Context: Early initiation of rehabilitation procedures in stroke patients can enable greater return of neurological functions and prevents complication, thereby improves long term outcome and quality of life. Functional Independence measure (FIM) score is one of the commonest scale used to measure outcome. Study design: Prospective type of study. Place of study: Dept. of Physical Medicine and Rehabilitation, BSMMU. Method: 48 acute onset first episode stroke patients were assessed Rehabilitation procedures started immediately after attending the Dept. According to a comprehensive rehabilitation plan physical therapy, speech therapy, occupational therapy was given and continued for 8 weeks, with proper education to the patient and the attendant. Result: Outcome was measured and the result showed significant improvements (p value <0.001) in early treatment group of patients. Key words: Stroke, FIM, Outcome. doi: 10.3329/bja.v7i1.3028 Bangladesh Journal of Anatomy January 2009, Vol. 7 No. 1 pp. 62-67
Bangladesh is a country possessing harmful lifestyle for oral health. The country culture put the people to be exposed to harmful factors responsible for development of gingivitis. However, effective health education can bring encouraging result to aware them for healthy practice.The objective of the present study is to investigate the effect of habitual factor as well as demographic influence on gingival health status.A hospital-based cross sectional descriptive study was carried out at the Faculty of Dentistry, BSMMU, Dhaka-1000, from April-June of 2004. A total of 117 cased were interviewed and examined. Data were collected from all patients attended the dental outpatient department. All patients were interviewed (face-to-face) using a semi-structured questionnaire.Clinical examination was performed to measure the gingival health status using standard gingival index.Statistical analysis was carried out using SPSS program version 10.0.Among all participants 37.6% were female and 62.4% were male. The age range of the participants was 10-65 years. Most of the participants were student (22.2%).The study showed high rate of gingivitis (89%). The peak prevalent age group was over 40 years. The worst condition was detected among those who were both tobacco users as well as betel nut chewers (73.3%) and this is highly significant (p<.000). The majority of the study population showed a tendency to brush their teeth in the morning (86.3%) rather than at night (10.3%). It was found that the prevalence of gingivitis significantly increased with decreasing social class irrespective of sex. The study also found other interesting associated factors related to the gingivitis.Since little information is currently available in Bangladesh, small-scale hospital-based survey offers little support regarding the concept of gingivitis and its associated factors. Further study is needed with bigger sample size preferably using qualitative approach.
Background: Obturators are used to separate the oro-nasal opening. These improve speech and other oral functions as well as provide psychological support to the patients. Adding radicular attachments in an obturator makes more effective. Objective: To evaluate and compare the effectiveness of obturator with radicular attachment and conventional obturator in articulation of speech. Materials and Methods: Fifty patients, age ranged from 18 to 72 years, with maxillectomy defect were selected as the sample of the study. Among them 25 patients were treated with obturator with radicular attachment and another 25 patients were treated with conventional obturator. After insertion of obturator, data were collected on the basis of articulation of speech. Results: Patients treated with obturator with radicular attachment showed significantly better (P value <0.001) articulation of speech. Conclusion: Obturator with radicular attachment is more effective than conventional obturator. DOI: http://dx.doi.org/10.3329/bjms.v13i3.19152 Bangladesh Journal of Medical Science Vol.13(3) 2014 p.298-301
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