Browsing by Author "Singh, Amit Kumar"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Publication Alternate Care Sites: A Novel Concept in Nepal During Disaster and Public Health Emergencies(Nepal Medical Association, 2024) Singh, Amit Kumar; Singh, ShrijanaAbstract Nepal has a health care system that is complicated by access, affordability, and availability. The geographical difficulty makes the health care reach to public more difficult. Nepal being a disasterprone country, it makes very important to strengthen the disaster preparedness up to the mark before the disaster strikes. During disaster and public health emergencies, the healthcare system quickly becomes overwhelmed or structural damage makes it non-functional, which necessitate the prior identification of Alternate Care Site by health service providers. Incorporating the identification of Alternate Care Sites into the Hospital Disaster Preparedness Plan represents a crucial transition from theoretical discussion to practical implementation for strengthening healthcare facilities. . This paper discusses the concept of Alternate Care site and its implementation in Nepal’s health emergency preparedness for disaster and public health emergencies.Publication Clinical Profile of Peripheral Artery Disease of Patients Attending Shahid Gangalal National Heart Center, Janakpurdham, Nepal(Nepal Health Research Council, 2024) Singh, Amit Kumar; Pradhan, Pranil Man; Shah, Rajesh Kumar; Mahaseth, AdityaBackground: Peripheral artery disease is an important vascular disease. There is an increased incidence of acute limb ischemia in cases of peripheral artery disease. Objective of this study was to assess the prevalence of peripheral artery disease among high-risk patients attending out patient department in Shahid Gangalal National Heart Center, Janakpurdham. Methods: A total of 386 high risk patients for Peripheral Artery Disease were included in the study. Informed consent was taken from patients undergoing the study. Patients underwent ankle brachial index calculation to make a diagnosis of peripheral artery disease. Patients having ankle brachial index of <= 0.9 was considered to have peripheral artery disease. Patients diagnosed with peripheral artery disease further underwent doppler study. Results: The study showed the prevalence of peripheral artery disease to be 17.4% among high-risk patients attending Shahid Gangalal National Heart Centre, Janakpurdham. The prevalence of peripheral artery disease was more in females as compared to male which was statistically significant. Most of the high-risk patients were patients with hypertension at Shahid Gangalal National Heart Centre. Conclusions: Peripheral artery disease prevalence is significant among high-risk patients attending Shahid Gangalal National Heart Centre, Janakpurdham. High risk patients should undergo evaluation of peripheral artery disease for early detection and treatment. Keywords: Ankle brachial index; chronic kidney disease; coronary artery disease; hypertension; peripheral artery disease.Publication Gender Differences in Service Utilization and Pattern of Free Presbyopia Glasses Distribution among Patients at Eye Camps in Nepal: An Observational Study(Nepal Medical Association, 2025) Shah, Ranjan; Mishrah, Sailesh Kumar; Shankar, Pathiyil Ravi; Subedi, Anup; Sharma, Prakriti; Paudel, Anil; Adhikari, Pankaj Ray; Singh, Amit KumarAbstract Introduction: Presbyopia is an age-related refractive condition that causes difficulty in seeing nearby objects clearly. It affects a significant portion of the world’s population, especially individuals over 40 years old. Many studies show variation in the utilization of eye healthcare services according to gender in resource-limited settings like Nepal. This influence access to eye care service. This study aims to investigate gender-based differences in service utilization and prescription patterns at free presbyopia camps in Nepal. Methods: A retrospective observational study analyzed anonymized socio-demographic and clinical data of 29,943 presbyopic patients attending free eye camps organized by twenty-six NNJS eye hospitals/centers across Nepal from 2020 to 2024. Ethical approval was obtained from the Institutional Review Committee of Nepal Netra Jyoti Sangh. Data on age, gender, and spectacle prescriptions were collected to assess service utilization and gender disparities. Results: Among the total presbyopic patients 15,356 (51.3%) had high presbyopia, with a slightly higher prevalence among males 8,025 (52.3%) compared to females 7,331 (47.7%). Presbyopia prevalence increased with age, peaking at 12,522 (41.8%) in those ≥56 years. Females had higher prevalence in younger age groups, while males predominated in older groups. Conclusions: In this study, presbyopia was common in age group ≥56 years with service utilisation more by male.