Wireless Sensor Networks (WSNs) consist of large number of randomly deployed energy constrained sensor nodes. Sensor nodes have ability to sense and send sensed data to Base Station (BS). Sensing as well as transmitting data towards BS require high energy. In WSNs, saving energy and extending network lifetime are great challenges. Clustering is a key technique used to optimize energy consumption in WSNs. In this paper, we propose a novel clustering based routing technique: Enhanced Developed Distributed Energy Efficient Clustering scheme (EDDEEC) for heterogeneous WSNs. Our technique is based on changing dynamically and with more efficiency the Cluster Head (CH) election probability. Simulation results show that our proposed protocol achieves longer lifetime, stability period and more effective messages to BS than Distributed Energy Efficient Clustering (DEEC), Developed DEEC (DDEEC) and Enhanced DEEC (EDEEC) in heterogeneous environments.

Background: mHealth interventions have huge potential to reach large numbers of people in resource poor settings but have been criticised for lacking theory-driven design and rigorous evaluation. This paper shares the process we developed when developing an awareness raising and behaviour change focused mHealth intervention, through applying behavioural theory to in-depth qualitative research. It addresses an important gap in research regarding the use of theory and formative research to develop an mHealth intervention.Objectives: To develop a theory-driven contextually relevant mHealth intervention aimed at preventing and managing diabetes among the general population in rural Bangladesh.Methods: In-depth formative qualitative research (interviews and focus group discussions) were conducted in rural Faridpur. The data were analysed thematically and enablers and barriers to behaviour change related to lifestyle and the prevention of and management of diabetes were identified. In addition to the COM-B (Capability, Opportunity, Motivation-Behaviour) model of behaviour change we selected the Transtheoretical Domains Framework (TDF) to be applied to the formative research in order to guide the development of the intervention.Results: A six step-process was developed to outline the content of voice messages drawing on in-depth qualitative research and COM-B and TDF models. A table to inform voice messages was developed and acted as a guide to scriptwriters in the production of the messages.Conclusions: In order to respond to the local needs of a community in Bangladesh, a process of formative research, drawing on behavioural theory helped in the development of awareness-raising and behaviour change mHealth messages through helping us to conceptualise and understand behaviour (for example by categorising behaviour into specific domains) and subsequently identify specific behavioural strategies to target the behaviour.

A botanical expedition to the Sundarban Mangrove Forests (SMF) in March, 2010 was made to study the tree diversity and their abundance as affected by salinity gradient. In six quadrats of 25m × 25m each, distributed in all four Ranges, a total of eight tree species were recorded. A maximum number of five species occurred in relatively low saline sites. Tree zonation dynamics of the forests along salinity gradient revealed an increase in the number of Ceriops decandra (goran), a salt tolerant plant in the north-eastern parts of the SMF which was dominated by Heritiera fomes (sundri), a freshwater loving plant in 1960’s. Highest importance value index (IVI) was recorded for C. decandra, which was present in all sites, except Moroghodra, a freshwater zone in Nalianala (Khulna) Range. Comparison of the Landsat images of Nalianala and Chandpai Ranges during 1989, 2000 and 2010 revealed a decreased tendency of dominance of H. fomes in the two Ranges but increased tendency of Bruguiera sexangula (kankra), Excoecaria agallocha (gewa) and Sonneratia apetala (keora). Total tree cover in 2010 decreased by about 3% from that of 1989. The changes in the tree composition have been attributed to increased salinity. The changes in the physiography and tree composition of the two Ranges between 2000 - 1989 were considerable. Key words: Tree zonation; Salinity; Remote Sensing; GIS; Heritera fomes; Ceriops decandra DOI: http://dx.doi.org/10.3329/bjb.v40i2.9778   Bangladesh J. Bot. 40(2): 197-202 , 2011 (December)

ObjectiveWe estimated the effect of an employer-sponsored health insurance (ESHI) scheme on healthcare utilisation of medically trained providers and reduction of out-of-pocket (OOP) expenditure among ready-made garment (RMG) workers.DesignWe used a case–control study design with cross-sectional preintervention and postintervention surveys.SettingsThe study was conducted among workers of seven purposively selected RMG factories in Shafipur, Gazipur in Bangladesh.ParticipantsIn total, 1924 RMG workers (480 from the insured and 482 from the uninsured, in each period) were surveyed from insured and uninsured RMG factories, respectively, in the preintervention (October 2013) and postintervention (April 2015) period.InterventionsWe tested the effect of a pilot ESHI scheme which was implemented for 1 year.Outcome measuresThe outcome measures were utilisation of medically trained providers and reduction of OOP expenditure among RMG workers. We estimated difference-in-difference (DiD) and applied two-part regression model to measure the association between healthcare utilisation, OOP payments and ESHI scheme membership while controlling for the socioeconomic characteristics of workers.ResultsThe ESHI scheme increased healthcare utilisation of medically trained providers by 26.1% (DiD=26.1; p<0.01) among insured workers compared with uninsured workers. While accounting for covariates, the effect on utilisation significantly reduced to 18.4% (p<0.05). The DiD estimate showed that OOP expenditure among insured workers decreased by −3700 Bangladeshi taka and -1100 Bangladeshi taka compared with uninsured workers when using healthcare services from medically trained providers or all provider respectively, although not significant. The multiple two-part models also reported similar results.ConclusionThe ESHI scheme significantly increased utilisation of medically trained providers among RMG workers. However, it has no significant effect on OOP expenditure. It can be recommended that an educational intervention be provided to RMG workers to improve their healthcare-seeking behaviours and increase their utilisation of ESHI-designated healthcare providers while keeping OOP payments low.

No abstract