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Article ; Online: Social Health Insurance a Key for Universal Health Coverage in Nepal

Sujan Poudel / Anusha Parajuli / Shishir Paudel

Journal of Karnali Academy of Health Sciences, Vol 6, Iss

2023 Volume 2

Abstract: Social health insurance, which offers financial security and risk sharing for health care expenses, could be the key to achieving Universal Health Coverage (UHC) in Nepal. The social health insurance program in Nepal has advanced significantly, but many ... ...

Abstract	Social health insurance, which offers financial security and risk sharing for health care expenses, could be the key to achieving Universal Health Coverage (UHC) in Nepal. The social health insurance program in Nepal has advanced significantly, but many adjustments in the insurance mechanism are needed to make it truly a key to UHC.
Keywords	Health financing ; Social Health Insurance ; Universal Health Coverage ; Medicine (General) ; R5-920
Language	English
Publishing date	2023-08-01T00:00:00Z
Publisher	Karnali Academy of Health Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Systemic sclerosis with interstitial lung disease and myocardial infarction: a case report.

Adhikari, Sagar / Poudel, Priyanka / Pathak, Sujan

Annals of medicine and surgery (2012)

2023 Volume 85, Issue 6, Page(s) 3043–3046

Abstract: Systemic sclerosis (SSc) is a rare autoimmune connective tissue disorder that causes fibrosis due to an accelerated inflammatory response. One of the most frequent co-morbidities with SSc is interstitial lung disease (ILD), which is also one of the ... ...

Abstract	Systemic sclerosis (SSc) is a rare autoimmune connective tissue disorder that causes fibrosis due to an accelerated inflammatory response. One of the most frequent co-morbidities with SSc is interstitial lung disease (ILD), which is also one of the biggest killers among SSc patients. Case presentation: The authors present a rare case of diffuse SSc with ILD and myocardial infarction having a history of Raynaud phenomenon, skin thickening, and shortness of breath. Antinuclear antibody and antitopoisomerase antibody tests were positive. The patient was managed medically and the condition of patient is improving. Clinical discussion: SSC can affect the skin as well as other organs, with the lungs being the most frequently involved and seriously impacted. SSc patients can have multiple organ involvement like the skin, lungs, heart, kidneys, and gastrointestinal tract. Because ILD is the leading cause of death among people with SSC, early diagnosis and high suspicion of lung involvement can reduce mortality. Conclusion: The mortality rate for SSC associated with ILD is extremely high. Even though ILD is common in SSc, it might be difficult to identify and detect early for which a high-resolution CT scan can be used. In SSc patients, heart involvement can coexist with ILD.
Language	English
Publishing date	2023-05-04
Publishing country	England
Document type	Journal Article
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1097/MS9.0000000000000740
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Article ; Online: Social and mental health impact of COVID-19 pandemic among health professionals of Gandaki Province, Nepal: A mixed method study.

Paudel, Shishir / Poudel, Sujan / Khatri, Dhurba / Chalise, Anisha / Marahatta, Sujan Babu

PloS one

2023 Volume 18, Issue 4, Page(s) e0283948

Abstract: Background: The frontline health workers are the key players in the fight against the COVID-19 pandemic, however, several incidences of attacks, stigmatization, and discrimination towards them have been reported throughout the world during the peak of ... ...

Abstract	Background: The frontline health workers are the key players in the fight against the COVID-19 pandemic, however, several incidences of attacks, stigmatization, and discrimination towards them have been reported throughout the world during the peak of infection. The social impact experienced by health professionals can alter their efficiency and also lead to mental distress. This study aimed to examine the extent of social impact experienced by health professionals currently working in Gandaki Province, Nepal along with the factors associated with their depression status. Methods: This was a mixed-method study where a cross-sectional online survey was executed among 418 health professionals followed by in-depth interviews with 14 health professionals of Gandaki Province. The bivariate analysis and multivariate logistic regression were performed to identify the factors associated with depression at 5% level of significance. The information collected from the in-depth interviews was clustered into themes by the researchers. Results: Out of 418 health professionals, 304 (72.7%) expressed that COVID-19 has impacted their family relationships, whereas 293 (70.1%) expressed that it impacted their relationships with friends and relatives, and 282 (68.1%) expressed it impacted their relationships with community people. The prevalence of depression among health professionals was noted at 39.0%. Being a female (aOR:1.425,95% CI:1.220-2.410), job dissatisfaction (aOR:1.826, 95% CI:1.105-3.016), COVID-19 impact on family relation (aOR:2.080, 95% CI:1.081-4.002), COVID-19 impact on relationship with friends and relatives (aOR:3.765, 95% CI:1.989-7.177), being badly treated (aOR:2.169, 95% CI:1.303-3.610) and experiencing moderate (aOR:1.655, 95% CI:1.036-2.645) and severe fear (aOR:2.395, 95% CI:1.116-5.137) of COVID-19 were found to the independent predictors of depression. It was noted that the pandemic has an effect on the social relations of health professionals in multiple ways. Conclusion: This study noted that there is a significant impact of COVID-19 on health professionals in terms of their social and mental health aspects. The social impact experienced by health professionals is an important predictor of their mental health. The mental health and well-being of these vital workforces can be enhanced by focusing on the social aspect during the pandemic.
MeSH term(s)	Humans ; Female ; COVID-19/epidemiology ; Mental Health ; Pandemics ; Nepal/epidemiology ; Cross-Sectional Studies ; Anxiety/psychology
Language	English
Publishing date	2023-04-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0283948
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Social and mental health impact of COVID-19 pandemic among health professionals of Gandaki Province, Nepal

