Background: Clinical features are the important diagnostic tools for the detection of spontaneous intracerebral haemorrhage patients. Objective: The purpose of the present study was to see the clinical profiles of spontaneous intracerebral haemorrhage patients. Methodology: This cross-sectional study was conducted in the Department of Neurology at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (2) years. Patients with spontaneous intracerebral haemorrhage who were admitted in the Departments of Neurology, Neurosurgery and Medicine at Dhaka Medical College and Hospital, Dhaka were selected as study population. Both male and female patients with the age group of ≥18 years, first ever spontaneous intracerebral haemorrhage and hospital admission within 48 hours of onset were included for this study. The clinical features of the study population were collected after admission of the patients like headache, hemiplegia or paresis, vomiting, and deterioration of consciousness, dysphasia, dysarthria and hemisensory loss. Result: Headache was observed the most frequent complaint in 81.0% (n=79) patients. Hemiparesis or hemiplegia was the most frequent focal neurological deficit in 69.0% (n=68) patients. Vomiting was common also 58.0% (n=57) patients. Twenty five (26.0%) respondents were presented with deterioration of consciousness. Dysphasia/aphasia was found in 15.0% patients. Convulsion was not a common presenting feature (7%). Conclusion: In conclusion headache, vomiting and deterioration of consciousness are the most common clinical feature of spontaneous intracerebral haemorrhage.
Background: Comorbidities of migraine patients are not uncommon. Objective: This study was done to find out sociodemographic characteristics and the important comorbid psychiatric and physical illness in migraine patients. Methodology: This cross sectional study was carried out in the Neurology Outdoor and Headache Clinic at Dhaka Medical College Hospital, Dhaka from July 2010 to June 2011 for a period of 1 year. Patients with migraine (on the basis of International headache society migraine headache criteria), age ≥16 years with total duration of headache six months or more, having comorbidities like major depressive disorder (MDD), generalized anxiety disorder (GAD), hypertension (HTN), diabetes mellitus (DM) or obesity were included in the study (n=33).The sociodemographic and relevant data were collected in a preformed data sheet from each patient. Result: The mean age of the participants was 33.8±8.8 years. Most of them were in 31-40 year age group (39.4%), followed by 21-30 year age group (36.4%). Most of the participants were female (72.7%) and housewives (57.6%). The symptoms of migraine was severe according to Migraine Severity Scale (MIGSEV) in 19 (57.6%), moderate in 8 (24.2%) and mild in 6 (18.2%) participants. Among the comorbidities, psychiatric problems like GAD and MDD was present in 8 (24.2%) and 6 (18.2%) participants respectively. Seven (21.2%) were obese, 4 (12.1%) hypertensive and 8 (24.2%) diabetic. Frequency of headache/month was observed to be higher in participants with hypertension (5.0±1.4 episodes/month) and duration of episodic migraine headache was higher in those with MDD (23.4±10.3 hours). Conclusion: Patients of migraine have comorbidities like GAD, MDD, obesity, hypertension and DM which need to be addressed appropriately for proper migraine headache management. [Journal of National Institute of Neurosciences Bangladesh, 2017;3(1): 48-51]
Naturally diseased climbing perch Anabas testudineus was confirmed to be caused by Aeromonas hydrophila bacteria by aeromonas isolation medium (AIM), 0/129 vibriostatic agent and esculin hydrolysis. Such naturally diseased koi fish weretreated with four antibiotics: captor (chlortetracycline hydrochloride BP 45%), renamox 15% -Vet (amoxicillin trihydrate BP), oxy-Dox-F (oxytetracycline 20% and + doxycycline 10%), renaquine 20% -Vet (flumequine) at lower, recommended and higher doses were performed to examine the efficacy of the drugs. Captor was given at doses of 0.8, 1.0 and 1.2 g/3 litres of water separately. Doses of renamox 15% -Vet were given at 0.8, 1.0 and 1.2 g/litre of water. Doses of oxy-Dox-F were 0.8, 1.0 and 1.5 g/Kg body weight and doses of renaquine were 10, 12, and 15 mg/Kg body weight. Among the four antibiotics, effect of captor and renaquine at recommended dose showed the best result where 100% fish were recovered. However, renamox and oxy-Dox-F showed best result at higher dose.
