scholarly journals Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 114-117
Author(s):  
Shimul Akter ◽  
Naznin Rashid Shewly ◽  
Kashefa Khatun ◽  
Rokshana Parvin Nupur ◽  
Kamrun Nahar ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Demographic Characteristics ◽  
Medical College Hospital ◽  
Care Hospital ◽  
Vaginal Fistula ◽  
College Hospital ◽  
Medical College ◽  
The Mean ◽  
Vesico Vaginal Fistula

Background: Vesico-vaginal fistula can occur in different women with varied socio-economic condition. Objectives: The purpose of the present study was to see the socio-demographic characteristics of vesico-vaginal fistula (VVF) patients attended at a tertiary care hospital in Bangladesh. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. The entire selected patients were interviewed for detailed socio-demographic characteristics. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Most of the respondents were illiterate (55.0%) and one-third patients had primary level education. The number of highly educated patients was scarce (12.0%). It was evident that average age at marriage of the patients was 15.8(±4.74) years. Some females were forced to accept marriage at the age of 10 years. The mean interval between initiation of menstruation and the marriage was only 4.72 years. Mothers were on an average 17.48 years old at the time of first delivery. Conclusion: In conclusion middle age illiterate women are most commonly suffering from VVF. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 114-117

scholarly journals Multimorbidity Patterns Among Hospitalized Geriatric Patients in Medicine Wards of a Tertiary Care Hospital in Dhaka City

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Sumiya Bent Kalam ◽  
Sadia Islam ◽  
Mohammad Abdullah Az Zubayer Khan ◽  
Tanjina Akhter
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College

Background: Elderly people are posing a significant health burden in our country for their multi morbidity as economic growth has increased our life expectancy. Pattern of multi morbidity of this older people varies according to geography, ethnicity, culture and life style. Aim: The aim of this study was to identify the prevalence and pattern of multi morbidity of elderly patients admitted in a tertiary care hospital. Method: 50 random cases of elderly patients aged more than 60 years admitted in medicine and allied wards of Dhaka medical college hospital were observed at this cross-sectional study from January 2017 to June 2017(total 6 months period). Data were reviewed and analyzed using simple frequency and percentage. Protocol was reviewed by institutional ethical board (IRB) of Dhaka medical college hospital. Result: A total number of 50 elderly patients with age ranging from 60 to 95 years were observed with male and female ratio 1.3:1 having multi morbidity among 92.0% patients and female is more affected than male. Hypertension, ischemic heart disease, diabetes mellitus and stroke were found most common diseases as individual. Hypertension and diabetes mellitus was found as the most common multi morbidity pattern followed by hypertension and IHD, stroke & diabetes mellitus. Conclusion: This study sheds light on priority needs of elderly patients in terms of medical facility in tertiary care hospital of Bangladesh. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 56-59

scholarly journals Pattern of Cardiovascular Drugs Use in Outpatient Department in a Tertiary Care Hospital of Bangladesh

2018 ◽  
Vol 32 (2) ◽  
pp. 65-69
Author(s):  
Udoy Shankar Roy ◽  
AKM Monwarul Islam ◽  
Mohsin Ahmed ◽  
Murshidur Rahman Khan ◽  
Nihar Ranjan Sarker
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cardiovascular Drugs ◽  
Medical College Hospital ◽  
Outpatient Department ◽  
Essential Medicines ◽  
Fixed Dose ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College

Objective: The objective of the present study was to provide recent population-based information on use of cardiovascular drugs in outpatients in a tertiary care hospital of Dhaka, Bangladesh.Methods: A prospective study of cardiovascular prescriptions of Outpatient Department of Department of Cardiology of Shaheed Suhrawardy Medical college hospital Dhaka, Bangladesh was carried out. A total of 215 prescriptions were collected for the study in Shaheed Suhrawardy Medical College Hospital Dhaka, Bangladesh from July 2015 to June 2016. The prescriptions were evaluated for rationality based on WHO model list of essential medicines. The prescriptions were critically analyzed using predetermined parameters.Results: Out of 215 prescriptions collected, 120 drugs were found to be repeatedly prescribed. The results revealed that all single dose formulations prescribed were rationally in accordance with WHO essential drug list whereas fixed dose combinations prescribed remain questionable. A pattern of polypharmacy was clearly evident.Conclusion: Medications are a critical modality for prolongation and improved quality of life. Campaign and intervention should be focused on patients with more than three diagnostic cardiovascular conditions in order to minimize polypharmacy in patients particularly elderly.Bangladesh Heart Journal 2017; 32(2) : 65-69

