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https://www.readbyqxmd.com/read/29029328/predicting-deaths-in-a-resource-limited-neonatal-intensive-care-unit-in-nepal
#1
Dhruba Shrestha, Bhim G Dhoubhadel, Christopher M Parry, Bina Prajapati, Koya Ariyoshi, Chandeshwar Mahaseth
Background: This study aimed to determine whether the Neonatal Acute Physiology (SNAP) scoring system (SNAP II) and with perinatal extension (SNAP II PE) can be used to predict neonatal deaths in a resource-limited neonatal intensive care unit in Nepal. Methods: A prospective observational study was conducted in a neonatal intensive care unit (NICU) of Kanti Children's Hospital in Kathmandu, Nepal. Data required for the SNAP II and SNAP II PE scores were collected...
September 28, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29018810/renaissance-of-conventional-first-line-antibiotics-in-salmonella-enterica-clinical-isolates-assessment-of-mics-for-therapeutic-antimicrobials-in-enteric-fever-cases-from-nepal
#2
Puspa Raj Khanal, Deepa Satyal, Anjeela Bhetwal, Anjila Maharjan, Shreena Shakya, Snehika Tandukar, Narayan Prasad Parajuli
Enteric fever caused by Salmonella enterica is a life-threatening systemic illness of gastrointestinal tract especially in tropical countries. Antimicrobial therapy is generally indicated but resistance towards commonly used antibiotics has limited their therapeutic usefulness. Therefore, we aimed to determine the antimicrobial susceptibility pattern by minimum inhibitory concentration method of common therapeutic regimens against Salmonella enterica from enteric fever clinical cases. Salmonella enterica clinical isolates recovered from the patients with suspected enteric fever whose blood samples were submitted to microbiology laboratory of Manmohan Memorial Community Hospital, Kathmandu, from March 2016 to August 2016, were studied...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29016593/dentists-in-nepal-a-situation-analysis
#3
Rabindra Man Shrestha, Sujita Shrestha Shrestha, Nischal Kunwar
BACKGROUND: Human resource data is essential for planning and implementation of health care delivery system. However, very few information is available on dental health human resource in the country. The aim of study was to assess the number of dentists in the country and to explore their distribution according to demographic and professional characteristics. METHODS: A census was performed during July 2015 to July 2016 about the Nepali dentists. The study assessed demographic and professional characteristics of dentists including age, gender, ethnicity, education attainment, university, country/year of graduation, and work place using data collection sheet by trained data collectors...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016590/endoscopic-endonasal-transsphenoidal-approach-to-pituitary-adenoma-a-multi-disciplinary-approach
#4
Deepak Regmi, Amit Thapa, Bidur Kc, Bikram Shakya
BACKGROUND: The excellent visualization and minimally invasive approach employed in endoscopic endonasal procedures has now revolutionized the pituitary surgery, replacing the transnasal microscopic technique worldwide. However, it involves major shift in hand-eye co-ordination from static 3 dimensional images of microscope to 2 dimensional endoscopic images hence demands training and inter-disciplinary approach. Here we present our experiences in learning and developing a safe endonasal transsphenoidal endoscopic approach to resect pituitary adenomas...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016587/bogota-bag-in-abdominal-compartment-syndrome-at-kathmandu-model-hospital
#5
Bijendra Dhoj Joshi, Udaya Koirala, Amit M Upadhyaya, Arbin Joshi, Saroj Dhital
BACKGROUND: The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open until intra-abdominal pressure decreases. Temporary abdominal closure techniques are used to postpone definite closure until predisposing factors causing pathologic elevation of intra-abdominal pressure are resolved.This study aim to analyze feasibility of Bogota Bag placement as a way of temporary abdominal closure...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016578/profile-of-caesarean-section-at-kathmandu-medical-college
#6
Apurwa Prasad, Garima Bhandari, Rachana Saha
