Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (686 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (686 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 1)
ACM Transactions on Computing for Healthcare     Hybrid Journal  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11)
Advances in Public Health     Open Access   (Followers: 30)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 3)
African Health Sciences     Open Access   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 40)
Aging and Health Research     Open Access   (Followers: 3)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 10)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access  
American Journal of Family Therapy     Hybrid Journal   (Followers: 6)
American Journal of Health Economics     Full-text available via subscription   (Followers: 25)
American Journal of Health Education     Hybrid Journal   (Followers: 36)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Sciences     Open Access   (Followers: 11)
American Journal of Health Studies     Full-text available via subscription   (Followers: 14)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 34)
American Journal of Public Health     Full-text available via subscription   (Followers: 208)
American Journal of Public Health Research     Open Access   (Followers: 31)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 9)
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 7)
Applied Biosafety     Hybrid Journal   (Followers: 2)
Applied Ergonomics     Hybrid Journal   (Followers: 18)
Apuntes Universitarios     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 2)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Suicide Research     Hybrid Journal   (Followers: 11)
Archivos de Prevención de Riesgos Laborales     Open Access  
ASA Monitor     Full-text available via subscription   (Followers: 18)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 7)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 11)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 5)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Asian Journal of Population Sciences     Open Access   (Followers: 9)
Asian Journal of Social Health and Behavior     Open Access   (Followers: 3)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access  
Australasian Journal of Paramedicine     Open Access   (Followers: 8)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 5)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 15)
Bijzijn XL     Hybrid Journal  
Biograph-I : Journal of Biostatistics and Demographic Dynamic     Open Access   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 7)
Biosafety and Health     Open Access  
Biosalud     Open Access  
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access   (Followers: 1)
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 19)
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 52)
Buletin Penelitian Kesehatan     Open Access  
Buletin Penelitian Sistem Kesehatan     Open Access  
Cadernos de Educação, Saúde e Fisioterapia     Open Access  
Cadernos de Saúde     Open Access  
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 13)
Canadian Family Physician     Partially Free   (Followers: 14)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 16)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 26)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
CASUS : Revista de Investigación y Casos en Salud     Open Access  
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access  
Child and Adolescent Obesity     Open Access   (Followers: 3)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access  
Chinese Journal of Physiology     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 1)
Christian Journal for Global Health     Open Access   (Followers: 1)
Ciencia & Salud     Open Access  
Ciencia & Trabajo     Open Access  
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 1)
Ciencia, Tecnología y Salud     Open Access  
Cities & Health     Hybrid Journal   (Followers: 5)
Cleaner and Responsible Consumption     Open Access  
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 1)
Clocks & Sleep     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 1)
Community Health     Open Access   (Followers: 6)
Conflict and Health     Open Access   (Followers: 8)
Contact (CTC)     Open Access  
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Current Opinion in Environmental Science & Health     Hybrid Journal  
D Y Patil Journal of Health Sciences     Open Access   (Followers: 4)
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal  
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal   (Followers: 1)
Digital Health     Open Access   (Followers: 11)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 12)
Discover Social Science and Health     Open Access   (Followers: 6)
Diversity and Equality in Health and Care     Open Access   (Followers: 10)
Diversity of Research in Health Journal     Open Access   (Followers: 1)
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 2)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 23)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 25)
EcoHealth     Hybrid Journal   (Followers: 5)
Education for Health     Open Access   (Followers: 9)
electronic Journal of Health Informatics     Open Access   (Followers: 7)
ElectronicHealthcare     Full-text available via subscription   (Followers: 2)
Emerging Trends in Drugs, Addictions, and Health     Open Access   (Followers: 1)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 7)
EsSEX : Revista Científica     Open Access  
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access  
Ethics & Human Research     Hybrid Journal   (Followers: 4)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 7)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 6)
Ethnicity & Health     Hybrid Journal   (Followers: 16)
Eurasian Journal of Health Technology Assessment     Open Access   (Followers: 1)
EUREKA : Health Sciences     Open Access  
European Journal of Health Communication     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Exploratory Research in Clinical and Social Pharmacy     Open Access  
Expressa Extensão     Open Access  
F&S Reports     Open Access  
Face à face     Open Access  
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Medicine and Community Health     Open Access   (Followers: 8)
Family Relations     Partially Free   (Followers: 11)
FASEB BioAdvances     Open Access  
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 3)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 10)
Food Hydrocolloids for Health     Open Access  
Food Quality and Safety     Open Access   (Followers: 2)
Frontiers in Digital Health     Open Access   (Followers: 4)
Frontiers in Neuroergonomics     Open Access  
Frontiers in Public Health     Open Access   (Followers: 8)
Frontiers of Health Services Management     Partially Free   (Followers: 6)
Gaceta Sanitaria     Open Access   (Followers: 2)
Galen Medical Journal     Open Access  
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 7)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access   (Followers: 2)
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Annual Review     Open Access   (Followers: 2)
Global Health Innovation     Open Access   (Followers: 4)
Global Health Journal     Open Access   (Followers: 2)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Public Health     Open Access   (Followers: 16)
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Mental Health     Open Access   (Followers: 13)
Global Reproductive Health     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Global Transitions Proceedings     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 7)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 22)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 19)
Health and Human Rights     Open Access   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 64)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)
Health Behavior Research     Open Access   (Followers: 2)
Health Care Analysis     Hybrid Journal   (Followers: 12)
Health Equity     Open Access   (Followers: 4)
Health Information : Jurnal Penelitian     Open Access  
Health Information Management Journal     Hybrid Journal   (Followers: 26)
Health Notions     Open Access  

