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Implications of Elevated Serum Cortisol in the Onset of Postoperative Delirium Following Off-Pump Coronary Artery Bypass Grafting: Insights from a Bangladesh-Based Single Center Experience

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World Journal of Cardiovascular Diseases 2024年第4期14卷 252-267页

作者： Vivek Kumar Jha md.Abir Tazim Chowdhury Munama Magdum Manoj Tiwari md.Abul Bashar Maruf md.Saiful Islam Khan Priyanka Sinha Rajesh Naryan Kapar md. rezwanul hoque Department of Cardiothoracic and Vascular Surgery BP Koirala Institute of Health Sciences Dharan Nepal Department of Cardiothoracic and Vascular Surgery Evercare Hospital Dhaka Dhaka Bangladesh Department of Preventive and Social Medicine National Institute of Preventive and Social Medicine Dhaka Bangladesh Department of Thoracic Surgery BP Koirala Memorial Cancer Hospital Bharatpur Nepal Department of Cardiac Surgery United Hospital Limited Dhaka Bangladesh Department of Cardiothoracic Anesthesia Evercare Hospital Dhaka Dhaka Bangladesh Department of Microbiology Kathmandu Medical College Kathmandu Nepal Department of Nephrology Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh Department of Cardiac Surgery Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh

Background: Following coronary artery bypass grafting (CABG), delirium emerges as a prevalent complication. This study aimed to assess the correlation between elevated serum cortisol levels and the occurrence of postoperative delirium subsequent to off-pump CABG. Methods: Conducted in the Department of Cardiac Surgery at BSMMU from October 2020 to September 2022, this comparative cross-sectional study included a total of 44 participants. Subjects, meeting specific criteria, were purposefully assigned to two groups based on off-pump CABG. Group A (n = 22) consisted of patients with normal serum cortisol levels, while Group B (n = 22) comprised individuals with high serum cortisol levels on the first postoperative day. Delirium onset was assessed at the bedside in the ICU on the 1st, 2nd, 3rd, 4th, and 5th postoperative days using standard tools, namely the Richmond Agitation Sedation score (RASS) and The Confusion Assessment Method (CAM-ICU). Data were collected based on the presence or absence of delirium. Statistical analysis utilized SPSS version 26.0, employing an independent Student’s t-test for continuous data and chi-square and Fischer’s exact test for categorical data. A p-value ≤ 0.05 was considered statistically significant. Results: Group-A had a mean age of 54.50 ± 17.97, and Group-B had a mean age of 55.22 ± 15.45, both with a male predominance (81.81% and 86.36% respectively). The mean serum cortisol level was significantly higher in Group B (829.71 ± vs. 389.98 ± 68.77). Postoperative delirium occurred in 27.3% of Group B patients, statistically significant compared to the 4.5% in Group A. However, patients in Group B who developed delirium experienced significantly longer postoperative ICU and hospital stays (79.29 ± 12.27 vs. 11.44 ± 2.85, p ≤ 0.05). There was one mortality in Group B, which was statistically not significant. Conclusion: This study observed a significant association between elevated serum cortisol levels in the postoperative period a

关键词： Coronary Artery Bypass Grafting (CABG) Serum Cortisol Postoperative Delirium Bangladesh

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Evaluation of 100 Cases of Mortality after Cardiac Surgery: A Single-Center Experience in Bangladesh

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World Journal of Cardiovascular Surgery 2020年第7期10卷 131-141页

作者： Dharmendra Joshi Mayank Acharya Niraj Bhattarai md. Abir Tazim Chowdhury md. Alauddin md. rezwanul hoque Department of Cardiac Surgery Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh

Background: Vigilance ensures safety in cardiac surgery. Performance in cardiac surgery is often measured by short-term mortality. Several risk factors like advanced age, female gender, higher body mass index, decreased left ventricular function, emergent, and redo operations have appeared recurrently as poor prognostic variables. Evaluation of postoperative mortality is crucial to find loopholes to provide proper care and reduce preventable mortality after cardiac surgery in developing countries with limited infrastructures and resources. Methods: This is a retrospective study conducted in the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University. Perioperative data of 100 cases of mortality after cardiac surgery performed from 1 January 2014 to 30 May 2018 were collected from the university medical record. The data on age, gender, body mass index, preoperative investigations, diagnoses, types of operations, details of cardiopulmonary bypass, and postoperative period of the study populations were evaluated. Results: During the study period, about 1627 cases of cardiac surgery were done with an overall mortality rate of 6.15%. The mean age was 41.05 ± 20.19 (0 - 68) years, and 66% of patients were male. Preoperative ejection fraction (EF) of the study

