scholarly journals Medico-legal Issues and Socio-demographic Profile of Suicidal Deaths in People of Dhaka City-A Study of 827 Cases

2017 ◽  
Vol 13 (1) ◽  
pp. 33-36
Author(s):  
Md Abdus Samad Al Azad ◽  
Md Saidur Rahman ◽  
Mushtaq Ahmad ◽  
Taniza Tabassum ◽  
Zubaidur Rahman
Keyword(s):  
Forensic Medicine ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Legal Issues ◽  
Dhaka City ◽  
Cross Sectional ◽  
Medicine Department ◽  
Government Organizations ◽  
Medical College ◽  
Suicidal Death

Introduction: There are two manners of death: Naturalwhere death is entirely caused by disease or ageing process, where poison or trauma does not take part to cause it and Unnatural- where death is sudden, suspicious, unexpected, litigious, unexplained and unattended either due to poison or trauma. Accident, homicide and suicide are the three unnatural manners of death. Death due to intentional injuries such as homicide or suicide and unintentional injuries of accidental manner, such as in transportation injury or industrial or machinery mishaps constitute unnatural deaths. Suicidal deaths are the acts or an instance of taking one’s own life voluntarily and intentionally especially by a person of years of discretion and of sound mind. Objective: To ascertain the medico-legal issues and sociodemographic profile of suicidal death cases occuerd in Dhaka City. Materials and Methods: A record based cross sectional study of postmortems was performed at the mortuary of the Forensic Medicine Department of Dhaka Medical College (DMC) from August 2009 to July 2010. A total of 3,337 cases brought to DMC mortuary from the south-eastern part of Dhaka district during this period were included in this study and thereafter 827 suicidal deaths were considered for this study. Results: A total of 3,337 unnatural deaths (accidents, suicide and homicide) were reported at the mortuary of the Forensic Medicine Department of Dhaka Medical College (DMC) during the period of August 2009 to July 2010. This study revealed that 827(24.78%) individual committed suicide out of 3337 cases. There was a predominance of Muslims 779(94.19%), males 481(58.16%) over females 346(41.84%) in committing suicide. Majority of the victims belonged to the age group of 21-30 years in both sexes. Out of these suicidal cases, 318(38.45%) victims committed suicide by hanging. The other methods used for suicide were Organophosphorus compound poisoning (OPC) by 238(28.79%) victims, poisoning from other substances like Opiates, Ethanol, Methanol, Rodenticide, Barbiturate etc by 267 (32.28%); 3(0.36%) cases were identified as burn and 1 (0.12%) by firearm. Conclusion: Suicide is the second most common manner of unnatural death flanked by accident and homicide. Suicide is one of the most multifaceted and media-sensitive phenomena. Suicide by hanging is an increasingly common method. All stakeholders such as government along with private agencies, non-government organizations, public health departments, social workers, community, religious leaders and media can take a leading step to prevent suicide Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 33-36

Suicidal Death Autopsy Analysis at Dhaka Medical College

1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter
Keyword(s):  
Forensic Medicine ◽  
Causes Of Death ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Autopsy Report ◽  
Common Causes ◽  
Suicidal Death

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21

scholarly journals Prevalence of Metabolic Syndrome among Border Guard Bangladesh Personnel

2020 ◽  
Vol 14 (2) ◽  
pp. 97-100
Author(s):  
Md Abdul Wahab ◽  
Md Mustafizur Rahman ◽  
Md Abdur Razzak ◽  
Md Habibur Rahman ◽  
Mimi Parvin ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
International Diabetes Federation ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Age Group ◽  
Metabolic Abnormalities ◽  
Sectional Study ◽  
Ethnic Population ◽  
Cross Sectional ◽  
Medical College

Introduction: Metabolic syndrome (MetS) is a multifaceted syndrome comprises a cluster of metabolic abnormalities including hypertension, central obesity, insulin resistance, dyslipidemia, and is strongly associated with developing diabetes mellitus and cardiovascular diseases. Prevalence of MetS differs in different ethnic population by using different definition. Objectives: To determine the prevalence of the MetS and its component risk factors among Border Guard Bangladesh (BGB) personnel working in Chattagram Hill Tract (CHT). Materials & Methods: This descriptive cross-sectional study was conducted from October 2016 to February 2018 among 1455 male BGB personnel aged between 40 to 59 years and working in CHT of Bangladesh. Study subjects were selected at BGB hospital, Guimara, Khagrachari. The new International Diabetes Federation (IDF) guidelines were used to identify MetS. Detail history, clinical examination, anthropometry and blood pressure (BP) were measured and fasting plasma glucose (FPG) and lipid profile were assessed. Results: Among the 1455 respondents’ BMI, waist circumference, systolic and diastolic BP were found more than normal in 34.1, 37.7, 16.4% and 12.3% respectively. Biochemical parameters including FPG, TC, TG, and LDL-C was raised in 28.7%, 49.8%, 52.2% and 37.7% of respondents respectively. HDL-C was found decreased in 26.9% respondents. Age wise prevalence of MetS for age group 40-44, 45-49, 50-54 and 55- 59 years were found 21.3%, 21.7%, 24.1% and 26.1% of the respondents respectively. The overall prevalence of MetS was found 22.4%. Conclusion: The prevalence of the MetS in BGB personnel was found 22.4%. Appropriate measure should be taken to lower the MetS cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 97-100

scholarly journals Patients’ Satisfaction on Services of Border Guard Hospital, Guimara, Bangladesh

