Gastric cancer remains the fifth most commonly diagnosed cancer and the third leading cause of cancer-related deaths worldwide. In 2018, there were an estimated 1,033,701 newly diagnosed cases and 782,685 related deaths. The aim of this study was to evaluate outcome of modified D2 gastrectomy operation in gastric cancer patients with or without comorbidities. This prospective observational study was conducted at the Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, from July 2019 to March 2021. A total of 53 patients were included in the study. The outcome of the surgery was assessed by monitoring postoperative complications for a period of 30 days. Statistical analysis was performed using SPSS (Statistical Package for the Social Sciences) version 28. Prior to the commencement of the study, the research protocol was approved by the Research Review Committee of the Department of Surgical Oncology and the Ethical Committee of the National Institute of Cancer Research and Hospital, Dhaka. There was no significant association observed between postoperative complications of modified D2 gastrectomy and patients’ age, gender, or smoking status. Among the 53 patients, the highest proportion (92.45%) experienced anorexia, followed by vomiting (81.13%), and approximately 71.69% had dyspepsia. Among the patients, 52.83% had diabetes mellitus (DM) and 45.28% had hypertension (HTN). Patients with gastric cancer and DM were found to be more susceptible to developing wound infections. Based on the analysis of the study results, it can be concluded that modified D2 gastrectomy is a safe procedure that yields acceptable postoperative outcomes for the treatment of gastric cancer in a tertiary care center. Mugda Med Coll J. 2024; 7(1): 31-35
{"title":"Modified D2 Gastrectomy operation in Gastric Cancer Patients and Outcome","authors":"Md Mosharraf Hossain, Junaidur Rahman, Tawhida Khandaker","doi":"10.3329/mumcj.v7i1.73967","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73967","url":null,"abstract":"Gastric cancer remains the fifth most commonly diagnosed cancer and the third leading cause of cancer-related deaths worldwide. In 2018, there were an estimated 1,033,701 newly diagnosed cases and 782,685 related deaths. The aim of this study was to evaluate outcome of modified D2 gastrectomy operation in gastric cancer patients with or without comorbidities. This prospective observational study was conducted at the Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, from July 2019 to March 2021. A total of 53 patients were included in the study. The outcome of the surgery was assessed by monitoring postoperative complications for a period of 30 days. Statistical analysis was performed using SPSS (Statistical Package for the Social Sciences) version 28. Prior to the commencement of the study, the research protocol was approved by the Research Review Committee of the Department of Surgical Oncology and the Ethical Committee of the National Institute of Cancer Research and Hospital, Dhaka. There was no significant association observed between postoperative complications of modified D2 gastrectomy and patients’ age, gender, or smoking status. Among the 53 patients, the highest proportion (92.45%) experienced anorexia, followed by vomiting (81.13%), and approximately 71.69% had dyspepsia. Among the patients, 52.83% had diabetes mellitus (DM) and 45.28% had hypertension (HTN). Patients with gastric cancer and DM were found to be more susceptible to developing wound infections. Based on the analysis of the study results, it can be concluded that modified D2 gastrectomy is a safe procedure that yields acceptable postoperative outcomes for the treatment of gastric cancer in a tertiary care center.\u0000Mugda Med Coll J. 2024; 7(1): 31-35","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":" 1160","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669043","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73955
Md Aminul Islam Sumon, Md Nazrul Islam, Md Farhad Hasan Chowdhury, Palash Kumar Deb nath, Muhammad Saiful Ahsan Rana, Jyoti Vaskar Saha, Gul Jannat, Sheikh Imran Hoseen, Mst Nazmun Naher
