Knowledge and Practice of Oral Rehydration Solution in Diarrhoea of the Mothers Attending ORT Corner of Rajshahi Medical College Hospital

2020 ◽  
Vol 33 (2) ◽  
pp. 32-38
Author(s):  
Most Zosnara Khatun ◽  
Md Jawadul Haque ◽  
Md Abdul Awal ◽  
Md Ataur Rahman ◽  
Shahin Mahmuda
Keyword(s):  
Family Income ◽  
Oral Rehydration Solution ◽  
Medical College Hospital ◽  
Age Group ◽  
College Hospital ◽  
Oral Rehydration ◽  
Medical College ◽  
Rehydration Solution ◽  
Literacy Level ◽  
Knowledge And Practice

This cross sectional type of descriptive study was carried out among the mothers, who attended ORT corner of Rajshahi Medical College Hospital for the treatment of diarrhoea of their children to assess their knowledge and practice of oral rehydration solution in diarrhoea. The sample size was 385, which was selected purposively. Data were collected from the respondents by face to face interview according to a partially structured questionnaire. Data were analysed by using SPSS software programme and interpretations were done using appropriate statistical tests like Chi Square Test. Ethical issues were considered throughout the study. Majority (62.5%) of the mothers were in the age group of 21 – 30 years and most (71%) of them were housewives. Most (95.12%) of the mothers knew the preparation of ORS correctly but only 42.82% of them used ORS properly during diarrhoea of their children. The relationship of correct knowledge on ORS preparation was direct with literacy level and monthly family income of the mothers, which were significant (p<0.05). Knowledge on ORS preparation was found significantly more among house wives in comparison to other professions (p<0.05) but there was no significant relationship between knowledge on ORS preparation and age group of the mothers (p>0.05). Correctly use of ORS during diarrhoea of the children was found significantly associated with family income (p<0.05) but was not found associated with age and literacy level of the mothers (p>0.05 each). This study provided some important information regarding knowledge and practice on ORS use of the mothers in Rajshahi region. TAJ 2020; 33(2): 32-38

scholarly journals Occupational Stress among Nurses in a Public Medical College Hospital

2018 ◽  
Vol 6 (2) ◽  
pp. 86-89
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas ◽  
Sharmina Afrin
Keyword(s):  
Occupational Stress ◽  
Family Income ◽  
High Stress ◽  
Clinical Work ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Work Related ◽  
Significant Difference

Background: Now a days, there is increased demand and progress in the nursing profession. Along with these stress among the nurses has also increased.Objective: Purpose of the study was to assess the extent of perceived occupational stress and its association with work-related and non-work related causes among nurses.Materials and method: This Cross-sectional study was carried out among 197 nurses of Shaheed Suhrawardy Medical College hospital (ShSMCH), Dhaka, Bangladesh, from the period of 1st July 2015 to 30th June 2016. Sampling method was simple random sampling. Data was collected by face to face interview with the help of semi-structured questionnaire and finally all data were analyzed using SPSS software version 21.Results: It was found that 69% nurses were between the age of 21 to 39 years, 94.9% were female, 68% were married, 79.2% were Muslim, 84.3% had diploma, family income of 91.4% were equal to more than 40,000 Tk. and 95.5% used to do clinical work. Only 5.1% found to experience high stress. Statistically significant difference was found between sex, occupational stress and religion, educational status, and type of work (p < 0.05). Few nurses suffered from high stress but high level of stress were more in male, non Muslim, post graduate nurse and those who were engaged in administrative work.Conclusion: Nurse Managers should take appropriate actions to decrease stress helping their nurses to work efficiently and effectively.Delta Med Col J. Jan 2018 6(2): 86-89

scholarly journals HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
Gynaecological Surgery ◽  
College Hospital ◽  
Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

scholarly journals Public Private Partnership as a Treatment Strategy for Tuberculosis Under Dots in Coastal South India

2012 ◽  
Vol 02 (01) ◽  
pp. 23-25
Author(s):  
Rama Prakasha S. ◽  
Suresh G. ◽  
Ivor Peter D'sa ◽  
Shobha Shetty S. ◽  
Ganesh Kumar S. ◽  
...  
Keyword(s):  
Conversion Rate ◽  
South India ◽  
Public Private Partnership ◽  
Medical College Hospital ◽  
Age Group ◽  
Limited Information ◽  
College Hospital ◽  
Private Partnership ◽  
Medical College ◽  
Sputum Conversion

