scholarly journals Management outcome of blunt renal trauma in a tertiary level hospital of Bangladesh

Mediscope ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 103-111
Author(s):  
MD Golam Kabir ◽  
Banga Kamal Basu ◽  
Masud Ahmed ◽  
Mahmud Hasan ◽  
Moajjam Hossain ◽  
...  
Keyword(s):  
Management Practices ◽  
Sampling Technique ◽  
Favourable Outcome ◽  
Organ Injury ◽  
Renal Trauma ◽  
Haemodynamic Instability ◽  
Tertiary Level ◽  
College Hospital ◽  
Contrast Enhanced Ct ◽  
Level Hospital

Background: The kidney is the commonly injured genitourinary and abdominal organ. Renal injuries are classified by their mechanism: blunt or penetrating. Failure to perform appropriate evaluation and treatment of these injuries may result in significant long term patient morbidity. Objective: To evaluate blunt renal trauma cases at a tertiary level hospital to find out management practices along with patient outcomes. Methods: This prospective observational study was conducted in the Department of Urology of Dhaka Medical College Hospital during the period of January 2011 to December 2012 to observe the management outcome of blunt kidney injuries. Sampling technique was purposive and sample size was 110. After management of blunt kidney injury by either conservatively or by surgical means, some patients were followed up for 2 years and others for less than 2 years. Results: In this study, 90.1% patients were diagnosed and staged by contrast enhanced CT scan. Most of the early grade injuries (grade I-III) were treated conservatively and outcome in terms of surgical conversion and short term complications were favourable. Few bluntly injured grade IV and V required operative interventions. Overall nephrectomy rate was only 3.6%. Haemodynamic instability, associated organ injury, higher grade injury - all were predictive indicators of operative interventions. The study showed that rates of complications were more in higher grade injury, with concomitant other organ injuries and in patients who required blood transfusion (indicator of hemodynamic instability). Conclusion: Most of the blunt kidney injuries can be managed in conservative way with favourable outcome. Mediscope 2021;8(2): 103-111

scholarly journals Knowledge and Practice of Mother regarding Exclusive Breastfeeding having Infant at a Tertiary Level Hospital, Kathmandu

2015 ◽  
Vol 34 (3) ◽  
pp. 200-206
Author(s):  
TM Adhikari
Keyword(s):  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Sampling Technique ◽  
Educational Status ◽  
Structured Interview ◽  
Tertiary Level ◽  
Exclusive Breast Feeding ◽  
Knowledge And Practice ◽  
Type Of Delivery ◽  
Level Hospital

Introduction: Promotion of exclusive breastfeeding is a cost effective intervention to reduce infant mortality in developing countries. The objective of this study was to identify knowledge and practice of mothers regarding exclusive breastfeeding. Material and Methods: This was a descriptive exploratory study carried out in the immunization clinic of tertiary level hospital in Kathmandu. A total of 323 mothers who came for immunization of six months to one year were selected as the sample for the study by using non-probability purposive sampling technique. Semi - structured interview questionnaire was used to collect the data both on knowledge and practice of exclusive breastfeeding, from 13th July to 8th September 2014. Results: Study findings revealed that 84.5 % of the respondents were aware of the correct meaning of exclusive breastfeeding and 49.5 % of the respondents practiced exclusively breastfeeding to their children up to 6 months. There was statistically significant association of respondent’s level of knowledge regarding exclusive breast feeding with their educational status (p = 0.034, OR = 1.7, 95% CI = 1.03-2.66) and type of delivery (p = 0.005, OR = 1.9, 95% CI = 1.2-3). Likewise, a significant association was seen between respondent’s level of practice regarding EBF and type of delivery (p = 0.005, OR = 1.9, 95% CI = 1.2-3). Conclusion: Study concludes that only about half of the mothers tended to have adequate knowledge regarding exclusive breast feeding. However, practice of exclusive breastfeeding for up to six months tended to be low so there should be efforts on encouraging and counseling for exclusive breast-feeding up to six months in hospital, community and immunization clinic.

