scholarly journals Study of Thyroid Hormone Status in Ischemic Heart Disease (IHD)

1970 ◽  
Vol 6 (1) ◽  
pp. 27-31
Author(s):  
Nasreen Sultana Lovely ◽  
Rokeya Begum ◽  
Qazi Shamima Akhter ◽  
Most. Sabinus Sultana ◽  
Salina Akhtar

Background: Thyroid dysfunction especially hypothyroidism is cardiovascular risk factor because of its association with elevated serum total and LDL cholesterol. Objective: To assess the association of thyroid hormone levels with IHD. Methods: This cross-sectional study was carried out on 50 IHD subjects aged 35 to 85 years (Group B), in the Department of Physiology, Dhaka Medical College, Dhaka from of July 2009 to June 2010. For comparison 50 age, sex, and BMI matched apparently healthy subjects (Group-A) were also studied. The study subjects were selected from coronary care unit (CCU) of Cardiology Department & OPD of Dhaka Medical College Hospital, Dhaka. Serum FT3, FT4 and TSH were assessed by radio-immuno assay. Statistical analysis was done by student’s unpaired ‘t’ test and chi-square test as applicable. Result: The mean ±SD of serum FT3 and FT4 were significantly lower and serum TSH was significantly higher in IHD patients than that of healthy subjects (p<0.05). Conclusion: Hypothyroidism occurs in patients suffering from IHD. Key words: Thyroid hormone; IHD. DOI: http://dx.doi.org/10.3329/jbsp.v6i1.8080 J Bangladesh Soc Physiol. 2011 June; 6(1): 27-31

2018 ◽  
Vol 5 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas

Background: Medical students are in a huge pressure due to their academic syllabus. Objective: The purpose of the present study was to assess the relationship between anxiety and academic performance among private medical college.Methodology: This cross sectional study was done in private medical College Hospital, Dhaka, Bangladesh and 3rd and 4th year medical student were included. Data was   collected by using semi structured Socio-demographic questionnaire and Burn Anxiety Inventory scale and Checklist. Finally all data and results were analyzed using latest version of SPSS software. For descriptive statistics means, medians, SD and range will be calculated as required. Data will be presented in frequency table, bar, pie and scattered diagram as per need.  Statistical test chi-square test were used and p<0.05 was consider to be statistically significant.Results: A total number of 200 medical students were studied after fulfilling the inclusion and exclusion criteria. Among them 87.0% were Muslim; 98.0% were unmarried; 83.0% were in nuclear family; family member of 42.5% respondents had 4 to 6 persons; monthly income of 64.7% respondents were less than 50,000 Taka; 47.0% of the respondents’ father occupation was businessman. In 1st profession examination 68.0% in Anatomy, 73% in Physiology, 76% in Biochemistry were passed in anatomy. In 1st professional exam, students suffered from moderate to extreme anxiety were passed 78% and referred 22% as well as suffered from minimal to mild anxiety were passed 43% and referred 57% in Physiology. So there was strong association between the two variables (p<0.05).Conclusion: Three fifth of the students are suffered from moderate anxiety level and those who are suffered moderate to extreme anxiety passed more and their class attendance are good.Journal of Current and Advance Medical Research 2018;5(2):68-72


2012 ◽  
Vol 2 (2) ◽  
pp. 80-84
Author(s):  
Nasreen Sultana Lovely ◽  
Rokeya Begum ◽  
Qazi Shamima Akhter ◽  
Salma Akhter ◽  
Nilufar Yasmin Mili ◽  
...  

