- Dialysis and Renal Disease Management
- Renal Transplantation Outcomes and Treatments
- Organ Donation and Transplantation
- COVID-19 Clinical Research Studies
- Tuberculosis Research and Epidemiology
- Healthcare Systems and Reforms
- Central Venous Catheters and Hemodialysis
- COVID-19 and healthcare impacts
- Polyomavirus and related diseases
- Diagnosis and treatment of tuberculosis
- Parvovirus B19 Infection Studies
- Organ Transplantation Techniques and Outcomes
- Global Maternal and Child Health
- Renal Diseases and Glomerulopathies
- Nutrition and Health in Aging
- Mycobacterium research and diagnosis
- Renal and Vascular Pathologies
- Animal Virus Infections Studies
- Vitamin D Research Studies
- Global Health and Epidemiology
- Dietary Effects on Health
- Immune responses and vaccinations
- Cardiovascular Health and Risk Factors
- Cytomegalovirus and herpesvirus research
- Diabetes, Cardiovascular Risks, and Lipoproteins
Child Health Research Foundation
2019-2024
Barts Health NHS Trust
2015-2022
Royal London Hospital
2022
Kidney Foundation Hospital and Research Institute, Bangladesh
2019
Diet is a recognized risk factor and cornerstone for chronic kidney disease (CKD) management; however, tool to assess dietary intake among Bangladeshi dialysis patients scarce. This study aims validate prototype Hemodialysis Food Frequency Questionnaire (BDHD-FFQ) against 3-day recall (3DDR) corresponding serum biomarkers. Nutrients of interest were energy, macronutrients, potassium, phosphate, iron, sodium calcium. The BDHD-FFQ, comprising 132 food items, was developed from 606 24-h recalls...
Abstract Background and Aims Kidney transplantation is widely regarded as the best treatment option for end stage kidney disease. Despite being introduced over 40 years ago, rate of in Bangladesh still very low at an average yearly below 200 transplants last 5 years. Lack donors financial constraints have emerged biggest obstacles. Until recently, live related was only option. There been 2 deceased transplantations year, both from same donor. In order to understand these rates, we aim...
Malnutrition is associated with high rates of mortality among patients end stage kidney disease (ESKD). There a paucity data from Bangladesh, where around 35,000−40,000 people reach ESKD annually. We assessed protein-energy wasting (PEW) amongst 133 at single hemodialysis setting in Dhaka. Patients were 49% male, age 50 ± 13 years, 62% on twice-weekly hemodialysis. Anthropometric, biochemical, and laboratory evaluations revealed: BMI 24.1 5.2 kg/m2, mid-arm muscle circumference (MAMC) 21.6...
Chronic kidney disease – mineral and bone disorder (CKD-MBD) pattern has been shifting from secondary hyperparathyroidism towards adynamic (ABD) for the past few decades, more so in maintenance hemodialysis (MHD) patients. Assessing spectrum of CKD-MBD MHD patients Bangladesh thus becomes necessary.
Quality of dialysis vastly depends on complications related to vascular access. Vascular access is one the major factors determining morbidity and mortality in maintenance hemodialysis patients.
The debate regarding the optimum frequency of hemodialysis (HD) has become more nuanced in recent years. Thrice weekly (3W) HD is traditionally preferred. In incremental HD, patients with higher residual kidney function (RKF) usually started on twice (2W) HD. Bangladesh, however, owing to financial constraints, most start and continue 2W regardless baseline RKF.
Tuberculosis (TB) is one of the major causes death worldwide with an estimated 10 million cases and 1.2 deaths in 2018. About a quarter world's population has been infected M. tuberculosis. TB was leading cause from single infectious agent, ranking above HIV/AIDS up until coronavirus (COVID-19) pandemic. affects people entire world, but over 95% are developing countries like Bangladesh which ranked seventh overall highest incidence.
The adoption of the International Society for Peritoneal Dialysis guideline using mupirocin ointment has been limited by fear developing mupirocin-resistant organisms. We performed a surveillance program large peritoneal dialysis (PD) unit.We 1,175 swabs from anterior nares, PD catheter exit site, groin, and axilla, 240 patients. mean interval between was 3.3 months.Colonization Staphylococcus aureus (S. aureus) or Pseudomonas species 9.5% 10.9%, respectively. Despite adopting universal...
Background:The number of end-stage renal disease (ESRD) patients is increasing in Bangladesh.Currently, living kidney donation the only viable option for transplantation Bangladesh, and it further restricted by ABO compatibility issues.We have performed ABO-incompatible transplantations (ABOi KTs) Bangladesh since 2018.This study examines our experiences with seven cases ABOi KT.Methods: The desensitization protocol included low-dose rituximab (100 mg/body) followed plasma exchange (PEX),...
Although ABO incompatible kidney transplantations are increasingly being practised worldwide, in Bangladesh it was never attempted. Here we report the first ever transplantation case performed Bangladesh. The patient a 23-year-old male with end-stage disease secondary to chronic glomerulonephritis on haemodialysis. only donor available his mother who had different blood-group (patient O positive; A positive). His baseline anti-A IgG titre 1:128. We used modified desensitization protocol...
Objectives & Background Although the Summary Hospital-level Mortality Indicator (SHMI) has been in use since 2011 as a performance indicator at trust level, there seems to be little evidence of standardising emergency department (ED) mortality. To achieve this, greater understanding patterns ED mortality, and factors that influence it, must undertaken. The objectives this retrospective observational study was establish whether correlation existed between deaths ED, Trust it belonged to,...
Continuous Glucose Monitoring System (CGMS) monitors blood glucose levels continuously by using an electrode inserted under the skin and without taking either venous or capillary blood. Although CGMS is widely used, it uncertain whether this technology will be applicable in uraemic patients particularly during haemodialysis (HD) as acute perturbation of anions cations concentrations may interfere with measurements. We seek to validate comparing its reading against laboratory (LBG) HD sessions.
Vitamin D is important for bone and muscle health, cell growth, immunity, insulin production resistance. Hypovitaminosis also implicated to progression of chronic kidney disease (CKD) increased risk cardiovascular disease. deficiency prevalent worldwide. In Bangladesh, vitamin levels have been evaluated mostly in children women. this study we aim evaluate compare working healthy population patients with CKD stage 5.
Continuous Ambulatory Peritoneal dialysis (CAPD) is increasingly getting popularity as a form of renal replacement therapy in end stage kidney disease (ESKD) patients Bangladesh. Although CAPD may offer some advantages over Haemodialysis (HD) and generally better tolerated, it not without complications. Peritonitis well known complication CAPD. However, non-infectious complications, though less common, are being recognized can impact survival this technique. The aim study was to evaluate the...
Kidney Foundation, Bangladesh is a not-for-profit organisation that caters mainly to the needs of lower income group renal patients in this low middle nation, where health expenditure predominantly out pocket. Due financial constraints, many cannot afford regular dialysis, let alone cover costs investigations may be required as course treatment. In with End-stage Renal Disease (ESRD) risk Acute Coronary Syndrome (ACS) high; add established atypical presentation ACS South Asian patient and...
Bangladesh is experiencing an overwhelming burden of central line–associated bloodstream infection (CLABSI) in haemodialysis (HD) patients. Most HD centres are using systemic antibiotics to prevent CLABSI. However, Centers for Disease Control and Prevention (CDC) guideline does not recommend use antibiotic rather suggests lock therapy high risk situations.
Nura Afza Salma Begum, Tasnuva Sarah Kashem, Farnaz Nobi Rima, Shakib Uz-Zaman Arefin, Kamrul Islam, Rezwanur Rahman, Harun Ur Rashid. Korean J Transplant 2020;34:55. https://doi.org/10.4285/ATW2020.OP-1177