Browsing by Author "Neupane, S"
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Publication An ultrasonographic evaluation of solitary muscular and soft tissue cysticercosis(Kathmandu University, 2010) Sharma, P; Neupane, S; Shrestha, M; Dwivedi, R; Paudel, KAbstract Background: Cysticercosis in humans is infection with the larval form (cysticercus cellulosae) of the pork tapeworm T. solium. Encystment of larvae can occur in almost any tissue. The location of cysts in order of frequency is the central nervous system, subcutaneous tissue and striated muscle, vitreous humour of the eye and, rarely, other tissues. High resolution ultrasound can be used in the diagnosis of muscular and soft tissue cysticercosis. Objective: The aim of this study is to evaluate the ultrasonographic findings in cases of muscular and soft tissue cysticercosis. Materials and methods: It was a retrospective review of the cases of muscular and soft tissue cysticercosis which were diagnosed by ultrasound during June 2007 to May 2009 in the department of Radiology and Imaging, Nepalgunj Medical College Teaching Hospital. A total of six patients were evaluated. Result: There were four males and two females. Age of the patient ranged from 18 to 50 years. All of the patients presented with a swelling with pain in five of them. There was a wide variation in the location of the cysts. In all cases ultrasound revealed a cystic lesion with an echogenic eccentric pedunculated nodule attached to the wall. The mean diameter of the cyst was 6mm. Smooth wall was present in five cases whereas one of the cysts revealed irregular wall. Pericystic inflammatory changes were seen in the adjacent muscles. Conclusion: Ultrasound is a safe and non-invasive method that can be used in the diagnosis of muscular and soft tissue cysticercosis. Key words: Muscular and soft tissue cysticercosis, ultrasound.Publication Better Social-emotional Behavior in Young Nepali Children is Associated with Household Wealth, Child Age, and Family Participation in a Community Development Intervention(Kathmandu University, 2023) Miller, LC; Neupane, S; Shrestha, M; Joshi, N; Lohani, M; Thorne-Lyman, AABSTRACT Background Mental health and behavior problems are under-recognized in low- and middle- income countries, especially in young children. Early identification of these problems could encourage governments to address the shortages of child mental health professionals and promote early intervention programs to help children achieve their full developmental potential. Objective Describe the social-emotional development of young rural Nepali children; explore risk factors for poor development. Method The study was embedded in a longitudinal intervention trial comparing control households with those who received training in family nutrition+livestock management (Partial Package) or family nutrition+livestock management+community mobilization (Full Package). At midline, enumerators completed a 145-item household questionnaire, child anthropometry, and Administered the Ages and Stages Questionnaire-Social-Emotional (ASQ-SE) to all enrolled children age 33-47 months (n=310). Bivariate and regression analyses examined the relationship of child and household risk factors to administered the Ages and Stages Questionnaire- Social-Emotional scores. Result Administered the Ages and Stages Questionnaire-Social-Emotional scores were below age cutoffs in 24% of children, suggesting worse social-emotional development. In bivariate analyses and the adjusted linear regression model, older child age, greater household wealth, and Full Package Intervention status were all associated with better social-emotional development scores. Partial Package Intervention status was associated with worse scores. Conclusion The Administered the Ages and Stages Questionnaire-Social-Emotional is a potential tool to assess child social-emotional development in the context of household and community level interventions. Further work is necessary to validate the administered the Ages and Stages Questionnaire-Social-Emotional and similar tools in Nepal, and to better understand the prevalence of challenges to optimal social- emotional development in young children in order to use this information to design and monitor needed interventions. KEY WORDS Child development, Community, Developing countries, Social behaviorPublication Musculoskeletal Disorders, Computer Vision Syndrome and the Quality of Life among Banking Staff in Nepal(Kathmandu University, 2023) Shakya, S; Shakya, BM; Neupane, SABSTRACT Background Musculoskeletal disorders (MSDs) and Computer vision syndrome (CVS) are work- related health problems affecting people of working-age, which result in loss of productivity and quality of life. Objective To assess the prevalence of musculoskeletal disorders and computer vision syndrome and their association with quality of life among the banking staff of Nepal. Method A cross-sectional questionnaire survey was conducted among 207 banking staff of the banks of Kathmandu. We used cluster random sampling to recruit the study participants. Musculoskeletal disorders was defined as pain or discomfort in one of nine body parts during the past 12 months using the English version of the Nordic Musculoskeletal Questionnaire (NMQ-E). Computer vision syndrome was defined as the presence of any visual symptoms like dry eye, excessive tearing, eye irritation, etc. at least once during the past 12 months. Quality of life (QoL) was assessed through the SF-36 questionnaire. Logistic regression models were fitted to determine the association of musculoskeletal disorders and computer vision syndrome with Quality of life. Result The prevalence of musculoskeletal disorders and computer vision syndrome were 65% and 92% respectively. The participants with musculoskeletal disorders were twice likely to have poor physical Quality of life (OR 2.34, 95% CI 1.20-4.58), while