Prasun Haldar

Prevalence of low back pain among handloom weavers in West Bengal, India

Abstract Background: Handloom is one of the oldest industries in India, particularly in West Bengal, where a considerable number of rural people are engaged in weaving. Objectives: The purpose of this study was to evaluate the prevalence of low back pain among the handloom weavers in India. Methods: A modified Nordic Musculoskeletal Disorder Questionnaire and Oswestry Low Back Pain Disability Questionnaire along with a body part discomfort scale were administered to handloom weavers (n = 175). Working posture of the participants was assessed using the Ovako Working Posture Analysis System (OWAS). Results: Sixty eight per cent of the participants reported suffering from low back pain, making it the most prevalent disorder in our sample. Analysis of the Oswestry Low Back Pain Disability Questionnaire data revealed that among those with low back pain (n = 119), 2% had severe disabilities, 46% had moderate disabilities, and 52% had minimal disabilities. Statistical analyses revealed a positive significant association between the intensity of pain in the lower back and an increased number of years of work experience (P<0·05). Conclusions: The study underlines the need for further research regarding the postural strain of weavers and also suggests the implementation of ergonomic design into weaver workstations to minimize the adverse effect of their current working postures. Improving upon the weaver’s work-posture could improve their quality of life.

Cross-cultural comparison of seven morningness and sleep–wake measures from Germany, India and Slovakia

Morningness-eveningness or circadian typology can be viewed as an interesting aspect of individual differences. Morningness-eveningness is a preference for a given time of day for physical or mental performance, but also reflects aspects of affect. Here, we used seven different measures to assess differences in morningness-eveningness between Germany, Slovakia and India. The hypothesis was that Indians should be earliest chronotypes, followed by Slovakia and then Germany, because of higher temperatures in India, and the fact that Slovakia is located farther east compared to Germany. We applied the Composite Scale of Morningness (CSM), the Circadian Energy Scale (CIRENS), the CAEN Chronotype Questionnaire (CCQ), and habitual sleep-wake variables to calculate sleep duration, midpoint of sleep and social jetlag. Sample sizes were N = 300 (Germany), N = 482 (Slovakia) and N = 409 (India). Country had the strongest influence on morningness-eveningness. Germans were latest chronotypes and differed in all seven measures from Indians but differed from Slovakians only in the energy level at the evening and midpoint of sleep. Slovakians and Indians differed in all measures but the energy level (CIRENS). Women scored higher on the CSM, lower on CIRENS, lower on the morningness-eveningness (ME) scale, but higher on distinctness (DI) scale. Women slept longer and had an earlier midpoint of sleep.

Exploration of transcultural properties of the reduced version of the Morningness–Eveningness Questionnaire (rMEQ) using adaptive neuro-fuzzy inference system

The reduced version of the Morningness–Eveningness Questionnaire (rMEQ) is widely used to study morningness orientation. The fuzzy analysis helps mapping outputs of the questionnaire irrespective of linguistic and cross-cultural aspects in an efficient manner. In the present study, the rMEQ was administered to a convenience sample of university students (N = 2660) in four different countries and responses have been quantified by using an adaptive neuro-fuzzy inference system for the cross-cultural comparison and then the quantified values are used to construct the proposed model. The cross-country fuzzy morningness value showed that environmental temperature has definite influence on morningness orientation but other factors may also have a role. The developed model can be universally used to analyse the morning–evening orientation of people more precisely without cross-language and cross-cultural biases and it would become a potential tool for interpretation of morningness scores and counselling of individuals.

