Internship time is a prime time for doctors to decide on their future career planning. It should be decided based on liking, work-life balance, and other factors. This was a cross-sectional study on 92 female intern doctors at Sylhet Women’s Medical College Hospital, Sylhet, Bangladesh. Information was achieved by questionnaire. Data of preferred subjects in MBBS, preferred specialty selection, influencing factor, and preferred post-graduate degree were considered variables. A western degree (37.7%) was the most preferred, followed by a fellowship (26%). The most popular specialty was general surgery (29.3%), followed by obstetrics & gynaecology (OBG). Most participants (70%) decided on their own regarding future career planning. It is important to have a well-organized future career plan during the internship. Clinical subjects were preferable to basic subjects as a specialty. Western degrees were popular over national post-graduate degrees.

Background: Meningiomas are usually globular encapsulated tumors. They are extra axial tumors attached to dura and compress the underlying brain without invading it. Abnormalities of bone are frequently encountered in Meningiomas. Hyperostosis or endosotsis are certainly more common than destruction of bone. Aims and Objective: Aim of study was to observe the percentage of tumour cell invasion in to the hyperostosis part of intracranial meningiomas. Materials and methods: This is an observational analytic study. Sample size was 34. Place of study was department of Neurosurgery of Square Hospitals Ltd. All the patients with the histological diagnosis of meningioma were included in to this study. Result: Female patients were predominant. Highest number of patients was from 41 to 50 years age group. Convexity meningiomas were commonest (35%) followed by parasagittal meningiomas. According to histopathological subtype meningothelimatous was commonest (56%) followed by psammomatous. About one fourth meningioma patients (26.47%) presented with hyperostosis. Among the hyperostosis patients in 44.44% patient’s cause of hyperostosis was due to tumour cell invasion into hyperostosis part. Conclusion: Tumour cell invasion is one of the causes of hyperostosis in intracranial meningiomas which was responsible in more than one third cases in this study. Bangladesh Journal of Neuroscience 2011; Vol. 27 (2) : 78-82 DOI: http://dx.doi.org/10.3329/bjn.v27i2.17573

Background: Organisms associated with ventilator associated pneumonia (VAP) in intensive care units (ICU). Aims and objectives: To identify the organisms associated with ventilator associated pneumonia and to compare our study with other international studies. Methods: This observational study on VAP was conducted in different ICU of Square Hospital Limited during the two years. Any ventilated patient who developed fever or respiratory distress was clinically assessed by attending physician. This includes time of developing fever after intubation, physical examination findings (auscultation finding, pattern of temperature) and X-ray findings. On the day of onset of fever or respiratory distress, tracheal aspiration was done and the aspirated fluid was sent to microbiology lab. for culture and sensitivity test. If patient was designated to be suffering from VAP all relevant information was documented in a structured questionnaire. Results: In our study we found 15 organisms responsible for VAP. Among these common organisms were pseudomonus(35%), acinetobacter(29%), klebsiella(16%), MSSA (10%), MRSA(9).Total number of cases was 79. Among these 21 patients expired which was 26.5% of the whole series. Total 534 patients died in this hospital during this 2 years. Death for VAP was 4% of the total death of the hospital. Conclusion: Pseudomonas was the most commonest among identified organisms with ventilator associated pneumonia and medicine department having maximum number of VAP patients. To compare our results with those of international studies we found similarity in organisms, primary diagnosis and mortality. DOI: http://dx.doi.org/10.3329/jbsa.v22i2.18146 Journal of BSA, 2009; 22(2): 72-77

Gurayat General Hospital is a 350 bed secondary referral hospital of Kingdom of Saudi Arabia. This is one of the busiest hospitals in Al-Jouf region. Trauma is very common in this city and the ER department is mostly overwhelmed by Neurosurgical emergency patients. The aim the study was to evaluate the age sex, types of injuries and causes of injuries of the neurosurgical emergency patients. This was a cross-sectional descriptive observational study. Ethical approval was achieved from proper authority. Good Clinical Practice (GCP) ICH E6 protocol was followed in order to ensure safety and efficacy. Data was collected from the log book of the ER department. Data were transferred to a spreadsheet to make a master sheet. Valuables of individual columns were analyzed and tabulated. Comparison was performed between the result of this study and other international studies. About 7.3% of all ER admissions were for the Neurosurgical cases. Among the Neurosurgical cases (n=3588) there was clear predominance of male gender (81%). Majority (45%) of the Neurosurgical patients were from children and teen age group. Nearly 50% of the patients reported to ER with the history of Road Traffic Accident (RTA). Head injury was the commonest (61%) type of injury. Approximately 45% patients were admitted in to general ward whereas 42% patients were discharged from ER after providing primary treatment. When the results of this study were compared to the results of the other international studies fair similarities were observed.

Objective:To assess the factors associated with anemia in renal transplant recipients with functioning grafts in Sana'a city, Yemen. Methods:One hundred and thirteen adult renal transplant recipients with functioning grafts were enrolled in this study in the period from Janury to December 2014. Biodata and clinical data were collected using a pre-designeddata collection sheet. Hemoglobin (Hb) concentration was measured, and anemia was defined as Hb concentration less than13.0 g/dLin males and less than 12.0 g/dL in females. The factors associated with anemia were analyzed, and independent predictors of post-transplant anemia (PTA) among renal transplant recipients were identified using a multivariable logistic regression model. Results: PTA was detected in 23.0% of renal transplant recipients with functioning grafts. Bivariate analysis showed a significant association of PTA with age of 50 years or older (Odds ratio (OR) = 2.7; 95% CI: 1.10-6.72; P = 0.03), history of acute rejection (OR = 3.6; 95% CI: 1.17-11.28; P = 0.019) and delayed graft function (OR = 6.2; 95% CI:1.60-24.16; P = 0.004). Multivariable analysis using a logistic regression model identified history of acute rejection (adjusted OR = 3.9; 95% CI: 1.11-12.94; P = 0.034) and delayed graft function (adjusted OR = 4.6; 95% CI: 1.07-19.81; P = 0.04) as independent risk factors for PTA among recipients. However, no association was found between PTA and recipient's gender, graft source, immunosuppressive protocols, erythropoietin treatment or use of antihypertensive drugs. Conclusions:The prevalence of PTA among Yemeni renal transplant recipients is high, with history of acute rejection and delayed graft function being the independent risk factors. Therefore, it is recommended that physicians involved in renal transplantation consider the investigation and follow-up of transplant recipients for PTA and adopt appropriate preventive and therapeutic measures.