Introduction: Atherosclerotic cardiovascular disease (ASCVD) is the most common cause of ischemic heart disease that might leads to stable angina, unstable angina and myocardial infarction. The traditional risk factors for ASCVD include diabetes, hypertension, family history of premature ASCVD, Primary hypercholesterolemia, Metabolic syndrome, Chronic kidney disease, Chronic inflammatory conditions, history of premature menopause and pregnancy-associated conditions, ethnicity, Lipid biomarkers abnormalities and ankle brachial index (ABI <0.9) etc. This research was intended to identify prevailing ASCVD risk factors among the study population along with their 10 years ASCVD risk scores in relation to outcome variable like different severity of coronary artery disease.Materials and Methods: It was a cross sectional analytic study conducted from January 2020 to June 2020 in Combined Military Hospital, Dhaka. A total 100 samples were purposefully selected for this study. The individual ASCVD risk factors and 10 years ASCVD risk scores were calculated and were compared in relation to severity of ischemic heart disease. Data were analyzed by statistical package for social science version 19(SPSS-19) and p value <.05 were considered significant. Results:The conventional ASCVD risk factors like smoking, DM, HTN, primary hypercholesterolemia, high LDL, low HDL, high total cholesterol, chronic inflammation, metabolic syndrome and ABI were significantly related to the higher occurrences of severe ischemic heart disease. The others risk factors like age, stress in life, physical exercise and family H/O heart disease had no significant relation to the severity of ischemic heart disease. The occurrences of severe heart disease were higher in those who had intermediate or high ASCVD score than that of low ASCVD score. Conclusion:Some traditional ASCVD risk factors and intermediate or high ASCVD score are associated with severe ischemic heart disease. However large scale study may be carried out to validate the information in Bangladesh perspective.

The Placenta is said to be retained when it is not expelled out within 30 minutes child birth. The retained placenta may complicate like hemorrhage, shock, puerperal sepsis etc which may be potentially life-threatening. The retained placenta may be delivered by invasive manual separation that might leads to complications. Simple and relatively non-invasive procedure like intra Umbilical vein injection (IUVI) of oxytocin might eliminates the need for manual separation of the placenta might have a significant clinical value. This cross sectional analytic study was conducted at Dhaka medical college and hospital (DMCH) from January 2009 to June 2009. The total 50 patients were selected by purposefully random sampling technique included in this study. Eligible women were randomly assigned to receive one of two management strategies. In group A, 25 cases were given IUVI of 20 ml normal saline with 10 units of oxytocin and in group B, 25 cases were given IUVI of 20 ml normal saline only. Among the group A patients, 68% participants developed placental expulsion after IUVI of oxytocin whereas 60% developed placental expulsion after giving IUVI of normal saline only (Group B). Manual separations of placenta were done in 32% of participants in Group A and 40% of participants in group B. 28% of participants developed infection/sepsis in group A and 32% participants developed infection/sepsis in group B. 20% of the participants stayed less than 3 days in hospital in group A whereas 24% of participants in group B stayed in hospital less than 3 days. There is a non-significant augmentation of placental expulsion by IUVI of oxytocin than that of IUVI of normal saline only.

Introduction: Complete assessment of biliary obstruction requires the use of various imaging modalities to confirm the presence, level and cause of obstruction which can help in treatment planning. Commonly used procedures include Ultrasonography (USG), Computed Tomography (CT) and Magnetic Resonance Cholangiopancreatography (MRCP). Objective: To determine the accuracy, sensitivity and specificity and to compare the diagnostic accuracy of USG, CT scan and MRCP in assessing the level and cause of obstruction in patients with obstructive jaundice. Materials and Methods: This cross sectional descriptive study in 50 patients who presented in the department of Radiology and Imaging, Combined Military Hospital (CMH), Dhaka with symptoms and signs of obstructive jaundice above the age 20 years was carried out during the period from 01 October 2012 to 30 April 2013. The accuracy, sensitivity and specificity of each modality in assessing the level and cause of obstruction were determined. Results: MRCP detected level of obstruction in 100%, CT scan in 95.8% and USG in 90% cases. For detection of cause of obstruction, MRCP had the highest sensitivity (96.2%); followed by CT scan (88.4%) and USG (62.5%). The diagnostic accuracy for detection of cause of obstruction was the highest for MRCP (93.1%); followed by CT scan (89.8%) and USG (66%). Conclusion: MRCP has highest diagnostic accuracy and sensitivity by detecting the level and cause of obstruction most accurately. JAFMC Bangladesh. Vol 17, No 1 (June) 2021: 10-13