AbstractLimited information is available regarding the functioning of DOTS (Directly Observed Treatment Short course) center for tuberculosis treatment under public private partnership with a medical college hospital. The present study was done to assess the various parameters related to the effectiveness of follow up treatment and its outcome in a DOTS center attached to a medical college hospital in coastal South India.Reports of patients with tuberculosis diagnosed and treated under Revised National Tuberculosis Control Programme at KS Hegde Medical College hospital DOTS center under Mangalore TB unit were reviewed retrospectively for the period from July 2004 to June 2011. Data was described in proportion and chi square test was applied to assess the association of cases with age group and sex. Among 60 patients serially registered under DOTS, 41 (68.33 %) cases were females and 19 (31.67%) cases were males. Maximum number of cases belonged to 15-29 years age group (20, 33.3%) and the difference observed between the categories of TB and age group was found to be significant (P<0.001). Overall 23 (38.33%), 12 (20%) and 25 (41.67%) cases received Cat-I, Cat-II and Cat-III treatment respectively. Success rate for new smear positive cases was 92.85% (13/14) and for Re-treatment smear positive cases was 88.89% (8/9). Sputum conversion rate among new smear positive cases (n= 14) at 2 months and 3 months was 85.71% and 92.86% respectively. Sputum conversion rate for Re-treatment cases (n=9) at 2 months and 3 months was 55.56% and 88.89% respectively. RNTCP is running successfully in this DOTS center with very low treatment failure rate and better outcome indicators, highlighting the importance of public private partnership of poorly functioning DOTS centers with medical colleges.

scholarly journals Socio-Epidemiology Of Antepartum Fetal Death In A Medical College Hospital

2012 ◽  
Vol 2 (1) ◽  
pp. 13-16
Author(s):  
Muna Shalima Jahan ◽  
MS Syed Muhammad Baqui Billal ◽  
Sayeba Akhter
Keyword(s):  
Congenital Anomaly ◽  
Gestational Diabetes ◽  
Fetal Death ◽  
Family Income ◽  
Medical College Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Satisfactory Outcome ◽  
Induced Hypertension

Objective: To assess socio-epidemiology of Antepartum Fetal Death IAFD) in a tertiary hospital in Bangladesh. Method: Fifty three pregnant women with intra-uterine fetal death before or after delivery were interviewed in Gvnaecologv in-patient of Dhaka Medical College Hospital during 2004-2005. In this cross sectional study selected socio-demographic factors like age, education, occupation, income etc. and epidemio/ogic factors like previous stillbirth or congenital anomaly history, antenatal history, and other medical conditions like gestational diabetes and pregnancy induced hypertension were sought. Results: Respondents were young (25.15 ± 6.45), married at an earlier age (18.51 ± 2.85), majority (62.26%) got pregnant at <=20 years and more than 50% were primigravid. Most (84.9%) of the respondents were either illiterate or low educated whereas 53% of the husbands were so. Nearly 70% worked more than 8 hours a day, almost half had low family income. History of stillbirth (13.21%>) and congenital anomaly (9.43%) in previous pregnancy were also found with AFD. More than half (29, 54.7%) of the respondents did not take ANC during this pregnancy. Only 3 respondents had gestational diabetes and 7 had pregnancv induced hypertension. Conclusion: Increasing the age at marriage and pregnancy, education, adequate rest during pregnancv and off course, increasing coverage of ANC could bring about satisfactory outcome if taken care of before future pregnancies. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 13-16 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12345

scholarly journals The Spectrum of Gastroenteritis at the Pediatric Outpatient Clinic,. Department of Child Health, School of Medicine, University of North Sumatera in 1982

