Mymensingh medical journal : MMJ最新文献

{"title":"Personality Disorders among Patients with Premature Ejaculation Attending In A Tertiary Care Hospital.","authors":"T Y Chowdhury, M M A Qusar, M S Mian, M S Ahsan, T R Shah, M R Siddique, M K H Parvez, H Sadik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Premature ejaculation (PE) is one of the common male sexual dysfunctions with high prevalence rates varying in different studies, while Personality disorders (PDs) occur significantly in the general population, acting as a predisposing factor for other psychiatric disorders. This study was conducted with aims to find the proportion and type of PDs among patients with PE attending in tertiary care hospitals as well as observing any additional variation according to the socio-demographic variables. This observational, cross-sectional study was conducted in the Psychiatric sex clinic (PSC) of the outpatient Department of Bangladesh Medical University (BMU) from May 2017 to September 2019. The assessment of PE was done by applying Premature Ejaculation Diagnostic Tool (PEDT) from consenting male patients. Cases scoring more than or equal to 11 in PEDT and met the inclusion criteria, were accepted. Different types of PDs were determined by using the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II questionnaire). PDs were found to be present in 37.1% of patients with PE, Cluster C being predominant among them. Within Cluster C, OCPD (Obsessive-Compulsive Personality Disorder) was the most prevalent type (63.6%), followed by Avoidant (39.4%). Co-occurrence of more than one PD in the same individual was found as 9.1%; 66.3% patients had lifelong premature ejaculation, among which 41.0% of patients with Lifelong PE had PD. There is no significant difference between mean age of the PE patients with PD (35.0±7.9) and without PD (36.0±8.03). Current study reveals almost 97.0% of patients with PE belong to cluster C PD and 41.0% of lifelong PE has PD. There are significant proportions of Personality Disorder among patients who are suffering from Premature Ejaculation, particularly of Cluster C Disorders. OCPD is the commonest among all types of PD, but further study is needed to explore whether there is any direct relationship between PD and PE.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"486-493"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583401","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":"Strengthening Medical Education through Accreditation: Challenges, Strategies and the Way Forward for Bangladesh.","authors":"S Nahar, T Zahur, S F Sumaiya, M M Masum, S M A Haque, T Mehataz, N Akhter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study explored the challenges faced by medical colleges in Bangladesh in implementing accreditation, a process that is essential for ensuring quality medical education and meeting international standards. While global accreditation frameworks aim to standardize and improve medical training institutions in Bangladesh struggle with issues such as inadequate infrastructure, limited stakeholder awareness and bureaucratic hurdles. The formation of the Bangladesh Medical Education Accreditation Council (BMEAC) under the 2023 Medical Education Accreditation Bill is a positive step, but more research is needed to address implementation barriers. This study was aimed to identify the challenges faced by medical colleges in Bangladesh during the implementation of accreditation processes and to make recommendations to overcome those challenges. A cross-sectional study was conducted with a survey of thirty faculty members from ten medical colleges, equally from government and non government medical colleges in Bangladesh. Most had over 10 years of experience in service (both in academic and administrative areas) and were directly involved in accreditation. After obtaining ethical approval, data were collected via a pre-tested Google Form ensuring informed consent and collected quantitative data were analyzed using SPSS. While all were aware of accreditation, only 36.7% understood the BMEAC standards very well. Infrastructure, faculty development and student-teacher ratios were major concerns-especially in government colleges. Only 60.0% reported regularity of medical education training. Evaluation of faculty was rare (36.7%), but more common in five non-government institutions. Most medical college maintained documentation and curriculum standard; however resource and funding issues were more prevalent in government institutions. Faculty suggested improving readiness through development workshops (93.0%), better guidelines (80.0%), with increasing funding and government infrastructure support for continuous development of medical colleges. Actual challenges addressing through this research can contribute to overcome those with recommendation.