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{"title":"Outcome of Myringoplasty with Temporal Fascia and With Sliced Tragal Cartilage Graft-A Comparative Study","authors":"Dr. Samir Mohammad Tasrif, Dr. S M Nafeez Imtiaz, Dr. Md. Murshedur Rahman, Tariful Hasan, Dr. Md. Harun, Ur Rashid, Sha Sakender, Md. Harun Ur, Rashid, Md Sha Sakender","doi":"10.3329/medtoday.v36i1.72904","DOIUrl":"https://doi.org/10.3329/medtoday.v36i1.72904","url":null,"abstract":"Introduction: Myringoplasty is the surgical procedure to repair tympanic membrane perforations and thereby improving hearing, providing a dry ear, and reducing susceptibility to infections. Although there are many kinds of techniques and graft materials used, no methods have proven indisputably superior to the other. Therefore, to find out the outcome of myringoplasty using temporal fascia and sliced tragal cartilage in chronic inactive mucosal otitis media was set as an objective of the study. Materials and Methods: This cross-sectional observational study was conducted at the department of Otolaryngology & Head-Neck surgery, Shaheed Suhrawardy Medical College Hospital (ShSMCH) for six months from July 2018 to December 2018, after acceptance of the protocol and approval from IRB. Patients attending in the ShSMCH with complaints of chronic inactive mucosal otitis media were approached for inclusion of the study and final selection were done in according to the selection criteria. Ethical issues were ensured properly throughout the study period and inclusion was confirmed following signing written informed consent. All patients were randomly allocated into two groups where one group were received myringoplasty with temporalis fascia graft and another group received sliced tragal cartilage. Total 50 patients (25 patients in each group) were included, and they were subjected to details history taking, physical examination and necessary investigations. The researcher conducted all the interview and collected data were recorded into a case record form for each patient. Data analysis was done by SPSS 17. Results: Of total, 50 study population, mean age of the 32.30±10.93 SD (years) with 58% male and 42% females respectively. No significant age and gender difference is noted across the group (p>0.05). Patients having temporal fascia graft had significantly higher proportion of graft uptake in comparison to patients having sliced tragal graft (p<0.05). Both groups of the patient improve significantly in term of hearing after operation (p<0.05 in each group) but comparison in between groups showed that the improvement was significantly higher in temporal fascia graft group (p<0.001). Conclusion: Myringoplasty with temporal fascia graft could be a better option than sliced tragal cartilage graft in our population. However, further larger study with longer follow up is necessary to finalize the comment.\u0000Medicine Today 2023 Vol.36 (1): 50-54","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140998610","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":"Prevalence of Vitamin D Deficiency among Patients Attending Tertiary Level Hospitals in Bangladesh: Hospital-Based Cross-Sectional Study","authors":"Md Mahabubul Islam Majumder, Hafizur Rahman, Mostaque Ahmed, M. N. Uddin, Tarek Ahmed, Ashrafur Rahaman Mahadi","doi":"10.3329/medtoday.v36i1.72876","DOIUrl":"https://doi.org/10.3329/medtoday.v36i1.72876","url":null,"abstract":"Introduction: Vitamin D (Vit D) is essential for calcium and phosphate homeostasis, critical for bone growth and remodeling. Its deficiency leads to conditions like osteomalacia and rickets, with adverse effects on osteoporosis, growth, and skeletal health. This study aimed to assess Vitamin D Deficiency prevalence among patients in Bangladeshi tertiary-level hospitals. Materials and Methods: A prospective cross-sectional study was conducted from January to December 2019 at Cumilla Medical College Hospital and Central Medical College Hospital. We enrolled 1250 patients meeting inclusion criteria and collected data via a pre-designed questionnaire. Results: Most participants (31.8%) were aged 31-40, with a mean age of 37.31±13.37. Male patients constituted 53.3%, and 46.7% were female. Rural residents accounted for 52.6%, while 25.8% lived in urban areas, and the rest abroad, mainly the Middle East. The majority (88.5%) belonged to middle-class families, and only 1.5% reported sufficient sun exposure. Strikingly, 54.2% were Vitamin D deficient, 40% had insufficient levels, and only 6.4% had adequate Vit D. Conclusion: This study highlights a significant prevalence of Vitamin D deficiency among patients in Bangladeshi tertiary hospitals. The data underscore the urgent need for healthcare authorities to address this public health concern. Policymakers and healthcare providers should be aware of the potential long-term health consequences of Vitamin D deficiency, emphasizing the importance of strategies to promote adequate Vit D levels in the population.