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  • 1
    Online Resource
    Online Resource
    Nepal Journals Online (JOL) ; 2018
    In:  Health Prospect Vol. 17, No. 1 ( 2018-09-29), p. 5-8
    In: Health Prospect, Nepal Journals Online (JOL), Vol. 17, No. 1 ( 2018-09-29), p. 5-8
    Abstract: Background: Solid waste is a by-product of human activities. It has become an alarming challenge during recent decades in many cities of Nepal. Quantity and characteristics of solid waste have changed as a result of the modification in people’s lifestyle. The purpose of this study is to characterize the composition of solid waste in Bhimdatta Municipality of Kanchanpur district, Nepal.Methods: In between July to September 2015, a total of 45 households, 15 commercial places, 15 institutions were selected randomly. Solid waste samples were collected in recommended plastic bags. The collected wastes were categorized and weighted. Direct observation of municipal solid waste collection and its disposal practices were also performed. Qualitative information was collected from focus group discussion.Results: A total of 446.7 kg of solid waste was collected and the highest proportion (66.4%) was organic in composition. In the daily production of overall solid wastes, households were ranked the first (23.3%) and followed to the hotels and lodges (20.4%). The commercial centers produced the highest amount of all types of wastes. The crude waste dumping practice in the open and vacant areas was found a threat to human health, causing ecological imbalances and also bringing land, water, and air pollution.Conclusions: The rapidly growing population in the urban region of the study area has become an urgent issue in the production of several types of solid wastes. The organic waste was generated in the highest amount and maximum proportions of solid waste were produced from commercial centers.
    Type of Medium: Online Resource
    ISSN: 2091-203X , 2091-2021
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2018
    detail.hit.zdb_id: 2753626-9
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  • 2
    Online Resource
    Online Resource
    Journal of Nepal Medical Association (JNMA) ; 2005
    In:  Journal of Nepal Medical Association Vol. 44, No. 158 ( 2005-04-01)
    In: Journal of Nepal Medical Association, Journal of Nepal Medical Association (JNMA), Vol. 44, No. 158 ( 2005-04-01)
    Abstract: Keeping in view of high prevalence of tuberculosis in far western development region in different reports, adoor to door survey of 125 household was carried out randomly in Mahendra Nagar municipality ward no13 of Kanchanpur district to pick up symptomatics suggestive of pulmonary tuberculosis and find the prevalence in the target population. A total of 200 sputum specimens from 70 symptomatics within the age rangeof 10-80 years were collected and subjected to smear microscopy by Ziehl - Neelsen's method. Out of 10positive cases (14.28%), infection in males and females was 80% and 20% respectively. The infection wasfound in the productive age group 20-69. The highest prevalence was obtained in 20-29 age group (25%)followed by 40-49 (11%), 30-39 (9%), 50-59 (8%) and 60-69 (8%). The diagnostic yield of single sputumspecimen examined was insufficient in field condition, especially where the sputum positivity was low. Of thethree sputum smears examined, the early morning specimen had the best result.Key Words: Pulmonary tuberculosis, prevalence, sputum smears.
    Type of Medium: Online Resource
    ISSN: 1815-672X , 0028-2715
    Language: Unknown
    Publisher: Journal of Nepal Medical Association (JNMA)
    Publication Date: 2005
    detail.hit.zdb_id: 2209910-4
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  • 3
    In: Journal of Nepal Medical Association, Journal of Nepal Medical Association (JNMA), Vol. 60, No. 248 ( 2022-04-15), p. 356-359
    Abstract: Introduction: Vitamin D deficiency is a global health issue affecting billions of people. Its deficiency results in abnormal homeostasis of calcium and phosphorous levels in an individual and results in reduced bone mineral density, which further makes them more prone to develop osteogenic disorders, such as fractures. The aim of this study is to find out the prevalence of vitamin D deficiency among patients visiting the outpatient departments in a tertiary care centre. Methods: This was a descriptive cross-sectional study done among 582 patients visiting outpatient departments in a tertiary care centre between January 1, 2019 and July 31, 2020. The study was approved by the Institutional Review Committee (Reference number: 076/077/17) of a tertiary care centre. A convenience sampling method was used. Patients’ demographic detail and serum vitamin D level were determined. Data were collected retrospectively from hospital records and analysis was performed using the Statistical Package for the Social Sciences software version 17.0. Point estimate at 95% Confidence Interval was calculated along with frequency, the proportion for binary data, and mean with standard deviation for continuous data. Results: Among 582 patients enrolled in this study, 328 (56.35%) (52.32-60.38 at 95% Confidence Interval) patients were vitamin D deficient. Vitamin D deficiency was found in 238 (72.56%) females and 257 (78.35%) aged 16 to 59 years. Finally, there were 102 (31.09%) cases of vitamin D deficiency over the winter season. Conclusions: The prevalence of serum vitamin D deficiency in the current study was lower when compared to similar studies done in similar settings and similar to the prevalence from international literature.