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"339-348"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582903","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 Plasma and Cerebrospinal Fluid Glucose Level with Clinical Severity in Patients with Guillain-Barre Syndrome.","authors":"M R K Talukder, M N Sadat, A Jahan, H Akhter, S Roy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Guillain-Barre' syndrome (GBS) is an acute onset disease of the peripheral nerves with a variable presentation and severity. It is the most common cause of acute flaccid paralysis worldwide after the eradication of poliomyelitis. Regarding the diagnosis of GBS, cerebrospinal fluid analysis and electrophysiological study plays a pivotal role. The objective of the study was to find out an association between cerebrospinal fluid (CSF) glucose, fasting plasma glucose (FPG) and hemoglobin A1C (HbA1C) with clinical severity in patients with GBS. This cross-sectional observational study conducted in the department of Neurology, Mymensingh medical college included 61 patients of GBS who were not known to have diabetes mellitus. Besides analyzing CSF and electrophysiological study various epidemiological and clinical parameters were also studied. FPG and HbA1C were measured for each patient. Clinical severities were assessed by Hughes functional grading scale and were classified into ambulatory group (Grade 1-3) and non-ambulatory group (Grade 4-6). Most of the patients were male (67.2%). Axonal variety was found the most common subtype 35(57.4%) followed by AIDP 23(37.7%) elicited by electrophysiological criteria. Ambulatory group (disability score ≤3) represents 63.9% patients and 36.1% were in non-ambulatory group (disability score ≥4). Mean CSF glucose found to be significantly higher in non-ambulatory group (3.40±0.39) mmol/L compared to ambulatory group (2.85±0.41) mmol/L, (p<0.001). Higher frequency of elevated FPG (>5.5mmol/L) was found in non-ambulatory group (63.6%) compared to ambulatory group (28.2%), (p=0.007). No significant difference of elevated HbA1C was found between ambulatory and non-ambulatory group (p=0.206). This study demonstrates that higher grades of clinical severity were associated with elevated CSF glucose and FPG but not with HbA1C.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"377-383"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583212","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":"Outcome of Cubitus Varus Deformity Treated by Modified French Osteotomy and Fixation with Reconstruction Plate.","authors":"M Kamruzzaman, M J Alam, M S Islam, D Alam, R Majid, M A Rahman, M I Khalilullah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cubitusvarus deformity is the most common delayed complication of paediatric supracondylar humerus fractures. To evaluate the outcome of cubitusvarus deformity treated by Modified French Osteotomy and fixation with reconstruction plate we have done this observational study. A total 22 patients with post-traumatic cubitusvarus deformity were included in this study. Out of 22 patients; left side was involved in 18 cases and the right side in four. The average age at the time of osteotomy was 14.41 years (range 10-18 years). The mean pre-operative varus angulation of the affected side was -25.14° ± 8.28 (range, -12° to - 45°). Significant improvement in carrying angle postoperatively with mean valgus 4.81°±5.48 (range, 3° to 12°). All the patients were having nearly normal range of motion of the affected elbow. Based on Bellmore et al. criteria, the study showed result in the form of excellent- 63.64%, Good- 27.27% and poor- 9.09%. Significant improvement in the carrying angle postoperatively with adequate preservation of elbow range of motion and minimal complications treated by Modified French Osteotomy and fixation with reconstruction plate.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"595-601"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583315","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":"Impact of Epidural Anaesthesia in Normal Vaginal Delivery of Primiparous Patients.","authors":"K F Begum, M Parveen, N Sultana, H H Pervin, F Zabin, H Alam, M Ishaque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Labour pain is one of the most intense forms of pain experienced by women during childbirth. Effective pain management is an important component of modern obstetric care. Epidural analgesia is widely used because it provides superior pain relief compared with other analgesic methods. However, concerns remain regarding its potential effects on labour progression, delivery outcomes and neonatal well-being. This study aimed to evaluate the impact of epidural anaesthesia on labour duration, mode of delivery and neonatal outcomes among primiparous women undergoing normal vaginal delivery. This retrospective observational study was conducted in the Department of Obstetrics and Gynecology at Bangladesh Medical University, Dhaka, Bangladesh, from