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Postoperative Complications in the General Surgery Department of the Cs Ref of Commune I of the District of Bamako Mali

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Surgical Science 2024年第6期15卷 409-419页

作者： Tounkara Cheickna Samake Hamidou Dembele Lamine Diarra Issaka Togola Modibo Sanogo Modibo Dembele Bakary Tientigui Traore Alhassane Togo Adégné Pierre Kante Lassana Department of General Surgery Reference Health Center of Commune I of Bamako Bamako Mali directorate of social and health Services of the Armies Bamako Mali Department of General Surgery CHU Gabriel Tour Bamako Mali

Postoperative complications represent important indicators for the quality of surgical care. The objectives of this work were to study post-operative complications in the general surgery department of the Cs ref of commune I in Mali, to determine the frequency of post-operative complications, to identify the factors of occurrence, to describe the clinical aspects, diagnostic and therapeutic in order to assess the additional cost linked to post-operative complications. This study was prospective, carried out in the general surgery department on 300 cases of surgical interventions. It covered all patients aged at least 15 years, operated on and hospitalized or not, and who presented complications during the 30 days postoperatively. Patients under the age of 15 were not included (our general surgery department is not a pediatric surgery department). We collected 300 patients among whom 199 (66.33%) were men and 101 (33.66%) women, i.e. a sex ratio = 1.9. The average age was 38 years with extremes of 15 and 87 years. The main initial diagnoses were: acute appendicitis, peritonitis, occlusions, wall hernias, hemorrhoids, uterine prolapse, uterine myomas, ovarian cysts and acute cholecystitis. Emergencies represented 43% (N = 129) of interventions with 6.98% post-operative complications (POC). Postoperative complications were dominated by surgical site infections, 75% of cases (N = 20), wall hemorrhage 5% (N = 1), testicular necrosis 5% (N = 1) and testicular calcification 5% (N = 1), wire rejection 5% (N = 1) and death 5% (N = 1). The management of postoperative complications was surgical in 95% and medical in 100%. Their occurrence extended the hospital stay by 3.65 days and increased the average cost of care by 60541.85 CFA francs. The mortality index lowered by efficient management of complications (IMAGE) calculated in relation to deaths was 95% of cases. Anemia, ASA score ≥ III, Alteimeir II and IV classes, duration of surgery and post-operative hospitalization were

关键词： Complications Post Opératoires Chirurgie Cs Ref CI Bamako Mali

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Review of Two Years of Surgical Activities of the General Surgery Department of the Reference health Center of Commune I of Bamako Mali

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Surgical Science 2024年第4期15卷 195-206页

作者： Tounkara Cheickna Cisse Amadou Beydi Samake Hamidou Diarra Issaka Sanogo Modibo Diarra Bogoba Doumbia Seydou Yena Sadio Department of General Surgery of the Reference health Center of Commune I Bamako Mali directorate of social and health Services of the Armed Forces of Mali Department of Public health of the Faculty of Medicine and Odontology-Stomatology Bamako Mali Department of Surgery Mali Hospital Bamako Mali

The objectives of this work were to evaluate the surgical activities carried out in the general surgery department of the Reference health Center of Commune I of Bamako, to describe the sociodemographic characteristics of the operated patients, to determine the main pathologies encountered and to evaluate qualitatively the result of the treatment. In order to improve performance, and the quality of care, and to identify common pathologies in the surgical department, we undertook a retrospective study on surgical activities from January 2009 to December 2010. At the end of this study, out of 474 men and 187 women (equal sex ratio 2.53);we were able to determine the frequency of surgical pathologies. Farmers, housewives and pupils/students were the most represented with 25.9% respectively;20% and 13.3%. The most frequently observed pathologies were wall hernia (44.8%), prostate adenoma (12%) and acute appendicitis (10.5%). The average length of hospitalization was 3.43 days. Infectious complications affected 25 patients (3.8% of cases) and a death rate of 0.45% (i.e. 3 patients). The average cost of care was 53,500 FCFA. Indeed, the reality of surgical practice in health centers was not the same because of the level of skills of practicing surgeons.

