Publications (45)36.37 Total impact
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Dataset: Risk factors of bovine mastitis
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Article: Psychiatric and psychological comorbidities in patients with psoriasis- a review.
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ABSTRACT: Psoriasis is a common inflammatory skin disease. The impact of psoriasis on quality of life is significant even when it involves relatively limited body surface area (BSA). Life stresses have been found as both a cause of psoriasis and as an aggravating factor in the disease. In different large epidemiological studies up to 79% patients of psoriasis had a negative impact on their lives, and Psoriasis was reported to be associated stressful life event in 10-90%, depression in 24-51%, felt shame and embarrassment over their appearance in 89%, lack of confidence in 42%, family friction in 26%, wish to be dead to active suicidal ideation in 9.7-5.5%, addiction and alcoholism in 18% and also significant impact upon sexual function. Children with psoriasis had 25-47% higher risk of developing any psychiatric disorder, 23-62% higher risk of develop depression and 32-250% higher risk of anxiety.Mymensingh Medical Journal 10/2012; 21(4):780-6. -
Article: Comparison of Post Operative Pain Relief between Paracetamol and Wound Infiltration with Levobupivacaine in Inguinal Hernia Repair.
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ABSTRACT: The present study has been designed to compare the intensity of postoperative pain in children by wound infiltration with levobupivacaine with that provided by paracetamol administration per rectaly. This intervention study was carried out at the department of paediatric surgery, Mymensingh Medical College Hospital, Mymensingh and Dhaka Medical College Hospital, Dhaka, during the period of January 2009 to September 2010. A total of 120 patients were included in this study. Among them 60 patients in Group A (study group) where post incisional wound infiltration with levobupivacain after inguinal herniotomy before skin closure was done and 60 patients in Group B (control group) where paracetamol was given per rectally after induction of anaesthesia. Both groups were followed up post operatively for 23 hours. The intensity of post operative pain relief following inguinal hernia repair in children by wound infiltration with levobupivacaine is significantly higher than rectal administration of paracetamol.Mymensingh Medical Journal 07/2012; 21(3):411-5. -
Article: Colposcopic evaluation of pre-invasive and early cervical carcinoma with histologic correlation.
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ABSTRACT: This observational study was done in Colposcopy clinic of Mymensingh Medical College Hospital, to evaluate the accuracy of colposcopic assessment of pre-invasive and early cervical carcinoma comparing with the reference standard of histology, in order to evaluate the justification of colposcopic examination. This study included 227 VIA (visual inspection of cervix with application of 5% acetic acid) test positive patients, who were referred to us for colposcopic evaluation during a period of January 2011 to June 2011. Patient with clinically evident of invasive cervical carcinoma were excluded from this study. VIA test was performed again in all patients prior to systematic colposcopic examination and it was found that 72.6% patients had abnormal colposcopic findings (p<0.05). Directed punch biopsy specimen was taken only from abnormal colposcopic appearances and then it was send for histopathological examination. Records of all available biopsy results were recorded. Correlation of colposcopic impression with colposcopy guided biopsy results was compared. Among 79 colposcopically diagnosed Low-grade Squamous Intraepithelial Lesions (LSIL) or low-grade Cervical Intraepithelial Neoplasia (CIN I) cases, 22.8% cases were chronic cervicities, 69.6% were LSIL (CIN I) and 7.6% were High-grade Squamous Intraepithelial Lesions (HSIL) and among 38 HSIL(CIN II/CIN III) cases, 7.8% were found to chronic cervicities, 31.6% were LSIL and 60.5% were HSIL. Fifteen cases of colposcopically diagnosed preclinical invasive carcinoma were confirmed by histopathology (p<0.05). The rate of false positive is higher in the diagnosis of HSIL than LSIL (39 vs. 30%); on the other hand the rate of false negative was higher in LSIL (9 vs. 4.5%). The sensitivity of colposcopic diagnosis of pre-invasive cervical carcinoma was ranging from 79-82% and specificity ranged between 73-87%. Positive predictive value was 62% for HSIL and 70% for LSIL and the colposcopic accuracy was 91% and 95% for the diagnosis of LSIL and HSIL respectively. All the statistical results were 100% for the diagnosis of preclinical invasive carcinoma. This study showed that colposcopy is a valid tool for the detection of pre-invasive and early cervical carcinoma. It can be considered as a secondary testing tool for VIA positive women.Mymensingh Medical Journal 04/2012; 21(2):200-6. -
Article: Different doses of atropine on heart rate fluctuations during reversal of neuromuscular blockade.
