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Diabetic retinopathy is the one of the leading cause of visual impairment in world including Nepal. The objective of the study is to estimate the prevalence of and factors associated with Diabetic Retinopathy among diabetics in a Tertiary Eye Care Centre, Nepal. A hospital-based, cross sectional study, was conducted at Tilganga Eye Centre, Nepal. 371(More)
Background: Although the debate on the safety and women's right of choice to a home delivery vs. hospital delivery continues in the developed countries, an undesirable outcome of home delivery, such as high maternal and perinatal mortality, is documented in developing countries. The objective was to study whether socioeconomic factors, distance to maternity(More)
BACKGROUND Stunting, a chronic condition, is an underlying cause of child morbidity and mortality in Nepal. This study intends to identify the factors causing stunting among children that will help to prioritize the strategies at the district level. OBJECTIVE The objective of the study was to identify the risk factors for stunting among children of age(More)
BACKGROUND Worldwide, children are more heavily exposed to passive smoking than any other age group where majority of these occur in child's house.Children's passive smoking and risk of developing respiratory diseases has been well established in several studies. However, such studies are limited in Nepal. Therefore, the objective of this study was to(More)
BACKGROUND World Health Organization recommends at least four pregnancy check-ups for normal pregnancies. Ministry of Health and Population Nepal has introduced various strategies to promote prenatal care and institutional delivery to reduce maternal and child deaths. However, maternal health service utilization is low in some selected socio-economic and(More)
BACKGROUND Mass drug administration (MDA) has been implemented in Nepal since 2003 for elimination of Lymphatic Filariasis (LF). The objective of this study was to explore the factors that determine the non-compliance to MDA for Lymphatic Filariasis elimination in endemic districts of Nepal. METHODS A cross-sectional descriptive study was carried out in(More)
BACKGROUND Caesarean section rates have been increasing worldwide over the past few decades, with most countries and regions exceeding the World Health Organization recommended rate of 15% of all deliveries. METHODS This study was carried out with the objective of reviewing the rates of cesarean sections over five years (2005-2010) and to assess the(More)
Lymphatic filariasis (LF) is among the major public health problems in Nepal. The disease is a major cause of morbidities primarily, lymphedema of legs and hydrocele and it impedes socio economic development in many endemic areas of the country. This study is aimed at exploring the understanding of people about mass drug administration (MDA) of the said(More)
BACKGROUND Immunization is one of the most effective health interventions averting an estimated 2-3 million deaths every year. In Nepal, as in most low-income countries, infants are immunized with standard WHO recommended vaccines. However, 16.4 % of children did not receive complete immunization by 12 months of age in Nepal in 2011. Studies from different(More)
  • R R Wagle
  • 2011
Epidemiology has pervaded clinical and medical sciences these days. On one hand, the clinicians are measuring everything exactly and reporting comfortably in numbers. On the other, these very scientists are not encouraged to talk about their tacit knowledge of clinical experience and acumen. Mystification of clinical work and judgment has been labeled as an(More)