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 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 Determination of manners of death: an analysis of 3012 postmortem cases

2015 ◽  
Vol 9 (2) ◽  
pp. 19-25
Author(s):  
Md Abdus Samad Al-Azad ◽  
Mushtaq Ahmad ◽  
Md Zubaidur Rahman ◽  
Mohammad Ali ◽  
Sk Md Jaynul Islam
Keyword(s):  
Life Cycle ◽  
Road Traffic ◽  
Computer Software ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Manner Of Death ◽  
Medical College ◽  
Death Investigation

Introduction: Forensic Pathologists are often performing autopsies in death investigation. There are five legally-defined manners of death namely natural deaths, accidental deaths, homicidal deaths, suicidal deaths and undetermined deaths. Natural deaths are those that occur from natural causes such as disease or old age rather than from violence or an accident. Objectives: To determine the socio-demographic profile of postmortem cases and to evaluate information regarding manners of deaths as determined by those cases. Methods: This record based cross-sectional study of postmortems performed at the mortuary of the Department of Forensic Medicine; Dhaka Medical College (DMC) was conducted during the period of January 2006 to December 2006. Most of the victims were brought to DMC morgue from south-eastern part of Dhaka district. A total of 3012 autopsies were analyzed during the period. Morgue caters 18 police stations under Dhaka city. Data were collected using a pre-designed schedule from Post mortem registers and reports. All the data were collected in a predefined data collection sheet and necessary statistical analyses were performed by using the computer software SPSS (Statistical Package for Social Science) for window 17.0 and were expressed in frequency and percentage. 19 JAFMC Bangladesh. Vol 9, No 2 (December) 2013 Results: A total of 3012 postmortems were studied. Of them 1640 (54.45%) cases were of accidents, 722 (23.97%) cases were of suicide, 542 (17.99%) cases were of homicide, 84 (2.79%) cases were of undetermined and 24 (0.80%) cases were of natural deaths. Most of the postmortem cases were in the age group of 20-40 (54.71%) years, which is the most productive period in life cycle followed by 24.90%, 15.50% and 4.89% in the age group of 0-20 years, 41-60 years and 60 years respectively. Of them 2258 (74.97%) were male and rest 754 (25.03%) cases were female. Conclusion: Accidents, mainly Road Traffic Accident (RTA) and railway accidents, comprise a major manner of death which reduces the most productive period in the life cycle causing serious effects in socio-economic development of the country. RTA can be prevented by specific preventive measures and also by taking personal precautions. Suicide is the second commonest manner of unnatural death flanked by accident and homicide. It is not feasible to draw a concrete conclusion. Homicide is a relatively rare offence than accidents or suicides but it is one of the most notifiable crimes in the country as they are widely publicised by the media due to their severity and visibility. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21820 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013

scholarly journals Infantile Colic: Incidence and Effectiveness of Conventional Therapy

2016 ◽  
Vol 12 (1) ◽  
pp. 83-87
Author(s):  
Syeda Zeenat Laila ◽  
Anjuman Ara Beauty ◽  
Md Mahboob Hasan ◽  
Md Mizanur Rahman Khan
Keyword(s):  
Conventional Therapy ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Infantile Colic ◽  
Cross Sectional ◽  
Medical College ◽  
History Of ◽  
Limiting Condition ◽  
Neonates And Infants

Introduction: Infantile colic is defined as excessive crying for more than three hours a day at least three days a week for one week or more in an otherwise healthy baby. It is most frequently observed in neonates and infants aged two weeks to four months. Objective: To assess the incidence of infantile colic and effectiveness of conventional therapy. Materials and Methods: This was a prospective cross sectional study of 50 cases carried out in Paediatric out patient department in Combined Military Hospital (CMH) Ghatail during the period of September 2010 to August 2012. Data recorded including demographics, clinical presentations, management and the outcome of therapy. Results: Out of the total 50 patients, 24(48%) were male and 26(52%) were female. Male:Female=1:1.08. Babies delivered vaginally suffered more 32(64%), full term delevered babies 33 (66%) suffered more than that of gestational age group <37 wk. Non-exclusive Breastfed (Formula fed, combination of breastfed and formula fed) babies having more incidence of colic 31(62%). Maximum patients 26(52%) had history of cry 4-5 hours per day. Motion (Rocking, bouncing, walking etc) 18(36%), change of diet 14(28%) were considerable satisfactory treatments. Conclusion: Since it is a self limiting condition, conventional therapy should be tried for instant relief. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 83-87

scholarly journals Maternal and perinatal outcome in postdated pregnancy: a study of 100 cases in Bangladesh armed forces

2015 ◽  
Vol 10 (1) ◽  
pp. 39-44
Author(s):  
Salina Akhter
Keyword(s):  
Armed Forces ◽  
Well Being ◽  
Cross Sectional Study ◽  
Military Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Gynecology And Obstetrics ◽  
Prolonged Pregnancy ◽  
One Year

