scholarly journals Study of Comparison of Suicidal Cases in the Lockdown Period During First Wave of COVID-19 with that of Suicidal Cases in the Period before it among Dead Bodies Brought for Autopsy at Nalanda Medical College, Patna - A Record Review

2021 ◽  
Vol 8 (9) ◽  
pp. 218-223
Author(s):  
Rajiv Ranjan Das ◽  
Kumar Saurav ◽  
Radha Raman Singh
Keyword(s):  
Mental Stress ◽  
Postmortem Examination ◽  
Demographic Analysis ◽  
Suicidal Tendency ◽  
Peak Period ◽  
Medical College ◽  
Distribution Mode ◽  
Entire World ◽  
Record Review ◽  
The Needy

Introduction: The COVID-19 pandemic has affected the entire world, physically, psychologically and socio-economically. It has caused extreme mental stress to not only those infected but also those who had to remain indoors for prolonged period due to lockdown. Aims and Objectives: 1. To study and compare all confirmed suicidal deaths in the first lockdown period upto its peak period (September 2020) with suicidal cases during the previous six months from October 2019 to 24th march 2020. 2. Demographic analysis of suicidal cases with determinants like incidence, sex, & age wise distribution, mode of suicide, any specific causes etc, will be studied & evaluated for any perceptible change from earlier prelockdwn suicidal deaths Materials and Methods: It is retrospective, record review analytical and comparative study based on postmortem examination reports of all cases conducted by all doctors of department of FMT, Nalanda Medical College, Patna who did autopsy during both periods (pre lockdown & post lockdown/unlock) together with study of all police inquests, requisitions (challans), sent by the police investigating officers of concerned cases. Study period- a) 25th march 2020 to September 2020 (lockdown phase). b) October 2019 to 24th march 2020 (Prelockdown phase). Results: Total number of suicides increase from 6.61%in pre-covid period to 8.56% in lockdown period. In the prelockdown phase the cases of hanging were 66.66% but due to poisoning 33.34%. But in the lockdown phase hanging accounted for the 95.45% and poisoning just 4.55%. Conclusions: Lockdown must be needed based, preplanned and financial support to the needy together with behavioural counseling should be undertaken in letter and spirit. There is an urgency to realize the severity of this suicidal tendency.

scholarly journals Comparative Study of Trend of Suicidal Cases in the Lockdown Period during Severe Phase of First Wave of COVID-19 with Those in Second Wave in Patna among Dead Bodies Brought for Autopsy at Nalanda Medical College, Patna - A Retrospective Study

2021 ◽  
Vol 8 (12) ◽  
pp. 431-437
Author(s):  
Rajiv Ranjan Das ◽  
Kumar Saurav ◽  
Radha Raman Singh
Keyword(s):  
Comparative Study ◽  
Postmortem Examination ◽  
Second Phase ◽  
Demographic Analysis ◽  
Medical College ◽  
The World ◽  
Distribution Mode ◽  
Severity Of The Disease ◽  
Record Review ◽  
Second Wave

Introduction: There is hardly a person in the world who is not affected by the fearsome covid19 pandemic either physically, psychologically and socio-economically. It has caused extreme mental stress to not only those infected but also those who had to remain indoors for prolonged period due to lockdown. The second wave in 2021 was deadlier with many casualties though there was no pan INDIA lockdown this time. Aims and Objectives: 1) To study and compare all confirmed suicidal deaths in the first lockdown period upto its severe period (Upto June 2020) with suicidal cases during the second phase of COVID-19, from March to June 2021 approximately. 2) Demographic analysis of suicidal cases with determinants like incidence, sex, & age wise distribution, mode of suicide, any specific causes etc, will be studied & evaluated for any perceptible change between the severe phases of first & second waves Materials and Methods: It is retrospective ,record review analytical and comparative study based on postmortem examination reports of all cases conducted by all doctors of department of FMT, Nalanda Medical College, Patna who did autopsy during both periods of study together with study of all police inquests, requisitions(challans), sent by the police investigating officers of concerned cases. Study period- a) 25th march 2020 to June 2020 (lockdown phase). b) March 2021 to June 2021 Results: Total number of suicides was more in Lockdown period of the First wave (10.88%) than in the in the 2nd phase in 2021(9.87%). In the First phase the cases of hanging were 75% & due to poisoning 25%. But in the 2nd phase hanging accounted for the 62.5%, poisoning 31.25% & Drowning 6.25%. Conclusions: Lockdown had more impact on the mental health of a person in Covid than the actual severity of the disease as the number of suicides decreased in the 2nd phase though it was more severe. Financial concerns & perils of confined life added to the fear of the unknown disease in lockdown & in the second phase people were more prepared mentally & financially to combat the disease. Keywords: covid, lockdown, suicide, hanging, autopsy.

