scholarly journals Spongstan with Nasopharyngeal Pack: New Ordinary Procedure Manage the Adenoidectomy Bleeding

2020 ◽  
pp. 1-6
Author(s):  
Dr. A H M Delwar
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Bleeding Complications ◽  
College Hospital ◽  
Medical College ◽  
Tertiary Care Hospitals ◽  
Study Setting ◽  
Head Neck Surgery ◽  
Demographic Data Collection

Objective: To find out the frequency, prevalence, and epidemiological aspects of the adenoidectomy bleeding and share the new ordinary procedure to manage it by spongstan with the nasopharyngeal pack. Study Design: Cohort retrospective study. Setting: Academic tertiary care hospitals. Subject and Methods: A total of 23 adenoidectomy children’s demographic data collection and analyzed who suffered from complications of bleeding in the department of Otolaryngology and Head-Neck Surgery, Comilla Medical College Hospital, and Comilla Medical Centre, concerned Clinic of Central Medical College from 01 July 2016 to 31 June 2019. Results: Incidence of adenoidectomy bleeding among total operative patients was 0.32%, adenoidectomy-Tonsillectomy patients 2.66%, and the yearly prevalence of 33.35%. Off them, the male was 09 (39.17%), and the female 14 (60.87%), 11-15 years children have highest bleeding complications was 17 (73.91%), commonest presenting features was nasal obstruction (91.30%), mouth breathing (82.61%), and hearing loss (78.26%).

scholarly journals Appraisal of Thyroidectomy in Outlying Tertiary Care Hospital

2020 ◽  
pp. 11-18
Author(s):  
Dr. A H M Delwar
Keyword(s):  
Tertiary Care Hospital ◽  
Demographic Data ◽  
Tertiary Care ◽  
Neck Surgery ◽  
Care Hospital ◽  
Management Options ◽  
Medical College ◽  
Disease Patterns ◽  
Benign Goiter ◽  
Study Setting

Objective: To find out the prevalence, presentation, disease patterns, operations of the thyroid gland and facilitate the prevention of complications and a risk factors for it. Study design: Cohort retrospective study. Setting: Academic tertiary care hospital. Subject and Methods: A total of 173 euthyroid benign and malignant goiter patient’s demographic data, diagnosis, operations, complications, and management options collection and analyzed who attended in the department of Otolaryngology and Head-Neck Surgery, Comilla Medical College, and Comilla Medical Centre, concern Clinic of Central Medical College, Comilla, Bangladesh from 01 July 2016 to 31 June 2019. Results: Incidence of euthyroid benign and malignant Goiter among outpatient was 0.12%, and the yearly prevalence of 33.34%. Out of 173, the male was 20 (11.56%), and the female 153 (88.44%), 30-39 years patients have the highest presentation was 60 (88.44%), 20-29 years 40 (23.12%), and 40-49 years 38 (21.97%), euthyroid benign goiter was 142 (82.08%), and malignant 31 (17.92%).

scholarly journals Clinicopathological study of sinonasal masses

1970 ◽  
Vol 16 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Abu HenaMohammad Parvez Humayun ◽  
AHM Zahurul Huq ◽  
SM Tarequddin Ahmed ◽  
Md Shah Kamal ◽  
Kyaw Khin U ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Malignant Lesion ◽  
Malignant Tumour ◽  
Neck Surgery ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female ◽  
Study Setting ◽  
Head Neck Surgery ◽  
Head Neck

Objective: To observe the incidence, clinical presentation and to perform comparative studyof different sinonasal masses. Study design: Prospective study. Setting: Department ofotolaryngology and Head-Neck Surgery & ENT OPD of Chittagong Medical College Hospital.Patients & methods: 50 patients are included in this study (39 male & 11 female) between theages of 3 years and 80 years who were treated between August 2006 to January 2007. Studybased on history, clinical, radiological, laboratory and histopathological examination. Results:Mean age for male was 35.12 years and for female was 22.63 years. Male to female ratio was3.5:1. Highest frequency was noted in second decade. Most of patient (78%) were from poorclass. Frequency of inflammatory nasal masses were more in second decade, benign tumourin fourth and fifth decade, malignant tumour in second decade (OAN & NHL) and fifth andsecond decades (others). Rhinosporidiosis were most frequent inflammatory nasal masses.Nasal obstruction was the commonest and orbitus symptoms were less frequent symptoms.But orbital symptoms were more prevalent in malignant lesion. Conclusion: sinonasal massesare found in all age group. Rhinosporidiosis are appearing to be the commonest nasal masses.The prevalence of nasal polyp is also high. Among the malignant sinonasal masses thepercentage of squamous cell carcinoma is high.DOI: 10.3329/bjo.v16i1.5776Bangladesh J Otorhinolaryngol 2010; 16(1): 15-22

scholarly journals A Survey of Factors Influencing Drug Choice and the Prescribing Attitudes Among Junior Doctors of Two Major Tertiary Care Hospitals in Chittagong City

