Search

The Garua bacha, Clupisoma garua, holds considerable commercial and nutritional significance as a fish species. This study investigates the relationships between GSI (gonadosomatic index) and eco-climatic conditions, and provides comprehensive insights into several facets of reproduction, such as size at first sexual maturity (Lm), spawning season, peak spawning period, and proposes sustainable management strategies for C. garua in the Ganges River, northwestern, Bangladesh. Since January to December 2017, 570 female individuals have been gathered from the Ganges River using cast nets, gill nets, and square lift nets on a monthly basis. The total length (TL) of the specimens varied from 3.90 to 26.30 cm. Lm was estimated as 14.30 cm based on the results of the TL vs. GSI, MGSI (modified gonadosomatic index), DI (Dobriyal index), 14.00 cm through TL-FL regressions, and 15.18 cm depending on Lmax for this species. Furthermore, the spawning period was observed from May to August, peaking in June and July, based on greater GSI, MGSI, and DI values. Throughout the peak spawning season, there was not a significant differ from a value of 100 in the relative weight (WR) of the female species. During the spawning season, a substantial association between temperature and GSI (p = 0.0038); rainfall and GSI (p = 0.0043); DO and GSI (p = 0.0043); pH and GSI (p = 0.0002); and alkalinity and GSI (p = 0.0001) was detected. Analyzing a 55-year data series (1964–2018), it became clear that an increase in average air temperature of 0.0289 °C and a decrease in rainfall of 2.988 mm per year might possibly delay the spawning season of this species. As a consequence, the results of this study provide crucial information for developing management strategies to safeguard C. garua populations in the Ganges River and its adjacent ecosystems. [ABSTRACT FROM AUTHOR]

This study aims to provide insights into the growth pattern and conditions of Atropus atropos in the Bay of Bengal, Bangladesh. The lack of information on this species in the region has made it crucial to carry out such research for better understanding about its growth and health in this particular habitat. A total 100 individuals were collected from fishers catch during November 2021 to October 2022 by using traditional fishing gears such as trawl and gill nets (mesh size: 2-3 cm). Data showed that TL was found to be between 15 and 21 cm and the BW remained as 46 and 136 g. All LWRs had r2 values below 0.945 and were significant (P<0.001). The estimated allometric coefficient (b) suggested the combined sexes showed isometric growth (b~3). The statistical analysis conducted in this study revealed a highly significant LLR (p<0.001) with an r2 value exceeding 0.944. The form factor (a3.0) was found as 0.0155, while the size at first sexual maturity (Lm) was determined as 12.36 cm TL. The natural mortality (Mw) was calculated as 1.57 y-1. A major connection between KR and BW for this species, indicating that KR was an exceptionally significant in revealing the health of A. atropos. Thereafter, a high condition rating (KF, KA, and KR) indicates that the species is in short and deep shape. This study found that the habitat was in a state of equilibrium and the mean WR indicated that there was no significant deviation from the expected value of 100 for A. atropos. Consequently, information gathered from the present study would be impactful for managing this fishery in the Bay of Bengal, Bangladesh, along with the surroundings. [ABSTRACT FROM AUTHOR]

Ensuring adherence to antimalarial treatment is crucial for achieving a radical cure and elimination of malaria, especially in hard-to-reach areas. We conducted this study to assess the current scenario of drug adherence in four endemic sub-districts of Bangladesh. Among 110 enrolled participants, 70% were mono-infected with Plasmodium falciparum and the remaining 30% with P. vivax. The overall treatment adherence frequency was 92.7% (95% CI: 83.0–96.3%). A total of eight participants were found to be nonadherent to treatment and all of them were from Bandarban. Level of nonadherence was equally observed in two age groups: 11–17 and 18+ years. However, male participants (n = 6) were found to be more nonadherent than females (n = 2). Among 7.3% with nonadherence to treatment, a single participant with P. falciparum mono-infection refused to take medication and became nonadherent. Remaining participants stated that they were feeling well and going to work, thus leaving treatment course uncompleted. Although overall compliance with malaria medication seems good, a gradual increase in noncompliance to P. vivax malaria treatment suggests that the National Malaria Elimination Program must be enhanced and monitored to fulfil the projected malaria elimination goal before 2030 from Bangladesh. [ABSTRACT FROM AUTHOR]

Background: Serum or whole blood collection, processing, transport and storage still present significant challenges in low resource settings where mass surveillance is required to sustain disease elimination. Therefore, in this study, we explored the diagnostic efficacy of dried blood spots (DBS) as a minimally invasive and potentially cost-effective alternative sampling technique to whole blood sampling procedures for subsequent detection of Leishmania donovani antibodies or DNA. Methodology and principal findings: Archived serum, DNA samples from whole blood of visceral leishmaniasis (VL) cases and healthy controls, and DBS from corresponding cases and controls, were used. Both molecular and serological assays were optimized to detect L. donovani antibodies or DNA in DBS elute and results were compared against those obtained with whole blood. Serological assays (both rK28 ELISA and rK39 ELISA) of DBS samples showed sensitivity and specificity of 100% and had excellent agreement with results from whole blood samples (kappa value ranged from 0.98–1). Bland-Altman analysis of OD values from rK28-ELISA with DBS elute and patients' serum showed an excellent agreement (ICC = 0.9) whereas a good agreement (ICC = 0.8) was observed in the case of rK39-ELISA. However, qPCR and RPA of DBS samples had a diminished sensitivity of 76% and 68%, respectively, and poor agreement was observed with the whole blood samples. Conclusion: Our results demonstrate that DBS offer excellent diagnostic efficiency for serological assays and represent a viable alternative to whole blood sampling procedures. Author summary: Since the inception of the National Kala-azar Elimination Program (NKEP) in 2005, visceral leishmaniasis (VL) cases have declined significantly in Bangladesh. Bangladesh has achieved the elimination targets set by the WHO and continuous strides have been enforced by the government and non-government organizations in the present maintenance phase. To sustain the outcomes of the NKEP, move towards a zero-transmission goal and subvert the endgame challenges, an effective surveillance strategy is a primary focus. As part of this strategy, we examined whether using dried blood spots (DBS), rather than whole blood samples as currently recommended, could serve as a minimally invasive sampling technique prior to subsequent diagnostic tests. We determined the accuracy of molecular and serological assays using DBS samples compared with whole blood samples. While using DBS, excellent diagnostic accuracy was observed for serological assays (rK28 ELISA and rK39 ELISA), whereas sensitivity and specificity using molecular assays for DNA detection (qPCR and RPA) declined in comparison to whole blood. Given the low cost and field feasibility of DBS, we believe this simple sample collection technique coupled with serology-based detection of L. donovani meets the requirements for mass surveillance towards detecting residual VL transmission. [ABSTRACT FROM AUTHOR]