Chronic kidney disease (CKD) is a worldwide health problem because of the significant morbidity and mortality which is mostly due to chronic inflammation and proteinuria. Early detection of inflammation and its proper management can prevent further CKD progression and complications. This study aims to observe the association of neutrophil-lymphocyte ratio (NLR) with inflammatory markers in chronic kidney disease stage 3 and 4. In this study, a total of 100 adult patients of CKD stage-3 and 4 were included as study subjects and patient with acute illness, known case of malignancy, cardiovascular and cerebrovascular disease were excluded from the study. From each patient all the relevant history, clinical and laboratory findings were recorded in the data collection sheet. Study subjects were divided into two groups according to NLR value; those who have NLR 0- 3 were in group normal NLR and subjects with NLR >3 in group high NLR. Then markers of inflammation ESR, CRP and serum albumin were compared between these groups. Statistical analysis was done by Statistical Package for Social Science (SPSS) version 22.0. The mean ESR of male and female patients was higher in high NLR subjects than normal NLR subjects. The mean CRP was higher in high NLR subjects than normal NLR subjects. The mean serum albumin was lower in high NLR subjects than normal NLR subjects. The difference of mean ESR, CRP was statistically significant between high NLR and normal NLR subjects but difference of mean serum albumin was not statistically significant. The study findings suggest that high NLR is significantly associated with of inflammatory markers-ESR, CRP. Hence, it can be concluded that NLR could be used as an indicator of inflammation in CKD. Mugda Med Coll J. 2024; 7(1): 4-8
{"title":"Evaluation of Neutrophil-Lymphocyte Ratio as Inflammatory Marker in Chronic Kidney Disease Stage 3 and 4","authors":"Md Aminul Islam Sumon, Md Nazrul Islam, Md Farhad Hasan Chowdhury, Palash Kumar Deb nath, Muhammad Saiful Ahsan Rana, Jyoti Vaskar Saha, Gul Jannat, Sheikh Imran Hoseen, Mst Nazmun Naher","doi":"10.3329/mumcj.v7i1.73955","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73955","url":null,"abstract":"Chronic kidney disease (CKD) is a worldwide health problem because of the significant morbidity and mortality which is mostly due to chronic inflammation and proteinuria. Early detection of inflammation and its proper management can prevent further CKD progression and complications. This study aims to observe the association of neutrophil-lymphocyte ratio (NLR) with inflammatory markers in chronic kidney disease stage 3 and 4. In this study, a total of 100 adult patients of CKD stage-3 and 4 were included as study subjects and patient with acute illness, known case of malignancy, cardiovascular and cerebrovascular disease were excluded from the study. From each patient all the relevant history, clinical and laboratory findings were recorded in the data collection sheet. Study subjects were divided into two groups according to NLR value; those who have NLR 0- 3 were in group normal NLR and subjects with NLR >3 in group high NLR. Then markers of inflammation ESR, CRP and serum albumin were compared between these groups. Statistical analysis was done by Statistical Package for Social Science (SPSS) version 22.0. The mean ESR of male and female patients was higher in high NLR subjects than normal NLR subjects. The mean CRP was higher in high NLR subjects than normal NLR subjects. The mean serum albumin was lower in high NLR subjects than normal NLR subjects. The difference of mean ESR, CRP was statistically significant between high NLR and normal NLR subjects but difference of mean serum albumin was not statistically significant. The study findings suggest that high NLR is significantly associated with of inflammatory markers-ESR, CRP. Hence, it can be concluded that NLR could be used as an indicator of inflammation in CKD.\u0000Mugda Med Coll J. 2024; 7(1): 4-8","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":" 668","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669538","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73977
A. S. M. Nurunnabi, Saifun Nahar, N. Akhter, Muhammad Abdul Kayum Shaikh, Md Ferdous Rahman, Mohammad Tipu Sultan
