Bangladeshi People Research Articles

Ethnic inequalities in primary care experiences for people with multiple long-term conditions: Evidence from the general practice patient survey

ObjectivesTo examine the relationship between ethnicity and experiences of primary care for people with multiple long-term conditions (MLTCs) and assess the relative importance of demographic, practice, and area-level factors as influences on primary care experiences across ethnic groups. Study designA retrospective study using 2018–19 GP Patient Survey data linked to General Practice Workforce data and small area data published by the Office for National Statistics. MethodsWe conducted multilevel regression analysis to assess the relationship between ethnicity and experience of accessing primary care and interacting with healthcare professionals. We built separate regression models for each outcome and included (i) each covariate separately, (ii) demographic factors and (iii) demographic, practice, and area-level factors. ResultsUpon full adjustment Arab, Bangladeshi, Chinese, Indian, Pakistani, other Asian, mixed white and Asian, and other white people with MLTCs have lower levels of satisfaction with primary care access and interacting with healthcare professionals compared with white British people. The influence of demographic, practice and area-level factors is not uniform across ethnic groups; demographic factors account for the inequalities in levels of satisfaction with access to primary care between white British people and Black other, mixed other, mixed white & Black Caribbean and Gypsy & Irish Travellers. However, practice and area-level factors strengthen inequalities in the experience of accessing primary care for Bangladeshi, Indian and Pakistani people. ConclusionsGiven the link between patient satisfaction and patient-related health outcomes, the lower levels of satisfaction with accessing primary care and interacting with healthcare professionals among the aforementioned minoritised ethnic groups are concerning and require further scrutiny. Qualitative studies are required to understand and address the sources of poor experiences in primary care for minoritised people with MLTCs to improve patient-centred healthcare and outcomes.

Microscopic Study of the Luminal Diameter and Thickness of Wall of Vermiform Appendix in Bangladeshi People of Different Age and Sex

Microscopic Study of the Luminal Diameter and Thickness of Wall of Vermiform Appendix in Bangladeshi People of Different Age and Sex

Investigating the prevalence and associated factors of depression, anxiety, and loneliness among people with type-2 diabetes in Bangladesh: a community-based study

Diabetes mellitus is a major worldwide health concern. Diabetes has been associated with a number of adverse mental health conditions including depression, anxiety, and loneliness that can negatively impact diabetes outcomes. This study aimed to investigate factors associated with depression, anxiety, and loneliness in people, in the community, suffering with diabetes in Bangladesh. A cross-sectional study was conducted with 600 people with type-2 diabetes (54.83% females; mean age: 52.70 ± 11.56 years) between July and September 2022. Purposive sampling method was used to recruit the participants. A validated semi-structured questionnaire was used to collect demographic and other data. Depression, anxiety, and loneliness were measured using the PHQ-9, GAD-7, and UCLA Loneliness scale, respectively. Bivariate and multivariable linear regression analyses were conducted to ascertain factors that were significantly associated with these mental health conditions. The prevalence of depression, anxiety, and loneliness was 31.17%, 21.83%, and 28.00%, respectively. A lack of formal education, and not taking part in physical activities were significantly associated with all three mental health states. Duration of diabetes and being on medication for high cholesterol were also associated with depression and anxiety. Older age and being widowed were significantly associated with loneliness. This study found that depression, anxiety, and loneliness are prevalent among Bangladeshi people with diabetes, with certain sociodemographic and diabetes-related factors associated with increased risk. The findings emphasize the need for targeted interventions to people within the communities, at grassroot levels in order to improve reduce health inequality, and improve the mental health of people living with diabetes.