        1 2 3 4 | Last

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Journal Cover
Birat Journal of Health Sciences
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2542-2758 - ISSN (Online) 2542-2804
Published by Nepal Journals Online Homepage  [154 journals]
  • End of Life Care : Challenges in Nepal

    • Authors: Sulav Sapkota, Mona Priyadarshini
      Abstract: N/A
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49292
      Issue No: Vol. 7, No. 2 (2022)
       
  • Functional outcome of column specific fixation in the management of
           complex tibial plateau fractures

    • Authors: Bishwamber Thapa, Prakash Sitoula, Ranjib Jha, Santosh Thapa
      Pages: 1753 - 1757
      Abstract: Introduction: Complex tibial plateau fractures usually have complicated intra-articular fracture pattern, often associated with severe soft tissue injury and high risk of wound complications. Single or dual column plating fixation principle based upon conventional x-ray for such fractures may not address multiplanar comminution that  often has posterior shearing or  coronal fractures. Computed tomography based evaluation of such fractures  and column specific  approach allow direct fracture visualization and anatomic reduction  that results in satisfactory outcome. Objectives: To assess the clinical and functional outcome and complications of complex tibial plateau fractures fixed with column specific fixation principle. Methodology: This prospective study was carried out from September 2019 to August 2021 in Orthopaedic department of Nobel Medical College, Biratnagar. Consecutive sampling was used among patient with complex tibial plateau fractures meeting the inclusion criteria. Among 30 patients, with  closed and Gustilo grade I or II Schatzker type V-VI fractures or AO type-C injuries to the proximal tibia were operated on column specific approach and followed up for clinico-radiological evaluation. Results: In this study, most of the patients belonged to 31-40 years of age group with mean age of 40.47 years. Majority of patients were male( 76.7%). Fracture was highly associated with road traffic accident which accounted for 83%. Fourteen patients underwent anteromedial and anterolateral plating(46.67%), 10 patients underwent anterolateral and posteromedial plating(33.33%) and remaining 6 patients underwent triple column plating(20%). The Rasmussen’s functional score at final follow up was  27.17±2.793(range 21-30). 86.7% patients had acceptable clinical outcome. The mean Rasmussen’s radiological score at final follow up was 8.97±1.217(range 6-10). Thus 93.4% patients had acceptable radiological outcome. Conclusion: Column specific approach addresses all the fracture fragments of complex tibial plateau fractures to achieve acceptable clinical and radiological outcome.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49293
      Issue No: Vol. 7, No. 2 (2022)
       
  • Role of Histopathology in diagnosis of Soft Tissue Tumors at Tertiary Care
           Center

