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> (2019): 0.22</p> <p><img src="/public/site/images/admin/unnamed.png" width="162" height="121"></p> en-US <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> kholdun@hotmail.com (Dr Abu Kholdun Al-Mahmood) banglajol.info@gmail.com (Md Fahmid Uddin Khondoker) Thu, 18 Jun 2020 00:00:00 +0000 OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 Combating COVID-19: A Coordinated Efforts of Healthcare Providers and Policy Makers with Global Participation Are Needed to Achieve the Desired Goals https://www.banglajol.info/index.php/BJMS/article/view/47610 <p>Abstract not available</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p.01-05</p> Mainul Haque ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/47610 Thu, 18 Jun 2020 00:00:00 +0000 Modeling and Short-Term Forecasts of Indicators for COVID-19 Outbreak in 25 Countries at the end of March https://www.banglajol.info/index.php/BJMS/article/view/47611 <p><strong>Objective:</strong> The coronavirus, which originated in Wuhan, causing the disease called COVID-19, spread more than 200 countries and continents end of the March. In this study, it was aimed to model the outbreak with different time series models and also predict the indicators.</p> <p><strong>Materials and Methods:</strong> The data was collected from 25 countries which have different process at least 20 days. ARIMA(p,d,q), Simple Exponential Smoothing, Holt’s Two Parameter, Brown’s Double Exponential Smoothing Models were used. The prediction and forecasting values were obtained for the countries. Trends and seasonal effects were also evaluated.</p> <p><strong>Results and Discussion:</strong> China has almost under control according to forecasting. The cumulative death prevalence in Italy and Spain will be the highest, followed by the Netherlands, France, England, China, Denmark, Belgium, Brazil and Sweden respectively as of the first week of April. The highest daily case prevalence was observed in Belgium, America, Canada, Poland, Ireland, Netherlands, France and Israel between 10% and 12%.The lowest rate was observed in China and South Korea. Turkey was one of the leading countries in terms of ranking these criteria. The prevalence of the new case and the recovered were higher in Spain than Italy.</p> <p><strong>Conclusion:</strong> More accurate predictions for the future can be obtained using time series models with a wide range of data from different countries by modelling real time and retrospective data.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p.06-20</p> Handan Ankaralı, Nadire Erarslan, Özge Pasin, Abu Kholdun Al Mahmood ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/47611 Thu, 18 Jun 2020 00:00:00 +0000 “Innovative Anatomy assessment methods in COVID-19 Pandemic: statistical observations and students viewpoints” https://www.banglajol.info/index.php/BJMS/article/view/47831 <p><strong>Background: </strong>Currently anatomy training and assessment is seriously disrupted in COVID-19 Pandemic lockdown. New challenges of anatomy curriculum and assessment method development are being attempted based upon resources, expertise and technical skills of educators. This study aims at creating a standard operation procedure (SOP) for conducting gross anatomy assessment, finding statistical relevance and discusses viewpoints of students reflected in feedback<strong>.</strong></p> <p><strong>Materials and methods: </strong>a retrospective cross sectional study was conducted on 250 first year students at GSVM Medical College Kanpur India. Students were briefed about SOP and were given choice to opt for either of three interview modalities of assessment tool [Viz. Telephonic Interview (GROUP T), Whatsapp© video call (GROUP W) and Zoom<sup>©</sup> meetings (GROUP Z)] and submit subjective feedbacks to assessor regarding new assessment format<strong>. </strong>The marks obtained as response distribution were subjected to descriptive statistics. One way ANOVA was applied to test any difference in means at (P&lt;0.05) followed by post-hoc pair wise test amongst groups corrected to <em>Bonferroni adjusted alpha level </em>of [P&lt;0.0167] per test.</p> <p><strong>Results: </strong>Among 97.2% respondent ANOVA test result pointed that the types of interview pattern preferred had no significant impact on obtained score [F (2,240) = 2.80, p = .062], post-hoc test further confirmed that there was no significant difference between groups.</p> <p><strong>Conclusion: </strong>the assessor and students both need to evolve and adapt to paradigm changes. Student’s feedback will serve to tailor the assessment tool by refining validity, consistency, reliability and interaction dynamics of assessment designs. Alternative evidence based futuristic assessment methods exploration are call of the hour.