Mymensingh medical journal : MMJ最新文献

{"title":"Antibacterial Activities of Mint (Mentha piperita) Leaf Extracts (Aqueous) Against Gram Positive Staphylococcus aureus and Gram Negative Pseudomonas aeruginosa.","authors":"A Afrin, S K Saha, K E Zannat, M A Hossain, B C Saha, J B Joynal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The interventional study was undertaken to evaluate the antibacterial activity of aquous extracts isolated from Mint (Mentha piperita) leaf against Gram-positive Staphylococcus aureus and Gram-negative Pseudomonas aeruginosa. This study was performed in the Department of Pharmacology and Therapeutics in collaboration with the Department of Microbiology at Mymensingh Medical College, Mymensingh, Bangladesh from January 2021 to December 2021. The antibacterial effect of different concentrations of aqueous Mint leaf extracts was tested by using disc diffusion and broth dilution method. The test microorganisms underwent a broth dilution procedure to assess their activity against the standard antibiotic Gentamicin. The outcome of this test was compared to that of aqueous extracts. Among different concentrations of the aquous mint leaf extract (AMLE), 200μg/ml and above concentration showed inhibitory effect against Staphylococcus aureus and 600μg/ml and above concentration showed inhibitory effect against Pseudomonas aeruginosa. The MIC of Gentamicin was much lower in comparison to MICs of AMLE for the test organisms. This in vitro study suggests that aqueous extract of Mint leaves possess antibacterial effect against Staphylococcus aureus and Pseudomonas aeruginosa.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"355-359"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756899","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":"Forensic Profiling of Deaths due to Suffocation.","authors":"E B Akber, S Sultana, M S Islam, S Mutsuddy, M S I Rony, I Jahan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Though the cases of suffocation are not frequently encountered, its frequency is increasing gradually. Objective of the study was to determine the cause, variety and manner of death in case of suffocation. This is a cross-sectional variety of descriptive study and was performed in the Department of Forensic Medicine at Dhaka Medical College, Dhaka, Bangladesh from January 2018 to December 2019. A proforma was drawn up in which different data were tabulated and analyzed. Thirty four (34) cases of suffocation were found of the total 2199 medicolegal autopsies. The age group of 31-40 years i.e. in 17 cases (50.0%) was mainly affected. Twenty one (21) male victims (61.76%) outnumbered the females. Among all suffocation cases smothering was on top i.e. in 18 cases (52.94%). Causes of death in suffocation were principally smothering by pillows in 11 cases (32.35%). Homicidal cases were determined in 22 cases (64.70%). This study reflects the dimensions of death due to suffocation.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"509-512"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757073","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":"Gynaecological Transurethral Resection Syndrome in a Young Lady under General Anesthesia: A Case Report.","authors":"A Majumder, M S Hossain, M M Maoya, N Sadiya, N F Momo, A R Rafi, M Z Hasan, M E Haque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Transurethral resection of the prostate (TURP) is an endoscopic resection procedure, commonly done for the treatment of enlargement of prostate. Here electrolyte free glycine solution is used as irrigation solution. A rare but critical syndrome may occur due to absorption of irrigation solution called TURP syndrome. Hysteroscopic resection procedures are performed using the same principles of TURP. And TURP syndrome like similar phenomenon can occur which is termed as gynaecological TUR syndrome. The management of this syndrome involves surgeon, anesthetist, neurologist and other disciplines. Here we report a case of a 25 years old lady who developed acute symptomatic hyponatremia secondary to hysteroscopic procedure under general anesthesia and rapidly approached with multidisciplinary team.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"584-587"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757074","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":"Assessment of Waist Circumference, Waist to Hip Ratio and Serum TSH in Obese Female.","authors":"M Paul, N Khatun, A Nessa, P K Deb, A Begum, S S Suchi, N Sultana, S Sadia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity is a worldwide problem impacting every age group in both developed and developing countries. This study aims to investigate the association between obesity and waist circumference (WC), waist to hip ratio (WHR) and serum TSH levels in adult obese females age ranged 18-59 years in comparison to adult healthy non-obese female of same age. The goal is to identify strategies to mitigate obesity-related complications and advocate better health outcomes among them. This cross-sectional type of analytical study was carried out in the Department of Physiology, Mymensingh Medical College, Mymensingh, Bangladesh from July 2023 to June 2024. A total mumber of 200 female subjects age ranged from 18-59 years were included in this study. Among them one hundred (100) adult healthy non-obese females were taken as control group (Group I) and one hundred (100) adult obese female were taken as study group (Group II). The results were calculated and analyzed by using SPSS. Anthropometric measurements such as height (m), weight (kg), BMI (Kg/m²), waist circumference (WC), waist to hip ratio (WHR) were measured. Laboratory analysis of serum TSH was determined by immunoradiometric assay (IRMA method). In this study there was significantly increased mean waist circumference (102.08±5.12 cm) (p<0.01), waist to hip ratio (0.94±0.03) (p<0.01) and serum TSH (03.73±1.99μIU/ml) (p<0.01) in adult obese female than in adult healthy non-obese female. Changes in these parameters are linked to secondary conditions like HTN, type 2 DM, cardiovascular diseases and hypothyroidism etc., which significantly impact on mortality and morbidity rate. So, routine monitoring of serum TSH levels is recommended to prevent obesity related complications to promote a healthy life.