A COMPARATIVE STUDY ON THE SAFETY AND EFFECTIVENESS OF GLUCOSAMINE-DIACEREIN AND UNIVESTIN – CHONDROITIN IN KNEE OSTEOARTHRITIC PATIENTS IN A TERTIARY CARE HOSPITAL

2018 ◽  
Vol 6 (7) ◽  
Author(s):  
Dr. Mathew George ◽  
Dr. Lincy Joseph ◽  
Mrs Jeenu Joseph ◽  
Becky Maria Biju ◽  
Roshin Thomas
Keyword(s):  
Knee Osteoarthritis ◽  
Drug Combination ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
Short Term ◽  
College Hospital ◽  
Medical College ◽  
Synthetic Drug

Background: Knee Osteoarthritis is a progressive disease showing increasing trend of occurrence in a population .It has lead to great morbidity and disability. Combinations which showed anti-inflammatory property and suppression of cartilage degeneration are better options for management of knee osteoarthritis. According to medical practice, quick relief within short period of exposure to drug therapy is preferred. This study was an attempt to compare the safety and effectiveness of diacerein-glucosamine and univestin-chondroitin combinations in knee osteoarthritic patients in a tertiary care hospital. These drugs are now prescribed by Indian physicians in the current scenario. Patients and Method: The study began only after getting the approval from Institutional Ethics Committee and obtaining Inform Consent from subjects. The study was conducted in the department of orthopedics in Pushpagiri Medical College hospital, Kerala. From140 patients who arrived at the Orthopedics OPD Pushpagiri medical college hospital, we sorted and selected only 64 patients based on the study criteria. We divided into two groups (32 each) one receiving diacerein-glucosamine and another receiving univestin chondroitin combinations. From these groups grade 1 and 2 patients are subdivided. They were assessed by WOMAC, KOOS, VAS, 6 minute walk test, and Standard ADR questionnaires (Naranjo’s) for measuring safety and effectiveness of drug combinations. Change in the short term effectiveness for both drugs measure was assessed before the start of treatment, and after 30 days of treatment. Conclusion: For Grade 1 patients both drugs were equally effective. But for Grade 2 Patients diacerein-glucosamine combination therapy shows more benefit than univestin-chondroitin. However, semi-synthetic drug combination showed more safety profile than synthetic drug combination in the short term treatment of knee osteoarthritis. Keywords : univestin –chondroitin , diacerein-glucosamine  , OA , WOMAC , KOOS , VAS

scholarly journals Satisfaction of women with health service provider in outpatient department of Obstetrics and Gynecology at a Tertiary care hospital

2017 ◽  
Vol 6 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Ashia Khatun ◽  
Khairun Nahar ◽  
Mst Nurunnahar Aktar ◽  
Fatema Mahbooba Akter ◽  
Habibur Rahman
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Environment ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Health Service Provider ◽  
College Hospital ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Medical College

Background: Patient's satisfaction over the health care services is very important issue in Bangladesh.Objective: The purpose of present study was to find out the level of satisfaction of women attending in the OPD of Obstetrics and Gynecology department at a tertiary care hospital in Dhaka.Methodology: This descriptive type of cross sectional study was carried out in the OPD of Obstetrics and Gynecology department at Dhaka Medical College from September 2011 to October 2011 for a period of one month. All the women attending in Obstetrics and Gynecology department in outdoor service at Dhaka Medical College Hospital, Dhaka with the age group of 22 to 40 years were selected as study population. A purposive sampling method was used to collect the data.Results: A total number of 200 cases were taken for this study. Highly satisfied over the services delivered by the doctors was reported in 135 (65.8%) cases and service of nurses was satisfied 111(55.8%) of cases. Satisfactory waiting time (two hours) was 143(7l.9%) of cases and the satisfactory hospital environment was 127 (63.8%) of cases.Conclusion: In conclusion most of the women are satisfied to the treatment delivered by the doctors at the OPD of a tertiary care hospital.J Shaheed Suhrawardy Med Coll, 2014; 6(2):79-81

