No abstract

Organophosphorus compounds (OPC) poisoning is a major public health problem in low and middle income countries. The incidence varies from country to country depending on easy availability of poison, socio-economic condition and educational background of the people. This study aimed to determine the frequency, outcome and aetiological aspect of OPC poisoning patient admitted in Rangpur medical college hospital. It was a cross sectional study carried out in the department of Medicine, Rangpur medical college hospital from 1st December 2011 to 30th November, 2012. During the study period a total of 703 patients have been studied. The most of the patients were between the age of 18- 40 years (91.9%), male (51.6%), married (71.3%) and from rural areas (67.8%). People of different occupations were involved in OPC poisoning, house-wives were the maximum (33.6%) followed by farmers (31.7%). 92% cases were suicidal and 8% accidental. Familial disharmony was the prime cause (92.3%) of suicidal motive. 88% of the patients were survived and 5% died. OPC poisoning is an important health care problem in our country. Improved awareness, restricting availability and banning more toxic organophosphorus compounds will reduce the incidence of OPC poisoning. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21313 Medicine Today 2014 Vol.26(1): 46-48

Dengue is a viral febrile illness, which has become a major international public health concern including Bangladesh, spectrum of illness ranging from dengue fever (DF) to life threatening dengue haemorrhagic fever (DHF), dengue shock syndrome (DSS) and ultimately death. The clinical profiling and outcome during epidemic dengue outbreak was observed in Dhaka Medical College Hospital in 2000 to 2001. One hundred and fifty patients were systematically observed. Male female ratio was 5:1 with severity of illness in younger patients. Hundred percent patients had fever with 83% having generalized weakness. The severe cases(DHF) were having sudden sustained temperature of 103 degree farenheight. Majority have abdominal symptoms(>80%) while 10% had respiratory only. Sixty percent have hepatomegaly while 40 % spleenomealy while 80% of DHF had ascites. Above 75% cases of Dengue haemorhagic fever had positive tourniquet test while melaena was the commonest mucosal bleeds. No fatality was observed in this study although variability of discharge was seen in different groups. Keyword: Clinical, Profile, Outcome, Dengue, Hospital DOI: http://dx.doi.org/10.3329/jom.v12i2.6733 JOM 2011; 12(2): 131-138

Objectives: This aim of the study was to evaluate CRP and the risk factors in ischaemic stroke. Methods: This case control study was carried out from January 2006 to December 2007 in the department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka in all the OPD and admitted stroke patients meeting the inclusion and exclusion criteria. Results: Out of 30 patients with ischaemic stroke 28(93.3%) patients had positive C-reactive protein value. 37% stroke patients were smoker. Mean total cholesterol, triglyceride and LDL level were higher and mean HDL level was lower among stroke patients in comparison to controls. 17% of stroke patients were suffering from diabetes mellitus & 80% of stroke patients were hypertensive. Conclusion: C-reactive protein is elevated in the acute phase of ischa emic stroke and could present a prognostic marker.DOI: http://dx.doi.org/10.3329/jom.v15i1.19859 J Medicine 2014; 15: 41-47

Back ground: Abdominal tuberculosis is common in Bangladesh and there is a national guide line for its management, which includes six months course of anti tubercular therapy (ATT). This study was done to evaluate the treatment outcome of abdominal tuberculosis following national guide line.Materials and Methods: This prospective study of descriptive nature was done between November 2009 to October 2010 at the department of Medicine, Sir Salimullah Medical College, Mitford hospital, Dhaka, Bangladesh. Total 6 months ATT was given to the selective 50 patients of abdominal tuberculosis following national guide line and out come measurement was done after completion of treatment.Result: Five patients died out of 50 patients during the course of treatment. The range of age was 13-70 years and mean ± SD = 33.2 ± 14.77 and male female ratio was o.72:1. Out of 50 patients 17(34%) patients had Intestinal TB, 24(48%) had Peritoneal TB, 2(4%) had abdominal lymph node TB, and 7(14%) had other types. Three patients of peritoneal TB patient died while rest 2 patients died were diagnosed as intestinal TB. Out of 45 patients who survived, 43(95.6%) improved and 2(4.4%) did not improve. Out of 15(33.3%) intestinal TB patients, 14(31.1%) improved and 1(2.2%) did not improved. Out of total 21(46.7%) peritoneal TB, 20(44.4%) improved and 1(2.2%) did not improve. Remaining 2(4.4%) abdominal lymph node TB, all were improved. In other variety cases (15.6%), all improved.Conclusion: Total 6 months regimen of ATT recommended by national guide line is proved as a complete and effective treatment course of abdominal tuberculosis.J Bangladesh Coll Phys Surg 2016; 34(2): 76-84