Dr. Mohammad Jahangir Talukder

Qualification: MBBS(Ctg), MRCP(UK), MRCP (Edin)

Specialist: Internal Medicine

Designation: Consultant

Expertise: Acute medical emergency, endocrine, respiratory and infectious diseases

Experiences: 40 Years

Organization: United Hospital Ltd.

BMDC Reg. 7322

Chamber: United Hospital Ltd, OPD 1, Room 2, Ground Floor

Address: Plot 15, Road 71, Gulshan, Dhaka 1212, Bangladesh

Visiting Hours: 9.00 am- 5.00 pm (6 days except Friday)

Phone for serial: 02 9852466

আমাদের পরিচয়সহায় লিমিটেড একটি স্বাস্থ্য-প্রযুক্তি কোম্পানি। সকলের কাছে সহজ বাংলায় নির্ভুল স্বাস্থ্য তথ্য পৌঁছে দিতে আমরা কাজ করছি।

সহায় এর সহ–প্রতিষ্ঠাতা,ডা তাসনিম জারা, করোনাকালে ভিডিও বার্তার মাধ্যমে মানুষের কাছে নির্ভরযোগ্য তথ্য পৌঁছে দিতে কাজ করছেন। তার তৈরিকৃত ভিডিও বার্তা সাড়ে তিন কোটি বারের বেশি দেখা হয়েছে। সহায় এর উদ্দেশ্য হচ্ছে এই কাজটি আরও বড় পরিসরে, আরও সুন্দরভাবে পরিচালনা করা।

প্রতি সপ্তাহে আমরা বিভিন্ন রোগ নিয়ে নতুন নতুন লেখা, ভিডিও ও স্টোরি প্রকাশ করবো তিনটি প্রশ্নের উত্তর তুলে ধরে:

১। কোন লক্ষণ দেখা দিলে রোগীকে দ্রুত ডাক্তারের শরণাপন্ন হতে হবে।

২। কোন লক্ষণ দেখা দিলে রোগী বাসায় নিজের যত্ন নিতে পারবে।

৩। রোগী যদি বাসায় থাকে তবে কিভাবে নিজের যত্ন নিবে।

এছাড়াও কিভাবে স্বাস্থ্যকর জীবনযাপন করা যায় সে বিষয়ে আমাদের কনটেন্ট থাকবে


https://www.shohay.com.bd



Prof. Dr. Taimor Nawaz


Qualification: MBBS (Dhaka), MRCP(UK, Edin), FRCP(UK), FACP,

Specialty: Medicine, American Board Certified in Internal Medicine and Infectious Disease.

Designation & Org: Adviser of WHO, International Adviser Royal College of Physicians of London,

Eligible for medical licensure and direct registration in Singapore, Australia and Canada.

Chamber: United Hospital.

15, Road 71, Gulshan, Dhaka-1212.

Serial: +88 02 8836444, +88 02 8836000



Dr. A. K. Azad


Biography

Academic Qualification: He passed HSC from the Dhaka College and in 1965 obtained MBBS degree from Dhaka Medical College with distinction marks in Pharmacy and Forensic Medicine. He was honored with Col. Jafrey Gold Medal for best performance in Pakistan in the FCPS Medicine examination of 1970 under the University of Dhaka. In 1997 he received the D. Phil Degree in Gastroenterology from the University of Oxford, UK. Professional

Experience: In 1990 he joined the post on full-time basis and worked in this capacity till the beginning of 1998. Through his guidance during the period a Research Group has been created at BIRDEM which has now attracted national and international reputation for good quality research in biomedical sciences.


Publications: Prof. AK Azad Khan has more than 106 scientific publications in the reputed internatioal and national journals. He has also contributed chapters in five books on medical sciences.

Conference and Seminars Attended: He has presented scientific papers in numerous international and national meetings and delivered special lectures in many scientific meetings.

Membership: In addition to his attachment with the Bangladesh Gastroenterology Society and Diabetic Association Bangladesh, Prof. Azad Khan is also associated with a number of professional and social welfare organizations. He is the Founder Gerneral Secretary of the Bangladesh Endocrine Society and of the Asian Network of Research on Antidiabetic Plants (ANRAP). He played a vital role in organizing many scientific meetings in the country including IV World Congress on Diabetes in the Tropics and Developing Countries in 1989 (Chairman, Scientific Committee), Regional Workshop on Medicinal Plants in the Treatment of Diabetes in 1992 (Coordinator), First, Second and Third International Seminar on ‘Plant Materials as a Source of Antidiabetic Agents’ in 2001, 2004 and 2006 (Member, International Advisory Committee) and Annual Diabetes & Endocrine Conference (Chairman, Scientific Committee and Chairman, Organizing Committee).