Shishir Paudel / Sujan Poudel / Dhurba Khatri / Anisha Chalise / Sujan Babu Marahatta

PLoS ONE, Vol 18, Iss

A mixed method study

2023 Volume 4

Abstract: Background The frontline health workers are the key players in the fight against the COVID-19 pandemic, however, several incidences of attacks, stigmatization, and discrimination towards them have been reported throughout the world during the peak of ... ...

Abstract	Background The frontline health workers are the key players in the fight against the COVID-19 pandemic, however, several incidences of attacks, stigmatization, and discrimination towards them have been reported throughout the world during the peak of infection. The social impact experienced by health professionals can alter their efficiency and also lead to mental distress. This study aimed to examine the extent of social impact experienced by health professionals currently working in Gandaki Province, Nepal along with the factors associated with their depression status. Methods This was a mixed-method study where a cross-sectional online survey was executed among 418 health professionals followed by in-depth interviews with 14 health professionals of Gandaki Province. The bivariate analysis and multivariate logistic regression were performed to identify the factors associated with depression at 5% level of significance. The information collected from the in-depth interviews was clustered into themes by the researchers. Results Out of 418 health professionals, 304 (72.7%) expressed that COVID-19 has impacted their family relationships, whereas 293 (70.1%) expressed that it impacted their relationships with friends and relatives, and 282 (68.1%) expressed it impacted their relationships with community people. The prevalence of depression among health professionals was noted at 39.0%. Being a female (aOR:1.425,95% CI:1.220–2.410), job dissatisfaction (aOR:1.826, 95% CI:1.105–3.016), COVID-19 impact on family relation (aOR:2.080, 95% CI:1.081–4.002), COVID-19 impact on relationship with friends and relatives (aOR:3.765, 95% CI:1.989–7.177), being badly treated (aOR:2.169, 95% CI:1.303–3.610) and experiencing moderate (aOR:1.655, 95% CI:1.036–2.645) and severe fear (aOR:2.395, 95% CI:1.116–5.137) of COVID-19 were found to the independent predictors of depression. It was noted that the pandemic has an effect on the social relations of health professionals in multiple ways. Conclusion This study noted that there is a ...
Keywords	Medicine ; R ; Science ; Q
Subject code	360 ; 306
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Social and mental health impact of COVID-19 pandemic among health professionals of Gandaki Province, Nepal

Shishir Paudel / Sujan Poudel / Dhurba Khatri / Anisha Chalise / Sujan Babu Marahatta

PLoS ONE, Vol 18, Iss 4, p e

A mixed method study.

2023 Volume 0283948

Abstract	Background The frontline health workers are the key players in the fight against the COVID-19 pandemic, however, several incidences of attacks, stigmatization, and discrimination towards them have been reported throughout the world during the peak of infection. The social impact experienced by health professionals can alter their efficiency and also lead to mental distress. This study aimed to examine the extent of social impact experienced by health professionals currently working in Gandaki Province, Nepal along with the factors associated with their depression status. Methods This was a mixed-method study where a cross-sectional online survey was executed among 418 health professionals followed by in-depth interviews with 14 health professionals of Gandaki Province. The bivariate analysis and multivariate logistic regression were performed to identify the factors associated with depression at 5% level of significance. The information collected from the in-depth interviews was clustered into themes by the researchers. Results Out of 418 health professionals, 304 (72.7%) expressed that COVID-19 has impacted their family relationships, whereas 293 (70.1%) expressed that it impacted their relationships with friends and relatives, and 282 (68.1%) expressed it impacted their relationships with community people. The prevalence of depression among health professionals was noted at 39.0%. Being a female (aOR:1.425,95% CI:1.220-2.410), job dissatisfaction (aOR:1.826, 95% CI:1.105-3.016), COVID-19 impact on family relation (aOR:2.080, 95% CI:1.081-4.002), COVID-19 impact on relationship with friends and relatives (aOR:3.765, 95% CI:1.989-7.177), being badly treated (aOR:2.169, 95% CI:1.303-3.610) and experiencing moderate (aOR:1.655, 95% CI:1.036-2.645) and severe fear (aOR:2.395, 95% CI:1.116-5.137) of COVID-19 were found to the independent predictors of depression. It was noted that the pandemic has an effect on the social relations of health professionals in multiple ways. Conclusion This study noted that there is a ...
Keywords	Medicine ; R ; Science ; Q
Subject code	360 ; 306
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Adsorption and removal of crystal violet dye from aqueous solution by modified rice husk.

