scholarly journals Trans-Umbilical Open Port Placement During Laparoscopic Access: A Safe Technique

2020 ◽  
Vol 15 (1) ◽  
pp. 67-70
Author(s):  
Md Atiqul Haque Sarder ◽  
Quazi Sabran Uddin Ahmed
Keyword(s):  
Age Groups ◽  
Armed Forces ◽  
Port Placement ◽  
Reliable Technique ◽  
Linea Alba ◽  
Excellent Outcome ◽  
Medical College ◽  
Modified Method ◽  
Safe Technique ◽  
Primary Port

Introduction: Intra-peritoneal access and creation of pneumoperitoneum through a quick, safe and reliable technique is important for Laparoscopic Surgery. Specially in an resource constrained setting where there is paucity of needed equipment and cost is prohibitive, utilization of the fewer instruments available and accompanid by excellent functional and cosmetic outcomes should be the aim of a laparoscopic surgeon. Objectives: To describe a modified method of primary trocar introduction that utelizes fewer available instruments. Materials and Methods: A vertical incision is made in the trans-umblical region at the base of to an everted umblicul scar. The linea alba is incised and the resultant opening bluntly developed after which the 1st port is inserted using tocar as an guide. The trocar is withdrawn while the canula is pushed in. Results: We included total 124 patient (Male-44, Female-80) in the study period, from Jan 2017 to December 2018. In one single surgical unit, with the age limit 18-75 years, With no significant complications. Conclusion: This modified open trans-umblical approach is a simple, quick, and reliable way to primary port insertion. Access is gained easily in different age groups and umblicus types, through a small congenital umblical defect that is almost universally present. It is associated with minimum morbidity and has excellent outcome. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 67-70

scholarly journals Prevalence of Overweight among Military Personnel of a Selected Bangladesh Army Unit

2020 ◽  
Vol 14 (2) ◽  
pp. 193-196
Author(s):  
Irtika Rahman ◽  
ATMA Rustom ◽  
Farzana Zafreen ◽  
Md Abdul Wahab
Keyword(s):  
Military Personnel ◽  
Age Groups ◽  
Armed Forces ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Prevalence Data ◽  
Medical College ◽  
Younger Age ◽  
Military Unit ◽  
And Training

Introduction: Overweight are associated with high rates of morbidity and mortality, but prevalence data on these conditions are not readily available among military personnel in Bangladesh. The aim of this study is to determine the prevalence of overweight and its association with sociodemographic characteristics among military personnel in a unit of Bangladesh Army. Objectives: The aim of the present study was therefore to determine the prevalence of overweight/obesity among military personnel in a military unit of Jalalabad cantonment and also to investigate their association with selected sociodemographic characteristics. Materials and Methods: A cross-sectional descriptive study was conducted among 385 military personnel. Height weight, BMI were assessed using standardized procedures. Results: Prevalence of overweight was 54(14%) and n one of the participants were obese or underweight. Overweight status was significantly (p<0.05) higher among 30-45 years of age group and JCOs. No significant association was found with other socio-demographic characteristics. Conclusion: Though overall prevalence of overweight was low among military personnel because of their physical hardship and training. But it is significantly higher among the JCOs and younger age groups. Life style modification and education on appropriate diet and physical exercise during formal and informal sessions may be advised. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 193-196

scholarly journals Left Ventricular Noncompaction Cardiomyopathy (LVNC) with Left Ventricular Apical Thrombus– A Case Study

2017 ◽  
Vol 13 (1) ◽  
pp. 128-130
Author(s):  
Mohammad Abul Hasnat ◽  
Md Israrul Hossain ◽  
Md Abdullahel Kafee ◽  
Md Borhan Uddin
Keyword(s):  
Neuromuscular Disorders ◽  
Age Groups ◽  
Armed Forces ◽  
Left Ventricular ◽  
Diagnostic Tools ◽  
Medical College ◽  
Lv Dysfunction ◽  
Magnetic Resonance Imaging Mri ◽  
Contrast Ventriculography

