Browsing by Author "Basel, P"
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Publication Prevalence and Factors Associated with Postpartum Depression among Mothers Visiting Immunization Clinic at Birendranagar Municipality, Surkhet, Nepal(Kathmandu University, 2022) Adhikari, N; Shrestha, B; Chand, B; Basel, PABSTRACT Background Postpartum depression (PPD) is a disabling but treatable mental disorder that represents one of the most common complications of childbearing which can exert a wide range of effect on social, physical and mental health conditions of the mother and baby. Objective To identify the prevalence and factors associated with postpartum depression among mothers visiting immunization clinic at Birendranagar Municipality, Surkhet in year 2020. Method This study was a cross-sectional study. A total of 347 postpartum mothers were interviewed for data collection. Validated Nepali version of Edinburg Postnatal Depression Scale (EPDS) was used to identify postpartum depression. These mothers were permanent resident of Birendranagar who had delivered their babies in municipal hospital. Analysis was done using SPSS version 21.0. Chi square test was applied to identify association of postpartum depression with major interest of variables namely parity of mother, sex of a baby and recent planned or unplanned pregnancy. Odds ratio (OR) was calculated with 95% Confidence Interval (CI). Result The prevalence of postpartum depression was found to be 32.9% (27.9%, 37.8%). Several factors which were significantly associated with postpartum depression were; sex of the baby, history of abortion and recent pregnancy planned or unplanned. Conclusion Nearly one-third of postpartum mothers had depression. Hence screening of mothers for depression is of prime importance throughout the continuum of care. Likewise, the factors identified for postpartum depression needs to be taken care of well in advance for healthy mother and a baby. KEY WORDS Mothers, Postpartum depression, PrevalencePublication Prevalence of Dental Deep bite in Nepalese Adolescents of Kathmandu Valley(Institute of Medicine, 2018) Yadav, R; Shrestha, BK; Yadav, N; Basel, PAbstract Introduction: Deep bite is defined as vertical overlap of upper teeth on the labial surface of lower teeth in centric occlusion when exceeds the normal range of 1-2 mm. Deep bite can be classified into skeletal and dental deep bite. Skeletal deep bites are usually of genetic origin. Dental deep bites occur due to over-eruption of anterior teeth, infra-occlusion of molars or its combination. It may jeopardize the periodontal support, occlusion itself or TMJ. Methods: It is a cross-sectional descriptive study. The study population included 14-18 year-old adolescents studying in high school of all three districts of Kathmandu Valley. An evaluation form was developed categorizing different levels of deep bite following WHO guidelines 1985 and accordingly data were recorded on it. Results: Out of 935 screened students 80.4% had Normal bite and 19.6% had Deep bite.2.7%had Severe deep bite but no trauma to palatal mucosa where as 3.8% had traumatic bite. Normal over bite in Female was 84% and male was 77.7%. Deep bite in male was 22.3% and female was 16%. Conclusion: The prevalence of dental deep bite was found to be 1/4th of normal overbite in Nepalese adolescents of Kathmandu valley. Prevalence of severe deep bite with trauma to palatal mucosa was relatively higher than with to trauma. Females showed higher prevalence of normal overbite than males where as males showed higher prevalence of deep bite than females. Key words: Deep bite, palatal mucosa, Traumatic bite, High school students, PrevalencePublication Prevalence of Depression and Associated Factors among Cervical Cancer Patients Attending Tertiary Center in Bhaktapur, Nepal(Kathmandu University, 2024) Dhakal, M; Basel, PABSTRACT Background The depressive disorder is remarkably more common among cervical cancer patients as compared to those who have other type of cancers. Objective To estimate the prevalence of depression and associated factors among cervical cancer patients attending tertiary center in Bhaktapur, Nepal. Method A cross-sectional study was conducted among 140 women aged 35 years and above with cervical cancer who came for follow-up at Bhaktapur Cancer Hospital using Beck Depression Inventory (BDI). Chi-square test and multivariate logistic regression were performed to determine the association between depression and related variables at 95% confidence level. Result The prevalence of depression was found to be 67.9%. Age, education of participants, education of husband and alcohol consumption status of husband were found to be the associated factors of depression in women with cervical cancer. Conclusion Nearly seven in ten women with cervical cancer are found to be depressed. KEY WORDS Associated factors, Cervical cancer, Depression, Nepal, PrevalencePublication Utilization of Cervical Cancer Screening and Associated Factors among Women in Bhaktapur, Nepal(Kathmandu University, 2022) Nepal, J; Poudyal, AK; Duwal, S; Gyawali, S; Basel, PABSTRACT Background Cervical cancer is the most common cancer among women in Nepal causing highest cancer mortality among women of reproductive age. However, it can be prevented through early and regular screening. Objective To assess utilization of cervical cancer screening, its awareness and perception among women, and associated factors. Method A cross-sectional study was conducted where 360 women of age 30-60 years were randomly selected and interviewed from five administrative wards of Bhaktapur municipality. Result Utilization of cervical cancer screening through Pap test or Visual Inspection with Acetic acid was found in 32.2% women and 47.8% were aware of cervical cancer and its screening tests. 100% of them had high level of perceived benefits and facilitators. More than 80% of them had low level of perceived barriers and susceptibility. Women of age group 51-60 years were more likely to perform the screening test (AOR=13.14) whereas unemployed women were at higher odds of performing the test (AOR=3.29). Women who were aware of cervical cancer and its screening were more likely to perform the screening (AOR=53.65). Women having low level of perceived barriers (AOR=5.83) and high level of perceived seriousness (AOR=6.67) were more likely to perform the screening. Conclusion Only one third of women had performed Pap test/VIA and those who were aware of cervical cancer and had high level of perception were more likely to perform the screening. Thus, more rigorous and tailor-made awareness programs should be developed by health program planners to increase the screening rate among younger and working women. KEY WORDS Awareness, Cervical cancer screening, Perception, UtilizationPublication