Journal of Current and Advance Medical Research

Diabetes Mellitus: A Global Health Concern Rising in Bangladesh

Md Salahuddin Emdad — Thu, 20 Jun 2024 00:00:00 +0000

Abstract Not Available

Journal of Current and Advance Medical Research, July 2023;10(2):47-48

Socio-demographic Characteristics and Clinical Profiles of Women Presented with Post-Caesarean Section Complications

Thu, 20 Jun 2024 00:00:00 +0000

Background: Post-caesarean section complications can occur in different Socio-demographic Characteristics with varied clinical profiles.

Objective: The purpose of the present study was to see the socio-demographic characteristics and clinical profiles of women presented with post-caesarean section complications.

Methodology: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecological at Dhaka Medical College and Hospital, Dhaka, Bangladesh from January 2013 to June 2013 for a period of six months. All women admitted with post caesarean section complications referred from different level of hospitals with the age group of more than or equal to 18 years were included as study population. All relevant data were recorded in a predesigned data collection sheet which included age, social status, economic condition and parity.

Results: A total number of 50 women who were underwent caesarean section outside DMCH and admitted with post-caesarean section complications were included in this study. Maximum (40.0%) patients were within the age group of 21 to 25 years. Majority of the patients completed their primary and secondary level of education which was 16(32.0%) cases and 18(36.0%) cases respectively. Majority (56.0%) were multiparous. Primi was found in 20(40.0%) cases.

Conclusion: In conclusion most the women are in younger age group with secondary and higher secondary education.

Journal of Current and Advance Medical Research, July 2023;10(2):49-52

Compare the Need of Additional Uterotonic Drugs for the Control of Post-Partum Hemorrhage after Caesarean Section

Farhana Haque Choudhury, Shahnaz Ahmed, Sufia khatun Sumi, Silvia Rahman — Thu, 20 Jun 2024 00:00:00 +0000

Background: Management of Post-Partum hemorrhage is very crucial among women after Caesarean Section.

Objective: The purpose of the present study was to compare the need of additional uterotonic drugs for the control of post-partum hemorrhage among women after Caesarean Section.

Methodology: This randomized controlled trial was conducted in the Department of Obstetrics and Gynaecology at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2015 to December 2015 for a period of six months. Pregnant women diagnosed on the standard criteria admitted in BSMMU, Dhaka, Bangladesh were selected as study population by consecutive type of sampling. Randomization was performed according to computer generated simple random sampling method. An Uterotonic was an agent used to induce contraction or greater tonicity of the uterus. Then the patients were monitored per operatively and post operatively. All the information was recorded in data collection sheet. Main outcome variables were estimated blood loss.

Results: A total number of 96 pregnant women were recruited for this study of which 48 cases were enrolled in group I and the rest of 48 case were enrolled in group II. The mean age with SD of the group I and group II were 24.4±4.7 years and 24.7±3.7 years. Before administration of drug, 44(91.7%) patients had well contracted uterus in group I and 41(85.4%) in group II. At 30 minutes after caesarean section, 48(100.0%) patients had well contracted uterine tone in group I and 47(97.9%) in group II. At 12 and 24 hours after caesarean section, 48(100.0%) patients had well contracted uterine tone in group I and group II respectively. The difference was not statistically significant (p>0.05) between two groups. Four (8.3%) patients need additional utero tonic in group I and 7(14.6%) in group II. The difference was not statistically significant (p>0.05) between two groups. In primary PPH of the study patients, it was observed that 2(4.2%) patients had primary PPH in group I and 6(12.5%) in group II. The difference was not statistically significant (p>0.05) between two groups.

Conclusion: In conclusion, additional uterotonic drugs are needed for the control of post-partum hemorrhage among women after Caesarean Section.

Journal of Current and Advance Medical Research, July 2023;10(2):53-59

Incidence of Polytrauma in the Casualty Emergency Department of a Tertiary Care Hospital in Dhaka City

Thu, 20 Jun 2024 00:00:00 +0000

Background: Polytrauma is a public health problem in every country.

Objective: The purpose of the present study was to assess the incidence of Polytrauma in the Casualty Emergency Department of a tertiary care hospital in Dhaka city.

Methodology: This cross-sectional study was carried out in the casualty of Emergency Department of Dhaka Medical College Hospital, Dhaka, Bangladesh. The patients who were admitted from January 2014 to December 2014 were included in this study. This study includes all the patients with polytrauma, most of whom underwent laparotomy or other types of surgery like suprapubic cystostomy, amputation, surgical toileting, chest drainage, but a small number was managed with non-operative approach. Immediately after admission, the patients were subjected to resuscitation, primary survey and history taking including pre-hospital retrieval. A tabulated sheet of questionnaire was given to all the patients and answer was taken by conversation and examination.

