Bangladesh Journal of Medical Science https://www.banglajol.info/index.php/BJMS <p>A journal sponsored by the Ibn Sina Trust. Full text articles available.<br>NLM ID=101563859</p> <p>Bangladesh Journal of Medical Sciences is included on <a title="DOAJ" href="https://doaj.org/toc/2076-0299?source=%7B%22query%22%3A%7B%22filtered%22%3A%7B%22filter%22%3A%7B%22bool%22%3A%7B%22must%22%3A%5B%7B%22term%22%3A%7B%22index.issn.exact%22%3A%222076-0299%22%7D%7D%2C%7B%22term%22%3A%7B%22_type%22%3A%22article%22%7D%7D%5D%7D%7D%2C%22query%22%3A%7B%22match_all%22%3A%7B%7D%7D%7D%7D%2C%22from%22%3A0%2C%22size%22%3A100%7D" target="_blank" rel="noopener">DOAJ</a>.</p> <p><strong>Journal Metrics</strong><br><a href="https://www.scopus.com/sourceid/19900192321" target="_blank" rel="noopener">CiteScore Tracker 2017</a>: Updated on April 30, 2018</p> <p><img 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" alt=""></p> <p><a href="https://www.researchgate.net/journal/2223-4721_Bangladesh_Journal_of_Medical_Science" target="_blank" rel="noopener">ResearchGate Journal Impact</a>&nbsp;(2013): 0.62</p> <p><a href="https://www.scimagojr.com/journalsearch.php?q=19900192321&amp;tip=sid" target="_blank" rel="noopener">Scimago Journal Rank</a> (2017): 0.17</p> <p><img src="data:image/png;base64,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" alt="" width="152" height="114"></p> Ibn Sina Medical College en-US Bangladesh Journal of Medical Science 2223-4721 <p>Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:</p><ol type="1" start="1"><li>Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.<br /><br /></li><li><a href="http://creativecommons.org/licenses/by/4.0/" rel="license"><img style="border-width: 0;" src="https://i.creativecommons.org/l/by/4.0/88x31.png" alt="Creative Commons Licence" /></a><br />Articles in Bangladesh Journal of Medical Science are licensed under a <a href="http://creativecommons.org/licenses/by/4.0/" rel="license">Creative Commons Attribution 4.0 International License</a> CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.</li><li>Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li><li>Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.</li></ol> Empathy among Medical Students is an Essential Requirement to be a Respectable and Holistic Medical Doctor https://www.banglajol.info/index.php/BJMS/article/view/45849 <p>Abstract not available</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.355-357</p> Mainul Haque ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 355 357 10.3329/bjms.v19i3.45849 Actual aspects of public health policy formation on the example of Ukraine https://www.banglajol.info/index.php/BJMS/article/view/45850 <p>Our publication is devoted to the evolution of the public health system, its role in public health promotion and determination of the basic notions. According to the definition of the World Health Organization, public health is a science and practice of the diseases prevention, increase in life expectancy and health promotion with the help of the organized actions of the society. Yet in practice, public health formed under difficult conditions. In the article we consider the following questions: stages of public health system formation in the world and in Ukraine; analysis of public health system formation in Ukraine: institutional frameworks and strategic priorities and basic operational public health functions in Ukraine. We propose suggestions on legal procedures state improvement in public health in Ukraine in the context of European integration<strong>.</strong></p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.358-364</p> Oleksii Demikhov Iya Dehtyarova Nadiia Demikhova ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 358 364 10.3329/bjms.v19i3.45850 Challenges and Opportunities in Repurposing of Drugs: Mini Review https://www.banglajol.info/index.php/BJMS/article/view/45851 <p>for treating a new clinical condition takes time and consumes a lot of investment. Therefore, there is much attention given towards repurposing of old drugs for new therapy. Majority of drugs approved by FDA for a particular treatment has found applications in the treatment of various other clinical conditions too. In other words, it can be said as ‘reusing’ of a drug. This mini review focused on the use of repurposed drugs for bacterial infections and cancer treatment. Apart from the benefits of repurposing of drugs, there are some challenges needed to be addressed. Therefore, in this review paper the use of repurposed drugs in treatment of communicable (bacterial infections) and non-communicable (cancer) diseases were discussed.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.365-371</p> S Sindhu S Murugan ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 365 371 10.3329/bjms.v19i3.45851 A Medico-legal Perspective on the Termination of Pregnancies Resulting from Wartime-Rape https://www.banglajol.info/index.php/BJMS/article/view/45852 <p>The study is designed to investigate the issue of abortion for rape-victims to draw the attentions of Islamic clerics in order to appraise consciousness and outlook of legal edicts within constrain of Islamic bio-medical and bio-ethical norms. For this purpose, a number of Islamic treatises are systematically examined, and a cross-cultural along with a cross-country assessment of 47 countries abortion laws particularly ‘Muslim-majority’ (OIC member) countries are conducted to assess the momentous impacts on rape-victims. Additionally, contemporary data i.e. legal edicts and various reported rape/adultery cases in different Islamic countries are analyzed with special reference to the circumstances in which the verdicts are issued. The study asserts that mostly the classical and contemporary literature silent on the cited issue except few of the legal edicts. Although, Islamic lit and scripts including bio-medical and bio-ethical has discussed it in general way. As a result, the rape victims appeared that they may be allowed termination of unwanted fetus due to coerced sexual relation. But, whether in preview of, some of the legal edicts which causes intricacy, the state laws, rules and more particularly the religious and cultural aspects may allow this kind of deliberation? A predominantly conventional approach was found, since 18 out of 47 countries do not allow abortion except for necessity. Less than 50% of OIC members legally permit abortion on medical grounds. Nevertheless, there was a substantial diversity between Muslim countries. Albeit, a multidimensional viewpoint is very important due to the consequential psychiatric and social problems, since there is an immense need to provide real solutions to such cases that would not contradict Islamic bioethical principles. Therefore, termination of rape resulting pregnancies may be declared valid, provided with specific conditions and guidelines as per Shariah keeping in view bio-medical and bio-ethical norms.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.372-385</p> Fazli Dayan Mian Muhammad Sheraz Muhammad Riaz Mahmood Abu Kholdun Al Mahmood Sharmin Islam ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 372 385 10.3329/bjms.v19i3.45852 Symptom Experiences and Symptom Management among Persons with Lung Cancer in Bangladesh https://www.banglajol.info/index.php/BJMS/article/view/45853 <p><strong>Objective</strong><strong>: </strong>Lung cancer is one of the most common cancers. Previous studies findings are not suitable to explain symptom experience and symptom management of Bangladeshi persons with lung cancer. This study was aimed to identify the symptom experiences and determines the management strategies among persons with lung cancer.