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p.S 21-S 27</p> Nidhi Gupta, Suniti Pandey, Ashutosh Anshu ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/47831 Thu, 02 Jul 2020 01:36:26 +0000 Patients’ case scenario as well as approaches and strategies adopted to manage COVID-19 pandemic at Aligarh Muslim University, Aligarh, India https://www.banglajol.info/index.php/BJMS/article/view/47832 <p>Corona virus Disease 2019 (COVID-19) is a severe acute respiratory infection caused by corona virus-2 (SARS-CoV-2). It originated from Wuhan city of China in December 2019 and spread like a wild fire to the entire globe and was declared as global pandemic by WHO on March 11, 2020. With no available cure and vaccine, this disease has taken a mammoth toll on the human life; therefore, SMS (‘Social Distancing’, use of ‘Mask’ and regular hand washing with ‘Soap’) has emerged as a sole tool to prevent its spread. The Indian government declared the first lockdown from March 25th 2020 with subsequent second, third and fourth lockdowns up to 31st March 2020 to decrease the disease transmission and flatten the disease transmission curve. Aligarh Muslim University is one of the prestigious central and residential universities in India. It is located in Aligarh district adjoining national capital region. The university has an attached tertiary care ‘Jawaharlal Nehru Medical College Hospital’. This narrative review discusses the various steps and procedures taken up by the university and hospital administration, other functionaries, faculty members and doctors in tackling the serious pandemic until 22nd June 2020. The proactive role of administration, dedication and hard work of health care professionals and innovation of some academicians has given a new vista of opportunities to tackle this global health pandemic. The recovery rate of coronavirus patients at AMU hospital is recorded as 71.9%, which is much higher than national average recovery rate (56%). Thus, AMU model gives some positive insights to fight the current global pandemic.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 28-S 35</p> Syed Ziaur Rahman, Saif Khan ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/47832 Thu, 02 Jul 2020 01:36:43 +0000 Availability and price changes of potential medicines and equipment for the prevention and treatment of COVID-19 among pharmacy and drug stores in Bangladesh; findings and implications https://www.banglajol.info/index.php/BJMS/article/view/48106 <p><strong>Objective</strong><strong>: </strong>There are concerns with increased prices and drug shortages for pertinent medicines and personal protective equipment (PPE) to prevent and treat COVID-19 enhanced by misinformation. Community pharmacists and drug stores play a significant role in disease management in Bangladesh due to high co-payments. Consequently, a need to review prices and availability in the pandemic.</p> <p><strong>Materials and Methods</strong><strong>: </strong>Multiple approach involving a review and questionnaire among pharmacies and stores early March to end May 2020.</p> <p><strong>Results and Discussion</strong><strong>: </strong>170 pharmacies and drug stores took part, giving a response rate of 63.9%. Encouragingly, no change in utilization of antimalarial medicines in 51.2% of stores despite global endorsements. However, increased utilisation of antibiotics (70.6%), analgesics (97.6%), vitamins (90.6%) and PPE (over 95%). Encouragingly, increases in purchasing of PPE. No increase in prices among 50% of the stores for antimalarials, with a similar situation for antibiotics (65.3%), analgesics (54.7%), and vitamins (51.8%). However, price increases typically for PPE (over 90% of stores). Shortages also seen for medicines and PPE, again greater for PPE.</p> <p><strong>Conclusions</strong><strong>: </strong>The pandemic has impacted on the supply and prices of medicines and PPE in Bangladesh. Key stakeholder groups can play a role addressing misinformation, with enhanced local production helping address future shortages and prices.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 36-S 50</p> Mainul Haque, Salequl Islam, Samiul Iqbal, Umme Laila Urmi, Zubair Mahmood Kamal, Aminur Rahman, Mustafa Kamal, Monami Haque, Iffat Jahan, Zakirul Islam, Mohammad Monir Hossain, Munzur E Murshid, Israel Sefah, Amanj Kurdi, Brian Godman ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48106 Fri, 10 Jul 2020 16:33:39 +0000 Ibn Tofail’s University students’ satisfaction evaluation towards distance learning and its impacts on the students’ mental health during the Covid 19 Confinement. https://www.banglajol.info/index.php/BJMS/article/view/48166 <p><strong>Aims, objectives and methods</strong>: The study we have conducted aims to evaluate Moroccan students’ satisfaction level with regard to the use of distance learning platforms during