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Mymensingh Medical Journal: MMJ

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https://www.readbyqxmd.com/read/28260781/new-therapeutic-approach-to-treat-allergic-rhinitis-bronchial-asthma-considering-these-two-as-one-united-airway-disease
#1
M A Rahman, R Chakraborty, K R Ferdousi, A Alam, M K Chowdhury, B K Paul
The relationship between allergic rhinitis and asthma is now established, and most of the clinical, epidemiological and biological data recommend integrated management. This review discusses rhinosinusitis as a co-morbid condition, a precipitating or triggering condition, and an epiphenomenon as an integrated part of the disease. A better understanding and a more pragmatic method of diagnosis and management is needed using cost-effective long-term strategies. Allergic Rhinitis, though a non-life threatening disease, its pathogenesis reveals that Bronchial Asthma also develops by the same aetiopathogenesis...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260780/pulmonary-arterio-venous-malformation-pavm-a-rare-case-report
#2
A H Mollah, M S Islam, N Ghafoor, S S Morshed, T K Kar, A L Kabir, N Tabassum
A 6-year-old boy from Comilla, was admitted in Dhaka Medical College Hospital with exertional dyspnea, central cyanosis, clubbing and was finally diagnosed as pulmonary Arterio-Venous Malformation (PAVM) by bubble contrast echocardiography, and pulmonary CT angiography. As PAVM is rare in children, it is often not thought of in differential diagnoses and the diagnosis remains in disguise. In this report, we described the clinical presentation of 6-year-old child with PAVM and also how to investigate the case to get the diagnosis...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260779/angiomyofibroblastoma-of-vulva-in-a-very-young-adult-female-a-rare-case-report
#3
M R Islam, S A Afzal, M Majeed, F Monjur, D Patowary
Angiomyofibroblastoma is a rare, well circumscribed benign mesenchymal neoplasm, usually arising in the pelviperineal region, especially the vulva and apparently composed of stromal cells distinctive to this anatomic region. Preoperative diagnosis of Angiomyofibroblastoma is very difficult, mostly diagnosed as Barthloin cyst due to its anatomical location. It is a histological diagnosis. In this article we report a case of Angiomyofibroblastoma of vulva.
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260778/granulomatosis-with-polyangiitis-wegener-granulomatosis-with-unusual-presentation
#4
M A Mannan, K Pasha, S Nahar, K Begum
We came across a 32 years old male admitted in our hospital with prolonged low-grade fever, haemoptysis, leg swelling, weight loss, purpuric rashes and malaena. He received anti-TB treatment at another hospital without any improvement. He was pale with bullous and purpuric lesions over legs and feet. He also had features of consolidation over both lung fields. His CRP was 312mg/L, Urine R/M/E showed 40-50 RBC/HPF, Chest X-ray showed features of bilateral consolidation, c-ANCA-10U/L (positive); Tracheal aspirate for AFB was found to be negative...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260777/calvarial-tuberculosis-a-case-report
#5
A R Satter, D S Asif, S Kundu, S S Gaddam, K Bhowmik
Calvarial Tuberculosis (CTB) is very rare form of TB. A 35 year old lady presented with a painless bony swelling over the right frontal area with an enlarged pre-auricular lymphnode. The CT revealed an expansile lytic lesion involving right frontal bone with minimal dural enhancement. In the presence of normal ESR, no past history of Tuberculosis, an expansile lytic lesion with intradural enhancement and previous inconclusive FNAC of pre-auricular lymphnode; she underwent surgical excision which revealed caseous granulation suggestive of TB...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260776/distal-common-bile-duct-tuberculosis-with-obstructive-jaundice-a-case-report
#6
M M Chowdhury, A K Ullah, M J Hossain, S Mohammed, S M Towhid, S A Sobhan, Z H Khan, F Jannat, M H Kabir
Tuberculosis (TB) isolated in Common Bile Duct (CBD) is very rare and its treatment is somewhat controversial. We report a case of distal CBD tuberculosis diagnosed as cholangiocarcinoma. A 40 year old man presented with obstructive jaundice without abdominal pain, fever or weight loss. Ultrasonography and Magnetic Resonance Cholangio-Pancreatography (MRCP) indicated a mass lesion in the Distal CBD, which caused structure of the distal common bile duct. As Cholangiocarcinoma was suspected, he underwent Whipple procedure (pancreaticoduodenectomy)...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260775/exceptional-multiple-foreign-body-ingestion-by-a-patient-with-schizophrenia
#7
M S Islam, M M Hasan, C R Debnath, M A Uddin, N Biswas, K M Kabir, M H Bhuiyan, M K Bakshi, M S Malek, M S Kader, K S Rahman, M J Hussain
Swallowing foreign body in adult is uncommon. This mostly occurs accidentally or in psychologically unsound patient. A 32-years-old male patient with abdominal pain admitted in surgery department of Mymensingh Medical College Hospital, Mymensingh, Bangladesh with a history of swallowing various objects. After endoscopic confirmation and psychological evaluation he underwent laparotomy and 29 different objects were removed from his stomach by Gastrotomy. He was psychiatrically evaluated after recovery from operation and was found to be suffering from Schizophrenia with cannabis use...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260774/barriers-to-healthcare-access-for-international-students-in-china
