Vol. 01, Issue 2, July 2014

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    Diabetes Distress among type 2 Diabetic Patients
    (Daffodil International University, 2014-07-01) Roy, Falguny; Mehriban, Nadira; Ferdous, Galib; Fahim, Nahian Fyrose; Akter, Jeasmin; Ali, S.M. Keramat
    A cross sectional study is carried out among 165 adult type 2 diabetes patients attending at the outpatient department of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Dhaka. Sample is taken purposively. Data are collected through face to face interview and records review. Diabetes distress scale (DDS 17) was measured cut-off value of <2 for little or no distress 2-2.9 for moderate distress and >3 for high distress. It wes observed that 22.42% had high distress,26.1% moderate distress and rest of the 51.5% had little or no distress. The average score of total diabetes distress is 2.17 ± 0.75. The average score of each domain such as emotional burden physician related distress, regimen–related distress and interpersonal distress is (3.49± 1.52), (1.13±0.32), (2.12±0.85) .“Emotional Burden” is considered as the most important domain in measuring diabetes distress. The influence of age on level of diabetes distress is statically significant (p<0.001). The distress scale gradually increase higher from 40 years and continue till 59. The influence of residential status on level of diabetes distress is also statically significant (p<0.001). Respondents from sub-urban areas suffered more distressed symptoms than those from urban areas (53.3% vs.45.7%). The influence of smoking on level of diabetes distressed is statistically significant (p<0.005). Respondents who were the members of the having ever smoker group had highest percentage of distressed symptoms (58.5%). The influence of BMI on level of diabetes distressed is statistically significant (p<0.001). Respondents who were the members of the obese group had highest percent of distress symptoms (100%) they also the group of experience highest percentage of high distress (83.3%). There is a strong positive correlation between two variable [r=0.64,p<0.001] ; diabetes distress score with duration of diabetes mellitus. The influence of duration since detection of diabetes mellitus on level of diabetes distress is statistically significant (p<0.001). Respondents who were having diabetes of >10 years had highest percentage of distressed symptoms. Diabetes distress showed significant relationship with glycemic status. Respondents who were the members of the insulin group had highest percentages of distressed symptoms. The influence of diabetic complication on level of diabetic distress is statistically significantly (p<0.001). Respondents who were the members of having complications group had highest percentage of distressed symptoms.
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    Role of Oral Hygiene on Occurrence of Rheumatic Fever Among Bangladeshi Children
    (Daffodil International University, 2014-07-01) Anam, Mahzuma; Ali, Shah Mohammad Keramat; Mehriban, Nadira; Fahim, Nahian Fyrose
    Oral hygiene is the practice of keeping the mouth clean and healthy by brushing and flossing to prevent tooth decay and gum disease This case control study was aimed to compare oral hygiene practices and oral health status between Rheumatic Fever case and control group among Bangladeshi Children and to assess socio –demographic and environmental factors influencing Rheumatic fever. Among 124 children 62 rheumatic fever cases of 5-15 years of age children were taken; 62 children of the same age without rheumatic fever were chosen as control group. The mean ± SD age of the children was 10 ± 2.41 years with a range between 6 and 15 years of age and 56 (45.2%) were male and 68(54.8%) were female. Regarding the method of tooth brushing 45.2% of rheumatic fever cases practiced. Satisfactory method of tooth brushing and only 12.9% of the control , so there was significant difference in method of tooth brushing between two groups (x2=15.557.p=0.00 ). Female 62.9% were more affected by rheumatic fever than males (37.1%). Fever and joint pain were the most common sign and symptoms of rheumatic fever. Rheumatic fever occurrence was more in the children whose mothers were housewives (x2=11.090; P=0.011).
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    Point Prevalence of Hypertension and Diabetes Mellitus in a Health Camp at Bashabo, Dhaka
    (Daffodil International University, 2014-07-01) Ali, Shah Mohammad Keramat; Fahim, Nahian Fyrose; Ferdous, Galib; Iman, S.M Farid; Khandakar, R. K.
    The non-communicable diseases like hypertension and diabetes are emerging as a major health problem in Bangladesh. The main objective of the present study is to determine the prevalence rate and risk factor associated with DM and hypertension (HTN) in a health camp at Bashabo in Dhaka among 174 respondents;(64.37% were male and 35.63% were female) maximum 59.77% having normal blood glucose level;22.41% respondents have DM and only 17.81% have IGT. Pre-Hypertensive respondents were 18.39%; Stage 1 is 12.64% and Stage2 is 8.04%. Obesity and overweight respondents have risk of both Hypertension, and Diabetes Mellitus.
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    Assessment of the Situation of Utilization of Alternativ Medical Care in Mc-Rh Services
    (Daffodil International University, 2014-07-01) KeramatAli, Shah Mohammad; Ali, Md. Eusuf; Hossain, Md. Awlad; Fahim, Nahian Fyrose
    In Bangladesh alternative (Unani Ayurvedic and Homeopathic) systems of Medicine have been in use in medical practice for thousands of years and have played a significant role in maintaining human health. Alternative Medical Care (AMC) is playing an important role in maternal and child health care. At crisis moment, when facing health problem at home, women and their families often call on alternative health practitioners, who may play important roles in the decision to seek professional medical care. With that end in view Government of Bangladesh has taken up plan to expand AMC throughout the country for easily available, low cost remedy for the people of the country. A total of 986 respondents from different categories were selected from 64 Upozila. Almost 95% households have some suffering from illness. Approximately more than 70% AMC drug users consulted AMC doctors for general diseases, 24.20% for reproductive health and 5.1% for childhood diseases. The other purpose of the study is to assess the utilization and effectiveness of herbal gardening in order to promote the use of alternative complimentary medicine for general health care and MCH-RH(Maternal Care, Reproductive Health) in Bangladesh