scholarly journals Utilization of Diagnostic Facilities In Non-government Medical College Hospital: A Study on HFRCMCH

2012 ◽  
Vol 18 (Number 1) ◽  
pp. 38-47
Author(s):  
K S Anwar ◽  
AKM S Uddin

A retrospective study was done to evaluate the availability of medical investigation facilities in Holy Family Red Crescent Medical College Hospital (HFRCMCH) for a period of 6 months. The study was designed to find out the gaps in the study Institute which is a tertiary level hospital in Dhaka city. Data was collected from medical records by check list and interview schedule. Out of 49687 patients. 85.28% received services from out patient department and 14.72% from in patient department. Among them. 26151 cases were referred for investigation from out patient and inpatient departments. Out of those 24.36% were blood for routine examination. 17.72% urine for routine examination and 10.77% blood urea and 24.46% blood sugar. 3.82% stool for routine examination and 18.87% for radiological investigation of chest. hi the inpatient department, routine examination of blood was highest (25.38%). next was blood sugar (23.01%). Some specific investigation namely S. Creatinin, S. Electrolytes, Liver function tests, VDRL, widal test, Blood grouping. Culture & sensitivity test were done. Out of specific tests. Blood grouping was highest followed by serum electrolytes. Majority of doctors (86.67) expressed satisfaction in regard to availability of Reagent and Films. Most doctors (93.33) expressed satisfactions in regard to result of laboratory tests and imaging. Regarding the skill of laboratory technician, 43.33% doctors opined good and 56.67% opined as moderate. The results of the study might help the administrator and planner to take steps for further improvement and appropriate utilization of laboratory facilities. However, there is an urgent need for improvement and horizon of investigation facilities should be expanded.

2021 ◽  
pp. 1-4
Author(s):  
Gouri Sakre ◽  

Diabetic retinopathy is a complication of diabetes, caused by high blood sugar levels damaging Retina. It usually takes several years for diabetic retinopathy to reach a stage where it could threaten the sight, if left undiagnosed and untreated. Starting with only a mild vision problem, retinopathy usually appears five years after a type 1 diabetes diagnosis. But it may already be present when type 2 diabetes is diagnosed. We present one such case in a lady of 38 years old, tailor by profession, diagnosed as Type 2 diabetes since 2019, suspected to have had proliferative diabetic retinopathy in January 2020, reported at a Medical College Hospital on 15th December 2020 with periorbital headache for fifteen days. Fundal examination revealed hard exudates and Neo vascularization in both eyes. She was advised Photocoagulation but after her blood sugar was controlled. In the meantime, she was advised to use Nepafenac eye suspension four times daily for pain and redness of the right eye. Investigations had revealed her RBS was 392mg/dl, for which a general physician (internal medicine) was consulted who put her Tab. Metformin 500mg 1-1-1 B/F, Tab. Teneligliptin 20mg 0-1-0 A/F. Unfortunately, 2 months of follow up and diabetes management did not allow her to be taken up for photocoagulation. The institution was firm on their decision to plan her laser photocoagulation for both eyes only when the blood sugar levels come to a range of 140 to 160mg/dl. On 26th March 2021, she was rushed to the Medical College hospital as she complained of loss of vision in the Right eye. The fundus examination revealed multiple dot and blot hemorrhages in both eyes, bleed in oculus dexter and oculus sinister, hard exudates in the right eye that needed Vitreoretinal surgery. Since the Medical College Hospital did not have the Vitreoretinal surgery facility, she was taken to a private dedicated eye hospital, where she underwent laser photocoagulation of left eye on 12/04/21 followed by Vitrectomy of right eye for proliferative diabetic retinopathy on 24th April 2021. There were no postoperative hemorrhages until three days or any other complications after surgery. Now she can recognize some shapes with her right eye by closing left eye.


2013 ◽  
Vol 2 (1) ◽  
pp. 9-14
Author(s):  
Md Hadiuzzaman ◽  
Muhammad Hasibur Rahman ◽  
Nahida Islam ◽  
Md Shahidul Islam ◽  
Sabrina Alam Mumu ◽  
...  

