scholarly journals Frequency of ischemic heart disease within metabolic syndrome

2016 ◽  
Vol 7 (2) ◽  
pp. 108
Author(s):  
Md. Ashfaqul Islam Chowdhury ◽  
Md. Ismail Patwary ◽  
Md. Matiur Rahman ◽  
M. A. Ahbab

<p><strong>Background:</strong> The common clustering of glucose intolerance, abdominal adiposity, high triglyceride level, low high­density lipoprotein cholesterol level and high blood pressure in a single individual is referred to as Metabolic Syndrome (MS) and it is associated with ischaemic heart disease (IHD). <strong>Objectives:</strong> To find out the relationship between MS and lHD. <strong>Design:</strong> Cross sectional observational study. <strong>Materials:</strong> 100 subjects were selected following simple random sampling technique. 50 patients of MS and another 50 non MS were enrolled as case and controlled respectively in the department of medicine and cardiology at Sylhet M.A. G. Osmani medical college hospital. <strong>Results:</strong> Proportion of IHD was found to be high among the MS (40%) compared to non MS (16%) and the difference was statistically significant (p=0.008) indicating there is a relationship between MS and lliD. Among the components of MS proportion of hyperten­sion (39.2%), diabetes mellitus (41.9%), dyslipidernia (42.6%) and family history of cardiovascular disease (47.1 %) had significant higher association with patients with IHD (p&lt;0.05). <strong>Conclusion:</strong> The MS has a significant association with IHD by electrocardiogram criteria.</p>

2015 ◽  
Vol 23 (2) ◽  
pp. 157-160
Author(s):  
Nafisa Sultana ◽  
Md Saifullah Kabir ◽  
Mohammad Zaid Hossain ◽  
Jesmine Chowdhury ◽  
Shahara Begum ◽  
...  

Ischemic heart disease (IHD) is one of the four leading causes of death globally. An important risk factor for IHD is metabolic syndrome. The definition of metabolic syndrome is not universally agreed. The most commonly used definition was proposed by the National Cholesterol Education Program – Adult Treatment panel III ( NCEP—ATP III ), where metabolic syndrome defined as involving three or more of the following criteria: Blood pressure > 130/85 mm of Hg, fasting blood sugar > 100 mg / dl, triglyceride level > 150mg / dl, high density lipoprotein cholesterol ( HDL-C) < 40mg / dl in men and < 50mg/ dl in women, and abdominal circumference > 102 cm in men and > 88 cm in women.I- which is characterized by clustering of central obesity, hypertension, hyperglycemia and dyslipidemia. This cross sectional analytical study was carried out in the Department of Biochemistry, Dhaka Medical college. The samples were collected from the Department of Cardiology of Dhaka Medical College Hospital (DMCH), Bangladesh Institute of Research on Diabetes Endocrine and Metabolic Disorder (BIRDEM), and National Institute of Cardiovascular Diseases (NICVD), Dhaka, during the period from July 2009 to June 2010. Age distribution of study group shows that majority of the IHD patients with or without metabolic syndrome were in 41-60 years of age group. In the present study the prevalence of metabolic syndrome in IHD patients was found to be 30%. Prevalence was higher in less then 50 years of age group. The prevalence was also higher in female than male.J Dhaka Medical College, Vol. 23, No.2, October, 2014, Page 157-160


1970 ◽  
Vol 6 (1) ◽  
pp. 19-23 ◽  
Author(s):  
AM Hossain ◽  
NU Ahmed ◽  
M Rahman ◽  
MR Islam ◽  
G Sadhya ◽  
...  

A hospital based cross sectional study was carried out to analyze prevalence of risk factors for stroke in hospitalized patient in a medical college hospital. 100 patients were chosen using purposive sampling technique. Highest incidence of stroke was between the 6th and 7th decade. Patients came from both urban (54%) and rural (46%) areas and most of them belong to the low-income group (47%). In occupational category; service holder (28%) and retired person (21%) were the highest groups. Most of the study subjects were literate (63%). CT scan study revealed that the incidence of ischaemic stroke was 61% and haemorrhagic stroke 39%. Analysis indicated hypertension as major risk factor for stroke (63%) and major portion of the patients (42.85%) were on irregular or no treatment. Twenty four percent of the patients had heart diseases and out of 24 patients 45.83% were suffering from ischaemic heart disease. The present study detected diabetes in 21% patients. Fifty three percent of the study subjects were smoker, 39% patients had habit of betelnut chewing. Out of 26 female patients, only 23% had history of using oral contraceptives. Majority of the patients were sedentary workers (46%). Thirty seven percent of the stroke patients were obese. Among the stroke patients 9% had previous history of stroke and 3% had TIA respectively. Most of the patients (21%) were awake while they suffered from stroke and the time of occurrence was mostly in the afternoon (46%). This study found that hypertension, cigarette smoking, ischaemic heart disease and diabetes mellitus are the major risk factors prevalent in our community while other risk factors demand further study. Key words: stroke; risk factors; hospitalized patients; Bangladesh. DOI: 10.3329/fmcj.v6i1.7405 Faridpur Med. Coll. J. 2011;6(1): 19-23


