Pub Date : 2024-01-16DOI: 10.3329/kyamcj.v14i03.70618
ABM Moniruddin
Abstract not available KYAMC Journal Volume: 14, No: 03, October 2023:109-110.
摘要不详KYAMC Journal Volume: 14, No: 03, October 2023:109-110.
{"title":"Brief History of Safe Surgery","authors":"ABM Moniruddin","doi":"10.3329/kyamcj.v14i03.70618","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i03.70618","url":null,"abstract":"Abstract not available\u0000KYAMC Journal Volume: 14, No: 03, October 2023:109-110.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139619212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Poisoning is a significant global public health problem. In many countries acute poisoning is one of the common scenarios in the emergency department of any general hospitals globally but it’s pattern may vary in different parts of the world and even may be different regional variation in the same country.Objective: In this study our main goal is to evaluate the Profile of Poisoning cases attending in the Emergency Department of Khwaja Yunus Ali Medical College & Hospital (KYAMCH), Enayetpur, Sirajganj.Materials and Methods: This cross-sectional study was carried out at the emergency department of Khwaja Yunus Ali Medical college and hospital (KYAMCH), Enayetpur, Sirajganj from January’21 to December’21. Total 80 poisoning cases were collected by using a pre-designed format from Emergency register book/ records, for the study, were those who had undergone exposure to poison either by household or agricultural pesticides, stings bite or snake bite, industrial toxins or toxic plants, drug or miscellaneous products.Results: During this study, the majority were belonging to 16-30 years age group (65%), (55%) were Female and (75%) were Muslims, most of the cases were Suicidal (70%) and no Homicidal case was recorded. Besides that, (20%) poisoning cases were due to Barbiturate, followed by (12.5%) were Organo-phosphorous compound poisoning as well as copper sulphate poisoning. (35%) victim came to hospital within 2 hours to 6 hours and (73.75%) cases were shifted to General bed, followed by (11.25%) cases were Admitted in ICU and (31.25%) cases were found during spring.Conclusion: From our study, we can say that suicidal cases and Barbiturate poisoning were commonly seen. Besides that, young and middle-aged female people are mostly vulnerable to poisonous cases. KYAMC Journal Volume: 14, No: 03, October 2023: 116-119.
{"title":"Profile of Poisoning cases Attending in the Emergency Department of Khwaja Yunus Ali Medical College and Hospital (KYAMCH), Enayetpur, Sirajganj.","authors":"Laila Yesmin, Md Rafiqul Islam, Taslima Akber Happy, Md Kafil Uddin, Farzana Ahmed, Debasish Ghosh, Md Kamrul Hassan Sardar","doi":"10.3329/kyamcj.v14i03.68374","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i03.68374","url":null,"abstract":"Background: Poisoning is a significant global public health problem. In many countries acute poisoning is one of the common scenarios in the emergency department of any general hospitals globally but it’s pattern may vary in different parts of the world and even may be different regional variation in the same country.Objective: In this study our main goal is to evaluate the Profile of Poisoning cases attending in the Emergency Department of Khwaja Yunus Ali Medical College & Hospital (KYAMCH), Enayetpur, Sirajganj.Materials and Methods: This cross-sectional study was carried out at the emergency department of Khwaja Yunus Ali Medical college and hospital (KYAMCH), Enayetpur, Sirajganj from January’21 to December’21. Total 80 poisoning cases were collected by using a pre-designed format from Emergency register book/ records, for the study, were those who had undergone exposure to poison either by household or agricultural pesticides, stings bite or snake bite, industrial toxins or toxic plants, drug or miscellaneous products.Results: During this study, the majority were belonging to 16-30 years age group (65%), (55%) were Female and (75%) were Muslims, most of the cases were Suicidal (70%) and no Homicidal case was recorded. Besides that, (20%) poisoning cases were due to Barbiturate, followed by (12.5%) were Organo-phosphorous compound poisoning as well as copper sulphate poisoning. (35%) victim came to hospital within 2 hours to 6 hours and (73.75%) cases were shifted to General bed, followed by (11.25%) cases were Admitted in ICU and (31.25%) cases were found during spring.Conclusion: From our study, we can say that suicidal cases and Barbiturate poisoning were commonly seen. Besides that, young and middle-aged female people are mostly vulnerable to poisonous cases.\u0000KYAMC Journal Volume: 14, No: 03, October 2023: 116-119.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"53 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139527568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-16DOI: 10.3329/kyamcj.v14i03.68525
Joya Debnath, Arpan Kumar Basak, Rakibul Hasan Khan, Laila Yesmin, Zubaidur Rahman
