bluuebunny/crossref_metadata_2025_split huggingface dataset:
Job Satisfaction among the Healthcare Professionals of Combined Military Hospitals of Bangladesh
Authors: Munir Umar Rashed , Rahman Md Fashiur , Nosib Md Nasir Uddin 
Published: August 2020

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
Efficacy and Safety of Long-Pulsed Nd-Yag Laser in Treatment of Hirsutism
Authors: Rosie Tawhida Nawazesh , Khan Md Abdul Latif , Khan Md Shirazul Islam , Yazdi Quazi Salim , Karim ATM Rezaul 
Published: August 2020

Introduction: Hirsutism is a condition of unwanted malepattern hair growth in women. Perception of hirsutism is subjective and it is a common condition affecting 5-10% of unselected women.
Objectives: To find out the efficacy and safety of long-pulsed Nd-YAG laser in the treatment of hirsutism.
Materials and Methods: Fifty females of age between 18- 50 years with dark terminal facial hair and normal hormonal profile were treated with long-pulsed Nd-YAG laser (1064nm, 10mm spot size, pulse duration of 25-30 minutes and fluence of 25-40J/cm2). Six consecutive sessions of laser treatment were delivered to all the patients at 4 to 6 weeks’ interval. Photographic evaluations and percentage of hair reduction were done before each session and final assessment noted at the end ofninemonths.
Results: All the patients completed the study. Good hair reduction (50-75%) was seen in 52% of patients after the first treatment session. After six consecutive treatment sessions at the end of nine-month excellent hair reduction (>75%) was noted in 86% of patients and good hair reduction (50-75%) seen in 12% patients. Side effects in our study were post-operative erythema in 40% and perifollicular oedema in 33.33%.
Conclusion: The study supportslong-pulsed Nd-YAG laser with multiple six sessionsis safe and effective in the treatment of hirsutism.
Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 169-172
Lipid Profile Pattern in Type 2 Diabetes Mellitus Patients
Authors: Sultana Most Sarmin , Akhter Yasmin , Parvin Mimi , Alam Md Mahbub Ul , Naznin Lubna , Wahab Md Abdul 
Published: August 2020

Introduction: Dyslipidemia has been noted to play an integral role in the pathogenesis and progression of micro and macrovascular complications in Diabetes Mellitus (DM) patients. Lipid profile is the indicators of dyslipidemia.
Objectives: To evaluate the prevalence and pattern of dyslipidemia in type 2 DM patients.
Materials and Methods: This cross sectional study was conducted at Armed Forces Institute of Pathology (AFIP) from November 2014 to October 2015. The study included 300 type 2 diabetic patients belonging to the age group 30-59 years. Personal data and history of co-existing medical conditions were collected by data collection sheet and analyzed.
Results: Among 300 study subjects with type 2 DM the prevalence of dyslipidemia was 94% among them 19% had single dyslipidemia and 75% had multiple dyslipidemia. In this study, high level of total cholesterol (TC), triglycerides(TG) and Low Density Lipoprotein-Cholesterol (LDL-C) were found in 47.3%, 76.7% and 41.3% patients respectively. High Density Lipoprotein- Cholesterol (HDL-C) levels were found to be low in 60% patients.
Conclusion: The study revealed that dyslipidemia is very common in type 2 diabetic patients and the most common abnormality observed was increased serum TG level followed by decreased HDL-C level. So, patients with type 2 DM should be followed up with serum lipid profile regularly.
Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 177-179
Socio-demographic Characteristics of Women having Vaginal Discharge Attending a Military Hospital
Authors: Yasmin Shamima , Zaman Nasrin Ara , Zafreen Farzana 
Published: August 2020

