scholarly journals Anaesthesia and anaesthesiologist speciality's knowledge assessment of paramedics in armed forces hospital: a questionnaire study

2021 ◽  
Author(s):  
Amit Kumar Kamewad ◽  
Shambhu Prasad Sharma ◽  
Sunny Eapen ◽  
Tarun Gupta
Keyword(s):  
Wide Spectrum ◽  
Armed Forces ◽  
Pain Clinic ◽  
Military Hospital ◽  
Current Investigation ◽  
Cross Sectional ◽  
Related Services ◽  
Paramedical Staff ◽  
Study Participants

Background: Science of anaesthesia has revolutionized from traditional only application of relieving patient from pain induced during surgery to wide spectrum approaches like palliative care, critical care, perioperative care along with pain management. Despite of such critical roles in health care sector there is still a lack of awareness about anaesthesiology and anaesthesiologists. Current investigation was aimed towards assessing the awareness of paramedical staff regarding the role of anesthesiology.Methods: Current investigation was a prospective cross-sectional questionnaire-based study conducted on 100 paramedical staff posted in different departments of military hospital Jaipur.  All the study participants were interviewed face to face orally by an investigator using the set of questions listed in the questionnaire. Participants responses were documented and statistically represented as percentage.Results: Current study findings reveal that even though majority of the study participants (91) had experience more than 5 years in the hospital and most of them (˃90%) of participants were having educational level of higher secondary or graduation still the role of anaesthesiologist outside operation theatre was poorly known to paramedical staff. It was also observed in current investigation that role of anesthetist in pain clinic was poorly known to most of the participating paramedical staff.Conclusions: Providing knowledge about expertise of anesthesiologist among paramedical staffs by incorporating anaesthesia in the curriculum, in house training programs, use of pamphlets, internet and other easily assessable techniques is highly desirable for spreading awareness of anaesthesia and anesthetist among paramedical staff, so that patient can avail anaesthesia related services effectively.

scholarly journals Health Problems of Elderly Patients attending Combined Military Hospital, Dhaka

2017 ◽  
Vol 13 (1) ◽  
pp. 8-12
Author(s):  
SM Humayun Kabir ◽  
Md Ziaul Islam ◽  
Masuda Begum ◽  
Masud Ahmed ◽  
Mohammad Mohsin ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Health Care Providers ◽  
Family Income ◽  
Sampling Technique ◽  
Armed Forces ◽  
The Elderly ◽  
Health Problems ◽  
Military Hospital ◽  
Care Providers ◽  
Cross Sectional

Introduction: Health problems of elderly are an emerging health burden throughout the world. Bangladesh is currently undergoing a demographic transition and the proportion of the population of 60 years and older is increasing rapidly. Health care providers and policymakers are highly concerned with this burning issue. Objective: To know the disease pattern among the elderly patients in Combined Military Hospital, Dhaka. Materials and Methods: This cross-sectional study was carried out from July 2015 to June 2016 among 152 elderly patients above 60 years of age admitted in Combined Military Hospital (CMH), Dhaka Cantonment. Data were collected by face-to-face interview with semi-structured questionnaire and checklist following purposive sampling technique. Analysis of data was done by Statistical Package for Social Science (SPSS, version 20.0). Results: Mean age of the elderly was 72.06±4.56 years with the range of 60-80 years and majority (90.8%) of the elderly was male. Out of total 152 elderly patients, by occupation majority (31.6%) were in the business group followed by 30.3% in the retired group and 9.2 % in the housewife group. Average monthly family income was BDT 17927.63±7360.75 with the range of BDT 6000-35000. With initial complaints elderly patients reported to doctors in private chamber (38.2%), private hospital (25.6%) and Govt hospital (5.9%). Among all of the elderly patients, majority (21.1%) had Diabetes Mellitus followed by Rheumatoid Arthritis (17.6%), Asthma (12.5%), Cataract (11.2%), ENT problem (6.6%), Malignancy (5.9%) and Benign Enlargement of Prostate 8(5.3%). Conclusion: The number of elderly people is expanding rapidly; it also presents multifaceted health problems and thus creates unique challenges for the national healthcareservices. Early identification of problem and ensuring the availability of health with economic and social support can have a control over the elderly health problems. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 8-12

Gender-dependent difference in the relationship between pain aspects and pain catastrophizing