\u0000Medicine Today 2023 Vol.36 (1): 17-22","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140999048","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":"Pattern of Pesticide and Herbicide Poisoning Among People Admitted to Medicine Wards of a Tertiary Care Hospital","authors":"Mohammad Abu Naser Siddique, Imran Uddin Robel, Ummay Fatema Khatun","doi":"10.3329/medtoday.v36i1.72886","DOIUrl":"https://doi.org/10.3329/medtoday.v36i1.72886","url":null,"abstract":"Introduction: Acute poisoning has become a major public health problem accounting for significant morbidity and mortality around the globe2. According to WHO data, an estimated 193,460 people died worldwide in 2012 from unintentional acute poisoning. 84% of these deaths occurred in resource-lacking low- and middle income countries3. The toxicity of accessible poisons and the scarcity of adequate medical facilities for poisoning management is responsible for a such a high mortality rate in this region4. Acute pesticide poisoning usually occurs during agricultural use either by accidental exposure or by suicidal attempt, rarely as homicidal2,5&8. This study is designed to assess the patterns of pesticide & herbicide poisoning among rural & urban peoples admitted to medicine ward of a tertiary level hospital and to find out the sociodemographic characteristics of the respondents. So that the supply of these agents be properly regulated to prevent easy accessibility and misuse. Materials and Methods: It was a hospital based cross-sectional observational study conducted at indoor Department of Medicine, Chittagong Medical College Hospital for six months period from 01/01/2019 to 31/06/2019. Ethical clearance was taken from ethical review committee of Chittagong Medical College and informed consent was obtained from each participants. Hundred patients above 12 years of age with a relevant history and clinical signs and symptoms of any type of pesticides and herbicides poisoning who fulfilled the selection criteria were selected consecutively for the study. Data was collected using a pretested, multi-structured questionnaire which comprised of questions to identify demographic data, type and circumstances of poisoning. Results: Regarding motive of poisoning in our study 81% patient took pesticide & herbicide poisoning for suicide and 19% admitted with accidental case. This result is consistent with the study where most common reason of pesticide & herbicide poisoning was suicide (93.3%) 20. A study performed at Rajshahi Medical College from January 1991 to December 1994 showed that out of those 405 cases of OPC poisoning 310 were suicidal (76.54%) and 95 were homicidal (23.45%) poisoning28. The present study revealed that factors responsible for the suicidal attempt were familial disharmony in 46% of cases, marital problems in 19%, financial problem in 16%, mental disorder in 3% and 11% due to other reasons. Shadequl-Islam et al. reported the motive of pesticide poisoning in their study that 45% of cases were due to familial disharmony, 15% unknown, 13.3% depression, 8.3% marital problems, 5% financial problems and 13.3% due to other reasons26. In most cases, the patient could access to the poison by self-purchasing from poison retailers. Conclusion: This study has indicated that young adults, males and socially underprivileged people are at a higher risk of pesticides and herbicides poisoning. This study showed pesticides & herbicides poisoning is the ","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001397","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":"Evaluation of the Factors Affecting of Epistaxis: A Study in a Tertiary Care Hospital, Dhaka.","authors":"Dr. Md. Abdur Razzak, Dr. Md. Mahalam, Dr. Morshed Alam, M. M. Hafiz, Sofiqul Islam, Md Kutub Uddin, Dr. M Muinul Hafiz, Senior Consultant, Dr. Sofiqul Islam Medical Officer, Dr. Md. Kutub Uddin","doi":"10.3329/medtoday.v35i2.69279","DOIUrl":"https://doi.org/10.3329/medtoday.v35i2.69279","url":null,"abstract":"Introduction: Epistaxis refers to the occurrence of bleeding from the nose or nasal cavity. It is widely recognized as one of the most common emergencies encountered in medical settings, particularly in the ear, nose, and throat departments, as well as in accident and emergency departments across the globe. The management of epistaxis depends on the severity of the bleeding and may involve various interventions, including conservative measures like nasal packing, cauterization techniques, or, in more severe cases, surgical interventions. Objective: The primary goal of this study was to investigate the various causes of epistaxis. Materials and Methods: This cross-sectional observational study was conducted at the Department of Otolaryngology and Head-Neck Surgery (ENT) in City