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Acherjya G.K.,Upazila Health Complex | Moslem Uddin M.,250 Bedded General Hospital | Chowdhury M.A.J.,BSMMU | Srinivasan A.V.,Tamil Nadu Dr. M.G.R.Medical University
Journal of Medicine (Bangladesh) | Year: 2017

The impact of diabetes mellitus on the CNS (Central Nervous System) has gained attention only recently. Peripheral neuropathy has been the primary neuroscience focus of diabetes research. Contrary to some early impressions, however, the CNS is not spared by diabetes. Chronically, diabetes mellitus affects the CNS in several ways. Diabetes increases stroke risk and damage, overtreatment with insulin or oral agents can permanently damage the brain, and diabetes may increase the prevalence of seizure disorders. Diabetes changes brain transport, blood flow and metabolism, and may produce a chronic encephalopathy. Acutely, glycemic extremes cause coma, seizures, focal neurolclgical deficits, and impaired consciousness. The pathophysiological basis for these marked CNS abnormalities seen in hypoglycemia, hyperosmolar coma, and ketoacidosis are largely unknown. Methods: This review was based on a search of Pubmed, the NCBI Database of systemic Reviews, and citation lists of relevant publications. Subject heading and key words used central nervous system, diabetes mellitus, stroke, encephalopathy and hypoglycaemia. Only articles in English were included. © 2017, Bangladesh Society of Medicine. All rights reserved.

PubMed | BSMMU, University of Twente, Bangladesh Institute of Ultrasound in Medicine and Research, Chittagong Medical College Hospital and 2 more.
Type: | Journal: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie | Year: 2016

To describe a series of piriformis syndrome patient among Bangladesh people with literature review.Consecutive 31 piriformis syndrome patients were enrolled. Besides history and clinical examination, piriformis muscle thickness was also measured with diagnostic ultrasound (3.5 MHZ). MRI of lumbar spine, X-rays of lumbo-sacral spine, and pelvis were performed in all patients. Statistical Package for the Social Sciences (SPSS), Windows 8.0, was used for statistical calculation, and univariate analysis of primary data was done. Data present with frequency table.For literature review concerning piriformis syndrome we used Embase, Pubmed, Medline, and Cochrane database.A total of 31 patients (21 female) with PS were enrolled, 21 housewives. Mean age 42.214.5years. All presented with buttock pain, aggravating with long sitting (31), lying on the affected side (31), during rising from a chair(24), and forward bending (28). Six reported pain improvement while walking. Gluteal tenderness, positive FAIR test, and Pace sign were elicited in all patients. A palpable gluteal mass was found in 8 cases, gluteal atrophy in 5 other patients. The mean piriformis muscle thickness on the diseased side was more than on the healthy side (13.63.7 vs 10.91.9, (p>0.05). Common conditions associated with PS were: preceding fall (9, 29%), overuse of piriformis muscle, lumbar spinal stenosis, fibromyalgia, intra-muscular gluteal injection, blunt trauma over the buttock, leg length discrepancy and use of rear pockets wallet.In Bangladesh piriformis syndrome is more common in female, especially among housewives. A fall often precedes the condition. Piriformis syndrome should be considered as possible diagnosis when sciatica occurs without a clearspine pathology.

Bhuiyan M.J.H.,Sina | Akhter L.,BSMMU
Bangladesh Journal of Medical Science | Year: 2014

Kikuchi-Fujimoto Disease (KFD) present with Dysphagia, fever and lymphadenopathy. A young adult Bangladeshi female presented with fever and cervical lymphadenopathy. Broad spectrum antibiotic (3rd generation oral cephalosphorin) were given but no improvement after one month. FNAC suggested non specific lymphadenitis. Later on excision biopsy of cervical lymph node was done and histopathology suggested KFD. Oral prednisolone was given showing improvement and no relapse was en-counted Awareness of this disorder by clinicians and pathologists will help misdiagnosis and inappropriate treatment.

