scholarly journals Decreased Morbidity and Mortality from Intestinal Ascariasis: Experience of a Single Center

2014 ◽  
Vol 2 (2) ◽  
pp. 73-78
Author(s):  
Md. Akbar Hossain Bhuyian ◽  
Md. Abdullah Al Farooq ◽  
Md. Minhajuddin Sajid ◽  
MA Mushfiqur Rahman ◽  
Md. Momtazul Hoque ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Surgical Complication ◽  
Morbidity And Mortality ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Biliary Ascariasis ◽  
Open Surgical Procedure ◽  
Age Range ◽  
Male To Female

Background: Ascariasis is a common gastrointestinal infestation worldwide. It affects more children who live in poor hygenic condition. Pediatric surgeons are supposed to manage related surgical complications of ascariasis.Objective: To evaluate the recent pattern of occurrence of intestinal and biliary ascariasis with morbidity and mortality related to it.Materials and Methods:Study design: Retrospective study.Period of study: Study was conducted between Jan 2006 - Dec 2011 (total 06 years).Place of study: This study was carried out in the department of Pediatric Surgery, Chittagong Medical College Hospital (CMCH), Chittagong; Bangladesh.Study Subjects: Patients admitted and diagnosed as intestinal (1591) and biliary (181) ascariasis in the department of Pediatric surgery, CMCH were evaluated.Results: A total of 1772 patients were admitted with surgical complication of ascariasis. Among them 1591 (89.78%) patients were diagnosed as intestinal ascariasis and 181 (10.22%) patients as biliary ascariasis. Age range was 6 months to 12 years with mean age of 6 years for intestinal ascariasis. Biliary ascariasis presented between 3 years to 12 years with mean age of 7 years. Male (1060) suffered more than female (531). Male to female ratio was 2:1 for intestinal ascariasis while females (120)  suffered more than male(61) in biliary ascariasis ( ratio 2: 1). Total 231 surgery both elective and emergencies were done.Discussion: Most of the patients (52-81% ) were treated by endoscopic removal of worm from common bile duct. Some patients (15 - 31 %) were treated successfully by conserevative approach. Only a few patients needed open surgical procedure. No patient had died from biliary ascariasis and death from complications of intestinal ascariasis reduced from 20% to 4% over the last 6 years.Conclusion: There has been a reduced number of disease burden over the last few years from ascariatic and biliary ascariasis.DOI: http://dx.doi.org/10.3329/jpsb.v2i2.19551

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 Congenital Anomalies Presenting as Head-Neck Swellings: A Study of 50 Cases

2020 ◽  
Vol 23 (2) ◽  
pp. 171-179
Author(s):  
Md Zahidul Islam ◽  
Md Abdur Rahman ◽  
Md Sirajul Islam Mahfuz
Keyword(s):  
Dermoid Cyst ◽  
Branchial Arch ◽  
Medical College Hospital ◽  
Sex Distribution ◽  
Thyroglossal Cyst ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Head Neck

Purpose: To analyse the prevalence, distribution and presentation of different congenital head-neck lesions with their age, sex, site and side predilection. Methods: 50 patients of head-neck congenital swelling was selected from january/2013 upto december/2013 in the OPD of otorhino-laryngology, head and neck deptt. of Dhaka medical college hospital under a specific prospective study protocol. Results: The most frequent swelling was thyroglossal cyst(42%), followed by branchial arch anomalies (18%),dermoid cyst(14%),pre-auricular sinus(14%),lymphangioma(8%) and haemangioma(4%).Amongst the cervical swellings the sequential preponderence was thyroglossal cyst(52%),branchial arch anomalies(23%),dermoid cyst(13%), lymphangioma(10%) and haemangioma (2%).The majority of branchial arch anomalies(100%) were of second arch. The majority of patients were of first(52%) and second(30%) decade and the male to female ratio for thyroglossal cysts was 1:1.1.The majority of lesions were painless swelling and all were surgically excised. Conclusion: The overall frequency and age-sex distribution of congenital head-neck swellings as well as site, nature and type specific predominance of some of them in OPD of Dhaka medical college hospital are almost similar to international findings. Bangladesh J Otorhinolaryngol; October 2017; 23(2): 171-179

scholarly journals Intranasal Splint in Nasal Septal Surgery: Is It Necessary?

