Introduction: The outbreak of COVID-19 is taking an unprecedented mental toll on health workers worldwide. So it comes as no surprise that the mental well-being of health care workers of Bangladesh too is in serious jeopardy. This survey was aimed to assess the immediate psychological impact on doctors working in largest Covid-19 dedicated facility in Bangladesh, Dhaka Medical College Hospital.
Methods: This cross sectional study was conducted in a single-centre with response received from participating doctors between 31st May to 3rd June, 2020. Mental health variables were assessed via the Athens Insomnia Scale (AIS) and Hospital Anxiety Depression Score (HADS).
Results: We received 192 completed questionnaires (response rate, 64.43%) among whom around 50% of the participating doctors reportedly have depression and anxiety symptoms respectively. Among them 104 doctors (54.17%) responded to have insomnia. Around 56% of the responding subjects perceived the highly contagious nature of the SARS-CoV-2 as the most striking threat of COVID-19.
Conclusion: Agonizing disease process, high death toll, highly contagious nature of the responsible virus is taking a serious mental toll on physicians in the background of their heightened concern about personal health and family health, scarcity in PPE and adequate hospital facility. Psychological protective measures implemented by the hospital could be helpful.
J Bangladesh Coll Phys Surg 2020; 38(0): 50-55
Summary:Objectives: To see the way of presentation of extracranial complication, relationship between socio-economic conditions and extracranial complication of chronic suppuration otitis media.
Methods
Thyroid hormones play an important role in regulating energy balance and metabolism of glucose and lipids. A relationship between dyslipidemia and atherosclerosis is well established in clinical hypothyroidism. Whether subclinical hypothyroidism (SCH) is associated with lipid profile alteration, is the main concept behind the study. SCH is defined as an elevated thyroid stimulating hormone (TSH>5mIU/l) and normal free thyroxine level (FT4 9.5- 25.0 pmol/l). It is highly prevalent in elderly subjects, especially in women but it is frequently overlooked. We examined 40 women with SCH and 50 healthy controls (TSH 0.5-5.0 mIU/l and FT4 9.5- 25.0 pmol/l). None of the patients had been previously treated with thyroxine. In all participants we measured blood pressure, BMI, TSH, FT4 and fasting serum lipid profile. We conclude that SCH in middle aged women is associated with hypertension and significant increase of TC (p<0.001), LDL-C (p<0.001), TG (p<0.001) and decreased level of HDLC p<0.001) in comparison to euthyroid Controls. SCH patients showed significant positive correlation between TSH and total cholesterol (r=.492, p<0.01), LDL-C (r=.355, p<0.05) and TG (r=.274, p<0.05) and negative but nonsignificant corelationship with HDL-C (r = - .058,p=0.361). Dyslipidemia is one of the established risk factors of cardiovascular diseases. Therefore, this study indicates that monitoring of lipid level in SCH patients would be helpful in preventing cardiovascular diseases.Bangladesh J Med Biochem 2015; 8(1): 10-15
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