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Search Results: 1 - 10 of 323 matches for " Sapna Laxmi Tuladhar "
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Cephalometric Evaluation of Craniofacial Pattern of Nepalese Patients with Class III Malocclusion
Umesh Parajuli,Praveen Mishra,Prakash Bhattarai,Manish Bajracharya,Keshab Raj Paudel,Sapna Laxmi Tuladhar
Orthodontic Journal of Nepal , 2012, DOI: 10.3126/ojn.v2i1.9290
Abstract: DOI: http://dx.doi.org/10.3126/ojn.v2i1.9290 Orthodontic Journal of Nepal Vol.2(1) 2012: 21-27
Hyperemesis Gravidarum and Obstetric Outcome
A Giri,AS Tuladhar,H Tuladhar
Nepal Journal of Obstetrics and Gynaecology , 2011, DOI: 10.3126/njog.v6i2.6752
Abstract: Aims: This study was conducted to evaluate maternal characteristics and obstetric outcomes among women with hyperemesis gravidarum during pregnancy. Methods: A prospective hospital based study was conducted at Nepal medical college and teaching hospital over the period of two years where all the women admitted with history of hyperemesis gravidarum were evaluated. Hyperemesis gravidarum was defined as intractable nausea/vomiting in pregnancy that leads to dehydration, nutritional deficiency, electrolyte and metabolic disturbances and considerable ketonuria that may require hospitalization. The age of women, parity, gestational age, method of treatment and duration of hospital stay were analysed.The fetal outcome evaluated were incidence of preterm birth, apgar score <7 at 5 mins of birth, low birth weight, perinatal deaths and congenital anomalies in baby. Results: There were 52 women admitted with hyperemesis gravidarum among all obstetric admission (N= 2080). The incidence of hyperemesis gravidarum was 2.5% of all pregnancy. The condition was seen more commonly in nulliparous (61.5%) than in multiparous women. It was less common in women of parity 3 or more. The problem was identified maximum (50%) in gestational age of 5-7 weeks though one case was seen in gestational age of 20 weeks also. The mainstay of treatment was supportive. The range of hospital stay was 1-10 days with mean hospital stay 2.26 days. The preterm delivery rate was 4.8% and none of the babies were low birth weight. All the babies had apgar score >7 at 5 mins of birth. There were no congenital anomalies and no perinatal deaths were noted. Conclusions: Women with hyperemesis gravidarum did not have adverse obstetric outcome in this study. NJOG 2011 Nov-Dec; 6 (2): 24-26 DOI: http://dx.doi.org/10.3126/njog.v6i2.6752
Geo-Social Profile Matching Algorithm for Dynamic Interests in Ad-Hoc Social Network  [PDF]
Nagender Aneja, Sapna Gambhir
Social Networking (SN) , 2014, DOI: 10.4236/sn.2014.35029
Abstract: Among mobile users, ad-hoc social network (ASN) is becoming a popular platform to connect and share their interests anytime anywhere. Many researchers and computer scientists investigated ASN architecture, implementation, user experience, and different profile matching algorithms to provide better user experience in ad-hoc social network. We emphasize that strength of an ad-hoc social network depends on a good profile-matching algorithm that provides meaningful friend suggestions in proximity. Keeping browsing history is a good way to determine user’s interest, however, interests change with location. This paper presents a novel profile-matching algorithm for automatically building a user profile based on dynamic GPS (Global Positing System) location and browsing history of users. Building user profile based on GPS location of a user provides benefits to ASN users as this profile represents user’s dynamic interests that keep changing with location e.g. office, home, or some other location. Proposed profile-matching algorithm maintains multiple local profiles based on location of mobile device.
