Cox College

Background: Overuse of antibiotics is worldwide concern. Although, Surgical site infection (SSI) is uncommon following clean surgeries and prophylactic antibiotics aren’t recommended for them, it is still used widely leading to super infection, higher cost, and antibiotic-resistant microorganisms in healthcare settings. The aim of this study was to compare the frequency of postoperative surgical site infection in inguinal herniotomy with or without peri-operative antibiotic in children. Methods: This quasi-experimental study was conducted in the Department of Pediatric Surgery at Chittagong Medical College Hospital from October, 2023 to March, 2025. A total of 176 patients were divided into two groups: Group A received peri-operative antibiotic Cephradine intravenously as single dose preoperatively, after induction and before incision. Then oral Cephradine 50 mg/kg/day orally in 4 divided doses for 7 days) (88 patients) and group B were not given any peri-operative antibiotic (88 patients). Patients were monitored on the 1st, 7th, and 30th post-operative days for SSI evaluation. Infections were assessed through serous discharge culture, and antibiotics were prescribed based on sensitivity results. Result: The mean age was 5.10 ± 2.88 years in Group A and 4.65 ± 3.05 years in Group B, (p>0.05).. 84.1% males in Group A and 83.0% in Group B (p>0.05). Right-sided hernia was more common in both groups (73.9% in Group A vs 67.0% in Group B, p>0.05). At the 1st and 3rd follow-ups, no cases of superficial surgical site infection (SSI) were reported in either group. At the 2nd follow-up, minimal signs of SSI were observed with no significant difference (p>0.05). Conclusion: Peri-operative antibiotic use in children undergoing inguinal herniotomy did not significantly influence the frequency of postoperative surgical site infections. Routine use of peri-operative antibiotics is unnecessary in uncomplicated pediatric inguinal herniotomy. Journal of Paediatric Surgeons of Bangladesh (2022) Vol. 13 (1 & 2): 25-29

This study examined the attitude of university affiliates towards a sponsoring company by using a part of the conceptual model of sports sponsorship.We focused on the relationship between the Hakone Ekiden and its official sponsor, and conducted a questionnaire survey of university students and their family, faculty, and staff.We obtained 194 valid responses, and performed the statistical analysis of 130 samples among the data to examine the impact on attitudes towards the sponsor company.Regarding the relationship between brand cohesiveness, sponsor fit, and attitude towards the sponsor company, we confirmed the effect of brand cohesiveness on attitude towards the sponsor company and the mediating effect of sponsor fit.On the other hand, the moderator effect of event identification on attitude towards the sponsor company was not confirmed.The results of this study indicate that university sporting events are also effective investment targets for corporate sponsorships.

Abstract Introduction: Infection Prevention and Control (IPC) is key in the control of COVID-19 pandemic and one of the pillars considered in the WHO COVID-19 Strategic Preparedness and Response Plan 2020. We conducted an Intra-Action Review (IAR) of IPC response efforts to COVID-19 pandemic in Rohingya refugee camps in Cox’s Bazar, Bangladesh to identify best practices, challenges, and recommendations for improvement of the current and future responses.Methods: Two meetings were conducted with a total of 54 participants purposively selected from different organizations and agencies that had been involved in frontline implementation of IPC in Cox’s Bazar district. We used the IPC trigger questions from the WHO country COVID-19 IAR: trigger question database to guide the discussions. Meetings notes and transcripts were analysed manually using content analysis and results presented in text and quotes.Results: Best practices included: assessments, response plan, working group, trainings, early case identification and isolation, hand hygiene in HFs, monitoring and feedback, general masking in HFs, supportive supervision, design, infrastructure and environmental controls in Severe Acute Respiratory Infection Isolation and Treatment Centres (SARI ITCs) and HFs and waste management. Challenges included: frequent breakdown of incinerators, limited PPE supply, inconsistent adherence to IPC, lack of working uniforms and lack of culture- and gender adapted work uniforms and Personal Protective Equipment (PPE). Recommendations were: institutionalization of IPC, establishment of IPC monitoring mechanisms in all HCFs, strengthening IPC education and training and public health and social measures in communities. Conclusion: IPC monitoring and continuous training provides critical support in promoting consistent and adaptive IPC implementation. Response to pandemic crisis combined with concurrent emergencies, like a protracted displacement with many, diverse actors, can only be successful with highly coordinated planning, leadership, resource mobilization and close supervision.

