Journal of Dhaka Medical College最新文献

{"title":"Electro-Physiological Pattern And Severity Grading of Carpal Tunnel Syndrome","authors":"Israt Jahan, K. Islam, Md. Shahidul Islam, Sara Tanzila, Tuhfie Jannat, M. Habib","doi":"10.3329/jdmc.v30i2.56921","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56921","url":null,"abstract":"Background: Carpal Tunnel Syndrome (CTS) is a constellation of symptoms and signs caused by entrapment of the median nerve at the wrist. Nerve Conduction Study (NCS) serve as an objective supplementary modality in the diagnosis of CTS and is used for severity assessment with high degree of sensitivity and specificity. Severity assessment is a crucial step for defining prognosis of CTS.\u0000Methodology: The study was a hospital based observational cross sectional study and was conducted in the department of Neurology, DMCH on 50 patients with clinical diagnosis of CTS with electro-physiological confirmation from July, 2017 to June, 2019. Equal number of age and sex matched healthy people were included in the study. All the cases had clinical evaluation and standardized electrophysiological studies of upper limbs using the same protocol.\u0000Result: The mean age of CTS patients was 43.06 (±10.54) years and majority of the them were female (74%). In patients with CTS, electrophysiological study of median nerve revealed the following mean value MDL=5.98± 1.63 ms, SDL=4.24± 0.59 ms, CMAP = 6.16± 3.22mv, MNCV = 54.46± 6.76 m/s, SNAP = 11.65± 13.42 ìV, In Comparison to mild to moderate CTS other than CMAP, all other parameters have significant changes. In case of moderate to severe grade of CTS, all the parameters have significant changes. Amongst the 50 CTS patients, there was bilateral involvement in 21 (42%) and unilateral involvement in 29 (58%) patient. According to electrophysiological grading, 15 (21%) were in mild group; 35 (49%) were in moderate group and 21 (30%) were in severe group. According to the clinical grading, 31 (44%) were in mild group, 25 (35%) in moderate and 15 (21%) were in severe group.\u0000Conclusion: From this study it could be concluded that CTS is more common in female. Sensory symptoms and dominant (right) hand involvement were more common. NCS provides additional and independent objective evidence in the diagnosis and severity assessment of CTS patients. Assessment of severity in CTS patients is a crucial step for defining prognosis and therapeutic measures.\u0000J Dhaka Med Coll. 2021; 30(2) : 161-166","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128252501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Susceptibility of Bacterial Isolates From Wound Swabs in Bangladesh: Laboratory – Based Surveillance Study","authors":"H. Iqbal, Mushtaque Ahmed, Nabeela Mahboob, S. Afrin, K. Z. Mamun","doi":"10.3329/jdmc.v30i2.56924","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56924","url":null,"abstract":"Background: Wound infection is one of the major health problems that occur frequently. Infections of the wound result from entry of the organisms through breached skin. It plays an important role in the development of chronicity, delaying wound healing. It is evident that wound infection is a challenging situation for the physicians. Multiple bacteria can cause wound infection. Both broad spectrum and narrow spectrum antibiotics are available for the treatment. It is ideal to give proper antibiotic after culture and sensitivity of the wound swab. Improper and irrational use of antibiotics can lead to drug resistance.\u0000Objective: To isolate and identify the bacteria causing wound infection and to determine the antimicrobial susceptibility pattern.\u0000Materials and method: This descriptive cross-sectional study was carried out at the Microbiology Laboratory, Popular Diagnostic Centre Ltd, Dhanmondi, Dhaka, Bangladesh, from November 2019 to January 2020. A total of 62 wound swabs were collected and analyzed for culture and antibiotic sensitivity.