Menopause is an inevitable stage of every woman’s life. This cross sectional study was conducted to assess the relationship between physical activity and menopausal symptoms from January to December 2017. By convenient sampling total 213 post menopausal women were interviewed from Mirpur, situated at the northern part of Dhaka. Five most prevalent menopausal symptoms were joint and muscular pain (90.1%), anxiety and sleep disturbance (80.3%), chest discomfort as well as physical and mental exhaustion (78.9%). Most of the respondents were physically active (63.4%), few were inactive (1.9%) and 34.7% respondents were Health Enhancing Physical Activity (HEPA) active. The mean of total Metabolic Equivalent of Task (MET)-minute per week was 2713.46 ± 1152.24 minutes. Menopausal symptoms retrieved from Menopause Rating Scale were assessed according to physical activity level. Physical and mental exhaustion was found statistically significant (p=0.04) with the higher proportion reported in divorced and widowed (90.5%). Significant relationship between psychological subscale and educational status was seen (p=.03). There was significant association between dryness of vagina and educational status (p<0.01). Physical and mental exhaustion and heart problems were found to be significantly higher among working women (p<.05). The relationship between BMI (Body Mass Index) and hot flash was found statistically significant (p<0.001). Significant statistical difference also was found between irritability and increase in BMI (p <0.001). Hot flash (p=0.001) and depression (p=0.002) were found to be statistically significant in relation with tobacco use. Uro genital symptoms ( p=.03), hot flash (p=0.01) and depression (p=0.009) were found to be statistically significant in relation with history of chronic disease. Only urinary problems were found statistically significant with HRT use. (p >.05). Anxiety was found statistically significant (p=.04) with highest proportion found in HEPA active women (89.2%). Proportion of sleep problems (100%), physical and mental exhaustion (100%), bladder problems (urinary incontinence) (75%), joint and muscular discomfort (100%) were more in inactive than minimally active and HEPA active women but the relationships were not statistically significant (p>.05). The result indicates that physical activity may have some role in reducing menopausal symptoms. Bangladesh Med J. 2018 Jan; 47 (1): 11-17
Globally tuberculosis (TB) has become the leading cause of death from infectious diseases. Tuberculosis is a chronic infection and a person may suffer from tuberculosis and other chronic medical conditions at the same time. Co-occurrence of multiple chronic conditions in the same individual, known as multimorbidity (MM) is increasing worldwide. This cross-sectional study was carried out from January 2017 to December 2017 to reveal the extent of multimorbidity among tuberculosis cases. A TB case with multimorbidity was defined as TB with multimorbidity (TB-MM) subject. By convenient sampling, 227 tuberculosis cases from 8 Directly Observed Treatment, Short Course (DOTS) centers from Dhaka, Mymensingh and Netrokona districts were enrolled in this study. Among 227 tuberculosis cases 29 (12.8%) cases had multimorbidity (TB-MM subjects). Prevalence of multimorbidity was significantly higher in age group ≥40 years (p<0.001), male cases (p=0.034) and cases who had family income >30000 BDT/month (p=0.001), were currently smoker (p=0.028) and whose BCG scars were not seen (p<0.001). This study recommends that each TB case should be investigated for other chronic conditions to reveal the actual national magnitude of multimorbidity. Bangladesh Med J. 2017 Sep; 46 (3): 74-79
Gradual rising of crime among adolescents is now a social and public health concern worldwide. A total of 1.9 million children getting incarcerated worldwide yearly where in Bangladesh, 1.3 million of children engaged in hazardous job most of them involved in crime. Again, physical and mental well-being is the legal and constitutional rights of the every adolescent including detained adolescent of Juvenile Development Centers. This is a cross-sectional study conducted to assess the physical and mental health status as well as socio-demographic status of adolescents of two Government Juvenile Development Center, Tongi and Konabari, Gazipur from January to December 2017. 191 adolescents were selected purposively (male: female=1.41:1). Data were collected by face to face interview and record review and height and weight of the respondents were measured. The mental health status was measured by WHO-5 Well-being Scale. The age range was from 13 to 17 years. Age of the respondents were significantly correlated with score of the WHO-5 well-being scale (p=0.028). The study observed higher score among respondents who had detained here for more than 2 months which was highly significant (p<0.001). Most of the respondents (75.9%) belong to poor family. The mean score of the WHO-5 well-being scale of the respondent was 52.20±10.0, where 35.1% had good and 64.9% had poor psychological well-being status and higher among male respondents (52.92±10.40) than the female respondents (51.29±9.45). The respondents who were employee prior to this institution had significantly high score (p=0.024). A significant relationship was observed between type of crime and the score of WHO-5 well-being scale (p=0.003). The mean body mass index was 20.26±1.27 kg/m2. Almost every respondent (92.7%) belongs to normal nutritional category. Well-being score of the respondents was significantly increased with the body mass index (p=0.005). This study revealed score of WHO-5 well-being scale was significantly associated with duration of stay of the respondents (p<0.001, R=0.540). Thus this study provides prevalence of mental health status and nutritional status as well as socio-demographic condition of adolescents of Government Juvenile Development Centre in Bangladesh which may provide the Government, sociologists and psychologists valid and reliable data for making plans and policies for improving or updating the living conditions of detainee of Juvenile development Centre. Bangladesh Med J. 2018 May; 47 (2): 7-11
Background: Aim of the study was to determine if extra-pulmonary tuberculosis (EPTB) is a communicable disease as commonly perceived or a disease of host immune dysfunction.Methods: Patients with clinical suspicion of EPTB, in general surgery and orthopaedic department of twin hospitals of Deccan College of Medical Sciences, between the period of January 2015 and December 2017, were investigated appropriately and those found to have confirmed TB were enrolled in the study and followed up for 1 year.Simultaneously patient’s details registered under RNTCP in the two local community health centres were collected and compared with the hospital based study.Results: Of 319 patients with clinical features, 267 were confirmed with EPTB- maximum number with lymph nodal disease (127) followed by extremity bone and joint (63), spine (38), skin and soft tissues (25) and abdominal tb (19). Method of confirmation differed for each site. Detection by AFB being the least sensitive followed by AFB culture. The best method of diagnosis being histopathological examination.Conclusions: Immunity plays a major role in site of reactivation of TB and healing of disease irrespective of duration of anti-tuberculous chemotherapy or surgical intervention.
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