Annapurna Journal of Health Sciences最新文献_第6页

Different Trials in Mechanical Thrombectomy for Acute Ischemic Stroke 机械取栓治疗急性缺血性脑卒中的不同试验

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.46

P. Gurung, Bishal Shrestha, A. Neupane, Pravesh Rajbhandhari

引用次数: 0

Use, Abuse, and Associated Impacts of Alcohol on Health and Crimes in Nepal 尼泊尔酒精的使用、滥用及其对健康和犯罪的相关影响

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.45

L. Gautam, A. Bohara, Jaya Satyal, A. Grela

{"title":"Use, Abuse, and Associated Impacts of Alcohol on Health and Crimes in Nepal","authors":"L. Gautam, A. Bohara, Jaya Satyal, A. Grela","doi":"10.52910/AJHS.45","DOIUrl":"https://doi.org/10.52910/AJHS.45","url":null,"abstract":"Alcohol is a socially acceptable and widely available drink in most countries. Its excessive consumption is linked to various health issues, increase in crime rate and even loss of life. This puts heavy strain in low-income countries like Nepal where full medical facilities are still out of reach for most of the population. Therefore, in this article, we have provided an overview of (i) the effect of alcohol on public health; (ii) trend data on alcohol seizures; (iii) alcohol (including methanol) positive forensic cases; and (iv) other alcohol associated crimes. Our analysis is drawn from a range of data types and sources, triangulating the collected data with alcohol specific academic and grey literature, a survey with students and insights from stakeholder engagements in Nepal. We have shown that alcohol has been associated with a range of health-related issues and crime types in Nepal. For example, alcohol was the most mentioned compound in the student survey (50.7%; n=418) followed by other drugs in Drugs Facilitated Sexual Assault cases. We have also discussed issues with adulteration, surrogates and sub-standard alcohol, highlighting the need for strict monitoring, regulations and extra vigilance about quality control of alcohol in circulation. This should be supported by public awareness campaigns on the use, abuse and impacts of alcohol.","PeriodicalId":175886,"journal":{"name":"Annapurna Journal of Health Sciences","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127877739","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

Central Pontine Myelinolysis in Association with Correction of Hypokalemia with Asymptomatic Case of Gastroesophageal Reflux Disease 无症状胃食管反流病患者低钾血症的纠正与桥桥中央髓鞘溶解的关系

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.44

Subash Paudel, A. Chandra, Bhavya Pahwa, Janam Shrestha, D. Shrestha, A. Chandra

引用次数: 0

Modes of Non-invasive Respiratory Support Devices and their Significance in the Treatment of COVID-19 无创呼吸支持装置模式及其在COVID-19治疗中的意义

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.47

Sambardhan Dabadi, R. Dhungel, Saugat Acharya, Pratikshya Poudel, A. Jha, J. Shrestha

引用次数: 0

Correlation between Serum Calcium and In-Patient Mortality among Patients with Hemorrhagic and Non-Hemorrhagic Cerebrovascular Disease 出血性和非出血性脑血管病患者血清钙与住院死亡率的相关性

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.51

R. Gautam, Belinda Lioba L. Mesina-Nepomuceno, Pratiksha Paudel

{"title":"Correlation between Serum Calcium and In-Patient Mortality among Patients with Hemorrhagic and Non-Hemorrhagic Cerebrovascular Disease","authors":"R. Gautam, Belinda Lioba L. Mesina-Nepomuceno, Pratiksha Paudel","doi":"10.52910/AJHS.51","DOIUrl":"https://doi.org/10.52910/AJHS.51","url":null,"abstract":" Introduction: Cerebrovascular disease is the second most frequent cause of death worldwide. This study was designed to access the correlation between ionized calcium and clinical outcomes of Cerebrovascular events.\u0000Methods: The study included 225 cases diagnosed with cerebrovascular disease and undergone a CT scan. Calcium (ionized calcium) was measured within 1-2 hrs. Of sample collection. The time frame of the study was from December 2016 till December 2017.\u0000Result: There were a total of 52 patients admitted as DVT, among which 26(50%) were male and 26(50%) were female. Twenty patients (38.5%) were COVID-19 positive and 32 (61.5%) were COVID-19 negative. Mean age for among those patients was 50.50±4.8 years, average hospital stay was 6.4±0.6 days, after anticoagulation therapy target INR was reached in 3.8±0.17 days and CVI was present in 14(70%) for COVID positive with DVT. Similarly, mean age was 46.80±3.3 years, average hospital stay was 4.6±0.3 days, after anticoagulation therapy target INR was reached in 3.3±0.21 days and CVI was present in 18(56.65%) with COVID negative with DVT.\u0000Conclusion: Serum calcium was found to be associated with clinical outcome among stroke patients found to have infarction. High incidence of favourable clinical outcome among those who have normal level of serum calcium compared to those who have low serum calcium level was found.","PeriodicalId":175886,"journal":{"name":"Annapurna Journal of Health Sciences","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131872984","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