Left ventricular non-compaction (LVNC) is a rare congenital cardiomyopathy, with or without LV dysfunction, characterized by prominent trabeculations and associated deep recesses which communicate with the ventricular cavity rather than the coronary circulation. LVNC affects all age groups and can occur in isolation or association with other cardiac and systemic anomalies, especially with neuromuscular disorders. Patient may be asymptomatic or present with ventricular arrhythmias, thromboembolism, heart failure and sudden cardiac death. Echocardiography is the most common tool for diagnosis of LVNC. Contrast ventriculography, computed tomography (CT) and magnetic resonance imaging (MRI) are other useful diagnostic tools. Due to increasing awareness and improvement in imaging methods, LVNC is being diagnosed frequently in patients now a day. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 128-130

Age related volume of cadaver-prostates in Bangladesh

1970 ◽  
Vol 4 (2) ◽  
pp. 74-77
Author(s):  
Rukshana Ahmed ◽  
Shamim Ara
Keyword(s):  
Prostate Gland ◽  
Age Groups ◽  
Clinical Settings ◽  
Cross Sectional ◽  
Medical College ◽  
Age Related ◽  
Group A ◽  
Key Words Prostate ◽  
The Mean ◽  
Group B

Pathological changes in the prostate gland occur commonly with advancing age including inflammation, atrophy, hyperplasia and carcinoma and a change in volume is also evident. Estimation of volume of prostate may be useful in a variety of clinical settings. A cross-sectional descriptive study was designed to see the changes in volume of the prostate with advancing age and done in the Department of Anatomy, Dhaka Medical College, Dhaka from August 2006 to June 2007. The study was performed on 70 post-mortem human prostates collected from the unclaimed dead bodies that were under examination in the Department of Forensic Medicine, Dhaka Medical College, Dhaka. The samples were divided into three age groups; group A (10-20 years), group B (21-40 years) and group C (41-70 years). Volume of the sample was measured by using the ellipsoid formula. The mean ± SD volume of prostate was 7.68 ± 3.64 cm3 in group A, 10.61 ± 3.99 cm3 in group B and 15.40 ± 6.31 cm3 in group C. Mean difference in volume between group A and group C, group B and group C were statistically significant (p<0.001). Statistically significant positive correlation was found between age and volume of prostate (r = + 0.579, p < 0.001). Key Words: Prostate; volume; Bangladeshi. DOI: 10.3329/imcj.v4i2.6501Ibrahim Med. Coll. J. 2010; 4(2): 74-77

scholarly journals LINEA ALBA COLLAGEN ASSESSMENT IN MORBIDLY OBESE PATIENTS

2016 ◽  
Vol 29 (suppl 1) ◽  
pp. 8-11
Author(s):  
João Vicente Machado GROSSI ◽  
Felipe Fernandes NICOLA ◽  
Ivan Alberto ZEPEDA ◽  
Martina BECKER ◽  
Eduardo Neubarth TRINDADE ◽  
...  
Keyword(s):  
Subcutaneous Tissue ◽  
Healing Process ◽  
Age Groups ◽  
Immunohistochemical Analysis ◽  
Control Group ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Age Group ◽  
Tissue Thickness ◽  
Linea Alba

ABSTRACT Background: The evaluation of collagen in the abdominal wall has been increasingly studied because of the relevance on collagen in the healing process after laparotomy. Aim: To evaluate the amount of collagen in the linea alba of patients undergoing laparotomic bariatric surgery and comparing with non-obese cadavers. Methods: Were evaluated 88 samples of aponeurosis from abdominal linea alba of 44 obese patients (obesity group) and 44 non-obese cadavers (control group). The samples were collected in 2013 and 2104, and were sorted according to age (18-30, 31-45 and 46-60), gender, BMI, waist and cervical circumference, and subcutaneous tissue thickness. Material for biopsy was collected from the supraumbilical region of the linea alba for immunohistochemical analysis differentiating collagen type 1 and type 3 and the 1/3 ratio. Image-Pro Plus pixel counting software was used to measure the amount of collagen. Results: The obesity group evidenced mean age 44.11±9.90 years; 18-30 age group had three (6.8%) obese individuals; 31-45 had 22 (50%) and 46-60 had 19 (43.1%). Females were present in 81.8% (n=36); BMI (kg/m²) was 48.81±6.5; waist circumference (cm) was 136.761±13.55; subcutaneous tissue thickness (cm) 4.873±0.916. Considering age groups, gender and BMI, there were statistical differences in all tests when compared with the cadavers. Conclusion: The amount of collagen in the linea alba above the umbilical region in the morbidly obese patients was smaller than in the non-obese cadavers in the same age group.

