Background: Anemia though is a major risk factor for unfavorable pregnancy outcomes; no previous studies have yet described the hemoglobin (Hb) concentrations and anemia prevalence among pregnant women of remote mid western highlands of Nepal where the aggravating factors that increase the risk of anemia are very common. In addition, the physiological adaptive Hb rise to altitude was considered in the study while evaluating anemia. Thus, our primary objectives were to study the hemoglobin levels and prevalence of anemia among pregnant women of Jumla and its adjoining districts, and to assess the potential associations of hemoglobin and anemia with women's characteristics. Methods: The study was conducted in 319 singleton term non-smoker pregnant women who visited to the teaching hospital for delivery. Their blood samples were tested for Hb and related sociodemographic information was collected. One-way analysis of variance (ANOVA) and independent t-test were used to compare the mean Hb levels. Multiple linear regression model and multiple logistic regression model were used to assess the association of Hb level and anemia with pregnant women's characteristics. The prevalence of anemia was calculated based on the altitude and pregnancy-adjusted Hb cut off value for anemia [{11+ adjustment factor (1.3)} gm./dl]. Results: The overall mean hemoglobin concentration was (13.497 ± 1.64) gm/dl, ranging from 8 to 19.20 g/dl. The pregnant women Hb level showed significant association with their age (Coeff = 0.059; 95% CI: 0.011, 0.106; p = 0.015) and parity (Coeff = − 0.21; 95% CI: − 0.382, − 0.038; p = 0.017). The overall prevalence of anemia in the study population was 17.9% (57/319), which varied with age, parity and ethnicity. The disadvantaged Janajatis were more likely (OR = 4.615, 95% CI: 1.48, 14.35, p = 0.008) to have anemia compared to upper cast group. Conclusion: The mean Hb concentration was high and prevalence rate of anemia was low among pregnant women in karnali zone compared to average Nepali pregnant women. Women's age and parity were significant predictors of Hb level. Ethnicity, however, was associated with the occurrence of anemia.
Background and Objectives: Disability is the condition of difficulty in carrying out daily activities normally and in taking part in social life due to problems in parts of the body and the physical system. Disability also carries stigma, so disabled people may face layers of discrimination when they are menstruating. The objective of the review is to assess the menstrual hygiene practice of disabled women, the barriers they face, and the available interventions to help them manage their menstruation hygienically and with dignity. Material and Methods: This was a cross-sectional descriptive study that was conducted among 151 physically disabled peoples.Self-structured questionnaire and face-to-face interview was used as data collection tools and techniques. Data entry and analysis was done using SPSS 16.0. The results of the study were presented with the help of tabular description using the same software along with Microsoft word and excel 2007. Results: Most of respondents knew the 26-30 days as normal cycle duration (80.13%). Majority of respondents had reported that they do not go to holy places (91.39%) and should not cook food (94.03%) during menstruation. Most of respondents had stayed (96.68%) and eat (98.01%) at same place and 31.38% of respondents had bath daily during menstruation. 83.44% of respondents used sanitary while 69.53 % of respondents changed pad twice a day. Maximum number of the respondents 91.39% disposed sanitary pad in dustbin. 87.41% of respondents learned about menstrual hygiene from parents. Conclusion: Good and satisfactory knowledge about menstrual hygiene was found among girls of age group 15-24years.
An experiment was conducted at Dang, Nepal in 2021 to scrutinize the effect of different doses of gibberellic acid on the growth and yield performance of oyster mushrooms (Pleurotus ostreatus). From February to April, seven different dosages of Gibberellic acid (0, 5, 10, 15, 20, 25, and 30 ppm) were tested in Completely Randomized Design (CRD), replicated 4 times with an average daily temperature of 15-28°C and relative humidity ranging from 75-90 %. The oyster mushroom cultivation was undertaken under aseptic conditions, and the growth and development of mushrooms were recorded. Results of the study revealed that the highest yield (2.55 kg/ball), number of fruiting bodies (47), and effective primordia (11), better stipe length (5.132 cm) were found in 10 ppm of GA3 application. The result suggested that GA3 at 10 ppm/packet would be the best possible concentration for the production of Oyster mushrooms.
Background: Cardiopulmonary resuscitation success rates depend on the knowledge and skills of Adult basic life support (BLS) and advanced life support. The objective of the study was to find the level of awareness on BLS and skills among health personnel working in different departments of a rural teaching hospital. Methods: This descriptive cross-sectional study was conducted in a tertiary care hospital of Karnali Academy of Health Sciences, Jumla, Nepal. The awareness level about BLS was assessed using a structured questionnaire. Health personnel’s previous exposure to BLS and the inclusion of BLS in their curriculum was also assessed. Results: Among 91 participants,74% (n=67) heard about BLS ,64% (n=58)have seen performing and 25%(n=23) have performed CPR. Only 8%(n=7) attended a workshop on BLS. 43% (n=39) answered 100 and 46%(n=42) answered 30 compression per minute in adult during CPR.71%(n=65) knew the ratio of chest compression to breath in adults. Only 41%(n=37) identified anatomy/area mid-chest for chest compression. Only 40%(n=36) are familiar to the Heimlich maneuver and 5.5%(n=5) were aware of the sequence of BLS which is Head tilt, chin lift, check the pulse. Seventy-eight percent (n=71) responded that BLS training should be a part of the medical curriculum. Mean awareness of general medicine is significantly lower than the other two groups (P<0.001). Conclusion: The level of awareness and knowledge regarding BLS is different among health personnel. Hospital staff and nursing students had better knowledge regarding BLS than general medicine students.