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals A Clinico-epidemiological Study of Malaria Patients Admitted in A Tertiary Care Hospital of Bangladesh

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Diagnostic Test ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Clinical Aspects ◽  
Case Report Form ◽  
Care Hospital ◽  
Mosquito Net ◽  
College Hospital ◽  
Medical College ◽  
History Of

Malaria is a public health problem in 90 countries around the world affecting 300 million people and responsible for about 1 million deaths annually. Bangladesh is considered as one of the malaria endemic countries in Asia. Every year large number of people suffered for malaria. But there is little studies about clinico-epidemiology of malaria. Aim: To study the epidemiological and clinical aspects of malaria. Methods: This is a Prospective observational study that was conducted in all medicine unit of Chittagong Medical College Hospital, Chittagong, Bangladesh during August 2017 to June 2018. Total 55 patients were included in the study having malaria diagnosed by blood slide examination or rapid diagnostic test. Patients were enrolled in this study after getting written informed consent from the patient or attendant. Detail demographic and clinical data were recorded in structured case report form. Patients were regularly followed up and outcome recorded. Results: Results showed males (65.5%) of 25±15.109 years of age were the main sufferer. Majority (45%) came from low socio-economic condition (<5000 taka/month). 65.5% patients denied any history of recent travel to malarias’ area. 69.1% cases give history of using mosquito net, but only 25.5% have insecticide treated mosquito net. Majority (89.1%) were diagnosed as severe malaria and only few (10.9%) as uncomplicated malaria. Most of the diagnosis done at Chittagong Medical College Hospital, mainly presenting with coma or altered consciousness and convulsion. At field level diagnostic test done in 67.27% cases, of which RDT in 14.5%, BSE in 45.5% and both in 7.3% cases. 78.2% cases outcome were good with improvement and death occurred in 21.8% cases, mainly due to acute renal failure. Conclusion: Though we are making significant effort to control malaria, still we have to improve in controlling malaria based on both preventing the infection and on prompt effective treatment of the infection and illness when it does occur.

scholarly journals Study of Extra intestinal E.coli and their resistant pattern in a tertiary care hospital of Bangladesh.

2017 ◽  
Vol 11 (1) ◽  
pp. 10-13
Author(s):  
Jannatul Ferdous ◽  
Taslima Begum ◽  
Taslima Akter ◽  
Mohammad Murshed ◽  
Noor Jahan ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Bacterial Pathogen ◽  
Neonatal Meningitis ◽  
Care Hospital ◽  
College Hospital ◽  
Common Cause ◽  
Clinical Specimens ◽  
Medical College ◽  
Tract Infections

E.coli is one of the most important gram negative bacterial pathogen in human and can be subdivided into the following; (i) intestinal non-pathogenic, commensal variants (ii) Intestinal pathogenic isolates and (iii) extra intestinal pathogenic E.colior ExPEC isolates. ExPEC causes the vast majority of urinary tract infections (UTIs), is a leading cause of adult bacteremia and is the second most common cause of neonatal meningitis. The clinical specimens obtained from patients admitted in Holy Family Red Crescent Medical College Hospital (HFRCMCH) from January 2014 to December 2016. All laboratory works were performed in department of microbiology and immunology of HFRCMCH. The infection rate was maximum in urine (89%) followed by blood (5%), pus (5%) and others (1%). Most of the ExPEC were isolated from outdoor department 62.6%. ExPEC displayed higher resistance to many antibiotics like 75% resistant to Ampiciline , 55% resistant to Cotrimazole, 22% resistant to Gentamycin, 17% resistant to Nitrofurantoin, 55% resistant to Ciprofloxacin, 70% resistant to Ceftriaxone, 82% resistant to Cefalexin, 50% resistant to Azithromycin, 10% resistant to Amikacin, 48% resistant to Tetracycline, 7% resistant to Imipenem and 8% resistant to Meropenem. In conclusion, there were high resistant rate to commonly available antibiotics. It seems that appropriate and judicial use of antibiotics may help to control the evolving problem of drug resistance towards ExPEC. Bangladesh J Med Microbiol 2017; 11 (1): 10-13

scholarly journals OVERT HYPOTHYROIDISM;

