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https://www.readbyqxmd.com/read/28428815/service-user-and-care-giver-involvement-in-mental-health-system-strengthening-in-nepal-a-qualitative-study-on-barriers-and-facilitating-factors
#1
Dristy Gurung, Nawaraj Upadhyaya, Jananee Magar, Nir Prakash Giri, Charlotte Hanlon, Mark J D Jordans
BACKGROUND: Service user and caregiver involvement has become an increasingly common strategy to enhance mental health outcomes, and has been incorporated in the mental healthpolicies of many developed nations. However, this practice is non-existent or fragmented in low and middle income countries (LMICs). Instances of service user and caregiver involvement have been rising slowly in a few LMICs, but are rarely described in the literature. Very little is known about the context of user and caregiver participation in mental health system strengthening processes in a low-income, disaster- and conflict-affected state such as Nepal...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28409713/persistent-complex-bereavement-disorder-and-culture-early-and-prolonged-grief-in-nepali-widows
#2
Jane Kim, Wietse A Tol, Abina Shrestha, Hari Maya Kafle, Rajin Rayamajhi, Nagendra P Luitel, Lily Thapa, Pamela J Surkan
OBJECTIVE: Persistent complex bereavement disorder (PCBD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), has not been well studied in socioculturally diverse populations. Thus, this qualitative study examined (a) how widows in Nepal understand grief, (b) whether a local construct of PCBD exists, and (c) its comparability with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), terminology. METHODS: Using an adapted Explanatory Model Interview Catalogue (EMIC) framework, semistructured interviews with 25 widows and 12 key informants, as well as three focus-group discussions (n = 20), were conducted between October 2014 and April 2015...
2017: Psychiatry
https://www.readbyqxmd.com/read/28395091/morbidity-among-the-israeli-defense-force-response-team-during-nepal-post-earthquake-mission-2015
#3
Tamar Lachish, Aviad Bar, Heli Alalouf, Ofer Merin, Eli Schwartz
Background: On 25 April 2015, a 7.8-magnitude earthquake struck Nepal. Soon after, the Israel Defense Force (IDF) dispatched a rapid-response team and opened a tertiary field hospital in Kathmandu. There is limited data regarding the spectrum of diseases among rescue teams to disease-stricken areas. The aim of this study was to assess the morbidity among the field-hospital staff during the mission. Methods: The rescue team was deployed for a 2-week mission in Kathmandu...
March 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28393635/assessment-of-environmental-policy-implementation-in-solid-waste-management-in-kathmandu-nepal
#4
Mohan B Dangi, Erica Schoenberger, John J Boland
In Nepal, full-fledged environmental legislation was rare before the democratic constitution of 1990. The first law covering the environment and sustainability was the Environment Protection Act 1997. While the Solid Waste Act was introduced in 1987, the problem of solid waste management still surfaces in Kathmandu. In order to understand the bedrock of this unrelenting failure in solid waste management, the manuscript digs deeper into policy implementation by dissecting solid waste rules, environmental legislations, relevant local laws, and solid waste management practices in Kathmandu, Nepal...
April 1, 2017: Waste Management & Research
https://www.readbyqxmd.com/read/28393547/prevalence-of-depressive-symptoms-and-its-associated-factors-in-older-adults-a-cross-sectional-study-in-kathmandu-nepal
#5
Rajani Simkhada, Sharada P Wasti, Vijay S Gc, Andrew C K Lee
OBJECTIVE: Globally, depression is one of the most prevalent and burdensome conditions in older adults. However, there are few population-based studies of depression in older adults in developing countries. In this paper, we examine the prevalence of depressive symptoms and explore possible contributory risk factors in older adults living in Nepal. METHODS: A cross-sectional study was conducted in two semi-urban communities in Kathmandu, Nepal. Depression was assessed using the 15-item Geriatric Depression Scale in 303 participants, aged 60 years and over...
