scholarly journals Dengue 2019 — A change in perspective of clinical presentations and laboratory finding

2019 ◽  
Vol 31 (Number 2) ◽  
pp. 28-31
Author(s):  
SN Ahmad ◽  
QM Anisujjaman ◽  
N Sakib ◽  
OE Fatemi ◽  
E Rabin ◽  
...  
Keyword(s):  
Monsoon Season ◽  
Laboratory Finding ◽  
Gastrointestinal Symptoms ◽  
The Other ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Presentations ◽  
Orbital Pain ◽  
Ns1 Antigen ◽  
Plasma Leakage

Dengue is known primarily to be a disease of the monsoon season, and following that a post monsoon disease. Fever along with rash, ntyalgia and headaches were wry typical of the disease. However, since 2014, these trends have been changing in Bangladesh, with eases being reported in the premonsoon season. This cross sectional observational study was rried out from Januaty 2019 to July 2019 at Holy Family Red Crescent Medical College Hospital.ca 100 hundred patients who were serologically positive either by Dengue NS1 antigen or by Dengue 1gM antibody were conveniently taken in the study and their features and investigations (laboratory and ultrasonography) were noted. These findings were also compared with 100 dengue patients who were studied in 2013 in the same institute. Changes in the presenting features were noted; while fever was found to be present 100% in both years, aches and pains were prominently less in 2019 as compared to 2013 (headache, retro orbital pain, backache 23% vs 90%; 3% vs 45%; I% vs 48% respectively). Rashes and itching were also found to be less in 2019 as compared to 2013 (4% vs 16%; I% vs 30% respectively). On the other hand, gastrointestinal symptoms like nausea and vomiting were more in 2019 (51% vs 30% respectively). Similarly, on imaging, there appeared to be more evidence of plasma leakage as seen with (mites, pleural effusion and thickened gallbladder compared to 2013; leucopenia was noted to be less in 2019 (45% vs 60%), but thrombocytopenia < 50,000/L was more in 2019 (49% vs 25%). Although the patients reflect a small section of society, it is quite evident that there is a shift in the pattern of dengue presentation, both in their features and imaging.

scholarly journals Prescriptions Pattern Available at Rural Household

1970 ◽  
Vol 1 (2) ◽  
pp. 12-16
Author(s):  
Md Mahfuzar Rahman
Keyword(s):  
Life Style ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Rural Household ◽  
The Other ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prescription Pattern ◽  
Medical College ◽  
Antibiotic Dose

This was a descriptive type of cross-sectional study conducted in three villages of Shahjadpur Upazila in the month of October, 2010 among the rural households who visited medical practioners for the last three months. It was aimed to determine the socio-demographic characteristics of the respondents, availability of prescriptions, diagnosis written, number of drugs and antibiotics including its duration written within the prescription. It also determines the duration of antibiotic, dose and course including the advices on life style mentioned in the prescription in particular. It was revealed from the findings that 73.27% respondents were within 15-44 years of age with mean age 34.8 years and SD ± 13.09. In this study 68% respondents were attended doctors chamber during last three months, of them prescriptions were available to 57% respondents for investigation according to the stated objectives. Number of drugs in one prescription was 3-5 in 77% prescriptions. On the other hand 58% prescriptions were having 1-2 antibiotics. However, dose of antibiotics were not mentioned to about 31% prescriptions only. The duration 3-6 days of antibiotics was mentioned only about 23% prescriptions. Advices on life style and diagnosis were mentioned only to 32 and 52% prescriptions respectively. The investigation also revealed the qualification of prescribers and found 22.64% prescriptions by non-qualified doctors. The finding of the study can be a basis to take appropriate measures among prescribers in the locality towards maintaining the standard and rationality of prescriptions for the patients seeking drug treatment for any type of ailments. It will also help practitioners to provide a rational prescription to the consumers in regards to the number of drugs as well as clarity of instruction of its uses in deed. Key Words: Prescription; Pattern; Rural Household DOI: 10.3329/akmmcj.v1i2.7459 Anwer Khan Modern Medical College Journal 2010; 1(2): 12-16

scholarly journals Comparison of early appendectomy versus conservative management for appendicular lump at Tertiary Care Hospital.

