Md. Abdus Shakoor - Academia.edu (original) (raw)

Papers by Md. Abdus Shakoor

Research paper thumbnail of Rehabilitation in Bangladesh

Physical Medicine and Rehabilitation Clinics of North America, 2019

Physical rehabilitation medicine started in Bangladesh 50 years ago, but there is no documentary ... more Physical rehabilitation medicine started in Bangladesh 50 years ago, but there is no documentary evidence stating its origin, history of progression as a specialty, and work with agenda items. A gap exists between disability-related health and participation, which affects service delivery systems offered to persons with disability (PwD). Disability prevalence ranges from 0.47% to 14.4%. Illiteracy, maldistribution of wealth, and increasing prevalence of chronic diseases add to the burden of existing disability. It is necessary to involve all stakeholders in disability management to strengthen medical rehabilitation teams and improve service delivery while advocating for the rights and needs of PwD.

Research paper thumbnail of COVID-19 pandemic, challenges, and opportunities for neurorehabilitation in Bangladesh: A narrative review

COVID-19 pandemic challenged the health-care system globally. It intensified the existing burden ... more COVID-19 pandemic challenged the health-care system globally. It intensified the existing burden of rehabilitation of neurological patients. That adverse impact has been more profound in developing countries. This is an exploratory narrative review conducted during May 1 to July 31, 2020 to reflect on the COVID-19 impacts and how to address the challenges of rehabilitation services in Bangladesh. Nonsystematic review methods were used, and to some-extent, the Preferred reporting items for systematic review and meta-analysis statements were followed for this review. Bangladesh is a Lower–Middle-Income Country currently facing multiple challenges with more than 16 million people with disability. The country has world's sixth highest density of population and currently further burdened with the largest refugee camp of the world. It has serious shortage of health-care workers at different levels making COVID-19 preparedness and mitigation difficult. The neurorehabilitation services ...

Research paper thumbnail of Effects of Low Level Laser Therapy in Focal Soft Tissue Rheumatism: A Randomized Control Trial

Journal of National Institute of Neurosciences Bangladesh, 2018

Background: Treatment of focal soft tissue rheumatism is very important.Objective: The purpose of... more Background: Treatment of focal soft tissue rheumatism is very important.Objective: The purpose of the present study was to see the effectiveness of low level laser therapy for the patients suffering from focal soft tissue rheumatism.Methodology: This randomized control trial was carried out in the Department of Physical Medicine and Rehabilitation at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2006 to August 2006 for a period of 6(six) months. The patients having focal soft tissue rheumatism were selected from the dept. of Physical medicine and Rehabilitation who were referred from other outpatient department of BSMMU and also from general practitioners outside the hospital. Patients were divided into two (02) groups designated as study group who were treated with Low level laser therapy, NSAIDs under the coverage of Omeprazole and ADL advice and control group who were treated with NSAIDs under the coverage of Omeprazole and ADL advices. Each group was ...

Research paper thumbnail of Evaluation of effect of home cervical traction on patients with cervical spondylotic radiculopathy

KYAMC Journal, 2018

Background: Patients with cervical spondylotic radiculopathy is more responding by application of... more Background: Patients with cervical spondylotic radiculopathy is more responding by application of cervical traction with NSAIDs, exercise and ADL than treating with NSAIDs, exercise and ADL.Objectives: Study is to know the effect of home cervical traction on patients with cervical spondylotic radiculopathy.Materials & Methods: A randomized controlled trial was conducted in the department of physical medicine and rehabilitation, BSMMU during the period of 3-9-2012 to 2-9-2013 to find out the effect of home cervical traction on patient with cervical spondylotic radiculopathy.Results: A total of 120 patients with cervical spondylotic radiculopathy attended the department. Sixty patients was treated with NSAID, Isometric neck muscle strengthening exercise, Activity of daily living advice (ADL) and soft cervical collar, other 60 patients was treated with NSAID, Isometric neck muscle strengthening exercise, Activity of daily living advice (ADL) and soft cervical collar with home cervical ...

