Objective: To evaluate the incidence of benign prostatic hyperplasia in obese patients. Method: A cross-sectional study with 113 men aged 40 years and above without any prostatic pathology were recruited. The study population was categorized into 3 BMI groups (healthy, overweight and obese) and 2 WC groups (<90 cm and >90 cm). A <0.05 p-value was considered significant. Result: The mean prostate volume was 45.86±13.01ml, mean BMI was 28.97±3.63kg/m2 and mean waist circumference was 93.73±7.04cm. The incidence of BPH was found to be highest in men with BMI > 30 kg/m2 and WC > 90 cm. Positive significant relationship between BMI and WC was found with PV. Conclusion: Central obesity is an important and independent risk factor of BPH and thus it increases the risk of developing BPH significantly. The greater a man's obesity, the greater his chance of developing BPH.

Background: Acute encephalitides are the most common cause of acute neurological disease in children. This is a potentially devastating neurological syndrome with different etiologies including direct central nervous system infection with different agents most commonly viral and those mediated by immune system. The management has changed dramatically in recent years for several reasons including improved diagnostic and brain imaging techniques, better antiviral and more advanced neurointensive care and rehabilitation. Objective: To observe the presentation, diagnostic approach and management of the children admitted in neuroscience department of Dhaka Shishu Hospital. Method: A retrospective analysis of suspected encephalitis was done from records of discharged patients of the Neurosciences Department at Dhaka Shishu Hospital from January 2011-February 2013. SPSS is used for statistical analysis. Result: This study examined 31 patients (17 boys; 56.5 %, 14 Girls;45.16) with a mean onset age of 5.32 years (range 0.5-12 years).Out of 31 cases of AES, 8 patients (25.81%) were JE and 24 patients (77.42%) were non-JE. Among 31cases AES patients, 8(25.81%) were recovered completely (GOSV) , while 14 (45.16%) cases had neurological sequelae (GOS II –IV) with a wide range of severity varying from mild to severe at the time of discharge, 9(29.03%) patient died in the hospital (GOS I). Conclusion: The majority of cases of encephalitis have no known etiology with HSV being the most commonly identified pathogen in developed countries. Despite treatment with acyclovir, morbidity remains high. Diagnostic criteria, laboratory facility, treatment guideline and long term follow up is essential.

Background: Lower Limb salvage represents a challenge for orthopedic surgeons through a procedure designed to remove bony and soft tissue Tumors without amputation. The primary goal is to restore and maintain stability and functional capability as much as possible. Purpose: Examining the results of lower limb salvage procedures using Endoprosthesis and biological reconstruction. Methodology: we retrospectively analyzed 30 patients that had underwent lower limb salvage procedures by using Endoprosthesis and biological reconstruction procedures between 2011 – 2021 to study the post-operative follow up (ranged from 3 Months – 10 years). The patients were examined for complications, oncological and functional outcomes. The Tumors included 12 patients with distal Femur osteosarcoma, 6 patients with Proximal Tibia osteosarcoma, 6 patients with distal Femur Ewing sarcoma, 2 patients with Distal Femur chondrosarcoma, 1 patient with proximal Femur chondrosarcoma, 2 patients with distal Femur Giant Cell Tumor, 1 patient with Proximal Femur Metastasis. Results: Local recurrences occurred in two cases and systemic metastasis in seven patients. 12 patients died and 18 remained disease free. Diagnosis Numbers distal Femur osteosarcoma 12 patients Proximal Tibia osteosarcoma 6 patients distal Femur Ewing sarcoma 6 patients Distal Femur chondrosarcoma 2 patients proximal Femur chondrosarcoma 1 patient Distal Femur Giant Cell Tumor 2patients Proximal Femur Metastasis. 1 patient The 5 year Kaplan-Meier survival rate was 44.6%. The Average Musculoskeletal Tumor society (MSTS) Functional score was 60% in all patients. Conclusion: Lower Limb Salvage Procedures using Endoprosthesis and biological reconstruction techniques improved the oncological and functional outcomes.