\u0000Results: From total wound swab samples, 49 (79%) were culture positive. The most common isolated pathogen was Acinetobacter spp. 20 (40.81%). Other isolates were Staphylococcus aureus 10 (20.41%); Escherichia coli 07 (14.29%); Pseudomonas aeruginosa 07 (14.29%); Klebsiella 04 (08.16%) and Proteus 01 (02.04%). Among the Gram negative isolates, Acinetobacter spp showed 100% sensitivity to colistin, 85% to imipenem, 30% to amikacin and 25% to piperacillin + tazobactum. E. coli showed 100% sensitivity to imipenem and colistin and least sensitivity to third generation cephalosporin. Pseudomonas showed 100% sensitivity to piperacillin+tazobactum, 85.71% to imipenem and aztreonam. Among the Gram positive isolates, Staphylococcus aureus showed 100% sensitivity to linezolid, vancomycin, imipenem, cloxacillin, amikacin and least sensitivity to azithromycin.\u0000Conclusion: Acinetobacter spp. was the most frequently isolated pathogen from wound swab and the antibiotic sensitivity pattern of various isolates will help the clinician in appropriate selection of antibiotics against wound infection.\u0000J Dhaka Med Coll. 2021; 30(2) : 180-188","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129617540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pictogram of a Male With Status Epilepticus and a History of Ischemic Stroke","authors":"Reaz Mahmud","doi":"10.3329/jdmc.v30i2.56933","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56933","url":null,"abstract":"Abstract not available\u0000J Dhaka Med Coll. 2021; 30(2) : 237-238","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"24 23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115508310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alteration of Coagulation Profile in Preeclampsia And Eclampsia Patients At Tertiary Level Hospital","authors":"M. Razeeb, Sarmin Ferdous, S. Ahmed, Shawnila Nawshin, Rono Mou Trisha Bakshi, Mst Sharmin Ferdous","doi":"10.3329/jdmc.v30i2.56929","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56929","url":null,"abstract":"Background: Preeclampsia and eclampsia is associated with a risk of abnormal hemostasis that occurs most commonly secondary to thrombocytopenia. Automated analyze technique measures whole blood coagulation and has been used to manage coagulation defects in obstetric patients.\u0000Objective: To find out the alteration of coagulation profile beyond physiological level in preeclampsia and eclampsia patients for early detection and planning of management.\u0000Method: It was a observation type of cross sectional study carried out Department of Obs& Gynae, Dhaka Medical College Hospital, Dhaka. Severe pre-eclamptic and eclamptic patients admitted in the department of Obstetrics &Gynaecology, Dhaka Medical College Hospital during the period of July 2018 to December 2018. Data were collected as predesigned data collection sheet and for coagulation profile. Collection of venous sample about 5ml of blood were done without a pressure cuff allowing the blood to enter the syringe by continuous free flow and sending to the laboratory for coagulation assay by automated analyzer Sysmex CA500.\u0000Results: In this study mean age was 26.94 years, majority 56% age group was 26-30 years of age. The mean gestational age was 32.36 weeks. All the coagulation parameters were altered in 6% of the patients, 4 parameters were altered in 10% of the patients, 3 parameters were altered in 16% of the patients 2 and 1 parameters were altered in 24% and 44% patients respectively. Regarding coagulation profile, thrombocytopenia was present in 22% patients, prothombin time was prolonged in 10% of the patients, APTT was prolonged in 20% of the patients, and fibrinogen level was reduced in 40% of the patients and FDP was elevated 32% of the patients. Out of 50 severe preeclamptic and eclamptic patients, 6% of the patients developed DIC in whom all the coagulation parameters were altered.\u0000Conclusion: In this study, in patients of severe pre-eclampsia and eclampsia 22% patients had thrombocytopenia. 6% of the patients had alteration of all the coagulation parameters. Coagulation indices were altered not only in the patients with reduced platelet count but also in the patients with normal platelet count. Among the patients, 6% of the patients developed DIC, PPH developed in 12% of the patients and maternal death occurred in 4% of the patients.