Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61796
M. Bashar, Md. Emdadul Haque, Md. Ziaul Islam
Background: Chronic kidney disease is a steadily growing health problem. Malnutrition is common in this irreversible state of kidney failure. The CKD along with malnutrition adversely affect the HRQOL of the patients. This study was conducted to assess the association between nutritional status and HRQOL of CKD patients. Methods: This cross-sectional study was conducted among 220 CKD patients at Gonoshasthaya Dialysis Centre in Dhaka of Bangladesh during the period from July 2019 to June 2020. Data were collected purposively by using a semi-structured questionnaire with face to face interview, physical examinations and review of medical records. Results: In this study, majority of the patients were male (67.7%) and mean (±SD) age was 47.59±12.51 years. The patients were higher in proportion (60.0%) in stage 5. Mean (±SD) duration of CKD was 3.8 (±1.83) years. Based on SGA score, majority of the patients (81.8%) were mild to moderately malnourished while 5.5% were severely malnourished. Overall mean (±SD) score of HRQOL was 47.07 (±14.89). The score was higher (53.84±13.60) in KDCS followed by MCS (45.99±21.06) and PCS (41.35±14.92). Mean (±SD) score of HRQOL was 33.27±9.80, 45.67±14.26 and 61.96±9.16 in severely malnourished, mild to moderately malnourished and well-nourished patients respectively (F = 24.191, p < .001). Correlation between mean score of HRQOL and SGA score was positively significant (r= .709, p<.001). Age, income, family member, duration of CKD, hemoglobin, serum albumin and SGA score together accounted for 65.6% variability of HRQOL score (R2 = 0.656, adjusted R2 = 0.645, (F= 57.829, p <.001) with the SGA score recording a higher beta value (beta = 0.474, p <.001). Conclusion: The study found, most of the patients were malnourished with a low level of HRQOL score. Correlation between the mean score of HRQOL and SGA score was significant and strongly positive. JOPSOM 2021; 40(2): 44-51
背景:慢性肾脏疾病是一个日益严重的健康问题。在这种不可逆的肾衰竭状态下，营养不良是很常见的。CKD合并营养不良对患者的HRQOL有不利影响。本研究旨在评估CKD患者营养状况与HRQOL之间的关系。方法:本横断面研究于2019年7月至2020年6月期间在孟加拉国达卡gonoshastaya透析中心对220名CKD患者进行了研究。采用半结构式问卷、面对面访谈、体格检查、查阅病历等方式收集资料。结果:本组患者以男性居多(67.7%)，平均(±SD)年龄为47.59±12.51岁。5期患者比例较高(60.0%)。CKD的平均(±SD)持续时间为3.8(±1.83)年。根据SGA评分，大多数患者(81.8%)为轻度至中度营养不良，5.5%为重度营养不良。HRQOL总平均(±SD)评分为47.07分(±14.89分)。KDCS评分最高(53.84±13.60)，其次是MCS(45.99±21.06)和PCS(41.35±14.92)。重度营养不良、轻度至中度营养不良和营养良好患者的HRQOL平均(±SD)评分分别为33.27±9.80、45.67±14.26和61.96±9.16 (F = 24.191, p < 0.001)。HRQOL平均评分与SGA评分呈正相关(r= 0.709, p< 0.001)。年龄、收入、家庭成员、CKD病程、血红蛋白、血清白蛋白、SGA评分共占HRQOL评分变异率的65.6% (R2 = 0.656，调整后R2 = 0.645, F= 57.829, p < 0.001)，其中SGA评分的β值较高(β = 0.474, p < 0.001)。结论:研究发现，大多数患者营养不良，HRQOL评分较低。HRQOL平均评分与SGA评分呈显著正相关。JOPSOM 2021;40 (2): 44-51
{"title":"Nutritional Status and Health Related Quality of Life Of Chronic Kidney Disease Patients","authors":"M. Bashar, Md. Emdadul Haque, Md. Ziaul Islam","doi":"10.3329/jopsom.v40i2.61796","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61796","url":null,"abstract":"Background: Chronic kidney disease is a steadily growing health problem. Malnutrition is common in this irreversible state of kidney failure. The CKD along with malnutrition adversely affect the HRQOL of the patients. This study was conducted to assess the association between nutritional status and HRQOL of CKD patients.\u0000Methods: This cross-sectional study was conducted among 220 CKD patients at Gonoshasthaya Dialysis Centre in Dhaka of Bangladesh during the period from July 2019 to June 2020. Data were collected purposively by using a semi-structured questionnaire with face to face interview, physical examinations and review of medical records.\u0000Results: In this study, majority of the patients were male (67.7%) and mean (±SD) age was 47.59±12.51 years. The patients were higher in proportion (60.0%) in stage 5. Mean (±SD) duration of CKD was 3.8 (±1.83) years. Based on SGA score, majority of the patients (81.8%) were mild to moderately malnourished while 5.5% were severely malnourished. Overall mean (±SD) score of HRQOL was 47.07 (±14.89). The score was higher (53.84±13.60) in KDCS followed by MCS (45.99±21.06) and PCS (41.35±14.92). Mean (±SD) score of HRQOL was 33.27±9.80, 45.67±14.26 and 61.96±9.16 in severely malnourished, mild to moderately malnourished and well-nourished patients respectively (F = 24.191, p < .001). Correlation between mean score of HRQOL and SGA score was positively significant (r= .709, p<.001). Age, income, family member, duration of CKD, hemoglobin, serum albumin and SGA score together accounted for 65.6% variability of HRQOL score (R2 = 0.656, adjusted R2 = 0.645, (F= 57.829, p <.001) with the SGA score recording a higher beta value (beta = 0.474, p <.001).\u0000Conclusion: The study found, most of the patients were malnourished with a low level of HRQOL score. Correlation between the mean score of HRQOL and SGA score was significant and strongly positive.