Introduction: Any pregnancy which has passed beyond the Expected Date of Delivery (EDD) is called postdated pregnancy or prolonged pregnancy. But when pregnancy has prolonged beyond 42 weeks are called postmaturity or post term pregnancy. Incidence of prolonged pregnancy is 3-14 % of all gestations. Aim: The aim of the study is to determine the foetal and maternal outcome and complications in patients presenting with postdated pregnancy in Combined Military Hospital of Bangladesh Armed Forces. Materials & Methods: A cross-sectional study was conducted for one year at the Department of Gynecology and Obstetrics in Combined Military Hospital, Dhaka. During this period total 100 cases were studied. Cases were selected randomly. Here postdatism was applied to any pregnancy which exceeded the EDD and it also included postmaturity which is pregnancy extending beyond 42 completed weeks. A preformed proforma was used to collect data which were analyzed later on. Results: Amongst 1853 cases of labour patients, 273 cases were postdated pregnancy and 169 cases postmaturity. The incidence of postdated pregnancy in this series was 15% and postmaturity was 9.14%. 93% patients had regular antenatal checkup. 82% patients were presented not in labour situation. 60% cases were NVD and 40% cases LUCS was done. No craniotomy or forceps was required. There was no maternal death. But there were two Intra Uterine Deaths (IUD) and one neonatal death due to umbilical sepsis. 39 JAFMC Bangladesh. Vol 10, No 1 (June) 2014 Conclusion: Any pregnancy that goes beyond 41 weeks of confirmed gestational age foetal well-being must be assessed. Proper management is a pre-requisite to reduce the rate of perinatal mortality and morbidity in this group of patient. DOI: http://dx.doi.org/10.3329/jafmc.v10i1.22903 Journal of Armed Forces Medical College Bangladesh Vol.10(1) 2014

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 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 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 A cross-sectional study of fertile period awareness, knowledge, attitudes and practice in infertile couples seeking fertility assistance

2018 ◽  
Vol 7 (9) ◽  
pp. 3744
Author(s):  
Shilpa Pankaj Kshrisagar ◽  
Arti Sidharth Shirsath
Keyword(s):  
Menstrual Cycle ◽  
Cross Sectional Study ◽  
Fertile Period ◽  
Cross Sectional ◽  
Fertility Awareness ◽  
Medical Interventions ◽  
Medical College ◽  
Loss Of Self ◽  
Fertile Window ◽  
Infertile Couples

Background: Infertility is one of the most distressful condition for a couple. Medical interventions may exacerbate anxiety, depression, stress, loss of self-esteem, guilt and grief in these couples. But many studies indicate that most cases of infertility can be attributed to a physiological cause in the man or woman. Previous research has suggested that poor fertility period awareness may be a contributing cause of infertility among couples seeking assistance at infertility clinics. The actual practices and attitudes towards fertility-awareness in this particular group of patients are unknown and need to be explored. The aim of the present study was to report the study of fertile period awareness and their knowledge, attitude and practice in the infertile couples seeking fertility assistanceMethods: This is a cross-sectional questionnaire-based study. The study was conducted over a period of 6 months from June to December 2017 in the couples attending the infertility clinic at Smt Kashibai Navale Medical College and General Hospital, Pune.Results: Total 246 of 280 distributed questionnaires were completed (response rate =87.8%). Out of these 60% (n=147) believed they had timed intercourse within the fertile window of the menstrual cycle in their attempts at conception, but surprisingly only 36%(n=52) could accurately identify this window. In this study 23% (n=56) participants had already taken prior treatment but still 50% were ignorant about fertile window. It was shocking that among 246 only 15% (n=38) couples were actually practising fertile period due to some reasons and most of them did not know or rely upon the concept of fertile period. Almost 94% of them believed that they should receive fertility-awareness education when they first report trouble in conceiving to their doctor.Conclusions: Most couples seeking assistance at infertility clinics were unaware of the fertile window of the menstrual cycle and only few could accurately identify this window, suggesting that poor fertility awareness may be a contributing cause of infertility.

scholarly journals Awareness and Misconception about HIV/AIDS Transmission among Selected Bangladesh Army Troops

2020 ◽  
Vol 14 (2) ◽  
pp. 180-182
Author(s):  
Syed Naufel Mahmud ◽  
SM Nurul Irfan
Keyword(s):  
Neurological Disorders ◽  
Hiv Transmission ◽  
Opportunistic Infections ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Medical College ◽  
Structured Questionnaire ◽  
Hiv Aids

Introduction: AIDS is a fatal illness that breaks down the body’s immune system, leaving the victim vulnerable to lifethreatening opportunistic infections, neurological disorders or unusual malignancies, having no effective treatment till now. Objectives: To assess the awareness and misconception about the transmission of HIV/AIDS among the troops of Bangladesh Army. Materials and Methods: This cross-sectional study was conducted from September 2011 to December 2011 among purposively selected 125 troops of various Army units of Dhaka Cantonment, Bangladesh. Data were collected by face-to-face interview by pretested structured questionnaire and analyzed by software SPSS version 17.0. Results: Among the 125 respondents, most (92%) of them were aware of the transmission of HIV/AIDS and having no significant misconception of its transmission. No association has been found between knowledge of HIV transmission and type of occupation. Conclusion: Most of the troops of the Bangladesh Army were aware of the transmission of HIV/AIDS and misconception among them was very less. The authority should continue thus status for the betterment of the country. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 180-182

Sign in / Sign up

Export Citation Format

Share Document