Pub Date : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67837
Wahida Akter, Dhananjoy Das, Gouri Saha, M. Chowdhury, Rehana Ahmed, M. Chowdhury
Background: Thalassemia is one of the most common chronic and genetic hematological disorder. This chronic disease challenges the individual at the physical, emotional, cognitive level and disrupts the quality of life because of persistent anemia and hypoxia. The aim of study is to assess the cognitive status in thalassemia. Material and methods: This is a cross-sectional observational type of study that was performed in Autism and Child Development Center of Chattagram Maa Shishu–O–General Hospital. Children aged 6 to 16 years with thalassemia of different catagories were enrolled as study subjects. Study period was six months. Cognitive status of this study subject was assessed by WICS-IV equipment. Results: Among the 50 study subjects, Hb E b thalassemia was the most common type of thalassemia 39(78%). 2(4%) patient took oral chelating agent, 18 (36%) were under injectable, 20(40%) were found taking both oral and injectable and 10(20%) were observed not under any iron chelation therapy. Regular iron chelation therapy was found in 22(44%) cases.10(20%) cases had normal intelligence,19(38%) cases had mild mental retardation and 21 (42%) had moderate mental retardation. Among the 10 patients who do not use any chelation therapy,8(80%) patients had moderate retardation and 2(20%) had mild mental retardation. On the other hand, among the 40 patients who were having iron chelation therapy, 10(25%) patients showed normal level of intelligence, 17(42.5%) had mild mental retardation and 13(32.5%) had moderate mental retardation. In different score of WISC-IV, it was found that working memory and processing speed were poorer than verbal comprehension and perceptual reasoning in different type of thalassemia. This study also showed poor cognition is more prominent in thalassemia major and Hb E beta thalassemia. Conclusion: Cognitive status of the study subjects who take regular iron chelation therapy is much better than those who do not take iron chelation therapy. Hence, iron chelation therapy is proved to have better cognitive outcome for thalassemia patients with iron overload. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 57-61
背景:地中海贫血是最常见的慢性遗传性血液病之一。这种慢性疾病在身体、情感和认知水平上对个体构成挑战，并因持续贫血和缺氧而破坏生活质量。本研究的目的是评估地中海贫血患者的认知状况。材料与方法:这是一项横断面观察型研究，在马石蜀总医院自闭症与儿童发展中心进行。6至16岁不同类型的地中海贫血儿童被纳入研究对象。研究期为6个月。本研究对象的认知状态采用WICS-IV设备进行评估。结果:在50名研究对象中，Hb E b地中海贫血是最常见的地中海贫血类型39(78%)。口服铁螯合剂2例(4%)，注射铁螯合剂18例(36%)，口服和注射铁螯合剂20例(40%)，未服用铁螯合剂10例(20%)。常规铁螯合治疗22例(44%)，智力正常10例(20%)，轻度智力迟钝19例(38%)，中度智力迟钝21例(42%)。在未使用任何螯合治疗的10例患者中，8例(80%)为中度智力迟钝，2例(20%)为轻度智力迟钝。另一方面，在接受铁螯合治疗的40例患者中，智力正常10例(25%)，轻度智力迟钝17例(42.5%)，中度智力迟钝13例(32.5%)。在不同的WISC-IV评分中，不同类型的地中海贫血患者的工作记忆和加工速度均低于言语理解和知觉推理。本研究还显示认知障碍在重度地中海贫血和Hb E β地中海贫血中更为突出。结论:定期接受铁螯合治疗的受试者认知状况明显优于未接受铁螯合治疗的受试者。因此，铁螯合疗法被证明对铁超载的地中海贫血患者有更好的认知结果。上海医科大学医学院;工程系(1);2023年1月;57 - 61页
{"title":"Cognitive Status In Thalassemia","authors":"Wahida Akter, Dhananjoy Das, Gouri Saha, M. Chowdhury, Rehana Ahmed, M. Chowdhury","doi":"10.3329/cmoshmcj.v22i1.67837","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67837","url":null,"abstract":"Background: Thalassemia is one of the most common chronic and genetic hematological disorder. This chronic disease challenges the individual at the physical, emotional, cognitive level and disrupts the quality of life because of persistent anemia and hypoxia. The aim of study is to assess the cognitive status in thalassemia. \u0000Material and methods: This is a cross-sectional observational type of study that was performed in Autism and Child Development Center of Chattagram Maa Shishu–O–General Hospital. Children aged 6 to 16 years with thalassemia of different catagories were enrolled as study subjects. Study period was six months. Cognitive status of this study subject was assessed by WICS-IV equipment. \u0000Results: Among the 50 study subjects, Hb E b thalassemia was the most common type of thalassemia 39(78%). 2(4%) patient took oral chelating agent, 18 (36%) were under injectable, 20(40%) were found taking both oral and injectable and 10(20%) were observed not under any iron chelation therapy. Regular iron chelation therapy was found in 22(44%) cases.10(20%) cases had normal intelligence,19(38%) cases had mild mental retardation and 21 (42%) had moderate mental retardation. Among the 10 patients who do not use any chelation therapy,8(80%) patients had moderate retardation and 2(20%) had mild mental retardation. On the other hand, among the 40 patients who were having iron chelation therapy, 10(25%) patients showed normal level of intelligence, 17(42.5%) had mild mental retardation and 13(32.5%) had moderate mental retardation. In different score of WISC-IV, it was found that working memory and processing speed were poorer than verbal comprehension and perceptual reasoning in different type of thalassemia. This study also showed poor cognition is more prominent in thalassemia major and Hb E beta thalassemia. \u0000Conclusion: Cognitive status of the study subjects who take regular iron chelation therapy is much better than those who do not take iron chelation therapy. Hence, iron chelation therapy is proved to have better cognitive outcome for thalassemia patients with iron overload. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 57-61","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79432365","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67820
