Pub Date : 2022-06-30DOI: 10.3329/jcmcta.v33i1.67418
Tamanna Zahur, R. Parvin
Background: Smokeless tobacco consumption has contributed nothing except diseases, disability and death. But assessment of awareness and knowledge regarding its use has less been studied to the extent as that of smoking. The study was undertaken to assess the pattern of use and awareness of smokeless tobacco among rural community. Materials and methods: This descriptive cross-sectional study was conducted among 310 respondents selected through systemic sampling method, aged 18 years, residing at least for 10 years in Noakhali district in Bangladesh. This study was conducted from May to November 2013. Data were collected with a pretested questionnaire through face-to-face interview. Results: Smokeless Tobacco (SLT) use was prevalent among 45.8% of respondents. Higher proportion of females than males used SLT. Zarda was the common form in more than half of the users. Among daily users, self-interest was the main factor for initiation and mean age of starting was 35 years. Per day frequency of SLT use for 1-8 times was in two-thirds of the daily users. Most of the respondents knew that SLT is injurious to health. About two-thirds of them mentioned SLT as addictive. More than one-thirds of the respondents had knowledge that smoking is more injurious than SLT. However, 30% of the respondents knew that both smoking and SLT were equally addictive. Excluding the former users, majority of the respondents knew that SLT might be quitted. Conclusion: Multistage effective behavioral change intervention programs are the preferable way to overcome this lifestyle-related health problem. JCMCTA 2022 ; 33 (1) : 166-172
{"title":"Smokeless Tobacco: Pattern and Awareness in a Rural Area of Bangladesh","authors":"Tamanna Zahur, R. Parvin","doi":"10.3329/jcmcta.v33i1.67418","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67418","url":null,"abstract":"Background: Smokeless tobacco consumption has contributed nothing except diseases, disability and death. But assessment of awareness and knowledge regarding its use has less been studied to the extent as that of smoking. The study was undertaken to assess the pattern of use and awareness of smokeless tobacco among rural community. \u0000Materials and methods: This descriptive cross-sectional study was conducted among 310 respondents selected through systemic sampling method, aged 18 years, residing at least for 10 years in Noakhali district in Bangladesh. This study was conducted from May to November 2013. Data were collected with a pretested questionnaire through face-to-face interview. \u0000Results: Smokeless Tobacco (SLT) use was prevalent among 45.8% of respondents. Higher proportion of females than males used SLT. Zarda was the common form in more than half of the users. Among daily users, self-interest was the main factor for initiation and mean age of starting was 35 years. Per day frequency of SLT use for 1-8 times was in two-thirds of the daily users. Most of the respondents knew that SLT is injurious to health. About two-thirds of them mentioned SLT as addictive. More than one-thirds of the respondents had knowledge that smoking is more injurious than SLT. However, 30% of the respondents knew that both smoking and SLT were equally addictive. Excluding the former users, majority of the respondents knew that SLT might be quitted. \u0000Conclusion: Multistage effective behavioral change intervention programs are the preferable way to overcome this lifestyle-related health problem. \u0000JCMCTA 2022 ; 33 (1) : 166-172","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87021532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.3329/jcmcta.v33i1.66915
Pankaj Chowdhury, A.K. Ahmed, SM Tareq Uddin Ahmed, Rabiul Alam Md Erfan Uddin, S. Biswas
Background: Neck masses are found in all age groups from many causes, ranging from congenital to acquired pathology. There is a wide variation in the presentation of neck masses concerning its site of origin, clinical presentation, and the nature of the progression of the disease. This study was performed to have an idea about the prevalence of various neck masses according to age and sex so that it would help us in diagnosing the neck masses. Materials and methods: This retrospective study was performed in the Department of Otolaryngology and Head Neck Surgery, Chattogram General Hospital, Chattogram from July 2018 and June 2019, over 97 patients presented with neck mass. Results: Of 97 cases 69.1% were female and range from 7-77 years. The maximum case holding age group was 21- 30 years (26.8%). The histopathological diagnosis of the neck masses was inflammatory in 68 (70.1%), congenital in 5 (5.2%) and neoplastic in 24 (24.7%) cases. Chronic granulomatous lymphadenitis was the most common inflammatory lesion (50.5%) and a branchial cyst was the most common congenital mass (2.2%). Neoplastic masses were malignant in 10 (10.3%) and benign in 14 (14.4%) cases. The most common malignant neoplastic mass was a follicular carcinoma (6.2%), and the most common benign neoplastic mass was goitre (12.4%). Conclusions: Cervical lymphadenopathy was the most commonly encountered neck mass. Most of the neck masses are benign. Out of these cervical lymph nodes, tubercular lymphadenopathy was most common. JCMCTA 2022 ; 33 (1) : 21-24
