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  • 1
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2020
    In:  Journal of Bangladesh College of Physicians and Surgeons Vol. 38, No. 2 ( 2020-02-27), p. 68-78
    In: Journal of Bangladesh College of Physicians and Surgeons, Bangladesh Academy of Sciences, Vol. 38, No. 2 ( 2020-02-27), p. 68-78
    Abstract: Background: Helicobacter pylori (H. pylori) remains one of the most common worldwide human infections and is associated with a number of important upper gastrointestinal (GI) conditions including chronic gastritis, peptic ulcer disease, gastric carcinoma and special type of lymphoma. Anaemia is a common disorder in developing countries and the commonest cause is iron deficiency. There are many causes for high prevalence of this disorder in our society, many are well-known and investigated while some are new and not well established. Although H. pylori associates peptic ulcers and gastric malignancy can cause bleeding, resulting in iron deficiency, but majority of patients infected with H. pylori does not have ulcer or malignancy. They usually have chronic gastritis that is not associated with GI bleeding. About 35% of iron deficiency anaemia cases remain unexplained after a gastrointestinal evaluation. Recently investigation focused on the role of H. pylori, in the development of extra-gastrointestinal diseases including Iron deficiency anaemia. Methodology: This observational, cross sectional study was carried out at BSMMU, Dhaka from July 2010 to October 2011 to find out the association between H. pylori infection and iron deficiency anemia in Bangladeshi adults. Patients with dyspepsia and indication of upper GI endoscopy were initially enrolled in the study and finally a total of 168 subjects were included based on inclusion and exclusion criteria. Result: Among 168 patients, 105 (62.5%) were male and 63(37.5%) were female with the mean age of 33.25 years. On endoscopy, 147(87.5%) of the patients had normal findings and 21(12.5 %) had erosive gastritis. None of them had hemorrhagic erosive gastritis. Among 168 patients, 115(68.45%) were positive and 53(31.55%) were negative for H. pylori by rapid urease test. In our study, we have found a significant low mean serum ferritin level (P 〈 0.001) in H. pylori infected patients. This result is consistent with most of previous data concerning the effect of H. pylori infection on iron metabolism. This study has also revealed a significant (P 〈 0.001) lower value of mean MCV and MCH in H. pylori positive patients. Regarding hemoglobin value, our study has showed no significant (P 〉 0.05) different in hemoglobin level according to H. pylori status. Conclusion: Though there was no significant low hemoglobin level in our study, mean hemoglobin level was low in H. pylori positive patient. In our study H. pylori was not significantly associated with iron deficiency anemia but it was significantly associated with iron deficiency. J Bangladesh Coll Phys Surg 2020; 38(2): 68-78
    Type of Medium: Online Resource
    ISSN: 1015-0870
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
    detail.hit.zdb_id: 2411924-6
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  • 2
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2016
    In:  Bangladesh Journal of Medical Science Vol. 15, No. 2 ( 2016-08-10), p. 189-194
    In: Bangladesh Journal of Medical Science, Bangladesh Academy of Sciences, Vol. 15, No. 2 ( 2016-08-10), p. 189-194
    Abstract: Malnutrition is a common but frequently overlooked problem among patients with cirrhosis of liver. Malnourished cirrhotic patients have a higher rate of complications and an overall increased mortality. Identifying these patients is of great clinical importance. This study was carried out to assess nutritional status of cirrhotic patients to identify those who are malnourished and to see the relationship between severity of liver disease and malnutrition. 