Introduction: Mental health is essentially as important as the physical health required of an individual to maintain. There are many factors that seem to play a role in the genesis of mental illness.Objective: This study was conducted among the mentally ill patients admitted to four hospitals of Dhaka city with a view to find out their socio demographic characteristics of mental illness.Materials and Methods: It was a descriptive type of cross sectional study. A total number of 81 patients and their near relatives were interviewed at four medical institutions through a structured questionnaire. A checklist was used for clinical diagnosis of the patients. A master sheet was prepared followed by questionnaire plotting all the information. Then data were analyzed according to objectives and necessary tables were prepared accordingly by case appropriate variables of the study using Microsoft office program.Results: The study results showed that 81.49% patients were male and 18.51% patients were female. Of the total patients 71.61% were found in the age group of unto 30 years. Maximum patients (61.73%) were found within the monthly family income of BDT 2500/- to 4500/- only. 53.03% of patients were married followed by 39.51% of unmarried. The study revealed that 58.02% patients hailed from urban area. 61.73% patients were educated up to secondary level and only 8.64% patients were illiterate. Regarding occupation 27.17% patients were cultivator and 16.05% were students. The study reflected that 48.15% patients were smokers and very few (6.17%) were drug drug addicts. 61.73% patients were living in joint families.50.62% patients did not receive treatment prior to admission. Of the total 49.38% treated cases (prior to admission), 25% cases were treated from the homeopath and only 25% were consulted with specialist.Conclusion: The lower and middle socio economic group and literate group from urban areas living in joint family suffered more from mental illness. There is need for appropriate policy to address the problems of families with mentally ill patients at the family and community levels.Journal of Armed Forces Medical College Bangladesh Vol.10(2) 2014
Hanging, the commonest method of suicide, is a form of violent asphyxia produced by suspending the body with a ligature round the neck. A total of 312 cases of suicidal hanging autopsied in this five years retrospective descriptive study spanning from January 2000 to December 2004 at Sir Salimullah Medical College (SSMC) morgue. The objective of this study was to evaluate the present situation, pattern of hanging, socio-demographic characteristics of victims and probable cause of suicidal hanging of studied population. Victims' mean( ± SD) age was (23.5 ± 11.7) years and highest number 146 (46.8%) of victims were from the age group 21-30 years. This study revealed that numbers of suicidal hanging cases were increasing day by day in the studied area (46 in 2000 and 82 in 2004). Out of 312 cases, 171 (55%) were female and 141 (45%) were male. Married cases were 165 (53%) and 204 (66%) victims hanged themselves at night. In 165 (53%) victims' stomach were found empty. Most of the cases 309 (99%) were complete hanging and majority 299 (96%) of the bodies were recovered from the living rooms. In two hundred and sixty nine (87%) cases had ligature mark at neck, 132 (43%) cases had fracture of hyoid bone and 45 (15%) victims had the fracture of thyroid cartilages and none of the victims had found spinal cord injury. Maximum number of victims 134 (43%) used ropes as ligature materials. Most common known 70 (23%) cause of self-suspension was quarrel between husband and wife.KYAMC Journal Vol. 4, No.-1, July 2013, Page 331-336
Introduction: Parasitic diseases and Tuberculosis were shown to be the risk factor for each other. Co-infection of visceral leishmaniasis and pulmonary tuberculosis are increasing public health problem now a days especially in developing countries. More than 81% of cases and deaths from TB are in developing countries and is aggravated by concurrency with parasitic diseases.Objective: To find out the occurrence of Leishmaniasis amongst Tuberculosis (TB) patients of Kala-azar endemic areas admitted to Surya Kanto (SK) Hospital, Mymensingh. Materials and Methods:This descriptive cross-sectional study was conducted at Infectious and Tropical Disease Department of Mymensingh Medical College Hospital, a tertiary referral hospital from January 2014 to Decmber 2016. A total 176 TB patients reported from Kala-azar endemic areas admitted were included. For confirmation of diagnosis all cases of TB were sent for Gene expert before that relevant tests like CBC (Complete Blood Count), X-ray chest, Mantoux test, Smear tests were done. After having confirmed all the TB cases were investigated for Kala-azar. Venous blood was collected for buffy coat and serum for ELISA. All 176 patients' blood were tested with ICT(rK39) for VL. There after splenic aspiration were done with full aseptic preparation for only those who were ICT positive. Smears were prepared and viewed under microscope with 10x 100 magnification. After that all these cases were tested by ELISA.Results: A total of 176 TB patients were selected in this study of which 120(68.1%) were male and male-female ratio was 2.1: 1, the mean age was 43.06 years. Among patients 87.49% were within 16 to 60 years of age that means within productive age of life are infected more with TB. In terms of education 79.10%(139) patients were below Secondary level, that revealed the illiterate and or less literate people were affected more by TB. Maximum patient's family 132(74.99%) had monthly income up to 10,000.00 BDT (125 US$)i.e. the poorer people of the area. Out of 176 patients Smear positive TB cases were 170(97.41%) but By Gene Xpert all 176 patients were found positive. The blood sample of 176 patients were tested with ICT rK39 and 12(6.81%) patients were found positive for leishmaniasis who suffered from TB. In splenic smear test 12 patients smear were examined of which 11(91.66%) were positive but by ELISA all 12(100%) were found positive. Conclusion:Visceral leishmaniasis and tuberculosis co-infection have drawn attention to the clinical aspect. In both diseases infection may remain dormant asymptomatic which may be related to immune suppression and may lead to active disease. This study has been able to find out leishmaniasis amongst tuberculosis patients from kala-azar endemic areas of Bangladesh. Abstract Leishmaniasis amongst TB patients from Kala-azar endemic areas admitted to Surya Kanto Hospital, Mymensingh