关键词： Assessment Surgical Activities 2 Years Reference health Center of Commune I Bamako

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Assessment of Breast Cancer Prevention Practices among Women Attending Primary health care in Abha City, Aseer Region, Saudi Arabia

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International Journal of Clinical Medicine 2024年第2期15卷 31-54页

作者： Sabah Mohammed Asiri Sultan Yahia Alfifii Tagreed Khairan Al-Rashidi Sager Misfer Alqahtani Faiz Abdulrahman Alshafa Fayez Mari Alamri Amal Mohammed Asiri Fatima Mohammed Ali Almagadi Thuraya Mohammed Asiri Department of Therapeutic Assistance Management General Directorate of Health Affairs Asser Region Abha Saudi Arabia Department of health Affairs General Directorate of Health Affairs Asser Region Abha Saudi Arabia Department of Kidney King Khaled Hospital Hail Saudi Arabia Department of Nursing Sarat Abida Hospital Aseer Saudi Arabia Department of Radiation Oncology King Faisal Medical City Abha Saudi Arabia Department of health Affairs KSA MOH Department of Kidney Dialysis Centers General Directorate of Health Affairs Aseer Region Abha Saudi Arabia Department of Operation Ahad Rafidah Hospital General Directorate of Health Affairs in Asseer Region Abha Saudi Arabia South Qunfudah General Hospital Jizan Saudi Arabia Armed Forces Southern Region Hospital Aseer Saudi Arabia

Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.

关键词： Assessment Breast Cancer Prevention Practices Women Attending health care Centers Abha City

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Clinical and Therapeutic Aspects of Inguinal Hernia in Children in the General Surgery Department of Reference health Center in Commune I of Bamako Mali

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Surgical Science 2024年第2期15卷 54-63页

作者： Tounkara Cheickna Samake Hamidou Simpara Mama Diarra Issaka Sanogo Modibo Sidibe Souleymane Togola Modibo Dembele Bakary Tientigui Coulibaly Yacaria Togo Pierre Adégné Kante Lassana Department of General Surgery the Reference Health Center of Commune I Bamako Mali directorate of social health Service the Armed Forces of Mali Bamako Mali Department of Pediatric Surgery Mali Hospital Bamako Mali Department of General Surgery the Gabriel TOURE University Hospital Bamako Mali Department of Pediatric Surgery Gabriel TOURE University Hospital Bamako Mali

Inguinal hernia in children is a congenital pathology in children linked to the persistence of the peritoneo-vaginal canal in children and the NüCK canal in girls;persisting into adulthood. This work aimed to study inguinal hernia in children in the general surgery department of the Reference health Center of Commune I of the Bamako District;to determine the frequency of inguinal hernia;describe the epidemiological, clinical and therapeutic aspects of inguinal hernias and in order to evaluate the cost of treatment. This was a prospective study from April 2017 to March 2018 during which 60 children with an inguinal hernia were collected. Inguinal hernias in children represented 9.23% of patients operated on in the department. The average age was 59.23 months with extremes of one month and 180 months and a standard deviation of 49.23 years. The male sex was dominant with a sex ratio equal to 9:1. The notion of prematurity was found in 11.7% and was associated with a testicle not in place in 1.7% of cases. 41.7% of our patients were referred by a doctor and 66.7% of patients presented with painless, intermittent inguino-scrotal swelling (83.3% of cases). The hernia was discovered before one week of life in 50% of cases. Inguinal swelling was absent in 11.7% but observed intraoperatively. The inguinal hernia was unilateral in 91.7% of cases and 70% of hernias were discovered by the parents during pushing efforts. The inguinal hernia was located on the right in 61.7% of cases. The hernia swelling was soft, painless, impulsive and reducible in 78.3% of cases. The swelling was inguino-scrotal in 58.3% of cases. The hernia was simple in 95% of patients and hernial strangulation was observed in 3 cases or 5% of cases. 98.3% of patients were ASA I. The treatment was carried out openly in all our patients including closure of the vaginal peritoneal canal in 95% of cases under general anesthesia in 98.3% of cases. The morbidity rate was 8.4% (surgical site infection: 6.7% of ca

关键词： Inguinal Hernia Child Surgery Cs Ref C I Bamako Mali

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Impact of Plastic Waste on the Human health in Low-Income Countries: A Systematic Review

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Journal of Environmental Protection 2024年第5期15卷 572-595页

