Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal
We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and huma...
Source: Healthcare - July 6, 2018 Category: Middle East Health Source Type: research

Metabolic syndrome and biochemical changes among non-alcoholic fatty liver disease patients attending a tertiary care hospital of Nepal
Non-alcoholic fatty liver disease (NAFLD) is mutually and bidirectionally linked with metabolic syndrome (MetS) of which it is both the cause and the consequences. Worldwide, 6.3 to 33% of the general populati... (Source: BMC Gastroenterology)
Source: BMC Gastroenterology - July 6, 2018 Category: Gastroenterology Authors: Bashu Dev Pardhe, Shreena Shakya, Anjeela Bhetwal, Jennifer Mathias, Puspa Raj Khanal, Roshan Pandit, Jyotsna Shakya, Hari Om Joshi and Sujan Babu Marahatta Tags: Research article Source Type: research

Climatic variations and de-coupling between arsenic and iron in arsenic contaminated ground water in the lowlands of Nepal.
This article includes a detailed discussion referring to the very weak correlation or decoupling between aqueous As and Fe in the ground water and addresses possible consequences for water treatment. It sheds light on the original reservoir of arsenic being incorporated and released from clay minerals as well as from iron(hydr)oxides. PMID: 30007189 [PubMed - as supplied by publisher] (Source: Chemosphere)
Source: Chemosphere - July 6, 2018 Category: Chemistry Authors: Mueller B, Hug SJ Tags: Chemosphere Source Type: research

Molecular engineering of interphases in polymer/carbon nanotube composites to reach the limits of mechanical performance
Publication date: Available online 11 April 2018Source: Composites Science and TechnologyAuthor(s): Chandrani Pramanik, Dhriti Nepal, Michael Nathanson, Jacob R. Gissinger, Amanda Garley, Rajiv J. Berry, Amir Davijani, Satish Kumar, Hendrik HeinzAbstractAfter more than 50 years of development, carbon fiber composites exhibit an order of magnitude higher specific strength as compared to structural metals such as steel. However, the strength of the current state-of-the-art carbon fiber composites remains less than 10% of their theoretical value. Recent studies show that the polymer-carbon nanotube (CNT) interphase, i.e., the...
Source: Composites Science and Technology - July 6, 2018 Category: Science Source Type: research

High levels of unmet need for family planning in Nepal
ConclusionThe lack of major inequity implies that the high level of unmet need for contraception is a general problem in society and must be addressed broadly. A special focus on education and provision for adolescents is needed in Nepal. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - July 6, 2018 Category: Reproduction Medicine Source Type: research

Opportunities, challenges and strategies when building a midwifery profession. Findings from a qualitative study in Bangladesh and Nepal
Conclusion and clinical applicationThis study demonstrated that building a midwifery profession requires a political comprehensive collaborative approach supported by a political commitment. Through bringing professionals together in a professional association will bring a professional status. Global standards and guidelines need to be contextualized into national policies and plans where midwives are included as part of the national health workforce. This is a key for creating recognized midwives with a protected title to autonomously practice midwifery, to upholding the sexual and reproductive health and rights for women...
Source: Sexual and Reproductive Healthcare - July 6, 2018 Category: Reproduction Medicine Source Type: research

CNS aspergilloma mimicking tumors: Review of CNS aspergillus infection imaging characteristics in the immunocompetent population
ConclusionCNS aspergillus infection in immunocompetent patients has distinct imaging features as compared to CNS aspergillosis in immunocompromised patients. A high index of suspicion in proper clinical settings, even with immunocompetent status and typical imaging features allow us to diagnose CNS aspergillosis in such patients. (Source: Journal of Neuroradiology)
Source: Journal of Neuroradiology - July 5, 2018 Category: Radiology Source Type: research

Identifying the factors associated with depressive symptoms among postpartum mothers in Kathmandu, Nepal
ConclusionsThis study aids to draw attention on the incorporation of routine screening for basic support and intervention for identified risk factors in postpartum period. Policies can be formulated to encourage postpartum women to obtain adequate rest during pregnancy, support women with poor partner relationship, reduce marital dissatisfaction, help women adjust with stressful life events, and prevent and manage abortion appropriately. These policies may reduce harmful consequences of postpartum depressive symptoms for women, newborn and their family. (Source: International Journal of Nursing Sciences)
Source: International Journal of Nursing Sciences - July 5, 2018 Category: Nursing Source Type: research

