Introduction: Bangladesh is a developing country and the industrialization process is also getting momentum. Due to rapid industrialization and mechanization, use every day more people are coming in contact with the information technology, consequently computer use which may enhance sufferings of people by causing musculoskeletal disorders.Objective: to find out among bankers (a) the prevalence of musculoskeletal disorder and (b) the association between musculoskeletal pain and computer use.Methods: This descriptive type of cross sectional study was conducted to see the pattern of musculoskeletal disorders among the computer users in three selected banks of Dhaka city with a sample of 400.Results: More than half of the respondents (59.8%) were married, more than two-third (69.2%) was male. Majority of the respondents (58.25% and 33.0%) belonged to the level of education was graduate and post graduate. Statistically significant association found between duration of computer used in years and severity of pain. (P- Value was 0.019).Conclusion: A high proportion of Bangladeshi computer users among bankers reported musculoskeletal disorder at some body site in their occupational lives with the neck and back being injured most often. Education program on prevention and coping strategies for musculoskeletal disorders are recommended for computer users in order to reduce the rate of occupational hazards.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 40-44

Background: Stroke rehabilitation is a program designed to help the stroke patients to overcome the disability. Few studies have evaluated the profile of stroke patients. To provide information about demographic data & disease pattern among the patients receiving stroke rehabilitation. Methods: A retrospective study was carried out in the Department of Physical Medicine and Rehabilitation (PMR), National Institute of Neuroscience and Hospital (NINSH) Dhaka, Bangladesh for the period of two year from 1st July 2013 to 30th June, 2015. Results: Total five thousand nine hundred thirty nine (n=5939) patients were studied, of which 62.33% were male and 37.67% were female. Maximum patients (27.93%) belong to 51-60 years of age. Major patients (52.67%) came from Dhaka city and most of the studied patients were housewife (25.43%). Largest disease group was ischaemic stroke (81.7%). Regarding service pattern, 69.59% patients received outdoor and 30.41% indoor services. Among clinical profile of stroke, 90.5% were first time onset, almost 99% suffered limb weakness, 24.03% speech problem and 32.6% face involvement. Maximum patients (58.8%) had history of multiple risk factors. Conclusion: Rehabilitation procedures in stroke patients can enable greater return of neurological functions and prevents complication, thereby improves long term outcome and quality of life. Chatt Maa Shi Hosp Med Coll J; Vol.17 (1); Jan 2018; Page 9-12

Background: Patients with Spinal Cord Injuries (SCI) are confronted with motor and sensory deficits as well as bladder, bowel and sexual dysfunction, which lead to a fundamental change of life. Because of the extensive medical, emotional and social consequences of the SCI, multidisciplinary management is essential. This study focuses on the functional outcome after a spinal cord injury.Methods: This was an observational study done during a period of 6 months from July 2007 to December 2007 among paraplegic spinal cord injured patients, admitted in the Neurosurgery Department and attended in the Department Physical Medicine and Rehabilitation, Chittagong Medical College, Chittagong. A total of 50 patients were selected for the study. Sampling technique was purposive and different scores and followup findings were collected and analyzed by Statistical Package for Social Science (SPSS-15) P value < 0.05 was considered as significant.Results: Mean age of study population was 32.7 years with all patients were between 18 to 55 years age range. Male and female ratio was 9:1. Maximum respondents were day labourer 36.0%, followed by 34.0% other different types of occupation, 10.0% business man, 8.0% service holder, 8.0% housewife and 4.0% student. Fall from height was the major cause of spinal cord injury of the present study group followed by Road Traffic Accident (RTA). Out of all patients 50.0% had urinary incontinence, 44.0% hadbowel incontinence, 46.0% had spasticity, 34.0% had hypotension and 4.0% had bed sore. At pretreatment stage mean (±SD) FIM score of the patients was 92.5 and discharge 107.32. (p <0.05). Spasticity of the patients was 2.6±1.55 at pretreatment stage and after six weeks of treatment mean (±SD) spasticity was reached at 1.96±1.07 (p <0.05). Visual analog scale was used to measure the severity of the pain. At pretreatment stage mean (±SD) pain score of the patients was 5.7±1.07 after six weeks of treatment mean (±SD) pain score was reached at 2.2±0.88 (p <0.05). At pretreatment stage mean (±SD) ASIA score of the patients was 3.0±0.81. After one week of treatment mean (±SD) ASIA score was reached at 3.12±0.72 and after six weeks at 3.38±0.69. ANOVA test was revealed statistical significant difference among groups in term of ASIA score of different treatment stages (F value=3.42, p value =0.035).Conclusion: For SCI rehabilitation program like physical therapy, occupational therapy, orthosis, gait retraining and management of complications make significant improvement in the term of FIM score, ASIA score, muscle weakness pain and spasticity which is proved by current study. So rehabilitation program is the only hope of spinal cord injury patients and physiatrist have important role to achieve the goals of functional outcome in paraplegic patient from spinal cord injury.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 52-56