    Type of Medium: Online Resource
    ISSN: 1815-672X , 0028-2715
    Language: Unknown
    Publisher: Journal of Nepal Medical Association (JNMA)
    Publication Date: 2022
    detail.hit.zdb_id: 2209910-4
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  • 4
    Online Resource
    Online Resource
    Nepal Journals Online (JOL) ; 2023
    In:  International Journal of Occupational Safety and Health Vol. 13, No. 3 ( 2023-07-04), p. 375-385
    In: International Journal of Occupational Safety and Health, Nepal Journals Online (JOL), Vol. 13, No. 3 ( 2023-07-04), p. 375-385
    Abstract: Introduction: Musculoskeletal disorders (MSDs) are injuries or pain in the human musculoskeletal system which could lead to temporary or permanent impairments. The nature of nursing jobs makes nurses vulnerable to MSDs. This study aimed to assess the prevalence and potential risk factors associated with MSDs among nurses. Methods: In between March to June 2021, a cross-sectional study was conducted among 165 nurses using self-administered questionnaires. A standardized Nordic Questionnaire was used to measure MSDs. Pearson’s chi-square test and binary logistic regression at a 5% level of significance were performed to identify factors associated with upper extremities and spinal musculoskeletal disorders (UMSD) and lower extremities musculoskeletal disorders (LMSD). Variables associated with UMSD and LMSD in bivariate analysis were subjected to multiple logistic regression.  Results: The prevalence of UMSD and LMSD experienced by nurses was 86.1% (95% CI: 79.4%-90.9%) and 66.1% (95% CI: 58.9%-74.3%), respectively. Among several factors, working in same position for long periods (AOR: 4.16, 95% CI: 1.2-13.4), not receiving training in injury prevention programs (AOR: 3.15, 95% CI: 1.0-9.2), not enough rest breaks during the day (AOR: 4.65, 95% CI: 1.3-15.9) and moderate to higher job stress (AOR: 3.62, 95% CI: 1.2-10.8) were found to be significantly associated with UMSD. Not having enough rest breaks during the day (AOR: 2.19, 95% CI: 1.0-4.7) was significantly associated with LMSD. Conclusion: Higher prevalence of MSDs among nurses is a serious concern that threatens individual health as well as the overall healthcare system. Sensitization and capacity enhancement programs on the issue could prevent MSDs among nurses.
    Type of Medium: Online Resource
    ISSN: 2091-0878 , 2738-9707
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2023
    detail.hit.zdb_id: 2895042-2
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  • 5
    Online Resource
    Online Resource
    Nepal Journals Online (JOL) ; 2020
    In:  Applied Science and Technology Annals Vol. 1, No. 1 ( 2020-06-30), p. 9-14
    In: Applied Science and Technology Annals, Nepal Journals Online (JOL), Vol. 1, No. 1 ( 2020-06-30), p. 9-14
    Abstract: The Novel Coronavirus (2019-nCoV) is currently a major threat to global health in an unprecedented manner. The global pandemic of COVID-19 has affected 215 countries and territories including Nepal. Until 1st June 2020, altogether 1,811 COVID-19 positive cases were diagnosed using RT-PCR. This study aimed to analyze the status of COVID-19 cases in Nepal and South Asian countries. A retrospective study from 23rd January to 1st June 2020 was conducted using data of the Ministry of Home Affairs, Nepal and Worldometer homepages. The primary case records during the pre and post lockdown periods were examined. Spatial distribution was observed. An exponential trend line was plotted and COVID-19 situation in South Asian countries was assessed. Of 1,811 COVID-19 cases, the highest number (38.3%) was reported in Province 2. Out of 77 districts, 59 were affected. In Fifty-eight districts, primary cases appeared during the lockdown period. The cumulative number of COVID-19 cases showed the exponential pattern of distribution in Nepal. In South Asian countries, India had the highest number of cases and case fatality rate (CFR). There were no cases of CFR in Bhutan. The Novel Coronavirus emergence in Nepal has become a serious challenge to the various sectors including public health. The emergence of primary cases even in the lockdown period needs a detailed study in the future.
