Results of Subtrochanteric Femoral Fractures Fixation by Proximal Femoral Locking Compression Plate.

The treatments of subtrochanteric femoral fractures are a challenge. It accounts about 10.0% to 34.0% of all hip fractures with a high complication rate. This area consists of mostly cortical bone with high stress generation thus heal slowly. The fracture is too proximal to adequately control with implants for femoral shaft and too distal to control with implants for intertrochanteric fractures. The intrinsic insecurity of this fracture and forces of the muscles with comminuted medial calcar is giving the fracture a tendency to varus crumple. Extramedullary implants are associated with higher rate of implant failure while intramedullary nails are not suitable for short proximal segment and wide medullary canal. Recently proximal femoral locking compression plate (PF-LCP) has been applied in treatment of proximal femur including subtrochanteric fractures. It has an excellent result in respect of union, fewer complications and early rehabilitation. The aim of this study was to assess the rate and time taken for union of fractures by PF-LCP and determine perioperative parameters. This prospective study was conducted from March 2019 to September 2020 at Mymensingh Medical College Hospital through non randomized purposive sampling. Total 25 patients aged above 18 years irrespective of sex with closed subtrochanteric fracture were included but pathological fractures, multiple injuries were excluded from the study. Union status evaluated by Radiographic Union Score for Tibial (RUST) fracture of Whelan; where antero-posterior and lateral radiographs (X-ray) based assessment of healing of the four cortices done. The entity cortical scores were added to give an entire score; 4 being the least amount demonstrating fracture are positively not healed and 12 being the highest score representing that the fracture is positively healed. The mean age of the patients was 42.04±14.97 years with range 22-70 years. Majority of patients were male (60.0%) and most of injury (64.0%) due to road traffic accident with most fractures was Seinsheimer type III (48.0%). Average operative time was 121.92 minutes, follow up period was 41.12 weeks (24-48 weeks) and time taken for union was 14.16 weeks (11-28 weeks). According to RUST scores; fracture union rate 88.0% with delayed union 12.0% and no nonunion. There were two patients with superficial wound infection and no implant failure. This study concludes that PF-LCP is a safe and reliable implant for the treatment of subtrochanteric femoral fractures.

Long Term Users of Benzodiazepine Attending the Department of Medicine in a Tertiary Care Hospital.

Although comprehensive epidemiological data related to long term use and abuse of benzodiazepine (BZD) in our country is scarce, undocumented clinical observation suggests that the prevalence is quite high and constitutes a significant public health problem. This cross-sectional study was carried out in the Department of Medicine, Shaheed Ziaur Rahman Medical College hospital, Bogra, from 1st October 2015 to 31st March 2016. The objectives of the study were to evaluate the indication, dosage, duration and untoward effects of use of benzodiazepine for one month or longer among the patients attending the inpatient and outpatient departments of medicine. A total of 100 cases of long term benzodiazepine users aged between 18 to 72 years with mean age of 44.0±15.02 years were taken for the study. Male to female ratio of the cases was 1.08:1.00, 97.0% were Muslims, 96.0% were married; 77.0% were rural dwellers. Fifty four (54.0%) cases were from middle class society and 39.0% were housewives by occupation. The benzodiazepine dosage ranged from <5mg to 10mg equivalent to diazepam, with mean dose of 7.5±1.71 and the duration ranged from 1-60 months. Benzodiazepine tolerance was found in 21.0% and dependence in 18.0%. The common reason for taking was benzodiazepine for long duration was the different anxiety disorders in 63.0% followed sleep disturbance in 33.0%. Common cause of long term continuation reported by the respondents was rapid relief of symptoms (51.0%) and lack of awareness (21.0%). In 56.0% cases, the drugs were prescribed by providers other than registered physicians. Only 23.0% of patients were counseled beforehand regarding the probable hazards of long term use of the drugs and the counseling were provided only by registered physicians. In conclusion, it can be said that, large scale epidemiologic studies are warranted to evaluate the weight of burden of benzodiazepines abuse in our community and the needs for changes in clinical approach.

Pattern of ENT Diseases in Children: A Peripheral Military Hospital Based Study.

