Background: There are still dearth of knowlege of intussusception regarding its aetiology and predisposing factor among children.

Diagnosis of acute appendicitis in children with equivocal signs is often difficult requiring admission for observation, many of whom are finally discharged because they do not have appendicitis. This study was designed to see whether Alvarado score can aid in diagnosis of acute appendicitis. 71 children with age in between 5-15 were scored. The decision of surgery was made independent of the score. Appendicitis was confirmed in operated cases on operative and on histopathological findings. It was found that patients with low score have little chance to suffer from acute appendicitis. Therefore Alvarado scoring system can be used in taking decision in the diagnosis of acute appendicitis in children. Key Words: Acute Appendicitis; Alvarado Score DOI: http://dx.doi.org/10.3329/akmmcj.v2i2.8165 AKMMC J 2011; 2(2): 11-13

AbstructBackground: Total splenectomy, exposes children to the high risk of overwhelming postsplenectomy infections (OPSI). To avoid these adverse consequences, partial splenectomy has long been practiced for thalasseemia in children. It has been reported that the partial splenectomy keeps the child immunologically competent, hematologically stable with minimum blood transfusion and makes their life more comfortable in comparison to total splenectomy. in both groups but it was maintained at a more static fashion in control group than case group (P = 0.114). Howell-jolly body in the partial splenectomy group disappeared almost completely at month 6, while the same inclusion body in the total splenectomy group appeared in all the children (p= 0.001). There was no postsplenectomy infection in case group while two found in control group. After partial splenectomy the residual volume of the spleen was gradually increasing. The increase in volume of the liver was notably greater in the total splenectomy group than that in the partial splenectomy group (p< 0.05).Conclusion: Partial splenectomy in patients with ²-thalassemia is effective in controlling hemolysis, improving peripheral blood picture while preserving the residual splenic phagocytic and immune function.

An area of loss of scalp could be covered by various methods including local flap, distant flaps, skin graft, free flap surgery or tissue expansion. Each method has some disadvantages, such as postoperative alopecia or donor site morbidities. The study was conducted in the Department of Burn and Plastic Surgery, Khulna Medical College Hospital from July 2011 to June 2015. Scalp reconstruction was performed on 16 patients who sustained scalp loss from RTA, surgery for cancer, burn injuries and machinery injury. The size of the wound ranged from 6 cm2 to 320 cm2. Transposition flap, rotation flap, removal of osteomyelitic bone and skin grafts were done. Among 16 cases, 3 cases (18.75%) were skin grafted, 6 cases (37.5%) were reconstructed with transposition flaps, 5 cases (31.25%) were reconstructed with rotation flap and 2 cases (12.5%) were reconstructed with skin graft after removal of osteomyelitic outer table of skull bone. The postoperative complications seen in this series includes partial graft loss in 2 cases (skin graft), marginal necrosis in 1 case (transposition flap) and alopecia in 11 cases (in skin graft and transposition flap). There was no alopecia in reconstruction with rotation flap. Rotation flaps brings the best outcome in terms of durability and aesthetic acceptability where it is applicable in comparison to other procedure.Bang Med J (Khulna) 2015; 48 : 3-6

CSOM is a most common ENT disease in our country