</p> <p><strong>Methods</strong><strong>: </strong>A descriptive study design, using combined both quantitative and qualitative research methods, was chosen for this study. Convenient sampling was used to recruit 382 persons with lung cancer from two public and two private tertiary hospitals and 16 participants were invited for an in-depth interview in the qualitative part. Data collection was conducted from October 2015 to July 2016, using the MD Anderson Symptom Inventory Lung Cancer (MDASI-LC) questionnaire and using a semistructured interview guide to explore their symptom management strategies. The quantitative data were analyzed using descriptive and inferential statistics and qualitative data by content analysis.</p> <p><strong>Results</strong>: Pain was the most frequently reported physical symptom and the most severe one, followed by sleep disturbance and fatigue. Psychological symptoms such as sadness and distress were also frequent. Participants also reported other symptoms that interfered with daily living in terms of mood, general activity, work, enjoyment of life, walking and relationships with others. The symptom management consisted of three categories, which were taking modern medicine, adopting complementary therapies, and cultivating mind and body balance. Most of the participants addressed uses of more than one strategy.</p> <p><strong>Conclusions</strong>: Participants experienced several physical and psychological symptoms that interfered with their lives<strong>. </strong>This finding will be beneficial for health care personnel regarding clinical practice to manage symptoms and further research may be conducted to obtain proper interventions to alleviate symptoms, and improve quality of life.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.386-393</p> Biplab Halder Areewan Klunklin Pikul Phornphibul Pratum Soivong ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 386 393 10.3329/bjms.v19i3.45853 Relationship between Islamic Lifestyle and Mental Health in Pregnant Women : A Cross-Sectional Study https://www.banglajol.info/index.php/BJMS/article/view/45854 <p><strong>Objective</strong>: Mental health problems in women during pregnancy are widely associated with the negative consequences of pregnancy. Various factors can affect the mental health improvement in pregnancy. The effects of lifestyle and especially the Islamic lifestyle on mental health are unknown. Therefore, the researcher determined to examine the correlation between the Islamic lifestyle and women’s mental health in pregnancy.</p> <p><strong>Materials and Methods</strong>: The study on 300 pregnant women referred to the clinics affiliated to Shahid Beheshti University of Medical Sciences was carried out as descriptive cross-sectional. The research tools included the Islamic lifestyle questionnaire and DASS-21.</p> <p><strong>Results</strong>: The results showed that there is a significant negative relationship between mental health and the Islamic lifestyle. (r = -0.310). The regression test results show that the mean score of the mental health problems decreases 0.09 per unit by increasing an Islamic lifestyle score.</p> <p><strong>Conclusion</strong>: Since the results show that there is a significant negative relationship between Islamic lifestyle and the women’s mental health, interventional studies are suggested to increase awareness and change lifestyle in order to improve the mental health.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.394-400</p> Mona Pakzad Mahrokh Dolatian Yahia Jahangiri Malihe Nasiri Amir Emami Zeydi ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 394 400 10.3329/bjms.v19i3.45854 Prevalence of war vıctıms ın Madına Hospıtal Mogadıshu Somalıa https://www.banglajol.info/index.php/BJMS/article/view/45855 <p><strong>Background: </strong>The resultant effect of a gunshot injury is mostly severe bleeding which leads to hypovolemic shock;a condition that is characterized by inadequate delivery of oxygen to vital organs.</p> <p><strong>Objective: </strong>Present study had focused on the prevalence of gunshot wounds, alsoclinical consequencesdepending on differences in anatomical sites, age, gender with management strategies accordingly.</p> <p><strong>Materials and Methods: </strong>The study design is retrospective in nature with quantitative approach and the study reviewed the data in the registers beginning from January to December 2017. Demographic data of the patients, anatomical sites of injuries, and findings of clinical outcomes had been retrospectively evaluated.</p> <p><strong>Results: </strong>1145 patients having gunshot wounds (GSW)had been included in the study (M/F= 1067 (93%)/78 (7%)). Average incidence of head injuries had been found as 8,75% which had showed a peak rate during May with a percentage of 11%. Thoracic injuries which had an average incidence of 11,3% had the highest rates during May, January, February and June. Abdominal injuries had showed a steady decline beginning from January (24%) till June (20%) with having least percentage of injury during May (13%).Only 10% of healthcare workers were among educated first aiders who transported the patients. Meanwhile,the majority had consisted of non-educatedones who took the patients to the hospital at the largest proportion of the casualties which include families, friends and close relatives. Mortalities (n=87 (8%)) were attributed mostlyto abdominaln=18 (21%), thoracic n=16 (18%), lower limbn=16 (18%)) and head n=14 (16%) injuries withdecreasing frequency.</p> <p><strong>Conclusions: </strong>Deaths due to gunshot wounds (GSW) had been reported highestamong young aged population who are between 21 and 40 years of age. Considering that only 10% of rescue teams were among educated health care givers, this actual rate of mortality given in the present study can be lowered much more if the state can provide more educated staff, and also more fundamental first-care educations could be given for the public as well.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.401-403</p> Mohamed Mohamud Omar Recep Erçin Sönmez Mohamed Yusuf Hassan Orhan Alimoğlu ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 401 403 10.3329/bjms.v19i3.45855 Prevalence and isolation frequency of pathogenic strains responsible for some infections in Bechar’s community (Southwest of Algeria): About 1458 cases. https://www.banglajol.info/index.php/BJMS/article/view/45856 <p><strong>Background</strong>: The microbial infections represent a real public health problem with considerable individual and economical consequences. Their surveillance has become, in recent decades, an essential element of any program to control these infections.</p> <p><strong>Aim: </strong>In this study, we estimated the prevalence and frequencies of some microbial infections amongst the Bechar’s community (Algeria).</p> <p><strong>Methods</strong>: The microbiological analyzes of various pathological samples namely : urine and vaginal discharge, pus, nipple discharge, originally sampled from throat, otitis discharge and effusion liquid, have been carried out in the medical analysis laboratory of Bechar for seven months.</p> <p><strong>Results</strong>: The obtained results showed that out of 1458 samples, 506 cases were positive (34.7 %), for some infections, there is a relationship correlation between the infections’ frequency and their prevalence with the age and gender of patients, as factors; which the female gender presents 74.7 % of positive cases, a sex-ratio less than 1; besides, the most affected population is aged between 25 and 39 years old. The isolated microbial species, which are the most incriminated agents responsible for the studied infections, were mainly Escherichia coli with an isolation frequency of 87.15 %, followed by coagulase-positive Staphylococci CoPS (5.13 %), Streptococcus sp (3.16 %), fungal species Candida albicans (1.58 %), Coagulase-negative Staphylococci Co NS (1.18 %). However, less than 2 % of infectious agents were recorded for the bacterial strains P. aeruginosa, K. pneumoniae and Enterococcus sp.