Introduction: Vaginal discharge is the commonest concern among women and leads many women to visit Gynaecology OPD. It is a normal part of women reproductive cycle, unless it causes itching, burning or other bothersome symptoms. Association between vaginal discharge and reproductive tract is weak. Psychological factors also contribute in vaginal discharge. So the problem of vaginal discharge can be best understood not only in bio-medical perspective but also in socio-cultural perspective. Proper understanding of the subject is required for appropriate medical intervention and bringing awareness among women.
Objectives: To determine prevalence of vaginal discharge, the socio-demographic factors associated with it, women’s perceptions of vaginal discharge and their treatment seeking behaviour.
Materials and Methods: This cross sectional study was performed at outpatients’ Department of Obstetrics and Gynecology, Combined Military Hospital, Chattogram from January 2016 to January 2017. Total 150 women with complains of vaginal discharge were interviewed with questionnaire.
Results: Most of the patients63(42%) belong to 25-34 age group, 86(57.3%) had poor sanitation facilities and 126(84%) used cloth pads during menstrual period. Many of them had backache 64(42.6%) followed by itching, bad smell 48(32%) and lower abdominal pain 15(10%). Most of the cases 98(65.3%) were multiparous.
Conclusion: To diminish the problem of vaginal discharge women should improve their health knowledge, empower economic status, maintain personal hygiene. Further study is needed for better outcome.
Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 183-185
Prevalence of Overweight among Military Personnel of a Selected Bangladesh Army Unit
Authors: Rahman Irtika , Rustom ATMA , Zafreen Farzana , Wahab Md Abdul 
Published: August 2020

Introduction: Overweight are associated with high rates of morbidity and mortality, but prevalence data on these conditions are not readily available among military personnel in Bangladesh. The aim of this study is to determine the prevalence of overweight and its association with sociodemographic characteristics among military personnel in a unit of Bangladesh Army.
Objectives: The aim of the present study was therefore to determine the prevalence of overweight/obesity among military personnel in a military unit of Jalalabad cantonment and also to investigate their association with selected sociodemographic characteristics.
Materials and Methods: A cross-sectional descriptive study was conducted among 385 military personnel. Height weight, BMI were assessed using standardized procedures.
Results: Prevalence of overweight was 54(14%) and n
one of the participants were obese or underweight. Overweight status was significantly (p<0.05) higher among 30-45 years of age group and JCOs. No significant association was found with other socio-demographic characteristics.
Conclusion: Though overall prevalence of overweight was low among military personnel because of their physical hardship and training. But it is significantly higher among the JCOs and younger age groups. Life style modification and education on appropriate diet and physical exercise during formal and informal sessions may be advised.
Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 193-196
Socio-demographic Profile of Abortion Cases attending at a Tertiary Level Hospital
Authors: Sohel Feroz Ahmed , Jahan Sanzida , Russel Saifullah , Zafreen Farzana 
Published: August 2020

Introduction: Abortion in Bangladesh is illegal under most situations, but menstrual regulation is often used as a substitute. Abortion can be legally performed by a physician in a hospital if it is necessary to save the life of the mother. A person, who performs an abortion under any other circumstances, including a woman who self-aborts, can be punished by a fine and imprisonment.
Objective: To assess the socio-demographic profile of abortion cases attending a tertiary level hospital of Bangladesh.
Materials and Methods: This cross-sectional descriptive type of study was carried out among 80 patients at the Gynae ward and out patient department of Dhaka Medical College Hospital from March 2012 to June 2012. The study population was women attending the selected hospital for an abortion or abortion-related complications.
Results: Most of the respondents 35(43.8%) were below 25 years of age and all patients were housewives. The maximum number of patients 63(78.8%) had spontaneous abortion, low socio-economic status and majority were multigravidas. It was also found that patients with abortion were mostly in their second (43.8%) and third (21.3%) decade of life.
Conclusion: In this study, the commonest reason for termination of pregnancy was unplanned pregnancy. Creating awareness and timely intervention might decrease the number of abortion cases.
Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 200-202
A Case of Young Stroke due to Takayasu’s Arteritis
Authors: Razzak Md Abdur , Badsha Soleman , Rahman Quazi Audry Arafat 
Published: August 2020

