Mymensingh medical journal : MMJ最新文献

{"title":"Arthroscopic Bankart Repair: Our Early Experience at Bangladesh Medical University.","authors":"M A Faisal, A Z Chowdhury, I K Kundu, C I Mahmud, S P Runa, M A Hossain, M M Sarker, S K Bose, M A Sikder, M Sarker, M E Choudhury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The arthroscopic Bankart repair method is the latest technique for traumatic anterior shoulder instability. In this series includes a minimum of one year of clinical outcomes of bioabsorbable suture anchors used in post-traumatic anterior dislocation of the shoulder. Clinical and radiological information from 15 patients were collected and analyzed for a minimum of 2 years (January 2019 to December 2020). Each patient underwent arthroscopic Bankart repair using bio-absorbable suture anchors for their shoulder instability. Over the time period, all operations were performed by a single surgeon. All study population were assessed using two different outcome measurement tools: one is the University of California at Los Angeles (UCLA) shoulder rating scale and another is the Simple Shoulder Test (SST) score. The scores were calculated before surgery and at the 1 year follow-up. Range of motion (ROM), as well as postoperative function and return to sporting activities, were evaluated. Results of the 12 domains showed a significant improvement from a pre-operative mean of 6.0±2.8 to post operative 10.5±0.8 after the 1 year follow-up (p<0.0001). Data from the UCLA scale showed a Pre and Post Operative Mean of 20.5±5.0 and 33.4±3.8, respectively (p<0.0001). Twelve had excellent postoperative scores, one had good score, one had fair score, and one had poor score. Eighty percent (80.0%) of the patients returned to sports, but none of them developed a recurrence of shoulder dislocation or subluxation. Arthroscopic Bankart repair using suture anchors is a reliable treatment method, with good clinical outcomes, excellent postoperative shoulder motion, and low recurrence rate.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"801-809"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532110","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":"Frequency of Hypomagnesemia among Hospitalized Diabetic Hypokalemic Patients: A Single Center Experience.","authors":"R Laboni, M S Hossain, K Hassan, S M Ashrafuzzaman, N H Nishat, T Tabassum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypokalemia is a severe form of electrolyte imbalance associated with increased mortality and morbidity. The concomitant presence of hypomagnesemia often makes correction of the hypokalemia complex, but due to a lack of routine measurement, it often remains unrecognized. This study aimed to evaluate the frequency of hypomagnesemia in hospitalized diabetic hypokalemic patients. The study was cross-sectional in nature and conducted in the department of Endocrinology, BIRDEM General Hospital, Bangladesh. Seventy confirmed cases of diabetes mellitus (DM) patients with hypokalemia were enrolled as study participants. Data were collected by using a semi-structured questionnaire following informed written consent from all participants. Ethical measures were followed according to the Declaration of Helsinki. The mean age ±SD of the patients was 50.81±12.26, with 57.1% being female and 42.9% being male. The frequencies of hypomagnesemia and hyponatremia were 51.4% and 45.7%, respectively. Older age, longer duration of DM and higher sodium were observed in patients with hypomagnesemia (p<0.05). This study observed the presence of hypomagnesemia among half of the diabetic and hypokalemic patients. A detailed exploration is therefore promoted for this kind of patient.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"752-758"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532121","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":"How to Unlock Better Outcomes for Medical Teachers.","authors":"M K Khan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Not Available.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"604-605"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532124","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":"Clinical Significance of Preoperative Serum CEA and CA 19-9 Level in Different Stages of Gastric Cancer.","authors":"A B M Sharif, M M H Khan, M M Rahman, M M Pervin, M M Bahar, M A A Simon, A Akter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this prospective study was to identify any relationship of CEA, CA 19-9 with different stages of carcinoma stomach. The current study was conducted at the Department of General Surgery, Bangabandhu Sheikh Mujib Medical University, Bangladesh from January 2021 to February 2022. In this cross-sectional observational study, 52 patients with histologically established stomach cancer were enrolled. Patient was categorized into two groups (elevated /not elevated CEA and CA19-9 group) after preoperative measurement of CEA and CA19-9 level. About 65.4% of cancers are stage III, 23.1% are stage IV, but stage I tumors account for only 1.9% of all malignancies. In stage I, II, III, IV stomach cancer, CEA increased by 4.3%, 13%, 60.9%, 21.7% and CA19-9 increased by 0.0%, 21.1%, 63.2%, 15.8%. Gastric cancer with raised serum CEA and CA 19-9 level may present as advanced stage. Any extensive surgery in this stage may produce poorer outcome. In GC, CA 19-9 and CEA may be used as monitoring and prognostic tool.