Gender inclusiveness is important in the rural transformation process of Bangladesh as rural women play key roles in both agricultural and non-agricultural sectors.Gender inclusiveness also leads to gender equity.We e...Gender inclusiveness is important in the rural transformation process of Bangladesh as rural women play key roles in both agricultural and non-agricultural sectors.Gender inclusiveness also leads to gender equity.We empirically evaluate relationships between rural transformation and gender inclusiveness in Bangladesh.We consider three rural transformation indicators:high-value commodities’share in agricultural output values,non-farm employment’s share in rural labor employment,and non-agricultural GDP’s share in total GDP.Indicators capturing gender inclusiveness include the per capita rural income of males and females,ratio of investments into gender programs,female access to education,access to healthcare,employment participation,land ownership,and asset ownership.We test the effect of the difference in per capita rural income of males and females and the ratio of their incomes and check for the robustness of the gender variables across different model specifications.Analyzing 128 district-level observations from 32 districts of Bangladesh across four time periods(2000,2005,2010 and 2016),we use both ordinary least squares and fixed effects panel regression models.We find that female land and asset ownership and access to education and healthcare are robust determinants of various stages of rural transformation.Thus,our results suggest that improving women’s ownership of land and assets and investing in women’s education and healthcare will likely contribute to a more inclusive rural transformation.展开更多
The Atlantic tripletail(Lobotes surinamensis)is a high revenue-generating fish species predominantly caught by mechanized artisanal fishers community and the most available member of its family in Bangladesh.This is a...The Atlantic tripletail(Lobotes surinamensis)is a high revenue-generating fish species predominantly caught by mechanized artisanal fishers community and the most available member of its family in Bangladesh.This is a ground work of fish stock assessment study in the Bay of Bengal region to explore the life history parameters and associated biomass of this species,using three length-based approaches of TropFishR,the length-based Bayesian biomass estimation(LBB),and Froese’s length based indicators(LBIs).An almost homogenous body growth pattern(b=3.07;R^(2)=0.98)was observed in the length-weight relationship of tripletail.The life history parameters for tripletail,as determined by the von Bertalanffy Growth Function(VBGF)model,were L_(∞)=113.36 cm and k=0.51/a.The length converted catch curve(LCCC)yielded an estimation of the total mortality(Z=1.77/a),with the natural mortality estimated at(M=0.53/a)and the fishing mortality estimated at(F=1.24/a).But,the ratio of mortality(F/M=0.15)by LBB captured the non-fully exploited status of biomass(B/B_(MSY)=2.1).LBI analysis indicated that the tripletail fishery’s spawning stock biomass is greater than the target and limit reference points,indicating a healthy state of biomass.展开更多
Background:Arsenic(As)is a toxic element that can lead to various health issues in humans.The primary exposure to As is through the consumption of water contaminated with high As levels,particularly in Bangladesh.Prev...Background:Arsenic(As)is a toxic element that can lead to various health issues in humans.The primary exposure to As is through the consumption of water contaminated with high As levels,particularly in Bangladesh.Previous studies have shown that urinary arsenic(UAs)concentration can reflect As exposure and metabolism in individuals.However,little is known about how other factors,such as age,sex,and socioeconomic status,may affect UAs concentrations in children.Objective:This study aimed to investigate the influence of factors such as age,sex,and socioeconomic status on UAs concentrations in children,in addition to the impact of drinking water arsenic(WAs)levels.Methods:We conducted our study on elementary school-going children aged 8-11 years from rural Araihazar in Bangladesh.We measured UAs(available for a subset of 391 children)and WAs levels and collected information on demographic and socioeconomic characteristics.We employed regression analysis and t-tests to analyze the data.Results:Our findings revealed that younger children(β=197.95,95%confidence interval[CI]:111.97 to 283.94),female children(β=93.95,95%CI:8.49 to 179.40),and children with less educated fathers(β=138.03,95%CI:26.47 to 249.58)had higher UAs levels,particularly when they consumed water with high As content.Conclusion:The study concludes that children's As exposure and UAs concentration may vary depending on their age,sex,and socioeconomic status.Therefore,these factors should be considered when assessing the health risks associated with As.展开更多
Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria ...Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria relying on serum creatinine levels exhibit a delayed identification of AKI, prompting an exploration of alternative biomarkers. Aims and Objectives: This study is designed to overcome diagnostic constraints and explore the viability of serum Cystatin C as an early predictor of Acute Kidney Injury (AKI) in individuals undergoing on-pump cardiac surgery. The investigation aims to establish the relationship between serum Cystatin C levels and the onset of AKI in patients subjected to on-pump cardiac surgery. Primary objectives involve the assessment of the diagnostic effectiveness of serum Cystatin C, its comparison with serum creatinine, and the exploration of its potential for the early identification and treatment of AKI. Methodology: Conducted as a single-center study at the cardiac surgery department of BSMMU in Bangladesh from September 2020 to August 2022, a comparative cross-sectional analysis involved 31 participants categorized into No AKI and AKI groups based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Data collection encompassed preoperative, post-CBP (cardiopulmonary bypass) conclusion at 2 hours, postoperative day 1, and postoperative day 2 intervals. Statistical analyses included Chi-squared tests, independent Student’s t-tests, and one-sample t-tests. Significance was set at P Results: The study revealed no significant differences in baseline characteristics between the No AKI and AKI groups, except for CPB time and cross-clamp time. Serum Cystatin C levels in the AKI group exhibited statistical significance at various time points, highlighting its potential as an early detector. Conversely, Serum Creatinine levels in the AKI group showed no statistical significance. The Receiver Operating Characteristic (ROC) curve analysis further supported the efficacy of serum Cystatin C, with an Area under the ROC Curve of 0.864 and a cut-off value of 0.55 (p Conclusion: This study supports the superior utility of serum Cystatin C as an early detector of AKI in on-pump cardiac surgery patients compared to serum creatinine. Its ability to identify AKI several hours earlier may contribute to reduced morbidity, mortality, and healthcare costs. The findings underscore the significance of exploring novel biomarkers for improved post-cardiac surgery renal function assessment.展开更多