BACKGROUND: There is a world-wide rise in caesarean section rateduring the last three decades and has been a cause of alarm and needs an in-depth study. The objective of this study was to determine the rate and clinical indications of Caesarean Section. METHODS: A hospital based study was carried out from 15th June 2015 to 15th January 2016 in Department of Obstetrics and Gynecology at Kathmandu Medical College, Sinamangal, Nepal. Patients who delivered by caesarean section were included in the study...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016577/can-a-leaflet-with-brief-verbal-instruction-teach-nepali-women-how-to-correctly-contract-their-pelvic-floor-muscles
#7
Delena-Mae Caagbay, Kirsten Black, Ganesh Dangal, Camille Raynes-Greenow
BACKGROUND: Pelvic organ prolapse is a common disorder for women in Nepal causing symptoms and reduced quality of life. Pelvic floor muscle exercise is a conservative treatment option for pelvic organ prolapse but the effective way to teach women in Nepal is not known. The objective of this pilot study was to determine if an illustrative leaflet with brief verbal instruction could teach Nepali women to correctly contract their pelvic floor muscles. METHODS: Fifteen parous women attending two outpatient gynecology clinics in Kathmandu Valley were interviewed to assess their knowledge of pelvic organ prolapse and pelvic floor muscles exercise...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016327/molecular-and-clinical-epidemiology-of-salmonella-paratyphi-a-isolated-from-patients-with-bacteremia-in-nepal
#8
Jatan Bahadur Sherchan, Masatomo Morita, Takashi Matono, Hidemasa Izumiya, Makoto Ohnishi, Jeevan B Sherchand, Sarmila Tandukar, Ujjwal Laghu, Maki Nagamatsu, Yasuyuki Kato, Norio Ohmagari, Kayoko Hayakawa
Little is known about the epidemiology of typhoid and paratyphoid fever in Nepal. We aimed to elucidate the molecular and clinical epidemiology of Salmonella Paratyphi A in Nepal. Isolates were collected from 23 cases of bacteremia due to S. Paratyphi A between December 2014 and October 2015. Thirteen patients (57%) were male, and the median age was 21 years. None of the patients had an underlying chronic disease. All S. Paratyphi A isolates were sensitive to ampicillin, trimethoprim/sulfamethoxazole, ceftriaxone, and chloramphenicol...
October 9, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28973415/social-and-economic-burden-associated-with-typhoid-fever-in-kathmandu-and-surrounding-areas-a-qualitative-study
#9
Linda M Kaljee, Alfred Pach, Denise Garrett, Deepak Bajracharya, Kshitu Karki, Imran Khan
Typhoid fever is a significant contributor to infectious disease mortality and morbidity in low- and middle-income countries, particularly in South Asia. With increasing antimicrobial resistance, commonly used treatments are less effective and risks increase for complications and hospitalizations. During an episode of typhoid fever, households experience multiple social and economic costs that are often undocumented. In the current study, qualitative interview data from Kathmandu and surrounding areas provide important insights into the challenges that affect those who contract typhoid fever and their caregivers, families, and communities, as well as insight into prevention and treatment options for health providers and outreach workers...
July 29, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28957434/correction-high-blood-levels-of-lead-in-children-aged-6-36-months-in-kathmandu-valley-nepal-a-cross-sectional-study-of-associated-factors
#10
Meghnath Dhimal, Khem Bahadur Karki, Krishna Kumar Aryal, Bimala Dhimal, Hari Datt Joshi, Sajan Puri, Achyut Raj Pandey, Purushotam Dhakal, Arun Kumar Sharma, Dhruba Shrestha, Ganendra Bhakta Raya, Imran Ansari, David A Groneberg, Ruth Müller, Ulrich Kuch
[This corrects the article DOI: 10.1371/journal.pone.0179233.].
2017: PloS One
https://www.readbyqxmd.com/read/28939960/disaster-zones-should-we-be-clowning-around
#11
Uri Ilan, Avigail Davidov, Joseph Mendlovic, Giora Weiser
Medical clowns have an important role in helping patients cope with their pain and distress. This is especially true in the pediatric population. However, their activity in a disaster area is unheard of. Following the Nepal earthquake in 2015, the Israeli field hospital set up in Kathmandu, Nepal was joined by five volunteer medical clowns. They were active in all parts of the field hospital. Following the hospital's activity, an online questionnaire was sent to the field hospital members to assess the impact of medical clowning on the hospital in general and its members' individual performance...