作者： Ramde Wendkoaghenda Sophie Gbandama Koffi Kouame Pacome Gansore Aminata Camara Kelety Tolno Barthélemy Assogba Ange Wenceslas Vinciale Niare Boubacar Patrice Ngangue Institute for Interdisciplinary Training and Research in health Sciences and Education Ouagadougou Burkina Faso Regional directorate of health and Public Hygiene of South-Central Burkina Faso Ministry of Health Ouagadougou Burkina Faso Department of health Promotion and Education Ministry of Health and Public Hygi&#232ne Ouagadougou Burkina Faso Department of Dermatology-Venorology Treichville University Hospital F&#233lix Houphou&#235t-Boigny University Abidjan C&#244te d&#8217Ivoire Department of Infectious and Tropical Diseases Donka National Hospital Faculty of Health Sciences and Techniques Bamako Mali National AIDS Control Program PNLS Ministry of Health and Public Hygiene Abidjan C&#244te d&#8217Ivoire Marketing and Consumer Welfare Research Laboratory Abomey-Calavi University Cotonou Benin Regional health directorate of the District of Bamako Ministry of Health and Social Development Bamako Mali Department of Family Medicine Faculty of Medicine and Odonto Stomatology University of Sciences Techniques and Technologies of Bamako Bamako Mali Faculty of Nursing Sciences Laval University Quebec Canada

Background: Plastic pollution is the accumulation of waste composed of plastic and its derivatives all over the environment. Whether in the form of visible garbage or microparticles, as it slowly degrades, plastic pollution poses significant threats to terrestrial and aquatic habitats and the wildlife that call them home, whether through ingestion, entanglement or exposure to the chemicals contained in the material. Unfortunately, there is a lack of documentation on the impact of plastic waste on human health in low- and middle-income countries (LMICs). Methods: We searched five electronic databases (PubMed, Embase, Global health, CINAHL and Web of Science) and gray literature, following the preferred reporting elements for systematic reviews and meta-analyses (PRISMA), for the impact of plastic waste on human health in developing countries. We included quantitative and qualitative studies written in English and French. We assessed the quality of the included articles using the Mixed Methods Appraisal tool (MMAT). Results: A total of 3779 articles were initially identified by searching electronic databases. After eliminating duplicates, 3167 articles were reviewed based on title and abstract, and 26 were selected for full-text review. Only three articles were retained. The three articles dealt with practices likely to lead to oral exposure to plastic chemicals in human health, as well as the level of awareness of participants concerning the possible impact of plastic on human health, namely, the use of plastic baby bottles, the use of microwaves to cook food and reheat precooked food, the use of plastic bottles to store water in the refrigerator, water purifier containers with plastic bodies and plastic lunch boxes, the reuse of plastic bags and the inadequacy of treatment facilities. Conclusion: Plastic waste poses different risks to human health at every stage of its life cycle. Hence, strategies must be adopted to raise public awareness of the dangers of plastic

关键词： Human Population Plastic Waste health Impact Low-Income-Countries (Humans Iatrogenic Disease Plastics Policy Recycling Waste Management)

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Impact of parenting styles on preschoolers’behaviors

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World Journal of Clinical Cases 2024年第23期12卷 5294-5298页

作者： Elif Sarac Ministry of National Defense General Directorate of Management ServicesAnkara 06000Türkiye

In this editorial,I comment on the article“Association of preschool children behavior and emotional problems with the parenting behavior of both parents”which was published in the latest issue of“World Journal of Clinical Cases”that demonstrates the prevalence of behavioral disorders in preschool *** I am focused on parenting which is the most effective factor shown to affect the development and continuity of these *** management of child behavior problems is *** in early ages,especially preschoolers who are in the first 5 years of life,are influenced by dramatic changes in various aspects of development,such as social,emotional,and ***,children experience many changes linked to different developmental tasks,such as discovering themselves,getting new friendships,and adapting to a new *** this period,parents have a critical role in supporting child *** parents do not manage and overcome their child’s misbehavior,it could be transformed into psychosocial problems in *** is the most powerful predictor in the social development of preschool *** studies have shown that to reduce the child’s emotional and behavioral problems,a warm relationship between parents and children is *** addition,recent studies have demonstrated significant relationships between family regulation factors and parenting,as well as with child behaviors.

关键词： Behavioral problems Children Emotional problems Parenting style Preschool

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Disaster Collaborative Exercises for healthcare Teamwork in a Saudi Context

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International Journal of Disaster Risk Science 2023年第2期14卷 183-193页

作者： Mohammed Ali Salem Sultan Amir Khorram-Manesh Jarle Lφwe Sφrensen Johan Berlin Eric Carlstrōm Model of care Healthcare TransformationRegional Health DirectorateNajran66255Saudi Arabia Institute of health and care Sciences Sahlgrenska AcademyGothenburg University40530GothenburgSweden Institute of Clinical Sciences Sahlgrenska AcademyGothenburg University40530GothenburgSweden Gothenburg Emergency Medicine Research Group(GEMREG) Sahlgrenska Academy41345GothenburgSweden USN School of Business University of South-Eastern Norway3199BorreNorway Department of social and Behavioural Studies University West46186TrolhättanSweden

