Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59756
F. Yasmin, Aphrodity Aurora
Background: The COVID-19 pandemic is changing rapidly and requires different strategies to maintain clinical preventive services, including immunization. The authorized vaccines have shown to prevent severe illness and hospitalization from - COVID-19. However, knowledge and attitudes towards COVID 19 vaccinations among female populations are poorly understood. Thus, the study aimed to investigate knowledge and attitude towards COVID19 vaccinations in Bangladeshi women. Materials and methods: A cross-sectional study was performed in Chittagong Medical College Hospital, Chattogram from 14 February to 16 February 2021. The study was conducted using a structured, pre-formed questionnaire containing informed written consent along with three sections, i.e. sociodemographic profile, knowledge and attitudes. All women who had come to take vaccine against COVID- 19 in this hospital during the study period were the study population. Women who were not agreed to take part in the study and having complications e.g. mental disorder, hearing difficulty or critically ill were excluded from the study. The final sample size was 225. Systematic random sampling was applied to select the study population. Results: During the study, 43% cases belong to 40-49 years’ age group and 91% were from urban area. Regarding knowledge towards vaccination, 69% study group think vaccine can give complete protection from COVID-19 and 97% cases have knowledge that vaccine can reduce severity of COVID-19 but 6% didn’t sure about death cases from vaccination, 51% shows positive results regarding elder people are at high risk from vaccination than younger, 79% study group think people with comorbid diseases are at high risk from vaccination. Regarding attitude towards vaccination, 95% cases were taking their vaccine willingly followed by 2% women think vaccine may not effective against COVID-19, 12% think rich people need vaccine more than poor. Conclusion: The COVID-19 pandemic is still experiencing worldwide disasters but a possible ray of hope for the future can be found with the COVID-19 vaccine. The findings recommend that immediate programs of health education and the respective health authorities should provide more accurate information. In order to decrease vaccine relief enabled and promoted by disinformation in the media, policymakers should take efforts to provide appropriate understanding, favorable attitudes and views of COVID-19 immunization. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 26-30
{"title":"Attitude and Knowledge towards COVID-19 Vaccination among Women in Chattogram, Bangladesh","authors":"F. Yasmin, Aphrodity Aurora","doi":"10.3329/cmoshmcj.v21i1.59756","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59756","url":null,"abstract":"Background: The COVID-19 pandemic is changing rapidly and requires different strategies to maintain clinical preventive services, including immunization. The authorized vaccines have shown to prevent severe illness and hospitalization from - COVID-19. However, knowledge and attitudes towards COVID 19 vaccinations among female populations are poorly understood. Thus, the study aimed to investigate knowledge and attitude towards COVID19 vaccinations in Bangladeshi women. \u0000Materials and methods: A cross-sectional study was performed in Chittagong Medical College Hospital, Chattogram from 14 February to 16 February 2021. The study was conducted using a structured, pre-formed questionnaire containing informed written consent along with three sections, i.e. sociodemographic profile, knowledge and attitudes. All women who had come to take vaccine against COVID- 19 in this hospital during the study period were the study population. Women who were not agreed to take part in the study and having complications e.g. mental disorder, hearing difficulty or critically ill were excluded from the study. The final sample size was 225. Systematic random sampling was applied to select the study population. \u0000Results: During the study, 43% cases belong to 40-49 years’ age group and 91% were from urban area. Regarding knowledge towards vaccination, 69% study group think vaccine can give complete protection from COVID-19 and 97% cases have knowledge that vaccine can reduce severity of COVID-19 but 6% didn’t sure about death cases from vaccination, 51% shows positive results regarding elder people are at high risk from vaccination than younger, 79% study group think people with comorbid diseases are at high risk from vaccination. Regarding attitude towards vaccination, 95% cases were taking their vaccine willingly followed by 2% women think vaccine may not effective against COVID-19, 12% think rich people need vaccine more than poor. \u0000Conclusion: The COVID-19 pandemic is still experiencing worldwide disasters but a possible ray of hope for the future can be found with the COVID-19 vaccine. The findings recommend that immediate programs of health education and the respective health authorities should provide more accurate information. In order to decrease vaccine relief enabled and promoted by disinformation in the media, policymakers should take efforts to provide appropriate understanding, favorable attitudes and views of COVID-19 immunization. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 26-30","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80781126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59762
