Ram sharan mehta
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- k|f=8f=/fd z/0f d]xtf is a Nepali doctor born in 1968. - He received his MBBS from Dhulikhel Hospital in 1988 and MD in Internal Medicine from BPKIHS in 1995. - He has over 25 years of experience working as a physician at BPKIHS and has participated in several international conferences. - Dr. Dhakal has published books and articles on various medical topics and received numerous awards for his contributions.
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This document provides an overview of drugs and bugs in the ICU, including microbiology issues and antimicrobial drug therapy. It discusses types of organisms that can cause infection, emerging resistant strains, local resistance patterns, common antimicrobial drugs used in the ICU, and indications for their use. It also covers risk factors for nosocomial infection, prevention measures, definitions of infection vs colonization, and requirements for microbiological surveillance. The document provides scenarios of common infections encountered in the ICU and reviews potential targets for antimicrobial drugs as well as how resistance can develop and spread.
Pneumothorax and pneumomediastinum
1. Pneumothorax is the presence of air in the pleural space causing lung collapse, and pneumomediastinum is the presence of air in the mediastinum.
2. Pneumothorax can be spontaneous, traumatic, or iatrogenic and is classified as primary or secondary depending on underlying lung conditions. Tension pneumothorax is a life-threatening form caused by trapped air that displaces mediastinal structures.
3. Chest x-ray is used to diagnose pneumothorax by identifying the visceral pleural line and lung collapse. Features of tension pneumothorax on x-ray include mediastinal shift and tracheal deviation. Pneum
Ecg fundamentals
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Tomato flipchart
The flip chart was designed as a valuable tool for trainers and leader farmers of Nepal and developed by USAID suppported projects in Nepal
Media Situation of Far West Nepal
- The document discusses the history and development of journalism and media policies in Sudurpaschim province of Nepal from 2002 to 2021. It provides details of newspapers published from different districts in the region during this period.
- A total of 176 newspapers were registered in Sudurpaschim province as of 2021, with most newspapers registered in Kanchanpur (88), Baitadi (64) and Darchula (11). Various newspapers published from different districts are mentioned.
- Classification systems and criteria for newspapers implemented by the government in 2007/08 are outlined. The challenges faced by local media organizations and journalists in the region are also briefly discussed.
Pa narayani river final telephone_list
This document provides contact information for flood response in Narayani Basin, Nepal. It lists river water level indicators and flood risk levels. It also includes phone numbers for local government offices, health posts, police posts, and others to contact in case of flooding from the Ghaghara River. Key hydrological and meteorological data on the Ghaghara River is available online from the Department of Hydrology and Meteorology.
Aksharica - 093 (अक्षरिका - ०९३)
Aksharica (अक्षरिका) is a Nepali Language Newsletter. Aksharica is made with a combination of two words “Akshar” and “America”. Akshar means “letter” in Nepali, thus goal of the Aksharica is to educate, inform, inspire, and empower the Nepali speaking community (Bhutanese and Nepalese) residing in America. Rajesh Koirala is working as an editor since it started on August 2010. This is 93rd issue, published on March, 2017.
Aksharica - 106 (अक्षरिका - १०६)
This document provides tips for maintaining personal security and privacy when posting photos online or on social media after receiving a citizenship certificate. It advises to only post photos that do not show personal details like birthdates that could be seen on identification documents. Details of one's home, travel plans, bank accounts or other financial information should also not be shared publicly. While photos from travel or events are enjoyable to share, locations and times should be vague to avoid potential theft if one is away from home. Contact information for neighbors or others is also suggested in case of emergency during travel.
Aksharica - 069 (अक्षरिका - ०६९)
Aksharica (अक्षरिका) is a Nepali Language Newsletter. Aksharica is made with a combination of two words “Akshar” and “America”. Akshar means “letter” in Nepali, thus goal of the Aksharica is to educate, inform, inspire, and empower the Nepali speaking community (Bhutanese and Nepalese) residing in America. Rajesh Koirala is working as an editor since it started on August 2010. This is 69th issue, published on March, 2015.
Aksharica - 105 (अक्षरिका - १०५)
Aksharica (अक्षरिका) is a Nepali Language Newsletter. Aksharica is made with a combination of two words “Akshar” and “America”. Akshar means “letter” in Nepali, thus goal of the Aksharica is to educate, inform, inspire, and empower the Nepali speaking community (Bhutanese and Nepalese) residing in America. Rajesh Koirala is working as an editor since it started on August 2010. This is 105th issue, published on March, 2018.