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 posto...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 and the occurrence of postoperative delirium after off-pump coronary artery bypass grafting.展开更多
Background: Emergence agitation (EA) is a common phenomenon observed in pediatric patients following general anesthesia. This study aimed to assess the efficacy of propofol and fentanyl in preventing EA and to compare...Background: Emergence agitation (EA) is a common phenomenon observed in pediatric patients following general anesthesia. This study aimed to assess the efficacy of propofol and fentanyl in preventing EA and to compare their associated complications or side effects. Methods: This prospective randomized observational comparative study was conducted at Dhaka Medical College Hospital from July 2013 to June 2014. The study aimed to evaluate the effects of propofol and fentanyl on EA in children aged 18 to 72 months undergoing circumcision, herniotomy, and polypectomy operations. Ninety children were included in the study, with 45 in each group. Patients with psychological or neurological disorders were excluded. Various parameters including age, sex, weight, American Society of Anesthesiologists (ASA) class, duration of anesthesia, Saturation of Peripheral Oxygen (SPO2), heart rate (HR), respiratory rate (RR), Pediatric Anesthesia Emergence Delirium (PAED) score, duration of post-anesthesia care unit (PACU) stay, incidence of laryngospasm, nausea, vomiting, and rescue drug requirement were compared between the two groups. Results: Age, sex, weight, ASA class, and duration of anesthesia were comparable between the two groups. Perioperative SpO2 and HR were similar in both groups. However, the PAED score was significantly higher in the fentanyl group during all follow-ups except at 30 minutes postoperatively. The mean duration of PACU stay was significantly longer in the fentanyl group. Although the incidence of laryngospasm was higher in the fentanyl group, it was not statistically significant. Conversely, nausea or vomiting was significantly higher in the fentanyl group. The requirement for rescue drugs was significantly higher in the fentanyl group compared to the propofol group. Conclusion: Both propofol and fentanyl were effective in preventing emergence agitation in pediatric patients undergoing various surgical procedures under sevoflurane anesthesia. However, propofol demonstrated a better safety profile with fewer incidences of nausea, vomiting, and rescue drug requirements compared to fentanyl.展开更多
Background: Serum albumin, a vital plasma protein, helps maintain intravascular colloidal osmotic pressure, cardiac output, and renal function. Low preoperative serum albumin is linked to poor outcomes, including acut...Background: Serum albumin, a vital plasma protein, helps maintain intravascular colloidal osmotic pressure, cardiac output, and renal function. Low preoperative serum albumin is linked to poor outcomes, including acute kidney injury (AKI), after off-pump coronary artery bypass (OPCAB) surgery. This study aimed to assess the relationship between preoperative serum albumin levels and early postoperative renal injury. Methods: This prospective comparative cross-sectional study was conducted from August 2019 to February 2021 at the National Heart Foundation Hospital & Research Institute, Bangladesh. It included 160 adult patients with normal preoperative renal function undergoing OPCAB. Patients were divided into two groups: Group A (serum albumin ≥ 4.0 gm/dl) and Group B (serum albumin Results: Preoperative serum albumin was significantly different between groups (Group A: 4.21 ± 0.05 gm/dl, Group B: 3.69 ± 0.04 gm/dl, p = 0.028). Group B had a higher incidence of hypertension (71.25% vs. 51.25%, p st and 3rd postoperative days were higher in Group B (p th day. Postoperative AKI occurred in 18.75% of Group A and 36.25% of Group B. Multivariate regression indicated that low preoperative serum albumin is an independent risk factor for postoperative AKI (p = 0.012, OR = 1.815, CI: 0.675 - 1.162). Conclusion: Preoperative serum albumin level is a valuable predictor of postoperative renal function. Ensuring high normal serum albumin levels before surgery can help minimize the risk of postoperative AKI.展开更多
Education for Sustainable Development(ESD)is the field of knowledge,skills,values to address interconnected global challenges including climate change,loss of biodiversity,unsustainable use of resources,and inequality...Education for Sustainable Development(ESD)is the field of knowledge,skills,values to address interconnected global challenges including climate change,loss of biodiversity,unsustainable use of resources,and inequality.Higher education institutions have an essential role in sustainability.This is the key in the education of future leaders who will contribute to the implementation of Sustainable Development Goals(SDGs).The higher education institutions can find the solution about how education,research,and professional practice can strengthen each other to provide for high-level professionalism to build up the student’s skill for communication and collaboration,creativity and critical thinking,digital literacies,intercultural competence.Innovation helps to understand the forms of socioeconomics by developing technological products and processes.Innovation is the key enabler of most of the SDG goals.Information and Communication Technologies(ICTs)have the potential to increase innovation.ICT is capable of strengthening the means of implementation for the SDGs by fostering international cooperation.Information and Communication Technologies influence growth of economies and facilitate innovation,and have a direct impact on growth and competitiveness.According to the World Bank,the digital economy makes up more than 15%of the global GDP and has grown 2.5 times faster over the previous 10 years than the GDP of the physical world.Sustainable growth means maintaining the growth rate without causing other economic problems.“Digital Bangladesh:Vision 2021”was declared by the government of Bangladesh on December 12,2008.The government has implemented a large number of projects relating to digital technologies and a number of these are already underway to develop the country as middle-income status by 2021 and developed status by 2041.On Dec.12,2022 the honorable Prime Minister of Bangladesh announced“Smart Bangladesh”by 2041.Smart Bangladesh is to mean the power of technology and innovation to improve the quality of life,enhance economic growth,and protect the environment.Digital Bangladesh and Smart Bangladesh are two different concepts with different objectives and implications.After an evaluation of Digital Bangladesh,Smart Bangladesh is a step further by using emerging technologies to create a smarter and sustainable society.SMART stands for Specific,Measurable,Achievable,Realistic,and Timely.The goals of Smart Bangladesh must incorporate all of these criteria to achieve by 2041.Higher education institutions can set the clear goals as the basis of building a vision or mission statement,as well as short-term and long-term action plans to achieve Smart Bangladesh.This paper examines an observational methodology and evaluation to find a solution about how ICTs in higher education can be used to develop course material,delivering content and sharing content,communication between learners,teachers,and the outside world.This will build up the teachers and learners’ability to lead with purpose,communicate and prove value,analyze and use data,and maintain a big-picture mindset for a Smart Bangladesh and SDGs.展开更多
