scholarly journals Non-viral Microbial Keratitis in a Tertiary Care Hospital in Bangladesh

2021 ◽  
Vol 33 (2) ◽  
pp. 133-137
Author(s):  
Mohammed Selim Reza ◽  
Shamsul Alam Chowdhury ◽  
Paritush Kanti Talukder ◽  
Md Tabibul Islam ◽  
Md Altaf Hossain ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Fusarium Species ◽  
Tertiary Care ◽  
Care Hospital ◽  
Microbial Keratitis ◽  
Penicillium Species ◽  
College Hospital ◽  
Klebsiella Species ◽  
Cross Sectional ◽  
Department Of Ophthalmology

Introduction: Microbial keratitis is a serious ocular infectious disease that can lead to significant visual loss and ophthalmic morbidity. Objectives were to see the profile of non-viral microbial keratitis in a tertiary care hospital in Bangladesh. Materials and Methods: This cross-sectional study was conducted in the Department of Ophthalmology, Sylhet MAG Osmani Medical College Hospital, Sylhet between January 2015 and December 2016. Results: The mean age of the patients was 46.7 ± 16.5 years with male preponderance (54.4%). The most common predisposing factors were trauma (66.7%), and chronic dacryocystitis (25.6%). Fungal growth was more frequent compared to bacterial growth 70 (77.7%) versus 30 (33.3%), p<0.01). Gram positive organisms were Staphylococcus epidermidis (11.1%), Staphylococcus aureus (3.3%); gram negative organisms were Pseudomonas aeruginosa (12.2%), Klebsiella species (3.3%) and Escherichia coli (3.3%). Aspergillus species (71.4%) was the commonest fungus. Others were Penicillium species (7.1%), Fusarium species (8.6%), Mucor (10.0%) and Rhizopus (2.9%). Conclusion: Fungi are more frequent cause of non-viral keratitis. Watering, redness, pain or burning sensation, corneal opacity and dimness of vision are clinical profiles of non-viral microbial keratitis. Medicine Today 2021 Vol.33(2): 133-137

scholarly journals Satisfaction of women with health service provider in outpatient department of Obstetrics and Gynecology at a Tertiary care hospital

2017 ◽  
Vol 6 (2) ◽  
pp. 79-81 ◽  
Author(s):  
Ashia Khatun ◽  
Khairun Nahar ◽  
Mst Nurunnahar Aktar ◽  
Fatema Mahbooba Akter ◽  
Habibur Rahman
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Hospital Environment ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Health Service Provider ◽  
College Hospital ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Medical College

Background: Patient's satisfaction over the health care services is very important issue in Bangladesh.Objective: The purpose of present study was to find out the level of satisfaction of women attending in the OPD of Obstetrics and Gynecology department at a tertiary care hospital in Dhaka.Methodology: This descriptive type of cross sectional study was carried out in the OPD of Obstetrics and Gynecology department at Dhaka Medical College from September 2011 to October 2011 for a period of one month. All the women attending in Obstetrics and Gynecology department in outdoor service at Dhaka Medical College Hospital, Dhaka with the age group of 22 to 40 years were selected as study population. A purposive sampling method was used to collect the data.Results: A total number of 200 cases were taken for this study. Highly satisfied over the services delivered by the doctors was reported in 135 (65.8%) cases and service of nurses was satisfied 111(55.8%) of cases. Satisfactory waiting time (two hours) was 143(7l.9%) of cases and the satisfactory hospital environment was 127 (63.8%) of cases.Conclusion: In conclusion most of the women are satisfied to the treatment delivered by the doctors at the OPD of a tertiary care hospital.J Shaheed Suhrawardy Med Coll, 2014; 6(2):79-81

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals Multimorbidity Patterns Among Hospitalized Geriatric Patients in Medicine Wards of a Tertiary Care Hospital in Dhaka City

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Sumiya Bent Kalam ◽  
Sadia Islam ◽  
Mohammad Abdullah Az Zubayer Khan ◽  
Tanjina Akhter
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College