scholarly journals Profile of Intensive Care Unit admission and Outcomes of Medical and Surgical patients at A Tertiary Government Hospital: A 5 Year Trend Analysis

2018 ◽  
Vol 29 (2) ◽  
pp. 59-62
Author(s):  
Shakera Ahmed ◽  
Omar Faruque Yusuf ◽  
AKM Shamsul Alam ◽  
Anisul Awal
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Ventilatory Support ◽  
Surgical Patients ◽  
College Hospital ◽  
Medical College ◽  
Advanced Airway ◽  
Medical Discipline ◽  
Record Review

Background: The intensive care unit (ICU) is that part of the hospital where critically ill patients that require advanced airway, respiratory and haemodynamic supports are usually admitted. Intensive care unit admissions which aim at achieving an outcome better than if the patients were admitted into other parts of the hospital however come at a huge cost to the hospital, the personnel and patients’ relations.Objective: To audit the 5 year bed occupancy rate and outcome of medicine and surgical patients admitted into the ICU of the Chittagong Medical College Hospital, Chittagong, Bangladesh.Design: A 5 years retrospective study (Record review) from January 2012 to December 2016. Method: Data were extracted from the ICU records of the patient and analyzed.Results: During this study period, the frequency of admission into ICU was significantly more (p<0.001) from medical discipline (55.20%) than surgical disciplines (44.80%). The incidence of survival was significantly lower (p<0.001) from medical discipline (37.68%), than from surgical disciplines (49.05%). Occurrence of total ventilatory support provided in all disciplines was 60.32% and it was significantly higher for the surgical patients. Overall mortality rate was 57.23%.Conclusion: During prioritizing the patients for ICU admission surgical cases should get preference. It is primarily necessary to optimize patient to doctor ratio and patient to nurse ratio and providing the service by critical care physicians (“intensivists”) to reduce the mortality rate of ICU.Bangladesh J Medicine Jul 2018; 29(2) : 59-62

scholarly journals Different Shapes of The Human Pineal Gland – A Study On 60 Autopsy Cases

2015 ◽  
Vol 23 (2) ◽  
pp. 211-214
Author(s):  
Halima Afroz ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Mushfika Rahman ◽  
Nurun Nahar ◽  
Shamim Ara
Keyword(s):  
Pineal Gland ◽  
Postmortem Examination ◽  
Medical College ◽  
Pine Cone ◽  
Group A ◽  
Different Shapes ◽  
Group B ◽  
Human Brains ◽  
Group D ◽  
The Brain

Context: The pineal gland has been described as an endocrine or neuroendocrine gland; however, its functions in humans are still to be defined. Different shapes of the human pineal gland have been identified. Due to its small size and different shapes recognition of this gland is much critical. Besides, due to its cellularity it may be mistaken for a neoplasm. Hence, a sound knowledge on different shapes of the pineal gland is essential for neurosurgeons, radiologists and pathologists for better diagnosis and management of pineal disorders.Methods: A descriptive study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from July 2009 to June 2010, to see the morphological shape of the human pineal gland. The present study was performed on 60 human pineal glands collected from whole human brains of unclaimed dead bodies that were under postmortem examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The pineal gland was collected from the brain by meticulous dissection. Then, the shape of the pineal gland was observed under the magnifying glass.Results: In the present study, pea-shaped pineal glands were found 60% in group A, 30% in group B, 5% in both group C and D, while pine cone shaped were found 25% in group A, 37.5% in group B, 25% in group C and 12.5% in group D. Besides, fusiform shaped glands were found 18.2% in group A, 63.6% in group B, 9.1% in both group C and D, where as piriform shaped found 66.7% in group B, and 16.7% in both group C and D. Moreover, cone-shaped glands were found 28.6% in group B, 57.1% in group C and 14.3% in group D.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 211-214

scholarly journals Spectrum of dengue morbidity in pregnancy and its impact on maternal and perinatal outcome

2019 ◽  
Vol 8 (4) ◽  
pp. 1511
Author(s):  
Anuradha G. ◽  
Sandya M. R. ◽  
Shirley George
Keyword(s):  
Dengue Infection ◽  
Tertiary Care ◽  
Dengue Shock Syndrome ◽  
Severe Form ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Medical College ◽  
Still Births ◽  
Record Review ◽  
In Pregnancy

