scholarly journals Accidental childhood poisoning in Paediatrics department of a tertiary care facility: A retrospective review

2020 ◽  
Vol 47 (3) ◽  
Author(s):  
D.C. Obu ◽  
M.C. Orji ◽  
U.V. Muoneke ◽  
U.V. Asiegbu ◽  
G.O. Ezegbe
Keyword(s):  
Tertiary Care ◽  
Care Facility ◽  
Accidental Poisoning ◽  
Female Ratio ◽  
The Public ◽  
Tertiary Care Facility ◽  
Childhood Poisoning ◽  
The Mean ◽  
The Relationship ◽  
Male To Female

Background: Accidental childhood poisoning is a recognized preventable cause of morbidity and mortality among children worldwide. This studywas aimed at determining the prevalence, pattern, and outcome of childhood poisoning among children in Abakaliki, Ebonyi State. Material and Methods: Medical records of all cases of accidental childhood poisoning admitted into Children’s emergency room (CHER) of the health facility of study between January 2014 and December 2018 were retrospectively identified and relevant data extracted and analyzed usingSPSS version 22. Results: Out of the 7,700 children that presented to CHER over a 5- year period, 42 were cases of poisoning, giving prevalence rate of 0.5%. Of the 42 cases, only 20 case notes were retrieved. The male to female ratio was 2.3:1 while the ages ranged between 6months and 14 years with the mean age of 3.06±2.88. Kerosene poisoning had the highest proportion of 50.0% (10/20) with the overall mortality rate of 5.0% (1/20).The relationship between age, place of residence and outcome in poisoned children was statistically significant (p = 0.038, 0.045 respectively). Conclusion: Accidental childhood poisoning is common in Abakaliki. Kerosene still remained the major agent while male toddlers were most  vulnerable. There is need to intensify enlightenment campaigns and education of the public about the hazard of improper storage of kerosene and other implicated substances at home. Keywords: Accidental poisoning, Childhood, Kerosene

scholarly journals Clinical Spectrum and Neuroimaging Changes in Neurodegenerative Disorder-Experiences in Tertiary Care Hospital of Bangladesh

2021 ◽  
Vol 2 (6) ◽  
pp. 10-14
Author(s):  
Gopen Kumar Kundu ◽  
Rumana Islam ◽  
Noor E-Sabah ◽  
ABM Mukib
Keyword(s):  
Neurodegenerative Diseases ◽  
Tertiary Care Hospital ◽  
Neurodegenerative Disorder ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Care Hospital ◽  
Female Ratio ◽  
History Of ◽  
The Mean ◽  
Male To Female

Neurodegenerative diseases (NDD) are a heterogeneous group of disorders characterized by progressive loss of previously acquired skills that are of varied etiology, clinical manifestations, and natural course. There is a paucity of data on clinical profile of neurodegenerative diseases in our population. We conducted a retrospective study with 68 diagnosed cases of NDD at a tertiary care hospital in Bangladesh. Among them, more than one-third of children were in 1-5 years age group. The mean age was 10.2±3.1 year and male to female ratio was 2:1. Fifty percent of cases had a history of consanguineous parents. Leukodystrophy was most common (30.88%) among NDDs, followed by Wilson disease (26.47), SSPE (22.1%), and Degenerative Ataxia (20.59%). Motor skill regression was the most common presentation (97%), followed by speech regression in 91% and Gait disorder in 83% of children. Seizure was presenting features in 24% of children. Neuroimaging abnormalities were found in 80.88% NDD cases. Among them white matter hyper intensity in 29.41%, cerabeller atrophy in 13.25 %, and cerebral atropy in 11.76% of children. Eye changes were found in about two-thirds (69.12%) of cases of NDD. Among them, optic atrophy was found in 29.41%, and KF rings in 25.00% of cases.

Nurse-Led Neonatal Follow-Up Clinic: A New Emerging Concept in a Developing Country

2020 ◽  
Vol 34 (1-2) ◽  
pp. 19-23
Author(s):  
Poonam Joshi ◽  
Bindu Sarojini ◽  
Meena Joshi ◽  
Anu Thukral
Keyword(s):  
Developing Countries ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Newborn Care ◽  
Care Facility ◽  
Essential Newborn Care ◽  
Tertiary Care Facility ◽  
Neonatal Assessment ◽  
The Mean