2018 ◽  
Vol 17 (1) ◽  
pp. 17-22
Author(s):  
Jannatul Ferdoush ◽  
Abhijit Chowdhury ◽  
Kohinoor Parveen ◽  
Maliha Ata ◽  
Sefa Sarwath Alam ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Complete Response ◽  
Continuous Medical Education ◽  
Junior Doctors ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Factors Influencing ◽  
Drug Choice ◽  
Tertiary Care Hospitals

Background: The magnitude of rational prescribing is well known but the irrationalities and errors in prescriptions are seen worldwide as the training of future doctors is still not up to the mark. This study aimed to find out the factors influencing drug choice and the prescribing attitudes among junior doctors of two major tertiary care hospitals in Chittagong city. Methods: A cross-sectional questionnaire survey was conducted among the junior doctors of Chittagong Medical College Hospital (CMCH) and Chattagram Maa -O- Shishu Hospital Medical College (CMOSHMC) to assess the factors influencing drug choice and the prescribing attitudes among junior doctors during August 2016. Results: The questionnaires were provided to 220 participants of whom 162 (73.63%) participants provided a complete response to the survey. The response rate was 75.89% in CMOSHMCH and 71.29% in CMCH. The majority (87.03%) of junior doctors mentioned that they are highly influenced by their supervising senior doctors’ patterns of prescriptions. About 79.01% of them took the cost of drugs into consideration while prescribing. 58.64% of the prescribers reported their confidence while prescribing without supervision. On the otherhand, 33.33% doctors mentioned that side effects of the drug changed their patterns of prescriptions. Only one-third (33.95%) of the junior doctors opined that the pharmaceutical promotional offers never influence them. Conclusion: Junior doctors decide their drug of choice mainly by copying their supervising senior doctors’ prescriptions without knowing how to choose, and they feel less confident while prescribing. Issues of drug cost, adverse drug reactions concerned the majority of the participants, but they do not have the clear ideas on how to deal with these practice behaviours. Moreover, pharmaceutical promotional offers significantly persuaded the junior doctors’ prescription patterns. So, there is a need for the continuous medical education programs in hospital settings to train the junior doctors for building capacities and competencies while prescribing. Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 17-22

scholarly journals Clinical presentation and management of parapharyngeal space tumours

1970 ◽  
Vol 17 (1) ◽  
pp. 36-41
Author(s):  
Mostafa Mahfuzul Anwar
Keyword(s):  
Parapharyngeal Space ◽  
Neck Surgery ◽  
Surgical Approaches ◽  
Benign Tumors ◽  
College Hospital ◽  
Anatomical Structures ◽  
Neurogenic Tumors ◽  
Medical College ◽  
Parapharyngeal Space Tumors ◽  
Head Neck Surgery

Methods: Tumors originating in the parapharyngeal space are uncommon. During the period of January 1999 to December 2008. Among them 34 patients underwent surgery for parapharyngeal space tumors at the Department of Otolaryngology and Head Neck Surgery, Chittagong Medical College Hospital. Results: Ninety one percent of the parapharyngeal space neoplasms were benign; 9% were malignant. Majority of the benign tumors were salivary gland origin followed by neurogenic tumors. The use of FNAC, computed tomography scan and ultrasound imaging are very useful to assess the location, size, vascularity, tissue origin and relation of parapharyngeal space tumors to surrounding anatomical structures. Conclusion: This information was essential in planning surgical approaches and predicting the prognosis. Details of the management, morbidity, and outcome of these patients were presented. Key words: Tumor; Parapharyngeal space. DOI: 10.3329/bjo.v17i1.7626 Bangladesh J Otorhinolaryngol 2011; 17(1): 36-41

scholarly journals Hypocalcaemic Tetany After Total Thyroidectomy

2016 ◽  
Vol 10 (2) ◽  
pp. 59-62
Author(s):  
Nripendra Nath Biswas ◽  
Wazir Ahmed Chaudhury ◽  
Jahangir Alam Khan ◽  
Akhil Chandra Biswas ◽  
Khan Mohammad Arif ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Thyroid Function Test ◽  
Neck Surgery ◽  
Time Interval ◽  
College Hospital ◽  
Medical College ◽  
Post Operative Period ◽  
Function Test ◽  
Head Neck Surgery ◽  
Head Neck

