Mymensingh medical journal : MMJ最新文献

{"title":"The Role of Laparoscopy in Managing Impalpable Undescended Testes in a Tertiary Hospital.","authors":"M S Ali, A A Mahmud, S Islam, M S Bari, M Mokarabin, M A Baten, M A Al Mamun, R N Karmaker, M B Hossain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One of the most prevalent congenital defects in boys is undescended testes. Ultrasound is commonly employed to locate the testis in cases of impalpable testes, which frequently yields false-negative results. Laparoscopy has gained widespread acceptance recently for managing impalpable testes. Objective of the study was to evaluate the efficacy, safety and diagnostic accuracy of laparoscopy in the management of impalpable undescended testes (UDT) in a tertiary care setting. To Assess, analyze the outcome of laparoscopic orchiopexy and orchiectomy and highlight the advantages of laparoscopy over traditional diagnostic and surgical methods. This was a prospective type of observational study of all children with impalpable testes presenting for laparoscopy from January 2022 to July 2024 in the department of Pediatric Surgery, Mymensingh Medical College Hospital, Mymensingh, Bangladesh who had undergone ultrasound examinations without localizing the testes was conducted and the role of laparoscopy in diagnose with managing impalpable testes. Those patient are included in this study who are clinically impalpable and on ultrasound near deep ring or abdominal and excluded those who are clinically palpable and ultrasound can locate the testis within inguinal canal and ambiguous geneitalia by karyotyping. Total 56 patients were included among them 67 were impalpable testes. The age ranges from 1 to 12 years. Initially site and size of testes were identified by abdominopelvic USG in all 56 patients. Single stage laparoscopic orchidopexy was done in 40 testes, stage procedure underwent 18 testes, laparoscopic orchiectomy was done in 9 testes. Follow-up by clinical examination Doppler ultrasound in selected patient for 6 months. Atrophy of testis occurred in 2 patients during this follow-up period. Laparoscopy has revolutionized the management of impalpable UDT, providing a reliable, safe, and effective method to diagnose and treat this condition. Its advantages make it the preferred approach for pediatric surgeons when dealing with non-palpable testicles.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"85-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911388","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":"Anthropometric Study of Tibial Length of 5-10 Years Aged Bangladeshi Children and Comparison of Tibial Length between Male and Female Children.","authors":"M Ismatsara, E Z Epsi, S Islam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This anthropometric study was designed to construct data of 5 to 10 years aged Bangladeshi children regarding tibial length and an attempt has been made out to grow interest among the researchers for future study of different country. This study will be helpful to compare the data with the data of the people of other races. This cross sectional descriptive type study was conducted among Bangladeshi children (5-10 years aged) at different areas of Mymensingh district. This study was performed on 109 Bangladeshi children among them 70 was male and 39 was female children and conducted in the Department of Anatomy, Mymensingh Medical College, Mymensingh. Nonrandom purposive sampling technique was taken for sample collection of this study. Any kind of leg and foot deformity due to either from congenital anomaly or physical injury was excluded. Tibial length was measured using handmade sliding scale. The mean length of both tibia of 5, 6, 7, 8, 9 and 10 years aged male children were 19.66±1.59 cm, 21.56±1.88 cm, 23.94±3.28 cm, 24.73±1.64 cm, 26.50±2.34 cm and 27.02±2.12 cm respectively and those of female children were 21.54±1.94 cm, 22.62±.80 cm, 24.31±.97 cm, 23.16±2.17 cm, 25.92±3.55 cm and 26.65±1.91 cm respectively. Comparison of tibial length between male and female children was done by unpaired Students 't' test. Comparison of differences of mean tibial length between male and female children was statistically non- significant except in case of 5 years old age group, it was significant. Data were statistically analyzed using Microsoft excel and SPSS software. The results of this study will be useful in anatomy, orthopedics, forensic science, plastic surgery, radiology, podiatry, archeology, anthropology.