Naim Chy - Academia.edu (original) (raw)

Papers by Naim Chy

Research paper thumbnail of Epidemiology and clinical outcome of COVID-19: A multi-centre cross sectional study from Bangladesh

ObjectivesTo investigate SARS-CoV-2 associated epidemiology and clinical outcomes in Bangladesh t... more ObjectivesTo investigate SARS-CoV-2 associated epidemiology and clinical outcomes in Bangladesh to understand the course of COVID-19 pandemic and suggest prevention measures.MethodsA cross-sectional retrospective study was conducted among 1,021 RT-PCR confirmed but recovered COVID-19 cases from six participating hospitals in Bangladesh.ResultsOf the total sample, 111 (10.9%) cases were asymptomatic while the number of symptomatic cases were 910 (89.1%). Higher prevalence of COVID-19 persisted in the male population (75%) and for the 31-40 age group. More than 85% of the samples reported BCG vaccination mark. Common symptoms observed in our study samples were fever (72.4%), cough (55.9%), loss of taste (40.7%) and body ache (40%); whereas for the biochemical parameters, Neutrophil (46.4%), D-dimer (46.1%), Ferritin (37.9%) and SGPT (36.8%) levels were found elevated. Post-COVID complications including pain (31.8%), loss of concentration (24.4%) and anxiety or depression (23.1%) were ...

Research paper thumbnail of The relationship between medical comorbidities and health-related quality of life among adults with type 2 diabetes: The experience of different hospitals in southern Bangladesh

PLOS ONE

Objective Health-related quality of life (HRQoL) is a critical determinant to assess the severity... more Objective Health-related quality of life (HRQoL) is a critical determinant to assess the severity of chronic diseases like diabetes mellitus. It has a close association with complications, comorbidities, and medical aid. This study aimed to estimate the prevalence of medical comorbidities and determine the relationship between comorbidities and HRQoL among type 2 diabetic patients of southern Bangladesh. Method This study was a cross-sectional study conducted through face to face interviews using a pre-tested structured questionnaire and by reviewing patient’s health records with prior written consent. The study was conducted on 2,136 patients with type 2 diabetes attending five hospitals of Chattogram, Bangladesh, during the tenure of November 2018 to July 2019. Quality of life was measured using the widely-used index of EQ-5D that considers 243 different health states and uses a scale in which 0 indicates a health state equivalent to death and 1 indicates perfect health status. Th...

Research paper thumbnail of Additional file 1 of Association between comorbidity and health-related quality of life in a hypertensive population: a hospital-based study in Bangladesh

Additional file 1: Table 1. Prevalence of the problems considered in the HRQoL measure by comorbi... more Additional file 1: Table 1. Prevalence of the problems considered in the HRQoL measure by comorbidity status.

Research paper thumbnail of Association between comorbidity and health-related quality of life in a hypertensive population: a hospital-based study in Bangladesh

BMC Public Health, 2022

Background Hypertension is a known risk factor for several chronic conditions including diabetes ... more Background Hypertension is a known risk factor for several chronic conditions including diabetes and cardiovascular diseases. However, little is known about its impact on Health-related quality of life (HRQoL) in the context of Bangladesh. This study aimed to evaluate the association of hypertension on HRQoL among Bangladeshi patients corresponding to the socio-demographic condition, comorbid conditions, treatment, and health outcomes. Methods A hospital based cross-sectional study was conducted using a pre-tested structured questionnaire among patients with hypertension in 22 tertiary medical college hospitals in Bangladesh. The study recruited male and female hypertensive patients of age ≥18 years between July 2020 to February 2021 using consecutive sampling methods. Health related quality of life was measured using the widely-used index of EQ-5D that considers 243 different health-related attributes and uses a scale in which 0 indicates a health state equivalent to death and 1 in...

Research paper thumbnail of The Demand And Supply Side Responses To Changes In Health Insurance Status

THE DEMAND AND SUPPLY SIDE RESPONSES TO CHANGES IN HEALTH INSURANCE STATUS by NAIM CHY

Research paper thumbnail of Assessing the management of patients with type 2 diabetes in Bangladesh during pre- and post-COVID-19 era and the implications: A pilot study

Journal of Applied Pharmaceutical Science

There is growing concern with the management of patients with type 2 diabetes (T2DM) across count... more There is growing concern with the management of patients with type 2 diabetes (T2DM) across countries with suboptimal management increasing morbidity, mortality, and costs. In Bangladesh, the number of patients with diabetes will increase to an estimated 22.3 million by 2045, mainly T2DM, unless addressed. Alongside this, continued concerns with high rates of uncontrolled blood glucose levels as well as complication rates, including both microvascular and macrovascular complications in patients with T2DM in Bangladesh. This adds to the cost of care, which can be a concern among patients in Bangladesh with high co-payment rates. Alongside this, concerns with the impact of COVID-19 and associated lockdown measures on the care of these patients. Greater proactivity in managing these patients can help. Consequently, a need to ascertain what data is routinely collected in public hospitals in Bangladesh, including during the pandemic, to guide care. A pilot study was undertaken among eight patients in Chittagong Medical College using purposely designed case report forms to ascertain the extent of clinical information collected and their care against agreed target levels. There was typically poor control of blood glucose levels among the eight patients, which has resulted in increased prescribing of insulin. However, better control of blood pressure, lipids and urinary albumin levels. There were appreciable missing knowledge gaps, especially during the pandemic. This needs addressing.

