scholarly journals Incidence of Different Variant of Focal Soft Tissue Rheumatism Patients with Their Socio-demographic Profiles at a Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 16 (1) ◽  
pp. 8-12
Author(s):  
Taslima Hoq Moonmoon ◽  
Jebun Nesa ◽  
Ehsanul Haque Khan ◽  
Jahidul Islam ◽  
Md Ziaul Haque
Keyword(s):  
Soft Tissue ◽  
Tennis Elbow ◽  
Tertiary Care ◽  
Demographic Characteristics ◽  
Care Hospital ◽  
Physical Medicine ◽  
Cross Sectional ◽  
Socioeconomic Condition ◽  
Physical Medicine And Rehabilitation ◽  
Soft Tissue Rheumatism

Background: Focal soft tissue rheumatism occurs in varied incidence with difference socio-demographic group of patients.Objective: The purpose of the present study was to see the incidence of focal soft tissue rheumatism with the socio-demographic characteristics of the patients.Methodology: This descriptive type of cross-sectional study was carried out in the Department of Physical Medicine and Rehabilitation at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2006 to August 2006 for a period of 6(six) months. The patients having focal soft tissue rheumatism were selected from the dept. of Physical medicine and Rehabilitation who were referred from other outpatient department of BSMMU and also from general practitioners outside the hospital. The details of socioeconomic condition and the demographic characteristics were recorded.Result: During the study period a total of 2350 patients were examined. Among them 44 patients presented with different focal soft tissue rheumatism. The incidence of the patients presented with focal soft tissue rheumatism was 1.87%. Among 2350 patients, the incidence of different soft tissue rheumatism cases were Tennis elbow 20(85%), De-Quervain`s disease 12(51%), Trigger fingers 8(34%) and Golfers elbow 4(17%). The most common age group suffering from soft tissue rheumatism was the 31 to 40 years which was 20(46.0%) cases. Housewife was suffering most commonly with focal soft tissue rheumatism which was 14(32.0%) cases.Conclusion: In conclusion focal soft tissue rheumatism occurs most commonly among the young housewife presented with the tennis elbowJournal of Science Foundation 2018;16(1):8-12

scholarly journals Pattern of Musculoskeletal Disorders among Diabetic Patients Attending The Department of Physical Medicine and Rehabilitation in a Tertiary Care Hospital

KYAMC Journal ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 41-43
Author(s):  
Ferdousur Rahman Al Mahmud ◽  
Muhammad Alamgir Mandal ◽  
AKM Masudur Rahman ◽  
Mst Shamina Khatun ◽  
Mohammad Azizur Rahman
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Physical Medicine ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Soft Tissue Rheumatism

Background: Disorders of musculo-skeletal (MSK) system are very common scenario watched in diabetic patients and is a major cause of morbidity, mortality and hospitalization. Objective: The present study to see the pattern of MSK disorders among the Bangladeshi diabetic patients. Materials & Methods: This is a cross-sectional study carried out at the department of Physical Medicine and Rehabilitation in Thengamara Mohila Sabuj Sangha (TMSS) Medical College Hospital, Bogura for the period of one year from February 2019 to January 2020. A total of 450 diabetic patients with MSK disorders were included in this study. Results: A total of 450 patients with MSK disorders were studied. Out of them 208 (46%) were males and 242(54%) were females.31.5% were between the age group of 41-50 years and 28.9% was between 51-60years.Majority were housewives (51.2%) followed by cultivator(16.2%).Degenerative joint diseases were more common (31.4%) than inflammatory arthropathies (19.3%).Lumbar and cervical spondylosis constituted about 31.4% of all disorders& 22.7% presented with OA knee whereas 15.6% presented with rheumatoid arthritis. Conclusion: Degenerative disorders of the MSK system are more common than the inflammatory ones amongst the diabetics.Maximum patients were having OA of knee, lumbar spondylosisand soft tissue rheumatism. KYAMC Journal.2021;12(1): 41-43

scholarly journals Socio-demographic Characteristics of Cataract Patients attended at a Tertiary Care Hospital in Bangladesh

