Mahbuba Kawser

Background: Breast cancer is the most frequently diagnosed cancer in women around the globe; both cancer and its treatment influence breast cancer patients' food intake behaviors and quality of life (QoL). Standard egg protein was supplemented to breast cancer chemotherapy patients, and QoL was assessed.

Background: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease often affecting the central nervous system, resulting in neuropsychiatric SLE (NPSLE). Cognitive dysfunction, a common manifestation, significantly impacts quality of life. Vitamin D3, recognized for its neuroprotective and cognitive-enhancing properties, is a potential therapeutic option for NPSLE. Objectives: This randomized controlled trial (RCT) evaluates the effects of vitamin D3 supplementation on cognitive function in NPSLE patients. Methods: NPSLE patients ( N = 72) of standard SLE care were allocated into an intervention group ( n = 34) receiving vitamin D3 (40,000 IU) supplementation/week for 6 weeks, then 2000 IU/day for 3 months, and a control group ( n = 38) without vitamin D3. Serum vitamin D3 concentration, mini-mental state examination (MMSE) scores, and brain hypo-perfusion images by single-photon emission computed tomography (SPECT) were obtained at baseline and after 6 months of follow-up. Results: Baseline characteristics (age, gender, BMI, waist-to-hip-ratio) were independent between groups. After the intervention, concentration of vitamin D3 (ng/mL) rose from 16.2 ± 4.9 to 28.3 ± 5.3 within the “intervention group” ( P ≤ 0.001). Similarly, the mean differences of MMSE scores were significantly higher in Cases than Controls (2.2 vs. 0.3). Analysis of covariance (ANCOVA) revealed large effect sizes for vitamin D concentration (η ² _p = 0.714) and medium effect sizes (η ² _p = 0.460) for MMSE scores. Furthermore, an insignificant ( P > 0.05) shift (moderate to mild) of brain hypo-perfusion level was observed over time. Conclusion: Vitamin D3 supplementation effectively increased serum vitamin D concentration by supporting its role as an adjunctive therapy in NPSLE patients, leading to improvements in cognitive function and brain perfusion levels.

Female commercial sex workers (FCSWs) bear higher rates of sexually transmitted infections (STIs) among key populations. The association of structural determinants and STIs among FCSWs was not at the forefront of research earlier in Bangladesh. This study examined how structural factors correlate with the prevalence of STIs at physical/social/economic/policy levels among FCSWs in Dhaka city. 495 FCSWs were screened for HIV, hepatitis B, and syphilis. Structural variables (Individual risks, high-risk sexual behaviors, work environments) were extracted from the previous multi-level study on FCSWs and analyzed in 2020 to determine whether macro/micro-structural factors were associated with STIs. The prevalence of STIs was 43.6% (95% CI: 39.1%-48). Most (n = 207/495) FCSWs were infected with Syphilis or Hepatitis B, only 1.8% had co-infection, and none was positive for HIV. Multiple logistic regression revealed that ’Individual risk’ factors like age (≤18 years, adjusted odds ratio = AOR = .28; 18.1–29.9 years, AOR = .57), years in the sex industry (<1 year AOR = .15; 1–5 years, AOR = .39), and condoms as contraceptives (AOR = 2.7) were significantly associated with STIs. Considering ‘High-risk behaviors’ like monthly coitus with regular clients (AOR = .33), performing no anal sex ever (AOR = .03), and consistent condom use (AOR = .13) were less likely to be associated with STIs (P<0.05), while the association of ever group sex with STIs reported to double (AOR = 2.1). ’Work environment’ like sex on roads/parks/shrines/markets (AOR = 2.6) and ever HIV-testing (AOR = 2.5) were significantly linked with STIs. However, micro-level factors like experiencing forced sex in the past year (AOR = 1.79) and condoms collected from hotel boys (AOR = .34) were significantly associated with STIs in the ‘Hierarchical- model’ with increasing model-power. ‘Micro-structural’ determinants predominated over ‘Macro/policy-level factors’ and profoundly influenced STIs. FCSWs need comprehensive and integrated interventions to promote accurate condom use perception, eliminate risky sexual behaviors, and provide quality reproductive health care. Necessary steps at the policy level are urgently needed to decriminalize commercial sex work.

