Journal of Paediatric Surgeons of Bangladesh, Jul 15, 2014
Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic reg... more Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of noxious stimuli, with the goal of preventing sensitization of the nervous system to subsequent stimuli that could amplify pain. Pain is inevitable after any surgery. Surgery offers the most promising setting for preemptive analgesia because the timing of noxious stimuli is known. This prospective double blind study included 60 children (30 in each group), undergoing major surgery under general anesthesia. Each patient in the study group (Group II) received pre-emptive analgesia (Local anesthesia, per-rectal diclofenac just prior to surgery, per-rectal paracetamol 2 hours prior to surgery) and regular pattern of postoperative pain intervention with per rectal diclofenac and per rectal or oral paracetamol in different phases of postoperative pain management up to 48 hours. On the other hand, each patient of control group (Group I) received pre-emptive analgesia (Local anesthesia & per-rectal diclofenac) regular pattern of postoperative pain intervention with per-rectal diclofenac in different phases of postoperative pain up to 48 hours. The degree of postoperative pain was assessed by universal pain assessment tools (VAS) at defined intervals. Most children in the study group (Group II) has significantly better postoperative pain control with
Journal of Paediatric Surgeons of Bangladesh, Jun 30, 2015
Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction i... more Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction in male child. These lesions usually result in lifelong disabilities with incontinence and decreased renal function despite optimal medical management. Primary fulguration without upper tract diversion is the preferred modality of treatment in most cases of PUV. Regular follow-up is needed to check completion of valve fulguration, renal function, status of hydronephrosis, vesicoureteric reflux (VUR), urinary tract infection (UTI), and bladder function. Materials and methods: We conducted interventional study among 30 purposively selected patients of PUV in the Department of Pediatric surgery, Dhaka Medical College Hospital (DMCH), Dhaka, over a period of 20 months from December 2009 to July 2011. Age of study subjects varied from 2 days to 14 years. Among the 30 patients, 16 were children in the age group between 1year to14 years (53.3%), 11(36.7%) were infants and the rest 03(10%) were neonates. Most of the patients presented with weak urinary stream, dribbling of urine, straining at micturition, UTI and palpable bladder. All children were subjected to ultrasonography (USG), blood urea, serum creatinine, routine urine examination and culture studies. Structured questionnaire was used to collect information regarding improvement or disappearance of VUR and renal functional status before & after primary fulguration of PUV. Results: Average serum creatinine level was found gradually decreased in subsequent follow up in comparison with the previous one. This difference of creatinine level was found
Background: Breast problems are a burning health issue for today's women. Breast clinics provide ... more Background: Breast problems are a burning health issue for today's women. Breast clinics provide a competent and complete diagnosis for women with any breast symptoms or problems and give appropriate management of the problem. The aim of this study is to determine the disease spectrum among the patients visiting a breast clinic for assistance. Methods: This was a cross section study of all female patients visiting a breast clinic with breast problems. The study was conducted at BIRDEM General Hospital-2 over a period of 3 years from March 2015 till March 2018. Patients suffering from superficial skin lesions of the breast were excluded. The findings were tabulated and analyzed for frequency of each problem. Results: A total of 1279 patients visited the breast clinic during the period of March 2015 till March 2018. Among them 1204 patients were selected after considering eligibility criteria. The age of the patients ranged from 15 to 80 years. Ten percent of these patients were asymptomatic and attended the clinic for breast screening. Among the symptomatic patients mastalgia was the most common presentation (36.65%) followed by fibrocystic disease (22.26%). Benign Breast lump was seen in 14.96% patients. Ten percent patients presented with breast abscess. Nipple discharge and ductal ectasia was seen in 2.66% patients. Breast cancer was found in 2.33% patients. Other rare entities like milk fistula, giant fibroadenoma were also noted. Conclusion: Breast clinincs provide comprehensive assistance to both benign and malignant breast diseases. Breast cancer is the leading cause of cancer deaths in females. Breast screening ensures early detection of breast cancer. Besides malignant disease benign breast diseases also cause much morbidity to female health. This study shows the spectrum of patients coming with breast complaints to such a breast clinic.
Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostl... more Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostly in women who are of reproductive age group, multiparous and lactating. Common presentation is tumor like but patients of our study group mostly presented with abscess and mastitis. This study was carried out at BIRDEM GENERAL HOSPITAL, ShegunBagicha, Dhaka. Retrospective data of 9 patients with breast tuberculosis was analyzed. Information about demographic details, clinical presentation, cytology, histopathology, comorbidity and management was taken into account. Out of 1202 patients who presented with breast problem during the study period only 9 (0.75%) suffered from tuberculosis of breast. Their age ranged from 20 to 55 years. All patients except 2 presented with abscess formation, 1 with lump and 1 with multiple sinuses. All patients were subjected to histopathology. Their pathological examination showed chronic granulomatous inflammation with caseous necrosis and langerhans giant cells suggestive of tuberculosis. All 9 patients were treated with Anti TB drug therapy after adequate surgical intervention when required. The rare entity tubercular mastitis is a disease of relatively younger age group. Though the usual presentation is tumor like, the patients of the study group mainly presented with abscess formation. Diabetes might be a contributing factor for the unusual presentation among the patients of my study group.
Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostl... more Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostly in women who are of reproductive age group, multiparous and lactating. Common presentation is tumor like but patients of our study group mostly presented with abscess and mastitis. This study was carried out at BIRDEM GENERAL HOSPITAL, ShegunBagicha, Dhaka. Retrospective data of 9 patients with breast tuberculosis was analyzed. Information about demographic details, clinical presentation, cytology, histopathology, comorbidity and management was taken into account. Out of 1202 patients who presented with breast problem during the study period only 9 (0.75%) suffered from tuberculosis of breast. Their age ranged from 20 to 55 years. All patients except 2 presented with abscess formation, 1 with lump and 1 with multiple sinuses. All patients were subjected to histopathology. Their pathological examination showed chronic granulomatous inflammation with caseous necrosis and langerhans giant...
Introduction: Cesarean section is a common obstetric surgery worldwide. As incision wound in such... more Introduction: Cesarean section is a common obstetric surgery worldwide. As incision wound in such a surgery is exposed abundantly to endometrial tissue, incision scar endometriosis can occur. This study reports a surgeon’s experience in managing such an uncommon entity. The aim of this study was to identify risk factors for developing SCE and show the clinical spectrum of presentation. This study also shows our experience in surgical management of surgical scar endometriosis. Extra pelvic endometriosis is defined as the presence and growth of functional endometrial tissue outside the pelvis. Cesarean scar endometriosis (CSE) is a rare form of extra pelvic endometriosis that is usually confused with other surgical problems leading to delay in diagnosis. Materials and Methods: We reviewed the case records of patients who were diagnosed as CSE in the surgery department of BIRDEM GENERAL HOSPITAL-2 from September 2013 till September 2018. Results: We found 8 patients of scar endometrios...
Background: Breast problems are a burning health issue for today’s women. Breast clinics provide ... more Background: Breast problems are a burning health issue for today’s women. Breast clinics provide a competent and complete diagnosis for women with any breast symptoms or problems and give appropriate management of the problem. The aim of this study is to determine the disease spectrum among the patients visiting a breast clinic for assistance. Methods: This was a cross section study of all female patients visiting a breast clinic with breast problems. The study was conducted at BIRDEM General Hospital-2 over a period of 3 years from March 2015 till March 2018. Patients suffering from superficial skin lesions of the breast were excluded. The findings were tabulated and analyzed for frequency of each problem. Results: A total of 1279 patients visited the breast clinic during the period of March 2015 till March 2018. Among them 1204 patients were selected after considering eligibility criteria. The age of the patients ranged from 15 to 80 years. Ten percent of these patients were asymp...
