ssnimcj2025v10i2s5

Original Contribution

Severe Acute Malnutrition of Children in Slums of Dhaka City, Bangladesh 

*Billah MM,1 Shampa NN,2 Henderson A3 

  1. *Dr. Mallick Masum Billah, Resident Advisor, Field Epidemiology Training Program, Nepal, South Asia Field Epidemiology and Technology Network Inc. (SAFETYNET). drmasumbillah@yahoo.com
  2. Nazmun Nahar Shampa, Junior Consultant (Paediatrics), Upazila Health Complex, Tala, Satkhira, Bangladesh
  3. Alden Henderson, Epidemiologist, Department of Public Health Sciences, University of Hawaii, Honolulu, HI, USA 

*For correspondence

Abstracts
Introduction:
The risk of malnutrition among children of urban slums is higher due to socio-economic deprivation and inadequate healthcare access. Transition from exclusive breastfeeding to weaning in the first year of life is critical, whereby caregivers’ lack of knowledge and inappropriate feeding practices can lead to severe acute malnutrition (SAM). This study aims to identify human factors associated with SAM among children aged 12-18 months living in slums of Dhaka city.
Methods: A case-control study in slums of Dhaka from January to August 2017 enrolled as cases, children aged 12-18 months with mid-upper arm circumference (MUAC) <11.5 cm or bilateral pitting oedema and controls as children of same age with MUAC >12.5 cm and no oedema. Using a 1:2 ratio, we purposively selected participants and interviewed their caregivers. We calculated odds ratios (OR) and 95% confidence intervals (CI). We applied multivariable logistic regression and calculated adjusted odds ratios (AOR) to adjust for confounders.
Results: We visited 56 slums in Dhaka and interviewed 193 cases and 386 controls in the study. Mean age of children was 15 months. Gender distribution was similar among cases and controls. Incomplete vaccination (AOR:2.2, 95%:1.6–3.8), absence of exclusive breastfeeding (AOR:2.2, 95%:1.4–3.4), smoking inside home (AOR:2.2, 95%: 1.3–3.3), maternal age <18 years (AOR:3.1, 95%:1.3–7.8), and recent diarrhoea history (AOR:1.9, 95%:1.7–2.9) were significantly increased risk of SAM. Although not statistically significant, other factors included poor maternal nutritional knowledge, lack of time for feeding, and unsafe water consumption.
Conclusion: This study reinforces findings from previous research, showing that severe acute malnutrition in Dhaka slums was driven by preventable factors such as young maternal age, lack of exclusive breastfeeding, incomplete vaccination, indoor smoking, and recent diarrhoea. Targeted, community-based interventions based on these findings were recommended to prevent malnutrition and improve child outcomes.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):121-130]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s5

PDF

ssnimcj2025v10i2s4

Original Contribution

Referral Patterns for Psychiatric Morbidities from Non-Psychiatric Medical Departments: A Retrospective Study in Rural Bangladesh

*Bashar MK,1 Kulsum U,2 Talukder MM,3 Mitu MR,4 Hasan MK,5 Sultana N6

  1. *Dr. Md. Khairul Bashar, Associate Professor, Department of Psychiatry, Shaheed Syed Nazrul Islam Medical College, Kishoreganj. kabashar47@gmail.com
  2. Umme Kulsum, Assistant Professor, Department of Psychiatry, Shaheed Syed Nazrul Islam Medical College, Kishoreganj.
  3. Muhammad Moinul Alam Talukder, Assistant Professor, Pharmacology, Shaheed Syed Nazrul Islam medical College, Kishoregonj.
  4. Marshia Rahman Mitu FCPS (Medicine), OSD, DGHS, Mohakhali, Dhaka.
  5. Md. Kamrul Hasan, Assistant Professor Department of Anesthesia, BSMMU, Dhaka.
  6. Nadia Sultana, MPH, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka 

