Background: This observational study done on the indoor patients of department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, admitted during the year 2011. The objective of this study was to see the most prevalent diseases admitted in our department. Methods: Participants (225) were all the patients admitted during the period of 2011. Patients admitted more than once were recorded once only. Patient's data were taken from hospital records. Results: Spondyloarthropathies (SpA) comprised 18.66% of the patients. Total patient of SpA was 42. Among them AS was 47.62%. Prolapsed lumbar disk (PLID) patients constituted 12.44% (28) of hospital admission. Twenty one (9.33%) patients suffered from other causes lumbago-sciatica. Admitted RA patient number were 12 (5.33%) during this year. Total twelve patients with bone TB (5.33%) were admitted during 2011. Nine TB patients (75% of bone TB) had TB in the hip. Total Stroke patients admitted in that year were 9 (4%). Among them 8 (88.89%) were ischemic. Conclusion: SpA, PLID and other lumbago-sciatica patients comprised the major bulk of the patients in inpatient department of PM&R. Musculoskeletal diseases were the commonest cause of hospital admission for rehabilitation. Neurological causes were next common. Inflammatory musculoskeletal diseases also formed a good number of patients.
Adhesive capsulitis also known as frozen shoulder, pericapsulitis, scapulohumeral periarthritis or check- rein syndrome. The condition usually resolves spontaneously after about 18 months. Adhesive capsulitis is a common musculoskeletal disorder mainly affecting middle aged adults. Also self care activities and occupational activities decreases depends on which shoulder is involved, for instance, self care, grooming, combing hair, eating and dressing are impaired if right shoulder is involved for right handed person, on the other hand dressing and perineal care are hampered if left shoulder is involved.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19423
Uric acid has been proven to be a negative prognostic indicator in patients with acute myocardial infarction and heart failure. So the aim of the present study is to evaluate the uric acid as a predictor of outcome after acute myocardial infarction. A total of 120 patients presenting with acute myocardial infarction were included in the study where case were the AMI with heart failure and arrhythmia and control were the only Ami patients. Patients were evaluated in relation with clinical features, risk factors, complications, heart failure with Killip Class and serum uric acid level. Sociodemographic profiles of the study populations were matched in case and control group. Regarding different biochemical variables of case and control where serum uric acid was found significantly higher among the case group than the control (p<0.05). Among different risk factors of MI where hypertension, smocking, DM and sedentary lifestyle were found common in both case and control group showing the different signs of the case and control where all were more or less common among both groups. Serum uric acid level and arrhythmia class among the case group. Regarding prognostic evaluation of uric acid after MI where complete recovery, arrhythmia, recurrent MI, hospital stay and death was significantly found associated with risk stratification. Serum uric levels are raised during an episode of myocardial infarction and more so when the patient is in heart failure. There is a positive correlation between rising serum uric acid levels with higher Killip Class at the time of admission. Thus uric acid can be used as a prognostic indicator in patients presenting with myocardial infarction more so if they are in heart failure. JCMCTA 2016 ; 27 (2) : 63- 66
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