https://www.banglajol.info/index.php/AKMMCJ/issue/feed Anwer Khan Modern Medical College Journal 2019-12-05T13:06:51+00:00 Prof Dr Md. Tahminur Rahman akmmcj@gmail.com Open Journal Systems <p>The Official journal of the Anwer Khan Modern Medical College &amp; Hospital. <br>This is an open access journal which means that all contents are freely available in the website without charge to the user. Users are allowed to read, download, copy, distribute without asking prior permission from the publisher or the author.</p> https://www.banglajol.info/index.php/AKMMCJ/article/view/44116 Internet Addiction: The Emergence of a New Clinical Disorder 2019-12-05T13:06:51+00:00 MA Habib rubelsaria@gmail.com <p>Abstract not available</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 103-104</p> 2019-11-20T06:26:59+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44117 Knowledge and Practice of Drinking Safe Water Among the Community People of Horintana, Khulna 2019-12-05T13:06:51+00:00 F Ferdaus farhanasumi87@yahoo.com <p><strong>Background: </strong>Water is basic human right, most precious resource for economy and health. Drinking water and sanitation is a fundamental health service. The health of a person largely depends on its quality and quantity of safe water. Water must be safe and wholesome. But unfortunately the problem of water pollution has now become a burning question.<br> <strong>Objective: </strong>To explore the knowledge and practice of drinking safe water among the community people.<br> <strong>Method: </strong>This was a descriptive type of cross-sectional study conducted at Horintana, Khulna, during the<br> period from January 2018 to April 2018 to assess the Knowledge and practice of drinking safe water among the villagers. The respondents were adult population of the community.<br> <strong>Result: </strong>Most of the respondents were in 30-44 years age group, (53.64%) and 15-29 years age group (31.36%). Majority of the respondents were female (84.55%). Majority of villagers drank tube well water (93.64%). 81.36% of the respondents knew about safe sources of drinking water. 14 (6.36%) respondents, who used water other than tube well water applied purification methods. A large portion of respondents (14.09%) did not know about the water borne diseases. Among the water borne diseases they had suffered,most prevalent diseases were diarrheal diseases (57.63%) and parasitic infestations (16.66%). In most cases, treatment providers were MBBS doctors (64.23%).<br> <strong>Conclusion: </strong>In conclusion, the study revealed that the knowledge and practice of safe drinking water among the rural people is now satisfactory. But the matter of great sorrow is that, the socio-economic condition and educational status of people is hampering towards the good health.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 105-109</p> 2019-11-20T06:27:07+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44118 Estimation of Serum Copper in Post-menopausal Women Attending in a Tertiary Care Hospital, Bangladesh 2019-12-05T13:06:50+00:00 N Ferdous shuchinf@gmail.com Farzana Akonjee Mishu shuchinf@gmail.com - Shamsunnahar shuchinf@gmail.com Syed Md Tanjilul Haque shuchinf@gmail.com ANM Ashikur Rahman Khan shuchinf@gmail.com Sohana Siddique shuchinf@gmail.com <p><strong>Background: </strong>Nutritional needs change throughout the various stages of life. While overall caloric needs tend to decrease with age, the requirements for individual micronutrients do not decrease. In fact, the needs for some micronutrients actually increase with age. The risk of nutritional disturbances mainly trace elements deficiencies is high during postmenopause causing or intensifying serious clinical symptoms.<br> <strong>Methods: </strong>This cross sectional study was carried out in the Department of Biochemistry, Mymensingh Medical College in collaboration with the Department of Obstetrics and Gynecology, Mymensingh Medical College Hospital during the period from July 2013 to June 2014. A total of 100 subjects were included in this study. Among them 50 apperantly healthy postmenopausal women (Case) aged between 45-60 years were considered as case and another 50 regular menstruating premenopausal women(Control) aged between 30-40 years were selected as control.