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Article ; Online: Antibiotic dispensing knowledge and practice among dispensing staff working in pharmacies near teaching hospitals in Kathmandu Valley, Nepal.

Karki, Kshitij / Kumar Neupane, Aashish / Raj Singh, Devendra

The International journal of pharmacy practice

2022 Volume 30, Issue 2, Page(s) 180–183

Abstract: Objectives: To assess antibiotic dispensing knowledge and practice among dispensing staff who may or may not have a formal pharmacy qualification working in pharmacies near teaching hospitals in Kathmandu Valley, Nepal.: Methods: A face-to-face cross- ...

Abstract	Objectives: To assess antibiotic dispensing knowledge and practice among dispensing staff who may or may not have a formal pharmacy qualification working in pharmacies near teaching hospitals in Kathmandu Valley, Nepal. Methods: A face-to-face cross-sectional study was conducted among 220 dispensing staff. The data were analysed using SPSS 20 to measure descriptive statistics and logistic regressions. Key findings: Among 220 participants, half of them (50.0%) had inadequate knowledge and slightly less than half of the participants (46.4%) had poor antibiotics dispensing practices. Conclusions: The government authority should develop and implement a plan for continuous professional education programmes and frequent monitoring of pharmacies to address inadequate antibiotic dispensing knowledge and poor practice.
MeSH term(s)	Anti-Bacterial Agents/therapeutic use ; Cross-Sectional Studies ; Hospitals, Teaching ; Humans ; Nepal ; Pharmacies
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2022-06-01
Publishing country	England
Document type	Journal Article
ZDB-ID	1087040-4
ISSN	2042-7174 ; 0961-7671
ISSN (online)	2042-7174
ISSN	0961-7671
DOI	10.1093/ijpp/riab076
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Article ; Online: Potentials and challenges of using co-design in health services research in low- and middle-income countries.

Singh, Devendra Raj / Sah, Rajeeb Kumar / Simkhada, Bibha / Darwin, Zoe

Global health research and policy

2023 Volume 8, Issue 1, Page(s) 5

Abstract: Co-design with people having poor access to health services and fragile health systems in low- and middle-income countries can be momentous in bringing service users and other stakeholders together to improve the delivery and utilisation of health ... ...

Abstract	Co-design with people having poor access to health services and fragile health systems in low- and middle-income countries can be momentous in bringing service users and other stakeholders together to improve the delivery and utilisation of health services. There is ample of evidence from high-income countries regarding how co-design can translate available evidence into developing acceptable, feasible, and adaptable health solutions in different settings. However, there is limited literature on co-design in health research in the context of low- and middle-income countries. Therefore, it is crucial to understand how knowledge about collaborative working can be translated into policy and practice in the context of low- and middle-income countries. Thus, this paper discusses the concept of co-design, co-production, and co-creation in health and the potentiality and challenges of using co-design in health services research in low- and middle-income countries. Despite the challenges, the co-design research has considerable potential to encourage the meaningful engagement of service users and other stakeholders in developing, implementing, and evaluating real-world solutions in low- and middle-income countries. It is essential to balance power dynamics in a co-design process through mutual recognition and respect, participant diversity, and reciprocity and flexibility in sharing. The inclusive and collaborative approach to working is complex due to existing rigid hierarchical structures, socio-cultural beliefs, political interference and working practices. However, this could be minimised by developing transparent terms of reference that reflect the value and benefits of equal partnership in particular co-design work.
MeSH term(s)	Humans ; Developing Countries ; Health Services ; Health Services Research ; Government Programs ; Income
Language	English
Publishing date	2023-03-13
Publishing country	England
Document type	Journal Article
ISSN	2397-0642
ISSN (online)	2397-0642
DOI	10.1186/s41256-023-00290-6
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Article ; Online: Service user and stakeholder engagement in maternal and newborn health research in low- and middle-income countries: A systematic review protocol.