2018 ◽  
Vol 21 (01) ◽  
pp. 075-078
Author(s):  
Ashok Kumar Lohano ◽  
Noor Nabi Siaya ◽  
Adnan Samie
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Overt Hypothyroidism ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Cold Intolerance ◽  
Medical College ◽  
Pedal Edema

Objective: To assess the frequency of common presentations of the overthypothyroidism. Study design: Cross sectional study. Setting: This study was conducted at allOPD’s of peoples’ medical college hospital nawab shah, a tertiary care hospital, from 01-10-2012to 31-03-2013. Material and methods: This study was conducted at all OPDs of Peoples’medical college hospital Nawabshah, a tertiary care hospital, from 01-10-2012 to 31-03-2013.Patients visiting outpatient department (OPD) meeting the inclusion criteria were involved instudy. Inclusive criteria were diagnosed cases of overt hypothyroidism, age 18-60 years and bothgender. Exclusion criteria were age less than 18 years and more than 60 years and pregnantwomen. The collected data was entered and analyzed by using Statistical Package for SocialSciences (SPSS) software, Version 17. Results: Among 126 patients that had hypothyroidism,there were 46 males(36.5%) and 80 females(63.5%). Mean age of patients was 37.60 ± 7.54years. Most of the patients presented with symptoms of cold intolerance (62.7%) dry skin(61.9%), pedal edema (57.1%), weight gain(56.3%) while rest presented with hair loss (20.6%),bradycardia (29.4%) & delayed tendon reflexes (27.8%). Overt hypothyroidism was presented inonly 21 (16.7%) patients. Conclusions: The frequency of Hypothyroidism vary in different areas,and is affected by Socio-demographic, nutritional status, illiteracy level and personal self-care.

scholarly journals Study of drug utilization pattern in gynecology department of tertiary care hospital of Rajasthan, India

2018 ◽  
Vol 7 (7) ◽  
pp. 2650
Author(s):  
Neelam Sharma ◽  
Anshul Jhanwar
Keyword(s):  
Drug Utilization ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Utilization Pattern ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
Related Information ◽  
The Mean

Background: With increasing awareness the flow of patients visiting gynecology outpatient department has increased. Drugs used in gynecology are one of the most selling drugs in India, however they are least studied with respect to drug utilization. Thus, present study was undertaken to analyse drug utilization pattern of Gynecology OPD in a tertiary care hospital.Methods: A retrospective, cross sectional, observational study of prescriptions in Gynecology OPD of Jhalawar medical college, Jhalawar. Data was obtained from medical record database of patients that attended Gynecology OPD from October 2017 to March 2018 over period of six months. Prescription records of patients were screened as per inclusion and exclusion criteria and 300 prescriptions were randomly selected. Patient related, and drug related information was collected on a customized data collection sheet.Results: The mean age of patients was 20.5±8.65 years and common age of presentation was >18-30 years. In infective cases, PID (40.6%) was common, and in non-infective cases, menorrhagia (23.8%) was common. The average number of drugs per prescription was 5.2. In drug category, minerals (46.4%) were most commonly prescribed, followed by antimicrobials (27.6%), and NSAIDs (20.1%). Polypharmacy was observed in 100% of the prescriptions.Conclusions: In the present study all of the drugs prescribed were generic which were from the essential medical list of NLEM and WHO. This study revealed deviation from rational prescribing by the prescribers because average number of drugs per prescription was significantly higher than that recommended by WHO.

Sign in / Sign up

Export Citation Format

Share Document