Journal of Nepal Health Research Council最新文献_第10页

Belief and Risk Factors Associated with Suicidal and Self-harm Behaviour among Young Adults of Kathmandu District. 加德满都地区青少年自杀和自残行为的相关信念和风险因素。

Journal of Nepal Health Research Council Pub Date : 2024-03-22

Sagar Parajuli, Anil Khadka, Surabhi Sharma Regmi, Supriya Sthapit, Ela Singh Rathaur

{"title":"Belief and Risk Factors Associated with Suicidal and Self-harm Behaviour among Young Adults of Kathmandu District.","authors":"Sagar Parajuli, Anil Khadka, Surabhi Sharma Regmi, Supriya Sthapit, Ela Singh Rathaur","doi":"","DOIUrl":"","url":null,"abstract":"Background: Suicide is an emerging public health problem accounting for over 700,000 annual deaths globally. It is also the fourth leading cause of death among the age group 15-29 years in the world. In Nepal, on average 14 people commit suicide every day. Our study explores the factors associated with suicidal and self-harm behaviours among young adults in the Kathmandu district, Nepal.Methods: A descriptive cross-sectional study was conducted among a total of 242 young adults of the Kathmandu district. Data were collected through interview using a developed semi-structured questionnaire. Descriptive statistics and odds ratios were used for data analysis.Results: The mean age for initial suicidal and self-harm behaviour was found to be 14 and 15 years respectively, with 28.51% reporting suicidal behaviours including making a plan or suicidal ideation or attempts, and 18.5% with self-harm behaviours. Avoidance and emotional discharge were found as common coping strategies adopted by participants. Belief, family functioning, depression status and self-harm behaviour were found statistically associated with suicidal behaviour.Conclusions: Various factors including belief, family functioning, and depression were found to influence individual suicidal behaviour. Hence, an integrated approach addressing these factors is crucial for the prevention and control of suicide among young adults at risk.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression and its Associated Factors among Faculties of Academic Institutions. 学术机构中的抑郁症及其相关因素。

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4632

Bimala Sharma, Nirmala Shrestha, Saurabh Kishor Sah

{"title":"Depression and its Associated Factors among Faculties of Academic Institutions.","authors":"Bimala Sharma, Nirmala Shrestha, Saurabh Kishor Sah","doi":"10.33314/jnhrc.v21i02.4632","DOIUrl":"10.33314/jnhrc.v21i02.4632","url":null,"abstract":"Background: Depression is one of the common mental disorders occurring frequently in the community. The study aimed to find out the prevalence and correlates of depression among faculties of academic institutions in Pokhara Metropolitan, Kaski, Nepal.Methods: A cross-sectional study was conducted among 416 faculties selected from six academic institutions of Pokhara Metropolitan. A self-administered structured questionnaire method was applied to assess depression and explanatory variables among respondents. Beck Depression Inventory (BDI) was used to measure depression. The BDI score was classified into normal, mild, moderate and severe depression using the standard classification; and the depression levels were dichotomized into \"absent\" and \"present\". Descriptive statistics, bivariate analysis and multivariate logistic regression analysis were computed. Level of significance was set at 5%.Results: Of the total, 21.6% of respondents had depression including 6.7% moderate and 2.9% severe type depression. The likelihood of reporting depression was significantly higher among those who had physical health problems (AOR, 2.88; 95% CI, 1.16-7.13), consumed vegetables less than 2 times a day (AOR, 2.34; 95% CI, 1.07-5.08), had limited access to teaching aids in workplace (AOR, 2.00; 95% CI 1.19-3.33), had higher job stress and higher COVID-19 fear. Depression did not differ by the socio-demographic characteristics of the respondents and type of institution.Conclusions: Improving physical health conditions, promoting vegetable consumption, ensuring access to basic facilities, and creating an enabling environment at workplace may help to address depression among faculties. Regular screening programs may help for timely identification and management of the cases.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Comparision of Conventional Risk Factors of Cardiovascular Disease Between Clinical and Nonclinical Staff. 临床和非临床工作人员心血管疾病常规风险因素的流行和比较。

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4453

Sunita Khadka, Suraksha Dhungana, Dipanker Prajapati, Murari Dhungana, Prati Badan Dangol, Roji Shakya, Binita Tamrakar, Unnati Kandel, Chandra Mani Adhikari

