Introduction: The aim of this study was to screening the Sensitivity of Alvarado score among the hospitalized suspected appendicitis patients at Dhaka National Medical College Hospital for determine the diagnostic accuracy. Materials and Methods: It was an observational type of descriptive study, conducted in the Dhaka National Medical College Hospital, Dhaka, during the study period of July 2015 to December 2015. The study was approved by the institutional ethical committee. Results: Most of the appendicitis patients belonged to the between 21-30 years which was 64 (32%). Male appendicitis patients (52%) are more than the female patients (48%). Majority of the patients (69%) complains pain occurs in the Right iliac fossa. The sensitivity of Alvarado scores was 81.60%, specificity 74.58%, accuracy 79.35%, positive and negative predictive values were 87.18% and 65.67% respectively. Conclusion: Alvarado score has more specificity. Medicine Today 2020 Vol.32(1): 45-47

Introduction: The aim of the present study was to evaluate the pattern of medication adherence to anti-diabetic drugs among type 2 diabetic patients at two tertiary level hospitals in Mymensingh. Materials and Methods: An observational, cross sectional study was conducted from January 2016 to June 2016 among patients attending at Endocrine Outpatient Department of the Mymensingh Medical College Hospital and Medicine Outpatient Department of the Community Based Medical College Hospital, after obtaining requisite consent from the patients. Once the consultation by the physician was over, the patients were interviewed. Medication adherence was assessed through the specific four questions patient questionnaire, the modified morisky instrument that has high reliability and validity and the patient was considered to be highly adherent if he or she answered in the negative to all four questions (score-0). Results: In a pool of 300 type 2 diabetics, more than half were female (n=223, 74.3%). The mean age of the patients were found to be 50.59 ± 12.57 years. Less than half (37%) of the patients were considered highly adherent, 44% patients were considered moderately adherent and 19% patients were considered poorly adherent to the prescribed anti-diabetic drugs. Conclusion: The participants in the area of study were moderately adherent to their anti-diabetic medications. Measures should be taken to improve patient’s adherence to the prescribed treatment. Medicine Today 2019 Vol.31(1): 19-22

Introduction:The aim of the present study was to assess the pattern of lifestyle and knowledge about diabetes mellitus among type 2 diabetic patients at two tertiary level hospitals in Mymensingh Materials and Methods: A descriptive, cross sectional study was conducted from July 2015 to December 2015 among 300 patients attending at Medicine outpatient department of the Community Based Medical College Hospital and Endocrine outpatient department of the Mymensingh Medical College Hospital after obtaining requisite consent from the patients. Data were collected through the interviewing of the patients. The collected data were entered into the computer and analyzed by using SPSS version 20.1. The study was approved by the institutional ethical committee. Results: In a pool of 300 type 2 diabetics, Most of the patients (57.3%) belonged to the middle age group 41-60 years. More than half of the respondents were female (n=223, 74.3%). 97% patients were found to have knowledge about timing of dose regimen. Majority of patient’s (35.7%) knowledge about hypoglycemia was poor. The rate of adherence to diet was 51%. The rate of adherence to exercise was 68.3%. Conclusion: Majority of type 2 DM patients displayed optimal level of diabetes knowledge. There was a high rate of non adherence to diet and exercise recommendations by patients suffering from type 2 diabetes mellitus. So continuous patient education and awareness program are required. Medicine Today 2019 Vol.31(2): 102-104

Objective: The aim of the present study was to find out the common co-morbid conditions associated with type 2 diabetes mellitus. Methods: A descriptive, cross sectional study was conducted from January 2016 to June 2016 among 300 patients attending at Medicine outpatient department of the Community Based Medical College Hospital and Endocrine outpatient department of the Mymensingh Medical College Hospital after obtaining requisite consent from the patients. Data were collected through the interviewing of the patients. The collected data were entered into the computer and analyzed by using SPSS (version 20.1) to know the common co-morbid conditions associated with type 2 diabetes mellitus. The study was approved by the institutional ethical committee. Results: In a pool of 300 type 2 diabetics, Most of the patients (57.3%) belonged to the middle age group 41-60 years. More than half of the respondents were female (n=223, 74.3%). Among 300 cases, 188 patients had shown association with different co-morbid conditions. Female patients (77%) suffered from more co-morbid conditions than male patients (23%). Hypertension was the most commonly associated disease (65.42%) with DM. Conclusion: Most of the diabetic patients have co-morbid conditions. Hypertension was the most commonly associated disease with DM. Bangladesh Journal of Medical Science Vol.19(2) 2020 p.237-239

Introduction: Psoriasis is a lifelong autoimmune disease which is characterized by white to red color patches of abnormalskin with patches of itchy and scaly. The term psoriasis derived from Greek word “psora” which means “itch”. It is achronic skin disease, touching about 2% of worldwide population. Different types of psoriasis have been reported such asplaque psoriasis, psoriatic arthritis, scalp psoriasis, flexural (inverse) psoriasis, guttate psoriasis, pustular psoriasis, nailpsoriasis, erythroderma which can be diagnosed by solid conclusion such as skin biopsies etc. Case report: We present thecase of a 55-years-old male with psoriasis. The diagnosis of psoriasis is based on the clinical features and history, as wellas on histopathological examinations of patient's tissue specimens. Any final diagnosis should include a differentialdiagnosis which includes severe seborrheic dermatitis, Contact dermatitis, pityriasisrubrapilaris and mycosis fungoideswhich can be clinically indistinguishable from a severe form of psoriasis. Histopathological studies are also generallyneeded to achieve a definitive diagnosis. After histopathological confirmation of psoriasis methotrexate therapy has beenstarted. Discussion: After comparing this case with several published articles/case reports on psoriasis we found somesimilarity regarding presentation, use and good response to methotrexate therapy but dissimilarity regarding response tosteroid therapy. Conclusion: Our patient showed an excellent response to methotrexate medication Medicine Today 2020 Vol.32(2): 145-147