Abstract IntroductionThe consequence of good diabetic treatment depends on the patient’s commitment to a large degree. Noncompliance leads to inadequacy of metabolic control, which strengthens the advancement and speeds up diabetic complications.MethodologyThis descriptive cross-sectional study was conducted at Medical Center Hospital, Chattogram, Bangladesh. The study included two hundred and fifty-nine patients with T2DM. Data regarding sociodemographic factors, patient’s characteristics, medication factors, physician-related factors, and noncompliance were collected using a pretested and structured questionnaire. Treatment adherence was assessed by Morisky Medication Adherence Scales (MMAS-8). Data analyses were conducted on SPSS v23.0 Software. The study’s main goal was to assess the treatment noncompliance level among patients with type-2 diabetes mellitus (T2DM) in Bangladesh.ResultThe majority of the participants (56%) were in the 40-45 years of age group, followed by 32% in the older age group (≥60 years), and 62.5% of them were male. One hundred and sixty-eight (64.86%) patients were considered low adherent as per the response of the MMAS-8 scale (score <6), followed by 57 (22.0%) patients were regarded as high adherent (score 8) and 34 (13.13%) patients were considered medium adherent (score 6-7) to treatment. Observing the frequency distribution for noncompliance, financial concerns (32.3 %), forgetfulness (27.7%), a busy daily schedule (17.7%), and fear of antihyperglycemic drug side effects were all identified as significant explanations. On multivariate analysis, participants aged 60 years or more, monthly family incomes of <30,000BDT or 30,000 – 50,000 BDT, smoking, and uncontrolled glycemic status showed higher chances of noncompliance than their counterparts.ConclusionPatient counseling and awareness programs may enhance treatment adherence among people with T2DM. Our findings will help physicians and public health workers to develop targeted strategies to increase awareness of the same among their patients.HighlightsOne of the most preventable causes of treatment failure is noncompliance with treatment.Age group, educational level, and monthly family income had a significant association with the compliance to treatment in diabetic patientsMajority of the respondents (64.86%) were low adherent to the medications as per MMA-8 scale.Financial issues (32.3 percent), forgetfulness (27.7%), a hectic daily schedule (17.7%), and fear of antidiabetic medicine side effects were all cited as key causes for noncompliance with antidiabetic treatment.Aged participants (≥ 60 years), monthly family income of (30,000-50,000) BDT, uncontrolled glycemic status and smokers portrayed higher frequency of noncompliance.

Abstract The study was conducted to determine the response in growth performance, physicochemical properties and fatty acid composition of broiler meat fed incremental levels of M. pruriens seed meal. A total of 112 Cobb 500, seven days old, unsexed broiler chicks with body weight of 150 ± 5.47 g/bird (mean ±SD) were used. Chicks were allotted to pens in a completely randomized design hence assigned to four experimental diets containing 0, 10, 15, and 20% of MPSM, respectively. Each diet was offered ad libitum with clean water to 28 broilers in each treatment. There was a linear decrease in average daily feed intake (ADFI), average daily gain (ADG) and final body weight (FBW) with incremental levels of MPSM (P < 0.05). Feed conversion ratio (FCR) increased linearly with increasing MPSM levels while Final Body Wight (FBW) decreased linearly with increasing levels of MPSM (P < 0.05). Meat pH24 and colour parameters showed no relationship with increasing levels of MPSM (P > 0.05). Thawing loss, carcass weight and cooking loss showed a linear increase with increasing levels of MPSM (P < 0.05). However, shear force showed a linear decrease with increasing levels of MPSM (P > 0.05). Muscle fat, fat free dry matter (FFDM) and moisture, mono-unsaturated fatty acids and margaric acid showed no relationship with increasing levels of MPSM (P > 0.05), however, a linear decrease (P < 0.05) on myristic acid and palmitic acid with incremental levels of MPSM was observed. Arachidic acid, and α-Linolenic acid increased linearly with inclusion level of MPSM (P < 0.05). Other poly-unsaturated fatty acids, fatty acid ratios and health lipid indices indicators showed no relationship with increasing levels of MPSM (P > 0.05). Increasing inclusion levels of MPSM impairs growth performance of broilers and may also improve broiler quality and fatty acid some fatty acids.

Background: From the human face, we can identify their gender, age group, ethnicity etc. So facial morphometric study can be taken as part of anthropometric evaluation and it is an important parameter in observing inter population of faces among the same ethnic group or different group. If we can calculate the different craniofacial variables of different ethnic groups these can be used in future research or clinical purposes. To measure the facial variables among Bengali and Manipuri adult male and to compare these variables between two ethnic group.
 Methods and materials: A cross sectional, observational and analytic type of study was conducted on 200 sample which were collected by convenience sampling where 100 were Bengali adult male and remaining 100 from Munipuri adult male, aged between 18 to 50 years. Data for Bengali and Munipuri adult male were collected from Chattogram city and Kamolgonj, Sylhet respectively. The study was carried out in the Department of Anatomy, Chittagong Medical College from July 2016 to June 2017.
 Results: This study showed that mean morphological face height of Bengali and Manipuri were respectively 11.46 cm ± .53 and 11.82 cm ± .49, mean maximum facial breadth respectively13.04 cm ± .48 and 13.62 cm ± .45, mean facial index respectively 87.93 ± 2.58 and 86.89 ± 2.09. According to facial height, most common type in Bengali was low type (47%) and in Manipuri was medium type (39%). According to facial breadth most common type in Bengali was narrow type (63%) and in Manipuri was medium type (53%). Bengali have leptoprosopic (Narrow face) 53% followed by mesoprosopic face (Medium face) 43%. Manipuri have mesoprosopic face 59% followed by leptoprosopic type 31%.
 Conclusion: The results of the present anthropometric study on the adult Bangladeshi population can provide the basic framework for formulating standards of the facial dimension and indices for adult male of the Bengali and Manipuri population. JCMCTA 2021 ; 32 (2) : 122-127

