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Journal of Nepal Health Research Council

Bidur Baral, Puspa Raj Poudel
BACKGROUND: Patients have significant pain following laparoscopic cholecystectomy. Several modalities have been used to manage this pain. Subcostal transversus abdominis plane (TAP) block is one of the components of multimodal analgesia and has been described as an effective technique for postoperative pain management. This study compares the impact of subcostal TAP block with port site local infiltration following laparoscopic cholecystectomy for postoperative pain and opioid consumption...
January 28, 2019: Journal of Nepal Health Research Council
Usha Chalise, Shaligram Dhungel, Rajib Chaulagain
BACKGROUND: The nose is a pyramidal shaped structure situated in the midline of midface being attached to the facial skeleton. The shape, size and spatial location of the nose-philtrum-upper lip complex are important from aesthetic point of view. Hence, to study the nasal parameters, shape of nostril and philtrum among the undergraduate students remained as the main aim of this study. METHODS: This was a cross-sectional study enrolling 250 students of age 18-25 years...
January 28, 2019: Journal of Nepal Health Research Council
Purna Devi Shrestha, Sirjana Rai, Shobha Gaihre
BACKGROUND: Hospital Acquired Infections are major challenge for low and middle income countries which have limited healthcare resources. Literature has explored the prevalence is high and practice is limited. This study aims to assess prevalence and preventive practices of Hospital Acquired Infection among health workers. METHODS: A cross -sectional research design was carried out between Feb 2017 to May 2017 in National Trauma Center , Kathmandu. Census method was used to recruit 121 respondents and to find out prevalence...
January 28, 2019: Journal of Nepal Health Research Council
Jatan Bahadur Sherchan, Pranita Gurung
BACKGROUND: Wound infection with multidrug resistant bacteria along with risk factors is a major burden and challenge to the health care persons. This study focuses on antibiotic susceptibility pattern of bacterial isolates and risk factors of patients with infected wounds. METHODS: This was a cross-sectional study conducted between November 2017 to June 2018 in Kathmandu University Hospital. Pus sample and wound swabs collected from patients during the study period were included...
January 28, 2019: Journal of Nepal Health Research Council
Om Murti Anil, Randhir Sagar Yadav, Nitesh Shrestha, Sachit Koirala, Shumneva Shrestha, Om Murti Nikhil, Manisha Baidar, Nabin Chaudhary, Chandni Jaishwal, Navin Sagar Yadav, Aabhushan Bikram Mahara, Roshan Kumar Jha, Amod Kumar Poudyal
BACKGROUND: Cardiovascular diseases account for most deaths and major proportion of disabilities worldwide. Major cardiovascular risk factors are implicated in almost 75% of cardiovascular diseases. There has been a rapid increase in prevalence of such risk factors in apparently healthy young adults of urban population. This study aimed to find prevalence of such risk factors in order to implement preventive strategies against cardiovascular diseases in our setting. METHODS: A free heart camp was organized following wide dissemination of information through print, online, TV, radio and social media...
January 28, 2019: Journal of Nepal Health Research Council
Beena Jha, Sabina Bhattarai, Jyotshna Sapkota, Manisha Sharma, Chandra Prakash Bhatt
BACKGROUND: Dermatophytosis are the most common types of cutaneous fungal infection seen in human and animals affecting skin, hair and nails caused by dermatophytes. The diagnosis of dermatophytes is based on the clinical observation and laboratory diagnosis by direct microscopic examination and fungal cultures. The present study is undertaken to isolate different type of dermatophytes causing fungal infection. METHODS: A prospective cross-sectional study design was used in a total of 90 clinically suspected cases of dermatophytic infection attending the out patient department of Kathmandu Medical College and Teaching hospital (KMCTH)...
January 28, 2019: Journal of Nepal Health Research Council
Sharad Khakurel, Shanta Sapkota, Anuj Jung Karki
BACKGROUND: Caudal analgesia has long been the cornerstone to successful pain management in children undergoing abdominal and lower limb surgeries. Its analgesic duration with single shot injection is however limited. So adjuvants are used with local anesthetics in an attempt to increase the duration of caudal analgesia. This study aims to investigate the duration of analgesia provided by Clonidine when added to caudal Bupivacaine. METHODS: A randomized, double blinded, comparative study was conducted on 64 patients, aged two to seven years, scheduled for unilateral inguinal hernia repair...