On May 19,the China Tourism Day promotion co-sponsored by the Chinese Embassy in Bangladesh,the Bangladesh National Museum and the Bangladesh Travel Agents Association was successfully held at the Bangladesh National ...On May 19,the China Tourism Day promotion co-sponsored by the Chinese Embassy in Bangladesh,the Bangladesh National Museum and the Bangladesh Travel Agents Association was successfully held at the Bangladesh National Museum.展开更多
The concept of community resilience in the contexts of climate change and disasters draws increasing attention and interest from practitioners and researchers in recent development discourse. This paper provides a cri...The concept of community resilience in the contexts of climate change and disasters draws increasing attention and interest from practitioners and researchers in recent development discourse. This paper provides a critical review of six selected frameworks of community resilience building operationalized in Bangladesh over the span of years. In other words, this study aims to contribute to the understanding of resilience through a systematic analysis of the dimensions and indicators of community resilience frameworks. The analysis shows that comprehensive and effective community resilience frameworks should incorporate the missing components linked to fundamental elements of good governance, economic growth, environmental sustainability, social transformation, and capacity development. The paper concludes by highlighting a few other areas of grave concern that need more appropriate attention, considering the severe threats posed by climate change and natural disasters in line with sustainable development goals. Finally, this study recommends further research regarding the effectiveness of these frameworks in different climatic and disaster contexts that can lead the concept into a new dimension of community resilience and sustainability.展开更多
USA is the single largest export destination for Bangladesh RMG exports but year-on-year export from July to February period of the current fiscal year 2023-24 fell by 2.58%to$5.46 billion and the export was$4.79 bill...USA is the single largest export destination for Bangladesh RMG exports but year-on-year export from July to February period of the current fiscal year 2023-24 fell by 2.58%to$5.46 billion and the export was$4.79 billion and in the first seven months July-January of FY24,a fall of 3.90%.According to data from the Office of the Textile and Apparel(OTEXA)of the US.Garment shipments from Bangladesh to the US declined 24.91%year-on-year to$6.79 billion in the January November period in 2023.展开更多
The Bangladesh textile manufacturing market size is estimated at USD 19.04 billion in 2024,and is expected to reach USD 25.25 billion by 2029,growing at a CAGR of 5.81%during the forecast period(2024-2029).
Turkish-made apparel now costs approximately 40%more than similar products from Bangladesh,a gap that was only 15-20%a few years ago.This is creating opportunities for Bangladeshi exporters to attract consumer's a...Turkish-made apparel now costs approximately 40%more than similar products from Bangladesh,a gap that was only 15-20%a few years ago.This is creating opportunities for Bangladeshi exporters to attract consumer's attention.展开更多
Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preven...Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preventing postoperative atrial fibrillation. This study aimed to assess the impact of intravenous magnesium infusion in preventing atrial fibrillation after off-pump coronary artery bypass grafting, where maintaining stable cell membranes is crucial in averting this complication. Methods: A cross-sectional study was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, from March 2020 to February 2022. Sixty-six patients who underwent off-pump coronary artery bypass grafting were enrolled and divided into two groups. Group A (n = 33) received intravenous magnesium sulfate (10 mmol/2.47gm) for three days after surgery, while Group B (n = 33) did not receive magnesium sulfate. Postoperative atrial fibrillation occurrence in the Intensive Care Unit (ICU) within three days after surgery was evaluated using convenient sampling. Statistical analysis was performed with SPSS version 26.0, utilizing independent Student’s t-test for continuous data and Chi-square and Fisher’s exact test for categorical data. A p-value of ≤0.05 was considered statistically significant. Results: No significant differences in age or gender were observed between the two groups. Group B exhibited significantly lower magnesium levels than Group A on the 0<sup>th</sup>, 1<sup>st</sup>, 2<sup>nd</sup>, and 3<sup>rd</sup> days post-surgery. Additionally, Group B experienced a higher incidence of postoperative atrial fibrillation, longer ICU stays, and two mortalities. The study did not detect any adverse effects associated with magnesium infusion. Conclusion: It has been demonstrated that administering magnesium intravenously after off-pump coronary artery bypass grafting can lower the chances of developing atrial fibrillation. This demonstrates the potential advantages of using magnesium as a preventative measure for postoperative atrial fibrillation in such cases.展开更多
With the shocking present vehicle growth over 10%, many vehicles are found to operate within urban areas and national highways of Bangladesh without having necessary registration and fitness papers. Uncontrolled vehic...With the shocking present vehicle growth over 10%, many vehicles are found to operate within urban areas and national highways of Bangladesh without having necessary registration and fitness papers. Uncontrolled vehicle modification practice has become a serious concern particularly for large vehicles, which leads the vehicle owners not to properly adhere to the vehicle fitness rules. The primary objective of this research is to reveal the extent of vehicle modification of different categories of vehicle. In this regard, field survey is conducted in major bus terminals and truck depots of Dhaka city to find out the issues related to rampant vehicle modification. Later statistical analysis is performed to obtain the most observed vehicle dimensions followed by local body workers. Finally, detailed questionnaire survey is performed on vehicle owners as well as the body makers as an attempt to reveal the poor quality of work performed by unskilled local workers. This paper would describe the findings of this research work along with appropriate remedial measures to control the unsafe modification of vehicles.展开更多