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"375-380"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756882","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":"Status of Fasting Serum Glucose and Serum Magnesium among Women Having Low Dose Oral Contraceptive Pill.","authors":"A Begum, A Nessa, F Wahed, S S Suchi, S Sadia, M Paul, N Sultana, S Yesmin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Low dose oral contraceptives are a major category of prescription drugs used by a large number of reproductive women. Since the introduction of the first combined oral contraceptives in the 1960s, great progress has been made to reduce side effects and improve tolerability without compromising efficacy. The most commonly used are combinations of drugs that contain both estrogen and progesterone. Long-term use of hormonal contraceptives by women of reproductive age can lead to metabolic changes that may contribute to an alteration in many biochemical parameters. The aim of this study was to estimate the status of fasting serum glucose and serum magnesium in low dose oral contraceptive pill (OCP) users in Mymensingh locality. This cross-sectional analytical type of study was conducted in the Department of Physiology, Mymensingh Medical College, Bangladesh from July 2023 to June 2024. A total number of 140 reproductive women, age ranged from 18-52 years was included in this study. Among them 70 (seventy) low dose oral contraceptive pill non users were taken as control group (Group I) and 70 (seventy) low dose oral contraceptive pill users were taken as study group (Group II). The results were calculated and analyzed by using SPSS, version 26.0. Laboratory analysis of fasting serum glucose by GOD-PAP method and serum magnesium by enzymatic colorimetric method. Data were expressed in Mean±SD and statistical significance of difference among the groups was calculated by unpaired Student's 't' test. The mean±SD of fasting serum glucose of control group and study group were 4.89±0.62 and 7.19±0.98 mmol/L respectively. In study group fasting serum glucose was increased in comparison to control group. The mean±SD of serum magnesium of control group and study group were 1.91±0.19 and 1.45±0.18 mg/dl respectively. In study group serum magnesium was decreased in comparison to control group. In this study, fasting serum glucose and serum magnesium was statistically significant (p<0.001) in study group in comparison to control group. Therefore, by this study we recommended that OCP users should follow up by testing of these parameters for regular assessment to prevent metabolic disorders and hypomagnesaemia.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"319-323"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756906","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 Serum Vitamin D Level in Patients with Migraine.","authors":"M S I Bhuya, M Saiduzzaman, K Linckon, A H M Moniruzzaman, M S Hossain, M R N Rahman, M A Haque, M M Rana, S A Losy, M A Khaer, M A Haque, M F Hossain, M S Islam, M F Islam, M Bhattacharjee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Migraine is one of the commonest primary headache disorders associated with significant morbidity as well as reduced quality of life. As low serum vitamin D level was found in association with various neurologic and non-neurologic disorders, it may be associated with migraine as well. This study was designed to determine the association between low serum vitamin D levels and migraine. This cross-sectional comparative study was conducted in the Department of Neurology, Mymensingh Medical College Hospital, Bangladesh from July 2019 to June 2021. Total 328 patients were selected based on inclusion and exclusion criteria following informed written consent and divided into two groups. One hundred and sixty-four (164) migraine patients were enrolled in migraine group and same number of age and gender-matched apparently healthy individuals were included in non-migraine group. Detailed history taking and clinical examinations were done and serum vitamin D level was measured in all participants. Demographic variables of both groups were calculated without any significant difference. The mean serum vitamin D level was measured 16.11±6.33 ng/ml in case group and 23.13±8.71 ng/ml in control group with a statistically significant difference (p<0.001). A significant difference was also found in relation to the frequency of migraine attacks (18.49±6.70 ng/ml with ≤3 episodes/month and 14.84±5.76 ng/ml with >3 episodes/month, p<0.001). Mean serum vitamin D was measured lower in moderate and severe disease (23.67±4.86 ng/ml in mild disease, 19.79±5.97 ng/ml in moderate disease,12.94±4.24 ng/ml in severe disease, p<0.001). No significant difference in serum vitamin D level was found in terms of presence or absence of aura. But serum vitamin D level was significantly lower in migraine patients having positive family history (p=0.002). Considering the above findings, it is evident that serum vitamin D level is most likely to be associated with migraine. Early detection of low serum vitamin D levels and measures to correct it may be an adjunctive management strategy in migraine.