Physicians and other healthcare staff who work with the patients having substance use disorders (SUDs) and addiction have to deal with different and complex scenario invariably in comparison to other healthcare providers dealing with regular medical services sought by the patients. Hence, the unconventional nature of practice regarding patients of SUDs and addiction and the diverse range of backgrounds among substance use workers, e.g., psychiatrist, general physician, nurse, psychotherapist, counsellor, social worker, and public health specialist highlights the universal relevance of being more professional and more ethical in practice. They are expected to demonstrate a variety of ethical and professional competences to safeguard themselves and others involved. Clinical team engaged in such activities requires specific ethical training that can help them face specific ethical dilemmas and guide through deeper consideration of those pressing and complex issues, using specific framework, professional guidelines, or institutional management approaches. Professional societies and accrediting institutions should apply their authority to establish practice standards, competencies, regulatory procedures, and codes of ethics to help guide practice and protect public trust and confidence. For the team involved in practice, it is important to become familiar with and adhere to the principles and values that define professionalism and ethical conduct in care for patients suffering from SUDs and addiction. The review paper aims to examine the intersection of professionalism and ethics with the complexity of diagnosis and therapy in this specific area of practice. Besides, some frameworks will be highlighted which may help healthcare providers to foster ethical decision making. It is also a modest effort to show some new insights for improving the quality of care in addiction and mental health by the professional team and healthcare organization from both clinical and operational viewpoint. Mugda Med Coll J. 2024; 7(1): 42-47
{"title":"Managing Substance Use Disorders and Addiction: How to Integrate Professionalism and Ethics with the Complexity of Diagnosis and Therapy","authors":"A. S. M. Nurunnabi, Saifun Nahar, N. Akhter, Muhammad Abdul Kayum Shaikh, Md Ferdous Rahman, Mohammad Tipu Sultan","doi":"10.3329/mumcj.v7i1.73977","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73977","url":null,"abstract":"Physicians and other healthcare staff who work with the patients having substance use disorders (SUDs) and addiction have to deal with different and complex scenario invariably in comparison to other healthcare providers dealing with regular medical services sought by the patients. Hence, the unconventional nature of practice regarding patients of SUDs and addiction and the diverse range of backgrounds among substance use workers, e.g., psychiatrist, general physician, nurse, psychotherapist, counsellor, social worker, and public health specialist highlights the universal relevance of being more professional and more ethical in practice. They are expected to demonstrate a variety of ethical and professional competences to safeguard themselves and others involved. Clinical team engaged in such activities requires specific ethical training that can help them face specific ethical dilemmas and guide through deeper consideration of those pressing and complex issues, using specific framework, professional guidelines, or institutional management approaches. Professional societies and accrediting institutions should apply their authority to establish practice standards, competencies, regulatory procedures, and codes of ethics to help guide practice and protect public trust and confidence. For the team involved in practice, it is important to become familiar with and adhere to the principles and values that define professionalism and ethical conduct in care for patients suffering from SUDs and addiction. The review paper aims to examine the intersection of professionalism and ethics with the complexity of diagnosis and therapy in this specific area of practice. Besides, some frameworks will be highlighted which may help healthcare providers to foster ethical decision making. It is also a modest effort to show some new insights for improving the quality of care in addiction and mental health by the professional team and healthcare organization from both clinical and operational viewpoint.\u0000Mugda Med Coll J. 2024; 7(1): 42-47","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":" 747","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669376","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73958
Fareya Nadir, Niloy Kumar Basak, Md Robiul Islam, E. H. Rahat, Abdullah Al Mamun, Mohammad Ashaduzzaman, M. Saifullah, Mohammad Rashedul Hasan