2019 ◽  
Vol 47 (2) ◽  
pp. 1-11 ◽  
Author(s):  
ChongNak Son ◽  
Daegu Son ◽  
Jeongwi An ◽  
Sungkun Cho
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Republic Of Korea ◽  
Pain Clinic ◽  
Affective Pain ◽  
High Level ◽  
Gender Dependence ◽  
Study Participants ◽  
The Relationship

We examined the gender dependence of the relationships between sensory and affective pain and pain catastrophizing. Study participants were 170 people who were receiving treatment for chronic pain at a university pain clinic in Daegu, Republic of Korea. For men, higher levels of sensory pain were associated with greater pain catastrophizing at low and average levels of affective pain, but not at a high level of affective pain. For women, higher levels of affective pain were associated with greater pain catastrophizing, regardless of the degree of sensory pain. These results suggest that sensory pain, affective pain, and their combination may have gender-dependent effects on pain catastrophizing in people who are experiencing chronic pain. Most importantly, affective pain appears to play a major role in pain catastrophizing, regardless of gender and, for men, the role of sensory pain in pain catastrophizing requires consideration.

Pattern of Injuries and Treatment Given to Victims of Rana Plaza Tragedy in a Level II Armed Forces Medical Facility in Bangladesh

2016 ◽  
Vol 11 (1) ◽  
pp. 21-24
Author(s):  
Shafiul Alam ◽  
Rabiul Alam ◽  
Manirul Islam ◽  
Amin Salek
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Armed Forces ◽  
Military Hospital ◽  
Surgical Approaches ◽  
Rescue Operation ◽  
Cross Sectional ◽  
Building Collapse ◽  
Industrial Disaster

AbstractBackgroundRana Plaza building collapse is the worst industrial disaster of Bangladesh so far. The 9-storied structure collapsed suddenly on April 24, 2013, with more than 4000 people inside. Bangladesh Armed Forces played a key role in the massive rescue operations.MethodsWe conducted a cross-sectional study with 423 victims who were treated at a Combined Military Hospital to review the pattern of injuries and management provided.ResultsMiddle-aged (35±12.75 years) females (68.32%) were the majority of the victims. Among the injured, 42.35% had soft tissue injury, 22.55% had abrasions, 18.79% had fractures, 3.75% had facial injuries, and 2.5% each had head and abdominal injuries. We treated the injured with various surgical approaches, such as soft tissue debridement (38.84%), fasciotomy (18.79%), amputation (3.75%), and other procedures. We had to refer 8.27% of the patients to different advanced centers. The mortality rate was 5.91%, including 1 volunteer rescuer.ConclusionPattern of injuries and modalities of management needed in an industrial disaster is a valuable experience which can be utilized in preparing to face disasters in the future and beyond. Death of a voluntary rescuer once again warrants the necessity of using a helmet and safety gear during any rescue operation. (Disaster Med Public Health Preparedness. 2017;11:21–24)

scholarly journals Complement Synthesis in the Diseased Kidney and its Role in Renal Damage

1970 ◽  
Vol 20 (1) ◽  
pp. 15-19
Author(s):  
M Khatun ◽  
ASM Nurunnabi ◽  
S Ara ◽  
M Rahman
Keyword(s):  
Renal Biopsy ◽  
Immune Complex ◽  
Mesangial Cells ◽  
Tissue Injury ◽  
Armed Forces ◽  
Military Hospital ◽  
Direct Immunofluorescence ◽  
Complement Components ◽  
Medical University

Renal biopsy tissues were taken from 142 suspected glomerulonephritic patients who were admitted into the Department of Nephrology of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka and Combined Military Hospital (CMH), Dhaka Cantonment, Dhaka. The tissues were processed for both Light Microscopy (LM) and Direct Immunofluorescence (DIF) studies. The study was done in the Department of Anatomy, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka and Armed Forces Institute of Pathology (AFIP), Dhaka Cantonment, Dhaka, from March to December 1999. Seven histopathological types of glomerulonephritis were identified with LM and another one type i.e. IgA Nephropathy was identified exclusively by using DIF. Diffuse immunofluorescence positivity was found in 44.36% cases. C3 components were found in all cases irrespective of the histopathological type of glomerulonephritis. Immune complex deposits were observed in immunofluorescence both in the mesangium and the glomerular basement membrane (GBM) with more generalized and less scattered distributions. Immunoglobulins (Ig) were tested for IgG, IgA and IgM. IgG was found the most common (74.60%) among immune complex deposits. Notable LM features include proliferation of mesangial cells, expansion of mesangial matrix, thickening of GBM, infiltration of glomerular macrophages, platelets and neutrophil and crescent formation. The presence of IgG in the mesangium of the kidney of the glomerulonephritic patient suggests a role of IgG in the inflammatory process. There is also evidence that C3 is synthesized within the glomeruli of the patients with glomerulonephritis. Finding the role of the complement components in pathogenesis of glomerulonephritis, a keen observation is needed to determine the extent of local complement synthesis and their involvement in tissue injury process. Key words: Complement synthesis; immune complex; glomerulonephritis; renal biopsy. DOI: http://dx.doi.org/10.3329/jdmc.v20i1.8566 J Dhaka Med Coll. 2011; 20(1) : 15-19

