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jpmc2023v2i2a6

Journal of Patuakhali Medical College Vol. 02 No. 02 July 2023

Case Report

Scar Ectopic Pregnancy: A Case Report

1. Dr. Mst. Munira Akter Khanam, Lecturer, Department of Biochemistry, Patuakhali Medical college, Patuakhali.
2. Md. Faisal, junior Consultant (Gynae), Sher-E-Bangla Medical College Hospital, Barishal, Bangladesh.
Correspondence: Dr. Mst. Munira Akter Khanam, Lecturer, Department of Biochemistry, Patuakhali Medical college, Patuakhali.
Received: 10 April 2023 Revised: 06 May 2023 Accepted: 20 May 2023

ABSTRACT
In this case report, we present a case of scar ectopic pregnancy in a 35-year-old woman with two prior cesarean sections. The patient presented with no expulsion or vaginal bleeding after taking abortifacient drugs 1 week ago following amenorrhea for 8 weeks. During Manual Vacuum Aspiration (MVA), blood was observed sprouting through the cervical canal. Subsequently, laparotomy was performed, and the product of conception was removed from the scar.
Key word: Cesarean Scar Ectopic, Scar Implantation, Uterine Scar Pregnancy, Scar Tissue Gestation, C-Section Scar Ectopic.

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jpmc2023v2i2a5

Journal of Patuakhali Medical College Vol. 02 No. 02 July 2023
Original Article
Audiological Evaluation of Otitis Media

1. Dr. Md. Zahirul Islam, Assistant Professor (ENT), Patuakhali Medical College, Patuakhali, Bangladesh.
2. Dr. Mst. Munira Akter Khanam, Lecturer (Biochemistry), Patuakhali Medical College, Patuakhali, Bangladesh.
3. Dr. Md. Afzal Karim, Assistant Professor (ENT), Patuakhali Medical College, Patuakhali, Bangladesh.
4. Dr. Md. Wahiduzzaman, Assistant Professor (Paediatrics), Patuakhali Medical College, Patuakhali, Bangladesh.
Correspondence: Dr. Md. Zahirul Islam, Assistant Professor (ENT), Patuakhali Medical College, Patuakhali, Bangladesh, email: xaheer33@yahoo.com
Received: 01 June 2023 Revised: 15 June 2023 Accepted: 25 June 2023

ABSTRACT
Background: Hearing loss is the most frequent sequel of otitis media. Our aim is to assess the hearing thresholds in otitis media and to compare the hearing thresholds with non-diseased ears.
Methods: This is a cross sectional study. We performed pure tone audiometry in patients with otitis media and healthy individuals. Hearing loss was considered when the hearing thresholds were > 25 dB.
Results: Among our 110 patients diagnosed with otitis media (142 ears), 47.3% (52) were male and 52.7% (58) were female. The mean age was 45 years. Among them, 67 (61%) patients had mucosal COM; 04(3.6%) patients had cholesteatoma; 21 (19%) patients had OME and 18(16.3%) patients had AOM. Most patients (63%) had conductive hearing loss. About 35% of the patients had mixed hearing loss and 1.2% had pure sensorineural hearing loss. Conclusion: Otitis media resulted in higher bone conduction threshold than non-diseased ears (p < 0.01).
Keywords: Otitis media, Hearing loss, Hearing threshold

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jpmc2023v2i2a4

Journal of Patuakhali Medical College Vol. 02 No. 02 July 2023
Original Article
Intracaesarean Intrauterine Contraceptive Device: A Window of Opportunity for Unmet Need

1. Dr. Rezowana Afrin, Medical officer (OPD), Shaheed Suhrawardy Medical College Hospital, Dhaka,
2. Dr Md Sazzad Hosen Romel, Asst Professor, Department of Medicine, Shahabuddin Medical College & Hospital, Dhaka.
Correspondence: Dr. Rezowana Afrin, Medical officer (OPD), Shaheed Suhrawardy Medical College Hospital, Dhaka, Cell no – 01717155990 ; email : rez2tanya@gmail.com
Received: 16 May 2023 Revised: 24 May 2023 Accepted: 10 June 2023

