Pub Date : 2021-12-31DOI: 10.3329/jcmcta.v32i2.66512
F. Chowdhury, Fahmida Shirin, N. Sultana, S. Ara, M. Sultana, Aporna Deb, Muhammad Jabed Bin Amin Chowdhury, Shanaj Jahan Chowdhury, Tanjila Karim, J. Ferdous, S. Akter, N. Begum
Background: Corona Virus Disease (COVID-19) a pandemic has become a global health concern. Pregnant women are at an increased risk due to physiologic changes in their immune, cardiopulmonary and coagulation systems. This study was designed to evaluate the fetomaternal outcome of the pregnant patients with COVID-19. Materials and methods: This cross-sectional type of observational study was conducted in Obstetric and Gynecology Department of Chittagong Medical College Hospital from July 2021 to September 2021. Total 51 hospitalized pregnant patients with confirmed COVID-19 were enrolled. Relevant data were recorded in a preformed data collection sheet and analyzed by SPSS version 26. Results: Total patients were 51 with a mean age of 28 years, 73.5% patients were in third trimester, 35.3% were in >37 weeks of gestation . Common symptoms were fever( 33.3%), cough (19.6%) and respiratory distress(29.4%). There were two maternal deaths who were treated in ICU. There were 2 spontaneous abortions. 69.23% underwent caesarean section, 30.77% underwent Normal Vaginal Delivery (NVD) 9.8% patients underwent premature termination of pregnancy. Ongoing pregnancy were 19 (37.3%). There were 17 live births and 3 Intrauterine Deaths (IUD) and 2 neonatal deaths. Among the mothers, 29(56.8%) had no associated complications, 19.65% had Preeclampsia and 5.9% had Gestational Diabetes Mellitus. About 10 babies had birth weight less than 2.5 kg and were transferred to NICU. Conclusion: During this study, it was found that pregnancy outcome was not good in COVID positive pregnant women . For the infected mothers early medical supervision and availability of ICU in critical condition is needed for better pregnancy outcome. JCMCTA 2021 ; 32 (2) : 95-99
{"title":"Pregnancy Outcome in COVID 19 Infected Patients: In a COVID Dedicated Hospital of Chattogram, Bangladesh","authors":"F. Chowdhury, Fahmida Shirin, N. Sultana, S. Ara, M. Sultana, Aporna Deb, Muhammad Jabed Bin Amin Chowdhury, Shanaj Jahan Chowdhury, Tanjila Karim, J. Ferdous, S. Akter, N. Begum","doi":"10.3329/jcmcta.v32i2.66512","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66512","url":null,"abstract":"Background: Corona Virus Disease (COVID-19) a pandemic has become a global health concern. Pregnant women are at an increased risk due to physiologic changes in their immune, cardiopulmonary and coagulation systems. This study was designed to evaluate the fetomaternal outcome of the pregnant patients with COVID-19. \u0000Materials and methods: This cross-sectional type of observational study was conducted in Obstetric and Gynecology Department of Chittagong Medical College Hospital from July 2021 to September 2021. Total 51 hospitalized pregnant patients with confirmed COVID-19 were enrolled. Relevant data were recorded in a preformed data collection sheet and analyzed by SPSS version 26. \u0000Results: Total patients were 51 with a mean age of 28 years, 73.5% patients were in third trimester, 35.3% were in >37 weeks of gestation . Common symptoms were fever( 33.3%), cough (19.6%) and respiratory distress(29.4%). There were two maternal deaths who were treated in ICU. There were 2 spontaneous abortions. 69.23% underwent caesarean section, 30.77% underwent Normal Vaginal Delivery (NVD) 9.8% patients underwent premature termination of pregnancy. Ongoing pregnancy were 19 (37.3%). There were 17 live births and 3 Intrauterine Deaths (IUD) and 2 neonatal deaths. Among the mothers, 29(56.8%) had no associated complications, 19.65% had Preeclampsia and 5.9% had Gestational Diabetes Mellitus. About 10 babies had birth weight less than 2.5 kg and were transferred to NICU. \u0000Conclusion: During this study, it was found that pregnancy outcome was not good in COVID positive pregnant women . For the infected mothers early medical supervision and availability of ICU in critical condition is needed for better pregnancy outcome. \u0000JCMCTA 2021 ; 32 (2) : 95-99","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82211442","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.v32i2.67619
M. M. Karim, T. Nasir, Pratik Kumar Banik, Tasnia Hoque
Background: Reported first in 1972, histiocytic necrotizing lymphadenitis, also known as Kikuchi- Fujimoto Disease (KFD), is an infrequent and selfrestricting disorder of lymph nodes, predominantly found in the Southeast Asian region. The common presentation of this disease is a young Asian individual presenting with painful cervical lymph node enlargement. Due to this disease's uncommon nature, it is often misdiagnosed by clinicians as Systemic Lupus Erythematosus (SLE) malignant lymphoma, or tuberculosis. Although there are numerous hypotheses about the etiology of this illness being viral or autoimmune in nature, strong evidence is yet to be established. To let our readers to know about the disease so that we can deal patients with lymphadenopathy keeping this rare disease in our mind. Case Presentation: Here we present A 20 years-oldfemale hailing from the hill tracts of Bandarban in Bangladesh presented with three months history of rightsided inguinal lymphadenopathy, which was progressive and non-tender in nature. Associated symptom includes low-grade fever. There was no history of night sweats, weight loss, cough and no other group of lymphadenopathies. So, lymphnode biopsy done and report came as Kikuchi-Fujimoto disease. The patient made full recovery with supportive care only. Conclusion: Fever with lymphadenopathy may be due to wide range of etiologies. Although Kikuchi-Fujimoto disease is rare, it is important to diagnose it accurately. So, we can prevent further costly investigations and imaging at the same time we can avoid potential harmful treatments and psychological stress to the patient. JCMCTA 2021 ; 32 (2) : 142-146
{"title":"A Case Report on Kikuchi-Fujimoto Disease: A Rare Lymphohistiocytic Disorder of Unknown Etiology","authors":"M. M. Karim, T. Nasir, Pratik Kumar Banik, Tasnia Hoque","doi":"10.3329/jcmcta.v32i2.67619","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.67619","url":null,"abstract":"Background: Reported first in 1972, histiocytic necrotizing lymphadenitis, also known as Kikuchi- Fujimoto Disease (KFD), is an infrequent and selfrestricting disorder of lymph nodes, predominantly found in the Southeast Asian region. The common presentation of this disease is a young Asian individual presenting with painful cervical lymph node enlargement. Due to this disease's uncommon nature, it is often misdiagnosed by clinicians as Systemic Lupus Erythematosus (SLE) malignant lymphoma, or tuberculosis. Although there are numerous hypotheses about the etiology of this illness being viral or autoimmune in nature, strong evidence is yet to be established. To let our readers to know about the disease so that we can deal patients with lymphadenopathy keeping this rare disease in our mind. \u0000Case Presentation: Here we present A 20 years-oldfemale hailing from the hill tracts of Bandarban in Bangladesh presented with three months history of rightsided inguinal lymphadenopathy, which was progressive and non-tender in nature. Associated symptom includes low-grade fever. There was no history of night sweats, weight loss, cough and no other group of lymphadenopathies. So, lymphnode biopsy done and report came as Kikuchi-Fujimoto disease. The patient made full recovery with supportive care only. \u0000Conclusion: Fever with lymphadenopathy may be due to wide range of etiologies. Although Kikuchi-Fujimoto disease is rare, it is important to diagnose it accurately. So, we can prevent further costly investigations and imaging at the same time we can avoid potential harmful treatments and psychological stress to the patient. \u0000JCMCTA 2021 ; 32 (2) : 142-146","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90986785","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.v32i2.67198
Nilima Jafrin, Shahanara Chowdhury, M. Mozumder, Shahin Akter, N. Sultana, S. Sharif, Debjane Barua
Background: Gestational Trophoblastic Disease (GTD) is a heterogeneous group of diseases that includes partial and complete hydatidiform mole, invasive mole, choriocarcinoma and placental site trophoblastic tumour. The study aimed to determine the clinical presentation management options and outcome of GTD in patients admitted in a tertiary hospital of Bangladesh. Materials and methods: This prospective observational study included 50 patients with GTD from the Obstetrics and Gynaecology Department of Chittagong Medical College Hospital, during the period of July 2013 to December 2013. The demographic profile, clinical presentation, management, outcome and complications were studied. Results: Mean age was 25.40 ± 8.34 years with most of the patients (46%) were in age group 20 - 29 years. 42% participants were primigravida. The commonest symptom after bleeding per-vaginum (94%) was amenorrhea (90%). Maximum cases (80%) were of complete hydatidiform mole. Rate of progression to invasive mole and choriocarcinoma were found 6% and 10% respectively. Suction evacuation and hysterectomy were the treatment option. One patient (2%) expired due to excessive bleeding. Conclusion: The majority of cases are cured by simple suction uterine curettage. Regular follow up is important to estimate the true incidence of this disease. JCMCTA 2021 ; 32 (2) : 128-131