This study aimed to evaluate the development of healthcare teamwork during and after the collaboration tabletop exercises,through observation and interview *** and maturity theoretical models were employed to explain the collaborative challenges in teams that may suffer from unequally distributed power,hierarchies,and *** three-level collaboration tabletop exercises and the Command and control,Safety,Communication,Assessment,Treatment,Triage,Transport(CSCATTT)instrument,100 healthcare workers were observed during each step in the implementation of the CSCATTT instrument using two simulated *** results show a lack of integration and team maturity among participants in the first scenario,leading to the delayed start of the activity,task distribution,and decision *** shortcomings were improved in the second ***-depth interviews with 20 participants in the second phase of the study revealed improved knowledge and practical skills,self-confidence,and ability in team building within trans-professional groups in the second scenario,which in concordance with the integration theory,was due to the attempts made in the first ***,there was an improvement in the team’s maturity,which in concordance with the maturity theory,was due to the knowledge and practical skills during scenario *** results indicate the importance of continuous tabletop training,and the use of CSCATTT as a collaborative instrument,to promote the development of collaboration and to test the concept of preparedness.

关键词： Collaboration exercises Disaster education Emergency management healthcare personnel training Saudi Arabia Teamwork

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The COVID-19-Effect on social Life of Dentist Working in Specialist Dental Centers for Adult: Sample Al-Resafa health directorate

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Journal of Biosciences and Medicines 2022年第5期10卷 206-219页

作者： Sahar A. Esa Al Shatari Zinah M. Hasan Yahiya B. H. Al-Juboori Abdul Ganni Saddon Mariam Faiz Bab Al-Moatham Training PHC Center for Family health Approach Baghdad Iraq Bab Al-Moatham Training PHC Center for Family health Baghdad Iraq Al-Edresi PHC Baghdad Iraq Al-Resafa health directorate Istanbul Turkey Department of Technical Affair/Oral and Dental health Division Baghdad Iraq

Background: While causing a financial and economic loss in many countries in a few months, COVID 19 was of great impact on public health. The Iraqi government took several measures since the first Iraqi case was discovered in February 2020. One of the fundamental measures to control this pandemic is social isolation, which depends greatly on people’s awareness to decrease the incidence of COVID-19. Objectives: To study the COVID-19-effect on dentists’ social life and their future plan, and to find the relation between that effect and some dentists’ demographic variables. Methods: A cross-sectional study was conducted from 2nd January to 7th May 2021, by an electronic version of the questionnaire through Google form. With facilitating orders delivered to all the specialist dental centers for adults of Al-Resafa health directorate;any dentists working in specialist dental centers for adults of Al-Resafa health directorate, and accept to participate in this study. Results: A total of 10 specialist dental centers for adults of the Al-Resafa health directorate represent 566/628 dentists enrolled in this study with a response rate of 88.99%. Most of them aged less than 30 years old (62.2%), female (60.6%), married status (50.4%), had 1 - 3 children (71.91%), Rotator (51.1%), with less than five years of experience (61.3%). Conclusion: COVID-19 affected so many aspects of health workers’ lives including dentists. About two-thirds of dentists had negative feelings, of which almost all had anxiety. Younger ages, females, married and having children are factors that contribute to the affection of dental social lives more than other categories.

关键词： COVID-19 Dentist Anxiety Future-Planning Baghdad Iraq

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Importance of Wolbachia-mediated biocontrol to reduce dengue in Bangladesh and other dengue-endemic developing countries

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Biosafety and health 2023年第2期5卷 69-77页

作者： Abdullah Al Noman Debashish Das Zinnatun Nesa Md.Tariquzzaman Fariha Sharzana Md.Rakibul Hasan Baizid Khoorshid Riaz Golam Sharower Mohammad Meshbahur Rahman Department of Genetic Engineering&Biotechnology Jashore University of Science and TechnologyJashore 7408Bangladesh directorate General of health Services Government of the People's Republic of Bangladesh Ministry of Health and Family WelfareDhaka 1212Bangladesh Center for Medical Biotechnology Government of the People's Republic of Bangladesh Ministry of Health and Family WelfareDhaka 1212Bangladesh Department of Public health and Hospital Administration National Institute of Preventive and Social Medicine(NIPSOM)Dhaka 1212Bangladesh Department of Entomology National Institute of Preventive and Social Medicine(NIPSOM)Dhaka 1212Bangladesh Department of Biostatistics National Institute of Preventive and Social Medicine(NIPSOM)Dhaka 1212Bangladesh