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"42-45"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911221","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 Vitamin D Deficiency with Late Onset Neonatal Sepsis in Term and Late Preterm Neonates.","authors":"M A Rabbany, M N Islam, M Akhter, I Sultana, B K Saha, S S Sultana, F Fahmin, K Zaman, K Begum, N Subha, S Yesmin, N Kar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sepsis is a leading cause of neonatal morbidity and mortality worldwide, especially in low- and middle- income countries (LMIC). It is estimated to cause almost 1 million deaths that accounts for more than 25.0% of neonatal deaths worldwide. In Bangladesh the incidence of neonatal sepsis is 13.4% and sepsis contributes to almost 19.9% of all neonatal death. Vitamin D deficiency in mothers and neonates is being recognized increasingly as a leading cause of many adverse health effects in the newborn infant, including sepsis. Vitamin D plays an important role in calcium and phosphorus homeostasis as well as immunomodulatory actions on immune system. The aim of the study was to determine the association of serum 25(OH) vitamin D deficiency with late onset neonatal sepsis in term and late preterm neonates. This cross-sectional analytic study was conducted in the department of Neonatology, Mymensingh Medical College Hospital, Bangladesh from November 2021 to October 2022. Neonates who were admitted with suspected late onset neonatal sepsis were the study population. Neonates who visited during the same period due to physiological hyper-bilirubinemia (without sepsis) were enrolled as control group. Vitamin D deficiency was found in both sepsis group and control group. But in comparison the sepsis group had significantly lower mean±SD serum vitamin D levels 13.99±6.07 ng/ml than the control group 20.56±5.93 ng/ml (p=0.001). Similarly, vitamin deficiency was also found in mothers of both groups. But mothers of septic neonates also had significantly lower mean±SD vitamin D levels 16.36±6.25 ng/ml than the mothers of non-septic neonates 23.06±5.85 ng/ml (p=0.001). There was strong positive correlation of neonatal 25(OH) D with maternal 25(OH) D in both case (r =0.983; p<0.001) and control (r = 0.970; p<0.001).</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911198","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 Socio-Demographic Profile, Biochemical Parameters and Etiology of End Stage Renal Disease Patients in a Tertiary Care Hospital of Bangladesh.","authors":"S R Khan, A S Roy, R D Gupta, M Asadujjaman, M B Hossain, N H Nira, J Ara, B K Saha","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Globally the incidence and prevalence of chronic kidney disease (CKD) is increasing day by day. Various biochemical and hematological abnormalities are associated with CKD that leads to morbidity and mortality. The aim of this observational study was to evaluate the socio-demographic profile, biochemical and hematological parameters of chronic kidney disease patients in Mymensingh Medical College Hospital, Mymensingh, Bangladesh from January 2020 to December 2020. This study also showed variation of biochemical parameters with lower calcium and hemoglobin level which was due to improper renal function. A total of 179 End Stage Renal Disease (ESRD) patients were enrolled in this study. Male and female ratio was 2.086:1. This study had more male patients than female. The Mean±SD age of the patient was 46.14±14.25 years and maximum of the CKD patients belonged to the age group of 41-60 years. This study depicted Glomerulonephritis was the leading cause of CKD. Second common cause was Diabetes mellitus. A portion of CKD was unknown etiology (CKDu) which was found 17.31%. Routine biochemical parameters were also seen in this study. This study showed that the majority of the patients were living below the level of poverty and came from rural area. This study aimed to evaluate the derangements of serum biochemical parameter and the association of risk factors with CKD. These demographic character, biochemical profile and etiology have association with CKD progression. So, early evaluation of these parameters may reduce the incidence of CKD.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911324","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":"Pregnancy with Wilson's Disease: A Case Series.","authors":"M Saha, S Hayee, S Sayeeda, T Parveen, N Akhtar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Wilson's disease is an autosomal recessive disorder that affects copper transport due to deficiency of ceruloplasmin and causes deposition of copper mainly in the liver, brain and cornea. It causes hepatic and/or neuropsychiatric manifestations. This copper deposition causes cirrhosis of the liver, encephalopathy and liver failure. It also causes disorders of the menstrual cycle and subfertility. During pregnancy, there is an increased risk of the development of preeclampsia, fetal growth restriction, and neurologic damages to the fetus. Pregnancy with decompensated liver cirrhosis developed more complications like bleeding from esophageal varices, liver failure, encephalopathy, and rupture of the splenic artery. A successful decopperizing agent may lead to restoration of the ovulatory cycle and enable pregnancy. We are reporting four cases of successful pregnancy outcomes of known case of Wilson's disease with pregnancy which was taken from Fetomaternal Medicine Department of Bangabandhu Sheikh Mujib Medical University (BSMMU), and discussing the management of pregnant women with this disorder.