Uterine fibroids, also known as leiomyomas, are the most common uterine neoplasms. Although benig, they can be associated with a significant number of morbidity and are the most common indication for hysterectomy. Transvaginal ultrasonography (TVS) has become essential in the diagnosis and management of the uterine fibroids. TVS provides a detailed examination of uterus and ovaries. However, there is no nation-wide and regional clinical study on the use of TVS for the evaluation of uterine fibroids in Bangladesh. In this work, a cross-sectional study toob serve the role of TVS in the evaluation of uterine fibroids in a region of Bangladesh (Greater Mymensingh). In the diagnosis of uterine fibroids by TVS, we observed that 35(81.4%) cases (out of 43) are fibroids and 8 (18.6%) cases are non-fibroids. In histopathological diagnosis, we found 36 (83.7%) cases are uterine fibroids, and 7 (16.3%) cases are without fibroids. In this study, TVS diagnosed uterine fibroids with a sensitivity of 94.4%, the specificity of 85.71%, the accuracy of 97.6%, the positive predictive value of 97.1% and negative predictive value of 75%. The results demonstrate that TVS has the potential to become a useful imaging tool for the evaluation of uterine fibroids. CBMJ 2018 July: Vol. 07 No. 02 P: 17-23
In 2020, a new global pandemic Coronavirus disease (COVID-19) emerged, which was caused by a new strain of coronavirus called severe acute respiratory syndrome-corona virus (SARS-COV-2). This study aims to assess the knowledge and attitudes towards COVID-19 among preclinical medical and dental students of Community Based Medical College (CBMC,B) in Mymensingh, Bangladesh. Data were collected in September 2020. The online questionnaire was created using Google Forms after reviewing previously conducted research and posted on several online platforms accessible by the students. Most of the students (93%) were medical students, and the rest 7% were studying Bachelor of Dental Surgery (BDS). The mean COVID-19 knowledge score was 9.04 (SD: 2.107, Range: 0-12), suggesting an overall 75.33% correct rate. The results showed that knowledge scores are higher in male, MBBS students but the difference are not significant. Analyses showed that the knowledge scores of 1st-year participants were significantly higher than 2nd-year students. Increased knowledge score was noticed in those who were not in direct contact with COVID-19 patients and not infected by COVID-19 than others, though the difference was insignificant (P>0.05). Half of the participants (50.2%) agreed that this disease will finally be successfully controlled. One hundred and sixty-seven participants (65%) had confidence that Bangladesh would get a vaccine soon to prevent the COVID-19 virus. The overall knowledge level of students was generally good. As the global threat of COVID-19 continues to emerge, improvement of knowledge and perceptions among healthcare students is essential. CBMJ 2023 January: Vol. 12 No. 01 P: 53-59
Acute effects of cigarette smoking include impaired insulin action that leads to abnormal glucose metabolism. Smoking is an independent risk factor for type 2 diabetes which is one of the global health crises and insulin resistance is one of the main risk factors for cardiovascular disease. This cross-sectional study was done to examine whether fasting serum glucose differs between cigarette smokers compared to non-smokers and to investigate the association of cigarette smoking with the development of impaired fasting glucose and type 2 diabetes. This study was done in the Physiology department of Mymensingh Medical College, an outpatient department of Mymensingh Medical College Hospital, for over a period of one year from July 2014 to June 2015. Fasting serum blood glucose was done by enzymetric colorometric GOD-PAP method in a total of 150 subjects, in which non-smokers were 50 and numbers of smokers were 100 with the duration of smoking 5 - 10 years and >10 years. A questionnaire including data was completed in all cases. The data were checked, coded, and entered into an SPSS 11.5. Statistical significance of difference among the groups was calculated by Students unpaired t' test. P-value <0.05 was considered as a level of significance. Fasting Serum Glucose level was increased gradually with the duration of smoking in smokers than the non-smokers. Results were statistically highly significant. Fasting Serum Glucose gradually increase with the duration of smoking and results were within the physiological limit in two study groups (Group-II A with 5-10 years duration of smoking and Group- II B with more than 10 years duration of smoking) but not statistically significant. This study showed cigarette smoking has deleterious effects on insulin metabolism causing an increase in serum glucose with duration of smoking period. CBMJ 2019 July: Vol. 08 No. 02 P: 36-39
The increased risk of cardiovascular disease associated with higher serum cholesterol levels in middle-aged persons has been established, but there have been few studies conducted regarding the issues in Mymensingh. For evaluation of serum cholesterol and BMI in women of Mymensingh, across-sectional studywas conducted in several private chambers in the districts of Mymensingh, Bangladesh during the period from January 2017 to December 2017. A total of 48 Female patients participated in the study. In the study, participants were aged between 18 to 29 years of age. The study suggested that the serum cholesterol was below 4.99 were 15(31.25%), 5.00 to 6.49 were 13(26.08%) and above 6.50 were 20 (41.67%), the Mean ± SD was 4.45 (0.76). The health status according to BMI showed that 12.50% (n=6) of the participants were underweight <18.49, majority 50.00% (n=24) of the population were from normal weight range (18.5-24.9), 16.67% (n=8) of the participants were overweight and 20.83 %( n=10) of the participants were obese >30. The Mean ± SD was 18.93± (3.68). Measurement of BMI and Serum Cholesterol levels can help doctors to treat patients properly for reducing the burden of death in our country. CBMJ 2019 July: Vol. 08 No. 02 P: 4-9
Dispensing antibiotics without prescription is a potential source of inappropriate use. Improvement of antibiotic use is very important in developing countries like Bangladesh. This cross-sectional observational study was conducted in Dhaka city, Bangladesh among 100 purposively selected medicine shops to observe antibiotic dispensing practices of medicine sellers on request for the treatment of nonspecific Upper Respiratory Tract Infection (URTI). Actual practice was assessed with simulated client visit (SCV) with 2 encounters in each medicine shops (a total of 200 encounters). Later self-stated practice was assessed through in-depth interviews with medicine sellers using a digital voice recorder. A total of 42 medicine sellers (42%) interviewed that they would have recommended antibiotics in response to a presentation of nonspecific URTI. In actual practice, antibiotics were dispensed in 108(54%) simulated visits. Total 5 drugs (tab ciprofloxacin, tab azithromycin, cap amoxicillin, cap cephradine, tab levofloxacin) was suggested by medicine sellers. Tab ciprofloxacin is the most preferable dispensed drug by medicine sellers in both actual and stated practices which were 73.15% (79/108 SCV) and 40.48 %( 17/42 medicine sellers) respectively. The most frequent question was "duration of disease" which was asked by medicine sellers in 76 %( 152/200) SCV. None of the medicine sellers asked about allergic history. Antibiotics were dispensed by medicine sellers in Dhaka city without prescriptions and appropriate indications. CBMJ 2020 January: Vol. 09 No. 01 P: 11-18
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