scholarly journals Clinical Study on Patients with Grossly Elevated Erythrocyte Sedimentation Rate

1970 ◽  
Vol 8 (2) ◽  
pp. 64-68
Author(s):  
Md Zahirul Haque ◽  
Saki Md Jakiul Alam ◽  
Mesbahuddin Noman ◽  
MA Azhar
Keyword(s):  
Age Groups ◽  
Haematological Malignancies ◽  
Monthly Income ◽  
Connective Tissue Disorders ◽  
College Hospital ◽  
Common Cause ◽  
Medical College ◽  
Erythrocyte Sedimentation ◽  
The Common ◽  
Body Ache

This study was done in medicine indoor department of Rajshahi Medical College Hospital from January 2004 to March 2004. Consecutive 100 patients, who were advised to test the ESR by their physicians for their complaints and found to have an ESR, equal to or more than 100 mm in 1st hour, were included in this study. Among 100 patients 56 were male and 44 were female. All of them were classified in five age groups. They were also categorized according to their monthly income and occupation. Fever, generalized weakness, weight loss, pallor, pain, body ache were the common presenting complaints. Haematological disorder appeared to be most common cause (41%) of marked ESR elevation; followed by infectious diseases (36%) and connective tissue disorders (17%). Among the all patients 30% cases were haematological malignancies (i.e. acute myeloblastic and lymphoblastic leukaemia, lymphomas, multiple myeloma). In 4% cases the cause could not be elicited.    DOI = 10.3329/jom.v8i2.1411 J MEDICINE 2007; 8 : 64-68

scholarly journals Laboratory Tests Required to Reach the Diagnosis in Patients with Grossly Elevated ESR

1970 ◽  
Vol 10 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Md Zahirul Haque ◽  
Saki Md Zakul Alam ◽  
Mesbahuddin Noman ◽  
Md Abu Naser Siddique ◽  
Md Azhar
Keyword(s):  
Diagnostic Yield ◽  
Age Groups ◽  
Blood Film ◽  
Connective Tissue Disorders ◽  
College Hospital ◽  
X Ray ◽  
Medical College ◽  
Kala Azar ◽  
Peripheral Blood Film ◽  
Bone Marrow Study

This study was done in medicine indoor department of Rajshahi Medical College Hospital from January 2004 to March 2004. Consecutive 100 patients, who were found to have an ESR equal to or more than 100 mm in 1st hour, were included in this study. Among them 56 were male and 44 were female. All of them were classified in five age groups. Haematological disorder appeared to be the most common cause (41%) of marked ESR elevation; followed by infectious diseases (36%) and connective tissue disorders (17%). In 4% cases the cause can not be elicited. In this study, most commonly done investigation was peripheral blood film (76 patients) and gave positive clue to diagnosis in 45% cases. Bone marrow study was done in 53 cases and gave positive diagnosis in 69% cases. Other tests with high diagnostic yield were RA test (35%), X-ray spine (62%), Widal test (42%), Splenic aspirate study for kala-azar (46%), DAT for kala-azar (47%), FNAC of lymph node (77%), Pleural fluid study (100%). Most of the patients have needed 3 (46% patient) to 4 (27% patient) special investigations along with routine investigations to reach the diagnosis. doi:10.3329/jom.v10i1.1995   J Medicine 2009; 10: 7-11   

scholarly journals Lung Cancer - Prevalence and Patterns

2002 ◽  
Vol 1 (1) ◽  
pp. 40-47
Author(s):  
Karuna Ramesh Kumar ◽  
K. Payal
Keyword(s):  
Lung Cancer ◽  
Market Integration ◽  
Age Groups ◽  
Correlation Coefficients ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
The Common

Background and setting Recent reports have indicated the increasing incidence of lung cancer in women and younger age groups. A cross- sectional, retrospective study was undertaken to study the age and sex distribution and histological patterns of lung cancer in the patient population presenting to St.John's Medical college Hospital, Bangalore. Methods The age, sex and the clinical features of patients and gross findings of the specimens were retrieved from the archives of the department.Hematoxylin and Eosin stained paraffin sections were used for assessment of histological patterns. Results and Conclusions 80 patients(13.5%) were histologically diagnosed as having lung cancer in the study done over a period of 6 years(1995-2000).Peak incidence was seen in 5th and 6th decade. 15 patients were <40 years of age with a male-female ratio 1.5:1 while the trend changed to 4.9:1 in >40 years age group. among the classifiable patterns, the common years age group. Among the classifiable patterns, the common histological pattern was squamous cell carcinoma, while 26.5% of lung cancer cases were poorly differentiated and could not be further categorized indicating the need for advanced techniques. In 18.5% of patients who were less than 40 years of age with lack of male preponderance, the genesis was probably multifactorial. Market integration Correlation is a measure of market integration. Correlation Coefficients of Prices, which include trend, seasonal and cylindrical effects are not adequate to precisely measure the degree of market integration. Integration of "pure errors" (pure errors means error series free from autocorrelation effects) of several time series enables us to determine the significance or otherwise integration of markets.

