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

Prevalence of low back pain among the bankers at selected banks in Chittagong, Bangladesh

Purpose: Prevalence of low back pain among the bankers at some selected banks in Chittagong. Objectives: To measure the severity of pain according to vas scale, to identify the prevalence of LBP among the bankers, to determine the primary risk factors of low back pain among the bankers and to inspect the socio- demographic information among the bankers. Methodology:A quantitative (cross sectional) research model in the form of a prospective type survey design is carried out in this study. Conveniently 100 participants among the bankers were collected from various banks of Chittagong, Bangladesh. The instruments used included direct interview, a body discomfort assessment tool that consist of Visual Analogue Scale (VAS) and a questionnaire. Data was collected by mixed type questionnaire and confidentiality of information and voluntarily participation were ensured by the researcher. Data were numerically coded and captured in Excel, using an SPSS 17.0 version program. Results:The findings of the study provide a baseline of information about prevalence of Back pain among the bankers. In percentage 44% have suffered from back pain and male (81.82%) are more vulnerable than female (18.18%).The most affected age range 31-50years of age (68.18%). This age group is the largest proportion of the work force and with this part of the population affected to such a large degree it could affect the productivity of the company in a negative manner. The study revealed that the prevalence of back pain is most frequent who had job experience of 1-8 years 36%, followed by 21% were 9-16 years, 18% were 17-24 years, and 25% were 25-32 years.  Conclusion:Prevention of LBP is beneficial for workers, employers, and society. To prevent work relate LBP should focus on working conditions rather than individual life style , greater attention to other risk factors such as history of back injury and perception of health status. Bankers should be educated on ergonomics, posture, taking break in between work and relaxation as this will ultimately improve job satisfaction and performance

Impact of home quarantine due to COVID-19 among Bangladeshi population

COVID-19 is an emergency public health issue and home quarantine can prevent the transmission. Quarantine restricts the people’s mobility and it has a silent impact on physical, psychological and economical aspect. The purpose was to explore the impact of home quarantine among the general population in Bangladesh. This was a descriptive type of cross sectional survey with 600 samples from different district of Bangladesh by convenient sampling with a structured and language validated questionnaire. The results indicate the huge impact of home quarantine. Among 600 participants, 71.7% (n=430) showed impact on their psychological health, 48.5% (n=291) physical health and 82.5% (n=495) on their economy. Study showed strong association between gender and psychological impact (p<0.01) and very strong association between living area and their psychological impact (p<0.00).There has also very strong association between their occupation and impact on their economy (p<0.00). Home quarantine has a progressive negative impact on the individual’s psychological health, physical health and their economy. Individual’s gender, living area and occupations are strongly associated with those negative impacts due to home quarantine. Supporting agency should take initiative to mitigate this all negative impacts of home quarantine and need to develop protocol for maintaining for health during quarantine time

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

Profile of long COVID symptoms needing rehabilitation: a cross-sectional household survey of 12,925 SARS-CoV-2 cases between July and December 2021 in Bangladesh

Background and aims : It is important to determine the profile of long COVID (LC) symptoms within the scope of rehabilitation in Bangladesh. This study’s objective was to estimate the newly experienced long COVID symptoms needing rehabilitation by determining the prevalence and spectrum of impairments due to LC in Bangladesh. Methods A Cross-sectional household survey of 12,925 COVID-19 patients confirmed by RT-PCR from 24 testing facilities in Bangladesh. LC was diagnosed according to WHO working group definition. COVID-19 Yorkshire Rehabilitation Scale (C19-YRS) was used to determine the symptom responses, symptom severity, new long COVID symptoms, and scope of rehabilitation. Results The population proportion of LC symptoms requiring rehabilitation interventions are 0.22 [95% CI, 0.20–0.24] in Bangladeshi people diagnosed with SARS-CoV-2. Among them, 0.08 [95% CI, 0.07–0.09] had mild, 0.07 [95% CI, 0.06–0.09] had moderate, and 0.05 [95% CI, 0.04–0.06] had severe long COVID symptoms (LCS). There was a significant positive correlation between LCS and functional disabilities (r=0.889, p<0.001), while a negative correlation was observed between the severity of symptoms and overall health (r=-0.658, p<0.001). In comparison to the pre-COVID status, 17 new LCS were observed and the increase in the scope of rehabilitation intervention among LCS ranged between 0.01 [95% CI, 0.001–0.01] and 0.21 [95% CI, 0.19–0.22]. In Bangladesh, 59% (n=334) of the LC cases are out of reach for any rehabilitation interventions. Conclusion Nearly one-fourth of Bangladeshi Post-COVID-19 have long COVID (LC). Seventeen symptoms (LCS) were observed and more than half of the populations having long COVID are out of reach of any rehabilitation facilities

