scholarly journals Evaluation of Anti-Mullerian Hormone level as a marker of Ovarian Reserve and correlate it with Laparoscopic Surgery of Pelvic Endometriosis in Subfertile Patients

2017 ◽  
Vol 8 (1) ◽  
pp. 30-34
Author(s):  
Sharmin Abbasi ◽  
Sehereen Farhad Siddiqua ◽  
Mohammad Noor A Alam ◽  
Suha Jesmin
Keyword(s):  
Laparoscopic Surgery ◽  
Ovarian Reserve ◽  
Uterine Cavity ◽  
Pelvic Endometriosis ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Future Fertility ◽  
Before And After ◽  
The Impact

Background: Endometriosis refers to the presence of endometrial glands and stroma outside the uterine cavity. About 10% causes of infertility are due to endometriosis. In women Anti-Mullerian hormone (AMH) level represents the ovarian follicular pool and has been suggested as the most reliable and reproducible marker to asses ovarian reserve. The gold standard approach of management of endometriosis with subfertility is laparoscopy. The objectives of this stydy are evaluation of AMH levels as a marker of ovarian reserve in subfertile patients with different stages of pelvic endometriosis, and correlate it with laparoscopic surgery.Methods: This was a cross sectional observational study on 59 subfertile patients from January 2014 to January 2017 in Anwer Khan Modern Medical College Hospital (AKMMCH). Main outcome measured on the basis of measurement of AMH levels in correlation with the age, types of subfertility, stages of endometriosis, unilateral or bilateral ovarian involvement, size of the cyst, number of the cyst and the impact of different procedures during laparoscopy on AMH levels.Results: Basal AMH levels significantly lower (p= 0.011 and p =0.001) before and after laparoscopy in primary subfertile patients than secondary subfertile patients and AMH significantly decreased (P<0.024) after laparoscopy in primary subfertile patients. AMH level significantly decreased (P<.001) after laparoscopic surgery of two ovaries. Mean serum AMH levels were decreased in moderate and severe stages of endometriosis after laparoscopy (3.01±.04 ng/ml and 2.15±.03ng/ml). Different surgical procedures of laparoscopy showed significant impact on serum AMH levels, in thermal cauterization (p=0.023) and excision plus cauterization (p=0.001) showed significant decreased of AMH.Conclusion: Serum AMH level decreased in many patients after laparoscopy to such an extent from where future fertility is possible.Birdem Med J 2018; 8(1): 30-34

scholarly journals Clinical evaluation of total abdominal hysterectomy - a prospective study in a tertiary care hospital

2015 ◽  
Vol 6 (2) ◽  
pp. 76-77
Author(s):  
Shirin Akhter ◽  
Rumana Nazneen
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
A Prospective Study

Total abdominal Hysterectomy are gradually rising in our country. This study has been designed to find out the common indications of abdominal hysterectomy in a tertiary care hospital,. to know the clinical characters of the patients and. o elucidate postoperative complication of abdominal hysterectomy.Methodology : Cross- sectional observational study was done during 1st October 2007 to 30th September 2008. Holy Family Red Crescent Medical College Hospital (HFRCMCH). Total 100 patients were selected following enclusion & exclusion criteria hyperposive sampling. Data were recorded before and after operation and analyzed by SPSS version 15.Result : In the present study patients with leiomyoma of uterus was found to be the major indication of hysterectomy followed by dys functional uterine bleeding (DUB) 18.0%, Pelvic inflammatory disease (PID) 14.0%, chronic cervicitis 10.0%, adenomyosis 10.0%, pelvic endometriosis 6.0%, cervical polyp 2.0%, ovarian cysts 1.0% and chriocarcinoma 1.0%. Mean duration of operation (hour) and hospital stay was 1.15 hours and 7.48 days respectively. Most common complication of present series was fever 20.0% followed by 13.0% had wound infection, 6.0% UTI and 2.0% wound dehiscence.Conclusion : Hysterectomy is now the most widely performed major operation in gynaecology. Indication and post operative complications of hysterectomy varies from region to region.Northern International Medical College Journal Vol.6(2) 2015: 76-77

scholarly journals The Hayman Technique: A Simple Method to Treat Postpartum Hemorrhage due to Placenta Praevia

