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Mymensingh Medical Journal: MMJ

F A Rima, M Hussain, N Awal, M Aminullah, F Chowdhury, Z B Khan
Steatocystoma is a benign adnexal tumor arising from the pilosebaceous duct junction. It can be classified into two groups (steatocystoma simplex and steatocystoma multiplex). Steatocystoma simplex, which presents as a solitary, non-herited very rare lesion in adult. It occurs most commonly in the axillae, in the sternal region and on the arms. Scalp is an extremely rare location. We report a case of 49-years-old male admitted in Department of Surgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh on February 2017 presented with slowly progressing painless, soft, yellowish, single smooth surface mass on the left parietal scalp which had persisted for a period of 8 years...
July 2018: Mymensingh Medical Journal: MMJ
K J Shyamaly, M Mutanabbi, M K Talukder, N Farzana, R Riaaz, C A Kawser
Primitive neuroectodermal tumors are malignant tumor of pluripotent cells of neural crest. It has diverse clinical presentation and aggressive clinical behaviour. Clinical features may provide some clue but imaging studies such as MRI of brain; tissue histopathology, immune histochemistry and cytogenetic are essential to confirm the diagnosis. Here we describe a girl of 4½ years age admitted with the complaints of, low back pain for 2 months, gradually worsening weakness in both lower limbs for the same duration along with urinary incontinence and constipation for 1 month...
July 2018: Mymensingh Medical Journal: MMJ
A W Chowdhury, M A Saleh, P Hasan, M G Amin, K M Sabah, K N Islam, M Ahmed
Protein C is one of the most important factors that prevent blood from clotting. Protein C deficiency usually leads to venous thrombosis. We intend to report a male of 38 years admitted in coronary care unit of Dhaka Medical College Hospital, who suffered recurrent episodes of myocardial infarction, whose traditional risk factors were well controlled. Ultimately he was diagnosed with protein C deficiency, which is not commonly implicated in arterial thrombosis. Protein C deficiency can rarely cause severe life threatening arterial thrombosis, like myocardial infarction...
July 2018: Mymensingh Medical Journal: MMJ
M S Amin, M N Islam, N A Khan
Adenoma malignum (AM) of the uterine cervix, otherwise known as minimal deviation adenocarcinoma, is a rare variant of cervical adenocarcinoma, which represents a diagnostic challenge, due to its benign-resembling histological characteristics. We present a case of 54-year-old nullipara woman presented with menorrhagia for 2 years and that had worsened over the past few months. Transabdominal ultrasound fibroid uterus with cluster of nabothian cysts was in the cervix. Subsequently MRI was done for better characterization and showed intramural myomas in the uterine body...
July 2018: Mymensingh Medical Journal: MMJ
O F Miah, R M Hossain, T Ahammod, F A Dowel
Averrhoa bilimbi found in bilimbi tree is a well known fruits of warm climates, found throughout Bangladesh, India, Myanmar and South East Asian countries. This fruit contents high level of oxalate. Acute renal failure due to tubular necrosis caused by oxalate crystal has been reported. We present a patient who developed acute kidney injury following ingestion of bilimbi fruit juice and had complete recovery with conservative management and concluded that star fruit and bilimbi fruit juice should be avoided in CKD and on dialysis patients...
July 2018: Mymensingh Medical Journal: MMJ
M Zubair, L Habib, M Yousuf, S Ghazanfar, S Quraishi, M S Quraishi, M R Mirza
Recorded videos of laparoscopic surgery can be used to audit surgical practice with a view to improve clinical practice and surgical outcomes. The objective was to audit our own practice by reviewing video recordings of laparoscopic cholecystectomies to improve our dissection in Calot's triangle and to prevent gall bladder perforation. We used recorded videos of laparoscopic cholecystectomy. In this study initially one hundred consecutive videos were reviewed for: a) establishment of critical view of safety, b) optimization of critical view of safety by division of cystic artery before cystic duct, c) perforation of gall bladder and d) use of diathermy for cystic artery...
July 2018: Mymensingh Medical Journal: MMJ
H Kumar, V A Singh, M Isha, S Mehta, R Garg, P Shinu
TORCH {Toxoplasma gondii, Rubella, Cytomegalovirus (CMV), the Herpes Simplex Virus (HSV)} infection causes pregnancy wastage at any stage of gestation. Serological assays can be an important tool for diagnosis. It includes ELISA which is highly specific & sensitive with certain drawbacks like time consuming and for each genus separate test have to be done. Line-Immunoassay (LIA), a newer, cheaper and reliable technique on contrary is done on single panel strip. The present retrospective study was conducted with the aim to evaluate the efficacy of Line Immunoassay for detection of TORCH IgM antibodies...