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Development and Validation of Integrated Nutrient Management Practices of Industrial Processing Varieties: Asterix and Courage in Bangladesh

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Agricultural Sciences 2024年第7期15卷 780-799页

作者： Azizul hoque md. Maniruzzaman Sikder Abul Khair Bangladesh Agricultural Development Corporation Dhaka Bangladesh Department of Botany Jahangirnagar University Dhaka Bangladesh Hamd.rd University Gazaria Bangladesh

An experiment was meticulously conducted at the research field of Bangabandhu Sheikh Mujibur Rahman Agricultural University (BSMRAU), Gazipur, Bangladesh, during the 2011-2012 potato growing season to develop integrated crop management practices for the potato seed production of industrial processing varieties Asterix and Courage. Significantly, higher growth and yield parameters were found in the BADC-recommended practice. Later, another experiment was conducted to validate the BADC practice during the 2013-2014 potato growing season in two locations in Bangladesh. Results showed that the production of tuber per hill, tuber weight per hill as well as gross tuber yield per plot, higher proportion of storable seed tubers, and more quality seed potatoes (A-grade and B-grade) seed tubers were found significantly higher in the “BADC developed practice” compared to other treatments. Viral diseases (PLRV and PVY) prevalence was lower in “BADC developed practice”. Moreover, “BADC developed practice” contributed more economic yield by minimizing input cost compared to “Munshiganj advanced farmers’ practice”. Therefore, the “BADC developed practice” was found “superior” regarding yield, quality, and profitability in seed potato production of industrial varieties—Asterix and Courage in Bangladesh.

关键词： Integrated Nutrient Industrial Processing Potatoes

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Quantifying River Bank Erosion and Accretion Patterns along the Gorai River in Kushtia, Bangladesh: A Geospatial Analysis Utilizing GIS and Remote Sensing Techniques

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Journal of Geographic Information System 2024年第1期16卷 70-88页

作者： Chisti Muzahid Samsunnahar Popy Rifat Islam md. Shafiqul Ahsan Emon md. Selim Reja md. Mustafizur Rahman Jubayer hoque md. Golam Rabbani Saim Raiyan Department of Environmental Science and Disaster Management Bangabandhu Sheikh Mujibur Rahman Science and Technology University Dhaka Bangladesh

River bank erosion is a natural process that occurs when the water flow of a river exceeds the bank’s ability to withstand it. It is a common phenomenon that causes extensive land damage, displacement of people, loss of crops, and infrastructure damage. The Gorai River, situated on the right bank of the Ganges, is a significant branch of the river that flows into the Bay of Bengal via the Mathumati and Baleswar rivers. The erosion of the banks of the Gorai River in Kushtia district is not a recent occurrence. Local residents have been dealing with this issue for the past hundred years, and according to the elderly members of the community, the erosion has become more severe activities. Therefore, the main objective of this research is to quantify river bank erosion and accretion and bankline shifting from 2003 to 2022 using multi-temporal Landsat images data with GIS and remote sensing technique. Bank-line migration occurs as a result of the interplay and interconnectedness of various factors such as the degree of river-related processes such as erosion, transportation, and deposition, the amount of water in the river during the high season, the geological and soil makeup, and human intervention in the river. The results show that the highest eroded area was 4.6 square kilometers during the period of 2016 to 2019, while the highest accreted area was 7.12 square kilometers during the period of 2013 to 2016. However, the erosion and accretion values fluctuated from year to year.