*For correspondence

Abstract
Objective: Mental disorders are a leading cause of disability globally, yet they remain underdiagnosed and undertreated, particularly in low- and middle-income countries like Bangladesh. Very often patients visit primarily to a non-psychiatric medical department for their psychiatric diseases. This study aims to explore the referral patterns, sociodemographic profiles, and diagnostic distribution of psychiatric patients in Bangladesh, with a focus on identifying systemic barriers and optimizing the role of non-psychiatric medical providers in improving access to mental health care.
Methods: This retrospective cross-sectional study investigates the referral patterns for psychiatric morbidities from non-psychiatric medical departments at Shaheed Syed Nazrul Islam Medical College in Kishoreganj, Bangladesh, spanning October 2023 to November 2024. Data were extracted from 95 patient records to analyze demographics, referral sources, and diagnostic categories.
Result: The findings revealed that most patients (81.05%) were referred from the medicine department, with attending physicians accounting for 54.7% of referrals. The cohort was predominantly female (72.6%), from rural areas (72.6%), and low-income households (88.4%). Conduct disorder (16.84%), depressive disorder (13.68%), and generalized anxiety disorder (12.63%) were the most prevalent diagnoses.
Conclusion: These patterns highlight significant delays and barriers in accessing psychiatric care, underscoring the pivotal role of non-psychiatric providers in early identification and referral of mental health conditions. The study emphasizes the need for targeted training and awareness programs for non-psychiatric physicians to bridge gaps in mental health care.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):111-120]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s4

PDF

 

ssnimcj2025v10i2s3

Original Contribution

Assessment of Clinical Scoring Systems to Predict the Outcome of Patients with Acute Organophosphorus Poisoning

*Ahmed MU,1 Shima UT2

 

  1. *Dr. Minhaj Uddin Ahmed, Assisstant Professor, Department of Medicine, Dhaka Medical College, Dhaka,  dr.minhaj55@gmail.com  ORCID ID: 0009-0009-4034-1751
  2. Umme Tahmina Shima, Junior Consultant, Department of Gynaecology and Obstretics, Mugda Medical College, Dhaka, Bangladesh.

*For correspondence

Abstract
Objective: This study aimed to determine the relationship between individual scores and mortality rate which will be helpful to provide early interventions in selective cases of acute organophosphate (OP) poisoning.
Methods: This is a hospital-based observational study of 63 adult patients of OP poisoning who presented with acute cholinergic crisis. The performance of International Program on Chemical Safety Poison Severity Score (IPCS PSS), Peradeniya Organophosphorus Poisoning (POP) Scale and Glasgow Coma Scale (GCS) were evaluated. Clinical history, socio-demographic and relevant data, risk factors and outcomes were recorded. Receiver operating characteristics (ROC) curve was generated and the area under the curve (AUC) was calculated for short-term outcome. Logistic regression model was fitted for each of the clinical scoring systems.
Results: The mean age of the patients was 28.4±10.23 years. The most common OP ingested was chlorpyriphos 30.2%. Gastric lavage was given to 77.8% of the admitted patients. 81% of patients remained in hospital for 1-3 days and the majority (87.3%) of patients were cured and discharged. Overall mortality rate was 7.9%. The AUC for mortality was significantly higher for POP (0.840) than IPCS PSS (0.741). On logistic regression analysis, POP can identify 92.1% cases correctly. The performance of POP scale is considered satisfactory (p=0.005). IPCS PSS and GCS appear to be less effective at predicting an individual’s poor outcome.
Conclusion: In acute OP poisoning, POP scale outperforms IPCS PSS and GCS. Thus POP scale can be reliably used to assess the outcome and mortality of patients with acute OP poisoning.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):96-110]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s3

PDF

ssnimcj2025v10i2s2

Original

Drug Prescribing Patterns for Chronic Kidney Disease in a Tertiary Care Hospital of Bangladesh

*Dema TS,1 Ahmed AU,2 Roy AS,3 Begum SA,4 Sattar S,5 Afrose R,6 Ferdous J,7 Razia S,8 Hussain MA,9 Banu TA10

 

  1. *Dr. Taslima Sultana Dema, Lecturer, Department of Community Based Medical College Bangladesh, Mymensingh. taslimadema@gmail.com
  2. Aftab Udding Ahmed, Professor and Head (rtd), Department of Pharmacology, Mymensingh Medical College, Mymensingh
  3. Ashutosh Shaha Roy, Professor, Department of Nephrology, Principal of Shahid Syed Nazrul Islam Medical College, Kishoregonj
  4. Shamin Ara Begum, Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh
  5. Shamima Sattar, Associate Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh.
  6. Rfika Afrose, Associate Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh.
  7. Jannatul Ferdous, Assistant Professor, Department of Pharmacology, Community Based Medical College Bangladesh Mymensingh.
  8. Sultana Razia, Assistant Professor, Department of Pharmacology, Community Based Medical College Bangladesh, Mymensingh,
  9. Mahbuba Azmary Hussain, Lecturer, Department of Anatomy, Jamalpur Medical College, Jamalpur
  10. Tahmina Akhter Banu, Lecturer, Department of Anatomy, Rangpur Medical College, Rangpur

