Eastern Medical College Journal 2022-11-07T09:02:40+00:00 Prof. Dr. Musleh Uddin Ahmed Open Journal Systems <p>Official journal of <a href="">Eastern Medical College, Comilla</a>. Full text articles available.</p> <p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons Licence" /></a></p> <p><a href="">Eastern Medical College Journal (EMCJ)</a> retains the copyright of the contents of this journal but grants the readers the right to use the contents with terms and conditions under a creative common attribution licenses 4 of Attribution, Share Alike and Non commercial type(CC-BY-NC-SA) that allows copy, distribute, display, and perform the work and make derivative works based on it only for noncommercial purposes. <br />Eastern Medical College Journal is licensed under a <a href="" rel="license">Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License</a>.</p> Effect of Smoking on the Red Blood Cell Count, Hemoglobin Concentration, Hematocrit and Red Cell Indices in Adult Male Smokers 2022-11-07T08:09:37+00:00 Shaheen Nargish Md Humayun Kabir Khaleda Akhter Khondakar Alwan Nahid Mohammad Monir Hossain Pijush Karmakar Mainuddin Ahmed Md Zakirul Islam <p><strong>Background- </strong>Cigarette smoking is one of the common addictions. The effects of cigarette smoking on health are serious and, in many cases, deadly.</p> <p><strong>Objectives: </strong>The present study was carried to observe the effect of smoking on Red Blood Cells (RBC) count, Hemoglobin (Hb) concentration, Hematocrit (HCT) and Red cell indices in adult male smokers and compare it with non-smokers to create awareness.</p> <p><strong>Materials and Methods: </strong>In this study 50 adult male smokers and 50 adult male non-smokers aged from 20-45 years were taken. The smokers were regularly smoking for at least one year. Fresh peripheral blood sample from subjects were collected and analyzed for Red blood cell count, Hemoglobin concentration, Hematocrit and Red cell indices by using Mythmic-22 automated 5-part Hematology Analyzer.</p> <p><strong>Result: </strong>In this study the values of RBCs count, Hb concentration and Hematocrit showed significant increase (p&lt;0.05) in smokers as compared to non-smokers. The values of Red cell indices (MCV, MCH, MCHC) were statistically not significant between two groups.</p> <p><strong>Conclusion: </strong>This study concluded that smoking causes persistent state of hypoxia in the body due to smoke contents which cause increase in RBCs count, Hb concentration and Hematocrit.</p> <p>EMCJ. January 2022; 7(1): 1-5</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal Incidence of Otolaryngological Diseases in General Population: A Study in Eastern Medical College Hospital 2022-11-07T08:09:38+00:00 Anwar Ul Alam Md Kalim Ullah Mohammad Shakil SM Tauhidur Rahman Mohammad Khaza Ahamed Mohammad Golum Sarower <p><strong>Background: </strong>Otolaryngological diseases are serious public health problems affecting all age groups. This includes problem of hearing, speech, phonation, breathing, swallowing, smell &amp; taste and protection of lower respiratory passage.</p> <p><strong>Objective: </strong>The aim of this study was to determine the common clinical presentation and socio demographic characteristics of the patients attending in ENT outdoor.</p> <p><strong>Method: </strong>This cross-sectional study was conducted among 500 patients attending in ENT outdoor in Eastern medical college Hospital, Cumilla, Bangladesh using a self-administered semi-structured questionnaire from July 2020 to September 2020.</p> <p><strong>Result: </strong>In this study 44.8% were male and 55.2% female. All age group were included and majority of patients were age group of 21-30 years (28.6%). In our study 38.2% (191) of the study populations were suffering from ear diseases, and then followed by 32% (160) nose diseases and 29.8% (149) throat diseases. Common ear, nose, throat diseases were suppurative otitis media 30.37% (58), allergic rhinitis 23.13% (37), tonsillitis 31.54% (47), respectively.</p> <p><strong>Conclusion: </strong>Our study provides basic information of the incidence of ENT disorders in the study area suggests that suppurative otitis media, tinnitus, foreign body ear, allergic rhinitis, nasal polyp, sinusitis, tonsillitis and pharyngitis are the most common Otolaryngological (ENT) problems in general population visiting the ENT Department of this hospital and contribute significantly to morbidity.