Research paper thumbnail of Evaluation of the Effects of Lumbosacral Corset on the Patients with Chronic Non-specific Low Back Pain

Indian Journal of Physical Medicine and Rehabilitation, 2015

A randomised clinical trial was conducted in the Department of Physical Medicine & Rehabilitation... more A randomised clinical trial was conducted in the Department of Physical Medicine & Rehabilitation (PMR), Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. A total of 81 patients having chronic LBP were included according to the selection criteria. Out of them, 31 (38.3%) were male and 50 (61.7 %) were female in a ratio of 1: 1.61. The mean age of the patients in study was 41.65 ± 8.41years. Female persons were affected in their earlier ages (between 30 and 45 years) than male. Most of the patients were housewives (54.3%). The patients were divided randomly into two groups by the way of lottery for the clinical trial. Group-A patients were treated with NSAIDs, activities of daily living instructions (ADLs) and lumbosacral corset and group-B patients were treated with NSAIDs and ADLs. The patients were followed up weekly for five weeks and significant improvement was recorded after the treatment in both the groups (p=0.001). In comparison between two groups, it was found...

Research paper thumbnail of Effects of rehabilitation on the patients with chronic low back pain

Bangabandhu Sheikh Mujib Medical University Journal, 2019

This study was done to observe the effects of rehabilitation on chronic low back pain on 139 pati... more This study was done to observe the effects of rehabilitation on chronic low back pain on 139 patient. They were divided into two groups: a) One group (n=71) received naproxen (non-steroidal anti-inflammatory drug, NSAID) with selective rehabilitation and b) another group (n= 68) treated with NSAID only. The patients were followed up weekly for eight weeks. The improvement was found in both groups after treatment. In patients with rehabilitation, the pre-treatment and post-treatment mean scores (Oswastry Disability Index, Visual Analogue Scale and Modified Zung Index) were 34.3 ± 9.8 and 9.9 ± 8.0 respectively (p<0.001). Treatment with NSAID only reduced the mean scores from 34.9 ± 13.5 to 16.0 ± 14.4 (p<0.001) after treatment. There was no significant difference in clinical improvement between the groups in pre-treatment compare with week one, rehabilitation group (29.7 ± 8.7) vs NSAID group (31.5 ± 13.8). While significant improvement was found in rehabilitation group in com...

Research paper thumbnail of Presentation of the Patients with Cervical Spondylosis - A Study of 216 Cases

Research paper thumbnail of Effects of Increased Meal Frequency on Blood Glucose and Serum Insulin Level in Non-Insulin Dependent Diabetes Mellitus(Niddm) Subjects

An experimental study was carried out on '73 non-insulin dependent diabetes mellitus(NIDDM)-S... more An experimental study was carried out on '73 non-insulin dependent diabetes mellitus(NIDDM)-Subjects to see the effect of meal frequency. The experiment was done in two phases; phase I and phase II. In phase I, thirteen Subjects were included in the Study. they were studied in two occasions; that is in Study-A and Study B. In study A. Six isocaloric small meals were served from 7 AM to 3 PM in 80 minutes inlervaL In Study B, two isocaloric large meals were served at 7 AM and afU 240 Minutes later. The study-B was done after 15 days of the SIDdy-A in the same subjects. In both the study, total calorie given to the patient was 800 K calls and the blood, glucose and serum insulin were estimated two hQl.lrly. Mean fasting blood glucose values for both tests were identical but after two hours.and after 6 hours there were peak rise in mean blood glucose in study B than in study A(p=O). There was significant difference in mean serum insulin level after four hours and after eight hours(...

Research paper thumbnail of Effects of Cervical Traction and Infrared Radiation on the Patients with Cervical Spondylosis

Pain in the neck and stiffness is one of the commonest complain of the patient attending the Phys... more Pain in the neck and stiffness is one of the commonest complain of the patient attending the Physical Medicine department. Currently this group of patients is being treated with various types of management. A few studies have been done so far in Bangladesh to improve the present situation. An experimental study was carried out to observe the effects off cervical traction and Infra ~ed Radiation (IRR) on the patients with cervical spondylosis. A total of 46 patients were included and they were divided into two groups. One group was treated with cervical traction and another group was treated with IRR and NSAID was given to both the groups. There was significant improvement after treatment in both the groups (p=0.001 at 95% CI). And in comparison between two groups there was significant improvement in cervical traction group than the IRR group (p=0.001 at 95% Cl). So it can be concluded that the cervical traction has better effects on cervical spondylosis in relation to IRR.