July 2018: Mymensingh Medical Journal: MMJ
S Das, R K Khan, S M Alam, N H Chowdhury, P Das
Incidence and predominant subtype of Guillain Barre Syndrome (GBS) differ geographically. Electrophysiology has an important role in the early diagnosis and prediction of the prognosis. This study conducted to determine the predominant subtype of Guillain Barre Syndrome in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh and to compare the nerve conduction study finding between the axonal and demyelinating form of GBS. To analyze the nerve conduction study findings of Guillain Barre Syndrome patients attending the department of Neurology in BSMMU...
July 2018: Mymensingh Medical Journal: MMJ
M A Rahman, O A Chowdhury, M R Debnath, S M Ahmed, S Das, R Choudhury, R Akter, S Zaman, F Mahamud
Dermatophytes are a group of closely related fungi that have the capacity of invading the keratinized tissue of human to produce infections known as dermatophytosis which is commonly referred to as ringworm. Other than routine microscopy, different culture media are available for the detection of dermatophytes from patient's specimen. This cross sectional study was designed to evaluate the outcome of three different culture media and microscopy for the detection of dermatophytes from clinical samples. Skin, hair and nail samples from 84 clinically suspected cases of dermatophytosis who attended at OPD of Dermatology Department, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh from July 2014 to June 2015 were screened by direct microscopic examination using potassium hydroxide (KOH) mount...
July 2018: Mymensingh Medical Journal: MMJ
M A Islam, S Haque, K Ahmed, M S Bari, M M Hoque, M K Khan, N Haque, N Haque, K M Reza-Ul-Haq, M S Kobir
Chronic otitis media is a common condition seen in patients attending the otorhinolaryngology Department. The discharging ear presents the otologists with the dilemma of operating on it or not. The aim of the this cross-sectional observational study was to find out the outcome of surgery in chronic inactive mucosal otitis media and was conducted on 62 patients of either sex in the age group of 15-60 years in the Department of ENT and Head Neck surgery, Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh From July 2015 to January 2016...
July 2018: Mymensingh Medical Journal: MMJ
K Z Rushel, A Hoque, M K Alamgir, M Z Islam, K A Hasan, M R Rahman, R Sarkar, M K Hasan, A B Adhikary
Pediatric myocardium is unique from mature myocardium; thus, the use of adult cardioplegia for pediatric cardiac operations may provide suboptimal myocardial protection. It is found that children undergoing heart surgery show evidence of less myocardial damage when del Nido cardioplegia is used instead of a standard cardioplegic solution. Del Nido cardioplegia solution provides a depolarized hyperkalaemic arrest lasting up to 60 minutes, reduces spontaneous and inducible activity during arrest, and prevents hyper contraction during early reperfusion...
July 2018: Mymensingh Medical Journal: MMJ
F Akter, A B Kamrul-Hasan, E U Ahmed, S Selim, F Z Aalpona, M S Emran, M S Alam, M Saifuddin, M A Hasanat, M Fariduddin
Study on thyroid function and thyroid autoantibody status in pregnancy considering the trimester specific range, is scarce in Bangladesh. This cross sectional study done in Bangabandhu Sheikh Mujib Medical University, Bangladesh from August 2012 to June 2013 encompassed 186 pregnant women of first trimester for study of thyroid function (TSH, FT₄) and anti-thyroid antibodies (anti-TPO, anti-TG). Age of the subjects was 25.4±4.9 years (mean±SD), median gestational age was 9 weeks. Applying the trimester-specific normal reference range set by American Thyroid Association (ATA), 48(25...
July 2018: Mymensingh Medical Journal: MMJ
R Perveen, M H Hoque, K Ahmed, C M Ahmed, M A Jalil, T Parvin, D F Osmany, S Rashid, M B Rashid, S Nahar, S S Shakil
Diastolic dysfunction is a major predictor of mortality and morbidity in hypertensive patients. Not only LV, the RV is also expected to be affected in this overall procedure. To observe the Echocardiographic changes of diastolic function of the RV in systemic HTN and their relation with similar parameters of the LV was the objective. TDI was used in association with standard Doppler modality. In this cross-sectional study, 50 hypertensive subjects were studied who were devoid of any other conditions that may influence the diastolic function of the RV from 01 May 2012 to 31 October 2012 at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh...
