bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Ondansetron and Granisetron for prevention of PONV following elective LUCS
Authors: Uddin Md Raihan , Aziz Lutful , Choudhury SN Samad
Published: December 2016

The aim of the study was to compare the antiemetic effects of oral ondansetron (8mg) and granisectron (2mg) for prevention of PONV following elective caesarean section. Ninety parturients scheduled for elective caesarean section under spinal anaesthesia were randomly allocated into three groups. Group A (n=30) were received vitamin tab, group B (n=30) parturients were received oral ondansectron (8mg) & group C (n=30) parturients were received oral granisetron (2mg). Anesthetic procedure was common to all groups. Emetic episodes in early postoperative period (1st 24 hrs.) were recorded and compared in different study groups. Emetic episodes were observed in six parturients (20%) in group A (control), 3 parturients in group B (3%) and 3 parturients in group C (3%). So to conclude, minimal emetic episodes were observed in early postoperative period in parturients who had received ondensetron or granisetron than the control group. Keywords: LUCS, PONV, Ondansetron, and Granisetron. Journal of BSA, Vol. 20, No. 2, July 2007 p.61-65
Oral Morphine
Authors: Ahmad Nezamuddin
Published: December 2016

Journal of BSA, 2008; 21(2): 59-60
Comparative study between lumbar epidural and spinal anaesthesia in elective caesarean section: comparison of maternal status during operation and in the post operative period
Authors: Hossain Moinul , Habib Abu Hasanat Md Ahsan , Kamal Md Mustafa , Rahman Md Mizanur
Published: December 2016

The caesarean section (C/S) is preferably done under regional techniques like spinal and epidural anesthesia. Both these techniques are also preferable to general anaesthesia which allows the mother to remain awake during caesarean delivery. After the approval of the institutional ethical committee, sixty (60) patients were equally divided into group-I (Spinal group) and ‘group-II (Epidural group). The intraoperative hemodynamic parameters (blood pressure & heart rate) and any event like nausea, vomiting, discomfort, shivering and the overall maternal satisfaction were compared between the groups. During post operative period mothers were interviewed for pain relief and choice of anesthetic technique. The mothers were also interviewed regarding their experiences of present anesthetic technique in comparison to the previous experiences. All data were analyzed statistically. The epidural group is significantly superior to spinal group in maternal satisfaction, frequency & magnitude of hypotension and postoperative pain relief. The hypotension that was needed to be treated with vasopressor was significantly different between the two groups (Spinal 33.33%, Epidural 10.00%, P<0.05). There is no significant difference between the groups regarding the analgesic requirement. The mothers of epidural group had chosen the technique and recommended this as the ideal technique for elective CS. But the time taken to start operation after the epidural anaesthesia was longer than spinal technique. The prolong onset to start the operation is an opportunity to make rapport between the mother and the anesthesiologist. Journal of BSA, 2008; 21(2): 61-66
Role of oral ondansetron for prevention of postoperative nausea and vomiting in laparoscopy assisted gynaecological surgery - a comparative study
Authors: Mondal Montosh Kumar , Hossain Shahadat , Roy Beauty Rani , Farida Begum Maksuda , Roy Joysree , Akhtaruzzaman AKM
Published: December 2016

This study was undertaken to find out the efficacy of oral premedication with ondansetron to prevent post-operative nausea and vomiting in diagnostic gynaecological laparoscopy assisted surgery and to compare it with metoclopramide. We studied fifty patients of ASA physical status I & II, aged between 18-30 years and body weight between 50-60 kgs. The patients were randomized in equal numbers into two groups; Group A patients were received Tab Metoclopramide 10 mg orally an hour before operation and regarded as control and Group B patients were received Tab Ondansetron (0.15 mg/kg) or total 8 mg orally an hour before operation as case. They received a standard general anesthetic. Post-operative analgesia was provided with per rectal diclofenac sodium (50mg). In the recovery room occurrences of nausea and vomiting was assessed for 24 hours. The incidence of nausea was 80% in Group-A, 24% in Group-B (p<0.001) and vomiting was 64% in Group-A, 16% in Group-B (p<0.001). The difference among the groups was statistically significant. Key words: Laparoscopy assisted gynaecological surgery, PONV, oral ondansetron, metoclopramide. Journal of BSA, 2008; 21(2): 67-71
Effects of intravenous immunoglobulin therapy on patients of guillain barré syndrome in intensive care unit of BSMMU - a retrospective study
Authors: Banik Debasish , Huda Qumrul , Faruque Labib Imran , Hye Md Abdul
Published: December 2016

Acute polyneuropathy or Guillain Barré syndrome (GBS) following respiratory, gastrointestinal and other illness cause a world wide morbidity and mortality. Immunotherapy (IgG) is early phase of GBS is supposed to reduce life threatening complications. In our retrospective study in ICU, BSMMU Dhaka from January 2007 to December 2008, we included 43 patients admitted during that time. Among the patients 15 patients who received IgG therapy, 1 (one) patient died and 8 patients died among 28 who did not receive Immunotherapy. Recovery rate was 91.66% among IgG group and 66.67% in non IgG group. Ventilated Patients were 53.33% in IgG group and 71.43% patients were in non IgG group. The average duration of stay was 35 days in IgG group and 39.18 days in non-IgG group. The average duration of stay was 22.57 days in IgG group who received immunotherapy in 0-4 days of onset of symptoms and 45.88 days in who got immunotherapy in 5-8 days of onset of symptoms. It is clearly evident that IgG therapy in early phase of GBS reduces, morality, morbidity and duration of hospital (ICU) stay and IgG therapy in early phase of GBS is a better treatment option. Key Words: GBS, immunoglobulin. Journal of BSA, 2008; 21(2): 72-75
'Palliative care is a human right'
Authors: Khan Farzana , Ahmad Nezumuddin , Anwar Mostak
Published: December 2016

