Introduction: Conflicts frequently occur in countries with high maternal and neonatal mortality and can aggravate difficulties accessing emergency care. No literature is available on whether the presence of conflict influences the outcomes of mothers and neonates during Caesarean sections (C-sections) in high-mortality settings.Objective: To determine whether the presence of conflict was associated with changes in maternal and neonatal mortality during C-sections.Methods: We analysed routinely collected data on C-sections from 17 Médecins Sans Frontières (MSF) health facilities in 12 countries. Exposure variables included presence and intensity of conflict, type of health facility and other types of access to emergency care.Results: During 2008–2015, 30,921 C-sections were performed in MSF facilities; of which 55.4% were in areas of conflict. No differences were observed in maternal mortality in conflict settings (0.1%) vs. non-conflict settings (0.1%) (P = 0.08), nor in neonatal mortality between conflict (12.2%) and non-conflict settings (11.5%) (P = 0.1). Among the C-sections carried out in conflict settings, neonatal mortality was slightly higher in war zones compared to areas of minor conflict (P = 0.02); there was no difference in maternal mortality (P = 0.38).Conclusions: Maternal and neonatal mortality did not appear to be affected by the presence of conflict in a large number of MSF facilities. This finding should encourage humanitarian organisations to support C-sections in conflict settings to ensure access to quality maternity care.

Background: Different non-motor neurological complaints are reported among the Parkinson’s disease patients. Objective: The purpose of the present study was to see the non-motor neurological complaints of Parkinson’s disease patients. Methodology: This cross-sectional study was carried out in the in-patient and out-patient Department of Medicine and Neurology of Sir Salimullah Medical College and Mitford Hospital, Dhaka from July 2012 to December 2013 for a period of one and half year. All patients with Parkinson’s disease who were admitted under department of Medicine and Neurology and also who visited out-patient department of Medicine and Neurology of Sir Salimullah Medical College and Mitford Hospital, Dhaka were included as study population. Patients who were diagnosed according to Brain Bank clinical criteria for diagnosis of Parkinson’s disease were included in this study. The non-motor neurological complaints were recorded. Result: This study was conducted in Sir Salimullah Medical College and Mitford Hospital with a view to see the non-motor neurological complaints of Parkinson’s disease. The mean age was found 69.15±10.08 years. Most of the patients had a combination of non-motor symptoms and among them more than two third (66.7%) of the patients had cognitive impairment; furthermore more than half (53.8%) of the patients had sleep disturbance. One fourth (25.0%) of patients had sensory, sleep and cognitive disorder; however, 9(22.5%) patients had sleep and cognitive disorder. Conclusion: In conclusion majority Parkinson’s disease patients are suffering from cognitive impairment followed by sleep disturbances. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 123-126

Background: Women with Hypothyroidism have higher pregnancy complication rates. Objective: The purpose of the present study was to compare the effects of clinical and subclinical hypothyroidism on maternal outcomes. Methodology: This cohort study was conducted in the Feto-Maternal Department of  Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from a period of 6 months dated from September 2019 to February 2020 for a period of 6 months. All cases of the clinical and sub-clinical hypothyroid pregnant women admitted in this department. Maternal outcomes of both groups during pregnancy were recorded. Findings of the cases recorded carefully. Result: This study was conducted among 75 patients, which was 14.79% of the total admitted cases during study period. Maximum (62.79%) number was found in the age group of 25 to 44 years in group I and 65.62% cases in group II.  (p<0.05). Severe Pre Eclampsia was observed 2(4.65%) cases and 6(18.75%) Group II. Abruptio placenta was observed 5(15.62%) cases in group II and none in group I. However Preterm delivery are three times more 39.5% in group I cases. Uterine rupture, abortion are   observed only in group II patients (p<0.05). Conclusion: In conclusion maternal outcomes are significantly varied in clinical and subclinical hypothyroidism women during pregnancy. Journal of Current and Advance Medical Research, January 2021;8(1):7-11

Key Words: hypertension; birth weight; low birth weight; pregnancyDOI: 10.3329/jcmcta.v21i2.7732 Journal of Chittagong Medical College Teachers' Association 2010: 21(2):21-24

Dyke-Davidoff-Masson Syndrome (DDMS), also known as cerebral hemiatrophy, is a rare clinical condition characterized by seizures, facial asymmetry, contralateral spastic hemiplegia or hemiparesis, with learning difficulties and behavioral changes. It is commonly diagnosed in presence of clinical feature associated radiological findings which include cerebral hemiatrophy with homolateral hypertrophy of the skull and sinuses. In this present case report a 12 year old teenager female patient was diagnosed as DDMS with recurrent generalized seizures, learning difficulties and right sided hemiparesis. Magnetic resonance imaging (MRI) of the brain showed hemiatrophy involving the left cerebral hemisphere and EEG showed generalized epileptiform discharged. An X-ray of the paranasal air sinuses was normal. [J Shaheed Suhrawardy Med Coll, 2013;5(2):111-113]