This prospective study was conducted in the department of pediatric surgery, BIRDEM General Hospi... more This prospective study was conducted in the department of pediatric surgery, BIRDEM General Hospital and other Private Hospital in Dhakato evaluate the morphological parameters after orchiopexy in Undescended testis (UDT). Fifty five children of cryptorchidism in the age group of 6 months to12 years were included in the study from September 2012 to March 2017. Patients' clinical characteristics, age at the time of orchiopexy, pre-operative ultrasonogram finding and intraoperative findings were recorded. On follow up postoperative complications and scrotal ultrasonogram findings were also recorded. Total 45 patients received regular ultrasound follow-up in next 6 months. Testicular length, width, position of the testes and any abnormal findings were documented. The testicular volume was then calculated with Hansen formula:Testicular volume= length (L) x width (W) 2 x 0.52. The mean age at operation was 4.15 years. Sixty eightpercent of undescended testes were palpable, 97% of which could be initially placed in the scrotal position by surgery. Ninety threepercent remained in the scrotum at 6-month follow up. In 32% of cases, the testes were impalpable, 47% were intra-abdominal and 15.7% were absent. Eighty seven percent of all impalpable testes could be placed in the scrotum. At 6 months follow up, only 69% were in the scrotal position. Eighteen percent of impalpable testes and 2.4% of palpable testes underwent atrophy. The volume of scrotalized testis increased significantly after orchiopexy though the volume of undescended testis was smaller than that of normal descended testis in all age subgroups and revealed a slow growing trend.
Journal of Paediatric Surgeons of Bangladesh, 2016
Introduction: Myelomeningocele is a single most common congenital malformation that affects the e... more Introduction: Myelomeningocele is a single most common congenital malformation that affects the entire central nervous system and because of extensive internal CNS involvement, its management remains controversial. Proper management of affected children can lead to a meaningful and productive life, and poorly managed cases of myelomeningocele can be a devastating obstacle not only for patient but also for the patient's family.
In the present study the in vitro antimicrobial activity, along with minimum inhibitory concentra... more In the present study the in vitro antimicrobial activity, along with minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC), of different extracts of Seeds of Mesua nagassarium were evaluated against 13 pathogenic microorganisms. The methanol extract and its pet-ether and carbon tetrachloride soluble fractions showed the highest antimicrobial activity. The carbon tetrachloride soluble fraction showed the maximum inhibition zone of 22.33 mm against Bacillus megaterium with MIC and MBC values of 7.90 µg/ml and 250 µg/ml, respectively. Ciprofloxacin (30 μg/disc) was used as standard antimicrobial agent. In the Artemia salina lethality bioassay, the crude methanol extract and its carbon tetrachloride soluble fraction showed significant cytotoxicity with LC50 of 3.14 and 1.74 μg/ml, respectively as compared vincristine sulphate (LC50 value 0.543 μg/ml).
Journal of Paediatric Surgeons of Bangladesh, 2014
Introduction: Congenital obstruction of the urethra is one of the most devastating anomalies to o... more Introduction: Congenital obstruction of the urethra is one of the most devastating anomalies to occur in the urinary tract and one of the few that are life-threatening in the neonatal period. Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction in male child. These lesions usually result in lifelong disabilities with incontinence and decreased renal function despite optimal medical management. Primary fulguration without upper tract diversion is the preferred modality of treatment in most cases of PUV. Regular follow-up is needed to check completion of valve fulguration, renal function, status of hydronephrosis, vesicoureteric reflux (VUR), urinary tract infection (UTI), and bladder function. Materials and methods: We conducted interventional study among 30 purposively selected patients of PUV in the Department of Pediatric surgery, Dhaka Medical College Hospital (DMCH), Dhaka, over a period of 16 months from December 2009 to March 2011. Age of study subjects varied from 2 days to 14 years. Among the 30 patients, 16 were children in the age group between 1year to14 years (53.3%), 11(36.7%) were infants and the rest 03(10%) were neonates. Most of the patients
Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction i... more Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction in male child. These lesions may result in lifelong disabilities with incontinence and decreased renal function despite optimal medical management. Primary fulguration without upper tract diversion is the preferred modality of treatment in most cases of PUV. Regular follow-up is needed to check completion of valve fulguration, renal function, status of hydronephrosis, vesicoureteric reflux (VUR), urinary tract infection (UTI), and bladder function. Materials and Methods: An interventional study among 30 purposively selected patients of PUV was conducted from December 2009 to July 2011. Most of the patients presented with weak urinary stream, dribbling of urine, straining at micturition, UTI, and palpable bladder. All children were subjected to ultrasonography (USG), blood urea, serum creatinine, routine urine examination, and culture studies. Structured questionnaire was used to collect information regarding improvement or disappearance of VUR and renal functional status before and after primary fulguration of PUV. Results: Ages ranged from 10 days to 14 years; 16 were between 1year and 14 years (53.3%), 11(36.7%) were infants, and the rest 03(10%) were neonates. Average serum creatinine levels were found gradually decreasing significantly (p < 0.01) in subsequent follow-ups. Average blood urea nitrogen (BUN) was also decreased significantly (p < 0.05). VUR was present in 63.3% cases. Non-VUR was found in 60% cases on right side and 50% cases on left side. On the third follow-up after 3 months it became 73.3% on right side and 63.3% on left side. Positive correlation found in Pearson correlation test about the changes of reflux grades before and after fulguration was significant (p < 0.001). It was significant on both left and right kidneys. Positive correlation found in Pearson correlation test about the changes of GFR before and after fulguration was also significant (p < 0.001). Collected data was cleaned, edited, and analyzed with the help of software SPSS window version 15.0. Conclusion: VUR disappeared in some cases and decreased in majority of the cases by 3 months after adequate restoration of urethral patency. Renal function came to normal range in two thirds of the cases.