2018 ◽  
Vol 30 (1) ◽  
pp. 66-69
Author(s):  
Shahela Jesmin ◽  
Nishat Anam Borna ◽  
Mosammat Nargis Shamima ◽  
Iftekhar Md Kudrate E Khuda ◽  
Shahin Mahmuda
Keyword(s):  
Postpartum Haemorrhage ◽  
Uterine Cavity ◽  
Placenta Praevia ◽  
Artery Ligation ◽  
College Hospital ◽  
Cross Sectional ◽  
Simple Method ◽  
Medical College ◽  
Compression Suture ◽  
Level Hospital

Aim: To assess effectiveness of Hayman suture to control postpartum haemorrhage due to placenta praevia during caesarean sectionMethods: It is a cross sectional observational study performed in Rajshahi Medical College Hospital, tertiary level hospital, from January 2016 to December 2016. It included 32 patients with PPH following placenta praevia during elective& emergency caesarean section (C/S). All 32 patients underwent horizontal compression suture (bilateral anteroposterior compression) of lower uterine segment. Vicryl 0 tapercut needle was used. All patients were followed postpartum for evaluation of uterine cavity and menstrual cycles.Results Hayman suture was applied in 32 cases. In 27 cases Hayman suture was the only intervention. Hayman with uterine artery ligation required in 2 cases. In 1 patient along with Hayman B-lynch compression suture was given and 2 patients required total hysterectomy.Conclusion: The quick and simple Hayman technique seems to be effective, safe, lifesaving method in stopping hemorrhage due to placenta praevia.TAJ 2017; 30(1): 66-69

Tinnitus related handicap in daily living among Pakistani population – a multicenter study

2020 ◽  
pp. 1-11
Author(s):  
Muhammad Zubair ◽  
Nazia Mumtaz ◽  
Ghulam Saqulain
Keyword(s):  
Hearing Loss ◽  
Daily Living ◽  
Cross Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Tinnitus Handicap Inventory ◽  
Medical College ◽  
Daily Life Activities ◽  
Capital Development ◽  
The Impact

Abstract Objective: To determine the impact of tinnitus-related handicap on daily living of tinnitus sufferers and factors associated with tinnitus severity. Methods: The cross-sectional study was conducted from November 2016 to April 2017at Al-Nafees Medical College Hospital, Islamabad, Capital Development Authority Hospital, Islamabad, Lahore General Hospital, Lahore, Bahawal Victoria Hospital, Bahawalpur; and Wassay Ear Nose Throat Clinic, Muzaffarabad, Pakistan. Tinnitus patients of either gender aged 15-75 years were included. Detailed history was taken and examination was conducted. Data was collected using the Tinnitus Handicap Inventory, and was analysed using SPSS 21. Results: of the 152 patients, 87(57.20%) were males. The overall mean age was 44.10+16.06 years. Tinnitus was severe in 53(34.87%), while catastrophic severity was noted in 26(17.10%). Cases with hearing loss and male gender suffered significantly more in daily life activities (p<0.05). Severity of tinnitus handicap was associated with the type of tinnitus sound (p<0.05). Conclusion: Gender, hearing loss and type of tinnitus sound were found to be associated with the severity of the condition. Key Words: Daily living, Quality of life, Tinnitus, Tinnitus handicap inventory.

scholarly journals Study of Intrauterine Insemination (IUI) among 52 Cases in a Newly Established Infertility Care Centre of Dhaka Medical College Hospital

2018 ◽  
Vol 8 (2) ◽  
pp. 49-53
Author(s):  
Farzana Rahman ◽  
Afroza Kutubi ◽  
Sabrina Jabeen ◽  
Yasmin Akter ◽  
Nilufar Sultana
Keyword(s):  
Intrauterine Insemination ◽  
Therapeutic Process ◽  
Uterine Cavity ◽  
Medical College Hospital ◽  
Care Centre ◽  
Male Factor ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Good Treatment Option

Intrauterine insemination (IUI) is the therapeutic process of placing washed spermatozoa transcervically into the uterine cavity for the treatment of infertility. IUI theoretically allows a relatively higher number of motile spermatozoa to reach the oocyte. This study is a cross sectional prospective study done on 52 cases in newly started Dhaka Medical College Hospital Fertility Care Centre from October 2015 to March 2016. Among the 52 cases 4 cases became pregnant by IUI (7.7%) which is equivalent to the success rate observed in other established centers. The outcome suggests that IUI is possible in a relatively new center with limited technology setting. It may be considered as a good treatment option for couples with unexplained infertility, male factor infertility, and anovulation related infertility. Further improvement of this infertility center can bring better outcome in the treatment of infertility in the public sector.J Shaheed Suhrawardy Med Coll, December 2016, Vol.8(2); 49-53

scholarly journals Impact of pandemic control measures on physical activities and sedentary behaviour of medical students in Kozhikode