This study was aimed to find out the hospital based prevalence of paediatric ENT disorders in an ENT OPD of a peripheral military hospital of Bangladesh Armed Forces. This observational study was carried out at ENT out patient department of CMH Momenshahi, from 1st April 2017 to 31st March 2020. Irrespective of age and sex a total of 4612 children, between the ages of 0-14 years were included in this study. All types of ENT disorders were taken in to account. Data were obtained after ENT examination and necessary investigations. Total 4612 cases were studied. Male children (52.2%) were affected more and most of the children belongs the 6-10 years age group (44.4%).Throat related disorder (40.7%) were predominant followed by ear (34.8%). The most common ENT disorders were Chronic Tonsillitis (21.8%) followed by acute otitis media (16.1%) and pharyngitis (9.8%). Rate of Chronic otitis media (COM) was only 46(1%). ENT diseases are one of the major health problems among children. In addition to improved health education, socioeconomic status and better access to health care facilities; provision of early ENT specialist consultation may significantly reduce chronic or recurring symptoms and long term morbidities of common ENT disorders in children.

Proportion of Peripheral Arterial Disease in Patients with Chronic Kidney Disease.

Among the different complications of chronic kidney diseases, peripheral arterial disease is not uncommon. Though it is an indicator of widespread atherosclerosis, sometimes it is neglected in CKD patients. Our study was done to evaluate the frequency and pattern of PAD in chronic kidney disease patients admitted in a tertiary care hospital of Bangladesh. One hundred (100) admitted patients of CKD were taken by nonrandom purposive sampling considering inclusion and exclusion criteria. After clinical evaluation and Ankle brachial index (ABI) measurement 5 cc venous blood was collected and sent to Clinical Pathology and Biochemistry department of CMCH. Data was collected in a structured proforma and analyzed. Among the 100 patients, 2.0% patient belonged to stage 3, 28.0% were in stage 4 and remaining 70.0% were in stage 5. We found the proportion of PAD in CKD were 18.0%. Among 18 PAD patients, 66.67% were in stage 5, 22.22% in stage 4 and 11.11% in stage 3. Regarding right lower limb 12 patients had some PAD, 3 patients had moderate PAD, 2 patients had borderline and 1 patient had calcified PAD. For left lower limb, 10 patients had some PAD, 4 patients had moderate PAD, 4 patients had borderline PAD. The mean AB) of the PAD patients for right limb was 0.87 and for left limb 0.84. 50.0-55.0% patients were asymptomatic. Among the PAD patients 38.9% had DM, 72.2% had HTN, 33.3% had both DM and HTN, 44.4% had other vascular events, 55.6% were smokers, 33.3% had dyslipidemia and 22.2% had family history of PAD. Renal diseases seem to have a strong association with vascular disease and PAD is not uncommon.

Outcome of Relapsed or Refractory Diffuse Large B-cell Lymphoma with Second-line Chemotherapy Ifosfamide-Carboplatin-Etoposide with or without Rituximab.

Treatment of relapsed or refractory diffuse large B-cell lymphoma is difficult. The de novo diffuse large B-cell lymphoma has better prognosis than the transformed diffuse large B-cell lymphoma. The response of CHOP or a similar regimen has an important role in determining response to salvage therapy, in relapse or refractory diffuse large B-cell lymphoma patients. Patients who are non-responder to initial treatment have a very poor chance of responding to therapy for relapse. This was a small scale observational study and was conducted from January 2017 to December 2020 in National Institute of Cancer Research and Hospital, Bangladesh. A total of 34 patients with relapsed or refractory diffuse large B-cell lymphoma were identified at hematology department in National Institute of Cancer Research and Hospital, 28 of them were treated with ICE chemotherapy and 6 with R-ICE chemotherapy as second line regimen. Overall response rate to 2nd line chemotherapy was 64.8%, with 32.4% (11 patients) complete remission and 32.4% (11 patients) partial remission. Median overall survival to second line regimen was 10 months, corresponding to a 4 year overall survival of 32.4% and a 4 year progression free survival was 17.6%. Patient with stable disease/progressive disease median overall survival was 7 months compared with 15 months for complete remission and 9 months for partial remission (p<0.001). Median overall survival was significantly better in patients with international prognostic index 0-2 compared in those with international prognostic index >2 (p=0.010). However improvement of salvage efficacy is an urgent need with new drugs. Further studies are necessary to determine whether this regimen will improve outcomes of relapsed or refractory diffuse large B-cell lymphoma patients.

Artificial Neural Network analysis on the effect of mixed convection in triangular-shaped geometry using water-based Al2O3 nanofluid.