Acupuncture as a Rehabilitative Therapy in Patient with Multiple Sclerosis:A case Study 针灸作为多发性硬化症患者的康复疗法:个案研究

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.41

Jaya Satyal, Pradeep Kc, R. Shrestha, Pratima Dhakal

引用次数: 0

Challenges Faced for Botulinum Toxin Injection in the Treatment of Hemifacial Spasm and Blepharospasm: Our Experience in Tribhuvan University Teaching Hospital during COVID-19 Pandemic 注射肉毒杆菌毒素治疗面肌痉挛和眼睑痉挛面临的挑战——特里布万大学教学医院在新冠疫情期间的经验

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.36

R. Rajbhandari, J. Yadav, R. Karn, R. Ojha, B. Gajurel

{"title":"Challenges Faced for Botulinum Toxin Injection in the Treatment of Hemifacial Spasm and Blepharospasm: Our Experience in Tribhuvan University Teaching Hospital during COVID-19 Pandemic","authors":"R. Rajbhandari, J. Yadav, R. Karn, R. Ojha, B. Gajurel","doi":"10.52910/AJHS.36","DOIUrl":"https://doi.org/10.52910/AJHS.36","url":null,"abstract":"Introduction: Hemi facial spasm (HFS) and Blepharospasm (BS) is a chronic distressing condition. Botulinum toxin (BoNT) injection is one of its treatment modality. Acquiring the injection and treating the patients overcoming the lockdown hurdles of COVID pandemic has been a major challenge. \u0000Methods: Patients who were treated at Tribhuvan University Teaching Hospital (TUTH) Outpatient Department (OPD) during the COVID pandemic in 2020 and 2021 were included in this study. \u0000Results: Out of 30 patients, 77% were female. 47% were diagnosed with BS whereas the rest with HFS. About 50% of them have had symptoms for an average of 2-5 years before receiving botulinum toxin injection. The mean Jankovic score for patients before BoNT was 2.31(SD: 0.66 range 1-4). 26 patients experienced a decrease in spasm within one week of BoNT injection and had symptomatic relief. The mean Jankovic score at week 1 was 0.63(SD: 1.09 range 1-3) and the difference was statistically significant (p<0.001). After 2 weeks of BoNT therapy, all patients experienced a decrease in spasm with symptomatic improvement. The mean Jankovic score at week 2 was 0.26(SD: 0.44 range 0-1) and the difference was statistically significant (p<0.001). In terms of side effects, 4 patients experienced paresis while 26 patients experienced no side effects. No other systemic side effects were reported. \u0000Conclusion: BoNT injection has a good outcome for HFS and BS, despite its cost and the need for frequent injection. Importing the BoNT from India during the lockdown period of COVID pandemic and patients travelling within the country were challenges that were faced by the patients and doctors to achieve the result.","PeriodicalId":175886,"journal":{"name":"Annapurna Journal of Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130364065","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

Strengthening Traditional Medicine Systems in Nepal through Chemical and Pharmacological Research 通过化学和药理研究加强尼泊尔的传统医学系统

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.48

Hari Prasad Devkota, A. Devkota, Atisammodavardhana Kaundinnyayana, D. Bhandari

引用次数: 0

Deep Vein Thrombosis : An Unusual Presentation in COVID-19 Patients-Our Experience and Comparison with Non COVID-19 Deep Vein Thrombosis Cases 深静脉血栓:新冠肺炎患者的一种不寻常的表现——我们的经验及与非新冠肺炎深静脉血栓的比较