Regmi N.,BIRDEM General Hospital | Al-Nahian S.,BSMMU
Journal of Nepal Health Research Council | Year: 2013

Adrenocortical carcinoma as a cause of Cushing's syndrome in a child is a rare occurrence. Functioning adrenal carcinomas are detected usually when they are small while non-functioning tumors are incidentally detected when they grow to a large size. Here we report a case of Cushing's syndrome due to large functioning adrenal carcinoma(>12 cm in size) in a 10 year old female child who presented with clinical features of Cushing's syndrome along with virilisation.A combination of biochemical laboratory reports along with radiological investigations followed by histopathology helped us to arrive at a proper diagnosis. The tumor was ressected and the patient showed clinical signs of improvement. However, the surgical margin showed invasion by the tumor making a likely possibility of recurrence in the near future.

Asma R.S.,Dhaka Medical College | Asma-Ul-Hosna,BSMMU | Ashraful A.,BSMMU
Bangladesh Journal of Medical Science | Year: 2012

Pregnancy is a specially important time in women's life to focus on proper health care and nutrition. Nutrition during childhood and adolescence influence a women's preconceptional nutritional status which subsequently influence the outcome of pregnancy and health of the baby. Good nutrition is the key to a successful pregnancy for both mother and child. The mother's nutrition from the moment of conception is an important factor in the development of the infant's metabolic pathway and future wellbeing. The diet during pregnancy should be adequate to provide maintenance of maternal health, the need of growing fetus, the strength and vitality required during labour and successful lactation. All women need to gain weight during pregnancy. Weight gain during pregnancy depends on pre-pregnancy weight. Ahealthy weight gain for most of the women is between 25-35Lb. During pregnancy a women has different nutritional need for different trimester to meet extra food needs and extra caloric requirement. Normal weight women need an extra 300 kcal /day during the 2nd and 3rd trimester of pregnancy. The total amount of needed calorie 2000-2500 kcal/day for a normal weight women. Needs for almost all nutrients are greater during pregnancy for own bodies growth, for baby and successful lactation. The dietetic advice given to the mother should be reasonable and realistic to the individual women.

Khatun S.,BSMMU
Mymensingh medical journal : MMJ | Year: 2012

The purpose of the present study was to investigate two years clinical outcome of patients having myofacial pain dysfunction syndrome (MPDS). A total of 50 patients (male: 15, Female: 35, age: raged from 20 to 65 years) were included for this study. Clinical diagnosis for the assessment of anxiety and depression of each patient was performed by Hospital anxiety and depression (HAD) scale. Patients were then received either one of the following treatments: Occlusion correction only (n=14), Muscle Relaxant + anti-depressant drug (n=26), Physiotherapy + antidepressant drug + muscle relaxant (n=6) and Appliance + muscle relaxant (n= 4). Following two years observation, it was revealed that the treatment was apparently successful in 95% case; only 5% case was not successful due to their irregular visit. It can be concluded that MPDS is not primarily related to occlusal factors and a complex psycho physiological mechanism is involved in this type of pain problems.

Islam M.A.,Bangabandhu Sheikh Mujib Medical University | Habib M.A.,BSMMU | Sakeb N.,BSMMU
Bangladesh Medical Research Council Bulletin | Year: 2012

Anterior cervical plating is commonly performed to stabilize anterior cervical fusion. The aim of the study was to evaluate the clinical and functional outcome, radiological fusion and operative complications in cases of cervical spondylotic myelopathy and radiculopathy who underwent Anterior Cervical Discectomy and Fusion (ACDF) by autograft and stabilized with plate and screw. We evaluated 16 consecutive patients (M: F=10:6) from January 2008 to December 2010 in Bangabandhu Sheikh Mujib Medical University (BSMMU) and different private hospitals in Dhaka, in cases where adequate conservative treatment failed. Single level ACDF by autograft and stabilization by plate and screw was done in 10 patients and 06 patients had two levels fusion. The mean follow up period was 18 months. The patients improved significantly (p<0.05) and the recovery rate was 87.50%. All patients showed radiological fusion (p<0.001). There was no hardware failure, graft extrusion or plate breakage. ACDF with plate and screw is fairly safe and effective therapy for cervical disc degeneration leading to myelo-radiculopathy where major post operative complications are uncommon.