Research paper thumbnail of Treatment with Shot Wave Diathermy on chronic low back pain

A total of 50 patients of chronic low back pain were included in the study. The mean age of the p... more A total of 50 patients of chronic low back pain were included in the study. The mean age of the patients were 44.50 ± 8.94 years. They were treated with short wave diathermy (SWD) along with conventional treatment. After treatment the result was compared and student's't' test was done to see the level of significance. There was significant improvement after treatment (P=0.001). From the present study, it may be concluded that treatment with SWD may be helpful for the treatment of chronic low back pain. Introduction: Chronic low back pain is very frequently found in our day to day practice. Low back pain that has been present for at least three months is known as chronic low back pain 1 . Low back pain (LBP) is exceedingly common, experienced at some time by up to 80% of the population 2 . LBP is an uncomfortable sensation in the lumbar and buttock region originating from neurons near or around the spinal canal that are injured or irritated by one or more pathologic proce...

Research paper thumbnail of Informed consent: knowledge, attitude and practice of the researchers in a postgraduate institute of Bangladesh

Mymensingh medical journal : MMJ, 2009

A prospective experimental study was conducted in a postgraduate institute in Dhaka, Bangladesh, ... more A prospective experimental study was conducted in a postgraduate institute in Dhaka, Bangladesh, from April '05 to September '05. A total of 214 doctors of a postgraduate medical institute were included in the study who was involved in research works. A written questionnaire was given to the respondents to assess their knowledge, attitude and practice about informed consent (IC). The data was analyzed statistically. Chi-Square test was done to see the level of significance. Regarding knowledge of IC, we found maximum participants were more or less knowledgeable about it. The attitude of the respondents was also in favour of taking IC. In practice, most of them had taken informed consent that was verbal (39.3%) and written (47.6%). But some of the researcher (13.1%) had not taken any informed consent. By the present study, it may be concluded that the researchers of the concerned institute were aware of IC.

Research paper thumbnail of Endometriosis association research center

Mymensingh medical journal : MMJ, 2005

Endometriosis, the presence of endometrial tissue outside the uterus, is a progressive, estrogen-... more Endometriosis, the presence of endometrial tissue outside the uterus, is a progressive, estrogen-dependent disease and occurs nearly exclusively in menstruating women of reproductive age. Pain syndrome, however, represents the major clinical problem of this disease, manifested as dysmenorrhea, pelvic pain, lower abdominal pain, and dyspareunia. About 32 literatures are reviewed in recent advancement for diagnosis of endometriosis. The magnifications of its managements are understood. In outdoor, the management is only depending on clinical findings and on some non invasive procedures without any definitive diagnosis. So, research activities should be done on the basis of recent advancement of endometriosis.

Research paper thumbnail of Effects of cervical traction and exercise therapy in cervical spondylosis

Bangladesh Medical Research Council bulletin, 2002

A randomised clinical trial was conducted in the Department of Physical Medicine, Chittagong Medi... more A randomised clinical trial was conducted in the Department of Physical Medicine, Chittagong Medical College Hospital from July, 2001 to June, 2002. The objectives of the study were to find out the effects of cervical traction (CT) and exercise on the patients with chronic cervical spondylosis. A total of 199 patients with cervical spondylosis were included in the clinical trial. One hundred patients were treated with cervical traction plus exercise and 99 patients were treated with non-steroidal anti-inflammatory drug (NSAID). Posture correction advice was given to all patients. The patients were treated for 6 weeks. There was a marked improvement in both the groups after treatment (P<0.001). But there was nearly significant difference regarding improvement in treatment with CT plus exercise than with NSAID (P = 0.06). The results indicate that the improvement of the patients with chronic cervical spondylosis was more in CT plus exercise than analgesics. So, CT & neck muscle str...

Research paper thumbnail of Effects of lumbar corset on the patients with lumbar spondylosis

Bangladesh Medical Journal, 2014

This experimental study was done in the Department of Physical Medicine and Rehabilitation, Banga... more This experimental study was done in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University to find out the effects of lumbar corset on the patients with lumbar spondylosis. Ninety seven patients were selected in the study. Out of them 40(41.24%) were male and 57(58.76%) were female. The male to female ratio was 1:1.42. The mean age was 41.22 ± 8.52 years. The patients were divided into two groups, 50 patients in group A ( Treated with NSAID, activities of daily living instructions and lumbar corset) and another 47 patients in group B (Treated with NSAID and activities of daily living instructions only ). In both the groups, patients were treated for six weeks and assessed at 7 days interval. Improvement was noticed in both the groups in every visit but there was no difference in improvement between the groups till 4th week of treatment. At the end of treatment group A showed statistically significant difference in overall improvement in c...

