scholarly journals Study on Deliberate Self Harm in a Tertiary Hospital

1970 ◽  
Vol 21 (2) ◽  
pp. 160-165
Author(s):  
AA Mamun Hussain ◽  
ARM Saifuddin Ekram ◽  
MA Alim ◽  
MA Ahad ◽  
S Qais ◽  
...  

The term ‘Deliberate Self Harm' (DSH) is often used to describe behaviors through which people inflict acute harm upon themselves with non-fatal outcome, when the behaviors are somewhat linked to, but do not result in death. This cross-sectional retrospective study included 66 subjects admitted with DSH in the Department of Medicine of Rajshahi Medical College Hospital during the period of January 2006 to July 2006. Among the respondents 57.57% were female and 42.42% were male, when they were mostly Muslims (89.39%) and only 10.61% were Hindus. As regards to occupation 46.96% were students, 30.30% were housewives and rest belong to others. 68.01% were in the age of 17-28 years. 50% were uneducated, 24.24% completed SSC and rests were in other classes. 42.42% were married, 45.45% were unmarried and others were either separated or divorced. DSH was mostly preceded by recent quarrel (34.84%), followed by poor interaction with parents (19.69%) and rejection of love (18.18%). The common adopted method of self-harm were ingestion of poisons (59.09%) and different self-medication (30.30%). 93.93% had the first attempt, 4.54% had second attempt and only 1 had the third attempt. The motivations were frustration (59.09%), making other feel guilty (25.75%) and to die (10.60%). Psychiatric diagnosis included relational problem (54.54%), major depressive disorder (34.84%), schizophrenia (4.54%) and adjustment disorder (3.03%). This study, in fact suggests a special need for the assessment of DSH and formulation of a comprehensive treatment approach. doi: 10.3329/taj.v21i2.3798 TAJ 2008; 21(2): 160-165

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


2015 ◽  
Vol 4 (2) ◽  
pp. 49-54
Author(s):  
Masuda Khatun ◽  
Lubna Khondker ◽  
SM Bakhtiar Kamal

Psoriasis is one of the major public health problems. It creates a major psychological as well as cosmetic problem and a vast reduction of quality of life in developing countries as well as developed countries as stress is considered to play an important role on the onset and exacerbation of psoriasis. To evaluate influence of stress factor in psoriasis. An observational cross-sectional study was conducted with patients with psoriasis who attended the Department of Dermatology and Venereology, Dhaka Medical College Hospital (DMCH) and Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka during the period of July 2015 to June 2016. Divorce was presented in 8.1% cases, 51.3% cases had severe life threatening diseases affecting the patient or close family members, 45.1% patients had history of deaths within the close family members, 39.8% patients had serious financial difficulties and 4.4% patients had harassment at school, 65.5% patients experienced first outbreak of psoriasis during a period of stress. About 41.6% psoriatic patients became worse during times of Stress. 38.9% patients had a tendency to break out during times of stress. This study demonstrated that the stress factor is of paramount importance for the development and aggravation of psoriasis. CBMJ 2015 July: Vol. 04 No. 02 P: 49-54


2021 ◽  
Vol 7 (1) ◽  
pp. 48-55
Author(s):  
Sabrina Aktar ◽  
Ashees Kumar Saha ◽  
Mst Akhtara Khatun ◽  
Baizid Khoorshid Riaz

A career is defined as advancing in a chosen job and as a result of that earning more money, taking on more responsibility, gaining more status, power, and respect A descriptive type of cross sectional study was conducted in two tertiary level Government hospitals namely Rajshahi Medical College Hospital (RMCH), Rajshahi and Shaheed Suhrawardy Medical College Hospital (ShSMCH), Sher-E-Bangla Nagar, Dhaka, Bangladesh from 1st January to 31st December, 2019 with the aimed to determine the career plan and related attributes of nurses in a selected tertiary hospital. Study Population was the nurses working in those two hospitals and convenience sampling technique was done, Sample size was 302. After taking written consent from the respondents, data collection was done by face to face interview using a semi-structured questionnaire. The study findings revealed that 94.0% of the respondents have career plan and only 89 respondents were received degree after employment, 43.8% nurses worked in RMCH and 56.2% nurses worked in ShSMCH. From the total respondents, 58.6% respondents expect after completion higher education they will get better job opportunity. Here, 50.0% of the respondent’s reason for no career plan had family problem, 33.3% respondents’ opinion was time consuming and only 16.7% respondents’ opinion was expensive and 56.3% had job satisfaction. Length of service significantly (p<0.001) associated with career plan and educational qualification significantly (p<0.001) associated with choosing of discipline. Professional development can be achieved through career plan, which will not only provide quality nursing care to patients but also nurses updated knowledge with new information and technology. Asian J. Med. Biol. Res. March 2021, 7(1): 48-55


Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.


Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.