Neurodevelopmental Treatment (NDT) Approach for Improving Balance in the Hemiplegic Stroke Patient: A Comprehensive Case Study

Background: Stroke is the second leading cause of death and a significant contributor to disability worldwide. The prevalence of stroke is highest in developing countries, with ischemic stroke being the most common type. Considerable progress has been made in our understanding of the pathophysiology of stroke and the underlying mechanisms leading to ischemic insult. Stroke therapy primarily focuses on restoring blood flow to the brain and treating stroke-induced neurological damage. Pre-clinical and clinical care improvements will likely underpin successful stroke treatment, recovery, rehabilitation and prevention. The Bobath approach, also known as neurodevelopmental treatment (NDT), is a widely used concept in the rehabilitation of stroke patients with hemiparesis in many countries. This technique has been operated for years worldwide; however, strong evidence of its usefulness remains absent. Methodology: In this case study, by applying the Bobath approach, the researcher saw a significant change in his patient regarding movement, posture, balance, and coordination. Results: After seven (07) days of therapeutic intervention, the goal was achieved as reasonable postural control in sitting and standing, which was not during the assessment day. Now, the patient has been walking with minimum support and less compensatory movement present on the opposite side, but during the assessment, he required maximum support and could not walk. He needs more therapeutic intervention for independent walking. He also had limited movement in his Right upper limb. Conclusion & Recommendation: Neurodevelopmental Treatment (NDT) is a practical treatment approach for stroke rehabilitation, especially for improving movement, posture, balance and coordination. For this case, the Physiotherapist must be more involved in his gait reeducation and upper Limb complications to achieve optimal levels of functional and ADLs status like grasping objects with his hand, carrying objects while maintaining proper alignment, etc

Knowledge, attitudes, and fear of COVID-19 during the Rapid Rise Period in Bangladesh

The study aims to determine the level of Knowledge, Attitude, and Practice (KAP) related to COVID-19 preventive health habits and perception of fear towards COVID-19 in subjects living in Bangladesh. Design: Prospective, cross-sectional survey of (n = 2157) male and female subjects, 13–88 years of age, living in Bangladesh. Methods: Ethical approval and trial registration were obtained before the commencement of the study. Subjects who volunteered to participate and signed the informed consent were enrolled in the study and completed the structured questionnaire on KAP and Fear of COVID-19 scale (FCV-19S). Results: Twenty-eight percent (28.69%) of subjects reported one or more COVID-19 symptoms, and 21.4% of subjects reported one or more co-morbidities. Knowledge scores were slightly higher in males (8.75± 1.58) than females (8.66± 1.70). Knowledge was significantly correlated with age (p < .005), an education level (p < .001), attitude (p < .001), and urban location (p < .001). Knowledge scores showed an inverse correlation with fear scores (p < .001). Eighty-three percent (83.7%) of subjects with COVID-19 symptoms reported wearing a mask in public, and 75.4% of subjects reported staying away from crowded places. Subjects with one or more symptoms reported higher fear compared to subjects without (18.73± 4.6; 18.45± 5.1). Conclusion: Bangladeshis reported a high prevalence of self-isolation, positive preventive health behaviors related to COVID-19, and moderate to high fear levels. Higher knowledge and Practice were found in males, higher education levels, older age, and urban location. Fear of COVID-19 was more prevalent in female and elderly subjects. A positive attitude was reported for the majority of subjects, reflecting the belief that COVID-19 was controllable and containable

Clinical presentation of post-COVID pain and its impact on quality of life in long COVID patients: a cross-sectional household survey of SARS-CoV-2 cases in Bangladesh

