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 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

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 A Study on Hypcrcalcaemia in Patients with Bronchial Carcinoma: At a Tertiary Level Hospital

2009 ◽  
Vol 22 (2) ◽  
pp. 245-247
Author(s):  
I Mahmood ◽  
MK Rahman ◽  
MA Haque ◽  
MMR Khan ◽  
MMH Chowdhury ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Bronchial Carcinoma ◽  
Tertiary Level ◽  
College Hospital ◽  
Medicine Department ◽  
Common Features ◽  
Medical College ◽  
Level Hospital

Bronchial carcinomas often present with some paraneoplastic features which may present even before the offending tumor has been detected. Hypercalcaemia is one of the most common paraneoplastic sypmtoms. In this prospective cohort study attempts has been made to demonstrate the incidence and pattern of hypercalcaemia in bronchial cancers. The study was undertaken at the Medicine Department of Rajshahi Medical College Hospital, Rajshahi in between July, 2009 to December 2009. In this study hypercalcaemia was found i_n 30.76% cases with anorexia, dyspepsia, nausea, polyuria, polydipsia and constipation being most common features related to it.TAJ 2009; 22(1): 245-247

scholarly journals Tuberculosis of Breast - a study of 54 cases in a tertiary level hospital in Bangladesh

2015 ◽  
Vol 22 (2) ◽  
pp. 185-187
Author(s):  
Arif Salam Khan ◽  
Hafiz Ahmed Nazmul Hakim ◽  
Iffat Sultana ◽  
Debesh Chandra Talukdar ◽  
Md Rafiqul Islam ◽  
...  
Keyword(s):  
Drug Combination ◽  
Histopathological Examination ◽  
Outpatient Department ◽  
Breast Diseases ◽  
Tertiary Level ◽  
College Hospital ◽  
Medical College ◽  
Breast Lumps ◽  
Anti Tubercular Therapy ◽  
Level Hospital

Fifty four cases of histopathologically or cytopathologically confirmed tuberculosis of the breast were found during a period of 3 years in surgery outpatient department of Dhaka Medical College Hospital, Dhaka, which was accountable for 2.42% of all breast diseases. All the patients were female. Most of the cases were in third and fourth decades. Among them, 3 patients were lactating and 1was pregnant. Diagnosis was suspected clinically on the basis of lump or lumpiness and/or solitary or multiple chronic discharging sinuses in the breast or axilla. Breast lumps in 33 cases simulated carcinoma. Histopathological examination was done to establish the nature of the pathology. All patients were treated with four drug combination (4FDC) anti tubercular therapy for 12 months. However, forty patients required some forms of surgery DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21539 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 185-187

scholarly journals Practice of contraceptive methods among the outdoor patients in a tertiary level hospital

Mediscope ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 113-116
Author(s):  
Serajul Islam ◽  
Sanjoy Saha ◽  
Khan Shakil Ahmed ◽  
Mir Moyeedul Islam ◽  
Susmita Nargis ◽  
...  
Keyword(s):  
Contraceptive Method ◽  
Unmet Need ◽  
Married Women ◽  
Acceptance Rate ◽  
Medical College Hospital ◽  
Tertiary Level ◽  
Contraceptive Methods ◽  
College Hospital ◽  
Medical College ◽  
Level Hospital

The study to determine the practice contraceptive method among married women attended in the out-door patients in Ad-din Sakina Women’s Medical College Hospital from 2nd November to 12th November in 2015. Nine hundred thirty five married women were interview on practice of contraceptive methods. Result shows highest number of choice among the respondents was oral pill, followed by condom, injection, IUCD. Through, contraceptive methods acceptance rate is increased still unmet need for contraceptive method was present. The country should come forward to face the challenges to safe country from disaster of over population. Mediscope Vol. 7, No. 2: July 2020, Page 113-116

scholarly journals Emergency Tracheostomy in a Tertiary Level Hospital in Bangladesh: Indications and Complications