BACKGROUND:Bangladesh is a densely populated country where about 10 million people are chronically infected with hepatitis B virus(HBV).The aim of the present study was to evaluate the biochemical,virological and hist...BACKGROUND:Bangladesh is a densely populated country where about 10 million people are chronically infected with hepatitis B virus(HBV).The aim of the present study was to evaluate the biochemical,virological and histological characteristics of HBeAg-negative chronic hepatitis B(CHB). METHODS:Patients were included in this study if they were chronically infected with HBV with detectable DNA.The patients who were co-infected with human immunodeficiency virus,hepatitis delta virus or hepatitis C virus,and previously subjected to antiviral treatment,and those with hepatocellular carcinoma were excluded.The study was conducted during the period of January 2001 to December 2007.During this period 2617 patients with CHB were studied.HBeAg-positive cases were included to compare the characteristics.Among them,237 cases underwent liver biopsy. RESULTS:2296 patients(87.7%)were male,with a mean age of 28.9±13.7 years.2375 patients(90.8%)had CHB,and 242(9.2%)were cirrhotic.HBV DNA levels were 7.6±1.5 copies/ml,ALT was 111.3±212.5 U/L,and AST was 91.5± 148.9 U/L.The number of HBeAg-negative CHB cases was 1039(39.7%).HBeAg-negative patients with a lower DNA load were older,and they had more fibrotic changes in the liver than HBeAg-positive patients.The two groups did not differ in necroinflammatory activity,but the former had lower ALT and AST values.Cirrhosis was more common in e-antigen-negative patients.CONCLUSIONS:e-antigen-negative CHB patients are older and have more hepatic fibrosis patients than HBeAg-positive patients,although they have similar necroinflammatory activity.展开更多
Status of organic carbon (C), total nitrogen (N), available potassium (K), calcium (Ca) and phosphorus (P) in three different depths (0-5 cm, 5-15 cm and 15?30 cm) on two hill slopes of 35% and 55% in orange orchard c...Status of organic carbon (C), total nitrogen (N), available potassium (K), calcium (Ca) and phosphorus (P) in three different depths (0-5 cm, 5-15 cm and 15?30 cm) on two hill slopes of 35% and 55% in orange orchard cultivated by the Mro tribe of Chittagong Hill Tracts (CHTs) were evaluated and compared with those in degraded bush forests, through digging three profiles in each land use. The content of all the five nutrients was found to be higher in the soil of orange orchard than in the soil of forest. But the variation was not consistent for both the slopes. The content varied depth wise also, having the highest value in surface soil in case of both the land uses on both the slopes. A mean available K content was significantly higher in orange orchard than in forest on 55% slope, while it was lower on 35% slope. Surface soil contained the nutrients of K and Ca with the amount of 0.2905-mg·g^(-1) soil and 3.025-mg·g^(-1)soil respectively in the orchard, while 0.1934-mg·g^(-1) soil and 1.6083-mg·g^(-1) soil were respectively in the forest. Organic carbon and total nitrogen were found more or less similar in surface soil on both the land uses showing a slight difference. Available P was found only in orange orchard, and in forest it was too little in amount to detect by the spectrophotometer. The degraded forests were poor in nutrient content due to high rate of soil erosion, which would be possible to be improved by bringing it under tree cover as proved by the adaptation of orange orchard there.展开更多
AIM: To establish if a distinct urinary metabolic profile could be identified in Bangladeshi hepatitis-B hepatocellular carcinoma (HCC) patients compared to cirrhosis patients and controls.METHODS: Urine samples from ...AIM: To establish if a distinct urinary metabolic profile could be identified in Bangladeshi hepatitis-B hepatocellular carcinoma (HCC) patients compared to cirrhosis patients and controls.METHODS: Urine samples from 42 Bangladeshi patients with HCC (39 patients with hepatitis-B HCC), 47 with cirrhosis on a background of hepatitis B, 46 with chronic hepatitis B, and seven ethnically-matched healthy controls were analyzed using nuclear magnetic resonance (NMR) spectroscopy. A full dietary and medication history was recorded for each subject. The urinary NMR data were analyzed using principal component analysis (PCA) and orthogonal partial least squared discriminant analysis (OPLS-DA) techniques. Differences in relative signal levels of the most discriminatory metabolites identified by PCA and OPLS-DA were compared between subject groups using an independent samples Kruskal-Wallis one-way analysis of variance (ANOVA) test with all pairwise multiple comparisons. Within the patient subgroups, the Mann-Whitney U test was used to compare metabolite levels depending on hepatitis B e-antigen (HBeAg) status and treatment with anti-viral therapy. A Benjamini-Hochberg adjustment was applied to acquire the level of significance for multiple testing, with a declared level of statistical significance of P < 0.05.RESULTS: There were significant differences in age (P < 0.001), weight (P < 0.001), and body mass index (P < 0.001) across the four clinical subgroups. Serum alanine aminotransferase (ALT) was significantly higher in the HCC group compared to controls (P < 0.001); serum α-fetoprotein was generally markedly elevated in HCC compared to controls; and serum creatinine levels were significantly reduced in the HCC group compared to the cirrhosis group (P = 0.004). A three-factor PCA scores plot showed clustering of the urinary NMR spectra from the four subgroups. Metabolites that contributed to the discrimination between the subgroups included acetate, creatine, creatinine, dimethyamine (DMA), formate, glycine, hippurate, and trimethylamine-N-oxide (TMAO). A comparison of relative metabolite levels confirmed that carnitine was significantly increased in HCC; and creatinine, hippurate, and TMAO were significantly reduced in HCC compared to the other subgroups. HBeAg negative patients showed a significant increase in creatinine (P = 0.001) compared to HBeAg positive patients in the chronic hepatitis B subgroup, whilst HBeAg negative patients showed a significant decrease in DMA (P = 0.004) in the cirrhosis subgroup compared to HBeAg positive patients. There were no differences in metabolite levels in HCC patients who did or did not receive antiviral treatment.CONCLUSION: Urinary NMR changes in Bangladeshi HCC were identified, corroborating previous findings from Egypt and West Africa. These findings could form the basis for the development of a cost-effective HCC dipstick screening test.展开更多
Soil samples were collected and analyzed from 25 sites of three hilly regions (Rangamati, Banderban and Khagrachari) for an understanding of the impact of denudation and land use on soils in Chittagong Hill Tracts, ...Soil samples were collected and analyzed from 25 sites of three hilly regions (Rangamati, Banderban and Khagrachari) for an understanding of the impact of denudation and land use on soils in Chittagong Hill Tracts, Bangladesh. There were natural forests, bushy land, slashed sites, slashed and burnt sites, and the sites prepared for shifting cultivation, one year after shifting cultivation and two years after shifting cultivation. The soils were generally yellowish brown to reddish brown, sandy to sandy clay loam, strongly acid, and well to excessively drained on steep slopes with considerable variation among the sites and land use categories. Bulk density was the highest in sites of one year after shifting cultivation (1.52 g·cm^-3) and the lowest in forested sites (1.38 g·cm^-3). Water holding capacities were, however, statistically similar in all sites. Organic carbon varied from 0.54% (slashed and burnt sites) to 1.55% (forested sites) and total N ranged from 0.05% (shifting cultivation for one year) to 0.13% (forested sites). Available phosphorus (Bray & Kurtz-2 P) was the maximum in forested sites (12.32 mg·kg^-l), and it did not differ significantly in other sites. Contents of available Ca, Mg and K were also higher in the bushy lands and forested sites than cleared and shifting cultivated sites.展开更多
基金supported by the Australian Centre for International Agricultural Research.
