scholarly journals Ultrasonographic Findings of Brain in Perinatal Asphyxiated Babies

2018 ◽  
Vol 29 (2) ◽  
pp. 21-25
Author(s):  
M Luthfor Rahman ◽  
Kabiruzzaman Shah ◽  
Parimal K Paul ◽  
Sanaul Haq ◽  
M Belal Uddin ◽  
...  
Keyword(s):  
Perinatal Asphyxia ◽  
Cost Effective ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Paediatric Department ◽  
Preterm Babies ◽  
Stage 1 ◽  
Cns Lesions

Perinatal asphyxia is a major cause of morbidity and mortality among the newborns in developing countries like Bangladesh. The CNS lesions following perinatal asphyxia can be detected by ultrasonography before closure of fontanels which is easier, cost-effective, and convenient than other methods like CT scan and MRI. This cross-sectional type of descriptive study was conducted on 99 perinatal asphyxiated babies in the Paediatric department of Rajshahi Medical College Hospital during the period of July 2008 to June 2010 to assess CNS lesions in different grades of HIE in term and preterm babies. A non-random purposive sampling method was adopted to select the sample unit. Ultrasonography of the brain of each patient was done at the Centre for Nuclear Medicine & Ultrasound, Rajshahi only once within first 28 days of life when the baby became clinically stable. Ultrasonographic findings showed that 13.1% term babies had abnormal findings of which cerebral edema occupied the major portions (54.54 %). About 20.0% preterm babies had abnormal ultrasonographic findings of which ventriculomegaly without IVH (66.6%).The study also showed that the prevalence of intracranial abnormality was higher (78.6%) among the perinatal asphyxiated babies with HIE stage-2 in comparison to that of the HIE stage-3 (14.3%) and HIE stage-1(7.1%).So, this study provided evidences in favour of role of ultrasonography of brain in the evaluation of perinatal asphyxiated babies and designing appropriate management.TAJ 2016; 29(2): 21-25

scholarly journals Role of Maternal Smokeless Tobacco Ingestion During Pregnancy in Delivery of Preterm Babies

2017 ◽  
Vol 40 (3) ◽  
pp. 135-138
Author(s):  
Farzana Rahman Munmun ◽  
Md Ekhlasur Rahman ◽  
Ahmed Ferdous Jahangir ◽  
Md Shamsul Arefin Patwary ◽  
Abu Sayeed Chowdhury ◽  
...  
Keyword(s):  
Smokeless Tobacco ◽  
Adverse Pregnancy Outcome ◽  
Retrospective Case ◽  
College Hospital ◽  
Term Neonates ◽  
Medical College ◽  
History Of ◽  
Preterm Babies ◽  
Adverse Pregnancy

Background:Smokeless tobacco is an established cause of adverse pregnancy outcome. Preterm deliveries are quite high(14%) in our country and approximately 39% women in Bangladesh use smokeless tobacco (ST).Objective: To determine the outcome of maternal smokeless tobacco ingestion during pregnancy in delivery of preterm babies.Methods: A retrospective case control study was carried out in the department of Pediatrics & department of Obstetrics and Gynecology in Dhaka Medical College Hospital between July 2010 to June 2011. Immediately after admission, detailed history of the newborn baby & mother was taken. A total of 100 cases (preterm babies) and 100 suitably matched controls (sick term neonates) were enrolled. Every case satisfying the selection criteria (inclusion & exclusion criteria) was enrolled in the study. The mother was asked whether she used to use smokeless tobacco (jorda, shada or gul) during pregnancy and about frequency and duration of ingestion of ST.Results: Baseline characteristics of cases and controls were comparable. ST user mothers of preterm babies used ST about 5 times a day. Maternal smokeless tobacco (ST) use during pregnancy was significantly associated (46%) with the delivery of preterm babies (p<0.001) and carries a risk of 2.7 times than that of non ST users.Conclusion: Maternal ST use ?5 times a day during pregnancy increases 2.7 folds risk of delivery of preterm babies than that of non-ingested.Bangladesh J Child Health 2016; VOL 40 (3) :135-138

scholarly journals Role of Ultrasonography in The Differentiation of Solid Breast Mass