F. Johora, M. Rahman
Background: Promotional activities conducted by pharmaceutical industries are highly successful to alter physicians' prescribing habit. Undergraduate medical curriculum does not make students to deal with this unwarranted effect. Educational intervention might be a key to address this crucial issue. The aim of this study was to evaluate the impact of educational intervention on knowledge and attitude of medical students regarding pharmaceutical promotion. Materials and methods: This interventional research was conducted from February 2016 to February 2017. 4th year MBBS students of the four medical colleges of Dhaka city were the study population. A baseline assessment on knowledge and perception of the 4th year MBBS medical students' of the included medical colleges (Control and intervention) was conducted by a questionnaire survey. Number of respondents in control and intervention group was 156 and 243 respectively in pre test. Then, a package of educational intervention including interactive lecture and practical session was delivered to intervention group. After I month of intervention, post intervention data had been collected from undergraduate students to evaluate the effect of intervention on their knowledge and perception by using same questionnaire. Number of respondents in control and intervention group was 152 and 227 respectively in post test. Attitude of the undergraduate students of intervention group was evaluated by a structured questionnaire after one month of intervention. Total 227 students were participated in this survey. Results: Proportion of students regarding knowledge and perception about pharmaceutical promotion is significantly increased after intervention (p<0.001). Attitude of undergraduate students of intervention group on 10 different case scenarios related to pharmaceutical promotion have been changed after intervention and it were statistically significant in all 10 case scenarios. Conclusion: The conducted educational intervention was found effective at undergraduate level to modify knowledge and attitude about pharmaceutical promotion. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 8-13
{"title":"Impact of Educational Intervention on Knowledge and Attitude of Undergraduate Medical Students Regarding Pharmaceutical Promotion","authors":"F. Johora, M. Rahman","doi":"10.3329/cmoshmcj.v22i1.67820","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67820","url":null,"abstract":"Background: Promotional activities conducted by pharmaceutical industries are highly successful to alter physicians' prescribing habit. Undergraduate medical curriculum does not make students to deal with this unwarranted effect. Educational intervention might be a key to address this crucial issue. The aim of this study was to evaluate the impact of educational intervention on knowledge and attitude of medical students regarding pharmaceutical promotion. \u0000Materials and methods: This interventional research was conducted from February 2016 to February 2017. 4th year MBBS students of the four medical colleges of Dhaka city were the study population. A baseline assessment on knowledge and perception of the 4th year MBBS medical students' of the included medical colleges (Control and intervention) was conducted by a questionnaire survey. Number of respondents in control and intervention group was 156 and 243 respectively in pre test. Then, a package of educational intervention including interactive lecture and practical session was delivered to intervention group. After I month of intervention, post intervention data had been collected from undergraduate students to evaluate the effect of intervention on their knowledge and perception by using same questionnaire. Number of respondents in control and intervention group was 152 and 227 respectively in post test. Attitude of the undergraduate students of intervention group was evaluated by a structured questionnaire after one month of intervention. Total 227 students were participated in this survey. \u0000Results: Proportion of students regarding knowledge and perception about pharmaceutical promotion is significantly increased after intervention (p<0.001). Attitude of undergraduate students of intervention group on 10 different case scenarios related to pharmaceutical promotion have been changed after intervention and it were statistically significant in all 10 case scenarios. \u0000Conclusion: The conducted educational intervention was found effective at undergraduate level to modify knowledge and attitude about pharmaceutical promotion. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 8-13","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88309902","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67822
M. M. Rahman, M. Begum, Dhananjoy Majumder