文摘Gender inclusiveness is important in the rural transformation process of Bangladesh as rural women play key roles in both agricultural and non-agricultural sectors.Gender inclusiveness also leads to gender equity.We empirically evaluate relationships between rural transformation and gender inclusiveness in Bangladesh.We consider three rural transformation indicators:high-value commodities’share in agricultural output values,non-farm employment’s share in rural labor employment,and non-agricultural GDP’s share in total GDP.Indicators capturing gender inclusiveness include the per capita rural income of males and females,ratio of investments into gender programs,female access to education,access to healthcare,employment participation,land ownership,and asset ownership.We test the effect of the difference in per capita rural income of males and females and the ratio of their incomes and check for the robustness of the gender variables across different model specifications.Analyzing 128 district-level observations from 32 districts of Bangladesh across four time periods(2000,2005,2010 and 2016),we use both ordinary least squares and fixed effects panel regression models.We find that female land and asset ownership and access to education and healthcare are robust determinants of various stages of rural transformation.Thus,our results suggest that improving women’s ownership of land and assets and investing in women’s education and healthcare will likely contribute to a more inclusive rural transformation.
基金Supported by the special research fund of Ocean University of China(No.201562030)。
文摘The Atlantic tripletail(Lobotes surinamensis)is a high revenue-generating fish species predominantly caught by mechanized artisanal fishers community and the most available member of its family in Bangladesh.This is a ground work of fish stock assessment study in the Bay of Bengal region to explore the life history parameters and associated biomass of this species,using three length-based approaches of TropFishR,the length-based Bayesian biomass estimation(LBB),and Froese’s length based indicators(LBIs).An almost homogenous body growth pattern(b=3.07;R^(2)=0.98)was observed in the length-weight relationship of tripletail.The life history parameters for tripletail,as determined by the von Bertalanffy Growth Function(VBGF)model,were L_(∞)=113.36 cm and k=0.51/a.The length converted catch curve(LCCC)yielded an estimation of the total mortality(Z=1.77/a),with the natural mortality estimated at(M=0.53/a)and the fishing mortality estimated at(F=1.24/a).But,the ratio of mortality(F/M=0.15)by LBB captured the non-fully exploited status of biomass(B/B_(MSY)=2.1).LBI analysis indicated that the tripletail fishery’s spawning stock biomass is greater than the target and limit reference points,indicating a healthy state of biomass.
基金supported by National Institutes of Health(NIH)/National Institute of Environmental Health Sciences grants P42 ES 10349,P30 ES 09089,R01ES032149by a training grant(5D43TW005724)from the NIH Fogarty International Center.
文摘Background:Arsenic(As)is a toxic element that can lead to various health issues in humans.The primary exposure to As is through the consumption of water contaminated with high As levels,particularly in Bangladesh.Previous studies have shown that urinary arsenic(UAs)concentration can reflect As exposure and metabolism in individuals.However,little is known about how other factors,such as age,sex,and socioeconomic status,may affect UAs concentrations in children.Objective:This study aimed to investigate the influence of factors such as age,sex,and socioeconomic status on UAs concentrations in children,in addition to the impact of drinking water arsenic(WAs)levels.Methods:We conducted our study on elementary school-going children aged 8-11 years from rural Araihazar in Bangladesh.We measured UAs(available for a subset of 391 children)and WAs levels and collected information on demographic and socioeconomic characteristics.We employed regression analysis and t-tests to analyze the data.Results:Our findings revealed that younger children(β=197.95,95%confidence interval[CI]:111.97 to 283.94),female children(β=93.95,95%CI:8.49 to 179.40),and children with less educated fathers(β=138.03,95%CI:26.47 to 249.58)had higher UAs levels,particularly when they consumed water with high As content.Conclusion:The study concludes that children's As exposure and UAs concentration may vary depending on their age,sex,and socioeconomic status.Therefore,these factors should be considered when assessing the health risks associated with As.
