scholarly journals Pattern of diseases in admitted patients in medicine unit 2 - in a rural tertiary medical institute period: January 1, 2010 - December 31, 2010

KYAMC Journal ◽  
2013 ◽  
Vol 2 (2) ◽  
pp. 172-181 ◽  
Author(s):  
AKM Mokhlesuzzaman ◽  
MZ Ali ◽  
MAK Shaikh ◽  
SH Ripon ◽  
MM Uddin ◽  
...  

Existing disease pattern and health seeking behavior in a community should be known to provide need based quality service. The aim of this study was to find out the disease pattern, common diseases, age distribution, sex ratio, seasonal influence, comorbidity etc in admitted patients in Khwaja Yunus Ali Medical College & Hospital (KYAMCH), a rural tertiary care Hospital in Bangladesh. In this retrospective and descriptive study total 550 patients were evaluated in 1 year period who were admitted either from OPD or through Emergency. Most of the diagnoses were made after evaluation according to the organ system involved eg. Gastrointestinal, hepatobiliary & pancreatic (15%); Respiratory (24%); Infective (6.5%); Renal (11%); Neurological (24%); Haematological (2.75%); Endocrine (6.75%); Rheumatological (4%); Psychiatric & Poisoning (6%). Hope we will get a understanding of disease pattern among the admitted patients in a good organized way through this study. Furthermore, it will be possible to calculate the mortality, treatment success, hospital staying, total cost of treatment thus to estimate the disease burden and cost effectiveness as well.DOI: http://dx.doi.org/10.3329/kyamcj.v2i2.13261KYAMC Journal Vol.2(2) January 2012, 172-181

2016 ◽  
Vol 45 (1) ◽  
pp. 40-43
Author(s):  
Eva Rani Nandi ◽  
Fahmida Sharmin Joty ◽  
Bipul Biswas ◽  
Roksana Akter ◽  
Fahmida Monir ◽  
...  

This retrospective study was carried out in Shaheed Suhrawardi Medical College & Hospital (ShSMCH) from January 2013 to December 2013. Total 2160 Gynaecological patients were evaluated in 1 year period, who were admitted either from outpatient department or through emergency. The aim of this study was to observe the gynecological disease pattern, top ten gynecological diseases & organ involvement of female reproductive system. Of all patients, maximum (87%) were of reproductive age group and most of them (66%) came from urban area. Almost 78% patients admitted with uterine pathology. Among total patients 47% had pregnancy related complications, of which 86.5% patients had history of early pregnancy termination either spontaneous or induced, 7% had ectopic pregnancy and 6.5% had molar pregnancy. Of all patients, 98% had benign diseases and 2% were suffering from malignant disorder. Other gynaecological diseases were utero-vaginal prolapse, fibroid uterus, benign ovarian tumour & dysfunctional uterine bleeding.Bangladesh Med J. 2016 Jan; 45 (1): 40-43


2019 ◽  
Vol 18 (1) ◽  
pp. 27-30
Author(s):  
Raushan Akter ◽  
M Jalal Uddin ◽  
Rajat Sankar Roy Biswas

Background : Bangladesh, like many transitional nations, is straddling with the demographic and epidemiological transition. There is a critical need to improve public health in this region. But number of studies & representative data on the prevalence of diseases is inadequate. The objective of this study is to detect type & frequency of diseases among patients attending in medicine outpatient department (OPD) to improve the quality of healthcare. Materials and methods: This observational study was conducted at the outpatient department (OPD) of Chattogram Maa-O-Shishu Hospital Medical College from February to April 2018. Purposive sampling was used. Total 500 patients were included. Details were recorded in a data form and diagnosis was made on the basis of history, physical examination and necessary laboratory investigations. Data were collected and analyzed using the SPSS Version 20. Results : Total 500 patients were evaluated. Majority were female (61.2%). Highest number of patients i.e. 299 (59.4%) belonged to the age group of 16–35 years. Majority 405 (81%) of the patients in our study were from surrounding locality (Urban). The most common diseases was DM affecting 55(11%). HTN was 2nd common disease 51(10.2%). During this study we found gastrointestinal system was the most common affected organ system. Conclusion: Disease pattern study is very important to focus top problems, so that we can prepare ourselves to fight against them. Chatt Maa Shi Hosp Med Coll J; Vol.18 (1); Jan 2019; Page 27-30


Author(s):  
Chandramani Kumar ◽  
Santosh Kumar Soren ◽  
Surendra Singh ◽  
Neelanjali Kumari ◽  
Vidya Sagar ◽  
...  