scholarly journals Psychological State of Selected Infertile Couples of Bangladesh

2019 ◽  
Vol 14 (1) ◽  
pp. 41-45
Author(s):  
SM Nurul Irfan ◽  
Md Mahbubur Rahman ◽  
Sangita Mithun ◽  
SM Yasir Arafat ◽  
Farzana Zafreen
Keyword(s):  
Computer Software ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Psychological State ◽  
Military Hospital ◽  
Infertile Couple ◽  
Depression Anxiety Stress Scale ◽  
Cross Sectional ◽  
Medical College ◽  
Infertile Couples

Introduction: Infertility is an increasingly prevalent condition which causes considerable psychological problems among infertile couples. Objective: To assess the psychological state of infertility in terms of depression, anxiety and stress among the infertile couples of Bangladesh. Materials and Methods: This cross-sectional study was conducted in the fertility centre of Combined Military Hospital, Dhaka from January to July 2018 among purposively selected 112 infertile couple. Data were collected by face to face interview through a pretested semi-structured Bangla questionnaire of Depression-Anxiety-Stress Scale and analyzed by computer software SPSS 19.0. Results: Among the 112 infertile couples, depression was found among 54.5%, anxiety among 53.6% and stress in 30.4% of females. Whereas among males depression was found in 38.4%, anxiety 26.8% and stress 21.4%. This study also revealed that couples with primary infertility had more depression, anxiety and stress than others. Conclusion: Females have been psychologically more affected than their husbands due to infertility. More than half of the females had depression and anxiety and about one third was affected by stress which was higher than their husbands. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 41-45

scholarly journals Surgical Outcomes of the Endoscopic Endonasal Transsphenoidal Approach for Anterior Skull Base Lesions: Experience in Combined Military Hospital, Dhaka

2019 ◽  
Vol 14 (1) ◽  
pp. 66-68
Author(s):  
Md Al Amin Salek ◽  
Md Hasnayen Faisal ◽  
Md Abdul Hye Manik ◽  
Ahmed Ul Mursalin Choudhury ◽  
Rukun Uddin Chowdhury ◽  
...  
Keyword(s):  
Skull Base ◽  
Surgical Outcomes ◽  
Cerebrospinal Fluid Leak ◽  
Armed Forces ◽  
Anterior Skull Base ◽  
Military Hospital ◽  
Cushing Disease ◽  
Endoscopic Endonasal ◽  
Cross Sectional ◽  
Skull Base Lesions

Introduction:The endoscopic endonasal approach is a minimally invasive surgical technique for removal of skull base lesions by using nose and sinuses as natural corridors. This study represents our institutional experience with endoscopic endonasal trans-sphenoidal approach for anterior skull base lesions. Objective: To find out surgical outcomes of endoscopic endonasal trans-sphenoidal approach for treatment of anterior skull base lesions. Materials and Methods: Cross-sectional observational study of 38 consecutive patients who underwent endoscopic endonasal trans-sphenoidal surgery for anterior skull base lesions in Combined Military Hospital, Dhaka from July 2013 to June 2017. Results:This study included 16 men and 22 women, ranging from 24 to 68 years of age where median was 38 years. Common presentations were visual disorder (60%), headache (30%), features of pituitary apoplexy (5%), Cushing disease (0.35%), acromegaly (0.7 %), galactorrhoea (0.35%). Radiological evaluation revealed intrasellar (12), sellar and suprasellar (22), sellar and parasellar (1), tuberculum sella and planum sphenoidale (3), clival (1) lesions. Recurrent cases (3/38) were nonfunctioning pituitary macroadenoma, prolactinoma, and growth hormone secreting macroadenoma. The surgical resection in relation to post op imaging were 45% as gross total resection, near-total in 35%, subtotal in 15%, and partial in 5%. We found fifteen patients experienced improvement in visual acuity, while one patient worsened. Common complications were transient diabetes insipidus (53%), new pituitary deficit (35%), endonasal adhesions (20%), and cerebrospinal fluid leak (5%). Surgical mortality was (0.35%). The histological diagnoses included twenty-eight pituitary adenomas, five craniopharyngioma, three meningioma, one Rathke’s cleft cyst and one clival chordoma. Conclusion: Endoscopic endonasal transsphenoidal surgery is a valuable treatment option for an anterior skull base lesion. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 66-68

