Nepal Journal of Epidemiology最新文献

{"title":"Ilizarov's technique: A pioneer's vision.","authors":"Shantimoy Banerjee, Indrajit Banerjee, Jared Robinson, Indraneel Banerjee","doi":"10.3126/nje.v15i1.72248","DOIUrl":"10.3126/nje.v15i1.72248","url":null,"abstract":"","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"15 1","pages":"1376-1378"},"PeriodicalIF":5.8,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Lingering Shadow: Long-Term Effects on COVID-19 Survivors.","authors":"Brijesh Sathian, Javed Iqbal, Padam Simkhada, Hanadi Al Hamad","doi":"10.3126/nje.v15i1.83967","DOIUrl":"10.3126/nje.v15i1.83967","url":null,"abstract":"","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"15 1","pages":"1374-1375"},"PeriodicalIF":5.8,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Digital Health Intervention in Enhancing Medication Adherence Among Arthritis Patients: A Systematic Review of Randomized Controlled Trials.","authors":"Kshitija Gajadhur, Riya Patil, Arasi Pearia Anadachee, Abhishek Kashyap, Indrajit Banerjee","doi":"10.3126/nje.v14i4.77347","DOIUrl":"10.3126/nje.v14i4.77347","url":null,"abstract":"<p><strong>Background: </strong>Arthritis affects millions of people worldwide; however, its mismanagement remains a growing global challenge, resulting in reduced quality of life (QoL) and disability. Digital health (DH), including smartphones, could be the key to solving this problem. Specific evidence-based reviews on the use of DH in this context are lacking. This systematic review aimed to explore the effect of DH on medication adherence (MA) among arthritis patients, thus improving their QoL.</p><p><strong>Methods: </strong>A literature search was conducted on PubMed, Cochrane, TRIP, and Google Scholar using the keywords digital health, medication adherence, and arthritis. All randomized controlled trials (RCT) published between 2006 and 2024 were assessed for eligibility.</p><p><strong>Result: </strong>The literature search yielded 12,671 results with 882 duplicates. The review included 8 RCTs that addressed rheumatoid arthritis (n=5), gout (n=2), and juvenile idiopathic arthritis (n=1), with a total sample size of 2449 patients, among whom 66% were males. Digital interventions used include calls, texts, videos, and online counselling. Study outcomes were classified as positive (DH increased MA), no significant difference, and negative (DH failed to show an effect on MA) in 62.5%, 25%, and 12.5% of the studies, respectively.</p><p><strong>Conclusion: </strong>It is concluded that 62.5% of the RCTs showed significant contributions of digital health tools in arthritis management, mainly by enhancing medication adherence and thus improving patients' QoL. Owing to their availability, simplicity, and immediacy, digital health tools demonstrate their potential as reliable interventions for supporting arthritis patients.</p>","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 4","pages":"1362-1373"},"PeriodicalIF":5.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitigating Health Risks After Floods and Landslides in Nepal: A Public Health Perspective.","authors":"Padam Simkhada, Brijesh Sathian, Bibha Simkhada, Edwin van Teijlingen, Pragya Koirala","doi":"10.3126/nje.v14i4.83897","DOIUrl":"10.3126/nje.v14i4.83897","url":null,"abstract":"","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 4","pages":"1359-1361"},"PeriodicalIF":5.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unlocking Clinical Precision Through Polygenic Risk Prediction.","authors":"Brijesh Sathian, Javed Iqbal, Indrajit Banerjee, Hanadi Al Hamad","doi":"10.3126/nje.v14i3.82370","DOIUrl":"10.3126/nje.v14i3.82370","url":null,"abstract":"","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 3","pages":"1344-1345"},"PeriodicalIF":5.8,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Acute and Chronic Undernutrition among 10-19 Year Olds using World Health Organization Growth References: A Cross-sectional Study from Central India.","authors":"Surya Bali, Revadi Gouroumourty","doi":"10.3126/nje.v14i3.55824","DOIUrl":"10.3126/nje.v14i3.55824","url":null,"abstract":"<p><strong>Background: </strong>Adolescence, a period of rapid growth and development with biological and physiological changes, is influenced by socioeconomic, cultural, and behavioural factors. There is a dearth of data regarding undernutrition in 10-19 year olds in India. The study's objective was to estimate the prevalence of thinness and stunting in adolescents using World Health Organization (WHO) references and its determinants.</p><p><strong>Methods: </strong>This cross-sectional study represents the baseline of an adolescent health survey (November 2017 to March 2018) of 3,213 adolescents. Participants were selected using a multi-stage stratified random sampling technique from six districts of Madhya Pradesh. Data were collected by field investigators through a paperless real-time method and analyzed using R and the WHO anthro plus analyzer.</p><p><strong>Results: </strong>The prevalence of thinness and stunting were 17.1% and 23.3% respectively. Thinness was profound in early adolescents and stunting in late adolescents. While adolescent boys showed a higher prevalence of thinness, girls showed a higher stunting burden. Negative binomial mixed model regression revealed that early adolescents and boys were more likely to develop thinness. Similarly, the likelihood of stunting was higher among late adolescents, girls, and adolescents belonging to categories other than general. Fathers' education was protective against stunting irrespective of whether they were above or below primary education.</p><p><strong>Conclusion: </strong>Screening of all adolescents may be undertaken using WHO references in the national surveys for planning interventions targeted to malnourished adolescents to prevent micronutrient deficiencies and intergenerational consequences.