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Development of a cervical cancer screening program in a slum setting using visual inspection with acetic acid: Analysis of feasibility and cost

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Open Journal of Obstetrics and Gynecology 2012年第2期2卷 140-146页

作者： Leslie S. Bradford Bimalangshu R. Dey syed md akram hussain Sultana Razia Begum Farhat hussain Sharmina Hoque Annekathryn Goodman AK Khan Healthcare Trust Dhaka Bangladesh Division of Gynecologic Oncology Massachusetts General Hospital Boston USA Division of Hematologic Oncology Massachusetts General Hospital Boston USA

Objective: In Bangladesh, cervical cancer is the second most common cause of cancer deaths in women. Annually, over 50 million women are at risk for cervical cancer, with 17,686 cases diagnosed and 10,362 deaths each year. Visual inspection with acetic acid (VIA) is a well validated tool in low resource areas for identifying cervical lesions. In this pilot study, AK Khan Health Care Trust (AKKHCT), in collaboration with oncologists at Massachusetts General Hospital (LB, BD, AG), launched a VIA cervical cancer-screening program. Methods: A clinic was established in the Korail Slum of Dhaka, a 90-acre slum with over 70,000 inhabitants, in the summer of 2011. From September 17, 2011 to November 1, 2011, ten women living in the Korail Slum were recruited and completed the three-month training program to learn how to do a pelvic examination and to evaluate the cervix using VIA. Three of the ten women performed VIA screening during the study period. Results: 44 patients were recruited and 8 women were identified to have VIA-positive results for a screen-positive rate of 18.2%. Two of the eight women underwent treatment. One woman underwent an excisional procedure for pre-invasive disease in the slum clinic. The other woman had an early invasive cervical cancer and was successfully treated in a local hospital. Conclusion: Our pilot project demonstrates some important factors in developing and implementing a successful screening program. Involving laywomen as healthcare workers provides a strong tie to community, as well as education, economic independence, and empowerment for women who would otherwise occupy a lower social standing in their community. VIA is feasible in the complicated environment of an inner city slum. It was feasible to perform minor excisional procedures to treat pre-invasive cervical disease in the slum clinic.

关键词： Visual Inspection Acetic Acid VIA Cervical Cancer Bangladesh Dhaka Slum Korail Slum

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Assessment of biogas generation potential from slaughterhouse wastes in Dhaka city,Bangladesh

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Waste Disposal and Sustainable Energy 2021年第1期3卷 41-48页

作者： Sayedus Salehin syed Shaheer Uddin Ahmed md.Ehasanul Hoque md.Salauddin Mrigdad S.M.Ashef hussain S.M.Tahsin Intisar Department of Mechanical and Production Engineering Islamic University of TechnologyBoard BazarGazipur 1704Bangladesh School of Mechanical and Aerospace Engineering Nanyang Technological University50 Nanyang AvenueSingapore 639798Singapore Tampere University of Technology Korkeakoulunkatu 7 Kampusareena33720 TampereFinland Department of Electrical and Electronic Engineering American International University BangladeshBananiDhaka 1213Bangladesh

Slaughterhouse waste is a highly energy-rich waste and is an attractive material to treat through anaerobic digestion to produce *** could be burned to provide heating and electricity or can be converted to bio-methane to be used as *** can also aid in waste management and evidently reduce the ecological and environmental *** this paper,the potential of biogas generation from the slaughterhouses in Dhaka is *** in 21 regions in Dhaka city have been surveyed for data collection and *** study estimates that approximately 7915 tons of slaughterhouse waste are generated annually from the slaughterhouses in Dhaka city which has the potential to generate 2.15 Mm^(3) of biogas.A case study on the biggest government registered slaughterhouse is also demonstrated regarding generating electricity.

关键词： Biogas Slaughterhouse waste Electricity Clean energy Energy recovery

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