Morphometry of Typical Cervical Vertebrae on Magnetic Resonance Imaging in Adult Bangladeshi People: A Cross-sectional Analytical Study

Background: Accurate knowledge of cervical vertebral morphometry is crucial for diagnosing pathological conditions and planning surgical interventions. However, data specific to the Bangladeshi population is lacking. Objectives: To determine the morphometric measurements of typical cervical vertebrae (C3-C6) on Magnetic Resonance Imaging (MRI) in adult Bangladeshi people and to analyze potential sex-based differences. Methods: This cross-sectional analytical study was conducted on 70 MRI scans (35 male, 35 female) of typical cervical vertebrae from adult Bangladeshi individuals. Various morphometric parameters were measured using 'Radiant DICOM Viewer' software. Statistical analysis was performed using SPSS version 22.0. Results: The sagittal diameter of the vertebral body was significantly larger in males compared to females for all measured vertebrae (p<0.001). No significant differences were found between sexes in the height and transverse length of the vertebral body, anteroposterior and transverse lengths of the vertebral foramen, dimensions of foramen transversarium, superior articular facets, lamina, pedicle, and spinous process length (p>0.05 for all). Conclusion: This study provides baseline morphometric data for typical cervical vertebrae in adult Bangladeshi individuals. The observed sexual dimorphism in sagittal vertebral body diameter and the lack of significant differences in other parameters contribute to our understanding of population-specific cervical spine anatomy. These findings may have implications for optimizing surgical techniques and implant designs for the Bangladeshi population.

Demand for milk and milk products in the rural household of Bangladesh: A panel data analysis

Milk is considered an essential source of protein for people of all ages. However, Bangladeshi people, particularly those living in rural areas, tend to consume less milk and milk products than necessary. Therefore, this study aims to investigate the demand for milk and milk products among rural consumers and the factors affecting their consumption habits. The study utilizes balanced panel data from three waves of the Bangladesh Integrated Household Survey: 2011–12, 2015, and 2018–19, collected by the International Food Policy Research Institute. Both the Almost Ideal Demand System (AIDS) and Fixed Effects Model were employed. The expenditure elasticity for liquid milk, powdered milk, and condensed milk was found to be 1.013, 1.856, and 1.060, respectively, indicating that these products are considered luxury goods in rural Bangladesh. Additionally, powdered milk is more price-sensitive than liquid or condensed milk in these areas. Milk and milk products exhibit a substitutable relationship based on the Slutsky and Cournot cross-price elasticities matrix. Consumption of liquid milk is significantly influenced, either positively or negatively, by several factors, including age, education, family size, ownership of dairy animals, income, expense of food, and year. Furthermore, while the consumption of powdered milk is increasing over time, factors such as family size and livestock ownership negatively impact its consumption. Similarly, the consumption of condensed milk is negatively affected by education and ownership of dairy animals. Based on our study results, we recommend increasing household income through on and off-farm job creation, promoting educational campaigns on the benefits of milk, and supporting livestock ownership to reduce reliance on processed milk products.

SMOKING PREVALENCE AMONG DRIVERS OF DHAKA CITY:

Smoking is an increasingly prevalent habit in Bangladesh, particularly among men with low socio-economic status. Tobacco expenditures exacerbate the effects of poverty and cause significant deterioration in living standards among the poor Bangladeshi people. A cross sectional study was carried out from 15th to 26th March, 2013 to determine the prevalence, pattern, socio-economic impact of smoking among bus drivers of Dhaka city. The prevalence of cigarette smoking was 93% and 20% of total income was spent on cigarettes indicating more than twice as much as per capita expenditure on food, clothing, housing, health and education combined, resulting in illiterate, malnourished household members. Though most (32.3%) of the drivers started smoking before involving in driving profession, excessive smoking was promoted by occupational and environmental stress experiencing hectic work schedule. Tobacco can also worsen poverty among users and their families since most of the drivers reported heart disease (26.9%) and other health complications caused by smoking, depriving families of much-needed income and imposing additional costs of health care. Around 70% smokers wished to quit smoking considering its detrimental effect but unknown of quitting strategy. Interventions and preventions by policy makers, public health experts and other stakeholders should be introduced because smoking was more prevalent among bus drivers with detrimental health sequel.

