scholarly journals Study on Menorrhagia: Correlation with Fibroids

2021 ◽  
Vol 10 (2) ◽  
pp. 99-103
Author(s):  
Rokshana Parvin Nupur ◽  
Masuda Begum ◽  
Farhana Shabnam ◽  
Fahmida Sultana ◽  
Touhid Uddin Rupom
Keyword(s):  
Medical Treatment ◽  
Vaginal Bleeding ◽  
Imaging Techniques ◽  
Medical Attention ◽  
Cross Sectional ◽  
Medical College ◽  
Hospital Patients ◽  
Chi Squared ◽  
Bleeding History ◽  
Age Range

Background: Excessive menstrual bleeding called menorrhagia is a common presentation of females seeking medical attention. Normally there is considerable variation in menstrual cycle length, duration and flow. Objective: To find out the assocation of fibroids in patients presenting with menorrhagia. Materials and Methods: This cross-sectional prospective study was done from January to June 2013 among the female patients admitted in the department of Gynaecology & Obstetrics in Dhaka Medical College & Hospital. Patients presented with the complaints of menorrhagia and treated by surgical management were included. Results: Total 96 patients were included. The age range was 28–49 years with mean age 41.08 ± 5.174 years. In 92 (46.5%) patients excessive per vaginal bleeding was noted. Pain during menstruation was another major complaint (45, 46.5%). Lower abdominal heaviness was reported in 32 patients (16.2%). In about half of the patients (49%) uterine fibroid was diagnosed. In 29 patients (30.2%) adenomyosis was the finding. Out of 47 fibroid cases 39 (83%) had per vaginal bleeding history. Only 10 patients without fibroid experienced pervaginal bleeding. Chi-squared test was done to see whether there was any association between these two variables and the result was highly significant (p<0.001). Conclusion: As medical treatment is disappointing and surgery is the mainstay of treatment of menorrhagia caused by fibroids, diagnosis should be confirmed by different imaging techniques. Advancement in the field of imaging like saline infusion sonohysterography and hysteroscopy helps greatly to diagnose submucous fibroids and save patients from undue prolongation of medical treatment. J Enam Med Col 2020; 10(2): 99-103

scholarly journals Tooth Shade and Skin Colour: A Descriptive Cross-Sectional Study

2020 ◽  
Vol 58 (223) ◽  
pp. 144-147
Author(s):  
Dilesh Pradhan ◽  
Lajana Shrestha ◽  
Junu Lohani
Keyword(s):  
Skin Tone ◽  
Cross Sectional Study ◽  
Skin Colour ◽  
Aesthetic Perception ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Age Range ◽  
Shade Guide ◽  
Shade Selection

Introduction: Selection of proper tooth shade is one of the most significant factors influencing patients’ aesthetic perception and improved prosthesis acceptance. Guidelines in the dental literature suggest age, sex, colour of skin, hair and eye for selecting tooth shade when past records cannot be obtained. The objective of the study was to observe the most common tooth shade in relation to the skin colour and the prevalence of the same in relation to age and sex. Methods: A descriptive cross-sectional study was carried out at Kathmandu Medical College from June to August 2019. Vitapan Classical Shade guide was used to select the shade of upper right central incisorin 338 participants. Revlon Foundation Makeup Shade guide was used to determine colour of skin. Participants were examined without facial makeup. Skin colour and teeth shade were examined in daylight at about sametime of the day.  Data obtained were computed and analysed using Microsoft Excel 2016 software. Results: Prevalence of tooth shade with high value (lighter shade) was seen in all fair (121, 35.8%), medium (63, 18.6%) and dark skin tones (23, 6.8%). Most common teeth shade in fair individuals was B1 (47, 37.9%), in medium also B1 (25, 7.4%) and dark was B2 (9, 2.7%). Age range of 10 to 35 years had tooth shade with higher value (159, 47.04%). Conclusions: Hence, teeth shade with high value (lighter shade) was prevalent in skin tone of all types in current study. Skin tone was not related to teeth shade selection, teeth became darker with age and females had lighter teeth shade (high value).

scholarly journals Role of Diabetic Dyslipidemia on Coronary Atherosclerotic Severity in Acute Coronary Syndrome

2017 ◽  
Vol 31 (2) ◽  
pp. 65-69
Author(s):  
Golam Mahfuz Rabbani ◽  
Afzalur Rahman ◽  
Anisur Rahman Khan ◽  
Nur Hossain ◽  
Muhammad Badrul Alam ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Analytical Study ◽  
Cross Sectional ◽  
High Tc ◽  
Medical College ◽  
Coronary Syndrome ◽  
Low Hdl ◽  
Artery Disease ◽  
Age Range

