Impact on Voice after Cervical Spinal Cord Injury

Spinal Cord Injury (SCI) is a major cause of disability and morbidity throughout the world and Asia. The association between CSCI and voice difficulties is clinically well-recognized. So this study was meant to determine the impacts on voice following CSCI. The study aimed to determine the impacts on voice following Cervical Spinal Cord Injury (CSCI). Additionally includes finding out the proportion of voice difficulties among CSCI patients, to identify the number of functional, physical, and emotional impacts on voice after CSCI, and to determine the socio-demographic characteristics of the study population. This study was conducted by using a cross-sectional prospective survey method at the SCI unit of CRP. Participants were selected by using purposive sampling. The result states from the research that CSCI is more common in males than females and nearly half of the person has physical, emotional, and functional impacts on voice after CSCI. Among participants, the maximum participants 22.5% (18) rated their voice problem at a moderate level (VHI=11-20) after CSCI and 11.3% (9) participants faced voice problems at a very severe level, 13.8% (11) participants had severe level voice problem. The association between surgeries happened or not happened and the severity of voice problems among CSCI patients showed statistically non-significant. Patients with cervical spinal cord injury faces several clinical problems in our country, whereas nearly most of them experience mild to moderate voice deficits secondary to poor respiratory support. In Bangladesh, Speech & Language Therapy services for SCI patients are newly introduced in the last few years. So for providing proper comprehensive services to SCI patients the monitoring of communicative function from the acute phase to the community reintegration phase is essential

The Present Conditions of Patients with Spinal Cord Injury at Rehabilitation Center in Bangladesh

Spinal Cord Injury (SCI) is one of the major cause of disability in developing country like Bangladesh. The study aims to identify present conditions of Patients with Spinal Cord Injury at Rehabilitation Center in Bangladesh. A quantitative cross-sectional study was conducted among 61 participants (47 from rural areas and 14 from urban areas) who were recruited through purposive sampling. A self-developed questionnaire was used to collect the data. Data were analyzed by SPSS version 20.0. There were 61 patients involved in the research: 83.6% - male, 16.4% female. Average age:  18-35 years. 37.7% patients were tetraplegic whereas 62.3% were paraplegic, employment of participants in this study was 77.0%. Most common complication was: pressure sore 55.70%, decrease joint range of motion 67.20%, joint stiffness 34.40%, spasticity developed 83.6%, urinary tract infection 63.9%, autonomic dysreflexia 36.1%, leg swelling 47.5%, postural hypotension 42.6%, sexual problem 34.4%, mentally and psychologically change 100.0%, respiratory complication 37.7%. Finally, the study explained their current status after SCI the maximum patient were dependent and their pattern of working is long sitting. Moreover, most of they are interested to involve in non-bed exercise like group exercise and play activities in outdoor settings. So it is necessary to raise awareness in local community about post SCI healthy lifestyle

Socio-Economic Impact of Covid-19 on People with Spinal Cord Injury in Bangladesh: A Telephonic Survey

Background: The COVID-19 pandemic has significantly impacted global health systems and economies with people with disabilities, particularly those with spinal cord injuries (SCI). In Bangladesh, where healthcare resources are limited, persons with SCI face challenges in accessing necessary services and maintaining socio-economic stability during the pandemic. Methods: A quantitative cross-sectional study was conducted using a telephonic survey of 470 individuals with SCI who had completed rehabilitation at the Centre for the Rehabilitation of the Paralysed (CRP). Data were collected from both urban and rural areas across eight divisions of Bangladesh. The survey, consisting of semi-structured questionnaires, gathered information on demographic profiles, Covid-19 protection measures, and socio-economic impacts. Statistical analysis was performed using SPSS version 20. Results: The study shows the significant socio-economic disruptions among persons with SCI due to the Covid-19 pandemic. The majority of participants (87%) were male, with age distribution primarily between 21-40 years. Only 30% of participants took Covid-19 protection measures, and 18% received local emergency aid. Economic activities were adversely affected, with 52% reporting their business status as "bad" and 12% as "not good enough." Additionally, 78% required Covid-19 related support, highlighting the severe financial distress and need for assistance in this group of populations. Conclusions: The findings highlight the socio-economic impact of the Covid-19 pandemic on persons with SCI in Bangladesh. The findings highlight the urgent need for targeted interventions and support mechanisms to address the unique challenges faced by this vulnerable group. Policymakers and healthcare providers must prioritize inclusive and equitable responses to public health emergencies to ensure that no one is left behind

Quality of life of workers with disabilities in readymade garments factories in Bangladesh

Background: Bangladesh's readymade garment (RMG) sector has developed as a major employer for individuals with disabilities. The number of workers with disabilities in Bangladesh's RMG industry has grown over the past few years. In Bangladesh, there has no statistics about the quality of life of workers with disabilities after their employment, especially after training-based employment support. Therefore, the researcher is interested to find out the quality of life of workers with disabilities in readymade garments factories in Bangladesh that will determine satisfaction over their life in different aspects. The objectives of this paper were to find out the health-related quality of life and overall satisfaction with life among workers with disabilities in the readymade garment sector in Bangladesh. Methods: This study used a cross-sectional design and recruited 102 participants with disabilities from various Bangladeshi garment factories who ranged up to 18 years by convenient sampling. The WHOQOL questionnaires were used for data collection through a combination of telephone and in-person interviews. Descriptive statistics were used for the data analysis. Results: Among the total participants 63% of them were women and 37% were men. The results revealed that education and job status significantly impacted on QOL. The majority of participants did not need any assistive devices; most of the participants resided in semi-urban areas, and physical disabilities predominated among them. On the other hand, most of the participants reported their quality of life as neither poor nor good but they were satisfied with health-related QOL. Conclusions: QOL is a vast aspect of every human being. This study finally concluded the overall QOL of maximum Workers with Disabilities in Readymade Garments Factories in Bangladesh was just average and most of them were satisfied with their health-related QOL

Comparative safety analysis of newly prepackaged backed food products and those approaching the expiry date in Bangladesh

Purpose: The enrichment of microbial growth in prepackaged, frozen food goods from the day of manufacturing to the day of expiration has been the subject of recurrent concerns. These fortified foods are widely consumed by individuals of all ages in poor nations due to their ability to satisfy even the smallest of appetites. People often disregard the expiration dates printed on food packaging despite the fact that manufacturers are required by law to do so. This research looked into whether or not it was safe to consume packaged foods that were getting close to their expiration date. Finding out if people are exposed to hazardous microorganisms and how much bacteria is created daily on them.Materials and methods: We collected six prepackaged backed food products samples of three types separately, where three were collected around manufacturing days and three were nearly expired days from different companies. We have assayed and identified the foodborne microbial communities among the samples by morphological study and different types of biochemical tests. After that, we tested how well various popular antibiotics worked against those isolates.Results: It showed that there are more bacterial communities that grow gradually day by day on prepackaged backed food products and nearly expired products that contain a large number of food-borne disease-causing bacteria that show mostly resistance against commonly used antibiotics.Conclusion: Although nowadays the demand for prepackaged backed food products is increasing as ready-to-eat processed foods, mostly in developing countries, there's a serious health risk if we take the products that were produced a long time ago