bluuebunny/crossref_metadata_2025_split huggingface dataset:
Open Cholecystectomy: Muscle Splitting Versus Muscle Cutting Incision: A Randomized Study
Authors: Islam Md Shafiqul , Hasan Muhammad Masud , Islam AKM Sadequl 
Published: June 2021

The objective of this study is to compare open cholecystectomy through right subcostal incision (Kocher's incision) between muscle splitting and muscle cutting in terms of duration of operation, postoperative pain, length of hospital stay, morbidity and cosmetic outcome. It is a prospective randomized 3 (three) years study which includes 400 patients who underwent open cholecyslectomy from January 2012 to December 2014 at Islamia General Hospital (private) and Al Raji clinic (private) of Mymensingh, Bangladesh. Study shows that open cholecystectomy with muscle splitting has significant advantages over open cholecystectomy with muscle cutting in terms of duration of operation time and postoperative pain. Muscle splitting incision is another option to offer patients who elect to undergo open cholecystectomy with less pain and hospital stay.
CBMJ 2015 July: Vol. 04 No. 02 P: 4-7
Results of Hemi Arthroplasty in Fracture Neck of Femur in Elderly Person, CBMCHB Experience
Authors: Uddin Md Nasir , Islam Md Saiful , Chowdhury Mamunur Rashid , Khan Md Abul Kalam Azad , Hasan Md Rajibul , Ashik Md Sabbir Hasan 
Published: June 2021

Intracapsular femoral neck fracture is a common injury in elderly person. The primary goal of treatment is to return the patient to him or her pre-fracture functional status. The surgical treatment is the treatment of choice, lip replacement arthroplasty (hemi or total) is a viable treatment option. Thirty elderly patients (age 50-80 years) with a displaced intracapsular femoral neck fracture were under treatment over a five year period (January 2010 to December 2015). All of them underwent hemiarthroplasty either unipolar or bipolar, after appropriate medical and anesthetic fitness. The patients were reevaluated at six weeks, at six months postoperative interval and assessed using Harris hip score (HHS) and visual analogue scale (vas) for evaluation of outcome. The mean age of patients was 64.5 years and male female ratio was 43.3% - 56.7%. The mean HHS score was 85.3 by the end of the 6 months. The mean score on VAS scale was 60mm (moderate) at 2 weeks, 40mm (mild) at six weeks and 4mm (mu) at 6 months follow up visit. No significant complications were observed except hip pain. No patients needed revision surgery. Herniarthroplasty is the treatment of choice in elderly population with displaced femoral neck fracture (Garden type III or IV); provides early ambulation, good functional outcome, pain free joint with minimal complications without the need for revision surgery.
CBMJ 2015 July: Vol. 04 No. 02 P: 8-12
Pattern of Congenital Heart Disease Diagnosed by Echocardiogram in Patients Admitted into a Rural Setup Tertiary Hospital
Authors: Ahmed Tofayel Uddin , Rahman M Mafizur , Quddush ASM Rushul 
Published: June 2021

Congenital heart disease is a defect in the structure of heart and great vessels present at birth. Early recognition will help to treat the child and if possible get corrective surgery done. The aim of this study was to observe the pattern of congenital heart disease in our set-up. This descriptive study based on echocardiographic findings over a period of 3 years from January 2013 to December 2015 conducted in Community Based Medical College Bangladesh, Mymensingh. Patient's consent was obtained from patient's parents before echocardiography. A total of 100 children found to have congenital heart disease determined by echocardiography were studied and analysed for frequencies of lesions, sex ratio and mean age. One hundred patients, comprising 55(55%) male and 45(45%) female had congenital heart disease as diagnosed by echocardiogram had, their age ranged from 0.01 to 15 years with a mean age of 6.4±5.3 years and male to female ratio 1.2:1. Sixty six percent of patients were diagnosed as non-cyanotic heart defects and rest 34% cyanotic heart defects. Atrial septal defect (35%) was the most frequent form of non-cyanotic congenital heart defect, followed by ventricular septal defect (15%), pulmonary stenosis (6%) patent ductus arteriosus (5%), endocardial cushion defect (3%) and coarctation of aorta (2%). Whereas fallot's tetralogy (17%) followed by transposion of great arteries (10%) and ebstein's anomaly (7%) were the commonest cyanotic congenital heart defects. Congenital heart diseases are common in our set-up. Atrial septal defect is the commonest non-cyanotic and Fallot's tetrology as cyanotic congenital heart disease.
CBMJ 2015 July: Vol. 04 No. 02 P: 20-26
Admission Pattern and Outcome in a Pediatric High Dependency Care (PHDC) Unit of a Tertiary Care Children Hospital in Bangladesh
Authors: Mobarak Mohammed Reaz , Bhuyian AKM Tajuddin , Islam Md Rafiqul , Begum Ferdousi , Islam Md Atiqul , Akand Nabila , Farhana Tanzila 
Published: June 2021

