Displaying publications 1 - 20 of 139 in total

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  1. Mukhtar A, Mohamed Izham MI, Pathiyil RS
    Australas Med J, 2011;4(9):474-9.
    PMID: 23393537 DOI: 10.4066/AMJ.2011.821
    Diarrhoea, a common disease, is one of the major determinants of childhood morbidity and mortality in Nepal.
    Matched MeSH terms: Nepal
  2. Shrestha A, Marla V, Lamsal M, Sarraf DP, Rao N
    Kathmandu Univ Med J (KUMJ), 2021 11 26;19(74):210-215.
    PMID: 34819438
    Background Tobacco consumption is a leading cause of premature death in the world. Tobaccorelated deaths are associated with cardiovascular diseases, pulmonary diseases, oral potentially malignant disorders, cancer, others. Moreover there is also associated nicotine dependence which might result to numerous tobacco-associated diseases. Objective This study was conducted to analyze the degree of nicotine dependence considering its potential health risk, in the Eastern region of Nepal. Method A descriptive questionnaire based study was conducted among current tobacco users of six districts of Eastern Nepal. Fagerstrom Test for Nicotine Dependence (FTND) and Fagerstrom Test for Nicotine Dependency for Smokeless Tobacco (FTNDST) questionnaire were used for tobacco smokers and chewers, respectively. Result Of the total participants, 836 were males and 359 females, among whom 736 were active tobacco smokers and 432 chewers, 34.8% had tried to stop consuming tobacco and 306 (25.6%) had oral lesions in white or red forms. Very low nicotine dependence was found among 244 (31.47%) tobacco smokers and 37 (8.56%) chewers whereas 36 (4.71%) smokers and 103 (23.84%) chewers had very high nicotine dependence. The mean score for FTND was 3.73±2.37 and 5.74±2.12 for FTND-ST. A significant difference in duration and age group with FTND score was observed, however not with FTND-ST. Conclusion The information regarding degree of nicotine dependence can be used as baseline information for planning of preventive strategies and implementation of tobacco cessation and control programs.
    Matched MeSH terms: Nepal/epidemiology
  3. Paudel S, Shankar PR, Subedi N, Palaian S
    PLoS One, 2023;18(10):e0291265.
    PMID: 37862336 DOI: 10.1371/journal.pone.0291265
    INTRODUCTION: Bronchial asthma continues to be a problem in the Himalayan country of Nepal. This study explored the impact of bronchial asthma on patients' lives in a hill village in Syangja district, Nepal, and obtained information about the perceived impact of the illness, knowledge of the disease, self-care behaviors and treatment among patients.

    MATERIAL AND METHODS: The study site is the village of Jyamire (located at an elevation between 900 to 1200 m) Syangja district. Individuals suffering from asthma residing in the village aged 18 years or above were included. Semi-structured interviews were conducted face-to-face with the respondents at their homes using an interview guide. The interviews were audio recorded, transcribed in the Nepali language, and then translated into English for further analysis.

    RESULTS: Most participants were female, between 18 to 60 years of age, and housewives. Most houses were built of mud and poorly ventilated. Gas was used for cooking though firewood was also used. Most used to get an average of three serious attacks a year both during winter and summer. The themes that emerged were the number and seasonal variation in attacks, the perceived effect of asthma on their lives and social interactions, the knowledge of the interviewee about the disease, the impact of asthma on their socioeconomic status, and treatment and self-care behaviors. Residing in a hill village required them to walk up and down several times a day and the disease seriously impacted their lives. The smoke produced during different ceremonies and during cooking also worsened their asthma.

    CONCLUSION: Findings suggest, the existence of multiple factors, a few unique to Nepal contributing to poor asthma control. Though the recent socioeconomic improvement has led to improved prevention and treatment options, asthma seriously affected the patients.