Normal Reference Values of Complete Blood Count in Healthy Adult Population of Pakistan; A Multicentre Study

2021 ◽  
Vol 15 (11) ◽  
pp. 3040-3042
Author(s):  
Neelam Mazhar ◽  
Sarah Rafi ◽  
Saima Farhan ◽  
Shazia Yaseen ◽  
Nisar Ahmed
Keyword(s):  
Reference Values ◽  
Blood Count ◽  
Blood Donors ◽  
Complete Blood Count ◽  
Hematological Parameters ◽  
Adult Population ◽  
Armed Forces ◽  
Reference Ranges ◽  
Medical College ◽  
Normal Reference

Aim: To establish the reference values of hematological parameters in blood donors of all the four provinces of Pakistan as a general population. Methods: This was a multicenter cross-sectional study conducted from Jan 2017-Oct 2017 in the blood bank and the Dept. of Haematology, The CH&ICH, Lahore, Fatimid Foundation, Karachi, Bolan medical college, Quetta, Armed Forces Institute of Transfusion, Rawalpindi & Ayub medical college, Abbottabad, KPK. Blood samples of 1060 male and female blood donors were collected from the blood banks of all the centers mentioned above. CBC and differential were performed using an automated hematology analyzer in the respective departments. Results: The mean and 95% reference values (2.5th-97.5th) for males WBC 7.752+4.506×109 cells/L, RBC 4.958 +1.331, HB 14.258 +3.423 g/dl, HCT 41.967 +16.345, MCV 84.584 +15.933, PLT 219.485 +197.331, LYM 3.346 +10.112, NEUT 6.843+23.557, MONO 0.811 +3.601, EO 0.327 +0.995. For females WBC 7.174+3.037, RBC4.567 +1.086, HB 12.972 +2.752, HCT39.647 +48.186, PLT 264.07+175.079, LYM 2.537+5.005, NEUT 4.769+11.314, MONO 0.460 +0.909, EO 0.188+0.39 Conclusion: The hematological profile of the population in all four provinces of Pakistan differed from the reports of other countries and the standard reference ranges described in the textbook. So, our own hematological parameters must be followed. More studies must be carried out on other age groups and even on adults to strengthen our results. Keywords: Normal reference values, Complete blood count, Healthy adults of Pakistan

scholarly journals Subtotal Gastrectomy for Atypical Carcinoid of Stomach– A Rare Tumour

2016 ◽  
Vol 12 (2) ◽  
pp. 145-148
Author(s):  
SM Shahadat Hossain ◽  
Md Mahbubur Rahman ◽  
Md Rayhan Mahmud ◽  
Farhana Israt Jahan
Keyword(s):  
Gastrointestinal Tract ◽  
Carcinoid Tumour ◽  
Subtotal Gastrectomy ◽  
Armed Forces ◽  
Gastric Carcinoid ◽  
Rare Tumour ◽  
Carcinoid Tumours ◽  
Medical College ◽  
Gastric Carcinoids ◽  
Gastrointestinal Carcinoid

The term carcinoid was first employed by Oberndorfer in 1907 to describe a group of tumours of the gastrointestinal tract that had a relatively indolent course and that were considered to be intermediate between adenoma and carcinoma in malignant potential. Gastrointestinal carcinoid tumours are a type of cancer that form in the lining of the gastrointestinal tract originating from entero-chromaffin like (ECL) cells. Gastric carcinoid tumours are rare tumors that develop within the gastric mucosa. They can present as an isolated lesion or there can be multiple lesions. The tumours can invade locally into deeper structures of the gastrointestinal tract (GIT) wall. Solitary gastric carcinoids have a greater chance for the development of malignancy and metastases as compared to multiple gastric carcinoids due to hypergastrinemia. A 60 years old man presented with abdominal pain, vomiting and weight loss and was found to have carcinoid tumour of stomach without classic carcinoid syndrome (CS). Despite advances in the understanding of patho-physiology of carcinoid tumour its complications remain enigmatic. Early, accurate diagnosis and aggressive treatment is recommended. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 145-148

scholarly journals Prevalence of Metabolic Syndrome among Border Guard Bangladesh Personnel

