Background: Anemia is regarded as a major risk factor for unfavorable outcome of pregnancy both for the mother and the fetus. Maternal anaemia is a common problem in pregnancy, particularly in developing countries.Aims: To determine the prevalence of anaemia in pregnancy and to find out the haemoglobin level of pregnant women reporting for antenatal checkup among the women reporting for antenatal care in Combined Military Hospital Dhaka.Method: This is a descriptive cross sectional study was done in the antenatal clinic at CMH Dhaka. One eighty four (184) pregnant women attending antenatal clinic at CMH Dhaka including CWC under CMH Dhaka were included for the study. The data were collected from 1st May 2001 to 31st May 2001 at the antenatal clinic, combined Military Hospital. Dhaka where pregnant women reported for antenatal check up. The data were collected by interviewing respondents in different dates & day of the week at different CWC and CMI-I Dhaka. Prior to the interview the respondents were explained clearly the objective of the study and sought their co-operation. The authority of CMH Dhaka was given prior information through issuing letter from AFMI. The respondent was assured on ethical point of view that strict secrecy would be maintained. Data were collected by the following methods: Interview Method; Laboratory Investigation for Hb estimation and Scrutinization of antenatal check up card.Results: A total of 184 pregnant women of them 70 were primi gravida and 114 were multigravida. The prevalence of anaemia as per WHO cutoff points was 56.52% (<11.0 g/dl). The mean age was 24.96 ± 4.49 years. The age groups 20-24 was the maximum. Out of 184 women 104 women was ariaemic. 15-24 age group was more anaemic (57.42%) than the 25-39 age group (55.42%) but the difference was not statistically significant, P>0.05. The prevalence of anaemia was higher in Illiterate (100%), lowest in degree and above level education group (48.48%). The maximum women (64.13%) belong to lowest income group. (Tk 2500-5000) Anaemia was the most common in the lowest income group (60.50%). The prevalence of anaemia was the highest among the family size 6 and above group (75%) and lowest in 2-3 family size group. Anaemia was more prevalent among high parity group (75%) and lowest in ‘0’ parity group (52.28%) but the difference was not statistically significant (P > 0.05). Multigravida were found more anaemic (62.28%) contrast to prirnigravida (47.14%) which was statistically significant (P<0.05). The prevalence of anaemia was less in higher birth interval group but the difference was not statistically significant (P>0.05). About the cultural belief only 33 women were found having cultural belief of avoiding food during pregnancy (17.93%) and anaemia was more prevalent among them (57.57%) but the difference was statistically significant (P>.05). In this study 14.13% women had concomitant illness during pregnancy. In this study 15 women had caesarian section of which 10 were anaemic (75%) and there was one Forcep delivery (non-anaemic).Conclusion: In this study anaemia is more prevalent among younger age group women (15-24), with less educated group low income group, large family size group, high parity and high gravida, less birth spacing and also in women having concomitant illness. Anaemia is more prevalent among women having cultural belief on avoiding food during pregnancy. The findings of this study may not reflect the overall picture of the country. It does not differ much from the results of similar studies at national level. However, this study can be a base for further studies in a broader perspective.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 103-110
Kecelakaan kerja menurut peraturan menteri ketenagakerjaan RI No 10 tahun 2016 adalah kecelakaan yang terjadi dalam hubungan kerja, termasuk kecelakaan yang terjadi dalam perjalanan dari rumah menuju tempat kerja atau sebalikya dan penyakit yang disebabkan oleh lingkungan kerja. Berdasarkan riset yang dilakukan badan dunia International Labour Organization (ILO), lebih dari 1,8 juta kematian akibat kerja terjadi setiap tahunnya di kawasan Asia dan Pasifik. Pembangunan konstruksi Bank Indonesia memiliki pekerja(buruh) sebanyak 105 orang yang memiliki keragaman pengetahuan, sikap dan tingkat kepatuhan prosedur kerja yang berbeda sehingga pekerja memiliki peluang mengalami kecelakaan kerja ketika mereka lalai ataupun tidak mematuhi prosedur kerja. Penelitian ini bertujuan untuk mengetahui hubungan pengetahun, sikap dan kepatuhan prosedur kerja dengan terjadinya kecelakaan kerja pada pekerja(buruh) proyek konstruksi kantor perwakilan Bank Indonesia. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode analitik obsevasional dengan rancangan cross sectional. Populasi pekerja sebanyak 105 orang, dengan jumlah sampel 83 orang. Uji statitistik menggunakan uji chi square. Hasil penelitian menunjukkan bahwa, tidak ada hubungan pengetahuan dengan kecelakaan kerja (p-value= 0,456), ada hubungan sikap dengan terjadinya kecelakaan kerja (p-value= 0,000), ada hubungan kepatuhan prosedur kerja dengan terjadinya kecelakaan kerja (p-value= 0,005). Saran untuk penelitian ini yaitu pekerja harus selalu berhati-hati dalam bekerja dengan mematuhi segala peraturan yang telah dibuat pihak proyek agar terjadinya kecelakaan kerja dapat diminimalisir.
Background: Estrus detection by observing behavioral signs are time consuming and ineffective method that causes approximately 21 days loss with a significant financial consequence. This study highlights the value of electrical resistance of vaginal mucus (ERVM) during estrus and its association with genital changes, follicle diameter and first service conception rate (FSCR) in crossbred cows. Methods: A total of 400 cows were selected from different states of North-East, India, out of which 200 numbers of cows were examined to determine the ERVM value prior to artificial insemination (AI) by using Draminski estrus detector.The remaining 200 number of animals were examined for studying the association of ERVM with genital changes, follicle diameter and FSCR.The ERVM value obtained prior to AI was divided into three groups such as 150-200 (Group I), 201-250(Group II) and 251-290 (Group III) ohm, comprising 50 animals in each group. A control groups comprising 50 animals were kept in the study.The genital changes were recorded by transrectal palpation and follicle diameters were recorded by using transrectal ultrasonographic (USG) probe. Result: The mean ERVM value prior to AI was 196.26±1.25 ohm.The lowest ERVM value (150-200 and 201-250 ohm) was closely associated with free flowing vaginal discharge, open cervix, moderate tone of uterus and mature graffian follicle.The follicles diameters were differed significantly between groups. The FSCR was found to be higher when the cows were inseminated at ERVM value from 201-250 ohm. The result suggested that, ERVM value can be consider as a suitable tool for detection of proper time of AI in cows.
Background: Postpartum anoestrus is the most devastating cause of the dairy farming which causes more economic losses to the farmers. The present study was conducted to record the incidence of postpartum anoestrus and to evolve a suitable therapeutic regime for addressing postpartum anoestrus in Lakhimi cows. Methods: A total of 1000 Lakhimi cows maintained in different villages of Assam were selected and the incidence rate was recorded on the basis of breeding records provided by the farmers, per-rectal examination and ultrasonography screening of genital organ. To study the effect of hormonal and nutritional interventions in post partum anoestrus cows, the cows were divided randomly into seven groups comprising twelve animals in each group. The different treatment regimes were Hydroxyprogesterone caproate + eCG, Clomiphene citrate alone, Clomiphene citrate + Mineral mixture, GnRH analogue alone, GnRH analogue + Mineral mixture, Mineral mixture alone and control. The response to different treatment regimes was based on oestrus response, mean interval from the end of treatment to onset of oestrus and conception rate. Result: The incidence of postpartum anoestrus was found to be 20.60%. Clomiphene citrate + Mineral mixture administration regime brought about the highest oestrus induction response (100.00%) and conception rate (66.67%).
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