<br> <strong>Results: </strong>The mean age of cases and control groups was 50.5±2.3 years and 36.5±4.4 years respectively. In this study we found Serum Copper levels in cases and controls were 115.36±8.836 µg /dl and 90.58 ±6.315 µg/dl respectively had (p&lt; 0.01) significant difference.<br> <strong>Conclusion: </strong>Serum Copper level was significantly increased in postmenopausal group in comparison to premenopausal women (p&lt; 0.01). Estimation of serum Cu level might be incorporated in every postmenopausal woman for prevention of complications.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 110-113</p> 2019-11-20T06:27:14+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44119 Effects of Controlling of Blood Glucose in Adult Non-Diabetic Patients Undergoing Mitral Valve Replacement 2019-12-05T13:06:49+00:00 Md Armane Wadud armanewadud2@yahoo.com Syed Dawood Md Taimur armanewadud2@yahoo.com Syed Tanvir Ahmed armanewadud2@yahoo.com Shanoor Aziz armanewadud2@yahoo.com Ibrahim Khalilullah armanewadud2@yahoo.com CM Shaheen Kabir armanewadud2@yahoo.com <p><strong>Background: </strong>The objective of this study was to see whether there is an association between high blood glucose levels after operation under CPB and post-operative morbidity and mortality.<br> <strong>Methodology: </strong>This cohort study was carried out in the Department of Cardiac Surgery at National Institute of Cardiovascular Disease (NICVD), Sher-e-Bangla Nagar, Dhaka from January, 2012 to December, 2013 for a period of twenty four (24) months. A total number of 110 patients who underwent MVR operation with CPB were enrolled in this study as per inclusion and exclusion criteria. Patients were divided into two groups according to their blood glucose levels, recorded within first 60 hrs after Mitral Valve Replacement Surgery under Cardiopulmonay Bypass. Patients having blood glucose level of less than 10.1 mmol/L (unexposed) and patients having blood lactate level of 10.1 mmol/L or more (exposed) were grouped. Post operative variables were observed and recorded during the hospital course of the patient.<br> <strong>Result: </strong>A total number of 110 patients were enrolled in this study. Blood glucose levels lower than or equal to10 mmol/L after MVR were present in 55(50%) patients (Group A) Blood glucose levels higher than 10 mmol/L after MVR were present in 55(50%) patients. Postoperative morbidity was higher in this group (Group B) than in the patients who had peak blood glucose levels of less than or equal to 10 mmol/L MVR (p=0.001). Postoperative ICU stay was prolonged in patients with elevated levels of blood glucose after MVR under CPB compared with of patients with lower blood glucose levels (p=0.001). Other common morbidities are Neurological complication (p=0.04), Renal dysfunction (p=0.01), wound infection (p=0.04), Post-operative hospital stay (p=0.004). also higher in group B patient, as well as mortality (p=0.31).<br> <strong>Conclusions: </strong>Blood glucose concentration of 10.1 mmol/L or higher after MVR under CPB is an important issues related to postoperative morbidity and mortality</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 114-120</p> 2019-11-20T06:27:20+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44120 Declining Prevalence of Helicobacter Pylori Infection- A 13C Urea Breath Test (UBT) Based Study in Symptomatic 2019-12-05T13:06:49+00:00 Mian Mashhud Ahmed authorinquiry@inasp.info Atia Saeed authorinquiry@inasp.info Abu Shams Md Hasan Ali Masum authorinquiry@inasp.info - Md Mohiuddin authorinquiry@inasp.info Anisur Rahman authorinquiry@inasp.info <p><strong>Background</strong>: Helicobacter pylori (HP) infection is an important cause of peptic ulcer disease (PUD) in the world. This study was aimed to know the trend of H.P. infection among the symptomatic subjects</p> <p><strong>Method</strong>: This was a retrospective observational study conducted from January 2015 to July 2018 in three different hospitals in Dhaka city. Patient who presented with dyspepsia underwent 13C urea breath test. Positive cases were analyzed.<br> <strong>Results</strong>: A total 1343 patients were taken for UBT where 308 (23%) patients were found positive. The mean age group was 41.21+13.6. Male were more infected (61%) than female (39%).