The incidence of ischemic stroke among young adults is rising. Young individuals remain at high risk for recurrent stroke. As these patients generally still have a life expectancy of decades ahead, it is essential to find and educate them about the risk factors and causes of stroke to possibly prevent future vascular disease. One important but often missed cause of stroke in a young adult is Takayasu’s Arteritis. Takayasu’s Arteritis is a rare disease affecting the aorta and its main branches, causing arterial claudication and end-organ ischemia, including stroke. The etiology is unknown but is believed to be autoimmune. Early in the disease course, non-specific constitutional symptoms such as fever, malaise, and weight loss may occur this makes it a diagnostic challenge. Although, Takayasu’s Arteritis generally follows an insidious course, acute presentation with visual loss or stroke may also occur. It can be adequately treated if it is identified early. We describe a case of a 20-year-old officer cadet of Bangladesh Military Academy with no significant medical history who presented with acute ischemic stroke with right sided hemiplegia. He was evaluated as a young stroke case. Clinical examination revealed weak pulse in left upper limb and both carotids. Carotid bruits were also noted. CT angiogram findings revealed classical findings of Takayasu’s Arteritis. He responded well with steroid and immunosuppressive agent (Methotrexate). However, ultimately he could not be retained in service because of extremely strenuous nature of training, residual disability and chronic progressive and incurable nature of the disease.
Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 209-213
Psychiatric Comorbidities in Patients with Migraine in a Tertiary Hospital
Authors: Khattri Jai Bahadur , Subedi Anil 
Published: August 2020

Background: Psychiatric disorders are common in the migraine patients and affect the quality of the life of the individual. The objective of the study was to study the different psychiatric comorbidities and its relationship in migraine patients. Methods: This was hospital based cross-sectional study. Seventy patients attending psychiatric outpatient department of Manipal Teaching Hospital, Pokhara with a diagnosis of migraine headache were included. The proforma was used to record socio-demographic variables. The patients were administered Mini International Neuropsychiatric Interview to find out the comorbid psychiatric disorder. Results: The migraine was found more in the age group between 26 to 35 years, female gender and in the Brahmin caste. The migraine was also noticed to be higher in the homemakers, higher secondary educated and middle class patients and the patients living in the urban area. The comorbid psychiatric illness was found in 38 cases (54.3%) among which mild depressive disorder was the most common diagnosis (14.3%). The patients of migraine with aura had high risk of developing the psychiatric comorbidities as compared to the patients without aura (Odds Ratio = 1.22), although this relationship was insignificant (p value = 0.7688).Conclusions: Mild depressive episode was the most common comorbid psychiatric condition. Migraine with aura have high risk of developing psychiatric comorbidities.Keywords: Anxiety; comorbidities; depression; migraine headache; psychiatric disorders; psychiatric symptoms
Efeito da adição de diferentes antioxidantes em diluentes de criopreservação sobre a qualidade do sêmen e a produção in vitro de embriões bovinos
Authors: Silva Natália do Carmo , Marques Thaisa Campos , Pádua João Teodoro , Leão Karen Martins 
Published: August 2020

A qualidade das amostras de sêmen é fundamental para o sucesso dos programas de inseminação artificial em bovinos. Torna-se imprescindível a manutenção das características dos espermatozoides por meio de adequado processo de criopreservação. No entanto, os processos de criopreservação resultam na formação contínua e excessiva de espécies reativas de oxigênio (EROS), que são prejudiciais aos espermatozoides, pois induz a apoptose com consequente redução da qualidade espermática. Dessa forma, têm sido acrescidos aos crioprotetores substâncias antioxidantes como a glutationa e a melatonina, as quais tem como intuito minimizar os efeitos deletérios causados pelas EROS aos espermatozoides, resultando em melhor qualidade espermática, com consequente aumento das taxas de fertilização in vitro. Diante disso, a presente revisão tem por objetivo analisar os efeitos da adição dos antioxidantes glutationa e melatonina em diferentes meios de criopreservação e a produção in vitro de embriões bovinos.
Currículo e Educação Física: algumas relações com/sobre o corpo
Authors: Ilha Franciele Roos da Silva , Costa Andrize Ramires , Tortola Eliane Regina Crestani 
Published: August 2020

