Abstract:Porpyhria cutanea tarda is an uncommon disease of Bangladesh. Confirmatory diagnosis by biochemical analysis is hardly available here. An Asian, Bangladeshi, 30 year old, normotensive, nondiabetic male, presented with the complaints of frequent development of blisters containing clear fluid over the sun exposed areas of the body. Blisters healed by scarring and pigmentation. The patient also had complaints of photosensitivity, sclerodermatous skin changes and hypertrichosis. Urine examination under Wood's lamp showed coral red color suggesting porphyria cutanea tarda.

BackgroundBangladesh is declared as Digital Bangladesh however medical students are least acquainted with the necessary ICT knowledge in the context of medical education. We have conducted a survey to know about Digital Equipment Ownership, therefore, carried out a self-reported assessment of knowledge and Utilization of ICT in relation to educational and clinical development.Materials and MethodsA cross-sectional, multi-centered questionnaire survey was conducted among the medical students during the period of October 2019.Result & DiscussionsIn total 467 medical students responded to the questionnaire in which 92% of the students owned a Google android smart phone and accessed the internet on their devices. 69% student has (1-5) medical related apps in their device and drug formulary apps most commonly used 43%. 59% of students have gained their present computer knowledge by via self-learning. For study work with fellow student, 90% student preferred Facebook group, Whats app and Viber. While there was a range of variation in the usage of non-academic search engines 72% Google and no usages were found for more dedicated academic services such as PubMed and Medscape. According to 74% of students, inadequate integration of ICT knowledge into their syllabus culminated in insufficient future professional skills. All students were keen for a Basic ICT learning program at the beginning of their medical courses.ConclusionThe study revealed that to prepare medical students for using ICT in their academic work adequately, introducing ICT training at the initial stage of the undergraduate program and designing the curriculum to develop a multiplicity of skills is essential in addition to an integrated teaching method.

Introduction: Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are the global public health challenge. Family members of the HBV and HCV infected patients have a higher risk of exposure to many blood-borne diseases including Hepatitis B, and Hepatitis C viral infections as well. So the objectives of the present study was to evaluate seropositivity of HBV and HCV among family members of . chronic viral hepatitis patients. Methods: This study was conducted 80 family members of 50 patients with chronic HBV and HCV infection. After ethical clearance and written consent, 1st degree family members of those chronically infected hepatitis patients were explained about the objectives of the study and a standard questionnaire were introduced and recorded. Venous blood samples was taken from every participant with universal precautions and was tested by Enzyme Linked Immunosorbent assay (ELISA) for Hepatitis B surface antigen, anti HCV. Data analysis was done later by SPSS. Results: Eighty family members of 50 HBV and HCV positive cases where screened where HBV infection(45;90%) was more then HCV infection(5;90%). Male were 45(56.3%) and female were 35 (43.8%) male to male ratio 1.28:1. Total 23 (28.8%) subjects were vaccinated against HBV. One subject had history of blood transfusion and dental procedure each, extramarital sex activity was found in 2 (2.5%), and sleeping in the same room was found in 31(38.6%) subjects. History analysis revealed, 3(3.8%) were positive for HBV, 29 (36.3%) were found negative and 48(60%) were unaware of their status; again 77 (96.3%) are unaware of their anti HCV status. HBsAg and Anti HCV screening status of the relatives revealed HBsAg and anti HCV was found positive in 4 (5%) and 1 (1.3%) cases respectively. .Conclusion: Relatives of the HBV and HCV infected patients are also at risk. So they should take proper preventive measures and should be vaccinated.

Objective:To observe the frequency of snoring and its relation with body mass index (BMI) and neck circumference (NC) among Bangladeshi adult Population. Method:A cross sectional study was designed among 119 adult healthy Bangladeshi population who were the accompanying persons of patients visiting the medicine outdoors of a tertiary care hospital, Chittagong, Bangladesh. A 'Snore Survey' questionnaire based on Berlin Questionnaire was used to find the snoring frequency. BMI was calculated as weight in kg/height and NC was measured by placing a measuring tape just below the Adam's apple and extending the tape horizontally around the neck. Data was analyzed by SPSS 20.Results: With a valid response rate of 88.1%, 63 (52.94%) male and 56 (47.06%) female were recruited. Frequency of snoring was 28 (23.5%) of total subjects where male snorer was 33.3% and female snorer was 12.5%. Snoring distributed from daily to monthly phenomenon. Some had very loud (25.0%) snoring and others also had variable loudness. Snorers had statistically significant higher level of body weight and NC (P<0.001) but statistically insignificant height and BMI differences (P>0.05). Conclusion:Snoring is more common in males and those having higher body weight and neck circumference among Bangladeshi adult population.

Background: Prevalence of chronic kidney disease (CKD) has been increasing rapidly worldwide and early screening to detect kidney disease, particularly at its early stages is pivotal to stop its further deterioration. Population based study on detection at early stage of kidney disease and its prevalence are scanty in our country, especially among the medical professional personnel. Hence taking advantage of the observance of World Kidney Day 2020, we conducted a screening program for kidney disease organized at the Chattogram Maa O Shishu Hospital (CMOSH) premises among a group of physicians of the hospital. Methods: This was a cross sectional observational study among 67 physicians of different ranks (medical officer to professor), working at our hospital in different discipline. Age, body weight, height, Body Mass Index (BMI), 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 (MDRD) formula. Kidney function was classified according to estimated GFR (eGFR) and Kidney Disease Outcomes Quality Initiative (K/DOQI) guidelines. Results: A total of 67 working physicians of the hospital were studied. Among them majority subjects (30) were in the age group of 20 to 29 years. Among all 11.9% participants had proteinuria (trace to 1 plus). The distribution of eGFR was symmetrical, with the majority (70.10%) of subjects in the 60 to 89 ml/min category, 11.90% had 30 to 59 ml/min category and only 17.90% 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 eGFR levels might be related with future decline in renal function among the studied subjects and so regular health checkup is important to abate the potential epidemic of kidney disease among the health professionals.