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"265-271"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911370","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":"Lung Function Parameters among Adult Bangladeshi Population.","authors":"R Chakrabortty, R K Galib, S K Paul, S Rahman, G K Acherjya, A B Kamrul-Hasan, S Selim, S K Biswas, A J Tarafder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The standard values of lung function parameters obtained from Western populations do not agree with that of the people of Bangladesh. The study aimed to establish valid and up-to-date spirometry predictive values for the general population in Bangladesh. This cross-sectional observational study was conducted over six months from February 2020 to July 2020 in the Department of Respiratory medicine of Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh. Data was obtained from 627 participants after inclusion and exclusion criteria. An Easy One Air Type A 2500-2A Spirometer, USA was used for measurement of forced expiratory volume in the first second (FEV₁), forced vital capacity (FVC), FEV₁ and FVC ratio (FEV₁/FVC) and forced mid-expiratory flow (FEF 25.0% - 75.0%). All spirometric measurements were performed with the subjects seated and according to standard protocol provided by the American Thoracic Society (ATS) guidelines. Most people were (39.7%) in the normal-weight (BMI: 18.5-24.9) range. FEV₁ was more in females than males among the lung function parameter, but FEF was higher in males. In linear regression, forced vital capacity, forced expiratory volume in the first second, and forced vital capacity ratio, forced mid-expiratory flow negatively correlates with age and forced vital capacity has a negative correlation with body mass index. Lung function variables were significantly different between males and females in Bangladesh. Females have a higher lung volume than males. In regression analysis, lung functions variables were determined for males and females considering age as an independent variable but there was no correlation with body mass index except forced vital capacity.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"206-212"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911351","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 Effects of Kapalbhati and Slow Deep Breathing on Heart Rate Variability: Mechanistic Insights into Sympathetic and Parasympathetic Dominance.","authors":"V Malhotra, J Gumashta, O L Bhagat, M J Dhakar, M Sofia, M H Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The autonomic nervous system governs rhythmic fluctuations in blood pressure and heart rate, which are influenced by breathing patterns. This study aims to explore how different breathing techniques, specifically Kapalbhati (fast-paced breathing) and Slow Deep Breathing (SDB), affect heart rate variability (HRV). This study was conducted in the Department of Physiology and AYUSH at AIIMS Bhopal, India and duration was 2 (Two) months from May 2021 to June 2021 This quasi-experimental study involved 60 participants divided into two groups: Kapalbhati and SDB. Results showed significant differences in HRV, with Kapalbhati inducing sympathetic dominance and SDB promoting parasympathetic activity. These findings suggest that SDB may enhance relaxation and longevity, while Kapalbhati could aid in weight loss by boosting metabolism.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"256-264"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911279","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":"Functional Outcome of Subtrochanteric Femoral Fractures Fixation by Proximal Femoral Locking Compression Plate.","authors":"M Sonaullah, M S Islam, M A Ali, M M M Rahman, M N Afsar, M I H Shakil, M K K Khan, M Hoque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Subtrochanteric femoral fractures are one of the common fractures encountered in today's Orthopaedic practice. This area consists of mostly cortical bone with high stress generation thus heal slowly which leads implant failure. The inherent instability of this fracture and forces of the muscles with comminuted medial calcar is giving the fracture a tendency to varus collapse. Intramedullary nails are not suitable for short proximal segment and wide medullary canal while extramedullary implants are associated with higher rate of implant failure. Recently proximal femoral locking compression plate (PF-LCP) has been applied in treatment of proximal femur including subtrochanteric fractures. It has an excellent functional outcome in respect of Weight bearing, Knee ROM, Pain status, Walking, Squatting and Return to pre-injury state. The aim of this study was to assess functional outcome of subtrochanteric femoral fractures fixation by PF-LCP. This prospective study was conducted from March 2019 to September 2020 at Mymensingh Medical College Hospital through non randomized purposive sampling. Total 25 patients aged above 18 years irrespective of sex with closed subtrochanteric fracture were included but pathological fractures, multiple injuries were excluded from the study. They were evaluated by Modified Harris Hip Score (MHHS). Age was ranged from 22 to 70 years and mean age 42.04±14.97 years. Maximum patients (56.0%) were in workable age (21-40 years) and Seinsheimer type III (48.0%) was