scholarly journals Limitations in Total Laparoscopic Hysterectomy in Bangladesh

2018 ◽  
Vol 10 (1) ◽  
pp. 3-5
Author(s):  
Israt Jahan Ila ◽  
Afroza Ghani ◽  
Jannat Ara Ferdouse ◽  
Asia Khatun ◽  
Sumana Rahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Demographic Data ◽  
Abnormal Uterine Bleeding ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Continuous Training ◽  
College Hospital ◽  
Surgical Risk ◽  
Medical College ◽  
Specialized Centre

Laparoscopic Hysterectomy is achieving great popularity nowadays. Our people are becoming increasingly interested in new advances in this field of surgery. Highly skilled surgical technique, longer operative time and expensive technology are observed to be the factors that impede the advancements in laparoscopic surgery1.Objective: The aim of our study is to analyze the limitations of laparoscopic hysterectomy in our country.Methods: This is a retrospective observational study where we have reviewed demographic data, compliance of the patients, quality of anaesthesia, efficiency of supportive staffs, adequacy of appropriate instruments, continuous training of surgeons and surgical risk factors. Total 80 Total Laparoscopic Hysterectomy (TLH) were done between January’ 2016 to December’2017 in Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka.Result: In this study, we analyzed eighty patients who underwent total laparoscopic hysterectomy for fibroid uterus, adenomyosis, recurrent post-menopausal bleeding, abnormal Uterine bleeding(AUB) etc. We tried to analyze some limitations and challenges which we can overcome. In spite of lack of appropriate instruments, adequate ICU support and repeated training in specialized centre at home and abroad, 87.5% patients recovered well. The aim of our study was to identify the surgical risk factors of the patients and limitations in our theatre environmentJ Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 3-5

scholarly journals Socio-demographic Status & Associated Risk Factors of the Stroke Patient's in a Tertiary Care Hospital of Bangladesh

2013 ◽  
Vol 4 (2) ◽  
pp. 18-22 ◽  
Author(s):  
Mahmudur Rahman Siddiqui ◽  
Quazi Tarikul Islam ◽  
Md. Jabed Iqbal ◽  
Sumaiya Sultana Binte-Mosharraf
Keyword(s):  
Risk Factors ◽  
Acute Stroke ◽  
Low Income ◽  
Demographic Data ◽  
Tertiary Care ◽  
Income Group ◽  
Care Hospital ◽  
Stroke Patients ◽  
College Hospital ◽  
Medical College

Stroke is the most common neurological emergency. A total number of 100 randomly selected, clinically and CT proven acute stroke patients were studied at medicine units of Dhaka Medical College Hospital. Socio-demographic data and major risk factors or co-morbid conditions among acute stroke patient were identified and correlated. Out of 100 patients 29% were in between 51- 60 years age group & 72% were male and 28% were female patients. In this series 24% were illiterate. Of the literate group 39% went to primary school, 20% completed SSC, 8% completed HSC, 5% completed graduation and only 4% completed post-graduation. Majority of the patients were unemployed (22%). Other was businessman (20%), housewife (19%) and cultivator (16%). 63% percentage of the patients from low income group, which was followed by middle income group (33%). Majority 53% patients had Ischaemic stroke, 45% Intracerebral haemorrhage (ICH) and only 2% had Subarachnoid haemorrhage (SAH). 77% of patient had history of hypertension, 22% Diabetes mellitus, 20% Dyslipidaemia, 13% Previous Stroke, 27% Ischaemic heart disease. Out of 77 hypertensive stroke patients 37(48.05%) had haemorrhagic stroke & 40(51.94%) had ischemic stroke. Anwer Khan Modern Medical College Journal Vol. 4, No. 2: July 2013, Pages 18-22 DOI: http://dx.doi.org/10.3329/akmmcj.v4i2.16920

Perioperative outcomes in laparoscopic hysterectomy: identifying surgical risk factors

2015 ◽  
Vol 13 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Kate Maclaran ◽  
Nilesh Agarwal ◽  
Funlayo Odejinmi
Keyword(s):  
Risk Factors ◽  
Laparoscopic Hysterectomy ◽  
Perioperative Outcomes ◽  
Surgical Risk

scholarly journals Risk factor Analysis and Angiographic Profiles in First 228 Cases Undergone Coronary Angiography in Cardiac Cath Lab of Dhaka Medical College Hospital

1970 ◽  
Vol 3 (2) ◽  
pp. 122-125 ◽  
Author(s):  
AEMM Islam ◽  
M Faruque ◽  
AW Chowdhury ◽  
HIR Khan ◽  
MS Haque ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Risk Factor ◽  
Coronary Angiography ◽  
Medical Therapy ◽  
Stable Angina ◽  
College Hospital ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Single Vessel