the Covid 19 confinement period. We also attempt to examine the impact of distance learning on the students’ mental health.Our research has demonstrated that imposing distance learning as a learning process to students produces a substantial stress level within 49% of the investigated student population.Indeed, the students’ full immersion in distance learning process has obviously arose technical and pedagogical brakes within (87%) of the questioned student population, and also psychological brakes within (27%) of the respondent population. Furthermore, the particularity of this confinement’s period has brought to light three students’ categories regarding the use of distance learning in their training and learning process and behavior.</p> <p><strong>Recommendations</strong>:Our study’s results can be considered very relevant because they show a clear correlation between the adoption of distance learning, as a new teaching approach, and, the perceived stress level (49%) involved during this process. Therefore, the clear necessity of material, pedagogical and psychological supports to be implemented during this transition stage.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 51-S 57</p> Keltoum Rahali, Zakaria Abidli, Abderrazzak Khohmimidi, - Mohamed Elhamzaoui, Raja Seghiri, Khaoula Jabari, Elmahjoub Aouane, Abdelaziz Chaouch ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48166 Mon, 20 Jul 2020 02:05:32 +0000 Impact of containment type on Covid-19 propagation in Morocco using the SIR model. https://www.banglajol.info/index.php/BJMS/article/view/48167 <p><strong>Objective and mehtods</strong>: Our objective is to determine the containment effect on the spread of Covid 19 in Morocco. The methodology is based on an epidemiological study whose objective is to take stock of the current situation and to estimate the future spread of Covid-19 over time in Morocco. Several conditions were considered using the SIR epidemiological model for a better reliability of the results. During the study period from the appearance of the first case until 19 June 2020, Morocco reported 9074 cases of infections, 213 deaths with a lethality of 2.35% and a mortality of 6.04 per million inhabitants.</p> <p><strong>Results and Conclusion</strong>: The results of the SIR model show a sudden increase in infections. The peak would be 4.4 million inhabitants or 12% of the total population under confined conditions. Selon ces résultats,Containment is one of the most effective methods of reducing the risk of infection.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 58-S 65</p> Nada Lebkiri, Zakaria Abidli, Sara Jadda, Abdelrhani Mokhtari, Abdelmajid Soulaymani ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48167 Mon, 20 Jul 2020 02:05:44 +0000 Emergency Surgery in A Tertiary Hospital: The Covid-19 Experience https://www.banglajol.info/index.php/BJMS/article/view/48168 <p><strong>Objective</strong><strong>: </strong>Evaluate the impact of Covid-19 in a critical area and analyze the changes in the daily activities in an Emergency Department of a tertiary COVID-Hospital.</p> <p><strong>Methods</strong><strong>: </strong>We reported and compared the surgical procedures performed for acute appendicitis and acute cholecystitis between two periods (March and April 2019 and March and April 2020) at Emergency Surgery Department of Parma University Hospital, a tertiary COVID-Hospital.</p> <p><strong>Results</strong><strong>: </strong>A total of 72 patients underwent surgery between March and April 2019 and 36 between March and April 2020 for acute appendicitis and cholecystitis. The average length of stay was comparable in the two considered years for LA (4.23±1.69 days in 2019 versus 4.5±2.33 days in 2020). The average length of stay in patients with acute cholecystitis was 5.9±3.8 days in 2019 and 8.23±5.5 days in 2020(P=0.038). The average hospitalization was comparable with 2019 data (5.62±3.77 days)n March 2020;whereas, April 2020 was statistically significantly longer 10.5±6 days (P= 0.023).</p> <p><strong>Conclusions</strong><strong>: </strong>Half of the emergency centers reported a drop in the overall number of urgent cases as confirmed in our department, where the number of total appendicectomy and cholecystectomy was halved comparing the two months in 2019 and 2020, 72 operations in 2019 versus 36 operations in 2020.During the pandemic, the confidence of the population to the healthcare systems was poor, and this can explain the delayed access to the emergency department of patients who suffered from an acute illness.