</p> <p><strong>Conclusion </strong>: This study can provide a platform for an effective prevention strategy and can be useful for epidemiological prediction with a decision-making.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.404-413</p> Elhassan Benyagoub S Mohamed Benchaib Abdelmadjid Zaalan Farah Bendada ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 404 413 10.3329/bjms.v19i3.45856 Toxicological analysis of acetone in a forensic case for the diagnosis of fulminant type 1 diabetes mellitus https://www.banglajol.info/index.php/BJMS/article/view/45857 <p><strong>Background</strong>: A male in his thirties was found dead in his apartment. On the day before he found dead, he had multiple vague physical complaints, including abdominal pain, vomiting, mouth dryness, and chillness. On autopsy, his liver showed extensive fatty changes, but changes in the other organs were unremarkable.</p> <p><strong>Method: </strong>Toxicological analysis showed high concentrations of acetone in his blood (1651 μmol/l) and urine (1913 μmol/l), without any measurable amounts of ethanol.</p> <p><strong>Result: </strong>Biochemical analysis indicated high levels of 3-hydroxybutyric acid and acetoacetic acid in the plasma, low levels of plasma C-peptide, and normal levels of hemoglobin A1c. Tests for islet-related antibodies in the plasma yielded negative results. Immunohistological examination indicated selective destruction of the pancreatic islet β cells. Based on these findings, we concluded that the cause of death was fulminant type 1 diabetes mellitus associated with diabetic ketoacidosis.</p> <p><strong>Conclusion: </strong>Thus, the toxicological analysis of acetone in the blood and urine is important for the diagnosis of death from fulminant type 1 diabetes mellitus.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.414-419</p> <p><span style="text-decoration: underline;">&nbsp;</span></p> Asuka Ito Hiroshi Kinoshita Mostofa Jamal Naoko Tanaka Tadayoshi Yamashita Kiyoshi Ameno ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 414 419 10.3329/bjms.v19i3.45857 Diarrhea Infections in North-Eastern Ukraine: Evolution of Epidemic Process https://www.banglajol.info/index.php/BJMS/article/view/45858 <p><strong>Background</strong>: The significance of some infection sources, pathways of pathogen transmission and etiological structure of diarrhea infections (DI) have changed. Many issues of DI epidemiology are still insufficiently studied, which prevents the organisation of quality epidemiological surveillance and diseases control.</p> <p><strong>Objectives: </strong>To study the DI epidemic situation (ES) in North- Eastern Ukraine and to identify the factors that determines the characteristics of epidemic process (EP).</p> <p><strong>Material and Methods</strong>: The reports of Ministry of Health of Ukraine (1960- 2018) and Head Statistics Administration of Sumy Oblast (2001-2018) have been used. The biological properties of 40 strains of K. pneumoniae, 50 - S. aureus, 40 - E. cloacae recovered from the feces of patients with DI have been studied</p> <p><strong>Results</strong>: It has been found that the EP of DI is characterized by a sharp decrease in the incidence of typhoid fever and shigellosis, increase in the incidence of salmonellosis and dominance of DI caused by other specified or unspecified pathogens (SDI and UDI) in the nosological structure (p&lt;0.05). The incidence of DI caused by Klebsiella, Staphylococus, Enterobacters exceeds the incidence of salmonellosis, shigellosis, typhoid fever (p&lt;0.05). Opportunistic pathogens (OP), which are pathogens of DI have antilysozyme activity and adhesion ability, which proves their pathogenic potential. The demographics indirectly affect the incidence of DI. Access to water supply, sewerage, hot water supply is correlates with the incidence of DI.</p> <p><strong>Conclusion: </strong>The system of epidemiological surveillance over DI in Ukraine needs improvement by optimisation its information and analytical subsystems aimed at objective epidemiological diagnostics and ES forecasting.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.420-426</p> Nina Malysh Mycola Chemych Viktoriya Zadorozhna Alla Podavalenko Svitlana Birukova ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 420 426 10.3329/bjms.v19i3.45858 Professional values of the nursing students’ Perspective in Jahrom University of medical sciences, 2017 https://www.banglajol.info/index.php/BJMS/article/view/45859 <p>Background and Aim: The main goal of nursing is to promote the value of human beings and the dignity of all those who need care. Nursing should not only include scientific knowledge and technical skills, but also a professionin which professional values are acknowledged. The aim of this study was to determine the professional values from the viewpoint of nursing students in Jahrom University of Medical Sciences. Materials and Methods: In this descriptiveanalytical study, 120 students of Jahrom Nursing and Midwifery Faculty were selected through census sampling. A two-part questionnaire was used to assess the students’ viewpoints toward professional values: Part I: Social-demographic characteristics and Part Two: Nurses professional values scale - Revised survey tool, which consists of 26 items from professional ethics codes of the American Nursing Association and includes the following items: care (9 items), activity (5 items), trust (5 items), professionalization (4 items) and justice (3 items). The options are expressed on the basis of a five-option Likert scale, so that the option with the least importance gets score 1 and the option with the most importance gets the score 5. The range of grades will be from 26 to 130, and a higher score indicates that they are more familiar with professional values. Results: 120 nursing students participated in the present study. Mean scores of dimensions of care, pragmatism, trust, professionalism, and justice were 3.50, 3.20, 3.65, 3.45, and 3.75, respectively. Maintaining competency in the clinical setting (dimension of trust) was the most important componentand activities in professional nursing and research affairs associations (pragmatic dimension). Conclusion: In order to promote the professional development and transformation of today’s students into future capable nurses, it is imperative to develop planning and teaching methods tailored to the existing conditions and facilities, as well as to consider areas of strength and weakness in the area of professional value.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.427-432</p> Marzieh Kargar Jahromi Esmail Parsayee Manesh Fateme Hejazi Zeinab Sadat Moosavifard Farzad Poorgholami ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 427 432 10.3329/bjms.v19i3.45859 Willingness to Pay for Health Insurance among Urban Poor: An Evidence from Urban Primary Health Care Project in Bangladesh https://www.banglajol.info/index.php/BJMS/article/view/45860 <p><strong>Background and Objective</strong>: With the growing concern over treatment cost in health care and the desire to improve the effectiveness and equality of healthcare financing and the quality of the care, policy-makers have turned their attention to health insurance, especially, for the poor. This study attempted to determine the willingness to pay for health insurance among the mothers who utilized the urban primary health care clinic (UPHCC) for maternal and child health.