\u0000J Dhaka Med Coll. 2021; 30(2) : 214-219","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133616315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extent of Prescribing Antibiotics And Corticosteroids on COVID-19 Admitted Patients Into a Corona Dedicated Hospital In Khulna","authors":"B. Islam, M. A. Bhuiyan, M. Yesmin, Raihana Islam, Tasnim Rahman, Mahfuja Khanam, S. Akhter, Tamanna Jannat","doi":"10.3329/jdmc.v30i2.56919","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56919","url":null,"abstract":"Background: Majority of the patients infected with SARS-CoV-2 receive antibiotics and corticosteroids though its role has not yet been adequately defined. Inappropriate use of antibiotics despite bacterial co-infections may lead to global antibiotic resistance.\u0000Aim and objectives: We aim to assess the using pattern of antibiotics and corticosteroids in different clinical categories of COVID-19 patients admitted to a hospital.\u0000Materials and methods: This is a cross sectional study where 345 clinically diagnosed COVID 19 patients having coexisting diseases of both sexes with different age group received antibiotics and corticosteroids were included. Patients’ demographic profile, treatment plan were obtained using a specially designed form. All data were compiled in Microsoft excel spreadsheet and results expressed in total number and percentage.\u0000Results: Out of total 345 patients, male (53.62%) and female patients (46.37%) of age group between 41 to 60 years (42.89%) of different categories; mild (28.40%), moderate ((39.42%), severe (24.63%), critical (7.53%) cases were enrolled in this study. Moxifloxacin followed by ceftriaxon was most commonly prescribed antibiotic in all clinical groups with higher percentages. Other antibiotic includes meropenem, amoxicillin+ clavulanic acid, piperacillin+tazobactam, linezolid also prescribed in higher rate. Among systemic corticosteroids, dexamethasone followed by methylprednisolone, hydrocortisone was prescribed invariably with higher percentages.\u0000Conclusion: With the rapid increase in the rate of infection, purposeful use of antibiotic and corticosteroid might be considered as a better treatment option to fight against COVID 19 patients.\u0000J Dhaka Med Coll. 2021; 30(2) : 149-155","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124831665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of High Sensitivity C-Reactive Protein in Polycystic Ovary Syndrome","authors":"A. Begum, Md Shahed Morshed, Hurjahan Banu, Begum Moriom Zamila, Sukanti Shah, M. Hasanat","doi":"10.3329/jdmc.v30i2.56918","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56918","url":null,"abstract":"Objective: This study is aimed to see the level of high sensitivity C-reactive protein (hs-CRP) and its association with manifestations of polycystic ovary syndrome (PCOS).\u0000Design: This cross-sectional study was conducted over a period of one year (January 2017 to December 2018) in the department of Endocrinology of a University hospital.\u0000Participants: Fifty-five PCOS patients diagnosed on basis of revised Rotterdam diagnostic criteria 2003 and 50 age-matched healthy controls [PCOS vs. Control- BMI (kg/m2): 25.47±4.65 vs. 20.68±3.51, p<0.001].\u0000Main outcome measures: hs-CRP level, manifestations of PCOS\u0000Methods: After relevant history and physical examinations, blood was taken in fasting state during follicular phase of menstrual cycle to measure total testosterone (TT), luteinizing hormone (LH), follicle stimulating hormone (FSH) and hs-CRP. Hormones were measured by chemiluminescent microparticle immuno-assay and hs-CRP by nephelometric technique.\u0000Results: hs-CRP (mg/L) was found significantly higher in PCOS patients [1.67 (0.69, 2.54) vs. 0.94 (0.30, 1.42), p=0.006] even after adjustment for age and BMI [OR (95% CI): 1.585 (1.093, 2.299), p=0.015]. Also hs-CRP status (>5 mg/L) was found significantly higher in them than that of controls; but only in non-obese (BMI <25 kg/m2) participants [7.27% vs. 0.0%, p=0.018]. hs- CRP showed no significant correlation and predictive association with any of the manifestations of PCOS including age, BMI, waist circumference, TT and LH/FSH ratio [p=NS for all]\u0000Conclusions: Patients with PCOS had significantly higher hs-CRP level and high hs-CRP status without any significant association with its manifestations.