    • Authors: Nikita Gautam, Ramesh Makaju, Rachana Dhakal, Dipika Basnet, Binita Lama
      Pages: 1758 - 1764
      Abstract: Introduction: Soft tissue tumors (STTs) are a diverse group of neoplasms. It varies from the most common benign tumors to some self-limited lesions and rare malignant soft tissue tumors. Because of the overlap in their clinical and radiological characteristics, histopathology is crucial in determining their diagnosis. Objectives: To study the relative frequencies of types of soft tissue tumors (benign, intermediate and malignant) as well as their histological pattern in relation to age, gender and site of distribution. Methodology: This was a retrospective study conducted over a period of three years from January 2018 to December 2020 in the Department of Pathology, Dhulikhel Hospital, Kavre Nepal. This study included STTs of all the anatomical sites excluding STTs of the female reproductive system. The tumors were classified as benign, intermediate, or malignant using the WHO 2013 classification of soft tissue and bone tumors. The sarcomas were further graded into grades 1, 2, and 3 using the FNCLCC (French Federation Nationale des Centres de Lutte Contre le Cancer) grading system. Immunohistochemistry (IHC) and special staining procedures were also performed as and when required.  Result: A total of 198 STTs were studied, of which benign cases were 191 (96.45%), intermediate 03 (1.52%) and malignant 04 (2.03%) in number. The most common type of STTs was vascular tumors 77(38.89%) followed by adipocytic tumors 52(26.26%) and nerve sheath tumors 13(6.56%). STTs were most common in the third decade of life, with the head and neck region       being the commonest site.  All four malignant tumors were categorized using the FNCLCC grading system. There were three cases of Grade 2 sarcoma and one case of Grade 3 sarcoma. Conclusion: The most common benign tumors were vascular tumors followed by adipocytic tumors and nerve sheath tumors. STTs were most common in the third decade of life. Benign tumors were more common than malignant tumors.  In comparison to malignant tumors, benign tumors were found at a younger age group. STTs were found mainly in the head and neck region followed by upper and lower limbs. Despite the fact that molecular diagnostics is gaining popularity in the field of soft tissue tumors, histopathology still remains the gold standard.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49294
      Issue No: Vol. 7, No. 2 (2022)
       
  • Gestational Trophoblastic Neoplasia: A Clinico-Epidemiological Profile In
           A Tertiary Care Hospital

    • Authors: Indrani Das, Payel Mandal, Sandip Samanta, Pallab Kumar Mistri, Amit Kyal, Partha Mukhopadhyay
      Pages: 1765 - 1769
      Abstract: Introduction: Gestational trophoblastic neoplasia (GTN) is a group of interrelated lesions that results from abnormal proliferation of placental trophoblastic cells. Early diagnosis and treatment of GTN results in successful outcomes with fertility preservation.This study was intended to stratify GTN cases using WHO scoring system, to diagnose and manage cases as per protocol and to identify complications of treatment of GTN. Methodology: This was a single center prospective observational study conducted at Medical college Kolkata from June 2017 to December 2018. All the diagnosed cases of GTN fulfilling the inclusion criteria were incorporated in the study, data were collected from history, clinical examination and investigations. All the data were tabulated and analyzed by standard statistical methods Results:  In this study,  primiparous are more prone to have GTN and  molar pregnancy was the commonest antecedent event (71.4% of cases). 74.3% (26 out of 35) patients developed disease within four months of previous pregnancy. Anemia and vaginal bleeding were the presenting symptoms in >48.0% cases whereas hemoperitoneum,seizure, hemoptysis and respiratory distress were the rare presenting symptoms.In this study, the cases were diagnosed by histopathology or serial estimation of serum β-hcg. In our study, 91.4% patients  were successfully treated with methotrexate and only three cases received EMACO. Conclusion: To conclude this study established that cases of GTN can be successfully treated by early diagnosis and timely management.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49295
      Issue No: Vol. 7, No. 2 (2022)
       
  • Incidence of Color Blindness among Undergraduates Students of Medical
           College in Pokhara

    • Authors: Ripti Shrestha, Bijendra Prasad Yadav, Neebha Amatya, Rajab Rana, Rajesh Prajapati
      Pages: 1770 - 1774
      Abstract: Introduction: There are many genetic disorders that are X-linked, one being the color blindness. Some individuals affected with the disorders may remain unaware till detected for a long time. There are very few reports about the incidence of the color blindness among the medical undergraduate students. Objectives: Ojective of our study was to assess the color blindness incidence, among the medical undergraduates at the Gandaki Medical College, Pokhara. Methodology: We piloted an observational cross-sectional study among the first and second year medical students (MBBS, BDS, Nursing, and paramedics) at Gandaki medical college. We finalized 300 students of both the genders based on the inclusion criteria. We performed in the natural day light, the color vision test using the Ishihara plates. We assessed incidence, the type of the color blindness and the gender distribution among the subjects. We compared the data thus obtained applying the “chi square statistical test” deliberating p<0.05 as significant. Results: We observed that all the colorblind subjects in the study were male who constituted 2% of the all the subjects. There was significant difference statistically among the types of the color blindness with majority having Deuteranomaly. Conclusions: We can conclude that incidence of the color blindness was exclusive among men in our study. Total color blindness was seen in majority of the male subjects. Screening the students will enable the unaware students of their disability and hence they can be guided to proper counseling.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49296
      Issue No: Vol. 7, No. 2 (2022)
       
