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Dinesh Kumar Lamsal
INTRODUCTION: Systolic and diastolic hypertension has been increasing trend and different factors are associated such as body mass index, diabetes etc. Obesity and overweight are generally associated with high blood pressure. This study aims to identify the prevalence of blood pressure level and its association to body mass index among people attending in civil service hospital, Kathmandu. METHODS: A cross-sectional descriptive study was conducted among all 1002 study subjects aged above 20 years...
October 2017: JNMA; Journal of the Nepal Medical Association
Meera Bista
INTRODUCTION: Nasal packing is one of the most common rhinological procedures in ENT practice exerting local in nose and systemic effects. Systemic effects may be due to poor sleep quality, respiratory difficulty, decreased oxygen saturation, circulatory problems and toxic shock syndrome which can threaten the life of a person.The study was done to investigate the effect on bilateral nasal packing on blood oxygen saturation and blood pressure changes. METHODS: A cross-sectional prospective study was undertaken in Kathmandu Medical College from January 2017 to June 2017...
October 2017: JNMA; Journal of the Nepal Medical Association
Kiran Regmi, Jeetendra Kaji Shrestha, Sudhamshu Kc, Bikash Jaishi, Niyanta Karki, Dipendra Khadka, Sandip Khadka
INTRODUCTION: Worldwide there is variation in prevalence of Hepatitis D viral infection. Superinfection and co infection with hepatitis B viral infection is known to occur in 15-20 million people. METHODS: This was a descriptive cross-sectional hospital based study carried out in NAMS, Bir hospital, Kathmandu, Nepal from period of January 2017 to June 2017. Consecutive patients of chronic hepatitis B viral infection of HBsAg positive with more than two-time upper normal limit of ALT were enrolled and tested for HDV IgG...
October 2017: JNMA; Journal of the Nepal Medical Association
John Mcgee, Bimal Pandey, Abhishek Maskey, Tifany Frazer, Theodore Mackinney
Nepal's Ministry of Health began offering free lifetime hemodialysis (HD) in 2016. There has been a large growth in renal replacement therapy (RRT) services offered in Nepal since 2010, when the last known data on the subject was published. In 2016, 42 HD centers existed (223% increase since 2010) serving 1975 end stage renal disease patients (303% increase since 2010); 36 nephrologists were registered (200% increase since 2010), 12 were trained in transplantation, and 790 transplants had been performed to date...
February 15, 2018: Hemodialysis International
Ishwar Chandra Yadav, Ningombam Linthoingambi Devi, Jun Li, Gan Zhang
Although several global/regional studies have detailed the high level of polycyclic aromatic hydrocarbons in urban areas worldwide, unfortunately, Nepal has never been part of any global/regional regular monitoring plan. Despite few sporadic studies exist, the systematic monitoring and integrated concentration of PAHs in urban region of Nepal are lacking. In this study, the concentrations, sources, and health risk assessment of 16 PAHs in air (n = 34) were investigated in suspected source areas/more densely populated regions of Nepal...
February 3, 2018: Chemosphere
Bishnu Rath Giri, Ram Hari Chapagain, Samana Sharma, Sandeep Shrestha, Sunita Ghimire, P Ravi Shankar
BACKGROUND: Earthquakes impact child health in many ways. Diseases occurring immediately following an earthquake have been studied in field based hospitals but studies on the inpatient disease pattern among children without trauma in a permanent hospital setup is lacking. METHODS: We examined the diagnoses of all children without trauma, admitted to Kanti Children's Hospital, Kathmandu for fifteen-week duration (from 4th week to end of the 18th week) following the 7...
February 5, 2018: BMC Pediatrics
Shyam Kumar Pun, Alberto A Guglielmone, Evelina L Tarragona, Santiago Nava, Mahendra Maharjan
Males and females specimens of Amblyomma were collected from Orthriophis hodgsoni (Squamata: Colubridae) caught during routine herpetological work in Kathmandu. Morphological characteristics led to the diagnosis of A. varanense, constituting the second Nepalese species for the genus after the collection of Amblyomma gervaisi, also from a colubrid snake, almost 100 years ago. Amblyomma varanense is the 55th species found in the country, and preceded for the collection of 21 species of Haemaphysalis, 14 Ixodes, 6 Rhipicephalus, 6 Hyalomma, 4 Dermacentor, 1 Amblyomma, 1 Anomalohimalaya and 1 species of Nosomma...