Palliative care is about achieving the highest quality of life (QOL) and promoting comfort and dignity for patients with incurable and life limiting diseases. Palliative care advocacy has been strengthened by pronouncing that ‘the provision of palliative care is a human right'. International covenants have agreed upon this. There are huge unmet needs of patients with life-limiting illnesses in Bangladesh as well as in the world. The majority of countries have neither formal palliative care policies nor integrated palliative care services to meet basic standard guidelines in the provision of palliative care. The nature of the right in the context of international and Bangladesh perspective is discussed here. Journal of BSA, 2008; 21(2): 76-79
Neurological Disease Burden in Geriatric Patients: Bangladesh Perspectives
Authors: Hussain Mohammad Enayet
Published: December 2016

No Abstract is availableJournal of Current and Advance Medical Research 2016;3(1):1
Post-Operative Complications of Illeal Perforation: Experienced of 100 Patients in Bangladesh
Authors: Begum Mahbuba , Majid MA , Joarder Ruhul Hasan , Rahman Mostafizur , Debnath Bidyut Chandra , Mohammad Abu Sayeed , Begum Wahida , Mohammad Din
Published: December 2016

Background: Ileal perforation is a serious surgical emergency. Objective: The objective of the present study was to see the post-operative complications of ileal perforation patients. Methodology: This cross sectional study was conducted in the Department of Surgery at Dhaka Medical College Hospital, Dhaka from September 2000 to December 2002 for period of 2 years and 3 months. All the patients presented with ileal perforation at any age with both sexes were included in this study. Patients were selected consecutively and the patients who showed ileal perforation at laparotomy were included in this study. A standard protocol was filled up for every patient. Preoperative diagnosis was based on detailed history, complete physical examinations supported by plain x-ray abdomen in erect posture including both domes of diaphragm. After immediate resuscitation surgical treatment was undertaken as soon as possible following admission in all cases. Surgical procedures included simple repair, wedge resection and repair, resection and anastomosis, right hemi colectomy and temporary ileostomy. Histopathological examination of tissues from the margin of perforation and mesenteric lymph nodes were carried out in almost all cases. Result: Out of 100 patients complications were observed in 53 patients. Thus, incidence of complication was 53%. In 47 patients postoperative period was uneventful. Most of the complications were observed around 3rd to 5th post-operative day. Wound infection was the most common complication and noted in 4th to 7th postoperative day. Respiratory complications were also common and mostly observed on 2"dpostoperative day. All these patients presented with loose motion and lower abdominal pain on 3rd postoperative day. Faecal fistula developed on 3rd to 5th postoperative day in 3 cases resulting from disruption of simple repair in 2 cases and anastomotic leakage in 1 case who later died complicated by septicemia and multi-organ failure. Conclusion: Wound infection is the most common post-operative complication followed by septicemia and respiratory complication.Journal of Current and Advance Medical Research 2016;3(1):2-5
Ultrasonographic Evaluation of Foetal Binocular Distance in Second & Third Trimester of Pregnancy and Correlation with Gestation Age
Authors: Islam Md. Menhazul , Akter Taslima , Islam Saiful , Alam Farzana , Goswami Uday , Al-Azad Salah Uddin , Selim Shahjada
Published: December 2016

Background: Foetal Binocular Distance in Second & Third Trimester of Pregnancy and correlation with Gestation Age is important. Objective: The purpose of the study was to sonographically measure the foetal binocular distance, determine the foetal gestational age & to find out relationship between them in 2nd & 3rd trimester of gestation. Methodology: This cross sectional study was carried out in the department of radiology and imaging Mymensingh Medical College Hospital, Mymensingh and Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh during the period of July 2012 to June 2013. In all the cases BPD, FL, AC, Binocular distance (BD) in cm and gestational age in weeks were measured by USG. Each patient was voluntary enrolled into the study without any specific indication. The measurement was performed only once for each patient. The foetal outer binocular distance was identified in the occipito-transverse or occipito-posterior-foetal positions. With the head in the occipito-posterior position, the transducer was placed in a plane that transected the occiput, orbits, and nasal processes. Measurements were obtained only when the fetal face was directly perpendicular to the uterine wall, since measurements in an oblique plane were considered to be unreliable. Result: The correlation between binocular distance (BD) in cm and gestational age (GA) in wks was calculated. This correlation was highly significant (r = 0. 973; p<0.001).Conclusion:Excellent correlation was found to exist between binocular diameter and gestational age. In the absence of known date of last menstrual period or where fundal height does not agree with dates, these parameters are valuable in estimating the gestational age of the foetus.Journal of Current and Advance Medical Research, 2016;3(1):10-15
Distribution and Determinants of Ludwigs Angina: Experience of 30 Cases in Bangladesh
Authors: Razib Syed Farhan Ali , Banerjee Sanjay , Uddin Md. Mosleh , Shameeussalam Kazi , Rahman Mohammad Mashiur
Published: December 2016