KYAMC Journal ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 204-207
Author(s):  
Fatama Sharmin ◽  
Nazif Sultana ◽  
Nazneen Akter ◽  
SM Mazharul Islam ◽  
Farhana Zaman
Keyword(s):  
Cross Sectional Study ◽  
Breast Mass ◽  
College Hospital ◽  
Diagnostic Modality ◽  
Cross Sectional ◽  
Predictive Values ◽  
Medical College ◽  
Imaging Department ◽  
Malignant Breast

Background: Breast cancer is the major cause of cancer death in women. Breast ultrasound is of a great value in differentiating malignant from benign masses. Objective: To distinguish benign from malignant solid breast lesions by Ultrasonography (USG). Materials and Methods: This cross sectional study was performed in Radiology and Imaging department of Dhaka Community Medical College Hospital (DCMCH) in collaboration with the department of Pathology and Surgery, DCMCH from January 2017 to December 2017. The benign and malignant solid breast mass were differentiated by using USG and correlated these with histopathological findings. Results: Total 60 female with breast mass, aged 20 to 60 years, were studied. Out of 60 cases, 34 cases were solid breast mass on USG. Eleven cases were diagnosed as malignant and 23 cases as benign. Among the USG diagnosed 11 cases, 10 cases found truly malignant (true +ve) and 1 (one) case was benign (false+ve) whereas out of the 23 benign cases, 21 were benign (true -ve) and 2 (two) were found malignant(false-ve), and all were confirmed by histopathology.The sensitivity of USG for malignant breast mass was found 83.33% and specificity was 95.45%. The positive and negative predictive values of USG were 90.91% and 91.3% respectively. The diagnostic accuracy of USG in differentiating breast mass into malignant and benign was 91.318%. Conclusion: The USG is a very good diagnostic modality for differentiating benign and malignant breast mass. KYAMC Journal Vol. 11, No.-4, January 2021, Page 204-207

scholarly journals Clinical Profile and Ultrasonographic Evaluation of Brain in Perinatal Asphyxia

2014 ◽  
Vol 41 (3) ◽  
pp. 33-37
Author(s):  
F Noman ◽  
MI Islam ◽  
HA Khan
Keyword(s):  
Gestational Age ◽  
Cerebral Oedema ◽  
Perinatal Asphyxia ◽  
Periventricular Leukomalacia ◽  
Full Term ◽  
Ventricular Dilatation ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
Preterm Babies

This descriptive cross sectional study was carried out in the department of paediatrics, Mymensingh Medical College Hospital from March 2006 to December 2006. This study was performed on 100 consecutive asphyxiated newborns who were admitted in Mymensingh Medical College Hospital during the study period. Among them, 50 babies were preterm and 50 babies were full term with moderate to severe perinatal asphyxia. Full term (>37 weeks of gestation) and preterm (<37 weeks of gestation) newborn babies with perinatal asphyxia was taken as case in inclusion criteria. Among the preterm babies, highest number 23(46%) were in the age group o/ 34-36 weeks of gestational age and among the term babies, highest number 24(48%) were in the age group of 39-40 weeks of gestational age. This study shows that 39% mothers had prolong obstructed labour, 21% had premature rupture membrane and 17% had pre-eclamptic toxaemia during pregnancy,. Convulsion 66%, poor primitive reflexes 52%, cyanosis 49% pallor 32%, respiratory distress 32% and apnoic spells 26% were the common presentations of asphyxiated babies. Out of 50 preterm asphyxiated newborn, one showed periventricular leukomalacia, two IVH and two ventricular dilatation. In the present study abnormal sonogram were detected in ten term babies. Two cases showed features of cerebral oedema and eight cases showed mild to moderate ventriculomegaly together with several subcortical cystic lesions of varying size. In case of comparison, eight cases had ventricular dilatation in term babies while 2 cases had in preterm babies. None of the term babies had ventricular haemorrhage but 2 had in preterm babies. Only, one preterm baby had periventricular leukomalacia but none among the term babies. There were 2 cases of cerebral oedema in term babies but none in preterm babies. Thus ultrasonography helps early recognition of intracranial abnormalities in asphyxiated newborns. So prognosis may be assessed, complication may be anticipated and appropriate management plan can be designed. DOI: http://dx.doi.org/10.3329/bmj.v41i3.18956 Bangladesh Medical Journal 2012 Vol.41(3): 33-37