Adenoviral ophthalmic infection is a self-limiting, highly contagious, very frequent infectious process. It can present in three acute clinical forms: nonspecific acute follicular conjunctivitis, pharyngo-conjunctival fever and epidemic keratoconjunctivitis. This study aims to assess and compare the efficacy of 0.15% ganciclovir gel with Moxifloxacin eye drop in the treatment of acute adenoviral keratoconjunctivitis.This longitudinal prospective study was conducted among 40 patients of acute adenoviral keratoconjuctivitis attending in the cornea clinic of National Institute of Ophthalmology & Hospital (NIOH), Dhaka, Bangladesh. They were randomly divided into two groups: group-I (study group) with 20 patients who used 0.15% ganciclovir gel and group-ii (control group) with 20 patients who used artificial tear and 0.5% moxifloxacin eye drop. Diagnosis was confirmed by expert cornea specialist by methodical ophthalmic examination. They were followed-up on 1,2,4 and 6 weekly. Mean score of symptoms and signs were calculated in every follow-up and compared between two groups. Unpaired t test and chi square test were done in applicable cases with statistical significance p<0.05. This study showed that in study group mean age of the respondents were 36.4±9.59 years and in control group 37±11.02 years. Most of them were male (82.5%). In study group, mean score of symptoms at the beginning of the study was 1.4. It was 1.14, 0.64, 0.20 and 0.04 after1,2,4,6 weeks respectively after starting treatment and in control group mean score of symptoms at the beginning of the study was 1.48. It was 1.46, 1.125,0.59 and 0.23 after1,2,4,6weeks respectively after starting treatment. A trend towards better response was observed in the treatment group and the difference was statically significant. The mean score of signs after starting treatment in group-iwas 1.8.It was 1.35, 0.775, 0.30 and 0.175 after ,2,4,6weeks respectively and in group-ii, mean score of signs at the beginning of the study was 1.675. It was 1.725,1.35,0.725 and 0.300 after 1,2,4,6 weeks respectively after starting treatment. A trend towards improved sings were observed in the study group and the difference was statistically significant at 1 week (p=0.0283), 2 week (p= 0.0003), 4 week (p=0.0016) except 6 week (p=0.1524). At 6th week of treatment improvement of signs occur but not statistically significant because of persistence of some corneal lesion. The significant symptomatic relief and clinical improvement was found in the study group treated with Ganciclovir ophthalmic gel suggesting an effective method for treatment of acute adenoviral keratoconjunctivitis. Mugda Med Coll J. 2024; 7(1): 9-13
{"title":"Comparison of Treatment Outcome of Ganciclovir Ophthalmic Gel and Moxifloxacin Eye Drop in Acute Adenoviral Keratoconjunctivitis","authors":"Fareya Nadir, Niloy Kumar Basak, Md Robiul Islam, E. H. Rahat, Abdullah Al Mamun, Mohammad Ashaduzzaman, M. Saifullah, Mohammad Rashedul Hasan","doi":"10.3329/mumcj.v7i1.73958","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73958","url":null,"abstract":"Adenoviral ophthalmic infection is a self-limiting, highly contagious, very frequent infectious process. It can present in three acute clinical forms: nonspecific acute follicular conjunctivitis, pharyngo-conjunctival fever and epidemic keratoconjunctivitis. This study aims to assess and compare the efficacy of 0.15% ganciclovir gel with Moxifloxacin eye drop in the treatment of acute adenoviral keratoconjunctivitis.This longitudinal prospective study was conducted among 40 patients of acute adenoviral keratoconjuctivitis attending in the cornea clinic of National Institute of Ophthalmology & Hospital (NIOH), Dhaka, Bangladesh. They were randomly divided into two groups: group-I (study group) with 20 patients who used 0.15% ganciclovir gel and group-ii (control group) with 20 patients who used artificial tear and 0.5% moxifloxacin eye drop. Diagnosis was confirmed by expert cornea specialist by methodical ophthalmic examination. They were followed-up on 1,2,4 and 6 weekly. Mean score of symptoms and signs were calculated in every follow-up and compared between two groups. Unpaired t test and chi square test were done in applicable cases with statistical significance p<0.05. This study showed that in study group mean age of the respondents were 36.4±9.59 years and in control group 37±11.02 years. Most of them were male (82.5%). In study group, mean score of symptoms at the beginning of the study was 1.4. It was 1.14, 0.64, 0.20 and 0.04 after1,2,4,6 weeks respectively after starting treatment and in control group mean score of symptoms at the beginning of the study was 1.48. It was 1.46, 1.125,0.59 and 0.23 after1,2,4,6weeks respectively after starting treatment. A trend towards better response was observed in the treatment group