scholarly journals Electrocardiographic Changes in Different Grades of Hypertensive Patients: Experience of 400 Cases in Bangladesh

2016 ◽  
Vol 14 (1) ◽  
pp. 26-29
Author(s):  
ASM Raushan Newaz ◽  
Syed Quamrul Huda ◽  
Syed Mohammad Monowwar Ali ◽  
Md. Golam Maula ◽  
Md. Saiful Islam
Keyword(s):  
Cross Sectional Study ◽  
Ecg Changes ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Face To Face ◽  
Medical College ◽  
Electrocardiographic Changes ◽  
One Year ◽  
Patients Experience ◽  
Severe Grade

Background: Determination of the electrocardiographic changes among the hypertensive patients can reveal the early cardiac abnormalities. Objectives: The purpose of the present study was to find out the common electrocardiographic (ECG) changes in different grades of hypertensive patients. Methodology: This cross sectional study was conducted among mild to severe grade hypertensive patients attended in the Department of Medicine at Rajshahi Medical College and Hospital, Rajshahi during the period of July 2009 to June 2010 for a period of one year. Data were collected by face to face interview with a pre-designed structured questionnaire. Measurement of the blood pressure and the 12-lead surface electrocardiogram were done among the study group in a resting state. Results: A total number of 400 mild to severe grade hypertensive patients were recruited for this study of which male was 300 cases and female were 100 cases. The age ranges was 30 to 60 years, Among 400 hypertensive patients, abnormal electrocardiographic changes were found in 212(53%) patients. Among the mild, moderate and severe cases, the changes were 38.8%, 65% and 100% respectively. Conclusions: There is an association between hypertension and ECG changes which is more pronounced in severe hypertension.Journal of Science Foundation, January 2016;14(1):26-29

scholarly journals Perception towards Online Classes during COVID-19 among MBBS and BDS Students in a Medical College of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (235) ◽  
Author(s):  
Nitasha Sharma ◽  
Chet Kant Bhusal ◽  
Sandip Subedi ◽  
Rajeshwar Reddy Kasarla
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Online Classes ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Face To Face ◽  
Medical College ◽  
Medical Colleges

Introduction: Sudden outbreak of COVID-19 pandemic has affected the educational system worldwide, forced the medical colleges to close due to lock down, and disrupted the classroom face-to-face teaching process. As a result, medical colleges shifted to an online mode of teaching. The aim of this study is to find out the perception towards online classes during COVID-19 lockdown period among MBBS and BDS students at a medical college of Nepal. Methods: This was a descriptive cross-sectional study carried out at Universal College of Medical Sciences and Teaching Hospital among first and second year Bachelor in Medicine, Bachelor of Surgery and Bachelor in dental surgery students from 1st June 2020 to 30th August 2020. Ethical approval was taken from Institutional Review Committee of Universal College of Medical Sciences and Teaching Hospital (IRC UCMS, Ref: UCMS/IRC/025/20). Convenient sampling method was used. Semi-structured questionnaire was used. Statistical Package for Social Sciences 22 was used for analysis and frequency and percentage was calculated. Results: One hundred fifty six (73.93%) students were enjoying online learning only to some extent, 135 (63.98%) felt online class not equally effective as face-to-face teaching. The students had disturbance during online classes as internet disturbance 168 (79.60%), and electricity problem 47 (22.3%). Similarly, many students 155 (73.50%) felt external disturbance, headache 26 (12.3%), and eye strain 26 (12.3%). Conclusions: Most of the students suffered from disturbances during online classes probably because of internet and electricity problem. When compulsory to conduct online classes, students felt that not more than three online classes per day should be conducted to avoid eye strain and headache.

scholarly journals Assessment of knowledge regarding Nipah virus infection among physicians in a selected tertiary hospital, Rangpur, Bangladesh

2021 ◽  
Vol 8 (12) ◽  
pp. 5771
Author(s):  
Shajeda Azizi ◽  
Khursheda Akhtar ◽  
Shahidullah Azizi ◽  
M. Kariul Islam ◽  
Sajidul Huq ◽  
...  
Keyword(s):  
Nipah Virus ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Good Knowledge ◽  
Severe Illness ◽  
Cross Sectional ◽  
Face To Face ◽  
Medical College ◽  
Level Of Significance ◽  
The Right

