Europasian Journal of Medical Sciences最新文献_第2页

Nepal’s Family Planning Program has Come a Long Way: A Conversation with Dr. Badri Raj Pande 尼泊尔的计划生育项目已经走过了漫长的道路:与巴德里·拉杰·潘德博士的对话

Europasian Journal of Medical Sciences Pub Date : 2022-12-27 DOI: 10.46405/ejms.v4i0.453

S. Thapa

{"title":"Nepal’s Family Planning Program has Come a Long Way: A Conversation with Dr. Badri Raj Pande","authors":"S. Thapa","doi":"10.46405/ejms.v4i0.453","DOIUrl":"https://doi.org/10.46405/ejms.v4i0.453","url":null,"abstract":"It has been nearly six decades since Nepal introduced a family planning program.1,2 At present, the average number of children that a woman in Nepal has is just two, which is defined as a ‘replacement level’ of fertility (that is, two offspring to replace the couple themselves).3 In contrast, about fifty-years ago (in the mid-1970s), the average was more than six children for a married woman in Nepal.4,5 This change in reproductive behavior (certainly influenced by attitudes towards smaller family size) should be considered a ‘reproductive revolution’ in an essentially patriarchal and patrilocal society like Nepal – a transition several other countries have experienced in recent decades as well.6,7 This reproductive revolution is driven principally by the adaption of modern methods of contraception. In 1966, Nepal became one of only a handful of countries where family planning was officially adopted as a ‘fundamental human right and a policy tool in long-range national planning’.1 Sterilization (mainly female sterilization) has been the principal method of fertility control.8,9 At present, more than 50% of married women in Nepal use some form of contraception.8 By all measures, the country’s family planning program must be considered a success. In more recent years however, other factors including abortion and rising age of marriage, as well as male-selected out-migration, have also contributed to the further decline in fertility.10-14","PeriodicalId":254508,"journal":{"name":"Europasian Journal of Medical Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125585957","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

Spontaneous Umbilical Endometriosis: A Case Report 自发性脐带子宫内膜异位症1例

Europasian Journal of Medical Sciences Pub Date : 2022-09-15 DOI: 10.46405/ejms.v4i0.431

Sailuja Maharjan, B. Satyal, Reena Baidya

引用次数: 1

Workplace violence against nurses in Bangalore city, India 在印度班加罗尔市，针对护士的工作场所暴力

Europasian Journal of Medical Sciences Pub Date : 2022-06-18 DOI: 10.46405/ejms.v4i1.410

Laxmi Adhikari

引用次数: 0

Home hospital care through telehealth during COVID-19 pandemic in Nepal 尼泊尔COVID-19大流行期间通过远程医疗提供的家庭医院护理

Europasian Journal of Medical Sciences Pub Date : 2022-03-05 DOI: 10.46405/ejms.v4i1.375

A. Devkota, S. Pandey, Yadav Pandey, H. Neupane, A. Basnet, A. Shah, R. Thakur, S. Sah, D. Chaudhary, Aakash Mahato, Shradha Acharya, P. Paudel, Amrit Pathak, Yam Acharya

{"title":"Home hospital care through telehealth during COVID-19 pandemic in Nepal","authors":"A. Devkota, S. Pandey, Yadav Pandey, H. Neupane, A. Basnet, A. Shah, R. Thakur, S. Sah, D. Chaudhary, Aakash Mahato, Shradha Acharya, P. Paudel, Amrit Pathak, Yam Acharya","doi":"10.46405/ejms.v4i1.375","DOIUrl":"https://doi.org/10.46405/ejms.v4i1.375","url":null,"abstract":"COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 has been occurring in waves due to emergence of different strains. During second wave of COVID pandemic in Nepal, largely caused by Delta variant, due to rapid rise in cases, existing hospitals and health facilities were overwhelmed. As a result, telemedicine was expanded to help reduce strain on the healthcare system and meet unusually high demands. A team of physicians with the support from the local government provided hospital level care for patients at home in rural district of Dang in Nepal. This research analyzes implementation of this model of care and outcomes based on review of patient records and treatment guidelines. Within a month, from May 5 to June 13, 2021, a total of 102 patients received care at home. While most patients had mild to moderate disease, 12.8% of patients had severe disease. Telemedicine usage was highest among the 40-59 years age group, with overall recovery rate of 85.3%. The patient satisfaction survey revealed that majority, 86.5% were happy with the medical care they received. This home hospital care model has shown excellent clinical outcomes and high patient satisfaction even in resource limited setting.","PeriodicalId":254508,"journal":{"name":"Europasian Journal of Medical Sciences","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133473997","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