Rethinking burns for low & middle-income countries: Differing patterns of burn epidemiology, care seeking behavior, and outcomes across four countries
ConclusionsDespite similar country socioeconomic characteristics there was significant variability in burn demographics, timing, and disability. Nevertheless, being geographically and economically disadvantaged predict lack of access to burn care. (Source: Burns)
Source: Burns - July 5, 2018 Category: Dermatology Source Type: research

Phytochemical profile and pharmacological activity of Aegle marmelos Linn.
Publication date: May 2018Source: Journal of Integrative Medicine, Volume 16, Issue 3Author(s): Bikash Manandhar, Keshav Raj Paudel, Biraj Sharma, Rajendra KarkiAbstractAegle marmelos Linn. (Rutaceae), commonly known as “bael” in Nepal and India, is a valuable medicinal plant and is considered sacred by the Hindus. It is used to cure several diseases in the Indian traditional medicine system of Ayurveda and has had similar uses among many ethnic communities residing in Indian subcontinent for over 5000 years. Its leaves, bark, stem, fruits and seeds have been used for various medicinal purposes. Bael fruits a...
Source: Journal of Integrative Medicine - July 5, 2018 Category: Complementary Medicine Source Type: research

Clinical profile, management and outcome of pulmonary embolism in Shahid Gangalal National Heart Centre, Kathmandu, Nepal
ConclusionPE is an under diagnosed clinical problem world over. Suspicion is the most important part to come to the diagnosis of PE. (Source: The Egyptian Heart Journal)
Source: The Egyptian Heart Journal - July 5, 2018 Category: Cardiology Source Type: research

Prevalence of cardiovascular disease risk factors: A community-based cross-sectional study in a peri-urban community of Kathmandu, Nepal
ConclusionA high prevalence of cardiovascular disease risk factors and their disproportional distribution among the study population indicated an inevitable risk of cardiovascular events in near future. (Source: Indian Heart Journal)
Source: Indian Heart Journal - July 5, 2018 Category: Cardiology Source Type: research

Education and transition to work: Evidence from Vietnam, Cambodia and Nepal
Publication date: July 2018Source: International Journal of Educational Development, Volume 61Author(s): Shuang ChenAbstractAgainst the background of education expansion and economic transformations, little is known about how education shapes the transition to work in developing countries. Drawing on the cases of Vietnam, Cambodia and Nepal, this study examines the association between education and the timing and quality of transition to work. In Vietnam and Cambodia, school enrolment delays the transition to first paid employment, but upon leaving school, higher education attainment is associated with faster rate of trans...
Source: International Journal of Educational Development - July 5, 2018 Category: Child Development Source Type: research

Longitudinal analysis of the intrahousehold distribution of foods in rural Nepal: Relative variability of child dietary quality across age and sex cohorts
This study explores whether and how dietary patterns of children within households changed over a four-year period in rural Nepal. Fixed-effects analysis of the panel data indicates that there were not disparities in dietary variability between girls and boys, but that there were disparities in dietary variability across age groups. Older children had slightly higher dietary diversity, and their diets were more likely to change as household diets changed, especially for animal sourced foods. For younger children, diets were less diverse but slightly more stable over time. This stability may protect younger children when ho...
Source: Food Policy - July 5, 2018 Category: Food Science Source Type: research

Predictors of Mortality in Scrub Typhus Infection Requiring Intensive Care Admission in Tertiary Healthcare Centre of Nepal.
This study aimed to explore the predictors of mortality from scrub typhus infection in patients requiring intensive care unit (ICU) admission. Materials and Methods: A retrospective study was conducted on 120 patients with serum ELISA IgM positive for scrub typhus (optical density ≥ 0.5) admitted at the medical ICU of Chitwan Medical College Teaching Hospital between April 2016 and September 2017. Data was extracted from patient medical records and electronic database of the hospital. The outcome measurement was mortality (Yes/No) due to the infection. A multivariate binary logistic regression analysis (p
Source: Interdisciplinary Perspectives on Infectious Diseases - July 5, 2018 Category: Infectious Diseases Tags: Interdiscip Perspect Infect Dis Source Type: research