Background: Rapid motorization bought a boon along with the curse of road traffic accidents toll. Injuries and death due to RTA are one of the major public health problems across the globe, especially in developing countries, due to lack of comprehensive legislative measures. RTA are responsible for the greatest number of injuries and fatalities worldwide by killing around 1.2 million people each year and injuring another 50 million. It will have an immeasurable impact on the families affected by RTA. Objective: To evaluate the situation of RTA in Tangail and to find out the pattern of injuries present in the dead bodies in RTA.Materials and Methods: This is a retrospective study based on autopsy reports conducted to find out the pattern of death due to road traffic accidents in Sheikh Hasina Medical College and Hospital, Tangail during the period from 1st January 2020 to 31st December 2020. After reviewing all postmortem reports 53 cases were found due to RTA, including railway accidents during this study period.Results: A total of 391 postmortem were conducted during the study period from January 2020 to December 2020 and out of which 53 cases were RTA. Female deaths were only 12( 22.64%) and the majority of the deaths were male 41( 77.36%). The highest percentage of deaths were found in the age group 21-30 year 21( 39.62%), followed by 31-40 (18.87%), 41-50 years( 16.98%). According to the types of vehicles, buses and lorries were responsible for the deaths. Regarding the types of victim distribution, pedestrians 28 (52.83(%) were the highest percentage and vehicle occupants were 15(28.30%). Among total cases, head injury (41.51%) was the highest percentage responsible for deaths, followed by fracture of the skull bone ( 41.51%), fracture of the long bone ( 16.98%), chest injuries( 22.64%) and pelvis fracture (5.66%.)Conclusion: Strict enforcement of traffic law, using seatbelts, maintaining the fitness of vehicles, driving licenses, improving public awareness, etc., can reduce this economic burden and protect vulnerable groups of people in our country. KYAMC Journal Volume: 14, No: 03, October 2023: 158-160.
{"title":"Clinicodemographic Pattern of Death in Road Traffic Accidents at Tangail Medical College.","authors":"Joya Debnath, Arpan Kumar Basak, Rakibul Hasan Khan, Laila Yesmin, Zubaidur Rahman","doi":"10.3329/kyamcj.v14i03.68525","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i03.68525","url":null,"abstract":"Background: Rapid motorization bought a boon along with the curse of road traffic accidents toll. Injuries and death due to RTA are one of the major public health problems across the globe, especially in developing countries, due to lack of comprehensive legislative measures. RTA are responsible for the greatest number of injuries and fatalities worldwide by killing around 1.2 million people each year and injuring another 50 million. It will have an immeasurable impact on the families affected by RTA. Objective: To evaluate the situation of RTA in Tangail and to find out the pattern of injuries present in the dead bodies in RTA.Materials and Methods: This is a retrospective study based on autopsy reports conducted to find out the pattern of death due to road traffic accidents in Sheikh Hasina Medical College and Hospital, Tangail during the period from 1st January 2020 to 31st December 2020. After reviewing all postmortem reports 53 cases were found due to RTA, including railway accidents during this study period.Results: A total of 391 postmortem were conducted during the study period from January 2020 to December 2020 and out of which 53 cases were RTA. Female deaths were only 12( 22.64%) and the majority of the deaths were male 41( 77.36%). The highest percentage of deaths were found in the age group 21-30 year 21( 39.62%), followed by 31-40 (18.87%), 41-50 years( 16.98%). According to the types of vehicles, buses and lorries were responsible for the deaths. Regarding the types of victim distribution, pedestrians 28 (52.83(%) were the highest percentage and vehicle occupants were 15(28.30%). Among total cases, head injury (41.51%) was the highest percentage responsible for deaths, followed by fracture of the skull bone ( 41.51%), fracture of the long bone ( 16.98%), chest injuries( 22.64%) and pelvis fracture (5.66%.)Conclusion: Strict enforcement of traffic law, using seatbelts, maintaining the fitness of vehicles, driving licenses, improving public awareness, etc., can reduce this economic burden and protect vulnerable groups of people in our country.\u0000KYAMC Journal Volume: 14, No: 03, October 2023: 158-160.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":" 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139618541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Benign Prostatic Hyperplasia (BPH) causing urinary obstruction is a common entity in a man over 40 years old. Enlarge prostate causes compression of the prostatic part of the urethra leading to bladder outflow obstruction, causes LUTs (lower urinary tract symptoms) of BPH and decreases quality of life.Objectives: To find out the correlation of prostate volume, and BMI with Uroflowmetry variables, of patients having BPH symptoms.Materials and Methods: A total of 44 patients having BPH symptoms, ages ranging from 48 to 85 years, who underwent transabdominal ultrasound and uroflowmetry in a standing position, were included in this study. The patients were divided into 4 age groups and 4 grades of prostate size for comparison. Height in cm and weight in Kg were recorded for BMI calculation.Results: Among the patients, the mean age was 66.25, with a mean prostate size of 39.73 g, with a Qmax of 14.45 ml/sec, Qave 5.96 ml/sec, mean voided volume 327.14 ml and PVR 57.91 ml with mean flow time 61 sec.In age group l, there were 3 patients, ages