Journal of Monno Medical College 2023-11-06T03:59:25+00:00 Prof. Md. Aktaruzzaman Open Journal Systems <p>Published by <a href="">Monno Medical College, Manikgonj<strong>. </strong></a>Full-text articles available.</p> <p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons Licence" /></a><br />Articles in the Journal of Monno Medical College are licensed under a <a href="" rel="license">Creative Commons Attribution-NonCommercial 4.0 International License</a> (CC BY-NC 4.0). This license permits <strong>Share</strong>— copy and redistribute the material in any medium or format, <strong>adapt</strong> — remix, transform, and build upon the material as long as it is not for commercial purposes.</p> Creating a Research Culture in Medical Colleges of Bangladesh- an Issue Needs to be Discoursed 2023-09-23T02:38:57+00:00 AKM Fazlur Rahman <p>Abstract not available</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 01-02</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 AKM Fazlur Rahman Knowledge, Attitude and Practice of Mothers regarding Oral Rehydration Solution in Acute Diarrhoea at Monno Medical College Hospital 2023-10-02T18:18:21+00:00 Md Shakh Farid Md Kamrul Hasan Mahmud Hossain SM Moniruzzaman <p><strong>Background</strong>: Diarrhoea is one of the major causes of morbidity and mortality among the under-five age group in Bangladesh. Effective by ORS treatment can reduce diarrhoea-related mortality and unnecessary hospitalization, for which role of mothers is important. The use of oral rehydration saline (ORS) is greatly affected by mothers’ knowledge and attitude towards using it in treating their children.</p> <p><strong>Objectives</strong>: Assessment of the knowledge, attitude and practice of the mothers about ORS for better management of diarrhoea in children.</p> <p><strong>Methodology</strong>: A cross-sectional descriptive study was carried out in the department of Paediatrics of Monno Medical College Hospital, Manikganj, during the period from January to December, 2022. Data were collected from 300 mothers by face-to-face interview by a questionnaire. Finally, collected data were analyzed, using SPSS software version 20.</p> <p><strong>Results:</strong> Majority (195, 65.0%) of the children’s age were in between 6 month to 2 years. Most (143, 47.7%) of the mothers completed primary education. About two-thirds of the mothers (193, 64.3%) resided in rural areas. In this study, most (213, 71.0%) of the mothers always used ORS during the attack of diarrhoea, 281(93.7%) mothers had adequate knowledge about ORS, 253(84.3%) had knowledge about preparetion of ORS, 235(78.3%) informed to know when to administer ORS and 170 (56.7%) knew the exact amount of ORS to administer.</p> <p><strong>Conclusion: </strong>Positive attitude was seen among the participant mothers regarding the use of ORS. But mothers’ knowledge and practices regarding its administration was insufficient.</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 03-06</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 Md. Shakh Farid, Md. Kamrul Hasan, Mahmud Hossain, SM Moniruzzaman Organophosphorus Compound as Suicidal Poison in Rural Areas of Bangladesh: A Medicolegal Study 2023-09-25T02:41:22+00:00 Nazmun Nahar Nahida Muhammad Zubaidur Rahman Borhan Uddin Ahamed <p><strong>Background</strong>: Suicide by poisoning is a major public health problem in Bangladesh and other developing countries in the world. Among the poisonous substances, Organophosphorus compounds (OPC) poisoning is more common. Easy accessibility of the poison is the number one reason for the preference of OPCs as suicidal agents.</p> <p><strong>Objective:</strong> This study was designed to find out demographic characteristics and postmortem findings related to suicide by OPC poisoning in Manikganj.</p> <p><strong>Methodology:</strong> This retrospective cross-sectional study was carried out during January, 2019 to December, 2020 in the district hospital, Manikganj, Bangladesh.</p> <p><strong>Results:</strong> During the study period, a total of 381 medico-legal autopsy have been done- among them, 83 (21.78%) cases were death due to OPC poisoning. Maximum (24, 28.91%) deaths were between ages of 21-30 years, among them majority were males (49, 59.03%). People of different occupations were involved in OPC poisoning- maximum of them were housewives (27, 32.53%), followed by agricultural workers (13, 15.66%). Regarding motive of poisoning, the most common was suicidal intent (58, 69.88%) among both males (22, 37.93%) and females (36, 62.07%), followed by accidental (25, 30.12%). About one third of the cases were illiterate (26, 31.33%). Financial constraint was the main cause of suicide. Conclusion: OPC poisoning is a burning problem in our health sector. Improvement of awareness, elimination of unemployment, financial stability, limiting availability and banning more toxic compounds would reduce the OPC poisoning rate to a considerable number.</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 07-10</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 Nazmun Nahar Nahida, Muhammad Zubaidur Rahman, Borhan Uddin Ahamed Risk Factors of Oral Carcinoma in a Tertiary Level Hospital in Bangladesh 2023-09-25T03:44:03+00:00 Md Sazzadul Haque Abu Yusuf Fakir Md Raqibul Alam <p><strong>Background</strong>: Cancer continues to be a major health problem despite advances in medical technology for its diagnosis and treatment. Oral cancer is the eighth most common cancer in the world. Oral cancer is a multifactorial disease- smoking, betel-nut and betel-leaf chewing habit, bad oral hygiene, and drinking alcohol are the most important factors associated with oral cancer</p> <p><strong>Objectives:</strong> To identify the risk factors of oral cancer in a tertiary level hospital in Bangladesh.