Research paper thumbnail of Incidence of Non-Neutropenic Infection (NNI) in Patients with Follicular Lymphoma and Small Lymphocytic Lymphoma: The Effects of Rituximab Therapy

International Journal of Hematology and Oncology, 2012

Rituximab is an anti-CD20 monoclonal antibody that has demonstrated efficacy in patients with ind... more Rituximab is an anti-CD20 monoclonal antibody that has demonstrated efficacy in patients with indolent and aggressive forms of non-Hodgkin's lymphoma and has become part of the standard therapy for patients with B-cell malignancies. The study was designed to examine if rituximab increases the risk to develop non-neutropenic infection (NNI). Medical records of 202 patients diagnosed as follicular lymphoma or small lymphocytic lymphoma were reviewed. Negative binomial regression was used to estimate relative risk (RR) of NNI. Rituximab (n= 41) and non-rituximab (n= 161) groups had a total of 31.636 and 195.691 reviewed patient days, and recorded a total of 67 and 154 infections, respectively. Negative binomial regression analysis revealed significant effects for the treatment (rituximab vs. non-rituximab) and age (p< 0.01). The RRs of viral and bacterial NNI for rituximab group compared to nonrituximab group were 3.33 and 2.60, respectively; while the RRs for one year increment of age were 1.03 and 1.04, respectively. The time-to-first viral and bacterial NNI for rituximab group were significantly faster than non-rituximab group. Rituximab may increase the risk of NNI in patients with follicular lymphoma or small lymphocytic lymphoma.

Research paper thumbnail of Chronic Low Back Pain: A Review on Uses and Abuses of Medicare Expenditure

Journal of Medicine, 2010

DOI:10.3329/jom.v11i1.4273 J Medicine 2010: 11: 51-56

Research paper thumbnail of Clinical profile of the patients with chronic low back pain - A study of 102 cases

Journal of Chittagong Medical College Teachers' Association, 1970

doi: 10.3329/jcmcta.v18i2.3825Journal of Chittagong Medical College Teachers' Association 200... more doi: 10.3329/jcmcta.v18i2.3825Journal of Chittagong Medical College Teachers' Association 2007: 18(2):16-20

Research paper thumbnail of Rehabilitation of Patients with Paraplegia from Spinal Cord Injury: A Review

Journal of Chittagong Medical College Teachers' Association, 2010

DOI: 10.3329/jcmcta.v20i1.4937 Journal of Chittagong Medical College Teachers' Association 20... more DOI: 10.3329/jcmcta.v20i1.4937 Journal of Chittagong Medical College Teachers' Association 2009: 20(1):53-57

Research paper thumbnail of Comparative efficacy of various methods of physical treatment given to a selected group of patients presented with non specific low back pain

Journal of Chittagong Medical College Teachers' Association, 1970

Key words: low back pain; short wave diathermy; exercisedoi: 10.3329/jcmcta.v18i1.3815Journal of ... more Key words: low back pain; short wave diathermy; exercisedoi: 10.3329/jcmcta.v18i1.3815Journal of Chittagong Medical College Teachers' Association 2007: 18(1):15-18

Research paper thumbnail of Evaluation of the effects of shortwave diathermy in patients with chronic low back pain

Bangladesh Medical Research Council Bulletin, 2009

A prospective experimental study on 97 patients of chronic low back pain was conducted to find ou... more A prospective experimental study on 97 patients of chronic low back pain was conducted to find out the effects of shortwave diathermy. They were divided randomly into two groups and treated with non-steroidal anti-inflammatory drugs, exercises, activities of daily living instructions and with or without shortwave diathermy. After six weeks of treatment, improvements were observed in both the groups. But significant difference in improvement was found in shortwave diathermy group than in placebo group. The present study suggests that shortwave diathermy is effective for the treatment of patients with chronic low back pain.Keywords: Back pain; NSAID; Shortwave diathermyOnline:Â 22 May 2009DOI: 10.3329/bmrcb.v35i1.2320Bangladesh Med Res Counc Bull 2009; 35: 18-20Â

