scholarly journals Evaluation of molar pregnancy in Rajshahi Medical College Hospital

KYAMC Journal ◽  
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

scholarly journals Clinical Presentation and Management of Hydatidiform Mole in a Peripheral Tertiary Hospital

2013 ◽  
Vol 25 (2) ◽  
pp. 59-64
Author(s):  
Jaglul Haider Khan ◽  
Jannatul Ferdous ◽  
Samiya Alam
Keyword(s):  
Clinical Presentation ◽  
Economic Status ◽  
Hydatidiform Mole ◽  
Tertiary Hospital ◽  
Gestational Trophoblastic Disease ◽  
Molar Pregnancy ◽  
College Hospital ◽  
Medical College ◽  
Abnormal Vaginal Bleeding

This study was conducted in Faridpur Medical College Hospital, Faridpur, from January 2008  to December 2008 among fifty patients, diagnosed as a case of molar pregnancy. Incidenc of  molar pregnancy was 8.27 per thousand pregnancy. Sixty percent of the patients were multiparous  and eighty percent of low socio economic status . B positive blood group was prevalent (36%)  in this study.Sixty percent( 60%) of the patients presented with amenorrhoea and abnormal  vaginal bleeding.. Most of the patients (72%) were treated with suction evacuation and curettage.  Of them hemorrhage was the most common immediate complication (80%). Complication  like shock and perforation during evacuation was 14% and 4% respectively. Three patient  (6%) developed Persistent Gestational Trophoblastic Disease(GTD) and one (2%) patient  developed choriocarcinoma with lung metastasis and died. Thirty two (64%) patients attended  for regular follow up but ten patients (20%) had attended irregularly and eight patients (16%)  had dropped out .This study shows that follow up for molar pregnancy cases is not satisfactory  in a district medical college hospital.Further improvement can be done by increasing awareness  of the patients. DOI: http://dx.doi.org/10.3329/bjog.v25i2.13741 Bangladesh J Obstet Gynaecol, 2010; Vol. 25(2) : 59-64  

scholarly journals Management of congential muscular toticollis under one year of age

2012 ◽  
Vol 1 (2) ◽  
pp. 2-5
Author(s):  
Abdul Matin ◽  
Md Rafiqul Islam ◽  
Ranjit Ranjan Roy ◽  
Bijoy Krishna Das ◽  
Sudesh Chandra Rakshit ◽  
...  
Keyword(s):  
Head And Neck ◽  
Sternocleidomastoid Muscle ◽  
Medical College Hospital ◽  
College Hospital ◽  
Congenital Muscular Torticollis ◽  
Medical College ◽  
One Year ◽  
Neonates And Infants ◽  
Muscular Torticollis ◽  
Postural Deformity

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 cure conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. Here we show our experience regarding management of congenital muscular torticollis with physiotherapy. Patients and Methods: This is an observational descriptive study. Verbal consent from parents was taken. Patients of congenital muscular torticollis with other disease or other congenital anomaly were excluded from study. Twenty patients of congenital muscular torticollis were treated. The cases were enrolled between Nov' 2005 to Oct' 2008 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, ZH Sikder Women's Medical College Hospital, Shaheed Shurawardy Medical College Hospital. Neonates and infants were treated conservatively with physiotherapy and non responsive cases were referred for surgery. Results: Patients age range from 5 days to 1 year of which eleven were females and nine were males. Sternocleidomastoid muscle (SCM) was shortened in all cases (12 on right side and 8 on left side). Of 20 patients 6 neonates, rest 14 infants within 1 year age. Out of 20 neonates and infants 17 were cured conservatively with physiotherapy and rest 3 were referred for surgery. Conclusion: Most of the patient of congenital muscular torticollis can be treated conservatively during infancy. DOI: http://dx.doi.org/10.3329/jssmc.v1i2.12157 Journal of Shaheed Suhrawardy Medical College Vol.1, No.2, December 2009 p.2-5

scholarly journals Hepatic Lobectomy-Case Report of Two Patients, Performed at Chittagong Medical College Hospital

1970 ◽  
Vol 26 (3) ◽  
pp. 153-157
Author(s):  
SM Ashraf Ali ◽  
Md Margub Hussain
Keyword(s):  
Case Report ◽  
Life Experience ◽  
Left Lobe ◽  
Medical College Hospital ◽  
General Surgeon ◽  
College Hospital ◽  
Socioeconomic Condition ◽  
Low Socioeconomic ◽  
Medical College ◽  
Tertiary Center