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ABSTRACT: It was a prospective comparative clinical study carried out in the Department of Anaesthesia, Combined Military Hospital (CMH), Dhaka, to evaluate the heart rate changes during reversal of neuromuscular blockade by using 3 different doses of atropine (in a mixture with neostigmine) and thereby detect comparatively safer dose. Sixty patients of ASA (American Society of Anesthesiologists) grade I and II physical status were divided equally into 3 groups. Neostigmine 0.05 mg/kg body weight mixed with atropine 0.02, 0.015 and 0.01 mg/kg body weight given intravenously in group A, B and C respectively during reversal. The 3 groups were compared in age, sex, body weight, and ASA grades, but there was no significant difference (p>0.05) between 3 groups. It is revealed that in Group C (atropine at a dose of 0.01 mg/kg with neostigmine), heart rate affected very little but salivary and tracheobronchial secretions were more. One of them had laryngospasm which was managed conservatively. In Group B (who received atropine 0.015 mg/kg) incidence of tachycardia observed was less than Group A (who received atropine 0.02 mg/kg). The patients of this group also had some salivary secretions but less than group C. Tachycardia was most marked in Group A but had minimum salivary secretions. Statistical analysis of heart rate changes in different times among the 3 Groups was significant (p<0.05). It was highly significant (p<0.01) in 1 minute after reversal. So relatively lower dose (0.015 mg/kg) of atropine with neostigmine than the conventional dose (0.02mg/kg) can be used to decrease tachycardia during reversal of neuromuscular blockade especially in haemodynamically unstable patients.Mymensingh Medical Journal 10/2011; 20(4):595-9. -
Article: Maternal outcome of grand multipara.
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ABSTRACT: This prospective comparative study was conducted to determine the incidence of grand multiparity, compare the maternal outcome of grand multiparity to low parity and identify the frequency of maternal mortality associated with obstetrical complications of grand multiparity. It was carried out in the Obstetric and Gynaecology department of Rangpur Medical College Hospital, Rangpur, during the period of 1st January to 30th September' 2003. All pregnant (>28 weeks) parous women were included and primigravida were excluded. A total 2728 pregnant patients were initially recruited on the study. From them 200 cases were randomly selected. Among them 100 cases were grand multipara (parity 4 and above) comprising study groups and 100 cases were non grand multipara (parity 1-3) consisting of control group. All relevant maternal parameter were recorded and then compared between study group and control group. According to this study the incidence of grand multiparity is 9.8%. Among the grand multipara patient 95% were suffering from anaemia of different severity (p<0.05). The incidence of hypertension and gestational diabetes in grand multipara were significantly higher than non grand multipara (45% vs. 12%) and (12% vs. 02%) respectively. The other complications like placenta praevia, abruptio placentae, multiple pregnancy, malpresentations, postpartum haemorrhage, ruptured uterus were significantly higher among grand multipara and statistically significant results were observed. Proportion of women who underwent caesarean section was also high in study group (32% vs. 21% p<0.05). During the study period 7 maternal death were observed in grand multipara and 1 maternal death in non grand multipara (p<0.05).Mymensingh Medical Journal 07/2011; 20(3):381-5. -
Article: Preoperative use of granisetron plus dexamethasone and granisetron alone in prevention of post operative nausea and vomiting in tonsillectomy.