The use of pheromone traps can minimize the excess application of synthetic insecticides, while can also benefit the environment. The use of pheromone traps has been promoted and suggested to vegetable farmers of Bangladesh for widespread adoption. However, the majority of farmers have continued to spray insecticides instead of using pheromone traps. The present study investigated the factors influencing farmers' adoption, dis-adoption, and non-adoption behavior of pheromone traps for managing insect pests. Primary data were collected from 438 vegetable growers. Data were analyzed using descriptive statistics and multinomial logistic regression. About 27% of the farmers abandoned the technique shortly after it was adopted as it was time-consuming to manage insect pests. Marginal effect analysis revealed that the likelihood of continued adoption was 34.6% higher for farmers who perceived that pheromone traps were useful in controlling insect pests. In contrast, the likelihood of dis-adoption was 16.5% and 10.4% higher for farmers who maintained communication with private pesticide company agents and neighbor farmers, respectively. Extension services by government extension personnel might be encouraged and maintained as a key component in increasing farmer awareness regarding the use of pheromone trap. Strategies to promote pheromone traps in vegetable production should highlight the positive impacts to farmers and the environment, as this would most likely lead to their continued and widespread use after initial adoption. [ABSTRACT FROM AUTHOR]

Cities in Bangladesh produce large amounts of solid waste (SW) through various human activities which severely pollutes our native environment. As a result, SW pollutes the three basic environmental elements (air, water, and soil) by increasing pathogenic microbial load, which might be hazardous to public health directly or indirectly. In this study, we conducted 30 samples (i.e., soil, water, and air) collected from areas where municipal solid wastes are dumped (Tangail Sadar Upazila, Bangladesh). All the samples were analyzed to assess bacteriological quality for presumptive viable and coliform count using different agar media. We performed serial dilution 10−3–10−10 times for soil and water samples, and the diluted samples were spread on Mac‐Conkey agar and nutrient agar plates. For the air sample, the sterile media containing petri‐dish was placed adjacent to the dumpsite of the municipal waste and kept for an hour. Then all the samples were incubated at 37°C overnight for total viable count (TVC) and total coliform count (TCC). Biochemical tests and PCR were performed for the identification of these microorganisms. The antibiogram study was performed to reveal their (identified bacteria) susceptibility against clinically used antibiotics according to the standard disk diffusion technique. The highest bacterial loads were found in the air: TVC 3.273 × 103 and TCC 1.059 × 103 CFU/plate; tube‐well water: TVC 8.609 × 103, and TCC 8.317 × 103 CFU/mL; in surface water: TVC 6.24 × 1013 CFU/mL and TCC 2.2 × 1012 CFU/mL; in soil: TVC 2.88 × 1011 and TCC 1.02 × 1011 CFU/g, respectively. Microbes from SW can be transmitted through air, dust particles, or flies, and here we found an average of 1120 microbes spread over 63.61 cm2 area per hour. Eight bacterial isolates (Pseudomonas spp., Klebsiella spp., E. coli, Proteus spp., V. cholera, Salmonella spp., Shigella spp., and Vibrio spp.) were identified by the biochemical test. Among them, E. coli and Shigella spp. were further ensured by PCR targeting bfpA and ipaH genes. Antibiotic susceptibility test results showed that E. coli isolates were highly resistant to erythromycin (80%); Shigella spp. were resistant to nalidixic acid (90%), whereas Salmonella spp. was found resistant to kanamycin (90%). Vibrio spp. were also resistant to azithromycin (80%) and erythromycin (80%), which should be a great concern for us. A semi‐structured survey revealed that 63% of respondents suffered from different clinical conditions (intestinal diseases) due to SW pollution. So, steps should be taken to improve the proper management and disposal of solid waste and liquid effluent to save our environment and public health. [ABSTRACT FROM AUTHOR]

Preliminary survey revealed that 30–40% of Cavendish banana plants were affected with leaf spot disease. Diseased leaf samples were sterilized with 3% sodium hypochlorite solution for 2 min and cultured on PDA media at 25 °C for 15 days followed by microscopic examination. Combined morphological, cultural and microscopic examinations identified two causal agents designated here as BaFI-1 and BaFI-2. Further, BLASTn search using internal transcribed spacer (ITS) rDNA sequences of the isolates also revealed that BaIF-1 and BaFI-2 had 97.13% and 100% homology with Nigrospora sphaerica and Neocordana musae, respectively; which were already reported from Indian and Spanish region. Pathogenecity tests were conducted using 2 months old banana seedlings inoculated with isolated spores in the polyhouse, which addressed Koch's postulates. To our knowledge, this is the first report confirming Nigrospora sphaerica and Neocordana musae to be the causal agents of leaf spot disease of Cavendish banana in Bangladesh. [ABSTRACT FROM AUTHOR]

Aims: We evaluated the feasibility and effectiveness of utilising government health supervisors to train and supervise primary health care workers (HWs) in community clinics to deliver parenting sessions as part of their usual duties. Methods: We randomly allocated 16 unions in the Mymensing district of Bangladesh 1:1 to an intervention or control group. HWs in clinics in the eight intervention unions (n = 59 health workers, n = 24 clinics) were trained to deliver a group‐based parenting intervention, with training and supervision provided by government supervisors. In each of the 24 intervention clinics, we recruited 24 mothers of children aged 6–24 months to participate in the parenting sessions (n = 576 mother/child dyads). Mother/child dyads attended fortnightly parenting sessions at the clinic in groups of four to five participants for 6 months (13 sessions). We collected data on supervisor and HW compliance in implementing the intervention, mothers' attendance and the observed quality of parenting sessions in all intervention clinics and HW burnout at endline in all clinics. We randomly selected 32 clinics (16 intervention, 16 control) and 384 mothers (192 intervention, 192 control) to participate in the evaluation on mother‐reported home stimulation, measured at baseline and endline. Results: Supervisors and HWs attended all training, 46/59 health workers (78%) conducted the majority of parenting sessions, (only two HWs [3.4%] refused) and mothers' attendance rate was 86%. However, supervision levels were low: only 32/57 (56.1%) of HWs received at least one supervisory visit. Intervention HWs delivered the parenting sessions with acceptable levels of quality on most items. The intervention significantly benefitted home stimulation (effect size = 0.53SD, 95% confidence interval: 0.50, 0.56, p < 0.001). HW burnout was low in both groups. Conclusion: Integration into the primary health care service is a promising approach for scaling early childhood development programmes in Bangladesh, although further research is required to identify feasible methods for facilitator supervision. [ABSTRACT FROM AUTHOR]

