bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treatment of Paediatric Supra Condylar Fracture Humerus
Authors: Haque Md Maksudul , Ahmed Masud , Haque Md Enamul , Faisal Md Ali , Islam Mohammad Saiful , Sen Sumon Kumar 
Published: June 2021

Introduction: One of the most frequent elbow fractures in childhood, is supracondylar fracture whichrequires rapid diagnosis and treatment. It is usually associated with neurovascular, functional problems and deformity.
Objectives: To assess demographic, clinical features and treatment outcomes of the patients who underwent closed reduction and splinting, stabilization by percutaneous pinning or Open Reduction and Internal Fixation(ORIF).
Materials and Methods: This retrospective study was conducted in the department of orthopedic surgery, CMH, Bogura from June 2017 to December 2018. The inclusion criteria was Gartland type I,II,III fracture who attended in emergency and casualty, between 2 to 13 years of age. Total 40 patients with the mean age 7.5 years were included in the study group.
Results: All were closed fractures, 2flexion and 38 extension type. Two (5%) Gartland type I, 24(60%) and 14(35%) had type II and III fracture respectively. 2(5%) were treated by cast immobilization,8(20%)of type llby closed reduction & splinting, 22(55%) and 8(20%) of type ll&lll by crossed k-wire or by ORIF respectively. According to Flynn’s criteria our study shows 33(82.5%) excellent, 4(10%) good, 2(5%) fair and 1(2.5%) poor outcome.4(10%) had ulnar nerve neuropraxia, 1(2.5%) elbow stiffness,1(2.5%) cubitusvarus, 2(5%) experienced superficial pin tract infection.
Conclusion: Management of supracondylar fracture should be decided according to patient’s age, fracture pattern and deformity status. Closed reduction and stabilization by percutaneous wiring provides an effective and safe treatment, when failed, open fractures or associated neurovascular complications ORIF should be preferred.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 171-174
Association of Risk Factors of Coronary Heart Diseases and Socio-demographic Characteristics of Civil Employees of Combined Military Hospital Dhaka
Authors: Rahman Md Saydur , Ahmmed FM Shamim , Zafreen Farzana 
Published: June 2021

Introduction: Risk factors are the most ruinous and mischievous ingredient to develop coronary heart diseases (CHD). Factors contributing to develop CHD and their associates are, therefore, of prime importance. It needs endless splurge to address the issue.
Objectives: To identify the attributing risk factors and socio-demographic characteristics of coronary heart disease among civilian employees of Combined Military Hospital (CMH) Dhaka.
Materials and Methods: This observational study was conducted on 287 civil employees of CMH, Dhaka from September to December 2011. Data were collected by interview using questionnaire and check list which includes blood pressure measurement, anthropometric measurement and biochemical examinations.
Results: Respondent’s age range was 23 to 59 years, educational level up to class VIII were 56.4 % and more than that were 36.6%, illiterate were 7%. Regarding income low, medium and high income group were 40.4%, 56.8% and 2.8% respectively. It was found that 68.6% had normal BP, 61.3% practices moderate exercise. Among the respondents 72.2% has got 1-5 risk factors of CHD. Risk factors (p <0.001) were significantly associated with age.
Conclusion: This study finding is suggestive of association between risk factors of CHD and socio-demographic characteristics among the study population. Care through motivation, avoidance of risk behaviour, addressing clinical conditions can resist risk factors of CHD thus coronary heart disease can be prevented.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 175-177
Prevalence of Common Diseases among Internally Displaced Persons in a Selected Region of Central African Republic
Authors: Rasul Md Maqsudur , Chowdhury Amina Hasnat , Romel Md Sazzad Hosen , Sadat Fahad Mohammad , Hoque Bonny Sadar 
Published: June 2021

