Browsing by Author "Acharya, Apurba"
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Publication Prevalence of Spinal Injuries among Autopsied Cases of Traumatic Deaths(Nepal Health Research Council, 2024) Acharya, Apurba; Bhattarai, Kushal; Rokaya, Poojan Kumar; Aryal, Umesh Raj; Kaphle, Sushma; Bista, Binamra; Khatiwada, AmitBackground: Traumatic deaths, resulting from spinal injuries are significant issue in Nepal. The study aims to assess the prevalence of spinal injuries amongst the traumatic death cases brought in for autopsy in Jumla and to provide their socio-demographic profile. Methods: This is a descriptive cross-sectional study done in Karnali Academy of Health Sciences (KAHS) from 16th July 2021 to 16th July 2023 incorporating all the traumatic deaths brought for autopsy. The data was collected using a proforma which included the modality of trauma, spinal involvement, seasons associated with trauma and demographic variables of the deceased. The data was analyzed using both Microsoft excel and SPSS 23.0. Results: A total of 55 cases were brought for autopsy following traumatic death with road traffic accident (45.45%) and fall injuries (29.1%) being the most common mode of trauma. Among all traumatic deaths, 29.1% cases presented with spinal injuries. The cervical spine (68.8%) was the most commonly affected spine followed by thoracic (12%), lumbar spine (6.3%) and two cases with multiple spinal involvement. Of all the spinal injury cases in traumatic deaths, the highest and the lowest number of cases occurred during spring and summer season respectively. Conclusions: Traumatic deaths caused by spinal injuries after fall and road traffic accidents is a common phenomenon in Jumla. Thus, timely preventive measures associated with these deaths needs to be addressed to reduce them. Keywords: Autopsy; deaths; Jumla; spinal injuries; trauma.Publication Unintended Consequences: A Critical Analysis of Nepals Rape Law Reform and Its Impact on Juvenile Justice(Nepal Health Research Council, 2024) Atreya, Alok; Acharya, Apurba; Paudel, Sudip; Nepal, SamataThe increase of the age of consent to 18, with the Muluki Penal Code that came into effect in 2017, created an unintended burden on the juvenile justice system in Nepal. The amendment, drafted to protect minors from sexual exploitation by adults, resulted in the criminalisation of consensual relationships between adolescents. The surge of inmates aged 16 to 18 years is leading Nepal into a crisis in its juvenile correction centres, with overcrowded facilities, decrepit conditions, and increased violence. This crisis was underlined by three deaths in juvenile correction centres at Bhaktapur, Parsa, and Banke up to September 2023. This article explores the legal, social, and ethical dilemmas generated by Nepal's reforms of rape law and advocates for a more nuanced approach in safeguarding vulnerable populations without moralising normal adolescent sexual conduct. This approach is based on the consideration of pending challenges for the juvenile justice system and the development of strategies to reconcile child protection goals with the realities of adolescents' relationships. Keywords: Informed consent; juvenile delinquency; Nepal; rape.