2020 ◽  
Vol 32 (2) ◽  
pp. 126-129
Author(s):  
Jahangir Alam Mazumder ◽  
Md Golam Mustafa ◽  
AHM Delwar ◽  
Shazibur Rashid ◽  
Md Mostafizur Rahaman ◽  
...  
Keyword(s):  
Complete Healing ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Septal Surgery ◽  
Significant Difference ◽  
Group A ◽  
Medicine Today ◽  
Group B ◽  
Male To Female

Introduction: After SMR/septoplasty with or without turbinate surgery, it needs to keep apart the septum and turbinates upto their complete healing otherwise there is a chance of adhesion (synechia) formation. To prevent this there are variousprocedures. To place an intranasal splint in one or both sides of the septum is one of them. Nowadays there raised thequestion of whether the splinting is necessary or not. There is no significant difference in result with or without anintranasal splint. Weighing against the co-morbidities the routine use of an intranasal splint can no longer be justified. Materials and Methods: This is a randomized control study of 200 patients of SMR/septoplasty, done for nasal septaldeviation causing symptoms in Cumilla Medical College Hospital in the period of January 2016 to December 2019. Theywere equally divided into two groups, group-A were operated placing an intranasal splint and group-B with no intranasalsplint. They were followed up for 6 weeks to detect any synechia and co-morbidities. Result: The age of our patients wasranged from 13-49 years with a mean age of 22.45 years. The male to female ratio is 1.78:1. Synechia was found in 4% ofthe splinted group and 6 of the nonsplinted groups. Co-morbidities were detected more in the splinted group than that ofnon-splinted. In INS group these were found as follows: pain in the nose, face and head (26%), faint during removal ofnasal splint (6%), nasal obstruction (38%), the anxiety of splint removal in the postoperative period (35%) and vestibulitisdue to persistent irritation by a splint (17%). Conclusion: There is little significant advantage of using intranasal splintroutinely in septal surgery to prevent synechia formation. Medicine Today 2020 Vol.32(2): 126-129

scholarly journals Study of Abdominal Injury: An Analysis of 50 Cases

1970 ◽  
Vol 17 (2) ◽  
pp. 84-88 ◽  
Author(s):  
MAB Siddique ◽  
MK Rahman ◽  
ABMA Hannan
Keyword(s):  
Road Traffic ◽  
Penetrating Injury ◽  
Abdominal Injury ◽  
Blunt Injury ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Clinical Presentations ◽  
Stab Injuries ◽  
Age Range

Abdominal injury is an important aspect of trauma because of difficulty in diagnosis and its lethal potential if not properly treated. Fifty cases of abdominal injury admitted in the surgical wards of Rajshahi Medical College Hospital over 2 years have been studied here. All the patients underwent laparotomy for their management. The age range of the patient was 14 to 70 years and most commonly involved age group was 21 to 30 years. Male to female ratio was 15.6:1. The incidence of penetrating injury predominated (64%) over non-penetrating injury and majority had stab injuries. Road traffic accident predominated in blunt injury. Small gut injury outnumbered all other injuries in both groups. Abdominal pain was the most frequent symptom. Most of the patient arrived in the hospital within 24 hours. Considering clinical presentations and results of investigations, decision for laparotomy was taken with prior resuscitation.   doi: 10.3329/taj.v17i2.3452 TAJ 2004; 17(2): 84-88

scholarly journals Diaphragmatic Hernia with Atypical Presentation - A Case Series

2014 ◽  
Vol 32 (1) ◽  
pp. 45-50
Author(s):  
SMA Shahid ◽  
MN Ali ◽  
M Ahmed ◽  
SS Islam ◽  
SB Hossain
Keyword(s):  
Diaphragmatic Hernia ◽  
Case Series ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Chest X Ray ◽  
The Mean ◽  
Challenging Situation ◽  
Male To Female ◽  
Diaphragmatic Hernias

Congenital Diaphragmatic Hernia is one of the most challenging diagnosis faced by pediatric surgeons. From the time of its first anatomic description more than 300 years ago, CDH has carried a high mortality rate. We aimed to review patients who presented with hernia of diaphragm during the last six months. In this retrospective study, the medical records of three patients treated for diaphragmatic hernias who were admitted to Rajshahi Medical College Hospital between July 2012 and December 2012 were analyzed. Three patients with age of 45 days to 7 years were included in the study. Male to female ratio was 1:2. All patients had left-sided diaphragmatic hernia. Chest X-ray was obtained from all patients which was diagnostic. One patient needed thoracotomy incision. No patient required mesh repair. The mean hospitalization time was 14 days. There was no postoperative death. Diaphragmatic hernia is an uncommon and challenging situation for the surgeon. Prompt diagnosis and treatment prevent serious morbidity and mortality associated with complications such as gangrene and perforation of herniated organ. DOI: http://dx.doi.org/10.3329/jbcps.v32i1.21050 J Bangladesh Coll Phys Surg 2014; 32: 45-50

scholarly journals Outcome of External Dacryocysto-Rhinostomy (DCR) Operation Without Silicone Tube Intubation

