period were surgical emphysema (10%), crusting or blockage (4%), tube dislodgement (4%), &stomal infection (2%). Late post operative complications were stomal granulation tissue (4%), pneumonia (2%), stomal infection (2%), tracheocutaneous fistula (2%), & tracheomalasia (2%). Bangladesh J Otorhinolaryngol; October 2016; 22(2): 96-101

scholarly journals The Hayman Technique: A Simple Method to Treat Postpartum Hemorrhage due to Placenta Praevia

2018 ◽  
Vol 30 (1) ◽  
pp. 66-69
Author(s):  
Shahela Jesmin ◽  
Nishat Anam Borna ◽  
Mosammat Nargis Shamima ◽  
Iftekhar Md Kudrate E Khuda ◽  
Shahin Mahmuda
Keyword(s):  
Postpartum Haemorrhage ◽  
Uterine Cavity ◽  
Placenta Praevia ◽  
Artery Ligation ◽  
College Hospital ◽  
Cross Sectional ◽  
Simple Method ◽  
Medical College ◽  
Compression Suture ◽  
Level Hospital

Aim: To assess effectiveness of Hayman suture to control postpartum haemorrhage due to placenta praevia during caesarean sectionMethods: It is a cross sectional observational study performed in Rajshahi Medical College Hospital, tertiary level hospital, from January 2016 to December 2016. It included 32 patients with PPH following placenta praevia during elective& emergency caesarean section (C/S). All 32 patients underwent horizontal compression suture (bilateral anteroposterior compression) of lower uterine segment. Vicryl 0 tapercut needle was used. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.Results Hayman suture was applied in 32 cases. In 27 cases Hayman suture was the only intervention. Hayman with uterine artery ligation required in 2 cases. In 1 patient along with Hayman B-lynch compression suture was given and 2 patients required total hysterectomy.Conclusion: The quick and simple Hayman technique seems to be effective, safe, lifesaving method in stopping hemorrhage due to placenta praevia.TAJ 2017; 30(1): 66-69

scholarly journals Ultrasonographic Evaluation of Foetal Binocular Distance in Second & Third Trimester of Pregnancy and Correlation with Gestation Age

2016 ◽  
Vol 3 (1) ◽  
pp. 10-15
Author(s):  
Md. Menhazul Islam ◽  
Taslima Akter ◽  
Saiful Islam ◽  
Farzana Alam ◽  
Uday Goswami ◽  
...  
Keyword(s):  
Gestational Age ◽  
Cross Sectional Study ◽  
Uterine Wall ◽  
Third Trimester ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Gestation Age ◽  
Medical University ◽  
Posterior Position

Background: Foetal Binocular Distance in Second & Third Trimester of Pregnancy and correlation with Gestation Age is important. Objective: The purpose of the study was to sonographically measure the foetal binocular distance, determine the foetal gestational age & to find out relationship between them in 2nd & 3rd trimester of gestation. Methodology: This cross sectional study was carried out in the department of radiology and imaging Mymensingh Medical College Hospital, Mymensingh and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period of July 2012 to June 2013. In all the cases BPD, FL, AC, Binocular distance (BD) in cm and gestational age in weeks were measured by USG. Each patient was voluntary enrolled into the study without any specific indication. The measurement was performed only once for each patient. The foetal outer binocular distance was identified in the occipito-transverse or occipito-posterior-foetal positions. With the head in the occipito-posterior position, the transducer was placed in a plane that transected the occiput, orbits, and nasal processes. Measurements were obtained only when the fetal face was directly perpendicular to the uterine wall, since measurements in an oblique plane were considered to be unreliable. Result: The correlation between binocular distance (BD) in cm and gestational age (GA) in wks was calculated. This correlation was highly significant (r = 0. 973; p<0.001).Conclusion:Excellent correlation was found to exist between binocular diameter and gestational age. In the absence of known date of last menstrual period or where fundal height does not agree with dates, these parameters are valuable in estimating the gestational age of the foetus.Journal of Current and Advance Medical Research, 2016;3(1):10-15

scholarly journals Hospital Acquired Infections in a Selected Tertiary Level Hospital of Rangpur City

2014 ◽  
Vol 4 (2) ◽  
pp. 49-52 ◽  
Author(s):  
MH Zaman ◽  
S Ferdouse
Keyword(s):  
Average Length ◽  
Cross Sectional Study ◽  
Tertiary Level ◽  
Sectional Study ◽  
Cost Of Treatment ◽  
College Hospital ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Hospital Acquired ◽  
Level Hospital