Background: Human Nipah virus (NiV) infection is an emerging zoonotic disease caused by the NiV resulting in severe illness in humans. The physicians can represent a lead role in disease prevention if they have the right knowledge regarding disease. This study aimed to state the assessment of knowledge regarding NiV infection among physicians in a selected tertiary hospital, Rangpur, Bangladesh.Methods: A cross-sectional study was conducted among 211 physicians in Rangpur Medical College and Hospital by pretested structured questionnaire, from January 2020 to December 2020, using a convenient sampling method. Data were collected through face-to-face interviews.Results: The majority of the respondents (69%) were within the 21 to 25 years of age group, mean age was 25±2.9 years where 54% of respondents were female. A questionnaire was comprised of 87 questions regarding knowledge on NiV infection. The findings revealed that 19% had good knowledge, 50% had fair and about 31% had poor level of knowledge regarding NiV infection. Among the respondents, 83% mentioned lack of awareness as a barrier regarding the prevention of NiV infection. Inferential statistics were done at a 95% confidence interval and 5% level of significance. Those who were aged between 21 to 25 years had significantly good knowledge than those who were more than 26 years of age (p=0.002).Conclusions: This study concludes that knowledge of the physicians on NiV infection was at a fair or average level. There is a dire need for the routine integration of the awareness and safety precaution practice among the physicians.

scholarly journals Screening of Thyroid Function in the First Half of Pregnancy

2016 ◽  
Vol 29 (1) ◽  
pp. 26-31
Author(s):  
Shaila Naznine Tania ◽  
Ferdousi Islam
Keyword(s):  
Pregnant Women ◽  
Thyroid Function ◽  
Serum Levels ◽  
Cross Sectional Study ◽  
Thyroid Disorder ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
One Year ◽  
Serum Tsh

Objective: The study was conducted to find out any alterations in thyroid function status in first half of pregnancy (up to 20 weeks), with ultimate aim of deciding the usefulness of routine screening of thyroid function in pregnancy.Material and methods: A cross-sectional study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College and Hospital, Dhaka, Bangladesh, over a period of one year from July 2011 to June 2012 on pregnant women in their 1st half of pregnancy to screen for the thyroid function. Based on predefined eligibility criteria, a total of 230 pregnant women were purposively included in the study. Thyroid function status was assessed by measuring serum levels of TSH, free thyroxine (FT4), and free tri-iodothyronine (FT3). Women with thyroid disorders were excluded.Results: The mean age of the patients being 24 years. Over 90% of the women were housewife and majority (88.7%) was educated. Over one-quarter of women was overweight with mean body mass index being 22.1 ± 4.4 kg/m2. The women were predominantly multigravida with 56% in 1st trimester 44% in the 1st half of 2nd trimester of pregnancy (13-20 weeks). Based on trimester’s specific range of serum TSH in the 1st and 1st half of 2nd trimester (13-20 weeks) of pregnancy,13% of the patients were hypothyroid and 3% were hyperthyroid thus yielding a total of 37(16%) pregnant women with abnormal thyroid function status.Conclusion: The study concluded that one in every six women may have thyroid disorder in the first half of pregnancy and subclinical hypothyroidism is four times more common than the subclinical hyperthyroidism.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 26-31

scholarly journals Association of Hypertensive Retinopathy with different serum lipid parameters in patients of Essential Hypertension: A Hospital Based Study

2018 ◽  
Vol 7 (2) ◽  
pp. 50-57
Author(s):  
Bishwa Nath Adhikari ◽  
Pramod Sharma Gautam ◽  
Binod Bekoju ◽  
Sadhana Basnet ◽  
Himlal Bhandari
Keyword(s):  
Essential Hypertension ◽  
Lipid Profile ◽  
Serum Lipid ◽  
Cross Sectional Study ◽  
Serum Lipid Profile ◽  
Hypertensive Retinopathy ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Medical College ◽  
Department Of Ophthalmology