Background: Chronic kidney disease (CKD) is a progressive disease that leads to end-stage renal disease (ESRD). Malnutrition increases the risk of mortality among patients with ESRD. This study aimed to determine malnutrition prevalence and associated factors among twice-weekly (n = 94/120) and thrice-weekly (n = 26/120) hemodialysis patients/HDP. Method: A cross-sectional study was conducted at two tertiary-level public hospitals in Dhaka city using a consecutive sampling technique from April to June 2021. Nutritional status was assessed by Malnutrition Inflammation Score (MIS). Multivariable ordinal logistic regression was performed to determine which socioeconomic, clinical, anthropometric, biochemical, and dietary factors are associated with MIS. Results: The prevalence of malnutrition was very high among HDP (severe 15.5%, mild/moderate 56.7%) with an average dialysis vintage of 28.7 months. Comorbidities (80.8%) and gastrointestinal symptoms/GIS (68.3%) were ubiquitous, and “dialysis frequencies” were not associated with MIS in bivariate analysis. Multivariable ordinal regression showed that anthropometric factors like mid-upper arm circumference/MUAC (adjusted odds ratio/AOR = 0.978), post-dialysis body mass index/BMI (AOR = 0.957), and biochemical parameters like albumin (AOR = 0.733) and TIBC/total iron binding capacity (AOR = 0.996) negatively (P < .05) associated with MIS. Moreover, having “no GIS” (AOR = 0.672, P < .001) was 33.0% less likely to be associated with MIS. Contrarily, as the month of dialysis increases, MIS increases by 22.0% (AOR = 1.22). Conclusion: Significant associations of clinical, anthropometric, and biochemical characteristics with MIS indicate the importance of routine screening of the nutritional status of patients with CKD to improve health status and prevent protein-energy wasting. The MIS could be a simple, noninvasive tool for testing nutritional status in patients with CKD.

Patients with breast cancer may develop recurrence even after adequate primary therapy. Besides clinical examination and imaging, serum protein tumor markers (SPTMs) measurements are used for follow-up. To find out the association of two postoperative SPTMs (e.g., Carcinoembryonic antigen/CEA, Carbohydrate antigen15-3/CA15-3) with the future recurrence of breast cancer among Bangladeshi women. Prospective-observational study was conducted among purposively-selected one hundred Patients (who underwent surgery before six months) during their routine follow-up visit to an oncology/surgical setting in Dhaka Medical College Hospital, Bangladesh. Postoperative CEA (cut-off:5ng/mL) and CA15-3 (30 U/mL) were measured at a single point time by ‘chemiluminescent Immuno assay.' Patients were then followed up for one year to detect any recurrence. Quantitative and categorical variables were compared by Student’s t-test and Fisher’s exact test, respectively. Sensitivity, specificity, and AUC (Area under the curve) of both SPTMs were estimated. Most (64%) of the patients were postmenopausal (Mean-age: 49.8±12.1) with elevated CA15-3 (32%) and CEA (18%). Overall recurrence was 18%, and only CA15-3 was found to be associated with visceral (hepatic and bone) recurrence (P=0.015). The sensitivity and specificity of CEA and CA15-3 were 22.22%, 82.9%, and 66.7%, 75.6%, respectively, while combined sensitivity increased by 6.25%. The AUC of the receiver operating characteristics (ROC) curves were 0.62, 0.82, and 0.88 for CEA, CA15-3, and combination, respectively.  Postoperative CA15-3 has been shown to have the capacity to rule out visceral recurrence with a reasonably high probability. Since the specificity of CA15-3 is pretty good, it may detect early recurrence following primary treatment of carcinoma breast.

Arsenicosis is common among villagers as they drink more contaminatedwater since the arsenic-crisis in Bangladesh. Supplementation of vitamins and micronutrients in counteracting arsenic toxicity has been proved for arsenic treatment. This study was intended to assess protective and beneficial roles of some commonly eaten vegetables on the development and severity of arsenicinduced skin lesions. A case-control study among (N=122) adult rural-women (62 cases had various forms of arsenical skin-lesions e.g. melanosis/keratosis/ mixed-lesions and 60 sex-age-matched healthy-controls) was conducted in Shaharstee Upazilla of Chandpur district, Bangladesh. Socio-demographic data recorded in a pre-tested-questionnaire, ‘per-day vegetables ingestion’ of cases and controls were measured qualitative and quantitatively (24-hour recall-methods, food-frequency/week and food history-record/week). Multiple logistic regression/MLR analyses were performed to find out protective roles of some dietary leafy-vegetables/LVs and non-leafy vegetables/NLVs on arsenicosis and their influences on the degree of severity of arsenicosis also determined. Abstinence from taking some LVs/NLVs among cases than controls is associated with increased risk for arsenicosis (P<0.05). Amongst all most-frequently eaten vegetables (n=17) per day Momordica diocia has the highest skin protective role on arsenicosis [Adjusted odds ratio/AOR 8.2, 95% CI (2.11-31.9), P=<0.01], followed by Ipomoea acquatica (AOR:7.3), Basella alba (AOR:6.2), Solanum tuberosum (AOR:4.0), Vigna unguiculata sesquipedalis (AOR:3.2), Trichosanthes anguina (AOR:1.2) and Abelmoschus esculentus (AOR:1.2). Moreover, severe skin lesion was observed as compared to non-severe cases (mild/moderate) for less intake frequencies of vegetables. This study outlined that commonly eaten vegetables have protective and beneficial roles on arsenic-induced skin lesions. Large samples longitudinal study of this important field of therapeutic-intervention is warranted