{"title":"Retrospective Analysis of Neck Masses Diagnosed by Histopathology from Chattogram General Hospital","authors":"Pankaj Chowdhury, A.K. Ahmed, SM Tareq Uddin Ahmed, Rabiul Alam Md Erfan Uddin, S. Biswas","doi":"10.3329/jcmcta.v33i1.66915","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.66915","url":null,"abstract":"Background: Neck masses are found in all age groups from many causes, ranging from congenital to acquired pathology. There is a wide variation in the presentation of neck masses concerning its site of origin, clinical presentation, and the nature of the progression of the disease. This study was performed to have an idea about the prevalence of various neck masses according to age and sex so that it would help us in diagnosing the neck masses. \u0000Materials and methods: This retrospective study was performed in the Department of Otolaryngology and Head Neck Surgery, Chattogram General Hospital, Chattogram from July 2018 and June 2019, over 97 patients presented with neck mass. \u0000Results: Of 97 cases 69.1% were female and range from 7-77 years. The maximum case holding age group was 21- 30 years (26.8%). The histopathological diagnosis of the neck masses was inflammatory in 68 (70.1%), congenital in 5 (5.2%) and neoplastic in 24 (24.7%) cases. Chronic granulomatous lymphadenitis was the most common inflammatory lesion (50.5%) and a branchial cyst was the most common congenital mass (2.2%). Neoplastic masses were malignant in 10 (10.3%) and benign in 14 (14.4%) cases. The most common malignant neoplastic mass was a follicular carcinoma (6.2%), and the most common benign neoplastic mass was goitre (12.4%). \u0000Conclusions: Cervical lymphadenopathy was the most commonly encountered neck mass. Most of the neck masses are benign. Out of these cervical lymph nodes, tubercular lymphadenopathy was most common.\u0000JCMCTA 2022 ; 33 (1) : 21-24","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88073124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.67201
C. Das, Md Mizanur Rahman Chowdhury, Saikat Ghosh, Mohammad Qausarul Matin, Md Nazrul Islam Choudhuri, Md Somirul Islam
Background: Proximal Fibular Osteotomy (PFO) has been proposed as a new surgical option for pain relief in patients with medial compartment knee osteoarthritis. It is simple, safe and affordable. To assess functional outcome of proximal fibular osteotomy in medial compartment osteoarthritis of knee joint. Materials and methods: This prospective hospital based clinical trial was carried out in the Department of Orthopedic Surgery Chittagong Medical College Hospital (CMCH) Chattogram from July 2019 to June 2020. A total of 30 patients with knee osteoarthritis were enrolled through inclusion and exclusion criteria by purposive sampling. Proximal fibular osteotomy was done after taking written informed consent. Data was recorded in a predesigned case record form. All the patients were followed up to 6 months when final outcome was assessed by Oxford Knee Score. All the data were analyzed statistically by using Statistical Package for Social Sciences (SPSS-25). The result was expressed as frequency, percentage and mean ± SD. Level of significance was calculated at p<0.05. Results: In this study, out of 30 cases, majority of the cases (57.7%) was in 55-64 years of age group. Mean ± SD pre-operative and post-operative VAS score were 7.13 ± 1.408 and 2.10 ± 0.803 respectively. According to Oxford Knee Score (OKS) pre-operative and postoperative mean ± SD were, 18.00 ± 2.117 and 36.53 ± 2.403. Mean ± SD pre-operative and post-operative Tibio Femoral Angle were 182.97 ± 1.810 and 178.63 ± 1.377 respectively. Mean ± SD pre-operative and post-operative Medial Joint Space (mm) were 1.223 ± 0.378 and 3.816 ± 0.982 respectively. Mean ± SD pre-operative and postoperative Lateral Joint Space (mm) were 6.640 ± 1.209 and 5.050 ± 0.897 respectively. Conclusion: After analyzing the results of present study, it can be concluded that proximal fibular osteotomy is a new, simple procedure in the management of medial compartment osteoarthritis of the knee which may delay the need for definitive knee procedures like unicompartmental knee arthroplasty or total knee replacement. JCMCTA 2021 ; 32 (2) : 137-141
