Structural health monitoring of Attridge Drive overpass

Vibration-based damage detection (VBDD) comprises a family of non-destructive testing methods in which changes to dynamic characteristics are used to track the condition of a structure. Although VBDD methods have been successfully applied to various mechanical systems and to simple beam-like structures, significant challenges remain in extending this technology to complex, spatially distributed structures such as bridges. In the present study, numerical simulations using a calibrated finite element model were used to investigate the use of VBDD methods to detect small-scale damage on a two-span, integral abutment overpass structure located in Saskatoon, Saskatchewan. The small scale damage was defined in this study as the removal of a concrete element from the top surface of the bridge deck, resembling the spalled clear cover of concrete deck of the overpass. Five different VBDD techniques were evaluated, including the Change in Mode Shape, Change in Flexibility, Change in Mode Shape Curvature, Change in Uniform Flexibility Curvature and Damage index methods. In addition, the influence of the size of damage, the orientation of damage geometry, sensor spacing (3 m, 5 m and 7.5 m), the approach used for mode shape normalization, and uncertainty in the measured mode shapes was investigated. It was found that localized damage could be reliably detected and located if the sensors were located within 3 m of the damage (the distance between adjacent girders) and if uncertainty in the mode shapes was attenuated through the use of a sufficient number of repeated trials. Furthermore, studies using a limited sensor installation that could be achieved without interrupting the flow of traffic indicated that small scale damage could be detected and potentially located using sensors that are placed well away from the damaged area, provided uncertainty in mode shape was attenuated

Comparative advantage defying development strategy and cross country poverty incidence

Thesis(Master) --KDI School:Master of Development Policy,2014OutstandingmasterpublishedAbu Bakkar Suddique

Response of Iron and Cadmium on Yield and Yield Components of Rice and Translocation in Grain: Health Risk Estimation

Rice consumption is a major dietary source of Cd and poses a potential threat to human health. The aims of this study were to examine the influence of Fe and Cd application on yield and yield components, dynamics of Cd in pore water, translocation factors, daily dietary intake, and estimation of human health risks. A pot experiment was performed under glasshouse conditions where rice cultivars (Langi and Quest) were cultivated in two dissimilar soils under different levels of Cd (0, 1.0, and 3.0 mg kg−1) and Fe (0, 1.0, and 2.0 g kg−1). The results showed that variation in two rice cultivars in terms of yield and yield-related components was dose dependent. Cadmium concentration in soil pore water was decreased over time and increased with increasing Cd levels but decreased with Fe application. Translocation factors (TFs) from root to straw (TFroot-straw) or straw to husk (TFstraw-husk) were higher than root to grain (TFroot-grain) or straw to grain (TFstraw-grain). The Quest cultivar had 20% lower Cd than the Langi cultivar. Application of Fe at the rate of 1 and 2 g kg−1 soil reduced Cd by 23 and 46%, respectively. Average daily intake (ADI) of Cd exceeded the permissible limit (5.8 × 10−3 mg −1 kg−1 bw per week) when rice plant subjected 1 and 3 mg kg−1 Cd stress with or without Fe application. Results also indicated that ADI value was lower in the Quest cultivar as compared to the Langi cultivar. Estimation of human health risk revealed that the non-carcinogenic risks (HQ > 1) and carcinogenic risks (CR > 1.0 × 10−4) increased with increasing Cd levels in the soil. The application of Fe decreased the human health risks from rice consumption which is more pronounced in Fe 2.0 than in Fe1.0 treatments. The rice cultivar grown in soil-1 (pH 4.6) showed the highest health risks as compared to soil-2 (pH 6.6) and the Quest cultivar had lower health risks than the Langi cultivar

Exploring the factors contributing to increase in facility child births in Bangladesh between 2004 and 2017-2018

Although Bangladesh has gained rapid improvement in births at health facilities, yet far behind to achieve the SDG target. Assessing the contribution of factors in increased use of delivery at facilities are important to demonstrate. To explore the determinants and their contribution in explaining increased use of facility child births in Bangladesh. Reproductive-aged women (15-49 years) of Bangladesh. We used the latest five rounds (2004, 2007, 2011, 2014, 2017-2018) of Bangladesh Demographic and Health Surveys (BDHSs). The regression based classical decomposition approach has been used to explore the determinants and their contribution in explaining the increased use of facility child birth. A sample of 26,686 reproductive-aged women were included in the analysis, 32.90% (8780) from the urban and 67.10% (17,906) from the rural area. We observed a 2.4-fold increase in delivery at facilities from 2004 to 2017-2018, in rural areas it is more than three times higher than the urban areas. The change in mean delivery at facilities is about 1.8 whereas, the predicted change is 1.4. In our full sample model antenatal care visits contribute the largest predicted change of 22.3%, wealth and education contributes 17.3% and 15.3% respectively. For the rural area health indicator (prenatal doctor visit) is the largest drivers contributing 42.7% of the predicted change, hereafter education, demography and wealth. However, in urban area education and health contributed equally 32.0% of the change followed by demography (26.3%) and wealth (9.7%). Demographic variables (maternal BMI, birth order, age at marriage) contributing more than two-thirds (41.2%) of the predicted change in the model without the health variables. All models showed more than 60.0% predictive power. Health sector interventions should focus both coverage and quality of maternal health care services to sustain steady improvements in child birth facilities. [Abstract copyright: © 2023 The Authors. Published by Elsevier Ltd.