scholarly journals Effectiveness of Visual Inspection with Acetic Acid and Pap Smear for Early Detection of Cervical Cancer among Women attending Gynecology O.P.D of Tertiary Level Hospital Gwalior (M.P) India

2021 ◽  
Vol 4 (1) ◽  
pp. 44-50
Author(s):  
Nisha Mehta ◽  
Saroj Singh
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Early Detection ◽  
Visual Inspection ◽  
Pap Smear ◽  
Sampling Technique ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Screening Programs ◽  
Level Hospital

Introduction: Cervical cancer is the fourth most common cause of cancer in women in the world and the second most common cancer among Indian women. About 23% of the global cervical cancer burden is beard by India alone. The screening of cervical cancer is commonly done by a pap smear, visual inspection of acetic acid, human papillomavirus DNA testing etc. These identify precancerous changes which when treated can prevent the development of cancer. The objectives of the study were to screen the patient at Gynecology OPD by visual Inspection with acetic acid (VIA) and Pap smear for early detection of cervical cancer and to evaluate the efficacy of visual inspection with acetic acid and Pap smear in the early detection of cervical cancer. Methods: A descriptive cross-sectional study was conducted among 60 women attending Gynecology O.P.D of a Tertiary Level Hospital, Gwalior (India) by non-probability purposive sampling technique between 1st August to 30th August 2017. Pap smear was taken from each woman followed by VIA. Women with positive VIA and/or positive Pap smear were referred for colposcopy-directed cervical biopsy. Results: After the application of 3% VIA among 60 women, 16 (26.67%) developed acetowhite while 44 (73.33%) didn’t. While the result of Pap smear shows, 22 (36.66%) had an inflammatory smear, 6(10%) shows benign smear, 9(15%) bacterial vaginosis, 1(1.66%) squamous metaplastic cells, 12 (20%) shows adenocarcinoma and 10(16.66%) normal pap smear.  Conclusion: The study concludes that VIA and pap smear were effective methods for the early detection of cervical cancer. Visual inspection of the cervix after acetic acid application (VIA) is widely recommended as the method of choice in cervical cancer screening programs in resource-limited settings and developing countries because of its simplicity, cost-effectiveness and ability to link with immediate treatment.

scholarly journals Hospital Acquired Infections in a Selected Tertiary Level Hospital of Rangpur City

2014 ◽  
Vol 4 (2) ◽  
pp. 49-52 ◽  
Author(s):  
MH Zaman ◽  
S Ferdouse
Keyword(s):  
Average Length ◽  
Cross Sectional Study ◽  
Tertiary Level ◽  
Sectional Study ◽  
Cost Of Treatment ◽  
College Hospital ◽  
Cross Sectional ◽  
Hospital Acquired Infections ◽  
Hospital Acquired ◽  
Level Hospital

Objectives: To find out the proportion, to determine the average length of stay at hospital and to estimate the cost of treatment for hospital-acquired infections in a tertiary level hospital of Rangpur City. Materials and Methods: This descriptive type of cross sectional study was conducted on purposively selected 200 admitted patients in a tertiary level hospital. Among them 100 were HAI patients and 100 were non HAL Data were collected through duly pretested interviewer administered questionnaire and observation checklist. Place and period of study: This study was conducted in Rangpur Medical College Hospital (RpMCH), Rangpur from January to June2011. Results: In this cross sectional study the highest percentage of HAI (42%) belonged to the surgery ward and the lowest percentage (19.%) belonged to medicine ward of the study hospital. According to the type of infections the surgical wound infection was found on the top (23%) and the cannula-associated infection at the bottom (5%) of the list. Respondents of both the polar age groups (<21 years and > 60 years) were found to be equally (27%) affected by HAI. Occurrence of HAI was found higher (57%) among the female respondents than their male (43%) counterparts. Highest number (48%) of HAI and lowest number (14%) of non- HAI patients were found to be visited by maximum number (?5) of visitors. Among the respondents who developed HAI, 42% had to stay at hospital for longest duration (21-25 days) but only 13% of their non- HAI counterparts had to stay for same duration. Among HAI patients 26% had to spend highest amount of money (Tk.20,0011- 25,0001-) but among non- HAI patients only 10% had to spend same amount of money for their treatment purpose. Conclusion: It has been revealed from this study that the occurrence of HAI was found higher among the patients with maximum number of visitors. Average length of hospital stay and cost of treatment of HAI patients were found higher than those of their non-HAI counterparts. DOI: http://dx.doi.org/10.3329/bjdre.v4i2.20247 Bangladesh Journal of Dental Research and Education Vol.4(2) 2014: 49-52

