Aim: To assess the anatomical and functional outcome of transcanalicular LASER DCR compared to external DCR. Methods: A quasi study had been carried out in two tertiary eye hospitals of Bangladesh from January 2016 to December 2020. Group A included all patients selected for external DCR, and group B had been selected for transcanalicular laser DCR. Variable included age, gender, anatomical outcome, functional outcome, and surgery-related complications. Statistical analysis had been done by Quick Calcs Graph Pad software. Results: The total evaluated patients were 119 patients in group A and 46 patients in group B. The anatomical success rate was 93.3% in group A and 84.8% in group B. The functional success rate was 86.5% in group A and noted 84.8% in group B. Minimal skin scar was observed after six weeks of surgery in 98 (82.3%) cases of group A. Conclusion: The anatomical success rate is higher in external DCR, but the functional outcomes are almost the same in both groups.

Ascariasis is an infection of the small intestine caused by Ascaris lumbricoides. The aim of this study was to evaluate the medicinal potency of lime (Citrus aurantifolia) juice and ogogoro (Local gin) mixture on ascariasis as well as assessing its effects on hepato-renal and inflammatory biomarkers. Thirty primary school children whose stool samples upon microscopical examination at x40 were found to have 2+ ova of Ascaris lumbricoides (experimental group) and another thirty whose stool samples had no ova of Ascaris lumbricoides (control group) were recruited for this study. Each of the subjects in the experimental group was administered orally with ten milliliters of the mixture twice daily for five consecutive days. Two weeks after the completion of this oral administration, their stool samples were re-examined microscopically using x40 objective and it revealed 70% significant therapeutic response to Ascaris lumbricoides i.e. zero ova. Thereafter, five milliliters of blood specimens were collected into lithium heparin anti-coagulated bottles from each subject in the control and experimental groups respectively. These specimens were spun and the obtained plasma used for the quantitative measurement of hepato-renal and inflammatory biomarkers which revealed no statistically significant differences (p>0.05) when compared. In conclusion, this study has given an insight on the medicinal potency of this mixture in the treatment of ascariasis and its use is therefore recommended.

Objectives: This study aimed to compare the effectiveness of 4% articaine hydrochloride and 2% lignocaine hydrochloride in impacted mandibular third molar surgery. Materials and Methods: Sixty subjects randomly received either the 4% articaine injection (Group 1) or 2% lignocaine injection (Group 2) with 1: 200000 adrenaline via a pterygomandibular nerve block. The onset of the action of anesthesia, pulpal anaesthesia and its quality during the surgery, duration of anesthesia, duration of the surgery, the total volume of the anesthetic solution, hemodynamic statistics and pain levels were recorded. Results: The mean onset of anesthesia was significantly shorter in Group 1 (4.243 minutes) as compared to Group 2 (4.398 minutes). Onset of pulpal anesthesia was significantly shorter, with values as 4.287 ± 0.335 mins (Group 1) and 5.215 ± 0.3157 mins (Group 2). The duration of anesthetic effect in Group 1 was 3 hours (14.60 ± 9.76 mins), significantly higher than lignocaine -2 hours 43.33 mins (163.33 +-11.97 minutes). The duration of the procedure was marginally higher in Group 1- 41.67 ± 20.14mins; Group 2- 39.30 ±18.54mins. There was a statistically significant difference (P < 0.05) between qualities of anesthesia with pain scores lower in Group 1 as compared to Group 2. Articaine was found to have better cardiovascular stability than lignocaine. Conclusion: 4% articaine hydrochloride with 1:200000 adrenaline is more effective than 2% lignocaine hydrochloride with 1:200000 adrenalines in impacted mandibular third molar surgery in terms of onset, quality of anesthesia and hemodynamic parameters.

Introduction: Surgical attachment of displaced patella fractures is now the international standard treatment. The non-absorbed braided suture fixation group's study goal is to measure clinical, radiological, and functional findings as well as to detect complications of patellar fractures. As a control group, these patients were compared to those who had mid-substance fractures and were treated with K-wire or canceled tension strip wiring. Methods: From January 2018 to December 2020, a multicenter nonrandomized quasi-experimental prospective study was conducted in Rajshahi Medical College Hospital and Sador Hospitals in Rajshahi Division (Joypurhat & Sirajganj) Bangladesh. The total number of patients was n=108 The mean age was 36.28 years ranging from 20 to 60 years. All patients are treated with delayed absorbable suture wiring without using hardwiring of the fractured patella. The outcome was assessed by the Böstman scoring system. All demographic data including injury and surgical data were also documented. In all of the patients, non-absorbable sutures were twisted through the patellar tender and drilled to decrease and fracture the patella. Results: A total of 108 individual patients with patella fracture were treated prospectively over 2 years. 78 patients were male. The male-female ratio was 2.6: 1. Their mean age was 36.28 years ranging from 20 to 60 years. 57 (52.78%) patients were injured at right and 51 (47.22%) affected on the left side. The mean injury surgery interval was 2.0 days ranging from 2-8 days and their mean hospital stay was 4 days. We have found all patients in our schedule follow-up system and most of the patient's 103 (96.14%) knee ROM were 120 degree. Only 5 (3.86%) patients' Knee ROM found 90-120 degree. Most of the Patient 103 (96.14%) had come back to their daily works. Our assessment was done with the Böstman scoring system and we have found satisfactory results (Excellent and good) 103 (96.14%) patients and unsatisfactory (fair and poor) results 5 (3.86%). Only 2 (1.85%) patients had SSI out of them one patient was needed revision surgery and their result was unsatisfactory. Conclusions: In individuals who sustain lower polar patella fractures, fraction fixation options are limited. Suture repair that is clinically acceptable and produces results that are comparable to metal implant patella fractures. Suture repair patients appear to have fewer postoperative hardware-related problems than those who have midsole fracture wire fixation.