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Browsing by Author "Pradhan, Pranil Man Singh"

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    Computer Vision Syndrome among Patients Attending the Outpatient Department of Ophthalmology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
    (Nepal Medical Association, 2020) Shrestha, Priyanka; Pradhan, Pranil Man Singh; Malla, Om Krishna
    Abstract: Introduction: Computers and digital electronic devices have become an integral part of life. These devices have adverse effects and nowadays are considered leading occupational hazards. Computer vision syndrome comprises of all the ocular, visual and musculoskeletal symptoms secondary to long term computer use. The objective of this study is to determine the prevalence of computer vision syndrome among people attending the outpatient department of ophthalmology in the tertiary care center in Nepal. Methods: A descriptive cross-sectional study was done among 70 patients in a tertiary care hospital from January 2017 to June 2017 after obtaining ethical approval from the institutional review committee (Ref: 12042017). Convenient sampling method was applied and the point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Patients using computers for more than one hour were included in the study. All data were entered in Microsoft Excel and analyzed using statistical package for social sciences version 20. Results: Among 70 patients, 67 (95.7%) (87.9-99.1 at 95% confidence interval) had one or more symptoms on computer use. The mean duration of computer use was 7.5±5.4 years and average hours of computer use among computer users were 6.9±3 hours. The most common symptom among computer users was headache seen in 46 (62.2%) patients. Conclusions: Our study showed that a significant number of people using a computer develop one or more symptoms on the long-term use of the computer. Therefore, it is very important to create awareness regarding computer vision syndrome and methods to prevent it among computer users.
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    Congenital Colour Vision Deficiency among Patients Attending Outpatient Department of Ophthalmology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
    (Nepal Medical Association, 2022) Shrestha, Priyanka; Pradhan, Pranil Man Singh
    Abstract: Introduction: Congenital colour vision deficiency may affect a person’s day-to-day activity and may also affect the choice of occupation a person chooses. This study aims to find the prevalence of congenital colour vision defects in patients presenting in outpatient department of Ophthalmology in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in a tertiary care centre after receiving ethical clearance from the Institutional Review Board of Kathmandu Medical College and Teaching Hospital (Reference number: 1006202102). The study was conducted for a 3 months period from 2021 July to 2021 September. Research participants were selected by the convenience sampling technique. A detailed ophthalmological examination was performed and colour vision was tested using Ishihara pseudoisochromatic colour vision chart. Only congenital colour vision defects were included in the study. Statistical Package for the Social Sciences version 20.0 was used for data analysis. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: The overall prevalence of congenital colour vision deficiency was 14 (5.24%) (2.54-7.86 at 95% Confidence Interval). The prevalence of congenital colour vision defects in females was 1 (0.74%) and in males was 13 (9.77%). The mean age of the participants with congenital colour vision deficits was 27.42±7.90 years. Conclusions: The prevalence of congenital colour vision deficiency was similar to the prevalence in other studies done in a similar setting. Awareness should be raised about this condition and people need to be screened at an early age to prevent disappointments in career choices later in life.
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    Epidemiological and Spatial Distribution of COVID-19 Morbidity and Mortality in Nepal
    (Nepal Health Research Council, 2024) Poudyal, Amod Kumar; Shakya, Karuna Laxmi; Sapkota, Vishnu Prasad; Paudel, Rajan; Myia, Salau Din; Pradhan, Pranil Man Singh; Upadhyaya, Dipak Prasad; Joshi, Naresh; Shrestha, Shital
    Background: The Coronavirus (SARS-CoV-2) infection termed as COVID-19 was first detected in Wuhan, Hubei Province of China, in December 2019 and has been declared as a pandemic by the World Health Organization on January 30, 2020. The study aims to understand the time, place and person distribution of covid-19 morbidity, mortality of COVID-19 in Nepal. Methods: The analysis produces the descriptive epidemiological features of COVID-19 pandemic in Nepal. The data was analysed to produce disaggregated case rate and case fatality rate across various time, place and personal characteristics aggregated at national and subnational level Results: The study found that the observed case rate was significantly higher among males compared to females. Similarly, case rate was the highest among males of 31-40 years and females of 51- 60 years. Case fatality rate increased with age group. Above the age of 41-50 years, case fatality rate was higher among males compared to females. We observed that case fatality rate was disproportionately concentrated among the poor districts in terms of GDP Conclusions: The observed case rate is significantly higher among males compared to females, however case fatality rate increased with age group. Case rate was found the highest in the Bagmati province followed by the Gandaki Province. However, case fatality rate was found the highest in hilly and mountain districts of Province 1, Gandaki and Karnali. Case fatality rate was disproportionately concentrated among the poor districts in terms of GDP. Keywords: COVID19; morbidity; mortality; Nepal.