Aims: To evaluate the association of coronary atherosclerotic severity in diabetic dyslipidemic patients of acute coronary syndrome.Methods: This was a cross sectional comparative analytical study, done in the Department of Cardiology, Sir Salimullah Medical College Mitford Hospital and Ibrahim Cardiac Hospital & Research Institute, Dhaka, during September 2009 to August 2010.Results: Most of the patients (57.5%) were in the age range of 40-70 years. Atherosclerotic severity in diabetic ACS patients was significantly higher with low HDL, high TC/HDL and high LDL/HDL ratio. Low HDL, high TC/HDL and high LDL/HDL ratio are indicators of the extent and severity of coronary artery disease. More frequent dyslipidemia in diabetic ACS patients were low HDL and it was about 54%.Conclusion: Atherosclerotic severity in diabetic acute coronary syndrome patients was significantly more in dyslipidemic group than non dyslipidemic group.Bangladesh Heart Journal 2016; 31(2) : 65-69

scholarly journals Aetiology and Clinical Presentation of Pancytopenia in a Teaching Hospital

2019 ◽  
Vol 13 (2) ◽  
pp. 62-65
Author(s):  
ATM Ataur Rahman ◽  
ARM Saifuddin Ekram ◽  
Mohammed Shahadat Hossain ◽  
Jayanta Kumar Saha ◽  
Fahreen Rahman ◽  
...  
Keyword(s):  
Aplastic Anaemia ◽  
Cross Sectional Study ◽  
Morphological Description ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Presentations ◽  
Physical Findings ◽  
Age Range ◽  
Secondary Causes

Pancytopenia is a morphological description of the peripheral blood picture irrespective of its cause & it denotes simultaneous presence of anaemia, leucopenia and thrombocytopenia. The study was done to observe the demographic profile & the clinical presentations of pancytopenic patients and to find out the aetiology of pancytopenia. This cross sectional study was carried out in Medicine ward of Rajshahi Medical College Hospital from August 2005 to July 2006. A uniform protocol was followed in all cases, to have appropriate history, physical findings & laboratory investigations. The commonest cause of pancytopenia was aplastic anaemia (48%) which was followed by hypersplenism (22%) & acute leukemia (16%). The majority cases of aplastic anaemia were idiopathic (57.69%), only 42.31% cases were due to secondary causes. The majority (94%) of patients was in the age range of 14-60 years and up to 54% was in the age group of 20-40 years. The ratio of male to female in patients of pancytopenia was 1.5:1 and 3:1 in aplastic anaemia. In secondary causes of aplastic anaemia, insecticides and viral hepatitis was found to be causative agent in 45.45% cases of each followed by pregnancy in 9.10% of cases. The common presenting complains of aplastic anaemia were generalized weakness (100%), gum bleeding (76.92%), fever (76.92%) and pallor (96.15%). Faridpur Med. Coll. J. Jul 2018;13(2): 62-65

scholarly journals Lack of Medical Treatment From a Medical Professional After an Ankle Sprain

2019 ◽  
Vol 54 (6) ◽  
pp. 671-675 ◽  
Author(s):  
Tricia Hubbard-Turner
Keyword(s):  
Medical Treatment ◽  
Ankle Sprain ◽  
Ankle Instability ◽  
Cross Sectional Study ◽  
Chronic Ankle Instability ◽  
Medical Professional ◽  
Medical Attention ◽  
Ankle Sprains ◽  
Cross Sectional ◽  
Initial Management

