Publications by authors named "Sunil K Joshi"

Article Synopsis
  • The study validated a culturally adapted Nepalese version of the Abuse Assessment Screen (N-AAS) for detecting domestic violence among pregnant women in Nepal, informed by expert reviews and feedback from women who participated in cognitive interviews.
  • Pre-testing occurred using electronic surveys in tertiary care hospitals, leading to strong content validity and high reliability with a test-retest analysis showing 91.2-98.9% consistency.
  • The N-AAS demonstrated excellent specificity for identifying non-abuse cases and good sensitivity for detecting recent physical abuse, while highlighting challenges in reporting due to cultural normalization of abuse.
View Article and Find Full Text PDF

Background: Police road crash and injury data in low-income and middle-income countries are known to under-report crashes, fatalities and injuries, especially for vulnerable road users. Local record keepers, who are members of the public, can be engaged to provide an additional source of crash and injury data.

Methods: This paper compares the application of a local record keeper method to capture road crash and injury data in Bangladesh and Nepal, assesses the quality of the data collected and evaluates the replicability and value of the methodology using a framework developed to evaluate the impact of being a local record keeper.

View Article and Find Full Text PDF
Article Synopsis
  • Acute myeloid leukemia (AML) is a challenging cancer to treat due to its complex genetic mutations, which often do not predict how well patients will respond to therapy.
  • This study combines multiple data types (proteomic, transcriptomic, and drug sensitivity) from 210 AML patients to uncover new disease subtypes and their drug response patterns beyond just genetic mutations.
  • The researchers created a model to predict drug responses tailored to these new subtypes, enhancing treatment strategies and potential drug combinations for AML patients.
View Article and Find Full Text PDF

This Research Communication aims to compare the effect of A1A2 and A2A2 cow milk diets on the biochemical and histological parameters of rats. The rats were divided into four groups and fed with a normal diet, A2 milk powder, A1A2 or A2A2 cow milk diets for 90 d. Blood glucose, kidney function, liver function and lipid profile were examined during the experimental period.

View Article and Find Full Text PDF

Unintentional injuries are one of the leading causes of ill health, disability & death among the children and young adults worldwide. As these injuries are strongly related to social determinants, the burden falls mainly upon the Low- and Middle-Income Countries (LMICs) like Nepal. Thus, the main objective was to explore the epidemiology of unintentional childhood injuries in urban and rural areas of Kavrepalanchok district.

View Article and Find Full Text PDF

Proteogenomics refers to the integration of comprehensive genomic, transcriptomic, and proteomic measurements from the same samples with the goal of fully understanding the regulatory processes converting genotypes to phenotypes, often with an emphasis on gaining a deeper understanding of disease processes. Although specific genetic mutations have long been known to drive the development of multiple cancers, gene mutations alone do not always predict prognosis or response to targeted therapy. The benefit of proteogenomics research is that information obtained from proteins and their corresponding pathways provides insight into therapeutic targets that can complement genomic information by providing an additional dimension regarding the underlying mechanisms and pathophysiology of tumors.

View Article and Find Full Text PDF
Article Synopsis
  • Venetoclax, when combined with azacytidine, shows promise in treating acute myeloid leukemia (AML), but some patients develop resistance, which can limit the treatment's effectiveness.
  • Researchers tested 25 different drug combinations with venetoclax on AML patient samples to discover which combinations might work better than the standard venetoclax + azacytidine approach.
  • By analyzing tumor cell states and incorporating clinical features, the study identified new drug combinations that could be more effective for certain patient subtypes, paving the way for personalized treatment strategies in AML.
View Article and Find Full Text PDF

Background: Routinely collected injury data can help to identify populations at risk of injury, circumstances surrounding those injuries, and can be used to develop targeted interventions. However, routinely collected injury data in Nepal are at risk of being incomplete or poorly coded and are underutilised. Therefore, this study aimed to explore the strengths, and opportunities for improvement, of systems that routinely measure injury incidence in Nepal.

View Article and Find Full Text PDF

Background: Gender inequality and violence are not mutually exclusive phenomena but complex loops affecting each other. Women in Nepal face several inequalities and violence. The causes are diverse, but most of these results are due to socially assigned lower positioning of women.