scholarly journals HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
Gynaecological Surgery ◽  
College Hospital ◽  
Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

scholarly journals Disease Profile and Death Pattern among the Children Admitted in Rajshahi Medical College Hospital

2021 ◽  
Vol 34 (1) ◽  
pp. 55-62
Author(s):  
Be Nazir Ahmmad ◽  
Fazlur Rahman ◽  
Naznin Parvin ◽  
Md Shamsul Alam ◽  
Shitangshu Banerjee ◽  
...  
Keyword(s):  
Health Care ◽  
Case Fatality Rate ◽  
Age Groups ◽  
Case Fatality ◽  
Medical College Hospital ◽  
Watery Diarrhea ◽  
Fatality Rate ◽  
College Hospital ◽  
Under Five ◽  
Medical College

Background: Rajshahi medical college hospital is a tertiary care teaching and referral center in the North-West part of Bangladesh. To assess the epidemiological trend in hospital admission, including morbidity and mortality pattern of illness in the pediatric population, it needs to develop effective health care planning, appropriate resource allocation, and integration of existing health care service facilities. Objective: To evaluate the diseases and deaths of children admitted in the department of pediatrics, Rajshahi medical college hospital, Rajshahi. Materials and methods: This is a retrospective study. The collected case records of all patients admitted in the department of pediatrics from 1st January 2017 to 31st December 2019 (3 years) were analyzed.  Result: A total of 62000 children were admitted during the mentioned study period. All the patients were distributed into three age groups infant, under five, and more than five, contributing 22%, 27.5%, and 19%, respectively. Acute watery diarrhea (21%), hereditary hemolytic anemia (18%), bronchopneumonia (10.4%), acute gastritis (9.4%), and acute bronchiolitis and wheezy child (7.17%) were the top five diseases in each of the three years of admission. Among the total admitted patients, 1003 (1.61%) patients died. Infant, under five, and more than five age groups constitute 61.3%, 28.1%, and 15.1%, respectively. Encephalitis and fulminant hepatic failure found the top two diseases causing death with a case fatality rate was 61% and 43%, respectively. The next highest case fatality rate was found in acute leukemia (15%). Other common causes of death include meningitis, cerebral palsy with complications (7.5%), bronchopneumonia with complications (3.8%). Conclusion: An admission-related comprehensive evaluation of this study will help to understand the diseases and death patterns of a hospital, leading to the development of more effective planning and case management strategies. TAJ 2021; 34: No-1: 55-62

scholarly journals Dengue Fever : Study of 100 Cases in a Tertiary Care Hospital in Dhaka City

2015 ◽  
Vol 24 (Number 1) ◽  
pp. 3-7
Author(s):  
A H M Karnal ◽  
K H Mollah ◽  
A Begum ◽  
K Khoda ◽  
S Tanzeem ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Hemorrhagic Fever ◽  
Viral Disease ◽  
Care Hospital ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Body Ache

Dengue is a rapidly spreading mosquito-borne viral disease worldwide. The endemicity in Bangladesh is also increasing gradually. The study was a prospective observational one, documented the presenting features and outcome of management. It was carried out in Department of Medicine in Holy Family Red Crescent Medical College Hospital, Dhaka from June 2013 to December 2013. Total 100 admitted cases of both sera positive and sera-negative were included in this study. Detailed history was taken, clinical examination and relevant investigations were done. Out of 100 patients 54 (54%) were male and 46 (46%) were female. So male to female ratio was 1.7:1. The age of the patients ranged from 12-75 years. Among them 20-40 years age group was highest 63%. Patients of higher socio-economic group were (69%) more affected. Out of 100 cases 54 had classical dengue fever (DF), 46 had dengue hemorrhagic fever (DHF). Antibody was positive in 81% cases. All patients presented with high fever, headache in 90%, retro-orbital pain in 45%, body ache in 56%, and backache in 48%. Leucopenia found in 60, platelet count <100x1091L was in 57, HCT- normal 17, <20% rise in 48%, ?20% rise in 28%. With proper management all patients were recovered.

scholarly journals Relationship between Stature and Length of Tendo Achilles in Adult Male and Female of Bangladesh