2020 ◽  
Vol 27 (09) ◽  
pp. 1818-1822
Author(s):  
Zulfiqar Ali Imtiaz Memon ◽  
Mashooque Ali Khowaja ◽  
Inayat Ali Zardari ◽  
Altaf Hussain Ghumro ◽  
Farkhanda Jabeen Dahri ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Wound Dehiscence ◽  
Cross Sectional Study ◽  
Histopathological Diagnosis ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Negative Results ◽  
Clinical Presentations

Objectives: The purpose is to compare two options of management of appendicular lump in order to sort out the better one for the benefit and betterment of populace. Study Design: Cross Sectional study. Setting: Peoples Medical College Hospital Nawabshah. Period: 2016 August to August 2018. Material & Methods: Total 50 patients of appendicular lump were included in this research. All patients were divided into 2 groups. Group 1 included those patients undergoing emergency appendectomy. They were admitted, optimized and the required treatment was initiated. Results: Of total 50, 30(60%) were male and 20(40%) were females. Age was between 14 to 51 years. All patients presented with different clinical presentations. Pain in RIF was in 42(84%) patients whereas 47(94%) patients presented with lump in RIF. 20(40%) patients were operated for appendectomy in emergency and 5(10%) patients for right hemi-colectomy. Histopathological diagnosis was inflammation in 24(48%) patients and 1(2%) resulted in cecal tumor. Infected wound was found in 15 (30%) patients, hematoma in 3 (6%), wound dehiscence in 1(2%) and also cecal fistula in 1 (2%). Conclusion: Conservative treatment is better option to treat appendicular lump with least negative results.

scholarly journals Pattern of Body Mass Index in Students of a Private Medical College of Bangladesh

2018 ◽  
Vol 27 (2) ◽  
pp. 1-5
Author(s):  
Md Nure Alom Siddiqui ◽  
Muhammad Afsar Siddiqui ◽  
Shahnaj Sultana ◽  
Tamanna Sharif ◽  
ARM Saifuddin Ekram
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Overweight And Obesity ◽  
Female Students ◽  
The Other ◽  
Male Students ◽  
Cross Sectional ◽  
Medical College ◽  
Adolescent Students ◽  
Obese Class

Objectives: To determine the BMI status of the students of Rajshahi Islami Bank Medical College and to calculate frequency of different BMI categoriesMethodology: A cross-sectional questionnaire based study was carried out in medical students of Rajshahi Islami Bank Medical College, Rajshahi. Body weight and height were measured and body mass index (BMI) values were calculated by dividing weight with (height) 2. Overweight and obesity were defined using WHO international standard BMI cut-offs.Results: The overall prevalence of underweight students was 29.9% out of which 9.6% fell under the category of severely underweight (BMI of <16.5). In overweight category there were 8%. The frequency of students falling in Obese Class I, II & III was 2.7%, 0.6% & 0.0% respectively. It was found that more female students compared to male students were underweight. In the overweight and obese categories there was a preponderance of male students. A positive correlation was found between perception of obesity amongst parents and overweight obese students.Conclusion: According to this study, underweight, especially in girls, should be considered a serious health problem among adolescent students which needs to be addressed. Obesity on the other hand does not seem to be a major issue amongst them.TAJ 2014; 27(2): 1-5

scholarly journals Aetiology and Clinical Presentation of Pancytopenia in a Teaching Hospital

2019 ◽  
Vol 13 (2) ◽  
pp. 62-65
Author(s):  
ATM Ataur Rahman ◽  
ARM Saifuddin Ekram ◽  
Mohammed Shahadat Hossain ◽  
Jayanta Kumar Saha ◽  
Fahreen Rahman ◽  
...  
Keyword(s):  
Aplastic Anaemia ◽  
Cross Sectional Study ◽  
Morphological Description ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Presentations ◽  
Physical Findings ◽  
Age Range ◽  
Secondary Causes

Pancytopenia is a morphological description of the peripheral blood picture irrespective of its cause & it denotes simultaneous presence of anaemia, leucopenia and thrombocytopenia. The study was done to observe the demographic profile & the clinical presentations of pancytopenic patients and to find out the aetiology of pancytopenia. This cross sectional study was carried out in Medicine ward of Rajshahi Medical College Hospital from August 2005 to July 2006. A uniform protocol was followed in all cases, to have appropriate history, physical findings & laboratory investigations. The commonest cause of pancytopenia was aplastic anaemia (48%) which was followed by hypersplenism (22%) & acute leukemia (16%). The majority cases of aplastic anaemia were idiopathic (57.69%), only 42.31% cases were due to secondary causes. The majority (94%) of patients was in the age range of 14-60 years and up to 54% was in the age group of 20-40 years. The ratio of male to female in patients of pancytopenia was 1.5:1 and 3:1 in aplastic anaemia. In secondary causes of aplastic anaemia, insecticides and viral hepatitis was found to be causative agent in 45.45% cases of each followed by pregnancy in 9.10% of cases. The common presenting complains of aplastic anaemia were generalized weakness (100%), gum bleeding (76.92%), fever (76.92%) and pallor (96.15%). Faridpur Med. Coll. J. Jul 2018;13(2): 62-65