Background: Coronary artery diseases are one of the major challenges faced by cardiologists. Control of certain risk factors for CAD is associated with decrease in mortality and morbidity from myocardial infarction and unstable angina. So, identification and taking appropriate measures for primary and secondary prevention of such risk factors is, therefore, of great importance. This retrospective study was carried at the newly set up cath lab in Dhaka Medical college. Materials and Methods: Total 228 consecutive case undergone diagnostic coronary angiogram from 10th January 2007 to31st January 2009 out of which 194(80%) were male and 34 (20%) were female. In both sexes most of the patients were between 41 to 60 years of age. Risk factors of the patients were evaluated. Results: In females commonest risk factor was Diabetes (58.8%) followed by dyslipidaemia (35.3%). In males commonest risk factor was hypertension (30.9%) followed by smoking (29.9%) and diabetes (28.3%). In males 44.3% patients presented with acute myocardial infarction followed by stable angina (43.3%); but in females stable angina was the commonest presentation (50.0%) followed by myocardial infarction (38.2%).CAG findings revealed that in males 33.5% had double vessel disease 26.8% followed by single vessel 26.8% and multivessel disease 25.3%. In females normal CAG was found in 35.5% followed by double vessel 23.5%, multivessel 20.6% and single vessel 20.6%. On the basis of CAG findings; in males 41.8% patients were recommended for CABG, followed by PTCA & stenting 26.3% and medical therapy 30.0%; where as in females 55.9% were recommended for medical therapy , followed by CABG 32.4% and PTCA & stenting11.8%. Conclusion: The commonest presentation of CAD was 4th and 5th decades in both sexes. Diabetes and dyslipidaemia were more common in females whereas hypertension and smoking were more common in males. Myocardial infarction and stable angina were most common presentation in both sexes though in males myocardial infarction was more common. In males the angiographic severity of CAD was more and they were more subjected for CABG in comparison to females. Key words: Risk factors; Coronary angiography. DOI: http://dx.doi.org/10.3329/cardio.v3i2.9179 Cardiovasc. J. 2011; 3(2): 122-125

A Cross sectional study to assess the knowledge and attitude of primipara mothers regarding breast feeding, MES medical college hospital at Perinthalmanna

2021 ◽  
pp. 561-564
Author(s):  
Lakshmi K
Keyword(s):  
Breast Feeding ◽  
Positive Attitude ◽  
Demographic Data ◽  
Knowledge Score ◽  
Medical College Hospital ◽  
Attitude Score ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Knowledge And Attitude

Objectives: This study was aimed to assess the knowledge and attitude of primipara mothers regarding breast feeding. Methodology: quantitative non experimental - descriptive research design was adopted. The study was conducted in MES medical college hospital with the sample size of 50 primipara mothers by using non probability- purposive sampling technique. Results: The knowledge score of primipara mothers regarding breast feeding were 4 (8.0%) had inadequate knowledge, 35 (70%) had average knowledge, 11 (22%) had adequate knowledge. The attitude score of the primipara mothers regarding breast feeding reveals that 2 (4.0%) had neutral attitude, 48 (96%) had positive attitude towards breast feeding. Correlation of knowledge and attitude of primipara mothers regarding breast feeding represents that mean knowledge and attitude score of primipara mothers regarding breast feeding was 14.3 and 48.74 respectively. Correlation coefficient(r) value is 0.041, which indicates statistically non significant. find the association between the knowledge and attitude with selected demographic data illutrates that there is a significant association of knowledge score with their type of family (p <0.05) and there is no significant association of knowledge score with the age, education, occupation, religion, residence, age at marriage, sex of the baby, previous knowledge on breast feeding ( p > 0.05). there is no significant association of attitude score with the with demographic data ( p >0.10). conclusion: This study was identified that 70% of the primipara mothers had average knowledge and 96% had positive attitude towards breast feeding. It implies that majority of the primipara mothers was received previous information regarding breast feeding in this study had a major role to enhance the knowledge and attitude of primipara mothers regarding breast feeeding.

scholarly journals To estimate the incidence, etiology and risk factors of wound infections in women who undergoes cesarean section at Kilpauk Medical College Hospital: a prospective study

2017 ◽  
Vol 6 (5) ◽  
pp. 1793
Author(s):  
Jayalakshmi Subramani ◽  
Devika Perumal
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Wound Complications ◽  
Wound Infections ◽  
College Hospital ◽  
Obstructed Labour ◽  
Medical College ◽  
Increased Risk ◽  
Significant Extension ◽  
A Prospective Study

Background: Wound infections following caesarean section (or) gynaecologic surgery is a common complication that accounts for significant extension of hospital stays.Methods: This is a prospective analytical study, conducted in the department of obstetrics and gynaecology, kilpauk medical college, Chennai from Januray 2013 to November 2013. All cases who underwent ceaserean section were included in the study. Analysis was done in the form of percentages and proportions and represented as tables where necessary.Results: A total of 700 cases were analysed. The incidence of wound infections after caesarean section in this study was 8.14%. Study confirms that risk factors like anemia, chorioamnionitis; PROM, obstructed labour, preeclampsia, increased surgical time, increase BMI poses risk for wound complications. Whereas chorioamnionitis (66%) and obstructed labour (66%) showed increased risk for wound complications.Conclusions: Correcting malnutrion, anemia, stabilizing diabetes and eradicating all infection such as urinary tract infection, proper preparation of skin, proper surgeons scrubbing and using proper surgical technique can decrease the risk of postoperative wound infection.

