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  • 1
    Online Resource
    Online Resource
    Public Library of Science (PLoS) ; 2023
    In:  PLOS Global Public Health Vol. 3, No. 8 ( 2023-8-29), p. e0002289-
    In: PLOS Global Public Health, Public Library of Science (PLoS), Vol. 3, No. 8 ( 2023-8-29), p. e0002289-
    Abstract: Pakistan, along with Afghanistan, is one of two countries where wild poliovirus is still endemic. Frontline workers (FLWs) are the staff most intimately familiar with both implementation challenges and community context. Harnessing their expertise may be a way to improve the community-polio program interface, which has been a persistent and shifting challenge in polio-endemic areas of both countries. From 2020–2022, we engaged frontline workers in 18 Super High-Risk Union Councils (SHRUCs) in Pakistan through a Human-Centered Design ideas competition. In that competition, teams of polio FLWs identified the most significant barriers they faced in conducting their work, and suggested solutions to those problems—a window into the issues the program faces by the people who know it best. The suggestions of FLWs on how to eradicate polio fell into four main categories. First, there were suggestions to tackle community fatigue by reducing touchpoints, particularly visits solely for data collection. Second, there were calls to improve Primary Health Care in SHRUCs, as a way of addressing community frustrations over an intense focus on just one disease in the context of numerous acute needs. Third, there were suggested ways to increase community engagement through locally relevant channels. Finally, many workers suggested improvements to Human Resources processes and workplace dynamics. Across these ideas, one repeated concept is the need for balance between the intensity of polio activities required for eradication and the provision of other government services, including health services. FLWs engaged the process deeply, providing well thought out problem statements and ideas for change. It is our view that there is no one more qualified to speak to the issues on the ground than FLWs. There are critical insights available if we listen to people who are instrumental to the success of health programs, but not commonly involved with creating policy.
    Type of Medium: Online Resource
    ISSN: 2767-3375
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2023
    detail.hit.zdb_id: 3101394-6
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  • 2
    In: Journal of Tuberculosis Research, Scientific Research Publishing, Inc., Vol. 06, No. 04 ( 2018), p. 292-301
    Type of Medium: Online Resource
    ISSN: 2329-843X , 2329-8448
    Language: Unknown
    Publisher: Scientific Research Publishing, Inc.
    Publication Date: 2018
    detail.hit.zdb_id: 2722403-X
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  • 3
    In: Human Resources for Health, Springer Science and Business Media LLC, Vol. 21, No. 1 ( 2023-03-28)
    Abstract: The increasing physical violence against doctors in the health sector has become an alarming global problem and a key concern for the health system in Bangladesh. This study aimed to determine the prevalence and associated factors of physical violence against doctors in Bangladeshi tertiary care hospitals. Methods A cross-sectional survey was performed among 406 doctors working in tertiary care hospitals. Data were collected using a self-administered questionnaire and the binary logistic regression model was employed for predicting physical violence against doctors. Results Of the participants, 50 (12.3%) doctors reported being exposed to physical violence in 12 months prior to the survey. According to logistic regression analysis, aged less than 30 years or younger, male and never-married doctors were prone to physical violence. Similarly, doctors from public hospitals and those worked in emergency departments were at higher risk of physical violence. More than 70% of victims reported that patients’ relatives were the main perpetrators. Two-thirds of the victims referred to violence in the hospitals as a grave concern. Conclusions Physical violence against doctors is relatively common in the emergency departments and public hospitals in Bangladesh. This study found that male and younger doctors were at high risk of exposing physical violence. To prevent hospital violence, authorities must develop human resources, bolster patient protocol and offer physician training.
    Type of Medium: Online Resource
    ISSN: 1478-4491
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2126923-3
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  • 4
    In: Journal of Xiangya Medicine, AME Publishing Company, Vol. 6 ( 2021-9), p. 21-21
    Type of Medium: Online Resource
    ISSN: 2519-9390
    Language: Unknown
    Publisher: AME Publishing Company
    Publication Date: 2021
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  • 5
    In: Dubai Diabetes and Endocrinology Journal, S. Karger AG, Vol. 25, No. 1-2 ( 2019), p. 19-25
    Abstract: 〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 Dyslipidemia is one of the most commonly experienced metabolic disorders, and it is strongly related to atherosclerotic cardiovascular disease. Hypothyroidism is a clinical syndrome resulting from a deficiency of thyroid hormones. Several studies from developed countries provide evidence that the rate of hypothyroidism in dyslipidemic patients is higher, but there is a scarcity of data from Bangladesh. 〈 b 〉 〈 i 〉 Objectives: 〈 /i 〉 〈 /b 〉 The aim of this study was to evaluate the prevalence and determinants of hypothyroidism in the adult dyslipidemic Bangladeshi population. 〈 b 〉 〈 i 〉 Method: 〈 /i 〉 〈 /b 〉 We examined the thyroid function of outpatients who were advised for fasting lipid profile and who were found to be dyslipidemic at a tertiary care hospital in Savar, Bangladesh, by a cross-sectional study conducted from July 2016 to June 2017. A total of 200 outpatients aged 20–65 years were enrolled in this study. A standard questionnaire was used to take record of sociodemographic, socioeconomic, and behavioral features. Body mass index (BMI) and blood pressure were examined with standard procedures. Biochemical parameters, such as fasting lipid profile and thyroid function markers, thyroid-stimulating hormone (TSH) and free thyroxine (fT4), were determined using standard assay methods. A 〈 i 〉 p 〈 /i 〉 value & #x3c; 0.05 was considered to be statistically significant. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Among the participants, 56% were male and 44% were female. 11.5% of the dyslipidemic subjects had hypothyroidism, among which 9.5% had subclinical hypothyroidism and only 2% had overt hypothyroidism. We also found that serum mean ± SD levels of TSH were significantly higher in the obese group of patients ( 〈 i 〉 p 〈 /i 〉 = 0.02). There was a significantly positive association of BMI and diastolic blood pressure with serum levels of TSH ( 〈 i 〉 p 〈 /i 〉 & #x3c; 0.01) and fT4 ( 〈 i 〉 p 〈 /i 〉 = 0.02), respectively. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 Dyslipidemic patients should have more regular checkups. The findings of this study might be helpful in setting up the clinical management of dyslipidemias with or without normal thyroid function.