Impact of Antenatal Care on Maternal and Perinatal utcome: A Study at Nepal Medical College Teaching Hospital
H Tuladhar,N Dhakal
Nepal Journal of Obstetrics and Gynaecology , 2011, DOI: 10.3126/njog.v6i2.6755
Abstract: Aims: To identify the determinants of antenatal care (ANC) attendance and its impact on maternal / perinatal outcome. Methods: Prospective descriptive study of women delivered at Nepal Medical College Teaching Hospital (NMCTH), a 700 bedded tertiary care hospital situated at periphery of Kathmandu. Results: Among 322 women delivered during period of four months, majority (87%) reported of attending more than 4 antenatal visits, only 21 (6.5%) women had not attended ANC. The most preferred place of ANC was hospital (71.6%). Women with secondary education and above, business/service holders, 20-29 years age group, primigravida and Brahmin / Chhetri caste were more likely to attend ? 4 visits, while those living further than 6 km. from a health facility were less likely to attend. Financial problem (52.4%) followed by ignorance (28.6%) were the most commonly stated reasons for not attending ANC. Women attending more than 4 antenatal visits have more chance of full immunization with tetanus toxoid and iron supplementation. Most of the women started attending ANC from their second trimester (75.8%), only 21.9% had first ANC visit during first trimester. Overall Cesarean section rate was 17.4% and with increased rates in women who had attended ANC, because of the fact that all elective cesarean section were planned in these women only. Also, all inductions of labor (9.3%) were performed among them. Maternal complications like anemia and pregnancy induced hypertension occurred more commonly in women without ANC. The proportion of low birth weight and preterm babies was higher in women with inadequate or no ANC. Special care baby unit (SCBU) admission was also higher among them due to various reasons like neonatal sepsis, birth asphyxia, jaundice etc. While there were no neonatal deaths during the study period, 3 still births have occurred. Perinatal mortality rate was similar in no ANC and inadequate ANC groups; it was 16 times higher than that in the group with more than 4 visits. Maternal and perinatal outcomes were found to be better in women who attended regular ANC. Conclusions: Although attendance of ANC is quite encouraging, the proportion of women attending ANC from first trimester is low. The quality of antenatal care needs to be strengthened. The health system needs to ensure the availability of ANC in primary care level and to establish mobile clinics for those living far from the health facilities. NJOG 2011 Nov-Dec; 6 (2): 37-43 DOI: http://dx.doi.org/10.3126/njog.v6i2.6755
A pattern of ocular morbidity of patients attending a clinic in Western Nepal
S Tuladhar,S Dhakal
International Journal of Infection and Microbiology , 2012, DOI: 10.3126/ijim.v1i1.6941
Abstract: INTRODUCTION: Very few reports exist regarding the causes of ocular morbidity in Western Nepal. The study is performed to identify the causes of ocular morbidity in a clinic at Waling in Western Nepal. MATERIALS AND METHODS: A retrospective study was done by reviewing the case records of all patients attending the eye clinic at Waling from August 2010 to August 2011. RESULTS: The study included 915 patients, 617 were females (67.5%), and 298 were males (32.5%). Refractive error was the most common ocular morbidity accounting 26.8% followed by conjunctivitis 20.6%, cataract 11.8%, pterygium 6%, chalazion/stye 4%, ectropion/entropion 3.9%, keratitis 3.8%, dry eyes 2.8%, and corneal opacities 2.3%. CONCLUSIONS: The study gives a picture and patterns of ocular disease in Western Nepal which will be helpful in planning & management of ocular health programmes in Nepal. DOI: http://dx.doi.org/10.3126/ijim.v1i1.6941 Int J Infect Microbiol 2012;1(1):34-37
Antioxidant Capacity and Phenolic Content of Some Nepalese Medicinal Plants  [PDF]
Bijaya Laxmi Maharjan, Bikash Baral
American Journal of Plant Sciences (AJPS) , 2013, DOI: 10.4236/ajps.2013.48200

Antioxidant capacities and phenolic contents of medicinal plants namely Usnea longifolia, Cetraria nepalensis, Parmelia minarum, Everniastrum nepalense, Rhododendron anthopogon and Fritillaria delavayi were analyzed via Folin-Ciocaltau assay, Ferric reducing activity power assay and 2,2-Diphenyl-1-picrylhydrazyl assay. All the tested plants depicted the antioxidant activity with variation in extent of activity among the plants. The FRAP (F-value: 387.4), DPPH (F-value: 89.684) and TPC (F-value: 559.163) values between the extracts showed the highly significant differences (P < 0.01). This study indicated the strong antioxidant potential of R. anthopogon among the plants tested.