The objective of the study is to investigate the fluid flow and heat transfer characteristics applying Artificial Neural Networks (ANN) analysis in triangular-shaped cavities for the analysis of magnetohydrodynamics (MHD) mixed convection with varying fluid velocity of water/Al2O3 nanofluid. No study has yet been conducted on this geometric configuration incorporating ANN analysis. Therefore, this study analyzes and predicts the complex interactions among fluid flow, heat transfer, and various influencing factors using ANN analysis. The process of finite element analysis was conducted, and the obtained results have been verified by previous literature. The Levenberg-Marquardt backpropagation technique was selected for ANN. Various values of the Richardson number (0.01 ≤ Ri ≤ 5), Hartmann number (0 ≤ Ha ≤ 100), Reynolds number (50 ≤ Re ≤ 200), and solid volume fraction of the nanofluid (ϕ = 1%, 3% and 4%) have been selected. The ANN model incorporates the Gauss-Newton method and the method of damped least squares, making it suitable for tackling complex problems with a high degree of non-linearity and uncertainty. The findings have been shown through the use of streamlines, isotherm plots, Nusselt numbers, and the estimated Nusselt number obtained by ANN. Increasing the solid volume fraction improves the rate of heat transmission for all situations with varying values of Ri, Re, and Ha. The Nusselt number is greater with larger values of the Ri and Re parameters, but it lessens for higher value of Ha. Furthermore, ANN demonstrates exceptional precision, as evidenced by the Mean Squared Error and R values of 1.05200e-6 and 0.999988, respectively.

Sensitivity study on convective heat transfer in a driven cavity with star-shaped obstacle and hybrid nanofluid using response surface methodology.

Sensitivity analysis is significant for understanding and measuring the impact of various parameters and input variables on heat transfer phenomena. The main objective of the current work is to examine the sensitivity of a numerical analysis of mixed convection in a lid-driven square cavity with a magnetic field. The cavity also contains a heated, star-shaped obstacle and is filled with a hybrid nanofluid. The sensitivity analysis was conducted employing the statistical response surface methodology (RSM), while the numerical simulations used the Galerkin weighted residual finite element approach to solve the governing PDEs. The study investigates the impacts of four dimensionless factors: Ri, Re, Ha, and ϕ. The numerical observation was made that there exists an upward trend between the average heat transfer rate with Ri, Re, and ϕ, while there exists a downward trend with Ha. Furthermore, the average heat transfer rate increases by almost half (49.54 %) when ϕ increases from 1 % to 10 % and decreases by 5.97 % when the Ha increases from 0 to 60. Finally, the statistical investigation of the current model and testing techniques imply that R 2 values for the response function are high (98.72 %), suggesting that this model is appropriate for estimating Nu.

Soliton structures of fractional coupled Drinfel'd-Sokolov-Wilson equation arising in water wave mechanics.

This article delves into the dynamic constructions of distinctive traveling wave solutions for wave circulation in shallow water mechanics, specifically addressing the time-fractional couple Drinfel'd-Sokolov-Wilson (DSW) equation. Introducing the previously untapped e x p ( - ϕ ( ξ ) ) -expansion method, we successfully generate a diverse set of analytic solutions expressed in hyperbolic, trigonometric, and rational functions, each with permitted parameters. Visualization through three-dimensional (3D) as well two-dimensional (2D) plots, including contour plots, reveals inherent wave phenomena in the DSW equation. These newly obtained wave solutions serve as a catalyst for refining theories in applied science, offering a means to validate mathematical simulations for the proliferation of waves in shallow water as well as other nonlinear scenarios. Obtained wave solutions demonstrate the bright soliton, periodic, multiple soliton, and kink soliton shape. The simplicity and efficacy of the implemented methods are demonstrated, providing a valuable tool for approximating the considered equation. All figures are devoted to demonstrate the complete wave futures of the attained solutions to the studied equation with the collaboration of specific selections of the chosen parameters. Moreover, it may have summarized that the attained wave solutions and their physical phenomena might be useful to comprehend the various kind of wave propagation in mathematical physics and engineering.

Enhancing the stretchability of two-dimensional materials through kirigami: a molecular dynamics study on tungsten disulfide.