most common fracture type. Minimum follow up was at least 24 weeks and mean 41.12±7.11 weeks. Functionally most of patient started early partial (88.0%) and full (64.0%) weight bearing with 64.0% have full knee ROM, 52.0% found pain free and 76.0% without limb shortening. Maximum patients regained walking (76.0%) and squatting (68.0%) and return to pre-injury state (72.0%) of activities. Evaluation of functional outcome by Modified Harris Hip Score showed 56.0% excellent, 32.0% good, 8.0% fair and 4.0% poor functional outcome. Excellent and good outcome were considered as satisfactory, thus satisfactory outcome were 88.0%. This study concludes proximal femoral locking compression plate (PF-LCP) is a safe and reliable implant for the treatment of subtrochanteric fractures with excellent functional outcome.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"21-30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911333","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":"Serum Calcium Level in Patients with Essential Hypertension.","authors":"M M Rahman, M Akhter, H Pervin, M Rahman, M A Macsud","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypertension is the leading risk factor for death and disability globally, particularly in Bangladesh. Serum calcium is supposed to be linked with the pathophysiology of hypertension, though various studies have shown contradictory results. Hence, this study was conducted to evaluate the role of serum calcium level in essential hypertensive patients. This cross-sectional study was conducted in Shaheed Monsur Ali Medical College and Hospital, Bangladesh following ethical clearance. Total 107 essential hypertensive patient who fulfilled inclusion and exclusion criteria, were included in this study following informed written consent. Blood pressure was measured according to the protocol of American Heart Association (AHA). Serum calcium, albumin and creatinine were measured by HITACHI analyzer. Data was collected using questionnaire with closed ended questions which has been pretested. Collected data were analyzed by the SPSS 24.0. Mean age of study participants was 45.44±7.13 years (range: 21-63). Most of the patients were middle-aged (78.5%), male (54.2%), hailed from urban residence (95.3%), were overweight or obese (97.2%). Among comorbidities, 17.76% had DM, 7.48% had stroke and only 2.80% had cardiovascular diseases. Mean±SD SBP and DBP was 161.21±12.91 and 98.26±6.31 mmHg, respectively. Overall of the assessment showed, 23.36% patients were hypocalcemic, only 4.67% were hypercalcemic and rest of them were within physiological limit. Mean serum calcium was 9.04±0.84 mg/dL (7.36-11.72 mg/Dl). Systolic BP was significantly higher among patients with corrected calcium >8.5 mg/dL compared to ≤8.5 mg/dL (163.05±12.48 versus 155.87±13.04 mmHg, p<0.05). There was a positive linear relation between serum calcium and SBP (Beta=0.201, p=0.024). This study result revealed a significant association of corrected calcium with systolic BP. However, further larger multicenter study is recommended.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911307","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 Serum Magnesium among Patients with Chronic Kidney Disease.","authors":"S A Mitu, M R Hoque, A T Jenea, M Y Mili, S Farzana, K Diluara, F R Momo, S P Krishna, S A Mahi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic kidney disease (CKD) is one of the largest public health issues and the major cause of death worldwide. Due to an increase in the incidence of systemic diseases like diabetes and hypertension, which are the two main causes of CKD and kidney damage, the prevalence of CKD is rising globally. Chronic Kidney Disease results in mineral disorders as well as profound lipid disorders due to improper balancing of the mineral & hormone levels in the body. This cross-sectional study was completed in the Department of Biochemistry, Mymensingh Medical College, in collaboration with the Department of Nephrology, Mymensingh Medical College Hospital, during the period of July 2022 to June 2023. The subjects were selected based on inclusion and exclusion criteria by purposive non-random sampling. Total 120 subjects were included in this study. Out of them, 60 were selected chronic kidney disease patient (Group II) and another 60 apparently normal healthy persons were selected as control (Group I). In this study, serum magnesium levels were measured for analytical study. All the values were demonstrated as mean±SD and values of serum magnesium were in Group I (1.99±0.50 mg/dl) and in Group II (2.24±0.19 mg/dl). Statistical analysis was performed using by statistical package for social science (SPSS) version 26.0. The statistical significance of the difference between the case and control was evaluated using Student's unpaired 't'-test (p<0.001). After careful evaluation, this study was found that mean serum magnesium levels was significantly increased in CKD patients.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"34 1","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911384","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}