*For correspondence

Abstract

Background: Chronic kidney disease (CKD) is a prevalent non-communicable disease that requires sophisticated medication and polypharmacy. CKD patients need continual medicine, therefore prescribing patterns must be monitored. Managing drugs for CKD patients poses unique challenges, but it also allows healthcare practitioners to improve treatment for this high-risk population.
Objective: To find out the drug prescribing pattern of CKD patients in Nephrology Department of Mymensingh Medical College, Mymensingh.
Methods: This cross-sectional study was conducted at the Department of Pharmacology in collaboration with Department of Nephrology, Mymensingh Medical College Hospital from July 2022 to June 2023. Participants were randomly selected based on predefined inclusion and exclusion criteria. Data were gathered through direct observation of prescriptions and face-to-face interviews with CKD patients attending the Nephrology Outpatient Department.
Results: Most of the patients were above 40 years old and mean age was 54.8 ± 17.8 years of the study subject. Males (55.2%) were predominant than females (44.8%). Maximum patients were CKD stage 4 and 5 (71.6%). Most common antihypertensive was calcium channel blocker (18.8%) followed by beta blocker (15.1%), Diuretics (14.3%) and alpha receptor blocker. Most common antidiabetic drugs were insulin (16.1%), Tab Linagliptin (7.2%) and Tab Gliclazide (6.0%). Statin was prescribed to 18.8% patients as hypolipidemic drug. Most common prescribed vitamin was vitamin D (76.0%). Most common phosphate binders were calcium carbonate (32.6%), calcium acetate (25.5%), calcium acetate along with magnesium carbonate (9.1%). Most common antimicrobials were ceftriaxone (4.7%), followed by cefuroxime (3.9%), nitrofurantoin (3.6%) and azithromycin (2.1%). Most common antiulcerant was esomeprazole (28.1%), followed by pantoprazole (13.3%), rabeprazole (12.5%), omeprazole (5.5%) and dexlansoprazole. Most common hematinic drugs were iron (oral) (16.9%), iron (inj) (10.7%) and folic acid (10.4%). Common erythropoiesis stimulating agents was Erythropoietin alfa (11.5%). Only 0.8% drug was prescribed by generic name, antibiotics were prescribed in 23.2% cases and injection was prescribed in 50.5% cases. From essential drug list 32.5% drugs were prescribed.
Conclusions: Study revealed, most commonly prescribed antidiabetic drugs were insulin (16.1%), Tab Linagliptin (7.2%) and Tab Gliclazide (6.0%). Metformin (1.6%), Empagliflozin (1.0%) and Glimepiride (0.8%) were also prescribed in Nephrology Depertment, Mymensingh Medical College Hospital.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):85-95]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s2

 

PDF

ssnimcj2025v10i2s1

Editorial
The Importance of Accreditation in Medical Education in Bangladesh

*Dr. Safia Sultana, MBBS, Mphil (Microbiology), Head & Associate professor, Department of Microbiology, Shaheed Syed Nazrul Islam Medical College, Kishoreganj.
Email: drsafia79@yahoo.com

[Shaheed Syed Nazrul Islam Med Col J 2025, Jul; 10 (2):83-84]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i2s1
Abstract: Not available
PDF

ssnimcj2024v9i2a9


Information for Contributors

 General Information

Shaheed Syed Nazrul Islam Medical College Journal (SSNIMCJ) is a journal, published twice a year. It accepts original papers, review articles, case reports and short communications related to various disciplines of medical science for publication. Paper should be solely contributed to the Journal.