Objective: To investigate the feasibility and acceptance of nurse-led neonatal follow-up clinic (NLNFC) in a tertiary care facility. Materials and Methods: In a prospective observational study, total 105 stable mother-neonate dyads were independently followed up in both nurse led and neonatologist run follow-up clinics. The outcome was measured in terms of agreement between the nurse and neonatologist in the domains of neonatal assessment, counselling mothers on essential newborn care (ENC) and giving advice ( P < 0.05) and mothers’ acceptability for NLNFC. Results: Agreement between the trained neonatal nurse and neonatologist varied between 87 and 100%. The most unanimity was observed in neonatal assessment and counselling on ENC (93.3%-100%) followed by prescribing treatment (87%). The mean acceptability scores of the mothers for NLNFC was 33.13 ± 2.6 (25-35, maximum possible score 35). Conclusion: Establishing NLNFCs in developing countries is feasible. Nurses can be entrusted with the responsibility of following up stable neonates here and mothers will surely be satisfied with this type of clinic.

scholarly journals WILSON’S DISEASE

2015 ◽  
Vol 22 (12) ◽  
pp. 1586-1590
Author(s):  
Sunil Kumar ◽  
Awais Bashir ◽  
Raheel Ahmed
Keyword(s):  
Wilson’S Disease ◽  
Tertiary Care ◽  
Care Facility ◽  
Wilson's Disease ◽  
P Value ◽  
Chi Square ◽  
Female Ratio ◽  
Male Predominance ◽  
Tertiary Care Facility ◽  
Chi Square Test

Objectives: To determine the frequency of various neurological manifestationsof Wilson’s disease in patients presenting to tertiary care facility. Study design: Cross sectionalstudy. Setting: Neurology ward, JPMC, Karachi. Period: 14-03-2012 to 13-09-2012. Patientsand Methods: A total of 150 diagnosed patients of Wilson’s disease between the age 15 and55 years were recruited. Structured questionnaire was used to collect the data regardingneurological manifestations of Wilson’s disease along with slit lamp examination for kayser-Fleischer rings. Data were entered and analyzed in SPSS version 17. Chi-Square test was usedas test of significance. Results: Mean age + S.D of patients was 38.7 + 8.23 years. Most of thepatients (42%) belongs to age between 41 to 50 years. Male to female ratio was 2:1. Tremorwas the most common neurological manifestation (88.7%) followed by dysarthria in 77.3%,dystonia was present in 59.3%, chorea in 36%, and Parkinsonism in 28.7%. All patients hadthe Kayser-Fleischer ring positive. Upon stratification of gender, tremor & dysarthria were morecommon in males as compared to females. Only dysarthria was significantly noted to increasewith increasing age up to 5th decade of life and decreased after age of 51 years. (P value< 0.001). Conclusion: Neurologic manifestations are very common in patients of Wilson’sdisease, tremor being the most common with male predominance.

scholarly journals On the fecundity and sex-ratio of Botia Dario (Hamilton) (Cypriniformes : Cobitidae)

1970 ◽  
Vol 26 ◽  
pp. 27-29 ◽  
Author(s):  
M Afzal Hussain ◽  
Mst Rehana Khatun ◽  
M Altaf Hossain
Keyword(s):  
Body Weight ◽  
Sex Ratio ◽  
Standard Length ◽  
Female Ratio ◽  
Ovary Weight ◽  
Total Length ◽  
Length Standard ◽  
The Mean ◽  
The Relationship ◽  
Male To Female

A total of 1183 Botia Dario (Hamilton) samples were collected from Rajshahi (Shaheb Bazar, Binodpur Bazar, Talaimari Bazar, Kazla Bazar and Godagari) during the period from January, 2002 to August, 2003 to study the fecundity, sex-ratio, relationship between fecundity and total length, standard length, body weight, ovary length as well as ovary weight. The mean fecundity was calculated as 31833.50±10313.42 with a range of 5245 to 53754 in fishes ranging in total length from 96 mm to 135 mm (mean 115.50±12.11 mm) and in body weight from 14.51 g to 43.29 g (mean 29.71±6.91 g). The relationship between the fecundity (F) and total length (TL), standard length (SL), body weight (BW), ovary length (OL) and ovary weight (OW) were found to be linear with the ‘r’ values 0.94, 0.94, 0.95, 0.92 and 0.98, respectively. The ovum diameter ranged from 0.3 to 0.72 mm and the mean diameter was calculated as 0.518±0.06 mm. The male to female ratio was 1:0.61. Key words: Botia dario, fecundity, sex-ratio. Univ. j. zool. Rajshahi Univ. Vol. 26, 2007. pp. 27-29