Introduction: Central African Republic (CAR) is one of the most war-affected countries in the world. The number of forcibly displaced people has grown significantly along with the emergence of many infectious and non-infectious diseases in this region. Very little information is available regarding the health of internally displaced persons (IDPs) of this country.
Objectives: To find out the prevalence of common diseases among IDPs of a selected region of CAR.
Materials and Methods: This descriptive cross-sectional study was conducted at a United Nations level-II hospital, run by Bangladesh medical contingent from November 2017 to October 2018. Patients of both sex irrespective of age who attended at least once to the medical outpatient department of the hospital included in the study.
Results: Out of 1561 respondents 57% were female with a female to male ratio1.3:1. Among the health problems identified, communicable diseases were 65.59% and non-communicable diseases 34.40%. Malaria (21.19%), diarrhoeal disease (17.86%) respiratory tract infection (15.52%) and HIV/AIDS (9.96%) were the most common communicable diseases. Non-communicable diseases mainly affected the adult population where the prevalent diseases were hypertension 18.99% followed by diabetes mellitus 15.08%, severe malnutrition 11.91% and mental and post-traumatic stress disorder (PTSD) 08.93%.
Conclusion: Limited provisions on healthcare facilities imposes a huge health risk for the IDPs especially, easily preventable communicable diseases. An integrated effort from local and international bodies is required for the restoration of the basic health services to continued provision of medicines, medical appliance and provide community health education and thereby, improve the overall health status of this region.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 181-185
Nutritional Status of Under Five Years Children in Rangpur Cantonment
Authors: Hossain AKM Alamgir , Ali ASM Zulfiquer , Nazrina Sayeda , Hossain Nusrat 
Published: June 2021

Introduction: Nutrition is an important factor because of its role in preventing disease and infant survival and growth. Malnutrition and diseases are interlinked with each other and a great problem in all countries of the developing world.
Objectives: To assess the nutritional status of the under five year's children in Rangpur Cantonment.
Materials and Methods: This descriptive cross-sectional study was done in Children Welfare Centre (CWC) of Combined Military Hospital (CMH), Rangpur from July to August 2018. A total of 50 under five years children were selected and a structured questionnaire was used keeping the focus on socioeconomic status, dietary habits, hygiene practices, and anthropometric indices of the children.
Results: Out of 50 children, 60% were male and 40% were female. About 26% of children were in the 36 to 48 months of age group. About 50% were in the height group of >100 cm, 34.0% were in the height group of 91-100 cm, 16% were in the height group up to 90 cm, 48.0% were in the weight group of 12.1-16 kg, 34.0% were in the weight group of 16 kg, 10%were in the weight group of 10.1-12 kg and 8%were in the weight group below 10 kg.
Conclusion: In this study, 20% of cases were stunted and 80% of cases were not stunted and no wasted case was found and the overall prevalence of malnutrition in the Rangpur cantonment was low. A further in-depth study is recommended to draw conclusive inferences.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 168-170
Evaluation of Myelosupression during Imatinib Mesylate Therapy in Patients with Chronic Myeloid Leukaemia
Authors: Khan Lutfunnahar , Salsabil Masuma Ahmed , Ferdous Jannatul , Haque Md Rezwonul 
Published: June 2021

Introduction:Chronic Myloid Leukaemia (CML) is a myeloproliferative neoplasm that originates in an abnormal pluripotent stem cell. Imatinib, a tyrosine kinase inhibitor, is the drug of choice for CML in the present time. During therapy, a few patients develop myelosuppression and present with cytopenias.
Objectives: To evaluate myelosupression during therapy with Imatinib mesylate in patients with Chronic myloid leukaemia in chronic phase.
Materials and Methods: This cross sectional observational study was carried out at department of Haematology, Combined Military Hospital, Dhaka and Haematology OPD, Bangabandhu Sheikh Mujib Medical University (BSMMU) from October 2011 to September 2012. A total of 30 patients fulfilling the inclusion criteria were included in this study. Data were collected in a structured proforma, analyzed with SPSS and expressed in mean, frequency and percentage.
Results: Patients mean age was 38.96±9.37 years ranging from 23 to 56 years. Among 30 study subjects, male and female patients were 22(73%) and 08(27%) respectively. Most of the patients presented with generalized weakness (83.3%), weight loss (53.3%), fever (26.7%), pain abdomen (36.6%) and fullness of abdomen (33.3%). Twenty (66.67%) cases develop anaemia, 02(10%) cases leucopenia, 07(23.33%) cases thrombocytopenia and 11(36.6%) patients develop different combination of bicytopenia and 2% patients developed pancytopenia after being treated with Imatinib.
Conclusion: Various degrees of myelosupression with cytopenias may occur in few patients of CML on Imatinib therapy. Regular hematologic follow-up is required so that the drug may be stopped or dose modified as per the individual’s needs.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 189-192
Stress Fracture Tibia among Military Recruits Management by Patellar Tendon Bearing Cast
Authors: Khan Mohammad Shahnewaz Hossain , Karim Rezaul , Eqbal SM , Masum Abdullah , Kowser ASM 
Published: June 2021