    Matched MeSH terms: Nepal/epidemiology
  4. Munawar K, Choudhry FR, Hadi MA, Khan TM
    Subst Use Misuse, 2020;55(5):752-762.
    PMID: 31852359 DOI: 10.1080/10826084.2019.1701036
    Background: Although glue sniffing has been linked with significant morbidity and mortality, it is still under-researched and poorly recognized issue globally. Objective: A scoping review was performed to identify the factors and outcomes related to glue sniffing in India, Pakistan, Nepal and Bangladesh. Methods: Ten databases; Medline via Ovid, Google scholar, EBSCOhost (CINAHL Plus), ProQuest Central, PsycInfo, IndMED, Ovid Embase, Scopus, PubMed, and Science Direct were searched from their inception to January 2019 for both qualitative and quantitative studies examining any aspect of glue-sniffing. Studies published only in English language were included. Prevalence of glue-sniffing in SAARC region was the primary outcome measure. Findings: Of 8951studies screened, 344 were assessed for eligibility and 31 studies were included. The majority of the studies were conducted in India (15) and Pakistan (11). Meta-analysis of proportion, using random effects model, for both primary and secondary outcomes found that the highest incidence of glue sniffing was 57% (0.57, CI 95% 0.49-0.66) in India. The overall incidence of tobacco and naswar (snuff) as was 83% (0.83, 95% CI 0.80-0.86). Conclusions: The prevalence of glue sniffing, especially among street children, is alarmingly high and presents a challenge for health and social services for countries in SAARC region. More research work is required to examine long term impact of glue sniffing on physical and mental health.
    Matched MeSH terms: Nepal/epidemiology
  5. Adhikaree J, Shrestha R, Bomjan P, Shrestha A, Pokharel S, Acharya R, et al.
    Post Reprod Health, 2023 Dec;29(4):195-200.
    PMID: 37907067 DOI: 10.1177/20533691231213301
    Background: The ovarian follicular cell's degradation and subsequent decrease in the synthesis of estrogen results in the decreased cardiovascular protection. As a result, the incidence of cardiovascular disease (CVD) increases in postmenopausal women and is characterized by change in lipid profile. This study sought to ascertain the extent of the impact that menstrual status might have on lipid profiles among premenopausal and postmenopausal women. Methods: A cross-sectional study was conducted with 260 premenopausal and postmenopausal women (1: 1) and serum lipid component concentrations (high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TGs), and total cholesterol (TC)) were measured. A comparison between two groups was made between premenopausal and postmenopausal women, and regression was carried out to estimate the effect of menstrual status on lipid components. Results: Compared with premenopausal women, the concentrations of the lipid components (HDL-C, LDL-C, TG, and TC) were found to be significantly higher in postmenopausal women. Using the linear regression, menstruation status was able to predict 11.7%-13.3% of the lipid components (TG and TC) when age and weight were adjusted. Conclusion: The difference in lipid components between premenopausal women and postmenopausal women exists, with menstrual status explaining 11.7%-13.3% variance for the observed lipid level. The factors influencing the lipid profile beside the menstrual status should also be explored. External intervention such as estrogen replacement therapy is also recommended in case of deviation of lipid profile from the suggested normal clinical range.
    Matched MeSH terms: Nepal/epidemiology
  6. Reemer M
    Zookeys, 2020;989:73-78.
    PMID: 33223896 DOI: 10.3897/zookeys.989.57087
    Furcantenna malayanasp. nov. is described from Peninsular Malaysia, based on a single female collected in 1962. The other two known species of this genus are also known from single specimens, from Southeastern China and Nepal. A key to the species is given, and the taxonomy and distribution of the genus are discussed.
    Matched MeSH terms: Nepal
  7. Zhang CT, Shima H, Liang HC, Li HN
    Zootaxa, 2019 May 08;4603(1):zootaxa.4603.1.1.
    PMID: 31717237 DOI: 10.11646/zootaxa.4603.1.1
    The species of Estheria Robineau-Desvoidy (Diptera: Tachinidae) from the East Palearctic and Oriental regions are reviewed. Eighteen species are recognized: the fourteen previously described, E. acuta (Portschinsky, 1881), E. alticola Mesnil, 1967, E. bucharensis (Kolomiets, 1974), E. cinerella Mesnil, 1967, E. cristata (Meigen, 1826), E. decolor (Pandellé, 1896), E. flavipennis Herting, 1968, E. lacteipennis Mesnil, 1967, E. maculipennis Herting, 1968, E. magna (Baranov, 1935), E. nigripes (Villeneuve, 1920), E. pallicornis (Loew, 1873), E. petiolata (Bonsdorff, 1866) and E. picta (Meigen, 1826), and four species described as new to science, E. hirtinerva Zhang Shima sp. nov. (W China, Nepal), E. prostata Zhang Shima sp. nov. (W China, Nepal), E. tibetensis Zhang Shima sp. nov. (W China, Nepal) and E. wangi Zhang Liang sp. nov. (W China, Pakistan). Estheria acuta and E. decolor are newly recorded for China, E. magna is newly recorded for Malaysia, Pakistan and Vietnam, and E. pallicornis is newly recorded for Nepal. An identification key to the 18 species of Estheria so far known from the East Palearctic and Oriental regions is included, together with 126 figures of heads and habitus of males and females, and male terminalia and known distributions.
    Matched MeSH terms: Nepal
  8. Chong VH, Chand PB, Gautam HR, Jalihal A
    Med J Malaysia, 2013 Jun;68(3):234-8.
    PMID: 23749013
    Gastro-oesophageal reflux disorders (GORD) are common in Western countries and has been reported to be increasing in the East. This study assessed the prevalence of GORD among the Nepalese residing in the Brunei Darussalam.
    Matched MeSH terms: Nepal/ethnology
  9. Paudyal P, Kulasabanathan K, Cassell JA, Memon A, Simkhada P, Wasti SP
    BMJ Open, 2020 10 26;10(10):e038439.
    PMID: 33109656 DOI: 10.1136/bmjopen-2020-038439
    OBJECTIVE: To summarise the evidence on health and well-being of Nepalese migrant workers in the Gulf Cooperation Council (GCC) countries and Malaysia.