2020 ◽  
Vol 22 (2) ◽  
pp. 96-101
Author(s):  
Md Nazmul Islam ◽  
Mohammad Mamun Siddiqui ◽  
Sabrina Hossain ◽  
Anup Kumar Chowdhury ◽  
Mohammad Shahariar Arafat ◽  
...  
Keyword(s):  
Road Traffic ◽  
Emergency Operation ◽  
Neck Surgery ◽  
Laryngeal Edema ◽  
Tertiary Level ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
Level Hospital

Objective: To see the common indications, pattern of complications (during and post operative) of emergency tracheostomy in the tertiary level hospital in Bangladesh. It also gives the idea for minimizing the complications. Methods: This cross sectional study was carried out in the Department of Otolaryngology & Head- Neck surgery of Dhaka Medical College Hospital, Dhaka, from 14th April 2015 to 14th October 2015. This study includes all emergency patients irrespective of age and sex whose tracheostomy was done in emergency operation theatre of ENT department of Dhaka Medical College and Hospital. Results: The study reveals that the commonest indications of emergency tracheostomy were diagnosed case of carcinoma of larynx & base of tongue (30%) followed by post-irradiated carcinoma larynx (24%). Next common indications were stridor in undiagnosed case (18%), difficulty in intubation during surgery (10%), history of road traffic accident (6%), cut throat injury (6%), foreign body in throat (2%), laryngeal edema and blunt trauma in neck (2%) respectively. Commonest complications during the procedure were apnoea (12%), haemorrhage (18%), injury to surrounding structure (10%), cardiac arrest (4%) & respiratory arrest (2%). Common complications in early post operative period were surgical emphysema (10%), crusting or blockage (4%), tube dislodgement (4%), &stomal infection (2%). Late post operative complications were stomal granulation tissue (4%), pneumonia (2%), stomal infection (2%), tracheocutaneous fistula (2%), & tracheomalasia (2%). Bangladesh J Otorhinolaryngol; October 2016; 22(2): 96-101

scholarly journals The Hayman Technique: A Simple Method to Treat Postpartum Hemorrhage due to Placenta Praevia

2018 ◽  
Vol 30 (1) ◽  
pp. 66-69
Author(s):  
Shahela Jesmin ◽  
Nishat Anam Borna ◽  
Mosammat Nargis Shamima ◽  
Iftekhar Md Kudrate E Khuda ◽  
Shahin Mahmuda
Keyword(s):  
Postpartum Haemorrhage ◽  
Uterine Cavity ◽  
Placenta Praevia ◽  
Artery Ligation ◽  
College Hospital ◽  
Cross Sectional ◽  
Simple Method ◽  
Medical College ◽  
Compression Suture ◽  
Level Hospital

Aim: To assess effectiveness of Hayman suture to control postpartum haemorrhage due to placenta praevia during caesarean sectionMethods: It is a cross sectional observational study performed in Rajshahi Medical College Hospital, tertiary level hospital, from January 2016 to December 2016. It included 32 patients with PPH following placenta praevia during elective& emergency caesarean section (C/S). All 32 patients underwent horizontal compression suture (bilateral anteroposterior compression) of lower uterine segment. Vicryl 0 tapercut needle was used. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.Results Hayman suture was applied in 32 cases. In 27 cases Hayman suture was the only intervention. Hayman with uterine artery ligation required in 2 cases. In 1 patient along with Hayman B-lynch compression suture was given and 2 patients required total hysterectomy.Conclusion: The quick and simple Hayman technique seems to be effective, safe, lifesaving method in stopping hemorrhage due to placenta praevia.TAJ 2017; 30(1): 66-69

scholarly journals A cross sectional study to assess the operationalization of national tobacco control program in a tertiary level hospital of central India

2018 ◽  
Vol 6 (1) ◽  
pp. 119
Author(s):  
Rupali Saroshe ◽  
Satish Saroshe ◽  
Sanjay Dixit
Keyword(s):  
Health Care ◽  
Tobacco Control ◽  
Health Effects ◽  
Service Providers ◽  
Medical College Hospital ◽  
Health Care Personnel ◽  
Family Welfare ◽  
Tertiary Level ◽  
College Hospital ◽  
Medical College

