Suchergebnisse

There is significant interest in determining the role of climate-induced shocks as a prominent driver on migration decisions of different groups of farmers in South Asia. Using data from a survey of 2,660 farm-families and focused group discussions in Bihar (India), Terai (plains) (Nepal) and coastal Bangladesh, we employed logistic regression to investigate household response towards migration and gender dimensions of adverse climatic events. The results suggest that migration decisions depend on farmers' unique resource profiles: (a) households that use migration to improve their resilience, mostly resource rich households; (b) households that have no alternative but to migrate, mostly poor farmers; and (c) households who cannot migrate due to different socio-economic obligations, mostly farmers with intermediate level of income that also includes women, children and elderly of different income profiles. These profiles represent a spectrum with households within a profile being closer to one or the other of the profiles on either side. They are not mutually exclusive and serve as a point of departure for further research to refine key explanatory variables. Given that some members of the household pursue migration as a result of adverse climatic events, government strategies are required to mitigate risks at destinations and create opportunities for the trapped populations.

Introduction: Ocular trauma is an important cause of blindness and ocular morbidity throughout the world. The present study was done to establish the common causes of ocular trauma in a Tertiary Care Hospital of Western Nepal.Methods: In this prospective study, all the patients with ocular trauma visiting eye Out Patient Department (OPD) and Emergency Department of Gandaki Medical College Teaching Hospital (GMCTH) from June 2015 to June 2016 were included. A complete history and detailed ophthalmological evaluation was done.Results: Over a period of one year, 226 patients attended to the OPD and Emergency Department of GMCTH. Mean age of patients was 30.41 ±15.7 years. Males were 70.8% and females 29.2%. About 82.5% patients had visual acuity better than 6/18 while 17.7% had visual acuity <3/60. Road traffic accident (RTA) was the most common cause followed by foreign bodies.Conclusions: Males are more prone to ocular trauma than females and majority of ocular trauma occurred at workplace. RTA is the commonest cause of ocular trauma. Very few patients used protective device. Public awareness and strict legislation for the use of personal protective devices can also help reduce the occurrence of ocular injury. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 6-10

Community diagnosis is defined as a comprehensive assessment of the state of an entire community in relation to its social, economic, physical and biological environment. It is a process of examining the patterns of disease or health status in the community in order to promote health, prevent disease and manage health services for the community people. As per the curriculum of Tribhuwan University, B.Sc. Nursing first year, we were provided an opportunity to fulfill the practicum of community health nursing in the assigned area Shanti Tole and Teentara Tole, Pokhara, Lekhnath, Ritthepani-27 from 18th June to 14th July 2017. Total population of Ritthepani was 4529, male population was 2100 and female population was 2429. Each of the 13 students was assigned with 10 different families for community diagnosis in order to promote the health of the individual, family and community. The main objective of community diagnosis was to find out the health related aspects and to provide preventive, promotive, curative and rehabilitative services to the individual and the community as a whole. All the findings were presented among the key members of the community. On survey, total population of 130 houses was found 565, among them 296 were male population and 269 were female population. Sanitation of the community was inappropriate. People were not using the health facilities effectively so they were found suffering from different kinds of diseases most commonly gastritis. The common health seeking practice was going to governmental hospital and traditional healers.