2019 ◽  
Vol 16 (2) ◽  
pp. 45-48
Author(s):  
Shamima Sultana ◽  
AQM Omar Sharif ◽  
Inamur Rahman Choudhury ◽  
MM Ehsanul Haque ◽  
Wahida Begum
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Care Hospital ◽  
Cross Sectional ◽  
Socioeconomic Condition ◽  
Female Ratio ◽  
Data Collection Sheet ◽  
Computer Based ◽  
Cataract Patients

Background: Cataract is the leading cause for avoidable blindness in the world. Objective: The purpose of the present study was to see the socio-demographic characteristics of cataract patients. Methodology: This cross-sectional study was conducted at National Institute of Ophthalmology, Dhaka, Bangladesh from January 1999 to December 2000 for a period of two (02) years. Patients with senile cataract were selected for study. The details socio-demographic characteristics of the study population were collected which were age, sex, occupation. Data were collected on pre-designed data collection sheet, compiled and appropriate statistical analysis was done using computer based software. Result: A total number of 60 cataract patients were recruited for this study. The mean age with the standard deviation was 58.8±6.055 years. The male and female ratio was 1.31:1. Majority were farmer which was 29(48.3%) cases followed by house wife, grocer and office peon which were 26(43.3%) cases, 4(6.7%) cases and 1(1.7%) case respectively. Most of the patients were from poor socio-economic condition which was 34(56.7%) cases. Majority of the patients were illiterate which was 47(78.3%) cases. Conclusion: In conclusion old age male patients coming from poor socioeconomic condition are the most commonly affected by cataract Journal of Science Foundation 2018;16(2):45-48

scholarly journals Adhesive Capsulitis of Shoulder (Frozen Shoulder) among the Diabetic Patients with Rheumatic Complaints

2020 ◽  
Vol 32 (1) ◽  
pp. 67-69
Author(s):  
Kazi Abdulah Al Mamun ◽  
Md Nurullah ◽  
Md Anwar Husain ◽  
Farjana Mansur ◽  
Md Shah Alam
Keyword(s):  
Soft Tissue ◽  
Elderly People ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Diabetic Patients ◽  
Age Group ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Soft Tissue Rheumatism ◽  
Medicine Today

Introduction: Adhesive capsulitis of shoulder is the most common soft tissue rheumatism among the diabetes patients with rheumatic complaints but the etiology is still unknown. To detect the incidence of adhesive capsulitis (frozen shoulder) among diabetic patients with rheumatic complaints. Materials and Methods: All patients having diabetes with rheumatic complaints attended in the department of Physical Medicine and Rehabilitation, BIRDEM and BSMMU, Dhaka during the period June 2003 to November 2003 were included in this study. Results: After discarding unsatisfactory samples, 273 samples were assayed for study. Out of 1665 patients 273 (16.40%) had adhesive capsulitis. Out of 273 patients 145 (53.12%) were female and 141 (51.65%) were housewives and of 206 (75.45%) patients was in age group 41-60 years. Conclusion: The incidence of adhesive capsulits of shoulder among diabetic patients female is more than male. It is found that housewives and elderly people are mostly sufferer with this disease. Medicine Today 2020 Vol.32(1): 67-69

scholarly journals Diseases Pattern in The Department of Physical Medicine & Rehabilitation in A Tertiary Care Hospital

KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Muhammad Alamgir Mandal ◽  
Mohammad Moniruzzaman ◽  
Khurshid Mahmood ◽  
Md Jahidul Islam ◽  
Kazi Shihab Uddin
Keyword(s):  
Cervical Spondylosis ◽  
Tertiary Care ◽  
Frozen Shoulder ◽  
Medical Rehabilitation ◽  
Care Hospital ◽  
Physical Medicine ◽  
Lumbar Spondylosis ◽  
Physical Medicine And Rehabilitation ◽  
Neck Sprain ◽  
Disease Pattern