September 22, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28932604/high-burden-of-antimicrobial-resistance-among-bacteria-causing-pyogenic-wound-infections-at-a-tertiary-care-hospital-in-kathmandu-nepal
#12
Basista Prasad Rijal, Deepa Satyal, Narayan Prasad Parajuli
Pyogenic wound infections are one of the most common clinical entities caused and aggravated by the invasion of pathogenic organisms. Prompt and aggressive antimicrobial therapy is needed to reduce the burden and complications associated with these infections. In this study, we intended to investigate the common pathogens and their antimicrobial susceptibility patterns from the pyogenic wound infections at a tertiary care hospital in Kathmandu, Nepal. A laboratory based cross-sectional study was carried out among the pyogenic clinical specimens of the patients visiting Manmohan Memorial Teaching Hospital, Kathmandu, Nepal...
2017: Journal of Pathogens
https://www.readbyqxmd.com/read/28927454/extended-spectrum-beta-lactamase-and-metallo-beta-lactamase-production-among-escherichia-coli-and-klebsiella-pneumoniae-isolated-from-different-clinical-samples-in-a-tertiary-care-hospital-in-kathmandu-nepal
#13
Krishus Nepal, Narayan Dutt Pant, Bibhusan Neupane, Ankit Belbase, Rikesh Baidhya, Ram Krishna Shrestha, Binod Lekhak, Dwij Raj Bhatta, Bharat Jha
BACKGROUND: Extended spectrum beta-lactamase (ESBL) and metallo beta-lactamase (MBL) production in Klebsiella pneumoniae and Escherichia coli are the commonest modes of drug resistance among these commonly isolated bacteria from clinical specimens. So the main purpose of our study was to determine the burden of ESBL and MBL production in E. coli and K. pneumoniae isolated from clinical samples. Further, the antimicrobial susceptibility patterns of E. coli and K. pneumoniae were also determined...
September 19, 2017: Annals of Clinical Microbiology and Antimicrobials
https://www.readbyqxmd.com/read/28923753/concentration-and-spatial-distribution-of-organophosphate-esters-in-the-soil-sediment-profile-of-kathmandu-valley-nepal-implication-for-risk-assessment
#14
Ishwar Chandra Yadav, Ningombam Linthoingambi Devi, Jun Li, Gan Zhang, Adrian Covaci
Despite the fact that soil and sediments, which act as a sink or potential source of organic pollutants, have been polluted with organophosphate esters (OPEs) around the globe, extremely constrained data is accessible on environmental concentration and fate of OPEs in solid matrices in whole of the South Asia particularly if there should be an occurrence in Nepal. In this study, surface soil (N=19) and sediments samples (N=20) were analyzed for eight different OPE in Kathmandu Valley during October 2014. The concentration of ∑8OPE measured in sediments samples was 12 times higher than soil and ranged 983-7460ng/g dw (median 2210ng/g dw) and 65-27,500ng/g dw (186ng/g dw), respectively...
September 15, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28911012/particulate-matter-and-risk-of-hospital-admission-in-the-kathmandu-valley-nepal-a-case-crossover-study
#15
Anobha Gurung, Ji-Young Son, Michelle L Bell
Air pollution is known to lead to a substantial health burden, but the majority of evidence is based on data from North America and Europe. Despite rising pollution levels, very limited information is available for South Asia. We investigated the impact of particulate matter with an aerodynamic diameter less than or equal to 10 μm (PM10) on hospitalization, by cause and subpopulation, in the Kathmandu Valley, an understudied and rapidly urbanizing region in Nepal. Individual-level daily inpatient hospitalization data (2004-2007) were collected from each of 6 major hospitals, as Nepal has no central data collection system...