Impact of a structured yoga program on blood pressure reduction among hypertensive patients: study protocol for a pragmatic randomized multicenter trial in primary health care settings in Nepal
Hypertension control remains a major global challenge. The behavioral approaches recommended for blood pressure reduction are stress reduction, increased exercise and healthy dietary habits. Some study finding... (Source: BMC Complementary and Alternative Medicine)
Source: BMC Complementary and Alternative Medicine - July 5, 2018 Category: Complementary Medicine Authors: Raja Ram Dhungana, Mahesh Kumar Khanal, Suira Joshi, Om Prakash Kalauni, Anu Shakya, Vijay Bhrutel, Savyata Panthi, Ramesh Kumar KC, Binod Ghimire, Achyut Raj Pandey, Bihungum Bista, Binaya Sapkota, Shiva Ram Khatiwoda, Craig Steven McLachlan and Dinesh N Tags: Study protocol Source Type: research

Health system barriers influencing perinatal survival in mountain villages of Nepal: implications for future policies and practices.
CONCLUSIONS: The continuing high perinatal mortality rates in the mountains of Nepal are not being addressed due to declining standards in the primary health care approach, health providers' professional misbehaviour, local health governance failures, and the lack of cultural acceptance of formalised care by the local communities. In order to further accelerate perinatal survival in the region, policy makers and programme implementers need to immediately address these contextual factors at local health service delivery points. PMID: 29976245 [PubMed - in process] (Source: Journal of Health, Population, and Nutrition)
Source: Journal of Health, Population, and Nutrition - July 5, 2018 Category: International Medicine & Public Health Authors: Paudel M, Javanparast S, Newman L, Dasvarma G Tags: J Health Popul Nutr Source Type: research

Genes, Vol. 9, Pages 339: Disease Resistance Mechanisms in Plants
P. Nepal Plants have developed a complex defense system against diverse pests and pathogens. Once pathogens overcome mechanical barriers to infection, plant receptors initiate signaling pathways driving the expression of defense response genes. Plant immune systems rely on their ability to recognize enemy molecules, carry out signal transduction, and respond defensively through pathways involving many genes and their products. Pathogens actively attempt to evade and interfere with response pathways, selecting for a decentralized, multicomponent immune system. Recent advances in molecular techniques have greatly expand...
Source: Genes - July 4, 2018 Category: Genetics & Stem Cells Authors: Ethan J. Andersen Shaukat Ali Emmanuel Byamukama Yang Yen Madhav P. Nepal Tags: Review Source Type: research

Strategies to integrate community-based traditional and complementary healthcare systems into mainstream HIV prevention programs in resource-limited settings
Global spending for HIV prevention has been decreasing over the years. As a result, several low-income countries, including Nepal, are increasingly facing the challenge to minimize the funding gap to continue ... (Source: Globalization and Health)
Source: Globalization and Health - July 4, 2018 Category: International Medicine & Public Health Authors: Subash Thapa and Arja R. Aro Tags: Debate Source Type: research

Production from both wild harvest and cultivation: The cross-border Swertia chirayita (Gentianaceae) trade
Publication date: 28 October 2018 Source:Journal of Ethnopharmacology, Volume 225 Author(s): A.B. Cunningham, J.A. Brinckmann, U. Schippmann, D. Pyakurel Ethnopharmacological relevance Swertia chirayita is the most widely traded species in a genus of 150 species, many of which are used in traditional medicine. S. chirayita is used mainly in Ayurvedic and Tibetan systems of medicine and the homoeopathic system of medicine as well as in regional folk medicine. Primarily wild collected, with some cultivation. S. chirayita is traded as a medicinal substance and exported in the forms of dried whole plant or extract of whole pl...
Source: Journal of Ethnopharmacology - July 4, 2018 Category: Drugs & Pharmacology Source Type: research

Representation of South Asian countries in five high-impact anesthesia journals
Conclusion: We found that scientific contributions from the South Asian region in terms of original anesthesiology research in five high index anesthesiology journals was suboptimal and has not shown an increasing trend over the last 16 years. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - July 2, 2018 Category: Anesthesiology Authors: Mohammad Irfan Akhtar Karima Karam Fauzia Anis Khan Source Type: research