Introduction: Abnormalities in serum lipid and lipoprotein levels are recognized as major modifiable risk factors for cardiovascular disease and essential hypertension and retinopathy. So this study was conducted to evaluate the role of dyslipidemia on development of retinopathy in hypertensive patients and to establish the association of parameters of serum lipid profile with hypertensive retinopathy. Materials and Methods: A cross-sectional study was conducted in Ophthalmology Department among 135 patients in Nobel Medical College and Teaching Hospital (NoMCTH), Biratnagar who were diagnosed with essential hypertension. Patients having diabetes mellitus, myopia, hazy ocular media and other posterior segment disorders were excluded from the study. The detailed ophthalmic examination was carried out in department of ophthalmology, NoMCTH, Biratnagar and all the study population were investigated for fasting serum lipid profile. Result: Out of 135 patients with essential hypertension, 65.44% had retinopathy and remaining had no signs of retinopathy. Mean age of patients were 60.24 (±15.14) years. Although no gender preponderance was found with retinopathy but this study showed that hypertensive retinopathy increases significantly with increase in age and its incidence increases after the age of 60 years. Conclusion: The duration of hypertension was found to be strongly associated with development of hypertensive retinopathy. The increase in all the lipid profile parameters (Serum TG, TC, and LDL and LDL:HDL) and the obesity were found to be strongly associated with retinopathy in hypertensive patients.

scholarly journals Comparison of KAtex, Bone Marrow Aspiration and DAT for the Diagnosis of Visceral Leishmaniasis

2019 ◽  
Vol 6 (1) ◽  
pp. 12-15
Author(s):  
Ishrat Sharmin ◽  
AKM Quamruzzaman ◽  
Rezina Parveen ◽  
M Abdulah Yusuf ◽  
Rashida Akter Khanam
Keyword(s):  
Bone Marrow ◽  
Visceral Leishmaniasis ◽  
Leishmania Donovani ◽  
Bone Marrow Aspiration ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Kala Azar ◽  
History Of ◽  
One Year

Background: Newly developed KAtex test can be used as a non invasive tool for diagnosis of Kala-azar. Objectives: The aim of the present study was to compare KAtex, Bone marrow aspiration and DAT to diagnose VL. Methodology: This cross-sectional study was carried out in the Department of Microbiology at Dhaka Medical College, Dhaka, Bangladesh in collaboration with the Department of Parasitology, Institute of Epidemiology, Disease Control and Research (IEDCR), Dhaka, Bangladesh for a period of one year. Clinically suspected Kala-azar (VL) cases of different age and sex attending IEDCR, Dhaka from different Kala-azar endemic areas of Bangladesh were selected for this study. Patients having fever for more than 2 weeks, with or without splenomegaly, having history of loss of body weight following onset of fever were clinically suspected as Kala-azar cases. Microscopy and culture was performed in bone marrow (BM). KAtex was performed with urine sample. Agglutination of sensitized latex indicated presence of Leishmania donovani antigen in urine and thereby visceral leishmaniasis. No agglutination indicates absence of antigen in urine. DAT was done with serums of all cases. Result: Among 130 clinically suspected VL cases, 70 (53.85%) cases were BM positive and 60(46.15%) cases were BM negative. All the 70 BM positive cases were positive by KAtex and DAT. Among 60 BM negative cases, 15 were positive by KAtex and 23 were positive by DAT. The sensitivity of KAtex was 100.0% and specificity was 75.0%. The sensitivity of DAT was 100.0% and specificity is 61.6%. Conclusion: In conclusion, KAtex test is a good diagnostic tool for the detection of VL in comparison with DAT. Bangladesh Journal of Infectious Diseases, June 2019;6(1):12-15

scholarly journals Leucocytosis in Febrile Seizure

2011 ◽  
Vol 31 (3) ◽  
pp. 188-191
Author(s):  
AR Ojha ◽  
UR Aryal
Keyword(s):  
Febrile Seizure ◽  
Leucocyte Count ◽  
Cross Sectional Study ◽  
Differential Count ◽  
Total Leucocyte Count ◽  
High Count ◽  
Cross Sectional ◽  
Peripheral Blood Leucocyte ◽  
Medical College ◽  
One Year