Bangladesh's railway system mostly uses typical manual railway crossing techniques or boom gates through its 2955.53 km rail route all over the country. Accidents frequently happen at railway crossings due to the lack of quickly operating gate systems, and to fewer safety measures at the railway crossing as well. Currently, there are very few automatic railway crossing systems available (without obstacle detectors). Additionally, all of them are dependent on the national power grid, without a backup plan for any emergency cases. Bangladesh is still running a bit behind in generating enough power for its consumption; hence, it is not possible to have a continuous power supply at all times all over the countryside. We aim to design and develop a smart railway crossing system with an obstacle detector to prevent common types of accidents at railway crossing points. We use two infrared (IR) sensors to operate the railway crossing systems, which are controlled by an Arduino Uno. This newly designed level crossing system is run with the help of sustainable renewable energy, which is cost-effective and eco-friendly, and applied under the national green energy policy towards achieving sustainable development in Bangladesh as a part of the global sustainable goal to face climate change challenges. We have summarized the simulated the results of several renewable energy sources, including a hybrid system, and optimized the Levelized Cost of Energy (LCOE) and the payback periods. [ABSTRACT FROM AUTHOR]

Conservation agriculture-based sustainable intensification (CASI) is a package of practices that could improve the sustainability of smallholder farm productivity and profitability. However, existing extension systems are unable to facilitate widespread adoption to have the impact necessary to meet food security and livelihood requirements. This paper examines the utility of 'Innovation Platforms' (IPs) as a tool to catalyse adoption of CASI for smallholder farmers in South Asia and generate opportunities for rural micro-entrepreneurship in areas with high rates of poverty, small farm sizes and complex labour markets. We established 37 village-level and five District-level IPs across the Eastern Gangetic Plains of Nepal, Bangladesh, and India. IPs allowed widespread uptake of CASI with benefits to smallholder farmers, input and output suppliers, and enabled extension systems to be more efficient. There was variability across locations with different modes of IPs established, building on existing farmer or community youth groups, and enabling micro-entrepreneur business opportunities. IPs were effective in developing trust in communities, among stakeholders, empowering rural youth and women through direct engagement. Ensuring strong ownership was key. Further work is needed to provide opportunities for high-level policy support to assist IPs to have a wider impact in supporting large-scale adoption of CASI. [ABSTRACT FROM AUTHOR]

Bangladesh is currently experiencing significant infrastructural development in road networking system through the construction or reconstruction of multiple roads and highways. Consequently, there is a rise in traffic intensity on roads and highways, along with a significant contamination of adjacent agricultural soils with heavy metals. The purpose of this study was to evaluate the ecological risk, health risk and the abundance of seven heavy metals (Cu, Mn, Pb, Cd, Cr, As, and Ni) in three distance gradients (0, 300, and 500 m) of agricultural soil along the Dhaka-Chattogram highway. The concentration of heavy metals was measured with an Atomic Absorption Spectrophotometer (AAS) on a total of 36 soil samples that were taken from 12 different sampling sites. Based on the findings, Cd had a high contamination factor for all distance gradients, whereas Cr had a moderate contamination factor in 67% of the study areas. According to the Pollution Load Index (PLI), Cd, Cr, and Pb were the predominant pollutants. Principal component analysis (PCA) result shows these metals mainly came from anthropogenic sources. The considerable positive correlations between Cu–Pb, Cu–Cd, Pb–Cd, and Cr–Ni all pointed to shared anthropogenic origins. As per Potential Ecological Risk Assessment (PERI) analysis, Pb, Cd, Cr, and Ni each contribute significantly and pose a moderate threat. The Target Hazard Quotient (THQ) values for all pathways of exposure to Pb and Cr in soils were more than 1, which would pose a significant risk to human health in the following order: THQ adult female > THQ adult male > THQ children. This study will help to evaluate the human health risk and develop a better understanding of the heavy metal abundance scenario in the agricultural fields adjacent to this highway. [Display omitted] • Heavy metal contamination is significantly varied through distance gradients. • Cd has shown major Potential Ecological Risk among the studied heavy metals. • The total hazard quotients of Pb and Cr exceed the limit for adults and children. • The studied area poses higher carcinogenic risks for Cr via all exposure pathways. [ABSTRACT FROM AUTHOR]

The educational system across the world had drastically been affected due to the pandemic outbreak of COVID-19. In this circumstance, Teaching and learning shifted from traditional way which involves face-to-face interaction among teachers and students physically in a classroom, to online learning either synchronously or asynchronously. Therefore, the aim of this study is to monitor the level of students’ perception towards online learning during the ongoing COVID-19 pandemic situation. The study adopted the way of quantitative approach by conducting a survey which was collected via a standardized online questionnaire. Data collected from 699 respondents were analyzed using SPSS 23 software. In spite of having been failed to get theoretical and practical experience as well as expected results, majority of the respondents had positive perceptions towards online learning and accepted this as the new method of learning with online application tools. The outcomes of the study will facilitate educational institutions and policy makers to take this online learning process to the next level in a prospective way. [ABSTRACT FROM AUTHOR]