Background: Aging is associated with increased prevalence of thyroid function abnormalities including hypothyroidism. A meta-analysis showed an increased prevalence and incidence of cardiovascular mortality only in a relatively younger population. Objective: To compare the thyroid function status in IHD patients of different age groups. Methods: This cross sectional   study was carried out on 31 IHD subjects aged 35-59 years (Group B1) and 19 IHD subjects aged 60-85 years (Group B2) in the Department of Physiology, Dhaka Medical College, Dhaka from July 2009 to June 2010. For comparison 24 healthy subjects aged 35-59 years   (Group A1) and 26 with age 60-85 years (Group A2) were studied. The IHD subjects were   selected from coronary care unit of cardiology department and OPD of Dhaka Medical College Hospital, Dhaka. Serum FT3, FT4 and TSH of all subjects were measured by radioimmunoassay. Statistical analysis was done by unpaired Student’s ‘t’ test. Results: The mean ± SD of FT3 and FT4 were significantly lower and TSH was significantly higher in   Group B1 IHD patients than that of Group A1 healthy subjects, but no difference was found between Group A2 and Group B2 and between Group B1 and Group B2.Conclusion: Thyroid   hormone levels are significantly lower in younger IHD population (age 35-59 years) than the   age-matched normal controls. DOI: http://dx.doi.org/10.3329/jemc.v2i2.12842 J Enam Med Col 2012; 2(2): 80-84


2020 ◽  
Vol 10 (4) ◽  
pp. 277-281
Author(s):  
Hina Khan ◽  
Jamil Siddiqui ◽  
Muhammad Khan

Objective: To evaluate the frequency of self-medication among undergraduate students of medical sciences Study design and setting: Cross-sectional Study was conducted at Al-Tibri Medical College Hospital, from October 2019 to February 2020. Methodology: Data was collected after an ethical approval of concerned institute; total of 150 students included from the 1st, 3rd and final year of MBBS. Valid questionnaire was used to evaluate the response of the participants regarding selfmedication. Verbal consent was taken from the students, and then they were asked to fill their responses. Data was evaluated in the form of frequency and percentages through SPSS version 21.0. Chi-square test was applied, and the level of significance was considered p=<0.05 Results: Out of total of 150 students, 58.7% were males and 41.3% females. In students of 1st, 3rd and 5th year the most common morbidity for seeking self-medication was headache, flu/cough, fever, and pain. The percentage of drug/ drug groups commonly used for self-medication included antipyretics being 36%, 54% and 64%, antibiotics were 50%, 86% and 90%, and analgesics was 42%, 62% and 64% in 1st, 3rd and 5th years respectively. Common reasons for pursuing selfmedication were minor illnesses (50%, 81%, 94%), easy availability (52%, 82%, 92%) and quick-relief (50%, 58%, 100%) in 1st, 3rd and 5th year respectively. Conclusion: In the present study, self-medication was observed in a large percentage of students. Thus, medical curricula need further consideration to promote awareness regarding the disadvantages of self-medication in undergraduates so we can curb this self-medication culture from our society


Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


2017 ◽  
Vol 9 (2) ◽  
pp. 47-51 ◽  
Author(s):  
Nisha Shrestha ◽  
P Shrestha

Background: Pressure ulcer (PU) development remains a significant complication among at-risk patients. It is considered “never events” because they are preventable and should “never” happen. It has been associated with increased morbidity, mortality, hospital cost and length of stay in the hospital. Prevention of pressure ulcers is considered a nurse-sensitive indicator hence nurses should have adequate knowledge about current evidence-based prevention and management of pressure ulcer. However, non adherence to these guidelines is frequent and lack of knowledge may act as barriers to using guidelines in clinical practice.Objectives: The objectives of the study were to 1. assess the knowledge of pressure ulcer management among nurses 2. determine the level of knowledge of pressure ulcer management among nurses 3. assess the association of knowledge of nurses and baseline variables.Methods: A descriptive cross sectional study was conducted, using pretested self administered questionnaire to assess the knowledge on pressure ulcer management among purposively selected 100 nurses working in Gandaki Medical College Teaching Hospital in 2015. Descriptive statistics as frequency and percentage were used and inferential statistics (Chi-square test) was done to find out association between knowledge and selected baseline variables.Results: The study revealed that 59% of the respondents had adequate knowledge where as 41% of nurse’s knowledge was found to be inadequate. Significant association was not found between age, working ward, experience, education, training, duration and knowledge of pressure ulcer management among Nurses.Conclusion: This result indicates that more than half of the nurses had the adequate knowledge but there is still need of education and training related pressure ulcer management.Journal of Gandaki Medical CollegeVolume, 09, Number 2, July December  2016, Page: 47-51


2020 ◽  
Vol 17 (3) ◽  
pp. 81-89 ◽  
Author(s):  
Nazafatul Ain ◽  
Saira Khan ◽  
Muhammad Marwat ◽  
Nisar Khan ◽  
Iftikhar Ahmad ◽  
...  