</p>","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 3","pages":"1346-1358"},"PeriodicalIF":5.8,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical features and management approaches for Urinary Incontinence in Older Adults: Evidence from Three Hospitals in Qatar.","authors":"Asma Abbas, Brijesh Sathian, Mostafa Elawady, Shafi Hashmath Ulla Khan, Amir Ibrahim Abdalla, Ahmed Hayati Mohamed Ahmed Hasabelgawy, Ardalan Abdolgafor Ghafouri, Susan Mohieldeen Osman, Abdelrahman Hamad O Alzubier, Osama Elnour Abdelnour Idris, Hanadi Al Hamad","doi":"10.3126/nje.v14i2.69365","DOIUrl":"10.3126/nje.v14i2.69365","url":null,"abstract":"<p><strong>Background: </strong>Urinary incontinence (UI) is a common medical problem that seriously affects patients' physical, psychological, social, and financial well-being. To identify the most effective drug management techniques, this retrospective study aimed to describe the demographics, etiology, and medical traits of people with UI.</p><p><strong>Methods: </strong>This retrospective study was conducted at Rumailah Hospital, Ambulatory Care Centre, and Hamad General Hospital to investigate UI risk factors, causes, and management practices in people aged ≥ 65 years within the Hamad Medical Corporation (HMC) in Qatar.</p><p><strong>Results: </strong>The 272 patients enrolled in the study had a marked male preponderance, and a larger percentage of non-Qatari residents than Qataris residents. Solifenacin (24.9%), Tolterodine (4.1%), and Oxybutynin (1.1%) were the most commonly administered anticholinergic drugs, while Tamsulosin (82.9%), Alfuzosin (14.5%), and Doxazosin (1.7%) were the most frequently prescribed alpha-blockers.</p><p><strong>Conclusion: </strong>This study underscores the importance of investigating UI in institutionalized older adult populations considering the limited research available in Qatar. The identified preventable risk factors can be proactively addressed to mitigate UI. This study also highlights the need for thorough documentation of the diagnosis and reasons for improving the standards of patient care. The findings of this study provide important information that can be used to design medication management methods for enhancing patient outcomes.</p>","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 2","pages":"1333-1341"},"PeriodicalIF":1.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11396563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Dementia research priority for Qatar national dementia research plan: A Cross-sectional Survey.","authors":"Hanadi Al Hamad, Brijesh Sathian","doi":"10.3126/nje.v14i2.69363","DOIUrl":"10.3126/nje.v14i2.69363","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization (WHO) published the Global Action Plan 2017-2025 seven years ago to address the dementia burden for those impacted, including persons living with dementia, their families, and health-care providers. There were seven action areas in the global action plan; the least achieved was action area seven (dementia research and innovation). The primary objective of the study was to assess the top 10 dementia research priorities among healthcare professionals, patients, caregivers, the public, and stakeholders to develop the Qatar National Dementia Research Plan.</p><p><strong>Methods: </strong>Convenience sampling was used in this cross-sectional survey. The study was conducted online with the involvement of HMC staff (physicians, nurses, and allied health staff) from all HMC facilities, patients and caregivers from Rumailah Hospital's Geriatric Department, and the public who attended the 2022 Advanced Dementia Research Conference. The survey was conducted during 22nd of October 2022 till April 31, 2024. Overall, 2000 participants provided their responses, which included health care professionals under HMC, including physicians, nurses, allied health staff, patients, caregivers, the public, and stakeholders in Qatar.</p><p><strong>Results: </strong>Dementia Risk Reduction (79%) was the top priority for the survey participants. The remaining nine priorities were the impact of early treatment (76%), health system capacity (73%), implementation of best practices for care (73), access to information and services post-diagnosis (71), caregiver support (70%), emotional well-being (67%), care provider education (65%), end-of-life care (65%), and non-drug approaches to managing symptoms (65%).</p><p><strong>Conclusion: </strong>The survey results clearly indicated that most participants ranked Dementia Risk Reduction as their top priority, indicating the essential focus on dementia prevention. These findings, together with goals such as early treatment, healthcare system capacity, and caregiver support, highlight the importance of an integrated, multidisciplinary approach to dementia management.</p>","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 2","pages":"1313-1322"},"PeriodicalIF":1.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11396564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urgent need for better quality control, standards and regulation for the Large Language Models used in healthcare domain.","authors":"Brijesh Sathian, Edwin van Teijlingen, Israel Junior Borges do Nascimento, Russel Kabir, Indrajit Banerjee, Padam Simkhada, Hanadi Al Hamad","doi":"10.3126/nje.v14i2.69361","DOIUrl":"10.3126/nje.v14i2.69361","url":null,"abstract":"","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 2","pages":"1310-1312"},"PeriodicalIF":1.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11396566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary findings from the Delirium and Population Health Informatics Cohort (DELPHIC) - Qatar Study.","authors":"Hanadi Al Hamad, Mani Chandran, Pravija Talapan Manikoth, Daniel Davis, Brijesh Sathian","doi":"10.3126/nje.v14i2.69366","DOIUrl":"10.3126/nje.v14i2.69366","url":null,"abstract":"","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"14 2","pages":"1342-1343"},"PeriodicalIF":1.7,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11396567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}