The research under given depicts the study vibrio species taken from faecal and environmental sou... more The research under given depicts the study vibrio species taken from faecal and environmental source. It is well known through researches that environment possess a very dense presence of cholera causing vibrio strains and that only a certain subsets of the strains are associated with human disease. The difference in the genetic profile of the clinical strains of the Vibrio species compared with their environmental counterparts was here exploited to trace specific human isolates to vectors of disease and also to allow a better estimation of whether a particular genotype is more often associated with disease or not. Isolation of Vibrio species was performed by taking water sample from river and Faecal matter they were cultured on TCBS Agar plate further they were screened through their biochemical properties. 6 different isolates were chosen to sonicate and bring up the lysates in order to obtain to assay their endonuclease activity, In every nook and cranny endonuclease activity was possessed by each and every isolate1_FS were in 13 fragments ,2 _WS in 10 fragments ,3_FS in 11 fragments. Thus it gave comparative assessment of Restriction endonuclease pattern.
Background: A Significant proportion of individuals undergoing cholecystectomy for symptomatic ch... more Background: A Significant proportion of individuals undergoing cholecystectomy for symptomatic cholelithiasis persist with symptoms even after surgery This study focuses on the specificity of symptoms in relation to gall stone disease improvement of symptoms after cholecystectomy, persistence of symptoms & if there is development of any new symptoms. Material & Method: 90 patients with diagnosis of symptomatic gall stone disease undergoing elective cholecystectomy were followed through detailed history for assessment of symptoms. Same set of questionnaire (scale) as well as psychometric analysis were used both pre-operative & post operative period of 1, 3 & 6 month. 10 patients refused to participate so 80 patients were followed up. Results: The mean age (mean + S.D.) of the patient was 43.50 + 10.9 with range of 19 to 70 years ratio of male to female was approximately 1 : 2.5 . 20 patient were under went open cholecystectomy because of all associated co-morbidities. 6 patient were converted to open Cholecystectomy because of adhesion & unclear anatomy Upper abdominal pain (88.8%) fatty food intolerance (82.6%) and nausea & vomiting (72.5%) improved significantly after 6 months (P<0.01) however no significant improvement was observed for dyspepsia (75%).Conclusion :Upper abdominal pain, fatty food intolerance and nausea & vomiting together can be considered as the symptoms specific to gall stone disease these are the symptoms which improve significantly after cholecystectomy . Symptoms of dyspepsia heartburn, regurgitation , abdominal bloating & flatulence are not likely to improve significantly after cholecystectomy though there can be decreases in severity , so patient with more dyspeptic symptoms should be explained about the persistence of symptoms before taking them up for cholecystectomy .
The 2015-2020 Nepali Government’s National Health Sector Strategy notes that Muslims have the low... more The 2015-2020 Nepali Government’s National Health Sector Strategy notes that Muslims have the lowest rates of healthcare utilization in Nepal without specifications as to factors associated with the low rate. This study assessed physical barriers and attitudes towards accessing healthcare amongst a rural Muslim population in the Nepali terai. Significant results indicated that the Muslim population was more likely to utilize distant public care than closer private care, and experienced longer travel times than their Hindu counterparts. Muslims also reported significantly lower satisfaction in healthcare accessibility. Results from this study verify this gap and indicate that transportation, satisfaction, and private vs. public care may be important factors. Future research should aim to identify and address the underlying mechanisms that lead to these large equity gaps.
Purpose: This descriptive-correlational study was conducted to determine the level of self-care a... more Purpose: This descriptive-correlational study was conducted to determine the level of self-care agency and self-efficacy of nursing students and relationship between self-care agency and self-efficacy. Methods: The population of this research consisted of 432 nursing students at Adıyaman University School of Health in Adıyaman, Turkey. The sample consisted of 210 nursing students. The data were collected by using student introduction form, The General Self-Efficacy Scale (GSES), and Self-care power scale. The scales and form were distributed and collected by the researchers in classrooms. Data were analyzed using descriptive and comparative statistical methods. The relationship between the scales was determined by pearson correlation analysis. Results: It was determined that 62.4% of the students were women, 33.3% were in 4th class, 58.1% were high school graduates, 63.3% preferred the nursing department of their own will. The mean score of self-care agency of students was found to be 93.03 ± 20.62. The mean score of total GSES was 82.60±12.83. There was statistically significant relationship between the total self-efficacy scores and Self care agency (r=0.494, p=0.000).Conclusion: It was concluded that nursing students had upper of medium level self-care agency and self-efficacy. It was seen that there was a positive moderate relationship between self-care agency and self-efficacy levels of nursing students.