ranged 40 to 50 years. In age group ll, there were 11 patients, age range 51 to 60 years. In age group lll, there were 17 patients, ages ranged 61 to 70 years. In age group lV, there were 13 patients, age range 71 to 84 years. In grade l of prostate size (prostate <30 g), there were 13 patients. In grade ll prostate size (prostate 30-<50 g ), there were 25 patients. In grade lll, prostate size (50- <85 g), there were 4 patients. In grade lV (prostate size is >85 g), there were 2 patients. No significant difference was found among 4 age groups and 4 grades of prostate volume. However, there was a weak correlation between prostate size and uroflowmetry variables without a significant difference.Conclusion: There was a correlation between prostate volume and different uroflowmetry variables of age-related groups and grades of the prostate but the correlation was weak. KYAMC Journal Volume: 14, No: 03, October 2023: 138-144.
{"title":"Correlation of Prostate Volume, Uroflowmetry Variables and BMI in Patients Having Clinical Benign Prostatic Hyperplasia.","authors":"Ashraf Uddin Mallik, Md Mostafizur Rahman, Uttam Karmaker, Tamanna Jahan, Marufur Rahman, Nure Shahriar, Imtiaz, Dilruba Yasmin, Yasir Arafat","doi":"10.3329/kyamcj.v14i03.68562","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i03.68562","url":null,"abstract":"Background: Benign Prostatic Hyperplasia (BPH) causing urinary obstruction is a common entity in a man over 40 years old. Enlarge prostate causes compression of the prostatic part of the urethra leading to bladder outflow obstruction, causes LUTs (lower urinary tract symptoms) of BPH and decreases quality of life.Objectives: To find out the correlation of prostate volume, and BMI with Uroflowmetry variables, of patients having BPH symptoms.Materials and Methods: A total of 44 patients having BPH symptoms, ages ranging from 48 to 85 years, who underwent transabdominal ultrasound and uroflowmetry in a standing position, were included in this study. The patients were divided into 4 age groups and 4 grades of prostate size for comparison. Height in cm and weight in Kg were recorded for BMI calculation.Results: Among the patients, the mean age was 66.25, with a mean prostate size of 39.73 g, with a Qmax of 14.45 ml/sec, Qave 5.96 ml/sec, mean voided volume 327.14 ml and PVR 57.91 ml with mean flow time 61 sec.In age group l, there were 3 patients, ages ranged 40 to 50 years. In age group ll, there were 11 patients, age range 51 to 60 years. In age group lll, there were 17 patients, ages ranged 61 to 70 years. In age group lV, there were 13 patients, age range 71 to 84 years. In grade l of prostate size (prostate <30 g), there were 13 patients. In grade ll prostate size (prostate 30-<50 g ), there were 25 patients. In grade lll, prostate size (50- <85 g), there were 4 patients. In grade lV (prostate size is >85 g), there were 2 patients. No significant difference was found among 4 age groups and 4 grades of prostate volume. However, there was a weak correlation between prostate size and uroflowmetry variables without a significant difference.Conclusion: There was a correlation between prostate volume and different uroflowmetry variables of age-related groups and grades of the prostate but the correlation was weak.\u0000KYAMC Journal Volume: 14, No: 03, October 2023: 138-144.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139620352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-10DOI: 10.3329/kyamcj.v14i02.65607
None Gazi Ikhtiar Ahmed, None Farkhanda Mah Jebin, None Md Ahsan Habib, None Md Nahidul Islam, None Shaila Zaman, None Samiul Hasan Melar, None Md Nurun Nabi Arafat
Background: A healthy oral cavity is of great significance for an individual’s overall health and well-being. Further, it enables an individual to masticate, speak and socialize without any active discomfort or embarrassment.Objectives: The study was conducted with the objective of revealing the condition of Healthy Oral Health Practice among a Selected Secondary School Children of Sirajganj District.Materials & Methods: This was a descriptive cross-sectional survey conducted during the month of April-June 2022. The target population for this study were the people residing in secondary school children of Shahjadpul upazila in the Sirajganj district. A convenience sampling technique was adopted. A total of 325 respondents were included in the study.Results: The age of study population ranged between 13 to 15 years with a mean age of 14 years. Data pertaining to the oral hygiene habits among the study population (n=325). The survey revealed that approximately 56.9% of the population studied, brushed their teeth once daily, while 38.5% respondents brushed twice a day. About knowledge towards general oral health, most of sample subjects were aware that sweets (89.8%) & smoking (65.5%) was not good for dental health. 85.6% of the respondents knew about the detrimental effect of paan/ tobacco respectively on oral health. About half the respondents were aware that maligned teeth could affect oral health. A variable proportion of respondents were aware of the adverse effects of various habits e.g., thumb sucking (29.2%) and nail biting (48.0%).Conclusions: This survey furnishes the background data to get insight into the status of awareness of secondary-level school students regarding oral health. KYAMC Journal Vol. 14, No. 02, July 2023: 64-68.