Predictors of ICU Admission and Mortality in Patients with Coronavirus Disease – 2019 (COVID 19) in Community Hospitals 2019年社区医院冠状病毒病(COVID - 19)患者ICU住院和死亡率的预测因素

Europasian Journal of Medical Sciences Pub Date : 2022-03-05 DOI: 10.46405/ejms.v4i1.386

V. Pathak, Courtney Conklin

{"title":"Predictors of ICU Admission and Mortality in Patients with Coronavirus Disease – 2019 (COVID 19) in Community Hospitals","authors":"V. Pathak, Courtney Conklin","doi":"10.46405/ejms.v4i1.386","DOIUrl":"https://doi.org/10.46405/ejms.v4i1.386","url":null,"abstract":"Background: \u0000Coronavirus Disease 2019 (COVID-19) is caused by novel coronavirus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The mortality of patients in the Intensive Care Unit (ICU) is variable and has been reported to be as high as 80%. Not much is known about the factors leading to the progression of hospitalized patients to requiring ICU care and the predictors of mortality among ICU patients. We performed univariate followed by multivariate logistic regression analysis to determine predictors of progression of the disease and factors associated with mortality. \u0000 \u0000Method: \u0000Retrospective data were collected from 101 consecutive patients admitted from March, 2020 to June, 2020. Data were collected from five different community hospitals in eastern Virginia with varied demographics. \u0000 \u0000Result: \u0000A total of 101 consecutive hospitalized patients in five community hospitals in eastern Virginia were enrolled in the study. Out of the 101 patients, 53 were admitted into the ICU for respiratory failure. Of these 53, 40 patients required intubation and mechanical ventilation. Altogether, 30 of the 53 patients admitted to the ICU died. Of these 30 patients, 25 required intubations. Of these 25 patients, one had mild, 6 moderate and 18 severe Adult Respiratory Distress Syndrome (ARDS). Patients aged 60 years and above accounted for >2/3rd of the cases in ICU. \u0000 \u0000Conclusion: \u0000Logistic regression analysis revealed multiple factors associated with progression of disease leading to transfer into the ICU from floor and unfavorable outcome. \u0000 ","PeriodicalId":254508,"journal":{"name":"Europasian Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130991992","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

Supplimentary Information 互补的信息

Europasian Journal of Medical Sciences Pub Date : 2022-03-05 DOI: 10.46405/ejms.v1i1.407

Ejms Journals

引用次数: 0

COMPARISON OF DEXMEDETOMIDINE AND FENTANYL ON AIRWAY RESPONSE AND HEMODYNAMICS DURING TRACHEAL EXTUBATION 右美托咪定与芬太尼对气管拔管时气道反应及血流动力学的影响比较

Europasian Journal of Medical Sciences Pub Date : 2022-01-07 DOI: 10.46405/ejms.v3i2.273

