Objective: Stroke in young patients is not common. The purpose of this study was to find out the risk factors of stroke in young adults in Bangladesh and to compare with different other studies. Methods: 85 young adult cases of stroke patients with the age ranging from 14 to 45 years, admitted in different medical units of Dhaka Medical College Hospital from January 2008 to July 2009, were studied. The risk factors for stroke and the distribution of stroke types were analyzed. Results: The specific age group (14-45 years old) included 6% of patients of all ages admitted for stroke. Among 85 patients, cerebral infarction was diagnosed in 52 patients (61%). Intracerebral hemorrhage (without trauma) was diagnosed in 25 patients (29.4%). Subarachnoid hemorrhage was found in 7 young patients (8.24%). The most common risk factors for ischemic stroke were hypertension (57.68%), hypercholesterolemia (38.46%), diabetes (34.61%), smoking (32.69%), premature atherosclerosis (11.54%). Regarding aetiology of cerebral infarction, the majority due to cardiogenic emboli (75%). The use of oral contraceptives, pregnancy, SLE, migraine and moya moya disease were infrequent causes of cerebral infarction. In ischemic stroke, the ratio of cardiogenic emboli & other factors were 3:1. The most common risk factors for hemorrhagic stroke were hypertension (63.63%), hypercholesterolemia (39.39%), diabetes (36.54%) & smoking (33.33%). Conclusion: Hypertension, Diabetes, tobacco smoking, premature atherosclerosis & rheumatic valvular heart disease are growing problems in the developing countries. According to our finding, identification & treatment of hypertension, dyslipidaemia, diabetes & rheumatic valvular heart disease & cessation of smoking are proper measures to prevent morbidity & mortality. Key words: Risk factors; stroke; young adult. DOI: 10.3329/jdmc.v18i2.6265 J Dhaka Med Coll. 2009; 18(2) : 95-99

The objective of this cross-sectional study was to assess the health-related quality of life among adult migrant garment workers (age 18-59 years) in Dhaka city. The study was conducted with 400 workers for quantitative research, and two health care service providers for qualitative research. Data were collected during February to March 2009. Data were collected by face-to-face interviews using a constructed pre-tested questionnaire adapted from WHOQOL-BREF. Data were analyzed by applying descriptive statistics (frequency, percentage, mean, standard deviation, range and median) and inferential statistics (unpaired t–test and one–way ANOVA) to examine the relationship between health-related quality of life and socio-demographic characteristics, living and working conditions, and accessibility to health care services. Statistical significance was set as p<0.05. The results revealed that 94.00% of workers reported low level of health-related quality of life. The rest were moderate and high, 3.25% and 2.75% respectively. For socio-demographic characteristics, workers' marital status, having family members, income, history of sickness and getting treatment when sick were discovered to have association with health-related quality of life. For living and working conditions, workers' living place, work permit, length of current job and satisfaction on work conditions were significantly associated with health-related quality of life. For accessibility to health care services, perception on difficulty to go to the health facility, crowdedness of the health facility and having health insurance card were found to be associated with health-related quality of life. Further longitudinal researches and policies are recommended to improve access to health care services and higher health-related quality of life for migrant garment workers in Dhaka city. DOI: http://dx.doi.org/10.3329/bmj.v40i3.18651 Bangladesh Medical Journal 2011 Vol.40(3):14-17

General objective: To study the efficacy of Ultrasoundguided hydrostatic reduction of intussusception in children with early presentation.Methods: The study group included children aged 03 months to 02 years with early case of intussusception confirmed on ultrasonography. One litre of normal saline bag was suspended at 100 cm height from the patient's level. After connecting the saline bag with Foley's catheter introduced in the rectum, gradual distension of colon and retrograde movement of intussusceptum towards the caecum monitored by real time ultrasound.Successful reduction was assumed once mass was disappeared and passage of saline into the small intestine. If 1 st attempt failed but there is some movement of the mass was present and child had no abdominal signs, 2 nd and 3 rd attempts were taken at least 30 min interval.Result: The overall success rate of US-guided hydrostatic reduction of intussusception in children with early presentation was about 90%, with no immediate recurrence and no perforation.Conclusion: Ultrasound guided hydrostatic reduction should be the first line of the treatment in patients with early presentation of intussusceptions aged between 3 months and 2 years old. In cases with failed initial reduction, a second or even third attempt may provide successful reduction.

Chest CT scans of 200 symptomatic patients infected with COVID 19 from different health facilities and home were reviewed for common CT findings in relationship with their clinical symptoms, comorbidities and the time between symptom onset and the initial CT scan was studied in this cross-sectional study. Cases were categorized into three groups according to the timing of HRCT, 10 cases were in early (0-2days), 56 cases in intermediate (3-5days) and 110 cases were in late (6-12days) groups. Chest CT scan images showed bilateral peripheral ground glass opacities 96.63%, pulmonary consolidations 15.9%. Notably 29.54% patient had normal CT scan chest and 60% of them were imaged at early phase. With a longer duration of symptoms, chest CT findings were more typical including GGO, consolidation with greater total lung involvement. Bilateral peripheral GGO was observed in 20% patients at early phase while 53.57% and 64.54% were observed at intermediate and late phase of illness. Among the symptoms cough and dyspnea were observed more related with typical CT changes (95%). Diabetes and Hypertension (58% of patients) were the leading comorbidities that were found related with GGO and other typical CT findings. Mean time duration between symptom onset and positive RT PCR, CT scan changes were 4.79 and 7.55 respectively. Central Medical College Journal Vol 5 No 2 Jul 2021 PP 70-75

Aim: To evaluate the efficacy of transabdominal hydrosonography in the diagnosis of gastric carcinoma. Materials and Methods: Transabdominal hydrosonography of the stomach was carried out on fifty patients with clinical suspicion of gastric carcinoma. Endoscopic or peroperative biopsy was taken from pathological sites in all cases. The validity of transabdominal hydrosonography of the stomach was evaluated as compared to histopathological diagnoses. Results: The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of transabdominal hydrosonography in the diagnosis of gastric carcinoma were 81.82%, 96.43%, 90.00%, 94.74% & 87.10% respectively. Conclusion: Transabdominal hydrosonography is a useful diagnostic modality for the diagnosis of gastric carcinoma. Key words: Gastric carcinoma, transabdominal hydrosonography. DOI: http://dx.doi.org/ 10.3329/bjms.v10i3.8360 BJMS 2011; 10(3): 170-176