Journal of Advanced Academic Research最新文献

{"title":"Health Related Quality of Life of Adult Client Living with Sickle Cell Disease in a Hospital at Banke District, Nepal","authors":"Ishwori K.C., Arati Pokharel, D. Shrestha, Rajan Pande, Asha Panth, Kanchan Gautam","doi":"10.3126/jaar.v9i2.48842","DOIUrl":"https://doi.org/10.3126/jaar.v9i2.48842","url":null,"abstract":"Background: Sickle-cell disease is characterized by a modification in the shape of the red blood cell from a smooth shape into a crescent shape. The misshapen cells lack plasticity and can block small blood vessels, impairing blood flow. The purpose of the study was to find out the quality of life of client living with sickle cell disease. \u0000Method: A descriptive cross sectional quantitative study design was used. Non probability convenient sampling technique was used for the selection of respondents after conforming hemoglobin electrophoresis report attending out-patient department of Bheri Hospital. \u0000Results: A total 143 participants were studied who were at age range of 19 to 40 years with mean age of 30.26±8.42. Almost 81.8% perceived their health was only fair in comparison to past year. In comparison to other people 60.1% participants believe they get sick little easier. The overall quality of life was good in 56% participants. The health related quality of life scores for eight domains are as follows-physical functioning (77.25±18.22), social functioning (58.39±16.77), role limitation due to emotional problem (57.23±33.99), pain (56.43±22.84), role limitation due to physical problem (49.56±29.76), emotional wellbeing (49.59±14.5), Vitality (36.62±16.85) and general health (36.78±19.99). \u0000Conclusion: Quality of life of adults with sickle cell disease is better in the domain of physical function in comparison to other domains. The aspect of energy scale indicates poor quality of life. Female and uneducated clients should be focused for improvement in all domains.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130531842","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}

{"title":"Understanding Dynamics of Food Insecurity and Vulnerability in Chepang Community","authors":"C. B. Gurung","doi":"10.3126/jaar.v9i2.48845","DOIUrl":"https://doi.org/10.3126/jaar.v9i2.48845","url":null,"abstract":"Chepangs are one of the highly marginalized indigenous peoples of Nepal who are vulnerable in terms of food security and have been living in environments characterized by high risk of various shocks. This study examines the dynamics of food insecurity and vulnerability in Chepang community. The study uses a mixed method approach. Data were obtained by using semi structured household questionnaire and key informant interview checklist. The household questionnaire included modules on household demographics, migration, housing facilities, assets and access to credit facilities, agriculture, income, expenditure, food sources and consumption patterns, shocks and food security. The questionnaire also contained questions on maternal and child health and nutrition. For child anthropometry, height and weight were also measured of all children below 5 years (6-59 months). About 90 percent of the sampled households reported food insecurity. Overall, assets deprivation, recurrent phenomena of covariate and idiosyncratic shocks, unfavorable state policies, and socio-cultural factors, low profile of education, larger family size, lack of  income, higher expenditure on foods, low consumption patterns, and poor access to health care, water and sanitation facilities etc. are the major determinants of vulnerability of  households to  food insecurity. These factors were, in turn, determined by the poor resource endowment of the household which they could pursue in meeting their income and food security objectives. 75 percent of expenditure of Chepang households goes to food purchase. This high food expenditure share means that resources and incomes available to the households devotes to food indicating poor access to food. Again, more than 53 percent of the households belongs to the very poor and poor food consumption groups. This means suffering from food energy deficiencies, low dietary diversity, deriving more energy from staples, lacking micronutrients and having very poor and poor consumption patterns and poor food security status. The main coping strategies being adopted include unskilled wage laboring, collection, consumption and marketing of forest foods and products, sales of livestock animals, borrowing money and changing consumption patterns in the study area. This ethnicity based analysis could be of great value to the government, non-governmental organizations and development agencies in the design of effective food security strategies and development programs as policy response both now and in the future.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132065475","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}