Background: Elderly people are posing a significant health burden in our country for their multi morbidity as economic growth has increased our life expectancy. Pattern of multi morbidity of this older people varies according to geography, ethnicity, culture and life style. Aim: The aim of this study was to identify the prevalence and pattern of multi morbidity of elderly patients admitted in a tertiary care hospital. Method: 50 random cases of elderly patients aged more than 60 years admitted in medicine and allied wards of Dhaka medical college hospital were observed at this cross-sectional study from January 2017 to June 2017(total 6 months period). Data were reviewed and analyzed using simple frequency and percentage. Protocol was reviewed by institutional ethical board (IRB) of Dhaka medical college hospital. Result: A total number of 50 elderly patients with age ranging from 60 to 95 years were observed with male and female ratio 1.3:1 having multi morbidity among 92.0% patients and female is more affected than male. Hypertension, ischemic heart disease, diabetes mellitus and stroke were found most common diseases as individual. Hypertension and diabetes mellitus was found as the most common multi morbidity pattern followed by hypertension and IHD, stroke & diabetes mellitus. Conclusion: This study sheds light on priority needs of elderly patients in terms of medical facility in tertiary care hospital of Bangladesh. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 56-59

scholarly journals OVERT HYPOTHYROIDISM;

2018 ◽  
Vol 21 (01) ◽  
pp. 075-078
Author(s):  
Ashok Kumar Lohano ◽  
Noor Nabi Siaya ◽  
Adnan Samie
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Overt Hypothyroidism ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Cold Intolerance ◽  
Medical College ◽  
Pedal Edema

Objective: To assess the frequency of common presentations of the overthypothyroidism. Study design: Cross sectional study. Setting: This study was conducted at allOPD’s of peoples’ medical college hospital nawab shah, a tertiary care hospital, from 01-10-2012to 31-03-2013. Material and methods: This study was conducted at all OPDs of Peoples’medical college hospital Nawabshah, a tertiary care hospital, from 01-10-2012 to 31-03-2013.Patients visiting outpatient department (OPD) meeting the inclusion criteria were involved instudy. Inclusive criteria were diagnosed cases of overt hypothyroidism, age 18-60 years and bothgender. Exclusion criteria were age less than 18 years and more than 60 years and pregnantwomen. The collected data was entered and analyzed by using Statistical Package for SocialSciences (SPSS) software, Version 17. Results: Among 126 patients that had hypothyroidism,there were 46 males(36.5%) and 80 females(63.5%). Mean age of patients was 37.60 ± 7.54years. Most of the patients presented with symptoms of cold intolerance (62.7%) dry skin(61.9%), pedal edema (57.1%), weight gain(56.3%) while rest presented with hair loss (20.6%),bradycardia (29.4%) & delayed tendon reflexes (27.8%). Overt hypothyroidism was presented inonly 21 (16.7%) patients. Conclusions: The frequency of Hypothyroidism vary in different areas,and is affected by Socio-demographic, nutritional status, illiteracy level and personal self-care.

scholarly journals Study of Severe Acute Maternal Morbidity (SAMM) in A Tertiary Care Hospital

2018 ◽  
Vol 8 (2) ◽  
pp. 58-62 ◽  
Author(s):  
Raunak Jahan ◽  
Md Shahadat Hossain ◽  
Sultana Afroj Shila ◽  
Lutfa Begum Lipi ◽  
Zobaida Sultana Susan ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Maternal Morbidity ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Near Miss ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Severe Acute Maternal Morbidity

Background : Severe maternal morbidity also known as ‘near miss’ may be a good indicator of the quality and effectiveness of obstetric care, as it may identify priorities in maternal care more rapidly than mortality alone.Objective : The objectives of this study was to observe the pattern of severe acute maternal morbidity (SAMM) and its associated factors in a tertiary care hospital.Study design and setting : This descriptive cross-sectional study was done from August 2011 to February 2012 at Dhaka Medical College Hospital (DMCH), which is a tertiary care hospital in Dhaka city.Methods : A total 100 consecutive cases of SAMM were taken from Obstetrics and Gynaecology department of DMCH. Five factor scoring system was used to identify the SAMM cases from all the severe obstetric morbidity. For each case of SAMM, data was collected on a) Nature of obstetric complication(s) b) Units of blood transfusion c) Presence of organ-system dysfunction/ failure d) ICU admission e) Length of hospital stay.Results : In this study severe acute maternal morbidities occur in a prevalence of 2.68% and ratio of maternal death was 6.43 per 1000 deliveries. The most frequent primary obstetric factors of severe morbidity detected in this sample were post partum hemorrhage (29%), eclampsia (24%) and sepsis (16%). Other causes were ectopic pregnancy (8%), obstructed labour (7%), ante-partum hemorrhage (5%), abortion (4%), ruptured uterus (3%), anesthetic complication (2%) and miss matched blood transfusion (2%).Conclusion : This study suggests that the treatment of SAMM cases may be improved by developing evidence-based protocols for the management of hemorrhage, eclampsia and infection.J Shaheed Suhrawardy Med Coll, December 2016, Vol.8(2); 58-62