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"312-318"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756921","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":"Comparison of Serum Albumin and Bilirubin among Obese and Non-obese Adults.","authors":"F R Momo, M R Hoque, M R Faysal, S P Krishna, M Y Mili, S A Mitu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity is a significant global health concern and WHO points out that 1 in 3 people globally are clinically obese. Obesity is a condition of having an excessive amount of body fat and is linked with several health disorders that include metabolic syndrome, cardiovascular diseases as well as liver diseases. Serum albumin and bilirubin are some of the biochemical markers used to diagnose and treat various health-related conditions. Hence, the relationship between obesity and these serum markers has not been well established and can be described as complex. Although obesity affects the liver, it is important to examine the effect of obesity on serum albumin and bilirubin status compared to non-obese subjects. This study aims to assess serum albumin and bilirubin concentrations in obese and non-obese adults and to compare them with non-obese adults. This cross-sectional study was conducted in the Department of Biochemistry, Mymensingh Medical College, Mymensingh, Bangladesh in collaboration with the Department of Endocrinology and Medicine, Mymensingh Medical College Hospital, Mymensingh, Bangladesh from July 2023 to June 2024. The subjects were selected based on inclusion and exclusion criteria by purposive non-random sampling. A total of 200 participants took part in this study. Out of them, 100 were selected as case (obese adults) and another 100 non-obese adults were selected as control. In this study, serum albumin and bilirubin levels were measured for analytical study. All the values were expressed as mean±SD. Statistical analysis was done using SPSS Windows package version 26.0. The statistical significance of the difference between the case and control was calculated using Student's unpaired 't' test. Pearson's correlation is used to determine the level of significance and to see the correlation of BMI with these parameters. After careful evaluation, the mean±SD values of serum albumin were 3.51±0.59 g/dl and 4.12±0.48 g/dl in case and control groups respectively and mean±SD values of serum bilirubin were 0.38±0.18 mg/dl and 0.57±0.16 mg/dl in case and control group respectively. This study revealed that mean serum albumin and bilirubin levels were significantly decreased in obese adults. There is a significant negative correlation found between BMI with serum albumin and bilirubin levels. Analyzing the findings of this cross-sectional study, significant alterations in serum albumin and bilirubin levels were observed among obese adults.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"300-306"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756924","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 and Predisposing Factors Heralding Retinopathy of Prematurity in Premature and Very Low Birth Weight Babies at a Tertiary Level Hospital of Bangladesh.","authors":"F A Jolly, T R Ali, I Faruque, M Asaduzzaman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several studies are being conducted worldwide to find out the prevalence of Retinopathy of prematurity (ROP) and any associated risk factors amongst preterm infants with very low birth weight (VLBW), birth weight ≤1500gm and Extreme low birth weight (ELBW) birth weight ≤1200gm. At the SCABU (Special Care Baby Unit) of Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka, Bangladesh a prospective observational study was conducted from October 2016 to March 2017. Newborns with a gestational age of 35 weeks or less at birth and a birth weight of 1500 gm or less admitted at SCABU in BIRDEM General Hospital were the study subjects. The percentage of newborns with ROP were 30.0% (27) amongst screened infants (n=90), where 81.5% (22) were among VLBW and 18.5% (5) were among ELBW infants. Out of them 22.2% (6) had stage I, 37% (10) at stage II, 29.6% (8) at stage III and 11.1% (3) infants had Aggressive Posterior ROP (APROP). It was also found that other than the common causes of developing ROP, frequent blood transfusion and use of mechanical ventilator may be potential risk factors for developing ROP. Comparable rate of ROP was found between the SCABU of BIRDEM to the other Neonatal care units in Bangladesh. Factors other than prematurity and oxygen supplementation were found to play a role in the development of ROP i.e. blood transfusion and mechanical ventilation. Hence ROP screening should be a part of the routine service for premature babies and the threshold for screening should be lowered.