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Mymensingh Medical Journal: MMJ

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https://read.qxmd.com/read/30755580/an-overview-on-epidemiology-of-tuberculosis
#1
M K Khan, M N Islam, J Ferdous, M M Alam
Tuberculosis (TB) is a progressive granulomatous infectious disease caused by the gram positive, acid fast bacilli classified under the genus Mycobacterium. Tuberculosis in human is mostly by Mycobacterium tuberculosis and primarily affects lungs causing pulmonary tuberculosis. It can also affect intestine, meninges, bones, joints, lymph nodes, skin and other tissues of the body causing extra-pulmonary tuberculosis. Human TB is transmitted mainly through droplet infection and droplet nuclei. Infection of human with M...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755579/breast-cancer-with-paraneoplastic-syndrome-in-a-72-year-old-male-patient
#2
S Yesmin, M Sanyal, M J Hasan
Breast cancer in male is rare which accounts about 1% of all malignant breast neoplasm cases. Since paraneoplastic syndrome is unusual with male breast cancer, very few reported cases are found. A72- year-old gentleman presented with proximal myopathy in all four limbs was referred to Dr. Sirajul Islam Medical College and Hospital in April 2017. He had generalized wasting with reduced tone and reflexes. Planter responses were normal with intact sensory. There were typical Heliotrope rash bilaterally. In background, he had history of radical mastectomy due to stage IIA ductal carcinoma of left breast 7 years back...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755578/transcatheter-aortic-valve-implantation-tavi-first-case-in-bangladesh
#3
S Nahar, A M Momenuzzaman, J Kabir, F Begum, K N Khan, M I Ahmed, T Ahmad, S S Shakil
We came across an 81 years old male with symptomatic severe aortic stenosis. He was hypertensive and had history of CABG 9 years back. Due to his advanced age and co morbidities, he was at high surgical risk. He underwent transcatheter aortic valve implantation in our centre (United Hospital Ltd) in July 2017 and no complications occurred during or in the peri-procedural period. He had good functional and haemodynamic results at 3 months follow-up.
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755577/ectopic-parathyroid-adenoma-surgical-correction-and-its-complication-management
#4
S A Sunny, A Singh, A B Adhikary
Ectopic parathyroid are most frequently found in the anterior mediastinum, in association with the thymus or the thyroid gland. Ectopic parathyroid glands are a major cause of persistent and recurrent Hyperparathyroidism. We report a case of 65-year-old female was referred from Surgical Endocrine department to the department of Cardiac Surgery on 20 September, 2017 in Bangabandhu Sheikh Mujib Medical University with parathyroid crisis due to an ectopic mediastinal parathyroid adenoma with her serum calcium and PTH markedly increased in short time...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755576/haemophagocytic-lymphohistiocytosis-in-a-16-year-old-boy
#5
M A Rahman, M N Hasan, Q M Ahmed, M A Rahim, M S Islam
Haemophagocytosis encompasses phagocytosis of erythrocytes, leukocytes, platelets and their precursors by macrophages in bone marrow and other tissues. Haemophagocytic lymphohistiocytosis (HLH) usually presents with high fever, pancytopenia, splenomegaly, lymphadenopathy, haemophagocytosis in bone marrow, liver, lymphnodes or CSF. We report coagulase negative Staphylococcus induced HLH in a 16 year old boy presenting with high grade fever, lymphadenopathy, hepatosplenomegaly, pancytopenia with neutropenic sepsis in the department of Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh on 28th November 2016...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755575/transmigrated-and-impacted-upper-2nd-premolar-associated-with-dentigerous-cyst
#6
A Rahman, F Tauhid, S Begum, M Saifuddin, M A Hossain, P Paul, A A Abdullah
A male patient about 45 years old came to my private clinic "The Dental Aid", Dhanmondi, Dhaka, Bangladesh last year (February 2016) with the complaint of pain at right palatal premolar region. On clinical examination we found the absence of upper left 2nd premolar from the series of dentition but on the right side premolars are present. The oral mucosa was intact and normal in color. There was no caries, dental pocket or any other pathology in the teeth of both jaws. On palpation we found soft area on the right palatal side at the premolar area...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755574/a-randomized-controlled-trial-to-study-the-effect-of-intravenous-clonidine-and-intravenous-fentanyl-on-perioperative-hemodynamics-during-laparoscopic-cholecyctetomy
#7
V Gupta, A Jain, A Gupta, N Hayaran
Peritoneal insufflation and laryngoscopy & intubation cause alteration of hemodynamics to a certain extent. The aim of this double blind, randomized controlled trial was to know and compare the effect of I.V. clonidine and I.V. fentanyl on hemodynamics during laparoscopic cholecystectomy in the department of Anaesthesia, Lady Hardinge Medical College, Delhi University, Delhi, India from November 2011 to April 2013. Eighty (80) patients (ASA I or II) posted for elective laparoscopic cholecystectomy were randomly allocated to two groups...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755573/efficacy-of-palonosetron-as-antiemetic-prophylaxis-for-post-operative-patients