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    Nutritional Status and Its Associated Factors among Under-Five Children in Bidur Municipality, Nuwakot District, Nepal: A Secondary Data Analysis
    (Central Department of Public Health, 2024) Pradhan, Pranil Man Singh; Pant, Smriti; Shrestha, Gambhir; Karki, Namrata; Mikrani, Tanweer Ahmad; Joshi, Deepak Raj; Shrestha, Sushan Man; Basel, Prem; Karki, Khem B.
    Abstract Background: Undernutrition among under-five children is a major public health problem in Nepal. The study's main objective was to assess the nutritional status and its associated factors among under-5 children of Bidur Municipality, Nuwakot district using secondary data analysis. Methods: We analyzed the data of 667 under-five children from 3183 households collected from the Community Health Diagnosis 2023 program database stored in the Kobo toolbox. Nutritional status indicators were measured by using the WHO classification. The chi-square test was applied to find out the association of nutritional status with independent variables such as maternal age at marriage, age at first child, antenatal, delivery, and post-natal care, exclusive breastfeeding, complementary feeding practices, and immunization status. Results: Nearly 32% (95%CI: 28.3-35.8) of the children were stunted, 12.1% (95%CI: 9.7-14.7) wasted, and 13.9% (95%CI: 11.4-16.6) were underweight. Early age at marriage, less than four ANC visits by the mother, history of substance use during pregnancy, and not exclusively breastfeeding were significantly associated with different forms of undernutrition. Conclusion: Promotion of exclusive breastfeeding and a higher number of ANC visits and discouraging early-age marriage and substance use during pregnancy are necessary to prevent undernutrition in under-five children. Keywords: Malnutrition, Nepal, under-five children
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    Nutritional Status of Under-five Children and its Associated Factors in Dhulikhel Municipality, Kavrepalanchok, Nepal
    (Central Department of Public Health, 2025) Acharya, Indra; Acharya, Ambika; Pant, Smriti; Pradhan, Pranil Man Singh
    Introduction: The nutritional status of children under five years is not only a crucial indicator of their present health status but also offers insight into socio-economic and other factors within a community. The study aimed to assess the nutrition status of under-five children with its associated factors and the household food security status in Dhulikhel municipality, Nepal Methods: This study was quantitative cross-sectional conducted among 323 under-five children in all 12 wards of Dhulikhel municipality. Face-to-face interviews were carried out with the mothers of under-five children using standard questionnaires, and anthropometric tools. Results: This study found that the prevalence of stunting, wasting, underweight, and overweight was 33.6%, 9.3%, 23.5%, and 14.5% respectively. Nearly 86.4% of the households of Dhulikhel municipality were food secure whereas 13.6% of the households were insecure. Availability of kitchen gardens showed a statistically significant association with a lower prevalence of wasting (6.2%) and underweight (18.6%). The proportion of stunting and underweight children was significantly higher (56.8% and 50% respectively) among households that were not food secure. Conclusion: Among the surveyed children, nearly half had at least one form of malnutrition. Food insecurity was associated with a higher prevalence of stunting and underweight. Availability of kitchen gardens was associated with a lower prevalence of wasting and underweight in this study. Food insecurity and agro-health-based programs must be considered while designing interventions to curb various forms of malnutrition.

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