Introduction: In many developing countries, accreditation programs, which have been implemented as a regulatory tool to ensure quality of service and efficient use of resources. To improve the quality of services, health organizations use patient satisfaction survey to evaluate their processes delivered. The care in the Out Patient Department (OPD) indicates the quality of services of any hospital. Combined Military Hospital (CMH) Bogra, is the largest tertiary level military hospital in North Bengal. Objective: To assess the satisfaction levels of patients‘ in CMH Bogra related to health care services. Materials and Methods: A cross sectional study was carried out among 367 patients attending outpatient department of CMH Bogra. The patients were selected randomly from out patient department. The study was conducted from 01 May 2015 to 31 October 2015. All patients were interviewed using pre-structured questionnaire, which included various variables related to patient satisfaction. Results: A total number of 367 respondents were interviewed. Majority (48.2%) of the respondents were from the age category of 26-35 years. Maximum attending population consisted of Army personnel. Overall satisfaction level of patients on hospital services was good. Requirement of separate waiting room for the JCO’s and training of the hospital staffs on behaviour with the patients were found important. Conclusion: Patient satisfaction surveys have evolved as a powerful management and marketing tool. It is being widely used by various hospitals to capture the “Voice of the Consumer”. Among the respondents, 95% of expressed overall satisfaction. This bears a testimony to the efforts of the hospital management towards improvement of services. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 61-68
Introduction: In Bangladesh like any other developing country, saloon is the unique place for transmission of some communicable diseases. Objectives: To explore the level of knowledge, attitude and practices regarding hygienic and cleanliness among saloon workers of Bangladesh Army. Materials and Methods: This descriptive cross-sectional study was carried out in different barber shops of army units in Dhaka cantonment during the month of May 2011. Data were collected from 115 saloon worker by structured questionnaire through face to face interview. Results: Mean age of 115 respondents’ was 22.65±5.8 years whereas 76% of the respondents have less than 5 years of service. Their monthly income was less than 8000 taka and 70.4% had only primary education. About 77% washed linen used for wrapping twice a week and 16.5% did it in alternate day. About 89.5% had awareness and knowledge of transmission of skin diseases through unclean comb, but only 2.6% did not have any knowledge regarding this matter. In case of disease spread through unclean handle of blade/khur majority 60% respondents were aware about skin disease but only 12% were aware about AIDS and 16.5% were aware about jaundice. Majority (90%) found using antiseptic solution to clean used shaving brush /handle of razors. No respondent clean their hand before providing service to each customer and none used fresh linen for each customer rather 1 linen for every 10-12 customer on average. Conclusion: The study revealed that majority of the saloon workers were either illiterate or had only primary plus level education with poor socio economic background. Despite the knowledge and practice of workplace hygiene among the saloon workers are quite satisfactory levels even though there are areas for further improvement. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 79-80
Now lithoclast has become more popular tool than various intracorporeal lithotripters for the treatment of ureteric stones. Recently the Holmium:YAG laser has been used with a wide range of potential urological applications, including intracorporeal lithotripsy of ureteric stones. This study was conducted to compare the use of Forceps and Dormia basket in the management of ureteric stone between Holmium: YAG Laser and Pneumatic Lithotripsy. It was a longitudinal follow-up comparative study conducted at Combined Military Hospital, Dhaka. All the respondents were admitted patients in Combined Military Hospital Dhaka, under Urology Ward. A total of 100 patients were enrolled for this study under convenient purposive sampling method. They all were admitted with the complaints of upper ureteric stone who underwent ureteroscopic lithotripsy from October 2010 to September 2012. In 50 patients, Laser Lithotripsy (LL) was used and in other 50 patients Pneumatic Lithotripsy (PL) was used. Same ureteroscope, video monitor, baskets and irrigation devices were used in both the samples. Patients were followed up after 1st and 3rd months interval. Lithotripsy follow-up was done with radiograph and ultrasonography of kidney, ureter and bladder. Patients with migrated fragments or incomplete clearance were underwent an auxiliary procedure such as shock wave lithotripsy. Mean stone size was 1.36 ± 0.36 cm in group Laser lithotripsy (LL) and 1.37± 0.36 cm in group Pneumatic lithotripsy (PL). The immediate stone clearance rate was significantly higher in Group LL (94.0%) than Group PL (76.0%). Proximal migration of fragments were 6.0% in LL group and 24.0% in PL group. Use of stone retrieval equipment (baskets, forceps) was 16.0% and 64.0% in LL and PL group respectively (p<0.05). On the other hand stone fragments clearance requiring auxiliary procedures were 6% and 24% in LL and PL group respectively. The mean lithotripsy time was 40.46 ± 19.25 min and 36.86 ± 14.83 min the LL and PL group respectively. Use of stone retrieval equipment(baskets, forceps) was significantly lower in Holmium: YAG assisted ureteroscopy than pneumatic lithotripsy group. Bangladesh Med J. 2019 Jan; 48 (1): 26-30
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