H. Gyawali, Renu Gurung, P. Bastola, M. Koirala

{"title":"COMPARISON OF DEXMEDETOMIDINE AND FENTANYL ON AIRWAY RESPONSE AND HEMODYNAMICS DURING TRACHEAL EXTUBATION","authors":"H. Gyawali, Renu Gurung, P. Bastola, M. Koirala","doi":"10.46405/ejms.v3i2.273","DOIUrl":"https://doi.org/10.46405/ejms.v3i2.273","url":null,"abstract":"Background: Extubation is associated with various circulatory and airway responses. Various pharmacological measures including fentanyl and dexmedetomidine have been used to blunt the reflex without compromising the spontaneous respiration. In this study we wanted to compare dexmedetomidine and fentanyl on airway response, smoothness of extubation and hemodynamic changes. \u0000Methodology: A total of 68 patients undergoing surgery under general anesthesia with endotracheal intubation, were randomized into two groups. Group A received dexmedetomidine 0.5 mcg/kg and Group B received 1 mcg/kg of fentanyl with the start of skin suturing over a period of 10 minutes via syringe pump. Airway reflex during suction and smoothness of extubation were assessed. Level of sedation during suction, extubation and then every 5 minutes post extubation for 15 minutes were recorded. Hemodynamic parameters were assessed every 5 minutes with start of test solution till extubation and then every 5 minutes for 15 minutes. \u0000Results: A total of 68 patients were evaluated in the study. In dexmedetomidine group, 67.6% of patients had no cough on extubation while in fentanyl group 35.3% of patients had no cough on extubation which was statistically significant (p value 0.015). Mean heart rate during extubation increased in both the groups but the increase was 39% in Group B and 11% in Group A from baseline which was statistically significant (p value < 0.001). There was rise in mean systolic and mean arterial pressure during extubation in both the groups but the increase was significantly higher in fentanyl group. Patients in dexmedetomidine group were more sedated but there were no any adverse events. \u0000Conclusion: With the results obtained from the study, it is concluded that dexmedetomidine 0.5 mcg/kg over 10 minutes before extubation is effective in alleviating airway response and haemodynamics compared to fentanyl 1 mcg/kg.","PeriodicalId":254508,"journal":{"name":"Europasian Journal of Medical Sciences","volume":"49 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134177427","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

The public-private partnership (PPP) initiative in healthcare system: as the pathways to achieve the SDGs in Nepal 医疗系统中的公私伙伴关系(PPP)倡议:作为尼泊尔实现可持续发展目标的途径

Europasian Journal of Medical Sciences Pub Date : 2021-12-31 DOI: 10.46405/ejms.v3i2.266

L. Bhatt, R. Shrestha, V. Bhandari

引用次数: 0

Serum level of Total Antioxidant Status and Malondialdehyde in the Patients with Polycystic Ovarian Syndrome: a Comparative Study 多囊卵巢综合征患者血清总抗氧化水平和丙二醛水平的比较研究

Europasian Journal of Medical Sciences Pub Date : 2021-12-31 DOI: 10.46405/ejms.v3i2.367

