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  • 1
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2023
    In:  Bangladesh Journal of Infectious Diseases Vol. 9, No. 2 ( 2023-08-07), p. 53-58
    In: Bangladesh Journal of Infectious Diseases, Bangladesh Academy of Sciences, Vol. 9, No. 2 ( 2023-08-07), p. 53-58
    Abstract: Background: Giardia lamblia infection is still frequently encountered especially in children living in crowded and unhygienic conditions leading to various public health problems. Objective: The purpose of the study was to detect giardiasis among under five children living in tea plantation colony. Methodology: This cross-sectional observational study was conducted in the Department of Microbiology, Sylhet MAG Osmani Medical College, Sylhet during the period from January 2019 to December 2019. For this purpose children were selected according to inclusion and exclusion criteria irrespective of sex. Four tea garden from Sylhet district namely Malnicherra, Lackatoorah, Tarapur and Burjan were selected randomly for sample collection. Stool samples were collected in sterile, disposable, plastic containers with proper labeling without any preservatives. Cyst of Giardia was determined in stool through microscopic examination. Giardia antigen in stool was detected using ELISA kits. Results: Out of 120 cases, Giardia cyst was found positive in 18(15.0%) cases by microscopy. Giardia antigen was found positive in 23(19.17%) cases by ELISA. ELISA showed sensitivity of 94.13% and specificity of 95.0% when compared with microscopy. Giardia infection was highest in male children (20.0%) than female children. The infection rate was higher (24%) among age group of 36 to 59 months. Conclusion: Giardiasis constitutes a major concern in symptomatic children as well as in asymptomatic children because it causes various public health problem. Bangladesh Journal of Infectious Diseases, December 2022;9(2):53-58
    Type of Medium: Online Resource
    ISSN: 2411-670X , 2411-4820
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2023
    detail.hit.zdb_id: 2852958-3
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  • 2
    Online Resource
    Online Resource
    Hasanuddin University, Faculty of Law ; 2016
    In:  International Journal of Agriculture System Vol. 4, No. 2 ( 2016-12-18), p. 107-
    In: International Journal of Agriculture System, Hasanuddin University, Faculty of Law, Vol. 4, No. 2 ( 2016-12-18), p. 107-
    Abstract: Growing Acacia catechu trees on rice fields is one traditional crop-land Agroforestry system of Rajshahi region in Bangladesh. Farming system was explored with detailed information on farm operations and cropping calendar including system outputs. System dynamics was also evaluated. PRA exercises were conducted for a biophysical assessment. The information was collected on informant wise and cross-checked. Best growth of trees observed under rain-fed conditions. Higher density of trees found in un-irrigated fields. Trees were better managed in small plots. In general, density of khoir trees was found higher in small holdings (less than 2 ha) with secured land tenure. Trees on farms were of uneven age indicating the khoir + rice system biologically sustainable. The ease of establishment of Khoir seedlings, the low cost of its maintenance, and less vulnerability to any serious pest or disease, easy marketability of products rated high in the farmer’s preference for khoir. They appreciate the versatility of the wood for a variety of farm uses though its prime economic use to them is for production of lali for katha. They also get pitch khoir as by product of katha (red dyestuff for textiles and paper) production. The multiple products and services offered and the ease of managing the trees on crop fields without causing any immediate or long-term reduction in crop yield seemed to be the most important factors that encourage the farmers to continue this traditional practice. If farmers could be motivated to follow appropriately the silvicultural practices, production could further be increased.
    Type of Medium: Online Resource
    ISSN: 2337-9782
    Language: Unknown
    Publisher: Hasanuddin University, Faculty of Law
    Publication Date: 2016
    detail.hit.zdb_id: 2837969-X
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  • 3
    In: BMC Pediatrics, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-04-03)
    Abstract: Universal screening for neonatal hyperbilirubinemia risk assessment is recommended by the American Academy of Pediatrics to reduce related morbidity. In Bangladesh and in many low- and middle-income countries, there is no screening for neonatal hyperbilirubinemia. Furthermore, neonatal hyperbilirubinemia may not be recognized as a medically significant condition by caregivers and community members. We aimed to evaluate the acceptability and operational feasibility of community health worker (CHW)-led, home-based, non-invasive neonatal hyperbilirubinemia screening using a transcutaneous bilimeter in Shakhipur, a rural subdistrict in Bangladesh. Methods We employed a two-step process. In the formative phase, we conducted eight focus group discussions with parents and grandparents of infants and eight key informant interviews with public and private healthcare providers and managers to explore their current knowledge, perceptions, practices, and challenges regarding identification and management of neonatal hyperbilirubinemia. Next, we piloted a prenatal sensitization intervention and home-based screening by CHWs using transcutaneous bilimeters and evaluated the acceptability and operational feasibility of this approach through focus group discussions and key informant interviews with parents, grandparents and CHWs. Results Formative findings identified misconceptions regarding neonatal hyperbilirubinemia causes and health risks among caregivers in rural Bangladesh. CHWs were comfortable with adoption, maintenance and use of the device in routine home visits. Transcutaneous bilimeter-based screening was also widely accepted by caregivers and family members due to its noninvasive technique and immediate display of findings at home. Prenatal sensitization of caregivers and family members helped to create a supportive environment in the family and empowered mothers as primary caregivers. Conclusion Adopting household neonatal hyperbilirubinemia screening in the postnatal period by CHWs using a transcutaneous bilimeter is an acceptable approach by both CHWs and families and may increase rates of screening to prevent morbidity and mortality.