Introduction: Lower limb overuse injuries are common features of military training. Female recruits have significantly higher incidence of fracture than male recruits. In addition to the cost and time of rehabilitation, injury leads to disillusionment among recruits. Conventionally stress fracture tibia is treated with long leg posterior cast for 6-8 weeks but little is known about the length of time required for rehabilitation and to return to pre-injury level.
Objectives: To see the outcome of management of stress fracture tibia among military recruits treated with Patellar Tendon Bearing (PTB) cast for 8 weeks and to find out the rehabilitation time to return to pre-injury level.
Materials and Methods: This prospective study was conducted in Combined Military Hospital, Bogura, Bangladesh, from January 2015 to December 2016. Out of 2600 recruits 74 (male 60 females 14) were diagnosed as case of stress fracture tibia during the period. They were treated by PTB cast for 08 weeks and their treatment and rehabilitation to pre-injury level (follow-up) were recorded prospectively.
Results: Total 85 patients were clinically suspected to have stress fracture tibia, out of them 74(87.06%) patients were finally diagnosed as case of stress fracture. Of these 74 patients 44(59.46%) were diagnosed by initial x-ray and 30(40.54%) were diagnosed by MRI scan. Prevalence of stress fracture in male was 2.45% and in female recruits 9.33%, overall prevalence was 2.85%.About 56(75.67%) patients developed stress fracture in 0-8 weeks of training, mean rehabilitation time to return to pre-injury level was 15.51 weeks, there was no recurrence of stress fracture and all the patients completed 12 months training, none of them was relegated or withdrawn from training on medical ground.
Conclusion:Patellar tendon bearing cast is an effective, technically simple method for treating stress fracture of tibia in military recruits with excellent outcome. This method not only treats the fracture but also prevents depressive disorders.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 196-199
Prevalence of Acute Compartment Syndrome of Limbs: A Retrospective Study
Authors: Sen Suman Kumar , Debnath Susmita 
Published: June 2021

Introduction: Acute compartment syndrome (ACS) is a serious and well known complication of limb trauma. This condition is an orthopaedic emergency and is associated with significant morbidity if not diagnosed promptly and treated effectively.
Materials and Methods: This is a retrospective cross sectional study on the scope of compartment syndrome among patients with limbs traumas those were treated between April 2015 and November 2018 in a United Nations level-II Hospital at Kaga-Bandoro in Central African Republic leaded by Bangladesh Medical Contingent. The medical records as well as data from the orthopaedic registrars of patients with limb injuries were studied. Limb injuries considered for in-hospital treatments with or without other associated system injuries were included while patients with any form of arterial diseases or claudication were excluded.
Results: A total of 320 patients met the inclusion criteria among them only 2.81% had ACS and male young adults were mostly affected. Commonest underlying pathology was tibia fracture 44.4%, followed by due to tight traditional bone setters’ splints 22.2% and 11.1% patients from burns eschar.
Conclusion: ACS of limb is not very common. Early clinical diagnosis in the absence of pressure monitoring equipment and emergency fasciotomies are recommended to salvage the limbs.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 200-203
Plasma Atherogenic Index in Type 2 Diabetes Mellitus Patients
Authors: Sultana Most. Sarmin , Akhter Yasmin , Parvin Mimi , Naznin Lubna , Alam Md Mahbub Ul , Wahab Md Abdul 
Published: June 2021