View Article and Find Full Text PDF

Background And Aim: The ingredients viz., and of the present formulation are used to treat diabetes in the Indian traditional medical system. Adopting the concept of multiple herbal mixtures for better therapeutic effects from the ancient Ayurvedic text Sarangdhar Samhita, the present study aimed to develop a polyherbal formulation (PHF) of seven herbs and to evaluate its sodium-glucose cotransporter protein-2 (SGLT2) inhibitory effect on type 2 diabetic rats.

View Article and Find Full Text PDF
Article Synopsis
  • Acute myeloid leukemia (AML) is a challenging cancer with few treatment options, and the study combines ex vivo drug sensitivity with genomic data from 805 patients to better understand treatment responses.
  • This research identifies key features influencing drug sensitivity, particularly focusing on the differentiation state of AML cells, which has implications for how they respond to therapy.
  • Notably, the gene PEAR1 emerges as a strong predictor of survival in young AML patients, highlighting its potential role in guiding treatment decisions and future drug development.
View Article and Find Full Text PDF

Background: Healthy lifestyle behaviours have been consistently associated with reduced non-communicable disease related morbidity, mortality and wellbeing. Unhealthy behaviours are major contributors to the global burden of disease. The main aim of this study is to access lifestyle behaviours in adults during the corona virus disease-19 pandemic.

View Article and Find Full Text PDF

Background: The development of drug delivery carriers is the key area of research in the field of novel drug delivery systems. To date, a long list of carriers has been identified for this purpose but the deliveries of poorly water-soluble active substances are still facing challenges and hence, such substances are pharmacologically unsafe and economically incompetent.

Objective: This article aims to review the applications of casein as a drug carrier and its potential for clinical use.

View Article and Find Full Text PDF

Objective: To identify and prioritise the research needed to help Nepali agencies develop an improved road safety system.

Design: Delphi study.

Setting: Nepal.

View Article and Find Full Text PDF

Background: The prevalence of type 2 diabetes (T2D) has increased substantially in the past few decades throughout the world. In India, the epidemic of diabetes continues to increase irrespective of area, status, and age. Despite various scientific societies involved in the treatment of diabetes, still, the burden of diabetes keeps growing.

View Article and Find Full Text PDF

Introduction: Road traffic injuries are a major but neglected global challenge. There are high and rising rates of road traffic injuries in Nepal. Most of the studies reporting these injuries in Nepal have used quantitative methods to describe the injury burden.

View Article and Find Full Text PDF

Introduction: Victim of injuries presenting to a hospital is a medico-legal issue. So, with medical management, proper documentation of injuries should be done as a legal duty by all physicians attending such cases. The study aims to find the prevalence of injury amongst medicolegal cases in the Department of Forensic Medicine in a tertiary care centre.

View Article and Find Full Text PDF

Objective: Accurate road crash reporting is essential for evaluating road safety interventions and plans. Under-reporting of road traffic crashes, injuries, and fatalities in police records has been widely described. The aim of this study was to apply and evaluate a community crash recording system, and assess the quality of the data in comparison with traffic police data in Nepal.

View Article and Find Full Text PDF

Background: Heavy goods vehicle drivers are an influential driving population in Nepal, with over 90% of goods in the country are transported by road. Due to the time spent on the road, drivers have long periods of exposure to the risk of crash involvement. The study explores the perceptions and experiences of heavy goods vehicle drivers and representatives from their professional association regarding road danger.

View Article and Find Full Text PDF

This study aimed to develop and evaluate a model of hospital-based injury surveillance and describe the epidemiology of injuries in adults. One-year prospective surveillance was conducted in two hospitals in Hetauda, Nepal. Data were collected electronically for patients presenting to emergency departments (EDs) with injuries between April 2019 and March 2020.

View Article and Find Full Text PDF

Road traffic injuries in Nepal are increasing despite being largely preventable. Little evidence exists regarding the barriers and facilitators to a safer road system. This study aimed to explore the perspectives of professionals whose jobs had the potential to influence road safety in Nepal regarding challenges and potential solutions.

View Article and Find Full Text PDF

Worldwide, a large number of women experience disrespectful and abusive behavior from care providers during childbirth. This violates the rights of women to attain respectful care. This study aimed to find out the women's experience of disrespect and abuse during institutional delivery.

View Article and Find Full Text PDF