Background: Ludwigs angina produces a serious morbidity. Objective: The purpose of the present study was to find out the risk factors, treatment response of the antibiotics and complication of the Ludwigs angina, which will help in prevention and management of this potentially dangerous condition. Methodology: A prospective study was carried out from September 2014 to August 2015 at the department of Otolaryngology-Head & Neck surgery of Banghabandhu Sheikh Mujib Medical University (BSMMU),   BIRDEM general hospital and DMCH. This study included 30 patients with Ludwigs angina. In this study minimum age, maximum age and mean age were taken. Result: Highest numbers of patients were in the 3rd decade of life. Out of 30 patients, male were 70% and female were 30%. Majority of the patients (76.59%) were from rural area. And the nutritional statuses of the patients were below average. Almost all the patients came with the complaints of neck swelling, pain and fever. Dental infection was the commonest source of infection. Here growth of colony found 76.67% and Streptococci (strep. Viridans) was found in 30% cases. Maximum patients were treated by parental antibiotics with surgical drainage. Eight patients developed complications, and five patients died in this series. Average hospital stays of the patients were 11.2 days. Conclusion: Most of the patients are male with poor socioeconomic class and Streptococci Viridans is the commonest organism.  Journal of Current and Advance Medical Research 2016;3(1):16-21
Clinico-demographic Characteristics of Colorectal Carcinoma in Bangladeshi Patients
Authors: Raza AKM Maruf , Kamal Mohammed , Begum Ferdousy , Yusuf Md. Abdullah , Mohammad Din , Begum Mahbuba , Talukder Abdur Rabban
Published: December 2016

Background: Colorectal carcinoma is one of the most common human malignancies worldwide. Objectives: The purpose of the present study was to see the clinico-demographic Characteristics of colorectal carcinoma. Methodology: This cross sectional study was carried out in the Department of Pathology at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh during the period of November 2009 to July 2010.  Patients with colorectal carcinoma from all ages and both sexes were included in the study.  Detailed clinical information was obtained by taking history from patient's attendants statement. Fresh unfixed specimens were obtained after surgical resection. Result: A total of 50 cases of colorectal adenocarcinoma from all ages and both sexes were included in the study. The mean age of the 50 cases was 47±14.8 years. Per rectal bleeding was the most common clinical presentation of colorectal carcinoma which was 20(40.0%) cases followed by abdominal pain, altered bowel habit, generalized weakness, anorexia and pallor and p/r bleeding and abdominal pain which were 8(16.0%) cases, 7(14.0%) cases, 6(12.0%) cases and 6(12.0%) cases respectively. Conclusion: In conclusion middle age male patients are the most vulnerable for colorectal carcinoma with common presenting features of per rectal bleeding, abdominal pain and altered bowel habit. Journal of Current and Advance Medical Research 2016;3(1):22-25
Hypopharyngeal Carcinoma: A Review
Authors: Islam Md. Nazmul , Siddiqui Mohammad Mamun , Ahmed Shamsuddin
Published: December 2016

Hypopharyngeal carcinoma is not a common tumour. Few risk factors increase the risk of this cancer including tobacco smoking, alcohol drinking, chewing of betal nuts. If it is diagnosed in advanced age, its outcome is fatal. So awareness of the risk factors among the persons at risk of this cancer and early diagnosis is recommended.Journal of Current and Advance Medical Research, 2016;3(1):26-30
Effect of Pulse Jet MQL in Surface Milling of Hardened Steel
Authors: Bashir Mahmood Al , Mia Mozammel , Dhar Nikhil Ranjan
Published: December 2016

Minimum quantity lubricant (MQL) machining is an emerging cooling technology that ensuresgreen machining. In this research work, an innovative design for the application of MQL in the form of pulse jet was created, following the development of that applicator. The surface milling of AISI 4140 steel, heat treated to 40 HRC, was investigated with pulse jet minimum quantity lubricant applicator using VG-68 grade straight cut cutting oil as the cutting fluid in respect of cutting force, surface roughness and tool flank wear with machining time. Four flute carbide end mill cutter was used to investigate the change in tool wear, and compared with thatof the dry condition. The result and analysis indicate that this pulse jet MQL applicator can be utilized in hard milling operation to ensure better surface finish and minimal tool wear and cutting force.
MULTIPLE PERFORMANCE CHARACTERISTICS OPTIMIZATION OF HARD TURNING OPERATIONS USING UTILITY BASED-TAGUCHI APPROACH
Authors: Varma K Rahul , Kaladhar M.
Published: December 2016

In order to sustain in the global competitive scenario, the manufacturing industries have beenpracticing the various tools to achieve the high quality products at lower cost. Selection of appropriate cutting conditions is necessary to improve machinabilty of a work piece material. The present work objective is to find out the optimum cutting parameters in turning of hardened AISI M2 steel using cryogenically treated cutting inserts. The Utility concept coupled with Taguchi approach was employed to optimize both surface roughness and power consumption simultaneously. According to Analysis of variance (ANOVA) results, the feed was the major dominant factor followed by the cutting speed on multiple performance characteristics. The necessary optimum conditions for multiple performance characteristics optimization were obtained as cutting speed of 100 m/min, feed 0.04 mm/rev and depth of cut of 0.2 mm.
The Effect of Copper and Brass on Friction Stir Welded Dissimilar Aluminium Alloy When Used as in Thin Sheet Form
Authors: Krishna G. Gopala , Reddy P.Ram , Hussain M.Manzoor
Published: December 2016