April 10, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28369812/treating-philadelphia-chromosome-bcr-abl1-positive-patients-with-glivec-imatinib-mesylate-10%C3%A2-years-experience-at-patan-hospital-nepal
#6
Gyan K Kayastha, Nora Ranjitkar, Radha Gurung, Raj K Kc, Sanjit Karki, Roshan Shrestha, Raj K Thapa, Piyush Rajbhandari, Buddhi Poudyal, Paras Acharya, David J Roberts, Bruce Hayes, Mark Zimmerman, Buddha Basnyat, Aaron Mansfield
The Glivec International Patient Assistance Programme makes Glivec (Imatinib mesylate) available to Philadelphia chromosome/BCR-ABL1 positive patients with chronic myeloid leukaemia (CML) in Lower and Middle Income Countries (LMIC). We have established a large cohort of 211 CML patients who are eligible for Imatinib, in Kathmandu, Nepal. Thirty-one patients were lost to follow-up. We report on 180 CML patients with a median age of 38 years (range 9-81). Of these 180 patients, 162 underwent cytogenetic testing and 110 were investigated by reverse transcription polymerase chain reaction...
March 29, 2017: British Journal of Haematology
https://www.readbyqxmd.com/read/28367217/bacteriological-profile-and-antimicrobial-susceptibility-patterns-of-bacteria-isolated-from-pus-wound-swab-samples-from-children-attending-a-tertiary-care-hospital-in-kathmandu-nepal
#7
Salu Rai, Uday Narayan Yadav, Narayan Dutt Pant, Jaya Krishna Yakha, Prem Prasad Tripathi, Asia Poudel, Binod Lekhak
In Nepal, little is known about the microbiological profile of wound infections in children and their antimicrobial susceptibility patterns. Total of 450 pus/wound swab samples collected were cultured using standard microbiological techniques and the colonies grown were identified with the help of biochemical tests. The antimicrobial susceptibility testing was performed by Kirby-Bauer disc diffusion technique. Methicillin-resistant Staphylococcus aureus isolates were detected by using cefoxitin disc and confirmed by determining minimum inhibitory concentrations (MIC) of oxacillin...
2017: International Journal of Microbiology
https://www.readbyqxmd.com/read/28362560/comparing-outcomes-of-pediatric-and-adult-external-dacryocystorhinostomy-in-nepal-is-age-a-prognostic-factor
#8
Ben Limbu, Sulaxmi Katwal, Nicole S Lim, Michelle L Faierman, Anna G Gushchin, Rohit Saiju
We determine whether age is a prognostic factor for surgical outcomes of external dacryocystorhinostomy (Ex-DCR). This retrospective cohort study conducted at Tilganga Institute of Ophthalmology (Kathmandu, Nepal) compared pediatric Ex-DCR procedures (age ≤ 15 years) to adult Ex-DCR procedures (age > 15 years) and was performed between January 2013 and December 2013, with a minimum follow-up period of 6 months. Primary outcome measure was rate of success, defined as complete resolution of subjective symptom(s) of epiphora (subjective success), combined with patent lacrimal passage on syringing (anatomical success) at last follow-up visit...
March 31, 2017: Orbit
https://www.readbyqxmd.com/read/28361005/respiratory-symptoms-and-illnesses-related-to-the-concentration-of-airborne-particulate-matter-among-brick-kiln-workers-in-kathmandu-valley-nepal
#9
Seshananda Sanjel, Sanjay N Khanal, Steven M Thygerson, William S Carter, James D Johnston, Sunil K Joshi
BACKGROUND: Bricks have been manufactured in Nepal for hundreds of years and are seen as a component of Nepalese sculpture and architecture. Large quantities of hazardous materials including high concentrations of particulate matter are emitted on a daily basis from brick kilns. Exposure to these hazardous materials can lead to adverse consequences on the environment and human health. This study was conducted to  estimate the prevalence of respiratory symptoms/illnesses and the magnitude of respirable and total dust exposures among Nepalese brick kiln workers...
2017: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28351353/the-impact-of-ocular-trauma-during-the-nepal-earthquake-in-2015
#10
E Pradhan, B Limbu, S Thakali, N S Jain, R Gurung, S Ruit
BACKGROUND: Nepal was struck by a massive earthquake on the 25th April 2015 and major aftershock on the 12th of May 2015, resulting in widespread devastation with a death toll in the thousands. The burden of ocular trauma resulting from the recent earthquakes in Nepal has not been described thus far. The aim of this study was to determine the types of ocular injuries sustained in the earthquake in Nepal and its management in Tilganga Institute of Ophthalmology (TIO) in Gaushala, Kathmandu...