January 30, 2018: Ticks and Tick-borne Diseases
Viktoria Nelin, Ashish Kc, Ola Andersson, Nisha Rana, Mats Målqvist
OBJECTIVE: Delayed umbilical cord clamping (DCC) (≥ 60 s) is recognized to improve iron status and neurodevelopment compared to early umbilical cord clamping. The aim of this study is to identify current umbilical cord clamping practice and factors determining the timing of clamping in a low-resource setting where prevalence of anemia in infants is high. RESULTS: A cross-sectional study design including 128 observations of clinical practice in a tertiary-level maternity hospital in Kathmandu, Nepal...
January 31, 2018: BMC Research Notes
Nawaraj Upadhaya, Mark J D Jordans, Dristy Gurung, Ruja Pokhrel, Ramesh P Adhikari, Ivan H Komproe
BACKGROUND: Psychotropic drugs play an important role in the treatment of mental, neurological and substance use disorders. Despite the advancement of the use of psycho-pharmaceuticals in the developed countries, the psychotropic drug production and supply chain management in low- and middle- income countries are still poorly developed. This study aims to explore the perceptions of stakeholders involved in all stages of the psychotropic drug supply chain about the need, quality, availability and effectiveness of psychotropic drugs, as well as barriers to their supply chain management...
January 24, 2018: Globalization and Health
Shreya Shrivastav, Ram Chandra Adhikari
Tungiasis is a common parasitic infection inmany parts of the world, including South and Central America and parts of Africa. It is rare in other places, such as in India and Pakistan and imported cases have been reported in Taiwan, Italy, the United States of America, etc. Our diagnosis was made based on histopathologiocal features of the parasite, which corresponds too ther reports and description of tungiasis.1-3 It was treated by surgical excision alone. The fact that the disease has never been reported in Nepal makes it difficult to diagnose clinically, but should be considered in the future...
January 1, 2018: Journal of Nepal Health Research Council
Rachana Sharma, Subhash Chandra Sharma, Sudarshan Narsingh Pradhan
BACKGROUND: Schizophrenia and bipolar affective disorder are chronic psychiatric illness that requires long term care. This study tends to measure psychological burden and factors associated with it among caregivers of these two illnesses. METHODS: This is a cross- sectional study that included participants by purposive sampling method. Self designed performa was used to collect the socio-demographic details of the caregivers. Modified caregiver strain index was used to assess the overall stress...
January 1, 2018: Journal of Nepal Health Research Council
Dipshikha Bajracharya, Sujaya Gupta, Manish Sapkota, Shishir Bhatta
BACKGROUND: Lack of knowledge and awareness about oral cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the disease. The present study was carried out to evaluate the awareness of oral cancer among patients visiting Kantipur Dental College, Kathmandu, Nepal. METHODS: The cross-sectional study was done in 471 patients from 15-85 years. Self administered questionnaire was prepared which comprised of knowledge of oral cancer, source of information, its early signs and symptoms along with the awareness of its risk factors...
January 1, 2018: Journal of Nepal Health Research Council
Om Biju Panta, Yagya Raj Pathak, Dan Bahadur Karki
BACKGROUND: Magnetic Resonance Imaging is the imaging modality of choice for imaging spinal infection due to its high sensitivity and specificity. This study aims to study the magnetic resonance imaging changes in patients with spondylodiscitis. METHODS: The study was a retrospective study carried in a multimodality imaging centre in Kathmandu. Magnetic resonance imaging records and clinical record of 3 years duration were reviewed and patients with clinical and radiological diagnosis of spondylodiscitis were included in the study...
January 1, 2018: Journal of Nepal Health Research Council
Ranjit Sah, Shusila Khadka, Rabin Hamal, Sagar Poudyal
BACKGROUND: Echinostomiasis is a food-borne infection caused by an intestinal trematodes belonging to the family Echinostomatidae. They infect the gastrointestinal tract of humans. Patients are usually asymptomatic. However, with heavy infections, the worms can produce catarrhal inflammation with mild ulceration and the patient may experience abdominal pain, anorexia, nausea, vomiting, diarrhea and weight loss. Infection are associated with common sociocultural practices of eating raw or insufficiently cooked mollusks and fish...
