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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Managing the Injury Burden in Nepal</title><author><name sortKey="Karmacharya, P C" sort="Karmacharya, P C" uniqKey="Karmacharya P" first="P. C." last="Karmacharya">P. C. Karmacharya</name><affiliation><nlm:aff id="Aff2">B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal</nlm:aff></affiliation></author><author><name sortKey="Singh, G K" sort="Singh, G K" uniqKey="Singh G" first="G. K." last="Singh">G. K. Singh</name><affiliation><nlm:aff id="Aff3">Ex Government of India Advisor to BPKIHS, Dharan, Nepal</nlm:aff></affiliation><affiliation><nlm:aff id="Aff4">Department of Orthopedics, CSM Medical University, Lucknow, 226003 India</nlm:aff></affiliation><affiliation><nlm:aff id="Aff5">101, Maple Apartments, Lucknow, UP 226007 India</nlm:aff></affiliation></author><author><name sortKey="Singh, M P" sort="Singh, M P" uniqKey="Singh M" first="M. P." last="Singh">M. P. Singh</name><affiliation><nlm:aff id="Aff6">Department of Orthopedics, BPKIHS, Dharan, Nepal</nlm:aff></affiliation></author><author><name sortKey="Gautam, V G" sort="Gautam, V G" uniqKey="Gautam V" first="V. G." last="Gautam">V. G. Gautam</name><affiliation><nlm:aff id="Aff7">Chief Community Emergency Preparedness, Lancaster, UK</nlm:aff></affiliation></author><author><name sortKey="Par, Andrew" sort="Par, Andrew" uniqKey="Par A" first="Andrew" last="Par">Andrew Par</name><affiliation><nlm:aff id="Aff8">South East Coast Ambulance Service, Lewes, UK</nlm:aff></affiliation></author><author><name sortKey="Banskota, A K" sort="Banskota, A K" uniqKey="Banskota A" first="A. K." last="Banskota">A. K. Banskota</name><affiliation><nlm:aff id="Aff9">Hospital for Rehabilitation of Disabled Children, Dhulikhel, Nepal</nlm:aff></affiliation><affiliation><nlm:aff id="Aff10">Department of Orthopedics, Kathmandu University, Kathmandu, Nepal</nlm:aff></affiliation></author><author><name sortKey="Bajracharya, A" sort="Bajracharya, A" uniqKey="Bajracharya A" first="A." last="Bajracharya">A. Bajracharya</name><affiliation><nlm:aff id="Aff11">Department of Orthopedics, National Academy of Medical Sciences (only Apex Trauma Center of Nepal), Kathmandu, Nepal</nlm:aff></affiliation></author><author><name sortKey="Shreshtha, A B" sort="Shreshtha, A B" uniqKey="Shreshtha A" first="A. B." last="Shreshtha">A. B. Shreshtha</name><affiliation><nlm:aff id="Aff12">Nepal Orthopedics Association, Kathmandu, Nepal</nlm:aff></affiliation></author><author><name sortKey="Mahara, Deepak" sort="Mahara, Deepak" uniqKey="Mahara D" first="Deepak" last="Mahara">Deepak Mahara</name><affiliation><nlm:aff id="Aff13">Department of Orthopedics, Tribhuwan University Medical College, Kathmandu, Nepal</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18663549</idno><idno type="pmc">2584310</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584310</idno><idno type="RBID">PMC:2584310</idno><idno type="doi">10.1007/s11999-008-0384-3</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">000266</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000266</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Managing the Injury Burden in Nepal</title><author><name sortKey="Karmacharya, P C" sort="Karmacharya, P C" uniqKey="Karmacharya P" first="P. C." last="Karmacharya">P. C. Karmacharya</name><affiliation><nlm:aff id="Aff2">B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal</nlm:aff></affiliation></author><author><name sortKey="Singh, G K" sort="Singh, G K" uniqKey="Singh G" first="G. K." last="Singh">G. K. Singh</name><affiliation><nlm:aff id="Aff3">Ex Government of India Advisor to BPKIHS, Dharan, Nepal</nlm:aff></affiliation><affiliation><nlm:aff id="Aff4">Department of Orthopedics, CSM Medical University, Lucknow, 226003 India</nlm:aff></affiliation><affiliation><nlm:aff id="Aff5">101, Maple Apartments, Lucknow, UP 226007 India</nlm:aff></affiliation></author><author><name sortKey="Singh, M P" sort="Singh, M P" uniqKey="Singh M" first="M. P." last="Singh">M. P. Singh</name><affiliation><nlm:aff id="Aff6">Department of Orthopedics, BPKIHS, Dharan, Nepal</nlm:aff></affiliation></author><author><name sortKey="Gautam, V G" sort="Gautam, V G" uniqKey="Gautam V" first="V. G." last="Gautam">V. G. Gautam</name><affiliation><nlm:aff id="Aff7">Chief Community Emergency Preparedness, Lancaster, UK</nlm:aff></affiliation></author><author><name sortKey="Par, Andrew" sort="Par, Andrew" uniqKey="Par