Farjana Ahmed Surovi, Serajun Noor, SM Ishtiaque Ali, A. Sultana
Background: The term maternal near miss refer to women who have escaped death either by chance or due to good health care after experiencing severe life threatening complications during pregnancy, labour and within six weeks after termination of pregnancy. Severe Acute Maternal Morbidity (SAMM) or Maternal Near Miss (MNM) is a complement of maternal mortality. The aim of this study is to state the need of patient’s health education, importance of emergency transportation as well as to evaluate the standard of effective quality & evidence based care in the facility to reduce maternal mortality and morbidity. Materials and methods : This observational study conducted for the period of January to December 2019 at Chattogram Maa-O-Shishu Hospital Medical College (CMOSHMC). Among 8976 total patients, MNM were 44 and total Maternal Death (MD) 13. Maternal Near miss clinical criteria – haemorrhage, hypertensive disorder of pregnancy, dystocia, sepsis & severe anaemia, organ dysfunction, based on management of ICU, blood transfusion, Maternal near miss are used to indicate quality of health care. Exclusion criteria- maternal death. Results: Total admitted patients in Obs & Gynae department in this study period were 8976. Obstetric patient 7422 & total deliveries 6027. MNM 44 in number & MD were 13. Main causes of MNM were hypertensive disorders (Severe preeclampsia, Eclampsia, HELLP syndrome)-23 (52.3%), obstetric haemorrhage (Placenta praevia, abruption placenta, rupture uterus, rupture ectopic pregnancy, incomplete abortion with shock, DIC)-14 (31.8%) Cardiopulmonary dysfunction (Cardiac arrest, cardiomyopathy, heart failure) – 7 (15.9%). Among the 44 near miss management, LSCS – 32 (73%) vaginal deliveries – 4 (9%), laparotomy – 5 (11%), peripartum hysterectomy – 3 (7%). Women with life threatening condition (MNM & MD) – 57. MNM ratio 6.8 per thousand live birth, MNM & MD ratio – 3.4:1 Conclusion : SAMM or MNM is a pro-indicator to improve quality of obstetric care. Monitoring the near miss morbidity in conjunction with mortality surveillance could help to identify effective preventable measure for potentially life threatening morbidity. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 57-60
{"title":"Maternal Near Miss in A Tertiary Care Hospital : An Observational Study","authors":"Farjana Ahmed Surovi, Serajun Noor, SM Ishtiaque Ali, A. Sultana","doi":"10.3329/cmoshmcj.v21i1.59762","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59762","url":null,"abstract":"Background: The term maternal near miss refer to women who have escaped death either by chance or due to good health care after experiencing severe life threatening complications during pregnancy, labour and within six weeks after termination of pregnancy. Severe Acute Maternal Morbidity (SAMM) or Maternal Near Miss (MNM) is a complement of maternal mortality. The aim of this study is to state the need of patient’s health education, importance of emergency transportation as well as to evaluate the standard of effective quality & evidence based care in the facility to reduce maternal mortality and morbidity. \u0000Materials and methods : This observational study conducted for the period of January to December 2019 at Chattogram Maa-O-Shishu Hospital Medical College (CMOSHMC). Among 8976 total patients, MNM were 44 and total Maternal Death (MD) 13. Maternal Near miss clinical criteria – haemorrhage, hypertensive disorder of pregnancy, dystocia, sepsis & severe anaemia, organ dysfunction, based on management of ICU, blood transfusion, Maternal near miss are used to indicate quality of health care. Exclusion criteria- maternal death. \u0000Results: Total admitted patients in Obs & Gynae department in this study period were 8976. Obstetric patient 7422 & total deliveries 6027. MNM 44 in number & MD were 13. Main causes of MNM were hypertensive disorders (Severe preeclampsia, Eclampsia, HELLP syndrome)-23 (52.3%), obstetric haemorrhage (Placenta praevia, abruption placenta, rupture uterus, rupture ectopic pregnancy, incomplete abortion with shock, DIC)-14 (31.8%) Cardiopulmonary dysfunction (Cardiac arrest, cardiomyopathy, heart failure) – 7 (15.9%). Among the 44 near miss management, LSCS – 32 (73%) vaginal deliveries – 4 (9%), laparotomy – 5 (11%), peripartum hysterectomy – 3 (7%). Women with life threatening condition (MNM & MD) – 57. MNM ratio 6.8 per thousand live birth, MNM & MD ratio – 3.4:1 \u0000Conclusion : SAMM or MNM is a pro-indicator to improve quality of obstetric care. Monitoring the near miss morbidity in conjunction with mortality surveillance could help to identify effective preventable measure for potentially life threatening morbidity. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 57-60","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87090297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59751
Jamil Haider Chowdhury