The spectra of the prevalence of skin diseases vary worldwide and from country to country. Therefore the information about the local prevalence of diseases is very important in helping the development of appropriate health improvement policies for promotion of better management. To document the types of skin disorders prevalent among rural children attending the Community Based Medical College Hospital out patient department, Mymensigh, a defined population based study was undertaken. The medical register from the Hospital was used to obtain information on pattern and outcome of skin diseases seen from January 2010 to December 2011. The frequency of pediatric dermatoses and their distribution patterns were studied. The results revealed that out of the 9279 Patients attending Dermatology out patient department of Community Based Medical College Hospital, 1753 (18.89%) Children were identified with involvement of skin diseases. Age range related to disease was found between one day old to 14 years. The most frequent skin condition was exposure to fungal diseases which was 25.67% followed by scabies 24.10% and eczema 20.25%. Infectious skin diseases represent considerably a high percentage of skin disorders encountered in pediatric population. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14175 Community Based Medical Journal Vol.2(1) 2013 9-14


Author(s):  
Prajakta Ganesh Joshi ◽  
Ganesh Arun Joshi

Background: Diabetes mellitus (DM) may be present in the patient before the conception or it may appear during pregnancy. Obstetric management shall ensure prevention of diabetic embryopathy and early detection and management of diabetic complications in pregnancy.Methods: A descriptive observational study was undertaken on participants from a Medical College Hospital. The pre-existing medical disorders, blood sugar, routine antenatal investigations, type of delivery, ultrasound findings, complications of delivery, foetal outcome etc. were recorded. The participants were advised diet, exercise and pharmacotherapy. The intranatal and postnatal events were recorded. The results were compared with related literature.Results: The study had total 89 participants. Five participants (5.6%) had abnormal blood sugar values. Out of these, 2 participants were having pregestational DM and 3 were having gestational DM. Although all the participants who had abnormal blood sugar levels required caesarean section, two could not be operated. One participant with gestational DM who did not follow management advice delivered a macerated still born baby after shoulder dystocia. Another participant having gestational DM, who complied strictly as per dietary advice and exercise, could be managed well without insulin and delivered a healthy baby. The requirement of insulin increased in pregnancy in patients with pregestational diabetes.Conclusions: It is essential to ensure compliance on all three pillars of management of diabetes viz. diet, exercise and insulin during pregnancy. Hence health education for diabetes with special emphasis on obstetric care in pregnancy with diabetes should be promoted. 


2009 ◽  
Vol 22 (2) ◽  
pp. 295-297
Author(s):  
Dayem Uddin ◽  
AB MA Hannan ◽  
Saber Ali ◽  
S Kundu

Chordoma is very rare bony tumour which arises from the notochordal remnants .Nine cases of Chordoma in the nasopharynx were identified in Rajshahi Medical College Hospital since January 1997 to December 2009. All the patients were non-diabetic and 2 of them were hypertensive. Their renal function tests and liver function tests were normal.TAJ 2009; 22(1): 295-297


2018 ◽  
Vol 10 (1) ◽  
pp. 36-41
Author(s):  
Lutfa Begum Lipi ◽  
Afroza Kutubi ◽  
Mohammed Mizanur Rahman ◽  
Nebedita Shaha ◽  
Nazma Haque ◽  
...  

The purpose of this study was to assess the knowledge and awareness regarding cervical cancer and its prevention among women attending at out patient department of Dhaka Medical College Hospital. A qualitative study was undertaken using face to face in depth interviews from January 2015 to July 2015 .Among 229 women mean age 34.07±7.92 ,from 18 to 60 years were observed. Awareness and knowledge about cervical cancer was very poor which was about 25.3%. Knowledge was high among women coming from high socioeconomic condition which was 31.5% (p=0.03). Participants who were highly educated had more knowledge about 83.3% (<0.001). Most of the participants about 72.22% got the information from doctors and health service providers. The findings highlights the importance of awareness creation about cervical cancer and its risk factors, screening through utilization of the services of media like television, newspaper and radio which have massive impact in improving the knowledge.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 36-41


1970 ◽  
Vol 15 (2) ◽  
pp. 68-70
Author(s):  
MA Ahad ◽  
MA Bakar

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


2016 ◽  
Vol 10 (1) ◽  
pp. 17-19
Author(s):  
Krishna Gopal Sen ◽  
Ahammed Ali ◽  
Md Kamal Mostofa ◽  
Sumitendra Kumar Sarkar ◽  
Chandona Sorcar ◽  
...  