scholarly journals Risk Factors and Morphological Differences of Ruptured Saccular Aneurysm in Different Sites of Anterior Circulation in Patients Presenting with Subarachnoid Haemorrhage

2018 ◽  
Vol 3 (1) ◽  
pp. 21-28
Author(s):  
Reaz Mahmud ◽  
Mansur Habib ◽  
Sharif Uddin Khan ◽  
Asma Khan
Keyword(s):  
Risk Factors ◽  
Subarachnoid Haemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Aneurysm Rupture ◽  
Digital Subtraction ◽  
Anterior Circulation ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: All sites of intracranial aneurysms have always been considered together in most of the studies of risk factors of aneurysm rupture. Therefore, it is not known whether some risk factors predispose to aneurysm rupture at a particular location. Morphologies also vary in accordance to different sites of the aneurysm.Objective: The purpose of the present study was to observe the differences in the risk factors, the size, aspect ratio and size ratio among the anterior circulation aneurysms.Methodology: This hospital based cross-sectional study carried out in the Department of Neurology at Dhaka Medical College Hospital (DMCH), Dhaka during July 2013 to June 2015 for a period of two (02) years. Patients with subarachnoid haemorrhage caused by ruptured anterior circulation saccular aneurysms admitted in the Departments of Neurology, Internal Medicine and Neurosurgery Departments at Dhaka Medical College Hospital (DMCH), Dhaka and the Department of Neurointervention at National Institute of Neurosciences and Hospital, Dhaka were enrolled in this study. Patients’ ≥18 years of age with subarachnoid haemorrhage caused by anterior circulation aneurysm which was confirmed by computed tomogram (CT-scan) and/or CSF study and digital subtraction angiography were included in this study. The risk factors were identified by interviewing the patients and the morphology were measured from the digital subtraction angiogram.Results: A total number of 85 patients with ruptured saccular anterior circulation aneurysm were enrolled in this study. In this study anterior communicating artery aneurysm (ACom) was the most frequent site of aneurysm (42%). The mean age of the patients with ACom aneurysm (51.72 ± 9.26 years) was significantly higher than posterior communicating artery (47.5 ± 8.2 years) aneurysm and middle cerebral artery (MCA) (43.41 ± 8.0 years) aneurysm. Above the age of 50 ACom aneurysm was the most frequent aneurysm (OR 5.5, p<0.05). Among the female Posterior communicating artery (PCom) aneurysm (46.7%) was the most frequent aneurysm and among the male ACom aneurysm (37.5%) was the most frequent aneurysm. Family history was exclusive in MCA aneurysm (3.5%). The mean size of MCA (7.79 ± 0.71 cm) was higher than ACom (6.12 ± 2.7cm) aneurysm and PCom (6.5 ± 2.4 cm) aneurysm and proportion of aneurysm >10 mm was also higher among the middle cerebral artery (35.6%) aneurysms. The size ratio was significantly higher in ACom (3.08±1.23) and MCA (3.04±0.97) aneurysm. ACom (76.4%) and MCA (83.3%) had also more frequent high risk size ratio.Conclusion: In conclusion anterior circulation aneurysms differ in respects of risk factors and morphology.Journal of National Institute of Neurosciences Bangladesh, 2017;3(1): 21-28

scholarly journals Association Between Acute Stroke and Metabolic Syndrome

1970 ◽  
Vol 11 (2) ◽  
pp. 124-127 ◽  
Author(s):  
Md Jabed Iqbal ◽  
Md Mahmudur Rahman Siddiqui ◽  
Quazi Tarikul Islam ◽  
Ahmed Hossain ◽  
Ekramul Mustafa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
National Cholesterol Education Program ◽  
Adult Treatment ◽  
Vascular Risk ◽  
Adult Treatment Panel ◽  
College Hospital ◽  
Medical College ◽  
Study Population ◽  
Definition Of

Objective: Metabolic syndrome is the cluster of vascular risk factors including insulin resistance, elevated bloodpressure, hyperlipidemia, and obesity. Metabolic syndrome is strongly associated with cardiovascular andcerebrovascular disease. The aim of this study is to find out association between stroke and metabolic syndrome inour population.Methods: In this observational study, a total number of fifty randomly selected patients were studied from July2009 to December 2009 at Medicine ward of Dhaka Medical College Hospital. Definition of metabolic syndromewas taken from the guidelines by the National Cholesterol Education Program Adult Treatment Panel III.Results: Among the study population 46% had metabolic syndrome. This study estimated that Ischaemic stroke ismore common among metabolic syndrome patients (65.2%), but patient without metabolic syndrome had morehaemorrhagic stroke (55.6%).Only 12% patient was found obese. With or without metabolic syndrome most of thepatient had elevated TG (64%) and raised blood pressure (64%).Conclusion: Without obesity, metabolic syndrome is an important risk factor for cerebrovascular disease. Majorityof the patients with metabolic syndrome present as ischemic stroke.Keywords: Stroke; Metabolic syndrome; hypertension; fasting blood sugar; hyperlipidaemia.DOI: 10.3329/jom.v11i2.5453J MEDICINE 2010; 11 : 124-127

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