This study examined the factors that influence male participation in family planning and reproductive health in Bangladesh. Male involvement in family planning and reproductive health was measured by a simple composite index. This study revealed that male involvement in family planning is high about 63.2 percent in this area. Chisquared tests and binary logistic regression analysis were applied to determine the relationship between various kinds of variables and the probability of male involvement in family planning and reproductive health. The findings from the bivariate analysis suggested that age of husband, age of women, number of living children, women's education, women's occupation, husband's education, husband occupation, knowledge on contraceptive methods and STDs, social network and inter-spouse communication had significantly associated with male involvement in family planning and reproductive health. The result of logistic regression analysis showed that males were more likely to participate in family planning and reproductive health whose wives were educated , ,engaged in skilled works, acquainted with high knowledge on contraception, soundly interconnected with social network and get message about family planning and reproductive health from it, favorable spousal communication, husbands and wives had high age. Family planning programme should emphasis on male involvement in the action of family planning and reproductive health procedures in Bangladesh.

No abstract

No abstract

Objective: In standard PCNL usually placement of a double J stent and a nephrostomy tube is required.Several recent studies have reported the benefits of tubeless percutaneous nephrolithotomy (PCNL). Postoperatively,In standard PCNL patients have an indwelling ureteric stent placed, which is often associated with stent-related morbidity. We performed totally tubeless(without any stent or nephrostomy tube) PCNL.This study was conducted in the urology centre of Combined military Hospital,Dhaka, to evaluate the safety, effectiveness, and feasibility of totally tubeless PCNL and to compare with standard PCNL where both nephrostomy tube and double J stent were placed. Materials and Methods: From January 2018 to June 2019 , total 57 selected patients underwent standard or totally tubeless PCNL.In standard PCNL group, both D-J stent and nephrostomy tube were placed and Neither a nephrostomy tube nor a ureteral stent was placed in the totally tubeless PCNL group. We compared patient demographics and stone characteristics, operation time, length of hospital stay, analgesia requirements, stonefree rate, blood loss, change in creatinine, and postoperative complications between the standard and totally tubeless PCNL groups. Results: There were no significant differences in preoperative patient characteristics, postoperative complications, and the stone-free rate between the two groups, but the totally tubeless PCNL group showed a shorter hospital stay and a lesser analgesic requirement compared with the standard PCNL group. Blood loss and change in serum creatinine level were not significantly different between the two groups. Conclusions: Totally tubeless PCNL appears to be a safe and effective alternative for the management of renal stone in selected patients and is associated with a shorter length of hospital stay and less analgesic requirement. Bangladesh J. Urol. 2021; 24(1): 53-57

No abstract

Dhaka, the capital, is a highly populated city in Bangladesh. Indiscriminate and unplanned urbanization, with narrow road networks, has made the city more vulnerable and risk-prone for any disaster. This study focuses on the identification of inaccessible roads and vulnerable areas of Dhaka city for improving search and rescue operations, response initiatives, and debris management. For the study purposes, four different locations of Dhaka city have been selected to analyze the accessibility of emergency vehicle and equipment for rescue operations. The narrowest roads and vulnerable areas including individual houses have been identified using ArcGIS. The analysis reveals that a maximum of 60% houses of old Dhaka has been found vulnerable whereas in Uttara there are 2.4% vulnerable houses. In addition, the traffic volume analysis is performed for the most vulnerable area in terms of narrow roads. Thus, vulnerable houses have been identified on the basis of maximum congestion in a scenario of no disaster to access basic facilities like hospital and fire stations.

Objectives : The Objectives of this study is to determine the outcome and effectiveness of Ultra-mini percutaneous nephrolithotomy (PCNL) for treating low-volume renal stone without placement of any stent and nephrostomy tube as a supplement to the conventional PCNL. Material and methods: The Patients who underwent ultra-mini PCNL bwtween July 2018 to December 2018. were studied.This was a prospective study of 14 patients.This study was carried out in urology centre of CMH Dhaka.Before the study ethical clearance was taken from hospital ethical committee. All these patients had their first-line treatment. The patients had calculus limited to either a single calyx or just extending to the pelvis and the stone size was less than 1.5 cm in its maximal dimension. The mean stone size was 10.8+_4.2(5-15mm). An 6 Fr operating nephroscope was used. The patients were placed in prone position. The stones were fragmented using Holmium-YAG laser. Various surgical outcomes including duration of the surgery, stone-free rate and any subsequent complications-if any-were analyzed.The stone free rate was assessed on the 1st day and at three month after surgery by X-ray KUB and ultrasonography. Results: The study includes a series of 14 patients (one patient treated with bilateral renal stone disease). The mean age of the patients was 39.07 years and body mass index was 25.5 kg/m2. Intrarenal stone location was as follows: lower calyx, n=7; middle calyx, n=3, upper calyx, n=1, and pelvis, n=3. Median operative time was 52.66 min (range: 40–65) and the stone-free rate was 93.3% at first day and 97% after three month follow up.. Only one patient had residual fragments and needed subsequent extracorporeal shock wave lithotripsy. Conclusion: Ultra-mini PCNL in prone position with a complete tubeless approach for renal stone disease is a safe method for treating low-volume stone disease. A long term large scale multicentre study may be required to validate this technique. Bangladesh J. Urol. 2021; 24(2): 118-123

We report on the synthesis, characterization and aqueous dispersion properties of well-defined double hydrophilic copolymer with pH- and thermo-responsive segments via atom transfer radical polymerization (ATRP). Poly(N-isopropylacrylamide-co-Diethylaminoethylmeth-acrylate), P(NIPAAm-co-DEAEMA), was prepared by ATRP using methyl-4-bromomethyl benzoate initiator. The product was characterized by proton-nuclear magnetic resonance (1H NMR) and attenuated total reflectance infrared (ATR-IR) spectroscopy. The multi-responsive switching between unimer and two types of micellar aggregates were characterized by temperature-dependent dynamic light scattering (DLS). Self-assembles into two types spherical aggregates in 1 mg/mL (0.0315 mM) aqueous solution, depending on solution pH and temperatures were widely investigated. The result shows two types of aggregate with large (280 nm) aggregate and variable sizes of small (17 nm, 25 nm, 45 nm) aggregates depending on temperature ranges from 26 to 40 °C at pH 4.