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ABSTRACT: This prospective study was done for to see the efficacy of preoperative use of granisetron plus dexamethasone (Group A) & granisetron (Group B) alone for the postoperative prevention of nausea & vomiting after tonsillectomy operation. One hundred patients undergoing tonsillectomy & adenoidectomy operation under general anaesthesia who were admitted in the Mymensingh Medical College Hospital during the period from July 2008 to June 2009 with American Society of Anaesthesiologists (ASA) grade I & II with age 3-40 years, body weight 10-60 kgs, were studied. Observation of this study was analyzed in the light of comparison between the two groups. All results were expressed as mean±SEM. Age in Group A 15.98±1.028 & Group B 17.18±0.961 years; Weight in Group A 38.40±1.492 & Group B 39.76±1.561 kgs and operational duration in Group A 52.60±0.786 & Group B 52.70±0.823 minutes. The studied groups were statistically matched for age, weight, duration of surgery. We observed that the effects of combination of granisetron & dexamthasone are more than granisetron alone in prevention of nausea & vomiting after tonsillectomy operation. The frequency of vomiting was 4% in combination & 16% in single therapy which is statically significant (p<0.05).Mymensingh Medical Journal 07/2011; 20(3):386-90. -
Article: Effectiveness of levofloxacin in enteric fever.
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ABSTRACT: This intervention study was conducted to determine the efficacy of Levofloxacin in the treatment of uncomplicated enteric fever. Among 100 patients, who were purposively selected for the study had presented sign and symptoms of enteric fever with blood culture positive salmonella in laboratory findings during the admission in the department of Medicine, Uttara Adhunik Medical College & Hospital, Dhaka. Patients who fulfilled the diagnostic criteria were enrolled in the study and divided into two groups. One group was treated with oral levofloxacin 750mg once daily (OD) and another was injected with Levofloxacin 500mg once daily for 7 days. All the patients were examined twice daily to observe the clinical cure or failure of levofloxacin. Study was conducted from January 2008 to December 2008. Statistical analysis was performed by using statistical software SPSS version 12. Among the 100 patients in the study, majority of them 46(92%) were aged between 15 to 25 years, the next group was between 25 to 35 years 26(52%) and only three patients were aged above 65 years. Significant number of the patients were male (67), and the rest of them were female. The patients were clinically examined specially for anaemia, jaundice, caecal gurgling, hepatosplenomegaly in both the groups and the relevant investigations were performed. It was found that 46 patients in group A, who took oral levofloxacin, were cured after seven days, whereas 48 patients in group B were fully cured by taking injectable levofloxacin by seven days. In this study, levofloxacin was found to be the most effective drug in both oral and injectable form in one-week treatment of uncomplicated typhoid.Mymensingh Medical Journal 07/2011; 20(3):441-5. -
Article: Comparison between bipolar diathermy tonsillectomy and cold dissection tonsillectomy.
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ABSTRACT: A prospective study was carried out in the department of otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) and Bangladesh Medical college Hospital, Dhaka. From January, 2007 to January, 2009 to compare between Bipolar Diathermy Tonsillectomy and Cold Dissection Tonsillectomy. Two hundred patients were divided equally into two groups- bipolar diathermy tonsillectomy and cold dissection tonsillectomy. The two groups were compared in age and sex distribution but there was no significant difference (p>0.05) between the two groups. Operative time, operative blood loss, postoperative pain, diet intake, activity level and complications were compared in the two groups. Operative time and blood loss was significantly less in the diathermy group which was highly significant (p<0.001). No significant difference (p>0.05) in the postoperative pain was observed. Percentage of normal diet taken was higher in the diathermy group on the 1st day and lower on the 7th day while the difference was not statistically significant (p>0.05). No significant difference (p>0.05) was noted between the two groups in terms of postoperative activity and postoperative blood loss. Operative blood loss & time was significantly less in bipolar diathermy tonsillectomy. So it is a safe technique and can be used safely with less morbidity & complication.Mymensingh Medical Journal 01/2011; 20(1):104-9. -
Article: POEMS Syndrome.
