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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
https://www.readbyqxmd.com/read/28250514/peer-led-active-tuberculosis-case-finding-among-people-living-with-hiv-lessons-from-nepal
#10
Dipu Joshi, Raisha Sthapit, Miranda Brouwer
PROBLEM: People living with a human immunodeficiency virus (HIV) infection have a high risk of tuberculosis and should undergo regular screening. However, they can be difficult to reach because they are stigmatized and discriminated against. APPROACH: In Nepal, the nongovernmental organization Naya Goreto implemented a peer-led tuberculosis screening project in which people living with HIV volunteered to contact others in this high-risk population. Volunteers took part in a short training course, after which they attempted to contact people living with HIV through existing networks and self-help groups...
February 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/28224853/don-t-take-the-nhs-for-granted
#11
Christopher Maguire
In my final year of training I undertook an elective placement in Nepal, where I spent three weeks in an emergency department in Kathmandu.
February 22, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28189072/modeling-the-intraurban-variation-in-nitrogen-dioxide-in-urban-areas-in-kathmandu-valley-nepal
#12
Anobha Gurung, Jonathan I Levy, Michelle L Bell
BACKGROUND: With growing urbanization, traffic has become one of the main sources of air pollution in Nepal. Understanding the impact of air pollution on health requires estimation of exposure. Land use regression (LUR) modeling is widely used to investigate intraurban variation in air pollution for Western cities, but LUR models are relatively scarce in developing countries. In this study, we developed LUR models to characterize intraurban variation of nitrogen dioxide (NO2) in urban areas of Kathmandu Valley, Nepal, one of the fastest urbanizing areas in South Asia...
May 2017: Environmental Research
https://www.readbyqxmd.com/read/28185207/quantification-and-genotyping-of-aichi-virus-1-in-water-samples-in-the-kathmandu-valley-nepal
#13
Eiji Haramoto, Masaaki Kitajima
Aichi virus 1 genomes were detected by quantitative PCR in groundwater from shallow dug (10/22) and tube wells (1/15), river water (14/14), and sewage (1/1), with the maximum concentration of 4.0 × 10(9) copies/l. Nucleotide sequencing analysis demonstrated the prevalence of genotype B in the virus positive samples.
February 9, 2017: Food and Environmental Virology
https://www.readbyqxmd.com/read/28166074/airborne-particulate-matter-and-health-condition-in-brick-kiln-workers-in-kathmandu-valley-nepal
#14
S Sanjel, S N Khanal, S M Thygerson, K Khanal, Z Pun, S Tamang, S K Joshi
Background Air quality monitoring in brick kilns indicates very high concentrations of airborne particulate matter. Air pollution from brick kilns poses an enhanced threat to the environment and to human health. Objective To evaluate airborne particulate matter concentration and health status of brick kiln workers. Method A cross-sectional comparative study was conducted in the Kathmandu valley targeting all brick industries and their workers during January - March 2015 and March - April 2016. A total of 16 brick kilns and 800 participants (400 brick workers as exposed and 400 grocery workers as referent) were selected for study...
April 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/28166070/prevalence-of-respiratory-diseases-according-to-spirometry-findings-among-patients-attending-the-spirometry-department-of-dhulikhel-hospital
#15
B K Prajapati, S Pradhan
Background Spirometry is a standard test for screening and evaluation of patients with symptoms of cough and shortness of breath. Despite its easy availability, low cost and ease of performance it has not been widely used in clinical practice in Nepal. Objective To assess the prevalence of respiratory diseases in a regional referral centre in patients referred for spirometry. Method This is a descriptive cross-sectional study including patients referred for spirometry to the spirometry unit of Dhulikhel Hospital, Kathmandu University Hospital from 2014 July to 2015 October...
April 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/28166069/the-prevalence-of-diabetic-retinopathy-among-known-diabetic-population-in-nepal
#16
S K Mishra, B P Pant, P Subedi
Background The worldwide prevalence of diabetic retinopathy (DR) was found to be 34.6%. WHO estimates that DR is responsible for 4.8% of the 37 million cases of blindness throughout the world. In a study undertaken in urban population in Nepal, M.D. Bhattarai found the prevalence of diabetes among people aged 20 years and above to be 14.6% and the prevalence among people aged 40 years and above to be 19%. Studies on DR, to our knowledge, have mostly been hospital based in Nepal. Little information is available about prevalence of DR at the community level in Nepal...
April 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/28166065/estimation-of-causes-of-death-in-suburban-nepal-using-verbal-autopsy
#17
N Ide, A L Fitzpatrick, A D Flaxman, R Koju, D Tamrakar, B Hernandez
Background Nepal is in the midst of a disease transition, including a rapid increase of noncommunicable diseases. In order for health policy makers and planners to make informed programmatic and funding decisions, they need up to date and accurate data regarding cause of death throughout the country. Methods of improving cause of death reporting in Nepal are urgently required. Objective We sought to validate SmartVA-Analyze, an application which computer certifies verbal autopsies, to evaluate it as a method for collecting mortality data in Nepal...
April 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/28166064/incidence-and-risk-factors-of-surgical-site-infections-in-kathmandu-university-hospital-kavre-nepal
#18
S Shrestha, P Wenju, R Shrestha, R M Karmacharya
Background Surgical site infections (SSI) are the common nosocomial infection in surgical patients, and are a significant source of postoperative morbidity resulting in increased hospital stay, morbidity and cost. Objective The objective of this study was to obtain the incidence of SSI and determine various risks factors influencing the SSI rate with special reference to the National Nosocomial Infections Surveillance System risk index in Kathmandu University Hospital, Kavre, Nepal. Method Six hundred and thirty eight patients who underwent various surgeries in Dhulikhel Hospital, Kathmandu University Hospital during a three-month period were included...
April 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/28159124/knowledge-experience-and-utilisation-of-sexual-and-reproductive-health-services-amongst-nepalese-youth-living-in-the-kathmandu-valley
#19
Laxmi Tamang, Camille Raynes-Greenow, Kevin McGeechan, Kirsten I Black
OBJECTIVE: Youth have the right to utilise sexual and reproductive health (SRH) services and information to protect themselves from negative SRH outcomes. This study aimed to assess knowledge, experience and use of SRH services amongst youth living in urban areas of the Kathmandu Valley. METHODS: We conducted a two stage cluster sampling cross-sectional household survey of young men and women aged 15-24 living in the Kathmandu Valley using a structured questionnaire...
March 2017: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/28154581/detection-of-methicillin-resistant-staphylococcus-aureus-and-determination-of-minimum-inhibitory-concentration-of-vancomycin-for-staphylococcus-aureus-isolated-from-pus-wound-swab-samples-of-the-patients-attending-a-tertiary-care-hospital-in-kathmandu-nepal
#20
Raghabendra Adhikari, Narayan Dutt Pant, Sanjeev Neupane, Mukesh Neupane, Roshan Bhattarai, Sabita Bhatta, Raina Chaudhary, Binod Lekhak
The present study was conducted to evaluate the performance of cefoxitin disc diffusion method and oxacillin broth microdilution method for detection of methicillin resistant S. aureus (MRSA), taking presence of mecA gene as reference. In addition, inducible clindamycin resistance and beta-lactamase production were studied and minimum inhibitory concentration (MIC) of vancomycin for S. aureus isolates was determined. A total of 711 nonrepeated pus/wound swab samples from different anatomic locations were included in the study...
2017: Canadian Journal of Infectious Diseases & Medical Microbiology
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