{"title":"Prevalence and Comparision of Conventional Risk Factors of Cardiovascular Disease Between Clinical and Nonclinical Staff.","authors":"Sunita Khadka, Suraksha Dhungana, Dipanker Prajapati, Murari Dhungana, Prati Badan Dangol, Roji Shakya, Binita Tamrakar, Unnati Kandel, Chandra Mani Adhikari","doi":"10.33314/jnhrc.v21i02.4453","DOIUrl":"10.33314/jnhrc.v21i02.4453","url":null,"abstract":"Background: Cardiovascular disease is the leading cause of death around the globe. A number of studies have shown that hospital staff are vulnerable to cardiovascular disease due to a certain risk of shift duty. It is important to identify cardiovascular risk factors among hospital staff. The aim of this study is, to assess the prevalence of conventional risk factors of cardiovascular disease among hospital staff.Methods: A quantitative cross-sectional study was conducted among staff working at a Shahid Gangalal National Heart Center, a tertiary cardiac center in Nepal. Simple and multiple linear regression analyses were used to examine the association between independent variables and cardiovascular diseases. Statistical analysis was done using SPSS software version 20.Results: A total of 250 hospital staff participated in this study. Among them, 137 were clinical staff and 113 were non-clinical staff. The mean age of clinical staff and the non-clinical staff was 33.69 ± 7.02 years and 38.7 ± 10.58 years respectively with a total of 66.8% females. Prevalence of hypertension, diabetes mellitus, and dyslipidaemia was less in clinical staff compared to non-clinical staff. The mean systolic, diastolic BP was high in non-clinical staff ( P-value 0.001), moreover mean HDL-C was low (1.2 ± 0.2 mmol). BMI was significantly low in clinical staff. [standardized β= -0.24; 95% CI: -2.90, -0.88].Conclusions: The prevalence of cardiovascular risk factors were high in non-clinical staff compared to clinical staff.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Translation and Cross-Cultural Adaptation of Nepali Version of the Montreal Cognitive Assessment. 蒙特利尔认知评估尼泊尔语版的翻译和跨文化改编。

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4761

Manju Gyawali, Jarugool Tretriluxana, Pakaratee Chaiyawat, Chutima Jalayondeja, Bishwas Shrestha

{"title":"Translation and Cross-Cultural Adaptation of Nepali Version of the Montreal Cognitive Assessment.","authors":"Manju Gyawali, Jarugool Tretriluxana, Pakaratee Chaiyawat, Chutima Jalayondeja, Bishwas Shrestha","doi":"10.33314/jnhrc.v21i02.4761","DOIUrl":"10.33314/jnhrc.v21i02.4761","url":null,"abstract":"Background: Montreal Cognitive Assessment is widely used in stroke to detect cognitive impairment. The superiority of it over other outcome measures has been well established. It has been cross-culturally translated and has shown excellent psychometric properties. To assess the intervention effect on cognition of Nepalese individuals with stroke using the Montreal Cognitive Assessment, an adapted Nepali version is required as the Nepalese cultural context and language are completely different than the original was developed. Thus, the objective of this study is to translate and cross-culturally adapt Montreal Cognitive Assessment in the Nepali language and see its test-retest reliability and internal consistency.Methods: After translating and cross-culturally adapting the Montreal Cognitive Assessment into Nepali using Beaton guidelines. Its Nepali version was administered to 28 individuals with stroke twice keeping the interval of two weeks. Test-retest reliability and internal consistency were assessed using the Intraclass correlation coefficient and Cronbach's alpha.Results: The Montreal Cognitive Assessment was translated into Nepali with significant cultural adaptations and the Nepali version demonstrated excellent psychometric properties as hypothesized. The test-retest reliability and internal Consistency were excellent. The Intraclass correlation coefficient of the total score was 0.990 and Cronbach's alpha value was 0.994 for total scores.Conclusions: The Nepali version of Montreal Cognitive Assessment is reliable to use as a diagnostic tool for detecting cognitive impairment in patients with stroke. It is comprehensive, easy to administer and culturally appropriate.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and Laboratory Characteristics of Patients with Mono and Coinfection of Dengue and Scrub typhus. 登革热和恙虫病单发和合并感染患者的临床和实验室特征

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4078

Hemanta Banstola, Tirtha Man Shrestha, Dipesh Bhattarai, Manoj Ghimire, Surendra Bahadur Chhetri