    DESIGN: Systematic review.

    DATA SOURCES: EMBASE, MEDLINE, Scopus and Global Health databases.

    ELIGIBILITY CRITERIA: Studies were eligible if they: (1) included Nepalese migrant workers aged 18 or older working in the GCC countries or Malaysia or returnee migrant workers from these countries; (2) were primary studies that investigated health and well-being status/issues; and (3) were published in English language before 8 May 2020.

    STUDY APPRAISAL: All included studies were critically appraised using Joanna Briggs Institute study specific tools.

    RESULTS: A total of 33 studies were eligible for inclusion; 12 studies were conducted in Qatar, 8 in Malaysia, 9 in Nepal, 2 in Saudi Arabia and 1 each in UAE and Kuwait. In majority of the studies, there was a lack of disaggregated data on demographic characteristics of Nepalese migrant workers. Nearly half of the studies (n=16) scored as 'high' quality and the rest (n=17) as 'moderate' quality. Five key health and well-being related issues were identified in this population: (1) occupational hazards; (2) sexual health; (3) mental health; (4) healthcare access and (5) infectious diseases.

    CONCLUSION: To our knowledge, this is the most comprehensive review of the health and well-being of Nepalese migrant workers in the GCC countries and Malaysia. This review highlights an urgent need to identify and implement policies and practices across Nepal and destination countries to protect the health and well-being of migrant workers.

    Matched MeSH terms: Nepal/ethnology
  10. Tamang MK, Yadav UN, Hosseinzadeh H, Kafle B, Paudel G, Khatiwada S, et al.
    BMC Res Notes, 2019 Apr 30;12(1):246.
    PMID: 31039794 DOI: 10.1186/s13104-019-4282-4
    OBJECTIVES: This study aimed at assessing the nutritional status among the elderly population and factors associated with malnutrition in the community setting in rural Nepal.

    RESULTS: Out of 339 participants, 24.8% (95% CI 20.21-29.30) fell into the normal nutritional status range; 49.6% (95% CI 44.29-54.91) were at risk for malnutrition while 24.8% (95% CI 20.21-29.30) were in the malnourished range, based on Mini Nutritional Assessment scores. Our findings revealed that belonging to a Dalit community, being unemployed, having experience of any form of mistreatment, lack of physical exercise, experiencing problems with concentration in past 30 days and taking medication for more than one co-morbidity was significantly associated with the malnutrition status of the elderly.

