Background: Hospital based data of diseases profile are reflection of community at large. Being in COVID pandemic era, knowledge of disease pattern and outcome in children is crucial for proper resource allocation and health care planning. Performance evaluation of each hospital has become central to the concept of quality improvement. Objective: to evaluate disease pattern and outcome of a non COVID hospital in COVID era. Methodology: This retrospective descriptive study was conducted in pediatric unit (1 months to 14 year) of Sir Salimullah Medical College Mitford Hospital from January, 2021 to December, 2021. Medical records were reviewed and analyzed for age, gender, disease, duration of hospital stay, bed occupancy rate and outcome. Results: Total 4346 patients were admitted of which male is 68%. Most admission was in between 1 month to 12 months of age which is 48.5%. Bronchopneumonia, Dengue and Bronchiolitis became the top 3 cause of admission. 70% patients stayed less than 7 days. 2% patients were referred of which maximum were later diagnosed as COVID-19 patients. Bed Occupancy rate was 138% and Bed Turn Over rate was 72.4 patients/bed/year. Mortality rate was 1.6%. Conclusion: To achieve SDG 3 goal by 2030, assessment of hospital performance as well as disease profile of each hospital is needed for proper resource allocation and community improvement. Sir Salimullah Med Coll J 2022; 30: 168-174
Background: Disseminated intravascular coagulation (DIC) has a high prevalence in critically ill neonates. In suspicion of DIC based on abnormal coagulation parameter is a common trigger to transfuse fresh frozen plasma (FFP), even in absence of bleeding. In past years, use of FFP has increased and has expanded to include prophylactic use in neonates especially in neonatal intensive care units (NICUs) as it contains several coagulation factors. Several studies suggest that, prophylactic use of FFP has no role to prevent bleeding in disseminated intravascular coagulation (DIC), but carries increase risk of transfusion related mortality and morbidity. Objective: To assess the effectiveness of prophylactic use of FFP in critically ill neonate to prevent bleeding in DIC. Methods: This randomized, open-label, blinded end-point study was conducted in Bangladesh Institute of Child Health and Dhaka Shishu (Children) Hospital from July, 2019 to June, 2021. Term, critically ill neonates who had underlying disease, suspected to develop DIC were conveniently selected. Later, they were randomly allocated using software in intervention group, who received 10 ml/kg of FFP along with standard management and control group, who received only standard management. Coagulation parameters were checked before and 24 hour after intervention in both groups. Outcome was occurrence of bleeding as a indicator of DIC. Results: The mean age was 8.55 ± 3.5 days in intervention and 8.92 ± 6.1 days in control group. Male patients were predominant. There was no significant difference in baseline characteristics between two groups. The difference of mean ± SD of coagulation parameters between two groups were nonsignificant before intervention. Even after FFP transfusion, DIC developed among 40.1% neonates in intervention and without FFP transfusion among 48.9% neonates in control group without any significant difference (P-value >0.05). Conclusion: Study result found no role of prophylactic use of FFP in critically ill neonate to prevent bleeding in DIC. Bangladesh Medical Res Counc Bull 2022; 48: 146-153
Lantana montevidensis (Spreng.) Briq. is a member of family Verbenaceae, that includes about 98 genera and more than 2600 species which are predominantly tropical or subtropical plants. The leaf infusions of the plant are used in folk medicine to treat fever, influenza, asthma, bronchitis, and many other diseases. Biological studies showed that the plant has antimicrobial and antiproliferative activities. No detailed information could be traced concerning the macroand micromorphology of the plant. This motivated the authors to carry out this study to identify the drug in both entire and powdered form.
Peutz-Jeghars Syndrome (PJS), also known as peri-orificial lentiginosis, is a condition of autosomal dominant inheritance. Here, mutation localized at (19p13.3) LKB1/ STK11. It is characterized by presence of mucocutaneous pigmentation and gastrointestinal (GI) hamartomatous polyps. This case of PJS, is a 7 year old girl who came with recurrent vomiting and abdominal pain for 1 year and weight loss for 8 months. She had multiple black pigmentation over lips and buccal mucosa. Endoscopy revealed multiple polyps in stomach and duodenum. Besides supportive management, polyps were removed by surgical intervention. Biopsy of these polyps showed hamartomatous type. Post operative period was uneventful. She recovered well. So far there was no recurrence of pain. She is on regular follow up. J Bangladesh Coll Phys Surg 2019; 37(3): 160-164
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