{"title":"Clinical and Laboratory Characteristics of Patients with Mono and Coinfection of Dengue and Scrub typhus.","authors":"Hemanta Banstola, Tirtha Man Shrestha, Dipesh Bhattarai, Manoj Ghimire, Surendra Bahadur Chhetri","doi":"10.33314/jnhrc.v21i02.4078","DOIUrl":"10.33314/jnhrc.v21i02.4078","url":null,"abstract":"Background: Dengue is a neglected tropical disease, and Scrub typhus is an emerging tropical illness in Nepal. Coinfection between them is found in literature and clinical practice. The objective of this study is to describe and compare the demographic, clinical, and laboratory characteristics of patients with mono and coinfection of Dengue and Scrub typhus.Methods: This was a single-center hospital-based retrospective study, performed at Beni District Hospital, Nepal. The patient who was diagnosed with mono and coinfection of Dengue and Scrub typhus from 1st January 2020 to 16th September 2020 were included. Data regarding demographic characteristics, symptoms, signs, and laboratory parameters were collected and analyzed.Results: In 53 patients who fall under the inclusion criteria of our study, 12 patients had coinfection with dengue and Scrub typhus with headache being the most common symptom regardless of mono or coinfection followed by myalgia and arthralgia. Total platelet counts at the time of admission were lower in the coinfection group with increasing thrombocytopenia during the disease course in comparison to mono-infection. The maximum temperature recorded, elevation in hepatic enzymes, and duration of defervescence were more in the coinfection group in comparison to dengue and scrub mono-infection.Conclusions: Mono and coinfection of Dengue, Scrub typhus present with common clinical symptoms, laboratory findings. With limited resources for screening and diagnosis, clinical prediction based on symptoms alone or together with lab parameters is difficult which is further difficult in the presence of Co-infection.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mentorship Programme for Undergraduate Medical Students. 医学本科生导师计划。

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4804

Sunil Kumar Daha, Saurav Regmi, Saurab Dahal, Rishi Raj Jha, Rajesh Kumar Mandal

{"title":"Mentorship Programme for Undergraduate Medical Students.","authors":"Sunil Kumar Daha, Saurav Regmi, Saurab Dahal, Rishi Raj Jha, Rajesh Kumar Mandal","doi":"10.33314/jnhrc.v21i02.4804","DOIUrl":"10.33314/jnhrc.v21i02.4804","url":null,"abstract":"Background: Mentorship is seen as a continuous journey of discovery, shared learning, and personal and professional development to achieve leadership and excellence. Medical schools can be monitored with respect to the provision of mentorships as a quality characteristic. So, the aim of our study was to know the prevalence and the impact of mentorship program in medical schools of Nepal and the need of this program in medical schools all over Nepal.Methods: A descriptive cross-sectional study was conducted among medical students in medical schools in Nepal. Ethical approval from the Nepal Health Research Council (NHRC) was obtained (Ref. 667). The cumulative data obtained nationwide was entered in computerized spreadsheet software (Microsoft Excel) and analyzed using MS Excel and SPSS 16.0.Results: Patan Academy of Health Sciences (PAHS) 131 (50.8%) had highest prevalence of mentorship program. Out of 258 students, 110 (42.6%) knew that there was mentorship program in their medical schools. The study found the role of mentors in building rapport with faculties (61.82%), developing professional skills (81.82%) and learning evidence-based medicine (74.55%). 98.8% participants soughed for the need of this program in their medical schools.Conclusions: The prevalence of mentorship program among medical school in Nepal was found to be low. Individuals involved in the mentor-mentee relationship found the role of mentor not only on academics but also on their personal and social enterprises. Medical students who were familiar with the concept of this program reported its need in medical school.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between Facet Joint Tropism with Lumbar Disc Herniation at A Particular Motion Segment. 特定运动节段的面关节突变与腰椎间盘突出之间的关系

