-
Research Article
Challenges in Conducting Cerebral Scanning for Stroke in a Hospital in Sub-saharan Africa
Some Milckisédek Judicaël Marouruana*,
Tankoano Aïda Ida,
Ouedraogo Pakisba Ali,
Gbangou Jean Bernard,
Konate Adama Jean Honore,
Ouedraogo Nina-Astrid
,
Nikiema Zakari
Issue:
Volume 12, Issue 2, June 2024
Pages:
22-27
Received:
26 February 2024
Accepted:
19 March 2024
Published:
2 April 2024
Abstract: Stroke, due to its magnitude and mortality, is a real public health problem. To diagnose them, the Souro Sanou Teaching Hospital is equipped with a computed tomography (CT) scanner, to which access remains limited. So, it seemed important to study epidemiological aspects and conditions for carrying out CT scans in patients with stroke. This is a projective descriptive study. Data were collected over 6 months (1 December 2013 to 30 June 2014). Patients admitted to the Souro Sanou Teaching Hospital with clinical suspicion of stroke were included. We collected 153 cases of stroke. The mean age of the patients was 62 ± 15 years, and the sex ratio was 1.43. The mean consultation time was 2.05 ± 1.36 days with a range of 0 to 45 days. Approximately 68.63% of patients underwent brain scanning. The most common reasons for not having a brain scan were death before the scheduled date of the brain scan (41.67%) and lack of financial resources (39.58%). The mean delay for brain scans was 08 ± 06 days. Mortality rate was 31.37%. In the management of stroke, the performance of brain scans is of great interest. However, several factors, including the high cost of a CT scan, may sometimes limit its accessibility.
Abstract: Stroke, due to its magnitude and mortality, is a real public health problem. To diagnose them, the Souro Sanou Teaching Hospital is equipped with a computed tomography (CT) scanner, to which access remains limited. So, it seemed important to study epidemiological aspects and conditions for carrying out CT scans in patients with stroke. This is a pr...
Show More
-
Research Article
Abdominal CT Scan Role out of Fatty Liver Disease: A Study in a Selected Hospital
Mohammad Salehin Abedin*,
Mohammad Mojibur Rahman,
Sohel Rana Sumon,
Abdur Rab Akanda,
Marzuk Ahamed,
Mohammad Motiur Rahman,
Mohammad Ripon Sikder
Issue:
Volume 12, Issue 2, June 2024
Pages:
28-33
Received:
2 November 2023
Accepted:
7 December 2023
Published:
12 April 2024
Abstract: Introduction: Fatty liver is a hepatic manifestation that can occur as a result of many medical problems and the use of certain drugs. The global prevalence of fatty liver is on the rise due to the escalating obesity epidemic. CT scans have proven to be useful in noninvasively identifying the presence and determining the degree of liver fat. The aim of this study was to determine the efficacy of CT scan in the diagnosis of non-alcoholic fatty liver disease in individuals. Purpose: This study aimed to determine the effectiveness of CT scan in identifying non-alcoholic fatty liver disease in individuals. Methodology: The research was carried out in the Radiology and Imaging department of IbnSina Hospital in Dhaka, Bangladesh, spanning from January 2023 to June 2023. The study was conducted using a cross-sectional prospective design. This study encompassed a cohort of 300 individuals, all of whom were above the age of 18 and sought medical attention at the hospital for an abdominal CT scan. These individuals were suspected to have non-alcoholic fatty liver disease. The hepatic fat level in the patients was assessed using a typical CT scan methodology. The acquired data was analyzed using the Statistical Package for Social Sciences (SPSS) software, especially version 23.0. The study gained ethical clearance from the Ethics Committee of the School of Public Health & Life Science at the University of South Asia in Dhaka, Bangladesh. Findings: The study included a cumulative total of 300 individuals who were suspected to have the condition. According to age distribution, the maximum 203 (67.66%) of the patients were above 52 years and minimum 3(1%) were between (18-22) years, and followed by 44 (14.66%) (43-52) years, 36(12%), (33-42) years and 14(4.66%) (22-32) years. The majority of the patients were male 160(53.33%) and 140(46.66%) were female. Distribution by clinical presentation, the patients were suffering from Abdominal pain, Nausea-50(16.66%) Abdominal pain, Vomiting- 39(13%), Follow Up-60(20%), U. Abdominal pain-91(30.33%) U. Abdominal pain, Jaundice-53(17.66%) and U. Abdominal pain, Nausea-7(2.33%). According to the evaluation of CT scan, 189(63%) patients had fatty liver and 111(37%) patients had normal liver. Conclusion: This study investigated 63 % of the study patients were suffering from fatty liver diseases. Therefore, early detection may help them to medicate in a standard approach and to remove health effect in their day to day life.