Background: The field of Physical Medicine and Rehabilitation focuses on the restoration of health and function and reintegration of the patient into the community, Providing services (outdoor & indoor patients) of physical medicine & rehabilitation (PMR) department was started in 2015. Since establishment, department of Physical Medicine is providing services as outdoor basis regularly.Aim & Objectives: The purpose of the study was to observe the disease pattern and demographic characteristics of patients attending the department of Physical Medicine and Rehabilitation in a tertiary care hospital.Methods: This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Khwaja Yunus Ali Medical College Hospital (KYAMCH), Sirajganj for the period of one year from 1st January, 2016 to 31st December, 2016.Results: Total eighteen hundred sixty five (n = 1865) patients were studied, of which 46.21% were male and 53.78% were female. The mean age was 34.64 ± 5.36 years; maximum patients (25.14%) belong to 31-40 years of age. Maximum patients (78%) were come from out of Sirajgonj District specially North Bengal. Regarding disease pattern, 21.60% were PLID, 10.99% stroke, cervical spondylosis 11.15%, lumbar spondylosis 11.52%, frozen shoulder 10.83%, low back pain 9.49%, osteoarthritis 8.25%, facial palsy 0.43% rheumatoid arthritis 5.47%, seronegetavive Spondyloarthopathy 0.26%, GBS 0.10% acute neck sprain/strain 5.68% and others 4.18%.Conclusion: A large scale multi-centered study should be performed in the country. A uniform data system should be constructed for Medical rehabilitation in Bangladesh. Maximum patients were having PLID, Cervical spondylosis, lumbar spondylosis, Stroke & Frozen shoulder.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 33-37

scholarly journals Prescription pattern of patients admitted in the intensive care unit of a tertiary care hospital in Puducherry, India: a cross sectional study

2017 ◽  
Vol 6 (12) ◽  
pp. 2822
Author(s):  
B. Maharani ◽  
A. Lourdu Jafrin ◽  
M. Prakash ◽  
P. Priyadarshini
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Drug Use ◽  
Tertiary Care ◽  
Research Work ◽  
Essential Medicine ◽  
Demographic Characteristics ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescription Pattern

Background: Patients with varied demographic characteristics, admission criteria and heterogeneous group are admitted to medical Intensive Care Unit (ICU) and are usually associated with co-morbid illnesses. Instituting rational pharmacotherapy is the need of the hour for saving the life of critically-ill patients while irrational drug use may be life threatening. Drug use patterns and prescribing behaviour are the essential tools to measure drug use in health care facilities.Methods: A record based, cross-sectional, observational study was done at medical ICU, IGMC and RI, Puducherry after obtaining IEC approval. Systemic random sampling was followed and data was collected for a period of one year. Data were analysed based on demographic characteristics, prescribing pattern and WHO drug use indicators.Results: The data of 151 patients were analysed. Mean age of the patients admitted in ICU was 52.9±17.7 years. Percentage of male patients (57.6) admitted in ICU were more when compared to female patients (42.4). Infective etiology was the most common factor for ICU admission followed by cardiac disorders. Diabetes mellitus and hypertension were the most common co-morbidities. The average length of stay in ICU was 4.11±2.99 days. Duration of stay in ICU ranged from 1-5 days (78.8% patients) to 15-20 days (0.1% patients). On an average 10.6±4.3 drugs were prescribed for each patient. Percentage of drugs prescribed by generic name was 45.8%. Majority of the drugs (87.4%) were from essential medicine list. Antibiotics in the prescription was 13.8% and 44.4% of drugs were administered in parenteral route. The prescription was complete in 145 case sheets (96%). Majority of the patients (68.9%) were discharged with improvement in the condition for which they were admitted.Conclusions: This drug utilization study has highlighted the strengths and shortcomings of the prescription pattern of patients who were admitted in the critical care setup. The information derived from this research work will be transmitted to the stakeholders for implementing the modifications wherever applicable for the betterment of the patient and the community.

scholarly journals Socio-demographic Characteristics and Incidence of CIN of Uterine Cervix among VIA Positive Women attended at a Tertiary Care Hospital in Dhaka City

