scholarly journals Tragedy in Savar: Management of Victims in Enam Medical College Hospital

2014 ◽  
Vol 4 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Mithun Alamgir ◽  
Rukhsana Parvin ◽  
Md Aminul Haque Khan

Background: Rana Plaza collapse is the worst and deadliest man-made industrial disaster in the history of garment sector in the world. Around 1200 people died and thousands more were injured. Most of the victims of the disaster were treated in Enam Medical College Hospital (EMCH). We conducted this study to give an overview on the disaster victims and services provided by EMCH. Objective: The study was done to observe the length of time between accident and admission in EMCH, length of time between admission and discharge, to observe the numbers, types and sites of injuries to the victims, medical measures given to the victims and finally to observe the status of the victims at the time of discharge. Materials and Methods: This descriptive type of observational study was carried out among the victims of Rana Plaza tragedy during the period of May to October 2013. All admitted patients in EMCH were included in the study. Purposive nonprobability sampling technique was applied in this research work. Data were collected from the hospital record. After collection, data were manually compiled, edited and analyzed. Results: Among 621 victims treated in different wards, 276 (44.45%) were admitted to the hospital on the day of accident. Among the admitted patients, 255 (41.06%) stayed in the hospital for 1--3 days,133 (21.42%) for 4--7 days and 88 (14.17%) for more than 10 days. Fracture and dislocation were present in 32.70% patients, lacerated injury in 18.20%, abrasion in 15.78%, bruise in 13.53%, incised wound in 15.45% and punctured wound in 4.34% patients. Single injury was present in 56.68% and rest had multiple injuries. Lower limbs were the most (33.01%) affected part of the body followed by head and neck (22.06%), upper limbs (18.52%), thorax (17.55%) and abdomen (8.86%). Two hundred seventy two patients (43.80%) were improved after treatment and 56 (9.02%) were fully cured; 23.83% of the victims were referred to higher medical centers for special measures. Conclusion: The collapse of Rana Plaza has fueled a greater call for reform and safety in garment industry. At the same time, all health care centers should adopt a broad-based approach to disaster-preparedness by providing a framework to ensure a well-coordinated response to mass casualty event. DOI: http://dx.doi.org/10.3329/jemc.v4i1.18066 J Enam Med Col 2014; 4(1): 31-35

2017 ◽  
Vol 8 (1) ◽  
pp. 50-54
Author(s):  
Sharmin Abbasi ◽  
Sehereen Farhad Siddiqua ◽  
Mohammad Noor A Alam ◽  
Suha Jesmin ◽  
Md Mahmudur Rahman Siddiqui ◽  
...  

Background: Intrauterine fetal death is means- intrapartum death after the fetus has reached the age of viability8. As in IUFD journey, labor pain will be fruitless. So, it is of utmost importance to search for the method which can reduce hours of pain in labor of IUFD cases.Metarials Methods: In this research work patients divided in two groups. Induction of labour in one group was given by combination of mifepristone and misoprostol other group by misoprostol only and we try to find out the best method. To compare the effectiveness, induction to delivery interval, safety and side effects of combination of mifepristone and misoprostol versus conventional use of misoprostol alone in induction of labour in patients with intrauterine fetal death. It is a Prospective randomized comparative study in Anwer Khan Modern Medical College Hospital and Dhaka Medical College Hospital among 70 patients with IUFD after 28 weeks of gestation during January 2014- January 2016.Result: We allowed the patients up to third gravid and after 28 weeks of gestation. Patients were grouped as Group A(35) & Group B (35). In Group A Induction was given by single oral dose of 200 mg mifepristone, and after 48 hours, tab. Misoprostol in post. fornix started if <34 weeks-100 ?gm dose and >34 weeks-50 ?gm dose. Doses were repeated every 6 hourly intervals if required. In Group B Induction was given by 100 ?gm misoprostol at 6 hourly interval in post. Fornix. In both groups we allowed misoprostol maximum 600 ?gm. Oxytocin was given for augmentation if needed. The two study groups did not differ demographically. Induction to delivery time was shorter with combined regimen group (P<0.001). Induction to delivery interval ranges from 10-12 hours in mifepristone plus misoprostole group.In only misoprostol group it was about 24-26 hours. Doses of misoprostol was lower in combined group (P<0.001). 4 patients need Oxytocin for augmentation in only misoprostol group. In combined group oxytocin was not needed. The two groups did not differ as regards complications experienced during labour and delivery significantly. In overall out come 2 failed induction in misoprostol only group but not in combinedgroup.Conclusion: In Induction of IUFD mifepriston plus misoprostol is an effective combined group. It is safe, non invasive, easily tolerable, highly cost effective, had less induction to delivery interval, required less dose of misoprostol and no need of augmentation with oxytocin. So,the combined group is more effective than conventional regimen of misoprostol alone.Anwer Khan Modern Medical College Journal Vol. 8, No. 1: Jan 2017, P 50-54