Abstract: Introduction: Fatty liver is a hepatic manifestation that can occur as a result of many medical problems and the use of certain drugs. The global prevalence of fatty liver is on the rise due to the escalating obesity epidemic. CT scans have proven to be useful in noninvasively identifying the presence and determining the degree of liver fat. The ai...
Show More
-
Research Article
Knowledge Attitude and Practice (KAP) and Health Impacts of MRI Among the Patients Attending MRI in Dhaka City
Sohel Rana Sumon*,
Mohammad Motiur Rahman,
Marzuk Ahamed,
Mohammad Ripon Sikder,
Mohammad Moibur Rahman,
Mohammad Salehin Abedin,
Abdur Rab Akanda
Issue:
Volume 12, Issue 2, June 2024
Pages:
34-40
Received:
2 November 2023
Accepted:
27 November 2023
Published:
12 April 2024
Abstract: Introduction: Magnetic resonance imaging (MRI) is an important diagnostic method in modern clinical medicine. Patients’ knowledge about MRI is of utmost importance for optimizing the workflow, safety, and patient comfort and saving valuable time for the MRI department. Objective: The aim of this study was to investigate the knowledge, attitude and practice (KAP) and health impacts of Magnetic Resonance Imaging (MRI) among the patients attending in Dhaka city. Methodology: This was a cross-sectional prospective study carried out at the department of Radiology and Imaging in Islami Bank Central Hospital & Popular Diagnostic Center, Dhaka, Bangladesh during January, 2022 to June, 2022. A purposive random sampling technique was used and a total of 200 cases referred for MRI, from OPD, aged above 15 years were enrolled in this study. The collected data were analyzed using Statistical Package for Social Sciences (SPSS) software, version 23.0. The ethical clearance of this study was obtained from the Ethics Committee of School of Public Health & Life Science, University of South Asia, and Dhaka, Bangladesh. Results: A total of (n=200) cases referred for MRI, from OPD, aged above 15 years were enrolled in this study. The majority 85(42.5%) patients belonged to the age group (46-60) and followed by 72(36%),(36-45) years, 22(11%), (26-35) years, 13(6.5%), (15-25) years and 8(4%), >60 years. The maximum132 (66%) patients were male and the minimum 68(34%) were female. The maximum, 61(30.5%) were graduate and followed by 50(25%) HSC, 30(15%) SSC, 21(10.5%) Primary and 6(3%) had no formal education. Among the study patients, 110(55%) had previous knowledge about MRI. 35(17.5%) patients had previous knowledge about the health effect of MRI.74 (37%) patients had seen close contact of relative/family member to face MRI examination. 196(89%) patients opined conversation is very important before MRI examination. 177(88.5%) patients felt nervous to conduct MRI test and 92(46%) patients practiced MRI before. The maximum 110(55%) felt discomfort. 86(43%) patients opined MRI took long time. 100(50%) of the patients observed metal effect during MRI, 78(39%) patients had MRI phobia and the maximum 18(9%) patients had allergic reaction. Conclusion: This study investigated (55%) study patients had previous knowledge about MRI. (17.5%) patients had previous knowledge about the health effect of MRI.(37%) patients felt to have close contact of relative/family member is needed during MRI test,(89%) patients had positive attitude to conversation before MRI examination, 177(88.5%) patients felt nervous to conduct MRI test and (46%) patients practiced MRI. The major impact of MRI on health was discomfort and MRI phobia.
Abstract: Introduction: Magnetic resonance imaging (MRI) is an important diagnostic method in modern clinical medicine. Patients’ knowledge about MRI is of utmost importance for optimizing the workflow, safety, and patient comfort and saving valuable time for the MRI department. Objective: The aim of this study was to investigate the knowledge, attitude and ...