Homagai, Puspa Lal / Poudel, Rachana / Poudel, Sujan / Bhattarai, Ajaya

Heliyon

2022 Volume 8, Issue 4, Page(s) e09261

Abstract: An approach to removing crystal violet (CV) dye from aqueous solutions was investigated by introducing a xanthate group on charred rice husk. The newly prepared charred rice husk (CRH) and xanthated rice husk (XRH) were characterized by XRD, SEM, FTIR, ... ...

Abstract	An approach to removing crystal violet (CV) dye from aqueous solutions was investigated by introducing a xanthate group on charred rice husk. The newly prepared charred rice husk (CRH) and xanthated rice husk (XRH) were characterized by XRD, SEM, FTIR, and elemental analysis. A batch technique was used to adsorb CV dye in aqueous suspensions. Different adsorbent quantities, concentrations, pH, and contact times were investigated to find the effect of these parameters. The optimum pH for both CRH and XRH was found to be 10. The adsorption capacity of CV dye onto CRH and XRH was found to be 62.85 mg/g and 90.02 mg/g at pH10, respectively. Langmuir isotherms could be reasonably explained by the experimental data. Within 60 min, equilibrium was achieved. Similarly, the kinetic data are best suited to the pseudo-second-order model. In comparison to XRH with CRH, XRH was found more efficient and can be used as a feasible alternative for removing CV dye from aqueous solutions.
Language	English
Publishing date	2022-04-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2022.e09261
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Article: Successful thrombolysis with low dose thrombolytic agent in a patient with acute life-threatening massive pulmonary thromboembolism: A case report.

Adhikari, Sagar / Vaidya, Nirish / Poudel, Priyanka / Pathak, Sujan

Annals of medicine and surgery (2012)

2022 Volume 82, Page(s) 104742

Abstract: Introduction: and importance: Acute massive pulmonary thromboembolism is a potentially life-threatening condition requiring urgent management to decrease mortality. Although the standard dose of systemic thrombolysis with alteplase is 100 mg, half the ... ...

Abstract	Introduction: and importance: Acute massive pulmonary thromboembolism is a potentially life-threatening condition requiring urgent management to decrease mortality. Although the standard dose of systemic thrombolysis with alteplase is 100 mg, half the dose of alteplase can be used to break up clots successfully, especially if bleeding is a concern. Case presentation: We report a case of massive pulmonary thromboembolism presenting with cardiopulmonary arrest, successfully managed with advanced cardiac life support, anticoagulants, and low-dose thrombolytics. Clinical discussion: Management of massive pulmonary thromboembolism includes medical thrombolysis along with maintenance of hemodynamic stability. Our patient was successfully managed with low-dose thrombolytics and was continued with standard oral anticoagulants for 6 months. Conclusion: In patients of acute massive pulmonary thromboembolism, a low dose of the thrombolytic agent can achieve complete resolution of the thrombus with less bleeding risk.
Language	English
Publishing date	2022-09-22
Publishing country	England
Document type	Case Reports
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1016/j.amsu.2022.104742
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Article: Complex neuropsychiatric presentation of 17q12 duplication syndrome: A case report.

Das, Soumitra / Samarasinghe, Lochana / Deva, Sheryl / Fernandez Co, Elaiza Marie / Poudel, Sujan / Dave, Tirth / Prasad, Sakshi / Sarangi, Ashish

SAGE open medical case reports

2024 Volume 12, Page(s) 2050313X241233184

Abstract: The chromosomal band 17q12 is characterized by a high density of genes and is bordered by segmental duplications, the structural arrangement of which increases the susceptibility of the region to deletions and duplications. Duplication of 17q12 is a rare ...