Background Pain is one of the prevalent Long COVID Symptoms (LCS). Pain interferes with the quality of life (QoL) and induces disease burden. Purpose The study aimed to elicit the clinical presentation of pain and determine the relationships between QoL and pain in LCS. Methods This household cross-sectional study of 12,925 SARS-CoV-2 cases between July and December 2021 was carried out in eight administrative divisions of Bangladesh. Stratifed random sampling from the cases retrieved from the Ministry of Health was employed. Symptom screening was performed through COVID-19 Yorkshire Rehabilitation Scale, and long COVID was diagnosed according to World Health Organization (WHO) criteria. The analyses were conducted using IBM SPSS (Version 20.00). Results The prevalence of pain in long COVID was between 01 and 3.1% in the studied population. The study also found fve categories of pain symptoms as LCS in Bangladesh: muscle pain 3.1% (95% CI; 2.4–3.8), chest pain 2.4% (95% CI; 1.8–3.1), joint pain 2.8% (95% CI; 2.2–2.3), headache 3.1% (95% CI; 2.4–3.8), and abdominal pain 0.3% (95% CI; 0.01–0.5). People with LCS as pain, multiple LCS, and longer duration of LCS had signifcantly lower quality of life across all domains of the WHOQOL-BREF (P<0.001) compared to asymptomatic cases. Conclusion Three out of ten people with long COVID experience painful symptoms, which can signifcantly reduce their quality of life. Comprehensive rehabilitation can improve the symptoms and reduce the burden of the disease

The assessment of musculoskeletal disorders, quality of life, and comorbidities in older people in Bangladesh

Musculoskeletal disorders are debilitating conditions that significantly impact the state of health, especially in older people. The study, which employed a cross-sectional design and practical sampling, included 206 participants among them 124 (62.2%) were men and 82 (39.8%) were women, from all over Bangladesh with musculoskeletal issues of varying severity and impact. The mean age of the participants was 64.9 (SD 4.3). The study was carried out between January and June of 2022. The majority of participants experienced musculoskeletal pain. Back pain was the most commonly complained of symptom among the participants (74.9%). It was also common to have limited mobility as a result of arthritic change, which eventually affected daily activities like taking care of oneself. To improve the health of the older adult population, more studies must be conducted to identify the many factors that contribute to musculoskeletal issues. The development of effective prevention and rehabilitation programs must then be based on this knowledge

Disease Burden of Stroke in Bangladesh from 2015 to 2023 in Patients Receiving Rehabilitation: A Protocol for a Retrospective Cohort Study

Background: Stroke is a serious public health concern that has a significant impact on the global disease burden. It has significant social, economic, and healthcare consequences worldwide. To assess the total number of healthy years lost due to premature death and disability-related limitations, the World Health Organization (WHO) developed the disability-adjusted life years (DALYs) measure. Methods: We will conduct a retrospective cohort study and include all stroke patients who received rehabilitation services at the Centre for Rehabilitation of Paralysed (CRP) in Bangladesh from 2015 to 2019. Relevant data will be extracted from The CRP PDMS database, which includes data for 1835 patients and covers all divisions of Bangladesh. The primary outcome will be to calculate the disease burden of stroke by using DALYs, the level of disability, and the reason for the mortality rate in Bangladesh. Demographic characteristics and study outcomes will be summarised using descriptive statistics, Inferential statistics will be conducted, employing Pearson correlation for parametric data and either chi-square or Spearman rank correlation for nonparametric data. Multivariable logistic regression will be performed to determine the clinical variables associated with a worse clinical outcome. Ethics and dissemination: The study was approved by the Institute of Physiotherapy, Rehabilitation & Research (IPRR) (The Academic Institute of Bangladesh Physiotherapy Association) Ethics Committee (BPAIPRR/IRB/992/07/2023/663). The study's results will be published in peer-reviewed scientific journals and showcased at national and international conferences. Study Implication: Stroke is one of the major causes of prolonged disability. The prolongation of disease and disability leads to health-related, social and economic burdens. Usually, it's difficult to determine by the person and family level about the disease burden. On the other hand, the severity of stroke and post-stroke complications can be prevented by avoiding the risk factors. So, the study of finding the disease burden of stroke and the result of the implemented protocol of stroke can guide the management and awareness of prevention