In recent years aluminium and aluminium alloys are most widely used in many applications because of light weight, good formability and malleability, corrosion resistance, moderate strength and low cost. Friction Stir Welding (FSW) process is efficient and cost effective method for welding aluminium and aluminium alloys. FSW is a solid state welding process that means the material is not melted during the process. Complete welding process accomplishes below the melting point of materials so it overcomes many welding defects that usually happens with conventional fusion welding technique which were initially used for low melting materials. Though this process is initially developed for low melting materials but now process is widely used for a variety of other materials including titanium, steel and also for composites. The present butt jointed FSW experimental work has been done in two ways. Initially a comparison of tensile properties of friction stir (FS) welded similar aluminium alloy (AA6351 with AA6351) and dissimilar aluminium alloy (AA6351 with AA5083) combinations. Later the effect of impurities (copper and brass) in sheet form (0.1 mm thick) when used as insert in between two dissimilar aluminium alloy (AA6351 with AA5083) plates during FSW. Tensile tests were performed for these combinations and results were compared for with and without using strip material (copper and brass).
Dimensionless analysis for modelling surface finish in conventional investment casting
Authors: Singh Rupinder , Singh Sunpreet
Published: December 2016

High level surface finish (SF) achievement is one of the major advantages of conventional investment casting process. Not much work hitherto has been reported for modeling the SF in conventional investment casting of industrial components. In the present study application of dimensionless analysis, has been made for developing a mathematical model for SF. Three input process parameters (namely: molten metal pouring temperature (PT), slurry layers combination (LC) and volume/surface-area (V/A) ratio of cast components) were judicially selected to give SF as output. This study provide main effects of these input parameters on SFand shed light on the SF mechanism in conventional investment casting. The comparison of mathematical model with experimental results has been made for validation of model.
PERFORMANCE OF HORIZONTAL WATER-IN-GLASS EVACUATED TUBE SOLAR COLLECTORS
Authors: Thomas Daniel E.
Published: December 2016

Water-in-glass evacuated tube solar collectors are widely used in two main configurations: (1) a single row of tilted tubes connected to a header tank, and (2) two rows of horizontal tubes on either side of a central manifold. Published studies on water-in-glass collectors have been focused almost entirely on the former, commonly used for domestic water heating applications. This study considers the latter type, which is well suited to larger solar water heating applications. Experimental data from outdoor testing demonstrates a good fit to the ISO 9459-2 expression for collector performance. This daily heat gain model is used in simulations to illustrate sizing and design applications.
Effect of heat source and chemical reaction on MHD flow past a vertical plate with variable temperature
Authors: Rout P. K. , Sahoo S. N. , Dash G. C.
Published: December 2016

An analysis has been carried out to study the effect of heat source and chemical reaction on MHD flow past a vertical plate subject to a constant motion with variable temperature and concentration. The governing equations are solved by the Laplace transformation technique. The effects of various flow parameters on the flow dynamics are discussed. Findings of the present study reveal that the velocity of the fluid reduces due to the dominating effect of kinematic viscosity over molecular diffusivity in case of heavier species. Presence of heat source reduces the velocity of the flow. Presence of chemical reaction parameter decreases the concentration distribution.
Information Overload: Causes, Consequences and Remedies - A Study
Authors: Hoq Kazi Mostak Gausul
Published: December 2016

Information overload, usually characterized by an over abundance of information, is a major cause of concern for general information users, researchers and information managers. With the advent of new technological innovations, the rate of information production has accelerated rapidly. Consequently, people are suffering from an information glut, which makes it difficult for them to find the required information quickly and conveniently from various print, electronic and online sources. The paper analyzed the causes and causes of information overload in the 21st century and puts forward suggestions for overcoming this problem. It stresses the importance of concerted efforts from information professionals, computer scientists and academics to devise techniques and technologies for countering the effects of information overload.Philosophy and Progress, Vol#55-56; No#1-2; Jan-Dec 2014
The Early Japanese and their Religio-cultural Life: A Historical Overview
Authors: Alam Mohammad Jahangir
Published: December 2016

Japanese Religion, in general, refers to the multiplicity of religions in Japan. Different religious traditions coexist in Japan for centuries after centuries without breaking interreligious harmony among them. The present work especially focuses the Traditional Japanese Religions as major elements of culture that are basically a mixture of folk religions, early Shinto, Confucianism, Daoism and Buddhism. Shinto has been the indigenous tradition for over two thousand years until it was synthesized with foreign elements. Buddhism, Taoism and Confucianism have profoundly influenced the spiritual and socio-political life of the Japanese since 6th century AD. These religious traditions have long met, interacted and influenced each other and together formed the religious and cultural life of the Japanese people. Nonetheless, though the religious and intellectual life of the court was dominated by Buddhist and Confucian thought during the seventh and eighth centuries, Shinto remained the religion of the people and also became almost a part of the political machinery.Philosophy and Progress, Vol#55-56; No#1-2; Jan-Dec 2014
A Study on Consumers Psychology on Marketing Tools
Authors: Babu Md Samiul Hasan
Published: December 2016