Background : Urgent MRI (Magnetic Resonance Imaging) in clinical management is quite often required in the modern hospitals. In many cases, it may be needed for emergency patients and may save a valuable life. A few previous papers show MRI provision needs to be improved and many clinical situations need urgent MRI for management. This project was done with the objective to explore the range of urgent applications of MRI and aim to provide information supporting development of MRI service with the null hypothesis: "there is no need to introduce on call service for urgent MRI”. Materials and methods: This thesis explored the applications of MRI as urgent investigations both retrospectively and prospectively in the busy MRI unit of the John Radcliffe Hospital, Oxford, UK, from 2004 to 2005.To assess the necessity of introducing an on-call service in the unit, a null hypothesis was developed: "There is no need to introduce on call service for urgent MRI”. To test the hypothesis, patients’ records were analysed to observe the effect in clinical management of MRI carried out as an urgent basis. Results: The results explored the demographic trend, common examination areas, types of indications and the nature of MRI reports among the urgent patient referrals. The retrospective and prospective results showed similarity between the two years’ practices. The results of clinical effect of urgent MRI were found to be positive in the majority cases and the null hypothesis was rejected. Conclusion: Overall, the thesis argues that the urgent MRI is not being carried out sufficiently in comparison to routine MRI, although urgent MRI has a good effect on clinical management. The study showed the necessity to develop the on call service in MRI. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 14-18
{"title":"An Analysis of the Referral Pattern of Urgent MRI in an Acute Unit","authors":"Jamil Haider Chowdhury","doi":"10.3329/cmoshmcj.v21i1.59751","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59751","url":null,"abstract":"Background : Urgent MRI (Magnetic Resonance Imaging) in clinical management is quite often required in the modern hospitals. In many cases, it may be needed for emergency patients and may save a valuable life. A few previous papers show MRI provision needs to be improved and many clinical situations need urgent MRI for management. This project was done with the objective to explore the range of urgent applications of MRI and aim to provide information supporting development of MRI service with the null hypothesis: \"there is no need to introduce on call service for urgent MRI”. \u0000Materials and methods: This thesis explored the applications of MRI as urgent investigations both retrospectively and prospectively in the busy MRI unit of the John Radcliffe Hospital, Oxford, UK, from 2004 to 2005.To assess the necessity of introducing an on-call service in the unit, a null hypothesis was developed: \"There is no need to introduce on call service for urgent MRI”. To test the hypothesis, patients’ records were analysed to observe the effect in clinical management of MRI carried out as an urgent basis. \u0000Results: The results explored the demographic trend, common examination areas, types of indications and the nature of MRI reports among the urgent patient referrals. The retrospective and prospective results showed similarity between the two years’ practices. The results of clinical effect of urgent MRI were found to be positive in the majority cases and the null hypothesis was rejected. \u0000Conclusion: Overall, the thesis argues that the urgent MRI is not being carried out sufficiently in comparison to routine MRI, although urgent MRI has a good effect on clinical management. The study showed the necessity to develop the on call service in MRI. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 14-18","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81754524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59749
F. Chowdhury, M. Arzu, Md Anowarul Azim
Background : Down syndrome (Trisomy 21) is associated with Congenital Heart Disease (CHD) in 4050% cases. In Bangladesh, parents of Down syndrome cases are visiting to pediatrician for multiple associated comorbidities (Developmental problems, learning problems, hypothyroidism, recurrent infections etc) along with CHD. Though screening of newborns with Down syndrome for congenital heart diseases is recommended in international guidelines, it is not well recognized among the parents in Bangladesh despite of postnatal counseling in hospital deliveries or during visiting pediatrician. Most of the parents do delayed evaluation by pediatric cardiologists. Though clinical findings along with ECG & Chest xray are tools for diagnosis of congenital heart diseases, Echocardiography is still considered the best noninvasive diagnostic procedure. This study was aimed for detecting congenital heart diseases among down syndrome cases, the age at which cases are referred to echocardiography lab for screening & not the least awareness among parents about association of CHD with Down syndrome. Materials and methods : In Chattogram Maa Shishu-O-General Hospital (CMSOGH) a retrospective observational study on cases of down syndrome visiting Echo lab over 1 year (Jan 2020 to Dec 2020). A total of 25 cases of down syndrome were selected based on Karyotyping report. Results : Among 25 cases, 19(76%) of the patients diagnosed for CHD and still a portion of parents (40%) remains unaware of cardiac problems & its association with down syndrome. A number of 9 cases (36%) were detected at the age below 6 months. Conclusion: A major portion of Down syndrome cases are associated with CHD whereas clinically asymptomatic cases may escape diagnosis in hospital settings. Counseling the parents about its association with CHD & significance of early screening should be a routine practice among physicians. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 7-10
