No abstract available.
Adolescent ; Female ; Humans ; Nepal

The authors violated the publication ethics by their dual submission and publication. The editorial board of the epiH decided to retract this paper from our journal.
Brucellosis* ; Ethics ; Nepal* ; Publications

The authors violated the publication ethics by their dual submission and publication. The editorial board of the epiH decided to retract this paper from our journal.
Brucellosis ; Ethics ; Nepal ; Publications

No abstract available.
Communicable Diseases ; Nepal ; Poverty Areas

The present study was carried out to explore the Cordyceps species and other entomopathogenic fungal flora around Kathmandu Valley and a few high altitude locations of Nepal. In this paper, we report eight Cordyceps species as new to Nepal: C. gracilis, C. ishikariensis, C. liangshanensis, C. martialis, C. militaris, C. pruinosa, C. sphecocephala and C. tricentri. We also mention a few allied genera such as Beauveria, Hirsutella and Paecilomyces from Nepal. Further collections from different ecological regions of Nepal will show the richness of entomopathogenic fungal floral diversity of Nepal.
Altitude ; Beauveria ; Cordyceps* ; Nepal* ; Paecilomyces

BACKGROUND"Vision 2020" was initiated in 1999 and many relevant activities are ongoing, but little information is available on what it has achieved and what constraints it faces. It is not yet clear if funding is the most important constraint. Nepal is one of the underdeveloped countries, but an advanced country in preventing avoidable blindness. The aim of this study was to compare the situation in China and in Nepal in prevention of avoidable blindness.

METHODSData from literature review and a field visit were combined. All statistical analyses were carried out with SPSS Version 11.5. The chi-square test was used for comparisons involving categorical variables.

RESULTSThe blindness rate is higher in Nepal than that in China (P < 0.05). The average number of cataract operations performed by one ophthalmologist is much lower in China than in Nepal. The cataract surgical rate (CSR) is much lower in China than in Nepal (P < 0.001). High cost of the surgery and inadequate qualifications of human resources were found in China. Cataract surgical outcome in China compared well with international standards.

CONCLUSIONSProgress towards the "Vision 2020" target in China is much slower than that in Nepal. Further attention to address this issue is urgently needed.

Blindness ; prevention & control ; Cataract Extraction ; economics ; instrumentation ; China ; Humans ; Nepal

PURPOSE: Malaria has been one of a major infectious parasitic disease in Nepal. Although the number of cases is gradually getting declined since last decade. Therefore, study aims to identify the trends and spatial patterns of malaria among 25 risk districts of Nepal. MATERIALS AND METHODS: This study utilized the secondary data of malaria cases from the annual reports (2001–2017) of Department of Health Services, Ministry of Health and Population of Nepal. Linear regression of log-transformed incidence rates model was used for assessing variation of malaria cases for year and districts. RESULTS: There was evidence of decrease in the trend of malaria (2001–2009); however, the upward trend was revealed in 2010, after that, it starts to decline and again in 2017, it started to grow up. The malaria cases were marked variations by location with higher rates occurring in Dadeldhura, Kanchanpur, Kailali, Bardiya, and Jhapa districts, respectively. CONCLUSION: In this regards, malaria cases are still causing the threat in the Terai district of Nepal; however, there were fluctuating patterns of disease noted during the study periods.
Health Services ; Incidence ; Linear Models ; Malaria* ; Nepal* ; Parasitic Diseases

