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Search Results: 1 - 10 of 144436 matches for " B Devkota "
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Electronic health records: advantages of use and barriers to adoption
B Devkota,A Devkota
Health Renaissance , 2013, DOI: 10.3126/hren.v11i3.9629
Abstract: DOI: http://dx.doi.org/10.3126/hren.v11i3.9629 Health Renaissance 2013;11(3):181-184
Racial differences of colorectal cancer in a single institution in Northeast Louisiana primarily serving the underserved population
B Devkota,ES Arnbrecht
Health Renaissance , 2012, DOI: 10.3126/hren.v10i1.5998
Abstract: Background: Colorectal cancer (CRC) screening has helped decrease the incidence of CRC in the last two decades. Still African Americans share a higher burden of CRC disease in the United States in comparison to Caucasians. Objective: To study racial differences of colorectal cancer in low income patients. Methods: Retrospective chart review of all admitted patients with a diagnosis of CRC was done by the lead author over a period of eight months. Results: This study, drawn from a poor, diverse population of Louisiana residents suggests socioeconomic factors may explain observed differences in CRC rates between African Americans and Caucasians. Conclusion: Large scale surveillance studies that address social determinants of CRC are needed to further explore this association. DOI: http://dx.doi.org/10.3126/hren.v10i1.5998 HREN 2012; 10(1): 5-7
Climate Change: Trends and People’s Perception in Nepal  [PDF]
Rohini P. Devkota
Journal of Environmental Protection (JEP) , 2014, DOI: 10.4236/jep.2014.54029
Abstract:

In the context of climate change, the frequency and intensity of extreme events such as floods and droughts will increase which could put tremendous challenges in water resources management in the coming days. While scientific knowledge on climate threats and changing climate patterns are essential, it is also important to consider the impacts in relation to how the threats are perceived and handled by local people. This paper intends to assess the trend and people’s perception on temperature and precipitation. Three focus groups’ discussion and a total number of 240 households were interviewed during field visit. The collected information was scaled from the least preferred-1 to the most preferred-5 based on their preferences. The trend of mean of annual average, maximum and minimum temperature indicates that the temperature has increased significantly and precipitation intensity and magnitude are also in increasing trend in the monsoon and postmonsoon seasons which may raise the extreme flood events. These facts were verified with the people’s perception. This finding could be useful for formulation of effective flood management policy and plan in this river basin as well as very applicable for other similar areas.

The impact of training on the use of electronic health records
B Devkota,JF Lamia,N Pommer,J Smith,B Whitman
Health Renaissance , 2011, DOI: 10.3126/hren.v9i3.5580
Abstract: Background: Studies have found that health information technology can improve the quality and efficiency of care delivery through better decision support. Objective: To gauge the effectiveness of electronic health records (EHR) training that was delivered to health care providers in an academic practice, to leverage feedback from the training evaluation to inform the content and process of training health care providers and to understand the impact of EHR implementation on all facets of health care delivery. Methods: A mixed methods instrument was designed to assess learning outcomes (cognitive, attitudinal and behavioral) associated with EHR training. A sample of 220 health care providers who regularly interacted with the EHR system was included. Participants were asked to evaluate cognitive, attitudinal, and behavioral aspects of their training with the EHR system. A multidimensional assessment of learning outcomes was selected. Results: On behavioral theme, 50% of our survey respondents answered the questions positively, 28% did not, 16% had mixed feelings, 3% felt EHR had negative impacts and 3% were neutral. On cognitive theme 31% felt EHR had a positive impact, 33% felt it had drawbacks whereas 35% left the answers blank and 1% felt they had no idea. On attitudinal theme, there was positive response from 45%, 21% had negative feelings about the system, 5% were neutral and the rest 25% did not answer. Conclusions: In this study, we found that majority of the respondents were satisfied with the EHR for behavioral and attitudinal themes. Future studies with mandatory response to cognitive theme will help figure out the satisfaction of survey respondents on all themes. DOI: http://dx.doi.org/10.3126/hren.v9i3.5580 ? HR 2011; 9(3): 140-147
Smoking Habit among Male Medical and Dental Students of B.P.Koirala Institute of Health Sciences, Nepal
A Sharma,B Sharma,SR Niraula,S Devkota,PMS Pradhan
Kathmandu University Medical Journal , 2013, DOI: 10.3126/kumj.v11i1.11020