Singh, Devendra Raj / Sah, Rajeeb Kumar / Simkhada, Bibha / Darwin, Zoe

PloS one

2023 Volume 18, Issue 5, Page(s) e0286145

Abstract: Background: Service user and stakeholder engagement have been widely considered as key aspects in translating knowledge into realistic policies and practices. However, there is a paucity of accumulative evidence about service user and stakeholder ... ...

Abstract	Background: Service user and stakeholder engagement have been widely considered as key aspects in translating knowledge into realistic policies and practices. However, there is a paucity of accumulative evidence about service user and stakeholder engagements in maternal and newborn health (MNH) research in low- and middle-income countries (LMICs). Therefore, we aim to systematically review the existing literature that includes service user and stakeholder engagement in maternal and newborn health research in low- and middle-income countries. Materials and methods: The design of this protocol is guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA-P) checklist. We will systematically run the search in PubMed/MEDLINE, PsycINFO, Scopus, Science Direct, and CINAHL to obtain relevant peer-reviewed literature published between January 1990 and March 2023. The list of extracted references will be screened by applying the study inclusion criteria, and eligible studies will be processed for further evaluation before being included in the review. The quality of the selected study will be assessed using the critical appraisal skills program (CASP) checklists and the Mixed Method Appraisal Tool (MMAT) checklist. A narrative synthesis will be used to synthesised results from all the included studies. Discussion and conclusion: To the best of our knowledge, this systematic review will be the first synthesised evidence on service user and stakeholder engagement in maternal and newborn health research in low- and middle-income countries. The study highlights the importance of service user and stakeholder roles in designing, implementing, and evaluating maternal and newborn health interventions in resource-poor settings. The evidence from this review is expected to be useful for national and international researchers/stakeholders for practising meaningful and effective ways of engaging users and stakeholders in maternal and newborn health research and related activities. The PROSPERO registration number is CRD42022314613.
MeSH term(s)	Humans ; Infant, Newborn ; Stakeholder Participation ; Developing Countries ; Infant Health ; Systematic Reviews as Topic ; Meta-Analysis as Topic ; Review Literature as Topic
Language	English
Publishing date	2023-05-23
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.0286145
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Article ; Online: Effect of nutrition education intervention on nutrition knowledge, attitude, and diet quality among school-going adolescents: a quasi-experimental study.

Raut, Sagar / Kc, Dirghayu / Singh, Devendra Raj / Dhungana, Raja Ram / Pradhan, Pranil Man Singh / Sunuwar, Dev Ram

BMC nutrition

2024 Volume 10, Issue 1, Page(s) 35

Abstract: Background: Nutrition education is being used to encourage school adolescents to adopt healthy eating habits. To the best of our knowledge, very little study has been undertaken in Nepal to examine the effectiveness of nutrition education programs. This ...

Abstract	Background: Nutrition education is being used to encourage school adolescents to adopt healthy eating habits. To the best of our knowledge, very little study has been undertaken in Nepal to examine the effectiveness of nutrition education programs. This study aimed to assess the effect of nutrition education on nutritional knowledge, attitude, and diet quality among school-going adolescents in selected private schools in Nepal. Methods: A quasi-experimental study was conducted among 226 students aged 12 - 19 years of two selected private schools in Banepa municipality of Nepal. Students (n = 113) from the first school were assigned to intervention and the same number of students from the second school were enrolled in the study as the control. Over 12 weeks, students in the intervention group received one hour of nutrition education in the form of mini-lectures and interactive discussions, whilst students in the control group received no education. The student's two-sample t-test was used to compare two groups and to assess the effectiveness of the nutrition education program. Results: Between the intervention and control group, the magnitude of difference in knowledge score was 1.80 (95% CI: 1.11 - 2.49), emotional eating was 0.98 (95% CI: 0.42 - 1.54), uncontrolled eating was 3.60 (95% CI: 2.10 - 5.09), and cognitive restraint of eating was 2.26 (95% CI: 1.51 - 3.01). Conclusions: A tailored health education intervention was found to be effective in increase nutritional knowledge and attitude among school-going adolescents. Adopting nutrition education interventions as part of public health school intervention builds positive knowledge, attitudes, and healthy eating habits in school-going adolescents.
Language	English
Publishing date	2024-02-27
Publishing country	England
Document type	Journal Article
ZDB-ID	2809847-X
ISSN	2055-0928 ; 2055-0928
ISSN (online)	2055-0928
ISSN	2055-0928
DOI	10.1186/s40795-024-00850-0
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Article ; Online: Stakeholders' perceptions of continuing professional development among Nepalese nurses: A focus group study.