scholarly journals Common Causes of Neonatal Jaundice –A Study of 100 Cases at Neonatal Unit of Rajshahi Medical College Hospital

2018 ◽  
Vol 26 ◽  
pp. 1-2
Author(s):  
M Sanaul Haque ◽  
PK Paul ◽  
KI Jahan
Keyword(s):  
Perinatal Asphyxia ◽  
Cross Sectional Study ◽  
Neonatal Unit ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Abo Incompatibility ◽  
Common Causes ◽  
Rh Incompatibility

A prospective cross sectional study was done at Neonatal unit of Rajshahi Medical College Hospital, from 01/01/15 to 30/06/15 period. Total 100 neonates with jaundice were included in this study. Causes of Jaundice were physiological 35%, sepsis 20%, prematurity 15%, perinatal asphyxia 8%, ABO incompatibility 8%, Rh-incompatibility 5%, unknown 9%.TAJ 2013; 26: 1-2

scholarly journals Role of Lumbar Puncture for First Simple Febrile Seizure Among Children 6 to 18 Months of Age

2018 ◽  
Vol 24 (2) ◽  
pp. 65-69
Author(s):  
M Sanaul Haque ◽  
Shahida Yeasmin ◽  
Poly Dutta ◽  
PK Chandan Kumar ◽  
Pijush Kumar Kundu
Keyword(s):  
Lumbar Puncture ◽  
Febrile Seizure ◽  
Sampling Technique ◽  
Clinical Problem ◽  
Cns Infection ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Paediatric Department

Introduction: Fever with seizure is a common childhood emergency. This may be due to febrile seizure or CNS infection like meningitis. Febrile seizure makes up the most common convulsive event in children 6 months to 5 years of age. Despite the commonness of this clinical problem, the need for routine lumbar puncture following a first simple febrile seizure below 18 months of age to exclude meningitis continues to be debated.Objectives: To evaluate the role of lumbar puncture for first simple febrile seizure among children 6 to 18 months of age and to determine the causes of fever of the patient presented with fever with simple seizure in this age group.Methodology: This cross-sectional type of descriptive study was conducted at Paediatric department of Rajshahi Medical College from January 2013 to December 2014.A total of 73 children ages 6 months to 18 months with first simple febrile seizure were enrolled by purposive sampling technique. Lumbar puncture was performed in all patients to evaluate occult meningitis.Results: A total of 73 children ages 6 months to 18 months with first simple febrile seizure were included in the study. 37% (n = 27) were < 12 months of age and 63% (n = 46) were ≥12 months of age with a mean age 13±3.575 months. 43.8% of our study population had family history of febrile seizure. CSF findings of all children > 12 months of age group 63% (n = 46) were normal but in case of age group <12 months, out of 37% (n = 27) cases, only one case showed abnormal CSF finding.Conclusion: It is concluded that lumbar puncture following first simple febrile seizure without any other features of meningitis may be done in children < 12 months of age.TAJ 2011; 24(2): 65-69

scholarly journals Evaluation of level of satisfaction among indoor patients attending in a tertiary care hospital of Rajnandgaon (C.G.), India

2018 ◽  
Vol 5 (4) ◽  
pp. 1428
Author(s):  
Nirmal Verma ◽  
Nitin Kamble ◽  
Dhiraj Bhawnani ◽  
Kiran Makade ◽  
Monika Dengani ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Cost Effective ◽  
Professional Services ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Patient’S Satisfaction ◽  
Medical College ◽  
Male Female Ratio