Introduction:Atherogenic index of plasma (AIP) is defined as log of TG to HDL-C ratio. People with high AIP have a higher risk for coronary heart disease (CHD) than those with low AIP. AIP is useful in predicting atherogenecity.
Objectives: To determination of AIP among the study subjects and find out the prevalence of AIP among type 2 diabetes mellitus (DM) patients.
Materials and Methods: This cross sectional study was conducted at Armed Forces Institute of Pathology (AFIP) from November 2014 to October 2015. The study included 300 type 2 DM patients belonging to the age group 30-60 years. Fasting plasma glucose (FPG), HDL-C, TG were estimated. The AIP was calculated as log (TG/HDL-C) using the Czech online calculatorof atherogenic risk. Personal data and history of co-existing medical conditions were collected by data collection sheet. Data were analyzed by SPSS version 18.0.
Results: Among 300 study subjects the AIP were found in the range of “increased risk” in 298(99.3%) and “low risk” in 02(0.7%). In this study mean FPG was 9.81±3.08 mmol/L and mean AIP was 0.73 ± 0.23A and significant positive correlation between FPG and AIP (r = 0.123, p < 0.05) was observed.
Conclusion: The study revealed that AIP is significantly higher in type 2 DM patients. So, patients with type 2 DM should be followed up with AIP regularly.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 204-205
Non-Alcoholic Fatty Liver Disease in Primary Hypothyroidism
Authors: Ahmed Nasir Uddin , Kabir Md Anwarul , Kalam Farzana , Akter Shaheda 
Published: June 2021

Introduction: Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver condition world-wide. Hypothyroidism is also a common disorder affecting general population especially in women.
Objectives: To determine the association between primary hypothyroidism and NAFLD.
Materials and Method: This is a cross-sectional descriptive type of observational study where 100 cases of primary hypothyroidism in age group 15-75 years of both sexes were selected from February 2018 to January 2019 in CMH Momenshahi having higher level of Thyroid stimulating hormone(TSH). In all cases ultra-sonogram of hepatobiliary system was done by efficient sonologist who was blind about clinical scenario of the patients.
Results: Mean age of patients 29±SD7.57.Among 100 cases 56(56%) having NAFLD among them 95% were female and 5% were male.
Conclusion: NAFLD was significantly correlated with primary hypothyroidism.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 206-208
Initial Outcome of Surgical Management of Parotid Gland Neoplasm
Authors: Sumon Mohammad Misbah Al Kabir , Afsana Sultana Dil , Hossain Md Belal 
Published: June 2021

Introduction: Surgical excision is the gold standard for treatment of parotid gland neoplasm. But the complex relationship of the tumour to the facial nerve in the parotid gland makes the surgery very challenging.
Objective: To evaluate the initial outcome of parotid gland neoplasm surgery.
Materials and Methods: This cross-sectional observational study was conducted from January to December 2012 where 20 surgically treated patients with parotid gland neoplasm were selected by random sampling technique. They were followed up from 03 to 06 months to assess the minor post-operative complications.
Results: The study revealed that 35% of patients belonged to the 4th decade of life. Pleomorphic adenoma constituted 85% of the tumours. Superficial parotidectomy was performed in 95% of cases. 40% of patients developed neuropraxia of the marginal mandibular branch of the facial nerve but all improved over a period of 3-6 months. 5% had permanent facial nerve weakness. Frey’s syndrome was observed in 20% of cases clinically but improved gradually. The rate of wound infection, parotid fistula and hypoesthesia of the skin over the ear lobule occurred in 10%, 5% and 20% cases respectively.
Conclusion: Safe and effective parotid gland surgery requires a clear understanding of the regional anatomy, the experience of the surgeon, meticulous surgical technique along with detailed preoperative informed consent for surgery to reduce post-operative complications and morbidity of the patient.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 193-195
Laparoscopic Management of Benign Ovarian Cysts: Three Years Experience in Combined Military Hospital, Dhaka
Authors: Chisty Shahnur , Chowdhury Liza 
Published: June 2021