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


2017 ◽  
Vol 4 (3) ◽  
pp. 338
Author(s):  
Sudirman Manumpa

Malaria morbidity in Moru health center, with parameter Annual Parasite Incident (API), amounted to 16.9% in 2014. This figure was still high when compared to the target of eliminating malaria in Indonesia about <1% in 2030. Incidence of malaria is more common in children aged 5 months - <12 years. This high rates of malaria leads to poverty, low level of learning achievement of children and in pregnant women causing low birth weight in babies and death. The purpose of this study was to analyze the factors that influence the incidence of tertian and Tropikana malaria or combined Tropikana and tertian (mix) in Moru PHC in sub-district Alor Southwestern, Alor Regency.This study used a cross-sectional design, the population of study were all patients undergoing peripheral blood examination in Moru PHC’s laboratory from June to October 2015. The number of samples in this study was 173 respondents. The sampling technique was Simple Random Sampling. Instruments of data collection were a questionnaire and observation sheet.Results of the study by Chi-Square test showed that the factors influencing the incidence of malaria were socioeconomic status (sig 0,000), education level (sig 0.001). By using multivariate analysis with logistic regression test, results were obtained the age of 5 months - <12 value (sig 0.025) and socioeconomic status (sig 0,000) influencing the incidence of malaria.Variables that affect the incidence of malaria were demographic factors such as age, education level, socioeconomic status. It is advisable to harness swamp thus improving the economic status of society and build permanent house.Keywords: incidence malaria, demographic factors, history of malaria


2020 ◽  
Vol 11 (2) ◽  
pp. 52-57
Author(s):  
Siska Nawang Ayunda Maqfiro ◽  
Irmasanti Fajrin

Premature birth is one of the most important factors in neonatal morbidity and mortality. Based on the survey shows an increase in the incidence of premature birth at dr. H. Chasan Boesoirie hospital in 2015-2017. The purpose of this study was to determine the relationship between the history of maternal complication and the incidence of premature birth at dr. H. Chasan Boesoirie hospital used an analytic correlation research design with a cross-sectional approach. The population is all multiparity and grand multiparity at dr. H. Chasan Boesoirie hospital on January-December 2018, the sampling technique used simple random sampling, with the total sample are 196 respondents. The results show that 66,3% do not have the history of maternal complication and 85,7% do not have an incidence of premature birth. Then, that were analyzed using Spearman-rank. The results show that p-value is 0,001 (p-value<α). The conclusion that there is a relationship between the history of maternal complication and the incidence of premature birth at dr. H. Chasan Boesoirie hospital. So, it is necessary to provide information and education to pregnant women in order to plan their pregnancy well and build a referral system with primary care facilities.


2018 ◽  
Vol 25 (08) ◽  
pp. 1229-1234
Author(s):  
Muhammad Ishtiaq ◽  
Muhammad Imtiaz Afridi ◽  
Imranullah - ◽  
Said Akbar Khan

Prevalence & risk factors of depression among adult population of districtPeshawar. Background: Depression is one of the most common major mental illnesses andaffects 5% to 20% of the adult population and is related to many determinants. Objectives:To estimate the prevalence and risk factors of depression among the adult population. StudyDesign: A cross sectional descriptive study. Setting & Study Duration: The department ofcommunity medicine, Khyber medical college, Peshawar; among the adult population of districtPeshawar; from November 2016 to May 2017. Materials & Methods: A total of 410 adults, bothmale and female, of ages 18 and above years were selected from the District Peshawar; onthe basis of multistage probability sampling technique. A structured questionnaire was usedto collect data regarding the prevalence and risk factors of depression along with importantvariables. Data was analysed by Microsoft Office and SPSS, and results were presented intables. Results: Results showed that the prevalence of depression was 85.85%. Out of thetotal depression, 24.88% had positive medical history; 57.8% had tobacco smoking; 29.02 %had history of abuse or neglect; 60.24% had sleep problems; and 18.29% & 10.49% wereaffected by terrorism and flood respectively. Conclusions: It was concluded that the prevalenceof depression among the adult population of district Peshawar was high and shows strongassociation with predisposing determinants. Moreover, whole population needs to be screento estimate the accurate prevalence and to treat high burden of mental illnesses among thecommunity.


Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Srabani Datta

Background: To plan for effective health measures, knowledge regarding morbidity profile of local area is very important. Preventive health strategies cannot be made without an idea about the disease burden and changing trend of diseases of the locality. Keeping this background in mind the present study was conducted. The objective of the study was to assess the common morbidity pattern of people living in an urban area of Tripura.Methods: A community based cross-sectional study was conducted among people living in the filed practice area of Urban Health Training Centre, Dukli under Department of Community Medicine, Tripura Medical College & DR. BRAM Teaching Hospital, Hapania for a period of one year. Five hundred fourty participants were selected using simple random sampling technique and data was collected using a pre-designed pretested questionnaire and analyzed using SPSS version 20.0 software. Results: Majority (50.93%) of the study participants were females and belonged to 19-59 years age group (32.78%). The commonest type of morbidity was found to be acute respiratory infections (31.10%), followed by musculo-skeletal disorders (17.78%), with non-communicable diseases like diabetes mellitus, hypertension, obesity etc. catering 13.70% of all morbidities. Majority of the participants were having single morbidity (55.74%) than those having comorbidities. Conclusions: There is dual burden of communicable as well a non-communicable diseases in our study population. Future studies for risk factors assessment are required to plan for effective preventive strategies locally. 


