BULL ATTACK AS A CAUSE OF SPINAL CORD INJURY IN BANGLADESH - DOES IT REALLY MATTERS?

Spinal cord injury (SCI) is a debilitating condition which has profound impact over physical, mental, domestic and social life of an individual [1, 2]. Globally a trend has been observed that most of the traumatic spinal cord injuries result from either road traffic accident or fall from height [1, 3, 4, 5]. There are also variations in the cause of SCI in respect of area, culture and so on

Spinopelvic parameters and pain in patients with low-grade spondylolisthesis

Background. Spondylolisthesis is the forward slippage of the upper to the lower vertebrae, which affects spinal cord. Spinal fusion is an important method for the stability of the spine leading to pain and disability reduction in patients with chronic low back pain in spondylolisthesis. The aim of this study was to evaluate postoperative changes in spinopelvic parameters, pain, and disability in low-grade spondylolisthesis patients undergoing posterior lateral fusion (PLF) and posterior lateral interbody fusion (PLIF). Materials and methods. In the present study, 68 patients who underwent PLF and PLIF due to low-grade spon-dylolisthesis were recruited. The spinopelvic parameters, visual analogue scale (VAS) score and Oswestry disability index (ODI) before and after surgery were compared. Results. Pelvic tilt (PT) decreased in both groups after surgery, with more significant decline in PLIF group. More-over, the mean of PT returned to normal value at both groups. There was also a significant decline in both VAS score and ODI parameters between the two groups. There was a correlation between VAS score and postoperative PT changes. However, the pelvic incidence, lumbar lordosis (PI-LL) and VAS score index did not differ significantly between the two groups after surgery. Conclusion. Both PLF and PLIF in low-grade spondylolisthesis patients are useful in restoring PT and pelvic sta-bility, but there is no significant difference in the postoperative pain and disability of patients in the two methods.</p

Diabetic Ketoacidosis Following Bariatric Surgery in Patients With Type 2 Diabetes

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Patient Satisfaction in Chamber Setting in Bangladesh measured by Patient-Doctor Relationship Questionnaire (PDRQ-9 Bangla)

Background: Assessment of patient satisfaction is crucial but there is significant lagging in this sector. Patient satisfaction is an important indicator of health care quality as well as a predictor of treatment adherence. The Good patient-doctor relationship is considered as an integral part of the patient satisfaction. In Bangladesh, this domain is yet to be explored in a large scale. Aim: It was aimed to look into the patient satisfaction level in chamber setting in Bangladesh measured using the patient-doctor relationship questionnaire (PDRQ-9 Bangla). Methods: PDRQ-9 is a short yet excellent tool for assessing the patient-doctor relationship. The data collection was done in private chamber setting by the PDRQ-9 and analyzed. Results: Though the result was not completely in line with the existing literature, the PDRQ-9 was found to be a useful and brief measurement tool in the context of the patient-doctor relationship. Conclusion: Large-scale research in this particular aspect of patient satisfaction in future may provide a more succinct resul