Journal of Paediatric Surgeons of Bangladesh, 2014
Introduction: The aim of this study was to determine the feasibility, safety, cost effectiveness ... more Introduction: The aim of this study was to determine the feasibility, safety, cost effectiveness and functional outcome between single stage and multiple stage operation of anorectal malformation (ARM) with rectovestibular fistula (RVF).Materials & Methods: This interventional study was conducted on 40 female children born with ARM with RVF from July 2007 to June 2009 in the Department of Pediatric Surgery, Dhaka Medical College Hospital. Their age range was from 3 months to 7 years. Anterior sagittal anorectoplasty (ASARP) was done as definitive treatment of RVF. 20 out of 40 patients underwent single stage procedure and the rest underwent multiple stage procedure. Good preoperative bowel preparation and postoperative wound care were ensured for optimum outcome.Results: Mean operating time was 70 minutes in single stage and 80 minutes in multi stage definitive procedure. Average hospital stay was 10 days in single stage procedure where as 22-24 days in multi stage procedure. Parti...
Journal of Paediatric Surgeons of Bangladesh, 2014
Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic reg... more Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of noxious stimuli, with the goal of preventing sensitization of the nervous system to subsequent stimuli that could amplify pain. Pain is inevitable after any surgery. Surgery offers the most promising setting for preemptive analgesia because the timing of noxious stimuli is known. This prospective double blind study included 60 children (30 in each group), undergoing major surgery under general anesthesia. Each patient in the study group (Group II) received pre-emptive analgesia (Local anesthesia, per-rectal diclofenac just prior to surgery, per-rectal paracetamol 2 hours prior to surgery) and regular pattern of postoperative pain intervention with per rectal diclofenac and per rectal or oral paracetamol in different phases of postoperative pain management up to 48 hours. On the other hand, each patient of control group (Group I) received pre-emptive analgesia (Local anesthesia & per-rectal diclofenac) regular pattern of postoperative pain intervention with per-rectal diclofenac in different phases of postoperative pain up to 48 hours. The degree of postoperative pain was assessed by universal pain assessment tools (VAS) at defined intervals. Most children in the study group (Group II) has significantly better postoperative pain control with
2018 Digital Image Computing: Techniques and Applications (DICTA), 2018
Natural road trail image classification is a challenging problem due to the complexity of the nat... more Natural road trail image classification is a challenging problem due to the complexity of the natural road environment. It is useful in many real-world applications such as autonomous vehicle and robot navigation. In recent years, many researchers have explored the use of data obtained from different sensors in solving this problem. In this paper, we use image data captured from standard digital cameras, to address the road trail classification problem. To this end, we develop a database of road trail images and train an artificial neural network (ANN) classifier on features obtained using the bag-of-words (BoW) image feature extraction approach. We show experimentally that the proposed method is effective in classifying road trails.