  • Nepali Translation and Validation of Dental Satisfaction Questionnaire

    • Authors: Arbind Rai, Sneha Shrestha, Ashok Ayer, Navin Agrawal, Mannu Vikram
      Pages: 1775 - 1779
      Abstract: Introduction: Patient satisfaction is regarded as an important outcome of health care that contributes to better patient compliance and consequently offers improved clinical outcomes Dental school clinics must regulate both the clinical and academic classes in balance without hampering the needs of both the patient and students. Objectives: To develop a reliable and valid Nepali version of Dental Satisfaction Questionnaire (DSQ-N). Methodology: The English version of the dental satisfaction questionnaire (DSQ) was translated into Nepali following a standard translation process. Content validity followed by pre-testing were evaluated to obtain the final version of DSQ-N. Two hundred patients attending the Department of Conservative Dentistry and Endodontics completed the DSQ-N in the waiting room, at their convenience. Internal consistency of the questionnaire was determined by Cronbach's alpha and Principal component analysis was used to determine the construct of the scale. Result: Content Validity Index of the scale was 0.9 (S-CVI/ Avg) and alpha (Cronbach's) coefficient for the overall construct of DSQ was ≈0.83. Principal Component Analysis confirmed the internal structure of the scale and four components emerged from it. Conclusion:  The translated nepali version of DSQ is a reliable and valid tool to determine patients’ satisfaction of dental care services based on the excellent content validation result together with robust internal reliability.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49297
      Issue No: Vol. 7, No. 2 (2022)
       
  • Clinico-pathological Study of Solid Cancer patients receiving chemotherapy
           at Birat Medical College Teaching Hospital

    • Authors: Sulav Sapkota, Mona Priyadarshini
      Pages: 1780 - 1783
      Abstract: Introduction: Solid cancers are increasing in eastern region of Nepal. There are very few centers providing chemotherapy treatment to solid cancer patients in eastern region of Nepal. Objectives: The aim of this study is to stratify the types of solid cancers and study their socio-demographic and clinicopathological features of solid cancer. Methodology: This descriptive cross sectional study was conducted from 1st September 2020 to 1st july 2021 at the department of Oncology . All the histologically proven patients of solid cancers, derived from solid organs like lung, stomach, liver, breast etc, receiving chemotherapy during the study period were taken as study population. All the relevant data were entered in the excel sheet and analyzed by the help of statistical software. Result: There were total seventy three cases who got admitted for chemotherapy during the study duration at the department of Oncology. The patients were between 30-85 years, with the mean age of 59 years and the proportion of females were almost double (64%) than male. 78% cancers were advanced staged in contrast to 22% early stage cancers. Cases were majorly with clinical remission (30%) out of which most common were breast and colorectal cancers. Total 58% of the cases were alive while 42% of the cases expired during the study period. Conclusion: There is a need of comprehensive cancer center in eastern region of Nepal due to increase in the burden of solid cancers.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49298
      Issue No: Vol. 7, No. 2 (2022)
       
  • Nutrition Status of Cancer Patients Attending Oncology Unit at Birat
           Medical College

    • Authors: Mona Priyadarshini, Gyanendra Man Singh Karki, Sulav Sapkota
      Pages: 1784 - 1788
      Abstract: Introduction: Malnutrition is a major problem in cancer patients which results in high morbidity and mortality. There are lack of comprehensive centers providing nutritional support to cancer patients in eastern region of Nepal. Objective: The objective of this study was to analyze the malnutrition status of cancer patients at Birat Medical College. It aimed to calculate the prevalence of malnutrition in cancer patients. Methodology: This descriptive cross sectional observational study of six months duration was conductedfrom 15th January 2021 to 15th July 2021 in the department of Oncology at Birat Medical College Teaching Hospital.All the histologically proven cancer patients during the study period were taken as study population whose body mass index were calculated. The relevant data were maintained inexcel sheet and analysis was done with the help of statistical software SPSS version22. Results: A total of 70 cases attended oncology unit during the study duration at Birat Medical College. The mean age of the cases were60 years (range 21-85) with the proportion of female patients almost equal(53%) to that of males. There was total 28 (40%) malnutrition cases out of which 22% were overweight,17% were underweight and only 1% obese. During the study period total 50% of the malnutrition cases were alive and 50% cases expired due to disease progression. Conclusion: Malnutrition is a major concern worldwide and even in cancer patients of Nepal. There is a need of comprehensive cancer center providing nutritional support to cancer patients in eastern region of Nepal.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49299
      Issue No: Vol. 7, No. 2 (2022)
       
