Pressure ulcers have been labelled as one of the most expensive and physically debilitating complications in the 20th century. After cancer and heart diseases pressure ulcers are the third most expensive disorder. Several studies have indicated that nurses' knowledge and practices about pressure ulcer prevention and management are inadequate. This is a descriptive co-relational study aimed to assess nurses‟ knowledge and practices related to pressure ulcer prevention and management. It also examines the relationships between nurses‟ knowledge and practice with respect to pressure ulcer prevention and management. The subjects were nurses working at Rajshahi Medical College Hospital. Three hundred nurses were selected for this study, two hundred and ninety four nurses were completed the questionnaire and response rate was 98%. Three tools were used for data collection: Demographic, Knowledge and Practice questionnaire. Data were analysed by descriptive and Pearson product-moment correlation statistics. The findings showed that nurses had a moderate level of knowledge and a moderate level of practice when we categorized the findings according to their age, working experience and educational level they scored low level of knowledge. There was a significant correlation was found between nurses knowledge and practice regarding pressure ulcer prevention and management (r =.136, p>.05). Findings of the present study suggest that nurses need to increase knowledge on pressure ulcer prevention and management in order to improve nursing practice in this. Asian J. Med. Biol. Res. June 2020, 6(2): 237-243

Background & objective: Diabetes is major global epidemic with an ever-increasing trend. For diabetic patients hypoglycemia is a fact of life. The gravity of the problem demands that the diabetics must be aware about the symptoms of hypoglycemia as well as its immediate corrective measures to overcome the crisis. But, a substantial proportion of diabetic patients is unaware of all the symptoms of hypoglycemia leading to delayed management. This study was intended to assess the diabetic patients‟ perception about hypoglycemia. Methods: The study was carried out in the Department of Community Medicine, Rajshahi Medical College, Rajshahi over a period of 2 months from April 2018 to May 2018. The diabetic patients in the rural area of Puthia Upazila were the respondents (study population). A total of 107 diabetic patients were consecutively included in the study. A self-administered questionnaire containing the variables of interest for evaluating perception of the respondents about diabetic hypoglycemia was used. Respondents‟ level of knowledge about hypoglycemia was measured using Likert Scale Score. Score „1‟ was assigned for each correct answer and score  „0‟ for each wrong answer. As there were more than one question in assessing respondents‟ level of knowledge, combined scores were used to measure respondents‟ perception about hypoglycemia. Result: Over one-third (36.4%) of the respondents was middle aged (40 – 50 years old) and 29% were upper middle aged (50 – 60 years old) with mean age of the respondents being 51.3 years (range: 30-93 years). Approximately 55% were male with male to female ratio being roughly 11:9 More than two-thirds of the respondents took measures to control diabetes and their compliance to treatment was also commendably high (83%). The proportion of controlled diabetics was no less (57%). But their knowledge about common symptoms and causes of hypoglycemia was poor (no more than 25% on an average). The knowledge about measures to be taken to correct hypoglycemia was even poor (no more than 20% on an average). The perception of the significance of symptoms of hypoglycemia and the importance of their correction were disappointingly low (< 10%). Overall half (49.5%) of the respondents had very poor level of knowledge, over one-third (34.6%) had poor knowledge, 13.1% had average knowledge and only 2.8% had good knowledge about symptoms of hypoglycaemia. Conclusion: The study concluded that over two-thirds of the diabetic patients of Puthia Upazilla adopt measures to control diabetes and their compliance to treatment is appreciably high. The proportion of controlled diabetes is also appreciable. But their knowledge about symptoms, causes of hypoglycemia, measures to be taken to correct hypoglycemia and the importance of taking immediate measure to correct hypoglycemia are all inappreciably low. Ibrahim Card Med J 2018; 8 (1&2): 31-38

This cross-sectional type of descriptive study was undertaken to assess the awareness and practice of hand-washing among children in three villages of Puthia Upazila, Rajshahi District, Bangladesh. A total of 1152 children aged 5 – 18 years old were purposively selected from the study area. Majority (96%) of them was students of primary or secondary grade. A few were involved in business, farming, service and others. Face to face interview was conducted with the help of a semi structured questionnaire on the variables of interest. Nearly half (49.5%) of the respondents was 11-15 years and the rest >15 years old. Male-female distribution was almost equal. Fathers of the children were service-holder (18.7%), businessman (28.6%), farmer (26.1%) and day-laborer/rickshaw puller (26.5%). Nearly 60% of respondents belonged to poor family having monthly income Taka < 10000. Majority (97.1%) of the respondents was aware of the importance of hand washing and 75% perceived that diseases could be prevented through hand washing. More than 90% of the respondents were used to using soap and water for washing hands and over 80% washed hands regularly. Over three-quarters (77.8%) were accustomed to washing hands in school before tiffin. Most (81.8%) of the respondents used sanitary latrine for defecation. The use of soap-water for washing hands after defecation was significantly higher in older children (> 12 years) than that in younger children (≤ 12 years) (p = 0.020). The use of soap water for washing hands after defecation tends to be associated with children’s grade of education with higher tendency being observed in children of secondary and higher secondary school (p < 0.001). Children belonging to higher family income were more cautious in using soap/antiseptics (p < 0.001). The study concluded that perception and practice of hand-washing is appreciably high among rural children. However, older children, children studying in secondary grade and belonged to families with higher monthly income were more cautious about hand-washing.TAJ 2013; 26: 82-91

This was a hospital based study done to see the prevalence of metabolic syndrome in acute myocardial infarction patients in Bangladesh. A total of 325 acute myocardial infarction patients attending in coronary care unit Rajshahi medical college hospital were included in this study. According to modified NCEP ATP III criteria 48.5% of subjects aged ≥ 20 years had the metabolic syndrome and it was more commonly seen in women than in men (72% vs 37.4%). The metabolic syndrome is associated with an increased risk of acute myocardial syndrome.TAJ 2011; 24(2): 82-84

We evaluated the safety and efficacy of laparoscopic orchiopexy to manage a nonpalpable intra-abdominal testis and studied the outcomes. We report our 3 years experience.Patients and methods Laparoscopic Orchiopexy was performed on 28 children (32 testicular units) for non-palpable intra-abdominal testis between 2010 and 2012. We retrospectively reviewed the medical records. The mean age was 3.4 years (range, 2.5 -11 years). Of the 28 patients, 18 (64.28 %) were on the right, 6 (21.44%) were on the left and 4 (14.28%) of bilateral. The mean follow-up period was 14.8 months (range, 3-36 months). Testicular viability and orchiopexed positioning were evaluated within 1 month and beyond 3 months.Results  Thirty one testes were descended successfully by laparoscopy. The average operative time was 41.5 ± 3.8 min. Primary laparoscopic orchiopexy done in 26 testes.Three of unilateral and 2 of bilateral testicular units underwent one -stage Fowler-Stephens Orchiopexy. One patient needs laparoscopic orchiectomy. At follow-up (mean 14.8 months), one testis atrophied and need orchiectomy. Testicular survival rate was 96.77% (30/31) and all of the testes maintained an adequate size. Twenty six (86.66%) are in an acceptable scrotal position and 4 testes (13.33%) are mid to high in the scrotum without atrophy. There was no recurrent inguinal hernia.Conclusions  Laparoscopic orchiopexy is successful for a nonpalpable intra-abdominal testis with a high testicular survival rate. The low incidence of complications and high success rate underscore the feasibility of this procedure. It is our procedure of choice for the treatment of nonpalpable testis.TAJ 2011; 24(2): 70-75