2017 ◽  
Vol 26 (1) ◽  
pp. 52-64
Author(s):  
Mohammad Zaid Hossain ◽  
Akhtarun Naher ◽  
Pratyay Hasan ◽  
Kazi Tuba E Mozazfia ◽  
Homyra Tasnim ◽  
...  

Background and rationale: Antibiotic resistance is a global problem. Many factors are complexly related to the issue in multiple dimensions. Bangladesh is right in the middle of this great calamity, and is seeing the rise in resistant strains of several bacteria. Very sadly, the prevalent malpractice of abusing antibiotics in Bangladesh contributes to add complexity to the danger which may prove to be possibly the greatest threat humans have ever faced. There is much scarcity of medical literature in Bangladesh, on the antibiotic sensitivity pattern and prevalent microorganisms. Moreover, antibiotic sensitivity pattern changes over time and place. Again, most of the studies done in Bangladesh, concentrate on a single disease, pathogen, or specimen. This study attempts to see the prevalent microorganisms and the antibiotic sensitivity pattern in multiple types of specimens collected from Dhaka Medical College Hospital. This study also attempts to establish a way of presentation of the relevant findings which can be used in future to ensure easy comparability and contrasting of findings.Methods: The specimens were collected from the adult patients (age >12 years) admitted in the Internal Medicine ward of Dhaka Medical College Hospital, Dhaka, over a period of 6 months. The sampling technique was consecutive sampling method. Specimens which were culture positive, were only included in the study for analysis. Multiple specimens were taken.Results: S. aureus was 100% sensitive to amikacin, moxifloxacin, imipenem, meropenem, piperacillin+tazobactum combination, vancomycin, doxycycline, tetracycline, tigecycline, nitrofurantoin, azactum, linezolid and 100% resistant to cefixime. Enterobacter was 100% sensitive to penicillin, amikacin, gentamicin, netilmicin, doxycycline, tetracycline, tigecycline and 100% resistant to cefixime, ceftazidime, ceftriaxone, cefepime, cotrimoxazole, levofloxacin, vancomycin. E. coli was 100% sensitive to imipenem, meropenem, vancomycin, tigecycline and 100% resistant to mecillinam, aztreonam. Klebsiella was 100% sensitive to flucloxacillin, colistin, vancomycin, tigecycline, linezolid and 100% resistant to nalidixic acid. Proteus was 100% sensitive to cephradine, cefoxitin, cefixime, ceftazidime, ceftriaxone, cefepime, cotrimoxazole, amikacin, ciprofloxacin, imipenem, meropenem, netilmicin, piperacillin+tazobactum combination, tetracycline, tigecycline, azithromycin, azactum and 100% resistant to doxycycline, tetracycline, chloramphenicol and cefuroxime. Pseudomonas was 100% sensitive only to amikacin, netilmicin, and 100% resistant to cefixime, ceftazidime, ceftriaxone, cefepime, cotrimoxazole, gentamicin, ciprofloxacin, levofloxacin, imipenem, meropenem, doxycline, tetracycline, chloramphenicol. Salmonella typhi was 100% sensitive to amoxicillin, cefoxitin, cefixime, ceftriaxone, cefepime, cotrimoxazole, amikacin, netilmicin, azithromycin, chloramphenicol, azactum and 100% resistant to cephradine, doxycycline, tetracycline, nalidixic acid. MRSA was 100% sensitive to imipenem, vancomycin, teicoplanin, nitrofurantoin, linezolid and 100% resistant to cefpirome, cefoxitin, ceftazidime, cotrimoxazole, clindamycin, gentamicin, ciprofloxacin, netilmicin, tetracycline, clarithromycin. Acinetobacter was 100% sensitive to penicillin, cefuroxime, colistin, piperacillin+tazobactum combination, tigecycline, chloramphenicol and 100% resistant to cefixime, nalidixic acid. Citrobacter freundii was 100% sensitive to ceftazidime, ceftriaxone, cotrimoxazole, amikacin, gentamicin, ciprofloxacin, levofloxacin, imipenem, meropenem, netilmicin, nalidixic acid and 100% resistant to ampicillin, cefixime, nitrofurantoin.Conclusion: More and more antibiotics are becoming ineffective due to emergence of resistance. Serious actions should be taken. Awareness should be raised from the policy maker level to the physicians and patients.J Dhaka Medical College, Vol. 26, No.1, April, 2017, Page 52-64


