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Papers by Jawadul Haque

International Journal Of Medical Science And Clinical Research Studies, 2021

Background: A pre-lacteal feed is any food other than mother's milk provided to a new-born be... more Background: A pre-lacteal feed is any food other than mother's milk provided to a new-born before breastfeeding begins. It has an effect on the timing of breastfeeding initiation and exclusive breastfeeding activities. Pre-lacteal feeding decreases the immunological benefits derived from colostrum while also increasing the risk of infection. Pre-lacteal feeding is a dangerous infant feeding technique that is commonly used in the developing world, including Bangladesh. The present study might help us to become well aware of the correct weaning practices by the rural mothers, their beliefs and their customs and thus may guide us regarding the ways to improve the nutritional status of the rural children as well as to improve the knowledge and practice regarding pre-lacteal feeding and weaning of the mothers. Materials and Methods: This was a cross-sectional type of descriptive study carried out with a view to assess knowledge and practice about pre-lacteal feeding and weaning of th...

Journal of bio-science, Jan 11, 2023

The prevalence of prostatic carcinoma is the outcome of several factors including improved awaren... more The prevalence of prostatic carcinoma is the outcome of several factors including improved awareness the general population of the significance of carcinoma of the prostate and progresses in diagnostic approaches. The PSA is a probable prostate cancer tumor marker, although it cannot distinguish prostate cancer from BPH solely. To assess the usefulness of free, total, and free/total PSA ratios in differentiating BPH and prostate cancer has been studied under this research work. The work was carried out at RMCH during April 2021 to March 2022, 350 purposively selected urology outpatients and inpatients at RMCH were studied cross-sectional study. Trans-rectal ultrasound (TRUS) and serum PSA levels were analyzed along with Digital rectal examination (DRE). A digital guided prostatic biopsy using a monopty biopsy gun confirmed the diagnosis. Data analysis was done in SPSS 26 software program. Prostatic cancer was more prevalent in men aged 70-80, whereas BPH was more common in men aged 60-70 (p = 0.00032). Histopathology revealed 95 prostate cancer patients, 82 with PSA >4 ng/ml and 85 patients had f/t PSA ratio>0.16. BPH was found in 255 individuals. 139 BPH patients had total PSA >4 ng/ml and 245 BPH patients had f/t PSA ratio ≤0.16. Total PSA had sensitivity and specificity of 86.32% and 45.49%, respectively, lower than f/t ratio. The (Positive predictive value) PPV and accuracy was significantly higher in f/t ratio than total PSA. Along with total PSA, free and free/total PSA ratio may help detect prostate cancer early and distinguish BPH from prostate cancer.

TAJ, May 29, 2019

Background: Nephrotic syndrome (NS) is a one of most common renal disease in children causing mas... more Background: Nephrotic syndrome (NS) is a one of most common renal disease in children causing massive proteinuria. In patients with NS, other proteins like thyroid hormones and hormone binding protein are also lost in urine in addition to albuminuria. So, this study was done to find out the thyroid function status of nephrotic syndrome children and to compare the thyroid function of healthy control children. Method: This cross sectional comparative study was carried out in the Department of Paediatrics, Rajshahi Medical College and Nuclear Medicine Centre, Rajshahi. Total 30 patients of both sex and age between 2-12 years diagnosed as nephrotic syndrome were included in this study and another 30 non-nephrotic syndrome apparently healthy children were taken as control. History, clinical examinations and laboratory investigations were recorded in preformed questionnaire. Thyroid function statuses also were evaluated in both patient and healthy control. After data collection, statistical analysis was done by computerized software. Results: In this study, 63.3% (n=19) nephrotic syndrome children had secondary hypothyroidism, overt hypothyroidism was 27.3% (n=7) and subclinical hypothyroidism was 6.7 % (n=2). Conclusion: In patients of childhood nephrotic syndrome different forms of thyroid dysfunctions are commonly associated due to loss of thyroid hormones and hormone binding's protein.