2020 ◽  
Vol 7 (1) ◽  
pp. 7-11
Author(s):  
Khurshida Samad ◽  
Imtiaz Ahmed ◽  
Touhid Uddin Rupom ◽  
Fouzia Jahan ◽  
Shimul Akter
Keyword(s):  
Cervical Intraepithelial Neoplasia ◽  
Uterine Cervix ◽  
Tertiary Care ◽  
Intraepithelial Neoplasia ◽  
Lower Class ◽  
Demographic Characteristics ◽  
Reproductive Age ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional

Background: Women in different socio-demographic are presented with VIA positivity. Objective: The purpose of the present study was to see the socio-demographic characteristics and incidence of CIN of uterine cervix among of VIA positive women. Methodology: This cross sectional study was conducted in the Department Of Pathology at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period of July 2007 to June 2008 for one (01) year. Patients who were colposcopically positive for cervical intraepithelial neoplasia and early invasive carcinoma or patients who are colposcopically negative but clinically suspicious for cervical neoplasia were included in this study. The clinical history was obtained by taking history with particular attention to age, age at marriage, parity, history of contraceptives, abnormal per vaginal discharge and post coital bleeding. The cervix was examined on naked eye by Cusco’s speculum to see whether it was healthy or not. Then it was examined by the colposcope after applying 3.0 to 5.0% acetic acid and colposcopic findings were collected. VIA positive cases were underwent colposcopy guided LEEP biopsy. Result: A total of 63 patients of different age group were recruited for this study. The mean with SD of age of this study population was 34.6±9.59 years. In this study, 41(65%) cases were diagnosed as cervical intraepithelial neoplasia (CIN). Incidence of CIN-I was 10 cases in age group 20 to 29 years. Most of the cases were in 30 to 39 (18 cases) years age group. Among 20 cases of high grade lesion (CIN-II/III) 9(45%) cases were in lower class, 8(40%) cases were in middle class and 3(15%) cases in upper class. Conclusion: In conclusion majority of the women were middle aged reproductive age group who are mostly in the lower class of socioeconomic class. Journal of Current and Advance Medical Research 2020;7(1): 7-11

scholarly journals Diseases pattern in the department of physical medicine & rehabilitation in a tertiary level hospital

2016 ◽  
Vol 43 (3) ◽  
pp. 130-133
Author(s):  
Md Shahadat Hossain ◽  
Prasanta Kumar Chakraborty ◽  
Sohely Rahman ◽  
Md Jahidul Islam ◽  
Md Ruhul Amin ◽  
...  
Keyword(s):  
Adhesive Capsulitis ◽  
Tertiary Care ◽  
Care Hospital ◽  
Low Back ◽  
Physical Medicine ◽  
College Hospital ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Neck Sprain ◽  
Disease Pattern

This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Dhaka Medical College Hospital (DMCH), Dhaka for the period of one year from 1st January, 2012 to 31st December, 2012. The purpose of the study was to observe the disease pattern and demographic characteristics of patients attending the department of Physical Medicine and Rehabilitation in a tertiary care hospital. Total sixteen thousand two hundred ninety seven (n=16297) patients were studied, of which 48% were male and 52% were female. The mean age was 43.64 ± 5.12 years, maximum patients (27.96%) belong to 41-50 years of age. Maximum patients (51%) were come from Dhaka city and most of the studied patients were housewife (36.73%). Largest disease group was non-specific low back 130 pain (16.42%). Regarding disease pattern, 44.07% of patients rheumatological, 17.25% neurological, 25.11% orthopaedic condition. Among leading diseases, 16.77% were non-specific low back pain, 10.13% osteoarthritis of knee joints, 8.15% stroke, 7.56% lumbar spondylosis, 7.05% cervical spondylosis, 6.43% adhesive Capsulitis, 3.84% neck sprain/strain 3.57% Facial palsy, 3.18% fibromyalgia and 3.12% tennis elbow.Bangladesh Med J. 2014 Sep; 43 (3): 130-133

scholarly journals Associated Disease Profiles among the Patients Presented with Focal Soft Tissue Rheumatism

