Chittagong Medical College Hospital

About: Chittagong Medical College Hospital is a healthcare organization based out in Chittagong, Bangladesh. It is known for research contribution in the topics: Population & Malaria. The organization has 676 authors who have published 601 publications receiving 7040 citations.

Discharging ear and facial palsy: Clinical presentation of metastatic follicular carcinoma of thyroid in temporal bone- a case report

Abstract: Follicular carcinoma of thyroid spreads more through haematogenous route rather than lymphatic route. Distant metastasis usually occurs to lung and bones. In the skull, metastasis usually occurs in occipital bone. Metastasis to temporal bone is a rare event. A 45 years female patient presents with discharging ear and facial palsy which was proved to be a metastatic follicular carcinoma in temporal bone. Total thyroidectomy and excision of secondary in temporal bone were done. After surgery she had radio iodine ablation. She was well when last followed up 6 months after surgery. DOI: http://dx.doi.org/10.3329/bjo.v19i1.10738 Bangladesh J Otorhinolaryngol 2013; 19(1): 65-68

Cost Differentials between Private and Public Hospitals for Antimicrobial Treatment of Admitted Patients Suffering from Pneumonia and Diarrhoea

Abstract: This study was undertaken to estimate cost differentials between private and public hospitals for antimicrobial treatment of the admitted paediatiric patients who were suffering from pneumonia or diarrhoea - the two most common infectious paediatric problems in Bangladesh. The study was conducted between August 2002 and January 2003 in paediatric wards of two selected medical college hospitals-one public and the other private. The treatment charts of 107 admitted paediatric patients who received antimicrobial agent(s) for the treatment of pneumonia (88) or diarrhoea (19) were reviewed daily from the day of admission of the patients till their discharge from the hospitals. The total costs of antimicrobial agents per patient were based on the current market price of these agents. The average cost of antimicrobial course(s) per patient of pneumonia were for great in private hospital while that of diarrhoea was higher in public hospital. Ibrahim Med. Coll. J. 2008; 2(2): 61-64 Key Words: Antimicrobial therapy, cost differentials, pneumonia, diarrhoea. doi: 10.3329/imcj.v2i2.2940

Improved Preservation of Saphenous Venous Conduits by the Use of Papaverine mixed heparinized blood Solution during Harvesting

Abstract: Background: High-pressure distension during harvesting damages the saphenous vein (SV) and may contribute to subsequent coronary artery bypass graft (CABG) occlusion. Application of vasodilator agents to the SV during harvesting may reduce the need for high-pressure distension and improve graft quality. We tested the effects of a vasodilator solution containing the conventional agent papaverine (Pap) mixed with heparinized blood on the pressure necessary to overcome SV spasm and on the structure. Methods: 150 patients undergoing CABG were nonrandomly allocated to receive an application of either intraluminal papaverine (Pap) mixed with heparinized blood(Group-A), or intraluminal heparin mixed normal saline(group-B) to the SV for distension during harvesting. The peak pressures required to distend the vein were recorded. Samples of SV were taken for microscopical analysis just before we performed the anastomosis. Results: The results for mean peak pressures (mm Hg) were: Normal saline 131.77±20.6 (range 85 to199 mmHg); and Papaverine mixed blood solution, 56.4±2.1 (range 40 to 90 mmHg); P<0.001, (Pap mixed blood solution versus normal saline); The results of histological study for endothelial injury were: Normal saline, 52.5 %; Papaverine mixed blood solution , 20%; (P<.02, untreated versus Pap mixed blood solution). Conclusions: Intraluminal use of Papaverine mixed heparinized blood solution during vein harvesting requires low distension pressure and improves endothelial coverage compared with the use of heparin mixed normal saline. Key Words: Venous Grafts; CABG; Papaverine DOI: http://dx.doi.org/10.3329/cardio.v4i1.9382 Cardiovasc. J. 2011; 4(1): 3-7

Umbilical hernia with giant proboscis in a 10-year old

Abstract: Although umbilical hernias are common in children, most close spontaneously or are operated within 5 years of age. We report a case of neglected proboscis umbilical hernia in a 10-year-old boy which became incarcerated and was about the size of the boy's abdominal cavity.

Efficacy of Parenteral Granisetron in the Prevention of Post-Operative Nausea and Vomiting

Abstract: Post-operative nausea and vomiting (PONV) is one of the most unpleasant complications following anaesthesia and surgery since long time. A non -randomized case control study of prevention of post operative nausea and vomiting with IV- Granisetron was done on 270 adult surgical patients who received general or spinal aneasthesia. All the patients were followed up to 48 hours after operation. A complete response was achieved in prophylaxis group as 92.6% and in control group as 90.4%(p-value=0.6637). In patient with PONV ,gender incidence is equal in prophylaxis group. Female incidence is higher in control group. Majority of patients (90 to 100 %) had PONV within 24 hours after operation. As there is insignificant difference in the achievement between prohylaxis group and control group, anti emetic prophylaxis is recommended only for patient with one or more risk factors for PONV. DOI:10.3329/jbcps.v27i3.4290 J Bangladesh Coll Phys Surg 2009; 27: 139-143