BackgroundHypertension 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 findings suggest that yoga has a beneficial effect in reducing blood pressure. However, the role of yoga on blood pressure has received little attention in existing health care practices in developing countries. This study will be conducted in primary health care facilities in Nepal to assess the effectiveness of a pragmatic yoga intervention to complement standard practice in further reducing blood pressure.MethodsThis will be multicentric, two arms, randomized, nonblinded, pragmatic trial. It will be conducted in seven District Ayurveda Health Centers (DAHCs) in Nepal between July 2017 and June 2018. The study participants will consist of hypertensive patients with or without antihypertensive medication attending to the outpatient department (OPD). One hundred and forty participants will be randomized to treatment or control groups by using a stratified block randomization. At the study site, the treatment arm participants will receive an intervention consisting of five days of structured yoga training and practice of the same package at home with a recommendation of five days a week for the following 90 days. Both the intervention and control groups will receive two hours of health education on lifestyle modifications. The primary outcome of this trial will be the change in systolic blood pressure and it will be assessed after 90 days of the intervention.DiscussionThis study will establish the extent to which a yoga intervention package can help reduce blood pressure in hypertensive patients. If proven effective, study findings may be used to recommend the governing bodies and other stakeholders for the integration of yoga in the national healthcare system for the treatment and control of hypertension.Trial registrationClinical Trial Registry- India (CTRI); CTRI Reg. No- CTRI/2017/02/007822. Registered on 10/02/2017.
Background Hypertension control remains a major challenge globally. A recent systematic review suggested that yoga has beneficial effects on reducing blood pressure. However, the role of yoga in hypertension management in primary health care has received little attention, and no studies have evaluated the impact of a yoga program fully delivered by health care staff on hypertension. This study, therefore, assessed the effects of a health worker-led yoga intervention on blood pressure reduction among hypertensives patients in the primary care setting. Methods This was a multicentric, two-arm, randomised trial conducted among hypertensive patients in seven Ayurveda Health Centres in Nepal between March 2017 and June 2018. One hundred and twenty-one participants who were on or without medications were randomised to intervention (n = 61) and wait-list control (n = 60) groups using stratified block randomisation. Participants in the intervention arm received an intervention consisting of an initial five-day structured yoga training at the centres and then a further home-based practice of yoga for five days a week for the following 90 days. Both intervention and control groups also participated in a 2-h health education session. The primary outcome of this trial was systolic blood pressure at 90-day follow-up. Data were analysed on an intention-to-treat basis using linear mixed-effects regression models. Results We included all 121 study participants (intervention/control = 61/60) in the primary analysis (52.1% males; mean ± SD age = 47.8 ± 10.8 years). The difference in systolic blood pressure between the intervention group and the control group was − 7.66 mmHg (95% CI: − 10.4, − 4.93). For diastolic blood pressure, the difference was − 3.86 mmHg (95% CI: − 6.65, − 1.06). No adverse events were reported by the participants. Conclusions A yoga program for hypertensive patients consisting of a five-day training in health centres and 90 days of practice at home is effective for reducing blood pressure. Significant benefits for hypertensive patients could be expected if such programmes would become a part of the standard treatment practice. Trial registration This trial was prospectively registered with the Clinical Trial Registry of India [CTRI/2017/02/007822] on 10/02/2017.
The main purpose of this research is to examine the relationships among trust, justice and organizational commitment at hospitals in Nepal. The success of an organization is closely relatedto its employees’ perception of trust, and justice within the organization. This study is based on the effect of perceptions of trust in management and organizational commitment among the nurses working in different hospital at Kathmandu Valley. This study includes the design and distribution of a self-administered questionnaire to 465 nurses belonging to different hospitals working on different basic pay scales.This paper is useful to academicians and organizations to understand the level of relationship that will help them to manage the organization in accordance with its objectives. Improved treatment of organizational and developing mutual trust and understanding between management and workers lead to the organizational commitment.Pravaha Vol. 24, No. 1, 2018, Page: 31-38
This study examines how internal and macroeconomic factors influence mutual fund performance. This study includes an analysis of the impact of internal characteristics such as fund size, fund age, cash ratio, and expense ratio. The macroeconomic factors are the commercial bank rate, the inflation rate, and the stock index. Six mutual funds from the list of closed-end mutual funds were selected as a sample for descriptive and causal-comparative analysis to draw conclusions. Fund size, fund age, cash ratio, expense ratio, commercial bank rate, inflation rate, and Nepal Stock Exchange (NEPSE) index are predictor variables and risk-adjusted performance evaluation approach Sharpe's ratio as a dependent variable in this study. Findings show that mutual funds' performance in Nepal had not satisfactory except NIBL Pragati Fund (NIBLPF). Likewise, evidence suggests that fund age has a significant favorable impact on performance. In contrast, cash ratios, expense ratios, bank rates, inflation, and stock indexes have a significant negative impact on mutual fund performance in Nepal. In contrast, the factors determining fund size are contradictory, but the market index has no effect on Nepalese mutual fund performance. Hence, a fund's internal and macroeconomic forces are major determinants of its performance in Nepal.
The purpose of the study was to understand and analyze the strength of corporate governance (CG) on organizational performance (OP) of the Nepalese telecom industry from the employees' perspective. It adhered to a descriptive study approach and employed an organized questionnaire survey instrument. Two market-leading telecommunication service provider companies of Nepal, Ncell and Nepal Telecom, and their employees were considered the object of the study. It collected 387 responses through a random sampling method. The survey instrument included 18 items and was divided into three segments to collect required data that was processed with the help of SPSS and AMOS software. The study identified nine observable CG performance metrics inside two latent variables, management and leadership (ML) and management competency (MC), to evaluate CG performance and revealed that each performance metric offers a partial explanation for the synergistic effects on OP. The study's findings provided evidence to previous studies that CG performance positively and significantly affects the OP. In addition, the results of the study would deliver useful suggestions for comprehending the primary drivers of CG performance metrics in the Nepalese context.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.