Background: Tibial plateau fractures are relatively rare fractures and have always been a challenge for orthopedic surgeons. These fractures may result in significant limitations postoperatively if not treated properly. The role of arthroscopic-assisted fixation of tibial plateau fractures has been advocated in many pieces of literature in the world during the last decades. Several studies have been published regarding arthroscopically assisted internal fixation of tibial plateau fractures. As it is an intra-articular lesion, surgical management is often challenging. We have very little data regarding these issues. The aim of this study was to assess the clinical and radiological outcome after arthroscopic-assisted minimally invasive plate fixation of tibial plateau fractures. Methods:This was a descriptive observational study which was conducted in a single Specialized Hospital, Dhaka, Bangladesh during the period from January 2015 to December 2019. Totally 38 patients with tibial plateau fractures (Schatzker type I-VI) were enrolled in the study. Radiography and 3D computed tomography were used to assess the fracture patterns. Arthroscopic-assisted minimally invasive plate fixation was done in all fractures under the image intensifier. An immediate postoperative radiograph was done and then repeated at 6 weeks as well as 3, 6, and 12 months after surgery. All data were processed, analyzed, and disseminated by MS Office and SPSS version as per need. Rasmunssen clinical and radiological assessment criteria were used for evaluation.Results: In our study, in analyzing the Rasmunssen clinical outcome we found, the highest number of participants got an "excellent" outcome, which was present in more than 70% (n = 27). Besides these, 21.05% (n = 8) participants got "good" and the rest 7.89% (n = 3) participants got "fair" outcomes. On the other hand, in analyzing the Rasmunssen radiological outcome we found, the highest number of participants got an "excellent" outcome which was more than 50% (n = 22). Besides these, 26.32% (n = 10) participants got "good", 13.16% (n = 5) participants got "fair" and the rest 2.63% (n = 1) participants got "poor" outcomes. Conclusion:According to the findings of this study we can conclude that arthroscopic-assisted minimally invasive plate fixation of tibial plateau fractures may have a key role in the management of such fractures and is the treatment of choice for associated intra-articular pathology. Clinical and radiological evaluations of the patients were excellent in the large majority of the patients, and poor evaluation was non-existant at clinical evaluation. Radialogical evaluation was unsatisfactory for only a small number of patients.

<p class="abstract"><strong>Background: </strong>Sexually transmitted diseases (STDs) affect men and women of all backgrounds and economic levels. CDC estimates that 19 million new infections occur each year, almost half of them among young people ages 15 to 24. Common STDs are acquired immune deficiency syndrome (AIDS), chancroid, genital HPV infection, gonorrhea, syphilis, trichomoniasis and viral hepatitis. The aim was to see the pattern of STDs in the skin and VD outpatient department (OPD), Sher-E-Bangla Medical College Hospital, Barishal, Bangladesh.</p><p class="abstract"><strong>Methods: </strong>The prospective observational study was conducted among 100 patients with STDs both male and female patients in the OPD of dermatology department of Sher-E-Bangla Medical College Hospital during the period from July 2015 to December 2015 irrespective of sex and age &gt;15 years to assess the prevalence of sexually transmitted diseases.</p><p class="abstract"><strong>Results:</strong> In this study, prevalence of STDs such as gonorrhea, syphilis, non-gonococcal urethritis, chancroid, genital herpes and genital warts were observed. Gonorrhea was 28%, 13% were syphilis, non-gonococcal urethritis (NGU) was 43% and chancroid, genital herpes, genital warts were 5%, 7% and 4% respectively.</p><p class="abstract"><strong>Conclusions:</strong> STDs are becoming a major public health problem in our county. So, STDs have to be wiped in the bud by early diagnosis, efficient treatment and appropriate preventive and control measures.  </p>

