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  1. Article: Qualitative Methodology in Translational Health Research: Current Practices and Future Directions.

    Rana, Kritika / Poudel, Prakash / Chimoriya, Ritesh

    Healthcare (Basel, Switzerland)

    2023  Volume 11, Issue 19

    Abstract: Translational health research is an interdisciplinary field aimed at bridging the gap between basic science studies, preventative studies, and clinical practice to improve health-related outcomes. Qualitative research methods provide a unique perspective ...

    Abstract Translational health research is an interdisciplinary field aimed at bridging the gap between basic science studies, preventative studies, and clinical practice to improve health-related outcomes. Qualitative research methods provide a unique perspective on the emotional, social, cultural, and contextual factors that influence health and healthcare and thus are recognized as valuable tools for translational health research. This approach can be embedded within a mixed method design which complements the quantitative findings. This methodological paper aims to provide a comprehensive review of the fundamental concepts and methodologies used in qualitative research, emphasizing their utilization and significance in translational health research. Several approaches to qualitative research methodology are discussed in this review, including ethnography, phenomenology, grounded theory, case study, and action research. Theoretical frameworks such as the social-ecological model, intersectionality, and participatory action research are also examined to provide a structure for understanding and interpreting complex health issues. This methodological paper also reviews commonly used sampling techniques such as purposive, snowball, convenience, theoretical, and maximum variation sampling, along with data collection methods such as in-depth interviews, focus groups, observation, document analysis, and participatory methods. Moreover, data analysis techniques such as thematic analysis, grounded theory, content analysis, narrative analysis, and reflexive analysis, are discussed in the context of translational health. Overall, this review highlights the challenges and opportunities of using qualitative methods in current practice, while also discussing future directions and providing valuable guidance and insights to researchers interested in conducting qualitative research in translational health.
    Language English
    Publishing date 2023-10-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare11192665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Engagement of Nepalese High-School Students in Cancer Awareness Using a Photovoice Based on the Health Belief Model.

    Poudel, Kritika / Sumi, Naomi

    Healthcare (Basel, Switzerland)

    2021  Volume 9, Issue 10

    Abstract: Delivering cancer education is one of the strategies for implementing health promotion and disease prevention programs. Moreover, cancer education can help people understand the risks related to specific behaviors that can trigger cancer during later ... ...

    Abstract Delivering cancer education is one of the strategies for implementing health promotion and disease prevention programs. Moreover, cancer education can help people understand the risks related to specific behaviors that can trigger cancer during later life stages. This study examines the cancer perception of high school students (median age: 14 years) using a photovoice based on the health belief model. Students were requested to take photographs to answer the framework question: "How is cancer present in your surrounding?" A theoretical thematic analysis was conducted to develop codes, and the narratives completed by the participants on the SHOWED checklist were used to create contextualization. With the use of the health belief model, the following factors were determined: risk factors and environmental pollution (perceived susceptibility), symptoms (perceived severity), prevention and screening (benefits), ignorance and poverty, and ineffective laws and regulations (perceived barriers). Linked to these themes, students' narration demonstrated the risk of developing cancer if the same environment and inadequate regulations persisted. This study highlights the need to incorporate the participation of adolescents in the design, implementation, and monitoring of several community issues to help address several unanswered questions.
    Language English
    Publishing date 2021-09-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare9101283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Engagement of Nepalese High-School Students in Cancer Awareness Using a Photovoice Based on the Health Belief Model

    Kritika Poudel / Naomi Sumi

    Healthcare, Vol 9, Iss 1283, p

    2021  Volume 1283

    Abstract: Delivering cancer education is one of the strategies for implementing health promotion and disease prevention programs. Moreover, cancer education can help people understand the risks related to specific behaviors that can trigger cancer during later ... ...

    Abstract Delivering cancer education is one of the strategies for implementing health promotion and disease prevention programs. Moreover, cancer education can help people understand the risks related to specific behaviors that can trigger cancer during later life stages. This study examines the cancer perception of high school students (median age: 14 years) using a photovoice based on the health belief model. Students were requested to take photographs to answer the framework question: “How is cancer present in your surrounding?” A theoretical thematic analysis was conducted to develop codes, and the narratives completed by the participants on the SHOWED checklist were used to create contextualization. With the use of the health belief model, the following factors were determined: risk factors and environmental pollution (perceived susceptibility), symptoms (perceived severity), prevention and screening (benefits), ignorance and poverty, and ineffective laws and regulations (perceived barriers). Linked to these themes, students’ narration demonstrated the risk of developing cancer if the same environment and inadequate regulations persisted. This study highlights the need to incorporate the participation of adolescents in the design, implementation, and monitoring of several community issues to help address several unanswered questions.
    Keywords cancer perception ; high school students ; adolescents ; photovoice method ; Nepal ; Medicine ; R
    Language English
    Publishing date 2021-09-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Impact of COVID-19 pandemic on socioeconomic and mental health aspects in Nepal.