scholarly journals Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 200-202
Author(s):  
Feroz Ahmed Sohel ◽  
Sanzida Jahan ◽  
Saifullah Russel ◽  
Farzana Zafreen
Keyword(s):  
Unplanned Pregnancy ◽  
Economic Status ◽  
Armed Forces ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Medical College ◽  
Number Of Patients ◽  
Level Hospital

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment. Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh. Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications. Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life. Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202

Pattern of Haematological Malignant Patients Attending OPD in a Tertiary Level Hospital in A Calendar Year

2021 ◽  
Vol 5 (01) ◽  
pp. 20-26
Author(s):  
Md. Nurul Farhad ◽  
Gazi Yeasinul Islam ◽  
Mohammad Wasim ◽  
Akhil Ranjon Biswas ◽  
Tanzia Khanum Tompa
Keyword(s):  
Bone Marrow ◽  
Molecular Genetics ◽  
Hematological Malignancy ◽  
Hematologic Malignancies ◽  
Tertiary Level ◽  
Monthly Variation ◽  
College Hospital ◽  
Old Patients ◽  
Medical College ◽  
Level Hospital

Background: Hematologic malignancies are of diverse incidence, prognosis, and etiology. Dhaka medical college hospital (DMCH) is a tertiary level hospital and dealing with patients attending from all over the country. We have analyzed data of patients present with hematological malignancy in our Out Patient Department (OPD). As Hematology Dept DMCH deal with patients referred from all over the country, its OPD data represents the picture of whole country. Methods: This is a retro-spective study of OPD patients with hematological malignancy in the department of Hematology of DMCH from January 2018 to December 2018. The diseases were diagnosed on the basis of bone marrow morphology or histopathology (Lymphoma) and or immunophenotyping & molecular genetics. Results: Total 5747 patients were treated in 2018 with the complaints related to hematological malignancy of which 4599 (80%) were old patients and 1148 (20%) were new patients. Among all the treated patients 1420 (24.7%) were female and 4327 (75.3%) were male. Among 1148 new cases 37 were AL(3%), 386 were ALL (34%), 265 were AML(23%), 32 were CLL (3%), 126 were CML (11%), 40 were HL (3%), 18 were MDS (1%), 76 were MM (7%), 168 were NHL (15%). Data shows variation in total number of new patients per month- 83 in January (7.23%), 96 in February (8.36%), 140 in March (12.20%), 98 in April (8.54%), 94 in May (8.19), 89 in June (7.75%), 98 in July (8.54%), 66 in August (5.75%), 99 in September (8.62%), 103 in October (8.97%), 98 in November (8.54%), 84 in December (7.31%) But it does not show any statistical significant frequencies of diseases according to months. Conclusion: We deal a lot of patients with hematological malignancy each year in DMCH. A good portion of them are of ALL because of monthly maintenance of ALL protocols. Analysis of new cases shows ALL, AML, NHL is most common three diseases encounter in OPD. OPD patients’ inflow does not show any significant monthly variation for any of the diseases.

scholarly journals Determinants of Anemia Among Pregnant Women Attending in a Tertiary Level Hospital, Kathmandu

Med Phoenix ◽  
2017 ◽  
Vol 2 (1) ◽  
pp. 24-33 ◽  
Author(s):  
Sumitra Mulepati ◽  
Tanuja Kumari Chaudhary
Keyword(s):  
Pregnant Women ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Antenatal Clinic ◽  
University Teaching ◽  
Multivariate Logistic Regression Model ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Increased Risk ◽  
Level Hospital