\u0000JOPSOM 2021; 40(2): 44-51","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"203 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76362284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Children never faced a pandemic situation. For this situation children’s lives are being affected, including their daily routine. This situation could have influenced both bad or good habit. One of the most alarming issue was their food consumption pattern during lockdown at home. Objective: To assess an English medium school children’s food consumption habit during COVID-19 lockdown. Materials and methods: This cross-sectional study was carried out about one of the English medium school children’s eating habits during the COVID-19 lockdown in Bangladesh. Online questionnaire was developed and delivered to the care giver of the children’s. Total 130 caregivers and 223 children were selected purposively. The study period was 1st October 2020 to February 2021. Results: Distribution of the children according to the sex, female (70.4%) were more than male and ten to eleven years’ children (40.8%) were more. Educational background of caregivers found, graduation (76.2%), only 48.5% care givers sometimes did physical activity, monthly family income more the two lacs (66.2%), homemaker (71.6%) and 77.7% of them cooked food with the help of housemaid. Chocolate, milk product, meat and fast food intake is alarmingly high, found in seven days’ food intake chart. 60% children take extra food two times in a day, 50% of that food was homemade and online ordered. Foods were ordered 2-3 times per week by 44.6% caregivers and mostly ordered items were fast foods (66.2%). 63.1% children were found overweight. There was significant association between frequent online food order and change body shape of the child (p=.04) and monthly income and how many time children’s intake extra food in a day (p=.01). Conclusion: Schools were run in online basis. Parents were responsible for their children food intake throughout the whole day. It was challenging for the parents. JOPSOM 2021; 40(2):32-37
{"title":"Food Consumption Pattern Among Children in An English Medium School During COVID-19","authors":"Nabhira Aftabi Binte Islam, Faria Tabassum Tanni, Arzu Akter, Sharika Shahrin","doi":"10.3329/jopsom.v40i2.61794","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61794","url":null,"abstract":"Background: Children never faced a pandemic situation. For this situation children’s lives are being affected, including their daily routine. This situation could have influenced both bad or good habit. One of the most alarming issue was their food consumption pattern during lockdown at home.\u0000Objective: To assess an English medium school children’s food consumption habit during COVID-19 lockdown.\u0000Materials and methods: This cross-sectional study was carried out about one of the English medium school children’s eating habits during the COVID-19 lockdown in Bangladesh. Online questionnaire was developed and delivered to the care giver of the children’s. Total 130 caregivers and 223 children were selected purposively. The study period was 1st October 2020 to February 2021.\u0000Results: Distribution of the children according to the sex, female (70.4%) were more than male and ten to eleven years’ children (40.8%) were more. Educational background of caregivers found, graduation (76.2%), only 48.5% care givers sometimes did physical activity, monthly family income more the two lacs (66.2%), homemaker (71.6%) and 77.7% of them cooked food with the help of housemaid. Chocolate, milk product, meat and fast food intake is alarmingly high, found in seven days’ food intake chart. 60% children take extra food two times in a day, 50% of that food was homemade and online ordered. Foods were ordered 2-3 times per week by 44.6% caregivers and mostly ordered items were fast foods (66.2%). 63.1% children were found overweight. There was significant association between frequent online food order and change body shape of the child (p=.04) and monthly income and how many time children’s intake extra food in a day (p=.01).\u0000Conclusion: Schools were run in online basis. Parents were responsible for their children food intake throughout the whole day. It was challenging for the parents.\u0000JOPSOM 2021; 40(2):32-37","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86168147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Diabetic retinopathy (DR) is one of the leading causes of vision loss which occurs as a result of microvascular complication of diabetes. The aim of the study is to assess the prevalence and factors associated with development of diabetic retinopathy among diabetic patients attending eye camps in a diabetic hospital of northern Bangladesh. Methods: This was a population-based cross-sectional study, conducted through five comprehensive eye camps at diabetic association hospital in Nilphamari, Bangladesh. Previously diagnosed patients with Diabetes Mellitus attending eye camps were the sample of this study which included a total of 254 participants. All participants underwent complete eye examination to check for any signs of DR with any other ocular abnormalities. Retinopathy was determined by fundus photography and direct ophthalmoscopy. Participants were also interviewed and examined to determine their demographic characteristics, clinical conditions, awareness on diabetic retinopathy and regularity of their eye visits. Results: A total of 254 subjects were screened for diabetic retinopathy. Of them, 64 (25.2%) had diabetic retinopathy including, including 53 (20.9%) with non-proliferative retinopathy (NPDR) and 11 (4.3%) with proliferative diabetic retinopathy (PDR). Clinically significant macular edema (CSME) was detected in 7 patients (2.7%). The prevalence of diabetic retinopathy was higher among patients with greater duration of diabetes (p=< 0.001), poor glycemic control (p=0.002) and presence of hypertension (p=0.05). Conclusion: Regular screening in patients with diabetes for early detection of diabetic retinopathy by effective screening program and increasing public awareness are highly recommended in Bangladesh. JOPSOM 2021; 40(2):16-25