O objetivo deste trabalho é discutir a relação entre corpo, currículo e Educação Física, por meio de uma reflexão teórica. Para tanto, foram utilizadas diferentes fontes bibliográficas para pensar as relações entre essas três categorias. Vale salientar que o estabelecimento dessas relações só foi possível pela abrangência e complexidade com que a concepção de currículo – e de corpo - é aqui assumida. Para tanto, o artigo está organizado em quatro sessões: 1) Traçados iniciais; 2) Corpo e Educação Física: reflexões a partir do currículo; 3) A Educação Física como forma de produzir corpos; e, 4) Considerações finais. As reflexões apresentadas no âmbito das relações entre corpo, currículo e Educação Física demonstraram como esses três aspectos estão imbricados, se constroem e são reconstruídos constantemente, dependendo do contexto sociocultural em que se vive. Educação Física, um campo de saber, uma prática pedagógica permeada pelo corpo, como objeto de estudo e conhecimento, tem na escola e em espaços-tempos educacionais o currículo como meio de produção de discursos e subjetividades. Conclui-se que refletir acerca das práticas curriculares e pedagógicas, em especial na/da Educação Física, permite-nos pensar sobre a compreensão de corpo [e de sujeito] na sociedade moderna e contemporânea.
“O dinheiro como sinônimo do prazer?”: análise processual dos significados representacionais de trabalhadoras sexuais sobre satisfação sexual
Authors: Couto Pablo Luiz Santos , Porcino Carle , Pereira Samantha Souza da Costa , Neri Francylene Gama , Azevedo Cleane Nogueira , Vilela Alba Benemérita Alves , Gomes Antônio Marcos Tosoli , Flores Tarcísio da Silva 
Published: August 2020

As trabalhadoras sexuais possuem vivências que suscitam questionamentos sobre o que poderá satisfazê-las sexualmente e, dessa forma, terem uma boa qualidade de vida. Objetivou-se apreender os significados representacionais de trabalhadoras sexuais acerca da satisfação sexual no seu cotidiano. Estudo qualitativo, fundamentado na Teoria das Representações Sociais, realizado no município sede da Região do Alto Sertão Produtivo da Bahia (Brasil), em áreas de vulnerabilidade social, onde são localizados os locais de prostituição. Participaram do estudo 132 mulheres. A Técnica de Associação Livre de Palavras foi usada para a coleta de dados, com o termo indutor “prazer/satisfação sexual”. O corpus foi organizado e processado por meio do software IRAMUTEQ que emitiu o Plano Fatorial de Correspondência, Árvore Máxima de Similitude e a Nuvem de Palavras. Os resultados oriundos das três formas de análise demonstraram homogeneidade nas representações sociais, pois o inconsciente do grupo apresentou o termo “dinheiro” como central e principal formador campo representacional acerca da “satisfação sexual”, fugindo à ideia de que as profissionais do sexo sentem orgasmo no ato sexual com os clientes. Assim, refletir sobre a “satisfação sexual’, ancorada na Teoria das Representações Sociais, possibilitará que profissionais de saúde repensem suas práticas, considerando as especificidades desse segmento populacional, no que se refere ao planejamento de cuidados à saúde sexual das mulheres que exercem o trabalho sexual, focado na libido e na parte subjetiva da sexualidade, extrapolando o senso comum de que o foco da assistência em saúde das prostitutas deve estar focado apenas na prevenção de infecções sexualmente transmissíveis.
MR PENGEMBANGAN LEMBAR KERJA SISWA (LKS) DENGAN METODE SIMULASI DAN PENGARUHNYA TERHADAP HASIL BELAJAR SISWA
Authors: Rapii Muhammad , Amliani Riza 
Published: August 2020

Penelitian ini bertujuan untuk mengetahui: (1) proses pengembangan lembar kerja siswa dengan metode simulasi; (2) kelayakan lembar kerja siswa dengan metode simulasi menurut para ahli; (3) respon siswa terhadap penggunaan lembar kerja siswa dengan metode simulasi. Jenis penelitian ini adalah penelitian Research and Development (R&D) menggunakan model pengembangan Borg & Gall. Instrumen utama dalam penelitian ini adalah lembar kerja siswa dengan metode simulasi untuk meningkatkan hasil belajar siswa. Teknik pengumpulan data menggunakan teknik survei dan wawancara. Teknik analisis data menggunakan analisis deskriptif kuantitatif dan diambil kesimpulan serta penggunaan uji t. Hasil penelitian menunjukkan hal-hal berikut: (1) hasil uji kelayakan tim ahli yang meliputi ahli materi, ahli bahasa, dan ahli desain diperoleh hasil validasi materi yaitu sebesar 3,62 dengan kategori layak, bahasa 3,38 dengan kategori cukup, dan desain 3,32 dengan kategori cukup. (2) hasil respon siswa terhadap terhadap lembar kerja siswa diperoleh hasil validasi materi 4,41, bahasa 3,97, dan desain 4,09 menunjukkan perolehan rata-rata skor sebesar 4,16 yang termasuk dalam kategori layak. (3) pada uji coba produk dibandingkan nilai siswa sebelum dan sesudah penggunaan LKS, nilai siswa akhir dengan rata-rata nilai awal 77,82 meningkat menjadi 82,17. Hasil Uji t yaitu thitung sebesar 2,386 dengan sig (p) = 0,01. Sedangkan perhitungan t tabel diperoleh sebesar 2,073 dengan df 22. Karena t thitung ≥ ttabel (2,386 ≥ 2,073) dan p ≤ 0,05 menunjukkan bahwa H0 ditolak dan Ha diterima. Hal ini menunjukkan pengembangan lembar kerja siswa dengan metode simulasi berpengaruh terhadap hasil belajar siswa mata pelajaran ekonomi.
o Perfil dos turistas com destino à Ilha Grande, Angra dos Reis (RJ) em período do verão de 2018
Authors: Lopes Júnior Wilson Martins , Hanai Frederico Yuri , Ribas Luiz Claudio Passamai Serra 
Published: August 2020

Considerando-se que na prática do turismo os deslocamentos de pessoas (os fluxos de turistas em suas viagens) são imprescindíveis, assim como há a necessidade de um conjunto de infraestruturas e equipamentos para a realização dessa atividade, emergem os impactos socioeconômicos e ambientais. Dentre as diferentes formas de diagnosticar os impactos negativos dessa atividade, buscando-se mitigá-los e potencializar os positivos, pode-se investigar o perfil dos turistas que frequentam um destino turístico específico, a fim de contribuir com o planejamento da atividade turística. No caso desta pesquisa, considerando-se o grande fluxo de turistas que se destinam à Ilha Grande no estado do Rio de Janeiro e a peculiaridade ambiental da referida localidade, Patrimônio Cultural e Natural Mundial da Unesco, buscou-se analisar o perfil socioeconômico e turístico dos viajantes que se dirigiram para a referida localidade em período do verão de 2018. Para isso, adotou-se métodos quantitativo e qualitativo, pesquisa bibliográfica (com enfoque em referencial teórico sobre os temas Meio Ambiente e Turismo), e entrevistas estruturadas com perguntas padronizadas e aplicadas em sequência a todos os entrevistados (turistas prestes a embarcar para a Ilha Grande). Os resultados obtidos visaram ao levantamento do perfil socioeconômico e turístico dos visitantes, incluindo dados sobre gênero, faixa etária, escolaridade, renda média, procedência, tipo de hospedagem, assim como sobre a motivação da viagem. Além disso, considerando-se o caráter ambiental da Ilha Grande e visando entender a percepção dos turistas sobre a localidade, indagados sobre duas palavras que exprimiam a ideia da visita, as mais citadas referiram-se à elementos naturais, reforçando o ambiente natural como referência do destino. Por fim, diante de uma recente polêmica envolvendo a cobrança de taxas para visitação (como a de preservação ambiental), a maioria dos turistas respondeu que aceitaria pagar o ingresso pelos possíveis benefícios da conservação ambiental e melhorias sociais. Assim, pelas suas particularidades ambientais e pelo título de Patrimônio Histórico e Natural da Humanidade recentemente outorgado, a Ilha Grande consolida-se como um destino com referência à natureza, à qual devem ser dedicadas medidas e ações sustentáveis. A identificação do perfil socioeconômico e turístico dos visitantes da Ilha Grande (e suas respectivas motivações) possibilita e permite a definição de políticas, programas, planos, projetos e ações de planejamento da atividade turística, condizentes com as expectativas dos turistas, no sentido de promover o Turismo Sustentável.