Introduction: Corona virus is a new pathogen of high contagious abilities. Pregnant women are at an increased risk due to physiologic changes in their immune, cardiopulmonary and coagulation systems. This study was designed to evaluate the fetomaternal outcome of the pregnant patients with COVID-19. Methods: This retrospective observational study was conducted in CMH Dhaka from May 2020 to July 2020. Total 81 hospitalized pregnant patients with confirmed COVID-19 were enrolled. Relevant data were recorded in a preformed data collection sheet and analyzed by SPSS version 20. Results: Total patients were 81 with a mean age of 27 years; 49.1% were in third trimester, 83% were in 35-40 weeks of gestation and 48% were asymptomatic. Common symptom severe cough (26%) and fever(14%); 7.4% patients had multiorgan failure, 81% hadlymphopenia, 7.4% patients under went chest CT and had in filtrates in both lungs. Mild to moderate disease was common and 7.4 % had severe disease, 3.7% needed mechanical ventilation. There was a single maternal death. Most (92.6%) patients were treated in Corona ward and 7.4% in Corona HDU and ICU. There were 3 spontaneous abortions; 64.2% delivered during the study period, 80.8% underwent a Caesarean section, 2.4% had hysterotomy, 15.1% underwent normal vaginal delivery (NVD), 15.4% patients underwent premature termination of pregnancy. Ongoing pregnancy was 26 (32.1%).Four neonates were found COVID-positive. There was 47 livebirths, 3 intrauterine deaths (IUD) and 2 neonatal deaths. Their hospital stay was 13.1 days (SD±6.37).Mean interval of breastfeeding was 13.3 days (SD±6.44). Conclusion: From the study findings, it can be concluded that, COVID-19 had adverse fetomaternal outcomes. COVID-19 pandemic has exerted immense stress on health care system. With this study we can further modify our treatment strategy and reduce the load on our health system. J Bangladesh Coll Phys Surg 2021; 39(2): 100-105
Background: Early pregnancy loss is one of the most common clinical problems that is encountered in dailygynaecological practice. The aim of this study is to assess the effectiveness and acceptability of using vaginalmisoprostol for management of first trimester spontaneous incomplete abortion as an alternative to direct vaginalsurgical evacuation in our setting. Methods: This prospective randomized study was carried out in the Department of Obstetrics and Gynaecology inShaheed Ziaur Rahman Medical College Hospital, Bogra. from January 2008 to December 2008. This study performedon 400 patients with first trimester incomplete abortion between 8 and 12 weeks requesting medical management. Theywere divided into two groups according to patients’ choice; group (I) received 800 microgram misprostol vaginally bydigital insertion into the posterior fornix while group (II) underwent surgical vaginal evacuation directly under generalanesthesia. Results: Although vaginal surgical evacuation was successful in solving the problem in 100% of cases, misoprostol wassuccessful in 70% after 1st dose and remained incomplete 30% after administration of 2nd dose. The overall satisfactionwas slightly higher in the surgical group. No serious side effects or complications were reported in the misoprostolgroup. The incidence of excessive post-abortive bleeding was more in the misoprostol group than in the surgicalevacuation group (p = 0.049). Conclusion: Although vaginal surgical evacuation is more effective than misoprostol in solving the problem stillmedical treatment is effective and acceptable especially when surgical management is not available or risky or patientsrefuse to do surgical management. Bangladesh Crit Care J March 2023; 11 (1): 19-23
A study was conducted to know the problems and prospects fish nursery operators in Jessore district. A total of 50 nursery operators (Jessore sadar, Jikhorgasha and Avynagor) were interviewed using a structured questionnaire during March-May 2016. The objective of the survey was to study different aspects on pond area, fingerling rearing status, nursery layer, number of employees, sources of fingerlings, survival rate, fingerlings prices, market system, capital sources, fingerling production, prospects and problems for nursery operators. In survey areas, most of the nursery operators were continued their business in two to five ponds with an average area of 1.25±0.04 ha. In the present study, it was found that 4.5±3.25 persons were associated in each nursery but the permanent manpower was minimal. The total fingerlings production in the selected nurseries were 1685 laks of where silver carp 23.74%, Rohu 20.77%, Catla 19%, Mrigal 14.84%, Common carp 10.68%, Koi 2.97%, Thai Puti 5.93%, Grass Carp 1.19% and Pangus 0.89%.The survival rate were 70-80%. Average price of Indian major carps- were Tk. 350 to 500, Chinese carp were Tk. 200 to 400, Thai sharpunti were 350-400 and Pungus were Tk. 400-500 fingerlings/ kg. In the study area, nursery operators were faced various problems such as lack of capital (21.25%), diseases problem (19.75%), high lease value (15.00%), shortage of water (5.00%), high price of production inputs (11.00%), flooding (3.00%), terrorism (11.00%), high temperature (3.00%), intense market competition (6.00%) and the lack of policy support (5.00%). Government should take proper care for nursery operators and fish associated communities for the enhancement of fishery production. Asian Australas. J. Biosci. Biotechnol. 2016, 1 (3), 429-434
Abstract:Hepatitis B Virus (HBV) infection can causes spectrum of diseases ranging from clinically asymptomatic state to the development of cirrhosis and hepatocellular carcinoma (HCC). There is ongoing debate in the management of asymptomatic patients with chronic hepatitis B virus (CHBV) infection with high DNA and normal ALT level. It has been recently shown that a significant proportion of patients with CHBV infection with high DNA and normal ALT level have significant histological abnormality. So this study was aimed to see the histological changes in patients with CHBV infection with high DNA and ALT level <2 times of upper limit of normal (ULN). Total 64 patients were included in this cross sectional study. Mean age was 29 years, 55 (85.9%) patients were men. Forty patients (62.5%) were HBeAg positive. Thirty seven (57.8%) patients had normal ALT levels and 27 patients (42.2%) had ALT levels 1-2 x ULN. Out of 64 patients 46.8% had significant histological abnormalities. Among them 31.2% had significant fibrosis and 26.5% had significant necroinflammatory changes. Among 37 patients with normal ALT levels 35% had significant histological abnormalities. But among 27 patients with ALT levels of 1-2 x ULN, 63% had significant histological abnormalities. In this series significant histological abnormalities were found in 40% of HBeAg+ve cases and 58.3% of HBeAg-ve cases. But this difference was not statistically significant. It was also found that patients with significant histological abnormalities were significantly older and had a lower median HBV DNA level, lower mean platelet count, lower mean prothrombin activity ratio and lower mean albumin level than patients with nonsignificant histological changes. In logistic regression analysis it was found that serum ALT levels and age at which patients entered the study were independently associated with the risk for significant histological abnormalities.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.