Context Despite the prevalence of ankle sprains and the potential for developing chronic ankle instability and ankle osteoarthritis, ankle sprains are often perceived as an innocuous injury. Objective To understand the initial management and treatment sought by patients after a lateral ankle sprain (LAS) and to identify any differences in subjective function and self-reported injury. Design Cross-sectional study. Setting Research laboratory. Patients or Other Participants A total of 175 participants with chronic ankle instability (73 men, 102 women; age = 20.9 ± 3.4 years, height = 173.5 ± 13.2 cm, mass = 81.4 ± 24.6 kg) were involved in the study. Main Outcome Measure(s) Participants were administered a questionnaire regarding their initial LAS. All participants also completed the Foot and Ankle Ability Measure (FAAM). The primary questions of interest were (1) Did the participants seek treatment from a medical professional for their initial LAS? (2) Did the participants perform rehabilitation? (3) Was the initial LAS immobilized? and (4) Did the participants use crutches? The other variables measured were scores on the FAAM and the FAAM Sports subscale, total number of ankle sprains, and incidents of giving way. Results Sixty-four percent of participants did not seek medical treatment after their LAS. Those who did not seek medical treatment scored worse on the FAAM (81.21% ± 3.1% versus 89.23% ± 2.8%, P = .03) and the FAAM Sports subscale (72.34% ± 5.3% versus 81.26% ± 3.1%, P = .001). Those not seeking treatment also reported more ankle sprains since the initial injury (4.7 ± 2.4 versus 1.9 ± 0.90, P = .02) and more incidents of giving way each month (3.8 ± 1.9 versus 1.1 ± 0.87, P = .04). Conclusions It is not surprising that those who did not seek medical treatment for their LASs had worse subjective function, more ankle sprains, and more incidents of the ankle giving way. The public needs to be educated on the significance of ankle sprains and the need for medical attention to provide appropriate management. However, we also need to continue to evaluate initial management and rehabilitation to ensure that those who seek treatment receive the best care in order to reduce reinjury rates.

scholarly journals A clinicohematological profile of splenomegaly

2019 ◽  
Vol 7 (5) ◽  
pp. 1934
Author(s):  
Ashwini Tangde ◽  
Bharat Sonwane ◽  
Rajan Bindu
Keyword(s):  
Hematological Parameters ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Additional Tool ◽  
Medical College ◽  
Hematological Profile ◽  
Diagnostic Clue ◽  
Clinical Conditions ◽  
Age Range

Background: Splenomegaly is a matter of considerable clinical concern as spleen is not normally palpable. Splenomegaly is associated with large number of disorders including hematological, infectious, congestive states related to portal hypertension, lymphohematogenous disorders, immunological conditions, storage disorders and miscellaneous conditions. So, all the cases of splenomegaly should be thoroughly investigated to ascertain etiology. Splenomegaly can be an important diagnostic clue to existence of an underlying pathology. The aim and objective of present study was to find out relative frequency of clinical conditions associated with splenomegaly, to study clinic-hematological profile of splenomegaly and to find out the role of hematological investigations as a diagnostic tool in elucidating etiopathogenesis of splenomegaly.Methods: This was a cross sectional, observational study. Study was conducted on 135 pediatric as well as adult patients with splenomegaly admitted in medical ward, Government Medical College and tertiary care hospital Aurangabad, Maharashtra, India from December 2015 to October 2017. Hematological parameters of 135 cases of splenomegaly were analysed and correlated with clinical findings.Results: Study comprises 135 patients. Age range was 3 months to 78 years. Males (54.81%) were affected more commonly than females (45.19%). The most common presenting complaint was fever (59.26%) followed by generalized weakness (51.11%) and pallor (44.44%). Majority of cases (48.15%) had grade II splenomegaly. Splenomegaly was associated with hepatomegaly (60.74%) and lymphadenopathy (18.52%). The commonest cause of splenomegaly found was anemia (39.26%) followed by hematological malignancies (20.74%), congestive states (11.85%) and infections (11.85%). Hematological investigations revealed diagnosis in majority of cases (71%).Conclusions: Splenomegaly is an important clinical sign that must be investigated thoroughly as most of the common causes are treatable. Hematological causes outnumbered the non-hematological causes of splenomegaly. Hematological profile in cases of enlarged spleen are of utmost importance as a diagnostic or additional tool in elucidating the etiogenesis of splenomegaly.

scholarly journals EXTERNAL EAR;

2017 ◽  
Vol 24 (05) ◽  
pp. 778-780
Author(s):  
Muhammad Umar ◽  
Sajjad Rasoul Chaudhary ◽  
Muhammad Habib Ur Rehman
Keyword(s):  
Study Group ◽  
Average Height ◽  
External Ear ◽  
Morphometric Measurements ◽  
Cross Sectional ◽  
Medical College ◽  
Ear Height ◽  
Left And Right ◽  
Second Year ◽  
Age Range