{"title":"Down Syndrome with Congenital Heart Diseases : Referral to Echo Lab for Screening and Diagnosis","authors":"F. Chowdhury, M. Arzu, Md Anowarul Azim","doi":"10.3329/cmoshmcj.v21i1.59749","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59749","url":null,"abstract":"Background : Down syndrome (Trisomy 21) is associated with Congenital Heart Disease (CHD) in 4050% cases. In Bangladesh, parents of Down syndrome cases are visiting to pediatrician for multiple associated comorbidities (Developmental problems, learning problems, hypothyroidism, recurrent infections etc) along with CHD. Though screening of newborns with Down syndrome for congenital heart diseases is recommended in international guidelines, it is not well recognized among the parents in Bangladesh despite of postnatal counseling in hospital deliveries or during visiting pediatrician. Most of the parents do delayed evaluation by pediatric cardiologists. Though clinical findings along with ECG & Chest xray are tools for diagnosis of congenital heart diseases, Echocardiography is still considered the best noninvasive diagnostic procedure. This study was aimed for detecting congenital heart diseases among down syndrome cases, the age at which cases are referred to echocardiography lab for screening & not the least awareness among parents about association of CHD with Down syndrome. Materials and methods : In Chattogram Maa Shishu-O-General Hospital (CMSOGH) a retrospective observational study on cases of down syndrome visiting Echo lab over 1 year (Jan 2020 to Dec 2020). A total of 25 cases of down syndrome were selected based on Karyotyping report. Results : Among 25 cases, 19(76%) of the patients diagnosed for CHD and still a portion of parents (40%) remains unaware of cardiac problems & its association with down syndrome. A number of 9 cases (36%) were detected at the age below 6 months. Conclusion: A major portion of Down syndrome cases are associated with CHD whereas clinically asymptomatic cases may escape diagnosis in hospital settings. Counseling the parents about its association with CHD & significance of early screening should be a routine practice among physicians. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 7-10","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81480876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59764
Md. Anwarul Azim, M. Yousuf, Mohammad Musleh Uddin Shahed
Background: Most patients with Per Rectal Bleeding (PRB) warrant endoscopic examination of the lower GI tract. This study was done to determine the demographic profile and find out the etiology of bleeding per rectum under colonoscipic evaluation. Meterials and methods : In this study, we did a retrospective review of the clinical data of children between 0 and 18 years of age who presented with per rectalbleeding and underwent diagnostic and therapeutic colonoscopy in the Department of Pediatric Gastroenterology & Nutrition, Chattagram Maa-O-Shishu Hospital, Chattagram from July 2014 to July 2021.Patient demographics, clinical features and endoscopic and histopathological findings were recorded. Results: Overall, we included 111 patients with mean age 9.6±5.1 years. There were 69 (62.2%) male, 42(37.80%) female and with a male to female ratio of 1.64:1.0 The highest incidence was the age group of 11 to 18 years, 46 (41.40%). The most common colonoscopy finding were juvenile colorectal polyp 46 (41.44% ) which include rectal polyps 21 ( 18.9%), Sigmoid polyp 17 (15.3), recto sigmoid polyp 4 (3.6%), colonic polyp 4(3.6%), followed by internal hemorrhoids (20 cases, 18%) rectal ulcers (5 cases, 4.5%) colitis (4 cases, 3.60%) and findings suggestive of koach’s infection (2 cases, 1.8 %). All polyps were removed by colonoscopic polypectomy (47 cases 42.30%), 64 cases (57.65%) were given conservative treatment. Conclusion :We found that Juvenile colorectal polyps constitute the most common cause of per rectal bleeding in pediatric age group followed by hemorrhoids and colitis . Colonoscopy remains a useful and safe procedure in children for evaluation of lower GI bleeding and it’s good for both diagnostic and therapeutic procedure. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 66-69
{"title":"Colonoscopic Evaluation of Per Rectal Bleeding in Children : Our Experience","authors":"Md. Anwarul Azim, M. Yousuf, Mohammad Musleh Uddin Shahed","doi":"10.3329/cmoshmcj.v21i1.59764","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59764","url":null,"abstract":"Background: Most patients with Per Rectal Bleeding (PRB) warrant endoscopic examination of the lower GI tract. This study was done to determine the demographic profile and find out the etiology of bleeding per rectum under colonoscipic evaluation. \u0000Meterials and methods : In this study, we did a retrospective review of the clinical data of children between 0 and 18 years of age who presented with per rectalbleeding and underwent diagnostic and therapeutic colonoscopy in the Department of Pediatric Gastroenterology & Nutrition, Chattagram Maa-O-Shishu Hospital, Chattagram from July 2014 to July 2021.Patient demographics, clinical features and endoscopic and histopathological findings were recorded. \u0000Results: Overall, we included 111 patients with mean age 9.6±5.1 years. There were 69 (62.2%) male, 42(37.80%) female and with a male to female ratio of 1.64:1.0 The highest incidence was the age group of 11 to 18 years, 46 (41.40%). The most common colonoscopy finding were juvenile colorectal polyp 46 (41.44% ) which include rectal polyps 21 ( 18.9%), Sigmoid polyp 17 (15.3), recto sigmoid polyp 4 (3.6%), colonic polyp 4(3.6%), followed by internal hemorrhoids (20 cases, 18%) rectal ulcers (5 cases, 4.5%) colitis (4 cases, 3.60%) and findings suggestive of koach’s infection (2 cases, 1.8 %). All polyps were removed by colonoscopic polypectomy (47 cases 42.30%), 64 cases (57.65%) were given conservative treatment. \u0000Conclusion :We found that Juvenile colorectal polyps constitute the most common cause of per rectal bleeding in pediatric age group followed by hemorrhoids and colitis . Colonoscopy remains a useful and safe procedure in children for evaluation of lower GI bleeding and it’s good for both diagnostic and therapeutic procedure. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 66-69","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81536875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59750