Background: Breast cancer (BCa) is a leading cause of mortality among women in Bangladesh. Many young women in Bangladesh have poor knowledge about breast cancer screening, including risk factors, warning signs/symptoms, diagnosis and early detection. We investigated awareness about breast cancer risk factors as a screening tool among women at the Sheikh Hasina Medical College (SHMC) of Tangail district in Bangladesh. Methods: A cross sectional survey was conducted to collect data via a structured questionnaire from SHMC during the period of February to December 2019. A total of 1,007 participants (aged 33.47 (±12.37 years)) was considered for data analysis. Results: Of the 1,007 women, about 50% were knowledgeable about the risk factors. Pain in the breast was identified as the most commonly warning sign/symptom of breast cancer. Only 32.2% of respondents knew at least one breast cancer screening method. The mean knowledge was scored 3.43 ± 2.25 out of a total possible score of 8. Awareness of BCa was associated with residence, family history of breast cancer, marital, literacy and socio-economic status (p <0.05). Only 14.7% of women who knew about BSE said they were conducting regular breast self-examination. Unmarried women (aOR: 2.971; 95% CI: 1.108–7.968) were more likely to have performed BSE compared to married women (p <0.05). Conclusion: Although most participants were aware of breast cancer; knowledge about risk factors, warning signs/symptoms, early diagnosis and detection was relatively poor. Knowledge about performing BSE was particularly low. This highlights the importance of increasing awareness about breast cancer risk factors and early detection among young women in Bangladesh. [ABSTRACT FROM AUTHOR]

Background: Dengue, the mosquito borne disease has become a growing public health threat in Bangladesh due to its gradual increasing morbidity and mortality since 2000. In 2019, the country witnessed the worst ever dengue outbreak. The present study was conducted to characterize the socio-economic factors and knowledge, attitude and practice (KAP) status towards dengue among the people of Bangladesh. Method: A cross-sectional study was conducted with 1,010 randomly selected respondents from nine different administrative regions of Bangladesh between July and November 2019. A structured questionnaire was used covering socio-demographic characteristics of the participants including their knowledge, awareness, treatment and practices regarding dengue fever. Factors associated with the knowledge and awareness of dengue were investigated separately, using multivariable logistic regression. Results: Although majority (93.8%) of the respondents had heard about dengue, however, they had still misconceptions about Aedes breeding habitat. Around half of the study population (45.7%) had mistaken belief that Aedes can breed in dirty water and 43.1% knew that Aedes mosquito usually bites around sunrise and sunset. Fever indication was found in 36.6% of people which is the most common symptom of dengue. Among the socio-demographic variables, the level of education of the respondents was identified as an independent predictor for both knowledge (p<0.05) and awareness (p<0.05) of dengue. The preventive practice level was moderately less than the knowledge level though there was a significant association (p<0.05) existed between knowledge and preventive practices. Our study noted that TV/Radio is an effective predominant source of information about dengue fever. Conclusion: As dengue is emerging in Bangladesh, there is an urgent need to increase health promotion activities through campaigns for eliminating the misconception and considerable knowledge gaps about dengue. [ABSTRACT FROM AUTHOR]

Newspapers in Bangladesh published news and statements from the country's political leaders indicating the government's response, strategy, and initiatives related to the Covid-19 pandemic. The authors analyzed speeches from March to December 2020 to understand how texts act as manifestations of political agendas and reflect underlying ideologies through the usage of metaphors. This study employs a critical discourse framework that reveals four major metaphors -- "war" to identify the virus as the enemy to the leadership; "fearless leadership" to represent the government's efficiency in combatting the pandemic; "harmless virus" to deceive citizens, and finally "new nationalist" attitudes to put one's country first. Together, these metaphors deliberately diverted public attention away from the grave reality of the pandemic. Findings from this study suggest that the leaders' response to the catastrophe generated a misleading notion about the pandemic and reflected Bangladesh's patron-client political culture. This study has implications in understanding political leadership in the Global South during a pandemic situation and/or catastrophe. [ABSTRACT FROM AUTHOR]

"Bangladesh's Biggest Brothel" (BBB) -- a visual documentary produced by Al Jazeera (2017) demonstrates the life and work of sex workers in Bangladesh. Numerous threats, including violence, trafficking, exclusion from health service, social stigma, and other concerns are brought up in the narration of this visual documentation. This article focuses on two main ideas presented in this visual rhetoric. First, it employs theoretical perspectives on the rhetoric of body and sex-work to explain the complexity of the visual representation of sex work. Second, it provides an understanding of the nature of sexual exploitation and addresses several controversies regarding sex work. The review of literature discusses a brief history of sex workers' rights movements within both anti-prostitution and sex-positivist feminist stands. Finally, this article argues empowering women in brothels can liberate sex workers from stigma and shame. [ABSTRACT FROM AUTHOR]

The cleansing efficiencies of laundry detergents depend on composition and variation of ingredients such as surfactants, phosphate, and co-builders. Among these ingredients, surfactants and phosphate are considered as hazardous materials. Knowledge on compositions and micellar behavior is very useful for understanding their cleansing efficiencies and environmental impact. With this view, composition, critical micelle concentration, and dissolved oxygen level in aqueous solution of some laundry detergents available in Bangladesh such as keya, Wheel Power White, Tibet, Surf Excel, and Chaka were determined. Surfactant and phosphate were found to be maximum in Surf Excel and Wheel Power White, respectively, while both of the ingredients were found to be minimum in Tibet. The critical micelle concentration decreased with increasing surfactant content. The amount of laundry detergents required for efficient cleansing was found to be minimum for Surf Excel and maximum for Chaka; however, cleansing cost was the highest for Surf Excel and the lowest for Tibet. The maximum amount of surfactants and phosphate was discharged by Surf Excel and Wheel Power White, respectively, while discharges of both of the ingredients were minimum for Tibet. The maximum decrease of dissolved oxygen level was caused by Surf Excel and the minimum by Tibet. Therefore, it can be concluded that Tibet is cost-effective and environment friendly, whereas Surf Excel and Wheel Power White are expensive and pose a threat to water environment. [ABSTRACT FROM AUTHOR]

This study was intended towards detecting the problem faced by the local tour operators of the Khulna region. A semistructured questionnaire was used to collect necessary data from 30 tour operators, working in Khulna city in a view to investigating the major problems faced by them. Two research questions have been installed that was directed towards achieving the major objectives of this study. The findings of the study portrays the fact that eight factors in the forms of lack of variety, human resource development, business seasonality, lack of operators association, absence of support from the forest department, lack of promotional activities, below level of awareness of the customers and pricing are the major problem that are hindering the business and profitability of the tour operators of Khulna. In order to get ride of this situation and for accelerating the tourism sectors of the country those problems of the tour operators need to be eradicated quickly. [ABSTRACT FROM AUTHOR]