2020 ◽  
Vol 15 (1) ◽  
pp. 13-15
Author(s):  
Md Abdul Wahab ◽  
Farzana Zafreen ◽  
Mohsen Uddin Ahmed ◽  
Md Habibur Rahman ◽  
Md Abdur Razzak
Keyword(s):  
Service Providers ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Professional Services ◽  
Waiting Room ◽  
Cross Sectional ◽  
Medical College ◽  
Patients Satisfaction ◽  
Attitude Behavior

Introduction: Patients’ satisfaction is one of the established yard sticks to measure success of the hospitals. To improve the quality of services, health organizations use patient satisfaction survey to evaluate their processes delivered. A satisfied patient is more likely to develop a deeper and longer lasting relationship with their medical service providers, leading to improved compliance, continuity of care, and ultimately better outcomes. Objectives: To assess the patients satisfaction with services provided and the infrastructure facilities of Border Guard Hospital, Guimara (BGHG), of Khagrachari district Bangladesh. Materials and Methods: This descriptive cross sectional study was conducted among the patients who attended the outpatient department of BGHG from January to December 2017. Total 1340 patients aged more than 18 years, irrespective of sex, having no serious complications and willing to participate were selected by convenient sampling. Data were collected by semi-structured questionnaire by face to face interview and analyzed by SPSS 21.0. Results: Out of 1340 respondents 53.7% were serving BGB members, 18.3% were BGB families and 28.0% respondents were local residents. Majority of the patients stated that the general basic facilities at the hospital were adequate. Regarding cleanliness 94.7%, waiting room sitting facilities 91.9%, drinking water availability 88.4%, lighting arrangement 96.7%, ventilation arrangement 88.1% and toilet facilities 91.1% respondents reported that the hospital facilities were adequate. Most of the respondents were satisfied with the quality of professional services by all type of staffs of the hospital. Highest 84.9% of the respondents were satisfied with doctors’ attitude, behavior and cooperation. About other staffs; 72.9% respondents were satisfied with attitude, behavior and cooperation of nurses, 71.9% with pharmacists, 71.1% with registration clerk, 75.3%, with information desk, 70.2% with guards and 73.8% with supporting staffs. Conclusion: Patients attended at BGHG was highly satisfied about the infrastructure and the services provided the hospital. But few percentages of patients expressed their dissatisfaction. BGHG authority should keep it up and try to improve further. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 13-15

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 Prevalence of Anti-Red Cell Antibodies in Repeatedly Transfused Patients

2019 ◽  
Vol 14 (1) ◽  
pp. 73-77
Author(s):  
Masuma Ahmed Salsabil ◽  
Ashesh Kumar Chowdhury ◽  
Debashish Saha ◽  
Arif Ahmed Khan ◽  
Sazia Sultana
Keyword(s):  
Haemolytic Anaemia ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Red Cell ◽  
Cross Sectional ◽  
Transfusion Therapy ◽  
Female Ratio ◽  
Medical College ◽  
Male Female Ratio ◽  
Immune Haemolytic Anaemia

Introduction: The development of anti-RBC antibodies (alloantibodies and/or autoantibodies) can significantly complicate transfusion therapy, particularly in patients needed repeated transfusion. Objectives: To find out the prevalence of alloantibodies and autoantibodies in repeatedly transfused patients so that serious hazards due to immune reaction may be avoided. Materials and Methods: This descriptive cross-sectional study was carried out in Department of Immunology, BIRDEM and Armed Forces Institute of Pathology (AFIP) during the period of July 2015 to June 2016. Total 370 patients who had received at least five units of transfusions were enrolled in this study but known patients of auto immune haemolytic anaemia, patients in whom antibody was previously detected and pregnant women were excluded from the study. Blood grouping and Direct Anti-globulin Test (DAT) were performed with cell suspension using a poly-specific Coombs reagent. In cases of a positive DAT, further investigation using specific monoclonal reagents to detect IgG or a complement (C3d) was carried out. Serum was used to detect red cell alloantibodies using standard blood bank methods. Antibody identification was performed in antibody screening positive samples using red cell Identicells. Results: Maximum 132 (35.7%) patients were in the age group 1-10 years. The male-female ratio was 1.2:1. Among 370 total patients 290 were HHA and 80 were non-HHA. Antibody was detected in only 17(4.59%) patients. Among the Hereditary Haemolytic Anaemia (HHA) patients it was 11 (3.79%) but among the non-HHA patients it was 6(7.5%). Out of 8 auto-antibodies, 5 were anti IgG followed by 3 were anti C3d. Out of 14 alloantibodies, 4(28.6%) were anti E, 3(21.4%) were anti K and in 3(21.4%) cases specificity of alloantibody was not detected. Conclusion: Prevalence of anti-RBC antibodies was not so uncommon in multiple transfused patients. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 73-77