Journal of Paediatric Surgeons of Bangladesh, Jul 15, 2014
Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic reg... more Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of noxious stimuli, with the goal of preventing sensitization of the nervous system to subsequent stimuli that could amplify pain. Pain is inevitable after any surgery. Surgery offers the most promising setting for preemptive analgesia because the timing of noxious stimuli is known. This prospective double blind study included 60 children (30 in each group), undergoing major surgery under general anesthesia. Each patient in the study group (Group II) received pre-emptive analgesia (Local anesthesia, per-rectal diclofenac just prior to surgery, per-rectal paracetamol 2 hours prior to surgery) and regular pattern of postoperative pain intervention with per rectal diclofenac and per rectal or oral paracetamol in different phases of postoperative pain management up to 48 hours. On the other hand, each patient of control group (Group I) received pre-emptive analgesia (Local anesthesia & per-rectal diclofenac) regular pattern of postoperative pain intervention with per-rectal diclofenac in different phases of postoperative pain up to 48 hours. The degree of postoperative pain was assessed by universal pain assessment tools (VAS) at defined intervals. Most children in the study group (Group II) has significantly better postoperative pain control with
Journal of Paediatric Surgeons of Bangladesh, Jun 30, 2015
Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction i... more Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction in male child. These lesions usually result in lifelong disabilities with incontinence and decreased renal function despite optimal medical management. Primary fulguration without upper tract diversion is the preferred modality of treatment in most cases of PUV. Regular follow-up is needed to check completion of valve fulguration, renal function, status of hydronephrosis, vesicoureteric reflux (VUR), urinary tract infection (UTI), and bladder function. Materials and methods: We conducted interventional study among 30 purposively selected patients of PUV in the Department of Pediatric surgery, Dhaka Medical College Hospital (DMCH), Dhaka, over a period of 20 months from December 2009 to July 2011. Age of study subjects varied from 2 days to 14 years. Among the 30 patients, 16 were children in the age group between 1year to14 years (53.3%), 11(36.7%) were infants and the rest 03(10%) were neonates. Most of the patients presented with weak urinary stream, dribbling of urine, straining at micturition, UTI and palpable bladder. All children were subjected to ultrasonography (USG), blood urea, serum creatinine, routine urine examination and culture studies. Structured questionnaire was used to collect information regarding improvement or disappearance of VUR and renal functional status before & after primary fulguration of PUV. Results: Average serum creatinine level was found gradually decreased in subsequent follow up in comparison with the previous one. This difference of creatinine level was found
Background: Breast problems are a burning health issue for today's women. Breast clinics provide ... more Background: Breast problems are a burning health issue for today's women. Breast clinics provide a competent and complete diagnosis for women with any breast symptoms or problems and give appropriate management of the problem. The aim of this study is to determine the disease spectrum among the patients visiting a breast clinic for assistance. Methods: This was a cross section study of all female patients visiting a breast clinic with breast problems. The study was conducted at BIRDEM General Hospital-2 over a period of 3 years from March 2015 till March 2018. Patients suffering from superficial skin lesions of the breast were excluded. The findings were tabulated and analyzed for frequency of each problem. Results: A total of 1279 patients visited the breast clinic during the period of March 2015 till March 2018. Among them 1204 patients were selected after considering eligibility criteria. The age of the patients ranged from 15 to 80 years. Ten percent of these patients were asymptomatic and attended the clinic for breast screening. Among the symptomatic patients mastalgia was the most common presentation (36.65%) followed by fibrocystic disease (22.26%). Benign Breast lump was seen in 14.96% patients. Ten percent patients presented with breast abscess. Nipple discharge and ductal ectasia was seen in 2.66% patients. Breast cancer was found in 2.33% patients. Other rare entities like milk fistula, giant fibroadenoma were also noted. Conclusion: Breast clinincs provide comprehensive assistance to both benign and malignant breast diseases. Breast cancer is the leading cause of cancer deaths in females. Breast screening ensures early detection of breast cancer. Besides malignant disease benign breast diseases also cause much morbidity to female health. This study shows the spectrum of patients coming with breast complaints to such a breast clinic.
Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostl... more Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostly in women who are of reproductive age group, multiparous and lactating. Common presentation is tumor like but patients of our study group mostly presented with abscess and mastitis. This study was carried out at BIRDEM GENERAL HOSPITAL, ShegunBagicha, Dhaka. Retrospective data of 9 patients with breast tuberculosis was analyzed. Information about demographic details, clinical presentation, cytology, histopathology, comorbidity and management was taken into account. Out of 1202 patients who presented with breast problem during the study period only 9 (0.75%) suffered from tuberculosis of breast. Their age ranged from 20 to 55 years. All patients except 2 presented with abscess formation, 1 with lump and 1 with multiple sinuses. All patients were subjected to histopathology. Their pathological examination showed chronic granulomatous inflammation with caseous necrosis and langerhans giant cells suggestive of tuberculosis. All 9 patients were treated with Anti TB drug therapy after adequate surgical intervention when required. The rare entity tubercular mastitis is a disease of relatively younger age group. Though the usual presentation is tumor like, the patients of the study group mainly presented with abscess formation. Diabetes might be a contributing factor for the unusual presentation among the patients of my study group.
Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostl... more Tuberculosis of breast is an unusual presentation of extrapulmonary tuberculosis. It occurs mostly in women who are of reproductive age group, multiparous and lactating. Common presentation is tumor like but patients of our study group mostly presented with abscess and mastitis. This study was carried out at BIRDEM GENERAL HOSPITAL, ShegunBagicha, Dhaka. Retrospective data of 9 patients with breast tuberculosis was analyzed. Information about demographic details, clinical presentation, cytology, histopathology, comorbidity and management was taken into account. Out of 1202 patients who presented with breast problem during the study period only 9 (0.75%) suffered from tuberculosis of breast. Their age ranged from 20 to 55 years. All patients except 2 presented with abscess formation, 1 with lump and 1 with multiple sinuses. All patients were subjected to histopathology. Their pathological examination showed chronic granulomatous inflammation with caseous necrosis and langerhans giant...
Introduction: Cesarean section is a common obstetric surgery worldwide. As incision wound in such... more Introduction: Cesarean section is a common obstetric surgery worldwide. As incision wound in such a surgery is exposed abundantly to endometrial tissue, incision scar endometriosis can occur. This study reports a surgeon’s experience in managing such an uncommon entity. The aim of this study was to identify risk factors for developing SCE and show the clinical spectrum of presentation. This study also shows our experience in surgical management of surgical scar endometriosis. Extra pelvic endometriosis is defined as the presence and growth of functional endometrial tissue outside the pelvis. Cesarean scar endometriosis (CSE) is a rare form of extra pelvic endometriosis that is usually confused with other surgical problems leading to delay in diagnosis. Materials and Methods: We reviewed the case records of patients who were diagnosed as CSE in the surgery department of BIRDEM GENERAL HOSPITAL-2 from September 2013 till September 2018. Results: We found 8 patients of scar endometrios...
Background: Breast problems are a burning health issue for today’s women. Breast clinics provide ... more Background: Breast problems are a burning health issue for today’s women. Breast clinics provide a competent and complete diagnosis for women with any breast symptoms or problems and give appropriate management of the problem. The aim of this study is to determine the disease spectrum among the patients visiting a breast clinic for assistance. Methods: This was a cross section study of all female patients visiting a breast clinic with breast problems. The study was conducted at BIRDEM General Hospital-2 over a period of 3 years from March 2015 till March 2018. Patients suffering from superficial skin lesions of the breast were excluded. The findings were tabulated and analyzed for frequency of each problem. Results: A total of 1279 patients visited the breast clinic during the period of March 2015 till March 2018. Among them 1204 patients were selected after considering eligibility criteria. The age of the patients ranged from 15 to 80 years. Ten percent of these patients were asymp...