</p> <p><strong>Methods</strong>: This cross-sectional study was carried out in the working areas of UPHC Project in Bangladesh following two-stage cluster sampling technique to select the participants. Data were collected from 3949 women aged 15-49 years having at least one child aged two years or less. The data on willingness to pay for health insurance was collected using the contingent valuation method with bidding style. Data analysis was done by SPSS 22.0 version. Two generalized linear models with binary logit link function and normal identity link function were developed to identify the potential predictors for willingness to pay for monthly health insurance.</p> <p><strong>Results</strong>: Three-fifths (67.5%) of the respondents agreed to pay for monthly health insurance. The median monthly premium for health insurance was BDT 15.5. Multivariate analysis revealed that utilization of UPHC clinic, quality of life, family size, age, wealth index, level of education, husband and respondent’s occupation, ownership status of the house, religion and family income appeared to be potential predictors for health insurance (p&lt;0.05). However, utilization of UPHC clinic and quality of life appeared to be important predictors across all the models.</p> <p><strong>Conclusion</strong>: A large proportion of the community agreed to pay premium for health insurance. Based on the finding of the current study the policy makers might consider introducing a scheme for health insurance especially among the urban poor.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.433-443</p> Md Mizanur Rahman Sharmin Mizan Razitasham binti Safii Sk Akhtar Ahmad ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 433 443 10.3329/bjms.v19i3.45860 Protective Effect of Aloe Vera Gel Extract on Histopathologic Changes in Ovaries and Gonadotropin in MS Model of Rat https://www.banglajol.info/index.php/BJMS/article/view/45861 <p><strong>Objective: </strong>Multiple sclerosis (MS) is a self-immune demyelinating disorder of the CNS, followed by neuropathic discomfort, especially in young people in reproductive age. So, This research was conducted with the aim of assessing the protective effect of Aloe vera gel (AVG) extract on histopathologic changes of the ovary and gonadotropin in an experimental MS model of rat.</p> <p><strong>Methods: </strong>In this research, 30 pieces of rats of Wistar race were randomly divided into 6 groups of 5. 20 pieces, 14μl of ethidium bromide was injected in their lateral ventricles to induce MS. In 5 pieces as control group 2, 14μL of saline was injected into the lateral ventricles, and the remaining 5 rats were considered as control group 1. Treatment of three groups of rats with MS was performed with AVG extract at 50 mg/kg BW, 100 mg/kg BW 100 and 200 mg/ kg BW. At the end, blood sampling to measure serum FSH and LH, Their ovaries were isolated for microscopic examination.</p> <p><strong>Results: </strong>The results of counting the number of ovarian follicles showed a significant decrease in the number of primary and secondary and graafian follicles in group 3, compared to the control group. There is a significant increase in the concentration of FSH and LH in group 3 in comparison to the control group.</p> <p><strong>Conclusion: </strong>Finally, It can be said that by inducing MS, The number of ovarian follicles decreased, and the number of atretic follicles and the concentration of gonadotropin hormones increased, and treatment with AVG extract was effective in improving these factors.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.444-452</p> Elham Rahmanian Koshkaki Abolghasem Abasi Sarcheshmeh Vida Samiei Farzad Rahmanian Koshkaki Fatemeh Mohseni Mina Tajali ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 444 452 10.3329/bjms.v19i3.45861 Changes of liver transaminases levels during one year follow up of Deferasirox treatment in children with β-thalassemia major https://www.banglajol.info/index.php/BJMS/article/view/45862 <p><strong>Objectives: </strong>Abnormal liver function tests lead to interruptions of Deferasirox therapy. The aim of this study is to determine the changes in liver transaminases levels in pediatric patients with β -thalassemia major during one year follow up of Deferasirox treatment.</p> <p><strong>Material and methods: </strong>This study was conducted at Ibn Al Atheer center of thalassemia, Mosul city, Iraq during the period from 3rd of February 2013 till 2nd of February 2014. Seventy one pediatric patients with β -thalassemia major were included in the study. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were measured every 4 weeks after starting Deferasirox therapy dose of 30 mg /kg/day for one year.</p> <p><strong>Results: </strong>In comparison to mean baseline ALT values, there were significant elevations of mean ALT values in each of the subsequent 4-weekly interval readingsafter Deferasirox therapy. There was nearly eleven times relative risk of having ALT ≥ 5 upper normal level (UNL) in patient with abnormal baseline ALT (Odd ratio 10.96,95% Confidence Interval: lower 2.05, upper 58.58). During a year of study, Deferasirox therapy was associated withALT readings of ≥ 5UNL in 22(31%) of pediatric β-thalassemia patients and that elevation lasted for 4 weeks in 95.5% of patients.</p> <p><strong>Conclusions: </strong>Elevated ALT of ≥ 5UNL after Deferasirox therapy was short- lived, and lasted for 4 weeks in 95.5% of patients. It is advisable to start Deferasirox therapy at a dose of 30 mg /kg / day when baseline ALT level is normal.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.453-457</p> Nashwan M Al Hafidh Mozahim S Younis ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 453 457 10.3329/bjms.v19i3.45862 Risk Factors for PoorAutologous Peripheral blood Stem Cell Mobilization among Lymphoproliferative Disease Patients https://www.banglajol.info/index.php/BJMS/article/view/45863 <p><strong>Objective: </strong>Autologous peripheral blood haemopoietic stem cell (PBSC) transplantation is a standard therapeutic option for eligible patients with lymphoproliferative disease (LPD). The prerequisite for autologous PBSC transplantation is the successful stem cell mobilization. This study is aimed to determine the factors associated with poor PBSC mobilization in LPD patient at our center.</p> <p><strong>Materials and </strong><strong>methods: </strong>This retrospective record review involved 39 multiple myeloma (MM) and 92 of lymphoma patients who had undergone PBSC mobilization from January 2009 until December 2016. Patients were mobilized with combination chemotherapy and granulocyte colony stimulating factor. Factors affecting mobilization including patient’s, disease and treatment characteristics werestudied.</p> <p><strong>Results: </strong>Majority of patients were Malay (93.9%) with the mean age at mobilization of 41.4 years. The mean of CD34+ cell dosage was 9.6x106 cells/kg. Successful and poor mobilization was found to be 90.8% and 9.2% respectively. Multivariate analysis showed that the significant risk factors for poor mobilization were age of ≥ 60 years (adjusted OR=38.43, p=0.005) and PB CD34+ cell count, &lt;20 cells/uL (adjusted OR=132.69, p&lt;0.001).</p> <p><strong>Conclusion:</strong>PB CD34+ cell count and age ≥ 60years were the main risk factors for poor PBSC mobilization. Thus, alternative strategies of mobilization is needed to reduce risk of poor mobilization in a such group of patient.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.458-466</p> Mohd Nazri Hassan Azlan Husin Rapiaah Mustaffa Rosline Hassan Mohd Ismail Ibrahim Abu Dzarr Abdullah Noor Haslina Mohd Noor ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 458 466 10.3329/bjms.v19i3.45863 Effects of an eight-week lumbar stabilization exercise programme on selected variables of patients with chronic low back pain https://www.banglajol.info/index.php/BJMS/article/view/45864 <p><strong>Background: </strong>Lumbar stabilisation exercise has been shown to reduce pain and disability in patients with low back pain but information on its potential benefits in term of back muscle endurance is scarce.