  • Study of Gastro-Oesophageal Reflux Disease among Patients with Type 2
           Diabetes Mellitus presenting to Medicine Department at a Tertiary Care
           Hospital: A Descriptive Cross-sectional Study

    • Authors: Arun Kumar Mahato, Madhu Shah, Nischal Shrestha
      Pages: 1789 - 1793
      Abstract: Introduction: Gastro-oesophageal reflux disease is a chronic condition in which stomach contents regurgitates up into oesophagus causing symptoms like acidic taste in mouth, heart burn, bad breath and chronic cough. There is high prevalence of GERD in patients with Type 2 diabetes mellitus in the western countries, but such related data in our country are just few. Objectives: To find out the prevalence of gastroesophageal reflux among patients with Type 2 Diabetes Mellitus attending Nobel Medical College Teaching Hospital. Methodology: This was a descriptive cross-sectional study carried out in Department of Medicine of a tertiary care hospital from July 2020 to June 2021. Ethical approval was taken from Institutional Review Committee of Nobel Medical College Teaching Hospital (Reference number: 464/2020). Convenience sampling was done and data was collected from 191 patients presenting to the department. Collected data was entered, analysed in Statistical Package for the Social Sciences version 21 and documented for study. Point estimate at 95% Confidence Interval and descriptive statistics were interpreted as frequency, percentage, or as mean and standard deviations. Results: Among 191 patients with type 2 diabetes, gastroesophageal reflux was seen in 78 (40.84%) (33.87-47.81 at 95% Confidence Interval) with more prevalent in male 42 (53.84%) than female 36 (46.15%). Mean duration of type 2 diabetes among reflux cases was 10.20± 5.40 years. Conclusions: Gastroesophageal reflux was common associated condition among Diabetic patients.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49300
      Issue No: Vol. 7, No. 2 (2022)
       
  • Awareness of cross-infection and its control measures among patients
           attending a tertiary dental hospital in Nepal

    • Authors: Sushant Pandey, Utsav Shrestha, Regina Dahait
      Pages: 1794 - 1798
      Abstract: Introduction: Dental procedures frequently lead to exposure to blood and saliva which can carry a variety of pathogens. Aerosols produced during dental treatment procedures can further facilitate the transmission of these infectious agents. It is equally important for the patients to be aware of cross-infection and measures taken to prevent it in a dental setting. Objectives: The main objective of this study was to assess the awareness of cross-infection and its control measures among patients attending College of Dental Surgery, B.P. Koirala Institute of Health Sciences (BPKIHS). Methodology: A cross-sectional study was carried out among 362 patients who attended College of Dental Surgery, BPKIHS. Data was collected by administering a questionnaire that consisted of 4 questions intended to collect sociodemographic information and 10 close-ended questions designed to assess awareness of cross-infection and its control measures. The data was entered and analyzed using SPSS® software for Windows®. Results: The majority of the participants were aware that there was a chance for an infection to be transmitted from a dentist to a patient (82%), from a patient to a dentist (80.4%), and in between patients attending the same dental clinic (70%). Most of the participants considered wearing gloves (94.4%) and facemask (86%) by the dentist to be important. Only 40.3% of participants were aware of better methods of sterilization other than boiling in water. Awareness was higher among participants with higher education (p<0.05). Conclusion: The majority of the participants were aware that there was a chance for an infection to be transmitted from a dentist to a patient. However, the dental healthcare professionals should educate people about the possible risks of cross-infection and the importance of infection-control practices in dental clinics. Modern mass media and social media can be used to spread awareness to a large segment of the population.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49303
      Issue No: Vol. 7, No. 2 (2022)
       
  • Knowledge on Post Exposure Prophylaxis of HIV among Nurses of a Private
           Hospital

