Bangabandhu Sheikh Mujib Medical University Journal

Translation, cross-cultural adaptation and validation of English start back screening tool into Bangla for patients with low back pain

2020-09-21T13:22:45+00:00

This study was intended to translate and culturally adapt the STarT back screening tool to produce an equivalent Bangla version. Total 58 patients with low back pain completed the newly developed Bangla version of STarT back screening tool and Bangla version of Ronald Morris Disability Questionnaire seven days apart. Reliability was assessed by internal consistency (Chronbach’s alpha for overall score 0.81 and for spychosocial subscale was 0.76) and test-retest reliability (intraclass correlation coefficient for overall score was 0.78 and for spychosocial subscale was 0.71). Reliability of Bangla version of STarT back screening tool was very good. Pearson’s correlation coefficient was carried out on the Bangla version of STarT back screening tool and Bangla version of RMDQ to assess construct validity (overall score was 0.88 and spychosocial subscale score was 0.83) which indicate a strong correlation between them. This study shows that the Bangla version of STarT back screening tool is a reliable, valid and culturally adapted responsive screening tool for the patients with low back pain.

Effects of intra-articular autologous mesenchymal stem cell injection under ultrasonogram guidance in patients with osteoarthritis knee

2020-09-21T13:22:44+00:00

Mesenchymal stem cells therapy opened new perspective in the management of osteoarthritis. This study focuses on a randomized controlled trial pilot on 10 patients of osteoarthritis knees to evaluate the intra-articular injections of mesenchymal stem cells could improve the symptoms, functional limitation and regeneration of cartilage. Mesenchymal stem cells were obtained from peripheral blood after mobilization of blood cell with granulocyte colony stimulating factor by apheresis machine. Single dose of mesenchymal stem cells were injected into the affected joints, WOMAC questionnaires scale used to record pre and post-treatment improvement, cartilage thickness measured by high frequency ultrasonogram. Four patients were having Grade II and six were having Grade III osteoarthritis. Kellgren-Lawrence scale was used for radiological grading. Pain score were decreased at the end of 24th weeks from 14.8 ± 2.2 to 4.1 ± 1.3, Stiffness score decreased from 5.8 ± 0.6 to 0.7 ± 0.6, Physical function limitation score reduced from 46.7 ± 6.5 to 20.3 ± 2.5. There was minor improvement of range of motion and cartilage thickness changes. This study demonstrates that mesenchymal stem cells injections improves all parameters of knee osteoarthritis and minimal regeneration of damaged cartilage.

A 4-year-old boy presenting with chronic constipation and ribbon like stool

2020-09-21T13:22:43+00:00

This article has no abstract. The first 100 words appear below:

A 4-year-old boy presenting with constipation for 1 month of his age. He used to defecate 3-4 days interval with rectal stimulation. The stool was semisolid, ribbon-like, and not associated with abdominal or perianal pain. He had a history of delayed passage of meconium. There was no history of the delayed developmental milestones. He received several medications including lactulose, magnesium hydroxide but there was a poor response.

On examination, he was mildly pale, with no facial dysmorphism, anthropometrically well thrived. The back and spine were normal. There was no thyroid swelling. The skin was normal. The tone and jerk of lower limbs were normal.

A 37-year-old man presented with abdominal distention and shortness of breathing

2020-09-21T13:22:42+00:00

This article has no abstract. The first 100 words appear below:

A 37-year-old man hailing from Comilla, Bangladesh (about 100 km from the capital, Dhaka, Bangladesh) got admitted himself into out department on 18th February 2020 with the complaints of abdominal distention for 9 months and shortness of breathing for 7 months. The abdominal distension was sudden in onset, progressive in nature, but there was no history of jaundice, oliguria, any heart disease, or abdominal pain. About 7 months ago, the patient experienced shortness of breathing, which was sudden in onset, gradually progressive, and occurring in mild exertion. It was so severe that the patient was unable to perform his day to day activities.

A 65–year–old male with moderate anemia, low-grade fever and weight loss

2020-09-21T13:22:41+00:00

This article has no abstract. The first 100 words appear below:

A 65-year-old male hailing from Lolua, Tangail north bordering district of Dhaka, Bangladesh, reported to the Department of Hematology, Armed Forces Institute of Pathology with the complaints of marked weight loss, generalized weakness, low-grade fever and anorexia. He was referred from Kurmitola General Hospital, Dhaka, Bangladesh for bone marrow aspiration and examination. Before aspirating the bone marrow, a detailed history was taken which revealed that he had been suffering from the above mentioned symptoms for the last 10 months. During this time, he reported to the local physicians who investigated with routine laboratory tests such as complete blood count, peripheral blood film