Background: Rabies is an acute fatal disease of central nervous system, caused by Lyssavirus Type 1. Rabies in dogs is the source of 99% of human infection. Awareness about rabies and health seeking behavior are crucial determinants of rabies control. Present study was done to assess awareness regarding animal bite and health seeking behavior among affected population.Methods: A hospital based cross sectional study was conducted in central emergency department of Rajendra Institute of Medical Sciences, Ranchi, Jharkhand for a period of four months. A semi-structured questionnaire was used for data collection. Sample size was 114 using consecutive sampling method. The participants were interviewed after taking informed consent. Data collected were entered in MS Excel and analyzed using SPSS version 20.Results: A total of 114 subjects participated in the study of which 83 (72.8%) were male and 31 (27.2%) female. Most commonly affected age group found was 21-30 years (35.1%). Majority 101 (88.6%) of them resided in urban areas, and only 79 (69.3%) acquired secondary education and above. Most of the animal bite was caused by dogs 102 (89.5%), unprovoked 79 (69.3%) in nature and most common site involved lower limb 70 (61.4%). Majority 68 (59.6%) of the dog bite wound were of category II. Only 55 (48.2%) of animal bite victims washed their wound with soap and water. Majority 58 (50.9%) of the study participants had no knowledge about consequences of dog bite. Median reporting time to tertiary institute was found to be four hours.Conclusions: There was average level of awareness about rabies among animal bite victims attending RIMS, Ranchi


2019 ◽  
Vol 10 (2) ◽  
pp. 150-158
Author(s):  
Gule Tajkia ◽  
Syed Khairul Amin ◽  
M Ekhlasur Rahman ◽  
Mumtahina Setu ◽  
Kuntal Roy ◽  
...  

Background: The neonatal period is a highly vulnerable time for an infant completing many of the  physiologic adjustments required for life outside the uterus. As a result, there are high rates of morbidity  and mortality. To reduce morbidity and mortality it is essential to know the neonatal disease pattern.  Neonatal disease pattern changes from time to time and place. Analyzing the neonatal admission pattern  helps the policy makers to make the better strategies and health care givers to serve better. Objectives: This study aimed to determine the disease patterns and outcome of patients admitted to the  Neonatal Intensive Care Unit (NICU) of Anwer khan Modern Medical College Hospital, a tertiary care  hospital in Dhaka, between January 2017 to December 2018. Methods: Retrospective data from the medical records of all neonates admitted during the study period  were reviewed and analyzed for age, weight, sex, reason for admission, duration of hospital stay,  diagnosis and final outcome. Results: The total number of neonates admitted during the study period was 262; 164 were male (62.6%), and  98 were female (37.4%). A total of 223 patients (85.12%) wereborn in the hospital while 39 (12.88%) were  born at home. The majority were admitted during the first 48 hours of life (72.2%). A total of 5 patients (2%)  weighed <1000 gm; 53(20.2%) weighed 1000-1500 gm, and 89 (34%) between 1600-2499 gm. Prematurity  and infection were the main reasons for admission (52.7% and 20%, respectively), followed by birth asphyxia  (12%) and neonatal jaundice (6.8%). A total of 206 patients (78.6%) were improved and discharged, 43 left  against medical advice (16.4%), 3 were referred for urgent cardiac intervention (1.1%) and 10 (3.9%) died. Conclusion: Prematurity, neonatal infection and birth asphyxia were the major causes of neonatal  morbidity and mortality. Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 150-158


2016 ◽  
Vol 43 (3) ◽  
pp. 130-133
Author(s):  
Md Shahadat Hossain ◽  
Prasanta Kumar Chakraborty ◽  
Sohely Rahman ◽  
Md Jahidul Islam ◽  
Md Ruhul Amin ◽  
...  

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


Author(s):  
Jyoti . ◽  
Ravishankara Bhat S. ◽  
Madhumitha Srinivasan

<p class="abstract"><strong>Background:</strong> The objectives were to study the bacterial pathogens of ear, nose and throat (ENT), to determine the culture and sensitivity pattern of ENT infections in coastal Karnataka.</p><p class="abstract"><strong>Methods:</strong> A retrospective culture and sensitivity profiling study of 109 samples from September 2018 to September 2019 was done in Department of ENT in KVG Medical College and Hospital.  </p><p class="abstract"><strong>Results:</strong> Among the pure growth, <em>Pseudomonas aeruginosa</em> was isolated in majority of samples (27.77%) followed by <em>Staphylococcus aureus</em> (22.9%). <em>Klebsiella </em>sp<em>.,</em> <em>Acinetobacter </em>sp., <em>Citrobacter</em>, <em>Non enterococcus</em>, <em>Escherichia coli</em>, <em>Proteus </em>sp. and <em>Streptococcus pneumoniae</em> were responsible for remaining samples. Among <em>S. aureus</em> majority was MRSA accounting for 18.51%. <em>P. aeruginosa</em> was most sensitive to amikacin, ceftazidime, meropenem and piperacillin- tazobactam and least sensitive to cotrimoxazole and colistin and most resistant to sparfloxacin, cefaperazone-sulbactam, ceftriaxone-tazobactam and clindamycin. MRSA was most sensitive to gentamicin, amikacin and clindamycin and most resistant to cephalexin, ampicillin and ciprofloxacin. <em>Klebsiella </em>sp<em>.</em> was most sensitive to amikacin and cotrimoxazole and most resistant to sparfloxacin and ceftriaxone<em>. E. coli</em> was most sensitive to gentamicin and cotrimoxazole and most resistant to sparfloxacin.</p><p><strong>Conclusions:</strong> <em>P. aeruginosa, S. aureus</em> and <em>Klebsiella </em>sp<em>. </em>represent majority of culture samples. With ever changing culture &amp; sensitivity pattern and rising antibiotic resistance, a simple step of sending pus samples for the same will help in personalizing the treatment, thereby reducing the disease burden. </p>


