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":null,"pages":null},"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}
Brijesh Sathian, Puspa Raj Pant, Edwin van Teijlingen, Indrajit Banerjee, Bedanta Roy
{"title":"Need for improving the health system preparedness for road traffic injuries in Nepal.","authors":"Brijesh Sathian, Puspa Raj Pant, Edwin van Teijlingen, Indrajit Banerjee, Bedanta Roy","doi":"10.3126/nje.v8i3.23726","DOIUrl":"https://doi.org/10.3126/nje.v8i3.23726","url":null,"abstract":"The growth of motorised and mass transportation has improved the lives and lifestyles of many. This economic progress has major drawbacks including: increased air pollution, road traffic crashes/injuries (RTCs/RTIs). Some papers may refer to Road Traffic Accidents or RTAs, but experts recommend the more appropriate to use RTIs. In recent decades the proportion of RTI to all deaths has declined in high-income countries whereas it has risen in many low- and middle-income countries.","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v8i3.23726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37265523","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}
Sruthi James, Indrajit Banerjee, Brijesh Sathian, Edwin van Teijlingen
{"title":"Nipah virus (NiV): a 'new' addition to the ever changing landscape of infections.","authors":"Sruthi James, Indrajit Banerjee, Brijesh Sathian, Edwin van Teijlingen","doi":"10.3126/nje.v8i2.23090","DOIUrl":"https://doi.org/10.3126/nje.v8i2.23090","url":null,"abstract":"","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v8i2.23090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37236331","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":"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":"<p><strong>Background: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"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}
{"title":"Orexin Receptor Competitive Antagonists: A Novel target of the Sedative and hypnotics drugs for the pharmacotherapy of Insomnia.","authors":"Indrajit Banerjee","doi":"10.3126/nje.v8i1.21139","DOIUrl":"https://doi.org/10.3126/nje.v8i1.21139","url":null,"abstract":"Orexins are peptide neurotransmitters which are produced in the lateral and posterior part of the hypothalamus in the brain. There are two Orexin receptors which has been identified till date viz. Orexin 1 (OX 1) and Orexin 2 (OX 2 receptor).","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2018-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v8i1.21139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37214559","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":"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":"<p><strong>Background: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"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}
{"title":"Earthquake forecasting model for Nepal to improve prevention.","authors":"Brijesh Sathian, Edwin R van Teijlingen","doi":"10.3126/nje.v7i4.20626","DOIUrl":"https://doi.org/10.3126/nje.v7i4.20626","url":null,"abstract":"There is an urgent need of earthquake forecasting model for Nepal in this current scenario. It can be developed by the scientists of Nepal with the help of experienced international scientists. This will help the Nepalese to take timely and necessary precautions. We would argue that above all we need to use earthquake prediction knowledge to improve the disaster prepardness in local communities, service providers (hospitals, Non-Governmental Organizations, police, etc.), government policy-makers and international agencies. On the whole, both seismology and public health are most successful when focusing on prevention not on prediction per se. J Epidemiol. 2017;7(4); 700-701.","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2017-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v7i4.20626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36793120","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":"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":"<p><strong>Background: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"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}
{"title":"Hepatitis B vaccination in Nepalese infants: The present scenario.","authors":"Sudhir Adhikari, Brijesh Sathian","doi":"10.3126/nje.v7i3.19007","DOIUrl":"https://doi.org/10.3126/nje.v7i3.19007","url":null,"abstract":"Under the sustainable Development Agenda 2030, WHO is supporting the countries for achieving the global hepatitis goals by formulating evidence-based policy and data for action, promoting partnerships and mobilizing resources, raising awareness, preventing transmission, and also improving the screening, care and treatment services. There is an urgent need for a national policy for active and passive hepatitis B immunization to sustain our low transmission status. Nepal J Epidemiol. 2017;7(3); 694-696","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v7i3.19007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36721885","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":"Medical education system in Malaysia maintaining a gold standard - an extraordinary example from the Malaysian Society of Pharmacology and Physiology.","authors":"Bedanta Roy, Nicholas Goh, Rukhsana Hussain Malik","doi":"10.3126/nje.v7i3.19008","DOIUrl":"https://doi.org/10.3126/nje.v7i3.19008","url":null,"abstract":"Founded in 2011 Quest International University Perak (QIUP) is a private university in partnership with Perak state Government. Various professional programmes are conducted in Faculty of Medicine (FOM) helps the young lecturers. Enormous financial aids and moral support are provided by the University for competitive events which are highly appreciable. Universities across the world should encourage their faculties, to organize and participate healthy competitions like quiz, teachers’ prize to make a better educator who guides future health care professionals. Nepal J Epidemiol. 2017;7(3); 697-698","PeriodicalId":43600,"journal":{"name":"Nepal Journal of Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/nje.v7i3.19008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36721886","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}