{"title":"Diabetic Retinopathy and Associated Risk Factors Among Diabetic Patients Attending Eye Camps In Northern Bangladesh","authors":"Md. Sajidul Huq, Khairul Islam, Md. Sumsujjaman, Rokhsana Afroze Shoma, Akm Firoz Alom Saifullah, Md. Faruck Hussain","doi":"10.3329/jopsom.v40i2.61792","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61792","url":null,"abstract":"Background: Diabetic retinopathy (DR) is one of the leading causes of vision loss which occurs as a result of microvascular complication of diabetes. The aim of the study is to assess the prevalence and factors associated with development of diabetic retinopathy among diabetic patients attending eye camps in a diabetic hospital of northern Bangladesh.\u0000Methods: This was a population-based cross-sectional study, conducted through five comprehensive eye camps at diabetic association hospital in Nilphamari, Bangladesh. Previously diagnosed patients with Diabetes Mellitus attending eye camps were the sample of this study which included a total of 254 participants. All participants underwent complete eye examination to check for any signs of DR with any other ocular abnormalities. Retinopathy was determined by fundus photography and direct ophthalmoscopy. Participants were also interviewed and examined to determine their demographic characteristics, clinical conditions, awareness on diabetic retinopathy and regularity of their eye visits.\u0000Results: A total of 254 subjects were screened for diabetic retinopathy. Of them, 64 (25.2%) had diabetic retinopathy including, including 53 (20.9%) with non-proliferative retinopathy (NPDR) and 11 (4.3%) with proliferative diabetic retinopathy (PDR). Clinically significant macular edema (CSME) was detected in 7 patients (2.7%). The prevalence of diabetic retinopathy was higher among patients with greater duration of diabetes (p=< 0.001), poor glycemic control (p=0.002) and presence of hypertension (p=0.05).\u0000Conclusion: Regular screening in patients with diabetes for early detection of diabetic retinopathy by effective screening program and increasing public awareness are highly recommended in Bangladesh.\u0000JOPSOM 2021; 40(2):16-25","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88460103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61797
Nelufar Banu, H. Sultana, Mahmudul Hossa
Background: Perceived Mental Stress (PMS) is an inevitable component of life. During COVID-19 pandemic, it’s ongoing and unpredictable situation has been increasing PMS among women. This present study was designed to compare the PMS level between employed and unemployed women. Methods: This comparative cross sectional study was conducted among purposively selected 240 women; of them 120 employed women are bankers, teachers and other sectors employees and 120 unemployed women are housewives. Data were collected from these participants by using a pre tested semi structured questionnaire and PMS was assessed by using Perceived Stress Scale (PSS) Bangla version. The collected data were analyzed by using SPSS software (Version 20) and p < 0.05 considered as statistical significant. Results: In this comparative study, the mean (±SD) score of PMS between employed and unemployed women found 20.0 (±5.48) and 20.5(±5.16) respectively, which was not statistically significant (p>0.05). The majority (81.7%) of employed women and (80.8%) of unemployed women suffered from moderate stress which was not statistically significant (p>0.05). There exist significant association between PMS and socio-demographic characteristics i.e. educational qualification (p=0.04), complete recovery from COVID-19 (p=0.02) in employed women; where as in unemployed women monthly family income (p=0.03), knowledge on specific treatment of COVID-19 (p=0.02) were significantly associated with PMS. Conclusion: The study revealed no significant difference in PMS between employed and unemployed women and but some associated factors lead them to stressful situation. So, equal emphasis should be given on both employed and unemployed women to prevent perceived mental stress. JOPSOM 2021; 40(2): 52-57
{"title":"Perceived Mental Stress Among Employed And Unemployed Women: A Comparative Cross Sectional Study During COVID-19 Pandemic","authors":"Nelufar Banu, H. Sultana, Mahmudul Hossa","doi":"10.3329/jopsom.v40i2.61797","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61797","url":null,"abstract":"Background: Perceived Mental Stress (PMS) is an inevitable component of life. During COVID-19 pandemic, it’s ongoing and unpredictable situation has been increasing PMS among women. This present study was designed to compare the PMS level between employed and unemployed women.\u0000Methods: This comparative cross sectional study was conducted among purposively selected 240 women; of them 120 employed women are bankers, teachers and other sectors employees and 120 unemployed women are housewives. Data were collected from these participants by using a pre tested semi structured questionnaire and PMS was assessed by using Perceived Stress Scale (PSS) Bangla version. The collected data were analyzed by using SPSS software (Version 20) and p < 0.05 considered as statistical significant.