Medical College & Hospital from May 2021 to April 2023. The study involved 220 patients who presented with epistaxis complaints at the ENT Outpatient Department or Emergency unit of hospital. Diagnosis of the cases was based on their medical history, clinical examination, radiological and laboratory investigations. Result: 220 patients were studied during the period. The mean age ± standard deviation was determined to be 36.67 ± 18.06 years. The age range spanned from 1 to 85 years. Patients less than 25 years old were 124 (56.36%) and more than 25 years old were 96 (43.74%). Males (139) predominated in both indoor and outdoor patients with a male-to-female ratio of 1.7:1. The nasal cavity most involved was left 103 (47%) compared to right 85 (38.6%). Bilateral involvement was seen in 32 (14.4%) cases. Higher incidence was also noticed during winters 93 (42.1%), followed by summer 63 (28.7%), then autumn 38 (17.2%), and least in spring 26 (11.9%). The circadian rhythm was also noted where we found epistaxis to be more during night 82 (37.6%), followed by evening 78 (35.3%), and finally morning 60 (27.1%). Previous history of hypertension (HTN) is seen in 26.3% of cases (58). The history of taking medications with hemorrhagic risk currently or stopped within the last 10 days was 3.5% (8). We also found a relationship between the age group (<25 years, > 25 years) and the type of treatment. Conclusion: Epistaxis, or nosebleeds, can be caused by various factors such as trauma, inflammation, tumors, blood disorders, cardiovascular issues, and foreign bodies. Younger individuals are more prone to traumatic causes, while older individuals may experience more severe nosebleeds. Hypertension is a significant contributor, emphasizing the importance of blood pressure management. Understanding these diverse causes is crucial for effective treatment and prevention of potential complications. Medicine Today 2023 Vol.35(2): 124-128","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139260354","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":"Pattern of Childhood Malignancy in a Tertiary Care Hospital","authors":"Masuma Akter, Akm Amirul Morshed Khosru, Shah Mohammad Badruddoza, Enamul Kabir, Mohammad Arbab Sarker, Maymuna Ismail","doi":"10.3329/medtoday.v35i2.69174","DOIUrl":"https://doi.org/10.3329/medtoday.v35i2.69174","url":null,"abstract":"Introduction: Cancer is a leading cause of death for children and adolescent worldwide. The cure rates in low middle-income countries are dismal (20%) in comparison to high income countries (80%). This study attempts to provide spectrum of pediatric malignancies from a tertiary care hospital in Bangladesh. Aim: Aim of this study is to evaluate the pattern of Childhood malignancy in a tertiary care hospital like Dhaka Medical College Hospital(DMCH). Materials and Methods: It is a prospective observational study was done in DMCH, over a period of 1 year (March 2014 to February 2015). After fulfilling the inclusion criteria, total 200 children aged 0-15 years were enrolled in this study. For classification of pediatric malignancies the International Classification of Childhood Cancer (ICCC), was followed. Results: Patients were stratified in 4 groups according to the age; 0-3 years, 3-6 years, 6-9 years and 9-12 years. Most of the patients fell in 6–9-year group (29%), followed by 3–6-year group (25%). Majority of cases, 61% were male. The male to female ratio was 1.55:1. Among200 cases, Leukemia (49%) was the most common malignancy followed by lymphoma, CNS Tumor, Neuroblastoma, Retinoblastoma, Wilms tumor and Malignant bone tumors. Acute lymphoblastic leukemia (ALL) comprises majority (98/200) of leukemia. Conclusion: This study gauges the trend of pediatric malignancies in Bangladesh, which is important in the planning and evaluation of health strategies. In Bangladesh, where there is dearth of high-quality data as we lack a dedicated pediatric cancer registry, such epidemiological studies play a significant part for this small but distinguished group of patients. Medicine Today 2023 Vol.35(2): 95-98","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"241 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139260083","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":"Prevalence of Caries with its Distribution by Age & Gender in Institutional Clinical Patients","authors":"Abdullah Al Mahmud, Ishrat Jahan Shathi, Md Atiqul Islam Rabby, Iffat Ara Ferdoushi, Umme Kulsum","doi":"10.3329/medtoday.v35i2.69168","DOIUrl":"https://doi.org/10.3329/medtoday.v35i2.69168","url":null,"abstract":"Introduction: Consequence of dental caries is loose of healthy tooth structure which impacts negatively on aesthetics, function, self-esteem and quality of life of the patients. Different age groups and populations exhibit distinct caries prevalence rates, observations of which could provide a useful descriptive measure of caries susceptibility in tooth surfaces. Materials and Methods: In this study, patients attending the Department of Conservative Dentistry & Endodontics of Dhaka Dental College & Hospital, located in Mirpur-14 and Department of Conservative Dentistry & Endodontics of Sapporo Dental College & Hospital, located in Abdullahpur (North Dhaka City), Bangladesh, were examined between 2017 and 2019. The location of dental caries on the teeth surfaces was recorded as following surface: Occlusal , Mesio-occlusal, Disto-occlusal, Proximal and Cervical for statistical evaluation and comparison. Furthermore, the age and gender of the patients were recorded on the chart for each caries tooth.  