Objectives: To determine morphometric measurements of external ear amongmedical students of Nawaz Sharif Medical College, University of Gujrat. Study Design: Crosssectional. Setting: This study was done among students of First & Second year MBBS classesat Nawaz sharif Medical College, University of Gujrat. Period: 2015. Methodology: The studygroup consisted of 120 girls and 80 boys with age range 18 to 22 (median 20). Total Ear height,lobular height, lobular width and distances of helical root and insertion of the lobule from thelateral palpebral commissure were measured by using vernier caliper. Results: With analysisof normative cross-sectional data, this study endeavors to show anatomic and aestheticdifferences between boys and girls. The average total ear height across the study group forboth left and right ears was 6.50cm. The average lobular height was 1.9cm. The average lobularwidth was 2cm. The height of the pinna was significantly larger in boys than girls. The distancebetween helical root and lateral palpebral commissure was significantly larger among boys ascompared to girls. The average height and width of the lobule of boys and girls were statisticallyinsignificant.

scholarly journals Role of Ultrasonographic Measurement of Fetal Head Circumference in the Evaluation of Gestational age in Bangladeshi Women

2017 ◽  
Vol 6 (2) ◽  
pp. 6-11
Author(s):  
Netay Kumer Sharma ◽  
Sankar Narayan Dey ◽  
Md Masudur Rahman ◽  
Akter Zahan ◽  
Mahzabeen Islam ◽  
...  
Keyword(s):  
Gestational Age ◽  
Head Circumference ◽  
Close Relation ◽  
Cross Sectional Study ◽  
Fetal Head ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstetric Management ◽  
Age Range

Determination of gestational age by ultrasound has now become an integral part of maternal antenatal care. Accurate assessment of gestational age by sonography is now essential for obstetric management particularly due to term, preterm and post date management. Timing of elective caesarean delivery and decision whether to consider a fetus at risk for intrauterine growth retardation depends in part on the estimated age. In this study gestational age was determined on the basis of head circumference (HC) and correlation was established between weeks of gestation calculated from LMP. A cross sectional study was carried out in the department of Radiology & Imaging, Mymensingh Medical College Hospital during the period of January 2011 to June 2012. Three hundred ninety seven normal pregnant Bangladeshi women age range from 20 to 36 years with apparently healthy fetuses between 18 to 38 weeks of gestation referred for ultrasonic evaluation of pregnancy profile. Mean age was 29.60 years with standard deviation (SD) +0.67. Aim of this study was to determine relationship between menstrual age and HC. Result of this study may give idea about gestational age calculated by LMP of 397 cases and expressed in weeks. Estimated gestational age was determined by HC evaluated by US and expressed in weeks. Significant positive correlation was found between gestational age measured by HC and LMP. Estimated gestational age measured by HC had very close relation with weeks of gestation(LMP), which is 2 to 3 days less from weeks of gestation (LMP) during 18-38 weeks of gestation variation was only 2 to 4 days less from weeks of gestation (LMP). A strong positive significant correlation (r=0.987, P<0.001) was found between weeks of gestation and predicted gestational age measured from HC. Significant relationship between gestational age measured by LMP with estimated gestational age evaluated by head circumference. CBMJ 2017 July: Vol. 06 No. 02 P: 06-11

scholarly journals Demographic Profile of Patients with Bilateral Mature Cataract: A Cross-sectional Study from Central India

2020 ◽  
Author(s):  
Lipi Chakrabarty
Keyword(s):  
Economic Status ◽  
Central India ◽  
Cross Sectional Study ◽  
Medical Attention ◽  
Delayed Presentation ◽  
Local Data ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College

Introduction: In India, cataract is responsible for 50-80% of the bilateral blindness in the country. With government funded and private hospitals offering cataract surgeries, patients still report late with advanced bilateral cataract. There is scarcity of local data about the profile of late presenters of cataract and its associated factors. Aim: To study the socio-demographic profile of patients with bilateral mature and hypermature cataracts and to evaluate reasons for delayed presentation at the Ophthalmology Department of a medical college hospital in rural Chhattisgarh, India. Materials and Methods: A cross-sectional, observational study was carried out at Durg, Chhattisgarh, India over a period of 12 months from October 2018 to September 2019. The study comprised 48 consecutive and consenting adult patients of bilateral mature and hypermature cataracts reporting to the Outpatient Ophthalmology Department of a medical college included by convenience sampling. All patients were subjected to detailed history taking and ocular examination. Socio-demographic details and reasons for delay in reporting were obtained with a face-to-face interview. Descriptive data analysis was conducted and reported as mean, standard deviation, frequencies and percentage. Results: The mean age of patients was 68.45±7.4 years. About 29 (60.42%) patients were females, 70.83% patients were unemployed or retired. About 87.5% patients stated having systemic co-morbidities. Lack of awareness, old age, systemic ailments, want of assistance and fear of surgery were the prime factors revealed for the delayed presentation to the hospital. Conclusion: Female sex, rural territory, low socio-economic status and lower literacy rates were associated with patients seeking delayed medical attention for cataract. Educational efforts and improvement in accessibility to health centres appear vital to overcome the hurdles in the way of timely presentation of cataract.