Aksharica - 102 (अक्षरिका - १०२)
Aksharica (अक्षरिका) is a Nepali Language Newsletter. Aksharica is made with a combination of two words “Akshar” and “America”. Akshar means “letter” in Nepali, thus goal of the Aksharica is to educate, inform, inspire, and empower the Nepali speaking community (Bhutanese and Nepalese) residing in America. Rajesh Koirala is working as an editor since it started on August 2010. This is 102nd issue, published on December, 2017.
Chilli flipchart final
Veggies like spinach are grown for their green leaves which are eaten fresh, cooked, or processed. Spinach is a good source of vitamins A and C.
Ideal growing conditions for spinach include cool weather, sunlight, and moist soil. Temperatures above 38°C or low rainfall reduces yields. Suitable varieties include Kathe local, Tetragold, Bloomsdale, and Allgreen. Spinach can be harvested from 3 months after planting until 8 months depending on the variety. Proper post-harvest handling and marketing helps reduce losses and maintain quality.
Malpot
This document outlines the establishment and functions of land revenue offices in Nepal according to the Land Revenue Act of 2034 BS. Key points include:
1. Land revenue offices will be established in each district as needed by the Government of Nepal.
2. Existing land and tax offices at the time this Act comes into force will automatically be converted to land revenue offices.
3. The work of land administration offices and land administrators at the time this Act comes into force will be continued by the land revenue offices.
4. The duties of land administration will be transferred to land reform offices and land revenue offices.
महिला हिंसा विरुद्धको वर्ष पुस्तक “अन्वेषी”
अन्वेषी २०७६ मा “जुलाई २०१८ देखि जुन २०१९” सम्म ओरेक नेपालमा अभिलेखीकरण गरिएका महिलामाथि भएका जम्मा १३१९ वटा हिंसाका घटनाहरूको विस्तृत विश्लेषण प्रस्तुत गरिएको थियो । जसमध्ये सबैभन्दा बढी ६६.७२ प्रतिशत (८८० जना) महिलामाथि घरेलु हिंसा भएको छ । त्यस्तै गरी ११.९८ प्रतिशत (१५८ जना) महिला सामाजिक हिंसाबाट, १०.८४ प्रतिशत (१४३ जना) महिला तथा बालिका माथि बलात्कार, १.३६ प्रतिशत (१८ जना) माथि बलात्कारको प्रयास तथा ४.७० प्रतिशत (६२ जना) महिलामाथि यौन हिंसा भएको पाइएको छ ।
महिलामाथि हुने हिंसाको बारेमा तथ्याङ्क नभएको अवस्थामा महिलामाथि हुने हिंसाका घटनाहरूको नक्साङ्कन गर्ने, सरोकारवाला एवं सम्बन्धित जिम्मेवार निकायसमक्ष महिला हिंसाका वास्तविकता प्रस्तुत गरी आवश्यक कदम चाल्न दबाब सृजना गर्ने उद्देश्यले महिला पुनस्र्थापना केन्द्र (ओरेक) ले अन्वेषी सन् २००८ देखि प्रकाशन गर्दै आइरहेको छ । अन्वेषीले विभिन्न भू–भागमा बसोबास गर्ने भिन्न–भिन्न सामाजिक समूह र समुदायका महिलाहरूमाथि भइरहेको हिंसा, तिनको स्वरुप र त्यसका प्रभावहरूबारे जानकारी दिन्छ ।
देशभरबाट महिला माथि हुने हिंसाका घटनाहरुको अभिलेखिकरण गरि महिला हिंसा विरुद्धको वर्ष पुस्तक “अन्वेषी” लैङ्गिक हिंसा विरुद्धको दिवस २५ नोभेम्बर को दिन हरेक वर्ष प्रकाशन गर्दै आएको छ । महिला माथि हुने हिंसाको अवस्था र महिलाको न्यायमा पहुँचको अवस्थालाई विश्लेषण गरी तयार गरिएको वर्ष पुस्तकले समग्र रुपमा महिलाको मानवअधिकार हनन्को अवस्था र यसको सम्बोधनका लागि समुदायस्तरदेखि नीतिगतस्तरसम्म आवश्यक कार्यहरु गर्नका लागि सरोकारवालाहरुलाई दिशा निर्देश गर्ने विश्वास संस्थाले लिएको छ ।