文摘Background: Acute Kidney Injury (AKI) stands as a prominent postoperative complication in on-pump cardiac surgery, with repercussions on morbidity, mortality, and hospitalization duration. Current diagnostic criteria relying on serum creatinine levels exhibit a delayed identification of AKI, prompting an exploration of alternative biomarkers. Aims and Objectives: This study is designed to overcome diagnostic constraints and explore the viability of serum Cystatin C as an early predictor of Acute Kidney Injury (AKI) in individuals undergoing on-pump cardiac surgery. The investigation aims to establish the relationship between serum Cystatin C levels and the onset of AKI in patients subjected to on-pump cardiac surgery. Primary objectives involve the assessment of the diagnostic effectiveness of serum Cystatin C, its comparison with serum creatinine, and the exploration of its potential for the early identification and treatment of AKI. Methodology: Conducted as a single-center study at the cardiac surgery department of BSMMU in Bangladesh from September 2020 to August 2022, a comparative cross-sectional analysis involved 31 participants categorized into No AKI and AKI groups based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Data collection encompassed preoperative, post-CBP (cardiopulmonary bypass) conclusion at 2 hours, postoperative day 1, and postoperative day 2 intervals. Statistical analyses included Chi-squared tests, independent Student’s t-tests, and one-sample t-tests. Significance was set at P Results: The study revealed no significant differences in baseline characteristics between the No AKI and AKI groups, except for CPB time and cross-clamp time. Serum Cystatin C levels in the AKI group exhibited statistical significance at various time points, highlighting its potential as an early detector. Conversely, Serum Creatinine levels in the AKI group showed no statistical significance. The Receiver Operating Characteristic (ROC) curve analysis further supported the efficacy of serum Cystatin C, with an Area under the ROC Curve of 0.864 and a cut-off value of 0.55 (p Conclusion: This study supports the superior utility of serum Cystatin C as an early detector of AKI in on-pump cardiac surgery patients compared to serum creatinine. Its ability to identify AKI several hours earlier may contribute to reduced morbidity, mortality, and healthcare costs. The findings underscore the significance of exploring novel biomarkers for improved post-cardiac surgery renal function assessment.
文摘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 and the occurrence of postoperative delirium after off-pump coronary artery bypass grafting.
文摘Background: Emergence agitation (EA) is a common phenomenon observed in pediatric patients following general anesthesia. This study aimed to assess the efficacy of propofol and fentanyl in preventing EA and to compare their associated complications or side effects. Methods: This prospective randomized observational comparative study was conducted at Dhaka Medical College Hospital from July 2013 to June 2014. The study aimed to evaluate the effects of propofol and fentanyl on EA in children aged 18 to 72 months undergoing circumcision, herniotomy, and polypectomy operations. Ninety children were included in the study, with 45 in each group. Patients with psychological or neurological disorders were excluded. Various parameters including age, sex, weight, American Society of Anesthesiologists (ASA) class, duration of anesthesia, Saturation of Peripheral Oxygen (SPO2), heart rate (HR), respiratory rate (RR), Pediatric Anesthesia Emergence Delirium (PAED) score, duration of post-anesthesia care unit (PACU) stay, incidence of laryngospasm, nausea, vomiting, and rescue drug requirement were compared between the two groups. Results: Age, sex, weight, ASA class, and duration of anesthesia were comparable between the two groups. Perioperative SpO2 and HR were similar in both groups. However, the PAED score was significantly higher in the fentanyl group during all follow-ups except at 30 minutes postoperatively. The mean duration of PACU stay was significantly longer in the fentanyl group. Although the incidence of laryngospasm was higher in the fentanyl group, it was not statistically significant. Conversely, nausea or vomiting was significantly higher in the fentanyl group. The requirement for rescue drugs was significantly higher in the fentanyl group compared to the propofol group. Conclusion: Both propofol and fentanyl were effective in preventing emergence agitation in pediatric patients undergoing various surgical procedures under sevoflurane anesthesia. However, propofol demonstrated a better safety profile with fewer incidences of nausea, vomiting, and rescue drug requirements compared to fentanyl.
文摘Background: Serum albumin, a vital plasma protein, helps maintain intravascular colloidal osmotic pressure, cardiac output, and renal function. Low preoperative serum albumin is linked to poor outcomes, including acute kidney injury (AKI), after off-pump coronary artery bypass (OPCAB) surgery. This study aimed to assess the relationship between preoperative serum albumin levels and early postoperative renal injury. Methods: This prospective comparative cross-sectional study was conducted from August 2019 to February 2021 at the National Heart Foundation Hospital & Research Institute, Bangladesh. It included 160 adult patients with normal preoperative renal function undergoing OPCAB. Patients were divided into two groups: Group A (serum albumin ≥ 4.0 gm/dl) and Group B (serum albumin Results: Preoperative serum albumin was significantly different between groups (Group A: 4.21 ± 0.05 gm/dl, Group B: 3.69 ± 0.04 gm/dl, p = 0.028). Group B had a higher incidence of hypertension (71.25% vs. 51.25%, p st and 3rd postoperative days were higher in Group B (p th day. Postoperative AKI occurred in 18.75% of Group A and 36.25% of Group B. Multivariate regression indicated that low preoperative serum albumin is an independent risk factor for postoperative AKI (p = 0.012, OR = 1.815, CI: 0.675 - 1.162). Conclusion: Preoperative serum albumin level is a valuable predictor of postoperative renal function. Ensuring high normal serum albumin levels before surgery can help minimize the risk of postoperative AKI.
文摘Education for Sustainable Development(ESD)is the field of knowledge,skills,values to address interconnected global challenges including climate change,loss of biodiversity,unsustainable use of resources,and inequality.Higher education institutions have an essential role in sustainability.This is the key in the education of future leaders who will contribute to the implementation of Sustainable Development Goals(SDGs).The higher education institutions can find the solution about how education,research,and professional practice can strengthen each other to provide for high-level professionalism to build up the student’s skill for communication and collaboration,creativity and critical thinking,digital literacies,intercultural competence.Innovation helps to understand the forms of socioeconomics by developing technological products and processes.Innovation is the key enabler of most of the SDG goals.Information and Communication Technologies(ICTs)have the potential to increase innovation.ICT is capable of strengthening the means of implementation for the SDGs by fostering international cooperation.Information and Communication Technologies influence growth of economies and facilitate innovation,and have a direct impact on growth and competitiveness.According to the World Bank,the digital economy makes up more than 15%of the global GDP and has grown 2.5 times faster over the previous 10 years than the GDP of the physical world.Sustainable growth means maintaining the growth rate without causing other economic problems.“Digital Bangladesh:Vision 2021”was declared by the government of Bangladesh on December 12,2008.The government has implemented a large number of projects relating to digital technologies and a number of these are already underway to develop the country as middle-income status by 2021 and developed status by 2041.On Dec.12,2022 the honorable Prime Minister of Bangladesh announced“Smart Bangladesh”by 2041.Smart Bangladesh is to mean the power of technology and innovation to improve the quality of life,enhance economic growth,and protect the environment.Digital Bangladesh and Smart Bangladesh are two different concepts with different objectives and implications.After an evaluation of Digital Bangladesh,Smart Bangladesh is a step further by using emerging technologies to create a smarter and sustainable society.SMART stands for Specific,Measurable,Achievable,Realistic,and Timely.The goals of Smart Bangladesh must incorporate all of these criteria to achieve by 2041.Higher education institutions can set the clear goals as the basis of building a vision or mission statement,as well as short-term and long-term action plans to achieve Smart Bangladesh.This paper examines an observational methodology and evaluation to find a solution about how ICTs in higher education can be used to develop course material,delivering content and sharing content,communication between learners,teachers,and the outside world.This will build up the teachers and learners’ability to lead with purpose,communicate and prove value,analyze and use data,and maintain a big-picture mindset for a Smart Bangladesh and SDGs.