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ABSTRACT: A 49 years old male patient admitted with 2 years history of lower extremity symmetrical sensorimotor polyneuropathy, sclerodermic skin change, erectile dysfunction, hepatosplenomegaly and monoclonal gammopathy. The clinical evaluation met the criteria for the diagnosis of (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin changes) POEMS syndrome. The patient was treated with corticosteroid and melphelan and responded well. We present a case different from the other cases with severe unusual burning sensation all over the body, which was his sole complaint and with this complaint he visited lot of doctors including psychiatrist.Mymensingh Medical Journal 01/2011; 20(1):131-3. -
Article: Testosterone secreting adrenal adenoma in an adult female patient.
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ABSTRACT: Adrenal tumours that secrete testosterone are extremely rare and we describe such a case in a 35 years old female with virilization. She had steroid biochemical profile in normal limit, except increased serum testosterone level. She had left adrenal adenoma 7.5 X 6.4 cm in size, her ovaries were normal. After left adrenalectomy the serum testosterone level returns to normal and has remained in the normal range. Hirsutism decreasing gradually and menstruation restarts after 3 months. Histopathological examination confirmed the diagnosis of adrenal adenoma.Mymensingh Medical Journal 10/2010; 19(4):632-5. -
Article: Uroflowmetry before and after transurethral resection of prostate for bladder outlet obstruction.
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ABSTRACT: This prospective study evaluates the effectiveness of uroflowmetry to follow up the patients of benign prostatic hyperplasia treated by transurethral resection of prostate. Total sixty eight patients of 50 to 70 years age group attending for the treatment of BPH with bladder outlet obstruction in the department of Urology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka were recruited for the study. All the TURP's were performed by experienced urologist. Patients were advised to come after 3 months and 6 months for follow up visits. In each visit, the patients were evaluated through history, physical examination and relevant investigations including IPSS and uroflowmetry. Significant improvement was observed in term of Qmax, voided volume, and voiding time in all patients after TURP. Mean (+/-SD) IPSS change in pre to post TURP was 16.2(+/-0.76) (p<0.05). The objective parameters of uroflowmetry correlated well with the subjective parameters represented by IPSS in this study.Mymensingh Medical Journal 10/2010; 19(4):601-7. -
Article: Genetic Testing for Huntington's Disease in Parkinsonism.
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ABSTRACT: The study was conducted to find out Huntington's disease (HD) by genetic analysis from those presenting with parkinsonism in the Neurology department of Mymensingh Medical College & Hospital. A sample of about 5ml blood was collected by veni puncture in EDTA tube with informed consent from 9 patients & 7 healthy individuals after approval of the institutional ethics committee for genetic study. The neurological disorder along with a complete history and physical findings were recorded in a prescribed questionnaire by the neurologists of Mymensingh Medical College & Hospital. Extraction of genomic DNA from the venous blood using FlexiGene DNA kit (Qiagen, Japan) was performed in Faculty of Veterinary Science, Bangladesh Agricultural University, Mymensingh, Bangladesh. The extracted DNA was stored and accumulated and then these DNA were sent to Division of Clinical Genetics, Department of Medical Genetics, Osaka University Medical School, Suita, Osaka 565 0871, Japan for PCR and further analysis. PCR amplification of the CAG repeat in the 1T15 gene was performed with primers HD1 and HD3. HD PCR products revealed the DNA product of about 110bp (no. of CAG repeats=21) to 150bp (no. of CAG repeats=34) in both healthy individual and suspected PD patient DNA.Mymensingh Medical Journal 10/2010; 19(4):510-4. -
Article: Use of in situ extracorporeal shock wave lithotripsy in upper ureteric stone.