</p> <p><strong>Objective</strong><strong>: </strong>This study was aimed at investigating the effects of augmenting conventional physiotherapy with lumbar stabilization exercises on selected variables of patients with non-specific chronic low back pain (NSCLBP).</p> <p><strong>Methods</strong>: Forty individuals with NSCLBP aged 20-60 years were assigned to one of experimental or control groups (20 in each). The experimental group had lumbar stabilisation exercises in addition to conventional therapy (transcutaneous electrical nerve stimulator and infrared) which was the only treatment for the control group. Both groups were treated thrice weekly. Participants’ pain intensity, disability index, kinesiophobia level and back muscle endurance were evaluated at baseline and after 8 weeks.</p> <p><strong>Results: </strong>There was significant reduction in pain intensity (experimental: 6.74±1.37; 3.48±1.09; control: 6.57±1.40; 2.96±1.13) and disability index (experimental: 46.60±16.67; 26.55±14.78; control: 32.10±16.16; 24.60±15.27) and increase in back muscle endurance (experimental: 11.05±8.39; 14.30±19.24s; control: 10.85±9.79; 13.90±11.63s) for both groups. Experimental group had significantly greater reduction (p &lt; 0.05) in disability index than the controls (p = 0.048).</p> <p><strong>Conclusion: </strong>Augmenting conventional physiotherapy with lumbar stabilisation exercises achieved better reduction in disability than conventional therapy alone in patients with NSCLBP.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.467-474</p> Ademola O Abass Abiola R Alli Oladapo M Olagbegi Candice J Christie Samuel O Bolarinde ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 467 474 10.3329/bjms.v19i3.45864 Menstrual pattern of severe intrauterine adhesion following hysteroscopy adhesiolysis https://www.banglajol.info/index.php/BJMS/article/view/45865 <p><strong>Objective</strong><strong>: </strong>The purpose of this study was to evaluate the menstrual and uterine shape in patients diagnosed with severe intrauterine adhesion (IUA) on hysteroscopy and to assess the outcome following hysteroscopic adhesiolysis.</p> <p><strong>Materials and methods</strong>: It is a retrospective study of patients with severe intrauterine adhesion who attended with complain of infertility, abortion , and repeated dilatation and curettage to our institution from January 2017 and December 2017. Post hysteroscopic adhesiolysis the inserted of urinary balloon catheter and intrauterine device (IUD). The sodium hyaluronate gel was administered inside the uterus and oral cyclical hormonal treatment was initiated after the surgery to all patients to prevent reformationof adhesion, and promote endometrial regeneration respectively. The outcome of menstrual pattern and uterine shape were retrospectively analyzed. Data analyzed was performed with SPSS for Windows, version 20.0). Statistically significant level was set at p&lt;0.05.</p> <p><strong>Results</strong>: In a total number of 64 patients with severe intrauterine adhesion and mean age of 30.1 years old were participated in this study. No identification of any complication around the hysteroscopy adhesiolysis. Out of 64 severe IUA patients, 59 (92.1%) patients had second, 42 (65.6%) had the third hysteroscopic adhesiolysis procedure required. After 3 months follow-up, restore of uterine shape and 95 % of patients in progress to normal menstruation, which was considered as significant (p&lt;0.05).</p> <p><strong>Conclusion</strong>: The patients with severe intrauterine adhesion (IUAs) have found significant progress of normal pattern of menstruation with normal shape of the uterine cavity following hysteroscopic adhesiolysis. The repeat procedure and strategies are necessary for prevention of adhesions.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.475-479</p> Umme Salma ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 475 479 10.3329/bjms.v19i3.45865 Possible role of grape fruit in controlling hyperglycemia and associated complications: Better glycemic control in healthy subjects through fruits fibers as compared to fruit juices https://www.banglajol.info/index.php/BJMS/article/view/45866 <p><strong>Background</strong><strong>: </strong>Diabetes is regarded as a chronic disorder, which is globally spreading at an alarming rate and individuals are being pushed down by the burden of diabetes. Different measures and control programs have been conducted for awareness of this disaster endocrine disease as its associated complications.</p> <p><strong>Objective: </strong>Current study has been conducted to evaluate the hypothesis that whole fruits provide better glycemic control than fruit juices.</p> <p><strong>Materials </strong><strong>&amp; Methods: </strong>The study includes two groups of healthy volunteers, one group was on whole fruits while another group was supplied with fruit juices of same fruits and fasting blood sugar and random blood sugar were monitored.</p> <p><strong>Results: </strong>Results revealed that whole grapefruit and orange fruit play effective role in maintaining random blood sugar levels in comparison to juices. Further suggested that dietary fibers are not only effective in regulating blood sugar, but also influence on blood pressure and pulse rate.</p> <p><strong>Conclusion</strong><strong>: </strong>Based on above findings, it has been concluded that type 2 diabetes patients can achieve better glycemic control by dietary fibers rather than juices, and it may be helpful in controlling diabetes related complication such as high blood pressure.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.480-485</p> Somia Gul Humera Khatoon Nameera Ahmed Haneen Rashid Agha Zeeshan Mirza ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 480 485 10.3329/bjms.v19i3.45866 Cytotoxic Effect of Geranylphenol Derivatives in the Human Breast Cancer Cell Line MDA-MB-231 and Gastric Cancer Cell Line MKN74 https://www.banglajol.info/index.php/BJMS/article/view/45867 <p><strong>Background: </strong>Previous studies have demonstrated that geranyl metabolites, found mainly in marine organisms, exhibit interesting antimicrobial and antifungal activities. In addition, linear geranyl derivatives have been synthesized as drugs and reported cytotoxic and anticancer activities.</p> <p><strong>Aims: </strong>Considering the biological testing and the structural features of these compounds, we evaluated seven linear geranylphenol derivatives on the human breast cancer cell line MDA-MB-231, and the human gastric cancer cell line MKN74.</p> <p><strong>Results: </strong>We found that compounds <strong>2</strong>, <strong>5 </strong>and <strong>7 </strong>were cytotoxic for both cancer cell lines. From them, the most potent was compound <strong>2</strong>, with an IC50=7.5 μM for MKN74 cells, and compound <strong>7</strong>, with an IC50=14.73 μM for MDA-MB-231 cells. By nuclear staining and inmunocytochemistry, we detected that the three compounds induced cell death, and by Western blot analysis, we observed a remarkable decrease in the expression of cyclin D1 and the retinoblastoma protein, key regulators of the cell cycle.</p> <p><strong>Conclusion: </strong>Considering that compounds <strong>2 </strong>and <strong>7 </strong>were the most potent compounds inducing cell death, and were able to decrease the expression of retinoblastoma protein and cyclin D1, proteins usually altered in different types of cancers, they appear as promising therapeutic agents against cancer.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.486-500</p> Luis Espinoza Lautaro Taborga Paulina Araya Fernando Delgado López S Pilar Zamora León ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 486 500 10.3329/bjms.v19i3.45867 Comparative Study of Transmission and Control of HIV/AIDS in Pakistan https://www.banglajol.info/index.php/BJMS/article/view/45868 <p><strong>Background</strong>: HIV/AIDS is nowadays considered as the greatest public health disaster of modern time. It has become the challenge for the global population for decades.