Background: Anemia is a common problem in pregnancy, particularly in developing countries which causes low birth weight and increased risk of maternal and perinatal morbidity and mortality.Methods: A descriptive cross-sectional study was adopted to determine the factors associated with anemia among pregnant Systematic Random Sampling technique was used and sample size was 280 pregnant women who visited the antenatal clinic of the Tribhuwan University Teaching Hospital, Kathmandu. Data was collected by face to face interview technique by pretested questionnaire. Chi-square, bivariate, multivariate logistic regression model was used, and statistical significance was determined with a 95% confidence level.Results: Mean age of respondents was 25.86±4.191 years. Anemia among pregnant women was 22.1%.The significant determinants associated with anemia were pregnant women who had not taken iron regularly (AOR=18.380, 95% CI=3.687-91.624, p=0.005).Conclusion: The results indicate that anemia is still prevalence in pregnant women in tertiary level hospital at Kathmandu. Irregular intake or discontinuation of iron was significant factor for anemia. Therefore, pregnant women and their family members need counseling about the importance of regular intake of iron during pregnancy.Med Phoenix Vol.2(1) July 2017, 24-33

scholarly journals Aggravating Factors of Migraine among the Patients Attending Neuro-Medicine Outpatient Department at Two Selected Tertiary Level Hospital

2018 ◽  
Vol 26 (2) ◽  
pp. 132-134
Author(s):  
Syeda Rumana Hoque ◽  
Md Nazmul Hasan ◽  
Md Abdullahhel Kafee ◽  
Nahiduzzaman Shazzad ◽  
Sanjoy Kumar Saha ◽  
...  
Keyword(s):  
Menstrual Cycle ◽  
Bright Light ◽  
Tertiary Level ◽  
Contraceptive Methods ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Different Types ◽  
Medical University ◽  
Level Hospital

A descriptive cross-sectional type of study was conducted among the migraine patients attending the Neuromedicine department of Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University to find out the aggravating factors of migraine in the year of 2006. Total number of respondents was 160. Among them 70% were female. Majority of the patients (46.25%) were aged between 21-30 years. Significant number of respondents (38.12%) was housewives; followed by 28.75% were student. The main aggravating factors so far identified in this study were sleep disturbance, bright light, noise and mental or physical stress. Other aggravating factors were various types of food, oral pill, relation with menstrual cycle. Respondents also stated more than one factor. Among the female respondents 39.8% practiced different types of contraceptive methods of which majority (82.05%) used OCP.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 132-134

scholarly journals Knowledge Regarding Neonatal Jaundice Management among Mothers: A Descriptive Study Done In a Tertiary Level Hospital of Dhaka City

2017 ◽  
Vol 8 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Sazia Huq ◽  
Sarder Mahmud Hossain ◽  
Syed Mohammad Tanjilul Haque ◽  
Monowar Ahmed Tarafder
Keyword(s):  
Neonatal Jaundice ◽  
Preventive Measures ◽  
Sampling Technique ◽  
Herbal Remedies ◽  
Medical Attention ◽  
Tertiary Level ◽  
Test Model ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Level Hospital

Background: Jaundice is the most common clinical condition in the newborn that requires medical attention. This study was carried out in order to assess the knowledge on neonatal jaundice management among the mothers in a selected tertiary level hospital of Dhaka city.Methodology: It was a descriptive type of cross-sectional study. 150 samples were selected by non randomized purposive sampling technique with the administration of a pretested, modified and semistructured questionnaire by face to face interview.Results: Study found that majority of the respondents (76.7%) was in the age group 17-27 years with mean age 23.78±5.397 years. Majority of the respondents (83.3%) had heard about neonatal jaundice previously and 16.7% did not hear about it. Regarding Knowledge on preventive measures of NNJ (neonatal jaundice) 90.6% respondents had knowledge on "Putting jaundiced baby under direct sun light", 62.7% said "Herbal remedies", 48% indicated "Consult with doctor" and 12% had knowledge on "phototherapy". Another major finding from the study was that 7.3% respondents had excellent level of knowledge regarding NNJ, whereas 40.0%, 34.0% and 18.7% had satisfactory, good and poor level of knowledge respectively. The Chi-square test model showed a significant association between previous knowledge of the respondents on NNJ with level of knowledge among the respondents (p= 0.027) and age of the respondents (p=0.012).Conclusion: Awareness should be created among the expecting mothers about neonatal jaundice and encourage them to take preventive measures to avert neonatal mortality and morbidity.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 121-127

scholarly journals Cardiovascular changes in Smokeless Tobacco Users in a Tertiary Level Hospital