Background Globally, cervical cancer is one of the leading causes of morbidity and mortality amongst the gynecological cancers, especially in developing countries like Bangladesh. This present study was carried out to assess the knowledge and awareness about cervical cancer and its prevention among the female respondents of General Hospital of Tangail District in Bangladesh. Methods A cross-sectional, face to face interview-based survey was conducted in September to January (2018-2019) using self-administered questionnaire to elicit information on demographic characteristics, knowledge, screening behaviors and determinants of cervical cancer. Results A total of 478 patients participated in the screening process, out of which 71.4% (342) were illiterate whereas only 8.8% (42) were graduate. Of all the interviews conducted, 51.5% did not know cervical cancer risk factors as a disease. Only 48.5% of the respondents were aware concern cervical cancer risk factors. On the other hand, only 14% respondents were aware that infection is the most common cause of cervical cancer and the cervical cancer causing virus is Human Papilloma Virus (HPV). Only 19.9% of the study population was aware of HIV as a risk factor for cervical cancer. Our study shows that 7.1% recognized Pap smear as a screening test of cervical cancer. In total, only 251(52.5%) out of 478 respondents were aware of the treatment of cervical cancer. Conclusion The present study revealed very low cervical cancer knowledge and poor understanding about the risk factors, diagnosis and the treatments among the women. Broad range epidemiology based study is strongly recommended in every general hospitals in Bangladesh for the proper awareness and concern about the cervical cancer risk factors and its early diagnosis. [ABSTRACT FROM AUTHOR]

The present study examined relationships between childhood parental acceptance–rejection and the current psychological adjustment and rejection sensitivity of young adult men and women. The study also explored independent effects of childhood parental acceptance–rejection on the current psychological adjustment and rejection sensitivity of young adult men and women. Data were collected from 514 university students (49% female and 51% male) in Bangladesh. The mean age of the respondents was 22 years with a range of 18 through 26 years. Measures used were Adult version (short form) of the Parental Acceptance–Rejection Questionnaire for Mothers and Fathers, the Rejection Sensitivity Questionnaire, and the Adult version of the Personality Assessment Questionnaire. Results revealed significant correlations between remembered maternal and paternal acceptance–rejection in childhood and current psychological adjustment and rejection sensitivity of young adult men and women. Hierarchical regression analysis showed that both maternal and paternal acceptance in childhood have significant independent effects on the current psychological adjustment of both male and female young adults. Results also showed that perceived paternal rejection in childhood has significant independent effects on the rejection sensitivity of both young adult men and women, but perceived maternal rejection in childhood has no significant effects on the rejection sensitivity of young adult men and women. [ABSTRACT FROM AUTHOR]

• We compared puddled transplanted rice (PTR) and zero-till unpuddled transplanted rice (ZT UPTR) in two different environments. • In silt loam soil, the ZT UPTR performed equally or better than PTR. • In sandy loam soil, the ZT UPTR performed slightly inferior to PTR. • ZT UPTR required more water (about 564 mm) for growing than PTR in the second season in the sandy loam soil. • ZT UPTR could be a feasible option for CA system in fine-textured soils, whereas PTR remains more is desirable for lighter, coarser soils. Rice is predominantly grown on puddled soils (puddling is achieved through wet tillage in ponded water to create a soft soil environment and impermeable sub-soil layer) in the Eastern Gangetic Plains (EGP) of Bangladesh. Puddling is often discouraged while practicing conservation agriculture (CA) to achieve maximum system benefit. Zero-till unpuddled transplanted rice (ZT UPTR) could be a good substitute for puddled transplanted rice (PTR) as it possesses all the benefits to fit in a CA-based system. However, the performance of ZT UPTR might vary in different soil types and environments. The nitrogen (N) fertilizer management might also vary for different rice establishment methods and irrigation management. Therefore, two replicated field experiments were conducted in two diverse sites in the EGP, with significant variation in soil type and agro-climatic conditions. Three rice establishment methods – PTR, ZT UPTR, and rainfed ZT UPTR (ZT RUPTR) were compared in the main plots and three N rates (0, 45, and 90 kg ha−1, representing zero, half, and full recommended doses) were allocated in the sub-plots. We found that the recommended N management for both PTR and ZT UPTR was similar at both the sites, although the relative performance was different between the two different environments. In silt loam soil, the ZT UPTR performed equally or better than PTR (similar in the first season, a slight gain in grain yield in the second season). However, in sandy loam soil, the ZT UPTR performed slightly inferior to PTR (similar in the first season, lower grain yield in the second season). More water (about 564 mm) was required for growing ZT UPTR than PTR in the second season at the sandy loam site due to increased percolation rate in ZT UPTR caused by the cessation of puddling. Grain yield of ZT RUPTR was slightly lower (by 0.2 t ha−1) but statistically similar to PTR and ZT UPTR in both seasons in the silt loam soil, but significantly lower grain yield (by 1.5 t ha−1) in the first season and crop failure in the second season in the sandy loam soil. Therefore, ZT UPTR could be a feasible option in fine-textured soils for the establishment of rice in a CA-based system while its feasibility for coarse-textured soils seems limited and requires further study. [ABSTRACT FROM AUTHOR]