</p> <p><strong>Method: </strong>In our study, we shall emphasize on comparative study which coordinates the field of health awareness activities on the basis of educational and informational campaigns.</p> <p><strong>Result: </strong>For this purpose we generate a mathematical model having two susceptible classes depending on changes in behavior with educational activities.</p> <p><strong>Conclusion: </strong>We shall try to create stability between the numbers of infected individuals and the cost of the education campaign using optimal control theory.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.501-508</p> Syed Rizwan Ul Haq Tirmizi Syed Talha Tirmizi Nasiruddin Khan Syeda Amara Tirmizi ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 501 508 10.3329/bjms.v19i3.45868 Antibacterial Effect of Some Palestinian Plant Extracts against Clinical Multidrug-Resistant Gram- Negative Bacteria: A possible synergism with antibiotics https://www.banglajol.info/index.php/BJMS/article/view/45869 <p><strong>Objectives: </strong>The present study was designed to screen the antibacterial and synergistic effects of Allium sativum<strong>, </strong>Ecballiumelaterium, Pelargoniumgraveolens, Rosmarinusofficinalis, Phagnalonrupestre and Rutagraveolens plant extracts and essential oils against the followingclinical multidrug-resistant(MDR) Gram negative pathogenic isolates: Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa.</p> <p><strong>Methods: </strong>All extracts and essential oils were screened for their antibacterial activity and synergistic effect in combination with known antibiotics.The minimum inhibitory concentrations (MICs) and the minimum bactericidal concentrations (MBCs) of the plant extracts were assessed.</p> <p><strong>Results: </strong>Our results revealed that, the average diameter of inhibition zones ranged from: 7-14 mm, 7-17 mm, 8-17 mm and 7-13 mm for water, ethanol, methanol and EOs extracts, respectively. The MICs and MBCs were determined for extracts which showed antibacterial activity. The average MICs values ranged from 1.6-100 mg/ml, 1.6-50 mg/ml, 0.39 -50 mg/ml and 3.13-100 μl/ml for water, ethanol, methanol and EOs extracts, respectively. While MBCs values ranged from 25-&gt;200 mg/ml, 25- 200 mg/ml and 50-&gt;200 μl/ml for water, ethanol, methanol and EOs extracts, respectively. The antibacterial activity of the afore mentioned plant extracts combined with Ciprofloxacin (CIP), Ampicillin (AM), Cefotaxime (CTX), Nalidixic acid (NA), Norofloxacin (NOR), Cefuroxime (CXM), Cefaclor (CF), Ofloxacin (OFX), Cefalexin (CL), Tetracycline (TE), Rifampicin (RIF), Amoxyclav (AMC) and Amikacin (AK) had different degrees of synergism against the selectedbacteria.Essential oils (Eos) of screened plants had the best synergism with antibiotics than the plant extracts against the tested bacteria. The best synergism was noticed in the Eos of A. sativum, P. graveolens and R. officinalis.</p> <p><strong>Conclusion: </strong>It was concluded that the synergistic effect of antibiotics and plant extracts is promising approach fortreating infectious diseases caused byMDR Gram negative bacteria.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.509-519</p> Emad Abou Elkhair Tarek A El Bashiti Atef A Masad Wesam S Abu Draz ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 509 519 10.3329/bjms.v19i3.45869 Evaluation of wound healing biomarkers of Interleukin 6 (IL-6), Vascular Endothelial Growth Factor (VEGF) and Matrix Metalloproteinases 9 (MMP-9) in post Lower Segment Caesarean Section (LSCS) patients consuming Channa Striatus extract https://www.banglajol.info/index.php/BJMS/article/view/45870 <p><strong>Background</strong><strong>: </strong>Wound healing is a dynamic process which is divided into four phases; haemostasis, inflammatory, proliferation and tissue remodelling phases, that encompasses inflammatory cells, cytokines and growth factors. Interleukin-6 (IL-6), Vascular Endothelial Growth Factor (VEGF) and Matrix Metalloproteinase 9 (MMP-9) involve at the different phases of wound healing. Channa striatus (C.striatus) is a fresh water fish that is believed to have natural properties to promote wound healing. Currently, the effects of C.striatus on the cytokines and growth factors are not available.</p> <p><strong>Objective</strong>: This study was conducted to evaluate the wound healing biomarkers; IL-6, VEGF and MMP-9 on post Lower Segment Caesarean Section (LSCS) women consuming oral C.striatus extract.</p> <p><strong>Methods</strong>: This was a randomised, double-blinded study amongst LSCS women consuming C.striatus extract versus a placebo at Universiti Sains Malaysia Hospital and Raja Perempuan Zainab II Hospital from May 2011 to January 2013. After randomization, the treatment group received freeze dried C.striatus extract 500 mg daily while the placebo group received maltodextrin 500 mg daily for 6 weeks. Blood samples for IL-6, VEGF and MMP-9 were taken from both groups post-operatively at day 3, week 2, week 4 and week 6. The data were analysed using SPSS version 22.</p> <p><strong>Results</strong>: A total of 39 patients from C.striatus and 34 patients from placebo group were included in this study. Within C.striatus group, the results of IL-6, MMP-9 and VEGF showed significant differences (P&lt;0.05) for all the study period. Between group comparison showed significant difference (P&lt;0.05) on week 4 and week 6 for IL-6 and MMP-9 whereas VEGF showed significant difference (P&lt;0.05) on day 1, day 3, week 4 and week 6. The trend of IL-6 and MMP-9 exhibit decreasing trend in both groups however, VEGF in C.striatus group exhibit increasing trend till week 6 compared to placebo group.</p> <p><strong>Conclusion</strong>: This study showed C.striatus extract had effects on IL-6, VEGF and MMP-9 in post LSCS women.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.520-526</p> Julia Omar Noorazliyana Shafii Ahmad Ezam Zainan KNS Sirajudeen Mohamed Rusli Abdullah ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 520 526 10.3329/bjms.v19i3.45870 Examining the relationship between living conditions, work environment and intent to stay among nurses in current posts in rural areas of Odisha state, India https://www.banglajol.info/index.php/BJMS/article/view/45871 <p><strong>Objectives </strong><strong>: </strong>The scarcity of nursing workforce in rural and underserved areas are key challenges for healthcare systems across the countries. Such inequities have not only impede quality care but also an impact to population health outcomes especially in developing countries. An understanding about nurses’ retention and attrition are crucial to inform policy and decision makers for improved rural retention among nursing workforce. The aim of the study was to examine the relationship between living conditions, work environment and intent to stay in current posts of work; and the associated factors influencing intent to stay in current posts of work among nurses in rural areas of Odisha state, India.</p> <p><strong>Methods </strong><strong>: </strong>A cross sectional survey was conducted among 232 nurses from October 2016 to February 2017. Multistage sampling technique was used to select the study subjects from rural hospitals. Data were collected using structured self-administered questionnaires. Descriptive statistics were computed to summarize the basic characteristics of study sample. Logistic regression model was fitted and odds ratio with 95% of confidence interval was calculated to identify associated factors</p> <p><strong>Results</strong><strong>: </strong>The proportion of a nurse’s intent to stay and continue working in rural areas for next 3 years was 73.7%. There was a positive correlation between intention to stay with the living conditions and work environment. Logistic regression shown that age (OR=0.95, 95% CI = 0.89 - 0.98, P = 0.047), living conditions (OR = 1.13, 95% CI = 1.04 - 1.22, P=0.009) and work environment (OR = 1.07, 95% CI = 1.01 – 1.14, P = 0.015) were the significant predictors that are associated with intent to stay in rural areas among the nursing profession.