    • Authors: Deepika Khadgi, Pooja Shah, Anju Mahato, Karishma Khadgi
      Pages: 1799 - 1803
      Abstract: Introduction: There are many effective prevention interventions available for those experiencing occupational exposure, and post exposure prophylaxis (PEP) is one of them. Different studies worldwide have shown low utilization of PEP for HIV due to lack of adequate knowledge. Objective: The purpose of this study was to assess the knowledge on PEP of HIV among nurses. Methodology: Descriptive cross-sectional research design was used and all the 130 nurses working in a private hospital of Biratnagar were the sample. Self-administered semi-structured questionnaire was used. Descriptive statistics as percentage, mean, median and standard deviation were used to analyse the data. Results: Almost all of the nurses knew the meaning of PEP and the majority were aware about components, indications and best time for initiating PEP after exposure. Less than half had knowledge about appropriate treatment regimen, antiretroviral drugs used for PEP, PEP drugs contraindicated during pregnancy, effectiveness of PEP and duration of protection by PEP. Findings also revealed that only one-third of the nurses (35.8%) had adequate knowledge on PEP of HIV. Conclusion: In least developed and developing countries like Nepal, healthcare workers including nurses have to work in resource-limited settings, putting themselves at higher risk of contracting different blood borne infections, including HIV, a disease without cure so far. Thus the findings reflect the need for the in-service awareness program and the integration of content in the pre-service curriculum on PEP of HIV for the nurses who are at risk for occupational exposure.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49304
      Issue No: Vol. 7, No. 2 (2022)
       
  • Prevalence of surgical site infection among bile spillage and non-spillage
           

    • Authors: Sameer Bhattarai, Dinesh Nalbo, Sanjib Koirala, Ram Kumar Singh
      Pages: 1804 - 1807
      Abstract: Introduction: Laparoscopic cholecystectomy, a common procedure is not without complications, and bile spillage can cause surgical site infection (SSI). There is no local evidence in our hospital setting. Objective: The objective of this study was to find the prevalence of surgical site infection among bile spillage and non-spillage patients following laparoscopic cholecystectomy at BMCTH Methodology: A hospital-based cross-sectional study was conducted from 25 February 2021 to 25 August 2021 at the surgery department of BMCTH. We enrolled 120 patients through the total enumeration technique who underwent laparoscopic cholecystectomy. We enrolled all the eligible study participants who were more than 18 years excluding patients having age >75 years, acute calculous cholecystitis, evidence of cholangitis and/or obstructive jaundice, previous biliary tract surgery, or previous Endoscopic retrograde cholangiopancreatography, evidence of uncontrolled diabetes mellitus and patients taking immunosuppressive drugs and immunosuppressed conditions like HIV/AIDS. The surgical site infection was assessed on the 7th postoperative day. Results: Among 120 patients undergoing laparoscopic cholecystectomy, the majority were female 92(76.7%) and 40-50 years age group 65(54.2%). Bile spillage was found in 27(22.5%) and non-spillage in 93(77.5%).  The prevalence of surgical site infection (SSI) was found to be 7.5% which was more in the bile spillage group 25.9% than the non-spillage group 2.2%. The odds of having SSI among the spillage group was 15.9 times more than the non-spillage group and was statistically significant (p <0.05).  The pus culture of SSI found the predominant organism as Staphylococcus aureus 6(66.7%) followed by Escherichia coli 3(33.3%). The common indications of laparoscopic cholecystectomy were symptomatic cholelithiasis 95(79.1%) followed by chronic calculus cholecystitis 15(12.5%), gall bladder polyp 8(6.7%) and gall stone pancreatitis 2(1.7%). Conclusion: More than two and almost one out of ten had bile spillage and surgical site infection (SSI) respectively.  A significantly higher number of SSI among the spillage group should be a concern of surgeons. We need to be extra careful with the spillage group for surgical site infection.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49305
      Issue No: Vol. 7, No. 2 (2022)
       
  • Outcomes of Arterio-venous Fistula Reconstruction in Chronic Kidney
           Disease Patients Presenting in Tertiary Care Hospital in Eastern Nepal

