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Carstens D, Smith J, Chung Y, Pan S, Barlows T, Nepal B, Barron J. REDUCTIONS IN EXACERBATIONS OF SEVERE ASTHMA PATIENTS TREATED WITH BENRALIZUMAB – ZEPHYR 3. Ann Allergy Asthma Immunol 2022. [DOI: 10.1016/j.anai.2022.08.615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Nepal S, Atreya A, Nepal B, Shah R, Dhital R, Aryal S. Witchcraft allegations and untouchability as forms of violence upon women in Nepal: A 7-year study. Med Leg J 2021; 89:199-201. [PMID: 34229525 DOI: 10.1177/00258172211018380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The Nepalese constitution guarantees equal rights to both men and women regardless of caste, race, or ethnicity. However, the centuries-old superstitious practice of caste-based hierarchy in the Hindu community and discrimination against people of lower caste are still prevalent. Furthermore, witchcraft allegations are also not uncommon. Both these practices are derogatory and humiliating and violate human rights, and the law can penalise them in both instances. Due to the intersection of gender and caste, women often face multiple forms of discrimination and violence as the patriarchal society considers them a weaker gender. The present study aimed to see the trend of crimes upon women reported by Nepal Police in the form of witchcraft allegations and untouchability between the fiscal years 2013/14 and 2019/20.
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Affiliation(s)
- Samata Nepal
- Department of Community Medicine, Lumbini Medical College, Palpa, Nepal
| | - Alok Atreya
- Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal
| | | | - Richa Shah
- Health Action and Research, Kathmandu, Nepal
| | | | - Shreyashi Aryal
- Department of Obstetrics & Gynaecology, Lumbini Medical College, Palpa, Nepal
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Atreya A, Thapa JB, Menezes RG, Nepal S, Nepal B. A Case of Fatal Electrocution in Rural Nepal. J Nepal Health Res Counc 2021; 19:209-211. [PMID: 33934163 DOI: 10.33314/jnhrc.v19i1.3257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 04/23/2021] [Indexed: 06/12/2023]
Abstract
Although preventable, electrocutions have claimed many lives in Nepal. People of low socio-economic background from remote villages in Nepal who visit jungle to tend cattle, collect firewood and cattle fodder are vulnerable to electrocution when the foliage are in contact with the power lines. We present a case of a 11-year-old boy who was found suspended over three naked high-tension electric wires approximately 30 feet above the ground in rural Nepal. This article describes a case of fatal electrocution and attempts to explain a reasons for such mishaps in Nepal through consideration of topography and socioeconomic factors. This article further discusses the death scene investigation in such cases. Keywords: Death scene investigation; fatal electrocution; high-tension transmission.
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Affiliation(s)
| | | | | | | | - Binu Nepal
- Lumbini Medical College, Palpa 32500, Nepal
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Abstract
Accusations of witchcraft and witch-hunting activities remain serious problems in Nepal, where many women are subjected to violence or torture following accusation and persecution. Many experience serious physical and mental injury, and some die. However, most of these incidents are not reported because women and their families fear reprisals. Poverty, systemic gender inequality and weak state laws provide a context in which this behaviour occurs. Allegations of witchcraft will, however, not be fully eradicated without improvements in education and legal safeguards.
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Affiliation(s)
- Alok Atreya
- Department of Forensic Medicine, Lumbini Medical College Teaching Hospital, Nepal
| | - Shreyashi Aryal
- Department of Obstetrics and Gynaecology, Lumbini Medical College Teaching Hospital, Nepal
| | - Samata Nepal
- Department of Community Medicine, Lumbini Medical College Teaching Hospital, Nepal
| | - Binu Nepal
- Lumbini Medical College Teaching Hospital, Nepal
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Atreya A, Shrestha R, Nepal B, Nepal S, Shrestha D, Mahato S. When sexual offence is an unexpected diagnosis - exploration of medical, legal and social aspects in Nepalese scenario. Med Leg J 2020; 88:192-195. [PMID: 32716259 DOI: 10.1177/0025817220935878] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
In Nepal, following allegations of sexual assault, the survivor is taken by the police to a Government Hospital for medical examination and sample collection. To provide an integrated service to survivors of gender-based violence, a One-Stop Crisis Management Centre (OCMC) is established in many Government Hospitals. However, paediatric survivors of sexual abuse frequently seek initial care at the emergency department, as most present with a medical complaint rather than for sexual abuse. It is therefore important to train emergency physicians with the skills required to identify the features and diagnose a case of sexual assault. We present a case where the diagnosis of sexual assault of a child was an incidental finding and discuss the challenges faced in dealing with such cases in non-OCMC Hospital.