\u0000Results: In this comparative study, the mean (±SD) score of PMS between employed and unemployed women found 20.0 (±5.48) and 20.5(±5.16) respectively, which was not statistically significant (p>0.05). The majority (81.7%) of employed women and (80.8%) of unemployed women suffered from moderate stress which was not statistically significant (p>0.05). There exist significant association between PMS and socio-demographic characteristics i.e. educational qualification (p=0.04), complete recovery from COVID-19 (p=0.02) in employed women; where as in unemployed women monthly family income (p=0.03), knowledge on specific treatment of COVID-19 (p=0.02) were significantly associated with PMS.\u0000Conclusion: The study revealed no significant difference in PMS between employed and unemployed women and but some associated factors lead them to stressful situation. So, equal emphasis should be given on both employed and unemployed women to prevent perceived mental stress.\u0000JOPSOM 2021; 40(2): 52-57","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"281 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78458002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61790
Nigar Ferdousi, Md. Ziaul Islam, S. Sultana, Nurshia Jahan
Background: Women of Bangladesh, especially rural women experience adverse situations in terms of socioeconomic inequality and gender disparity. This study compared the decision making empowerment among women with and with microcredit coverage. Methods: The study design was a cross sectional study in two sample situation. Total 258 women, 129 with microcredit coverage and 129 without microcredit, was selected by convenience sampling technique from Pakdy and Thantoly of Madaripur district in Bangladesh. Data were collected by face to face interview with the help of a semistructured questionnaire. Data were analyzed by SPSS software. Quality control and ethical issues were maintained strictly. Results: The study revealed that mean (±SD) age of women with microcredit coverage was 30.27(±9.62) years and women without microcredit coverage was 30.78(±8.98) years. Mean (±SD) score of decision making empowerment was significantly higher among women with microcredit (34.02±3.92) than without microcredit (17.89±5.20) (p<0.01). Mean (±SD) score of household related decision making empowerment among women with microcredit 14.22 (±1.96) was significantly higher (p<0.01). Mean (±SD) score of physical movement related decision making empowerment among women with microcredit (9.39±1.57) was significantly higher (p<0.01). Mean (±SD) score of economic decision making empowerment was significantly higher among women with microcredit coverage (10.50±1.324) (p<0.01). There were significant positive relationships between age of women with microcredit coverage and decision making empowerment (r=0.133). There were significant positive relationships between age (r=0.375) and monthly family income (r=0.308) of women without microcredit coverage and decision making empowerment. Conclusion: This study revealed that rural women had enhanced their decision making empowerment by participating in microcredit programmes. JOPSOM 2021; 40(2):1-8
{"title":"Decision Making Empowerment Among Women With And Without Microcredit Coverage","authors":"Nigar Ferdousi, Md. Ziaul Islam, S. Sultana, Nurshia Jahan","doi":"10.3329/jopsom.v40i2.61790","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61790","url":null,"abstract":"Background: Women of Bangladesh, especially rural women experience adverse situations in terms of socioeconomic inequality and gender disparity. This study compared the decision making empowerment among women with and with microcredit coverage.\u0000Methods: The study design was a cross sectional study in two sample situation. Total 258 women, 129 with microcredit coverage and 129 without microcredit, was selected by convenience sampling technique from Pakdy and Thantoly of Madaripur district in Bangladesh. Data were collected by face to face interview with the help of a semistructured questionnaire. Data were analyzed by SPSS software. Quality control and ethical issues were maintained strictly.\u0000Results: The study revealed that mean (±SD) age of women with microcredit coverage was 30.27(±9.62) years and women without microcredit coverage was 30.78(±8.98) years. Mean (±SD) score of decision making empowerment was significantly higher among women with microcredit (34.02±3.92) than without microcredit (17.89±5.20) (p<0.01). Mean (±SD) score of household related decision making empowerment among women with microcredit 14.22 (±1.96) was significantly higher (p<0.01). Mean (±SD) score of physical movement related decision making empowerment among women with microcredit (9.39±1.57) was significantly higher (p<0.01). Mean (±SD) score of economic decision making empowerment was significantly higher among women with microcredit coverage (10.50±1.324) (p<0.01). There were significant positive relationships between age of women with microcredit coverage and decision making empowerment (r=0.133). There were significant positive relationships between age (r=0.375) and monthly family income (r=0.308) of women without microcredit coverage and decision making empowerment.\u0000Conclusion: This study revealed that rural women had enhanced their decision making empowerment by participating in microcredit programmes.\u0000JOPSOM 2021; 40(2):1-8","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"248 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76987276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61795