{"title":"Functional Outcome of Proximal Fibular Osteotomy in Medial Compartment Osteoarthritis of The Knee Joint","authors":"C. Das, Md Mizanur Rahman Chowdhury, Saikat Ghosh, Mohammad Qausarul Matin, Md Nazrul Islam Choudhuri, Md Somirul Islam","doi":"10.3329/jcmcta.v32i2.67201","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.67201","url":null,"abstract":"Background: Proximal Fibular Osteotomy (PFO) has been proposed as a new surgical option for pain relief in patients with medial compartment knee osteoarthritis. It is simple, safe and affordable. To assess functional outcome of proximal fibular osteotomy in medial compartment osteoarthritis of knee joint. \u0000Materials and methods: This prospective hospital based clinical trial was carried out in the Department of Orthopedic Surgery Chittagong Medical College Hospital (CMCH) Chattogram from July 2019 to June 2020. A total of 30 patients with knee osteoarthritis were enrolled through inclusion and exclusion criteria by purposive sampling. Proximal fibular osteotomy was done after taking written informed consent. Data was recorded in a predesigned case record form. All the patients were followed up to 6 months when final outcome was assessed by Oxford Knee Score. All the data were analyzed statistically by using Statistical Package for Social Sciences (SPSS-25). The result was expressed as frequency, percentage and mean ± SD. Level of significance was calculated at p<0.05. \u0000Results: In this study, out of 30 cases, majority of the cases (57.7%) was in 55-64 years of age group. Mean ± SD pre-operative and post-operative VAS score were 7.13 ± 1.408 and 2.10 ± 0.803 respectively. According to Oxford Knee Score (OKS) pre-operative and postoperative mean ± SD were, 18.00 ± 2.117 and 36.53 ± 2.403. Mean ± SD pre-operative and post-operative Tibio Femoral Angle were 182.97 ± 1.810 and 178.63 ± 1.377 respectively. Mean ± SD pre-operative and post-operative Medial Joint Space (mm) were 1.223 ± 0.378 and 3.816 ± 0.982 respectively. Mean ± SD pre-operative and postoperative Lateral Joint Space (mm) were 6.640 ± 1.209 and 5.050 ± 0.897 respectively. \u0000Conclusion: After analyzing the results of present study, it can be concluded that proximal fibular osteotomy is a new, simple procedure in the management of medial compartment osteoarthritis of the knee which may delay the need for definitive knee procedures like unicompartmental knee arthroplasty or total knee replacement. \u0000JCMCTA 2021 ; 32 (2) : 137-141","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84680237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.66498
M. K. Dutta, Bidduth Barua, Rahnuma Rubayat, H. Nasreen, Suman Biswas
Background: The coronavirus disease 2019 (COVID-19) is a pandemic respiratory disease caused by the highly contagious novel coronavirus (SARS-CoV 2). COVID-19 pandemic continues to challenge healthcare services worldwide. Healthcare Workers (HCWs) are more susceptible to COVID-19 infection than the general population due to frequent contact with infected individuals. This study was aimed to assess the knowledge, attitude and practice among HCWs towards COVID-19 in some COVID dedicated hospitals of Chattogram, Bangladesh. Materials and methods: This descriptive cross-sectional study was conducted at three hospitals (Chittagong Medical College Hospital, Chattogram 250 Bed General Hospital, and Bangladesh Institute of Tropical and Infectious Disease) in Chattogram, from January 2021 to August 2021. The study included 393 HCWs (Physicians and nurses) by a non-probability convenient sampling method. An interview administered questionnaire was used to evaluate their knowledge, attitude and practices regarding COVID-19 and their associations with the participants’ characteristics. Results: Participants were predominantly female (230/393, 58.0%) and physicians (313/393, 77.0%). Almost all had sufficient knowledge (85.8%) and good preventive practice (92.1%) towards COVID-19, however, there was also a rather low level of positive attitude recorded, at 69.0%. Factors associated with KAP were, Knowledge: being a physician and higher education. Attitude: age >40 years, Practice: being a physician. Conclusion: The findings demonstrated sufficient knowledge and good preventive practice towards COVID-19, however, positive attitude was lower. Therefore, it is an identified requirement to continue with additional education and training strategies to offer a positive viewpoint of the pandemic for all HCWs. JCMCTA 2021 ; 32 (2) : 79-84
{"title":"Knowledge, Attitude and Practice Regarding COVID-19 among Healthcare Workers in Chattogram, Bangladesh","authors":"M. K. Dutta, Bidduth Barua, Rahnuma Rubayat, H. Nasreen, Suman Biswas","doi":"10.3329/jcmcta.v32i2.66498","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66498","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) is a pandemic respiratory disease caused by the highly contagious novel coronavirus (SARS-CoV 2). COVID-19 pandemic continues to challenge healthcare services worldwide. Healthcare Workers (HCWs) are more susceptible to COVID-19 infection than the general population due to frequent contact with infected individuals. This study was aimed to assess the knowledge, attitude and practice among HCWs towards COVID-19 in some COVID dedicated hospitals of Chattogram, Bangladesh. \u0000Materials and methods: This descriptive cross-sectional study was conducted at three hospitals (Chittagong Medical College Hospital, Chattogram 250 Bed General Hospital, and Bangladesh Institute of Tropical and Infectious Disease) in Chattogram, from January 2021 to August 2021. The study included 393 HCWs (Physicians and nurses) by a non-probability convenient sampling method. An interview administered