Transfusion transmitted infections (TTI) are a great concern of safety for patients. Blood transfusion is a lifesaving procedure but always caries a potential risk of infections.The present study was designed to evaluate the prevalence of infectious disease markers and frequency in males and females of various age groups among healthy blood donors. A retrospective review of donor record over a period of 2 years between 2015 to2016 was done at the department of transfusion medicine Khulna medical college Hospital, Khulna, Bangladesh.Among the total 37,266 donors,358(0.96%) donors were infected and therefore not suitable for blood donations.HBV was found to be the most frequent infection with a total frequency of 0.72% followed by TP (0.20%), HCV (0.03%) and HIV (0.01%). None of the blood samples showed positivity for malarial parasite.Majority of the seropositive donors, (47.96%) were in the age group of 26 to 35 years followed by 29.47% in 18 to 25 years’ age group. Bangladesh Med J. 2017 May; 46 (2): 16-21
Amoebic liver abscess is an important cause of space occupying lesions of the liver, especially in tropical and sub tropical regions. It is the most frequent complication of invasive amebiasis. It may be found in all age groups but relatively rare in children. The signs and symptoms vary according to the severity of illness. The present study was done to evaluate the clinical profile of patients with amoebic liver abscess for age, gender, clinical features, site of abscess, number of abscess, treatment modality by intravenous metronidazole along with percutaneous needle aspiration and prognosis. A prospective study of 86 admitted patients of amoebic liver abscess were included in this study which was carried out in the medicine department of Khulna Medical College Hospital over a period of 2 years from July 2010 to June 2012. Mean age of patients was 45 years. Male female ratio was 7:1. The mean duration of fever was 17.9 days and the mean duration of pain was 14.1 days. The duration of fever for more than 2 weeks was seen in 38 cases. Regarding clinical features, the major symptoms of fever, pain abdomen and dysentery were seen in 81, 78 and 10 cases respectively. The major signs as determined by clinical and radio imaging studies were hepatomegaly in 76, right lobe abscess in 60, left lobe abscess in 12, multiple abscesses in both lobes in 18, ascites in 5 and right sided pleural effusion in 12 cases respectively. All the cases underwent percutaneous needle aspiration. 5 cases died out of 86 patients.Bang Med J (Khulna) 2015; 48 : 20-23
Stroke is the leading cause of adult disability and is the third commonest cause of death worldwide. It is a major cause of morbidity and mortality with disability and social dependence throughout the world. An observational, descriptive, cross-sectional study was conducted among purposively selected one hundred and seventy patients with stroke admitted at Kushtia Medical College Hospital, Kushtia from July 2014 to June 2015 to evaluate the different modifiable risk factors and their frequency among stroke patients. Stroke patients with more than 24 hours duration presenting within seven days of onset irrespective of age, sex and demographic profile were included in the study. After obtaining informed consent, patients who fulfilled the inclusion criteria were thoroughly evaluated for the presence of risk factors. Data were collected by investigators themselves. Out of 170 confirmed cases of stroke, 89 (52.35%) were male, while 81 (47.65%) were female. Mean age of the patients was 63.74 years with a standard deviation of 16.5 years. The highest incidence 43 (24.70%) of stroke was in the age group of 60 to 69 years. As many as 122 (71.76%) had ischaemic stroke, while 48 (28.24%) had haemorrhagic stroke. At least 119 (70.00%) cases were hypertensive. 41 (24.11%) cases had diabetes mellitus, 31 (18.23%) had hyperlipidaemia, 52 (30.6%) were smokers and 25 (14.70%) had past history of stroke. Among 81 female patients, 66 (81.48%) were in post-menopausal, whereas 15 (18.52%) were in the reproductive age group. Of them 5 (33.33%) had history of taking oral hormonal contraceptive. Hypertension, smoking, diabetes mellitus and hyperlipidaemia are the identified modifiable risk factors associated with stroke.Bang Med J (Khulna) 2015; 48 : 24-27
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