Data were obtained by reviewing the medical files associated with clients. Complete 102 children with CAH were identified through the study duration. One of them 68 had been feminine and 34 were male (female to male proportion of 21). Median age had been 3.5 month (range 0.2-158 thirty days) and 5.5 month (range 1-108 month) in female and male respectively (p=0.42). Genealogy and family history was available in 93 clients. Consanguinity ended up being contained in 16(17.2%), history of sib death in 12(12.9%), other nearest and dearest had been affected in 8(8.6%). Sixty client (58.8%) had salt-wasting (SW), 39(38.2%) had quick virilizing (SV) and 3(2.9%) had non- classic as a type of CAH. Median chronilogical age of presentation was 2 thirty days (range 0.2-70 month) and 42 thirty days I-BET-762 (range 0.8-158 thirty days) in SW and SV group correspondingly (p=0.001) and 119 month (range 108-152 month) in non- classic group. Typical presentations were genital ambiguity (64.7%), vomiting (46.5%), failure to flourish (41.6%), options that come with early puberty (precocious pseudopuberty) (24.5%), diarrhea (12.0%). Hyperpigmentation ended up being noted in 49.0% of clients. Among the list of salt-wasting type in male failure to flourish (FTT) had been more common presentation (83.3per cent), followed closely by vomiting (75.0%). In feminine genital ambiguity was the most common presentation (97.2%), followed by vomiting (77.1%). Among the quick virilizing type in male early puberty ended up being the most typical presentation (100%) and genital ambiguity ended up being the presenting feature in all the female (100.0%).Every human being has actually gas in stomach. But patients you will need to associate types of signs with abdominal fuel. And this cross sectional symptom based study was made to look at patients see regarding abdominal gas as well as its relation with medically explained signs during the out patient department of North East healthcare College, Sylhet from January 2017 to December 2019. Consecutive clients showing with complain of stomach gasoline were one of them study. Their demographic information and explanation of symptoms resulting from abdominal gasoline had been taped on a pre-designed data sheet. Statistical analysis ended up being done making use of SPSS 20.0 version. Complete 346 clients, male 239(69.1%), female 107(30.9%), age differing from 17-83 years (mean 38.27) were enrolled. Typical symptoms were bloating (fullness) of abdomen (194, 56.1%), stomach discomfort (164, 47.41%), belching or eructation (149, 43.1%), heart burn (137, 39.6%), anorexia (124, 35.8%), nausea (120, 34.7%), noisy bowel (88, 25.4%), upper body pain (79, 22.8%), annoyance (56, 16.2%), entire body discomfort (58, 16.8%), incomplete bowel motion (185, 53.5%), excess flatus (76, 22.4%), activity of gasoline to various section of body including mind 87(25.1%) and expulsion of hot air from ear, nostrils and mind in 69(19.9%) customers. One of them 107(30.9%) customers thought abdominal gasoline is a curable condition with treatment and 222(64.2%) thought that it is a relapsing disease even after treatment. And 307(88.7%) patients had been taking proton pump inhibitor (PPI) as its solution regularly. A lot of the the signs of patients are explained by abdominal fuel. Again some customers have a misperception regarding some signs like heart burn, noisy bowel and sense of partial hepatic cirrhosis bowel movements are related with stomach gasoline. But in some instances causal relations with clients’ symptoms and abdominal gas could not be explained by medical understanding. These differences in perceptions might be associated with their particular personal thinking and social, cultural, educational, economic condition.Renal dysfunction after cardiopulmonary bypass is well known. The pathophysiology of renal injury is multifactorial and culmination of this interplay of several pathophysiological device. Cardiac surgery calling for cardiopulmonary bypass (CPB) will be done on an extended client population various age ranges and undergoing complex surgical procedure, and so it puts all of them at a heightened risk of renal disability. Valve replacement surgery is a significant and complex surgical procedure needing CPB. This research was consequently designed to take notice of the influence of CPB and temporary outcome on customers with reduced determined Glomerular Filtration Rate (eGFR) (60-89ml/min/1.73m²) after valve replacement surgery. This cross-sectional research was carried out within the Department of Cardiac Surgery, National Institute of Cardio Vascular Diseases (NICVD) through the period of January 2015 to August 2016. After satisfaction of registration requirements 100 clients had been studied for the purpose of the analysis in addition they were grouped in 2, customers with regular eGFR (≥90ml/min/1.73m²) in Group The and patients with reduced eGFR (60-89ml/min/1.73m²) in Group B. an overall total of 100 customers, 50 in each team had been examined for renal function alteration after valve replacement surgery under cardiopulmonary bypass. The incidence of Acute Kidney Injury (AKI) had been greater in Group B. Chi-square test had been done and p worth was 0.011 that will be statistically significant. Postoperative blood reduction (ml/hr) (p=0.038), timeframe of Intensive Care Unit (ICU) remain (in hours) (p=0.009), postoperative hospital stay (days) (p=0.014) was somewhat higher and postoperative Urine Output (ml/hr) (p=0.001) was significantly lower in clients with reduced eGFR (60-89ml/min/1.73m²) in Group B. Deterioration of renal function is more in client with eGFR (60-89ml/min/1.73m²) after device replacement surgery under cardiopulmonary bypass when compared with patients with eGFR (≥90ml/min/1.73m²).This cross-sectional, descriptive study was previous HBV infection performed at Paediatrics division of BSMMU from July 2016 to Summer 2018 to discover histopathological design of Coeliac disease according to Modified Marsh criteria also to correlate it with structure transglutaminase IgA level.