sujata shakya - Academia.edu (original) (raw)

Papers by sujata shakya

Research paper thumbnail of Douleur Neuropathique 4 Questionnaire--Nepalese Version

Research paper thumbnail of Anxiety and Depression and their Predictors among School Adolescents of Kathmandu, Nepal

Journal of Nepal Paediatric Society

Introduction: Adolescence is a vulnerable period in which different physical, psychological and b... more Introduction: Adolescence is a vulnerable period in which different physical, psychological and behavioral changes occur contributing to mental health issues. Depression and anxiety occur more commonly than would be expected by chance in children and adolescents. Undetected and untreated mental disorders can impair one’s ability to perform at school or work place, cope with daily life activities and can lead to severe mental disorders and related consequences. The aim of this study was to assess the levels of anxiety and depression and their predictors among the adolescents of Kathmandu, Nepal. Methods: A cross-sectional study was conducted in different higher secondary schools of Kathmandu. Cluster random sampling method was used to select 482 students of Grade XI and XII. Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI)-II were used to assess the levels of anxiety and depression. Results: Among 482 students, 230 (47.7%) were females and 252 (52.3%) were males with...

Research paper thumbnail of Hypertension and its Determinants Among School Going Adolescents: A Cross Sectional Study in Nepal

Journal of Nepal Paediatric Society, 2019

Introduction: Hypertension is a chronic life threatening non- communicable disease. It increases ... more Introduction: Hypertension is a chronic life threatening non- communicable disease. It increases the risk for cardiovascular diseases even leading to premature death. Almost half of the adults with hypertension had elevated blood pressure during childhood. With globalisation and lifestyle changes, adolescents are exposed to various risk factors. However, diagnosis in this population is difficult due to absence of symptoms. Thus, regular blood pressure screening is essential in these groups. This study aimed to find out the prevalence of hypertension and its determinants among the school going adolescents of Kathmandu, Nepal. Methods: This was a descriptive cross sectional study which included five private secondary schools of Kathmandu, Nepal. The adolescent students studying in classes VIII, IX and X were the study subjects. Two stage cluster random sampling technique was used to select 356 participants. Data collection was done by doing anthropometric measurements, blood pressure ...

Research paper thumbnail of Public Understanding and Their Response to COVID-19 in Nepal

SSRN Electronic Journal, 2020

Research paper thumbnail of Pain Management Practices and Perceived Barriers among the Health Professionals in Different Hospitals of Nepal

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2020

Research paper thumbnail of High multidrug resistance in urinary tract infections in a tertiary hospital, Kathmandu, Nepal

Public Health Action, 2021

SETTING: Tribhuvan University Teaching Tertiary Care Hospital, Kathmandu, Nepal, May–October 2019... more SETTING: Tribhuvan University Teaching Tertiary Care Hospital, Kathmandu, Nepal, May–October 2019.OBJECTIVE: 1) To describe the bacteriological profile, 2) to identify the antimicrobial resistance (AMR) pattern, and 3) to find the demographic characteristics associated with the presence of bacterial growth and multidrug resistance (MDR) in adult urine samples undergoing culture and drug susceptibility testing.DESIGN: This was a hospital-based, cross-sectional study using routine laboratory records.RESULTS: Among 11,776 urine samples, 16% (1,865/11,776) were culture-positive, predominantly caused by Escherichia coli (1,159/1,865; 62%). We found a high prevalence of resistance to at least one antibiotic (1,573/1,865; 84%) and MDR (1,000/1,865; 54%). Resistance to commonly used antibiotics for urinary tract infections (UTIs) such as ceftazidime, levofloxacin, cefepime and ampicillin was high. Patients aged 60 years (adjusted prevalence ratio [aPR] 1.6, 95% CI 1.4–1.7) were more likely ...