2020 ◽  
Vol 14 (2) ◽  
pp. 97-100
Author(s):  
Md Abdul Wahab ◽  
Md Mustafizur Rahman ◽  
Md Abdur Razzak ◽  
Md Habibur Rahman ◽  
Mimi Parvin ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
International Diabetes Federation ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Age Group ◽  
Metabolic Abnormalities ◽  
Sectional Study ◽  
Ethnic Population ◽  
Cross Sectional ◽  
Medical College

Introduction: Metabolic syndrome (MetS) is a multifaceted syndrome comprises a cluster of metabolic abnormalities including hypertension, central obesity, insulin resistance, dyslipidemia, and is strongly associated with developing diabetes mellitus and cardiovascular diseases. Prevalence of MetS differs in different ethnic population by using different definition. Objectives: To determine the prevalence of the MetS and its component risk factors among Border Guard Bangladesh (BGB) personnel working in Chattagram Hill Tract (CHT). Materials & Methods: This descriptive cross-sectional study was conducted from October 2016 to February 2018 among 1455 male BGB personnel aged between 40 to 59 years and working in CHT of Bangladesh. Study subjects were selected at BGB hospital, Guimara, Khagrachari. The new International Diabetes Federation (IDF) guidelines were used to identify MetS. Detail history, clinical examination, anthropometry and blood pressure (BP) were measured and fasting plasma glucose (FPG) and lipid profile were assessed. Results: Among the 1455 respondents’ BMI, waist circumference, systolic and diastolic BP were found more than normal in 34.1, 37.7, 16.4% and 12.3% respectively. Biochemical parameters including FPG, TC, TG, and LDL-C was raised in 28.7%, 49.8%, 52.2% and 37.7% of respondents respectively. HDL-C was found decreased in 26.9% respondents. Age wise prevalence of MetS for age group 40-44, 45-49, 50-54 and 55- 59 years were found 21.3%, 21.7%, 24.1% and 26.1% of the respondents respectively. The overall prevalence of MetS was found 22.4%. Conclusion: The prevalence of the MetS in BGB personnel was found 22.4%. Appropriate measure should be taken to lower the MetS cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 97-100

scholarly journals Study of Cervical Length in Bangladeshi Cadaver

2016 ◽  
Vol 5 (2) ◽  
pp. 26-28
Author(s):  
Zubaida Gulshan Ara ◽  
ASM Shafiqul Islam ◽  
Umme Kulsum Sharmin Zaman ◽  
Anjuman Ara ◽  
Reeva Aireen Busreea
Keyword(s):  
Uterine Cervix ◽  
Anatomical Variation ◽  
Age Groups ◽  
Sampling Technique ◽  
Descriptive Study ◽  
Cervical Length ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Female Genital

This cross sectional descriptive study was done to see the length of the cervix in Bangladeshi cadaver to find out the anatomical variation and to compare it with other study findings. 60 post mortem specimens containing female genital organs particularly uterine cervix were collected by purposive sampling technique from cadavers of different age groups. All the collected specimens were fixed in 10% formalin solution. This study was carried out in the department of Anatomy, Mymensingh Medical College from July 2006 to June 2007. Both gross and fine dissections were performed to measure the length of the uterine cervix. We compare our study findings with that of the references. Maximum mean length of the cervix was found in the 13-45 years age group. It was 2.89 cm. CBMJ 2016 July: Vol. 05 No. 02 P: 26-28

scholarly journals HISTOMORPHOLOGICAL SPECTRUM OF LESIONS OF HYSTERECTOMY SPECIMENS IN GCS MEDICAL COLLEGE, HOSPITALAND RESEARCH CENTER, AHMEDABAD : A STUDY OF 100 CASES