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.35

S. Vaidya, R. Karmacharya, Neetu Bhandari, G. Hada, Shushil Sah, Sahil Bade, Swastika Sedhai

{"title":"Deep Vein Thrombosis : An Unusual Presentation in COVID-19 Patients-Our Experience and Comparison with Non COVID-19 Deep Vein Thrombosis Cases","authors":"S. Vaidya, R. Karmacharya, Neetu Bhandari, G. Hada, Shushil Sah, Sahil Bade, Swastika Sedhai","doi":"10.52910/AJHS.35","DOIUrl":"https://doi.org/10.52910/AJHS.35","url":null,"abstract":"Introduction: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) was found in Wuhan China which caused the acute respiratory illness and became the pandemic as declared by World Health Organization on March 11, 2020. Viral inclusion bodies have been identified in endothelial cells in a variety of organs. Deep Vein Thrombosis(DVT) is one atypical presentation which is thought to be triggered by endothelial dysfunction and exacerbated by hypoxia in patients with COVID-19. \u0000Methods: It was a single center retrospective study in Kathmandu University Dhulikhel Hospital. All the data were taken between January, 2020 till May, 2021 who were presented in OPD or inpatient department with symptoms of DVT and required admission. Presence or absence or concomitant COVID-19 was tested by RT-PCR test. \u0000Result: There were a total of 52 patients admitted as DVT, among which 26(50%) were male and 26(50%) were female. Twenty patients (38.5%) were COVID-19 positive and 32 (61.5%) were COVID-19 negative. Mean age for among those patients was 50.50±4.8 years, average hospital stay was 6.4±0.6 days, after anticoagulation therapy target INR was reached in 3.8±0.17 days and CVI was present in 14(70%) for COVID positive with DVT. Similarly, mean age was 46.80±3.3 years, average hospital stay was 4.6±0.3 days, after anticoagulation therapy target INR was reached in 3.3±0.21 days and CVI was present in 18(56.65%) with COVID negative with DVT. \u0000Conclusion: COVID-19 is still the mysterious virus and exact mechanism of this disease is still a debate which may need many years to solve. Sometimes DVT can be the only presentation of this disease","PeriodicalId":175886,"journal":{"name":"Annapurna Journal of Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121850109","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

Economic Burden Associated with Neurocysticercosis at a Tertiary Care Neurological Center in Nepal 尼泊尔三级护理神经学中心与神经囊虫病相关的经济负担

Annapurna Journal of Health Sciences Pub Date : 2021-08-08 DOI: 10.52910/AJHS.40

S. Acharya, P. Rajbhandari, R. Shrestha, Sudan Dhakal, P. Shrestha, S. Gajuryal, B. Pant

{"title":"Economic Burden Associated with Neurocysticercosis at a Tertiary Care Neurological Center in Nepal","authors":"S. Acharya, P. Rajbhandari, R. Shrestha, Sudan Dhakal, P. Shrestha, S. Gajuryal, B. Pant","doi":"10.52910/AJHS.40","DOIUrl":"https://doi.org/10.52910/AJHS.40","url":null,"abstract":"Introduction: Neurocysticercosis (NCC) is the most common parasitic disease of the central nervous system and is a major cause of epilepsy and neurological morbidity in humans in endemic areas of the world. This study was conducted to estimate economic burden of the paients due to Neurocysticercosis arriving at Tertiary Neurological center of Kathmandu,Nepal. \u0000Methods: A cross sectional prospective study was conducted for 2 years among the patients with NCC at Tertiary Neurological Center in Kathmandu. Patients treatment plan and followup date were recorded and patient were categorized into four different groups depending on the frequency of followup and completion of treatment. Direct and indirect cost centers were catagorised and calculated accordingly. The cost was estimated in US dollar as of 2020. \u0000Results: Out of 52 patients who were followed up completely for treatment, majority of patient were from age group 21-30 years . The total cost incurred for group 1, group 2, group 3 and group 4 were $468, $714, $ 1054 and $1986 respectively.The average cost per day for a patient with NCC was calculated to be $1.5. \u0000 Conclusion: This study suggests that Neurocysticercosis results in considerable monetary losses to patient in developing country like Nepal. The average loss of each individual accounted for around one half of per day capita income of Nepal. Various programs and poolicies shall be implemented to reduce the burden of NCC so as to reduce the economic burden associated to it.","PeriodicalId":175886,"journal":{"name":"Annapurna Journal of Health Sciences","volume":"07 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114576075","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