105 patients were selected by purposive type sampling. Nutritional status was assessed by 3 anthropometric assessment tools- body mass index (BMI), mid upper arm muscle circumference (MAMC) and triceps skin fold thickness (TST). Severity of liver disease was assessed by Child-Pugh (CP) score. Severe malnutrition was defined as MAMC and TST 〈 5th percentile, calculated from standard tables, and as BMI 〈 16. Among 105 patients 18, 49 and 38 were of Child-Pugh group (CP group) A, B and C respectively. Anthropometric assessment revealed that, when assessed by MAMC 63% of the study population were severely malnourished. Based on MAMC, severe malnutrition was present in 39%, 63% and 73% patients in CP group A, B and C, respectively (P 〈 0.05). So, percentage of severely malnourished patient increased with the increase in severity of liver disease. Based on TST, 28%, 34% and 50% patients were severely malnourished in CP-A, CP-B and in CP-C (p 〉 0.05) respectively which showed a trend similar to that by MAMC. Whereas, based on BMI, 0%, 8% and 2% patients were severely malnourished respectively (p 〉 0.05). It showed a decrease in the percentage of severely malnourished patient in CP group C than in CP group B. In this study, nutritional assessment by TST and MAMC revealed that severe malnutrition was common in our study population and assessment by MAMC showed a statistically significant association of severity of liver disease with severe malnutrition.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.189-194
    Type of Medium: Online Resource
    ISSN: 2076-0299 , 2223-4721
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
    detail.hit.zdb_id: 2548724-3
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  • 3
    In: Binus Business Review, Universitas Bina Nusantara, Vol. 7, No. 2 ( 2016-09-26), p. 109-
    Abstract: The banking sector of Yemen is under threat due to the lack of confidence and trust of the prospective clients that hindered economic development of the country. The study aimed to measure a moderating effect of transformational leadership on employees’ psychological empowerment and job satisfaction relationship so that attitudes of the Yemeni can be bumped towards banking. In this study, 160 employees were surveyed in different branches of four banks in Yemen. The data were analyzed in four stages namely, reliability and validity analysis, descriptive analysis, multivariate analysis, and hypotheses testing analysis. The study revealed a significant positive relationship between employees’ psychological empowerment and transformational leadership towards their job satisfaction level. If the policy makers consider the findings and undertake necessary measures, the Yemeni banking is expected to be accelerated which will contribute to the economy of the country.
    Type of Medium: Online Resource
    ISSN: 2476-9053 , 2087-1228
    Language: Unknown
    Publisher: Universitas Bina Nusantara
    Publication Date: 2016
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  • 4
    In: Bangladesh Medical Journal, Bangladesh Academy of Sciences, Vol. 44, No. 2 ( 2016-04-05), p. 76-81
    Abstract: Achalasia is an oesophageal motility disorder of unknown cause, primarily characterized by absence of peristalsis of the esophageal body and impaired relaxation of lower oesophageal sphincter resulting invariably in dysphagia for solids/liquids or both and regurgitation of undigested foods. The diagnosis is usually made by classical symptoms, barium swallow X-ray of oesophagus or by endoscopy. Goal of treatment is to relieve symptoms, improve esophageal emptying and reduce the risk of associate complications. The two most successful treatment options are pneumatic dilation of lower oesophageal sphincter and surgical myotomy. This quasi-experimental study was carried out from January 2010 to December 2011 involving 31 patients of Achalasia Cardia admitted in the Department of Gastroenterology of BSMMU, Dhaka who underwent pneumatic balloon dilatation. Immediately after pneumatic dilatation all the patients got relief of dysphagia and were discharged from hospital next day. At follow-up 4 weeks after pneumatic dilatation, majority (96.2%) of the patients remained improved symptomatically. Significant weight gain was also found at 4 weeks after pneumatic dilatation. Pneumatic dilatation came out to be a simple, safe and effective method for treating patients with achalasia cardia.Bangladesh Med J. 2015 May; 44 (2): 76-81
    Type of Medium: Online Resource
    ISSN: 2219-1607 , 0301-035X
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
    detail.hit.zdb_id: 2549257-3
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  • 5
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2012
    In:  Bangladesh Medical Research Council Bulletin Vol. 38, No. 1 ( 2012-04-22), p. 33-38
    In: Bangladesh Medical Research Council Bulletin, Bangladesh Academy of Sciences, Vol. 38, No. 1 ( 2012-04-22), p. 33-38