 

Manuscripts

Manuscripts should be prepared in accordance with the PubMed style. Two copies of each paper along with figures, tables, photographs, photomicrographs and the relevant materials should be submitted to the editor with a letter informing that it is not submitted in other journal. Manuscripts should be typed in English on one side of white bond paper ISO A4 size with margins of at least 25 mm using double space throughout. Each of the following sections should begin on separate pages: Title, Abstract and Keywords, Text, Acknowledgements, References, individual Tables and legends. Pages should be numbered consecutively beginning with the Title page.

 

Title Page

The title page should include (i) type of publication (original, review, case history etc.) (ii) the complete title of the article (iii) authors’ name in abbreviation (according to PubMed style) (iv) list of authors including full name, highest degree, signature, designation and institutional affiliation and (v) name, mailing address, email and telephone/mobile number of author responsible for correspondence.

 

Abstracts

It should begin with full title of the article. Do not write authors name in the abstract page. The abstracts should not be more than 200 words. The abstract should state the purpose of the study or investigations, basic procedures, main findings and principal conclusion. Three to ten keywords may be provided below the abstract using terms from the Medical Subject Headings (Index Medicus, NLM, USA).

 

Text

The text of the original articles should be divided into following sections: Introduction, Methods, Result and Discussion.

Reference

References to literature should be numbered in Arabic numerical in superscripts consecutively in the order in which they are mentioned in the text. At the end of article, the full list of references should give the name of all authors followed by the title of the article, the title of the journal abbreviated according to Index Medicus, the year of publication, volume number and first and last pages of the article. Title of the books should be followed by the edition, place of publication, the publisher, the year and the relevant pages. Examples of correct form of reference are given below:

 

Journal

  1. Yagupskey P and Noltes FS. Quantitative aspect of septicemia. Clin Microbiol Rev, 1990; 3:269-271.
  2. Kabir N, Kawser CA, Rahman F et al. The relationship of placental weight with birth weight. Mymensingh Med J, 2007; 16(2):177-180.

 

Editor/compiler as author in book

  1. Winste L and Swartz MN. Pathogenic properties of invading microrganisms. In: Sodeman WA Jr and Sodaman WA. eds Pathologic Physiology 4th Ed: Mechanism of Disease, Philadelphia. W/B Saunders Co. 1994: pp 457-472.

 

Tables

Tables should be typed written on separate numbered pages and should follow the reference list. All tables should be numbered consecutively using Roman numerical. Each must carry a brief descriptive heading. Tables should be planned to fit within print area.

 

Illustrations

Photographs and photomicrographs should be printed in glossy paper. Figure should be drawn on thick white paper or card and be submitted in original. Figure number and name of the first author should be marked lightly on the back of each figure with soft pencil. Legend should be given in separate page.

 

Abbreviation

Standard abbreviation should be used whenever possible. The full term for which the abbreviation stands followed by abbreviation in parenthesis should be proceed the first use of the abbreviation in the text except for standard units of measurements like 27OC and 25 mmol/L etc.

 

Letters to the editor

Communications with reference to an article published in the journal and current health problems in the community will be accepted as letter to the editor.

 

Electronic Copy

An electronic copy (soft copy) in the form of CD must be submitted with the printed copy of the article. Electronic copy may be send by email attachment at sadequel@yahoo.com. Text should be processed with MS Word and Pictures should be saved in JPG format.

 

The editor reserves the customary right to style and if necessary shorten the material accepted for publication and to determine the priority and time of publication. Editor assumes that work based on honest observations. It is not the task of the editor to investigate scientific fraud paper.

In PDF

 

SSNIMCJ 2024 V-9 N-1

Shaheed Syed Nazrul Islam Medical College Journal

Volume 9, Issue 1

January, 2024

Front Cover PDF

Index PDF

Contacts PDF
Contents
Editorial
1. Dengue and Acute Kidney Injury
Huda AN

Original Contributions
2.Impairment of Renal Function and Dyselectrolytemia in Perinatal Asphyxia
Begum MH, Hye MA, Majumder B, Albani SA, Nazneen S, Shil PK, Majumder BK, Mazumder M