</p> <p><strong>Methods:</strong> A total of 52 patients, aged between fifth to seventh decades, were included in this observational type of cross-sectional study. The study was conducted over the period of six months, from March to August, 2016, in the department of ENT &amp; Head Neck surgery in Dhaka Medical College Hospital, Dhaka. Patients were randomly assigned to one of three groups by card sampling.</p> <p><strong>Results:</strong> Among the 52 patients with oral cavity carcinoma, 30(57.69%) were males and 22(42.31%) females. Most patients were from rural areas (30, 57.69%), including agricultural workers 17(32.69%), daily labourers (5, 9.62%), fishermen (3, 5.77%) and others (5, 9.62%). High-risk habits were prevalent among the cases, with 24(46.14%) engaged in Pan (betel leaf) chewing and 15(28.85%) in smoking. Clinical features included ulceration, neck lump, pain, swelling, dysphagia, and bleeding. The most affected areas were buccal mucosa (19, 36.54%) and oral tongue (14, 26.92%). Histopathologically, 27(42.31%) were well-differentiated, 22(51.92%) moderately differentiated, and 3(5.77%) poorly differentiated squamous cell carcinoma. The study provides insights into the demographics and characteristics of oral cavity carcinoma patients.</p> <p><strong>Conclusion</strong>: Personal habits like pan, betel-nut, tobacco chewing, ignorance, lack of proper education of oral hygiene, lack of medical facilities and poor referral system are the common factors for aggressiveness of the disease.</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 11-14</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 Md. Sazzadul Haque, Abu Yusuf Fakir, Md. Raqibul Alam Psychological Status of Healthcare Professionals of Bangladesh during the COVID-19 Pandemic 2023-09-30T02:26:38+00:00 Md Mahbub Ali Noor E Naharin SM Eqbal Hossain Mushfique Manjur <p><strong>Background:</strong> The wellbeing of Healthcare professionals (HPs) across the world had been severely affected by the COVID-19 pandemic. Previous researches on other similar infectious diseases consistently showed that many HPs reported symptoms of anxiety and depression, both during and after the outbreak, causing a severe impact on their coping abilities, in some cases with long-lasting effects.</p> <p><strong>Objectives</strong>: The present study was designed to find out the impact on mental health of the HPs in Bangladesh during COVID-19 pandemic.</p> <p><strong>Methodology</strong>: This survey-based cross-sectional study was carried out in Combined Military Hospital, Bogura, a tertiary hospital in Bangladesh. The study was conducted during 15-20 August, 2020, including 303 HPs during the COVID-19 pandemic. The<br />study incorporated the patient health questionnaire (PHQ-2) and generalized health questionnaire (GAD-2), validated for screening of Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) respectively.</p> <p><strong>Results</strong>: Among the respondents, majority were males (201, 66.34%), between 20-29 years of age (127, 41.92%), married (244, 80.53%), fertile (205, 67.66%) and health assistants (151, 49.83%). Some 137(45.21%) respondents were involved directly to treat diagnosed cases of COVID-19 and 20(06.60%) had been suffering from insomnia. A total of 73(24.09%) HPs remained in anxiety every time that their family members may be affected by COVID-19 through them. The MDD was found in 77(25.41%) respondents and GAD in 42(13.86%). The MDD was found more (25.40% versus 23.53%) in the HPs who were staying without family, but<br />GAD (21.57% versus 12.30%) and Anxiety to infect family members through them was remarkably higher (49.10% versus 19.05%) in the HPs who stayed with family.</p> <p><strong>Conclusion:</strong> The present survey showed that a remarkable number of HPs experienced anxiety and depression due to prevailing COVID-19 pandemic</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 15-19</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 Md. Mahbub Ali, Noor E Naharin, SM Eqbal Hossain, Mushfique Manjur Epidemiological Evaluation of Suicidal Deaths due to Organophosphorus Compound Poisoning 2023-10-01T02:28:06+00:00 Md Fahmidur Rahman Md Shamsul Islam N M Minhaz Uddin Md Shah Alam Tahmina Begum Poly Mohammad Nurunnabi <p><strong>Background:</strong> One of the most widespread suicide methods, especially emerging in developing countries like Bangladesh, is poisoning. Organophosphorus compound (OPC) is a common chemical used for self-poisoning that is also inexpensive and easily accessible.</p> <p><strong>Objectives</strong>: To evaluate the demography of suicidal deaths due to OPC poisoning.</p> <p><strong>Methods</strong>: This was a retrospective study with the departmental records of autopsy among deaths due to OPC poisoning. The study was carried out to ascertain the epidemiological evaluation of 242 OPC poisoning suicidal deaths during January, 2016 to December, 2017 at the mortuary of Sylhet MAG Osmani Medical College, Bangladesh.