Show More
-
Research Article
Radiology Department Disaster Preparedness: Practice, Strategies and Emergency Response
Issue:
Volume 12, Issue 2, June 2024
Pages:
41-50
Received:
1 March 2024
Accepted:
27 March 2024
Published:
12 April 2024
Abstract: In order to respond effectively to any radiological emergencies, the implementation of disaster management practices is an essential and invaluable aspect. It can be difficult to know in advance exactly what you will be facing when you go to help people in a disaster situation brought about by hurricanes, earthquakes and other events, but the more compact medical technology you can bring in with you, the more you can accurately diagnose and assist those in need. Our disaster plans need to be programmatic, flexible, and should be continuously reviewed and updated. Within a few minutes of a disaster operationalize hospital support for the initial treatment of several injured patients and for ongoing care up to many hours is required. The Radiology Department is at the forefront of patient care in emergency situations, such as mass casualty incidents and natural disasters, providing critical diagnostic services to prioritize and triage patient needs. Radiological imaging is critical for improving patient outcomes and lowering morbidity and mortality, from detecting potentially fatal injuries to guiding surgical procedures. Radiologic technologists, radiologists, nurses, and other paramedic staff must actively participate in patient care. This paper provides an overview of the comprehensive strategy needed to maximize the radiology department’s preparedness and response for disasters.
Abstract: In order to respond effectively to any radiological emergencies, the implementation of disaster management practices is an essential and invaluable aspect. It can be difficult to know in advance exactly what you will be facing when you go to help people in a disaster situation brought about by hurricanes, earthquakes and other events, but the more ...
Show More
-
Research Article
Outcome of High Resolution Computed Tomography (HRCT) Scan of Chest of COVID-19 Affected Patients: A Study in a COVID-19 Dedicated Hospital
Marzuk Ahamed*,
Mohammad Ripon Sikder,
Mohammad Mojibur Rahman,
Sohel Rana Sumon,
Mohammad Motiur Rahman,
Abdur Rab Akanda,
Mohammad Salehin Abedin
Issue:
Volume 12, Issue 2, June 2024
Pages:
51-56
Received:
1 November 2023
Accepted:
2 January 2024
Published:
24 May 2024
Abstract: Introduction: Recent studies have assessed the importance of chest CT scans, particularly high-resolution CT (HRCT), in hospitalized COVID-19 patients who are suspected of having the virus or have had false negative test results. Objective: The aim of this study was to determine the outcome of High-Resolution Computed Tomography (HRCT) of chest of confirmed COVID-19 positive cases. Methodology: This was a cross-sectional prospective study carried out in the department of Radiology and imaging in collaboration with the department of Virology and COVID unit in IbnSina Hospital, Dhaka, Bangladesh during January, 2022 to June, 2022. A total of 300 confirmed COVID-19 positive admitted cases in the hospital, aged above 18 years were enrolled in this study. All the patients were under went High Resolution Computed Tomography (HRCT) of Chest scan. The collected data were cleaned, edited and entered into computer for analysis. The data were analyzed by SPSS-23.0. The ethical clearance of this study was obtained from the Ethics Committee of School of Public Health & Life Science, University of South Asia, and Dhaka, Bangladesh. Results: In this study a total of 300 COVID-19 positive cases were enrolled. Among the patients, the majority203 (67.66%) patients belonged to the age group >52 years, which was the highest and followed by 44 (14.66%) age group (43-52) years, 36 (12%) (33-42) years, 14 (4.66%) (22-32) years and 3 (1%) <22 years. According to sex distribution, the majority cases 160 (53.33%) were male and 140 (46.66%) were female. According to the distribution of clinical presentation, the highest symptom was observed, general weakness 300 (100%) and followed by sneezing 288 (96%), fever 246 (82%), headache 239 (79.66%), cough 232 (77.33%), respiratory distress, 225 (75%), cough and SOB, 220 (73.33%), loss of smell, 222 (74%), lac of apatite, 216 (72%), asthma 130 (43.33) and pneumonia, 120 (40%). According to the distribution of HRCT findings of chest of the COVID-19 positive cases, 163 (54.33%) had Ground glass opacity, which was the largest observation and followed by 66 (22%), Ground glass opacity with pneumonia, 34 (11.33%) Ground glass opacity with consolidation, 31 (10.33) Ground glass opacity with fibrosis, and 6 (2%) Ground glass opacity with pleural effusion. Conclusion: The results of this study indicate that doing a high-resolution computed tomography (HRCT) scan of the chest is a valuable method for diagnosing and assessing the response to treatment in COVID-19 patients. Additionally, it serves as a significant predictor for future prognosis.