Adhesive capsulitis – also known as frozen shoulder, pericapsulitis, scapulohumeral periarthritis or check- rein syndrome. The condition usually resolves spontaneously after about 18 months. Adhesive capsulitis is a common musculoskeletal disorder mainly affecting middle aged adults. Also self care activities and occupational activities decreases depends on which shoulder is involved, for instance, self care, grooming, combing hair, eating and dressing are impaired if right shoulder is involved for right handed person, on the other hand dressing and perineal care are hampered if left shoulder is involved.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19423

The Normal Pulmonary Artery (PA) systolic pressure of children and adults is < 30 mm Hg and the mean PA pressure is < 25 mm Hg at sea level. Pulmonary hypertension (PH) is defined as a mean pulmonary artery pressure > 25 mm Hg at rest or > 30 mm Hg during exercise. An increase in pulmonary flow, vascular resistance, or both can result in pulmonary hypertension. Pulmonary Arterial Hypertension (PAH) commonly arises in patients with Congenital Heart Diseases (CHD) are usually associated with increased pulmonary blood flow. Greater number of patients with Pulmonary Arterial Hypertension (PAH), associated with congenital heart disease, are now surviving into adulthood, many with increasingly complex cardiac defects. Patients with cardiac defects which result in left-to-right shunting tend to develop PAH, owing to the increased shear stress and circumferential stretch induced by pulmonary blood flow, which leads to endothelial dysfunction and progressive vascular remodeling followed by vascular resistance. Pulmonary hypertension in association with congenital heart diseases is seen in large systemicto-pulmonary communications such as Ventricular Septal Defect (VSD), Patent Ductus Arteriosus (PDA) atrioventricular septal defects, aorticopulmonary window defect etc. Pulmonary hypertension associated with large L-R shunt lesions (e.g. VSD, PDA) is called Hyperkinetic Pulmonary Hypertension (PH). It is the result of an increase in pulmonary blood flow, a direct transmission of the systemic pressure to the pulmonary artery, and compensatory pulmonary vasoconstriction. Hyperkinetic PH is usually reversible if the cause is eliminated before permanent changes occur in the pulmonary arterioles. If large L-R shunt lesions are left untreated, irreversible changes take place in the pulmonary vascular bed, with severe pulmonary hypertension and cyanosis due to a reversal of the L-R shunt. This stage is called Eisenmenger syndrome or Pulmonary Vascular Obstructive Disease (PVOD). Surgical correction is not possible at this stage. Due to lack of formal study which of the L-R congenital shunt is more commonly associated with the development of pulmonary hypertension is not known the cross-sectional study therefore intends to find the pattern of congenital L-R heart diseases commonly attributed to the development pulmonary hypertension. The diagnosis of the abovementioned congenital heart disease will be made by echocardiography. In this study, most of the participant [22 (44.0%)] were in the '< 1 years' age group, female were proportionately higher, most patients presented with cough and difficulty in breathing, dyspnoea and tachycardia were the most common clinical findings, murmur mostly systolic were found, Eisenmenger syndrome was not found in any child, ASD was the most common congenital anomaly. About four-fifth of the participants had single congenital anomaly. Two-fifth of the participant was found having severe PAH. Significant correlation were revealed between age group and Pulmonary arterial pressure (R= 0.775), S...