ABSTRACT
Background: Among the various contraceptive devices, Intrauterine Contraceptive Device (IUCD) is one of the safest method during post-partum period is also known as post-placental IUCD (PPIUCD). Due to fear it is not used as much as expected. Therefore, to evaluate the outcome of IUCD insertion during caesarean section was the objective of the study.
Methods: This hospital based prospective study and was conducted at the inpatient department of Obstetrics and Gynecology in Sir Salimullah Medical College (SSMC) and Mitford Hospital (MH). For this study, data was collected form total 150 women by the investigators. Collected data was analysed by computer with the help of SPSS 16.
Results: More than half of the women (57.3%) were aged between 20-25 years. About 65% resides in rural area. Most of them had an education level below higher secondary (85%). Among them about one third (35.4%) patients were gravid for the 2nd time, and about one third (31.3%) patients were 3rd time. Majority of the women (n=83, 55.3%) were comfortable with PPIUCD at 6 weeks follow up and no expulsion was reported at time. At 3 months follow up, 81.3% women did not report any complications and thread was not found in 65 patients. Total 5.33% women removed IUCD. Eighty six percent were happy with PPIUCD as a method of contraception.
Conclusion: It can be concluded that overall Intracaesarean IUCD insertion appears safe and effective.
Keywords: Intrauterine Contraceptive Device, Caesarean Section, Contraception, IUCD
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jpmc2023v2i2a3

Journal of Patuakhali Medical College Vol. 02 No. 02 July 2023

Original Article

Esmolol Hydrochloride and Dexmedetomidine on Pressure Response during Laryngoscopy, Intubation and Pneumoperitoneum in Laparoscopic Surgery

1. Dr. A.K.M Fakhrul Alam, Assistant Professor, Anaesthesia, Analgesia & ICU Department, Patuakhali Medical College, Patuakhali, Bangladesh
2. Dr. Md. Mahbub-Ur-Rahman, Assistant Professor, Anaesthesia, Analgesia & ICU Department, Sher-e-Bangla Medical College, Barishal, Bangladesh
3. Dr. Md. Nazmul Ahsan, Assistant Professor, Anaesthesia, Analgesia & ICU Department, Sher-e-Bangla Medical College, Barishal, Bangladesh
4. Dr. Kaneez Fatema, Assistant Professor, Anaesthesia, Analgesia & ICU Department, Sher-e-Bangla Medical College Barishal, Bangladesh
5. Md. Salim Matber, Assistant Professor, Department of Ortho-surgery, Patuakhali Medical College, Patuakhali, Bangladesh
Correspondence: Dr. A.K.M Fakhrul Alam, Assistant Professor, Anaesthesia, Analgesia & ICU Department, Patuakhali Medical College, Patuakhali, Bangladesh, Email: alamf5940@gmail.com
Received: 06 May 2023 Revised: 26 May 2023 Accepted: 15 June 2023