Background The literature on breast and cervical cancer treatment in Bangladesh is nonexistent. There are significant challenges to the development of infrastructure for cancer care in Bangladesh. Methodology: This cross-sectional study was conducted at Jahurul Islam Medical College and Hospital, Bangladesh. Among 685 participants of the survey, 379 respondents were medical students at the age of 18 to 26 years and rest of the participants (306 patients of the hospital) were randomly included in the study using a multistage cluster sampling technique. The IBM SPSS statistics (V21.0) software was used to analyze survey data. Results: The results of the survey indicates that the majority of medical students are familiar with the early detection methods of breast cancer. However, the students were not aware of the risk factors of cervical cancer including HIV infection (27.2%) and the long-term use of contraceptive pill (22.7%). The students also are not going through the regular smear or Pap test (28.0%) or not aware of infection from HPV (16.6%). Only a few students are aware of the risk of breast cancer including Hormone replacement therapy (3.2%) and Benign breast disease (5.5%). On the other hand, the randomly selected patients of the hospital (100%) have no idea about the risk factors of breast and cervical cancer. As a result, they have no knowledge about the early detection methods of breast cancer. Conclusion The summary of this study indicates that the medical students and patients of the hospital are not sufficiently aware of the sign symptoms, risk factors, and preventive measures for breast and cervical cancer. Therefore, necessary steps are very crucial to grow awareness among the general people of Bangladesh from the respective authority to be careful about breast cancer and cervical cancer. [ABSTRACT FROM AUTHOR]

Background: To align with the 2030 vision of the World Health Organization (WHO) to ensure 90% of girls receive the HPV vaccine before turning 15, Bangladesh has recently started the (HPV) vaccine campaign nationwide. Therefore, our study aimed to assess the level of its acceptance among parents of eligible daughters in Bangladesh., Methods: This nationwide cross-sectional study was conducted among the self-identified parents of daughters in the age group of 9-15 years between June 28 and August 2, 2023. A total of 2,151 parents were conveniently selected from all eight divisions of Bangladesh. Data was collected through face-to-face interviews using a semi-structured questionnaire. The Health Belief Model was used to appraise respondents' beliefs concerning HPV and its vaccination. Adjusted odds ratios (AOR) with a corresponding 95% confidence interval (CI), and a p-value of <0.05 was considered statistically significant. R Studio (Version 2023.09.0+463) was used as an interface for data analysis, while R (the programming language) was used for statistical computations., Results: The mean age of the study participants was 38.18 (±5.86) years. The overall acceptance rate of the HPV vaccine was 86.61% (95%CI: 85.09-88.02). The vaccine acceptance level was positively associated with all the domains of the HBM (p<0.001), except in the perceived barrier domain (p = 0.489). After adjustment for other factors, it was found that higher age was associated with a decreased acceptance (AOR: 0.92; 95% CI: 0.89-0.95). The urban residents exhibited 42% lower odds of vaccine acceptance than rural (AOR: 0.58; 95% CI: 0.36-0.92). Similarly, participants of the middle-income group had 44% lower odds than the lower-income group (AOR: 0.56; 95% CI: 0.32-0.97)., Conclusion: Our study found a reasonably good level of acceptance of the HPV vaccine among the parents of eligible daughters. Multiple factors such as younger age, urban residence, belonging to the middle income group, history of regular routine health check-ups, knowledge of cervical cancer, positive perception about benefits of the vaccine, and positive cues to actions were associated with HPV vaccine acceptance., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Hawlader et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

In Bangladesh, body soaps are very popular among consumers due to their flavors and low alkali content. The current study assesses the contamination of several trace metals (TMs) such as iron (Fe), copper (Cu), zinc (Zn), chromium (Cr), manganese (Mn), nickel (Ni), cadmium (Cd), and lead (Pb) in some of the body soaps most commonly used in Bangladesh. The concentrations of Fe, Cu, Zn, Cr, and Mn were found within the acceptable limits stipulated by the World Health Organization (WHO); however, in contrast, the concentrations of Ni, Cd, and Pb remained below the detection limit. Notably, the concentration of Cr in two soap samples (S-2, S-3) out of twenty-one soap samples exceeded the permissible limit stipulated by the WHO. Health risks associated with the TM intake via dermal routes were evaluated in terms of chronic daily intake (CDI) and hazard quotient (HQ). The results indicated that no non-carcinogenic risks (NCR) are likely to occur owing to the use of those body soaps. The carcinogenic risk (CR) estimated for Cr revealed no possibility of probable carcinogenic diseases. Though the NCR and CR are unlikely to occur resulting from the long-term uses of these soaps, the present study provides baseline information on the possible contaminations of TMs in the beauty soaps that do not seem to have been reported so far in Bangladesh. In light of the above information, it can be concluded that the presence of TMs in the body soaps could be a warning for people in general thereby suggesting continuous monitoring., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Human welfare and biodiversity are at risk due to the deterioration of water and sediment quality. Particularly, in last few decades, global water and sediment quality degraded due to the rapid industrialization and urbanization. This study aimed to determine the concentration of nine heavy metals and metalloid (Pb, Cr, Cd, Hg, As, Mn, Ni, Cu, and Zn) and assess the ecological risks using different pollution indices (e.g., heavy metal pollution index [HPI], Nemerow pollution index [NI], geo-accumulation index [Igeo], contamination factor [CF], degree of contamination [CD] and pollution load index [PLI], ecological risk index [ERI]) in water and sediment of the Shitalakshya River, an industrially affected urban river of Bangladesh. For the first time, 20 water and sediment samples were collected across a wider geographical area of the Shitalakshya River during both monsoon and dry seasons and analyzed using the atomic absorption spectrometer. Average concentrations of heavy metals and metalloid in water were within the Bangladesh standard except for Cr (51.69 ppb) and Mn (228.20 ppb) during monsoon season, portraying potential ecological and human health risks. Besides, average concentration of Mn (549.75 and 370.93 ppb), Ni (549.75 and 370.93 ppb), and Cu (45.34 and 36.09 ppb) in sediment during both seasons were above international standard, implying risk to aquatic sediment biota. The average HPI values indicated moderate to high contamination, whereas the NI values implied polluted water in monsoon season with severe pollution in port area of the river. Similarly, Igeo, CF, CD, and PLI elucidated different levels of contamination in the sediment, particularly during dry season. The ERI values also referred moderate ecological risk in the sediment during dry season. Overall, our findings highlight the alarming level of heavy metal pollution in the Shitalakshya River, necessitating immediate action to protect the aquatic environment, sediment biota, and human health. PRACTITIONER POINTS: This study determined the concentration of heavy metals and metalloid in water and sediment of the Shitalakshya River, Bangladesh. The study revealed that the average concentration of Cr and Mn in water exceeded national standard, whereas Mn, Ni, and Cu in sediment exceeded international limit. Potential ecological risk of heavy metals was also assessed using different pollution indices. Calculated pollution indices indicated different degree of pollution, implying critical ecological condition due to heavy metal pollution in aquatic environment and sediment biota., (© 2024 Water Environment Federation.)