Anbeshi 2076
अन्वेषी’ बर्ष पुस्तक १ सयभन्दा बढी महिला मानव अधिकारववादी संघसंस्थाहरू, सामुदायिक संघ संस्थाहरू, महिलावादी लेखकहरू, महिला मानब अधिकारवादीहरू, संचारकर्मीहरूको सामुहिक प्रयास र सहकार्यबाट तयार गरिएको महिला माथि भएका भेदभाव, हिंसा र असमानताको बारेमा विश्लेषणात्मक पुस्तक हो । यो नेपालका महिलामाथि वर्षभरि भएका हिंसाका घटनाहरू संकलित, अंकित एवं विश्लेषण सहितको एक महत्वपूर्ण पुस्तक हो । सर्भेक्षणमा आधारित यो पुस्तक ओरेक नेपालले सन् २००८ बाट वर्षेनी प्रकाशन गर्दै आइरहेको छ । महिलामाथि हुने हिंसाका घटनाहरूको नक्साङ्कन गर्ने, सरोकारवाला एवं सम्बन्धित जिम्मेवार निकायसमक्ष महिला हिंसाका वास्तविकता प्रस्तुत गरी आवश्यक कदम चाल्न दबाब सृजना गर्ने उद्देश्यले अन्वेषी प्रकाशन एवं वितरण कार्यलाई प्राथमिकताका साथ निरन्तरता दिँदै आइएको छ । अन्वेषीले विभिन्न भू–भागमा बसोबास गर्ने भिन्न–भिन्न सामाजिक समूह र समुदायका महिलाहरूमाथि भइरहेको हिंसा, तिनको स्वरुप र त्यसका प्रभावहरूबारे जानकारी दिन्छ ।
घटना संकलन अवधि र क्षेत्र
पुस्तकमा समावेश गरिएका तथ्याङ्क श्रावण २०७५ देखि असार २०७६ सम्मको समय अवधिमा संकलन गरिएको हो । यसभित्र महिलामाथि भएका १ हजार ३ सय १९ वटा हिंसाका घटनाहरू समाविष्ट छन् । पुस्तकमा तथ्याङ्कहरूको विश्लेषणसमेत प्रस्तुत गरिएको छ । ओरेक नेपालले संकलन गरेको ताजा तथ्याङ्कको अलावा यसभित्र विभिन्न राष्ट्रिय स्तरका पत्रपत्रिकामा प्रकाशित घटनाहरू समेतलाई समेटिएको छ । राष्ट्रिय स्तरमा प्रकाशित पत्रपत्रिकाहरूबाट जम्मा ५ सय ९० वटा घटनाहरू संकलन गरिएको छ ।
Ram Sharan Mehta jiwani Nepali
This document provides an overview and table of contents for an autobiographical book describing the author's life experiences from childhood to present day. The book is divided into chapters that describe the author's hometown and family background, education history from primary school through graduate studies, career experiences including periods of hardship, international travels, important life events both positive and negative, honors and awards received, and conclusions about life lessons learned. The author hopes the book will inspire readers through its portrayal of perseverance and integrity in overcoming challenges to achieve goals.
Malpot minha
This document is the Land Revenue Act of 2019 which establishes procedures for conducting land surveys and determining land revenue in Nepal. Some key points:
1) It allows local authorities to provide tax relief (up to 50% of the tax amount) for lands that experience low crop yields or no harvest due to lack of rainfall.
2) It requires local tax collectors to record weekly rainfall measurements and submit monthly reports to district authorities who will determine if any tax relief is needed.
3) It establishes procedures for conducting land surveys every 3 years to determine standard crop yields for different types of land. Survey results are submitted to local tax offices and the central government.
Anbeshi 2018 - status and dimensions of Violence against womeni Nepal
This year WOREC documented and analyzed 1,751 cases of violence against women in its publication Anbeshi 2018. Among 1,751 recorded cases domestic violence accounts for 65% of VAW, followed by social violence (17%) and rape (7%).