The burden of scabies is highest in tropical countries, but recent data from Bangladesh is scanty. This cross sectional study was carried out to find the prevalence of scabies in skin & VD Out Patient Department (OPD) of Faridpur Medical College Hospital (FMCH) during the period of April 2013 to March 2014. Total 22,399 patients attended to the skin & VD OPD, were included in this study. We identified 15,455 patents with scabies. The total prevalence was 69%. Prevalence in January was highest & was 78%. Most cases were uncomplicated but 17.28% of complicated scabies patients were found. Scabies was more in poor socio-economic group than others. The present study showed a high prevalence of scabies in patients presenting to skin & VD OPD, FMCH. Prevalence was higher overall in children. Our data show that scabies is common in patients presenting to skin & VD OPD & this finding may be used as an indicator of the general population.Faridpur Med. Coll. J. Jan 2015;10(1): 17-19


1970 ◽  
Vol 18 (1) ◽  
pp. 20-24
Author(s):  
SR Das ◽  
N Sultana ◽  
S Akhter ◽  
F Khan ◽  
F Wazed

Retained placenta is a condition in which the placenta is retained for more than half-an hour after the birth of a child. It accounts for 5-10% of all postpartum haemorrhage (PPH). The present study was conducted to find out the incidence, causes and management of retained placenta of admitted cases in In-Patient Department (IPD) of Obstetrics & Gynaecology of Dhaka Medical College Hospital, Dhaka during the period from June 01 to December 31, 2003. 163 patients were included in the study who presented with retained placenta and developed retained placenta in IPD who had undergone vaginal delivery, with pregnancy equal to or more than 28 weeks both stillbirths and live-births, both singleton and multiple pregnancy. The incidence of retained placenta was found 3.54% of total admissions. Retained placenta developed in 1.53% cases among 1,506 vaginal deliveries in this hospital during this period. The mean age of the respondents was 27.19±1.54 and most of the patients were aged between 21 to 30 years, multipara, illiterate and from low income group and poor socio-economic status. Among them 81.60% had home delivery, 64.42% delivered between 37 to 40 weeks of pregnancy. Majority of the patients i.e. 61.96% reached the hospital within 2 to 6 hours of development of retained placenta and 49.07% had shock with PPH. About 23.92% respondents had predisposing factors like D & C, manual removal of RP and caesarean section. A considerable percentage (19.63%) had history of MR. About 96.93% respondents required manual removal of retained placenta. 124 (76.07%) received blood transfusion ranging from 1 to 13 units of blood. The causes of retained placenta were uterine inertia (38.65%), morbid adhesion (52.76%) and less expulsive efforts of the patients (7.98%). Placenta accreta was the major (96.51%) cause of morbid adhesion. The range of hospital stay was between 6 to 15 days. Of the total retained placenta cases, 98.77% patients improved and 1.23% patients died of irreversible shock due to PPH. Key words: Retained Placenta; Caesarean Section. DOI: 10.3329/jdmc.v18i1.6300 J Dhaka Med Coll. 2009; 18(1) : 20-24


2020 ◽  
Vol 27 (2) ◽  
pp. 195-198
Author(s):  
Tasmin Shahnaz ◽  
Kazi Afzalur Rahman ◽  
AHM Mostafa Kamal ◽  
Habibun Nahar ◽  
Sabrina Shammi Shahnewaz ◽  
...  

Context: Non-steroidal anti-inflammatory drugs (NSAIDs) are most commonly used drugs for years for management of pain and inflammation with good efficacy. NSAIDs are increasingly used for variety of indications like rheumatoid arthritis (RA), osteoarthritis (OA), low back pain (LBP) etc. Prescribing patterns need to be evaluated periodically to increase the therapeutic efficacy, decrease adverse effects and provide feedback to prescribers. A prospective observational study was conducted among patients attending the Out Patient Department (OPD) of Orthopedic and received prescription for NSAIDs in the Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH) in Mymensingh. Material and Methods: The study was carried out on 300 (three hundreds) prescriptions for NSAIDs from orthopedic Out Patient Department (OPD) of Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH). A prospective observational study was conducted from January 2015 to December 2015. Data were collected only from the patients prescribed for NSAIDs and prescribing pattern of NSAIDs were analyzed using SPSS method version 20.1 Results: In case of orthopedic OPD patients most common NSAIDs prescribed to the patients was aceclofenac (29.33%). Others NSAIDs prescribed to the patient in pain management were ketorolac (10%), etoricoxib(8%), ibuprofen (9%), naproxen(9%), sulindac (7%) in orthopedic out patients of both Medical College Hospitals. Most of the NSAIDs were prescribed in brand name (85.34%) where only (14.76%) were prescribed in generic name in both hospitals. Conclusion: From the study it was observed that aceclofenac was the most common NSAIDS used in orthopedic OPD of CBMCH and indomethacin was the most common used NSAIDs in MMCH. Other used NSAIDs were ketorolac, naproxen, etoricoxib, ibuprofen and sulindac. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 195-198


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