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Background: The prevalence of chronic kidney disease (CKD) has been rapidly increasing worldwide, and its early screening is vital to prevent the development of end-stage renal failure. Population-based studies on detection at early stage of kidney disease and its prevalence are scanty in our country. Hence, taking advantage of the observance of the World Kidney Day 2019, we conducted a screening program for kidney disease organized at the Chattagram Maa-O-Shishu Hospital premises among a low-income group of hospital staffs. Methods: This was a cross-sectional observational study among a low-income group of hospital staffs, working at our hospital. Age, body weight, height, body mass index (BMI), and blood pressure were documented, and urinary protein and serum creatinine were measured at a single sitting. Kidney function was estimated by calculating the glomerular filtration rate (GFR) using the Modification of Diet in Renal Disease formula. Kidney function was classified according to the estimated GFR (eGFR) and Kidney Disease Outcomes Quality Initiative guidelines. Results: A total of 101 hospital staffs were studied. Majority of the participants (38%) were in the age group of 30–39 years. Among all, 24% of the participants had proteinuria (trace to ≥1 plus). The distribution of eGFR was symmetrical, with the majority (79%) of participants in the 60–89 ml/min category, 6.9% in the 30–59 ml/min category, and only 13.9% of the study population had eGFR >90 ml/min. An inverse relation between eGFR and age and a direct relation between eGFR and BMI were observed. Conclusion: Proteinuria, low GFR levels, and consequently the possibility of high burden of CKD are prevailing in the studied participants, and further targeted population-based studies are warranted to clarify these issues.

Introduction: Hepatitis E Virus (HEV) causes outbreaks of jaundice and it is associated with morbidity and higher maternal mortality. There is a recent outbreak of hepatitis in the Chittagong city and present study is aimed to observe the clinical and serological trends along with outcome of hepatitis cases visiting two tertiary care hospitals Chittagong, Bangladesh. Methods: It was an observational study done in two tertiary care hospital of Chittagong in a period of 3 months (May, June & July 2018) among 230 patients of hepatitis. After inclusion with written informed consent patients were introduced a questionnaire. Their demographic data, risk behaviors were noted, history related to hepatitis were recorded. Examination was done and evaluation regarding presence of hepatic encephalopathy at bed site was noted. Later serological findings were evaluated. After collection of all data it were compiled and analyzed by SPSS- 20. Results: Among 230 cases age group, gender and locality of the study patients were analyzed where younger age groups specially 21-30 years 114(49.6%) and 31-40 years 38(16.5%) were the most affected group. Gender distribution was found mostly same. Halishahar area which is located in western part of the Chittagong city was found mostly affected 196(85.2%). Use of water from WASA (Water and Sewerage Authority) supply was 168(73%) and deep tubewel water was 56(24.3%). Among them 80(34.8%) subjects do not boil water Anorexia (74.8%) nausea (77.4%) vomiting (83.5%) history of fever (89.6%) passage of dark color urine (99.1%) and weakness (97.4%) were some common presenting complaints. Family history of jaundice was found in 40.9% of cases. Among all 216(93.91%) had clinical jaundice, 91(39.56%) had right upper quadrant of the abdomen pain, 41(17.8%) had hepatomegally, 14(6.1%) had spleenomegally, 24(10.4%) had signs of hepatic failure and 34(14.8%) female were pregnant. Anti HEV was found positive in 164(71.3%) cases, 12(5.2%) were positive for anti HAV, 6(2.6%) were positive for HBsAg. None was found anti HCV positive. Among all 4(1.8%) cases died due to hepatic failure or multi-organ failure with AKI. All of them were pregnant. Two pregnant lady had missed abortion. Among all 11(4.7%) cases loosed follow and 213(92.60%) cases had uneventful recovery. Conclusion: This outbreak of HEV was of usual pattern of morbidity and mortality, and therefore points to water supply and sanitation issues. Chatt Maa Shi Hosp Med Coll J; Vol.17 (2); Jul 2018; Page 2-5

Background: Many studies were conducted on the subject in home and abroad but there is none in Chittagong, Bangladesh. To know about top three risk factors for coronary artery disease we conducted the study.Methods: It was a retrospective study. Records of a private cardiac center from July 2013 to June 2014 was collected. Only coronary stenosed cases (As per angiogram) was studied. Age, sex, BMI, diabetes mellitus, hypertension, smoking and other risk factors were considered. Collected data was managed manually. Finally discussion was made and conclusion was done.Results: Majority cases 58(76%) were of 40-60 years age group. Male preponderance was there 64(83%). BMI of 45(60%) cases was normal (