    Poudel, Kritika / Subedi, Pramod

    The International journal of social psychiatry

    2020  Volume 66, Issue 8, Page(s) 748–755

    Abstract: Background: Public health concern is increasing with recent rise in the number of COVID-19 cases in Nepal. To curb this pandemic, Nepal is facing some forms of lockdown, encouraging people to implement social distancing so as to reduce interactions ... ...

    Abstract Background: Public health concern is increasing with recent rise in the number of COVID-19 cases in Nepal. To curb this pandemic, Nepal is facing some forms of lockdown, encouraging people to implement social distancing so as to reduce interactions between people which could eventually reduce the possibilities of new infection; however, it has affected the overall physical, mental, social and spiritual health of the people.
    Methods: Published articles related to psychosocial effects due to COVID-19 and other outbreaks were searched and reviewed.
    Conclusion: While many countries are supporting their citizens with sophisticated health safety-nets and various relief funds, some developing countries have unique challenges with vulnerable populations and limited resources to respond to the pandemic. This review presents the consequences of pandemic and lockdown on socioeconomic, mental health and other aspects in Nepalese society.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/psychology ; Humans ; Mental Health ; Nepal ; Pandemics ; Pneumonia, Viral/psychology ; Public Health ; SARS-CoV-2 ; Social Isolation/psychology ; Socioeconomic Factors ; Vulnerable Populations
    Keywords covid19
    Language English
    Publishing date 2020-07-10
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/0020764020942247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Evaluation of the usability, content, readability and cultural appropriateness of online alcohol and other drugs resources for Aboriginal and Torres Strait Islander Peoples in New South Wales, Australia.

    Amanda, Rebecca / Rana, Kritika / Saunders, Paul / Tracy, Marguerite / Bridges, Nicole / Poudel, Prakash / Arora, Amit

    BMJ open

    2023  Volume 13, Issue 5, Page(s) e069756

    Abstract: Objectives: This study aimed to analyse the usability, content, readability and cultural appropriateness of alcohol and other drugs (AODs) resources for Aboriginal and Torres Strait Islander Peoples in New South Wales (NSW), Australia.: Outcome ... ...

    Abstract Objectives: This study aimed to analyse the usability, content, readability and cultural appropriateness of alcohol and other drugs (AODs) resources for Aboriginal and Torres Strait Islander Peoples in New South Wales (NSW), Australia.
    Outcome measures: The content of 30 AOD resources for Aboriginal and Torres Strait Islander Peoples was analysed according to the following criteria: general characteristics; elements of graphical design and written communication; thoroughness and content; readability (Flesch-Kincaid grade level (FKGL), Gunning Fog index (Fog), Simplified Measure of Gobbledygook and Flesch Reading Ease); and cultural appropriateness.
    Results: Most resources displayed good usability, depicted by the use of headings and subheadings (n=27), superior writing style (n=19), relevant visuals (n=19) and use of colour support (n=30). However, some resources used at least one professional jargon (n=13), and many did not provide any peer-reviewed references (n=22). During content analysis, 12 resources were categorised into the alcohol group and 18 resources in the other drugs group. Impact of alcohol during pregnancy and breast feeding (n=12) was the most common included topics in the resources related to alcohol, while the physical impact of drugs (n=15) was the most discussed topics among the other drugs group. Based on the FKGL readability score, 83% of resources met the recommended reading grade level of 6-8 by NSW Health. Many resources (n=21) met at least half of the cultural appropriateness elements of interest. However, less than one-third were developed in collaboration with the local community (n=9), used local terms (n=5), targeted the local community (n=3), included an Aboriginal voice (n=2) and addressed the underlying cause (n=1).
    Conclusions: Many AOD resources are developed specifically for Aboriginal and Torres Strait Islander Peoples, but their usability, content and readability differed, and they were not culturally appropriate for all communities. Development of a standardised protocol for resource development is suggested.
    MeSH term(s) Humans ; New South Wales ; Australian Aboriginal and Torres Strait Islander Peoples ; Comprehension ; Australia ; Health Services, Indigenous
    Language English
    Publishing date 2023-05-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-069756
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: E-waste in Vietnam: a narrative review of environmental contaminants and potential health risks.