March 28, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28346535/caudwell-xtreme-everest-a-prospective-study-of-the-effects-of-environmental-hypoxia-on-cognitive-functioning
#11
Konstadina Griva, Jan Stygall, Mark H Wilson, Daniel Martin, Denny Levett, Kay Mitchell, Monty Mythen, Hugh E Montgomery, Mike P Grocott, Golnar Aref-Adib, Mark Edsell, Tracie Plant, Chris Imray, Debbie Cooke, Jane Harrington, Maryam Khosravi, Stanton P Newman
BACKGROUND: The neuropsychological consequences of exposure to environmental hypobaric hypoxia (EHH) remain unclear. We thus investigated them in a large group of healthy volunteers who trekked to Mount Everest base camp (5,300 m). METHODS: A neuropsychological (NP) test battery assessing memory, language, attention, and executive function was administered to 198 participants (age 44.5±13.7 years; 60% male). These were studied at baseline (sea level), 3,500 m (Namche Bazaar), 5,300 m (Everest Base Camp) and on return to 1,300 m (Kathmandu) (attrition rate 23...
2017: PloS One
https://www.readbyqxmd.com/read/28329181/treatment-response-in-enteric-fever-in-an-era-of-increasing-antimicrobial-resistance-an-individual-patient-data-analysis-of-2-092-participants-enrolled-into-four-randomised-controlled-trials-in-nepal
#12
Corinne N Thompsom, Abhilasha Karkey, Sabina Dongol, Amit Ariyal, Marcel Wolbers, Thomas Darton, Jeremey J Farrar, Guy E Thwaites, Christiane Dolecek, Buddha Basnyat, Stephen Baker
Background: Enteric fever, caused by Salmonella Typhi and Salmonella Paratyphi A, is the leading cause of bacterial febrile disease in South Asia. Methods: Individual patient data from 2,092 subjects with enteric fever randomised into four trials in Kathmandu, Nepal was pooled. All trials compared gatifloxacin with a comparator drug: cefixime, chloramphenicol, ofloxacin, or ceftriaxone. Treatment outcomes were evaluated according to antimicrobial if S. Typhi/Paratyphi were isolated from blood...
February 28, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28327684/outbreak-investigation-of-influenza-in-pajaru-vdc-of-jajarkot-district-of-nepal
#13
S K Upadhyay, P M Singh Pradhan, R K Mahato, B Marasini, B Upadhyaya, G Shakya, G Baral, K P Baral
BACKGROUND: An outbreak investigation study was conducted in Pajaru, one of the initially affected Village Development Committees (VDCs) of the Jajarkot district in Nepal following an outbreak of respiratory illness in early 2015. The objectives of this study were to identify the cases and magnitude of the outbreak. METHODS: A cross-sectional study was carried out in mid-April 2015 covering five most affected wards of Pajaru VDC to assess the patients using standard case definition for Influenza like Illness (ILI)...
September 2016: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/28327098/sleep-quality-internet-addiction-and-depressive-symptoms-among-undergraduate-students-in-nepal
#14
Parash Mani Bhandari, Dipika Neupane, Shristi Rijal, Kiran Thapa, Shiva Raj Mishra, Amod Kumar Poudyal
BACKGROUND: Evidence on the burden of depression, internet addiction and poor sleep quality in undergraduate students from Nepal is virtually non-existent. While the interaction between sleep quality, internet addiction and depressive symptoms is frequently assessed in studies, it is not well explored if sleep quality or internet addiction statistically mediates the association between the other two variables. METHODS: We enrolled 984 students from 27 undergraduate campuses of Chitwan and Kathmandu, Nepal...
March 21, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28321350/shigellosis-caused-by-ctx-m-type-esbl-producing-shigella-flexneri-in-two-siblings-of-rural-nepal-first-case-report-from-the-country
#15
Narayan Prasad Parajuli, Govardhan Joshi, Bashu Dev Pardhe, Jyotsna Shakya, Anjeela Bhetwal, Shreena Shakya, Roshan Pandit, Sumesh Shreekhanda Shrestha, Puspa Raj Khanal
Shigellosis is an acute infectious disease characterized as severe bloody diarrhea (dysentery) and is accountable for a significant burden of morbidity and mortality especially in children under the age of 5 years. Antimicrobial therapy is required in the cases of severe dysentery associated with Shigella. However, emergence of multidrug resistant (MDR) strains of Shigella spp. over the last two decades has restricted the use of common therapeutic antimicrobials. In MDR strains, the third-generation cephalosporins have been used for the treatment, but, unfortunately, emerging reports of enzyme mediated β-lactam resistance among Shigella isolates from various parts of the world have greatly compromised the therapy of pediatric dysentery...