#8
M M Hossain, M Begum, M Hossain, M G Chowdhury, R Begum, S Ahamed, F R Shuvo
Palonosetron is a new, potent and long-acting 5HT3-receptorsantagonist that had been approved by the FDA for use in postoperative nausea and vomiting (PONV) prophylaxis. The objective of this study was to investigate and compare the prophylactic effects of intravenously administered palonosetron, ondansetron and granisetron on prevention of postoperative nausea and vomiting after general anesthesia. This randomized double blind prospective clinical study was carried out in the Department of Anaesthesia, DMCH, Dhaka, Bangladesh from January 2014 to December 2015...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755572/study-of-vitamin-d-deficiency-among-the-apparently-healthy-population-in-jashore-bangladesh
#9
G K Acherjya, M Ali, K Tarafder, N Akhter, M K Chowdhury, D U Islam, M H Rahman, M T Miah
Globally Vitamin D deficiency is a burning issue for the last two decades. Though the very high prevalence of hypovitaminosis D is worldwide even in the South-East Asia but there is very limited data in Bangladesh. This observational study was designed to assess the status of Vitamin D deficiency among the clinically apparent healthy population in the district of Jessore, Bangladesh from January 2017 to June 2017. Both the male and female clinically healthy participants between the age of 10 and 70 years residing more than 3 years in Jashore were included in this study, while those having renal or liver failure or any other chronic diseases and using drugs that could potentially interfere the metabolism of vitamin D were excluded from the study...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755571/genitourinary-fistula-a-curse-to-neglected-pregnancy
#10
N Akhter, Z Sultana, A Bhattacharjee
Genitourinary fistula is a psychophysiosocial distress that results in prolonged labour. Gradually, it has become a public health issue globally with advancing of its incidence day by day. A handsome number of mothers are also suffering in Bangladesh from genitourinary fistula. This study was done to observe the patterns of presentations of genitourinary fistula and their fetal outcome. One hundred sixteen (116) consecutive patients were enrolled in the study by purposive sampling as a diagnosed case of genitourinary fistula presented in Department of Obstetrics & Gynecology of Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2017 to September 2017...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755570/do-it-better-cross-mattress-for-chest-drain-insertion-site-security-offers-quality-outcome-in-chest-trauma-patients-required-tube-thoracostomy
#11
M F Sazzad, M A Uddin, M A Imran, A M Ansary, S A Musa, H Saha, M M Rahman, M R Hoque, M N Islam, S Sarkar, G Tanchangya, A K Pal, I Alam, M S Ershad, M Kamruzzaman, S Sultana
We examined the hypothesis that the cross mattress for chest drain insertion site security is better than that of polypropylene horizontal mattress in chest trauma patient required tube thoracostomy at the Department of Casualty Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2016 to June 2016. Accordingly we prospectively studied 50 consecutive patients who needed chest tube insertion. In 25 consecutive cases chest drain insertion site was secured with polypropylene horizontal mattress technique (Control- Group A) and another 25 consecutive patients had a cross-mattress with non-absorbable suture materials (Experimental- Group B)...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755569/performance-of-haematological-parameters-in-early-diagnosis-of-clinically-suspected-neonatal-sepsis
#12
S N Nabi, A K Basak, M Kamruzzaman, A F Pervez, M Musharraf, N Sultana, A M Moniruzzaman, B K Majumder, M A Mostakim
Neonatal sepsis is one of the major health problems throughout the world and major cause of morbidity and mortality in developing countries. Positive blood culture considers the gold standard for confirmation of neonatal sepsis, but it does not provide rapid diagnosis. So this study was designed to find out the performance of haematological parameters in early diagnosis of neonatal sepsis. The objective of the study was to evaluate the performance of haematological parameters individually and in combination in early diagnosis of neonatal sepsis...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755568/management-of-spinal-injuries-in-polytrauma-patients-an-experience-of-tertiary-care-hospital
#13
M K Ahsan, N Zaman, J Islam
Spine injuries, a common component in Polytrauma are usually affects the young people and is a major cause of morbidity and poses a significant health care expenditure and considerable threats to survival and quality of life. We retrospectively assess the demographics, incidence, mode of trauma, associated spine injuries, complications, neurological improvement and mortality. Records of total 1695 admitted patients, spinal injuries were 262 patients. Among them 30(11.45%) patients were associated with Polytrauma victims...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755567/molecular-diagnosis-of-human-papilloma-virus-by-pcr
#14
F Nahar, M A Hossain, S K Paul, M U Ahmed, S Khatun, G R Bhuiyan, S A Nasreen, N Haque, S Ahmed, N Kobayashi, S N Akter, H Begum