\u0000J Dhaka Med Coll. 2021; 30(2) : 142-148","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127192101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognosis of Traumatic Diaphragmatic Injury in Dhaka Medical College Hospital, Dhaka","authors":"Mohammad Osman Goni, Md Kamrul Alam, Mosharraf Hossain, Dr. Rabindra Das, Mohammad Aminul Islam, H. Mahmud","doi":"10.3329/jdmc.v30i2.56916","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56916","url":null,"abstract":"Introduction: Diaphragmatic injuries include wounds and diaphragmatic ruptures due to thoracoabdominal blunt or penetrating trauma. Their incidence ranges between 8 and 15%. The diagnosis is often delayed despite several medical imaging techniques. The mortality is mainly related associate Injury.\u0000Aims: The aim of our study was to evaluate the prognosis, after surgery of our patient with diaphragmatic injury.\u0000Patients and methods: We performed a prospective study over a period of two years, between January 2018 December 2019, at the department of thoracic surgery of Dhaka Medical College Hospital, Dhaka, Bangladesh. All patients diagnosed with diaphragmatic injury were included in this study. Each patient operated because traumatic diaphragmatic injury was evaluated in respect of age, sex, nature of injury, preoperative examination findings, laboratory test results, imaging methods, time of diagnosis, operation findings, concomitant injures to other organs, operations performed, length of stay in hospital and development of postoperative morbidity and mortality.\u0000Results: Over the study period, 22 cases of diaphragmatic injuries were included. The female was 4 and 18 was male. The mean age of male patients 29.2±12.1 and female 28±11.6 years. RTA with blunt trauma chest was 12, 6 was fall from height and 5 were stab injuries. The most common injuries concomitant to traumatic diaphragmatic rupture were a haemothorax, rib fracture, stomach, colon, liver and spleen. Three patients developed wound infection and two patients died.\u0000Conclusion: In high energy blunt and penetrating thoracoabdominal trauma, diaphragmatic injures should be suspected. An emergency thoracotomy or laparotomy followed by reposition of abdominal organ and repair of the defect of the diaphragm is the gold standard for the management of these cases.\u0000J Dhaka Med Coll. 2021; 30(2) : 131-135","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127445693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Outcomes of Stapedotomy In Patients With Otosclerosis","authors":"Mohammod Delwar Hossain, M. K. Arefin, J. Ferdous, Iftekharul Alam, A. Asaduzzaman, Ummey Ayeman Sharmin, Sk. Nurul Fattah Rumi","doi":"10.3329/jdmc.v30i2.56920","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56920","url":null,"abstract":"Objective: This study was focused on the assessment of patient’s improvement in hearing, as measured by pure tone audiometry after stapedotomy for primary otosclerosis.\u0000Materials and Methods: This prospective clinical study was performed in a total of 156 patients diagnosed with Primary Otosclerosis, who underwent Stapedotomy at the Department of ENT & Head-Neck Surgery, Combined Military Hospital Dhaka between January 2013 to January 2019. All patients were evaluated as per the candidacy criteria for stapedotomy and selected patients underwent surgery during the study period and were followed up for a period of 12 months in the Otology clinic. Pre and Post-operative audiometric evaluation was done using conventional pure tone audiometry with standard calibrations. Post-operative audiometry was performed at 03 month, 06 months and 12 months. The bone-conduction & air conduction thresholds and the Air-Bone gap (ABG), were documented and analyzed at 0.5 KHz, 1 KHz, 2 KHz and 4 KHz frequencies respectively. The subjective outcomes in hearing were also recorded with a patient satisfaction questionnaire to assess improvement in quality of hearing after stapedotomy.\u0000Results: Overall, the frequency specific pre-operative mean averaged Air Conduction thresholds were 63.3dB at 500Hz, 57.5dB at 1 KHz, 55.1dB at 2 KHz and 45.7dB at 4 KHz. The frequency specific post-operative mean averaged Air conduction thresolds were 34.6 dB at 500Hz, 28.9 dB at 1Kz, 30.5dB at 2Kz and 33.3dB at 4Kz.The frequency specific mean average post operative Air Bone Gap (ABG) closure was achieved by 28.7dB at 500Hz, 27.6 dB at 1KHz, 24.6 dB at 2KHz and 12.4 dB at 4KHz by the time of completion of the study at 01 year. A successful closure of AB gap to less than 10dB was achieved in the speech frequencies of 2 KHz and 4 KHz in 83.97% of cases. Overall, the frequency specific bone-conduction thresholds were unchanged postoperatively in all cases except 03, showing that no significant sensori-neural impairment had occured due to the stapedotomy procedure. 