In recent years, the 'kirigami' technique has gained significant attention for creating meta-structures and meta-materials with exceptional characteristics, such as unprecedented stretchability. These properties, not typically inherent in the original materials or structures, present new opportunities for applications in stretchable and wearable electronics. However, despite its scientific and practical significance, the application of kirigami patterning on a monolayer of tungsten disulfide (WS2), an emerging two-dimensional (2D) material with exceptional mechanical, electronic, and optical properties, has remained unexplored. This study utilizes molecular dynamics (MD) simulations to investigate the mechanical properties of monolayer WS2 with rectangular kirigami cuts. We find that, under tensile loading, the WS2 based kirigami structure exhibits a notable increase in tensile strain and a decrease in tensile strength, thus demonstrating the effectiveness of the kirigami cutting technique in enhancing the stretchability of monolayer WS2. Additionally, increasing the overlap ratio enhances the stretchability of the structure, allowing for tailored high strength or high strain requirements. Furthermore, our observations reveal that increasing the density of cuts and reducing the length-to-width ratio of the kirigami nanosheet further improve the fracture strain, thereby enhancing the overall stretchability of the proposed kirigami patterned structure of WS2.

On simulations of 3D fractional WBBM model through mathematical and graphical analysis with the assists of fractionality and unrestricted parameters.

This study retrieves some novel exact solutions to the family of 3D space-time fractional Wazwaz-Benjamin-Bona-Mahony (WBBM) equations in the context of diverse nonlinear physical phenomena resulting from water wave mechanics. The family of WBBM equations is transformed for this purpose using a space and time fractional transformation into an ordinary differential equation (ODE). The ODE then uses a strong method, namely the Unified Method. Consequently, lump solutions, dark-bright soliton, singular and multiple soliton solutions, and periodic solutions are investigated. The disparities between the current study's conclusions and previously acquired solutions via other approaches are examined. All wave solutions produced are determined to be novel in terms of fractionality, unrestricted parameters, and implemented technique sense. The impact of unrestricted parameters and fractionality on the obtained solutions are visually presented, along with physical explanations. It is observed that the wave portents are varied with the increase of unrestricted parameters as well as fractionality. We dynamically showed that the appropriate transformation and the applied Unified approach more proficient in the study of water wave dynamics and might be used in future researches to clarify the many physical phenomena. The novelty of this work validate that the proposed method seem simple and useful tools for obtaining the solutions in PDEs and it is expected to use in mathematical physics and optical engineering.

Investigation of groundwater and its seasonal variation in a rural region in Natore, Bangladesh.

In Bangladesh, groundwater is the most widely used source of drinking water for rural communities. However, the groundwater quality is degraded by natural contaminants and anthropogenic pollution. Groundwater is a reliable and sustainable source of safe water for irrigation and domestic purposes, especially during the dry season. The water quality assessment data for the study area was not found in the literature. This study aims to assess groundwater quality and seasonal variation in a rural area of five unions of Bagatipara Upazila, Natore, and its suitability for drinking purposes by measuring the Water Quality Index (WQI). The groundwater of five unions, namely Dayarampur, Bagatipara, Faguardiar, Jamnagar, and Pacca, has been selected for investigation. The electrical conductivity (EC), color, and turbidity exceeded the ECR guidelines. EC showed a positive correlation with total dissolved solids (TDS), total solids (TS), and turbidity. On the other hand, dissolved oxygen (DO), hardness, chloride, carbon-di-oxide (CO2), and iron (Fe) concentrations varied based on the location of the sampling points. The bacteriological parameters TC and E. coli were found in most of the samples, which indicate the potential sources of contaminants such as septic tank leakage and inadequate waste disposal systems. The groundwater quality was found not to be influenced by seasonal variation except by pH, DO, and CO2. The Water Quality Index (WQI) spatial mapping demonstrated that during the post-monsoon period, the water quality of the central part of Bagatipara upazila was in 'good' condition, which was in Bagatipara, Fagurdiar, and Pacca unions, whereas during the pre-monsoon season, the 'good' condition was found very limited to Fagurdiar union only. The study revealed that the groundwater of Bagtipara Upazila is not suitable for drinking water due to the presence of TC and E. Coli as well as 'poor' to 'unsuitable' conditions in most of the areas based on WQI.

Finite element analysis of a generalized rotating FGM vessel subjected to thermo-mechanical loadings: Effect of Poisson ratio and inhomogeneity parameters.