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"519-529"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756544","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 Comparative Study between Double Knot and Single Knot Tension Band Wire Techniques in Mayo Type IIA Olecranon Fracture.","authors":"M E Choudhury, M Hossen, A Z Chowdhury, M J Alam, L Ferdous, M K Saha, M S Islam, M Ahmmad, S Islam, A B M Jahan, S M Ahmed, M Sanker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Olecranon fracture, common in upper extremity trauma, occurs due to a direct impact to the point of the elbow or a fall onto an outstretched hand. Being an intra-articular fracture, treatment is aimed to anatomic reduction, stable fixation and early mobilization. Tension band wiring (TBW) is a popular and widely practiced method using either single or double knot technique. But in our country single knot technique is commonly practiced. Aim of this study was to compare the clinical, radiological and functional outcome between double knot and single knot TBW techniques in Mayo type IIA olecranon fracture. This prospective observational study was conducted at NITOR, Dhaka, Bangladesh from January 2018 to December 2019. Patients with Mayo type IIA olecranon fractures were enrolled. Total 54 cases were included. Among them, 29 cases were treated with single knot (SK group) and 25 were treated with double knot (DK group). Both groups were compared by clinical and radiological outcome. Persistent mild pain and symptomatic hardware was significantly more among the SK group (p value 0.045 for both). No other significant inter group differences were found on overall incidence of complications (p value 0.0825), the arc of motion and MEPS. The final outcome of 49 cases, 25(51.02%) were excellent and remaining 24(48.98%) were good. Both procedures were safe in regard to overall complication rate. Double knot group had significantly more excellent results then single knot group (p value 0.022). It was concluded that, double knot TBW technique provides better outcome than single knot technique.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"476-481"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756895","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":"Histomorphological Study of the Number and Location of Lymphoid Follicles in the Vermiform Appendix among Bangladeshi People of Various Ages and Genders.","authors":"S A Sumi, M Khalil, R A Naznin, S K Bose, D J Tripti","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The vermiform appendix is known to play a role in immune function due to its concentration of lymphoid tissue, specifically lymphoid follicles. These lymphoid follicles do not remain confined to the mucosa but push through the muscularis mucosa and invade the submucosa. By counting the number of lymphoid follicle with their location researchers can evaluate the immune status of the Bangladeshi population across different age and sex groups. This cross-sectional descriptive study was conducted at the Department of Anatomy, Mymensingh Medical College, Mymensingh, Bangladesh and specimen were collected from autopsy laboratory of the department of Forensic Medicine of Mymensingh Medical College, Bangladesh from October 2016 to March 2017. The collected specimen was categorized into four groups: Group A (up-to 20 years), Group B (21-40 years), Group C (41-60) years and Group D (above 60 years). For this study 10 specimens from each group (total 40) were collected. Then after several tissues processing permanent histological slides were made for microscopic examination. For estimation of the number of lymphoid follicle of the vermiform appendix in the entire stained sections were examined under microscope and the number of lymphoid follicle was counted (4x objective &10x eye piece) and their number was counted and noted. From these the mean number of lymphoid follicle per age group was calculated. After counting the total number of lymphoid follicles in a histological section, the number of lymphoid follicles was located in the lamina propria and extending into submucosa were noted. Then the percentage of lymphoid follicles extending into submucosa was calculated. The mean number of lymphoid follicle was 9.40±1.07, 9.10±0.74, 5.70±1.49 and 1.80±1.03 in Group A, B, C and D respectively. It was also observed that number of lymphoid follicle gradually decreased as age advanced. The mean difference of number of lymphoid follicle between Group A&B was statistically non significant at p = or &gt;0.05 level and differences between Group B&C, C&D, A&C, B&D, A&D were statistically highly significant at p &lt;0.001 level. The mean number of lymphoid follicle in male was higher (9.60±1.14 in Group A, 9.14±0.90 in Group B, 5.83±1.94 in Group C, 1.83±0.98 in Group D) than that of female (9.20±1.10 in Group A, 9.00±0.00 in Group B, 5.50±0.58 in Group C, 1.75±1.26 in Group D) but mean difference between sexes in different groups was statistically non significant at p = or &gt; 0.05 level. In the present study, the correlation between number of lymphoid follicle and age of the individual were done. It was also observed that number of lymphoid follicle gradually decreases as age advances. There is negative correlation between age and the number of lymphoid follicle and this differences was statistically highly significant where, r = - 0.934, p value was 0.001. In this study the location of lymphoid follicle in the lamina propria was 84.0%, 86.8%, 91.2% and 94.4% in Group ","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 2","pages":"388-394"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757077","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}