Pediatric high dependency care (PHDC) is a care comprising of close observation, monitoring and management of children who are vulnerable to physiological instability. To determine the pattern of admission and register outcome of patients in the pediatric high dependency care (PHDC) of Dhaka Shishu( Children) Hospital, a tertiary level referral children hospital in Bangladesh. This is a retrospective study of the record of patients admitted to the PHDC unit at the Dhaka Shishu Hospital from May 2015 to February 2016. The information obtained from the admission/discharge record as well as the patients' case notes included demographic data, working diagnosis, type of management, length of stay (LOS) in the PHDC unit and outcome. A total of 140 children were admitted during the study period comprising of 80 (57.15%) males and 60 (42.85%) females, giving a male: female ratio of 1.33:1. The age ranged from one day to 12 years with a mean of 35.44±3.1 months. Meningitis (both bacterial and viral) accounted for 24 (17.14%) followed by encephalitis, 21 (15%) were the major indications for admission. Other indications included seizure disorders (both febrile and afebrile), 18 (12.85%); bronchopneumonia including acute bronchiolitis, 15 (10.71%); neonates with different indications 13(9.28%); typhoid fever with complications 5 (3.57%); mumps with complications, 4(2.85%); chickenpox with complications, 3(2.14%); surgical conditions, 7 (5%), and others, 30(21.42%). There were no post-operative surgical cases. The length of stay (LOS) in the unit ranged from 1 day to 34 days with mean of 7.9±0.5 days. The treatment expenses ranged from 1000 BDT to 50,000 BDT with a mean of 12297.14±888.69 BDT. Out of total 140 admissions, 82 (58.57%) were discharged in a satisfactory condition; discharge on request (DOR), 30 (21.42%); referred to intensive care unit (ICU), 7 (5%); left against medical advice (LAMA), 15(10.71%) and death, 6 (4.2%); case fatality rate (CFR), 4.2/100 admission. Among the death cases there were 2 meningitis, 2 encephalitis, 1 acute bronchiolitis and 1 preterm very low birth weight (VLBW). Meningitis, encephalitis, bronchopneumonia, seizure disorder were the major causes of admission in PHDC unit, while case fatality was the highest for meningitis and encephalitis. Therefore, awareness regarding prevention, early detection and management of meningitis and encephalitis should be emphasized.
CBMJ 2015 July: Vol. 04 No. 02 P: 27-30
Study on Cutaneous Manifestations of Leukemia and Lymphoma
Authors: Wahab Md Abdul , Haque AKM Rejaul , Khan Md Rafiquzzaman , Hassan Biswas Shaheen , Rahman Md Moksedur , Rahman M Hasibur , Islam Md Aminul , Khatun Masuda , Kumar Saha Bijoy 
Published: June 2021

Leukemia and Lymphoma can present with various cutaneous manifestations. These include specific cutaneous diseases and non-specific cutaneous lesions. Non-specific skin lesions are more common in patients with Hodgkins diseases. Leukemia cutis (specific skin lesions of Leukemia) most commonly occurs concommitent with or following the diagnosis of leukemia. The skin may also be the site of relapse of Leukemia after chemotherapy. Uncommonly leukemia cutis may be identified while the bone marrow and peripheral blood are normal. Those patients are classified as aleukemic leukemia cutis. The objective of this study is to know the prevalence of skin manifestations of hematologic malignancies and to help the diagnosis and management of hematologic malignancies in some extent. It is a cross sectional observational study in which the skin lesions of the patients in hematologic malignancies who were already diagnosed & hospitalized in the hematology department of Bangabandhu Sheikh Mujib Medical University were evaluated in the period of one year. We found malignant infiltrative lesions & hemorrhagic findings both were predominate in leukemia. Infections were predominant in both Leukemia & Lymphoma.
CBMJ 2015 July: Vol. 04 No. 02 P: 31-34
Comparative Study of Cytology and Histopathology of Cervical Lesion in VIA Positive Patients in Mymensingh
Authors: Ansari Nazma Parvin , Rahman AJE Nahar , Saleh AFM , Shahida SM 
Published: June 2021