January 28, 2019: Journal of Nepal Health Research Council
Tarun Pradhan, Pappu Rijal, Rubina Rai, Rabindra Dev Bhatta, Baburam Dixit Thapa, Mohan Chandra Regmi
BACKGROUND: Eclampsia is a multisystem disorder that may lead to deterioration of maternal condition, hypoxia and acidosis of fetus. Objective was to evaluate the risk factors associated with adverse maternal and fetal outcome in patients with eclampsia. METHODS: All patients with eclampsia were enrolled after informed consent from February 2013 to February 2014. Questions as per per-forma were asked to the patients and attendants about antenatal visits, parity, number of episodes of seizures, duration from onset of seizure to magnesium sulfate, then the patients were followed as per the hospital protocol, the mode of delivery, outcome of baby, post partum maternal condition and mortality were then noted...
January 28, 2019: Journal of Nepal Health Research Council
Bharati Sharma, Mana Kumari Rai, Anju Sharma, Sabita Karki
BACKGROUND: Adolescents are highly vulnerable to psychiatric disorders, which often have serious negative consequences for their academic achievement and potential social life. The aim of the study is to estimate the prevalence of emotional and behavioral problems among adolescents. METHODS: A descriptive cross-sectional study design was adopted to identify the emotional and behavioral problems among adolescents using cluster sampling technique. Assessment was done on students of grade 7-11 from two schools in city in Nepal using self-administered questionnaire, Youth Self-Report (YSR-11/18) 2001, developed by Achenbach System of Empirical Based Assessment and self developed socio-demographic questionnaires...
January 28, 2019: Journal of Nepal Health Research Council
Abanish Singh, Ashish Shrestha, Tarakant Bhagat
BACKGROUND: Water is essential for the survival of every living organism of this planet, we humans being no exception to this fact. In context of oral health promotion, fluoride when consumed in recommended level decreases the solubility of enamel to acidic exposure and improves the strength of dental enamel that eventually helps reduce dental caries.So, this study was conducted to estimate the fluoride concentration in drinking water of eastern development region Nepal. METHODS: Water samples (165) were randomly collected from drinking water sources of Eastern Development Region, Nepal...
January 28, 2019: Journal of Nepal Health Research Council
Sonam Chaudhary, Munna Alam, Surjit Singh, Sajana Deuja, Poonam Karmacharya, Monami Mondal
BACKGROUND: The Body Mass Index, Waist Circumference and Waist by Hip ratio have linear relation with increase in blood pressure. This study will correlate blood pressure with these anthropometric measures in normal subjects to find out the subtle increase in which of these measure would linearly increase blood pressure. The aim is to find the better anthropometric measure to relate with blood pressure changes. METHODS: One hundred and seventy five healthy medical students were enrolled for the study in Manipal College of Medical Sciences, Pokhara after getting ethical clearance...
January 28, 2019: Journal of Nepal Health Research Council
Rojina Baral, Usha Thapa, Dipendra Khatiwada
BACKGROUND: The increasing burden of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome and its association with the stigma, disability, less productive life, diminished immune has overall affected the quality of well being. There are also many factors that directly or indirectly affect the quality of Life of People living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome. Thus, this study aims to assess Quality of Life among people living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome...
January 28, 2019: Journal of Nepal Health Research Council
Deepak Mishra, Amit Kumar Das, Ram Hari Chapagain, Nitu Kumari Jha, Ganesh Kumar Rai
BACKGROUND: Most of the febrile infants <90 days old will have no more than a mild viral infection but there is a substantial minority that will be diagnosed as having serious bacterial infection at a reported prevalence of 10-14%. A simple, readily available, inexpensive diagnostic marker that yields results quickly and also accurately identifies bacterial infections in febrile infants would be of great value in management of these infants. This study aims to assess the role of thrombocytosis in predicting serious bacterial infection in young febrile infants beyond neonatal period...