and the difference was statically significant. The mean score of signs after starting treatment in group-iwas 1.8.It was 1.35, 0.775, 0.30 and 0.175 after ,2,4,6weeks respectively and in group-ii, mean score of signs at the beginning of the study was 1.675. It was 1.725,1.35,0.725 and 0.300 after 1,2,4,6 weeks respectively after starting treatment. A trend towards improved sings were observed in the study group and the difference was statistically significant at 1 week (p=0.0283), 2 week (p= 0.0003), 4 week (p=0.0016) except 6 week (p=0.1524). At 6th week of treatment improvement of signs occur but not statistically significant because of persistence of some corneal lesion. The significant symptomatic relief and clinical improvement was found in the study group treated with Ganciclovir ophthalmic gel suggesting an effective method for treatment of acute adenoviral keratoconjunctivitis.\u0000Mugda Med Coll J. 2024; 7(1): 9-13","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":"110 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667102","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73960
Mohammad Mahbubul Hasan, Natasha Kajmina, Hasiba Begum
Intraocular surgery e.g., cataract surgery with PCIOL implantation is one of the leading causes of corneal endothelial injury and change in the functionality of the cornea. This observational study was conducted in the Department of Ophthalmology of Combined Military Hospital (CMH), Dhaka Cantonment, Dhaka, Bangladesh, between January and July of 2016, to assess and compare functional changes in cornea (i.e., endothelial thickness) after phacoemulsification with posterior chamber intraocular lens (PCIOL) implantation and manual small incision cataract surgery (MSICS) with PCIOL implantation. A total of 80 patients of age-related cataract were randomly selected based on inclusion and exclusion criteria. All patients underwent complete ophthalmic evaluation pre- and post-operatively (at day 1, after 1 week and 3 months) specifically for observation of the endothelial changes in cornea. Specular microscopy was done to assess corneal endothelial change. The mean central corneal thickness was increased at day 1 (564.71±22.45μ vs. 555.10±40.57μ), after 1 week (539.43±22.16μ vs. 535.08±38.87μ) and 3 months (523.49±21.29μ vs. 520.05±33.68μ) after phacoemulsification and MSICS from their preoperative value (508.72±23.96μ vs. 503.62±32.06μ) respectively. However, the differences were not statistically significant between two groups (P>0.05). The mean percentage of central corneal thickness change at day1, after 1 week and after 3 months following cataract surgery were found 11.01±6.30% and 10.22±26.54% at day 1, 6.04±7.52% and 6.25±21.24% after 1 week, 2.90±11.14% and 3.26±5.05% after 3 months in phacoemulsification and MSICS cases respectively. However, no statistically significant difference was observed in percentage of central corneal thickness change of both groups (P>0.05). To summarize, an increased central corneal thickness was observed after phacoemulsification and SICS from their preoperative values. Mugda Med Coll J. 2024; 7(1): 14-18
眼内手术（如植入 PCIOL 的白内障手术）是导致角膜内皮损伤和角膜功能变化的主要原因之一。这项观察性研究于 2016 年 1 月至 7 月期间在孟加拉国达卡的达卡县联合军事医院（Combined Military Hospital，CMH）眼科进行，旨在评估和比较超声乳化术联合后房型人工晶体（PCIOL）植入术和人工小切口白内障手术（MSICS）联合 PCIOL 植入术后角膜的功能变化（即内皮厚度）。根据纳入和排除标准，随机选取了 80 名老年性白内障患者。所有患者均在术前和术后（第 1 天、1 周后和 3 个月后）接受了全面的眼科评估，以观察角膜内皮的变化。窥镜检查用于评估角膜内皮的变化。超声乳化和 MSICS 术后第 1 天（564.71±22.45μ vs. 555.10±40.57μ）、1 周后（539.43±22.16μ vs. 535.08±38.87μ）和 3 个月后（523.49±21.29μ vs. 520.05±33.68μ）的平均角膜中央厚度分别比术前值（508.72±23.96μ vs. 503.62±32.06μ）有所增加。然而，两组之间的差异无统计学意义（P>0.05）。白内障手术后第 1 天、1 周后和 3 个月后中央角膜厚度变化的平均百分比分别为 11.01±6.30%和 10.22±26.54%，1 周后为 6.04±7.52%和 6.25±21.24%，3 个月后为 2.90±11.14%和 3.26±5.05%。然而，两组患者角膜中央厚度变化的百分比差异无统计学意义（P>0.05）。总之，观察到超声乳化术和 SICS 术后角膜中央厚度比术前值有所增加：14-18