    Abstract: Microscopic Colitis (MC) and diarrhea predominant irritable bowel syndrome (IBS-D) has almost similar clinical feature but MC is diagnosed by histologic criteria and IBS is diagnosed by symptombased criteria. There is ongoing debate about the importance of biopsies from endoscopically normal colonic mucosa in the investigation of patients with IBS-D. Aim of this study was to assess the prevalence of MC in patient with IBS-D and to determine the distribution of MC in the colon. This observational study was conducted in department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January 2008 to December 2009. Patients were evaluated thoroughly & who meet RomeII criteria with normal routine laboratory tests, were included in the study. Colonoscopy was done and biopsies were taken from the caecum, transverse colon, descending colon, and rectum. Out of total 60 patients, 22 had Lymphocytic Colitis (LC), 28 had nonspecific microscopic colitis (NSMC) and 10 had irritable bowel syndrome noninflamed (IBSNI). The distribution of LC was restricted to proximal colon in 15 patients, in the left colon in 2 patients and diffuses throughout the colon in 5 patients. There is considerable symptom overlap between the patients of IBS-D and patients with microscopic colitis. Without colonoscopic biopsy from multiple sites, possibility of MC cannot be excluded in patients with IBS-D and it can be said that clinical symptom based criteria for irritable bowel syndrome are not sufficient enough to rule out the diagnosis of microscopic colitis. DOI: http://dx.doi.org/10.3329/bmrcb.v38i1.10450 Bangladesh Med Res Counc Bull 2012; 38: 33-38
    Type of Medium: Online Resource
    ISSN: 2224-7238 , 0377-9238
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2012
    detail.hit.zdb_id: 2491184-7
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  • 6
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2020
    In:  Bangladesh Journal of Psychiatry Vol. 32, No. 2 ( 2020-12-31), p. 32-36
    In: Bangladesh Journal of Psychiatry, Bangladesh Academy of Sciences, Vol. 32, No. 2 ( 2020-12-31), p. 32-36
    Abstract: Irritable Bowel Syndrome (IBS) is a functional disorder characterized by a set of gastrointestinal symptoms often associated with extra-digestive symptoms with unknown organic basis. It is a prototypic functional bowel disorder in terms of its heterogeneous nature with multifactor pathogenesis. Invariably it is co-morbid with psychiatric disorders. This study was done to determine the frequency and types of psychiatric disorders with irritable bowel syndrome and to find out association of socio-demographic and relevant variables. It was cross-sectional study carried out in the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from January 2014 to December 2014. Total 250 sample were included by convenient sampling technique in this study diagnosed as IBS. Diagnosis was done according to Rome III criteria and SCID-CV was used for psychiatric assessment. Respondents were above 18 years of age of either sex. Data was analyzed using SPSS 20. Results showed 86.4% patients have psychiatric disorders. The most common disorder was generalized anxiety disorder (44.9%) followed by major depressive disorder (37.5%). Maximum (35.2%) were IBS-D type followed by 32.8% IBS-C type and 32% IBS-M type. So, it is seen that significant proportion of psychiatric disorders was found in patients with irritable bowel syndrome. Among them, generalized anxiety disorder was leading psychiatric disorder. Bang J Psychiatry 2018;32(2): 32-36
    Type of Medium: Online Resource
    ISSN: 1728-4406
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2020
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  • 7
    Online Resource
    Online Resource
    SAGE Publications ; 2023
    In:  Emerging Economies Cases Journal Vol. 5, No. 1 ( 2023-06), p. 15-22
    In: Emerging Economies Cases Journal, SAGE Publications, Vol. 5, No. 1 ( 2023-06), p. 15-22
    Abstract: This case study explores the subscription-based video-on-demand (hereafter SVOD) business strategy of Netflix from multiple dimensions such as company value chain, customers’ experience and marketing strategy. From initiation to now this brand has evolved itself to appropriately benefit the consumers. A company that was initiated in a developed country is now successfully running its business across the world. In a developing country such as Bangladesh, Netflix has effectively utilized its quintessential strategies and is successfully entertaining the subscribers. This case study is dedicated to understanding the situation of Netflix in Bangladesh. It highlights some strengths of Netflix such as (a) customization of its contents and (b) seamless user experience as well as some weaknesses such as (a) pricing strategy and (b) selecting the right target market.