Cervical cancer is the second most frequent type of cancer and leading cause of mortality among women worldwide. More than eighty eight percent deaths from cervical cancer occur in developing countries and by 2030, it will be at least ninety eight percent. In developed countries, the cases and deaths have declined markedly due to their extensive screening programs. The present study was undertaken to assess precancerous and cancerous cervical lesion by cytology and their comparison with histopathology in VIA positive cases. This descriptive, cross-sectional type of observational study was carried out in the Department of Pathology, Mymensingh Medical College in collaboration with the Department of Gynecology and Obstetrics, Mymensingh Medical College Hospital, during the period of July 2012 to June 2013. Study was carried out among 160 VIA positive patients and selected by non-random judgment sampling from the colposcopy clinic. Histological findings revealed that the most common age group affected by different types of cervical lesions is 30 – 39 years. It also revealed that squamous cell carcinoma (SCC) was very much common in age group 40-49 years. The statistical value of accuracy, sensitivity and specificity of Pap smear cytology test and histopathology yielded some important directives. The sensitivity values of Pap smear cytology was found 87.50%. The accuracy of the Pap smears in this study was 88.13%. The present study show significant relationship between cytological test with histopathological diagnosis. However cytology testing is not suitable as a single test. In conclusion, it can be stated that combination of cytology (Pap smear) and histopathology would ultimately be more useful.
CBMJ 2015 July: Vol. 04 No. 02 P: 35-40
Role of Polymerase Chain Reaction (PCR) in the Diagnosis of Paucibacillary Leprosy
Authors: Rahman Mohammad Mahmudur , Sikder Md Akram Ullah , Khondker Lubna , Chowdhury Abu Hena , Hossain Mohammad Kamal , Rahman Mohammad Atiqur 
Published: June 2021

Leprosy caused by Mycobacterium leprae, is still considered a major health problem in many developing countries. The routine bacteriological test on the demonstration of acid-fast bacilli in skin smears is not sufficiently sensitive or specific in the paucibacillary leprosy patients. To detect DNA of Mycobacterium leprae by Polymerase Chain Reaction (PCR) from skin biopsy specimen as a means of diagnosis of paucibacillary leprosy. It was a cross-sectional study of clinically diagnosed 33 cases of Paucibacillary leprosy patients. Laboratory works were performed in the Department of Microbiology and Immunology and Department of pathology; Bangabandhu Sheikh Mujib Medical University (BSMMU) and Leprosy Control Institute and Hospital, Mohakhali, Dhaka from November 2013 to June 2015. It was observed that the mean age of patients was found 30.9±13.7 years, 19(57.6%) patients had two to five skin lesions, all (100%) patients had tuberculoid type of leprosy, all (100%) patients had loss of sensation and 18(54.5%) patients had nerve thickening. Regarding slit skin smear test, it was observed that all (100%) patients were slit skin smear negative for leprosy bacilli, 8(24.2%) patients had positive skin biopsy for histopathology and 15(45.5%) patients had positive skin biopsy for PCR. The validity of PCR for identification of paucibacillary leprosy correlated with sensitivity 100%, specificity 72%, accuracy 78.8%, positive predictive value 53.3% and negative predictive value 100%. Polymerase chain reaction (PCR) has definite value in the diagnosis of paucibacillary leprosy and can be regarded as a sensitive and specific diagnostic modality.
CBMJ 2015 July: Vol. 04 No. 02 P: 41-48
Stress Factor Influencing the Psoriasis in Tertiary Hospital of Bangladesh
Authors: Khatun Masuda , Khondker Lubna , Kamal SM Bakhtiar 
Published: June 2021