scholarly journals Socio-demographic Pictures of Under-Five Malnourished Children in a Tertiary Care Hospital

2018 ◽  
Vol 30 (1) ◽  
pp. 56-60
Author(s):  
Md Belal Uddin ◽  
Shahana Akhter ◽  
Md Sanaul Hoque Mia ◽  
Laila Shamima Sharmin ◽  
Naznin Parvin ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Urban Area ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lower Class ◽  
Education Level ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Malnourished Children

This study was a cross-sectional descriptive type of study, conducted at Pediatrics department of Rajshahi Medical College Hospital from July 2014 to June 2016. A total 382 children were enrolled by purposive sampling among which 219 (57.3%) male, 163 (42.7%) female. The aim of this study was identify demographic as well as social status of malnourished children in tertiary care hospital. In this study the prevalence of underweight 42% (moderate & severe), wasting 34% (moderate & severe), and stunting 24% (moderate & severe) were found. Considering various Socio-demographic characteristics - maternal factors, paternal factors, socioeconomic status, and residential status had significant association with nutritional status of the children. Beside these various risk factors- birth weight, exclusive breast feeding, colostrum feeding, timing of weaning practices, type of complementary feeding and associated morbidities also had significant association with nutritional status of the children. The degree of malnutrition was found to more prevalent in the early age of children. Among the studied children more than half (60.5%) lived in rural area and rest of them lived in urban area (36.6%), semi urban area (2.9%) respectively. Children more than half (53%) were from lower class family. Rest of them was middle class (40.6%) and upper class (6.3%) family. Education level of the majority (59.4%) mother were primary to SSC, (22.5%) were below primary and (18.1%) were HSC and above. Education level of the majority ie.40.6% father were below primary, 39.8% were primary to SSC and 19.6% were HSC and above.TAJ 2017; 30(1): 56-60

scholarly journals Aetiologies of Vaginal Discharge among Women Presented with Cervical Abnormalities: Experiences at a Tertiary Care Hospital

2013 ◽  
Vol 5 (1) ◽  
pp. 31-34
Author(s):  
Dalia Rahman ◽  
Alpana Adhikary ◽  
Sabina Hussein
Keyword(s):  
Vaginal Discharge ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Carcinoma Of Cervix

Background: Vaginal discharge is a common gynaecological problem worldwide. It is a common presentation of different gynaecological diseases. Objective: The aim of the study was to find out the aetiological factors responsible for vaginal discharge among the women presented with cervical pathology. Methodology: This cross sectional study was carried out in patients complaining of vaginal discharge attending at Gynaecology department (GOPD) in Dhaka Medical College Hospital (DMCH), Dhaka from March'2006 to October'2006. Required tests were carried out in the Department of Microbiology and Department of Pathology at Dhaka Medical College, Dhaka. Data were obtained by history taking, physical examination and relevant investigations. Results: Cervical pathology was associated in 64.0% of patients complaining of vaginal discharge. Out of these, most common are cervicitis (48.0%) carcinoma of cervix (8.0%) cervical erosion (4.0%) endocervical polyp (2.0%) and old cervical tear (2.0%). Other associated aetiologies of abnormal vaginal discharge were bacterial vaginosis (12.0%) candidiasis (10.0%) trichomoniasis (10.0%). Conclusion: Vaginal discharge is a manifestation of many cervical pathology including carcinoma. Therefore, proper evaluation is needed in all patients complaining of vaginal discharge before treatment. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16203 J Shaheed Suhrawardy Med Coll, 2013;5(1):31-34

scholarly journals Screening for Neurodevelopmental Impairments among less than 2 Years Old Children in a Tertiary Care Hospital in Dhaka city

