Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 7.966
Filtrar
1.
World Neurosurg ; 133: 8-9, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31610426

RESUMO

BACKGROUND: Nepal has a critical shortage of health workers for achieving its projected sustainable development goals pertaining to its health sector. METHODS: To counteract this crisis and reduce the morbidity and mortality associated with untreated brain injuries secondary to inadequate access, it is pivotal to generate solutions through the establishment of improved educational and training objectives. Objectives must align themselves with achieving equitable access to neurologic health. To that end, the cadre of health professionals able to treat neurologic disease should be sharply skilled and increased in number. We outline potential sustainable solutions at the training level to address this public health problem. RESULTS: Demanding and limitless working hours, burnout, social stressors, and minimal monthly stipend likely contribute to limited applications for neurosurgery residency programs. Measures should be taken to improve participation and access to extracurricular nonwork activities so as to improve resident well-being and avoid burnout. Moreover, gender inequality has also become a matter of concern as there were no females among 31 new specialist registrations in neurosurgery in 2017 and only 5 female neurosurgeons in practice to date in Nepal as per the NMC registration. CONCLUSIONS: Every effort should be directed toward honing the "value of neurosurgeon" among residents and promoting and nurturing their capabilities thereby maximizing sustainability in our health care system.


Assuntos
Mão de Obra em Saúde/estatística & dados numéricos , Internato e Residência , Neurocirurgiões/provisão & distribução , Neurocirurgia/educação , Humanos , Nepal
2.
Acta Trop ; 201: 105203, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31574252

RESUMO

Detailed post mortem analyses of 68 free-ranging, slaughter-age pigs from two sites in the Banke District of Nepal identified 36% as being infected with Echinococcus granulosus. The cysts ranged from infertile, immature cysts a few millimetres in diameter to fertile cysts >10 cm in diameter. PCR RFLP and DNA sequencing identified the cysts as being E. granulosus sensu stricto. The Banke district has recently been identified as having a high prevalence of porcine cysticercosis. These data suggest that cestode zoonoses in this, and possibly other parts of Nepal may be a serious concern for human health. An assessment of the level of human cystic echinococcosis and neurocysticercosis, in the region is warranted and the introduction of control measures are required to limit the parasites' transmission.


Assuntos
Equinococose/veterinária , Doenças dos Suínos/epidemiologia , Animais , Equinococose/epidemiologia , Echinococcus granulosus/genética , Feminino , Humanos , Masculino , Nepal/epidemiologia , Suínos , Zoonoses/epidemiologia
3.
N Engl J Med ; 381(23): 2209-2218, 2019 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-31800986

RESUMO

BACKGROUND: Salmonella Typhi is a major cause of fever in children in low- and middle-income countries. A typhoid conjugate vaccine (TCV) that was recently prequalified by the World Health Organization was shown to be efficacious in a human challenge model, but data from efficacy trials in areas where typhoid is endemic are lacking. METHODS: In this phase 3, randomized, controlled trial in Lalitpur, Nepal, in which both the participants and observers were unaware of the trial-group assignments, we randomly assigned children who were between 9 months and 16 years of age, in a 1:1 ratio, to receive either a TCV or a capsular group A meningococcal conjugate vaccine (MenA) as a control. The primary outcome was typhoid fever confirmed by blood culture. We present the prespecified analysis of the primary and main secondary outcomes (including an immunogenicity subgroup); the 2-year trial follow-up is ongoing. RESULTS: A total of 10,005 participants received the TCV and 10,014 received the MenA vaccine. Blood culture-confirmed typhoid fever occurred in 7 participants who received TCV (79 cases per 100,000 person-years) and in 38 who received MenA vaccine (428 cases per 100,000 person-years) (vaccine efficacy, 81.6%; 95% confidence interval, 58.8 to 91.8; P<0.001). A total of 132 serious adverse events (61 in the TCV group and 71 in the MenA vaccine group) occurred in the first 6 months, and 1 event (pyrexia) was identified as being vaccine-related; the participant remained unaware of the trial-group assignment. Similar rates of adverse events were noted in the two trial groups; fever developed in 5.0% of participants in the TCV group and 5.4% in the MenA vaccine group in the first week after vaccination. In the immunogenicity subgroup, seroconversion (a Vi IgG level that at least quadrupled 28 days after vaccination) was 99% in the TCV group (677 of 683 participants) and 2% in the MenA vaccine group (8 of 380 participants). CONCLUSIONS: A single dose of TCV was immunogenic and effective in reducing S. Typhi bacteremia in children 9 months to 16 years of age. (Funded by the Bill and Melinda Gates Foundation; Current Controlled Trials number, ISRCTN43385161.).


