Attitude towards tobacco consumption among residents of Dhankuta Municipality of Nepal

The use of tobacco is a major cause of preventable mortality. The estimated number of smokers is 1.1 billion. Of these, 700 million men and 100 million women are in developing countries. The objective of this study was to find out attitude towards tobacco consumption among residents of Dhankuta Municipality. The cross sectional study was conducted among the residents of Dhankuta Municipality where 205 households were taken as subjects. Pretested semi structured questionnaire was administered to the study subjects and face to face interview was conducted. The collected data was entered in MS Excel 2000. The quantitative data was analyzed using Statistical Package for the Social Sciences SPSS software package. The study subjects consist of 50.2 of male and 49.8 of female. Regarding respondent's education, study population showed high level of SLC and above 40.5 followed by below SLC 36.1 and very less was illiterate 14.1 . Majority of the respondents think that there should be ban of the advertising of tobacco products 87.3 and smoking in public places 79 . Almost 67 of respondents think that patient's chances of quitting smoking will be increased if health professionals will give advice to patients. Almost 72.6 of the study population feel cut down tobacco use and 80.3 feel guilty about this habit. Almost 65.8 have tried to discontinue tobacco consumption. We conclude that the residents of Dhankuta reflect good attitude towards cessation of tobacco but poor practice to prevent of tobacco consumption. Dr. Ram Bilakshan Sah | Jha N "Attitude towards tobacco consumption among residents of Dhankuta Municipality of Nepal" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-4 , June 201

Comparative study between sequential use of Foley catheter with vaginal misoprostol versus sequential use of oral mifepristone with vaginal misoprostol for second trimester medical abortion

Background: Abortions are one of the most commonly performed procedures in gynaecological departments worldwide. They are still a major problem in developing countries contributing to a significant percentage of maternal morbidity and mortality. The main objective of this study is to compare the efficacy, side effects and acceptability of intracervical Foley and oral Mifepristone both followed with sequential administration of vaginal misoprostol for second trimester medical abortion.Methods: This was a prospective randomized trial of 36 healthy women opting for termination of pregnancy with ultrasound confirmed intrauterine gestation between 12 to 20 completed weeks. Intracervical Foley catheter with administration of misoprostol (200µg) vaginally was done for Group A. Mifepristone 200mg was administered on day one followed by misoprostol (200µg) vaginally, 48 hours later, to Group B. Both groups received misoprostol (200µg) vaginally at 4 hourly intervals. Completeness of abortion was assessed, and surgical evacuation was performed, if abortion was found to be incomplete.Results: The two groups were comparable with respect to age, parity and gestational age. 83-89% of the women in both the groups had complete abortion. The mean induction abortion interval was 20.11 hours in Group A and 54.77 hours in Group B, which was statistically significant. Side effect profile was comparable in both groups however the intensity and the duration of persistence of pain was greater among patients from Group A.Conclusions: Authors conclude that medical abortions with both methods were found to be safe, effective, inexpensive and acceptable methods. Whereas a shorter induction abortion interval was observed in the Foley induction group, induction with mifepristone was the preferred regimen in second trimester abortion because of its high efficacy, low incidence of side effects, better tolerance by the patients and due to lower dose of misoprostol required following mifepristone administration

Interaction of nitrogen doses and establishment methods in lowland rice at Parwanipur, Bara, Nepal

The experiment was laid out in split plot design: three establishment methods were designed (Puddled transplanted rice, Non- puddled transplanted rice, Conventional dry tillage +DSR) as a main plot and four levels of nitrogen rate (0, 60, 120, 180) as sub plot and replicated three times during summer season of 2015 and 2016 at RARS, Parwanipur. Grain yield and other yield attributes like plant height, penicle length and number of tiller per m2 of rice was observed significantly differed (p<0.05) between different establishment methods and nitrogen levels. In 2015 there was not significant effect of establishment practices on grain yield but significantly highest grain yield (4603 kg/ha) was obtained from application of nitrogen@120 kg/ha and grain yield decreased with increased of nitrogen application @ 180 kg/ha (4365 kg/ha). Results reveled that significantly higher grain yield was obtained under non puddled transplanted rice (3314 kg/ha) than puddle transplanted rice (3280 kg/ha) which were at par with conventional tillage plus DSR (2123 kg/ha) and significantly highest grain yield (3424 kg/ha) was obtained from application of nitrogen@180 kg/ha during 2016. In both years the highest grain yield was obtained from puddled transplanted rice with the nitrogen application @ 120 kg/ha. Based on two years results, it can be concluded that N is limiting factor for the productivity of rice in Parwanipur. Therefore 120 kg/ha nitrogen could be optimum dose for puddled transplanting and direct seeded rice at Parwanipur condition

Knowledge and perceptions towards COVID-19 among final year undergraduate medical students and interns in Province 2, Nepal