Postoperative Hemorrhage after Endoscopic Sinus Surgery

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P80-P80
Author(s):  
Troy D. Woodard ◽  
James A Stankiewicz
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Tertiary Care ◽  
Care Facility ◽  
Postoperative Hemorrhage ◽  
Sinus Surgery ◽  
Complication Rates ◽  
Tertiary Care Facility ◽  
Significant Difference ◽  
Extent Of Surgery ◽  
The Mean

Objective 1) Identify complication rates of patients that underwent endoscopic sinus surgery and developed postoperative hemorrhage. 2) Determine if there is a correlation of preoperative variables with the development of this complication. Methods Retrospectively review patients who had functional endoscopic sinus surgery and developed postoperative hemorrhage from 1987 to 2007 in an university tertiary care facility. Analyze baseline characteristics and preoperative clinical variables for significant correlations. Results 29 of 5000 endoscopic cases resulted in postoperative hemorrhage (.58% complication rate). The mean age of the patients was 50 years old and there were equal proportions of male and female patients. While the extent of surgery demonstrated no significant difference among the patients, hemorrhage was most likely to occur in patients with previous surgery. An overwhelming majority of patients required a surgical procedure to control the bleeding. Hemorrhage was primarily isolated on the patient's right side and involved the sphenopalatine or posterior septal arteries. Conclusions Endoscopic sinus surgery has vastly increased in popularity. However, there still is a paucity of information in the literature on complications associated with endoscopic sinus surgery, particularly postoperative hemorrhage. The results from this study provide identifying characteristics that predispose patients to develop this complication and what methods can be successfully utilized to treat this complication.

scholarly journals Clinical and Socio-Demographic Pattern of Beta Thalassaemia in Bangladesh

2020 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Adnan Hasan Masud ◽  
Md. Kamrul Hasan ◽  
Saradindu Kanti Sinha ◽  
Kazi Mohammad Kamrul Islam ◽  
Md. Jalilur Rahman
Keyword(s):  
Tertiary Care ◽  
Cross Sectional ◽  
Female Ratio ◽  
Beta Thalassaemia ◽  
The Mean ◽  
Almost All ◽  
Hb Concentration ◽  
Medical University ◽  
Tertiary Care Hospitals ◽  
Male To Female

Beta thalassaemia is one of the most prevalent haemolytic disorders worldwide which poses serious economic burden to the society. Study on clinical and demographic pattern of this disorder will help the concern authorities to figure out the problem. This cross-sectional descriptive study was carried out to determine the socio-demographic and clinical characteristics as well as to find out the existence of other co-morbidities among the ?-thalassaemic patients (n-101). The study was carried out at the Department of Haematology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from June 2010 to January 2011. Data were collected from 3 tertiary care hospitals of Dhaka city. Almost all the patients were young, age ranged from 10 to 32 years with the mean age of 16. Male to female ratio was almost equal (52.5:47.5) and 80% of the respondents were Muslims. Forty-five (45%) percent of patients were illiterate and 37% respondents had primary education only. Almost 90% were unmarried and majority had a family of 6-8 members. Forty-seven percent (47%) of patients had monthly income 5000-7000 BDT and 56% of the respondents were unemployed. The major clinical features were pallor (72.3%), palpitation (60%), and breathlessness (52.5%). The haemoglobin (Hb) concentration ranged from 7gm/dl to 12gm/dl and 57% patients had an Hb concentration of 8 gm/dl. Sixty percent of the respondents had jaundice with majority had enlarged spleen (86%) and some had enlarged liver too (23%). Ninety percent (90%) respondents had co-morbidities among which arrhythmia is more prevalent (54%).

scholarly journals Frequency of paediatric facial trauma in a tertiary care dental hospital

2017 ◽  
Vol 5 (1) ◽  
pp. 310 ◽  
Author(s):  
Muhammad Athar Khan ◽  
Muhammad Ishfaq ◽  
Mobeen Akhtar ◽  
Sadiq Amin Ahmed Rana ◽  
Muhammad Kashif
Keyword(s):  
Tertiary Care ◽  
Facial Trauma ◽  
Facial Fracture ◽  
Facial Bones ◽  
Female Ratio ◽  
Dental Hospital ◽  
The Mean ◽  
Upper Third ◽  
Male To Female ◽  
Written Informed Consent

