1.Gender-Based Violence and Women Reproductive Health in War Affected Area
Manar SHALAK ; Favor MARKSON ; Manoj NEPAL
Korean Journal of Family Medicine 2024;45(1):12-17
Manifestations of gender-based violence although many, and sometimes more pronounced in areas of armed conflict, go unnoticed due to multiple factors. Gender-based violence targeted towards women, affect their overall health negatively, particularly the reproductive well-being. Major conflicts arising in the Middle East over the past 10–15 years, ranging from the Arab uprising to the Syrian civil war, have drawn attention world-wide. This study aims to shed light on the importance of recognizing violence against women, its effect on their reproductive health, and the policies that should be implemented to limit its adverse impact. Towards this end, we have highlighted the important role played by all healthcare professionals, epidemiologists, and surveyors working in peace and war areas to recognize such atrocities towards women.
2.Effects of Long-term Use of Depo-medroxyprogesterone Acetate on Lipid Metabolism in Nepalese Women.
Binod Kumar YADAV ; Rajesh Kumar GUPTA ; Prajwal GYAWALI ; Rojeet SHRESTHA ; Bibek POUDEL ; Manoj SIGDEL ; Bharat JHA
The Korean Journal of Laboratory Medicine 2011;31(2):95-97
Various synthetic progestogens that are used as contraceptives have been reported to influence lipid and lipoprotein fractions differently. Depo-medroxyprogesterone acetate (DMPA), a synthetic progestogen, is used by Nepalese women as a contraceptive agent. Our study aims to determine the effects of long-term use of DMPA on lipid metabolism. We performed this study on 60 healthy Nepalese women who had been using DMPA for more than 2 yr and age- and weight-matched control subjects who were not using hormonal contraceptives. Fasting blood samples were collected from the subjects for the estimation of total cholesterol (TC) and triglyceride (TG) levels, and the levels of high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) were estimated using the Friedewald's equation. TC and LDL-C levels in DMPA users were significantly higher than those in non-users. Our study concluded that DMPA use induces lipid metabolism changes that can increase the risk of cardiovascular diseases.
Adult
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Cardiovascular Diseases/etiology
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Cholesterol/blood
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Cholesterol, HDL/analysis
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Cholesterol, LDL/analysis
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Contraceptive Agents, Female/*adverse effects
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Female
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Humans
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Lipid Metabolism/*drug effects
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Medroxyprogesterone Acetate/*adverse effects
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Nepal
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Risk Factors
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Triglycerides/blood
3.Evaluation of Osseointegration around Tibial Implants in Rats by Ibandronate-Treated Nanotubular Ti-32Nb-5Zr Alloy.
Manoj NEPAL ; Liang LI ; Tae Sung BAE ; Byung Il KIM ; Yunjo SOH
Biomolecules & Therapeutics 2014;22(6):563-569
Materials with differing surfaces have been developed for clinical implant therapy in dentistry and orthopedics. This study was designed to evaluate bone response to titanium alloy containing Ti-32Nb-5Zr with nanostructure, anodic oxidation, heat treatment, and ibandronate coating. Rats were randomly assigned to two groups for implantation of titanium alloy (untreated) as the control group and titanium alloy group coated with ibandronate as the experimental group. Then, the implants were inserted in both tibiae of the rats for four weeks. After implantation, bone implant interface, trabecular microstructure, mechanical fixation was evaluated by histology, micro-computed tomography (microCT) and the push-out test, respectively. We found that the anodized, heat-treated and ibandronate-coated titanium alloy triggered pronounced bone implant integration and early bone formation. Ibandronate-coated implants showed elevated values for removal torque and a higher level of BV/TV, trabecular thickness and separation upon analysis with microCT and mechanical testing. Similarly, higher bone contact and a larger percentage bone area were observed via histology compared to untreated alloy. Furthermore, well coating of ibandronate with alloy was observed by vitro releasing experiment. Our study provided evidences that the coating of bisphosphonate onto the anodized and heat-treated nanostructure of titanium alloy had a positive effect on implant fixation.
Alloys*
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Animals
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Dental Implants
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Dentistry
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Hot Temperature
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Nanostructures
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Nanotubes
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Orthopedics
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Osseointegration*
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Osteogenesis
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Rats*
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Tibia
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Titanium
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Torque
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X-Ray Microtomography
4.Hexane-Soluble Fraction of the Common Fig, Ficus carica, Inhibits Osteoclast Differentiation in Murine Bone Marrow-Derived Macrophages and RAW 264.7 Cells.
Young Ran PARK ; Jae Soon EUN ; Hwa Jung CHOI ; Manoj NEPAL ; Dae Keun KIM ; Seung Yong SEO ; Rihua LI ; Woo Sung MOON ; Nam Pyo CHO ; Sung Dae CHO ; Tae Sung BAE ; Byung Il KIM ; Yunjo SOH
The Korean Journal of Physiology and Pharmacology 2009;13(6):417-424
Osteoclasts, derived from multipotent myeloid progenitor cells, play homeostatic roles in skeletal modeling and remodeling, but may also destroy bone in pathological conditions such as osteoporosis and rheumatoid arthritis. Osteoclast development depends critically on a differentiation factor, the receptor activator of NF-kappaB ligand (RANKL). In this study, we found that the hexane soluble fraction of the common fig Ficus carica (HF6-FC) is a potent inhibitor of osteoclastogenesis in RANKL-stimulated RAW264.7 cells and in bone marrow-derived macrophages (BMMs). HF6-FC exerts its inhibitory effects by suppression of p38 and NF-kappaB but activation of ERK. In addition, HF6-FC significantly decreased the expression of NFATc1 and c-Fos, the master regulator of osteoclast differentiation. The data indicate that components of HF6-FC may have therapeutic effects on bone-destructive processes such as osteoporosis, rheumatoid arthritis, and periodontal bone resorption.
Arthritis, Rheumatoid
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Bone Resorption
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Carica
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Ficus
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Macrophages
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Myeloid Progenitor Cells
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NF-kappa B
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Osteoclasts
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Osteoporosis
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Receptor Activator of Nuclear Factor-kappa B