Background: Inguinal hernia is a common problem and its repair is one of the most commonly performed procedures in general surgical practice. Several methods have been developed including Lichtenstein’s repair. Among these Lichtenstein’s repair has been standard technique for last few decades. In recent time a new procedure “no mesh Desarda hernia repair” has emerged as a recognized operative method for inguinal hernia repair. Objectives: This study was conducted to evaluate the outcome of Desarda technique in repairing inguinal hernia. Methods: This was a single centered descriptive study to see the outcome of inguinal hernia repair by Desarda technique in both elective and emergency surgery carried out in the Dept. of Surgery, Sher-E-Bangla Medical College Hospital, Barisal from August, 2015 to July, 2016. Results: A total of 100 patients underwent Desarda repair for inguinal hernia including primary/recurrent and elective/ emergency cases. Variables includes age, type of surgery, operating time, post-operative complications, post-operative pain, post-operative hospital stay, cost of the procedure, chronic groin pain and any early recurrence. Mean age of patient was 48.9±9.07 years. Mean operating time was 43.72±9.64mins. Majority (54%) of the patient experienced mild post-operative pain on first day, measured in VAS score. Ten percent of patients developed different post-operative complications like wound infection (2%), seroma formation (1%) and scrotaledema (7%). Conclusion: In this study, it is revealed that no mesh Desarda repair for inguinal hernia was associated with less operating time, less post-operative pain, less post-operative complications, short hospital stay, zero recurrence rate, no chronic groin pain and performed in emergency cases also. So, it is safe and most reliable technique for all type of inguinal hernia surgery.

Internet addiction specifies to the extreme use of the internet which sequentially causes problems in relationship, health and professional aspects. The current study attempted to find out the pattern of internet use and internet addiction-related behaviour among the students of private medical colleges in Dhaka City, Bangladesh. A cross-sectional study was executed in three private medical colleges in Dhaka city. A total of 350 medical students were recruited as study participants by employing a simple random sampling technique. Data was collected through a self-administered semi-structured questionnaire on sociodemographic and internet use related activities. Internet addiction-related data were collected by using Young’s Internet Addiction Test (IAT) Scale. The data were analysed using the Statistical Package for Social Science (SPSS version 20). Descriptive and inferential statistics using the Chi-square test was conducted. P-value <0.05 was considered as significant. The findings show that 73.7% of study participants were female and the rest were male, with a mean age of 21.1 years. The percentage of students used the internet more than 10 times per day was 37.4% followed by 5 – 10 times per day which was 35.1% and less than five times per day with 27.4% students. A total of 44.3% students reported that they spent 1 – 3 hours per day for internet usage followed by 37.7% use 4 – 8 hours per day and 18% reported more than 8 hours per day. A total of 43.7% of students mentioned that they used the internet for entertainment, while 40%, 9.7% and 6.6% reported for time passing, social networking, and academic purposes respectively. Overall, 76.9% of students had internet addiction either in any form, 62.6% had moderate internet addiction or problem use, or 14.3% had severe internet addiction. This study concludes that the characteristics of internet use among this population are diverse and the prevalence of internet addiction found to be considerably higher compared to other Asian countries.

Due to the significant number and its effects on quality of life, depression is becoming a major concern worldwide. Though its prevalence among junior healthcare professionals is also increasing day by day, still very few data are available regarding this. So, we’ve conducted a study to find out the prevalence and associated factors of depression among this vulnerable population. A total of 218 participants were enrolled from two public teaching tertiary-level hospitals in Dhaka, Bangladesh from October 2018 to April 2019. Data were collected by using a self-administered questionnaire including the WHO-5 well-being index. Prevalence of major depression was found at 17.9% and poor-emotional well-being was 25.2%. Factors associated independently with major depression were those thinking to be a doctor as the wrong decision (aRRR: 6.85, 95% CI: 1.40-33.45, p=0.017) and taking sedative or anxiolytic drugs (aRRR: 4.54, 95% CI: 1.50-13.73, p=0.007). On the other hand, doing physical exercise (aRRR: 0.32, 95% CI: 0.12-0.89, p=0.028) and being satisfied in their current job position (aRRR: 0.07, 95% CI: 0.02-0.29, p<0.001) had significantly less chance of being suffering of major depression. Suicidal and self-hurting ideation was also found among 23.4% of participants. If these modifiable factors can be addressed properly and by taking necessary steps against these simply identifiable factors, unwanted incidences can be prevented especially in low- and middle-income countries.What is already known on this topicDepression is common among healthcare professionals but is still neglected especially in low- and middle-income countries.What this study addsThinking of being a doctor as the wrong decision, taking sleeping pills, not doing physical exercise, and being not satisfied in their current job position are associated with depression among junior healthcare professionals. Suicidal and self-hurting ideation were also found high among the participants.How this study might affect research, practice or policyEarly identification of major depression by simple factors may help to initiate prompt strategies that will reduce the burden of depression among junior healthcare professionals and may improve the healthcare services of low- and middle-income countries.

A cross-sectional study was carried out to investigate the prevalence of overweight among adolescent school girls in Dhaka City and examine the relationship of v;~rious socio-economic factors w ith overweight. A total of 130 girls aged 12 to 16 years of thrt:e girls high schools were selected by random sampling. Height and weight were measured to calcu late body mass index (BMI). Dietary intake was estimated using 24 hour rcc;tll method. The usual pattern of food intake was examined using a 7-day food frequency questionnaire. Prevalence of overweight was d~noted by BMI above 85'h percentile. In this study 33.1% of the participants were overweight and the rest were found tu be normal. Participants were divided into two groups-normal weight participants with a BMI between 5o. and 85o. percentile and overweight participants with a BMI above 85'h percentile of WHO/NCHS reference values. Mean intake of energy and all nutrients. except vitamin C were found significantly higher in overweight girls compared to normal weight girls. Overwhelming majority (95%) of the overweight girls consumed fast foods. soft drinks (44%) and fruit juice (21%) more than 3 times/week. Consumption of these foods by overweight girls was significantly higher than that of no rmal weight girls. Significant positive relationship was found among overweight and monthly family income. educational level of the parents and consumption of fast-food, soft drinks. fruit juice and energy intake but inverse relationship was found between overweight and participant's family size.

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