PAHMC Journal Volume 2 Issue 2 (July 2025)
Volume 2, Issue 2 — July 2025
Open access
Biannual medical journal
Fibromyalgia — chronic medical syndrome
Fibromyalgia is a chronic central sensitization syndrome characterized by widespread musculoskeletal pain, fatigue, and cognitive disturbance. This editorial discusses its history, diagnostic criteria, proposed mechanisms, dietary and lifestyle management, and treatment approaches.
Patterns of antibiotic resistance in community-acquired urinary tract infections in Mymensingh, Bangladesh
Background: UTI is a significant cause of morbidity and a leading reason for antibiotic prescriptions in developing regions like Bangladesh. Results: A cross-sectional study at Shodesh Hospital, Mymensingh found a 26.98% culture growth rate; E. coli was the most common pathogen (54.0%), with cefuroxime resistance at 55.43%.
Alteration of thyroid hormone levels in children with epilepsy treated with sodium valproate monotherapy
Background: Valproic acid is a widely used antiepileptic for children. Results: Among 80 children, 23.8% developed subclinical hypothyroidism after six months of VPA therapy (p<0.001). Conclusion: VPA carries a risk of inducing subclinical hypothyroidism.
Etiology and outcome of acute kidney injury patients in the nephrology centre of a community-based medical college
Background: AKI is a rising cause of mortality worldwide. Results: Among 65 patients, pre-renal azotemia was found in 38.5% of cases; poor outcome odds rose 5% per year of age. Conclusion: Early recognition of pre-renal factors improves outcomes even in resource-limited centres.
Distance between cricothyroid articulation in relation to age and sex: a cadaveric study in the Bangladeshi population
A descriptive cross-sectional study of sixty human larynges found the mean cricothyroid joint distance was 9.40 mm in fetal, 20.44 mm in pediatric, and 24.07 mm in adult specimens — a highly significant progressive increase with age.
Bilateral extreme microphthalmia in a newborn: a rare case report from Bangladesh
A full-term male newborn at PAHMC Hospital presented with bilateral extreme microphthalmia and absent palpable globes at birth, with no maternal infection, teratogenic exposure, or family history. Systemic evaluation was unremarkable; the case highlights the need for early neonatal ocular examination and better antenatal imaging in resource-limited settings.
Journal club — an important part of integrated teaching-learning activity
Journal club is a key educational activity that keeps clinicians current with evidence and improves patient outcomes, yet often falls short when discussions stay superficial. This review outlines its role in promoting evaluation and implementation of new medical knowledge into practice.
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