Elezabeth Corraya, K. Akhtar, Shajeda Azizi
Background: Patient record prescribed further state of health of the patient and determines the diagnosis of diseases by exerting the history. The study was conducted to assess the practice of patient record management among nurses in a selected government hospital, Dhaka, Bangladesh. Methods: A descriptive type of cross-sectional study was done among 214 respondents following convenient methods of sampling from Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh from January to December 2020. Data were collected through face-to-face interview by using a pretested semi-structured questionnaire. Results: The study revealed that about 27% of the respondents were belonging to the 26-30 age groups and the mean ± SD of age was 35.16 ± 6.93. Most of the respondents 48% were diploma in nursing. Out of 214 respondents, the pattern of nursing documentation was always filled up by about 97%, documentation practice was taken manually by 55%, management of missing files was done by 33% of respondents, and confidentiality record kept access for authorized ones was mentioned by 58%. Keeping patient records after death was made by 34.2% of respondents and preservation of medico-legal files was stored on papers narrated by 90% of the respondents. The majority of the respondents 73.4% mentioned inadequate working knowledge as a barrier in medical history training. Conclusion: Practice of Nurses on patient record management may help the authority to identify any error in the patient care, self-evaluation, and assure the quality of care. The study has an immense value if it’s possible to develop the electronic data record-keeping system in every government hospital. JOPSOM 2021; 40(2): 38-43
{"title":"Practice of Nurses on Patient Record Management In Tertiary Level Hospitals","authors":"Elezabeth Corraya, K. Akhtar, Shajeda Azizi","doi":"10.3329/jopsom.v40i2.61795","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61795","url":null,"abstract":"Background: Patient record prescribed further state of health of the patient and determines the diagnosis of diseases by exerting the history. The study was conducted to assess the practice of patient record management among nurses in a selected government hospital, Dhaka, Bangladesh.\u0000Methods: A descriptive type of cross-sectional study was done among 214 respondents following convenient methods of sampling from Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh from January to December 2020. Data were collected through face-to-face interview by using a pretested semi-structured questionnaire.\u0000Results: The study revealed that about 27% of the respondents were belonging to the 26-30 age groups and the mean ± SD of age was 35.16 ± 6.93. Most of the respondents 48% were diploma in nursing. Out of 214 respondents, the pattern of nursing documentation was always filled up by about 97%, documentation practice was taken manually by 55%, management of missing files was done by 33% of respondents, and confidentiality record kept access for authorized ones was mentioned by 58%. Keeping patient records after death was made by 34.2% of respondents and preservation of medico-legal files was stored on papers narrated by 90% of the respondents. The majority of the respondents 73.4% mentioned inadequate working knowledge as a barrier in medical history training.\u0000Conclusion: Practice of Nurses on patient record management may help the authority to identify any error in the patient care, self-evaluation, and assure the quality of care. The study has an immense value if it’s possible to develop the electronic data record-keeping system in every government hospital.\u0000JOPSOM 2021; 40(2): 38-43","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"169 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76184631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61791
Mohammad Syfur Rahman, Tayeba Sultana, T. Sultana, S. Alam, S. M. Ershad, Sorowar Hossain
Background: End-stage renal disease (ESRD) patients undergoing maintenance hemodialysis often suffer from malnutrition. The primary objective of the study was to measure the level of serum prealbumin, assess the correlation of serum prealbumin with modified subjective global assessment score and determine a cut-off value for prealbumin that can estimate the nutritional status of the study population with highest accuracy, among ESRD patients under maintenance hemodialysis. Methods: A one year long cross-sectional study from July 2016 to June 2017 was conducted at hemodialysis unit of SSMC & MH, BSMMU, BIRDEM hospital and NIKDU, Dhaka, among 80 maintenance hemodialysis patients. Adult patients over the age of 18 years and on regular (≥2 sessions per week) hemodialysis for more than 3 months without any acute infection were enrolled. Nutritional status of the patients was evaluated using modified subjective global assessment score. Serum prealbumin level was compared with both anthropometric and