{"title":"Clinical Presentation, Management and Outcome of Gestational Trophoblastic Diseases Admitted in Chittagong Medical College Hospital","authors":"Nilima Jafrin, Shahanara Chowdhury, M. Mozumder, Shahin Akter, N. Sultana, S. Sharif, Debjane Barua","doi":"10.3329/jcmcta.v32i2.67198","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.67198","url":null,"abstract":"Background: Gestational Trophoblastic Disease (GTD) is a heterogeneous group of diseases that includes partial and complete hydatidiform mole, invasive mole, choriocarcinoma and placental site trophoblastic tumour. The study aimed to determine the clinical presentation management options and outcome of GTD in patients admitted in a tertiary hospital of Bangladesh. \u0000Materials and methods: This prospective observational study included 50 patients with GTD from the Obstetrics and Gynaecology Department of Chittagong Medical College Hospital, during the period of July 2013 to December 2013. The demographic profile, clinical presentation, management, outcome and complications were studied. \u0000Results: Mean age was 25.40 ± 8.34 years with most of the patients (46%) were in age group 20 - 29 years. 42% participants were primigravida. The commonest symptom after bleeding per-vaginum (94%) was amenorrhea (90%). Maximum cases (80%) were of complete hydatidiform mole. Rate of progression to invasive mole and choriocarcinoma were found 6% and 10% respectively. Suction evacuation and hysterectomy were the treatment option. One patient (2%) expired due to excessive bleeding. \u0000Conclusion: The majority of cases are cured by simple suction uterine curettage. Regular follow up is important to estimate the true incidence of this disease. \u0000JCMCTA 2021 ; 32 (2) : 128-131","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78313468","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.v32i2.66436
S. Chowdhury, Shahryar Ahmad, M. Hassan, Farzana Mostafa, Tasnuva Tanzil
Background : Diabetes Mellitus (DM) is a disorder in which the body does not produce enough or respond normally to inculin causing blood sugar levels to be abnormally high. To assess the knowledge, attitude and practices regarding diabetes mellitus and their associated factors among diabetic patients visiting outpatient department of a primary care setting at a rural health center. Materials and methods: A questionnaire based crosssectional survey was carried out in the Outpatient Department of a primary level hospital in a poor resource country from February to November 2021. A total of 384 patients aged ³30 years of either gender with known diabetes mellitus type 2 were included in the study using systematic random sampling technique and interviewed using a pretested structuredquestionnaire. Data were analyzed on Statistical Package for Social Sciences (SPSS) version 21 and inferential analysis was performed using chi-square test. The study duration spanned over 9 months. Results: The study results showed that 257 (66.9%) of the participants had adequate knowledge, 165 (43.0%) had adequate attitude while only 105 (27.3%) had adequate practices related to diabetes mellitus. Moreover, adequateness of attitude was statistically significantly associated with age (p=0.001) and education (p=0.016) while that of practices was also statistically significantly associated with age (p=0.001) and education (p<0.001) of the patients. Conclusion: Diabetes related attitude and practices of the patients studied were far from satisfactory. Moreover, participants’ age and educational status appeared to influence both their attitude and their practices. Further evaluation of study findings using more rigorous designs is recommended. JCMCTA 2021 ; 32 (2) : 14-19
背景:糖尿病(DM)是一种疾病，其中身体不能产生足够的胰岛素或对胰岛素反应正常，导致血糖水平异常高。目的了解农村卫生院初级保健门诊糖尿病患者对糖尿病的知识、态度和行为及其相关因素。材料与方法:采用问卷横断面调查法，于2021年2月至11月在某资源贫乏国家某基层医院门诊部进行调查。采用系统随机抽样技术，对384例已知患有2型糖尿病的患者(男女不限，年龄3 ~ 30岁)进行研究，并采用预测的结构化问卷进行访谈。数据采用SPSS (Statistical Package for Social Sciences)第21版进行分析，采用卡方检验进行推理分析。研究持续时间超过9个月。结果:调查结果显示，257人(66.9%)对糖尿病相关知识有充分认识，165人(43.0%)对糖尿病相关知识有充分认识，105人(27.3%)对糖尿病相关知识有充分认识。态度适当性与患者年龄(p=0.001)、文化程度(p=0.016)相关，行为适当性与患者年龄(p=0.001)、文化程度(p<0.001)相关，均有统计学意义。结论:所调查患者对糖尿病的态度和行为远不能令人满意。此外，参与者的年龄和受教育程度似乎对他们的态度和行为都有影响。建议使用更严格的设计对研究结果进行进一步评估。Jcmcta 2021;32 (2): 14-19
{"title":"Knowledge, Attitude and Practices of Diabetes Mellitus among Patients Visiting Out-Patient Department at A Rural Health Centre of Bangladesh","authors":"S. Chowdhury, Shahryar Ahmad, M. Hassan, Farzana Mostafa, Tasnuva Tanzil","doi":"10.3329/jcmcta.v32i2.66436","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66436","url":null,"abstract":"Background : Diabetes Mellitus (DM) is a disorder in which the body does not produce enough or respond normally to inculin causing blood sugar levels to be abnormally high. To assess the knowledge, attitude and practices regarding diabetes mellitus and their associated factors among diabetic patients visiting outpatient department of a primary care setting at a rural health center. \u0000 Materials and methods: A questionnaire based crosssectional survey was carried out in the Outpatient Department of a primary level hospital in a poor resource country from February to November 2021. A total of 384 patients aged ³30 years of either gender with known diabetes mellitus type 2 were included in the study using systematic random sampling technique and interviewed using a pretested structuredquestionnaire. Data were analyzed on Statistical Package for Social Sciences (SPSS) version 21 and inferential analysis was performed using chi-square test. The study duration spanned over 9 months. \u0000Results: The study results showed that 257 (66.9%) of the participants had adequate knowledge, 165 (43.0%) had adequate attitude while only 105 (27.3%) had adequate practices related to diabetes mellitus. Moreover, adequateness of attitude was statistically significantly associated with age (p=0.001) and education (p=0.016) while that of practices was also statistically significantly associated with age (p=0.001) and education (p<0.001) of the patients. \u0000Conclusion: Diabetes related attitude and practices of the patients studied were far from satisfactory. Moreover, participants’ age and educational status appeared to influence both their attitude and their practices. Further evaluation of study findings using more rigorous designs is recommended. \u0000JCMCTA 2021 ; 32 (2) : 14-19","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73619058","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.v32i2.67628
