Objectives: The purpose of this study is to evaluate the endoscopic approach for sinonasal inverted papilloma and outcome of the surgical management. Study design: Retrospective. Place and duration of study: Dhaka Medical college Hospital and Bangladesh ENT Hospital Ltd. of Bangladesh, from January 2006 to December2020. Materials and methods: 189 cases of Inverted papillomas (confirmed by histopathology) presented in last 15 years were managed by Endoscopic Sinus Surgery and the outcome evaluated. Results: The age of the patients ranged from 41 to 80 years. The mean age was 60 years with Male Female ratio 2.04:1.165 patients had unilateral disease and 24 patients had bilateral. Hundred & seventy two patients with inverted papilloma resected by the endoscopic approach,09 patients by nasoendoscopy in combination with modified Caldwell-Luc approach and 8 patients by combined external and nasoendoscopic approach. Follow up revealed recurrence in nine patients. Conclusion: Findings suggest that endoscopic approach is a safe and effective way of treating sinonsal inverted papilloma. Most lesions were entirely resected through endoscopic approach. Importantly surgical strategies need to be thoughtfully chosen based on tumor stage to achieve maximum removal of the lesion and prevent recurrence. J Shaheed Suhrawardy Med Coll 2021; 13(2): 126-129

Introduction: Menstruation-related poor knowledge and understanding among adolescent girls may lead to unsafe personal health care practice that ultimately increases the risk of genito-urinary tract infections, drop-out from school, poor academic performance, and overall poor quality of life. Being a developing country, it is an unrecognized problematic area in Bangladesh. Therefore, it is crucial to assess knowledge and practice on menstrual hygiene among urban adolescent girls in Bangladesh. Methods: This was a community-based cross-sectional study conducted in the Department of Community Medicine of Rajshahi Medical College among 495 purposively selected urban adolescent girls. Data were collected using a semi-structured interviewer-administered questionnaire. Results: The majority (57.2%) of the respondents in the study were more than 15 years old, and most (93.3%) were Muslim. Most of the girls (82.5%) have experienced menarche within the age range of 12-15 years, and the majority of respondents, 259 (52.32%), were informed about menstruation before menarche. Their source of information about menarche was mothers in most cases. Out of 495 adolescent girls who participated in this study, 70.9% had good knowledge of menstruation. About 82% of girls used commercially made sanitary pads, and 35.2% changed pads or clothes more than three times a day during menstruation. Conclusion: The majority (70.9%) of adolescent girls had good knowledge of menstruation, and 73.3% had a good practice on menstrual hygiene. Therefore, there is a need to design and implement universal awareness creation and advocacy programs to improve their knowledge of safe and healthy menstruation management and promote good hygienic practices by creating an appropriate supportive home and social environment for all the adolescent girls. TAJ 2022; 35: No-2: 01-11

Sore throat manifested by throat pain is a troublesome issue or discomfort for which physicians are used to prescribing antibiotics, but most often, it is found that the patient is not responding to the drug, which gives rise to the question of drug-resistant or whether there is any infection at all? Nonspecific throat pain also imparts serious public health problems. Self-medication, inadvertent and inadequate doses of antibiotics frequently prescribed by both village doctors and registered MBBS doctors is really a public health problem in developing countries like Bangladesh. Aims: The aims of this study are to isolate the common organisms in chronic throat infection and to find out the effectiveness of various commonly used antibiotics. Methods: The samples were collected randomly from sore throat patients via a throat swab in 5 ml of 1% sterilized saline water, and the sample was brought to the laboratory and was inoculated within two hours in both blood agar and nutrient agar (NA) media and samples were incubated at 37°C overnight. Then pure colonies were transferred to Mueller Hinton agar, and antimicrobial susceptibility testing was done by the Kirby Bauer disc diffusion method. Results: A total of 27(24%) out of 111 samples yield positive growth. In a large number of samples, 84 (76%) did not show any isolation of the pathogenic organism. The predominant organism is a Staphylococcus aureus (55.55%). Thereafter, streptococcus (18.51%), Klebsiellapneumone (14.81%)and Pseudomonas (11.11%).Amoxiclav is the most resistant drug, along with cefuroxime, azithromycin, and doxycycline, respectively. Levofloxacin and ciprofloxacin show intermediate sensitivity. The most sensitive drug used in chronic sore throat found is linezolid though not frequently used, and other sensitive drugs are moxifloxacin and ceftriaxone. Conclusion: Throat pain or soreness does not always indicate that patient has been infected by bacteria. Rationale and ethical prescription, as well as microbiological sensitivity testing, are considered to avoid drug-resistant strains. TAJ 2022; 35: No-1: 25-31

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