2015 ◽  
Vol 9 (1) ◽  
pp. 32-34
Author(s):  
Md Towhid Alam ◽  
Md Abdul Wadud ◽  
MM Shahin Ul Islam

Snakebite is one of the important cause of mortality in our country. This study was carried out to see the common type of snakes in local area with clinical presentations, complications and outcome of snake bite patients inFaridpur. Fifty cases of snakebite patients in medicine wards of Faridpur Medical College Hospital from 1st January 2012 to 31th April 2013 were studied. Among 50 snake bite patients 35 (70%) were male and 15 (30%) were female. Among them 30 (60%) were venomous and 20 (40%) snake bite cases were non-venomous.The common victims were farmers (53%) and housewives (13%). The bites were commonly encountered during rural foot walking (32%) followed by sleeping (15%). 55% were bitten during outdoor and agriculture related activities. 65% had sustained bite in lower limbs. The majority (82%) of the snakebites were observed during the month. Total 98% patients applied multiple tight tourniquets in the affected limb. A common local practice (seen in 85%) was to receive pre hospital treatment from 'Ohzas'. Among 30 poisonous cases, drooping of the upper eyelid, external ophthalmoplegia and brocken neck were the common features of poisoning. Among the 30 venomous snake bite cases 21 (70%) recovered completely after getting polyvalent antivenom serum and 9 (30%) died after admission. Total 80% cases recovered with 10 vials of polyvalent antivenom serum but others required upto 30 vials depending on severity of symptoms and its duration. No reaction to anti-snake venom was noticed.Faridpur Med. Coll. J. 2014;9(1): 32-34


1970 ◽  
Vol 18 (1) ◽  
pp. 79-81
Author(s):  
F Sultana ◽  
MA Quddus ◽  
MM Rahman ◽  
SM Nuruzzaman

Myositis Ossificans is classified into three types: progressive, post traumatic and paraplegic. The progressive form, myositis ossoificans congenita, is a hereditary disease which is usually autosomal dominant or an isolated mutation and more common in boys. Post-traumatic myositis is found following massive trauma and paraplegic myositis occurs below the level of paralysis. Here, a heterotopic bone formation is evident in the muscle or soft tissue, which can occur almost anywhere in the body. An incidental case of myositis ossificans was found in the Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka in March, 2009. A male patient of 22 years of age was sent for radiological investigations from the medicine out patient department (MOPD) of Dhaka Medical College Hospital, Dhaka having complaints of backache and pain in the neck and chest. He was diagnosed as a case of myositis ossificans after the radiological report. It was an incidental finding having no history of trauma or familial predisposition. This case is presented for journal record and academic interest. Key words: Myositis Ossificans; autosomal dominant. DOI: 10.3329/jdmc.v18i1.6312 J Dhaka Med Coll. 2008; 18(1) : 79-81


