Nepal

Permanent URI for this community

https://imsear.searo.who.int/handle/123456789/4

Browse

Browsing Nepal by Issue Date

Filter results by year or month
Now showing 1 - 20 of 1403
  • No Thumbnail Available
    Item
    Fertility and mortality in Nepal.
    (1975-01-01) Gubhaju, B B
  • No Thumbnail Available
    Item
    Female sterilisation through vaginal tubectomy.
    (1988-04-01) Maskey, C P
  • No Thumbnail Available
    Item
    Female sterilization in camp settings in Nepal: an early follow-up study.
    (1993-04-01) Panday, K R; Manandhar, V; Mackenzie, P; Chhettri, M; Pradhan, A; Trouton, K
  • No Thumbnail Available
    Item
  • No Thumbnail Available
    Item
  • No Thumbnail Available
    Item
  • No Thumbnail Available
    Item
    Understanding quality of service in family planning in Nepal.
    (1994-07-01) Baker, J; Friedman, R; Thapa, S; Rai, T
  • No Thumbnail Available
    Item
    Commercial sex workers in Kathmandu Valley: profile and prevalence of sexually transmitted diseases.
    (1994-07-01) Bhatta, P; Thapa, S; Neupane, S; Baker, J; Friedman, M
    This paper presents a socioeconomic profile and the prevalence of sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV), among 341 female commercial sex workers (CSWs) in Kathmandu Valley. Most of the CSWs are from outside the valley, but from within Nepal. Over 50% of the CSWs have a secondary or higher level of education. The average age of the CSWs is 21 years. The average age of first sexual intercourse was 16 years; and, at entering the sex trade, 18 years. The most frequently reported type of sexual activity is vaginal intercourse followed by anal intercourse. Although a large proportion of CSWs are aware of condoms, only one-fifth of them reported using condoms most of the time they had intercourse. The majority of the CSWs are aware of general types of STDs. Slightly over 60% are aware of AIDS, and the majority of them know of at least one mode of AIDS transmission. Gynecological examination based on symptoms revealed that 72% of the CSWs were infected with some type of STD. About 47% had vaginal discharges, 36% had pelvic inflammatory disease, 24% had ulcerative disease, and 4% had urethritis. Blood tests of the CSWs revealed that 28% had VDRL (a test for syphilis), hepatitis B, or HIV. The prevalence of VDRL was the most common, followed by hepatitis B. Of the 341 CSWs, 3 (0.9%) were HIV-positive.
  • No Thumbnail Available
    Item
    HIV / AIDS in Nepal: an update.
    (1994-07-01) Suvedi, B K; Baker, J; Thapa, S
    HIV/AIDS is a growing problem in Nepal. There has been a 15-fold increase in the number of HIV-infected cases during the period 1990-93. By 1993, 195 cases had been reported to the Ministry of Health. Among the total cases reported, approximately equal numbers of male and female HIV cases are represented. The current estimate of HIV-infected individuals is 5000; however, the number is projected to reach cumulatively 100,000 by the year 2000 if effective preventive measures are not taken. Commercial sex workers and their clients remain the most affected groups. The majority of HIV-infected cases belong to the 20-29 age group. HIV surveillance data indicate that the overall positivity rate increased from 0.20 to 0.70 over the 12-month period, 1991-92. Of the total 195 HIV-infected cases, 24 (12.3%) are reported to be AIDS cases. The AIDS cases doubled between 1991 and 1993. There are three times as many AIDS cases among females than males. Of the total 24 AIDS cases, 11 have died. Case studies illustrate the multi-faceted context in which HIV/AIDS is spreading in Nepal.
  • No Thumbnail Available
    Item
    Family planning in Nepal: an update.
    (1994-07-01) Thapa, S; Pandey, K R
  • No Thumbnail Available
    Item
    A quiet revolution in Nepal.
    (1996-01-01) Thapa, S
  • No Thumbnail Available
    Item
    A culture of silence.
    (1996-01-01) Thapa, S
  • No Thumbnail Available
    Item
    Maternal morbidity among women admitted for delivery at a public hospital in Kathmandu.
    (1996-01-01) Smith, J B; Lakhey, B; Thapa, S; Rajbhandari, S; Neupane, S
  • Thumbnail Image
    Item
    Comparison of Pap test among high and non-high risk female.
    (2003-01-13) Vaidya, A