文摘On May 19,the China Tourism Day promotion co-sponsored by the Chinese Embassy in Bangladesh,the Bangladesh National Museum and the Bangladesh Travel Agents Association was successfully held at the Bangladesh National Museum.
文摘The concept of community resilience in the contexts of climate change and disasters draws increasing attention and interest from practitioners and researchers in recent development discourse. This paper provides a critical review of six selected frameworks of community resilience building operationalized in Bangladesh over the span of years. In other words, this study aims to contribute to the understanding of resilience through a systematic analysis of the dimensions and indicators of community resilience frameworks. The analysis shows that comprehensive and effective community resilience frameworks should incorporate the missing components linked to fundamental elements of good governance, economic growth, environmental sustainability, social transformation, and capacity development. The paper concludes by highlighting a few other areas of grave concern that need more appropriate attention, considering the severe threats posed by climate change and natural disasters in line with sustainable development goals. Finally, this study recommends further research regarding the effectiveness of these frameworks in different climatic and disaster contexts that can lead the concept into a new dimension of community resilience and sustainability.
文摘USA is the single largest export destination for Bangladesh RMG exports but year-on-year export from July to February period of the current fiscal year 2023-24 fell by 2.58%to$5.46 billion and the export was$4.79 billion and in the first seven months July-January of FY24,a fall of 3.90%.According to data from the Office of the Textile and Apparel(OTEXA)of the US.Garment shipments from Bangladesh to the US declined 24.91%year-on-year to$6.79 billion in the January November period in 2023.
文摘The Bangladesh textile manufacturing market size is estimated at USD 19.04 billion in 2024,and is expected to reach USD 25.25 billion by 2029,growing at a CAGR of 5.81%during the forecast period(2024-2029).
文摘Turkish-made apparel now costs approximately 40%more than similar products from Bangladesh,a gap that was only 15-20%a few years ago.This is creating opportunities for Bangladeshi exporters to attract consumer's attention.
文摘Background: Atrial fibrillation commonly occurs following cardiac surgery, particularly after coronary artery bypass grafting. Magnesium, known for its stabilizing effect on cell membranes, has shown promise in preventing postoperative atrial fibrillation. This study aimed to assess the impact of intravenous magnesium infusion in preventing atrial fibrillation after off-pump coronary artery bypass grafting, where maintaining stable cell membranes is crucial in averting this complication. Methods: A cross-sectional study was conducted at the Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, from March 2020 to February 2022. Sixty-six patients who underwent off-pump coronary artery bypass grafting were enrolled and divided into two groups. Group A (n = 33) received intravenous magnesium sulfate (10 mmol/2.47gm) for three days after surgery, while Group B (n = 33) did not receive magnesium sulfate. Postoperative atrial fibrillation occurrence in the Intensive Care Unit (ICU) within three days after surgery was evaluated using convenient sampling. Statistical analysis was performed with SPSS version 26.0, utilizing independent Student’s t-test for continuous data and Chi-square and Fisher’s exact test for categorical data. A p-value of ≤0.05 was considered statistically significant. Results: No significant differences in age or gender were observed between the two groups. Group B exhibited significantly lower magnesium levels than Group A on the 0<sup>th</sup>, 1<sup>st</sup>, 2<sup>nd</sup>, and 3<sup>rd</sup> days post-surgery. Additionally, Group B experienced a higher incidence of postoperative atrial fibrillation, longer ICU stays, and two mortalities. The study did not detect any adverse effects associated with magnesium infusion. Conclusion: It has been demonstrated that administering magnesium intravenously after off-pump coronary artery bypass grafting can lower the chances of developing atrial fibrillation. This demonstrates the potential advantages of using magnesium as a preventative measure for postoperative atrial fibrillation in such cases.
文摘With the shocking present vehicle growth over 10%, many vehicles are found to operate within urban areas and national highways of Bangladesh without having necessary registration and fitness papers. Uncontrolled vehicle modification practice has become a serious concern particularly for large vehicles, which leads the vehicle owners not to properly adhere to the vehicle fitness rules. The primary objective of this research is to reveal the extent of vehicle modification of different categories of vehicle. In this regard, field survey is conducted in major bus terminals and truck depots of Dhaka city to find out the issues related to rampant vehicle modification. Later statistical analysis is performed to obtain the most observed vehicle dimensions followed by local body workers. Finally, detailed questionnaire survey is performed on vehicle owners as well as the body makers as an attempt to reveal the poor quality of work performed by unskilled local workers. This paper would describe the findings of this research work along with appropriate remedial measures to control the unsafe modification of vehicles.