Author(s):  
R. Akila

<p class="abstract"><strong>Background:</strong> Vitiligo is a pigmentary disorder of skin whose precise etiology is not known, though it is considered to be genetic, an autoimmune skin disorder in which there is a loss of skin pigment. This disease can occur at any age. Vitiligo affects various parts of the body. Though various modalities of treatment became available, still produces significant social stigma and leads to a psychological impact on the patient.</p><p class="abstract"><strong>Methods:</strong> 100 cases of vitiligo patients attending Dermatology outpatient Department at Govt Dharmapuri Medical college hospital during the period of January 2017 to June 2017 were included in the study. Informed consent was obtained from all the patients and from parents in case of children. A detailed history was obtained and dermatological/systemic examination was done using a proforma. Necessary investigations were done. A psychiatric evaluation was done for all.<strong></strong></p><p class="abstract"><strong>Results:</strong> Females were more involved than males in our study. The youngest patient recorded in our study is 6 years. Exposed areas are more involved. The leg is the most common site involved followed by hands. 8 percent of patients had associated diabetes mellitus, hypothyroidism (2%), and hyperthyroidism (1%). Depression was seen in 8 percent of the patients. Marital conflict (3%) and delayed marriage (5%) was recorded in the study.</p><p class="abstract"><strong>Conclusions:</strong> Though various research studies and treatment modalities became available for this pigmentary disorder it still remains a social stigma. Females were little more involved in our study which may be due to a cosmetic concern. Associated diabetes mellitus and thyroid disorders support autoimmune etiology.</p>


Author(s):  
Ruqayya Chandio ◽  
Jawaid Hussain Lighari Baloch ◽  
Nusrat Fozia Pathan ◽  
Attia Ayoob ◽  
Noor Ali Samoon ◽  
...  

Objectives: To assess of the pregnancy induced hypertension and gravida in teen age girls at People Medical College Hospital Nawabshah Pakistan. Methodology: This cross-sectional study was carried out on 200 pregnant women from Gynecology & Obstetrics Department of Unit-1 and 2 People Medical College Hospital Nawabshah from January 2018 to December 2018. The sampling technique was convenience sampling. The frequency and association between the hypertension and Gravida were observed. Blood Pressure was taken by sphygmomanometer of mercury type B.P apparatus from 200 pregnant women and interviewed all the study subjects. A well designed and structured questionnaire (consist of age, gravida and hypertension related questions) was used for data collection and analyzed statistically. The data was analyzed statistically by SPSS Version 20.0. Results: The mean age of married teenage girls was 16.6 Years with SD ± 2.3 Years. The study results show that 23.5% of Teenage mothers were suffering from Pregnancy Induced Hypertension. 83% women participants were in the age group of 17 to 19 years. Majority 80.3% of marriages were in the age of 13 to16 years. 76% of women were in 1st and 2nd Gravida. Conclusion: One fourth of Teenage married girls are suffering from Pregnancy Induced Hypertension. The maternal age of 17-19 years has been found most common age group for pregnancy induced hypertension, more common in 1st and 2nd Gravida.


1970 ◽  
Vol 19 (1) ◽  
pp. 69-71 ◽  
Author(s):  
MI Islam ◽  
SKA Hoque ◽  
MT Islam ◽  
ASM Saleh ◽  
NC Saha ◽  
...  

Ataxia Telangiectasia (AT) is a rare, neurodegenerative disease that affects many parts of the body and causes severe disability is characterized by progressive Cerebellar ataxia, oculocutaneous telangiectasia, and recurrent respiratory and sinus infections. AT is caused by a defect in the ATM gene, which is responsible for recognizing and correcting errors in duplicating DNA when cells divide, and in destroying the cells when the errors can not be corrected. A 10 years old girl who is the first issue of non consanguineous parents completely immunized according to EPI schedule was admitted to Dhaka Medical College Hospital, Dhaka, on 26.01.2010 with the complaints of generalized weakness and difficulty to walk from the 6th year. The patient has one younger sister of 7 years old who has such complaints. On examination the patient was found mildly anemic with congestions in both eyeballs that is radiating from the both corners to limbus. The patient was conscious and cooperative. Cranial nerves were intact. There were hypotonia which was more marked in lower limbs with diminished jerks and flexor plantar reflexes. Gait was wide based and ataxic. She was diagnosed as a case of AT. This case is presented as academic interest. Key words: Ataxia Telangiectasia (AT); neurodegenerative disease. DOI: 10.3329/jdmc.v19i1.6258 J Dhaka Med Coll. 2010; 19(1) : 69-71.