Simkhada, Bibha / van Teijlingen, Edwin / Pandey, Apsara / Sharma, Chandra Kala / Simkhada, Padam / Singh, Devendra Raj

Nursing open

2023 Volume 10, Issue 5, Page(s) 3336–3346

Abstract: Aim: This study explores perceptions of Continuing Professional Development (CPD) opportunities among stakeholders in the profession of nursing in Nepal.: Design: Qualitative study using focus group discussions (FGDs).: Methods: Eight FGDs were ... ...

Abstract	Aim: This study explores perceptions of Continuing Professional Development (CPD) opportunities among stakeholders in the profession of nursing in Nepal. Design: Qualitative study using focus group discussions (FGDs). Methods: Eight FGDs were conducted in three major cities of Nepal with nursing stakeholders including nurse managers, matrons and directors/managers of private and public nursing colleges, representatives of nursing organizations, government officials, nursing academics and practitioners from the government and private sectors. The data were analysed thematically using Creswell's six steps of analysis and the Standards for Reporting Qualitative Research (SRQR) guideline was followed. Results: The study generated three major themes: (a) policy level including the national situation of CPD, political influence and training guided by the policy; (b) organizational level incorporating perceptions towards forms of CPD, staff shortage, poor staff retention, seniority for training, financial constraints and lack of continuity of training; and (c) individual level including motivation for training and lack of relevant training.
MeSH term(s)	Humans ; Focus Groups ; Nepal ; Qualitative Research ; Education, Nursing, Continuing ; Nurses
Language	English
Publishing date	2023-01-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2809556-X
ISSN	2054-1058 ; 2054-1058
ISSN (online)	2054-1058
ISSN	2054-1058
DOI	10.1002/nop2.1586
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Article ; Online: Adult Children's Migration and Health-Related Quality of Life Among Older Nepali Adults.

Ghimire, Saruna / Singh, Devendra Raj / McLaughlin, Sara J / Nath, Dhirendra / McCarren, Hannah / Subedi, Janardan

Journal of cross-cultural gerontology

2024

Abstract: Traditionally, adult children have served as primary caretakers and providers for older Nepali adults. However, out-migration of adult children for employment and other opportunities is increasing. Health-related quality of life (HRQOL) in older Nepali ... ...

Abstract	Traditionally, adult children have served as primary caretakers and providers for older Nepali adults. However, out-migration of adult children for employment and other opportunities is increasing. Health-related quality of life (HRQOL) in older Nepali adults in general and in the context of adult children's migration is poorly understood. This study aims to assess HRQOL of older Nepali adults and its relationship with adult children's migration. We used existing cross-sectional survey data on 260 older adults from Krishnapur municipality, which has witnessed a high rate of adult migration. HRQOL, quantified using the SF-12 scale, is expressed in terms of a physical (PCS) and mental (MCS) health component. A higher PCS and MCS score, each ranging from 0 to 100, indicates better physical and mental health, respectively. The correlates of HRQOL were assessed in simple and multiple linear regression. Participants had suboptimal HRQOL [mean (± SD): PCS = 40.4 ± 9.2 and MCS = 45.2 ± 7.7]. After adjusting for covariates, adult children's migration was associated with lower MCS scores (β: -2.33, 95%CI: -4.21, -0.44). Individuals with more than one child had higher MCS scores (β: 2.14, 95%CI: 0.19, 4.09). Females (β: -3.64, 95%CI: -7.21, -0.06) and those with a history of unemployment (β: -6.36, 95%CI: -10.57, -2.15) had lower PCS scores than their respective counterparts. The presence of chronic conditions was associated with significantly lower PCS and MCS scores. Our findings suggest that adult children's migration may negatively affect HRQOL among older Nepali adults, specifically their psychological well-being. Further research investigating potential moderating factors that may serve as important buffers is needed.
Language	English
Publishing date	2024-02-12
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	644348-5
ISSN	1573-0719 ; 0169-3816
ISSN (online)	1573-0719
ISSN	0169-3816
DOI	10.1007/s10823-024-09500-1
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Article: Awareness of Cervical Cancer, Risk Perception, and Practice of Pap Smear Test among Young Adult Women of Dhulikhel Municipality, Nepal.