{"title":"A Comparison of Functional Endothelial Changes between Phacoemulsification with PCIOL and Manual Small Incision Cataract Surgery with PCIOL","authors":"Mohammad Mahbubul Hasan, Natasha Kajmina, Hasiba Begum","doi":"10.3329/mumcj.v7i1.73960","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73960","url":null,"abstract":"Intraocular surgery e.g., cataract surgery with PCIOL implantation is one of the leading causes of corneal endothelial injury and change in the functionality of the cornea. This observational study was conducted in the Department of Ophthalmology of Combined Military Hospital (CMH), Dhaka Cantonment, Dhaka, Bangladesh, between January and July of 2016, to assess and compare functional changes in cornea (i.e., endothelial thickness) after phacoemulsification with posterior chamber intraocular lens (PCIOL) implantation and manual small incision cataract surgery (MSICS) with PCIOL implantation. A total of 80 patients of age-related cataract were randomly selected based on inclusion and exclusion criteria. All patients underwent complete ophthalmic evaluation pre- and post-operatively (at day 1, after 1 week and 3 months) specifically for observation of the endothelial changes in cornea. Specular microscopy was done to assess corneal endothelial change. The mean central corneal thickness was increased at day 1 (564.71±22.45μ vs. 555.10±40.57μ), after 1 week (539.43±22.16μ vs. 535.08±38.87μ) and 3 months (523.49±21.29μ vs. 520.05±33.68μ) after phacoemulsification and MSICS from their preoperative value (508.72±23.96μ vs. 503.62±32.06μ) respectively. However, the differences were not statistically significant between two groups (P>0.05). The mean percentage of central corneal thickness change at day1, after 1 week and after 3 months following cataract surgery were found 11.01±6.30% and 10.22±26.54% at day 1, 6.04±7.52% and 6.25±21.24% after 1 week, 2.90±11.14% and 3.26±5.05% after 3 months in phacoemulsification and MSICS cases respectively. However, no statistically significant difference was observed in percentage of central corneal thickness change of both groups (P>0.05). To summarize, an increased central corneal thickness was observed after phacoemulsification and SICS from their preoperative values.\u0000Mugda Med Coll J. 2024; 7(1): 14-18","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670316","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73969
Kripadhan Chakroborty, Mohammad Mahbubul Hasan, Md Hasanuzzaman, Zakia Sultana, S. A. Khaleque
Patients with leukemia often have ophthalmic manifestations. These occur either from direct infiltrations of neoplastic cells or from indirect or secondary causes. Nearly all ocular structures can be affected by leukemia. Sometimes, ophthalmic involvement can be the first sign of disease relapse. This review article aims to highlight different ocular manifestations of leukemia along with treatment. It involves studying the available material in textbooks, printed and online journals. As there is high prevalence of ocular findings in leukemia, it can be a standard practice that all leukemic patients should have screening by ocular examination. Awareness of the clinical spectrum of leukemic infiltration of ocular region is essential for rapid diagnosis, prompt initiation of treatment and better outcome. If prompt diagnosis and treatment can be done, worsening of vision may be minimized or prevented. Mugda Med Coll J. 2024; 7(1): 36-41
{"title":"Ophthalmic Manifestations of Leukemia and Their Management","authors":"Kripadhan Chakroborty, Mohammad Mahbubul Hasan, Md Hasanuzzaman, Zakia Sultana, S. A. Khaleque","doi":"10.3329/mumcj.v7i1.73969","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73969","url":null,"abstract":"Patients with leukemia often have ophthalmic manifestations. These occur either from direct infiltrations of neoplastic cells or from indirect or secondary causes. Nearly all ocular structures can be affected by leukemia. Sometimes, ophthalmic involvement can be the first sign of disease relapse. This review article aims to highlight different ocular manifestations of leukemia along with treatment. It involves studying the available material in textbooks, printed and online journals. As there is high prevalence of ocular findings in leukemia, it can be a standard practice that all leukemic patients should have screening by ocular examination. Awareness of the clinical spectrum of leukemic infiltration of ocular region is essential for rapid diagnosis, prompt initiation of treatment and better outcome. If prompt diagnosis and treatment can be done, worsening of vision may be minimized or prevented.\u0000Mugda Med Coll J. 2024; 7(1): 36-41","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":"117 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667674","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73982
Riffat Rahim, Nahida Akter Hira, Rinita Banerjee
