96 research outputs found

    Correction to: Impact of Continuous Professional Education on Leadership for Rehabilitation Professionals in Bangladesh: A Pilot Study

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    In the publication of this article, the abstract, full-text of the article and the author's affiliations had some mistakes with regards to the writing/language. The abstract, full-text and the affiliations of the authors has now been updated in the original article. The authors declare that the correction does not change the results or conclusion of this paper

    Impact of Continuous Professional Education on Leadership for Rehabilitation Professionals in Bangladesh: A Pilot Study

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    Background: In healthcare and rehabilitation profession, continuous professional education (CPE) is deemed as an essential tool by institutions, regulatory bodies and organizations. It is considered to be a safeguard to professional practice to ensure patient safety and efficient service delivery. Leadership program is an emerging subject that integrates technical, management and leadership skill that found indispensable to enhance ultimate professional development. Objective: The purpose of this article is to explore the potential impact of CPE on leadership training for rehabilitation professionals in Bangladesh. Methodology: This pilot study was a mixed methods study. 20 rehabilitation professionals participated in the study. Quantitative data were collected by structured questionnaire and qualitative data were obtained by face to face video recording interviews. Quantitative data were analyzed by Statistical Package for the Social Sciences (SPSS)   and thematic analysis was considered for qualitative data. Result: Study findings showed that 95% of the participants (n=19) were in their 2nd to 3rd decade of life, there mean age were 26 and male participation (n=12) were higher than female (n=8). Highest academic qualification was master’s degree and none of the participants attended leadership training before. Overall objective, planning and atmosphere of the training course, quality of trainers and time management seemed effective and satisfactory to the participants they agreed with. Leadership qualities and elements have profound impacts on knowledge and attitude towards positivity in performing professional duties and Responsibilities. The training also enhances motivation to be a skilled professional in clinical practice, also encourages serving with outmost excellence towards patients or clients. Conclusion: The study demonstrates that education on leadership to professionals have an impact on motivation and positivity towards developing technical, management and professional skills. The study may have impact on developing diverse qualities of a professional in personal and organizational perspective; this can be explored by continuing education on leadership and evaluation of the behavioral changes, professional and management skills in rehabilitation professionals’ serving in an organization in longer run

    Testing of Banking Services in Bangladesh: A Study on Prime Bank Limited Rangpur Branch

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    Customer satisfaction is asset .At present clients are so much conscious and sensitive about the services what they receive. The study focused on testing of banking services in Bangladesh to know the gap between customer expectation and customer satisfaction. Findings of the study clearly suggest that clients are overall satisfied, and their attitude is very positive towards Prime Bank Limited Rangpur Branch. It also shows that they are not delighted with existing services. The study recommends putting more attention for the services, providing something new to the customers to gain competitive advantage and have an impact for a long time and help developing the sector with a fair competitive environment

    Excision of choledochal cyst in children by Roux-en-Y hepaticojejunostomy

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    The aim of this study was to review our experience of total excision with Roux-en-Y hepatico-jejunostomy for the surgical management of type I and type IVa choledochal cysts in 30 children. Among them, 22 were in type I and 8 in type IVa choledochal cysts. All had complete excision and Roux-en-Y hepaticojejunostomy with no morality. Morbidity consisted of prolong drainage (n=2) and late onset cholangitis/pancreatitis (n=4). Choledochal cyst generally has an excellent prognosis with early complete excision and Roux-en-Y hepaticojejunostomy

    Work related risk factors for low back pain among nurses in a tertiary level hospital, Dhaka -Bangladesh

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    Background: Low back pain, the most commonly reported musculoskeletal problem, is a major burden on individuals, health systems and social care systems with the indirect cost being predominant. This is highly recommended to reveal the information concerning LBP prevalence and its‟ associated risk factors among the working population to develop an effective and efficient preventive approach and intervention program. Nursing professionals are at great risk of developing LBP through the world reported in different studies. However, there is scarcity of evidence regarding symptoms prevalence and associated risk factors in the context of Bangladesh. Objectives: The objectives were to find out the socio – demographic information of nurses; prevalence of LBP, to find out the most commonly affected body parts, duration of lower back pain among the nurses and nurses-oriented tasks/factors associated with lower back pain in tertiary level hospital. Methodology: A cross-sectional study was conducted with 100 participants who were selected by using convenient sampling. The Dutch Musculoskeletal Questionnaire and Nordic Musculoskeletal questionnaire was used to determine the prevalence and association between Musculoskeletal Symptoms and socio-demographic factors and to identify physical risk factors of musculoskeletal symptoms among the nurses. Result: In this study, Physical factor for back pain by heavy loads (more than 5kg) were 77% and did not low back pain were 23%.Job related risk factors for back pain by heavy loads (more than 5kg) were 97% and did not low back pain were 3%.Among 100 participants 66% participant’s said that they had pain in the last 12 months   and 34% participant said that they had no pain during the last 12 months. There was significant association between Low back pain and how long the Nurses working in this hospitalConclusion: Now a days work related musculoskeletal disorders is the greatest problem in the world among the working population. At a same time, nurses are also suffering from different musculoskeletal disorders. Subsequently, this study shows that there is a high risk of musculoskeletal symptoms among the nurses. It will be managed by reducing physical risk factors through effective ergonomic management