</p> <p><strong>Conclusion</strong>: Improving sanitary and hygienic condition of this region along with significantly increasing HP eradication therapy and PPI use by the symptomatic individuals might have contributed to the decreasing trend of infection</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 121-124</p> 2019-11-20T06:27:29+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44121 A Study of Thyroid Profile in Patients with Benign Breast Disease 2019-12-05T13:06:48+00:00 Amreen Faruq dramreen78@yahoo.com MNA Alam dramreen78@yahoo.com F Afsana dramreen78@yahoo.com M Haque dramreen78@yahoo.com <p><strong>Background</strong>: To observe the association between thyroid dysfunction and benign breast disease.</p> <p><strong>Methods</strong>: Prospective observational study conducted in the surgical outpatient department on female patients with benign breast disease from April 2017 to April 2018.</p> <p><strong>Results</strong>: Among the 208 female subjects included in the study 14.9% had hypothyroidism and 87.5% were completely symptom free when treated with Thyroxin replacement. Serum Prolactin level was also measured in all the subjects and hyperprolactinemia found in 4.8% with 50% associated with hypothyroidism.</p> <p><strong>Conclusion</strong>: Thyroid profile may serve as a useful investigation in the treatment of patients with benign breast disease.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 125-130</p> 2019-11-20T06:27:37+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44125 Insulin Secretory Defects and Determinants of Attending at a Tertiary Hospital in Northern Region of Bangladesh 2019-12-05T13:06:47+00:00 K Hasnin kanizhasnin@gmail.com F Jebunnesa kanizhasnin@gmail.com L Ali kanizhasnin@gmail.com Rezaul Karim kanizhasnin@gmail.com <p><strong>Background</strong>: Bangladesh has one of the largest diabetic populations in the world and its Rajshahi region has distinct geographical and cultural identity. Determinants and basic defects of the disorder which vary substantially among populations due to racial and environmental heterogeneity.</p> <p><strong>Materials &amp; Methods</strong>: This study was conducted to characterize the new patients attending the Rajshahi&nbsp; Diabetic Center which gives an idea about the proportion and risk indicators of DM among people in the&nbsp; Rajshahi region. It was a hospital based observational analytic study with a hybrid research strategy having&nbsp; both cross-sectional and nested case-control designs. A multistage sampling technique was followed with&nbsp; 660 subjects.</p> <p><strong>Results</strong>: Out of the total subjects attending the OPD of RDC for the first time, 65% were found to suffer&nbsp; from T2 DM. mostly (75%) of middle age (37% within 30-40 yrs and 37% within 41-50 yrs), only 2%&nbsp; cases had age &lt;30 yrs and 23% had age &gt;51yrs. The mean ±SD calorie consumption (2549±637) of the&nbsp; diabetic subjects was higher than that in non-T2 DM subjects and it came mainly from CHO (59.3%) and&nbsp; fat (55.9%). 47.3% of subjects were normal weight, 36.1% over weight and 16.6% obese. Fasting serum&nbsp; Insulin was significantly higher in the T2 DM group as compared to non-T2DM (Serum Insulin level&nbsp; µIU/ml, M±SD) (13.5±4.9) subjects (p=&lt;0.001). HOMA%B was (37±17) significantly lower in the&nbsp; T2 DM subjects as compared to non-T2 DM subjects. HOMA%S was (41±13) significantly lower in the&nbsp; T2 DM subjects as compared to non-T2 DM subjects.</p> <p><strong>Conclusion</strong>: Both (HOMA%B) and (IR) constitute the basic defects of diabetes in Rajshahi population, but (HOMA%B) seems to be more predominant in these subjects. (HOMA%B) in Rajshahi population is&nbsp; associated with males and level of education and insulin resistance (IR) is associated with males and daily&nbsp; CHO intake.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 131-137</p> 2019-11-20T06:27:43+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44126 Maternal Socioeconomic Factors Affecting Birth Weight of New Born Babies Born in Combined Military Hospital Dhaka 2019-12-05T13:06:47+00:00 - Md Asaduzzman asad100929@gmail.com Md Saydur Rahman asad100929@gmail.com <p><strong>Background</strong>: Low birth weight is one of the deleterious outcomes of pregnancy. To identify the factors contributing to LBW is therefore of paramount importance. But a very little attention had been paid to address the riddle. This effort is to candle the light on maternal socioeconomic factors on birth weight.</p> <p><strong>Objective</strong>: To delineate the pattern of birth weight of newborn babies delivered in CMH Dhaka and ascertains selected demographic, socio-economic characteristics of the mothers.