</p> <p>EMCJ. January 2022; 7(1): 6-10</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal Assessment of Difficulties in Breastfeeding in Infants below 6 months of Age 2022-11-07T08:09:40+00:00 Shamima Sultana Abu Sufian Saida Binte Rahman Salma Hossain Farzana Kabir Joyshree Das <p><strong>Background: </strong>Breast milk is very much essential for proper growth, development and wellbeing of children. They should be breastfed within 1 hour of birth, exclusively breastfed for first six months of life. Breastfeeding difficulties are common. Maternal, infant and social factors are involved in establishment of proper breastfeeding.</p> <p><strong>Objective: </strong>To find out the difficulties that a mother face during breastfeeding.</p> <p><strong>Methodology: </strong>Cross-sectional observational study was carried out Shaheed Suhrawardy Medical Collage &amp; Hospital (Sh.S.MCH). All children upto 6 months of age and their mother attending in OPD, Breast feeding corner and pediatrics indoor of Sh.S.MCH during study period.</p> <p><strong>Results: </strong>Total 19 (38%) infants had difficulty in breast feeding related to maternal factors. Majority (63%) of mother complained of not enough milk, but urine output of infants was ≥6 times within 24 hours in 7 infants of these mothers. Three mothers had stopped breast feeding due to sickness. Total 25 (50%) infants had difficulty in breast feeding related to infant factors. Majority 17 (68%) of them were crying babies, but urine output was ≥6 times in 24 hours in 12 of these infants. Refusal of breast was found in 6 (24%) infants, sickness was cause for stopping breastfeeding found in 2 (8%) infants. Total 13 (26%) infants had difficulty in breast feeding related to social factors. Majority 8 (67%) were working mother and 5 (33%) mothers said that there was lack of familial support.</p> <p><strong>Conclusion: </strong>Most of the mothers initiated breast feeding 1 hour after birth. Most of the mothers had given honey as prelacteal feeding to their infants. Most of them were on partial breast feeding. Sixty five percent infants were given formula milk. Difficulties in breast feeding were related to infant factors and maternal factors mostly. More than one factor was present in some infant.</p> <p>EMCJ. January 2022; 7(1): 11-14</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal Association of Serum High Sensitivity C-Reactive Protein with Insulin Resistance in Patients with Type-ΙΙ Diabetes Mellitus 2022-11-07T08:09:42+00:00 Nadia Hossain Mahmudul Haque Pijush Karmakar Hasan Murad Chowdhury Prasun Barua Asma Hoque Aklima Mazhar <p><strong>Background: </strong>Insulin resistance (IR) is the major event in type-ΙΙ diabetes mellitus followed by an increasing degree of β-cell dysfunction. Chronic inflammation is the driving force for IR and type-ΙΙ DM. The process of inflammation induces hepatic synthesis of high sensitivity C-reactive protein (an acute-phase protein) which plays a role in IR. The study was undertaken to find out the association of serum hs-CRP with insulin resistance in patients with type-ΙΙ diabetes mellitus.</p> <p><strong>Methodology: </strong>A hospital-based observational study was carried out in the Outpatient Department of Endocrinology, Chittagong Medical College Hospital and Department of Biochemistry, Chittagong Medical College. A total of 126 patients with type-II diabetes mellitus aged 40-64 years were included by non-probability consecutive sampling technique. Serum hs-CRP, fasting serum insulin was estimated. IR was calculated by using the Homeostasis Model Assessment of Insulin Resistance index (HOMA-IR).</p> <p><strong>Results: </strong>The mean serum hs-CRP level was 9.1 ± 0.36 mg/L in patients with type-II DM. Serum hs-CRP was significantly associated with insulin resistance and positively correlated with HOMA-IR in type-II diabetics. Body mass index (BMI) as one of the key indicators of insulin resistance was also associated with serum hs-CRP in this study population. Additionally serum hs-CRP was correlated positively with BMI and fasting serum insulin in patients with type-II DM.</p> <p><strong>Conclusion: </strong>The results of this study concluded that increased serum hs-CRP was well associated and positively correlated with insulin resistance and its parameters signifying a possible role of subclinical inflammation in IR among patients with type-II diabetes mellitus.