    Mapping child growth failure across low- and middle-income countries

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    Child growth failure (CGF), manifested as stunting, wasting, and underweight, is associated with high 5 mortality and increased risks of cognitive, physical, and metabolic impairments. Children in low- and middle-income countries (LMICs) face the highest levels of CGF globally. Here we illustrate national and subnational variation of under-5 CGF indicators across LMICs, providing 2000–2017 annual estimates mapped at a high spatial resolution and aggregated to policy-relevant administrative units and national levels. Despite remarkable declines over the study period, many LMICs remain far from the World Health 10 Organization’s ambitious Global Nutrition Targets to reduce stunting by 40% and wasting to less than 5% by 2025. Large disparities in prevalence and rates of progress exist across regions, countries, and within countries; our maps identify areas where high prevalence persists even within nations otherwise succeeding in reducing overall CGF prevalence. By highlighting where subnational disparities exist and the highest-need populations reside, these geospatial estimates can support policy-makers in planning locally 15 tailored interventions and efficient directing of resources to accelerate progress in reducing CGF and its health implications

    Mapping geographical inequalities in access to drinking water and sanitation facilities in low-income and middle-income countries, 2000-17

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    Background: Universal access to safe drinking water and sanitation facilities is an essential human right, recognised in the Sustainable Development Goals as crucial for preventing disease and improving human wellbeing. Comprehensive, high-resolution estimates are important to inform progress towards achieving this goal. We aimed to produce high-resolution geospatial estimates of access to drinking water and sanitation facilities. Methods: We used a Bayesian geostatistical model and data from 600 sources across more than 88 low-income and middle-income countries (LMICs) to estimate access to drinking water and sanitation facilities on continuous continent-wide surfaces from 2000 to 2017, and aggregated results to policy-relevant administrative units. We estimated mutually exclusive and collectively exhaustive subcategories of facilities for drinking water (piped water on or off premises, other improved facilities, unimproved, and surface water) and sanitation facilities (septic or sewer sanitation, other improved, unimproved, and open defecation) with use of ordinal regression. We also estimated the number of diarrhoeal deaths in children younger than 5 years attributed to unsafe facilities and estimated deaths that were averted by increased access to safe facilities in 2017, and analysed geographical inequality in access within LMICs. Findings: Across LMICs, access to both piped water and improved water overall increased between 2000 and 2017, with progress varying spatially. For piped water, the safest water facility type, access increased from 40·0% (95% uncertainty interval [UI] 39·4–40·7) to 50·3% (50·0–50·5), but was lowest in sub-Saharan Africa, where access to piped water was mostly concentrated in urban centres. Access to both sewer or septic sanitation and improved sanitation overall also increased across all LMICs during the study period. For sewer or septic sanitation, access was 46·3% (95% UI 46·1–46·5) in 2017, compared with 28·7% (28·5–29·0) in 2000. Although some units improved access to the safest drinking water or sanitation facilities since 2000, a large absolute number of people continued to not have access in several units with high access to such facilities (>80%) in 2017. More than 253 000 people did not have access to sewer or septic sanitation facilities in the city of Harare, Zimbabwe, despite 88·6% (95% UI 87·2–89·7) access overall. Many units were able to transition from the least safe facilities in 2000 to safe facilities by 2017; for units in which populations primarily practised open defecation in 2000, 686 (95% UI 664–711) of the 1830 (1797–1863) units transitioned to the use of improved sanitation. Geographical disparities in access to improved water across units decreased in 76·1% (95% UI 71·6–80·7) of countries from 2000 to 2017, and in 53·9% (50·6–59·6) of countries for access to improved sanitation, but remained evident subnationally in most countries in 2017. Interpretation: Our estimates, combined with geospatial trends in diarrhoeal burden, identify where efforts to increase access to safe drinking water and sanitation facilities are most needed. By highlighting areas with successful approaches or in need of targeted interventions, our estimates can enable precision public health to effectively progress towards universal access to safe water and sanitation
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