2016 ◽  
Vol 17 (2) ◽  
pp. 61-65
Author(s):  
Nasrin Habib ◽  
Mamunur Rashid ◽  
Tanbira Alam ◽  
SM Niazur Rahman ◽  
Lubna Shirin
Keyword(s):  
Blood Pressure ◽  
Pulse Rate ◽  
Smokeless Tobacco ◽  
Close Association ◽  
Tertiary Level ◽  
College Hospital ◽  
Cardiovascular Parameters ◽  
Cardiovascular Changes ◽  
The Mean ◽  
Level Hospital

Background: Tobacco has close association with cardiovascular parameters such as hypertension and pulse rate. Tobacco can be consumed as cigarette and also as smokeless tobacco. However, the relationship between smokeless tobacco uses on blood pressure remains unknown, especially in tertiary level hospitals.Objective: smokeless tobacco use might have influence on cardiovascular parameters, for instance pulse rate and blood pressure.Methods: This cross-sectional study was carried out to assess cardiovascular changes in among adult male smokeless tobacco (ST) users. For this purpose, 30 male respondents were selected. The participants were selected from medicine out patient department of Dhaka Medical College Hospital. Pulse rate and blood pressure was measured and ST use behaviour was assessed using self-reports. Statistical analysis was done by SPSS17.Results: In this study, the mean (±SD) of pulse rate was 84.07±11.011beat/min. The mean (SD) of systolic blood pressure was 154.50 (SD26.79) mm of and the mean (SD) of diastolic blood pressure was 96.67(SD10.93) mm of Hg in smokeless tobacco users.Conclusion: Mean systolic and diastolic blood pressures were higher in smokeless tobacco users in the tertiary level hospital. However, mean pulse rate was within the normal range.J MEDICINE July 2016; 17 (2) : 61-65

scholarly journals Depression and Its Risk Factors Among Patients with Chronic Obstructive Pulmonary Disease (COPD) in a Tertiary Level Hospital

2017 ◽  
Vol 7 (2) ◽  
pp. 44-48
Author(s):  
Uttam Kumar Barua ◽  
Dilip Kumar Ghosh ◽  
Amar Biswas ◽  
Mukta Nath ◽  
Bipul Kanti Biswas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Systematic Sampling ◽  
Chronic Obstructive ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Copd Patients ◽  
Level Hospital

Background: COPDis accompanied with several co-morbidities among which depression is a major one. The aim of the study is to assess the prevalence of depression and associated risk factors in patients with COPD in a tertiary level hospital of Dhaka city, Bangladesh.Method: This Cross-sectional study was carried out the Department of Respiratory Medicine of ShaheedShurawardy Medical College Hospital from January 2014 to June 2014. 317 COPD patients were selected by systematic sampling. A questionnaire was administered among the respondents to collect the data regarding their socio-demographic conditions followed by Patient Health Questionnaire 9 (PHQ-9) to measure the level of depression.Result: Among the 317 respondents, the mean age was 58.40 and 98.1% were male, 1.9% were female. The proportion of depression among patients with COPD was 81.6% (8 out of 10 COPD patients). Among the all respondents, 23.3% had moderate depression, 14.5% had moderately severe depression, and only 4.7% had severe depression. The risk factors which were found to be involved with the development of depression among COPD patients were stage 2 and stage 3 COPD, onset of COPD ? 40 years of age, literate respondents.Conclusion: The study highlight the importance of routine screening for depression of all COPD patients in all healthcare settings and implementation of strategies for proper management and prevention of depression in those patients.J Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 44-48

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