Gastroesophageal Reflux Disease: Prevalence and ItsRisk Factors in Rural Bangladesh
Author(s)Ghosh, Dilip Kumar; Dept. of Gastroenterology, Shaheed Suhrawardy Medical College & Hospital, Dhaka.
Nath, M; ShaheedSuhrawardy Medical College & Hospital, Dhaka
Ghosh, Chanchal Kumar; Associate Professor, Dept. of Gastroenterology, BSMMU, Dhaka
Ahmed, Akhlak; Associate Physician, Shaheed Suhrawardy Medical College & Hospital, Dhaka
Rahim, Sayeda; Associate Professor, Dept. of Gastroenterology, Shaheed Suhrawardy Medical College & Hospital, Dhaka
Rowshon, AHM; Head, Dept. of Gastroenterology, Shaheed Suhrawardy Medical College & Hospital, Dhaka
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AbstractGastroesophageal Reflux Disease (GERD) is a global disease, and evidence suggests that its prevalence is increasing. Prevalence estimates show considerable geographic variation.According to WHO, prevalence of GERD in far EastAsia currently consistently lower than 10%,which is 8-20% in India. No such population based dataare available in Bangladesh. Thus, the studywas designed to determine the prevalence of GERD and its risk factors inrural community of Bangladesh.This descriptive, cross-sectional study was carried outfrom January to June 2015 by using validated questionnaire through door to door interview among randomly selected 2000 participants in a rural communityof Bangladesh. A cutoff point 3 was chosen as a valid and reliable scale to confirm GERD. Among the study participants, 1212 were male and 788 were female.Their average age range was 18 to 60 years. A total of 136 participants were found to have GERD symptoms and among them 43 were men and 93 were women. Thus, the prevalence of GERD in the study was 6.8%. GERD was highly associated with higher age group, women, Muslims, and participants withdiabetes mellitus, asthma and overweight.Prevalence of GERD in rural community of Bangladesh is lower than that of the western world.For a better understanding on GERD, it is important that a study should be carried in a representative samples across Bangladesh.Bangladesh Med Res Counc Bull 2018; 44(1):45-51
Copyright/LicenseCopyright (c) 2018 Dilip Kumar Ghosh; M Nath; Chanchal Kumar Ghosh; Akhlak Ahmed; Sayeda Rahim; AHM Rowshon;
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Prevalence of anti-HBc total positivity in an impoverished Urban Community in BangladesGhosh, Dilip Kumar; Shaheed Suhrawardy Medical College & Hospital, Dhaka; Ghosh, Chanchal Kumar; Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka.; Nath, Mukta; Shaheed Suhrawardy Medical College & Hospital, Dhaka; Safwath, Syed Alamgir; Jalalabad Ragib Rabeya Medical College; Saha, Santosh Kumar; National Center for Control of Rheumatic Fever & Heart Disease; Rowshon, AHM; Shaheed Suhrawardy Medical College & Hospital, Dhaka (Bangladesh Medical Research Council, 2018-01-04)The infection with the Hepatitis B virus (HBV) is a global health problem. Hepatitis B virus (HBV) infections are rapidly spreading in developing countries due to the lack of health education, poverty, illiteracy and Hepatitis B vaccination. No widespread population based data of HBV is available in the country's aspect. So, a population-based serological survey was done to determine the prevalence of the Hepatitis B core antibody total (IgM+IgG) in an impoverished Urban Community in Dhaka, Bangladesh. A descriptive cross-sectional study was conducted among 384 healthy individuals and age between 18-60 years from the urban slum in Dhaka city. The study was implemented through collaboration with Shaheed Suhrawardy Medical College, Dhaka from January 2013 to June 2013. The study participants were selected through systematic sampling procedure and blood tested for anti-HBc. Anti-HBc estimations were carried out by VITROS Immune diagnostic assay. The study was pertained Ethical permission from Bangladesh Medical Research Council (BMRC) and every participant was informed regarding their written informed consent. Among the 384 respondents, 183(47.6%) individuals were positive for the core antibody of hepatitis B virus (anti-HBc). The anti HBc positive group consisted almost of equal number of male 93, (24.2%) and female 90 (23.4%). There was a significantly increasing prevalence of the core antibody among young adults and middle age of the respondents (28.7%). Major risk factors for exposure to Hepatitis B appeared to be Ear-nose-body piercing, Circumcision by Hajam, unsafe blood transfusion and unsterile dental intervention. High prevalence of hepatitis B Core antibody (47.6%) indicates that the members of this urban community are highly exposed to hepatitis B virus.
Health Provider Payment Reforms in ChinaWorld Bank (Washington, DC, 2017-08-10)This paper examines health provider
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evolved, and changes that will improve it in the context of
ongoing health reform. The paper begins with a brief
introduction and background discussion followed by two
substantive sections experiments with case-based payment
systems, and experiments with alternative government budget
payment methods. This is followed by an examination of what
has worked in China and elsewhere. The concluding discussion
considers lessons for China and next steps. Many policy
instruments and reforms have been implemented to use
National Cooperative Medical System (NCMS), Basic Medical
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Present Academic Status of the Department of Medicine in Different Medical Colleges of BangladeshBiswas, Sarmistha; Assistant Professor, Department of Medicine, Dhaka Medical College & Hospital, Dhaka; Rahman, Ridwanur; Professor, Department of Medicine, Shaheed Suhrawardy Medical College & Hospital, Dhaka; Ahasan, HAM Nazmul; Professor & Head, Department of Medicine Dhaka Medical College & Hospital, Dhaka; Jesmin, Humayra; Indoor Medical Officer, Department of Medicine, Dhaka Medical College & Hospital, Dhaka; Siddique, Ashfaque Ahmed; Indoor Medical Officer, Department of Medicine Dhaka Medical College & Hospital, Dhaka; Islam, Md. Aminul; Indoor Medical Officer, Department of Medicine, Dhaka Medical College & Hospital, Dhaka; Chowdhury, Mostofa Kamal; Indoor Medical Officer, Department of Medicine, Dhaka Medical College & Hospital, Dhaka (Bangladesh Society of Medicine, 2015-02-23)Background: ‘Medicine’ is said to be the father of Medical education. The clinical phase of education of a medical student should be done in an academically oriented hospital specially Medicine Department. Lack of adequate clinical exposure must leads to inadequate learning. Methods: A cross-sectional study was done to look into the present academic scenario of the department in different Medical Colleges of Bangladesh. Here the Medicine Department of all the Medical Colleges was included; of them 22 were government and 44 were private. The allied branches were excluded. The concerned department of all the Medical Colleges was offered a prestructured questionnaire. 27 of them replied; 13 were public &amp; 14 were private. They were regarded as Code A &amp; Code B respectively. Results: We found that the number of functioning unit is less than requirement in Code B(2.31). Though the student bed ratio is adequate; the number of midlevel teacher is much less in both the codes. Office secretary is lacking as well as the ward side minilab facility. Most of the conference rooms are shared. There is a great vacuum regarding the integrated teaching class. We also noted that the publication &amp; presentation is much less in Code B. Conclusion: With the rapid growth of Medical education, the need for promoting ethical medical practice is mandatory. So the lacking of existing medical content should be fulfilled in an urgent manner.DOI: http://dx.doi.org/10.3329/jom.v16i1.22372 J MEDICINE 2015; 16 : 5-9