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 3","pages":"833-839"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532117","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":"Relationship between Functional Dyspepsia and Gastric Eosinophilia: A Single Centre Cross-Sectional Study.","authors":"I Mahbub, B C Shil, A N M Saifullah, A Islam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Functional dyspepsia is one of the most common gastrointestinal disorders. Immune activation by eosinophils is thought to be one of the important mechanisms behind the pathogenesis of functional dyspepsia. The study aimed to evaluate the association of gastric eosinophilia with functional dyspepsia. This cross-sectional study was conducted in the Department of Gastroenterology, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh from July 2019 to June 2020. Forty-six (46) adult patients with functional dyspepsia diagnosed by Rome-III criteria were enrolled. Forty patients not fulfilling the criteria of functional dyspepsia and also patients attending the department for endoscopy (evaluation of anemia, pre-ERCP screening, evaluation of chronic diarrhea, etc.) and having normal endoscopic features subsequently were taken as comparison group. After endoscopy, a biopsy was taken from the gastric body and antrum of each participant. Counting of eosinophil and histopathology was done by an expert senior histopathologist. It was expressed in per HPF. Statistical analysis was done by SPSS 22.0 and p<0.05 was set as statistically significant. Mean±SD age was 40.34±16.22 and 40.15±13.96 in functional dyspepsia patients and patients taken for comparison respectively. Females were slightly predominant with a female-male ratio of 1.2:1. Lower middle-class families were found to be the most vulnerable group suffering from functional dyspepsia. The mean eosinophil count of gastric body and antrum in functional dyspepsia patients was higher than that of the comparison group. The difference between the two groups was statistically significant (p<0.001). A statistically significant relation was found between gastric eosinophilia (p=0.015, 0.016) with functional dyspepsia (p<0.001). Eosinophil count of gastric mucosa was significantly higher in functional dyspepsia patients and had an association with it. However, further study with a large sample size could explain this precisely.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"453-460"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756865","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 Asymmetry between the Maximum Length of Right and Left Humerus of Bangladeshi Population.","authors":"S M A Haque, T Mehataz, F Afros, D Debnath, M R Alam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The humerus is the typical long bone of the superior extremity. It consists of three parts- upper end, lower end and intervening shaft. The aim of this study was to evaluation of the asymmetry of maximum length between the right and left-sided humerus. For the study 100 human humerus, 43 on the right side and 57 on the left side were elaborated. Samples were selected through the purposive sampling technique for this cross-sectional descriptive study in the Department of Anatomy, Mymensingh Medical College, Mymensingh, Bangladesh from July 2021 to June 2022. Any damaged, unossified bones or fractured bones were excluded. Data were tabulated and statistically analyzed using Microsoft Excel and SPSS software. In this study, the mean±SD maximum length of the humerus was 304.139±17.652 mm and 300.42±20.779 mm on the right and left sides respectively. These studies confirmed that the right-sided humeral dimension was more prominent than the left side. So, the asymmetry between the maximum length of right and left humerus is established. We hope that this study of the maximum length of humerus among the Bangladeshi population may be very helpful for anatomists, police, forensic experts, anthropologists and radiologists.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"307-311"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757070","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 Impairment among the High-Risk Neonates: Findings from a Hospital-Based Targeted Screening.","authors":"A L Halder, M A H Mollah, M A Baki, S Khan, J Nahar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hearing impairment in early life can have deleterious effects on speech and language development and so as in communication. As hearing impairment in the infant is an invisible disability, screening is one of the most important methods of early identification. In this study, we screened the hospitalized high-risk neonates to estimate the prevalence of hearing impairment and to identify the risk factors in our settings. This cross-sectional study was conducted on 282 high-risk neonates admitted to the Special Care Baby Unit (SCABU), BIRDEM (Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders) General Hospital-2, Dhaka, Bangladesh, from January 2019 to December 2019. The screening was done by distortion product otoacoustic emissions (DPOAE); first, by the age of 30 days, and second, two weeks after the first screening. Hearing impairment was confirmed by auditory brain stem response audiometry (ABR), which was performed at the age of three months. The prevalence of hearing impairment was found to be 9.5%. Among them, 7.4% had unilateral (right or left ear) and 2.1% had a bilateral hearing impairment. There was no gender predominance (p=0.92). The most prevalent risk factors were the use of ototoxic drugs (amikacin/ gentamycin ± furosemide) for more than 5 days or multiple courses (n=107, 37.9%) and birth weight less than 1500gm (n=30, 10.6%). The family history of hearing loss (OR=10.924, CI: 1.609-74.150, p= 0.014), craniofacial anomalies involving pinna and ear canal (OR=12.214, CI: 1.294-85.268, p=0.029), Hyperbilirubinemia at a serum level requiring exchange transfusion (OR=8.689, CI: 2.044-36.931, p=0.003) and needing mechanical ventilation for more than 5 days (OR=4.695, CI: 1.075-20.506, p=0.040) were detected as independent risk factors for hearing impairment in these high-risk neonates. The prevalence of hearing impairment among the high-risk neonates was 9.5%. The family history of hearing loss, craniofacial anomalies involving the pinna and ear canal, hyperbilirubinemia at the exchange level, and needing mechanical ventilation for more than 5 days was independent risk factors for hearing impairment in high-risk neonates.