In order to evaluate the benefits as well as the impacts of essential and toxic metals regarding human health, the six common rice grains (katarivhog, bashful, banglamoti, najirshail, branded miniket and loose miniket) were collected from four wholesale markets in Dhaka, the capital of Bangladesh, and were analyzed with different atomic absorption spectroscopy (AAS) techniques. The mean concentrations of the toxic metals Pb, Cd, Cr, and As had 0.299 ± 0.017, 0.157 ± 0.012, 1.33 ± 0.084, and 0.120 ± 0.006 mg/kg, respectively, while those of the essential metals Fe, Cu, Zn, Na, Ca, and Mg had 7.90 ± 0.447, 3.11 ± 0.097, 10.6 ± 0.340, 37.4 ± 0.622, 90.1 ± 7.70, and 115.8 ± 1.61 mg/kg, respectively. Among them, the mean concentrations of toxic metals (Pb, Cd, Cr, and As) exceeded the maximum allowable concentration in rice set by the Codex Alimentarius Commission (CAC). Risk assessment of the heavy metals Pb, Cd, Cr, As, Fe, Cu, and Zn showed that their estimated daily intakes were below the daily reference doses for adults. However, Cd and Cr individually were found to have the target hazard quotient value close to 1 (threshold limit), indicating that they alone are capable of potential health hazards from continuous rice consumption, while the hazard index has surpassed three units signifying greater danger associated with the current trend of consumption. A very high chance of developing cancer in the near future is predicted by incremental lifetime carcinogenic risk (ILCR) analysis for continued intake of Cr (ILCR > 1E-03), and a moderate to high risk is predicted for other carcinogenic substances (Pb, Cd, and As) (ILCR in between 1E-03 and 1E-05) with present rice consumption. The contribution of the essential metals to the RNI revealed that Cu from rice contributes more than 100% in most samples, and the overall contribution is in the following order: Cu > Zn > Fe > Mg > Ca > Na. To ensure the safety of staple foods for human health, it ought to be necessary to design a plan to measure the budget of hazardous metals from all sources with proper surveillance by relevant authorities., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

The processed forms of milk, branded liquid, and power milk available in Dhaka city, the capital of Bangladesh, were investigated for essential and trace metal/metalloids regarding nutritional and human health risk aspects. For this, the potential nutritional contribution, estimated daily intake (EDI) and non-carcinogenic risk for six different life stages with male and female categories, as well as the carcinogenic risk for children and adults of both genders, were addressed. In total, 46 branded liquid and powder milk samples were considered for this analysis employing atomic absorption spectroscopy. The concentration of essential elements showed the trends of K > Ca > Na > Mg > Fe > Zn > Mn > Cu and K > Ca > Na > Mg > Fe > Cu > Mn > Zn for liquid and powder milk samples, respectively, but the potentially hazardous one showed the same trends (Cr > Pb > Hg > As > Cd) for both items. Except for Cr, Hg, and Fe, the elemental compositions of both milk categories differed considerably (< 0.05). Compared to the threshold values for milk samples (liquid and powder), Fe (19% and 27%), Mn (100% and 63%), Cu (0% and 23%), Zn (94% and 0%), Pb (25% and 13%), and Cr (0% and 3%) showed above the permissible limits. The nutrient input was the highest for Ca (27.2% and 18.7%), followed by Mg, K, and Na. The EDI of studied elements was within the daily permissible limit in both the milk category (except age group (≤ 3) and the female category). The non-carcinogenic risk assessment showed that the age groups ≤ 3 for liquid milk and ≤ 3 and 3 < X ≤ 14 with female categories for powder milk exceeded the threshold level (> 1) in the case of Cr, Cd, As, Zn, and Mn. The probable carcinogenic risks indicated an unacceptable risk level (< 1.00E-04) for the ingestion of Cr through powder milk samples for children in male and female categories. Finally, it believes that green cow farming practices and green milk processing technology, as well as continuous monitoring of toxic metals, can limit the ultimate risk worldwide., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)

The consequences of climate change, food security, and self-sufficiency goals are driving excessive human activity onto vegetable farms in Bangladesh, and harmful heavy metal exposure is spreading. So, the study assessed the toxic metals (Pb, Cd, and Cr) exposure, characteristics, and human health risk regarding the soil-vegetable system of two distinct locations in Bangladesh using atomic absorption spectrometry. The average concentration of metals in soil and fertilizer/pesticide samples followed the same order (Cr > Pb > Cd), but for vegetable samples, the order was Pb > Cr > Cd, with some extra Pb compared to the World Health Organization (WHO) allowable limit (0.3 mg/kg). Low levels of pollution with negligible ecological concerns were predicted for both locations by the soil quality indexing. But industrial influence boosted the Pb content in location B, and common sources (fertilizer/pesticide) for both locations might be responsible for a moderate level of Cd. The toxic metals transferred to vegetables followed the trend of Cd > Pb > Cr. However, the human health risks arising from harmful metals exposure at both locations were ineffective (< 1) in evaluating noncarcinogenic risk patterns through the target hazard quotient (THQ), total THQ, and hazard index (HI). Again, considering probable carcinogenic risk patterns, vegetable consumption with studied exposure levels of toxic metals followed within the acceptable range (between 1.0E-04 and 1.0E-06). Overall, location B is slightly more vulnerable than location A by considering metal exposure, pollution distribution, and risk evaluation in the study area (significant at p < 0.05). So, systematic monitoring and protective measures are required to ensure food safety and sustainable vegetable production., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

This paper describes the process of adapting an early childhood development programme, with proven effectiveness in Bangladesh, for integration into government health services in rural Bangladesh. Through a three-stage process, we adapted an evidence-based, home-visiting, programme (Reach-Up and Learn) for delivery in government health clinics by government health staff as part of their regular duties. Stage one involved preparing an initial draft of two parenting interventions for use with: (1) pairs of mother/child dyads, and (2) small groups of mother/child dyads. In stage two, we piloted the adapted interventions in nine clinics with a total of twenty-seven health staff and 357 mother/child dyads. We used data from mothers' attendance, feedback from participating mothers and health staff and observations of parenting sessions by the research team to revise the interventions. Stage three involved piloting the revised interventions in six clinics with eighteen health staff and 162 mother/child dyads. We gathered additional data on mothers' attendance and used observations by the research team to finalize the interventions. Through this three-stage process, adaptations were made to the intervention content, process of delivery, materials, and engagement strategies used. The largest challenges were related to incorporating the parenting programme into health staff's existing workload and promoting mothers' engagement in the programme. We also simplified the content and structure of the curriculum to make it easier for health staff to deliver and to ensure mothers understood the activities introduced. This iterative piloting was used prior to implementing and evaluating the interventions through an effectiveness trial., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Mehrin, Hamadani, Salveen, Hasan, Hossain and Baker-Henningham.)