Lobectomy of liver is indicated for different conditions; mainly malignancy and trauma. Though it is highly specialized operation and preferably be performed in specialized tertiary center, sometime a general surgeon may not be in a position to avoid the surgery due to very low socioeconomic condition or to tackle emergency traumatic condition. Two case report of Lobectomy of liver; right lobectomy for hepatocellular carcinoma, and left lobectomy for left lobe big cyst and multiple stones in it were performed at Chittagong Medical College Hospital utilizing the existing facilities. Both patients recovered uneventfully. Case I expired after two month and fourteen day, Case II leading a pain free cheerful normal life. Experience of management of these two cases of resection of liver is recorded at Chittagong Medical College Hospital. DOI: 10.3329/jbcps.v26i3.4201 J Bangladesh Coll Phys Surg 2008; 26: 153-157

scholarly journals Clinical Pattern of Liver Abscess among the Patients Admitted in Rajshahi Medical College Hospital

2015 ◽  
Vol 26 (2) ◽  
pp. 55-60
Author(s):  
Chanchal Kumar Ghosh ◽  
Fakhrul Alam ◽  
M Mahmuduzzaman ◽  
AKM Shamsul Kabir ◽  
M Saif Uddoula ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Liver Abscess ◽  
Low Socioeconomic Status ◽  
Middle Aged ◽  
College Hospital ◽  
Low Socioeconomic ◽  
Clinical Pattern ◽  
Palm Wine ◽  
Medical College ◽  
History Of

Introduction: Liver abscess is an important clinical problem in tropical regions of the world. Current assessment of liver abscesses should allow for better understanding of the aetiopathogenesis of the disease. This study was conducted to find the clinical pattern and aetiopathogenesis of liver abscess in patients admitted in Rajshahi Medical College Hospital.Methodology: The present cross-sectional study was carried out in the Department of Medicine, Rajshahi Medical College Hospital (RMCH) on consecutive 34 patients of liver abscess admitted between the period of July 2002 and June 2003. Detailed history and clinical examination were performed in all patients. All routine investigations were done. Liver abscess was confirmed by ultrasonography (USG). Aspiration of liver abscess was done under sonographic guidance in the Nuclear Medicine Department of RMCH to diagnose the cause of liver abscess. Aspirated materials were sent for microscopical examination and culture and sensitivity in the Department of Microbiology of the same Institute.Result: The findings showed that early middle-aged population were usually affected by liver abscess followed by middle aged (mean age around 40 years). The patients were predominantly male with males being 16 times more likely to suffer from the disease than the females. Most of the patients belong to low socioeconomic status (82.4%). All patients had fever and malaise. Other common manifestations were loss of appetite, lump in the abdomen, intercostal tenderness, nausea/ vomiting, loss of weight. Less common presentations were diarrhoea (29.4%), jaundice (23.5%), cough (11.8%), chest pain (11.8%) and breathlessness (2.9%). Liver span of the patients measured by ultra-sonogram showed hepatomegaly in all cases. All patients with pyogenic liver abscess and 75% of the patients with amoebic abscess had the history of prolonged intake of fermented palm juice (palm wine). Microscopic examination of the pus/aspirate drawn from the liver revealed trophozoite in 7(20.6%) cases. However, on culture of the specimen, 12(35.3%) were culture positive and 22(64.7%) were culture negative.Conclusion: Middle-aged male with low socioeconomic status with the history of prolonged palm wine intake are the most common characteristic of patients with liver abscess. Multi-center study with large sample size is recommended to verify the findings of the present study.Bangladesh J Medicine Jul 2015; 26 (2) : 55-60

scholarly journals A PROSPECTIVE STUDY ON CLINICOEPIDEMIOLOGICAL PROFILE OF MOLAR PREGNANCY IN A TERTIARY CARE HOSPITAL

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Ajit Kumar Nayak ◽  
Dr. Sumitra Hota ◽  
Dr. Maya Padhi ◽  
, Dr. Manju Kumari Jain
Keyword(s):  
Low Socioeconomic Status ◽  
Hydatidiform Mole ◽  
Tertiary Care ◽  
Single Agent ◽  
Gestational Trophoblastic Disease ◽  
Care Hospital ◽  
Molar Pregnancy ◽  
Medical College ◽  
Trophoblastic Disease ◽  
Common Time

Introduction: Gestational trophoblastic diseases (GTD) refers to a spectrum of pregnancy related trophoblastic abnormalities. The objective of this study was to determine the incidence of molar pregnancies in SCB Medical College & Hospital along with the demographics and risk factors associated and to evaluate its management and outcome.  Methods: The study was a prospective epidemiological study which includes fifty eight patients with gestational trophobastic diseases treated at the gynecological ward, S.C.B. Medical College & Hospital, Cuttack, Odisha during July 2015 to July 2017. Results: The incidence was 2.85 in 1000 deliveries in the institution. Most of the patients belonged to low socioeconomic status and in the age group of 21 to 30 years. Primigravida were more prone to the disease and no patients had history of molar in prior pregnancies. Most commonly encountered symptom was vaginal bleeding following a period of amenorrhea. Second trimester was the most common time of presentation with mean gestational age around 12 weeks. Out of 57 patients treated with suction and evacuation, 23 patients developed persistent trophoblastic disease who were further managed by methotrexate and folinic acid. Failure rate of single agent chemotherapy was 21.7% which were successfully managed by triple agent chemotherapy [EMA-CO regimen]. Conclusion: Incidence of molar pregnancies in this study was much higher as this hospital is the referral centre for South Eastern Odisha. However, proper reporting and follow up can prevent mortality associated with malignant transformation. Keywords: Beta hCG, Chemotherapy, Gestational trophoblastic disease, Hydatidiform mole, molar pregnancy