Introduction: Febrile seizure (FS) is a common condition affecting 2-5% of children. Peripheral blood leucocyte count with its differential is an initial test looking for the cause of fever and high count is usually accounted for the seizure activity. Objectives: To find the incidence of febrile seizure and to evaluate the relationship between fever duration before seizure, seizure duration and the total leucocyte as well as neutrophil response. Methodology: It is a cross sectional study done at Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal, for one year. After an informed consent, children from 6 months to 6 years with FS were admitted. Those with afebrile seizures and who refused to give consent were excluded. A detail history and examination was done on admission. All were investigated for the source of fever including total and differential count. Results: Out of a total 1742 children admitted, 115 (6.6%) children had febrile seizure. Simple febrile seizure was observed in 93(81%) and 22(19%) was complex febrile seizure. 42% of them had leucocytosis. The duration of fever before the onset of seizure is found to be negatively correlated with total leucocyte count (r = -0.418, p<0.001) and neutrophils count alone (r = -0.375, p<0.001). The duration of seizure is not correlated to both the total leucocyte count (r = -0.162, p = 0.85) and the neutrophil (r = -0.109, p= 0.247). Conclusion: The incidence of febrile seizure is 6.6%. Leucocytosis and neutrophilia in children is negatively correlated with the duration fever before the onset of seizure, associated with underlying infection if any and is not related to seizure event and its duration. Thus any child with febrile seizure with high leucocyte count should be evaluated for infection. Key words: Fever; Leucocytosis; Neutrophilia; Seizure DOI: http://dx.doi.org/10.3126/jnps.v31i3.4577 J Nep Paedtr Soc 2011;31(3):188-191   

scholarly journals Study to Determine the Incidence of High HbA1c in Patients with Ischemic Stroke at Bilawal Medical College, Kotri, Sindh, Pakistan

2021 ◽  
pp. 20-24
Author(s):  
Atif Ahmed ◽  
Kuldeep Poorani ◽  
Mohammad Amjad Kalhoro ◽  
Nisar Ahmed Khokar ◽  
Abdul Ghaffar Dars
Keyword(s):  
Ischemic Stroke ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Ischemic Disease ◽  
Medical College ◽  
Cerebral Ischemic ◽  
One Year

Aim: To study the incidence of HbA1c elevation in patients with ischemic stroke whose blood glucose levels were normal within the last six months. Study Design: A cross-sectional study. Place and Duration: This cross-sectional study of the 96 patients with cerebral ischemic disease selected from the internal medicine department of Bilawal medical college Hospital Kotri, Sindh, Pakistan for one-year duration from August 2019 to August 2020. Methods: Crossectional study was conducted in the internal medicinal department of Bilawal Medical college Hospital, Kotri Sindh, Pakistan for the period of one year from August 2019 to August 2020. Total 96 study subjects were selected with cerebral ischemic disease, 62 were males and 34 were females. Many factors such as age more than 20 years, ischemic stroke and RBG (Random Blood Glucose) were also evaluated from each participant. SPSS 23.00 version was used for statistical analysis of research data. Results: 57.01 ± 13.4 years was the mean age of the patients. 62 (64.6%) patients were male and 34 (35.4%) were female. The male to female ratio was 2:1. HbA1c was elevated in 35 (36.5%) of 96 patients, while 61 (63.5%) had normal HbA1c.  The distribution of HbA1c elevation by gender showed that 20 (57.1%) patients with elevated HbA1c were men and 15 (42.9%) were women. Forty-three (70.5%) of 61 patients with normal HbA1c were male and 18 (29.5%) were female. Conclusion: it was concluded that glycated haemoglobin plays an important role for reducing the macro complication of Diabetes and the major macro complication observed was cerebral ischemic stroke among the people with elevated HbA1c.

scholarly journals Clinical Profiles of Hepatocellular Carcinoma Patients: Experience of 50 cases in Dhaka City

2017 ◽  
Vol 14 (2) ◽  
pp. 36-39
Author(s):  
Md. Akter Hossain ◽  
Md. Saiful Islam ◽  
Md. Abdullah Yusuf
Keyword(s):  
Hepatocellular Carcinoma ◽  
Histopathological Examination ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Profiles ◽  
Upper Abdominal ◽  
Medical University ◽  
Patients Experience