Background: Patient expression is an important source of information in screening for problems and developing an effective plan of action for quality improvement in health care organizations. Assessing satisfaction has been mandatory for quality control of any hospital, which has resulted in an increasing number of projects devoted to the concept of satisfaction and determinant of patient satisfaction.Methods: The present Cross sectional Observational Hospital based study was conducted in Government Medical College Hospital, Rajnandgaon (C.G.) India during April 2016 to September 2016. A sample of 200 patients was taken who were admitted in different Indoor Patients Department of Clinical departments. Patients were selected according to inclusion and exclusion criteria. The information from the patients on various aspects of patient’s satisfaction like admission procedure, communication with staff, physical care, test and operation help availability, cleanliness, privacy related issues and overall satisfaction was obtained by interview with patients based on the semi structured questionnaire proforma.Results: In the present study, among IPD patient Male: Female ratio was 3:2 approx. Helpfulness of person at registration desk was ranked very good by 93% subject. Wheelchair was available for most of the patients (95%) but its availability when needed was ranked very good by 76% patients only. Majority of patient were satisfied with the behavior of the lab technician (89%), availability of lab results on given time (81%).Conclusions: This study shows that patients admitted in the various wards of hospital were satisfied with the quality of professional services by doctors, nursing and paramedical staff but problem lies with the availability of basic amenities. Overall present study shows that assessing satisfaction of patients is simple, easy and cost effective way for evaluating the hospital services.

scholarly journals Role of transabdominal Ultrasonography in the evaluation of suspected ectopic pregnancy

2015 ◽  
Vol 22 (2) ◽  
pp. 167-172
Author(s):  
Mst Nazmun Nahar ◽  
Asifa Sattar ◽  
Husne Ara ◽  
Akanda Fazle Rabbi ◽  
Mahbuba Shirin ◽  
...  
Keyword(s):  
Positive Predictive Value ◽  
Ectopic Pregnancy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Transabdominal Ultrasonography ◽  
Medical College ◽  
Step Procedure

The study was carried out to assess the diagnostic accuracy of transabdominal ultrasonography in the evaluation of clinically suspected ectopic pregnancy patients . This cross sectional study was carried out in the department of Radiology and Imaging, Dhaka Medical College Hospital, Dhaka, from July 2006 to June 2008. 50 patients were selected purposively and transabdominal ultrasonography was done in each patient by 3.5 MHz frequency curvilinearprobe. Findings of transabdominal ultrasonography were then compared with the peroperative findings. Transabdominal ultrasonography in the diagnosis of ectopic pregnancy showed a sensitivity of 79.5%, specificity of 83.3%, and accuracy of 80%. Positive predictive value was 97.2% and negativepredictive value was 55.6%. . This study shows thattransabdominal ultrasonographyis an effective modality in the evaluation of ectopic pregnancy and should be used as a routine first-step procedure in patients of suspected ectopic pregnancy. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21529 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 167-172

scholarly journals Comparative Study of Serum Bilirubin Level between Term and Preterm Babies in Mymensingh Medical College Hospital

2017 ◽  
Vol 12 (1) ◽  
pp. 5-8
Author(s):  
Husne Ara Khan ◽  
Tahmina Akter ◽  
Sharifur Rahman ◽  
Farhana Noman ◽  
Poly Begum ◽  
...  
Keyword(s):  
Bilirubin Level ◽  
Serum Bilirubin ◽  
Serum Bilirubin Level ◽  
Neonatal Unit ◽  
Medical College Hospital ◽  
College Hospital ◽  
Term Infants ◽  
Cross Sectional ◽  
Medical College ◽  
Preterm Babies