2020 ◽  
Vol 7 (2) ◽  
pp. 80-83
Author(s):  
Sanjida Amin ◽  
Shamim Ara ◽  
Rawshon Naznin ◽  
Umma Marium ◽  
Farah Diba ◽  
...  
Keyword(s):  
Medical Science ◽  
Age Groups ◽  
Medical College Hospital ◽  
Radiology Department ◽  
College Hospital ◽  
Cross Sectional ◽  
Male And Female ◽  
Medical College ◽  
Tendon Thickness ◽  
Ankle Flexibility

Background: Tendo Achilles injuries are usually related to poor ankle flexibility and strength and to overuse. Morphology of tendo Achilles is an important tool for its assessment which can be done by measuring tendon thickness, cross-sectional area and length of tendon. Objective: The aim of the study was to correlate length of tendo Achilles with stature in several age groups of sedentary people as measured by ultrasonography. Materials and method: This cross sectional analytical type of study was conducted in the department of Anatomy, Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2013 to June 2014. The present study was performed on 200 tendo Achilles of 100 people (50 male and 50 female) randomly selected from the patients who came to the Radiology department of Dhaka Medical College Hospital for ultrasonography of any region of their body other than leg. Results: In this study length of tendo Achilles was measured in both legs of adult people and was correlated with stature. Highly significant correlation was found between length of tendo Achilles with stature (p<0.001). Conclusion: The data of length of tendo Achilles obtained from the present study may provide valuable information in different aspects of medical science as a guide line for physiotherapists, radiologists, sports professionals and ortho-surgeons in early detection and monitoring of rehabilitation especially of professional athletes. Delta Med Col J. Jul 2019 7(2): 80-83

scholarly journals Microbiological Study of Chronic Suppurative Otitis Media

2019 ◽  
Vol 46 (2) ◽  
pp. 7-9
Author(s):  
Rifat Nousin Shumi ◽  
Abdullah Siddiqe ◽  
Arefa Akter
Keyword(s):  
Otitis Media ◽  
Age Groups ◽  
Chronic Suppurative Otitis Media ◽  
Klebsiella Pneumonia ◽  
Biochemical Tests ◽  
College Hospital ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Microbiological Profile ◽  
Gram Staining

Chronic suppurative otitis media (CSOM) is a prevailing and notorious infection in developing countries causing serious local damage and threatening complications. The purpose of the present study was determine the microbiological profile of isolates from discharge in CSOM. This study was conducted at out-patient department of ENT at Rajshahi Medical College Hospital, Rajshahi from January 2014 to December 2014. Samples were taken from 185 patients (both male and female) in all age groups suffering from chronic suppurative otitis media. Their Gram staining, culture, and biochemical tests were carried out to identify the organisms. It showed the predominance by staphylococcus aereus (29.13%), followed by Pseudomonas Aeruginosa (22.83%), Streptococcus Pyogen (14.96%), E.Coli (9.44%), Proteus Mirabilis (6.29%), Klebsiella Pneumonia ( 4.72%). Bangladesh Med J. 2017 May; 46 (2): 7-9

scholarly journals Sociodemography and Clinical Profile of COVID 19 Positive Physicians at a Tertiary Level Hospital, Dhaka

2020 ◽  
pp. 56-60
Author(s):  
Mohammad Rafiqul Islam ◽  
Khondaker Abul Bashar ◽  
Shariful Matin ◽  
Tahmid Tanveer ◽  
Atiqur Rahman ◽  
...  
Keyword(s):  
College Hospital ◽  
Personal Protection Equipment ◽  
Medicine Department ◽  
Medical College ◽  
First Case ◽  
Care Workers ◽  
High Infection ◽  
Epidemiological Characteristics ◽  
First Time ◽  
Body Ache

Introduction: On 11th March, 2020 COVID19 was declared as a pandemic and it currently involves 210 countries worldwide. Bangladesh declared its first case on 8th March 2020. Currently, the highest case detection of COVID is in the Dhaka district. Due to a lack of quality PPE (personal protection equipment) and proper knowledge of donning, doffing and transmission dynamics of COVID 19 thought to be high infection rate among physicians. Material and Methods: A pretested questionnaire was set and distributed among COVID 19 infected physicians working at Shaheed Suhrawardy Medical College Hospital through internet to know about the clinical and epidemiological characteristics. Results: 65.3% of the respondents were male and had a mean age were 35.7 years. Among all the respondents, the highest number of physicians involved were from medicine department (26.9%). Lethargy, body ache and fever were observed in 57.69%, 50% and 30.7% patients respectively. Among 52 infected physicians, first time RT-PCR for COVID 19 yield 78.8% positive results. Prophylactic dose of hydroxychloroquine taken by 15.3% patients before being infected with COVID19. Conclusion: Health care workers are getting infected in a alarming number but fortunately at Shaheed Suhrawardy Medical college all the cases were in mild form. J Bangladesh Coll Phys Surg 2020; 38(0): 56-60

scholarly journals Outcome of Antegrade Interlocking Intramedullary Nailing in Fracture Shaft of the Femur in Community Based Medical College Hospital, Bangladesh

