Background: In Bangladesh, marriage has been nearly universal. The legal age of marriage in Bangladesh is 18 for girls and 21 for boys. However, about two-thirds of the women aged 20-24 were married before age 18. Despite some successes, the society is still facing the practices of early marriage severely. Therefore, new policy perspectives, new programs and new dimension of study are needed to know the real facts regarding early marriage and take possible strategies and actions to way forward.
Thoracic injuries account for 20-25% of deaths due to trauma and contribute to 25-50% of the remaining deaths. Approximately 16,000 deaths per year in the United States alone are attributable to chest trauma. The present study was done in Dhaka Medical College Hospital from January 2004 to September 2005. This is one of the specialized Institutes of this country dealing with chest injury. In this series, 50 cases of penetrating chest injury were studied and 12 (Twelve) of them had also associated with blunt chest injury. The highest incidence occurred between the ages of 31 and 50 yrs. Male was predominantly affected by penetrating chest injury i.e. 84%. Homicidal injury was common in rural areas but accidental injury was common in urban area. Injuries by sharp weapon caused all of the homicidal injuries. In 28 cases (56%) showed penetrating chest injury with severe respiratory distress and rest 10 (20%) cases showed penetrating chest injury with hemorrhage from external wounds. Here, 70% cases are managed conservatively with or without I.C Tube drainage. Mean duration of Hospital stay for patient treated conservatively with or without 1C tube thoracostomy was 8 days but in patient with major surgery it was 15.5 days. Range of Hospital stay for conservatively treated patient was (3--8 days) and for patient with major surgery it was (10—16 days). Referred to other centers had due to extra--pulmonary Involvement, after initial resuscitation & I.C. tube thoracostomy. Mortality:-2% for penetrating chest injury.
Each year women around the world experience 75 million unwanted pregnancies. Millions of women around the world risk their lives and health to end unwanted pregnancies. This descriptive type of cross-sectional study was conducted among 103 respondents from Mohammadpur Fertility Centre, Dhaka, Bangladesh to find out the factors influencing delay in care seeking for menstruation regulation among the women attending selected MR clinic from March to June 2015. Respondents were enrolled in the study using Purposive sampling technique. Data was collected by face to face interview with a semi-structured questionnaire. Here, 85% gave right answer about Knowing of MR. Respondent's main personal cause for delaying MR was that 37% home abortion by taking gynaecosid or other tablet. About familial causes of delaying MR shows that majority (47%) had in security of the house, 38% resistance by husband/others. The main social causes of delaying MR shows that majority (61%) was due to spiritual bindings and service or service center related causes for delaying MR due to treatment cost, male doctor, complexity of services and rest due to the substandard services. Women had good knowledge about MR and its timing even they make delay due to unawareness of their legal rights, personal, social and service related causes.
Complementary feeding is the systemic process of introduction of semisolid or solid food in infant at the right time in addition to mother’s milk in order to provide needed nutrition to the baby. A cross sectional study was conducted from January to December, 2020 to assess the level of knowledge and practice of nursing mothers regarding complementary feeding. Total 177 nursing mother were selected purposively and interviewed with a pre-tested semi-structured questionnaire. Face to face interview was conducted to collect data. P-value less than 0.05 were set as statistically significant. The knowledge and practice score were categorized into good (≥70%), satisfactory (50 to 70%), and poor (≤50%). Out of 177 respondents, majority 109(61.6%) had satisfactory knowledge regarding complementary feeding, 33(18.6%) had good knowledge and rest of them 35(19.8%) had poor knowledge regarding complementary feeding among the nursing mother. On the other hand 62.7% respondents had poor Practices, 24.9% had satisfactory practices and 12.4% had good practices regarding complementary feeding among the nursing mothers. There was highly significant association between knowledge and practice of complementary feeding (p <.000). Nursing mother’s knowledge regarding complementary feeding time was inadequate and practices were inappropriate. . It is the responsibility of health professionals to pass on the current information about proper infant feeding to mothers/care takers for promoting the healthy complementary feeding of the breastfeed child.
Background: Evidences suggest that heavy physical exertion can trigger the onset of acute myocardial infarction. But there have been no clean cut data in Bangladesh about the risk of myocardial infarction during and after heavy exertion. To address this question the study was conducted.Methods: It was a multicentre cross sectional study was conducted from July 2012 to June 2013 with patient of diagnosed acute myocardial infarction (AMI) admitted in department of cardiology of National Institute of Cardiovascular Diseases (NICVD), Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka Medical College Hospital (DMCH). From selected samples, two hours activity prior to onset of symptom of AMI was asked according to standard questionnaire. Activities were quantified on a scale from 1 to 8 metabolic equivalents (METs) according to generally accepted values. Collected data were analyzed by SPSS version 16.Results: In this study 246 patients (74 .4 percent of whom were men; mean age [±SD], 64.68 ± 7.63 years) were interviewed. The study showed that 11.38% patients were engaged in strenuous physical exertion (e 6 METs) within two hours prior to symptom onset of AMI. Strenuous exertion group of AMI patients were all most all sedentary worker [26 (92.86%) of 28]. Most of the patients (82.14 %) of strenuous group had history of less than 8 hours work per day. Strenuous exertion group had history of longtime exertion (72.57%, 1-2 hours) than non-strenuous group (42.66%, <0.5 hours). Moreover, 67.86% AMI patients of strenuous exertion group had experienced irregular exertion whereas most of the patients (64.22%) of non strenuous group had a history of regular exertion.Conclusions: The result of the study indicates that a period of strenuous physical activity is associated with increased risk of having AMI, particularly among patients of sedentary worker who have dyslipidemia and who exercise irregularly. Those who exercise regularly have lower chances of AMI as shown by the negative correlation.Cardiovasc. j. 2016; 8(2): 115-122
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