Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh.

BACKGROUND: The COVID-19 pandemic has significantly impacted the surgical practice throughout the world, including elective surgical care. This study investigated the characteristics of patients undergoing elective surgery, the prevalence of COVID-19 infection, the surgical procedures performed, and 30-day mortality in general and pediatric surgical settings in selected tertiary-level hospitals in Bangladesh from November 2020 to August 2021. METHODS: This serial cross-sectional study included 264 patients scheduled for elective surgeries during the study period. All patients underwent COVID-19 real-time polymerase chain reaction (RT-PCR) testing within 24 hours before surgery. Data on age, sex, common comorbidities, surgical procedures, and 30-day mortality were collected and analyzed. Furthermore, comparisons were made between COVID-19 positive and negative patients. RESULTS: The prevalence of COVID-19 infection among patients was 10.6%. Older age, a history of major surgery within the last three months, hypertension, and diabetes mellitus were significantly associated with COVID-19 infection. All COVID-19-negative patients underwent surgery, while only 46.4% of COVID-19-positive patients underwent surgery. The most common surgical procedures were related to the digestive system, breast, and urinary system. Only one patient (0.4%) died within 30 days after surgery among the COVID-19-negative patients, whereas two patients (7.1%) died among the COVID-19-positive patients: one before surgery and one after surgery. CONCLUSIONS: This study provides valuable insights into the characteristics, burden of COVID-19 infection, and 30-day mortality of patients undergoing elective surgery in tertiary care centers in Bangladesh during the pandemic.

Abundance, characteristics, and ecological risks of microplastics in the riverbed sediments around Dhaka city.

Microplastic (MP) pollution has become an escalating problem in Bangladesh due to its rapid urbanization, economic growth, and excessive use of plastics; however, data on MP pollution from fresh water resources in this country are limited. This study investigated microplastics pollution in riverbed sediments in the peripheral rivers of Dhaka, the capital of Bangladesh. Twenty-eight sediment samples were collected from the selected stations of the Buriganga, Turag, and Balu Rivers. Density separation and wet-peroxidation methods were employed to extract MP particles. Attenuated total reflectance-Fourier transform infrared spectroscopy was used to identify the polymers. The results indicated a medium-level abundance of MPs in riverbed sediment in comparison with the findings of other studies in freshwater sediments worldwide. Film shape, white and transparent color, and large-size (1-5 mm) MPs were dominant in the riverbed sediment. The most abundant polymers were polyethylene (PE), polypropylene (PP), and polyethylene terephthalate (PET). Pollution load index (PLI) values greater than 1 were observed, indicating that all sampling sites were polluted with MPs. An assessment of ecological risks, using the abundance, polymer types, and toxicity of MPs in the sediment samples, suggested a medium to very high ecological risk of MP pollution of the rivers. The increased abundance of MPs and the presence of highly hazardous polymers, namely; polyurethane, acrylonitrile butadiene styrene, polyvinyl chloride, epoxy resin, and polyphenylene sulfide, were associated with higher ecological risks. Scanning electron microscopy (SEM) analysis indicated that the MPs were subjected to weathering actions, reducing the size of MPs, which caused additional potential ecological hazards in these river ecosystems. This investigation provides baseline information on MP pollution in riverine freshwater ecosystems for further in-depth studies of risk assessment and developing strategies for controlling MP pollution in Bangladesh.

Perception of and adaptation to climate change: the case of wheat farmers in northwest Bangladesh.

Climate change's impact on crop production is a global concern. A better understanding of farmers' perceptions of climate change and adaptation strategies will benefit farmers and policymakers in outlining an effective adaptation mechanism to climate change. Therefore, this study assessed wheat farmers' perceptions of climate change, identified major adaptation strategies, factors influencing adaptations, and barriers to effective adaptation by surveying 160 wheat farmers in northwest Bangladesh. The results revealed that farmers experienced more frequent droughts due to higher temperatures, decreased and irregular precipitation, reduced ground and surface water availability, and shorter winter seasons over the last two decades. Key adaptation strategies identified were more irrigation, switching to other crops, and changing fertilizer and insecticide usage. Multinomial logit model results indicate that farming experience, access to climate information and extension services, access to subsidies, farm size, family size, and electricity for irrigation were the significant factors influencing farmers' adaptation decisions. Limited access to climate information, inadequate knowledge of appropriate adaptation measures, and low price of wheat represented major adaptation barriers. The study recommends strengthening agricultural research and extension services to farmers, including education and training, to develop effective adaptation strategies to climate change.

Mental healthcare-seeking behavior of women in Bangladesh: content analysis of a social media platform.

BACKGROUND: Mental health remains a highly stigmatized area of healthcare, and people often conceal their concerns rather than seek assistance or treatment. The Women Support Initiative Forum (WSIF) is a social media platform established in 2018 to provide expert and peer-led psychosocial support services to women of all ages in Bangladesh. The anonymous nature of the forum means that mental health concerns can be aired without fear of identification. METHOD: A content analysis was conducted on the anonymous posts retrieved from the WSIF platform between 8th March 2020 and 7th July 2022. Around 1457 posts were initially selected for analysis which was reduced to 1006 after removing duplicates and non-relevant posts, such as queries about the addresses of the doctors and other non-mental health-related issues. A thematic analysis of the data was conducted using an inductive approach. RESULT: The 1006 posts generated four themes and nine sub-themes. All the women mentioned mental health symptoms (n = 1006; 100%). Most also mentioned reasons for seeking mental healthcare (n = 818; 81.31%), healthcare-seeking behavior (n = 667; 66.30%), and barriers to seeking mental healthcare (n = 552; 54.87%). The majority of women described symptoms of stress, depression, and anxiety-like symptoms, which were aggregated under common mental health conditions. Mental health symptoms were ascribed to various external influences, including marital relationship, intrafamilial abuse, and insecurities related to the COVID-19 pandemic. A large proportion of posts were related to women seeking information about mental healthcare services and service providers (psychologists or psychiatrists). The analysis found that most women did not obtain mental healthcare services despite their externalized mental health symptoms. The posts identified clear barriers to women accessing mental health services, including low mental health literacy, the stigma associated with mental healthcare-seeking behavior, and the poor availability of mental health care services. CONCLUSION: The study revealed that raising mass awareness and designing culturally acceptable evidence-based interventions with multisectoral collaborations are crucial to ensuring better mental healthcare coverage for women in Bangladesh.