Background: The objective of the study was to determine the frequency of various patterns of pediatric facial trauma in the patients attending a tertiary care hospital.Methods: After written informed consent, 191 cases were taken using non- probability purposive sampling. Demographic profile (age, gender, address) was taken. Diagnoses of the distribution of facial fracture were made with help of history, clinical and radiological examination, plain radiographs, OPG (Orthopantomogram), Occipitomental, PA view of face and CT scan, according to the requirement. Pattern of facial trauma i.e. upper third of face (frontal bone, orbital bone), mid facial bones (Maxilla, Zygomatic, NOE noso-orbito-ethmodial complex), dentoalveolar and mandible was noted on the proforma attached. Data was entered and analysed using SPSS 20.0.Results: The mean age of the patients was 6.50±3.72 years. In this study, 112 (58.63%) were males and 79 (41.37%) were females. So, the male to female ratio were 1.41:1. The mandible was the most commonly fractured bone 58 (30.36%) followed by dentoalveolar, maxilla, zygomatic, NOE complex, orbital and frontal bones fractures.Conclusions: Mandible is the most prone to fracture in paediatric patients.

scholarly journals P1227SURVIVAL OF PATIENTS TRANSFERRED FROM HEMODIALYSIS (HD) TO CHRONIC AMBULATORY PERITONEAL DIALYSIS (CAPD) DUE TO POOR ARTERIOVENOUS (AV) ACCESS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Ahad Qayyum
Keyword(s):  
Peritoneal Dialysis ◽  
Tertiary Care ◽  
Care Facility ◽  
Rest Period ◽  
Peritoneal Dialysis Catheter ◽  
Poor Patient ◽  
Tertiary Care Facility ◽  
First Choice ◽  
The Mean ◽  
Chronic Ambulatory Peritoneal Dialysis

Abstract Background and Aims This study was carried out to ascertain the 6 month survival of patients who were transferred from hemodialysis to peritoneal dialysis due to poor vascular access at tertiary care facility in Pakistan. PD remains an under-utilized and unpopular modality of renal replacement therapy. One of the major reasons for its unpopularity remains poor patient selection. Furthermore PD is used as a last resort when AV access for HD becomes impossible in Pakistan. Method This study was carried out over a 4 year period. All patients transferred from hemodialysis onto peritoneal dialysis were included in the study. A total of 23 patients of Pakistani decent were switched to peritoneal dialysis from hemodialysis because of poor AV access. All patients included in the study had undergone venograms and consultation with vascular surgeons to confirm that AV access henceforth was inadequate for hemodialysis to continue. After placement of the peritoneal dialysis catheter a 2 week rest period was given to each patient before CAPD was initiated. The 6 month survival of each patient from the point of being transferred to CAPD was noted. Results The mean age of patients included in the study was 58 years. 80% of the participants were known to have diabetes mellitus. 15 out of the 23 patients included in the study died within 6 months of starting peritoneal dialysis. 12 out of the 23 patients included had difficulties in achieving either required ultrafiltration or KT/V despite ensuring correct catheter placement and following standard CAPD good practices. Conclusion Patients being switched from hemodialysis to CAPD due to poor AV access carry a greater than 50% 6 month mortality rate. In a country where PD struggles to gain popularity, we need to be very selective in starting patients on this modality with a realization that PD cannot be kept as a last resort rather should be advocated as the first choice therapy. Only then can the true benefits of PD be exhibited.

scholarly journals Clinical profile and outcomes of childhood poisoning

2017 ◽  
Vol 10 (4) ◽  
pp. 264
Author(s):  
Farzana Ahmed ◽  
Md. Masudur Rahman ◽  
Muhammad Tawfiq
Keyword(s):  
Acute Poisoning ◽  
Accidental Poisoning ◽  
Age Group ◽  
Urban Background ◽  
Female Ratio ◽  
Childhood Poisoning ◽  
Poisoning In Children ◽  
Age Range ◽  
Male To Female ◽  
Accidental Introduction

<p class="Abstract">The patterns of accidental poisoning in children usually differ from country to country and from one region to another within the same country. This retrospective study was performed from January 2012 to December 2014 to determine the trends of childhood poisoning in urban area of Bangladesh. A total of 32 cases were analyzed completely; intention of poisoning was classified as accidental, suicidal and homicidal. The commonest age range for accidental poisoning was 1-5 years (64.7%). Suicidal poisoning was prevalent among mid adolescence group. The overall male to female ratio was 1:1; in case of accidental poisoning male to female ratio among preschooler was 2.66:1. All the patients were from urban background and drug overdose was the commonest cause of poisoning. Accidental poisoning was found in 53% of patients, suicidal 41% and homicidal 6% cases. The mortality was 3%. This study showed that boys at pre-school age group were at greater risk for accidental poisoning. Drug over dosage was the most common poisoning in this study. Alarmingly, accidental introduction of per rectal analgesic was the most common cause of acute poisoning during infancy in this study.</p>

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