Objectives: To find out the proportion, to determine the average length of stay at hospital and to estimate the cost of treatment for hospital-acquired infections in a tertiary level hospital of Rangpur City. Materials and Methods: This descriptive type of cross sectional study was conducted on purposively selected 200 admitted patients in a tertiary level hospital. Among them 100 were HAI patients and 100 were non HAL Data were collected through duly pretested interviewer administered questionnaire and observation checklist. Place and period of study: This study was conducted in Rangpur Medical College Hospital (RpMCH), Rangpur from January to June2011. Results: In this cross sectional study the highest percentage of HAI (42%) belonged to the surgery ward and the lowest percentage (19.%) belonged to medicine ward of the study hospital. According to the type of infections the surgical wound infection was found on the top (23%) and the cannula-associated infection at the bottom (5%) of the list. Respondents of both the polar age groups (<21 years and > 60 years) were found to be equally (27%) affected by HAI. Occurrence of HAI was found higher (57%) among the female respondents than their male (43%) counterparts. Highest number (48%) of HAI and lowest number (14%) of non- HAI patients were found to be visited by maximum number (?5) of visitors. Among the respondents who developed HAI, 42% had to stay at hospital for longest duration (21-25 days) but only 13% of their non- HAI counterparts had to stay for same duration. Among HAI patients 26% had to spend highest amount of money (Tk.20,0011- 25,0001-) but among non- HAI patients only 10% had to spend same amount of money for their treatment purpose. Conclusion: It has been revealed from this study that the occurrence of HAI was found higher among the patients with maximum number of visitors. Average length of hospital stay and cost of treatment of HAI patients were found higher than those of their non-HAI counterparts. DOI: http://dx.doi.org/10.3329/bjdre.v4i2.20247 Bangladesh Journal of Dental Research and Education Vol.4(2) 2014: 49-52

scholarly journals Tracheostomy at a tertiary level hospital in Bangladesh: any change in pattern?

2017 ◽  
Vol 25 (1) ◽  
pp. 67-71
Author(s):  
Debesh Chandra Talukdar ◽  
Mashuque Mahamud ◽  
Sharfuddin Mahmud ◽  
Md Shaikhul Islam ◽  
DGM Akaiduzzaman ◽  
...  
Keyword(s):  
Demographic Data ◽  
Age Groups ◽  
Upper Airway ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Female Ratio ◽  
Prolonged Intubation ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
Level Hospital

Objective: This study was conducted on tracheostomy to find out the different indications and complications occured at the tertiary level hospital in Bangladesh. Study design: Cross-sectional observational study.Place and Duration: This study was conducted at the department of Otolaryngology & Head Neck surgery and department of ICU, Sir Salimullah Medical College Mitford Hospital, Dhaka & DMCH over one year from January 2014 to December 2014.Methodology: 55 tracheostomy operation were performed in both genders and all age groups either in emergency situations or within an elective environment. All the patients were registered with a definite protocol by filling a pre designed proforma equipped with demographic data, details of present illness mirroring the indication for the procedure, relevant physical examination & investigations, details of the surgical procedure of tracheostomy and postoperative follow up with note of any attendant complications described as immediate, early and late postoperative.Results: Mean age of this study was 40.09 years and male female ratio iwas 3.2: 1. 30(54.54%) patients underwent emergency tracheostomy and 25(45.46%) underwent tracheostomy electively. The commonest indications were laryngeal & hypopharyngeal malignancies which affected 28(50.9%) patients. The overall rate of complications was 25.45%. These were 4(28.57%) immediate post operative, 8(57.14%) early post operative and 2(3.63%) late post operative. Out of overall 14 complications, 11(36.66%) complications occurred in 40 patients who underwent tracheostomy in emergency and 3(12%) complications occurred in 25 patients who underwent tracheostomy electively.Conclusion: Upper airway obstruction due to laryngeal and hypopharyngal carcinoma still remains the most common indication for tracheostomy in our centre but prolonged intubation as an indication for tracheostomy is evolving based on recent improvement in the facilities available at our ICU.J Dhaka Medical College, Vol. 25, No.1, April, 2016, Page 67-71

scholarly journals Clinicopathological study on CSOM: a comparison between tubotympanic and atticoantral variety

2012 ◽  
Vol 18 (2) ◽  
pp. 138-144 ◽  
Author(s):  
Phub Tshering ◽  
Md. Abul Hasnat Joarder ◽  
M Alamgir Chowdhury ◽  
Kanu Lal Saha
Keyword(s):  
Hearing Loss ◽  
Neck Surgery ◽  
College Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Intracranial Complications ◽  
Group A ◽  
Group B ◽  
Medical University

Introduction: This study aimed to compare the clinico-pathological features of the tubotympanic and atticoantral variety of chronic suppurative otitis media (CSOM).Methods: This was a cross sectional observational study conducted in the department of Otolaryngology – Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. The study was done over a period of six months and a total of 60 cases were selected. In group A 30 cases of CSOM tubotympanic variety were included while in group B 30 cases of atticoantral variety of CSOM were selected. The two groups were compared with regard to their clinical presentations, the type and degree of hearing loss and their associated complications by taking a detailed history followed by clinical examination and doing the relevant investigations.Results: In group A, the patients presented with a profuse non smelly discharge. All had a central perforation and majority had mild conductive hearing loss. There were no associated complications. In group B, the aural discharge were foul smelling and scanty. The perforations were 66% in the attic while 33.3% had marginal perforations. The hearing loss was mainly conductive in nature but in group B it’s more severe in degree and also there were more associated severe to profound sensori-neural hearing loss. There were also associated extracranial and intracranial complications in group B patients.Conclusion: The atticoantral variety of CSOM is associated with a foul smelling scanty discharge with severe hearing loss and complications than the tubotympanic variety of CSOM. Therefore early detection becomes essential especially in the primary care setting for appropriate referral to higher centers for better management DOI:http://dx.doi.org/10.3329/bjo.v18i2.11991 Bangladesh J Otorhinolaryngol 2012; 18(2): 138-144

