A few processes for see more the fix Angiogenic biomarkers of ventral hernia being described from time to time and it is a great challenge for a surgeon. The mesh positioning by sublay method authorized by Rives and Stoppa in Europe is reported to work with reasonable recurrence rate. The goal of this research would be to evaluate the effectiveness of sublay technique of mesh positioning in ventral hernia. This potential research was performed when you look at the division of Surgical treatment, Dhaka Dental College, Bangladesh from January 2017 to December 2018. A total of 21 customers with ventral hernia had been most notable study. Data built-up in data collection sheet regarding demographic information, severity of symptoms and post operative complains of clients that have been then analyzed. Age ranged from 21-60 many years. Male had been 5(23.80%) and female were 16(76.20%). Dragging pain had been 7(33.33%), irreducibility were 4(19.05%) but swelling had been 100%. Incisional hernia was 18(85.71%) and para-umbilical hernia was 3(14.29%). Post-operative complication were seroma1 (4.76%), significant wound illness 1(4.76%), small infection 1(4.76%) but no recurrence. Sublay mesh repair in ventral hernia was discovered is a better and effective technique with minimal complication rate.Type 2 diabetic mellitus (T2DM) customers with sub-clinical cardiac autonomic neuropathy (CAN), which precedes clinically obvious may, may have decreased heartbeat variability (HRV); yet may remain undetected by main-stream autonomic test. The objective of this research was to explore the short term HRV by power spectral analysis as a tool to identify sub-clinical diabetic cardiac autonomic neuropathy (CAN). This cross -sectional research included 30 recently diagnosed and 54 long-lasting T2DM male patients (aged 45 to 55 many years and without having any symptoms of could) and 30 age and body size index (BMI) matched healthy male subjects as controls. This study was done from January 2015 to January 2016 in Endocrinology OPD, BSMMU, have been formerly or then identified by the physician as of this very OPD following the diagnostic criteria set by the United states Diabetes Association Ewing battery of aerobic response tests (CARTs) was carried out to rule out signs of autonomic neuropathy in enrolled customers. Power spectral analysis of frequency domain indicators of short-term HRV had been carried out by digital information acquisition product RMS Polyrite-D. For analytical analysis, one of the ways ANOVA and independent sample ‘t’ test were utilized. LF power, HF power and HF normalized units (nu) had been notably lower, and LF nu and LF/HF were dramatically higher in long-lasting T2DM compared to recently identified T2DM (p less then 0.05) and control (p less then 0.001). LF energy (p less then 0.01) and HF power (p less then 0.001) were somewhat reduced in recently diagnosed T2DM in comparison to control. Results using this study indicate the presence of autonomic dysfunction in may asymptomatic long-term T2DM patients. Short term HRV, hence, is apparently a great tool to detect sub-clinical diabetic CAN.Pilonidal sinus condition is a common anorectal condition frequently present in younger person patients. Various practices were explained over time and there’s continuous debate concerning the ideal technique. This study was carried out to evaluate the advantages, link between rhomboid excision and Limberg flap reconstruction in the management of sacrococcygeal pilonidal sinus disease. This cross-sectional research ended up being carried out in Surgical treatment Unit-I of division of procedure, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh a tertiary attention centre from July 2016 to November 2017. It offers 19 clients who had been addressed for sacrococcygeal pilonidal sinus condition by Limberg (Rhomboid) flap. All customers that underwent the procedure had great postoperative result with minimal postoperative vexation and had been discharged in 3-4 times. There have been 3 situations with complications. Limberg flap coverage is quite effective for pilonidal infection with low problem rates, paid down hospital stay, low recurrence prices, earlier recovery and smaller time off-work. This system can be simply perfected and utilized as an indispensable device for treating sacrococcygeal pilonidal sinus disease.Diabetes Mellitus (DM) represents one of the biggest difficulties inside our country affecting hundred millions of people globally, both in created nations and in building people. The targets of the research had been to assess the proportion of diagnosed and undiagnosed instances of diabetic issues mellitus among above 40 years old population in a selected rural area in Jamalpur, Bangladesh. A descriptive form of cross sectional study had been conducted from September 2018 to December 2018. The participants for the research were taken purposively. Using semi-structured questionnaire data were based on in person interview. The info had been analyzed using analytical for personal bioreactor cultivation technology bundle (SPSS) 25.0 version for information entry and evaluation. 53.4% associated with respondents were elderly between 40-50 many years and 60.6% were feminine, 98.3% had been Muslim, 57.2% were housewife. The analysis disclosed that nearly 50 % of the participants (44.9%) had no formal knowledge, 27.1% had major, 14.8% had additional, 8.9% had graduate and above and 4.2% had highen of diagnosed diabetic instances ended up being 15.7% plus the proportion of undiagnosed diabetic ended up being 7.2% based on their fasting blood sugar levels.