{"title":"Hydrological and Geological Analysis of Cohesive Soil and its Potential Risk in Middle Mountain Region: A Case Study of Naunuko Pahiro along Madi River, Kaski, Nepal","authors":"Prakash Baral","doi":"10.3126/jaar.v9i2.48846","DOIUrl":"https://doi.org/10.3126/jaar.v9i2.48846","url":null,"abstract":"Middle Mountain region of Nepal is most often vulnerable in hydrological and geological aspect. Rainfall pattern, runoff, infiltration rate, different losses and soil parameters of cohesive soil (Silty clay) along with slope of slide (i) and depth of slide (H), factor of safety (F.O.S) along with probabilistic approach (correlation) are decisive factors pertaining to re-occurrence of landslide. Rainfall intensity, catchment area (A), runoff coefficient plays vital role in the estimation of flood frequency over a various period of time (25 years, 50 years and 100 years) respectively. The civil engineering structures along with middle mountain river are always vulnerable. Hence, its risk identification is prerequisite which is encompasses in the study. This study include hydrological and geological analysis of Taprang landslide (Naunuko Pahiro) which prevail at middle mountain region at an elevation ranging from 937m to 1047m of Kaski district, Gandaki  Provenance, Nepal. Soil test data, rainfall data, probability and statistical approach along with different empirical formulas are used to analyse hydrological and geological hazard. Factor of safety (F.O.S) is calculated on the basis of altering value of slope of slide (i) and depth of slide (H) from slope ranging 50° to 70°. With increase depth of slide greater than 10m, F.O.S. is less than one which is unstable. The slope stability found to be critical at depth of slide10m with 50° slopes.Higher ground water table, higher rate of run-off with an average rainfall 446.50cm and higher shear stress contribute to risk of landslide along with increase discharge at down- stream of landslide with possibility of flood hazard at Madi river bank.\u0000The result would give insight on nature of landslide and flood discharge which could support Madi Village Municipality, as well as other rural Municipality of middle mountain region of almost same elevation consisting of cohesive (Silty Clay) soil for shaping disaster risk reduction policies and strategies such that death and injuries as well as impact on civil engineering structures can be minimized.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114266552","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}

{"title":"Quality Of Life of Cancer Patients Attending a Cancer Hospital, Lumbini Province, Nepal","authors":"Asha Panth, Saraswoti Kumari Gautam Bhattarai, D. Shrestha, Ishwori K.C.","doi":"10.3126/jaar.v9i2.48841","DOIUrl":"https://doi.org/10.3126/jaar.v9i2.48841","url":null,"abstract":"Background: Quality of life is an important aspect and high priority of the cancer patient care. The objective of the study was to find out the quality of life of cancer patients attending a Cancer hospital, Lumbini Province, Nepal.\u0000Methods: An analytical cross sectional study design based on quantitative approach was used in the study. The study was conducted in Sushil Koirala Prakhar Cancer Hospital, Khajura, Banke which was selected purposively considering only one cancer hospital in province five, Nepal. The entire cancer patients receiving at least one cycle of cancer treatment was included in the study using non probability purposive sampling technique. Semi structured interview based questionnaires was used and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire – C30 (EORTC QLQ- C30) was used for measuring quality of life. The data was collected by the enumerator by face to face interview. The collected data were   analyzed by using descriptive and inferential statistics.\u0000Results: The patients with carcinoma (ca) lungs were in highest proportion (24.5%) followed by ca breast. The transform mean and SD score of Global Health/QoL was 35.84 (16.87), functional scale 36.35(15.54), symptoms scale 53.02 (14.61).Occupation was found to be associated with quality of life at statistically significant level in (p= .000) function score. Site of cancer was found to be associated with quality of life at statistically significant levels (p=.0.009) in symptom score. The patients with stage I and   II had high global health score and least in stage IV. There was positive correlation of .610** (p=.000) significant at 0.01 level with functional scales and high negative correlation of -.521(p=-.521**) with symptom scales at (p=.000) level of significance. The overall quality of life of cancer patients was poor. The pain management of cancer patients should be taken into consideration.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124722337","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}