</p> <p>EMCJ. January 2022; 7(1): 15-20</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal Impact of Mass Media on Attitude and Practice of Public Health Knowledge among Urban Population of Bangladesh 2022-11-07T08:09:43+00:00 Iffat Nowshin Farhana Salim Rini Juliet Rozario Humaira Nazneen <p>This descriptive type of cross-sectional study was conducted among 180 persons of different socio-economic conditions of Dhaka city using semi-structured questionnaire through face-to-face interview to identify the impact of mass media in disseminating public health related messages to the urban population of Bangladesh. Convenience sampling was the process of selecting the subjects. Among 180 respondents mean age of the respondents was 28.75±8.55 years. Majority of the respondents were graduate (29.0%). Of the total 180 respondents 121 (67.2%) read newspaper and among them, 46 (38.32%) read Public Health related articles in the newspaper regularly. On the other hand out of the total 180 respondents 170 (95.0%) watch television and of them 36 (21.18%) watch public health related programme in the television regularly. Highest 140 (77.8%) respondents said television as the source of information in TB prevention. Majority (90%) of the respondents said of television as the information source on prevention of diarrhoeal diseases. Magazine and internet were mentioned by 20 (11%) respondents in each group as the information source. Regarding the sources of information on pregnancy related problems and solutions television was mentioned as the source of information by 156 (86%) of the respondents. Friends or relatives or teachers (67%), newspaper (64%), billboard (45%) and radio (44%) were other sources. Television was found as the main source of public health information to the people. Impact of print media in disseminating public health messages was mentioned very satisfactory by 24% and electronic media by 77% respondents. The mass media can be very much effective in getting public health messages to the community in developing countries. In view of our findings, it may be recommended that television, newspaper and billboards may be used as tools for reaching out that the use of these media should be strengthened further.</p> <p>EMCJ. January 2022; 7(1): 21-25</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal Hypomagnesemia and Type-2 Diabetes Mellitus 2022-11-07T08:09:46+00:00 Pijush Karmakar Iffat Jahan Md Zakirul Islam <p>Diabetes mellitus (DM) has been suggested to be the most common metabolic disorder associated with several macrovascular and microvascular complications. Hypomagnesemia has been reported to occur at an increased frequency among patients with type-2 DM. Those who have poor glycemic control and longtime DM are more likely to decrease the blood magnesium (Mg) level. Mg deficit may also coexist with deficiencies of other dietary elements, such as vitamins, calcium (Ca++) and potassium (K+). Despite numerous reports linking hypomagnesemia to chronic diabetic complications, attention to this issue is poor among clinicians. This article reviews the literature on physiology &amp; biochemistry of Mg++ diagnosis and incidence, features, causes, complications and management of hypomagnesemia in patients with type-2 DM.</p> <p>EMCJ. January 2022; 7(1): 26-31</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal Complete Excision of Nerve Originating Hemangioma: A Case Report 2022-11-07T08:09:47+00:00 Nasir Uddin Mahmud Md Shafiqur Rahman Patwary Mohammad Mainul Hasan Sarker Mohammad Tauhidur Rahman Md Shariful Alam <p>The hemangioma is a hamartomatous malformation and not a true tumorous of the hemangioma occur during childhood. It affects three girls for every boy. Commonest site of involvement is skin. Nerve originating hemangioma refers when it arises from the vessels supplying the nerve (vasa nervosum). It is very rare condition and presents painful, soft, compressible swelling in the course of nerve. Microscopically, hemangioma consist of poorly demarcated, non-capsulated masses and leashes of vascular channels, most of which contain blood. Although diagnosis is clinical; FNAC, Doppler Ultrasonogram study, MRI and EMG all investigations are helpful for confirmation. Surgery is the main stay of treatment but recurrence may occur. Per-operative microsurgical facility and in recurrent cases, administration of corticosteroid can prevent recurrence. We have operated one case with our own circumstances and patient has got uneventful recovery in one year follow up.</p> <p>EMCJ. January 2022; 7(1): 32-35</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal Pure Drinking Water should be Ensured 2022-11-07T08:09:35+00:00 Musleh Uddin Ahmed <p>Abstract not available</p> <p>EMCJ. January 2022; 7(1): VIII</p> 2022-11-07T00:00:00+00:00 Copyright (c) 2022 Eastern Medical College Journal