Result: Female had higher incidence 86 (57%) of caries than males 64 (43%). Caries distribution was common in the maxillary jaw (53.38%) than in the mandibular jaw (46.62%). Among our study patient occlusoal surface caries was most commonly observed (43.4%). Then, the proximal surface caries was seen in 28.3% cases. Overall 71.7% prevalence of caries was in occlusal and proximal area. Where, prevalence of proximal and cervical surface caries was higher in maxillary tooth (18.9% and 4.82%) than mandibular tooth (9.3% and 2.6%) respectively.  Conclusion:  Female are more prevalent to dental caries than male. Occlusoal surface caries is most commonly observed, then, the proximal surface caries are commonly seen. Occlusal surface caries is more common in mandibular tooth than maxillary. Where, proximal and cervical surface caries was higher in maxillary tooth.   Medicine Today 2023 Vol.35(2): 78-82","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"505 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139260671","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":"Corneal Clarity after Phacoemulsification: Nuclear Management by Stop and Chop Method","authors":"Md Golam Rosul, Md Abdus Salam Siddique, Sayed Saleh Khan, Husna Harun","doi":"10.3329/medtoday.v35i2.69276","DOIUrl":"https://doi.org/10.3329/medtoday.v35i2.69276","url":null,"abstract":"Introduction: Restoration of effective vision is the principal aim of all modalities of cataract surgery including phacoemulsification. In this method, nuclear part of the cataractous lens is emulsified by ultrasonic power.  Energy level of ultrasonic power and turbulence of fluid in the anterior chamber play an important role in corneal endothelial cell loss which inturn influences post-operative corneal clarity. Endothelial cell loss can be minimized by modification of nuclear management method. The common nuclear division techniques of phacoemulsification are stop and chop, divide and conquer and phaco chop. Purpose: To show post-operative corneal clarity after phacoemulsification by stop and chop technique of nuclear divisions. Materials and Methods: This prospective observational study was conducted at selected outdoor patients from January, 2023 to June, 2023 over 33 patients of age related cataract selected for phacoemulsification surgery. Patients were selected based on specific selection criteria. Selected patient underwent detail, ocular and systemic examinations as well as relevant investigations which included assessment of corneal endothelial cell count and central corneal thickness. Phacoemulsification were done in all patients by a single expert surgeon where technique of nuclear management by stop and chop were chosen randomly. Patients were followed up on 1 week, 4 weak and 12 weak after surgery. Corneal endothelial cell count and central corneal thickness were assessed in each visit. All the relevant data were presented by appropriate tables. Results: The mean age of the study subjects were 60.96 with standard deviation 1.75 years out of which 14 were males and 17 were females. Pre-operative value of mean endothelial cell count was 2620+-70.20/mm2. Mean value of endothelial count was 2420+-68.90/ mm2,  2345+-66.64/ mm2, 2310+-66.04/ mm2 respectively after 1 week , 4 weeks and 12 weeks after surgery. Mean value of  central corneal thickness was 545+-40.50 micrometer,  535+-40.02 micrometer, 532+-39.85 micrometer respectively after 1 week, 4 weeks and 12 weeks after surgery. Conclusion: Quantitative assessment  of endothelial cell count and central corneal thickness shows that at end of the study there was no significant difference in mean endothelial cell count and mean central corneal thickness . Medicine Today 2023 Vol.35(2): 118-120","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"13 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139260845","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":"Effectiveness of an Educational Booklet for the Management of Patients with Chronic Low Back Pain","authors":"Md Atikul Aziz, Shahadat Hossain, Hashina Bilkish Banu, Monzur Ahmed, Shohag Chakrabarty, Asm Minhaj Uddin","doi":"10.3329/medtoday.v35i2.69172","DOIUrl":"https://doi.org/10.3329/medtoday.v35i2.69172","url":null,"abstract":"Introduction: The aim of the present study was to assess the effectiveness of provision of an educational booklet for the management of patients with chronic low back pain. Material and Methods: A Randomized controlled clinical trial was conducted from January 2018 to June 2018 among 80 patients attending at Physical Medicine and Rehabilitation outpatient department of the Shaheed Suhrawardy Medical College and Hospital after obtaining requisite consent from the patients. 