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ABSTRACT: This study was done to determine the effectiveness of in situ extracorporeal shock wave lithotripsy (ESWL) in upper ureteric calculi in terms of stone clearance, peroperative & postoperative complications and also to determine some criteria for selection of patients for this procedure. From July, 2003 to July 2004, a total of 67 patients, with excreting kidneys and having stone size less than 2 cm were treated by in situ ESWL using Lithostar plus Lithotriptor. The patient group comprised of 52 men and 15 women, age ranged from 14 years to 65 years. Of the total 67 patients selected for study 44 patients were included in group I, having stone size ?1.5 and visible distal flow of contrast on IVU & 23 patients were included in Group II with stone size>1.5 cm to 2 cm and contrast seen only upto stone. Four (04) patients from Group I and three (03) patients from group II were dropped out during the follow up period so that data of 40 patients in group I and 20 patients in group II were analyzed finally. Number of shock wave was given in 1 to 3 sessions. Finally 95% of group I and 85% of group II achieved complete clearance of calculi at the end of 3 sessions. In situ ESWL is a good option for the treatment of upper ureteric calculi.Mymensingh Medical Journal 04/2010; 19(2):236-8. -
Article: Prevalence and antimicrobial resistance of methicillin resistant Staphylococcus epidermidis isolated at Mymensingh Medical College Hospital.
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ABSTRACT: The study was done to determine the drug resistance pattern of Methicillin resistant Staphylococcus epidermidis (MRSE) isolated from different clinical specimens at Mymensingh Medical College Hospital, Mymensingh during the period from July 2007 to June 2008. A total of 32 Staphylococcus epidermidis were isolated from 200 different clinical specimens by standard microbiological techniques. Antimicrobial susceptibility of all the isolates was carried out by disk diffusion method as per recommendation of Clinical and Laboratory Standard Institute 2007. Out of 32 Staphylococcus epidermidis 18(56.25%) were detected as Methicillin resistant Staphylococcus epidermidis (MRSE) by disk diffusion method. In this study, Methicillin resistant Staphylococcus epidermidis showed multidrug resistance. Resistant to penicillin, amoxycillin, oxacillin and cloxacillin was 100% followed by gentamycin (56%), erythromycin (50%), doxycycline (44%), cephradine (44%), ciprofloxacin (39%), fucidic acid (33%), cefuroxime (33%) and ceftriaxone (28%). All isolates of MRSE were susceptible to rifampicin and vancomycin.Mymensingh Medical Journal 04/2010; 19(2):163-9. -
Article: A pilot study on the prevalence of sexually transmitted infections among clients of brothel-based female sex workers in Jessore, Bangladesh.
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ABSTRACT: The prevalence of bacterial sexually transmitted infections among clients of female sex workers (FSWs) was studied. A total of 156 condoms were collected from clients of 13 sex workers during three consecutive days. Condoms used by clients of FSWs were collected and DNA was extracted from the seminal fluid and used for the diagnosis of Neisseria gonorrhoeae, Chlamydia trachomatis and Trichomonas vaginalis by polymerase chain reaction. The prevalence of N. gonorrhoeae, C. trachomatis and T. vaginalis among clients of FSWs was 4.5% (7/156), 2.5% (4/156) and 7% (11/156), respectively.International Journal of STD & AIDS 04/2010; 21(4):300-1. · 1.09 Impact Factor -
Article: Swine flu: a new emerging disease.
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ABSTRACT: Swine flu is an important zoonotic disease that has been recognized as an important global health problem by any one of several types of swine influenza virus or swine-origin influenza virus. Due to its increasing incidence in many countries of the world and occurrence of several large outbreaks in present year, it is a burning issue nowadays. It is thought to be a mutation--more specifically, a reassortment of four known strains of influenza A virus subtype H1N1. Swine influenza virus is common throughout pig populations worldwide. Transmission of the virus from pigs to humans is not common and does not always lead to human influenza, often resulting only in the production of antibodies in the blood. Due to variability of clinical features and limited availability of laboratory facilities, the disease remains largely under-reported. Early and specific diagnosis is important to ensure a favourable outcome. In this paper we attempted to explore history, classification, transmission, sign symptoms, diagnosis and prevention of swine flu as a critical review to provide some new upgrade regarding this devastating pandemic disease.Mymensingh Medical Journal 01/2010; 19(1):144-9. -
Article: Antibiotic susceptibility pattern of Staphylococcus epidermidis.