Background: Global Health Estimates 2015 has shown the stroke as second leading global cause of death and 3rd leading global cause for DALYs for year 2015. The objectives of this study were to determine the frequency, distribution and determinants of hypertension in adult stroke population of D.I.Khan Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in Department of Community Medicine, Gomal Medical College, D.I.Khan, Pakistan from February 1, 2017 to April 30, 2017. A sample 217 was selected with margin of error 5.59%, 90%CL and 50% prevalence of hypertension in 200,000 adults at risk of stroke population through consecutive sampling. All indoor adult patients of stroke were eligible. Sex, age groups, and residence and presence of hypertension were variables. Frequency and distribution of hypertension were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association. Results: Out of 217 patients with stroke, 123 (56.7%) were men and 94 (43.3%) were women, 86 (39.6%) were≤60 years and 131 (60.4%) were>60 years, and 105 (48.4%) were urban and 112 (51.6%) were rural. Frequency of hypertension was 132/217 (60.83%). Out of 132 patients with hypertension, men were 74 (34.10%), women 58 (26.73%), age group≤60 years 46 (21.20%), >60 years 86 (39.63%), urban 72 (33.18%) and rural 60 (27.65%). Presence of hypertension was associated to residence (p=.023) but not to sex (p=.817) and age groups (p=.072). Conclusion: Frequency of hypertension in adult stroke population of D.I.Khan Division, Pakistan was found to be similar as expected. Frequency was more in men, in older age group (of>60years) and in urban population. The presence of hypertension in adult stroke population of D.I.Khan Division was associated to residence but not to sex and age groups.


Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Tamal Chakrabarty ◽  
Kaushik Tripura ◽  
...  

Background: Sleep deprivation may have grave health consequences; resulting in increasing disease morbidity and mortality. Sleep disturbance have also been affected academic performance of medical students. The objective of the study was to find out the prevalence of sleep disturbance and association between sleep disturbance and academic performance of medical students, if any.Methods: An institution based cross-sectional study was conducted in the month of March 2018 among 203 medical students of Tripura Medical College and Dr. B.R.A.M. Teaching Hospital. Probability Proportionate to Sample Size (PPS) was used to determine the number of students required from each semester. Students selected by simple random sampling from each semester were interviewed by a pre-designed, pre-tested interview schedule designed based on Pittsburgh Sleep Quality Index. Data was represented in percentages in tables, charts and Chi square test was applied. P<0.05 was considered statistically significant.Results: Mean age of the medical student was 21.36±1.96 years. Present study showed, 57% students were complaining of disturbed sleep. Students who felt sleepy during daytime (72.4%) were struggling more during exam compared to students not feeling sleepy (51.7%), which was statistically significant. Study revealed, students who got average mark in last semester exam were most affected with disturbed sleep (66.3%) followed by students who got good marks (53.5%) and poor marks (50%).Conclusions: Prevalence of sleep disturbance was very high among medical students. Male students were much more affected compared to female students. Sleep disturbance has also affected academic performance of students.


