bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Study on Sutureless and Glue-free Conjunctival Autograft in Pterygium Surgery in A Tertiary Medical College Hospital
Authors: Khan Md Anwar Hossain , Biswas AHM Zahirul Islam , Hossain Md Mosharrof 
Published: October 2019

Background: Foreign material used in ocular surface surgery may lead to local complications such as discomfort, scarring, or infection. Plasma-derived products such as fibrin glue may produce hypersensivity reactions whereas the risk of viral transmission remains. We describe a simple method of achieving conjunctival autograft adherence during pterygium surgery avoiding potential complications associated with the use of fibrin glue or sutures.
Materials & Methods: This study was conducted at Jahurul Islam Medical college Hospital, Bajitpur, Kishoregonj from August 2016 to April 2018. Fifty cases with unilateral primary pterygium were selected for the study. The operation was done under local anaesthesia. After pterygium excision and fashioning of the autologus conjunctival graft, the recipient bed is allowed to achieve natural haemostasis and relative dessication before graft placement. Excessive haemorrhage in the graft bed is temponaded. Graft adherence and positioning is examined after surgery.
Results: A total of 50 eyes of 50 patients mean age at the time of surgery was 40.5±10.3 years ranged from 17 to 70 years, with a female to male ratio was 1:1.94, underwent sutureless glue-free autologus conjuntival graft after pterygium excision. Mean graft area was 24(1.5) mm2. The patients were followed up for 4 months. Cosmesis was excellent in all cases and there were no intra- or post-operative complications requiring further treatment.
Conclusion: This simple technique for pterygium surgery may prevent potential adverse reactions encountered with the use of foreign materials and this small series provided safe and comparable results to current methods.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 28-31
Microbiological Study of Diabetic Foot Ulcer
Authors: Mohammuddunnobi - , Jahan Tasnuva , Amin Abdullah Al 
Published: October 2019

Background: Diabetic foot is one of the most feared complications of diabetes and is the leading cause of hospitalization in diabetic patients. Limb-threatening diabetic infections are usually polymicrobial involving multiple aerobic and anaerobic organisms.
Methodology: The present study was a cross sectional study, conducted in the department of surgery and microbiology at BIRDEM General Hospital, Dhaka, over a period of 9 months during January 2017- September' 2017. The study included a total of 77 adult patients of clinically diagnosed diabetic foot patients presenting to outpatient department and emergency ward. The standard case definition of diabetic foot is 'any pathology occurring in the foot of a patient suffering from diabetes mellitus or as a result of long term complication of diabetes mellitus'.
Results: Majority 17(22.1%) patients had Klebsiella pneumonia, 14(18.2%) had Pseudomonas aeruginosa, 11(14.3%) had Staphylococcus aureus, 10(13.0%) had Escherichia coli, 6(7.8%) had Coagulase-negative staphylococci and 8(10.4%) had Providencia spp. In Escherichia coli 100% sensitivity to imipenem, 70% to amoxicillin-clavulanic acid, amikacin, piperacillin-tazobactam. In Coagulasenegative Staphylococci 83.3% sensitivity to tetracycline, 66.7% to ceftriaxone. In Proteus mirabilis 100% sensitivity to tetracycline, amikacin, ceftriaxone, imipenem, piperacillin-tazobactam. In Enterococcus spp.75.0% sensitivity to tetracycline. In Citrobacter spp. 100% sensitivity to imipenem.
Conclusion: Common organism found in diabetic foot ulcer patients were Klebsiella pneumonia, Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli, Coagulase-negative staphylococci and Providencia spp. In tetracycline, amikacin, ceftriaxone, imipenem, piperacillin-tazobactam was 100% sensitive in Proteus mirabilis and only imipenem found in Escherichia coli and Citrobacter spp.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 50-55
Early Outcome of Lichtenstein Technique for Inguinal Hernia Repair in Tertiary Care Hospital
Authors: Kabir ASM Anwarul , Sharmin Mahbuba , Akhter Khaleda , Akhter Farjana , Haq Md Rashidul , Hasan Muhammad Mehedi , Ahmed Imtiaz 
Published: October 2019

