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Factors influencing use of institutional delivery services in rural Bangladesh
( Mansoor Ahmed ),( Minhaj Uddin ),( Jung Hye Hwang ),( Soo Jeung Choi ),( Ha Yun Kim ),( Hyea Bin Lm ),( Dongwoon Han ) 한국모자보건학회 2016 한국모자보건학회 학술대회 연제집 Vol.2016 No.2
Background Institutional delivery is very important in reducing maternal and neonatal mortality; however, several women deliver outside of health facilities in Bangladesh. Therefore, objective of this study was to determine the prevalence of institutional deliveries and identify factors influencing institutional deliveries among women in rural Bangladesh. Methods A community-based cross-sectional study from August to September 2015 was conducted with women who gave birth in the last two years prior to the study in Kurigram District, Rangpur division, Bangladesh. Using a stratified sampling method, a total of 348 participants were enrolled in the study. Data were collected via pretested standardized questionnaire. Using SPSS version 21, chi-square and binary logistic regression analyses were carried out to determine factors influencing use of institutional delivery services. Results Among 348 participating women (mean age: 24.36 ± 4.18), it was found that only 83 (23.9%) went for institutional delivery and the remaining 76.1% delivered in home. Reasons for home delivery included: feeling embarrassed in hospital (92.8%), more comfortable at home (83.8%), long distance to health facility (46.4%) and high costs in hospital (38.1%). The factors significantly influencing institutional delivery included women’ s education (OR: 9.859; p=0.036), knowledge of institutional delivery services (OR: 8.064; p=0.007), women,s knowledge about danger signs of pregnancy (OR: 47.35; p〈0.000), pregnancy related complications (OR: 5.182; p〈0.000), and four or more antenatal care (ANG) visits (OR: 4.627; p=0.049). Conclusions This study found very low prevalence of skilled institutional delivery in rural Bangladesh. Findings of the study suggest that number of ANG visits, women’ s education and knowledge on pregnancy and delivery services can play very crucial role to increase the uptake of institutional delivery services. Health policies, health promotion and education programs should focus on these factors in order to reduce the number of preventable maternal and neonatal deaths. Efforts from different sections of the society using multisectoral approach can help in improving the maternal, newborn and child health.
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Static deflection of nonlocal Euler Bernoulli and Timoshenko beams by Castigliano's theorem
Devnath, Indronil,Islam, Mohammad Nazmul,Siddique, Minhaj Uddin Mahmood,Tounsi, Abdelouahed Techno-Press 2022 Advances in nano research Vol.12 No.2
This paper presents sets of explicit analytical equations that compute the static displacements of nanobeams by adopting the nonlocal elasticity theory of Eringen within the framework of Euler Bernoulli and Timoshenko beam theories. Castigliano's theorem is applied to an equivalent Virtual Local Beam (VLB) made up of linear elastic material to compute the displacements. The first derivative of the complementary energy of the VLB with respect to a virtual point load provides displacements. The displacements of the VLB are assumed equal to those of the nonlocal beam if nonlocal effects are superposed as additional stress resultants on the VLB. The illustrative equations of displacements are relevant to a few types of loadings combined with a few common boundary conditions. Several equations of displacements, thus derived, matched precisely in similar cases with the equations obtained by other analytical methods found in the literature. Furthermore, magnitudes of maximum displacements are also in excellent agreement with those computed by other numerical methods. These validated the superposition of nonlocal effects on the VLB and the accuracy of the derived equations.
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