Seema Bhattacharjee
Background : Reproductive health of women is considered as the central feature of human development. A healthy child is one of the best gift of good female reproductive system ensuring the survivor off spring to withstand the changing global diverse situations. Even though now-a-days some organizations decided and are planning that teachers and parents should be involved as primary sex educators through friendship.This review article is aimed to design to provide and insight the update information and the relationship between women’s reproductive health and COVID-19 is necessary for optimum management of such condition. Methodology : In this narrative review, literature search done by using PubMed, Medline, Google Scholar and Cochrane date bases of systemic review and citation list of relevant publication. Conclusion : In the pandemic high risk situation it is necessary that health care teams to focus more on women’s mental health, domestic violence, sexual relationships, use of contraceptive methods and intending for child bearing. Providing virtual group educations and use of national media, could enhance the awareness of women’s reproductive health. Further study may reveal more clearly the various aspects of women’s reproductive health during COVID-19. JCMCTA 2021 ; 32 (2) : 3-7
{"title":"Women's Reproductive Health during COVID-19","authors":"Seema Bhattacharjee","doi":"10.3329/jcmcta.v32i2.67628","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.67628","url":null,"abstract":"Background : Reproductive health of women is considered as the central feature of human development. A healthy child is one of the best gift of good female reproductive system ensuring the survivor off spring to withstand the changing global diverse situations. Even though now-a-days some organizations decided and are planning that teachers and parents should be involved as primary sex educators through friendship.This review article is aimed to design to provide and insight the update information and the relationship between women’s reproductive health and COVID-19 is necessary for optimum management of such condition. \u0000Methodology : In this narrative review, literature search done by using PubMed, Medline, Google Scholar and Cochrane date bases of systemic review and citation list of relevant publication. \u0000Conclusion : In the pandemic high risk situation it is necessary that health care teams to focus more on women’s mental health, domestic violence, sexual relationships, use of contraceptive methods and intending for child bearing. Providing virtual group educations and use of national media, could enhance the awareness of women’s reproductive health. Further study may reveal more clearly the various aspects of women’s reproductive health during COVID-19. \u0000JCMCTA 2021 ; 32 (2) : 3-7","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72954579","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.v32i2.67618
Kanta Sree Dutta, Pratik Chowdhury, M. Ashrafuzzaman, Md Habib Khan, N. Nahar
Background: From the human face, we can identify their gender, age group, ethnicity etc. So facial morphometric study can be taken as part of anthropometric evaluation and it is an important parameter in observing inter population of faces among the same ethnic group or different group. If we can calculate the different craniofacial variables of different ethnic groups these can be used in future research or clinical purposes. To measure the facial variables among Bengali and Manipuri adult male and to compare these variables between two ethnic group. Methods and materials: A cross sectional, observational and analytic type of study was conducted on 200 sample which were collected by convenience sampling where 100 were Bengali adult male and remaining 100 from Munipuri adult male, aged between 18 to 50 years. Data for Bengali and Munipuri adult male were collected from Chattogram city and Kamolgonj, Sylhet respectively. The study was carried out in the Department of Anatomy, Chittagong Medical College from July 2016 to June 2017. Results: This study showed that mean morphological face height of Bengali and Manipuri were respectively 11.46 cm ± .53 and 11.82 cm ± .49, mean maximum facial breadth respectively13.04 cm ± .48 and 13.62 cm ± .45, mean facial index respectively 87.93 ± 2.58 and 86.89 ± 2.09. According to facial height, most common type in Bengali was low type (47%) and in Manipuri was medium type (39%). According to facial breadth most common type in Bengali was narrow type (63%) and in Manipuri was medium type (53%). Bengali have leptoprosopic (Narrow face) 53% followed by mesoprosopic face (Medium face) 43%. Manipuri have mesoprosopic face 59% followed by leptoprosopic type 31%. Conclusion: The results of the present anthropometric study on the adult Bangladeshi population can provide the basic framework for formulating standards of the facial dimension and indices for adult male of the Bengali and Manipuri population. JCMCTA 2021 ; 32 (2) : 122-127