2017 ◽  
Vol 1 (2) ◽  
pp. 57-61
Author(s):  
UKM Nazmun Ara ◽  
M Ekhlasur Rahman ◽  
Naila Zaman Khan ◽  
Md Sk Shahid Ullah ◽  
Md. Abdullah Yusuf
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Normal Growth ◽  
Fine Motor ◽  
Care Hospital ◽  
Behavioral Impairment ◽  
College Hospital ◽  
Cross Sectional ◽  
Gross Motor

Background: Neurodevelopmental impairment is an important issue in the context of normal growth of the children.Objective: The purpose of the present study was to find out the magnitude of neurodevelopmental impairments (NDIs) in young children in a tertiary care hospital Methodology: This cross sectional study was conducted in the Department of Paediatrics at Dhaka Medical College Hospital (DMCH) from January 2010 to June 2010 for a period of six months. All children with the age of 0 to 2 years irrespective of sex attended at the study place were selected as study population. Children getting developmental therapy, physiotherapy and anticonvulsant or muscle relaxant were excluded from this study. Development Screening Questionnaire (DSQ) was administered to mothers of children from birth to less than two years of age to assess their child’s neurodevelopment. Then again neurodevelopmental assessment was done using a validated Rapid Neurodevelopmental Assessment (RNDA) method of evaluations of all children with positive screening results. RNDA was administered to identify the type of impairments and grades of severity. Items are arranged under the developmental parameters like gross motor, fine motor, vision, hearing, speech, cognition, behavior, and seizures for all age groups and for the age 0 to 1 month, additional primitive reflexes are examined along with other parameters.Result: Among 234 cases NDIs positive was found in 20(8.5%) cases. Among 20 children 16 (80%) were affected by cognitive impairment, 12 (60%) of each were affected by gross motor and behavioral impairment; 11 (55%) were affected by fine motor, 10(50%) speech, 8(40%) hearing, 7 (35%) visual impairment and 7 (35%) had seizure disorder.Conclusion: In conclusion NDIs are present in the general population of the Bangladesh with a very significant rate of which cognition is the most frequently involved and affected domain.Journal of National Institute of Neurosciences Bangladesh, 2015;1(2): 57-61

scholarly journals Ocular Morbidity among Patients Visiting the Department of Ophthalmology during the Coronavirus Disease 2021 Pandemic at a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (244) ◽  
pp. 1219-1224
Author(s):  
Pradeep Bastola ◽  
Polina Dahal
Keyword(s):  
Confidence Interval ◽  
Binary Data ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
Ocular Morbidity

Introduction: Due to the ongoing coronavirus disease 2021 pandemic and lockdown, eye care services have been compromised globally. The magnitude of ocular diseases across all populations in Nepal are few and far between and rare during this pandemic. This study was aimed to find out the prevalence of ocular morbidity among patients visiting the department of Ophthalmology of a tertiary care hospital during the pandemic. Methods: A descriptive cross-sectional study was conducted among the patients visiting thedepartment of Ophthalmology of a tertiary care hospital from 18 August 2021 to 30 September 2021. Ethical clearance was taken from the Institutional Review Committee (Reference: 078/079-023). Convenience sampling was done. Basic demographic data, clinical characteristics, visual status and prevalence of ocular morbidities were noted. Data entry was done using Statistical Package for the Social Sciences version 26. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 650 study subjects examined, 454 (69.8%) (66-73.0 at 95% Confidence Interval) study subjects had at least one ocular morbidity in at least one eye. Refractive error 153 (33.7%) was the commonest ocular morbidity followed by headache 52 (11.5%), dry eyes 50 (11%), non-communicable diseases related ocular morbidity 41 (9%), and age related cataract 37 (8.1%). Conclusions: The prevalence of ocular morbidity in our study was higher than findings from other similar studies done at national and international levels, though the causes of ocular morbidity was similar.

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