TAJ, Jan 4, 2023

Introduction: Menstruation-related poor knowledge and understanding among adolescent girls may le... more Introduction: Menstruation-related poor knowledge and understanding among adolescent girls may lead to unsafe personal health care practice that ultimately increases the risk of genitourinary tract infections, drop-out from school, poor academic performance, and overall poor quality of life. Being a developing country, it is an unrecognized problematic area in Bangladesh. Therefore, it is crucial to assess knowledge and practice on menstrual hygiene among urban adolescent girls in Bangladesh. Methods: This was a community-based cross-sectional study conducted in the Department of Community Medicine of Rajshahi Medical College among 495 purposively selected urban adolescent girls. Data were collected using a semi-structured interviewer-administered questionnaire. Results: The majority (57.2%) of the respondents in the study were more than 15 years old, and most (93.3%) were Muslim. Most of the girls (82.5%) have experienced menarche within the age range of 12-15 years, and the majority of respondents, 259 (52.32%), were informed about menstruation before menarche. Their source of information about menarche was mothers in most cases. Out of 495 adolescent girls who participated in this study, 70.9% had good knowledge of menstruation. About 82% of girls used commercially made sanitary pads, and 35.2% changed pads or clothes more than three times a day during menstruation. Conclusion: The majority (70.9%) of adolescent girls had good knowledge of menstruation, and 73.3% had a good practice on menstrual hygiene. Therefore, there is a need to design and implement universal awareness creation and advocacy programs to improve their knowledge of safe and healthy menstruation management and promote good hygienic practices by creating an appropriate supportive home and social environment for all the adolescent girls.

Journal of bio-science, Jul 11, 2021

Coronary heart disease is a group of conditions affecting the functioning of the heart or blood v... more Coronary heart disease is a group of conditions affecting the functioning of the heart or blood vessels and is one of the leading causes of death globally. Like other countries, coronary heart disease prevalence is also rising among the adults in Bangladesh. Besides conventional risk factors for coronary heart disease, genetic predisposition and some novel issues like high salt intake, arsenicosis, hypovitaminosis D and air pollution may play important role in the aetiopathogenesis of coronary heart disease in this population. Formulation of appropriate policy and more emphasis on preventive strategy may help combat coronary heart disease in Bangladesh. The main aim of this study was to find out the pattern of coronary heart disease among the patients admitted in Cardiology department of Rajshahi Medical college Hospital and to relate their socio-demographic and economic characteristics with the disease. It was a cross sectional type of descriptive study during February 2019 to July 2019. A total of 352 patients of Cardiology department considered as sample who admitted for their heart problem during the study period selected by purposive sampling. Majorities (85.8%) of the respondents were >40 years among them 74.4% were male. Most (52.0%) of the respondents were from nuclear family and smokers (65.62%). They had history of diabetes mellitus (22.4%) and lead sedentary life (11.4%). Regarding coronary heart disease 74.7% had ischemic heart disease and right coronary artery disease (66.7%). About 42.1% were hypertensive patients and 94.0% took medical treatment. Type of heart disease was found significantly associated with age group of the respondents (p<0.01), smoking habit (p<0.05) and history of abuse substances currently (p<0.05). High coronary heart disease prevalence along with an upward trend was observed in Bangladeshi adults and older age. Proper strategies are required for primary prevention of coronary heart disease so that a further increase can be alleviated and the morbidity and mortality associated with it can be reduced.

Journal of Preventive and Social Medicine

Background: Research experience in medical education is strongly related to post graduate course ... more Background: Research experience in medical education is strongly related to post graduate course curriculum and is also highly associated with future career achievements but conducting research is a difficult task at student level. Many hurdles are faced by post-graduate medical students during conducting biomedical research in Bangladesh. Previously doctors were either clinicians or researchers but now it is realized that a good clinician is a good researcher and able to be a competent physician & scientist. This study was conducted to find out practice on biomedical research and barriers experienced by the post-graduate medical students during conducting it in Bangladesh. Methods: This cross-sectional type of descriptive study was carried out in the different medical colleges and Universities all over the Bangladesh over a period of 12 months from January to December 2020 among the postgraduate students of different medical colleges. Approval from the Ethical Review Committee (ERC...