Proportion and Covariates of Hypothyroidism Among Patients with Metabolic Syndrome Attending in Tertiary Care Hospital

Background: Hypothyroidism in patients with metabolic syndrome is associated with worse outcomes. However, this has not yet been adequately investigated in Bangladeshi people. Objective: To find out the proportion and covariates of hypothyroidism among patients with metabolic syndrome. Materials and methods: A hospital-based cross-sectional study was conducted with 323 patients from the Endocrinology and Allied Medicine Department at BIRDEM General Hospital. Patients with metabolic syndrome but no prior diagnosis of hypothyroidism were included. Detailed history, physical examinations, and thyroid function tests—Thyroid Stimulating Hormone (TSH), Free Thyroxine (FT4), and Anti-Thyroid Peroxidase Antibody (Anti-TPO Ab)—were performed. Subclinical hypothyroidism was defined as TSH >4.12 mIU/L and <10 mIU/L, while overt hypothyroidism was defined as TSH >10 mIU/L. Statistical analyses, including Chi-square tests, ANOVA, Pearson's correlation, and multiple linear regression, were conducted to explore associations between components of metabolic syndrome and thyroid dysfunction. Results: Out of the 323 participants, 62.8% were euthyroid, 28.5% had subclinical hypothyroidism, and 8.7% had overt hypothyroidism. Autoimmune hypothyroidism was confirmed in 31.6% of hypothyroid patients through elevated Anti-TPO Ab levels, a statistically significant finding. Hypothyroidism was significantly more prevalent in females and obese individuals. Significant positive correlations were observed between TSH and waist circumference (r=0.153), systolic blood pressure (r=0.271), and triglycerides (r=0.128), while FT4 showed negative correlations. Multiple linear regression indicated significant associations between waist circumference, fasting plasma glucose, and thyroid dysfunction. Conclusion: It was concluded that a higher proportion of metabolic syndrome cases were suffering from hypothyroidism. This necessitates that all MetS patients be screened for thyroid profile and autoimmune status and managed accordingly.

The Effect of Covid-19 Vaccines on Menstrual cycle in selected Bangladeshi Female Population

The pandemic associated with the coronavirus disease hit Bangladesh in the year of early 2020, which was a part of the global pandemic caused by SARS-CoV-2. Six vaccines, namely Moderna, Pfizer, Covishield, Sinopharm, Sinovac and Janssen out of the eight vaccines approved by WHO, were received by the Bangladeshi people. A cross-sectional online survey comprising a descriptive questionnaire was carried out to find the effect of Covid vaccine on menstrual cycle. The longer, shorter or absence of menstrual cycles and any changes in menstrual flow were taken under consideration during the survey. The majority of the respondents (82.5%) was of 20-30 years old females. Among the total 309 responders, 210 women experienced vaccine associated side effects while fever was experienced by 36.5%, 19.1% experienced fatigue and 21.4% was reported to suffer from headache. Muscle and joint aches as well as pain, swelling and redness were noted to be 38.5% (most common) and 26.4%, respectively among others. Statistically significant (p<0.01) fluctuation was observed in menstrual cycle although mostly persisting for only one cycle. About 70% of the women noted to have regular menstrual cycle before vaccination, which was decreased to 56% including about 10-14% females experiencing different fluctuation in menstrual flow. Medications taken to alleviate the vaccine-related side effects as well as to regulate normal menstrual cycle were also recorded in the survey. This study attempted to identify the impact of COVID vaccine on menstrual cycle and no significant conclusive negative effect on women's reproductive health was recorded. Bangladesh Pharmaceutical Journal 27(2): 149-157, 2024 (July)

Psychometric Properties of the Bangla Version of the Big Five Personality Inventory-10

Shorter assessing instrument for measuring psychological construct is on the rise in recent years. Personality measuring instruments are not an exception to this. The present study aimed to assess the psychometric properties of the Bangla version of the Big Five Personality Inventory–10 (BFI-10). This instrument was translated into Bangla and back-translated into English by following the International Test Commission's guidelines. After the pretest, the translated version of this scale was administered on a sample of 372 students. Psychometric properties were estimated through both classical test theory and item response theory. Findings revealed that the Bangla version of this scale had sufficient inter-item correlations, inter-factor correlations, test-retest reliability, non-DIF contrast, and Rasch model fit. This translated scale would be applicable to assess the personality of the Bangladeshi people and fulfill the demand fora short version of the personality assessment scale in the Bangladesh context. The Chittagong Univ. J. B. Sci.,Vol. 10(1&2):71-80, 2020