3. The Pattern and Trends of Burn Related Death
Faizunnahar, Haque M, Iqbal MK
PDF
4. Correlations between Stature and Hand Breadth in Bangladeshi Medical Students
Motaleb M, Mamataj S, Hasan SJ
PDF
Frequency Domain Parameters of Heart Rate Variability in Patients with Gastro-Oesophageal Reflux Disease
Mamataj S, Motaleb M, Azim SF
PDF
Others
6. Information for Contributors
PDF

ssnimcj-2023-july

Shaheed Syed Nazrul Islam Medical College Journal

Volume 8, Issue 2

July, 2023

Editorial Board

Cover Front PDF

Cover 3

Index PDF
Articles
Editorial
1. Deteriorating the Dengue Situation in Bangladesh Sultana S

Original Contributions
2. Forensic Evaluation of Suicidal Deaths due to Organophosphorus Compounds Poisoning
Munalisa TA, Islam MS, Rashel AT, Islam T, Nurunnabi M
3. Pattern of Utilization of Personal Protective Equipment among Doctors and Nurses during COVID-19 Pandemic
Jannat HT, Riaz BK, Choudhury N, Khan MAH, Ameen MS,Alam UK,Abbas MG

4. Evaluation of Haematological Parameters and their Correlation with Histological Grade and Stage of Colorectal Cancer
Naha S, Saleh A, Das DC, Doly HK
5. Health Problems among the Agricultural Workers in a Selected Area of Manikganj District
Mahjabin A, Ali KM, Alam MJ, Islam MT, Tasneem T, Zihan MM<
6. Prevalence and Spectrum of Congenital Heart Disease in Children Admitted intoTertiary Care Hospital of Kishoreganj: A Multicenter Study
Nuruzzaman M, Tanveer MS, Bhuiyan AG, Akter AM, Royal MR
7. Evaluation of Organism in Vaginal Discharge of PPIUCD Users Versus Non-Users
Khatun MA, Haque N, Saha E, Paul MF, Uddin F, Toma KK, Nahar N
8. Biochemical and Hematological Changes in Patients of Chronic Kidney Disease
Huda AN, Ahammod T, Mahmud H

Others
9. Information for Contributors
Open pdf

Journal Picture

Back to Journal

ssnimcj2023janv8n1

Shaheed Syed Nazrul Islam Medical College Journal
Volume 8, Issue 1
January, 2023

Front Cover in PDF

Index in PDF

Editorial board in PDF

Contacts

Editorial

 1. Extrapulmonary Tuberculosis: an Ancient but Re-emerging Problem
Sultana S
PDF

Original Contributions

2. Laparoscopic Cholecystectomy: A Safe Procedure for Empyema Gallbladder
Islam MM, Hossain AS,  Masum MG, Saad S, Islam J
PDF

3. Incidences of Perforated Appendicitis in Children and its Management in District Level Hospital
Islam MM, Hossain AS, Hossain MA, Rashid MS, Masum MG, Islam J
PDF

4.Evaluation of Tear Status for Prolonged Computer in Combined Military Hospital, Dhaka
Mahdia T, Khan KH,Kazmina N, Shariar S,Nahar SS, Fatmatuzzahura M, Sharmin S, Syki SN
PDF

5 . Detection of Human Papilloma Virus as the Major Determinant of Invasive Cervical Carcinoma
Tasneem M, Mirza TT, Paul SK, Latif T, Samsi S, Jahan T, Mahmud A
PDF

6. Observational Study on COVID Positive Cases from August, 2020 to February, 2021 in a District Level Tertiary Care Hospital in Bangladesh
Talukder MM, Mitu MR
PDF

7.Post-Traumatic Stress Disorder among Quarantined Population during COVID-19 Pandemic in Tertiary Hospitals of Dhaka City
Sakir DI, MostarinS, Hossain MA, Sultana H, Haque A, Choudhury R,Alam MR, Abbas MG
PDF

8.Clinical Profile of Dengue Fever in Hospitalized Children: Analysis of 2017 Outbreak from Bangabandhu Sheikh Mujib Medical University   Bangladesh
Akhter S, Fatema K, Ahmed DN,Islam MD, Hossain MS, Ahmed S
PDF
9. Disease Severity, Comorbidities and Clinical Presentation of COVID-19 Patients from a Suburban Tertiary Care Hospital in Bangladesh
Talukder MM, Mitu MR
PDF

Others

10.Information for Contributors
PDF

SSNIMCJ 2022 Jul v7 n2

Shaheed Syed Nazrul Islam Medical College Journal

Volume 7, Issue 2

July, 2022

Click on PDF for open/download PDF of article

 