<p><strong>Background:</strong> The natural history of Lumber hernia of nucleus pulpous is not fully known and absolute indications for surgical intervention cannot be established. Several studies have shown that the most giant discs appear to have the greatest tendency to resolve with conservative treatment. The objective of this study is to investigate whether massive prolapsed discs can be safely managed conservatively once clinical improvement has occurred.</p><p><strong>Methods: </strong>Thirty-five patients were studied by clinical assessments and serial magnetic imaging over 3 years. Patients present with intense sciatica but began to show clinical improvement despite massive disc prolapsed. Clinical assessment included the Lasegue test and neurological improvement. The Oswestry disability index was used to measure function and changes in function. Serial MRI studies allowed the measurement of volume changes of the prolapsed disc material over some time. <strong></strong></p><p><strong>Results: </strong>Initial follow-up at an average of 13.2 months showed that 87% had complete and sustained recovery at the initial follow-up. Only four patients required surgery. The average Oswestry disability index improved from 63% to 20%. Volumetric analysis of serial MRI scans showed an average reduction of 69% in disc size. <strong></strong></p><p><strong>Conclusions: </strong>A massive disc prolapsed can pursue a favourable course. If early progress is shown, the long-term prognosis is very good and even massive disc prolapses can be treated conservatively.</p>

Background: Appendicitis is notorious in its ability to simulate other conditions and in the frequency, it can be mimicked by other pathologies. The purpose of this study was to evaluate the accuracy of the diagnostic approach incorporating modified Alvarado score system (MASS) and ultrasonography with clinical findings. The aim of the study was to observe and evaluate different modalities of determining appendicitis among the non-pregnant female population of reproductive ageMethods: This prospective descriptive study was conducted at the department of surgery, Rajshahi College and Hospital, Rajshahi, Bangladesh. The study duration was 6 months, from February 2013 to July 2013. The study was conducted with a total of 101 women who were of reproductive age, presenting with right lower quadrant pain, who went through appendicectomy during the study period.Results: The incidence of negative appendicectomy was 4.95% in this study. Most of the patients having appendicitis were in second and third decades with a mean age of 24.79±10.11 years. The rate of perforation in our study was 5.94%. The overall post-operative complication rate was 13.86% with minor wound infection being the most common complication. The accuracy, sensitivity, specificity, PPV and NPV of the diagnostic approach in this study were 95.05%, 98.96%, 20.00%, 95.96% and 50.00% respectively. The accuracy, sensitivity and specificity of ultrasound were found to be 29.47%, 25.56% and 100% respectively.Conclusions: Combined use of clinical diagnosis incorporating modified Alvarado score and ultrasonography led to a significant reduction in the negative appendicectomy rate.

<p class="abstract"><strong>Background:</strong> The management of tinea is challenging in Bangladesh and there are reports of using systemic antifungals at higher doses. The aim of the study was to find out the effectiveness of systemic terbinafine (250 mg) twice daily and itraconazole (100 mg) twice in a pulse dose in resistant tinea infection.</p><p class="abstract"><strong>Methods:</strong> It was a prospective, observational study conducted in the department of dermatology and venereology, Dhaka Dermatology Institute, Dhaka, Bangladesh from November 2020 to October 2021. Clinically confirmed cases of tinea corporis et cruris were recruited by random sampling techniques for the study and followed up for 12 weeks, till the completion of their treatment. Patients who were pregnant, lactating, non-consensual, as well as those who had a history of anti-mycotic treatment within 2 weeks prior to baseline visit were excluded from the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 30 patients were randomly assigned treatment and included in the study<strong>.</strong> According to within 4 weeks 11 (36.33%) patients were significantly improved and 19 (63.33%) patients were non-significantly improved, &gt;4 week to till 8 weeks 16 (84.21%) patients were improved significantly and 3 (15.79%) patients were improved non-significantly and &gt;8 week to till 12 weeks 3 (100%) patients were improved properly. Mycological cure was achieved in 25 (82.89%) patients, clinical cure rate was achieved same in 24 (79%) patients and complete cure rate was achieved 30 (100%) patients.</p><p class="abstract"><strong>Conclusions:</strong> The combination of systemic terbinafine (250 mg) twice daily and itraconazole (100 mg) twice in a pulse dose therapy may be an effective and safe therapeutic strategy in the management of registrant tinea infection.</p>