CHAIRMAN
Professor, Department of Medicine, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: drazadbd@gmail.com
CO-CHAIRMAN
Assistant Professor, Department of Spine Surgery, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: tarik.sabu@gmail.com
EDITOR IN CHIEF
Associate Professor, Department of Paediatric Surgery Rajshahi Medical College & Hospital, Rajshahi-6000 Email: ashahid293@gmail.com
DEPUTY EDITOR IN CHIEF
Associate Professor, Department of Medicine Rajshahi Medical College & Hospital, Rajshahi-6000 Email: prabirbasak84@yahoo.com
SCIENTIFIC EDITOR
Associate Professor, Department of Gastroenterology Rajshahi Medical College & Hospital, Rajshahi-6000 Email: drkazalme@gmail.com
SCIENTIFIC EDITOR
Assistant Professor, Department of Cardiology Rajshahi Medical College & Hospital, Rajshahi-6000 Email: dr.rezaul33@gmal.com
SCIENTIFIC EDITOR
Associate Professor, Department of Microbiology, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: sharminaarltn@gmail.com
SCIENTIFIC EDITOR
Associate Professor, Department of ENT, Rajshahi Medical College. Rajshahi-6000, Bangladesh. Email: dranikent@gmail.com
SCIENTIFIC EDITOR
Associate Professor & Head, Department of Biochemistry, Rajshahi Medical College. Rajshahi-6000, Bangladesh
SCIENTIFIC EDITOR
Associate Professor, Department of Burn and Plastic Surgery, Rajshahi Medical College, Rajshahi-6000 Email: salekbinislam@gmail.com
SCIENTIFIC EDITOR
Assistant Professor, Department of Orthopedic Surgery, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: drmunzur7@gmail.com
SCIENTIFIC EDITOR
Assistant Professor, Department of Pediatrics, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: aminruhul355@gmail.com
SCIENTIFIC EDITOR
Assistant Professor, Department of Gastroenterology, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: mumitsarkar@gmail.com
SCIENTIFIC EDITOR
Assistant Professor, Department of Gastroenterology, Rajshahi Medical College. Rajshahi-6000, Bangladesh
SCIENTIFIC EDITOR
Assistant Professor, Department of Surgery, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: drazizbd@gmail.com
SCIENTIFIC EDITOR
Assistant Professor, Department of Community Medicine, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: kowsarunnahar80@gmail.com
ADVISORY & REVIEW BOARD
Principal, Rajshahi Medical College Email: faisalalam007@gmail.com
ADVISORY & REVIEW BOARD
Vice Principal, Rajshahi Medical College
ADVISORY & REVIEW BOARD
Assistant Professor & Head, Department of Hematology, Rajshahi Medical College. Rajshahi-6000, Bangladesh Email: drzaman04@gmail.com
ADVISORY & REVIEW BOARD
Associate Professor and Head, Department of Surgery, Rajshahi Medical College. Rajshahi-6000, Bangladesh
ADVISORY & REVIEW BOARD
Associate Professor and Head, Department of Neurology, Rajshahi Medical College. Rajshahi-6000, Bangladesh
ADVISORY & REVIEW BOARD
Associate Professor, Department of Orthopedic Surgery, Rajshahi Medical College. Rajshahi-6000, Bangladesh
Afroza Nazneen, Md. Yusuf Ali
TAJ, Jul-Dec 2024; 37(2) 385-392
https://doi.org/10.62469/taj.v037i02.052
Background: Scalp defects, whether from trauma, burns, or congenital causes, present significant challenges for reconstructive surgery due to the inelasticity of the scalp tissue, complicating both functional and aesthetic restoration. Objective: This study aims to evaluate various methods of scalp defect reconstruction over a 10-year period at Rajshahi Medical College Hospital, Bangladesh, with a focus on patient demographics, defect characteristics, and surgical outcomes. Methods: A retrospective review of patients undergoing scalp reconstruction between 2013 and 2023 was conducted. Data on patient age, gender, etiology, defect location, size, depth, bone exposure, and reconstructive techniques used were analyzed. Various reconstructive methods such as local flaps, skin grafts, and tissue expanders were employed based on the defect characteristics. Surgical outcomes, including complications, healing rates, and aesthetic results, were evaluated over a follow-up period of 6 months to 2 years. Results: A total of 150 patients (120 male, 30 female) were included. The majority (80%) of defects were caused by trauma, followed by burns (15%) and congenital anomalies (5%). Local flaps were the most common reconstructive technique (65%), followed by skin grafts (25%) and tissue expansion (10%). Success rates for wound healing were 90%, with a complication rate of 10%, including infections and partial graft failure. Aesthetic outcomes were rated as good or excellent in 85% of patients, while 10% had moderate results, and 5% had poor cosmetic outcomes. Conclusion: Scalp reconstruction using local flaps offers the highest success rates and aesthetic outcomes. Early intervention and careful selection of techniques based on defect characteristics are critical for optimal results.