In this twenty first century, market became more competitive and existing players have to fight in the ocean and have to survive after sacrificing own blood. However, every market players wants to live in the blue ocean. Thus, they attempt to develop and market the right product for right consumers. However, this is most important to understand how consumers define their need and how they want to meet their needs. It is important to understand the difference which one is need for which customer and which one want or demand to whom. In this stage, it raises the question to have better a deep insight about consumers psychology. If a marketer can understand his/her consumers psychology, he/she might easily pick up the best weapon to hit the consumers and to get them into the spider net spread to catch them all. Today, consumers are very much informative and they know well what they want and what is going on. So, marketers need to be very careful in designing marketing strategy to offer the best brand with a sense to deliver the message or communicating the consumer about the brand without bothering or irritating the consumer. Creating the best brand depends on how well a marketer can read consumers mind regarding the requirement and final success depends on how well they could communicate them through different marketing techniques/tools. These all require a good sense of consumer psychology for the marketers to draw a perfect image of the consumers in their marketing strategy development. The marketing techniques used by all marketers to attract consumers, produce new product, attract through different activities like coupon, demonstration, event show, trade show, advertising, celebrity endorsement are almost same. However, success run behind the winner who can better adopt consumers psychology.Philosophy and Progress, Vol#55-56; No#1-2; Jan-Dec 2014
Social Reform in Colonial Bengal: Revisiting Vidyasagar
Authors: Zafar Manmay
Published: December 2016

This paper looks at Vidyasagars programme for widow marriage while also discussing his campaign against Kulin Brahmin polygamy, child marriage and prostitution  some of the evils that plagued nineteenth-century Bengali society. Vidyasagars diligent effort for the legalisation of widow marriage ultimately paid off in 1856 as the British colonial administrators drafted widow marriage into law. The two tracts that Vidyasagar published in 1856 in favour of widow marriage have been looked into some detail as well as opposition to his programme from none other than Bankimchandra Chattopadhyay, arguably the greatest Bengali novelist till date. Statistically speaking, not many widows married under the Hindu Widows Remarriage Act, making the Act, according to some critics, almost a dead letter. However, whether statistics alone does justice to the long-term impact Vidyasagars movement has had on Bengals social and intellectual life is also discussed.Philosophy and Progress, Vol#55-56; No#1-2; Jan-Dec 2014
Assessment of Consumers Loyalty and Switching Behavior: A Study on Selected Tea Brands in Bangladesh
Authors: Shams Shahpar
Published: December 2016

Rivalry has become more drastic among diverse companies since it is the era of global marketing now. In order to grasp the best opportunity from the marketplace, marketers now-a-days adopt multifarious strategies to ensure their triumph in the long run. To do so, building and maintaining customer loyalty has become the best option for marketers. Tea marketers in Bangladesh, likewise marketers of other consumer goods, have been facing fierce competition as demand for this drink has been increased. As such, they have also been adopting this technique to ensure their sustainable growth and market holdings. Here, bringing down consumers expectation and perception in the single point is a great challenge for a marketer which is prerequisite to customer satisfaction. In this study, the researcher attempted to work out with attributes those consumers expect in a branded tea and presence of which might create consumers positive perception towards the brand and how this positive perception works for turning to be loyal. In addition to, when positive perception does not work, how consumers switch to other brand for meeting up their expectations. In this context, the researcher has collected direct data from the consumers to understand their views.Philosophy and Progress, Vol#55-56; No#1-2; Jan-Dec 2014
Evaluation of Renal Function in Kala Azar Patients: A Study of 30 Patients
Authors: Haidary Mobiul Haque , Akhtaruzzaman Md , Ahsan Raghib
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8373TAJ 2002; 15(1): 9-12
Fine Needle Aspiration Biopsy (FNAB) of masses from Thyroid and Salivary Glands: A Profile of 648 Cases
Authors: Sayeed Md Abu , Ullah Jafar , Sultana Razia , Islam Md Sadiqui , Biswas Israil
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8375 TAJ 2002; 15(1): 17-21
A Study of Congenital Malformation in a Teaching Hospital
Authors: Bari Md Iqbal , Haque Md Imdadul , Siddiqui Abu Bakar , Hossain Asgar
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8376 TAJ 2002; 15(1): 22-24
Management of Spinal Injury: Experience in Rajshahi Medical College Hospital
Authors: Rahman Md Lutfor , Haque Md Enamul , Zaman Md S , Arafat Md Y , Alam Md Intakhab
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8377 TAJ 2002; 15(1): 25-27
Psychiatric morbidity after hysterectomy
Authors: Habib M Ahsanul , Begum Fatema , Afroz S
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8378 TAJ 2002; 15(1): 28-31
Combination of Docetaxel (Taxotere) and Cisplatin in Patients with Breast Cancer: A New Therapeutic Approach
Authors: Uddin Dayem , Islam Quazi Tarikul , Begum Khodeja Nahar
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8380 TAJ 2002; 15(1): 35-36
Effect of Supervised Physiotherapy in Ankylosing Spondylitis
Authors: Taslimuddin Md , Moyeenuzzaman Md , Islam Md Quamrul , Hasan Suzon Al , Rahman Md Habibur
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8381 TAJ 2002; 15(1): 37-42
Cervical Precancer: Evaluation and Management
Authors: Nahar Begum SM Khodeza
Published: December 2016

DOI: http://dx.doi.org/10.3329/taj.v15i1.8382 TAJ 2002; 15(1): 43-47
The Concept 'Patient Satisfaction' as it Relates to Contemporary Health Care
Authors: Ekram ARM Saifuddin , Rahman Md Fazlur
Published: December 2016

doi: 10.3329/taj.v19i1.3159 TAJ 2006; 19(1)
Arsenic Contamination in Ground Water and its Health Effects in Rural Chapai Nawabganj
Authors: Jahan Md Sarwar , Ul-Minhaz Afif
Published: December 2016