Abstract: Background Smoking and health are intimately related and thus, smoking among future health care personnel is an important issue. As future physicians and dentists who will witness the continued burden of smoking-related diseases among their patients, represent a primary target for smoking prevention programs. Objectives To explore the magnitude of smoking problem and assess the major causes aggravating the burden of smoking among medical and dental students. Methods A cross sectional study was conducted between June and July 2009 among 345 medical and dental students. Pre-tested self-administered questionnaire containing questions regarding smoking and its various correlates were used to collect the data. Chi square test was used for testing hypothesis. Results Prevalence of smoking was estimated as 38.4%, among whom majority started smoking during 15 to 19 years of life. Peer pressure was the major cause behind smoking (29.5%). Nearly one third of the participants used to consume alcohol along with smoking. Presence of parental smoking and use of other drugs were significantly associated with smoking among the students. Conclusion Tobacco smoking is a significant health problem among the male medical and dental students. Medical and dental students were approached as they are the treatment providers for smoking and disease related to it in the future. The results in our study are discouraging and reveal that the medical knowledge regarding ill effects of smoking has not been able to check its use. DOI: http://dx.doi.org/10.3126/kumj.v11i1.11020 Kathmandu University Medical Journal Vol.11(1) 2013: 32-36
Utilization of Hairy Footed Flower Bee Anthophora plumipes (Hymenoptera: Apidae) for Pollination of Greenhouse Strawberry  [PDF]
Radha Devkota Adhikari, Ryoichi Miyanaga
Advances in Entomology (AE) , 2016, DOI: 10.4236/ae.2016.41004
Abstract: Pollination efficiency of hairy footed flower bee Anthophora plumipes for greenhouse strawberry was evaluated in a small greenhouse located in Shimane University, Matsue, Japan (lat. 35°29', long. 133°27' and elevation 170 m). Twenty five female and six male bees were released in a greenhouse on April 15, 2014. Red clay soil blocks were provided as the nesting materials. Two hundred and fifty pots of strawberry (Fragaria annanasa) were allocated for the following three treatments: 1) no supplementary pollination (control), 2) hand pollination, and 3) bee pollination. Both male and female bees effectively foraged flowers throughout the day. Rate of fertilized seed by the bee pollination was significantly greater than no supplementary pollination (control) and similar to that in the hand pollinated flowers. Quality of the fruits (evaluated based on the shape and deformity) was also improved by the bee pollination. A. plumipes effectively pollinated strawberry flowers in the greenhouse and could be developed as an alternative pollinator for this crop.
Adoption Practice of Climate Change Adaptation Options among Nepalese Rice Farmers: Role of Information and Communication Technologies (ICTs)  [PDF]
Niranjan Devkota, Ram Kumar Phuyal
American Journal of Climate Change (AJCC) , 2018, DOI: 10.4236/ajcc.2018.72010
Abstract: This study attempts to understand the role of ICTs on adoption of climate change adaption options among the Nepalese rice farmers, using data from 773 households from seven districts—3 from Terai region and 4 from hilly region. Individual Farmer’s Awareness Index was developed to categorize the respondent knowledge of climate change adaptation and Ordered Logit Model was used to examine the factors influencing their adaptation options in present of ICTs. The result revealed that 65% farmers perceived knowledge about temperature, rainfall and other relative information from various ICT devices that they pose. Farmers received such information mostly from Radio (71%), TV (69%) and mobile phone (62.5%) and argued these three devices are the most prominent, easy access and practical devices to receive such information. 86% farmers used such devices on the daily basis and 90% and more users opined that the information provided from such devices is in their own language and fully understandable. From ICT devices they pose, 71% of the farmers are receiving climate change information and 61% received agro-related information and the majority of them argued that such available information is very much informative and supportive of their resilience to climate change and use of available adaptation options. From the Farmers Awareness Index, this study found 19.8% farmers are high aware, 65.1% medium aware and 15.1% were less aware of the changing climate and its anomalies. Similarly, result from Ordered Logit Model shows that age (0.45***), gender (0.48**), market center (0.32*), bank access (0.54***), availability of subsidy (1.0***), agro-extension services (0.71**), access to TV (0.67***) and membership to a social network (3.20**) played a significant role in increasing farmers’ awareness of climate change which in turn lead to increased adoption of adaptation options available to the farmers. The findings suggest the need for further improvement on ICT devices and publicity of such ICT devices and proper investment to boost rice farmers’ adaptation to climate change, which will in turn help to improve their livelihoods and well-being.