Domestic Violence
Domestic violence is the highest reported category of violence against women as it makes upto 65% (1140). The data shows women suffered violence from their husband (76% of perpetrators) and family members (24% of perpetrators).
Social Violence
Among the reported cases 17% (295) women suffered from social violence. 54% (160) of social violence was perpetrated by neighbours while 18% (54) was by family members.
Rape
A total of 130 cases of rape was reported in WOREC which is 7% of all cases recorded along with 2% (37) of an attempt to rape. Of the total cases, 46% (59) were perpetrated by neighbours, 16% (21) by family members and 12% (16) by intimate partners. It is important to note that 63% (82) of rape survivors were children below 16 years and neighbours perpetrated 46% (59) of cases followed by 16% (21) perpetrated by family members.
Sexual abuse
Sexual abuse accounts for 4% (72) of reported cases where intimate partners were responsible for 33% (24) of cases.
Murder
13 cases of murder and 6 cases of attempt to murder were documented this year where 62% (8) of reported murder was committed by the husband.
Trafficking
This year WOREC documented 11 cases of trafficking with 19 cases of attempt to trafficking.
Suicide
A total of 10 cases of suicide was documented by WOREC where women were compelled to commit suicide because of blaming in character, forced marriage and torture.
Age group and violence against women
According to the data, women of age group 17-25 years were affected mostly by violence against women. 37% (643) survivors are in 17-25 years age group, 32% (564) survivors are in 26-35 and 13% (222) are below 16 years.
Source: Anbeshi 2018, WOREC
WOREC acknowledges the problem of underreporting cases of VAW, and as such Anbeshi 2018 does not claim to represent the full picture of VAW in Nepal, rather it is expected that this report will provide a glimpse of the violence suffered by women across the country.
Anbeshi 2018 is prepared on the basis of collected and documented cases of VAW from July 2017 to June 2018 by WOREC and Women Human Rights Defenders (WHRDs).
http://www.worecnepal.org/news/details/anbeshi-2018-status-and-dimensions-of-violence-against-women-in-nepal-15
Goat Farming In Nepal
This document provides an overview of livestock farming for small farmers in Nepal. It covers key topics like breeds of livestock, breeding, feeding arrangements, shelter management, common diseases and parasites, and fodder arrangements. The document is divided into 8 sections for easy reference. It aims to provide basic and practical information to farmers on livestock rearing in a simple format supplemented with illustrations. The information is based on the author's experience working with farmers in Nepal. The ultimate goal is to help small farmers and those new to livestock farming to better manage their animals and overcome common challenges.
विकास समिति ऐन २०१३ .pdf
This document appears to be part of an Act related to development committees in Nepal. It discusses establishing development committees through government notice, their composition and powers. It also covers topics like committee funding, employees, dispute resolution, and dissolution of committees. The overall purpose seems to be to provide an efficient framework for implementing development plans and programs through specialized committees.
Jiwani of RS Mehta book.pdf
This document provides an overview of an autobiographical book written by Dr. Rordzor Dhital describing his life journey from childhood to the present. The book details his upbringing, family background, educational experiences, career struggles and successes as a medical professional. It is intended to inspire youth by sharing his challenges and perseverance in achieving his goals through hard work and dedication.
Ram Sharan Mehta Jiwani
This document provides an overview of an autobiographical book written by Dr. Rajendra Dhakal titled "From Birth to Retirement". The book describes key events and experiences from the author's life, from childhood through his professional career as a medical doctor. It covers his upbringing in rural Nepal, education journey, career experiences including hardships faced, professional achievements, and reflections on life lessons learned. The author hopes the book will inspire youth to work hard through perseverance despite challenges.
Ram sharan mehta jiwani pdf rs mehta
This document provides an overview of an autobiographical book written by Dr. Rordzor Dhital describing his life journey from childhood to present. The book details his upbringing, family background, educational experiences, career struggles and successes as a medical professional. It is intended to inspire youth through his story of perseverance and hard work in achieving his goals despite challenges. The book is organized into chapters covering his family origins, education levels, career stages involving periods of hardship, international travels, memorable life events, achievements and personal reflections on life lessons.