January 2021 to December 2021. A total of 100 primiparous women with singleton term pregnancies who underwent normal vaginal delivery were included. Among them, 50 women received epidural analgesia during labour and 50 delivered without epidural analgesia. Data regarding maternal characteristics, labour duration, delivery outcomes and neonatal outcomes were collected from hospital records. Statistical analysis was performed using SPSS version 25.0. Baseline obstetric characteristics were comparable between the two groups. The mean duration of the active first stage of labour was significantly longer in the epidural group (301.8±45.6 minutes) compared with the non-epidural group (259.7±40.8 minutes) (p<0.001). The second stage of labour was also longer in the epidural group (51.6±17.9 minutes vs. 38.7±13.5 minutes, p=0.001). Instrumental vaginal delivery was more frequent in the epidural group (22.0%) compared with the non-epidural group (8.0%). Neonatal outcomes, including Apgar scores and NICU admission rates, were similar between groups. Epidural analgesia prolongs labour duration and increases instrumental delivery rates but does not adversely affect neonatal outcomes.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"634-640"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583347","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":"Oral Hygiene Practices and Perceived Dental Health Concerns among Fasting Adults during Ramadan: A Hospital-Based Cross-Sectional Study.","authors":"S Mahmud, M K Khan, M H Arefin, G Sultana, F Akter, M Nurunnabi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fasting during Ramadan can influence oral hygiene behaviors and oral health outcomes. This study aimed to assess dental hygiene practices, attitudes and perceived oral health issues among adult Muslims observing fasting in Bangladesh. A hospital-based cross-sectional survey was conducted at the Dental Unit of Mymensingh Medical College, Bangladesh, among 278 fasting Muslim adults (≥18 years) during Ramadan (1st March 2025 to 31st March 2025). The study aimed to assess dental hygiene practices and oral health concerns related to fasting. Data were collected through face-to-face interviews using a pretested questionnaire. The mean age of participants was 32.6±14.2 years, with 54.7% aged 20-39 years. Females comprised 54.7% of the sample. Most participants brushed once daily (56.8%), primarily after Suhoor and Iftar (38.1%) and 67.6% used fluoride toothpaste. Advanced oral hygiene practices were less common: only 2.9% flossed daily, 10.4% cleaned their tongue daily and 37.4% used Miswak. Mouthwash use after Iftar/ Suhoor was high (85.6%) but low during fasting (3.6%). Halitosis was reported sometimes by 45.4% and regularly by 32.7%. Tooth sensitivity (45.0%) and dry mouth (23.7%) were the most common oral issues. Only 29.9% had a dental check-up in the past six months and many reported difficulty maintaining oral hygiene during fasting. Overall, 57.1% had poor oral hygiene practices, 14.3% average and 28.6% good. Oral hygiene practices among fasting adults were poor, with low adherence to advanced oral care measures and prevalent misconceptions. Educational interventions are recommended to improve oral health awareness and practices during Ramadan.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"434-440"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583371","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":"Paediatric Non Alcoholic Fatty Liver Disease (NAFLD) on the Context of the Global Epidemic of Obesity.","authors":"K L Nahid, F Begum, R Alam, S Akter, M Rukunuzzaman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease of adults and children worldwide. NAFLD is a spectrum of disease, from simple hepatic steatosis to nonalcoholic steatohepatitis (NASH) which may progress to fibrosis, ultimately leads to cirrhosis. Non-alcoholic fatty liver disease (NAFLD) means the presence of 5% or more hepatic steatosis as diagnosed by liver imaging or liver biopsy in the absence of secondary hepatic fat accumulation. In North American studies, NAFLD prevalence is 29.0%-38.0% in obese children (by screening of enzyme elevation and also by autopsy study). For children, the incidence and prevalence of NAFLD have been increased dramatically over the last few years. Obviously, obesity epidemic plays the most important role. Insulin resistance is the primary and most important factor for the development of NAFLD. Patients with NAFLD often have associated extrahepatic diseases such as obesity, type 2 diabetes, metabolic syndrome and cardiovascular diseases. Screening for NAFLD is currently suggested for all obese children 9 years or older as defined by a BMI above the 95th percentile and should also be considered for overweight children with a family history of NAFLD or the presence of added risk factors. Serum Alanine aminotransferase is the recommended