2018 ◽  
Vol 5 (1) ◽  
pp. 19-22
Author(s):  
Taslima Hoq Moonmoon ◽  
Monjur Ahmed ◽  
Sanjida Parvin ◽  
Hashina Bilkish Banu ◽  
Md Ziaul Haque ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Peptic Ulcer ◽  
Soft Tissue ◽  
Peptic Ulcer Disease ◽  
Physical Medicine ◽  
Ulcer Disease ◽  
Physical Medicine And Rehabilitation ◽  
Associated Diseases ◽  
Soft Tissue Rheumatism ◽  
Medical University

Background: There are several diseases related with the patients suffering from focal soft tissue rheumatism.Objective: The purpose of the present study was to observe the associated diseases among the patients suffering from focal soft tissue rheumatism.Methodology: This descriptive type of cross-sectional study was carried out in the Department of Physical Medicine and Rehabilitation at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2006 to August 2006 for a period of 6(six) months. The patients presented with focal soft tissue rheumatism were selected from the Department of Physical Medicine and Rehabilitation who were referred from other outpatient department of Bangabandhu Sheikh Mujib Medical University, Dhaka and also from general practitioners outside the hospital. The different associated diseases were recorded during the data collection.Result: A total of 44 patients were recruited who were presented with different focal soft tissue rheumatism. The incidence of different soft tissue rheumatism cases were Tennis elbow 20(85.0%), De-Quervain`s disease 12(51.0%), Trigger fingers 8(34.0%) and Golfers elbow 4(17.0%). Diabetes mellitus was found in 8(18.0%) cases. Hypertension was detected in 10(23.0%) cases. Patients presented with hypertension and diabetes mellitus were found in 6(14.0%) cases. Peptic ulcer disease was found in 12(27.0%) cases. However, others diseases were found in 8(18.0%) cases.Conclusion: In conclusion diabetes mellitus, hypertension and peptic ulcer disease are the most common diseases found among the focal soft tissue rheumatism patients.Journal of Current and Advance Medical Research 2018;5(1):19-22

scholarly journals Predictors of Mortality in Necrotizing Soft Tissue Infections in Adults – Experience at A Tertiary Care Hospital in Pakistan

2021 ◽  
Vol 35 (3) ◽  
pp. 24-30
Author(s):  
Haroon Javaid Majid
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Tertiary Care ◽  
Immunosuppressive Treatment ◽  
Care Hospital ◽  
Cross Sectional ◽  
Golden Hour ◽  
Predictors Of Mortality ◽  
Surgical Unit

Introduction: Necrotizing soft tissue infection is a potentially fatal ‘flesh-eating’ disease that requires prompt intervention to save a patient’s life. Identification of parameters that indicate worsening of the disease (predictors of mortality) is an important part in management that guides a surgeon towards rapid surgical treatment. Aims & Objectives: This retrospective study aims to identify factors that are associated with mortality in adults with NSTIs. This study also aims to propose solutions for the better management of these infection to improve surgical outcome and survival. Place and duration of study: OPD & Emergency of Surgical Unit I and II of Shaikh Zayed Hospital, Lahore over a period of 10 years between the years 2010 to 2021. Material & Methods: This is a cross-sectional epidemiological, retrospective study conducted on patients presenting in the Outpatients Department, as well as the Emergency of Surgical Unit I and II. A total of 72 patients meeting the inclusion criteria were enrolled in this study. SPSS version 23 was used for data analysis. Results: Out of 72 patients, 31.94% of patients were receiving some form of immunosuppressive treatment (n=23), out of which 7 patients lost their life (30.43%, p=0.000). There was a preexisting immunosuppressive disease in 48.61% patients (n=35), and in this subset, a total of 10 patients didn’t recover (28.57%, p=0.000). 13 out of 17 patients who died received first debridement after 12 hours from presentation (p=0.021). High mortality was seen in patients who had the presence of shock at hospital admission. Conclusion: Delay in diagnosis and surgical treatment, the presence of shock at admission accompanied by evidence of organ dysfunction, increasing comorbidity index are reasons for the higher mortality seen in these patients of NSTIs. The timing of the first surgery is of the essence thus highlighting the importance of the “Golden Hour” for the Management of NSTIs.

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