Chittagong Medical College (CMC) is situated in the port city of Chittagong, Bangladesh and is the oldest medical college in the south-eastern part of the country. It is affiliated with a tertiary level hospital where clinical students are trained in medicine, surgery, obstetrics and gynaecology and other sub-specialties.
BACKGROUND:Online education gained its popularity in the education system during the COVID-19 pandemic lockdown. The online platform, including social media, was institutionalized globally for the purpose of tutoring to keep the education process ongoing under feasible circumstances. However, the post-pandemic continuation of online education and prolonged usage of electronic devices imposed a greater risk of health issues related to sensory impairment. Our study aimed to determine the impact of online education on students' hearing status and its associated factors. METHODS:A cross-sectional study was conducted among 1030 students of 11th grade and above who were undergoing online education in Dhaka and Chattogram. Data were collected through the online administration of a structured questionnaire containing questions on sociodemographic status, family history of diseases, personal history of diseases, information related to screentime exposure, and SSQ-12 (Speech, Spatial, and Qualities of Hearing -12) scale. Descriptive statistics, Pearson's chi-square test, two independent sample t-tests, and multiple linear regression analysis were employed to obtain the results. RESULT:The mean SSQ score of the study participants was 7.74 ± 1.37. In bivariate analysis, gender, family income, family history of diseases (e.g., obesity, headache, hearing problem), personal history of diseases (e.g., obesity, insomnia), device type (mobile/tablet, computer), average daily screen time with sound, and break pattern during online learning were significantly (p < 0.05 for all) associated with hearing status. In multivariate analysis, being female (coefficient -0.293, p = 0.001), using mobile/tablet (coefficient -0.836, p = 0.001), and continuous screen use (coefficient -0.348, p = 0.003) were significantly associated with poor hearing status. CONCLUSION:This current study indicates the detrimental effect of online education on the hearing of young students in Bangladesh. Future studies should explore the long-term hearing effects of online education and guide the policy makers towards necessary preventive approaches.
BACKGROUND:Menstrual hygiene management is an important public health issue related to reproductive health, dignity, and well-being. Although medical students are expected to have basic knowledge of reproductive physiology, gaps may persist in practical menstrual hygiene knowledge, attitudes, and practices (KAP). This study aimed to assess KAP regarding menstrual hygiene among second-year female medical students. METHODS:This single-institution cross-sectional study was conducted from January 2025 to June 2025 among second-year female medical students at Shahabuddin Medical College Hospital, Dhaka, Bangladesh. Of 63 eligible female second-year MBBS students, 46 participated and were recruited using convenience sampling. Data were collected using a pre-tested, structured, self-administered questionnaire assessing sociodemographic characteristics and menstrual hygiene-related KAP. Composite KAP scores were calculated. Multiple linear regression analysis was performed to examine factors associated with KAP scores. RESULTS:The mean age of the participants was 20.98 ± 0.61 years. Twenty-one participants 21 (45.65%) resided in hostels, and 42 (91.30%) were from urban backgrounds. All participants reported awareness of menstruation, and 41 (89.13%) correctly identified the normal menstrual cycle length. Most participants strongly agreed that menstruation is a natural and normal process (42, 91.30%) and that proper menstrual hygiene has health benefits (44, 95.65%). Sanitary pads were the most commonly used menstrual product (43, 93.48%). However, only 26 (56.52%) correctly identified changing menstrual products every two to four hours as appropriate. Hostel residence was significantly associated with higher KAP scores (all p < 0.001). Urban background was also significantly associated with higher knowledge (p < 0.001), attitude (p = 0.005), and practice scores (p < 0.001). CONCLUSIONS:Second-year female medical students demonstrated good general awareness and favorable attitudes regarding menstruation and menstrual hygiene. However, practical gaps remained, particularly regarding appropriate menstrual product-changing frequency and product diversity. Hostel residence and urban background were associated with higher KAP scores, although findings should be interpreted cautiously because of the small sample size and single-institution design. Structured menstrual health education may help improve practical hygiene knowledge and future counseling capacity among medical students.
Background: The blood coagulation system is very delicately balanced; is maintained in a fluid state in the vasculature and rapidly clots to seal an injury. This study aims to determine the demographic and clinical pattern of bleeding disorders. Materials and Methods: This prospective type of cross-sectional study comprised 112 patients with bleeding or a history of bleeding in the Department of Haematology and Bone Marrow Transplantation Unit, Dhaka Medical College Hospital, Dhaka, from January to December 2016. Patients were examined for clinical presentation and underwent haematological investigations to arrive at a diagnosis. The data was obtained, tabulated and analysed by using SPSS 22. Results: In this study, 81.2% of patients suffered from congenital coagulation factors deficiency, and haemophilia was found to be the most common congenital haemostatic defect (61.6%). Bleeding disorder was found predominantly among males in 86.6% compared to females (13.4%). 1st-degree consanguinity was mainly observed in Glanzmann thrombasthenia and Von Willebrand Disease. History of prolonged bleeding was statistically associated with clinical diagnosis of the patient (p<0.01). Conclusions: Haemophilia A and B were found as the leading causes of bleeding disorder. Von Willebrand Disease (VWD) also played a role and Glanzmann thrombasthenia was the most common one that had been identified among other disorders.
Acquired/secondary Hemophagocytic Lymphohistiocytosis (HLH) is a rare complication following enteric fever. A 55-year-old lady from Bangladesh presented with deteriorating clinical symptoms (high-grade fever, diarrhoea, and abdominal pain) for about two weeks and was diagnosed with enteric fever by an immunochromatographic test for Salmonella. With a broad-spectrum antibiotic, her clinical condition did not improve with persistence of fever, diarrhoea, altered consciousness level, and ascites. Based on the clinical symptoms, the laboratory investigations, and an H-score of 208, a high probability of enteric fever-induced secondary HLH was suggested. Based on the revised HLH-2024 diagnostic criteria, the patient was diagnosed as a case of secondary HLH, and injectable Dexamethasone was commenced. Following the administration of Corticosteroids, the patient’s condition gradually improved. In patients diagnosed with enteric fever, deteriorating clinical conditions despite getting antibiotics, physicians should consider secondary HLH as a differential diagnosis. Otherwise, diagnosis and management will be delayed, which can lead to morbidity and mortality.
Background: Respiratory Syncytial Virus (RSV) is the most common organism causing bronchiolitis. Comparative evaluation of RSV and non-RSV bronchiolitis is essential to guide clinical management, optimize resource utilization, and inform preventive strategies. Materials and methods: From October 2022 to March 2023, this prospective study was conducted in the Pediatrics Department of Chittagong Medical College Hospital, Chattogram. The demographic characteristics and clinical features of Ninety-two children younger than two years were noted by predesigned questionnaire. The mean and standard deviation were used to express the demographic data. Chi-square analysis was used to examine differences in group proportions. Results: RSV antigen positivity was detected in 45.7% of the 92 cases, with a mean age of 4.18±3.08 months. Severe bronchiolitis cases were more common (22.8%) among antigen positive cases and had the longest hospital stay. During the months of November (42.4%) and December (29.3%), RSV infection levels peaked. This study describes that during the seasonal epidemics, RSV was the main concern, as the number of positive cases decreased in the months that followed. The signs and symptoms of RSV positive and negative cases were not significantly different. Conclusion: In children with bronchiolitis, clinical presentation and severity of disease didn’t differ between RSV and non-RSV infections but RSV was the main contributor to epidemic outbreak JCMCTA 2026 ; 37 (1) : 84-90