those with Computer vision syndrome were ten times likely to have low physical Quality of life (10.42, CI: 1.29-84.09). Conclusion Musculoskeletal disorders and computer vision syndrome were common among the bank workers in Nepal and are found associated with poor physical Quality of life. This calls for strategies emphasizing ergonomics and regular job shifting. KEY WORDS Computer, Low- and Middle-Income countries, Musculoskeletal pain, Occupational healthPublication Profile of Vitiligo in Western Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2010) Kumar, A; Neupane, S; Parajuli, S; Gurung, DAbstract Background Vitiligo is common worldwide. The highest incidence is reported from Indian subcontinent. However, there are only few studies available on epidemiology of vitiligo from Nepal Objective To determine the clinical patterns of vitiligo, the associated sociodemographic factors and its associated disorders among patients attending dermatology outpatient department of Manipal Teaching Hospital, Gandaki Medical College Teaching Hospital and Fishtail Hospital and Research Center Pokhara. Methods All patients presenting with signs and symptoms suggestive of vitiligo over a period of one-year (from march 2009 to march 2010 ) at the out-patient clinics in the Dermatology Department of Manipal Teaching Hospital, Gandaki Medical College Teaching Hospital and Fishtail Hospital and Research Center, Pokhara were included in the study. Socio-demographic details regarding age, sex, marital status, education and occupation were recorded .A detailed clinical history related to the presenting complain and clinical examination findings were recorded. Relevant available investigations were ordered based on signs and symptoms to determine if any associated disorders. Results Two hundred and twenty four patients with clinical diagnosis of vitiligo were studied. Males constituted 102 (45%) patients and females 122 (55%) of the total number of patients. Duration of disease at the time of presentation ranged from two weeks to 40 years. The lower limb was the initial site of onset of vitiligo in majority 77 (34.37%) of the patients, followed by the upper limbs, head and neck, trunk and mucosae in decreasing order of frequency. The commonest clinical pattern found was vitiligo vulgaris followed by acrofacial, segmental and mucosal types. Lesions showing leukotrichia were observed in 40 (18.87%) patients and koebnerization was observed in 42 (18.75%) patients. Eleven children had halo nevi. Associated abnormalities included alopecia areata (13 patients), diabetes mellitus (12 patients) and one patient had atopic dermatitis. A positive family history was obtained in 14(6.25%) of the patients. Conclusion Vitiligo vulgaris is on of the common clinical-type skin disorder observed in Nepal. There w e re associated disorders/abnormalities in some patients such as alopecia areata , diabetes mellitus and atopic dermatitis. Keywords Clinical Profile; Vitiligo; Western Nepal.Publication Spectrum of Dermatoses among Paediatric Patients in a Teaching Hospital of Western Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2012) Neupane, S; Pandey, PNA Keywords: Impetigo, Nepal, paediatric dermatosesPublication Two interesting cases of left atrial myxoma(Kathmandu University, 2010) Alurkar, VM; Neupane, SAbstract Atrial myxoma is the most common type of benign primary heart tumours. Most of these tumours are sporadic in origin occurring at 3rd to 6th decade of life, while hereditary forms do exist. They are mostly found in the left atrium followed by right atrium and ventricles. A left atrial myxoma may present with features of mitral valve obstruction, embolic phenomenon or systemic disease. On diagnosis, prompt surgical removal is necessary which usually gives a complete cure, though recurrences have been reported. We hereby present two cases of solitary left atrial myxoma. Key words: atrial myxoma, echocardiography, tumour impactionPublication Women Having Abortion in Urban Nepal: 2005 and 2010 Compared(Kathmandu University, 2012) Thapa, S; Neupane, S; Basnett, I; Read, EABSTRACT Background The use of abortion services at the Maternity Hospital clinic, the largest public sector abortion clinic in Nepal, has risen over the years. Whether the profile of the clients, reasons for abortion, and contraceptive use have changed are not known and need to be investigated. Objectives This paper evaluates changes between 2005 and 2010 in the socio-demographic profile of abortion users, reasons for seeking abortion, and contraceptive use of two cohorts of women who had first-trimester abortion at the Maternity Hospital. Methods We used data from two similar surveys conducted in 2005 and 2010 among 672 and 392 women, respectively, who obtained first-trimester surgical abortion in a large public sector clinic. We analyzed trend data in service utilization and carried out a cost analysis. Results The number of women having abortions has steadily increased over the years, and cumulatively about 19,800 women have received services. The profile of the clients at this clinic has remained essentially the same between 2005 and 2010. The typical users of abortion services at the clinic were 27 years old with two living children, mostly married, with the majority not wanting to have more children. About half of them used a contraceptive method—mostly condoms, withdrawal, the pill and rhythm—in the month of unintended pregnancy, suggesting failures with these methods. Health concerns, dislike of available methods, and perceived low risk of pregnancy were common reasons for not using a contraceptive method. Conclusion Despite increases in the number of clients, the socio-demographic profile of the abortion clients has remained similar over the years. The linkage between the abortion and family planning clinics needs to be strengthened. KEY WORDS Abortion, client characteristics, family planning, Nepal