Research paper thumbnail of A multi-centre, cross-sectional study on coronavirus disease 2019 in Bangladesh: clinical epidemiology and short-term outcomes in recovered individuals

New Microbes and New Infections, 2021

Coronavirus disease 2019 (COVID-19) rapidly became a global pandemic. This study aimed to investi... more Coronavirus disease 2019 (COVID-19) rapidly became a global pandemic. This study aimed to investigate severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated epidemiology and clinical outcomes in Bangladesh in order to understand the future course of the COVID-19 pandemic and develop approaches to prevention. A cross-sectional study based on retrospective interviews was conducted on 1021 individuals with RT-PCR-confirmed COVID-19 admitted in six different hospitals in Bangladesh and who recovered 4 weeks before the interview date. Of the 1021 patients, 111 (10.9%) were asymptomatic and the other 910 (89.1%) were symptomatic. Higher prevalence of COVID-19 was found in the male population (75%), in cohorts with B-positive blood group (36.3%) and in the 31-40 years age group. Common symptoms observed in our study participants were fever (72.4%), cough (55.9%), loss of taste (40.7%) and body ache (40%); whereas among the biochemical parameters, neutrophil count (46.4%), D-dimer (46.1%) and ferritin (37.9%) levels were elevated. Among the recovered individuals, short-term outcomes including pains and aches (31.8%), weakened attention span (24.4%) and anxiety or depression (23.1%) were also significantly prevalent in the symptomatic cases with comorbidities. Our study showed that in Bangladesh, adult males aged between 31 and 40 years were more vulnerable to developing COVID-19. It also indicated a rising trend of asymptomatic cases as the pandemic progressed. As a consequence, deployment of interventions to curb further spread of community infection is necessary to avoid grave outcomes of COVID-19 in Bangladesh.

Research paper thumbnail of Epidemiology and clinical outcome of COVID-19: A multi-centre cross sectional study from Bangladesh

ObjectivesTo investigate SARS-CoV-2 associated epidemiology and clinical outcomes in Bangladesh t... more ObjectivesTo investigate SARS-CoV-2 associated epidemiology and clinical outcomes in Bangladesh to understand the course of COVID-19 pandemic and suggest prevention measures.MethodsA cross-sectional retrospective study was conducted among 1,021 RT-PCR confirmed but recovered COVID-19 cases from six participating hospitals in Bangladesh.ResultsOf the total sample, 111 (10.9%) cases were asymptomatic while the number of symptomatic cases were 910 (89.1%). Higher prevalence of COVID-19 persisted in the male population (75%) and for the 31-40 age group. More than 85% of the samples reported BCG vaccination mark. Common symptoms observed in our study samples were fever (72.4%), cough (55.9%), loss of taste (40.7%) and body ache (40%); whereas for the biochemical parameters, Neutrophil (46.4%), D-dimer (46.1%), Ferritin (37.9%) and SGPT (36.8%) levels were found elevated. Post-COVID complications including pain (31.8%), loss of concentration (24.4%) and anxiety or depression (23.1%) were ...

Research paper thumbnail of The relationship between medical comorbidities and health-related quality of life among adults with type 2 diabetes: The experience of different hospitals in southern Bangladesh

PLOS ONE

Objective Health-related quality of life (HRQoL) is a critical determinant to assess the severity... more Objective Health-related quality of life (HRQoL) is a critical determinant to assess the severity of chronic diseases like diabetes mellitus. It has a close association with complications, comorbidities, and medical aid. This study aimed to estimate the prevalence of medical comorbidities and determine the relationship between comorbidities and HRQoL among type 2 diabetic patients of southern Bangladesh. Method This study was a cross-sectional study conducted through face to face interviews using a pre-tested structured questionnaire and by reviewing patient’s health records with prior written consent. The study was conducted on 2,136 patients with type 2 diabetes attending five hospitals of Chattogram, Bangladesh, during the tenure of November 2018 to July 2019. Quality of life was measured using the widely-used index of EQ-5D that considers 243 different health states and uses a scale in which 0 indicates a health state equivalent to death and 1 indicates perfect health status. Th...