Objective: In this study our main goal is to evaluate the complication of MIPO technique for closed fracture proximal third tibia among adult patients. Method: This observational study was carried out at Department of Orthopaedic Surgery, Chattogram Medical College Hospital; Chattogram, From January 2012 to June 2013. A total of 26 patients within 18-60 years of age and were admitted in different Orthopaedic units of Chattogram Medical College Hospital with closed fracture in proximal tibia were included in the study. Results: During the study, motor vehicle accident accounted for 10 cases (43.48%), pedestrian struck by a motor vehicle for 3 cases (13.04%). Work accidents were responsible for 04 fractures (17.39%), mostly because of a falling heavy object. 3 fractures (13.04%) were caused by high-energy fall from heights of at least 3 meters. Sports injuries caused fractures in 2 patients (8.69%), of them 2 had football injuries. Direct trauma by h/o Assault for 1 cases (4.35%). Collectively, low-energy mechanisms had a mean time to union of 19.0 weeks. On the other hand, high-energy injuries had a mean time to union of 22.34 weeks with 3 delayed unions. intraoperative displacement of a wedge fragment or comminution during plate positioning, occurred in four cases followed by the development of impending compartment syndrome after locking plate fixation occurred in only one patient, early aseptic wound complications including dehiscence, edge necrosis and haematoma formation occurred in three patients (13.04%), superficial infection (wound or soft tissue infection superficial to the deep fascia without muscle or bone involvement and with stable implant) occurred in 2 cases. Conclusion: Most importantly, it was easy to use, it was biological in the sense that the blood circulation to the proximal tibia was not compromised, the plate had not need to be configured and the angular screw fixation ensures fixed-angle stabilization. So, locking compression plate fixation in minimal invasion plate osteosynthesis (MIPO) is a reliable method of treatment of proximal tibial fracture without any significant problem.

The larynx is the most common site for primary tumour of the head and neck region. It represents world wide approximately 1-2% of all cancers. A cross sectional study of 154 cases of laryngeal carcinoma was carried out in the in-patient department of Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College during the period of two years with an aim to find out the frequency of site and subsite involvement of carcinoma of the larynx. The age range is 33-80 years and the over all male to female ratio is 29.8:1. Smoking and chewing habit are the most important associated factors. Majority of growths are found to be exophytic and most of the patients present at advanced stage. The commonest site of laryngeal carcinoma is supraglottic region and occurrence of supraglottic carcinoma than glottic carcinoma is statistically highly significant.
 Bangladesh J Otorhinolaryngol; April 2018; 24(1): 56-61

Aims: To find out the occurrence of lymph node metastasis, level of neck node involvement and the pattern of clinical presentation of patients suffering from laryngeal carcinoma.
 Methods: A cross-sectional study on 90 cases of laryngeal carcinoma was carried out in the inpatient department of Otolaryngology- Head and neck surgery of Dhaka Medical College Hospital, Dhaka during a period of two years. Smoking and chewing betel leaf and tobacco are the most important predisposing factors.
 Results: Most of the cases presented with more than one symptom. Change of voice was the commonest symptom. Cervical lymphadenopathy are significantly associated with supraglottic carcinoma. Level IV and level III is the commonest level of the lymph node involvement in laryngeal carcinoma.
 Bangladesh J Otorhinolaryngol; October 2017; 23(2): 109-114

Abstract Date Presented 04/04/19 Adolescents with mental-health trauma (MHT) history face many challenges, and increasing OT providers’ knowledge and confidence in MHT treatment may improve both advocacy for OT role in MHT and program efficacy. The current study examined feasibility and effectiveness of using a brief informational infographic to increase the confidence, knowledge, and willingness of OT providers in working with adolescents with MHT history. Primary Author and Speaker: Jamelle Brownlee Additional Authors and Speakers: Michelle Jackson, Anna Quigg Contributing Authors: Joanna Cruz, Katherina Zumalt, Stacy Buckingham-Howes