Neonatal jaundice is observed during 1st week of life in approximately 60% of term infants and 80% of preterm infants. All jaundiced newborns are at potential risk for developing severe hyperbilirubinemia if there is uncontrolled or managed inappropriately. The objective of this study is to compare serum bilirubin level of term and preterm babies. A cross-sectional study was conducted with total of 100 newborns babies who were admitted into neonatal unit, babies from obstetric department and who came for checkup and follow up in neonatal unit of Mymensingh Medical College Hospital, Mymensingh during the period August 2006 to January 2007. In this study, mean gestational age of term babies was 38.9±1.22 weeks and of preterm babies was 34.64±1.05 weeks. Mean bilirubin levels observed in term babies 6.68 and 5.72 mg/dl on day 3 and day 5 respectively. In preterm babies, the mean bilirubin levels were 7.16 and 9.09 mg/dl on day 3 and day 5 respectively. Statistically significant differences were observed in bilirubin level on day 5 in both term and preterm groups (p<0.05). Incidence of jaundice among term babies was 64.0% and among preterm babies was 84.0%. Jaundice developed significantly more among the preterm babies than the term babies (p<0.05). From this study, it can be concluded that in premature infants, the rate of rise in serum bilirubin tends to be the same or a little slower and mean serum bilirubin level was higher than that of term babies.Faridpur Med. Coll. J. Jan 2017;12(1): 5-8

scholarly journals Role of ultrasonography in diagnosis of solid space occupying lesion in the liver correlation with FNAC

2016 ◽  
Vol 41 (2) ◽  
pp. 81-88
Author(s):  
Shyamal Kumar Roy ◽  
Sohely Sultana ◽  
Nazir Uddin Mollah ◽  
Tarana Yasmin ◽  
Asish Sarker ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Predictive Values ◽  
Transabdominal Ultrasonography ◽  
Medical College ◽  
Diagnostic Usefulness ◽  
Sensitivity Specificity ◽  
Transabdominal Sonography

This cross sectional study was carried enrolling 47 subjects with suspected solid liver mass, in the Department of Radiology and Imaging, Dhaka Medical College Hospital, Dhaka, over a period of twelve months. The aim of this study was to evaluate the diagnostic usefulness of transabdominal ultrasonography in the diagnosis of solid SOL in the liver. Majority of the respondents (42.55%) were found between 41-60 years of age. Five (10.63%) subjects were found below 20 years of age. There were 31 men (65.95%) and 16 women (34.05%). Majority of the metastasis were multiple (85%), hypoechoic (35%) and only 15% had internal calcifications. HCC was single lesion (61.53%) with hyperechoic (38.35%) echogenicity, with a central halo (76.92%) and 15.38% had internal calcifications. Majority of the cholangiocarcinoma were solitary (80%), hypoechoic (60%) and 60% had internal calcifications. Hepatoblastoma were solitary and had calcifications (60%) with mixed echogenicity (60%). Majority of the adenomas were solitary (80%), hypoechoic (60%) and only 20 % had internal calcifications. The validity of transabdominal sonography for the diagnosis of metastasis was confirmed by calculating sensitivity (100%), specificity (96.42%), accuracy (97.87%), positive (95%) and negative predictive (100%) values by using the standard formula given. The sensitivity, specificity, accuracy, positive and negative predictive values for HCC were 92.3%, 97.05%, 95.74%, 92.3% and 97.05% respectively. The sensitivity, specificity, accuracy, positive and negative predictive values for cholangiocarcinoma and hepatoblastoma were 80%, 97.61%, 95.74%, 80% and 97.61% respectively. Sensitivity, specificity, accuracy, positive and negative predictive values were 80%, 100%, 97.87%, 100% and 97.67% respectively for adenoma. From the study result it was concluded that transabdominal ultrasonography could be reliable, non-ionizing and relatively cheap procedure for diagnosis solid hepatic mass lesion.

SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang
Keyword(s):  
Preterm Birth ◽  
Comparative Study ◽  
Pregnancy Outcome ◽  
Neonatal Morbidity ◽  
Research Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Chorionic Villi ◽  
Term Birth ◽  
Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

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