Abstract	The chromosomal band 17q12 is characterized by a high density of genes and is bordered by segmental duplications, the structural arrangement of which increases the susceptibility of the region to deletions and duplications. Duplication of 17q12 is a rare genetic condition associated with variable characteristics from clinically asymptomatic to intellectual disabilities, seizures, and behavioral problems. The variability in phenotype is primarily due to variable expressivity and incomplete penetrance. Diagnosis is mostly established by chromosomal microarray. Treatment involves a multidisciplinary approach. We present a case of a 43-year-old female who initially presented with hyperphagia and was eventually diagnosed with bulimia nervosa, anxiety, mood disorder, and personality disorder. Additional research is required to better understand the impact of 17q12 duplication syndrome on the development of bulimia nervosa since its pathogenesis has not been adequately described in the current literature.
Language	English
Publishing date	2024-02-19
Publishing country	England
Document type	Case Reports
ZDB-ID	2736953-5
ISSN	2050-313X
ISSN	2050-313X
DOI	10.1177/2050313X241233184
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Article ; Online: Adsorption and removal of crystal violet dye from aqueous solution by modified rice husk

Puspa Lal Homagai / Rachana Poudel / Sujan Poudel / Ajaya Bhattarai

Heliyon, Vol 8, Iss 4, Pp e09261- (2022)

2022

Abstract	An approach to removing crystal violet (CV) dye from aqueous solutions was investigated by introducing a xanthate group on charred rice husk. The newly prepared charred rice husk (CRH) and xanthated rice husk (XRH) were characterized by XRD, SEM, FTIR, and elemental analysis. A batch technique was used to adsorb CV dye in aqueous suspensions. Different adsorbent quantities, concentrations, pH, and contact times were investigated to find the effect of these parameters. The optimum pH for both CRH and XRH was found to be 10. The adsorption capacity of CV dye onto CRH and XRH was found to be 62.85 mg/g and 90.02 mg/g at pH10, respectively. Langmuir isotherms could be reasonably explained by the experimental data. Within 60 min, equilibrium was achieved. Similarly, the kinetic data are best suited to the pseudo-second-order model. In comparison to XRH with CRH, XRH was found more efficient and can be used as a feasible alternative for removing CV dye from aqueous solutions.
Keywords	Adsorption isotherm ; Bio-adsorbent ; Crystal violet dye ; Xanthated rice husk ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
Subject code	540
Language	English
Publishing date	2022-04-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Helicobacter pylori Infection among Patients Undergoing Upper Gastrointestinal Endoscopy in a Tertiary Care Center.

Sharma, Pasanda / Adhikari, Samyog / Katila, Shreesuna / Bajracharya, Aashra / Bohara, Nidhi / Pathak, Sujan / Poudel, Priyanka / Sapkota, Prakash

JNMA; journal of the Nepal Medical Association

2024 Volume 62, Issue 269, Page(s) 5–8

Abstract: Introduction: Helicobacter pylori is a gram-negative gut bacterium associated with dyspepsia, peptic ulcer disease, and gastric cancer, whose prevalence is still common in developing countries. Upper gastrointestinal endoscopy is the gold standard, ... ...

Abstract	Introduction: Helicobacter pylori is a gram-negative gut bacterium associated with dyspepsia, peptic ulcer disease, and gastric cancer, whose prevalence is still common in developing countries. Upper gastrointestinal endoscopy is the gold standard, first-line investigation for evaluating gastrointestinal disorders. The aim of the study was to find out the prevalence of Helicobacter pylori infection among patients undergoing upper gastrointestinal endoscopy in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in a tertiary health care centre among the patients undergoing upper gastrointestinal endoscopy from 5 January 2020 to 5 January 2023 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling method was used. The point estimate was calculated at a 99% Confidence Interval. Results: Among 1,975 patients, Helicobacter pylori infection was found in 561 (28.41%) (25.79-31.03, 99% Confidence Interval). The indication for upper gastrointestinal endoscopy was mostly dyspepsia 256 (45.68%) followed by abdominal pain 205 (36.54%). The most common endoscopic finding was gastritis 445 (79.32%) followed by hiatal hernia 93 (16.58%). The commonest biopsy finding was chronic active gastritis 478 (85.20%). Conclusions: The prevalence of Helicobacter pylori infection among patients undergoing upper gastrointestinal endoscopy was found to be similar to other studies done in similar settings. The persistence of H. pylori emphasizes the need of continuous research to address ever evolving H. pylori infections and resistance that are developing against available treatment modalities. Keywords: endoscopy; Helicobacter pylori; upper gastrointestinal tract.
MeSH term(s)	Humans ; Dyspepsia/epidemiology ; Helicobacter pylori ; Tertiary Care Centers ; Helicobacter Infections/diagnosis ; Helicobacter Infections/epidemiology ; Cross-Sectional Studies ; Gastritis/epidemiology ; Endoscopy, Gastrointestinal ; Prevalence
Language	English
Publishing date	2024-01-02
Publishing country	Nepal
Document type	Journal Article
ZDB-ID	2209910-4
ISSN	1815-672X ; 0028-2715
ISSN (online)	1815-672X
ISSN	0028-2715
DOI	10.31729/jnma.8393
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