    Poudel, Kritika / Ketema, Rahel Mesfin / Thi Thu Ngo, Hien / Ikeda, Atsuko / Minatoya, Machiko

    Reviews on environmental health

    2023  

    Abstract: Informal electronic waste (e-waste) dismantling activities contribute to releasing hazardous compounds in the environment and potential exposure to humans and their health. These hazardous compounds include persistent organic pollutants (POPs), ... ...

    Abstract Informal electronic waste (e-waste) dismantling activities contribute to releasing hazardous compounds in the environment and potential exposure to humans and their health. These hazardous compounds include persistent organic pollutants (POPs), polycyclic aromatic hydrocarbons (PAHs) and heavy metals. This review searched papers addressing hazardous compounds emitted from e-waste recycling activities and their health effects in Vietnam. Based on the keywords searched in three electronic databases (PubMed, Psych Info, and Google scholar), we found 21 relevant studies in Vietnam. The review identifies extensive e-waste dismantling activities in Vietnam in the northern region. To measure the environmental exposure to hazardous compounds, samples such as e-waste recycling workshop dust, soil, air, and sediments were assessed, while human exposure levels were measured using participants' hair, serum, or breast milk samples. Studies that compared levels of exposure in e-waste recycling sites and reference sites indicated higher levels of PBDEs, PCBs, and heavy metals were observed in both environmental and human samples from participants in e-waste recycling sites. Among environmental samples, hazardous chemicals were the most detected in dust from e-waste recycling sites. Considering both environmental and human samples, the highest exposure difference observed with PBDE ranged from 2-48-fold higher in e-waste processing sites than in the reference sites. PCBs showed nearly 3-fold higher levels in e-waste processing sites than in reference sites. In the e-waste processing sites, age-specific higher PCB levels were observed in older recycler's serum samples. Among the heavy metals, Pb was highly detected in drinking water, indoor soil and human blood samples. While high detection of Ni in cooked rice, Mn in soil and diet, Zn in dust and As in urine were apparent. Exposure assessment from human biomonitoring showed participants, including children and mothers from the e-waste processing areas, had higher carcinogenic and non-carcinogenic risks than the reference sites. This review paper highlights the importance of further comprehensive studies on risk assessments of environmentally hazardous substances and their association with health outcomes at e-waste processing sites.
    Language English
    Publishing date 2023-02-09
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 184450-7
    ISSN 2191-0308 ; 0048-7562 ; 0048-7554
    ISSN (online) 2191-0308
    ISSN 0048-7562 ; 0048-7554
    DOI 10.1515/reveh-2022-0233
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Impact of Peer-Led Cancer Education Program on Knowledge, Health Beliefs, Practice, and Self-Esteem Among Pairs of Nepalese High-School Students and Their Knowledge-Sharing Partners.

    Poudel, Kritika / Sumi, Naomi / Yano, Rika

    Healthcare (Basel, Switzerland)

    2021  Volume 9, Issue 1

    Abstract: Raising cancer awareness among adolescents can increase their confidence in identifying cancer symptoms and develop healthy habits. This study tested the effectiveness of cancer education based on a new model among high schoolers. A non-randomized ... ...

    Abstract Raising cancer awareness among adolescents can increase their confidence in identifying cancer symptoms and develop healthy habits. This study tested the effectiveness of cancer education based on a new model among high schoolers. A non-randomized control group pre-post-test design study was conducted among 313 pairs of adolescent students and their knowledge-sharing partners in Lalitpur, Nepal. A baseline test was conducted before the education program, and it was followed up at two weeks and three months. Results were measured using a chi-square test, binary logistic regression, and a two-way repeated-measures ANOVA. There was a significant interaction effect of intervention and time on students' knowledge, beliefs, self-esteem, and practice, along with a change in some scores of knowledge-sharing partners. Joint assignment supported the idea of diffusion of information within the family and in the neighborhood. The peer group discussion could encourage active learning and help students to participate visibly in problem-solving and reflecting more sustainably. Time constraints, lack of human resources, and support groups, might limit this program's usage; however, preparing guidelines, and connecting communities, organizations, hospitals, volunteer health workers, and survivors can help make it more sustainable and approachable.
    Language English
    Publishing date 2021-01-11
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare9010064
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Primary omental ectopic pregnancy: A rare case report.