{"title":"Comparative Study of facial Measurement between Bengali and Manipuri Adult Male Comparative Study of facial Measurement between Bengali and Manipuri Adult Male","authors":"Kanta Sree Dutta, Pratik Chowdhury, M. Ashrafuzzaman, Md Habib Khan, N. Nahar","doi":"10.3329/jcmcta.v32i2.67618","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.67618","url":null,"abstract":"Background: From the human face, we can identify their gender, age group, ethnicity etc. So facial morphometric study can be taken as part of anthropometric evaluation and it is an important parameter in observing inter population of faces among the same ethnic group or different group. If we can calculate the different craniofacial variables of different ethnic groups these can be used in future research or clinical purposes. To measure the facial variables among Bengali and Manipuri adult male and to compare these variables between two ethnic group. \u0000Methods and materials: A cross sectional, observational and analytic type of study was conducted on 200 sample which were collected by convenience sampling where 100 were Bengali adult male and remaining 100 from Munipuri adult male, aged between 18 to 50 years. Data for Bengali and Munipuri adult male were collected from Chattogram city and Kamolgonj, Sylhet respectively. The study was carried out in the Department of Anatomy, Chittagong Medical College from July 2016 to June 2017. \u0000Results: This study showed that mean morphological face height of Bengali and Manipuri were respectively 11.46 cm ± .53 and 11.82 cm ± .49, mean maximum facial breadth respectively13.04 cm ± .48 and 13.62 cm ± .45, mean facial index respectively 87.93 ± 2.58 and 86.89 ± 2.09. According to facial height, most common type in Bengali was low type (47%) and in Manipuri was medium type (39%). According to facial breadth most common type in Bengali was narrow type (63%) and in Manipuri was medium type (53%). Bengali have leptoprosopic (Narrow face) 53% followed by mesoprosopic face (Medium face) 43%. Manipuri have mesoprosopic face 59% followed by leptoprosopic type 31%. \u0000Conclusion: The results of the present anthropometric study on the adult Bangladeshi population can provide the basic framework for formulating standards of the facial dimension and indices for adult male of the Bengali and Manipuri population. JCMCTA 2021 ; 32 (2) : 122-127","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74362189","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.v32i2.66437
Mohammed Abdur Rahim, A. Bashiruddin, I. Mahmud, Debabrata Bhattacharya, A. Awal, Prabir Kumar Das, Neena Islam, Md. Abdur Rouf, Muhammed Syedul Alam
Background: Different factors may influence management, complications and outcome of both rural and urban patients following Acute Myocardial Infarction (AMI). Aim of the study was to identify the factors influencing outcome following AMI between rural and urban population is lacking in our country. Materials and methods: This was a cross sectional study carried out in the Department of Cardiology, CMCH from June 2018 to May 2019. One hundred and ninety-eight consecutively admitted AMI (STEMI) patients from both urban and rural area were included. Demographic, anthropometric, risk factors, presentation profile, inhospital complications and outcome were recorded and compared between the groups. Results: Out of 198 patients 23.23% female and 76.23% were male. Mean age was significantly higher in Rural group (55.5±11.6 years) than the Urban (49.3±11.2 years) p value 0.037. Urban patients were more sedentary (68.8% vs. 43.8%, p=0.001) and having higher BMI (>25kg/m2 was 48.8% vs 30.6%, p=0.024). Rural patients presented late after symptom onset (5 hours vs. 13 hours) long distance to travel was mentioned as prime cause of delay by them. Inhospital mortality was higher among rural patients (12.4% and 3.9%; p=0.045). Adverse outcome was associated with increasing age, male sex and poor LV function in urban patients, while in rural patient it was related to lower education level, delayed presentation and poor LV function. Conclusion: Outcome of AMI differs between rural and urban patients. This finding of different factors influencing outcome in two groups could be used to design specific preventative measures. JCMCTA 2021 ; 32 (2) : 20-24