January 11, 2018: BMC Research Notes
Bishal Karki, Shankar Man Rai, Kiran Kishore Nakarmi, Surendra Jung Basnet, Mangal Gharti Magar, Krishna Kumar Nagarkoti, Sunil Thapa
BACKGROUND: Burn injury is a global health problem mainly occurring in developing countries. The Nepal Cleft and Burn Centre at Kirtipur Hospital, Kathmandu, has been providing the acute burn care since 2013 with 7 intensive care unit beds, 30 general beds, and 2 dedicated operating rooms. A similar descriptive study was performed in this center in 2014. These studies will be helpful for developing prevention strategies and monitoring the progress in the standard of care of acute burn patients...
January 9, 2018: Annals of Plastic Surgery
Saraswati Bhandari, Aurawamon Sriyuktasuth, Kanaungnit Pongthavornkamol
Objective: To identify the level of quality of life and its predictors in Nepalese women with breast cancer while receiving chemotherapy. Methods: This cross-sectional study with a predictive design was conducted for a conveniently selected sample of 85 Nepalese women with primary breast cancer receiving chemotherapy at outpatient clinics of three cancer hospitals of Kathmandu, Nepal. Data were collected during December 2016 and February 2017 using demographic sheets, the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire and the modified Medical Outcomes Study Social Support Survey...
December 29, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
Araniko Pandey, Gyanendra Lamichhane, Roshija Khanal, Salma K C Rai, Arjun Malla Bhari, Davide Borroni, Narayan Gautam
BACKGROUND: Diabetic retinopathy (DR) is one of the leading causes of preventable blindness in low and middle income countries. In Nepal, there are less studies regarding DR and they too are limited around Kathmandu valley. This study was done to assess visual morbidity in patients with DR at a peripheral tertiary eye care center of Nepal. METHODS: This was a prospective, hospital based, cross-sectional study in which all consecutive cases of DR were evaluated. DR was classified according to Early Treatment Diabetic Retinopathy Study Research Group - report no...
December 28, 2017: BMC Ophthalmology
Sarmila Tandukar, Jeevan B Sherchand, Jia Xue, Sital Uprety, Samendra P Sherchan, Dinesh Bhandari, Bikash Malla, Rajani Ghaju Shrestha, Laxmi Parajuli, Shristi Poudel, Ashmita Dhital, Eiji Haramoto
This study aimed to determine the prevalence of intestinal parasites and its associated risk factors among school-going children in Kathmandu, Nepal. Between August and September 2016, a total of 333 stool samples were collected from children at five public schools. The collected samples were subjected to formol-ether concentration, followed by conventional microscopic examination for intestinal parasites. The overall prevalence of intestinal parasites was 24.3% (81/333), with Giardia spp. showing the highest prevalence of 18...
December 7, 2017: Parasitology Research
Mahesh Acharya, Prabhu R Joshi, Kamal Thapa, Rajan Aryal, Trishna Kakshapati, Supriya Sharma
OBJECTIVES: This study was carried out to determine the prevalence of metallo-β-lactamases (MBLs) producing Pseudomonas aeruginosa in imipenem-nonsusceptible isolates and to detect MBL-encoding genes among MBLs-positive isolates. RESULTS: Metallo-β-lactamases production was detected in 68.6% isolates of P. aeruginosa with reduced susceptibility to imipenem. The bla VIM-2 gene was detected in 75% isolates and bla IMP-1 was detected in 25% isolates. All MBLs-positive isolates were multidrug resistant with a high level of resistance to imipenem (MIC 16 to ≥ 32 µg/ml), meropenem (MIC 16 to ≥ 32 µg/ml), and ceftazidime (MIC 64 to ≥ 512 µg/ml)...
December 8, 2017: BMC Research Notes
Laxmi Tamang, Camille Raynes-Greenow, Kevin McGeechan, Kirsten Black
Background: In Nepal, evidence is sparse regarding the use of contraception at first and current relationships among sexually active young people. This study examined the factors associated with modern contraceptive use at first and current sexual relationships. Methods: A descriptive cross-sectional household survey conducted amongst young Nepalese men and women living in the urban areas of the Kathmandu valley. We used logistic regression to model the relationship between selected independent variables and outcome variables (use at first sexual intercourse and current use of modern contraception) among 492 ever sexually active youth aged 15-24 years...
2017: Contraception and Reproductive Medicine
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