Zahangir Alam, S. K. Barua, K. Mohajan
Background: Soft tissue rheumatological conditions are common but largely unexplored. So the objective of the present study was to see the different soft tissue rheumatological conditions presenting in OPD of a tertiary care center. Materials and methods: Present observational study conducted on 62 patients visiting the Physical Medicine OPD, Chattogram Maa-O-Shishu Hospital for different soft tissue rheumatological conditions were included in the study. Study period was six months from January 2020 to June 2020. After informed written consent patients were introduced a questionnaire and data was collected. Non-probability sampling method was adopted for the study. Data was analyzed by SPSS-20 Results: Among 62 patients gender distributions of patients revealed male was 24(38.7%) and female was 38(61.3%) and age group showing 15(24.2%) patients were at <30 years, 15(24.2%) patients were at 31-40 years, 13(21.0%) patients were at 41-50 years, 9(14.5%) patients were at 51- 60 years, 9(14.5%) patients were at 61-70 years and 1(1.6%) patient was at >71 years age group. Regarding occupations of the study patients 35(56.5%) patients were service holder, 24(38.7%) were doing business, 1(1.6%) patients was farmer, 1(1.6%) was fisherman and 1(1.6%) patients was housewife. Among all 9(14.5%) patients had DM and same number of patients also has HTN. Diagnosis of the soft tissue rheumatological conditions revealed 13(21%) patients had panter fassitis, 1(1.6%) patient had achillis tendinitis, 4(6.5%) patients had patellar tendinitis, 6(9.7%) patients had trochantaric bursitis, 1(1.6%) had tennis elbow, 3(4.8%) had golfer elbow, 191.6%) had De Quarven’s tenosinovitis, 5(8.1%) patients had trigger finger, 18(29.0%) patients had bicep tendinitis, 4(6.5%) patients had suspinatus tendinitis, 5(8.1%) patients had retrocalcaneal bursitis and 1(1.6%) patient had prepatellar bursitis. Conclusion: Soft tissue rheumatological diseases are common in OPD visits and needs proper attention for better patients care. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 11-13
{"title":"Soft Tissue Rheumatological Conditions of Patients Visited in An OPD of a Tertiary Care Hospital","authors":"Zahangir Alam, S. K. Barua, K. Mohajan","doi":"10.3329/cmoshmcj.v21i1.59750","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59750","url":null,"abstract":"Background: Soft tissue rheumatological conditions are common but largely unexplored. So the objective of the present study was to see the different soft tissue rheumatological conditions presenting in OPD of a tertiary care center. Materials and methods: Present observational study conducted on 62 patients visiting the Physical Medicine OPD, Chattogram Maa-O-Shishu Hospital for different soft tissue rheumatological conditions were included in the study. Study period was six months from January 2020 to June 2020. After informed written consent patients were introduced a questionnaire and data was collected. Non-probability sampling method was adopted for the study. Data was analyzed by SPSS-20 Results: Among 62 patients gender distributions of patients revealed male was 24(38.7%) and female was 38(61.3%) and age group showing 15(24.2%) patients were at <30 years, 15(24.2%) patients were at 31-40 years, 13(21.0%) patients were at 41-50 years, 9(14.5%) patients were at 51- 60 years, 9(14.5%) patients were at 61-70 years and 1(1.6%) patient was at >71 years age group. Regarding occupations of the study patients 35(56.5%) patients were service holder, 24(38.7%) were doing business, 1(1.6%) patients was farmer, 1(1.6%) was fisherman and 1(1.6%) patients was housewife. Among all 9(14.5%) patients had DM and same number of patients also has HTN. Diagnosis of the soft tissue rheumatological conditions revealed 13(21%) patients had panter fassitis, 1(1.6%) patient had achillis tendinitis, 4(6.5%) patients had patellar tendinitis, 6(9.7%) patients had trochantaric bursitis, 1(1.6%) had tennis elbow, 3(4.8%) had golfer elbow, 191.6%) had De Quarven’s tenosinovitis, 5(8.1%) patients had trigger finger, 18(29.0%) patients had bicep tendinitis, 4(6.5%) patients had suspinatus tendinitis, 5(8.1%) patients had retrocalcaneal bursitis and 1(1.6%) patient had prepatellar bursitis. Conclusion: Soft tissue rheumatological diseases are common in OPD visits and needs proper attention for better patients care. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 11-13","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88058316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59766
Dhananjoy Das, Wahida Akter, Mohammad Ohi Uddin, R. Ahmed, M. Arzu
