Among the research topics, 88.9% had peripheral neuropathy (PN) (43.4% mild, 21.2% reasonable and 24.2% severe PN); the two teams had comparable frequencies of PN. Though median serum B12 levels were reduced in moderate [483.0 (411.2-620.0) pg/mL], moderate [492.0 (366.5-680.0) pg/mL] and severe PN [524.5 (363.5-654.2) pg/mL] groups contrasted to absent PN group [540.0 (340.0-685.0) pg/mL]; the difference in B12 amounts across the four groups was not statistically considerable. B12 levels had weak negative correlation (roentgen = -0.061, p = 0.624) with gram-years of metformin use. Periodic testing for serum vitamin B12 levels should be done to identify metformin-induced B12 deficiency in T2DM, specially people that have PN.Uterine leiomyoma is a common gynecological issue around the world. As 50% hysterectomies in black colored and 40% in Australians are carried out due to fibroid, in our country also it is assumed that about 40%-50% hysterectomies tend to be done due to fibroid womb. Thus leiomyoma constitute a major public wellness price to the community in terms of outpatient attendance and hospital expense for surgery. This might be a descriptive variety of cross-sectional study among 50 customers having leiomyoma of womb within the department of Obs and Gynae, BSMMU medical center from March 2011 to August 2011. The goal of the analysis is always to see the chance involving check details leiomyoma, to discover the most popular presenting attributes of uterine leiomyoma and also to see most useful choices for management. Study results showed that 62% clients were when you look at the age bracket 36-45 years, 48%patients had been in para1-2 group, 32% patients used combined oral contraceptive supplement for contraception. Sixty percent (60%) patients given progressive menorrhagia and palpable mass had been found in 62% situations. About 46% clients had associated medical conditions like hypertension, diabetic issues, obesity. Complete stomach hysterectomy was carried out in 32% situations. TAH with unilateral or bilateral salpingoophorectomy ended up being carried out in 40% situations. Myomectomy had been done in 20% cases. There is a scope for large scale research about risk factors of uterine leiomyoma like obesity, diabetes mellitus, hypertension infectious spondylodiscitis , usage of hormonal contraceptive, racial differences, various treatment modalities etc. Treatment should be individualized. In Calanoid copepod biomass this connection a good referral system and great interaction has a significant contribution in the appropriate management of such problems.Retrocalcaneal bursitis is among the important factors behind posterior heel discomfort that is due to repetitive friction of the retrocalcaneal bursa between the postero-superior calcaneal tuberosity (haglund deformity) and Achilles tendon. Most of the customers are addressed by conservative practices. But when the situation becomes persistent and not responding to the traditional treatment, surgical procedure is an alternative of the situations. This prospective interventional research was performed within the division of Orthopaedic Surgical treatment, BSMMU (Bangabandhu Sheikh Mujib Medical University), Dhaka, Bangladesh from September 2017 to August 2019. Through this duration, total 40 cases of persistent retrocalcaneal bursitis had been operated at BSMMU. The clinical and useful result had been examined based on AOFAS (American Orthopedic Foot Ankle Society) scale. The outcome of this study showed significantly improvement of pain, useful standing and deformity at the time of last follow-up period of 1 year, total mean score improved from 46/100 to 89/100. The end result of the topics was satisfactory 90% and unsatisfactory 10%. Surgical intervention is an efficient choice of therapy with satisfactory outcome, into the treatment of persistent retrocalcaneal bursitis.Hepatitis B virus illness is an important reason for liver disease. Hepatitis B Virus may provide with varying level of severity. In older children, 5-10% cases causing persistent liver disease, cirrhosis and hepatocellular carcinoma. This descriptive cross-sectional research was done to assess the prevalence of Hepatitis B Virus infection among hospitalized kids with liver condition in pediatric division of Mymensingh healthcare College Hospital, Bangladesh from December 2015 to October 2016. All the kiddies of both sexes having age between six months to twelve many years admitted when you look at the pediatric ward with severe or persistent liver infection were most notable study by purposive sampling. A written consent had been acquired from appropriate guardian of children before addition. Ethical approval was gotten from competent expert. A detailed record ended up being extracted from parents in each case according to pre-designed survey about demography associated with the patients and also the risk facets associated with liver condition. A thorough medical exients suffered from persistent hepatitis by hepatitis B simply because they were only HBsAg good. Therefore, in this research 9 clients (9%) were guaranteeing experienced HBV infection. Possible transmission aspects of hepatitis B had been reputation for (H/O) blood transfusion/trauma/parenteral injection, H/O umbilical sepsis, H/O maternal illness/infection during maternity.