questionnaire was used to evaluate their knowledge, attitude and practices regarding COVID-19 and their associations with the participants’ characteristics. \u0000Results: Participants were predominantly female (230/393, 58.0%) and physicians (313/393, 77.0%). Almost all had sufficient knowledge (85.8%) and good preventive practice (92.1%) towards COVID-19, however, there was also a rather low level of positive attitude recorded, at 69.0%. Factors associated with KAP were, Knowledge: being a physician and higher education. Attitude: age >40 years, Practice: being a physician. \u0000Conclusion: The findings demonstrated sufficient knowledge and good preventive practice towards COVID-19, however, positive attitude was lower. Therefore, it is an identified requirement to continue with additional education and training strategies to offer a positive viewpoint of the pandemic for all HCWs. \u0000JCMCTA 2021 ; 32 (2) : 79-84","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90202249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.66514
S. Akhter, N. Tasnim, Mohammed Hafizul Islam, Pervin Akter, Pijush Karmakar, Ummey Salma
Background: Polycystic Ovarian Syndrome (PCOS) is common but a treatable cause of infertility in reproductive women. Thyroid hormone abnormality is commonly seen in Polycystic Ovarian Syndrome of reproductive women. Antithyroid antibodies have been detected in women with PCOS. The aim of the present study is to evaluate the antithyroid antibodies in Polycystic Ovarian Syndrome (PCOS) of reproductive women. Materials and methods: A hospital based cross-sectional comparative study was conducted in the outpatient Department of Obstetrics and Gynaecology in CMCH, Institute of Nuclear Medicine and Allied Subject and the Department of Biochemistry in CMC. Eighty (80) PCOS women diagnosed by ultrasonography were taken by nonprobability convenient sampling, considered as group A and another twenty (20) healthy women were taken, considered as group B. Important variables in this study were serum anti-TPO antibody, anti-Tg antibody, TSH, age, menstrual history, hirsutism, waist circumference and BMI. Results: This study revealed a statistically significant higher prevalence of autoimmune thyroiditis in PCOS cases in comparison to healthy group (32.5 % and 37.5% patients had increased anti-TPO and anti-Tg antibodies respectively). Mean serum anti-TPO and anti-Tg antibodies were increased significantly in PCOS cases than that of healthy women group. Mean serum TSH was not increased significantly in PCOS cases than that of healthy group.52.5%, 47.5% patients had oligomenorrhea and amenorrhea respectively, 21.2% had hirsutism, 68.8% cases were overweight & obese and 77.5% were central obese. Conclusion: High prevalence of thyroid autoimmunity in euthyroid PCOS patients refers to the importance of screening not only thyroid hormone levels but also thyroid antibody level during the investigation of PCOS of reproductive women and thereby early diagnosis and management of infertility associated with PCOS. JCMCTA 2021 ; 32 (2) : 105-110
{"title":"Evaluation of Antithyroid Antibodies in Polycystic Ovarian Syndrome of Reproductive Women","authors":"S. Akhter, N. Tasnim, Mohammed Hafizul Islam, Pervin Akter, Pijush Karmakar, Ummey Salma","doi":"10.3329/jcmcta.v32i2.66514","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66514","url":null,"abstract":"Background: Polycystic Ovarian Syndrome (PCOS) is common but a treatable cause of infertility in reproductive women. Thyroid hormone abnormality is commonly seen in Polycystic Ovarian Syndrome of reproductive women. Antithyroid antibodies have been detected in women with PCOS. The aim of the present study is to evaluate the antithyroid antibodies in Polycystic Ovarian Syndrome (PCOS) of reproductive women. \u0000Materials and methods: A hospital based cross-sectional comparative study was conducted in the outpatient Department of Obstetrics and Gynaecology in CMCH, Institute of Nuclear Medicine and Allied Subject and the Department of Biochemistry in CMC. Eighty (80) PCOS women diagnosed by ultrasonography were taken by nonprobability convenient sampling, considered as group A and another twenty (20) healthy women were taken, considered as group B. Important variables in this study were serum anti-TPO antibody, anti-Tg antibody, TSH, age, menstrual history, hirsutism, waist circumference and BMI. \u0000Results: This study revealed a statistically significant higher prevalence of autoimmune thyroiditis in PCOS cases in comparison to healthy group (32.5 % and 37.5% patients had increased anti-TPO and anti-Tg antibodies respectively). Mean serum anti-TPO and anti-Tg antibodies were increased significantly in PCOS cases than that of healthy women group. Mean serum TSH was not increased significantly in PCOS cases than that of healthy group.52.5%, 47.5% patients had oligomenorrhea and amenorrhea respectively, 21.2% had hirsutism, 68.8% cases were overweight & obese and 77.5% were central obese. \u0000 Conclusion: High prevalence of thyroid autoimmunity in euthyroid PCOS patients refers to the importance of screening not only thyroid hormone levels but also thyroid antibody level during the investigation of PCOS of reproductive women and thereby early diagnosis and management of infertility associated with PCOS. \u0000JCMCTA 2021 ; 32 (2) : 105-110","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87487270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.66447