    Type of Medium: Online Resource
    ISSN: 2673-1797 , 2673-1738
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2019
    detail.hit.zdb_id: 3049753-X
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  • 6
    Online Resource
    Online Resource
    YuMed Text Publications ; 2018
    In:  Clinical Case Reports: Open Access Vol. 1, No. 2 ( 2018-12-26)
    In: Clinical Case Reports: Open Access, YuMed Text Publications, Vol. 1, No. 2 ( 2018-12-26)
    Type of Medium: Online Resource
    ISSN: 2582-5038
    Language: Unknown
    Publisher: YuMed Text Publications
    Publication Date: 2018
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  • 7
    Online Resource
    Online Resource
    Walter de Gruyter GmbH ; 2019
    In:  Romanian Journal of Diabetes Nutrition and Metabolic Diseases Vol. 26, No. 2 ( 2019-06-01), p. 99-106
    In: Romanian Journal of Diabetes Nutrition and Metabolic Diseases, Walter de Gruyter GmbH, Vol. 26, No. 2 ( 2019-06-01), p. 99-106
    Abstract: Background and aims: evatedEl level serum of lipids stimulate atherosclerosis, which is the risk factor for stroke, peripheral vascular taeohrrratrrocvtra disease. The aim of this study was to explore the pattern and associated factors of dyslipidemia among Bangladeshi adult population. Material and methods: A descriptive cross-sectional study was conducted at the outpatient department (OPD) of four Medical College Hospitals, Bangladesh. 200 adults aged 20 to 65 years diagnosed case of dyslipidemia were randomly selected. Fasting CHO, HDL, LDL and TG were measured. According to the criteria of the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), dyslipidemia was classified into (a) Hyper-lipidemia: TC 〉 200 mg/dl, TG 〉 150 mg/dl, (b) Hyper cholesterolemia: TC 〉 200 mg/dl, (c) Hyper-triglyceridemia: TG 〉 150 mg/dl, and (d) Atherogenic-dyslipidemia: TG 〉 150 mg/dl, LDLC 〉 165 mg/dl. Results: Study found 46% hyperlipidemia, 37% atherogenic dyslipidemia, 13.5% hypercholesterolemia and only 3.5% hypertriglyceridemia. BMI, FBS and HDL-C were significantly higher among female compare to male (p= 〈 0.01, 〈 0.01 and 0.04 respectively). TC and TG were significantly higher among higher calorie intake group in compare to normal intake group (p=0.04). Conclusions: Results of this study concluded that hyperlipidemia and atherogenic dyslipidemia are common and female dyslipidemic patients are susceptible to develop higher BMI, FBS, and HDL-C.
    Type of Medium: Online Resource
    ISSN: 2284-6417
    Language: English
    Publisher: Walter de Gruyter GmbH
    Publication Date: 2019
    detail.hit.zdb_id: 2860636-X
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  • 8
    In: BMC Women's Health, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-08-18)
    Abstract: This study aimed to investigate the association between depressive symptoms among mothers and the eating behaviors of their school-going children in Urban Bangladesh. Materials and methods This analytical cross-sectional study was conducted in the context of the urban area of Bangladesh. A multistage sampling technique was applied to select 324 children’s mothers in Dhaka City. Data were collected from both city corporation settings in Dhaka, Bangladesh. Semi-structured questionnaires were used in this study. We estimated the depressive symptoms among mothers using the Zung Self-Rating Depression Scale. We examined the association of mothers of school-going children’s socio-demographic variables and eating behaviors of school-going children with their mother’s depression by using chi-square and evaluating the impact of these variables on mothers’ depression through univariate and multivariate binary logistic regression. Results In our study, 57.7% of the mothers of school-going children had depressive symptoms, and 42.3% had no depressive symptoms. The study explored that consuming fewer vegetables (AOR = 0.237, 95% CI: 0.099–0.569), taking fewer fruits (AOR = 0.177, 95% CI: 0.093–0.337), and interestingly, taking fast food less than 4 days per week (AOR = 3.024, 95% CI: 1.517–6.031) were significantly associated with mothers’ depressive symptoms. Conclusion Mothers with depressive symptoms of school-going children in Dhaka city are alarmingly high as a grave concern. The eating behaviors of children are associated with their mothers’ depressive symptoms. With an aim to build rigorous awareness on depression and child’s healthy eating behaviors, it is imperative to arrange health education and awareness related programs.