ABSTRACT
Background: Laparoscopy procedures require pneumoperitoneum for adequate visualisation and operative manipulations which affects many homeostatic systems causing alterations in acid-base status, cardiovascular system, stress response and pulmonary physiology. This study was conducted to compare the effect of esmolol and dexmedetomidine on pressure response during laryngoscopy, intubation and pneumoperitoneum in laparoscopic surgery.
Methods: This was a randomized open labelled, prospective control type of study was conducted at Anaesthesia, Analgesia & ICU Department, Sher-e-Bangla Medical College Hospital, Barishal, Bangladesh from July 2020 to December 2020. Eighty Four patients aged between 25-60 years, belonging to ASA I or II of either sex posted for elective laparoscopic surgery under general anaesthesia were selected for the study. Patients were allocated randomly in to three groups (28 patients in each group).Patients of group-A received dexmedetomidine (0.5 mcg/kg) IV as loading dose over 10min, followed by 0.4mcg/kg/hr till the end of pneumoperitoneum and patients of group-B received esmolol (0.5mg/kg) IV as loading dose over 5 min followed by 50mcg/kg/min till the end of pneumoperitoneum. Patients of group-C received same volume of normal saline. During laryngoscopy, intubation, pneumoperitoneum, at reversal and extubation HR, MAP, oxygen saturation were observed. Recovery in terms of time to respond to oral-commands, extubation and full orientation was noted along with any adverse effects.
Results: In control group, there was significant increase in HR and MAP during intubation, extubation and pneumoperitoneum. In dexmedetomidine group we observed better control of HR and MAP as compare to esmolol and control groups.
Conclusion: Both dexmedetomidine hydrochloride and esmolol hydrochloride were effective in attenuating pressure response to laryngoscopy, intubation and pneumoperitoneum in patients undergoing laparoscopic surgeries. Dexmedetomidine was more effective to control HR and MAP as compared to esmolol. With dexmedetomidine, the recovery from anaesthesia was prolonged than esmolol.
Keywords: Laryngoscopy, Laparoscopic Surgery, Pneumoperitoneum, Hemodynamic Response, Dexmedetomidine, Esmolol.

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jpmc2023v2i2a2

Journal of Patuakhali Medical College Vol. 02 No. 02 July 2023

Review Article
Universal Neonatal Hearing Screening: A Comprehensive Review

1. Dr. Md. Zahirul Islam, Assistant Professor (ENT), Patuakhali Medical College, Patuakhali, Bangladesh.
2. . Dr. Mst. Munira Akter Khanam, Lecturer, Department of Biochemistry, Patuakhali Medical college, Patuakhali.
Correspondence: Dr. Md. Zahirul Islam, Assistant Professor (ENT), Patuakhali Medical College, Patuakhali, Bangladesh, email: xaheer33@yahoo.com
Received: 25 April 2023 Revised: 23 May 2023 Accepted: 30 May 2023

ABSTRACT
Universal neonatal hearing screening test is routine test of newborn to detect hearing impairments in early stage of life. Early detection and early intervention is necessary for expected linguistic and literacy outcome. In this paper we reviewed the current state of knowledge regarding transient evoked otoacoustic emission and automated brainstem response. These tools are used as screening tools for neonatal hearing screening program. Universal newborn hearing screening is widely used than only risk factor screening. Some improvements of these tools such as automation, portability and AI integration have enhanced this program.
Keywords: Auditory Evoked Potentials, Otoacoustic Emissions, Universal Screening, Auditory Brainstem Response, Early Intervention

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jpmc2023v2i2a1

Journal of Patuakhali Medical College Vol. 02 No. 02 July 2023

Editorial

Revolutionizing Healthcare: Robotics in Medicine

Dr. Md. Zahirul Islam, Assistant Professor (ENT), Patuakhali Medical College, Patuakhali, Bangladesh.
Professor Dr. Md. Moniruzzaman , Principal, Patuakhali Medical College, Patuakhali, Bangladesh.

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Journal of Patuakhali Medical College V-2 N2 July 2023

Journal of Patuakhali Medical College

Volume 2 Number 2 July 2023

Cover

Contents

Editorial Board

Contents
Editorial                                                                                                                                             Pages
1 Revolutionizing Healthcare: Robotics in Medicine

Md. Zahirul Islam, Md. Moniruzzaman

1-2
Review Article
1 Universal Neonatal Hearing Screening: A Comprehensive Review

Md. Zahirul Isalm, Mst. MuniraAkter Khanam

3-7
Original Article
1 Esmolol Hydrochloride and Dexmedetomidine on Pressure Response during Laryngoscopy, Intubation and Pneumoperitoneum in Laparoscopic Surgery

A.K.M Fakhrul Alam, Md. Mahbub-Ur-Rahman, Md. Nazmul Ahsan, Kaneez Fatema, Salim Matber