    Matched MeSH terms: Nepal/epidemiology
  11. Rajbanshi S, Norhayati MN, Nik Hazlina NH
    PLoS One, 2021;16(12):e0261033.
    PMID: 34971558 DOI: 10.1371/journal.pone.0261033
    BACKGROUND: Understanding maternal morbidity and its determinants can help identify opportunities to prevent obstetric complications and improvements for maternal health. This study was conducted to determine the prevalence of severe maternal morbidity (SMM) and the associated factors.

    METHODS: A hospital-based cross-sectional study was conducted at Koshi Hospital, Nepal, from January to March 2020. All women who met the inclusion criteria of age ≥18 years of age, Morang residents of Nepalese nationality, had received routine antenatal care, and given birth at Koshi Hospital were recruited consecutively. The World Health Organization criteria were used to identify the women with SMM. A multiple logistic regression analysis was performed. Overall, 346 women were recruited.

    FINDINGS: The prevalence of SMM was 6.6%. Among the SMM cases, the most frequently occurring SMM conditions were hypertensive disorders (12, 56.5%), hemorrhagic disorders (6, 26.1%), and severe management indicators (8, 34.8%). Women with no or primary education (adjusted odds ratio: 0.10, 95% confidence interval: 0.01, 0.76) decreased the odds of SMM compared to secondary education.

    CONCLUSION: The approximately 7% prevalence of SMM correlated with global studies. Maternal education was significantly associated with SMM. If referral hospitals were aware of the expected prevalence of potentially life-threatening maternal conditions, they could plan to avert future reproductive complications.

    Matched MeSH terms: Nepal/epidemiology
  12. Chapain KP, Rampal KG, Gaulee Pokhrel K, Adhikari C, Hamal D, Pokhrel KN
    BMC Oral Health, 2023 Feb 01;23(1):59.
    PMID: 36726123 DOI: 10.1186/s12903-023-02755-z
    BACKGROUND: Oral health problems are highly prevalent among school children in Nepal. Poor oral health condition may be influenced by various factors. However, little is known about the sociodemographic and awareness related factors on oral health problems among school children in Nepal. Therefore, this study aimed to assess the association of gender and knowledge on DMFT index among school children.

    METHODS: A cross-sectional study was conducted among school children of Grade Seven in 12 schools of Kaski district in Nepal. Schools were randomly selected from the urban and semi-urban areas in the district. Data were collected covering oral health knowledge, socio-demographic characteristics, oral health condition and practices. The factors of poor oral health condition and practices were examined using t-test, one-way ANOVA, and multiple linear regression.

    RESULTS: Of the total participants (n = 669), 54.9% were females and their mean DMFT score was 1.82 (SD = 1.07). Total decayed score was higher among those who did not have knowledge that fluoride prevents decay compared to those who had knowledge about it (Being aware of fluoride prevents decay: Mean = 1.21 (SD = 1.54) versus not being aware of that: mean = 2.13 (SD = 2.13); p = 0.029). Females were more likely to have higher DMFT scores compared to males (β-coefficient = 0.43, 95% CI 0.13, 0.73, p = 0.005). In addition, higher knowledge score was negatively associated with higher DMFT score (β-coefficient = - 0.09, 95% CI - 0.20, -0.01, p = 0.047).

    CONCLUSION: Being female students and those having lower level of knowledge on oral health attributed to higher DMFT index. Periodic dental check-up coupled with oral health education on regular brushing, use of fluoridated paste, tongue cleaning and care of gum diseases are recommended in schools.