Cylinders and thick walled cylindrical shells are commonly utilized in several industries to transport and store fluids under certain pressure and temperature conditions. In the present paper, a numerical solution is developed in order to investigate displacement, temperature and stress fields in a rotating pressure vessel made of generalized functionally graded material (FGM) subjected to different thermo-mechanical boundary conditions. The aim is to investigate the effect of Poisson ratio, internal pressure and temperature and inhomogeneity parameters on the stress and deformation distributions of the rotating pressure vessel. The material is considered isotropic nonhomogeneous and linearly elastic with its properties varying along the radial direction. Additionally, certain conditions, such as exterior or interior problems where r → ∞ or r → 0, respectively, are impossible to resolve using the variation of attributes as a power-law distribution. An approach to the spatial Young modulus distribution that is more broad has been suggested in the literature which can be applied to such physical challenges. The rotation of the pressure vessel is considered in the analysis, and the temperature distribution is assumed to be non-uniform. Since an analytical solution to the differential equation is not accessible, the conventional Galerkin discretization approach of the Finite Element Method (FEM) is applied, nowadays is considered one of the main numerical tools for solving Boundary Value Problems (BVP). It is addressed how stress, strain, and displacement are affected by the inhomogeneity parameter, rotation speed, pressure, temperature, and Poisson ratio. The examination of the various findings indicates that changes in the temperature profile, rotation, and inhomogeneity parameter on the thermoelastic field have a substantial impact on the stress and strain in the FGM cylinder. The findings indicate that the Poisson ratio and inhomogeneity parameters have a significant impact on the stress and deformation distributions. According to the results, the above-mentioned parameters can be adapted to control the thermoelastic filed in a FGM cylinder. The present research offers significant perspectives on the development and enhancement of rotating FGM pressure vessels intended for high-temperature applications.

Effect of the nonlinear dispersive coefficient on time-dependent variable coefficient soliton solutions of the Kolmogorov-Petrovsky-Piskunov model arising in biological and chemical science.

In this article, we study the soliton solutions with a time-dependent variable coefficient to the Kolmogorov-Petrovsky-Piskunov (KPP) model. At first, this model was used as the genetics model for the spread of an advantageous gene through a population, but it has also been used as a number of physics, biological, and chemical models. The enhanced modified simple equation technique applies to get the time-dependent variable coefficient soliton solutions from the KPP model. The obtained solutions provide diverse, exact solutions for the different functions of the time-dependent variable coefficient. For the special value of the constants, we get the kink, anti-kink shape, the interaction of kink, anti-kink, and singularities, the interaction of instanton and kink shape, instanton shape, kink, and bell interaction, anti-kink and bell interaction, kink and singular solitons, anti-kink and singular solitons, the interaction of kink and singular, and the interaction of anti-kink and singular solutions to diverse nature wave functions as time-dependent variable coefficients. The presented phenomena are clarified in three-dimension, contour, and two-dimension plots. The obtained wave patterns are powerfully exaggerated by the variable coefficient wave transformation and connected variable parameters. The effect of second-order and third-order nonlinear dispersive coefficients is also explored in 2D plots.

Needle Biopsy of Pleura in the Aetiological Diagnosis of Pleural Effusion.

Exudative pleural effusion appears as manifestation of underlying specific disease process and pleural biopsy is usually enough to find out the underlying causative disease. The aim of the study was to find out the efficacy of needle biopsy of pleura in the aetiological diagnosis of pleural effusion. This cross-sectional study was conducted for a period of one year from January 2008 to December 2008 in the Department of Medicine, Shaheed Ziaur Rahman Medical College Hospital, Bogura, Bangladesh enrolling 50 subjects with exudative pleural effusion. The cases with transudative pleural effusion were not included. Needle biopsy was done in all the cases. Histopathological reports of pleural biopsy specimen were correlated with other data and analyzed to detect the causes of effusion. Major incidence of malignant effusion occurred between 41 to 70 years of age. No malignant effusion was found before 30 years of age. Incidence of tuberculous and malignant pleural effusion was much more common in males than in females. Sensitivity and specificity of combined pleural biopsy and pleural fluid analysis in the diagnosis of pleural effusion was 97.06% and 100.% for tuberculosis and 81.82% and 100.0% for malignancy. The present study reveals that pleural biopsy was very effective method in the diagnosis of cause of pleural effusion.

