Khulna Medical College

About: Khulna Medical College is a healthcare organization based out in Khulna, Bangladesh. It is known for research contribution in the topics: Hysterectomy & Cancer. The organization has 266 authors who have published 203 publications receiving 964 citations. The organization is also known as: Khulna Medical College, Khulna & KMC.

Dental management of COPD patient

Abstract: Chronic obstructive pulmonary diseases have increased in prevalence and the rate of death of this chronic inflammatory disease of the airways has also risen despite recent advances in medical treatments. The dental health care professionals must be prepared to treat more medically compromised individuals. Because dental professionals operate at the origin of the upper airway and many dental procedures are deemed stressful, patients with chronic respiratory diseases are at special risk. This article will review the patho-physiology and discuss the recognition and management of dental patients with these diseases and provide an understanding on how to avoid precipitating factors that could initiate an acute episode in the dental care setting. The most important factor in preventing COPD is helping patients stop smoking. DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10472 Bang Med J (Khulna) 2011: 44(1&2) 21-24

Childhood acute poisoning in a tertiary medical college hospital of Bangladesh.

Abstract: A total of 193(4.7%) cases of acute childhood poisoning admitted to paediatric Unit of Khulna Medical College Hospital, Bangladesh over a period of two years were studied to see the age and sex distribution, ingredients used, seasonal variation etc. Out of them 107(55.4%) cases were male and rest 86(44.6%) were female. 01-03 years was the most vulnerable age group to be affected. Kerosene was the commonest form of ingredient to be used. Overall mortality rate was 4.66%. Childhood poisoning was a common Medical emergency with considerable morbidity and mortality. Parents should be educated to keep the kerosene out of reach of the children. So, that mortality and morbidity can be reduced to a great extent.

Jaundice in Pediatric Visceral Leishmaniasis (Kala-azar) Patients

Abstract: Summary Visceral leishmaniasis (Kala-azar) is endemic in many countries including Bangladesh. Clinical presentation of visceral leishmaniasis in children and adult may vary and at time may simulate many tropical and hepatobilliary diseases. Jaundice and ascites is not common in some patients. In this series of eleven cases Jaundice, splenomegaly, hepatomegaly and ascites are present in 55%, 100%, 91%, 27% of cases respectively. So, Kala-azar should be kept in mind while dealing with cases of many such clinical findings.

Seroprevalence of Treponema Pallidum antibody among pregnant population of Bangladesh.

Abstract: AIM: The aim of this study was to investigate the seroprevalence of antibody to Treponema pallidum among pregnant women and its association with age sexual behavior and socioeconomic status. MATERIALS AND METHODS: In this cross-sectional study 1266 sera were collected from pregnant women attending Bangabandhu Sheikh Mujib Medical University and Rajshahi Khulna and Chittagong Medical College Hospitals between February 2007 and April 2008. From each hospital samples were collected from about a quarter of the total recruited pregnant women. Sera were tested to identify the antibody to T. pallidum using Treponema pallidum hemagglutination at the Virology Department of Bangabandhu Sheikh Mujib Medical University. Logistic regression was used to explore potential risk factors for syphilis. RESULTS: Among 1250 sera tested (16 sera were discarded due to hemolysis) 37 (2.96%) were positive for T. pallidum antibody. Higher seropositivity was associated with couples with no formal education low socioeconomic status (P = 0.006) marriage at or before 18 years of age (P = 0.002) multiple marriages of the husband (P = 0.031) and sexual activity for more than 10 years (P = 0.007). Among these factors low education level of women early age of marriage and multiple marriages of the husband showed individual effects on high seropositivity to T. pallidum. CONCLUSIONS: The high seroprevalence of syphilis among pregnant women attending the antenatal clinics of these hospitals indicates the need for the incorporation of screening for syphilis in routine antenatal screening in Bangladesh. Improvement of education level in the female population prevention of early marriage and preventing polygamy of husbands may play an important role in prevention of syphilis among women. (c) 2011 The Authors. Journal of Obstetrics and Gynaecology Research (c) 2011 Japan Society of Obstetrics and Gynecology.

Acute meningoencephalitis in hospitalised children in southern Bangladesh.

Abstract: Background: Acute meningoencephalitis is an important cause of morbidity and mortality around the globe. The objective of this study was to examine the distribution of acute meningoencephalitis and its aetiological agents among children admitted to a tertiary hospital in southern Bangladesh. Methods: This prospective study was carried out in Khulna Medical College Hospital from 2007 to 2009. All of the admitted children between 1 month and 12 years of age were enrolled over a 2-year period if they met the inclusion criteria of having an acute onset of fever (≤ 14 days) and any of the following 3 signs: neck stiffness, convulsion, or altered mental status. Cerebrospinal fluid (CSF) was collected within hours and sent to the laboratory for cytological and biochemical analyses. CSF was examined by Gram staining and a latex agglutination test to detect common bacteria. Serum and CSF were also tested for Japanese encephalitis virus antibodies. Results: A total of 140 children were included in the study, which accounted for 2.5% of admissions between 2007 and 2009. The number of acute meningoencephalitis cases was relatively higher (37.9%) during the monsoon season. The CSF report revealed a pyogenic form in 24 (18.5%) and a viral form in 13 (10.0%) cases. Altered mental status was significantly less frequent (P < 0.001) in cases of pyogenic meningoencephalitis (62.5%) than in cases of non-pyogenic meningoencephalitis (93.4%). Bacterial causes were identified in 11 (8.5%) children; the causative agents included Streptococcus pneumoniae (n = 8), Neisseria meningitides (n = 2), and Haemophilus influenzae (n = 1). Three (2.3%) patients were positive for Japanese encephalitis virus. Conclusion:S. pneumoniae was the most common bacteria causing acute meningoencephalitis among the study subjects, and Japanese encephalitis virus was present in few patients.