    Matched MeSH terms: Nepal/epidemiology
  13. Jha N, Thapa B, Pathak SB, Pandey A, Pokhrel S, Shankar PR, et al.
    Kathmandu Univ Med J (KUMJ), 2022;20(79):351-358.
    PMID: 37042379
    Background Point prevalence survey (PPS) on antibiotic use developed by the WHO has already been used in many hospitals globally. Objective To obtain information on antibiotic prescribtion using point prevalence survey methodology in six private hospitals in the Kathmandu valley. Method This descriptive cross-sectional study was completed during 20th July to 28th July 2021 using point prevalence survey methodology. The study was conducted among inpatients admitted at or before 8:00 AM on the day of survey in various wards. Data was presented as frequencies and percentages. Result Maximum number of patients were above 60 years [34 (18.7%)]. Number of male and female participants were equal [91 (50%)]. Only one antibiotic was used in 81 patients (44.5%) followed by two antibiotics in 71 (39%) patients. Duration of prophylactic antibiotic use was one day in 66 (63.7%) patients. Blood, urine, sputum, and wound swabs were the common samples for culture. Cultures were positive for 17 (24.7%) samples. The common organisms isolated were E. Coli, Pseudomonas aeruginosa and Klebsiella pneumoniae. Ceftriaxone was the most used antibiotic. Drug and therapeutics, infection control committee and pharmacovigilance activities were present in 3/6 (50%) study sites. Antimicrobial stewardship was present in 3/6 (50%) and microbiological services was present in all hospitals. Antibiotic formulary and antibiotic guideline were present in 4/6 sites and facilities to audit or review surgical antibiotic prophylaxis choice in 2/6 (33.3%) sites, facility to monitor antibiotic use in 4/6 (66.6%) and cumulative antibiotic susceptibility reports in 2/6 (33.3%) study sites. Conclusion Ceftriaxone was the most used antibiotic. E. Coli, Pseudomonas aeruginosa and Klebsiella pneumonia were the commonly isolated organisms. Not all parameters for infrastructure, policy and practice and monitoring and feedback were present at the study sites. KEY WORDS.
    Matched MeSH terms: Nepal/epidemiology
  14. Regmi P, Aryal N, Bhattarai S, Sedhain A, K C RK, van Teijlingen E
    PLoS One, 2024;19(8):e0309203.
    PMID: 39163385 DOI: 10.1371/journal.pone.0309203
    In recent years, international media and the scientific community have expressed concerns regarding rising kidney health-related risks among Nepalese labour migrants in Gulf countries and Malaysia. Previous studies have highlighted poor lifestyles and work conditions among Nepalese migrants, which could potentially impact their kidney health. This qualitative study aims to explore the lifestyles and work environment of returnee Nepalese migrants who were diagnosed with kidney health problems. In-depth interviews were carried out with twelve returnee migrants, all males, with half having worked abroad for at least a decade. Our analysis yielded seven themes: (a) living and lifestyles; (b) work environment; (c) exposure to pollutants; (d) Chronic Kidney Disease (CKD) experience; (e) use of painkillers and healthcare; (f) medical expenses for CKD patients; and (g) pre-departure training. This study indicates that Nepalese migrants face numerous challenges, including limited access to clean water and sanitation facilities, poor diets, exposure to occupational hazards, and overuse of pain medication, all of which may contribute to an increased risk of kidney disease. An enhanced pre-departure and on-arrival orientation programme focusing on kidney health-related topics, including the necessary advocacy at the country of destination to provide access to basic services, may encourage migrants to adopt healthy lifestyles and safe working environments, as well as help sensitise migrants to their kidney health risks.
    Matched MeSH terms: Nepal/epidemiology
  15. Mak J, Zimmerman C, Roberts B
    BMC Public Health, 2021 06 12;21(1):1131.
    PMID: 34118898 DOI: 10.1186/s12889-021-11192-y
    BACKGROUND: International labour migration has become a crucial livelihood strategy, especially in countries where decently paid employment opportunities are limited. Such opportunities come with many potential benefits but also many stressors that challenge migrants' coping skills, especially when they are in a foreign environment away from their normal support network. This paper explores how labour migrants coped with migration-related stressors using a sample of male Nepali migrants.

    METHODS: Qualitative life histories were conducted in Kathmandu among returnee male migrants. Coping responses were categorised based Skinner and Zimmer-Gembeck's coping typologies. The interview scripts were transcribed in Nepali and translated into English for analysis. Each interview script was open coded and then categorised according to the 12 core coping families. Data were analysed thematically to explore relationships across and within coping and stressors.

    RESULTS: Forty-two men were interviewed who mainly worked in low- and semi-skilled jobs in Malaysia, and the Gulf States. The coping strategies most commonly used belonged to the families of problem-solving, support-seeking, negotiation and helplessness. Men used these either individually or collectively with other migrants. Those who sought assistance from authorities or civil society organisations did not always receive the help needed and there were mixed messages as to when and what types of assistance were available. Some stressors involved multiple coping strategies simultaneously, others described changing strategies following unsuccessful earlier attempts. The coping families of helplessness and social isolation reflected migrants' limited power in challenging certain stressors. The choice of coping strategies was also moderated by factors such as outstanding loans, language difficulties, or not wanting to cause their family distress. Some coping strategies used led to  new stressors.