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ABSTRACT: The present study was done to evaluate the antibiotic susceptibility pattern of Staphylococcus epidermidis isolated from different clinical specimens and healthy controls in the department of Microbiology, Mymensingh Medical College from July, 2007 to June, 2008. A total of 62 Staphylococcus epidermidis were isolated from 230 specimens. Among them 32(23%) S. epidermidis were isolated from 200 cases and 30(100%) were isolated from 30 healthy controls. Antimicrobial susceptibility test of the isolates was carried out by disk diffusion method as per recommendation of Clinical and Laboratory Standard Institute, 2007. Isolates of S. epidermidis from cases showed multidrug resistance as follows-penicillin 94%, oxacillin 56%, gentamycin 44%, erythromycin 41%, doxycycline 37%, cephradine 34%, ciprofloxacin 28%, ceftriaxone 28%, fusidic acid 22% and cefuroxime 19%. On the other hand, isolates of S. epidermidis from controls were susceptible to all antibiotics except penicillin, which was only 10% resistant. A remarkable difference was observed in the resistance pattern of S. epidermidis isolated from cases and healthy controls. However in our study no isolates of S. epidermidis was resistant to rifampicin and vancomycin, which can be used as last line of drugs to treat nosocomial S. epidermidis infection.Mymensingh Medical Journal 08/2009; 18(2):142-7. -
Conference Proceeding: Cutting a cornered convex polygon out of a circle
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ABSTRACT: The problem of cutting a convex polygon P out of a piece of paper Q with minimum total cutting length is a well studied problem in computational geometry. Researchers studied several variations of the problem, such as P and Q are convex or non-convex polygons and the cuts are line cuts or rays cuts. In this paper we consider yet another variation of the problem where Q is a circle and P is convex polygon such that P is bounded by a half circle of Q and all the cuts are line cuts. We give a simple linear time O(log n)-approximation algorithm for this problem where n is the number of vertices of P.Computer and Information Technology, 2008. ICCIT 2008. 11th International Conference on; 01/2009 -
Article: Relationship between blood groups and coronary artery disease.
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ABSTRACT: There are mounting evidences of relationship of different blood groups to disease. For many years, ABO blood group has been associated with predisposition to both arterial and venous disorders, such as venous thromboembolism, peripheral vascular disease and coronary artery disease. To evaluate the relationship of ABO and Rhesus blood groups with coronary artery disease. Total ninety five patients with coronary artery disease admitted in the Cardiac Surgery Department of Zarina Sikhder Women Medical College, Dhaka, and ninety five healthy stuff of same Medical College were studied. Their ABO and Rhesus Blood Groups were determined by standard method in the department of Transfusion Medicine, Zarina Sikhder Women Medical College, Dhaka, Bangladesh with full support from the department of Transfusion Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. The results obtained in this study show that the prevalence of Coronary Artery Disease (CAD) in blood group O is invariably higher than in all other ABO blood groups (p<0.05). It is striking that despite the fact that the most prevalent blood group among Bangladeshi people is phenotype B, the prevalence of CAD risk is associated with phenotype O (Odd ratio 2.034, 95% confidence interval 1.127 to 3.67). This suggests that a certain CAD risk is associated with phenotype O. Thus we conclude that, in Bangladeshi people, blood group phenotype O is associated with a substantially increased risk for CAD.Mymensingh Medical Journal 07/2008; 17(2 Suppl):S22-7.
Top Journals
Institutions
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2012
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Holy Family Red Crescent Medical College
Dhaka, Dhaka Division, Bangladesh
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2004–2012
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Mymensingh Medical College
Mymensingh, Bangladesh
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2011
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Uttara Adhunik Medical College
Dhaka, Dhaka Division, Bangladesh -
Bangabandhu Sheikh Mujib Medical University
Dhaka, Dhaka Division, Bangladesh
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2010
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Dhaka Medical College Hospital
Dhaka, Dhaka Division, Bangladesh
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2008
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Rangpur Medical College
Rangpur, Bangladesh
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2003
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University of Dhaka
- Department of Zoology
Dhaka, Dhaka Division, Bangladesh
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1993–1997
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International Centre for Diarrhoeal Disease Research, Bangladesh
- Division of Clinical Sciences (CSD)
Dhaka, Dhaka Division, Bangladesh
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