Shrestha, Ishwori Byanju / Bhusal, Sandesh / Rajbanshi, Manish / Mali, Prajita / Shrestha, Rakhi Byanju / Singh, Devendra Raj

Journal of cancer epidemiology

2023 Volume 2023, Page(s) 6859054

Abstract: Background: Despite being one of the most preventable forms of cancer, cervical cancer remains an important public health problem, especially in developing countries. However, there is limited evidence regarding awareness and practice of screening for ... ...

Abstract	Background: Despite being one of the most preventable forms of cancer, cervical cancer remains an important public health problem, especially in developing countries. However, there is limited evidence regarding awareness and practice of screening for cervical cancer among women in resource-poor settings like Nepal. This study is aimed at assessing the awareness of cervical cancer, risk perception, and practice of Pap smear tests among adult women of Dhulikhel municipality of Kavreplanchowk district in Nepal. Results: The mean age (±SD) of the participants was 30.7 ± 7.9 years. This study found that around 55% and 38% of women had heard about cervical cancer and Pap smear test, respectively. Of those who had heard of the Pap test, only 37.6% had ever practiced the test. Similarly, 33.2% and 12.1% knew about the correct age group and time interval to perform the Pap test, respectively. Among those who had heard about cervical cancer, nearly 57% had positive perceptions toward cervical cancer. In addition, risk perception of cervical cancer was found to be associated with participant age, family type, and marital status. Conclusion: The women had inadequate knowledge and practice of cervical cancer and Pap smear test. This study concluded the need for a context-specific and effective health awareness program to promote preventive measures for cervical cancer and enhance the practice of Pap smear test in the community.
Language	English
Publishing date	2023-08-26
Publishing country	Egypt
Document type	Journal Article
ZDB-ID	2473564-4
ISSN	1687-8566 ; 1687-8558
ISSN (online)	1687-8566
ISSN	1687-8558
DOI	10.1155/2023/6859054
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Article ; Online: Prospecting the Potential of Plant Growth-Promoting Microorganisms for Mitigating Drought Stress in Crop Plants.

Singh, Devendra / Thapa, Shobit / Singh, Jyoti Prakash / Mahawar, Himanshu / Saxena, Anil Kumar / Singh, Sunil Kumar / Mahla, Hans Raj / Choudhary, Mahipal / Parihar, Manoj / Choudhary, Khushwant Babal / Chakdar, Hillol

Current microbiology

2024 Volume 81, Issue 3, Page(s) 84

Abstract: Drought is a global phenomenon affecting plant growth and productivity, the severity of which has impacts around the whole world. A number of approaches, such as agronomic, conventional breeding, and genetic engineering, are followed to increase drought ... ...