scholarly journals Clinicopathological Evaluation of Seronegative Arthritis in a Tertiary Care Hospital of Bangladesh

2016 ◽  
Vol 12 (2) ◽  
pp. 66-70
Author(s):  
Md Shameem Haidar ◽  
Md Abdur Razzak
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Armed Forces ◽  
Military Hospital ◽  
Inflammatory Rheumatic Diseases ◽  
Case Report Form ◽  
Care Hospital ◽  
Seronegative Arthritis ◽  
Cross Sectional ◽  
Number Of Patients

Introduction: The seronegative arthritis is a heterogeneous group of inflammatory rheumatic diseases with predominant involvement of axial, peripheral joints and enthesitis. All of these have some distinct as well as some overlapping features, characteristic peripheral asymmetrical lower limb involvement and a negative rheumatoid factor. Involvement of joints is usually oligoarticular but rarely polyarthritis may be present. Diagnosis is usually made from clinical features rather than investigations. Objective: To evaluate the seronegative arthritis clinicopathologically by collecting and analyzing the relevant informations. Materials and Methods: A descriptive cross-sectional prospective study was conducted at Combined Military Hospital, Chittagong from November 2015 to October 2016. A total 74 patients of suspected seronegative arthritis were included. Detail socio-demographic data were collected from the informant and recorded in structured case report form. Clinical examination and relevant investigations were done meticulously to confirm the aetiology of seronegative arthritis. Results: Maximum number of patients was in the 3rd to 4th decade (62.1%), mean age of the patient was 37.4±8.7 and 38.7±8.1 years in male and female respectively. Malefemale ratio was 2.65:1. Symmetrical sacroiliitis was found in 15(20.2%) patients, asymmetrical sacroiliitis in 36(48.6%) and in 23(31.2%) cases sacroiliac joint was not involved. Common aetiology for seronegative arthritis showed that, reactive arthritis recognized in majority of patients 29 (39.1%) and second most common cause was seronegative rheumatoid arthritis in 23(31%) patients. Conclusion: The Seronegative arthritis is a social, economical and health-care burden. Patients who develop 66 JAFMC Bangladesh. Vol 12, No 2 (December) 2016 arthritis have high disability, discomfort and loss of quality of life. Seronegative arthritis is an interesting group of related conditions with overlapping features and genetic and familial association. That may alert the primary care physician to attain possible diagnosis of spondyloarthritis and to consider a rheumatological opinion. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 66-70

scholarly journals PATIENTS SATISFACTION ABOUT HEALTH CARE DELIVERY IN OUT-PATIENTS DEPARTMENT OF COMBINED MILITARY HOSPITAL RAWALPINDI

2020 ◽  
Vol 70 (6) ◽  
pp. 1929-34
Author(s):  
Tahir Sardar ◽  
Iqbal Ahmad Khan ◽  
Muhammed Alamgir Khan
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Cost Effective ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Nursing Assistant ◽  
Cross Sectional ◽  
Level Of Satisfaction

Objective: To determine patient’s level of satisfaction and factors leading to dissatisfaction in selected patientsgroup with health care delivery in outpatients department of CMH Rawalpindi. Study Design: Cross sectional study. Place and Duration of Study: Out Patients Department of Combined Military Hospital Rawalpindi, from Sep2013 to Aug 2015. Methodology: Before data collection, written informed consent was taken from all the participants. The studypopulation comprised of armed forces personnel and their families. Patients, including both, males and females, coming to the outpatient department of Combined Military Hospital Rawalpindi were included in the study through consecutive sampling. Results: Results revealed that only 30% were satisfied. 67% patients were satisfied with the facilities in reception and 70% were satisfied with cleanliness in waiting area. A relatively low level of satisfaction with dealing of nursing assistant was recorded while very high percentage of satisfaction with performance of doctor i.e. 91%, examination done by doctor 91% and information provided by doctor 93% was recorded.90% patients reported high level of satisfaction with medicines provided.95.33% patients were satisfied with lab tests being done in hospital. Conclusion: Assessing satisfaction of patients is a simple and cost effective way for assessment of hospitalservices. Most of the patients were contented with services delivered in OPD and showed their trust in doctors,medicines provided and lab facilities offered. Majority were willing to revisit the hospital if required.