Background: Dengue is a vector borne viral infection with seasonal outbreaks every year. The spectrum varies from just a febrile morbidity to the severe form of dengue shock syndrome (DSS). The objective of the present study was to study the influence of dengue fever on pregnancy and to analyze the maternal and perinatal outcome.Methods: Thirty-six pregnant women beyond 28weeks of gestation who tested positive for dengue infection were retrospectively analyzed during a 5year study period (Jan 2014-Dec 2018). The study was conducted in the Department of OBGYN St John’s Medical College Hospital, Bangalore. Thirty-three of these patients delivered at St John’s and there were three postpartum referral cases. The necessary data was obtained by patient record review. The data was analyzed using SPSS and the results were expressed as Mean±SD and percentages.Results: Out of 36 women analyzed the mean age was found to be 23.93±4.5 years. Majority were primigravidae (58.3%). The most common clinical manifestation was fever seen in 47.2%. Twenty five percent of patients had platelet count of <20,000 on admission. Overall 66% of the patients required transfusion. Nearly fifty three percent of the patients had vaginal delivery. There were 4 maternal mortalities (11.1%) and 2 perinatal mortalities (5.5%) both were still births in the present study.Conclusions: Dengue infection in pregnancy was associated with increased maternal and perinatal morbidity as well as mortality. The severity of the infection has direct impact on the outcome. Hence early diagnosis and prompt management in a tertiary care centre, with multidisciplinary approach improves the outcome and minimizes the complications.

scholarly journals Extent of Mesoappendix of Vermiform Appendix in Bangladeshi People

1970 ◽  
Vol 4 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Md Mahbubur Rahman ◽  
Mohsin Khalil ◽  
Mansur Khalil ◽  
Seheli Zannat Sultana ◽  
Sabina Mannan ◽  
...  
Keyword(s):  
Sampling Technique ◽  
Vermiform Appendix ◽  
Cross Sectional Study ◽  
Postmortem Examination ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Bangladeshi Population ◽  
Pelvic Position ◽  
Age And Sex

Background: The mesentery of the appendix extends almost to the appendicular tip along the whole tube or may not be to the tip. The mesoappendix has a free border which carries the blood supply to the organ. Failure of the mesoappendix to reach the tip probably reduces the vascularization of the tip of the organ making it more liable to become gangrenous and hence early perforation occurs during inflammation. Objective: This cross sectional study was carried out to advance our knowledge regarding the extent of mesoappendix in Bangladeshi people and also to find out the variations in the anatomical positions of the vermiform appendix in Bangladeshi population and their distribution according to the sex. Methods: A total of 100 (60 male and 40 female) specimens of vermiform appendix were collected of different age and sex during postmortem examination in the morgue of Mymensingh Medical College from July 2006 to June 2007. Data was collected by convenient sampling technique. Results: In this study pelvic position of the vermiform appendix were common in both sexes. The two thirds extension of mesoappendix was found in 45% cases where as in pelvic position it was 26 (14 male and 12 female) cases. Half and whole extension of mesoappendix were found in 31% and 24% cases respectively. Among half extension of mesoappendix, retrocaecal position were found to be more (12) than other positions. In whole extension of vermiform appendix pelvic position were found to be common (16) than others. Conclusion: This study provides certain basic information of extent of mesoappendix of vermiform appendix of Bangladeshi population which is responsible for vascularization of the organ and severity during inflammation. Key words: Vermiform appendix, Mesoappendix   DOI: 10.3329/jbsp.v4i1.4065 J Bangladesh Soc Physiol. 2009 June; 4(1): 20-23

scholarly journals Recipients Perception of Blood Transfusion Risk in Some Selected Tertiary Care Hospitals

2014 ◽  
Vol 5 (2) ◽  
pp. 30-33
Author(s):  
MM Rahman ◽  
TT Sajani
Keyword(s):  
Blood Transfusion ◽  
Blood Group ◽  
Large Scale ◽  
Tertiary Care ◽  
Community Based ◽  
Medical College ◽  
Level Of Understanding ◽  
Record Review ◽  
Demographic Condition ◽  
Tertiary Care Hospitals