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 66-S 68</p> Gennaro Perrone, Mario Giuffrida, Elena Bonati, Paolo Del Rio, Vittoria Pattonieri, Antonio Tarasconi, Federico Coccolini, Massimo Sartelli, Luca Ansaloni, Fausto Catena ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48168 Mon, 20 Jul 2020 02:05:57 +0000 Knowledge, attitude and practices among the inhabitants of Lahore, Pakistan towards the COVID-19 pandemic: an immediate online based cross-sectional survey while people are under the lockdown. https://www.banglajol.info/index.php/BJMS/article/view/48169 <p><strong>Background: </strong>COVID-19 is an emerging infectious disease and has reached a status of global health emergency. It is widespread in Pakistan causing morbidity and mortality amongst masses.</p> <p><strong>Objectives: </strong>Undertaken study aims at investigating knowledge, attitude and practices of the people residing in Lahore, Pakistan whilst the global crisis with sparse data available previously.</p> <p><strong>Methodology: </strong>Following lockdown announcement, an immediate online cross sectional study was conducted from the 31st March to 6 April 2020. Data was analyzed by using SPSS IBM version 22. 00.</p> <p><strong>Results: </strong>A total of 316 responses were received. Our study has shown that people 95.80% were well familiar with COVID-19, informed via news channels 46.2%. 91.7% believed the virus is contagious, 95.8% reported that the virus is spread by the respiratory droplets, 89.2% believed that all ages are at risk while 62.3% believed it risky for geriatrics only. 60.4% believed in its prevention with 91.7% respondents agreeably quarantined themselves while 6.6% didn’t. 99.7% participants were aware of social/physical distancing and 75.6% found it affecting mental health i.e. cause anxiety, depression etc. 59.2% of respondents were optimistic expecting it to end soon while 32.3% were uncertain. 49.1% said they have diagnostic facility and 89.6% acknowledged efforts of researchers/healthcare providers (doctors, pharmacist, nurses, allied health professionals and paramedical staff) for the society. 94.3% believed that there is need of awareness regarding COVID-19.</p> <p><strong>Conclusion: </strong>An ever increasing need of awareness amongst the local population regarding COVID-19 is needed. It will lend hands in preventing spread of COVID-19 with minimal secondary transmission. It is recommended that extensive survey studies are required that can provide supportive data in developing and implementing public health policies regarding COVID-19 pandemic. It would further control and arrest the spread of COVID-19 in country.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 69-S 76</p> Kanwal Ashiq, Sana Ashiq, Mayyda Asif Bajwa, Samreen Tanveer, Mehwish Qayyum ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48169 Mon, 20 Jul 2020 02:06:13 +0000 Teaching Medicine Online During the COVID-19 Pandemic: A Malaysian Perspective https://www.banglajol.info/index.php/BJMS/article/view/48170 <p>The COVID-19 pandemic affected institution of higher learning as some teaching and learning activities had to halt due to safety of the students and staff. Face to face teaching was stopped, and lecturers had to find other methods of teaching. Online teaching was the only allowed method. The methods were synchronous and asynchronous. Lecturers have had to find innovative ways to practice effective teaching methods. Assessments had to also be done online taking important factors into consideration, following steps given by authorities. This article discusses issues around medical teaching during the COVID-19 pandemic</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 77-S 81</p> Aneesa Abdul Rashid, Mohd Radzniwan A Rashid, Mohamad Nurman Yaman, Irfan Mohamad ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48170 Mon, 20 Jul 2020 02:06:32 +0000 Removal of Aural Tick in a General Practitioner Setting During COVID-19 Lockdown https://www.banglajol.info/index.php/BJMS/article/view/48171 <p>Foreign body in the ear including beads and seeds is not uncommon in children. Tick also has been a common aural foreign body especially in tropical climate countries. Although in older cooperative children it can be attempted in the clinic setting, most of paediatric aural foreign bodies require general anaesthesia. In addition, a general practitioner setting may impose additional limitations. The available instruments and experience maybe be different from a tertiary referral centre. We report a case of a 3-year-old child with left ear pain for 4 days associated with loud crying when the pinna was touched. It has been worsening until the cry became continuous. The mother was quite hesitated to bring the child to hospital because of the lockdown situation. She sought nearby general practitioner where the engorged tick was removed without any complication in that clinic alone.