Congenital syphilis is caused by Treponema Pallidum. The fetus can acquire it transplacentally during maternal spirochetemia, or contact with genital lesion during the intrapartum period. The prevention and treatment of congenital syphilis are very much cost-effective, but if it remains undiagnosed and untreated, can result in a deadly outcome. It can affect multiple organs and systems. In this present case, skeletal systems were predominantly involved. The clinical presentation was the failure to gain weight, painful mobilization of the right arm, and swelling of the proximal and distal end of this arm. Erythematous, maculopapular scaly skin eruption was also noticed in the scalp and scrotum. Radiological examination showed metaphyseal irregularity, and periosteal reaction at the right humerus, radius, and ulna. Nontreponemal antibody test (VDRL) and a treponemal antibody test (TPHA) both were reactive. Early congenital syphilis may have a subtle clinical presentation or may remain asymptomatic. Therefore physicians should aware of the clinical presentation of congenital syphilis; at the same time, detailed clinical history can play an important role to suspect congenital syphilis. Promotion of pregnant women for antenatal care and screening for syphilis in the first trimester are the keys to eliminating congenital syphilis. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 73-77
{"title":"Congenital Syphilis : Still a Reality in Bangladesh","authors":"Dhananjoy Das, Wahida Akter, Mohammad Ohi Uddin, R. Ahmed, M. Arzu","doi":"10.3329/cmoshmcj.v21i1.59766","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59766","url":null,"abstract":"Congenital syphilis is caused by Treponema Pallidum. The fetus can acquire it transplacentally during maternal spirochetemia, or contact with genital lesion during the intrapartum period. The prevention and treatment of congenital syphilis are very much cost-effective, but if it remains undiagnosed and untreated, can result in a deadly outcome. It can affect multiple organs and systems. In this present case, skeletal systems were predominantly involved. The clinical presentation was the failure to gain weight, painful mobilization of the right arm, and swelling of the proximal and distal end of this arm. Erythematous, maculopapular scaly skin eruption was also noticed in the scalp and scrotum. Radiological examination showed metaphyseal irregularity, and periosteal reaction at the right humerus, radius, and ulna. Nontreponemal antibody test (VDRL) and a treponemal antibody test (TPHA) both were reactive. Early congenital syphilis may have a subtle clinical presentation or may remain asymptomatic. Therefore physicians should aware of the clinical presentation of congenital syphilis; at the same time, detailed clinical history can play an important role to suspect congenital syphilis. Promotion of pregnant women for antenatal care and screening for syphilis in the first trimester are the keys to eliminating congenital syphilis. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 73-77","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"307 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74965524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-19DOI: 10.3329/cmoshmcj.v21i1.59760
Purnasree Ghosh, Kawsar Sultana
Background: Menstrual hygiene is a matter that is not sufficiently acknowledged. Even though menstruation is a natural phenomena in a woman’s life, it is associated with misconceptions, malpractices and challenges among girls in developing countries. School drop outs are more frequent among girls after they have reached puberty and menstruation is increasingly recognized as a major factor for this. The aim of the study was to assess the situation of menstrual hygiene of adolescent girls in a hilly area of Bangladesh. Materials and methods: This was a cross-sectional study; convenient type of nonprobability sampling technique was applied. The study was performed in Khagrachari Technical School and College and Khagrachari Government Women College among 300 students. Results: Out of 300 adolescent girls studied, the majority was between 16 to 18 years of age. The mean age of menarche in this study subjects was 12.96±1.214 years. Majority (72%) of the adolescents had no idea about menstruation before menarche. One hundred twenty six (42%) girls used sanitary pads during menstruation. In cases of reused cloth, 89 (51.2%) girls dried them outside the house in proper sunlight, 32 (18.4%) girls dried them inside the house hidden under cloths, and 36 (20.6%) girls dried them outside the house but hidden under cloths. Around 264 (88%) girls faced different restrictions during menstruation. Conclusion: Formulating Menstrual Hygiene Management (MHM) programs in the country can have an outcome of great interest. To accomplish this, multiple strategies need to be used such as educational session on reproductive health and menstrual hygiene in schools or by media campaigns. Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 47-51