scholarly journals Socio-demographic Characteristics of Women having Vaginal Discharge Attending a Military Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 183-185
Author(s):  
Shamima Yasmin ◽  
Nasrin Ara Zaman ◽  
Farzana Zafreen
Keyword(s):  
Vaginal Discharge ◽  
Reproductive Tract ◽  
Health Knowledge ◽  
Lower Abdominal Pain ◽  
Armed Forces ◽  
Medical Intervention ◽  
Personal Hygiene ◽  
Military Hospital ◽  
Cultural Perspective ◽  
Cross Sectional

Introduction: Vaginal discharge is the commonest concern among women and leads many women to visit Gynaecology OPD. It is a normal part of women reproductive cycle, unless it causes itching, burning or other bothersome symptoms. Association between vaginal discharge and reproductive tract is weak. Psychological factors also contribute in vaginal discharge. So the problem of vaginal discharge can be best understood not only in bio-medical perspective but also in socio-cultural perspective. Proper understanding of the subject is required for appropriate medical intervention and bringing awareness among women. Objectives: To determine prevalence of vaginal discharge, the socio-demographic factors associated with it, women’s perceptions of vaginal discharge and their treatment seeking behaviour. Materials and Methods: This cross sectional study was performed at outpatients’ Department of Obstetrics and Gynecology, Combined Military Hospital, Chattogram from January 2016 to January 2017. Total 150 women with complains of vaginal discharge were interviewed with questionnaire. Results: Most of the patients63(42%) belong to 25-34 age group, 86(57.3%) had poor sanitation facilities and 126(84%) used cloth pads during menstrual period. Many of them had backache 64(42.6%) followed by itching, bad smell 48(32%) and lower abdominal pain 15(10%). Most of the cases 98(65.3%) were multiparous. Conclusion: To diminish the problem of vaginal discharge women should improve their health knowledge, empower economic status, maintain personal hygiene. Further study is needed for better outcome. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 183-185

scholarly journals Echocardiographic evaluation of diastolic dysfunction in diabetes mellitus without covert cardiac involvement

2018 ◽  
Vol 5 (2) ◽  
pp. 289
Author(s):  
Nalin Kumar Mahesh ◽  
Anil Kumar ◽  
Niket Verma ◽  
Keshavamurthy Ganapathy Bhat ◽  
Dharmender Kumar
Keyword(s):  
Diabetes Mellitus ◽  
Diastolic Dysfunction ◽  
Systolic Dysfunction ◽  
Tertiary Care ◽  
Armed Forces ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Army Personnel ◽  
Study Participants

Background: Diabetic patients develop systolic and diastolic dysfunction without even associated coronary artery disease. But diastolic dysfunction is more prevalent in diabetic patients than systolic dysfunction and usually occurs before onset of symptoms. Recognition of early diastolic dysfunction is likely to make management better and avoids progression of cardiac dysfunction. This study was conducted in patients of Diabetes mellitus without other comorbidities.Methods: The present study which is cross sectional and was carried out among outpatients and inpatients of tertiary care hospital of Armed forces and involved army personnel and their dependents and sample size was 100 patients.Results: The prevalence of diastolic dysfunction among our study participants was found to be 36%. Diastolic dysfunction was found to be significantly higher among elderly individuals (60%) when compared to young study participants. (p<0.0001). Prevalence of diastolic dysfunction was found to be non-significantly higher among males and with longer duration of diabetes as compared to lesser duration and female gender.Conclusions: Diastolic dysfunction, evaluated by echocardiography, was found to be fairly prevalent (36%; 95% CI = 27-45%) among individuals with type 2 diabetes mellitus. Poor Glycaemic control and increasing age were found to be significantly associated with presence of diastolic dysfunction among individuals with diabetes mellitus. 

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