{"title":"Oral Health Knowledge and Practice Behaviour among Secondary School Children in Shahzadpur Upazilla, Siraganj, Bangladesh.","authors":"None Gazi Ikhtiar Ahmed, None Farkhanda Mah Jebin, None Md Ahsan Habib, None Md Nahidul Islam, None Shaila Zaman, None Samiul Hasan Melar, None Md Nurun Nabi Arafat","doi":"10.3329/kyamcj.v14i02.65607","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i02.65607","url":null,"abstract":"Background: A healthy oral cavity is of great significance for an individual’s overall health and well-being. Further, it enables an individual to masticate, speak and socialize without any active discomfort or embarrassment.Objectives: The study was conducted with the objective of revealing the condition of Healthy Oral Health Practice among a Selected Secondary School Children of Sirajganj District.Materials & Methods: This was a descriptive cross-sectional survey conducted during the month of April-June 2022. The target population for this study were the people residing in secondary school children of Shahjadpul upazila in the Sirajganj district. A convenience sampling technique was adopted. A total of 325 respondents were included in the study.Results: The age of study population ranged between 13 to 15 years with a mean age of 14 years. Data pertaining to the oral hygiene habits among the study population (n=325). The survey revealed that approximately 56.9% of the population studied, brushed their teeth once daily, while 38.5% respondents brushed twice a day. About knowledge towards general oral health, most of sample subjects were aware that sweets (89.8%) & smoking (65.5%) was not good for dental health. 85.6% of the respondents knew about the detrimental effect of paan/ tobacco respectively on oral health. About half the respondents were aware that maligned teeth could affect oral health. A variable proportion of respondents were aware of the adverse effects of various habits e.g., thumb sucking (29.2%) and nail biting (48.0%).Conclusions: This survey furnishes the background data to get insight into the status of awareness of secondary-level school students regarding oral health. KYAMC Journal Vol. 14, No. 02, July 2023: 64-68.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136296009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-10DOI: 10.3329/kyamcj.v14i02.68563
None Moktadir Hossain Mridha, None Mohammad Shah Alam, None Md Maidul Islam, None Md Ali Ashraf, None K M Faisal Al Ahsan, None Amiya Dev Bhatta, None A K M Anwarul Islam
Background: In long-segment urethral stricture, substitutional urethroplasty is the best option to get long-term good results. Though buccal mucosa is the most widely used tissue, it has limitations in some oral pathology. In several publications, there is evidence that Tunica vaginalis can be used as a graft or flap to reconstruct fibrotic urethra as well as to provide a vascularized covering to prevent subsequent urethrocutaneous fistula formation. This study evaluated the efficacy of the tunica vaginalis pedicle flap’s efficacy for managing anterior urethral stricture.Objectives: To evaluate the clinical efficacy of tunica vaginalis pedicle flap for reconstruction of anterior urethral stricture by assessing change in the maximum flow rate (Qmax), International prostatic symptom index (IPSS), postvoid residual urine (PVR) from baseline and the complication of surgery.Materials and Methods: This was a prospective clinical trial conducted in the Department of Urology, Bangabandhu Sheikh Mujib Medical University, Dhaka from July 2017 to June 2018. A total of 15 patients were selected from the study population according to inclusion and exclusion criteria. The standard operation technique of urethroplasty by tunica vaginalis flap was followed. Patients were followed up after 3 months & 6 months to evaluate IPPS score, Qmax, flow time, PVR, and complications.Results: The mean age and stricture length of study participants were 38.93±11.38 years and 3.55±1.05 cm. The maximum flow of urine was 15.844±3.80 ml/sec at the final follow up which showed statistically significant improvement from baseline. There was also a significant improvement in IPSS, and quality of life during follow-up. Flow time and post-void residue reduced significantly from preoperative measurement. A total of 4 patients developed complications after the substitution of urethroplasty with tunica vaginalis.Conclusion: Tunica vaginalis pedicle flap may be an effective choice in the reconstruction of anterior urethral stricture.KYAMC Journal Vol. 14, No. 02, July 2023: 79-82.