Academy

Current EC Post: – Type of Fellowship: Elected Fellow Fellow Since:2000

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Dr. A. K. Azad

Qualification: MBBS, FCPS (Physical Medicine), AOSPRM Fellow in interventional pain management ( South korea & Delhi), ISPRM Fellow in Rheumatology & Rehab medicine (Turky).

Specialty: Arthritis, Pain, Paralysis, Rheumatology & Neuro Rehab specialist

Designation & Org: Consultant Physiatrist, Bangabandhu Sheikh Mujib Medical University (BSMMU)

Chamber: 1): Padma Diagnostic Centre Limited, 245/2, New Circular Road, Malibagh, Dhaka – 1217

Visiting Time: 8.30 PM-10.0 PM, Saturday – Wednesday.

Appointment: 01972303136, Hotline: 16578

2) Ibne Sina D-Lab & Consultation Centre, 28 Haat Lane, Sutrapur, Doyagonj, Dhaka-1204

Visiting Time: 5 PM-8 PM, Saturday – Wednesday.

Appointment: 01889-686520, Hotline: 10615

Dr. Amiruzzaman (Sumon)

Qualification: MBBS, FCPS (Medicine)

Specialty: Medicine

Organization: Sir Salimullah Medical College & Mitford Hospital, Dhaka

Chamber: Padma Diagnostic Centre Limited, 245/2, New Circular Road, Malibagh, Dhaka – 1217

Visiting Time: 9 PM-10.30 PM, Saturday, Sunday, Monday, Wednesday.

Appointment: +88 09617444222, 01776664342, 01977090988

Shamim Ahmed

Kidney Fundation Hospital & Research Institute, Mirpur, Dhaka

Title: Acid base balance in chronic kidney disease

Shamim AhmedBiography:

Shamim Ahmed now working as Professor of Nephrology and Senior Consultant, Kidney Foundation Hospital and Research Institute, Mirpur, Dhaka, Bangladesh. He was former Director and Professor of Nephrology National Institute of Kidney Disease and Urology (NIKDU). He also worked as Professor and Head, Department of Nephrology in Dhaka Medical College and Hospital. He graduated MBBS degree from Dhaka Medical College in 1979. He obtained FCPS (Medicine) degree from BCPS in 1987. He received clinical training in Nephrology for one year in 1992 from PGIMER Chandigarh, India under WHO fellowship. He also completed 13th Especial Foundation Training in 1989 from BATC, Saver.

He was awarded FRCP (Edin) in 2003, FRCP (USA) in 2004, FRCP (Glasg) in 2005. He had more than 90 scientific papers published in different journals of home & abroad. He is life member BRA, BMA, teachers Association of DMC & RMC, BCPS, Kidney Foundation Bangladesh. He is also member of ISN, New York Academy of Science & other organizations. He worked as Asstt. Editor, Bangladesh Renal Journal, editor of TAJ (Joumal of teachers Association RMC). He was Vice President and General Secretary of Bangladesh Renal Association.

At present he is member of executive committee of Bangladesh renal Association and treasurer of Kidney Foundation. He attended Scientific conferences in different countries like India, Pakistan, Sri Lanka, Thailand, Singapore, Malaysia, Japan, UK, USA, Brazil, Italy, Sweden & South Africa, France, Germany, Cze Republic, Canada, Philippine, Nepal, Australia, Austria and Turkey. He was honored with Mother Terasha Gold Medal award, Mirror Health award, Netaji Subash Chandro Basu award, Bangabandhu Gold Medal award, Deshpramiksarmana award and Kazi Nazrul Islam sarmanona award by different organizations of the country. 


Abstract:

Normal metabolism of the body produce approximately 15000 mmol of carbon dioxide and 50 to 100 mmol of nonvolatile or fixed acid each day. Acid base balance is maintained by normal elimination of carbon dioxide by lungs and normal excretion of non volatile acid by kidneys. Metabolic acidosis occurs when either an increase in production non volatile acid or increase loss of bicarbonate from the body overwhelms the mechanism of homeostasis or when renal acidification mechanism are compromised. Metabolic acidosis (Chronic) is commonly associated with chronic kidney disease (CKD).

The number of functioning nephrons declined in CKD, acid excretion is initially maintained by an increase in ammonium excretion. However total ammonium excretion begin to fall when glomerular filtration rate (GFR) is below 40ml/min. CKD leads to retention of hydrogen ion which is buffered by bicarbonate in the extra cellular fluid, tissue buffer and bone. With worsening of renal function progressive metabolic acidosis and academia develop. Serum bicarbonate concentration is <22meq/L is about 25% patient of non dialysis dependent CKD stage 5. Serum bicarbonate trends to stabilize 12 to 18 meq/L in CKD when GFR is < 10ml/min. Anion gap remains normal until late stage CKD when it begins to widen due to retaining anion such as phosphate and sulfate.