    • Authors: Dipak Kumar Thakur, Ajay Kumar Yadav, Chandra Shekhar Agrawal
      Pages: 1808 - 1811
      Abstract: Introduction: Renal Replacement Therapy is the treatment modality for the chronic kidney disease (CKD) which ranges from hemodialysis, peritoneal dialysis to the renal transplantation, the latter being the best form of treatment. But, renal transplantation is available at limited centers only so hemodialysis is the most commonly used treatment modality of chronic kidney disease which requires a vascular access. But there are limited vascular surgeons in the region so most of the arterio-venous (AV) fistulas are reconstructed by Urologist/Surgeons exposed to vascular surgery during their residency/training period. Objectives: To know the factors influencing the site selection, to assess the success rate and to document the complications of AV fistula reconstruction. Methodology: This is a hospital based prospective observational study conducted in the Birat Medical College – Teaching Hospital, Morang, Nepal from June 2021 to May 2022. We included the CKD patients requiring vascular access for hemodialysis with Color Doppler available for vascular mapping. Patients with brachial sites previously used and without Color Doppler were excluded from the study. AVF was reconstructed under local anesthesia and outcomes were recorded. Results: Thirty one patients of CKD underwent AVF reconstruction over the study period. Male and female ratio was 1.33 (57% and 43%). The mean age was 42.14 ± 11.34 years (Range 26-65 years). The mean diameter of radial artery (RA) and cephalic vein (CV) at wrist were 1.92 ± 0.56mm and 1.91 ± 0.20 mm respectively. Similarly, the mean diameter of brachial artery (BA) and CV at elbow were 3.66 ± 0.87mm and 3.57 ± 0.55 mm respectively. The fistula reconstructed were Lt RC (radio-cephalic) – 50% (14), Lt BC (brachio-cephalic) -35.71% (10) and Lt BB ( brachio-basalic) - 14.29% (4) respectively. Complications occurred in 4 cases (14.28%). Conclusion: Selection of type of AVF creation is influenced by the vessel diameter as well as previous fistula surgery status and AVF access for hemodialysis has adequate patency with acceptable complications.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49306
      Issue No: Vol. 7, No. 2 (2022)
       
  • A Comparative Study of Alkalined and Plain Local Anesthetic on Onset,
           Duration and Quality of Bracheal Plexus Block by Supraclavicular Approach.
           

    • Authors: Rajesh Kumar Yadav, Ajay Singh Thapa, Rakesh Sah
      Pages: 1812 - 1815
      Abstract: Introduction: Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in term of such damage. The relief from pain is the essence of anesthesia. Peripheral nerve blocks provide longer and more localized pain relief than neuraxial techniques while also avoiding the side effects of systemic medication. This study was aimed to find the effectiveness of Study solution (addition of Sodium bicarbonate to 0.375% Bupivacaine) on onset time, duration and quality of Brachial Plexus Block. Material and methods: This study was conducted among 60 different patients undergoing surgical procedure of the upper limb. They were categorized into two different groups. The first group (Group 1), 30 patients received Brachial Plexus block with 30 ml of study solution (0.375% Bupivacaine with 2 ml of Sodium bicarbonate7.4%). The second group (Group 2) received 30 ml of 0.375 % plain bupivacaine only and the differences in onset, duration and quality of blockade were studied. Result: The similarity of age between the two groups can be seen. In Group 1 the mean onset time of sensory blockade was 9.43 minutes and motor blockade was 10.43 minutes when compared to Group 2 having sensory onset of minutes 23.93 and motor onset of 26.33 minutes. Similarly, In Group I the mean duration of sensory blockade was 477.67 minutes and motor blockade were 467.67 minutes when compared to Group 2 having sensory duration of 215.67 and motor duration of 205.67 minutes. The quality of sensory blockade was also better in group1 (P-Value:0.006). Conclusion: Addition of Sodium bicarbonate to bupivacaine had significant clinical advantage over plain bupivacaine on onset time, duration and quality of sensory and motor blockade in brachial plexus block.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49307
      Issue No: Vol. 7, No. 2 (2022)
       
  • Evan’s Index in adult Nepalese population: A Computerized
           Tomographic Study

    • Authors: Pragya Shrestha, Dil Islam Mansur, Subindra Karki, Sunima Maskey, Bishal Sah, Roshan Chaudhary
      Pages: 1816 - 1820
      Abstract: Introduction: Evan's Index is a linear measurement of the ventricular size which is used as an indirect marker of ventricular volume. It is used widely as a screening tool to rule out ventricular enlargement. As the ventricular enlargement indicates the neuropathological state of the brain, Evan's Index serves as the quick and reliable method to assess ventricular size. Objectives: The study aims to generate a baseline value of Evan's Index among the Nepalese population and also investigates the effect of age and gender on EI. Methodology: A quantitative study was conducted in the Department of Anatomy, Kathmandu University School of Medical Sciences and data was collected from the Department of Radiodiagnosis, Dhulikhel Hospital, Kathmandu University Hospital. The study was done on 385 head CT Scans of the individuals of mean age of 45.44years. The ratio of inter anterior horns distance of the lateral ventricles and maximal internal diameter of the skull at the same level was taken to calculate Evan’s Index. Results: The mean value of Evan’s index in the present study was 0.250.03. The study did not report gender-wise variation in Evan's Index (p>0.05). Evan’s index was minimum at the age group of 20-29 and maximum at the age group of 80-89. The value of Evan’s Index showed a significant increase with the age (p<0.05). Conclusions: The study provides the mean value of Evan’s Index among the Nepalese population. Even though Evan’s Index is not influenced by gender, the value increases with normal aging.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49311
      Issue No: Vol. 7, No. 2 (2022)
       