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4515

Sandesh Shrestha, Rajesh Bahadur Lakhey, Sharma Paudel, Sushil Paudel

{"title":"Relationship between Facet Joint Tropism with Lumbar Disc Herniation at A Particular Motion Segment.","authors":"Sandesh Shrestha, Rajesh Bahadur Lakhey, Sharma Paudel, Sushil Paudel","doi":"10.33314/jnhrc.v21i02.4515","DOIUrl":"10.33314/jnhrc.v21i02.4515","url":null,"abstract":"Background: Lumbar disc herniation is one of the important and common causes of low back pain. There are various modifiable and non-modifiable risk factors for the development of lumbar disc herniation. Any change in the orientation or asymmetry of the facet joint i.e. facet tropism may lead to abnormal shearing stress on the intervertebral disc and may lead to development of disc herniation.Methods: This is a cross-sectional observational study of 46 patients aged 18-40 years with clinical features of Prolapsed Intervertebral Disc and Magnetic Resonance Imaging evidence of single level prolapsed disc who presented to Tribhuvan University Teaching Hospital from December 2019 to June 2021. MRI measurement of facet tropism of normal level (L4-L5 or L5-S1) adjacent to herniated level was used for comparison. The p - value ≤ 0.05 was considered statistically significant. Overall association of tropism with lumbar disc herniation in affected and normal level combined and at each individual level was studied using McNemar Test.Results: We found a highly significant association of facet tropism with lumbar disc herniation (p-value <0.001). Considering the individual levels, at L4-L5 level, the association between facet tropism and lumbar disc herniation was highly significant (p-value <0.001). However, at L5-S1 level the association was not significant (p-value <0.388).Conclusions: The results of our study show strong association between FT and lumbar disc herniation at a particular motion segment.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anaesthetic Effects of Ropivacaine and Bupivacaine on Onset, Duration of Block and Changes in Hemodynamic Parameters in Patients Undergoing Below Elbow Surgeries Under Ultrasound Guided Supraclavicular Brachial Plexus Block. 罗哌卡因和布比卡因对超声引导下锁骨上臂丛神经阻滞肘下手术患者的起效、阻滞持续时间和血流动力学参数变化的麻醉效果。

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4653

Bishwo Ram Amatya, Mallika Rayamajhi, Puja Thapa, Aashish Shah, Thaneshwar Rijal, Anjan Khadka, Shova Shrestha

{"title":"Anaesthetic Effects of Ropivacaine and Bupivacaine on Onset, Duration of Block and Changes in Hemodynamic Parameters in Patients Undergoing Below Elbow Surgeries Under Ultrasound Guided Supraclavicular Brachial Plexus Block.","authors":"Bishwo Ram Amatya, Mallika Rayamajhi, Puja Thapa, Aashish Shah, Thaneshwar Rijal, Anjan Khadka, Shova Shrestha","doi":"10.33314/jnhrc.v21i02.4653","DOIUrl":"10.33314/jnhrc.v21i02.4653","url":null,"abstract":"Background: Supraclavicular brachial plexus block is commonly used regional anesthetic technique for below elbow upper limb surgeries. Ultrasound and nerve stimulator are used for higher success rates and fewer complications. Ropivacaine has been used as an alternative to Bupivacaine for rapid onset and longer duration along with lesser or no cardiac and neurotoxicity.The study was conducted with objective of assessing sensory and motor block characteristics of Bupivacaine and Ropivacaine in terms of onset, duration and adverse effects.Methods: A prospective observational study lasting three month duration from 15th February, 2022 to 14th May, 2022 was conducted among 60 patients divided by convenient sampling method into 30 in Group R (0.2% Ropivacaine 30 ml) and 30 in Group B (0.2% Bupivacaine 30 ml) undergoing below elbow orthopedic surgery under ultrasound and peripheral nerve stimulator guided supraclavicular brachial plexus block.Results: Block using Ropivacaine as compared to Bupivacaine had faster sensory onset in minutes (7±3.37 vs. 10.17±3.34; P value 0.0005), faster motor onset in minutes (10.17±5 vs. 22.33±5.04), shorter duration of sensory block in minutes (437.16±55.54 vs. 633.38±58.33), shorter duration of motor block in minutes (411±57.15 vs. 698.16±47.89), shorter time required for rescue analgesia in minutes (78.66±25.56 vs. 73.83±21.11) and no complications.Conclusions: 0.2% Ropivacaine can be used as an alternative to 0.2% Bupivacaine in below elbow upper limb orthopaedic surgeries under ultrasound and nerve stimulator guided supraclavicular brachial plexus block for rapid onset of sensory block and early regression of motor block.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Focused Obstetric Ultrasound Training to Nurses from Remote Health Posts to Improve Pregnancy Outcome and Reduce Morbidity. 对偏远卫生站护士进行产科超声波重点培训对改善妊娠结局和降低发病率的效果。