KYAMC Journal ◽  
2013 ◽  
Vol 3 (1) ◽  
pp. 220-222
Author(s):  
Mst Atia Sultana ◽  
Monira Akter ◽  
Tahmina Noor ◽  
Mahbub Hossain

The aim of this study was to find out the Gynaecological disease pattern, common diseases, age  distribution , organs involvement of female reproductive system, types of diseases etc. in admitted  patient of Khwaja Yunus Ali Medical College & Hospital (KYAMCH) a rural tertiary hospital in  Bangladesh. In this retrospective & descriptive study total 853 Gynaecological patients were  evaluated in 4 years period, who were admitted either from OPD or through emergency. Most of  the diagnosis were made after evaluation of organ involvement, 53% uterine origin, most are  benign 29%; 40% patient having normal menstrual cycle but suffering from Gynaecological  diseases like chronic cervicitis, lower abdominal pain(PID). Vaginal discharge, urinary tract  infection, ectopic pregnancy, different types of abortion. This study showed that the Gynaecological  disease pattern of Patients admitted in Obs& Gynae department of KYAMCH- a rural tertiary  medical institute.DOI: http://dx.doi.org/10.3329/kyamcj.v3i1.13656 KYAMC Journal Vol. 3, No.-1, June 2012 pp.220-222


Author(s):  
Ishan Arora ◽  
Shairoly Singh ◽  
Shireen Singh

Background: Timely transfusion of blood saves millions of lives, but unsafe transfusion practices puts millions of people at risk of transfusion transmissible infections (TTIs). Blood transfusion carries the risk of transfusion-transmissible infections including human immunodeficiency virus (HIVI&II), hepatitis B virus (HBV), hepatitis C virus (HCV), malaria and syphilis. With every unit of blood there are 1% chances of transfusion associated diseases.Methods: This study was conducted over a period of 3 years (1stJanuary 2015-31st December 2017) at hospital blood bank of Pt. Jawaharlal Nehru Government Medical College, Chamba (H.P). The study was conducted on both voluntary and replacement blood donors who came to our blood bank and voluntary blood donation camps in and around Chamba. Statistical analysis used. Collected data was analyzed using appropriate statistical softwares such as EPI-INFO and MS-Excel.Results: In our study, we observed a total of 2616 donors over a period of 3 years. In the present study, 847 (32.37%) were voluntary donors and 1769 (67.62%) were replacement donors. Out of 2616 blood samples, 8 were HBsAg positive, 1 HCV positive.Conclusions: Our study shows that the number of blood donors is increasing every year. In our study, the seroprevalence of HBsAg was 0.3% and Hep C was 0.03% in total blood donors. The knowledge of current infectious disease pattern and trends in donor population can help in planning of future blood transfusion related health challenges. 


1970 ◽  
Vol 7 (3) ◽  
pp. 137-141
Author(s):  
Muhammad Ashraf Chaudhry ◽  
Aneeqa Shamshad Butt ◽  
Ejaz Ahmad Khan ◽  
Asma Abdul Latif ◽  
Jalil Kamran ◽  
...  

Background: Mental and psychological disorders are responsible for significant morbidity and disability worldwide. Results of World Mental Health Consortium demonstrate that common mental disorders are highly prevalent globally. Only a limited proportion of patients with psychiatric disorders attend the healthcare facilities, in severe condition. Treatment by unqualified medical practitioners and faith healers is a common practice, which significantly delay the proper treatment. Methods: We conducted this survey at the psychiatry OPD at Jinnah Hospital Lahore from March 2015 to May 2015. 1000 study subjects of 14 -70 years of age from both genders were enrolled for this study randomly, who sought psychiatric opinion for first time. Results: One hundred patients were examined, mean age of subjects was 31 years (SD + 15.02), with 53.0% females. More patients (60.0%) were first time recognized by their family members, remaining sought treatment by themselves. As per history 42.4% patients had consulted to Qualified Medical General Practioners, 19.9% to Piers, 12.0% to Religious Clerics and 10.5% to Hakim, Fakir, Malang etc. and only 2.6% consulted to psychotherapist. Conclusion: It is concluded that in our setting psychiatric illnesses are always recognized late and medical practitioners do not bother to obtain consultative opinion from psychotherapist.  


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