Research paper thumbnail of Additional file 1 of Association between comorbidity and health-related quality of life in a hypertensive population: a hospital-based study in Bangladesh

Additional file 1: Table 1. Prevalence of the problems considered in the HRQoL measure by comorbi... more Additional file 1: Table 1. Prevalence of the problems considered in the HRQoL measure by comorbidity status.

Research paper thumbnail of Association between comorbidity and health-related quality of life in a hypertensive population: a hospital-based study in Bangladesh

BMC Public Health, 2022

Background Hypertension is a known risk factor for several chronic conditions including diabetes ... more Background Hypertension is a known risk factor for several chronic conditions including diabetes and cardiovascular diseases. However, little is known about its impact on Health-related quality of life (HRQoL) in the context of Bangladesh. This study aimed to evaluate the association of hypertension on HRQoL among Bangladeshi patients corresponding to the socio-demographic condition, comorbid conditions, treatment, and health outcomes. Methods A hospital based cross-sectional study was conducted using a pre-tested structured questionnaire among patients with hypertension in 22 tertiary medical college hospitals in Bangladesh. The study recruited male and female hypertensive patients of age ≥18 years between July 2020 to February 2021 using consecutive sampling methods. Health related quality of life was measured using the widely-used index of EQ-5D that considers 243 different health-related attributes and uses a scale in which 0 indicates a health state equivalent to death and 1 in...

Research paper thumbnail of The Demand And Supply Side Responses To Changes In Health Insurance Status

THE DEMAND AND SUPPLY SIDE RESPONSES TO CHANGES IN HEALTH INSURANCE STATUS by NAIM CHY

Research paper thumbnail of Assessing the management of patients with type 2 diabetes in Bangladesh during pre- and post-COVID-19 era and the implications: A pilot study

Journal of Applied Pharmaceutical Science

There is growing concern with the management of patients with type 2 diabetes (T2DM) across count... more There is growing concern with the management of patients with type 2 diabetes (T2DM) across countries with suboptimal management increasing morbidity, mortality, and costs. In Bangladesh, the number of patients with diabetes will increase to an estimated 22.3 million by 2045, mainly T2DM, unless addressed. Alongside this, continued concerns with high rates of uncontrolled blood glucose levels as well as complication rates, including both microvascular and macrovascular complications in patients with T2DM in Bangladesh. This adds to the cost of care, which can be a concern among patients in Bangladesh with high co-payment rates. Alongside this, concerns with the impact of COVID-19 and associated lockdown measures on the care of these patients. Greater proactivity in managing these patients can help. Consequently, a need to ascertain what data is routinely collected in public hospitals in Bangladesh, including during the pandemic, to guide care. A pilot study was undertaken among eight patients in Chittagong Medical College using purposely designed case report forms to ascertain the extent of clinical information collected and their care against agreed target levels. There was typically poor control of blood glucose levels among the eight patients, which has resulted in increased prescribing of insulin. However, better control of blood pressure, lipids and urinary albumin levels. There were appreciable missing knowledge gaps, especially during the pandemic. This needs addressing.

Research paper thumbnail of A multi-centre, cross-sectional study on coronavirus disease 2019 in Bangladesh: clinical epidemiology and short-term outcomes in recovered individuals

New Microbes and New Infections, 2021

Coronavirus disease 2019 (COVID-19) rapidly became a global pandemic. This study aimed to investi... more Coronavirus disease 2019 (COVID-19) rapidly became a global pandemic. This study aimed to investigate severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated epidemiology and clinical outcomes in Bangladesh in order to understand the future course of the COVID-19 pandemic and develop approaches to prevention. A cross-sectional study based on retrospective interviews was conducted on 1021 individuals with RT-PCR-confirmed COVID-19 admitted in six different hospitals in Bangladesh and who recovered 4 weeks before the interview date. Of the 1021 patients, 111 (10.9%) were asymptomatic and the other 910 (89.1%) were symptomatic. Higher prevalence of COVID-19 was found in the male population (75%), in cohorts with B-positive blood group (36.3%) and in the 31-40 years age group. Common symptoms observed in our study participants were fever (72.4%), cough (55.9%), loss of taste (40.7%) and body ache (40%); whereas among the biochemical parameters, neutrophil count (46.4%), D-dimer (46.1%) and ferritin (37.9%) levels were elevated. Among the recovered individuals, short-term outcomes including pains and aches (31.8%), weakened attention span (24.4%) and anxiety or depression (23.1%) were also significantly prevalent in the symptomatic cases with comorbidities. Our study showed that in Bangladesh, adult males aged between 31 and 40 years were more vulnerable to developing COVID-19. It also indicated a rising trend of asymptomatic cases as the pandemic progressed. As a consequence, deployment of interventions to curb further spread of community infection is necessary to avoid grave outcomes of COVID-19 in Bangladesh.