{"title":"Tunica Vaginalis Pedicle Flap Substitution Urethroplasty for Reconstruction of Anterior Urethral Stricture","authors":"None Moktadir Hossain Mridha, None Mohammad Shah Alam, None Md Maidul Islam, None Md Ali Ashraf, None K M Faisal Al Ahsan, None Amiya Dev Bhatta, None A K M Anwarul Islam","doi":"10.3329/kyamcj.v14i02.68563","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i02.68563","url":null,"abstract":"Background: In long-segment urethral stricture, substitutional urethroplasty is the best option to get long-term good results. Though buccal mucosa is the most widely used tissue, it has limitations in some oral pathology. In several publications, there is evidence that Tunica vaginalis can be used as a graft or flap to reconstruct fibrotic urethra as well as to provide a vascularized covering to prevent subsequent urethrocutaneous fistula formation. This study evaluated the efficacy of the tunica vaginalis pedicle flap’s efficacy for managing anterior urethral stricture.Objectives: To evaluate the clinical efficacy of tunica vaginalis pedicle flap for reconstruction of anterior urethral stricture by assessing change in the maximum flow rate (Qmax), International prostatic symptom index (IPSS), postvoid residual urine (PVR) from baseline and the complication of surgery.Materials and Methods: This was a prospective clinical trial conducted in the Department of Urology, Bangabandhu Sheikh Mujib Medical University, Dhaka from July 2017 to June 2018. A total of 15 patients were selected from the study population according to inclusion and exclusion criteria. The standard operation technique of urethroplasty by tunica vaginalis flap was followed. Patients were followed up after 3 months & 6 months to evaluate IPPS score, Qmax, flow time, PVR, and complications.Results: The mean age and stricture length of study participants were 38.93±11.38 years and 3.55±1.05 cm. The maximum flow of urine was 15.844±3.80 ml/sec at the final follow up which showed statistically significant improvement from baseline. There was also a significant improvement in IPSS, and quality of life during follow-up. Flow time and post-void residue reduced significantly from preoperative measurement. A total of 4 patients developed complications after the substitution of urethroplasty with tunica vaginalis.Conclusion: Tunica vaginalis pedicle flap may be an effective choice in the reconstruction of anterior urethral stricture.KYAMC Journal Vol. 14, No. 02, July 2023: 79-82.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136296011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-10DOI: 10.3329/kyamcj.v14i02.68531
None Most Morsheda Khatun, None Mohd Rafiqul Islam, None Rashed Mustafa, None Shahin Sharmin, None Mostarina Islam
Background: Many adult women of low socio-economic condition have been suffering from chronic dacryocystitis (CDC). Wider inner intercanthal distance (IICD) is a proposed risk factor for developing chronic dacryocystitis. A few studies have been undertaken in this regard. Objective: To find out the relationship between wider inner intercanthal distance and chronic dacryocystitis in adults. Materials and Methods: This cross-sectional comparative study was conducted in the Department of Anatomy, Rajshshi Medical College, Rajshshi, Bangladesh from July 2016 to June 2017. A total number of 460 subjects were enrolled for this study. Among them, 154 were patients of chronic dacryocystitis (CDC) and 306 were healthy controls. Their IICD was measured. Results: The mean IICD of CDC group was 30.71 ± 2.26 mm whereas the mean IICD of the control group was 29.20 ± 2.08 mm. The IICD of CDC patients was observed to be higher (p<0.001) compared to healthy controls. Conclusion: Those who had wider inner intercanthal distance were more predisposed to develop chronic dacryocystitis. So, wider IICD can be regarded as a risk factor for developing chronic dacryocystitis.KYAMC Journal Vol. 14, No. 02, July 2023: 83-86.