Retrospective study of lightning fatalities in Raigarh, Chhattisgarh

2021 ◽  
Vol 6 (3) ◽  
pp. 86-90
Author(s):  
Rajesh Ban Goswami ◽  
A. Dutta
Keyword(s):  
Retrospective Study ◽  
Monsoon Season ◽  
Injury Pattern ◽  
The Body ◽  
Age Group ◽  
Cross Sectional ◽  
Loud Sound ◽  
Medical College ◽  
Methodical Approach ◽  
High Incidence

is a massive electrostatic discharge caused by the circulation of warm moisture-filled air through unbalanced electric field in the atmosphere, accompanied by the loud sound of thunder.: The present study was conducted to ascertain the pattern of lightning cases along with distribution of cases based on age, sex, season, location, activity of the victim and injury pattern in the corpse.: The present cross sectional retrospective study was carried out in the department of Forensic Medicine at Govt. Medical College, Raigarh, CG. All autopsy cases of lightning deaths from 2018 to 2019 (two years) were considered for the study.: Most of the deceased were in the age group of 31-40 years. All incidents happened in open field. High incidence of lightning deaths occurred during monsoon season and peak incidence in evening hours. In most cases arborescent mark was found as pathognomonic finding.: Lightning incidents are always accidental in nature. They are fatal and need prompt resuscitative measures. Lightning injuries have bizarre presentation in the body, therefore the autopsy surgeon needs meticulous and detailed methodical approach during autopsy.

scholarly journals Prevalence of Dermatophytic Infection and Detection of Dermatophytes by Microscopic and Culture Methods

2018 ◽  
Vol 8 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Tashmin Afroz Binte Islam ◽  
Farjana Majid ◽  
Mushtaque Ahmed ◽  
Samia Afrin ◽  
Tahmina Jhumky ◽  
...  
Keyword(s):  
Potassium Hydroxide ◽  
Diagnostic Procedures ◽  
Cross Sectional Study ◽  
Climatic Conditions ◽  
Age Group ◽  
Culture Methods ◽  
Microscopic Method ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Presentations

Background: Dermatophytosis is considered as one of the major public health problems in the world and is the most commonly diagnosed skin disease in Bangladesh. The prevalence and characteristics of dermatophytic infections vary with climatic conditions, age, lifestyle and population migration patterns.Objective: To determine the prevalence of dermatophytic infection and sensitivity of different diagnostic procedures among the patients visiting dermatology outpatient department of Tairunnessa Memorial Medical College & Hospital, Gazipur, Bangladesh (TMMCH).Materials and Methods: This cross-sectional study was done during a period of 12 months from July 2015 to June 2016. Total 80 specimens were collected based on clinical presentations irrespective of age and sex. The diagnosis was confirmed by microscopic examination using 20% potassium hydroxide (KOH) and culture on Sabouraud’s dextrose agor medium.Results: Out of 80 samples, 31(38.75%) were found positive by culture and 21 (26.25%) were found positive by microscopic method which were also found positive by culture. This study found that most (51.62%) of the dermatophyteinfected cases were in the age group of 21−40 years followed by 41−60 years (29.03%) with male and female distribution 58.06% and 41.94% respectively The maximum number of infections was reported from groin followed by hands/legs and feet.Conclusion: The result of this study shows higher prevalence of dermatophytosis in both genders in this area. An accurate diagnosis can help in proper and effective treatment of dermatophytosis.J Enam Med Col 2018; 8(1): 11-15

scholarly journals Malaria: change in a variety of clinical manifestations in Eastern India

2014 ◽  
Vol 13 (2) ◽  
pp. 150-154
Author(s):  
Pradeep Chakrabarty ◽  
Joydeep Mukherjee
Keyword(s):  
Observational Study ◽  
Clinical Features ◽  
Medical Science ◽  
Clinical Manifestations ◽  
Tertiary Hospital ◽  
Eastern India ◽  
Cross Sectional ◽  
Clinical Pattern ◽  
Medical College ◽  
Clinical Presentations

Objective: We had undertaken this study to find out the change in variety of clinical presentations in which a patient suffering from malaria could present. Materials and methods: In a retrospective, cross-sectional and observational study first 100 admitted malaria patients were taken in a tertiary hospital cum medical college at Kolkata, India from August 2009 to July 2011. Their clinical profile were noted and analysed. Results: A variety of clinical pattern was noted in various combinations, starting from fever, chill, and rigor to even hematemesis and rash. Change was noted in pattern of fever and other manifestations. Conclusion: Each patient suffering from malaria could present with a variety of clinical features with some specific patterns in specific cases as discussed. Treatment of malaria in Eastern India was efficacious but costly. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18298 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.150-154