Diagnosis and impact of neuropathic pain in leprosy patients in Nepal after completion of multidrug therapy
ConclusionsIn our study, 35% of RFT patients had ongoing NP. Risk factors include nerve tenderness and reaction. They suffer from more daily life interference and psychological distress. Leprosy patient care should include recognition and management of NP. (Source: PLoS Neglected Tropical Diseases)
Source: PLoS Neglected Tropical Diseases - July 2, 2018 Category: Tropical Medicine Authors: Han-Siong Toh Source Type: research

Constructing Item Banks for Measuring Quality of Life in Refractive Error
CONCLUSIONS We identified the content of two different sets of item banks to comprehensively measure the impact of refractive error on quality of life for people in Australia and Nepal, which may be applicable to high-income country settings and low- and middle-income country settings, respectively. Future work aims to develop computer-adaptive testing system to administer the item banks, resulting in useful measurement tools for researchers, clinicians, and policy planners. (Source: Optometry and Vision Science)
Source: Optometry and Vision Science - July 1, 2018 Category: Opthalmology Tags: Original Investigations Source Type: research

Longitudinal analysis of the intrahousehold distribution of foods in rural Nepal: Relative variability of child dietary quality across age and sex cohorts
This study explores whether and how dietary patterns of children within households changed over a four-year period in rural Nepal. Fixed-effects analysis of the panel data indicates that there were not disparities in dietary variability between girls and boys, but that there were disparities in dietary variability across age groups. Older children had slightly higher dietary diversity, and their diets were more likely to change as household diets changed, especially for animal sourced foods. For younger children, diets were less diverse but slightly more stable over time. This stability may protect younger children when ho...
Source: Food Policy - July 1, 2018 Category: Food Science Source Type: research

Prevalence, awareness, treatment and control of hypertension in Nepal: data from nationally representative population-based cross-sectional study
Conclusion: This nationally representative survey data showed that the prevalence of hypertension is high in Nepal, whereas its awareness, treatment and control rates are low at entire population level. (Source: Journal of Hypertension)
Source: Journal of Hypertension - June 28, 2018 Category: Cardiology Tags: ORIGINAL PAPERS: Epidemiology Source Type: research

Stimulation of exosome release by extracellular DNA is conserved across multiple cell types
The FEBS Journal,Volume 0, Issue ja, -Not available-. (Source: FEBS Journal)
Source: FEBS Journal - June 28, 2018 Category: Research Authors: Dimitar Iliev , Guro Strandskog , Arpita Nepal , Augusta Aspar , Randi Olsen , Jorunn J ørgensen , Deanna Wolfson , Balpreet Singh Ahluwalia , Jordan Handzhiyski , Roumyana Mironova Source Type: research

Bacteriological profile and antibiotic susceptibility of neonatal sepsis in neonatal intensive care unit of a tertiary hospital in Nepal
Neonatal sepsis, one of the leading causes of mortality in neonatal intensive care units (NICU) of developing countries like Nepal, is often not extensively studied. In order to decrease the morbidity and mort... (Source: BMC Pediatrics)
Source: BMC Pediatrics - June 27, 2018 Category: Pediatrics Authors: Bhishma Pokhrel, Tapendra Koirala, Ganesh Shah, Suchita Joshi and Pinky Baral Tags: Research article Source Type: research

Variation in prices of medicines used for the long ‐term management of non‐communicable diseases available in the pharmacy of a tertiary care hospital of Nepal
Journal of Pharmaceutical Health Services Research, EarlyView. (Source: Journal of Pharmaceutical Health Services Research)
Source: Journal of Pharmaceutical Health Services Research - June 22, 2018 Category: Drugs & Pharmacology Authors: Ramesh Sharma Poudel , Bhupendra Kumar Poudel , Shakti Shrestha , Rano Mal Piryani Source Type: research