Arsenic is one of the important chemical water pollutants and number of arsenicosis patient in Bangladesh is remarkable. This cross-sectional study was done in several rural localities of Chapai Nawabganj with the view to find out the preventive measures adopted by the rural people to alleviate health problems of consuming arsenic contaminated ground water, and to determine the prevalence of chronic arsenicosis along with the proportion of people still consuming arsenic contaminated drinking water. The study areas were selected purposively and data were collected by a pre-tested questionnaire from 384 rural people sampled by systematic random sampling technique. Majority of the respondents were male. Among them 81.25% knew the arsenic as a pollutant of ground water and 79.17% had knowledge about the health problems due to it. Among the respondents, 83.33% were using arsenic contaminated water, in them only 97 (30.31%) had adopted preventive measures. Eighteen (4.69%) arsenicosis patients were found in the studied houses. A large section of people had knowledge about arsenic and its health problems. In rural areas many households were using arsenic contaminated water without getting any preventive measures. The number of arsenicosis patients is also remarkable. Provision of availability of arsenic free safe water and appropriate technology to make water arsenic free in that area is essential. Health education program should be initiated to encourage people about these. It also needs general education and financial conditional improvement.   doi: 10.3329/taj.v19i1.3160 TAJ 2006; 19(1): 1-9
Serum Inorganic Phosphate and Alkaline Phosphatase Activity in Cold-Exposed Rat
Authors: Haque Md Shahidul , Shima Zerin Fahmida
Published: December 2016

To characterize serum constituents in blood in response to cold exposure, we measured serum inorganic phosphate (Pi) and alkaline phosphatase (ALP) levels. After 30 min exposure of cold, the serum Pi and alkaline phosphatase levels were 3.4 ± 0.06 mg/l and 72.33 ± 0.45 μmole/l respectively where as the control levels of these constituents are 3.05 ± 0.03 mg/l and 84 μmole/l respectively. Cold exposure for 30 min induces serum Pi concentration by 11.5 % and decreases ALP levels significantly by 13.9 % compared to control rats. Serum Pi for 1 h and 2 h were 3.8 mg/l and 4.17 ± 0.16 mg/l while ALP levels were 57.33 ± 0.88 μmole/l and 91 ± 1.73 μmole/l respectively in different groups of rats. Cold exposure stimulates serum Pi by 24.6 % and 36.7 % and reduces ALP activity by 31.7 % significantly and without significant change for 1 h and 2 h respectively. Another groups of rats exposed to cold for 4 h had Pi and ALP levels 4.66 ± 0.88 mg/l and 85.66 ± 0.88 μmole/l respectively. Cold exposure similarly stimulates Pi content significantly by 52.8 % without affecting ALP activity compared to the control rather reaches to basal level. Our results demonstrate that Pi and ALP levels in cold-exposed rats are regulated in different ways.   doi: 10.3329/taj.v19i1.3162 TAJ 2006; 19(1):13-17
Prevalence of Mental Illness in the Community
Authors: Karim E , Alam MF , Rahman AHM , Hussain AAM , Uddin MJ , Firoz AHM
Published: December 2016

This is a cross sectional-descriptive study which was conducted in one urban mahalla and two rural mauza of Dhaka district. Self reporting questionnaire (SRQ) was applied on 327 adult respondents and structured clinical interview for diagnosis (SCID-NP) was applied on every second SRQ positive and every fourth SRQ negative respondent. The prevalence of neurotic disorders, major depressive disorder and psychotic disorders was 7.0% (7/1000 population), 4.0% (40/1000 population) and 1.2% (12/1000 population) respectively. The prevalence of psychiatric disorder was found higher in female 13.9% than male 10.2% and in middle and lower socio-economic class. The study would be helpful in future community survey on mental health and in formulating national mental health program and facilitating their effective implementation.   doi: 10.3329/taj.v19i1.3163 TAJ 2006; 19(1): 18-23
Brain Tumors - Analysis of 320 Cases
Authors: Rahman Md Lutfor , Ali ASM Shawakat , Islam Md Shofiqul , Alam Intekhab , Mohiuddin AKM
Published: December 2016

We have studied 320 cases of brain tumour. In adults 80% tumours were supra-tentorial and 20% were infra-tentorial. In case of children, 71.25% were infra-tentorial and 29.8 % were supratentorial. Age ranges in our study were between 10 months to 75 years. Male to female ratio of incidence were about 2:1. All (100%) patients had cognitive impairment with features of raised intracranial pressure. Diagnosis was made on the basis of CT scan of brain (78.12%) or MRI of Brain (21.88%). Surgical intervention was done in the form of burr hole and biopsy in 45 cases (14.06%), Craniotomy with total excisional biopsy in 109 cases (34.6%) and excision and biopsy with residual tumors in 166 cases (51.81%). Peri-operative mortality in our study was 6.25%. doi: 10.3329/taj.v19i1.3164 TAJ 2006; 19(1): 24-26
An Atypical Presentation of A Case of Endometriosis
Authors: Yusuf N , Haque MA , Rahman MH , Ali MA
Published: December 2016