</p> <p><strong>Results</strong>: Majority of the victims (184, 76.03%) were below 40 years of age and females were predominant (142, 58.67%). Most of the victims resided in Companygonj (47, 19.42%), followed by Kotwali (40, 16.52%), and Gowainghat (35, 14.52%) of Sylhet district. Most of the dead bodies (192, 79.33%) were brought to the morgue under Kotwali police station. The most common (218, 90.08%) cause of death was respiratory failure.</p> <p><br /><strong>Conclusion</strong>: Suicide with OPC was the most common in younger women. Establishment of national suicide surveillance is now a time demanded step and responsible authority should take some necessary steps to address it.</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 20-23</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 Md. Fahmidur Rahman, Md. Shamsul Islam, N M Minhaz Uddin, Md. Shah Alam, Tahmina Begum Poly, Mohammad Nurunnabi Impact of COVID-19 on Patterns of Cigarette Smoking among Adult Smokers in Bangladesh 2023-09-23T02:53:54+00:00 Chayon Kumar Das Tanzina Siddika Mahadi Hasan <p><strong>Background</strong>: Bangladesh is a country with high prevalence of smoking which is a contributing factor to cause respiratory diseases. The situation of COVID-19 has become threatening physically for smokers as it is also a respiratory related disease and it can also help altering smoking behaviour because of perception towards this pandemic.</p> <p><strong> Objective</strong>: The objectives of this study were to investigate changes in cigarette smoking behaviour during COVID-19 among the adult smokers of Bangladesh according to perception towards COVID-19, and assess association between changes in cigarette smoking behaviour and perception towards COVID-19.</p> <p><br /><strong>Methodology</strong>: An online descriptive cross-sectional study was conducted during 16 April, 2021 to 30 April, 2021 using anonymous Google form. Only adult Bangladeshi cigarette smokers were included in this study. Descriptive and co-relational analyses were conducted using SPSS-28.0.</p> <p><strong>Results:</strong> Among 373 valid responses, 259(69.43%) reported change in smoking behaviour during COVID-19. Some 313(83.91%) cigarette smokers perceived risk of being infected by COVID-19 and 30(8.04%) smokers were infected by COVID-19. Many (187, 50.13%) participants perceived that smokers have higher risk of contracting infection. In addition, 292(78.28%) smokers believed that smoking can cause more complications if infected, 182(48.79%) felt worried about their smoking behaviour and 225(60.32%) participants thought of lessening smoking during COVID-19. Majority (229, 61.39%) of the respondents tried to quit smoking. Patterns of change in cigarette smoking during COVID-19 were significantly associated with both perceived risks of higher contractibility (p=.001) and higher physical complications (p=.004).</p> <p><strong> Conclusion</strong>: Percentage of people with changed smoking behaviour during COVID-19 was very high. Perception towards adverse impact of COVID-19 on smoking behaviour may lead to this change.</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 24-29</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 Chayon Kumar Das, Tanzina Siddika, Mahadi Hasan Psychiatric Morbidity among Child and Adolescent Patients Attending Different Healthcare Settings in Northwest of Dhaka City 2023-10-01T02:41:14+00:00 Md Jahangir Hossain Chayon Kumar Das <p><strong> Background</strong>: A remarkable portion of the child and adolescents were reported suffering from many psychiatric morbidities. Sufferings of this age group have been observed, especially, in the northwest of the capital, including Manikganj.</p> <p><strong>Objectives:</strong> This study was carried out to identify psychiatric disorders and correlates in children and adolescents in different clinical settings of Savar and Manikganj.</p> <p><strong>Methodology:</strong> This was a descriptive cross-sectional survey among 319 child and adolescent patients, 1-17 years of age, attending five different healthcare settings of Savar and Manikganj. Data were collected from 1st January, 2022 to 31st December, 2022, by<br />a Psychiatrist through face-to-face interview and using a semi-structured questionnaire. Ethical issues to conduct research with human subjects were strictly followed.</p> <p><strong>Results:</strong> Among 319 participants with the mean age of 2.73 years, the majority of the participants were from rural area (205, 64.26%) with a monthly family income of 10,001-25,000 BDT (185, 58.00%) and in the age range of &gt;11 years (200, 62.70%). The most common psychiatric problems found were behavioural problem (83, 26.02%), followed by anxiety disorders (41, 12.85%) and<br />intellectual disabilities (50, 15.67%). Parenting problem, family member abroad, familial disharmony, co-morbid disorder, positive family history, study related stress, bullying, death of father, impact of COVID-19, break of study, adjustment issues with sibling were found as risk factors.</p> <p><strong>Conclusions:</strong> Majority of the participants had behavioural problem, followed by anxiety disorders and intellectual disability. The results of this study indicate necessity of multi-disciplinary approach to ensure family-based intervention in the treatment of child and adolescent psychiatric patients.</p> <p>Journal of Monno Medical College, June 2023; 9 (1): 30-33</p> 2023-11-06T00:00:00+00:00 Copyright (c) 2023 Md Jahangir Hossain, Chayon Kumar Das