Background: Neck swelling is a common clinical presentation in ENT practice and it carries significant morbidity and even mortality if not managed properly. Thyroid swelling being the most common type among them. We conducted a study to assess the role of FNAC in diagnosing the nature of thyroid swelling and comparing its result with histopathology finding. The aim and objectives of this study is to observe the correlation between preoperative Fine Needle Aspiration Cytology (FNAC) and post operative histopathology in the diagnosis of thyroid lesions. Materials and methods: A cross sectional study was done in the Department of Otolaryngology-Head & Neck Surgery and Department of Pathology, Chittagong Medical College, Chattogram from January 2018 to December 2020. Eighty (80) patients, both male and female of different age groups were included. The selected patients were subjected to clinical examination, routine hematological investigation, thyroid hormone test, USG, thyroid Scan, FNAC and histopathological examinations of the thyroidectomy specimens. Correlation between FNAC and histopathology reports were done in those patients. Results: In this study, age range of the patients were 11 years to 70 years. Out of 80 patients of thyroid swelling, the most of the patients 28(35%) were 31-40 years of age groups. out of 80 patients of thyroid swelling, 26(26.25%) were male and 59(73.75%) were female and male female ratio was1:2.81. On FNAC 64(80%) were non neoplastic and 16(20%) were neoplastic. Out of 64(80%) of non neoplastic lesions, 62(77.50%) were nodular goitre and 2(2.5%) were lymphocytic thyroiditis and out of 16(20%) neoplastic thyroid swelling, 2(2.50%) were follicular lesion, 12(15%) were papillary carcinoma, 1(1.25%) was follicular carcinoma and 1(1.25%) was suspicious for malignancy. On histopathology, out of 80 patients of thyroid swelling 60(75%) were non neoplastic and 20(25%) were neoplastic. out of 60(75%) non neoplastic, 59 (73.75%) were nodular, 1(1.25%) was Lymphocytic thyroiditis and out of 20(25%) neoplastic lesions, 3(3.75%) were follicular adenoma,13(16.25%) were papillary carcinoma,3(3.75%) were follicular variant of papillary carcinoma and 1(1.25%) was follicular carcinoma. Conclusion: It is concluded from the present study that female are more affected in our region. Non neoplastic lesions of the thyroid were more common (Nodular goitre being the commonest) than neoplastic lesions (Papillary carcinoma being the commonest). FNAC is essential diagnostic tool for thyroid swelling but final diagnosis to rule out thyroid cancer is surgical excision and histopathology. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 19-22
{"title":"Comparative Study of FNAC and Histopathology in Diagnosis of Thyroid Swelling","authors":"M. M. Rahman, M. Begum, Dhananjoy Majumder","doi":"10.3329/cmoshmcj.v22i1.67822","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67822","url":null,"abstract":"Background: Neck swelling is a common clinical presentation in ENT practice and it carries significant morbidity and even mortality if not managed properly. Thyroid swelling being the most common type among them. We conducted a study to assess the role of FNAC in diagnosing the nature of thyroid swelling and comparing its result with histopathology finding. The aim and objectives of this study is to observe the correlation between preoperative Fine Needle Aspiration Cytology (FNAC) and post operative histopathology in the diagnosis of thyroid lesions. \u0000Materials and methods: A cross sectional study was done in the Department of Otolaryngology-Head & Neck Surgery and Department of Pathology, Chittagong Medical College, Chattogram from January 2018 to December 2020. Eighty (80) patients, both male and female of different age groups were included. The selected patients were subjected to clinical examination, routine hematological investigation, thyroid hormone test, USG, thyroid Scan, FNAC and histopathological examinations of the thyroidectomy specimens. Correlation between FNAC and histopathology reports were done in those patients. \u0000Results: In this study, age range of the patients were 11 years to 70 years. Out of 80 patients of thyroid swelling, the most of the patients 28(35%) were 31-40 years of age groups. out of 80 patients of thyroid swelling, 26(26.25%) were male and 59(73.75%) were female and male female ratio was1:2.81. On FNAC 64(80%) were non neoplastic and 16(20%) were neoplastic. Out of 64(80%) of non neoplastic lesions, 62(77.50%) were nodular goitre and 2(2.5%) were lymphocytic thyroiditis and out of 16(20%) neoplastic thyroid swelling, 2(2.50%) were follicular lesion, 12(15%) were papillary carcinoma, 1(1.25%) was follicular carcinoma and 1(1.25%) was suspicious for malignancy. On histopathology, out of 80 patients of thyroid swelling 60(75%) were non neoplastic and 20(25%) were neoplastic. out of 60(75%) non neoplastic, 59 (73.75%) were nodular, 1(1.25%) was Lymphocytic thyroiditis and out of 20(25%) neoplastic lesions, 3(3.75%) were follicular adenoma,13(16.25%) were papillary carcinoma,3(3.75%) were follicular variant of papillary carcinoma and 1(1.25%) was follicular carcinoma. \u0000Conclusion: It is concluded from the present study that female are more affected in our region. Non neoplastic lesions of the thyroid were more common (Nodular goitre being the commonest) than neoplastic lesions (Papillary carcinoma being the commonest). FNAC is essential diagnostic tool for thyroid swelling but final diagnosis to rule out thyroid cancer is surgical excision and histopathology. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 19-22","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87963538","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67834