Trawler fuel exhaust and respiratory impairments: a cross-sectional pilot study among Indian fishermen working in informal sectors

Abstract Background: An estimated half a billion people are engaged in fishing related occupations in India. Exposure to adulterated fuel exhaust is common among deep-sea fishermen, yet little is known about the potential impacts on the exposure to health. Objective: The aim of this study was to investigate whether fuel emission exposure was associated with increased respiratory impairments among fishermen who were occupationally exposed to fuel exhaust compared to fisherman occupationally unexposed to fuel exhaust. Methods: This cross-sectional study compared the prevalence of respiratory symptoms and lung function variables between 152 marine-water and 107 fresh water fishermen considering the use of fuel-driven trawlers. Data were obtained from questionnaires and computerized spirometer. Results: Fishermen exposed to trawler fuel exhaust reported more than double the number of respiratory symptoms compared to the unexposed fisherman (86·2 vs. 40·2%). They also had a significantly higher chance experiencing chronic cough (adjusted OR = 3·51, 95% confidence interval (CI) = 2·09–6·35), chronic phlegm (8·61, 4·76–15·97), and wheezing (4·29, 2·55–7·61) symptoms. Finally, there was a significant reduction of the ratio of mid portion of forced expiratory flow rate and forced vital capacity (FEF25–75/FVC) in the exposed fishermen compared to the unexposed (0·84 vs. 0·73 second−1, P = 0·015). Conclusion: Fuel exhaust may negatively impact on the respiratory health of Indian fishermen. More attention and surveillance of occupational health for fishermen in India is needed.

Occupational stress and work efficiency of nursing staff engaged in rotating shift work

Occupational stress and stress-related performance impairment is a common feature among hospital nurses engaged in rotating shift work, particularly night work. This cross-sectional survey determined workplace stress and cognitive efficiency of nursing staff engaged in rotating shift work. One hundred twenty-two full-time staff nurses in three different government hospitals in West Bengal, India, were the participants. Perceived exertion, alertness, sleep duration and various performance tests were performed. Sleep duration was least between repeated night shifts in comparison with the other shifts. Though alertness and performance of the staff nurses varied on different shifts, the late portion of the night shift as well as the early portion of the morning shift was most prone to impairment of work efficiency.

Prevalence and Risk Factors of Asthma and Allergy-Related Diseases among Adolescents (PERFORMANCE) study: rationale and methods

Despite a considerable number of international reports on allergic diseases among children, information about the prevalence and risk factors of asthma and allergy-related diseases among Indian adolescents is relatively sparse. The Prevalence and Risk Factors of Asthma and Allergy-Related Diseases among Adolescents (PERFORMANCE) study has been conceived to study the aetiology of asthma and allergic diseases including rhinoconjunctivitis, atopic eczema and food allergies among adolescents in West Bengal, India, using standardised methods and collaborations. The aims of the study are: 1) to estimate the prevalence and risk factors of asthma and allergic diseases among the adolescents residing in rural, suburban and urban areas of West Bengal; 2) to obtain information about the possible role of lifestyle factors (smoking, diet and physical activity) on the disease prevalence; and 3) to create a network for further investigation on social, environmental and genetic factors affecting the diseases. The PERFORMANCE study comprises two phases. The phase I study will investigate the prevalence and possible contributing factors of asthma and allergic diseases in a defined population. The phase II study will be performed as a follow-up of phase I to assess the incidence of asthma and allergic diseases. The PERFORMANCE study: investigating the prevalence and risk factors of allergy and asthma among Indian adolescents http://ow.ly/jP2v30kmt8u

Cardiovascular Load During Summer Work of Two Age Groups of Van-Rickshaw Pullers in West Bengal, India

Van-rickshaw is a popular mode of transport of people and merchandise in developing countries. The purpose of this study was to assess the effect of age on cardiovascular load of van-rickshaw pullers in the summer season (March-June) in real situations. In 142 participants, divided into 2 age groups (25-40 and 41-55 years), cardiovascular load was assessed on the basis of working and partial recovery heart rate (HR), predicted maximal HR, working maximal HR, average working HR, percentage of reserved HR, sum of recovery heart beats, percentage of recovery, relative and net cardiac cost, etc. Except for percentage of recovery, all parameters differed significantly between the groups and were significantly correlated with age. As this activity is very stressful, it places a heavy demand on the cardiovascular system. Therefore, age is an important factor for sustainability of the work, especially in a hot environment. Some ergonomic interventions are necessary to reduce cardiovascular load.