It is quite a fascinating case as we have recently experienced in Mugda Medical College Hospital, a tertiary level teaching hospital in Dhaka, Bangladesh, that a woman was diagnosed and treated for endometrioid adenocarcinoma four years after her vaginal hysterectomy had been done. Our patient was presented with abdominal pain for nearly 2 weeks along with nausea, vomiting and generalized weakness. Ultrasound evaluation revealed a complex pelvic mass (8.6cm × 4.9cm). Chest x-ray revealed a left sided pleural effusion, while CT scan of the abdomen revealed heterogeneously enhancing complex pelvic mass and mild ascites. After a clinical correlation with all the pathological investigations, the patient was advised for a core biopsy. Ultrasonogram guided core biopsy was done. Histopathological examination showed a malignant ovarian epithelial tumor. Then she underwent an interventional or surgical procedure, which included an exploratory laparotomy, bilateral salpingo-oophorectomy with bilateral pelvic lymph node dissection and infracolic omentectomy done under general anesthesia. The final histopathological examination of the removed mass showed an endometrioid adenocarcinoma (Grade 2). Meanwhile, she was referred for radiation therapy (both vaginal brachytherapy and external pelvic radiation) after the patient had recovered from surgery. We will discuss this case as a part of our clinical interest and continuing education for our clinicians and residents. Mugda Med Coll J. 2024; 7(1): 53-55
这是一个非常有趣的病例，因为我们最近在孟加拉国达卡的一家三级教学医院--穆格达医学院医院（Mugda Medical College Hospital）经历了这样一个病例：一名妇女在阴道子宫切除术四年后被诊断出患有子宫内膜样腺癌，并接受了治疗。患者腹痛近两周，伴有恶心、呕吐和全身乏力。超声波检查发现一个复杂的盆腔肿块（8.6 厘米×4.9 厘米）。胸部X光检查显示左侧胸腔积液，腹部CT扫描显示异质性增强的复杂盆腔肿块和轻度腹水。在对所有病理检查进行临床对比后，医生建议患者进行核心活检。在超声引导下进行了核心活检。组织病理学检查显示为恶性卵巢上皮肿瘤。随后，她接受了介入或外科手术，包括探查性开腹手术、双侧输卵管卵巢切除术、双侧盆腔淋巴结清扫术以及在全身麻醉下进行的结肠下卵巢切除术。切除肿块的最终组织病理学检查显示为子宫内膜样腺癌（2 级）。同时，患者在手术康复后被转诊接受放射治疗（阴道近距离放射治疗和盆腔外放射治疗）。我们将讨论该病例，作为我们临床兴趣的一部分，并对我们的临床医生和住院医生进行继续教育：53-55
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Cephalofacial anthropometry can be useful for racial identification, forensic scientist, physical anthropologist, genetic counsellors as well as reconstructive surgery for the purposes of identification of an individuals and understanding human physical variation, gender and ethnicity especially with facial recognition as a tool in recent advances in biometrics. Stature is one of the important criteria for personal identification which has a proportional biological relationship with every parts of the human body like head, face, trunk, extremities and vertebral column. In this study, our main goal is find out the correlation between the selected craniofacial measurements with the stature in Adult Bangladeshi Manipuri males. This cross-sectional study was carried out in 100 healthy adult males from March 2017 to February 2018 in the Department of Anatomy, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Descriptive statistics and testing of hypotheses were used for the analysis using SPSS software (version 22.0). Here non- significant positive correlations of the stature with the mandible height and significant positive correlations of the stature with mandible breadth was found. The Mean (±SD) of Mandible height (sto-gn) was 4.44 (±0.69), Mandible breadth (go-go) was 11.45 (±0.57). This study will be anticipated to provide baseline quantitative data on the linear craniofacial measurements and the stature of adult Bangladeshi Manipuri males. And using larger samples with non-contact measurement technique will help in defining craniofacial anthropometric profiling of the adult Bangladeshi Manipuri males. Mugda Med Coll J. 2024; 7(1): 19-25
{"title":"Anthropometric Study of Correlation between the Selected Craniofacial Measurements with the Stature in Adult Bangladeshi Manipuri Males","authors":"Farhana Bashar, Mosa Shaheli Binte Hossain, Najnin Akhter, Samina Sharmeen, Md Mohiuddin Masum, S. Suma, Md Afzalur Rahman Rahman","doi":"10.3329/mumcj.v7i1.73962","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73962","url":null,"abstract":"Cephalofacial anthropometry can be useful for racial identification, forensic scientist, physical anthropologist, genetic counsellors as well as reconstructive surgery for the purposes of identification of an individuals and understanding human physical variation, gender and ethnicity especially with facial recognition as a tool in recent advances in biometrics. Stature is one of the important criteria for personal identification which has a proportional biological relationship with every parts of the human body like head, face, trunk, extremities and vertebral column. In this study, our main goal is find out the correlation between the selected craniofacial measurements with the stature in