Cervical cancer is a major world health problem and the fourth most leading cause of death in women around the world. High risk HPV DNA has been shown to be present in 99.7% of cervical cancers worldwide. So detection of HPV DNA by PCR may help in early detection and management of cervical cancer. This cross sectional observational study was done to detect L1 antigen gene of HPV from cervical swab by nested PCR. Following universal safety precautions a total of 141 endocervical swabs were collected from Colposcopy clinic of Obstetrics and Gynaecology department of MMCH from January 2015 to December 2015...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755566/study-of-the-prevalence-of-dyspepsia-in-the-adult-population-in-a-rural-community-of-bangladesh
#15
J Chowdhury, M S Islam, A R Miah, A Saha, P Pal, A A Siddique, M S Alam, M A Raihan
Dyspepsia is a symptom complex that includes epigastric pain, post-prandial fullness, bloating, early satiety, belching, nausea, vomiting, heartburn, acid regurgitations and anorexia. The most widely applied definition of dyspepsia is the Rome working team formulation namely chronic or recurrent pain or discomfort centered in the upper abdomen. Till date the prevalence of dyspepsia in Bangladesh has not been studied much. The last study was done in 1987 in a rural community and the prevalence of dyspepsia was found to be 41...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755565/estimation-of-serum-zinc-copper-and-magnesium-levels-in-bangladeshi-women-with-gestational-diabetes-mellitus-attending-in-a-tertiary-care-hospital
#16
F A Mishu, N Boral, N Ferdous, S Nahar, G S Sultana, M S Yesmin, N Z Khan
Zinc (Zn), Copper (Cu) and Magnesium (Mg) are essential trace elements for normal embryogenesis and fetal growth. Alteration of Zn, Cu and Mg concentrations in blood has been observed in normal pregnancy as well as in gestational diabetes mellitus (GDM). Aim of this study was to evaluate the serum Zn, Cu and Mg levels in Bangladeshi women with GDM in their second and third trimester of pregnancy. This descriptive cross sectional study was conducted at Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh from July 2013 to June 2014...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755564/evaluation-of-duodenal-eosinophil-count-in-adult-patients-with-functional-dyspepsia
#17
A M Sarkar, S Akhter, M R Khan, M Saha, M R Alam, C K Ghosh, D S Ahmed, A R Miah, P K Roy
Several mechanisms have been proposed to explain the symptoms of functional dyspepsia but actual pathogenesis is still poorly understood. Recent studies support duodenal abnormality to be the most important causal link to explain symptoms and to understand abnormal pathophysiology of functional dyspepsia. The aim of this prospective observational study is to compare eosinophil count in duodenal mucosa between patients with functional dyspepsia and control subjects without dyspepsia and was done at the department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from December 2015 to December 2016...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755563/work-ability-among-nurses-in-a-public-medical-college-hospital
#18
S R Das, C Biswas
This cross sectional study was carried out 197 nurses of Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh from 1st July 2015 to 30th June 2016. Purpose of the study was to assess work ability and its association with sociodemographic characteristics & work related variables which affect work ability among nurses in a Public Medical College Hospital. Sampling method was simple random sampling. By face to face interview data was collected with the help of semi-structured questionnaire and all data were analyzed with SPSS software version 21...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755562/frequency-and-predictors-of-erectile-dysfunction-in-bangladeshi-men-with-type-2-diabetes-mellitus-experience-from-a-tertiary-center
#19
M I Mahbub, A B Kamrul-Hasan, S Selim, A S Mir, M Saifuddin, M F Pathan
Erectile dysfunction (ED) is a common complication of diabetes mellitus. But it is frequently under diagnosed and may result in poor quality of life. Previous studies have shown a high frequency of ED in diabetic men. The aim of this cross-sectional study was to determine the frequency of ED and explore its risk factors in type 2 diabetic (T2DM) men in Bangladesh. During August 2013 to July 2014, 508 diabetic men aged 30-69 years were interviewed at the outpatient and inpatient departments of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorder (BIRDEM), Dhaka, Bangladesh...
January 2019: Mymensingh Medical Journal: MMJ
https://read.qxmd.com/read/30755561/anterior-cruciate-ligament-reconstruction-using-autologous-hamstring-double-bundle-graft-compared-with-single-bundle-graft-procedures
#20
A Z Chowdhury, M H Ali, M A Faisal, I K Kundu, K N Arifeen, C I Mahmood, M M Rana, J H Buyan
Anterior cruciate ligament injury is one of the commonest sports injuries, which often markedly reduces activity and the quality of life. The autologous hamstring double bundle graft and single bundle graft are commonly used for anterior cruciate ligament reconstruction. The choice of graft material for ACL reconstruction is believed to play a major role in the outcome but still there are controversies about the graft selection for primary ACL reconstruction. The aim of this study was to compare the clinical and functional outcome of autologous double bundle (DB) hamstring graft and single bundle (SB) hamstring graft reconstruction for the ACL injury...
January 2019: Mymensingh Medical Journal: MMJ
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