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Journal of Nepal Health Research Council

Gentle Sunder Shrestha
March 13, 2018: Journal of Nepal Health Research Council
Anip Joshi
March 13, 2018: Journal of Nepal Health Research Council
Pratik Khanal, Sajana Maharjan, Namita Ghimire, Khem Bahadur Karki
Health research in Nepal initiated with a survey in malaria in 1952. The first regulatory body for health research was Nepal Medical Research Committee formed under Ministry of Health. Ethical Review Body is the first ethical review structure. Nepal Health Research Council is now an independent body to regulate health research in Nepal. Development of research ethics in Nepal is clearly evident with the development of ethical guidelines; functioning of Ethical Review Board; expansion of institutional review committees and initiation of online submission system...
March 13, 2018: Journal of Nepal Health Research Council
Asmita Ghimire, Meeta Singh, Kesang Dikki Bista, Neebha Ojha, Sunita Bajracharya, Neeta Katuwal
Ovarian vein thrombosis is one of the rare causes for acute abdomen. Occult presentation of this disease may lead to diagnostic dilemma. A sixteen years female who was operated as a case of ectopic pregnancy was finally diagnosed as having ovarian vein thrombosis. She was successfully treated with anticoagulant.
March 13, 2018: Journal of Nepal Health Research Council
Arbin Joshi
Gastrointestinal Stromal Tumour involving rectum and anal canal is an extremely rare entity. This is a case report of a 47 years lady presented with fresh rectal bleed associated with rectal pain and foul smelling rectal mucus discharge. On rectal examination, she had a firm mass palpable about 1.5 cm from anal verge. Considering the size of the tumour and its close proximity with cervix and involvement of levator muscles, extralevator abdominal perineal excision of rectum was undertaken with good recovery after surgery...
March 13, 2018: Journal of Nepal Health Research Council
Dirgha Raj Shrestha, Shibesh Chandra Regmi, Ganesh Dangal
Unsafe abortion is affecting a lot, in health, socio-economic and health care cost of many countries. Despite invention of simple technology and scientifically approved safe abortion methods, women and girls are still using unsafe abortion practices. Since 2002, Nepal has achieved remarkable progress in developing policies, guidelines, task shifting, training human resources and increasing access to services. However, more than half of abortion in Nepal are performed clandestinely by untrained or unapproved providers or induced by pregnant woman herself...
March 13, 2018: Journal of Nepal Health Research Council
Bikal Ghimire, Yogendra Prasad Singh, Goran Kurlberg, Yvonne Wettergren
BACKGROUND: Colorectal cancer is being diagnosed more frequently in the young and it presents in an advanced stage. In TNM staging, stage depends on tumor size and number of positive nodes, which depend on location of tumor as well as the extent of dissection.The lymph node ratio is regarded as a more reliable marker for prognosis. In this study, we compare epidemiology of colorectal cancer in the young (<40 years) and older patients as well as the LNR. METHODS: Patients with colorectal cancer operated at the Tribhuvan University Teaching Hospital, Kathmandu, Nepal for a period of 4 years (2012 - 2016) were included in the study...
March 13, 2018: Journal of Nepal Health Research Council
Keshar Bahadur Dhakal, Sulochana Dhakal, Saroj Bhandari
BACKGROUND: Rising rate of caesarean section since few decades has been a global public health issue.This study is aimed to determine the rate of caesarean section plus examine the indications and complications of caesarean section. METHODS: A retrospective cross-sectional study was conducted using secondary data sources at Mid-Western Regional Hospital in Surkhet, Nepal. Data were collected from patients'records ofthe hospital dating from 16 July 2016 to 15 July 2017...
March 13, 2018: Journal of Nepal Health Research Council
Robin Bahadur Basnet, Anil Shrestha, Parash Mani Shrestha, Bishwa Raj Joshi
BACKGROUND: To identify the perioperative factors associated with complications after percutaneous nephrolithotomy by classification of complications according to the modified Clavien scoring system and evaluation of the minor and major complications related to the procedure. METHODS: A prospective study of all the percutaneous nephrolithotomy performed by standard technique within 1.5 years at Bir Hospital was made. Possible demographic, preoperative and intraoperative variables were included in the study and patients were followed up postoperatively for any complications...
March 13, 2018: Journal of Nepal Health Research Council
Durga Khadka Mishra, Tulsi Ram Thapa, Sujan Babu Marahatta, Anita Mahotra
BACKGROUND: Bullying remains as pervasive phenomenon affecting children worldwide. Bullying in school has long been a matter of concern as wide range of adjustment problems including poor mental health and violent behavior in school are associated with it. The present study examined the prevalence of bullying behavior (bullies, victims and bully-victims) and their association with depression and psychosomatic symptoms. METHODS: A cross-sectional descriptive study was carried out among 8th, 9th and 10th grade students of Pyuthan Municipality, Mid-Western Nepal...
March 13, 2018: Journal of Nepal Health Research Council
Anil Pokhrel, Rajendra Kumar Agrawal, Anil Baral, Ajaya Rajbhandari, Rajani Hada
BACKGROUND: Percutaneous renal biopsy is performed for diagnosis and prediction of prognosis of renal diseases. Adequacy of tissue and clinically significant bleeding are the main issues of the procedure. We aimed to compare these issues in renal biopsy by blind and real time ultrasound guided technique. METHODS: It was a cross sectional, randomized study conducted between June 2016 to December 2016. In blind technique, marking for biopsy was done by ultrasound...