Psoriasis is one of the major public health problems. It creates a major psychological as well as cosmetic problem and a vast reduction of quality of life in developing countries as well as developed countries as stress is considered to play an important role on the onset and exacerbation of psoriasis. To evaluate influence of stress factor in psoriasis. An observational cross-sectional study was conducted with patients with psoriasis who attended the Department of Dermatology and Venereology, Dhaka Medical College Hospital (DMCH) and Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during the period of July 2015 to June 2016. Divorce was presented in 8.1% cases, 51.3% cases had severe life threatening diseases affecting the patient or close family members, 45.1% patients had history of deaths within the close family members, 39.8% patients had serious financial difficulties and 4.4% patients had harassment at school, 65.5% patients experienced first outbreak of psoriasis during a period of stress. About 41.6% psoriatic patients became worse during times of Stress. 38.9% patients had a tendency to break out during times of stress. This study demonstrated that the stress factor is of paramount importance for the development and aggravation of psoriasis.
CBMJ 2015 July: Vol. 04 No. 02 P: 49-54
Congenital Leukemia: A Case Report
Authors: Quddush ASM Ruhul , Md Kamruzzaman - , Md Badruzzaman - , Jahan Shahanaz , Sattar Shamima 
Published: June 2021

A 5 week-old infant presented with fever and pallor for two weeks, reluctant to feed for one week and passage of bloody stool one time two days back. Child was found less active and severely anaemic with hepato-splenomegaly. Peripheral blood film showed marked leukocytosis with many immature cells which are mostly blast cell resembling lymphoblast containing one-two nucleoli. Bone marrow aspiration revealed findings suggestive of acute lymphoblastic leukemia. Other possibilities like neonatal sepsis and TORCH infection were ruled out and a final diagnosis of congenital leukemia was made.
CBMJ 2015 July: Vol. 04 No. 02 P: 55-57
Atypical Presentation of Mycosis Fungoides- A Rare Case Report
Authors: Wahab MA , Rahaman Md Mahabubur , Warish Nehal , Quader Md Rezaul , Rahman M Hasibur 
Published: June 2021

Commonest cutaneous T cell lymphoma is mycosis fungoides. Clinical stages are patch, plaque, tumor; erythroderma and poikoiloderma. Extracutaneous spread takes place in late stages where any organ may be involved. The majority of reported cases are with typical presentation. A rare case of mycosis fungoides in a 45-year-old male with papular eruption is described.
CBMJ 2015 July: Vol. 04 No. 02 P: 62-64
Socio-demographic Characteristics and Behavioural Risk Factors in Selected Tribal Community in Bangladesh
Authors: Farah Shayela , Karim Mohoshina , Sultana Masuda , Mahmud Abdullah Al , Tahera Sadiqa 
Published: June 2021

Tribal and minority populations are increasingly exposed to risk factors as a result of urbanization. The study was conducted in the Rakhain community in Cox's Bazar district, Bangladesh, with the aims of determining the socio-demographic characteristics and behavioural risk factors. This cross-sectional study was done among 287 Rakhain individuals. Data were collected by face to face interview using pretested structured questionnaire. More than one third respondents were from the age group of 35-44 years. Their mean age was 40.66 (±11.275) years. Majority of the respondents were male 148(52%), married 222(77.4%) and educated up to primary level 179(62.4%). The highest proportion 68(23.7%) of the respondents were housewife and day laborer and lowest were unemployed 26(9.1%). Their average monthly family income were 17874.56 (±7208.553) Taka. Statistically significant association were found between their smoking status and socio-demographic characteristics (p <0.001). The high burden of behavioral risk factors in Rakhain community was observed in the present study.
CBMJ 2016 January: Vol. 05 No. 01 P: 04-08
Prevalence of Seasonal Variation of Haemorrhagic stroke more in winter than summer and its common risk factors
Authors: Ahmed Sultan , Islam Md Aminul , Bari Mohammad Abdul , Hasan Mahmud Javed , Pathan Md Ashraful Siddique , Sarker Chanda Nendu Bhushan , Rubel Mostufa Mahmud 
Published: June 2021