{"title":"Predictors of Outcome Difference Following Acute Myocardial Infarction between Rural and Urban Patients","authors":"Mohammed Abdur Rahim, A. Bashiruddin, I. Mahmud, Debabrata Bhattacharya, A. Awal, Prabir Kumar Das, Neena Islam, Md. Abdur Rouf, Muhammed Syedul Alam","doi":"10.3329/jcmcta.v32i2.66437","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66437","url":null,"abstract":"Background: Different factors may influence management, complications and outcome of both rural and urban patients following Acute Myocardial Infarction (AMI). Aim of the study was to identify the factors influencing outcome following AMI between rural and urban population is lacking in our country. \u0000Materials and methods: This was a cross sectional study carried out in the Department of Cardiology, CMCH from June 2018 to May 2019. One hundred and ninety-eight consecutively admitted AMI (STEMI) patients from both urban and rural area were included. Demographic, anthropometric, risk factors, presentation profile, inhospital complications and outcome were recorded and compared between the groups. \u0000Results: Out of 198 patients 23.23% female and 76.23% were male. Mean age was significantly higher in Rural group (55.5±11.6 years) than the Urban (49.3±11.2 years) p value 0.037. Urban patients were more sedentary (68.8% vs. 43.8%, p=0.001) and having higher BMI (>25kg/m2 was 48.8% vs 30.6%, p=0.024). Rural patients presented late after symptom onset (5 hours vs. 13 hours) long distance to travel was mentioned as prime cause of delay by them. Inhospital mortality was higher among rural patients (12.4% and 3.9%; p=0.045). Adverse outcome was associated with increasing age, male sex and poor LV function in urban patients, while in rural patient it was related to lower education level, delayed presentation and poor LV function. \u0000Conclusion: Outcome of AMI differs between rural and urban patients. This finding of different factors influencing outcome in two groups could be used to design specific preventative measures. \u0000JCMCTA 2021 ; 32 (2) : 20-24","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"3 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":"78406461","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.v32i2.66424
Md Abdus Sattar, Rajib Biswas, E. Ullah, Mahmud Hassan Arif, M. Karim, Moinuddin A. Chowdhury, Mohammad Abu Sayeed Chowdhury, E. Hoque
Background: Respiratory Tract Infection (RTI) is a very common disease in our country. Bacterial infections in the respiratory tract causing significant morbidity andmortality in hospitalized patients. Information on the prevalence of bacterial infection in RTI in our health care settings is lacking. Moreover, the injudicious use of antibiotics often leads to antibiotic resistance which is an emerging problem. The objective of this study was to determine the prevalence of bacterial infections and antibiotic resistance patterns in pathogens isolated from the sputum samples of admitted patients suffering from RTI in a tertiary care teaching hospital in the Coronavirus Disease (COVID-19) era. Materials and methods: In this cross-sectional study 104 patients who were admitted to the Medicine Department of Chittagong Medical College Hospital with a diagnosis of RTI from February 2021 to June 2021 were included. Bacterial isolates from the sputum culture were confirmed by the standard microbiological methods. Antibiotic resistance was determined by using the disk diffusion method. Results: Out of 104 processed sputum samples 92 (88.5%) cases had established bacterial etiology. Klebsiella (45.2%) was the most common organism followed by Pseudomonas (17.2%) and Acinetobacter (14.4%). In antimicrobial susceptibility testing, Imipenem and meropenem were sensitive against Klebsiella. Ciprofloxacin, levofloxacin, imipenem, meropenem and piperacillin were sensitive against Pseudomonas. Acinetobacter was highly resistant to ceftriaxone. Conclusions: The resistance pattern varied for different organisms. Therefore, appropriate identification of the causative organisms and their antibiotic resistance is crucial for the right choice of antibiotic therapy in LRTIs. JCMCTA 2021 ; 32 (2) : 8-13
{"title":"Antibiotic Resistance Pattern in Respiratory Tract Infection during COVID-19 Era","authors":"Md Abdus Sattar, Rajib Biswas, E. Ullah, Mahmud Hassan Arif, M. Karim, Moinuddin A. Chowdhury, Mohammad Abu Sayeed Chowdhury, E. Hoque","doi":"10.3329/jcmcta.v32i2.66424","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66424","url":null,"abstract":"Background: Respiratory Tract Infection (RTI) is a very common disease in our country. Bacterial infections in the respiratory tract causing significant morbidity andmortality in hospitalized patients. Information on the prevalence of bacterial infection in RTI in our health care settings is lacking. Moreover, the injudicious use of antibiotics often leads to antibiotic resistance which is an emerging problem. The objective of this study was to determine the prevalence of bacterial infections and antibiotic resistance patterns in pathogens isolated from the sputum samples of admitted patients suffering from RTI in a tertiary care teaching hospital in the Coronavirus Disease (COVID-19) era.\u0000Materials and methods: In this cross-sectional study 104 patients who were admitted to the Medicine Department of Chittagong Medical College Hospital with a diagnosis of RTI from February 2021 to June 2021 were included. Bacterial isolates from the sputum culture were confirmed by the standard microbiological methods. Antibiotic resistance was determined by using the disk diffusion method.