Pawan Acharya
A5059763902- Child Nutrition and Water Access
- Global Public Health Policies and Epidemiology
- Global Health Care Issues
- Global Maternal and Child Health
- Health disparities and outcomes
- Breastfeeding Practices and Influences
- Public Health and Nutrition
- Trauma and Emergency Care Studies
- Health and Well-being Studies
- Food Security and Health in Diverse Populations
- Cardiovascular Health and Risk Factors
- Lung Cancer Research Studies
- Healthcare Systems and Reforms
- Climate Change and Health Impacts
- Healthcare professionals’ stress and burnout
- Smoking Behavior and Cessation
- Infant Development and Preterm Care
- Emergency and Acute Care Studies
- Vaccine Coverage and Hesitancy
- Reproductive Health and Contraception
- Agricultural Systems and Practices
- Adolescent Sexual and Reproductive Health
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Head and Neck Cancer Studies
- Agricultural Economics and Practices
University of Oklahoma Health Sciences Center
2020-2025
University of Alabama at Birmingham
2025
Lister Hospital
2023-2024
Bellevue College
2024
Nepal Red Cross Society
2015-2023
Pokhara University
2023
Maharana Pratap University of Agriculture and Technology
2023
University of Nevada, Reno
2022
Beaumont Hospital, Royal Oak
2020
Institute for Health Metrics and Evaluation
2018
BackgroundThe Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017) includes a comprehensive assessment incidence, prevalence, years lived with disability (YLDs) for 354 causes in 195 countries territories from 1990 to 2017. Previous GBD studies have shown how the decline mortality rates 2016 has led an increase life expectancy, ageing global population, expansion non-fatal burden disease injury. These also substantial portion world's population experiences health loss...
BackgroundThe Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to factor quantification that offers useful tool for synthesising evidence on risks risk–outcome associations. With each annual GBD study, we update the CRA incorporate improved methods, new pairs, data exposure levels associations.MethodsWe used framework developed previous iterations estimate trends in exposure, attributable deaths,...
BackgroundHow long one lives, how many years of life are spent in good and poor health, the population's state health leading causes disability change over time all have implications for policy, planning, provision services. We comparatively assessed patterns trends healthy expectancy (HALE), which quantifies number expected to be lived complementary measure disability-adjusted life-years (DALYs), a composite disease burden capturing both premature mortality prevalence severity ill 359...
Assessments of age-specific mortality and life expectancy have been done by the UN Population Division, Department Economics Social Affairs (UNPOP), United States Census Bureau, WHO, as part previous iterations Global Burden Diseases, Injuries, Risk Factors Study (GBD). Previous GBD used population estimates from UNPOP, which were not derived in a way that was internally consistent with numbers deaths GBD. The present iteration GBD, 2017, improves on assessments provides timely experience...
BackgroundEfforts to establish the 2015 baseline and monitor early implementation of UN Sustainable Development Goals (SDGs) highlight both great potential for threats improving health by 2030. To fully deliver on SDG aim “leaving no one behind”, it is increasingly important examine health-related SDGs beyond national-level estimates. As part Global Burden Diseases, Injuries, Risk Factors Study 2017 (GBD 2017), we measured progress 41 52 indicators estimated index 195 countries territories...
BackgroundPopulation estimates underpin demographic and epidemiological research are used to track progress on numerous international indicators of health development. To date, internationally available population fertility, although useful, have not been produced with transparent replicable methods do use standardised mortality. We present single-calendar year single-year age fertility by sex methods.MethodsWe estimated in 195 locations single calendar from 1950 2017 methods. based the...
Achieving universal health coverage (UHC) requires financing systems that provide prepaid pooled resources for key services without placing undue financial stress on households. Understanding current and future trajectories of is vital progress towards UHC. We used historical data 188 countries from 1995 to 2015 estimate scenarios spending through 2040.We extracted gross domestic product (GDP) 2015, projected annual GDP, development assistance health, government, out-of-pocket, private 2040...
Comparable estimates of health spending are crucial for the assessment systems and to optimally deploy resources. The methods used track continue evolve, but little is known about distribution across diseases. We developed improved by source, including development assistance health, and, first time, estimated HIV/AIDS on prevention treatment source funding, 188 countries.We collected published data domestic spending, from 1995 2015, a diverse set international agencies. tracked 1990 2017....