J. Nath, R. Biswas
Background: Hypoglycemia is a major complication of diabetes mellitus and common causes of admission in hospital. Those who have long duration of diabetes having poor glycemic control, frequently experienced such events were self treated at home. The present study pointed to identify whether hemoglobin A1c (HbA1c) a marker of average plasma glucose, relates with severe hypoglycemia and diabetic complications or not. Materials and methods: A retrospective observational study was conducted in the Department of Medicine, Maa-Shishu-O-General Hospital, Agrabad, Chattogram from April 2019 to September 2021. Total 36 patients were selected, as presenting in Medicine Department with documented hypoglycaemia. All data was taken meeting exclusion criteria and analysed. Results: Hypoglycaemic episodes mostly occurred in elder cases (>61 year of ages) n=16, 44% and HbA1c mostly belongs to between 7.6 to 8 groups. Confusion is the most common presentation, N=63, 63.9%. Neuropathy was found as common complication, (30.6% , n=11) cases and most of the neuropathy found in HbA1c 7.6 to 8.5 groups 54.54% , n=6 . Most of the patients were taking sulfonylurea group of drugs 47.2% , n=17, and mixed acting insulin n=21 ,58.3%. Conclusion: Hypoglycemic admission is not related to extensive Diabetic control rather with related to elder patients , various Diabetic complications and injudicious use of ant diabetic agents. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 44-47
{"title":"Relationship between HbA1c with Hypoglycaemic Attack and Diabetic Complications of Patients Admitted in a Tertiary Hospital","authors":"J. Nath, R. Biswas","doi":"10.3329/cmoshmcj.v22i1.67834","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67834","url":null,"abstract":"Background: Hypoglycemia is a major complication of diabetes mellitus and common causes of admission in hospital. Those who have long duration of diabetes having poor glycemic control, frequently experienced such events were self treated at home. The present study pointed to identify whether hemoglobin A1c (HbA1c) a marker of average plasma glucose, relates with severe hypoglycemia and diabetic complications or not. \u0000Materials and methods: A retrospective observational study was conducted in the Department of Medicine, Maa-Shishu-O-General Hospital, Agrabad, Chattogram from April 2019 to September 2021. Total 36 patients were selected, as presenting in Medicine Department with documented hypoglycaemia. All data was taken meeting exclusion criteria and analysed. \u0000Results: Hypoglycaemic episodes mostly occurred in elder cases (>61 year of ages) n=16, 44% and HbA1c mostly belongs to between 7.6 to 8 groups. Confusion is the most common presentation, N=63, 63.9%. Neuropathy was found as common complication, (30.6% , n=11) cases and most of the neuropathy found in HbA1c 7.6 to 8.5 groups 54.54% , n=6 . Most of the patients were taking sulfonylurea group of drugs 47.2% , n=17, and mixed acting insulin n=21 ,58.3%. \u0000Conclusion: Hypoglycemic admission is not related to extensive Diabetic control rather with related to elder patients , various Diabetic complications and injudicious use of ant diabetic agents. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 44-47","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91203400","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67832
A. Ferdousi, M. Datta, Sayeda Shahnoor Hasina Mamtaz, Rifat Jahan, Salina Hoque, Rasheda Samad
Background: Despite widespread availability of a safe and cost-effective vaccine, Measles outbreak is reported from different regions of Bangladesh in the recent past. This study was aimed to Identify the related features of Measles infection in children during the upsurge of Measles infection in Chattogram during 2019-2020, when Bangladesh was about to achieve Measles elimination. Materials and methods: This prospective observational study included all the Measles infected children admitted in the Pediatric Ward of Chittagong Medical College Hospital, Chattogram during the period from September 2019-February 2020. In this hospital patients up to 12 years after neonatal period are admitted. Patients whose guardian did not give consent were excluded. Measles cases were diagnosed clinically according to case definition criteria by WHO. Demographic, clinical features, Measles vaccination status of both affected children & their mother and associated complications were recorded in a predesigned form. Data were analyzed and results were given in a tabulated form. The aim of this study was to evaluate the characteristics of Measles infection and their vaccination status in children during its upsurge in 2019-2020. Results: Affected children 13(20%) were suffered in spite of vaccination. Among the 65 affected children 44 (67.6%) were below one year of age, youngest one was 2 months old. Male to female ratio was 1.8:1. 80% (n=52) children were not vaccinated, 35 of them not yet attained the age of vaccination. 17 children attained the age but vaccination was delayed due to cough and cold, fever, bronchopneumonia or Measles itself. Complications were common among them, Bronchopneumonia 47 (72.3%) and Purulent conjunctivitis 38 (58.5%). There was no case fatality. Conclusion: Children are being affected by Measles before attaining the age of first dose of vaccination and incompletely vaccinated or unvaccinated children have a role in the upsurge of Measles. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 33-37