关键词： Erosion and Accretion Geographic Information System (GIS) Remote Sensing Satellite Image Bankline Shifting

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Rural Resilience: A Comprehensive Study on Water Supply, Sanitation, Disease Patterns, and Hygiene Practices in Munshiganj, Bangladesh

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Journal of Environmental Protection 2024年第1期15卷 63-75页

作者： Jubayer hoque Rifat Islam md. Mustafizur Rahman md. Golam Rabbani md. Selim Reja Saifur Rahman Soykat Saim Raiyan md. Shafiqul Ahsan Emon Sakil Khan Department of Environmental Science and Disaster Management Bangabandhu Sheikh Mujibur Rahman Science and Technology University Gopalgnj Bangladesh Department of Political Science Bangabandhu Sheikh Mujibur Rahman Science and Technology University GopalgnjBangladesh Department of Statistics Bangabandhu Sheikh Mujibur Rahman Science and Technology University Gopalgnj Bangladesh

This research project investigates the current status of water supply, sanitation, and hygiene practices in Munshiganj District, Bangladesh. Data collection involved a structured questionnaire and a reconnaissance survey. Findings reveal that 30% of individuals rely on surface water (hand-tube wells, rivers, and ponds), prioritized as canal > river > pond, while 70% depend on groundwater (subterranean electric motor, deep tube-well). Drinking water is generally sufficient, with 95% reporting adequacy throughout the year. About 45% use hand tube-well water, 28% use deep tube-well water, and 11% use supply tap water for various purposes. Bathing trends include underground water through electric motor > pond > hand tube-well water > river, while for cooking, the order is underground water through electric motor > pond > hand tube-well water > river. Toilet water supply ranks as supply tap water > hand tube-well water > deep tube-well water. Although sanitation awareness is high, some lack knowledge of good hygiene practices. After defecating, handwashing methods include soap, ash, soil, or water. Children’s waste disposal varies, with some discarding it in open areas. Approximately 40% suffer from diseases like Diarrhoea due to unsafe water, primarily affecting children and elders. Training exists, but a significant portion lacks sanitation education. Dry skin or exposure to cold water may cause temporary irritation. Local government involvement in sanitation efforts is less active compared to non-governmental organizations. Results emphasize the need to enhance community awareness of safe water supplies and sanitation practices. .

关键词： Water Supply Sanitation Practices Hygiene Awareness Groundwater Dependency Community Health Intervention

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Assessing the pomfret stock for setting catch limits in the northern Bay of Bengal,Bangladesh

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Aquaculture and Fisheries 2024年第2期9卷 324-335页

作者： Mohammed Shahidul Alam Qun Liu md.Mostafa Monwar md.Enamul hoque Suman Barua md.Leion Hassan Abdullah Munzer College of Fisheries Ocean University of ChinaQingdao266003China Department of Fisheries University of ChittagongChattogram4331Bangladesh Institute of Marine Sciences University of ChittagongChattogram4331Bangladesh Department of Oceanography University of ChittagongChattogram4331Bangladesh Department of Fisheries Ministry of Fisheries and LivestockDhaka1215Bangladesh

Pampus argenteus and Pampus chinensis form the high-value demersal Pomfret fishery of ***,due to a monotonic decline in catches over the last five years,it is essential to explore the current stock status concerning the removal rate to ensure the sustainability of this ***,given the reliability and minimal data requirements,this study employed an extended Bayesian State-Space Surplus Production Model,JABBA(Just Another Bayesian Biomass Assessment),to assess the stock *** results revealed that the stock biomass of the Pomfret fishery in the final year of the time series is significantly lower than BMSY,the biomass required to produce ***,this study recommends a yearly catch limit(TAC)of 10,000 metric tons to prevent further depletion of the stock ***,to avoid growth overfishing by allowing all immature fishes to reproduce at least once before being caught,this study also calculated the optimum length(Lopt)for catch for both species at which biologically maximum yield and revenue can be *** estimated Lopt is 25 cm for *** and 30 cm for ***,and not to capture fishes with lengths lower than these limits,this study further calculated the minimum mesh size limits for gill and set bag nets is 7.5 *** the mesh size regulation was estimated using length-based reference points derived from an empirical equation,this regulation can be used as an associate reference point when TAC is applied to assure the sustainability of this fishery.