scholarly journals An assessment of mental health status of physicians working in medical college hospitals of Dhaka city

2020 ◽  
Vol 32 (2) ◽  
pp. 37-39
Author(s):  
Kazi Mahbubul Haque ◽  
Md Shafiqul Islam ◽  
Saida Sharmin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Status ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Dhaka City ◽  
Cross Sectional ◽  
Medical College ◽  
The Impact

Mental health status is often ignored in our country. Even many health care professionals commonly ignore the impact of mental illness on both daily and professional lives, which may lead to dire consequences. The purpose of this study was to find the mental health status of physicians working in medical college hospitals of Dhaka city. A cross sectional study was conducted from January to December 2015 for this purpose among 215 number of respondents selected conveniently. Data were collected from 210 physicians by face-to face interview using a semi structured questionnaire containing 4DSQ (Four-Dimensional Symptom Questionnaire), socio economic and other variables. The prevalence of mental illness was calculated according to the scoring system of the scale. Mental illness prevalence was as follows: distress 20%, Anxiety 15.7%, Depression 15.2% and Somatization 8.6%. Majority of the respondents were interns and below 30 years of age. However, in light of current pandemic situation, regular assessment of health personnel’s mental health is needed more than ever. Bang J Psychiatry 2018;32(2): 37-39

scholarly journals Epidemiological study of animal bite victims and admission in general surgery department, in Southern Odisha: a cross sectional institutional study

2017 ◽  
Vol 4 (10) ◽  
pp. 3470 ◽  
Author(s):  
Sibaprashad Pattanayak ◽  
Tapan Kumar Malla ◽  
Bipin Kishore Bara ◽  
Manoj Kumar Behera
Keyword(s):  
General Surgery ◽  
Cross Sectional Study ◽  
Human Rabies ◽  
Cross Sectional ◽  
Medicine Department ◽  
Medical College ◽  
Recent Estimate ◽  
Animal Bites ◽  
One Year ◽  
Surgery Department

Background: Human rabies continues to be endemic in India and according to recent estimate 20,000 persons die of this disease every year. Hence this study was conducted to know the prevalence and pattern of animal bites during last one year and to determine the rate of admission in Department of Surgery.Methods: This study was conducted in the casualty, Department of Community Medicine, Department of Surgery at M. K. C. G. Medical College, Odisha, India between 1st April 2016 - March 31st, 2017. It was a cross sectional study, where convenient sampling method was used. The sample size was 6242 subjects, above 1year age group selected randomly within last 1 year. The socio demographic characteristics, epidemiological and rate of admission in surgery department were studied.Results: It was found that during last one year, out of 6242 animal bite cases, majority of them were bitten by dogs 4785 (76.66%). It was found that 5617 (90%) are category III bite, 548 (8.78%) are category II bites, 77 (1.23%) are category I bite. Parts of body bitten by animals were limbs 5828 (93.37%), face 312 (5%), back 52 (0.83%). Out of 6242 cases, 348 (5.5%) cases were admitted in General Surgery Department.Conclusions: The prevalence of dog bite was found to be more and was of category III in nature and part of body affected were mostly limbs. Prevalence of bite was nearly equal among male and female. Around 5% of the total animal bite cases required admission in Department of Surgery.  

scholarly journals Patients Satisfaction about Magnetic Resonance Imaging Services at Combined Military Hospital, Dhaka

2020 ◽  
Vol 15 (1) ◽  
pp. 61-63
Author(s):  
Md Rezaur Rahman ◽  
Umar Rashed Munir ◽  
Farzana Zafreen ◽  
Md Abdul Wahab
Keyword(s):  
Waiting Time ◽  
Study Finding ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Positive Finding ◽  
Cross Sectional ◽  
Face To Face ◽  
Medical College ◽  
The Past