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

1970 ◽  
Vol 5 (1) ◽  
pp. 14-16 ◽  
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

scholarly journals Preliminary Report of Encephalitis Surveillance Study in Rajshahi Medical College Hospital

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  

scholarly journals Clinico-Demograhic Profile, Treatment Outline and Clinical Outcome of 236 Confirmed Hospitalized COVID- 19 Patients: A Multi-Centered Descriptive Study in Dhaka, Bangladesh

2020 ◽  
Vol 31 (2) ◽  
pp. 52-57
Author(s):  
Quazi Tarikul Islam ◽  
HT Hossain ◽  
FR Fahim ◽  
Mu Rashid
Keyword(s):  
Clinical Outcome ◽  
Treatment Protocol ◽  
Descriptive Study ◽  
Medical College Hospital ◽  
College Hospital ◽  
Case Record ◽  
Medical College ◽  
Global Pandemic ◽  
Age Range ◽  
Taste And Smell

Introduction :In Bangladesh, the first confirmed case of COVID1 9 was detectedon 8th March’2020, almost 3 months after the initial outbreak in late December’ 2019 in Wuhan, China.The number of affected cases and deaths both have become exponential during this global pandemic. Clinical data on COVID 19 in Bangladesh is still lacking. The objective of our study was to evaluate clinico-demograhic Profile, treatment Outline & clinical outcome within a defined period among COVID-19 Bangladeshi Patients. Methods: We conducted a retrospective multicenter descriptive study on epidemiological & clinical profile along with treatment outcomes of 236 Rt-PCR confirmed patients of COVID 19 from COVID dedicated units of 3 hospitals- Dhaka Medical College Hospital ( DMCH)(n-87), Kuwait Bangladesh Moitry Hospital ( KBMH)(n-50),Popular Medical College Hospital ( PMCH)(n-99) during the period of May to July 2020 with a pre-determined case record form. Results: Among the total 236 patients, highest percentage of patients (26%) belonged to 50-59 years age range, however it was found that no age was immune.Regarding gender distribution, two-third patients were male (65%) & one-third patients were female (35%).The predominant symptoms of our enrolled patients were fever (89%), cough (85%) & dyspnea (76%) ,fatigue (23%), chest pain (23%)& anosmia (19.5%), followed by gastro-intestinal symptoms. Almost half of the patients had been suffering from Hypertension (48%) and Diabetes (47%) Regarding treatment, 100% patients received tromboprophylaxis with low molecular weight Heparin (LMWH)& around 2/3 patients received steroid in different forms following treatment protocol of our national guideline. 20% patients required ICU support & death rate was 4.7%. Around two-third patients could be discharged in < 10 days’ time. Conclusion: Covid-19 in Bangladesh is presented in adult male with fever, cough and dyspnoea predominantly with occasional lack of taste and smell. Supportive care was effective with predominantly good outcome Bangladesh J Medicine July 2020; 31(2) : 52-57

scholarly journals Determinants of Preterm Labour in a Rural Medical College Hospital in Western Maharashtra

2013 ◽  
Vol 8 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Sunil Avachat Shubhada ◽  
SV Kambale ◽  
BD Phalke
Keyword(s):  
Socioeconomic Status ◽  
Rural Area ◽  
Teaching Hospital ◽  
Low Socioeconomic Status ◽  
Preterm Labour ◽  
Previous History ◽  
College Hospital ◽  
Low Socioeconomic ◽  
Medical College ◽  
History Of

Aims: This study was done to estimate the incidence of preterm labour and to study the causes of preterm labour in a teaching hospital. Methods: A cross sectional study was conducted in a medical college hospital in rural area among all patients who delivered during study period. Data was collected by interview technique and analyzed by appropriate statistical methods. Results: Total 2105 deliveries occurred during study period and the incidence of preterm delivery in the study was 15%. Incidence of preterm labour was comparatively more among multigravida (49.5%). Out of 315 preterm labour cases, 234 (74.25%) were from low socioeconomic status. Forty-one percent preterm labors were idiopathic, 17% cases had maternal- fetal complications and 15% cases had recurrent urinary tract infections. Significant association was observed between previous history of preterm labour and current preterm labour after applying Z test. Conclusions: Incidence of preterm labour was 15% among the hospital deliveries in a teaching hospital in rural area. Preterm labour was more common among women of low socioeconomic status, among multigravida and among women having previous history of preterm labour. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 31-33 DOI: http://dx.doi.org/10.3126/njog.v8i1.8858

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