Background and Objectives: Anemia is a widespread public health issue. It impairs immune systems and is linked to an increase in morbidity. Additional factors linked to lower hemoglobin (Hb) levels in adolescents include lack of awareness, low educational status, poor dietary practices, and unhealthy eating habits, low iron bioavailability of the diet, decreased physical activity, malaria, and parasite infestations. Studies on the incidence and severity of anemia among Nepali college students are extremely rare. The significance of research on the prevalence of anemia among college students cannot be underestimated. The study's objective was to evaluate the relationship between anemia and BMI in paramedical students from the isolated, rural highlands of Midwestern Nepal. Materials and Methods: A quantitative cross-sectional study was conducted among the paramedical students of KAHS. A total of 96 students from paramedical students were participated in this study. Before collecting the data, the consent was taken from students. Data were collected from a semi-structured questionnaire and analyze by using SPSS software (20.0 Version). A chi square test was used to show the relationship between demographic variables and anemia. Results: The prevalence of anemia was 20.8% (male=6.1% and female=53.3%) among the 96 students. There was no significant association between anemia and BMI (P>0.05). Conclusion: The anemic status of students was significantly associated with gender but BMI and age where not the factors of anemic status in this Therefore, there should be adequate diet and nutritional status needs to be emphasized for paramedical students who are well educated and well oriented about nutrition and its ill effect on health.
Background & Objectives: The COVID-19 pandemic has presented the world community with its greatest challenges so far. Paramedics play a crucial role in providing pre-hospital care to patients who require urgent medical attention in clinical settings. Therefore, the aim of the study was to evaluate the knowledge on COVID-19 among health assistant (HA) students studying in different paramedical colleges in Janakpurdham. Material and Methods: A descriptive cross-sectional study was performed utilizing a structured questionnaire to acquire responses from HA Students studying in different colleges of Janakpurdham in the months of April and May 2022. Descriptive analysis was applied to calculate the frequencies and proportions. A p-value less than 0.05 were considered as significant. Results: Out of total 360 students, 280 were enrolled. The majority of students were under 20 years old. All of the students were aware of the COVID-19 infection at National Human Resource Development Academy (NHRDA) and Mithila Technical Academy (MTA) colleges, with the exception of 3.61% Care Medical Center (CMC) students. A large percentage of students (52.80% boys , 47.19% girls) responded that the respiratory tract is the primary route by which COVID-19 infections are spread, followed by the students from NHRDA and CMC. Most of the students from all colleges received satisfactory scores on the COVID-19 knowledge test. There was negative association of score of knowledge between 1st, 2nd and 3rd year students of CMC and MTA (p=0.96 and p=0.11) respectively. However, there was positive association of score of knowledge between 1st, 2nd and 3rd year NHRDA students (p=0.01). Conclusion: The majority of college students studying at different colleges had satisfactory knowledge, while a moderate number of students had poor and just a few had good knowledge scores on the COVID-19. In order to increase knowledge, various kinds of strategies, regulations, and initiatives should be accomplished and implemented effectively throughout the lower to higher level education.
Background: Disability is the condition of difficulty in carrying out daily activities normally and in taking part in social life due to problems in parts of the body and the physical system as well as obstacles created by physical, social, cultural environment and by communication. Disability also carries stigma, so disabled people may face layers of discrimination when they are menstruating. The objective of the research is to assess the knowledge and practice regarding menstrual health of disabled women. Method: Descriptive, cross sectional study was conducted among 151 participations. Self-structured questionnaire and face-to-face interview were used as data collection tool and technique respectively. Data entry and analysis were done using SPSS version 20. Descriptive analysis like frequency and percentages were computed and presented in a table. Results: Most of participants knew 26-30 days were the normal menstrual cycle duration (80.13%). Only 31% of participants bath daily during menstruation. About 83% of participants used sanitary pad, 69.54% of participants changed pad twice a day. Maximum number (91.39%) disposed sanitary pad in dustbin. 76.82% of participants learned about menstrual hygiene from parents and friends. Majority of the participants (61.59%), cleaned the genitalia haphazardly 88.08% cleaned with soap and water Most of the respondent 90.06% had taken rest during menstruation. Conclusions: Disabled women were aware about normal duration of menstrual cycle and blood loss. However, improper practices related to menstrual health and hygiene were prevalent among disabled women, it should be timely and rightly approached to prevent and control adverse health conditions that may arise of it. Mother and peer groups could be the best choices of source of information to improve menstrual health and hygiene of differently able women.
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