Assuntos
Salmonella typhi/isolamento & purificação , Febre Tifoide/prevenção & controle , Vacinas Tíficas-Paratíficas/imunologia , Vacinas Conjugadas/imunologia , Adolescente , Criança , Pré-Escolar , Método Duplo-Cego , Doenças Endêmicas/prevenção & controle , Feminino , Humanos , Incidência , Lactente , Estimativa de Kaplan-Meier , Masculino , Vacinas Meningocócicas/efeitos adversos , Vacinas Meningocócicas/imunologia , Nepal/epidemiologia , Febre Tifoide/diagnóstico , Febre Tifoide/epidemiologia , Vacinas Tíficas-Paratíficas/efeitos adversos , Vacinas Conjugadas/efeitos adversos
5.
Lancet ; 394(10215): 2150-2151, 2019 12 14.
Artigo em Inglês | MEDLINE | ID: mdl-31839187
6.
Zootaxa ; 4608(2): zootaxa.4608.2.8, 2019 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-31717151

RESUMO

Compsiluroides communis Mesnil, C. flavipalpis Mesnil and C. meifengensis sp. nov. are redescribed and described with illustrations. Compsiluroides proboscis Chao Sun is treated as a junior synonym of C. communis. Variations of structures of the male postabdomen of C. communis are illustrated. The genus is newly recorded from Nepal and Taiwan. A key to the three known species of Compsiluroides is provided and their diagnostic characters are illustrated.


Assuntos
Dípteros , Distribuição Animal , Estruturas Animais , Animais , Tamanho Corporal , Masculino , Nepal , Tamanho do Órgão , Taiwan
7.
Zootaxa ; 4603(2): zootaxa.4603.2.8, 2019 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-31717232

RESUMO

Three new species of the genus Omaliopsis Jeannel, 1940 from East Asia are described: O. amplimaculata sp.n. (China: Sichuan, Emei Shan), O. bimaculata sp.n. (China: Yunnan, Xue Shan and Haba Shan) and O. schmidti sp.n. (central Nepal). A new combination is proposed for Chinese O. musaphila (Rougemont, 2017) comb. n., originally described in the genus Phyllodrepa Thomson, 1859. A key for species of Omaliopsis known from East Asia is proposed. Members of the genus Omaliopsis are recorded for the first time from China and Nepal.


Assuntos
Besouros , Distribuição Animal , Animais , China , Extremo Oriente , Nepal
8.
Zootaxa ; 4603(2): zootaxa.4603.2.9, 2019 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-31717233

RESUMO

A new species of Cyana Walker 1854, C. neopuer Singh, Bhattacharyya Volynkin, sp. nov. is described from North East India, Nepal and Myanmar. The species is closely similar to C. puer (Elwes 1890) but has significant differences in vesica of male genitalia. The details are discussed along with photographs. Distributional map of both the species is provided.


Assuntos
Mariposas , Animais , Masculino , Mianmar , Nepal
9.
Zootaxa ; 4603(1): zootaxa.4603.1.1, 2019 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-31717237