Research paper thumbnail of Rehabilitation in Bangladesh

Physical Medicine and Rehabilitation Clinics of North America, 2019

Physical rehabilitation medicine started in Bangladesh 50 years ago, but there is no documentary ... more Physical rehabilitation medicine started in Bangladesh 50 years ago, but there is no documentary evidence stating its origin, history of progression as a specialty, and work with agenda items. A gap exists between disability-related health and participation, which affects service delivery systems offered to persons with disability (PwD). Disability prevalence ranges from 0.47% to 14.4%. Illiteracy, maldistribution of wealth, and increasing prevalence of chronic diseases add to the burden of existing disability. It is necessary to involve all stakeholders in disability management to strengthen medical rehabilitation teams and improve service delivery while advocating for the rights and needs of PwD.

Research paper thumbnail of COVID-19 pandemic, challenges, and opportunities for neurorehabilitation in Bangladesh: A narrative review

COVID-19 pandemic challenged the health-care system globally. It intensified the existing burden ... more COVID-19 pandemic challenged the health-care system globally. It intensified the existing burden of rehabilitation of neurological patients. That adverse impact has been more profound in developing countries. This is an exploratory narrative review conducted during May 1 to July 31, 2020 to reflect on the COVID-19 impacts and how to address the challenges of rehabilitation services in Bangladesh. Nonsystematic review methods were used, and to some-extent, the Preferred reporting items for systematic review and meta-analysis statements were followed for this review. Bangladesh is a Lower–Middle-Income Country currently facing multiple challenges with more than 16 million people with disability. The country has world's sixth highest density of population and currently further burdened with the largest refugee camp of the world. It has serious shortage of health-care workers at different levels making COVID-19 preparedness and mitigation difficult. The neurorehabilitation services ...

Research paper thumbnail of Effects of Low Level Laser Therapy in Focal Soft Tissue Rheumatism: A Randomized Control Trial

Journal of National Institute of Neurosciences Bangladesh, 2018

Background: Treatment of focal soft tissue rheumatism is very important.Objective: The purpose of... more Background: Treatment of focal soft tissue rheumatism is very important.Objective: The purpose of the present study was to see the effectiveness of low level laser therapy for the patients suffering from focal soft tissue rheumatism.Methodology: This randomized control trial was carried out in the Department of Physical Medicine and Rehabilitation at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2006 to August 2006 for a period of 6(six) months. The patients having focal soft tissue rheumatism were selected from the dept. of Physical medicine and Rehabilitation who were referred from other outpatient department of BSMMU and also from general practitioners outside the hospital. Patients were divided into two (02) groups designated as study group who were treated with Low level laser therapy, NSAIDs under the coverage of Omeprazole and ADL advice and control group who were treated with NSAIDs under the coverage of Omeprazole and ADL advices. Each group was ...

Research paper thumbnail of Evaluation of effect of home cervical traction on patients with cervical spondylotic radiculopathy

KYAMC Journal, 2018

Background: Patients with cervical spondylotic radiculopathy is more responding by application of... more Background: Patients with cervical spondylotic radiculopathy is more responding by application of cervical traction with NSAIDs, exercise and ADL than treating with NSAIDs, exercise and ADL.Objectives: Study is to know the effect of home cervical traction on patients with cervical spondylotic radiculopathy.Materials & Methods: A randomized controlled trial was conducted in the department of physical medicine and rehabilitation, BSMMU during the period of 3-9-2012 to 2-9-2013 to find out the effect of home cervical traction on patient with cervical spondylotic radiculopathy.Results: A total of 120 patients with cervical spondylotic radiculopathy attended the department. Sixty patients was treated with NSAID, Isometric neck muscle strengthening exercise, Activity of daily living advice (ADL) and soft cervical collar, other 60 patients was treated with NSAID, Isometric neck muscle strengthening exercise, Activity of daily living advice (ADL) and soft cervical collar with home cervical ...