This cross sectional study was done to find out the level of hearing improvement in Type-I tympanoplasty with cortical mastoidectomy in tubotympanic chronic otitis media. Data were analyzed from 60 patients with audiometric studies with a minimum of 6 months follow up. Patients who under went tympanoplasty alone were kept in Group I, and who under went tympanoplasty with cortical mastoidectomy were kept in Group II. All patients prior to tympanoplasty were examined thoroughly after taking detailed history. On otoscopy, site and size of the tympanic membrane perforation, condition of the rest of the tympanic membrane, condition of the middle ear mucosa and the ossicles were noted. Tuning fork test, test for facial nerve integrity and fistulae test were performed. Hearing level was assessed by pure tone audiometry with masking. X-ray mastoid and X-ray paranasal sinuses were done to exclude local pathology. Surgical approaches were mostly post-auricular and in few cases it was per-meatal in Group I patient. Audiometric evaluation performed according to the International Organization for Standardization (ISO) standard. Hearing threshold measured at 250, 500, 1000, and 2000 Hz. Hearing improvement was assessed by closure of the air bone gap. Mean closure of air bone gap in Group I was 9.38 dB and in Group II it was 20.61 dB which was statistically significant (p<0.001). Improvement of hearing level was more in patient who underwent tympanoplasty with cortical mastoidectomy than those patients on whom only tympanoplasty was performed. Hearing gain is more in Type-1 tympanoplasty combining with Cortical Mastoidectomy than in Type-1 tympanoplasty alone in the patient's of tubotympanic otitis media.

Howlader T.B.,BSMMU | Alam M.K.,Universiti Sains Malaysia | Sultana A.,BSMMU
Bangladesh Journal of Medical Science | Year: 2012

Background: Different types of impression materials and different procedures or methods have been introduced in Dentistry for preparing dowel crown. Materials and Methods: Injection technique with silicone impression materials are being extensively used by the materials to get an accurate impression. But whether this material neither ensures similar accuracy nor produces absolute accuracy. This study evaluate silicone impression material was efficient enough to produce nearest to actual intraradicular surface reproduction by assessing the void formation and dimensional accuracy. Conclusion:By assessing all the parameters the silicone impression material was proved to be the efficient for intraradicular surface reproduction.

Howlader T.H.,BSMMU | Alam M.K.,Universiti Sains Malaysia | Sultana A.,BSMMU
International Medical Journal | Year: 2013

Background: Different types of impression materials and different procedures or methods have been introduced in Dentistry for preparing dowel crown. This study was to evaluate, which of these three materials were efficient enough to produce nearest to actual intra-radicular surface reproduction by assessing the void formation and dimensional accuracy. Materials and Methods: Total sample size was 60 for each group 20. Three types of impression materials used to take the dowel impression. The samples were collected from each tooth with 3 different impressions taken by 3 different materials. Injection technique with silicone, inlay casting wax and self cured acrylic resin materials were used to get an accurate impression. Results: Out of 20 in each study group, 1(5%) voids were found in silicone group, 2(10%) inlay casting wax group, 4(20%) in acrylic resin group. In silicone group the voids were < 1 mm size, in inlay casting wax group the voids were < 1 mm size, while in the acrylic resin group 2 voids were < 1 mm and 2 voids were > 1mm size. Conclusion: By assessing all the parameters the silicone impression material was proved to be the efficient one of the three. © 2013 Japan International Cultural Exchange Foundation & Japan Health Sciences University.

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