Bloody pleural effusion may be a clinical complication of many diseases like malignancy, trauma, pulmonary infarction, ovarian pathology, certain infections etc. Rarely pulmonary, endometriosis can present with haemothorax & pose a diagnostic problem to clinicians. Histopathological confirmation is difficult, since bleeding site is not easy to locate. However, a presumptive diagnosis of pulmonary endometriosis can be made with a typical clinical history. We report a case of pleural endometriosis in a 28 years infertile lady presented with catamenial haemothorax occurring in the first 3 days of menstruation over a 3 months period associated with right shoulder pain & progressive shortness of breath for last 6 years. She was treated with continuous low dose oral contraceptive pill & there was no evidence of recurrent haemothorax during 9 months of follow up period.   doi: 10.3329/taj.v19i1.3165 TAJ 2006; 19(1): 27-30
Disseminated Subcutaneous Rhinosporidiosis: A Case Report
Authors: Sarker Md Moniruzzaman , Kibria AKM Golam , Haque Md Manzurul
Published: December 2016

Rhinosporidiosis is a chronic granulomatous infection that frequently involves the nose and nasopharynx, and occasionally affects the other areas of the body. We report a 40-year-old patient who had disseminated subcutaneous rhinosporidiosis. The patient presented with multiple subcutaneous lesions over the different parts of the body during last five years. He had a past history of a lesion in his right nostril with nasal blockage and haemorrhage ten years back. In our surgical unit the patient had been subjected to elective operation with excision of subcutaneous lesions. The histopathology report of excised subcutaneous lesions was rhinosporidiosis. The patient is being followed up postoperatively.   doi: 10.3329/taj.v19i1.3166 TAJ 2006; 19(1): 31-33
Spontaneous Transmural Migration of a Retained Surgical Mop into the Small Intestinal Lumen Causing Sub-Acute Intestinal Obstruction: A Case Report
Authors: Sarker Md Moniruzzaman , Kibria AKM Golam , Haque Md Manzurul , Sarker Kali Prosad , Rahman Md Khalilur
Published: December 2016

A case of sub-acute intestinal obstruction due to spontaneous complete transmural migration of a retained surgical mop into the small intestinal lumen has been treated surgically in surgery department of Rajshahi Medical College Hospital. The patient presented with colicky abdominal pain, nausea, occasional abdominal distention and vomiting. She had history of abdominal operation twice previously. Abdominal examination revealed a mobile lump in the right side of abdomen. Diagnosis could be made only at laparotomy.   doi: 10.3329/taj.v19i1.3167 TAJ 2006; 19(1): 34-37
Current Challenges in Hepatitis B
Authors: Ahad MA , Alim MA
Published: December 2016

Viral hepatitis and its sequelae is one of the important causes of mortality and morbidity world wide. Hepatitis B is a major cause of chronic liver disease and a significant public health issue. Between 350 million to 400 million people world wide chronically infected with HBV. The HBV prevalence in Bangladesh is 2.3 to 9.7 % with an approximate carrier of 10 million. The prevention and treatment of hepatitis B possess a great challenge.   doi: 10.3329/taj.v19i1.3168 TAJ 2006; 19(1): 38-44
Corrigendum
Authors: Editor The
Published: December 2016

Trimetazindine MR in Patients with Stable Angina in Bangladesh TRIUMPH-BANGLA Study Group MN ISLAM, MA BASHAR, RS MAHMUD, N FARID, AW CHOWDHURY, KHQ ISLAM, MS BARI, SC DHAR, MS HOQUE, MT RAHMAN, AK CHOUDHURY, TC GHOSE, PK DAS, TF KAHN January 2008, Vol. 4. Number I, Page 9-13. Several printing mistakes was detected after printing the article. A corrected version of the article has been published as reprint. Editor
Is Enhanced External Counterpulsation (EECP) A- Last Resort Treatment of Refractory Angina?
Authors: Siddique Md Abu
Published: December 2016

doi: 10.3329/uhj.v5i1.3431 University Heart Journal Vol. 5, No. 1, January 2009 1-2
Safety and tolerability of Ramipril 10 mg in high risk Bangladeshi patients following the criteria of the HOPE study: A multi center open, non comparative study
Authors: Islam M Nazrul , Haque KHMS Sirajul , Siddique Md Abu , Mohibullah AKM , Mahmud Razia Sultana , Banerjee Sajal K , Rahman Sufia , Majumder Abdullah Al Shafi , Ali Atahar , Sarker Shila
Published: December 2016

Renin angiotensin aldosterone system plays an important role in the pathogenesis of cardiovascular events. ACE inhibitors are known to have a beneficial effect on atherosclerosis progression affecting multiple arterial territories of the body. Several outcome trials utilizing ACE inhibitors have shown reduction of death, NH and stroke in broad range of patients. HOPE study, the landmark trial using Ramipril, has shown beneficial effects in high risk patients using Ramipril 10mg/day in the western population. The aim of the present study was to evaluate the safety and tolerability of Ramipril 10mg/day in Bangladeshi patients. The criteria for recruitment were similar to those of the HOPE study except age (45 years or older were included in the present study). The study showed that this target dose of Ramipril would be reached in Bangladeshi patients, as in the HOPE study, in order to achieve a full therapeutic effect. Lower incidence of adverse events and less distontinuation rate of the drug was encouraging. It is concluded from the study results that Ramipril at a dose of 10mg/day can be used in Bangladeshi patients with reasonable safety and are well tolerated.   doi: 10.3329/uhj.v5i1.3432 University Heart Journal Vol. 5, No. 1, January 2009 3-8
Percutaneous mitral balloon valvuloplasty in patients with previous surgical mitral commissurotomy
Authors: Uddin Mir Jamal , Rahman Fazlur , Salman Mohammad , Hussain Khondker Shaheed , Rahman M Shahinur , Hossain Md Amir , Anam Khairul , Rahman Md Mukhlesur , Ahmed Md Khurshed
Published: December 2016