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Affiliation(s)
- Alok Atreya
- Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal
| | - Rijen Shrestha
- Department of Forensic Medicine, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
| | | | - Samata Nepal
- Department of Community Medicine, Lumbini Medical College, Palpa, Nepal
| | - Deepak Shrestha
- Department of Obstetrics and Gynecology, Lumbini Medical College, Palpa, Nepal
| | - Sweta Mahato
- Department of Obstetrics and Gynecology, Lumbini Medical College, Palpa, Nepal
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Sichero L, Nyitray AG, Nunes EM, Nepal B, Ferreira S, Sobrinho JS, Baggio ML, Galan L, Silva RC, Lazcano-Ponce E, Giuliano AR, Villa LL. Diversity of human papillomavirus in the anal canal of men: the HIM Study. Clin Microbiol Infect 2015; 21:502-9. [PMID: 25698660 DOI: 10.1016/j.cmi.2014.12.023] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Revised: 12/16/2014] [Accepted: 12/21/2014] [Indexed: 11/17/2022]
Abstract
Human papillomavirus (HPV) infections are associated with the development of anogenital lesions in men. There are no reports describing the distribution of non-α HPV types in the anal canal of a sexually diverse group of men. The HPV Infection in Men (HIM) Study is a multicentre study on the natural history of HPV infection in Brazil, Mexico, and the USA. At baseline, 12% of anal canal PCR HPV-positive specimens were not typed by the Roche Linear Array, and were considered to be unclassified. Our goals were to characterize HPVs among these unclassified specimens at baseline, and to assess associations with participant socio-demographic and behavioural characteristics. Unclassified HPVs were typed by sequencing of amplified PGMY09/11 products or cloning of PGMY/GP + nested amplicons followed by sequencing. Further analysis was conducted with FAP primers. Of men with unclassified HPV in the anal canal, most (89.1%) were men who have sex with women. Readable sequences were produced for 62.8% of unclassified specimens, of which 75.2% were characterized HPV types. Eighteen, 26 and three different α-HPV, β-HPV and γ-HPV types were detected, respectively. α-HPVs were more commonly detected among young men (18-30 years) than among older men (45-70 years), whereas β-HPVs were more frequent among mid-adult men (31-44 years). β-HPVs were more common among heterosexual men (85.0%) than among non-heterosexual men. All β-HPVs detected among non-heterosexual men were β2-HPV types. The high prevalence of β-HPV in the anal canal of men who do not report receptive anal sex is suggestive of other forms of transmission that do not involve penile-anal intercourse.
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Affiliation(s)
- L Sichero
- Molecular Biology Laboratory, Centre of Translational Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, Brazil.
| | - A G Nyitray
- Center for Infectious Diseases, The University of Texas School of Public Health, Houston, TX, USA
| | - E M Nunes
- Molecular Biology Laboratory, Centre of Translational Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, Brazil
| | - B Nepal
- Center for Infectious Diseases, The University of Texas School of Public Health, Houston, TX, USA
| | - S Ferreira
- Molecular Biology Laboratory, Centre of Translational Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, Brazil
| | - J S Sobrinho
- Molecular Biology Laboratory, Centre of Translational Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, Brazil
| | - M L Baggio
- Molecular Biology Laboratory, Centre of Translational Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, Brazil
| | - L Galan
- Ludwig Institute for Cancer Research, São Paulo, Brazil
| | - R C Silva
- Centro de Referência e Treinamento DST/Aids, São Paulo, Brazil
| | - E Lazcano-Ponce
- Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, México
| | - A R Giuliano
- Center for Infection Research in Cancer, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - L L Villa
- Molecular Biology Laboratory, Centre of Translational Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, Brazil; Department of Radiology and Oncology, School of Medicine of the University of São Paulo and HPV Institute, School of Medicine, Santa Casa de São Paulo, Brazil
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