{"title":"Wider Inner Intercanthal Distance is a Predisposing Factor for Chronic Dacryocystitis in Adults","authors":"None Most Morsheda Khatun, None Mohd Rafiqul Islam, None Rashed Mustafa, None Shahin Sharmin, None Mostarina Islam","doi":"10.3329/kyamcj.v14i02.68531","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i02.68531","url":null,"abstract":"Background: Many adult women of low socio-economic condition have been suffering from chronic dacryocystitis (CDC). Wider inner intercanthal distance (IICD) is a proposed risk factor for developing chronic dacryocystitis. A few studies have been undertaken in this regard. Objective: To find out the relationship between wider inner intercanthal distance and chronic dacryocystitis in adults. Materials and Methods: This cross-sectional comparative study was conducted in the Department of Anatomy, Rajshshi Medical College, Rajshshi, Bangladesh from July 2016 to June 2017. A total number of 460 subjects were enrolled for this study. Among them, 154 were patients of chronic dacryocystitis (CDC) and 306 were healthy controls. Their IICD was measured. Results: The mean IICD of CDC group was 30.71 ± 2.26 mm whereas the mean IICD of the control group was 29.20 ± 2.08 mm. The IICD of CDC patients was observed to be higher (p<0.001) compared to healthy controls. Conclusion: Those who had wider inner intercanthal distance were more predisposed to develop chronic dacryocystitis. So, wider IICD can be regarded as a risk factor for developing chronic dacryocystitis.KYAMC Journal Vol. 14, No. 02, July 2023: 83-86.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136296012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The diagnosis of Hirschsprung disease (HD) is dependent on the histological study of rectal biopsy for ganglion cells and nerve fibers. Hematoxylin and Eosin (H&E) stain is commonly used. However, diagnosis is not possible with H&E staining every time, because staining has limitations in the diagnosis of immature ganglion cells in neonates and in the submucosal area where the ganglion cells are small in number. Using Toluidine blue (Tb) stain it has become easier to identify ganglion cells.Objective: To find out the efficacy of toluidine blue staining in the diagnosis of Hirschsprung disease.Materials and Methods: A cross-sectional descriptive observational study was carried out with the histological findings of 60 rectal punch biopsies and 60 full-thickness rectal biopsies from the corresponding same patients from March 2018 to February 2020. Ten cases of inadequate punch biopsy were excluded from the study. After paraffin embedding, slides were stained with H&E and Tb stains. Then stained sections were examined for the presence or absence of ganglion cells and hypertrophic nerve fibers in the submucosa and in between muscle layers. Result: Out of 50 punch biopsy cases, 33(66.0%) cases with H&E stain and 35(70.0%) cases with Tb stain showed presence of hypertrophic nerves (HN). In Non-HD cases, with H&E stain 11(22.0%) cases showed somewhat easy to identify ganglion cells. By using Tb stain ganglion cells were easy to identify in 4(8.0%) cases and somewhat easy to identify in 8(16.0%) cases. Out of 60 full-thickness rectal biopsy 38(63.30%) cases showed presence of hypertrophic nerves in both H&E and Tb stains. In Non-HD cases with H&E stain ganglion cells somewhat easy to identify in 8(13.3%) cases; easy to identify in 9(15.0%) cases and very easy to identify in 2(3.3%) cases. By using Tb stain, the identification of ganglion cells were 1(1.7%), 9(15.0%) and 9(15.0%) respectively. Study showed Tb stain was superior to H&E in the identification of ganglion cells and hypertrophic nerves.Conclusion: Toluidine blue stains should be used as the routine stain in adjunct to H&E stain to highlight ganglion cells in suspected Hirschsprung disease.KYAMC Journal Vol. 14, No. 02, July 2023: 69-73.