Background: Inguinal hernia repair are very common in day to day general surgical practice. Results of surgical repair are often satisfactory but recurrences following surgery is troublesome both for surgeon and patient. Lichtenstein technique is now the most widely performed technique in groin hernia repair. The aim of this study was to assess short term outcome of inguinal hernia repair by Lichtenstein technique.
Methods and materials: In this prospective study, 30 inguinal hernia repairs were performed by Lichtenstein technique between January 2015 and December 2017 in surgery department of Holy Family Red Crescent Medical College Hospital. Patients were scheduled for follow up visits at 1st week, three months and six months in out- patient department. The main outcome measure was early recurrence, groin pain and other complications.
Results: In this study age of the patients ranged from 30 years to 78 years, The mean age was 51.93 (±SD 10.12) years. Regarding personal habit, more than half of the patients of inguinal hernia were found to be non-smoker and about 37% of the patients were current smokers. Most of the hernia were of indirect type (18/30) followed by direct type (9/30). In indirect type 55.6% of the hernias were in the right side and the rest were in left side. On an average each operation lasted for 1.18 hours and oral feeding started 12.69 hours after the operation. Two patients (6.7%) had a prolonged recovery and presented with abdominal distention after operation. Postoperative hospital stay that was 2.27 days. 6 (20%) patients developed postoperative urinary retention. Scrotal haematoma formation was observed in 5(17%) cases and local haematoma or seroma formation in incision site was reported in 4 (13%) cases. In 6 patients (20%) we used suction drain tube at tissue plane where mesh was placed for draining of blood or seroma and that drain tube was removed 2nd or 3rd postoperative period. Periincisional skin echymosis, abdominal distension and superficial wound infection, postoperative pyrexia were the other complications reported. No recurrence or mesh rejection or mesh infection were observed within short time postoperative follow up period.
Conclusion: Lichtenstein technique is easy to learn, simple to perform and very rationale to perform and recurrence rate is low. Multi-centre studies with larger sample and longer duration of study and more sound study design could bring more insight regarding this issue.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 62-69
Aetiology, Clinical Profiles, Laboratory Profile, Outcome and Prognostic Factors of Pediatric Acute Liver Failure: Experience at a Tertiary Hospital of Bangladesh
Authors: Yasmin Afsana , Karim ASM Bazlul , Rukunuzzaman Md , Hossen Kamal , Nahar Luthfun , Sonia Zannatul Ferdous 
Published: October 2019

Introduction: Acute liver failure is one of the common causes of death in pediatric gastroenterology and hepatology department. Outcome is different according to aetiology.
Objective: To observe the aetiology, outcome and prognostic factors of pediatric acute liver failure.
Methods: Consecutive 62 children aged 2 to 16 years of age who were diagnosed as acute liver failure from November 2015 to April 2018 were included in this study. All the clinical profiles, laboratory data and outcome were recorded in a preformed data sheet. Data were analysed by SPSS for Windows version 20.
Results: Mean age was 8.5 years. Thirty-nine (62.9%) patients were between 5-10 years of age. Male were 53%. We made a diagnosis of 39 (63%) patients as Wilson disease alone, Another 3 Wilson disease acute liver failure patients had concomitent with either HAV, HEV or HSV in each one. HAV only was responsible for 17 patients and HEV for 1. One patient was Haemophagocyic lymphohistiocytosis and aetiology could not be identified in 1 patient. The overall death in study population was 48% (30). Twenty-four (57%) of 42 acute liver failure patients due to Wilson disease had died. Five (29%) of 17 patients due to HAV infection and 1 patient with HLH died. Ascites, high total bilirubin, high INR and etiology like Wilson disease were the worse pronostic factors for outcome of acute liver failure in children.
Conclusion: Wilson disease was the most common aetiology of acute liver failure in children in this study. Early diagnosis is essential as outcome was worse. Majority of viral etiology improved with supportive care.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 56-61
Issues on Vector Related Diseases Transmission: People's Perception & Practices
Authors: Rahman Md Mahfuzar , Rahman Md Atiqur , Jnui Rizona , Kawser Abu , Shahin Khalid Omar 
Published: October 2019