Debjanee Barua, N. Noor, M. Begum, Shahin Akhter, Shuvramoy Barua, Nilima Jafrin
Background: Obesity and overweight in young adult is rising & its deleterious health hazard is becoming a major threat now a days. It is one of the major public health problems globally. Overweight may cause metabolic and endocrinological changes. If untreated, hypertension, cardiovascular disease, hyperglycemia, dyslipidemia, atherosclerosis, metabolic syndrome, cancer may occur. Hypertension is more common in obese and overweight people. This study aimed to observe the association of blood pressure with overweight in young adult students. Materials and methods: This case control study was conducted in the Department of Physiology, Chittagong Medical College, Chattogram. Total 120 students, aged between 18-24 years were included in the study. 60 young adult students with a Body Mass Index (BMI) of 25- 29.9kg/m2 were included in case group as overweight subject and 60 students of same age with a BMI of 18.5- 24.9kg/m2 were taken as a control group. General physical examination was done, anthropometric measurements- Height, weight, BMI and pulse, systolic blood pressure and diastolic blood pressure were measured. Pulse Pressure (PP) and mean arterial pressure were calculated. For statistical analysis unpaired student’s ‘t’ test, chisquare test and correlation coefficient were done by using SPSS for windows version-25. Results: Systolic Blood Pressure (SBP) Diastolic Blood Pressure (DBP) and Mean Arterial Pressure (MAP) were significantly high in overweight (Case) students (p<0.001). Frequency of prehypertension was more in overweight group (p<0.001) comparing to normal weight group. Significant positive correlations (p<0.05) were observed among BMI with SBP, DBP and MAP in overweight young adult students. Conclusion: According to present results it was concluded that apparently healthy overweight young adult students were associated with increased blood pressure than normal weight students. JCMCTA 2021 ; 32 (2) : 47-52
{"title":"Association of Blood Pressure with Overweight in Young Adult Student","authors":"Debjanee Barua, N. Noor, M. Begum, Shahin Akhter, Shuvramoy Barua, Nilima Jafrin","doi":"10.3329/jcmcta.v32i2.66447","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66447","url":null,"abstract":"Background: Obesity and overweight in young adult is rising & its deleterious health hazard is becoming a major threat now a days. It is one of the major public health problems globally. Overweight may cause metabolic and endocrinological changes. If untreated, hypertension, cardiovascular disease, hyperglycemia, dyslipidemia, atherosclerosis, metabolic syndrome, cancer may occur. Hypertension is more common in obese and overweight people. This study aimed to observe the association of blood pressure with overweight in young adult students. \u0000Materials and methods: This case control study was conducted in the Department of Physiology, Chittagong Medical College, Chattogram. Total 120 students, aged between 18-24 years were included in the study. 60 young adult students with a Body Mass Index (BMI) of 25- 29.9kg/m2 were included in case group as overweight subject and 60 students of same age with a BMI of 18.5- 24.9kg/m2 were taken as a control group. General physical examination was done, anthropometric measurements- Height, weight, BMI and pulse, systolic blood pressure and diastolic blood pressure were measured. Pulse Pressure (PP) and mean arterial pressure were calculated. For statistical analysis unpaired student’s ‘t’ test, chisquare test and correlation coefficient were done by using SPSS for windows version-25. \u0000Results: Systolic Blood Pressure (SBP) Diastolic Blood Pressure (DBP) and Mean Arterial Pressure (MAP) were significantly high in overweight (Case) students (p<0.001). Frequency of prehypertension was more in overweight group (p<0.001) comparing to normal weight group. Significant positive correlations (p<0.05) were observed among BMI with SBP, DBP and MAP in overweight young adult students. \u0000Conclusion: According to present results it was concluded that apparently healthy overweight young adult students were associated with increased blood pressure than normal weight students. \u0000JCMCTA 2021 ; 32 (2) : 47-52","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88287050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.67620
S. Gupta, M. Hoque, Bhabesh C Mandol, Md. Ashraful Islam, P. Chanda
