Management of congential muscular toticollis under one year of age

Background and study aim: Torticollis is the postural deformity of head and neck. Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid muscle (SCM). In neonates and infants, patient may be cured conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. There are various techniques of surgery. Division of both sternal and clavicular head of SCM is very easy method which was practiced in this study. Here we show our experience regarding conservative and surgical management of congenital muscular torticollis in neonates, infants and older children. Patients and Methods: This is a retrospective case study among sixteen patients of congenital muscular torticollis. The cases were enrolled consecutively between Nov 2005 to Oct 2008 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, ZH Sikder Womens Medical College Hospital and different private clinics of Dhaka city of Bangladesh. Neonates and infants of were treated conservatively with physiotherapy by manual stretching and others (more than one year) were treated surgically by transection of both sternal and clavicular head of SCM under ganeral anesthesia. Operated patients were released on following post operative day with advice to start physiotherapy on same day. Acquired torticollis, ocular torticollis, neurogenic torticllis, osteogenic torticollis, congenital muscular torticollis with other diseases were excluded from the study. Parents were the informants. Purpose of the study was explained and verbal consent was taken. Written consent was taken before surgical intervention. Results: Patients age ranged from 5 days to 15 years of which eleven were female and five male. SCM was shortened in all cases (9 on right side and 7 on left side). Of 16 patients, 3 neonates, 8 infants and 5 were more than 1 year of age. There was no associated anomaly. Out of 11 neonates and infants 10 cured conservatively with physiotherapy and another one significantly improved. Six were treated surgically including one failed physiotherapy till the age of one year. Post operative period was uneventful and there was no complication. Results were evaluated clinically and on the comments of parents. Conclusion: Most of the patients of congenital muscular torticollis can be treated conservatively during infancy. Division of both sternal and clavicular head of SCM is easy and safe surgical technique for the treatment of CMT of older children and adolescents. DOI: http://dx.doi.org/10.3329/bjch.v34i3.10359 BJCH 2010; 34(3): 92-98

Download Full-text

Evaluation of molar pregnancy in Rajshahi Medical College Hospital

KYAMC Journal ◽

10.3329/kyamcj.v9i1.36619 ◽

2018 ◽

Vol 9 (1) ◽

pp. 24-27

Author(s):

Mosammat Nargis Shamima ◽

Rubayet Zereen ◽

Mohd Alamgir Hossain ◽

Nargis Zahan ◽

Nurjahan Akter ◽

...

Keyword(s):

Low Socioeconomic Status ◽

Hydatidiform Mole ◽

Treatment Protocol ◽

Medical College Hospital ◽

Molar Pregnancy ◽

College Hospital ◽

Low Socioeconomic ◽

Medical College ◽

One Year ◽

Abnormal Vaginal Bleeding

Background: A molar pregnancy is also known as hydatidiform mole which is a benign tumour that develops in the uterus. It begins when an egg is fertilized but normal viable pregnancy not occurs, rather than the placenta develops into an abnormal mass of cyst. In all cases of molar pregnancy observation is essential to detect the reawakening of chorionic activity.Objectives: The aim of the study was to explore the incidence, clinical presentation, management and outcome of the molar pregnancy in our hospital.Materials & Methods: This prospective study was conducted in Rajshahi Medical College Hospital, Rajshahi, Bangladesh over a period of one year from July 2016 to June 2017. All pregnant women who were diagnosed as molar pregnancy were included in the study.Results: In this study the incidence of molar pregnancy was 5.3 per 1,000 deliveries that was 1 in 188 deliveries. Among the patients 54.7% were between (23 - 27 years) age group, 81.2% cases were multiparous and 58.4% patients belonged to low socioeconomic status. The prevalent blood group was A and constitute 56.6%. About 62.2% patient presented with amenorrhoea and abnormal vaginal bleeding. 45.3% admitted between (12-16) weeks of gestation. Most of the patients 58.4% were managed by suction and evacuation. Among all the cases 92.4% were complete mole and only 16.9% came for follow up.Conclusion: Results from this study showed that a small portion of patient of molar pregnancy came for routine follow up. To achieve high cure rate and low chemotherapy rate an effective registration programme and treatment protocol should be established.KYAMC Journal Vol. 9, No.-1, April 2018, Page 24-27

Download Full-text

Profile of Medico Legal Autopsies at Tezpur Medical College & Hospital, Tezpur, Assam: A One Year Retrospective Study

Medico-Legal Update ◽

10.37506/mlu.v20i4.1846 ◽

2020 ◽

Vol 20 (4) ◽

Keyword(s):

Retrospective Study ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

One Year

Download Full-text

Pattern Of Skin Diseases In Patients Attending OPD Of Dermatology Department At Faridpur Medical College Hospital, Bangladesh

Faridpur Medical College Journal ◽

10.3329/fmcj.v5i1.6807 ◽

1970 ◽

Vol 5 (1) ◽

pp. 14-16 ◽

Cited By ~ 3

Author(s):

SK Sarkar ◽

AKMS Islam ◽

KG Sen ◽

ARS Ahmed

Keyword(s):