Introduction: MRI investigation indicates sensitivity as well as specificity. The increasing clinical utility, coupled with the greater availability and capacity to per¬form, has resulted in a dramatic increase in their use over the past de¬cades. The expectation of the care seekers has also increased and it is a major concern whether this increase in MRI result has improved patient outcomes or not. Objective: The study was carried out with the aim to evaluate various aspects of satisfaction among the MRI performing patients at Combined Military Hospital, Dhaka. Materials and Methods: This descriptive cross sectional study was carried out on patient satisfaction of MRI services at CMH, Dhaka. A total of 186 patients performing investigation at MRI Department of CMH Dhaka since 01st May 2011 to 15th May 2011 were interviewed. Data were collected and analysed by face-to-face interview and reviewing medical record with the help of a questionnaire and checklist. Results: The waiting time of 8-12 weeks for MRI was maximum among 24.7% patients; followed by 17.7% for 2-4 weeks and 16.1% for 1-2 weeks. It also revealed that waiting time was higher (8-12 weeks) in Neurosurgery referred cases (33.3%), Orthopaedic (28.2%) followed by Neurology (14.3%) (p<0.05). The outdoor patients experienced more waiting time in comparison to indoor patients. Orthopaedic referred cases had the highest (53.8%) positive finding followed by Neurosurgery (15.1%) and Medicine (7.5%). A significant majority of the patients are satisfied (68.81%) or very satisfied (25.80%) with the MRI service. Conclusion: This study finding will help the hospital administrator not only in monitoring the investigation but also to take measures to improve the facilities of MRI department. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 61-63

scholarly journals Nutritional Status among under-5 Children of a selected slum in Dhaka city

2016 ◽  
Vol 7 (2) ◽  
pp. 143-145 ◽  
Author(s):  
Md Aynal Hoque ◽  
Md Abu Sayeed ◽  
Mohammed Rizwanul Ahsan ◽  
Mohammad Abdullah Al Mamun ◽  
Farhana Salim
Keyword(s):  
Nutritional Status ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Birth Certificates ◽  
Dhaka City ◽  
Z Score ◽  
Cross Sectional ◽  
Medical College ◽  
Height For Age ◽  
Weight For Age

Background : Malnutrition is a serious public health problem that has been linked to increase risk of morbidity and mortality. Child malnutrition causes 27% of child deaths in developing countries in 2015.Objective : To estimate the nutritional status of under five children of a selected slum in Dhaka city.Methodology : This was a descriptive cross sectional study and conducted among 100 under 5 children purposively selected at Agargaon slum in Dhaka city during January-2015 to July-2015. Anthropometric measurements were taken by using standard methods. Those were weight, height, MUAC. Information regarding age of children was taken from patient’s birth certificates or hospital records. Nutritional status was estimated by calculating Z-score, weight for age, height for age, weight for height and mid upper arm circumference. Data were analyzed using SPSS version 16.Results : Mean age of the study population was 32.95 months. Male was 52% and female was 48%. Regarding Anthropometric assessment according to weight for height Z-score, 39% were wasted moderately and 13% were severely wasted and height for age Z-score, showed 47% of children were stunted moderately and 14% children were severely stunted. According to weight for age Zscore, 46% of children were moderately underweight and 16% children were severely underweight. According to MUAC classification 43% of children were in border line and 16% were malnutrition.Conclusions : Overall, nutritional status of the under 5 child of slum of Agargaon were not satisfactory.Northern International Medical College Journal Vol.7(2) Jan 2016: 143-145

scholarly journals Suicidal Death due to Hanging

2017 ◽  
Vol 5 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Asma Begum ◽  
Nashid Tabasum Khan ◽  
AKM Shafiuzzaman ◽  
Farhana Shahid ◽  
AM Ashraful Anam ◽  
...  
Keyword(s):  
Social Relation ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Suicidal Death ◽  
Period Data ◽  
Materials Used

Background: Hanging is always suicidal unless otherwise proved. It is a form of violent asphyxial death. It produces painless death for the victims so that it is a widely practiced method of suicide. In Bangladesh hanging is one of the commonest methods of suicide.Objective: The objective of this study was to find out socio-demographic characteristics of victims, common ligature materials used by victims and post-mortem findings.Materials and method: A retrospective cross sectional study was done in Dhaka Medical College Mortuary during the period of January 2009 to January 2010. During this period data were collected from 2133 cases of medicolegal autopsies by purposive sampling.Results: A total of 2133 medicolegal autopsies were analyzed of which 78 (3.65%) were deaths due to hanging. Out of these 78 cases maximum 37 (47.44%) deaths due to hanging were in the age group of 21-30 years. Majority of the cases (48; 61.54%) were observed in females. Majority (32; 41.03%) of victims had used Dopatta (orna) as a ligature material. Cyanosis of fingertips and nail beds was the commonest (75; 96.15%) findings in cases of asphyxial death due to hanging.Conclusion: Suicidal hanging is observed in this study mostly within the young age group ranging from 21-30 yrs. So, awareness at the level of family and community should be raised to improve personal and social relation in every sphere. The factors provoking an individual for an attempt to suicide should also be investigated for its prevention.Delta Med Col J. Jul 2017 5(2): 89-93

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