biochemical parameters, as well as with modified SGA score. Using modified SGA score as gold standard, receiver operating characteristic curve was used to estimate best fitting cut-off value for serum prealbumin for nutritional assessment among ESRD patients under maintenance hemodialysis. Results: Mean age of study population was 52.3 years and 66.3% respondents were male. Most prominent primary renal diseases were diabetic nephropathy (48.8%). According to modified SGA score, 10% of the study population had normal nutritional status and 90% had mild to moderate malnutrition. Mean serum prealbumin was 27.8 mg/dl. Serum prealbumin showed significant negative correlation with age, modified SGA score and triglyceride; significant positive correlation was shown with BMI, serum creatinine and serum albumin. Using receiver operating characteristic curve, 32.6 mg/dl was found to be the best fitting cut-off value for nutritional assessment with 73.6% sensitivity, 62.5% specificity and 72.5% accuracy. Conclusion: Data obtained from this study strongly indicates that serum prealbumin can be used as a marker for nutritional assessment among ESRD patients undergoing maintenance hemodialysis. JOPSOM 2021; 40(2):9-15
{"title":"Association of Serum Prealbumin With Nutritional Status of End-Stage Renal Disease Patients Under Maintenance Hemodialysis","authors":"Mohammad Syfur Rahman, Tayeba Sultana, T. Sultana, S. Alam, S. M. Ershad, Sorowar Hossain","doi":"10.3329/jopsom.v40i2.61791","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61791","url":null,"abstract":"Background: End-stage renal disease (ESRD) patients undergoing maintenance hemodialysis often suffer from malnutrition. The primary objective of the study was to measure the level of serum prealbumin, assess the correlation of serum prealbumin with modified subjective global assessment score and determine a cut-off value for prealbumin that can estimate the nutritional status of the study population with highest accuracy, among ESRD patients under maintenance hemodialysis.\u0000Methods: A one year long cross-sectional study from July 2016 to June 2017 was conducted at hemodialysis unit of SSMC & MH, BSMMU, BIRDEM hospital and NIKDU, Dhaka, among 80 maintenance hemodialysis patients. Adult patients over the age of 18 years and on regular (≥2 sessions per week) hemodialysis for more than 3 months without any acute infection were enrolled. Nutritional status of the patients was evaluated using modified subjective global assessment score. Serum prealbumin level was compared with both anthropometric and biochemical parameters, as well as with modified SGA score. Using modified SGA score as gold standard, receiver operating characteristic curve was used to estimate best fitting cut-off value for serum prealbumin for nutritional assessment among ESRD patients under maintenance hemodialysis.\u0000Results: Mean age of study population was 52.3 years and 66.3% respondents were male. Most prominent primary renal diseases were diabetic nephropathy (48.8%). According to modified SGA score, 10% of the study population had normal nutritional status and 90% had mild to moderate malnutrition. Mean serum prealbumin was 27.8 mg/dl. Serum prealbumin showed significant negative correlation with age, modified SGA score and triglyceride; significant positive correlation was shown with BMI, serum creatinine and serum albumin. Using receiver operating characteristic curve, 32.6 mg/dl was found to be the best fitting cut-off value for nutritional assessment with 73.6% sensitivity, 62.5% specificity and 72.5% accuracy.\u0000Conclusion: Data obtained from this study strongly indicates that serum prealbumin can be used as a marker for nutritional assessment among ESRD patients undergoing maintenance hemodialysis.\u0000JOPSOM 2021; 40(2):9-15","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73233164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61793
R. Zaman, Iffat F. Zaman, Abm Aminoor Rashid
Background: Genitourinary prolapse is a common gynecological problem, especially in developing country. Causes and risk factors for uterine prolapse are complex and deeply embedded in the cultural, economic and social conditions of women. Prevalence of depression is higher among women with advanced stages of prolapse. Hence this study aimed to assess the socio-demographic factors among patients with genitourinary prolapse. Methods: A cross-sectional study was conducted from January to December, 2013 among 120 women with genital prolapse who attended at Gynae wards of Dhaka Medical College Hospital, Shaheed Suhrawardy Medical College Hospital, and Mitford Hospital in Dhaka. Women who were admitted with complaints of protruding mass per vagina and diagnosed as case of uterine prolapse were assessed and staged accordingly. A semi-structured questionnaire was used to obtain socio-demographic data and prolapse related data by face to face interview. After collection, data were compiled, summarized, and analyzed using SPSS software. Results: In this study, out of 120 genitourinary prolapsed patients, 31.7% were 40-45 years age group, majority of 79.2 % were illiterate and almost two third had no monthly income. Among all respondents, 64.2 % had more than four children, maximum 96.7% had history of home delivery, and 91.7% history of heavy work during pregnancy or just after delivery. Conclusion: Genitourinary prolapsed patients were illiterate, multipara, economic insolvency, heavy work during pregnancy and home delivery. A holistic management approach is recommended for women having prolapse. JOPSOM 2021; 40(2):26-31