Prevalence of child stunting in the Democratic Republic Congo (DRC) is among highest world. There a need to systematically investigate how operates at different levels determination and identify major factors contributing development stunting. The aim this study was look for key determinants DRC. This used data from DRC Demographic Health Survey 2013–14 which included anthropometric measurement 9030 under 5 year children. Height-for-Age Z score calculated classified according WHO guideline....
The World Health Organization recommends initiating breastfeeding within the first hour of birth. This study is aimed at assessing effect mother's education on early initiation breastfeeding.Data from Nepal Demographic and Surveys (NDHS) 2001, 2006 2011 were used which included 12,845 last born children 5 years before surveys. Early was defined as after Hierarchical modelling to ascertain association maternal breastfeeding, controlling for other covariates in a multiple logistic...
Understanding modifiable determinants of full immunization children provide a valuable contribution to programs and help reduce disease, disability, death. This study is aimed assess the individual community-level coverage among in Democratic Republic Congo. used data from Demographic Health Survey 2013-14 Data regarding total 3,366 between 12 23 months age were this study. Children who immunized with one dose BCG, three doses polio, DPT, measles vaccine was considered fully immunized....
Musculoskeletal symptoms are common among surgical staff and can have long-term implications on health wellbeing. The purpose of this study is to evaluate the impact anti-fatigue floor mat comfort level teams during head neck surgeries lasting ≥ 3 h. Over 4 months, we prospectively randomized 34 major (≥ h) procedures use or not an mat. Anonymous questionnaires measured levels in different subjects including surgeons, assistant scrub technicians (n = 57). Subjects completed before,...
Abstract Objective Calibration and discrimination indicators alone are insufficient for evaluating the clinical usefulness of prediction models, as they do not account cost misclassification errors. This study aimed to modify Geriatric Trauma Outcome Score (GTOS) assess utility modified model using net benefit (NB) decision curve analysis (DCA) predicting in‐hospital mortality. Methods The Quality Improvement Program (TQIP) 2017 was used identify geriatric trauma patients (≥ 65 years)...
Background: Elevated triglyceride (TG) levels are a significant risk factor for cardiovascular disease. This retrospective study investigates the impact of 1000kcal/day low-carbohydrate diet, combined with Panchakarma, on TG in individuals hypertriglyceridemia. Purpose: To evaluate effectiveness 12-week intervention combining diet and Panchakarma therapy reducing improving other cardiometabolic parameters Methods: A retrospective, Multicentric, observational was conducted from January 2024...
Chemotherapy and radiotherapy resistance are major obstacles in the long-term efficacy of head neck squamous cell carcinoma (HNSCC) treatment. Secondhand smoke (SHS) exposure is common has been proposed as an independent predictor HNSCC recurrence disease-free survival. However, underlying mechanisms responsible for these negative patient outcomes unknown. To assess effects SHS on cisplatin cancer cells, three distinct lines were exposed to sidestream (SS) smoke, main component SHS, at...
Being the most common cancer among women worldwide, it is vital to be well-aware of breast risk factors, symptoms and curability. However, few studies have reported literacy in students using a validated instrument.A cross-sectional study was conducted grades 11 12 from eleven higher secondary schools, one selected randomly each ilaka Parbat district. Questionnaire with modified Comprehensive Breast Cancer Knowledge Test self-administered 516 students. score categorized into two categories:...
Abstract Tobacco smoking is the leading preventable cause of cancer. Moreover, continued during cancer therapy reduces overall survival. Aware negative consequences tobacco and challenges cessation, patients are inquiring whether they should switch to electronic cigarettes (e-cigarettes). To obtain evidence-based data inform this decision, we examined effects e-cigarette aerosol exposure on cisplatin resistance in head neck cells. Our results show that cells exposed extracts treated with...
Globally, maternal age is identified as an important predictor of institutional service utilization during delivery. This study aims to assess the correlates delivery among teenage and non-teenage mothers in Nepal by using data from Demographic Health Survey 2011.The population consisted 5391 women reproductive (15-49 years) who had given birth a child within five years before survey. Out them, 381 (7.07%) were mothers. The association between background characteristics was assessed...