{"title":"Menstrual Hygiene among School Girls in A Hilly Area of Bangladesh","authors":"Purnasree Ghosh, Kawsar Sultana","doi":"10.3329/cmoshmcj.v21i1.59760","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i1.59760","url":null,"abstract":"Background: Menstrual hygiene is a matter that is not sufficiently acknowledged. Even though menstruation is a natural phenomena in a woman’s life, it is associated with misconceptions, malpractices and challenges among girls in developing countries. School drop outs are more frequent among girls after they have reached puberty and menstruation is increasingly recognized as a major factor for this. The aim of the study was to assess the situation of menstrual hygiene of adolescent girls in a hilly area of Bangladesh. \u0000Materials and methods: This was a cross-sectional study; convenient type of nonprobability sampling technique was applied. The study was performed in Khagrachari Technical School and College and Khagrachari Government Women College among 300 students. \u0000Results: Out of 300 adolescent girls studied, the majority was between 16 to 18 years of age. The mean age of menarche in this study subjects was 12.96±1.214 years. Majority (72%) of the adolescents had no idea about menstruation before menarche. One hundred twenty six (42%) girls used sanitary pads during menstruation. In cases of reused cloth, 89 (51.2%) girls dried them outside the house in proper sunlight, 32 (18.4%) girls dried them inside the house hidden under cloths, and 36 (20.6%) girls dried them outside the house but hidden under cloths. Around 264 (88%) girls faced different restrictions during menstruation. \u0000Conclusion: Formulating Menstrual Hygiene Management (MHM) programs in the country can have an outcome of great interest. To accomplish this, multiple strategies need to be used such as educational session on reproductive health and menstrual hygiene in schools or by media campaigns. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.21 (1); January 2022; Page 47-51","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81818114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-24DOI: 10.3329/cmoshmcj.v21i2.63086
F. Johora, A. Abbasy, S. Mahboob, F. Jeenia, J. Ferdoush, M. S. Rahman
Background: It is expected that pharmacology education should prepare students as rational prescriber. Credibility of undergraduate pharmacology curricula is rather questionable in this aspect. As assessment shapes learning priorities, it is crucial to design assessment methods of pharmacology in right way to achieve the expected learning outcomes of future physicians. Materials and Methods: This descriptive cross-sectional study was conducted to compare the reflection of curricular objectives, content coverage and national health priorities in undergraduate pharmacology written question papers (SAQ) of different universities of Bangladesh in last 10 years (January 2010 to November 2019). Total 131 question papers were collected, and reflection of curricular objectives, content coverage and selective disease burdens were evaluated and compared. Result: One objective regarding factual knowledge (pharmacological effects, mechanisms of action, pharmacokinetic characteristics and adverse reactions of drugs) had significant higher weightage throughout the decade in all universities. There were statistically significant differences in weightage of reflection of five curricular objectives (p value <0.00001, 0.001, 0.003, 0.004, 0.02) among different universities. There was not a single question reflecting the ethical and legal issues involved in drug prescribing, development, manufacture and marketing in the decade in any university. Chemotherapy was the highest covered area (mean 19.4 SD 3.3), followed by central nervous system (mean 16.0 SD 3.4) and general principles of pharmacology (mean 14.3 SD 3.2) throughout the last ten years in all universities. There was statistically also significant difference among different universities in weightage of all content areas except Gastrointestinal pharmacology. Statistically significant difference (p value <0.00001) among different universities in cardiovascular diseases burden was observed. Conclusion: Current study found variation in pharmacology written question papers of different universities in the aspects of reflection of curricular objectives, content coverage and cardiovascular disease burden.
{"title":"Undergraduate Pharmacology Written Question Papers of Different Universities of Bangladesh: Analysis of One Decade","authors":"F. Johora, A. Abbasy, S. Mahboob, F. Jeenia, J. Ferdoush, M. S. Rahman","doi":"10.3329/cmoshmcj.v21i2.63086","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v21i2.63086","url":null,"abstract":"Background: It is expected that pharmacology education should prepare students as rational prescriber. Credibility of undergraduate pharmacology curricula is rather questionable in this aspect. As assessment shapes learning priorities, it is crucial to design assessment methods of pharmacology in right way to achieve the expected learning outcomes of future physicians. Materials and Methods: This descriptive cross-sectional study was conducted to compare the reflection of curricular objectives, content coverage and national health priorities in undergraduate pharmacology written question papers (SAQ) of different universities of Bangladesh in last 10 years (January 2010 to November 2019). Total 131 question papers were collected, and reflection of curricular objectives, content coverage and selective disease burdens were evaluated and compared. Result: One objective regarding factual knowledge (pharmacological effects, mechanisms of action, pharmacokinetic characteristics and adverse reactions of drugs) had significant higher weightage throughout the decade in all universities. There were statistically significant differences in weightage of reflection of five curricular objectives (p value <0.00001, 0.001, 0.003, 0.004, 0.02) among different universities. There was not a single question reflecting the ethical and legal issues involved in drug