Mass psychogenic illness is not new in Bangladesh but in the year 2007, the sudden outbreak all over Bangladesh created a panic nationwide. The objective of the study was to investigate sociodemographic and other variables attributed to the disease. The first outbreak of this illness took place in Adiabad Islamia High School and College, Raipura, Narsinghdi. We rationally decided to conduct our research in this school in case-control design. Within 12 months’ study period, 125 students of class VI to X (45 cases and 80 controls) were interviewed face-to-face by structured questionnaire containing separate questionnaire for students and guardians. The result of the study showed that, all the cases came from lower socioeconomic class, majority (71.1%) from 14 to 16 years age group and most (77.8%) of the cases were female. Outbreak rapidly spread among the cases mostly by smelling foul odor (40%) and seeing index cases (33.3%). Majority (51.2%) of the cases and controls thought that the illness was due to both physical and psychological causes though most of them (93.6%) did not hear about the disease previously. It was evident that the role of socio-demographic variables for attributing the symptoms pattern of the disease was ambiguous. However early recognition of psychological stressors and prompt exclusion of physical illness can prevent the occurrence and rapid spread of the disease.Bang J Psychiatry June 2016; 30(1): 14-19
Background: Non-adherence to medication increases patient’s risk of morbidity, mortality and economic wastage of scare medical resources. This study was conducted to assess the role of doctor-patient communication and duration of consultation, as tools to improve adherence to hypertension treatment. Methods: Data of this cross-sectional study were collected by face to face interview and document review at Combined Military Hospital (CMH), Dhaka among 253 conveniently recruited hypertensive patients attending outpatient department during July 2016 to June 2017. Mean-age of the respondents was 49.2 (±10.4) years, mostly married male (54.9% male, 95.3% married). Mean consultation duration experienced by the respondents was 5.3 (± 1.3) minutes. Among the participants, 63.64% experienced effective communication, 66% were adherent and 34% were non-adherent to medication. Among the respondents with effective communication, 92.5% were adherent to medication. On the contrary, among the respondents with ineffective communication, 80.4% were non-adherent. Results: Duration of consultation had significant association with adherence to hypertension treatment (p<0.001). Association between communication and adherence to medication was highly significant (p<0.001). Binary logistic regression revealed that respondents were 3.23 times more adherent to medication with favorable response to the item- ‘Doctor gave me as much information as I wanted’ (p = 0.041); and 10.24 times with favorable response to the item- ‘Doctor checked to be sure that I understood everything’(p=0.006). Patients’ faithfulness in carrying out prescription and proscriptions correctly, depends on the adequacy and accuracy of patient’s knowledge of what they were supposed to do and on their motivation. Conclusion: Thus, it is necessary to formulate interventions to scale up communication skill of the physicians, and devise effective ways to educate patients on medication of chronic diseases. Further studies on characteristics of consultation to make it motivating and more effective may be conducted. Bangladesh Med Res Counc Bull 2018; 44: 145-151
Introduction: Knee injury one of the most common injuries among soldiers accounts for losses in efficient combat power as well as increase burden of disability placed to the different units of Armed Forces. Objectives: To find out the pattern of knee injury of patients attending at a tertiary military hospital. Materials and Methods: This descriptive cross-sectional study carried out during January 2017 to December 2017 at Orthopedic Center of CMH, Dhaka. A total of 153 knee injuries patients were selected purposively as per selection criteria and data were collected by face to face interview and record review. Results: Total 153 respondents’ mean age was 31.03±10.19 years, most of them (41.8%) were from age group 25-34 years and were male (90.8%). Anterior Cruciate Ligament (ACL) injury was predominant (37.9%) and main precipitating physical event was football (20.3%) followed by jumping 9 feet ditch (16.3%). Right knee was more involved (49.7%) than left knee (46.4%). Most of injuries occurred in the exercise ground (40.5%) then sports ground (35.3%). ACL injuries (19%) were common in the age group 25-34 years and 9.8% were in 15-24 years. Morbidity duration of knee injuries was <1 year for 49% and 1-5 years for 36.6% of the respondents. Conclusion: Training-related injuries negatively impact the capabilities of any Armed Forces. Low fitness levels among soldiers are associated with increased risk for injury and attrition. Knee injury may be considered as one of the major occupational health problems of Armed Forces. Journal of Armed Forces Medical College Bangladesh Vol.15 (1) 2019: 98-101
Introduction: Patients’ satisfaction has become a key criterion by which quality of health care services is evaluated. Quality of food and its services in a hospital is an important component of treatment process since it sometimes is a part of treatment and often affects the patients' satisfaction. Objectives: To determine the level of patients’ satisfaction about quality of food and services and to identify the factors affecting it. Materials and Methods: This cross-sectional observational study was carried out from July 2018 to June 2019 in a tertiary military hospital, Dhaka. Structured questionnaires were used as data collection instruments and were analyzed by SPSS version 23. Results: Out of 184 respondents’ majority (60.3%) were satisfied with hospital food and food services. About 94%, 91.3%, 88%, 84.8%, 3.2% and 77.2% respondents were satisfied with amount, warmth, cleanliness of utensils, cleanliness of food servers, attitude and behaviour of food servers and food distribution time respectively. Relationship between overall satisfaction level and different aspects related to hospital food and food services was detected by chi-square and Fisher’s exact test. In logistic regression analysis result showed that taste of food, food distribution time, cleanliness of food servers and cleanliness of ward/cabin were statistically significant and most important determinants of patients’ satisfaction with the food served in hospital. Conclusion: Improving taste of food, ensuring cleanliness of the food servers and ward and adjusting food distribution time are required to improve the level of overall patients’ satisfaction towards hospital food and food services. JAFMC Bangladesh. Vol 17, No 1 (June) 2021: 3-6
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