04 patients developed post-op severe vertigo which was self-limiting after six weeks. 01 patient developed transient facial weakness which was subsided over a time period of 03 months. Patients included in our study had significant subjective audiological improvement and responded satisfactorily to the questionnaire formulated to assess their hearing quality after stapedotomy.\u0000Conclusions: Our case study confirms that stapedotomy is a safe and successful procedure providing long-term hearing improvement in primary otosclerosis. Our study shows that meticulous selection of cases for stapedotomy will result in highly successful audiological outcomes.\u0000J Dhaka Med Coll. 2021; 30(2) : 156-160","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129305959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Ultrasound Guided Versus Cystoscopy Guided Obturator Nerve Block (Obn) In Transurethral Resection Of Bladder Tumour (Turbt)","authors":"M. Zunaid, Taniza Jabin Zunaid, Gopal Deb, Shuchana Chakma, M. Kamal, Md. Mizanur Rahman, Rabeya Begum, Taneem Mohammad","doi":"10.3329/jdmc.v30i2.56928","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56928","url":null,"abstract":"Context: Selective obturator nerve block (ONB) limits obturator reflex, adductor contraction, and leg jerking in transurethral resection of bladder tumour (TURBT), which ultimately prevents complications such as bleeding, bladder perforation, or incomplete tumor resection. The present study aims to compare the effectiveness of two different techniques of obturator nerve block during TURBT.\u0000Methods: A prospective, observational study was conducted in the Department of Anaesthesia, Analgesia, Palliative and Intensive Care Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh, between September 2018 and August 2019 to evaluate the effectiveness of ultrasound guided ONB versus cystoscopy guided ONB in TURBT operation. A total of 60 selected patients were randomly allocated into two groups: ultrasound guided ONB (group A) and cystoscopy guided ONB (group B) i.e. 30 in each group. Then onset of anesthesia (nerve block), tumour removal and patient outcome were assessed at different point during and after surgery.\u0000Results: Mean age of the patients was 54.7±8.53 years. In total, 34(57%) cases were male and 26(43%) were female. Male to female ratio was 1.3:1. In group A, 19(63.3%) patients had ASA II status and 11(36.7%) had ASA III status, while in group B, the numbers were 18(60%) and 12(40%) respectively. There was no significant difference in demographics and ASA status between two groups (P>0.05). Average onset of obturator nerve block was faster in group A (8.17±1.4 min) than group B (11.3±2.68 min), (P<0.001). Total resectability of tumours were achieved in 28(93.3%) in group A and 23(76.6%) in group B during operation (P<0.001), while 2(22.22%) and 7(77.77%) tumours had incomplete removal respectively (P<0.05). Among complications, adductor jerks were evident in 2(6.7%) and 7(23.3%), bladder perforation in 1(3.3%) and 4(13.3%), and bleeding in 1(3.3%) and 3(10.0%) cases in group A and group B respectively. The differences were statistically significant ((P<0.05).\u0000Conclusion: Although both techniques are safe and easy to perform, ultrasound guided ONB results in faster onset of block and better resectability of tumour with less complication over cystoscopy guided ONB.\u0000J Dhaka Med Coll. 2021; 30(2) : 208-213","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115306064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Journey of the Orthopaedics In Bangladesh","authors":"F. Khan","doi":"10.3329/jdmc.v30i2.56915","DOIUrl":"https://doi.org/10.3329/jdmc.v30i2.56915","url":null,"abstract":"Abstract not available\u0000J Dhaka Med Coll. 2021; 30(2) : 129-130","PeriodicalId":320976,"journal":{"name":"Journal of Dhaka Medical College","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124444817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}