scholarly journals Socio-Demographic Characteristics of Acid Victims in Bangladesh

1970 ◽  
Vol 6 (1) ◽  
pp. 12-15 ◽  
Author(s):  
F Zafreen ◽  
MA Wahab ◽  
MN Islam ◽  
MA Rahman
Keyword(s):  
Secondary Level ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Capital City ◽  
Rehabilitation Centre ◽  
Cross Sectional ◽  
Police Station ◽  
Medical College ◽  
Age Range

This descriptive cross sectional study was carried out on acid victims, who were admitted to Dhaka MedicalCollege Hospital (DMCH) and were present in Thikana and Jibontara (clinic cum rehabilitation centre) ofAcid Survivors Foundation (ASF). Most of the acid victims from every corner of the country come to DMCHfor their treatment and ASF provides both curative and rehabilitative assistance as well as legal proceduralhelp. A total number of 90 (ninety) acid victims, both old and new cases were selected purposively in the studyto determine their socio demographic characteristics and also to identify the possible causes and the perceivedperpetrators. Victims' age range was 01 to 50 years and Mean ± SD of age was 20.03 ± 8.83 years. Ninetypercent (81) of the victims were female, 58.9% (53) were adolescent, 60% (54) were unmarried, 53.3% (48)were below secondary level educated, 51.1% (46) were student and 32.2% (29) were housewife by occupation.Sixty nine percent (62) victims were from semi-urban area and 40% (36) from Dhaka division (capital city)and 62.2% (56) victims from income < 5,000 taka per month. Fifty five percent (50) causes were due to variousrefusals and 14.4% (13) were due to dowry, 64.4% (58) perpetrators were rejected suitor and 16.7% (15) werehusband. Eighty percent (72) incidences were occurred at home and 93.3% (84) occurrences were at nighttime.Ninety one percent (82) victims received threat before the incidence and 52.3% (33) filed general diary (GD) inlocal police station before the occurrence. Seventy nine percent (71) survivors had no knowledge about acid, itssource and its consequences before the incidence. This study depicts the national scenario of the sociodemographiccharacteristics of acid victims and perceived perpetrators in Bangladesh.Key words: Acid victims; Bangladesh; victim age.DOI: 10.3329/jafmc.v6i1.5985Journal of Armed Forces Medical College, Bangladesh Vol.6(1) 2010 p.12-15

scholarly journals Flexible Nasopharyngolaryngoscopy for the Assessment of Upper Airway Disorders

2018 ◽  
Vol 1 (2) ◽  
pp. 86-88
Author(s):  
Sangita Regmi Chalise ◽  
Subash Khadka
Keyword(s):  
Laryngopharyngeal Reflux ◽  
Upper Airway ◽  
College Teaching ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Medical College ◽  
Airway Pathology ◽  
Airway Symptoms ◽  
Laryngopharyngeal Reflux Disease ◽  
Age Range

Introduction: Upper airway problems are frequently encountered in ENT practice. It is difficult to diagnose upper airway pathology by conventional methods. So use of fibreoptic flexible nasopharyngoscopy (NPL) is very helpful in both diagnosis and treatment of upper airway disorders. The aim of this study is to observe the usefulness of flexible NPL in patients with upper airway problems as an outpatient procedure. Materials and Methods: A cross sectional descriptive study was conducted in the department of ENT at KIST medical college teaching hospital during the period of 2years. A total of 138 patients who had persistent upper airway symptoms and underwent NPL were included in the study Detail history, clinical examination and required investigations were done.  Data were recorded and analysed.Results: Total 138 patients suffering from upper airway disorders underwent NPL. Among them 65(47.1%) were males and 73(52.9%) were females. Age range was from 16 to 82 years. Most common problem observed was laryngopharyngeal reflux disease accounting for 41 percent of cases followed by vocal cord nodule and polyp.Conclusions: Flexible fiberoptic nasopharyngolaryngoscopy (NPL) is safe and noninvasive outpatient department procedure for the assessment of upper airway disorders.

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