Background: Millions of people worldwide have been affected by the COVID-19 pandemic. Due to the prevalence of malnutrition, refusal of immunization during a pandemic, nutritional anemia, air pollution, poverty, poor parental education, inadequate access to high-quality acute healthcare, the clinical characteristics and outcomes of children in Bangladesh may vary from other countries. Information on clinical presentations, outcomes, the relationship between disease incidence and the prevalence of associated disease in Bangladeshi children affected by COVID-19 are scarce. Objective: In this study, our main goal was to evaluate the clinical profile of pediatric COVID-19 patients in child corona unit of Dhaka Medical College Hospital, Bangladesh. Method: This single center observational study was conducted in Child Corona Unit of Dhaka Medical College Hospital (DMCH). A total of 1020 COVID-19 positive pediatric patients were included in this study. Results: In our study, 89.1% of patients had fever, 80.8% had a cough, 23.1% had diarrhea, and 70.8% had myalgia. According to CXR reports, 2.1% patients had ground-glass opacity, 38% had local patchy shadowing, 31.8% patients had bilateral patchy shadowing and 27.9% patients had interstitial abnormalities. Correlation of disease severity between without co-morbidity and with co-morbidity is statistically significant (p=0.01). Conclusion: This research revealed a variable range of presentations. This sheds light on the cases of COVID-19 in the pediatric population. Children with COVID-19 normally present with or are asymptomatic with different symptoms; infants may have a high risk of serious illness. However, most cases were reported in children 11-15 years of age and fever, cough, nasal congestion and dyspnoea were typical symptoms. Serious cases were those with co-morbidity and in order to save them additional attention during home care and prompt hospitalization therapy are needed.
Antenatal care (ANC) is very important for all women for their own health and their neonates. This study was done to observe the impact of antenatal care on perinatal asphyxia. This case-control study was conducted at Neonatology Department of Dhaka Medical College Hospital, Dhaka from July 2014 to December 2014. Fifty neonates with perinatal asphyxia (Group I) and fifty neonates without perinatal asphyxia (Group II) were selected as study subjects. After selection, informed written consent was taken. Then data were collected by face to face interview of the mother. The mean age of neonates was 49.0±72.1 hours in group I and 55.8±63.9 hours in group II. Majority (80.0%) of the neonates had birth weight 2.5- 4.0 kg in group I and only 22(44.0%) neonates had birth weight 2.5-4.0 kg in group II. Almost half (48.7%) of the mothers received antenatal check-up at UHC/FWC/MCWC in group I and 20(41.7%) in group II. It was observed that 19(38.0%) mothers received antenatal care from untrained Dai in group I and 42(84.0%) in group II. Only 30.0% of the mothers received adequate antenatal check-up in group I and 68.0% in group II. Mothers having baby with perinatal asphyxia received significantly less number of ANC. Faridpur Med. Coll. J. Jan 2019;14(1): 34-36
not available Bangladesh J Medicine Jan 2019; 30(1) : 1-3
The first case of COVID-19 in Bangladesh was declared in March 08, 2020 and since then we are fighting against this deadly pandemic under the prudent and dynamic leadership of Hon’ble Prime Minister Sheikh Hasina as Chief Advisor. The active, sincere and dedicated efforts of Prime Minister’s Office, Cabinet Division, Ministry of Health and Family Welfare and other different ministries have proved this COVID battle to be a winning game for our country. All the doctors, nurses and health workers played the pivotal role along with administration, police and all others. Among the frontline doctors, the fellows and members of all specialties of Bangladesh College of Physicians and Surgeons (BCPS) had a significant participation. They remain to be appraised. This review article probes to reveal the enormous contributions of all fellows and members of BCPS in various sectors of the COVID-19 battle in Bangladesh. This paper analyzed all activities of BCPS fellows and members by collecting data from the COVID-19 dedicated hospitals, Directorate General of Health Services, Bangladesh and directly from fellows of BCPS. A systematic search in the net was also performed using specific search words to extract relevant data and articles published on COVID-19 from Bangladesh. A non-probability sampling technique was used without any structured questionnaire. Data were directly included in MS excel spread sheet. Simple description analysis was performed and results were expressed in tables and charts. We found that fellows and members of BCPS took a significant leadership and provided supreme dedicated services in almost all fields of COVID-19 crisis; e.g. frontline patientcare, education and training, national policy making, research and publication and nationwide guidance and awareness build-up. Among the doctors of government COVID-19 dedicated hospitals in Dhaka, about 650 fellows participated in treating about 1.5 lacs admitted patients. First interim guideline on COVID-19 management in Bangladesh was published by fellows in executive committee of Bangladesh Society of Medicine. It was later transformed into national guideline by DGHS. Fellows were the leaders at national level. The National Technical Advisor Committee and Directorate General of Health Services of Bangladesh are the two main bodies who lead the war in the frontline and both are headed by fellows of BCPS. Journal of BCPS was the first in Bangladesh to publish COVID-19 supplement issue on July 31, 2020 with 12 original articles. So far 128 COVID related articles from BCPS fellows have been published in national and international journals. Fellows fought in the frontline in every sector, shoulder to shoulder with all doctors and health workers of Bangladesh. They have triumphed their beloved college, Bangladesh College of Physicians and Surgeons, to be one of the greatest centers of excellence for the medical education and patient care in Bangladesh. J Bangladesh Coll Phys Surg 2022; 40: 19-27
Bangladesh College of Physicians and Surgeons has been the pioneer in developing post-graduate medical education in this country. The curriculum offers guidelines for selecting versatile candidates to become future specialist, training particulars and learning outcomes and set criteria expected of them at the exit. In general, the curriculum is the guideline for the trainees and training facilities including the assessment system to fulfill the conditions to facilitate creation of specialist in different disciplines To document the hard works done by the fellows in last 50 years to establish curriculum in different specialities. All the available data regarding development of curriculum found are analyzed to document the struggles did previously to develop curriculum in different specialities of BCPS. FCPS part-1 syllabus was printed in different subject in the year 2000. Between 2000-2005 most of the subject developed printed part-I syllabus. Changes in the structure of postgraduate medical education and training of the BCPS was initiated in 2012 by holding a workshop to discuss the way forward with participation of experts from the Royal College of Physicians and Surgeons of Glasgow, College of Physicians and Surgeons of Pakistan, experts from the USA together with leading members of the Faculties of BCPS. This resulted in the decision that individual Faculties need to develop a curriculum. To ensure competency based training a common frame work was approved by the Council of the College in 2016. In 2017 another important change was approved that FCPS course will be for 5 years from January 2020. On the back ground of those decisions of the council curriculum and log book development committee work hard to developed new curriculum and log book. Several Workshops involving leading Faculty members on the development of the curriculum were held in the following months starting on 2019. In the year 2020 and 2021 this committee with the help and different faculties and administration able to published new curriculum in 42 specilities. Dynamicity of the curriculum makes it possible to incorporate recent advancements in the subject. This updated curriculum includes relevant new developments in different specialties. J Bangladesh Coll Phys Surg 2022; 40: 74-77
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