Author(s):  
Suman Das ◽  
Tapas K. Sarkar ◽  
Nirmal K. Mandal

Background: Routine Immunization among children ensures nationally scheduled regular administration of vaccine dosages to infants at specified ages. Unequivocal knowledge and perceptions are essential at individual as well as community level about vaccinations throughout the country to achieve high immunisation coverage. Besides appropriate timeliness regarding childhood immunisation is also desirable. Present study was planned to assess knowledge and timeliness regarding childhood immunization among the caregivers as well as associated factors in relation to their current practice, if any.Methods: Cross-sectional study was conducted at immunisation clinic of a Medical College. Considering 73% of parents were with good knowledge about immunization from previous study, sample size was calculated as 158. The data was collected administering a pre-designed, pre-tested schedule; in every visit at least 26 study subjects were selected in first-come-first basis after applying exclusion criteria. Descriptive statistics and Chi-square test were applied.Results: Majority of the children (53.2%) were female and 1st baby in term of birth order (71.5%). Knowledge regarding certain aspects of immunization was reported varied from 95% (Pulse Polio should be given besides routine immunisation) to as low as 36.1% (vaccines can be given in minor illness). Overall, seven children (4.4%) missed their age appropriate immunisation and 38.6% of children was immunised in last quartile. Child immunisation in last quartile was found significantly associated with socioeconomic class (p=0.018) and occupation (p=0.019) of caregivers.Conclusions: Knowledge about certain aspects of childhood immunisation among caregivers was not satisfactory. Inappropriate timeliness regarding immunisation was noted in substantial portion of children. 


Author(s):  
Babajide J. Ogunrinde ◽  
Adedotun A. Adetunji ◽  
Sufiyan A. Muyibi ◽  
Joshua O. Akinyemi

Background: Although shreds of evidence are emerging to show the role of illness perceptions in the health outcomes of patients, most of the previous studies have been on single chronic conditions.Aim: To assess the illness perceptions and the associated factors amongst adults with multimorbidity.Setting: General outpatient clinics of the University College Hospital, Ibadan, Nigeria.Methods: A cross-sectional study was conducted amongst a systematic sample of 403 adults with multimorbidity. Data on illness perception and other variables were collected using interviewer-administered questionnaires. Descriptive statistics, chi-square test, t-test and analysis of variance were employed for analyses.Results: The age of the participants ranged from 18 to 97 years, with a mean of 60.9 years (standard deviation [s.d.] ± 14.3 years). The majority of participants (57.3%) were women. Ninety-four (23.3%) respondents had only two morbid conditions, whilst 31.2% had at least four morbid conditions. Prioritisation sub-domain of illness perception recorded the highest score (mean = 2.0, s.d. ± 0.8), whilst the treatment burden sub-domain was the lowest (mean = 0.8, s.d. ± 0.7). A significant bivariate relationship was observed between emotional representation (p = 0.001), prioritisation (p = 0.013) and causal relationship (p = 0.013) sub-domains and age group of study participants. Emotional burden associated with illnesses declined as educational level increased (p = 0.039).Conclusion: Patient’s characteristics such as age, education and the number of morbidities are associated with illness perception. Healthcare providers should pay attention to these factors whilst addressing illness perception as a way to achieve better clinical outcomes.


Author(s):  
Ajay Kumar Agarwal ◽  
Ghanshyam Das Katiyar ◽  
Syed Esam Mahmood ◽  
Swati Khan ◽  
Mahendra Sharma

Background: Anaemia is a global health problem. Anaemia is one of most commonly recognized disorders. In view of ever increasing burden of anaemia in India and its detrimental effects on academic performance of students, it is necessary to find out the association of anaemia with BMI of medical and para medical students. This study was undertaken to find out association of anaemia with BMI among medical and para medical students of Rohilkhand Medical College, Bareilly.Methods: This cross sectional study was conducted in 344 medical and para medical students of Rohilkhand Medical College and Hospital, Bareilly. A structured schedule was used to collect the information regarding anaemia and BMI. Data was analyzed using SPSS software. Chi square test was applied.Results: Over all prevalence of anaemia was 29.07% prevalence was higher among female students (41.92%), among those aged between 25-26 years (75.00%) and among Muslims (40.54%), prevalence of anaemia among normal weight (31.92%) followed by underweight (27.02%) than in preobese (25.86%) while least among obese (20.83%).Conclusions: Anaemia is prevalent even in medical and para medical students who are well educated and well oriented about nutrition and its ill effect on health. BMI exhibits higher prevalence of anaemia among normal weight, followed by underweight, preobese and obese. 


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