Background: The vector borne diseases pose an immense public health concern and also a growing urban and rural problem. The aim of this study was to findout the perception and practices among the rural households regarding vector related diseases in some selected villages of Dhamrai Upazila.
Material and Methods: This descriptive cross sectional study was carried out among 1380 respondents by purposive sampling technique during the period from 6th to 8th January, 2018 in different villages of Dhamrai Upazila, Dhaka..
Results: Then study revealed that majority of the respondents 89% were Muslims by religion and about 65% respondents were found within the age 25-55 years. (mean age 37.81±14.72 years). Out of 1380 respondents, majority 87% & 86% mentioned Mosquitos and Houseflies as vectors transmitting the diseases followed by 48% Itch mite, 45% Louse and 27% Sandflies. About 85% & 88% mentioned Malaria & Dengue fever transmitted by vectors followed by 58% Chikungunya, 42% Kala azar, 13% Filariasis and 44% Typhoid fever. However, 71%, 83%, 59% & 3% respondents mentioned Mosquito bite as the mode of transmission of Malaria, Chikungunya and Filariasis respectively. About 88%, 75%, 44% and 39% respondents mentioned Personal protection, Avoidance of water collection, Fogging and Insecticidal spraying as the vector control measures. Nevertheless, 92%, 81% and 30% respondents are found practiced Mosquito net, Mosquito coil and Screening of windows as their usual vector control measures.
Conclusion: In this study community awareness in terms of perceptions, knowledge and practices regarding vector borne diseases are found deficient. There should be intensified efforts in promoting personal protective measures through creating public awareness towards prevention of vector borne diseases in the locality.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 32-37
Effectiveness of Ranolazine to Prevent Myocardial Injury During Elective Percutaneous Coronary Intervention
Authors: Iqbal SM Mamun , Ahsan Syed Ali , Jahan Kasekh Akhtar , Eva Sohely Nazneen 
Published: October 2019

Background: Ranolazine is a novel antianginal drug that reduces intracellular accumulation of calcium ion in ischemic myocardium. A pilot randomized study (n=70) has shown that pretreatment with ranolazine 1000mg twice daily for 7days significantly reduced periprocedural myocardial injury (PMI) in elective Percutaneous coronary intervention (PCI). Our objective was to detect whether similar effect could be obtained by ranolazine pretreatment through an interventional study.
Materials & Methods: 110 patients with chronic stable angina scheduled for elective PCI were enrolled in an interventional study. For 7 days before the procedure, 55 patients were allocated to receive ranolazine 1000 mg twice daily (ranolazine group) and 55 patients didn't receive ranolazine (control group). Serum creatinine kinase-MB (CK-MB) and Troponin I levels were measured at baseline and 24 hours post procedure.
Results: Periprocedural myocardial injury [i.e. an elevation of serum biomarkers (preferably cardiac troponins) above the 99th percentile of upper reference limit (URL)] was detected less commonly after PCI in ranolazine than in control group (11% vs. 27%, p=0.0001). Also, PCI-related myocardial infarction [i.e., post procedural increase in CK-MB>3 times above the URL] tended to be lower in the ranolazine versus placebo group: 1.8% versus 5.45%, P=0.0002. 24 hours post procedural levels of cardiac markers were also significantly lower in the ranolazine versus control group (CK-MB: 2.42±2.05 versus 7.02±9 ng/ml, P=0.001; Troponin 1: 0.447±0.74 versus 1.18±1.6 ng/ml, P=0.004). No significant adverse effect of the drug was reported.
Conclusion: So, we have concluded that ranolazine was effective in significantly reducing the periprocedural myocardial injury in elective PCI.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 43-49
What is New in New Generation Calcium Channel Blocker
Authors: Siddiqui Md Mahmudur Rahman , Mosharraf Sumaiya Sultana Binte , Giasuddin Rubayet Sheikh , Islam Nadia , Mirza Sohail 
Published: October 2019

Hypertension is a multifactorial and multisystem disease in which elevated blood pressure is only one sign of multiple underlying physiological abnormalities. It affects approximately 26% of the population worldwide. Hypertension is one of the leading cause of death as a "silent killer". Several classes of antihypertensive agents have been in clinical use, but CCBs exert most potent antihypertensive action and are widely used as a first line antihypertensive drug in elderly with very few contraindication.Four generations of dihydropyridines CCBs are now available.The fourth-generation highly lipophilic dihydropyridines, lercanidipine, cilnidipine and lacidipine are now available which provide a real degree of therapeutic comfort in terms of stable activity, a reduction in adverse effects and a broad therapeutic spectrum. Cilnidipine is a recently developed CCB, and possesses both L- and N-type calcium channel blocking activity.Cilnidipine causing less reflex tachycardia, less pedal edema, better control of proteinuria, suppressing podocyte damage, increasing insulin sensitivity.This article reviews the current understanding of the pharmacological profile and clinical utility of cilnidipine as a unique antihypertensive drug.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 77-83
Systemic Onset Juvenile Idiopathic Arthritis (sJIA) or Still's Disease: A Diagnostic Challenge; while Presented as Fever of Unknown Origin. 2 Cases
Authors: Tajkia Gule , Amin Syed Khairul , Rima Shamim , Halder Soma , Hannan Fabia 
Published: October 2019