prescribing, development, manufacture and marketing in the decade in any university. Chemotherapy was the highest covered area (mean 19.4 SD 3.3), followed by central nervous system (mean 16.0 SD 3.4) and general principles of pharmacology (mean 14.3 SD 3.2) throughout the last ten years in all universities. There was statistically also significant difference among different universities in weightage of all content areas except Gastrointestinal pharmacology. Statistically significant difference (p value <0.00001) among different universities in cardiovascular diseases burden was observed. Conclusion: Current study found variation in pharmacology written question papers of different universities in the aspects of reflection of curricular objectives, content coverage and cardiovascular disease burden.","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89485219","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 : 2021-11-11DOI: 10.3329/cmoshmcj.v20i2.56464
Farhad Hussain, Rehana Aziz, Pijush Karmakar, Md Hasan Murad Chowdhury, A. Hoque, Fahmida Aktar
Back ground: Non-Alcoholic Fatty Liver Disease (NAFLD) is a common cause of Chronic Liver Disease (CLD) worldwide and is becoming a major public health problem. NAFLD has been recognized as a hepatic manifestation of Metabolic Syndrome (MetS) linked with Insulin Resistance (IR) and is currently considered as the hepatic component of the Metabolic Syndrome (MetS). NAFLD is strongly associated with IR and is mostly silent which is often discovered incidentally through elevated hepatic enzyme levels. The purpose of this study is to find out the association of Fasting Lipid Profile (FLP) with IR in NAFLD subjects. Materials and methods: A prospective hospital based cross sectional study was carried out in the Department Of Biochemistry, Institute of Nuclear Medicine and Allied Sciences (INMAS) and Chittagong Medical College Hospital. One hundred & fifty (150) subjects aging between 18-60 years were included in this study by non probability consecutive sampling method. Important variables in this study were Fasting Plasma Glucose (FPG) Fasting Serum Insulin (FPI) and Fasting Lipid Profile (FLP). IR was calculated by using Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) index i.e. (FPI μIU x FPG mmol/L)/22.5. Results: In this study HOMA-IR was significantly higher in cases than that of controls (4.77±0.16) and showing Insulin Resistance (IR) in 90% of the cases. There was a significant association of HOMA-IR with increased serum Triglyceride (TG) in NAFLD cases. Conclusion: The findings of the current study suggest that independent variable such as increased Serum TG was associated with IR in NAFLD subjects. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 3-7
背景:非酒精性脂肪性肝病(NAFLD)是世界范围内慢性肝病(CLD)的常见病因，正在成为一个主要的公共卫生问题。NAFLD已被认为是代谢综合征(MetS)与胰岛素抵抗(IR)相关的肝脏表现，目前被认为是代谢综合征(MetS)的肝脏组成部分。NAFLD与IR密切相关，并且大多是沉默的，通常是通过肝酶水平升高偶然发现的。本研究旨在探讨NAFLD患者空腹血脂(FLP)与IR的关系。材料与方法:在吉大港医学院附属医院、核医学与相关科学研究所生物化学系进行前瞻性横断面研究。本研究采用非概率连续抽样方法，纳入年龄在18-60岁之间的150名受试者。本研究的重要变量是空腹血糖(FPG)、空腹血清胰岛素(FPI)和空腹血脂(FLP)。胰岛素抵抗的稳态模型评估(HOMA-IR)指数为(FPI μIU x FPG mmol/L)/22.5。结果:本组患者HOMA-IR明显高于对照组(4.77±0.16)，90%的患者出现胰岛素抵抗(Insulin Resistance, IR)。在NAFLD病例中，HOMA-IR与血清甘油三酯(TG)升高有显著关联。结论:目前的研究结果表明，血清TG升高等自变量与NAFLD受试者的IR相关。上海医科大学医学院;期(2);2021年7月;3 - 7页
{"title":"Association of Fasting Lipid Profile with Insulin Resistance in Non-Alcoholic Fatty Liver Disease Patients","authors":"Farhad Hussain, Rehana Aziz, Pijush Karmakar, Md Hasan Murad Chowdhury, A. Hoque, Fahmida Aktar","doi":"10.3329/cmoshmcj.v20i2.56464","DOIUrl":"https://doi.org/10.3329/cmoshmcj.v20i2.56464","url":null,"abstract":"Back ground: Non-Alcoholic Fatty Liver Disease (NAFLD) is a common cause of Chronic Liver Disease (CLD) worldwide and is becoming a major public health problem. NAFLD has been recognized as a hepatic manifestation of Metabolic Syndrome (MetS) linked with Insulin Resistance (IR) and is currently considered as the hepatic component of the Metabolic Syndrome (MetS). NAFLD is strongly associated with IR and is mostly silent which is often discovered incidentally through elevated hepatic enzyme levels. The purpose of this study is to find out the association of Fasting Lipid Profile (FLP) with IR in NAFLD subjects. \u0000Materials and methods: A prospective hospital based cross sectional study was carried out in the Department Of Biochemistry, Institute of Nuclear Medicine and Allied Sciences (INMAS) and Chittagong Medical College Hospital. One hundred & fifty (150) subjects aging between 18-60 years were included in this study by non probability consecutive sampling method. Important variables in this study were Fasting Plasma Glucose (FPG) Fasting Serum Insulin (FPI) and Fasting Lipid Profile (FLP). IR was calculated by using Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) index i.e. (FPI μIU x FPG mmol/L)/22.5. \u0000Results: In this study HOMA-IR was significantly higher in cases than that of controls (4.77±0.16) and showing Insulin Resistance (IR) in 90% of the cases. There was a significant association of HOMA-IR with increased serum Triglyceride (TG) in NAFLD cases. \u0000Conclusion: The findings of the current study suggest that independent variable such as increased Serum TG was associated with IR in NAFLD subjects. \u0000Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 3-7","PeriodicalId":9788,"journal":{"name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77894665","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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