    Type of Medium: Online Resource
    ISSN: 2516-6042 , 2516-6050
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 3015437-6
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  • 8
    Online Resource
    Online Resource
    Indonesian Public Health Association ; 2017
    In:  Public Health of Indonesia Vol. 3, No. 2 ( 2017-06-09), p. 38-40
    In: Public Health of Indonesia, Indonesian Public Health Association, Vol. 3, No. 2 ( 2017-06-09), p. 38-40
    Abstract: None
    Type of Medium: Online Resource
    ISSN: 2477-1570 , 2528-1542
    URL: Issue
    Language: Unknown
    Publisher: Indonesian Public Health Association
    Publication Date: 2017
    detail.hit.zdb_id: 3070294-X
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  • 9
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2015
    In:  Bangladesh Journal of Medicine Vol. 25, No. 1 ( 2015-09-20), p. 3-7
    In: Bangladesh Journal of Medicine, Bangladesh Academy of Sciences, Vol. 25, No. 1 ( 2015-09-20), p. 3-7
    Abstract: Background and Aims: A number of patients presenting with anaemia are referred to gastroenterologist for evaluation. Literal sense of unexplained anaemia is anemia of unknown origin, which is widely used by the clinicians. Aims of this study were to determine the underlying cause of unexplained anemia and to identify clinical features that may point to primary gastrointestinal diseases.Methods: All the patients presenting with anaemia admitted in the department of Gastroenterology from January 1990 to July 2001 were enrolled for this study.Results: Sixty two patients were included in this study, twenty two were Collected retrospectively and forty were collected prospectively. The mean Age was 43 years (SD ± 14.8, range 1572 years). Twenty eight of the Patients were male, remaining thirty four were female. The mean duration of the illness was 26.3 months (SD ± 41.8, range 1240 months) and the Mean haemoglobin was 6.4 gm/ dl (SD ± 1.2, range 3.59 gm/dl). Among 62 patients, gastrointestinal causes for anaemia were found in 32 (51.62%) patients. Seventeen (27.41%) patients had a disease outside gastrointestinal tract; in thirteen (20.96%) patients no cause for anaemia could be established. Gastrointestinal malignancy was the most common finding, Gastrointestinal tuberculosis was the next. Symptoms had a sensitivity and Specificity of upper gastrointestinal disease of 64% and 36% respectively, and 30% and 82% for colonic disease.Conclusions: Gastrointestinal malignancy frequently presents with unexplained anaemia. Symptoms are poor predictors for site specific lesion. The standard evaluation of a patient with unexplained anaemia includes a complete evaluation of the gastrointestinal tract. However, even after extensive investigations many patients may remain without a diagnosis.Bangladesh J Medicine Jan 2014; 25 (1) : 3-7
    Type of Medium: Online Resource
    ISSN: 2408-8366 , 1023-1986
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2015
    detail.hit.zdb_id: 2853118-8
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  • 10
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2013
    In:  Bangladesh Journal of Medicine Vol. 21, No. 2 ( 2013-02-03), p. 58-59
    In: Bangladesh Journal of Medicine, Bangladesh Academy of Sciences, Vol. 21, No. 2 ( 2013-02-03), p. 58-59
    Abstract: Crohns disease has been considered to be uncommon in Asia Pacific region The study was undertaken to know the extraintestinal manifestations of Crohns disease in Bangladesh and to compare the result with that of other Asian and Western countries. This was an observational study consisting of patients seen in the department of gastroenterology, Bangabandhu Sheikh Mujib Medical University for 20 years (between 1991 and 2010). Individual case records were carefully reviewed with regard to gender, sex and extraintestinal manifestations. A total of 41 patients with Crohns disease were identified. 70.7% were male and 29.3% were female with male to female ratio was 2.4:1. Mean age was 34±11.8 years and peak age group was 21-30 years. The chief extraintestinal manifestations were arthritis, aphthous ulcer in the oral cavity, erythema nodosum and episcleritis. Arthritis was the most frequent among the extraintestinal manifestations. So, Crohns disease should be considered as an important differential diagnosis when a patient presents with bowel symptoms associated with extraintestinal manifestation and thus early recognition and treatment could be possible. DOI: http://dx.doi.org/10.3329/bjmed.v21i2.13611 Bangladesh J Medicine 2010; 21: 58-59
    Type of Medium: Online Resource
    ISSN: 2408-8366 , 1023-1986
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2013
    detail.hit.zdb_id: 2853118-8
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