Systemic-onset juvenile idiopathic arthritis (sJIA) or Still's disease is a chronic inflammatory disease of unknown etiology belongs to the group of Juvenile Idiopathic Arthritis. In contrast to other JIA patients in whom the joint disease usually overshadows the more general symptomatology, in Systemic-onset juvenile idiopathic arthritis (sJIA) extra-articular features such as spiking fever, hepatosplenomegaly, lymphadenopathy, rash, pleurisy, or pericarditis, and vasculopathy are most prominent. Thus the onset of disease can be vary nonspecific and may suggest bacterial or viral infection, malignancy or other rheumatic disease. As it is highly characterized by its extra-articular systemic illness features, in some ways, it resembles a fever of unknown origin. We present 2 cases of fever of unknown origin, initially presented with fever and other extra-articular features, without any arthritis, but after several months develops arthritis and finally diagnosed as Systemic-onset juvenile idiopathic arthritis (sJIA) or Still's disease .
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 84-88
Sarcoidosis - A Case Report
Authors: Islam Md Safiqul , Siddiqui Md Mahmudur Rahman 
Published: October 2019

Sarcoidosis is a chronic granulomatous disorder of unknown etiology, commonly affecting the lungs, skin and eyes. Although lungs and lymph nodes are involved in more than 90% of patients, virtually any organ can be involved. We describe a 36 years old lady presented with fever, skin rashes, cough, polyarthralgia, bodyache, wt. loss for 3 months. Examination revealed Fever, Erythema Nodosum, Cervical Lymphadenopathy. Investigations revealed high ESR (80 mm in 1st hour), high CRP, Hilar Lymphadenopathy on Chest X ray, Non-caseous Granuloma, Giant cell and Asteroid body on Lymph node Biopsy. All of her history, clinical examinations and Investigations are suggestive of Sarcoidosis. With symptomatic treatment and watchful observation, now she is completely symptoms free and leaving a healthy life.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 92-95
Acardiac Acephalus Twin Pregnancy
Authors: Rima Shamim , Tajkia Gule , Siddika Sharmin , Aziz Md Tarik , Amin Rumana , Abedin M Afsar 
Published: October 2019

Occurrence of acardiac twin is due to twin reversed arterial perfusion sequence (TRAP) occurring early in embryogenesis. There is vascular communication between the twins in monozygotic twins. The vascular communication in acardiac twin is different, in that, the acardiac twin receives blood supply from other twin pump through umbilical artery. The blood in the umbilical artery is mostly deoxygenated. Hence it leads to secondary organ atrophy. Upper body does not develop at all, hence missing heart and head. All the blood supply to the acardiac twin is derived from the pump twin. The acardiac twin develops only lower part of the body or just a mass of tissue. Hence, the mortality for acardiac twin is 100%.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 89-91
Dengue Typhoid Co-infection: a New Threat
Authors: Siddiqui Md Mahmudur Rahman , Islam Quazi Tarikul , Islam Mohammad Shahidul 
Published: October 2019

Acute febrile illness is the most common clinical presentation among patients attending to doctor in developing countries. In Bangladesh, dengue and typhoid fever have emerged as major public health problems. Co-infection with both these diseases is rarely reported and are known to present with overlapping symptoms making the clinical diagnosis difficult. The exact incidence of dengue and typhoid co-infection is not known. Here we report a case of co-infection of dengue fever with typhoid fever.
Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 96-97
Role of Color Doppler and Three-dimensional Ultrasound in Infertility
Authors: Rahman Hafizur 
Published: October 2019