Over half the world’s population is exposed daily to very high levels of household air pollutants arising from burning biomass fuels; however the effects of these pollutants on cardiovascular health have not been fully established. This study aimed to compare the relationship between household indoor and outdoor air pollution with cardiovascular health in biomass and non-biomass exposed group. To compare the relationship between household indoor and outdoor air pollution with cardiovascular health in biomass and non-biomass exposed group. This cross-sectional study compared parameters of cardiovascular health in populations exposed to household indoor pollutants from biomass burning and non-biomass respectively among adults in Nepal. Data using an interviewer administered questionnaire including chest pain, blood pressure measurements and real-time measurements of household and ambient airborne particulate (PM2.5) concentrations were collected. Rural dwellers cooking with biomass fuels reported significantly more chest pain on exertion compared with non-biomass fuel users. 24-hour direct PM2.5 and CO measurements were not associated with changes in blood pressure as was the case for other measures of airborne particulate exposure except outdoor PM2.5 with men in non-biomass using households. Ambient temperature and seasonality was negatively associated with increase in blood pressure. The prevalence of both systolic (21% vs. 6%, p<0.001) and diastolic (32% vs. 7%, p<0.001) hypertension was higher amongst non-biomass fuel users compared with biomass users. There was no association between 24-hour real-time airborne pollutants data from biomass smoke and cardiovascular health effects but significantly more chest pain on exertion was found in those exposed to smoke from biomass fuel burning. Urban dwellers in Nepal were found to have higher blood pressure compared to rural dwellers, which was associated with their higher BMI levels and seasonality.
Air Pollution, Indoor ; Cardiovascular Diseases ; Blood Pressure ; Hypertension ; Risk ; Nepal

Vasectomy is a commonly used, highly effective method for the control of fertility in the human male. It is almost always performed as an outpatient procedure, is safer than tubal occlusion and has few side effects. The number of people relying on vasectomy as a method of contraception varies widely from country to country. Though vasectomy is highly effective, failures may occur due to re-canalization of the vas, surgical error, anatomical variants or failure of contraception during the post-operative waiting period. One of the disadvantages of this technique is that sperm are present in the posterior end of the vas following surgery and hence patients have to use alternative methods of contraception for a waiting period of 12 weeks to 15 weeks before relying on a vasectomy for contraception. This review summarizes recent research on vasectomy conducted by Family Health International, USA.
Adult ; Cautery ; Humans ; Ligation ; Male ; Nepal ; Oligospermia ; Sperm Count ; Vas Deferens ; surgery ; Vasectomy ; methods

PURPOSE5.12 Wenchuan earthquake and 4.25 Nepal earthquake are of the similar magnitude, but the climate and geographic environment are totally different. Our team carried out medical rescue in both disasters, so we would like to compare the different traumatic conditions of the wounded in two earthquakes.

METHODSThe clinical data of the wounded respectively in 5.12 Wenchuan earthquake and 4.25 Nepal earthquake rescued by Chengdu Military General Hospital were retrospectively analyzed. Then a contrast study between the wounded was conducted in terms of age, sex, injury mechanisms, traumatic conditions, complications and prognosis.

RESULTSThree days after 5.12 Wenchuan earthquake, 465 cases of the wounded were hospitalized in Chengdu Military General Hospital, including 245 males (52.7%) and 220 females (47.3%) with the average age of (47.6±22.7) years. Our team carried out humanitarian relief in Katmandu after 4.25 Nepal earthquake. Three days after this disaster, 71 cases were treated in our field hospital, including 37 males (52.1%) and 34 females (47.9%) with the mean age of (44.8±22.9) years. There was no obvious difference in sex and mean age between two groups, but the age distribution was a little different: there were more wounded people at the age over 60 years in 4.25 Nepal earthquake (p<0.01) while more wounded people at the age between 21 and 60 years in 5.12 Wenchuan earthquake (p<0.05). The main cause of injury in both disasters was bruise by heavy drops but 5.12 Wenchuan earthquake had a higher rate of bruise injury and crush injury (p<0.05) while 4.25 Nepal earthquake had a higher rate of falling injury (p<0.01). Limb fracture was the most common injury type in both disasters. However, compared with 5.12 Wenchuan earthquake, 4.25 Nepal earthquake has a much higher incidence of limb fractures (p<0.01), lung infection (p<0.01) and malnutrition (p<0.05), but a lower incidence of thoracic injury (p<0.05) and multiple injury (p<0.05). The other complications and death rate showed no significant differences.

CONCLUSIONMajor earthquakes of the similar magnitude can cause different injury mechanisms, traumatic conditions and complications in the wounded under different climate and geographic environment.When an earthquake occurs in a poor traffic area of high altitude and large temperature difference, early medical rescue, injury control and wounded evacuation as well as sufficient warmth retention and food supply are of vital significance.

Adult ; Aged ; Earthquakes ; Female ; Humans ; Male ; Middle Aged ; Nepal ; Prognosis ; Wounds and Injuries ; epidemiology