Gestational dating using last menstrual period and bimanual exam for medication abortion in pharmacies and health centers in Nepal
To evaluate whether conducting a bimanual examination prior to medication abortion (MAB) provision results in meaningful changes in gestational age (GA) assessment after patient-reported last menstrual period (LMP) in Nepal. (Source: Contraception)
Source: Contraception - June 21, 2018 Category: OBGYN Authors: Sarah Averbach, Mahesh Puri, Maya Blum, Corinne Rocca Tags: Original research article Source Type: research

Fanconi Anemia complementation group C protein in metabolic disorders.
This study was prompted by the diabetes-prone feature displayed in FANCC knockout mice, which is not typically shown in patients with FA. We found that in cells expressing FANCC at different levels, there are representative alterations in metabolites associated with aging (glycine, citrulline, ornithine, L-asparagine, L-tyrosine, L-arginine, L-glutamine, L-leucine, L-isoleucine, L-valine, L-proline and L-alanine), Diabetes Mellitus (DM) (carbon monoxide, collagens, fatty acids, D-glucose, fumaric acid, 2-oxoglutaric acid, C3), inflammation (inosine, L-arginine, L-isoleucine, L-leucine, L-lysine, L-phenylalanine, hypoxanthi...
Source: Aging - June 21, 2018 Category: Biomedical Science Authors: Nepal M, Ma C, Xie G, Jia W, Fei P Tags: Aging (Albany NY) Source Type: research

Rethinking burns for low & amp; middle-income countries: Differing patterns of burn epidemiology, care seeking behavior, and outcomes across four countries
Conclusions Despite similar country socioeconomic characteristics there was significant variability in burn demographics, timing, and disability. Nevertheless, being geographically and economically disadvantaged predict lack of access to burn care. (Source: Burns)
Source: Burns - June 20, 2018 Category: Dermatology Source Type: research

Patterns of change: The dynamics of medicinal plant trade in far-western Nepal
Conclusion Trade in medicinal plant products in far-western Nepal in the past two decades has increased substantially, doubling in volume and increasing 17 fold in value. There is a backbone of constantly traded species but also species that disappear from trade and new species that enter. Changes favour harvesters and traders at the benefit of central wholesalers whose previous passive oligopsony is disappearing. The three main drivers of change are rising incomes in China and India, expanding infrastructure, and government interventions in Nepal. Commercial medicinal plant resources are a substantial asset that appears t...
Source: Journal of Ethnopharmacology - June 20, 2018 Category: Drugs & Pharmacology Source Type: research

Barriers and facilitators to institutional delivery in rural areas of Chitwan district, Nepal: a qualitative study
Giving birth assisted by skilled care in a health facility plays a vital role in preventing maternal deaths. In Nepal, delivery services are free and a cash incentive is provided to women giving birth at a hea... (Source: Reproductive Health)
Source: Reproductive Health - June 20, 2018 Category: OBGYN Authors: Rajani Shah, Eva A. Rehfuess, Deepak Paudel, Mahesh K. Maskey and Maria Delius Tags: Research Source Type: research

Association between vitamin D deficiency and depression in Nepalese population
Depression is a mental disorder which diminishes the functioning and quality of life. World Health Organization (WHO) had identified depression as a leading cause of disability worldwide affecting 300 million people (World health organization, 2017). Major depressive episodes (MDE) starts typically during early to mid-adulthood, which is the most productive part of one's life (Kessler et al., 2013). Even, when diagnosed and treated with medication the chronic recurrent nature of the disease and non-compliance to medication pose as a major challenge. (Source: Psychiatry Research)
Source: Psychiatry Research - June 15, 2018 Category: Psychiatry Authors: Ojaswee Sherchand, Nidesh Sapkota, Rajendra K Chaudhari, Seraj A Khan, Jouslin K Baranwal, Tripti Pokhrel, Binod K L Das, Madhab Lamsal Source Type: research

A service user co-facilitated intervention to reduce mental illness stigma among primary healthcare workers: Utilizing perspectives of family members and caregivers.
This study examined how caregivers perceive and facilitate service user’s involvement in an antistigma program that was added to mental health Gap Action Program (mhGAP) trainings for primary care workers in Nepal. Method: Service users were trained as cofacilitators for antistigma and mhGAP trainings delivered to primary care workers through the REducing Stigma among HealthcAre ProvidErs (RESHAPE) program. Key informant interviews (n = 17) were conducted with caregivers and service users in RESHAPE. Results: Five themes emerged: (a) Caregivers’ perceived benefits of service user involvement included reduced ca...
Source: Families, Systems, and Health - June 14, 2018 Category: International Medicine & Public Health Source Type: research