2018 ◽  
Vol 9 (2) ◽  
pp. 121-123
Author(s):  
Md Anwar Hossain Khan ◽  
AHM Zahirul Islam Biswas ◽  
Md Mosharraf Hossain
Keyword(s):  
Lateral Wall ◽  
Nasolacrimal Duct ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
Chronic Dacryocystitis ◽  
Silicon Tube ◽  
Common Canaliculus ◽  
Silicone Tube Intubation ◽  
Male To Female

Background: Dacryocysto-rhinostomy (DCR) is a bypass surgery in which an anastomosis is made between the medial wall of the lacrimal sac & the lateral wall of the nasal mucosa by cutting the intervening bone at the level of middle meatus to restore the flow of tears when the obstruction is beyond the common canaliculus. The aim of this study was to evaluate the surgical intervention of conventional external DCR without silicon tube intubation.Methods: This study was conducted at Jahurul Islam Medical College Hospital, Kishoregonj, from July 2016 to January 2018. Fifty cases with chronic dacryocystitis were selected for the study. The operation was done under local anaesthesia. The patients were followed up for 3 months.Result: The mean age of the patient at the time of surgery was 40.9±13.1 years ranged from 16 to 65 years. Male to female ratio was 1:2.1. There were three patients with reactionary haemorrhage, one wound infection, two with wound gap, one epicanthal fold and one granuloma formation. There were no failed DCR in this series.Conclusion: Conventional DCR is the most common oculoplastic surgery performed for managing epiphora due to nasolacrimal duct obstruction.Anwer Khan Modern Medical College Journal Vol. 9, No. 2: Jul 2018, P 121-123

scholarly journals Mode of Presentation of Liver Cirrhosis: A Study in a Tertiary Level Hospital

2021 ◽  
Vol 16 (1) ◽  
pp. 39-41
Author(s):  
Mohammad Iqbal Hossain ◽  
Md Aynul Islam ◽  
MM Bodiuzzaman ◽  
Md Shahidul Islam Talukder ◽  
MM Shahin Ul Islam ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Case Fatality ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Peripheral Edema ◽  
Medical College ◽  
Clinical Presentations ◽  
Male To Female

Liver cirrhosis is an important cause of death and disability globally. This cross-sectional study was carried out in Faridpur Medical College Hospital from November 2018 to April 2019 to see the patterns of clinical presentations and associated factors among admitted liver cirrhosis patients. A total of 89 patients were included. Data were collected by detailed history from patients or their relatives followed by thorough physical examination as well as diagnostic evaluation; then those were checked, verified for consistency and edited for result. Among total respondents, the majority were male (69.7%) with a male to female ratio of 1:0.44. Age of patients ranged between 22-106 years with mean age of 52.33 year. The patients predominantly presented with ascites (49.4%), gastrointestinal bleeding (27%), peripheral edema (24.7%), and encephalopathy (21.3%). The in-hospital case fatality rate was 11.2% and the patients presented with decreased urinary output, peripheral edema and encephalopathy had statistically significant death rate. The results of the study highlighted that the patients with liver cirrhosis mostly present with features of decompensation and there is a statistically significant relation with some of these clinical presentations with in-hospital mortality. Faridpur Med. Coll. J. 2021;16(1):39-41

scholarly journals GLOMERULOSCLEROSIS

2009 ◽  
Vol 16 (04) ◽  
pp. 537-541
Author(s):  
TASNEEM ZAFAR ◽  
ZAFAR IQBAL
Keyword(s):  
Economic Status ◽  
Test Results ◽  
Female Ratio ◽  
Mean Values ◽  
Medical College ◽  
Nephritic Syndrome ◽  
Artery Disease ◽  
Lipids And Lipoproteins ◽  
Age Range ◽  
Male To Female