Introduction: Polycystic Ovarian Syndrome (PCOS) is a major cause of female infertility which is thought to be associated with Insulin Resistance (IR). However the nature and degree of IR have been shown to vary in different populations. PCOS women have also been reported to have increased prevalence of subclinical hypothyroidism which has been postulated to be determinants of IR. The natures of thyroid involvement have also been shown to vary between populations.Objectives: The study was undertaken to explore the distribution of IR and thyroid dysfunction as assessed by Thyroid Stimulating Hormone (TSH) levels among PCOS subjects and also to investigate the association of IR with TSH in women with PCOS.Materials and Methods: One hundred and fifty one PCOS patients (age in years 24±5; M±SD) were studied. PCOS was diagnosed by Rotterdam criteria. Fasting serum C-peptide was measured by Enzyme Linked Immuno Sorbide Essay (ELISA) and serum TSH was measured by Microparticle Enzyme Immunoassay (MEIA). Serum glucose was estimated by Glucose-Oxidase method (GOD-PAP). Insulin sensitivity was assessed by using Homeostasis Model Assessment (HOMA).Results: The mean serum C-peptide (nmol/l) and HOMA%S were 0.67 (±0.35) and 85 (±42) respectively. The median (Range) serum TSH level (?lU/ml) of the study subjects was found to be 2.49 (0.66 to 20.86). Insulin sensitivity was found to be 26%, 47%, 17% and 10% in those who had HOMA%S level at the range of <50, 50-100, 101-150 and >150 respectively. Of the total PCOS subjects, 85% had normal level of TSH value whereas only 15% PCOS subjects had subclinical hypothyroidism. The median serum TSH level of the insulin resistance and non-resistance groups were 2.25 (0.89-5.71) and 2.58 (0.74-20.86) respectively. On Pearson's correlation analysis insulin sensitivity was not found to be any significant association with TSH in the PCOS subjects.Conclusion: The study revealed that there was no significant association with IR and TSH in the PCOS subjects.Journal of Armed Forces Medical College Bangladesh Vol.11(1) 2015: 69-73
Introduction: The number of drug abusers is increasing in an alarming state in Bangladesh and they are identified as high risk group for developing Hepatitis B and HIV. Objectives: The aim of this study was to find out various information about drug addicts and their behavioural pattern which can guide the future developmental strategies and planning for reduction of spreading hepatitis B and HIV among the vulnerable population. Methods: This descriptive type of cross sectional study was performed during July 2006 to June 2007 in three different drug addiction treatment clinic in Uttara, Dhaka on high risk behaviour of drug addicts . A total 194 Drug addicts were interviewed individually by using a structured questionnaire. The questionnaire was filled up by the author during interview. All the data were checked and edited after collection on the spot. Compilation and subsequent tabulation were done manually. Simple technique of data analysis for percentage, average, standard deviations etc. were done with scientific calculator and using SPSS 11. Results: Out of 194 cases 180 (92.78%) were male and 114(58.76%) were unmarried. Most of them 118(60.82%) were within the age group of 20 to 29 years. They have an average family income of 12456.39 Taka per month. Most of the addicts 73(37.63%) were students.Average family size of drug addicts were 6.73 and majority of them 148(76.29%) resided with parents. Only 16(8.24%) drug addicts expressed quarrelsome relationship among their parents and 21(10.83%) stated a bad relationship with other family members. Of them 86(44.33%) started to have taking drug at an age range between 20 to 29 years and most of them 156(80.41%) used poly drug.Heroin 161(82.99%) ranked top as abused drug. Most of them 143(73.71%) were influenced by their friends for initiation of drug addiction. The average daily expense for drug was 191.13 Taka per day and most of them 142(73.19%) had frequency of drug abuse more than once daily. Only 20(10.31%) were found as Intravenous Drug Users (IDU); 16(80%) of the IDUs shared same syringe/needle.Among all the addicts 6(3.09%) were professional blood donor and among the IDU 4(20%) were professional blood donors. 139(71.65%) had history of sex without condom. 82(42.27%) were unaware about high risk behaviour due to lack of adequate knowledge. 185(95.36%) used to procure drug from black market. 5(25%) of IDU and 2(1.15%) of non IDU were found to be Hepatitis B positive though no HIV positive case was found. Conclusion: Wide spread motivation of the drug addicts and nationwide publicity regarding the ill effects of their high risk behaviour are needed to combat the spread of Hepatitis B/ HIV. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18723 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 35-42
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