Introduction: Corona Virus Disease-19, the COVID-19, has become a pandemic of public health concern, more so for developing countries like Nepal with an inadequate and vulnerable health system. Among all the seven provinces of the country, Province-2 seems to be at higher risk due to population density and open porous border with neighboring India. This survey was conducted among the undergraduate medical students of medical colleges in Province-2, Nepal to evaluate their knowledge and perception regarding the prevention and spread of the virus. Method: A descriptive cross-sectional study was conducted in September 2020 among final-year undergraduate medical students and interns from Janaki Medical College in Janakpur and National Medical College in Birgunj of Province-2, Nepal. A structured 30-item questionnaire containing demographics (5 items), knowledge (15 items), and perception (10 items) regarding COVID-19 was used for an online survey via email. Ethical approval was taken. Descriptive analysis was performed. Result: A total of 200 out of 250 respondents (>95%) had an adequate level of knowledge on etiology, symptoms, hand hygiene, severity, vulnerability, precautionary measures, and treatment guidelines of COVID-19. More than 80% were ready to work in the hospital during the pandemic with support from their family and nearly half of them (49%) perceived that the preparedness and supplies were sufficient in their institutions. Conclusion: The survey revealed that the majority of the final-year medical students and interns in Province-2 Nepal had adequate knowledge and perception regarding COVID-19

Colistin and Tigecycline susceptibility among carbapenemase producing Enterobacteriaceae at a tertiary care hospital of South India

Background: Carbapenem resistance among Enterobacteriaceae is a serious clinical problem and the global spread of such resistant strains has hampered the treatment effort leaving with few choices of antibiotics like tigecycline and colistin. Methods: Therefore, we looked for the susceptibility pattern of tigecycline and colistin among carbapenem-resistant Enterobacteriaceae (CRE) by Epsilometer (E) test at Sri Ramachandra University Hospital, Porur, Chennai, India. This study used the combined disc test with phenylboronic acid and EDTA; and modified Hodge test (MHT) to differentiate the carbapenemases. The minimum inhibitory concentration of tigecycline and colistin susceptibility was determined for CRE isolates by using the E-test strips ranging from 0.016-256 μg /ml. Results: A total of 238 extended spectrum beta lactamase producers from Family Enterobacteriaceae were included in the study. Among those, 37 isolates were MHT positive. On combined disc test, 14 were metallo beta lactamase positive, 4 were Klebseillae pneumoniae carbapenemase positive and only one isolate was found to be positive for both. Out of 51 CRE isolates, the number of tigecycline and colistin resistant were found to be in 30 and 3 respectively according to EUCAST criteria. Conclusion: Tigecycline may be effective but it needs to be monitored routinely. Colistin remains a reliable option for CRE infections. The increasing resistance of CRE to the available antibiotics like tigecycline and colistin is a threat to the therapeutic management of such patients

Electrochemical strategy for grown ZnO nanoparticles deposited onto HY zeolite with enhanced photodecolorization of methylene blue: Effect of the formation of Si O Zn bonds

Nanoparticles of electrogenerated zinc-supported HY zeolite (EGZnO/HY) catalyst were prepared by a simple electrochemical method. The interaction between zinc species and HY support during the electrolysis was found to affect the EGZnO/HY structure. In addition to the formation of EGZnO nanoparticles (<30 nm in size) that distributed on the surface of HY support, an isomorphous substitution of Al with Zn also occurred in the aluminosilicate framework to result in a Si O Zn bonds. The photoactivity of EGZnO/HY was tested on the decolorization of methylene blue (MB). An amount of 0.375 g L−1 of 1 wt% EGZnO/HY was found to be the optimum dosage for 10 mg L−1 MB, which resulted in 80% of maximum decolorization after 6 h of contact time at pH 3 under fluorescent light (420 nm). Increasing the EGZnO loading led to additional formation of Si O Zn bonds and lessened the number of EGZnO nanoparticles, which then reduced the photodecolorization percentage of MB.The photocatalytic reaction was follows the first-order Langmuir–Hinshelwood model, and gives partially mineralization. The photocatalyst was still stable after five cycling runs with no Zn leaching

A Comparative Study of Antioxidant Potential and Phytochemical Contents of different Extracts of Wild Nasturtium Officinale W T Aiton Collected from Kumaun Region of Uttarakhand

Nasturtium officinale W. T Aiton or “watercress” (Brassicaceae) is a nutritionally valuable plant that is the richest source of carotenoids, polyphenols, iron, calcium, iodine, folic acid, essential vitamins and minerals. It is traditionally used for their appetiser, anti-scorbutic, stimulant, diuretic and detoxifying properties. The present study was conducted to investigate the antioxidant potential, phytochemical contents (total phenolic, flavonoids and tannin contents) as well as a preliminary phytochemical screening of different extract of aerial parts of Nasturtium officinale collected from the Kumaun region. The different extracts showed significant antioxidant activity as well as total phenolic, flavonoids and tannin contents. The preliminary phytochemical screening showed the presence of several phytochemical constituents such as carbohydrates, proteins, amino acids, glycosides, alkaloids and others. The hydroalcoholic extract possess significantly (P&lt;0.05) higher antioxidant potential with IC50 value (0.333 mg/ml, 0.509mg/ml)and EC50 value (3.537 mg/ml) by 2,2-diphenyl-1-picrylhydrazyl(DPPH), 2,2-azino-bis-(3-ethylbenzothiazoline-6-sulphonic acid)(ABTS), and ferric-reducing antioxidant power (FRAP) methods, respectively, as well as highest total tannin, flavonoid and phenolic contents among all the extracts. These results provide substantial evidence that the plant Nasturtium officinalehas antioxidant potential and valuable sources of phytochemicals