</p> <p><strong>Conclusion </strong><strong>- </strong>Improving living conditions and creating a culture of supportive work environment among the nursing community in rural areas can create increased retention in the workforce.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.527-536</p> Manas Ranjan Behera Deepanjali Behera Chardsumon Prutipinyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 527 536 10.3329/bjms.v19i3.45871 Characteristics and survival rates of patients experience In-hospital cardiac arrest: A retrospective study in a Tertiary care Indian Hospital https://www.banglajol.info/index.php/BJMS/article/view/45872 <p>Abstract not available</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.537-542</p> Porkodi Arjunan Trichur Venkatakrishnan Ramakrishnan Shreedevi Gandhamaneni ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 537 542 10.3329/bjms.v19i3.45872 The role of insertion-deletion polymorphism of the ACE gene in development of arterial hypertension in patients with chronic obstructive pulmonary disease https://www.banglajol.info/index.php/BJMS/article/view/45873 <p><strong>Objective. </strong>This study aims to establish the role of insertion-deletion polymorphism of the angiotensin-converting enzyme gene in development of arterial hypertension in patients with chronic obstructive pulmonary disease.</p> <p><strong>Materials and Methods: </strong>The study group consisted of 96 patients: Group 1 (25 individuals with COPD), Group 2 (23 individuals with AH), Group 3 (28 individuals with COPD and AH). The control group consisted of the 20 healthy subjects. I/D genotypes of ACE were determined by polymerase chain reaction (PCR) amplification. Plasma ACE activity was determined photometrically by a commercially available kit.</p> <p><strong>Results and </strong><strong>Discussion: </strong>The distribution of polymorphic variants of the ACE gene among COPD-only patients genotype spreading was close to the data obtained in controls. In hypertensive patients, there were fewer ID heterozygotes and more ІІ homozygotes compared to controls. In the COPD+AH category of patients, II genotype was predominant in 7.1% subjects, DD genotype was predominant in 10.0% subjects and the proportion of ID heterozygotes was 17.1% lower compared to controls. The II genotype had a positive relationship with patient age and a negative relationship with body weights and respiratory rates of COPD+AH patients. The ID genotype was associated with increased respiratory rates; however, its correlation with the duration of the disease was negative.</p> <p><strong>Conclusion: </strong>The data obtained in the study allow suggesting that polymorphism of the ACE gene doesn’t relate to development of AH in patients with COPD. The highest activity of ACE was found in patients with combination of COPD and AH; maximum findings of ACE activity were seen in patients with DD genotype.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.543-551</p> Mariya Marushchak Khrystyna Maksiv Inna Krynytska Mariya Koval ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 543 551 10.3329/bjms.v19i3.45873 Study of oral lactobacillus towards developing a comprehensive structured for integrated exponential regression model https://www.banglajol.info/index.php/BJMS/article/view/45874 <p><strong>Introduction</strong><strong>: </strong>Probiotics are well-defined as live microorganisms that usefully affect the host and probiotic bacteria have been used intensely. For years to target gastrointestinal disease by rebalancing the compound microflora. Besides the gastrointestinal tract also the oral cavity is highly colonized by bacteria and many different bacterial species are part of the microbiota in the mouth, as it offers ideal conditions for bacteria with a stable temperature, moist surface with a relatively stable pH and regular supply of nutrients. Probiotic bacteria like Lactobacillus are a promising treatment strategy for oral disease with a microbiological etiology. To gain better results, many researchers that study and emphasize specific methods been tried to build a new or improved methodology.</p> <p><strong>Objectives</strong>: The aimed of this study is to improve the performance of exponential growth by adding bootstrap and fuzzy techniques (Integrated exponential regression method). The aim of the research work is to develop a comprehensive framework for an integrated exponential regression model.</p> <p><strong>Material and Methods</strong>: The data were taken from the present data available from the recently done by a researcher for nurturing selected microorganisms. The gathered data will be used for the exponential modeling and the efficiency of the model will be compared accordingly due to the predicted interval from the exponential regression method and an integrated exponential regression method. This paper also provides the algorithm for the prediction of cell growth and inferences.</p> <p><strong>Results</strong>: The result shows that the average width for the exponential regression model was 19.2228 while an integrated exponential regression method was 0.0075. The average width of integrated exponential regression was smaller than the exponential regression. This clearly shows that the integrated exponential regression method is more efficient than exponential regression technique.</p> <p><strong>Conclusion</strong>: This proposed method can be applied to small sample size data, especially when limited data is obtained.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.552-557</p> RabiatulAdawiyah Abdul Rohim Wan Muhamad Amir W Ahmad Noor Huda Ismail Muhammad Azeem Yaqoob Mohammad Khursheed Alam Farah Muna Mohamad Ghazali ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 552 557 10.3329/bjms.v19i3.45874 The effct of peer education on the self-efficy and mental adjustment of breast cancer patients undergoing chemotherapy https://www.banglajol.info/index.php/BJMS/article/view/45875 <p><strong>Background</strong>: Breast cancer ranks the first common cancer in women in Iran and is the fifth mostcommon cause of death. Peer education on the self-efficacy and mental adjustment of breastcancer patients undergoing chemotherapy can contribute to their easier adaptation to the disease.This study aimed to determine the improved mental adjustment and self-efficacy for womenundergoing chemotherapy through peer education.</p> <p><strong>Study Design</strong>: This study was conductedusing pre- and post-test follow up and control design approach. 70 women with breast cancerwho underwent chemotherapy in Nemazi hospital participated in this study.</p> <p><strong>Method: </strong>Usingconvenient sampling, the participant were selected and randomly assigned into two groups. Theexperimental group was randomly assigned to four groups and peer education was conductedone educational session per week for 6 weeks. To assess mental adjustment and self-efficacybefore and after the study, Mini-Mental Adjustment to Cancer Scale (Mini-MAC) and Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B) questionnaires were used.Chi-square and t-test were used to analyze the data.