Debprio Das, Shah Md. Ahsan Shahid, Shantona Rani Paul, Zamil Hussain, Rezaul Hamid MD Nure, Shuvashis Saha Shuvo
TAJ, Jul-Dec 2024; 37(2) 381-384
https://doi.org/10.62469/taj.v037i02.051
Dorsal mesentery agenesis is often associated with jejunal atresia and these patients present with symptoms in early neonatal life. However, very few reports were found on the agenesis of the dorsal mesentery without small bowel atresia. Here we report an 8-month-old child with mesenteric agenesis without bowel atresia presented as intestinal obstruction due to twisting of the gut along with internal herniation where a single marginal vessel was the key supply to the whole small bowel.
Abu Hena Mostafa Kamal, Wahida Khatun, Md. Golam Morshed, Md. Akkasur Rahman
TAJ, Jul-Dec 2024; 37(2) 377-380
https://doi.org/10.62469/taj.v037i02.050
This study presents a comprehensive evaluation of the efficacy of treatment protocol in managing Lambda-cyhalothrin (OPC) poisoning cases at ICU of Rajshahi Medical College Hospital. The research focused on the case of Fahmida, a 25-year-old female patient who was admitted with severe Lambda-cyhalothrin poisoning, experiencing life-threatening respiratory distress. The study examined the interventions and treatments administered, including airway management, gastric lavage, activated charcoal, Atropine, Pralidoxime, fluid resuscitation, continuous monitoring, and supportive cares. Fahmida's clinical progress was analyzed, emphasizing the critical role of timely and appropriate treatment. The outcome of this case demonstrates the effectiveness of the treatment protocol in ICU. Fahmida's condition improved significantly, leading to her successful weaning off the ventilator. She was discharged in stable condition. Furthermore, a calculation of the percentage improvement in Fahmida's condition has been provided, indicating the extent of recovery achieved during her ICU stay. This study also discussed its findings in the context of similar studies, highlighting the percentage of improvement in other cases with Lambda-cyhalothrin (OPC) poisoning who underwent comparable treatment protocols. Comparision of these percentages allow for a broader assessment of the treatment's efficacy and its potential implications for improving patient outcomes in pesticide poisoning cases.
Romena Alam, M.A Khan, Salma Afrose, Zahirul Haque, Col (Dr.) Lutfunnahar khan
TAJ, Jul-Dec 2024; 37(2) 372-376
https://doi.org/10.62469/taj.v037i02.049
Liver diseases are frequently associated with hematological abnormality. Anaemia of diverse etiology occurs in 75% of patient with chronic liver disease. The present study aimed to find out the prevalence and type of anaemia among chronic liver disease patient. This cross-sectional type of observation study was conducted among 138 patients attended and admitted in DMCH and BSMMU. Haemoglobin level was determined by using automated haematology analyzer. Morphological type of anaemia was studied and anaemia is defined by WHO. A total number of 138 CLD patients are evaluated. The mean age ± SD of participants is 38.27 ± 16.20 with range of 10-80 years. The distribution of patients according to sex, male79.0% is predominant and female (21.0%). Mean haemoglobin (gm/dL) is found in 9.30 ±2.45. Haemoglobin is decreased among the CLD patients, moderate form of anaemia (39.2%) in majority of patients followed by mild form (27.5%) and severe form only (5.8%). Anaemia is prominent finding in this study, severity of anaemia is mild to moderate in majority cases and normochromic normocytic anaemia is predominant than other type of anaemia. Early recognition of these potentially treatable condition can help in achieving better outcome.
Bijoy Talukder, Be-Nazir Ahmmad, Rukhsana Parvin, Belal Hossain, Shameem, Ibrahim Hoshen, Syeda Nafisa Islam, Shahida Yeasmin, Prof. Dr. Belal Uddin
TAJ, Jul-Dec 2024; 37(2) 365-371
https://doi.org/10.62469/taj.v037i02.048
Background: Perinatal asphyxia is one of the leading causes of neonatal mortality and morbidity worldwide and the outcomes of hypoxic ischemic encephalopathy (HIE) are devastating and permanent, making it a major burden for the family and society. Objective: To assess cardiovascular and pulmonary function in hypoxic ischemic encephalopathy neonates. Materials and methods: This cross-sectional type of descriptive study was conducted in the Department of Pediatrics at Rajshahi Medical College Hospital, Rajshahi over a period of 2years from July 2021 to June 2023. The study was conducted after obtaining ethical clearance from the Institutional Review Board (IRB) of Rajshahi Medical College and consent from the guardian of patients. Based on predefined eligibility criteria, a total number of 70 neonates with HIE stage II and III were included in this study. Results: Out of 70 hypoxic ischemic encephalopathy neonates, 55.70% neonates had stage-II and 44.30% had stage-III hypoxic ischemic encephalopathy. Mean age of the neonates was 10.81±8.08 hours, about 68.60% were male and 31.40% were female. Most of the neonates 71.43% had pulmonary dysfunction, 57.10% had cardiovascular dysfunction. Conclusion: There was statistically significant cardiovascular and pulmonary dysfunction (p< 0.001) as well as significant difference between the stage II and stage III hypoxic ischemic encephalopathy neonates in terms of cardiovascular and pulmonary (p< 0.05) dysfunctions.
