Browsing by Author "Rafiqul Islam"

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Development of an Online Patient Service
(Daffodil International University, 2019-12-01) Rafiqul Islam
Prompt patient service is very important for patient‟s treatment and sometimes lifesaving issues for a critical patient. In a hospital especially in the third world countries patients are suffering a lot for getting prompt medical facilities. Sometimes the admitted patient can‟t call duty Doctors or Nurses in emergency purpose. On the other hand, duty doctor or nurses are also not identified critical patients instantly. This thing makes serious hamper of good patient service. We offer an online instant patient service, where a hospital admitted patient can call duty doctor and duty nurses at any time from Mobile, Tab or any Smart Display provided by Hospital authority or patient‟s personal device. Doctors and Nurses also getting the call information instantly and visit the patient's room and take necessary steps faster. Through our system, Doctor can write prescription, diet instruction diagnosis report etc. Nurses also can write the Observation Report, bills etc. Patient also can view all the above info instantly. In this way our system can ensure an excellent service to the patient with a very nominal effort
Geographic inequalities and determinants of anaemia among preeclamptic women: a cross-sectional sample-based study in Bangladesh
(2024-06-20) Ali, Ahasan; Jahirul Islam; Ratna Paul; Shahinur Parvin; Mohiuddin Chowdhury, Abu Taiub Mohammed; Rafiqul Islam; Siddique, Sharmina; Atiqur Rahman; Tamanna Tasnim, Sayeda; Hasna, Suraiya
Anaemia among preeclamptic (PE) women is a major undefined health issue in Bangladesh. This study explored the risk factors associated with anaemia and mapped the regional influences to understand the geographical inequalities. Data from 180 respondents were prospectively collected from the Preeclampsia ward of Dhaka Medical College Hospital (DMCH), Bangladesh. Anaemia was defined as a blood haemoglobin level less than 11.0 g/dl. Preeclampsia was defined as systolic blood pressure (SBP) ≥ 140 mmHg and diastolic blood pressure (DBP) ≥ 90 mmHg with proteinuria. Factors associated with anaemia were explored using the chi-square test. Logistic regression (LR) was done to determine the level of association with the risk factors. Among the participants, 28.9% were identified as having early onset and 71.1% reported late onset of PE. 38.9% of the subjects were non-anaemic, whereas mild, moderate, and severe anaemia was found among 38.3%, 17.8%, and 5% of patients respectively. The following factors were identified; including age range 25–34 (OR: 0.169, p < 0.05), a lower education level (OR: 3.106, p < 0.05), service-holder mothers (OR: 0.604, p < 0.05), pregnancy interval of less than 24 months (OR: 4.646, p < 0.05), and gestational diabetes mellitus (OR: 2.702, p < 0.05). Dhaka district (IR: 1.46), Narayanganj district (IR: 1.11), and Munshiganj district (IR: 0.96) had the highest incidence rates. Determinants of anaemia must be considered with importance. In the future, periodic follow-ups of anaemia should be scheduled with a health care program and prevent maternal fatality and fetus morbidity in patients with PE.
Study of traffic crashes in Chittagong city
(Department of Civil Engineering (CE), 1996-07) Rafiqul Islam; Mazharul Hoque, Dr. Md.
Road traffic crashes are causing great concern to the community. It is found that road fatalities are increasing steadily and the safety problem is very severe by international standards, but local initiatives to improve the situation are very sparse. A detailed study of traffic crashes in Chittagong metropolitan area for two and a half years (January 1993 to June 1995) has been made. The purpose of the study was to investigate and analyse the accident factors and high accident locations, and to recommend some possible low cost engineering treatments to minimise crashes and their resulting casualities. There were 522 police reported crashes, which were distributed as 271 (52%) at intersections and 246 (48%) on mid blocks (links). From the analysis, 12 intersections and 10 mid-blocks were identified as hazardous locations with high number of crashes in the metropolis. About 53 percent of total intersection accidents occured at only 20 percent of total intersections with three or more accidents and about 58 percent of total midblock accidents occured at only 26 percent midblocks with three or more accidents. Trucks are the most predominant type of vehicles in each police station and one- third of total vehicles involved in accidents are trucks in the entire metropolitan area. Accident type analysis was carried out by using the "Definition for Classifying Accident" (DCA) codes. Pedestrian accidents and rear -end collisions were the most frequent types of accidents, 43 percent and 22 percent respectively. About 76 percent of total accidents were attributed to three dominant accident types viz. pedestrian accidents, rear-end collisions and headon collisions. Approximately one third of total accidents occurred on the two main arterial sections: from Bahaddar Hat to Custom (30% in 12 km road length) and New market to Kadamtali (3% in 2 km road length). These sections are charactarised as divided carriageways with signalization at intersections and heavy traffic flow. Accidents peaked in the periods 9 A. M. to 11 A. M. (approximately 15%) in the morning and 2 P. M. to 3 P. M. (approximately 7.5%) in the afternoon. After detailed analysis of crash characteristics, remedial treatments for intersections and mid-blocks were suggested for safety improvements. Elements of safety measures included such as Pedestrian crossing facilities (zebra crossings, pedestrian refuges, raised platform of pedestrian crossing), Speed reduction devices (road humps, rumble strips), Segregation of slow and fast moving vehicles (lane markings), Median barrier etc. These measures have considerable proven safety benefits and are important for urban areas in Bangladesh particularly in the Chittagong metropolitan area.