TAJ: Journal of Teachers Association

Introduction: Healthcare-associated infections represent significant obstacles to providing high-... more Introduction: Healthcare-associated infections represent significant obstacles to providing high-quality healthcare and have been directly linked to ineffective infection control procedures. There is currently a shortage of trustworthy data in Bangladesh describing the epidemiology of hospital-acquired infections (HAIs), which is necessary for the development of effective infection prevention and control measures. This study's goal was to assess the frequency, nature, and risk factors of HAIs in acute care hospitals in Northern Bangladesh. Methods: This was a pilot point prevalent survey conducted in the medicine, surgery, gynecology, and obstetrics departments of Rajshahi Medical College Hospital between August 2022 to September 2022. Data were collected by two questionnaires for disease profile and hospital-acquired infection. In addition, a checklist was used for the observation of the infection prevention and control (IPC) status of different wards. Result: Approximately 900...

PLOS Global Public Health

There is mounting evidence that Facebook Addiction is associated with poor mental health, physica... more There is mounting evidence that Facebook Addiction is associated with poor mental health, physical symptoms, social dysfunction, and despair among the adolescent and youth population. The current study set out to identify the prevalence of Facebook Addiction among Bangladeshi medical students as well as its influencing factors. This cross-sectional survey was conducted on 720 randomly selected medical students from eight public medical colleges from January to June 2022. Data were obtained using a semi- structured, self-reported questionnaire and analyzed using the SPSS v.23 programs. The Bergen Facebook Addiction Scale BFAS was used to assess Facebook Addiction, while the Generalized Anxiety Disorder GAD-7, Patient Health Questionnaire PHQ-9, Perceived Stress Scale PSS10, Chen Internet Addiction Scale CIAS, and Pittsburg Sleep Quality Index PSQI was used to assess anxiety, depression, perceived stress, internet addiction, and sleep quality. Binary logistic regression was used to ev...

Journal of Patan Academy of Health Sciences, 2018

Introductions: Hygiene related practices during menstruationare of considerable importance. This ... more Introductions: Hygiene related practices during menstruationare of considerable importance. This study assesses the existing level of knowledge on menstrual hygiene, and its compliance, among adolescent girls of selected slum areas in Kathmandu, Nepal. Methods: Descriptive cross sectional study design was applied and slums in Kathmandu district were selected conveniently as research site. Primary data were collected through interview by using structured questionnaire. The association between knowledge and practices were identified through chi square test. Results: There were282 respondents for study. Less than half 121 (42.9%) had adequate knowledge related to menstruation and its hygiene. Two-third 185(65.6%) of the participants used sanitary pads, 183 (98.9%), washed hands after pad change, 271 (96.1%) cleaned perineal area during menstruation, 227(80.5%) were aware about the myth and 61.9% followed social norms and restriction related with menstruation. Age of the participant, th...

TAJ: Journal of Teachers Association, 2019

TAJ: Journal of Teachers Association, 2009

This cross-sectional study was carried out among the teachers and doctors of Rajshahi Medical Col... more This cross-sectional study was carried out among the teachers and doctors of Rajshahi Medical College and Hospital with a view to assess the knowledge of the medical researchers about research on vulnerable groups. Among all the researchers, only 11.8% of them are involved in research currently, 58.8% had past experience in research but cent percent are interested in medical research. Only 35.3% of the respondents had complete knowledge regarding vulnerable groups but majority of them (64.7%) had no or partial knowledge regarding this important variable. About 88% of the respondents knew that the children cannot give their consents to participate in research. Majority of the respondents (76.5%) did not know that when the children should be involved in research. A remarkable portion (41.2%) of the respondents had no or wrong knowledge regarding the ability of the women of reproductive age to give informed consent. This study recommended proper training of the medical researchers rega...

