Introduction: Stress is a term that is widely used in everyday life. Work-related stress is recognized globally as a major challenge to workers’ health and the health of an organization. Stress at work has become a serious problem affecting many people of different professions, life situation and age groups. The healthcare profession has been depicted as one of the most stressful occupations across the globe. Objective: To assess the extent of occupational stress among health professionals of Combined Military Hospitals and to explore its association with work-related factors and family-work interference. Materials and Methods: A total of 574 respondents were selected from five Combined Military Hospitals using simple random sampling considering doctors, nurses, paramedic medical assistants and technologists as the study population. Occupational stress was determined by Health Professions Stress Inventory (HPSI). Results: Stress of health professionals was reassessed through HPSI and 1.0%, 77.6%, 20.7% and 0.8% were found to be mild, moderate, very and extremely stressful respectively. About one fifth (21.4%) were found to be in high stress. High stress was more prevalent among Paramedic Medical Assistants (PMAs) (24.5%), Paramedic Medical Technologists (PMTs) (23.2%) and nurses (21.9%) on contrary to doctors (11.7%). Their mean stress scores were 55.70±13.75, 55.44±13.53, 56.18±10.55 and 50.92±10.93 respectively (p<0.05) out of 124. Highest stress was in CMH Dhaka (56.50±14.27) followed by CMH, Rangpur (53.43±11.65) (p<0.05). The mean work hour per week for doctors, nurses, PMAs and PMTs were 63.25(±18.95), 55.70(±9.72), 89.58 (±17.44) and 80.58 (±16.12) hours respectively (p<0.05). Working for long/unsociable or unpredictable hours, financial and job insecurity were found to be related to the greater prevalence of high stress (p<0.05). The parameters of pressures at work, job satisfaction and support from colleagues/superior were found to be associated with high stress (p<0.05). Higher prevalence of family-work interference was found to be a predictor of high stress (p<0.05). Conclusion: A large proportion health professional of Combined Military Hospitals were in high stress due to the prime stressors. Measures like workload-management, job-redesign, employee motivation and training should be taken to alleviate these stressors. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 37-41

Introduction: Job satisfaction is a cognitive, affective and evaluative reaction towards a job. It is closely linked to an individual’s behaviour in the work place. Health Care Professionals of Combined Military Hospitalsface diverse stressful situations while accomplishing their professional commitments. They often concede job satisfaction as a stressor stemming to their work place. Objectives: To findout the Job Satisfaction level among the Healthcare Professionals of CMH in Bangladesh. Materials and Methods: A total of 574 respondents were selected from five CMHs using simple random sampling considering doctors, nurses, paramedic medical assistants and technologists as the study population. The level of job satisfaction was elucidated by certain parameters and occupational stress was measured by Health Professions Stress Inventory. Results: A high proportion of respondents were found to be satisfied or highly satisfied in regards to work prospects (61.4%), people they worked with (86.5%), physical working conditions (79.4%), the way their department was run (80.7%), the way their abilities were used (78.2%) and their interest and skill involved in their job (77.4%). On the contrary, a marginal majority (56.7%) were dissatisfied in regards to their salary. 32.4% were found to be not at all worried about losing their job and more than a half (60.8%) mentioned that they feel fairly secured financially for the next 10 years.A significant relationship has been found between job satisfaction and stress (p<0.05). Conclusion: Professional uniqueness contributes significantly to job satisfaction. Particular improvements in working life can be materialized through scientific planning, maintenance and optimization, valuation of human resources and necessary organizational support. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 164-168

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Introduction: When there is a difference of patient's blood pressure (BP) which is measured in a physician's office and patient’s home, it is said to have White Coat Hypertension (WCH). Prevalence of WCH is very much common among aircrew, because they need to face everyday preflight medical checkup. Objective: To find out the incidence of WCH among the aircrew of Bangladesh Air Force (BAF) as well as to ascertain the long-term clinical implications of WCH. Materials and Methods: This cross-sectional observational study was conducted among 150 aircrew, reported to Central Medical Board (CMB), Bangladesh Air Force (BAF) for periodical medical evaluation, during the period January 2014 to December 2018. Study subjects were selected purposively with age range 25-50 years; those who did not have any history of hypertension or received any anti-hypertensive medication but were detected elevated BP having clinical recording of BP ≥ 140/90 mm of Hg. Ambulatory blood pressure monitoring (ABPM) was performed on them for 24 hours in order to distinguish between those who were truly hypertensive and those who were suffering from WCH. To exclude secondary causes of hypertension as well as to assess for evidence of target organ damage (TOD), a thorough clinical and laboratory examination as well as regular follow-up were also performed. Results: White Coat Hypertension was observed in 26.7% of the aircrew. There was no evidence of target organ involvement, such as left ventricular dysfunction, left ventricular hypertrophy, hypertensive retinopathy or renal involvement. Conclusion: WCH is comparatively common among the aircrew. This highlights the importance of the requirement for regular follow up of all cases of WCH, over the normotensive subjects with a view to identify early organ involvement and therapeutic intervention are often initiated as and once needed. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 14-17