Introduction: Ovarian cyst is a common clinical problem affecting women of all age groups. Laparoscopy should be considered as an alternative to laparotomy in the management of benign ovarian cysts. The aim of this study is to determine the safety, efficacy and outcome of laparoscopic surgery for benign ovarian cysts.
Materials and Method: A Prospective observational study has been carried out during the period of Jun 2016 to May 2019 in combined military hospital Dhaka. Total 107 patients who underwent laparoscopic surgery for benign ovarian cysts during this period were included in this study.
Results: The maximum number of women was in the 21-30 year- old age groups. Majority were endometriotic cyst (45.79%) followed by perovarian cysts (14.01%) and dermoid cysts (12.14%). The diameter ranges from 4-15 cm.and most of them were unilateral (91.5%). Ovarian cystectomy is the most commonly performed procedure (88.78%). Mean duration of surgery was 62.75 minutes. Complications were also fewer like postoperative fever (22.2%), and trocar site infection.(11.2 %). None of the pts required conversion to laparotomy.
Conclusion: With a careful preoperative screening the laparoscopic surgery is a safe and effective treatment for benign ovarian cyst Laparoscopic surgery seems to offer significant advantages such as less adverse effects, reduced hospital stay and better quality of life.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 209-2012
Characteristics of Road Traffic Accident Cases Reported in a Tertiary Military Hospital
Authors: Rahman Md Moshiur , Zafreen Farzana , Uddin Abu Noman Mohammed Mosleh 
Published: June 2021

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety.
Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka.
Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire.
Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents. Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents.
Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217
Socio-demographic Characteristics of Women with Reproductive Tract Infection Attending a Military Hospital
Authors: Hossain ABM Belayet , Nabi Quazi Md Rashid Un , Alam Md Julfikkar , Islam Sheikh Shahidul , Ameen Shaikh Mohammad Edi 
Published: June 2021

Introduction: Reproductive tract infections (RTIs) are being increasingly recognized as a serious global health problem with impact on individual women and men, their families and communities. RTIs are a group of disease that cause infection of the genital tract and include both those that are sexually transmitted and those that are not. RTIs are a significant cause of morbidity and mortality in both men and women, especially in women of reproductive age.
Objectives: To determine the socio-demographic characteristics among women with RTIs attending at gynecology outpatient department, CMH, Dhaka.
Materials and Methods: This descriptive cross-sectional study was carried out with a view to find out the socio-demographic characteristics of women with RTIs and their common clinical presentations. The study was conducted among women of reproductive age group of Bangladesh Armed Forces attending at Gynecology OPD, CMH Dhaka, for the period of 1st march to 30th June 2011. A total of 128 women (114 married and 14 were unmarried) were interviewed with the help of structured question and checklist. Data was collected through clinical diagnostic approach made by gynecologists.
Results: It was found that highest percentage of respondents (32.8%) were in the age group of 30-34 years, mean age at marriage was 17.79 years. The highest percentage of respondents (46.5%) was married at the age range of 16-18 years. Among the respondents, 89.1% were married and 10.9% were unmarried. The women with higher education level had lower occurrence of RTIs than women with lower education. In relation to status of spouse of married women, RTIs were significantly more among the wife of other ranks. Practice of personal hygiene during menstruation showed safe positive impact on RTIs. It was found that 50% respondents were presenting with vaginal discharge (Leucorrhoea). Most of the causes were vaginitis (38.3%).
Conclusion: Study findings indicate that high prevalence of RTIs among women is due to the influence of less educational status, low income and also husband's educational background and employment status.
JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 218-220