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4739

Jagadish Joshi, Mingmar Gyelzen Sherpa, Lhamo Yangchen Sherpa, Neema Lama, Manju Maharjan, Igroom Dolma Lama, Smita Khadka

{"title":"Effectiveness of Focused Obstetric Ultrasound Training to Nurses from Remote Health Posts to Improve Pregnancy Outcome and Reduce Morbidity.","authors":"Jagadish Joshi, Mingmar Gyelzen Sherpa, Lhamo Yangchen Sherpa, Neema Lama, Manju Maharjan, Igroom Dolma Lama, Smita Khadka","doi":"10.33314/jnhrc.v21i02.4739","DOIUrl":"10.33314/jnhrc.v21i02.4739","url":null,"abstract":"Background: A rural ultrasound program was started in Nepal in order to detect complicated pregnancies early in health post where radiologists are not available to provide their services. The study aims to investigate whether focused obstetric ultrasound trained nurses were capable of detecting high risk pregnancy at an early stage in their health post and refer them to higher centre timely so that they are taken care properly.Methods: The study site for research were health posts and hospitals where the rural ultrasound program had been conducted in districts of Sudurpashchim province. The referral centres within Sudurpashchim province were assessed for cross verification of diagnosis and pregnancy outcome of referred cases. Quantitative data was collected from health posts and hospitals ultrasound log book where women who had accessed obstetric ultrasound services during pregnancy. Qualitative data was collected from nurses who have completed training. The data was verified from log-book registered in the health post and hospitals. All the quantitative data was entered and analysed.Results: Cross verified data revealed that focused obstetric ultrasound received nurses identified cases been verified same diagnosis in referral hospitals with 66 cases. In-depth interview with 28 nurses revealed that training received by them was effective in minimizing preventable maternal and neonatal mortality and morbidity.Conclusions: Focused obstetric ultrasound in rural and under-resources communities like in Nepal has the potential to improve access and quality of health care services and can result in an increased uptake of antenatal care service utilisation.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of COVID-19 Virus Infection on Pregnancy Outcomes: a Systematic Review and Meta-analysis. COVID-19 病毒感染对妊娠结局的影响：系统回顾和元分析。

Journal of Nepal Health Research Council Pub Date : 2023-12-13 DOI: 10.33314/jnhrc.v21i02.4488

Upendra Pandit, Niki Shrestha, Gayatri Khanal

{"title":"Effects of COVID-19 Virus Infection on Pregnancy Outcomes: a Systematic Review and Meta-analysis.","authors":"Upendra Pandit, Niki Shrestha, Gayatri Khanal","doi":"10.33314/jnhrc.v21i02.4488","DOIUrl":"10.33314/jnhrc.v21i02.4488","url":null,"abstract":"Background: Pregnant mothers are more susceptible to Corona Virus Diseases 2019 (COVID-19) during pandemic. Our aim was to find out the effects of the COVID-19 infection on pregnancy outcomes compared to mothers without COVID-19 diseases.Methods: The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) and obtained number of the Centre for review and Dissemination (CRD42021272321). The observational studies from September 1st to October 31, 2021 were searched with Medical Subject Heading (MeSH) term in the databases. A Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline was followed. Certainty of the evidence were assessed using Grading of Recommendations Assessment Development and Evaluation (GRADEpro) approach.Results: Pregnant women with Polymerase Chain Reaction (PCR) positive group for COVID-19 were likely to have preeclampsia/eclampsia of Relative Risk (RR) and Confidence Interval (CI) (RR, 1.52; 95% CI, 1.14-2.02) respectively. Likewise, foetal distress (RR, 1.56; 95% CI, 1.31- 1.85, caesarean section (RR, 1.25; 95% CI, 1.10-1.42), postpartum haemorrhage (RR, 1.37; 95%CI, 1.00-1.88), moderate certainty of the evidence in ICU/high-dependency unit admission (RR, 4.92; 95% CI, 3.28- 7.38), preterm births (RR, 2.12; 95% CI, 1.10-4.08) and perinatal death (RR, 2.55; 95% CI, 1.64-3.95). Very wide CI on maternal death rate (RR 9.87; 95% CI, 3.10- 31.45) was observed compared to COVID-19 negative group.Conclusions: Pregnant mothers with COVID-19 positive diseases have a moderate certainty of the effect of admission to ICU/high-dependency unit, Preterm birth and perinatal death.","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0