Serum Lipid Profile and Its Association with Newly Diagnosed Hypertensive Patients in Bangladesh.

Clustering of hypertension, dyslipidemia, and other metabolic abnormalities is increasing the burden of non-communicable diseases, especially cardiovascular disease. The objective of this study was to explore the pattern of lipid profiles in newly diagnosed hypertensive patients attending Shaheed Mansur Ali Medical College, Dhaka, Bangladesh from August 2020 to December 2020. A total of 59 newly diagnosed hypertensive patients were studied through a cross-sectional approach. Prior to the study, ethical clearance was ensured, and informed written consent was obtained. A pre-structured questionnaire was used for data collection. Collected data were analyzed using SPSS 24.0 version. Slight male preponderance (54.2%) was observed along with an average age of 45 years among studied patients. Raised levels of total cholesterol (TC), triglyceride (TG), and low-density lipoprotein (LDL) were observed in 91.5%, 98.3%, and 88.1% of patients accordingly. Low level of high-density lipoprotein (HDL) was observed in 47.5% of the patients. Mean TC, TG, LDL, HDL were 286.11±347.37, 311.74±122.76, 163.27±33.67 and 38.29±6.66 mg/dl, respectively. Almost all patients were obese. There is no correlation between the serum lipid profile and blood pressure of the patients. Dyslipidemia was highly prevalent among newly diagnosed hypertensive patients.

Artificial neural network (ANN) analysis on thermophysical properties of magnetohydrodynamics flow with radiation in an arc-shaped enclosure with a rotating cylinder.

The objective of this research is to examine the thermophysical features of magnetic parameter (Ha) and time step (τ) in a lid-driven cavity using a water-based Al2O3 nanofluid and the efficacy of ANN models in accurately predicting the average heat transfer rate. The Galerkin weighted residual approach is used to solve a set of dimensionless nonlinear governing equations. The Levenberg-Marquardt back propagation technique is used for training ANN using sparse simulated data. The findings of the investigation about the flow and thermal fields are shown. Furthermore, a comparative study and prediction have been conducted on the impact of manipulating factors on the average Nusselt number derived from the numerical heat transfer analysis. The findings of the research indicate that, in the absence of magnetohydrodynamics, a rise in the Hartmann number resulted in a drop in both the fluid velocity profile and magnitude. Conversely, it was observed that the temperature and Nusselt number exhibited an increase under these conditions. The mean temperature of the fluid rises as the Hartmann number drops, reaching a peak value of 0.114 when Ha = 0. The scenario where Ha = 0, representing the lack of magnetohydrodynamics, shows the highest average Nusselt number, whereas the instance with Ha = 45 presents the lowest Nusselt number. The ANN model has a high level of accuracy, as seen by an MSE value of 0.00069 and a MAE value of 0.0175, resulting in a 99% accuracy rate.

A variety of soliton solutions of time M-fractional: Non-linear models via a unified technique.

This work explores diverse novel soliton solutions of two fractional nonlinear models, namely the truncated time M-fractional Chafee-Infante (tM-fCI) and truncated time M-fractional Landau-Ginzburg-Higgs (tM-fLGH) models. The several soliton waves of time M-fractional Chafee-Infante model describe the stability of waves in a dispersive fashion, homogeneous medium and gas diffusion, and the solitary waves of time M-fractional Landau-Ginzburg-Higgs model are used to characterize the drift cyclotron movement for coherent ion-cyclotrons in a geometrically chaotic plasma. A confirmed unified technique exploits soliton solutions of considered fractional models. Under the conditions of the constraint, fruitful solutions are gained and verified with the use of the symbolic software Maple 18. Keeping special values of the constraint, this inquisition achieved kink shape, the collision of kink type and lump wave, the collision of lump and bell type, periodic lump wave, bell shape, some periodic soliton waves for time M-fractional Chafee-Infante and periodic lump, and some diverse periodic and solitary waves for time M-fractional Landau-Ginzburg-Higgs model successfully. The required solutions in this work have many constructive descriptions, and corporal behaviors have been incorporated through some abundant 3D figures with density plots. We compare the m-fractional derivative with the beta fractional derivative and the classical form of these models in two-dimensional plots. Comparisons with others' results are given likewise.

Breast Cancer in Younger and Older Women: A Comparison of Clinicopathological Traits.