Skin Diseases ◽

Fungal Infections ◽

Tertiary Hospital ◽

Medical College Hospital ◽

College Hospital ◽

Dermatology Department ◽

Medical College ◽

Disease Pattern ◽

Laboratory Investigations ◽

One Year

It is generally agreed that the pattern of skin diseases differs in different countries, and within various regions of a country depending on social, economic, racial and environmental factors. Many workers have reported various patterns of skin diseases in different countries. So far, no such report is available in our country for Faridpur region. To fill the lacunae we decided to undertake a retrospective study of the skin disease pattern in this tertiary hospital of Faridpur, Bangladesh. All the newly diagnosed cases attending the OPD of Dermatology and Venereology, Faridpur Medical College Hospital, during the period of one year starting from 1st July 2007 to 30th June, 2008 were included in the study. Diagnosi s was done on clinical grounds and laboratory investigations were done whenever required. Eczema (19.2%), fungal infections (17.26%), scabies (15.16%) and pyodermas (7.59%) were the major skin diseases. STD's accounted for (0.73%) of the cases. Genodermatoses (0.01%) formed the minimal number of cases. Eczema was the commonest group of disorders. Out of the infective skin disorders fungal infections were the commonest group. Genodermatoses formed the least number of cases. Key words: Pattern of skin diseases; Infective skin diseases; Non-infective skin diseases DOI: 10.3329/fmcj.v5i1.6807Faridpur Med. Coll. J. 2010;5(1):14-16

Download Full-text

Preliminary Report of Encephalitis Surveillance Study in Rajshahi Medical College Hospital

TAJ Journal of Teachers Association ◽

10.3329/taj.v17i2.3449 ◽

1970 ◽

Vol 17 (2) ◽

pp. 75-79

Author(s):

Sultana M Hussain ◽

MJ Hossain ◽

ARMS Ekram ◽

ES Gurley ◽

MM Alam ◽

...

Keyword(s):

Japanese Encephalitis ◽

Nipah Virus ◽

Medical College Hospital ◽

Serum Samples ◽

Recent Infection ◽

College Hospital ◽

Medical College ◽

Control And Prevention ◽

One Year

More than 100 different viruses, bacteria, toxins and drugs can cause acute encephalitis. A prospective, hospital-based study to define the causes of encephalitis in Bangladesh began in June 2003. At Rajshahi Medical College Hospital in one year 105 out of 391 suspected encephalitis patients were enrolled. The specimens were collected from these patients and were tested for a variety of pathogens at twelve laboratories at the Centers for Disease Control and Prevention (CDC) in Atlanta and Ft. Collins, USA. Among the first 105 patients enrolled, the median age of the patient was 18 years; 55% were male. Twenty-four percent (n-25) died in hospital or before completing the follow-up. Thirteen out of 105 (12.38%) patients had Japanese encephalitis; three of the encephalitis patients had a positive test result of having recent infection with dengue virus and one had encephalitis due to alpha virus, another patient had encephalitis due to echovirus. Three (2.8%) were polymerase chain reaction (PCR) or culture positive for Streptococcus pneumoniae, and 4 for Mycoplasma pneumoniae. No Nipah virus infection was identified among the first 105 serum samples tested. These data suggest that Japanese encephalitis virus is an emerging cause of encephalitis in northern part of Bangladesh. doi: 10.3329/taj.v17i2.3449 TAJ 2004; 17(2): 75-79

Download Full-text

One year survey of maternal mortality associated with eclampsia in Dhaka Medical College Hospital

Journal of Obstetrics and Gynaecology ◽

10.1080/01443610050009511 ◽

2000 ◽

Vol 20 (3) ◽

pp. 239-241 ◽

Cited By ~ 5

Author(s):

F. Hussain, R. B. Johanson, P. Jones

Keyword(s):

Maternal Mortality ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

One Year

Download Full-text

Primary Causes of Caesarean Section among the Primigravida in Rajshahi Medical College Hospital

TAJ Journal of Teachers Association ◽

10.3329/taj.v31i2.41601 ◽

2019 ◽

Vol 31 (2) ◽

pp. 54-58

Author(s):

Mosammat Nargis Shamima ◽

Mst Rawson Ara Khatun ◽

Rubayet Zereen ◽

Nurjahan Akter ◽

Nargis Zahan ◽

...

Keyword(s):

Caesarean Section ◽

Observational Study ◽

Skilled Birth Attendance ◽

Middle Income Country ◽

Medical College Hospital ◽

College Hospital ◽

Middle Income ◽

Medical College ◽

Birth Attendance ◽

One Year

Background: Bangladesh recently became a middle income country and despite of its relatively low skilled birth attendance (26.5%) nevertheless experience a rise in caesarean section (CS) rate. But now the rate of CS increased almost seven fold from 3.5% in 2004 to 23% in 2016. Objective: To find out the cause and incidence of caesarean section among the primigravid mother in Rajshahi medical college hospital performed in between January 2017 to December 2017. Methods: This prospective type of observational study was performed in Rajshahi Medical College Hospital (RMCH) over a period of one year from January 2017 to December 2017. All primigravida who underwent caesarean section in RMCH were included. Result: During the study period there were 11018 deliveries. Overall CS rate was 40.98%. The rate in primi was 30.70% and last year it was 25.58%. Conclusion: The vast majority of CS was not medically indicated. A number of policies and program had been launched to counteract this increasing rate of CS but virtually there was no impact. TAJ 2018; 31(2): 54-58

Download Full-text

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

Journal of Surgical Sciences ◽

10.3329/jss.v22i2.44075 ◽

2020 ◽

Vol 22 (2) ◽

pp. 110-117

Author(s):

Md Mahmudul Islam ◽

Khondkar AK Azad ◽

Md Aminul Islam ◽

Rivu Raj Chakraborty

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Chest Trauma ◽

Road Traffic ◽

Tube Thoracostomy ◽

Rib Fracture ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

Download Full-text