The consequences in CKD are bone resorption and osteopenia, increase muscle protein catabolism, aggravation of secondary hyperparathyroidism, reduced respiratory reserve, exhaustion body buffer system, increase severity of acute intercurrent illness, reduce Na-K-ATPase activity in RBC, myocardial cells resulting impair myocardial contractility, producing heart failure, systemic inflammation and hypotension. Endocrine disorder in metabolic acidosis in CKD are resistance to growth hormone and insulin and hypertriglyceridemia.

African American Study of Kidney disease (AASK) trial and CRIC observational study in patients of non dialysis depended CKD have found that lower serum bicarbonate concentration, higher net endogenous acid production, higher dietary acid load and inability to excrete acid are all associated with a higher risk of progressive renal function loss. Potential mechanism for progression of CKD is metabolic acidosis promotes increase of ammonium excreted per nephron is associated with activation of complement system, renin angiotensin system with increase production of endothelin which may produce tubulointerstitial inflammation and chronic damage to kidneys. Treatment of metabolic acidosis in CKD are sodium bicarbonate or sodium citrate.

In mild acedemia (arterial ph>7.2 ) in asymptomatic adult does not require bicarbonate therapy. KDIGO guideline advocate alkali therapy in patient with CKD in a dose 0.5 to 1mg per/kg/day to maintain target range 23 to 28 meq/L. Sodium citrate should be avoided in patient also taking aluminum containing antacid. Sodium bicarbonate therapy may cause volume expansion and hypertension in CKD patients and raising ph can precipitate tetany in patient with hypocalcaemia.

Bicarbonate supplement appears to slow the progression of CKD, prevent or delay the progression of both osteopenia and hyperparathyroid bone disease and improved nutritional status and lean body mass. In conclusion several but not all studies of patients with chronic metabolic acidosis in CKD have demonstrated bicarbonate therapy improves or decrease the progression of bone disease, normalizes growth, reduce muscle degradation, improves of albumin synthesis and retards progression of CKD. At present recommendation to maintain bicarbonate level 22-23mmol/L in CKD patients.

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Dr. Shamim Ahmed


Specialty: Nephrology / Kidney Medicine

Degree – MBBS(DMC), FCPS(Med), FRCP(Rdin), FRCP(Glasg), FACP(USA), FWHO(Neph)

Designation: Professor

Previous Experience:

Ex. Director & Professor of Nephrology,National Institute of Kidney Diseases & Urology(NIKDU),

Ex-Professor & Head,Nephrology,Dhaka Medical College & Hospital

Practicing Branch: Popular Diagnostic Center Ltd. (Dhanmondi Branch)

Visiting hour: 5 pm-9 pm

Practice Days: Saturday , Sunday , Monday , Tuesday , Wednesday , Thursday

Appointment: Number (For Serial): +880 9613787801

Chamber Name & Address:

Popular Diagnostic Center Ltd. (DHANMONDI Branch)

House # 16, Road # 2, Dhanmondi, Dhaka-1205.



Professor Kaniz Moula was born in Dhaka in 1949. She is Professor and Head of the Department of Medicine at Holy Family Red Crescent Medical College and Hospital (HFRCMCH), Dhaka. She joined HFRCMCH in 1973 as soon as she completed her internship from Dhaka Medical College Hospital in 1973. She then went on to advance her career in medicine, a speciality which very few female doctors chose at that time. Prof. Kaniz Moula took a year off in 1975 to post graduate training in the UK, and from 1976 to 1979 she pursued her post graduate training at the then IPGMR (now BSMMU). Upon attaining her FCPS in the year 1980 she rejoined HFRCMCH as Senior Consultant 2002, Holy Family Red Crescent Medical College was founded and Dr Kaniz Moula was then conferred the title Professor and Head of the Department of Medicine. Professor Kaniz Moula is an active participant in numerous medical bodies at home and abroad. She has several papers published in journals both national and international. She is an avid reader and traveler. She is tied to many social bodies too. Professor Kaniz Moula is married to Engineer Md Maniruzzaman and is blessed with two sons who are both working in multinational companies.


Prof. Dr. Kaniz Moula

Qualification: M B B S, F C P S (Medicine), Fellow Royal College of Physicians (Edin, UK). Fellow American College of Physicians

Speciality: Medicine

Designation & Org: Consultant, United Hospital, Gulshan

Chamber: Padma Diagnostic Centre Limited, 245/2, New Circular Road, Malibagh, Dhaka – 1217

Visiting Time: 3.30 P.M-10.30 P.M, Saturday – Thursday.

Appointment: +88 09617444222, 01776664342, 01977090988


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