A" first="Andrew" last="Par">Andrew Par</name><affiliation><nlm:aff id="Aff8">South East Coast Ambulance Service, Lewes, UK</nlm:aff></affiliation></author><author><name sortKey="Banskota, A K" sort="Banskota, A K" uniqKey="Banskota A" first="A. K." last="Banskota">A. K. Banskota</name><affiliation><nlm:aff id="Aff9">Hospital for Rehabilitation of Disabled Children, Dhulikhel, Nepal</nlm:aff></affiliation><affiliation><nlm:aff id="Aff10">Department of Orthopedics, Kathmandu University, Kathmandu, Nepal</nlm:aff></affiliation></author><author><name sortKey="Bajracharya, A" sort="Bajracharya, A" uniqKey="Bajracharya A" first="A." last="Bajracharya">A. Bajracharya</name><affiliation><nlm:aff id="Aff11">Department of Orthopedics, National Academy of Medical Sciences (only Apex Trauma Center of Nepal), Kathmandu, Nepal</nlm:aff></affiliation></author><author><name sortKey="Shreshtha, A B" sort="Shreshtha, A B" uniqKey="Shreshtha A" first="A. B." last="Shreshtha">A. B. Shreshtha</name><affiliation><nlm:aff id="Aff12">Nepal Orthopedics Association, Kathmandu, Nepal</nlm:aff></affiliation></author><author><name sortKey="Mahara, Deepak" sort="Mahara, Deepak" uniqKey="Mahara D" first="Deepak" last="Mahara">Deepak Mahara</name><affiliation><nlm:aff id="Aff13">Department of Orthopedics, Tribhuwan University Medical College, Kathmandu, Nepal</nlm:aff></affiliation></author></analytic><series><title level="j">Clinical Orthopaedics and Related Research</title><idno type="ISSN">0009-921X</idno><idno type="eISSN">1528-1132</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Nepal loses about 530,000 disability adjusted life years (DALYs) per year to injury, predominantly due to falls. It takes 30,000 Nepali rupees (NR), or approximately US$430 at 70 rupees per $US saved per DALY to achieve primary prevention and 6000 NR per DALY if we invest in hospitals, versus 1000 NR invested in prehospital care, because simpler less expensive actions performed early have a greater impact on outcome than more complex measures later. A system for prehospital services was planned for medical emergencies at a national level meeting at the Medical University of Nepal to promote healthcare to victims in inaccessible regions by empowered or enlightened citizens. Feasible actions for common emergencies were defined and a tutorial required to help the majority of such victims was created and packaged. The knowledge and attitude component of the tutorial will be delivered through a web site to citizens motivated to learn and help with emergencies. The knowledge will be tested through a net-based Multiple Choice Questions (MCQ) test. Practical training in medical triage skills will be provided to those who qualify for the test at the University or its designated affiliates. A mobile phone-based information system will be created and used to make these enlightened citizens available to the victim at the site/time of the emergency.</p></div></front></TEI><pmc xml:lang="EN" article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Orthop Relat Res</journal-id><journal-title>Clinical Orthopaedics and Related Research</journal-title><issn pub-type="ppub">0009-921X</issn><issn pub-type="epub">1528-1132</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>New York</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">18663549</article-id><article-id pub-id-type="pmc">2584310</article-id><article-id pub-id-type="publisher-id">384</article-id><article-id pub-id-type="doi">10.1007/s11999-008-0384-3</article-id><article-categories><subj-group subj-group-type="heading"><subject>Symposium: Abjs/C.t. Brighton Workshop on Trauma in the Developing World</subject></subj-group></article-categories><title-group><article-title>Managing the Injury Burden in Nepal</article-title></title-group><contrib-group><contrib contrib-type="author"><collab>The Nepal Community Emergency Preparedness Group</collab></contrib><contrib contrib-type="author"><name name-style="western"><surname>Karmacharya</surname><given-names>P. C.</given-names></name><degrees>MS (oph)</degrees><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Singh</surname><given-names>G. K.</given-names></name><degrees>MS, DNB, FICS, MS in Clin Epid</degrees><address><email>drgksingh@gmail.com</email></address><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff4">4</xref><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Singh</surname><given-names>M. P.