2019 ◽  
Vol 28 (1-2) ◽  
pp. 1-13
Author(s):  
Taheng Sebayang ◽  
Atan Baas Sinuhaji ◽  
Tyahaya Bangun ◽  
Manihar D. Marbun ◽  
A. H. Sutanto
Keyword(s):  
Outpatient Clinic ◽  
Oral Rehydration Solution ◽  
Age Group ◽  
Female Ratio ◽  
Oral Rehydration ◽  
Number Of Children ◽  
School Of Medicine ◽  
Number Of Patients ◽  
Rehydration Solution ◽  
Male To Female

The number of children attending the Pediatric Outpatient Clinic of Pirngadi Hospital, Medan, during 1982 was 15.375. Out of these, 1246 (8.1%) had gastroenteritis. Most of the patients (1046 or 83.94%) were under two years old. The male to female ratio was 1.6: I. The peak incidence for allendance was in January, April, and May. Of 1057 patients under  five years old, 383 (36.2%) also had malnutrition. The highest percentage (70. 75%) of those who had malnutrition was found in the I to 2 years age group. Of 370 patients whose Hb level was examined, 185 (50%) had anemia. The highest percentage (67.02%) was in the below 1 year group. Only 360 (28.8%) of gastroenteritis cases received oral rehydration solution. There were 23 (1.85%) cases in which diarrhea lasted longer than 7 days. The number of patients admitted to the ward was 213 (17.07%), and the highest percentage was in the above 3 years age group. The largest number of hospitalized patients was in January (43), February (21), and April (28); while the highest percentage was in April (20.40%), June (21.42%) and August (31.42%). Peak rainfall in Medan during 1982 was in October, November, and December, i.e. much 322.2 mmm,  366.4 and 382 mm, respectively.

scholarly journals Similarities between Preexplorative Diagnosis and Perexplorative Findings of Intestinal Obstruction Patients in Two Tertiary Care Hospitals in Bangladesh

2019 ◽  
Vol 9 (3) ◽  
pp. 155-159
Author(s):  
Sonia Akter ◽  
Deb Prosad Paul ◽  
Debasish Das
Keyword(s):  
Intestinal Obstruction ◽  
Preoperative Diagnosis ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Diagnostic Tools ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Obstructed Hernia

Background: Intestinal obstruction is a common surgical problem that surgeons face in clinical practice. Still intestinal obstruction is a major problem in medical college hospitals in Bangladesh. Causes of intestinal obstruction remain same as earlier. There is lack of statistical data in our country. So, this study will be helpful in various aspect of management of intestinal obstruction patients by providing data. Objective: To find out similarities between preoperative diagnosis with actual peroperative findings of intestinal obstruction. Materials and Methods: This cross-sectional study was conducted from April 2013 to April 2014 at Enam Medical College Hospital and Dhaka Medical College Hospital. Two hundred patients were selected by purposive sampling of diagnosed cases of intestinal obstruction. Results: Among the subjects male were 124 (62%) and female were 76 (38%). Mean age was 34.56 ± 9.13 years. The maximum respondents were from 21–30 years age group (54%) followed by 31–40 years (18%) age group. Chronic intestinal obstruction was present in 53% cases and acute intestinal obstruction in 47% cases. The clinical profile showed that all patients had abdominal pain followed by vomiting (78%). The preoperative diagnosis of intestinal obstruction was neoplastic obstruction (24%) followed by obstructed hernia (22.5%). The highest similarities (100%) were observed in case of volvulus and ileosigmoid knotting. Obstructed hernia had the highest accuracy (97.7%) followed by neoplastic obstruction (91.66%). Maximum patients (13.5%) suffered from wound infection followed by burst abdomen (3%). Conclusion: The preoperative diagnoses are very much similar to peroperative findings. The clinical parameters and other mandatory diagnostic tools commonly used in tertiary level hospitals in our country showed diagnostic accuracy in diagnosis of intestinal obstruction. J Enam Med Col 2019; 9(3): 155-159

scholarly journals Early Puerperal Complications - A Prospective Clinical Study on Caesarean Deliveries

2018 ◽  
Vol 27 (1) ◽  
pp. 68-71
Author(s):  
Tahamina Akhter ◽  
Tabassum Ghani ◽  
Subinoy Krishna Paul ◽  
Noorjahan ◽  
Afrina Begum ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Wound Infection ◽  
Fetal Distress ◽  
Medical College Hospital ◽  
Prospective Clinical Study ◽  
Age Group ◽  
College Hospital ◽  
Normal Delivery ◽  
Medical College