Research paper thumbnail of Newborn Service Readiness of Primary Level Health Facilities of Eastern Mountain Region of Nepal

Journal of Nepal Health Research Council, 2020

BACKGROUND Newborn service readiness is facility's observed capacity to provide newborn servi... more BACKGROUND Newborn service readiness is facility's observed capacity to provide newborn services and a pre-requisite for quality. Newborn services are priority program of government and efforts are focused on infrastructure and supplies at peripheral health facilities. Study describes health facility readiness for newborn services in four domains of general requirements, equipment, medicines and commodities, and staffing and guidelines. METHODS Convergent parallel mixed method using concurrent triangulation was done in public health facilities providing institutional deliveries of two randomly selected districts- Taplejung and Solukhumbu of Eastern Mountain Region of Nepal. Face to face interview and observation of facilities were done using structured questionnaire and checklist; in-depth interviews were done using interview guideline from November 2016 to January 2017. Ethical clearance was taken. Descriptive analysis and deductive thematic analysis were done. RESULTS Mean sco...

Research paper thumbnail of Nepalese version of Douleur Neuropathique 4 (DN4) questionnaire for Assessment of Neuropathic pain: A Validation Study

Objective This study aimed to translate and validate DN4 questionnaire into Nepalese version. Des... more Objective This study aimed to translate and validate DN4 questionnaire into Nepalese version. Design An observational study design was adopted. Setting A tertiary level teaching hospital of Kathmandu, Nepal Participants We included 166 purposively selected patients visiting pain clinics of the hospital over one year time Methods The Nepalese version of the DN4 questionnaire was used to detect neuropathic pain among the chronic pain patients of the hospital. The English version of the questionnaire was translated into Nepali based on the standard guideline with the help of linguistic experts. The patients diagnosed with nociceptive or neuropathic pain were interviewed twice in two weeks interval. We analyzed test-retest reliability and strength of the test by using Intra-class correlation coefficient (ICC) and Receiver Operating Characteristics (ROC) Curve, respectively. Internal Consistency reliability was assessed using Cronbachs alpha (r). Diagnostic accuracy was assessed through ...

Research paper thumbnail of Douleur Neuropathique 4 Questionnaire--Nepalese Version

Research paper thumbnail of Anxiety and Depression and their Predictors among School Adolescents of Kathmandu, Nepal

Journal of Nepal Paediatric Society

Introduction: Adolescence is a vulnerable period in which different physical, psychological and b... more Introduction: Adolescence is a vulnerable period in which different physical, psychological and behavioral changes occur contributing to mental health issues. Depression and anxiety occur more commonly than would be expected by chance in children and adolescents. Undetected and untreated mental disorders can impair one’s ability to perform at school or work place, cope with daily life activities and can lead to severe mental disorders and related consequences. The aim of this study was to assess the levels of anxiety and depression and their predictors among the adolescents of Kathmandu, Nepal. Methods: A cross-sectional study was conducted in different higher secondary schools of Kathmandu. Cluster random sampling method was used to select 482 students of Grade XI and XII. Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI)-II were used to assess the levels of anxiety and depression. Results: Among 482 students, 230 (47.7%) were females and 252 (52.3%) were males with...

Research paper thumbnail of Hypertension and its Determinants Among School Going Adolescents: A Cross Sectional Study in Nepal

Journal of Nepal Paediatric Society, 2019

Introduction: Hypertension is a chronic life threatening non- communicable disease. It increases ... more Introduction: Hypertension is a chronic life threatening non- communicable disease. It increases the risk for cardiovascular diseases even leading to premature death. Almost half of the adults with hypertension had elevated blood pressure during childhood. With globalisation and lifestyle changes, adolescents are exposed to various risk factors. However, diagnosis in this population is difficult due to absence of symptoms. Thus, regular blood pressure screening is essential in these groups. This study aimed to find out the prevalence of hypertension and its determinants among the school going adolescents of Kathmandu, Nepal. Methods: This was a descriptive cross sectional study which included five private secondary schools of Kathmandu, Nepal. The adolescent students studying in classes VIII, IX and X were the study subjects. Two stage cluster random sampling technique was used to select 356 participants. Data collection was done by doing anthropometric measurements, blood pressure ...