    Type of Medium: Online Resource
    ISSN: 2717-5014
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2020
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  • 6
    In: Journal of Medical Entomology, Oxford University Press (OUP), Vol. 57, No. 4 ( 2020-07-04), p. 1082-1089
    Abstract: Aedes albopictus (Skuse) was first reported in the Republic of Korea in 1941 (Suwon, Gyeonggi Province). Recently, a mosquito-monitoring program was established in response to the potential development of autochthonous infections of dengue, chikungunya, and Zika viruses, to identify the regional characteristics of Ae. albopictus in Suwon. Daily collections of adult mosquitoes were conducted using Blackhole UV-LED traps and BG-Sentinel traps baited with octenol, carbon dioxide or both at five sites in Suwon (Sungkyunkwan University, Manseok, Seoho, Olympic, and Jungang parks) from 1 July to 1 November 2016. Based on the ecological cycle of mosquitoes, an estimated association between the daily mean temperatures [2 wk prior to the collection date (lag 2 wk)] and relative population abundance were developed using a generalized linear model. The overall proportion of female mosquitoes collected from all traps was 88.3%. Higher female trap indices were observed for mosquitoes collected at BG-Sentinel traps. Additionally, the BG-sentinel trap was more effective collecting Ae. albopictus. Culex pipiens (Coquillett) was the most frequently collected mosquito using UV-LED traps, followed by Ae. vexans nipponii (Theobald), Ochlerotatus koreicus (Edwards), Cx. inatomi (Kamimura and Wada), and members of the Anopheles Hyrcanus Group. Within a certain temperature range, daily mean temperatures 2 wk prior to the collection period was significantly associated with a maximum abundance of Ae. albopictus (P & lt; 0.05) at 26.2°C (95% confidence interval: 24.3–29.4°C). The BG-Sentinel trap is an effective trap for monitoring relative population abundance of Ae. albopictus, and trap catches are significantly correlated with daily mean temperatures.
    Type of Medium: Online Resource
    ISSN: 0022-2585 , 1938-2928
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2020
    detail.hit.zdb_id: 2031006-7
    SSG: 12
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  • 7
    Online Resource
    Online Resource
    Environmental Health Perspectives ; 2016
    In:  ISEE Conference Abstracts Vol. 2016, No. 1 ( 2016-08-17)
    In: ISEE Conference Abstracts, Environmental Health Perspectives, Vol. 2016, No. 1 ( 2016-08-17)
    Type of Medium: Online Resource
    ISSN: 1078-0475
    Language: English
    Publisher: Environmental Health Perspectives
    Publication Date: 2016
    detail.hit.zdb_id: 2028870-0
    SSG: 27
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  • 8
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2017
    In:  BMC Infectious Diseases Vol. 17, No. 1 ( 2017-12)
    In: BMC Infectious Diseases, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2017-12)
    Type of Medium: Online Resource
    ISSN: 1471-2334
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2017
    detail.hit.zdb_id: 2041550-3
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  • 9
    Online Resource
    Online Resource
    Frontiers Media SA ; 2022
    In:  Frontiers in Sustainable Food Systems Vol. 6 ( 2022-10-5)
    In: Frontiers in Sustainable Food Systems, Frontiers Media SA, Vol. 6 ( 2022-10-5)
    Abstract: Climate change in Nepal has posed a considerable challenge to agricultural productivity and has threatened food and nutritional security at multiple levels. This study aims to assess the impacts of climate change on national food production and food and nutritional security as well as document issue-based prioritized adaptation options for a resilient food production system. Methods This study considers temperature, precipitation, and their anomalies as the key factors affecting food production in Nepal. Nationwide precipitation trends along with their association with the annual production of major cereal crops in Nepal were assessed using data from the last three decades (1990–2018). The annual productions of the major cereal crops were summed and normalized to calculate production index scores in the districts. Scores were plotted and visualized into maps using the R