Browsing by Author "Koirala, Sagar"
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Publication Mean Evan's Index among Patients with Normal Computed Tomography Scan visiting Radiology Department in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Koirala, Sagar; Agrawal, Prity; Bishokarma, Suresh; Shrestha, PratyushAbstract: Introduction: Evan's index is useful to objectively see if ventricles size is abnormal especially in borderline cases of hydrocephalus. Studying ventricular size in CT scan is essential in every pathology of the brain. Use of objective parameters to define hydrocephalus helps us not only to diagnose a case but also follow up the case following treatment. The aim of this study was to find out the mean even index among patients visiting the department of radiology of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted at a tertiary care hospital from 1st january 2020 to 31st December 2020. Ethical clearance was obtained from the Institutional Review Committee of Upendra Devkota Memorial Neurological and Allied Sciences (reference number: 116/2021). Computed tomography scans were done for various reasons in the hospital over a one year period and reported normal by the radiologists were included in the study. Convenient sampling was done. Statistical analysis was done using Statistical Package for the Social Sciences. Point estimate at 95% Confidence Interval was calculated along with mean and standard deviation for continuous data. Results: In this study, among the 216 cases, the mean Evan’s index was found to be 0.20±0.04. Conclusions: The mean evan’s index in our study population was lower than the normal cut-off value.Publication Prevalence of Abuse and its Associated Factors among Elder Population Living in Kawasoti Municipality of Nepal(Central Department of Public Health, 2024) Kafle, Bharat; Bhattarai, Preeti; Shrestha, Aman; Aryal, Umesh Raj; Joshi, Lok Raj; Amgain, Kapil; Koirala, Sagar; Sanjel, SeshanandaAbstract Background: Elder abuse is a growing public health problem. To tackle the elder issues World Health Organization, declare for the decade of healthy ageing from 2020 to 2030, where Nepal is not exception from this goal. Thus, the study aims to assess the prevalence of abuse and its associated factors among elder population living in Kawasoti Municipality. Methods: A community based cross sectional study was conducted, taking 422 elders who were 60 years and above. The face-to-face interviews were conducted from October 2018 to January 2019. The collected data were entered into EpiData 3.1 and was exported to SPSS 26 version. The logistic regression was performed to measure associated between overall abuse and its covariates. Results: The overall prevalence of elder abuse was 43.8% and caregiver neglect was the most reported form of elder abuse. Study found that nuclear family [OR=0.42, 95% CI;0.18-0.97], illiterate [OR: 2.01, 95% CI; 1.11-3.96], family members have no migrated to another country [OR=0.57, 95% CI; 0.33-0.97], health condition was bad [OR= 1.92, 95% CI; 1.15-3.21], elder who did not depend on their daily activities on family members [OR=0.25, 95% CI; 0.12-0.52], and those who had consumed tobacco [OR= 1.91, CI; 1.19-3.06] were associated with elder abuse. Conclusion: The finding suggests that good health, a nuclear family, literacy, family members not migrated to another country, and independence in daily activities strongly reduce elder abuse. To address this, it is essential to implement awareness programs, and ageing population for their economic sustainability activities, and healthy and active aging life.