{"title":"Measles Infection and Vaccination Status against Measles in Children during 2019-2020: A Hospital Based Study in Chattogram","authors":"A. Ferdousi, M. Datta, Sayeda Shahnoor Hasina Mamtaz, Rifat Jahan, Salina Hoque, Rasheda Samad","doi":"10.3329/cmoshmcj.v22i1.67832","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67832","url":null,"abstract":"Background: Despite widespread availability of a safe and cost-effective vaccine, Measles outbreak is reported from different regions of Bangladesh in the recent past. This study was aimed to Identify the related features of Measles infection in children during the upsurge of Measles infection in Chattogram during 2019-2020, when Bangladesh was about to achieve Measles elimination. \u0000Materials and methods: This prospective observational study included all the Measles infected children admitted in the Pediatric Ward of Chittagong Medical College Hospital, Chattogram during the period from September 2019-February 2020. In this hospital patients up to 12 years after neonatal period are admitted. Patients whose guardian did not give consent were excluded. Measles cases were diagnosed clinically according to case definition criteria by WHO. Demographic, clinical features, Measles vaccination status of both affected children & their mother and associated complications were recorded in a predesigned form. Data were analyzed and results were given in a tabulated form. The aim of this study was to evaluate the characteristics of Measles infection and their vaccination status in children during its upsurge in 2019-2020. \u0000Results: Affected children 13(20%) were suffered in spite of vaccination. Among the 65 affected children 44 (67.6%) were below one year of age, youngest one was 2 months old. Male to female ratio was 1.8:1. 80% (n=52) children were not vaccinated, 35 of them not yet attained the age of vaccination. 17 children attained the age but vaccination was delayed due to cough and cold, fever, bronchopneumonia or Measles itself. Complications were common among them, Bronchopneumonia 47 (72.3%) and Purulent conjunctivitis 38 (58.5%). There was no case fatality. \u0000Conclusion: Children are being affected by Measles before attaining the age of first dose of vaccination and incompletely vaccinated or unvaccinated children have a role in the upsurge of Measles. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 33-37","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84671530","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67838
Hadi Md Habib Ullah, A. Mostafa, Mohammad Abu Sayeed Talukder, Md Ibrahim Sohel
Background: Medical education is one of the most stressful field of education because of its highly demanding professional and academic requirements. There is a significant amount of factors as predictors of medical career decision-making: perceptions of specialty characteristics gained from curricular, extracurricular and personal experiences in health care, personal career needs (e.g Expected income, career options, status, work-life balance, labor content, lifestyle and working hours) and gender. An understanding of the factors which influence doctors’ career choices and how attitudes vary among doctors who choose different specialties, is important for all those involved in the teaching and training of doctors. This study was done to explore views of final phase undergraduate medical students of Bangladesh about the Socio-Economic & Institutional Factors that influence their future career selection. Materials and methods: This descriptive cross sectional study was conducted among 784 students randomly selected from eight medical colleges of Bangladesh, in the period of January 2019 to December 2019 with a pre tested self-administered questionnaire. Results: Study revealed that a total of 784 students responded, out of which 318(40.6%) males and 466(59.4%) female. Among them 726(92.6%) students wanted to do postgraduation. The leading reasons for selecting future career were future workload 255(38.2%), future workplace 272(39.8%) social status 242(35.6%) and scope of job 244(36.1%). Career choice also influenced by teachers as a role model 244(34.3%) Conclusion: Study recommended that career counseling during and after completion of graduation in the medical college, this stimulate students to gain experiences in different specialties. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 62-65