#8
M I Hasan, X G Li, W Valentino, A Ray
The objective of this study was to identify different barriers to healthcare access for international students in China. The study employed a cross sectional descriptive study using both qualitative and quantitative method. A representative sample of international students of a reputed university in China completed a mail back survey having a response rate of 7.5%. Identified barriers are classified as Cognitive, Financial and Structural barriers. One third (36.9%) international students perceived their health condition in China as bad in comparison with their home countries...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260773/assessment-of-variations-in-oxidative-stress-in-newborns-from-caesarian-and-normal-delivery-based-on-apgar-score
#9
M Sinharay, I Chakraborty, A Dasgupta, P Chakraborty
Fetal distress seems to be strongly related to fetal hypoxia, which is known to cause derangement of the balance between pro-oxidant and anti-oxidant factors by depleting the antioxidant reserve and increasing oxidative stress. Reduced Apgar score signify the fetal distress in postpartum period. The current study explores the severity of oxidative stress and nitrosative stress markers along with the antioxidant status in the cord blood of the newborns with low Apgar score (Group 1), fairly low Apgar score (Group 2) and normal Apgar score (Group 3) in both categories born by Cesarean section (CS) and Normal delivery (ND)...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260772/neonatal-transport-experience-of-a-tertiary-care-hospital-of-bangladesh
#10
S K Dey, S Sharker, I Jahan, S C Moni, K H Shabuj, M J Chisti, M A Mannan, M Shahidullah
Safe transportation is mostly an unnoticed neonatal health issue in Bangladesh and no documentation is available regarding the existing practices. So this study was intended to document transport status of the referred newborn to a tertiary care hospital. This observational study included 150 out born neonates over 12 months period transported from various places to NICU, Bangabandhu Sheikh Mujib Medical University (BSMMU) from May 2015 to April 2016. A structured data collection form was used to record information categorized into pre-transport, during transport and at admission...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260771/presentation-pattern-of-histology-and-illustrations-in-the-histology-text-books-commonly-used-by-the-medical-undergraduates-of-bangladesh
#11
N F Amin, K M Shamim
The teaching-learning and assessment of cell and histology have gone through remarkable changes in recent times. Histology text books recommended by renowned medical institutions should be good reflectors of these changes and the present trends. Cell and histology is categorically visual in nature. So, their presentation in text books is likely to show rational and meaningful use of illustrations. From July 2007 to June 2008, this descriptive observational study was done to analyze the presentation pattern of illustrations in two histology text books commonly recommended for the medical undergraduates of Bangladesh through: a) estimating the relative weights given to (i...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260770/a-comparative-study-for-the-management-of-peri-radicular-pathosis-by-conventional-root-canal-therapy-and-non-instrumental-endodontic-therapy
#12
M R Howlader, T A Zannat, S S Chowdhury, M A Hussain
Non-surgical endodontics is one of the realities in modern endodontics globally which is a highly sophisticated specialized technical clinical procedure to conserve the teeth. Lesion Sterilized Tissue Repair (LSTR) is an alternative of conventional non-surgical endodontics (C-RCT) considered being a valuable adjunct to the treatment of infected root canal. This cross sectional prospective study was carried out in the department of Conservative Dentistry & Endodontics, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2002 to January 2003...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260769/morbidity-and-mortality-after-pancreatoduodenectomy-a-five-year-experience-in-bangabandhu-sheikh-mujib-medical-university
#13
B C Das, A S Khan, N E Elahi, M S Uddin, B C Debnath, Z R Khan
Mortality and morbidity was assessed after adoption of a systematic care for patient with pancreatoduodenectomy starting from patient selection and preparation, operative technique, and postoperative care. In this prospective study seventy patients who underwent pancreatoduodenectomy for periampullary carcinoma with curative intent between January 2010 and December 2014 were carefully analyzed prospectively. Patients were selected those who had ampullary carcinoma, lower bile duct carcinoma and small size carcinoma head of pancreas without local invasion and distant metastasis, and the patient who did not have any major disabling comorbid diseases...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260768/peptic-ulcer-disease-in-bangladesh-a-multi-centre-study
#14
C K Ghosh, M R Khan, F Alam, B C Shil, M S Kabir, M Mahmuduzzaman, S C Das, H Masud, P K Roy