关键词： Pomfret fishery Stock assessment JABBA TAC Lower length limits for catches Mesh size regulation

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Pattern of Eye Diseases among Tea Workers

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Open Journal of Ophthalmology 2024年第2期14卷 117-127页

作者： Rifat Binth Rezayee md. Showkat Kabir Mohammed Moinul hoque Nirupam Chowdhury Mohammad Shish Rahman Nawreen Binte Anwar Shah-Noor Hassan Department of Community Ophthalmology Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh Department of Ophthalmology Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh

Background: Bangladesh’s tea industry is essential to the country’s economic expansion. Since tea workers in Bangladesh are marginalized within our community, they have limited access to comprehensive eye care services. Productivity and well-being are cornerstones of comprehensive health care strategy. Ocular disorders are influenced by life expectancy, sociodemographic status, and the epidemiological transition. In this context, the state of ocular health and the many eye illnesses remain to be significantly addressed. Purpose: To evaluate the pattern of eye diseases among tea workers in a tea estate of Bangladesh. Methods: This cross-sectional observational study was carried out in Halda Valley Tea Estate, Nazirhat, Fatickchari, Chattogram, Bangladesh, under the supervision of the Department of Community Ophthalmology, BSMMU, following ethical clearance and approval by the IRB board of BSMMU. With informed written consent and approval from the authority of the tea estate, a total of 110 tea workers were recruited. Socio-demographic characteristics, ocular findings, and patterns of eye diseases were determined and recorded. Results: The mean age of the study participants was 39.60 ± 11.63 years. The maximum (58.1%) study participants were 31 - 50 years old, female (64.5%), illiterate (82.7%), and tribal (71.8%) indigenes. Eye diseases were found in 94.5% of workers. Presbyopia (28.2%), cataracts (27.3%), and refractive error (26.4%) were the most common. Tea workers with eye diseases were significantly older than those who did not have any eye diseases (40.20 ± 11.57 vs. 29.17 ± 7.31 years, p Conclusion: A significant number of tea workers had eye diseases, of which presbyopia, cataracts, and refractive error were the most common.

关键词： Tea Workers Eye Diseases Presbyopia Cataract Refractive Errors

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Community Knowledge and Attitude about Burns First Aid (BFA) in Jazan, Saudi Arabia

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Journal of Biosciences and Medicines 2024年第4期12卷 135-148页

作者： md. Mazharul hoque Mohamed E. Moukhyer Nizar A. Khamjan Bahja Al Siddig Elsie Maguen Shane Alam Abdulrahman Ibrahim Ali Hakami Siraj Yahya Mohammed Mobarki Bandar Hassan Sulaiman Ghazwani Ayman Abdulrhman Alhathiq Lamyaa El Hassan Aziza Mukhayer Emergency Medical Services Department Faculty of Applied Medical Sciences Jazan University Jazan Saudi Arabia Public Health Programmes School of Medicine University of Limerick Limerick Ireland School of Medicine Ahfad University for Women Omdurman Sudan Department of Medical Laboratory Technology Faculty of Applied Medical Sciences Jazan University Jazan Saudi Arabia Department of Basic Medical Sciences Faculty of Medicine Jazan University Jazan Saudi Arabia Department of Health Promotion University of Maastricht Maastricht Netherland

Introduction and Significance: Burn injury (BI) is a considerable health issue which is responsible for around 300,000 deaths and affecting about 11 million people every year worldwide. In Saudi Arabia, the prevalence of BIs array from 112 to 518 per 100,000 per year. The appropriate awareness of performing first aid could facilitate to improve the outcomes of burns. Purpose and Objectives: To appraise the community that acknowledges burns, first aid, and associated factors among the community population in Jazan City, Saudi Arabia. The paper aims to identify limitations to encourage additional research and persuade legislators to develop improved burn-injury care recommendations and training programs. Materials and Methods: An observational-based sample survey was conducted among the people who live in Jazan City aging 13 years or more, during April 5 to May 5, 2023. Data collection was done by a validated online self-administrated questionnaire sent randomly to community members in different parts of Jazan City via social media platforms. Collected data were coded and cleaned by an excel program, and finally exported on SPSS 26.0 software. The variables were analyzed using descriptive statistics like frequencies and percentages. Also, the Chi-square test was used to investigate the relation between different variables, with a significance value of P Results: This study included 243 participants (about 62%) among them were mostly male participants (151) having a university degree. The majority of participants 75% did not take any form of BFA training in the past. This study shows that 69.9% of the participants have inadequate awareness, despite 72% having a constructive attitude towards burn first aid. Previous burn-related first aid training was significantly associated with participants’ knowledge of BFA at a p-value less than 0.05. Conclusion: This study indicates a high frequency of Jazan population having inadequate knowledge of burn first aid despite the high