September 1, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28903741/is-economic-dependence-on-the-husband-a-risk-factor-for-intimate-partner-violence-against-female-factory-workers-in-nepal
#16
Sunita Dhungel, Pabita Dhungel, Shalik Ram Dhital, Christiane Stock
BACKGROUND: Violence related injury is a serious public health issue all over the world. This study aims to assess the association between several socio-economic factors and intimate partner violence (IPV) in Nepal. METHODS: A cross-sectional study was conducted among 236 women working in carpet and garment factories in Kathmandu, Nepal. Interviews were conducted to collect quantitative data on three forms of IPV, namely physical violence, psychological violence and sexual violence, as well as on a number of potentially associated factors...
September 13, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28882168/detection-of-cryptosporidium-parvum-and-cyclospora-cayetanensis-infections-among-people-living-in-a-slum-area-in-kathmandu-valley-nepal
#17
Balkrishna Bhattachan, Jeevan Bahadhur Sherchand, Sarmila Tandukar, Bhim Gopal Dhoubhadel, Leesa Gauchan, Ganesh Rai
OBJECTIVE: The aim of this study is to determine the prevalence of Cyclospora cayetanensis and Cryptosporidium parvum infections among people living a slum in Kathmandu valley, Nepal. RESULTS: Ten different parasites were detected in the stool samples; the prevalence of any parasite was in 27.1% (71/262). The prevalence of C. cayetanensis and C. parvum were 14.1% (10/71) and 5.6% (4/71), respectively. This study showed high prevalence of intestinal parasitic infections along with the coccidian parasites in the slum area of Kathmandu Valley...
September 7, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28878895/social-determinants-and-risk-behaviors-associated-with-prevalent-hepatitis-c-and-hiv-hcv-co-infection-among-male-injection-drug-users-in-nepal
#18
Sampurna Kakchapati, Manju Maharjan, Bir Bahadhur Rawal, Sameer Mani Dixit
BACKGROUND: Nepal is facing double burden of injecting drug use and HIV, yet the problem of Hepatitis C Virus (HCV) has not been so well addressed, where there is large population known to be at risk for HCV. This study assessed the prevalence of HCV infection and HIV/HCV co-infection among male injection drug users (IDUs) in Nepal and identified factors associated with infection. METHODS: Cross-sectional surveys in 2015 aimed to sample 1045 male IDUs in the Kathmandu valley, Pokhara Valley and Eastern Terai districts of Nepal...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28871323/-orthopedic-surgery-in-dhulikhel-nepal
#19
REVIEW
K H Winker, W Mutschler
Nepal is one of the 20 poorest countries in the world. Thus, medical care in Nepal is dependent on significant medical and financial commitment from within and outside the country. Dhulikhel Hospital - Kathmandu University Hospital (DH-KUH) was founded in 1996 by Prof. Dr. Ram and colleagues. Collaboration and support of many people and institutions are, in contrast to the experience in other hospitals of the third world, characterized by an extraordinary sustainability. The reason for this is the spirit lived according to the motto "best service for the poor"...
September 4, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28870243/human-fascioliasis-by-fasciola-hepatica-the-first-case-report-in-nepal
#20
Ranjit Sah, Shusila Khadka, Mohan Khadka, Dipesh Gurubacharya, Jeevan Bahadur Sherchand, Keshab Parajuli, Niranjan Prasad Shah, Hari Prasad Kattel, Bharat Mani Pokharel, Basista Rijal
BACKGROUND: Fascioliasis is a zoonotic disease caused by Fasciola species. Patient may be asymptomatic or presents with jaundice and biliary colic or right hypochondriac pain due to bile duct obstruction with gastrointestinal symptoms. CASE PRESENTATION: We report a case of human fascioliasis in a 45 years old female presented to Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal on August, 2015 with fever, right hypochondriac pain, jaundice and occasional vomiting with anorexia for 4 months whose alkaline phosphatase was elevated and peripheral blood smear revealed eosinophilia...
September 5, 2017: BMC Research Notes
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