Breast cancer stands as the prevailing invasive cancer globally, bearing high mortality rates among women. Existing evidence indicates diminished survival rates in younger patients. Consequently, this study endeavors to assess and contrast the pathological features of breast cancer in women under 40 years of age with their older counterparts. Conducted as a cross-sectional analysis, this study encompasses 560 patients diagnosed with breast cancer, seeking treatment at Mymensingh Medical College Hospital (MMCH), Community Based Medical College Bangladesh (CBMCB) and several private hospitals in Mymensingh. The gathered data incorporates information such as age, residential area, occupation, tumor histopathology, TNM classification, staging and status of hormone receptor. The patients' mean age (standard deviation) was 49.7±11.9 years, with 20.5% below 40, most were from rural areas and were housewives. Ductal carcinoma prevailed as the most common histopathologic type (87.67%). However, younger patients exhibited a higher prevalence of lobular and other rare carcinomas compared to their older counterparts (p=0.04). Additionally, the younger group demonstrated larger tumor sizes (p=0.01), lymphatic node involvement (p=0.04) and advanced staging (p=0.004). Notably, younger age showed more negativity for estrogen and/or progesterone receptors. The results suggested that women under 40 years old exhibit more aggressive tumor characteristics and a more severe form of breast cancer compared to their older counterparts.

Dysfunction of Thyroid Hormones Following Acute Coronary Syndrome in a Tertiary Care Hospital in Dhaka City.

In cardiovascular homeostasis thyroid hormone plays an important role. We planned to study the changes in thyroid hormone profile in acute coronary syndrome patients admitted in the coronary care unit and compare them between two groups: unstable angina/non-ST elevated Myocardial infarction (UA/NSTEMI) and ST elevated Myocardial infarction (STEMI). This study was a hospital based descriptive cross sectional study which was conducted from 01 March 2018 to 01 February 2019 in Coronary Care Unit of Bangladesh Medical College Hospital and laboratory tests were done in Microbiology Department of Bangladesh Medical College, Dhaka, Bangladesh. Eighty three cases of acute coronary syndromes were taken for the study. Troponin-I was measured as cardiac marker, Electrocardiogram, Complete blood count, blood glucose level, Blood urea, serum creatinine, serum electrolytes, Fasting lipid profile, Thyroid profile, Echocardiography 2D were done. Most of the respondents were distributed in age group 46-60 years where 34(64.15%) male and 19(35.85%) female. Out of 83 Acute Coronary Syndrome (ACS) patients, 27(32.53%) hypertensive, 22(26.50%) diabetic and 16(19.27%) were Chronic kidney disease (CKD). Abnormal lipid profile was present in 30(43.47%) patients. Among total 52 male and 31 female 9(17.30%) male and 6(19.35%) female had abnormal thyroid function. We further elaborated abnormal thyroid function tests in STEMI group and UA/Non STEMI group of ACS patients. We found 10 patients in STEMI group and 5 patients in UA/Non STEMI group with abnormal thyroid function 29.41% and 10.20% respectively which was not statistically significant (p=0.025). This study depicts abnormality in thyroid hormone profile in 18.07% patients of ACS. Abnormal thyroid function increases risk of coronary artery disease. TSH level of ACS patients on hospital admission could be helpful to evaluate further prognosis of the disease.

Comparative Study of Serum Zinc Level in Between Preeclamptic Patients and Normal Pregnancy in Bangladesh.

Globally preeclampsia is a major cause of maternal & perinatal morbidity & mortality. Zinc is an important trace element which is essential in pregnancy for fetal growth. Essentiality of zinc during pregnancy is evident. The cross sectional study was performed to estimate the comparison of serum zinc level in between preeclamptic patient and normal pregnancy. This study was conducted from July 2016 to June 2017 in the Department of Biochemistry, Mymensingh Medical College, Mymensingh, Bangladesh. Total 100 pregnant women were included as study population. Out of 100 subjects 50 were preeclamptic patients as case group and another 50 were normal pregnant women as control group. Serum zinc was determined by colorimetric method. The statistical analysis was done by SPSS windows package version 21.0. The mean±SD of case group was 59.30±5.22 and control group was 65.26±5.99mg/dl. Statistical difference was calculated by Student's unpaired 't' test. After analysis it showed that the mean±SD of serum zinc level was highly significantly (p<0.001) decreased in case group that in comparison to control group.