RESUMO

The species of Estheria Robineau-Desvoidy (Diptera: Tachinidae) from the East Palearctic and Oriental regions are reviewed. Eighteen species are recognized: the fourteen previously described, E. acuta (Portschinsky, 1881), E. alticola Mesnil, 1967, E. bucharensis (Kolomiets, 1974), E. cinerella Mesnil, 1967, E. cristata (Meigen, 1826), E. decolor (Pandellé, 1896), E. flavipennis Herting, 1968, E. lacteipennis Mesnil, 1967, E. maculipennis Herting, 1968, E. magna (Baranov, 1935), E. nigripes (Villeneuve, 1920), E. pallicornis (Loew, 1873), E. petiolata (Bonsdorff, 1866) and E. picta (Meigen, 1826), and four species described as new to science, E. hirtinerva Zhang Shima sp. nov. (W China, Nepal), E. prostata Zhang Shima sp. nov. (W China, Nepal), E. tibetensis Zhang Shima sp. nov. (W China, Nepal) and E. wangi Zhang Liang sp. nov. (W China, Pakistan). Estheria acuta and E. decolor are newly recorded for China, E. magna is newly recorded for Malaysia, Pakistan and Vietnam, and E. pallicornis is newly recorded for Nepal. An identification key to the 18 species of Estheria so far known from the East Palearctic and Oriental regions is included, together with 126 figures of heads and habitus of males and females, and male terminalia and known distributions.


Assuntos
Dípteros , Distribuição Animal , Animais , China , Feminino , Masculino , Nepal
10.
Zootaxa ; 4691(5): zootaxa.4691.5.4, 2019 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-31719378

RESUMO

The purpose of this study was to record the species of chewing lice parasitising Gyps bengalensis (Gmelin, 1788), the white-rumped vulture, in Pithauli, Nawalparasi District, Nepal, from February to June 2017. Three louse species were identified: Cuculiphilus (Aegypiphilus) gypsis (Eichler, 1944), Colpocephalum sp., and the new species Aegypoecus bengalensis, described herein.


Assuntos
Doenças das Aves , Falconiformes , Iscnóceros , Infestações por Piolhos , Ftirápteros , Animais , Nepal
11.
Zootaxa ; 4688(4): zootaxa.4688.4.1, 2019 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-31719424

RESUMO

Three new species-group are established for eastern Palaearctic species of the genus Anthobium Leach, 1819: the consanguineum-group containing A. consanguineum Shavrin Smetana, sp.n. (China: Yunnan: Gaoligong Shan, Diancang Shan) and A. jaegeri Shavrin Smetana, sp.n. (Central Nepal: Kali Gandaki Valley); the crassum-group containing A. crassum Shavrin Smetana, sp.n. (China: Yunnan: Xue Shan, Haba Shan), A. crenulatum Shavrin Smetana, sp.n. (China: Yunnan: Diancang Shan), A. explanatum Shavrin Smetana, sp.n. (China: Sichuan: Gongga Shan), and A. farkaci Shavrin Smetana, sp.n. (China: Sichuan, Sabde); the reflexum-group containing A. reflexum (Reitter, 1891) (Middle Asia), A.deplanatum Shavrin Smetana, sp.n. (China: Sichuan: Erlang Shan), A. gaoligongshanense Shavrin Smetana, sp.n. (China: Yunnan: Gaoligong Shan), and A. kashmiricum (Cameron, 1941) (India: Kashmir). The species groups are defined, briefly discussed, and a key to the species included in each group is given. A lectotype is designated for Lathrimaeum reflexum Reitter, 1891. The subgenus Prionothorax Luze, 1905 is synonymized with the nominal subgenus of Anthobium. An additional species of the fusculum group is described: A. transversale Shavrin Smetana, sp.n. (China: Sichuan: Gongga Shan). The species of each species-group are (re-)described, illustrated, and their geographical distributions are mapped. Anthobium reflexum is recorded from Kyrgyzstan for the first time.


Assuntos
Besouros , Distribuição Animal , Animais , Ásia , China , Índia , Quirguistão , Nepal
12.
Zootaxa ; 4686(4): zootaxa.4686.4.6, 2019 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-31719472

RESUMO

The crassipalpis species group of the genus Geodromicus Redtenbacher, 1857 is established. Three species of the group from the East Palaearctic Region, including G. crassipalpis Champion, 1920 (India: Uttarakhand), G. amplissimus Shavrin, sp.n. (China: Sichuan, Yunnan), and G. spadiceus Shavrin, sp.n. (Central Nepal) are (re-)described and illustrated. A lectotype is designated for G. crassipalpis. A key to species and distribution maps are provided. [Zoobank URL: http://zoobank.org/urn:lsid:zoobank.org:act:AEA23DBB-1CED-43AD-BC02-8FF196E70D37].