80 Patients were divided into two groups (Group A and Group B). Group A contains Patients educational booklet group + exercises + analgesics (Case group). Group B contains Physicians advice only group + exercises + analgesics (control group). Data were collected through interviewing and examining of the patients. The collected data were entered into the computer and analyzed by using SPSS (version 20.1) to assess the effectiveness of provision of an educational booklet for the management of patients with chronic low back pain. The study was approved by the institutional ethical committee. Results: In a pool of 80 patients, the range of age was 18-55 years in case group and control group. There was no significant difference found in age between case and control group (p value is 0.383). Among the patients of case group 28 (70.0%) were male and 12 (30.0%) were female. Among the patients of control group 17 (42.5%) were male and 23 (57.5%) were female. Visual analogue score (VAS) score of group A patient was 5.4±1.0 and group B was 5.7±1.1 (p=0.143). At the first follow up the mean VAS score of group A was 4.5±1.0 and group B was 4.8±0.9 (p=0.111). At the second follow up the mean VAS score of group A was 3.1±0.9 and group B was 3.5±0.8 (p=0.077). And at the final (third) follow up the mean VAS score of group A was1.9±0.8 and group B was 2.4±0.6 (p=0.002). Conclusion: There was significant improvement of pain of case group than control group. At the end of study we can tell that, educational booklet is effective for the management of patients with chronic low back pain. Medicine Today 2023 Vol.35(2): 87-90","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139260319","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":"Comparative Study on Serum Calcium in Pre-Eclampsia and Non Pregnant Women","authors":"Heera Lal Roy, Susmita Nargis","doi":"10.3329/medtoday.v35i2.69278","DOIUrl":"https://doi.org/10.3329/medtoday.v35i2.69278","url":null,"abstract":"Introduction: There are many Hypertensive disorders in pregnancy like preeclampsia, eclampsia etc. Pre-eclampsia is the most common medical complication of pregnancy associated with increased maternal and infant mortality and morbidity. Some studies have implicated that low serum calcium levels may have a role in pre-eclampsia but other studies failed to find relation between low levels of these trace elements and pre-eclampsia. Objectives:​To evaluate serum calcium in pre-eclampsia & non pregnant women. Materials and Methods: ​This cross sectional study was carried out in among 31 pre-eclampsia patients, aged 20 to 40 years, and gestational age ranges from 20 to40 weeks and 31 age matched normotensive non-pregnant women having no proteinuria. Serum calcium was measured by Colorimetric method. Results:The mean serum calcium level was 5.91 (±2.12) mg/dl   in pre–eclampsia and was 5.72 (±2.46)  mg/dl in normal women. Conclusion The mean serum calcium level did not differ significantly between the subjects of pre–eclampsia and normal women (t=0; p<.05). The means of both data sets are equal so we can conclude that there is no significant difference between them. Medicine Today 2023 Vol.35(2): 121-123","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"35 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139259852","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":"Aesthetic Management of an Unerupted Maxillary Central Incisor with a Closed Eruption Surgical Technique: A Case Report","authors":"Md Kamrul Hasan, Rokeya Rahman Tani, Mohsin Munir Khan Nabil, Samira Rahman","doi":"10.3329/medtoday.v35i2.69281","DOIUrl":"https://doi.org/10.3329/medtoday.v35i2.69281","url":null,"abstract":"Introduction: Treatment of impacted teeth requires a combination of orthodontics and surgery. Case report: Reported case is of a 12-year-old-girl with an unerupted maxillary central incisor obstructed by an odomtome. Discussion: Surgical exposure was done and traction with closed eruption technique was used. Result: The tooth was aligned in the dental arch with accepted aesthetic and functional satisfaction of the patient. Medicine Today 2023 Vol.35(2): 134-136","PeriodicalId":39348,"journal":{"name":"Medicine Today","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139260081","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}