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Gautam</surname><given-names>V. G.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="Aff7">7</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Par</surname><given-names>Andrew</given-names></name><xref ref-type="aff" rid="Aff8">8</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Banskota</surname><given-names>A. K.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="Aff9">9</xref><xref ref-type="aff" rid="Aff10">10</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Bajracharya</surname><given-names>A.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="Aff11">11</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Shreshtha</surname><given-names>A. B.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="Aff12">12</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Mahara</surname><given-names>Deepak</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="Aff13">13</xref></contrib><aff id="Aff1"><label>1</label>Dr. Praveen Nepal, Office of the Vice Chancellor, B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal</aff><aff id="Aff2"><label>2</label>B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal</aff><aff id="Aff3"><label>3</label>Ex Government of India Advisor to BPKIHS, Dharan, Nepal</aff><aff id="Aff4"><label>4</label>Department of Orthopedics, CSM Medical University, Lucknow, 226003 India</aff><aff id="Aff5"><label>5</label>101, Maple Apartments, Lucknow, UP 226007 India</aff><aff id="Aff6"><label>6</label>Department of Orthopedics, BPKIHS, Dharan, Nepal</aff><aff id="Aff7"><label>7</label>Chief Community Emergency Preparedness, Lancaster, UK</aff><aff id="Aff8"><label>8</label>South East Coast Ambulance Service, Lewes, UK</aff><aff id="Aff9"><label>9</label>Hospital for Rehabilitation of Disabled Children, Dhulikhel, Nepal</aff><aff id="Aff10"><label>10</label>Department of Orthopedics, Kathmandu University, Kathmandu, Nepal</aff><aff id="Aff11"><label>11</label>Department of Orthopedics, National Academy of Medical Sciences (only Apex Trauma Center of Nepal), Kathmandu, Nepal</aff><aff id="Aff12"><label>12</label>Nepal Orthopedics Association, Kathmandu, Nepal</aff><aff id="Aff13"><label>13</label>Department of Orthopedics, Tribhuwan University Medical College, Kathmandu, Nepal</aff></contrib-group><pub-date pub-type="epub"><day>29</day><month>7</month><year>2008</year></pub-date><pub-date pub-type="ppub"><month>10</month><year>2008</year></pub-date><volume>466</volume><issue>10</issue><fpage>2343</fpage><lpage>2349</lpage><history><date date-type="received"><day>31</day><month>12</month><year>2007</year></date><date date-type="accepted"><day>26</day><month>6</month><year>2008</year></date></history><permissions><copyright-statement>© The Association of Bone and Joint Surgeons 2008</copyright-statement></permissions><abstract xml:lang="EN"><p>Nepal loses about 530,000 disability adjusted life years (DALYs) per year to injury, predominantly due to falls. It takes 30,000 Nepali rupees (NR), or approximately US$430 at 70 rupees per $US saved per DALY to achieve primary prevention and 6000 NR per DALY if we invest in hospitals, versus 1000 NR invested in prehospital care, because simpler less expensive actions performed early have a greater impact on outcome than more complex measures later. A system for prehospital services was planned for medical emergencies at a national level meeting at the Medical University of Nepal to promote healthcare to victims in inaccessible regions by empowered or enlightened citizens. Feasible actions for common emergencies were defined and a tutorial required to help the majority of such victims was created and packaged. The knowledge and attitude component of the tutorial will be delivered through a web site to citizens motivated to learn and help with emergencies. The knowledge will be tested through a net-based Multiple Choice Questions (MCQ) test. Practical training in medical triage skills will be provided to those who qualify for the test at the University or its designated affiliates. A mobile phone-based information system will be created and used to make these enlightened citizens available to the victim at the site/time of the emergency.</p></abstract><custom-meta-wrap><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Association of Bone and Joint Surgeons 2008</meta-value></custom-meta></custom-meta-wrap></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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