Assuntos
Besouros , Distribuição Animal , Animais , China , Índia , Nepal
13.
Zootaxa ; 4686(2): zootaxa.4686.2.2, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31719487

RESUMO

Re-examination of the type series of Chydaeus irvinei (Andrewes, 1930) revealed that this species is based on two different taxa. It is re-described based on the lectotype and two paralectotypes from Gautsa in the Ngamo Chu Valley of southern Tibet between Sikkim and Bhutan. Chydaeus loeffleri (Jedlicka, 1966) is treated as distinct species (not a synonym of Ch. irvinei) with two subspecies: the nominotypical one distributed in the Rolwaling Valley in eastern Central Nepal, and Ch. loeffleri tibetanus ssp. n. described on the basis of the paralectotype of Ch. irvinei from the Rongshar Valley in southern Tibet north west of the Rolwaling Himal. A new species Ch. soluensis sp. n., also similar to Ch. irvinei in appearance and genitalia, is described from the Solu Khumbu District of eastern Central Nepal (type locality: Lamjura Danda). In addition, a revised key to all species and subspecies of the irvinei group is provided.


Assuntos
Besouros , Distribuição Animal , Animais , Butão , Nepal , Tibet
14.
Zootaxa ; 4686(2): zootaxa.4686.2.7, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31719492

RESUMO

A new species of the perlid genus Neoperla from Tibet of China is described, N. tibetensis sp. nov. The new species is compared with related taxa. The fully everted aedeagal sac of N. perspicillata Zwick, 1980 is illustrated from a male from Nepal.


Assuntos
Insetos , Distribuição Animal , Animais , China , Masculino , Nepal , Tibet
15.
Zootaxa ; 4629(1): zootaxa.4629.1.6, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31712535

RESUMO

The Agrilus vittatus species-group comprising fifteen species from the Oriental region is defined and revised. A key to species is provided and complemented with illustrations of habitus and genitalia. Five new species are described: Agrilus acacivorus sp. nov. (Myanmar); A. albizivorus sp. nov. (North India, Nepal); A. coco sp. nov. (Philippines); A. monadikos sp. nov. (Laos) and A. occultus sp. nov. (Laos, Thailand). Seven new junior subjective synonyms are proposed for following taxa: Agrilus babaulti Théry, 1930 (= bonadonai Descarpentries Villiers, 1963 syn.nov.); A. terraereginae Blackburn, 1892 (= deerratus Curletti, 2006 syn.nov.) and A. viridicupreus Saunders, 1866 (= cylindratus Kerremans, 1896 syn.nov., = albizziae Fisher, 1935 syn.nov., = javicola Fisher, 1935 syn.nov., = cariosulus Obenberger, 1935 syn.nov., = theodasae Baudon, 1968 syn.nov.).


Assuntos
Besouros , Distribuição Animal , Estruturas Animais , Animais , Tamanho Corporal , Índia , Laos , Mianmar , Nepal , Filipinas , Tailândia
16.
Zootaxa ; 4571(3): zootaxa.4571.3.8, 2019 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-31715808

RESUMO

First record of Indolestes cyaneus (Selys, 1862) from Vietnam with providing illustrations of its detailed structures, as well as notes on the coloration of the populations from Taiwan, Nepal and India.


Assuntos
Odonatos , Animais , Índia , Nepal , Taiwan , Vietnã
17.
BMC Public Health ; 19(1): 1534, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31730454

RESUMO

BACKGROUND: Since Nepali cross-border migrants can freely enter, work and stay in India, they are largely undocumented. The majority is involved in semi-skilled or unskilled jobs with limited labour rights and social security, a fact which predisposes them to psychological distress. We aimed to assess the prevalence of and factors associated with psychological morbidity among Nepali migrants upon their return from India. METHODS: A community based cross-sectional study was conducted in six districts of Nepal between September 2017 and February 2018. A total of 751 participants who had worked at least six months in India and returned to Nepal were interviewed from 24 randomly selected clusters. The General Health Questionnaire (GHQ)-12 was used to measure the psychological morbidity. Data were analysed using Poisson regression analysis. RESULTS: The majority was younger than 35 years (64.1%), male (96.7%), married (81.8%), had at least a primary education (66.6%), and belonged to Dalit, Janajati and religious minorities (53.7%). The prevalence of psychological morbidity was 13.5% (CI: 11.2-16.1%). Participants aged 45 years and above (adjusted prevalence ratio (aPR) = 2.74), from the Terai (aPR = 3.29), a religious minority (aPR = 3.64), who received no sick leave (aPR = 2.4), with existing health problems (aPR = 2.0) and having difficulty in accessing health care (aPR = 1.88) were more likely than others to exhibit a psychological morbidity. CONCLUSION: This study demonstrated that psychological morbidity was prevalent in the study participants and varied significantly with individual characteristics, work conditions and health. Multifaceted approaches including psychological counselling for returnees and protection of labour and health rights in the workplace are recommended to help reduce psychological morbidity.


