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Bangladesh Through the Eyes of a Medical Student

Bangladesh Through the Eyes of a Medical Student. M. Reed Flora Paul L. Foster School of Medicine Class of 2014 October 5, 2011. Captain of Industry. BANGLADESH Summer 2011. Dhaka, Bangladesh. The Culture. 90% Muslim Democratic Government Riots/Political instability. The People.

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Bangladesh Through the Eyes of a Medical Student

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  1. Bangladesh Through the Eyes of a Medical Student M. Reed Flora Paul L. Foster School of Medicine Class of 2014 October 5, 2011

  2. Captain of Industry

  3. BANGLADESHSummer 2011

  4. Dhaka, Bangladesh

  5. The Culture • 90% Muslim • Democratic Government • Riots/Political instability

  6. The People

  7. The Children

  8. Critical social issues • Overcrowding • Sanitation • Power Shortages • Poverty • Malnourishment • Transportation • Safety

  9. Overcrowding

  10. Sanitation

  11. Power Outages

  12. Malnourishment

  13. Transportation

  14. The International Center for Diarrheal Disease and Research (ICDDRB) • Established in 1978 • Pioneered oral rehydration therapy for the treatment of diarrhea and cholera. • Received first Gates Award for Global Health from the Bill & Melinda Gates Foundation

  15. Matlab

  16. Typical Day in Bangladesh • Arrived at hospital at 8 am • Morning briefing • Morning rounds in the ICU • Data analysis for SARP • Afternoon rounds • Return home at 5 pm

  17. Research Difficulties in Third World Country • My research project lost funding two weeks prior to arrival • Power Outages • Language Difficulties • Organizational Issues • Safety Concerns – Riots • Health

  18. Research • I assisted Dr. Jena Hamadani’s ongoing research project on the association of pregnancy and child birth maternal morbidities with childhood development in rural Bangladesh • From that – I developed my own research project “Association of maternal depression and self-esteem on childhood development in rural Bangladesh”

  19. MDI, PDI and Motor Developmental outcomes by maternal depression and self esteem (ANOVA)

  20. Correlation between maternal depression levels and temperament, motor and home stimulation

  21. Conclusions • Statically significant relationships • Maternal self-esteem and childhood attention span • Maternal depression and childhood temperament – positive emotion • Overall conclusion • Maternal depression and low self-esteem affect childhood development, especially temperament and psychomotor development in rural Bangladesh

  22. Assessment of MUAC in predicting severe acute malnutrition among hospitalized children in Bangladesh He compared MUAC measurements with ICDDR,B determined weight to height Z-scores. We also compared MUAC measurements to those of the mid-thigh and mid-calf. He surveyed caretakers’ to determine their level of interest in these health education courses before attending and their level of confidence in applying what they learned.

  23. Zinc Supplementation StudyPrinciple Investigator: Dr. S.K. Roy • Zinc Supplementation in Adults with Severe Dehydrating Diarrhea • Julie Estrada • Zinc Supplementation in Adults with Acute Diarrhea • Andrew Matthys

  24. Thanks. Questions? M. Reed Flora, MS II reed.flora@ttuhsc.edu

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