Background: The modified Bentall(M Bentall) procedure is considered as the gold standard for patients requiring aortic root replacement, where the native aortic valve is required to be replaced. Case Presentation: We hereby present a case report of a patient who was diagnosed having moderate to severe Aortic Regurgitation (AR) with aortic root aneurysm. He was treated successfully by us with the M.Bentall procedure. Conclusion: As the aortic disease detection and surgical expertise improved in our country, a M.Bentall procedure is a suitable and safe treatment option for Aortic root aneurysm. JCMCTA 2021 ; 32 (2) : 147-150
{"title":"Modified Bentall’s Procedure for Aortic Root Aneurysm : A Case Report","authors":"S. Gupta, M. Hoque, Bhabesh C Mandol, Md. Ashraful Islam, P. Chanda","doi":"10.3329/jcmcta.v32i2.67620","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.67620","url":null,"abstract":"Background: The modified Bentall(M Bentall) procedure is considered as the gold standard for patients requiring aortic root replacement, where the native aortic valve is required to be replaced. \u0000Case Presentation: We hereby present a case report of a patient who was diagnosed having moderate to severe Aortic Regurgitation (AR) with aortic root aneurysm. He was treated successfully by us with the M.Bentall procedure. \u0000Conclusion: As the aortic disease detection and surgical expertise improved in our country, a M.Bentall procedure is a suitable and safe treatment option for Aortic root aneurysm. \u0000JCMCTA 2021 ; 32 (2) : 147-150","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73445812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.66496
Tanjina Hoq, P. Chowdhury, Sanat Kumar Barua, S. Hasan, Suman Biswas, M. Datta, Fannana Ahmed
Background: Late Preterm (LP) infants, previously considered low risk, have been identified to be at risk of developmental problems in infancy and early childhood. There is limited information on the outcome of these infants in low and middle income countries. This study was aimed to assess the neurodevelopmental status of LP born neonates and to determine factors associated with adverse neurodevelopmental outcome in a tertiary hospital of Chattogram, Bangladesh. Materials and methods: In this prospective observational study, 108 LP (34 to <37 completed weeks gestation at birth) infants were enrolled from the Special Care Neonatal Unit (SCANU) Chittagong Medical College Hospital (CMCH) from June 2018 to May 2019. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA) at 1, 3, and 6 months of Corrected Age (CA). Results: Of the 108 enrolled children, 30 (27.8%) attended all 3 follow-up, 69 (63.9%) had incomplete follow-up, and 9 (8.3%) died. At final follow-up, out of 30 infants, 25 (83.3%) had no abnormality in all 8 domains of RNDA. Three infants (10.0%) had abnormalities in one domain and 2 (6.7%) had abnormalities in 5 domains. Gross motor abnormality was most common abnormality (13.4%), followed by speech (10.0%), and cognition (6.7%). Small for gestational age was found to be the only independent predictive factor for Neurodevelopmental Abnormality (NDA) in LP infants. Conclusion: This study demonstrates that 16.7% of the LP infants had evidence of neurodevelopmental impairment at 6 months of corrected age. SGA was an important risk factor of adverse neurodevelopmental outcome. Thus, LP infants in Bangladesh require long-term follow-up to monitor developmental outcome. JCMCTA 2021 ; 32 (2) : 70-74
{"title":"Assessment of Neurodevelopmental Status and Risk Factors for Adverse Neurodevelopmental Outcome in Late Preterm Infants at 6 Months Corrected Age : An Prospective Observational Study","authors":"Tanjina Hoq, P. Chowdhury, Sanat Kumar Barua, S. Hasan, Suman Biswas, M. Datta, Fannana Ahmed","doi":"10.3329/jcmcta.v32i2.66496","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66496","url":null,"abstract":"Background: Late Preterm (LP) infants, previously considered low risk, have been identified to be at risk of developmental problems in infancy and early childhood. There is limited information on the outcome of these infants in low and middle income countries. This study was aimed to assess the neurodevelopmental status of LP born neonates and to determine factors associated with adverse neurodevelopmental outcome in a tertiary hospital of Chattogram, Bangladesh. \u0000Materials and methods: In this prospective observational study, 108 LP (34 to <37 completed weeks gestation at birth) infants were enrolled from the Special Care Neonatal Unit (SCANU) Chittagong Medical College Hospital (CMCH) from June 2018 to May 2019. Neurodevelopmental assessment was done by Rapid Neurodevelopmental Assessment (RNDA) at 1, 3, and 6 months of Corrected Age (CA). \u0000Results: Of the 108 enrolled children, 30 (27.8%) attended all 3 follow-up, 69 (63.9%) had incomplete follow-up, and 9 (8.3%) died. At final follow-up, out of 30 infants, 25 (83.3%) had no abnormality in all 8 domains of RNDA. Three infants (10.0%) had abnormalities in one domain and 2 (6.7%) had abnormalities in 5 domains. Gross motor abnormality was most common abnormality (13.4%), followed by speech (10.0%), and cognition (6.7%). Small for gestational age was found to be the only independent predictive factor for Neurodevelopmental Abnormality (NDA) in LP infants. \u0000Conclusion: This study demonstrates that 16.7% of the LP infants had evidence of neurodevelopmental impairment at 6 months of corrected age. SGA was an important risk factor of adverse neurodevelopmental outcome. Thus, LP infants in Bangladesh require long-term follow-up to monitor developmental outcome. \u0000JCMCTA 2021 ; 32 (2) : 70-74","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84295417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.66495