This prospective study was conducted in the department of pediatric surgery, BIRDEM General Hospi... more This prospective study was conducted in the department of pediatric surgery, BIRDEM General Hospital and other Private Hospital in Dhakato evaluate the morphological parameters after orchiopexy in Undescended testis (UDT). Fifty five children of cryptorchidism in the age group of 6 months to12 years were included in the study from September 2012 to March 2017. Patients' clinical characteristics, age at the time of orchiopexy, pre-operative ultrasonogram finding and intraoperative findings were recorded. On follow up postoperative complications and scrotal ultrasonogram findings were also recorded. Total 45 patients received regular ultrasound follow-up in next 6 months. Testicular length, width, position of the testes and any abnormal findings were documented. The testicular volume was then calculated with Hansen formula:Testicular volume= length (L) x width (W) 2 x 0.52. The mean age at operation was 4.15 years. Sixty eightpercent of undescended testes were palpable, 97% of which could be initially placed in the scrotal position by surgery. Ninety threepercent remained in the scrotum at 6-month follow up. In 32% of cases, the testes were impalpable, 47% were intra-abdominal and 15.7% were absent. Eighty seven percent of all impalpable testes could be placed in the scrotum. At 6 months follow up, only 69% were in the scrotal position. Eighteen percent of impalpable testes and 2.4% of palpable testes underwent atrophy. The volume of scrotalized testis increased significantly after orchiopexy though the volume of undescended testis was smaller than that of normal descended testis in all age subgroups and revealed a slow growing trend.
Journal of Paediatric Surgeons of Bangladesh, 2016
Introduction: Myelomeningocele is a single most common congenital malformation that affects the e... more Introduction: Myelomeningocele is a single most common congenital malformation that affects the entire central nervous system and because of extensive internal CNS involvement, its management remains controversial. Proper management of affected children can lead to a meaningful and productive life, and poorly managed cases of myelomeningocele can be a devastating obstacle not only for patient but also for the patient's family.
In the present study the in vitro antimicrobial activity, along with minimum inhibitory concentra... more In the present study the in vitro antimicrobial activity, along with minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC), of different extracts of Seeds of Mesua nagassarium were evaluated against 13 pathogenic microorganisms. The methanol extract and its pet-ether and carbon tetrachloride soluble fractions showed the highest antimicrobial activity. The carbon tetrachloride soluble fraction showed the maximum inhibition zone of 22.33 mm against Bacillus megaterium with MIC and MBC values of 7.90 µg/ml and 250 µg/ml, respectively. Ciprofloxacin (30 μg/disc) was used as standard antimicrobial agent. In the Artemia salina lethality bioassay, the crude methanol extract and its carbon tetrachloride soluble fraction showed significant cytotoxicity with LC50 of 3.14 and 1.74 μg/ml, respectively as compared vincristine sulphate (LC50 value 0.543 μg/ml).
Journal of Paediatric Surgeons of Bangladesh, 2014
Introduction: Congenital obstruction of the urethra is one of the most devastating anomalies to o... more Introduction: Congenital obstruction of the urethra is one of the most devastating anomalies to occur in the urinary tract and one of the few that are life-threatening in the neonatal period. Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction in male child. These lesions usually result in lifelong disabilities with incontinence and decreased renal function despite optimal medical management. Primary fulguration without upper tract diversion is the preferred modality of treatment in most cases of PUV. Regular follow-up is needed to check completion of valve fulguration, renal function, status of hydronephrosis, vesicoureteric reflux (VUR), urinary tract infection (UTI), and bladder function. Materials and methods: We conducted interventional study among 30 purposively selected patients of PUV in the Department of Pediatric surgery, Dhaka Medical College Hospital (DMCH), Dhaka, over a period of 16 months from December 2009 to March 2011. Age of study subjects varied from 2 days to 14 years. Among the 30 patients, 16 were children in the age group between 1year to14 years (53.3%), 11(36.7%) were infants and the rest 03(10%) were neonates. Most of the patients
Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction i... more Introduction: Posterior urethral valve (PUV) is the most frequent cause of urethral obstruction in male child. These lesions may result in lifelong disabilities with incontinence and decreased renal function despite optimal medical management. Primary fulguration without upper tract diversion is the preferred modality of treatment in most cases of PUV. Regular follow-up is needed to check completion of valve fulguration, renal function, status of hydronephrosis, vesicoureteric reflux (VUR), urinary tract infection (UTI), and bladder function. Materials and Methods: An interventional study among 30 purposively selected patients of PUV was conducted from December 2009 to July 2011. Most of the patients presented with weak urinary stream, dribbling of urine, straining at micturition, UTI, and palpable bladder. All children were subjected to ultrasonography (USG), blood urea, serum creatinine, routine urine examination, and culture studies. Structured questionnaire was used to collect information regarding improvement or disappearance of VUR and renal functional status before and after primary fulguration of PUV. Results: Ages ranged from 10 days to 14 years; 16 were between 1year and 14 years (53.3%), 11(36.7%) were infants, and the rest 03(10%) were neonates. Average serum creatinine levels were found gradually decreasing significantly (p < 0.01) in subsequent follow-ups. Average blood urea nitrogen (BUN) was also decreased significantly (p < 0.05). VUR was present in 63.3% cases. Non-VUR was found in 60% cases on right side and 50% cases on left side. On the third follow-up after 3 months it became 73.3% on right side and 63.3% on left side. Positive correlation found in Pearson correlation test about the changes of reflux grades before and after fulguration was significant (p < 0.001). It was significant on both left and right kidneys. Positive correlation found in Pearson correlation test about the changes of GFR before and after fulguration was also significant (p < 0.001). Collected data was cleaned, edited, and analyzed with the help of software SPSS window version 15.0. Conclusion: VUR disappeared in some cases and decreased in majority of the cases by 3 months after adequate restoration of urethral patency. Renal function came to normal range in two thirds of the cases.
Journal of Paediatric Surgeons of Bangladesh, 2014
Introduction: The aim of this study was to determine the feasibility, safety, cost effectiveness ... more Introduction: The aim of this study was to determine the feasibility, safety, cost effectiveness and functional outcome between single stage and multiple stage operation of anorectal malformation (ARM) with rectovestibular fistula (RVF).Materials & Methods: This interventional study was conducted on 40 female children born with ARM with RVF from July 2007 to June 2009 in the Department of Pediatric Surgery, Dhaka Medical College Hospital. Their age range was from 3 months to 7 years. Anterior sagittal anorectoplasty (ASARP) was done as definitive treatment of RVF. 20 out of 40 patients underwent single stage procedure and the rest underwent multiple stage procedure. Good preoperative bowel preparation and postoperative wound care were ensured for optimum outcome.Results: Mean operating time was 70 minutes in single stage and 80 minutes in multi stage definitive procedure. Average hospital stay was 10 days in single stage procedure where as 22-24 days in multi stage procedure. Parti...
Journal of Paediatric Surgeons of Bangladesh, 2014
Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic reg... more Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of noxious stimuli, with the goal of preventing sensitization of the nervous system to subsequent stimuli that could amplify pain. Pain is inevitable after any surgery. Surgery offers the most promising setting for preemptive analgesia because the timing of noxious stimuli is known. This prospective double blind study included 60 children (30 in each group), undergoing major surgery under general anesthesia. Each patient in the study group (Group II) received pre-emptive analgesia (Local anesthesia, per-rectal diclofenac just prior to surgery, per-rectal paracetamol 2 hours prior to surgery) and regular pattern of postoperative pain intervention with per rectal diclofenac and per rectal or oral paracetamol in different phases of postoperative pain management up to 48 hours. On the other hand, each patient of control group (Group I) received pre-emptive analgesia (Local anesthesia & per-rectal diclofenac) regular pattern of postoperative pain intervention with per-rectal diclofenac in different phases of postoperative pain up to 48 hours. The degree of postoperative pain was assessed by universal pain assessment tools (VAS) at defined intervals. Most children in the study group (Group II) has significantly better postoperative pain control with
2018 Digital Image Computing: Techniques and Applications (DICTA), 2018
Natural road trail image classification is a challenging problem due to the complexity of the nat... more Natural road trail image classification is a challenging problem due to the complexity of the natural road environment. It is useful in many real-world applications such as autonomous vehicle and robot navigation. In recent years, many researchers have explored the use of data obtained from different sensors in solving this problem. In this paper, we use image data captured from standard digital cameras, to address the road trail classification problem. To this end, we develop a database of road trail images and train an artificial neural network (ANN) classifier on features obtained using the bag-of-words (BoW) image feature extraction approach. We show experimentally that the proposed method is effective in classifying road trails.
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Papers by MASUD PERVEZ