Background: Thyroid cancer is the most common malignant disease in endocrine system. It is an emerging public health issue associated with burden on the family, community and the nation. The aim of this study is to determine the socio-demographic and clinical characteristics of patient with thyroid cancer attending in tertiary hospital. Methods: This cross sectional study was conducted among 246 thyroid cancer patients in two tertiary hospitals of Dhaka city from 01 July 2018 to 30 June 2019. The subjects were selected purposively following specific selection criteria and maintaining ethical issues. Data were collected by face to face interview using a semi-structured questionnaire and checklist. Data were analyzed by the statistical package for the social science (SPSS) version 23. Results: This study revealed that majority (74.4%) of respondents was female, married (72%), housewife (61.4%), rural respondent (41.1%) and had primary education (69%). Mean (± SD) age of the respondent was 37.85(±12.20) years (Range 14-70 years) and mean (± SD) monthly family income was Tk. 17681(±10602). Out of 246 cases, 204 (82.9%) was papillary and 42 (17.1%) was follicular carcinoma. Various clinical presentations included visible neck swelling in 225 (91.5%), swollen lymph node in 103 (41.9%), pain 90 (36.6%), Difficulties in swallowing 87 (35.4%), Hoarseness of voice in 141 (57.3%), cough along with swelling 47(19.1%), Difficulties in breathing due to swelling in 13(5.3%) of the patients. Conclusion: Incidence of thyroid cancer has increased worldwide specially in female patients in 3rd and 4th decades of life. As thyroid cancer is a growing public health problem in Bangladesh, proper screening and early diagnostic facilities at all level should be available to measure its actual burden in the country. Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 54-58
Introduction: Thyroid malignancy is the most common endocrine malignancy seen in clinical practice. Incidence of thyroid cancer varies worldwide from 0.5 to 10 per 1,00,000 populations annually. Exact incidence of thyroid cancer in Bangladesh is not known. Aim: To find out the clinical presentation of patient with thyroid cancer and identify the association between socio- demographic features and clinical presentation. Methods: This cross sectional study was conducted purposively among 246 thyroid cancer patients in two tertiary hospitals of Dhaka city from 01 July 2018 to 30 June 2019. Data were collected by face to face interview using semi-structured questionnaire and checklist and were were analyzed by Statistical Package of Social Science v23. Results: Study revealed that mean±SD age of the respondent was 37.9±12.20years (range 14-70 years). Majority 74.4% of respondents was female, married 72%, housewife 61.4%, primary education 69.0% and mean±SD monthly family income was BDT 17,681±10,602. Approximately 82.9% of patients had papillary cancer and 17.1% had follicular cancer. Various clinical presentations included, neck swelling 91.5%, swollen lymph node 41.9%, pain 36.6%, dysphonia 57.3% and dysphagia 35.4%. Study revealed the significant association of clinical presentation with gender, education and occupation of the respondents (p<0.05). Conclusion: Incidence of thyroid cancer has increased worldwide specially in female patients. As thyroid cancer is a growing public health problem in Bangladesh, proper screening and early diagnostic facilities at all level should be available to measure its actual burden in the country. JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 22-25
Background: Hepatitis C virus (HCV) is a new virus identified in the year l989. Regarding the morbidity & mortality and also for disease burden HCV infection is now an important disease phenomenon worldwide especially among the health care professionals. Laboratory technicians are at increased risk for acquiring blood-borne infections as they have to collect blood samples to find out the disease pathology. The aim of this study is to assess the knowledge and risk behavior on HCV infection among laboratory technicians in a selected army medical unit. Methods:A descriptive cross sectional study was conducted among laboratory technician in a selected army medical unit from 01September 2015 to 31 December 2016. Total 105 participants were interviewed by pretested structured questionnaire. Results:This study explored that 44.8% respondents were in between 31-40 years and 63.8% were educated up to HSC level. All the respondents had overall knowledge about the cause, high risk group and prevention of HCV infection and 20.95% were not aware that water did not transmit HCV infection, 55.24% had no information of vaccination for prevention of HCV infection. This knowledge was gained by majority (62%) of participants from their existing course curriculum. Use of disposable syringe, sterilize instruments, practice of recapping after using needles and their proper disposal were found among all of the respondents and 61% did not habit to use gloves during sample collection due to negligence and lack of time. This study showed that there is an association between level of education and risk behavior (use of gloves) (P<.005). Conclusion:Adequate program on updating knowledge, strict use of gloves, sterile instrument during sample collection will be helpful in minimizing transmission of HCV infection. ABSTRACT Inroduction Conflict of interest:We have no conflict of interest
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