Introduction : when a healthy pregnant woman with no obstetric or medical risk factors goes into spontaneous labour, she should anticipate a normal delivery. But still 580, 000 women in the world die from pregnancy and childbirth each year.1 Lack of attention to postpartum care in developing countries is neglected tragedy and requires immediate attention. This study evaluates the incidence of complications of early puerperium and also focuses the specific types of complications and to detect the risk factors associated with these complications. Aims and objectives : Main aim of the study is to evaluate the common complications in early puerperium with special attention to identify the risk factors. Materials and method : This study was carried out in Dhaka Medical College Hospital and Sir Sallimullah Medical College Hospital within the period of March ’2004 to August’ 2004. Two hundred patients were selected for this study who were delivered by caesarean section in these two institutions and complications occurring within 7 days excluding first 24 hours. Patients delivered outside the hospital and with known medical diseases were excluded from this study. Detailed history taking and appropriate clinical examination and specific investigations were done for diagnosis of complications. All relevant informations was noted in prescribed data sheet and results were tabulated and statistical analysis was done. Results : Among 200 cases only 44(22%) cases had early puerperal morbidity.Most of the patients who suffered complications underwent caesarean section for obstructed labour and fetal distress who had trial at home. Many of the patients suffered from wound infection and endometritis (40.9%). Among patients, age group -<20 years suffered from wound infection(53.8%) and endometritis(45.8%) were common in age group 21-30 years. VVF was common in patients in age <20 years.Endometritis (42.2%) was maximum in women with parity 1-3 and wound infection (50%) in women with parity 4-6. Some of the patients had more than one early puerperal morbidity. Maximum number of poor class suffered from wound infection (42.4%).Early puerperal morbidity was more prevalent in women with duration of labour <18 hours and Premature rupture of membrane had relationship with endometritis (15.9%), wound infection (13.6%) and UTI (11.4%). Conclusion : Incidence of early puerperal morbidities is still quite high (22%) and many patients experiences more than one problem at a time.Long term sequelae of early puerperal infectious morbidity should not be neglected as this may interfere quality of life of a woman. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 68-71

scholarly journals Sero-prevalence of Transfusion Transmissible Infections among Voluntary Blood Donors of Khulna Medical College Hospital

2019 ◽  
Vol 46 (2) ◽  
pp. 16-21 ◽  
Author(s):  
SM Tushar Alom ◽  
Kanak Jyoti Mondal ◽  
Shirin Tarafder ◽  
Farah Anjum Sonia ◽  
Poritosh Kumar Chowdhury ◽  
...  
Keyword(s):  
Blood Donors ◽  
Age Groups ◽  
Medical College Hospital ◽  
Age Group ◽  
College Hospital ◽  
Blood Samples ◽  
Medical College ◽  
Disease Markers ◽  
Males And Females ◽  
Frequent Infection

Transfusion transmitted infections (TTI) are a great concern of safety for patients. Blood transfusion is a lifesaving procedure but always caries a potential risk of infections.The present study was designed to evaluate the prevalence of infectious disease markers and frequency in males and females of various age groups among healthy blood donors. A retrospective review of donor record over a period of 2 years between 2015 to2016 was done at the department of transfusion medicine Khulna medical college Hospital, Khulna, Bangladesh.Among the total 37,266 donors,358(0.96%) donors were infected and therefore not suitable for blood donations.HBV was found to be the most frequent infection with a total frequency of 0.72% followed by TP (0.20%), HCV (0.03%) and HIV (0.01%). None of the blood samples showed positivity for malarial parasite.Majority of the seropositive donors, (47.96%) were in the age group of 26 to 35 years followed by 29.47% in 18 to 25 years’ age group. Bangladesh Med J. 2017 May; 46 (2): 16-21

A Ten-year Retrospective Study of Tetanus at a Teaching Hospital in Bangladesh

1970 ◽  
Vol 25 (2) ◽  
pp. 62-69 ◽  
Author(s):  
AHM Feroz ◽  
Hafizur Rahman
Keyword(s):  
Incubation Period ◽  
Wound Care ◽  
Case Series ◽  
The Elderly ◽  
Medical College Hospital ◽  
Acute Injury ◽  
Wound Management ◽  
Age Group ◽  
College Hospital ◽  
Medical College