</p> <p><strong>Methods &amp; Materials</strong>: This cross-sectional study was conducted in Combined Military Hospital Dhaka from September to December 2011 on 110 respondents. Data were collected by interview using semi- structured questionnaire. Data were checked, edited, coded, categorized, cleaned and analyzed using software (SPSS version 16)</p> <p><strong>Results</strong>: All the mothers were educated. Mothers who passed SSC exam, 35.5% were highest. Lowest education level was primary, 10%. SSC and below educated mother gave birth to 16.75 LBW babies. The average birth weight babies, 94.74% were delivered by HSC and higher educated mothers. All LBW babies were born other than officer's family. The mean monthly income was Tk 16533. 33% LBW babies born who had family income _&lt; Tk. 10,000, 52.3% higher birth weight babies had family income&nbsp; _&gt; Tk. 20000 but results was not statistically significant (p&gt;.05).</p> <p><strong>Conclusion</strong>: All these findings suggest that a substantial evidence of socioeconomic factors like family income, maternal education and social status has an effect on birth weight. Utilizing health care facilities, better training, educating mother, addressing demographic factors, condition can be improved.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 138-142</p> 2019-11-20T06:27:50+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44127 Comparative Study of Dexmedetomidine and Fentanyl as an Adjuvant to Epidural Bupivacaine for Post-operative Pain Relief in Hepato-biliary Pancreatic Surgery 2019-12-05T13:06:46+00:00 Raju Ahmed araju1287@gmail.com Md Shafiul Alam Shaheen araju1287@gmail.com Pradip Kumar Sarker araju1287@gmail.com Siba Pada Roy araju1287@gmail.com Mohammad Noor A Alam araju1287@gmail.com <p><strong>Background</strong>: Postoperative pain responsible for neurohumoral changes which may cause various organ&nbsp; dysfunctions, prolong hospitalization and convalescence. Epidural analgesia confers excellent pain relief&nbsp; and complete dynamic analgesia leading to a substantial reduction in the surgical stress response.</p> <p><strong>Objectives</strong>: The aim of the study was to compare the postoperative analgesic effect of dexmedetomidine and&nbsp; fentanyl as an adjuvant to epidural bupivacaine in adult patients undergoing hepatobiliary pancreatic surgery.Material and method: Eighty(80) patients were selected in the pre anaesthetic checkup room who were going to be&nbsp; operated for hepatobiliary pancreatic disorders. Each patient in group D(Dexmedetomidine group): Dexmedetomidine&nbsp; 2ml (100 µgm) was mixed with 48ml bupivacaine 0.125% in a syringe 50ml and infused epidurally @ 4ml/hr. for the&nbsp; postoperative 48 hours. Group F (fentanyl group): Fentanyl 2ml (100 µgm) was mixed with 48 ml bupivacaine&nbsp; 0.125% in a syringe 50 ml and infused epidurally @ 4ml/hr. for the postoperative 48 hours.</p> <p><strong>Results</strong>: The quality of analgesia was almost similar with dexmedetomidine and fentanyl group but&nbsp; perioperative haemodynamic stability was more in dexmedetomidine group than fentanyl group &nbsp;(p=&lt;0.05). The incidence of post-operative nausea and vomiting, pruritus, urinary retention and&nbsp; respiratory depression significantly lower with dexmedetomidine compared to fentanyl group (p=&lt;0.05).</p> <p><strong>Conclusion</strong>: Dexmedetomidine is an ideal adjuvant to epidural bupivacaine for postoperative analgesia&nbsp; compared to fentanyl in patients undergoing hepatobiliary pancreatic surgery.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 143-149</p> 2019-11-20T06:28:04+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44128 Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh 2019-12-05T13:06:46+00:00 Gule Tajkia dr.guletajkia@gmail.com Syed Khairul Amin dr.guletajkia@gmail.com M Ekhlasur Rahman dr.guletajkia@gmail.com Mumtahina Setu dr.guletajkia@gmail.com Kuntal Roy dr.guletajkia@gmail.com Soma Halder dr.guletajkia@gmail.com Mohammad Mahbubur Rahman dr.guletajkia@gmail.com <p><strong>Background</strong>: The neonatal period is a highly vulnerable time for an infant completing many of the&nbsp; physiologic adjustments required for life outside the uterus. As a result, there are high rates of morbidity&nbsp; and mortality. To reduce morbidity and mortality it is essential to know the neonatal disease pattern.