Front Cover

Editorial Board

Index Page

Editorial
1. The Changing Epidemiology of Human Monkeypox – A Potential Threat?
Naser MJ
Page no 116

2. Seroprevalence of HBV, HCV, HIV And Syphilis Infection among Expatriates of Bangladesh: Trends over Sixteen Years
Mahboob N, Ahmed M, Iqbal H, Alam MF, Afrin S,Mostarin S, Islam T, Abbas MG,Munshi SU, Mamun KZ
Page no 118

3. Acute Retention of Urine- A Demographic and Aetiological Study of 100 Cases at a Tertiary Hospital in Bangladesh
Islam MA, Sikder MS, Islam N, Ali M
Page no 128

4. COVID19 Treatment Outline in a District Level Tertiary Care Hospital in Bangladesh
Talukder MM, Mitu MR

Page no 134
5. Laparoscopic Myomectomy Versus Open Myomectomy in Fibroid Uterus
Raushan A,  Akther N, Urmi NS, Akter S, Jahan R

Page no 143
6. Study on Complications of Major Gynaecological Surgeries in Per-abdominal Approach among 100 Cases in BSMMU
Begum A, Khan F, Mollah MS, Asma K

Page no 149
7. Clinical Profile of Patients Presenting with Gastric Carcinoma in Kishoreganj District of Bangladesh
Hasan SN, Afroje N, Rahman MM, Howlader MH, Islam MR, Millat MK, Ahmed T, Khan MN

Page no 155
8. Evaluation of Immune Status to Tetanus among Primary Vaccinated Adults
Jahan S, Nurunnabi M, Jalil RA, Islam AR, Haque MM

Page no 164
9. Knowledge of Mothers Regarding Childhood Vaccination Attending Outpatient Department (OPD) of Savar Upazila Health Complex
Haque S, Alamgir M, Begum H, Abbas MG, Haque A, Alam MR, Nahar K, Pinki SS

Page no 174
10. Lactation Failure in a Tertiary Hospital of Southern Region of Bangladesh
Mollah MS, Khan F, Ahmed  A, Hossain MM, Marufuzzaman M , Rashid SA, Sadik GM

Page 182
11. Association of Thyroid Dysfunction in Sub-Fertility in Women at a Tertiary Hospital
Asma K, Khan MS, Akhter K, Begum A, Khan F, Mollah MS

Page no 188
12.Effects of Clonazepam and Zolpidem on Sleep Quality of Patients on Maintenance Haemodialysis
Ahmed E, Nurunnabi M, Ferdoush N, Nahar A, Paul TR, Khan MA

Page no 196
13.Factors Influence the Oral Hygiene Practices and Oral Health Status of Tea Garden Workers
Bhowmick A, Adhikary L, Nurunnabi M,Bhowmick B, Rahman MS, Hossain KJ

Page no 204
14. Field Level Healthcare Workers Knowledge Regarding COVID-19 in Selected Upazila Health Complexes of Bangladesh
Parvin MR, Sultana H, Alam MR, Haque A, Abbas MG, Basak L, Choudhury R

Page no 211
15. The Efficacy of High Dose Versus Low Dose of 0.5% Bupivacaine Heavy in Spinal Anesthesia During Cesarean Section
Debnath  PK, Mokarabin M, Mahmud A, Hasan MM, Siddiqui MB

Page no 222
16. Pattern of Congenital Heart Disease (CHD) in Children admitted into a Tertiary Level Hospital in Kishoreganj
Nuruzzaman M, Tanvir MS, Bhuiyan AG, Hossain MS,Shamme SS, Rahman SN,Mahzabin T

Page no 228
17. Preoperative and Postoperative Complications, Management and Outcome of Laparoscopic Assisted Vaginal Hysterectomy
Afroje N, Ahmed S, Sultana R, Khatun S, Hasan SN

Page no 235
18. Differentiation between Benign and Malignant Echogenic Thyroid Nodules Using High Resolution Ultrasonography and its Correlation with Histopathological Findings
Howlader MH, Belal MM, Shamme SS, Rahman MM, Hasan SN, Ahtesam MS, Rab M

Page no 243
19. Information for contributors

Page 254