programming. In three ecological regions, the distribution of flood and extreme rainfall events and cases of malnutrition from 2005 to 2018 were plotted. The effects of climate change and highest priority adaptation options at the district level were documented through a review of national policies and literature studies and qualitative research based on Focus Group Discussions (FGDs). Results Between 1990 and 2018, the overall average production of major cereal crops in Nepal was increased by around 2,245 MT annually. In the district level index analysis, the highest production score was found for Jhapa and Morang while the lowest production score was found for Humla. Cases of malnutrition in some districts coincided with flood and heavy rainfall events, indicating that climate change and extreme climatic events have a role to play in food production and security. Growing drought-tolerant crops, changes in crop cycle, riverbed farming practices, and development of short-term strategies, such as contingency crop planning, changing plantation dates, plantation of short-duration varieties, and evacuation schemes. Similarly, long-term strategies, such as encouraging out-migration of population to safer locations, resettlement programs with transformative livelihood options, and sustainable agricultural practices were found to be key prioritized adaptation measures for a resilient food system. Conclusion In Nepal, climate change and the increasing frequency and magnitude of extreme climatic events adversely affect the food production system, which has become a serious threat to food and nutritional security. The implementation of evidence-based practices to build a resilient food system specific to climate-vulnerable hotspots at the district and local levels is the nation's current need.
    Type of Medium: Online Resource
    ISSN: 2571-581X
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2928540-9
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  • 10
    Online Resource
    Online Resource
    Nepal Journals Online (JOL) ; 2016
    In:  Asian Journal of Medical Sciences Vol. 7, No. 5 ( 2016-08-31), p. 47-51
    In: Asian Journal of Medical Sciences, Nepal Journals Online (JOL), Vol. 7, No. 5 ( 2016-08-31), p. 47-51
    Abstract: Background:Urinary tract infection is the most common bacterial infections in humans and serious health problem in many parts of the world. It has become more complicated in treatment due to different pathogens and increasing resistant to antimicrobial agents. This study aims to investigate the prevalence of urinary tract infection and antibiotic susceptibility patterns of pathogens among the patients attending in B & B hospital Nepal.Materials and Methods:A hospital based cross sectional study was conducted in between April 2010 to March 2011. Urine samples were collected from clinically suspected patients and tested bacteriologically using standard procedures. Antimicrobial susceptibility test was performed for isolated pathogen using the Kirby-Bauer disk diffusion method according to Clinical and Laboratory Standards Institute guidelines.Results:Out of 1260 examined specimens 25.24 % were positive and majority 61.64% were females.  The most common pathogens isolated were Escherichia coli (66.67%), Enterococcus (7.55%) and Staphylococcus (6.60 %). The drug resistant among the positive cases were reported. The highest resistant of positive cases was found with Cefexime (87.88%) and Enterococcus with Ampicillin (66.67%) and Staphyllococcus with Cloxacillin (66.67%). The highest susceptibility was for Vancomycin and Ampicillin i.e. 33.33% in each.Conclusion:The findings showed that E. coli isolates were the predominant pathogen and the presence of bacterial isolates with very high resistance to the commonly prescribed drugs. As drug resistance among bacterial pathogens is an evolving process and serious issue. Therefore, routine surveillance and monitoring studies should be conducted to provide physicians knowledge on the updated and most effective empirical treatment of UTIs. Asian Journal of Medical Sciences Vol.7(5) 2016 47-51
    Type of Medium: Online Resource
    ISSN: 2091-0576 , 2467-9100
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2016
    detail.hit.zdb_id: 2894889-0
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