    Type of Medium: Online Resource
    ISSN: 1472-6874
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2050444-5
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  • 9
    In: International Journal of Adolescent Medicine and Health, Walter de Gruyter GmbH, Vol. 33, No. 1 ( 2021-03-01)
    Abstract: Childhood overweight and obesity is a major public health concern all over the world. Overweight or obese children have a higher risk of becoming obese in adulthood and are at higher risk of associated chronic diseases. Objective The aim of this study was to determine the risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh. Materials and methods A case-control study was conducted among students aged 10–16 years in 10 schools of Dhaka city. A structured questionnaire was used to collect socio-demographic information and students’ exposure to various risk factors. Data were analyzed by using SPSS 23. Results Family income (p = 0.000), mother’s weight (p = 0.036), school activity (p = 0.046), total physical activity (p = 0.008), sedentary activities (p = 0.014), eating fast food (0.008) and cakes/biscuits (p = 0.018) were found as potential determinants of overweight and obesity of children and adolescents. A multiple logistic regression revealed family income 〉 50,000 per month [adjusted odds ratio (AOR) = 3.07, p = 0.001], no physical activity (AOR = 38.3, p = 0.004), more than 4 h of sedentary activities (AOR = 4.84, p = 0.02), regular consumption of fast food (AOR = 3.05, p = 0.042) are risk factors associated with childhood overweight/obesity. Whereas, having a normal weight mother (AOR = 0.51, p = 0.037) and eating cakes/biscuits less than 3 days a week (AOR = 0.33, p = 0.02) were found as protective factors. Conclusion Findings from this study will be very useful for public health professionals to increase awareness regarding risk factors of overweight and obesity, in order to reduce the future burden of obesity-associated chronic diseases.
    Type of Medium: Online Resource
    ISSN: 2191-0278 , 0334-0139
    Language: English
    Publisher: Walter de Gruyter GmbH
    Publication Date: 2021
    detail.hit.zdb_id: 2602424-X
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  • 10
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 1970
    In:  Bangladesh Journal of Child Health Vol. 33, No. 2 ( 1970-01-01), p. 55-58
    In: Bangladesh Journal of Child Health, Bangladesh Academy of Sciences, Vol. 33, No. 2 ( 1970-01-01), p. 55-58
    Abstract: Background: Dengue infection has become endemic in Bangladesh since it hasbeen broken out in June 2000. Although children are the usual victim of dengueinfection, there is paucity of published data regarding dengue infection in children inour country.Objectives: This study was designed to document the presenting features and outcomeof Dengue infection in children.Materials and Methods: This cross sectional study was done among the childrenhaving Dengue infection. Fifty four consecutive patients were enrolled. Purposivesampling was done. In every patient a detailed history was taken. Clinical examinationsand relevant investigations were done. Data were collected in a predesigned structuredquestionnaire. Data were analyzed with the help of descriptive statistics and Chisquare(x2) Test.Results: The mean age of the patients was 6.5±3.5 years with equal male and femaleratio. Among 54 patients, 40.7% presented with dengue fever (DF), the rest (59.3%)presented with dengue haemorrhagic fever (DHF). Most of the patients presented withhigh grade continued type of fever (75.9%), followed by abdominal pain (59.3%),vomiting (57.4%). Itchy rash and fever were the most important characteristic signs(75.9% each). Flushed appearance observed in 68.4% and 59.3% patients showedbleeding manifestation of which sub-conjunctival haemorrage was the commonestform (33.3%). Leucopenia were present in only 9.3% of the patients. Platelet countless than 100×109/L were found in 68.5% patients. Tourniquet test was positive in31.5% of cases. All of the patients had packed cell volume (PCV) less than 45%.Raised serum alanine aminotransferase (ALT) was observed in 40.7% of children.IgM and/or IgG antibodies for dengue virus were positive in 96.29% patients. Majority(94%) of the patients completely recovered from the disease and only 6% died.Conclusion: High grade continued fever, vomiting with abdominal pain and itchy skinrash (with normal platelet count) were the presenting features. Commonest form ofbleeding manifestation was subconjunctival haemorrhage. Bleeding manifestationhad a significant association with the degree of thrombocytopenia but no corelationwas observed with tourniquet test positivity.Key words: Dengue fever (DF); dengue haemorrhagic fever (DHF); paediatric.DOI: 10.3329/bjch.v33i2.5678Bangladesh Journal of Child Health 2009; Vol.33(2): 55-58
    Type of Medium: Online Resource
    ISSN: 2408-8315 , 0257-3490
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 1970
    detail.hit.zdb_id: 2573878-1
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