January 28, 2019: Journal of Nepal Health Research Council
Anamika Jha, Benu Lohani
BACKGROUND: With a palpable lesion in the breast, the goal is to diagnose malignancy at the earliest. Ultrasonography is used for evaluating symptomatic patients especially those with dense breasts where mammography gives limited information. The objective of this study was to evaluate the sonographic pattern of the palpable breast lumps and correlate with the final pathological diagnosis. METHODS: This was a retrospective study done at our tertiary health care center, from July 2016 to March 2017, including 121 patients presenting to the ultrasound department with complaint of palpable breast lump and whose pathological reports could be followed up...
January 28, 2019: Journal of Nepal Health Research Council
Sushama Bhatta, Samir Singh, Santosh Gautam, Bidur Prasad Osti
BACKGROUND: Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia and associated with long term macrovascular and microvascular complications. Platelet parameters such as mean platelet volume and platelet count are indicators of thrombotic potential. These parameters have been reported to be increased in diabetic patients, leading to increased risk of vascular complications. The objective of this study was to determine mean platelet volume and platelet count in patients with Type 2 Diabetes mellitus, impaired fasting glucose and non -diabetic controls, and compare mean platelet volume and platelet count between the three groups...
January 28, 2019: Journal of Nepal Health Research Council
Sulochana Dhakal Rai, Pramod Raj Regmi, Edwin Van Teijlingen, Juliet Wood, Ganesh Dangal, Keshar Bahadur Dhakal
The rising rate of caesarean section in urban Nepal is alarming as the lack of access for women in rural areas to emergency obstetric care, putting lives at risk. The latter is referred to as 'Too little too late'. At the same time, the sharp rise in caesarean section rates in cities presents the other extreme: "Too much too soon". The overuse of caesarean section causes harm, unnecessary costs, and misuse of health resources. Availability of private hospitals and increasing hospital childbirth may contribute to the rising rate of caesarean section...
January 28, 2019: Journal of Nepal Health Research Council
Keshab Sanjel, Archana Amatya
BACKGROUND: Timely initiation of breastfeeding has the potential to prevent 22% of neonatal deaths if breastfed within an hour after birth. Although breastfeeding is almost universal in Nepal, ranges of regional differences in timely initiation of breastfeeding have been documented. The aim of this study was to identify the prevalance and the determinants of early initiation of breastfeeding among disadvantaged ethnic women in Midwest Nepal. METHODS: The data was obtained from a household survey of women who had their last child less than one year of age...
January 28, 2019: Journal of Nepal Health Research Council
Badri Man Shrestha
Impact factor, which is a measure of the frequency of citation of articles published in a journal over a specified time, measures the rank or importance of a journal.  There is a trend towards publication of high quality research in journals with high impact factor. This paper has outlined the importance, method of calculation, clinical implications, pitfalls and financial issues related to the impact factor of medical journals.
January 28, 2019: Journal of Nepal Health Research Council
Ashesh Dhungana, Ajit Thapa
Foreign body aspiration is uncommon in adults and the diagnosis may be delayed in the elderly, as many fail to provide a history of choking during initial evaluation. Flexible bronchoscopy is a useful tool for foreign body extraction from the tracheobronchial tree in selected cases. A Sixty-two year old male presented with history of cough, purulent sputum and intermittent hemoptysis. CT scan of the thorax demonstrated a radio-dense foreign body in the bronchus intermedius causing focal narrowing. Flexible fiberoptic bronchoscopy revealed a glistening white bone in the distal bronchus intermedius which was successfully grasped with the flexible forceps and extracted via the oral route with the bronchoscope...
January 28, 2019: Journal of Nepal Health Research Council
Nilaramba Adhikari, Rajendra Raj Wagle, Dilli Raman Adhikari, Puspa Thapa, Muna Adhikari
BACKGROUND: Low income countries face considerable challenges in financing health care for their populations. As its consequences, poor people don't have access to desired health services, drugs and medicine.To address the financial barriers to health services, Government of Nepal introduced Community Based Health Insurance scheme at selected health facilities. However, enrolment in the schemeis very low. This study aims to identify the associated factors affecting enrolment in the insurance scheme...
January 28, 2019: Journal of Nepal Health Research Council
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