This was a descriptive study carried out in the Medicine, Surgery, Gynae and Orthopedics ward of three randomly selected tertiary care hospitals at Dhaka, Bogra and Rangpur. It was aimed to evaluate the extent of understanding about the risk of blood transfusion among the blood recipients, to identify the common indications for blood transfusion through record review, to determine the recipients knowledge about indications of blood transfusion, their level of understanding about blood group, blood donors, and risk of blood transfusion and to find out the socio-demographic condition of recipients admitted at tertiary care hospitals. It was found that most of the respondents 63.17% were in the age group of 15-39 years and 56.95% were between primary to secondary level of education. More than half 56.83% respondents were housewife. The idea about indications of blood transfusion was found among 60.37% respondents. The idea about own blood group was found among 73.54% respondents. However, 52.93% respondents were unaware about the persons who can donate blood. Professional blood donor were the choice for own to only 15.60% respondents. The study also identified 57.32% respondents having risk of blood transmissible diseases. The respondents idea about transmissible diseases were identified as AIDs, Hepatitis-B, Syphilis and Malaria by 90.48%, 42.38%, 5.25% and 5.25% respectively. The study demands awareness and motivational program among younger and adult females in regards to transfusion transmissible diseases and its prevention. The importance of knowing blood group,donor selection and adverse effects of transfusion may also considered as a part of awareness program. It also demands a large scale community based survey to generate information towards development of effective strategy in minimizing risk of transfusion transmissible diseases in particular. DOI: http://dx.doi.org/10.3329/akmmcj.v5i2.21129 Anwer Khan Modern Medical College Journal Vol. 5, No. 2: July 2014, Pages 30-33

scholarly journals Risk factors for neonatal hyperbilirubinemia: a case control study

2016 ◽  
Vol 6 (1) ◽  
pp. 198 ◽  
Author(s):  
D. Sumangala Devi ◽  
Bindu Vijaykumar
Keyword(s):  
Case Control Study ◽  
Neonatal Infection ◽  
Neonatal Hyperbilirubinemia ◽  
Multiple Logistic Regression ◽  
Maternal Characteristics ◽  
Medical College ◽  
Confounding Variables ◽  
Record Review ◽  
The Relationship ◽  
Control Study

Background: Neonatal Hyperbilirubinemia is one of the most common reasons for NICU admissions. The frequency of neonatal jaundice has been on an increase since the last decade. Is the increase due to changes in obstetric practice or drugs? There is no definite reason. This study was undertaken to find out any obstetric characteristics which may contribute to the development of Neonatal Hyperbilirubinemia and which is modifiable.Methods: Record review data from 140 singleton deliveries at the Institute of Maternal & Child Health ,Govt. Medical College, Kozhikode, Kerala were analyzed to determine the relationship between neonatal hyperbilirubinemia (>10mg/dl) and maternal characteristics. Confounding variables were controlled by multiple logistic regression analysis.Results: There was statistically significant relationship between hyperbilirubinemia and LBW, preterm delivery, PPROM, breast feeding, neonatal infection, instrumental delivery and presence of GDM and IUGR.Conclusions: By identifying these obstetric characteristics, we may be able to modify them and reduce the need for NICU admissions for Neonatal Hyperbilirubinemia.

scholarly journals A Descriptive Study On Morbidities Of Patients Attending Free Health Camp In Sankhejung Vdc Of Ilam District, Nepal

2014 ◽  
Vol 3 (4) ◽  
pp. 48-51
Author(s):  
Rajan Bikram Rayamajhi ◽  
DK Yadav ◽  
A Ghimire ◽  
VK Khanal ◽  
D Tamrakar ◽  
...  
Keyword(s):  
Health Services ◽  
Musculoskeletal System ◽  
Burden Of Disease ◽  
Digestive System ◽  
Descriptive Study ◽  
Underdeveloped Country ◽  
Gastrointestinal System ◽  
Medical College ◽  
Important Means ◽  
The Needy

Free health camp is an important means to cater health services to the needy people in an underdeveloped country like Nepal with difficult geographical terrain. The objective of this study was to assess the morbidities of patients attending the free health camp in Sankhejung, Ilam. A total of 399 patients visited the health camp and 35.1% of them were males. It was observed that diseases with musculoskeletal system and gastrointestinal system were reported among 24.3% and 25.1% of the attendees respectively. Based on the findings, it was concluded that the free health camp services was utilized more by the females and more burden of disease was found among musculoskeletal and digestive system. Journal of Chitwan Medical College 2013; 3(4); 48-51 DOI: http://dx.doi.org/10.3126/jcmc.v3i4.9555

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