Abstract: Introduction: Recent studies have assessed the importance of chest CT scans, particularly high-resolution CT (HRCT), in hospitalized COVID-19 patients who are suspected of having the virus or have had false negative test results. Objective: The aim of this study was to determine the outcome of High-Resolution Computed Tomography (HRCT) of chest of ...
Show More
-
Research Article
Outcome of RT-PCR in the Diagnosis of Patients with COVID-19 Symptoms: A Study in a COVID-19 Referral Hospital
Mohammad Mojibur Rahman*,
Abdur Rab Akanda,
Mohammad Motiur Rahman,
Mohammad Salehin Abedin,
Sohel Rana Sumon,
Mohammad Ripon Sikder,
Marzuk Ahamed
Issue:
Volume 12, Issue 2, June 2024
Pages:
57-61
Received:
2 November 2023
Accepted:
27 November 2023
Published:
24 May 2024
Abstract: Introduction: Corona virus (SARS-CoV-2) (COVID-19) outbreak was first reported in China rapidly spread around the world within short period causing global public health emergency. COVID 19 is a highly infectious disease caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). The initial symptoms were fever, cough, dyspnea, myalgia or fatigue, headache, hemoptysis, diarrhea and acute respiratory distress syndrome (ARDS). Hence in diagnosis of COVID-19 RT-PCR of viral nucleic acid is regarded as the reference standard to detect the COVID-19 positive cases. Objective: The aim of this study was to determine the outcome of RT-PCR of the patients with COVID-19 symptoms. Methodology: This was a cross-sectional prospective study carried out in the department of Radiology and imaging in collaboration with the department of Virology and COVID unit in IbnSina Hospital, Dhaka, Bangladesh during January, 2022 to June, 2022. A total of 239 OPD patients with COVID-19 symptoms aged above 18 years were enrolled in this study. The collected data were cleaned, edited and entered into computer for analysis. The data were analyzed using Statistical Package for Social Sciences (SPSS) software, version 23.0. The ethical clearance of this study was obtained from the Ethics Committee of School of Public Health & Life Science, University of South Asia, and Dhaka, Bangladesh. Results: In this study a total of (n=239) patients with COVID-19 symptoms were enrolled. According to age distribution, the majority., 142 (59.42%) patients belonged to the age group >52 years, which was the highest and followed by 44 (18.42%) age group (43-52) years, 36 (15.06%) (33-42) years, 14 (5.85%) (22-32) years and 3 (1.25%) <22 years. According to sex distribution, the majority, 167 (69.85%) were male and 72 (30.12%) were female. Distribution by symptoms, all the patients239 (100%) had general weakness and followed by sneezing 221 (92.46%), fever 236 (98.74%), headache 228 (95.39%), cough 232 (97.07%), respiratory distress, 225 (94.14%), cough and SOB, 237 (99.16%), loss of smell, 212 (88.74%), lac of apatite, 224 (73.72%), asthma 218 (91.21%) and pneumonia, 118 (49.37%). In RT_PCR lab test results, the majority 195 (81.58%) were observed COVID-19 Negative (-) and 44 (18.41%) were observed COVID-19 Positive (+). Among the positive cases, the majority 26 (60%) were male and 18 (40%) were female. Conclusion: This study prevailed around 20 % of the patients with COVID-19 symptoms got COVID-19 Positive in RT-PCR lab test results. Therefore, the patients with COVID-19 symptoms must conduct RT-PCR lab test for their being sure of their COVID-19 affection. At the same time, the male are more vulnerable to COVID-19 than their counter part female.
Abstract: Introduction: Corona virus (SARS-CoV-2) (COVID-19) outbreak was first reported in China rapidly spread around the world within short period causing global public health emergency. COVID 19 is a highly infectious disease caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). The initial symptoms were fever, cough, dyspnea, myalgia ...