Adult Bangladeshi Manipuri males. This cross-sectional study was carried out in 100 healthy adult males from March 2017 to February 2018 in the Department of Anatomy, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Descriptive statistics and testing of hypotheses were used for the analysis using SPSS software (version 22.0). Here non- significant positive correlations of the stature with the mandible height and significant positive correlations of the stature with mandible breadth was found. The Mean (±SD) of Mandible height (sto-gn) was 4.44 (±0.69), Mandible breadth (go-go) was 11.45 (±0.57). This study will be anticipated to provide baseline quantitative data on the linear craniofacial measurements and the stature of adult Bangladeshi Manipuri males. And using larger samples with non-contact measurement technique will help in defining craniofacial anthropometric profiling of the adult Bangladeshi Manipuri males.\u0000Mugda Med Coll J. 2024; 7(1): 19-25","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":"123 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667702","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73906
Mahibun Nahar
Abstract not available Mugda Med Coll J. 2024; 7(1): 1-3
摘要不详Mugda Med Coll J. 2024; 7(1)：1-3
{"title":"Healthy Diet Trends in Recent Years","authors":"Mahibun Nahar","doi":"10.3329/mumcj.v7i1.73906","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73906","url":null,"abstract":"Abstract not available\u0000Mugda Med Coll J. 2024; 7(1): 1-3","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":" 416","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669546","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 : 2024-07-08DOI: 10.3329/mumcj.v7i1.73983
Md Abdullah Al Mamun, Md Rabiul Islam, Riashat Azim Majumder, Mowpiya Mondal, Md Moniruzzama, Md Rashid E Mahbub, Mohammad Ashaduzzaman
Ramsay Hunt Syndrome (RHS) also known as herpes zoster oticus is a viral disease, a member of the human herpes virus family, is a late complication of varicella-zoster virus infection that results in inflammation of the geniculate ganglion of cranial nerve VII. Ramsay Hunt is a clinical diagnosis. The hallmark of the condition is multiple unilateral erythematous vesicles, which are distributed over the auricle and preceded by severe otalgia. If these symptoms are associated with facial nerve palsy, the condition is called RHS which is usually accompanied by vestibulocochlear abnormalities. Diagnosis is often missed or delayed, which can lead to an increased incidence of long-term complications. The condition is self-limiting, but treatment is targeted at decreasing the total duration of the illness as well as providing analgesia and preventing the complications that can occur. This activity reviews the role of the inter professional team in the diagnosis and treatment of RHS. Mugda Med Coll J. 2024; 7(1): 48-52
{"title":"Ramsay Hunt Syndrome: A Rare Disease of Multiple Cranial Nerve Involvement","authors":"Md Abdullah Al Mamun, Md Rabiul Islam, Riashat Azim Majumder, Mowpiya Mondal, Md Moniruzzama, Md Rashid E Mahbub, Mohammad Ashaduzzaman","doi":"10.3329/mumcj.v7i1.73983","DOIUrl":"https://doi.org/10.3329/mumcj.v7i1.73983","url":null,"abstract":"Ramsay Hunt Syndrome (RHS) also known as herpes zoster oticus is a viral disease, a member of the human herpes virus family, is a late complication of varicella-zoster virus infection that results in inflammation of the geniculate ganglion of cranial nerve VII. Ramsay Hunt is a clinical diagnosis. The hallmark of the condition is multiple unilateral erythematous vesicles, which are distributed over the auricle and preceded by severe otalgia. If these symptoms are associated with facial nerve palsy, the condition is called RHS which is usually accompanied by vestibulocochlear abnormalities. Diagnosis is often missed or delayed, which can lead to an increased incidence of long-term complications. The condition is self-limiting, but treatment is targeted at decreasing the total duration of the illness as well as providing analgesia and preventing the complications that can occur. This activity reviews the role of the inter professional team in the diagnosis and treatment of RHS.\u0000Mugda Med Coll J. 2024; 7(1): 48-52","PeriodicalId":499854,"journal":{"name":"Mugda Medical College Journal","volume":" 521","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141669582","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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