&nbsp; Neonatal disease pattern changes from time to time and place. Analyzing the neonatal admission pattern&nbsp; helps the policy makers to make the better strategies and health care givers to serve better.</p> <p><strong>Objectives</strong>: This study aimed to determine the disease patterns and outcome of patients admitted to the&nbsp; Neonatal Intensive Care Unit (NICU) of Anwer khan Modern Medical College Hospital, a tertiary care&nbsp; hospital in Dhaka, between January 2017 to December 2018.</p> <p><strong>Methods</strong>: Retrospective data from the medical records of all neonates admitted during the study period&nbsp; were reviewed and analyzed for age, weight, sex, reason for admission, duration of hospital stay,&nbsp; diagnosis and final outcome.</p> <p><strong>Results</strong>: The total number of neonates admitted during the study period was 262; 164 were male (62.6%), and&nbsp; 98 were female (37.4%). A total of 223 patients (85.12%) wereborn in the hospital while 39 (12.88%) were&nbsp; born at home. The majority were admitted during the first 48 hours of life (72.2%). A total of 5 patients (2%)&nbsp; weighed &lt;1000 gm; 53(20.2%) weighed 1000-1500 gm, and 89 (34%) between 1600-2499 gm. Prematurity&nbsp; and infection were the main reasons for admission (52.7% and 20%, respectively), followed by birth asphyxia &nbsp;(12%) and neonatal jaundice (6.8%). A total of 206 patients (78.6%) were improved and discharged, 43 left&nbsp; against medical advice (16.4%), 3 were referred for urgent cardiac intervention (1.1%) and 10 (3.9%) died.</p> <p><strong>Conclusion</strong>: Prematurity, neonatal infection and birth asphyxia were the major causes of neonatal&nbsp; morbidity and mortality.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 150-158</p> 2019-11-20T06:28:12+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44129 Role of Intravenous Paracetamol as Pre-Emptive Analgesic for Laparoscopic Cholecystectomy 2019-12-05T13:06:45+00:00 Sultan Reza sultanrezamanha@gmail.com Ibrahim Khalilullah sultanrezamanha@gmail.com Tamanna Habib sultanrezamanha@gmail.com Jayed Hossain Chowdhury sultanrezamanha@gmail.com Tarikul Hasan sultanrezamanha@gmail.com Kutub Uddin Khan sultanrezamanha@gmail.com Aftab Uddin sultanrezamanha@gmail.com Shafiul Alam sultanrezamanha@gmail.com Khaleda Akter sultanrezamanha@gmail.com <p><strong>Background</strong>: Despite the high level of awareness about the importance of post-operative pain management, lot of investigations and study results show an unacceptable high rate of incidence of pain after surgery. Pre- emptive pain control is regional or systemic analgesics, applied before starting the surgical procedure. The effect is achieved by suppressing, central or peripheral nociceptors, either together or separately by sensitization. We studied the effect of intravenous Paracetamol as pre-emptive analgesic in patients undergoing laparoscopic cholecystectomy.</p> <p><strong>Method</strong>: A total number of 60 adult patient with ASA physical status I &amp; II scheduled for Laparoscopic cholecystectomy under general anaesthesia were randomly enrolled in this study. Patients were randomly allocacated equally into two groups A and B according to computerized random table, 30 in each group. Patients of Group A (n=30) received I.V Paracetamol 10mg/kg(100ml) 10 min before skin incision and Group B (n=30) received 100 ml of Normal saline 10 min before skin incision. It was a single blind, randomized, prospective, case-control study. Observation and management of pain, nausea, vomiting, respiratory depression, allergic reaction, amount of opioid requirement and time of analgesic demand after operation were carried out in data collection sheet.</p> <p><strong>Result</strong>: The total dose of postoperative opioid needed in Group-A was significantly lower than that in the Group- B(p=0.012). The pain scores were comparatively low in case of group-A than that in Group-B from beginning to 24 hours of evaluation following operation(p=0.027). About one-third (32%) of the patient in each group experienced nausea at 1 hour interval post operatively. However, the complaint of nausea at 6 and 12 hours was much less in the Group-A than that in the Group-B. Vomiting was negligible in either group. Majority (80%) of patient in Group-B demanded analgesic (pethedine) 10 minutes earlier after operation as opposed to only 8% of patients in Group-A (p&lt;0.001). No other side effects were recorded in either of the groups.