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Ulcerative colitis in children has not been reported previouslyin Bangladesh. This case report is of a 7 year old girl whopresented with frequent passage of slimy stool mixed with bloodfor 4 months. She also had fever, weight loss, abdominal painand urgency at defecation. Barium enema showed pancolitiswith multiple pseudopolyps and collar button appearance.Colonoscopy revealed a friable and granular mucosa withdiffuse ulceration and multiple pseudopolyps. There was bloodyexudate and the lumen was narrow. Histopathology findingsshowed necrosed tissue probably representing a base of ulcerand inflammatory cell infiltrate in the lamina propria. Thecrypt architecture was distorted with cryptitis and goblet celldepletion. There was no granuloma. She was diagnosed as acase of ulcerative colitis & treated with Sulfasalazine and oralcorticosteroid. Her response to treatment was very well andnow she is on regular follow up.DOI: 10.3329/jbcps.v28i2.5372J Bangladesh Coll Phys Surg 2010; 28: 117-120

Background: Prevalence of Asthma in children is about 7% in Bangladesh but Spirometric value of children is not available. Objective: The study was conducted to find out the spirometric value of normal school going children and to compare the values with those of other countries. Methodology: Sprirometric evaluation of normal school going children was done by computerized spirometer (Ponygraphic of COSMED srl-ltaly) in a school of Dhaka city during the period of February 2002 to July 2002. Nine hundred twenty seven healthy children aged 6-15 years were selected for the study. Outcome variable were the forced vital capacity (FVC), forced expiratory volume in first second (FEV1), peak expiratory flow (PEF), the ratio of FEV1 to FVC and forced expiratory flow (FEF) between 25% & 75% of vital capacity (FEF 25% & 75% ). The pulmonary function data was separated by sex and categorized on the basis of height, weight, age and body surface area. The mean and standard deviation were calculated for every such variable. The results (FVC) of present study was compared with those of other countries (India, Nigeria, British and America). Results: The lung function variables showed a linear positive correlation with height, weight, age and body surface area (independent variables). Strong correlation was found between lung function values and independent variables. Height showed the maximum correlation in comparison with other variable. Forced vital capacity (FVC) and FEV1 showed a spurt after the height of 150 cm. Regression equations for lung function values were determined for boys and girls considering height as independent variable. Boys showed higher values for lung functions than those of girls. Lung function values of these studied children are nearly similar to Indian children and significantly lower than Nigerian, British (UK) and American (USA) peers. Conclusion: Spirometric values of our children are very much comparable with those of regional children (India) but values are lower than those of African (Nigeria), European (British) and American (USA) children. Recommendation: Further study should be done with larger sample size to have our own national data and to fill up the standard spirometric values for the children of our country. Key words: Spirometric standards; healthy children. DOI: 10.3329/bjch.v29i3.6187 Bangladesh J Child Health 2005; Vol 29 (3): 93-98

Background: Perinatal asphyxia is the most important preventable cause of cerebral injury in the neonatal period leading to very high neonatal mortality and morbidity in developing countries. Little can be done for a baby affected by severe perinatal asphyxia. So, prevention is unquestionably desired. Objective: To identify the maternal and fetal risk factors for the development of birth asphyxiated babies and to see the short term outcome of the affected babies. Methods: An analytical type of or observational study was done in the Special Care Baby Unit (SCBU) of Dhaka Medical College Hospital from October 2003 to March 2004. Identification of the risk factors was done by retrospective comparison of the cases and controls. Outcome was analyzed by cross sectional comparative study. One hundred consecutive cases of birth asphyxia, admitted in SCBU, were enrolled in the study. Another 30 neonates admitted during this period for other reasons (i.e., jaundice, septicemia, low birth weight) were taken as control. Necessary information were collected by detailed history taking, clinical examination and close follow up of the hospital course, using pre-designed questionnaire and recording form. Results: Male: female ratio 3:2 both in the cases and controls. Mean age on admission was 13.8 hours and 2.6 days for case and control respectively. Identified important maternal risk factors were primiparity (57% in cases vs. 33.3% in control), hypertension (16.6% vs. 3.3%), pre-eclamptic toxemia of pregnancy (24% vs. 13.3%), prolonged rupture of membrane (33.3% vs. 6.7%), prolonged labour (34% vs. 3.3%) and use of oxytocin during labour (16% vs. none). All these were statistically significant (p

DOI: 10.3329/jbcps.v27i1.4236 J Bangladesh Coll Phys Surg 2009; 27: 1-3