The present descriptive cross-sectional study was conducted in the department of medicine, Community Based Medical College Hospital Bangladesh over a period of one year during March 2013 to February 2014. The study was conducted to describe Haemorrhagic stroke during summer and winter. An attempt was also made to observe in the frequency of common risk factors of stroke by seasons. A total 146 patients of any age irrespective of sex fulfilling the WHO criteria of acute stroke and confirmed by CT Scan were selected from consecutive admission in the Department of Medicine, Community Based Medical College Hospital Bangladesh. Detail history and through clinical examinations were done. Routine and relevant investigations were carried out. The mean age of the patients was 60.9±14.3 years. A male preponderance was observed in the study. In summer 65.8% of patients and in winter 34.2% patients were presented. Ischemic stroke was present in 52.1% patients and 47.9% patients had haemorrhagic stoke. The study found that the frequency of ischemic stroke during summer (65.8%) was significantly greater than that during winter (34.2%). The frequency of haemorrhagic stroke during winter (65.8%) significant greater than that during summer (39.6%). Hypertension was the most important risk factor and other risk factors were smoking. Diabetes mellitus, tobacco chewing, ischamic heart disease, dyslipidaemia, oral contraceptive pill, alcohol consumption atrial fibrillation and past history of stroke. Increasing age was also noted as a risk factor (60.7%>60 years). Most of the risk factors were homogenously distributed between two seasons and between ischemic and haemorrhagic group. Hypertension was significantly higher in haemorrhagic stroke patients compared to ischemic stroke patients.
CBMJ 2016 January: Vol. 05 No. 01 P: 09-13
Study of Mean Diameter of Middle Cerebellar Peduncle in Bangladeshi Cadaver
Authors: Haque AQM Ataul , Khalil Muhsin , Sultana Seheli Zannat , Mannan Sabina , Rahman Md Mahbubur , Hossain Muazzem , Ara Anjuman , Begum Taslima , Choudhury Shilpi , Haque Nazia 
Published: June 2021

This cross sectional descriptive study was done by using nonprobability sampling technique and performed by examining 63 (sixty three) cerebellum. Out of them 40 postmortem human cerebellum collected from Bangladeshi cadavers of both sexes (male 25 and female 15) age ranging from 5 to 60 years and 23 cerebellums from caesarian section of intrauterine death cases of both sexes (male 14 and female 9) age ranging from 34 wks to 42 wks. of gestation. Specimens were collected from dead bodies autopsied on different dates from April 2009 to September 2009 at the autopsy laboratory of department of Forensic Medicine and prenatal cases from Gynaecology and Obstetrics Department of Mymensingh Medical College, Mymensingh. The collected specimens were grouped into three age groups like Group A (28 to 42 weeks of gestation), Group B (5 to 30 years) and Group C (31 to 60 years) and, two sex groups (male and female). The diameters of the middle cerebellar peduncles of both cerebellar hemispheres were measured by using slide calipers and expressed in millimeter (mm). The measurement was taken after fixation into 10% formal saline. The mean (± SD) diameter of right middle cerebellar peduncle was in Group A 6.70 ± 0.95, B 11.57 ± 2.57 and C 11.80 ± 1.40 mm respectively and it was also observed that mean diameter of right middle cerebellar peduncle increased with age. The mean (± SD) diameter of left middle cerebellar peduncle was in Group A 6.44 ± 0.83, B 11.35 ± 2.50 and C 11.40 ± 1.23 mm respectively and it was also observed that mean diameter of left middle cerebellar peduncle increased with age.
CBMJ 2016 January: Vol. 05 No. 01 P: 14-19
Maternal Outcome in Ruptured Uterus: A Review of 72 Cases
Authors: Roy Nibedita , Nahar Kamrun , Sarker Uttam Kumar , Akter Fouzia , Beg Ayesha , Khan Md Abul Kalam Azad , Roy Joydip , Chakrabarty Reemi 
Published: June 2021

This descriptive type of cross-sectional study of 72 cases of uterine rupture was conducted over 1 year (from September 2006 to August 2007) in the department of Obstetrics and Gynaecology, Mymensingh Medical College Hospital, Bangladesh to evaluate the maternal outcome of different types of surgery, to assess the maternal mortality and maternal morbidity. All cases of ruptured uterus which were received & treated and did not die within 30 minutes of admission are included in the study. Data were collected by preformed data collection sheet. The results showed that the common age groups were between 20-30 years in 31(68.00%) cases. Among all ruptured cases, 6 cases (8.33%) were Primigravida, 52 cases (72.22%) were between gravida 2nd to 4th and 14 cases (19.44%) were gravida 5th or above. Among all cases, 66 cases (91.66%) required blood transfusion; Subtotal hysterectomy was done in 36 cases (50.00%), total hysterectomy in 4 cases (5.56%), and repair of the rent in 32 cases (44.44%). Associated operations were done along with repair or hysterectomy in 13 (18.05%) cases. Postoperative complications were found in 23 (31.94%) cases. The shortest stay was 8 days & the longest stay was 62 days. The hospital staying was about 2 weeks in 48(66.70%) cases. Among 10 death cases (13.90%) maximum patient died within first 5 hours. The causes of maternal death were due to septicemia, renal failure and shock in 20%, 30% and 50% respectfully.
CBMJ 2016 January: Vol. 05 No. 01 P: 20-26