CLINICAL PROFILE OF PATIENTS WITH SINONASAL MASSES - A CROSS SECTIONAL STUDY

2021 ◽  
pp. 1-2
Author(s):  
Aiswarya Gopalakrishnan ◽  
Pramod Menon
Keyword(s):  
Clinical Symptoms ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Government Medical College ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Clinical Presentations ◽  
One Year ◽  
Posterior Rhinoscopy

It is challenging to diagnose and distinguish sinonasal masses as they can have varying clinical presentations. This study was done to see if sinonasal masses can be detected by clinical symptoms, signs and examination itself without resorting to investigations. This cross sectional study was conducted in the department of Otolaryngology, Government Medical College Thrissur, Kerala for a period of one year from December 2017 to December 2018. Total 104 cases were studied. Most of the sinonasal masses were identied by doing proper anterior and posterior rhinoscopy which don’t require much expertise to master. This can be considered only as a screening because any intervention should be preceded by radiological investigations and biopsy for a denitive management.

scholarly journals An epidemiological study to assess prevalence and behavior related to substance abuse among urban Bikaner population Rajasthan

2017 ◽  
Vol 4 (9) ◽  
pp. 3338
Author(s):  
Asif Ahmed Qureshi ◽  
Rekha Acharya ◽  
Gaurav Sharma ◽  
Renu Sethia ◽  
Kirti Shekhawat ◽  
...  
Keyword(s):  
Substance Abuse ◽  
The Other ◽  
Training Center ◽  
Community Based ◽  
Cross Sectional ◽  
Medical College ◽  
The World ◽  
Study Population ◽  
And Behavior ◽  
And Training

Background: Substance abuse exists in the world since time immortal; it has become a serious global problem in recent times. Methods: This was a cross sectional community based study performed from March 2016 to August 2016 among resident of UHTC Mukta Prasad dispensary (urban health and training center) attached to Sardar Patel Medical College, Bikaner. Results: Overall prevalence was 25.14%. Majority of people were using only tobacco (67.07%) while 20.12% people were consuming tobacco and alcohol both, only alcohol was used by 10.98% people and rest (1.83%) were having other types of substances like Doda-post etc. Conclusions: Almost 1/4th of study population was abusing one or the other substance. Most commonly abused substances were tobacco and tobacco+alcohol. 

scholarly journals Delicate balance: the relationship between internal astigmatism and lens astigmatism

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 527
Author(s):  
Meng Liu ◽  
Cheng Dai ◽  
Guimei Zhou ◽  
Xiaodong Lv ◽  
Jingjia Li ◽  
...  
Keyword(s):  
Anterior Segment ◽  
Cross Sectional Study ◽  
The Other ◽  
Curvature Radius ◽  
Cross Sectional ◽  
Medical College ◽  
Delicate Balance ◽  
Gender And Age ◽  
Gender Groups ◽  
The Relationship

Background: Due to lack of equipment for directly measuring crystal morphology, there has been little research on crystal astigmatism. The purpose of this study was to accurately explore the correlation between internal astigmatism and lens astigmatism in patients with ametropia. Methods: This is a cross-sectional study conducted in the Affiliated Hospital of North Sichuan Medical College, China, in September 2020. Diopter values (refractive astigmatism, RA) of patients with ametropia was recorded, and the corneal and lens biological parameters were measured by CASIA2 (corneal/anterior segment optical correlation tomography analyzer). Biometric parameters, including the total corneal astigmatism (TCA), anterior and posterior curvature radius of the lens (ACL, PCL), internal astigmatism (IA), anterior and posterior astigmatism of the lens (AAL, PAL) were measured. Grouping and comparisons were made according to gender and age. Results: In total, 151 participants (293 eyes) were included in the analysis. There were significant (P<0.05) differences in the IA (Z=-2.194, P=0.028) according to gender, but not in the other parameters. By age group, there were statistically significant differences in the TCA (H=10.609, P=0.005), IA (F=3.722, P=0.025), and PAL (H=8.254, P=0.016), but not in the others. The IA was positively correlated with the age (r=0.155, P=0.008), RA (r=0. 534, P<0.001), AAL (r=0.308, P<0.001), and was negatively correlated with the TCA (r=-0.244, P<0.001). The regression equation between the IA and AAL was: Y (IA) =-0.626 +0.447X (AAL). Conclusions: There is a delicate balance between internal astigmatism and intraocular astigmatism. There were no significant differences in the other parameters except IA for different gender groups. For different ages, there are symbol differences in the TCA, IA and PAL, but not in the other parameters. In the analysis of IA with lens astigmatism, it was found that internal astigmatism was mainly related to AAL, but not to PAL.

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