    Budha, Bishal / Jha, Kritika / Poudel, Dhiraj / Pokharel, Saroj / Aryal, Suraj / Bajracharya, Satish / Joshi, Bishweshwar / Ghimire, Asmita

    Clinical case reports

    2023  Volume 11, Issue 10, Page(s) e8063

    Abstract: Primary abdominal pregnancy is the rarest form of ectopic pregnancy in which the fertilized ovum is directly implanted into peritoneal cavity. This condition poses significantly high risk of maternal morbidity and mortality. Here, we present a case of 5 ... ...

    Abstract Primary abdominal pregnancy is the rarest form of ectopic pregnancy in which the fertilized ovum is directly implanted into peritoneal cavity. This condition poses significantly high risk of maternal morbidity and mortality. Here, we present a case of 5 weeks of primary omental pregnancy managed by laparotomy.
    Language English
    Publishing date 2023-10-17
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.8063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Analyzing Awareness on Risk Factors, Barriers and Prevention of Cervical Cancer among Pairs of Nepali High School Students and Their Mothers.

    Poudel, Kritika / Sumi, Naomi

    International journal of environmental research and public health

    2019  Volume 16, Issue 22

    Abstract: Providing information on increased cancer risks associated with certain behaviors might encourage adolescents to initiate protective behaviors. This study firstly determined the knowledge of risk factors and prevention of cervical cancer. Secondly, it ... ...

    Abstract Providing information on increased cancer risks associated with certain behaviors might encourage adolescents to initiate protective behaviors. This study firstly determined the knowledge of risk factors and prevention of cervical cancer. Secondly, it checked an association between mothers' screening practice and student's knowledge. A descriptive, cross sectional study was conducted among 253 pairs of high school students and their mothers. Knowledge on cervical cancer was significantly lower among students and mothers. While cancer screening tests, maintenance of hygiene were considered as major preventive measures for cervical cancer, human papilloma vaccine was the least considered preventive measure. Students who were female, attended discussions on cancer and had a healthy diet had better awareness of cancer. Mothers of female students had better knowledge about cervical cancer than mothers of male students. Less perceived susceptibility and lack of knowledge were major obstacles among mothers, limiting cervical cancer screening to 15%. Although association between knowledge of students and screening practice of mothers was not clear, it was observed that cancer communication increased awareness of cervical cancer in both groups. Our findings showed a strong need for school-based cancer education program to address the issues of human papillomavirus vaccinations, cervical cancer risk and screening.
    MeSH term(s) Adolescent ; Adult ; Awareness ; Cross-Sectional Studies ; Early Detection of Cancer ; Female ; Health Education ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Mass Screening ; Mothers ; Nepal/epidemiology ; Papillomavirus Infections/complications ; Papillomavirus Infections/diagnosis ; Papillomavirus Infections/prevention & control ; Papillomavirus Vaccines/administration & dosage ; Patient Acceptance of Health Care ; Risk Factors ; Students/psychology ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/prevention & control ; Uterine Cervical Neoplasms/virology ; Young Adult
    Chemical Substances Papillomavirus Vaccines
    Language English
    Publishing date 2019-11-09
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph16224382
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Impact of Peer-Led Cancer Education Program on Knowledge, Health Beliefs, Practice, and Self-Esteem Among Pairs of Nepalese High-School Students and Their Knowledge-Sharing Partners

    Kritika Poudel / Naomi Sumi / Rika Yano

    Healthcare, Vol 9, Iss 1, p

    2021  Volume 64

    Abstract: Raising cancer awareness among adolescents can increase their confidence in identifying cancer symptoms and develop healthy habits. This study tested the effectiveness of cancer education based on a new model among high schoolers. A non-randomized ... ...

    Abstract Raising cancer awareness among adolescents can increase their confidence in identifying cancer symptoms and develop healthy habits. This study tested the effectiveness of cancer education based on a new model among high schoolers. A non-randomized control group pre-post-test design study was conducted among 313 pairs of adolescent students and their knowledge-sharing partners in Lalitpur, Nepal. A baseline test was conducted before the education program, and it was followed up at two weeks and three months. Results were measured using a chi-square test, binary logistic regression, and a two-way repeated-measures ANOVA. There was a significant interaction effect of intervention and time on students’ knowledge, beliefs, self-esteem, and practice, along with a change in some scores of knowledge-sharing partners. Joint assignment supported the idea of diffusion of information within the family and in the neighborhood. The peer group discussion could encourage active learning and help students to participate visibly in problem-solving and reflecting more sustainably. Time constraints, lack of human resources, and support groups, might limit this program’s usage; however, preparing guidelines, and connecting communities, organizations, hospitals, volunteer health workers, and survivors can help make it more sustainable and approachable.
    Keywords cancer education program ; school-based intervention ; students ; knowledge-sharing partners ; Nepal ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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