Background: Incidence of metabolic syndrome and superficial mycotic infection is progressively increasing worldwide. Skin disorders, usually neglected and frequently underdiagnosed in patients with metabolic syndrome. So, the objective of the study is to linkup between metabolic syndrome and superficial mycotic infections.Methods: Total 300 diagnosed patients of superficial mycotic infection out of 1000 patients in a 5 months period from January 2019 to May 2019 who gave consent were chosen at random from the patients attending the OPD consultancy. Thorough clinical evaluation and routine hematological investigations, oral glucose tolerance test (OGTT), fasting lipid profile were tested and BMI and blood pressure were recorded to diagnose metabolic syndrome. Fungal infections were confirmed by KOH mount.Results: Among 1000 patients attended in OPD consultancy, majority of the patients were female (60%). Among them 300 patients have got different superficial fungal infections (female was 223 and male 77). Among this 300-study population, age variation is significant. There were highest female patients in age group from 36 yrs- 45 yrs. Tinea corporis was the most frequent fungal infection in female (65%), Tinea cruris is highest in male (21%). The most alarming is that among that 300 patients 45% patients have got raised OGTT,91% patient has increased BMI, female predominant. 59.3% has raised blood pressure and increased serum cholesterol in 70.1% patients. Conclusions: Superficial fungal infections are epidemic worldwide. In our study the new era is that presence of metabolic syndrome among patients with superficial mycotic infections. So early detection and treatment of metabolic syndrome helps in cure of superficial mycotic infections.

Introduction: Deliberate self-harm (DSH) is an act with nonfatal outcome, in which an individual deliberately initiates a nonhabitual behavior that, without intervention from others, will cause self-harm, or deliberately ingests a substance in excess of prescribed or generally recognized therapeutic dosage. Here, the objective of the present study was to demonstrate the sociodemographic profile and intention of DSH in our context. Methods: This prospective observational study was done during 1 year. A total of 51 cases were recruited. Sociodemographic data were collected and intension to DSH was assessed using Beck's Suicide Intent Scale. All patients were followed up until discharge, and data were analyzed using the SPSS-20. Results: Among all 51 cases female were the most common 48 (94.1%), Muslims were more 41 (80.4%), 31 (60.8%) were from urban origin, most were homemaker, 20 (39.2%) were single, 16 (31.4%) were poor, and most were at age group

Not Available Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 5-6

Introduction: In countries like Bangladesh, tuberculous lymphadenopathy is a common extrapulmonary site. Its diagnosis and management is a challenge for the primary care physicians for its various clinical and pathological presentations. Hence, the objective of the present study is to describe the clinicopathological profile and outcome of lymph node tuberculosis (TB) cases in our setting. Methods: It was a prospective observational study done among 29 lymph node cases attending the outpatient and inpatient department of medicine of a tertiary care hospital in a period of 2 years. After written informed consent, clinical points are noted and fine-needle aspiration cytology (FNAC) or biopsy of lymph node was done and histologically evaluated and the patients were followed up further. After collection of all data, it was compiled and analyzed by SPSS version 20. Results: Among 29 cases, female patients (17, 58.6%) were more than the male (12, 41.4%) patients and most of the patients were at the age group of 21–30 years (48.3%). Most patients presented with fever (62.1%), weight loss (51.7%), night sweating 62.1%), anorexia (55.2%), and cough (27.6%). Among all, 20 (69%) patients presented with multiple enlarged lymph node group and 9 (31.0%) had involvement of single group. Cervical group involvement was the most common (25, 86.2%), and matting of lymph node was present in 20 (69%) cases. Among all, 24 (82.8%) cases were diagnosed by FNAC and 5 (17.2%) was diagnosed by biopsy. In microscopic evaluation, 18 (62.1%) cases had caseous necrosis, 27 (93.1%) had epithelioid cells and 8 (27.6%) had giant cells. Regarding other investigations, 8 (27.6%) patients had positive mantoux test (MT), 4 (13.8%) had concomitant pulmonary TB, and one case was found sputum positive for acid-fast bacilli. Regarding outcome evaluation, 20 (69%) cases were declared cured, 7 (24.1%) were lost to follow-up, one case died, and one cases was declared multi drug resistant tuberculosis (MDR) TB. Conclusion: In the study, bacteriological evaluation of the response to treatment cannot be done due to difficulty in obtaining follow-up specimens from the lymph node. Response was judged on the basis of clinical features and local examination findings.