Assessing Nepal & #39;s health policies and programs from a human rights perspective
Conclusions: Although a progressive realization of the right to health is being achieved, more efforts are still needed to follow HRBA so as to achieve quality and equity in health-care services. (Source: Indian Journal of Public Health)
Source: Indian Journal of Public Health - June 14, 2018 Category: International Medicine & Public Health Authors: Shiva Raj Adhikari Sanjaya Aryal Source Type: research

‘MATRI-SUMAN’ a capacity building and text messaging intervention to enhance maternal and child health service utilization among pregnant women from rural Nepal: study protocol for a cluster randomised controlled trial
Capacity development of health volunteers and text messaging to pregnant women through mobile phones have shown improved maternal and child health (MCH) outcomes and is associated with increased utilisation of... (Source: BMC Health Services Research)
Source: BMC Health Services Research - June 14, 2018 Category: General Medicine Authors: Jitendra Kumar Singh, Rajendra Kadel, Dilaram Acharya, Daniel Lombard, Saval Khanal and Shri Prakash Singh Tags: Study protocol Source Type: research

S-Amlodipine: An Isomer with Difference-Time to Shift from Racemic Amlodipine.
Authors: Dalal J, Mohan JC, Iyengar SS, Hiremath J, Sathyamurthy I, Bansal S, Kahali D, Dasbiswas A Abstract Calcium channel blockers are among the first-line drugs for treatment of hypertension (HTN). S-amlodipine (S-AM), an S-enantiomer of amlodipine, is available in India and in other countries like China, Korea, Russia, Ukraine, and Nepal. Being clinically researched for nearly two decades, we performed in-depth review of S-AM. This review discusses clinical evidence from total 42 studies (26 randomized controlled trials, 14 observational studies, and 2 meta-analyses) corroborating over 7400 patients treated wi...
Source: International Journal of Hypertension - June 13, 2018 Category: Cardiology Tags: Int J Hypertens Source Type: research

O ‐006: Association between liver fibrosis and HEV seroprevalence among HIV‐positive individuals in Nepal
Journal of Viral Hepatitis,Volume 25, Issue S2, Page 8-8, June 2018. (Source: Journal of Viral Hepatitis)
Source: Journal of Viral Hepatitis - June 13, 2018 Category: Infectious Diseases Source Type: research

P1 ‐132: Risk factor for acquiring Hepatitis B and C virus infection among HIV infected individuals in Nepal
Journal of Viral Hepatitis,Volume 25, Issue S2, Page 93-93, June 2018. (Source: Journal of Viral Hepatitis)
Source: Journal of Viral Hepatitis - June 13, 2018 Category: Infectious Diseases Source Type: research

Cross-cultural comparison of plant use knowledge in Baitadi and Darchula districts, Nepal Himalaya
This study seeks to better understand the human-nature interface and to measure the variability of plant use knowledge among cultures, through inter- and intracultural analyses. We compared plant collection, u... (Source: Journal of Ethnobiology and Ethnomedicine)
Source: Journal of Ethnobiology and Ethnomedicine - June 11, 2018 Category: Complementary Medicine Authors: Ripu M. Kunwar, Maria Fadiman, Mary Cameron, Rainer W. Bussmann, Khum B. Thapa-Magar, Bhagawat Rimal and Prabhat Sapkota Tags: Research Source Type: research

Wilderness Mass Casualty Incident (MCI): Rescue Chain After Avalanche at Everest Base Camp (EBC) In 2015
We describe the process by which an ad hoc rescue chain evacuated the casualties. We discuss challenges, both medical and nonmedical, what went well, and lessons learned. We make recommendations for disaster planning in the Khumbu (Everest) region, an isolated high altitude roadless area of Nepal. (Source: Wilderness and Environmental Medicine)
Source: Wilderness and Environmental Medicine - June 8, 2018 Category: Environmental Health Source Type: research