Background: There is sufficient evidence that psychosocial stimulation (PS) benefits children's neurocognitive behavior, however, there is no information on how it works when delivered through an Unconditional Cash Transfer (UCT) platform for poor rural population in developing countries. The objective of this study is to measure effects of adding PS for children of lactating mothers enrolled to receive UCT with health education (HE) on neurocognitive behavior of children in rural Bangladesh., Methods: The study will be conducted at 11 unions of Ullapara sub-district in Bangladesh. The study is a cluster randomized controlled trial with three-arms; (i) PS and UCT with HE (ii) UCT with HE and iii) Comparison arm. The cluster will be considered as an old Ward of a Union, the lowest tier of local government system in rural Bangladesh. There are three old Wards in a union. These three clusters will be randomized to one of the three arms. Similarly, randomization will be done for each 11 Unions and then 11 clusters will be assigned to an arm. Eighteen participants will be recruited from each cluster randomly (n = 196 in each arm). The intervention designed for one year includes UCT with HE for the poor as a safety net program in rural Bangladesh with or without PS. An age-based curriculum of PS is already available for Bangladeshi children and this will be administered by trained local women; play leaders (PL) in intervention clusters. The government of Bangladesh is providing UCT of taka 500 ($6.25) as maternity allowance per month with HE. The primary outcomes will be cognitive, motor and language composite scores measured by Bayley-III and behavior using Wolke's behavior rating scale. The secondary outcomes will be children and mothers' growth, family food security status, health seeking behavior, mothers' depressive symptoms and self-esteem and violence against mothers., Discussion: The study will provide a unique opportunity to assess an integrated early childhood development intervention using UCT platform to mitigate developmental delays in poor vulnerable children of rural Bangladesh., Trial Registration Number: ClinicalTrials.gov NCT03281980, registered on September 13, 2017.

Background: Malaria is endemic in 13 districts of Bangladesh. A baseline malaria prevalence survey across the endemic districts of Bangladesh was conducted in 2007, when the prevalence was reported around 39.7 per 1000 population. After two rounds of Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM)-funded intervention by the National Malaria Control Programme (NMCP) and a BRAC-led NGO consortium, a follow-up survey was conducted across the malaria-endemic districts of Bangladesh to measure the change in prevalence rate and in people's knowledge of malaria., Methods: The survey was carried out from August to November 2013 in 70 upazilas (sub-districts) of 13 malaria-endemic districts of Bangladesh, following the same multi-stage cluster sampling design and the same number of households enrolled during the baseline prevalence survey in 2007, to collect 9750 randomly selected blood samples. For on-the-spot diagnosis of malaria, a rapid diagnostic test was used. The household head or eldest person available was interviewed using a pre-coded structured questionnaire to collect data on the knowledge and awareness of malaria in the household., Results: Based on a weighted calculation, the overall malaria prevalence was found to be 1.41 per 1000 population. The proportion of Plasmodium falciparum mono-infection was 77.78% while both Plasmodium vivax mono-infection and mixed infection of the two species were found to be 11.11%. Bandarban had the highest prevalence (6.67 per 1000 population). Knowledge of malaria signs, symptoms and mode of transmission were higher in the follow-up survey (97.26%) than the baseline survey. Use of bed nets for prevention of malaria was found to be high (90.15%) at respondent level. People's knowledge of selected parameters increased significantly during the follow-up survey compared to the baseline survey conducted in 2007., Conclusions: A reduced prevalence rate of malaria and increased level of knowledge were observed in the present malaria prevalence survey in Bangladesh.

"Laparoscopic assisted appendicectomy" refers to visualization of abdominal cavity, identification of appendix, drawing the appendix out through the port wound and appendicectomy. The objective of this study is to evaluate the outcome of the procedure of laparoscopic assisted appendicectomy. In this prospective study patients with appendicitis were randomly selected for laparoscopic assisted appendicectomy from August 2007 to February 2009 in the Department of Surgery, Modernized District Hospital, Joypurhat, Bangladesh. Out of 73 patients Laparoscopic assisted appendicectomy was performed successfully in 95.89% cases and conversion rate was 4.11%. Male to female ratio was almost 1:2 with mean±SD age 18.62±9.16 years. The wound infection rate was 8.2% and urinary retention 2.7%. Early postoperative feeding was started within 24 hours in 86.3% cases and mean duration of hospital stay was 2 days in 76.71% patients. More than 82% returned to their home and started social activities within 5 days. Duration of surgery was almost similar in emergency and interval appendicectomy group (19.35±10.13 vs. 23.66±9.43) minutes. Postoperative morbidity in emergency appendicectomy group showed significantly higher morbidity than interval appendicectomy group (p=0.003). This study indicates that the laparoscopic assisted appendicectomy is feasible for the majority of the patients with appendicitis in both emergency and interval settings. It reduces the operative time, shortens hospital stay and helps in early resumption of normal activities with good cosmetic outcome and patients' satisfaction.

From 300 stool samples, 58 Campylobacter strains were isolated by standard microbiological and biochemical methods. Of these, 40 strains were identified as Campylobacter jejuni and 5 as Campylobacter coli. The presence of flaA (100%), cadF (100%), racR (100%), dnaJ (100%), pldA (100%), ciaB (95%), virB11 (0%), ceuE (82.5%), cdtA (97.5%), cdtB (97.5%), cdtC (97.5%), and wlaN (7.5%) genes was detected in C. jejuni by PCR. All C. jejuni strains but one produced cytolethal distending toxin in a HeLa cell assay.