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 82-S 84</p> Zuraida Zainun, Husbani Suhaimee, Irfan Mohamad, Azliehanis Abdul Hadi ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48171 Mon, 20 Jul 2020 02:53:32 +0000 COVID-19: A natural phenomena or laboratory-based origin? https://www.banglajol.info/index.php/BJMS/article/view/48197 <p>The novel coronavirus, otherwise known as COVID-19 has fast become a major health concern. The current pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV‐ 2) is the third coronavirus outbreak, following severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) coronaviruses. Since the initial cases of a pneumonia of unknown aetiology, which was later identified as COVID-19 in Wuhan, Hubei province, China, there has been much debate and speculation regarding the origins of this novel virus. This review aims to provide an insight into the origin of SARS-CoV-2 by reflecting on genomic data gathered thus far. Identifying the origins of SARS-CoV-2 can lead to better understanding of hidden viral reservoirs that may exist and pose a threat to society as well as allow greater understanding of the mechanisms by which these viruses have successfully achieved cross species transmission. Greater knowledge in regard to this can lead to the development of strategies which can aid in preventing future outbreaks of this scale.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. p. S 85-S 87</p> Fanila Shahzad, Md Talat Nasim ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48197 Mon, 20 Jul 2020 02:53:43 +0000 Efforts and Challenges paved by India to confront of Corona Virus (COVID-19) https://www.banglajol.info/index.php/BJMS/article/view/48198 <p>The clinical range of Covid-19 is a respiratory route infection that varies from Asymptomatic to various clinical conditions such as respiratory failure to multiple organ dysfunction syndromes (MODS). Government administration officials are ramping up many efforts i.e prevention and containing the spread from escalating to the next level, raising the quarantine stations and increase in the laboratory capacity, strengthening surveillance, contact tracing using artificial intelligence (AI) via technology apps. India is Consequently facing many challenges to tackle the pandemic from shortage of medical supply to the devastation of the educational, transportation, job sectors, and healthcare sector, However, pharmaceutical companies taking center stage in the Covid-19 fight, Other pharmaceutical companies(low scale) in India are following suit during the Covid-19 pandemic and using their capabilities to lighten the burden of coronavirus, WHO recommends social distancing and country-wise lockdown are very essential to tackle the coronavirus, the GOI is scheming on how to get back to normalcy, with an actionable exit plan for the states to confront the coronavirus</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 88-S 92</p> Mohammad Gayoor Khan, Umama Yezdani, Arghya Chakravorty, Tanvi Shukla ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48198 Mon, 20 Jul 2020 02:53:53 +0000 Laboratory Diagnostics in COVID-19: What We Know So Far https://www.banglajol.info/index.php/BJMS/article/view/48199 <p>COVID-19 took the world by storm in early 2020 which rapidly escalated to a pandemic of unprecedented proportions. Containment of the outbreak requires a robust public health system of surveillance, contact tracing and laboratory preparedness. Technological advancement in molecular diagnosticshas helped identify patients in the initial stages of the outbreak. RT-PCR remains the gold standard in COVID-19 testing. However, as the pandemic continues, there is need for rapid and point of care tests (POCT) for mass screening and rapid decision making. Current serological tests and POCT have high sensitivity but need to be interpreted with caution. This review aims to discuss current laboratory tests available for the diagnosis of COVID-19.</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 93-S 100</p> Siti Zulaikha Zakariah, Tengku Zetty Maztura Tengku Jamaluddin, Hasni Mahayidin, Zuraihan Dahari, Rosni Ibrahim ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48199 Mon, 20 Jul 2020 02:54:06 +0000 Lockdown leading obesity and its possible impacts on the second wave of COVID-19 https://www.banglajol.info/index.php/BJMS/article/view/48172 <p>Abstract not available</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 101-S 102</p> Shafayet Ahmed Siddiqui, - Md Jakaria ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48172 Mon, 20 Jul 2020 02:54:17 +0000 Combating COVID-19: Lessons learnt particularly among developing countries and the implications https://www.banglajol.info/index.php/BJMS/article/view/48413 <p>Abstract not available</p> <p>Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 103-S 108</p> Brian Godman ##submission.copyrightStatement## http://creativecommons.org/licenses/by/4.0 https://www.banglajol.info/index.php/BJMS/article/view/48413 Sun, 26 Jul 2020 18:04:13 +0000