{"title":"Socio-Demographic Determinants of Genitourinary Prolapse","authors":"R. Zaman, Iffat F. Zaman, Abm Aminoor Rashid","doi":"10.3329/jopsom.v40i2.61793","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61793","url":null,"abstract":"Background: Genitourinary prolapse is a common gynecological problem, especially in developing country. Causes and risk factors for uterine prolapse are complex and deeply embedded in the cultural, economic and social conditions of women. Prevalence of depression is higher among women with advanced stages of prolapse. Hence this study aimed to assess the socio-demographic factors among patients with genitourinary prolapse.\u0000Methods: A cross-sectional study was conducted from January to December, 2013 among 120 women with genital prolapse who attended at Gynae wards of Dhaka Medical College Hospital, Shaheed Suhrawardy Medical College Hospital, and Mitford Hospital in Dhaka. Women who were admitted with complaints of protruding mass per vagina and diagnosed as case of uterine prolapse were assessed and staged accordingly. A semi-structured questionnaire was used to obtain socio-demographic data and prolapse related data by face to face interview. After collection, data were compiled, summarized, and analyzed using SPSS software.\u0000Results: In this study, out of 120 genitourinary prolapsed patients, 31.7% were 40-45 years age group, majority of 79.2 % were illiterate and almost two third had no monthly income. Among all respondents, 64.2 % had more than four children, maximum 96.7% had history of home delivery, and 91.7% history of heavy work during pregnancy or just after delivery.\u0000Conclusion: Genitourinary prolapsed patients were illiterate, multipara, economic insolvency, heavy work during pregnancy and home delivery. A holistic management approach is recommended for women having prolapse.\u0000JOPSOM 2021; 40(2):26-31","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89936131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61799
S. Islam
With the onset of the novel coronavirus, scientists and medical professionals worked tirelessly to develop an effective clinically approved vaccine for the same. Initially what seemed impossible is now a reality and not only have experts manufactured COVID vaccines in such a short span of time, but they have also developed different types and versions of it too. Equitable access to safe and effective vaccines is critical to ending the COVID- 19 pandemic, so it is hugely encouraging to see so many vaccines proving and going into development. WHO is working tirelessly with partners to develop, manufacture and deploy safe and effective vaccines. Safe and effective vaccines are a game-changing tool. Being vaccinated does not mean that we can throw caution to the wind and put ourselves and others at risk, particularly because research is still ongoing into how much vaccines protect not only against disease but also against infection and transmission. But it’s not vaccines that will stop the pandemic, rather it’s vaccination with proper efficacy. Out of more than 100 research articles on COVID-19 and SARS-CoV-2 vaccines 41 articles were included in the present study. As of 1 May 2021, there have been 152 661 445 Covid-19 cases with 3 202 256 deaths globally. This pandemic led to the race to discover a safe and effective vaccine to achieve herd immunity and curtail the damaging effects of Covid-19. This study aims to discuss the most recent WHO-approved Covid-19 vaccine subtypes, their trials, doses and efficacy. As of 16 May 2021, the number of countries that have approved the use of the following vaccines is Pfizer in 85, Moderna in 46, Oxford/AstraZeneca in 101, and Janssen in 41. JOPSOM 2021; 40(2):65-72
{"title":"Efficacy of COVID-19 Vaccine","authors":"S. Islam","doi":"10.3329/jopsom.v40i2.61799","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61799","url":null,"abstract":"With the onset of the novel coronavirus, scientists and medical professionals worked tirelessly to develop an effective clinically approved vaccine for the same. Initially what seemed impossible is now a reality and not only have experts manufactured COVID vaccines in such a short span of time, but they have also developed different types and versions of it too. Equitable access to safe and effective vaccines is critical to ending the COVID- 19 pandemic, so it is hugely encouraging to see so many vaccines proving and going into development. WHO is working tirelessly with partners to develop, manufacture and deploy safe and effective vaccines. Safe and effective vaccines are a game-changing tool. Being vaccinated does not mean that we can throw caution to the wind and put ourselves and others at risk, particularly because research is still ongoing into how much vaccines protect not only against disease but also against infection and transmission. But it’s not vaccines that will stop the pandemic, rather it’s vaccination with proper efficacy. Out of more than 100 research articles on COVID-19 and SARS-CoV-2 vaccines 41 articles were included in the present study. As of 1 May 2021, there have been 152 661 445 Covid-19 cases with 3 202 256 deaths globally. This pandemic led to the race to discover a safe and effective vaccine to achieve herd immunity and curtail the damaging effects of Covid-19. This study aims to discuss the most recent WHO-approved Covid-19 vaccine subtypes, their trials, doses and efficacy. As of 16 May 2021, the number of countries that have approved the use of the following vaccines is Pfizer in 85, Moderna in 46, Oxford/AstraZeneca in 101, and Janssen in 41.\u0000JOPSOM 2021; 40(2):65-72","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90341985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-12DOI: 10.3329/jopsom.v40i2.61798