March 13, 2018: Journal of Nepal Health Research Council
Geeta Shakya, Baburam Marasini, Khem Bahadur Karki, Bishnu Prasad Upadhaya, Jyoti Acharya, Shailaja Adhikari, Rosham Manjhi, Laxman Maharjan, Lilee Shrestha, Kamal Ranabhat, Sujan Babu Marahatta, Bikal Shrestha, Meghnath Dhimal
BACKGROUND: Infectious disease outbreaks following natural disasters are reported in literature. Outbreaks were documented following natural disasters in many countries including Haiti. Such possibility following 2015 Nepal earthquake was a public health concern. Risk factors needed evaluation by post-disaster outbreak investigation. Hence, present study was undertaken to investigate potentials for such outbreak and to generate evidence for public health intervention. METHODS: The study was conducted between April - May, 2015, with the cooperation of National Public Health Laboratory, Epidemiology and Disease Control Division, Nepal Health Research Council and the Chinese team...
March 13, 2018: Journal of Nepal Health Research Council
Diva Shrestha
BACKGROUND: Many studies have shown the benefits of diathermy over scalpel for making skin incisions in terms of post operative pain and post operative analgesics requirement. The objective of the study is to compare the pain following incision by scalpel and diathermy for skin in ENT surgery. METHODS: We conducted a prospective, randomized study and compared early post operative pain and analgesics requirement in patients undergoing ENT and Head and Neck surgery in Department of ENT at Kathmandu Medical College from September 2016 to August 2017...
March 13, 2018: Journal of Nepal Health Research Council
Prakash Thapa, Lumeshor Acharya, Bhup Dev Bhatta, Suman Bhatta Paneru, Jai Bahadur Khattri, Prashant Kumar Chakraborty, Rajasee Sharma
BACKGROUND: Prevalence of anxiety, depression and post traumatic stress disorder is high after earthquake. The aim of the study is to study the prevalence and comorbidity of commonly occurring psychological symptoms in people exposed to Nepal mega earthquake in 2015 after a year of the event. METHODS: A community based, cross sectional, descriptive study was carried out in Bhumlichaur area of Gorkha district, Nepal after around 14 months of the first major earthquake...
March 13, 2018: Journal of Nepal Health Research Council
Krishna Kumari Paudel Subedi, Kalpana Timalsina, Raja Laxmi Bhele
BACKGROUND: Nursing practice amicably includes practical efficacy and ethics. Now a days legal and ethical problems associated with client care are arising day by day. Therefore, nurses should have adequate understanding of basic legal concepts and issues relevant to nursing profession in order to protect the rights of the clients and the nurses. METHODS: A cross sectional descriptive design was adopted for the study. 142 nurses were included by using purposive sampling technique...
March 13, 2018: Journal of Nepal Health Research Council
Binod Gautam, Sushila Moktan Lama, Mona Sharma
BACKGROUND: Saddle spinal block is the first choice anesthetic technique for adults undergoing peri-anal surgeries. It prevents unnecessary high levels of analgesia and sympathetic block. However, it may not provide prolonged analgesia. This study aims to investigate analgesic effects of dexmedetomidine when added to hyperbaric bupivacaine in saddle spinal block. METHODS: Fifty otherwise healthy adults scheduled for uncomplicated peri-anal surgery were randomly allocated into two equal groups in this double-blinded study...
March 13, 2018: Journal of Nepal Health Research Council
Shiva Raj Adhikari, Achyut Raj Pandey, Mamata Ghimire, Arjun Kumar Thapa, Dinesh Kumar Lamsal
BACKGROUND: Access to medicine for the poor is recognized to be difficult task and one of the major challenges in achieving universal health coverage, particularly in low-and- middle income countries. In order to ensure the availability of essential medicines free of cost in public health facilities, Nepal has also commenced Free Health Care Services (FHCS). So, this study aims to evaluate availability, expiry, and stock-out duration of essential medicines at front line service providers in Nepal...
March 13, 2018: Journal of Nepal Health Research Council
Sunita Koirala, Naresh Manandhar
BACKGROUND: Many women experience menopausal symptoms during menopausal transition and postmenopausal years. This natural phenomenon often results in various psychological, somatic and urinary symptoms which impair the overall quality of life of women. This study aimed to access the quality of life of women during perimenopausal and early postmenopausal years attending outpatient department of OBGYN at Kathmandu Medical College Teaching Hospital. METHODS: A descriptive cross-sectional study of 240 perimenopausal women of aged 45-60 years attending gynaecological outpatient clinic was carried out between 15th January to 13th April 2017...
March 13, 2018: Journal of Nepal Health Research Council
Sudeep Acharya, Sandhya Joshi, Amita Pradhan
BACKGROUND: Evidences on dental anxiety scale are essential in dental practice for better service delivery. The main objective of this study was to determine the anxiety level of patients undergoing oral surgical procedures and explore its associated factors. METHODS: This was a cross sectional study enrolling 142 patients. Semi structured questionnaire based on Corah's dental anxiety scale was prepared and administered to gather information. Descriptive statistics, chi- square test and independent t- test were used to analyze the data...
March 13, 2018: Journal of Nepal Health Research Council
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