Humanised childbirth:the status of emotional support of women in rural Bangladesh

The World Health Organization has recently set standards emphasising the importance of emotional support during birth for improving the quality of maternal and newborn healthcare in facilities. In this study, we explore the emotional support status of women during birth in rural Bangladesh. A cross-sectional household survey of 1367 women was administered in 2018 in Brahmanbaria district. Outcomes of interest included: presence of a companion of choice; mobility; intake of fluids and food; and position of choice. Associations between outcomes of interest and background characteristics were explored through binary and multiple logistic regressions. Approximately 68% women had a companion of choice during labour or childbirth, significantly higher among women giving birth at home (75%) than in a health facility. Nearly 60% women were allowed to eat and drink during labour, also significantly higher among women giving birth at home. Seventy-per cent women were allowed to be ambulatory during labour (46% in a facility vs. 85% at home). Only 27% women were offered or allowed to give birth in the position of their choice at facility, compared to 54% giving birth at home. Among women giving birth in a facility who did not have a companion of choice, 39% reported that the health provider/health facility management did not allow this. Ensuring emotional support and thereby improving the quality of the experience of care within health facilities should be prioritised by the Bangladesh government both to improve health outcomes of women and newborns and also to promote more humanised, positive childbirth experiences.</p

Social network analysis of illicit organ trading networks: The Medicus case

Organ trafficking has been receiving more attention in recent years as its association with transnational crime organizations became evident. Most of the academic studies available on this topic are qualitative case studies, descriptively analyzing the nature of the crime and the agents involved. These studies often highlight the unique nature of organ trafficking, which is the involvement of medical service providers in the network. There have been, however, no effort made to examine the connections between medical service providers and other agents in the network in a quantitative fashion. This study presents unique quantitative data extracted from the “Medicus case”, a well-documented court case involving kidney trafficking that surfaced in Pristina, Kosovo, in 2008. Social Network Analysis (SNA) was employed to quantitatively analyze the structure and characteristics of the kidney trafficking network. The results reveal that there was a significant variation in the level of involvement in kidney trafficking both across and within different types of agents. Notably, medical staff, facilities, and brokers played vital roles in the kidney trafficking network. Moreover, kidney sellers held a more prominent role than kidney buyers, with certain sellers playing particularly influential roles. In sum, this study demonstrates the promise of SNA as a tool for understanding kidney trafficking networks, and that further research is warranted to fully explore its potential in this field

Child mortality in Bangladesh - why, when, where and how?:A national survey-based analysis

BACKGROUND: Updated information on the cause of childhood mortality is essential for developing policies and designing programmes targeting the major burden of disease. There is a paucity of evidence regarding the current estimates of the cause of death in Bangladesh, which is essential for reinvigorating the current policies and reshaping existing strategies to avert preventable deaths. This paper aims to address this critical evidence gap and report the cause, timing and place of death among children under-five years of age using a nationally representative sample. METHODS: The present study was undertaken to provide updated estimates of causes of death among children under-five years of age using data from the 2017-18 round of the Bangladesh Demographic and Health Survey (BDHS). The verbal autopsy (VA) questionnaire of the 2017-18 BDHS was adapted from the standardised WHO 2016 instruments. Specially trained physicians reviewed the responses of the VA questionnaire and assigned the cause of death based on the online-2016-version of the International Classification of Diseases (ICD-10). We included 456 deaths among children under-five years of age in our analysis. Descriptive statistics were used to present the causes, timing and places of death with uncertainty ranges (UR). RESULTS: Pneumonia is the major killer (19%), accounting for approximately 24 268 (UR = 21 626-26 695) under-five deaths per-year. It is followed by birth asphyxia (16%), prematurity and low-birth-weight (11%), serious infections including sepsis (8%) causing 20 882 (UR = 18 608-22 970), 14 956 (UR = 13 327-16,452), and 10 723 (UR = 9555-11,795) deaths per-year, respectively. Drowning (8%) caused 10 441 (UR = 9304-11 485) deaths and congenital anomaly (7%) resulted in d 8748 (UR = 7795-9623) deaths per-year. Around 29% of all deaths occurred on the first day, 52% within the first week, and 66% within the first month of life. Around 70% of birth asphyxia, prematurity, and low birth weight-related deaths happen on the day of birth. Approximately 43% of pneumonia-related deaths occur in age 1-11 months, and around 51% of drowning-related deaths happen in age 12-23 months. CONCLUSIONS: Pneumonia with other serious infections, birth asphyxia, prematurity and low-birth-weight are responsible for more than half of all deaths among children under-five years of age. Strengthening the existing maternal, neonatal and child health programmes may be helpful in averting the majority of these preventable deaths. A multisectoral approach is required for the prevention of childhood deaths, especially drowning-related fatalities. Special measures need to be taken to prevent and control emerging public health challenges like birth defects and congenital anomalies