Objective: Objective is to determine the changes in lipids and lipoproteins in patients with glomerulosclerosis and healthy controls.Place and Duration: Department of Biochemistry, Frontier Medical College, Abbottabad with the collaboration of Nephrology Unit, AyoubMedical Complex, Abbottabad. April, 2006 February 2007. Material and Methods: Study includes 50 subjects out of which 25 adult patients(18 males, 7 females; age range 20-50 years) with glomerulosclerosis were selected from Nephrology Unit of Ayoub Medical Complex,Abbottabad. Apparently, 25 clinically healthy volunteers of similar age, sex, body mass index (BMI), and socio-economic status as that ofpatients, were selected from various areas of Abbottabad, as controls. Serum triacylglycerols, serum total cholesterol, and HDL-cholesterollevels were measured by kit method. LDL-cholesterol was calculated according to the Friedewald formula17. Serum VLDL-cholesterol ascalculated according to the formula proposed by Wilson cited by Delongi18 The results were expressed as mean ± standard error of mean.Statistical analysis was done using student's test. Results: Distribution of 25 patients and 25 controls, according to age is made. Male subjectswith glomerulosclerosis were greater in number than female, with male to female ratio of 1.85:1. Comparison of serum TGs, TC, HDL-c, LDL-c,VLDL-c, and HDL-c, LDL-c ratio. The mean values of TAGs, TC, HDL-c, LDL-c, VLDL-c, and ratio of HDL-c, vs. LDL-c of patients were observedsignificantly high (P<0.001), when compared to controls. In addition significant low values (P<0.001) of HDL-c in patients were also observedwhen compared to healthy controls. Conclusion: It is concluded that the results of this study provide evidence for raised lipids and lipoproteinslevels, which is invariable feature of nephritic syndrome with glomerulosclerosis. It is suggested that the patients with nephriticglomerulosclerosis should be assessed and managed to avoid potential of accelerating the development of coronary artery disease andincreasing risk of renal failure. Hopefully earlier intervention might decrease higher morbidity and mortality.

scholarly journals Association of National Institute Health Stroke Scale (NIHSS) Score on Admission with the Outcome of Acute Ischemic Stroke at Discharge from Hospital

2018 ◽  
Vol 19 (2) ◽  
pp. 91-94
Author(s):  
TM Hasibul Hasan ◽  
Khan Redzwan Habib ◽  
Elham Nuzhat ◽  
Lilian Catherene Gomes ◽  
Mohammad Murad Hossain ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
P Value ◽  
College Hospital ◽  
Female Ratio ◽  
Nihss Score ◽  
Medical College ◽  
Common Risk Factors ◽  
Discharge From Hospital ◽  
Male To Female

Objectives: To determines the association of National Institute of Health Stroke Scale (NIHSS) score on admission with outcome of acute ischemic stroke during discharge from hospital.Materials & Methods: This hospital based observational study was done in medicine department of Dhaka Medical College Hospital involving 50 patients diagnosed as ischemic stroke on admission. The diagnosis of stroke was established by the clinical presentation, neuroimaging (CT scan/ MRI). They were thoroughly examined and assessed with NIHSS score at admission. All data were be collected by using a preformed data sheet and results were presented in standard method after statistical analysis.Results: Most of the patients were elder than 60 years of age and mean age of the patients was 60.34(±16.1) years at onset with a range of 24 to 76 years. Male were 116 (58%) and female were 84 (42%). Male to female ratio was1.4:1. Majority had hypertension (75.8%) followed by physical inactivity (67%), Diabetes (37.4%), smoking (33%), obesity (23.1%), family H/O stroke (20.9%) and dyslipideamia (15.4%). Higher NIHS score was associated with poor outcome (p value <0.05).Conclusion: Among the common risk factors, smoking, hypertension, diabetes and atrial fibrillation are associated with worse outcome at discharge. Similarly, higher NIHSS score at admission and high CCI is also associated with poor outcome.J MEDICINE JUL 2018; 19 (2) : 91-94

Obliterative otosclerosis

1991 ◽  
Vol 105 (11) ◽  
pp. 899-900 ◽  
Author(s):  
R. Raman ◽  
John Mathew ◽  
John Idikula
Keyword(s):  
Age At Onset ◽  
Christian Medical College ◽  
Medical College Hospital ◽  
Time Interval ◽  
College Hospital ◽  
Female Ratio ◽  
Medical College ◽  
The Mean ◽  
Male To Female

AbstractAn analysis of 420 consecutive cases of obliterative otosclerosis seen in the Christian Medical College Hospital, Vellore is presented. The proportion of truly obliterative otosclerosis is 33.09 per cent (139 ears). Our male to female ratio in truly obliterative otosclerosis is 1.48:1, while in the non-obliterative group it was 1.34:1. The mean age at onset in the obliterative group was 19.14 while in the non-oblierative group it was 25.60. This is statistically (P<0.001). The age at presentation was 25.90 in the obliterative group while in non-obliterative group it was 30.86; this is also statistically significant (P<0.001). However the time interval between the age at onset and the age at presentation is not statistically significant.

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