</p> <p><strong>Results</strong>: For the experimental group, theresults showed statistically significant improvement in self-efficacy (p&lt;0.000) while the controlgroup showed no significant difference in self-efficacy. Mental adjustment inside each groupshowed a significant increase over the time, but no statistically difference was observed betweenthe groups.</p> <p><strong>Conclusion</strong>: It is suggested that peer led education is a useful teaching strategy asa supportive intervention for women undergoing chemotherapy to improve their self-efficacyregarding breast cancer.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.558-566</p> Rita Rezaee Nasrin Shokrpour Maryam Rahimi Arash Mani ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 558 566 10.3329/bjms.v19i3.45875 Awareness about Reproductive Health Issues among the Adolescent Girls in a Rural Area of Bangladesh https://www.banglajol.info/index.php/BJMS/article/view/45876 <p><strong>Background: </strong>In Bangladesh there is a scarcity of data on the degree of knowledge amongadolescents about reproductive health.</p> <p><strong>Objective</strong><strong>: </strong>To assess the awareness about reproductivehealth issues among adolescent girls in a rural area of Bangladesh.</p> <p><strong>Materials and method</strong><strong>: </strong>Thisdescriptive type of cross sectional study was conducted among 148 adolescent girls who wereselected purposively at PurbaChandara village of Kaliakairthana of Shafipurupazilla of Gazipurdistrict in Bangladesh. A pre-tested semi structured questionnaire was used to collect data byface to face interview.</p> <p><strong>Results: </strong>Most of the respondents (76.35%) were within the age group of15-19 years<strong>. </strong>The average age of their menarche was 14 years. Majority of the respondents 136(91.89%) had history of menstruation and 97 (65.54%) mentioned the duration of menstrualcycle &gt; 7 days. Regarding the hygienic practice during menstruation, majority of them (68.24%)were unhygienic. About knowledge on age at marriage, 131 (88.51%) reportedly mentionedcorrect answer that marriage age is 18 years or more for girls. Regarding the knowledge onfamily planning and family planning methods, most of them (41.89%) had no knowledge.About the infection of reproductive tract, 87 (58.78%) had no knowledge and about half of therespondents (92; 56.79%) had no knowledge about symptoms of STDs.</p> <p><strong>Conclusion</strong><strong>: </strong>it is ourresponsibility to improve the condition of adolescent girls by giving clear and correct knowledgeon reproductive health which will help them to maintain a good and sound reproductive healthin future.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.567-574</p> Nasreen Akther Meherunnessa Begum Tamanna Tasmin Khondoker Saif Imtiaz Ahmed Nawsher Alam Asma Begum Nadia Begum ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 567 574 10.3329/bjms.v19i3.45876 Role of Intraoperative Ultrasonography on Neocortical Brain Tumor Surgery https://www.banglajol.info/index.php/BJMS/article/view/45877 <p><strong>Objective: </strong>Among imaging modalities, ultrasonography (US) is one of the most versatilechoice, with its low cost, lack of radiation exposure, and minimally disrupted surgery flow.We described the use and characteristics of intraoperative ultrasonography (US) in selectedcases in our center to assist the intracranial tumor resection.</p> <p><strong>Methods :</strong>Seventy patients wereoperated from 2011 to 2018 at Kariadi Hospital with the help of intraoperative US. Fifty sixpercents of cases were cystic tumors, 25% were abscess and 19% were metastatic tumors Weused seven parameters to measure the utility of intraoperative US and a utility score was devised(0 minimum, 7 maximum).</p> <p><strong>Results: </strong>The utility score for intraoperative US was 7 in 3 cases(4%), 6 in 28 cases (54%), 5 in 21 cases (31%), 4 in 8 cases (11%), while no case had score ≤3.</p> <p><strong>Conclusion: </strong>Intraoperative US is not only helpful in localizing lesions but also it can be usedin determining the morphology of the lesion for some cases, which was glioma in our case.Intraoperative US is also helpful when to start planning the site of entry and complete resection.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.575-578</p> Muhamad Thohar Arifi Yuriz Bakhtiar Erie Andar Dody Priambada Happy Kurnia Ajid Risdianto Krisna Tsaniadi Gunadi Kusnarto Aris Setiyawan Jacob Bunyamin Zainal Muttaqin ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 575 578 10.3329/bjms.v19i3.45877 Primary Breast Sarcoma https://www.banglajol.info/index.php/BJMS/article/view/45878 <p>Breast sarcomas are an extremely rare and heterogeneous group of malignancies derived fromnon-epithelial elements of the gland constituting less than 1% of total breast malignanciesand less than 5% of all soft tissue sarcomas. It can be divided into two categories: de novodevelopment (primary) or secondary. These tumors are important as they have a high rate ofrecurrence and poor prognosis. In addition it is important to differentiate these tumors frombreast carcinoma as the treatment differs in these two entities. We present a case of primarybreast sarcoma in a 46 year old nulliparous Chinese woman.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.579-581</p> Mansharan Kaur CS ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 579 581 10.3329/bjms.v19i3.45878 Sustaining an obturator prosthesis with zygomatic suspension wires in a case of subtotal maxillectomy and insuffient ridge supported retention: A case report https://www.banglajol.info/index.php/BJMS/article/view/45879 <p><strong>Purpose: </strong>For making denture in maxillectomy cases is very difficult and challenging to get the retention tomake the denture stable in its position during functioning. This case report describes a clinical condition inwhich patient was treated with a maxillary obturator with zygomatic suspension wiring due to insufficientretention in the palate.</p> <p><strong>Materials and Methods: </strong>A 63-year-old patient had gone to a subtotal maxillectomybecause following myofibroblastic sarcoma andwas issued with bilateral circum-zygomatic wiring hooksimmediately after surgery. The patient had less than a third of their alveolar ridge remaining and did notprovide sufficient retention on its own. The wires were used for the retention because natural retentioncould not get due to inadequate maxillary ridge. While the denture was being fabricated, a temporaryfeeding plate was provisioned to the patient. Counter hooks were implemented on the definitive upperdenture, posterior to molars, to attach to the zygomatic suspension hook. Final upper denture was furtherreinforced with denture adhesive on it. A lower denture was also fabricated for the said case followingconventional protocols of jaw relation determination.</p> <p><strong>Results: </strong>The obturator provided with adequate sealand leak proof phonetics. The zygomatic wiring coupled with denture adhesive were sufficient to provideadequate retention.</p> <p><strong>Conclusion: </strong>Zygomatic suspension wires coupled with counter hooked obturatorprosthesis provide rehabilitation of patients with palatal defects with inadequate maxillary arch forretention.However long-term repeated use of such wires might expose the patient to secondary infectionsand should be kept in consideration</p> <p><strong>Clinical Significance: </strong>Circum-zygomatic suspension wiring providesufficient retention to sustain the upper obturator prosthesis in place. However, the retention was stillinadequate, so denture adhesives were used to make it more stable.</p> <p>Bangladesh Journal of Medical Science Vol.19(3) 2020 p.582-585</p> Matheel Al Rawas Farah Rashid Aparna Barman Taseef Hasan Farook Ayman AL Oulabi Nafi Bin Jamayet Mohammad Khursheed Alam ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 2020-03-10 2020-03-10 19 3 582 585 10.3329/bjms.v19i3.45879