B. P. Magar, Dilli Pun Magar, K. Amgain, K. Joshi, Niranjan Satyal, Jharendra Bahadur Oli

{"title":"Serum level of Total Antioxidant Status and Malondialdehyde in the Patients with Polycystic Ovarian Syndrome: a Comparative Study","authors":"B. P. Magar, Dilli Pun Magar, K. Amgain, K. Joshi, Niranjan Satyal, Jharendra Bahadur Oli","doi":"10.46405/ejms.v3i2.367","DOIUrl":"https://doi.org/10.46405/ejms.v3i2.367","url":null,"abstract":"Background: Polycystic ovary syndrome (PCOS) is a complex endocrine disorder in women of reproductive age and a major cause of infertility. Anti- Mullerian Hormone (AMH), a valid marker of ovarian function, is used for the diagnosis of PCOS. The aim of this study is to assess the serum level of total antioxidant status (TAS) and malondialdehyde (MDA) in the premenopausal women with PCOS. \u0000Methods: A cross-sectional analytical study was conducted at Padmashree Diagnostics, Department of Gynecology, India from April 2016 to March 2017. Census method was used to select the samples. The oxidative stress was measured by measuring the level of TAS and MDA. The data was recorded in structured proforma and and enter in SPSS version 16.0. The data were expressed in frequency, percentage, mean and standard deviation and the results obtained were analyzed using pearson’s correlation and student’s t-test. The p-value less than 0.05 was taken as statistically significant. \u0000Results: The measured serum AMH level among the patients with PCOS was within normal range in 67.5% (27) and above normal range in 32.5% (13). The serum TAS level in normal AMH group was 814.0 + 291 µMol/L and in above normal range group was 720 + 240 µMol/L, (p <0.001). Similarly, the serum level of MDA in normal AMH group was 6.64 + 0.21 µMol/L, and in above normal range group was 8.78 + 0.22 µMol/L (p = 0.01). The measured level of AMH was significantly associated with the increased level of MDA (p<0.001) and decreased level of TAS (p<0.001). The measured MDA level in high AMH group did show statistically significant than the normal AMH group. \u0000Conclusions: Serum level of TAS and MDA along with AMH are valuable diagnostic biomarker for the diagnosis of PCOS in the resource poor settings where ultrasound facility is unavailable.","PeriodicalId":254508,"journal":{"name":"Europasian Journal of Medical Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125655770","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

Evaluation of Liver Enzymes and calculation of AST to ALT ratio in patients with acute viral hepatitis 急性病毒性肝炎患者肝酶的测定及AST / ALT比值的计算

Europasian Journal of Medical Sciences Pub Date : 2021-12-31 DOI: 10.46405/ejms.v3i2.255

A. Pandeya, N. Shreevastva, A. Dhungana, Anup Pandeya, B. Pradhan

{"title":"Evaluation of Liver Enzymes and calculation of AST to ALT ratio in patients with acute viral hepatitis","authors":"A. Pandeya, N. Shreevastva, A. Dhungana, Anup Pandeya, B. Pradhan","doi":"10.46405/ejms.v3i2.255","DOIUrl":"https://doi.org/10.46405/ejms.v3i2.255","url":null,"abstract":"Background: Acute viral hepatitis is a common liver-associated abnormality encountered in clinical practice. The number of biochemical parameters is estimated to detect a hepatic abnormality, which can measure the severity and types of damage to hepatocytes, among which liver enzymes and bilirubin levels are assessed routinely which are raised in acute viral hepatitis.Objective: This study aims to assess the liver enzymes, such as aspartate aminotransferase (AST), alanine aminotransferase (ALT), bilirubin, and calculation of AST to ALT ratio in acute viral hepatitis and to compare these parameters with the control group.Methodology: This study included a total of 81 subjects diagnosed with acute viral hepatitis as cases and age and sex-matched, the same number of healthy subjects as control. Serum levels of AST and ALT, alkaline phosphatase (ALP), and bilirubin were analyzed using standard methods. Serum AST to ALT ratio was calculated. Data analysis was done using SPSS Version 17.0 and the results were expressed as mean ±standard deviation (SD).Results: A mean serum activities of aminotransferases were statistically significantly raised in viral hepatitis compared to that in control.AST (514.85±350.66 VS 25.65±5.29; p<0.001) and ALT (781.65±525.69 VS 27.94±6.50; p<0.001). Similarly, serum levels of(ALP)were significantly increased in acute viral hepatitis compared to that in control (202.17±75.46 VS 98.83±27.99; p<0.001. However, a ratio of AST to ALT was decreased significantly (0.66±0.15 VS 0.94±0.21; p= 0.001) in acute viral hepatitis compared to that in control.Conclusion: Both the aminotransferases and bilirubin levels are raised significantly, where, a rise in ALT is greater than a rise in AST, hence, the ratio of AST to ALT is decreased significantly in acute viral hepatitis than that in control. Thus, this decreased pattern of AST to ALT can diagnose acute viral hepatitis at an early stage and can help appropriate care and treatment to the patients.","PeriodicalId":254508,"journal":{"name":"Europasian Journal of Medical Sciences","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124077049","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