2020 ◽  
pp. 80-82
Author(s):  
Shweta Shah ◽  
S.K. Suri ◽  
Ami Shah
Keyword(s):  
Retrospective Study ◽  
Age Groups ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Medical College Hospital ◽  
Research Centre ◽  
Age Group ◽  
Gynaecological Surgery ◽  
College Hospital ◽  
Medical College

Background: Most frequently performed gynaecological surgery is hysterectomy. The prevalence of hysterectomy varies within different regions. There are mainly two types of hysterectomies according to which part of uterus is removed. The main types of hysterectomy are total and subtotal or partial hysterectomy. The hysterectomy can be performed by three routes abdominal, laproscopic and vaginal hysterectomy. The main objective of our study is to know most common pathology and different age groups of the patients underwent hysterectomy. Materials and Methods: In this retrospective study was carried during period 6 months, at GCS medical college, hospital and research centre, Ahmedabad. Total 100 hysterectomy specimens were analyzed for histopathological lesions. We had taken the clinical and histopathological findings of these cases from the records of department of pathology, GCS medical college , hospital and research centre. Results: In our study of 100 cases, most common age group underwent hysterectomy was 40-49 years and least common age group was 20-29 years. Type of hysterectomy performed most commonly in this study was total abdominal hysterectomy with bilateral salpingoophorectomy. Most of lesions were seen in the myometrium 42 cases (42%), Endometrium 32 cases (32%), Cervix 16 cases (16%) and Ovary 10 cases (10%). Hysterectomy remains the widely used treatment modality.

scholarly journals A study on Antimicrobial Resistance: recent trend in Armed Forces of Bangladesh

2015 ◽  
Vol 9 (2) ◽  
pp. 03-09
Author(s):  
Md Abul Kalam Azad ◽  
Zaheedur Rahman ◽  
Md Nurul Amin
Keyword(s):  
Antimicrobial Resistance ◽  
Recent Trend ◽  
Throat Swab ◽  
Multiple Drug Resistance ◽  
Armed Forces ◽  
Salmonella Typhi ◽  
Resistance Pattern ◽  
Multiple Drug ◽  
Medical College ◽  
Developed Nations

Introduction: Antimicrobial resistance has increased dramatically & to be a serious threat to the treatment of infectious disease on a global basis. As a result morbidity, mortality & economic burden of infections with multiple drug resistance organisms for which there are no effective therapies. Over use of antibiotics in developed nations of paradoxically both misuses of under use in developing nations have contributed to the burden. Objectives: The objective of the study is to identify common microorganisms and to assess their sensitivity to three selected antibiotics. Methods: This observational study was conducted in Armed Forces Institute of Pathology (AFIP), Dhaka, Bangladesh among samples of urine, blood, pus, sputum and throat swab. All of the samples of urine (173), Blood (31), pus (63), sputum (28) and throat swab (14) were tested for culture and sensitivity at AFIP over a period from January 2012 to February 2013. Selected antibiotics were ciprofloxacin, cephradine and cefixime. Results: Commonest organisms found in different samples were Escherichia coli in urine (57.8%), Salmonella typhi in blood (54.8%), Staphylococcus aureus in pus (42.9%), klebsiella in sputum (67.9%) and Streptococcus pyogens in throat swab 03 JAFMC Bangladesh. Vol 9, No 2 (December) 2013 (78.6%). In urine samples, microorganisms were found resistant to cephradine in 95% cases but sensitive to cefixime in 30.4% cases. Microorganisms in blood samples were sensitive to cefixime in 83.3% and Ciprofloxacin in 80.6% cases. Ciprofloxacin, cephradin and cefixime all three antibiotics encountered resistance in 63.5%, 82.5% and 75.8% samples of pus respectively. Among sputum samples organisms were sensitive to ciprofloxacin in 71.4% and cefixime in 64.3% cases whereas resistant to cephradin in 92.9% cases. In organisms of throat swab Cephradine Showed sensitivity in 71.4% cases but cefixime encountered resistance in 57.1% cases. Conclusion: The study reveals an alarming picture of antimicrobial resistance pattern in Bangladesh Armed Forces. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21818 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013

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