Color Doppler is emerging as a valuable diagnostic imaging modality in the field of medicine, primarily infertility. Reproductive disorders, including infertility and spontaneous abortions/miscarriages, have emerged as major public health problem(s) worldwide. Color Doppler energy imaging is a high throughput technology based on the total integral of energy frequency spectrum. Color Doppler is a high-throughput, sophisticated imaging technique for the assessment of uterine anomalies, intrauterine pathology, tubal patency, polycystic ovaries, ovarian follicular monitoring, endometrial receptivity, failed or an ectopic pregnancy, male infertility and uterine, endometrial and ovarian vascularity. Assessments of the utero-ovarian pulsatility indices (PIs), resistance indices (RIs), and endometrial color signals are important determinants of in vitro fertilization (IVF) cycles and pregnancy rates. With many clinical/scientific research experience in the field of reproductive medicine, I strongly believe that an overall public health model needs to be designed in managing infertility patients; therefore, major issues such as cost effectiveness and technical artifacts should address so as to achieve an accurate clinical diagnosis, successful IVF outcome/pregnancy, and overall patient satisfaction in a clinical rehearse setting. Simple, safe efficient and affordable diagnostic modalities should be incorporated at infertility clinics coupled with well-designed patient counseling sessions and community-based public health awareness campaigns conducted so as to reduce the morbidity and mortality rates associated with reproductive disorders. Three dimension (3-D) ultrasound is a new imaging modality which is being introduced into clinical practice. It has been proved that 3-D ultrasound is a very highly reproducible technique. With 3-D ultrasound, a volume of a region of interest can be acquired and stored. This volume can be further analyzed in several ways, such as navigation, multiplanar display and surface rendering or volume calculation. Power Doppler ultrasound, in combination with 3-D ultrasound, allows for a whole assessment of relevant vessels and quantitative assessment of vessel density and perfusion within a specified area. Faridpur Med. Coll. J. Jul 2018;13(2): 97-100
Faktor-Faktor Yang Berhubungan Dengan Status Karies Gigi Pada Anak Sekolah Min 1 Kota Banjarmasin
Authors: Syah Astannudin , Ruwanda Rizqi Aulia , Basid Abdul 
Published: October 2019

Background of the study: At the age of 10 and over, 71,2% of children experience dental caries. The prevalence of active caries in Kota Banjarmasin is 65%. While in Puskesmas (Public health service) Kelayan Timur working area, 389 cases of dental caries found. Additionaly, the governement through Kemen-Kes RI (Indonesian Health Ministry) tergeting Indonesian society to be free from dental caries by 2030. Some factors influencing dental caries are dental health awareness and attitudes namely time and frequency of brushing teeth, cariogenic foods, and the method of brushing teeth.
Purpose of the study: this study is aimed to reveal the correlation between knowledge factors as well as dental health attitudes and dental caries status.
Methods: This is an anlytical study utilizing cross sectional. The sample of the study is students of MIN 1 Kota Banjarmasin in 2018 with the total of 53, taken by means of perposive sampling. Statistical testing used is chi-square with 95% of reliance degree.
Result of the study: The result shows that there are correlations between dental health knowledge p-value 0,004, time and frequency of brushing teeth p-value 0,002, cariogenic foods p-value 0,018, as well as teeth brush method p-value 0,015 and dental caries occasion in MIN 1 Kota Banjarmasin.
Conclusion: The dental caries status is affected by dental health knowledge and attitudes.
SEKILAS TENTANG TAFSIR WAHBAH AL-ZUHAILY
Authors: Hambali Muhammad 
Published: October 2019

Berbicara tentang penafsir al-Qur’an tidaklah akan terlepas dari membicarakan para mufassir ataupun penulis kitab-kitab tafsir terdahulu. Hal itu karena para mufassir masa kini merupakan penerus mufassir sebelumnya. Kalaulah ulama’ itu pewaris para Nabi dan salah satu tugas Nabi adalah menjelaskan maksud al-Qur’an maka wajarlah sejak awal ulama’ itu mengerahkan tenaga untuk melestarikan tafsir al-Qur’an demi kemaslahatan umat sebagai problem solving hari ini maupun di masa yang akan datang.
Salah satu ulama’ masa kini yang turut mengerahkan tenaga dalam melestarikan tafsir al-Qur’an adalah Wahbah bin Mushtafa al-Zuhaily. Ia telah berhasil membuahkan karya tafsir yang tidak mudah rasanya dicapai oleh kebanyakan orang. Cendikiawan asal Suriah itu telah meninggalkan kitab tafsir berjilid-jilid dengan uraian-uraian yang begitu padat. Tidak berlebihan kiranya kalau penulis katakan bahwa buah karya Wahbah bin Mushtafa al-Zuhaily merupakan “emas” yang sangat berharga dalam dunia ilmu al-Qur’an dan tafsir.
Artikel ini membahas Wahbah bin Mushtafa al-Zuhaily berikut kitab tafsirnya. Penulis berupaya mengenalkan kepada pembaca tentang metode Wahbah bin Mushtafa al-Zuhaily dalam menulis tafsirnya. Walaupun pembahasan dalam artikel ini tidaklah begitu detail dan mendalam, namun boleh jadi merupakan diskursus yang cukup segar dalam disiplin ilmu al-Qur’an dan Tafsir.