Paediatric and Perinatal Epidemiology, 2009

It has been suggested that a birthweight limit of 2.5 kg should not be regarded as valid for all ... more It has been suggested that a birthweight limit of 2.5 kg should not be regarded as valid for all populations as the cutoff point of low-weight births because of demographic, genetic and environmental differences. Countries often choose alternative cutoff values for low birthweight for clinical purposes. Bangladesh also needs to choose a convenient cutoff value for low birthweight. A total of 770 live singleton full-term normal newborns were included in this study by stratified sampling; birthweight was measured using the Detecto-type baby weight machine. Newborns were followed up to the end of their first week of life. For data collection a pretested structured questionnaire and an Apgar Score estimating checklist were used. Chi-square test was applied to assess the association of different birthweight strata and neonatal health outcomes. Multiple logistic regression analyses were carried out to identify the independent effects of different levels of birthweight on early neonatal health. The neonates having birthweight Յ2 kg had a significantly higher risk of early neonatal mortality and morbidity than the higher level birthweight group. Birth asphyxia was the commonest cause of early neonatal mortality and morbidity. Borderline birthweight (>2 to <2.5 kg) neonates experienced the same mortality and morbidity rates as the normal birthweight neonates during their early neonatal life. Birthweight Յ2 kg may be one of the criteria for admission to a neonatal intensive care unit whereas more than 2 kg may not require admission unless otherwise necessary.

TAJ: Journal of Teachers Association

Background: Research is the integral part of post-graduation course curriculum. If steps are not ... more Background: Research is the integral part of post-graduation course curriculum. If steps are not taken at an early stage by medical postgraduates who will walk in the path of research in future, the quality of research and its application may be compromised. Students had variable perceptions towards research. The findings of this study could provide insights to improve research training. Objectives: The aim of this study was to assess knowledge and to find out attitude to biomedical research of the post-graduate medical students in Bangladesh. Materials & Methods: This cross-sectional type of descriptive study was carried out in the community Medicine Department of Rajshahi Medical College over a period of 12 months from January to December 2020 among the post-graduate students of different medical colleges. Approval from the Ethical Review Committee (ERC) was obtained prior to the commencement of the study. Purposive sampling technique was used. Pre-designed, validated, structured...

Euroasian Journal of Hepato-Gastroenterology

Coronavirus disease-2019 (COVID-19) has shattered the public health delivery system of most of th... more Coronavirus disease-2019 (COVID-19) has shattered the public health delivery system of most of the countries of the world. COVID-19 displays variable clinical presentations. The severe COVID-19 represents a fulminant pathological condition and most of the patients run a downhill course if extensive medical measures are not adopted. The major challenges about COVID-19 are related to develop strategies to manage huge populations of mild and moderate cases of COVID-19 with two realistic purposes: (1) early negativity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus and (2) arrest of progression of moderate COVID-19 patients from developing severe complications. Although several medications have been repurposed for these purposes, none of these have passed the test of time in global perspective. Thus, there remains a pressing need to develop new and novel innovative management strategies for these patients as new variants of SARS-CoV-2 have been destroying the normal public health delivery system of different countries from time to time. The study presented here has checked the safety and efficacy of a herbal medication, leaves of Euphorbia neriifolia Linn (E. neriifolia), in mild and moderate COVID-19 patients. Sixty patients (30 mild COVID-19 and 30 moderate COVID-19) were enrolled in the study. Fifteen mild COVID-19 patients received standard of care (SOC) management, and the remaining 15 patients received SOC plus E. neriifolia. The moderate COVID-19 patients similarly received either SOC (N = 15) or SOC plus E. neriifolia (N = 15). Although there were marked diversity regarding biochemical parameters of these patients at entry, the moderate COVID-19 patients receiving E. neriifolia showed decrease in C-reactive protein and D-dimer and increase in oxygen saturation 7 days after trial commencement. However, these improvements were not detected in moderate COVID-19 patients receiving SOC. Hospital staying was significantly lower in both mild and moderate COVID-19 patients receiving SOC plus E. neriifolia than those receiving only SOC. Taken together, it may be proposed that usage of E. neriifolia may have beneficial effects regarding management for COVID-19 patients, especially for those in developing and resource-constrained countries, although a conclusive statement may not be given due to small sample size. This herbal medication is also pertinent in the context of emergence of OMICRON variant of COVID-19 as the overload of SARS-CoV-2infecetd patients may be addressed considerably by this medication without hospitalization, if proper communication between patients and physicians can be ensured.