{"title":"Views of Final Phase Undergraduate Medical Students’ of Bangladesh about the Socio-Economic and Institutional Factors that Influence Their Future Career","authors":"Hadi Md Habib Ullah, A. Mostafa, Mohammad Abu Sayeed Talukder, Md Ibrahim Sohel","doi":"10.3329/cmoshmcj.v22i1.67838","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67838","url":null,"abstract":"Background: Medical education is one of the most stressful field of education because of its highly demanding professional and academic requirements. There is a significant amount of factors as predictors of medical career decision-making: perceptions of specialty characteristics gained from curricular, extracurricular and personal experiences in health care, personal career needs (e.g Expected income, career options, status, work-life balance, labor content, lifestyle and working hours) and gender. An understanding of the factors which influence doctors’ career choices and how attitudes vary among doctors who choose different specialties, is important for all those involved in the teaching and training of doctors. This study was done to explore views of final phase undergraduate medical students of Bangladesh about the Socio-Economic & Institutional Factors that influence their future career selection. \u0000Materials and methods: This descriptive cross sectional study was conducted among 784 students randomly selected from eight medical colleges of Bangladesh, in the period of January 2019 to December 2019 with a pre tested self-administered questionnaire. \u0000Results: Study revealed that a total of 784 students responded, out of which 318(40.6%) males and 466(59.4%) female. Among them 726(92.6%) students wanted to do postgraduation. The leading reasons for selecting future career were future workload 255(38.2%), future workplace 272(39.8%) social status 242(35.6%) and scope of job 244(36.1%). Career choice also influenced by teachers as a role model 244(34.3%) \u0000Conclusion: Study recommended that career counseling during and after completion of graduation in the medical college, this stimulate students to gain experiences in different specialties. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 62-65","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85606522","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}
Background : Sepsis is the leading cause of neonatal death in developing countries. Delay in initiating treatment can considerably increase the morbidity and mortality. So early diagnosis is important.Traditional methods such as blood culture do not provide a rapid diagnosis. Absolute neutrophil count is one of the important hematological markers for diagnosis of sepsis. The purpose of the study to see the absolute neutrophil count in diognosis of neonatal sepsis. Materials and methods: This is a hospital based cross sectional study conducted from January to June 2014. A total of 100 sick neonates admitted in the Neonatal ward of Chattagram Maa Shishu O General Hospital (CMSOGH) with suspected neonatal sepsis (Based on history and physical examination) constituted the study population. Investigation sent for Absolute neutrophil count, C-reactive Protein (CRP) and blood culture. The collected data was analyzed by statistical software packages SPSS method version 15. Results: A total of 100 sick neonates of both sexes with suspected sepsis were enrolled in this study, out of which most of the patient showed neutropenia (66%), C-reactive protein positive 65% and blood culture positive 33%. Within the Creactive protein positive patients 78.8% patient had neutropenia (c2 =17.711, p= .001). From blood culture positive patients 85% showed neutropenia (c2 =8.510, p= 0.014). Conclusion: Neutropenia is a common hematological finding in neonatal sepsis along with other screening test and neutropenia is more significant than neutrophilia. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 66-70
{"title":"Absolute Neutrophil Count in Diagnosis of Neonatal Sepsis : A Hospital Based Cross Sectional Study","authors":"R. Chowdhury, Tanuka Barua, Dipika Dey, Md. Akram Ullah, Md Balayat Hossain Dhali, Priyanka Chowdhury","doi":"10.3329/cmoshmcj.v22i1.67839","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67839","url":null,"abstract":"Background : Sepsis is the leading cause of neonatal death in developing countries. Delay in initiating treatment can considerably increase the morbidity and mortality. So early diagnosis is important.Traditional methods such as blood culture do not provide a rapid diagnosis. Absolute neutrophil count is one of the important hematological markers for diagnosis of sepsis. The purpose of the study to see the absolute neutrophil count in diognosis of neonatal sepsis. \u0000Materials and methods: This is a hospital based cross sectional study conducted from January to June 2014. A total of 100 sick neonates admitted in the Neonatal ward of Chattagram Maa Shishu O General Hospital (CMSOGH) with suspected neonatal sepsis (Based on history and physical examination) constituted the study population. Investigation sent for Absolute neutrophil count, C-reactive Protein (CRP) and blood culture. The collected data was analyzed by statistical software packages SPSS method version 15. \u0000Results: A total of 100 sick neonates of both sexes with suspected sepsis were enrolled in this study, out of which most of the patient showed neutropenia (66%), C-reactive protein positive 65% and blood culture positive 33%. Within the Creactive protein positive patients 78.8% patient had neutropenia (c2 =17.711, p= .001). From blood culture positive patients 85% showed neutropenia (c2 =8.510, p= 0.014). \u0000Conclusion: Neutropenia is a common hematological finding in neonatal sepsis along with other screening test and neutropenia is more significant than neutrophilia. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 66-70","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"46 4-5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91490566","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67818