Study on Finger Ridge Pattern of Palmar Dermatoglyphics and their Association of Type 2 Diabetes Mellitus in Bangladeshi Population

The skin on the palmar surface of human hands & the planter surface of the feet differ from skin found also where on the body. The projection of dermal papillae which are interdigitate with epidermal evagination, is called epidermal ridges. By the 17thweek of intrauterine life, these ridges are permanent and remain unchanged throughout life, with the exception of a little increase in size that coincides with growth. Thus, it is quite helpful to predict various genetically acquired disorders. Diabetes mellitus is a condition of partial genetic background. The objective of this study was to determine whether type II diabetes mellitus in Bangladeshi people was associated with a certain finger ridge pattern. This observational cross sectional study was conducted in Sylhet MAG Osmani Medical College from July 2018 to June 2019. A total of 200 subjects were included; among them, 100 were diagnosed patients of type II DM and the rest were healthy individuals. The age and sex of the research participants were matched between the groups under investigation. The ink and paper method was used for making a print of the finger. A mounted hand lens was used to examine the prints. The distribution of finger ridge pattern between the diabetics and controls showed that the ulnar loops (p = 0.003) and whorls (p = 0.001) were significantly higher in diabetic group; whereas arches (p = <0.001) and radial loops (p = <0.001) were found to be significantly higher in control group. The study came to the conclusion that type II DM has the unique characteristics of the finger ridge distribution patterns in palmar dermatoglyphics, it can be employed as a reliable screening method for type II DM early diagnosis.

Acceptance of Alternative Medicine in Bangladesh: A Study on Homeopathy

Homeopathy is widely recognized globally, including in Bangladesh, as part of Complementary and Alternative Medicine (CAM) acknowledged by the World Health Organization (WHO). It is noted for effectively treating various conditions without adverse effects, which has garnered significant interest. This recent study investigated the acceptance of homeopathic medicine among Bangladeshi people, surveying 157 respondents. The participants comprised of 64.3% males and 35.7% females; among them a large majority (88.5%) had at least a graduate-level education, and 72.6% belonged to middle-class families. Interestingly, middle-aged individuals (45.2%) showed a particular affinity for homeopathy. This study revealed a high awareness levels among the respondents, with 89.8% familiar with homeopathic medicine and 86.6% erudite about its utilization. In addition, safety was mentioned by 65.6% of respondents, affordability by 55.4%, and effectiveness in many cases by 44.9%. However, all the above points collectively influenced their preference for homeopathy. There was a consensus among 69.4% of respondents advocating for integrating homeopathy into mainstream healthcare. The study participants endorsed few ideas including ensuring quality control of homeopathic medicines, promoting research initiatives, and providing greater integration opportunities for homeopathic practitioners within the healthcare system. Bioresearch Commu. 10(2): 1619-1626, 2024 (July)

Statelessness of an ethnic minority: the case of Rohingya

This paper examines why and how Myanmar makes Rohingyas a stateless community in Southeast Asia, known as one of the most vulnerable human groups in the contemporary world. Based on the secondary evidence, the paper argues that Rohingyas are stateless because they are the victim of four discourses: former Bangladeshi people who illegally entered Myanmar; collaborators to British armies while Myanmar was fighting for its independence from British rule; attachment to Islamic terrorism; and foreign interests in the Rakhine state. The paper draws on a wide range of local and global literature to support its arguments. The paper uses extant sociological approaches to understand why a minority community becomes stateless and experiences genocide in their own country. The researcher developed an analytical framework to answer the research questions. This analytical framework draws on existing literature, recent strategies, theoretical understandings, contemporary data, and government responses to understand the process of Rohingya statelessness. This paper finds that Myanmar not only expelled Rohingyas from their homeland by imposing the blame on them but is also unwilling to return over a million Rohingyas from Bangladesh—a host country for them. The paper also finds that the international community is least concerned about the genocide and expulsion of the Rohingyas because of Myanmar’s communal agenda and foreign countries’ economic interests in the Rakhine state. The paper offers some recommendations to address this unique inhuman condition in its concluding part.