Parental COVID-19 vaccine hesitancy for children with neurodevelopmental disorders: a cross-sectional survey.

BACKGROUND: Little is known about parental coronavirus disease 2019 (COVID-19) vaccine hesitancy in children with neurodevelopmental disorders (NDD). This survey estimated the prevalence and predictive factors of vaccine hesitancy among parents of children with NDD. METHODS: A nationally representative cross-sectional survey was conducted from October 10 to 31, 2021. A structured vaccine hesitancy questionnaire was used to collect data from parents aged ≥ 18 years with children with NDD. In addition, individual face-to-face interviews were conducted at randomly selected places throughout Bangladesh. Multiple logistic regression analysis was conducted to identify the predictors of vaccine hesitancy. RESULTS: A total of 396 parents participated in the study. Of these, 169 (42.7%) parents were hesitant to vaccinate their children. Higher odds of vaccine hesitancy were found among parents who lived in the northern zone (AOR = 17.15, 95% CI = 5.86-50.09; p < 0.001), those who thought vaccines would not be safe and effective for Bangladeshi children (AOR = 3.22, 95% CI = 1.68-15.19; p < 0.001), those who were either not vaccinated or did not receive the COVID-19 vaccine themselves (AOR = 12.14, 95% CI = 8.48-17.36; p < 0.001), those who said that they or their family members had not tested positive for COVID-19 (AOR = 2.13, 95% CI = 1.07-4.25), and those who did not lose a family member to COVID-19 (AOR = 2.12, 95% CI = 1.03-4.61; p = 0.040). Furthermore, parents who were not likely to believe that their children or a family member could be infected with COVID-19 the following year (AOR = 4.99, 95% CI = 1.81-13.77; p < 0.001) and who were not concerned at all about their children or a family member being infected the following year (AOR = 2.34, 95% CI = 1.65-8.37; p = 0.043) had significantly higher odds of COVID-19 vaccine hesitancy. CONCLUSIONS: Given the high prevalence of vaccine hesitancy, policymakers, public health practitioners, and pediatricians can implement and support strategies to ensure that children with NDD and their caregivers and family members receive the COVID-19 vaccine to fight pandemic induced hazards.

Exploring the knowledge, attitudes, practices and lived experiences of frontline health workers in the times of COVID-19 : a qualitative study from Bangladesh.

OBJECTIVE: This study explored Frontline Health Workers' (FLWs) knowledge, attitude and practice (KAP) on COVID-19 and their lived experiences, in both their personal and work lives, at the early stage of the pandemic in Bangladesh. DESIGN, SETTING AND PARTICIPANTS: This was a qualitative study conducted through telephone interviews in May 2020. A total of 41 FLWs including physicians, nurses, paramedics, community healthcare workers and hospital support staff from 34 public and private facilities of both urban and rural parts of Bangladesh participated in the interview. A purposive sampling technique supplemented by a snowball sampling method was followed to select the participants. The in-depth interviews followed a semi-structured interview guide, and we applied the thematic analysis method for the qualitative data analysis. FINDINGS: Except physicians, the FLWs did not receive any institutional training on COVID-19, including its prevention and management, in most instances. Also, they had no training in the use of personal protective equipment (PPE). Their common source of knowledge was the different websites or social media platforms. The FLWs were at risk while delivering services because patients were found to hide histories and not maintaining safety rules, including physical distancing. Moreover, inadequate supply of PPE, fear of getting infected, risk to family members and ostracisation by the neighbours were mentioned to be quite common by them. This situation eventually led to the development of mental stress and anxiety; however, they tried to cope up with this dire situation and attend to the call of humanity. CONCLUSION: The uncertain work environment during the COVID-19 pandemic simultaneously affected FLWs' physical and emotional health in Bangladesh. However, they showed professional devotion in overcoming such obstacles and continued to deliver essential services. This could be further facilitated by a quick and targeted training package on COVID-19, and the provision of supplies for delivering services with appropriate safety precautions.

Data Science and Graduate Nursing Education: A Critical Literature Review.

BACKGROUND: The emergence of big data and data science offers unprecedented opportunities for accelerating scientific advances in nursing, yet current nursing curricula are not adequate to prepare students to leverage those opportunities. PURPOSE: The purpose of this review was to describe current strategies that can be used to educate graduate nurses about data science methods as well as facilitators and challenges to adopting those strategies. METHOD: We conducted a critical literature review of papers addressing data science and graduate nursing education. RESULTS: Ten articles were included in this review. The most common strategy was the integration of data science methods into existing courses throughout the graduate nursing curricula. A major facilitator was interdisciplinary collaboration between nursing faculty and colleagues in other disciplines. CONCLUSION: The findings provide strategies that can be used to prepare graduate nurses to work in data science teams to shape big data research and optimize patient outcomes.