Background: Childhood Tuberculosis (TB) is an important cause of mortality and morbidity, which causes a significant TB burden in developing countries. Objectives: The aim of this study was to describe clinical profile and diagnostic procedures used in outpatient department (OPD) of a tertiary care hospital. Methods: It was a retrospective study conducted in OPD of Paedia-

Background: To date there is no effective treatment against COVID-19. Self-medication played one of the major modes of treatment among general population as well as the health workers during this pandemic. Studying the pattern of self-medication among the health care workers (HCWs) may indicate their knowledge and skills towards rational use of medicines. The aim of the study was to assess the pattern self-medication among the COVID-19 affected HCWs.Methods: This cross-sectional survey assessed the pattern of drug used by self-medication among the health workers who were RT-PCR positive in context to Bangladesh.Results: A total of 267 HCWs data were collected. Most of the HCWs were in middle age group between 31-40 years with the mean age of 32.2±5.2. Doctors (83.9%) enrolled five times more than the nurses (16.1%). Most of the HCWs (60.3%) commenced medications just after appearance of symptoms and 27.0% went for the RT-PCR testing. Only 3.7% went to health care facilities for treatment. More than sixty percent of the respondents took medication by themselves just after start the symptoms, 19 (33.7%) took advised from the specialists and attended at health facilities 2.6%. Most of the patients (42.7%) used azithromycin as antimicrobial agent. Paracetamol was the most used drug among the participants (78.65%) followed by antihistamines (67.79%). Average number of drugs used by patients 3.1% and percentage of antibiotics per patients 42.6%.Conclusions: The prescribing practice of antibiotics shows deviation from the standard recommendation. Awareness regarding essentials drug list should be needed.

Cardiovascular magnetic resonance (CMR) detects myocardial fibrosis, which appears as late gadolinium enhancement (LGE) after gadolinium contrast administration and may convey prognostic importance. Myocardial fibrosis is the source of malignant arrhythmia like ventricular tachycardia or ventricular fibrillation. Sudden cardiac death occurs in these group patients. By detecting myocardial fibrosis we can select these groups of patients for implantable cardioverter defibrillator. Thus sudden cardiac death can be prevented in some extent.Keywords: Cardiac MRI; Sudden cardiac death. DOI: 10.3329/uhj.v6i2.7253University Heart Journal Vol. 6, No. 2, July 2010 pp.90-92

Congenital heart disease(CHD) is the most common congenital problem in children. Presentation can vary from asymptomatic , accidental finding to severe cardiac decompensation and death. Early recognition has great implication on prognosis. Our aim was to study age wise distribution and clinical spectrum of Congenital heart disease (CHD) in Bangabandhu Sheikh Mujib Medical University, (BSMMU), Shahbag, Dhaka. A retrospective analysis of 272 patients over a five year period was done. Clinical examination, echocardiography and Colour Doppler was used as diagnostic tools. Ventricular septal defect (VSD) was the common lesion (33.45 %) followed by Atrial septal defect (ASD) in 13.6 % & Patent ductus arteriosus(PDA) in 10.6 %. Tetralogy of Fallot (TOF)was the common cyanotic heart disease (15.8 %). Maximum number of children with heart disease 64% was diagnosed between 0-5 yrs of age. This is a retrospective descriptive study on all patients with the suspected & confirmed diagnosis of congenital heart disease referred for echocardiography over a period of 5 years from October, 2006 to December, 2011. Patients from day one of life till 18 years were included. Study was conducted in the pediatric cardiology dept. of BSMMU, Dhaka. Clinical examination, 2D echocardiography & colour Doppler were considered as definitive tools for diagnosis of congenital heart disease. We received patients from lower to upper middle class strata. We retrospectively analyzed the records of all paediatric first visit OPD (outpatient department) & IPD (Inpatient department) patients between 0-18 years, during the same period. Children diagnosed with CHD were analyzed further. Preterms with PDA were followed up and not included in this study if it is closed spontaneously within the period of hospital stay or by managing conservatively DOI: http://dx.doi.org/10.3329/uhj.v8i2.16064 University Heart Journal Vol. 8, No. 2, July 2012

Background: Nearly 40% of patients presenting with Non ST-Segment Elevation Myocardial Infarction (NSTEMI) have Chronic Kidney Disease (CKD). CKD is a powerful predictor of adverse events among NSTEMI patients. CKD is associated with a high prevalence of obstructive coronary artery disease.Objectives: The purpose of the present study was to evaluate the severity of coronary artery disease in patients with Chronic Kidney Disease presenting with Non ST-Segment Elevation Myocardial Infarction. Methods: In this prospective observational study a total of 128 patients with NSTEMI were enrolled. They were divided equally in group I (NSTEMI with CKD) and group II (NSTEMI with normal renal function) on the basis of estimated glomerular filtration rate. Patients were considered to have CKD if he/she had documented history of CKD or estimated glomerular filtration rate <60 mL/min/1.73 m². Angiographic severity of CAD was assessed by evaluation of number of involved vessel, site of lesion, % of stenosis, ACC/AHA lesion classification (Type A, B, C) and TIMI flow grade between the groups.Results: Patients with CKD were significantly older, with a greater prevalence of hypertension, diabetes mellitus, lower left ventricular ejection fraction, and lower haemoglobin level compared with those without CKD. CKD was associated with an increased risk of triple vessel and left main disease.Conclusion: CKD strongly predicts severe coronary artery disease profile among NSTEMI patients.University Heart Journal Vol. 11, No. 1, January 2015; 18-25