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Anbeshi 2018 - status and dimensions of Violence against womeni Nepal
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This document discusses the need for a paradigm shift in nursing research. It notes that while efforts have been made to promote evidence-based nursing, there remains a gap between research findings and clinical practice. The document outlines different research paradigms and factors that can drive paradigm shifts, such as technological advances. It argues that paradigm shifts are important for developing up-to-date knowledge and meeting human and social needs. Some examples of potential paradigm shifts in clinical nursing after COVID-19 include increased telehealth, home-based care, and focus on infection prevention and digital health technologies.
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M. Sc. Nursing Thesis by RS Mehta.pdf
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Ph.D. Thesis on HBC by RS Mehta.pdf
This dissertation examines home-based care for people living with AIDS in rural Nepal. The study had two parts: 1) Analyzing aspects of home-based care for 125 caregivers of people with AIDS through interviews, case studies, and focus groups. 2) Implementing an 8-week education intervention program on home-based care and evaluating its impact using pre- and post-testing. The study found many caregivers lacked training and knowledge about HIV/AIDS. Caregivers reported high burdens and many faced health issues, social problems, and financial difficulties due to caregiving. The education program significantly improved caregivers' knowledge and preparedness for home-based care.
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This document provides an overview of pancreatitis including:
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4. Advocacy in Nursing.pdf
This document discusses patients' rights and advocacy in nursing. It outlines various patients' bills of rights which guarantee patients access to information, treatment, and medical decision making. Specific rights mentioned include the right to privacy, informed consent, and making complaints. The role of nurses as advocates who help patients understand and exercise their rights is described. Nurses act as advocates by developing relationships with patients and making decisions with them. They may also be whistleblowers by calling attention to unethical or illegal actions. The document is authored by Prof. Dr. Ram Sharan Mehta on the topics of patient rights and advocacy in nursing.
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This document summarizes international visits by Prof. Dr. Ram Sharan Mehta between 2000 and 2022. It lists visits to various cities in India as well as other countries in Asia, Europe, North America, and Australia. The visits involved presentations on healthcare topics. The document concludes by thanking the audience.
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This document discusses various legal aspects related to nursing practice, including medico-legal issues and cases. It defines key terminology like tort, negligence, malpractice. Common medico-legal cases involve deliberate self-harm, accidents, and criminal cases. Nurses must properly document and handle medico-legal cases, obtain informed consent, and understand their legal duties and liabilities to practice safely and avoid litigation. Maintaining standards of care, competence, and keeping accurate records are important legal safeguards for nurses.
2. icn code for nursing ethics
The document outlines the International Council of Nurses' (ICN) Code of Ethics for nurses. It discusses four main sections of the code: 1) Nurses and patients or other people requiring care or services, 2) Nurses and practice, 3) Nurses and the profession, and 4) Nurses and global health. For each section, it lists the guiding principles that nurses should uphold in their relationships with patients, in their nursing practice and professional responsibilities, and in promoting global health as a human right. The code aims to define ethical nursing practice and decision-making to meet high professional standards.
1. ethics and values
1. The document discusses ethics and values in nursing, defining key terms like ethics, morals, and values. It outlines ethical principles like autonomy, non-maleficence, and beneficence.
2. Six standards of nursing practice are discussed, including accountability, continuing competence, and professional relationships. Methods of ethical decision making and processing ethical dilemmas are also presented.
3. Primary values for ethical nursing practice are outlined, including providing safe care, maintaining privacy, and promoting justice. The relationship between ethics, values, and the nursing code of ethics is explored.
CV Ram Sharan Mehta
Prof. Dr. Ram Sharan Mehta is a professor in the Medical-Surgical Nursing Department at the College of Nursing of the BP Koirala Institute of Health Sciences in Dharan, Nepal. He has over 30 scientific papers published, 73 completed research projects, and has guided over 50 undergraduate and graduate theses. He holds a PhD from Tribhuvan University and has received several awards for his academic achievements and research, including the Vice-Chancellor Gold Medal and Nepal Vidya Bhusan award.
Rs mehta photos of visits historical
This document appears to be a presentation by Prof. Dr. RS Mehta about his 23 year history working in ERH & BPKIHS from 2048-2071. It includes some pictures from his time there and lists him as a participant and resource person for a Research Methodology Training from March 3-7, 2013. It also mentions an HBC session and thanks Robert from CGH Singapore for an example of innovations and development.
More from BP KOIRALA INSTITUTE OF HELATH SCIENCS,, NEPAL (20)
Ram sharan mehta
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