Knowledge and involvement of husbands in maternal and newborn health in rural Bangladesh

Abstract Background Access to skilled health services during pregnancy, childbirth and postnatal period for obstetric care is one of the strongest determinants of maternal and newborn health (MNH) outcomes. In many countries, husbands are key decision-makers in households, effectively determining women’s access to health services. We examined husbands’ knowledge and involvement regarding MNH issues in rural Bangladesh, and how their involvement is related to women receiving MNH services from trained providers. Methods We conducted a cross-sectional survey in two rural sub-districts of Bangladesh in 2014 adopting a stratified cluster sampling technique. Women with a recent birth history and their husbands were interviewed separately with a structured questionnaire. A total of 317 wife-husband dyads were interviewed. The associations between husbands accompanying their wives as explanatory variables and utilization of skilled services as outcome variables were assessed using multiple logistic regression analyses. Results In terms of MNH knowledge, two-thirds of husbands were aware that women have special rights related to pregnancy and childbirth and one-quarter could mention three or more pregnancy-, birth- and postpartum-related danger signs. With regard to MNH practice, approximately three-quarters of husbands discussed birth preparedness and complication readiness with their wives. Only 12% and 21% were involved in identifying a potential blood donor and arranging transportation, respectively. Among women who attended antenatal care (ANC), 47% were accompanied by their husbands. Around half of the husbands were present at the birthplace during birth. Of the 22% women who received postpartum care (PNC), 67% were accompanied by their husbands. Husbands accompanying their wives was positively associated with women receiving ANC from a medically trained provider (AOR 4.5, p < .01), birth at a health facility (AOR 1.5, p < .05), receiving PNC from a medically trained provider (AOR 48.8, p < .01) and seeking care from medically trained providers for obstetric complications (AOR 3.0, p < 0.5). Conclusion Husbands accompanying women when receiving health services is positively correlated with women’s use of skilled MNH services. Special initiatives should be taken for encouraging husbands to accompany their wives while availing MNH services. These initiatives should aim to increase men’s awareness regarding MNH issues, but should not be limited to this

Systematic review and meta-Analysis of global birth prevalence of clubfoot: A study protocol

IntroductionClubfoot is a common congenital birth defect, with an average prevalence of approximately 1 per 1000 live births, although this rate is reported to vary among different countries around the world. If it remains untreated, clubfoot causes permanent disability, limits educational and employment opportunities, and personal growth. The aim of this systematic review and meta-analysis is to estimate the global birth prevalence of congenital clubfoot.Methods and analysisElectronic databases including MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Global Health, Latin American &amp; Caribben Health Science Literature (LILACS), Maternity and Infant Care, Web of Science, Scopus and Google Scholar will be searched for observational studies based on predefined criteria and only in English language from inception of database in 1946 to 10 November 2017. A standard data extraction form will be used to extract relevant information from included studies. The Joanna Briggs Institute appraisal checklist will be used to assess the overall quality of studies reporting prevalence. All included studies will be assessed for risk of bias using a tool developed specifically for prevalence studies. Forest plots will be created to understand the overall random effects of pooled estimates with 95% CIs. An I2test will be done for heterogeneity of the results (P&gt;0.05), and to identify the source of heterogeneity across studies, subgroup or meta-regression will be used to assess the contribution of each variable to the overall heterogeneity. A funnel plot will be used to identify reporting bias, and sensitivity analysis will be used to assess the impact of methodological quality, study design, sample size and the impact of missing data.Ethics and disseminationThis review will be conducted completely based on published data, so approval from an ethics committee or written consent will not be required. The results will be disseminated through a peer-reviewed publication and relevant conference presentations.PROSPERO registration numberCRD42016041922.</jats:sec