2021 ◽  
Vol 8 (8) ◽  
pp. 3946
Author(s):  
Ajith S. K. ◽  
Alan Gangadaran ◽  
Prabin Pradeep ◽  
Pranav K. Purushothaman ◽  
Jayakrishnan Thayyil
Keyword(s):  
Medical Students ◽  
Sedentary Behaviour ◽  
Control Measure ◽  
Psychological Impact ◽  
Physical Activities ◽  
Control Measures ◽  
Cross Sectional ◽  
Medical College ◽  
Before And After ◽  
The Impact

Background: For a highly contagious disease like COVID-19, restriction of movement and public gatherings is an age-old control measure. But these measures can have some physical and psychological impact on people. This study aimed at investigating the impact of such restrictions on the physical activities (PA) and sedentary behaviour (SB) of students at a medical college in Kozhikode. The objective was to find out the changes in PA and SB among the medical students at government medical college, Kozhikode before and after COVID-19 restrictions.Methods: Cross-sectional study was conducted using modified WHO GPAQ questionnaire sent as google form to potential candidates through whatsapp messenger. Collected data were analysed using Microsoft excel software and statistical comparison was done using the paired t test. Quantitative data was expressed as mean and SD and qualitative data as percentage.Results: The average BMI of the candidates was 21.1 kg/m2 and 21.7 kg/m2 pre and post COVID-19 restrictions, respectively. The PA was 1790.2 and 1445.4 MET minutes before and after the period of study. There is significant reduction in PA (p=0.033) and increment in SB (p<0.01). Weight gain was significant in females (p=0.02).Conclusions: There was decline in the total PA and increase in SB significantly post restriction. There was also an increase in the self-reported weight and BMI of medical students. Almost half of the students made effort to change their physical activity pattern indicating their awareness of increasing SB. 

scholarly journals Laparoscopic Evaluation of Primary and Secondary Subfertility

2020 ◽  
Vol 33 (2) ◽  
pp. 143-148
Author(s):  
Setara Binte Kasem ◽  
Nilufer Sultana ◽  
Ferdousi Begum ◽  
Shaikh Abdur Razzaque ◽  
Raisa Adiba ◽  
...  
Keyword(s):  
Uterine Cavity ◽  
Cross Sectional Study ◽  
Industrialized Countries ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Müllerian Agenesis ◽  
Secondary Female ◽  
Laparoscopic Evaluation ◽  
Laparoscopic Finding

Background: Prevalence of subfertility in industrialized countries has been quoted as 20%,and seems to be on the rise. Traditional way to assess the uterine cavity, tubal structure andtubal patency was hysterosalphingography but it is now been largely superseded bylaparoscopy and hysteroscopy. With the objective of this study was to highlight the role oflaparoscopy in establishing the diagnosis of primary and secondary female subfertility anddifferent therapeutic procedure done. Method: This cross sectional study was conducted in the Subfertility and ReproductiveMedicine Unit of Gynae and Obstetrics department of Dhaka Medical College Hospital, Dhakafrom January 2015 to June 2018. Total 4256 sub fertile patients attended the Infertility OPD.Out of these 215 patients were selected for laparoscopy. Those patients who hadcontraindication for laparoscopy were excluded from study. Detailed laparoscopic findingswere recorded. Results: Out of 125 selected sub fertile patients 136 (63.26%) patients were in primarysubfertility group while 79 (36.74%) patients were in secondary subfertility group. In primarysubfertility group(n=136), most common laparoscopic finding was PCO in 44 (32.34%) patientsfollowed by peritubal and periovarian adhesions in 24 (17.65%) patients, Bilateral tubalblock in 23(16.91%) patients, Endometriosis in 15(11.03%), Unusual tortuous and lengthytube in 15(11.03%) patients, fibroid in 11(8.09%) patients, Mullerian agenesis and hypoplasiain 3(2.21%) cases. No visible abnormality found in 22(16.18%) cases.The commonest finding by laparoscopy in patients with secondary infertility were PCO in 18(22.78%) patients and peritubal and periovarian adhesions in 18 (22.78%) patients, followedby Bilateral tubal block in 12(15.19%) patients, fibroid uterus in 12(15.19%) patients,Endometriosis in 10(12.66%), Genital tuberculosis in 3(1.40%) cases. No visible abnormalityfound in 12(15.19%) cases.Various laparoscopic procedure like Ovarian drilling. Adhesiolysis, ovarian cystectomy, cystpuncture, salphingostomy, Myomectomy. Conclusion: Laparoscopy helped us to detect and treat important clinical condition in bathprimary & secondary sub fertility. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 143-148

scholarly journals Knowledge and awareness on disaster management among medical professionals of a selected public and private medical college hospital