Background: The clinical characteristics of hepatocellular carcinoma are varied from person to person.Objectives: The purpose of the present study was to see the clinical profiles of hepatocellular carcinoma patients.Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging in Dhaka Medical College, Dhaka and Banghabandhu Sheikh Mujib Medical University, Dhaka from January 2007 to May 2008 for a period of around one and half year. All the patients presented with hepatocellular carcinoma at the age group of more than 20 years with both sexes were selected as study population. The patients were undergone CT-scan examination and the confirmation was performed by histopathological examination. All the clinical features of HCC patients were recorded.Result: A total number of 50 patients were recruited in this study after fulfilling the inclusion and exclusion criteria. Mean age of my study was 48.78 and SD ± 12.07. Hepatocellular carcinoma commonly presented with hepatomegaly (96%). Upper abdominal pain (60%), weight loss (60%), anorexia (44%), nausea/vomiting (44%), bruit (21%), jaundice (40%) and ascitis (32%) was also present.Conclusion: In conclusion the hepatocellular carcinoma is most commonly occurred in middle age group with a predominance of male.Journal of Science Foundation 2016;14(2):36-39

scholarly journals Epidemiological study of animal bite victims and admission in general surgery department, in Southern Odisha: a cross sectional institutional study

2017 ◽  
Vol 4 (10) ◽  
pp. 3470 ◽  
Author(s):  
Sibaprashad Pattanayak ◽  
Tapan Kumar Malla ◽  
Bipin Kishore Bara ◽  
Manoj Kumar Behera
Keyword(s):  
General Surgery ◽  
Cross Sectional Study ◽  
Human Rabies ◽  
Cross Sectional ◽  
Medicine Department ◽  
Medical College ◽  
Recent Estimate ◽  
Animal Bites ◽  
One Year ◽  
Surgery Department

Background: Human rabies continues to be endemic in India and according to recent estimate 20,000 persons die of this disease every year. Hence this study was conducted to know the prevalence and pattern of animal bites during last one year and to determine the rate of admission in Department of Surgery.Methods: This study was conducted in the casualty, Department of Community Medicine, Department of Surgery at M. K. C. G. Medical College, Odisha, India between 1st April 2016 - March 31st, 2017. It was a cross sectional study, where convenient sampling method was used. The sample size was 6242 subjects, above 1year age group selected randomly within last 1 year. The socio demographic characteristics, epidemiological and rate of admission in surgery department were studied.Results: It was found that during last one year, out of 6242 animal bite cases, majority of them were bitten by dogs 4785 (76.66%). It was found that 5617 (90%) are category III bite, 548 (8.78%) are category II bites, 77 (1.23%) are category I bite. Parts of body bitten by animals were limbs 5828 (93.37%), face 312 (5%), back 52 (0.83%). Out of 6242 cases, 348 (5.5%) cases were admitted in General Surgery Department.Conclusions: The prevalence of dog bite was found to be more and was of category III in nature and part of body affected were mostly limbs. Prevalence of bite was nearly equal among male and female. Around 5% of the total animal bite cases required admission in Department of Surgery.  

scholarly journals A-V Fistula Blood Flow and Complications: A One Year Survey

2014 ◽  
Vol 15 (2) ◽  
pp. 110-113
Author(s):  
Tania Mahbub ◽  
Md. Nizamuddin Chowdhury ◽  
Ferdous Jahan ◽  
Aparna Das ◽  
Md. Motlabur Rahman ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cross Sectional Study ◽  
Visualization Technique ◽  
Colour Doppler ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population ◽  
One Year ◽  
Venous Fistula

Background: Worldwide haemodialysis(HD) is the mostly used method of renal replacement therapy. Arteriovenous fistula use is on rise due to Fistula First Initiative due to least complications of fistulae than catheters.But they are also subjected to many complications. Thereby appropriate surveillance of the fistulae is important.Objectives: To measure the blood flow as well as fistula related complications in study population. Materials and Methods: This was a cross sectional study, conducted in the department of Nephrology, Dhaka Medical College Hospital during September 2010 to December 2011.Total 118 subjects were included in the study. Besides visualization technique colour Doppler ultrasonogram of fistula and  echocardiography were performed for each patients. Results: Most of the patients had adequate fistula flow. Aneurysm was most common complication. Many subjects were suffered from primary and secondary fistula failure. Conclusion: Arterio-Venous fistula is subjected to many complications and appropriate surveillance should be launched to detect complications and to prevent fistula failure.DOI: http://dx.doi.org/10.3329/jom.v15i2.20681 J MEDICINE 2014; 15 : 110-113

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