</p> <p><strong>Conclusion</strong>: Our findings indicate that pre-emptive administration of iv Paracetamol (10mg/kg) in patients undergoing Laparoscopic Cholecystectomy ensures an effective postoperative analgesia, increases the time to first analgesic requirement and reduces opioid consumption.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 159-163</p> 2019-11-20T06:28:21+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44130 Use of Dexmedetomidine for Preventing Pain on Propofol Injection: A Double Blinded Placebo Controlled Study 2019-12-05T13:06:43+00:00 Muhammad Sazzad Hossain sazzadicu786@yahoo.com Md Afzalur Rahman sazzadicu786@yahoo.com Md Mahiuddin Alamgir sazzadicu786@yahoo.com - Md Waliullah sazzadicu786@yahoo.com Paresh Chandra Sarker sazzadicu786@yahoo.com Nadia Islam sazzadicu786@yahoo.com Md Sirajul Islam sazzadicu786@yahoo.com <p><strong>Background and aim of study</strong>: Propofol is a commonly used drug for general anesthesia. It can irritate the skin, mucous membrane and venous intima. The main drawback is the pain during intravenous injection.&nbsp; Aim of this prospective randomized study is to observe the efficacy of intravenous dexmedetomidine as&nbsp; pretreatment for the prevention of pain caused by the propofol injection.</p> <p><strong>Methods</strong>: A total of 80 adult patients were selected in this study with either sex, ASA (American Society of&nbsp; Anesthesiologists) grade I and II, scheduled for routine elective surgical procedure under general anesthesia. The patients enrolled were divided randomly into two groups of 40 patients each. Group received 0.25 mcg of intravenous dexmedetomidine in 5 ml. Group II (placebo group) received 5 ml of&nbsp; 0.9% intravenous normal saline one minute before injection of propofol. The patients were asked to report&nbsp; their pain during injection of propofol according to the McCririck and Hunter scale.</p> <p><strong>Results</strong>: The incidence of pain experienced in dexmedetomidine group was 35% patients and in saline&nbsp; group was 70% patients (p&lt;0.05). The severity of POPI was also lower in dexmedetomidine group than&nbsp; the saline group (p&lt;0.05). The incidence of mild and moderate pain in dexmedetomidine groups versus&nbsp; saline group was 20% versus 45% and 15% versus 25% respectively p&lt;0.05. There was no severe pain&nbsp; recorded in any groups.</p> <p><strong>Conclusion</strong>: Pretreatment with 0.25 mcg/kg of dexmedetomidine with venous occlusion for one minute,&nbsp; effectively reduces pain on propofol injection.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 164-168</p> 2019-11-20T06:28:29+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44131 Review on Chromobacterium violaceum, a Rare but Fatal Bacteria Needs Special Clinical Attention 2019-12-05T13:06:42+00:00 Sadia Sharmin authorinquiry@inasp.info SM Mostofa Kamal authorinquiry@inasp.info <p>Chromobacterium violaceum is isolated from soil and water in tropical and subtropical areas. This Gram negative, capsulated, motile bacillus is considered as a saprophyte but occasionally it can act as an opportunistic pathogen for animals and human. It causes skin lesion with liver and lung abscesses, pneumonia, gastrointestinal tract infections, urinary tract infections, osteomyelitis, meningitis, peritonitis,&nbsp; endocarditis, respiratory distress syndrome and septic shock. Increasing reported cases with Chrombacterium violaceum infection has been noticed in recent decades. It should be considered for its difficult-to-treat entity characterized by a high frequency of sepsis, distantant metastasis, multidrug resistance and relapse. High mortality rate associated with this infection necessitate prompt diagnosis and&nbsp; appropriate antimicrobial therapy</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 169-175</p> 2019-11-20T06:28:41+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44132 Sinus Histocytosis with Splenomegaly in Children- A Rare Case Report 2019-12-05T13:06:41+00:00 Kuntal Roy authorinquiry@inasp.info Fabia Hannan Mone authorinquiry@inasp.info Syed Khairul Amin authorinquiry@inasp.info Md Ekhlasur Rahman authorinquiry@inasp.info Soma Halder authorinquiry@inasp.info <p>Sinus Histiocytosis/Rosai-Dorfman Disease (RDD) are benign, rare proliferative disorder caused by over production and accumulation of specific type of white blood cell (Phagocytic Histiocyte) in the lymph nodes of the body. Here, lymphadenopathy mostly painless and commonly found in the neck (cervical) but&nbsp; may occur in other areas of the body such as skin, lung, central nervous system, kidney (less than 5%). Predominantly it affects the young age group of children, adolescents or young adults. In spite of spontaneous remissions, treatment strategies can be different according to involvement and severity (RDD-&nbsp; Seldom life threatening disease).