This prospective observational study was done in National Institute of Cardiovascular Diseases and hospital Dhaka, during the period April 2002 to July 2008. In this study the immediate results of balloon mitral valvuloplasty with mitral restenosis patients with previous surgical mitral commissurotomy was evaluated. We have done 50 cases of percutaneous balloon mitral valvuloplasty in patients who had the history of previous surgical commissurotomy. Out of these 50 patients 8 patients were male and 42 patients were female. The age range was 25-55 years with duration of surgical commissurotomy (SC) of 2-18 years past. The result of balloon mitral valvuloplasty (BMV) was successful in 48 cases and failed in 2 cases due to huge left atrium, balloon did not negotiate from LA to LV. Mitral valve area (MVA) before the procedure was 0.5-0.9 sq cm with mean 0.7± 2 sq cm. Following procedure the MVA was 1.6-2.04 cm2 with a mean of 1.8±0.2 cm2. Gradient across mitral valve (MV) before and after the procedure was 20-44 mm Hg with a mean of 32±-12 mm Hg and 8-12 mmHg with a mean of 10±2 mm Hg. MVA >1.8 cm2 was achieved in 41 cases &1.8-1.6 cm2 in 7 cases. Mitral regurgitation >1 grade occurred in 8 cases. So we conclude that BMV in patients with mitral restenosis following SC can be performed successfully with low risk of major cardiac complications. Key words: Surgical commissurotomy (SC), balloon mitral valvuloplasty (BMV)   doi: 10.3329/uhj.v5i1.3433 University Heart Journal Vol. 5, No. 1, January 2009 9-12
Presentation and Management of Cardiac arrhythmias ... an analysis of 75 referrals from Family Medicine Practitioners
Authors: Mahmood Manzoor , Mahmood SA , Hossain Md Zahid , Quayum MA , Qader A , Rahman Hasibur , Rahman KS , Ahmed Md Khurshed , Zaman SM Mustofa , Salim Md Abu , Hoque Md Harisul
Published: December 2016

Cardiac arrhythmias often present to family physicians with diverse clinical manifestations. This retrospective observational study was carried out in a private cardiology clinic in Dhaka from July 2004 to December 2008. A total of 1257 patients were referred from family physicians in the locality. 75 (5.96%) patients were diagnosed as having cardiac arrhythmia by ECG. Various types of atrial arrhythmias are more common than ventricular arrhythmias (60% vs 40%). Atrial fibrillation (N=18) and PVC (N=17) are the 2 commonest arrhythmias found in this study. This study identifies the clinical presentation, possible aetiology and management of patients having cardiac arrhythmias. Palpitation (46.66%) and asymptomatic ECG changes (34.66%) were the 2 most common reasons for referral. Most of the patients could be managed on a out-patient basis. Most arrhythmias like 1st degree heart block, PAC & isolated PVC, RBBB, Sinus bradycardia were asymptomatic & did not need any further treatment except assurance & anxiolytics. Other arrhythmias like atrial fibrillation, LBBB, bifascicular or advanced heart block, SSS & SVT needed further evaluation. This article particularly focuses on the general approach of family physicians while dealing with patients with cardiac arrhythmias. Key words: cardiac arrhythmias, family medicine practice   doi: 10.3329/uhj.v5i1.3435 University Heart Journal Vol. 5, No. 1, January 2009 17-19
Detection of ischaemic heart disease with risk factors in different categories of employees of University Grants Commission
Authors: Ahsan Syed Ali , Haque KMHS Sirajul , Salman Mohammad , Bari Ahmed Saiful , Nahar Habiba , Ahmed Md Khurshed , Hoque Md Harisul , Rahman Md Mukhlesur , Hossain Md Aslam , Sultan Md Ashraf Uddin
Published: December 2016

Coronary artery disease is the major cause of mortality world wide. The potentially modifiable risk factors for coronary artery disease were increased concentrations of low density lipoprotein cholesterol, decreased concentrations of high density lipoprotein cholesterol, hypertension, hyperglycemia, and smoking. This cross sectional study which included all UGC employees was conducted in the department of cardiology of BSMMU between January 2007 and December 2007. Detailed clinical history, family history, lifestyle, smoking habit, diabetes mellitus, and hypertension, regular use of any medication or any previous cardiac intervention was taken. Physical examination, Blood pressure measurement, ECG, Echocardiography, fasting blood sugar and fasting lipid profile was done to all subjects.163 subjects (all UGC employees), mean age 44.8±8.3 years were included in this study. (20.9%) presented with angina pectoris, 3.7% were having palpitation, and 8.6% were having shortness of breath and 5.5% with nonspecific chest pain. 16.6% subjects presented with hypertension, 12.3% with diabetes mellitus, and 20.9% with dyslipidemia. 3.1% subjects had previous myocardial infarction. ECG shows 8.0% subjects had inferior ischemia, 6.1% had anterior ischemia and 2.5% had bundle branch block. Echocardiography shows 4.9% subjects were having regional wall motion abnormalities Prevalence of risk factors for CAD is increasing, and with the clinical and cost burdens mounting, identifying and treating those at risk remains a national priority. Abbreviations UGC, University Grants Commission, BSMMU, Bangabandhu Sheikh Mujib Medical University   doi: 10.3329/uhj.v5i1.3436 University Heart Journal Vol. 5, No. 1, January 2009 20-23