Intrauterine fetal death (IUFD)

Hysterectomy is the commonest major surgical procedure in Gynaecology & usually performed to improve quality of life rather than to cure life-threatening conditions. The rates differ between countries depending on differences in morbidity, health economical aspects, traditions and attitudes. This retrospective observational study was carried out from 2001-2010 & included all cases of abdominal hysterectomy done for benign and non emergency conditions in the department of Obstetrics & Gynaecology, Holy Family Red Crescent Medical College and Hospital, Dhaka with the intention to assess the proportion and the indications of total abdominal hysterectomy over a 10-year period. Percentage of the total abdominal hysterectomy remained between 50-70% of the total major operations over the decade. Fibroid was found to be the most common indication among the admitted patients (around 36%) with highest percetage in 2006 and 2007 (43% and 46% respectively). Next important indication was dysfunctional uterine bleeding (20%) followed by pelvic inflammatory disease (13%), ovarian mass (5%), endometriosis & adenomyosis (4%) and post menopausal bleeding (2%). The majority of hysterectomies were abdominal and the most common indication was uterine fibroids. The overall rate for hysterectomy remained reasonably stable.Bangladesh Med J. 2015 May; 44 (2): 87-91

Digital subtraction angiography (DSA) is the gold standard investigation to assess the extracranial stenosis of carotid vessels. But this is an invasive diagnostic tool. So it is still a controversial issue whether duplex ultrasound is an alternative to DSA for measurement of stenosis of carotid vessels. This prospective crossectional observational study was conducted in the department of Neurology, BSMMU, Dhaka from May 2012 to April 2013 to assess the diagnostic accuracy of duplex ultrasound and its potential to replace DSA before performing carotid endarterectomy (CEA) and carotid stenting. Total of 38 patients, 33 patients of nondisabling ischaemic stroke and 5 patients with history of TIAs whose extracranial carotid stenosis was >50% on duplex ultrasound were selected for DSA. DSA was done on these vessels and stenosis was measured using NASCET criteria. Results of USD and DSA were compared to determine the sensitivity, specificity and accuracy of duplex ultrasound (USD). At 70% stenosis of right internal carotid artery and left internal carotid artery the sensitivity, specificity and accuracy were 93.8%, 63.7%, 89.5% and 93.3%, 75%, 89.5% respectively. This level of diagnostic efficiency of USD is less than that of DSA of carotid arteries. It was found in this study that, USD underestimates or overestimates the degree of carotid stenosis. DSA was safe and effective in determining stenosis in this study & there was no 67 complication. So before taking any decision for carotid endarterectomy or carotid artery stenting, digital subtraction angiography of carotid vessels should be done. DOI: http://dx.doi.org/10.3329/bmj.v43i2.21385 Bangladesh Med J. 2014 May; 43 (2): 67-71

Background: Mortality and morbidity due to recurrent ischemic stroke is gradually increasing in Bangladesh due to gradual increase of life expectancy. Previously many studies were done to identify the risk factors of ischemic stroke. But there was scanty data about risk factors of recurrent ischemic stroke. So,it is time demanding to find out those risk factors for ischemic stroke recurrence to reduce the mortality and morbidity from recurrent ischemic stroke. The objective of the study was to determine the frequency of recurrence ischemic stroke events within one year of follow up after discharge from hospital admitted due to first ever stroke. Methods: This is a prospective cohort study. This study was conducted on 150 patients admitted in Neurology ward of BSMMU, presenting with first ever ischemic stroke. Patients mRS were evaluated three monthly interval for one year. Sudden onset mRS deterioration than previous one during this one year period was categorized as recurrence. Results: Stroke recurrence was found in 30 patients including 8 patients who died due to stroke recurrence. the most frequent age group was > 75 years representing 44.4% who developed recurrence of stroke The cumulative risk of recurrence rate was 14.7% at three months, 15.3% at six months, 17.3% at ninth months,20% at one year. Old age, Male sex, Hypertension, DM and dyslipidemia were the most common risk factors among recurrent stroke patients. Conclusion: It was concluded that in hospital admitted patients of first ever stroke, recurrence events was more in patients of older male patients with multiple risk factors.First three months was the worst period for recurrence after index stroke. Bangladesh Journal of Neuroscience 2019; Vol. 35 (1): 33-38

Background: Rupture of aneurysm is a vascular events, it is assumed that season exerts an influence in the incidence of rupture of aneurysm. But seasonal variation on the aneurismal subarachnoid hemorrhage (ASAH) is a subject of controversy. Some previous studies reported that changes in the biometric pressure in different season modulate the occurrence of vascular events. Aims: To evaluate the role of seasons of a year on the onset of aneurismal subarachnoid hemorrhage (ASAH). Methodology: This is a retrospective study. There were 377 patients with definite diagnosis of ASAH. Patients were evaluated in two age groups of >60 and less than 60. Results: The frequency of ASAH in winter and autumn was 55.4% and spring and summer was 44.6%% respectively. This difference was statistically significant (p>o.o5). The effect of hypertension and diabetes mellitus revealed no influence on subarachnoid hemorrhage (SAH) in our study. Conclusion: There was influence of seasonal variation on the onset of ASAH and which was predominantly during winter and autumn. Bangladesh Journal of Neuroscience 2013; Vol. 29 (1) : 15-17