    CONCLUSIONS: Migrants need greater clarifications on their rights with respect to contract discrepancies, the types of support available, how and from whom to access them once in destination. Improvements to the support mechanisms migrants can access as well as strengthening migrant-led initiatives in destination countries to support labour migrants' in managing stressors are needed. These may contribute to reducing the experiences and impact of such stressors, which may ultimately lead to more successful migration outcomes. As labour migration from Nepal is likely to continue, government and CSOs need to ensure migrants have the support they need to cope with the challenges they may encountered along the way.

    Matched MeSH terms: Nepal
  16. Shankar PR
    J Nepal Health Res Counc, 2021 Sep 06;19(2):439-440.
    PMID: 34601549 DOI: 10.33314/jnhrc.v19i2.3339
    Medical humanities use the creative and intellectual strengths of the arts for specific purposes in medical education. The author read with great interest the Medical humanities program at the Patan Academy of Health Sciences and has been associated with Medical humanities since 2007. There are several factors favouring the development of Medical humanities in Nepal but the major challenge is there is no specific faculty and/or department involved and the discipline may be relegated to the background in the face of other pressing priorities. In the west humanities faculty had played an important role in popularizing Medical humanities. Clinical teachers can incorporate Medical humanities into their clinical teaching. Large student sizes and lesser number of faculty may be challenges in moving the discipline forward. Keywords: Medical humanities, medical schools, Nepal, undergraduate medical.
    Matched MeSH terms: Nepal
  17. Banerjee I, Sathian B, Gupta RK, Amarendra A, Roy B, Bakthavatchalam P, et al.
    Nepal J Epidemiol, 2016 Jun;6(2):574-581.
    PMID: 27774346
    In developing countries like Nepal medicines can be acquired from the chemist's without of a prescription which sometime may have many drawbacks due to intake of excessive drugs without a proper diagnosis. The primary objective of the study was to find out the pattern of self-medication practice among the preclinical medical students at Manipal College of Medical Sciences.
    Matched MeSH terms: Nepal
  18. Jendek E, Grebennikov VV
    Zootaxa, 2018 Jun 05;4429(1):107-131.
    PMID: 30313281 DOI: 10.11646/zootaxa.4429.1.4
    Twenty new Agrilus species from the Oriental Region are described and illustrated: A. aramis sp. nov. (Laos), A. aries sp. nov. (Laos), A. armipes sp. nov. (Laos, India), A. athos sp. nov. (Laos, Thailand), A. bacan sp. nov. (Indonesia), A. bicolorifrons sp. nov. (Laos), A. cuprocunctus sp. nov. (Laos), A. ebenus sp. nov. (Laos, Thailand, Vietnam), A. frontis sp. nov. (Laos), A. gemellus sp. nov. (Nepal), A. khunborom sp. nov. (Laos), A. kyklos sp. nov. (Laos), A. loongfahi sp. nov. (Malaysia), A. metallinus sp. nov. (Laos), A. nemoralis sp. nov. (Laos), A. porthos sp. nov. (Laos), A. princeps sp. nov. (Laos), A. rex sp. nov. (Malaysia), A. sikhiav sp. nov. (Laos) and A. sinuosus sp. nov (Laos, Vietnam).
    Matched MeSH terms: Nepal
  19. Owada M, Wu S
    Zootaxa, 2019 Aug 09;4652(3):zootaxa.4652.3.13.
    PMID: 31716865 DOI: 10.11646/zootaxa.4652.3.13
    Asian herminiine moths of the Herminia decipiens complex are revised and five allopatric species are recognized, i.e. Herminia decipiens (Hampson, 1898) in Nilgiri Hills, Khasi Hills, South China, Indochina, Malay Peninsula, H. terminalis (Wileman, 1915) in Taiwan, H. yuksam sp. nov. in East Nepal, Sikkim, H. borneo sp. nov. in Borneo and H. amamioshima sp. nov. in Amami-oshima Is., Shimo-Koshikijima Is. and South Kyushu (Kagoshima). Key to all species is given.
    Matched MeSH terms: Nepal
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