Hypocalcaemic tetany is one the commonest complication after total thyroidectomy. It may cause significant morbidity. Early detection and treatment have better out come. The main objective of the study is to find the incidence of hypcalcaemic tetany in post operative period after total thyroidectomy and average interval period of hypocalcaemia following surgery. This was an observational study conducted in the department of Otolaryngology & head-Neck Surgery Sylhet M.A.G. Osmani Medical College Hospital during 1st January 2006 to 31st December 2007. Pre-operative routine investigation, Thyroid Function test, Ultrasonography thyroid gland and cytological evaluation by FNAC were done in all patients. Ten patient developed hypocalcaemia after surgery. Among them only one suffered from permanent hypocalcaemia. Most of the patient developed symptoms about 48 hours after surgery. The Incidence and time interval of development of hypocalcaemic tetany after total thyroidectomy found in the series fully coincides with the results of other researchers globally.Faridpur Med. Coll. J. Jul 2015;10(2): 59-62

scholarly journals Socio-demographic Status & Associated Risk Factors of the Stroke Patient's in a Tertiary Care Hospital of Bangladesh

2013 ◽  
Vol 4 (2) ◽  
pp. 18-22 ◽  
Author(s):  
Mahmudur Rahman Siddiqui ◽  
Quazi Tarikul Islam ◽  
Md. Jabed Iqbal ◽  
Sumaiya Sultana Binte-Mosharraf
Keyword(s):  
Risk Factors ◽  
Acute Stroke ◽  
Low Income ◽  
Demographic Data ◽  
Tertiary Care ◽  
Income Group ◽  
Care Hospital ◽  
Stroke Patients ◽  
College Hospital ◽  
Medical College

Stroke is the most common neurological emergency. A total number of 100 randomly selected, clinically and CT proven acute stroke patients were studied at medicine units of Dhaka Medical College Hospital. Socio-demographic data and major risk factors or co-morbid conditions among acute stroke patient were identified and correlated. Out of 100 patients 29% were in between 51- 60 years age group & 72% were male and 28% were female patients. In this series 24% were illiterate. Of the literate group 39% went to primary school, 20% completed SSC, 8% completed HSC, 5% completed graduation and only 4% completed post-graduation. Majority of the patients were unemployed (22%). Other was businessman (20%), housewife (19%) and cultivator (16%). 63% percentage of the patients from low income group, which was followed by middle income group (33%). Majority 53% patients had Ischaemic stroke, 45% Intracerebral haemorrhage (ICH) and only 2% had Subarachnoid haemorrhage (SAH). 77% of patient had history of hypertension, 22% Diabetes mellitus, 20% Dyslipidaemia, 13% Previous Stroke, 27% Ischaemic heart disease. Out of 77 hypertensive stroke patients 37(48.05%) had haemorrhagic stroke & 40(51.94%) had ischemic stroke. Anwer Khan Modern Medical College Journal Vol. 4, No. 2: July 2013, Pages 18-22 DOI: http://dx.doi.org/10.3329/akmmcj.v4i2.16920

scholarly journals Prevalence of ocular disorders with seasonal variations in Tertiary Care Hospital in South Punjab.

2020 ◽  
Vol 27 (08) ◽  
pp. 1675-1679
Author(s):  
Jamila Anwar ◽  
Muhammad Luqman Ali Bahoo ◽  
Faisal Ali ◽  
Kanwal Ijaz
Keyword(s):  
Teaching Hospital ◽  
Seasonal Variations ◽  
Tertiary Care Hospital ◽  
Demographic Data ◽  
Tertiary Care ◽  
Care Hospital ◽  
Medical College ◽  
Ocular Disorders ◽  
Ocular Morbidity ◽  
Study Setting

Objectives: To observe the Prevalence of Ocular Disorders with seasonal variations in South Punjab. Study Design: Observational descriptive study. Setting: Ophthalmology Department of Shahida Islam Teaching Hospital affiliated with Shahida Islam Medical College Lodhran, a tertiary care Hospital in south Punjab. Period: January 2018 to December 2018. Material & Method: The case records of all consecutive patients seen at the outpatient department (OPD) of Shahida Islam Teaching Hospital, Lodhran from January 2018 to December 2018 were retrieved. The demographic data such as age and sex of the patients were noted. The patient data were collected from the OPD registers at the clinics and analyzed retrospectively. Results: A total of 14398 patients were examined out of which male were 46.3% and female were 53.7%. Ocular examination revealed that out of 14398 patients most common ocular morbidity is refractory errors followed by conjunctiva diseases and then lenticular disorders. Conclusion: Majority of ocular morbidity were either preventable or treatable. If detection is early in the course, prevalence of ocular morbidity can be greatly reduced.