Research paper thumbnail of Evaluation of the Effects of Lumbosacral Corset on the Patients with Chronic Non-specific Low Back Pain

Indian Journal of Physical Medicine and Rehabilitation, 2015

A randomised clinical trial was conducted in the Department of Physical Medicine & Rehabilitation... more A randomised clinical trial was conducted in the Department of Physical Medicine & Rehabilitation (PMR), Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. A total of 81 patients having chronic LBP were included according to the selection criteria. Out of them, 31 (38.3%) were male and 50 (61.7 %) were female in a ratio of 1: 1.61. The mean age of the patients in study was 41.65 ± 8.41years. Female persons were affected in their earlier ages (between 30 and 45 years) than male. Most of the patients were housewives (54.3%). The patients were divided randomly into two groups by the way of lottery for the clinical trial. Group-A patients were treated with NSAIDs, activities of daily living instructions (ADLs) and lumbosacral corset and group-B patients were treated with NSAIDs and ADLs. The patients were followed up weekly for five weeks and significant improvement was recorded after the treatment in both the groups (p=0.001). In comparison between two groups, it was found...

Research paper thumbnail of Effects of rehabilitation on the patients with chronic low back pain

Bangabandhu Sheikh Mujib Medical University Journal, 2019

This study was done to observe the effects of rehabilitation on chronic low back pain on 139 pati... more This study was done to observe the effects of rehabilitation on chronic low back pain on 139 patient. They were divided into two groups: a) One group (n=71) received naproxen (non-steroidal anti-inflammatory drug, NSAID) with selective rehabilitation and b) another group (n= 68) treated with NSAID only. The patients were followed up weekly for eight weeks. The improvement was found in both groups after treatment. In patients with rehabilitation, the pre-treatment and post-treatment mean scores (Oswastry Disability Index, Visual Analogue Scale and Modified Zung Index) were 34.3 ± 9.8 and 9.9 ± 8.0 respectively (p<0.001). Treatment with NSAID only reduced the mean scores from 34.9 ± 13.5 to 16.0 ± 14.4 (p<0.001) after treatment. There was no significant difference in clinical improvement between the groups in pre-treatment compare with week one, rehabilitation group (29.7 ± 8.7) vs NSAID group (31.5 ± 13.8). While significant improvement was found in rehabilitation group in com...

Research paper thumbnail of Presentation of the Patients with Cervical Spondylosis - A Study of 216 Cases

Research paper thumbnail of Effects of Increased Meal Frequency on Blood Glucose and Serum Insulin Level in Non-Insulin Dependent Diabetes Mellitus(Niddm) Subjects

An experimental study was carried out on '73 non-insulin dependent diabetes mellitus(NIDDM)-S... more An experimental study was carried out on '73 non-insulin dependent diabetes mellitus(NIDDM)-Subjects to see the effect of meal frequency. The experiment was done in two phases; phase I and phase II. In phase I, thirteen Subjects were included in the Study. they were studied in two occasions; that is in Study-A and Study B. In study A. Six isocaloric small meals were served from 7 AM to 3 PM in 80 minutes inlervaL In Study B, two isocaloric large meals were served at 7 AM and afU 240 Minutes later. The study-B was done after 15 days of the SIDdy-A in the same subjects. In both the study, total calorie given to the patient was 800 K calls and the blood, glucose and serum insulin were estimated two hQl.lrly. Mean fasting blood glucose values for both tests were identical but after two hours.and after 6 hours there were peak rise in mean blood glucose in study B than in study A(p=O). There was significant difference in mean serum insulin level after four hours and after eight hours(...

Research paper thumbnail of Effects of Cervical Traction and Infrared Radiation on the Patients with Cervical Spondylosis

Pain in the neck and stiffness is one of the commonest complain of the patient attending the Phys... more Pain in the neck and stiffness is one of the commonest complain of the patient attending the Physical Medicine department. Currently this group of patients is being treated with various types of management. A few studies have been done so far in Bangladesh to improve the present situation. An experimental study was carried out to observe the effects off cervical traction and Infra ~ed Radiation (IRR) on the patients with cervical spondylosis. A total of 46 patients were included and they were divided into two groups. One group was treated with cervical traction and another group was treated with IRR and NSAID was given to both the groups. There was significant improvement after treatment in both the groups (p=0.001 at 95% CI). And in comparison between two groups there was significant improvement in cervical traction group than the IRR group (p=0.001 at 95% Cl). So it can be concluded that the cervical traction has better effects on cervical spondylosis in relation to IRR.

