Introduction: Study in Medical College can act as a contributing factor in developing depression in medical students which may have possible negative academic and professional consequences. Study in any medical course is perceived as being inherently stressful across the globe. Studies on psychological problems such as academic stress, anxiety and depression among medical students have seen that these disorders are under diagnosed and under treated. In this background the present study was carried out with an aim to assess the magnitude of depression and its associated factors in medical students in AFMC. Objective: To find out the prevalence of depressive symptoms and its associated factors among the students of Armed Forces Medical College (AFMC), Dhaka, Bangladesh. Materials and Methods: This descriptive type of cross sectional study was carried out in AFMC, Dhaka, Bangladesh for a period from February to April 2014. A total of 211 students studying from 1styear to 4th year MBBS participated in the study. Depression was assessed by Goldberg’s General Health Questionnaire (GHQ-28) and Beck Depression Inventory(BDI) scoring was used to find out the level of depression. BDI scoring 0-10 was considered as normal ups and downs, 11-20 as mild depression, 21-30 as moderate depression, 31-40 as severe depression and more than 40 as extreme depression. Additional questions regarding socio demographic variables were also included. Data analysis was done by software SPSS 19 for windows. Results: A total of 211 students participated in the study. Among them 86(40.8%) students were reported as having mild to moderate depressive symptoms. Depression was very significantly (p<0.001) higher in 1st year 55(83.3%) than 2nd year 25(38.46%), 3rd year 03(5.45%) and 4th year 03(12%) students. Depression was significantly (p<0.05) higher in Non English Medium background 82(38.8%) than English Medium background 04(1.9%). Conclusion: Depression may be a significant hidden problem for few of the Medical students and mechanisms to identify and help students with mental health problems should be seriously considered. This calls for in-house counseling service and mentorship program at medical colleges for early detection and treatment of these problems that may help in the improvement of academic performance. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 79-82
Introduction: Coronary heart disease and cerebrovascular disease are the two main contributors of global morbidly and mortality. Coronary Heart Disease deaths in Bangladesh reached 1,63,769 or 17.11% of total deaths and reaches 25th in world. Importantly quality of life among them can modify the coronary heart disease. The opportunity for improved quality of life should be a factor in the health care provider's decision to recommend the treatment procedure. Objective: To ascertain the physical and mental health component of Quality of Life with sociodemographic characteristics and health-related morbidity status among admitted coronary heart disease patients. Materials and Methods: This cross-sectional study was conducted from January 2013 to December 2013 among coronary heart disease patients admitted in Cardiology department of Combined Military Hospital, Dhaka. The data were collected purposively by using Medical Outcomes short form SF-36 invented by RAND corporation, UK for measuring health-related quality of life among Bangladeshi patients where data were expressed as a score on a 0-100 scale. Data analysis was done by using software SPSS version 19. Results: A total of 105 cases were selected purposively amongst which majority were in the age group of 50-60 years with mean age of 55.27 years. Among the respondents 97.1% were males and 98.1% were Muslims. Majority (41%) of them were retired personnel. The mean monthly income was Tk. 16,393.56. Regarding education level 73% of the study population were SSC pass and below. Among the study group, 27(25.7%) patient had undergone coronary artery bypass graft operation. The study group possessed a total quality of life obtaining 63.4% score in their interviews as per SF-36. Among the whole study group, mental components score (63.61%) was found slightly higher than physical components score (63.2%). CABG operated patients mental component score (69.43%) was found relatively higher than Non CABG patients mental component score (60.01%). Patients having better monthly income as well as better educational level possess better mental component and total quality of life than others. Conclusion: It is of paramount importance to maintain the quality of life among coronary heart disease patients. Mental assurance and surgical intervention can improve quality of life among coronary heart disease patients. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 90-94
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