J Dhaka Medical College, Vol. 21, No. 2, October, 2012, Page 152-155 DOI: http://dx.doi.org/10.3329/jdmc.v21i2.15337

Background: Infertility is defined as the failure in pregnancy after one year of unprotected intercourse. Several centers have reported different causes of infertility. The most common causes of infertility include: Female factors such as ovulation dysfunction and tubal factor; male factors like sperm disturbance as well as ; both male and female factors and unexplained infertility. The aim of this study was to find out the etiologic factors of infertility in BSMMU (Bangabandhu Sheik Mujib Medical University, Dhaka, Bangladesh)Methods: This cross sectional study was done at the Out Patient Department (OPD) of infertility in BSMMU during the period of December 2004 to March 2005. One hundred infertile couples with necessary investigations were reviewed for the study. Results: In this study the frequency of primary and secondary infertility was 56% and 44% respectively. Among 100 couples 57% had female factor, 25% had both male and female factors and in 3% had male factor and in 15% of couple, the causes of infertility were unknown. Among women, different infertility factors included: Tubal factor 33%, Ovarian factor 12% and endometriosis 11%. In this study tubal blockage were detected in 50% cases of female secondary subfertility following Menstruation Regulation (M/R). Result showed 82% of men had normal spermogram 28%, had sperm disturbance including Oligospermia, Asthenospermia, Oligoasthenospermia and teratospermia. Conclusion: Although female factor was the most common cause of infertility in BSMMU, we can not conclude that this factor is the most common causes of infertility in Bangladesh. Since this centre is considered as referral centre especially for female infertility. We suggest performance of similar researches with big sample size in different institution to evaluate most common causes of infertility in Bangladesh.DOI: http://dx.doi.org/10.3329/jom.v14i2.18460 J Medicine 2013, 14(2): 110-113

Neurological diseases are gaining more importance in the developing countries like India in recent times. Epilepsy is one of the most important neurological disorders. It describes a condition in which a person experience recurrent seizures due to a chronic, underlying process. A Prospective Observational study was carried out at Rajiv Gandhi Institute of Medical Sciences, Kadapa. A total of 65 patients were selected in a 6 months period based upon the inclusion and exclusion criteria. In the present study we made an attempt to conduct Drug utilization evaluation (DUE) in epileptic patients to improve treatment rationality in a tertiary care teaching hospital. Demographic and prescription data was collected and assessed based upon the DUE.From that we found that generalized seizures were the most prominent seizure encountered and monotherapy was the most frequently used treatment in all types of epileptic seizures. Our data suggests that unknown cause and stress is main offender of symptomatic epilepsy. Furthermore, we observed that there was some inappropriate usage of Anti-epileptic drugs which comprises drug-drug interaction and incorrect dosage regimen. we found generalized seizures were the most prominent seizure encountered and monotherapy was the most frequently used treatment in all types of epileptic seizures. Most commonly prescribed drug was Phenytoin. We found ADRs, medication errors and drug interactions in

In recent time, various techniques have been applied for the hernia repair surgery. Considering the possibility of the recurrence rates up to 40%, umbilical and umbilical port hernias have been repaired without mesh for a long time. The repair of these hernias by the Ventralex hernia patch may decrease recurrent hernia rates. The aim of this study was to evaluate the outcome and complications of mesh repair in umbilical hernia by the Ventralex hernia patch. A total of 36 patients were studied retrospectively who underwent mesh repair surgery by the Ventralex hernia patch between April 2017 and October 2019 at Anower Khan Modern Medical College & Hospital, Care Medical College & Hospital and LABAID Specialized Hospital. They have also been evaluated for instant post-operative complications, recurrence rate & pain. Short-term clinical outcomes were assessed during post-operative follow up at first and sixth week. One year long-term outcomes were assessed over telephone. In this study, there were 28 female and 8 male patients with the range of age from 24-68 years (Mean 41.5 ±8.36) having 27 umbilical hernias and 9 umbilical port hernias. No major short-term complications were found but early minor complications were found in 5 patients (13.89%). No pain or mild pain was reported in 31 patients after one week’s post-operative follow up. 34 patients reported being very satisfied with their repairs. In this study we found that the Ventralex hernia patch is an effective and easier technique for mesh repair in umbilical and umbilical port hernias. This technique can also save the operative time with less post-operative complications and better outcomes. BSMMU J 2021; 14(3): 79-84