2015 ◽  
Vol 4 (1) ◽  
pp. 13-17
Author(s):  
Mamunur Rashid Chowdhury ◽  
Md Anwarul Haque ◽  
Md Nasir Uddin ◽  
Md Saiful Islam ◽  
Sabrina Alam Mumu ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Medical College Hospital ◽  
Community Based ◽  
College Hospital ◽  
Common Cause ◽  
Medical College

Day by day road traffic accident in Bangladesh is increasing. Mymensingh-Dhaka highway passes beside the Community Based Medical College Hospital, Bangladesh. We often have to manage a greater number of traumatic patients. In road traffic accident the incidence of fracture shaft of femur is the most common. That's why my study was done to evaluate the result of management of fracture shaft of the femur with antegrade interlocking intramedullary nailing under the department of Orthopedic Surgery in CBMCH,B in the period between January 2009 to July 2013. Total 88 patients were selected for interlocking nailing initially in the study. Out of them 8 patients did not report in subsequent follow up. So the result of the study was based on 80 patients (48 males; 32 females) with the range of 20- 68 years of age. The average age of the patient was 36 years. Motor vehicle accidents was the most common cause of fracture shaft femur (65%) and the second most common cause was fall from height (20%) specially fall from tree. Among the patients; right sided femur involvement was 67.5% (54) and left sided femur involvement was 32.5% (26). The majority fracture of the shaft of the femur was lower third (70%). The patients were mostly in the day-laborers' groups (35%), and, the next group was students. The mean union time was 18 weeks with the range of 15-30 weeks. After operation, complications were found such as; infection 3.75%(3), non-union 1.25% (1). Excellent functional outcome was found in 82.5% (66), good in 12.5% (10), fair in 5%(4). This functional outcome study was evaluated by Klemm & Borner 1 criteria. CBMJ 2015 January: Vol. 04 No. 01 P: 13-17

scholarly journals Clinicopathological Study of Change of Voice

2021 ◽  
Vol 29 (2) ◽  
pp. 116-125
Author(s):  
Md Arifuzzaman ◽  
Shaikh Nurul Fattah ◽  
Mohammad Nazrul Islam ◽  
Md Mehedi Hasan ◽  
Md Monirul Islam ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Laryngopharyngeal Reflux ◽  
Voice Quality ◽  
Geographical Location ◽  
Neck Surgery ◽  
Eligibility Criteria ◽  
College Hospital ◽  
Medical College ◽  
Chronic Laryngitis ◽  
The Common

Background: Change of voice is one of the common complaints in ENT practice and hoarseness of voice is the commonest symptom of changed voice quality. Hoarseness is invariably the earliest manifestation of conditions directly or indirectly affecting the voice apparatus. Though most common causes of hoarseness are benign and vocal abuse is the commonest among them, but we should always investigate for more sinister pathology like malignancy. Objectives: To find out the symptoms, signs and pathological incidence, leading to change of voice for early diagnosis and interventional purpose. Methods: Total 87 patients of change of voice, studied in 06 months duration from 1st January 2016 to 30th June 2016 in the Department of ENT & Head-Neck Surgery, Dhaka Medical College Hospital, Dhaka. The cases were selected according to the eligibility criteria by purposive sampling. Then the data were collected by the active participation of the patients interviewed by the preformed proforma of data collection sheet. Results: Maximum number of cases of change of voice were due to carcinoma larynx (37.93%), then chronic laryngitis (20.99%), followed by vocal cord nodules (19.54%) and vocal cord polyps (8.05%.). Laryngopharyngeal reflux was found in 45.95% patients of chronic laryngitis. Males were affected more than females (1.81:1). Most of the patients were in the age group of 21 to 50 years. Peak incidence was in the 4th decade. Labourers/ daily wage earners formed the predominant group. Majority of patients were from low socioeconomic class. Smoking, vocal abuse, smoking and infections were the common predisposing factors. Conclusion: Hoarseness of voice is just a symptom with a very diverse etiology. The etiological data varies in different geographical location and from one center to other, so every case should be carefully and thoroughly evaluated to know the diagnosis and underlying pathology for early and prompt management. J Dhaka Medical College, Vol. 29, No.2, October, 2020, Page 116-125

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