Mental health status among chronic disease patients in Bangladesh during the COVID-19 Pandemic: Findings from a cross-sectional study.

The COVID-19 epidemic has had a substantial influence on the mental health of chronic disease patients. However, there is a scarcity of research on them in Bangladesh. This study aims to explore the prevalence of and identify the risk factors for depression, anxiety, and stress symptoms during the COVID-19 pandemic among people with chronic diseases in Bangladesh. This cross-sectional study involving face-to-face and telephone interviews was carried out among Bangladeshi people diagnosed with chronic diseases between September and November 2020. The total sample size was 878, and a convenient sampling technique was used. Logistic regression analysis was performed to investigate potential influencing factors for depression, anxiety, and stress. The mean age of respondents was 50.10 years. Among them, 35.0%, 36.0%, and 29.0% suffered from depression, anxiety, and stress symptoms, respectively. In multivariable logistic regression, depression had a significant positive association with higher age (≥60 years), lower income, rural residency, and loss of close family members due to COVID-19. Anxiety had a significant positive association with higher age (≥40 years), lower education, lower income, rural residency, and loss of close family members due to COVID-19. Stress had a significant positive association with higher age (≥40 years), no income, rural residency, and loss of close family members due to COVID-19. It is urgent to consider the risk of developing mental health distress among chronic disease patients, especially aged people, by health service providers and generate effective programs for emergency situations.

Exploring the perspectives of healthcare professionals on providing supported asthma self-management for Bangladeshi and Pakistani people in the UK.

Self-management support improves asthma outcomes and is widely recommended in guidelines, yet it is poorly implemented in routine practice. There may be additional challenges in the context of ethnic minority groups, where making sense of culture may be necessary. This study aimed to explore the perspectives of healthcare professionals on supporting UK Bangladeshi and Pakistani patients to self-manage their asthma. One-to-one semi-structured interviews with professionals (primary and secondary care; medical and nursing) who routinely provide asthma care to Bangladeshi or Pakistani patients. Topics addressed included perceptions of professionals in supporting patients with asthma self-management and ideas for improving culturally competent care. Data were analysed thematically. Nine professionals, from a range of ethnic backgrounds, with considerable experience of treating patients from these communities were interviewed. Despite organisational restrictions (language and time/resources) and expressed gaps in cultural knowledge and training, all interviewees reported attempting to tailor support according to culture. They used their perception of the patient's culture (e.g., big families and family involvement), integrated with their perception of patients' ability to self-manage (e.g., degree of responsibility taken for asthma), to formulate theories about how to culturally adapt their approach to supported self-management, e.g., supporting barriers in understanding asthma. There was consensus that gaps in cultural knowledge of professionals needed to be addressed through training or information. Interventions recommended for patients included basic education, group meetings, and culturally relevant action plans. In the absence of formal training and constrained by organisational limitations, self-management support was adapted based on personal and professional perception of culture. These ideas were based on experience and formulated a chain of reasoning. Professionals recognised the limitations of this approach and potential to overgeneralise their perceptions of culture and adaptations of supported self-management. Interventions were desired and need to address professional training in cultural competence and the provision of culturally relevant materials.

Immunohistochemical Analysis of Glomerular Phospholipase A2 Receptor in Primary and Secondary Membranous Glomerulonephritis

Background: A common cause of adult nephrotic syndrome (NS) is membranous glomerulonephritis (MGN). The larger portion of MGN in adults is the idiopathic/ primary MGN (iMGN). So many conditions like autoimmunity, malignant tumor, drugs and infections can cause a secondary form of MGN. We can diagnose primary/ idiopathic MGN after the omission of all known secondary causes. As we know M-type phospholipase A2 receptor (PLA2R) on podocytes is the target antigen in the pathogenesis of primary MGN. Phospholipase A2 receptor (PLA2R) can be detected by immunohistochemically. Differences between primary MGN (iMGN) and secondary MGN are essential because of treatment implications. Objective: To evaluate the histopathological pattern of MGN and to correlate with PLA2R deposition in primary and secondary MGN in a group of Bangladeshi people. Methods: The research method is descriptive cross- sectional and observational. The study population was 60 patients in the department of Histopathology, AFIP, Dhaka Cantonment, Dhaka for duration of six months period from January 2019 to June 2019. At first, adequate clinical information was taken and categorized as primary and secondary MGN on a clinical basis, thereafter immuno- histochemistry of anti-PLA2R was done from formalin-fixed paraffin block of those cases. Results: A total of 60 diagnosed cases of MGN, 56 patients were found primary, and 04 were secondary based on clinical data. In my study, all primary MGN was found as PLA2R positive. Conclusion: The present study exhibits that immuno- histochemistry with anti-PLA2R antibodies can be the best diagnostic method for diagnosis of idiopathic MGN which offers an opportunity for personalized medicine. JAFMC Bangladesh, Vol 19, No 2 (December) 2023: 24-28

Exploring the Bangladesh Liberation War: A Study of Tahmima Anam's Select Novels

This paper attempts to enunciate the Liberation War of Bangladesh, its history, and the occurrence of the events that led to the War as present Bangladesh is essentially the outcome of the sacrifice, loss, and bloodshed of millions of people involved in the war of 1971. It marked the creation of two nations separating East Pakistan from West Pakistan and forming a new nation called Bangladesh on 16th December 1971. The East Pakistanis wanted to preserve their culture, ethnicity, and identity as Bengali Muslims which was not possible in United Pakistan and this led to the Liberation War of Bangladesh. The 1971 war has a great impact on the creation of an independent identity for the Bangladeshi people. The stance for an independent national identity created the zeal to fight for their rights and self-recognition. The effects of war have always been engraved on the minds of the survivors as it is engulfed with human suffering, emotions, and violence. The paper will explore the Liberation War of Bangladesh, the struggle, pain, and hardship portrayed through the characters in Tahmima Anam’s select novels namely A Golden Age and The Good Muslim.

Cephalometric Study of the Dentofacial Complex of Bangladeshis according to Downs Analysis

Introduction: The purpose of this study is to formulate cephalometric norms of the Bangladeshi population using Downs Analysis; and to evaluate whether significant cephalometric differences exist between Bangladeshi and Caucasian people. Methods: The study was conducted for 91 Bangladeshi young adults (48 males and 43 females), aged 19–27 years, with esthetically pleasing and harmonious faces, Angle I molar relationship, with all permanent teeth present and no history of orthodontic treatment orofacial trauma. Lateral cephalograms taken of these subjects were used for a series of morphometric analysis. Results: There was a significant difference between the genders on some values. Bangladeshi Female showed significantly larger facial angle more protrusive chin and angle of convexity which is more protrusive maxillary part than that of Males. While Bangladeshi male showed significantly greater Y-axis angle that means downward forward growth pattern, and steeper Cant of occlusal plane than that of females. Statistically, several significant differences were noticeable in the results of the present study when compared with the norms suggested for a white Caucasian population by Downs. Bangladeshi’s exhibit significantly smaller facial angle more retrusive mandible, significantly greater Y-axis angle more downward forward growth pattern and also significantly more protrusive anterior teeth than that of the Caucasian population. Conclusion: These results have clinical implications in the diagnosis and treatment of adult Bangladeshis with dentofacial deformities. J Bangladesh Coll Phys Surg 2024; 42: 149-154

Prevalence and Effect of Computer Vision Syndrome during COVID-19: among Bangladeshi People