Research paper thumbnail of Treatment with Shot Wave Diathermy on chronic low back pain

A total of 50 patients of chronic low back pain were included in the study. The mean age of the p... more A total of 50 patients of chronic low back pain were included in the study. The mean age of the patients were 44.50 ± 8.94 years. They were treated with short wave diathermy (SWD) along with conventional treatment. After treatment the result was compared and student's't' test was done to see the level of significance. There was significant improvement after treatment (P=0.001). From the present study, it may be concluded that treatment with SWD may be helpful for the treatment of chronic low back pain. Introduction: Chronic low back pain is very frequently found in our day to day practice. Low back pain that has been present for at least three months is known as chronic low back pain 1 . Low back pain (LBP) is exceedingly common, experienced at some time by up to 80% of the population 2 . LBP is an uncomfortable sensation in the lumbar and buttock region originating from neurons near or around the spinal canal that are injured or irritated by one or more pathologic proce...

Research paper thumbnail of Informed consent: knowledge, attitude and practice of the researchers in a postgraduate institute of Bangladesh

Mymensingh medical journal : MMJ, 2009

A prospective experimental study was conducted in a postgraduate institute in Dhaka, Bangladesh, ... more A prospective experimental study was conducted in a postgraduate institute in Dhaka, Bangladesh, from April '05 to September '05. A total of 214 doctors of a postgraduate medical institute were included in the study who was involved in research works. A written questionnaire was given to the respondents to assess their knowledge, attitude and practice about informed consent (IC). The data was analyzed statistically. Chi-Square test was done to see the level of significance. Regarding knowledge of IC, we found maximum participants were more or less knowledgeable about it. The attitude of the respondents was also in favour of taking IC. In practice, most of them had taken informed consent that was verbal (39.3%) and written (47.6%). But some of the researcher (13.1%) had not taken any informed consent. By the present study, it may be concluded that the researchers of the concerned institute were aware of IC.

Research paper thumbnail of Endometriosis association research center

Mymensingh medical journal : MMJ, 2005

Endometriosis, the presence of endometrial tissue outside the uterus, is a progressive, estrogen-... more Endometriosis, the presence of endometrial tissue outside the uterus, is a progressive, estrogen-dependent disease and occurs nearly exclusively in menstruating women of reproductive age. Pain syndrome, however, represents the major clinical problem of this disease, manifested as dysmenorrhea, pelvic pain, lower abdominal pain, and dyspareunia. About 32 literatures are reviewed in recent advancement for diagnosis of endometriosis. The magnifications of its managements are understood. In outdoor, the management is only depending on clinical findings and on some non invasive procedures without any definitive diagnosis. So, research activities should be done on the basis of recent advancement of endometriosis.

Research paper thumbnail of Effects of cervical traction and exercise therapy in cervical spondylosis

Bangladesh Medical Research Council bulletin, 2002

A randomised clinical trial was conducted in the Department of Physical Medicine, Chittagong Medi... more A randomised clinical trial was conducted in the Department of Physical Medicine, Chittagong Medical College Hospital from July, 2001 to June, 2002. The objectives of the study were to find out the effects of cervical traction (CT) and exercise on the patients with chronic cervical spondylosis. A total of 199 patients with cervical spondylosis were included in the clinical trial. One hundred patients were treated with cervical traction plus exercise and 99 patients were treated with non-steroidal anti-inflammatory drug (NSAID). Posture correction advice was given to all patients. The patients were treated for 6 weeks. There was a marked improvement in both the groups after treatment (P<0.001). But there was nearly significant difference regarding improvement in treatment with CT plus exercise than with NSAID (P = 0.06). The results indicate that the improvement of the patients with chronic cervical spondylosis was more in CT plus exercise than analgesics. So, CT & neck muscle str...

Research paper thumbnail of Effects of lumbar corset on the patients with lumbar spondylosis

Bangladesh Medical Journal, 2014

This experimental study was done in the Department of Physical Medicine and Rehabilitation, Banga... more This experimental study was done in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University to find out the effects of lumbar corset on the patients with lumbar spondylosis. Ninety seven patients were selected in the study. Out of them 40(41.24%) were male and 57(58.76%) were female. The male to female ratio was 1:1.42. The mean age was 41.22 ± 8.52 years. The patients were divided into two groups, 50 patients in group A ( Treated with NSAID, activities of daily living instructions and lumbar corset) and another 47 patients in group B (Treated with NSAID and activities of daily living instructions only ). In both the groups, patients were treated for six weeks and assessed at 7 days interval. Improvement was noticed in both the groups in every visit but there was no difference in improvement between the groups till 4th week of treatment. At the end of treatment group A showed statistically significant difference in overall improvement in c...

