The serious pancreatic insufficiency (fecal elastase-1 less then 100μg/g stool) was observed in M-medical service ARP (28.6%) and CP (46.7%) instances. Malnutrition ended up being observed in extreme pancreatic insufficiency cases. This research result revealed that fecal elastase-1 can be utilized as a measure of pancreatic exocrine function in young ones with pancreatitis.within our country majority of the coronary artery bypass surgery (CABG) tend to be done off-pump and had been reported having exemplary medical outcome along with cost efficiency by numerous investigators. Heparin is commonly made use of as most effective anticoagulant, and protamine sulfate is currently generally speaking made use of to reverse the anticoagulant activity of heparin. While under dosing of protamine may cause incomplete heparin reversal and prolonged anticoagulation, protamine overdosing is connected with impaired clot formation exerted by the intrinsic anti-coagulation properties of protamine itself, additionally protamine administration is related to mild to extreme click here cardio and pulmonary complications. Aside from traditional complete neutralization of heparin now-a-days, half dose protamine has also been introduced showing good result regarding lower activated clotting time (ACT), overall, less surgical bleeding with less transfusion. This comparative study ended up being made to detect differences when considering traditional and decreased protamicreased protamine don’t seem to have damaging effects with regards to post-operative bleeding.The research had been designed to assess efficacy of Intra-arterial nitroglycerin through the sheath at the end of a transradial treatment to protect the patency associated with the radial artery. This prospective observational study ended up being carried out in the division of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh from May 2017 to April 2018, by including a complete 200 customers undergoing coronary treatments (CAG and / or PCI) through TRA. RAO ended up being thought as an absence of antegrade flow or monophasic flow or invert flow on Doppler research. In this study 102 patients (Group I) received 200 mcg intra-arterial nitroglycerine, just before trans-radial sheath removal. Another 98 clients (Group II) would not get intra-arterial nitroglycerine just before trans-radial sheath elimination. Old-fashioned haemostatic compression methods were applied (average 2 hours) both in categories of customers. Assessment of radial arterial arterial circulation by colour Doppler study was done on next day following the treatment in both groups. Link between this research in which RAO had been dependant on vascular doppler study indicated that frequency of radial artery occlusion were 13.5% 1 day after transradial coronary treatments. We found the incidence ended up being 8.8% vs. 18.4%, (p=0.04) in Group we and Group II respectively. The incidence of RAO had been somewhat lower in post procedural nitroglycerine group. From multivariate logistic regression analysis diabetes mellitus (p = 0.02), hemostatic compression time for more than 02 hours after sheath reduction (p = less then 0.001) and process time (p = 0.02) ended up being predictors of RAO. Therefore, the administration of nitroglycerin at the conclusion of a transradial catheterization decreased the incidence of RAO, as shown by 1 day after the radial process by doppler ultrasound.Stroke, usually a focal in place of worldwide neurological deficit caused by vascular beginning with unexpected beginning, can be with cerebral infarction or intracerebral haemorrhage. It results in brain oedema following vascular injury and electrolyte imbalance. A descriptive cross sectional research was done in the division of medication, Mymensingh Medical College Hospital, Mymensingh, Bangladesh during March 2016 to May 2018 to evaluate the electrolyte levels among 220 purposively selected patients with stroke confirmed by CT scan. Information had been gathered by the key investigator himself using meeting biomechanical analysis routine and instance record form after attaining consent. Bloodstream examples had been gathered from the clients to carry out biochemical and haematological tests and to examine serum electrolyte levels. Information had been cross-checked for completeness, persistence and relevancy, and were analyzed by software applications SPSS 20.0. Age had been notably greater in haemorrhagic swing (64.88±13.00 years) than ischaemic swing (60.92d in hypochloremic patients.CHADS₂ and CHA₂DS₂-VASc scores are trusted in clinical rehearse and can include comparable risk factors for the growth of coronary artery illness (CAD). It’s known that the aspects comprising the recently defined CHA₂DS₂-VASC-HSF score advertise atherosclerosis and related to severity of CAD. Objective of the analysis was to see the organization associated with the CHA₂DS₂-VASC-HSF score utilizing the extent of CAD in customers with ST elevation myocardial infarction (STEMI). A hundred (100) clients with STEMI were enrolled in this research after thinking about inclusion and exclusion requirements over a one year period from October, 2017 to September, 2018 into the division of Cardiology, nationwide Institute of Cardiovascular Diseases, Dhaka, Bangladesh. Coronary angiogram had been done within index hospitalization and coronary artery disease seriousness had been examined by SYNTAX rating system. Patients had been divided in to two teams on the basis of SYNTAX rating. Clients with SYNTAX score ≥23 assigned as Group I and SYNTAX score less then 2related with the seriousness of CAD. This rating could possibly be considered as a predictor of coronary artery disease severity.Radial artery occlusion (RAO) has become a major concern in transradial strategy (TRA). RAO restricts future radial artery use for further TRA, for as a conduit during CABG, for invasive hemodynamic monitoring and for development of arteriovenous fistula for hemodialysis in Chronic Kidney Disease (CKD) clients through exact same vascular approach.