{"title":"Efficacy of Toluidine Blue Staining in Rectal Biopsy with Patients of Hirschsprung Disease","authors":"Halima Khatun, None Aklima Dilara Jannat, None Susmita Naha, None Shakila Jannat, None Md Atiqur Rahman, None ASM Akramul Islam, None AFM Saleh","doi":"10.3329/kyamcj.v14i02.66023","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i02.66023","url":null,"abstract":"Background: The diagnosis of Hirschsprung disease (HD) is dependent on the histological study of rectal biopsy for ganglion cells and nerve fibers. Hematoxylin and Eosin (H&E) stain is commonly used. However, diagnosis is not possible with H&E staining every time, because staining has limitations in the diagnosis of immature ganglion cells in neonates and in the submucosal area where the ganglion cells are small in number. Using Toluidine blue (Tb) stain it has become easier to identify ganglion cells.Objective: To find out the efficacy of toluidine blue staining in the diagnosis of Hirschsprung disease.Materials and Methods: A cross-sectional descriptive observational study was carried out with the histological findings of 60 rectal punch biopsies and 60 full-thickness rectal biopsies from the corresponding same patients from March 2018 to February 2020. Ten cases of inadequate punch biopsy were excluded from the study. After paraffin embedding, slides were stained with H&E and Tb stains. Then stained sections were examined for the presence or absence of ganglion cells and hypertrophic nerve fibers in the submucosa and in between muscle layers. Result: Out of 50 punch biopsy cases, 33(66.0%) cases with H&E stain and 35(70.0%) cases with Tb stain showed presence of hypertrophic nerves (HN). In Non-HD cases, with H&E stain 11(22.0%) cases showed somewhat easy to identify ganglion cells. By using Tb stain ganglion cells were easy to identify in 4(8.0%) cases and somewhat easy to identify in 8(16.0%) cases. Out of 60 full-thickness rectal biopsy 38(63.30%) cases showed presence of hypertrophic nerves in both H&E and Tb stains. In Non-HD cases with H&E stain ganglion cells somewhat easy to identify in 8(13.3%) cases; easy to identify in 9(15.0%) cases and very easy to identify in 2(3.3%) cases. By using Tb stain, the identification of ganglion cells were 1(1.7%), 9(15.0%) and 9(15.0%) respectively. Study showed Tb stain was superior to H&E in the identification of ganglion cells and hypertrophic nerves.Conclusion: Toluidine blue stains should be used as the routine stain in adjunct to H&E stain to highlight ganglion cells in suspected Hirschsprung disease.KYAMC Journal Vol. 14, No. 02, July 2023: 69-73.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136295591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-10DOI: 10.3329/kyamcj.v14i02.66351
None Syeda Nurjahan Begum, None Most Razina Jubaida, None Nusrat Zahan, None Rubaiya Alam
Background: Ovarian cancer is the 5th common cause of death in women. patients older than 30 years are high malignant potential group. The lifetime risk of dying from invasive ovarian cancer is about 1 in 95. Modern imaging techniques have demonstrated significant accuracy in the diagnosis and staging of adnexal masses that help the clinician in surgical and post-surgical treatment planning. Objective: To determine the accuracy of multidetector computed tomography (MDCT) in diagnoses of benign and malignant adnexal masses, compare it with histopathological diagnoses and find out the sensitivity, specificity, positive predictive value, negative predictive value of MDCT in diagnoses of benign and malignant adnexal masses. Materials and Methods: This cross-sectional observational study was carried out between January 2013 to December 2014 with 45 patients referred for an MDCT scan of the pelvic organ with a suspicion of adnexal mass in Dhaka Medical College, Dhaka. All the patients were evaluated by detailed history and clinical examination. CT scan of the pelvic organ was performed in all cases and the report was checked by the radiologists of DMCH. Operated patients were followed up after surgery up to histopathological diagnosis and correlated with CT scan findings. Results: CT diagnosis for evaluation of benign adnexal mass, sensitivity was 90.0%, specificity 92.0%, accuracy 91.1%, PPV was 90.0% and NPV 92.0%. In the case of malignant mass, sensitivity is 92.0%, specificity 90.0%, accuracy 91.1%, PPV 92.0% and NPV 90.0%. Conclusion: MDCT is a valuable modality in the diagnosis of benign and malignant adnexal masses.KYAMC Journal Vol. 14, No. 02, July 2023: 74-78.