    Type of Medium: Online Resource
    ISSN: 1471-2431
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041342-7
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  • 4
    Online Resource
    Online Resource
    Medip Academy ; 2018
    In:  International Journal Of Community Medicine And Public Health Vol. 5, No. 4 ( 2018-03-23), p. 1291-
    In: International Journal Of Community Medicine And Public Health, Medip Academy, Vol. 5, No. 4 ( 2018-03-23), p. 1291-
    Abstract: Background: Asthmatic respiratory complications appear to be a notable public health consequence and associated with mortality, morbidity and economic burden worldwide. Globally several epidemiological studies have been conducted to assess the prevalence of asthmatic respiratory complications. As far our knowledge very few population based study have been conducted in Bangladesh to assess the magnitude of asthmatic respiratory complications focusing the rural community. Therefore the study was undertaken to assess the prevalence of asthma and related respiratory complications in the rural community of Tangail area in Bangladesh.Methods: This human population based cross-sectional survey study was conducted during the period of August to December 2016 on some villagers of Tangail area in Bangladesh using a pre-standardized questionnaires called "IUATLD -1984 bronchial symptoms questionnaires", designed by the International Union Against Tuberculosis and Lung Diseases (IUATLD). The demographic data of the study subjects were collected by interviewing the subjects and the data were analyzed using SPSS software.Results: The results demonstrated that a substantial proportion of study subjects showed the main characteristic symptoms of asthma i.e., wheeze last 12 months is about 18.27%, shortness of breath (SOB) without strenuous work were 21.84%, nocturnal SOB 14.70%, morning cough 13.26%, nocturnal cough 17.25% and morning phlegm 10.37%. Overall 9.69% of the subjects were found to be asthmatic. Female study subjects showed more asthmatic complications than male subjects and in the higher aged group asthmatic symptoms were more prevalent.Conclusions: Among the study subjects, asthmatic complications were found to be substantial. Further clinical study is necessary to confirm the findings.  
    Type of Medium: Online Resource
    ISSN: 2394-6040 , 2394-6032
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2018
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  • 5
    In: BMC Pediatrics, Springer Science and Business Media LLC, Vol. 22, No. 1 ( 2022-04-22)
    Abstract: In low to middle-income countries where home births are common and neonatal postnatal care is limited, community health worker (CHW) home visits can extend the capability of health systems to reach vulnerable newborns in the postnatal period. CHW assessment of newborn danger signs supported by mHealth have the potential to improve the quality of danger sign assessments and reduce CHW training requirements. We aim to estimate the validity (sensitivity, specificity, positive and negative predictive value) of CHW assessment of newborn infants aided by mHealth compared to physician assessment. Methods In this prospective study, ten CHWs received five days of theoretical and hands-on training on the physical assessment of newborns including ten danger signs. CHWs assessed 273 newborn infants for danger signs within 48 h of birth and then consecutively for three days. A physician repeated 20% ( n  = 148) of the assessments conducted by CHWs. Both CHWs and the physician evaluated newborns for ten danger signs and decided on referral. We used the physician’s danger sign identification and referral decision as the gold standard to validate CHWs’ identification of danger signs and referral decisions. Results The referrals made by the CHWs had high sensitivity (93.3%), specificity (96.2%), and almost perfect agreement (K = 0.80) with the referrals made by the physician. CHW identification of all the danger signs except hypothermia showed moderate to high sensitivity (66.7–100%) compared to physician assessments. All the danger signs assessments except hypothermia showed moderate to high positive predictive value (PPV) (50–100%) and excellent negative predictive value (NPV) (99–100%). Specificity was high (99–100%) for all ten danger signs. Conclusion CHW's identification of neonatal danger signs aided by mHealth showed moderate to high validity in comparison to physician assessments. mHealth platforms may reduce CHW training requirements and while maintaining quality CHW physical assessment performance extending the ability of health systems to provide neonatal postnatal care in low-resource communities. Trial registration clinicaltrials.gov NCT03933423 , January 05, 2019.
    Type of Medium: Online Resource
    ISSN: 1471-2431
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2041342-7
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  • 6
    Online Resource
    Online Resource
    ZIbeline International Publishing ; 2018
    In:  Water Conservation and Management Vol. 2, No. 2 ( 2018-01-01), p. 11-19
    In: Water Conservation and Management, ZIbeline International Publishing, Vol. 2, No. 2 ( 2018-01-01), p. 11-19
    Type of Medium: Online Resource
    ISSN: 2523-5664 , 2523-5672
    Language: Unknown
    Publisher: ZIbeline International Publishing
    Publication Date: 2018
    detail.hit.zdb_id: 2964175-5
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  • 7
    In: Gates Open Research, F1000 Research Ltd, Vol. 7 ( 2023-4-21), p. 58-
    Type of Medium: Online Resource
    ISSN: 2572-4754
    Language: English
    Publisher: F1000 Research Ltd
    Publication Date: 2023
    detail.hit.zdb_id: 3016436-9
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