Abstract	Drought is a global phenomenon affecting plant growth and productivity, the severity of which has impacts around the whole world. A number of approaches, such as agronomic, conventional breeding, and genetic engineering, are followed to increase drought resilience; however, they are often time consuming and non-sustainable. Plant growth-promoting microorganisms are used worldwide to mitigate drought stress in crop plants. These microorganisms exhibit multifarious traits, which not only help in improving plant and soil health, but also demonstrate capabilities in ameliorating drought stress. The present review highlights various adaptive strategies shown by these microbes in improving drought resilience, such as modulation of various growth hormones and osmoprotectant levels, modification of root morphology, exopolysaccharide production, and prevention of oxidative damage. Gene expression patterns providing an adaptive edge for further amelioration of drought stress have also been studied in detail. Furthermore, the practical applications of these microorganisms in soil are highlighted, emphasizing their potential to increase crop productivity without compromising long-term soil health. This review provides a comprehensive coverage of plant growth-promoting microorganisms-mediated drought mitigation strategies, insights into gene expression patterns, and practical applications, while also guiding future research directions.
MeSH term(s)	Droughts ; Agriculture ; Genetic Engineering ; Oxidative Stress ; Soil
Chemical Substances	Soil
Language	English
Publishing date	2024-01-31
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	134238-1
ISSN	1432-0991 ; 0343-8651
ISSN (online)	1432-0991
ISSN	0343-8651
DOI	10.1007/s00284-023-03606-4
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Article ; Online: Restoring soil quality and carbon sequestration potential of waterlogged saline land using subsurface drainage technology to achieve land degradation neutrality in India.

Mukhopadhyay, Raj / Fagodiya, Ram Kishor / Narjary, Bhaskar / Barman, Arijit / Prajapat, Kailash / Kumar, Satyendra / Bundela, Devendra Singh / Sharma, Parbodh Chander

The Science of the total environment

2023 Volume 885, Page(s) 163959

Abstract: Subsurface drainage (SSD) has been proved to be an effective technology to reclaim waterlogged saline soils. Three SSD projects were implemented in Haryana, India in 2009, 2012 and 2016 to study the long term effect of SSD (10, 7 and 3 years) operation ... ...

Abstract	Subsurface drainage (SSD) has been proved to be an effective technology to reclaim waterlogged saline soils. Three SSD projects were implemented in Haryana, India in 2009, 2012 and 2016 to study the long term effect of SSD (10, 7 and 3 years) operation on restoring productivity and carbon sequestration potential of degraded waterlogged saline soils under prevalent rice-wheat cropping system. These studies indicated that successful operation of SSD improved soil quality parameters such as bulk density, BD (from 1.58 to 1.52 Mg m
Language	English
Publishing date	2023-05-04
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	121506-1
ISSN	1879-1026 ; 0048-9697
ISSN (online)	1879-1026
ISSN	0048-9697
DOI	10.1016/j.scitotenv.2023.163959
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Article ; Online: Conducting Qualitative Interviews using Virtual Communication Tools amid COVID-19 Pandemic

Lalita Sah / Devendra Raj Singh / Rajeeb Kumar Sah

Journal of Nepal Medical Association, Vol 58, Iss

A Learning Opportunity for Future Research

2020 Volume 232

Abstract: The COVID-19 pandemic has threatened the health and wellbeing of the global citizens which has led to a significant change in attitude, lifestyle, and behavior of people from diverse professions, including academics and researchers. Doctoral students and ...

Abstract	The COVID-19 pandemic has threatened the health and wellbeing of the global citizens which has led to a significant change in attitude, lifestyle, and behavior of people from diverse professions, including academics and researchers. Doctoral students and funded researchers with the time limit to their research project have experienced stress and anxiety due to the struggle of negotiating and managing the timeline to complete the fieldwork for their research. In the current circumstances, an increasing number of researchers are looking for alternative methods to conduct the fieldwork and complete the data collection. In this context, the aim of this viewpoint is to provide reflections on the challenges and opportunities experienced by the authors while conducting qualitative research fieldwork during the COVID-19 pandemic.
Keywords	COVID-19 ; fieldwork ; qualitative interviews ; virtual communication tools ; Medicine (General) ; R5-920
Subject code	390
Language	English
Publishing date	2020-12-01T00:00:00Z
Publisher	Nepal Medical Association
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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