Aims: To study the demographic, clinical features, treatment as well as outcomes of tetanus patients in the Bangladeshi population from 1994 to 2003. Design: A retrospective descriptive study. Setting: A large public Medical college hospital with a regional as well as referral service. Materials and Methods: All cases of tetanus in adult patients from January 1994 to December 2003 were identified from the medical record at the hospital and these were then retrospectively reviewed. Results: A total of 80 cases of tetanus were seen at the Faridpur Medical college hospital in the 10 years period with a mean of 8 cases per year. There were 55 male (68.75%) and 25 female (31.25%) patients. The mean age of the study population was 51.7±10.08 years. Most cases occurred in the age group of 60-69 years. Risk factor analysis revealed identifiable acute injury (puncture, prick/laceration) in 85%, CSOM (2.5%), surgery (2.5%), abortion (2.5%), skin ulcer (1.25%), burn (1.25%), child birth (1.25%), boil (1.25%). Thirty-two (40%) patients had medical wound care before hospital admission but none received tetanus immunoglobulin despite the absence of tetanus immunity. All the patients had the generalized type of disease. Body stiffness, trismus and dysphagia were the three commonest presenting complaints. All the patients with injury and wound (74/80) had their wound debrided. All the tetanus patients (80/80) received intravenous diazepam infusion as part of their management. Seventy two (90%) patients received intravenous crystalline penicillin. Sixty-five (81.25%) patients received intramuscular human antitetanus immunoglobulin and fourteen (17.5%) had tracheostomy performed. Inhospital complications were observed as respiratory (80%), cardiovascular (65%), gastrointestinal (57-5%), renal (33.37%), neurological (17.%) and others (22.5%). There were eighteen deaths in hospital, accounting for overall mortality of 22.5% (18/80). Higher mortality were observed in age group above 50 years than the age group below 50 years (29.16% vs 12.5%, P<0.05), in female than the male (40% vs 14.54%, P<0.05), in farmer than nonfarmer (30.95% vs 13.15%, P<0.05), in patients who had short incubation period than those who had incubation period more than one week (53.33% vs 23.25%, P<0.05). Conclusion: In general, tetanus remains in Bangladesh an important disease with substantial mortality that primarily affects unvaccinated or inadequately vaccinated individuals. Prevention during wound management of tetanus prone wounds was inappropriate in many patients. The elderly population may have the highest risk for tetanus since they may not have had tetanus toxoid immunization or regular booster injections. It is, however, highly preventable through both routine vaccination and appropriate wound management. Our case series show comparable pattern and outcome with other case series in the developing countries reported in the literatures. (J Bangladesh Coll Phys Surg 2007; 25 : 62-69)

scholarly journals Pattern of ABO and Rhesus(Rh) Blood Group Among Blood Donors

1970 ◽  
Vol 15 (2) ◽  
pp. 68-70
Author(s):  
MA Ahad ◽  
MA Bakar
Keyword(s):  
Blood Group ◽  
Blood Donors ◽  
Medical College Hospital ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
Rh Blood Group ◽  
Blood Grouping

This study was carried out among the blood donors attending the Blood TransfusionDepartment of Khulna Medical College Hospital. Both ABO and Rhesus (Rh) blood grouping wasdone to see the pattern of ABO and Rh blood group among them. Maximum blood donors werebetween age group 18-37 years. Among the donors maximum were male 12105 (94.73%). Male:female ratio was 18:1. Among them B+ve was found 4286 (33.54%), B-ve was 127 (5.0%), O+vewas 4091 (32.02%), O-ve was 131 (1.03%), A+ve was 3014 (23.59%), A-ve was 74 (0.58%), AB+vewas 1019 (7.98%), AB-ve was 37 (0.29%). Overall total Rh positive blood group were 12410(97.11%) and total negative blood group were 369 (2.89%).doi: 10.3329/taj.v15i2.3910TAJ December 2002; Vol.15(2): 68-70

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