1970 ◽  
Vol 1 (1) ◽  
pp. 3-8 ◽  
Author(s):  
MA Ali ◽  
MAR Siddiqui ◽  
MS Khaled ◽  
M Islam ◽  
S Parvin

Introduction: A defect in any part of the body involving extensive soft tissue loss adversely affects the functional ability. With the advent of microvascular free tissue transfer in the reconstruction of large defects, the problem is going to be solved. However, studies are still going on about the different aspects of its success and failure. The present study is one such step to share our early experience.Methods: The study was carried out in the Department of Plastic Surgery, Chittagong Medical College Hospital from August 2009 to April 2010. We reviewed the operative experiences of free tissue transfer on 5 cases. Standard microvascular anastomotic techniques as well as peroperative & postoperative heparinization were maintained in all the cases. Follow up results were evaluated at varying periods following standard protocol.Results: Of the 5 cases reconstructed, 4(80%) had lesions in the maxillofacial region and 1(20%) in the ankle region. In terms of diseases they suffered, 3(60%) had squamous cell carcinoma and 2(40%) sustained mechanical injury. The outcome of treatment demonstrates that 3(60%) cases recovered uneventfully, one developed slight loss of sensation on the left thumb (20%) and another one failed to recover (20%).Conclusion: In this study successful microvascular free tissue transfer was possible in 80% cases. With the increase in experience we can expect increased success rate as well.DOI: http://dx.doi.org/10.3329/bdjps.v1i1.6485Bangladesh Journal of Plastic Surgery (2010) Vol. 1 (1) pp.3-8


2021 ◽  
Vol 7 (1) ◽  
pp. 48-55
Author(s):  
Sabrina Aktar ◽  
Ashees Kumar Saha ◽  
Mst Akhtara Khatun ◽  
Baizid Khoorshid Riaz

A career is defined as advancing in a chosen job and as a result of that earning more money, taking on more responsibility, gaining more status, power, and respect A descriptive type of cross sectional study was conducted in two tertiary level Government hospitals namely Rajshahi Medical College Hospital (RMCH), Rajshahi and Shaheed Suhrawardy Medical College Hospital (ShSMCH), Sher-E-Bangla Nagar, Dhaka, Bangladesh from 1st January to 31st December, 2019 with the aimed to determine the career plan and related attributes of nurses in a selected tertiary hospital. Study Population was the nurses working in those two hospitals and convenience sampling technique was done, Sample size was 302. After taking written consent from the respondents, data collection was done by face to face interview using a semi-structured questionnaire. The study findings revealed that 94.0% of the respondents have career plan and only 89 respondents were received degree after employment, 43.8% nurses worked in RMCH and 56.2% nurses worked in ShSMCH. From the total respondents, 58.6% respondents expect after completion higher education they will get better job opportunity. Here, 50.0% of the respondent’s reason for no career plan had family problem, 33.3% respondents’ opinion was time consuming and only 16.7% respondents’ opinion was expensive and 56.3% had job satisfaction. Length of service significantly (p<0.001) associated with career plan and educational qualification significantly (p<0.001) associated with choosing of discipline. Professional development can be achieved through career plan, which will not only provide quality nursing care to patients but also nurses updated knowledge with new information and technology. Asian J. Med. Biol. Res. March 2021, 7(1): 48-55


2018 ◽  
Vol 30 (1) ◽  
pp. 10-13
Author(s):  
Md Sultan E Monzur ◽  
Mohammad Muntasir Maruf ◽  
Susmita Roy ◽  
Ramendra Kumar Singha Royle ◽  
Md Shafiqur Rahman

Mental health problems are often unrecognized and neglected by patients, their relatives and by the society. The objective of the study was to find out the pattern of psychiatric morbidity of the patients attending at the psychiatry outpatient department. This was a cross sectional study carried out in the department of Psychiatry at North Bengal Medical College Hospital (NBMCH), Sirajganj from August, 2015 to July, 2017. For this purpose, 918 respondents attending in psychiatry outpatient department of NBMCH were enrolled in the study by using convenient sampling technique. The results showed that majority (26.3%) were from the age group of 31-40 years with female preponderance (58.7%). Among them 71.8% were married and 71.1% came from rural background. Maximum respondent’s (56.3%) monthly family income was in between 15,000-30,000 BDT. The most common psychiatric morbidity among the respondents was major depressive disorder (38.6%) followed by anxiety disorsers (25.8%). Most (85.1%) of the respondents were referred either by themselves or by their family members, friends or by relatives. The rest (14.9%) were referred by general physicians and specialists of different disciplines. The result of this study may help in the planning for better mental health service in private medical college hospitals.Bang J Psychiatry June 2016; 30(1): 10-13


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