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

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

Interview Adroitness: A contemporary exploration

Interview skills are abilities or behaviours that enable a person to be more effective during the job interview process. Interview skills are traditional; many interview skills assist candidates in preparing for and participating in job interviews. A job/assignment interview is a selection process. It is a procedure that entails research into the industry, the position, and the candidate. Negotiations commence when a mutual study is completed. The ultimate goal of both the interviewer and the interviewee is to obtain accurate and valuable information in order to make a decision. Both will examine various questioning strategies as well as points in their favour. Job interviews are a necessary aspect of advancing in profession. They are the pinnacle of all of our hard work in honing our abilities, double-checking our résumé, and gathering references in order to stand out in a sea of applications. An interview is an attempt to obtain as much information as possible from an applicant about his or her suitability for the position in question.&nbsp

Methyl 9-hydroxy-15-methyl-2-oxo-11-(pyren-1-yl)-10-oxa-15-azatetracyclo[7.6.0.01,12.03,8]pentadeca-3(8),4,6-triene-12-carboxylate

In the title compound, C32H25NO5, the furan and pyrrole rings each adopt an envelope conformation, the respective flap atoms being the C atom bearing the pyrene substituent and the CH2 atom adjacent to the N atom. The molecular conformation is stabilized by an intramolecular O—H...N hydrogen bond. In the crystal, C—H...O contacts link the molecules, forming a two-dimensional network parallel to (001)

Efficacy and safety of an <i style="">Ayurvedic</i> regimen in <i style="">Medoroga</i>

379-386A study with an Ayurveda regimen consisting of Navaka guggulu, Sthaulyahara kashayam, a diet pattern and walk exercise for a treatment period of 3 mandalams (120 days) in medoroga was conducted to probe the efficacy and safety aspects of the regimen. 71 patients of medoroga were recruited for the study, and 34 patients formed the sample conforming to certain inclusion and exclusion criteria. Assessment of efficacy at the end of the 120-day treatment period vis-à-vis baseline was done using a self-designed proforma considering the symptoms in accordance with the Ayurvedic system and the physical parameters chest (uras) circumference, abdomen (udara) circumference and hip (sphik) circumference as enunciated in the classical texts. Certain hepatic and renal function tests were done to examine the safety profile of the treatment regimen. At the end of the treatment period, noteworthy symptomatic improvement was found in the patients; statistically significant (pAyurvedic treatment regimen when administered for a period of 120 days to patients of medoroga. The importance of doing exercise in addition to intake of the medicines and a diet pattern in medoroga is emphasized

260 Globalisation of Paediatric Musculoskeletal Matters (PMM)

Background: Paediatric musculoskeletal matters (PMM-www.pmmonline.org) is a free, evidence-based and peer reviewed open e-resource for paediatric musculoskeletal (MSK) medicine targeting non-MSK specialists. Since launch (Nov-2014) PMM has reached 190 countries with >78,000 users, >244,500 hits. Users who have declared their training background on the website are mainly non-MSK specialists. Feedback from users has requested further content to reflect international healthcare systems. PMM India was developed in collaboration with the Indian Academy of Paediatrics (IAP; Sept-2015, >3,700 users, 16,000 hits to date) and showcases successful partnership with local clinicians in developing PMM with local context. Further ‘internationalisation’ is now ongoing with additional global partners to develop PMM International. Here, we describe the process for international development. Methods: Paediatric rheumatologists in 11 countries around the world were approached to peer-review and identify additional PMM content to reflect paediatric MSK medicine in their health care systems (e.g., case mix, clinical presentations, care pathways), with a focus on knowledge relevant for non-MSK specialists. New content was developed by local teams identified by the paediatric rheumatologist(s) who then collated and provided expert overview before submission for editorial review. All contributions were provided in English. Additional cases and images were included with appropriate consent. Results: PMM International additions to the original website brings new content predominately focused on infections/infection-related disease with MSK features or as differential diagnoses for rheumatic disease. Most content is in English with requests for translation of some content (e.g., pGALS which is available in 11 languages to date). PMM International will be further peer reviewed with open access to all. A PMM app is planned to facilitate access where internet capacity is limited. Conclusion: Rapid globalisation necessitates appropriate e-resources with content that reflect international health care contexts. PMM International targets non-MSK specialist audiences to raise awareness and early recognition of MSK pathology. Our work reflects strong collaborative global partnerships within the paediatric rheumatology community. PMM has been endorsed by the Paediatric Rheumatology European Association (PReS) as an educational resource. Implementation of PMM International has yet to be formally evaluated (i.e., change in knowledge, practice), but data thus far supports wide reach and positive uptake from the target audience user groups