文摘BACKGROUND:Bangladesh is a densely populated country where about 10 million people are chronically infected with hepatitis B virus(HBV).The aim of the present study was to evaluate the biochemical,virological and histological characteristics of HBeAg-negative chronic hepatitis B(CHB). METHODS:Patients were included in this study if they were chronically infected with HBV with detectable DNA.The patients who were co-infected with human immunodeficiency virus,hepatitis delta virus or hepatitis C virus,and previously subjected to antiviral treatment,and those with hepatocellular carcinoma were excluded.The study was conducted during the period of January 2001 to December 2007.During this period 2617 patients with CHB were studied.HBeAg-positive cases were included to compare the characteristics.Among them,237 cases underwent liver biopsy. RESULTS:2296 patients(87.7%)were male,with a mean age of 28.9±13.7 years.2375 patients(90.8%)had CHB,and 242(9.2%)were cirrhotic.HBV DNA levels were 7.6±1.5 copies/ml,ALT was 111.3±212.5 U/L,and AST was 91.5± 148.9 U/L.The number of HBeAg-negative CHB cases was 1039(39.7%).HBeAg-negative patients with a lower DNA load were older,and they had more fibrotic changes in the liver than HBeAg-positive patients.The two groups did not differ in necroinflammatory activity,but the former had lower ALT and AST values.Cirrhosis was more common in e-antigen-negative patients.CONCLUSIONS:e-antigen-negative CHB patients are older and have more hepatic fibrosis patients than HBeAg-positive patients,although they have similar necroinflammatory activity.
文摘Status of organic carbon (C), total nitrogen (N), available potassium (K), calcium (Ca) and phosphorus (P) in three different depths (0-5 cm, 5-15 cm and 15?30 cm) on two hill slopes of 35% and 55% in orange orchard cultivated by the Mro tribe of Chittagong Hill Tracts (CHTs) were evaluated and compared with those in degraded bush forests, through digging three profiles in each land use. The content of all the five nutrients was found to be higher in the soil of orange orchard than in the soil of forest. But the variation was not consistent for both the slopes. The content varied depth wise also, having the highest value in surface soil in case of both the land uses on both the slopes. A mean available K content was significantly higher in orange orchard than in forest on 55% slope, while it was lower on 35% slope. Surface soil contained the nutrients of K and Ca with the amount of 0.2905-mg·g^(-1) soil and 3.025-mg·g^(-1)soil respectively in the orchard, while 0.1934-mg·g^(-1) soil and 1.6083-mg·g^(-1) soil were respectively in the forest. Organic carbon and total nitrogen were found more or less similar in surface soil on both the land uses showing a slight difference. Available P was found only in orange orchard, and in forest it was too little in amount to detect by the spectrophotometer. The degraded forests were poor in nutrient content due to high rate of soil erosion, which would be possible to be improved by bringing it under tree cover as proved by the adaptation of orange orchard there.
文摘AIM: To establish if a distinct urinary metabolic profile could be identified in Bangladeshi hepatitis-B hepatocellular carcinoma (HCC) patients compared to cirrhosis patients and controls.METHODS: Urine samples from 42 Bangladeshi patients with HCC (39 patients with hepatitis-B HCC), 47 with cirrhosis on a background of hepatitis B, 46 with chronic hepatitis B, and seven ethnically-matched healthy controls were analyzed using nuclear magnetic resonance (NMR) spectroscopy. A full dietary and medication history was recorded for each subject. The urinary NMR data were analyzed using principal component analysis (PCA) and orthogonal partial least squared discriminant analysis (OPLS-DA) techniques. Differences in relative signal levels of the most discriminatory metabolites identified by PCA and OPLS-DA were compared between subject groups using an independent samples Kruskal-Wallis one-way analysis of variance (ANOVA) test with all pairwise multiple comparisons. Within the patient subgroups, the Mann-Whitney U test was used to compare metabolite levels depending on hepatitis B e-antigen (HBeAg) status and treatment with anti-viral therapy. A Benjamini-Hochberg adjustment was applied to acquire the level of significance for multiple testing, with a declared level of statistical significance of P < 0.05.RESULTS: There were significant differences in age (P < 0.001), weight (P < 0.001), and body mass index (P < 0.001) across the four clinical subgroups. Serum alanine aminotransferase (ALT) was significantly higher in the HCC group compared to controls (P < 0.001); serum α-fetoprotein was generally markedly elevated in HCC compared to controls; and serum creatinine levels were significantly reduced in the HCC group compared to the cirrhosis group (P = 0.004). A three-factor PCA scores plot showed clustering of the urinary NMR spectra from the four subgroups. Metabolites that contributed to the discrimination between the subgroups included acetate, creatine, creatinine, dimethyamine (DMA), formate, glycine, hippurate, and trimethylamine-N-oxide (TMAO). A comparison of relative metabolite levels confirmed that carnitine was significantly increased in HCC; and creatinine, hippurate, and TMAO were significantly reduced in HCC compared to the other subgroups. HBeAg negative patients showed a significant increase in creatinine (P = 0.001) compared to HBeAg positive patients in the chronic hepatitis B subgroup, whilst HBeAg negative patients showed a significant decrease in DMA (P = 0.004) in the cirrhosis subgroup compared to HBeAg positive patients. There were no differences in metabolite levels in HCC patients who did or did not receive antiviral treatment.CONCLUSION: Urinary NMR changes in Bangladeshi HCC were identified, corroborating previous findings from Egypt and West Africa. These findings could form the basis for the development of a cost-effective HCC dipstick screening test.
文摘Soil samples were collected and analyzed from 25 sites of three hilly regions (Rangamati, Banderban and Khagrachari) for an understanding of the impact of denudation and land use on soils in Chittagong Hill Tracts, Bangladesh. There were natural forests, bushy land, slashed sites, slashed and burnt sites, and the sites prepared for shifting cultivation, one year after shifting cultivation and two years after shifting cultivation. The soils were generally yellowish brown to reddish brown, sandy to sandy clay loam, strongly acid, and well to excessively drained on steep slopes with considerable variation among the sites and land use categories. Bulk density was the highest in sites of one year after shifting cultivation (1.52 g·cm^-3) and the lowest in forested sites (1.38 g·cm^-3). Water holding capacities were, however, statistically similar in all sites. Organic carbon varied from 0.54% (slashed and burnt sites) to 1.55% (forested sites) and total N ranged from 0.05% (shifting cultivation for one year) to 0.13% (forested sites). Available phosphorus (Bray & Kurtz-2 P) was the maximum in forested sites (12.32 mg·kg^-l), and it did not differ significantly in other sites. Contents of available Ca, Mg and K were also higher in the bushy lands and forested sites than cleared and shifting cultivated sites.