Protyti Rahman, M. R. Alam
Background: Tobacco use has become one of the major causes of premature deaths in developing countries including Bangladesh. Incidence of tobacco consumption among the women in developing country is increased day by day. The objective of this study was to assess the knowledge of slum dwelling adult women regarding harms of tobacco use. Materials & Methods: This descriptive type of cross-sectional study was conducted in selected urban slums of Dhaka North City Corporation from 1st January 2021 to 31st December 2021. Total 300 slum dwelling adult women was selected by convenience sampling technique. Data were collected through face to face interview using a pre-tested semi structured questionnaire. Results: In the study, the mean age of the respondents was 32 (± 6.96) years where maximum (44.3%) within the age group of 20-29 years. Majorities (97%) of the respondents were muslim and 93.7% were married. Among them 29% women were completed primary education. Most (59.3%) of the respondents were home maker and majority (96.0%) of them were came from nuclear family. The study showed that most (56%) of the respondents consumed smokeless tobacco (Jarda, Sada pata, Gul) and only 1.7% respondents consumed smoking tobacco (bidi). Majority of the women knew that tobacco use can cause different types of cancer but many of them did not know that tobacco use had detrimental effects on reproductive health of women. Television (44.3%) was the main source of the information about harms of tobacco use. The mean knowledge score of the respondents was 7.8 (±2.4). Association between most of the socio-demographic variables and the respondent’s knowledge score regarding harms of tobacco use was found statistically significant (p< 0.05). Conclusion: This study revealed that the educational levels of most of the slum women were low and they had the lowest mean knowledge score regarding harmful effects of tobacco use. Health educational programs and awareness campaigns should be conducted among slum dwelling women of urban community to increase their knowledge on harmful effects of tobacco use. JOPSOM 2021; 40(2): 58-64
{"title":"Knowledge of Slum-Dwelling Adult Women Regarding Harms of Tobacco Use","authors":"Protyti Rahman, M. R. Alam","doi":"10.3329/jopsom.v40i2.61798","DOIUrl":"https://doi.org/10.3329/jopsom.v40i2.61798","url":null,"abstract":"Background: Tobacco use has become one of the major causes of premature deaths in developing countries including Bangladesh. Incidence of tobacco consumption among the women in developing country is increased day by day. The objective of this study was to assess the knowledge of slum dwelling adult women regarding harms of tobacco use.\u0000Materials & Methods: This descriptive type of cross-sectional study was conducted in selected urban slums of Dhaka North City Corporation from 1st January 2021 to 31st December 2021. Total 300 slum dwelling adult women was selected by convenience sampling technique. Data were collected through face to face interview using a pre-tested semi structured questionnaire.\u0000Results: In the study, the mean age of the respondents was 32 (± 6.96) years where maximum (44.3%) within the age group of 20-29 years. Majorities (97%) of the respondents were muslim and 93.7% were married. Among them 29% women were completed primary education. Most (59.3%) of the respondents were home maker and majority (96.0%) of them were came from nuclear family. The study showed that most (56%) of the respondents consumed smokeless tobacco (Jarda, Sada pata, Gul) and only 1.7% respondents consumed smoking tobacco (bidi). Majority of the women knew that tobacco use can cause different types of cancer but many of them did not know that tobacco use had detrimental effects on reproductive health of women. Television (44.3%) was the main source of the information about harms of tobacco use. The mean knowledge score of the respondents was 7.8 (±2.4). Association between most of the socio-demographic variables and the respondent’s knowledge score regarding harms of tobacco use was found statistically significant (p< 0.05).\u0000Conclusion: This study revealed that the educational levels of most of the slum women were low and they had the lowest mean knowledge score regarding harmful effects of tobacco use. Health educational programs and awareness campaigns should be conducted among slum dwelling women of urban community to increase their knowledge on harmful effects of tobacco use.\u0000JOPSOM 2021; 40(2): 58-64","PeriodicalId":84897,"journal":{"name":"Indian journal of preventive and social medicine","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89723388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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