8-17
2 Intracaesarean Intrauterine Contraceptive Device: A Window of Opportunity for Unmet Need

Rezowana Afrin, Md Sazzad Hosen Romel

18-24
3 Audiological Evaluation of Otitis Media

Md. Zahirul Islam, Mst. MuniraAkter Khanam, Md. Afzal Karim, Md. Wahiduzzaman

25-28
Case Report
1 Scar Ectopic Pregnancy: A Case Report

Mst. Munira Akter Khanam, Md. Faisal

 

29-30

Information to author-to-author

www.pkmc.gov.bd

ISSN 2791-2051

 

Journal of Patuakhali Medical College V 2 n 1

Journal of Patuakhali Medical College V 2 n 1

Cover
Open PDF

Editorial Board
Open PDF

Contents
Open PDF

Editorial
Ear Care: Essential Component of Healthcare System
Md. Zahirul Islam, Md. Faizul Bashar
Open PDF

Review Article
Medical Education in Post-Covid Era: A New Dimension
Humyra Ashrafi, Syed Muhammad Baqui Billah, Mahmudul Hassan Banna, Mostak Ahmed, Umme Salma, Abida Sultana
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Original Articles
Disease Profile of Admitted Children in Patuakhali Medical College Hospital: A Two Years Study
Siddhartha Sankar Das, Md. Mostafizur Rahman, Md. Wahiduzzaman, Md. Ziaul Karim
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Assessment of Low Vision and Blindness in Children with Multiple Handicaps
Md.Ashiqur Rahman Akanda, Md. Nasir Uddin, Habiba Anjuman, Jewell Ilias Rab, Barna, NabidIbney Nasir
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Intrathecal Fentanyl Versus Fentanyl with Levobupivacaine For Combined Spinal Epidural Analgesia in Labour
Md.Mostafijur Rahaman, A K M Akhtaruzzaman,Mohammad Abul Kalam Azad, Mohammad Mizanoor Rahman, Ifthekhar Ahmed, Hasrat Jahan, Muinul Islam Shah
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Sociodemographic Profile of Centenarians in Southern Bangladesh

Dr. Anwar Hossain, Dr. Kamruzzaman Md. Zahir, Dr. Muhammad Obidul Haque, Dr. Md. Ziaul Karim
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Case Report
Anesthetic Management of Heterotopic Pregnancy for Emergency Exploratory Laparotomy
Md. Kutub Uddin Khan, Md. Sanaul Hoque, M MJayed Hossain Chowdhury,Aftab Uddin, Mohammad Abu Hasnat
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Journal of Patuakhali Medical College v1 n2

Journal of Patuakhali Medical College

www. pkmc.gov.bd

ISSN 2791-2051

Volume 1 Number 2 July 2022

Cover

Editorial Board

Contents or Index

Editorial                                                                                                                                             

 1. Supervised Learning in Postgraduate Training
Md. Zahirul Islam, Md. Faizul Bashar
PDF

Review Article
Subtotal Petrosectomy: Review of a Surgical Procedure
Md. Zahirul Islam, Mst. Munira Akter Khanam
PDF

 Original Article

1. Presentation of Acute Kidney Injury in Diarrhoeal Disease
M Atiqur Rahaman, Abu Bakker Siddik
PDF

 2. Effects of Oral Contraceptive Pill on Serum Glucose and Phosphorus
Suriya Akhter Jahan, Shamima Akhter, Md. Rafiqul Hoque, Md. Hanif Howlader, Binoy Krishna Golder, Prabir Kumar Saha
PDF

 3. Clinicopathological Study of Adnexal Mass in a Rural Medical College Hospital
AKM Maruf Raza, Md. Rezaul Hossain, Siddhartha Sankar Das, Md. Ziaul Karim, Md. Faizul Bashar
PDF

 Case Report

 1. Genital Tuberculosis Involving Cervix Causing Primary Infertility with Secondary Amenorrhea
AKM Maruf Raza, Ismat Ara, Dil Afroz
PDF