{"title":"Accuracy of Multi-Detector Computed Tomography In the Diagnoses of Adnexal Masses","authors":"None Syeda Nurjahan Begum, None Most Razina Jubaida, None Nusrat Zahan, None Rubaiya Alam","doi":"10.3329/kyamcj.v14i02.66351","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i02.66351","url":null,"abstract":"Background: Ovarian cancer is the 5th common cause of death in women. patients older than 30 years are high malignant potential group. The lifetime risk of dying from invasive ovarian cancer is about 1 in 95. Modern imaging techniques have demonstrated significant accuracy in the diagnosis and staging of adnexal masses that help the clinician in surgical and post-surgical treatment planning. Objective: To determine the accuracy of multidetector computed tomography (MDCT) in diagnoses of benign and malignant adnexal masses, compare it with histopathological diagnoses and find out the sensitivity, specificity, positive predictive value, negative predictive value of MDCT in diagnoses of benign and malignant adnexal masses. Materials and Methods: This cross-sectional observational study was carried out between January 2013 to December 2014 with 45 patients referred for an MDCT scan of the pelvic organ with a suspicion of adnexal mass in Dhaka Medical College, Dhaka. All the patients were evaluated by detailed history and clinical examination. CT scan of the pelvic organ was performed in all cases and the report was checked by the radiologists of DMCH. Operated patients were followed up after surgery up to histopathological diagnosis and correlated with CT scan findings. Results: CT diagnosis for evaluation of benign adnexal mass, sensitivity was 90.0%, specificity 92.0%, accuracy 91.1%, PPV was 90.0% and NPV 92.0%. In the case of malignant mass, sensitivity is 92.0%, specificity 90.0%, accuracy 91.1%, PPV 92.0% and NPV 90.0%. Conclusion: MDCT is a valuable modality in the diagnosis of benign and malignant adnexal masses.KYAMC Journal Vol. 14, No. 02, July 2023: 74-78.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136296013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-10DOI: 10.3329/kyamcj.v14i02.66045
Moniruzzaman Khan, None Satabdi Ghosh, None A K M Shahidur Rahman, None Md Raihan Talukder, None Wakif Khan, None Kapil Dev Sarker, None Munmun Ghosh
Background: Cardiovascular disease (CVD) is a major emerging health problem. In Bangladesh, 27% of death occur due to CVD. Due to limited physical activity and dietary changes are the most common cause for higher incidence of CVD in developing countries. Overweight and obesity also affects. So, among young adults, the prevalence of CVD risk factors need to be assessed urgently.Objective: To assess the prevalence of risk factors of cardiovascular disease in undergraduate medical students. Materials and Methods: A cross-sectional study, among 4th year medical students was done in the Department of Pharmacology and Therapeutics, Khwaja Yunus Ali Medical College (KYAMC) from September 2022 to November 2022. The 4th year 90 medical students (40 male & 50 female) were included in this study. A questionnaire form containing sociodemographic criteria was provided to them. The physical parameter like systolic blood pressure, diastolic blood pressure, height, weight and waist circumference also were recorded. From these results Body Mass Index and waist-height ratio were calculated. Results: Our result showed that 25% of male and 36% of female medical students were overweight and obesity was more among male medical students (12.5%) than female(2%). 62.5% male and 78% female medical students were physically inactive. Conclusion: Changing the life style, eating habit and physical inactivities in early adulthood increases the risk of cardiovascular disease. The present study revealed the higher proportion of female students being overweight, physically inactive and more familial predisposition for developing CVD.KYAMC Journal Vol. 14, No. 02, July 2023: 87-91.
{"title":"The Alarming Prevalence of Cardiovascular Risk Factors among the Undergraduate Medical Students in Bangladesh","authors":"Moniruzzaman Khan, None Satabdi Ghosh, None A K M Shahidur Rahman, None Md Raihan Talukder, None Wakif Khan, None Kapil Dev Sarker, None Munmun Ghosh","doi":"10.3329/kyamcj.v14i02.66045","DOIUrl":"https://doi.org/10.3329/kyamcj.v14i02.66045","url":null,"abstract":"Background: Cardiovascular disease (CVD) is a major emerging health problem. In Bangladesh, 27% of death occur due to CVD. Due to limited physical activity and dietary changes are the most common cause for higher incidence of CVD in developing countries. Overweight and obesity also affects. So, among young adults, the prevalence of CVD risk factors need to be assessed urgently.Objective: To assess the prevalence of risk factors of cardiovascular disease in undergraduate medical students. Materials and Methods: A cross-sectional study, among 4th year medical students was done in the Department of Pharmacology and Therapeutics, Khwaja Yunus Ali Medical College (KYAMC) from September 2022 to November 2022. The 4th year 90 medical students (40 male & 50 female) were included in this study. A questionnaire form containing sociodemographic criteria was provided to them. The physical parameter like systolic blood pressure, diastolic blood pressure, height, weight and waist circumference also were recorded. From these results Body Mass Index and waist-height ratio were calculated. Results: Our result showed that 25% of male and 36% of female medical students were overweight and obesity was more among male medical students (12.5%) than female(2%). 62.5% male and 78% female medical students were physically inactive. Conclusion: Changing the life style, eating habit and physical inactivities in early adulthood increases the risk of cardiovascular disease. The present study revealed the higher proportion of female students being overweight, physically inactive and more familial predisposition for developing CVD.KYAMC Journal Vol. 14, No. 02, July 2023: 87-91.","PeriodicalId":17948,"journal":{"name":"KYAMC Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136296016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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