Mosquito-borne diseases,particularly dengue and chikungunya have become global threats,infecting millions of people worldwide,including developing countries of Southeast Asia and Latin ***,like many other developing countries,is experiencing frequent dengue *** article,therefore,critically discussed the current status of dengue disease,vector control approaches,and the need for Wolbachia-mediated intervention in Bangladesh and other dengue-endemic developing *** this narrative review study,rel-evant literature was searched from major databases and search engines such as PubMed,BanglaJol,World health Organization(WHO)/European Centre for Disease Prevention and Control(ECDC)and Google *** the selection criteria,our search strategies finally involved 55 related literature for further *** showed that current vector control strategies could not render protection for an extended period,and the disease burden of arboviruses is *** impoverished outbreak preparedness,urbanization,climate change,and less efficacy of existing control methods have made people susceptible to vector-borne ***,Wolbachia,a naturally occurring endosymbiont of many mosquito species that can potentially limit virus transmission through several host genetic alterations,would be a potential alterna-tive for dengue *** also critically discussed the challenges and prospects of Wolbachia-based den-gue control in developing *** evidence supporting the efficacy and safety of this intervention and its mechanism have also been *** evidence suggests that this introgression method could be an eco-friendly and long-lasting dengue control *** review would help the policymakers and health experts devise a scheme of Wolbachia-based dengue control that can control mosquito-borne diseases,partic-ularly dengue in Bangladesh and other developing countries.

关键词： Wolbachia-based biocontrol Mosquitoes-borne diseases Dengue Biological control Developing countries

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Quality of life of COVID-19 recovered patients:a 1-year follow-up study from Bangladesh

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Infectious Diseases of Poverty 2023年第4期12卷 101-102页

作者： Mohammad Delwer Hossain Hawlader Md Utba Rashid Md Abdullah Saeed Khan Mowshomi Mannan Liza Sharmin Akter Mohammad Ali Hossain Tajrin Rahman Sabrina Yesmin Barsha Alberi Afifa Shifat Mosharop Hossian Tahmina Zerin Mishu Soumik Kha Sagar Ridwana Maher Manna Nawshin Ahmed Sree Shib Shankar Devnath Debu Irin Chowdhury Samanta Sabed Mashrur Ahmed Sabrina Afroz Borsha Faraz Al Zafar Sabiha Hyder Abdullah Enam Habiba Babul Naima Nur Miah Md.Akiful Haque Shopnil Roy K.M.Tanvir Hassan Mohammad Lutfor Rahman Mohammad Hayatun Nabi Koustuv Dalal Department of Public health North South University Dhaka Bangladesh International Centre for Diarrhoeal Disease Research Bangladesh Dhaka Bangladesh National Institute of Preventive and social Medicine Dhaka Bangladesh Ibn Sina Medical College Hospital Dhaka Bangladesh Public health Promotion and Development Society (PPDS) Dhaka Bangladesh Covid Vaccine Coordination Cell Directorate General of Health Services (DGHS) Dhaka Bangladesh Institute of Statistical Research and Training (ISRT) University of Dhaka Dhaka Bangladesh School of health Sciences Division of Public Health Science Mid Sweden University Sundsvall Sweden

BackgroundThe COVID-19 pandemic posed a danger to global public health because of the unprecedented physical,mental,social,and environmental impact affecting quality of life(QoL).The study aimed to find the changes in QoL among COVID-19 recovered individuals and explore the determinants of change more than 1 year after recovery in low-resource ***-19 patients from all eight divisions of Bangladesh who were confirmed positive by reverse transcription-polymerase chain reaction from June 2020 to November 2020 and who subsequently recovered were followed up twice,once immediately after recovery and again 1 year after the first *** follow-up study was conducted from November 2021 to January 2022 among 2438 individuals using the World health Organization Quality of Life Brief Version(WHOQOL-BREF).After excluding 48 deaths,95 were rejected to participate,618 were inaccessible,and there were 45 cases of incomplete *** statistics,paired-sample analyses,generalized estimating equation(GEE)analysis,and multivariable logistic regression analyses were performed to test the mean difference in participants’QoL scores between the two *** participants(n=1710,70.1%)were male,and one-fourth(24.4%)were older than *** average physical domain score decreased significantly from baseline to follow-up,and the average scores in psychological,social,and environmental domains increased significantly at follow-up(Psocial domain scores on multivariable logistic regression *** or semi-urban peo

关键词： Quality of life health-related quality of life Reverse transcription-polymerase chain reaction COVID-19 Bangladesh

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