关键词： Burn Injury (BI) Burns First Aid Knowledge First Aid Training Jazan City

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Community Knowledge about Bleeding Control in Jazan, KSA: Is There a Need for First Aid Educational Programs

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Journal of Biosciences and Medicines 2024年第6期12卷 64-84页

作者： md.Mazharul hoque Hamoud Yahya Alsuriha Mohamed E. Moukhyer Bahja Siddig Mohamed Mubarak Almaki Amna Moukhyer Fawaz Yahya Masswadi Mofareh Salman Harubi Elias Yosef Modabish Talal Omar Khasawi Yaser Mohammed Hantool Mohammed Awaji Mohammed Madkhali Aziza Mukhayer Emergency Medical Services Department Faculty of Applied Medical Sciences Jazan University Jazan Saudi Arabia Emergency Room University Hospital Jazan University Jazan Saudi Arabia Public Health Programmes School of Medicine University of Limerick Limerick Ireland School of Medicine Ahfad University for Women Omdurman Sudan Department of Medical Laboratory Faculty of Applied Medical Sciences Jazan Jazan University Saudi Arabia Freelance Research Assistant Maastricht The Netherlands Department of Health Promotion University of Maastricht Maastricht The Netherland

The current study aimed to evaluate the first aid knowledge and general awareness of bleeding control, and their relations with different variables among the population of Jazan City, Saudi Arabia, in 2023. A cross-sectional study was conducted in Jazan City, Saudi Arabia between April 2023 and May 2023. Participants, >13 years old, living in Jazan City, were self-enrolled. Data collection was carried out by distributing a self-reported online survey questionnaire via email and social media apps. A validated, pretested online self-report questionnaire was used for data collection, with data analysis performed using (MS) Excel 2022 and SPSS version 26. A Chi-square test was used to determine the association of sociodemographic variables and Bleeding Control (BC) knowledge with, significance set at p < 0.05. A total of 250 participants completed the questionnaire, predominantly aged between 16 - 25 years, with 152 (60.8%) being male, and about 90% being Saudi citizens. Only 53 (21.2%) participated in previous first aid training concentrating on bleeding control. Only 76 (30.4%) of participants had good knowledge, while 131 (52.4%) exhibited positive attitude towards BC first aid. There were no statistically significant associations between BC knowledge and age, gender, occupation, nationality, and education. However, a significant association was observed between previous BC training and knowledge (Chi-test = 40.373, d.f = 1, p = 0.000) at p < 0.05. Conclusion: The prevalence of poor knowledge of bleeding control among community members in Jazan City was high. The findings of this study should be carefully considered by various healthcare organizations to implement educational first-aid programs and activities aimed at enhancing community awareness and knowledge of bleeding control.

关键词： Injury Uncontrolled Bleeding First Aid Knowledge Attitude Jazan City

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Bifurcation Analysis and Bounded Optical Soliton Solutions of the Biswas-Arshed Model

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Computer Modeling in Engineering & Sciences 2023年第6期135卷 2197-2217页

作者： Fahad Sameer Alshammari md.Fazlul hoque Harun-Or-Roshid Muhammad Nadeem Department of Mathematics College of Science at AlkharjPrince Sattam bin Abdulaziz UniversityAlkharj11942Saudi Arabia Department of Mathematics Pabna University of Science and TechnologyPabna6600Bangladesh Faculty of Science Yibin UniversityYibin644000China

We investigate the bounded travelling wave solutions of the Biswas-Arshed model(BAM)including the low group velocity dispersion and excluding the self-phase *** integrate the nonlinear structure of the model to obtain bounded optical solitons which pass through the optical fibers in the non-Kerr *** bifurcation technique of the dynamical system is used to achieve the parameter bifurcation sets and split the parameter space into various areaswhich correspond to different phase *** bounded optical solitons and bounded periodic wave solutions are identified and derived conforming to each region of these phase *** also apply the extended sinh-Gordon equation expansion and the generalized Kudryashov integral schemes to obtain additional bounded optical soliton solutions of the BAM *** present more bounded optical shock waves,the bright-dark solitary wave,and optical rogue waves for the structure model via these schemes in different aspects.

关键词： The Biswas-Arshed model the extended sinh-Gordon equation expansion the generalized Kudryashov approach shock wave double solitons optical singular double solitons chirp-free bright-dark double solitons

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