rajyashree kunwar - Academia.edu (original) (raw)

Papers by rajyashree kunwar

Journal of Nepal Medical Association

Introduction: Vitamin D deficiency is a global health concern with over billions of people worldw... more Introduction: Vitamin D deficiency is a global health concern with over billions of people worldwide being vitamin D deficient or insufficient. Many epidemiological studies have reported cardiovascular diseases, autoimmune diseases and neoplastic diseases to be associated with vitamin D levels. This study aims to find out the prevalence of vitamin D deficiency in patients presenting to the outpatient Department of Medicine of a tertiary care center. Methods: This was a descriptive cross-sectional study done among 362 patients in the outpatient Department of Medicine of a tertiary care center between May, 2016 and August, 2016. Ethical Approval was taken from Institutional Review Committee (Reference number: 21082015). Convenience sampling was done. Informed consent was obtained and data were collected. Data were analysed using the Statistical Package for the Social Science version 25.0. Point estimate at a 95% Confidence Interval was calculated along with frequency and percentages f...

Kathmandu University medical journal, 2019

Background Depression and alcohol use disorder are very common among people living with HIV infec... more Background Depression and alcohol use disorder are very common among people living with HIV infection, these disorders are not only common among HIV patients but also associated with antiretroviral therapy (ART) non adherence, morbidity and mortality. Objective The objective of our study is to study the prevalence of Depression, Alcohol use, and ART treatment adherence. Method This is a analytical cross-sectional study. Total of 221 participants were included in the study. Convenient method of sampling was used to collect the data from three district Kathmandu, Lalitpur and Kavre ART (Antiretroviral treatment) clinics. Beck Depression Inventory (BDI) was used for the assessment of depression, Alcohol use disorders identification test (AUDIT) was used for alcohol related problems and Visual analogue scale (VAS) was used for treatment adherence. Chi square test and multiple linear regression analysis were conducted for testing bivariate and multivariate relationship of sociodemographi...

Eastern Green Neurosurgery, 2020

Background: In the last few decades, the incidence of stroke has doubled in low- and middle-incom... more Background: In the last few decades, the incidence of stroke has doubled in low- and middle-income countries, whereas, during the same period stroke incidence has declined by 42% in high-income countries. The major type of stroke is ischemic, which occurs in about 87% of all stroke cases. According to the Global Burden of Disease (GBD) study in 2010, out of 11 million ischemic strokes occurred, among them, 63% were from a low- and middle-income country. The present study aimed to investigate the clinical presentation and risk factors of stroke patients. Materials and methods: This is a descriptive cross-sectional study. Proforma was designed for socio-demographic factors and common risk factors for stroke. A Chi-square test was conducted for a bivariate relationship between clinical presentation and stroke type. Results: Altogether 50 participants were included in the study. Among them, 58% were age 65 and over,36% belonged to the age group 45 to 65 years and 6% belonged to the age ...

BACKGROUND Depression and other mental illness are very common among chronic kidney disease and a... more BACKGROUND Depression and other mental illness are very common among chronic kidney disease and also Quality of life has been found significantly impaired in chronic kidney disease. The objective of our study is to study Depression, Quality of life and its associations in chronic kidney disease. METHODS This was a descriptive cross-sectional study. We used convenient method of sampling for data collection. The World Health Organization Quality-of-Life 8-question scale was used for estimating quality of life and Beck Depression Inventory was used for the assessment of depression. Independent samples t-test was conducted to analysed bivariate relationship of sociodemographic factors with depression and Quality of life scores and multiple linear regression analysis was performed to determine predictors of Quality of life. RESULTS The 75.5% participants found to have depression. Depression was found statistically significant across socioeconomic status (p value 0.04) and other medical...

Journal of Nepal Medical Association

Introduction: Vitamin D deficiency is a global health concern with over billions of people worldw... more Introduction: Vitamin D deficiency is a global health concern with over billions of people worldwide being vitamin D deficient or insufficient. Many epidemiological studies have reported cardiovascular diseases, autoimmune diseases and neoplastic diseases to be associated with vitamin D levels. This study aims to find out the prevalence of vitamin D deficiency in patients presenting to the outpatient Department of Medicine of a tertiary care center. Methods: This was a descriptive cross-sectional study done among 362 patients in the outpatient Department of Medicine of a tertiary care center between May, 2016 and August, 2016. Ethical Approval was taken from Institutional Review Committee (Reference number: 21082015). Convenience sampling was done. Informed consent was obtained and data were collected. Data were analysed using the Statistical Package for the Social Science version 25.0. Point estimate at a 95% Confidence Interval was calculated along with frequency and percentages f...

Kathmandu University medical journal, 2019

Background Depression and alcohol use disorder are very common among people living with HIV infec... more Background Depression and alcohol use disorder are very common among people living with HIV infection, these disorders are not only common among HIV patients but also associated with antiretroviral therapy (ART) non adherence, morbidity and mortality. Objective The objective of our study is to study the prevalence of Depression, Alcohol use, and ART treatment adherence. Method This is a analytical cross-sectional study. Total of 221 participants were included in the study. Convenient method of sampling was used to collect the data from three district Kathmandu, Lalitpur and Kavre ART (Antiretroviral treatment) clinics. Beck Depression Inventory (BDI) was used for the assessment of depression, Alcohol use disorders identification test (AUDIT) was used for alcohol related problems and Visual analogue scale (VAS) was used for treatment adherence. Chi square test and multiple linear regression analysis were conducted for testing bivariate and multivariate relationship of sociodemographi...

Eastern Green Neurosurgery, 2020

Background: In the last few decades, the incidence of stroke has doubled in low- and middle-incom... more Background: In the last few decades, the incidence of stroke has doubled in low- and middle-income countries, whereas, during the same period stroke incidence has declined by 42% in high-income countries. The major type of stroke is ischemic, which occurs in about 87% of all stroke cases. According to the Global Burden of Disease (GBD) study in 2010, out of 11 million ischemic strokes occurred, among them, 63% were from a low- and middle-income country. The present study aimed to investigate the clinical presentation and risk factors of stroke patients. Materials and methods: This is a descriptive cross-sectional study. Proforma was designed for socio-demographic factors and common risk factors for stroke. A Chi-square test was conducted for a bivariate relationship between clinical presentation and stroke type. Results: Altogether 50 participants were included in the study. Among them, 58% were age 65 and over,36% belonged to the age group 45 to 65 years and 6% belonged to the age ...

BACKGROUND Depression and other mental illness are very common among chronic kidney disease and a... more BACKGROUND Depression and other mental illness are very common among chronic kidney disease and also Quality of life has been found significantly impaired in chronic kidney disease. The objective of our study is to study Depression, Quality of life and its associations in chronic kidney disease. METHODS This was a descriptive cross-sectional study. We used convenient method of sampling for data collection. The World Health Organization Quality-of-Life 8-question scale was used for estimating quality of life and Beck Depression Inventory was used for the assessment of depression. Independent samples t-test was conducted to analysed bivariate relationship of sociodemographic factors with depression and Quality of life scores and multiple linear regression analysis was performed to determine predictors of Quality of life. RESULTS The 75.5% participants found to have depression. Depression was found statistically significant across socioeconomic status (p value 0.04) and other medical...