Show More
-
Research Article
Demographic and Clinical Characteristics of Non Alcoholic Fatty Liver (NAFL) Patients: An Exploratory Study in a Tertiary Care Hospital
Mohammad Motiur Rahman,
Mohammad Salehin Abedin,
Abdur Rab Akanda,
Mohammad Mojibur Rahman,
Mohammad Ripon Sikder,
Marzuk Ahamed,
Sohel Rana Sumon
Issue:
Volume 12, Issue 2, June 2024
Pages:
62-67
Received:
2 November 2023
Accepted:
7 December 2023
Published:
24 May 2024
Abstract: Introduction: Non-alcoholic fatty liver disease (NLFD) is characterized by the accumulation of fat in the liver that exceeds 5% of hepatocytes, along with the development of progressive steatosis and related conditions such as hepatitis, cirrhosis, or hepatocellular carcinoma (HCC). Patients with non-alcoholic fatty liver disease (NAFLD) can display a diverse range of histological presentations, including simple accumulation of fat in the liver (steatosis), nonalcoholic fatty liver (NAFL), or nonalcoholic steatohepatitis (NASH). Non-alcoholic fatty liver disease (NAFLD) has a prevalence of 25%, impacting around 1 billion people globally. Objective: This study aimed to ascertain the demographic and clinical characteristics of non-alcoholic fatty liver disease (NAFLD). Methodology: This was a cross-sectional prospective study carried out in the Department of Radiology and imaging in IbnSina Hospital, Dhaka, Bangladesh during January, 2023 to June, 2023. A total of 189 confirmed non-alcoholic fatty liver cases by CT scan, aged above 18 years were enrolled in this study. The collected data were analyzed using Statistical Package for Social Sciences (SPSS) software, version 23.0. The ethical clearance of this study was obtained from the Ethics Committee of School of Public Health & Life Science, University of South Asia, and Dhaka, Bangladesh. Results: A total of 189 confirmed non-alcoholic fatty liver cases were enrolled in this study. According to age distribution, the maximum 113 (54.49%) patients were above 52 years and minimum 3 (1.58%) were between (18-22) years, and followed by 38 (20.10%) (43-52) years, 25 (13.22%), (33-42) years and 10 (5.29%) (22-32) years. The maximum 105 (55%) were male and 84 (45%) were female. The majority 132 (70%) were from urban area and 57 (30%) were from rural area. The majority 82 (43.38%) were involved in indoor job and followed by 50 (26.45%) outdoor job, 28 (14.81%) business, 20 (10.58%) not applicable and 9(4.76%) others. The BMI of the male patients was observed 132 (33.6 ± 9.5) kg/m2 and the BMI of the female was 57 (35.5 ± 8.7) kg/m2 (p=0.157). The maximum of the patients 70 (89.94% had Diabetes mellitus (DM) and followed by 66 (87.83%) Hypertension (HTN), 9 (4.76%) Cirrhosis, 8 (4.23%) Hyperlipidemia and 45 (23.80%) had Thyroid. The patients were suffering from abdominal pain, Nausea-34 (17.98%) Abdominal pain, Vomiting- 27 (14.28%), Follow Up-36 (19.04%), U. Abdominal pain-56 (29.62%) U. Abdominal pain, Jaundice-31 (16.40%) and U. Abdominal pain, Nausea-5 (2.64%). Conclusion: This study investigated, the majority of the NLFD patients (54.49%) were >52 years. The maximum patients were male. The majority of the patients (70%) were from urban area. The maximum patients were involved in indoor jobs. 89.94% patients had diabetes (DM). The majority of the patients suffered from U, Abdominal pain, 56 (29.62%). The difference of BMI between male and female was not observed statistically significant but both male and female patients suffered from obesity.
Abstract: Introduction: Non-alcoholic fatty liver disease (NLFD) is characterized by the accumulation of fat in the liver that exceeds 5% of hepatocytes, along with the development of progressive steatosis and related conditions such as hepatitis, cirrhosis, or hepatocellular carcinoma (HCC). Patients with non-alcoholic fatty liver disease (NAFLD) can displa...
Show More