Pattern of Haematological Malignant Patients Attending OPD in a Tertiary Level Hospital in A Calendar Year

2021 ◽  
Vol 5 (01) ◽  
pp. 20-26
Author(s):  
Md. Nurul Farhad ◽  
Gazi Yeasinul Islam ◽  
Mohammad Wasim ◽  
Akhil Ranjon Biswas ◽  
Tanzia Khanum Tompa
Keyword(s):  
Bone Marrow ◽  
Molecular Genetics ◽  
Hematological Malignancy ◽  
Hematologic Malignancies ◽  
Tertiary Level ◽  
Monthly Variation ◽  
College Hospital ◽  
Old Patients ◽  
Medical College ◽  
Level Hospital

Background: Hematologic malignancies are of diverse incidence, prognosis, and etiology. Dhaka medical college hospital (DMCH) is a tertiary level hospital and dealing with patients attending from all over the country. We have analyzed data of patients present with hematological malignancy in our Out Patient Department (OPD). As Hematology Dept DMCH deal with patients referred from all over the country, its OPD data represents the picture of whole country. Methods: This is a retro-spective study of OPD patients with hematological malignancy in the department of Hematology of DMCH from January 2018 to December 2018. The diseases were diagnosed on the basis of bone marrow morphology or histopathology (Lymphoma) and or immunophenotyping & molecular genetics. Results: Total 5747 patients were treated in 2018 with the complaints related to hematological malignancy of which 4599 (80%) were old patients and 1148 (20%) were new patients. Among all the treated patients 1420 (24.7%) were female and 4327 (75.3%) were male. Among 1148 new cases 37 were AL(3%), 386 were ALL (34%), 265 were AML(23%), 32 were CLL (3%), 126 were CML (11%), 40 were HL (3%), 18 were MDS (1%), 76 were MM (7%), 168 were NHL (15%). Data shows variation in total number of new patients per month- 83 in January (7.23%), 96 in February (8.36%), 140 in March (12.20%), 98 in April (8.54%), 94 in May (8.19), 89 in June (7.75%), 98 in July (8.54%), 66 in August (5.75%), 99 in September (8.62%), 103 in October (8.97%), 98 in November (8.54%), 84 in December (7.31%) But it does not show any statistical significant frequencies of diseases according to months. Conclusion: We deal a lot of patients with hematological malignancy each year in DMCH. A good portion of them are of ALL because of monthly maintenance of ALL protocols. Analysis of new cases shows ALL, AML, NHL is most common three diseases encounter in OPD. OPD patients’ inflow does not show any significant monthly variation for any of the diseases.

scholarly journals Depression and Its Risk Factors Among Patients with Chronic Obstructive Pulmonary Disease (COPD) in a Tertiary Level Hospital

2017 ◽  
Vol 7 (2) ◽  
pp. 44-48
Author(s):  
Uttam Kumar Barua ◽  
Dilip Kumar Ghosh ◽  
Amar Biswas ◽  
Mukta Nath ◽  
Bipul Kanti Biswas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Chronic Obstructive ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Copd Patients ◽  
Level Hospital

Background: COPDis accompanied with several co-morbidities among which depression is a major one. The aim of the study is to assess the prevalence of depression and associated risk factors in patients with COPD in a tertiary level hospital of Dhaka city, Bangladesh.Method: This Cross-sectional study was carried out the Department of Respiratory Medicine of ShaheedShurawardy Medical College Hospital from January 2014 to June 2014. 317 COPD patients were selected by systematic sampling. A questionnaire was administered among the respondents to collect the data regarding their socio-demographic conditions followed by Patient Health Questionnaire 9 (PHQ-9) to measure the level of depression.Result: Among the 317 respondents, the mean age was 58.40 and 98.1% were male, 1.9% were female. The proportion of depression among patients with COPD was 81.6% (8 out of 10 COPD patients). Among the all respondents, 23.3% had moderate depression, 14.5% had moderately severe depression, and only 4.7% had severe depression. The risk factors which were found to be involved with the development of depression among COPD patients were stage 2 and stage 3 COPD, onset of COPD ? 40 years of age, literate respondents.Conclusion: The study highlight the importance of routine screening for depression of all COPD patients in all healthcare settings and implementation of strategies for proper management and prevention of depression in those patients.J Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 44-48

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