F. Islam, R. K. Kazal, Nadira Haque, N. Hosain, Badrunnahar Rumi, Keya Debnath, Ruma Akter, Marjiara Begum, Farhan Akhter
Background: Gestational Diabetes Mellitus (GDM) is a common medical disorder detected during pregnancy with adverse consequences on the health of the mother and the fetus. Glycosylated hemoglobin (HbA1c) is an important parameter of glycemic control in patients with diabetes mellitus. However, it only reflects the long-term glycemic status, but can’t reflect short term glycemic control. It has also been demonstrated that HbA1c does not reflect glycemic control accurately during pregnancy because of iron deficiency. But Glycosylated Albumin (GA) reflects average blood glucose within 2-3 weeks and is not influenced by iron deficiency. Therefore, glycosylated albumin may be used to measure recent changes in blood glucose level in GDM patients. The aim of the study is to evaluate the association of glycosylated albumin and glycemic status in GDM. Materials and methods: This case control study was carried out in the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University, BSMMU, Dhaka between August 2017 and December 2018. Atotal of 140 pregnant women between 18-35 years of age attending outdoor antenatal clinic in their second and third trimester of pregnancy were enrolled in this study. Among them 70 diagnosed case of GDM were considered as group I and rest 70 non-diabetic pregnant women were considered as control and group II. Plasma glycosylated albumin was measured in all of these patients. Statistical analysis of the results was obtained by using Windows based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: The mean glycosylated albumin was 17.12±2.00 (%) in group I and 12.90±1.03 (%) in group II. The difference was statistically significant (p<0.05) between two groups. There was a positive significant moderate correlation (r=0.643, p=0.001) between glycosylated albumin (%) and 2 hours after 75 gm glucose in GDM patients. There was also a positive significant weak correlation (r=0.258, p=0.031) between GA and FBS in GDM patients. Conclusion: A significant positive association was found between glycemic status in GDM and maternal glycosylated albumin levels. Therefore,glycosylated albumin may be applied to reflect the average blood glucose status in pregnant women with GDM. JCMCTA 2021 ; 32 (2) : 64-69
背景:妊娠期糖尿病(GDM)是妊娠期间发现的一种常见的医学疾病，对母亲和胎儿的健康有不良影响。糖化血红蛋白(HbA1c)是糖尿病患者血糖控制的重要指标。但是，它只能反映长期血糖状态，不能反映短期血糖控制情况。也有研究表明，由于缺铁，妊娠期HbA1c不能准确反映血糖控制情况。但糖基化白蛋白(GA)反映2-3周内的平均血糖，不受缺铁的影响。因此，糖基化白蛋白可用于测量GDM患者近期血糖水平的变化。该研究的目的是评估糖基化白蛋白与GDM血糖状态的关系。材料与方法:本病例对照研究于2017年8月至2018年12月在达卡Bangabandhu Sheikh Mujib医科大学妇产科进行。共有140名年龄在18-35岁之间的孕妇在妊娠中期和晚期在室外产前诊所接受了这项研究。其中诊断为GDM的孕妇70例作为第一组，其余70例非糖尿病孕妇作为对照组和第二组。所有患者均测量了血浆糖化白蛋白。采用SPSS-22 (Statistical Packages for Social Sciences)软件对结果进行统计分析。结果:ⅰ组平均糖化白蛋白为17.12±2.00(%)，ⅱ组平均糖化白蛋白为12.90±1.03(%)。两组间差异有统计学意义(p<0.05)。GDM患者糖基化白蛋白(%)与75 gm葡萄糖后2小时呈正相关(r=0.643, p=0.001)。GDM患者GA与FBS之间也存在显著正相关(r=0.258, p=0.031)。结论:GDM患者血糖状态与母体糖基化白蛋白水平呈正相关。因此，糖基化白蛋白可用于反映妊娠期糖尿病孕妇的平均血糖状态。Jcmcta 2021;32 (2): 64-69
{"title":"Association of Glycosylated Albumin Level with Gestational Diabetes Mellitus","authors":"F. Islam, R. K. Kazal, Nadira Haque, N. Hosain, Badrunnahar Rumi, Keya Debnath, Ruma Akter, Marjiara Begum, Farhan Akhter","doi":"10.3329/jcmcta.v32i2.66495","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66495","url":null,"abstract":"Background: Gestational Diabetes Mellitus (GDM) is a common medical disorder detected during pregnancy with adverse consequences on the health of the mother and the fetus. Glycosylated hemoglobin (HbA1c) is an important parameter of glycemic control in patients with diabetes mellitus. However, it only reflects the long-term glycemic status, but can’t reflect short term glycemic control. It has also been demonstrated that HbA1c does not reflect glycemic control accurately during pregnancy because of iron deficiency. But Glycosylated Albumin (GA) reflects average blood glucose within 2-3 weeks and is not influenced by iron deficiency. Therefore, glycosylated albumin may be used to measure recent changes in blood glucose level in GDM patients. The aim of the study is to evaluate the association of glycosylated albumin and glycemic status in GDM. \u0000Materials and methods: This case control study was carried out in the Department of Obstetrics & Gynecology, Bangabandhu Sheikh Mujib Medical University, BSMMU, Dhaka between August 2017 and December 2018. Atotal of 140 pregnant women between 18-35 years of age attending outdoor antenatal clinic in their second and third trimester of pregnancy were enrolled in this study. Among them 70 diagnosed case of GDM were considered