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.

Surgical outcome of Supratentorial Meningioma: A Study of 25 Cases

Abstract: Key words: meningioma; craniotomy; intracranial pressure; CT scan; MRI DOI: 10.3329/jcmcta.v20i1.4934 Journal of Chittagong Medical College Teachers' Association 2009: 20(1):41-44

Spectrum of Alcoholic Liver Disease in Tribal Alcoholics of Chittagong Hill Tracts of Bangladesh

Abstract: Background: Alcohol is one of the most important causes of liver disease. In Bangladesh, alcoholism is not a usual practice among the general population as there are social and religious barriers against it. But in the Hill tracts, there is no social stigma in taking alcohol. Relatively little is known about this aspect in Bangladesh. This small-scale study was done to identify the spectrum of liver disease among tribal people. Material and Methods: A descriptive, observational clinical study was conducted for a period of six months (1st July, 2007 to 31st December, 2007) on a series of 50 tribal alcoholic people, collected from General Hospital and the tribal community of Rangamati Hill District. Subjects were included from both the urban and rural area of different socioeconomic classes. History, meticulous clinical examination and investigations were done to detect the pattern of alcohol induced liver injury. Results: Among the 50 cases, 47 patients were male and 3 were female cases. Both regular and irregular drinkers were included. The common symptoms of liver disease among tribal alcoholics were yellow coloration of sclera (24%), nausea & vomiting (20%) and weight loss (14%). The common findings were jaundice (24%), anemia (20%), ascites (10%), edema (10%) and hepatosplenomegaly (20%). Liver function tests revealed only 17 patients had mild to severe form of hepatocellular damage. Hyperbilirubinemia was found in 34% participants. AST/ALT ratio more than 2 was found in 32% subjects. Ultrasonography was done in 46 out of 50 subjects: 29 cases reported as normal (63.04%), fatty liver in 5 (10.87%), acute hepatitis in 5 (10.87%) and chronic liver disease in 7 (15.22%) cases. Liver biopsy was possible in 4 suspected cases (clinically and biochemically) of alcoholic liver cirrhosis and histology supported the clinical diagnosis in these cases. So, alcohol induced liver damage was noticed only in 17 cases. Nearly two-thirds of the participants were free from any form of liver disease. Conclusion: Despite the presence of risk factors for developing alcoholic liver disease, the prevalence was found to be low among the tribal alcoholic participants in this study. Keyword: Alcoholic liver disease; alcoholic fatty liver; alcoholic hepatitis; alcoholic liver cirrhosis; tribal population; Bangladesh DOI: 10.3329/jom.v12i1.6925 J Medicine 2011; 12 : 7-11

Extent of Mesoappendix of Vermiform Appendix in Bangladeshi People

Abstract: Background: The mesentery of the appendix extends almost to the appendicular tip along the whole tube or may not be to the tip. The mesoappendix has a free border which carries the blood supply to the organ. Failure of the mesoappendix to reach the tip probably reduces the vascularization of the tip of the organ making it more liable to become gangrenous and hence early perforation occurs during inflammation. Objective: This cross sectional study was carried out to advance our knowledge regarding the extent of mesoappendix in Bangladeshi people and also to find out the variations in the anatomical positions of the vermiform appendix in Bangladeshi population and their distribution according to the sex. Methods : A total of 100 (60 male and 40 female) specimens of vermiform appendix were collected of different age and sex during postmortem examination in the morgue of Mymensingh Medical College from July 2006 to June 2007. Data was collected by convenient sampling technique. Results: In this study pelvic position of the vermiform appendix were common in both sexes. The two thirds extension of mesoappendix was found in 45% cases where as in pelvic position it was 26 (14 male and 12 female) cases. Half and whole extension of mesoappendix were found in 31% and 24% cases respectively. Among half extension of mesoappendix, retrocaecal position were found to be more (12) than other positions. In whole extension of vermiform appendix pelvic position were found to be common (16) than others. Conclusion: This study provides certain basic information of extent of mesoappendix of vermiform appendix of Bangladeshi population which is responsible for vascularization of the organ and severity during inflammation. Key words: Vermiform appendix, Mesoappendix DOI: 10.3329/jbsp.v4i1.4065 J Bangladesh Soc Physiol. 2009 June; 4(1): 20-23

Prevalence and impact of the use of electronic gadgets on the health of children in secondary schools in Bangladesh: A cross-sectional study.

Abstract: Background and Aims: Use of technological gadgets has rapidly been increasing among adolescents, which may result in health issues and technology addiction. This study focuses on the prevalence of usage of technological gadgets and health-related complications among secondary school-going children of Bangladesh. Methods: A total of 1803 secondary school students from 21 different districts of Bangladesh participated in the study. The children were asked questions relating to their access to electronic gadgets, time spent on outdoor activities, and whether they experienced any health-complications as an after-effect of the usage. A binary logistic regression model was adapted considering time spent on gadgets as an independent variable and health problems (physical and mental) as the dependent variable. Results: Among all the gadgets, 67.11% of the participants were reported to use mobile phones on a daily basis. Due to the ongoing COVID-19 pandemic, 24.48% of respondents used electronic gadgets for attending online classes. The participants were reported to use gadgets significantly more (P < .05) in 2020 as compared to 2019. Children showed less tendency to spend time in outdoor activities. More than 50% of the participants spend time doing outdoor activities for less than 1 hour daily. An association between gadget use and health problems like headache, backache, visual disturbance, and sleeping disturbance has been observed in our study. Conclusion: This study demonstrates that different socio-demographic factors have influence on the use of gadgets by children, and this use has greatly been affecting both the physical and mental health of the secondary school-going students of Bangladesh.

Pattern of Injuries Among Children of Urban Slum Dwellers in Dhaka City

Abstract: This cross sectional study was conducted among the children aged 18 years and below at korail slum, near Gulshan Lake, Banani, Dhaka during March to June 2007 to ascertain the pattern of injuries and the risk factors associated with those injuries. Data were collected using cluster sampling technique. The total numbers of children under study in the surveyed house-holds were 486 and out of them 210 were injured. The prevalence of injury was, therefore, 43.2% or 432 per 1000 children. Nearly half (47%) of the participants were between 10-15 years of age and only about 2% were 15-18 years. The mean age was 8.8 ±3.4 years and the lowest and highest ages were 6 months and 17 years respectively. Male-female ratio was almost 1:1 and injury rate did not vary at all with respect to sex. The highest injury rate was observed among <5 yrs children (49%) and the lowest among those aged 15-18 yrs (39%). However, variation in age specific injury rates was not remarkable. The highest number of child injury was due to burn (33%), followed by road accident (29%) and occupational injury (14%). Other causes of child injuries were fall on the street (8%), animal bite (4%), fall from tree (1.5%), drowning (2%), fall from roof (3%), electric burn (1.5%), poisoning (1%) and chemical burn (0.5%) respectively. The overall high rate of prevalence of child injury and major causes (burn, road traffic accident, occupational injury) suggest for launching preventive strategy. Further in depth studies are recommended. DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12235 J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 24-28