Background: Pulmonarytuberculosis is a very common disease in both urban and rural settings among the Bangladeshi people.Objective: The purpose of the present study was to assess the attitude and practice of pulmonary tuberculosis patient in urban settings of Sylhet District of Bangladesh.Methodology: This cross sectional study was conducted in the DOTs corner of Sylhet MAG Osmani Medical College, Sylhet, Bangladesh and Sylhet Chest Disease Hospital, Sylhet, Bangladesh during the period from June 2011 to November 2011 for a period of six (6) months. All the patients who were diagnosed as case of pulmonary tuberculosis and were treated with anti-tubercular drugs at DOTs corner who attended in the both Hospitals, Sylhet were selected as study population.Result: A total number of 194 pulmonary tuberculosis patients were recruited for this study. Among the 194 patients, 36(18.6%) patients had good attitudes and practices and 158(81.4%) patients had poor attitudes and practices.Conclusion: In conclusion, majority of the pulmonary tuberculosis patients under DOTs living in the urban area of Sylhet have poor level of attitude and practices.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 97-100
Background: Tension-type headache is a common neurological problem among general population of Bangladesh. Objective: This study was undertaken to ascertain the frequency of subclinical and over hypothyroidism in patients with infrequent TTH. Methodology: This study was conducted in a tertiary care hospital Dhaka medical college in Bangladesh. The study subjects consisted of 200 patients primary headache disorders. Thyroid function test were performed. All four sub-types of tension type headache were considered to include in the study, namely: Infrequent episodic (or infrequent), frequent episodic (or frequent), chronic sub-type and probable sub-type. Result: Forty percent (40%) patients in this study had infrequent TTH, 30% had frequent episodic TTH, 21% had chronic sub-type of TTH and 9% patients had probable sub-type of TTH. overt hypothyroidism. Among 46 patients with frequent episodic TTH 10 patients had subclinical hypothyroidism and 4 patients had overt hypothyroidism. Out of 18 patients with probable TTH 3 patients had subclinical hypothyroidism but no patient was overt hypothyroid. Out of 42 chronic TTH patients 12 had subclinical and another 12 had overt hypothyroidism. Statistically significant difference was seen among different sub-types of headache in relation to thyroid status. Conclusion: Hypothyroidism is found to be a co morbidity or precipitating factors to be development of infrequent type of tension-type headache. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 60-64
Background: Knowledge on tuberculosis is very important among the patients under anti-tubercular therapy for proper management. Objective: The purpose of the present study was to assess the knowledge about tuberculosis among patients attending the DOTS (directly observed treatment, short course) corner. Methodology: This cross sectional study was conducted in the DOTs corner of Sylhet MAG Osmani Medical College, Sylhet, Bangladesh and Sylhet Chest Disease Hospital, Sylhet, Bangladesh during the period from June 2011 to November 2011 for a period of six (6) months. All the patients who were diagnosed as case of pulmonary tuberculosis and were treated with anti-tubercular drugs at DOTs corner who attended in the both Hospitals, Sylhet were selected as study population. Result: The age of the patients ranged from 18 to 70 years with the mean age of 41.2 (SD+ 12.4) years. The age of the male patients were ranging from 18 to 70 years with the mean age of 42.1 (SD: 12.8) years. Among the 194 patients, 90(46.4%) patients had good knowledge and 104(53.6%) patients had poor knowledge about tuberculosis. Conclusion: In conclusion, greater efforts therefore need to be undertaken to improve TB control among TB patients through appropriate and sustainable health education.
Background: C-reactive protein is a biomarker among the spontaneous intracerebral haemorrhage patients. Objective: The purpose of this present study was to see the association of CRP level with the short term clinical outcome among spontaneous intracerebral haemorrhage patients. Methodology: This prospective cohort study was conducted in the Department of Neurology at Dhaka Medical College and Hospital, Dhaka, Bangladesh from July 2012 to June 2014 for a period of two (02) years. Patients presented with first ever spontaneous intracerebral haemorrhage with the age group of more than or equal to 18 years with both sexes and hospital admission within 48 hours of onset were included for this study. Admission plasma CRP was measured and study population were divided into group I (plasma CRP≥6 mg/L) and group II (plasma CRP<6 mg/L). The patients were observed daily till 1 week after admission with special attention to vital parameters and clinical outcome which were mortality, functional outcome and early neurological worsening. Finally findings were analyzed and clinical outcome were compared in patient with different level of admission plasma CRP. Result: Early neurological worsening at the end of first week was 37(38%) patients. Poor functional outcome (GOS 2-3) at the end of first week was found in 51(52%) patients. Overall mortality within that period was 16(17%) patients. Elevated CRP level was associated with higher proportion of GCS score < 9 at day seven. Early neurological worsening and poor functional outcome (GOS2-3) was also found more in these patients. Conclusion: High admission plasma CRP level may be associated with higher proportions of poor short term outcome (GOS 2-3), early neurological worsening at the end of the first week after onset and mortality within this period in the patients with spontaneous intracerebral haemorrhage.
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.