scholarly journals Paediatric COVID-19: Review of Hospital Experiences and Impact on Child Health Services in Bangladesh

2021 ◽  
Vol 27 (1) ◽  
pp. 46-55
Author(s):  
Manzoor Hussain ◽  
Mohammad Abdullah Al Mamun ◽  
Sayeeda Anwar ◽  
Nazma Begum ◽  
Abu Sayeed Chowdhury ◽  
...  
Keyword(s):  
Child Health ◽  
Hospital Admission ◽  
Child Mortality ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Routine Immunization ◽  
College Hospital ◽  
Medical College ◽  
Paediatric Patients ◽  
Tertiary Care Hospitals

Previous studies suggested that COVID-19 is more likely to infect older adults, particularly those with chronic comorbidities. However in Bangladesh, paediatric patients are on the rise. Three percent of children less than 10 years were identified as having COVID-19 infection. Though over 90% of the cases were mild or moderate in nature but many of them required hospital admission. So it appeared that local situation in Bangladesh seems to be different. This study was carried out to find out hospital experiences and impact of COVID-19 in child health in Bangladesh. Data were collected from three tertiary care hospitals of Bangladesh dealing majority of COVID-19 infected children. The hospitals were Dhaka Shishu (Children) Hospital, Dhaka Medical College Hospital and Mugda Medical College Hospital.  As COVID-19 outbreak also adversely affecting different services among the children of Bangladesh, review was done to evaluate essential health delivery services especially routine immunization. Total 422 children were included from three tertiary care hospitals. They were predominantly male. Children of all age groups were infected. Significant numbers of children were admitted with moderate to severe illness (moderate 42.89%, severe 35.78% and critical 16.11%) with some casualties (mortality 4.27%).  Routine immunization has already been hampered and threatened a significant increase in child mortality due to Vaccine Preventable Disease (VPD) in coming days. Paediatric patients were on the rise and unfortunately we noticed large number of hospital admission and some casualties already. Essential health care services should be preserved to prevent avoidable losses of child lives during the COVID-19 pandemic and to protect progress in reducing child mortality achieved over recent years. 

scholarly journals Comprehensive Overview of 473 Cases of COVID-19: Outcome Experiences of a Dedicated Hospital in Dhaka, Bangladesh

2021 ◽  
pp. 39-45
Author(s):  
Perveen RA ◽  
Nasir M ◽  
Ferdous J ◽  
Murshed M ◽  
Nazneen R ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Demographic Data ◽  
Tertiary Care ◽  
Nasopharyngeal Swab ◽  
Care Hospital ◽  
Rt Pcr ◽  
Comprehensive Overview ◽  
College Hospital ◽  
Medical College ◽  
Severe Group

Aim: The study aimed to observe and compare the demographic, comorbidities, biomarkers in different categories of diagnosed COVID-19 patients admitted to a COVID dedicated tertiary care hospital in the pic time of the pandemic, 2020, at Dhaka, Bangladesh. Methods: This retrospective study was conducted from May to September 2020 in 720 bed Holy Family Red Crescent Medical College Hospital. Four hundred seventy-three patients included in this study, diagnosed by RT-PCR of the nasopharyngeal swab, were divided into four groups. The mild group includes 254 patients, the moderate group has 82 patients, 38 patents in the severe group, and the critical group who were admitted to ICU, 99 patients. Demographic data, available investigation reports of individual patients, obtained from hospital records manually and compared between all four different categories of patients.

scholarly journals Frequency of Malignancy in Multinodular Goiter in a Tertiary Level Hospital in Bangladesh.

2019 ◽  
Vol 10 (05) ◽  
pp. 20737-20740
Author(s):  
Md Shazibur Rashid ◽  
Najnin Akter ◽  
Jahangir Alam Majumder ◽  
AHM Delwar ◽  
Md Golam Mustafa
Keyword(s):  
Multinodular Goiter ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Thyroid Malignancy ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Level Hospital ◽  
Head Neck Surgery

Objectives: To determine the frequency of thyroid malignancy in clinically or zoographically multinodular goiter in patients undergoing thyroidectomy in Cumilla Medical College Hospital, Bangladesh. Methods: A cross sectional study was carried out at the department of Otolaryngology and Head Neck Surgery of Cumilla Medical College Hospital during the period from January 2016 to January 2019. This study includes all patients admitted and undergoing surgery with multinodular goiter. Results: Out of 146 patients 118 patients were female and 28 patients were male with female male ratio is 4.2:1. Out of 146 patients 13 patients were found histologically thyroid malignancy. Among them 8 patients were male and 5 patients were female. Papillary carcinoma was found in all cases.

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