M. J. Uddin
Abstract not available Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 1-2
[摘要]上海医科大学医学院;工程系(1);2023年1月;1 - 2页
{"title":"Editor’s Role on Plagiarism","authors":"M. J. Uddin","doi":"10.3329/cmoshmcj.v22i1.67818","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67818","url":null,"abstract":"Abstract not available \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 1-2","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82822578","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67819
Md. Shah Alam, K. Nahar, M. Chowdhury, Aparup Das, D. Chowdhury, D. Barua
Background: Exclusive Breastfeeding (EBF) is recommended for the first six months of age by the World Health Organization (WHO). Mothers' good knowledge and positive attitude play key roles in the process of EBF practices. The study aimed to assess maternal knowledge, attitudes, and other factors associated with EBF practices in a rural area of Chattogram, Bangladesh. Materials and methods: This descriptive cross-sectional study was conducted in two rural private hospital outpatient departments in Lohagara, Chattogram, Bangladesh, during the COVID-19 pandemic from July 2021 to December 2021. Two hundred and forty mothers with children of age 6 to 24 months selected by purposive sampling were interviewed using a questionnaire to elicit information on infant breastfeeding practices and their associated factors. Data were collected throughthe face-to-face interview from hospital's outdoors, following a convenient sampling method. Chi-squared test and binary logistic regression models were used to explore the association. Results: The prevalence of EBFfor the first six months of an infant's life was 64.6%. Good knowledge (p<0.001) and a positive attitude (p<0.001) toward breastfeeding were significantly associated with EBF practices. A binary multivariable logistic regression model demonstrated that for mothers with SSC or higher-level education (AOR=3.21, 95% CI: 1.20-13.14) family monthly income >50000 BDT (AOR=2.11, 95% CI: 1.04-15.23) normal delivery (AOR=1.99, 95% CI: 1.11-8.23) and hospital delivery (AOR=3.34, 95% CI: 1.67-10.11) mothers were more likely to follow EBF practices compared to their counterparts. Moreover, joint family (AOR=0.32, 95% CI: 0.15- 0.68) and younger mother (AOR=0.42, 95% CI: 0.45-0.99) mothers had less likelihood of EBF practices than their counterparts. Conclusion: One in every three children in the study sitedoes not breastfeed exclusively, which needs special attention from the policymakers.Besides good knowledge and a positive attitude, the most important predictors were modifiable factors for EBF; hence should be addressed to improve EBF practices. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 3-7
{"title":"Factors Associated with Exclusive Breastfeeding among Mothers in Rural Chattogram of Bangladesh","authors":"Md. Shah Alam, K. Nahar, M. Chowdhury, Aparup Das, D. Chowdhury, D. Barua","doi":"10.3329/cmoshmcj.v22i1.67819","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67819","url":null,"abstract":"Background: Exclusive Breastfeeding (EBF) is recommended for the first six months of age by the World Health Organization (WHO). Mothers' good knowledge and positive attitude play key roles in the process of EBF practices. The study aimed to assess maternal knowledge, attitudes, and other factors associated with EBF practices in a rural area of Chattogram, Bangladesh. \u0000Materials and methods: This descriptive cross-sectional study was conducted in two rural private hospital outpatient departments in Lohagara, Chattogram, Bangladesh, during the COVID-19 pandemic from July 2021 to December 2021. Two hundred and forty mothers with children of age 6 to 24 months selected by purposive sampling were interviewed using a questionnaire to elicit information on infant breastfeeding practices and their associated factors. Data were collected throughthe face-to-face interview from hospital's outdoors, following a convenient sampling method. Chi-squared test and binary logistic regression models were used to explore the association. \u0000Results: The prevalence of EBFfor the first six months of an infant's life was 64.6%. Good knowledge (p<0.001) and a positive attitude (p<0.001) toward breastfeeding were significantly associated with EBF practices. A binary multivariable logistic regression model demonstrated that for mothers with SSC or higher-level education (AOR=3.21, 95% CI: 1.20-13.14) family monthly income >50000 BDT (AOR=2.11, 95% CI: 1.04-15.23) normal delivery (AOR=1.99, 95% CI: 1.11-8.23) and hospital delivery (AOR=3.34, 95% CI: 1.67-10.11) mothers were more likely to follow EBF practices compared to their counterparts. Moreover, joint family (AOR=0.32, 95% CI: 0.15- 0.68) and younger mother (AOR=0.42, 95% CI: 0.45-0.99) mothers had less likelihood of EBF practices than their counterparts. \u0000Conclusion: One in every three children in the study sitedoes not breastfeed exclusively, which needs special attention from the policymakers.Besides good knowledge and a positive attitude, the most important predictors were modifiable factors for EBF; hence should be addressed to improve EBF practices. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 3-7","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91526736","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 : 2023-07-25DOI: 10.3329/cmoshmcj.v22i1.67830