Background: To implement the Anti- Tobacco laws and to sensitize all stakeholders, The National Tobacco Control Programme (NTCP) was launched by the Ministry of Health and Family Welfare (MoHFW), Government of India in 2007- 08, during the 11th five year plan. This study aims to identify the level of the awareness of ill health effects of tobacco, the basic tenets of NTCP and COTPA among the hospital staff of the tertiary level medical college hospital (M.Y Hospital Indore) involved in the process.Methods: An analytical study. Was carried out in tertiary level medical college hospital among service providers involved in anti-tobacco cell using inter-personal interview of the service providers (Medical Officers, Staff Nurses, Health Care Personnel) using pre-designed pretested semi structured questionnaire based on the salient features of NTCP and provisions of COTPA- cigarettes and other tobacco products act, 2003.Results: Regarding the ill health effects of tobacco doctors had slightly better knowledge awareness than nurses. However, it was ironical that nurses had a slightly better awareness when it comes to NTCP. Doctors were better aware of new COTPA guidelines as compared to nurses. Thus, nurses had less knowledge about ill effects of tobacco consumption and new COTPA guidelines as compared to doctors.Conclusions: Although most of the health care personnel involved in operationalization of NTCP are aware of the basic tenets of NTCP, COTPA and ill health effects of tobacco there is a dire need of the refresher training of both the doctors and the nurses. Also this type of the present study should be contemplated on multi-centric basis on a larger scale for better data results. 

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 Tracheostomy at a tertiary level hospital in Bangladesh: any change in pattern?

2017 ◽  
Vol 25 (1) ◽  
pp. 67-71
Author(s):  
Debesh Chandra Talukdar ◽  
Mashuque Mahamud ◽  
Sharfuddin Mahmud ◽  
Md Shaikhul Islam ◽  
DGM Akaiduzzaman ◽  
...  
Keyword(s):  
Demographic Data ◽  
Age Groups ◽  
Upper Airway ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Female Ratio ◽  
Prolonged Intubation ◽  
Medical College ◽  
Emergency Tracheostomy ◽  
Level Hospital

Objective: This study was conducted on tracheostomy to find out the different indications and complications occured at the tertiary level hospital in Bangladesh. Study design: Cross-sectional observational study.Place and Duration: This study was conducted at the department of Otolaryngology & Head Neck surgery and department of ICU, Sir Salimullah Medical College Mitford Hospital, Dhaka & DMCH over one year from January 2014 to December 2014.Methodology: 55 tracheostomy operation were performed in both genders and all age groups either in emergency situations or within an elective environment. All the patients were registered with a definite protocol by filling a pre designed proforma equipped with demographic data, details of present illness mirroring the indication for the procedure, relevant physical examination & investigations, details of the surgical procedure of tracheostomy and postoperative follow up with note of any attendant complications described as immediate, early and late postoperative.Results: Mean age of this study was 40.09 years and male female ratio iwas 3.2: 1. 30(54.54%) patients underwent emergency tracheostomy and 25(45.46%) underwent tracheostomy electively. The commonest indications were laryngeal & hypopharyngeal malignancies which affected 28(50.9%) patients. The overall rate of complications was 25.45%. These were 4(28.57%) immediate post operative, 8(57.14%) early post operative and 2(3.63%) late post operative. Out of overall 14 complications, 11(36.66%) complications occurred in 40 patients who underwent tracheostomy in emergency and 3(12%) complications occurred in 25 patients who underwent tracheostomy electively.Conclusion: Upper airway obstruction due to laryngeal and hypopharyngal carcinoma still remains the most common indication for tracheostomy in our centre but prolonged intubation as an indication for tracheostomy is evolving based on recent improvement in the facilities available at our ICU.J Dhaka Medical College, Vol. 25, No.1, April, 2016, Page 67-71

Sign in / Sign up

Export Citation Format

Share Document