The research under given depicts the study vibrio species taken from faecal and environmental sou... more The research under given depicts the study vibrio species taken from faecal and environmental source. It is well known through researches that environment possess a very dense presence of cholera causing vibrio strains and that only a certain subsets of the strains are associated with human disease. The difference in the genetic profile of the clinical strains of the Vibrio species compared with their environmental counterparts was here exploited to trace specific human isolates to vectors of disease and also to allow a better estimation of whether a particular genotype is more often associated with disease or not. Isolation of Vibrio species was performed by taking water sample from river and Faecal matter they were cultured on TCBS Agar plate further they were screened through their biochemical properties. 6 different isolates were chosen to sonicate and bring up the lysates in order to obtain to assay their endonuclease activity, In every nook and cranny endonuclease activity was possessed by each and every isolate1_FS were in 13 fragments ,2 _WS in 10 fragments ,3_FS in 11 fragments. Thus it gave comparative assessment of Restriction endonuclease pattern.
Background: A Significant proportion of individuals undergoing cholecystectomy for symptomatic ch... more Background: A Significant proportion of individuals undergoing cholecystectomy for symptomatic cholelithiasis persist with symptoms even after surgery This study focuses on the specificity of symptoms in relation to gall stone disease improvement of symptoms after cholecystectomy, persistence of symptoms & if there is development of any new symptoms. Material & Method: 90 patients with diagnosis of symptomatic gall stone disease undergoing elective cholecystectomy were followed through detailed history for assessment of symptoms. Same set of questionnaire (scale) as well as psychometric analysis were used both pre-operative & post operative period of 1, 3 & 6 month. 10 patients refused to participate so 80 patients were followed up. Results: The mean age (mean + S.D.) of the patient was 43.50 + 10.9 with range of 19 to 70 years ratio of male to female was approximately 1 : 2.5 . 20 patient were under went open cholecystectomy because of all associated co-morbidities. 6 patient were converted to open Cholecystectomy because of adhesion & unclear anatomy Upper abdominal pain (88.8%) fatty food intolerance (82.6%) and nausea & vomiting (72.5%) improved significantly after 6 months (P<0.01) however no significant improvement was observed for dyspepsia (75%).Conclusion :Upper abdominal pain, fatty food intolerance and nausea & vomiting together can be considered as the symptoms specific to gall stone disease these are the symptoms which improve significantly after cholecystectomy . Symptoms of dyspepsia heartburn, regurgitation , abdominal bloating & flatulence are not likely to improve significantly after cholecystectomy though there can be decreases in severity , so patient with more dyspeptic symptoms should be explained about the persistence of symptoms before taking them up for cholecystectomy .
The 2015-2020 Nepali Government’s National Health Sector Strategy notes that Muslims have the low... more The 2015-2020 Nepali Government’s National Health Sector Strategy notes that Muslims have the lowest rates of healthcare utilization in Nepal without specifications as to factors associated with the low rate. This study assessed physical barriers and attitudes towards accessing healthcare amongst a rural Muslim population in the Nepali terai. Significant results indicated that the Muslim population was more likely to utilize distant public care than closer private care, and experienced longer travel times than their Hindu counterparts. Muslims also reported significantly lower satisfaction in healthcare accessibility. Results from this study verify this gap and indicate that transportation, satisfaction, and private vs. public care may be important factors. Future research should aim to identify and address the underlying mechanisms that lead to these large equity gaps.
Purpose: This descriptive-correlational study was conducted to determine the level of self-care a... more Purpose: This descriptive-correlational study was conducted to determine the level of self-care agency and self-efficacy of nursing students and relationship between self-care agency and self-efficacy. Methods: The population of this research consisted of 432 nursing students at Adıyaman University School of Health in Adıyaman, Turkey. The sample consisted of 210 nursing students. The data were collected by using student introduction form, The General Self-Efficacy Scale (GSES), and Self-care power scale. The scales and form were distributed and collected by the researchers in classrooms. Data were analyzed using descriptive and comparative statistical methods. The relationship between the scales was determined by pearson correlation analysis. Results: It was determined that 62.4% of the students were women, 33.3% were in 4th class, 58.1% were high school graduates, 63.3% preferred the nursing department of their own will. The mean score of self-care agency of students was found to be 93.03 ± 20.62. The mean score of total GSES was 82.60±12.83. There was statistically significant relationship between the total self-efficacy scores and Self care agency (r=0.494, p=0.000).Conclusion: It was concluded that nursing students had upper of medium level self-care agency and self-efficacy. It was seen that there was a positive moderate relationship between self-care agency and self-efficacy levels of nursing students.
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