Interim PET-results for prognosis in adults with Hodgkin lymphoma: a systematic review and meta-analysis of prognostic factor studies.
Kangaroo Mother Care (KMC) is an effective way to meet baby's needs for warmth, breastfeeding, protection from infection, stimulation, safety and love. Mother acts as an incubator as kangaroo and put low birth infant vertically in between the chest for warming. The term kangaroo care is derived from practical similarities to marsupial care-giving. The premature infant is kept warm in the maternal pouch and is close to the breasts for unlimited feeding. It provides an alternative to incubator care, without separation from the mother. The importance of KMC in low-and middle-income countries has been highlighted as a contributing factor to the achievement of the Millennium Development Goal 4 that targets a reduction by two-thirds of under-five mortality rates from 1990 to 2015. This programme is mediated by humoral, autonomic and somatic behaviours, expressed ultimately as innate competency in breastfeeding behaviours. It is simple, acceptable to mothers and can be continued at home. [J Shaheed Suhrawardy Med Coll, 2013;5(1):49-54]
This cross-sectional type of descriptive study was conducted in three villages of Puthia Upazila under Rajshahi district to find out the prevalence of Generalized Anxiety Disorder (GAD) and its effect on their daily living. A total of 876 adult people of aged 18 years and above, were selected purposively. Data were collected by face to face interview with the help of a semi-structured questionnaire which contained Hamilton’s 7-point anxiety scale. Out of 876 respondents, 80% had GAD, where mild, moderate and severe GAD being 42.5%, 31.8% and 5.7% respectively. GAD was found to be more frequently associated in the 3rd and 5th decades of life, which constituted 27% and 12.9% respectively (p < 0.001). Having GAD, females have more ability to cope with daily living than males, though GAD was not found to be associated with sex (p >0.05). Illiterate and primary level educated respondents were more often associated with GAD (40.4 and 25% respectively) than the SSC and higher level educated people (p < 0.001). Businessmen were found to be significantly associated with GAD (29.7%) than the other occupations (p < 0.001). Poor people tend to be associated with GAD significantly more than the middle class and the rich (p < 0.01). Widow(er) and married and living together were likely to have GAD than the single or divorced or separated (p < 0.001). Activities of daily living gradually becoming more difficult when intensity of anxiety status increased which is statistically significant (p<0.001).The association between sex and problem facing in everyday life shows that over 40% of the females did not have any difficulty in dealing with problem situation as compared to only 25.8% of the males, while nearly half (48.6%) of males had quite difficulty in dealing with a problem as compared to 37.3% in females (p < 0.001). The present study concluded that majority rural adult people (4 in every five) suffer from generalized anxiety disorder (GAD). The ability of coping with a problem is higher in females than the males. This study might be the basis for further in depth study in this regard.TAJ 2014; 27(1): 14-23
With the primary view to test the accuracy of the mothers reports regarding their children's immunization status, this study was carried out in the metropolitan areas of Rajshahi among the mothers of 12-23 months old children, Total 1500 mothers were included in this study as sample units by two stage cluster sampling method. In this study, child immunization card retention rate was 66.22%, Majority of the mothers reported accurately about their children's DPT (76%) and measles (85%) vaccination status. It suggests that urban mothers statements about their children' vaccination status is reliable. And in case of DPT young and educated mothers with higher family economic status and having fewer children were comparatively more reliable than others. Field workers should motivate and encourage the mothers to preserve their children's immunization cards.
A mass in the lower abdomen in a sexually active man with a cryptorchid testis strongly points towards the diagnosis of malignancy in the abdominal testis .1 The incidence of testicular tumor is 11 times more in inguinal testes and 50 times more in intra abdominal testes.2 Normally, the testes, which are inside the abdomen during gestation, migrate into the scrotum by the time of birth. Occasionally, boys are born with testes that are still in the abdomen or in the groin, not having completed their journey to the scrotum. These undescended testes are at high risk of cancer and should be moved into the scrotum at an early age or removed entirely. TAJ 2005; 18(2): 131-133
Objective: The aim of this study was to determine risk factors associated with breast cancer in the National Institute of Cancer Research and Hospital, Dhaka, Bangladesh. Methodology: A case control study was conducted from July 2009 to June 2010, on 262 biopsy proven cases of breast cancer from National Institute of Cancer Research and Hospital and 262 matched controls of acute diseases from Dhaka Medical College Hospital. Religion, residential status and age (±2 years) were matched. Statistical analysis was carried out using conditional logistic regression, odds ratios, chi-square and t- test with SPSS software (V-17). Results: Multivariate analysis showed that higher education (OR=1.72), personal income (OR=5.71), history of induced abortion (OR= 20.62), history of breast feeding (OR= 7.91), OCP users (OR= 1.47), current smokers (OR=6.78), personal history of breast disease (OR=10.99), family history of breast cancer (OR=3.85) and family history of other cancer (OR=2.21) were risk factors for breast cancer. Furthermore, having menarche at an early age (OR=0.35), giving birth to an early age (OR= 0.35), early menopause (OR= 0.22), longer duration of breast feeding (OR=0.30), parity of 2 and more (OR=0.29) and regular physical activity (OR=0.58) were shown to be protective factors. Conclusion: Physical inactivity, being menopause, positive family history of breast cancer and history of induced abortion were found important risk factors. Longer duration of breast feeding should be encouraged for its protective effect. Study revealed that the women who have one or more of the above risk factors should be given special attention for breast cancer prevention DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15628 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 61-66
This was a cross-sectional study conducted among the pregnant mothers of 2nd trimester in the metropolitan area of Rajshahi city. Total 2000 apparently healthy pregnant mothers were selected by random sampling with the view to estimate the prevalence of asymptomatic bacteriuria in apparently healthy pregnancy, its causative agents and their sensitivity pattern in the Rajshahi city. These 2000 pregnant mothers were selected from 20 wards by applying 2-stage random sampling. Two consecutive morning midstream urine samples were collected for culture and sensitivity test. The prevalence of asymptomatic bacteriuria in the rural Rajshahi was 14.5%. E.Coli was the commonest causative bacteria (94.83%). The urinary pathogens causing asymptomatic bacteriuria in pregnancy in the Rajshahi city were resistance to amoxicillin, cephalexin and cephradine, moderately sensitive to doxycycline and highly sensitive to ciprofloxacin, gentamicin, nitrofurantoin and nalidixic acid. Screening of asymptomatic bacteriuria in pregnancy must be considered as an essential part of antenatal care like routine checkup for albumin and sugar in urine in this city community.
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