2018 ◽  
Vol 5 (6) ◽  
pp. 1342
Author(s):  
Atoshi Bazi Rahman ◽  
Mainul Alam Chaklader ◽  
Faisal Muhammad
Keyword(s):  
Disaster Management ◽  
Sampling Technique ◽  
Medical Professionals ◽  
Human Beings ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Level Of Knowledge ◽  
Study Participants ◽  
The Impact

Background: Disaster causes widespread destruction, disrupting people’s lives and causing human suffering with communities finding it difficult to cope. When the disaster occurs, human beings may not have the power to stop it from occurring, nevertheless they may have the power and ability to adapt or minimize the impact of the disaster on their lives. This study was aimed to assess the level of knowledge and awareness on disaster management among medical professionals.Methods: A cross-sectional study was conducted among the medical professionals from two selected medical college hospitals in Dhaka city of Bangladesh from January to April 2017. A total of 120 samples were selected purposively using two stages sampling technique. The data was collected using self-administered semi-structured questionnaire and was analysed using SPSS 20.0 version.Results: In this study half 60 (50.0%) of the study participants were in the age group 20-30 years and about 77.5% of the study participants were Muslims. About 64.2% of the study participants had less than 11 years of professional experience. Only 10 (8.3%) of the study participants had attended training on disaster management. About 30.0% of the study participants had good level of knowledge and only 49.2% had high level of awareness.Conclusions: The findings revealed that most of the study participants had not attended any training on disaster management. It also reported that the majority of the study participants had poor level of knowledge. Evacuation exercises need to be done for the entire hospital at least twice a year.

scholarly journals Risk Assessment of Acute Upper Gastrointestinal Haemorrhage with Rockall Score In DMCH

2018 ◽  
Vol 29 (1) ◽  
pp. 13-25
Author(s):  
Md Nazrul Islam ◽  
Md Sazedur Rahman ◽  
Humayun Kabir ◽  
Zahirul Huq ◽  
Robed Amin ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Gastrointestinal Haemorrhage ◽  
Oesophageal Varix ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College ◽  
Before And After ◽  
Rockall Score ◽  
Upper Gastrointestinal

Introduction: Rockall score is used for risk assessment in acute upper gastrointestinal haemorrhage for intervention and prediction for risk of rebleeding and mortality.Methods: This is a cross sectional hospital based observational study carried out among patients presented with haematemesis with or without melaena in the department of Medicine, Dhaka Medical College Hospital from April, 2013 to March 2014 in one hundred consecutive cases. Rockall score done before and after endoscpy.Results:Patients mean age found 45.12±14.9 years with 4:1 male to female ratio. Service holder were (26.0%) and 91.0% were married. Almost half (48.0%) was educated. Combined haematemesis and melaena was presenting feature in 62.0% patients among them 72.0% arrived in hospital within 24 hours of onset. Comorbidity was found in 42.0% cases and 13% took NSAID. Oesophageal varix was found in 25.0%. No death observed in 18% haematemesis patients, one died from melaena (1 of 5) but most died (4 out of 5) from combined haematemesis and melaena. All the 5 death occurred in 89% rebleeding cases. No death observed in 34% patients having pre endoscopic Rockall Score d” 2; as well as in 44% cases post endoscopic Rockall score d”5 score. Mean duration Hospital stay was 6.36±4.5 days.Conclusions: Rockall score is useful in predicting outcomes in acute upper gastrointestinal haemorrhage.Bangladesh J Medicine Jan 2018; 29(1) : 13-25

SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang
Keyword(s):  
Preterm Birth ◽  
Comparative Study ◽  
Pregnancy Outcome ◽  
Neonatal Morbidity ◽  
Research Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Chorionic Villi ◽  
Term Birth ◽  
Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun
Keyword(s):  
Stool Sample ◽  
Rapid Detection ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

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