Results: A total number of 100 patients were recruited for this study. The mean age with SD of the study population was 33.5±12.5 with the range of 3 to 67 years. The male female ratio is 7.33:1. The victims of polytrauma sustained their injury from different kinds of trauma. Out of hundred cases with polytrauma, road traffic accidents was the most common cause which included motor vehicle accident, pedestrian and motor cycle accident and resulted in a total of 63 casualty occupying 63% of the entire series. Polytrauma resulted fall from height occurred in 10 (10%) cases. Stab injury caused polytrauma in 5 (5%) cases.

Conclusion: In conclusion majority of the study population is young adult with the predominance of male presented with road traffic accident.

Journal of Current and Advance Medical Research, July 2023;10(2):60-64

Detection of Breast Lumps with Fine Needle Aspiration Cytology: Experience of 50 Cases in Bangladesh

Thu, 20 Jun 2024 00:00:00 +0000

Background: Detection of breast lump is very crucial.

Objective: This study was carried out to evaluate the effectiveness of FNAC as a diagnostic method for breast lump.

Methodology: This cross sectional study was conducted among 50 women with breast lump at Popular Medical College Hospital, Dhaka, Dhaka Medical College Hospital and Ad-Din Barrister Rafique Ul Huq Hospital, Dhaka during the period of November 2021 to April 2022. This study was conducted using convenient type of non-probability sampling technique. Data were collected by face to face interview, clinical examination and findings of both cytological and histopathological examination.

Results: The study revealed the most benign breast lesion (89.45%) were below the age of 40 years and most of the breast cancer (91.2%) were above the age of 40 years. The study showed that 29 cases (58.0%) were diagnosed as benign clinically but cytologically 30(60.0%) cases were benign. Clinically 14(27.0%) cases were malignant but cytologically 13(26.0%) cases malignant. Clinical diagnosis of 8(7.5%) cases were uncertain, whereas cytologically 2(4.0%) cases were suspicious of malignancy and 1(2.0%) case was atypical. The comparison study between cyological and final histopathological diagnosis showed that out of 28 benign lesions diagnosed cytologically among which only 2 cases were found malignant histologically like false negative 2 (7.20%). 13 malignant cases were diagnosed cytologically which were confirmed histologically like no false positive was found. The study found that sensitivity of FNAC 85.3% of the presence of breast cancer and specificity 100.0% for absence of breast cancer. They also showed that the negative predictive value of FNAC for benign breast lump was 93.5% and positive predictive value for malignant breast lump was 100.0% and the overall diagnostic accuracy was 95.40%.

Conclusion: In conclusion, FNAC can be used as a diagnostic method in the management of breast lump which has reasonable sensitivity and specificity.

Journal of Current and Advance Medical Research, July 2023;10(2):65-69

Status of Patients Presented with Different Spinal Pathologies: Experience of One Year at Referral Neuroscience Hospital in Bangladesh

Thu, 20 Jun 2024 00:00:00 +0000

Background: Several spinal diseases are admitted in the hospital for the management.

Objective: The purpose of the present study was to assess the status of patients presented with different spinal pathologies admitted at referral neuroscience hospital in Bangladesh.

Methodology: This retrospective cross-sectional study was conducted in the Department of Neurosurgical spine at National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from January 2022 to December 2022 for a period of one year. All the patients with any age presented with spinal complain like pain, movement restriction or bony destruction were selected for this study. The patients with traumatic injury to the spine were excluded from this study. The details of the patients were recorded for this study. The management of the patients were performed according to the treatment protocol of this institute.

Results: A total number of 463 patients were admitted in the Department of Neurosurgery Spine during the study period. Among these, 357 cases were treated with surgery and the rest 106 cases were managed under conservative treatment. The mean age group of this study population was 35.2±15.3 years with the age range of 21 to 71 years. The male and female ratio was 1.5:1. Among 463 cases surgery was performed in majority of cases which was 357 cases and the rest of 106 cases were managed by conservative treatment. Most of the spinal cord pathologies were detected in the lumber region which was 251(70.3%) cases. Spinal cord pathologies in cervical region was reported in 69(19.3%) cases. However, others are reported in 37(10.4%) cases.

Conclusion: In conclusion the middle age male patients are most commonly presented with the spinal pathologies and the lumber region is the most common site of pathologies.

Journal of Current and Advance Medical Research, July 2023;10(2):70-74