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"400-407"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757076","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":"Prescription Pattern of Analgesics and Adjuvant Drugs in Cancer Patients Attending Outpatient Department of Radiotherapy in a Tertiary Level Hospital.","authors":"M Sharmin, S K Saha, S Mostaqim, M K Hasan, T Salam, F Nargis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To assess the pattern of analgesics used for pain among the cancer patients attending outpatient department in a tertiary level hospital in Bangladesh. During the one year study period between July 2018 and June 2019, a cross sectional study was conducted in the Department of Pharmacology and Therapeutics with the collaboration of Department of Radiotherapy, Mymensingh Medical College Hospital, Mymensingh. A total of 323 patients were selected. Data were collected by interviewing the patients and their prescription. After completion of data collection, data analysis was done using SPSS version 24.0. Out of 323 patients, Step 1 analgesics (Paracetamol or other NSAIDs) were prescribed to 61.9% patients; 21.4% and 7.1% patients were treated with Step 2 (Tramadol) and Step 3 (Morphine) analgesics. Step 1 and 2 combined analgesics were prescribed to 9.6% patients. Among the adjuvant drugs, 22.9% prescribed drugs were antidepressants, corticosteroids (16.7%), anticonvulsants (14.9%), antispasmodics (9.6%), antianxiety (3.7%) and antipsychotics (2.2%). This study showed that using of WHO analgesic (pain relief) ladder; it is capable of controlling pain in more than 90.0% of patients.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"408-411"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757081","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, Variants and Presentation of Anomalous Aortostial Origin of Coronary Arteries: A Registry Based Analysis of Ten Cases.","authors":"K A Siddika, B Dutta, M W Rahman, M B Rashid, M A Alam, G K Paul, A B M Kawsar, K Ahmed, A A Javed, M Sultana, A Jahangir, K K Karmoker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study was aimed at determining the prevalence, different patterns of origin of coronary arteries and their clinical presentation in patients who underwent coronary angiography. In this cross-sectional study, initially 2000 patients who underwent coronary angiogram (CAG) for chronic stable angina or acute coronary syndrome or required CAG as pre-operative evaluation for other surgery in the National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh from July 2019 to December 2020 were enrolled after taking informed consent. The prevalence of anomalous aorto ostial origin among 2000 study population was 0.5%. Among 10 patients, males were predominant 8(80.0%) with a mean age of 51.0±3.0 years. The coronary artery anomalies were more common in the right coronary artery (RCA) than the left coronary artery. Out of 10 patients, RCA arouse from the left coronary sinus (3) and the separate origin of left anterior descending and left circumflex artery (3) were equal. The next common anomaly was the left coronary artery arising from the right coronary sinus (2) followed by the left circumflex artery arising from the right coronary sinus (1) and double right coronary artery (1). Twenty percent (20.0%) of the patients were asymptomatic and diagnosed during coronary angiogram for other surgery. Thirty percent (30.0%) of the cases presented with chronic stable angina and 50.0% of the total cases presented with acute coronary syndrome. Anomalous origin of coronary arteries may present as an isolated defect or as a part of complex congenital heart disease. Presentation and prognosis varies widely from asymptomatic to sudden cardiac death according to the type of various anomalies. So, congenital coronary artery anomalies pattern should be sorted out for risk stratification and proper management.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"381-387"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756831","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":"Raised Inflammatory Markers as Predictors of Acute Kidney Injury in Hospitalized Covid-19 Patients: A Retrospective Cohort Study.","authors":"S Rahman, A Wazib, T Bahar, M Yesmin, P Saha","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Covid-19 infection can affect the multiple-organ system. Acute kidney injury (AKI) is one of the complications and is associated with poor outcomes. Of many potential risk factors for the development of AKI, raised inflammatory markers are postulated to be responsible. A retrospective cohort study was conducted on 135 patients who were admitted in the ward and intensive care unit (ICU) from June 2020 to September 2020 in Enam Medical College and Hospital, Savar, Dhaka, Bangladesh. Patients aged ≥18 years with positive RT-PCR Covid-19 were included. AKI was defined and staged according to KDIGO criteria. We evaluated the incidence of AKI, the demographic and laboratory markers associated with AKI in Covid-19 patients and the outcome. Univariate and multivariate analyses were performed. The incidence of AKI was 27.0% (36). Most of them were in stage 1(75.0%). The mean age of the cohort was 52.19±15.55 years and 68.0% were male (n=92). Of the comorbidities, diabetes mellitus was the commonest (46.0%). On progressive multivariate logistic regression, severe/critical Covid-19 (aOR 3.1, 95% CI: 1.09-8.93, p-value 0.033), requiring mechanical ventilation (aOR 2.7, 95% CI: 1.13-6.51, p-value 0.026) and raised D-dimer (aOR 3, 95% CI: 1.07-8.22, p-value 0.036) were identified as independent risk factors associated with AKI. A higher proportion of patients who developed AKI required ICU (50.0% versus 14.1%, p<0.0001) and were intubated (39% versus 13.0%, p=0.003). Overall, in-hospital mortality was 22(16.0%). In-hospital mortality was higher in patients with AKI (39 versus 8.0%, p<0.0001). Severe Covid-19, requiring mechanical ventilation and raised d-dimer are associated with AKI in Covid-19. Early identification of risk factors can reduce the incidence of AKI and death.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"447-452"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756860","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}