Research paper thumbnail of Public Understanding and Their Response to COVID-19 in Nepal

SSRN Electronic Journal, 2020

Research paper thumbnail of Pain Management Practices and Perceived Barriers among the Health Professionals in Different Hospitals of Nepal

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2020

Research paper thumbnail of High multidrug resistance in urinary tract infections in a tertiary hospital, Kathmandu, Nepal

Public Health Action, 2021

SETTING: Tribhuvan University Teaching Tertiary Care Hospital, Kathmandu, Nepal, May–October 2019... more SETTING: Tribhuvan University Teaching Tertiary Care Hospital, Kathmandu, Nepal, May–October 2019.OBJECTIVE: 1) To describe the bacteriological profile, 2) to identify the antimicrobial resistance (AMR) pattern, and 3) to find the demographic characteristics associated with the presence of bacterial growth and multidrug resistance (MDR) in adult urine samples undergoing culture and drug susceptibility testing.DESIGN: This was a hospital-based, cross-sectional study using routine laboratory records.RESULTS: Among 11,776 urine samples, 16% (1,865/11,776) were culture-positive, predominantly caused by Escherichia coli (1,159/1,865; 62%). We found a high prevalence of resistance to at least one antibiotic (1,573/1,865; 84%) and MDR (1,000/1,865; 54%). Resistance to commonly used antibiotics for urinary tract infections (UTIs) such as ceftazidime, levofloxacin, cefepime and ampicillin was high. Patients aged 60 years (adjusted prevalence ratio [aPR] 1.6, 95% CI 1.4–1.7) were more likely ...

Research paper thumbnail of Newborn Service Readiness of Primary Level Health Facilities of Eastern Mountain Region of Nepal

Journal of Nepal Health Research Council, 2020

BACKGROUND Newborn service readiness is facility's observed capacity to provide newborn servi... more BACKGROUND Newborn service readiness is facility's observed capacity to provide newborn services and a pre-requisite for quality. Newborn services are priority program of government and efforts are focused on infrastructure and supplies at peripheral health facilities. Study describes health facility readiness for newborn services in four domains of general requirements, equipment, medicines and commodities, and staffing and guidelines. METHODS Convergent parallel mixed method using concurrent triangulation was done in public health facilities providing institutional deliveries of two randomly selected districts- Taplejung and Solukhumbu of Eastern Mountain Region of Nepal. Face to face interview and observation of facilities were done using structured questionnaire and checklist; in-depth interviews were done using interview guideline from November 2016 to January 2017. Ethical clearance was taken. Descriptive analysis and deductive thematic analysis were done. RESULTS Mean sco...

Research paper thumbnail of Nepalese version of Douleur Neuropathique 4 (DN4) questionnaire for Assessment of Neuropathic pain: A Validation Study

Objective This study aimed to translate and validate DN4 questionnaire into Nepalese version. Des... more Objective This study aimed to translate and validate DN4 questionnaire into Nepalese version. Design An observational study design was adopted. Setting A tertiary level teaching hospital of Kathmandu, Nepal Participants We included 166 purposively selected patients visiting pain clinics of the hospital over one year time Methods The Nepalese version of the DN4 questionnaire was used to detect neuropathic pain among the chronic pain patients of the hospital. The English version of the questionnaire was translated into Nepali based on the standard guideline with the help of linguistic experts. The patients diagnosed with nociceptive or neuropathic pain were interviewed twice in two weeks interval. We analyzed test-retest reliability and strength of the test by using Intra-class correlation coefficient (ICC) and Receiver Operating Characteristics (ROC) Curve, respectively. Internal Consistency reliability was assessed using Cronbachs alpha (r). Diagnostic accuracy was assessed through ...