</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 176-178</p> 2019-11-20T06:28:51+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44133 Vasculitis Retinae- A Rare Presentation of SLE 2019-12-05T13:06:40+00:00 Sanwar Hossain drsanwar.h@gmail.com Titus Leonard Guda drsanwar.h@gmail.com Forhad Chowdhury drsanwar.h@gmail.com Md Somir Hossain drsanwar.h@gmail.com Mehran Hossain drsanwar.h@gmail.com - Md Mohiuddin drsanwar.h@gmail.com <p>Systemic lupus erythematosus (SLE) is a rare complex autoimmune disease characterized by autoantibody&nbsp; formation against double strand DNA and antinuclear antibody (ANA), complement activation, and&nbsp; deposition of immune complexes in tissues and organs. In normal population only 0.03% suffer from SLE,&nbsp; among them 90% are female between the age of 20 to 30 yrs. SLE can involve any region of the visual&nbsp; system. Although ocular manifestations are not part of the classification criteria for SLE but retinal involvement is the most common intraocular lesion observed in up to one-third of SLE patients. The most&nbsp; common extra ocular lesion is keratoconjunctivitis sicca. Ocular manifestations are rarely reported at the&nbsp; time of disease onset, but are usually associated with active generalized systemic disease. Due to low&nbsp; frequency of SLE and only one third of them have ocular involvement, so reports about retinal vasculitis&nbsp; are very rare. But fortunately a case of Vasculitis retinae due to SLE was admitted in Anwer Khan Modern&nbsp; Medical College &amp; Hospital on 04/12/2018</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 179-182</p> 2019-11-20T06:28:58+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44134 Ovarian Pregnancy- A Rare Case Report 2019-12-05T13:06:40+00:00 Sehereen Farhad Siddiqua authorinquiry@inasp.info Sharmin Abbasi authorinquiry@inasp.info Shifin Rijvi authorinquiry@inasp.info Abrar Saqif Hasan authorinquiry@inasp.info <p>Ovarian pregnancy is a rare form of the non-tubal ectopic pregnancy. Primary ovarian ectopic pregnancy means&nbsp; implantation of the gestational sac in the ovary. Its incidence after natural conception ranges from 1 in 2000 to 1&nbsp; in 60 000 deliveries and accounts for 3% of all ectopic pregnancies. It ends with rupture before the end of the&nbsp; first trimester. The preoperative diagnosis of this type of pregnancy is not easy. It is characterized by a poor&nbsp; clinical symptomatology and a difficult ultrasound diagnosis but confirmed by histological findings. For the&nbsp; management, Conservative laparoscopic surgery involves ovarian resection or aspiration of the pregnancy with&nbsp; coagulation of the implantation site. However, in case with profuse intraperitoneal bleeding an oophorectomy or&nbsp; salpingo-oophorectomy may be necessary to achieve hemostasis. We report here one such uncommon case of&nbsp; ovarian ectopic pregnancy. Our patient is a 27 years old nulliparous woman came with severe hypogastric pain.&nbsp; During laparoscopy, ruptured ovarian ectopic pregnancy was diagnosed, and wedge resection of the ovary was only done. Histopathological examination confirmed it to be an ovarian ectopic pregnancy.</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 183-185</p> 2019-11-20T06:29:06+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44181 From the Desk of Editor in Chief Vol.10(2) 2019-12-05T13:06:39+00:00 Md Tahminur Rahman authorinquiry@inasp.info <p>Abstract not available</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 186-187</p> 2019-11-20T10:50:10+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/AKMMCJ/article/view/44180 CME Vol. 10(2) 2019-12-05T13:06:39+00:00 Editor in Chief authorinquiry@inasp.info <p>Abstract not available</p> <p>Anwer Khan Modern Medical College Journal Vol. 10, No. 2: July 2019, P 188</p> 2019-11-20T10:50:25+00:00 ##submission.copyrightStatement##