\u0000Results: Out of 104 processed sputum samples 92 (88.5%) cases had established bacterial etiology. Klebsiella (45.2%) was the most common organism followed by Pseudomonas (17.2%) and Acinetobacter (14.4%). In antimicrobial susceptibility testing, Imipenem and meropenem were sensitive against Klebsiella. Ciprofloxacin, levofloxacin, imipenem, meropenem and piperacillin were sensitive against Pseudomonas. Acinetobacter was highly resistant to ceftriaxone.\u0000Conclusions: The resistance pattern varied for different organisms. Therefore, appropriate identification of the causative organisms and their antibiotic resistance is crucial for the right choice of antibiotic therapy in LRTIs.\u0000JCMCTA 2021 ; 32 (2) : 8-13","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"114116 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78088092","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.v32i2.66497
Nafeesa Binti Hussain, Aklima Zakaria Zinan
Background: The prevalence of infertility in the general population is 15% -20%,of this the male factor is responsible for 20%-40%. Semen analysis is an indispensable diagnostic tool in the evaluation of male partner of infertile couple.Every single couple out of 10 is in search of medical care because of infertility. Men older than 40 years and Women older than 30 years are at an increased risk of infertility. So objective of the present study was to see the different risk factors and sperm count of male infertility. Materials and methods: Current cross sectional observational study is design to figure out existence, problems and causes, associated with male infertility among 120 male subjects done during two years study period from January 2018 to December 2020 in a Teriarty Medical College and some private chambers of Bangladesh. After consent different health data were recorded and semen analysis was done For this purpose, survey has been conducted at different private hospitals and private chambers were selected for further studies.Semen sample were analyzed by manual method. Ethical clearance was taken from the hospital authorities to conduct the study Results: Among 120 subjects 76(63.3%) subjects was at age group 31-40 years and 44(36.7%) was at age group 41 50 years. Different occupations of the study subjects revealed 42(35.0%) were banker, 37(30%) were doing business and 41(34.2%) were involved in other services. Regarding different comorbidities, HTN was present in 18(15%), 3(2.5%) had bronchial asthma, 3(2.5% had DM, 3(2.5%) had HTN with DM and 90(75%) had none and 54(45%) were smoker. Sperm analysis revealed 50(41.7%) had asthenozoospermia, 12(10%) had Asthenozoospermia +Teratospermia, 16 (13.3%) had oligopsermia, 17(14.2%) had Oligospermia+ Asthenozoospermia 8(6.7%) had Oligospermia +Teratospermia and 17(14.2%) had teratospermia. Sperm count among the subjects revealed 23(19.2%) had <10 million/ml, 18(15%) had 11-20 million/ml, 18(15%) had 21-30 million/ml, 15(12.5%) had 31-40 million/ml, 9(7.5%) had 41-50 million/ ml, 13(10.8%) had 51-60 million/ml and 24(20%) had >60 million/ml. Conclusion: It is concluded that male infertility is independent on the age factor but excessive use of tobacco, sedentary life style like Banking , stress or psychological disturbances might provoke issues of infertility. JCMCTA 2021 ; 32 (2) : 75-78
{"title":"Male Factor Infertility and Semen Analysis among Infertile Male Subjects","authors":"Nafeesa Binti Hussain, Aklima Zakaria Zinan","doi":"10.3329/jcmcta.v32i2.66497","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66497","url":null,"abstract":"Background: The prevalence of infertility in the general population is 15% -20%,of this the male factor is responsible for 20%-40%. Semen analysis is an indispensable diagnostic tool in the evaluation of male partner of infertile couple.Every single couple out of 10 is in search of medical care because of infertility. Men older than 40 years and Women older than 30 years are at an increased risk of infertility. So objective of the present study was to see the different risk factors and sperm count of male infertility. \u0000Materials and methods: Current cross sectional observational study is design to figure out existence, problems and causes, associated with male infertility among 120 male subjects done during two years study period from January 2018 to December 2020 in a Teriarty Medical College and some private chambers of Bangladesh. After consent different health data were recorded and semen analysis was done For this purpose, survey has been conducted at different private hospitals and private chambers were selected for further studies.Semen sample were analyzed by manual method. Ethical clearance was taken from the hospital authorities to conduct the study \u0000Results: Among 120 subjects 76(63.3%) subjects was at age group 31-40 years and 44(36.7%) was at age group 41 50 years. Different occupations of the study subjects revealed 42(35.0%) were banker, 37(30%) were doing business and 41(34.2%) were involved in other services. Regarding different comorbidities, HTN