Background: Global pandemic has devastated almost every aspect of life. "Spatial distancing" involves creating and maintaining safe social distance, shifting the world away from public locations and toward isolation. Remote working has become a demand in these historically unique times, and technology is a need for human life as a link to the outside world. People use technology to interact, communicate, and complete activities. Online meetings, audio and video conferencing, and leisure activities like online gaming, blogging, and social networking have virtualized human interaction, leading to a rapid digitalization of human life. The increased usage of video display terminals (VDTs) predisposes to a range of problems. Digital eye strain (DES) or computer vision syndrome (CVS) refers to a group of health disorders that include not only visual issues but also musculoskeletal issues. Objective: The aim of this study is to determine the prevalence of CVS and to examine the use of digital screens, common symptoms, and related variables. The findings could in the future provide vital, detailed health information to all online users. Methods and Materials: A descriptive cross-sectional study was conducted from 1st July to 31st December, 2021. A total of 429 people participated in the study and majority of the participants were students and teachers involved in digital class rooms for academic purposes. A survey questionnaire was distributed on social media channels. Regular users of digital screens were provided with Google forms through social media. It includes both a questionnaire and an informed consent form. Results: Out of 429 participants in, 59.9% were females and 36.13% males. The maximum age group were from between 18-27, 58.9%, while the least were from 58 and above, 2%. The major digital screen platforms used by them were smartphone/tablet, 97.9%, television, 70.8% and computer laptop, 66.8%. The utilization of digital screens was categorized under ..........

Research on the activity and doses of radionuclides for different ages people through biokinetic modeling in HATM method

Based on the Human Alimentary Tract Model (HATM), the activity and doses of radionuclides due to acute intake of 1 Bq of few radionuclides such as 60Co, 134Cs (long lived) and 131I (short lived) are calculated. A software has been developed in Visual Basic language for the calculation of the doses due to intake of radioisotopes by radiation workers and public at large. Radiation doses that are deposited at the most through ingestion in the alimentary tract which (HATM) is made of seven tissue compartments: Esophagus (OP), Left Colon (LC), Oral Cavity (OC),Right Colon (RC), Rectosigmoid Colon (RSC), Stomach (ST) and Small Intestine (SI). Nine (9) organs of the tract out of which 4 organs are deposited by radiation doses within the tract such as ST, SI, LC and RC and 5 other organs are deposited by radiation doses outside of the tract, e.g. liver, right kidney (RK), left kidney (LK), right lung (RL) and left lung (LL) have been taken into account here. The different tissue masses of the tract of various age-groups of Bangladeshi people were considered for calculation. The considered age groups of the people are like as new born, 1 yr, 10 yrs, adult male, adult female for within the tract 4 organs and <20 yrs male, 21-40 yrs male, 41-60 yrs male, > 60 yrs male, <20 yrs female, 21-40 yrs female, 41-60 yrs female foroutside of the tract 5 organs. In each tissue compartment retention variation follows the serial: 60Co >134Cs>134I.

Factors associated with the intention of telehealth service utilization among Bangladeshi people: a cross-sectional study.

Telehealth is comprised of telecommunications and electronic information systems to support and maintain long-distance healthcare services. Although it has not been thoroughly explored, the intention of using the service among the general public is critical to its success. We investigated the factors associated with the intention to utilize telehealth services among the general population of Bangladesh. This cross-sectional study was conducted between May 22, 2021 and June 15, 2021 in Bangladesh, where the total number of participants was 1038. The Pearson chi-square test and Kruskal-Wallis H tests were used to examine the unadjusted relationship between the explanatory variables and the intention to use telehealth services. A multinomial logistic regression model was fitted to determine the adjusted association. Shapiro-Wilk tests were used to check the normality of continuous data. Data were processed and analyzed by software STATA-16. The probability of utilizing the service increased significantly with increasing knowledge, perceived benefit, and predisposition levels among respondents. However, when perceived concern increased, the likelihood of utilizing the service dropped significantly. Age, marital status, educational status, profession, residence, and perceived health status were significantly associated with the participants' intention to utilize the telehealth service. The influencing aspects of telehealth service utilization should be recognized by the respective authorities. Possible activities to enhance usability among people are also recommended.