{"title":"Experiences of Workplace Violence among Nursing Personnel in Rapti Sub-regional Hospital, Dang District, Western Nepal","authors":"D. Shrestha, Ishwori Kc, Asha Panth","doi":"10.3126/jaar.v9i2.48844","DOIUrl":"https://doi.org/10.3126/jaar.v9i2.48844","url":null,"abstract":"Background: Workplace violence against (WPV) health care workers is a common and widespread phenomenon. This problem is already high and still continuously increasing. The objective of the study was to explore the experience of workplace violence among nursing personnel. \u0000Methods: A purposive sampling technique was used to select 20 nursing personnel. The qualitative data was generated by using guidelines for (i) Focus group Discussion (FGD), (ii) in- depth interview and (iii) key informant interview.  Three FGD were conducted: two groups of staff nurses and one group of ANM, tape recording as well as field note was maintained. In-depth interviews were conducted with 4 nursing personnel who had experienced of workplace violence (WPV), the facial expressions, gesture, tone of voice and emotion experienced by respondents were observed during data collection. Two key informant interviews were carried out among organizational chiefs (medical superintendent) to verify the findings. \u0000Results: All participants had experienced some types of abuse in their lifetime and majority of them had experienced verbal abuse in their workplace, where the perpetrators were team i.e. particularly by doctors. The nature of verbal abuse was insult, threatening and scolding in front of patients and visitors and majority of them reported the common place of violence was maternity ward particularly during night duty. The common cause behind the WPV was due to absence of policy to punish the perpetrators. Among the abused personnel, majority of them reported psychosomatic problems: anorexia, insomnia and depression. The studies revealed that majority of respondents were seeking immediate support from colleagues. In term of preventive measures, majority of respondents reported to give training on self-protection, staffs counseling for abused and developing violence prevention policy in the workplace. \u0000 Conclusion: Based on the identified qualitative information, the four themes were developed: low morale, low responsiveness, lack of unity and hazardous work environment which were responsible for increment of WPV. Therefore there identified themes need to be taken in consideration for the violence prevention policy should be developed in the concerned areas to control and prevent the WPV.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129428781","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}

{"title":"Is Nepal on the Verge of Economic Crisis? A Comparative Study of Sri Lanka and Nepal","authors":"M. Pandey","doi":"10.3126/jaar.v9i2.48839","DOIUrl":"https://doi.org/10.3126/jaar.v9i2.48839","url":null,"abstract":"This paper attempts to analyze the economic condition of Sri Lanka and compare it with that of Nepal especially based on external sector indicators. The main objective of this study is to identify the level of risk that economic crisis looming in Nepal by examining and comparing indicators using secondary data collected from various publications of the government of Nepal and Sri Lanka, central banks of both countries, World Bank, IMF and others across six years starting from 2016 to 2021. This Study follows the comparative and descriptive research design and analysis has gone through the same. The data and calculated indicators suggest that Sri Lankan economy had gone through bad phases after year 2019 and that led to acute crisis. The external sector indicators of Nepal show that Nepal was also facing some sort of issues after COVID-19 pandemic followed by Russia-Ukraine war in 2020 and 2021 however, there are encouraging signs of recovery in recent times. The study came with the conclusion that the economic crisis caused by drained of foreign exchange reserve has given a wakeup call to small growing economies and Nepal is not an exception. However, as a result of the precautionary policies and measures that Nepal has taken so far, the external sector’s indicators not showing worrying syndrome for severe economic crisis. To avoid the crisis in medium and long term Nepal should take initiatives for policy and structural reforms to enhance its productive capacity to induce export, tourism and other industries.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122531400","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}

{"title":"Retraction Notice for \"Knowledge on Pre-conception Care among Reproductive Age Women\"","authors":"E. Board","doi":"10.3126/jaar.v9i1.44535","DOIUrl":"https://doi.org/10.3126/jaar.v9i1.44535","url":null,"abstract":"On 19th April 2022 the Editorial Board of the Journal of Advanced Academic Research agreed to retract the article ‘Knowledge on Pre-conception Care among Reproductive Age Women’ published in the Journal of Advanced Academic Research, Vol.9(1) pages 13-20 (DOI: https://doi.org/10.3126/jaar.v9i1.44040 ) ) as it was found to be the same as the article ‘Knowledge on Pre-conception Care among Reproductive Age Women’ published in the Saudi Journal of Medical and Pharmaceutical Sciences, Vol.2(1) pages 1-6, http://scholarsmepub.com/wp-content/uploads/2016/02/SJMPS-211-6.pdf","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"07 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114232456","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}