  • Outcome of unstable intertrochanteric fractures managed with Proximal
           Femoral Nail Anti-rotation-II: A study in elderly Nepalese population.

    • Authors: Suman Dhoj Kunwar, Prakash Sitoula, Ranjib Kumar Jha, Bishwamber Thapa, Ashish Rajthala
      Pages: 1821 - 1825
      Abstract: Introduction: The ideal implant for treating unstable intertrochanteric fracture has been controversial. Studies have shown good results with various intra-medullary nails. Likewise, Proximal Femoral Anti-rotation-II (PFNA-II) has been designed for the Asian population. But the knowledge about the outcomes of PFNA II in our particular region has been lacking. Objectives : To evaluate the radiological and functional outcome of unstable intertrochanteric fractures in elderly patients managed with PFNA-II. Methodology: This is a prospective clinical study conducted at Nobel Medical College between February 2019 and March 2021. Patients above 65 years of age with unilateral unstable intertrochanteric fracture were managed with PFNA-II. Radiological union and complications were recorded. Functional outcome was assessed on the basis of modified Harris Hip Score. Results: Twenty-nine patients were included in the final evaluation and had at least one year follow-up. Two patients (6.8%) had superficial infection. The average Tip Apex Distance (TAD) was 22.28 mm (range, 18- 28 mm). Mean modified Harris Hip Score at one year was 82.59 with good outcome in 23(79.3%) patients. Conclusion: This study showed that good clinical outcome can be obtained when radiological parameters are restored. Good intra-operative fracture reduction, and optimal positioning and length of helical blade are crucial. We believe that PFNA-II is an excellent implant to treat unstable intertrochanteric fractures in elderly patients.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49308
      Issue No: Vol. 7, No. 2 (2022)
       
  • Large Radicular cyst disfiguring the midline face; a case report

    • Authors: Brihaspati Sigdel, Kuseshwar Sah, Bhima Neupane
      Pages: 1826 - 1829
      Abstract: A radicular cyst is an inflammatory odontogenic cyst of the jaw commonly found at the apices of the tooth of the anterior maxilla. It develops as a sequel of untreated dental caries with pulp necrosis and periapical infection. Different treatment includes surgical endodontic treatment, extraction of the involving tooth, marsupialization, and enucleation with primary closure followed by rehabilitation. We presented a case of a huge midline radicular cyst of a 52 years lady who presented with increasing size of swelling at the midline of the upper lip region which makes patients ugly for 25 years. It leads to the mass effect at the philtrum of the upper labium at midlines leads to elevation and ugly looking face making her socially embarrassing. Endoscope-assisted complete excision was performed via midline mini visor incision and with no evidence of recurrence found at three-month follow-up.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49309
      Issue No: Vol. 7, No. 2 (2022)
       
  • Compound odontoma: A case report on 42 denticles hodgepodge in maxilla

    • Authors: Sneha Shrestha, Amita Rai, Bandana Koirala, Mamta Dali, Ashish Shrestha
      Pages: 1830 - 1833
      Abstract: Compound odontomas are the commonest benign odontogenic tumours of jaws affecting mostly children and adolescents. These developmental malformations display many tooth-like structures or denticles that consist of well-defined dental tissues with diverse morphologies. Majority of these lesions occur as intraosseous masses in the maxillary anterior region and are incidental radiographic findings. These are primarily associated with retention of primary teeth and delayed eruption of permanent teeth. The preferred treatment for these lesions is conservative surgical excision followed by a histopathological diagnosis. This case report presents a rare case of compound odontoma displaying numerous denticles (42 in number) in the maxillary anterior region of a 12-year-old male child and its surgical management.
      PubDate: 2022-11-18
      DOI: 10.3126/bjhs.v7i2.49310
      Issue No: Vol. 7, No. 2 (2022)
       
 
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