Objective: To determine the pattern of neurologic disorder in the specialized neurology out patient at tertiary care level. Methods: This observational study was carried out in specialized neurology outpatient clinic of Dhaka Medical College Hospital from July 2015 to July 2016, which included 8892 patients. Data were collected through a predesigned questionnaire from the hospital database kept at the clinic. Result: A total of 8892 patients were seen in neurology OPD in one year. About one third of the patients presented at 21-30 years of age. There was a male dominance (53%) with a male to female ratio of 1.12:1. Most of the patients had hypertension (3201, 36%) followed by diabetes and ischemic heart disease (1956, 22%; 1423, 16%) as co-morbid condition. Majority had Headache (4090, 46%) followed by vertigo (1067, 12%); vomiting (711, 8%) and neck and/ back pain (702, 8%) as presenting symptom at onset. Majority of the patients (46%) were diagnosed as headache disorder (Tension type headache in 33.5%, Migraine 7.5% and mixed headache in 5%) followed by ischemic stroke (896, 10%); polyneuropathy (446, 5%); vestibular disorder (441, 5%); movement disorder (267, 3%) and anxiety/depression (254, 3%). About 15% (1346) patient were undiagnosed at initial visit. Conclusion: Neurological diseases are not uncommon even at middle aged patients. Headache, vertigo, neck/back pain are common presenting symptom. Headache disorders and stroke are the commonest neurologic diagnosis at OPD.

A cross-sectional descriptive study was carried out among individuals attending the Out Patient Department (OPD) of Medicine, Surgery and Gynaecology & Obstetrics from February 1, 2010 to April 30, 2010 in Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh to see the patterns of drug dispensing using World Health Organization core patient care indicators. The result of the study showed that the overall average consultation time and dispensing time were too short (2.5 minutes and 30 seconds per patient respectively). Of the drugs prescribed, only 20.15% were actually dispensed, whereas no appropriate labeling (0%) was observed and 37.3% of patients knew how to administer drugs correctly after receiving the drugs from the dispenser. So the finding from current study shows a trend towards inappropriate dispensing practice. Hence, there is a need for effective intervention programme to encourage the physicians and dispensing pharmacists in promoting patient care as well as health care facilities. DOI: http://dx.doi.org/10.3329/bmj.v41i1.18776 Bangladesh Medical Journal 2012 Vol. 41 No. 1; 21-24

Internal dosimetry deals with the measurement of the radiation dose absorbed internally by an organ after the application of isotopes for diagnosis and treatment. In the present study radiation absorbed dose has been calculated for

To determine the frequency of different types of eczema in patients presenting in a tertiary care hospital. Study Design: Cross sectional descriptive type of study. Setting: Hamdard University Hospital Karachi. Period: January 2013 till December 2013. Patients and Methods: All new cases of any type of eczema were registered by nonprobability convenient sampling. Total 192 patients of both genders and all ages were enrolled after taking informed consent. Diagnosis was made on detailed history and clinical examination by consultant dermatologist. All specific and relevant investigations were done according to requirement. Patients were divided in two groups, exogenous eczema and endogenous eczema, for convenience. Data was analyzed by the latest version of SPSS. Results: There were 192 patients, out of which 52.08% were males and 47.91% females. Out of the total presented patients 50% had endogenous eczema, 43.37% had exogenous eczema and 25.62% had unspecified eczema. In endogenous group 11.45% had hand dermatitis followed by seborrhoeic dermatitis, atopic dermatitis and asteatotic eczema in descending frequency of presentation. Pityriasis alba, discoid eczema and pompholyx were seen less frequent. In exogenous eczema allergic contact dermatitis was seen in 14.06% patients, while irritant contact dermatitis in 11.45% patients. Infective eczema and photo-allergic eczema were seen in small number of patients. Conclusion: It was found in this study that allergic contact dermatitis was most common type of eczema followed by other types. Whatever the type is, eczema can be treated, symptoms can be relieved and recurrences can be prevented by appropriate therapy. All types of eczema affect patient's quality of life adversely. However, they can be prevented by educating patients and their relatives to take adequate safety measures like using good quality emollients prophylactically.

Objectives: To determine the frequency of different types of eczema inpatients presenting in a tertiary care hospital. Study Design: Cross sectional descriptive typeof study. Setting: Hamdard University Hospital Karachi. Period: January 2013 till December2013. Patients and Methods: All new cases of any type of eczema were registered by nonprobabilityconvenient sampling. Total 192 patients of both genders and all ages were enrolledafter taking informed consent. Diagnosis was made on detailed history and clinical examinationby consultant dermatologist. All specific and relevant investigations were done accordingto requirement. Patients were divided in two groups, exogenous eczema and endogenouseczema, for convenience. Data was analyzed by the latest version of SPSS. Results: Therewere 192 patients, out of which 52.08% were males and 47.91% females. Out of the totalpresented patients 50% had endogenous eczema, 43.37% had exogenous eczema and25.62% had unspecified eczema. In endogenous group 11.45% had hand dermatitis followedby seborrhoeic dermatitis, atopic dermatitis and asteatotic eczema in descending frequencyof presentation. Pityriasis alba, discoid eczema and pompholyx were seen less frequent. Inexogenous eczema allergic contact dermatitis was seen in 14.06% patients, while irritant contactdermatitis in 11.45% patients. Infective eczema and photo-allergic eczema were seen in smallnumber of patients. Conclusion: It was found in this study that allergic contact dermatitis wasmost common type of eczema followed by other types. Whatever the type is, eczema can betreated, symptoms can be relieved and recurrences can be prevented by appropriate therapy.All types of eczema affect patient’s quality of life adversely. However, they can be prevented byeducating patients and their relatives to take adequate safety measures like using good qualityemollients prophylactically.