The frequency and relationship of flowering plants on the distribution pattern of Ophiocordyceps sinensis (Yarchagunbu) in the highlands of Dolpa district, Nepal
S Devkota
Banko Janakari , 2009, DOI: 10.3126/banko.v19i1.2180
Abstract: Ophiocordyceps sinensis (Berk.) G.H. Sung, J.M. Sung, Hywell-Jones & Spatafora is a highly valuable medicinal fungus. Biologically it is an entomopathogenic, entomophagous or entomophilous fungus. In order to investigate different floral associations with O. sinensis , and to know different threats to pasture biodiversity, research was conducted in three pastures of Raha and Majphal Village Development Committees of Dolpa district. The study revealed that Juncus thomsonii and Bistorta macrophylla were the principal plant associates with O. sinensis as they dominated the alpine pasture vegetation. This research also highlighted the need for some proactive solutions along with conservation awareness program as important management initiatives to ensure ecological balance of O. sinensis. Key words: Alpine zone, flora, Ophiocordyceps sinensis , pasture management, Yarsagumba doi: 10.3126/banko.v19i1.2180 Banko Janakari, Vol. 19, No. 1, 29-36
Accessing research literature: A mixed-method study of academics in Higher Education Institutions in Nepal
Padam Simkhada,E van Teijlingen,B Devkota,SR Pathak,B Sathian
Nepal Journal of Epidemiology , 2014, DOI: 10.3126/nje.v4i4.11375
Abstract: Background:?
Socio-Cultural and Economic Factors in Cross-Border Purchase: A Study of Customers’ Perspective in Sunauli-Nepal/India Border  [PDF]
Udaya Raj Paudel, Niranjan Devkota, Udbodh Bhandari
Modern Economy (ME) , 2018, DOI: 10.4236/me.2018.96070
Abstract:

Nepal and India sustain bilateral relationship and share social, cultural, economic, political and geographical proximities contributing people of both nations to a number of advantages. This study analyzes socio-cultural, geo-political, and economic proximities contributing people of Sunauli-India/Nepal border exploiting purposive sampling in 429 respondents with a structured questionnaire survey in February 2018. Descriptive and inferential data analysis techniques are performed along with Logistic Regression Model to interpret the determinants of cross-border purchase. The result revealed 96.3% of the total respondents involved in purchase, out of them, 85.6%, 77.2%, 71.6%, 71.2% and 54.6% purchase due to economical price of the goods, festivals, communication access, habit and open border factors respectively. The empirical results of the binary logistic regression models revealed different effects of the factors on customers cross border purchase. Economical goods (2.727***), hassle free cross-border imports (1.952***), language similarities (1.551**) and goods available in local market (1.268**) significantly and positively affect the cross-border purchasing activities and the Odds Ratio of given variables is 15.28, 7.04, 4.71 and 3.55 respectively. Following the analysis, the study concludes that there is positive influence of socio-cultural characteristics in cross border purchase. Open border factor is equally important to stimulate such purchasing activities. More than other factors, economic characteristics as availability of goods, their types and economical price are all in all important.

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