2017: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/28288801/perceived-impact-of-nepalese-food-and-food-culture-in-diabetes
#16
Sujata Sapkota, Jo-Anne E Brien, Josephine Gwynn, Victoria Flood, Parisa Aslani
Consuming a healthy diet forms an important component of diabetes management; however, adhering to a healthy diet is challenging. Dietary behaviour is often guided by socio-cultural, environmental and emotional factors, and not necessarily by physical and nutritional needs. This study explored Nepalese patients' perceptions of the impact of diet, diet management requirement for diabetes and how Nepalese food culture in particular influenced diet management. Interviews were conducted with Nepalese participants with type 2 diabetes in Sydney and Kathmandu; and data was thematically analysed...
March 10, 2017: Appetite
https://www.readbyqxmd.com/read/28277019/nepalese-patients-anti-diabetic-medication-taking-behaviour-an-exploratory-study
#17
Sujata Sapkota, Jo-Anne E Brien, Parisa Aslani
OBJECTIVE: To explore anti-diabetic medication taking behaviour in Nepalese patients with type 2 diabetes and investigate the factors impacting medication taking in this population. DESIGN: Face-to-face interviews (n = 48) were conducted with Nepalese patients with type 2 diabetes in Sydney (Australia) and Kathmandu (Nepal). All interviews were audio-recorded, transcribed verbatim and thematically analysed. Participants' medication adherence was also assessed quantitatively using the summary of diabetes self-care activity (SDSCA) questionnaire...
February 25, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28275449/epidemiology-of-hiv-programmatic-progress-and-gaps-in-last-10-years-in-nepal
#18
EDITORIAL
Tarun Paudel, Nihal Singh, Megha Raj Banjara, Sambhu Prasad Kafle, Yadu Chandra Ghimire, Bhesh Raj Pokharel, Bir Bahadur Rawal, Komal Badal, Madhav Chaulagain, Razia Pendse, Prakash Ghimire
BACKGROUND AND OBJECTIVES: Nepal has made progress with the control of HIV infection in recent years. There have been changes in epidemiology, programme interventions in different population groups, and changes in policies over the last 10 years, particularly in diagnosis and treatment. Therefore, this review was conducted to identify the effectiveness of different interventions/policies in different sub-populations at risk, targeted towards epidemiology and treatment outcomes for those with HIV infection in Nepal...
November 28, 2016: Journal of Virus Eradication
https://www.readbyqxmd.com/read/28264394/discovery-of-i-neopanorpa-chillcotti-i-byers-mecoptera-panorpidae-from-tibet-china-with-discussion-of-its-generic-status
#19
Meng Wang, Bao-Zhen Hua
Neopanorpa chillcotti Byers, 1971 was originally described from Kathmandu in Nepal and is now found to be distributed in Gyirong, Tibet in China. The species is redescribed and illustrated based on new material from China and Nepal. The generic status of this species is briefly discussed.
February 15, 2017: Zootaxa
https://www.readbyqxmd.com/read/28264024/anti-japanese-encephalitis-virus-igm-positivity-among-patients-with-acute-encephalitic-syndrome-admitted-to-different-hospitals-from-all-over-nepal
#20
Anupama Bhattarai, Narayan Dutt Pant, Krishus Nepal, Sailaja Adhikari, Mukunda Sharma, Pramila Parajuli
The Japanese encephalitis virus (JEV) infection is one of the major public health problems in Nepal because of its increasing disease morbidity and mortality. The main purpose of this study was to determine the anti-JEV IgM positivity among acute encephalitis syndromic cases from all over Nepal. The present study was conducted at National Public Health Laboratory, Kathmandu, Nepal from April 2015 to October 2015. A total of 671 (418 CSF and 253 serum) samples were collected from 625 patients with acute encephalitic syndrome, admitted to different hospitals from all over Nepal...
2017: PloS One
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