{"title":"Knowledge on Pre-conception Care among Reproductive Age Women","authors":"Kanchan Gautam, S. Acharya, Saraswoti Kumari Gautam Bhattarai","doi":"10.3126/jaar.v9i1.44040","DOIUrl":"https://doi.org/10.3126/jaar.v9i1.44040","url":null,"abstract":"Background: Preconception care is the provision of biomedical, behavioral and social health interventions to women and couples before conception occurs. It aims at improving their health status, and reducing behavioral and environmental factors that contribute to poor maternal and child health outcomes. Therefore, the study was to assess the knowledge on preconception care among reproductive age women. \u0000Methods: A descriptive cross-sectional study was carried out amongst 150 reproductive age group women attending the OPD in Manmohan Memorial Teaching Hospital, Kathmandu. The sample was selected by non-probability/purposive sampling technique. Structured questionnaire was used to collect data using interview technique. Data was analyzed via SPSS software version 16. Mean, median and standard deviation was used for analysis of data. \u0000Results: The finding showed that 31.3% had adequate knowledge, while 68.7% of the respondents had moderate knowledge about preconception care. Only 40.7% of the respondents knew that folic acid should be started when female discovers that she is pregnant, 36.7% of the respondents knew that folic acid should be started 3 months before conception. While only 24% respondents knew that folic acid is effective in reducing the risk of birth defects. significant association between level of knowledge on preconception care and family income and whereas there was no significant association between the level of knowledge and the age, ethnic group, education level, religion, residence, occupation, type of family, marital status. \u0000Conclusions: This study concludes that there was moderate knowledge on preconception care among reproductive age women. Hence, there should be proper counseling and more educational intervention to upgrade the knowledge level of women of reproductive age.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129505380","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}

{"title":"Compliance on Diet and Exercise among Diabetic Patient in Referral Hospital of Morang District","authors":"Shashi Sharma Rijal, Diksha Paudel, Bhawana Bhandari, Takma Kc, U. Mainali, Pratiksha Chapagain, S. Basnet","doi":"10.3126/jaar.v9i1.44052","DOIUrl":"https://doi.org/10.3126/jaar.v9i1.44052","url":null,"abstract":"Diabetes is a serious health problem that threatens the quality of life of with diabetes, the success of long term maintenance therapy for diabetes depends largely on the patient compliance with diet and exercise. Thus, this study aim to assess the compliance on Diet and Exercise among diabetic patient in a Referral Hospital of Morang District.\u0000Methodology: A cross sectional descriptive study was conducted among type 2 diabetic patient in medical OPD of Koshi Hospital   through face to face interview Data were organized, verified and analyzed using the Statistical Package for Social Sciences, version 17.\u0000Results: A total of 141 participants were included in this study, of them 55.3% were males. The rate of compliance to diet and exercise was 48.2% and 22.7%, respectively. Compliance to diet was higher in people of age above 50 years (p=0.029) and those who are single (p=0.037), patient with duration of diagnosis less than 5 years (p=0.01) and those who had dietary counselling (p=0.007).  The rate of compliance to exercise among type-2 diabetes patients in Morang district was low, and it could be attributed to a combination of several socio-demographic and clinical factors.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114070736","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}

{"title":"Quality Assurance of Academic Organisations – A Comparative Study of ISO 9001, ISO 21001 and QAA (UGC Nepal)","authors":"Tatwa P Timsina","doi":"10.3126/jaar.v9i1.44049","DOIUrl":"https://doi.org/10.3126/jaar.v9i1.44049","url":null,"abstract":"With the establishment of the first school in 1853, the era of modern education began in Nepal. Though it was aimed only for the members of the ruling families and their courtiers, it attracted the interest of the ordinary people as well. After about 100 years later, schooling for the general people began in 1951 after the over throw of autocratic regime. Even after these seven decades of educational history, the quality of education system in Nepal is still poor. After the introduction of the private education system, the gap between poor and rich in terms of education has widened.\u0000Like in many countries, School Education in Nepal comprises Primary Level, Middle School/Lower Secondary Level (SLC), High School/ Secondary Level and +2/ Higher Secondary Level. Bachelor's/Undergraduate Level, Master's Level/Graduate/Degree Level, Post Graduate, MPhil Level and PhD Doctoral Level are the part of Higher Education system.","PeriodicalId":427566,"journal":{"name":"Journal of Advanced Academic Research","volume":"517 1-2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116821924","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}