Akramul Azam, Rushmila Ferdous, A. Hoque, Mohammad Mosharaf Hossen Talukder, A. M. K. Chowdhury, Riyadh Muhammad Marzuk, Panchanan Das, Md Hassanuzzaman
Background: Changes in the lipid profile have been suggested as a risk factor for developing ischemic stroke. Their role in hemorrhagic stroke is not clear. The study aimed to evaluate the lipid profile levels and discharge outcomes of patients who were admitted to a tertiary hospital in Bangladesh and also to determine the difference in the lipid profile of patients with ischemic and hemorrhagic stroke. Materials and methods: This retrospective analytical study included 65 hospitalized stroke patients from the Neurology Unit of Chittagong Medical College Hospital. Data regarding age, sex, risk factors of stroke, lipid profile [Total Cholesterol (TC) Triglyceride (TG) Low-Density Lipoprotein cholesterol (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C)] levels, and discharged outcomes [Favourablemodified Rankin Scale (mRS)score £2 and unfavourable-mRS >2] were extracted from the register and compared between ischemic and hemorrhagic stroke patients. Results: Out of 65 patients, 55 (84.6%) had ischemic and 10 (15.4%) had hemorrhagic stroke. Hypertension (67.7%), smoking (50%), diabetes (40%), and family history of stroke (38.5%) were common risk factors. The most common lipid abnormality was high LDL-C (86.2%), followed by low HDL-C (63.1%), high TG (47.7%), and high TC (35.4%). There was no difference in the lipid profile ofischemic and hemorrhagic stroke patients. Forty-seven (72.3%) patients were in poor functional status during discharge and discharged outcome was not associated with admission lipid profile. Compared to patients with unfavorable outcomes, patients with favorable outcomes at discharge were significantly younger, had shorter durations of hospitalization, had lower mRS scores at admission. Conclusion: Dyslipidemia in the form of high LDL-C and low HDL-C were common in stroke patients be it infarct or hemorrhage. There was no difference in the lipid profile of the two categories of stroke. Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 23-27
{"title":"Admission Lipid Profile and Discharge Outcome in Ischemic and Hemorrhagic Stroke","authors":"Akramul Azam, Rushmila Ferdous, A. Hoque, Mohammad Mosharaf Hossen Talukder, A. M. K. Chowdhury, Riyadh Muhammad Marzuk, Panchanan Das, Md Hassanuzzaman","doi":"10.3329/cmoshmcj.v22i1.67830","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v22i1.67830","url":null,"abstract":"Background: Changes in the lipid profile have been suggested as a risk factor for developing ischemic stroke. Their role in hemorrhagic stroke is not clear. The study aimed to evaluate the lipid profile levels and discharge outcomes of patients who were admitted to a tertiary hospital in Bangladesh and also to determine the difference in the lipid profile of patients with ischemic and hemorrhagic stroke. \u0000Materials and methods: This retrospective analytical study included 65 hospitalized stroke patients from the Neurology Unit of Chittagong Medical College Hospital. Data regarding age, sex, risk factors of stroke, lipid profile [Total Cholesterol (TC) Triglyceride (TG) Low-Density Lipoprotein cholesterol (LDL-C), and High-Density Lipoprotein Cholesterol (HDL-C)] levels, and discharged outcomes [Favourablemodified Rankin Scale (mRS)score £2 and unfavourable-mRS >2] were extracted from the register and compared between ischemic and hemorrhagic stroke patients. \u0000Results: Out of 65 patients, 55 (84.6%) had ischemic and 10 (15.4%) had hemorrhagic stroke. Hypertension (67.7%), smoking (50%), diabetes (40%), and family history of stroke (38.5%) were common risk factors. The most common lipid abnormality was high LDL-C (86.2%), followed by low HDL-C (63.1%), high TG (47.7%), and high TC (35.4%). There was no difference in the lipid profile ofischemic and hemorrhagic stroke patients. Forty-seven (72.3%) patients were in poor functional status during discharge and discharged outcome was not associated with admission lipid profile. Compared to patients with unfavorable outcomes, patients with favorable outcomes at discharge were significantly younger, had shorter durations of hospitalization, had lower mRS scores at admission. \u0000Conclusion: Dyslipidemia in the form of high LDL-C and low HDL-C were common in stroke patients be it infarct or hemorrhage. There was no difference in the lipid profile of the two categories of stroke. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.22 (1); January 2023; Page 23-27","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"147 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91195869","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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