first screening test for NAFLD and interpretation should be based on sex-specific reference ranges (normal value -ALT <26 U/L in males and <22 U/L in females). Various imaging studies are done for diagnosis of NAFLD, such as ultrasonography, Vibration-controlled transient elastography, Magnetic resonance elastrography (MRE). Still, liver biopsy is the gold standard for the confirmation of NAFLD. New promising noninvasive biomarkers and imaging techniques are used for diagnosis for NAFLD. The most important treatment strategy for NAFLD involves lifestyle changes which includes dietary modification and physical exercise. Presently, no medications are approved by the US Food and Drug Administration (FDA) for the treatment of NAFLD in children.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"659-667"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583375","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":"An Osteometric Study of the Lateral Malleolus of Lower End of the Adult Human Fibula in Bangladeshi Populations.","authors":"T R Biswas, T Kar, S M A Haque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to measure different parameters of lateral malleolus of lower end of fibula. This study was taken from 300 (152 right and 148 left) samples those were selected through the purposive sampling technique for this cross-sectional descriptive study which was carried out in the Department of Anatomy, Mymensingh Medical College Mymensingh, Bangladesh from January 2023 to December 2023. Any damaged, unossified, fractured bones were excluded. Data of this osteometrical study were tabulated and statistically analyzed by using Microsoft Excel and SPSS software. The mean±SD of height of the lateral malleolus was 25.84±2.76 mm on right side and 25.41±2.96 mm on left side. The mean±SD of coronal width of the lateral malleolus was 16.70±1.68 mm on right side and 17.24±1.51 mm on left side. The mean±SD of sagittal width of the lateral malleolus was 22.76±2.06 mm on right side and 23.33±1.99 mm on left side. The standard osteometry of the lateral malleolus of the fibula investigated in this study is novel and unique which may lead to advances in the operative management and design of prosthetics regarding the lateral malleolar fracture.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"408-411"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582487","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":"Tuberculosis Control in Bangladesh: Challenges and Future Strategies.","authors":"M K Khan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p></p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"337-338"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583297","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 Outcomes of Resection: Primary Anastomosis and Hartmann's Procedure in the Management of Sigmoid Volvulus.","authors":"M M Hossain, A K M Islam, M Khatun, A H M Sufian, M M Alam, A K Das, S M A Islam, F F Kollol, M M H Rahman, M S Kader","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One major cause of large bowel blockage is sigmoid volvulus, which in more complex instances necessitates surgical intervention. Despite the widespread use of two basic surgical techniques-resection-primary anastomosis and Hartmann's procedure- comparative results in settings with limited resources, such as Bangladesh, are still not well understood. This study compared the outcomes of Hartmann's procedure and resection-primary anastomosis in sigmoid volvulus. From September 2018 to August 2019, the Department of Surgery at Mymensingh Medical College Hospital in Bangladesh was the site of this prospective observational study. A total of 44 patients with sigmoid volvulus were included, with 22 undergoing resection-primary anastomosis and 22 undergoing Hartmann's procedure. Data were collected on patient demographics, clinical and biochemical findings, surgical outcomes and postoperative complications. Statistical analyses were performed using SPSS. Patients in Hartmann's group had higher comorbidities, such as malnutrition (40.91%) and COPD (45.45%) and they were older (57.40±14.65 years vs. 45.90±10.6 years). Anastomotic leaking only happened in the main anastomosis group (13.64%), but gangrenous bowel was more prevalent in the Hartmann's group (27.27%). The primary anastomosis group had a considerably greater rate of re-intervention (22.73%, p=0.02). Only the main anastomosis group (4.55%) experienced mortality. Hartmann's procedure is better suited for high-risk patients, while primary anastomosis offers benefits in stable patients but with a higher risk of complications. Individualized surgical decision-making is crucial to optimizing outcomes in resource-limited settings.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"356-363"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583220","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}