as group I and rest 70 non-diabetic pregnant women were considered as control and group II. Plasma glycosylated albumin was measured in all of these patients. Statistical analysis of the results was obtained by using Windows based computer software devised with Statistical Packages for Social Sciences (SPSS-22). \u0000Results: The mean glycosylated albumin was 17.12±2.00 (%) in group I and 12.90±1.03 (%) in group II. The difference was statistically significant (p<0.05) between two groups. There was a positive significant moderate correlation (r=0.643, p=0.001) between glycosylated albumin (%) and 2 hours after 75 gm glucose in GDM patients. There was also a positive significant weak correlation (r=0.258, p=0.031) between GA and FBS in GDM patients. \u0000Conclusion: A significant positive association was found between glycemic status in GDM and maternal glycosylated albumin levels. Therefore,glycosylated albumin may be applied to reflect the average blood glucose status in pregnant women with GDM. \u0000JCMCTA 2021 ; 32 (2) : 64-69","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78901587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.66445
I. Ara, Rabiul Alam Md Erfan Uddin, A. Ghose
Background: Though Organophosphorus Compounds (OPC) are mostly used for self-induced poisoning, non- OPC poisoning cases are increasing day by day. This study was done to describe clinical pattern and outcome of poisoning other than OPC. Materials and methods: This observational study was conducted in the Medicine Ward of Chittagong Medical College Hospital. Data were collected in structured case record forms. Total 204 patients (n=204) were included in the study after fulfilling the inclusion criteria. Data were analyzed with SPSS and expressed as percentage, mean with standard deviation as appropriate. Results: Out of 204 patients, most were female (60.8%). Most of the patients were young, 56.9% patients were unmarried, 60.8% poisoned patients resided in metropolitan area, most were with low educational level, 57.4% patients came from the middle class socioeconomic group, 82.4% patients were poisoned by a single agent and 17.6% by multiple agents. Offending agents were identified in 96.6% cases. Poisoning by drugs was the highest (47.1%) followed by rat killer poisoning (22.5%) poisoning by non-OPC insecticides (6.9%) corrosive poisoning (6.4%) chemical poisoning (3.9%) and alcohol poisoning (1%). Family disharmony was the underlying cause of self-harm in 47.1% cases, financial constraints in 8.3%, social crisis in 7.8%, failure in love affairs in 6.4% and academic failure in 2.5% patients. 14.7% patients poisoned themselves to gain some benefit by the act of self-harm. 81.4% patients were discharged with advice, 2.9% died. Conclusion: Burden of Non-OPC poisoning is high. Outcome is not so fatal as OPC, but the problem has to be addressed in large scale. JCMCTA 2021 ; 32 (2) : 34-40
{"title":"Clinico-epidemiological Study on Self-induced Poisoning Caused by Substances Other than Organophosphorus Compound","authors":"I. Ara, Rabiul Alam Md Erfan Uddin, A. Ghose","doi":"10.3329/jcmcta.v32i2.66445","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66445","url":null,"abstract":"Background: Though Organophosphorus Compounds (OPC) are mostly used for self-induced poisoning, non- OPC poisoning cases are increasing day by day. This study was done to describe clinical pattern and outcome of poisoning other than OPC. \u0000 Materials and methods: This observational study was conducted in the Medicine Ward of Chittagong Medical College Hospital. Data were collected in structured case record forms. Total 204 patients (n=204) were included in the study after fulfilling the inclusion criteria. Data were analyzed with SPSS and expressed as percentage, mean with standard deviation as appropriate. \u0000Results: Out of 204 patients, most were female (60.8%). Most of the patients were young, 56.9% patients were unmarried, 60.8% poisoned patients resided in metropolitan area, most were with low educational level, 57.4% patients came from the middle class socioeconomic group, 82.4% patients were poisoned by a single agent and 17.6% by multiple agents. Offending agents were identified in 96.6% cases. Poisoning by drugs was the highest (47.1%) followed by rat killer poisoning (22.5%) poisoning by non-OPC insecticides (6.9%) corrosive poisoning (6.4%) chemical poisoning (3.9%) and alcohol poisoning (1%). Family disharmony was the underlying cause of self-harm in 47.1% cases, financial constraints in 8.3%, social crisis in 7.8%, failure in love affairs in 6.4% and academic failure in 2.5% patients. 14.7% patients poisoned themselves to gain some benefit by the act of self-harm. 81.4% patients were discharged with advice, 2.9% died. \u0000Conclusion: Burden of Non-OPC poisoning is high. Outcome is not so fatal as OPC, but the problem has to be addressed in large scale. \u0000JCMCTA 2021 ; 32 (2) : 34-40","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73174313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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