    A prospective study of pap smear in 100 high risk and equal number of non high risk female among total 1022 female Gynecological patients within a period of two and half months {Beginning of Sept. to middle of Nov. 1995} in Maternity Hospital, Thapathali is presented. There were 9 cases positive for dyskaryosis among high risk and 3 cases among the comparison group. All positive cases were at the age of 35 years and above. In 9 positive cases, 5 cases were in CIN I (55.55%) while 4 were in CIN II (44.44%). Similarly out of 3 positive cases in comparison group 1 was in CIN I category (33.33%) and 2 cases were in CIN II (66.66%). Relation of positive cases with low social class revealed 80% CIN I and 50% CIN II among high risk group where as 66.6% CIN II in comparison group. Analysis of risk factor in development of various grades Dyskaryosis revealed 60% of CIN I had high parity while 50% had CIN II. There are about 40% of CIN I and 75% CIN II among child birth less than 19yrs, 60% smoker had CIN I where as 100%. Smoker had CIN II. 80% of CIN I gave history of excessive vaginal discharge where as 50% of CIN II had excessive vaginal discharge. 40% of CIN I was having injection Depo provera. Cases were also analyzed according to risk factor. Out of 9 positive cases among high-risk females 5 positive had parity more than 4 and 4 cases had less than 4. 5 positive cases were among less than 19 years of first childbirth, 4 among more than 19 years. 7 positive cases were smoker and 2 positive cases were non-smoker. 6 positive cases gave history of abnormal vaginal discharge and 3 positive cases had no abnormal vaginal discharge. Out of 9 positive cases 2 had history of injection Depo provera continuously for more than 5 years where as 7 were non users.
  • Thumbnail Image
    Item
    Neurocycticercosis--a review.
    (2003-01-13) Ansari, J A; Karki, P; Dwivedi, S; Ghotekar, L H; Rauniyar, R K; Rijal, S
  • Thumbnail Image
    Item
    A case report of Wilson's disease.
    (2003-01-13) Manandhar, Kusum; Manandhar, D S
    Wilson's disease (hepatolenticuler degeneration), an inborn error of copper metabolism, is an autosomal recessive disorder characterized by degenerative changes in brain, liver disease and Kayser Fleisher (KF) rings in the cornea. It is due to a defect of p-type ATPase which is probably required for normal extrusion of copper from cells. In this case report, we present a seven and half year old male who presented with complaints of slurring of speech, drooling of saliva, intentional tremor and dark pigmentation over face and trunk for last 9 months. On examination KF ring was present, spleen was palpable and intentional tremor was present. Laboratory investigations confirmed the diagnosis.
  • Thumbnail Image
    Item
    Incidence of ophthalmoscopic fundus changes in hypertensive patients.
    (2003-01-13) Karki, K J
    A prospective, hospital based, clinical study was conducted in hypertensive patients referred to the eye OPD, KMCTH, Sinamangal during a period of three months to find out the incidence of fundus changes. A total of 302 hypertensive patients were included in the study and their fundus changes were evaluated by direct ophthalmoscopy. The age of the patients ranged from 30-70 years and the duration of hypertension from 1-25 years. The blood pressure was not controlled in 218 patients (72.18%). More female patients (56.22%) were hypertensive than male (43.78%). But the fundus changes were less in female patients. Caste-wise hypertension was more common in Brahmins (38.41%) and fundus changes were also comparatively more. The fundus changes were found in 192 patients (63.57%) and the most common findings were hypertensive retinopathy. GrI + GrII combined together (52.31%). The other common fundus finding was BRVO in 11 patients (3.64%). A routine ophthalmoscopic fundus examination to detect the retinal changes in hypertensive patients is recommended.
  • Thumbnail Image
    Item
    Role of Nepal medical council in MBBS curriculum.
    (2003-01-13) Dixit, Hemang
    The development of the Bachelor of Medicine and Bachelor of Surgery (MBBS) course in Nepal is recounted. From the stage of having a single medical college to the stage of having ten is documented. The role that the Nepal Medical Council (NMC) has played in the development of medical education in Nepal has been adequately described. Comparison of the MBBS course that the three universities are running the MBBS is done and suggestions are made for possible future directions.
  • Thumbnail Image
    Item
  • Thumbnail Image
    Item
    A typical case of pellagra.
    (2003-01-13) Dhakak, M; Limbu, B; Neopane, A; Karki, D B