July 2018: Mymensingh Medical Journal: MMJ
S A Rakib, S B Sharif, A Nahar, S M Alam
Thyroid cancer is the most frequent cancer among endocrine tumors, and account for approximately 1% of all malignancies. Recent literature has suggested an association between autoimmune thyroiditis and papillary thyroid cancer. The aim of the study was to choose the role of preoperative thyroid auto-antibodies as a predictive marker that could distinguish benign and malignant thyroid nodules and any other occult malignancy. This cross sectional study was done from July 2012 to June 2014 in department of Surgery Sir Salimullah Medical College & Mitford Hospital (SSMC&H) in collaboration with department of Otolaryngology SSMC&H, Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College and Bangladesh Medical College of Dhaka city...
July 2018: Mymensingh Medical Journal: MMJ
R K Kazal, S A Chowdhury, T T Mirza, H H Pervin, F Noor, B Chakma, F Z Aalpona
Thalassaemia is one of the commonest inherited disorders in Bangladesh. Since population is rapidly increasing in Bangladesh, therefore birth of large number of new cases is expected every year. Chorionic villus sampling (CVS) is an invasive diagnostic procedure done in early pregnancy to obtain fetal cells for the prenatal diagnosis of chromosomal and genetic disorders like thalassemia. To investigate the feasibility, safety, and outcome of transabdominal Chorionic Villus Sampling (CVS) for prenatal diagnosis of Beta Thalassemia, this retrospective analytical study was carried out on women who had undergone transabdominal CVS for prenatal diagnosis of Beta thalassemia...
July 2018: Mymensingh Medical Journal: MMJ
R Tajnin, M A Chaklader, N Yasmin, M D Hossain, S A Ahmad, M H Faruquee
Industrial noise is one of the major sources of noise pollution. Handloom industry is the biggest handicraft industry in our country; it is the second largest source of rural employment after agriculture. The workers of the handloom industry worked within excessive level of sound. This cross-sectional study was an attempt to see the status of hearing impairment among handloom worker at Tangail District, Bangladesh from August 2016 to December 2016. A total 180 handloom workers were included in this current study...
July 2018: Mymensingh Medical Journal: MMJ
M N Tarana, S M Shamsuzzaman
Group B Streptococcus (GBS) is an important cause of neonatal infection and transmitted from colonized vagina of mother. The purpose of the present study was to see the status of GBS infection in pregnant women. This prospective cross sectional study was conducted from July 2013 to June 2014 at Dhaka Medical College Hospital, Dhaka, Bangladesh. Total 224 vaginal swab samples were studied. Organisms were isolated and identified by Wet film microscopy, Gram stain, biochemical tests, culture and PCR. Of the 224 samples, 46(20...
July 2018: Mymensingh Medical Journal: MMJ
S Satter, H Mahbub, S M Shamsuzzaman
This cross-sectional study was conducted in the Department of Microbiology of Dhaka Medical College, Dhaka, Bangladesh, from January 2015 to December 2015 to investigate the antibiotic resistance pattern and prevalence of genes encoding aminoglycoside-modifying enzymes in Escherichia coli and Klebsiella species isolated from a tertiary care hospital of Bangladesh. A total of 166 Escherichia coli, Klebsiella pneumoniae and Klebsiella oxytoca were isolated from urine, wound swab, pus, sputum and blood samples of patients of Dhaka Medical College Hospital...
July 2018: Mymensingh Medical Journal: MMJ
A Ferdous, A N Ahmed, S A Rahman, T Hasan, L Mahzabeen
Hepatitis B virus (HBV) infection is a serious global health problem. Globally more than 2 (Two) billion people are infected with Hepatitis B virus and about 400 million people are chronic carriers who are at risk of death from liver cirrhosis and liver cancer that kill more than one million people globally each year. Prevalence of HBV infection in Bangladesh is 2.3 to 9.7% and approximately 10 million people are harboring the virus as carrier. HBV infection is increasing at an alarming rate in Bangladesh due to lack of health education, poverty, illiteracy and lack of hepatitis B vaccination...
July 2018: Mymensingh Medical Journal: MMJ
S Yousuf, N Akhter, S Arzoo, B Ferdous
Misoprostol has been widely used in Obstetrics and Gynecology for cervical priming, medical abortion and induction of labour. The purpose of the present study was to evaluate the efficacy and safety of intravaginal misoprostol in mid-trimester medical termination of pregnancy. This non-randomized clinical trial was carried out in the Department of Obstetrics and Gynecology at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from July 2007 to June 2008 for a period of one year. Primi- or multigravid women with 13 to 28 weeks of singleton pregnancy, fetal congenital malformation and missed abortion who were selected for medical termination of pregnancy were included in this study...
July 2018: Mymensingh Medical Journal: MMJ
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