Author(s):  
Shahin Rahman ◽  
Mohammad Makhmoor Alam ◽  
Sanjeev Kumar Khichi ◽  
Mohd Haroon Khan

Background: Adolescence is a transitional stage of physical and mental development that occurs between childhood and adulthood. Adolescence is a gateway to health promotion since key behavior patterns that influence health and longevity have their origin in adolescence. The aim and objectives of the study were to study the morbidity and behavioural problems among adolescents.Methods: A community based cross sectional descriptive study was at Hajipur village, a rural field practice area of Department of Community Medicine, Katihar Medical College, Katihar, Bihar. 400 adolescents (213 boys and 187 girls) were included in the study. Systematic random sampling technique was used.Results: Among 400 adolescents, 25% of the adolescents having some health problem during the survey; predominant problems were psychological and behavioral in nature. 6.25% of adolescents were addicted (tobacco chewing), 1.5% abused drugs, 9.75% were depressed and 7.5% had anxiety disorder. Higher number of adolescents (29%) had history of worm infestation. 9.75% adolescents were suffering from upper respiratory tract infection and also had ear, nose, throat, eye, skin, and or dental problems.Conclusions: The adolescents had higher rate of morbidity and behaviour problems.


Author(s):  
Ruma Dutta ◽  
Dinesh Raja ◽  
Anuradha R. ◽  
Lawrence Dcruze ◽  
Timsi Jain ◽  
...  

Background: Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. Self-medication involves the use of medicinal products by the individuals to treat self-recognized disorders or symptoms, or the intermittent or continuous use of a medication prescribed by a physician for chronic or recurring diseases or symptoms. The objectives of the study were to find out the prevalence of self-medication practices in the community; to describe the common conditions where self-medication is practiced.Methods: A community based cross sectional study was conducted in a rural population at Kuthambakkam village, Tamil Nadu from February 2015 to July 2015. This village falls under the rural field practice area of Department of Community Medicine, Saveetha Medical College and hospital, Thandalam. There were 1175 households in this village of which 165 households were identified for the study purpose using simple random sampling technique. Statistical analysis: Data entry and analysis was done using SPSS version 16 software. Descriptive statistics were calculated for background variables, attitude and practices of self-medication. Results: The study was conducted in 165 households in Kuthambakkam village, the rural field practice area of Department of Community Medicine, Saveetha Medical College. The median age of the study participants was 38 years. The minimum age was 17 and maximum was 77 years. 73 (44.2%) of study subjects reported having health problems currently. Of them, 76.7% replied they consulted a doctor for their problem, 17.8% resorted to self-medication and rest 5.5% took native treatment at home. Conclusions: It is imperative to address the practice of self-medication among the people in the age of growing drug resistance being reported. Periodic studies on the knowledge, attitude and practice of self-medication may give an insight into the pattern of drug use among the people. 


2015 ◽  
Vol 23 (1) ◽  
pp. 109-113
Author(s):  
Jahanara Rahman ◽  
Nasreen Sultana ◽  
Khadiza Nazneen ◽  
Farhana Wahab ◽  
Feroza Wazed ◽  
...  

Background: Contraceptives not only prevent unplanned pregnancy but also enhance the quality of life. Choice of contraceptive varies from person to person. Objectives: To observe the type of contraceptive chosen by women, to determine the sociodemographic status of women sought contraceptive and to detect the pattern of contraceptive selection by women of different age. Methods: It was a cross sectional, observational, descriptive type of study performed at Family Planning Unit of Dhaka National Medical College Hospital, Dhaka, between May 2005 and April 2006. No sampling technique was applied in the study. All clients sought contraceptive methods were recruited for the study purposively. A total 3392 respondents was included in the study. The socio-demographic status and obstetrical history and choice of contraceptives of the clients were recorded and data were analysed. Results: Age of the clients ranges between 16 to 49 years. Among the respondents 95.43% were parous. The educational status showed 44.30% were illiterate and 48.23%, 5.02% 2.41% has got primary, secondary, higher secondary and above education respectively. Among the available methods of contraceptives of this Family Planning Unit, Injectable Depot Medroxy Progesterone Acetate (DMPA) and Combined Oral Contraceptive (COC) pill were chosen by 50.65% (n= 1718) and 40.60% (n=1379) of respondents respectively. Intrauterine contraceptive Device (IUCD) and barrier method was chosen by 4.75% (n=160) and 3.98% (n=135) respondents respectively. It was observed that highest number of the clients was between the age 25 and 34 years. They were found at the top of using each type of contraceptive. The study reveals that a few older women (n=21) sought contraceptives and their choice of contraceptives were confined to COC and Barrier method only. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22704 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 109-113


Sign in / Sign up

Export Citation Format

Share Document