Background: Phenolics and carotenoids are natural antioxidants, which provide health benefit and protect against degenerative chronic diseases. Utilization and identification of foods with high content of these received greater attention nowadays. Objective: The present study reports the total phenolics (TPC) and total carotenoids (TCC) contents of thirty-two selected unconventional vegetables growing in Bangladesh. In addition, they were also analyzed for their antioxidant potentials. Methods: Folin-Ciocalteu and acetone–petroleum ether extraction followed by spectrophotometric measurement were employed for TPC and TCC, respectively. The antioxidant capacities of the selected unconventional leafy vegetables were analyzed using DPPH and Trolox equivalent antioxidant capacity (TEAC) assays. Results: The results revealed that the TPC ranged from 82.41 mg GAE/100 g in Kiokro to 2711.05 mg GAE/100 g in Mrolapiong whereas the TCC values ranged from 43.05 µg/100 g in Fala to 12863.54 µg/100 g in Roktodrone. The study findings also revealed that the selected plant samples exhibited high antioxidant capacities. Mrolapiong demonstrated highest DPPH inhibition (91.31 %) and TEAC (485.55 μmol Trolox/g) value, than others. The antioxidant capacities were attributed to phenolic compounds as there exist a positive correlation between these two variables. Bioactive phytochemicals are widely distributed in these vegetables, although their amounts are varying among the different types of vegetables. Conclusion: The study results suggest that the vegetables analyzed may provide a possible source of dietary antioxidant and serve as material for functional foods. Therefore, their production and consumption must be encouraged in order to preserve biodiversity and prevent their extinction.

Aim This cross-sectional study assessed the nutritional status of ethnic reproductive women aged between 15-40 years, comprising 85 lactating women (LW) and 86 non-pregnant-non-lactating women (NPNLW) who lived in various parts of three hilly districts (Bandarban, Khagrachari and Rangamati) of the Chittagong Hill Tracts (CHTs) of Bangladesh. Materials and Method Research tool was pretested semi-structured questionnaire for this observational study. Anthropometric indices like weight, height and mid-upper-arm-circumference (MUAC) were used in assessing the nutritional status. Results Most (44.4%) of the ethnic women were Marma, followed by Chakma (39.8%), Bam (8.2%) and Tripura (5.8%). No significant (P>0.05) differences were observed in socio-economic variables between LW and NPNLW. Overall, mean age of the women was 28 (±7.2) years; mean family income was 18,822.2 (±3091) BDT and majority (86%-87%) were reported to be food secured throughout the year. Mean Dietary calorie (2631±798 kcal) intake of both groups were up to the mark according to the recommended dietary allowances (RDAs) and most (80.3%-86%) of them also possessed good nutritional knowledge. However, no significant (P>0.05) differences were observed in dietary calorie intake and nutritional knowledge score between two groups of women. Overall, most (68.4%) of the women had normal body max index (BMI kg/m2), 11.7% were found to be undernourished or thin and 19.9% were overweight. It was noticed that better nutritional status of LW and NPNLW were significantly associated with literacy (P<0.05), occupancy in household chores (P<0.05), better income (P<0.05), food security (P<0.05), recommended calorie intake level (P<0.05) and better nutritional knowledge score (P<0.05). Conclusion This study showed that vast majority of the ethnic reproductive women of CHTs are in better nutritional status with normal BMI (kg/m2) and daily calorie intake according to RDA. Most of them were food secured and their nutritional knowledge score was also up to the mark. Better socio-economic condition, nutritional knowledge and accurate calorie intake play a vital role in achieving healthy nutritional status of the two women groups of CHTs.

Dietary fibres are known to provide health benefit and protect against degenerative chronic diseases. Thus, the present study reports the total dietary fibre (TDF) content of sixty-nine selected ethnic and unconventional vegetables and fruits growing in Bangladesh. The samples were collected from different locations of Bangladesh and mixed together to ensure sample representativeness. Dietary fibre assay kit according to the AOAC method was utilized for the analysis of TDF in selected vegetables and fruits. In the ethnic varieties, the TDF content ranged from 1.02 ± 0.16 to 7.16 ± 0.16 g for leafy (LV), 0.18 ± 0.01 to 6.71 ± 0.49 g for non-leafy vegetables (NLV) and 1.21 ± 0.12 to 5.29 ± 0.20 g for fruits per 100 g edible portion (EP). In the unconventional items, it arrayed from 3.08 ± 0.34 g to 7.75 ± 0.13 g for LV and 1.02 ± 0.06 to 8.82 ± 0.40 g for NLV per 100 g EP. Among the analysed samples, the highest and lowest content of TDF was found in Orohordal and Mairabokong, respectively. The unconventional vegetables contained much higher content of TDF than the ethnics and the commonly consumed similar varieties. Data on TDF content in underutilized vegetables and fruits of Bangladesh is sparse. Thus, the finding of this study would fill up the data gap in the existing food composition table of Bangladesh and also would aware the people to take vegetables and fruits rich in fibres.