2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13


2021 ◽  
Vol 15 (6) ◽  
pp. 1478-1481
Author(s):  
A. G. Magsi ◽  
M. U. Rehman ◽  
F. A. Soomro ◽  
Z. Ahmed ◽  
A. Q. Memon

Aim: To determine the frequency of sensorineural deafness in child with cerebral palsy. Study Design: Descriptive/cross-sectional Place and Duration of Study: Department of Neurology, Chandka Medical College Hospital, Larkana from 1st October 2020 to 31st March 2021. Methodology: One hundred and seventy patients of both genders age between 1-14 years were enrolled. Children diagnosed as having cerebral palsy and fulfilling the inclusion criteria was included. Hearing assessment was done with audiometry and degree of hearing loss was recorded in both ears in the form of mild, moderate, severe and profound degree of hearing loss. Results: Most of the patients 90 (52.94%) were between 1-5 years old followed by 51(30%) patients between 5-10 years with mean age of 4.8±7.8 years. 115 (67.65%) cases were males and 55 (32.35%) females. 54 (31.8%) cases had microcephaly and116 (68.2) cases had normal head circumference. Among 170 cases of cerebral palsy 48 (28.23%) cases had hearing loss and 122 (71.77%) of patients of CP had no hearing deficit. Among 48 cases of CP with hearing loss 15 (31.25%) cases had mild, 14 (29.17) cases had moderate, 10 (20.83%) had severe and 11 (22.92%) cases had profound hearing loss. Conclusion: The frequency of sensorineural deficit is high and significantly associated with cerebral palsy patients. Keywords: Degree of hearing loss, Sensorineural hearing loss, Cerebral palsy


1970 ◽  
Vol 19 (2) ◽  
pp. 98-101 ◽  
Author(s):  
R Khanom ◽  
DK Saha ◽  
K Begum ◽  
J Nur ◽  
S Tanira

Objective: This study aims to describe main perpetrator of violence area and prevention of violence against women. Study design: A cross sectional study was carried out in One-stop Crisis Centre (OCC) of Dhaka Medical College Hospital, Dhaka, Bangladesh during the period of June 2006 to May 2007. Methods: 284 victims reported in OCC during the study period were selected as cases for the study and quantitative information was collected from them using cross sectional for the present study. Results: Study shows that most of the violence is done by husband (46.48%) and prevalence is more in rural areas (80.98%) in comparison to urban area (19.02%). Physical assault is the most common type of violence (50.35%), followed by sexual assault (36.63%) and burn (13.02%) Housewives are tortured more (67%). Conclusion: Proper implementation of existing rules and community based interventions for raising awareness about the domestic violence against women are recommended. Key words: Violence against women; assault; human rights; one-stop crisis centre (OCC); Bangladesh. DOI: 10.3329/jdmc.v19i2.7077J Dhaka Med Coll. 2010; 19(2) : 98-101


2018 ◽  
Vol 6 (2) ◽  
pp. 86-89
Author(s):  
Shila Rani Das ◽  
Chinmay Biswas ◽  
Sharmina Afrin

Background: Now a days, there is increased demand and progress in the nursing profession. Along with these stress among the nurses has also increased.Objective: Purpose of the study was to assess the extent of perceived occupational stress and its association with work-related and non-work related causes among nurses.Materials and method: This Cross-sectional study was carried out among 197 nurses of Shaheed Suhrawardy Medical College hospital (ShSMCH), Dhaka, Bangladesh, from the period of 1st July 2015 to 30th June 2016. Sampling method was simple random sampling. Data was collected by face to face interview with the help of semi-structured questionnaire and finally all data were analyzed using SPSS software version 21.Results: It was found that 69% nurses were between the age of 21 to 39 years, 94.9% were female, 68% were married, 79.2% were Muslim, 84.3% had diploma, family income of 91.4% were equal to more than 40,000 Tk. and 95.5% used to do clinical work. Only 5.1% found to experience high stress. Statistically significant difference was found between sex, occupational stress and religion, educational status, and type of work (p < 0.05). Few nurses suffered from high stress but high level of stress were more in male, non Muslim, post graduate nurse and those who were engaged in administrative work.Conclusion: Nurse Managers should take appropriate actions to decrease stress helping their nurses to work efficiently and effectively.Delta Med Col J. Jan 2018 6(2): 86-89


2020 ◽  
Vol 31 (1) ◽  
pp. 7-14
Author(s):  
Shafquat Waheed ◽  
Md Golam Rabbani ◽  
Abdullah Al Mamun ◽  
Jhunu Shamsun Nahar ◽  
Khaleda Begum ◽  
...  

A cross-sectional descriptive type of study on 357 patients was carried out in the emergency departments of Dhaka Medical College Hospital (DMCH) and Shahid Sohrawardy Medical College (SSMCH), Dhaka in 2011 to find out the incidence and socio-demographic characteristics of psychiatric morbidities among the patients attended there. The patients were interviewed using GHQ-28 and SCID-I, All GHQ-28 screen positive and 25% of screen negative respondents (total 158) were assessed by SCID-I. Among them 42 (11.76% of all 357 cases) respondents were found with some form of psychiatric illness. Diagnosis of psychiatric illness was significantly higher in those scored 4 or more in GHQ-28. More psychiatric cases were found among 18-25 years age group (50%), male gender (54.76%), urban population (69.05%), Muslims (85.71%), being single (54.76%), patients with secondary level of education (45.24%), housewives (26.19%), members of nuclear families (78.57%), and members of lower-income group. Among these 42 psychiatric cases, 22 were assessed by a psychiatrist who was blind about GHQ-28 score and SCID-I diagnosis. Out of these psychiatrically ill 42 cases, Major Depressive Disorder was in 9 (2.52% of the total study population of 357), Conversion Disorder was in 8 (2.24%) and Anxiety Disorder was in 7 (1.96%) respondents. There were two cases of Bipolar I Disorder and a single case of extrapyramidal side effects (EPSEs) with schizophrenia. Psychiatric illnesses are important issues at the emergency departments which require special attention. Bang J Psychiatry June 2017; 31(1): 7-14


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