Research paper thumbnail of Incidence of Non-Neutropenic Infection (NNI) in Patients with Follicular Lymphoma and Small Lymphocytic Lymphoma: The Effects of Rituximab Therapy

International Journal of Hematology and Oncology, 2012

Rituximab is an anti-CD20 monoclonal antibody that has demonstrated efficacy in patients with ind... more Rituximab is an anti-CD20 monoclonal antibody that has demonstrated efficacy in patients with indolent and aggressive forms of non-Hodgkin's lymphoma and has become part of the standard therapy for patients with B-cell malignancies. The study was designed to examine if rituximab increases the risk to develop non-neutropenic infection (NNI). Medical records of 202 patients diagnosed as follicular lymphoma or small lymphocytic lymphoma were reviewed. Negative binomial regression was used to estimate relative risk (RR) of NNI. Rituximab (n= 41) and non-rituximab (n= 161) groups had a total of 31.636 and 195.691 reviewed patient days, and recorded a total of 67 and 154 infections, respectively. Negative binomial regression analysis revealed significant effects for the treatment (rituximab vs. non-rituximab) and age (p< 0.01). The RRs of viral and bacterial NNI for rituximab group compared to nonrituximab group were 3.33 and 2.60, respectively; while the RRs for one year increment of age were 1.03 and 1.04, respectively. The time-to-first viral and bacterial NNI for rituximab group were significantly faster than non-rituximab group. Rituximab may increase the risk of NNI in patients with follicular lymphoma or small lymphocytic lymphoma.

Research paper thumbnail of Chronic Low Back Pain: A Review on Uses and Abuses of Medicare Expenditure

Journal of Medicine, 2010

DOI:10.3329/jom.v11i1.4273 J Medicine 2010: 11: 51-56

Research paper thumbnail of Clinical profile of the patients with chronic low back pain - A study of 102 cases

Journal of Chittagong Medical College Teachers' Association, 1970

doi: 10.3329/jcmcta.v18i2.3825Journal of Chittagong Medical College Teachers' Association 200... more doi: 10.3329/jcmcta.v18i2.3825Journal of Chittagong Medical College Teachers' Association 2007: 18(2):16-20

Research paper thumbnail of Rehabilitation of Patients with Paraplegia from Spinal Cord Injury: A Review

Journal of Chittagong Medical College Teachers' Association, 2010

DOI: 10.3329/jcmcta.v20i1.4937 Journal of Chittagong Medical College Teachers' Association 20... more DOI: 10.3329/jcmcta.v20i1.4937 Journal of Chittagong Medical College Teachers' Association 2009: 20(1):53-57

Research paper thumbnail of Comparative efficacy of various methods of physical treatment given to a selected group of patients presented with non specific low back pain

Journal of Chittagong Medical College Teachers' Association, 1970

Key words: low back pain; short wave diathermy; exercisedoi: 10.3329/jcmcta.v18i1.3815Journal of ... more Key words: low back pain; short wave diathermy; exercisedoi: 10.3329/jcmcta.v18i1.3815Journal of Chittagong Medical College Teachers' Association 2007: 18(1):15-18

Research paper thumbnail of Evaluation of the effects of shortwave diathermy in patients with chronic low back pain

Bangladesh Medical Research Council Bulletin, 2009

A prospective experimental study on 97 patients of chronic low back pain was conducted to find ou... more A prospective experimental study on 97 patients of chronic low back pain was conducted to find out the effects of shortwave diathermy. They were divided randomly into two groups and treated with non-steroidal anti-inflammatory drugs, exercises, activities of daily living instructions and with or without shortwave diathermy. After six weeks of treatment, improvements were observed in both the groups. But significant difference in improvement was found in shortwave diathermy group than in placebo group. The present study suggests that shortwave diathermy is effective for the treatment of patients with chronic low back pain.Keywords: Back pain; NSAID; Shortwave diathermyOnline:Â 22 May 2009DOI: 10.3329/bmrcb.v35i1.2320Bangladesh Med Res Counc Bull 2009; 35: 18-20Â