https://hdl.handle.net/20.500.14356/1997 Sun, 03 May 2026 22:24:07 GMT 2026-05-03T22:24:07Z http://elibrary.nhrc.gov.np:80/retrieve/40328115-57fb-48d5-91e4-eb09fc5d16ba/journal-cover.webp https://hdl.handle.net/20.500.14356/1997 https://hdl.handle.net/20.500.14356/2016 Title: Mortality Statistics from National Censuses: A Low Cost Viable Method Authors: Fric, A; Kandel, N; Singh, N Abstract: Abstract Information related to mortality is pivotal for evidence based policy and planning, resource mobilization and impact of intervention. This information is essential to monitor trends in health situation of the population, detect new epidemics, encourage research into avoidable causes of death, evaluate the success of control programs, and improve accountability for expenditures on disease control. Sixty percent of the countries of the world don’t provide enough information on vital events and complete and representative information. Apart from vital registration system, other methods for getting mortality data are in current practices, such as facility based information system, censuses, household survey, research demographic surveillance sites, epidemiological studies and sample vital registration system, which complement the national health information system. All methods have their limitations. Piggy backing of national censuses for mortality statistics would follow the principle of Sample Registration System (SRS) using verbal autopsy tools to generate the mortality data just after the censuses. This method can be the suitable/useful mortality measuring system representing the population by age, sex, location and causes of death with less effort and at a lower cost. This method can be used to verify mortality data collected from other sources and/or for adjustment of existing mortality data. Key words: epidemics, epidemiological studies, sample registration system, surveillance, survey Description: Viewpoint Fri, 01 Jan 2010 00:00:00 GMT https://hdl.handle.net/20.500.14356/2016 2010-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/2015 Title: Antiphospholipid Sundrome in Childhood Systemic Lupus Erythematosus Authors: Paudyal, B Abstract: Abstract Antiphospholipid syndrome is an autoimmune disease that presents with recurrent arteriovenous thrombosis, repeated pregnancy loss and elevated titres of anti phospholipid antibodies in the blood. It is a common cause of acquired thrombosis and can manifest within any part of the vascular tree. Inferior Venacava thrombosis at outset, however, is not a common manifestation of systemic lupus erythematosus associated- antiphospholipid syndrome particularly in children. Here, we present a 14-year old girl who developed antiphospholipid syndrome as a presenting manifestation of systemic lupus erythematosus.  Key words: antiphospholipid syndrome, thrombosis, systemic lupus erythematosus Description: Case Study Fri, 01 Jan 2010 00:00:00 GMT https://hdl.handle.net/20.500.14356/2015 2010-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/2014 Title: Childhood Neurological Illness in Nepal Authors: Mishra, N; Belbase, M; Shrestha, D; Poudel, R; Mishra, P Abstract: Abstract The commonly encountered neurological disorders in Nepalese children are febrile encephalopathies, neurocysticercosis, and epilepsy,and neonatal encephalopathy,neuro-psychiatric and neuromuscular disease. Also, these childrenin Nepal remain one of the most vulnerable andmarginalized groups in the community. Due to the lack of proper facilities some preventable and treatable neurological conditions continue to paralyze thechildren’s physical and mental health. The alarmingly high prevalence of theseneurological illnesses has high mortality and morbidity in children ultimately adding financial burden to the family, society and the country asa whole. The paucity of data and difficultiesin proper collection of reliable facts further  hampers to understand the actual magnitude of thisproblem.                     Key words: epilepsy,neonatal encephalopathy, neurocysticercosis Description: Review Article Fri, 01 Jan 2010 00:00:00 GMT https://hdl.handle.net/20.500.14356/2014 2010-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/2013 Title: Scenario of Extrapulmonary Tuberculosis in a Tertiary Care Center Authors: Thakur, N K; Mohammad, A; Makaju, R Abstract: Abstract Background: Tuberculosis is  a worldwide disease and one of the major health problems of Nepal. Extrapulmonary tuberculosis is increasing all over the world. The main aim of this study was to assess the frequency of extrapulmonary tuberculosis in various organ systems of the body and to assess the pattern of disease in different age groups and gender. Methods: This observational retrospective study was carried out from December 2003 to October 2009 at the Department of Pathology, Kathmandu University Hospital, Kavre, Nepal. A total of 259 extrapulmonary tuberculosis cases diagnosed by fine needle aspiration cytology and biopsy were included. Frequency of extrapulmonary tuberculosis in the lymph nodes in relation to age and sex were studied. Results: Lymph nodes tuberculosis was present in 179 (69.11%) cases. Among all extrapulmonary tuberculosis, 132 (50.56%) cases were in males and 127 (49.04%) were in females. Out of total 179 tuberculosis of lymph nodes, 116 (74.35%) were seen in age group of 25 years and above (p=0.018) and 86 (48.04%) in males and 93 (51.95%) in females (p=0.18). Conclusions: Extrapulmonary tuberculosis is common in lymph nodes, equally in both sexes and more in age group of 25 and above. Therefore, this age group should be focused upon more for investigation and management of extrapulmonary tuberculosis. Key words: biopsy, fine needle aspiration cytology, lymph nodes, tuberculosis Description: Original Article Fri, 01 Jan 2010 00:00:00 GMT https://hdl.handle.net/20.500.14356/2013 2010-01-01T00:00:00Z