Assessment of primary labeling of medicines manufactured by Nepalese pharmaceutical industries
ConclusionsMajority of the products did not meet the regulatory standards of primary labeling of Nepalese pharmaceutical products. This study highlights the necessities for improvement from all stakeholders. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - June 7, 2018 Category: Pharmaceuticals Source Type: research

Life satisfaction among elderly patients in Nepal: associations with nutritional and mental well-being
Nepal ’s demography is aging rapidly, yet few studies to date have examined how this has affected the health and well-being of the elderly, defined as those above 60 years in Nepal’s Senior Citizen Act (2006). ... (Source: Health and Quality of Life Outcomes)
Source: Health and Quality of Life Outcomes - June 7, 2018 Category: International Medicine & Public Health Authors: Saruna Ghimire, Binaya Kumar Baral, Isha Karmacharya, Karen Callahan and Shiva Raj Mishra Tags: Research Source Type: research

Suicide in Nepal: Qualitative Findings from a Modified Case-Series Psychological Autopsy Investigation of Suicide Deaths.
Abstract South Asia accounts for the majority of the world's suicide deaths, but typical psychiatric or surveillance-based research approaches are limited due to incomplete vital surveillance. Despite rich anthropological scholarship in the region, such work has not been used to address public health gaps in surveillance and nor inform prevention programs designed based on surveillance data. Our goal was to leverage useful strategies from both public health and anthropological approaches to provide rich narrative reconstructions of suicide events, told by family members or loved ones of the deceased, to further co...
Source: Culture, Medicine and Psychiatry - June 7, 2018 Category: Psychiatry Authors: Hagaman AK, Khadka S, Wutich A, Lohani S, Kohrt BA Tags: Cult Med Psychiatry Source Type: research

Assessment of primary labeling of medicines manufactured by Nepalese pharmaceutical industries
ConclusionsMajority of the products did not meet the regulatory standards of primary labeling of Nepalese pharmaceutical products. This study highlights the necessities for improvement from all stakeholders. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - June 7, 2018 Category: Pharmaceuticals Source Type: research

Plants for health: An ethnobotanical 25-year repeat survey of traditional medicine sold in a major marketplace in North-west Yunnan, China
Conclusion This study validates that the diversity of herbal medicines sold at Sanyuejie Market has increased and changed greatly. The growing demands for traditional herbal medicines combined with government initiatives to develop the local economy are drivers of the observed changes. Graphical abstract (Source: Journal of Ethnopharmacology)
Source: Journal of Ethnopharmacology - June 6, 2018 Category: Drugs & Pharmacology Source Type: research

High altitude species, high profits: Can the trade in wild harvested Fritillaria cirrhosa (Liliaceae) be sustained?
Conclusions Demand for F. cirrhosa bulbs, particularly from China, makes this species one of the most intensively harvested alpine Himalayan medicinal bulbs. Although F. cirrhosa is listed as a Class III protected species in China, billions of these tiny, wild harvested bulbs are sold per year. Due to demand exceeding supply, the price of F. cirrhosa bulbs has increased dramatically. Between 2002 and 2017, for example, the price of wild harvested F. cirrhosa bulbs increased over nine-fold, from the equivalent of US$60 in 2002 to US$560 per kg in 2017. To date, cultivation has been unable to meet the entire market demand fo...
Source: Journal of Ethnopharmacology - June 6, 2018 Category: Drugs & Pharmacology Source Type: research

Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal
We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and huma...
Source: Healthcare - June 5, 2018 Category: Middle East Health Source Type: research

Awareness and Practices Relating to Zoonotic Diseases Among Smallholder Farmers in Nepal
AbstractIncreasing livestock production to meet growing demands has resulted in greater interactions at the livestock –wildlife–human interface and more opportunities for zoonotic disease spread. Zoonoses impose enormous burdens on low-income countries like Nepal, where populations are largely dependent on livestock production and access to shared grazing lands, often near protected areas, due to population pre ssures. Several livestock-associated zoonoses have been reported in Nepal; however, little is known regarding Nepali farmers’ knowledge of zoonoses and opportunities for disease management. We cond...
Source: EcoHealth - June 4, 2018 Category: Environmental Health Source Type: research