Effect of Nonlinear Thermal Radiation on Boundary Layer Flow of Viscous Fluid over Nonlinear Stretching Sheet with Injection/Suction  [PDF]
T. Vijaya Laxmi, Bandari Shankar
Journal of Applied Mathematics and Physics (JAMP) , 2016, DOI: 10.4236/jamp.2016.42038
Abstract: The present study reveals the effect of nonlinear thermal radiation and magnetic field on a boundary layer flow of a viscous fluid over a nonlinear stretching sheet with suction or an injection. Using suitable similarity transformations, governing partial differential equations were reduced to higher order ordinary differential equations and further these are solved numerically using of Keller-Box method. Effect of flow controlling parameter on velocity, temperature and nanoparticle fluid concentration, local skin friction coefficient, local Nusselt number and local Sherwood numbers are discussed. It is found that the dimensionless velocity decreases and temperature, concentration are increased with the increasing of magnetic parameter. The temperature profile is an increasing function of thermal radiation when it is increasing.
GSTP: Geographic Secured Two Phase Routing Using MD5 Algorithm  [PDF]
B. Prathusha Laxmi, A. Chilambuchelvan
Circuits and Systems (CS) , 2016, DOI: 10.4236/cs.2016.78159
Abstract: Secured Two Phase Geographic Greedy Forwarding (SecuTPGF) is a geographic greedy forwarding?protocol for transmitting multimedia data stream in Wireless Multimedia Sensor Networks?(WMSN) in a secure and reliable manner. Cryptographic and MAC authentication mechanisms are used to implement security for both node and message authentication. In this paper, a modified?version of SecuTPGF, the GSTP routing provides security for both node and message authentication by using MD5 algorithm with a reduced computation power. In SecuTPGF, two different algorithms are used for node and message authentication, and GSTP routing uses “MD5Algorithm” for both node and message authentication. Using MD5 algorithm for node and message authentication, the average number of transmission paths increased and average number of hops used for transmission decreased when compared to the?SecuTPGF. By conducting security analysis & evaluation experiments, the effectiveness of GSTP routing algorithm is proved.
A Trust Based Approach For Secure Access Control In Information Centric Network
Sapna Singh
International Journal of Information and Network Security (IJINS) , 2012, DOI: 10.11591/ijins.v1i2.467
Abstract: The world requires a transition from the classical node centric network to an information centric network. Publish/Subscribe Internet Routing Paradigm (PSIRP) being one of the paradigms for future networking is grabbing vast attention of the internetworking user group as a captivating communication paradigm because of its flexibility, desired functionality and performance. Thus, increase in the number of user groups, causes increase in the demand for information access. Consequently, it induces various security concerns. So far most of the researches related to security in publish/subscribe system are concentrated on secure routing, caching and transmission of the information. Access control is a crucial domain of security which cannot be overlooked and requires sincere attention. In this paper a trust driven approach to implement secure access control on the information is proposed. This ensures information availability on demand to the authorized users based on their trust level with the network. The mechanism is illustrated with the help of example usage scenarios.
Golden Research Thoughts , 2013, DOI: 10.9780/22315063
Abstract: District Institute of Education and Training (DIET) has been conceived within the NPE (1986) and POA (1992) as one of the major steps towards effective teacher education at the primary level. DIET is designed to improve and enrich the academic background of elementary school teachers, non formal and adult education functionaries and other personal at the lowest level of the educational system. DIETaims at energizing the educational climate of the district by providing rich training and resources and improving the professional competence of preservice teacher functionaries.
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