Ibrahim Cardiac Medical Journal, 2019

Background & objective: With rapid improvement of socioeconomic condition of developing countries... more Background & objective: With rapid improvement of socioeconomic condition of developing countries in the last two decades, a rapid change in the nutritional behaviour and activity of adolescents is evident leading to increased prevalence of overweight and obesity among them. The present cross-sectional survey was undertaken to evaluate the dietary and exercise behavior of the adolescents studying in rural secondary schools. Methods: This study was conducted in the Department of Community Medicine, Rajshahi Medical College, Rajshahi from April-May 2019. Data were collected from secondary schools of Puthia. A total of 535 students from two secondary schools participated in the study. In order to ensure an equal representation from both sexes we chose one boys‟ and one girls‟ schools. Every alternate students of those schools from class VI-X were then included in study as respondents. Weight and height of the selected students were first taken followed by interview. Result: In the pres...

International Journal of Medical and Health Research, Mar 1, 2016

Background: Tuberculosis is among the major causes of illness and death worldwide especially in A... more Background: Tuberculosis is among the major causes of illness and death worldwide especially in Asia. Smoking is associated with recurrent tuberculosis and its related mortality. Also, it could affect clinical manifestations, bacteriological conversion and outcome of treatment. This study aimed to evaluate the pattern of tobacco smoking, history of previous quit attempts and attitude towards quitting in tuberculosis patients. Materials and Methods: It was a cross-sectional study done amongst tuberculosis patients presented to DOTS corner of Rajshahi Medical College Hospital. 315 patients entered the study as "First Come First Serve". Selfreported questionnaires were designed according to the standard questionnaires of smoking pattern. Results: Sixty one percent (61%) patients (n=192) were smoker before the diagnosis of tuberculosis. 51.1% were current smokers at the time of interview and were continuing smoking after the diagnosis of tuberculosis. Only 10.2% discontinued smoking after diagnosis. 68.2% smokes less than 10 cigarettes per day. 53.1% was between 31-50 age group. 21-30 is the commonest age group (62%) to start smoking is and 66.1% smoked less than 10 years before diagnosis. To reduce stress was the most common cause to continue smoking (48.9%). 71.9% smokers showed keen interest to stop smoking. Conclusion: Considering the prevalence of smoking in tuberculosis patients, evaluation of tobacco smoking status in such patients and motivating them to quit smoking could be considered as important steps in their treatment process.

This descriptive cross-sectional design study aimed to assess the awareness level of nurses regar... more This descriptive cross-sectional design study aimed to assess the awareness level of nurses regarding the management of stroke patients in Rajshahi Medical College Hospital. A simple random sampling technique selected the 296 senior staff nurses who met the inclusion criteria. The study period was January 2018 to July 2018. The instruments consisted of the demographic questionnaire and awareness level of nurses regarding the management of stroke questionnaire. The researcher developed all questionnaires from the literature reviews. This study result indicated that the mean age of the subjects was 30.1, with an SD of 8.9. Their age range was 21-56 years. Most of the subjects, 232 (78.4%) was female and fewer males 64 (21.6%). Principles of management of stroke management include airway, breathing and circulation management (ABC management), specified by most 290 (98.0%) of the respondents. An equal portion of the respondent mentioned semi-prone position 264 (89.2%) and fluid manageme...

Ibrahim Cardiac Medical Journal, 2019

The growth of communication technology in the last two decades has given the world a new look.Wit... more The growth of communication technology in the last two decades has given the world a new look.With the blessings of digital technology, we can now communicate to any parts of the world with just a touch over the screen of our smart phone. Mobile phone hasnow become an indispensable part of our life.But, biological effects of radio-frequency electromagnetic fields (EMF) transmitted by mobile phones are still a matter of public and scientific debate. Countries accross the world are now getting concerned about the impact of mobiles on human health and environment.Radiofrequency waves generated from mobile phones cause potential public health problems. Short-term effects like changes in sleep, heart rate, and blood pressure, and long-term effects like carcinoma (particularly glioma) are well-documented. International Agency for Research on Cancer (IARC) published cancer risks from Radiofrequency(RF) radiation. Human epidemiological studies gave evidence of increased risk for glioma and ...

Ibrahim Cardiac Medical Journal, 2019

Background & objective: Diabetes is major global epidemic with an ever-increasing trend. For diab... more Background & objective: Diabetes is major global epidemic with an ever-increasing trend. For diabetic patients hypoglycemia is a fact of life. The gravity of the problem demands that the diabetics must be aware about the symptoms of hypoglycemia as well as its immediate corrective measures to overcome the crisis. But, a substantial proportion of diabetic patients is unaware of all the symptoms of hypoglycemia leading to delayed management. This study was intended to assess the diabetic patients‟ perception about hypoglycemia. Methods: The study was carried out in the Department of Community Medicine, Rajshahi Medical College, Rajshahi over a period of 2 months from April 2018 to May 2018. The diabetic patients in the rural area of Puthia Upazila were the respondents (study population). A total of 107 diabetic patients were consecutively included in the study. A self-administered questionnaire containing the variables of interest for evaluating perception of the respondents about dia...

Ibrahim Cardiac Medical Journal, 2021

Background & Objective: Non-communicable diseases, particularly diabetes, hypertension and ischem... more Background & Objective: Non-communicable diseases, particularly diabetes, hypertension and ischemic heart diseases have created an epidemic situation worldwide. Bangladesh is also in the grip of the menace. The only way to get rid of the menace is prevention of these diseases which demands awareness against the diseases. This study was undertaken to assess the level of knowledge of adult people of Puthia Upazila regarding prevention of the seclected non-communicable diseases (NCDs). Methods: The study was carried out in the Department of Community Medicine Rajshahi Medical College, Rajshahi over a period of 2 months from April 2018 to May 2018. All adult people (18 years onwards) residing in the rural area of Puthia Upazila were the respondents (study population) in this study. The survey invited the adult individuals to participate in the study. A total of 1001 individuals voluntarily responded to participate in the study. Of them 648(64.7%) were free from the NCDs and were intervi...

International Journal Of Medical Science And Clinical Research Studies, 2021

Journal of bio-science, Jan 11, 2023

TAJ, May 29, 2019

TAJ, Jan 4, 2023

Journal of bio-science, Jul 11, 2021

Journal of Preventive and Social Medicine

TAJ: Journal of Teachers Association

PLOS Global Public Health

Journal of Patan Academy of Health Sciences, 2018

TAJ: Journal of Teachers Association, 2019

TAJ: Journal of Teachers Association, 2009

Paediatric and Perinatal Epidemiology, 2009

TAJ: Journal of Teachers Association

Euroasian Journal of Hepato-Gastroenterology

Ibrahim Cardiac Medical Journal, 2019

International Journal of Medical and Health Research, Mar 1, 2016

Ibrahim Cardiac Medical Journal, 2019

Ibrahim Cardiac Medical Journal, 2021