was present in 18(15%), 3(2.5%) had bronchial asthma, 3(2.5% had DM, 3(2.5%) had HTN with DM and 90(75%) had none and 54(45%) were smoker. Sperm analysis revealed 50(41.7%) had asthenozoospermia, 12(10%) had Asthenozoospermia +Teratospermia, 16 (13.3%) had oligopsermia, 17(14.2%) had Oligospermia+ Asthenozoospermia 8(6.7%) had Oligospermia +Teratospermia and 17(14.2%) had teratospermia. Sperm count among the subjects revealed 23(19.2%) had <10 million/ml, 18(15%) had 11-20 million/ml, 18(15%) had 21-30 million/ml, 15(12.5%) had 31-40 million/ml, 9(7.5%) had 41-50 million/ ml, 13(10.8%) had 51-60 million/ml and 24(20%) had >60 million/ml. \u0000Conclusion: It is concluded that male infertility is independent on the age factor but excessive use of tobacco, sedentary life style like Banking , stress or psychological disturbances might provoke issues of infertility. \u0000 JCMCTA 2021 ; 32 (2) : 75-78","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86269653","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.v32i2.66446
A. S. M. Zulfiquer Ali
Background: Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. Body Mass Index (BMI) is a simple index for weight for height that is commonly used to classify overweight and obesity in adults. It is defined as a person’s weight in kilogram divided by the square of his height in meters (kg/m2). To estimate the prevalence of overweight and obesity among the students of Bangladesh International School and College, Mohakhali, Dhaka. Materials and methods : This descriptive cross-sectional study was conducted from July 2019 to November 2019 among purposively selected 201 students of class VI to X of Bangladesh International School, Mohakhali, Dhaka. Data were collected through face to face interview using pre-tested structured questionnaire. Data were checked for quality control and analyzed by computer by using SPSS software version 23. Results: Mean age of the students was 13.42 ± 0.38 years. Out of 201 respondents 45 from class VI, 41 from class VII, 39 from class VIII, 36 from class IX and 40 students from class X. The highest 20.9% respondents are from 14 years age. Majority (51.2%) respondents were female and rest 48.8% were Male. The overall proportion of overweight among the respondents was found to be 18.4%. Association between overweight and age, sex, class, Occupation of mothers of respondent, monthly family income, frequency of snacks and daily calorie intake, and duration of outdoor games or physical activity were found significant. Conclusion: In this study it was revealed that the prevalence of overweight among the students of selected school was 18.4%. Boys were more overweight than the girls. Higher percentage of overweight adolescent was found among the affluent families. Adolescent students who took more calorie in daily diet the prevalence of overweight was more in them. JCMCTA 2021 ; 32 (2) : 41-46
{"title":"Prevalence of Overweight among the Students of A Selected Urban School","authors":"A. S. M. Zulfiquer Ali","doi":"10.3329/jcmcta.v32i2.66446","DOIUrl":"https://doi.org/10.3329/jcmcta.v32i2.66446","url":null,"abstract":"Background: Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. Body Mass Index (BMI) is a simple index for weight for height that is commonly used to classify overweight and obesity in adults. It is defined as a person’s weight in kilogram divided by the square of his height in meters (kg/m2). To estimate the prevalence of overweight and obesity among the students of Bangladesh International School and College, Mohakhali, Dhaka. \u0000Materials and methods : This descriptive cross-sectional study was conducted from July 2019 to November 2019 among purposively selected 201 students of class VI to X of Bangladesh International School, Mohakhali, Dhaka. Data were collected through face to face interview using pre-tested structured questionnaire. Data were checked for quality control and analyzed by computer by using SPSS software version 23. \u0000Results: Mean age of the students was 13.42 ± 0.38 years. Out of 201 respondents 45 from class VI, 41 from class VII, 39 from class VIII, 36 from class IX and 40 students from class X. The highest 20.9% respondents are from 14 years age. Majority (51.2%) respondents were female and rest 48.8% were Male. The overall proportion of overweight among the respondents was found to be 18.4%. Association between overweight and age, sex, class, Occupation of mothers of respondent, monthly family income, frequency of snacks and daily calorie intake, and duration of outdoor games or physical activity were found significant. \u0000Conclusion: In this study it was revealed that the prevalence of overweight among the students of selected school was 18.4%. Boys were more overweight than the girls. Higher percentage of overweight adolescent was found among the affluent families. Adolescent students who took more calorie in daily diet the prevalence of overweight was more in them. \u0000JCMCTA 2021 ; 32 (2) : 41-46","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82511474","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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