Assuntos
Emigração e Imigração , Transtornos Mentais/etnologia , Transtornos Mentais/epidemiologia , Migrantes/psicologia , Adolescente , Adulto , Análise por Conglomerados , Estudos Transversais , Emprego/psicologia , Feminino , Acesso aos Serviços de Saúde , Humanos , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Nepal/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Distribuição de Poisson , Prevalência , Adulto Jovem
18.
Zootaxa ; 4623(2): zootaxa.4623.2.13, 2019 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-31716270

RESUMO

The arctiine genus Alphaea Walker, 1855 is distributed in North and North East India, Nepal, southern China and northern Indochina. The genus was recently reviewed by Dubatolov Kishida (2005). It is subdivided into three subgenera, Alphaea, Flavalphaea Dubatolov Kishida, 2005 and Nayaca Moore, 1979 and includes 10 valid species. During a lepidopterological expedition to the north-western part of China's Yunnan Province in May of 2018, an undetermined species of Alphaea was collected. The Chinese specimens have the wing pattern very similar to that of A. (Flavalphaea) khasiana (Rothschild, 1910), but red and black abdomen (that is orange and black in A. khasiana).


Assuntos
Mariposas , Animais , China , Indochina , Mianmar , Nepal
19.
Zootaxa ; 4652(3): zootaxa.4652.3.13, 2019 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-31716865

RESUMO

Asian herminiine moths of the Herminia decipiens complex are revised and five allopatric species are recognized, i.e. Herminia decipiens (Hampson, 1898) in Nilgiri Hills, Khasi Hills, South China, Indochina, Malay Peninsula, H. terminalis (Wileman, 1915) in Taiwan, H. yuksam sp. nov. in East Nepal, Sikkim, H. borneo sp. nov. in Borneo and H. amamioshima sp. nov. in Amami-oshima Is., Shimo-Koshikijima Is. and South Kyushu (Kagoshima). Key to all species is given.


Assuntos
Lepidópteros , Mariposas , Animais , Bornéu , China , Indochina , Malásia , Nepal , Taiwan
20.
BMC Infect Dis ; 19(1): 849, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31615428

RESUMO

BACKGROUND: Leishmaniasis and malaria are tropical diseases with more than half of the world population at risk of infection resulting in significant morbidity and mortality. Co-infection of Leishmaniasis and malaria pose a great challenge in the diagnosis as well as overall management. CASE PRESENTATION: In this case report, we present a rare case of a 5 years old child hailing from non-endemic region of Nepal with history of fever for a period of 3 months who was diagnosed as co-infection of malaria due to Plasmodium vivax and visceral Leishmaniasis with pancytopenia that subsequently improved after a course of treatment. CONCLUSIONS: A high index of suspicion for a possibility of co-infection with Leishmaniasis and malaria should be borne in mind when an individual hailing from or having history of travel to endemic countries presents with prolonged fever.


Assuntos
Coinfecção/diagnóstico , Leishmaniose Visceral/diagnóstico , Malária/diagnóstico , Pancitopenia/diagnóstico , Esplenomegalia/diagnóstico , Pré-Escolar , Diagnóstico Diferencial , Humanos , Leishmania donovani/isolamento & purificação , Leishmaniose Visceral/complicações , Malária/complicações , Malária/parasitologia , Masculino , Nepal , Pancitopenia/etiologia , Plasmodium vivax/isolamento & purificação , Esplenomegalia/etiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA