Nepal Journal of Epidemiology最新文献_第8页

Cancer Cases Referral system in Nepal. 尼泊尔的癌症病例转诊系统。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2018-12-31 eCollection Date: 2018-12-01 DOI: 10.3126/nje.v8i4.23877

Krishna Kanta Poudel, Deborah Sims, Dianne Morris, Prakash Raj Neupane, Anjani Kumar Jha, Nirmal Lamichhane, Ganga Sapkota, Dipendra Kumar Mallik, Zhibi Huang, Janaki Kharel Poudel, Elisabete Weiderpass

{"title":"Cancer Cases Referral system in Nepal.","authors":"Krishna Kanta Poudel, Deborah Sims, Dianne Morris, Prakash Raj Neupane, Anjani Kumar Jha, Nirmal Lamichhane, Ganga Sapkota, Dipendra Kumar Mallik, Zhibi Huang, Janaki Kharel Poudel, Elisabete Weiderpass","doi":"10.3126/nje.v8i4.23877","DOIUrl":"https://doi.org/10.3126/nje.v8i4.23877","url":null,"abstract":"The burden of cancer is estimated to be increasing in Nepal, whilst the country lacks national established guidelines or protocols for referral of cancer cases. Cancer patients are presenting many different health facilities throughout the country. In rural areas almost all cancer patients have their first diagnosis when visiting a health assistant or nurse at their nearest primary health care delivery service. If cancer is suspected, health care assistants or nurses will refer the patient to a medical doctor at the primary health centre, or refer the patient directly to the cancer treatment centre or oncology department of the closest hospital. Patients from urban areas will usually be seen for the first time by a medical doctor initially and then referred to either the cancer treatment centre or oncology department of the hospital. Both in rural and urban areas the referral for treatment is determined by both the patients' capacity to pay for treatment own healthcare, as well as their geographical location (i.e. availability and accessibility of cancer treatment services.","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"8 4","pages":"748-752"},"PeriodicalIF":3.9,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v8i4.23877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37025708","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}

引用次数: 5

Estimation of the burden of people living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) in Kerala state, India. 印度喀拉拉邦人类免疫缺陷病毒/获得性免疫缺陷综合症(艾滋病毒/艾滋病)感染者负担的估计。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2018-09-30 eCollection Date: 2018-09-01 DOI: 10.3126/nje.v8i3.23752

Brijesh Sathian, Jayadevan Sreedharan, Mohammad Asim, Ritesh G Menezes, Edwin van Teijlingen, Bhaskaran Unnikrishnan

{"title":"Estimation of the burden of people living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) in Kerala state, India.","authors":"Brijesh Sathian, Jayadevan Sreedharan, Mohammad Asim, Ritesh G Menezes, Edwin van Teijlingen, Bhaskaran Unnikrishnan","doi":"10.3126/nje.v8i3.23752","DOIUrl":"https://doi.org/10.3126/nje.v8i3.23752","url":null,"abstract":"Background Worldwide, 36.7 million people were infected with Acquired Immunodeficiency Syndrome (AIDS) by the end of 2015. Over the period 2007 to 2015, there was a declining trend in the prevalence of adult Human Immunodeficiency Virus (HIV) in the state of Kerala, India. The current study aims to find a suitable statistical modelling technique for the distribution of HIV incubation time and predict the cumulative number of AIDS cases. Materials and Methods The requisite data were obtained from the Kerala State AIDS Control Society (KSACS) for the years 2007 to 2015. To assess the distribution of HIV incubation time, the data of 22 HIV-infected Keralite patients were retrieved from the medical records of a teaching hospital. Data included age, gender, and incubation time. The back-calculation method was utilized to predict the cumulative HIV/AIDS cases. Results The estimated total cumulative AIDS cases in Kerala for the years 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014 and 2015 were found to be 35,777, 48,944, 62,039, 45,669, 45,668, and 43,605, 42,377, 39,362, 37,617, 39,583, 25,414 respectively using back-calculation method with Weibull (2) incubation time distribution. The mean incubation time of the total HIV cases (male and female) was 4.4 years which indicates a rapid progression of the disease in the state of Kerala. Conclusion The back-calculation method is a powerful tool to estimate the cumulative frequency of AIDS cases; which predicted a declining HIV trend among Keralites. Moreover, the Weibull distribution is the best fitted distribution for HIV incubation time in our population.","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"8 3","pages":"738-744"},"PeriodicalIF":3.9,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v8i3.23752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37265524","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}

引用次数: 0

Need for improving the health system preparedness for road traffic injuries in Nepal. 需要改进尼泊尔卫生系统对道路交通伤害的防范。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2018-09-30 eCollection Date: 2018-09-01 DOI: 10.3126/nje.v8i3.23726

Brijesh Sathian, Puspa Raj Pant, Edwin van Teijlingen, Indrajit Banerjee, Bedanta Roy

引用次数: 3

Nipah virus (NiV): a 'new' addition to the ever changing landscape of infections. 尼帕病毒:不断变化的感染形势中的一个“新”成员。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2018-06-30 eCollection Date: 2018-06-01 DOI: 10.3126/nje.v8i2.23090

Sruthi James, Indrajit Banerjee, Brijesh Sathian, Edwin van Teijlingen

引用次数: 0

Distribution and prevalence of oral mucosal lesions in residents of old age homes in Delhi, India. 印度德里养老院居民口腔黏膜病变的分布和流行。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2018-06-30 eCollection Date: 2018-06-01 DOI: 10.3126/nje.v8i2.18708

Nisha Rani Yadav, Meena Jain, Ankur Sharma, Roma Yadav, Meetika Pahuja, Vishal Jain

{"title":"Distribution and prevalence of oral mucosal lesions in residents of old age homes in Delhi, India.","authors":"Nisha Rani Yadav, Meena Jain, Ankur Sharma, Roma Yadav, Meetika Pahuja, Vishal Jain","doi":"10.3126/nje.v8i2.18708","DOIUrl":"https://doi.org/10.3126/nje.v8i2.18708","url":null,"abstract":"Background: It has been seen that very less attention has been given to the oral health of the geriatric population residing in old age homes and as the oral mucosal lesions are a matter of concern for this growing population. Therefore, a study was done with the objective of finding the prevalence of oral mucosal lesions and the distribution of oral mucosal lesions among 65-74 year old residents of old age homes in Delhi, India.Materials and methods: A cross sectional study was done on 65-74 year old age group elders of old age homes in Delhi. A total of 464 subjects participated in the study. Oral Health Assessment Form, WHO was used for assessing oral mucosa. Clinical examination was performed using two mouth mirrors under natural illumination in a systematic manner. Data was processed and analyzed using SPSS version 23.Results: Out of a total of 464 subjects, 291 (62.70%) were males and 173 (37.30%) were females. Oral mucosal lesions seen in the study subjects were malignant tumours, leukoplakia, lichen planus, ulcerations, ANUG, Abscess and candidiasis. Leukoplakia was seen in 70 subjects (15%) and was present on buccal mucosa in the majority. A malignant tumour was seen in 7 subjects (1.5%) and commonly seen area is floor of mouth.Conclusion: Prevalence of oral mucosal lesions among residents of old age homes shows the need for increased preventive and diagnostic measures for prevention and early identification of oro-mucosal lesions. Taking adequate care for oro-mucosal health of elderly people residing in old age homes is necessary.","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"8 2","pages":"727-734"},"PeriodicalIF":3.9,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v8i2.18708","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37236332","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}

引用次数: 7

Orexin Receptor Competitive Antagonists: A Novel target of the Sedative and hypnotics drugs for the pharmacotherapy of Insomnia. 食欲素受体竞争性拮抗剂:镇静和催眠药物治疗失眠的新靶点。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2018-03-31 eCollection Date: 2018-03-01 DOI: 10.3126/nje.v8i1.21139

Indrajit Banerjee

引用次数: 1

Acute morbidity profile and treatment seeking behaviour among people residing in an urban resettlement colony in Delhi, India. 印度德里城市移民安置区居民的急性发病率概况和寻求治疗行为。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2018-03-31 eCollection Date: 2018-03-01 DOI: 10.3126/nje.v8i1.21140

Sarika Palepu, Kapil Yadav, Farhad Ahamed, Anil Kumar Goswami, Baridalyne Nongkynrih, Chandrakant S Pandav

{"title":"Acute morbidity profile and treatment seeking behaviour among people residing in an urban resettlement colony in Delhi, India.","authors":"Sarika Palepu, Kapil Yadav, Farhad Ahamed, Anil Kumar Goswami, Baridalyne Nongkynrih, Chandrakant S Pandav","doi":"10.3126/nje.v8i1.21140","DOIUrl":"https://doi.org/10.3126/nje.v8i1.21140","url":null,"abstract":"Background: Rapid urbanization has resulted in increased burden of communicable and non-communicable diseases, especially among urban poor population. In the absence of a well-functioning three tier health care system in urban India, health needs of urban poor are rarely fulfilled. The objective of this study was to assess primary health care services utilization pattern and its associated selected socio-demographic determinants in an urban population of Dakshinpuri Extension, South-east district of Delhi.Materials and methods: A community based cross-sectional study was done from November 2013 to November 2014 with a sample size of 440 households through simple random sampling. Information was obtained regarding the socio-demographic characteristics and morbidity pattern of all the members of household in the preceding one year of the conduct of the present study through a pretested semi structured interview schedule. Association of various socio-demographic characteristics with primary and secondary health care facilities utilisation was studied with bivariate and multivariate logistic regression.Results: In this study, 42% of the household members suffered from acute illnesses and symptoms in the preceding one year. Secondary/tertiary health care facilities were approached mostly for seeking treatment. Majority of the household members sought treatment from private health care facilities. Significantly higher utilisation of secondary/tertiary health care facilities was found by head of households and household members who are married.Conclusion: Primary health care system needs to be revamped to improve healthcare delivery among urban population. Strategies to decongest secondary/tertiary health care facilities in urban India needs focus.","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"8 1","pages":"716-724"},"PeriodicalIF":3.9,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v8i1.21140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37214560","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}

引用次数: 2

Earthquake forecasting model for Nepal to improve prevention. 尼泊尔地震预报模型改进预防。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2017-12-31 eCollection Date: 2017-12-01 DOI: 10.3126/nje.v7i4.20626

Brijesh Sathian, Edwin R van Teijlingen

引用次数: 1

Life expectancy and years of life lost in HIV patients under the care of BandarAbbas Behavioral Disorders Counseling Center. 在BandarAbbas行为障碍咨询中心治疗的HIV患者的预期寿命和寿命损失年数。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2017-12-31 eCollection Date: 2017-12-01 DOI: 10.3126/nje.v7i4.20627

Halimeh Yaghoobi, Hassan Ahmadinia, Ziba Shabani, Reza Vazirinejad, Reza Safari, Roozbeh Shahizadeh, Fatemeh Zolfizadeh, Mohsen Rezaeian

{"title":"Life expectancy and years of life lost in HIV patients under the care of BandarAbbas Behavioral Disorders Counseling Center.","authors":"Halimeh Yaghoobi, Hassan Ahmadinia, Ziba Shabani, Reza Vazirinejad, Reza Safari, Roozbeh Shahizadeh, Fatemeh Zolfizadeh, Mohsen Rezaeian","doi":"10.3126/nje.v7i4.20627","DOIUrl":"https://doi.org/10.3126/nje.v7i4.20627","url":null,"abstract":"Background: HIV epidemic is mostly targeted adults and has numerous negative health, social, economic, cultural and political consequences. In this study Life Expectancy (LE) and Average Years of Life Lost (AYLL) in HIV/AIDS patients are estimated.Materials and methods: In this descriptive study all the patients at the age of 18 and more under the care of BandarAbbas Behavioral Disorders Counseling Center (BBDCC) during 2005-2015 are included. The town of BandarAbbas is center of Hormozgan Province in southern Iran. LE and AYLL have been estimated based on Life Table.Results: One hundred thirty four of the 426 eligible patients died during the study period. Compared to the general population LE for HIV/AIDS patients at age 20 is 46 years less in comparison with the general population of BandarAbbas. Moreover, a total of 8839 years of life lost during 2005-2015.Conclusion: LE in HIV/AIDS patients is less than LE among BandarAbbas general population and AYLL among them is more than general population. Most of the years of life lost are preventable if the health care system seriously will implement programs to control HIV/AIDS.","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":"7 4","pages":"702-712"},"PeriodicalIF":3.9,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v7i4.20627","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36793121","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}

引用次数: 2

Hepatitis B vaccination in Nepalese infants: The present scenario. 尼泊尔婴儿乙型肝炎疫苗接种:目前的情况。

IF 3.9

Nepal Journal of Epidemiology Pub Date : 2017-09-30 eCollection Date: 2017-09-01 DOI: 10.3126/nje.v7i3.19007

Sudhir Adhikari, Brijesh Sathian

引用次数: 1