The incidence of peptic ulcer has steadily declined through out the world. This decreasing trend is also noticeable in this subcontinent. The point prevalence of peptic ulcer (PUD) in Bangladesh was around 15% in eighties. The aim of this study was to see the present prevalence of peptic ulcer at endoscopy and to identify changing trends in the occurrence of peptic ulcer in Bangladesh. This retrospective analysis of the endoscopic records of multiple tertiary referral centres of Dhaka city were done from January 2012 to July 2013...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260767/correlation-of-systemic-inflammatory-status-and-cardiac-myonecrosis-in-patients-undergoing-percutaneoues-coronary-intervention
#15
M K Mohsin, M U Ahmed
Increased levels of the inflammatory biomarker high-sensitivity C-reactive protein predict cardiovascular events. Pre-Percutaneoues coronary intervention (PCI) plasma hs-CRP concentration has been reported to influence both short and long term outcome after percutaneoues coronary intervention (PCI). Studies have reported association between pre-PCI CRP and PCI induced cardiac myonecrosis evaluated by sensitive marker of myocardial injury. The present study attempts to evaluate the influence of pre-PCI CRP levels, factors related to the procedure and ongoing medications on the event of post-PCI cardiac myonecrosis...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260766/perinatal-complications-in-diabetes-mellitus-with-pregnancy-comparison-between-gestational-diabetes-mellitus-gdm-and-diabetes-mellitus-prior-to-pregnancy
#16
F B Rashid, H Khatoon, M A Hasnat, R Amin, A K Azad
Diabetes is alarmingly high among Bangladeshi people. But there have been very few studies assessing the effect of diabetes on perinatal outcomes, particularly comparing diabetes prior to pregnancy and gestational diabetes (GDM). This cross sectional observational study was conducted in the Department of Obstetrics & Gynaecology, BIRDEM Hospital, Dhaka, Bangladesh from September 2010 to February 2011. Pregnant women admitted in BIRDEM Hospital for delivery after 28 weeks of gestation were selected to assess perinatal complications of GDM and diabetes prior to pregnancy and to compare them after taking permission from institutional review board...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260765/comparison-of-molecular-detection-method-nested-polymerase-chain-reaction-with-blood-culture-and-paired-widal-test-for-the-rapid-diagnosis-of-typhoid-fever
#17
S Khan, R A Miah, S Pal, S Khatun, N Fatema, R R Roy, C R Naheen
Typhoid fever is a major health problem in developing countries in spite of the use of antibiotics and the development of newer antibacterial drugs. Blood culture & serological tests (specially Widal test) which are invariably done in Bangladesh for typhoid fever diagnosis give unacceptable levels of false negative & false positive results respectively. This cross sectional study was done at Bangabandhu Sheikh Mujib Medical University from March 2013 to February 2014. In this study, a polymerase chain reaction-based technique (which has 100% specificity for Salmonella Typhi) was compared with blood culture and widal test among 80 clinically suspected cases of typhoid fever...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260764/sonographically-detected-non-alcoholic-fatty-liver-disease-in-apparently-healthy-adults-and-associated-factors
#18
M Saha, K Nahar, I Parveen, M Mahmuduzzaman, M A Hosen, P Mutsuddy, M H Khan
This hospital-based study was done to see the prevalence of sonologically detected non alcoholic fatty liver disease and associated factors in the apparently healthy adults. Apparently healthy and non alcoholic companions of the patients visiting the Centre of Nuclear Medicine and Ultrasound, Sylhet were subjected to abdominal ultrasonography to see the presence of fatty liver. Demographic features and other relevant data were collected in a semi structured questionnaire to find out the associated factors for non alcoholic fatty liver disease (NAFLD)...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260763/a-retrospective-histopathological-study-on-extra-pulmonary-tuberculosis-in-mymensingh
#19
A Begum, M A Baten, Z Begum, M M Alam, M M Ahsan, N P Ansari, S Zahan, M K Khan, F Nesa, M M Huq
Tuberculosis is a very common disease in our country. This retrospective histopathological study was designed to assess the distribution of extra-pulmonary tuberculosis (EPTB) in various organs through examination of biopsy specimens. A total of 216 specimens were diagnosed as tubercular lesion by histopathological evaluation in the Department of pathology, Community Based Medical College and a private laboratory during the period from January 2014 to December 2014. Mean age of the case was 32 years. Majority of the cases were female (126 out of 216)...
January 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28260762/improvement-of-liver-function-quality-of-life-and-survival-after-insertion-of-endoprosthesis-in-advance-malignant-biliary-obstruction
#20
A A Ullah, A Rahman, L H Chowdhury, A H Bhuiya
Obstructive jaundice due to advance malignancy is a fatal problem. It most commonly occurs at the distal common bile duct or at the hilum of liver. Magnetic Resonance Cholangio Pancreatography (MRCP) and Computed Tomography (CT) are most useful in identifying the underlying cause as well as localize the position of the stricture. For those patients with unresectable disease, progressive jaundice constitutes an immediate threat to their survival, in addition to significant loss to their quality of life secondary to pruritus, malaise and cholangitis...
January 2017: Mymensingh Medical Journal: MMJ
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